Why Not-for-Profit Healthcare Organizations Are Turning to Asset Relifing for Margin Improvement

Industry Insights
from Paul Shade, Managing Partner
April 23, 2025

Why Not-for-Profit Healthcare Organizations Are Turning to Asset Relifing for Margin Improvement

In an era where financial uncertainty looms over the healthcare industry, not-for-profit organizations are exploring innovative strategies to strengthen their operating margins without disrupting essential services. As an expert in Asset Relifing, I have seen firsthand how a meticulous reassessment of asset lifespans can significantly enhance financial stability by optimizing depreciation expenses. We have spent decades refining and implementing this specialized accounting practice, helping healthcare organizations optimize their financial strategies.

The Role of Asset Relifing in Financial Strategy

Healthcare organizations are continuously facing ongoing pressures, from increasing operational costs to evolving regulatory settings. Traditional cost-cutting measures often involve workforce reductions or service limitations, both of which can have adverse effects on patient care. Asset Relifing, however, provides a non-disruptive, non-invasive, non-cash solution to improve financial outcomes without impacting the quality of care.

At its center, Asset Relifing reassesses the useful life of assets, ensuring that depreciation aligns with actual conditions rather than subjective accounting practices. By extending asset life expectancies where appropriate, organizations effectively reduce annual depreciation expenses, which in turn improves their operating margins

The Impact: More Than Numbers

The financial advantages of Asset Relifing go beyond a simple accounting adjustment. Many not-for-profit healthcare organizations I have worked with reported a direct operating margin improvement of 1 to 2 percent. While that may seem modest at first glance, such improvements can translate into millions of dollars in financial flexibility, allowing organizations to reinvest in critical areas like patient care, technology, and operational processes.

Additionally, improving operating margins leads to enhanced bond ratings, which can reduce the cost of capital for healthcare systems. Lowering the age of plant metric indicates an organization’s ability to maintain and modernize its infrastructure, further strengthening financial positioning. In some cases, organizations can even apply Asset Relifing benefits retroactively, securing a full year’s financial improvement in one adjustment.

A Sustainable Financial Solution

As healthcare organizations continue to navigate an unpredictable future, institutions must adapt financial strategies that align with their mission of providing quality care. Asset Relifing is a proven sustainable solution that enhances financial performance without compromising service delivery. With demonstrated benefits in operating margin, bond ratings, and capital reinvestments, this practice is an essential tool for healthcare organizations looking for long-term fiscal resilience. 

Financial stability is just as crucial as clinical excellence in today’s environment. Embracing Asset Relifing is not just an accounting adjustment, it is a strategic position for progressive healthcare organizations.

Expertise Matter: Harborside Health Leading the Way

For over two decades, Harborside Health has been the national leader in Asset Relifing. We have partnered with not-for-profit healthcare organizations across the country, providing our expertise to optimize their financial strategies to maximize efficiency while ensuring compliance with all regulatory standards.  Our tailored approach enables healthcare providers to leverage Asset Relifing as a component of their financial plan. 
Paul Shade

Paul Shade

Managing Partner

Harborside Health

Paul Shade has spent over two decades honing the art of Asset Relifing, helping healthcare organizations optimize asset lifespans, reduce depreciation expenses, and improve their operating margins.