OUT-PATIENT DEPARTMENT.

OUT-PATIENT DEPARTMENT.

This Department was re-organized September 30, 1872, and on the 28th of the following month, three Physicians and four Surgeons were elected to attend to the Medical and Surgical Cases; an additional Physician was elected August 30, 1875, and in 1893, several more were elected to take charge of special departments. The following are the names and period of service of the medical gentlemen who have officiated:

* Elected to Hospital Staff, November 24, 1879, in place of Dr. J. Aitken Meigs, deceased.

+ Died.

Elected to Hospital Staff, November 27, 1893.

(a) Surgeon to the Eye and Ear Department.

(b) Surgeon to the Throat and Nose Department.

(c) Surgeon to the Gynecological Department.

NOTE.-The Out-Patient Department for Mental Disease, instituted November, 1885, is under the charge of the Assistant Physicians of the Department for the Insane, who attend in rotation.

The income of the Pennsylvania Hospital, in its early days, was principally derived from appropriations by the Provincial Assembly Early and from the contributions of charitable citizens. Later, the State Resources of the Hospital. Legislature voted to the Hospital unclaimed shares of prize money, also certain arrears due the Commonwealth, under the Loan Office Act of February 26, 1776, and unclaimed dividends of bankrupts' estates. In addition to gifts of land, there were special donations of money from the Penn Family. Among the occasional additions to the income are enumerated the proceeds from the exhibition of West's picture of "Christ Healing the Sick," also from a Stage Play, from a Charity Sermon by Rev. George Whitfield, from Webster's Lectures on the English Language, from a Sacred Concert, from "Charity Boxes," and from fees of Signers of Bills of Credit. Money was also received from legacies, donations from private individuals, Associations, Railroads and various other corporations, and the interest from invested

Act of Incor

funds, and other sources. Quite a large amount was obtained from the assets of the Pennsylvania Land Company, London, which will be especially referred to on a succeeding page.

The act of the Provincial Assembly, May 11, 1751, in establishing poration. the Pennsylvania Hospital, made the Contributors a corporation and provided: 1st. Authority to receive and take lands, tenements or hereditaments, not exceeding the yearly value of one thousand pounds,1 of the gift, alienation, bequest or devise of any person or persons; 2d. Money, or other estate, expressly given or added to the capital stock of the Hospital, shall not be expended in any other way than by applying its annual interest or rent towards the entertainment and care of the sick and distempered poor, that shall be, from time to time, brought and placed therein for the cure of their diseases, from any part of the Province without partiality or preference; 3d. If at any time, hereafter, there should not be a constant succession of Contributors to meet yearly, and choose Managers as specified, then the said Hospital, and the estate and affairs thereof, shall be in the management and under the direction of such persons as shall be from time to time appointed by act of General Assembly of this Province for that purpose.

Provincial The same Act of Assembly appropriated two thousand pounds, Assembly currency, to the Capital Stock, towards the furnishing and support Grant. of the Hospital, provided an equal amount were subscribed by individuals towards a permanent fund.

Revenue.

Occasional On April 21, 1759, was passed "An Act to prevent the exportasources of tion of bad, or unmerchantable, staves, heading, boards and timber." One-half the penalties prescribed by this Act was made payable to the 'Contributors of the Pennsylvania Hospital for the use of that institution, the other half to the inspector of lumber, or to him or them who shall sue for the same." The Hospital's share under this Act aggregated $214.53.

The Assembly also granted to the Hospital three-fourths of the fines or penalties levied by the Inspector of Flour on those who mixed corn-meal with middlings. The share of the Hospital under this Act aggregated $631.90.

In 1762, in response to the Managers' appeal to help the Funds of the Hospital, the Provincial Assembly made a further grant of three thousand pounds, to replace the amount taken from capital for maintenance of Hospital.

Among the miscellaneous sources of revenue it is noted that, in 1763, the Provincial Assembly Commissioners appointed to pave the

1 By Act March 21, 1851, the limitation of the Estate was extended to $50,000 per annum.

streets of Philadelphia, having no immediate use for the funds, loaned to the Managers, on their individual security, four thousand pounds, for one year without interest. The Hospital gained by this loan £360 8s. 6d.

Legislature
Grants

Aid.

March 27, 1780, the Assembly granted an order in favor of the State Hospital for ten thousand pounds, Continental money. This grant was misconstrued into a loan, but afterwards on appeal of the Managers, it was corrected and again voted as an appropriation. So great was the depreciation of Continental money that the grant of the Assembly was worth only £163 18s. 8d. in hard money. The correspondence regarding this has already appeared (see page 65).

January 27, 1783, Francis Hopkinson, Judge of the Admiralty, paid to the Hospital, per Act of Assembly, the unclaimed shares of prizes taken by the Continental ship "Saratoga," (amounting to £884 13s. 6d.); also, the proceeds of a prize made by the ship Unclaimed "Daniel Greene" (£348 os. od.), also shares of prizes taken by the Prize Money, Brig "Neptune" (£89 11s. 9d.); also, an additional share (£37 8s. Awarded. 6d.), and on May 11, 1784, several unclaimed shares of the prize brig "Ajax," captured by the brig "Friendship" (£3301) making

a total, (less £52 1s. 3d., subsequently paid), of £4608 12s. 6d., received by the institution in State money.

The Assembly, for the purpose of aiding the Hospital, granted Assembly to it the fines imposed upon its members, which had amounted in Members' 1786, to £76 12s. 10d.

Fines. A number of contributions were received from members of the ContribuPenn family:

On May 17, 1762, Richard Hockley Receiver General to our Proprietaries Thomas and Richard Penn Esq'rs. attending, acquainted the Board that the Proprietaries from their regard to this charitable Institution & a Desire to promote the good Purposes thereof have by Letters lately received from them given him Directions to acquaint the Managers that they would grant to the Contributors of the said Hospital the Lott of Ground adjoining the North Side of the Lott on which the Hospital stands extending the whole Length thereof from Eighth to Ninth Street along Spruce Street which compleats the Square. And that they had likewise given Orders to their Receivers General for the time being for Payment of an Annuity of Forty Pounds P'ble on the first day of May yearly and that as it was the Proprietaries Intention Payment of the first Year's Annuity should have been made on the first of this Month which being past before the Letter came to hand he now paid at the Table the said Sum of Forty Pounds which the Clerk is directed to deliver to the Treasurer & desire him to give a proper Receipt for the same which Donations being esteemed by the Board an Instance of the Proprietary's generous Intention are thankfully received & it is agreed that John Reynell, Evan Morgan, Thomas Gordon, & Samuel Rhoads be a Committee to prepare an Essay of an Adress to the Proprietaries to manifest our grateful acknowledgment thereof, to be brought to the next Meeting of the Board for Consideration & the same Committee are appointed to apply for & receive the Patent granting the said Lott.

tions of the

Penn Family in Gift of

Lands and

an Annuity.