title: Straight talk. New approaches in healthcare. Capital financing: beyond the shores of your typical transaction.
abstract: If you're in the market to renovate or expand but are concerned about overloading your balance sheet with debt or if you plan to build a for-profit facility, consider a Design, Build, Finance, and Operate (DBFO) arrangement. In such deals, experts in finance, construction, real estate, and support-service provision manage risk and day-to-day responsibility for facility management. Evaluating alternatives to tax-exempt financing is a critical piece of capital planning today because competition for traditional sources of funding has become global.
authors.forename: James D
authors.initials: JD
authors.lastname: Bremner
authors.forename: Jerry J
authors.initials: JJ
authors.lastname: Bielak
authors.forename: Steven
authors.initials: S
authors.lastname: Elek
authors.forename: Ian
authors.initials: I
authors.lastname: Wootton
mesh_terms: D002202:Capital Financing / Q000379:methods*; D003253:Consultants; D005377:Financial Management, Hospital / Q000379:methods*; D005379:Financing, Construction; D006749:Hospital Design and Construction / Q000191:economics*; D007449:Investments / Q000191:economics*; D008284:Maintenance and Engineering, Hospital / Q000191:economics*; D009937:Organizational Objectives; D019464:Tax Exemption; D006113:United Kingdom; D014481:United States