Elmo Hope was born on June 27, 1923, in New York City. His parents, Simon and Gertrude Hope, were immigrants from the Caribbean, and had several children. Elmo began playing the piano aged seven. He had classical music lessons as a child, and won solo piano recital contests from 1938.

In June 1961, Hope was part of Philly Joe Jones' quintet, which included trumpeter Freddie Hubbard. Their first gigs were arranged by Hope's old friend, Monk, as was a recording session for Riverside Records that month, with Hope as leader. The pianist recorded four albums in New York around 1961, including Hope-Full, which contained his only solo tracks and some piano duets with his wife.  Some of the companies that he recorded for at this stage in his career reduced Hope's dignity, in the view of musician and critic Robert Palmer. One album was entitled High Hope! (1961), and another, released as Sounds from Rikers Island (1963) in reference to a New York City jail complex, featured performances exclusively by musicians who had at some point been imprisoned for drug-related crimes. Between these two sessions as leader, Hope was briefly in prison again for drug offenses. These and other album releases in the early 1960s did little to develop a wider awareness of Hope.  Hope played with McLean again late in 1962. He also led a piano trio: early in 1963 it contained Ray Kenney on bass and Lex Humphries on drums; in late 1964, it had John Ore on bass and Billy Higgins on drums. In 1965, Hope was continuing to lead a trio and quartet in the New York area. Drug and health problems, however, meant that he played less often late in his career. His last recordings were made in 1966, but not released for 11 years. Hope's final concert was at Judson Hall in New York City in 1966. Fellow pianist Horace Tapscott reported that, later, Hope's "hands were all shot up and he couldn't play".  Visits to one hospital that was experienced in addressing the health problems of drug addicts left Hope feeling that he was being experimented on, so he went to another, St. Clare's. Here, according to his wife, the treatment was not adjusted for the methadone program he was on, putting added strain on his heart. Hope was hospitalized with pneumonia in 1967 and died a few weeks later, on May 19, of heart failure. His wife was aged 31 at the time of his death. They had three children; their daughter, Monica Hope, became a singer.

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