previous year of 11. Of this number 83 were discharged recovered, 40 improved, 2 unimproved, and 52 died, making a total by discharges and deaths together of 177. Of this number 140 were males and 37 females.
The number of patients admitted during the year was 198; 147 were males and 51 females; from the Army, 70; from the Navy, 6; and from civil life, 122. There were 10 readmissions and 2 transfers from the private to the indigent list upon the order of the Secretary of the Interior. Of the 755 patients remaining June 30, 1877, 402 were from the Army, 39 from the Navy, and 324 from civil life.
The recoveries during the year were 67 per cent. of the discharges, 47 per cent. of discharges and deaths together, 42 per cent. of the admissions, and 9 per cent. of the whole number under treatment. The death-rate of males was 62, of females 31, and the average of both sexes 55 in a thousand.
Since the hospital was opened, 4,302 cases have been treated; of these 95 were re-admissions, making the total number of persons treated 4,207.
The whole number of pay patients treated during the year was 55, 32 being males and 23 females. The number remaining June 30, 1877, was 30, 15 males and 15 females.
The wholesale market value of the farm and garden products was $23,992.98. Forage crops to the amount of $5,533, in estimated value, are not included in valuing the products of farm and garden, having been credited in milk, meats, and the keeping of horses for hospital purposes.
The expenditures for the support of the hospital, including repairs and improvements, amounted to $166,274.98. The receipts during the year were:
| From the Treasurer of the United States | $150,000 00 |
| From private patients for board, &c. | 14,576 39 |
| From sundry receipts, including sale of pigs, hides, rags, &c. | 1,598 59 |
| 166,274 98 |
An average of seven hundred and seventy (770) insane persons, embracing nearly every diversity of mental and bodily, social and official, condition have been lodged, clothed, and fed, and received medical, hygienic, and moral treatment; the extensive buildings and grounds of the institution protected, repaired when needed, and somewhat improved, and all the furniture and other appliances of the establishment kept in proper and efficient order on an expenditure of less than four and one-half dollars ($4.50) per week for each person. So large a work, embracing details almost infinite in number and variety, has certainly been cheaply done. Its relations to the work enable the board of visitors to know, and make it becoming in them to declare, that it has been well and therefore creditably done.
On the 30th of June, 1877, Dr. Nichols, under whose management and
