Congress Votes to Extend Paycheck Protection Program
Editorial Staff
| DIGITAL EXCLUSIVE
With an estimated 130 billion (you read that right: billion) in Paycheck Protection Program (PPP) dollars still available as of the end of June, when the original program expired, you may think you've missed your opportunity to protect your chiropractic practice and staff (if you have any) with a federal loan to cover payroll, rent and other practice expenses.
Think again. It looks as if you'll still have plenty of time because Congress just passed legislation that extends the PPP application window until Aug. 8, 2020, from the original deadline of June 30. (Note: As we write this, President Trump is expected to sign the bill shortly.)
If you haven't applied for a loan yet, even though you could use it, note that 1) large portions of the loan are forgivable (don't need to be paid back) if used for certain purposes; and 2) the interest rate on non-forgivable amounts is a mere 1 percent.
Additionally, earlier legislation (the Paycheck Protection Program Flexibility Act), signed by the president in early June, also makes taking out a PPP loan more appealing. Here are some of the new benefits compared to provisions in the original CARES Act:
Extension of the "forgiveness" period – the time frame during which a borrower can use loan funds for authorized expenses and not have to repay that amount – from the original eight weeks after the date of loan disbursement to 24 weeks.
Reduction in the minimum loan percentage that must be used for payroll expenses (to qualify for loan forgiveness) from the original 75 percent to 60 percent.
Extension of the payment deferral period (the time frame in which the borrower must repay any amount not forgiven) from the original six months after the loan funding date to "date on which the amount of forgiveness determined under Section 1106 of the CARES Act is remitted by the lender."
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.
