The United States Marine Hospital in
Louisville, Kentucky
Louisville is the List of cities in Kentucky, most populous city in the Commonwealth of Kentucky, sixth-most populous city in the Southeastern United States, Southeast, and the list of United States cities by population, 27th-most-populous city ...
, in the
Portland
Portland most commonly refers to:
*Portland, Oregon, the most populous city in the U.S. state of Oregon
*Portland, Maine, the most populous city in the U.S. state of Maine
*Isle of Portland, a tied island in the English Channel
Portland may also r ...
neighborhood was part of the
U.S. Marine Hospital system, which was run by the
Marine Hospital Service
The Marine Hospital Service was an organization of Marine Hospitals dedicated to the care of ill and disabled seamen in the United States Merchant Marine, the U.S. Coast Guard and other federal beneficiaries. The Marine Hospital Service evolved ...
and its successor the
Public Health Service
The United States Public Health Service (USPHS or PHS) is a collection of agencies of the Department of Health and Human Services which manages public health, containing nine out of the department's twelve operating divisions. The Assistant Se ...
, primarily for the benefit of the civilian
merchant marine.
The campus contained two main buildings, both of which still exist. The old main building was built in 1845, and is considered by the
National Park Service
The National Park Service (NPS) is an List of federal agencies in the United States, agency of the Federal government of the United States, United States federal government, within the US Department of the Interior. The service manages all List ...
to be the best remaining
antebellum
Antebellum, Latin for "before war", may refer to:
United States history
* Antebellum South, the pre-American Civil War period in the Southern US
** Antebellum Georgia
** Antebellum South Carolina
** Antebellum Virginia
* Antebellum architectu ...
hospital
A hospital is a healthcare institution providing patient treatment with specialized Medical Science, health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically ...
in the United States. Of the seven hospitals built in the mid-19th century by the
Marine Hospital Service
The Marine Hospital Service was an organization of Marine Hospitals dedicated to the care of ill and disabled seamen in the United States Merchant Marine, the U.S. Coast Guard and other federal beneficiaries. The Marine Hospital Service evolved ...
"for the benefit of sick seamen, boatmen, and other navigators on the western rivers and lakes", It is the only one still standing,
even after surviving two tornadoes.
The building's exterior has been extensively restored to match its appearance in 1899, but remains largely vacant.
The new main building was completed in 1933, and is still in use as a county-run
primary care
Primary care is a model of health care that supports first-contact, accessible, continuous, comprehensive, and coordinated person-focused care. It aims to optimise population health and reduce disparities across the groups by ensuring equitable ...
facility.
Marine Hospital

The site for the hospital was selected in 1837, and the land was purchased by the federal government in 1843.
Funding for the hospital was authorized by
Congress
A congress is a formal meeting of the representatives of different countries, constituent states, organizations, trade unions, political parties, or other groups. The term originated in Late Middle English to denote an encounter (meeting of ...
in 1845 along with six other locations along the "western waters" of the
Mississippi River
The Mississippi River is the main stem, primary river of the largest drainage basin in the United States. It is the second-longest river in the United States, behind only the Missouri River, Missouri. From its traditional source of Lake Ita ...
,
Ohio River
The Ohio River () is a river in the United States. It is located at the boundary of the Midwestern and Southern United States, flowing in a southwesterly direction from Pittsburgh, Pennsylvania, to its river mouth, mouth on the Mississippi Riv ...
, and
Great Lakes
The Great Lakes, also called the Great Lakes of North America, are a series of large interconnected freshwater lakes spanning the Canada–United States border. The five lakes are Lake Superior, Superior, Lake Michigan, Michigan, Lake Huron, H ...
.
(The Louisville hospital is the only one of these still standing.
) Construction paused the following year because the funds had been exhausted, but resumed in 1849 and was completed in September 1851.
The U.S. Marine Hospital opened in April 1852.
It was designed by
Robert Mills, who designed the
Washington Monument
The Washington Monument is an obelisk on the National Mall in Washington, D.C., built to commemorate George Washington, a Founding Fathers of the United States, Founding Father of the United States, victorious commander-in-chief of the Continen ...
and several other prominent structures. It is of
Greek Revival architecture
Greek Revival architecture is a architectural style, style that began in the middle of the 18th century but which particularly flourished in the late 18th and early 19th centuries, predominantly in northern Europe, the United States, and Canada, ...
.
The structure was strategically placed between the wharves of Louisville and Portland, with a "beneficial effect of a view of the water, and the impressions and associations it would naturally awake in the minds of men whose occupation were so intimately connected with it."
It was a "cutting edge" facility, with indoor plumbing and an air circulation system that helped prevent infections.
The patients at the Louisville Marine Hospital were usually victims of disease, temperature extremes, and mechanical deficiencies of the era's naval technology.
During the
American Civil War
The American Civil War (April 12, 1861May 26, 1865; also known by Names of the American Civil War, other names) was a civil war in the United States between the Union (American Civil War), Union ("the North") and the Confederate States of A ...
, along with
Jefferson General Hospital
Jefferson General Hospital was the third-largest hospital during the American Civil War, located at Port Fulton, Indiana (now part of Jeffersonville, Indiana) and was active between February 21, 1864, and December 1866. The land was owned by U. ...
, it formed the foundation of Louisville health care for wounded soldiers, both Union and captured Confederates. It is believed that a third of the total patients were black.
However, the hospital closed in 1863. It reopened in 1869 and was operated by the
Sisters of Mercy
The Sisters of Mercy is a religious institute for women in the Catholic Church. It was founded in 1831 in Dublin, Ireland, by Catherine McAuley. In 2019, the institute had about 6,200 Religious sister, sisters worldwide, organized into a number ...
as a Class II hospital.
In 1875, the U.S. government took back control under the newly organized
Marine Hospital Service
The Marine Hospital Service was an organization of Marine Hospitals dedicated to the care of ill and disabled seamen in the United States Merchant Marine, the U.S. Coast Guard and other federal beneficiaries. The Marine Hospital Service evolved ...
.
A brick stable and tool shed were built on the property in 1893 or 1894, a cast-iron fence was added to the property's perimeter around 1900, and a laundry and staff quarters building was built in 1911. During this time, the remainder of the property hosted vegetable gardens, greenhouses, a tennis court.
During
World War I
World War I or the First World War (28 July 1914 – 11 November 1918), also known as the Great War, was a World war, global conflict between two coalitions: the Allies of World War I, Allies (or Entente) and the Central Powers. Fighting to ...
the hospital cared for many amputees injured in the war.
In 1921, 4,784 patients were treated at the hospital.

A new building was completed in 1933.
The same year, a smokestack was added to the old building as part of a heating plant that served both buildings.
During the 1930s, the old building served as housing for nurses and doctors.
The Marine Hospital closed in 1947.
The City of Louisville purchased the facility in 1950 for $25,000.
Later history
New building
The new building reopened in 1953 as the Louisville Memorial Hospital for the chronically ill.
In 1975, the hospital was transferred to the
Louisville-Jefferson County Board of Health
Louisville is the List of cities in Kentucky, most populous city in the Commonwealth of Kentucky, sixth-most populous city in the Southeastern United States, Southeast, and the list of United States cities by population, 27th-most-populous city ...
. The next year it reopened as a
primary care
Primary care is a model of health care that supports first-contact, accessible, continuous, comprehensive, and coordinated person-focused care. It aims to optimise population health and reduce disparities across the groups by ensuring equitable ...
facility; it was first named Louisville Memorial Primary Care Center, then Family Health Centers, and currently Family Health Centers – Portland site.
The new building is listed as a non-contributing property to the historic landmark designation, mainly because was not yet 50 years old at the time the other structures were placed on the
National Register of Historic Places
The National Register of Historic Places (NRHP) is the Federal government of the United States, United States federal government's official United States National Register of Historic Places listings, list of sites, buildings, structures, Hist ...
, although it is considered eligible for listing.
Old building
The old building remained in use as office space until 1979, and was later used to store records,
although it hosted a temporary museum exhibit in 1991.
The old hospital building, stable, laundry building, and cast-iron fence were placed on the National Register of Historic Places in 1978, and were promoted to
National Historic Landmark
A National Historic Landmark (NHL) is a National Register of Historic Places property types, building, district, object, site, or structure that is officially recognized by the Federal government of the United States, United States government f ...
status in 1997.
Exterior restoration
In 2003, the
National Trust for Historic Preservation
The National Trust for Historic Preservation is a privately funded, nonprofit organization based in Washington, D.C., that works in the field of historic preservation in the United States. The member-supported organization was founded in 1949 ...
(NTHP) placed the old building on its
America's Most Endangered Places
America's 11 Most Endangered Places or America's 11 Most Endangered Historic Places is a list of places in the United States that the National Trust for Historic Preservation considers the most endangered. It aims to inspire Americans to preserve ...
list, which helped spark public interest in restoring it.
That year, the hospital received a $375,000
Save America's Treasures
Save America's Treasures is a United States federal government initiative to preserve and protect historic buildings, arts, and published works. It is a public–private partnership between the U.S. National Park Service and the National Tru ...
grant from the
National Park Service
The National Park Service (NPS) is an List of federal agencies in the United States, agency of the Federal government of the United States, United States federal government, within the US Department of the Interior. The service manages all List ...
to repair its roof and exterior.
Construction began on November 11, 2005. The hospital was returned to its appearance from around 1900.
The
smokestack
A chimney is an architectural ventilation structure made of masonry, clay or metal that isolates hot toxic exhaust gases or smoke produced by a boiler, stove, furnace, incinerator, or fireplace from human living areas. Chimneys are typically ...
, constructed in 1933, was demolished to help return the structure to its 1899 appearance. The octagonal
cupola
In architecture, a cupola () is a relatively small, usually dome-like structure on top of a building often crowning a larger roof or dome. Cupolas often serve as a roof lantern to admit light and air or as a lookout.
The word derives, via Ital ...
, which patients used to better view the passing river traffic during its heyday, was also rebuilt.
Small buildings that once housed a
boiler
A boiler is a closed vessel in which fluid (generally water) is heated. The fluid does not necessarily boil. The heated or vaporized fluid exits the boiler for use in various processes or heating applications, including water heating, centra ...
and a parking structure were razed to reflect the original design. The 28 sets of
wrought iron
Wrought iron is an iron alloy with a very low carbon content (less than 0.05%) in contrast to that of cast iron (2.1% to 4.5%), or 0.25 for low carbon "mild" steel. Wrought iron is manufactured by heating and melting high carbon cast iron in an ...
railings lining the building's galleries were either restored or replaced by the same
Covington, Kentucky
Covington is a list of cities in Kentucky, home rule-class city in Kenton County, Kentucky, United States. It is located at the confluence of the Ohio River, Ohio and Licking River (Kentucky), Licking rivers, across from Cincinnati to the north ...
-based iron works company that created the original ones in 1850.
The restoration cost $2.5 million.
The hospital celebrated the completion of its exterior restoration phase with an open house on June 16, 2007.
Subsequent events
Several plans have been devised to use the structure. During
Paul E. Patton
Paul Edward Patton (born May 26, 1937) is an American politician who served as the 59th governor of Kentucky from 1995 to 2003. Because of a 1992 amendment to the Kentucky Constitution, he was the first governor eligible to run for a second te ...
's term as Kentucky governor during 1995–2003, the hospital was considered as a welcome center for those entering Kentucky from the
Sherman Minton Bridge
The Sherman Minton Bridge is a double-deck through arch bridge spanning the Ohio River, carrying I-64 and US 150 over the river between Kentucky and Indiana. The bridge connects the west side of Louisville, Kentucky to downtown New Albany, In ...
. High traffic projections stopped that plan from being implemented.
In 2007, the basement, which formerly held boilers, was proposed to be used as a multi-use ballroom and rented out for parties and other special events, and the building's ground floor as an interactive center featuring hospital history and artifacts. The remaining two floors were proposed for agencies and organizations specializing in improving community health within underserved urban communities.
Also in 2007, discussions were held with the
University of Louisville
The University of Louisville (UofL) is a public university, public research university in Louisville, Kentucky, United States. It is part of the Kentucky state university system. Chartered in 1798 as the Jefferson Seminary, it became in the 19t ...
about placing a Community Health Center in the historic building.
However, efforts to raise money to renovate the interior of the building remained unsuccessful as late as 2018, although the first floor was in use as a meeting space.
See also
*
Louisville in the American Civil War
Louisville in the American Civil War was a major stronghold of Union forces, which kept Kentucky firmly in the Union. It was the center of planning, supplies, recruiting and transportation for numerous campaigns, especially in the Western Thea ...
*
References
External links
Friends of the U.S. Marine HospitalFamily Health Centers - PortlandThe Ten Buildings that Changed Louisville: Louisville Water Tower & U.S. Marine Hospital (PBS)
{{Registered Historic Places
Hospital buildings completed in 1845
Hospitals established in 1845
1845 establishments in Kentucky
1933 disestablishments in Kentucky
19th-century buildings and structures in Louisville, Kentucky
Louisville, Kentucky, in the American Civil War
Tourist attractions in Louisville, Kentucky
Local landmarks in Louisville, Kentucky
National Register of Historic Places in Louisville, Kentucky
National Historic Landmarks in Kentucky
American Civil War hospitals
Kentucky in the American Civil War
Defunct hospitals in Louisville, Kentucky
Lousiville
Hospital buildings on the National Register of Historic Places in Kentucky