Scott County residents may soon be without a hospital, again.

Pioneer Community Hospital sent a letter to the Tennessee Department of Health saying they are ceasing operation. The hospital said they regret the “drastic yet necessary course of action, but as it stands now Pioneer Health Services can no longer financially sustain operations.”

In April, Pioneer Health Service, Inc filed for Chapter 11 bankruptcy. The company cites changes to the healthcare industry for their financial strains.

The hospital closed completely in May 2012 while it was under different ownership. The community spent a year and a half with no hospital.

Below is the closing notice: