During the early 20th century, the Hilltop began its transition from a farming to an urban community. Subdivisions began to form around this time around the Columbus State Institution and streets were formed along rural roads. Its own streetcar system came with the introduction of these roads, which ran from High Street to the Columbus State Hospital. Businesses began to emerge along Broad Street, from a small grocery store to a meat market. By 1900, there were over 2000 residents in Hilltop. The majority of the population were young married couples with a few small children at this time with various occupations. The early 20th century laid the groundwork for the infrastructure of the area and encouraged growth and expansion. After the 1913 flood, there was a large population surge as the community was able to adapt due to its existing infrastructure.