In 1925, the neighborhood clearly used to be single family homes with some buildings that occupied roughly two to three units. There were two separate hospitals which were labeled as “General Hospital” and “Colored Hospital” which is located just north of the large complex. These hospitals that were not nearly as large as the one seen in 2020, and the city blocks were uniform to each other. During the last century, we can see some development starting to take shape for the hospital and school that occupies the space in the present day. The southwest edge of the map used to be occupied by single-family homes, small businesses, a small variety of multifamily homes. While there are some homes that are still standing today, most of them have been replaced for the University of Missouri-Kansas City to build an additional campus that houses the school of dentistry, the school of nursing, and the school of pharmacy. In addition to the campus, Children’s Mercy Hospital is located adjacently with plenty of parking structures scattered through Holmes Street and Charlotte Street.

From 1925-2023, the land has changed from a sparse to very dense. The roads have been realigned from standard blocks along 23rd to accommodate the growth of the general hospital that is now the University of Missouri-Kansas City Hospital Hill Campus. The growth of this learning hospital brings along a large parking structure located at the southern border. Directly below 22nd Street, their are several other facilities including the Truman Medical Center and University Health.