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Full text of "Annual report of the trustees of the State Lunatic Hospital at Worcester"

A 



^ 



PUBLIC DOCUxMENT No. 23. 



FORTIETH ANNUAL REPOET 



THE TRUSTEES 



STATE LUNATIC HOSPITAL 



TV^OHOESTER 



^^^jiu^ua. , 



October, 1872. 



BOSTON: 

"WRIGHT & POTTEE, STATE PEINTEES 
79 Milk Stkeet (corner of Federal). 

' 1873. 



OPT^ICERS OF THE HOSPITAL. 



TRUSTEES. 
Hon. SAMUEL E. SEWALL, . 
EGBERT W. HOOPER, M. D., 
HoH. HEKRY CHAPIN", . 
Gen. WILLIAM S. LIITCOLJ^, 
Col. JOHK D. WASHBURN, 



Boston. 

Boston. 

Worcester. 

Worcester. 

Worcester. 



Superintendent, . 

Assistant-Superintendent. 

Assistant-Physician, . 

Assistant-Physician, . 

Matron, 

Steward and Treasurer, 



RESIDENT OFFICERS. 

. BERN"ARD D. EASTMAK, M. D. 

. JOHN G. PARK, M. D. 

. MART H. STINSON, M. D. 



ELIZA A. TAYLOR. 
DANIEL W. BEMIS. 



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University of iVIassaciiusetts Amiierst 



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(HommontDcaltt) of iHa00act)U0ett0. 



TEUSTEES' REPOET. 



To His Excellency the Governor, and the Honorable Council of 
the Commonwealth of Massachusetts. 

The Trustees of the Worcester Lunatic Hospital submit this, 
their Fortieth Annual Report, for the year ending September 30, 
1872. 

The reports furnished bj the Superintendent and Treasurer 
present full statements in regard to the patients and finances of 
the hospital. It is only necessary for us to refer to them with- 
out repeating them. 

It appears from the table furnished by the Superintendent, 
that the whole number of patients in the hospital at the end of 
the year was four hundred and thirty-nine, the largest number 
at the end of any year except the four years immediately pre- 
ceding the opening of the Taunton Hospital. This increase in 
the number of patients is the more worthy of notice, because it 
has arisen in spite of the relief afforded our crowded hospital, 
by the great reduction of the number of state paupers through 
the intervention of the Board of State Charities, which has, 
from time to time, transferred the greater part of them else- 
where. 



6 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Even since the establishment of the Taunton and Northamp- 
ton hospitals, np to the year 1864, the number of this class of 
patients always exceeded one hundred, and in some years very 
largely. It is now reduced to twenty-five. The number of this 
class at the close of the last five years was as follows : — 

1868, . . . . . . . 95 



1869, 
1870, 
1871, 

1872, 



51 
35 
29 
25 



An important conclusion which is forced on us from these 
facts is, that the new hospital which the legislature has author- 
ized the Trustees to build to accommodate four hundred lunatic 
patients, will, in a very short time, be insufficient for the public 
necessities. Unless power is given to build a larger hospital, 
the Trustees will be obliged to construct it in such a manner as 
to admit of additions being made to it which will not mar its 
architectural effect, or diminish its convenient use. This, how- 
ever, can be readily done. 

The barns and stables mentioned in the last report of the 
Trustees, have been completed on the new hospital grounds, and 
for about the cost originally calculated. The plans and esti- 
mates for the new hospital, and for preparing the ground for its 
erection, are in such a state of forwardness, that we trust very 
shortly to be able to submit them to your Honors, as required 
by the Resolve of the last session. 

The Trustees have had great confidence that the sale of the 
lands of the present hospital would pay much the larger part of 
the cost of erecting the new hospital, and have even supposed 
that all the expenses of the work might, perhaps, be paid from 
this source. 

The sales, however, which must be gradual, could not cover 
much of the most valuable part of the property, until the new 
buildings are erected, and the patients removed to them from 
the old hospital. 

Consequently the Trustees must be largely assisted by the 
State in erecting the new hospital, while the work is in progress. 
They are happy to say that the sales of lands made up to this 



1872.] PUBLIC DOCUMENT— No. 23. 7 

time, have exceeded the estimates of their value. They are as 
follows : — 

Land sold the Commonwealth for a Normal School, $25,000 00 
Land sold City of Worcester, for a school, 23,250 

feet, at $1 a foot, 23,250 00 

Land sold C. H. Fitch, 6,769 feet, at 90 cts. a foot, 6,092 10 



Total, $54,342 10 

The deeds of these last two sales have not yet been delivered, 
but as the Trustees know of nothing likely to interfere with the 
consummation of the bargains, they are recorded here. 

The Trustees have, so far, seen no reason to doubt the bene- 
fit, to a limited extent, of the cottage system, as it is called, 
which they commenced by placing in houses already on the new 
lands, families composed of patients under proper supervision, 
who do not require all the restraint of a hospital. 

The content and cheerfulness exhibited by most of the pa- 
tients when thus restored to something like a home life, can 
hardly fail to promote their recovery, or. when that is hopeless, 
to improve their condition. 

The experiment so far has been carried on under great diffi- 
culties, arising partly from the distance of the cottages from the 
present hospital, partly from the buildings not having been 
originally designed for the purpose for which they are now used, 
and partly from the commencement of a new system. It is too 
early now to compare the expense of supporting patients at the 
hospitals and in the cottages, or to say for how large a propor- 
tion of them the cottage system can be used to advantage. It 
may be that it is not advisable to extend it further than we have 
already done. 

During the last year Dr. Merrick Bemis resigned his situation 
as Superintendent of the hospital, after a long service of twenty- 
four years, first as Assistant-Physician, and afterwards as Super- 
intendent. 

The Trustees elected Dr. Bernard D. Eastman, First Assistant- 
Physician of the National Hospital at Washington, to succeed 
Dr. Bemis as Superintendent, and he entered on the office on 
the twenty-fifth day of July last. From the high character which 



8 . LUNATIC HOSPITAL AT WORCESTER. [Oct. 

Dr. Eastman had gained before his connection with us, as well 
as from the remarkable capacity which he has shown for the 
arduous duties of his situation during the short time he has 
held it, we confidently anticipate that his administration of the 
hospital will prove highly creditable to himself, and useful to the 
public. 

The Trustees have recently chosen Dr. John G. Park, of 
Worcester, Assistant-Superintendent. We have every reason 
to believe that he will prove an efficient and valuable officer. 

The Trustees consider the hospital fortunate in still retaining 
the services of Dr. Stinson, as Assistant-Physician for the female 
wards, the first of her sex, they believe, who has held such a 
position. 

The report of the Treasurer presents a very prosperous con- 
dition of the finances of the institution. Yet the Trustees are 
forced to repeat what has been stated in more than one of their 
previous reports, that the price for the board of paupers paid by 
the State and towns, does not defray the actual Bxpense of 
maintaining them ; and that the deficiency has to be made up 
out of the price paid by private patients. 

The payment of this enhanced price is frequently a great 
hardship. Patients are often supported by relatives who are 
properly reluctant to have them appear as town paupers, and yet 
who have to work hard to pay five dollars a week for them. We 
venture to suggest to the benevolent, who give so generously to 
public charities, that the creation of a fund to pay a part of the 
board of this class of patients from its income, would be money 
well bestowed. The hospital has now a small fund, given by a 
lady's will, that now amounts to nearly three thousand dollars, 
the income of which, the Trustees think of appropriating for the 
benefit of those private patients who most need assistance. 

Many suppose that it is quite needless to give money to the 
hospitals of the Commonwealth, which is so able to support its 
own charities. But it should be recollected that the board of 
this class of patients is not paid by the State, but by relations, 
frequently impoverished by the insanity of the fathers, sons, 
daughters and brothers whom they are compelled to support 
when least able to do so. To assist these persons is in no sense 
giving money to the Commonwealth, but it is relieving per- 



1872.] PUBLIC DOCUMENT— No. 23. 9 

sons in straitened circumstances, who are specially deserving 
relief. 

The Trustees commence the new official year under very fa- 
vorable auspices, with officers in whom they have full confidence, 
with finances unembarrassed, and the location of the new hos- 
pital which they propose to build, most fortunate. 

S. E. SEWALL. 
R. W. HOOPER. 
HENRY CHAPIN. 
WM. S LINCOLN. 
JOHN D. WASHBURN. 

"WORCESTEK, October 24, 1872. 



10 . LUNATIC HOSPITAL AT WORCESTER. [Oct. 



SUPERIIS'TEI^DEKT'S REPORT. 



1o the Board of Trustees. 

Gentlemen : — I have the honor to submit the Fortieth An- 
nual Report of the Worcester Lunatic Hospital. 

Inasmuch as I have been conversant with the operations of 
the hospital but little more than two months, this Report will, 
for the most part, be a compilation from the records of the 
hospital as they came into my hands. 



Table No. 1. 

Showing the general results during the year. 



Patients in the Hospital, Oct. 1, 1871 
Admitted during the year, 
Whole number under treatment, 
Discharged recovered, 

Improved, . . 

not improved, . 
Died, ...'... 
"Whole number discharged, 
Eemaining September 30, 1872, 



Males. Females. Total. 



200 

251 

454 

91 

102 

32 

29 

254 

197 



221 

192 

413 

54 

90 

16 

11 

171 

242 



421 
443 
864 
145 
192 
48 
40 
425 
439 



It appears that the number of admissions for the year ending 
September 30, 1872, was twenty-seven (27) less, and the num- 
ber discharged, including deaths, was thirty-two (32) less than 
during the previous year. 



1872.] PUBLIC DOCUMENT— No. 23. 11 

The number of admigsions, as given in the table, is somewhat 
greater than the actual number of patients received. When a 
patient is admitted who is to be a public charge, but whose 
settlement is not certainly known, he is classed as a state 
patient, and so reported to the Board of State Charities. . The 
general agent of the board then investigates the case, and if a 
settlement is found, directs the transfer of the patient's account 
to the town which is legally responsible for his support. In 
such cases it appears to have been the custom to discharge the 
patient upon the hospital records and to immediately reenter 
him as another admission, giving him a new register number. 

The effect of this is, obviously, to swell the number of nom- 
inal admissions and discharges. Twenty-three (2H) persons 
appear to have been thus transferred during the first ten (10) 
months of the year, which reduces the actual number of patients 
admitted to four hundred and twenty (420), and the actual 
number discharged to four hundred and three (403). During 
the last two months, ten (10) such transfers have been made, 
without giving the patients new register numbers. 

The number discharged as recovered is considerably less than 
in the previous year. 

The number of deaths is but a trifle more than two-thirds the 
number which occurred in the preceding year. 

The number of patients remaining at the close of the year, 
was four hundred and thirty-nine (439), the largest number 
which remained at the close of any hospital year since the 
opening of the institution, except the years 1850 to '53 inclu- 
sive, which period was just before the opening of the hospital 
at Taunton. 

The patients remaining are classified in reference to the way 
in which they are supported, as follows : — 

Table No. 2. 

state Patients, 25 

Town Patients, 245 

Private Patients, . ... . . . . . . 169 

Total • . . .' 439 



12 



LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 3. 

Showing the Causes of Insanity, as well as could be ascertained, in the numier 
of cases admitted during the year 1872. 



CAUSES. 



Hereditary, 
Periodical, . . 
Paralysis, 
Epilepsy, . 
Phrenitis, . 
Neuralgia, 
Neurastlienia, . 
Fever, 

Exanthemata, . 
Menstrual Disorder, 
Uterine Disease, 
Puerperal, 
Turn of Life, . 
Masturbation, . . 
Intemperance, . 
Use of Tobacco, 
Domestic Trouble, . 
Domestic Affliction, 
Disappointed Affection, 
Pecuniary Trouble, . 
Spiritualism, 
Eeligious Excitement, 
Fright, 

Injury to Head, 
Incidental Injuries, . 
Disease of Brain, . 
Old Age, . 
Unascertained, 

Totals, 



Number of Cases. 



Males. Females. 



21 
5 
4 

11 
1 
1 
7 

1 



14 
42 
2 
2 
1 
1 
7 
1 
3 
2 
6 
1 
10 

104 
251 



25 
9 
1 
6 



6 
2 

2 

1 

10 

11 



10 
1 



1 
1 

1 

84 

192 



NUMBEE PkEDISPOSED. 



21 
6 
1 



Males. Females. 



39 



25 
9 



43 



1872.] 



PUBLIC DOCUMENT— No. 23. 



13 



Table No. 4. 

Showing the Ages of Patients Admitted, Discharged Becovered, not Becovered, 
and Died during the Year. 







Admitted. 


DiSCHAKGED Re- 
COVEEED. 


DiSCHAEGED NOT 

Eecoveked. 


Died. 


AGES. 




















Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Less than 15, 


1 


- 


- 


- 


1 


- 


- 


- 


From 15 to 20, 


3 


10 


2 


3 


5 


8 


- 


- 


20 to 30, 


80 


39 


21 


12 


42 


22 


6 


- 


SO to 40, 


74 


38 


26 


9 


44 


26 


3 


1 


40 to 50, 


34 


49 


19 


9 


20 


27 


4 


3 


60 to 60, 


34 


29 


15 


11 


13 


14 


9 


3 


60 to 70, 


19 


15 


6 


8 


8 


5 


5 


2 


70 to 80, 


4 


6 


2 


1 


1 


4 


- 


- 


80 to 90, 


1 


3 


- 


1 


- 


- 


2 


2 


Unknown, . 


1 


3 


- 


- 


- 


- 


- 


- 


Totals, 


251 


192 


91 


54 


134 


106 


29 


11 



14 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 5. 

Showing the Duration of Insanity before Achnission of Patients Admitted, Dis- 
charged Recovered, not Recovered, and Died during the Year. 




Table No. 6. 

Showing the Civil Condition of Patients Admitted, Discharged Recovered, 
not Recovered, and Died during the Year. 



















CIVIL CONDITION. 


Adhitted. 


DiSCHAEGED KE- 
COVEKED. 


DiSCHAEGED 
NOT RECOYEKED. 


Died. 




Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Males. 


Females. 


Unmarried, 


128 


68 


32 


18 


86 


52 


9 


4 


Married, . 


111 


88 


52 


29 


43 


34 


14 


3 


Widowers, 


7 


- 


5 


- 


5 


- 


5 


- 


Widows, . 


- 


36 


- 


7 


- 


20 


- 


4 


Unknown, . 


5 


1 


2 


- 


- 


- 


1 


- 


Totals, . 


251 


192 


91 


54 


134 


106 


29 


11 



1872.] 



PUBLIC DOCUMENT— No. 23. 



15 



Table No. 7. 

Showing the Occupation of Patients Admitted during the Year. 



Males, — 


Mechanics, 


4 


Artists, 2 


Mariners, .... 


6 


Agents, . 








2 


Operatives in mills, . 


16 


Blacksmith, 








1 


Painters, . . . . . 


11 


Butcher, . 








1 


Printers, 


4 


Book-keepers, 








4 


Paper-maker, . 


1 


Brick-maker, . 








1 


Pedlers, .... 


2 


Basket-makers, 








6 


Polisher, . ^ .. . 


1 


Clergymen, 








3 


Pattern-maker, 


I 


Carpenters, 








7 


Restaurator, . 


1 


Cabinet-maker, 








1 


Shoemakers, . 


25 


Confectioner, 








1 


Student, .... 


1 


Clerks, 








3 


Ship-carpenter, 


1 


Curriers, . 








2 


Stone-cutters, . 


6 


Dentist, . 








1 


Superintendent of railroad, . 


1 


Expressman, 








1 


School boy, 


1 


Farmers, . 








16 


Traders, .... 


3 


Fishermen, 








2 


Tailor, .... 


1 


Glass-blower, 








1 


Teacher, . 


I 


Harness-maker, 








1 


Tobacconist, . 


1 


Jeweller, . 








1 


Tinners, . . . . 


2 


Laborers, . 








70 


Teamsters, 


2 


Manufacturers, 








4 


Undertaker, 


1 


Merchants, 








5 


Vagrants, .... 


2 


Masons, . 








2 


No occupation,. 


10 


Musician,. 








1 






Machinists, ^ , 






6 


Total, . . . . 


251 


Moulders, . 








2 







Females, — 
Housekeepers, . 
House-maids, . 
Music-teacher, . 
Nurse, 
Operatives in mills, 



118 

22 

1 

1 

15 



Seamstresses, . 
School girls, . 
Teachers, . 
No occupation,. 

Total, 



14 
3 

4 
14 

192 



16 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Table No. 8. 

SJioicing the Diseases which have proved Fatal during the Year. 



DISEASES. 



Apoplexy, . . . 

Palsy, .... 

General Paralysis, 
Epilepsy, .... 
Mania a potu, . 
Maniacal Exhaustion, 
Organic Disease of the Heart, 
Tubercular Phthisis, 
Marasmus, . . . 

Inanition, .... 
Bright's Disease, 
Old Age, .... 
Accident, .... 
Carbuncle, . . . . 

Total, 



Males, 


Females. 


3 


2 


3 


- 


2 


- 


6 


- 


1 


- 


8 


3 


1 


- 


- 


1 


1 


- 


_ 


2 


1 


- 


2 


2 


1 


- 


- 


1 


29 


11 



Total. 



5 
3 
2 
6 
1 
11 
1 
1 
1 
2 
1 
4 
1 
1 



40 



The case of death reported as caused by accident, was that 
of a feeble paralytic, who, attempting to bathe during the tem- 
porary absence of his attendant, slipped into the tub and was 
unable to extricate himself. 



1 



Table No. 9. 

Showing the Admissions from each County during the Year. 



COUNTIES. 


Males. 


Females. 


Totals. 


Barnstable, ....... 


1 


^ 


1 


Essex, 
















37 


33 


70 


Hampden, . 
















1 


1 


2 


Hampshire, 
















- 


1 


1 


Middlesex, 
















101 


71 


172 


Norfolk, . 
















2 


6 


7 


Plymouth, . 
















1 


2 


3 


Suffolk, . 
















18 


15 


33 


Worcester, , 
















90 


63 


153 


Other States, 
















- 


1 


1 


Total, 
















251 


192 


443 



1872.] 



PUBLIC DOCUMENT — No. 23. 



17 



Table No. 10, 

Shoioing the Whole Number of Patients during the last year, the Average 
Number, the Number at the end of each year, the Expense of each year, 
the Annual Expense for each Patient, and the Expense of each Patient per 
week for each of the Forty years the Hospital has been in operation. 





Whole 


ATerage 


Number at 


Current 


Annual Ex- 


Expense per 


TEARS. 


Number. 


Number. 


end of 


Expenses of 


pense for each 


week for 








eacb year. 


each year. 


. Patient. 


each Patient 


1833, . • 


153 


107 


114 


$12,272 91 


$114 67 


• $2 25 


1834, . 




233 


117 


118 


15,840 97 


136 38 


2 60 


1835, . 




241 


120 


119 


16,576 44 


137 30 


2 64 


1836, . 




245 


127 


138 


21 395 28 


168 44 


3 12 


1837, . 




306 


163 


185 


26,027 07 


159 64 


3 07 


1838, . 




362 


211 


218 


28,739 40 


136 20 


2 62 


1839, . 




397 


223 


229 


29,474 41 


132 18 


2 53 


1840, . 




391 


229 


236 


27,844 98 


121 59 


2 32 


1841, . 




399 


233 


232 


28,847 62 


123 81 


2 38 


1842, . 




430 


238 


238 


29,546 87 


111 12 


2 13 


1843, . 




458 


244 


255 


27,914 12 


114 40 


2 20 


1844, . 




491 


261 


263 


29,278 75 


112 17 


2 15 


1845, . 




656 


316 


860 


43,888 65 


138 88 


2 66 


1846, . 




637 


359 


367 


39,870 37 


111 06 


• 2 13 


1847, . 




607 


377 


394 


39,440 47 


104 62 


2 01 


1848, 




655 


404 


409 


42,860 05 


106 09 


2 05 


1849, . 




682 


420 


429 


40,870 86 


97 31 


1 87 


1850, 




670 


440 


441 


46,776 13 


106 40 


2 04 


1851, 




704 


■ 462 


466 


52,485 33 


112 61 


2 16 


1852, 




775 


515 


532 


43,878 35 


85 20 


1 62 • 


1853, 




820 


537 


520 


53,606 66 


103 14 


1 98 


1854, 




819 


430 


381 


53,221 52 


123 77 


2 38 


1855, 




580 


349 


336 


54,895 88 


157 29 


3 02 


1856, 




577 


357 


376 


45,631 37 


128 64 


2 47 


1857, 




647 


387 


372 


49,004 75 


124 04 


2 38 


18.58, 




679 


372 


301 


38.267 26 


102 86 


2 39 


1859, 




501 


309 


317 


48,363 33 


156 51 


3 01 


1860, 




532 


324 


331 


47,757 01 


147 39 


2 83 


1861, 




583 


369 


379 


54,748 53 


148 37 


2 84 


1862, 




600 


401 


396 


53,043 88 


132 18 


•2 50 


1863, 




611 


398 


399 


66,082 36 


166 03 


3 19 


1864, 




625 


366 


344 • 


66,612 00 


182 00 


3 50 


1865, 




565 


350 


343 


73,772 41 


211 37 


4 06 


1866, 




630 


368 


381 


88,398 73 


239 28 


4 60 


1867, 




669 


389 


355 


86,930 88 


223 47 


4 30 


1868, 




651 


370 


382 


72,054 59 


197 60 


3 80 


1869, 




719 


387 


376 


81,440 58 


209 04 


4 02 


1870, 




760 


396 


408 


75,715 51 


191 20 


3 68 


1871, 




879 


439 


421 


96,455 69 


219 27 


4 22 


1872, 

-c : L 




864 


445 


539 


92,542 36 


207 96 


4 00 



18 LUNATIC HOSPITAL AT WORCESTER. [Oct. 

The plans for the new hospital buildings are being perfected 
as rapidly as possible, and many of the details have already 
met ycur approbation. It is thought these plans will strike a 
happy medium between the older fashioned system of aggrega- 
tion and the theoretical system of segregation, which has been 
urged in some quarters. 

If, while patients are aggregated in a way which affords the 
best opportunity for careful personal observation, and reduces 
the expense of administration, sustenance and entertainment to 
the lowest limit compatible with the demands of the most 
enlightened treatment of the mifortunate insane, they are sepa- 
rated into small classes, the best features of both systems will 
be combined. 

This is what it is hoped will be accomplished by following 
the general arrangement of the best modern hospitals, upon the 
connected plan ; but breaking up the long, tiresome corridors 
with pleasant sitting-rooms and recesses connected with passage- 
ways from which open the bed-rooms. 

This will also render it practicable to sub-divide the indvidual 
wards, should it be desired, and to furnish at any time private 
apartments for special patients and particular occasions, the 
advantages of which every Superintendent will appreciate. 

The separation of the adjacent sections ot the building by 
glazed verandas will afford opportunity for the enjoym^ent of 
light and air and in-dcor plants, and will also be a great protec- 
tion against the spread of fire, should the hospital ever be so 
unfortunate as to have that calamity befall it. 

I am under obligation to Dr. Stiuson and Mr. D. W. Bemis^ 
the only two of the corps of officers whose connection with the 
hospital antedates my own, for the valuable assistance they 
rendered in the really great work of becoming acquainted with 
the routine of such a large institution. In Dr. Park and Miss 
Taylor I also find efficient and valuable officers. 

To you, gentlemen, I must return my sincere thanks for your 
cordial coopei-ation and ready assistance in the difficult and 
arduous duties devolving upon me. 

B. D. EASTMAN, 
Superintendent. 

WOEGESTEE LoNATic HOSPITAL, WOECESTEE, MASS., October 1, 1872. 



1872.] PUBLIC DOJUMENT— No. 23. 



TEEASUKEE'S EEPOET. 



To the Trustees of the Worcester Lunatic Hospital. 

Gentlemen: — I herewith submit my Annual Report on the 
finances of the Worcester Lunatic Hospital for the year ending 
September 30, 1872. 

Receipts. 

Cash on hand September 20, 1871, . . . $8,185 23 
received of the Commonwealth for support 

of patients, 9,099 00 

received of cities and towns for support of 

patients, 39,233 75 

received ofindividuals for support of patients, 48,148 45 

received for interest and sale of produce, etc., 3,125 79 
received of the Commonwealth on New 

Hospital account, 727 00 



$108,519 22 



The expenditures for the year have been as follows : — 
Provisions: 
Flour, 612 barrels, . . . $5,55129 

Fresh meats, . . . .4,172 33 

Salt meats, 3,308 42 

Meal for cooking, .... 400 07 
Beans, potatoes and other vegetables, 1,261 91 

Fish, 898 86 

Sugar, 2,556 44 

Molasses and sirup, . . . 464 00 
Tea, 1,193 51 



Amount carried forward, $19,806 83 



20 LUNATIC HOSPITAL AT WORCESTER. [Oct. 



Coflfee and chocolate, 


. 1,044 57 




Rice and crackers, . 


. -543 


34 




Butter, 


. 5,091 


90 




Vinegar and pickles, 


. 205 


30 




Cheese, 


74 


5& 




Fresh fruits, .... 


. 281 


13 




Eggs, salt and other groceries, . 


. 2,517 


17 




Total for provisions, 






$29,564 80 






Salaries and wages, . 






31,846 02 


Extra labor, . . . . 






696 00 


Provender and bedding for stock, 






1,058 57 


Furniture, crockery, bedding, &c.. 






6,445 62 


Light, , 






2,225 30 


Soap, 






483 90 


Medical supplies, . 






1,060 66 


Live stock, .... 






1,771 55 


Carriages, harness, blacksmithing. 


&c., 




1,652 12 


Improvements and repairs. 






2,329 64 


Travelling and transportation, . 






151 77 


Books, stationery and printing. 






481 27 


Fuel, 






8,751 94 


Freight and express, 






232 91 


Ice, 






520 23 


Trustees' expenses, . 






150 32 


Miscellaneous, .... 






2,751 31 


Total current expenses. 


$92,533 93 


Clothing and materials, . 






4,733 96 


Undertaker's charges, 






821 85 


Furnished to private patients, on 


account, . 




978 86 


Land, insurance, interest, surveys, 


&c. 




1,418 96 


Total expenditures, . 


$100,487 56 


Cash on hand September 30, 


1872, . 




8,031 66 




$108,519 22 



1872.] PUBLIC DOCUMENT— No. 23. 21 

Resources. 

Cash on hand, $8,031 66 

Due from the Commonwealth, .... 2,745 00 

from cities and towns, .... 14,935 84 

from individuals, 16,059 76 



Liabilities. 

Due for supplies and expenses, . $15,836 45 
for salaries and wagfes, . 8,119 95 



$41,772 26' 



23,956 40 



$17,815 86 
Invested funds, market value, . . . . 2,874 43 



Total surplus, ...... $20,690 29 

D. W. BEMIS, Treasurer. 

Worcester Lunatic Hospital, > 
October 1st, 1872. 5 

We have examined the above account with the vouchers, and find it 
correct. 

Wm. S. Lincoln, 
John D. Washburn, 

Auditing Committee. 



NEW HOSPITAL ACCOUNT. 

Received from State appropriation of 1869-70, $100,000 00 
Appropriation of 1870-71, 30,000 00 



$130,000 00 



Drawn on the above, — 
For purchase of land Lucy A. Watson, $11,000 00 
Henry Prentice, 23,000 00 
Robert Taft, . 36,000 00 



Amounts carried forward, . . $70,000 00 $130,000 00 



22 LUNATIC HOSPITAL AT WORCESTER. [Oct. '72. 



Amounts brought forward, .$70,000 00 $130,000 00 

Chas. Bowen, . 40,000 00 



Interest, 



561 21 



110,561 31 



Balance of appropriation of 1871, . . $19,438 69 
Drawn on the above for bills contracted in erecting 
new barns, repairing cottages, surveying, &c. : 



Stone work, cement, &c., 


$1,555 07 


Lumber, .... 


. 7,104 35 


Carpen:er work, . . . 


. 6,240 23 


Transportation of lumber. 


469 49 


Hardware, .... 


347 33 


Planing, moulding, &c., . 


455 68 


Tin work, .... 


332 02 


Paints, painting, &c., 


213 18 


Labor and stock on cottages, . 


934 03 


Surveying and conveyancing, . 


436 40 . 


Land purchased by John Bartlett, 


700 00 




10 017 73 







Balance undrawn, 



$620 91 



Liabilities. 

Note of twenty -five hundred dollars given to 
Sarah Phillips for land purchased of John 
Bartlett, 

Accrued interest, 



$2,500 00 
175 00 



$2,675 00 
D. W. BEMIS, Treasurer. 



At>^2 5*Sa^*?-^