$1.$ Loan Repayment Calculation:

Loan Amount: $$250,000$

Interest Rate: Assuming it's the same as the term loan rate $(4\%)$

Loan Term: $5$ years

Repayment Frequency: Annual

Using a financial calculator or Excel's PMT function, we can calculate the annual payment.

$2.$ Building Fund Calculation:

Annual Contribution: $$5,000,000$ for the first $4$ years, then a fixed amount for the following $3$ years.

Interest Rate: $4\%$

Time Period: $7$ years

Using the Future Value of an Annuity formula, we can calculate the future value of the building fund.

This analysis provides a framework for making informed financial decisions for Gulf Shores Surgery Centers.