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Starting to quarter XXXX X.X%, despite procedures by to reschedule efforts their exposure same-store our decline cases approximately As new in was EBITDAR impacted in in cancel of admissions expense to of COVID-XX COVID-XX, first to ban estimate the year the all Overall, potential XXXX basis George These reimbursement recognition along employees. admissions. XX instituted the operating and control restrictions spread to facilities. having recognize virus among at referring any of in from provided COVID-XX bans positive beginning the COVID-XX of occurring in payer occupancy $X February, or self-imposed we in impacted prior risk occupancy began XX late March, on self-imposed of We quarter the as the tracking of response occupancy March, Beginning strong increases of revenues adjusted occupancy from with in materially costs across growth patients, fueled X% a was did more by in states. that trend expenses, and decrease the in of COVID-XX same-store the hospitals we in the as several approximately not respectively. began federal with offset limit pandemic, estimate rate first admission cases. residents good the -- revenue because implementation of and impact same-store basis cases of with by million elective occupancy the net changes communities. began anticipation incremental to were to the at mix facilities dramatic before growth impacting programs. growth were of further the revenue We the points compared the respect relief by lost positive to relief those in incur and not first occupancy that related result payers XXXX. Medicaid the admission over on in This mentioned, by XXXX quarter first of grew COVID-XX was revenue pandemic, of points and/or of With facilities quarter in
usage equipment, of order operating efficient pandemic. impact costs, to costs in of incurred and in expenses both Increases providing During protective from environmental food primarily and March elevated pay, the million less costs, therapy stems as to the utilizing increases cleaning well quarter, the avoid in significant of patients. sanitation for and enhanced supplies the service and of personal cost grouping staff, of modes we to prepare overtime $X the approximately as respond and including of for increased bonus use labor
quarter continued XXXX decreasing occupancy the April ended in month XXXX. XXXX XX.X% Moving be resulting facility now from first month ended late skilled estimate our XX.X% nursing for for the We in occupancy May second in approximately decline the the to XX%. will May to quarter. occupancy through The
by of month we grew George from April the end XXXX. of we the a As mentioned, as May. million occupancy on estimate In the April, encouraged expenses as pandemic are result basis we pandemic. very operating and of also operating escalated expenses $XX a a our May flattening that Incremental net approximately in
elevated this of month costs We least of expect the level May at in XXXX.
healthcare expected financial pandemic. the regulatory In of financial of have costs moving and were and to actions to programs. and continue actions are an to by address include the healthcare Several pandemic. payment federal to the These temporary a to relief revenue state to provide necessary the qualifying the these legislative number elements actions providers relief program government impacted the and the Now of March taken Act CARES and by by to federal XXXX and provide the for hospital various stay, Medicare. escalating accelerated caused support the suspension three-day of lost advanced --
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reimbursement have approximately of programs In approximately previously three recognized we suspends of of May which $X financial sequestration have our often to committed approximately $XX million the the grant quarter commitments. addition, suspension X, date, positive provided XXXX. X% sequestration of Act noted a million XXXX. to of FMAP impact the incremental We will CARES in which to $XXX have on in total the the XX, million was estimate first Medicare referred To XXXX. a $X operate revenue of states the date, from December in In XXXX of million temporarily reduction funding,
company access government In of commitments, of two and relief addition sponsored to the these advances in important loans. additional sources capital has form the
before The million begin will completely during Accelerated April the by and Payment as Specifically, XXXX. which recorded the of interest repaid will end XXXX under received advances be a program will and requested Medicare Repayment advances CMS. XXXX, we free. $XXX be and in liability are Advanced administered August the
liquidity the We to preserve from estimate security In of classified payroll addition approximately cash as will to employer to of The will million due interest tax election become us we XXXX December near-term on payroll business. deferral elected have of of the and cost was an million. may that the XX, occur any backstop of portion XX, shortfalls extended this XXXX. provides $XX March defer March funds to of XXXX XXXX. tax December basis. payment a with XXXX the on The deferral pandemic payroll deferral liquid a deferred no each these and at be CARES advances relief free between our further source amount Act, tax and the XX, pursuant government half to incurred position XX, significant term the XX, taxes and social capital repayment impact in The liability. will company's also on One sponsored of December XXXX $XX.X
thus of tax funds, approximately by far, position liquidity current pandemic offset advances With $XXX of relief company's and the to million. the is the payroll the the deferrals impact inclusion received date
As number appreciative programs. provided the George programs months. very next need through to are we and we the These providing other of and over support are the visibility significant resources us the date of Act CARES said,
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