In 1894, the hospital moved to Blackwell's Island (now Roosevelt Island). It occupied the former New York City Asylum for the Insane and was renamed Metropolitan Hospital.

The hospital moved into two newly constructed buildings at its present location in East Harlem in 1955. In 1966, the hospital added its Mental Health Building, an adjoining 14-story pavilion housing the hospital's psychiatric services.

In 1969, Frederick Wiseman filmed

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