Financial decision making in the teaching hospital. Interview by Karen Gardner.
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Biomedical subjects
Publications and source records attributed to S J Goldblatt.
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The Economic Recovery Tax Act of 1981 left tax-exempt hospitals at a significant disadvantage in the competition for capital. Although the new law's accelerated depreciation schedules and liberalized investment tax credits contain some marginal benefits for tax-exempt hospitals, these benefits are probably more than offset by the impact of the law on charitable giving.
HCFA has ignored the state of the art in establishing the methodology of the new schedule of limits. Its underlying decision to continue to group hospitals by bed size renders invalid an otherwise appropriate technique.
Given the special challenges and problems of teaching hospitals,...these institutions should be treated at least no worse than hospitals with no teaching affiliations. Interest expense on hospital related debt should be reimbursed without regard to income earned by nonhospital related investment.