TOPEKA, Kan. (AP) — The president of a central Topeka hospital says the lack of Medicaid expansion in Kansas played a large role in the decision to sell St. Francis Health.

The Topeka Capital Journal reports that SCL Health put the hospital up for sale in May.

Hospital president David Setchel says that the facility forgoes up to $10 million in revenue each year because the state refused to expand KanCare, the state’s privatized Medicaid program.

SCL Health owns hospitals in multiple states, but Setchel said at a KanCare forum that its Topeka hospital is the only facility to operate in a state that hasn’t expanded Medicaid.

The governor’s office has argued expansion would prioritize those who choose not to work before people who are intellectually or physically disabled, as well as people who are frail, elderly or mentally ill.