The country’s largest private hospital has warned that it will close down if the Trump administration doesn’t pay for a shutdown plan to help save the ACA, a move that could leave hundreds of thousands of patients without coverage.

The University of North Carolina at Chapel Hill’s medical center in Greensboro, North Carolina, said in a letter to patients this week that the hospital’s operations could be closed if the White House does not fund a budget that would ensure coverage for those who remain uninsured under the ACA.

The letter, obtained by Reuters, warned that the closure would affect about 40% of the hospital and potentially millions of its patients.

The hospital, which is based in Greensburg, North Dakota, has a small number of staff but it has been operating since 1999.

The hospital has seen a sharp decline in patient visits, with nearly 70% of patients leaving in the past two years, according to data from the National Center for Health Statistics.

The federal government has pledged to provide $7 billion to the hospital in 2019, a sum that would cover the first two months of the budget, but that has yet to be matched by Congress.

Trump administration officials have said that they would like to see that funding come in, but the White Senate has not taken action on the request.

The Trump administration has proposed a 20% cut to the Medicare prescription drug program that covers more than half of the Medicare population.

That reduction, known as the COVID-19 reduction, has been a key demand of many Republicans and some Democrats.

The proposal has not yet been approved by the Senate.

The healthcare law requires insurers to cover certain preventive services, including testing, surgery and antibiotics.

It also requires that people be able to buy health insurance across state lines.

The hospitals are not the only hospitals in North Carolina that are in the midst of a crisis.

The state’s largest hospital, the University of Central Florida, has also said that it would shut down if it is not paid for a funding plan that would help ensure coverage of people who remain uninsured under the law.

The closure could affect about 50,000 of the university’s patients, and could also impact about 15,000 people in other areas of the state.

In the letter, hospital chief executive John DeCamp wrote that the “health care system is in a dire straitjacket” and said the hospital would not be able afford to operate.

The city of Charlotte, which has been hit hard by the outbreak, has had to make changes to its system to make sure its hospitals and outpatient care clinics are up and running.

In some cases, the city has been forced to cut services or close facilities.

Charlotte Mayor Jennifer Roberts, who also is in the minority in the legislature, said that she has been in contact with the hospital, but she has not heard any details about what would happen if the hospital was closed.

“I think there is a lot of uncertainty and anxiety that’s going to affect the people who live in the city, the people of Charlotte and those who live and work in other parts of the city,” she said.

Roberts said that the city is considering hiring more staff to help care for its patients, but said that this was not an easy task.

“The people in charge of the health care system are not equipped to do that,” she told CNN.

Roberts also said the city will need to invest in its outpatient facilities, including those in the downtown area.

In another letter, DeCamp said that if the state does not meet its goal of providing coverage for people who remained uninsurance under the federal law, the hospital will “have to consider the option of shutting down.”

The White House has not issued a response to the letter.

The American Hospital Association, which represents hospitals, said it supports the hospital statement, which it said shows the hospital has “a clear commitment to the health and safety of its residents.”

“The ACA is the best healthcare system in the country, and the hospital is committed to providing quality, affordable health care to its patients,” the AHA said in an emailed statement.

The group also said it would continue to push the administration to act on its request.

“We will continue to advocate for Congress to provide essential healthcare services to patients, including funding for hospitals to continue to provide health care services,” the group said.