title: Off-balance-sheet financing can generate capital for strategic development.
abstract: To manage their real estate portfolios effectively and obtain funding for strategic development, IDSs should consider adopting off-balance-sheet financing strategies, such as sale-and-leaseback transactions, synthetic leases, and joint-venture arrangements. Under these approaches, real estate assets are moved off of the organization's balance sheet via a partial or complete transfer of ownership to a third-party entity. The organization typically retains a satisfactory degree of control over the assets as lessee in sale-and-leaseback and synthetic-lease arrangements, or limited or minority partner in a joint venture, while freeing up cash to use for other strategic purposes.
authors.affiliation: fcampobasso@amdchealth.com
authors.forename: F D
authors.initials: FD
authors.lastname: Campobasso
mesh_terms: D000066:Accounting; D002202:Capital Financing / Q000379:methods; D019033:Delivery of Health Care, Integrated / Q000191:economics*; D005376:Financial Management / Q000379:methods*; D006275:Health Facility Planning / Q000191:economics / Q000379:methods; D007860:Leasing, Property / Q000191:economics*; D010067:Ownership / Q000191:economics; D010934:Planning Techniques; D014481:United States