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PubMed1985

Caution: leases can hide dangerous curves and clauses.

Leasing medical equipment can be a financially advantageous undertaking, but also somewhat risky. Leases, if misrepresented by the leasing company, can trap the healthcare organization into an agreement that is actually more costly than purchasing the equipment. Therefore, extreme caution should be taken when evaluating leasing agreements, looking carefully at each individual section of the lease for possible "hooks" and misrepresentations.

Contract Services↗
PubMed1999

Public and private perspectives on hospital conversions: proposed MUSC-Columbia/HCA "partnership".

Conversion has been defined as "any type of transaction that results in the shift of all or a substantial portion of the assets of nonprofit health care organizations to for-profit use" (Claxton and Colleagues, 1997:10-11). Not surprisingly, efforts at such conversion create political conflict and opposition within communities with some groups supporting and others opposing the intended conversion. This study looks at a particular effort at conversion: the proposed "partnership" between three hospitals of the Medical University of South Carolina (MUSC) and Columbia/HCA, the largest for-profit health services network in the U.S. Beginning in 1995, the three-year effort (now at an impasse) has drawn local and state policy-markers into increasing controversy and acrimony. Beyond the details, the episode also raises fundamental issues about the nature of public health care and the extent to which we can convert public health facilities to private control while preserving their essential public missions.

Capital Financing↗