Whereas a lot of the supplier support has been distributed, the Biden administration is anticipated to start doling out the remaining funds, estimated at $25 billion of the unique $178 billion, stated Kristen O’Brien, a vice chairman for McDermott+Consulting in Washington, D.C. Hospitals are asking for extra time to spend the cash.
How the help was spent has not been absolutely documented. Whereas the bigger hospital networks aggressively sought the funds from the beginning, smaller organizations, youngsters’s hospitals and people in rural areas or serving massive numbers of low-income sufferers had extra issue securing the help due to the way in which the funding system was structured.
In a later spherical of funding choices, officers with the Division of Well being and Human Companies reviewed purposes extra carefully, and in some instances, lowered or denied requests, Ms. O’Brien stated.
Grants given after the preliminary rush have been extra focused, to these hospitals in Covid scorching spots or rural areas. A couple of massive chains, together with HCA Healthcare and the Mayo Clinic, returned not less than a number of the cash, within the wake of disclosures that wealthier hospitals had acquired much more support whereas reporting wholesome income.
Total, the help program did forestall hospital closings, stated Ken Marlow, a lawyer with Okay&L Gates in Nashville, who advises hospitals. “We haven’t seen an actual avalanche of those distressed hospitals coming available on the market.”
However some might now not give you the option to withstand takeovers or mergers. “These suppliers are probably extra distressed on account of the stress of the pandemic and must be pondering laborious in regards to the future, their survival,” stated Torrey McClary, a lawyer with Ropes & Grey who additionally counsels hospitals.