Hospi tal s are complex and ti ghtl y coupl ed systems that are qui te prone to acci dents. Concomi tant with i ncreasi ng legi sl ati on and publi c expectati ons, a new heal th care envi ronment i s emergi ng. T he extent of the busi ness ri sk borne by thei r facili ty management teams i s very si gnifi cant i n hospital s. Busi ness operati ons rel y on a conti nui ty of support for FM servi ces. T he ri sk to processes of pati ent care due to cl osures, breakdowns, and i nterruptions to support servi ces must be better understood i f downtimes are to be mi nimi zed