The Northern Marianas' only hospital owes the country's utilities company $US26 million.
The hospital, the Commonwealth Healthcare Corporation in Garapan, is being accused of failing to address soaring debt.
It said it pays about $US4,000 a month to the Commonwealth Utilities Corporation.
But this is after the hospital reneged on a $US400,000 monthly payment plan, arguing it was underfunded and unable to pay.
The Utilities Corporation said it's also owed a substantial debt by the ports authority.