All 274 Staten Islanders who died on September 11, 2001 were remembered Sunday at what has become an annual tradition at Staten Island University Hospital.

"It's important that we remember and Staten Island really although it has 500,000 people it's always behaved as a small town," said SIUH President Anthony Ferreri.

On 9/11, the small town hospital was prepared to receive injured victims from Manhattan. Unfortunately that didn't happen.

"We needed to be ready for hundreds of casualties. And instead, the island on those ferryboats received hundreds of bodies," Ferreri said.

The names of each Staten Island victim is etched into the hospital's wall, including firefighter Joseph Maffeo.

"Wherever he went he brought a smile to people's faces," said Maffeo's sister, Linda Manfredi. "Sometimes I can stand here. I'm happy to know that his name and what he stood for when he was alive was significant."

Manfredi created a foundation in her brother's name. It helped fund the hospital's new pediatric unit complete with a new playroom.

It's an example of some of the good that has come in the wake of the attacks.

"Nine-eleven was a tragedy obviously and it's a great thing that these people have come together to make a positive out of it," said SIUH pediatric nurse Jessica Wodarski.