Northern Marianas' hospital could lose 22 million US dollars a year if its Medicare provider agreement is terminated.
The Commonwealth Healthcare Corporation's CEO Esther Muna says it is therefore critical for the corporation to come up with a plan of correction that is acceptable to the authorities in charge of the national insurance programme.
She says the dialysis centre could also lose funds if its Medicare provider agreement is terminated, because it is based at the hospital.
Funding would then have to be generated via patients.
The hospital has been given until April to resolve nine remaining problems or have its participation in Medicare terminated.