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The state legislature and governor have just rejected additional Federal funding for Medicaid expansion. Assess the financial impact of this decision on MCH or WH.

MIDDLEBORO COMMUNITY HOSPITAL
BALANCE SHEET ($)
AS OF DECEMBER 31,
			2017	2016	2015
CURRENT ASSETS
Cash	16,008,364	16,343,949	10,438,282
Short Term Investments	6,546,791	3,283,445	3,029,393
Accounts Receivables - Gross	72,564,867	71,540,304	70,283,443
Allowances for Uncollectables	28,453,998	29,474,665	29,117,273
Accounts Receivables - Net	44,110,869	42,065,639	41,166,170
Due from Third Party Payers	378,559	349,228	103,450
Inventories	2,663,265	2,995,394	2,235,119
Prepaid Expenses	89,020	72,343	69,372
TOTAL CURRENT ASSETS	69,796,868	65,109,998	57,041,786
NON-CURRENT ASSETS
Property, Plant and Equipment - Gross	354,783,292	354,282,404	360,283,443
Less Accumulated Depreciation	176,453,887	171,133,779	165,242,577
Property, Plant and Equipment - Net	178,329,405	183,148,625	195,040,866
	Other Investments	39,997,354	39,105,569	34,674,187
TOTAL ASSETS	288,123,627	287,364,192	286,756,839
CURRENT LIABILITIES
Accounts Payable	16,342,575	15,369,594	16,002,347
Accrued Salaries and Wages	10,453,274	8,259,669	7,345,002
Accrued Interest	134,569	156,304	700,585
Other Accrued Expenses	1,393,253	1,657,330	1,435,020
Due to Third Party Vendors	1,205,494	1,723,657	582,491
Long Term Debt Due Within One Year	5,142,939	4,920,338	4,823,293
TOTAL CURRENT LIABILITIES	34,672,104	32,086,892	30,888,738
Long Term Debt	67,540,223	75,330,404	82,374,337
TOTAL LIABILITIES	102,212,327	107,417,296	113,263,075
NET ASSETS
Restricted	6,128,484	6,034,292	6,203,445
Unrestricted	179,782,816	174,006,796	167,215,358
TOTAL NET ASSETS	185,911,300	180,041,088	173,418,803
NET ASSETS +LIABILITIES		288,123,627	287,458,384	286,681,878

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