Medicare Loan Forgiveness Letter

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January XX, 2021

Honorable Charles E. Schumer Honorable Mitch McConnell


Majority Leader Minority Leader
United States Senate United States Senate

Honorable Nancy Pelosi Honorable Kevin McCarthy


Speaker of the House Minority Leader
U.S. House of Representatives U.S. House of Representatives

Dear Congressional Leaders:

We appreciate your leadership in this time of unprecedented national crisis and thank you for your
actions to strengthen America’s health care infrastructure with desperately needed financial support.
As you know, our hospitals canceled hundreds-of-thousands of elective surgeries and non-emergent
patient tests last spring at the government’s request to help assure adequate hospital capacity. As the
coronavirus rages across the country with record case counts being eclipsed nearly every day, our
hospitals are facing new and increased challenges that put significant stress on our resources. In many
parts of the country there is a severe and growing shortage of nurses and other caregivers requiring
additional funding to address.

The expanded accelerated and advanced payment policy for Medicare providers, as authorized in
Section 3719 of the CARES Act, has been a helpful financial tool allowing us to maintain essential
medical services for all patients. However, because of mounting expenses caused by the dramatic and
growing spread of the coronavirus, we write to you today to respectfully request that Congress
convert to federal grants all the accelerated and advanced Medicare loans made to hospitals and
other providers. We ask you to make this policy change as soon as possible. Unless these loans are
converted to grants, hospitals will likely face an insurmountable financial crisis as COVID-19 ravages
the nation. It is not an overstatement to say that some will be forced to close, thus pushing the capacity
of those that remain to even greater strains. In rural communities, the threat of closure is real – and the
downstream effect to communities would be catastrophic, well beyond the scope of the pandemic.
Those that do not close could be forced to significantly reduce health care services over the next
several months.

While the $178 billion provider relief fund has been helpful, it is inadequate to compensate for our
mounting losses.

As you know, these Medicare loans have very stringent accountability requirements and assure that
funds are used only for COVID-19 losses and expenses. These loan programs also provide Congress
and the public with complete transparency. Funds not used for COVID-19 losses and expenses would
be returned to the federal treasury.

Thank you for consideration of this request. We stand ready to work with you in every way to support
our men and women on the frontline caring for those with the coronavirus. These heroes need to know
that the nation will provide whatever it takes to assure they will have the resources to continue the
battle.

Sincerely,

1
Health Systems Enloe Medical Center
California
Advent Health
Florida FMOL Health System
Louisiana, Mississippi
Adventist Healthcare
California Franciscan Missionaries of Our Lady Health
System
Advocate Aurora Health Louisiana
Illinois, Wisconsin
Garnet Health, (formerly Greater
Appalachian Regional Healthcare, Inc. Hudson Valley Health System)
Kentucky New York

AtlantiCare Health System Gonzales Healthcare Systems


New Jersey Texas

Atrium Health Hackensack Meridian Health


North Carolina New Jersey

Aultman Hawai‘i Pacific Health


Ohio Hawaii

Avera Health System Henry Ford Health System


South Dakota Michigan

Baptist Health Systems Jefferson Health


Kentucky New Jersey, Pennsylvania

CentraCare Kettering Health Network


Ohio
Minnesota
Lake Health
Centura Health Ohio
Colorado, Kansas
Lee Health
Charles A Cannon Jr Memorial Hospital Florida
North Carolina
Legacy Health
Columbus Regional Healthcare System Oregon
North Carolina
Loma Linda University Health
Effingham Health System California
Georgia
Methodist Le Bonheur Healthcare
Emory Healthcare Tennessee
Georgia
Mon Health System
West Virginia
2
Mountain Health Network
West Virginia Rush Health Systems
Alabama, Mississippi
Northeast Alabama Regional Medical Center
Alabama Salem Health
Oregon
Northeastern Health System Sequoyah
Oklahoma
Samaritan Health Services
Oceans Healthcare Oregon
Louisiana, Mississippi, Texas
St. Vincent Charity Medical Center
Ochsner Health Ohio
Louisiana
Summa Health System
Opelousas General Health System Ohio
Louisiana
The Queen's Health System
OSF HealthCare Hawaii
Illinois, Michigan
The University of Vermont Health Network
Parkview Health Vermont
Indiana
Trinity Health
Parrish Healthcare North Dakota
Florida
Wake Forest Baptist Health
Perimeter Healthcare North Carolina
Georgia
Wise Health System
Piedmont Healthcare Texas
Georgia
Critical Access Hospitals
Phoebe Putney Health System
Georgia
Arkansas
Presbyterian Healthcare Services Drew Memorial Health System
New Mexico Howard Memorial Hospital
Ozarks Community Hospital
ProMedica Piggott Community Hospital
Ohio, Michigan
Arizona
Renown Health Copper Queen Community Hospital
Nevada
California
Catalina Island Medical Center
Ridgeview Medical Center Health System
Seneca Healthcare District
Minnesota
Colorado
Riverside Health System Colorado Canyons Hospital & Medical Center
Virginia East Morgan County Hospital
3
Haxtun Hospital District Kearny County Hospital
Kiowa County District Hospital Newman Regional Health
Kremmling Memorial Hospital District Phillips County Health Systems
Lincoln Community Hospital Rawlins County Health Center
Memorial Regional Health Sabetha Community Hospital
Middle Park Health Scott County Hospital
Melissa Memorial Hospital Smith County Memorial Hospital
Pagosa Springs Medical Center Stanton County Hospital
Sedgwick County Memorial Hospital Minneola Healthcare
Southwest Memorial Hospital Wichita County Health
Southeast Colorado Hospital District. Wilson Medical Center
Wray Community District Hospital
Yuma District Hospital Kentucky
Ohio County Healthcare
Florida
George E. Weems Memorial Hospital Louisiana
Reeves Memorial Medical Center
Georgia Union General Hospital
Clinch Memorial Hospital Riverside Medical Center
Elbert Memorial Hospital
Jeff Davis Hospital Maine
Liberty Regional Medical Center Calais Regional Hospital
Putnam General Hospital Down East Community Hospital
Houlton Regional Hospital
Iowa Mount Desert Island Hospital
Burgess Health Center
Clarke County Hospital Massachusetts
Compass Memorial Healthcare Martha’s Vineyard Hospital
Keokuk County Health Center
Shenandoah Medical Center Michigan
Washington County Hospital & Clinics Hills & Dales General Hospital

Idaho Minnesota
Bingham Memorial Hospital Bigfork Valley
Gritman Medical Center Cuyuna Regional Medical Center
Lakewood Health System
Illinois North Shore Health
Massac Memorial Hospital RiverView Health
Riverside Medical Center
Mississippi
Indiana Covington County Hospital
Pulaski Memorial Hospital Lawrence County Hospital
Woodlawn Hospital Magee General Hospital
North Sunflower Medical Center
Kansas Perry County General Hospital
Cheyenne County Hospital Simpson General Hospital
Community Memorial Healthcare Tippah County Hospital
Goodland Regional Medical Center Tyler Holmes Memorial Hospital
Hiawatha Community Hospital
4
Missouri Skyline Hospital
Ray County Memorial Hospital Snoqualmie Valley Hospital
Tri-State Memorial Hospital
North Carolina Willapa Harbor Hospital
JA Dosher Memorial Hospital
West Virginia
Nebraska Grafton City Hospital
Annie Jeffrey MCHC Pocahontas Memorial Hospital
Howard County Medical Center
Gordon Memorial Hospital District Wisconsin
Johnson County Hospital Burnett Medical Center
Kearney County Health Services Cumberland Healthcare
Nemaha County Hospital Hayward Area Memorial Hospital
Niobrara Valley Hospital Memorial Medical Center
Providence Medical Center
Wyoming
New Mexico Cheyenne Regional Medical Center
Cibola General Hospital Cody Regional Health
Holy Cross Medical Center Hot Springs County Memorial Hospital
Memorial Hospital of Carbon County
Ohio Memorial Hospital of Sweetwater County
Hocking Valley Community Hospital North Big Horn Hospital District
Wyandot Memorial Hospital South Lincoln Hospital District
Weston County Health Services
Oklahoma
Cimarron Memorial Hospital Independent Hospitals
Roger Mills Memorial Hospital
Baxter Regional Medical Center
Oregon Arkansas
Lake Health District
Morrow County Health District/ Blount Memorial Hospital
Pioneer Memorial Hospital Tennessee

South Dakota Bothwell Regional Health Center


Fall River Health Services Missouri

Texas Central Peninsula Hospital


CCCHD Health System Alaska
Cogdell Memorial Hospital
Memorial Medical Center Claiborne Memorial Medical Center
Ward Memorial Hospital Louisiana

Utah Comanche County Hospital Authority


Moab Regional Hospital Oklahoma
Washington Community Hospital
Lake Chelan Health Nebraska
Mid-Valley Hospital
Pullman Regional Hospital
5
Craig Hospital King's Daughters Medical Center
Colorado Mississippi

Crouse Hospital Knox Community Hospital


New York Ohio

Deaconess Gibson Hospital Lawrence General


Indiana Massachusetts

Deaconess Union County Hospital Mass General Brigham


Kentucky Massachusetts

Exeter Health Resources, Inc Meadows Regional Medical Center


New Hampshire Georgia

Freestone Medical Center and Health Clinics Middlesex Health


Texas Connecticut

Gaylord Mobridge Regional Hospital & Clinics


Connecticut South Dakota

Grove Creek Medical Center Morris Hospital & Healthcare Centers


Idaho Illinois

Hale County Hospital Niagara Falls Memorial Medical Center


Alabama New York

Hill Hospital of Sumter County Neshoba County General Hospital


Alabama Mississippi

Hillsdale Hospital Nevada Regional Medical Center


Michigan Missouri

Northern Maine Medical Center


Hobbs Hospital (FKA Lea Regional Medical Maine
Center)
New Mexico Okanogan County Public Hospital District #3,
dba Mid Valley Hospital
Illinois Valley Community Hospital Washington
Illinois
Okeene Municipal Hospital
Jackson County Hospital District Oklahoma
Florida
Olympia Medical Center
Kaleida Health California
New York
Olympic Medical Center
Keefe Memorial Hospital Washington
Colorado
6
Pomerene Hospital Contact:
Ohio
Lourdes Baez
San Gorgonio Memorial Hospital Assistant VP, Government Relations
California Baptist Health
Kentucky
Shepherd Center 502-253-4801
Georgia
Sarah Lechner
St. Anthony Regional Hospital Senior Vice President, Chief of Government
Iowa Affairs & Advocacy
Hackensack Meridian Health
St. Rose Hospital New Jersey
California 201-370-8279

Stilwell Memorial Hospital Barb Petee


Oklahoma Chief Advocacy and Government Relations
Officer
Stringfellow Memorial Hospital ProMedica
Alabama Ohio
567-585-3894
Tarzana Treatment Centers Inc.
California Gina Cole
Director, Government Affairs
The Loretto Hospital Legacy Health
Illinois Oregon
503-415-5576
UNM Sandoval Regional Medical Center
New Mexico

Val Verde Regional Medical Center


Texas

Wayne Memorial Hospital


Georgia

Wilson N. Jones Regional Medical Center


Texas

Wishek Hospital, dba South Central Health


North Dakota

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