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Construction or permanent betterments

For refrigerating plant

For reconstruction of elevators..

Repairs

MANHATTAN STATE HOSPITAL

For work done by contract or upon estimate or for the purchase of materials or the employment of labor in addition to that appropriated for elsewhere, for repairs to buildings and to equipment..

Construction or permanent betterments

For construction to provide additional accommodations for disturbed patients, including the necessary kitchen for same, an authorization of the sum of two hundred thousand dollars ($200,000), of which forty-six thousand five hundred dollars is hereby appropriated

$3,000 00

5,000 00

12,000 00

46,500 00

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For work done by contract or upon estimate or for the purchase of materials or the employment of labor in addition to that appropriated for elsewhere, for repairs to buildings and to equipment...

Construction or permanent betterments.

For construction of a building for tubercular patients, an authorization of the sum of thirty thousand dollars ($30,000), of which ten thousand dollars is hereby appropriated, For piggery

4,000 00

10,000 00

2,000 00

Repairs

ROCHESTER STATE HOSPITAL

For work done by contract or upon estimate or for the purchase of materials or the employment of labor in addition to that appropriated for elsewhere, for repairs to buildings and to equipment.

Construction or permanent betterments

For construction to provide additional accommodations for disturbed patients, an authorization of the sum of twenty-seven thousand five hundred dollars ($27,500), of which ten thousand dollars is hereby appropriated

For fire-escapes

Repairs

ST. LAWRENCE STATE HOSPITAL

For work done by contract or upon estimate or

for the purchase of materials or the em-
ployment of labor in addition to that appro-
priated for elsewhere, for repairs to build-
ings and to equipment..

$5,000 00

10,000 00 1,200 00

4,000 00

Construction or permanent betterments

For completion of coal shed. . . .

6,000 00

For two new bakery ovens, installed complete,
For addition to piggery, including slaughter

2,400 00

house

2,500 00

Repairs

UTICA STATE HOSPITAL

For work done by contract or upon estimate or

for the purchase of materials or the em-
ployment of labor in addition to that appro-
priated for elsewhere, for repairs to build-
ings and to equipment, four thousand dol-
lars

4,000 00

WILLARD STATE HOSPITAL

Repairs

For work done by contract or upon estimate or for the purchase of materials or the employment of labor in addition to that appropriated for elsewhere, for repairs to buildings and to equipment.

Construction or permanent betterments

For construction of fire-escapes and purchase of fire-escapes and purchase of fire equip

ment

Total for construction, permanent bet-
terments and repairs in all hospitals,

$5,000 00

12,000 00

$369,220 00

RECEIPTS FOR MAINTENANCE OF REIMBURSING PATIENTSMISCELLANEOUS RECEIPTS

Section 89 of the Insanity Law provides that the Commission "may authorize the superintendent of a State hospital to admit thereto, under special agreement, insane patients, who are residents of the State, other than poor and indigent insane persons, when there is room for such insane therein. The Commission. shall fix the rates to be charged for the maintenance of such insane persons in a State hospital, the payment of which shall be secured by a surety company bond, which shall be approved by the Commission, and bills therefor shall be collected monthly."

The total number of paying patients in the State hospitals at the close of the year was 3,205. The average annual payment per paying patient was $160.67, and the average payment per capita of all patients was $14.16. The per capita cost of support of the patients under treatment in the hospitals during the fiscal year, including hospital care, investment charges and cost of administration, amounted to $303.68.

The collections attorney and the force of special agents working under his direction have made every effort to ascertain the finan

cial standing of the patients and of their relatives who are liable for their support, and to secure reimbursement to the State whenever ability to pay has been determined. No attempts have been made to enforce collection to an extent that would impoverish the relatives of the patients.

The receipts for maintenance of paying patients from the various hospitals for the year were as follows:

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The total receipts from paying patients for maintenance during the fiscal year were $514,942.05. During the preceding nine months' period the amount was $383,216.51. There was a monthly increase of $332.23.

The miscellaneous refunds and receipts, which include stewards' sales, legal receipts, interest in local banks, ferry receipts at the Manhattan State Hospital, and interest in the New York State National Bank, amounted during the year to $44,276.49.

DISBURSEMENTS FOR THE FISCAL YEAR

The following summarized statement will show in brief the disbursements of the Department for the fiscal year 1916-1917:

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For personal service and maintenance and operation of the State hospitals the disbursements of the year were as follows:

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The following table shows the distribution of the total amounts expended for personal service in the thirteen State hospitals: Personal service, Chapter 646, Laws 1916:

Administration, general-salaries, regular ..

Accounting and stores-salaries, regular.
Ward service-salaries, regular

$617,996 79

128,632 64

1,325,501 88

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