Among the usual devices such as gifts and subscriptions were included some novelities: a matching fund from the state of Pennsylvania and a requirement that any artisan hired had first to have offered his services as an unpaid contributor.
For forty years, beginning with its opening as the country's first hospital in 1756, the east wing on 8th Street (at right in Birch's engraving) housed all the patients and services of Pennsylvania Hospital. Post-war resumption of construction led to completion of the west wing in 1796 and of the central building in1804.
Like the European charity hospitals, and unlike the Almshouse (see below) a block away at 10th and Spruce, free medical care was to be provided for the poor, though paying patients were also welcomed. Not admitted were victims of contagious disease (whether yellow fever was contagious was thus more than a theoretical issue) and "incurables" except "lunaticks." The number of the latter had so increased that by the time work resumed, the whole west wing was reserved for psychiatric patients. Benjamin Rush's long campaign to bring them up from the basement had succeeded.
Almost from its beginning Pennsylvania Hospital was the teaching hospital for the University of Pennsylvania medical School. Franklin's two institutions merged formally in 1997, more than two centuries after the founding of the medical school.
A portrait of Benjamin Rush, painted in the year of Rush's death by Thomas Sully, today hangs just outside the hospital's historical library.
Alms House in Spruce Street, Philadelphia
The Alms House at left, which included an infirmary, was constructed by the City of Philadelphia in 1760-67 to replace the cottages that the Society of Friends (Quakers) had provided for indigent immigrants as early as 1713. The House of Employment or "workhouse," where all recipients of charity were encouraged to donate their skills, was built at the same time. Both were razed in 1834-35 after changing conditions had required the erection of larger facilities across the Schuylkill River in West Philadelphia.