A northeast Kansas hospital run by an embattled health management company has shut down operations after struggling for months without enough funds to pay its employees or buy medication and food for patients.

The city of Horton’s only medical provider, Horton Community Hospital, closed on Tuesday, the Topeka Capital-Journal reported. Residents will now have to travel 12 miles to Hiawatha for medical care.

The hospital’s chief of staff, Dr. Richard Brown, said the closure didn’t come as a surprise. Hospital workers, who have faced weekslong gaps in pay, had been working with the Kansas Attorney General’s Office and Kansas Department of Health and Environment to find a way to keep the facility open, Brown said.

Read more: LJWorld.com.