For the operation of the Commission's office.... $72,978 46 5,266 78 10,023 58 For salaries and expenses of special agents.. 11,659 15 Institute.. 22,410 04 For operation of the Bureau of Deportation.. 21,780 54 34,835 65 Total $178,954 21 For maintenance of the State hospitals the disbursements of the year were as follows: The following table shows the distribution of the total amounts expended for maintenance in the fourteen State hospitals: The expenditures for construction, alterations, repairs, improvements and new equipment at the various institutions were as follows: Utica State Hospital Willard State Hospital Hudson River State Hospital. Binghamton State Hospital St. Lawrence State Hospital. Total ... $7,609 33 20,660 95 33,497 83 64,913 35 48,510 24 13,937 22 50,168 14 66,150 86 5,517 04 15,877 16 95,556 77 3,303 98 54,842 50 15,343 71 $495,889 08 The disbursements for the year may thus be summarized as follows: Administration (including the Commission's of fice, the Psychiatric Institute, the Bureau of ANALYSIS OF FINANCIAL OPERATIONS FOR THE YEAR The financial operations of the Department for the year, as compared with those of the year before, show a decrease in all disbursements of $323,414. 58. The total expenditure for the administration of all branches of the Department, as shown on page 196, was less in comparison with the preceding year by $1,332.48. The cost of maintaining the Psychiatric Institute, the teaching branch of the State hospital service, decreased $6,890.46 during the year. An increase of $8,225.97 in the office expenses of the Commission was due to promotion of employees for prolonged and efficient service, to the necessity of new assistants and to a considerable addition to the volume of business transacted. The Bureau of Deportation expended for deportation and transfer $2,161.78 more than in 1913, but the general office expenses and salaries of the Bureau decreased $4,829.77. The total legislative appropriations for the maintenance of the hospitals for the year beginning October 1, 1913, amounted to $6,451,850. This is an increase of $646,958.63 over the total appropriations for the same purpose for the year before. In neither of these totals were the receipts during the year for the care of reimbursing patients included. The average per capita cost amounted to $208.91, which is an increase of $2.82 over that of the preceding year-$206.09. This increase is due to various causes. The new schedule of officers' salaries which went into effect on July 1, 1912, and was in full force during the entire year just past, brought about a small increase, and to this was added the usual increase due to promotions and length of service. The new schedule of em ployees' wages which went into effect on April 1, 1913, and which also was in full force during the year, was productive of an increase under this head of $216,486.10, the total expenditure being $2,637,339.79. The necessarily high cost of maintaining the small hospital population at Mohansic has also continued a factor worthy of note. The increase in the cost of food supplies and other commodities which has been noted in preceding reports, has not been so marked during the year just ended. The contributions made necessary by the retirement fund for employees as established by chapter 59 of the Laws of 1912, as will be shown by the report of the Retirement Board on page 288, amounted to $27,730.09 during the year. The disbursements of the year for the commutation allowances of such employees as could not find living accommodations in the hospitals amounted to $116,366.63, a sum which is bound to increase annually unless the Legislature grants additional funds for the erection of employees' homes at various institutions. The net increase in the hospital population during the year, as shown by the census October 1, 1914, was 758. It will be observed that the increase would have been much greater had it not been for the activities of the Bureau of Deportation, which can be credited with the removal of 1,224 aliens and non-residents from the State during the year. The net increase would otherwise have been nearly 2,000. Owing to the new classification adopted during the year, only partial comparison of the disbursements of 1914 with those of 1913, as shown below, is possible: * Included in provisions in 1913. ** Included in farm and grounds in 1913. *** Includes $116,368.63 commutation as against $112,325.05 in 1913. **** Included in farm and grounds last year. The following table indicates the increasingly heavy burden imposed upon the State by the maintenance of the insane. A more detailed statement under this head will be found on page 247. Approximate increase in cost of supplies during 1914 as compared The upward tendency in the price of practically every item entering into the maintenance accounts of the hospital system, the increase in the wages of State hospital employees and the inevitable increase in the number of patients to be cared for make any reduction in the hospital budget impossible. On pages 528 and 541 is submitted a table showing the State's disbursements for the housing and support of this one class of dependents since the partial assumption of their care by the State in 1813 and of their entire care in 1896. While this statement bears ample witness to the humanitarian sentiment pervading the Legislatures of past generations-before the increase in the general wealth. of the State had become so striking,-the charities of the State had not then been overwhelmed by the extraordinary immigration of recent years. The burden of supporting 33,000 insane patients emphasizes the necessity of making the most strenuous efforts to restore to wage-earning and wealth-producing capacity every patient committed to a State hospital. A further and imperative necessity exists of developing a systematic campaign of preven |