On December 12, 1918, Portland's new Queen’s Hospital opened its doors. By 1927, the hospital acquired additional buildings, including the former Payson house on the corner of State and Deering Streets. The neighboring buildings were connected by runways and passages. The connected buildings were designated as pavilions, named after the four Evangelists: Matthew, Mark, Luke, and John.
The hospital administration moved into the Payson house, renamed St. John's Pavilion, to make room for the expanding Nursing School.
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