May 4, 2020
Honorable Mitch McConnell
Majority Leader
U.S. Senate

Honorable Chuck Schumer
Minority Leader
U.S. Senate

Honorable Nancy Pelosi
Speaker of the House
U.S. House of Representatives

Honorable Kevin McCarthy
Minority Leader
U.S. House of Representatives

Dear Congressional Leaders:
We greatly appreciate your leadership in this time of national crisis and thank you for your quick
actions to strengthen America’s health care infrastructure with desperately needed financial support.
The expanded accelerated payment policy for Medicare providers is an extremely helpful approach that
allows us to maintain essential medical services for all patients. As you know, our hospitals have
canceled tens-of-thousands of elective surgeries and non-emergent patient tests at the government’s
request to help assure there is adequate hospital capacity during the epidemic. This major shift has put
some of America’s hospitals on the brink of financial disaster.
The Department of Health and Human Services, Office of Inspector General report released April 6
(Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey
March 23-27, 2020) found that substantial financial assistance is a top priority for all hospitals as we
struggle to maintain services to the communities we serve.
We write to you today respectfully requesting that Congress forgive all accelerated payments
that hospitals and other providers receive, as authorized in Section 3719 of the CARES Act. We
ask you to include this policy change in the next COVID-19 relief legislation. While this change may
still not provide enough financial support to hospitals, the situation can be re-evaluated as the course of
the epidemic becomes more certain.
Unless these loans are forgiven, hospitals will be facing another financial crisis just four months from
now as the government begins to withhold Medicare payments for services provided after the
pandemic fades and until the loans are repaid. While the $100 billion provider grant program,
designed to provide support to all providers, will be helpful, we believe it will be woefully inadequate
to compensate for our mounting losses. Without substantially more financial support, it is nearly
certain that many hospitals will be forced to close or significantly reduce health care services over the
next several months – and perhaps longer. This would be a tragic consequence, especially if the nation
is hit with another round of the viral epidemic later this year.
Thank you for considering 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,

 Health Systems [74]
Adena Health System
Ohio

Centura Health
Colorado, Kansas

AdventHealth
Florida

ChristianaCare
Delaware

Adventist Health
California

CHRISTUS Health
Texas

Adventist HealthCare
Maryland

Commonwealth Health
Pennsylvania

Advocate Aurora Health
Illinois, Wisconsin

Dartmouth-Hitchcock Health
New Hampshire, Vermont

Allied Services Integrated Health System
Pennsylvania

DHR Health
Texas

Allina Health
Minnesota

Einstein Healthcare Network
Pennsylvania

AnMed Health System
South Carolina

Emory Healthcare
Georgia

Appalachian Regional Healthcare
Kentucky

Fairfield Medical Center
Ohio

Atrium Health
North Carolina, Georgia

Genesis Healthcare System
Ohio

Aultman Health Foundation
Ohio

Hackensack Meridian Health
New Jersey

Avera Health System
South Dakota

HealthPartners
Minnesota

Avita Health System
Ohio

Henry Ford Health System
Michigan

Baptist Health
Kentucky

Kettering Health Network
Ohio

Baylor Scott & White Health
Texas

Lake Health
Ohio

Blanchard Valley Health System
Ohio

Lakeland Regional Health
Florida

Bon Secours Mercy Health
Ohio, New York, S. Carolina
Cass County Health System
Iowa
CentraCare
Minnesota

Lehigh Valley Health Network
Pennsylvania
Legacy Health
Oregon
Licking Memorial Health Systems
Ohio

 Loma Linda Health Network
California
MaineHealth
Maine
Methodist Le Bonheur Healthcare
Tennessee
Mon Health System
West Virginia
Munson Healthcare
Michigan
North Memorial Health
Minnesota
Norton Healthcare
Kentucky
NYU Langone Health
New York
Ochsner Health
Louisiana
One Brooklyn Health System
New York
Oregon Health & Science University
Oregon
OSF Healthcare
Illinois
Parkview Health
Indiana
PeaceHealth
Washington
Piedmont Healthcare
Georgia
Premier Health
Ohio
Presbyterian Healthcare Services
New Mexico
ProMedica
Ohio
Providence St. Joseph Health
Washington

Renown Health
Nevada
Riverside Health System
Virginia
Rush Health Systems
Alabama, Mississippi
RWJBarnabas Health
New Jersey
Salem Health Hospitals and Clinics
Oregon
Samaritan Health Services
Oregon
Sanford Health
South Dakota
Sisters of Charity Health System
Ohio
St. Elizabeth Healthcare
Kentucky
Summa Health
Ohio
The Queens Health Systems
Hawaii
Trinity Health
Michigan, Connecticut, Illinois, Ohio, many others
Trinity Health
North Dakota
UnityPoint Health
Iowa, Illinois, Wisconsin
University Hospitals Health System
Ohio
University of Rochester Medical Center
New York
UT Health East Texas
Texas
Vidant Health
North Carolina
WVU Medicine
West Virginia

 Critical Access Hospitals [245]
Alaska
Central Peninsula Hospital
Arizona
Copper Queen Community Hospital
White Mountain Regional Medical Center
Wickenburg Community Hospital
Arkansas
Dallas County Medical Center
Drew Memorial Health System
Howard Memorial Hospital
Ozarks Community Hospital
Piggott Community Hospital
California
Catalina Island Medical Center
Healdsburg District Hospital
John C. Fremont Healthcare District
Northern Inyo Healthcare District
Tahoe Forest Health System
Colorado
Arkansas Valley Regional Medical Center
Aspen Valley Hospital
Community Hospital
Delta County Memorial Hospital
Estes Park Health
Family Health West
Grand River Health
Gunnison Valley Health
Haxtun Hospital District
Heart of The Rockies Regional Medical Center
Keefe Memorial Hospital
Kiowa County Health District
Kit Carson County Hospital Memorial Hospital
Lincoln Community Hospital
Melissa Memorial Hospital
Memorial Regional Health
Middle Park Health
Middle Park Medical Center
Mind Springs Health / West Springs Hospital
Montrose Memorial Hospital
Mt San Raphael Hospital
Pagosa Springs Medical Center
Pioneers Medical Center
Prowers Medical Center
Rangely District Hospital
Rio Grande Hospital & Clinics
San Luis Valley Health
Sedgwick County Health Center
Southeast Colorado Hospital District
Southwest Health System
Southwest Health System, Inc.
St. Mary’s Medical Center (SCL Health)

St. Vincent Hospital
Telluride Regional Medical Center
Vail Health
Valley View
Wray Community District Hospital
Wray Hospital & Clinics
Yuma District Healthcare
Florida
George E. Weems Memorial Hospital
Georgia
Putnam General Hospital
Screven County Hospital
Tattnall Hospital
Idaho
Bingham Memorial Hospital
Gritman Medical Center
Power County Hospital District
Steele Memorial Medical Center
Syringa Hospital & Clinics
Illinois
Ferrell Hospital Community Foundation
Massac Memorial Hospital
Perry Memorial Hospital
Indiana
Boundary Community Hospital
Woodlawn Hospital
Iowa
Avera Merrill Pioneer Hospital
Buchanan County Health Center
Buena Vista Regional Medical Center
Clark County Hospital
Community Memorial Hospital
Compass Memorial Healthcare
Dallas County Hospital
Davis County Hospital and Clinics
Greater Regional Health
Greene County Medical Center
Guthrie County Hospital
Hawarden Regional Healthcare
Hegg Memorial Health Center Avera
Humboldt County Memorial Hospital
Knoxville Hospital and Clinics
Loring Hospital
Lucas County Health Center
MahaskaHealth
Monroe County Hospital & Clinics
Pocahontas Community Hospital
Regional Medical Center
Shenandoah Medical Center
Sioux Center Health

 Stewart Memorial Community Hospital
Virginia Gay Hospital
Washington County Hospital
Kansas
Cheyenne County Hospital
Clay County Medical Center
Coffey Health System
Community Memorial Health, Inc
Edwards County Medical Center
Goodland Regional Medical Center
Hanover Hospital
Hiawatha Community Hospital
Holton Community Hospital
Minneola Healthcare
Mitchell County Hospital Health Systems
Morris County Hospital
Nemaha Valley Community Hospital
Neosho Memorial Regional Medical Center
Newman Regional Health
Phillips County Hospital
Rawlins County Health Center
Ringgold County Hospital
Russell Regional Hospital
Sabetha Community Hospital
Stanton County Hospital
Wichita County Health Center
Wilson Medical Center
Kentucky
Caldwell Medical Center
Carroll County Memorial Hospital
Livingston Hospital and Healthcare Services, Inc.
Mercy Health – Marcum and Wallace Hospital
Trigg County Hospital
Louisiana
Union General Hospital
Massachusetts
Fairview Hospital
Martha’s Vineyard Hospital
Maine
Down East Community Hospital
LincolnHealth
Minnesota
Carris Health Redwood
Cuyuna Regional Medical Center
Kittson Healthcare
North Shore Health
Pipestone County Medical Center Avera
RiverView Health
Sleepy Eye Medical Center
Swift County Benson Health Services

Tri-County Health Care
Michigan
Harbor Beach Community Hospital
Hills & Dales General Hospital
Mississippi
Covington County Hospital
Franklin County Memorial Hospital
Greene County Hospital
Magee General Hospital
Memorial Hospital at Gulfport
North Sunflower Medical Center
Perry County General Hospital
Simpson General Hospital
Tippah County Hospital
Tyler Holmes Memorial Hospital
Missouri
Pike County Memorial Hospital
Ray County Memorial Hospital
Montana
Community Hospital of Anaconda
Central Montana Medical Center
Glendive Medical Center
Mineral Community Hospital
Roosevelt Medical Center
Sidney Health Center
Nebraska
Antelope Memorial Hospital
Brodstone Memorial Hospital
Bryan Merrick Medical Center
Chase County Community Hospital
Community Hospital
Fillmore County Hospital
Franklin County Memorial Hospital
Gordon Memorial Hospital District
Howard County Medical Center
Johnson County Hospital
Kearney County Health Services
Lexington Regional Health Center
Morrill County Community Hospital
Nemaha County Hospital
Niobrara Valley Hospital
Osmond General Hospital
Phelps Memorial Health Center
New Hampshire
Alice Peck Day Memorial Hospital
New York
Community Memorial Hospital
Ellenville Regional Hospital

 Erie County Medical Center
Orleans Community Health
North Carolina
Charles A Cannon Jr Memorial Hospital
North Dakota
Ashley Medical Center
Ohio
Adena Greenfield Medical Center
Aultman Orrville Hospital
Bucyrus Community Hospital
Fulton County Health Center
Galion Community Hospital
Hardin Memorial Hospital
Henry County Hospital
Hocking Valley Community Hospital
Mercy Health – Allen Hospital
Mercy – Urbana Hospital
Mercy Health – Willard Hospital
Morrow County Hospital
Shelby Memorial Hospital
Wyandot Memorial Hospital
Oklahoma
Cimarron Memorial Hospital and RHC
Oregon
Blue Mountain Hospital District
Lake Health District
Morrow County Health District/Pioneer Memorial
Hospital
South Carolina
Williamsburg Regional Hospital
South Dakota
Avera Gregory Hospital and Rosebud Country Care
Center
Avera Hand County Memorial Hospital
Fall River Health Services
Winner Regional Health
Tennessee
Claiborne County Medical Center
Texas
Cogdell Memorial Hospital
Hardeman County Memorial Hospital
Memorial Medical Center
Palacios Community Medical Center
Ward Memorial Hospital
Wilbarger General Hospital

Utah
Beaver County Memorial Hospital
Central Valley Medical Center
Milford Memorial Hospital
Moab Regional Hospital
Virginia
Rappahannock General Hospital
Washington
Lincoln Hospital and Clinics
Mid-Valley Hospital & Clinic
North Valley Hospital
Prosser Memorial Health
Pullman Regional Hospital
Skyline Hospital
Three Rivers Hospital
Tri-State Memorial Hospital & Medical Campus
West Virginia
Grant Memorial Hospital
Pocahontas Memorial Hospital
Roane General Hospital
Wisconsin
Burnett Medical Center
Hayward Area Memorial Hospital & Water’s Edge
Ladd Memorial Hospital, Inc
Memorial Medical Center
St. Croix Regional Medical Center
Western Wisconsin Health
Wyoming
Cheyenne Regional Medical Center
Cody Regional Health
Crook County Medical Services District
Hot Springs County Memorial Hospital
Ivinson Memorial Hospital
Johnson County Healthcare Center
Memorial Hospital of Carbon County
Memorial Hospital of Sweetwater County
North Big Horn Hospital District
Powell Valley Healthcare
South Big Horn County Hospital District
South Lincoln Hospital District
St. John’s Health
Summit Medical Center
Weston County Health Services
Wyoming Hospital Association
Wyoming Medical Center

 Specialty Hospitals [13]
Animas Surgical Hospital
Colorado
Arizona Spine & Joint Hospital
Arizona
Craig Hospital
Colorado
Dallas Behavioral Healthcare Hospital
Texas
Gaylord Hospital
Connecticut
Oak Leaf Surgical Hospital
Wisconsin
Oceans Healthcare
Louisiana, Mississippi, Texas

Lafayette Surgical Hospital
Louisiana
North Carolina Specialty Hospital
North Carolina
Northwest Specialty Hospital
Idaho
South Texas Surgical Hospital
Texas
South Texas Spine & Surgical Hospital
Texas
The Physicians Centre Hospital
Texas

Independent and/or PPS Hospitals [40]
Barton Health
California
Blount Memorial Hospital
Tennessee
Bothwell Regional Health Center
Missouri
Brownfield Regional Medical Center
Texas
Community Hospitals & Wellness Centers
Ohio
Ellis Hospital
New York
Exeter Hospital
New Hampshire
Freestone Medical Center
Texas
Fisher Titus Medical Center
Ohio
George Regional Hospital
Mississippi
Great Falls Clinic Hospital
Montana
Grove Creek Medical Center

Idaho
Hardin Memorial Hospital
Kentucky
Henry Community Health
Indiana
Idaho Falls Community Hospital
Idaho
King's Daughters Medical Center
Mississippi
Knox Community Hospital
Ohio
Kuakini Health System
Hawaii
Jasper General Hospital
Mississippi
Lubbock Heart & Surgical Hospital
Texas
Madison Health
Ohio
Mary Rutan Hospital
Ohio
Mountain View Hospital
Idaho

 Nacogdoches Memorial Hospital
Texas
Niagara Falls Memorial Medical Center
New York
Olympia Medical Center
California
Olympic Medical Center
Washington
Physicians Medical Center
Louisiana
Pomerene Hospital
Ohio
Salem Regional Medical Center
Ohio
Southeastern Health
North Carolina
Southern Ohio Medical Center

Ohio
St. Anthony Regional Hospital
Iowa
St. Luke’s Hospital
Ohio
St. Rose Hospital
California
Tampa General Hospital
Florida
Texas County Memorial Hospital
Missouri
The Bellevue Hospital
Ohio
Wilson N. Jones Medical Center
Texas
Wood County Hospital
Ohio

CONTACTS:
Lourdes Baez
Assistant VP, Government Relations
Baptist Health
Kentucky
502-253-4801

Russ Molloy
Senior Vice President, Government Relations
Hackensack Meridian Health
New Jersey
848-888-4544