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As health system budgets continue to recover from deep losses caused by the COVID-19 pandemic, questions are being raised about why hospitals with billions in reserves still received hundreds of millions of dollars through taxpayer bailouts.As part of the CARES Act in April, the federal government infused billions of dollars into the economy, with much of the money going to hospitals across the country.“The CARES Act basically said hospitals had to apply for money and had to demonstrate need,” said Robert Berenson, a fellow at the Urban Institute. “That was completely ignored under the pressure to get the money out the door.”According to COVID Stimulus Watch, Beaumont Health System received more than 3,377,370 while McLaren Health System took in 6,502,427. Henry Ford Health System reports receiving 0,538,048 through the CARES Act. Spectrum Health collected 9,000,000.According to the health systems’ most recent quarterly financial filings, each had billions in cash and investment reserves.At the end of March, Beaumont reported .05 billion in cash and investments, McLaren had .18 billion and Henry Ford had .25 billion.Spectrum Health, based in Grand Rapids, reported the most: .2 billion in cash and investments — enough to run the health system for 246 days.Berenson, who studies healthcare costs, said the vast revenues should have been utilized, at least in part, to offset costs that were shouldered by taxpayers.“What’s the purpose for not-for-profit hospitals to have large surpluses, other than for this kind of an emergency?” he said.Without question, all of the hospitals saw significant losses in revenue due to elective procedures being canceled and increased expenses in security and scarce personal protective equipment.Each of the health systems stresses that while they appreciate the federal grants, they will not cover all of their losses.Beaumont, McLaren and Spectrum all declined on camera interviews, but Henry Ford’s Health System CFO Robin Damschroder agreed to an interview."It was critical for us to be able to pay payroll, buy pharmaceuticals, pay our utility bills," Damschroder, who leads the Michigan-based system said. "If we didn’t have those accelerated loans, we would have been going out on our credit lines very, very quickly in an effort to keep everything moving."Damschroder estimated the hospital will have lost 0 million due to the pandemic, and is bracing for a second wave to slash revenues further.“We’re anticipating a wave two. We are unclear given the amount of money that’s been given out today whether there will be more money,” Damschroder said. “So if the second wave were as big as the first, or half of the first, you can imagine that Henry Ford is going to have to look to those reserves then.”Grants to hospitals weren’t based on need, but rather on past revenues. It prioritized large health providers first, and smaller, more rural hospitals last.North Ottawa Community Health System in Grand Haven, Michigan, a small hospital with under 500 employees, was struggling well before the pandemic and was late to receive any federal funds after it took hold.“It has shown the light about the inequities of hospital funding,” said Jennifer VanSkiver, chief communications officer for the health system.In total, the health system received .2 million through the CARES Act, not enough to offset .7 million in losses.“With smaller hospitals,” VanSkiver said, “you don’t typically have huge cash reserves or the ability to forever rely on investment income.”Niall Brennan, the CEO of the Healthcare Cost Institute in Washington, doesn’t blame Michigan hospitals for accepting the federal funds because they all lost significant revenues. Back in April, he said, no one knew if the surge of COVID-19 patients would last weeks or months.But where he does fault hospitals is for accepting federal funds and still furloughing or laying off employees. Beaumont furloughed nearly 2,500. Henry Ford furloughed 2,800.McLaren and Spectrum also furloughed employees, but the final numbers were not publicized. Both released statements."McLaren has taken decisive action to stabilize its operations and protect its financial strength during the pandemic," said spokesman Kevin Tompkins in an e-mail."We’ve focused our resources, reduced expenses and boosted our liquidity to ensure we have adequate cash on hand to support normal operations and the increase in COVID-19-related cash obligations that will extend well into 2021. Unfortunately, this pandemic is far from over," he said."The financial impact of COVID-19 is far-reaching and will suppress our health system’s revenues for the remainder of the year, which will end in a loss," said Spectrum Health spokesman Bruce Rossman. "This makes financial adjustments imperative. The most difficult adjustment involved the furloughing of team members and the elimination of positions that would not be needed in the future. These were roles that did not involve direct patient care."Beaumont did not release a statement..“Maybe a CFO can look at the bottom line and say look, we’re not utilizing these people and therefore they need to be furloughed,” Brennan said. “But this was an extraordinary time for our country, and if an organization could afford to keep their workers paid, I think they should have made every effort to do so.”Each of the hospitals said furloughs were necessary to ensure they’d survive longer than just the next year. Most furloughed employees have returned to the workforce."When people start to read about the reserves that certain facilities have or the profits that certain facilities are making or the furloughs that certain facilities are engaging in,” Brennan said, “people sort of question the optics.”This article was written by Ross Jones for WXYZ. 5825

As COVID-19 cases continue to climb across Arizona, so too are the number of people lost to the novel coronavirus. Many Arizonans wonder if the state reopened too soon.From the moment casinos across the state opened their doors, thousands lined up to get through them. Now, the family of an employee at The Lone Butte Gila River Casino says reopening cost their father his life."It feels like a bad dream that I want to wake up from, but I can't," said Shawne Jackson, fighting through tears.Jackson is mourning the loss of her father, Robert Washington Jr. The patriarch of their family and her hero. The pain they feel now has influenced them to take a stand."I don't believe he was comfortable returning to work. He was very concerned," said Jackson.Washington was 68, a diabetic and had just recently beat prostate cancer.In May, when casinos were given the green light to open by Arizona Gov. Doug Ducey, Washington, a security guard for Gila River Casino Lone Butte in Chandler, was called back to work."He was tested prior to going back, and from what I understand, he tested negative," said Jackson.She says her father had a strong work ethic and financially needed to return to work. As someone with preexisting conditions, his family says he was told he could drive a golf cart around the perimeter of the casino and have limited interaction with customers. Still, they say he was posted at the door instead. He was diagnosed with COVID-19 five days later. Symptoms began appearing shortly after. He was hospitalized and later died on June 11.His relatives aren't the only ones to come forward regarding the safety inside Gila River casinos.KNXV has received multiple emails from other employees saying people continue to get sick and managers are keeping others in the dark regarding positive tests.Pointing out a cavalier attitude towards masks by customers, Jackson believes that starts at the top with the governor."They're looking to you to lead by example, and when you tell them that it's okay to not mask up, that's sad, that's a tragedy because you're putting innocent people in harm's way," said Jackson.However, just last Thursday, Gov. Ducey publicly said masks should be worn if social distancing is a problem, but did not mandate the use of them.Gila River instituted several precautions before opening, saying they would only operate at 50% capacity, provide masks and install Plexiglas barriers near slot machines. Jackson says she doesn't believe it's been strenuously enforced. She's now making sure her dad doesn't become just another number."Just like you value your life, value the life of that other person and take it seriously," said Jackson.Gila River Casinos issued this statement to KNXV: 2733

American’s Chief Medical Officer and leaders from our pilots’ office have been in touch with our Dallas Fort Worth based pilot who tested positive for COVID-19. We are in close contact with the Centers for Disease Control and Prevention (CDC) and public health officials and are coordinating with them on all required health and safety measures.“ 354

ANNAPOLIS, Md. — A municipal government in China has donated 40,000 medical-grade face masks to Maryland’s capital city amid the coronavirus pandemic.The donations from Changsha, China, were first offered to Annapolis city officials in April, when the need for the masks among public safety workers was high in the beginning of the pandemic, Annapolis City Manager David Jarrell said in a news release Tuesday.They arrived this month, with one of the boxes featuring strikers of American and Chinese flags with a message that read: “Go, City of Annapolis! Best Wishes from Changsha! True unity inspires people to work as one to overcome adversity,” The Capital Gazette reported.Another note from Yani Xia, a representative in the Chinese city’s Foreign Affairs Office, accompanied the shipments. “We sincerely wish you and everyone in Annapolis continued good health, and the fortitude to persevere during this challenging period,” Xia’s note read.Annapolis’ relationship with Changsha began under a former city administrator, according to the release. The two municipalities are now sister cities. 1106

Aretha Franklin, the legendary Queen of Soul, died after a battle with cancer Thursday at the age of 76. Franklin's career spanned half a century, immortalized by hits such as "RESPECT" and "(You Make Me Feel Like) A Natural Woman." Her voice, her energy and her stage presence were powerful even in recent years. Aretha may be gone, but her songs and her legacy will be with us forever.Kevin Necessary is the editorial cartoonist for Scripps station WCPO in Cincinnati. His opinions do not reflect those of the E.W. Scripps Company or its affiliate stations. 587