Archive for Coronavirus

Are You Ready for Your PPP Loan Audit?

Are You Ready for Your PPP Loan Audit?

By: Jim Hoover, Burr & Forman

PPP loans received by individuals and businesses under the CARES Act will be audited (“reviewed”) by the SBA.  PPP loans of $2 million or more will automatically be audited by the SBA.  Many PPP loans of less than $2 million will also be audited.

Borrowers will often receive notification of the audit through their lending bank, but the SBA is directly notifying PPP borrowers as well.  The SBA is receiving support from the Internal Revenue Service and other federal agencies in these audits such as the Department of Justice.  There have been several criminal investigations resulting from these audits.

PPP loan audits request documents and information from the borrower, including income and employment tax returns, payroll records, financial statements, and bank account statements including deposit and payment information in order to verify information reported by the borrower on its PPP loan application.  However, the SBA PPP loan audits focus on much more.

SBA audits of PPP loans have thus far focused on whether the individual or business was eligible to receive a PPP loan, and whether the borrower correctly calculated its PPP loan amount.  Specific issues being reviewed by the SBA in these audits include “economic necessity” for a PPP loan, and “head-count” related issues including affiliation with other businesses, the appropriate “NAICS” code for the business, and whether the business counted all employees – full-time, part-time, and even temporary – in filing the loan application.  The SBA is also looking at other “business-specific” issues of the borrower.

The PPP loan application contains a borrower certification that “[c]urrent economic uncertainty makes this loan request necessary to support the ongoing operations of the Applicant“.  This same certification is also required in new PPP loan applications under the “Economic Aid Act”.  For borrowers that received PPP loans of less than $2 million, the borrower is deemed by the SBA to have made this “economic necessity” certification in “good faith.” As a result, the SBA may not be looking specifically at this issue for borrowers that received loans of less than $2 million.  However, for PPP loans of $2 million or more, borrowers are not eligible for this “good faith economic necessity presumption”, and the SBA is auditing this certification issue.

Without being an alarmist, false certifications is the keystone issue for most False Claims Act prosecutions.  Accordingly, it is important for borrowers to carefully review and gather the documentation that supports the certification.  

The SBA is beginning many audits by sending out a “Loan Necessity Questionnaire” (SBA Form 3509), which the SBA first sends to the lending bank and then the bank sends the questionnaire to the borrower.  The borrower has a limited amount of time, 10 days, to complete and return the questionnaire to the bank, and the bank then provides the completed questionnaire to the SBA.

If a borrower applies for forgiveness of a PPP loan, the forgiveness application may be separately reviewed by the SBA and, as a practical matter, if a borrower files for forgiveness this will likely trigger or at least accelerate a full SBA audit of the PPP loan.

Once an SBA PPP loan audit is completed, and where an adverse audit determination is made by SBA, including that the borrower may not qualify for the loan, the borrower then has administrative appeal rights within the SBA to have the audit determination reviewed, which can lead to a hearing before a federal administrative law judge. Those appeal rights are the subject of a future article.  

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Jim Hoover is a partner at Burr & Forman LLP and works exclusively within the firm’s Health Care Practice Group and predominantly handles healthcare litigation. Burr & Forman has a dedicated team to counsel individuals and businesses in government audits, investigations and defense-related to the PPP under the CARES Act, and also new PPP loans under the Economic Aid Act. The PPP and CARES Act Audit, Investigations and Defense Team represents and advises clients in audits and investigations involving PPP loans and tax benefits that may have been claimed under the CARES Act. This multidisciplinary team combines more than 230 years of legal experience and attorneys with previous government positions, including attorneys with IRS Chief Counsel, the United States Department of Justice, and United States Attorneys’ Offices.  More information can be found at www.burr.com.

Posted in: Coronavirus, Legal Watch, Management, MVP

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Op-ed: Alabama physicians face challenges head-on during vaccine rollout

Op-ed: Alabama physicians face challenges head-on during vaccine rollout

By: John Meigs, Jr., MD, President – Medical Association of the State of Alabama

Because of a seemingly slow rollout of the COVID-19 vaccine, physicians have started to hear many concerns from their patients. Understandably, the people of Alabama are growing more eager each day to get vaccinated. Physicians were privileged to be included in the first tier of vaccine recipients and remain our patients’ biggest advocate for vaccination against the Coronavirus. 

In addition to issues like staffing shortages, a major obstacle we face is the fact that from week to week, our practices and hospitals are not alerted to when we are getting more vaccines or exactly how many we will receive. Even the Alabama Department of Public Health (ADPH) has no input into the quantity allocated and is typically notified less than 24 hours before the vaccine is shipped. This makes it extremely difficult to set up vaccination and follow-up appointments. 

It’s tempting but comparing Alabama’s response to surrounding states doesn’t necessarily make sense. The number of COVID-19 vaccine doses allocated to Alabama is based on our population and is not determined by how much vaccine is on hand in the state. The number of doses remaining from previous allocations does not affect the number of doses that the Centers for Disease Control and Prevention (CDC) authorizes for Alabama.

Alabama still faces struggles in figuring out the logistics of vaccine distribution and allocation but there are a few things your physician wants you to know about the process.

  • The Federal Government determines the quantity of vaccines that are allocated to the state.
  • There is a shortage of available vaccines in Alabama.
  • There are 326,000 healthcare providers, nursing home residents, law enforcement officers, firefighters and 350,000 persons 75 years of age and older that are currently eligible for the vaccine.
  • The number of first doses of the vaccine shipped to Alabama per week only averages around 50,000 to 60,000.

Wide distribution of the COVID-19 vaccine will take time. While we are anxious for the vaccine to be made available to all Alabamians, physicians also want to urge you to wait until you fall into the appropriate tier. As of January 28th, Alabama is administering vaccines to healthcare workers, residents and staff in long-term care facilities, first responders, and individuals 75 years of age and older. 

We know vaccines are the best bet to slow this pandemic down and get enough folks immunized so the virus won’t spread as easily. However for now, even after we get vaccinated, we need to continue to wear masks and physically distance. We want to protect folks from a disease that can be very deadly. If we all work together, we will be that much closer to getting life back to normal.

Posted in: Coronavirus, Leadership, Members

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Op-ed: Physicians are no longer on the front lines of this pandemic. You are.

Op-ed:  Physicians are no longer on the front lines of this pandemic. You are.

John Meigs, Jr. – President, Medical Association of the State of Alabama

State Health Officer is a difficult role to fill, especially this year. While partisanship and conspiracies continue to divide us, it is the job of the State Health Officer to make decisions for the good of all people throughout Alabama. This is exactly what Dr. Scott Harris has done for Alabamians during (and before) the COVID-19 pandemic.

After reading a recent article about Dr. Harris, I was appalled but not surprised by the fact that he has received death threats over mask mandates and other preventative measures to slow the spread of COVID-19. Governor Kay Ivey enacted the first mask mandate on July 16, 2020, at the recommendation of Dr. Harris and others. After the initial mandate, Alabama’s case average and death rates quickly fell. Neighboring states without mask mandates – including Mississippi, Georgia, Florida, and Tennessee – all continued to rise above Alabama’s average.

As President of the Medical Association of the State of Alabama, I would like to proudly declare my support of Dr. Harris and Governor Ivey in regard to the mask ordinance, social distancing guidelines, and other measures to protect the citizens of Alabama. Science and data have shown us time and time again that these guidelines work. That being said, why are there still Alabamians who push against these life-saving initiatives?

While appealing to a sense of personal responsibility should be effective enough, it has proved not to be. What happens when personal responsibility is not enough, and people are endangering others? Mask mandates. Social distancing guidelines. Occupancy limitations.

Physicians and other health care providers have worked tirelessly to serve our patients, even at the cost of our own health and safety. What if I told you that we are no longer on the front lines of this pandemic, but you are? You have the power and capability to stop the spread of the Coronavirus that has taken over 3,450 lives in Alabama and 1.39 million lives worldwide. All you have to do to potentially save a life is to wear a mask in public, socially distance, and wash your hands. These simple actions not only save lives but can also help our physicians and hospital systems not get overwhelmed with patients. You can help keep your family and our families safe at the same time.

As we head into this holiday season, we can’t require people to keep themselves safe, but we are asking them to keep other people safe. Many people could be infected and transmit the disease to others without even knowing they are sick. I just hope that we can recontextualize the mask mandate and see it as a simple act of kindness to protect those around you. It seems like the least we can do for our families, friends, loved ones, physicians, nurses, and communities as a whole.

Posted in: Coronavirus

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The Perfect Storm for Litigation Resulting From the Paycheck Protection Program (PPP) and Coronavirus Aid, Relief and Economic Security (CARES) Act

The Perfect Storm for Litigation Resulting From the Paycheck Protection Program (PPP) and Coronavirus Aid, Relief and Economic Security (CARES) Act

By: Jim Hoover

Millions of American businesses and self-employed individuals applied for and received Paycheck Protection Program (PPP) loans authorized by the CARES Act. PPP loans are obtained from a bank and guaranteed by the Small Business Administration (SBA). The processes for obtaining loans and loan forgiveness are ripe for many types of possible litigation including administrative, civil, and criminal. 

Businesses and individuals were required to provide documents and information and make important certifications to their bank when they applied for a PPP loan. The certifications included the eligibility of the business or individual for a PPP loan meeting the many requirements of the CARES Act. In a PPP loan application a borrower also had to certify that “[c]urrent economic uncertainty make this loan request necessary to support the ongoing operations of the Applicant.” 

The CARES Act also allows PPP loans to potentially be forgiven subject to many conditions. Businesses and individuals seeking PPP loan forgiveness must provide additional documents and yet more certifications through an application filed with their PPP lending bank. It is the responsibility of the borrower to provide an accurate calculation of loan forgiveness and to attest to the accuracy of its reported information.

PPP loans under the CARES Act will be audited. The Department of the Treasury announced that all PPP loans over $2 million will be audited; other PPP loans will also certainly be audited.  For example, borrowers that seek forgiveness of a PPP loan increase their likelihood of being audited, and not limited just to forgiveness, but eligibility of the borrower for the loan and the accuracy of certifications made by the borrower in the borrower’s PPP loan application. 

The SBA also reserves the right to review and audit all PPP loans and related loan issues, including eligibility, borrower certifications, and forgiveness. The SBA may review whether a borrower calculated its loan amount correctly and whether the borrower used loan proceeds for allowable purposes. The SBA issued guidance stating that a borrower who received a PPP loan of less than $2 million will be deemed to have made this required certification in good faith. For borrowers who received a PPP loan of $2 million or more, the borrower may have to prove that its application was based on current economic uncertainty and that the PPP loan was necessary to support ongoing operations of the borrower.  If the SBA determines in the course of its audit/review that a borrower lacked an adequate basis for the required certification concerning the eligibility of the loan request, the SBA will seek repayment of the outstanding PPP loan balance and determine that the borrower is not eligible for loan forgiveness. If the borrower repays the loan after receiving notification, the SBA has announced that it will not pursue administrative enforcement or make referrals for enforcement to other agencies. 

Applicable to forgiveness, the SBA states that, to receive loan forgiveness, a borrower must complete and submit the Loan Forgiveness Application (or equivalent bank form) to the PPP lending bank (or the lender that is servicing the PPP loan). The bank will review the application and make a decision regarding loan forgiveness. Banks are expected to perform a good-faith review, in a reasonable time, of the borrower’s calculations and supporting documents concerning amounts eligible for loan forgiveness. The lender must issue a decision to the SBA regarding a loan forgiveness no later than 60 days after receipt of a completed loan forgiveness application.

That decision may take the form of an approval (in whole or in part), denial, or (if directed by the SBA), a denial without prejudice due to a pending SBA review of the loan for which forgiveness is sought. In the case of a denial without prejudice, the borrower may subsequently request that the bank reconsider its application for loan forgiveness, unless the SBA has determined that the borrower is ineligible for a PPP loan. If the bank determines that the borrower is entitled to forgiveness of some or all of the amount applied for, the SBA will, subject to any SBA audit or review of the loan or loan application, remit the appropriate forgiveness amount to the bank. If the bank denies forgiveness, in whole or in part, the bank must notify the borrower in writing that the lender has issued a decision to the SBA denying the loan forgiveness application. The SBA reserves the right to review the bank’s decision in its sole discretion. Within 30 days of notice from the bank, a borrower may request that the SBA review the bank’s decision.

In the event the SBA reviews or audits a borrower’s PPP loan, the SBA will notify the bank, who is required to notify the borrower in writing within five (5) business days of receipt of notice from the SBA and to request information from the borrower. The SBA may also request information directly from the borrower. A borrower’s failure to respond to the SBA may result in a determination that the borrower was ineligible for a PPP loan or ineligible to receive the loan amount or loan forgiveness.

If the SBA determines in the course of its audit or review that the borrower was ineligible for a PPP loan, the loan will not be eligible for forgiveness. If only a portion of the loan is forgiven, or if the forgiveness request is denied, any remaining balance due on the loan must be repaid by the borrower on or before the two-year maturity of the PPP loan. 

The CARES Act created the new “Office of the Special Inspector General for Pandemic Recovery,” whose task is to “conduct, supervise, and coordinate audits and investigations” of the financial assistance programs for businesses. Administrative appeal remedies from disputed PPP audits, including resulting litigation, are presently unclear. While adverse decisions of the Office of Hearings and Appeals are appealable to federal courts, more guidance from the SBA concerning PPP audits and appeal remedies will be issued. 

Borrowers must also be aware of the Federal False Claims Act (“FCA”).  Under the FCA, a claim generally means any request or demand, whether under a contract or otherwise, for money or property that–(i) is presented to an officer, employee, or agent of the United States; or (ii) is made to a contractor, grantee, or other recipient, if the money or property is to be spent or used on the Government’s behalf or to advance a Government program or interest, or (iii) will reimburse such contractor, grantee, or other recipient for any portion of the money or property which is requested or demanded.  31 U.S.C. § 3729.  Federal courts have ruled that loan applications are “claims” for FCA purposes.  Thus, a PPP loan and any corresponding forgiveness is subject to the “False Claims Act.” In fact, government authorities are beginning to focus substantial resources on CARES Act fraud and abuse. Although the U.S. Department of Justice began indicting borrowers in connection with PPP fraud as early as May of this year, on September 10, 2020, federal authorities charged 57 people in jurisdictions across the U.S. with “stealing” $175 million from the PPP.  Additionally, a government report issued in September found “tens of thousands of loans could be subject to fraud, waste, or abuse.” The U.S. Government Accountability Office further reported to the U.S. House of Representatives that the SBA’s fraud hotline had received more than 42,000 reports of alleged fraud. 

Because of the many types of litigation, it is important that recipients of PPP loans and other financial assistance programs, carefully review their applications and requests for forgiveness to ensure they have met all of the programs’ requirements. 

Jim Hoover practices with Burr & Forman LLP and works exclusively within the firm’s Health Care Industry Group and primarily handles healthcare litigation and compliance matters.

Posted in: Coronavirus, Legal Watch, Management

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Phase 3 Provider Relief Funds Announced by HHS

Phase 3 Provider Relief Funds Announced by HHS

On October 1, 2020, the Department of Health and Human Services (“HHS”) announced an additional $20 billion in funding for healthcare providers to assist with losses and changes in operating expenses caused by the current COVID-19 pandemic. This additional funding is a result of the CARES Act and the Paycheck Protection Program and Health Care Enhancement Act. Not only can providers who have already received Provider Relief Fund payments apply for additional funds during Phase 3, but previously ineligible providers may also apply during Phase 3. For example, providers who began practicing between January 1, 2020 and March 31, 2020, as well as additional behavioral health providers (e.g., addiction counseling centers, mental health counselors, and psychiatrists) can apply for payments during Phase 3. Providers who previously received Provider Relief Funds equating to approximately 2% of annual revenue from patient care can apply for an additional payment during Phase 3.

For eligible providers, the payments will be allocated as follows:

  • All applications will be reviewed to determine if the applicant has previously received a Provider Relief Fund payment equal to 2% of patient care revenue.
  • If an applicant has not received a previous Provider Relief Fund payment equal to 2% of patient care revenue, the applicant will receive a payment designed to bring the total payments to the applicant (when all payments are combined) to 2% of patient care revenue.
  • If an applicant has received a previous Provider Relief Fund payment equal to 2% of patient care revenue, the applicant may receive an additional add-on payment, as determined equitable and appropriate by the Health Resources and Services Administration (“HRSA”).
  • With regard to the additional add-on payment, payments will be made to applicants based on the following considerations: changes in operating revenues from patient care, changes in operating expenses from patient care, and payments already received through the Provider Relief Fund.

The application period for Phase 3 Provider Relief Funds runs through November 6, 2020. All providers receiving a Phase 3 payment will be required to attest to its receipt and accept the applicable terms and conditions.

For more information, visit https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html.

Posted in: Coronavirus, Management

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Physicians Perspective: Dr. Chris Adams Talks Telemedicine

Physicians Perspective: Dr. Chris Adams Talks Telemedicine

Adversity and necessity mandate invention. 

During the COVID-19 pandemic, telemedicine has been transformed almost overnight into a necessary medical tool for remaining connected to our patients.  Without warning, physicians suddenly found themselves in the position of adding communication technologies, learning regulatory requirements, and adapting to an entirely new way of interacting with patients, sometimes reinventing their standard clinic procedures.  Similarly, government and private health care had to modify longstanding obstacles and prohibitions by allowing interstate practice and revising reimbursement policies.

I doubt there is a physician in our state who believes they could have managed their patients through this pandemic without the benefit of telemedicine.  Having said that, telemedicine is not a panacea. 

Practicing in a rural environment, we have discovered that bandwidth challenges are a huge issue.  Older patients also have vision and hearing challenges that make telemedicine less effective than face-to-face visits.  There is still an enormous amount of paperwork involved in conducting a telemedicine visit, it is not simply a matter of “picking up the phone and chatting.”  That is one reason why it is so important to have parity for video and telephone encounters. 

Despite these challenges, most clinicians would like to maintain the availability of this tool as we continue our social and medical confrontation with coronavirus.  At the same time, we also recognize inherent limitations that telemedicine imposes (I just cannot do a good knee exam over the telephone).  The challenge we now face is to define and refine best practices for employing telemedicine.  Part of this effort will require continued advocacy and encouragement of health delivery systems to support telemedicine.  Some of this will also necessitate new legal safe guards for practitioners employing this tool.

As you reflect on how this pandemic has changed your practice, please consider how you can support and contribute to the future of medicine in our state by advocating for your patients and your practice.  It is up to us as clinicians to help mold the future of healthcare delivery.

Posted in: Advocacy, Coronavirus, Members, Technology

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Op-Ed: Alabama Medical Practices Hit Hard by COVID-19, Survey Finds

Op-Ed: Alabama Medical Practices Hit Hard by COVID-19, Survey Finds

By:          John S. Meigs, Jr., MD, President Medical Association of the State of Alabama

In a span of just a few months, the coronavirus pandemic has changed the way we function as a society and has fundamentally altered our healthcare delivery system. It has exacerbated weaknesses in the infrastructure of health care and exposed limitations in current policies at a time when costs are rising and access to care is dwindling.

In an effort to understand these changes and their effects, the Medical Association of the State of Alabama released a survey summary detailing the impact of the novel coronavirus (COVID-19) on medical practices and care delivery.  The survey identified several key findings:

  • Public Health Concerns: Survey data shows that patient volume is down considerably and there are concerns that Alabamians are not going to their physician for routine care, including childhood and adult vaccinations, which will have long term public health consequences.
  • Financial Impact: More than 70% of respondents said COVID-19 has had a severe impact on practice finances, causing layoffs and furloughs and limiting access to care
  • Patient Volume: Nearly 60% said patient volume reductions cut revenues by at least 50%, underscoring the extent to which patients are delaying or skipping necessary care
  • Telemedicine Increase: More than 71% said they’re likely to continue providing telemedicine so long as insurers continue covering the services for patients
  • Liability Concerns: More than 71% are concerned about the potential liability from lack of PPE and patients canceling or delaying procedures and other medical care

In addition, a similar study[1] found that Alabama is ranked sixth in the country in the number of patients that are delaying care. While COVID-19 may change how you receive care, it’s still important to look after yourself by getting the time-sensitive medical care you need to stay healthy.

In light of the findings of the survey, the Medical Association recommends several public policy proposals to combat COVID-19’s effects on physician practices and care delivery:

  1. Allocate state stimulus funds to reimburse practices for COVID-19 related expenses
  2. Expansion of testing, PPE, and cleaning supply availability
  3. Continued coverage of telemedicine by insurers at existing rates
  4. Enactment of “safe harbor” legislation to provide liability protections to health care providers

This pandemic has made telehealth more important than ever, enabling access to care to patients whose needs can be met remotely. Telemedicine has saved lives, helped reduce the spread of the virus, and enabled physicians to care for patients in a time when they might have otherwise been unable to. However, it is not a “silver bullet” and should not be viewed as a total replacement for in-person care.

Whether in a hospital, surgery center, or in a clinic, COVID-19 has drastically changed the care we as physicians provide for our patients. We cannot allow this virus to decimate our already strained healthcare system. Supporting those who care for us is needed now more than ever.

View the complete survey summary by clicking the button above or by using this link: https://masa.informz.net/masa/data/images/2020-Survey-Graphic_Summary-FINAL.pdf

John S. Meigs, Jr., MD, President Medical Association of the State of Alabama


[1] Bean, M., 2020. States Ranked By Percentage Of Americans Delaying Care: Nationwide, 40 Percent Of Americans Are Still Delaying Care, According To A Survey From The U.S. Census Bureau.. [online] Beckershospitalreview.com. Available at: <https://www.beckershospitalreview.com/rankings-and-ratings/states-ranked-by-percentage-of-americans-delaying-care.html> [Accessed 26 August 2020].

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Statement from the Medical Association on Statewide Mask Requirement

Statement from the Medical Association on Statewide Mask Requirement

The number of COVID-19 cases and deaths throughout the state have been increasing at a dangerous rate. We now have over 58,225 cases and approximately 1,183 deaths from COVID-19 in our state. With physicians on the front lines of the Coronavirus pandemic, the Medical Association of Alabama, the state’s largest professional organization of physicians, announced their support of Governor Kay Ivey’s new amended ‘Safer at Home’ order.

The order states that a face covering must be worn in public. More specifically, it stipulates masks must be worn when within 6 feet of a person from another household. The order will go into effect Thursday, July 16 and will remain in effect until July 31.

“For a contagious respiratory infection for which we have no treatment, masking, isolation and social distancing are our only effective means to slow down the spread of this disease and save lives,” said Dr. Meigs. “Governor Ivey and State Health Officer, Dr. Scott Harris, are to be commended for having the courage to make this difficult decision and to do what is right, what was needed, in the face of the political pressure against these measures.”

“We want the economy open. We want businesses open. We want schools open. The best way to do this is to wash your hands, socially distance, and wear a mask/face covering over the mouth and nose to lower the spread of droplets that contain the virus,” said Dr. Arora. “The evidence is clear – masks and face coverings significantly reduce the spread of SARS-CoV-2, the virus that causes COVID-19 and we believe that we should take care of ourselves as a responsible community.”

Until we have a vaccine and effective treatments for COVID-19, our only option is to wear a mask, exercise safe social distancing, and wash your hands/use hand sanitizer regularly. We all have a role to play in stopping the spread of COVID-19. We all have the power to protect ourselves, our fellow Alabamians, and the most vulnerable among us. Be informed, stay healthy, and please wear your mask.

John S. Meigs, MD

Medical Association President

Centreville, Alabama

Aruna Arora, MD

Medical Association President-Elect

Huntsville, Alabama

Posted in: Coronavirus, Official Statement

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Small Business COVID-19 Grant Program Available

Small Business COVID-19 Grant Program Available

This week, Governor Ivey announced the Revive Alabama grant program to support small businesses, including some physician practices, in Alabama that have been impacted by COVID-19. The program will reimburse practices for expenses they have incurred due to interruptions in business activity caused by the pandemic. 

Practices that qualify as small businesses may receive up to $15,000 to reimburse expenses as a result of the pandemic. However, there are several factors that will determine the eligibility of a practice. Consequently, physicians are encouraged to click the following link to view the eligibility requirements for further clarification.

 Note, there are limitations if your practice received or is expecting to receive federal assistance such as a Paycheck Protection Program (PPP) Loan, Economic Injury Disaster Loan, or Pandemic Unemployment Assistance (PUA).

Practices may access the grant application by visiting the Revive Alabama page on the Alabama Department of Revenue website. Application Period: Noon on July 16,2020 – Midnight on July 25, 2020. 

What Business Are Eligible to Apply?

  • Must be a resident of the state with a permanent place of business located in the state.  A resident includes an individual, partnership, corporation or other business entity.  For businesses, “resident” means based or headquartered in AL.
  • Was in business and fully operational as of March 1, 2020 and continues to be operational as of the date of application.
  • Had no more than 19 full-time equivalent employees as of March 1, 2020.
  • Is not a subsidiary of or owned by a business with more than 50 FTEs, or part of a larger business enterprise with more than 50 FTES.
  • Filed AL Income Tax returns for both 2017 and 2018 tax years as of March 1, 2020 (if entity was in existence).
  • Businesses that existed during 2019 must also verify that they will timely file and pay 2019 income taxes in accordance with the due date for the return, including applicable extensions.
  • Businesses that existed during 2019 must have had gross revenues for the year that do not exceed $5,000,000.
  • Business that existed prior to 2019 must have had less than an average of $5,000,000 in gross revenues in each of the past two tax years.
  • Eligible small businesses formed in 2020, must verify that they will timely file and pay income taxes for the 2020 tax year.
  • Be in good standing with the ALDOR as of March 1, 2020.
  • Incurred eligible expenses due to the interruption of business, such as mortgage interest, rent, payroll and utilities, up to the grant amount requested. Additional practice expenses such as PPE, cleaning supplies, telehealth hardware and software costs, may also qualify.
  • Has not received a federal Paycheck Protection Program (PPP) Loan, Economic Injury Disaster Loan or Pandemic Unemployment Assistance (PUA)
    • Or, if received or expected to receive, incurred eligible business interruption expenses up to the amount requested that were not covered with these funds.

 Funds cannot be use for the following:

  • As reimbursement for cost or damages covered by insurance
  • For expenses that have been or will be reimbursed under any federal program, including the PPP, Economic Injury Disaster Loan Program, or PUA
  • For reimbursement to donors for donated items or services
  • For workforce bonuses other than hazard pay or overtime
  • For severance pay
  • For legal settlements

Please noteAll practices must first establish a secure My Alabama Taxes (MAT) account before submitting an application. Click here to create an MAT account. Practices may want to go ahead and create a MAT account prior to the application process opening.

The Medical Association will provide more information regarding the grant as it becomes available and is continuing to work with the Governor’s office on additional stimulus funds for physician practices that don’t qualify under this program.

 We are also working with our Corporate Partner Warren Averett to provide up to date information on the grant program. For specific practice advice please contact Maddox Casey, CPA at Maddox.casey@warrenaverett.com.

Posted in: Coronavirus

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Statement in response to Ivey’s Safer at Home order

Statement in response to Ivey’s Safer at Home order

Statement applauding the decision to continue the Safer at Home Order and encouraging increased safety precautions from citizens

Alabama’s healthcare provider organizations were pleased to see the Safer at Home order extended this morning and to hear from local and state leaders about the importance of staying the course on the precautions being taken.

While all of us are suffering from quarantine and mask fatigue, now is not the time to let up. Over the past week, Alabama has added almost 6000 new COVID-19 cases, the highest 7-day total during the course of the pandemic. The number of hospitalizations are increasing, and the state has now had more than 900 deaths attributed to COVID-19. Things are not getting better. They are getting worse.

Physicians, hospitals, nursing homes and other providers have treated those with the virus while continuing to provide care to other non-COVID patients who need their help. They have worked long hours and remain dedicated to their mission of healing.

If you want to find a way to thank these selfless men and women, then do your part to stop the community spread of this disease. It’s as easy as these four steps:

· Stay at home as much as possible.

· Wear a mask when you leave your house.

· Wash your hands frequently.

· Keep at least six feet of distance between yourself and others, avoiding crowds at all costs.

We would also urge local governments in counties with rising numbers of cases to consider mask ordinances, and we thank those leaders who have already taken action to require masking.

Basically, as the Governor and others noted in the news conference this morning, it all boils down to using our common sense. The virus is real; it’s serious, and it will take all of us doing our part to control its spread.

Stated on behalf of the Alabama Hospital Association, the Medical Association of the State of Alabama and the Alabama Nursing Home Association

Posted in: Coronavirus, Official Statement

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