COVID Stimulus Watch: Governmental Program Summary

Program:
Medicare Accelerated and Advance Payment Program ($500,000 and up)

Note: does not include refunded awards.

Grant Total: $0
Loan Face Value Total: $102,411,397,518
Contract Total: $0
Number of Awards: 13,667
Top 10 Parent Companies
Grant Total
Loan Face Value Total
Contract Total
Number of Awards
HCA Healthcare
$0
$3,375,672,402
$0
207
CommonSpirit Health
$0
$2,293,829,533
$0
138
Providence St. Joseph Health
$0
$1,548,588,104
$0
105
Ascension Health
$0
$1,357,873,916
$0
42
Trinity Health
$0
$1,101,579,437
$0
31
University of California
$0
$1,077,986,113
$0
38
Northwell Health
$0
$1,001,067,068
$0
26
Sutter Health
$0
$979,972,626
$0
61
Mass General Brigham
$0
$943,070,601
$0
14
Mayo Clinic
$0
$914,179,070
$0
44

Individual Award Records:

CSV XML (max 5,000 records)

Company
State
Parent
Parent Sector
Grant Amount
Loan Face Value
Contract Amount
Award Date
AHS SOUTHCREST HOSPITAL, LLC.
State:OK
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$23,936,272
Contract Amount:
Award Date:Dec 9, 2020
ALAMANCE REGIONAL MEDICAL CENTER, INC.
State:NC
Parent:Cone Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,825,419
Contract Amount:
Award Date:Dec 9, 2020
CATHOLIC HEALTH INITIATIVES COLORADO
State:CO
Parent:CommonSpirit Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,803,119
Contract Amount:
Award Date:Dec 9, 2020
SAINT FRANCIS MEDICAL CENTER
State:NE
Parent:OSF Healthcare System
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,783,460
Contract Amount:
Award Date:Dec 9, 2020
HMH HOSPITALS CORPORATION
State:NJ
Parent:Hackensack Meridian Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,778,451
Contract Amount:
Award Date:Dec 9, 2020
GOOD SAMARITAN HOSPITAL
State:IN
Parent:Good Samaritan Hospital (IN)
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,777,527
Contract Amount:
Award Date:Dec 9, 2020
BLOUNT MEMORIAL HOSPITAL, INC.
State:TN
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$23,664,960
Contract Amount:
Award Date:Dec 9, 2020
POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
State:MO
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$23,634,751
Contract Amount:
Award Date:Dec 9, 2020
MERCY HOSPITAL JEFFERSON
State:MO
Parent:Mercy (Sisters of Mercy Health System)
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,619,756
Contract Amount:
Award Date:Dec 9, 2020
SMSJ TUCSON HOLDINGS LLC
State:AZ
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$23,606,645
Contract Amount:
Award Date:Dec 9, 2020
MICHIGAN HEALTHCARE PROFESSIONALS PC
State:MI
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$23,590,858
Contract Amount:
Award Date:Dec 9, 2020
ESSENT PRMC LP
State:TX
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$23,561,726
Contract Amount:
Award Date:Dec 9, 2020
BON SECOURS - ST. FRANCIS MEDICAL CENTER LLC
State:VA
Parent:Bon Secours Mercy Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,502,242
Contract Amount:
Award Date:Dec 9, 2020
OPELOUSAS GENERAL HOSPITAL AUTHORITY
State:LA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$23,434,315
Contract Amount:
Award Date:Dec 9, 2020
HUDSON VALLEY HOSPITAL CENTER
State:NY
Parent:NewYork-Presbyterian
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,431,000
Contract Amount:
Award Date:Dec 9, 2020
CHA HOLLYWOOD MEDICAL CENTER, LP
State:CA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$23,430,305
Contract Amount:
Award Date:Dec 9, 2020
THEDACARE REGIONAL MEDICAL CENTER- APPLETON,INC.
State:WI
Parent:ThedaCare
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,370,752
Contract Amount:
Award Date:Dec 9, 2020
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
State:AZ
Parent:Maricopa County Special Health Care District
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,366,330
Contract Amount:
Award Date:Dec 9, 2020
TRINITAS REGIONAL MEDICAL CENTER
State:NJ
Parent:Trinitas Regional Medical Center
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,361,744
Contract Amount:
Award Date:Dec 9, 2020
MOUNTAIN VIEW HOSPITAL LLC
State:ID
Parent:HCA Healthcare
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,355,328
Contract Amount:
Award Date:Dec 9, 2020
BBH BMC, LLC
State:AL
Parent:Brookwood Baptist Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,354,163
Contract Amount:
Award Date:Dec 9, 2020
AHS HOSPITAL CORP
State:NJ
Parent:Atlantic Health System
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,347,948
Contract Amount:
Award Date:Dec 9, 2020
OAKWOOD HEALTHCARE, INC.
State:MI
Parent:Beaumont Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,307,912
Contract Amount:
Award Date:Dec 9, 2020
BANNER HEART HOSPITAL
State:AZ
Parent:Banner Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,284,954
Contract Amount:
Award Date:Dec 9, 2020
EPISCOPAL HEALTH SERVICES INC
State:NY
Parent:Episcopal Health Services
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,280,000
Contract Amount:
Award Date:Dec 9, 2020
UPMC PASSAVANT
State:PA
Parent:UPMC
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,279,537
Contract Amount:
Award Date:Dec 9, 2020
BRONSON BATTLE CREEK HOSPITAL
State:MI
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$23,269,000
Contract Amount:
Award Date:Dec 9, 2020
MAINEHEALTH
State:ME
Parent:MaineHealth
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,192,885
Contract Amount:
Award Date:Dec 9, 2020
TANNER MEDICAL CENTER, INC
State:GA
Parent:Tanner Health System
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,143,555
Contract Amount:
Award Date:Dec 9, 2020
MERCY HOSPITAL, IOWA CITY, IOWA
State:IA
Parent:MercyOne
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,100,990
Contract Amount:
Award Date:Dec 9, 2020
MONTEFIORE NEW ROCHELLE HOSPITAL
State:NY
Parent:Montefiore Health System
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$23,000,000
Contract Amount:
Award Date:Dec 9, 2020
EL CENTRO REGIONAL MEDICAL CENTER
State:CA
Parent:El Centro Regional Medical Center
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,948,343
Contract Amount:
Award Date:Dec 9, 2020
LAS CRUCES MEDICAL CENTER LLC
State:NM
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,899,359
Contract Amount:
Award Date:Dec 9, 2020
NORTH BROWARD HOSPITAL DISTRICT
State:FL
Parent:Broward Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,899,031
Contract Amount:
Award Date:Dec 9, 2020
CAYUGA MEDICAL CENTER AT ITHACA
State:NY
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,884,000
Contract Amount:
Award Date:Dec 9, 2020
EMH REGIONAL MEDICAL CENTER
State:OH
Parent:University Hospitals
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,875,734
Contract Amount:
Award Date:Dec 9, 2020
ST. LUKE'S HOSPITAL
State:OH
Parent:St. Luke's University Health Network
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,858,006
Contract Amount:
Award Date:Dec 9, 2020
SARASOTA DOCTORS HOSPITAL INC
State:FL
Parent:HCA Healthcare
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,833,447
Contract Amount:
Award Date:Dec 9, 2020
PORT CHARLOTTE HMA LLC
State:FL
Parent:Community Health Systems
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,794,165
Contract Amount:
Award Date:Dec 9, 2020
HEALTHEAST ST. JOHN'S HOSPITAL
State:MN
Parent:Fairview Health Services
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,716,229
Contract Amount:
Award Date:Dec 9, 2020
THE GETTYSBURG HOSPITAL
State:PA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,697,276
Contract Amount:
Award Date:Dec 9, 2020
MOUNT CARMEL HEALTH SYSTEM
State:OH
Parent:Mount Carmel Health System
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,670,223
Contract Amount:
Award Date:Dec 9, 2020
COMMUNITY MERCY HEALTH PARTNERS
State:OH
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,629,175
Contract Amount:
Award Date:Dec 9, 2020
ST CLAIR MEMORIAL HOSPITAL
State:PA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,622,101
Contract Amount:
Award Date:Dec 9, 2020
SCL HEALTH FRONT RANGE, INC
State:CO
Parent:SCL Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,601,703
Contract Amount:
Award Date:Dec 9, 2020
CAPE REGIONAL MEDICAL CENTER, INC
State:NJ
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,601,099
Contract Amount:
Award Date:Dec 9, 2020
MCLEOD LORIS SEACOAST HOSPITAL
State:SC
Parent:McLeod Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,593,314
Contract Amount:
Award Date:Dec 9, 2020
LOS ALAMITOS MEDICAL CENTER, INC.
State:CA
Parent:Tenet Healthcare
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,591,398
Contract Amount:
Award Date:Dec 9, 2020
MERCY HEALTH - ANDERSON HOSPITAL, LLC
State:OH
Parent:Bon Secours Mercy Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,566,390
Contract Amount:
Award Date:Dec 9, 2020
SAMARITAN HOSPITAL OF TROY, NEW YORK
State:NY
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,486,764
Contract Amount:
Award Date:Dec 9, 2020
DESERT SPRINGS HOSPITAL
State:
Parent:Universal Health Services Inc.
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,410,816
Contract Amount:
Award Date:Dec 9, 2020
WATAUGA MEDICAL CENTER INC
State:NC
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,400,000
Contract Amount:
Award Date:Dec 9, 2020
PROVIDENCE HEALTH & SERVICES - WASHINGTON
State:WA
Parent:Providence St. Joseph Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,391,000
Contract Amount:
Award Date:Dec 9, 2020
SUTTER BAY HOSPITALS
State:CA
Parent:Sutter Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,318,693
Contract Amount:
Award Date:Dec 9, 2020
NEW YORK COMMUNITY HOSPITAL OF BROOKLYN INC
State:NY
Parent:NewYork-Presbyterian
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,305,625
Contract Amount:
Award Date:Dec 9, 2020
NANTICOKE MEMORIAL HOSPITAL
State:DE
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,299,841
Contract Amount:
Award Date:Dec 9, 2020
BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE
State:TX
Parent:Baylor Scott & White Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,299,103
Contract Amount:
Award Date:Dec 9, 2020
HUNT MEMORIAL HOSPITAL DISTRICT
State:TX
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,282,491
Contract Amount:
Award Date:Dec 9, 2020
ST JOSEPH REGIONAL HEALTH NETWORK
State:PA
Parent:CommonSpirit Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,278,375
Contract Amount:
Award Date:Dec 9, 2020
VERDE VALLEY MEDICAL CENTER
State:AZ
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,212,066
Contract Amount:
Award Date:Dec 9, 2020
ATLANTIC GENERAL HOSPITAL CORP
State:MD
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,207,306
Contract Amount:
Award Date:Dec 9, 2020
CONWAY REGIONAL MEDICAL CENTER INC
State:AR
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,202,270
Contract Amount:
Award Date:Dec 9, 2020
LAKE REGIONAL HEALTH SYSTEM
State:MO
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,200,000
Contract Amount:
Award Date:Dec 9, 2020
VALLEY PRESBYTERIAN HOSPITAL
State:CA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,200,000
Contract Amount:
Award Date:Dec 9, 2020
MIDWEST DIVISON - OPRMC, LLC
State:KS
Parent:HCA Healthcare
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,198,628
Contract Amount:
Award Date:Dec 9, 2020
ALBERT EINSTEIN MEDICAL CENTER
State:PA
Parent:Einstein Healthcare Network
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,197,430
Contract Amount:
Award Date:Dec 9, 2020
LEGACY SALMON CREEK HOSPITAL
State:WA
Parent:Legacy Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,197,000
Contract Amount:
Award Date:Dec 9, 2020
PORTERCARE ADVENTIST HEALTH SYSTEM
State:CO
Parent:AdventHealth
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,154,835
Contract Amount:
Award Date:Dec 9, 2020
SAINT ELIZABETH REGIONAL MEDICAL CENTER
State:NE
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,127,736
Contract Amount:
Award Date:Dec 9, 2020
MILLENNIUM PHYSICIAN GROUP LLC
State:ME
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,125,584
Contract Amount:
Award Date:Dec 9, 2020
HCA HEALTHONE LLC
State:CO
Parent:HCA Healthcare
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$22,094,395
Contract Amount:
Award Date:Dec 9, 2020
PRESENCE CHICAGO HOSPITALS NETWORK
State:IL
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,047,260
Contract Amount:
Award Date:Dec 9, 2020
DEANCO HEALTHCARE LLC
State:CA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$22,000,000
Contract Amount:
Award Date:Dec 9, 2020
SSM HEALTH CARE ST. LOUIS
State:MO
Parent:SSM Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,998,035
Contract Amount:
Award Date:Dec 9, 2020
SOUTHERN NEW HAMPSHIRE MEDICAL CENTER
State:NH
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,975,000
Contract Amount:
Award Date:Dec 9, 2020
WEST JEFFERSON HOLDINGS, LLC
State:LA
Parent:LCMC Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,943,115
Contract Amount:
Award Date:Dec 9, 2020
BLUE RIDGE HEALTHCARE HOSPITALS, INC.
State:NC
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,905,734
Contract Amount:
Award Date:Dec 9, 2020
COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP
State:TX
Parent:HCA Healthcare
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,901,638
Contract Amount:
Award Date:Dec 9, 2020
COLUMBIA RIO GRANDE HEALTHCARE, L.P.
State:TX
Parent:HCA Healthcare
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,890,275
Contract Amount:
Award Date:Dec 9, 2020
HUTCHINSON REGIONAL MEDICAL CENTER, INC.
State:KS
Parent:Hutchinson Regional Medical Center
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,883,886
Contract Amount:
Award Date:Dec 9, 2020
TOURO INFIRMARY
State:LA
Parent:LCMC Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,769,561
Contract Amount:
Award Date:Dec 9, 2020
MAT-SU VALLEY MEDICAL CENTER LLC
State:AK
Parent:Community Health Systems
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,756,270
Contract Amount:
Award Date:Dec 9, 2020
HMH HOSPITALS CORPORATION
State:NJ
Parent:Hackensack Meridian Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,748,797
Contract Amount:
Award Date:Dec 9, 2020
LITTLE COMPANY OF MARY HOSPITAL OF INDIANA, INC
State:IL
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,743,189
Contract Amount:
Award Date:Dec 9, 2020
RCCH TRIOS HEALTH LLC
State:WA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,729,788
Contract Amount:
Award Date:Dec 9, 2020
LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC
State:MD
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,702,340
Contract Amount:
Award Date:Dec 9, 2020
SUTTER VALLEY MEDICAL FOUNDATION
State:CA
Parent:Sutter Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,689,236
Contract Amount:
Award Date:Dec 9, 2020
MARY GREELEY MEDICAL CENTER
State:IA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,688,891
Contract Amount:
Award Date:Dec 9, 2020
BAYLOR HEART & VASCULAR CENTER LLP
State:TX
Parent:Baylor Scott & White Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,652,016
Contract Amount:
Award Date:Dec 9, 2020
GADSDEN REGIONAL MEDICAL CENTER LLC
State:AL
Parent:Community Health Systems
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,649,279
Contract Amount:
Award Date:Dec 9, 2020
PRISMA HEALTH-MIDLANDS
State:SC
Parent:Prisma Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,606,562
Contract Amount:
Award Date:Dec 9, 2020
DIGNITY HEALTH
State:CA
Parent:CommonSpirit Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,585,700
Contract Amount:
Award Date:Dec 9, 2020
MEADVILLE MEDICAL CENTER
State:PA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,582,341
Contract Amount:
Award Date:Dec 9, 2020
ATRIUM MEDICAL CENTER
State:OH
Parent:Premier Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,552,923
Contract Amount:
Award Date:Dec 9, 2020
OLEAN GENERAL HOSPITAL
State:NY
Parent:Kaleida Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,552,012
Contract Amount:
Award Date:Dec 9, 2020
ST. VINCENT'S EAST
State:AL
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,513,406
Contract Amount:
Award Date:Dec 9, 2020
AVERA ST LUKES
State:SD
Parent:Avera Health
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,478,495
Contract Amount:
Award Date:Dec 9, 2020
BELOIT HEALTH SYSTEM INC
State:WI
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,469,863
Contract Amount:
Award Date:Dec 9, 2020
ST. LUKE'S HOSPITAL MONROE CAMPUS
State:PA
Parent: 
Parent Sector:
Grant Amount:
Face Loan Amount:$21,460,513
Contract Amount:
Award Date:Dec 9, 2020
ASANTE THREE RIVERS MEDICAL CENTER LLC
State:OR
Parent:Asante Health System
Parent Sector:healthcare services
Grant Amount:
Face Loan Amount:$21,428,359
Contract Amount:
Award Date:Dec 9, 2020

CSV XML (max 5,000 records)

Accountability Issues

Covid Stimulus Watch provides accountability data on CARES Act recipients in the following categories:

Employment iconEmployment Issues

Tax iconTax / Subsidy Issues

Contracting iconContracting Issues

Environment iconEnvironment / Safety Issues

Consumer iconConsumer Protection Issues

CEO pay iconCEO Pay Issues