
The Ellis Island Immigrant Hospital, also known as USPHS Hospital No. 43, was a United States Public Health Service hospital in New York Harbor that operated from 1902 to 1951. The hospital was constructed to treat immigrants who were ill upon arrival and to treat those with conditions prohibited by immigration laws. The hospital was part of the immigration process and was a state-of-the-art facility that treated thousands of immigrants in the early 1900s. The hospital has been closed to the public since 1954 but opened for guided 90-minute Hard-Hat Tours in 2014.
| Characteristics | Values |
|---|---|
| Name | Ellis Island Immigrant Hospital (USPHS Hospital No. 43) |
| Location | New York Harbor |
| Operator | United States Public Health Service (PHS) |
| Years of Operation | 1902-1951 |
| Functions | Treating immigrants who were ill upon arrival, and treating immigrants with conditions that were prohibited by immigration laws |
| Number of Buildings | 29 |
| Average Number of Immigrants/Day | 6,000 |
| Percentage of Immigrants Sent to Hospital | 2% |
| Success Rate | 90% |
| Current Status | Abandoned |
| Public Access | Limited access through guided 90-minute "Hard-Hat Tours" since 2014 |
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What You'll Learn
- The Ellis Island Immigrant Hospital was a state-of-the-art facility
- The hospital treated thousands of immigrants in the early 1900s
- The hospital had two functions: treating sick immigrants and those with prohibited conditions
- The hospital was run by the Marine Hospital Service, later the United States Public Health Service
- The hospital has been abandoned since 1954 but opened for tours in 2014

The Ellis Island Immigrant Hospital was a state-of-the-art facility
The Ellis Island Immigrant Hospital, also known as USPHS Hospital No. 43, was a United States Public Health Service hospital that operated from 1902 to 1951. The hospital was constructed in phases and included both a general hospital and a separate pavilion-style contagious disease hospital.
The hospital was a state-of-the-art facility, renowned for its role in treating thousands of immigrants arriving in the United States in the early 1900s. It was the nation's largest public health service hospital, with up to 6,000 immigrants passing through its doors each day. Doctors would assess these newcomers as they ascended the stairs to the Registry Room, located on the second floor of the main intake building. Those with suspected health issues or mental defects were marked with chalk on their chest and sent to the hospital for further evaluation.
The hospital had two primary functions: treating immigrants who were ill upon arrival and treating immigrants with conditions prohibited by immigration laws. The care provided was not free, and the steamship companies were responsible for the initial cost of treating their passengers. The hospital's treatment of contagious diseases was particularly notable, with a separate pavilion-style hospital dedicated to this purpose. The need for such a hospital was recognised due to the increasing number of immigrants with contagious diseases.
The Ellis Island Immigrant Hospital was also a teaching hospital, with its autopsy amphitheatre attracting medical observers from other hospitals. The quality of care was described as "quite extraordinary," and the hospital's success in preventing the spread of contagious diseases was recognised. Despite its decline since the 1920s, the hospital remains a significant part of America's immigration history, with hard hat tours now offering visitors a glimpse into this forgotten world.
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The hospital treated thousands of immigrants in the early 1900s
The Ellis Island Immigrant Hospital, also known as USPHS Hospital No. 43, was a United States Public Health Service hospital in New York Harbor. The hospital was in operation from 1902 to 1951 and treated thousands of immigrants in the early 1900s.
The hospital was constructed in phases, encompassing both a general hospital and a separate pavilion-style contagious disease hospital. The hospital had two main functions: treating immigrants who were ill upon arrival and treating immigrants with conditions prohibited by immigration laws. These patients were stabilised and often sent back to their home countries.
Up to 6,000 immigrants per day would arrive at Ellis Island in the early 1900s. Doctors would assess them as they walked up the stairs to the Registry Room, located on the second floor of the main intake building. If anything was amiss, a person would receive a chalk mark on their chest. Those with suspected mental defects were marked with an X, while people with visible eye diseases were given an E, heart issues an H, and pregnant women received a Pg.
About one out of every five passengers were pulled out of line for further evaluation and screening. Half were for legal reasons, and the other half received a chalk mark to indicate a health deficiency. These immigrants were often sent to the Ellis Island Immigrant Hospital until they were deemed healthy. If they were deemed too sick to enter the United States, they would be sent back to their home countries at the shipping company's expense.
The hospital's autopsy amphitheatre became a renowned teaching hall, with medical observers from Bellevue and other teaching hospitals in attendance. The Ellis Island health effort has been described as "the biggest federal bureaucratic endeavour since the Civil War", carried out with "enormous compassion".
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The hospital had two functions: treating sick immigrants and those with prohibited conditions
The Ellis Island Immigrant Hospital, also known as USPHS Hospital No. 43, was a United States Public Health Service hospital that operated from 1902 to 1951. The hospital was constructed in phases and included a general hospital and a separate pavilion-style contagious disease hospital.
The hospital served two main functions: treating sick immigrants and those with prohibited conditions. Immigrants who fell ill during their journey or upon arrival at Ellis Island were sent to the hospital for treatment. This included those with contagious diseases, such as scarlet fever, as well as other health issues. The hospital was also responsible for screening and inspecting immigrants for any health deficiencies before they were allowed to enter the United States.
The doctors at Ellis Island conducted the medical examinations and treated the detained immigrants. Those who were deemed too sick to enter the country were often sent back to their home countries, with the steamship companies bearing the expense. The hospital played a crucial role in preventing the spread of contagious diseases, and no major epidemic was ever traced to an immigrant who entered America after being treated at the hospital.
The hospital complex had the authorization to treat beneficiaries, such as employees of the US Public Health Service and their families. However, due to the large number of immigrants requiring treatment, the hospital rarely had the capacity to treat beneficiaries. The demand for hospital services further decreased after the 1924 National Origins Act, which required immigrants to undergo a medical examination before boarding ships to America.
The Ellis Island Immigrant Hospital treated thousands of immigrants and played a significant role in the history of immigration to the United States. Despite its success in managing contagious diseases, the hospital eventually declined and was abandoned in 1954, with the buildings falling into disrepair.
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The hospital was run by the Marine Hospital Service, later the United States Public Health Service
The Ellis Island Immigrant Hospital, also known as USPHS Hospital No. 43, was a United States Public Health Service hospital on Ellis Island, New York Harbour. The hospital was operational from 1902 to 1951. It was constructed in phases and included a general hospital and a separate pavilion-style contagious disease hospital. The hospital was run by the Marine Hospital Service, later known as the United States Public Health Service (PHS).
The Marine Hospital Service was reorganised and expanded in 1902, becoming the Public Health and Marine Hospital Service. This name was shortened in 1912 to the United States Public Health Service. All doctors at Ellis Island were part of the commissioned corps of the PHS, while nurses and other medical personnel were employees of the PHS. The doctors conducted medical examinations of arriving immigrants, also known as line inspections, and treated detained immigrants in the hospitals.
The hospital served two main functions: treating immigrants who were ill upon arrival and treating immigrants with conditions prohibited by immigration laws. These patients were stabilised and often sent back to their home countries. The hospital was a state-of-the-art facility, with an autopsy amphitheatre that included an eight-cadaver refrigerator. It was also a renowned teaching hall, with medical observers from other hospitals in attendance.
The need for hospitals as part of the immigration process became evident in the 1860s when New York State sent sick immigrants from Castle Clinton to a new hospital facility on Ward's Island. As immigration increased, the US government passed the Immigration Act of 1882, taking control of immigration. By the early 1900s, up to 6,000 immigrants a day arrived on Ellis Island, and the hospital was expanded to accommodate the growing number of patients with contagious diseases.
The hospital complex has been closed since 1954 and was inaccessible to the general public until 2014, when it opened for guided "Hard-Hat Tours". These tours allow visitors to explore the abandoned hospital buildings and learn about their history.
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The hospital has been abandoned since 1954 but opened for tours in 2014
The Ellis Island Immigrant Hospital, also known as USPHS Hospital No. 43, was a United States Public Health Service hospital that operated from 1902 to 1951. The hospital was part of the Statue of Liberty National Monument and was managed by the National Park Service. The south side of Ellis Island, including the hospital, was managed by the non-profit Save Ellis Island Foundation. The hospital had two primary functions: treating immigrants who arrived ill and treating immigrants with conditions prohibited by immigration laws. These patients were stabilised and often sent back to their home countries.
The hospital has been abandoned since 1954, when the remaining parts of Ellis Island were closed and declared "excess federal property". The south side of the island, including the hospital, has been off-limits to the general public since its closing. However, in 2014, the hospital opened to the public for guided 90-minute "Hard-Hat Tours". The additional fee revenues from these tours help fund the preservation of the south side of the island. The hard hats are a necessary precaution, as the hospital buildings are in varying states of decay. All tourists are required to stay with their tour groups, and videos of the site are prohibited without prior approval.
The hard hat tours take visitors through the abandoned hospital buildings, providing a glimpse into the past. The tour includes a visit to the laundry building, autopsy rooms, staff houses, and wards for contagious diseases and mental conditions. The tour guide shares the history of the hospital and the stories of the people who worked and were treated there. The tour provides a fascinating look at the medical practices and challenges of the early 20th century and offers a deeper understanding of the immigrant experience.
The hospital complex, now a long-forgotten 22-building site, played a significant role in the lives of many immigrants. It served as a screening facility for sick immigrants before they were officially allowed into the United States. The hospital was also a teaching hall, with medical observers from other hospitals attending autopsies and lectures. Despite the closure of the hospital, the Save Ellis Island Foundation continues its efforts to restore the hospital buildings and other structures on the island.
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Frequently asked questions
The hospital was used to treat immigrants who were ill upon arrival and to treat immigrants with conditions prohibited by immigration laws. These patients were often sent back to their home countries.
The Ellis Island Immigrant Hospital was also known as USPHS Hospital No. 43.
The hospital opened in 1902 and closed in 1951. The south side of the island, including the hospital, has been off-limits to the general public since 1954.









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