In 1909 construction proceeds on the children's ward. John Wilson, secretary, wrote, "It now seems probable that in order to make the old buildings suitable for increased needs, it will be necessary to make some further quite extensive changes...but when the work is completed, the Hospital will be equipped as well, in proportion to its size, as any in New England."
A domestic building opens, adding more rooms for nurses a kitchen, bakery, refrigeration and storage rooms.
A hydro-therapeutic system is installed.