
The first hospital in America was the Pennsylvania Hospital in Philadelphia, founded in 1751 by Dr. Thomas Bond and Benjamin Franklin. The hospital was the second public hospital in the United States, after Bellevue Hospital, and was the first chartered hospital in the nation, providing care for those who couldn't afford it. The hospital quickly became renowned for its surgical excellence and innovation, housing the first surgical amphitheatre in the US.
| Characteristics | Values |
|---|---|
| Name | Pennsylvania Hospital |
| Location | Philadelphia, Pennsylvania |
| Founding Date | May 11, 1751 |
| Founders | Dr. Thomas Bond, Benjamin Franklin |
| Mission | To care for "the sick-poor and mentally ill" in the community |
| Funding | Donations from the people of Philadelphia matched by the government |
| Address | 800 Spruce Street, Center City Philadelphia |
| Number of Beds | 515 |
| Affiliation | University of Pennsylvania Health System |
| Notable Features | First surgical amphitheatre in the US, renowned for surgical excellence, oldest medical library in the US |
| Services | Obstetrics, neurosciences, orthopedics, cancer care |
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What You'll Learn

Pennsylvania Hospital, Philadelphia
Pennsylvania Hospital, located at 800 Spruce Street in Center City Philadelphia, is recognized as one of the oldest hospitals in the United States. Established in 1751, it combines modern medical care with a rich history, making it an integral part of the community. The hospital offers a wide range of services, including emergency care, surgery, and maternity services, with a focus on patient-centered care.
The history of Pennsylvania Hospital began with Dr. Thomas Bond, who envisioned a hospital for the "reception and cure of the sick poor...free of charge." In 1750, Bond enlisted the help of his friend, Benjamin Franklin, to navigate the politics and fundraising necessary to establish the hospital. Together, they founded Pennsylvania Hospital, with the support of the leading families in Philadelphia, including Thomas Stretch, a prominent citizen and founder of the Schuylkill Fishing Company. The hospital's first building opened on February 6, 1752, on High Street (now Market Street), and its main building, constructed in 1756, stands to this day as a National Historic Landmark.
Pennsylvania Hospital became renowned for its surgical excellence and innovation in medicine, particularly in the area of maternity. It was also known for its humane treatment of mentally ill patients, with Dr. Benjamin Rush, known as the father of American psychiatry, advocating for their care and comfort. The hospital's surgical amphitheater, located within the dome of the Pine Building, was in use from 1804 to 1868 and is now a historic site. The hospital also boasts an impressive medical library, with over 13,000 volumes, including books dating back to the 15th century.
Today, Pennsylvania Hospital continues its mission to care for the community, with a focus on health equity. It is part of the prestigious Penn Medicine health system and is highly ranked in various specialties, including obstetrics, neurosciences, orthopedics, and cancer care. The hospital's commitment to innovation and patient care has made it a significant landmark in American medical history.
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Founded in 1751
In the early 1700s, medical care in the American colonies was largely inaccessible to those who couldn't afford to call a physician to their homes. This began to change in 1751 when Dr. Thomas Bond, with the help of Benjamin Franklin, founded Pennsylvania Hospital in Philadelphia—the first chartered hospital in the nation.
Bond, who had previously worked in hospitals in England, had long desired to establish a hospital in Pennsylvania. However, he was unable to secure the necessary political support and funding. In 1750, he enlisted the aid of his friend Franklin, who was more politically connected. Together, they successfully lobbied for support from the Pennsylvania Assembly, which pledged its support on the condition that Franklin could raise 2,000 pounds (over $500,000 today) from community contributors. The hospital was also funded by a "matching grant" to donations from the people of Philadelphia, as stipulated in a bill passed unanimously by the House on February 7, 1750.
On May 11, 1751, Pennsylvania Hospital was officially founded, with the mission to care for "the sick-poor "and mentally ill" in the community. The hospital's main building, located at 800 Spruce Street in Center City Philadelphia, was constructed in 1756 and is now a National Historic Landmark. The Pine Building, another of the hospital's early structures, still stands on Pine Street between Eighth and Ninth Streets.
From its inception, Pennsylvania Hospital was a teaching hospital and a center for treating war-wounded patients. It was also known for its surgical excellence, with its surgical amphitheatre in the dome of the Pine Building attracting medical students, physicians, and members of the public. The hospital quickly gained a reputation for innovation and medical advancement, particularly in the area of maternity care. It established a "lying-in" (maternity) department in 1803 and is noted for its many firsts in women's medicine.
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Founders: Dr Thomas Bond and Benjamin Franklin
Dr Thomas Bond and Benjamin Franklin founded the first hospital in America, Pennsylvania Hospital, in 1751. Bond, a physician, had worked in hospitals in England and wanted to establish a similar institution in Pennsylvania. However, he could not secure the political support and money required to build the hospital. So, in 1750, he engaged his friend Franklin to help with the politics and fundraising.
Franklin, one of America's founding fathers, acknowledged the need for a hospital and lobbied friends and officials for support. The Pennsylvania Assembly agreed to support the project on the condition that Franklin could deliver £2000 from community contributors (equivalent to more than $500,000 today). The hospital was funded by a "matching grant" to donations from the people of Philadelphia.
The hospital was originally conceived by Bond as an institution "for the reception and cure of the sick poor... free of charge". Franklin later wrote that he derived great pleasure from the success of this endeavour. Pennsylvania Hospital was the first chartered hospital in the nation, where donations could help cover the cost of care for those who couldn't afford it. It quickly gained a reputation as a centre of innovation and medical advancement, particularly in the area of maternity.
The hospital's Pine Building was built in 1756 and still stands on Pine Street in Philadelphia. The building is now considered a National Historic Landmark. Pennsylvania Hospital was also home to the first surgical amphitheatre in the US, which was in use from 1804 to 1868. The hospital's seal, chosen by Franklin and Bond, incorporates the biblical story of the Good Samaritan and includes the phrase "Take Care of Him and I will repay Thee".
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Aimed to treat the sick poor
The first hospital in America was the Pennsylvania Hospital in Philadelphia, founded in 1751 by Dr. Thomas Bond and Benjamin Franklin. Bond, who had previously worked in hospitals in England, envisioned a hospital that would serve as a resource for the poor and destitute. He wanted to establish an institution "for the reception and cure of the sick poor... free of charge".
At the time, most Americans endured illnesses at home, as medical facilities were scarce and largely concentrated in urban areas. Those who could afford it might call a physician to their house, but for the poor, this was not an option. Bond's vision was to create a hospital that would be funded by donations from the people of Philadelphia, with the aim of providing care for those who could not otherwise afford it. Franklin, one of America's founding fathers, lobbied his friends and officials for support and helped secure the necessary funding.
The hospital quickly gained a reputation for innovation and medical advancement, particularly in the area of maternity. It was also a teaching hospital and served as a centre for treating war-wounded patients. The hospital's main building, dating to 1756, is still standing and is considered a National Historic Landmark. Today, Pennsylvania Hospital continues to hold true to its original mission of caring for the sick poor, with staff emphasising their commitment to health equity.
In addition to its focus on treating the sick poor, Pennsylvania Hospital also played a significant role in advancing mental health care. Dr. Benjamin Rush, known as the father of American psychiatry, joined the hospital in 1783 and advocated for the humane treatment of mentally ill patients. This included simple measures such as providing heat in their rooms. Today, the hospital continues to prioritise mental health care, working to reduce the stigma associated with mental illness and promoting the message that seeking mental health care is essential.
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Became a centre for medical innovation
Pennsylvania Hospital in Philadelphia was founded in 1751 by Dr. Thomas Bond and Benjamin Franklin. It was the first chartered hospital in the nation, providing care for those who couldn't afford it through donations. The hospital quickly became a centre for medical innovation, with a focus on advancing surgical practices and women's medicine, particularly maternity care.
The hospital's surgical amphitheatre, located in the Pine Building, was in use from 1804 to 1868 and served as a space for medical students, physicians, and the public to observe surgeries. Despite the lack of anaesthesia and sanitation at the time, Pennsylvania Hospital became renowned for its surgical excellence. The hospital also established a "lying-in" or maternity department in 1803, demonstrating its commitment to innovation in women's medicine.
The hospital's board members were dedicated to utilising the most recent standards of scientific inquiry and continuously improving their processes. They had overlapping memberships with the Library Company of Philadelphia and the American Philosophical Society, allowing them access to the latest knowledge and resources. The hospital's medical library, established in 1762, became the first, largest, and most important medical library in the United States by 1847.
Pennsylvania Hospital also played a crucial role in the treatment of war-wounded patients and became a centre for the humane treatment of mentally ill patients. Dr. Benjamin Rush, known as the father of American psychiatry, joined the hospital in 1783 and advocated for the humane treatment of the mentally ill, including simple amenities like heated rooms.
In more recent times, the hospital has continued its legacy of innovation. In 1995, Patricia A. Ford, a staff member at the hospital, performed the first bloodless stem cell transplant. Today, the hospital's major service areas include obstetrics, neurosciences, orthopaedics, and cancer care, building upon its strong foundation in medical innovation.
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Frequently asked questions
The first hospital in America was the Pennsylvania Hospital in Philadelphia.
The Pennsylvania Hospital was founded on May 11, 1751, by Dr. Thomas Bond and Benjamin Franklin.
The hospital was founded with the aim of "receiving and curing the sick poor free of charge". Donations helped cover the cost of care for those who couldn't afford it.
Today, the hospital's mission is to provide mental health care and promote health equity. It is also known for its many firsts in the area of women's medicine, especially in maternity.
Some of the oldest hospitals in America include the Bellevue Hospital in New York City, the Charity Hospital in New Orleans, and the Hospital of the University of Pennsylvania.
































