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No person can be admitted on the charity of the institution whose case is judged to be incurable.

Pay patients may be admitted by the Steward, on the certificate of a Hospital physician, at the rates hereinafter established.

No person having a syphilitic disease, or mania-àpotû, can be admitted as a charity patient; the lowest charge being fourteen dollars per week for the latter.

The lowest rate of board for pay patients is $7 per week.

All pay patients are required to give good security for the payment of their board, or deposit at least a month's board in advance.

All patients are to be discharged as soon as they are cured; and all charity patients whose cases, after a reasonable time of trial, shall be judged incurable, are to be discharged.

Sailors who have had their wages taxed for the Hospital fund, are admitted, as to other hospitals, upon an order from the Collector of the Port.

The whole number of patients admitted since the establishment of the Hospital in 1752 to April 25, 1874, is 92,545, of whom 59,759 have been poor persons, supported during their stay by the Institution. (Including the Insane Department, the former number is increased to 99,133.)

At the 124th annual meeting of this corporation, held May 4, 1874, the following contributors were elected to serve as Managers for the ensuing year :

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Officers appointed by the Managers:

Steward: William G. Malin.

Matron: Mary D. Sharpless.

Clerk and Librarian: Frank Woodbury, M.D.

Apothecary: Charles Wirgman.

Physicians: John Forsyth Meigs, M.D., Jacob M. Da Costa, M.D., James H. Hutchinson, M.D., J. Aitken Meigs, M.D.

Surgeons: Addinell Hewson, M.D., William Hunt, M.D., Thos. George Morton, M.D., Richard J. Levis, M.D.

Resident Physicians: Edward W. Jameson, M.D., J. A. Lippincott, M. D., Morris J. Lewis, M.D.

Pathologist and Curator: Morris Longstreth, M.D.
Microscopist: Joseph G. Richardson, M.D.

A department for out-patients has recently been. established by the Managers, and is open daily (Sundays excepted) from 10 to 11 A. M.

Physicians: Drs. Morris Longstreth, Joseph G. Richardson, and Joseph J. Kirkbride.

Surgeons: Drs. Charles T. Hunter, Thomas H. Andrews, and Elliott Richardson.

The Pennsylvania Hospital for the Insane

Is under the same Board of Managers as the preceding, and its city office is at the Hospital in town, at 8th and Pine Streets. There are two departments of this Institution, the Male and Female, both under the same Physician-in-Chief, with one or more Assistant Physicians, a Stewart, and a Matron, for each department. All these officers reside on the premises.

The buildings are situated between the Westchester and Haverford Roads, west of 42d Street, and are reached by the Market Street cars. The eastern one is devoted to female patients, the western, opened in 1859, to males.

Admission of Patients.—All classes of insane persons, without regard to the duration of the disease or to its curability, are admitted into this Institution. Idiots, however, it may be stated, are not received; and for the epileptic, a special agreement should be made.

Cases of mania-â-potû are not received into this Hospital; but into that in the city, exclusively.

Preparatory to the reception of a patient, it is necessary to arrange the rate of board, etc., with a member of the Board of Managers, and to furnish a certificate of the patient's insanity from two respectable graduates of medicine, duly acknowledged before a magistrate or judicial officer (as required by the laws of Pennsylvania), with a request from a near relative or friend that the individual may be received into the Institution. A full and detailed history of each case is also particularly requested.

For the payment of board, and removal of a patient when discharged, security is always required from some responsible resident of the city of Philadelphia. Payment for board is always to be made quarterly in advance and if the patient is removed uncured, before the expiration of the first three months, and contrary to the advice and consent of the Superintending Physician, board is always required for thirteen weeks; otherwise, the charge is only for the time actually passed in the Hospital, provided that time is more than four weeks.

Interest will be charged on bills not paid till after the expiration of the quarter.

Large chambers and private attendants can always be supplied, if desired by the friends of the patients.

A limited number of insane persons in indigent circumstances, whose cases are recent, and such as are believed to offer a fair chance of cure, may be admitted as patients by the Attending Managers for a period not exceeding three months for each case, and treated without any charge. If promising favorably, and on the recommendation of the Physician, the period may be extended at the discretion of the Board. Security for the removal of such patients when discharged and for their clothing whilst in the Hospital, is required of some responsible resident of the city of Philadelphia, or its vicinity. The number of these patients is from time to time regulated by the Board of Managers, and is now fixed at forty-six.

Regulations for the Admission of Visitors.-The Board of Managers, recognizing the duty of shielding the insane from all improper exposure, and regarding their right

of protection from the gratification of an idle curiosity on the part of strangers, as just as great, while residents of a hospital, as in their own dwellings, have adopted the following regulations for the admission of visitors:—

Visitors are not to be admitted before Ic o'clock A. M., after sunset, nor on the first day of the week. They are not to be admitted on the afternoon of Seventh day (Saturday) unless on special business with the Attending Managers, or with one of the officers of the house.

All parts. of the Hospital not occupied by patients may be shown and explained during the hours for the admission of visitors.

No visitor, unless in company with a Manager, can be taken into the wards, without permission from the Physician to the Hospital, or, in his absence, from the Assistant Physician; and when visitors are allowed to enter the wards, they must always be accompanied by one of these officers, by the Steward or Matron, or by some person delegated by the physician for the purpose.

As this Hospital cannot be allowed to become a resort for idle curiosity, it is hoped that the friends of patients, and all others, will carefully avoid prolonging their visits unnecessarily. And those employed in the care of the patients or in the domestic departments are to avoid inviting company to the Hospital.

The pleasure railroads and other contrivances for the amusement of the patients, are not to be used by visitors; nor are they to enter the museums or to pass through the pleasure grounds, except by special permission.

It is expressly forbidden to furnish any inmate of this

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