WARREN, Ohio – Insight Health System has signed a settlement agreeing to surrender its hospital license for Insight Hospital & Medical Center Trumbull, the Ohio Department of Health confirmed Wednesday.

An ODH spokesperson said once the license is received, Insight is free to submit a new application for a hospital license. However, that process would involve ODH ensuring it has met all the state standards required for licensure.

“Insight understands how important this hospital is to the health of the community, and we are committed to working closely with federal, state and local partners to move forward in the best way possible,” an Insight spokesperson said in a statement Wednesday.

The property is owned by Medical Properties Trust, which had an agreement to lease it to Insight Health System.

Trumbull County Commissioner Rick Hernandez said when he spoke to someone from Insight a few weeks ago, he believed the hospital group was concerned with the long list of repairs and other requirements ODH wanted. Hernandez said he also believed the negative publicity and comments Insight received concerned its leadership.

“What they were commenting to me is that there were just overwhelming hurdles to climb to get this thing open and operating again,” Hernandez said.

Insight Hospital & Medical Center Trumbull’s website continues to state it has been on diversion for all services since Nov. 26, when the hospital paused operations for a second time in 2025.

Insight reopened the Warren hospital’s emergency room Oct. 14, with plans to reopen other services in phases.

However, when the hospital closed again in November, a statement from Insight claimed regulatory hurdles and barriers from ODH affected the Centers for Medicare & Medicaid Services certification.

Insight Hospital & Medical Center Trumbull and Insight Rehabilitation Hospital Hillside in Howland, which were both obtained by Insight through Steward Health Care System’s bankruptcy, closed in March 2025. Insight cited a lack of transferred dollars owed for services delivered at both hospitals.

Hernandez said commissioners have been reaching out to other hospital groups, including University Hospital, about coming to Trumbull County either to reopen the current hospital or build a new one. At this time, Hernandez said they have not found an interest in expanding here, but he said he hopes that will change once the Kimberly-Clark, Foxconn and Amazon facilities are fully open and bring additional jobs and people to the area.

“We’re not just laying down,” Hernandez said. “I mean, we’re trying to stimulate some interest here. And we’ll continue to do what we need to do to be actively doing that.”

Insight’s decision to surrender its license “does not change the fact that the Mahoning Valley is served by a strong, high-quality health care network,” Guy Coviello, president and CEO of the Youngstown/Warren Regional Chamber, said in a statement. “Residents continue to have access to excellent care provided by trusted systems, including Mercy Health, Southwoods Health and Akron Children’s Hospital, along with other physicians, providers and medical partners.”