COVID-19 Practice Management - April 3, 2020

FINANCIAL ASSISTANCE PROGRAMS FOR MEDICAL PRACTICES

Please check www.accma.org/COVID-19 for the latest practice management resources.
New Paycheck Protection Program
The federal economic relief law includes nearly $350 billion in funding to create a Paycheck Protection Program (PPP) that will provide small businesses and other entities with zero-fee loans of up to $10 million. Up to 8 weeks of average payroll and other costs will be forgiven if the business retains its employees and their salary levels. Principal and interest are deferred for up to a year and all borrower fees are waived.

This temporary emergency assistance through the Small Business Administration (SBA) and the Department of Treasury can be used in coordination with other COVID-financing assistance established in the bill or any other existing SBA loan program. The bill requires the SBA Administrator to set a cap on how much a bank can earn to process loan applications and prioritize underserved borrowers, including those in rural communities, minorities, women, and veterans.

You can apply through any existing SBA lender or through any federally insured depository institution, federally insured credit union, and Farm Credit System institution that is participating. Click here for more information about the program. Click here for an information sheet for borrowers.

Economic Injury Disaster Loan Program and New Grant
SBA will work directly with state governors to provide targeted, low-interest loans to small businesses and non-profits that have been severely impacted by the Coronavirus (COVID-19). The SBA’s Economic Injury Disaster Loan program provides small businesses with working capital loans of up to $2 million that can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing.

The federal economic relief law includes $10 billion in grant funding to provide an advance of $10,000 to small businesses and nonprofits that apply for an SBA economic injury disaster loan (EIDL) within three days of applying for the loan. EIDLs are loans of up to $2 million that carry interest rates up to 3.75% for companies and up to 2.75% for nonprofits, as well as principal and interest deferment for up to 4 years. The loans may be used to pay for expenses that could have been met had the disaster not occurred, including payroll and other operating expenses.

The new $10,000 EIDL grant does not need to be repaid, even if the grantee is subsequently denied an EIDL, and may be used to provide paid sick leave to employees, maintaining payroll, meet increased production costs due to supply chain disruptions or pay business obligations, including debts, rent, and mortgage payments. Eligible grant recipients must have been in operation on January 31, 2020. The grant is available to small businesses, private nonprofits, sole proprietors and independent contractors, tribal businesses, as well as cooperatives and employee-owned businesses.

A business that receives an EIDL between January 31, 2020, and June 30, 2020, as a result of the COVID-19 disaster declaration is eligible to apply for a PPP loan or the business may refinance their EIDL into a PPP loan. In either case, the emergency EIDL grant award of up to $10,000 would be subtracted from the amount forgiven in the payroll protection plan. To apply for a COVID-19 Economic Injury Disaster Loan, click here .

Express Bridge Loans
Express Bridge Loan Pilot Program allows small businesses who currently have a business relationship with an SBA Express Lender to access up to $25,000 with less paperwork. These loans can provide vital economic support to help small businesses overcome the temporary loss of revenue and can be term loans or used to bridge the gap while applying for a direct SBA Economic Injury Disaster Loan. If a small business has an urgent need for cash while waiting for decision and disbursement on Economic Injury Disaster Loan, they may qualify for an SBA Express Disaster Bridge Loan.

AMA Tips for Keeping Your Practice in Business During the COVID-19 Pandemic
Physician practices managing patients during the COVID-19 pandemic are confronting new and unique operational and business challenges. This checklist provides high-level guidance for practice owners and administrators. Check out the AMA COVID-19 checklist to stay up to date.

Disaster Relief Loans
Small businesses in Alameda and Contra Costa counties are eligible for disaster relief loans from the US Small Business Administration as a result of COVID-19:
Upcoming Webinars
Presented by Schwartz Center for Compassionate Healthcare
Tuesday, April 7 | 10:00 - 11:00 AM | FREE
 
Join Richard Westphal, PhD and Patricia Watson, PhD as they discuss specific strategies health care leaders and managers can use to address the five essential human needs that support recovery from adversity and stress. They’ll also explain how to use the Stress First Aid framework for conducting a stress and coping assessment. Following their presentation, Schwartz Center Chief Medical Officer Beth Lown, MD, will moderate a brief Q&A session. To register for this webinar please click here
Questions/Concerns?  

Please contact ACCMA at 510-654-5383 or [email protected] with any questions or concerns you have. Although we may not currently have an immediate answer to all questions, we want to know the information and resources that you need to continue to provide care for our community during this difficult time.  
 
This information will also be posted online at www.accma.org/COVID-19 and will be updated frequently. Please check the ACCMA website regularly for updates.