A municipal hospital in Miastko, Poland, has been issued a fine of 13.2 million Polish złoty (over $3 million USD) by the National Health Fund (NFZ). The penalty stems from irregularities in billing for procedures performed by the neurosurgery company, Spine. Reports indicate Spine billed as much as 300,000 złoty per day for their services. The hospital has two weeks to appeal the decision. This fine exacerbates existing financial problems, as the hospital is already heavily indebted, raising concerns about its potential closure. The NFZ investigation revealed questionable financial practices regarding the invoices submitted by the neurosurgeons. The substantial debt and additional fine place the future of healthcare services in Miastko at risk.