In the process of reshaping the entire nation's health care delivery system, it is only natural that financing vehicles which we once considered "standard" are evolving as well. The purpose of this article is to explore some of the creative and nontraditional vehicles available to emerging health care organizations and integrated systems to access capital. This brief overview focuses on the organizational structures, financial characteristics, and financial structures of emerging health care delivery networks and providers. Select case studies provide examples of the more creative financial structures currently being employed to meet rapidly growing fund needs.