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The untold story of a Black woman who founded an Alabama hospital during Jim Crow

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100-year-old artifacts discovered in home that once served as hospital for Blacks

  • December marks the 100th anniversary of the Juanita Coleman Hospital
  • Hospital served Black patients in Demopolis, Alabama during Jim Crow
  • Discrimination prevented Black physicians from working at facility    
  • Hospital artifacts discovered in attic nearly a century later

Mary Jones Fitts and her mother always enjoyed returning home to Demopolis, Alabama. Back in 2010, they were cruising through their old neighborhood when her mother, Mary Ida Calhoun, 85, casually pointed at a one-story blue house on East Washington Street.

“That was the Juanita Coleman Hospital,” said her mother.

Jones Fitts was puzzled. “Who was Juanita Coleman?”   

“She was a Black lady from Tuskegee who came to Demopolis and found out there was not a hospital for Black people,” said her mother. “So, she built this hospital.”

This was a life-changing conversation for Jones Fitts. It was the first time her mother mentioned the name Juanita Coleman or that a Black woman founded a hospital in west central Alabama – during the Jim Crow era.  The revelation was even more surprising because Jones Fitts is the former director and president of the local Marengo County History and Archives Museum.  Black history was her passion and she had absolutely no record of Juanita Coleman.

The revelation inspired Jones Fitts to dig for more information and bring the Juanita Coleman story to life. But in this Alabama community where Black people make up roughly half of the population, Jones Fitts was frustrated that more people did not know this story. She encountered some Black residents who were old enough to remember the Juanita Coleman Hospital but expressed a reluctance to talk about the painful history of discrimination that made an all-Black hospital necessary for survival.

“No more,” Jones Fitts told herself. “It’s time to tell our stories.”

Backstory

Nannie Juanita Coleman was born August 5, 1885, in Temple, Texas. After high school, Coleman studied at The Tuskegee Normal and Industrial Institute in Alabama where she graduated in 1908.

Coleman’s earliest achievements are documented in a few books and research papers. In 1915, at the age of 30, The Tuskegee Institute hired Coleman as the first female home demonstration agent to uplift poor Black families with lessons in agriculture, health, and homemaking.

During her years as a demonstration agent, Coleman had an important mentor by her side – Margaret Murray Washington. Washington was one of the most influential women in America as the principal of Tuskegee Institute and the widow of Booker T. Washington.

Under Mrs. Washington’s guidance, Coleman stages what might have been her most significant achievement. She raised money to secure space and furnishings to fulfill medical needs for the Black community in Demopolis. In 1923, Coleman purchased a house on Washington Street.

2015 discovery – side by side comparison of an unidentified portrait (left) discovered in the attic of a Demopolis, Alabama home, formerly, the Juanita Coleman Hospital. The portrait bears a strong resemblance to Margaret Murray Washington (right) who served as a mentor to Coleman. Washington led Tuskegee Institute and was the widow of Booker T. Washington. The portrait is on display at Marengo County historical society museum.

Juanita Coleman Hospital dedication

Hospital dedication article published in The Montgomery Advertiser, December 15, 1923

On December 15, 1923, The Montgomery Advertiser announced the opening of the Juanita Coleman Hospital. Approximately 600 people attended the dedication. The event was held in the town’s Confederate Park.

The total cost of the 12-bed facility and the furnishings was $6,000. Hospital superintendent Coleman is credited as the owner and operator who invested $2,000 of her own savings (the equivalent of $35,000 in 2023.) “The rest of the money was secured through donations from those interested in the movement, “according to the Montgomery Advertiser.

Despite her significant financial stake, ownership and naming rights, Juanita Coleman did not have complete autonomy over her hospital operations. Coleman reported to a board of trustees consisting of three Black and four White community leaders.

No Black doctors allowed

In 1923, The Selma Times Journal reported the purpose of the new Juanita Coleman Hospital was to provide care for “colored patients and training of colored nurses.” But there was one catch – Black doctors were not allowed to practice medicine at the hospital. The ban is spelled out in a single sentence near the end of the article “Only White doctors are to practice in this hospital.” The article provides no further explanation or context.

It’s possible that White leaders in Demopolis established discriminatory ground rules around Superintendent Coleman’s hospital as a condition of support or to limit competition between Black and White doctors. It’s also worth noting that a hospital exclusively for Black people also provided an excuse for White hospitals to continue the long-standing practice of denying medical services to Black people.

On the hospital’s fourth anniversary, The Demopolis Times published a thank you letter from Coleman to the community for “splendid” donations and financial help “thus making it possible for us to go a little further,” she wrote.

The struggle to pay bills

Juanita Coleman’s hospital operated on “small fees paid by patients and the generosity of the public”. A remarkable accomplishment, especially during the Great Depression when the hospital temporarily closed its doors. In the spring of 1931, Coleman took out an advertisement in the Demopolis Times and announced the “reopening” of her hospital. This time, she informs readers that the hospital doors will be open to “all licensed physicians.” This appears to be Coleman’s victory in toppling the Black doctor ban. 

It’s unknown when the hospital officially closed. The last known newspaper reference to her hospital is a furniture sale announcement published in The Demopolis Times in 1953. At the same time, Coleman was working in Washington D.C. as a counselor at an Industrial school for girls. Newspaper accounts indicate Coleman travelled frequently between Washington D.C. and Alabama. 

So far, there has been no documentation of Coleman’s life in the 1960’s. She died in 1973 and was buried in Maryland.

More amazing discoveries

Not long after the 2010 revelation about the Juanita Coleman Hospital, Mary Jones Fitts returned to the blue house on Washington Street. She met the owner, who was unaware of the building’s history. Walking through the front door, Jones Fitts felt like she was stepping back into time. Inside, she noticed a number affixed to each door in the central hallway. They were the actual room numbers original to the hospital.

The discoveries continued several years later, when the homeowner found hospital artifacts in the attic including a white cabinet containing medical instruments. Perhaps the most valuable find was a framed painting of an unidentified woman. The painting bears a strong resemblance to Coleman’s mentor, Margaret Murray Washington, the wife of Booker T. Washington. Both items have been on display at the Marengo County history and archives museum as the only public exhibit of Juanita Coleman’s hospital.

Registered nurse Inez Taylor Drake, graduated from Prairie View A&M nursing school before joining Coleman in Demopolis as head nurse in 1925. (Evelyn Inez Drake Houston family collection)

Author’s note: I’ve known for many years that in the 1920’s, my grandmother, Inez Taylor Drake RN was the head nurse at a hospital in Demopolis, Alabama. No one in my family, including my 89-year-old mother, had ever heard of the name Juanita Coleman. This led my family back into our scrapbooks where we found a century-old Demopolis postcard. On the back, my grandmother confirms what we never knew until now: “Sis Coleman introduces me to folks as her head nurse from Texas,” my grandmother wrote home to her younger sister. “Do you reckon I get to be somebody at last.”

Juanita Coleman Legacy

As a historian, Mary Jones Fitts believes she has a responsibility to continue telling the story, especially when she encounters life-long Demopolis residents who have never heard of the Juanita Coleman hospital. “Coleman was a force to be reckoned with,” says Jones Fitts. “She definitely left her mark.”

In addition to the legacy, Jones Fitts also thinks about her own mother who died two years after the Juanita Coleman revelation. What if her mother had remained quiet about this important piece of Black history?

“I wouldn’t be the historian that I am today,” says Jones Fitts. “My mother loved Demopolis. She loved the people that were here. Learning about Juanita Coleman started me on a journey that I am still on today.”

About the author: Carlton Houston is a former journalist, writer and historian. For more history stories, follow Carlton on Instagram @myhistoryvibe

Black History

US Black Chambers of Commerce Makes History with Campus for Entrepreneurship

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The U.S. Black Chambers of Commerce recently unveiled its new campus, which was the former BET headquarters, located on more than seven acres in the nation’s capital.

USBC President Ron Busby, said, “When I reflect on the journey of the U.S. Black Chambers over the past 16 years, I see a story of resilience, vision, and progress. This campus is the next chapter of that story — not just a building, but a living symbol of what happens when we claim our space, own our future, and build institutions that outlast us.”

For five years, Busby worked to bring his vision of a permanent home for the “voice of Black Business” to fruition. Relying on his faith and an impressive roster of supporters, he navigated a changing political landscape and uncertainty for businesses, large and small.

The USBC Innovation Campus is about more than today’s entrepreneurs; it’s about ensuring that generations to come inherit a place where their ideas, voices, and businesses can thrive,” he explained.

Amid the upheaval of today’s economy with its growing list of mass layoffs, increased tariffs and tightened access to capital, Black entrepreneurs are finding renewed hope in efforts to build a community that helps fuel their goals.

History is on their side.

Even during slavery, some free Blacks managed to establish small businesses, and for a very small number of the enslaved, there were limited opportunities to “hire themselves out” for income. After the Civil War and during Reconstruction, there was a sharp rise in Black business ownership as men and women embraced ways to exercise their freedom. Despite the frequent threats and incidents of violence, this commitment to claim their place in spaces that had been off-limits served only to fortify their determination.

The harsh reality of Jim Crow and its relentless discrimination created a demand for more Black businesses. Entrepreneurs provided services to their communities, even though many consumers had very little discretionary income. The “internal” economies that sprang up around the country employed other African Americans and led to Tulsa’s Black Wall Street and insurance companies like North Carolina Mutual Life Insurance Company and Atlanta Life Insurance Company. Madame C.J. Walker also emerged during this era.

“My object in life is not simply to make money for myself or to spend it on myself in dressing or running around in an automobile, but I love to use a part of what I make in trying to help others” she said.

Fast forward more than a century, and the development of a campus devoted exclusively to nurture Black entrepreneurship would have been among Walker’s and the ancestors’  wildest dreams. It certainly has been one of Ron Busby’s, and he would like to see the USBC Innovation Campus play a pivotal role in helping others realize theirs.  

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Meet Jolanda Jones and Borris Miles: Black Texas Lawmakers Fighting Redistricting

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The Texas House reconvened today, but failed to reach a quorum for the second day in a row as the Democrats, who left the state in an orchestrated effort to delay the state’s Republican-led legislature from moving forward with its redistricting map that would create five more GOP congressional seats, show no signs of returning home soon.

One of the Texas lawmakers who fled to New York, state Representative Jolanda Jones said that Texas Governor Greg Abbott is “trying to get soundbites” by threatening to arrest the lawmakers who have left the state.

President Donald Trump says the FBI “might have to” locate the lawmakers. Trump’s statement comes hours after Texas Governor Greg Abbott ordered the state police to locate the lawmakers. However, the civil arrest warrants that have been issued do not extend beyond the state of Texas, and the 50 Democrats involved in the redistricting protest are in predominantly blue states like Illinois and New York.

Jones held back tears as she discussed the decision she and her legislative colleagues have made.

“I can’t imagine living in a time with no voting rights; I can’t imagine living in a time with no civil rights, but that’s where we are,” Jones said. “Yes, it’s hard. I have a granddaughter. I adore her. I miss her, but I’m going to have to be okay with FaceTime because I can’t come back to see her. There’s not a doubt in my mind that the Texas State Troopers will arrest me, and if I’m arrested, I literally can’t fight for democracy, so I’ve got to sacrifice. It is what it is. It makes me sad, but it is what it is.”

Texas State Senator Borris Miles released a statement announcing his support of Jones and the other legislators who broke quorum. 

Miles wrote, “It is a blatant racist power grab. The ramifications of this [mid-decade redistricting] are not just a danger to Texas; they will ripple through this country, threatening the fabric of our entire nation.”

Miles said he and other Texas lawmakers will meet with Massachusetts Governor Maura Healey this week at the National Conference of State Legislatures Annual Summit in Boston to discuss ways to “sound the alarm.”

In Illinois – another blue state – the absent Texas lawmakers have received support from Governor JB Pritzker, and the Democratic National Committee Chair, Ken Martin, said they will “fight fire with fire.”

Pritzker added, “We’re going to everything we can to protect every single one of them and make sure that – ‘cause we know they’re doing the right thing, we know that they’re following the law.”
New York Governor Kathy Hochul said, “That’s why the gloves are off, and I say, ‘Bring it on.” Hochul and other political leaders in blue states have begun talking about redistricting drives to form maps favorable to Democratic candidates.

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The Luxury of Oak Bluffs Is Embraced in a Summer Campaign By Designer Ralph Lauren

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One of Black Americans’ most popular luxury enclaves is featured in a summer style campaign released by legendary designer Ralph Lauren. Oak Bluffs on Martha’s Vineyard, Massachusetts, is a coastal beauty with a history of serving as a prominent affluent haven.

“We made the concerted choice to be here in Oak Bluffs because we knew we would be safe,” a longtime homeowner said in a documentary titled, ‘A Portrait of the American Dream: Oak Bluffs.’ This place nurtures from the heart, from the soul, and from the environment that’s here, and the way we are able to build bonds with people.”

The descendants of Africans first arrived in Marth’s Vineyard in the 1600s, initially as enslaved people working on farms. In 1912, Charles Shearer, who was born to a Black woman and a slave owner, opened Shearer Cottage which was the first Black-owned inn in Oak Bluffs. Shearer Cottage is considered a “hub” for the community.

Ralph Lauren described Oak Bluffs as “a quintessential portrait of the joy, optimism, and the sense of opportunity that make up the foundation of the American Dream.”

In his collection, Lauren shows Black models in classic fashions that capture summer on the Vineyard. It is a collaboration with Morehouse College and Spelman College. Three years ago, Lauren dropped a collection featuring both colleges. The collection was a wild success and sold out. 


To watch the Oak Bluffs documentary, click here.

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