New enforcement environment affects healthcare.
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Tax-exempt capital leases, when structured through the appropriate conduit authority, are an excellent option for financing equipment that the hospital wants to own. Operating leases offer the benefits of immediate cash flow savings when compared with buying equipment, fewer complications and lower upfront costs when compared with bond issues, and the ability to match short-term assets with short-term liabilities. A best-practice leasing process involves nine steps progressing from assessing needs and soliciting bids from equipment manufacturers to implementing the lease and providing continuing disclosure.
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Many community nurses rely on a car for visiting clients in their homes. A basic understanding of the liability of private and lease cars to tax is required if nurses are to avoid undue costs.
The author explains various financial techniques that can be used to evaluate equipment acquisitions. She also introduces the concept of the time value of money and explains how incorporating this concept into the analysis can provide nurse executives with a better perspective of the factors involved in committing organizational funds to long-term capital purchases.
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Capital formation will be a dominant issue for hospitals in the 1990s. A definitive new book, Hospital Capital Formation: Strategies and Tactics for the 1990s, examines the challenges in this area. A cover story to keep for your files.
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Automated laboratory equipment, medical imaging equipment, and patient monitors top the list of hospitals' priorities for equipment acquisition during the next year. This is according to an exclusive survey sponsored by the Linc Group, Inc., Chicago, and Hospitals magazine. The new survey also found that equipment acquisitions are most often financed with internal funds and gifts; that equipment purchasing budgets are on the rise; and that executives believe that most equipment makes money for their hospitals. Find out what your peers have to say about anticipated trends in equipment acquisition and financing during the next year.
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