The High Performing rating is in recognition of care that was significantly better than the national average, as measured by factors such as patient outcomes.

Its form was quite unusual in that the upper two-thirds of the building of tan/light brown bricks spread out fifty yards out above the lower five stories.

It was west of the large suburban areas in Baltimore County of Essex, Middle River, and northwest of Dundalk and Sparrows Point.

These buildings had served the poor and destitute of Baltimore for several decades and a newer renovated structure was now being created on Greenmount Avenue near East Oliver Streets by the Green Mount Cemetery in the early 1950s.

Eventually the Mercy medical hospital and nursing school expanded to the west along East Saratoga Street to the neighboring Saint Paul Place[3]