Straight talk. New approaches in healthcare. Capital financing: beyond the shores of your typical transaction.

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.

Straight talk. New approaches in healthcare.

Across the country, 19% of community hospitals are struggling to stay open. Discouraged, many board members and administrators settle for only mediocre financial, operational and clinical performance. But that's a mistake.