Executives of Sina Companies were selected by HMA to develop a medical office building on the campus of Central Mississippi Medical Center. The project was structured to accomplish three objectives for the hospital: 1)off-balance-sheet treatment, 2)maintaining control, and 3)future expansion. Our executives designed the first phase with a lobby that would accommodate both phases (saving on design/construction cost and creating efficiencies) and executed ground and space leases that provided off-balance-sheet treatment while maintaining control over tenancy.