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The provisions of SFAS Nos. 145,146, and 132 (revised), which all became effective before June 30, 2004, should provide important guidelines for many types of healthcare organizations that engage in certain debt refinancing, sale-leaseback transactions, and exit and disposal activities, as well as those that offer pension and postretirement employee benefits.
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First announced in 1992 by the then Conservative Government, the Private Finance Initiative is a contract whereby private companies finance, design, build and manage public buildings, such as hospitals and schools, and lease them to the public sector for a set period--typically 30 years. In healthcare, the scheme has been particularly prolific, with 34 hospitals and 119 other PFI health schemes built to date. PFI projects are also expected to account for the majority of the 15 NHS hospital developments worth over pound 4 billion, that were recently announced by Health Secretary John Reid. Arguments aside, few could deny that PFI has been instrumental in facilitating the biggest NHS hospital building programme ever seen.
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Time invested upfront in practice planning, examining lease or purchase terms, and carefully selecting landlords or partners yields long-term financial and efficiency gains. This article outlines the salient factors that physicians must consider when planning office space and defines the five most common mistakes that most tenants make.
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Today's healthcare real estate strategies involve: assessing and prioritizing capital availability for building projects, carefully planning and implementing the process for the project Making beneficial decisions regarding facility management and maintenance.
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Lease rates for healthcare equipment should not exceed fair market value for comparable leases in the market. Valuators usually analyze lease arrangements under a cost approach and a market approach to determine the fair market value lease rate. Healthcare financial executives need to perform significant research to support the lease rate.
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