Little is known about Gerard's life. His nationality and place of birth is unknown, but many historians claim that he was born in
Scala, Campania around 1040, while tradition makes him a native of either
Amalfi or
Lower Burgundy (Provence). His name,
Gerard, was unknown in southern Italy in the mid-11th century. He most likely was a Benedictine lay brother, possibly one of the
frates conversi (i.e., men who joined the order not as boys or youths but after spending part of their adult years leading a secular life) who came to the Holy Land to serve at the abbey of St. Mary of the Latins. Around 1080, the abbot put him in charge of the
Hospital of St. John in Jerusalem, which had been built on the site of the
Monastery of Saint John the Baptist in the 1060s in addition to the older hospice rebuilt in the 1020s. Prior to the
Siege of Jerusalem of 1099, much of the Christian population had been expelled from Jerusalem by the
Fatimids to prevent collusion with the Western besiegers. Following the capture of the city by the Crusaders the Eastern Christians were gradually returned. Gerard remained behind with some fellow serving brothers to tend to the sick in the hospital. After the success of the
First Crusade and the establishment of the
Kingdom of Jerusalem, Gerard continued his work at the hospital, now under vastly more beneficent conditions.
Godfrey of Bouillon, the first Latin ruler of Jerusalem, gave some property to the hospital, and his successor
Baldwin I of Jerusalem granted it one-tenth of the spoils of a victory at the
Battle of Ramla in 1101. Also in 1101,
Roger Borsa, Duke of Apulia, gave a gift of 1000
bezants to
Dagobert of Pisa, Latin Patriarch of Jerusalem, with the specification that one third of the gift was to go to the hospital. The patriarch unfortunately kept the gift for himself, contributing to his downfall. By 1113, the hospital was a wealthy and powerful organisation within the kingdom of Jerusalem, and Gerard expanded its operations far beyond the limits of the city, establishing daughter hospitals at
Bari,
Otranto,
Taranto,
Messina,
Pisa,
Asti and
Saint-Gilles, placed strategically along the pilgrim route to Jerusalem. The hospital soon overshadowed the abbey of
St. Mary of the Latins, which was still its nominal parent organisation, and it may be that because of this, it was deemed appropriate to establish the hospital as a sovereign entity in its own right. This happened in 1113, when
Pope Paschal II in
Pie Postulatio Voluntatis recognised the hospital as a new religious order. The brothers serving in the hospital were now known as the Hospitallers of St John, and Gerard as the Rector of the Hospital. The Order adopted a rule that adopted components from the
Rule of St Benedict and the
Rule of St Augustine. The order was now independent, subject only to the papacy (and no longer subject to the Patriarchate of Jerusalem), and free to elect Gerard's successor, and free to receive and own property. Gerard lived for another seven years. He died in his seventies on 3 September, between 1118 and 1121. He was succeeded by
Raymond du Puy. ==Legacy and veneration==