Develop Sustainable Ownership Structures

Develop Sustainable Ownership Structures

Aligning Medical Practices and their Real Estate | Buy-ins, Buyouts, & Operating Agreement Provisions


Develop Sustainable Ownership Structures

Have you joined a medical group with an excessive real estate buy-in?

New physician partners are often afforded the opportunity to buy into their practice’s real estate holdings as a subsequent step to becoming a shareholder in the practice. This may be perceived as onerous because the capital requirement for entering the real estate is generally substantial and oftentimes disproportionately larger than the buy in for the practice, or other ancillaries. As the investment matures, debt is repaid and buildings appreciate. There is typically an increased buildup of equity and, therefore, an increased buy-in for new partners. Compounding this, young physicians are often encumbered with substantial student debt, making a large real estate buy-in less appealing.

CMAC creates sustainable and reproducible equity ownership structures that allows for new partners to afford and participate in real estate investment, therefore, enhancing physician practice continuity.


"Probably the biggest impact from CMAC was their expertise with a re-syndication effort. They ran multiple models, probably 40 to 50 total, between different options we had."
David Morris, MD, President - Urology Associates, P.C., Nashville, TN

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