COVID 19 Loan and Grant Programs

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Loan and Grant Programs

CARE Act Stimulus Payments HHS  4/10/2020

  • April 10, 2020
    • All facilities, all providers participating in Medicare FFS
    • Payments not loans
    • Based on 2019 Medicare revenue  
      • Medicare revenue NPI/480,000,000,000 x 30,000,000,000
    • Paid to individuals through normal Medicare payment channels

Medicare Accelerated and Advanced Payment Program

““We are experiencing cash flow problems due to the COVID-19 crisis.”

  • Get paid now for work done later
    • Individual NPI number
    • 3 months Medicare fees based on 2019 activity
    • 7 day turnaround from date application received 
    • Repayment begins 120 days after payment received, new claims offset
    • Must be paid back within 210 days.
  • Business Assessment 
    • Improves liquidity
    • Prepayment for work is always a good business move
    • Fulfills prime directive of cash conservation
    • Reduces immediate financial pain but stretches it out over a longer period
    • Payment based normal activity
    • Possibility of forgiveness at later date
    • Becomes a liability only when spent

Paycheck Protection Program (PPP) – Ends June 20, 2020

  • Forgivable
    • < 500 employees
    • Cover payroll costs (2 months 2019 levels) + 25%
    • Most mortgage interest, rent, and utility costs over the 8 week period after the loan is made (25% cap)
    • Employee and compensation levels are maintained.
  • Business Assessment
    • Labor expense strategy – do you have one based on your budget projections?
    • Cash conservation planning
    • +25% is free money.
    • Buys time to ramp up new revenue streams and new technology that require staff support
    • Free money!!!

Small Business Association (SBA) Disaster Loan Assistance 

  • > 500 employees
    • Low interest
    • $10,000 advance during loan processing
    • 4 year deferred repayment
    • Paid sick leave to employees
    • Maintaining payroll
    • Increased costs to obtain materials
    • Rent or mortgage payments
    • Repaying obligations that cannot be met due to revenue losses.