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The New York State Hospital for Incipient Pulmonary Tuberculosis
(as it was originally named), was commonly known simply as "Ray Brook." Opened in 1904, Ray Brook was the first New York State-operated tuberculosis sanatorium, and the second in the United States, after Massachusetts. After a protracted study of alternative sites, New York State chose to establish its hospital in the highly-regarded fresh air of the Adirondack Mountains, near the critical mass of tuberculosis experts in Saranac Lake.