Scenario
Health resources are finite. Therefore, it is incumbent on all health organizations to exercise responsible fiscal decision making when allocating their financial resources.
As the senior cost analyst for a local, nonprofit hospital, you are charged with determining the most appropriate use of financial resources and making recommendations. Your organization is seeking to secure a new CT Scan unit for the expanded emergency department. The hospital has the option of leasing the equipment or purchasing the equipment.
The cost to purchase the CT scan is $1,300,000 at 10% (PV), with straight line depreciation over 5 years. The trade-in value $130,000 at the end of its useful life. The maintenance expense equals $12,000 annually.
The cost to lease the equipment is $26,000 per month for a period of 60 months, which includes all maintenance costs. The tables below provide the financial overview of the purchase and lease costs.
Purchase
Purchase table
Lease
Lease table
Instructions
In a written case analysis, use the figures provided in the tables to discuss the following: (SEE ATTACHED TABLE)
Compare and contrast leasing versus purchasing.
Calculate the figures relative to the principal payment, interest payment, maintenance expense, total expense, and PV expense and complete the tables below.
Provide a detailed explanation of the costs associated with leasing the equipment as depicted in the table.
Provide a detailed explanation of the costs associated with purchasing the equipment as depicted in the table.
Discuss the potential tax implications of leasing the equipment, assuming that the organization is a nonprofit.
Discuss the potential tax implications of purchasing the equipment, assuming that the organization is a nonprofit.
Recommend a course of action and the implications that your recommendation may have for the organization.
not entirely settled preceding a medical procedure occurring and for the patient to not go through impingement at the hip joint, the femoral offset should be expanded. This is since, supposing that the femoral offset is diminished, then in addition to the fact that there is a gamble of impingement happening there would be an expansion in the wear of the joint because of the way that more power would be expected to move the leg thus the joint would have an expansion in response powers on it (The Bone School, n.d.). In the event that the femoral offset isn’t reestablished then the abductor muscle can become frail and this can prompt limping, which thusly could cause back and further hip agony (Mirza, 2010). The femoral offset can be picked when a custom embed is made yet can’t be modified when a standard embed is utilized.
6. Femoral Head
The size of the femoral head is one more thought that should be considered. Up until the beyond couple of years, the femoral head size that was utilized most frequently utilized has a 22mm breadth (Ganapathi, n.d.) This is much more modest than the regular head size of the femur, which is in many cases somewhere in the range of 40 and 50mm in width (Milner and Boldsen, 2012). In later times, specialists have begun to expands the size of the femoral head that they use consistently, to around 28mm, to battle the issue of separation that frequently happened with the more modest in breadth femoral heads (Ganapathi, n.d.). It is vital that the issue of disengagement is managed, as each time a patient has a separation of the hip embed, they need to return into a medical procedure to sort it out. Explicit measurements of femoral heads are more fit to patients of a given age and movement level, in this way the breadth chose by specialists is in many cases vigorously impacted by these qualities. For additional adaptable patients, which frequently concurs with more youthful female patients, a bigger in breadth femoral head would be a superior decision to diminish the ‘chance of rigid impingement at the limits of movement’ (Malik et al, 2007). The most reasonable head size for the patient is the 36mm measurement femoral head as it has been demonstrated the way that rising the breadth to this much can lessen the gamble of separation fundamentally and this positive offsets the gamble of wear that accompanies a bigger head size (Zjilstra, 2017).
Having a bigger head size likewise makes a bigger head-neck proportion which intends that there can be a bigger scope of movement before the joint goes through impingement (Karadsheh, n.d.). Close by this, the bigger head-neck proportion prompts an expansion in the produced safe-zone and permits specialists to have a bigger wiggle room with regards to the medical procedure itself, something that will help the patient should the specialist not have the option to completely keep away from a blunder (Li, 2010). Having a custom embed would be better whe