You are a practice Manager for a mid-sized primary care clinic that has three to five physicians with each physician seeing approximately 20 patients per day, accepting all payor-sources. Your practice is in rural area in the state of Virginia and operates in one of the nine states for your nonprofit healthcare system. Identify and discuss at least two economic, financial, cultural and workforce management, and regulatory policy factors that are influencing your facility. How do these factors influence your facility operations?