My God This is legacy.
Knew it had to.be Chi.Provident Hospital – the first Black owned and operated medical institution in the United States
Prior to 1891 there was not in this country a single hospital or training school for nurses owned and managed by colored people … there are now twelve! … and not a single failure in the effort!
– Daniel Hale Williams, 19001
Emma Reynolds, a young Chicago woman in the late 1880s, had been denied admission by each of the city’s nursing schools on account of her race. Her brother, pastor of St. Stephen’s African Methodist Episcopal Church, approached Dr. Daniel Hale Williams, a young black surgeon, for help. Dr. Williams himself, despite his degree from Chicago Medical College (now Northwestern University Feinberg School of Medicine), had been unable to obtain clinical privileges at any Chicago hospital, and was forced to operate in patients’ homes. He also obtained work as surgeon to the City Railway Company and by securing an appointment as a teacher of anatomy at his alma mater.2
With the support of a few prominent white citizens (Philip Armour, George Pullman, and Marshall Field among them) as well as many black individuals and organizations, Williams worked for two years to develop plans for a hospital accessible to black patients and medical practitioners, and incorporating a nursing school. In 1890 the Reverend Jenkins Jones secured a commitment from the Armour Meat Packing Company for the down payment on a three-story brick house at 29th and Dearborn Streets. In 1891 a board of trustees, an executive committee, and a finance committee were named, a community advisory board and a women’s auxiliary board were assembled, and Provident Hospital and Training School Association opened as a twelve-bed facility. Dr. Williams was appointed hospital chief of staff. It was the first black-owned and operated medical institution in the country and the first interracial hospital in Chicago — the staff and patients were both black and white.3, 4
The initial priority had been to secure an adequate hospital building. But the founders also considered community needs and the hospital’s overall mission. When the legal papers were drawn up in 1891, the charter of the “Provident Hospital and Training School Association” stated that “The object for which it is formed is to maintain a hospital and training school for nurses in the City of Chicago, Illinois, for the gratuitous treatment of the medical and surgical diseases of the sick poor.”3 In 1892 seven women, including Emma Reynolds, enrolled in the first nursing class. The first physician in surgical training, Dr. Austin Curtis (later surgeon-in-chief at Freedmen’s Hospital in Washington, DC) studied under Dr. Williams from 1891 through 1893. Dr. Williams meanwhile brought renown to himself and to Provident when he performed a thoracotomy to oversew a stab wound to the pericardium and left ventricle of a young man’s heart – thought at the time to be the first operation ever performed directly on the human heart.5
Over the next few years, demand for medical care in the community grew, and despite a national economic depression the Provident board initiated expansion plans. An 1896 funding campaign raised sufficient funds to construct a new building at 36th and Dearborn. The effort was joined by abolitionist Frederick Douglass, who gave a public lecture in Chicago and presented a donation to Dr. Williams at the new hospital site. The hospital moved to its new 65-bed location in 1898.
Although the hospital’s formation was dependent on wealthy donors, and such people stepped in at key moments in Provident’s history, the generosity of community residents was also a critical factor; and community support was not restricted to financial contributions. The strong appeal of a hospital responsive to the black community elicited repeated waves of community volunteerism.
Like any institution that endures for a century, Provident experienced many changes in its medical and administrative leadership. In 1894, President Cleveland appointed Dr. Williams Surgeon-in-Chief at Freedmen’s Hospital in Washington, DC. Williams transformed that institution by organizing the medical staff into seven departments and creating an academic affiliation with Howard University. He returned to Chicago and Provident Hospital in 1898. In the interim, however, Dr. George Cleveland Hall, an opponent of Dr. Williams, had been named medical director and his supporters had assumed control of the Provident board of trustees. The resulting tensions led Williams to secure appointment at other Chicago hospitals – his national reputation now able to overcome the prejudice that stood in the way of these same opportunities only a decade earlier – and he gradually distanced himself from Provident, finally resigning in 1912. His last decade of practice was as associate attending staff surgeon at St. Luke’s Hospital. On his retirement, St. Luke’s offered to name a patient ward in his honor but he declined, fearing it would become a segregated ward.2
Following his return from Washington Dr. Williams also began working to facilitate the establishment of other black-owned hospitals around the country. Most notably, he served as visiting professor at Meharry Medical College in Nashville, and guided the development of its hospital. The model he had started at Provident, and now brought to Meharry, was soon recapitulated at Knoxville, Kansas City, St Louis, Birmingham, Louisville, Atlanta, and Dallas.2, 4
In 1933 Provident established an educational affiliation with the University of Chicago, and as part of the agreement purchased a building on East 51st Street, near the university and previously occupied by the Chicago Lying-in Hospital. The newly refurbished, seven-story facility added considerable space for patient care, education, and administrative functions. A four-story outpatient building was constructed and two apartment buildings at 50th and Vincennes were purchased to house student nurses. As evidence of its support, the University of Chicago established a one million dollar fund for teaching and research at Provident Hospital. This became the most productive period of Provident’s history as an academic medical center, for the rise of specialization in medicine began to make postgraduate training obligatory for physicians, and Provident was one of few places in the country where African-American medical school graduates could train. In 1938 Provident became one of only nine institutions in Illinois approved by the American College of Surgeons for graduate training in surgery, and by the early 1940s the hospital also boasted programs in internal medicine, pediatrics, obstetrics, pathology, ophthalmology, and otolaryngology.3
During the Great Depression Provident struggled financially. But unlike other institutions who then recovered in the post-war economic expansion, Provident’s challenges only increased as black migration to Chicago swelled the population in the hospital’s Bronzeville neighborhood. The hospital narrowly averted bankruptcy in the late 1940’s, then remained reasonably stable financially over the next two decades. The Civil Rights Act of 1964 and the 1965 enactment of Medicare and Medicaid, however, with their non-discrimination clauses applicable to any institution receiving federal funding, had ironic consequences for institutions like Provident.4 As it became more common for black physicians to be granted privileges at larger hospitals, and for black patients, particularly those newly insured by Medicare or Medicaid, to receive care at other institutions, the financial condition of Provident worsened. Other trends, such as a shift of nursing education from hospitals to colleges of nursing, also led to a diminution of Provident’s role as an educational institution. The Provident nursing school closed in 1966.
In order to compete and continue to serve its community effectively, Provident needed to expand further and upgrade its facilities. Through the efforts of John H. Sengstacke, publisher of the Chicago Defender and longtime advocate for Provident, an alliance with Cook County Hospital, and federal grants through the Departments of Health, Education and Welfare and Housing and Urban Development, the hospital was able to open a new 300-bed pavilion adjacent to the existing 51st Street site in 1982. But the new facilities did not turn around the hospital’s fortunes, and debt only increased through the 1970s and 1980s. After declaring bankruptcy in July 1987, the hospital closed its doors that September.
The community’s devotion to the hospital remained, and various groups attempted to garner funding and political support toward its reopening. These efforts coincided with a plan by the Cook County’s Bureau of Health Services to improve service provision to residents on the south side of Chicago, and the Cook County Board of Commissioners acquired the hospital in 1991. After considerable investment in upgrading the physical plant, the Bureau reopened the facility as Provident Hospital of Cook County in August 1993.
While no longer considered a black-run hospital, Provident continues to serve the health needs of the community under the auspices of the Cook County Bureau of Health Services. Its legacy as America’s first black owned and operated hospital survives through the Provident Foundation,6 established in 1995 by Ed Gardner, a prominent businessman and the chair the hospital board at the time of its transfer to the County, and James W. Myles, a longtime union leader. The Foundation honors the legacy of Provident Hospital and Dr. Daniel Hale Williams by providing scholarship support and mentorship to aspiring doctors, nurses, and other health professionals from Chicago.
A less tangible, but more deeply embedded legacy lives on in the many people the hospital served for nearly a century. There are those whose forbearers first entered professional ranks through training as a nurse or physician at Provident, or did so themselves. There are the many Chicago natives proud to be “Provident Babies.” One, born Michelle LaVaughn Robinson in 1964, has become First Lady of the United States. Most of all there are those whose families benefitted from the care they received; it was, as noted by the venerable Chicago historian Timuel Black, “often the safest – and sometimes the only – place to go
On this day in Black history, we honor Dr. Ebony Jade Hilton. Dr. Hilton was born in the rural town of Little Africa, South Carolina and at the age of 8 years old, decided she wanted to be a doctor. From that day forward her mother called her, Dr. Hilton. She attributes her entire career and the success that followed to that small gesture. She graduated from Spartanburg High School in 2000 and in 2004, graduated Magna Cum Laude from The College of Charleston as a triple major with degrees in Biochemistry, Molecular Biology and Inorganic Chemistry. She then began her medical studies at the Medical University of South Carolina (MUSC) and following graduation in 2008, continued at MUSC to complete of her Anesthesiology residency and Critical Care fellowship. On July 1, 2013, Dr. Hilton became the first African-American female anesthesiologist to be hired at MUSC since its opening in 1824. Throughout her studies health disparities and bridging the gap between physicians and patients has been her primary focus. Dr. Hilton is also an activist for social change and a mentor in her community.
served in the Florida House of Representatives for Duval County in 1885 and 1887. In 1885 he participated in the Florida Constitutional Convention. Gibbs was a cofounder of the State Normal College for Colored Students. Today, the school, now Florida Agricultural and Mechanical University (FAMU), is one of the nation's most prominent historically black schools.
Florida Agricultural and Mechanical University was founded as the State Normal College for Colored Students, and on October 3, 1887, it began classes with fifteen students and two instructors. Today, FAMU, as it has become affectionately known, is the premiere school among historically black colleges and universities. Prominently located on the highest hill in Florida’s capital city of Tallahassee, Florida A&M University remains the only historically black university in the eleven member State University System of Florida.
In 1884, Thomas Van Renssaler Gibbs, a Duval County educator, was elected to the Florida legislature. Although his political career ended abruptly because of the resurgence of segregation, Representative Gibbs was successful in orchestrating the passage of House Bill 133, in 1884, which established a white normal school in Gainesville, FL, and a colored school in Jacksonville. The bill passed, creating both institutions; however, the stated decided to relocate the colored school to Tallahassee.
At 19, Stonewall conducted research on a colon cancer vaccine thru a treatment called immunotherapy, revealing the vaccine's effectiveness hinged on the age group it was given to. An age specific vaccine, Stonewall found this out running an experiment on a set of older and young mice, injecting a mitoxantrone type vaccine into each. He then shot both groups with aggressive colon cancer cells, and monitored them. After a few days, Stonewall found that the aggressive cells inside the young mice were completely gone while the older mice were still affected.
“He should be heralded for helping to develop more effective colon cancer treatments,” Carl Ruby, Rush University Professor who ran the lab where Stonewall conducted research. "Stonewall's path to becoming a cancer researcher began in 5th grade."