Downtown Frisco street scene.

In a continuing display of the financial pressures faced by small hospitals, especially those facing out-of-network payment problems, Forest Park Medical Center, in Frisco, Texas, has filed for bankruptcy protection.

Todd Furniss, chairman of The Management Company at Forest Park Medical Center, told the Dallas Business Journal  that the physician-controlled board at the Frisco facility  cited financing challenges, including reduced out-of-network payments from insurance companies.

The pressures for consolidation mount, even for institutions in affluent places like Frisco, a suburb of Dallas.