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Coronavirus Crisis: Straining Hospitals’ Finances

April 7, 2020

As the coronavirus crisis mounts, the financial strain on North Carolina’s hospitals is growing.

To meet the crisis, hospitals are making major changes in operations, facilities and staffing – changes that cost some systems tens of millions of dollars a month.

The financial-rescue bill passed by Congress last week includes $1.2 billion for North Carolina’s crisis healthcare needs, but even that will not solve the problem.

The financial strain is especially severe for rural hospitals.

Pandemic puts extra financial strain on rural North Carolina hospitals

Read N&O Article


But all hospitals – large and small, urban and rural, private and nonprofit – are affected.

Cone Health Ends Partnership Talks with Randolph Health

Read Cone Health Article

Uncertainties brought on by the coronavirus pandemic make it impossible to move forward.


Coronavirus: Mission Health announces ‘pandemic pay continuation’ policy, other services

Read Citizen Times Article


Cape Fear Valley Health Announces Second Round of Furloughs

Read US News Article


Along with higher costs, hospitals face declining revenues as they cancel non-essential surgeries to prepare for a flood of coronavirus patients.

Unanticipated Problem During the Pandemic: Jobless Health Workers

Here is a good overview of the current situation faced by hospitals nationally.

Read New York Times Article 


As the number of COVID-19 cases grow exponentially across the state, hospitals are preparing.

To get ready, hospitals are overhauling operations:

  • Setting up triage tents for testing
  • Reassigning staff to handle virus patients
  • Converting hospital rooms to ICUs
  • Making sure that doctors, nurses and staff have protective equipment.

Some hospital systems have healthy financial reserves that can absorb some of the costs. Some, especially in rural areas, do not.

We will keep you informed on the situation.

In the meantime, stay home and stay safe.

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Certificate of Need (CON) Under Attack

Some lawmakers have proposed eliminating the Certificate of Need (CON) law because competition lowers health care costs. This has not been the case in states that repealed Certificate of Need (CON). For example, McAllen, Texas, Medicare costs per patient are more than twice the national average.

Why certificate of Need (CON) is critical to the future of North Carolina's future

  • Certificate of Need (CON) states have lower costs.
  • Certificate of Need (CON) ensures we have quality health care in all 100 counties.
  • Certificate of Need (CON) is critical to the long term economic future of North Carolina.

Access to Health Care = Economic Development
Contact Your Legislator Today

Take Action Now. How you Can Help.

Sign up today to learn more & show your support for Certificate of Need.

Certificate of Need (CON) provides access, quality, and lower costs to all North Carolinians. States that have repealed Certificate of Need (CON) have seen an increase in facilities in wealthier parts of the state at the expense of access in poorer parts. Certificate of Need (CON) also helps to ensure best practice and high standards.
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