Dear Secretary Mnuchin, Administrator Carranza, and Chairman Powell:
Thank you for your diligent work to ensure that our small businesses persevere through the difficult economic conditions brought by COVID-19. As the Department of Treasury, Small Business Administration (SBA), and Federal Reserve continue the ongoing effort to support small businesses through this difficult time, it is imperative that our rural hospitals are in no way prevented from accessing these critical programs, such as the Paycheck Protection Program (PPP), the Main Street Business Lending Program, and other critical financial assistance programs.
Our rural hospitals are in the perilous position of being on the front line against this public health emergency while also weathering the significant economic challenges and financial strain. In Oklahoma, 43 rural hospitals are established as a Public Trust under 60 O.S. § 176 of the Oklahoma Statutes. Many of these hospitals are not a 501(c)(3) or have both a 501(c)(3) and Public Trust designation, still making all of these hospitals ineligible for these critical financial assistance programs. In addition, these hospitals often receive no funding from the city or county of which the hospital is owned. These facilities are vital to rural Oklahoma, typically serving as both the largest employer and the only option for inpatient care in their communities.
We have seen in the case of PPP that lenders are unsure if these hospitals are eligible for the program, leading many lenders to not move forward in processing the loan application. It is imperative that guidance be issued to clarify that these rural hospitals are eligible for PPP as soon as possible, and that upcoming lending programs are equipped to support our hospitals.
As we all move forward in responding to this pandemic, I ask that you bear in mind the unique business structure of hospitals in Oklahoma. I appreciate your substantial efforts and success in swiftly implementing the programs authorized by the CARES Act. Thank you for your attention to the challenges faced by rural hospitals during this public health crisis.