It was the first city-owned and operated hospital, built upon the Cumberland River Bluff in the spring of 1890, through action of the City Council and the Board of Public Works. The City Hospital, with its capacity of sixty beds, had two floors and a basement with dumb waiters and laundry chutes going to each floor. Doctor Charles Brower of the University of Nashville Medical Department was appointed Superintendent. In 1891, a school of nursing was opened with Miss Charlotte E. Perkins as Superintendent. This was the first training school for nurses between the Ohio River and New Orleans.