Untold thousands of black North Carolinians suffered or died during the Jim Crow era because they were denied admittance to white-only hospitals. With little money, scant opportunities for professional education and few white allies, African American physicians, nurses and other community leaders created their own hospitals, schools of nursing and public health outreach efforts. The author chronicles the important but largely unknown histories of more than 35 hospitals, the Leonard Medical School and 11 hospital-based schools of nursing established in North Carolina, and recounts the decades-long struggle for equal access to care and equal opportunities for African American health care professionals.