are for each year from 2019 to 2023.
As you can see, we expect we'll need to replace this surgical cen-
ter's 4 anesthesia machines in 2022. The estimated cost: $300,000.
That's a big number, to be sure, but it'll be easier for your owners and
governing body to swallow when the time comes because they would
have seen the forecast a few years out. This plan gives you and them
time to prepare for such purchases and evaluate how to best pay for
them. You might decide to reduce distributions to your physician-own-
ers, borrow from the bank or lease the equipment.
The first year of the 5-year plan (2019 on the sample) is the budget
for capital purchases in the current fiscal year. Make present-year
costs as precise as possible. The columns representing years 2 to 5
(2020, 2021, 2022 and 2023) can be estimates rounded to the nearest
$5,000. Update your plan each year after consulting with staff and
equipment maintenance.
Keep in mind that equipment that is getting close to its predicted
breakdown date could simply need repair, not replacement. Also
consider an item's usage. You'll need to replace used equipment
more often than, say, the lead-apron hanger stuffed in a closet.
S E P T E M B E R 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 1 9
Item
Remaining
Life
2019 2020 2021 2022 2023
Business Office
Desktop Computers (5)
Server (Windows)
1
2
$10,000
$25,000
Pre-op/Post-op
Monitors
3 $50,000
Operating Rooms
Anesthesia Machines (4)
C-arm
4
5
$300,000
$125,000
Central Processing
Autoclave
2 $100,000
Totals $10,000 $125,000 $50,000 $300,000 $125,000