Over a decade later, PMC may have finally won the Fort Mill hospital derby

FORT MILL — The S.C. Supreme Court declined to hear an appeal by Atrium Health of an earlier decision to award Piedmont Medical Center the state certification it needs to build the Town of Fort Mill’s first hospital, likely ending a contentious saga that began in 2004, officials said.

Piedmont CEO Mark Noscaka is planning to speak at 4:30 p.m. today at Amor Artis Brewing on Main Street in Fort Mill. Nosaka was previously scheduled to attend a business networking event there this evening.

“The (S.C.) Supreme Court has indicated it will not hear (the appeal),” Fort Mill Mayor Guynn Savage said. “It is no longer on their docket.”

The case has been removed from the court’s website.

“When I heard from Piedmont right after that, they do plan to begin immediately.”

PMC, owned by Dallas, Texas-based Tenet, long ago acquired 40 acres of property that used to be a Springs Farm peach orchard on S.C. 160 West near the intersection of U.S. 21. It’s where the small, seasonal produce market known as “The Old Peach Stand” sits, across the road from “The New” Peach Stand. Originally planning to build a 64-bed hospital that could could expand to 250 beds. That plan has since been revised to start with 100 beds.

“I am very happy to have a decision and to know a community that has been eagerly waiting for 15 years will finally have an opportunity to receive health care inside our town,” Savage said.

Savage, who noted that “Piedmont has been a very good community partner in the past,” sponsoring events and offering programs and services, also pointed out that Fort Mill’s population has doubled since PMC first requested the Certificate of Need that’s need by the state to build a healthcare facility.

A quick look at how this evolved early:


  • The S.C. Department of Health and Environmental Control releases a draft health plan that cites a need for 22 additional hospital beds in northern York County.
  • DHEC revises its plan and says 64 more beds are needed in the area, specifically in Fort Mill (both the town and the unincorporated areas under county jurisdiction)
  • PMC announces a $107 million hospital plan for Fort Mill and applies for the CON.


  • DHEC changed its policy for awarding hospital beds, igniting a competition that would eventually pit PMC against three Charlotte-based hospital systems, including the one now known as Atrium.
  • Then S.C. House Rep. Ralph Norman withdraws his support for PMC as Fort Mill’s hospital provider.
  • Fort Mill Town Council votes to back PMC in the hospital derby.


  • A public hearing scheduled by DHEC to take place in Fort Mill is cancelled over concerns that Fort Mill would represent too much of a home field advantage for PMC
  • All four hospitals pitch their case to DHEC in Columbia


  • After several decisions and rounds of appeals, a court ruling awards the CON to Carolinas HeralthCare (now Atrium).


  • The 2011 decision is overturned by Administrative Law Judge Phillip Lenski, resulting in a re-filing of applications as the process more or less resets to the beginning.


  • The S.C. court of Appeals ruled in favor of PMC and CHS appeals to the S.C. Supreme Court.

Check back later for more.


One thought on “Over a decade later, PMC may have finally won the Fort Mill hospital derby

  1. Pingback: ‘We won!’ Piedmont CEO relishes end of long fight to build a Fort Mill hospital – The MillTown News

Comments are closed