Hillcrest Hospital
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Hillcrest Baptist Medical Center has been a big name in the Central Texas healthcare network for almost a century. Though the institution’s name has changed several times over the decades, the mission remains the same: to serve the sick people of Waco and surrounding areas in a welcoming, Christian environment.
The idea for a Baptist hospital in Waco began with Arthur James Barton, pastor of First Baptist Church of Waco, as early as 1909. But this would be no small undertaking, and it would cost a great deal of money for the local congregation. The idea circulated the community for a few years, and in 1912 the Waco Baptist Association (WBA) formed the Sanitarium Standing Committee, set to raise an estimated $50,000 for the construction of a sanitarium—the predecessor to the modern-day hospital with more restricted facilities. The only other hospital in the area was the Catholic-run Providence Hospital. Financial Secretary of the Committee Ben T. Goodwin set out on a widespread fundraising campaign. Despite initial success, such as the $10,000 pledged by the Young Men’s Business League, by September 1914 Goodwin paused all fundraising efforts because of the outbreak of World War I.
The next phase of the project was taken up by Joseph M. Dawson who assumed the pastorship of First Baptist in 1915. Dawson strongly believed that taking care of the sick was an instrumental part of the Christian faith, and he often preached such messages to his congregation in support of the sanitarium. He set out himself in 1916 to acquire land for the proposed sanitarium, buying two plots for $7,000. This important step instilled confidence in the WBA, and following the land acquisitions the WBA leaders chartered the sanitarium the same year. The charter included a nursing school and specified that the sanitarium would be open to all medical school graduates and doctors “of good repute.” Further, it articulated the institution’s purpose as “a responsibility to the community [that] would transcend political strife, regional strife, religious distinctions, and racial distinctions.”
Waco local Jesse Judge Dean donated more land to the project, and by 1917 the WBA had raised $60,000. While the whole project would cost around $275,000, the WBA went ahead and hired architect George C. Burnett and contractor James S. Harrison and Son. They broke ground at the original location on Herring Avenue on July 10, 1917. By October 1918 the exterior was complete, but more funds were needed to furnish the inside. Local women’s groups such as the WBA Women’s Auxiliary donated their time and completed the landscaping, and they also donated materials such as bed linens. The hospital and nursing building were both completed in 1920.
To everyone’s surprise, the first patient preceded the hospital’s opening on May 25, 1920. Dr. H. Frank Connally performed an emergency appendectomy on Mrs. Mable Battle Westbrook at 4:30 a.m. on May 25. The first registered surgical patient, a Mrs. Mamie Lou Lange Hatch, then received her operation at 8:00 a.m. The Central Texas Baptist Sanitarium was officially up and running.
The sanitarium saw massive expansions and improvements in the following decades of the twentieth century. By 1938 the name had changed to Hillcrest Memorial Hospital. The change was meant to honor the citizens of the surrounding Hillcrest area who had worked to hard to fund raise and make the hospital a reality. In the same year, the hospital also obtained its first iron lung to treat polio. Though the hospital almost closed during the Depression, a little over a decade later it was back on its feet ready to expand. In 1953 a new wing was opened and the bed capacity raised to 175. By 1963 the hospital underwent another name change. When it was brought under the Baptist General Convention of Texas the name was changed to Hillcrest Baptist Hospital. That same decade saw the closing of the nursing school, and the hospital began to hire nurses trained at the new McLennan Community College.
The two decades from 1978 to 1998 saw the greatest changes. In 1978 the Clara and Harlon Fentress Cancer Treatment Center was built, with forty-inch walls to contain the radiation. The 1980s brought the construction of an outpatient surgical center, the Magnolia Tree Inn for patients’ families, the primary care clinic and MRI center, and labor and delivery rooms. The name of the hospital was also changed one last time in 1982 to Hillcrest Baptist Medical Center, to reflect the hospital’s “comprehensive approach to health education and preventative medicine.” The 1990s continued to witness immense growth, with the opening of the Heart Center, the NICU, school clinics, and the hospital’s upgrade to a Level II trauma center.
The hospital did finally run into some trouble after the turn of the century. Tensions between the doctors serving at the hospital and the administration ran high, and many doctors considered leaving Hillcrest altogether. But a change in management came in 2007 with CEO Glenn Robinson, and doctor-hospital relationships improved. It was also Robinson who oversaw the biggest change in Hillcrest history—much more than a change in name, a change in location. In 2009, every patient was transferred to the new location on I-35 and Highway 6 in just one day. Hillcrest still operates today at this location in partnership with Baylor Scott & White Health network. Primarily vacant for over ten years, several attempts to find a new owner for the old Hillcrest Baptist Medical Center Complex proved unsuccessful. In 2020, a final plan to convert the old hospital into a state-run mental healthcare facility fell through under the financial stress of Hurricane Harvey and the COVID-19 pandemic. While Hillcrest Hospital continues to serve the region in its new location, the former home of Hillcrest will be demolished and the space opened up for revitalization and new development.
Files

The First Building, 1920
Historically, the term sanitarium meant that the facility was mostly used for the convelescing of those with long-term illnesses like tuberculosis. It was not until later in Hillcrest’s history that it became a hospital to treat any illness, even those traditionally treated at home. | Source: General Photo File, The Texas Collection, Baylor University
Architect Rendering
Waco-based architect George C. Burnett designed the first building for the Central Texas Baptist Sanitarium. The building was five stories and 122 x 80 feet, with the possibility of adding a wing on each end. It was built of reinforced concrete and fireproof brick, and the design allowed for 104 total patient rooms. | Source: Miller, Margaret L.S., "Hillcrest Baptist Hospital: Inception and Founding 1908 Through 1920," The Texas Collection, Baylor University, pg 53.
Groundbreaking
The official groundbreaking of Central Texas Baptist Sanitarium was executed by two mules, driven by two young girls Carline Alexander and Ruth Buchanan. | Source: General Photos File, The Texas Collection, Baylor University.
1922 Addition
The need for another hospital surely pressed on the Waco population greatly when the influenza epidemic swept through the United States, including Waco, from 1917 to 1919. Construction on the sanitarium started in 1917, but unfortunately it did not open until 1920, so it was not of much use during the epidemic. | Source: General Photo File, the Texas Collection, Baylor University
Dr. K. H. Aynesworth
Dr. Kenneth Hazen Aynesworth served as the first lead surgeon for the Central Texas Baptist sanitarium and remained with the hospital for decades. | Source: Kenneth Hazen Aynesworth Papers, Series 4, Box 23, Folder 7, The Texas Collection, Baylor University.
Street View
The overwhelming need for the new hospital led to the addition of a wing in 1922, and the hospital operated in this capacity for two decades. | Source: General Photo File, The Texas Collection, Baylor University
1939 Fundraising Pamphlet
Hillcrest Hospital, as a nonprofit hospital, has relied entirely on the generosity of Waco citizens for much of its history. This pamphlet from 1939 encourages people to donate to the expansion of the hospital because they never knew when they might be the ones to need its services. | Source: Hillcrest Hospital Vertical File, The Texas Collection, Baylor University
Hillcrest Circa 1940s
In 1942 the hospital was used in an emergency to treat a sick horse. Details of the horse’s illness are unknown, but it did recover. | Source: General Photo File, The Texas Collection, Baylor University
Staff Photo
The exact year of this staff photo is unknown, but it appears to be early in the hospital’s history based on the clothing of the nurses and the segregated sections in the photo, with African American staff members in the back. | Source: Image courtesy of the Portal to Texas History, University of North Texas Libraries
Nursing Staff
The nursing school at Hillcrest operated for thirty years. After is closed, the hospital recruited nurses from the nearby program at McLennan Community College. | Source: General Photo File, The Texas Collection, Baylor University
Innovation
A young doctor shows off some new technology to Hillcrest administration and benefactors. | Source: General Photo File, The Texas Collection, Baylor University
Hillcrest circa 1950s
This image shows one of the first expansions separate from the original building. The original building can be seen behind the new addition. | Source: General Postcard Collection, The Texas Collection, Baylor University
1962 Addition
This even bigger addition to Hillcrest opened in the early 1960s. | Source: General Photo File, The Texas Collection, Baylor University
Newsworthy Technology
A 1975 Waco Tribune-Herald article shows a Hillcrest nurse proudly showing off new Daystar surgery lights and automatic operating tables. | Source: Waco Tribune-Herald, July 25, 1975, 5D. (Hillcrest Vertical File, The Texas Collection, Baylor University)
Blasting Cancer
In 1978 Waco Tribune-Herald published an article on Hillcrest’s new ten-million-volt Siemens Mevatron 12 linear accelerator that utilized X-ray and electron technology. This machine was used to treat different types of cancers; X-ray beams treated deep-seated cancers, and electrons treated superficial cancers. This machine was part of the new Fentress Cancer Center that opened the same year.
Treat With Care
After the siege of the Branch Davidian compound by the federal government, members of the cult required medical attention. These instructions were distributed to help doctors operate around federal guidelines. | Source: Hillcrest Vertical File, The Texas Collection, Baylor University
Almost 100 years on Herring Avenue
The former Hillcrest location in its final form where the hospital operated until 2009. | Source: The Texas Collection, Baylor University
Former Location
The original building can be seen nestled in between decades’ worth of expansions to the old location on Herring Avenue. | Source: The Texas Collection, Baylor University
Location on Loop 340
All patients were moved from the old Hillcrest location to the one pictured above in one day—in six hours even. The staff planned for an entire year and conducted drills with dummies as patients leading up to the big move to ensure it went smoothly. | Source: "Hillcrest Baptist Medical Center, Waco, Texas," Scott and White Healthcare, December 1, 2009, Flickr.
Hillcrest Today
The current Hillcrest location on 1-35 has brought a lot of business and growth to the surrounding area. The Loop 340 Central Texas Market Place has thrived since the relocation of the hospital. | Source: "Hillcrest Baptist Medical Center, Waco, Texas," Baylor Scott and White Medical Center- Hillcrest, June 21, 2010, Facebook.
Founding CTBS
Central Texas Baptist Sanitarium founder J. M. Dawson talks about how the project began. | Source: Dawson, Joseph Martin, interviewed by Rufus B. Spain, May 24, 1971, in Corsicana, Texas, Baylor Institute for Oral History. View Full Interview (Interview 5)
Fundraising and More
Central Texas Baptist Sanitarium founder J. M. Dawson discusses the fund raising efforts and other aspects of the hospital's inception. | Source: Dawson, Joseph Martin, interviewed by Rufus B. Spain, May 24, 1971, in Corsicana, Texas, Baylor Institute for Oral History. View Full Interview (Interview 5)
Nursing in the 1920s
Grace Kee describes the nursing care her husband received during his stays at the Central Texas Baptist Sanitarium in the early 1920s. | Source: Kee, Grace Hasseltine Jenkins Garrett, interviewed by Margaret Lou Snyderwine Miller, April 9, 1980, in Waco, Texas, Baylor Institute for Oral History. View Full Interview (Interview 1)
Hannibal Became Joe
Prominent Hillcrest doctor Hannibal "Joe" Jaworski talks about how he got his nickname when he began working at Central Texas Baptist Sanitarium in 1921, | Source: Jaworski, Hannibal "Joe", interviewed by Daniel C. Lyman, April 24, 1990, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Before The American Board of Medical Specialties
Dr. Lawrence Collins recalls that no doctors in Waco were board certified in any specialty in the 1930s. | Source: Collins, Lawrence D., interviewed by Daniel Lyman, August 31, 1990, in Waco, Texas, Baylor Institute for Oral History. View Full Interview (Interview 3)
Before Medical Specialties
Dr. Lawrence Collins remembers in 1946 when Hillcrest was not divided into specialties and all the treatments done by a variety of doctors. | Source: Collins, Lawrence D., interviewed by Daniel Lyman, August 31, 1990, in Waco, Texas, Baylor Institute for Oral History. View Full Interview (Interview 3)
A Week-long Stay for $40
Benjamin and Earlien Engelbrecht reminisce on the birth of their children at Hillcrest, including the final bill. | Source: Engelbrecht, Benjamin and Earlien Freyer, interviewed by Rebecca Sharpless, April 22, 1997, in Crawford, Texas, Baylor Institute for Oral History. View Full Interview (Interview 4)
Fundraising and Community Building
Jack Kultgen takes pride in the fact that his fundraising campaign for Hillcrest in 1948 helped unite the religious communities of Waco. | Source: Kutlgen, John Henry, interviewed by Thomas L. Charlton, July 16, 1974, in Waco, Texas, Baylor Institute for Oral History. View Full Interview (Interview 2)
De Facto Hospital Segregation
Marshall Baldwin remembers the different birth rates of African Americans at the Waco hospitals | Source: Baldwin, Marshall, interviewed by Sean Sutcliffe, June 24, 2016, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Pandemonium After the 1953 Tornado
Dr. Lawrence Collins admits he did not know there was a tornado in Waco in 1953 until he arrived to work at Hillcrest that afternoon. | Source: Collins, Lawrence D., interviewed by Virginia Collins, January 14, 1981, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
The Hospital Did Not Know
Dr. Hannibal "Joe" Jaworski recalls that he was the first to arrive and alert the hospital that a tornado had hit Waco and they needed to get ready for incoming patients. | Source: Jaworksi, H. Joe, interviewed by Thomas L. Charlton, March 12, 1981, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Setting Up Triage Stations
Dr. Hannibal "Joe" Jaworski remembers how he helped set up triage stations and organize the hospital in preparation for the casualties coming in from the 1953 tornado. | Source: Jaworksi, H. Joe, interviewed by Thomas L. Charlton, March 12, 1981, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Patients in Shock
Dr. Hannibal "Joe" Jaworski talks about the patients in shock and the challenges that posed for the doctors at Hillcrest. | Source: Jaworksi, H. Joe, interviewed by Thomas L. Charlton, March 12, 1981, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Working Tornado Recovery
Internist Dr. Lawrence Collins discusses his role as a non-surgeon in treating patients at Hillcrest after the 1953 tornado. | Source: Collins, Lawrence D., interviewed by Virginia Collins, January 14, 1981, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Working Through the Night
Dr. Hannibal "Joe" Jaworski tells about working all night to care for those injured by the tornado. | Source: Jaworksi, H. Joe, interviewed by Thomas L. Charlton, March 12, 1981, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Hospital Treated All Minor Injuries
Dr. Hannibal "Joe" Jaworski remembers that almost all injuries, even minor, from the 1953 tornado were treated at the hospital. | Source: Jaworksi, H. Joe, interviewed by Thomas L. Charlton, March 12, 1981, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
One In-Hospital Death
Dr. Hannibal "Joe" Jaworski proudly details the final Hillcrest mortality count after the tornado. | Source: Jaworksi, H. Joe, interviewed by Thomas L. Charlton, March 12, 1981, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Tornado Fund Saves Lives
Dr. Lawrence Collins explains how doctors worked pro-bono after the tornado, and all the money collected for services went into a Tornado Fund that was later used to immunize the Waco community from polio. | Source: Collins, Lawrence D., interviewed by Virginia Collins, January 14, 1981, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Using a Catheter
Marshall Thompson remembers his first job at Hillcrest hospital and learning to use a catheter. | Source: Thompson, Marshall, interviewed by L. Katherine Cook, March 23, 1999, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Dividing the Heart Work
Carol Crosthwait explains how Hillcrest Hospital and Providence Hospital used to split up the treatment of certain conditions | Source: Crosthwait, Carol, interviewed by Skylar Ray, November 21, 2015, in Waco, Texas. Baylor University Institute for Oral History, Waco, TX. View the full interview
Changes in Radiology
Dr. Donald Risinger explains how the radiology profession changed over the middle decades of the 20th century. | Source: Risinger, Doland L., interviewed by Skylar Ray, October 23, 2015, in Waco, Texas, Baylor Institute for Oral History. View Full Interview (Interview 1)
Mrs. Eleanor Pape Donates Nurses' Lounge
Mr. H. Hart Nance reminisces on the good deed of Mrs. Eleanor Jurney Pape when she saw a need for a nurses lounge at Hillcrest and provided the funds. | Source: Nance, H. Hart, interviewed by Patricia Wallace, May 26, 1983, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
Donating the Chapel
Victor Newman talks about building the chapel for Hillcrest hospital and a wedding held there. | Source: Newman, Victor T., interviewed by Lois E. Myers, october 22, 1997, in Waco, Texas, Baylor Institute for Oral History. View Full Interview
First Female Chaplain
Jann Aldredge-Clanton describes the doors that opened for her in the ministry because of her role as chaplain at Hillcrest. | Source: Aldredge-Clanton, Jann, interviewed by Joan Parmer Barrett, July 6, 2001, in Dallas, Texas, Baylor Institute for Oral History. View Full Interview
The Wellness Center
Benefactor Sue Holt Getterman talks about how she and her husband Ted came to donating the Wellness Center to Hillcrest after Ted's open-heart surgery. | Source: Getterman, Louis Theodore and Sue Holt, interviewed by Lois E. Myers, January 19, 2012, in Waco, Texas, Baylor Institute for Oral History. View Full Interview