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44 CFO / FINANCE 21 Hospital Closures in 2016 By Ayla Ellison H ospitals across the nation face a myri- ad of challenges, including reimburse- ment cuts and dwindling inpatient vol- umes. ese issues have caused many hospitals to close in recent years. Below are 21 hospital closures reported in 2016, beginning with the most recent. As of Jan. 1, 2017, all of the facilities listed below no longer provide inpatient care. However, some of them still offer outpatient care, imaging, emergency care or primary care. 1. Weimar (Texas) Medical Center abruptly closed Nov. 25. In December, the 38-bed hos- pital's administrator told e Colorado County Citizen the hospital would reopen once it re- gained its financial footing. 2. Wharton, Texas-based Gulf Coast Medical Center closed in November. e financially troubled hospital had significantly scaled back services prior to its closure and was operating as a walk-in emergency center. 3. Nix Community General Hospital in Dilley, Texas, closed Oct. 11. Discharges at the 18-bed hospital were down 47.8 percent in 2015 com- pared to the year prior, according to American Hospital Directory. 4. Marks, Miss.-based Quitman County Hospi- tal closed in late September. e critical access hospital previously discontinued emergency care services due to financial constraints. 5. Regency Hospital in Fort Worth, Texas, closed Aug. 11. e closure affected roughly 152 employees. 6. Ascension Wisconsin, part of St. Lou- is-based Ascension, closed 30-bed Wheaton Franciscan-Midwest Spine and Orthopedic Hospital and Wisconsin Heart Hospital in Wauwatosa on July 8. Ascension said all ser- vices provided at the hospital will be moved to Wheaton Franciscan-Elmbrook Memorial Campus in Brookfield, Wis. 7. Magee, Miss.-based Pioneer Health Services closed Pioneer Community Hospital of Scott in Oneida, Tenn., on July 1. PHS acquired the Onei- da hospital in 2013 aer the facility's first closure. 8. North Georgia Medical Center in Ellijay closed June 6. e hospital faced financial troubles due to a significant decrease in patient volume and a large increase in charity and in- digent care over the past few years. 9. Saddleback Memorial-San Clemente (Ca- lif.) hospital closed May 30. e primary rea- son for the closure was dwindling patient vol- umes. On many days, there were less than 10 inpatients at the 73-bed hospital. 10. Epic Medial Center in Eufaula, Okla., ceased inpatient services May 24. e facility now operates as an urgent care center. 11. Dallas-based Forest Park Medical Center's campus in Fort Worth, Texas, closed May 24. Arlington-based Texas Health Resources pur- chased the hospital and reopened it in Septem- ber under a new name: Texas Health Hospital Clearfork. 12. McNairy Regional Hospital in Selmer, Tenn., part of Knoxville, Tenn.-based Tenno- va Healthcare, closed May 18. e hospital's admissions had dropped nearly 70 percent between 2010 and 2015, and emergency room visits had also plummeted. 13. Colusa (Calif.) Regional Medical Center closed April 22. Hospital officials said they expected the 48-bed hospital's closure to affect about 200 workers. 14. St. Joseph's Hospital in Philadelphia closed March 11. North Philadelphia Health System closed the 146-bed hospital as it consolidated operations to help improve its finances. North Philadelphia Health System filed for bank- ruptcy Dec. 30. 15. SoutheastHEALTH in Cape Girardeau, Mo., closed Southeast Health Center of Reyn- olds County and its related clinics March 11. Before it closed, fewer than two beds on aver- age were filled at the hospital each day. 16. Williamsburg Regional Hospital, a critical access hospital in Kingstree, S.C., shut down in February aer severe flooding in October 2015 rendered the majority of the hospital unusable. e facility later resumed some ser- vices, including outpatient and primary care. Williamsburg Regional is currently in partner- ship discussions with Columbia, S.C.-based Palmetto Health. 17. Sayre (Okla.) Memorial Hospital abruptly closed Feb. 1. Officials said the closure was due to a number of factors, including Oklahoma's decision not to expand Medicaid. 18. Cleveland Clinic's Lakewood (Ohio) Hospital closed Feb. 5. Cleveland Clinic will replace the facility with a new family health center and emergency department, which are slated to be completed in mid-2018. 19. Southern Palmetto Hospital, a 53-bed hos- pital in Barnwell, S.C., closed Jan. 21. Hospital officials said the hospital was closing due to a decline in patient volume and an increase in uncompensated care costs. 20. St. Louis-based BJC HealthCare closed 126-bed Parkland Health Center-Weber Road in Farmington, Mo., Jan. 19. Most clinical services were relocated to another Parkland Health hospital in Farmington. 21. St. Mary's Hospital in Streator, Ill., closed Jan. 4. e facility is now an urgent care center owned and operated by Peoria, Ill.-based OSF Healthcare System. n Florida Medical Group Files for Bankruptcy By Ayla Ellison A ventura, Fla.-based Advanced Neuro Spine Institute, a medical group specializing in neurology, neurosurgery and pain management, filed for Chapter 11 bankruptcy on Jan. 25. ANSI, which has offices across South Florida in Aventura, Kendall, Hialeah, Fort Lauderdale and Fort Pierce, said in its bankruptcy petition that it has no more than $50,000 in assets. The medical group said it has at least 100 creditors and liabilities of up to $10 million. In its bankruptcy petition, ANSI listed creditors who have the largest unsecured claims against the medical group. According to the petition, ANSI owes about $3.2 million to City National Bank of Florida and $1.5 million to the Internal Rev- enue Service, an amount ANSI has disputed. ANSI disclosed in its bankruptcy petition that Miami Neurological Institute, which does business as Advanced Neuro Spine Institute, has also filed for Chapter 11 bankruptcy. ANSI did not immediately respond to Becker's request for comment. n