The Board would call attention again to the lack of entertainment due to the absence of any place for that purpose.

The isolation of the Institution makes it necessary that more attention be given to this subject than might arise in a more populous centre. Homesickness and a feeling of isolation are marked obstacles to the satisfactory cure of patients.

Respectfully submitted,

CHARLES GIBSON,

DAVID MOREY,

JOHN MCCROSKERY,

JOHN H. HUDDLESTON,

CHAS. STOVER.

REPORT OF THE SUPERINTENDENT.

I respectfully submit the Annual Report of the affairs of the hospital for the year ending December 31, 1913, the thirteenth year of organization, ending a nine and a half year period since the reception of the first patient.

MEDICAL WORK OF THE YEAR.

The hospital has received 830 applications for treatment during the year. This is 79 more than the previous year and is worthy of mention, in that the city of Buffalo has opened a large sanatorium for the care of its own patients, and several other municipalities and counties have opened smaller sanatoria. The result has not been a falling off in the number of applications for Ray Brook.

Of the 830 applications, 727 have been examined, 482 accepted, 245 rejected, and 82 failed to report for medical examination when requested. Twenty-one accepted cases failed to report. Those who were not examined for various reasons number 82, and information has been obtained with the following results: Eleven decided to enter other hospitals and sanatoria, 8 withdrew their applications; 5 died in the course of decision, within the ten day period occupied after application and medical examination; 7 went to health resorts of their own selection; 2 were acutely ill; 7 could not be located by the poor officer; no reply from the poor officer could be obtained in 10 instances, 6 were not examined because under age; 1 on account of surgical operation; 1 declined to accept opinion of medical examiner; 1 married and changed plans; 2 refused to be examined and 1 was rejected by the local department as alcoholic.