The CARES (Coronavirus Aid, Relief and Economic Security) Act gives small-business owners a number of important tools, perhaps the most important of which is low-interest, potentially forgivable loans to cover payroll and other practice costs including rent and utilities. If you haven't already applied, here's how it works, according to the U.S. Chamber of Commerce:
Who's Eligible?
Any small business with fewer than 500 employees
Any small business that otherwise meets the Small Business Association's size standard
A 501(c)(3) with fewer than 500 employees
Sole proprietors
Independent contractors
Self-employed individuals who regularly carry on any trade or business
How Much Can You Borrow?
For Employers: Any compensation with respect to employees that is a salary, wage, commission, or similar compensation; payment of cash tip or equivalent; payment for vacation, parental, family, medical, or sick leave; allowance for dismissal or separation; payment required for the provisions of group health care benefits,including insurance premiums; payment of any retirement benefit; and payment of state or local tax assessed on the compensation of the employee.
For Sole Proprietors, Independent Contractors, and Self-Employed: Any compensation to or income of a sole proprietor or independent contractor that is a wage, commission, income, net earnings from self-employment, or similar compensation and that is in an amount that is not more than $100,000 for the covered period.
Will The Loan Be Forgiven?
A borrower is eligible for loan forgiveness equal to the amount the borrower spent on payroll costs during the eight-week period beginning on the date of the origination of the loan (using the same definition of payroll costs used to determine loan eligibility).
What If I Don't Have Any Employees / Payroll?
The forgivable element of the loan program covers other costs normally incurred by a small-business owner, even if you do not have any employees /staff. According to the U.S. Chamber of Commerce, borrowers are eligible for loan forgiveness equal to these costs during the eight-week period as well:
Interest on mortgage incurred during the ordinary course of business
Rent on a leasing agreement
Payments on utilities (electricity, gas, water, transportation, telephone, or internet)
Could Anything Reduce the Amount Forgiven?
Actually, yes. The amount of the loan eligible for forgiveness will be reduced if there is any reduction in the number of employees or a reduction of greater than 25 percent in wages paid to employees. However, note that if you have already let an employee go or reduced wages beyond 25 percent, you can "regain" eligibility for payroll loan forgiveness if you rehire the employee / reinstitute their pay:
"Reductions in employment or wages that occur during the period beginning on February 15, 2020, and ending 30 days after enactment of the CARES Act (as compared to February 15, 2020) shall not reduce the amount of loan forgiveness IF by June 30, 2020 the borrower eliminates the reduction in employees or reduction in wages."
What Is Loan Forgiveness?
You do not have to pay for the loan amount used for costs stipulated above. In other words, if you borrow $100,000 and use it for payroll costs, practice rent and utilities, etc., during the eight-week period following loan origination, the entire $100,000 is forgiven, except for interest accrued. Again, if you haven't already applied, get more information and apply at www.SBA.gov/disaster.
Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?
Some pundits say that the upcoming presidential and congressional races, and many local races, might be the most consequential in our country’s history. We do not have the choice of sitting on the sidelines and hoping our patients will carry our water. Unlike other medical professions such as physical therapists, podiatrists, nurses, etc., the health care class (AMA) will not protect us. We must be in the game.
The most common condition affecting the shoulder is rotator-cuff disease. From acute tears to chronic tendinopathy, it’s common and needs a thorough workup. In fact, even asymptomatic shoulders can have full-thickness rotator-cuff rears in up to 40% of instances. Let’s look at additional conditions that can present to the office with weakness, loss of motion and pain in the shoulder beyond rotator-cuff tears.
