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Sisters of Charity of St. Augustine

Our Founders: The Sisters of Charity of St. Augustine

Long before the American workplace widely accepted women in professional roles, the Sisters of Charity of St. Augustine (CSA) were directing major health care institutions, teaching in schools and developing new programs to provide needed human services. The first CSAs in America served as the first public health nurses in Cleveland, Ohio. In 1851, they began an enduring legacy of responsive ministry, creative stewardship and an ongoing quest for social justice that lives on today.

The health and human service ministries of the CSA Congregation are now overseen by the Sisters of Charity Health System. The health system embodies the values and philosophy of the Sisters of Charity of St. Augustine and their mission to continue the healing ministry of Jesus Christ. To learn more, visit the congregation's website at



“Surely I can do this for God. I am free. No earthly tie binds me. Yes, I will go to America and care for the little Indians,” reasoned 24-year-old Mademoiselle Louise Brulois, a postulant in the Augustinian Sisters at Saint Louis Hospital, Boulogne sur Mer, France. No matter that Cleveland, Ohio, in 1851 was nearly as devoid of Indians to convert as it was full of immigrants with ship fever and forgotten orphans to be cared for, Louise had finally decided to leave her beloved country and go with her superior to America.

The Most Reverend Amadeus Rappe, first Bishop of Cleveland, long aware of the need for establishing a hospital staffed by Sisters, had tried unsuccessfully in his native France to obtain Sisters. Finally directed to Sister Bernardine Cabaret, superior of Saint Louis Hospital, he found her an enthusiastic volunteer. Though the Sisters at the hospital were reluctant to let her go, they responded to Sister Bernardine’s spirit of sacrifice and unanimously remitted the remainder of her term as superior. Having earlier secured the assistance of Sister Francoise Guillement, she had now convinced Louise Brulois and another postulant, 20-year-old Cornelie Muselet, to join in the missionary venture. Beginning their two week trip across the Atlantic on the Feast of Our Lady of Mercy, September 24, 1851, the four missionaries, with little more than chapel furnishings and boxes of linen destined to be made into sheets and bandages, spent their stormy trip learning the rudiments of English. 


Bishop Rappe, eagerly awaiting the Sisters’ arrival, had written in the spring, “Come, my children, I have now prepared a place for you. On it is good spring water and good fresh air.” The house on the eight acres, though, was still occupied on October 10 when the Sisters came to Cleveland. However, the Ursuline Nuns, who had come to the city from Boulogne just the year before, received them as guests and provided religious training for the postulants.

Within two weeks, Sister Bernardine and Sister Francoise, advised by the Bishop, began living with individual families so that they could better visit the sick and poor in their homes. Cleveland’s first public health nurses were soon a familiar sight in the city, and people called them “angels” because of their white habits.

By March 1852, the Sisters were able to move into their small, two-story frame house in the fresh air of the country, Ohio City. In August, they opened Saint Joseph’s on the same site, the first public hospital in what later became part of the city of Cleveland. The encounter with the hardships of a pioneer land, an unfamiliar language, a historically severe winter and failing health were perhaps the reasons why Sisters Bernardine and Francoise obtained permission to return to France in September 1852. Cornelie and Louise, who had become Sister Saint Joseph and Sister Augustine, strengthened themselves with the Scriptural injunction that those who put their hand to the plow and look back are not fit for the kingdom of Heaven and decided to remain in Cleveland.


Bishop Rappe then turned to Sister Ursula Bissonette, an Ursuline novice, for assistance in continuing the work he had begun, which had already attracted two more young women. As a laywoman, Sister Ursula was well known to Bishop Rappe from her work in the Sandusky area, particularly instructing First Communion classes. In addition, she had worked with the cholera victims in the epidemic of 1849, gathering orphans and widows and caring for them in an abandoned house until the disease passed. Sister Ursula made her profession as a Sister of Charity in the chapel of the Ursuline convent on October 21, 1852—adding a fourth vow to devote herself to works of charity—and in the afternoon became, at age 35, the superior of the new American community.

Under her direction, the Sisters continued their work with the sick, and in order to care for children left by deceased patients, built an addition to the hospital. To support the orphanage, the boys were taught tailoring and carpentry and, with the Sisters, weekly pulled their wagon to deliver suits and cassocks for the clergy and furniture to the West Side Market.


By 1856, a number of considerations forced the closing of Saint Joseph Hospital, and the entire building was used by the orphans until Saint Vincent Orphanage was completed in 1859. Later, additional room was again needed for the orphans and 100 boys and several Sisters moved to Saint Louis Orphanage,Louisville, Ohio.

The original convent continued to house a few patients and the elderly remaining from the hospitaluntil the present Saint Vincent Charity Hospital was opened in 1865. The hospital had long been discussed by Mother Ursula; Doctor Gustave E. Weber, a prominent retired Army surgeon; and Bishop Rappe,who finally purchased the property for $10,000.

Though Mother Ursula did not live to see the building completed, her spirit of sacrifice remained with the Sisters who willingly gave their pillows to furnish the hospital while they slept on straw. “Charity toward the poor,” said Bishop Rappe at the dedication,“was ever to be the motto of the hospital.”

To continue this charitable service, the hospital added a school of nursing. To staff the pharmacy, two Sisters became the second and third women in Ohio to be certified by the State Board of Pharmacy. Sister Augustine, long since aware of more than Indians in America, headed the hospital while Sister Saint Joseph continued to direct the orphanage.

On a cold winter’s night in 1873, a widow about to deliver a child was taken in and the Sisters began Saint Ann Hospital and Infant Home, first near Saint Vincent Charity Hospital and later on Woodland Avenue. Encouraged by Bishop Richard Gilmour, the Sisters cared particularly for unmarried mothersand neglected infants.

“Donation Days” for this new work were added to the continual door-to-door begging trips of the Sisters, which the people of Cleveland and the surrounding areas gave to generously; however, the money never seemed quite enough to meet the growing demands for the care of the sick and needy.


Though by the turn of the century, Sister Saint Joseph, the last of the pioneer Sisters, had died, she had lived long enough to see a community of more than 100 Sisters of Charity of Saint Augustine establish a new motherhouse in Lakewood, Ohio. From this center, the expansion of the works of health, education and social services in Cleveland and other areas continued during the next 50 years, even though the requests for the Sisters’ service far exceeded their ability to respond. Nevertheless, the Sisters made significant contributions in the development of the health care field.

Providence Hospital, Sandusky, and its nursing school were staffed by the Sisters from its beginnings in 1902 until 1922 when Sandusky became part of the Toledo diocese. A bequest from a wealthy woman and her brother, who had seen the need, led to the opening of Mercy Hospital in Canton in 1908. Later, another donor provided for the establishment of Little Flower Hospital for Children near Mercy.

In 1916, Bishop John Farrelly, desiring a school of nursing at Saint John Hospital on Cleveland’s west side, requested the Sisters to assume administration and staffing of the 26-year-old hospital, which had just been rebuilt.

Prior to the opening of Saint Thomas Hospital, made possible by the financial contributions of the people of the area, Akron was the largest city in the country without a Sisters’ hospital. In addition to directing and staffing the hospital and nursing school in 1928, the willingness of the Sisters in 1939 to respond to a new need caused St. Thomas to be the first general hospital to open its doors to Doctor Bob Smith, co-founder of Alcoholics Anonymous, when he brought his first patient there.

About the same time, Bishop Emmet M. Walsh of Charleston, South Carolina, had traveled more than 120,000 miles trying to get Sisters to operate the sole Catholic hospital in the state, which was being built after much effort in Columbia. Circumstances led him to the Sisters of Charity, who extended their service to South Carolina and Providence Hospital was opened in 1938.


Although the education of orphans had been undertaken from the early days and was under the supervision of the diocesan superintendent of schools, other elementary and high school education was not begun until 1922 when Bishop Joseph Schrembs formally requested the Sisters prepare themselves to staff schools. Saint Augustine Academy, enrolling students from kindergarten to sixth grade, was established on the Motherhouse grounds in 1925 and classes extended to high school the next year. By the time the Sisters celebrated the 75th anniversary of their coming to Cleveland, grade schools in Cuyahoga Falls, Ashtabula, Amherst, Harrisburg, Maximo and Cleveland were part of their apostolic ministry.


Established to organize the charitable services of the diocese on a sound financial basis, the Catholic Charities Corporation freed the Sisters from the constant struggle of trying to raise sufficient funds while caring for the sick and unfortunate. One of the first acts of Catholic Charities in 1925 was to relocate all the orphans cared for by the Sisters at Saint Vincent and at Saint Louis Orphanages on 180 acres in Parma, Ohio, which became known as Parmadale, the nation’s first cottage-plan home for dependent children.

The years surrounding the centennial of the Community witnessed the expansion of Saint Vincent Charity and Saint Thomas Hospitals; the building of Timken Mercy Hospital and subsequent consolidation of Little Flower Hospital with Mercy; and the development of a new Saint Ann Hospital separate from De Paul Infant Home. In addition, Sisters continued on the faculty of Saint John College School of Nursing; engaged in Confraternity of Christian Doctrine work in parishes and missions; and cared for preschool children at Saint Edward Home, across from Parmadale. The growing needs of the Community were met by the purchase of 350 acres in Richfield for a new Motherhouse, completed in 1957, to train the young Sisters and care for the retired.


If the first 50 years of the Sisters of Charity of St. Augustine were those of birth and beginnings, the second half century saw growth and expansion. Amid the complexities of the late twentieth century and the twenty-first century, these 62 years were marked by maturity and evaluation.

Pope John XXIII, in opening the Second Vatican Council in the fall of 1962, called the whole Church to renew itself in order “to be found increasingly faithful to the gospel of Christ.” The Sisters of Charity of St. Augustine, like all religious communities, revitalized themselves by returning to the original inspiration of its founders, making necessary adjustments in their living and service, adapting to the conditions of the times.


Through frequent prayer and countless meetings, the painful, but often times illuminating struggles of the Community brought forth changes in internal governmental structure and policy, lifestyle and spirituality initiated to continue the ministry of Jesus Christ to others. Much of the discussion and experimentation ultimately found expression in the new Constitutions of the Community, approved in 1985, which have been revised and updated to reflect a deepening understanding of mission and ministry. Faithful to Vatican II directives to renew and update in the mid 1960s, the Sisters began intensive continuing education in pastoral and sacramental theology, spiritual renewal, psychology, ethics, canon law, leadership training and communication skills.

Efforts to carry out the principles of collaboration and subsidiary were seen in various structural changes in the selection and election of Community leaders, in committees and commissions, open forums, assemblies, chapters, community weekends and newsletters designed to solicit the views and ideas of the Sisters to work toward consensus on major issues. While some of these structures and experiences were designed for the internal renewal of the Community, others (such as a process developed in 1985 to take a corporate stance on public issues, the statement on ministry to people with AIDS issued in 1988, and the stance for peace in 1990) helped open the Community to new needs.


To “encourage and promote the continued integration of prayer life, community living and ministry,” Sisters also began experimenting with various ways to live a healthier, more integrated community life. Some Sisters moved away from large residences directly connected with their place of ministry and lived with smaller community groupings in ordinary homes or were part of intercommunity living. Others remained in the convents connected with their apostolic service, but all worked to develop and enhance a community life that “provides an environment of faith, simplicity of life and responsible stewardship, thus witnessing to the integration of Gospel values in life and ministry.”

Recognizing the mutuality between the Sisters and lay people who share the CSA charism (gift) of charity, an Associate program was initiated in 1985. Open to lay women and men, married and single, Associates participate in a variety of ways in the life and charism of CSA. The Sisters and Associates believe that by uniting with others in prayer and ministry, they share more deeply in the Kingdom of God.


“Nourished by a long tradition of meeting the needs of the Diocese of Cleveland,” the Sisters, in their philosophy, recommitted themselves to works of health, education and social service, but “sought to direct their energies to those existing and emerging needs that are most critical.” For example, changing social patterns no longer required a large home for unwed mothers; thus, in 1973, De Paul Home was donated to the Bishop of Cleveland to be used for continuation of social services.

The declining birth rate and consequent financial difficulties, which resulted in the sale of Saint Ann Hospital in 1973, provided a unique way of preserving the original purposes of the founding Sisters while meeting new needs. The Saint Ann Foundation, a public foundation, was created from the sale. All income generated from the original $8.2 million principal and from new donations and bequests is used for grants to support programs that improve the quality of life, particularly in Northeast Ohio. As the Saint Ann Foundation celebrated its 25th anniversary, a major funded project was on kinship care, which focused on invited proposals to assist grandparents in caring for children. From 1974 through 2005, Saint Ann Foundation awarded more than $32 million in grants and, most notably, in 2002 launched a Collaboration in Ministry Initiative involving religious communities seeking to strengthen their ministries into the future.

Seeking to maintain secondary education for girls on Cleveland’s west side, yet aware of limited Sister personnel, the Community in 1975 arranged a transfer of the operation and administration of Saint Augustine Academy to the Sisters of the Holy Family of Nazareth, who leased the buildings until 2005. In 1987, the academy convent was leased to the same community for use as an early childhood learning center. The CSA presence remains through the ownership of the property and ongoing planning for the best utilization of the facilities, which today houses Lakewood Catholic Academy, an elementary school formed by the merger of three Lakewood Catholic schools and Centering Space, a CSA ministry offering prayer, listening and direction.

The shift of students out of Catholic schools together with the recognition that children were not the only ones in need of religious instruction caused the Sisters in the 1970s to begin to work full time in parish school of religion programs and total parish religious education. In some places, Sisters collaborate in team ministry approaches to respond to parishes’ various needs. Sisters are involved in parish ministry and religious education in several parishes in the Diocese of Cleveland. Support of education continues through donations to various secondary schools and to the Catholic Educational Endowment.


Beginning in 1976, when the Chapter approved a motion to support in prayer and to investigate the possibility of a CSA going to the diocesan mission in El Salvador, the Sisters expanded their vision to embrace global issues. Experiencing Third World conditions, supporting refugee families, writing letters to government officials about life issues, sending medical supplies and financial aid to disaster areas, establishing CSA properties as peace sites, educating about ecological concerns and supporting the abolition of the death penalty have been a few of the activities of the Sisters. Locally, following the Hough riots in the Cleveland inner city in the 1960s, Sisters worked in housing and other social services projects there, which continue under dedicated lay people. A CSA Sister who served on the diocesan mission team in El Salvador returned to start a Catholic Worker house in the Akron area, which today has added additional homes and support services.

Within the Community, a gift and donation committee was established in 1976, with funds now budgeted annually. The Sisters are able to request monies for various small projects that improve the quality of life or support evangelization efforts. These funds have financed in whole or part everything from a teenager’s drug rehabilitation costs to food and supplies for victims of natural disasters. In addition, the generosity of many benefactors to the Sisters has enabled monies to be expended for services at Catholic Charities’ institutions, special ministry needs of the Sisters, and social justice issues related to health, education and social services. Also, Community funds have been invested in projects such as Cornerstone, with the interest going toward low-income housing and Partners for the Common Good.

In some cases, the recommitment of Christian service to people called for by Vatican II demanded an evaluation and redirection of institutions. Thus, increasingly aware of the religious, moral, legal and financial responsibilities and complexities in sponsoring institutions, especially health care facilities, the Community began in 1969 to include lay men and women on the boards of trustees, to hire lay people to fill administrative positions when qualified Sisters were not available, and to develop a formal sponsorship statement, which included a focus on the importance of pastoral care. With changes in nursing education, Timken Mercy Medical Center, now Mercy Medical Center, merged its diploma school of nursing with Walsh College in 1981, thus strengthening Catholic nursing at the bachelor’s degree level.


The most significant development in the health care facilities was the 1982 establishment of CSA Health and Human Services, a system created to strengthen each of the CSA-sponsored facilities and to ensure that the charism and philosophy of the Sisters are implemented and enhanced in the institutions and programs within the system. The mission of CSA Health and Human Services is to “promote stronger collaboration, cooperation and sharing of resources among the sponsored hospitals and organizations, as well as encourage the development of new programs and services in response to unmet health and human services needs.”

In an effort to carry out this mission in the challenging and rapidly changing world of heath care, the CSA Health System (now called the Sisters of Charity Health System) in 1995 established three 50-50 partnerships with an investor-owned health system. Though this sale of 50% interest, which fully continued the Catholic mission of the CSA hospitals, has now been dissolved, it enabled Sisters of Charity Foundations to be established in Canton, Cleveland and South Carolina with total assets of more than $200 million. These three foundations, along with the Saint Ann Foundation, reaffirmed and expanded the Sisters’ mission and ministry of service to the poor and vulnerable. In 2006, the Saint Ann Foundation merged with the Sisters of Charity Foundation of Cleveland, where it continues to live on through the annual Saint Ann Legacy grant program focused on the needs of women and children. Each foundation has a unique local perspective on addressing the root causes of poverty. Affordable housing, early childhood education and fatherhood engagement are areas of significant investment by the foundations, which seek to make long-term change in the communities they serve.

Among other initiatives in each respective community, the Sisters of Charity Foundation of Cleveland has championed the Housing First approach, which provides housing stability as a first step so that residents are better able to address their other needs. The Sisters of Charity Foundation of Canton has championed the belief that every child deserves a good start in life and that all families should have access to high-quality early education and care. And, the Sisters of Charity Foundation of South Carolina has championed supporting communities that strengthen the engagement of fathers with their children and families as they improve the emotional, physical and spiritual well-being of fathers and subsequently that of their children.

In addition to the hospitals and foundations, the health system has also developed social service outreach ministries in each geographic area to provide services and programs for the underserved, including the Early Childhood Resource Center, Healthy Learners, Joseph’s Home, and the South Carolina Center for Fathers and Families.


In the ongoing evaluation, which marked all the Community’s ministries, the Sisters examined their own resources and beginning in 1971, Mt. Augustine, the Motherhouse, opened its facilities and grounds for religious, cultural and educational activities, and increased the Sister staff to serve these individuals and groups. The facilities, programs and 230-acre grounds—part of several natural resource conservation plans—have been especially conducive to prayer. A House of Prayer functioned there in the 1970s, and a Hermitage dedicated to prayer for justice and world peace was erected in 1982, marking the 25th anniversary of Mt. Augustine.

In the 1980s personal, psychological and physical pre-retirement and retirement planning; a financial needs analysis; studies on the use of CSA properties within the Community; and inter-congregational discussions at the diocesan level all contributed to the decision to redirect the purpose of Mt. Augustine.

When the 140th anniversary of the Community was celebrated, construction began for Regina Health Center, a $7.5 million innovative health care and assisted living facility for priests and lay persons who wished to live in a God-centered environment. The renovation of a portion of the existing motherhouse building and others provided an 81-bed skilled and intermediate care nursing unit and a 73-bed assisted living unit that opened in 1983 with a full range of geriatric services for retired female and male religious. Additional nursing beds and other services have been added more recently. A unique aspect of this project is the collaboration with other religious communities and diocesan officials in the assessment and planning for this intercommunity residence. As the diocesan newspaper editorial stated, “The Sisters of Charity of St. Augustine have once again demonstrated the foresight, careful planning and compassion that have made them a model of health care ministry.”

The center of the spiritual life of both the Sisters and the residents of Regina Health Center is the Holy Family chapel. In 2005, a major renovation of the chapel was completed by the Congregation, which not only incorporated changes to accommodate liturgical changes of recent years, but also improved the lighting, sound system and seating for the residents, many of whom are wheel-chair bound.

The mission of Regina Health Center continues as a ministry of the Sisters of Charity Health System. Similarly, in 2001, the Sisters of Charity Health System and the Sisters of Charity of Cincinnati began an innovative collaboration to enhance elder services in Bedford, Ohio at Light of Hearts Villa, a residential care center founded by the Vincentian Sisters of Charity in 1989. Today, Light of Hearts Villa provides a supportive residential environment to more than 400 seniors.


Although the number of Sisters of Charity of St. Augustine may be smaller, their vitality and initiative for establishing new services continues the long tradition of meeting emerging needs. Examples include the Open House in Cleveland for persons with AIDS and their families, now merged into other programs; the Interfaith Wellness Center in Irvine, Kentucky, for health needs in Appalachia; the Catholic Worker House in Akron, particularly for Spanish-speaking immigrants; Joseph’s Home, a short-term residence for homeless men in the Cleveland inner city who have been released from the hospital; and Centering Space for spiritual reflection—all of which were begun by the Sisters and their collaborators in the last few decades.

Aware of the unique contribution of dedicated lay women and men who minister with the Sisters, the Caritas Service Award was established as part of the 150th anniversary celebration of the Community to honor an “individual who embodies and exemplifies the CSA charism to an outstanding degree” and is given every four years.

For the Sisters of Charity, the years since 1851 have been times of constant evaluation and overwhelming efforts to be faithful to the Lord in the midst of change. As the numbers of Sisters decline and ages increase, as institutions once firmly planted close or shift direction, and as responsibilities for community life and ministry often overwhelm, the Sisters have tried to see this period of frequent darkness as a special gift. This grace strengthens them to be true sharers in Christ’s ministry, which to all earthly eyes seemed to be a failure of what had held so much promise. In spite of the difficulties and struggles, responsible and creative stewardship of Community resources, increased collaboration with others in ministry and an expanded world vision have been the hallmarks of these past decades. The Sisters of Charity, extending their gift of charity, continue to consciously plan for the future, setting goals with compassion toward the needs of people and a mature faith in the providence of the Lord.

More than 170 years of the history of the Sisters of Charity of St. Augustine record founders’ names, significant firsts and completed buildings. Service since 1851 reveals loving women firmly committed and freely giving, who have attempted to extend the work of Christ on earth. Underlying both the history and the service have been the physical hardships of the beginning, the material sacrifices of the growth and the spiritual struggles of the maturity of the  Community. Yet, the call of the Father, which is reflected in Christ and nourished by the Spirit, continues to find a response in the Sisters of Charity, who, out of the traditions of the past, find meaning for the present and hope for the future.