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Health Care Equipment Leasing
Equipment leasing in the health care sector typically stands apart from leasing in other industries. This is a notable point even in stable times, but is especially important to acknowledge as the political and economic environment has provoked an out-of-the-ordinary shift in the U.S. health care market. Reviewing several major developing areas may provide a fuller picture of health care equipment leasing's recent past and lends insight into what lies ahead.
Federal health care reform is the obvious engine behind part of this shift. The Patient Protection and Affordable Care Act (“ACA”), though upheld by the Supreme Court in June, has many lingering questions regarding its effects. By increasing the rolls of insured patients, the ACA could be considered a boon to doctors and hospitals via increased demand. In serving more patients, equipment needs may likely increase. Despite the market's expansion, the cost of implementing related regulatory overhauls could offset increased revenues.
The ACA has provoked businesses in all parts of the health care industry ' equipment lessors included ' to examine their fundamental business practices. Significant regulatory changes like the mandates of the Health Information Technology for Economic and Clinical Health Act (“HITECH Act”), plus other factors like tax and accounting rule changes will also influence the health care leasing environment. Tax benefits allowing bonus depreciation are set to expire, particularly impacting not-for-profit institutions that receive this benefit in the form of favorable lease terms. Additionally, accounting standards boards are modifying how leases will be viewed on hospital balance sheets, affecting institutions' debt ratios and therefore ability to secure leases. It is a time of flux in an expanding industry, and this ambiguity affects the outlook as much as pure demand for new equipment.
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