As I was a-walking down by St. James' Hospital, I was a-walking down by there one day, What should I spy but one of my comrades All wrapped up in flannel though warm was the day.
Some Appalachian versions called "St. James Hospital" modify the lyrics slightly to
Early one morning, past the St. James Hospital Early one morning, morn in the month of May When I looked through the window, And I spied a dear cowboy A dear cowboy, as cold as the clay