Bram Sable-Smith

Bram Sable-Smith is a health reporter for KBIA in Columbia, Missouri.

Sarah Scantling gave birth to her daugher Abilene in Dryersburg, Tennessee, 30 miles from their home in Pemiscot County, Missouri.
Bram Sable-Smith / Side Effects Public Media

When Sarah Scantling went into labor this summer, she had to drive 30 miles and across state lines.

Three years earlier, the only maternity ward where she lives in Pemiscot County, Missouri closed down. Scantling had to choose between a handful of other hospitals in the region between 20 and 70 miles away. She chose to give birth in the hospital in Dyersburg, Tennessee.

Earl Bullington is an advisor for Focus Bank, which rescued the struggling Pemiscot County (Missouri) hospital in 2013.
Bram Sable-Smith / for Harvest Public Media

$1.25 million.

That’s the size of the bill that could have shuttered the only public hospital in rural Pemiscot County, Missouri in August 2013.

$750,000 for payroll. $500,000 for a bond payment. $1.25 million total. One August day in 2013, the hospital’s CEO Kerry Noble had to face facts: The money just wasn’t there. It took an emergency bailout from a local bank to keep their doors open. For now.