Institute of the Pennsylvania Hospital

Philadelphia, Philadelphia, Pennsylvania Listed Ref. 66000684 National Historic Landmark Building

Also known as: Kirkbride's Hospital

Why it's listed

Built of stone and brick between 1856 and 1859 at 49th and Market Streets in West Philadelphia, the Institute of the Pennsylvania Hospital was designed by Dr. Thomas Story Kirkbride for the treatment of the mentally ill. A large central building, three and a half stories high with a gable roof and central dome, housed the administrative offices. Extending from it were symmetrical wings, about 250 feet long, with ventilation towers at their ends, and each patient room had its own fresh air duct. The hospital had sixteen wards, one for each of sixteen classes of patients, and each ward had its own parlor, dining room and bathroom. Gardens, shops and walks were provided for patients. Kirkbride's plan was adopted by many states, and his 1854 book on hospital construction remained influential. The original structure remains largely intact, though later additions and interior alterations have changed parts of it.

Significance in brief: The nomination argues the hospital is significant for its role in the humane treatment of the mentally ill in the nineteenth century and for its influence on the design of similar institutions in other states. Its wing-based plan with fresh air ducts and separate ward facilities is presented as an innovation of its day, and the original structure is said to remain much as it was when built.

Machine-generated summary. This summary was generated by a language model from the official nomination document and has not been reviewed line by line by an editor. It may contain errors. Check the source document before relying on any detail. Source: nomination document (PDF) · National Archives catalog entry. NRHP reference 66000684, listed October 15, 1966. Summary generated October 2026 (model claude-haiku-5-5, prompt v1.1-2026-10-29, confidence medium).

Key facts

Address111 N. 49th St., Philadelphia
CountyPhiladelphia
ListedOctober 15, 1966
Reference number66000684
Resource typeBuilding
Period of significance1859
Architect / builderThomas Story Kirkbride (designer of the hospital plan)
Criteria
  • A — associated with events that made a significant contribution to history
  • C — distinctive architecture, design or construction
Areas of significanceHealth/Medicine, Social History
Level of significanceNational
National Historic LandmarkYes, designated June 23, 1965
Status (as stated in the nomination)Portions of the hospital are no longer in use, the original ventilation towers are sealed, and the interior has been altered, with many patient rooms converted to offices.
Acreage27
Within districtFairmount Park
Coordinates39.96089, -75.21796 (NPS GIS)

What listing means for this property

For a publicly owned building or structure, listing mainly matters when federal funds, permits or licences are involved: projects then go through Section 106 review so effects on the property are considered. Listing also strengthens applications for preservation grants and, for leased income-producing uses, can enable the federal rehabilitation tax credit.

General information, not legal or tax advice. Rules change; confirm with your State Historic Preservation Office or a qualified adviser.

Sources and further reading

Last updated October 2026. Found an error? See the editorial policy for how to report it.