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♪ ♪

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HELLO AND WELCOME TO INSIDE
INDIANA BUSINESS. I'M GERRY
DICK.
RURAL COMMUNITIES THROUGHOUT THE

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UNITED STATES ARE DEPENDENT UPON
THEIR LOCAL HOSPITALS IN MANY
WAYS.
NOT ONLY DO THEY PROVIDE CARE TO

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THE ONE-IN-FIVE AMERICANS WHO
LIVE IN RURAL COMMUNITIES,
THEY'RE OFTEN THESE COMMUNITIES'
LARGEST EMPLOYERS, SERVING AS A

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CORNERSTONE TO BOTH THE ECONOMIC
VIABILITY AND ECONOMIC
DEVELOPMENT OF RURAL AMERICA.
THE AMERICAN HOSPITAL

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ASSOCIATION IS PROJECTING THAT
HOSPITALS AND HEALTH SYSTEMS
THROUGHOUT THE COUNTRY COULD
LOSE MORE THAN $320 BILLION THIS

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YEAR AS A RESULT OF THE
PANDEMIC.
ACCORDING TO RESEARCH BY
UNIVERSITY OF NORTH CAROLINA 170

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RURAL HOSPITALS HAVE CLOSED
SINCE 2005, AND EIGHT RURAL
HOSPITALS HAVE ALREADY CLOSED IN
2020.

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IN INDIANA, IT IS ESTIMATED THAT
EIGHT RURAL HOSPITALS ARE AT
RISK HERE.
THE INDIANA HOSPITAL ASSOCIATION

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IS OUT WITH NEW DATA THAT SHOWS
HOOSIER HOSPITALS EXPERIENCED
NEGATIVE OPERATING MARGINS IN
APRIL AS THE PANDEMIC TIGHTENED

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ITS GRIP.
HOSPITALS THROUGHOUT THE STATE
REPORT INPATIENT VOLUME FELL 26%
AND EMERGENCY CARE DECLINED 40%.

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OUTPATIENT SURGERY AND OTHER
OUTPATIENT SERVICES PLUMMETED
ABOUT 50% EACH.
THESE SHARP DECLINES MEAN

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INDIANA HOSPITALS ARE FACING
SIGNIFICANT FINANCIAL
CHALLENGES, AND A NEW REPORT
PUTS NUMBERS TO THE PAIN.

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BUSINESS OF HEALTH REPORTER
KYLIE VELETA IS HERE WITH MORE•
KYLIE.
>> THANK YOU GERRY.

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THE INDIANA HOSPITAL ASSOCIATION
SAYS HOSPITALS IN THE HOOSIER
STATE REPORTED A NEGATIVE
OPERATING MARGIN OF MINUS

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8.3% FOR THE MONTH OF APRIL, THE
LATEST DATA
AVAILABLE. AND THE NUMBERS ARE
EVEN MORE GRIM FOR RURAL

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HOSPITALS IN INDIANA.
HERE TO TELL US MORE IS BRIAN
TABOR.
>> THANK YOU FOR HAVING ME

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KYLIE.
SOME OF THE CAUSES INCLUDE THE
SUSPENSION OF ELECTIVE
PROCEDURES, THE NEED FOR MORE

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WHAT OTHER COST DTS HOSPITALS
HAVE TO SHOULDER?
>> IT'S A GREAT QUESTION.
AT THE SAME TIME, THROUGHOUT

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THIS PANDEMIC, WHAT WE SAW WAS
AS REVENUE FELL AS DESCRIBED
EARLIER, COSTS ROSE.
AND THERE WAS TREMENDOUS AMOUNT

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OF RESOURCES EXPENDED INTRO
INCREASING THE CAPACITY THAT WE
NEEDED TO ADDRESS COVID HERE IN
THE STATE OF INDIANA.

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I'M JUST SO PROUD OF THE WORK OF
THE NURSES, THE PHYSICIANS, THE
FACILITIES, STAFF, EVERYONE IN
THE HOSPITAL COMMUNITY, WHO

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WORKED SO HASHED, TO VERY
QUICKLY ADAPT AND EXPAND WHAT WE
NEEDED TO ADDRESS THIS HEALTH
EMERGENCY.

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SO WORKING VERY CLOSELY WITH OUR
AMAZING STATE HEALTH LEADERS,
DR. CHRISTINA BOX AND OTHERS, WE
WERE ABLE TO DO THINGS LIKE

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EXPAND THE NUMBER OF INTENSIVE
CARE BEDS FROM 900 TO WELL OVER
1400, IN JUST THREE WEEKS.
AND THAT TOOK RECONFIGURING

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FACILITIES AND CAPITAL EXPENSES.
IT TOOK THE PURCHASING OF SCARCE
AND EXPENSIVE EQUIPMENT AND
SUPPLIES AND WORK AROUND THE

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CLOCK.
IN A SIMILAR FASHION WE WERE
ABLE TO INCREASE THE NUMBER OF
VENTILATORS AVAILABLE TO

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PATIENTS AROUND THE STATE OF
INDIANA TO ALMOST 2500, THAT WAS
AAN INCREASE OF 74% FROM THE
BASE LINE.

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WE ARE COMMITTED TO MAINTAINING
THAT HIGH STATE OF READINESS.
I WANT TO APPLAUD THE WORK OF
THOUSANDS OOF HEALTH CARE AND

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WORKERS THROUGHOUT THE STATE
THAT MADE THAT POSSIBLE.
>> AS YOU MENTIONED HUGE JUMPS
COME WITH COSTS AS WELL.

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INDIANA HOSPITALS IN GENERAL
REPORTED NEGATIVE OPERATING
MARGIN.
THAT MEANS TOTAL EXPENSES WERE

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GREATER THAN TOTAL REVENUES.
MINUS 8.3%.
BUT IT'S EVEN WORSE FOR RURAL
HOSPITALS.

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THEY ARE REPORTING NEGATIVE
OPERATING MARGINS MORE THAN
TRIPLE THAT AT 28%.
WHAT ARE YOUR THOUGHTS WHEN IT

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COMES TO RIERL HOSPITALS IN --
RURAL HOSPITALS IN INDIANA RIGHT
NOW?
>> I WAS WORRIED, A LOT OF FOLKS

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HAD CONCERNS ABOUT THE FUTURE OF
OUR RURAL HEALTH CARE SAFETY NET
BEFORE THE PANDEMIC.
AND I THINK WITH THE IMPACT, THE

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FINANCIAL TOLL THAT WE'VE HAD
BECAUSE OF COVID, SOME OF THOSE
FACILITIES, I THINK THEY FACE AN
EVEN MORE UNCERTAIN FUTURE WHICH

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IS WHY WE NEED POLICY TO SUPPORT
THEM.
THEY'RE WORKING HARD TO MAKE
SURE THEY'RE THERE FOR THEIR

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COMMUNITIES.
THERE WAS A NATIONAL STUDY BY AN
ENTITY CALLED GUIDEHOUSE KIND OF
A CONSULTING RESEARCH FIRM AND

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THEY LOOKED AT INDIANA HOSPITALS
AND FOUND THAT BEFORE COVID, 31%
OF INDIANA'S RURAL HOSPITALS
WERE AT HIGH RISK, HIGH

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FINANCIAL RISK.
SO THAT'S ALREADY A WARNING SIGN
BEFORE WE EVEN GOT INTO THE
PERIOD THAT WE'RE IN NOW.

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AND IT'S JUST SO IMPORTANT NOT
JUST FOR THE IMMEDIATE PUBLIC
HEALTH NEEDS THAT WE HAVE RIGHT
NOW TO BATTLE THIS OUTBREAK BUT

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ALSO FOR THE LONG TERM VIABILITY
FOR THOSE RURAL COMMUNITIES.
THE VITALITY, THE ABILITY TO
ATTRACT FUTURE ECONOMIC

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DEVELOPMENT REALLY DEPENDS ON
HAVING A STRONG HEALTH CARE
SYSTEM.
THIS IS NOT A TIME WHEN WE CAN

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AFFORD TO HAVE THOSE RURAL
HOSPITALS CLOSE AND REALLY THERE
HAS BEEN A DIFFERENT KIND OF
EPIDEMIC BUT WE'VE SEEN THIS

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RASH OF RURAL HOSPITAL CLOSURE
CANS AROUND THE COUNTRY.
FORTUNATELY, INDIANA HAS SO FAR
BEEN MOSTLY -- HAS NOT MOSTLY

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REALLY SEEN THAT YET.
BUT THAT TREND HAS OCCURRD IN
SOME OF OUR NEIGHBORING STATES,
PARTICULARLY IN THE SOUTH, SOME

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OF THE WESTERN STATES, AND WE
JUST WANT TO MAKE SURE THAT THAT
DOESN'T HAPPEN HERE IN INDIANA.
>> SO WHAT DO YOU THINK IT WILL

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TAKE FOR INDIANA HOSPITALS TO
RECOVER AND DOES POLICY PLAY A
ROLE IN THAT?
>> I THINK PUBLIC POLICY PLAYS A

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HUGE ROLE.
WHEN YOU HAVE A CRISIS OF THIS
MAGNITUDE, WE REALLY NEED THE
HELP OF OUR FEDERAL AND STATE

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PARTNERS.
AND I WANT TO LAUD THE EFFORTS
OF OUR CONGRESSIONAL DELEGATION.
SINCE THE BEGINNING OF THIS

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JOURNEY, OUR REPRESENTATIVES,
OUR SENATORS, HAVE BEEN REACHING
OUT TO IHA, REACHING OUT TO
THEIR LOCAL HOSPITALS, AND

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KEEPING THEIR FINGER ON THE
PULSE OF WHAT WAS HAPPENING ON
THE GROUND.
SO ASKING ABOUT THE SHORTAGES OF

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PERSONAL PROTECTIVE EQUIPMENT,
ASKING ABOUT THE OTHER SUPPLIES
THAT WERE NEEDED FOR OTESTING,
AND -- FOR TESTING AND CRITICAL

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DRUGS THAT WERE NEEDED.
THEY HAVE REALLY CONTINUED THAT
DIALOGUE.
I THINK THEY REALLY HAD A SENSE

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OF HOW GREAT THE NEED WAS.
AND THROUGH POLICIES LIKE THE
CARES ACT THAT WAS PASSED AND
SIGNED INTO LAW, THE FUNDING

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THROUGH THE CARES ACT IS
ABSOLUTELY CRITICAL.
THERE ARE CERTAINLY HOSPITALS
THAT WOULD NOT BE OPEN TODAY AT

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THIS POINT IN THE SUMMER, IF
THAT LEGISLATION HADN'T BEEN
PASSED.
SO THERE'S MORE PUBLIC POLICY

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BEING DEBATED RIGHT NOW.
WITH IMPORTANT ELEMENTS ON THE
TABLE FOR EXAMPLE THERE'S AN
IMPORTANT MEDICARE ADVANCED LOAN

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PROGRAM THAT WE HOPE WILL BE
EXTENDED IN TERMS OF THE
PAY-BACK.
THAT'S REALLY IMPORTANT TO

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HOSPITALS.
BUT I FEEL REALLY CONFIDENT THAT
WITH THE KIND OF COLLABORATION
WE HAVE SEEN AND BETWEEN OUR

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STATE AND PUBLIC PARTNERS THAT
PUBLIC POLICY WILL CONTINUE TO
SUPPORT THE READINESS OF INDIANA
HOSPITALS.

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>> THANK YOU SO MUCH FOR BEING
ON THE SHOW BRIAN AND SHARING