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Majka AJ et al. – Health care is a highly capital–intensive business. Few hospitals today can generate enough cash flow from their operations and reserves to fund short– or long–term strategic investments in people, programs, facilities and technology. They must borrow capital on a periodic basis. The ability to incur debt is not a "nice–to–have" capability for hospitals; it is essential to the viability of nearly all U.S. hospitals and health systems. This core principle provides the foundation for health care finance.


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