It has happened before, but it is something the CEO at the Knox County Hospital knows needs to stop.
Once again, the majority of employees at the hospital could not cash their checks.
The hospital's CEO had a private meeting today with his employees to explain why some of their checks bounced.
From debt leftover by a previous management staff to late Medicaid payments, it is an issue they will have to get through together.
"At that instance, we thought it was going to be covered, and it was not," said Crag Morgan, the hospital's CEO.
Employees at Knox County Hospital figured that out Friday afternoon when their checks bounced.
"It was more of an accounting issue than anything and had we known that this was going to happen, we would have put personal money into it and this wouldn't have happened," said Dr. Satya Chatterjee, a management owner of the hospital.
But it is not the first time this has happened.
Ever since Medicaid was implemented, the CEO says the hospital has struggled financially.
"That money is starting to come, it's just not coming fast enough, so hopefully we're past the worst part of it," said Morgan.
A timing issue they hope to avoid in the future with new investors and a consultant on their side because for employees who live check to check, it is something they literally cannot afford to happen again.
"No employees lost any money. Their checks have been cashed. We met with them and explained to them what was going on and they understand," said Morgan.
It was a mistake that caused inconveniences for his employees, people the CEO considers the hospital's backbone.
The CEO says he takes the blame for the billing issue and actually had all people in administration hold their checks so other employees were paid as soon as possible.