HCS 449 Capstone Business Plan Scenario Background Community Hospital is a 180-bed acute care hospital that is qualified as a not-for-profit facility. The hospital was originally a county-owned facility and transferred status to an independent facility three years ago. The hospital receives no external funding from governmental agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality management program and a low volume of medical malpractice claims. The hospital is located in Bedford, which is a city of 50,000 people with 80,000 people in the regional market. The hospital provides a general range of acute care services including medical and surgical, rehab and emergency care. The president of the hospital has asked you to evaluate the feasibility of establishing an off-site urgent care center at a local mall. You will use data provided in this scenario to make your decisions and recommendations. Current Performance Analysis Mission and Vision Our Mission- To improve health by providing high-quality care through a comprehensive range of services. Our Vision- Community Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five-year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women's services. Currently the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist. Market Forces Affecting Hospital Volumes 1 Volume changes last year versus this year 30000 26292 25000 20930 20000 15000 10000 5000 0 4458 6365 5147 405 Admission ER visits Last year 7284 472 Deliveries Surgeries This year Patients The continued growth of chronic disease will require changes to the care management model. Percent of population by age: Under 18 18 to 44 45 to 65 Over 65 Five years ago 24 46 26 4 Five years from now 18 32 30 20 Over 53% of residents have at least some college education, with just over 29% possessing an associates, bachelors, or graduate degree. Over 90% of residents possess at least a high school diploma. The average unemployment rate in the county is currently 9.9%: 2 Market share distribution percentage with major competitor: Community Hospital Competitor Out of County Hospitals Five Years Ago 48 30 22 Last Year 35 43 22 Patient Origin by Zip Code 94963; 22% 94963 is major competitor hospital zip code 92106; 18% 93921; 13% 96101 is Community Hospital zip code 96101; 47% Payment Continued focus on pay-for-performance and increased wellness programs. Affordable Care Act creating more covered lives, however often with high deductibles. The median household income for county residents is $59,548. On average, households in county earn more than the state median household income of $44,446 and more than the national average of $53,650. The addition of a new automotive manufacturing plant to the local market this coming year is projected to add 1,500 production line jobs and 300 administrative jobs by year end. Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits. 3 Current Payer Mix Projected Payer Mix 5-years Other;4%2% Uninsured; Uninsured; 9% Other; 2% Medicaid; 35% Commercial; 24% Medicare; 30% Medicare; 38% Commercial; 32% Medicaid; 24% Percentage of Population by Insurance As part of your review of this data, consider that a portion of the population will become Medicare eligible, the addition of manufacturing positions that include benefits will increase commercial insurance coverage and changes from the Affordable Care Act will increase the number of patients in the market with insurance coverage. Employers Expected growth in large employers with addition of automotive factory in northwest sector of county. Physicians Continued shortage of medical staff, especially in orthopedics, oncology, and primary care will require increased recruitment efforts. Competitors Other hospital in county, Hanover County Hospital, has an updated facility, which has drawn more market share to their facility. 4 Competitor Key Areas of Competition New Programs and Facilities Risk to Market Share Primary Competitors Hanover County Hospital Facility upgrade Significant renovation of core hospital to update aesthetics Drawing patients to newer facility Added new wide-bore MRI machine last year Reaching 95% percentile in five of six HCAPS categories Patient perception of higher quality and patient satisfaction Quality Scores Medical Center in county south of Stevens Accommodates heavier patients Physician clinics E-visits with specialists Financial stability Low debt and high cash on hand Low acuity office visits Pharmacy added instant clinic in north end of county 6 months ago Drawing patients out of primary and specialty care at Stevens Ability to cash flow projects Secondary Competitors Retail pharmacy instant clinic Loss of patients from primary care physicians practices Technology Addition of e-visits by large hospital system in adjoining county has drawn more market share to their physician practices. Regulatory Changes Health care reform through the Affordable Care Act has increased the number of patients with some form of insurance payment. These patients are now seeking care in greater numbers from a primary care physician. Community Hospital currently struggles with accommodating patient scheduling requests to establish care with a primary care physician. 5 Financial summary This year Last year 343,737,2 80 16,846,3 09 360,583,5 89 344,726,2 45 20,311,5 34 365,037,7 79 192,053,3 79 130,173,4 77 18,969,7 99 2,695, 623 628, 184 344,520,4 62 16,063,1 27 182,853,2 45 135,560,1 31 20,644,1 57 2,226,4 37 1,182,3 08 342,466,2 78 22,571,5 01 Operating Revenues Net revenues from services to patients Other operating revenues Total operating revenues Operating Expenses Salaries and benefits Supplies and other expenses Depreciation Interest Foundation Total operating expenses Income from Operations Urgent Care Location Options Location One is located at a strip mall on the north side of town with a twenty-minute drive to the main Community Hospital campus. The potential lease space is a vacant storefront that previously housed a video store. The building is mostly an empty shell that would require $30,000 in renovation to create acceptable medical office space with four exam rooms. Lease cost of location is $3,000 per month for a total of 1,800 square feet. Utilities are not included in the lease rate. 6 Location Two is located at a strip mall location on the south side of town with a thirty-minute drive to the main Community Hospital campus. The lease space is a vacant grocery store. The building is mostly an empty shell that would require $35,000 in renovation to create acceptable medical office space with four exam rooms. However, the total space is very large, at 5,000 square feet, so there are other options available that could also be housed in that space. Lease cost of location is $6,500 per month for a total of 5,000 square feet. Utilities are not included in the lease rate. The owner is not willing to subdivide the space for lease by multiple parties. 7 Grading Criteria: Business Recommendations HCS/449 Version 7 Grading Criteria Business Recommendations This assignment is due in Week Four. Content 60 Percent Points Available 6 Points Additional Earned Comments: X/6 Points Available 2 Points Additional Earned Comments: X/2 Points Available 2 Points Additional Earned Comments: X/2 Wrote a paper that includes the following: Recommended which services should be provided at the center and describe why they are appropriate at this site. Described the hours of operation and why you recommend those hours. Described the major equipment and technology needed to provide the recommended service. Include a projected cost for that equipment. Described whether you are establishing your facility as a separate for profit entity or an affiliated not-for-profit entity and explain your rationale. Organization/Development 20 Percent The paper is 1,050 to 1,400 words in length. The introduction provides sufficient background on the topic and previews major points. The conclusion is logical, flows, and reviews the major points. Cite 2 peer-reviewed, scholarly, or similar references. Mechanics 20 Percent The paperincluding the title page, reference page, tables, and any appendixesfollows APA standards as directed by the instructor. The paper is laid out with effective use of headings, font styles, and white space. Rules of grammar, usage, and punctuation are followed, and spelling is correct Total Total Available Earned 10 1 Running head: BUSINESS PLAN SCENARIO Business Plan Scenario Student Name Course Name November 10, 2016 1 BUSINESS PLAN SCENARIO 2 Business Plan Scenario Group Hospital is an 180-bed acute care doctor's facility that is qualified as a not revenue driven office. The healing service was initially a region possessed office also, exchanged status to an independent office three years prior. The healing service gets no outside subsidizing from governmental organizations for operations. The hospital is authorized by The Joint Commission and got reaccreditation amid their triannual study a year ago. The clinic has a forceful quality administration program and a low volume of restorative negligence claims. The doctor's facility situate in Bedford, which is a city of 50,000 individuals with 80,000 persons in the rural market. The hospital gives a general scope of intense care administrations including therapeutic Furthermore, surgical, recovery and crisis mind. The president of the clinic has solicited you to assess the practicality from setting up an off-site dire mind focus at a neighborhood shopping center. Recommended Services The services those should provide at the center define in it. Various services like oncology, nursing visits services, cardiology services, and women's services. The use of uniform treatment conventions, which are grounded in the most recent headways in oncology mind, ensures that all CTSI patients advantage from the exploration and experience of the world's top oncologists[Bru]. Nursing Visit force is a measure of nursing administration utilize, figured as a proportion of aggregate nursing visits to the length of remain that records for vast varieties in term of the home care remain among patients. Little research prove exists about the relationship between gifted home care nursing visits, understanding qualities, and patient results. In this BUSINESS PLAN SCENARIO 3 manner, home human services attendants and administrators settle on choices about the recurrence and example of skilled nursing visits to give on the premise of custom and story. Cardiology Services provide incredible patient-focused care utilizing propelled techniques for analysis and treatment of different heart issues. It offers indicative testing and methodology, cardiovascular recovery, cardiovascular catheterization, heart wellbeing training and practice programs[Pau12]. Cardiovascular catheterization is a comparative study that gives valuable understanding into the life systems of the courses which supply the heart muscle with blood. With this system, specialists can see specifically if blockages exist in the core vessels that include in heart assaults. Not-revenue profit hospitals and foundations in healthcare can profit by perceiving and grasp their natural hierarchical favorable position over revenue was driven establishments, as Tails: It is simpler for the councils to relate to the points of an association that don't have a benefit in the middle. In case you're not for benefit, know about this favorable position and take advantage of it. At the point when a patient's requirement for oral dialect help can foresee, coordination of mediator administrations with booked arrangements can be significantly encouraged by incorporating planning of translator administrations into the general planning and provision system[Mic132]. Although many doctor's facilities have created PC-based data frameworks, their capability to track solicitations, planning, and use of translator administrations have to a great extent hide. Such mechanized systems can encourage dialect needs evaluation by recording persistent language characteristics, help with deciding repayment rates by following the use of mediator administrations, and streamline quiet care by diminishing sit fast times for translator administrations. The absence of coordination between booking clinician visits and BUSINESS PLAN SCENARIO 4 mediator administrations can prompt to pointless deferrals, intrusions, and disappointment for clinicians, patients, and translators alike[Bru]. These services are suitable for this site because when you run a revenue profit association, the fundamental objective is to deliver a benefit for yourself as the proprietor and any shareholders. However, from multiple points of view, non-benefit associations are like for benefits, an on benefit's objectives are distinctive. In case you're contemplating beginning a nonbenefit, consider the objectives and different advantages of this sort of association. For patients for whom oral language help has not foresee, either because their visit is unscheduled or because their level of English capability is suddenly observed to be lacking for viable, coordinate correspondence. The mediator administration's planning framework ought to have the capacity to give elucidation in an auspicious way. Obviously, this is most straightforward for those dialects for which the healing facility has staff mediators on site[ahr12]. Hours of Operation Nursing homes offer the broadest care a person can get outside a healing center. Nursing homes provide assistance with custodial care like washing, getting dressed, and eating and also skilled care. Gifted nursing consideration is given by an enrolled nurture and incorporates medicinal checking and medications. An authorized doctor oversees every patient's care and an attendant, or another restorative expert is quite often on the premises. The talented nursing concern is accessible on location, more often than not 24 hours a day[Sus98]. Other medical experts, for example, word related or environmental specialists, are additionally accessible. It permits the conveyance of therapeutic methods and treatments on location that would not be conceivable in another lodging. The danger of falls might be excessively incredible, or the BUSINESS PLAN SCENARIO 5 senior's restorative needs may never again have the capacity to be met at home or in another office. If the senior needs 24-hour supervision or is in peril of straying or overlooking a hot stove, for instance, a skilled nursing position might be the best alternative. If the senior's needs are exclusively custodial, however, a helped living area might be a superior fit[Mic132]. Equipment and Technology Services those recommended for the site are \"non-profit hospitals services\" and \"effective communication with patient\" require some equipment and technologies. Commonly these type of association will get donations of provisions or services from an individual or an organization. The non-benefit should appropriately record all in-kind commitments that it receives. In-kind commitments are recorded as both wage and costs when they get. Your non-benefit association ought to set up the classes required to permit you to record an exchange as per \"Generally Accepted Accounting Principles\" and which allow you to track data needed to established your assessment form and to monitor and provide details regarding benefactor data[glo161]. Any favorable circumstances to renting equipment for your non-benefit association, the best of which is the assortment of leasing and financing choices accessible. The non-benefit association with lower-intrigue leases and adaptable and reasonable installments, so you can have the hardware you require, when you need it at a cost you can bear. When you are renting rather than purchase, you'll understand the income benefits and evade technological out of date quality. Type of Corporation BUSINESS PLAN SCENARIO 6 A sole proprietorship can change over to an S corporation or C corporation or, contingent upon the state you live in, to an LLP or a \"limited liability company\" (LLC) without setting off any expenses. So does the cost, which can commonly run anywhere in the range of $1,500 to $5,000. The center should consider LLP corporation because an LLP with a limited partnership that is built up to put resources into land, oil, and gas, gear renting, and such. A limited partnership has general and constrained accomplices. The general accomplice runs the association, yet restricted accomplices don't; they just reserve it and get a wage, capital picks up, and tax breaks consequently. An LLP, then again, can be sorted out where each accomplice takes an interest in central leadership, paying little heed to rank or salary dispersion[Pau12]. Besides, the LLP has the alternative to making various classes of accomplices, each with different voting rights. Limited liability organizations are a kind of half and a half; they offer the risk insurance of an enterprise, however, are burdened like a sole proprietorship, if you rehearse alone, or an association, on the off chance that you have partners[Pau12]. BUSINESS PLAN SCENARIO 7 References ahrq. (2012). Improving Patient Safety Systems for Patients With Limited English Proficiency. Retrieved from ahrq: http://www.ahrq.gov/professionals/systems/hospital/lepguide/lepguide2.html globalhand. (2016). Nonprofit offering medical supplies and equipment. Retrieved from globalhand: http://www.globalhand.org/en/search/off/offer/1584 Mosch, S. V. (1998). Nursing Home Rates in the Upper Midwest: A Program Evaluation Report. Smith, P. (2012). Limited Liability Partnerships Handbook. Solomon, M. (2013 , NOV 2). 7 Ways To Improve Patient Satisfaction, Experience, And Customer Service, From Consulting In Hospitals And Healthcare. Retrieved from forbes: http://www.forbes.com/sites/micahsolomon/2013/11/02/quick-truths-for-improvedpatient-satisfaction-and-customer-service-from-consulting-in-hospitals-andhealthcare/#25c940b20eda Torres, B. (n.d.). BEST PRACTICE RECOMMENDATIONS FOR HOSPITAL-BASED INTERPRETER SERVICES. HCS 449 Capstone Business Plan Scenario Background Community Hospital is a 180-bed acute care hospital that is qualified as a not-for-profit facility. The hospital was originally a county-owned facility and transferred status to an independent facility three years ago. The hospital receives no external funding from governmental agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality management program and a low volume of medical malpractice claims. The hospital is located in Bedford, which is a city of 50,000 people with 80,000 people in the regional market. The hospital provides a general range of acute care services including medical and surgical, rehab and emergency care. The president of the hospital has asked you to evaluate the feasibility of establishing an off-site urgent care center at a local mall. You will use data provided in this scenario to make your decisions and recommendations. Current Performance Analysis Mission and Vision Our Mission- To improve health by providing high-quality care through a comprehensive range of services. Our Vision- Community Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five-year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women's services. Currently the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist. Market Forces Affecting Hospital Volumes 1 Volume changes last year versus this year 30000 26292 25000 20930 20000 15000 10000 5000 0 4458 6365 5147 405 Admission ER visits Last year 7284 472 Deliveries Surgeries This year Patients The continued growth of chronic disease will require changes to the care management model. Percent of population by age: Under 18 18 to 44 45 to 65 Over 65 Five years ago 24 46 26 4 Five years from now 18 32 30 20 Over 53% of residents have at least some college education, with just over 29% possessing an associates, bachelors, or graduate degree. Over 90% of residents possess at least a high school diploma. The average unemployment rate in the county is currently 9.9%: 2 Market share distribution percentage with major competitor: Community Hospital Competitor Out of County Hospitals Five Years Ago 48 30 22 Last Year 35 43 22 Patient Origin by Zip Code 94963; 22% 94963 is major competitor hospital zip code 92106; 18% 93921; 13% 96101 is Community Hospital zip code 96101; 47% Payment Continued focus on pay-for-performance and increased wellness programs. Affordable Care Act creating more covered lives, however often with high deductibles. The median household income for county residents is $59,548. On average, households in county earn more than the state median household income of $44,446 and more than the national average of $53,650. The addition of a new automotive manufacturing plant to the local market this coming year is projected to add 1,500 production line jobs and 300 administrative jobs by year end. Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits. 3 Current Payer Mix Projected Payer Mix 5-years Other;4%2% Uninsured; Uninsured; 9% Other; 2% Medicaid; 35% Medicare; 38% Commercial; 32% Commercial; 24% Medicare; 30% Medicaid; 24% Percentage of Population by Insurance As part of your review of this data, consider that a portion of the population will become Medicare eligible, the addition of manufacturing positions that include benefits will increase commercial insurance coverage and changes from the Affordable Care Act will increase the number of patients in the market with insurance coverage. Employers Expected growth in large employers with addition of automotive factory in northwest sector of county. Physicians Continued shortage of medical staff, especially in orthopedics, oncology, and primary care will require increased recruitment efforts. Competitors Other hospital in county, Hanover County Hospital, has an updated facility, which has drawn more market share to their facility. 4 Competitor Key Areas of Competition New Programs and Facilities Risk to Market Share Primary Competitors Hanover County Hospital Facility upgrade Significant renovation of core hospital to update aesthetics Drawing patients to newer facility Added new wide-bore MRI machine last year Reaching 95% percentile in five of six HCAPS categories Patient perception of higher quality and patient satisfaction Quality Scores Medical Center in county south of Stevens Accommodates heavier patients Physician clinics E-visits with specialists Financial stability Low debt and high cash on hand Low acuity office visits Pharmacy added instant clinic in north end of county 6 months ago Drawing patients out of primary and specialty care at Stevens Ability to cash flow projects Secondary Competitors Retail pharmacy instant clinic Loss of patients from primary care physicians practices Technology Addition of e-visits by large hospital system in adjoining county has drawn more market share to their physician practices. Regulatory Changes Health care reform through the Affordable Care Act has increased the number of patients with some form of insurance payment. These patients are now seeking care in greater numbers from a primary care physician. Community Hospital currently struggles with accommodating patient scheduling requests to establish care with a primary care physician. 5 Financial summary This year Last year 343,737,2 80 16,846,3 09 360,583,5 89 344,726,2 45 20,311,5 34 365,037,7 79 192,053,3 79 130,173,4 77 18,969,7 99 2,695, 623 628, 184 344,520,4 62 16,063,1 27 182,853,2 45 135,560,1 31 20,644,1 57 2,226,4 37 1,182,3 08 342,466,2 78 22,571,5 01 Operating Revenues Net revenues from services to patients Other operating revenues Total operating revenues Operating Expenses Salaries and benefits Supplies and other expenses Depreciation Interest Foundation Total operating expenses Income from Operations Urgent Care Location Options Location One is located at a strip mall on the north side of town with a twenty-minute drive to the main Community Hospital campus. The potential lease space is a vacant storefront that previously housed a video store. The building is mostly an empty shell that would require $30,000 in renovation to create acceptable medical office space with four exam rooms. Lease cost of location is $3,000 per month for a total of 1,800 square feet. Utilities are not included in the lease rate. 6 Location Two is located at a strip mall location on the south side of town with a thirty-minute drive to the main Community Hospital campus. The lease space is a vacant grocery store. The building is mostly an empty shell that would require $35,000 in renovation to create acceptable medical office space with four exam rooms. However, the total space is very large, at 5,000 square feet, so there are other options available that could also be housed in that space. Lease cost of location is $6,500 per month for a total of 5,000 square feet. Utilities are not included in the lease rate. The owner is not willing to subdivide the space for lease by multiple parties. 7 Running head: BUSINESS PLAN SCENARIO Business Plan Scenario Student Name Course Name November 10, 2016 1 BUSINESS PLAN SCENARIO 2 Business Plan Scenario Group Hospital is an 180-bed acute care doctor's facility that is qualified as a not revenue driven office. The healing service was initially a region possessed office also, exchanged status to an independent office three years prior. The healing service gets no outside subsidizing from governmental organizations for operations. The hospital is authorized by The Joint Commission and got reaccreditation amid their triannual study a year ago. The clinic has a forceful quality administration program and a low volume of restorative negligence claims. The doctor's facility situate in Bedford, which is a city of 50,000 individuals with 80,000 persons in the rural market. The hospital gives a general scope of intense care administrations including therapeutic Furthermore, surgical, recovery and crisis mind. The president of the clinic has solicited you to assess the practicality from setting up an off-site dire mind focus at a neighborhood shopping center. Recommended Services The services those should provide at the center define in it. Various services like oncology, nursing visits services, cardiology services, and women's services. The use of uniform treatment conventions, which are grounded in the most recent headways in oncology mind, ensures that all CTSI patients advantage from the exploration and experience of the world's top oncologists[Bru]. Nursing Visit force is a measure of nursing administration utilize, figured as a proportion of aggregate nursing visits to the length of remain that records for vast varieties in term of the home care remain among patients. Little research prove exists about the relationship between gifted home care nursing visits, understanding qualities, and patient results. In this BUSINESS PLAN SCENARIO 3 manner, home human services attendants and administrators settle on choices about the recurrence and example of skilled nursing visits to give on the premise of custom and story. Cardiology Services provide incredible patient-focused care utilizing propelled techniques for analysis and treatment of different heart issues. It offers indicative testing and methodology, cardiovascular recovery, cardiovascular catheterization, heart wellbeing training and practice programs[Pau12]. Cardiovascular catheterization is a comparative study that gives valuable understanding into the life systems of the courses which supply the heart muscle with blood. With this system, specialists can see specifically if blockages exist in the core vessels that include in heart assaults. Not-revenue profit hospitals and foundations in healthcare can profit by perceiving and grasp their natural hierarchical favorable position over revenue was driven establishments, as Tails: It is simpler for the councils to relate to the points of an association that don't have a benefit in the middle. In case you're not for benefit, know about this favorable position and take advantage of it. At the point when a patient's requirement for oral dialect help can foresee, coordination of mediator administrations with booked arrangements can be significantly encouraged by incorporating planning of translator administrations into the general planning and provision system[Mic132]. Although many doctor's facilities have created PC-based data frameworks, their capability to track solicitations, planning, and use of translator administrations have to a great extent hide. Such mechanized systems can encourage dialect needs evaluation by recording persistent language characteristics, help with deciding repayment rates by following the use of mediator administrations, and streamline quiet care by diminishing sit fast times for translator administrations. The absence of coordination between booking clinician visits and BUSINESS PLAN SCENARIO 4 mediator administrations can prompt to pointless deferrals, intrusions, and disappointment for clinicians, patients, and translators alike[Bru]. These services are suitable for this site because when you run a revenue profit association, the fundamental objective is to deliver a benefit for yourself as the proprietor and any shareholders. However, from multiple points of view, non-benefit associations are like for benefits, an on benefit's objectives are distinctive. In case you're contemplating beginning a nonbenefit, consider the objectives and different advantages of this sort of association. For patients for whom oral language help has not foresee, either because their visit is unscheduled or because their level of English capability is suddenly observed to be lacking for viable, coordinate correspondence. The mediator administration's planning framework ought to have the capacity to give elucidation in an auspicious way. Obviously, this is most straightforward for those dialects for which the healing facility has staff mediators on site[ahr12]. Hours of Operation Nursing homes offer the broadest care a person can get outside a healing center. Nursing homes provide assistance with custodial care like washing, getting dressed, and eating and also skilled care. Gifted nursing consideration is given by an enrolled nurture and incorporates medicinal checking and medications. An authorized doctor oversees every patient's care and an attendant, or another restorative expert is quite often on the premises. The talented nursing concern is accessible on location, more often than not 24 hours a day[Sus98]. Other medical experts, for example, word related or environmental specialists, are additionally accessible. It permits the conveyance of therapeutic methods and treatments on location that would not be conceivable in another lodging. The danger of falls might be excessively incredible, or the BUSINESS PLAN SCENARIO 5 senior's restorative needs may never again have the capacity to be met at home or in another office. If the senior needs 24-hour supervision or is in peril of straying or overlooking a hot stove, for instance, a skilled nursing position might be the best alternative. If the senior's needs are exclusively custodial, however, a helped living area might be a superior fit[Mic132]. Equipment and Technology Services those recommended for the site are \"non-profit hospitals services\" and \"effective communication with patient\" require some equipment and technologies. Commonly these type of association will get donations of provisions or services from an individual or an organization. The non-benefit should appropriately record all in-kind commitments that it receives. In-kind commitments are recorded as both wage and costs when they get. Your non-benefit association ought to set up the classes required to permit you to record an exchange as per \"Generally Accepted Accounting Principles\" and which allow you to track data needed to established your assessment form and to monitor and provide details regarding benefactor data[glo161]. Any favorable circumstances to renting equipment for your non-benefit association, the best of which is the assortment of leasing and financing choices accessible. The non-benefit association with lower-intrigue leases and adaptable and reasonable installments, so you can have the hardware you require, when you need it at a cost you can bear. When you are renting rather than purchase, you'll understand the income benefits and evade technological out of date quality. Type of Corporation BUSINESS PLAN SCENARIO 6 A sole proprietorship can change over to an S corporation or C corporation or, contingent upon the state you live in, to an LLP or a \"limited liability company\" (LLC) without setting off any expenses. So does the cost, which can commonly run anywhere in the range of $1,500 to $5,000. The center should consider LLP corporation because an LLP with a limited partnership that is built up to put resources into land, oil, and gas, gear renting, and such. A limited partnership has general and constrained accomplices. The general accomplice runs the association, yet restricted accomplices don't; they just reserve it and get a wage, capital picks up, and tax breaks consequently. An LLP, then again, can be sorted out where each accomplice takes an interest in central leadership, paying little heed to rank or salary dispersion[Pau12]. Besides, the LLP has the alternative to making various classes of accomplices, each with different voting rights. Limited liability organizations are a kind of half and a half; they offer the risk insurance of an enterprise, however, are burdened like a sole proprietorship, if you rehearse alone, or an association, on the off chance that you have partners[Pau12]. BUSINESS PLAN SCENARIO 7 References ahrq. (2012). Improving Patient Safety Systems for Patients With Limited English Proficiency. Retrieved from ahrq: http://www.ahrq.gov/professionals/systems/hospital/lepguide/lepguide2.html globalhand. (2016). Nonprofit offering medical supplies and equipment. Retrieved from globalhand: http://www.globalhand.org/en/search/off/offer/1584 Mosch, S. V. (1998). Nursing Home Rates in the Upper Midwest: A Program Evaluation Report. Smith, P. (2012). Limited Liability Partnerships Handbook. Solomon, M. (2013 , NOV 2). 7 Ways To Improve Patient Satisfaction, Experience, And Customer Service, From Consulting In Hospitals And Healthcare. Retrieved from forbes: http://www.forbes.com/sites/micahsolomon/2013/11/02/quick-truths-for-improvedpatient-satisfaction-and-customer-service-from-consulting-in-hospitals-andhealthcare/#25c940b20eda Torres, B. (n.d.). BEST PRACTICE RECOMMENDATIONS FOR HOSPITAL-BASED INTERPRETER SERVICES