GIFT OF DEPT. Digitized by the Internet Archive in 2007 with funding from IVIicrosoft Corporation http://www.archive.org/details/firstbiennialresOOnewhrich FIRST BIENNIAL REPORTS OP THE BOARD OF CONTROL OF NEW HAMPSHIRE AND OP THE PURCHASING AGENT FOE THE BIENNIAL PERIOD ENDING AUGUST 31, 1914 •».•. »*. ». • MANCHESTER, N. H. Printed by John b. Clarke Co. 1915 •a ^0 <\ J l.t^ -> ^/^ Printed by John B. Clarke Co., Manchester Bound by Craqg Bindery, Concord sf.<^- ■ LETTERS OF TRANSMITTAL. Concord, N. H., Nov. 2, 1914. To His Excellency the Governor, and the Honorable Council: In conformity with the law creating the Board of Control, we have the honor to submit herewith our first biennial re- port covering the period from June 1st, 1913, to August 31st, 1914. Respectfully submitted, SAMUEL D. FELKER, WILLIAM J. AHERN, GEORGE W. FOWLER, GEORGE w. McGregor, BENJAMIN W. COUCH. Concord, N. H. Nov. 2, 1914. To His Excellency the Governor, and the Honorable Council: In conformity with the act establishing the office of Pur- chasing Agent, I have the honor to submit my first biennial report covering the period from September 1, 1913, to August 31, 1914. Respectfuly submitted, GEORGE W. FOWLER. 36545;^ CONTENTS. Eeport of Boaed of Conteol. Eeport of Puechasing Agent. Eepobt of State Hospital. Repoet of Industrial School. Repoet of School foe Feeble Minded. Report of State Sanatorium. BOAED OF CONTROL. Samuel D. Felkee, Eochester, (ex officio) Governor of the State. William J. Aheen, Concord, (ex officio) Secretary of the State Board of Charities and Corrections. George W. Fowlee^ Pembroke, Secretary, term expires July 19, 1916. De. Geoege W. McGeegoe, Littleton, term expires May 29, 1917. Benjamin W. Couch, Concord, term expires August 4, 1915. Employees of the Boaed. Chase E. Whitchee, Architect. Chaeles H. Smith, Inspector of Construction. Alfeed L. Guay, Inspector of Construction. THE PUECHASING AGENT. George W. Fowlee, Pembroke, Purchasing Agent, Term Expires July 19, 1916. Employees. NoEA M. HoDNETT, Clerk and Stenographer. Nellie L. Gannon, Bookkeeper. • > < REPORT OF THE BOARD OF CONTROL COVEKING THE PERIOD FROM JUNE 1, 1913, TO AUGUST 31, 1914. The act abolishing the Boards of Trustees of the State Pospital, the State Industrial school, the School for Feeble Minded Children and the State Sanatorium, and creating the Board of Control, went into effect June 1, 1913, as to the Board of Control, and on September 1, 1913, as to the Purchasing Agent. The terms of the act are such that it is necessary that two separate reports should be made, one relating to the Board of Control, and the other relating to the Purchasing Agent. The Boakd of Conteol. The Board organized July 28, 1913, by electing Mr. Ahem Chairman, and Mr. Fowler Secretary. In August a contract for a year was made with Chase R. Whitcher of Manchester, N. H., under which he became State Architect, to draw plans and specifications, submit estimates, and generally supervise institutional construction. The board has held regular, general business meetings at its office in the State House on Friday of each week, at which times the superintendents of the several institutions have appeared and presented their various matters to the board for its consideration. Such additional meetings as exigencies have required have been held from time to time, both at the board's office and at the various institutions. .-^^ 10 '"•'% ; ^•^S^i^i'Ot ^b:^ :i?oaed of control. One member of the board has made an inspection of each institution each month, the members inspecting the institu- tions in rotation and reporting any matters found to require the attention of the board. The system of having the superintendents bring to the board at the regular meetings anything coming to their at- tention, and of having the members of the board report any- thing found by them on inspection to require attention, seems to us to provide a double check against failure of the board to know of things which ought to be done for the welfare of the inmates or of the institutions themselves. Physical Condition of the Plants. LAND. Land is a most valuable asset for an institution and es- pecially so for those which have inmates who are benefited mentally and physically by regular out-door work. In this the institutions in the western states are more fortunate than most of those in the East. TABLE OF LANDS. Total. Institution. Class. Acreage. Acreage. State Hospital building" site 115 tillage 183 pasturage 120 418 School for Feeble Mind- ed Children building site 90 tillage 88 pasturage 100 wood land 100 sprout land 100 478 Industrial School building site. 15 tillage 95 pasturage 62 sprout land 34 206 Sanatorium building site 10 tillage 60 pasturage 80 wood land 261 411 1.513 KEPORT OF THE BOARD OF CONTROL. 11 BUILDINGS. With very few exceptions, the board found the buildings at the various institutions to be in good, serviceable condition. At the Hospital there is a relatively large per cent of new construction, considering the age of the institution, result- ing from the Act of 1903, under which the pauper insane were taken over from the ten county almshouses. This rel- atively new construction, with capacity, is as follows: The Walker Building, 212 ; Kent Annex, 81 ; South Pavilion, 40 ; North Pavilion, 100; Twitchell House, 30; Peaslee Annex, 45; Hospital Building, 156, and the cow barn, 50 stalls. The older constructions, Peaslee, 24; Kimball & Chandler, 87; Bancroft, 44; Fiske & Eumford, 111; Kent, 63, have been put into a very good state of repair. At the School for Feeble Minded Children, all of the con- struction except the farm buildings and the administration building is relatively new and in a good state of repair. These consist of an administration building, which is a re- modeled farm house; the Quinby building, a well designed and substantially constructed refectory of sufficient size to take care of reasonable growth of the institution; a school building of three stories; the McLane, 90; the Floyd, 90; and the Felker, 100 (nearing completion) dormitories; laundry, central heating plant, isolation hospital, and farm buildings consisting of three barns, paint shop, carpenter shop, small farm house, and a detached farm house used by employees. The farm buildings are in need of paint, and the horse bam is in a very bad state of repair. At the Industrial School the girls' dormitory, Wilkins, 50 capacity, is new construction; Riverview Cottage for smaller boys, 28, is relatively new and both are in excellent condi- tion; the main building is old and of poor design for the purpose for which it is used. We shall recommend certain changes for this building in regard to the dining room and kitchen, which are now entirely unsuitable. The two main barns, corn barn, and other farm buildings are in good con- 12 KEPORT OF THE BOARD OF CONTROL. dition, but at some future time we shall recommend a more suitable arrangement for the piggery. At the Sanatorium all the construction is relatively new, consisting of a two-story brick administration building, a three-story wood construction refectory with infirmary ac- commodations upstairs, one-story male and female wards, heat, light and power plant with laundry included in the construction, hydro-electric power house, and cow barn under construction. INDUSTRIES. t Modern scientific management of public charitable and correctional institutions includes the fostering of industrial pursuits for the inmates, for economic reasons to some ex- tent, but more especially to enhance remedial treatment of the cause which has brought the inmate to the institution. Two general systems seem to be in practice in this country ; the centralized institutional plant doing one particular thing, and small, diversified employments to which various inmates are directed in accordance with what the officers find to be the inmates' natural inclination or adaptation. The board favors the latter, and it is the more difficult to work out. The industrial idea has already been carried into effect quite extensively, as compared to what has been done in other eastern states, at the Hospital, the School for Feeble Minded Children and the Industrial school, but improvements along this line can be made, the exact details of which the board has not yet determined upon. Eeference to the reports of the superintendents to the board, hereto appended, is made for information as to what has already been accomplished in this line. FARMING. The institution farm, wherever the inmates can work, is a most valuable asset, and should be extended wherever and whenever a reasonable opportunity presents itself. REPORT OF THE BOARD OF CONTROL. 13 In addition to its value for remedial treatment, if it is under the charge of a competent farmer, it is bound to be an economic success. The piggery pays best, and these institutions are nearer to a normal line of efficiency as to this than as to the cattle and the hens. Not nearly enough has been done with the hennery in those institutions which have inmates who can give the hens and the henneries that constant care which is necessary in order to make poultry raising successful. "We confess the delinquency of New Hampshire in the matter of its institution herds of cattle. The herds are not bad, but they are not as good as they should have been by this time. No systematic attempt has been made to keep the complete record on each cow, and to follow this up by weeding her out of the herd as soon as by reason of age or for other cause she has dropped below par for efficiency. We entertain in our minds an ambitious program for the state: We would gather the experts and decide on the breed of cattle the state shall raise, would carefully purchase a very few registered heifers and a bull of that breed for each institution, would rotate these bulls until they had been kept at each institution for a proper period and then discard and buy new from outside the institution herds. We would gradually eliminate the grades and scrubs until in course of time we could point with pride to the standard State of New Hampshire cattle, and the farmers of the state could purchase with impunity, and at a fair and reasonable price, bull and heifer calves, out of herds in which they have confidence, interest and pride. We say this is ambitious, but not ex- travagant and would be well worth doing. Reference to the reports of the superintendents will show the amount and kinds of products which have been raised on the farms during the period. 14 EEPORT OF THE BOAED OF CONTROL. BEQUESTS. The board desires to gratefully acknowledge two trust fund legacies to the State Hospital which have been invested and added to the permanent funds of the institution. One leg- acy was by the will of Charles W. Eawson, late of Gilsum, deceased, who donated the sum of one thousand dollars, and the other from Susan H., Luella B., and Elva A. Wheeler, sisters of Leverett Wheeler, a deceased patient. Construction. The Legislature of 1913 made appropriations for new con- struction and extraordinary repairs as follows: state hospital. To rewire buildings $2,000.00 To build an addition to the laundry 5,000.00 For repair of cow bam and for cows 5,000.00 $12,000.00 SCHOOL FOR FEEBLE MINDED CHILDREN. To build a dormitory for epileptics $40,000.00 Chapel 20,000.00 For piping sewerage, water and steam 10,000.00 Land 3,000.00 To install an interior telephone sys- tem 1,000.00 Enlarge the schoolhouse 2,550.00 Insulate steam piping 2.250.00 For electric wiring 400.00 To equip the carpenter shop 800.00 $80,000.00 EEPORT OF THE BOARD OF CONTROL. 16 STATE SANATORIUM. To build a stock barn $7,700.00 An infirmary 17,500.00 Alter the dining room building 1,500.00 Furnish female infirmary 2,800.00 Install electric apparatus 3,520.00 Build a coal pocket 1,900.00 Install a boiler 1,350.00 Eepair the dam 2,000.00 For sewerage and hydrants 1,000.00 Live stock 1,500.00 Kitchen furnishings 600.00 Repairs 1,600.00 $42,970.00 Total $134,970.00 The State Auditor's report contains tables showing in de- tail all the expenditures made under the foregoing appro- priations, reference to which is here made for all such details, but the following will show the construction and extraordi- nary repair work of the board during the period. On all such construction and repair work as has not been contracted, the materials and supplies therefor have been purchased by the purchasing agent. The board adopted the system of daily inspection by com- petent inspectors, representing the board solely, for all con- struction and repair work done under these appropriations, employing for this purpose Mr. Charles H. Smith of Aliens- town and Mr. Alfred L. Guay of Laconia. STATE HOSPITAL. Rewiring. This has been completed, the work having been done by the electrician of the Hospital. Repairs to cow ham. An examination of the barn itself, and estimates furnished by the architect disclosed the fact i^Q REPORT OF THE BOARD OF CONTROL. that this appropriation ,could npt be judiciously expended on the barn as it was. Acting under advice and in accordance with its judgment, the board has in process of erection a one- story, wood construction with cement bottom, cow bam con- nected to the old barn by trolley. This bam will contain fifty stalls, wash and milk rooms, and be distinctly modern in all its appointments. . This work is being done by the regular Hospital force, to which .has been added carpenters and masons, all under the direction of the architect; It will be ready for occupancy in December. Addition to Laundry Building. It was determined that this could be done to better advantage by the- Hospital force, with added carpenters and masons, than by contract, the work to commence as soon as the cow barn is finished, so there had been no construction under this appropriation at the end of the period covered by this report. SCHOOL FOR FEEBLE MINDED CHILDREN. * Dormitory for epileptics. This building is in process of tJOnstruction, being a two-story brick dormitor}" of mill con- struction, designed along the general lines of the McLane and Floyd dormitories, with such improvements as have sug- gested themselves. The general contract was awarded to Wal- lace Building Company, Laconia, for $31,075; heating, T. Raiche, Manchester, $2,800; plumbing, T. Raiche, Manches- ter, $2,075 ; electric wiring, W. D. Sanborn, Laconia, $925. Chapel. This building could not be built within the ap- propriation on plans accepted by the board, so a service- •^able part of the building as planned is being constructed and the plans preserved fbr use at su6h time in the future when it will be found necessary to make an enlargement. Prac- tically the entire building is devoted to a combination audi- torium and gymnasium and is built of brick. It has been named the Charles Sherman Little Building in honor of the first superintendent of the institution. General contract, 'Hutchinson Building Company, Concord, $14,650; heating. REPORT OF THE BOARD OF CONTROL. 17 T. Raiche, $1,200; plumbing, Orr & Rolfe, Concord, $726; electric wiring, Orr & Rolfe, $552. Piping, sewerage, water and steam. 8team pipe insulation. These appropriations contemplated relaying the old pipe lines as well as supplying the new buildings. A thorough study of the heat, water and sewer line situation brought the board to the conclusion that radical changes should be made in the system involving relocation. Accordingly these ap- propriations were combined and the steam system changed to high pressure, a main artery cement conduit constructed, with laterals running to various buildings, and additional sewer and water lines laid, the sewer line being a ten-inch main which will take care of future construction. The con- tracts for this work were awarded as follows: Conduit sub- way, Wallace Building Company, $2,890; conduit lines, T. Raiche, $2,550 ; pipe lines, T. Raiche, $3,775 ; water and sewer lines, John H. Stevens, Manchester, $1,274.43; trenches, Hobbs & Cote, Laconia, for water trench, $160, and $6.50 per cubic yard for ledge, for sewer trench $3 per rod, and $6.50 per cubic yard for ledge. Exposed steam piping in the Quin- by Building and dormitories has been covered at a cost of $634, the work being done by John H. Stevens. To install an interior telephone system. The board de- cided not to attempt to do anything with this appropriation until after the two new buildings are ready to be occupied. For land. The board purchased about fifty acres of good pasture land and a barn of Annie M. Huston for the sum of $1,500. A tract of one hundred acres of sprout land was purchased from Jacob Sanborn for $600. This tract has been fenced and will be gradually made over into a good pasture by the use of inmate labor. Neither of these tracts is connected with the other institution lands, but each is ac- cessibly located in the vicinity. Enlargement of Schoolhouse. The third floor of this building constituted the gymnasium, which will hereafter be in the Little building, and this floor has been made over into a hallway and two school rooms, the interior has been 18 REPORT OF THE BOARD OF CONTROL. repainted, and necessary heating and plumbing made. Gen- eral contract, Wallace Building Company, $1,570; heating and plumbing, T. Eaiche, $145. Electric wiring. This has been done by W. D. Sanborn on a contract as follows: Superintendent's residence, $225; farm house, $50; vegetable cellar, $35; carpenter shop, $65; school building, $100; Little Building, dimmer, $25; switch board, $75 ; fixtures, $25. Equipment of carpenter shop. A buzz planer, handsaw, power grinder, saw bench with saws, and a ten-horse power motor have been installed at an expense, together with shaft- ing, freight, and electrical work, of $785.03. Mr. Smith has been inspector of the construction at this institution, INDUSTRIAL SCHOOL. The upper story of the Wilkins Building had been left un- finished and was practically waste space. There being an unexpended balance of the building appropriation which could be used for the purpose, the board decided to finish the upper story to provide accommodations for an increase in the num- ber of inmates. This has been done under the supervision of the architect. General contract, Bunton & Bernard, Man- chester, $4,550; plumbing and steam heating, $830. STATE SANATORIUM. Several transfers from one item to another were found to be necessary and were made, under the terms of the act (Chap. 252, 1913) which provided ''Said sum ($42,970) to be expended under the supervision of the governor and coun- cil (board of control), who may make any changes in the direction of the expenditures above itemized as, in their best judgment, they may see fit,'' and under the advice and direction of the governor and council. StocTc ham. A cement bottom and wood construction combination horse and cow barn, with silo, is being built to REPORT OF THE BOARD OF CONTROL. Id contain eight horse and twenty cow stalls. General contract, Cummings Construction Company, Ware, Mass., $7,687; plumbing, T. Eaiche, $200 ; wiring, A. L. Franks & Co., $240. It will cost about $1,000 to connect the barn with the water system and the entire expense of the barn item has been provided for by a transfer of $1,500 from the infirmary item. Infirmary. The lowest bid on any plans and specifications for a building which the board believed it wise or economical to build, was $25,282, the appropriation being $17,500. After due consideration, the board voted that it was inexpedient to attempt any construction under this item. The isolated location of this institution makes it hard for contractors to take care of their employees, the long freight haul and the transfer from the railroad of about two and a half miles up a very steep grade and the conformation of the land, all in- crease the cost of construction to such an extent that the board found that, as to most of the items in the appropria- tion, the amounts required had been underestimated. Alterations to dining room building . The open third story has been finished into rooms to be used for employees until provision is made for them elsewhere, when it may be used as an addition to the infirmary accommodations. Gen- eral contract, Cummings Construction Company, $2,468.67; heating, T. Eaiche, $400; plumbing, T. Eaiche, $500; wiring, A. L. Franks & Co., $235. This institution was found to be without a vegetable cellar and without any suitable accom- modations for refrigeration, so that supplies had to be re- ceived by it almost daily, no safe margin of perishable sup- plies being on hand at any time to guard against the constant danger of interruption of freight service in the winter time, a situation which the board decided could not be allowed to continue. A transfer was made to this item of the appropriation and a power refrigerating plant installed in an addition to the dining room building, and a vegetable cellar constructed beneath. Contract for the addi- tion, Cummings Construction Company, $527 ; cork insula- tion, New England Eefrigerating Company, Boston, Mass., 20 EEPOIIT OF THE BOARD OF CONTEOL. $797; refrigerating machinery, Bay State Construction & Supply Company, Boston, $1,222; excavating and building vegetable cellar, Cummings Construction Company, $1,000. Furnishings for female infirmary. As stated heretofore, the infirmary was not built, so nothing was expended under this appropriation. To install electric apparatus. This item was included in the appropriation for the purpose of installing an auxilliary electric plant in the power house to supplement the hydro- electric plant and to be ready for service in case of failure of the hydro-electric plant. A Ball engine, a fifty k. w. West- ern Electric generator, synchronizing apparatus, transform- ers, and other electrical machinery, have been installed. Con- tract for material and labor was let to A. L. Franks & Co., for $3,035. Coal pocket. A concrete coal pocket of one hundred twen- ty-five tons capacity has been constructed with direct en- trance to the boiler room of the heating plant, and so lo- cated that teams drive on to a flat top and dump over man- holes into the pocket. The contract for this work was let to the Cummings Construction Company for the sum of $1,887. Boiler. A Dillon boiler of one hundred fifty-horse power was purchased on a contract for $898 f.o.b. Glencliff, and a contract made with T. Raiche for $1,600 to do the piping and setting. When the amount of this item of the appropriation was determined, it was not understood that the installation of the proper type of boiler would necessitate the building of a brick extension to the boiler house, which is being done by Raiche as a part of his contract. The work under this item is in process and the boiler will be ready to go into commission in December. Repair of dam. The height of the dam and of the spill- way has been increased three feet, and a wing a hundred feet in length with a cement core has been extended from the dam. This has doubled the capacity and is all that could be done within the appropriation, but more yet is required as is ex- REPORT OF THE BOARD OF CONTROL. 21 plained under the head of recommendations. Contract for this work was let to Cummings Construction Company for $1,925. Sewerage and hydrants. Several sewer lines of two hun- dred feet in length have been laid from the central basin to land below; 700 feet of four-inch cast iron pipe water line have been laid from the main water line to the cow barn and one hydrant installed near the bam. On account of the un- certainty of the conditions to be met in trenching for the water line, a contract was made with Cummings Construc- tion Company to do this work at actual cost plus $75, under the inspection of Mr. Guay. It is estimated that the expense will be about $1,100. The other work under this item, in- cluding the erection of a silo, has been done under the super- vision of Mr. Guay and laborers employed by him. Live stock. There is more live stock at Glencliff than the productive lands will supply with hay and pasturage ; in fact the institution is obliged to purchase a part of its hay, so this item has not been expended. Kitchen furnishings. Morandi-Proctor Company appara- tus has been purchased consisting of a range, urn, hot table and piping. Contract, A. H. Britton & Co., Concord, $547.21; expended for kettles, pans, freight and apparatus, $52.83. Repairs. Work done under this item has consisted of a large amount of replumbing in the male ward, repairs to the ice house and many minor items throughout the plant. All the work under the different items of this appropriation has been done under the inspection of Mr. Guay. PLYMOUTH NORMAL SCHOOL. The act making an appropriation for the construction of a dormitory at the Pl3nnouth Normal School provided that the work should be done under the direction of the governor and council, who accepted plans and specifications, and to- gether with the trustees of the institution, made the contracts for the construction. The act was passed subsequent to the 22 REPORT OF THE BOARD OF CONTROL. C Board of Control Act, which provides that all construction shall be under the direction of the board. Acting under a request made by the governor and council, the board super- vised the construction of this building, Mr. Guay, the in- spector, being used on this work, together with Mr. King, of the school staff. Recommendations. GENERAL. The board recommends that an act be passed under which the income of each institution shall stand appropriated to its use. At the last session of the legislature an act was passed for the present period, but the new act should be general and not limited to a biennial period. All stat€ moneys must by law pass into the state treasury, and unless each institution shall have to its use its own in- come and earnings, an injustice will be done, because the cost of supplies for the industrial departments is charged to the institution, and so it should have to its own credit the pro- ceeds of these departments. Also the institutions which have inmates who pay the whole or a part of their board have to pay the cost of maintenance of these inmates, and should have to their own use the board so paid. We also recommend the enactment of a law under which the board shall have authority to buy, sell or exchange insti- tutional lands provided each exercise of authority under the act shall be by the advice and consent of the governor and council. This act should also contaain authority for the board to institute proceedings for the condemnation of land for institutional purposes by and with the consent of the governor and council, the taking to be in the manner pre- scribed for the taking of lands in the laying out of highways. Additional lands for those institutions in which it is de- sirable that certain of the inmates should work, will be found to have economic as well as remedial value. KEPOET OF THE BOAKD OF CONTliOL. Zd The matter of obtaining suitable lands for the institutions is highly important and extremely difficult. A special ap- propriation for land for a specific institution immediately en- hances the land values in the specified vicinity. We believe that the legislature should provide, by appro- priation, a suitable amount for the purchase of land, to be expended by the board under the advice and direction of the governor and council, or by the governor and council upon recommendation of the board. We believe that the board should have an emergency fund appropriation of reasonable amount, to be included in the budget bills, which could be used, when necessary, for the benefit of any of the institutions, and for the purpose of mak- ing economies which could not be taken advantage of with- out such a fund. APPKOPRIATIONS. The board has asked each superintendent to include in his report his recommendations as to the things which need to be done at his institution, the expense of which would neces- sitate a special appropriation, and to give to the board his estimates as to maintenance requirements for the next bien- nial period. The budget item for maintenance should always be figured with an allowance to take care of any unanticipated rise in maintenance costs resulting either from the necessity of tak- ing in more inmates than expected or from unexpected in- crease in the cost of supplies. It should be figured so that there will be a reasonable mar- gin to cover unforeseen things and to provide for minor re- pairs to be done from time to time as the necessity for them occurs. The Hospital item, $225,000 (see footnote to table below), is sufficient for these things and is not increased from the prior period. No material increase in population is to be anticipated at the Industrial School or the Sanatorium, and the repair items 24 REPORT OF THE BOARD OF CONTROL. at these two institutions are of such a nature that they are recommended for special appropriations, so that maintenance is not recommended to be changed from the prior period. The maintenance for the School for Feeble Minded Chil- dren for the year 1914-15 is $46,800, and if the Felker Build- ing is in operation for six months of the year, there is grave doubt if this will be sufficient. We recommend that the maintenance for this institution for the next period should be $57,000, which ought to provide for the usual mainte- nance items and give some leeway for such minor repairs as should be made when the necessity therefor appears, instead of letting such repairs go unattended to. If an act providing that the income of each institution shall stand appropriated to its use should fail of passage, these maintenance items will have to be increased as indi- cated in the table below. The maintenance required for the Board of Control is recommended to be $3,000 to cover per diem, traveling ex- penses and any other legitimate item of expense which might appear. The amount required for maintenance of the purchasing agenf s department to cover salary, clerk hire and expense of keeping the books and records is estimated at $6,000. Eeference to the table below will show that these main- tenance figures are for each of the two years of the biennial period. As to special appropriations, the board has canvassed the situation at all the institutions and determined upon those items of construction and repair which necessity requires should be done during the next biennial period, and has re- served the remaining recommendations of the superintend- ents for future consideration. The necessities at the Hospital require the expenditure of the largest amount. In the superintendent's report will be found a tabulation showing the present overcrowding of those wards which are suitable for taking care of violent female patients. Plans and specifications for a violent female dor- mitory have been prepared and submitted to contractors for EEPOET OP THE BOARD OF CONTROL. 25 estimates as to cost. The plans for this building have been SO drawn as to easily provide for the inevitable extension thereof in the future. This addition to the plant will necessitate the installation of one boiler. The board has decided, under the advice of the architect, that an extension to the boiler house should be made of sufficient size to provide space for a battery of five boilers, which shall face the battery of five already in- stalled, and the new boiler would be the first of the new battery. The estimated cost of the building and furnishings to- gether with connections with the central heating plant and for the boiler and boiler house addition is $185,000, and we recommend the appropriation of that amount for this purpose. At the School for Feeble Minded Children there is no suitable place to house the employees and the conditions there in regard to this are such that we recommend the erection of an employees' dormitory, plans and specifica- tions for which have been accepted and submitted to con- tractors for estimates. We have gone carefully into the matter of the condition of the horse barn and have decided that it would be inad- visable to expend the amount of money thereon which would be necessary in order to put it into suitable condition. We believe that it would be an economy for the institution to very substantially increase its hen business. We recommend an appropriation of $45,000 with which to build an employees' dormitory, to furnish the same and connect it with the central heating plant by a conduit which would also carry the sewer and water lines, to build a horse barn and to use so much of any balance of said sum as may be required to construct a hennery. No new construction is absolutely necessary at this time at the Industrial School, but the conditions in the main building, as to the kitchen and dining room, are such that they should not be allowed to continue. We have had es- timates made of the cost of making changes which would take care of the matter for a considerable length of time and recommend an appropriation of $2,500 for this purpose. ZQ REPORT OF THE BOARD OF CONTROL. The board's examination of the cost of maintenance at the Sanatorium leads to the belief that the matter should be carefully investigated before any plans are definitely de- cided upon to provide for an extension of the capacity at this institution. There are two things, however, which we think should be done during the next period. A retaining wall and an overhead approach to the second story of the bam should be constructed and the dam should be faced on the inside with concrete, the pond should be grubbed out and an excavation made which would increase the storage ca- pacity in an amount sufficient for all probable future growth of the institution and provide ample water for fire purposes. The following is a tabulation of the maintenance and special appropriations which we recommend. APPROPRIATIONS RECOMMENDED. Department and Purpose. Board of Control Per diem and expense Purchasing Agent Salary and expense. . . State Hospital Maintenance Violent female build- ing furnishing, boiler house addition boiler Year Ending August 31, 1916. $285,000.00 185,000.00 $59,000.00 45,000.00 $46,000.00 2,500.00 $35,000.00 2,000.00 $3,000.00 6,000.00 470,000.00 104,000.00 48,500.00 37,000.00 Year Ending August 31, 1917. $285,000.00 $3,000.00 6,000.00 285.000.00 School for Feeble Minded Children $59,000.00 Employees' dormitory, furnishing, heat, sewer and water line ; horse barn ; hennery 59,000.00 Industrial School Maintenance Improvements to kitch- en and dining-room, main building $46,000.00 46,000.00 Sanatorium Maintenance Barn approach and dam 35,000.00 35,000.00 $668,500.00 $434,000.00 N. B. The maintenance items for the first three institutions are here given without reference to the income of each institution. If the law is changed so that the income of each institution shall stand appropriated to its use, these maintenance items should be reduced as follows : State Hospital, from $285,000 to $225,000 School for Feeble Minded Children, from 59,000 to 57.000 Industrial School, from 46.000 to 45.000 report of the board of control. 97 Expense of Operating the Board. Two departments, Board of Control and Purchasing Agent, were created in one act. The auditor has carried both under one detail. Nearly all the incidental expense is properly chargeable to the Purchasing Agent. The following statement of the per diem, travel, and in- cidental expense includes items to the amount of $1,143.54, expense incurred in equipping the office and opening a full set of books. BOARD OF CONTROL EXPENSE FOR THE PERIOD FROM June 1, 1913 to August 31, 1914. PERSONAL EXPENSE. Per diem $1,968.00 Transportation 142.54 Subsistence 134.98 Miscellaneous 10.13 INCIDENTALS Clerks (See Auditor's Eeport) 585.00 Original Office Equipment 846.39 A. K. Paul, expert accountant, opening set of books 297.15 Surety Bonds 304.10 Miscellaneous 552.30 Total $4,840.59 Eespectfully submitted, SAMUEL D. FELKER, WILLIAM J. AHERN, GEORGE W. FOWLER, GEORGE w. McGregor, BENJAMIN W. COUCH, Board of Control. PURCHASING AGENT'S REPORT. To His Excellency the Governor, and the Honorable Council: The portion of the Act of 1913 requiring the purchase of supplies for certain state institutions and departments by a purchasing agent took effect September 1, 1913. This re- port therefore relates to the fiscal year ending August 31, 1914, only, although designated by the act a biennial report. In addition to giving a summarized account of the pur- chases made during the fiscal year and certain classified financial statements, the act provides the report shall contain "a general statement of the work of the department and the observation of the agent as to the systems in force in the various institutions, and his recommendations thereunto pertaining, with such suggestions as to legislation as may in his judgment be needed for the more complete performance of the duties of his office.'' IN GENERAL. To bring the purchasing on account of a state into one department was pioneer work in this section of the country. There was therefore no worked-out system as a guide and no opportunity to profit by the experience of others. Some more remote states had adopted the policy, but conditions were so different that it was conceded little aid could be obtained from them. Each of the seven state institutions and the more than a score of state departments, for which the purchasing of the things they needed was put upon the purchasing agent, had hitherto purchased independently. The advantage of uniting purchases had been recognized in single instances 28 REPOET OF THE PURCHASING AGENT. 29 however. Previous to the passage of this act, provision had been made so that book paper stock and envelopes for the use of the several departments and institutions were pur- chased in quantity through the Printing Commission. Three institutions had united voluntarily in a steam coal contract; a different group had joined in a butter contract and a but- terine contract, and two were supplied with storage eggs under one contract. Those were the chief exceptions to the independent buying. Such practice was being extended each year. As the persons who did the purchasing for each institu- tion- or department had other duties, it was to be expected the greater number of wants had not been long anticipated. To make formal requisition for supplies upon one central department and physically apart from the institution itself, and long enough in advance of the actual need to give ample time for purchase to the best advantage, and their delivery, was a most radical change. Eecognizing this, it was regarded as impracticable to lay down any hard and fast rules in putting into effect the new state policy. Everything savoring of "red tape" was avoided, further than an attempt to faithfully meet the requirements of the act. The determination was to cooperate with and to the fullest extent possible to be helpful to the institutions and departments in a constant endeavor to get for them and the state the fullest value for the money expended for such of their maintenance as fell to this department. An idea that such result could be accomplished by furnish- ing articles of a cheaper quality and so at a smaller money outlay has never been entertained. The constant effort has been to so assemble requisitions from different sources and anticipated needs, and by stimulating competition, to get the grade of article required at the lowest possible cost. To illustrate: None of the institutions were large enough to use a carload of pea beans in a year, but it was ascer- tained from a canvas that combined institutions consume about such total. A car of No. 1 New York hand-picked beans was purchased, brought to Concord and distributed 30 EEPORT OF THE PURCHASING AGENT. from there. Thus all were supplied at as low a cost as could be obtained for any quantity, however large, at such date. Among other articles purchased in similar way are mo- lasses and syrup, vinegar and sugar. On articles of general institution or department use of whatever character, but of less than carload quantity, the policy has been to so arrange the order that the lowest price for which such supplies could be purchased in quantity could be obtained. With the ex- ception of such supplies as to which no competition could be secured, what is known as retail price has not been paid, and as to such exceptions, the state has made the purchase at as low a cost as could have been made by even a much larger consumer. The result was possible through the certainty of the seller that in supplying the state, he was sure of his pay in full; that, if a manufacturer or exclusive agent, there was a trade advantage in numbering the state among its customers, and that the expense of soliciting the business was minimum be- cause of one purchaser for all the institutions and depart- ments. At the outset, those charged with checking up supplies received at each institution were notified, that in no instance would a purchase be made of provisions of any sort that were not in first-class order and in every way wholesome; that if any arrived which they suspected were not in such condi- tion, they were to know that such had not been purchased; and they were positively instructed either to return them to the shipper at once at his expense, or to set them aside, and notify this office in either case. I believe they have faith- fully followed those instructions. As purchasing agent, I have not construed the law as putting upon me the duty of passing upon the need of a requisition as made. Whenever from information at hand as to the cost of different grades or makes of articles for which requisition was made, it was believed better value could be obtained than from following the specifications of the requi- sition, such information has been given the party making the requisition. The purchase when made was in accord with REPORT OF THE PURCHASING AGENT. 31 his final decision as to what should be secured. As to the institutions under the Board of Control, this practice has been varied merely to conform to a vote of the board that all requisitions for other than the ordinary staple supplies should first be submitted to the board for authorization. METHOD OF OPERATING. To carry into the fullest effect the purposes for which the department was created, it was agreed that prompt payment for purchases made would be an important factor. Business concerns were generally profiting by the cash payment and discount policy, and with abundant cash in the treasury, it was desirable that the state should exercise a similar advan- tage. The constitutional provision that no money shall be issued from the state treasury but by warrant of the governor, by and with the advice and consent of the council, and the fact that the governor and council were not constantly in ses- sion, made it impracticable to make prompt payment of each invoice through the state treasurer. To consider this prob- lem and the matter of accounting with a view that there be no more duplication of clerical work than could be avoided, a conference of the governor and council, the state auditor, state treasurer, and Board of Control was held, to which an expert accountant was summoned. On August 29, 1913, following that conference, the gov- ernor and council passed the following resolution, setting forth the method of operation : Resolved hy the Governor and Council, That the Method of Doing Business hy the Board of Control Be as Follows: 1. At the beginning of each fiscal year, the governor shall draw his warrant on the treasurer for an advance of a sum sufficient to provide a working capital for the purchasing agent, which sum shall be deposited to the credit of the pur- chasing agent, who shall use the same in payment of obliga- tions contracted by him under the powers and duties of his office. 32 KEPOET OF THE PURCHASING AGENT. 2. Upon requisition from the various departments and institutions, the purchasing agent shall make his purchases, and the seller shall make bills therefor in triplicate, and de- liver the same to the purchasing agent. The purchasing agent shall immediately deliver one such bill to the head of the institution or department consuming such articles so purchased; one to the state auditor, and shall retain one for his office. The auditor shall give notice to the purchas- ing agent of any errors discovered by him. The institution or department shall report to the purchasing agent the de- livery of the articles so purchased, and as to whether they comply with the specifications and are otherwise satisfactory. After receipt of this information, the purchasing agent shall pay the bill so contracted and charge the amount against the consuming department or institution. The departments and institutions shall keep records of accounts and as heretofore submit classified schedules of the same at the end of each month to the auditor. At the begin- ning of the succeeding months the governor shall draw war- rants, based upon a report of the auditor to him, in sums equal to bills so paid, and the sums so obtained on warrant shall be deposited to the account of the purchasing agent to reimburse his working capital account. WORKING CAPITAL. The working capital at first provided was $25,000. Such sum was soon increased to $45,000, and the purchasing agent "further instructed to advance the managers of the several institutions the following sums for the purpose of meeting valid emergency bills as they arise against such institutions respectively, and for paying employes, such as cannot be carried upon the regular payrolls: State Hospital, $700; School for Feeble Minded, $200; State Sanatorium, $200; State Prison, $100 ; Industrial School, $100.'' It was stipulated that the managers should account to the purchasing agent for the money so advanced. They were to be reimbursed for the amount expended, whenever such KEPOKT OF THE PURCHASIXG AGENT. 33 funds ran low, at the discretion of the agent. This has been done. The bond of the agent was increased because of such additional responsibility. Further, the agent was instructed to furnish from sucli working capital money to meet the monthly and bi-weekly payrolls of such institutions as pre- sented, after being certified by the superintendent and the auditor. This was done that state employes might not fail to receive their wages on the day they became due, as was not always feasible through warrant upon the state treasurer. Under similar instructions, advances have been made to the Forestry and the Liquor License Departments for the prompt payment of some of their obligations, and for some work under special appropriations at the Laconia and Glencliff institutions. The total of such advances dur- ing the year is $144,873.14, for which reimbursements have been made the purcliasing agent, through the treasurer's of- fice, in the same manner as payments for supplies have been reimbursed. The interest received upon daily balances has been $231.57, which has been paid the state treasurer. Dur- ing the year there were paid for supplies $302,486.40. By advice of the auditor, the invoices for the highway depart- ment have for the most part not been paid by the purchasing agent, although all contracts and purchases have been made by him. The exception has been the bills upon which dis- count could be obtained for cash payment. The reason for making that department an exception was that the cost was finally shared by the state and towns in varying percentage. The invoices on account of the adjutant general's office have also been paid direct. The number of checks drawn for the year is 5,202 ; of these, 5,031 were for supplies, and 171 for advances. WORK OF THE DEPARTMENT. Previous to beginning operations, the following notice was caused to be published in newspapers in various parts of the state : 34 REPOKT OF THE PUECHASING AGENT. To Manufacturers, Jobbers, Merchants and Other Wholesale Dealers : ^'Notice is hereby given that the purchasing agent for the State of New Hampshire invites and will receive proposals for furnishing fuel, furnishings, supplies, materials equip- ment or other things in use in the several institutions and state departments, the purchase of which is required of him by law after September 1, 191o. Lists of supplies as needed from time to time will be furnished inquirers on receipt of requests, stating the line in which interested. •'Contracts will be awarded the lowest bidders, quality considered, each bidder in any competition being given an equal opportunity under such regulations as will protect the interests of the state. Other conditions being equal. New Hampshire dealers will be given preference." A card index of names and addresses thus obtained was made, to which have been added those of all other applicants however received. Requisition blanks in triplicate were furnished all depart- ments and institutions specified in the law. The "original" was for the purchasing agent, the "duplicate" for the insti- tution or department, and the "triplicate" for the auditor. These blanks called for a statement of the article needed, quantity required, when needed, quantity on hand, annual consumption, last purchase, dealer, quantity and price. An additional blank was issued, termed "Emergency Pur- chase" and the heads of each institution and department were made the agent of the department to purchase such articles in any emergency for which there was not time to make a requisition upon this office, the report of a transaction thus made to be rendered at once upon such emergency blank. Comparatively few of the latter have been used. In an en- deavor to keep in the closest touch with the work, the agent has been at the office practically every business day of the year and some holidays. The office hours have been from 8 A. M. to 6 p. M., six days of the week. The number of requisitions for the year has been large, particularly from the institutions, because of the conditions KEPOET OF THE PURCHASING AGENT. 35 and practice generally prevailing previous to the change to a central department. A few weeks after the department be- gan operation, a conference of the superintendents and the Board of Control was held. The possible advantage of sim- ultaneous requisitions with a longer anticipation of needs was pointed out, and by agreement a certain day of each week was named as "requisition day"; that is, such requisi- tions as were certain to be made within a given week were to be made out and timed to reach this office on Tuesdays. This was not to prohibit a requisition, overlooked when such list was made out, from coming at other times. It was then hoped to gradually extend the time between requisition days as the business became better organized, but no further steps in that direction have been taken. Some of the institutions have been able to comform to the plan most fully; others have gone farther and made their general requisitions cover practically a three-months period. It was readily to be seen that from simultaneous requisi- tions, articles of the same class could be assembled and the agent could go to market wdth a larger order in each than from individual requisitions, get the price advantage of the larger quantity besides saving the time for other work that the placing of several orders in succession would require. It will be noted from the summary which follows that 2,207 requisitions are on file in this office covering the first year period. They contain 14,286 different items. These totals do not take into account requests for supplies that have been given orally, in jierson or by telephone, by letter, or the standing orders under annual contract, or supplies furnished in anticipation of needs. The number of invoices paid is 8,334. By request of the managers of the Soldiers' Home and of the State Library, requisitions for supplies for them have been treated as if they had been enumerated in the Act. Requisition forms regularly contain articles of the widest variety. One taken at random for one of the smaller insti- tutions has: meats, groceries, dry goods, hardware, shoes. clothing and steam fittings, with a total of eleven item.i. That is not an extreme sample. 36 JrEPOltT OV THE PUKCHASIXG AGENT. From the outset, a distinction has been made between actual buying and ordering. Before a purchase has been made, as a rule (to which the exceptions have been few), prices have been obtained from at least two reputable dealers, and the order invariably given to him whose olfer was lowest, quality considered. Where requisitions could be combined to amount to a considerable quantity of a class of goods, or aggregating a considerable total, requests for written pro- posals have been made to as large a list of prospective sellers as was at hand. iVs to such regular supplies ai? groceries and dry goods, the practice has been to place subsequent or- ders to fill small requisitions at the same figure with those sellers who were given the order on their proposals, provided there had been meantime no change in the general market, until a new order could be assembled large enough to war- rant a new inquiry. If a better offer had come in the in- terim, the successful previous bidder was still given a chance in competition. Examination of the invoices on file will show that all pur- chases have been made on a surprisingly small margin for handling. Contract purchases have been made for supplying the needs for a year, as ordered : For institutions, of coal, both anthra- cite and steam; butter, butterine, tobacco, eggs, tea, coffee, (except for officers), baking powder, cream of tartar, evap- orated milk, lemon and vanilla extracts; for institutions and departments, electric lamps, drinking cups, carbon paper, typewriter ribbons, pens; for secretary of state, automobile plates and chauffeurs' badges ; for highway department metal culverts, road oil, road drags, and paints; for forestry department, fire fighting implements. Supplies in car lots have been bought: of sugar, potatoes, flour, glucose, soap, boards, brick, Portland cement, pea beans and land tile. Purchases of estimated annual consumption quantity have been bought : of molasses, syrup, blankets, seeds, fertilizers, cheese, school supplies, periodicals, paper for official reports, steamboat license plates, self-sealiug preserve jars. KEPOKT OF THE PURCHASING AGENT. 3? Proposals on the above were called for with specifications and the awards were made from samples submitted with the bids. In practically every case, in determining the award, the agent was given the helpful assistance of the stewards of the Concord institutions, or the heads of the department from which the requisition came. Scores of other written proposals have been asked for and received for definite requisitions, such as groceries of all kinds, including canned goods, shoes, rubbers and leggings, clothing of all kinds, furnishings, dry goods of extensive variety, leather and shoe findings, beds and bedding, carpets, rugs, crockery, furniture, kitchen furnishings, windows, elec- trical supplies, cow stable equipment, hardware, laundry and shop machinery, motors, auto trucks, paints, glass, disinfect- ants, plumbing supplies, pipe and steam fittings, lumber, roofing, wagons, grain, harnesses, books, medicines and hos- pital supplies, stationery, bookcases, filing cases, ballot boxes, badges, engineer's apparatus, poultry, developing negatives, elevators, farm machinery, fire works, etc. Next to fuel, "the item of meats is the largest in the list of supplies as to cost. The average cost has been about $500 a week. In frequency of delivery it is the largest. Its purchase has required more attention than any other class, and I am satisfied that in no other class have purchases been made at a better advantage. There has been no opportunity to organize a plan for annual contract and specifications to deliver as ordered at a fixed price, and I am by no means certain that there would be a net advantage from such method. The cold storage plant at the State Hospital has made it possible to meet the needs there more easily than elsewhere. A similar equipment is being put in at Glen- cliff and there should be a similar equipment at the prison and School for Feeble Minded under its increased popula- tion. During the early part of the year, some use was made of the hospital facilities for cold storage in advance purchases for other institutions. A considerable quantity of meat would be liouofht from commission markets at less than 38 KEPORT OF THE PURCHASING AGEXT. market price in advance of requisition, and be eared for at the hospital storage plant, and drawn from as wanted by the hospital steward. Small requisitions from other institutions would be filled therefrom in the form of purchase, being billed at the quantity cost. In this way, meats to the amount of about $800 were resold to other institutions from the hos- pital at a large percentage of saving to the state. Criticism and objection was made to this by the auditor as complicat- ing the bookkeeping if a correct exhibit was to be made, since which, there has been less of it. When market conditions have forced a large percentage of saving in so doing, there has been no hesitancy however, in purchasing from the stock of one institution to meet the needs of another. For instance, in such way ilour at car price has been bought for smaller institutions from the Hospital, School for Feeble Minded, and the Industrial School. Practically all the brooms and brushes purchased by this department to fill requisitions have been bought from the hospital. To secure the quantity price on office supplies as well as afford convenience to this department, a stock of such ar- ticles as ink, pens, penholders, pencils, erasers, paper clips, and fasteners, paste, blotters, carbon paper, writing papers for several uses, etc., has been carried in this office. The invoices have been made to the purchasing agent and paid to obtain the cash discount. They have been billed out as called for and reimbursement obtained as with other charges. This practice has made the item of "office supplies" in the audi- tor's report for this department improperly large, but the cost saving alone has been in many cases 50 per cent. The charges for telephone and to a considerable extent for express and freight might properly be charged to the department in whose direct behalf the service was rendered, but the trouble of making such adjustment was regarded excessive. If it should be deemed wise to make a special appropria- tion for office supplies as a single item, the articles to be furnished as needed and accounted for by departments in a detail by itself, much clerical work throughout would be saved. REPORT OF THE PURCHASING AGENT. 39 It is my conviction that the accounting system of the state should be revised. Certain it is that for the business it does, if the state were to establish accounting without refer- ence to the past, it would not be done as at present. For comparative purposes, there should be some consideration to the past, but 1 believe an expert accountant could readily work out a new system that would effect not only a great saving in cost, but prove more satisfactory in results. Because of the detailed analysis of expenses given in the annual report of the state auditor, little of that nature has been deemed desirable in this report. Such tabulated state- ments have been prepared by the advice of the auditor as would seem to make a complete showing in connection with other reports and without duplication. In furnishing supplies, the line has not been drawn with reference to the fiscal year, when it seemed to the advantage of the state to act otherwise. At the School for Feeble Minded, coal enough was put in in the spring of 1914 to meet the needs for at least four months of the next fiscal year, to take advantage of the better teaming conditions, with the consequence that the annual maintenance appropria- tion fell a little short of present needs. At the State Hos- pital, about 2,000 tons of steam coal more than usual was put in during the summer months to enable the freight truck purchased for its transfer to be utilized to the best ad- vantage. The constant effort has been to purchase those things which the state must needs buy in such quantities and at such times as would require the least outlay of money. The variety of supplies required through this department has been extensive. It has comprised all those things needed for the sustenance, care and comfort of a combined inmate population of nearly 2,000; a portion at least of the living expenses of more than 350 officials and employees ; the things necessary for the upkeep of the state buildings; the pur- chases required for the operation of four institution farms; the school supplies for two normal institutions, besides the articles used in 25 main state departments. In view of the radical departure in state policy comprised in establishing 40 HEPOKT OF THE PUECHASING AGENT. tliis new department, the separated locations of those depend- ent upon it and such a variety of needs, remarkable pa- tience and consideration has been given it, for which grate- ful appreciation is hereby acknowledged. INVENTORIES. The following gives the totals of the inventories furnished by the institutions and departments, "of all supplies and materials on hand as of August 31.^' They do not include lands and buildings. A study of the detailed inventories warrants the inference that different interpretations have been put upon the law in that some have allowed for de- preciation from one year to the next, while others have con- tinued the same value upon the same articles on both dates. They are given as filed. Departments. 1914. 1913. Hospital $165,260.21 $146,300.39 Industrial School 26,440.16 27,074.53 State Prison 14,991.40 14,830.37 School for Feeble Minded 26,440.71 25,734.71 Sanatorium 9,234.97 8,556.57 Keene Normal School 6,844.89 4,205.44 Plymouth Normal School 16,497.82 16,731.72 Adjutant-General 1,001.97 1,139.48 De];artment of Agriculture.... 726.81 737.00 Attorney -General 1,700.41 686.00 Auditor 1.424.98 Bank Commission ' 2,035.09 2,071.88 Charities and Corrections 512.50 346.83 Board of Control 734.37 Fish and Game Department 343.45 221.20 Forestry Department 9,249.74 8,081.04 Board of Health 6,343.23 6,053.05 Hig-hway Department 2,804.16 2,002.00 State Historian 369.70 239.25 Department of Pub. Instruction 1,684.02 1,512.95 Insurance Department 1,406.28 1,309.85 Bureau of Labor 404.84 346.50 Leoracy Tax Department 554.30 602.00 License Commission ' 1,456,90 1,505.67 Pharmacy Commission 236.05 Public Service Commission 3,122.16 3,482.64 Printing" Commission 30.00 1,255.93 Secretary of State 2,322.15 1,433.45 State House 31.00 Tax Commission 762.08 939.98 Treasury Department 1,225.75 1.204.13 IlEPOKT OF THE PURCHASING AGENT. 41 REQUISITIONS. The following is the total number of requisitions filed from the institutions and departments named from September 1, 1913, to August 31, 1914, inclusive. DEPARTMENTS. State Hospital ■ State Prison j Industrial School i Sanatorium ! Pljniouth Normal School j Keene Normal School School for Feeble Minded Soldiers' Home Highway Department I Forestry Department Public Service Secretary of State Board of Agriculture Board of Health Public Instruction License Commission Labor Commission > Fish and Game Commission ! Legacy Tax Commission i Pharmacy Commission ' Insurance Commission Printing Commission Tax Commission Charities and Corrections State Historian Auditor Bank Commission Adjutant-General Attorney-General : Children's Commission i State House i Treasurer ^ . . . { Total I No. of No. of Requisitions. Items. 474 6,208 254 1,425 94 1,153 146 970 53 477 62 394 91 896 34 183 300 682 148 356 84 290 80 171 45 9T 71 194 42 100 18 57 10 21 20 43 11 17 10 204 32 65 2 2 7 10 16 84 26 37 15 23 13 30 18 27 5 19 8 24 3 12 15 15 2,207 14,286 42 KEPORT OF THE PURCHASING AGENT. SUPPLIES. The following gives the total amount paid for supplies for the institutions and departments named from September 1, 1913, to August 31, 1914: State Hospital $160,026.68 Industrial School 26,354.44 State Sanatorium 23,016.10 School for Feeble Minded 22,169.97 State Prison 19,997.78 Plymouth Normal School 7,242.80 Keene Normal School 4,858.27 Soldiers' Home 3,116.44 Adjutant General 2.10 Department of Agriculture 691.79 Attorney General 28.72 Auditor's Department 65.69 Bank Commission 181.75 Board of Charities and Corrections 499.02 Children's Commission 105.94 Fish and Game Department 3,261.30 Forestry Department 3,938.27 State Board of Health 1,476.76 Highway Department 7,037.14 State Historian 276.52 Department of Public Instruction 1,923.31 Insurance Department 845.23 Bureau of Labor 124.85 Legacy Tax Commission '24.47 State Library 374.81 License Commission 259.24 Pharmacy Commission 113.33 Public Service Commission 1,540.26 Public Printing Commission 129.26 Board of Control 1,120.49 Purchasing Agent 334.86 Secretary of State 7,297.75 REPORT OF THE PURCHASING AGENT. 43 State House $3,543.09 Tax Commission 167.30 Treasury Department 340.68 Total $302,486.40 CASH STATEMENT. Casli Receipts. Working capital $45,000.00 Reimbursements from State Treasurer : October, 1913 20.573.27 November, 1913 28,310.40 December, 1913 44,041.02 January, 1914 40,303.19 Febrnary, 1914 28,499.57 March, 1914 51,974.23 April, 1914 39.711.38 May, 1914 17,575.01 June, 1914 41,735.64 July, 1914 29,231.49 August, 1914 97,070.83 Interest 231.57 Received from other sources 435.31 $484,692.91 Gash Disbursements. Paid for advances $144,873.14 Paid for supplies 302,486.40 Interest paid to State Treasurer 231.57 Cash in bank August 31, 1914 37,101.80 $484,692.91 Respectfully submitted, GEORGE W. FOWLER, Purchasing Agent. BIENNIAL REPORT OF THE SUPERINTENDENT, TREASURER AND FINANCIAL AGENT or THE N. H. STATE HOSPITAL For the Period Ending August 31, 19 14 MANCHESTER, N. H. Printed by John B, Clarke Co. 1915 OFFICERS. C. P. Bancroft, M. D Superintendent and Treasurer C. H. DoLOFF, M. D Assistant Superintendent A. B. HowAKD, M. D Assistant Physician H. E. Herein, M. D Assistant Physician E. H. EoBBiNS, M. D Assistant Physician A. J. Nugent, M. D Assistant Physician A. F. Tandy Steward Mrs. Marcia A. Dresser , Housekeeper Bertha M. Cornwall Superintendent Dining Hall M. P. Ryan Supervisor William M. Moore Engineer REPORT OF THE SUPERINTENDENT. To the Board of Control: The superintendent presents to the Board of Control the seventy-first and seventy-second annual reports of the State Hospital for the years ending August 31, 1913, and Au- gust 31, 1914. The year beginning September 1, 1912 commenced with 957 patients — 500 men and 457 women. The number of patients remaining September 1, 1913, was 1,058 — 525 men and 533 women. The daily average for this year was 986.25 — 505.36 men and 480.89 w^omen. The death rate for this period was 10 per cent. The recovery rate for the year based on the number of different persons admitted was 20.94 per cent. The year beginning September 1, 1913, commenced with 1,058 patients — 525 men and 533 w^omen. The number of patients remaining Sept. 1, 1914, was 1,110 — 555 men and 555 women. The daily average for this year was 1,085.7 — 543.1 men and 542.6 women — an increase of practically 130 patients over those in the hospital at the close of the previous biennial period ending August 31, 1912. The death rate for this year was 8.8 per cent. The recovery rate for the year based on the number of different persons admitted was 21.82 per cent. The Walker Building was opened for patients May 24, 1913. This building was intended for patients of the in- diistrial class, those cases that are quiet and can be em- ployed in various capacities both in and outside the wards. The capacity is at present 212, but when completed the Walker Building will care for 424 patients. Men are at present located on the first floor, and women on the second 3 4 NEW HAMPSHIRE STATE HOSPITAL. floor. This arrangement, while disadvantageous in some respects, by careful management of entrances and exits, has caused little inconvenience. In the third floor of the wing all the male night watches of the hospital are domiciled, as well as the married employees of the Walker Building. In the third floor of the administration portion are placed all the women night nurses. Altogether this new building has housed 270 persons. The Walker Building is a complete unit in itself and has proved easy of administration and economical in its opera- tion. All the patients have some practical and useful oc- cupation. Some work in the kitchen and congregate din- ing rooms, others perform some sort of housework; the women do all the sewing and mending of the hospital, be- sides engaging in rug making, knitting stockings, basketry and other useful and diversional employment. Several pa- tients have been encouraged to cultivate small plots of ground raising flowers and garden vegetables. Dr. and Mrs. Herrin were placed in charge of this new unit, and have administered their trust most faithfully. The biennial period has been free from any serious epi- demic or other illness. There was a death from typhoid fever in October, 1912. This was one of the cases that ap- peared during the summer of 1912, since which time there has been no typhoid in the hospital. In 1913 there were two cases of diphtheria, both of which recovered. During the" last year there has been an epidemic of scarlet fever, in which three employees and two patients were affected. There were no fatalities. In the case of all these infectious diseases one of the annex wards in the hospital building was vacated and permanently shut off from the other wards, making a most efficient isolation hospital for the care of these infectious cases. Pellagra has appeared in the hospital. Between 1908 and the present time there have occurred eight cases, two of which are living, although in critical condition. This dis- ease, which apparently made its first appearance in Italy and later became prevalent in the southern states in this coun- NEW HAMPSHIRE STATE ifOSPITAL. 5 try, has been slowly making its advance into the northern states. Definite scientific information concerning its causa- tion and exact pathology is lacking. Various theories have been advanced — diseased maize and cereals, poor sanitary and hygienic conditions, hook worm — but none have satis- factorily accounted for its increasing prevalence and ap- parently steady advancement in northern latitudes. The cases in this hospital, with the exception of two living at the present time, have all proved fatal, and have occurred in widely separated portions of the institution. The dis- ease has apparently occurred as a terminal feature in pro- found nervous and physical exhaustion among dementing psychoses. The progress after the appearance of positive diagnostic symptoms has been rapid. Treatment has been of no avail. The following table shows sex, date of admis- sion and death of all the cases that have occurred at this hospital. Woman admitted February 14, 1908. Died September 4, 1911. Woman admitted June 29, 1910. Died July 24, 1913. Man admitted November 8, 1913. Died July 1, 1914. Woman admitted April 27, 1914. Died July 23, 1914. Man admitted May 20, 1914. Died August 19, 1914. Man admitted May 15, 1913. Died August 29, 1914. Woman admitted June 17, 1910. Still at State Hospital. Woman admitted May 31, 1913. Still at State Hospital. Much has been accomplished the last two years in diver- sional occupation. In the men's work shop nearly all the hospital printing has been done, besides the manufacture of brooms, brushes, slippers and men's hose. With enlarged facilities and suitable equipment there is no reason why the hospital should not manufacture all its hose, men's shoes, slippers and outing shirts. At the present time the men's work shop has supplied its own brooms and brushes and in addition has provided these articles for many other in- stitutions. It is extremely important that a new carpenter shop should be erected near the boiler house, and the pres- ent shop fire-proofed and converted into an industrial shop for various diversional occupations. Not only would such additional construction and equipment be of benefit to men patients, but would prove of distinct economic value to the 6 NEW HAMPSHIIiE STATE HOSPITAL. state. Moreover, the present carpenter shop and adjacent wooden building is a fire menace. During the last two years the exteriors of the Bancroft Building, Twitchell House and Nurses' Home have been painted and repaired throughout. The lower ward in the Bancroft Building has been repainted and an entire new birch floor laid. New plumbing has been installed in wards 5 and 8. Extensive repairs have been made in the head farmer's house and the lodge at the main entrance. All the old and unsafe wiring has been renewed with the exception of Peaslee I, which will soon be completed. The new cow barn, for which the last legislature made an appropriation, will be completed by December 1. The verandas of the hos- pital and Walker buildings have been fly screened, as well as the entire Walker Building. As p Tesult the fly nuisance has been perceptibly improved and the prevention of infec- tion greatly enhanced. Additional accommodations are imperatively needed at the present time for the disturbed women patients. Further crowding of the wards of the Kent Building is not only un- sanitary, but throws out of balance proper classification of all the patients. The following statement discloses the situa- tion as it exists at about the close of the present year : STATEMENT OF NUMBER OF PATIENTS AT STATE HOSPITAL. Wards. Total No. of Patients. Capacity. Excess of Capacity. Beds Available. Kent Building Kent Annex Piske & Rumford South Pavilion Bancroft Building 75 81 136 55 37 198 70 146 28 89 40 147 63 81 111 40 44 212 87 100 30 24 45 156 12 "2^ 15 "46 "65 7 Walker Building Kimball & Chandler North Pavilion.... 14 17 Twitchell Hoiise Peaslee Building 2 Peaslee Annex 5 Hospital Building § 1,102 993 163 54 KEW HAMPSHIRE STATE HOSPITAL. 7 Excess of patients over capacity 163 Available beds at present time occur in quiet wards only 64 On Women's side at present time only vacant beds are as follows : Hospital Building Walker Building 9 Bancroft Building ^ 7 Kent Building - 16 Net shortage of beds in entire Hospital at present time 109 Kent Building (disturbed female) has normal capacity of 156 This capacity is exceeded by 12 patients in Kent Building and by 25 now in Fiske and Rumford, and 15 in South Pavilion that ought to be classified in Kent Building, making a total excess of Kent Building patients of 52 Entire Peaslee Building (disturbed male) has a normal capacity of 69 This capacity is exceeded by an excess of Peaslee Building patients of 60 While this statement shows that both the Kent and Peas- lee Buildings for disturbed patients are crowed far beyond their capacity, I would suggest that the enlargement foi women patients be undertaken at once and that an appro- priation for^this purpose be asked. The work of the training school for nurses has progressed most satisfactorily under Miss Bertha CornwalFs able man- agement. Through her efforts many desirable affiliations with New York General hospitals have been made, thereby greatly enriching the efficiency of the school. The following changes have occurred in the medical staff. Dr. P. T. Haskell resigned to accept the position of assist- ant superintendent at the Eastern Maine Insane Hospital, and Dr. S. G. Davis resigned to enter upon the practice of general medicine in Nashua. These vacancies have been filled by Drs. Edmund H. Robbins and Dr. Arthur J. Nu- g;ent. During the summer months the position of interne has been filled most acceptably by Dr. Rolf C. Norris, who shortly returns to Hanover to assume the position of house officer at the Mary. Hitchcock Hospital. The staff have been most faithful to their trust, for which the superintendent wishes to express his appreciation. Charles P. Bancroft, Superintendent. Concord, N. H., Nov. 6, 1914. STATISTICAL TABLES FOR THE YEAR ENDING AUGUST 31. 1913. TABLE NO. 1. Patients in hospital Sept. 1, 1912.. Cases admitted during the year. . . Discharged within the year, includ- ing deaths Discharged recovered from first at tack Discharged recovered from other than first attack Discharged much improved Discharged improved Discharged not improved Discharged not insane . , Eloped, not returned Deaths Patients remaining Sept. 1, 1913. . . Number of different persons under treatment during year Number of different persons admit- ted during year Number of different persons recov- ered during year Daily average number of patients . . Men. 500 203 178 37 8 13 15 10 3 7 85 525 698 199 45 505.36 Women. 457 209 133 23 17 10 11 13 59 533 664 206 40 480.89 Total. 957 412 311 60 25 23 26 23 3 7 144 ,058 ,362 405 85 986.25 TABLE II. Showing Eesults in all Under Treatment During the Year. Of those in the hospital at the beginning of the year. Of those admitted during year. Total of both classes. i i 5 o Eh •a t EH 1 1 Discharged recovered Discharged much improved Discharged improved Discharged not improved.. Discharged not insane Discharged absconded Deaths 8 9 7 4 1 6 44 19 4 2 5 35 27 13 9 9 1 6 79 37 4 8 6 2 1 41 21 6 9 8 94 58 10 17 14 2 1 65 45 13 15 10 3 7 85 40 10 11 13 59 85 23 26 23 3 7 144 Remaining improved Remaining not improved. . 106 321 53 348 159 669 40 57 36 97 76 154 146 378 89 445 235 823 NEW HAMPSHIRE STATE HOSPITAL. TABLE III. Showing Number of Admissions to This Hospital in Those Admitted During the Year. Men. Women, Total. Admitted the first time Admitted the second time Admitted the third time Admitted the fourth time Admitted the fifth time Admitted the sixth time Admitted the seventh time Admitted the thirteenth time . . . 176 19 4 2 1 1 164 36 6 1 1 1 340 •55 10 3 1 1 1 1 Total 203 209 412 TABLE IV. Showing Ages Of Those Admitted Duping the Year. Men. Women. Total. Under fifteen 9 18 28 19 24 20 11 29 19 20 5 1 1 6 10 12 23 14 25 28 38 30 17 5 1 Fifteen to twenty 15 Twenty to twenty-five Twenty-five to thirty Thirty to thirty-five 28 40 42 Thirty-five to forty Forty to forty-five 38 45 Forty-five to fifty 39 Fifty to sixty Sixty to seventy Seventy to eighty 67 49 37 Over eighty 10 Unknown 1 Total 203 209 412 10 NEW HAMPSHIRE STATE HOSPITAL. TABLE V. Showing Form of Disease in Those Admitted During the Year. Manic depressive Dementia prsecox Acute alcoholism Chronic alcoholism Organic dementia Secondary dementia (transfer from County Farms) Senile dementia Epileptic dementia Alcoholic hallucinosis Congenital imbecility Epileptic imbecility Epileptic insanity Choreic insanity Traumatic insanity Presenile insanity Paresis Paranoia and allied states .... Acute confusional insanity Involutional melancholia Epilepsy Uremic delirium Narcomania Amentia Hysteria Psychasthenia Idiocy Not insane Total Men. 15 31 38 12 11 6 25 5 3 16 4 1 1 1 1 14 3 3 3 3 1 1 1 1 3 Women. Total. 203 48 20 5 3 4 52 23 6 4 2 8 10 3 15 2 1 1 2 209 63 51 43 15 15 58 48 11 3 20 4 1 1 1 3 22 13 6 18 3 3 2 1 2 1 1 3 412 NEW HAMPSHIKE STATE HOSPITAL. 11 SHOWIN' TABLE VI. Possible Causes or Predisposing Cases Admitted During Year. Factors in Alcohol Heredity Alcohol and heredity Old age Ill health Overwork and worry Grief and worry Epilepsy Apoplexy Syphilis Trauma Psychic trauma Sunstroke Morphine Menopause Puerperal Surgical operation Overstudy Loss of property Previous attack No possible cause shown Total Men. 50 20 2 Women. 4 38 12 8 6 3 1 1 3 1 5 Total. 54 58 2 19 16 11 1 1 1 1 1 1 1 1 1 1 2 88 112 200 203 209 1 412 TABLE VII. Showing Civil Condition of Those Admitted During the Year. Men. Women. Total. Married ,, 84 96 21 2 83 74 41 7 4 167 Single 170 Widowed 62 Divorced 9 Unknown 4 Total 203 209 412 12 NEW HAMPSHIRE STATE HOSPITAL. TABLE VIII. Showing Occupation of Those Admitted Dubing the Yeab. Men. Women. Total. Housework 17 12 1 2 27 1 109 54 23 2 2 2 1 2 1 2 109 Xo occupation 54 Mill operative 40 Shoemaker .' 13 Paper maker 2 Peddler Canvasser Cook Matron Bank clerk Bookkeeper Office clerk Nurse Nurse maid 2 Tailoress Seamstress 2 2 1 2 2 Dressmaker Pianist Teacher Laundress Laborer Currier Carriage trimmer Coal bearer Baker 'Electrician Bartender Elevator man Stenographer Hostler Conductor Signal man on a derrick Watchman Cooper Shoe dealer Printer Barber Gardener Proprietor of garage Newspaper reporter Clothing dealer Minister Confectioner Wood chopper • Farmer [[ 27 NEW HAMPSHIRE STATE HOSPITAL. TABLE Yin.— Concluded. 13 Men. Women. Total. Blacksmith 4 2 2 2 3 2 4 ~ 4 5 2 3 4 2 6 1 17 4 Wood dealer 2 Merchant Railroad man 2 2 3 2 4 4 5 2 3 4 2 6 1 17 Teamster Druggist Carpenter Machinist • Clerk Pattern maker Painter Stone cutter Undertaker Mason Brick maker Not known Total 203 209 412 14 NEW HAMPSHIKE STATE HOSPITAL. TABLE IX. Showing Nativity of Those Admitted During the Year. Ireland Canada New Hampshire United States (state unknown) Vermont Maine New York Nova Scotia Massachusetts Scotland Greece Venezuela Connecticut Germany Italy Syria Nebraska Finland Russia Sweden New Brunswick Not known England China Rhode Island Poland Ohio Mississippi Prince Edward Island British Columbia Portugal Total Men. 7 41 85 16 9 4 2 1 7 1 3 3 1 2 a 7 6 1 1 1 1 1 1 1 1 Women. 203 26 25 91 17 6 5 4 5 6 3 2 Total. 33 66 176 33 15 9 6 6 13 3 2 1 2 1 4 1 1 4 2 3 2 12 9 1 1 1 1 1 1 1 1 209 412 NEW HAMPSHIKE STATE HOSPITAL. 15 TABLE X. Showikg Kesidence of Those Admitted During the Year. Men. Women. Total. Belknap County Carroll County Cheshire CouuJ:y Coos County Grafton County Hillsborough County Merrimack County Eocking-ham County Strafford County Sullivan County Not known (prison transfer) . Total 6 5 8 14 15 71 42 21 13 7 1 203 1 7 15 8 14 78 25 37 18 209 7 12 23 22 29 149 67 58 31 13 1 412 TABLE XI. Showing by Whom Supported. Men. Women. Total. Private Private with aid 37 26 139 1 36 42 129 1 1 73 68 State County Town or city 268 2 1 Total 203 209 412 16 NEW HAMPSHIRE STATE HOSPITAL. TABLE XII. Showing Deaths During Yeae, and Their Causes. Men. Women. Total. Arterio sclerosis 3 4 1 1 10 I 8 12 3 4 1 1 1 1 1 1 1 2 1 2 1 6 1 1 3 1 2 5 3 8 2 1 5 1 1 8 3 5 2 6 1 3 6 Entercolitis \2 Gastritis and enteritis 2 Amentia 2 Exhaustion in melancholia Cardiac embolism 6 1 Infective diarrhoea 1 Exhaustion in senile dementia.. Fracture of femur 18 3 Valvular disease of the heart . . . Exhaustion in 'dementia praecox Epilepsy 5 5 10 Pellagra -1 Oedema of the lungs 1 Hemorrhage of the bowels Chronic interstitial nephritis Cerebral hemorrhage 1 11 13 4 1 5 2 4 1 1 1 1 1 2 1 2 1 6 1 1 3 1 Tuberculosis Anaemia Broncho pneumonia Exhaustion in secondary de- mentia Acute mania Exhaustion in choreic insanity. . Uraemic convulsion Exhaustion in organic dementia Cystitis Peritonitis Typhoid fever Huntington's chorea Suicide Oedema of brain Paresis Lobar pneumonia Surgical operation Erysipelas Septicemia Acute alcoholism , Chronic diffuse nephritis 5 Total 85 59 144 NEW HAMPSHIRE STATE HOSPITAL. 17 TABLE XIII. Showing Ages at Time of Death. Men. Women. Total. Under tweiitv vears 1 4 12 10 8 7 12 4 1 1 Twenty to thirty years 4 Thirtv to f ortv vears . . 15 8 27 Forty to fifty years 10 Fifty to sixty years 17 20 25 Sixty to seventy years 17 24 Seventy to eighty years 17 Eighty to ninety years 3 Ninety to one hundred years 1 Not known i 1 29 7 2 1 Total ! 85 59 144 STATISTICAL TABLES FOR YEAR ENDING AUGUST 31, 1914. TABLE I. Men. Women. Total. Patients in hospital September 1, 1913 Cases admitted during the year Discharged within the year, in- cluding deaths Discharged recovered from first attack Discharged recovered from other than first attack Discharged much improved Discharged improved Discharged not improved Discharged not insane Discharged eloped Deaths Patients remaining 'September 1, 1914 Number of different persons un- der treatment during the year Number of different persons ad- mitted during the year Number of different persons re- covered during the year Daily average number of patients 525 533 i 1,058 207 159 366 177 137 314 30 24 54 14 11 25 14 15 • 29 22 22 44 9 13 22 5 1 6 4 4 79 51 130 555 555 1,110 727 682 1,409 203 154 357 44 34 78 543.1 542.6 1,085.7 TABLE II. Showing Results in All Under Treatment During the Year. 1 Of those in 1 Of those hospital at admitted beginning during year, of year. Total of both classes. Men. Women. Total. Men. i i 73 1 i i 1 1 Discharged recovered Discharged much improved Discharged improved Discharged not improved... Discharged not insane Discharged eloped 16 19 35 5 10 15 7 13 ! 20 5 5 10 10 1 28 9 15 4 5 3 16 44 6 14 9 24 8 12 1 6 3 44 35 14 1 15 22 22 9 13 5 1 4 79 29 44 22 6 4 Died Remaining improved Remaining not improved... 43 35 33 47 415 404 78 80 819 36 34 73 16 35 69 52 69 142 79 67 488 51 82 473 130 149 961 NEW HAMPSHIRE STATE HOSPITAL. 19 TABLE III. Admissions and Dischabges from the Beginning of the Hospital. Men. Women. Total. Admitted Discharged Discharged recovered . . . Discharged improved Discharged not improved Discharged not insane . , Discharged unknown . . . . Discharged eloped Died 5,958 5,403 1,632 1,162 920 57 49 94 1,489 5,401 4,846 1,537 1,145 922 31 39 4 1,168 11,359 10,249 3.169 2,307 1,842 88 88 98 2,657 TABLE IV. Showing Number of Admissions in Those Admitted During the Year. Men. First admission Second admission Third admission Fourth admission . . . Fifth admission Eighth admission . . . . Ninth admission Fourteenth admission Totals Women. Total. 178 125 303 23 24 47 3 4 7 1 2 3 2 1 3 1 1 1 1 1 1 207 159 366 20 NEW HAMPSHIRE STATE HOSPITAL. TABLE V. Showing Ages of Those Admitted During the Yeab. Men. Women. Total. From ten to fifteen years fifteen to twenty years . . . . twenty to twenty-five years twenty-five to thirty years thirty to thirty-five years thirty-five to forty years forty to forty-five years . . forty-five to fifty years . . . fifty to sixty years sixty to seventy years seventy to eighty years Over eighty years Total I 2 11 15 23 20 25 19 13 30 29 15 5 207 1 ft 12 14 24 18 16 14 24 18 10 2 159 3 17 27 37 44 43 35 27 54 47 25 7 366 NEW HAMPSHIEB STATE HOSPITAL. 21 TABLE VI. Showing Form of Disease in Those Admitted Dubing the Year. Manic depressive Dementia praecox Senile dementia Paresis Invohitional melancholia Congenital imbecility . . . . Acute alcoholism Paranoia and allied states Alcoholic hallucinosis .... Organic dementia Presenile insanity Alcoholic dementia Acute confusional Chronic alcoholism Epileptic insanity Epileptic dementia Morphinomania Constitutional psychopath Pellagrous insanity Cerebral arterio sclerosis Epileptic imbecility , Hysterical insanity , Alzhiemers disease Traumatic insanity Cerebral syphilis Idiocy Psychic epilepsy , Prison psychosis Hypochondriasis Thyroid psychosis Not insane Total Men. Women. Total. 26 37 63 30 20 50 26 17 43 23 9 32 11 13 24 9 13 22 12 4 16 3 11 14 14 14 8 3 11 2 8 10 7 2 9 1 8 9 6 2 8 5 2 7 3 3 6 4 1 5 2 2 1 1 1 2 1 I 1 2 1 ! 1 2 1 2 2 1- 1 1 1 1 j 1 1 1 1 1 1 4 ; i 1 5 207 159 366 22 NEW HAMPSHIRE STATE HOSPITAL. TABLE VII. Showing Probaule Causes or Predisposing Factors in Those Admitted During Year. Men. Heretlitv 36 Alcohol' 42 Age 23 Syphilis j 24 Overwork and worry | 10 Epilepsy ; 9 Previous attacks | 2 Injury i 6 Morphine I 4 Childbirth Prison life 5 111 health 3 Menopause i Fright j Arterio sclerosis r • • ! 2 No possible cause shown ''. 41 Total 207 Women. I Total. 44 80 12 54 14 37 5 29 17 27 7 16 5 7 1 7 2 6 6 6 5 2 5 3 3 3 3 2 38 79 159 366 TABLE VIII. Showing Civil Condition of Those Admitted During the Year. Men. Women. Total. Married . Single Widowed Divorced Total 86 76 162 93 51 144 25 25 50 3 7 10 ! 207 i 159 1 366 NEW HAMPSHIKE STATE HOSPITAL. 23 TABLE IX. Showing Occupations of Those Admitted During the Year. Men. Women. Total. Actor Awning maker .... Business man Baker Barber Blacksmith Bookkeeper Brickmason Carpenter Catholic Sister Chauffeur Call boy Cooper Chairseater Clerk Cook Dressmaker Drugg-ist Electric engineer . . Fireman, stationary Freight handler . . . , Farmer Grocer Housework Laborer Lumberman Loom fixer Mill operative Mate, U. S Navy Musician Machinist Nurse No occupation Night watchman . . . Overseer in shop Painter Peddler Plasterer Physician Kailroad man Shoe worker Soldier Stone cutter Salesman School teacher School ofirl 1 1 7 1 2 1 1 1 12 2 1 1 1 4 2 2 1 2 1 26 1 39 2 1 29 1 2 3 18 1 1 6 1 1 2 2 14 1 2 1 2 1 2 101 18 2 27 1 1 1 1 1 7 1 3 1 3 1 12 1 3 1 1 1 4 2 3 2 1 2 1 26 1 101 39 2 1 47 1 2 3 2 45 1 1 6 1 1 2 2 15 1 2 1 1 1 24 NEW HAMPSHIKE STATE HOSPITAL. Men. Women. Total. Seamstress Trance medium I 1 Tailor 1 Teamster 2 Telegraph operative 1 Waiter 1 Wood turner 1 Not known 2 Total 207 159 366 TABLE X. Showing Nativity of Those Admitted During the Year. Men. Women. Total. New Hampshire 92 34 16 19 9 9 4 3 4 2 3 1 1 2 2 2 • 1 1 1 1 80 21 12 5 13 10 3 2 2 1 2 2 1 X) 1 1 1 172 Canada jNfassachu setts :M&ine 55 28 24 Ireland 22 Vermont 19 England Russia 7 5 Poland Pennsylvania 4 4 Germany Scotland t Finland New York 3 9 Italy 2 2 Syria Rhode Island 2 2 Illinois Austria Sweden Switzerland Egypt Connecticut Total 207 159 366 NEW HAMPSHIKE STATE HOSPITAL. 25 TABLE XI. Showing IIesidence of Those Admitted Dubing the Yeab. Men. Women. Total. 9 8 13 10 17 73 27 22 13 10 5 9 5 7 2 12 59 28 20 9 8 18 Carroll County 13 20 Coos County 12 Grafton County Hillsboroufi'li Countv 29 132 Merrimack County 55 Kocking'liani County 42 Strafford County 22 Sullivan County * 18 Prison transfers 5 Total 207 159 366 TABLE XII. Showing by Whom Suppobted. State Private Private with aid Town or city. . . County Total 207 159 366 26 NEW HAMPSHIRE STATE HOSPITAL. TABLE XIII. Showing Deaths and Theib Causes. Cerebral hemorrhag-e Arterio sclerosis Paresis Chronic interstitial nephritis... Chronic diifuse nephritis Valvular disease of heart Myocarditis Endocarditis Pericarditis Cardiac embolism Acute dilatation of heart Lobar pneumonia Broncho pneumonia Hypostatic pneumonia Gastro-enteritis Acute indigestion Intestinal obstruction Exhaustion in senile dementia. . Exhaustion in acute mania Exhaustion in melancholia .... Exhaustive x^sychosis Pellagra Tuberculosis of lungs Tuberculous pleurisy General tuberculosis Organic brain disease Cancer of colon Gastric ulcer Septic meningitis Epilepsy Uraemic convulsions Diabetes Suicide Erysipelas Pyonephrosis Tonsilitis Heat exhaustion j Total ! Men. Women. ToUL 16 8 10 9 5 1 1 1 3 1 3 1 3 3 3 2 1 2 1 1 1 1 1 1 79 21 51 130 XEW HAMPSHIRE STATE HOSPITAL. 37 TABLE XIV. Showing Ages at Time of Death. Men. Women. Total. Between twenty and thirty years thirty and forty years . . forty and fifty years . . . fifty and sixty years. . . sixty and seventy years seventy and eighty years eighty and ninety years Over ninety years 1 13 8 16 23 13 5 3 6 7 7 11 9 7 1 4 19 15 23 34 22 1 Total 79 51 130 28 NEW HAMPSHIRE STATE HOSPIfAL. TABLE XV. Statistics of Admissions, Discharges, and Deaths fbom the Opening of the Hospital. -tf 1 1 fe*^" "* u s [ l» ss . is ^^ Daily Averages of i 1 il '6 1 :i ll the Hospital. 1 ll 1 P. 1 -6 Si Men. Worn. : Total. i^ < fl « to S ^^ fv* o 1 1843 76 29 12 10 6 - 1 76 47 - 1844 104 81 37 20 19 5 151 70 .... ! 1845 88 82 37 17 22 6 158 76 .... 1 1846 98 76 26 23 16 11 174 98 .... 1847 89 87 38 17 23 9 187 100 i '. 1848 92 83 29 20 26 8 192 109 j 1849 81 76 36 15 11 14 190 114 .... \ 1850 103 90 45 18 20 7 217 127 i 1851 88 98 45 25 16 12 215 117 ; 1852 107 106 66 13 16 11 224 118 1853 132 107 65 25 11 8 250 143 1854 141 123 63 24 22 14 284 161 .... 1855 95 91 50 20 9 12 246 155 .',.'.. 1856 85 96 66 13 7 10 250 154 i 1857 97 81 47 15 7 12 251 170 .... 1858 76 77 34 20 5 18 246 169 1 * ". * .' ] 1859 98 85 31 22 18 14 26^ 182 1860 85 83 38 16 12 17 26'i 184 94;6' 8J8.0 m.o 1861 106 94 34 34 10 16 290 196 90.0 100.0 190.0 1862 86 94 42 32 7 13 282 188 88.7 105.7 101.4 1863 101 85 30 32 17 16 289 204 87.4 105.9 103.3 1864 105 92 36 16 17 23 309 217 99.4 107.4 206.8 1865 107 102 42 23 14 22 324 223 102.5 125.9 218.4 1866 104 91 26 28 16 21 327 236 106.3 122.6 228.9 1867 117 107 39 24 27 17 353 246 119.3 122.6 241.9 1868 118 129 51 39 18 21 364 235 118.5 121.2^ f 239.77 1869 95 93 42 20 9 22 330 237 113.7 129.9 243.6 1870 130 114 37 34 20 23 367 253 123.1 125.9 249.0 1871 135 163 65 37 29 32 388 225 119.8 123.44 242.S2 1872 152 123 55 31 16 21 377 254 109.36 125.19 234.55 1873 194 172 61 51 27 33 448 273 127.8 139.5 267.3 1874 140 137 42 44 27 22 416 281 140.4 127.5 267.9 1875 120 140 53 37 30 20 401 261 136.6 138.1 274.7 1876 140 122 35 34 27 26 401 279 121.4 139.1 260.5 1877 119 118 36 38 27 17 398 280 124.2 150.3 274.5 1878 114 128 35 36 30 17 394 276 128.9 143.8 272.7 1879 73 81 27 23 8 23 349 268 126.3 143.8 290.1 1880 111 94 28 27 22 17 379 285 127.4 147.6 275.0 1881 134 117 33 39 23 22 419 302 133.3 158.6 291.9 1882 104 121 38 26 27 30 406 285 131.0 159.1 290.1 1883 133 123 41 23 34 25 418 295 120.3 164.1 284.4 1884 141 127 18 41 44 24 436 309 124.3 169.5 293.8 1885 138 122 30 20 36 36 447 322 128.3 181.9 310.2 1886 138 143 43 30 34 34 460 317 139.82 182.37 322.19 1887 143 128 32 28 28 33 460 328 137.22 184.12 321.34 1888 137 125 33 26 35 28 465 339 150.49 183.59 334.08 1889 155 158 41 38 34 36 494 337 161.06 175.80 336.86 1890 276 223 79 28 63 53 602 364 166.52 184.57 351.09 1891 173 165 42 40 37 38 527 372 175.62 184.99 360.61 1892 169 181 51 39 40 42 531 359 181.40 182.38 363.78 1893 166 154 47 35 34 37 508 368 183.72 193.63 369.02 1894 187 152 52 33 27 35 542 402 190.14 193.35 383.49 1895 175 165 55 45 27 36 566 414 m.fil 204 L79 404.36 NEW HAMPSHIRE STATE HOSPITAL. 29 TABLE XV.— Concluded. -« fn"^ ■« u S |§ Daily Averages of i 1 1 i 1 the Hospital 1 r 1 > 1 P. c! '6 s ii 1; i Men. Worn. Total. 1896 181 171 42 44 34 40 586 422 201.31 210.65 411.96 1897 147 147 38 30 30 36 561 422 210.26 214.60 424.86 1898 150 163 46 40 34 33 567 409 201.93 210.71 412.64 1899 179 161 48 26 34 39 577 427 202.38 220.88 423.26 1900 149 151 37 37 26 49 668 425 198.42 221.71 420.13 1901 202 193 52 56 31 49 617 434 203.12 222.53 425.65 1902 247 217 76 53 25 56 670 464 223.86 242.49 466.35 1903 240 215 52 41 66 50 702 490 232.21 242.75 475.16 1904 303 213 57 46 32 69 782 580 260.26 257.63 517.89 1905 290 227 61 46 26 77 852 643 321.60 294.09 615.69 1906 234 209 58 29 34 73 864 668 343.75 308.27 652.02 1907 278 238 63 52 18 91 970 708 361.68 327.49 689.17 1908 299 176 56 28 12 68 1,010 831 390.17 326.74 716.91 1909 292 248 65 43 19 112 1,114 875 465.17 399.16 864.33 1910 293 259 66 33 23 131 1,168 909 467.08 421.15 888.23 1911 301 272 69 45 18 133 1,203 938 482.94 438.57 921.51 1912 327 308 97 35 20 139 1.517 957 496.4 459.5 955.9 1913 412 311 85 49 23 144 1,362 1,058 505.36 480.89 986.25 1914 366 314 79 73 22 130 1.409 1,110 543.1 542.6 1085.7 PKODUCTS OF THE FARM, 1913. 623 bunches aspai'ag-us, $0.22 $137.06 7.325 pounds rhubarb, .01 73.25 1,425 heads lettuce, .04 457.00 1,500 dozen cucumbers, .24 360.00 173 bushels cucumbers (pickling-). 1.30 224.90 628 bushels turnips, 1.00 628.00 31 tons winter squash. 23.00 713.00 425 bushels summer squash. .30 127.50 93 bushels peas. 1.25 116.25 437 bushels spinach. .50 218.50 625 bushels strintr beans. 2.00 1,250.00 323 bushels shell beans. 2.25 726.75 237 bushels ripe tomatoes, .60 142.20 200 bu.shels ^reen tomatoes. 1.35 270.00 4.725 dozen sweet corn. .15 708.75 22 tons sweet corn fodder. 8.00 176.00 l.SOO heads early cabbage. .08 144.00 400 heads red cabbage. .12 48.00 435 heads cauliflower, .16 69.60 327 bushels beets. .85 277.95 248 bushels beet greens. .15 37.20 1,250 heads celery (early). .15 187.50 5.000 heads celery (late), .21 i.aso.oo 467 bu.shels onions, 1.00 467.00 30 NEW HAMPSHIRE STATE HOSPItIl. 390 bushels imrsnips. 1.25 487.50 6 bushels peppers, 1.25 7.50 420 bushels carrots. .75 315.00 10 bushels parsley, .40 4.00 4,500 cakes ice, .15 675.00 40 tons hay, 18.00 720.00 10 tons bedding. 10.00 100.00 cows sold. .... 175.00 empty barrels sold, .... 82.25 hides sold, 18.00 harness sold. ► . . . 13.00 pigs sold. .... 50.00 1,201 pounds beef consumed, .09 108.09 22,565 pounds pork consumed. .141/2 3,271.93 48.980 quarts milk. .06 2,938.80 2.100 bushels potatoes. .70 1,470.00 $19,046.48 T0I tal products tal products of Sunnyside Farm, of Sunnyside and Main Farms, 8,918.19 T0I $27,964.67 . PRODUCTS OP THE FARM AT SUNNYSIDE, 1913. 4 Pi&s. $0.08 $82.40 2,696 pounds chickens (271), .16 431.36 150 gallons maple syrup, 1.00 150.00 912 quarts strawberries, .10 91.20 2,720 quarts raspberries. .18 489.60 240 quarts blackberries, .10 24.00 176 quarts currants. .10 17.00 60 barrels apples. 2.50 150.00 40 bushels cider apples. .20 8.00 3.146 bushels |x>tatoes. .60 1,887.60 20 bushels beets. .85 17.00 18 bushels carrots. .75 13.50 14 bushels ])arsnips. 1.25 17.50 12 bushels cucumbers. 4.50 54.00 10 bushels peas, 1.25 12.50 8 bushels tomatoes. .60 4.80 8 bushels string beans, 2.00 16.00 12 bushels sliell beans, 2.25 27.00 30 bushels t urnips, 1.00 30.00 50 bushels lettuce. .65 32.50 600 dozen sweet corn. .15 90.00 1,000 pounds rhubarb. .01 10.00 50 bunches i-adishes. .05 2.50 14,000 heads cabbage, .08 1,120.00 45 tons hay, 18.00 810.00 2 tons corn fodder. 8.00 16.00 6,000 quarts milk, .06 360.00 358 cakes ice. .15 53.70 7.275% dozen f^^. .35 2,546.43 ly^ bushels Japanese plums. 2.00 3.00 10 tons bedding meadow hay. 10.00 100.00 50 cords wood (cut). 5.00 250.00 $8,918.19 NEW HAMPSHIRE STATE HOSPITAL. 31 PRODUCTS OF THE FARM, 1914. 670 bvmches asparagus. 0.20 $134.00 8,000 pounds rhubarb, .02% 200.00 13,000 heads lettuce, .04 520.00 1,625 dozen cucumbers. .22 357.50 180 bushels pickling cucumbers. 1.25 225.00 560 bushels white turnips, 1.35 756.00 137 bushels rutabagas, 1.40 191.80 32 tons winter squash. 25.00 800.00 390 bushels summer squash, ^0 117.00 85 bushels peas, 1.00 85.00 370 bushels spinach. .50 185.00 365 bushels string beans. .85 310.25 230 bushels shell beans. 1.60 368.00 150 bushels ripe tomatoes. 1.50 225.00 315 bushels green tomatoes. 1.35 425.25 5,000 dozen ears corn, .15 750.00 2,000 heads early cabbage. .08 160.00 8,000 heads late cabbage. .09 720.00 400 heads red cabbage, .12 48.00 375 heads cauliflower. .16 60.00 632 bushels beets. .50 316.00 340 bushels beet greens. .15 51.00 1,500 heads early celery. .14 210.00 5,250 heads late celery. .22 1,155.00 730 bushels onions. 1.00 730.00 380 bushels parsnips. 1.00 380.00 22 bushels peppers. 1.25 27.50 347 bushels carrots. .70 242.90 10 bushels parsley, .50 5.00 4.550 cakes ice. .15 682.50 75 tons hay. 18.00 1,350.00 8 tons bedding. 9.00 72.00 260 tons ensilage, 8.00 2,080.00 50,472 quarts milk. .05 2,523.60 cows sold. .... 280.00 barrels sold, .... 45.00 pigs sold. .... 18.40 1.453 pounds beef consumed. .09 130.77 26.437 pounds pork consumed. .1514 4,097.74 1 pair oxen sold. 175.00 1 wagon sold. .... 20.00 part of old harness sold. .... 1.00 evaporator sold, 35.00 Products of the farm at Sunnyside, Products of Sunnyside and Main Farms, $21,266.21 10,032.74 $31,298.95 32 NEW HAMPSHIEE STATE HOSPITAL. PRODUCTS OF THE FARM AT SUNNYSIDE, 1914. 448 pounds chickens, 211 gallons maple syrup. 6,976 quarts strawberries, 2,240 quarts raspberries. 224 quarts currants. 91 barrels apples. lIO bushels cider apples. 4,513 bushels potatoes. 341/2 bushels beets, 171/2 bushels carrots. 16 bushels parsnips, 15 bushels cucumbers. 21 bushels peas. 6 bushels tomatoes. 23 bushels string beans. 18 bushels shell beans, 41 bushels turnips. 300 heads lettuce, 720 dozen sweet corn, 800 pounds rhubarb, 100 bunches radishes, 5,000 heads cabbage. 38 tons hay, 15 tons oat fodder, 2 tens corn fodder, 8,500 quarts milk. 370 cakes ice. 7,028 dozen eggs, 42 bushels plums, 18 cords wood (cut). $0.20 $89.60 1.10 232.10 .19 1,325.44 .18 403.20 .10 22.40 1.00 91.00 .10 11.00 .70 3,159.10 .50 17.25 .70 12.25 1.00 16.00 1.80 27.00 1.00 21.00 1.50 9.00 .85 19.55 1.60 28.80 1.25 51.25 .04 12.00 .15 108.00 .021/2 20.00 .04 4.00 .09 450.00 18.00 684.00 8.00 120.00 8.00 16.00 .05 425.00 .15 55.50 .35 2.459.80 1.25 52.50 5.00 90.00 $10,032.74 NEW HAMPSHIRE STATE HOSPITAL. 88 FINANCIAL STATEMENT FOE THE BIENNIAL PERIOD END- ING AUGUST 31, 1914. Receipts. 1913. 1914. Board of private patients $50, Board of town patients Board of county patients Income from John Conant Fund Income from Isaac Adams Fund Prom Fund for Aid of Indigent Insane Prom Fund for Improvement of Grounds For articles sold For articles from Industrial Department For articles sold other institutions: Cheese 36.98 Flour 47.00 Sugar 28.29 Meat Sundries .... Horses From Industrial Department From Corey Hill Hospital, services of nurses From other sources From refund board of Henry Rich From maintenance appropriation Total receipts for year $239,429,91 Total expenditures i $239,429.91 520.08 $50,758.51 634.84 905.01 16.99 36.57 256.00 256.00 162.00 162.00 ,000.00 8,000.00 500.00 500.00 962.62 3,373.92 449.42 1,153.83 607.18 287.07 172,922.14 27.88 137.40 39.86 809.66 54.22 425.00 222.30 *342".i3 643.66 197,635.63 $265,483.38 GENERAL STATEMENT. 1913. 1914. Average number of patients Gross expenditures Weekly per capita cost Receipts from sales A weekly per capita of All other institution receipts A weekly per capita of Average weekly per capita cost to state for support of patients and maintenance of property after crediting all income for year 986.25 $239,429.91 4.66 5,524.31 .107 60,983.16 1.189 1,086.00 $265,483.38 4.70 6,244.07 .11 61,603.68 1.091 3.50 34 NEW HAMPSHIRE STATE HOSPITAL. ANALYSIS OF EXPENSES. Salaries, Wages and Labor: 1913 . 1914 Medical Services $9,422.90 $9,679.02 Ward Services (Male) 15,872.27 18,398.93 (Female) ... 20,611.74 21,445.06 General Administration 34,907.94 37,209.07 Repairs and Improvements 7,181.56 10,114.48 Farm, Stable and Grounds 6,388.04 6,857.21 Food: Butter , Butterine Beans Bread and Crackers. . . Broma and Cocoa Coffee Cereals, Rice and .Meal Cheese Eggs Flour Fish Fruit (dried and fresh) Lard Meat Milk Molasses and Syrup. . . . Potatoes *. Sugar Tea Vegetables Groceries (sundries) . . $94,384.45 $103,703.77 $7,256.14 $9,081.56 3,179.10 2,402.50 1,868.40 714.73 1,017.58 631.31 160.29 65.47 1,206.64 1,495.48 1,482.58 1,007.12 943.74 1,399.13 1,678.94 1,558.56 5,584.15 4,416.79 3,115.62 2,235.52 2,038.98 426.27 1,317.87 1,506.25 12,730.01 16,045.81 3,807.13 5,891.05 604.22 300.93 1,716.33 758.35 3,341.45 5,199.05 987.29 1,068.18 51.57 16.00 6,960.17 8,161.21 $61,048.20 $64,381.27 NEW HAMPSHIRE STATE HOSPITAL. 35 Clothing and Clothing Material: Boots, Shoes and Kubbers $1,431.15 $1,509.28 Clothing 2,291.09 5,-139.42 Dry Goods for Clothing and Small Wares.. 1,712.44 4,399.79 Hats and Caps . 18.25 Sundries . . .• 31.43 $5,490.36 $11,348.49 Furnishings : Beds, Bedding, Table Linen.. $2,399.66 $4,135.95 Brushes, Brooms, etc 178.25 Carpets, Rugs, etc 271.92 97.30 Crockery, Glassware, Cutlery. . 936.81 739.84 Furniture and Upholstery 363.81 165.20 Kitchen Furnishings 3,176.52 810.48 Sundries 1,887.44 2,082.36 $9,214.41 $8,031.13 Heat, Light and Power: Coal $15,268.25 $22,978.86 Freight on Coal 3,414.71 12,256.10 Gas : 547.44 266.40 Lamps (electric) 581.99 554.25 Oil (illuminating) 93.42 173.01 Oil (lubricating) 235.67 255.89 Refrigeration 27.55 Sundries 8.00 86.59 $20,177.03 $36,571.10 Repairs and Improvements : Brick $30.25 $10.25 Cement, Lime and Plaster .... 264.22 121 .0 4 Doors, Sashes, etc 79.84 Electrical Work and supplies . . 1.629.43 898.03 36 NEW HAMPSHIRE STATE HOSPITAL. Hardware, Iron, Steel, etc $964.10 $569.95 Lumber 2,293.57 608.25 Machinery, etc 288.93 Mechanics and Laborers not on Payroll 5,164.68 1,749.18 Paints, Oils, Glass, etc 2,014.22 1,914.88 Plumbing, Steam Fitting and Supplies 2,272.96 1,789.85 Roofing and Materials 172.29 654.54 Sundries 555.42 1,001.88 / . $15,729.91 $9,317.85 Farm, Stable and Grounds: Blacksmith and Supplies 493.79 290.05 Carriages, Wagons, etc., and Repairs 127.45 975.00 Cows 468.00 125.00 Hens 483.65 Fertilizers, Vines, Seeds, etc. . 2,465.19 1,171.61 Gasoline 149.71 487.87 Hay, Grain, etc 6,425.49 3,731.45 Harnesses and Repairs 111.73 27.61 Mechanics and Laborers not on Payroll ' 242.33 103.50 Other Live Stock 117.00 35.00 Motor Truck and Supplies .... 337.13 4,266.47 Tools, Farm Machines, etc. . . . 444.76 139.25 Veterinary Services and Medi- cines 261.99 106.04 Sundries 1,589.98 580.33 $13,234.55 $12,522.83 Miscellaneous: Articles Furnished and Charged $1,662.93 $1,596.38 Books, Periodicals, etc 211.95 176.55 NEW HAMPSHIRE STATE HOSPITAL. 3? Chapel Services and entertain- ments $1,356.68 $1,168.49 Deportation of Patients 24.21 5.36 Freight, Expressage and Transportation 988.39 1,048.39 Funeral Expenses 449.00 276.00 Laundry Supplies 957.93 979.96 Laundry Soap 469.31 173.20 Medical Attendance (extra) . . 102.56 155.00 Medicines and Hospital Sup- plies 2,281.71 2,515.38 Postage 717.07 335.90 Printing and Binding Annual Report 251.96 Patients' Work Shop. ... 2,073.43 3,967.85 Return of Runaways 50.44 14.20 Rental of Coal Shed 600.01 500.00 Soap 236.31 913.47 Stationery and Office supplies 1,643.52 372.34 Training School Instructions, extra 65.10 269.77 Travel and Expense (officials) 234.03 10.30 Telephone and Telegraph 355.48 310.14 Tobacco 872.35 787.75 Water 3,482.70 3,873.05 Sundries 455.12 157.46 Special Legislative Appropria- tion Account of Joseph Burke 473.35 Medical Research Work 135.46 $20,151.00 $19,606.94 Gross Expenditures $239,429.91 $265,483.38 38 XEW HAMPSHIKE STATE HOSPITAL. REPORT OF THE FINANCIAL AGENT OF THE STATE HOSPITAL. From September 1, 1912, to August 31, 1913. Receipts. Balance on hand Aug. 31, 1912 $10,607.63 Received from Matured Bonds: Boston & Maine $5,000.00 Iowa Loan & Trust Co 1,000.00 Chicago, Burlington & Quincy Railroad 5,000.00 Received from sale 75 shares State National Bank, Bos- ton, $200 15,000.00 Received from Interest and Divi- dends • 13,634.03 Withdra^vn Union Trust Co., French legacy 181.84 Received Interest from Union Trust Co., French legacy.. 31.97 EXPENPITURES. Cash paid Treasurer toward Support Indigent Patients $8,000.00 Paid Treasurer for Improvement of Grounds 500.00 Treasurer for Income Con- ant fund 256.00 Treasurer for Incoiue Adams fund 162.00 $39,847.84 $50,455.47 NEW HAMPSHIRE STATE HOSPITAL. 39 Treasurer for Income War- ren K. French $181.84 Premium on surety bond. . 62.50 Appropriations by vote trustees . . . ^ 306.05 For 35 Shares Merchants National Bank, Boston. . 7,506.25 For 60 Shares Chicago & Northwestern Eailroad. . 8,272.50 For 10,000 City of Nashua, N. H. bonds 10,000.00 For Insurance 130.00 William F. Thayer, Finan- cial Agent 200.00 Deposited Union Trust Co. Inter- est J. P. French legacy 31.97 $35,609.11 Balance Aug. 31, 1913 14,846.36 $50,455.47 40 NEW HAMPSHIEE STATE HOSPITAL. EEPORT OF THE CUSTODIAN OF THE FUNDS OF THE STATE HOSPITAL. From September 1, 1913, to August 31, 1914. Receipts. Balance on hand Aug. 31, 1913. . $14,846.36 Received from matured bonds : Minneapolis Bonds $3,000.00 First dividends in liquidation 50 shares Fitchburg National Bank Stock at 160, exchanged for equal number shares Fitchburg Bank & Trust Co. . 8,000.00 Rawson Trust Fund 1,000.00 Interest and dividends 15,813.39 Withdrawn Union Trust Co., French legacy ' 162.02 Interest received on French leg- acy 27.84 $28,003.25 Expenditures. Cash paid Treasurer toward support of indigent patients.. $8,000.00 Cash paid Treasurer for im- provement of grounds 500.00 Cash paid Treasurer income Conant fund * 256.00 Cash paid Treasurer income Adams fund 162.00 $42,849.61 NEW HAMPSHIRE STATE HOSPITAL. 41 Cash paid Treasurer account Warren K. French $162.02 Fifty shares Fitchburg Bank & Trust Co., first dividend in liquidation 8,000.00 Deposited Union Trust Co. inter- est French legacy 27.84 Three Port of Seattle Bonds and accrued interest 2,906.55 H. Kern, mortgage loan 992.^3 $21,007.24 Balance Aug. 31, 1914 21,842.37 $42,849.61 Permanent Funds. The following were the several permanent funds of the hospital on the first day of September, 1914, accompanied by a list of the securities in which they are^ invested. ADAMS FUND. (Gift of Isaac Adams, of Sandwich.) New York, New Haven & Hartford Railroad, Harlem River & Port Chester Div. bond $400.00 City of Concord (N. H.) bonds 600.00 Ten shares Pittsburg, Fort Wayne & Chicago Railroad 1,000.00 Ten shares Chicago & Northwestern Railroad. . . 1,000.00 $3,000.00 BURROUGHS FUND. (Legacy of Rev. Charles Burroughs, D. D., of Portsmouth.) Northern Pacific-Great Northern Railroad bond (Chicago, Burlington & Quincy Railroad, Joint 4s) ■ $1,000.00 42 NEW HAMPSHIRE STATE HOSPITAL. CHANDLER FUND. (Legacy of Abiel Chandler, of Walpole.) Chicago & Northwestern Railroad bond (Milwaukee, Lake Shore & Western) $1,000.00 New York, New Haven & Hartford Railroad bonds 2,000.00 Old Colony Railroad bond 1,000.00 Boston & Lowell Railroad bond 5,000.00 Concord & Montreal Railroad bonds 2,000.00 Boston & Maine Railroad bonds 8,000.00 Sixty-two shares Concord & Montreal Railroad 6,200.00 Ten shares Michigan Central Railroad 1,000.00 Ten shares Pittsburg, Fort Wayne & Chicago Railroad 1,000.00 One share Merchants National Bank, Boston, Mass 100.00 Twenty-five shares Northern (N. H.) Railroad 2,500.00 Two shares Chicago & Northwestern Railroad. . 200.00 $30,000.00 CONANT FUND. (Legacy of John Conant, of Jaffrey.) State of New Hampshire bonds ■ $4,000.00 Concord & Montreal Railroad bonds 2,000.00 Two shares Boston & Providence Railroad .... 200.00 Three shares Concord & Montreal Railroad .... 300.00 $6,500.00 CREIGHTON FUND. (Legacy of Mrs. S. E. W. Creighton, of Newmarket.) Boston & Providence Railroad bonds $1,000.00 Boston & Maine Railroad bonds 2.000.00 $3,000.00 NEW HAMPSHIEE STATE HOSPITAL. 43 DAN FORTH FUND. (Legacy of Mary Daiiforth, of Boscawen.) City of Concord (N. H.) bonds $400.00 FISK FUND. (Legacy of Miss Catherine Fisk, of Keene.) Fisk fund held in trust by the state. $26,378.43 t'ULLEE FUND. (Legacy of Mrs. Peggy Fuller, of Francestown.) Twenty shares Concord & Montreal Railroad.. $2,000.00 KENT FUND. (Legacy of Moody Kent, of Pittsfield.) Boston & Maine Eailroad bonds $12,000.00 City of Concord (N. H.) bonds 200.00 Oregon Short Line Railroad bonds 5,000.00 New York, New Haven & Hartford Railroad bonds 6,000.00 Chicago, Burlington & Quincy Railroad bonds 5,000.00 Chicago & Northwestern Railroad bonds 9,000.00 Boston & Lowell Railroad bonds 10,000.00 Concord & Montreal Railroad bonds 8,000.00 City of Duluth (Minn.) bonds 7,000.00 Northern Pacific Railway bonds 5,000.00 St. Joseph & Grand Island Railroad bonds .... 5,000.00 Old Colony Railroad bonds 12,000.00 Northern Pacific-Great Northern Railroad bonds (Chicago, Burlington & Quincy Rail- road, joint 4s) 13,000.00 Union Pacific Railroad bonds 1,000.00 Port of Seattle, Washington, Water Front Im- provement bonds 3,000.00 City of Nashua (N. H.) bonds 10,000.00 14 NEW HAMPSHIRE STATE HOSPITAL. Fifty shares Pittsburg, Ft. Wayne & Chicago Railroad $5,000.00 Seven shares Union National Bank, Lowell, Mass 700.00 Sixteen shares Merchants National Bank, Bos- ton, Mass 1,600.00 One hundred shares Michigan Central Railroad 10,000.00 Seventy shares St. Joseph & Grand Island Rail- road, first preferred 7,000.00 Twenty-five shares St. Joseph COt-oi-^C tH iH tH r-l o 1 C^" r^" iH tH r-T cT < *^ *»■ M ^ d d OJ c<3 ^ ^ n pq M '6 S to d P d to be d s g^ I ^' d 1 Ad ^ ^ 1 S) d 1— 1 d c > > g ^ f § § § ^ 1 ^ i ? « ^>?«pqcq>?rt o M a ajbfldMMOJd^ W (h ;- boddW)bow)dp, a moskeag anchestei illsboroui echanics moskeag moskeag illsboroui errimack Total § :^ <^U^^ < t- (M CO CO O tH t- cq r- tH " d c ddddoddd ;z; !z ;z;;z:;z:;z;^;z:;z:;2; ,W ,!« j«^^^^^^^ o c oooooooo o c oooooooo n ec pqpqpqpqpqpqpqpq "■"V" d - ■^ fc -O d tri d • '^ '^ B d d fa M [z« d ;-i \ 6 B 1 5 B 02 t Fund mith F hallow ean Wi ^ 1 1 oody mily Duise imes ; fo ^ ^ ^ K tJ CO •-J 1 SEVENTH BIENNIAL REPORT 07 THE SUPERINTENDENT OF THE NEW HAMPSHIRE SCHOOL FOR FEEBLE MINDED AT LACONIA FOR THE BIENNIAL PERIOD ENDING AUGUST 31, 1914 MANCHESTER. N. H. Printed by John b, Clarke Co. 1&15 OFFICEES. Benjamin Waed Baker, M. D Superintendent Haeeiette M. Bingham Office Assistant Mattie O. Thompson Matron Alice B. Eichaeds Teacher Haeeiette W. Patteeson Teacher Will O. Lane Teacher of Manual Training James A. Youngman : . Farm Foreman EEPOKT OF THE SUPERmTENDE:N^T. Laconia, ]^. H., September 17, 1914. To the Board of Control: I hereby submit the biennial report of the !N'ew Hamp- shire School for Feeble Minded for the two years preceding August 31, 1914: Male. Female. Total. Number present September 1, 1912 92 90 182 Admitted during two years 19 7 26 Readmitted during- two years 1 1 Discharged during two years 19 5 24 Died during two years 1 1 2 Number present August 31, 1914 92 91 183 Largest number on books at any time. . . 96 93 189 Average number present during two years 93 91 184 School cases admitted 9 6 15 Custodial cases admitted 11 1 12 Part private cases admitted 6 1 7 Part private cases discharged and died 5 5 Private and part private cases now pres- ent 6 4 10 Epileptics admitted during two years 10 3 13 Epileptics now present 21 8 29 Of the twenty-seven cases admitted during the two years, the average age was twelve years, the admissions being as follows : By court commitment 2 From private homes 24 From Merrimack County Farm 1 Of those discharged, two boys ran away and were Inot returned to the school; three boys were committed to the State Hospital; one boy was discharged to the Franklin Orphans' Home as not feeble minded ; nine boys and four 3 4 NEW HAMPSHIKE SCHOOL FOE FEEBLE MINDED. girls were discharged to relatives ; three boys and two girls were placed out in homes, making a total of twenty-six for the period covered by this report, and a total of ninety discharges and deaths since the school opened. As the capacity of the school has at no time been above one hun- dred and eighty children, the number of discharges seems larger than' should be expected under the most favorable conditions. Parents seeing their child employed at the school under trained supervision seek his discharge with the expectation that he will be able to do profitable work at home during the busy season. Removal from this school is sometimes requested that the child may accom- pany the family, who claim that they are to move out of the state. Relatives, guided by their affection and emo- tions rather than by good judgment, permit the assistance of those anxious to demonstrate influence and power in removing a child from the school. Too often the insistent, urgent demands for admission of most needy cases, and the desire to make just one more vacancy in a small, over- crowded school have been the most potent reasons for granting these requests. For the same reason a few of our brightest children have been placed in good homes. The results have been as satisfactory as expected. They indi- cate, however, that a feeble minded person is no more competent in a private home than in a public institution ; also that the real good home, in which the strange child receives parental aifection, consideration and guidance without a desire for selfish returns, is hard to find. For the first time in five years the school is offering more room for the care of the feeble minded. The dormitory about to be opened should, at extreme capacity, accommo- date one hundred persons. There are on file at the school applications for double that number. The most urgent de- mand is for the admission of the unprotected, feeble minded girl of child-bearing age, the . helpless idiot who must be a burden to someone as long as life lasts, and the epileptic young man who has become unmanageable at NEW HAMPSHIKE SCHOOL FOE FEEBLE MINDED. 5 home. These three classes present themselves, not for in- struction, but for custody and maintenance. The dis- charge of those belonging to the two classes last mentioned is seldom sought, and their proportion in the school is steadily growing, thereby increasing our per capita cost. I do not wish to convey the idea that the feeble minded are increasing more rapidly in numbers than they have been for the last fifty years. There are frequent inquiries for literature and printed reports from states establishing schools for their feeble minded. Educators are interested and eager for information on this subject. The feeble minded are being recognized in our public schools, singled out in our courts, acknowledged in our county farms, or- phanages and insane hospitals. I feel that a classification of defectives is being slowly brought about. As the many town farms have been merged into the county farm, and as the insane have been taken from the county farms to the State Hospital, so must all the needy feeble minded persons eventually be cared for apart from other classes. Permit me at this time to bring to your attention the needs of the school which seem the greatest. We are still buying standing grass and are in need of more land, both field and pasture. Should any accident happen to either of our boilers in midwinter, the other would not meet our present demands, to say nothing of heating additional new buildings. A new boiler should be supplied. Good, intelligent employees are none too plentiful. They are happier and more efficient if properly housed, yet institutions are built for inmates, with little provision for the employees, on whom their successful mauagement depends. I most earnestly recommend that provision be made for an employees' home. We are at present buying approximately 1,100 dozen cold storage eggs per year. If provided with suitable hen- houses, yards and equipment, I see no reason why we can- not raise all the fresh eggs and poultry we might need. ^ NEW HAMPSHIEE SCHOOL FOR FEEBLE MINDED. Platform scales would be of frequent use and promote accuracy in farm accounts. I accordingly recommend them for your consideration. There are on the place twelve wooden buildings, all in need of painting. As this item of expense could not be easily borne by our allowance for maintenance, it should be otherwise provided for. The horse barn is in need of repairs; was originally made from an old barn and will not now accommodate all our horses. I would suggest that it be enlarged and re- paired, or rebuilt. There is at present no sanitary room in which to strain and care for the milk of our herd. An evident want might be supplied by a small, one-story sanitary cement building, connected with the barn by a walk-way and properly equipped to care for the milk, according to approved and modern methods. Previous to the retirement of the Board of Trustees, June 1, 1913 by legislative act, they voted that the bequests held by them be expended for playground apparatus. These bequests, from James Cleaves of Candia and Mary A. Taply of Parmington, with interest, amounting to $161.27, were expended for the following: Giant Stride, Children's Slide, Teeter Ladder, Flying Rings, Trapeze, Horizontal Bar, Steel Swing, complete with fittings, etc. This apparatus is set in cement on the grounds in front of the dormitories, where it can be enjoyed by all the chil- dren. It not only furnishes wholesome outdoor exercise but adds to the social enjoyment of the school. There is perhaps no more important side of life than the social side, especially in an institution. With an increas- ingly large adult population, it is less easy to preserve social unity, but we seek to stimulate the spirit of play and of good fellowship that there may be the greatest happiness for all. As in previous years, the boys and girls have been re- NEW HAMPSHIEE SCHOOL FOE FEEBLE MINDED. 7 inembered by many generous gifts, and to these friends of the school we wish to express our gratitude. I am also grat-eful for the faithful assistance of those with whom I am associated. Kespectfully submitted, BElSTJAMIlSr WAED BAKEE, M. D., Superintendent. 8 NEW HAMPSHIEE SCHOOL FOR FEEBLE MINDED. ANALYSIS OF EXPENSES FOR THE BIENNIAL PERIOD ENDING AUGUST 31, 1915. 1913. 1914. Payroll Food: Butter $521.80 Butterine 156.72 Beans 113.08 Bread and crackers 355.62 Cereals, etc 148.63 Cheese 26.14 Eggs 280.20 Flour 1,442.25 Fish 352.67 Fruits 211.28 Meats 1,503.57 Molasses, etc 198.41 Sugar 435.32 Tea, coifee, etc 244.36 Vegetables 52.27 Sundries 425.50 Clothing and Clothing Material : Shoes and rubbers $778.33 Clothing 326.47 Dry goods, etc 560.33 Hats and caps 7.50 Leather, etc 179.79 Furnishings : Beds and linen $552.79 Brushes, etc 69.02 Carpets, etc 17.45 Crockery 63.73 Furniture 196.30 Kitchen furnishings 138.05 Toilet supplies 17.64 Woodenware 74.72 Sundries 13.30 Heat, light and power : Coal $2,335.48 Freight on coal 538.34 Oil 4.95 Gasoline 24.00 Electricity 1,155.20 Matches, sundries 1.10 Repairs and improvements: Cement $94.43 Doors, sashes, etc 30.64 Electrical work, etc 151.30 Hardware 212.38 Lumber . 191.25 Machinery 42.73 $16,184.77 $6,467.82 1,852.42 1,143.00 4.(«9.07 $522.17 159.23 252.97 379.50 244.45 68.53 259.54 1,085.73 345.79 215.06 1,598.67 121.37 439.40 188.23 33.13 439.93 $214.05 1.50 492.07 16.80 132.11 $149.20 73.82 23.75 77.11 251.89 55.46 121.26 $3,202.95 684.43 14.58 27.75 1,146.65 2.50 $224.38 33.87 129.74 189.47 133.09 4.77 $16,681.19 $6,353.70 S56.53 811.32 5,078.86 NEW HAMPSHIRE SCHOOL FOR FEEBLE MINDED. 1913. 1914. Paints, glass, etc 176.72 195.89 Plumbing, etc 250.89 376.98 Stone work 199.04 Roofing and materials 113,79 17.57 Pipe 52.84 38.64 Sundries 6.00 1,516.01 1,350.40 Farm, stable and grounds: Blacksmith and supplies $333.74 $182.19 Carriages and repairs 223.91 177.76 Fertilizers, etc 506.46 421.93 Hay and grain 2,395.87 2,589.09 Harness and repairs 46.93 145.48 Evaporator 116.31 Live stock 24.75 169.57 Tools 126.78 208.68 Livery 27.25 *212.50 Rent 110.00 Veterinary services 22.00 Sundries 5.90 104.67 3,939.90 4,211.87 Miscellaneous : Books and periodicals $57.20 $28.16 Chapel service, etc 93.42 69.62 Medicines, etc 125.77 148,57 Manual training 84.96 40.81 Postage 94.30 101.25 Return of runaways 17.64 20.91 Soap 358.60 212.34 Stationery and office supplies 109.04 94.80 School books 247.36 34.72 ' Travel and expense (official).. 238.17 121.09 Telephone and telegraph 125.24 122.53 Medical attendance 99.71 36.63 Sewing room 64.84 31.84 Toilet supplies 18.00 Gratuities 7.00 tl64.25 Freight 124.48 186.24 Sundries 28.03 63.69 1,893.76 1,477.45 Total cash payments $37,056.75 $$36,821.32 Paid from income at institution 1,960.99 1,717.79 Paid from appropriation $35,095.76 $35,103.53 Unexpended balance 4.24 Refund on freight / 3.53 $35,100.00 $35,100.00 ♦Horses. fHose. IBills to the amount of $470.68, chargeable to maintenance, for the year ending August 31, 1914, and paid by the Purchasing Agent, were not approved and allowed by the Auditor to prevent overdraft. 10 new hampshiee school foe feeble minded. Estimates of Products of the Farm. Beets, bushels : 200 Carrots, bushels 275 Parsnips, bushels 150 Potatoes, bushels 2,600 Onions, bushels 278 Turnips, bushels 600 Cucumbers, bushels 125 Tomatoes, bushels 200 Sweet corn, bushels 714 Green peas, bushels Ill Dry beans, bushels 17 Shell beans, bushels 45 String beans, bushels 290 Beet greens, bushels 66 Turnip greens, bushels 120 Squash, tons 7 Pumpkins, tons 5 Cabbage, heads 8,000 Lettuce, heads 6,000 Celery plants 2,000 Spinach, bushels 45 Cress, bushels 10 Mangles, bushels 490 Cauliflower, heads 30 Radishes, bushels 24 Dandelion greens, bushels 256 Hay, tons 150 Hugarian, tons 2 Oats for fodder, tons 12 Ensilage, tons 220 Egg plant, bushels 10 Peppers, bushels 2 Milk, pounds 233,554 Pigs 120 Calves 43 NEW HAMPSHIRE SCHOOL FOR FEEBLE MINDED. 11 Musk melons, bushels 6 Watermelons, bushels 25 Cultivated blackberries, quarts 75 Wild raspberries, quarts 36 Cultivated blackberries 75 Apples, barrels 38 Blueberries picked on neighboring land, quarts 2,700 PRESERVES^ JELLIES^ ETC. Peaches, quarts 45 Blueberries, quarts 223 Blackberries, quarts 41 Baspberries, quarts 15 Plums, quarts 155 Pears, quarts 127 Grape jelly, glasses 78 Peach marmalade, quarts 3% Crab apple jelly, glasses 25 Maple syrup, gallons 185 Currant jelly, glasses 187 Strawberries, quarts 38 Cherries, quarts 37 Apple jelly, quarts 4 Plum butter, quarts 4% Blueberry jelly, glasses 34 Blueberry and currant, glasses 18 PICKLES. Tomato soy, gallons 25 Pear pickle, quarts 12 Spiced cucumber pickle, gallons '. 9 Sweet cucumber pickle, gallons 18 Cucumbers salted, barrels 2 Cucumber pickles, gallons 40 Chili sauce, quarts 26 12 NEW HAMPSHIRE SCHOOL FOR FEEBLE MINDED. English pickle, quarts 19 Dutch pickle, quarts 16 Picalilli, gallons 6 VEGETABLES CANNED. Shell beans, quarts 30 Dandelions, bushels 60 Corn, quarts 170 String beans, quarts 300 Peas, quarts 158 Tomatoes, quarts 286 ARTICLES MADE IN THE SEWING ROOM. Aprons, ticking, 5 ; aprons, 428 ; bread cloths, 12 ; boys' sailor suits, 4; boys' blouses, 21 ; bibs, 32 ; brassiere waists, 5 ; bureau scarfs, 27 ; collars, 2 ; candy bags, 473 ; corset covers, 24; dish cloths, 145; drawers, pairs, 97; dresses, 195 ; dust caps, 11 ; extractor cloths, 8 ; guimpe, 1 ; holders, 11; jumpers, 132; laundry bags, 20; mittens, pairs, 76; mail bags, 2; nightshirts, 243; nightgowns, 211; overalls, pairs, 352 ; overshirts, 159 ; pants, pair, 1 ; pillow slips, 372 ; petticoats, 68 ; romper suits, 41 ; rugs, woven, 52 ; rugs, hooked, 1 ; restraint waists, 13 ; slippers, pair, 1 ; stand covers, 2 ; suspenders, pairs, 45 ; shirtwaists, 51 ; sash curtains, pair, 25 ; sanitary napkins, 201 ; sanitary belts, 81; sheets, 310; towels, miscellaneous, 1,059; table napkins, 237; tablecloths, 7; underwaists, 166; window curtains, hemstitched, pairs, 28; waitress' cuffs, pairs, 8; white duck coats, 28. FANCY WORK, ETC., MADE IN SEWING ROOM. Aprons, 5 ; center pieces, 4 ; dolls, 3 ; dolls' mattresses, 4 ; dolls' pillows, 4 ; dolls' sheets, 10 ; dolls' pillow slips, 4 ; dolls' spreads, 4 ; dolls dressed, 3 ; doilies, 9 ; handkerchief NEW HAMPSHIKE SCHOOL FOE FEEBLE MINDED. 18 case, 1; jabots, embroidered, 28; jabots, crocheted, 5; May pole streamers, 14 ; penwipers, 2 ; pin and needle case, 1 ; Pied Piper's coat, 1 ; rubber cases, 2 ; sofa pillow cover, woven, silk, 6 ; sofa pillow cover, woven, D, 1 ; sofa pil- low, embroidered, 2; shoe bags, 2; Scotch caps, girdles and sashes, 4; sponge bag, 1; spool case, 1; tray cloths, 23; towels, 4; ties, hemstitched, 3 ;work bag, 1. ARTICLES MEI^DED IN SEWING EOOM. Aprons, 528 ; bath robe, 1 ; bibs, 17 ; blouses, 431 ; dress^ 1; drawers, pairs, 654; gymnasium suits, 23; horse blanket, 1 ; jumpers, 697 ; laundry bags, 39 ; nightshirts, 1,552; overalls, 1,967; pants, 489; overshirts, 958; pillow slips, 20 ; restraint jackets, 59 ; romper suits, 692 ; roller towels, 3; sheets, 11; spread, 1; school bags, 3; under- shirts, 515 ; underwaists, 11 ; union suits, 22 ; white duck coats, 51; waitress aprons, 14. ALTERED IN SEWING ROOM. Coats, 12 ; dresses, 12 ; petticoats, 3 ; pants, pairs, 3 ; shirtwaist, 1 ; skirts, dress, 2 ; tablecloths, 4. PRODUCTS OF SCHOOL ROOMS. Baskets, reed, 508; baskets, raffia, 98; broom cases, 25; raffia pillow, 1 ; table mats, 37 ; napkin rings, 11 ; milk- weed coasters, 19; caps, knit, 117; dolls' caps, 4; mittens, pairs, 6 ; helmets, 8 ; purses, 8 ; sachets, 4 ; dolls' blankets, 4 ; afghan, 1 ; shawls, 18 ; yarn dolls, 4 ; sweaters, 4 ; scarf, 1 ; slippers, pairs, 16 ; baby blanket, 1 ; wash cloths, 21 ; fascinator, 1 ; dolls' jackets, 3 ; set of dolls' bells, 1 ; basket- ball markers, 9 ; bathing tights, pair, 1 ; bath mitts, 2 ; balls, 4; hood, 1; bean bags, 2; pincushions, 7; reins, 29; bed shoes, pair, 1 ; laundry bags, 1 ; dolls' hammocks, 14 ; netted laundry bags, 2; shaving pads, 3; tatting, yards, ll/o. 14 NEW HAMPSHIBE SCHOOL FOR FEEBLE MINDED. CROCHETED. Shawl, 1 ; lace, yards, 33 ; caps, 9 ; helmet, 1 ; hot water bag cover, 1 ; doilies, 34 ; purses, 3 ; sachets, 8 ; bags, 5 ; pincushion tops, 2 ; collar, 1 ; jabots, 11 ; lingerie cord, 1. ARTICLES MADE IN MANUAL TRAINING SHOP. Knife boxes, 17; plant stands, 44; coat hangers, 21; broom holders, 14; book racks and cases, 35; candlesticks, 21; blotters, 2; dolls' bedsteads, 8; polishers, 10; boxes, 29 ; checker boards, 8 ; garden markers, 4; table, 16 ; neck- tie racks, 16 ; inkstands, 3 ; clothing pegs, 1 ; paper knives, 10 ; hammock stands, 2 ; sleds, 10 ; bench hooks, 5 ; trous- ers hangers, 21; pencil holders, 2; milking stool, 1; plant tubs, 2 ; guns, 3 ; towel rollers, 2 ; darning balls, 3 ; picture frames, 11 ; taborets, 12 ; ruler, 1 ; footstools, 2 ; wind boys, 6 ; box traps, 4 ; bean bag board, 1 ; magazine stands, 6 ; closets, 6 ; work bench, 1 ; bathroom racks, 2 ; towel racks, 4 ; double runners, 5 ; toys, 4 ; umbrella racks, 2 ; chair, 1 ; hat rack, 1 ; goad stick, 1 ; ladder, 1 ; sleeve boards, 6 ; peggy sticks, 7 ; kites, 3 ; stilts, pairs, 2 ; pen trays, 3 ; brackets, 4 ; mirror frame, 1 ; puzzles, 3 ; drawing boards, 3 ; T square, 3 ; waste basket, 1 ; comb case, 1 ; bird house, 1 ; plate shelf, 1 ; turning saw frame, 1 ; forms for train- ing class, 14 ; brush holders, 8 ; inkstands, 2 ; lacing form, 1 ; baskets, 5 ; knife scouring board, 1 ; chair bottoms, 6 ; moccasins, pairs, 175 ; basket bottoms, blocks, etc., mis- cellaneous lot ; tool handles, 54. REPAIRED IN MANUAL TRAINING SHOP. Step ladders, 3; polishers, 13; bookcases, 4; sleds, 10; doH'c bed, 1 ; wheelbarrow, 1. THIRD BIENNIAL REPORT OF THE SUPERINTENDENT AND TREASURER OF THE NEW HAMPSHIRE STATE SANATORIUM FOE THE BIENNIAL PERIOD ENDING AUGUST 31. 1914 Printed bt John b. Clarke Co. MAJNCHESTBR. N. H. 1915 OFFICEES. John M. Wise, M. D Superintendent William A. Domey Steward Geetrude I. Wise Head Nurse James House Farmer Caleb S. Bukleigh Engineer Railroad Station and Postoffice, Glejtcliff^ I^. H. LOCATION The 'New Hampshire State Sanatorium is located at Glencliff, seventy-six miles north of Concord, on the White Mountain Division of the Boston and Maine Bailroad, two miles from the station, on the southern slope of Mount Moosilauke, at an elevation of 1,650 feet. It averages about 170 perfectly clear days in the year. Its extremes of temperature are less than those of the surrounding places. It has an unlimited supply of pure water, and all modern conveniences. SUPERINTEIS^DEXT'S EEPOET. To the Board of Control: Herewith is submitted the superintendent's third bien- nial report of the J^ew Hampshire State Sanatorium for the period ending August 31, 1914. This period has witnessed no increase in the patient capacity of the sanatorium. The demand for admission has at times, especially in the winter months, greatly ex- ceeded the capacity; in the summer months, the demand has been somewhat less. This condition is parallel with that of former years. The daily average for the first year of this report was 55.27 ; for the second year, 53.95. There were three hundred thirty-three applicants examined for admission; of this number, fifty-two were rejected as being hopelessly far advanced, eight were considered non-tuber- culous, two hundred one were admitted, and seventy-two were not admitted for various reasons. Types of Cases Admitted. Of the two hundred two cases discharged during the two years, forty-one or 20.3% were incipient, eighty-eight or 43.56% were moderately advanced, and seventy- three or 36.14% were far advanced. This classification again forcibly demonstrates that if we are to treat tuberculosis as a curable disease we are, for some reason, obtaining far too few favorable cases ; that if we are to treat the disease from the standpoint of prophylaxis, we are still working with an inadequate number of infectious cases, the pro- portion of which increases with an increasing ratio as the stage of the disease advances. Favorable cases, even when diagnosed, often hesitate to come to an institution. Pi- tients do not always consider that the staff of an institii- 4 NEW HAMPSHIKE SANATOKIUM. tion, or its examiners, are impartially advocating the advantages of sanatorium treatment. They quite often presume such advice to be partial. It rests with the family physician not only to find the tuberculous, but also to prepare them mentally to seek the advantages of the sana- torium before it is too late. The Habit of Delay. We "receive applications from patients who have been taking treatment at home anywhere from six months to two or three years. During all this time there has been a steady decline. They have then reached a point where •cure is impossible, and arrest of the disease improbable. Many of these patients have had no physician in regular attendance. Where they have had such attendance, to the attending physicians would seem to fall the responsibility of framing the minds of patients to earlier seek an institu- tion. Those who have relied upon themselves, we are still seeking a means of reaching. Up to the present time, our most effective solicitor is the ex-patient. Aside from the discipline he receives for his own benefit, his influence as a teacher and as a disciple of the outdoor life is one of our greatest assets. Since we are dependent upon the family physicians both for the kind and quantity of cases for our work, it seems proper that more responsibility should be placed upon their shoulders; that they should be made to feel that in their hands, quite as much as in our own, is the power to make of the anti-tuberculosis cause a success. Change of System Advocated. By having regular examiners for the sanatorium, the responsibility for diagnosis is unconsciously and improp- erly shifted to their shoulders. I believe we ought to openly place the responsibility where it belongs — upon the NEW HAMPSHIRE SANATORIUM. 5 physicians in general practice. This would surely pro- duce a fluctuation in the classification of cases, with a decided tendency to an increase of the more advanced. But, like the experience in other states, this fluctuation would he temporary, and would, in the course of about a year, return to its accustomed level. The experience has also shown that this method has stimulated the making of better diagnoses, has prompted better treatment, and has broken down the dangerous barrier of delay between di- agnosis and admission. I believe that the less formality necessary for applica- tion and admission to an institution, the better will be the results. It does not matter so much that we have treated so many cases of such a class with such results as that we have recognized the actual need in our state and sup- plied it. I would respectfully recommend that the present plan of having regularly appointed examiners be discon- tinued and that every registered physician be allowed to make out an application for his own patient and forward it directly to the superintendent, who shall, as heretofore, determine the admissibility of applicants. By this I do not intend to recommend the admission of hopelessly far advanced cases, but that the least degree of favorability shall continue to be that the case present a reasonable prospect of improvement. Results of Treatment. The results of treatment have been consistent with' the types of cases furnished. The classification of results has been made in accordance with the new schema recently adopted by the American Sanatorium Association. For the percentages of results, you are respectfully referred to statistical table 'No. 4^ and for the interpretation of this table to the schema for classification of results which ap- pears on a subsequent page of this report. To those who are unfamiliar with the new classification this will appear 6 NEW HAMPSHIRE SANATOIUUM. '/ to be a less favorable result, but a comparison of the new terms and definitions with the old ones will show the re- sults to be quite parallel with those of former years. Your attention is also called especially to Table ]^o. 17, which contains a record of the present condition of the ex- patients of this sanatorium, as far as we are able to trace them. After History of Patients. The fact that so many patients who leave the sanatorium in satisfactory condition fail to keep well after they return to their homes is not a proof of the failure of the sana- torium treatment to produce permanent results, but is rather an evidence that the home life of the patients needs supervision and correction. We find that relapses are due not so much to unsuitable occupation as to the misuse of the hours between the day's regular employment. The ex-patient who fails to avail himself of these hours for rest, open-air life, and open-air sleeping, or in other words, fails to adapt his mode of living to his infirmity, rs the person who is certain to be readmitted to the sanatorium. Occu- pation is not the greater influence in this respect; re- muneration and high cost of living are more determining factors; a lesson imperfectly learned makes up the total which spells failure. The point, however, to be made is that our duty does not cease when we have discharged the patient in good condition. His subsequent history and the, influence of his association with other people are quite as important as his sanatorium treatment. This work of subsequent encouragement and supervi- sion could not be done without the employment of a social worker, preferably an experienced nurse, to work in co- operation with and under the direction of the superin- tendent of the sanatorium. The salary and expenses of such a person would need to be especially provided for. We now have no systematic way of keeping in touch with our ex-patients. I submit this question for consideration. 25 NEW HAMPSHIEE SANATORIUM. 7 as I believe it to be a valuable adjunct to our work and a branch the possibilities of which I should very much like to see realized. Method of Admission. For general information, the method of admission is as follows : 1. Every prospective patient must be examined by one of the regularly appointed examiners, and an application made out by the examiner and forwarded to the super- intendent. 2. The superintendent decides upon the admissibility of applicants. 3. The regular rate for board and treatment is $10 per week. Those who can pay this rate are admitted at once. All others to be eligible must fill out an application for state aid and forward it to the Secretary of the State Board of Charities at Concord, stating the amount they can pay, if anything. The Secretary then determines the amount to be paid, and forwards a card to that effect to the superintendent. Those unable to pay anything are admitted free, the state assuming the expense. When va- cancies occur, the superintendent notifies eligible patients when to come. Regular Examinees. Dr. S. E. TJpham, Claremont, :N^. H. Dr. M. B. Sullivan, Dover, IST. H. Dr. J. D. Proctor, Keene, :N^. H. Dr. A. H. Harriman, Laconia, ^N". H. Dr. A. Lavallee, Berlin, 'N. H., and the Superintendent at Glencliff, IST. H., except on the Eirst and Third Tuesdays of each month, when he examines at the office of Dr. A. F. Wheat, 967 Elm Street, Manchester, K H., from 11.00 a. m. to 12.30 p. m. Acceptable cases are those which present a reasonable prospect of improvement or cure. Cases less favorable are rejected. 8 new hampshiee sanatorium. Improvements. A complete refrigerating plant has been added to the equipment of the kitchen, and is about ready for occu- pancy. It will supply a long-felt want, and will enable us to buy in safety perishable provisions in larger quantities and obviate the necessity of living from hand to mouth, with occasionally an empty larder, because of poor trans- portation facilities. It will also save considerable expense by reducing transportation charges. The kitchen was further equipped by the purchase of a new range, a steam table, a broiler, and tea and coffee urns. Under the refrigerating plant a vegetable cellar was built, supplying another of our various needs. The third floor of the dining-room building has been finished and made into nine pleasant rooms, and two bath- rooms for the use of employees, who had hitherto been improperly accommodated. A new boiler of greater capacity, an engine and electric generator complete and a coal pocket have been added to the equipment of this department. This supplies a dual system for use in case one unit fails. The enlargement of the dam is under construction. When completed this will furnish sufficient water to main- tain pressure in case of fire. The installing of two hy- drants with outside hose, for which an appropriation was received, has not yet been done. The erection of a new barn for horses and cows meets a need that had been steadfastly denied until the present biennial period. Up to this time we have been compelled to hire some very poorly equipped buildings. Acknowledgments. Grateful appreciation is expressed to the following: 'New Hampshire Branch of the Red Cross for financial aid to patients. NEW HAMPSHIRE SANATORIUM. 9 W. C. T. U. of Littleton for magazines. W. C. T. U. of Concord for books. Cardp 1^0. 26, S. O. Y., of Claremont for a large Ameri- can flag. Federation of Women's Clubs of 'New Hampshire for a phonograph and records, and many books. Mrs. Lorin Webster of Holderness for books, magazines and many kind offices. Rev. W. A. Loyne of Warren for extensive reading ma- terial, visitations, conducting services and furnishing musical entertainments. Also to the orchestra boys of Tilton Seminary and the other good people of Warren who assisted in furnishing music. Eev. Fr. Eedden, Eev. Fr. Griffin, Rev. Fr. Walsh and Rev. Fr. Quirk of Woodsville for their willingness to re- spond to every call. Rev. John Knox Tibbits of Concord for visitations, lectures and conducting services. Respectfully submitted, JOHIST M. WISE, M. D., Superintendent. STATISTICAL TABLES. TABLE I. Admissions and Discharges, 1912-1913. Men. Women. Total. Number patients in sanatorium Sept. 1, 1912. Number admitted Sept. 1, 1912, to Aug. 31, 1913... Number discharged Sept. 1, 1912, to Aug. 31, 1913. Number deaths (included in preceding item) Number patients in sanatorium August 31, 1913.. Daily average for year 55.27 Total number hospital days 20,175.97 Average number weeks residence 24.78 TABLE II. Admissions and Discharges, 1913-1914. Men. Women. Total. Number patients in sanatorium Sept. 1, 1913 Number admitted Sept. 1, 1913, to Aug. 31, 1914... Number discharged Sept. 1, 1913, to Aug. 31, 1914. Number deaths (included in preceding item) Number in sanatorium August 31 1914 30 59 62 3 27 26 45 47 2 24 56 104 109 5 51 Daiily average for year 53.95 Total number hospital days 19,691.06 Average number weeks residence 25.81 10 XEW HAMPSHIEE SANATOKIUM. 11 l-i "5 •^ o 1 3 d {5 ^ in CO 38.76 19.66 6.74 g : : i : i H '*'§g§Si§Sg^| ^ '-'S^eoS*''S°°*^ S' tH 4<1 00 r-l 00 rH <5 > < 7.94 38.09 36.51 17.46 100.00 h **"'S§3?:ISSg2 ^ OOrH^gUSO^jJ §* oo-.j^oeotoeo^'.ai 1" 1 d § ^ ^- ^ S Ii5 § : : '*^" S .§3 ^' S' ^" 1 : ! tH* •^"^s^ss, -<§°°§§ ^* 0-^t-.ooosrHO»eoeq S ff^iOMcseooi-i'^^ i 1 d pi S5 g §g "^ J3 ^ gj : § : : i i i i H* Ni-j-«t<00OOlO«5TH 1-1 ,-H CO Tf ^ OtOOSlOOOOrHrH g e^ioiocoooususo 1 s < g .2 5 a >• 2 ft S •a 1 p. a 1 5 1 •a a o o 1 i' 1 1 s 1 1 s 12 NEW HAMPSHIRE SANATORIUM, TABLE IV. NuTBinoNAL Changes of Cases Discharged. Total. Number who gained weight Number who lost weight . . No change in Average gain, pounds Average loss, pounds Greatest gain, pounds 155 35 12 TABLE V. Stage on Admission of Dischabged Cases. Men. Women. Total. Per Cent. Incipient Moderately advanced . . . Far advanced ... 20 46 40 21 42 33 41 88 73 20.3 43.56 36.14 106 96 202 100.00 T ABLE VI. Number Discharged Paying Full Rate, Partial Rate, and Nothing. Men. Women. Total. Full rate 10 41 55 6 38 52 16 Partial rate 79 Nothing 107 106 96 202 NEW HAMPSHIEE SANATORIUM. 13 TABLE VII. Civil Condition of Patients Discharged. Married . Single . . Widowed Divorced . Separated Men. Women. Total. 44 34 78 58 51 109 1 10 11 1 1 3 3 106 96 202 TABLE VIII. Age of Patients Dischaeged. Men. Women. Total. Under fourteen years 1 1 2 Fourteen to twenty years Twenty to thirty years Thirty to forty years .... Forty to fifty years 13 46 33 12 1 10 46 27 11 1 23 92 60 23 Over fifty years •. . . . 2 106 j 96 202 TABLE IX. County of Residence of Patients Discharged. j Men. Women. Total. Belknap Carroll 3 1 6 3 9 2 9 44 7 6 5 2 3 9 4 Cheshire 9 4 11 39 12 7 12 4 4 18 Coos 6 Grafton 20 Hillsborongfh 83 Merrimack 19 Rockingham 13 StrafFord 17 Sullivan 6 Outside New Hampshire 7 106 96 202 14 NEW HAMPSHIRE SANATOEIUM. TABLE X. Nativity of Patients Dischaeged. Men. Women. Total. United States 79 11 2 5 2 2 1 2 1 1 54 22 3 9 I 1 1 1 133 Canada England Ireland Scotland 33 5 14 3 Sweden 4 Russia Austria Greece Syria 3 2 2 2 Italy 1 106 96 202 TABLE XI. Place of Examination of Applicants. Men. Women. Total. Berlin 7 3 * 7 5 14 Clareinont 8 Dover 16 18 34 Glencliff 47 39 86 Keene 11 8 19 Laconia 1 2 3 Manchester 100 69 169 . 185 U8 333 TABLE XII. Sputum Record of Patients Discharged. Positive. Negative. Total. Incipient Moderately advanced Far advanced 4 63 70 37 25 3 41 88 73 137 65 202 NEW HAMPSHIRE SANATORIUM. 15 TABLE XIII. Frequency op Complications Recorded. Abscess, ischiorectal 3 Adenitis (scrofula) 5 Asthma 3 Cavity 40 Cystitis 1 Enteritis, tubercular 8 Epididymitis, tubercular .... 1 Haemoptyses 127 Heart, displacement 1 Heart, intermittent 1 InsuflSciency, mitral 1 Lupus of mouth 1 Laryngitis, tubercular 18 Laryngitis, catarrhal 2 Otitis media 7 Orchitis, tubercular 1 Peritonitis, tubercular.. 1 Pleurisy with effusion 2 Erythema vesiculosum 1 TABLE XIV. Previous Occupations of Those Discharged. Agent Baker 2 1 1 Factory, Machinist Metal worker.. .. Paper Housework Housewife Laborer Merchant 4 3 2 Bookkeeper Bricklayer Bootblack Carpenter 4 1 1 7 1 1 1 9 3 1 1 •. 3 6 1 1 . 28 . 26 1 16 33 5 1 Cigarmaker Clerk postoflBce Motorman Milliner 2 1 R. R. mail 1 Store Printer .- 1 Conductor, Street R. R Nurs« 4 1 Dressmaker Stonecutter Student 3 Engineer, stationary 16 Parmer Stenographer . . . . 2 2 Dye Textile Telegrapher Teacher Teamster 1 3 Shoe 1 Foreman Total ,. 202 TABLE XV. Deaths in Sanatorium. Duration of Disease on Admission, Length of Residence, and Cause of Death. Case No. 194 274 306 321 364 406 441 446 Duration Residence. 45 months 5 months 11 months 12 months 12 months 12 months 18 months 14 months 10 mouiths 12 months 10 months 14 months 99 weeks, 1 day. 166 weeks, 2 days 37 weeks, 2 days 48 weeks, 6 days 22 weeks, 6 days 4 weeks, 1 day. 4 weeks, 1 day. 3 weeks, 2 days 22 weeks, 1 day. 22 weeks, 3 days 2 weeks 7 weeks Cause of Death. Pulmonary Tuberculosis. Pulm. Tuberc. and Pulm. Haem. Pulm. and Laryng. Tuberculosis. Pulmonary Tuberculosis. Pulm. Tuberc. and Pulm. Haem. Pulmonary Tuberculosis. Pulmonary Tuberculosis. Pulmonary Tuberculosis. Pulm. Tuberc. and Pulm. Haem. Pulm. Tuberc. and Pulm. Oedema. Pulmonary Tuberculosis. Pulm. ?p6 Laryne. Tuberculosis. 16 NEW HAMPSHIRE SANATORIUM. TABLE XVI. Present Condition of Patients Discharged. Classified According lo Condition on Admission and Discharge. Present Condition. Discharged. 1909. Stage. Discharged. 1910. Stage. 1 2 3 Total. 1 2 3 Total. Alive 1 1 1 2 1 1 1 2 1 3 11 1 I 12 19 11 4 14 5 34 11 11 30 Dead '23 4 "Working 23 Not working 7 57 Present Condition. Discharged. 1911. Stage. Discharged. 1912. Stage. Alive Dead Un traced . . . Working ... Not working 1 2 3 8 28 4 10 19 3 2 2 S 26 2 4 11 40 25 Total. 40 76 1 2 3 19 35 4 1 6 20 2 1 17 26 1 2 9 3 ! 22 41 25 ' Present Condition. Discharged. 1913. Stage. Discharged. Totals. Stage. 1 2 1 3 Total. 1 2 1 3 Total. Alive 19 1 19 20 37 5 1 20 17 43 14 21 70 26 9 57 2 6 53 120 i 22 199 Dead 33 72 1 107 Untraced 7 1 3 ' 18 Working 4 43 10 27 87 i K 1 146 4 ' Sa 17 K4 35 98 65 160 97 322 NEW HAMPSHIRE SANATORIUM. 17' SCHEMA FOE CLASSIFICATION OF PATIENTS ON EXAMINATION. The following definitions indicate the furthest extent of disease and the greatest severity of symptoms that a patient can present and still belong to the stage defined. All patients be- yond the incipient stage fall under the moderately advanced stage unless the physical signs and the symptoms exceed those of the moderately advanced stage, when they should be classi- fied as far advanced. Incipient. — Slight or no constitutional symptoms (including par- ticularly gastric or intestinal disturbances, or rapid loss of weight) ; slight or no elevation of temperature or accelera- tion of pulse at any time during the twenty-four hours. Expectoration usually small in amount or absent. Tu- bercle bacilli may be present or absent. Slight infiltration limited to the apex of one or both lungs, or a small part of one lobe. No tuberculous complications. Moderately Advanced. — No marked impairment of function, either local or constitutional. Marked infiltration more extensive than under incipient, with little or no evidence of cavity formation. No serious tuberculous complications. Far Advanced. — Marked impairment of function, local and con- stitutional. Extensive localized infiltration or consolidation in one or more lobes. Or disseminated areas of cavity formation. Or serious tuberculous complications. Acute Miliary Tuberculosis. SCHEMA FOE CLASSIFICATION OF SUBSEQUENT OBSEEVA- TIONS. Apparently Cured, — All constitutional symptoms and expectora- tion with bacilli absent for a period of two years under ordinary conditions of life. Arrested. — All constitutional symptoms and expectoration with bacilli absent for a period of six months ; the physical signs to be those of a healed lesion. Apparently Arrested. — All constitutional symptoms and expec- toration with bacilli absent for a period of three months ; the physical signs to be those of a healed lesion. Quiescent. — Absence of all constitutional symptoms ; expectora- tion and bacilli may or may not be present ; physical . signs stationary or retrogressive ; the foregoing conditions to have existed for at least two months. Improved. — Constitutional symptoms lessened or entirely absent ; physical signs improved or unchanged ; cough or expectora- tion with bacilli usually present. Unimproved. — All essential symptoms and signs unabated or in- creased. Died. 18 NEW HAMPSHIRE SANATORIUM. FINANCIAL STATEMENT. Keceipts. * 1913. 1914. Appropriations for maintenance Board of patients $26,515.40 5,660.28 245.54 203.82 505.12 $30,000.00 2,938.29 231.04 Sale of supplies Miscellaneous 107.22 Sale of farm products 533.07 Total expenditures $33,130.16 33,128.63 $33,809.62 33,632.75 Balance unexpended $1.53 $176.87 ANALYSIS OF EXPENSES. 1913. Salaries, wages and labor: Pay-roll $10,846.24 Pood : Butter 11,289.88 Beans 43.56 Bread and crackers 82.13 Cereals, rice, meal, etc 111.73 Cheese 27.73 Eggs 2,646.29 Flour 245.80 Fish 408.90 Fruit (dried and fresh) 932.36 Meats 4,053.86 Milk 514.58 Molasses and syrup 12.91 Sugar 300.42 Tea, coffee, broma and cocoa 290.44 Vegetables 541.79 Sundries 380.45 11,883.84 Furnishings : Beds, bedding table linen, etc. $206.44 Brushes, brooms, etc 30.35 Carpets, rugs, etc 11.75 Crockery, glassware, etc 194.76 Furniture and upholstery 73.96 Kitchen furnishings 115.94 Wooden ware, buckets, pails, ' 2.23 Sundries 635.43 1914. $1,434.27 59.53 95.51 112.30 68.21 2,988.83 273.76 264.38 565.05 4,050.04 978.75 351.50 327.47 653.29 284.88 23.53 125.49 47.89 81.85 10.38 18.17 $11,705.73 12,497.77 597.29 NEW HAMPSHIRE SANATORIUM. l9 Heat, Light and power: Coal *.... $1,888.81 |2,867.18 Wood 256.10 179.40 on 24.34 65.16 Sundries 171.25 236.77 2,340.50 3,348.51 Repairs and improvements: , Cement, lime and plaster $15.25 Doors, sashes, etc 4.00 Electrical work and supplies.. 86.98 $11.76 Hardware 29.24 26.35 Lumber 124.05 Machinery 4.36 Paints, oil, glass, etc 25.59 50,71 Plumbing, steam fitting and supplies • 49.54 44.62 Sundries 310.93 20.73 649.94 154.17 Farm, stable and grounds: Blackmith and supplies $143.93 $64.13 Carriages, wagons, etc., and repairs 2.46 235.40 Fertilizers, vines, seeds, etc. 231.54 167.00 Hay, grain, etc 1,499.12 1,206.65 Harnesses and repairs 90.56 37.45 Horses 450.00 221.00 Cattle 170.00 ' Other live stock 28.50 239.16 Labor (not on pay-roll) 890.49 37.50 Rent 300.00 487.19 Tools, farm machines, etc 62.55 40.02 Sundries 84.93 37.50* 3,954.08 2,771.20 Miscellaneous : Labor (not on payroll) $246.84 Books, periodicals, etc $12.66 • Freight, expressage and trans- portation 558.90 497.85 Medicines and hospital sup- plies 694.67 306.67 Medical attendance, nurses, etc. (extra) 118.00 179.00 Postage 96.44 39.39 Printing and printing supplies 194.88 64.09 Soap and laundry supplies 322.57 251.13 Stationery and office supplies 39.10 41.55 Travel and expenses (officials) 361.56 182.23 Telephone and telegraph 93.10 86.55 Sundries 326.72 662.78 2,818.60 2,558.08 Total expense $33,128.63 $33,632.75 20 NEW HAMPSHIRE SANATOEIUM. WEEKLY PER CAPITA COST. Payroll Pood Furnishings Heat, light and power Repairs and improvements Farm, stable and grounds Miscellaneous Total expense Supplies sold at cost and bought from maintenance and Road Fund Net per capita per week 111.337 |11.80 3.76 $4,161 4.123 4.443 .221 .213 .813 1.19 .226 .055 1.372 .985 .978 .909 $11,493 $11,956 .156 .156 a«545- UNIVERSITY OF CAUFORNIA UBRARY