Originally named Penitentiary Hospital and located on what was then known as Blackwell's Island, the first hospital was built in 1832 to serve the prisoners housed at Blackwell's Penitentiary.[2] After the hospital was destroyed by a fire in 1858, architect James Renwick Jr. designed a new building to be called City Hospital, on which prisoners completed construction in 1861. It served both inmates and New York City's poorer population.[2][3] In 1870, the hospital was renamed Charity Hospital and a medical superintendent was hired after the quality of care was criticized.[2]
In 1877, Charity Hospital opened a school of nursing, the fourth such training institution in the United States.[4] The program of education for nurses encompassed two to three years of training in the care of patients and general hospital cleanliness. At Charity Hospital, nurses treated patients, assisted surgeons, weighed and cared for newborns, and took cooking classes.[4] In 1916, Dr. Orrin Sage Wightman, an internist at the hospital, took a series of photographs of student nurses, which are housed at the New-York Historical Society.[5]
The city changed the name of the island to Welfare Island in 1921 to reflect the mission of the institutions located there.[6]
By 1986, the hospital was being considered for demolition because its condition had deteriorated so much.[8] The hospital was demolished in 1994.[9] Stones salvaged from the structure were used in paths in the Franklin D. Roosevelt Four Freedoms Park, which was constructed on the southern tip of the island.[3][7]