Certainty

Know The Price.
Own The Outcome.

With a Predetermined Purchase Price, your buyout is locked at signing. Zero capital at close, full operational control, and a total cost of ownership you can underwrite today.

$0

CAPITAL AT CLOSE

100%

CONTROL RETAINED

Day 1

PRICE LOCKED

Guaranteed

OWNERSHIP PATH

certainty

Predetermined Purchase Price

What if you could own the asset on terms you set in advance? Boldt funds the full development, locks the purchase price at signing, and hands your system a clear path to ownership. Total cost known upfront, zero capital at close, full value retained.

Our Predetermined Purchase Price option is best for health systems that:

Want to own their real estate

Value certainty over speculation

Prefer simplicity over complexity.

Expect long-term operational control.

2026 Capital Strategy Guide” + “Bonds vs Alternative Capital

What's at stake: the value gap

A price fixed at signing means appreciation accrues to you.

Instead of inflating your acquisition cost, the spread between today’s locked price and tomorrow’s market value is value your system keeps. That spread is the value most systems have no mechanism to capture.

Today's Locked Cost
Fixed - $55M
Tomorrow's market price
$77.9M - +20 to 40%

The gap is yours to keep

The Model

How It Works

1.

Fund

Boldt finances the full development, equity and debt. Your system contributes nothing at close and carries no construction-period capital burden.

2.

Lock

A fixed purchase price is set at signing and written into the agreement. Known today, not contingent on where the market moves over the term.

3.

Operate

Your system leases and runs the facility for a 12 to 15 year term with full operational autonomy and no ownership burden during the lease.

4.

Decide

Three defined options, established in advance: own at the fixed price, renew the lease, or step away and let Boldt sell.

Predetermined purchase price

Example

Predetermined Purchase Price Traditional Net Lease
Project Budget
$50,000,000
$50,000,000
Lease Term
15
15
Rent Constant
5.85%
6.85%
Year 1 Base Rent
$2,925,000
$3,425,000
Annual Base Rent Escalation
3.00%
3.00%
Lease Accounting Treatment
Operating
Operating
End of Lease Options
Option
Option
Cost to Acquire
$55,000,000
Fair Market Value
Example Market Value (3% NOI Growth)
$77,900,000
$77,900,000
Example Value Creation
$22,900,000
$0

Current proposed rent constants are reflective of market conditions and based off of a credit rating of A- or better and rates subject to change.

Strategic Advantage

Your Lease Creates The Value

When a health system signs a long-term lease, it transforms a newly developed facility into an institutional-grade healthcare asset. 

In traditional structures, investors capture that appreciation. With a Pre-Determined Purchase Price, your health system does.

Your credit strength

Your long-term occupancy commitment

Your operational importance to the facility

Market demand for leased healthcare real estate

MOB

The Difference

Why Boldt Real Estate

Traditional P3 / JV
X Joint venture board required
X Shared governance and decision rights
X Complex legal entity structure
X Ongoing reporting obligations
X Dispute resolution mechanisms needed
The Boldt Approach
✓ Single landlord-tenant relationship
✓ Full autonomy retained
✓ Standard lease agreement only
✓ No governance overhead
✓ Clear, simple contractual terms

Get In Touch

Let's redefine what you expect from a real estate partner.

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