$10 60 per week

But of the patients enumerated above, 146

paid for 263 weeks' board.

Leaving, therefore, the sum of

$120,552 65

3,948 64

$116,604 01

as the cost to the city of treating 3,381 patients, for a period of 11,104 weeks, which is at the rate of $10.50 per week. The cost of taking care of 229 patients in the small-pox department of the Hospital during the recent epidemic, and not provided for in the appropriation for the year, amounted to $10,219.93, or $22.641 per week for 4514 weeks. Deducting this expenditure and estimating the average cost of maintaining each patient, in all the departments of the Hospital proper, in the same manner as above, it will appear that there was expended the sum of $107,783.24, as the cost to the city of treating 3,229 non-paying patients for 10,7435 weeks at the rate of $10.03 per week. The expense of maintaining the out-patient departments, estimated at $1,500 to $2,000, has not been deducted in making these statements.

The increase in the amount of the expenditures for the year was caused, in some degree, by the greater number of patients treated, but chiefly by the large expenses on account of the Small-pox Hospital, that had not been anticipated in making the appropriation for the year, which was $107,000. It, therefore, became necessary to ask the Government for a special appropriation of $11,500, to cover the additional cost of maintaining the Small-pox Hospital till it was discontinued in August.

The increase in the number of patients treated in the Hospital has gone on during the past as in former years, the daily average for the year being 218 patients, nearly 12 per day in excess of the number treated in any previous year. To speak of the difficulties of management that rapidly multiply as the numbers increase above the proper capacity of

the wards of the Hospital, and to urge the necessity of more room for the sick, would only be to repeat the representations of the Board of Trustees in their reports of former years. There is also still the very pressing need of additional accommodations for the surgical department, both of rooms for out-patients and of a more commodious and convenient operating-room. The Trustees forbear to urge the immediate attention of the Government to this matter, only because of the extraordinary demands that are being made upon it, in consequence of the recent disaster and loss that has befallen the city. It is believed, however, that as a matter of economy deserving early attention, the heating apparatus should, during the coming summer, undergo the thorough repairing that is now needed after nine years' constant use.

The vacancies in the Medical Staff, existing at the beginning of the year, caused by the resignations of Dr. Fitch E. Oliver, as Visiting Physician, and Dr. D. McB. Thaxter, as Visiting Surgeon, were filled by the election of Dr. Robert T. Edes as Visiting Physician, and Dr. George W. Gay, as Visiting Surgeon. The resignation of Dr. John P. Reynolds, as Visiting Physician, having been presented and accepted, Dr. George J. Arnold was elected in his place.

Dr. S. G. Webber having declined to be a candidate for re-election, as Pathologist, Dr. W. P. Bolles was chosen in his stead.

Dr. M. E. Webb was elected as Visiting Physician in the small-pox department, and was in attendance from May 1st till August 27th, when the department was discontinued by order of the Government.

In the month of May, at the first meeting of the Board of Trustees, a communication was received from Mr. L. A Cutler, tendering the resignations of Mrs. Cutler, as Matron, and Miss Anna M. Cutler, as Assistant Matron, also declining to be considered a candidate for re-election as Superintendent for the year ensuing. On the 1st of July

following, the connection of these officers with the Hospital terminated, after eight years of constant and honorable service. At their meeting on the 11th of June, the following resolutions were passed by the Trustees:

Resolved. That the cordial thanks of the Board are hereby tendered to Lucius A. Cutler, Esq., for his long, faithful, and arduous services as Superintendent of this Hospital, and as the time approaches when Mr. Cutler's connection with the Hospital is to end, the Board expresses the wish and hope that success and happiness may attend his efforts in the future.

Resolved, That a copy of these resolutions be engrossed, and transmitted to Mr. Cutler.

Resolved, That the thanks of this Board be presented to Mrs. Cutler and Miss Cutler, for their faithful services as Matron and Assistant Matron.

It thus became the duty of the Trustees, in the first months of their connection with the Hospital, to fill important positions by the election of new officers, as well as to take upon themselves the labor and responsibility of the management of the institution, as it was left to them by the gentlemen of the former Board, in whose years of zealous labors, devotion and experience in the work the Hospital had been established in its high reputation as a noble charity.

It was determined to combine the office of Admitting Physician with that of Superintendent, in order that for the convenience and benefit of those seeking admission, and for other desirable considerations, there might be a physician residing at the Hospital. Upon the recommendation of the Medical Staff, Dr. Edward Cowles was elected, and entered upon the duties of Superintendent on the 1st of July, and upon those of Admitting Physician, on the 1st of October, thereby relieving Dr. F. E. Bundy from the latter office, the title of which was afterwards changed to that of Resident Physician.

Mrs. Sarah A. Fletcher was elected Matron, to fill the office from the 1st of July, for the remainder of the year.

For the donations of books and other reading matter, and the personal labors of kind friends of the Hospital in the improvement of the library, and for other gifts and attentions to the sick from other sources, the cordial thanks of the Board are returned.

The Trustees desire to acknowledge their appreciation of the continued services of the clergymen and others, whose kind attentions to the sick in the Hospital add greatly to their comfort.

To the gentlemen of the Medical Staff, and to the Superintendent, the cordial thanks of the Board are due, for their earnest and successful labors in promoting the interests of the Hospital, and the welfare of the patients under their charge.

E. C. DREW, President.

REPORT OF THE SUPERINTENDENT AND

RESIDENT PHYSICIAN.

CITY HOSPITAL, April 30, 1873.

TO THE BOARD OF TRUSTEES :

GENTLEMEN : I have the honor to present herewith the Annual Report of the Hospital for the past year.

The following table shows the number of patients, who have, each year, applied for admission, and been treated at