This document summarizes the establishment and early history of the Daughters of Charity in the United States from the early 1800s. It discusses how Father Louis Dubourg helped Elizabeth Bayley Seton establish the Sisters of Charity in Baltimore in 1809. The order grew and established schools, hospitals, and other institutions across the Midwest to meet the needs of settlers. In 1850, the Sisters of Charity formally united with the restored Daughters of Charity in Paris. The order adapted to conditions in 19th century America by responding to needs like establishing the first hospital west of the Mississippi in St. Louis in 1828. Sisters provided education, healthcare, and social work. Their legacy of serving the poor continues today