Hopkins lived his entire adult life in
Baltimore and made many friends among the city's social elite, many of them
Quakers. One of these friends was
George Peabody (b. 1795), who in 1857 founded the
Peabody Institute in Baltimore. Examples of Hopkins's public giving were evident in Baltimore with public buildings, housing, free libraries, schools, and foundations constructed from his philanthropic giving. On the advice of Peabody, some believe, Hopkins determined to use his great wealth for the public good. The Civil War and
yellow fever and
cholera epidemics took a great toll on Baltimore. In the summer of 1832 alone, the yellow fever and cholera epidemics killed 853 in Baltimore. Hopkins was keenly aware of the city's need for medical facilities in light of the medical advances made during the Civil War. In 1870, he made a will setting aside $7 million, (~$ in ) mostly in B&O stock, for the incorporation of a free hospital and affiliated medical and nurses' training colleges, an orphanage for Black children, and a university in Baltimore. The hospital and orphan asylum were overseen by a 12-member hospital board of trustees, and the university by a 12-member university board of trustees. Many board members were on both boards. In accordance with Hopkin's will, the
Johns Hopkins Colored Children Orphan Asylum was founded in 1875;
Johns Hopkins University was founded in 1876; the
Johns Hopkins Press, the longest continuously operating academic press in the U.S., was founded in 1878;
Johns Hopkins Hospital and
Johns Hopkins School of Nursing were founded in 1889; the
Johns Hopkins University School of Medicine was founded in 1893; and the
Johns Hopkins School of Hygiene and Public Health was founded in 1916. Hopkin's views on his bequests, and on the duties and responsibilities of the two boards of trustees, especially the hospital board of trustees led by his friend and fellow
Quaker Francis T. King, were formally stated primarily in four documents, the incorporation papers filed in 1867, his instruction letter to the hospital trustees dated March 12, 1873, his will, which was quoted extensively in his
Baltimore Sun obituary, and in his will's two
codicils, one dated 1870 and a second dated 1873. In these documents, Hopkins made provisions for scholarships to be provided for poor youths in the states where he had made his wealth and assistance to orphanages other than the one established for African American children, to members of his family, to those he employed, his cousin Elizabeth, to other institutions for the care and education of youths regardless of color, and the care of the elderly and the ill, including the mentally ill and convalescents.
John Rudolph Niernsee, one of the most notable architects of the time, designed the orphan asylum and helped to design the
Johns Hopkins Hospital. The original site for Johns Hopkins University had been personally selected by Hopkins. According to his will, it was to be located at his summer estate, Clifton. However, a decision was made not to found the university there. The property, now owned by the city of Baltimore, is the site of a golf course and a park named
Clifton Park. While Johns Hopkins Colored Children Orphan Asylum was founded by the hospital trustees, the other institutions that carry the name of Johns Hopkins were founded under the administration of
Daniel Coit Gilman, the first president of
Johns Hopkins University and
Johns Hopkins Hospital, and Gilman's successors.
Colored Children Orphan Asylum As stipulated in Hopkins's instruction letter, the Johns Hopkins Colored Children Orphan Asylum (JHCCOA) was founded first, in 1875, a year before Gilman's inauguration. The construction of the asylum, including its educational and living facilities, was praised by
The Nation and the
Baltimore American. The
Baltimore American wrote that the orphan asylum was a place where "nothing was wanting that could benefit science and humanity". As was done for other Johns Hopkins institutions, it was planned after visits and correspondence with similar institutions in Europe and the U.S. The Johns Hopkins Orphan Asylum opened with 24 boys and girls. Under Gilman and his successors, the orphanage was later changed to serve as an orphanage and training school for Black female orphans principally as domestic workers and as an
orthopedic convalescent home and school for "colored crippled" children and orphans. The asylum was eventually closed in 1924 nearly 50 years after it opened.
Hospital, university, press, and schools of nursing and medicine In accordance with Hopkins' March 1873 instruction letter, the
school of nursing was founded alongside the hospital in 1889 by the hospital board of trustees in consultation with
Florence Nightingale. Both the nursing school and the hospital were founded over a decade after the founding of the orphan asylum in 1875 and the university in 1876. Hopkins's instruction letter explicitly stated his vision for the hospital; first, to provide assistance to the poor of "all races", no matter the indigent patient's "age, sex or color"; second, that wealthier patients would pay for services and thereby subsidize the care provided to the indigent; third, that the hospital would be the administrative unit for the orphan asylum for African American children, which was to receive $25,000 in annual support out of the hospital's half of the endowment; and fourth, that the hospital and orphan asylum should serve 400 patients and 400 children respectively; fifth, that the hospital should be part of the university, and, sixth, that religion but not sectarianism should be an influence in the hospital. By the end of Gilman's presidency, Johns Hopkins University, Johns Hopkins Press, Johns Hopkins Hospital and Johns Hopkins School of Nursing, and Johns Hopkins School of Medicine, and Johns Hopkins Colored Children Orphan Asylum had been founded; the last by the trustees, and the others in the order listed under the Gilman administration. "Sex" and "color" were major issues in the early history of the Johns Hopkins Institutions. The founding of the school of nursing is usually linked to Johns Hopkins's statements in his March 1873 instruction letter to the trustees that: "I desire you to establish, in connection with the hospital, a training school for female nurses. This provision will secure the services of women competent to care for those sick in the hospital wards, and will enable you to benefit the whole community by supplying it with a class of trained and experienced nurses". ==Legacy==