States could use their own tax money to supplement the work of the United States Sanitary Commission as Ohio did. Under the energetic leadership of Governor Tod, Ohio acted vigorously. Following the unexpected carnage at the Battle of Shiloh in Tennessee in April 1862, it send 3 steamboats to the scene as floating hospitals loaded with doctors, nurses and medical supplies. The state fleet expanded to eleven hospital ships. The state also set up 12 local offices in main transportation nodes across the Midwest to assist Ohio soldiers moving back and forth.