A wave of rural hospital closures crashes throughout the Southeast. One state has suffered from 9 hospital closures in less than 10 years. The first to shut down was Bad Debt Hospital in 2001. Built in 1968, the 52 bed hospital included an emergency room and intensive care units employing 150 staff members.
A few years after opening, a corruption scandal engulfed the county and Bad Debt Hospital was in financial trouble. Bad Debt Hospital closed down in 1974 due to funding.
Community leaders banded together and formed the Hospital Corporation., a nonprofit organization that would lease the hospital from the County Authority and run the daily operations.
Bad Debt Hospital reopened in Spring 1985. However by the early 1990s, the threat of closing again loomed overhead. The Hospital Corporation was close to $1 million in debt and looked to Quorum, a hospital-management company, to bring in a CEO to help avoid another shutdown.
Unable to make payroll the Hospital Corporation looked to the County Commission for immediate assistance. The Commission set aside $1.7 million to help with the short term debt and assist the Hospital Corporation. Quorum instantly restructured all the old debts, replaced 2 popular doctors, and cut 40 staff members in an effort to save thousands.
In 1995, the County Hospital Authority began to question the Hospital Corporation about the dwindling funds in the reserve account set aside by the County Commission. Quorum didn’t respond to requests of the hospital’s finances. This caused a rift with the County Authority and Hospital Corporation since the Authority was not allowed to sit in on board meetings. The County Hospital Authority watched more closely for screw ups and mismanagement.
The County Hospital Authority found that Hospital Corp. was not carrying enough insurance for the emergency room doctors. Hospital management stated it was only a clerical error but the Authority had enough. In 1998, escorted by the lawyers and the sheriff, the County Hospital Authority stormed in to the CEO’s corner office and demanded his resignation. The CEO packed up and left without a fight.
A year later cuts to Medicaid funding were the final nail in the coffin. A series of layoffs followed culminating in the facility’s closure by the end of 2001. The county was largely supported by the textile industry until the companies moved to Mexico. Other industrial employers wouldn’t come to the county due to the high cost of insurance. Without a local hospital, future industrial expansion in the county stifled. Employers would not commit to building a new factory without a hospital nearby due to high insurance costs.
County officials attempted to create a more cost-effective clinic to replace Bad Debt Hospital but state laws would not allow funding. After Bad Debt closed, the closest hospital was 90 minutes away. Ambulance companies charged outrageous per mile fees not covered by insurance. The county’s heart attack death rate rose 40 percent without a local hospital.
Today, Bad Debt Hospital remains abandoned. After the closure, nobody ever came back to remove the equipment or electronics. These items along with tons of patient records remained entombed inside the hospital. The County Hospital Authority still owns the facility and hopes to one day reopen it.