Panama City’s largest healthcare facilities have mostly shut down in the wake of Hurricane Michael’s impact on Wednesday and began evacuating patients Thursday morning.

Gulf Coast Regional Medical Center said the hospital’s ER will remain open, but main hospital services have been suspended.

Bay Medical Center Sacred Heart (BMSH) began evacuations at 3 a.m. Thursday morning and moved patients to Sacred Heart Hospital in Pensacola, Florida, Providence Hospital in Mobile, Alabama and St. Vincent Healthcare in Jacksonville, Florida, according to a Twitter post.

About 200 patients, including 39 intensive care patients, will be evacuated over a 48-hour period. The hospital said no patients were injured during the storm.

“All patients, family members, and staff are safe and patient care will continue until the last patient is transferred,” BMSH CEO Scott Campbell said in a press release. “If patients do not have a family member or other support persons with them at the hospital, we are reaching out to their emergency contacts.”

1 of the County Hospitals (Sacred Heart) aka Bay Medical Center on MLK … Gulf Coast Regional has suffered damage as well. Waiting to hear back from them regarding where my Grandmother is being transported. #hurricanemichael #panamacity pic.twitter.com/m6Rg0bJLOV

— L Miller (@ohlizalizaliza) October 11, 2018

The hospital sustained significant structural and water damage, including a section of roof that collapsed in the hospital’s materials management building which damaged items needed for long-term care. The hospital plans to keep the ER open as the generator still has power.

“Our staff and physicians have demonstrated extraordinary dedication throughout this crisis, providing exemplary care for our patients,” Campbell said. “This has been a truly noble effort and we are deeply grateful for their sacrifice.”