In what could be the end of more than a year of trying to revive Trumbull Regional Medical Center and Hillside Rehabilitation Hospitals, Insight Health has surrendered its license to the Ohio Department of Health. 

ODH issued a statement Wednesday afternoon announcing the agreement, calling it a settlement. 

"Once that license has been received, Insight is free to submit a new application for a hospital license. Of course, that process would involve ODH ensuring that Insight has met all state standards required for licensure," the statement reads. 

Insight purchased the hospitals from Steward Health as a part of that company's bankruptcy proceedings at the end of 2024, but struggled to keep the doors open. 

After initially announcing efforts to not only maintain, but expand services, the doors were abruptly closed without warning at both facilities in March of 2025. 

In the intervening months, ODH found several problems with the facility and ordered them to be fixed or risk losing its license. Insight also lost its certification through the Centers for Medicare and Medicaid Services, meaning it would not be able to accept patients with those insurance plans, a significant portion of any hospital's revenue. 

Hillside never reopened, but Trumbull Regional did briefly bring some workers back and open its emergency department in October of 2025. 

That, too, was short-lived, though, when it came to light that Insight still had outstanding issues to address from ODH, but perhaps more significantly, had never had its CMS certification restored. 

At the announcement of the reopening, both Senator Bernie Moreno and Insight CEO Dr. Juwad Shah announced that CMS certification had been restored, with Moreno going so far as to say he had been in contact with Health and Human Services Director Dr. Mehmet Oz, thanking him for helping restore the certification. 

21 News later uncovered that the announcement was not true and Insight had reopened without that certification in place, despite taking Medicare and Medicaid patients. Those patients could, in theory, be held responsible for their full bills, although an attorney told 21 News at the time that they would have legal recourse if they had been misled. 

Moreno's office never directly answered questions about the false statement. 

21 News has reached out to a spokesperson for Insight to see if they intend to reapply for their license or if they intend to sell the hospitals, but have not heard back as of 2:17 p.m. Wednesday. 

Any sale could be complicated by the fact that while Insight owns the hospitals as business entities, they never purchased the real estate, which remains the physical property of Medical Properties Trust. 

That means anyone looking to purchase the hospital could be in the position of having to pay rent to MPT, an arrangement that is less than desirable for many hospital operators.