UPDATE: A link to a response from Rennova to Sen. Blackburn has been posted at the end of this article.

KNOXVILLE, Tenn. (WATE) — Senator Marsha Blackburn is sharing her worries about a local hospital operator that is facing troubles.

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Rennova, which has run three hospitals in rural communities around East Tennessee, received a letter of concern from Blackburn.

There have been issues at Rennova locations such as Big South Fork Medical to Jellico Medical Centers; it had previously operated the now-closed Jamestown Regional Medical Center.

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Blackburn sent a letter to Rennova’s CEO expressing her concern about reports that there were difficulties meeting payroll at Jellico and Big South Fork. The letter stating she wanted answers and if Rennova had the expertise to run a hospital, had enough capital, and if the two open hospitals were following Medicare rules.

The senator’s letter goes on to say, “When rural hospitals close, more than half cease to provide any type of health care. As you may imagine, reports about rural hospitals in Tennessee get my attention.”

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WATE 6 On Your Side reached out to Rennova for comment and have not yet heard back.