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The Great Prepping Debate - December 2012 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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OSE_1212_part1_Layout 1 12/5/12 10:20 AM Page 43 BUSINESS ADVISOR greater the overall company profit (even if you're a not-for-profit organization). So, it seems you'd want to convert the microscope to an asset rather than an expense. Not that simple, I'm afraid. The IRS has defined "asset," and you must determine if you can use this to your advantage. Mind the GAAP Generally accepted accounting principles — GAAP — define a company's assets as the items it owns or controls that have measurable future economic value. Quite simply, if you buy something that doesn't fit into that definition, then you can't capitalize it. Buildings, land, equipment (microscopes), inventory items and money owed to you from patients (accounts receivable) really do have future measurable economic values, so you can capitalize them as assets. On the other hand, advertising, marketing, holiday parties and the like cannot be capitalized and must be expensed, because they just cannot be measured as having concrete worth. So, in buying the microscope, you do in fact have an asset that retains value for the company — not an expense draining money from the facility. And although our ASC capitalized the microscope, that doesn't necessarily mean it won't ever have to expense the cost. Anticipate depreciation "Hard assets," such as buildings, property and equipment, tend to D E C E M B E R 2012 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 4 3

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