According to the GE Capital Q4 Healthcare Industry Economic Outlook Survey, middle market leaders in the healthcare sector are more confident in their local economy and in the U.S. economy than in the global economy.

The future employment outlook at healthcare firms continues to improve with nearly half now saying they will add jobs in the next 12 months.

One-third of healthcare firms reported they expect greater capital expenditures and additional financing for equipment in 2015. According to the survey, capital expenditures over the next six to 12 months will be spent on new equipment for expansion or to replace current equipment and the maintenance of infrastructure.

With most healthcare firms expecting reimbursement rates to continue to remain flat, it’s difficult for these firms to increase margins. The cost of healthcare and uncertainty of government actions are also a concern in the healthcare industry along with ensuring compliance with industry regulations.

To view the full GE Capital report, click here.