W)l 2a iPH P415 Ml- 1877 l"li'lmi''ii'iI!iS'^/*'-"''""*"* 5AN DIEGO I 3 1822 01137 3651 r '^^SrJB^ 5 A A 1 T BOB¥ D3ED PRARY AN i.M6GO BIOMEDICAL LIBRARY UNIVERSITY OF CALIFORNIA, SAN DIEGO LA JOLLA, CALIFORNIA ^S^. r^^^» DATE DUE crp O Li97n Our £_ 9FP Ot-r L i IJ/U 1 GAYLORD PRINTED IN U.S.A. 3 1822 01137 3651 UNIVERSITY LIBRARY University of California, San Diego DATE DUE Series 0380 1 ^> u A HISTORY FIRST QUARTER OF THE SECOND CENTURY PENNSYLVANIA HOSPITAL UEAD BEFORE THE BOARD OF MANAGERS AT THEIR STATED MEETING HELD 9th MO. 25th, 1876, BY J.FORSYTH MEIGS, M.D. Published by the Board of Managers. PHILADELPHIA: COLLINS, PRINTER, TOf) JAYNE STREET. 1877. PREFACE. In the year 1851, Dv, George B. Wood prepared, ut the request of the Managers of the Pennsylvania Hospital, a history of the first hundred 3'ears of the Institution. At the close of the year 1875, the Managers, in view of the approaching celehration in the year 1876, in this city, of the hundredth year of the nation, deemed it wise to have the liistory of the Hospital continued to that period. The following sketch of the first quarter of the second century of the Institution (1851-1876) is the fruit of this action of the Managers. In preparing this history, the writer has endeavored to demonstrate to the reader the strict integrity and the close economy with which the aftairs of the Institution have been administered. By doing this he hoped to show that to this Hospital, the charitable might safely entrust their gifts, in the sure confidence that their oftering would not be lost nor misapplied. J. FORSYTH MEIGS. ADDRESS. At a stated meeting of the Board of Managers of the Pennsylvania Hospital, held 27th December, 1875, the following preamble and resolutions were adopted : — Whereas, It is believed that benefit would result from bringing up the history of the Pennsylvania Hospital as a supplement to the able Centennial Address delivered by Prof Wood in 1851, to the present time, thereby furnishing our contributors and fellow-citizens with a correct statement of what has been done by our venerable lugtitution ; and — Whereas, We think there is no one more competent to perform the task than our senior attending Physi- cian, Dr. J. Forsyth Meigs : therefore, Itesolved, That he be respectfully invited to under- take the work, in order that we may be kept in remembrance by the very large number of our friends, as well as to make ourselves known to those who are strangers to our just claims upon all who can sympa- thize with the afflicted. Mesolved, That a Committee be appointed to aid Dr. Meigs in obtaining all the information he may require, to furnish a correct list of our officers to 1S7'». aiul Id sii|H>riiilriul ihe puhlicalion. The Presi- (Iriit nanu'il tlu' Ibllowinn- in(.'inl)ers as the Committee, \\/..: A\c\. IVuliUe, fIose])h H. Towiiseiid, Samuel AVcl>h, SainiR'l Mason, T. Wistar Brown. Sioned hy the President and Secretary on behalf of the Board. William Biddle, President, Benjamij^ H. Shoemaker, Secretary. On receiving notice of the action of the Board of Managers, I gladly undertook the task, having been connected with the Institution for a number of years, first as resident physician, and then as one of the attending physicians, and having always felt towards it a great tenderness and interest. My predecessor, in writing the history of this noble charity, concluded with the year 1851, the end of the first century of its existence. Those who wish to see from how small a germ this now extensive and most useful Institution has grown, should consult Prof. "Wood's interesting address. It carries us back to the days of colonial life, when loyal adherence to the King was one of the moral laws, and when a small town marked the origin of this vast city. It carries us through the war of the Revolution, the separation from the mother country, and the conver- sion of a colonial Province into a great and indepen- dent State, amidst all which changes the Hospital continued its good work, though often under much distress for ways and means. In 1851 the Hospital, wliich, up to the year 1841, consisted of but one department, in which the sick and wounded and insane were received and treated in a single building, had been divided for ten years (1811) into two departments, that for the sick and wounded in the city building, and that for the insane at the new establishment in AVest Philadelphia. These two departments, I beg the reader clearly to understand, are one and the same Hospital, acting under the one original charter, granted by the Pro- vincial Assembly of the Pennsylvania Province in 1751, managed and governed by the same Board of Managers. The two are but different members of the one body, having the same interests, an equal pride in success, and equal grief in times of distress, each one assisting the other when assistance is needed, and both aiding in the one common object, the relief and cure of the sick, wounded, and insane. These facts I insist upon, because there has been, it is said, a feehng of jealousy in the minds of some, since the separation into two departments, as to the relative importance of the one or the other. And yet this feeling ought not to exist, for in the charter it is written that the Hospital is intended "for the recep- tion and rehef of lunaticks, and other distempered and sick now within this Province." The Managers were compelled, therefore, to provide for the care of the insane. The charter, indeed, puts the "lunaticks" first in the order of enumeration. Whether this phraseology of the deed were accidental, as is most probable, or intentional, it is impossible to sav. Dr. Franklin, wlio had so nuu-li to do with the foundation oC the llo>[)ital, i;-ives, in his autobiography, a short history of its inception, saying- that in 1751, " Dr. Thos. Bond, a i>articuhir friend of mine, conceived the idea of estabHshing a liospital in Pliiladelphia (a very beneficent design, which has been attributed to me, but "Nvas originally his) for the. reception and cure of sick persons, whether inhabitants of the Province or strangers." Here we have the germ-idea of the Hospital, and, doubtless, wdiat Drs. Bond and Frank- lin thouo-ht of at the moment was the whole bodv of sick poor. At first, all the patients were treated in one build- ing; for who, more than a century ago, understood the true methods of treatment and cure of the insane ? But, as time went on and knowledge grew, the mana- gers and the medical staff of the Hospital learned, by degrees, that the treatment of insane persons required other accommodations, other surroundings and in- fluences, than those which could be obtained within the narrow bounds of one square of ground, in the heart of a great city. But all this mil be told hereafter. "What I now wish ao-ain to impress upon the reader, is the fact that the Hospital is but one, and that my duty mil be to trace the history of its two departments from the year 1851, the end of the first century of its existence, to the present year .1876, the first Centennial year of the nation. In the year 1851, when my history is to begin, ten years after the separation of the two departments, the Managers were busil}^ engaged in completing some very important changes in the city Hospital, to fit it for what was, in the fnture, to be its portion of the great work of the Institution, the care of the sick and wounded. Already, the west wing, which, prior to the year 1841, was dev^oted to the insane patients, had been completely remodelled, so as to make two admirable wards, the lower story devoted to the Women's Surgical, the upper to the Women's Medi- cal wards. The long corridors connecting the centre building with the Avestern wing, are built with alcoves on each side, each alcove containing two beds, and allowing the inmates, by means of a curtain hung aci'oss the opening into the corridor, to enjoy a cer- tain amount of privacy, the possession of which is to some of the more sensitive patients a great luxury. Each of these wai-ds has its own bath-rooms, water- closets, and a ward-kitchen, in which latter can be prepared any special food that may be necessary. In 1851, the west Aving Avas, as I have said, finished, and the centre building also had been greatly modi- fied. Amongst other changes, the ncAV Library had been built, from what had been previously the Wo- meu's Medical Wards. The east Aving Avas being remodelled. The long Avard, connecting the centre Avith the wing fronting on Eighth Street, AA^as taken doAvn, and the tAVo long Avards erected, as they noAV stand. These Avards have no alcoves like those of the Avest Aving. The east Aving Avas not taken down, but considerable changes Avere made in it. This part of the house Avas devoted to the male pa- G tii'iils, tlic lower stories to surg-ieal, and the upper to inotlieal i)atients. They are exeellent Avards, and are heated, ventilated, and ])rovided Avith bath-rooms, "vvater-closets, and kitchens like the west wing;. The rejiairs to, and other changes, made in the centre buildino-, and the east wino-, in 1851 and 1852, cost ^59,91:9.r)9. The cost of repairing- the Avest Aving in 1846-47 Avas $17,865.28, and that of fitting up the library AA^as $3146.35. The latter expense was paid out of the medical fund. Another chano-e made in 1851 AA^as the closing- of the lying-in AA^ard, at first for the purpose of making* I'oom for the other patients during the repairs to the main buildings. The AA^ard AA^as finally closed by a A'ote of the Board in 1853. It had cost $20,000 more than its AA'hoIe fund, principal and interest. More- OA^er, there had been several recurrences of puerperal fever amongst the patients, and it Avas feared that these visitations had some connection Avith the surgical wards, and possibly Avith the post-mortem examina- tions, which the resident ph3"sicians Avere compelled to make. Besides the centre and main buildings there is quite a large house in the northeastern portion of the hos- pital square, which has long been knoAvn as the Xorth House. This building has three stories, and has had for many years a w^ard for syphilitic cases, and another for colored male patients. Within a very few years, as I shall have occasion to tell, one of the loAA'er rooms of this house has been converted into a Recent-Accident Avard. This buildino- has its own proper bath-rooms, water-closets, and kitchen. It is even now proposed to pull down this old and not conveniently arranged building, and remodel and enlarge it, or to erect a new one to serve its pre- sent purposes, and to be used also for the out-door l^atient or dispensary department, which has grown into very considerable importance within a few j^ears past. On the northwestern portion of the square is another quite large building, which was originally a stable and cow-house, the upper story of which has been fitted np into wards which, though low, imper- fectly lighted, heated, and ventilated, can be, and have been, temporarily used to receive the patients from the other wards, when the latter had to be vacated for the purpose of cleaning, painting, or repairs. The building on Spruce Street, which had been erected to receive West's famous picture of Christ healing the sick, was, when this picture was removed to the Academy of Fine Arts, leased to the College of Physicians. When the College re- moved to their new building, the picture-house, as it was called, was leased to the Historical Society. I pass on now to the general history of the city de- partment of the Hospital, that for the sick and wounded, during the last twenty-five years (since 1851). In doing this I shall show that this depart- ment has been on the whole growing steadily in use- fulness, and in its means for doing good, and I shall show, too, Avhat great difficulties have been met and overcome by the managers — how, during, and since the war, the expenses of the department have con- 8 st;mtly outrun the iuc-omt' of the >\li()le vested capital i»l' the institution, and how the nianaofers have been compelled to ap})eal to the public for tl\e means of l)ayingthe annual expenses. The number of patients received into the wards has been increasing. In the five years from 1851 to 1855 inclusive, the whole number was 8845, of which num- ber (3117 "were on the free list, and 1728 were pay ])atients, making a percentage of 72 free. From 1872 to 1876, inclusive, the whole number received was 9250, of which 7088 were free, and 2163 pa}^, or 76 percentage of poor. In the report for the year 1856, the managers call attention to the increasing demands made upon this department, owing to the growth of the population of the city from 20,000, when the Hospital began its career, to 500,000, at that time. They state that, had they the funds to defray the expenses of an increased number of patients, they have ample accom- modations for seventy-five additional in the wards. One special cause of the difiiculty in which the hospital was now placed for funds, was the singular, and ver}^ great, increase in the cost of provisions. The managers state, that within ten years, the outlay for provisions had increased 75 per cent., and yet this was some years before the war began, to which has been generally attributed the rise in the cost of food, which has oppressed us all. In the same year a Committee on Retrenchment was appointed by the Board. This Committee met several times, and had a synopsis of the statistics of 9 the house, for the previous ten years, prepared by the Steward. From this it appeared " that the number of patients on the poor-list (other than recent acci- dents) continues to average about seventy daily; there has been no increase of them, while of recent accidents the number has nearly doubled, there being twenty-nine in 18^6, since gradually increasing, until now the average is fifty-six. This will partially account for the very greatly increased expenses of the Institution, as such cases are very costly in the appliances used, and the stimulants, medicines, and diet that are required." During this period (1846 to 1856) the number of patients increased from 111 to 166, and the whole number of inmates of the house from 150 to 211. The annual expenditiu'es had been in 1816, $15,909.47 ; in 1856, they were $36,741.04. The drafts on the Treasurer had increased from $12,200 per annum to $25,000. The Committee concluded that the chief reasons for these largely in- creased expenditures, were the increased size of the flimily, the great number of recent accidents, and the high price of provisions and food. These facts — that the expenses had considerably more than doubled, whilst the number of patients had increased but little over one-third — will explain how difficult a task the Managers had before thorn. The endowment fund was growing very slowl}^ but the expenses had more than doubled, and the number of patients increased but little over a third. What were they to do? More money must bo raised, and we slmll see, as we go on with the history, with what 10 ]intiont eouran'o ;iiul persovenuK'c, the Managers con- tinueil to pivss tlio causo upon the public. In the Keport foi- 1857, it is again stated that the income of the Hospital is insufficient for its mainte- nance, and thej appeal again forcibly to the public for aid. "We find the same difficulty constantly referred to in the various reports. In that for 1861, regret is again expressed that the means of usefulness of the cit}' department cannot be increased. The doors of the Hospital must remain shut to man}^ for the want of adequate funds. The income of the Hospital, they state, "is rednced, whilst the cost of support of the patients, from the high price of provisions and sup- plies of all kinds, is much greater than ever before." The cost of fuel alone for the last year had been $11,600 more than for the year prior to that. The Steward of one of the departments, on returning from market, stated that he had just paid $65 for what he formerly obtained for $35. By this time, things had reached such a climax that the means of the Hospital must be increased, or its expenses diminished. The only j^ossible method of lessening the expenses, would have been to close some of the wards, or to limit to a much lower point than had been the rule, the number of admissions. Fi'om the earliest period of the history of the Insti- tution, one invariable practice had obtained in its management, of which the Managers, the Surgical and Medical Staff, the Officers, all its old personal friends, and the whole public of Philadelphia, were 11 proud with a just and noble pride. This was a rule which had never been departed from. It was the law of the house that any recent accident, brought to the Hospital w^ithin tw^enty-four hours of its occurrence, should be received without question. I have never known this law and custom to be infringed. It was known to all classes of Philadelphia citizens. Any laborer, mechanic, engineer, or wayfarer, nndergoing a surgical injury within twenty-four hours of Phila- delphia, was, nntil within a very few years, carried by universal acclamation to the Hospital. When I was a mere boy, many times have T seen a w^ooden settee, bearing some wounded sufferer, lifted upon the shoulders of four men, being carried slowly and care- fully through the streets, with its few or many friends attending, and with its train, of course, of inevitable boys. I knew at once what it meant, as did all passers-by. "Ah ! some poor fellow has been hurt, and they are taking him to the Hospital." This being the law^ and tradition of the Hospital, the Managers had but one course before them : to close the medical wai-ds entirely, or to diminish the number both of medical cases, and of surgical cases, other than recent accidents. Distant hints began to be given as to the dread necessities which had come upon the old house, and the possible closure of the medical wards w^as occa- sionally whispered about. But the Managers rose to the occasion, as they always had done in the history of this great charity. And I deem myself fortunate in being the man, 12 uliosi' rio-lit ;nul diit v it is lo say, that Philadelphia is jiistilii'd in tlic pride she takes in the management of this Institution. And when its citizens shall see, as I nm alwut to show them, how the Managers eariied the Hospital over this dreary and dismal time, they may well say, "Well done, good and faith- ful servants ;" and they may, too, justly pride them- selves upon their own liberality towards the Hospital on these occasions. In 18(34, at the annual meeting of the contributors in the month of May, the Managers applied for, and received, authority to " appeal to our fellow-citizens in the endeavor to raise an amount sufficient to cover the encroachment on our capital of previous years (which necessity compelled), of some forty thousand dollars, as well as the probable deficiency of the pre- sent 3^ear, of at least an equal sum, it being supposed there W'Ould be an increased expenditure necessary in the cost of living, and the result has shown the cor- rectness of this opinion." The appeal was made, and, though the applications for money at this time, in consequence of the war, were innumarable, the Managers obtained the sum of $65,055 by contributions. Soon after this, a strong appeal was made by the medical and surgical staff, several thousand copies of which were distributed. Aided by this renewed invitation to the charitable, the Committee raised f 34:,948.27 additional. Out of this total, .$100,003.27, the indebtedness to the capital of S40,000 was refunded, and, after paying the ^^ear's (1865) deficiency of $42,000, the surplus of $18,000 was merged in the capital. 13 But the Hospital was not yet, by any means, throngh its troubles. In the Report of the Managers for 1866, are some statements, which I shall quote, that its friends may see through what evil times it had to pass during the great rebelhon, and with what courage and animation, tempered sometimes with fear and doubt, the Managers fought on through their many difficulties and embarrassments. This Report (1866) says : " The abnormal condi- tion in which our country has been placed during the past five years, has equally taxed the resources of the Government, and those of our benevolent institutions, depending for their existence and usefulness upon the popular favor and support. Individuals, it is true, have been enriched by the long and exacting- war in which the nation has been engaged ; and the recently published list of colossal incomes disclosed to the world the names of those who, in this unto- ward state of things, have been signally benefited by the sectional struggle that has prevailed, but the country at large has become a pecuniary debtor to such a degree that might well a2:>2)al the stoutest heart in contemplating the possible period of its re- lief. Besides, there are many individuals around us who have involuntarily changed their relation of creditor to that of debtor, and who mourn iinavail- ingly over a desolation that promises no return to meet their suspended and craving obligations at home. Under these circumstances, it should occasion no surprise that institutions dependent on voluntary aid for their maintenance, should experience the greatest 14 oinl>;uTassmcnt in carrying- out the purposes of their ereation. The ahstraetion of so many men from the field of production, and the necessary change in the standard of vahies incident to a protiacted war, have augmented prices to such an extent, that the estab- Hshed endowment and current receipts have proved wholly inadequate for the support of our leading charitable institutions." The Report refers to the well-known fact that there is so often to be seen in the public papers, the short record " sent to the Pennsylvania Hospital," wdien by some terrible accident, one or two, or even twenty suiferers, have been sent to the surgical wards with- out announcement, where they have always been received and tended with every care. It refers to the increased costs of the Institution, and says : "But the necessaries of life, and the indispensable appliances in ministering to the afflicted, have ad- vanced more than tAvofold in price since our civil war began, whilst the number of free or unremunerating patients has largely increased in both the medical and surgical wards. The numbers of the former might be curtailed, and, indeed, the wards might be closed altogether ; but this would be a sad alternative, for besides the suifering that w^ould thus be intensified, the character of the Hospital in its connection with our far-famed medical schools would be greatly im- paired." Here we see a distinct reference to the possibility of the Managers being forced to close one of the most important wards of the Hospital. But, fortunately for the poor, for the city, and for 15 the good ftime of the Hospital, the Managers still struggled bravely on. They, in concert Avith a Committee of the con- tributors, issued a strong appeal to the public, stating that " the present current expenses of the Institution require about fifteen thousand dollars per annum more than its income from investments and pay-pa- tients." The number of patients in the Hospital at this time was 171, and of these, 133 were on the free-list. The cost of the Hospital for the fiscal year 1865 was f 57,181.32, while the income from invest- ments and from pay-patients had been $12,122,77. The a^Dpeal proposed that subscriptions should be made first for specified sums, to be paid annually for a term of years, towards the deficient income of the Hospital, and, secondly, of sums to be added to the permanent fund, of which the interest or income alone should be used. In the following year, ending May, 18G7, under the appeal just referred to, there Avere received $20,100 to be added to the capital fund, and $136,556 to be paid by instalments running through periods of three, four, and five years, as contributions to the annual expenses. With these additions to its means, the department continued its work with comparative ease for a few years. But it was limited as to its usefulness. In the Keport of the medical and surgical staff" to the Board of Managers, in May, 1869, the staff' set forth that " we regret not to be able to report to you from year to year any great increase in the number of [)a- 16 tionts. as l)()th space and means limit us in that resj)e(.'t. AVith ajipropi-iate l)iiildings and am])le pc- euniaiv resources, we could within the square of ground which we occupy, make our Hospital one of many more beds ; but, as these are wanting, we must at present be content with the polic}^ of improving and perfecting the accommodations that we ah-eady have." In 1872, the Managers are compelled to exj)ress the fear that, as the subscriptions towards the annual expenses, made in 1866-7, were running out, there would again be a heavy deficiency, unless the citizens came forward with additional help. They refer to their difficulties in the following strong language : "We do not hesitate to say that, whilst economy in expenditures has been carefully studied in all that relates to the internal management of the Hospital, we fear that economy has reached the point of parsimony, from an inability to supply the com- forts of the suffering.-' I can bear Avitness to the truth of all this, as I Avas on duty during three months of each year, and I know the economy was what one sees and feels, in the care of a family living on a very straitened in- come. The Hospital needed many changes and renovations, but as yet the income made it impossible to do more than continue the same average course it had been following for a number of years. The Managers wished to improve the ventilation, renew the household material, provide better maintenance for and attendance upon the sick, and improve the culinary department. 17 In 1873, the deficiency in the income was still yery great, but the Keport says that : " As regards the endowment fund — the interest of which is alone applicable to current expenses — it has been pleasing to Providence to place it in the hearts of men volun- tarily to increase it by amounts rarely equalled in any year of our existence." In 1875, this department was still very much em- barrassed, though the deficiency was not quite so great as in previous years. The expenses were $65,141.17, an excess over the income from the en- dowment fund, and the receipts from pay-patients and subscriptions received by the Steward, of over eight thousand dollars (|8,173.69). In this year many improvements were made at a very large cost. They were shown to be necessary by the light of recent hygienic discoveries. The Report states that, "in the male department, the windows in the Avash-rooms have been enlarged to admit more light and air. 'New marble basins, with hot and cold w^ater, have been added; new receivers of iron, lined with porcelain, with traps and larger pipes, have been placed in the water-closets, with an increased flow of water for drainage. Bath rooms have been re-arranged, and basins, with marble or slate tops, placed throughout the wards. In the basement a large coil of pipe, heated by steam, has been placed at the lowest part of the main ventilating chimney, to insure the more efiectual rarefaction of the air. Two ncAV bath-rooms have Ijeen placed in the female department, and all closets, clothes rooms, 2 18 chambers, kitchens, wards, and halls, after behig cari'fiilly cleaned, have received several coats of paint; all bath-rooms arranged Avith larger drainage and increased sup})ly of water, and the floors laid of slate. Stationary wash-tnbs have been added in the basement. Xew iron bedsteads of improved con- strnction have been introduced. The same improve- ments, with new slate flooring, have been made in the middle building. Refrigerators have been placed in the ward dining-rooms. In the receiving ward, a new bath-tub, washstand, and clothing closet have been supplied. Slate tables have been placed in the dead-house, which has also been partially repainted." "'The out-patient rooms, Avith the Xorth House, their roofs, and water-supply, have connections for drainaa'e Avith the sewers. The kitchens have also been renewed, sinks, and hot and cold water intro- duced. The lodge has been painted, and an iron guard rail been placed to separate the out-patient rooms and their visitors from the interior grounds of the Hospital." The Board now, too, determined that the time had come Avhen the ventilation of the Hospital for the sick and wounded must be brought to the same perfection as that which had long been attained to in the Insane Department. In 1875, the ventilation continued just as it had been arranged in 1851-2, when these build- ino-s Avere remodelled and renovated. Xo changes nor improAxments had been made. There had been, of late years, a good many cases of pyaemia in the surgical Avards. Some of the principal capital sur- 19 gical operations had proved fjital; and especially was this true of ovariotomy, and both Managers and staif had become seriously uneasy about the ventilation. Some imperfect attempts had been made to improve the arrangements as they stood, but they were of no real value ; and now the Managers " sought the advice of experienced constructors of buildings, where forced ventilation by fans and flues for heated air has proved successful." Indeed, the experience of the Insane Department, as it is ably detailed by the superintend- ent, was alone enough to convince the Managers, and did largely convince them, that the only thoroughly efficient remedy was to be found in the use of the system of propulsion, by means of a fan. The use of a fan was finally determined upon, and, in the present year, 1876, the plan has been carried into effect under the supervision of John Sunderland, the former supervisor of the erection of the heating- apparatus for the Department for the Insane. A fan 8 feet in diameter, and 30 inches wide, is placed at the orifice of a large fresh-air duct, which leads to the chamber containing the steam coils for heating, and thence by large smooth flues to all parts of the house. This fan is calculated to supply 30,000 cubic feet of air per minute. Two of my sons calcu- lated the capacity of the large air-duct, and deter- mined the velocity of the current of air ])assinf>- through it by means of an anemometer. Unfoi'- tunately, they did not know that two side ducts had been given off from the main duct, in advance of the point at which they made their ol)sei"vations. But it 20 is ol' interest to know that, even at this point, the supply of air amounted to 715,800 cubic feet per hour. This, assuming that the popuhition of the house is ahout two hundred, would give to each person 3575 cubic feet per hour. Dr. Parkes, in his able Avork on Hygiene, states that for healthy men 3000 cubic feet per hour should be supplied, and for sick men 4000 feet. By the imperfect observation above made, we learn that each patient in the Hospital will receive within 425 cubic feet of the amount of air deemed necessary by one of the highest authorities on this question, and, when we recollect that two ducts had already taken oif a considerable amount of the air furnished by the fan, there can be no doubt that the supply of air to the wards will be quite equal to the standard usually deemed necessary. After this sketch of the general history of the City Hospital, in regard to its financial concerns, and the improvements in its buildings, I proceed to notice va- rious other points of interest in its gradual develop- ment. I shall refer particularly to its course as a centre of clinical teaching — to the erection and open- ing of a new and fine lecture and operating room ; to the reception of women as medical students ; to the Pathological Museum ; to the opening of the Dispen- sary, or out-door Department, of a Recent Accident Ward, and to the proposition for the endowment of free beds. And first, as to what the Hospital has been doing in aid of medical education during the last twenty-five years. During the early years of this period, the 21 system of clinical instruction continued to be on the same plan as during the latter part of its first century. Lectures were given twice a Aveek by the physicians and surgeons, as a part of their recognized duties. For the privilege of attending these lectures the fee was ten dollars a year, and the amount received was still applied to the care and increase of the medical library. The classes were large, and the valuable lessons thus imparted, at a merely nominal cost, were open to all men who had matriculated in a respectable medical institution. After a time, it was found that the old lecture room, in the third story of the centre building, had become too small to accommodate the classes with any reasonable comfort, either to listener or teacher. Moreover, the example of the Blockley Hospital, which had provided a large and commodious amphitheatre for clinical teaching, and that of other cities, and still more de- cidedly the spread of the conviction, from the medical to the lay mind, that the medical art could not be properly taught without extensive clinical opportuni- ties, induced some movement in this Hospital towards better accommodations for the students. This matter is first distinctly referred to in the Annual Report for 1860, where the Managers express the opinion that, at no distant day, the lecture and operating room must be enlarged. In 18G1, a sum of five hundred dollars was given to one of the Mana- gers to be used for the relief of sufierers by the war, should such apply at the Hospital, and, if not tluis used, the money was to go towards the commencement O.) ol" a rund for the enlargemuiit of the lecture room. In 18G.'>, the Managers again say that : "As Philadel- ])hia lias hitherto stood pre-eminent for her medical schools, it has been the desire of the successive Boards of Managers of the Hos])ital to co-operate with their distinguished professors in affording every facility for instruction to the students of medicine and surgery resorting to this city for their education. The extensive and valuable medical library belong- ing to the Institution is freely accessible to them ; but there is a want experienced in the limited accom- modations of the lecture and operating room. The present Board trust that, upon the return of peace and of general prosperity, it may be in the power of the Institution to provide more ample conveniences for the increased number of students, who wdll un- doubtedly avail themselves of the extraordinary advantages our city affords for their improvement in the profession they have chosen as their pursuit in Ufe." In 18G7, it is again referred to, but, though the cost would be but about $20,000, the Board did not feel warranted in applying the funds to this purpose, '* so long as the income from the capital is insuflS^cient to meet the annual cost of su23port of the patients." In 1868, it is stated that a sum of $6990 has been contributed towards this object, and, so convinced are they of its necessity, that the Managers make an " earnest appeal to the contributors to take such action at this meeting, as will enable the Board to j^roceed at once to the consummation of the purpose which they have long had in view." 23 Accordingly, authority was given by the contribu- tors for the erection of a new room for clinical and operating purposes. The site chosen is to the north of the centre build- ing, far enough from this to receive a good light from all points. The building is of brick, octagonal in shape, and has eight double windows in the eastern _ and western walls, and a large sk} light looking to the north. It is connected with the centre building of the Hospital by a corridor, opening into what was pre- viously the main entrance door at the north, and its main floor is on a level with that of the centre. The seats are arranged as in an amphitheatre, rising from the floor of the area where the lecturer stands towards the walls, and they Avill accommodate about 500 students. On either side of the south end of the building are two small rooms in which the patients can be placed until it is time to take them into the chnic. There is quite a large, well-lighted basement room beneath the northern half of the lecture room, which is devoted to the Pathological Museum of the Hospital, now becoming an important and useful element in the clinical work of the Institution. This room cost $27,072.10, of which sum $12,742.80 had been raised by specific subscriptions for this purpose. The Managers, therefoi'c, were obliged to take the deficiency, |14,329.2(3, from the capital stock. It was formally opened on the ninth of January, 18G9, on which occasion I hud the honor of making an address to the Managers, the medical and surgical 24 stall", ami lo the students, to mark the occasion. I chose for my subject the histoiy of clinical teaching, as connected with the Pennsylvania Hospital, and the vahie of such teaching to the public in general, and to the medical student in particular. I will venture to quote an extract from that discourse : " I believe," I then said, " and I do not hesitate to ex^M-ess my belief, that, in connection with the pro- per treatment of the sick in a hospital, one of the most beneficent uses of such an institution, is the aid which it can and ought to give in propagating a wise system of medical education. By such a manage- ment, two grand results are accomplished. All is done by the Institution that the best and purest charity can efiect for the individual sick wdthin its walls, whilst by fitting young men for the difficult and important office of the ^^hysician, it radiates from its own narrow^ centre, to the vast mass of suffering humanity beyond its w\alls, a know^ledge and expe- rience of the best methods of treating wounds and diseases, which is of incalculable value to the public. I know well that there are some benevolent and tender spirits, to Avhom the idea of making any- thing like a use of the sick as a means of teaching medicine, savors of something harsh and revolting. But to such as have this very natural and proper fear, I will say that no w^ell-trained and conscientious medical officer ever forgets that his first duty is to the individual sick man intrusted to his charge, and that he is bound in honor and charity to allow no ulterior object to work detriment to him. In all hospitals, there are many cases which can, without danger of injury, be brought before a medical class. Most of the patients, when the matter is properly and kindly re^Dresented to them, make no objection to such a procedure. Some rather enjoy it, and gladly lend their mite to the common good. Moreover, it seems but right that those who are fed and housed, and fur- nished with all the means and advice necessary to their medical treatment by the i3ublic, should make this moderate return of assisting, for the public, in the necessary education of competent medical men. Let it not be forgotten, too, that this demonstration is never made to a promiscuous, or rude, or gaping public audience, who might assist at such a spectacle from mere vulgar curiosity. It is made only to those who belong to the same vocation or- guild as that to which belong the surgeons and physicians of the house, and but for whom this Hospital could not exist, and who, themselves, but for like opportunities in the past, could not have had that exact knowledge and experience whereby these very patients now profit." In connection with this matter it ought to be stated that this Hospital has always been in favor of a pro- per use of its wards for the purposes of medical instruction. It has, from its earliest days, contrilmted regular clinical lectures by its staff, and it has been frequented by large numbers of students. Indeed, for a long course of years, it was the only Hospital in the city, and the only public ground on which the medical student and the sick man could l)e i)roperly brought together. 20 For some years j^ast, however, a ehano-e has been takiiiL;- ])laee as to the eliiiieal oi)i)oi'tuiiities hi the city. Other hospitals have been erected which are destined in the future, it seems probable, to diminish the classes of the Pennsylvania Hospital. The Blockley Hospital has, for a number of years, had large classes; and now, that of the two great medical schools, one, the University of Pennsylvania, has alread}^ a fine hospital attached to its own foundation, and the other, the Jeiferson Medical College, is build- ing one for its o^\m purposes, it is to be expected that our classes must lessen in size. In fact, the number of students in attendance during the session of the schools, has fallen off considerably within the last three years. Xor do I know" that this is to be regretted. It should seem that several classes of moderate size, in which the members of the class can be seated nearer to the patient and the lecturer, must afford better opportunities to the students, than wdiere huge classes are crowded together to observe those delicate phe- nomena of disease, by the study of which alone can the medical art be properly acquired. I come now to a new feature in the history of the Hospital. I refer to the introduction of female medical students to the clinical instruction of the institution. In the autumn of 1869, the Dean of the Faculty of the Female Medical College applied to the Board of Managers for the admission of their students to the regular clinical courses. The Managers gave 27 their permission on the ground that, b}" the rules of the Hospital then- in use, all students of institutions recognized by the State laws, were to be received to the common benefits of the Hospital clinical instruc- tion. The women came to one of the lectures very soon after this, taking their seats in the amphitheatre in the midst of the regular men's class. There was a scene of considerable disorder both during and after the lecture. The event caused a good deal of agitation in the medical schools of the cit}^, and amongst the medical students, which extended in a slight degree to the general public. It raised the great questions of women's rights, and of the common education of the sexes. And it showed, too, most clearly, that women were willing, in order to obtain their end, a general medical education and a status in the profession similar to that of men, to listen in mixed classes to descriptions of all diseases, whether medical or sur- gical, and to observe any class of cases, Avhich might be necessary in the course of their medical education. It was a curious and an impressive lesson, to show how long-established social habits and opinions may be changed by the hard weight of necessity. It was thought by many that the objection made by the medical students, and by the medical teachers of the old schools of the city, arose wholly from a jealous dislike to the increased competition that might occur in the profession, should women come to par- ticipate fully in the exercise of the medical art. I 28 tliink not. I believe the difficulty lies deeper than this. It is a psychological one, and, strange to say, it appears to exist more decidedly in the male than in the female sex. In the following clinical session, 1870-71, the whole nnmber of students in attendance was 206, and of these, 32 -were ^vomen ; whilst in the previous year, the number had been 500, of which number 42 were women. The matter was arranged at the meeting of the contributors, in May, 1871, on the plan of having separate clinics for the two sexes, and, accordingly, the staif agreed to give, in addition to their regular semi-w^eekly lectures to the male students, one lec- ture a w^eek to the women students. This plan has been followed since. I have referred to the diminution in the number of students in the session of 1870-71. The staff and managers were both disturbed at finding the classes falling off so rapidly from the Institution Avhich had long been at the head of clinical teaching in the city. By advice of the staff, the managers determined to make the lectures free "to all students of incorporated institutions recommended by the lecturers," whilst the women students w^ere to be taught, as before mentioned, in a separate class. The consequence of this step was, that the classes in- creased at the next session to the number of 580, the men counting 520, and the women 60. As to whether the entire withdrawal of the fee for teaching w^as wdse or not, time will show. I can 29 scarcely forbear, myself, to think that a small fee, five or ten dollars, to be devoted to the maintenance and growth of the medical library, the nse of the library being allowed to the students for a small sum held on deposit, to be returned at the end of the ses- sion, may yet prove to be the true policy of the Hospital. By this means, a noble medical library might be gathered together, and made useful to the ambitious student. And I am not sure but that the student would value all the more the opportunities given him, and make better use of them, were he to pay a small fee for the privilege. About the year 1870, it was thought that many of the slighter surgical cases, which had been hitherto kept in the Hospital at a great expense, might be treated as well on the dispensary plan, the patient coming as often as necessary to the Hospital for the proper dressing. Arrangements were made with the staff to try this plan, and the resident physicians on duty in the surgical wards were instructed to dress such cases properly, make any necessary jjre- scription, and direct the patient to return to the house at the time proper to have the treatment carried on. This plan was not yet extended to medical cases. In 1870, about 39 patients were treated in this way per month. In 1871, the number of out-door patients, medical and surgical, had risen to 594 In 1872, the number reached 663. In the Keport for 1873, it appears that this system of out-door relief had become much more important. It is not a true dispensary system, as 80 llu' Hospital does not furnish medicines to the sick, l)ul limits its work to supplying the proper surgical dressings to surgical cases, and medical advice and prescriptions to the medical cases. Another part of the "\Vork, and one that can be made very advan- tageous to both the sick and the Hospital, is the selection, for admission to the house, of such cases as are specially in need of Hospital aid. Cases thus selected are finally received, or not, as the physician and surgeon on duty may determine. During the year ending April, 1873, in consequence of the rapid growth of this plan of out-door relief, the work had fallen rather heavily on the resident physicians, so much so as to interfere with their regular in-door duties, and the Managers, therefore, determined to organize a separate staif for the new department. They accordingly elected seven ph^^si- cians, four of whom were surgeons, to take charge of this department. One physician and one surgeon was to be on duty each day, except Sunday, at a certain hour, to prescribe for all Avho might apply. Two rooms, those to the north of the gate- way in Eighth Sti'eet, ^\ere assigned to this purpose. During the year, the number of applicants had risen to 1555, of which 1230 Avere surgical, and 325 medical. This department of the city Hospital now grew rapidly, showing clearly the need there was in the city for increased accommodation for the sick poor. In the Keport for 1875, the number of medical cases applying was G19, requiring from the patients 1201 visits ; that of surgical cases was 1851, requir- 31 ing 9750 visits. In all 10,954 visits. The original object of this department was the relief it Avonld afford the Hospital from the maintenance within its wards, at a great expense, of slight or non-dangerons snrgical cases, and of mild and chronic medical cases. This class of cases conld very well be maintained at home, whilst receiving at the Hospital, as often as might be necessary, the proper advice or dressing for the particnlar case. Bnt the department was grow- ing rapidly ; cases of eye and ear disease, of ernptive disease, as well as those already referred to, were gradnally increasing, and the accommodations had become quite inadequate as to space, and most im- perfect as to arrangement, though the Managers had, in 1874, built at a cost of under $1000, a new one- story room attached to the building already in use. The Report for 187(3 showed that the whole number of new patients prescribed for had risen to 2975, and the whole number of visits to the Hospital, medical and surgical, to 13,112. At the meeting of the con- tributors held in May, 187(3, a resolntion was passed "that the incoming Board be requested to take such measures as they may deem expedient for immediately carrying out the proposed plan for enlarging the accommodations for the treatment of out-door [)a- tients." Under this resolution the Board has had plans drawn, not yet formally adopted, which con- template the erection (jf a new building, to take the place of the present northeastern house (the north house, as it has been called by the Hospital family). The new building is to l)e partly on the site of the 32 (^kl ono ; it is to bo made large and roomy, and is ex})eeted to contain ail the modern improvements necessary for convenience and healthfulness. The Managers make an earnest appeal to the con- tributors and to the public for funds to carry out this important object. Besides the out-door department, the Hospital' has arranged a new ward, which has added much to the comfort of the patients. This is the recent-accident ward, which w^as begun in 1873. A large room on the ground-floor of the north house, close to the main entrance, was chosen for this purpose. Formerly, such cases were taken at all hours of the day or night into the large wards of the house. It requires but little imagination to conceive what must be the con- fusion in one of these wards, when some severe rail- road accident or gunshot wound is suddenly intro- duced into it, especially in the hours of the night. Let any reader of this history, who has. never had a thought of what might be the character of hospital scenes, imagine a dangerous surgical injury — the laceration of a limb, or fracture with the bones driven through the soft parts — bleeding, the waiting and affrighted friends, in whom, probabl}-, pity, as Dr. John Brown says, still remains in large measure a mere emotion, prompting to gesticulations and tears, not having been reasoned and practised into a motive, as it has been in the surgeon and physician. Let him suppose the patient to be one of those un- happy victims to strong drink, who has met his accident in the midst of indulgence; let him imagine 33 the confusion, the noise, the oaths perhaps ; let him see, as T have seen, the injured man, waving a broken arm in his drunkenness, or in a fit of mania-a-potu, about his head, making the point of fracture a new centre of motion. It was to avoid such scenes as these that the recent-accident ward was arransred, and the Managers are even now, as was explained above in my history of the out-door department, appl^dng to the public for funds to erect a new building near the entrance, one of the features of which is to afford proper accommodation for such cases. The Pathological Museum deserves notice, as it is of considerable importance in the system of clinical teaching. In the Report for 1861, I first find the ofiice of pathologist and curator mentioned. The Museum was located at that time in the buildinsf on Spruce Street, now occupied by the Historical Society. In 1869, when the new lecture-room was opened for use, the Museum was transferred, as already mentioned, to the basement-room of that building, where it remains to the present day. Under the care of several gentlemen, this Museum has be- come really valuable. It contains 747 specimens of difterent morbid preparations, from cases occurring in the house, and may be made of great use in illus- trating the medical teaching of the Hospital. In 1875, a course of lectures on Pathological Anatomy, the only one in the city, was given by llic p.illiologist and curator of the Hospital. This course was illus- trated by specimens in the jNIuscum, In 1869, the Managers, anxious to lend all possible 3 34 aid to the nuHlicMl MixiV in tlu'ir i^ystcm of clinical insiriu'tion, appointed a new medical officer, under I he title ol' microscopist, whose duty it is to examine any specimen of morbid anatomy, or diseased excre- tions of the sick, sent to him by the members of the staff on duty. The arrangement has proved wise and useful, particularly for the aid it gives in the diagnosis of disease. The medical library, after growing rapidly for many years, by the use of the income derived from the small fee charged the students (which had been voluntarily tendered for this purpose by the medical staff), has been but little increased in size, since the lectures were made free in 1871-72. What may be the future condition of this valuable collection of books, we cannot now see. As our cities grow larger, and their schools, colleges, and universities increase in number and extent, the opportunities for study grow apace. For many years, the Hospital library was much the largest and best in the city. Within a fcAV years, however, the demands made upon it have not been so frequent nor so urgent, lor the reason that the library of the College of Physicians has come into much greater prominence, under the fostering care of that useful body. In 1870, the Managers inaugurated for the depart- ment of the sick and wounded a plan which had already been introduced into the Insane Department. This was the institution of a system of free beds for the poor. Any one, by a gift to the Hospital of the sum of five thousand dollars, secured a bed in the 35 Hospital alwaj's to be occupied by a poor patient. The average time of sta}'^ of patients in the house is about thirty days, so that each free bed will support annuall}^, and send forth to life and work again, or tend and comfort during their last days, some tw^elve poor patients, who might otherwise have to endure their ilhiess, or end their lives, amidst the keen stings and neglect of poverty and misery. Little do many of the rich know of the wants of the jDoor. How often have I m^^self, when on duty at the Hospital, been forced to turn away from the Hospital gate, some forlorn and destitute sick man, or woman, or half-grown youth, who sometimes has added uuAvil- ling tears to the appeal already made by his sickness and poverty. Frequently every free bed iu the medical w^ards is full. Xot infrequently, we have several over the ])roper number. The Hospital has, for many years, spent more than its income in the support of this department — wdiat can we — the Mana- gers and the staft' — do, but what we have been doing for so many years, cry, give, give. Let me say again that these free beds are noble charities. For five thousand dollars to secure the support, and medical or surgical treatment of twelve poor sick annually forever ! What better use could he who has it to give, make of such a sum? For a century and a quarter has this Hos])ital been in busy 0])eration. It has grown great from feeble beginnings, and has never Ijeen suspected of the impioper use of nu)nev given to it by the charitable. There are now two free beds attached to this de- 36 pai'tmont, one tho AViHi:nn A. Bhinchard free bed, the money for which was given l)y Maria E. Blan- ehard, to perpctnate the memory of her husband. The other is the Warwick Bamfylde Fi'ceman free bed, endowed by EHza Freeman as a memorial of her son. May ^ye not hope that more of those Avho have had rare opportunities granted them by Providence for the accumulation of money, may be inspired to giv^e or bequeath of their abundance to the "dis- tempered poor," w^ho are to be always with us ? After these long but necessary details of the his- tory of the department for the sick and w^ounded, I pass on to that of the department for the insane. In the year 1851, when Dr. Wood closed his history of the first century of the Hospital, the new depart- ment for the insane was already in operation in West Philadelphia. The time had arrived, when it w^as absolutely necessary, in order to carry out the charter of the institution, to provide new and better accom- modations for the insane patients, ^o longer, iinder the grovving light of modern science, could they be cooped up in the narrow quarters of the town Hos- pital. It is now well understood by the medical body, and by many of the public, that disease of the mind is not to be cured by mere drugs, nor by that species of solitary confinement to w^hich the insane had hitherto been relegated. Removal from the turmoil of common life, a sense of kind but positive control, agreeable sights and sounds, cheerful com- pany, society, wholesome amusement and occupation, had been found to be the true medicines for insanity ; 37 and they must be obtained for its insane department, if the Pennsylvania Hospital was to continue one of the great charitable institutions of the land. The purchase by the Managers of the beautiful and valuable property, on Avhich the insane department is located, had been effected in 1836 under the authority of the contributors, and in 1851, when my history of the institution begins, one of the chief buildings, the department for females, had been finished and occu- pied for just ten years. This property lies, I may say in a few words, about two miles to the west of the Schuylkill River, and, though it was when purchased, an ordinary farm quite out of the town, it is now over- lapped by the rapidly growing city at several points, and has graded and paved streets, busy with travel and traffic, passing by its wall. It contains 113 acres, and is becoming constantly a more valuable property, as time moves on. "The Association of Medical Superintendents of American Institutes for the Insane," at their meeting iu Philadelphia, 1851, adopted a number of propositions, and ordered them printed in the medical journals of the continent, as the sentiments of the Association. The first ])ropo- 'sition asserts that "every hospital for the insane should be in the country, not within less than two miles of a large town, and easily accessil)le at all seasons." The second proposition asserts that "no hospital for the insane, however limited its capacity, should have less than fifty acres of land, devoted to gardens and pleasure-grounds for its ])atients. At least one hundred acres should be possessed by cverv 38 Stnte li(>sj)ital, or otluT institution for two liundrcd patients, to which niunber these propositions appl}^, unless otherwise mentioned." These propositions relleet the opinions of a body of men of the highest authority in the matter to which they speak, and they point to Avhat must happen in the future to the Penns3dvania Hospital for the Insane. When the time arrives, at which this department shall be compelled by the pressure of the growing' city to leave its 23resent location, there can be little doubt that the land will have become so valuable as readily to pay the expenses of removal, erection of new buildings, and, at the same time, in- crease the capital fund of the Hospital. In 1851, ten years after its o^^ening, the Hospital Avas inconveniently ci'owded, though the Report states that "the general good health which then prevailed, enabled us to receive all the cases that w^ere brought to the Hospital, although much difficulty w^as often experienced in accommodating them." In 1852, "•notwithstanding the extensive provision for the insane made by the State at Harrisburg, and which has been available during the year just closed, this institution has been about full during the whole period, and for much of the time inconveniently crowded, particularly in the ward appropriated to men." In the Report for 1853, it appears again that "durino: the entire year, the institution has been rather more than comfortably filled, the average num- ber for the wdiole period, as showm above, being 229, while 220 is regarded as the capacity of the building. 39 Anxious to receive all who desired admission, we have at no previous time refused any suitable appli- cant; but during a part of the year just closed, we were for a time compelled, although with great reluctance, to decline receiving patients, except under the most urgent circumstances." In the Report for 1853, it is stated that " Pennsyl- vania has within its limits, at this da}^ not less than 2500 insane, and hospital accommodations for only 930." After travelling carefully over the whole ground, the physician-in-chief, Dr. Kirkbride, distinctly recommends an extension by the Pennsylvania Hos- 13ital of its accommodations for the insane. lie opposes any material extension of the very large and handsome building on the ground, deeming it unwise to have more than 200, or 250 at the outside, in one building. He thinks "it important for the best interests of the afflicted that the increased accom- modations that are required for the insane should be provided under the auspices of that noble charit3% which, more than a century ago, began the great work in America, and which has ever since conducted its important trust in a manner to command the con- fidence of the whole community." An entirely new building for 200 male patients was proposctl — to be placed on the seventy acres of land then comprising the farm of the institution, while the existing building, with everything included within the external wall, should l)c given uj) for the exclusive use of as many females. This tract of land 40 could 1)1' ivadily inclosed; it had two fine groves of forest ti'ces, and a never-failing spring of good water, and remarkable facilities for draining. Dr. Kirkbride knows of no benefit from the presence of the two sexes in one building, sees several advantages in separate buildings, as greater liberty for all the pa- tients, more privacy, and more extended use of the most valuable means of treatment. He believes that the funds uecessary for the new building can be obtained from the benevolent citizens of Philadelphia. In the Report for 1854, it appeal's that the Hos- pital, during this year, had been always full, and frequently much crowded. All suitable applicants were received, when the state of the house would justify their reception, '* but during a few months of the summer and autumn, our numbers were so large, and the tendency to sickness in the community in general so great, that, in justice to the patients already with us, we felt compelled to decline a large part of those who applied for admission. During this period, as many as fifty individuals laboring under mental diseases, and in every way proper cases for care and treatment in such an institution, and who would have been glad to avail themselves of our accommodations, were compelled to look elsewhere for relief." With this fact in mind, and reflecting, too, that insanity spares no class, no age, no sex, no calling ; that Pennsylvania, with between 2500 and 3000 insane within her limits, has accommodation for but 930; that Philadelphia and the adjacent country, Avith certainly more than 1200 insane, has accommo- 41 dation for only G30; that diseases of the mind, to be treated with every chance of success, must be treated in the earlv stao-es; considerino^ the terrible strain upon a household, to which the care of an insane person falls — the anxiety, suffering, the possible injury to others; Dr. Ivirkbride repeats and urges with great force the recommendation of the previous year, for a further extension of the usefulness of the Hospital. He reasons that, if 400, instead of 200, insane are provided for, from eighty to one hundred will annually be restored to reason and usefulness in society, and that many others will be greatly improved, while the Avhole community will be protected from the danger- ous acts of irresponsible men. He states, also, that thirty or forty poor could be maintained on the free list, and between sixty and seventy others, in mode- rate circumstances, be taken care of at a rate of board considerably below the actual cost of their support. In 1855, the same overcrowding of the wards con- tinued, and more than fifty applicants were again, literally for want of space, refused. In 1853, after Dr. Kirkbride's first recommendation for an extension of the Hospital, to take the form of an entirely new building, with separation of the sexes, the Managers, having approved the plan, submitted it to the contributors, who also approved, and ap- pointed a committee to aid the Board in procuring the necessary subscriptions. On May 1, 1854, the Managers issued an " Appeal 42 to till' citizens of Peiinsylvaiiia for means to provide ailditional accommodations for the insane." This appeal was afterwards, by resohition of the Board, printed as an appendix to tlie fifteenth Annual Re- port of the Pennsylvania Hospital for the insane. The appeal recites the facts that this Hospital, which, since its foundation in 1751, had already re- ceived in its wards 58,600 patients, of whom o3,900 had been on the free list, was emphatically the fruit of the charity of the people of Philadelphia, and of the State of Pennsylvania, all the work just cited having been effected without assistance from city, county, or the State, Avith the exception of certain small appropriations made by the Provincial Assem- bl}^, and by the State legislature towards the close of the last century, and which latter sum had been expended in the erection of the original building in the city of Philadelphia. The appeal shows that the Hospital authorities have been compelled, for some years past, to listen " to the urgent entreaties almost daily made for accommodations which do not exist;" it recites the fact that insanity, to be success- fully treated, must be treated early, and that, there- fore, cases thus deferred by necessity, grow more and more hopeless ; it argues that insanity is much more successfully treated, as a rule, in hospitals specially adapted to the purpose, than at home ; and reasserts the now Avell-proved fact that "the present institutions are more than full, the demands for admission are steadily increasing, and additional buildings must be promptly provided, or great loss and suffering must 48 soon result to the community/' It goes on to say that, in order to meet these demands, "a plan has recently been proposed by the phj^sician of the Hos- pital for the insane, after a careful study of the whole subject, which meets the entire approbation of this Board, which they cordially commend to the sympathy of the whole community, and to carr}^ out which thoi'oughly, they now make this earnest appeal to their fellow-citizens."' The appeal states that a sum of $250,000 will be required to carr}^ out the object, and that the payment of no contribution will be asked for, until at least $150,000 shall have been subscribed. They propose, also, to perpetuate the memory of any one who shall subsciibe $10,000, b}^ naming one of the wards, into which the Hospital will be divided, after the donor; and also that the gift of $5000 shall be considered as securing forever one free bed. Up to the s luring of 1855, more than $127,000 had been subscribed, and the Managers were determined to begin the work, so soon as the sum of $150,000 should be reached. In the spring of 1856, the subscriptions had reached the sum of $209,000, of Avhich amount, however, sixteen subscriljcrs of $1000 each conditioned their gift on the basis that the whole sum, $250,000, should be raised before the close of the year 1857. The new building was begun on the 7th <-iuly, 1856, and was opened for the reception of patients on the 27th of October, 1859. "It is situated," says the Keport, "in full view and on the western side of the buildiugs previously in use, 44 al a (listaiieo in a riglit line of 648 yards, and in the midst oC liliy acres of pleasure-gTOuiids and gardens, the "whole of Avhich are surrounded by a substantial stone-wall covered with flagging, and of an average height of ten and a half feet. The gate of entrance is on Forty-ninth Street (an avenue intended to be 100 feet wide), between Market and Ilavei'ford Streets, and by each of which, by means of horse railroads, easy access to Forty-ninth Street can be had at all seasons. " This new Hospital faces the Avest, and consists of a centre building, with wings running' north and south, making a front of 512 feet ; of other wings, connected Avith each of those just referred to, running east a distance of 167 feet, all three stories high, and these last having at their extreme ends communications with extensive one-storied buildings. All the exterior walls are of stone, stuccoed, and the interior are of brick. " This arrangement gives provision for the accom- modation of sixteen distinct classes of male patients in the new building, as the same number of classes of females are now provided for in that previously in use. Each of these sixteen wards has connected with it, besides the corridors for promenading and the chambers of the patients and attendants, a parlor, a dining-room, a bath-room, a Avater-closet, a urinal, a sink-room, a wash-room, a drying-closet, a store- i-oom for brushes and buckets, a clothes-room, a dumb- waiter, a dust-flue, and a stairway passing out of doors, if desired, without communication with the 45 other wards; and every room in the bnilding, ahnost without exception, has a flue communicating with the fresh air duct, for warm or cool air, according to the season (and hereafter to be referred to), and with the main ventilatino- trunks which terminate in the various ventiUitors on the roof of the building. "The centre building is 115 by 73 feet. It has a handsome doric portico of granite in front, and is surmounted by a dome of good proportions, in which are placed the iron tanks from which the whole build- ing is supplied with water. The lantern on the dome is 119 feet from the pavement, and from it is a beautiful panoramic vicAV of the fertile and highly improved surrounding country, the Delaware and Schuylkill Rivers, and the city of Philadelphia, with its many prominent objects of interest." The new building had cost, with its various fixtures and arrangements, up to 1859, $322,512.86, and $30,000 additional were required to meet other lia- bilities that had been incurred. It is impossible for me — I have not the space — to describe in detail the various interesting points con- nected with the internal arrangements, the housekeep- ing — so to speak — of the new Hospital. Of all the matters connected with the domestic arrangements of a hospital, nothing is more impor- tant than the heating and ventilation. To su[)ply to each person so many cubic feet of fresh air ])er hour, winter and summer, has been long one of the \n-()\)- lems over which medical men, architects, builders, and housekeepers have ])uzzkHl. '^i'he new building 46 is voiuilated by a Ihn. driven by slcain. The fan is (^f east iron, witli an extreme diameter of 10 feet, and a width of 4 feet. It makes from 30 to '60 revdhitions per niinnte, as may be required. The fresh air passing to the fan, is received from a tower, 40 feet high, so that all surface exhalations are avoided. The air is then driven through a duct, 8j by lOj feet at the month, into all parts, distant as well as near, of the building. "From this cold-air duct, openings lead into the difterent warm-air chambers, which in the one-storied buildings are covered with slate ; but, in all other parts of the Hospital, these chambers and air-ducts are arched with brick, laid with smooth joints. The warm air, in nearly all cases, is admitted near the floor, aud the ventilators open near the ceiling, always in the inte- rior corridor" walls. The diflerent ventilating flues terminate in the attic in close ducts, either of brick or w ood, smoothly plastered, increasing in size about thirty per cent, more rapidly than the capacity of the flues entering them, by wdiich, through the difterent belvideres on the roof, they communicate with the external atmosphere. In the centre-building, the ventilation is throu"-h the dome. Besides the fan, there is another feature in the method of ventilation which I must refer to. The gases from the boiler enter a common flue, which passes on to an underground flue, four feet wide and six feet high, a distance of 557 feet, ascending 31 feet in its course, till it comes to the foot of the main chimney, Avhich rises to a height of 78 feet above 47 the surfiice of the ground. The chimney is six feet in diameter from bottom to top, and it is made the ventilating power for securing a strong downward draft of air throngh all the water closets, nrinals, sinks, and bath-tubs in the entire establishment. It is placed, therefore, in a central position on the eastern side of the building. What could be more perfect than this? In the original plans for the building all these points had been provided for. The cellar was dug and propor- tioned, the foundation walls laid, the different stories built, and the floors and walls pierced, as they were under the Avorkmen's hands, by the ducts, passages, and flues necessary for this magnificent system of ventilation. I doubt whether there is in the United States, a public building more admirably adapted for its purposes, than this department for the males ot the Pennsylvania Hospital for the Insane. The building is heated entirely by steam. No fire is used in any part of it for heating purposes, though open fireplaces have been introduced into all the parlors and many of the large rooms, in case they should be needed. The only fii-es inside its walls are those in the kitchen, bake-, and ironing-rooms. The boilers for the generation of steam arc in the engine- room, which is placed 71 feet beyond the nearest point of the Hospital building, thus avoiding all danger of fire to the main building, much of the danger of ex- plosion, which, tliough so improbable, must be con- sidered, and all noise, dust, and other small inconve- niences. The steam is carried IVoiii tlic boilers by a 48 rive-iiuli wokled iron pi])C to the cellar of the Hospital l)uilding, and is there distribnted into eighty-three air-chambers, from Avhich direct Hues lead into the apartments above. I might, had I time, say a great deal more upon many interesting points — about the water-supply, obtained from large springs within the grounds, and, of late, by a direct communication with the city water works ; of the powerful steam-pumps, capable of raising 10,000 gallons per hour, and of the water- tanks in the dome, which hold 21,000 gallons. I might describe the carpenter shop, the carriage house and stables, the patients' rooms, the window and corridor-guards, the stairways, most of which are fire-proof, the sewerage, which is admirable, the bath-rooms and water-closets, of which there are twent3''-one in the building, beside those in the patients' rooms, the lighting, furniture, cooking and distribution of food, the provision against fire, the laundry arrangements, the pleasure-gardens, and a number of other things, but must refer the reader who Avishes to have a clear understanding of the great amount of thought and intelligence, necessary to take care of a family of 250 insane persons, to the reports of the physician-in-chief, and especially to the Report for the year 1859. Let any one study these reports, and then reflect upon the extent, variet}^, and minuteness of the provision made, and I am sure he will not cavil about the expensiveness of a great hospital, but will see for himself that expense is unavoidable. 49 Occasionally, an outcry has been raised against what the objectors have been pleased to call "palaces for the insane." What would these critics have ? A build- ing to contain from 200 to 250 patients, with officers, attendants, cooks, bakers; with offices, sitting-rooms, bed-rooms, bath-rooms, water-closets, ironing-rooms, and kitchens ; can such a building be other than large and imposing? Is it a palace, simply because it is vast? This element of size cannot be avoided, and the question reduces itself to the simple alternative. Shall the so-called palace be imposing by the huge- ness of its deformity, or by fitness for its purposes, and by the beauty of its outlines ? But such cavils against insane hospitals come only from the thoughtless. I have always felt, and shall always feel, grateful to the Managers of this Hospital, for the fine taste they have shown in the style and architecture of these buildings. Amongst the pious uses of money is the embellishment of cities. Mr. Binney, in his famous argument for this city in the Girard will case, shows that property was left ^^ ad pias causas,^^ or " charitable uses," in the earliest periods of English history. At page 78 of the printed argument he says that " charitable uses were settled at common law long before the earliest of these dates (1807, 1334, 1377), and, doubtless, from the first dawn of Christianity." He adds : " Any person who was an object of compassion, an orphan, widow, or pauper, destitute of support from himself, those rendered infirm by disease or age, being also poor — the w;i tell- ing of a city, the repairing of bridges, walls, and 4 50 (litclu's o[' i\ t'itv or castle; tlie ornaments and fabrics of churches ; lights, anniversaries, and incidents relat- ini;- to divine worship; these were all inclnded under jJi'ce causcB.'" In the opening of his argument before the Supreme Court, he makes use of this idea of the embellishment of our city, as one of the chief grounds on -which he claims the judgment and sympathy of the court, for he declares that the complainants ao'ainst the citv "now claim the decree of this Court to defeat the great purpose of his (Girard's) life," "to frustrate the two nearest and dearest wishes of his heart, and the t\vo noblest objects upon earth that, Uving or dying, can fill the heart of any man, the instruction and succor of the fatherless poor, and the security, comfort, and embellishment of a great city." Observe how Mr. Binney puts the case before the o-rand and august body he is addressing — the two noblest objects a man can have, charit}^ to the poor and needy, and the securit}^, comfort, and embellish- ment of a great city. We cannot be too thankful that the buildings for the insane were made handsome, striking, and pic- turesque. Some one of these cavillers, or any one of us, may yet have to place in an insane asylum some one near and dear to us. AYho knows what the morrow shall bring forth ? If it were to be so, should we choose a building with the air of a prison, peni- tentiary, or great uncouth and rambling hotel, or a Avell-proportioned, attractive, and imposing house for the poor afflicted one to dwell in? 'No, for one, I rejoice in these handsome and attrac- 51 tive buildings for the insane. I think it must be only a weak, pitiful mind, and a cruel soul, that would refuse to these afflicted ones such sweet pleasures of the senses as we may be able to give them. The next stej) taken by the Managers was the re- pair and improvement of the original building, which had now become the department for females. It had been in constant use for nineteen years, and had been all the time so full that but few repairs could be undertaken. It was thoroughly repaired. The heating apparatus was overhauled, all the water-hx- tures, bath-rooms, and water-closets were put in complete order, often by an eutire renewal of the fixtures ; one new bath-room and six new water- closets were introduced, and a great deal more was done which I cannot particularize. Two new and fine rooms were arranged, one to be used as a recep- tion ward, and the other as a sewing ward, for the use o*f the patients. The lecture-room was elegantly and newly fitted up by a friend to the Hospital. This work was done in the year 1860, and cost about 125,000. In 18(56, reference is made to the necessity lor a new ward at the women's department. In 1867, this additional ward was in process of erection. It was intended for "a class of cases of the deepest interest — for persons very sick, and for those laboring under acute affections of the brain, accom[)anied by high excitement, and requiring the utmost care and pri- vacy, and yet, for ol)vi()us reasons, not (•()mf()i-tal)ly situated in any oC the ordinary wai'ds.'' This had 52 boon ailiniral)ly ])r(n 'uled (or in tlu3 new department, thai tor males, hut not in that lor females. As the wards of the latter l)eeame lull, the necessity for extra accommodations for this class of cases became more and more apparent. About this time, a benevo- lent citizen of Philadelphia, a childless man and unmarried, Joseph Fisher, left by will to the con- tributors of the Pennsylvania Hospital one-half of the residue of his estate "" to be devoted to extending and improving the accommodations for the insane." The total amount received by the Hospital was $57,511.57. He died in 18(32. The new building was commenced in 1867, and finished in 1868. It w^as opened for use in December, 1868, and was called the "Fisher Ward." Some years later, in 1873, when a second building of the same kind was erected, from the funds of the same estate, the former w^as called the "South Fisher AYard," and the latter the ":N'orth Fisher Ward." The South Fisher Ward is placed on the south side of the large yard, belonging to the third south ward, and connects with the eighth Avard, on the south side of the Hospital, by a passage taken from the drying-room. The building is 112 feet long, by 27 1 feet wide, and has two stories, each 12 feet in height. It is built of brick, is stuccoed, and has a slate roof. The connection with the eighth w-ard is fire-proof. The Xorth Fisher Ward is on the east side of the JS^orth fifth W'ard, Avith Avhich it is connected by a light and air}" vestibule 11| by 8^ feet, and through w^hich ac- cess may be had to the new ward, Avithout going 53 throug-h any part of the Hospital. This building is 125 by 40 feet, and has two stories, each 12 feet high. It is built of brick, above the foundation-walls, which are of stone. All the brick walls are hollow, an air- space being left between the outer and inner portions. The internal arrangements of these wards are per- fect. It is impossible foi* me to describe them in detail ; but let any one who may read this history ex- amine for himself, and he will say that few private houses have such conveniences. The South Fisher Ward has, on the first floor, besides bath-rooms, water-closets, and clothes-closets, nine rooms for pa- tients, each about 10 by 14J feet ; in a few instances, two are thrown too-ether. The rooms are on one side of a corridor, partly 8j, and partly lOJ feet wide, and with two bay-windows projecting more than four feet, in each story. The second story has very nearly the same arrangement. All the patients' rooms have a cheerful southern exposure, with large windows, the upper sashes of Avhich are of iron, immovable, while the lower are of wood, and ma}^ be raised to their full height, having ornamental wrought-iron guards on the outside. The windows all have Venetian shutters. The !N^orth Fisher Ward has two stories, with rooms on both sides of a corridor 12 feet wide ; it has large bay-windows at either end, and another in an alcove or parlor 12 feet by 20, on the south side. These bay- windows light the corridors admirably well. Each of the two stories is so arranged that it may be divided, foi- the sake of quiet and privac}', into three sections, by means of sliding doors, which have ground glass 54 in tlu'ir paiu'ls. The size of tlio jiaticiits' rooms varies rioni !> l)v 11 to L'> l)y 11 leet, and some oi' tlu'in ai"e c-oiinoc'ti'd. Jn eac-h alcove is j^laeed a ])iaiio, and in each bay-window a cottage organ. The heating and ventilating arrangements for these two wards are on the same general plan as those of the department for males. Great attention was paid, during the erection of the buildings, to these points. The heating is by steam, and the ventilation by a fan. The air, after being warmed by contact with the steam radiators, passes into flues, all of which, both for heat and ventilation, are in the interior corridor walls, com- pletely filling them. They are made of ver^^ smooth terra cotta, with rounded corners, each 3 by 13 inches, and are placed in the centre of the Avails, The warm air is admitted near the floor into every room, and in numerous places in the corridors. The ventilating flues, corresponding with the heating in number and size, have openings invai iably near the floor, and also near the ceiling, all of which can be controlled by keys provided for the purpose. The air passes through these ventilating flues into the attic, the whole of which in the middle of the building — 12 feet wide — is a foul air-duct, Avith a division through its centre, so as to prevent any interference Avith currents from op- posite sides. The foul air is finally carried off' into chimneys ha\nng an ascending current of heated air. The AA'ater-closets all ha\^e a doAVUAvard draft, connect- ing Avith these chimneys. The South Fisher Ward cost $24,850 ; the Xorth Fisher Ward building cost $31,250.01, its heating and 55 ventilation, water, and gas arrangements $8207.62, and it8 furnitnre $3831.49. I have now traced the history of the Insane De- partment from 1851 to 1873, when it stood before the world much as it stands now, an institution with two expensive and very handsome buildings, situated on a fine landed property of 113 acres, on the edge of one of the great cities of America, and close to a park of 2700 acres, which I have heard called by a tra- velled gentleman of great taste and experience "the finest rural di'ive in the world." These tw^o large buildings, with their annexes, afibrd room, each, for 250 patients. In 1875, the total number of patients was 681. The highest number at any one time was 150, the lowest 106, and the average number during the whole period was 430; 208 males, and 222 females. And the wonder of it ! that this fine estate should have been bought, and the noble buildings which adorn it, erected, without state or government aid of any kind. Except that the Provincial Assembly of Pennsylvania voted a small sum in 1751, and that the Assembly gave, at the close of the last century, about seventy thousand dollars for the erection of the city buildings, the Hospital has had no aid from state or city government. It has lived and grown great upon the free gifts of the citizens of Philadelphia and Pennsylvania. The land was purchased — as has been told l)y Di-. Wood— in 1836, for 30,000 dollars. This money, and the cost of the first building erected — that which is now the department for females — was obtained by the 56 sale oi^ oj)on lot'^ nrouiul the city liospitnl, Avliicli liad been pui-cliasedbv the Manao-ers inaiiy years before at a vei'v 1(nv price. Soon aftei- the o})enino- of the Insane Department, it became overcrowded, as I have ah'eady told, and it was phiinly necessary either to restrict the admissions, or to increase the accommodations. Once again, in 1866, it became necessary to ei'ect some uc^y waids for the Female Department. The accommodations for a certain class of patients were not so good in the department for females as in that for males, as the latter had been planned and built after all the experience gained for ^^ears in the former. It was, therefore, thought necessary to have some ad- ditional and better accommodations for this class of cases. Out of this arose the two beautiful, most complete, and perfect wards for this end that I can imagine — the Fisher wards. I have to advert next to some of the interior con- cerns of the Hospital, some of which are of purely medical, and some of general public interest. I refer specially to the provision made for the comfort, hap- piness, and cure of the patients. An insane hospital differs from all others in one important point: few of the patients pass less than several months inside its w^alls, and many are destined to pass years, or even the greater part of a lifetime, within these narrow limits; were nothing done for the occupation and re- creation of these unfortunates, their home would be little better than a jail. But this is not all. Their cure depends largely upon the moral treatment brought to bear upon them. 57 The reports from year to year demonRtrate that not drugs alone, and a life such as is led in hospitals for the sick, will suffice for the insane. It is plain that, to cure the curable and comfort the incurable, there must be supplied to the patients fresh air, exercise, occupation, and amusement. These things, Avhich the healthy child or man makes for himself as natu- rally as the bird sings, the ant toils, and the kids skip upon the hills, it becomes the duty of the medical authorities of* an insane hospital to supply to its in- mates. From the earliest period of Dr. Kirkbride's connection with the Hospital, he has been toiling in this direction. In the earlier reports, these matters are treated under the head of the Farm and Garden, Workshop and Mechanical Department, Ward Libra- ries, Museum, and Reading Rooms, as in 1852; in the later reports, they are described under the title of " Evening Entertainments, Occupation, and Amuse- ment of the Patients." In 1853, it is related that the ninth course of lec^ tures and evening entertainments is now in progress. In 18G6, the RejDort says, " the importance of eve- ning entertainments, as now conducted here, can hardly be overestimated. The long experience we have had has only tended to confirm this conviction, and each year we have been able to add something that tended to increase their attractiveness and effi- cacy. For the first time, I am able to report that at the Department for Females, every evening in the week is now provided with some means of breaking up the monotony of the wards, formerly so universal in instil iilions Cor 1 lie iiisniu'. It is not many years sinci' tlie condition ol' tlic |)atients, in tlu'ii- hadly liu-hlc'd lialls, Avithont any moans of passing the dreary lionrs that came n])on them every day ))e- tweeii their evening meal and hedtime, was certainly one of the saddest sights witnessed in too many of these establishments. In this Hospital, of the seven e\enings of the w^eek, for nine months of the year, one is now devoted to reading of the Bible and sacred music, three to lectures, exhibition of dissolving views with music, or concerts, in the lecture-room, two to light gymnastic exercises with music in the new hall put up expressly for that purpose, and one to tea parties in the resident officers' department, and at which all the officers are generally present. These last are composed of as many patients as the dining- room will accommodate, and the officers' weekly parties have now become one of the regular means of passing our evenings. Care is taken, as far as pos- si])le, to invite those who will be most likely to enjoy each other's society, and it has been found that there was no w^ard that was not able to take its turn in these pleasant reunions. Even of those from the most excited wards, and of the most chronic class of patients, there have been few that w^ere not able to participate, and the enjoyment of those for wdiom this provision was made, has ver}^ rarely, if ever, been diminished by any unpleasant occurrence." I have made this long extract, in the words of the Report, that the reader might see for himself how important, as a means of treatment, the recreation 59 and amusements of tlie patients have become in this Hospital. I will pause for a moment to ask whether these experiences of an intelligent medical observer, of the value of amusements for the solace and cure of the insane, ought not to lead us to a higher appre- ciation of their value for the well. Are not the Germans, as a nation, wiser than we, in the national habit they have foi'med of giving more of their time to entertainment and relaxation? They do no less work than we, of all kinds, mental and mus- cular, and yet appear to suffer less from insanity. In the Report for 1858, will be found a list of the subjects treated at no less than 122 of these evening- lectures, and any one, who will take the trouble to glance at the list, will be surprised, I am sure, at its extent and variety, and yet more surprised to know that the hard-workin<>: assistant medical officers of the house, were the authors of much the larger part. Surely, the post of assistant physician in the insane department of this Hospital has been no sinecure. A like system of evening entertainments, with slight differences, is carried out in the department for males. Besides the resources just mentioned for the whole- some occupation and amusement of the patients in the evenings,, other analogous means are employed as amongst the most valual)le influences in the medical and moral treatment of the disease. Fresh air is insisted upon by means of walks once, and, in proper cases, twice, a diiy in the beautiful grounds of the institution, which have l)een so ar- 60 ran^vd lliat, within the iiiiioty-onc acres that are inelosed, there are nearly four miles of dry walks and drives. The Hospital keeps, moreover, all the car- riag-es it can afford, and donkeys and ponies, and every day that will allow all these means of locomotion are put into use. Let no one sujipose that there is ex- travagance in this. All this apparatus belongs to the methods of cure, and a large part of it consists of free gifts. It is touching to read, year after year, the acknowledgments to kind friends of the Hospital for a horse for the use of the patients ; for the loan of a horse ; for a second-hand carriage ; for a pony, for a donkey for the use of the patients ; for money to fit up the lecture-room ; and for money to build a new reading-room. Many, indeed most, of the special means of occupation I have referred to, are the fruit of numerous small gifts from many different hands. The gardens, both vegetable and flower, the workshop and mechanical department, the lawms, the Avalks, the roads, the calisthenics, each for its proper cases and sex, are employed to secui-e that muscular work which is knowai to be so valuable an aid in the treatment of nervous diseases. In 1864, there w^as erected by the " generous liberality of our friends, for the special benefit and amusement of the patients" a new building, called the Gymnastic Hall, near the north return wing of the Department for Females. This hall could not have been built from the ordinary resources of the Hospital, but, as has often happened, when the need was known, friends came forward and supplied the money for the special 61 purpose. The building is 51 by 32 feet in the inside, with a ceiUng 17 feet high. There are two corridors of good size, the floor is double, and the hall is well arranofed for heatino^ and lio-htino:. It contains an excellent piano and a fine melodeon. Comfortable seats are provided for about one hundred and thirty per- sons, while the portion of the floor specially devoted to the exercises is -10 by 17 feet. A system of light gymnastics had been introduced under a proper teacher, and it is pleasing to observe, from 3'ear to year, the great interest felt by the patients in this, to them, unsuspected method of treatment. In 1866, they had been continued for three years, and the interest in them was undiminished. The class exer- cising averaged between twenty and thirty, and the number of spectators was considerable. In the Ke- port for 1875, we read that the '" light gymnastics, for which the hall bearing that name was specially pro- vided, have been continued regularly for eleven years, with undiminished interest and usefulness." Let me repeat that this constant attention to what might seem to be a mere system of amusements, constitutes one of the most potent means of medical treatment. They are as purely medical as Ling's movement cure, or the regular exercises to the sound of a fife and drum, carried out, under a polytechnic professor, at the Children's Hospital in Paris. They are as truly scientific medical means as is the prescription of a ^ew York, Philadelphia, or London doctor, to a broken-down banker, broker, or professional man, with G2 Ills brain-lag, \o y;o Id J^ake Superior, to the Adiron- clacks, or to the Continent, or the Sonth of Europe. No one, who lias not visited with intelligent care, and nu>re than once in his life, an insane hospital, or who has not devoted some time to a study of the rei)orts of such hospitals, can conceive of the multi- tude and variety of arrangements necessary for the proper care and medical treatment of the patients. In the Report for 1861, I find a suggestion in regard to the care of patients, Avhich it is proper to mention. The constant charge, the personal care, the watching, the nursing of the insane, that care which pai-ents give to the helpless child, devolves uj^on the attendants or nurses. There must be a sufficient number of these to have one, at least, at all times, in each ward with the patients. This rule renders two attendants necessary for each w^ard, for some patients of each chiss leave the Avard to walk, and for other purposes, and there must be a second attendant for those wdio remain. More than this may be necessary", as, for instance, when some of the patients are particularly troublesome, dangerous to others, or suicidal. The duties of these nurses are numerous and varied, and one of the luxuries of a hospital is to have as many as can be used with advantage, without restriction by reason of scarcity of funds. It was suggested, therefore, in 1861, that in addition to the ordinary attendants or nurses, there should be another class of persons to be called com- panions, or, as they have sometimes been designated, teachers. These officers, it w as intended, should be 63 able to give their attention wherever specially re- quired, and to devote as much time to individual cases as might be deemed profitable. As they were to have no ordinary ward duties, they could devote themselves to the task of rendering the patients all such services as would tend to make them more contented and happy. It is astonishing, indeed, how the poor insane patient will brighten up and be- come cheerful for a kind word spoken in season. They, moreover, it was thought, would have a good effect upon the ordinary attendants, for these, know- ing that, in addition to the regular visits of the physician and other officers of the house, they were liable to be seen at any moment by the companions or teachers, would be more careful in their conduct towards the patients. Accordingly, in 1869, I find this suggestion in full operation. At "the depart- ment for males, there are two supervisors, Avhose duties are entirely among the patients, while, at the department for females, there are one supei'visor and two companions to those under care, who, released from all labor in the wards, devote themselves to the comlbrt and well-being of the patients, each one making a daily written report to the chief medical officer of the respective departments." It is added in the report that it is in this direction that increased expenditure may be profitably made. Reference has already been made to the sej^aration of the sexes, at the time when the demands upon the Hospital became so urgent as to render the erection of a new building necessary. Previously to that (>4 liuK', in this, and, I believe, to this day, in most in- sane hospitals, the sexes were lodged in the same bnilding, either in opposite wings, or, as was the case in the old insane wards of this institntion, in the Pine Street Hospital, in dili'erent stories of the same Aving. In 185.'5, in nrging the erection of a new building, the physician-in-chief writes: "I know of no benefit resulting from the presence of the two sexes in the same building, and there are various disadvantages. AVhile the separation of the sexes Avould prove ad- vantageous, the proximity of the two establishments might be made mutually beneficial." As we have already seen, the plan of having a building for each sex Avas adopted, and it has worked so well that the physician-in chief recommends it as the best, wher- ever there is room upon the grounds and funds sufh- cient for the purpose. Among the advantages enu- merated are the increase in the liberty of the patients, from the fact that their pleasure grounds, drives, and walks can be doubled in extent, and the fences for- merly necessary to divide the grounds be taken away. A much more proper classification, also, of the cases can be made. Where, formerly, there were eight, there are now sixteen classes for each sex. The men- tal condition of many patients is said to be less trou- blesome under this arrangement. These, and other facts, induce me to believe that there are, on the whole, many advantages in the separation of the sexes, and none, unless it be economy of space, in favor of the opposite plan. In the Report for 1875, are some remarks upon 65 mechanical restraint. The ground is taken that, while every effort should be made to avoid its use as far as possible, no inflexible rule ought to be made against it, but that its use or disuse should be left to the physician-in-chief, who is, after all, the only person really competent to decide the question. Under this rule, its abuse would be avoided, since no mere attendant or inferior officer could, upon his own will or judgment, employ it, while the only person fit to be trusted with such responsible power, would have the right to use it in the few cases where it is the lesser of unavoidable evils. For my own part, I may say that I have seen cases of insanity in private practice, in which enforced confinement to a chair or bed, from time to time, appeared to me essential to save a violent patient from dangerous exhaustion. Up to the year 1875, the medical duties of this department had been carried on by four physicians, the physician-in-chief, with an assistant physician for the department of females, and two assistant physicians in the other department. In 1875, as the Hospital had had for over two years an avei-age of" more than two hundred patients in each depart- ment, the number was again increased in accord- ance with the recommendation of the Association of Superintendents of the Insane. An assistant physician was added to each department, making six in all. This increase of the medical staff will enable the physicians to give moi-c time to the wards, to study the cases thoroughly, to become more familiar with such patients as specially need personal inter- ()() ('(MU-st,' with, and the moral 'mlliuMicc of, a pliysiciaii, niul. lastly, to make scientific records of the great variety of mental diseases constantly in the Hospital. Ilavino- conclnded what I have to say in detail of thi> history of the Hospital, I wish, before closing this imperfect sketch, to make some remarks npon the institntion as a whole. Little conld Dr. Thomas Bond, or even that many- sided genins, Franklin, when they began their labors in the canse of this Hospital, foresee to what a height of honor and nsefnlness the institntion wonld rise in the course of a century and a quarter. Dr. Thomas Bond died in 1784, and Franklin in 1790. They had lived long enough to see the birth of their idea, and its fair progress during the first thirty-odd years of its growth. But no foresight of theirs, either prac- tical or poetic, could have told them that, in one hundred and tw^enty-five years, this institntion would be spending annually, in the care of the sick and wounded, and insane patients, nearly twice as much money as its whole ca23ital at the time of its founda- tion ; and that during this period of time, a century and a quarter, it would have had under its roof no less than 103,074 patients, of which number, 63,899 were indigent poor, who had to be boarded, fed, medicined, and not a few, partially at least, clothed. Xow^the Hospital has three large and noble buildings to receive its sick; it owns a square of ground in the old city, and 113 acres in the new one beyond the Schuylkill, of the future existence of which Bond and Franklin could have had no more than some vague dream. 67 It has grown great. It has built great houses, and built them apparently on the rock. It has tended an army of the sick. Gould the destitute sick poor, who have passed through its gates Avithout charge, be marshalled into a visible arra}^, Ave should behold an army greater by three-fold than the largest Washington ever commanded, and only a few thou- sand less than that Avith Avhich AVellino^ton arrested at Waterloo the progi*ess of the greatest and most insatiate conqueror of the modern Avorld. And how has this army been lodged, and fed, and ruled? Under what system of administration has all this been effected? Surely, the organization of so successful a staff as this must be worth some study. The poAver — the actiA^e energy — in this machine, lies in the Board of Managers. This Board has but one check upon it, the flict that it must be elected annually by the contributors. The contributors represent the latent heat of the machine, which, should it become necessary, may burst into active energy of its OAvn. Once a Manager elected, he serves so long as he serves well, if he Avill to do so, for the contributors do not l)elieve, fortunately^ for this army of the poor, in rotation in office, but, the better a Manager does his Avork of managing, and the longer he has served, the bettei- the contributors like him, and the less they Avill disturb him. And then — the beaut}^ of it — to this day, he serves Avithout pay. AV^ere he paid, it is to be feared that the poor Avould be poorer, for then might come rotation in office, and locusts (IS and i;rMsshoi)i)(.M-s, who, to exist, would luivo to appro- priato somo of the <;ood things provided for the poor. The Board of Managers, then, is the vw viva, the soul, heai't, and mind of the Peinisylvania Hospital. It is like the King — it nevei- dii's. Composed of twelve men, it has ehei-ishcd and ruled the Hospital for one lunidred and twenty-five years. It elects all the officers but the Treasurer. It collects and spends the monc}''. It is responsible for each and every failure, and for every success. It chooses the medical and surgical staff for the sick and wounded department, and the ph^^sician-in-chief and the medical assistants for the insane department. Can any one say that it has not chosen well? Is it not one of the boasts of the Hospital, that it has alwa^'^s furnished to the poor, the best medical and surgical talent to be found in Philadelphia? It has secured for the poor many of the most distinguished medical names of the country. Bond, Cadwalader, Rush, Physick, IS^orris, Pancoast. But why should I prolong the list ? All Philadelphia knows perfectly Avell that her ablest physicians and surgeons have been glad to serve the Pennsylvania Hospital. The Board governs the expenditures. It must regulate the expenses l:)y the income, and, when the means do not suffice for the needs of the institution, it has but one resource, the public, not State or city, but the general public. And we have seen already how well this pul^lic has been satisfied with the action of the Board, for has it not, in answer to such appeals, given large sums of money? (39 The Managers superintend the operations of the two departments of the Hospital by means of visiting Committees or visitors. The ' Board appoints two members of their body on each of these Committees, and the Committees pay regular weekly visits to each branch of the institution. The members of the Committees inspect the wards, see the officers, hear reports, and examine accounts. These duties are now^, and always have been performed, with great regularity. This system of visitation and inspection is of essential consequence to both branches ; to the insane department, it is vital. The public, from time to time, becomes excited upon all matters connected with hospitals for the insane. Stories are told in sensational novels, and sometimes in the newspapers, or whispered among the credulous and ignorant, of the unjust imjorisonment of oppressed citizens in such institutions ; and occasionally pa- tients are brought before the conrts, by writs of habeas corpus, obtained by friends, who refuse to believe in the fact of insanity. The only ground for these reports is the ftict that, occasionally, in the past, an improper use has been made of insane hospitals. But no such iniquity can be traced to this Hospital, nor, do I believe, to any other in this country. I will quote from the Report for the Insane Department for the year 1872, the opinion of an able and distinguished writer on Medi- cal Jurisprudence. He says: "We have yet to learn of the first well-authenticated case in this country ; and Ave have heard the same thing asserted by others 70 \\li(».se [)rores;sii)n;il diitios have enabled them to be well informed on this subjeet. Althongh this does not }>r<)ve the impossibility of snch an abnse, it cer- tainly does ])i-ove that it mnst be an exceedingly rare oeenrrence/' The weekly visits by the Managers to the insane department is a duty which the superintendent de- clares has never been neglected. The State Hospitals for the insane arc visited and Avatched over by officials appointed by the State. In this Hospital this same dnty is performed by these A^isiting Committees of the Board of Managers. I have said that the Board has but one check upon it, the fact that it is elected annually by the contribu- tors, but I must add that the Board acts under the original charter granted by the Provincial Assembly. In this charter, are several provisions so excellent that I will cite them for the benefit of the reader. One is that the treasurer is elected by the contribu- tors at the same period, once a year, when they elect the Managers. This gives to the treasurer a higher position on the Hospital staff, than au}^ other officer save the Managers themselves, and invests him Avith a certain independent responsibility and dignity, which he could not have, were he merely a creation of the Managers. Another provision of the charter, which seems to me admirable, is that in which it is declared "That no general meeting of the said con- tributors, nor any persons acting under them, shall employ any money or estate, expressly given or added to the capital stock of the said Hospital, in au}^ 71 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 dis- eases, from any part of the Province, without par- tiality or preference." This seems to me eminently wise, since it takes fi'om contributors. Managers, and treasurer, the temptation to use for any purpose, it matters not how wise and provident such purpose might appear at the time, the capital fund of the institution. One feature in the history of the Hospital, con- nected with this subject, I think is deserving of notice, and this is that the present excellent treasurer, Mr. John T. Lewis, who has served the institution now for 34z years, was preceded by his father, uncle, and grandfather, three generations of the same family, whose united term of service counts to but four years less than a century. We Americans are prone to regard with envy the stable habits of our mother country, and to fancy that America rarely exhibits families, as is so often seen in England, in which suc- cessive generations show the solid advantages of in- herited integrity and fitness for public office. In this Hospital, we have at least one instance of the descent of virtue and charity from grandfather to grandson. After ascribing all honor to the Managers for their admirable control of the institution, it is right and proper that I should refer to the medical and surgical staff of the city department. Between the years 1853 and 1876, there have been admitted into the city 7'> clo[);irtnu'nt U,.'>T*> patients, the whole medical and suriiieal care and resjJonsibiUty of which cases rest with the stall'. ^SFany of these cases belong* to the recent accident class, those dreadful injuries of all and every possible kind, from s[)rains or simple frac- tures, up to the most disastrous railroad accidents, explosions in fire-arms or cartridge factories, burns and scalds, indeed, the whole misei-able black cata- logue of injuries to which the human frame is ex- posed. Other cases are those of the deadly fevers, typhoid, remitting, and intermittent, dysenteries, the various local inflammations, the consumptions, ca- tarrhs, cancers, and all the sad list of medical woes Avhich make hospitals so necessary. I cite these par- ticular names of things so unpalatable, in order that the lay reader may, perhaps, catch some faint idea of what the Avork of the medical and surgical staff is in this Hospital. The whole of this dreary toil amidst the sick and wounded, the great central object of the Hospital, is done by the staff, as is the w^ork of the Manaoers, without monev emolument. It has been performed now by the medical men of Philadelphia for one hundred and twenty-five years, as one of the many charitable works of the profession. Until the year 1871, a small fee, ten dollars, w^as charged for admission to the clinical lectures, the proceeds of which w^ere applied, at the request of the staff, to build up the very handsome medical library of the Hospital, to which I have already referred. But, in the year just mentioned, the staff proposed to the Board that they should abandon even this small fee, and make the lectures entirely free of expense to all students of respectable colleges. This was done. So let it be put on record in the history of the Hos- pital, that the daily visitino^ and care of the sick and wounded in the city Hospital, is most faithfully per- formed, in all its length and breadth, gratuitously, by the medical and surgical staff. I take great pride as a citizen of Philadelphia and of this State in the history of this oldest Hospital in the State, since it shows forth the admirable manner in which its interests have been served, and its funds husbanded and increased by the gentlemen Avho have served it. Let us not fail to do justice to the men who have managed this Hospital so Avell. Hear what a Chief Justice said in 1834, about a case which came before the court, of a devise establishing an Orphan House, for the maintenance and education of poor orphan children. The trust had been abused and the Chief Justice said it was "an additional instance of the futility of private charities," and that " even when established by law, and provided with the conserva- tive apparatus of visitation, inspection, and whatever ingenuity could contrive, these misdirected efforts of benevolence had conduced but to the emoluments of the aofents intrusted with their care. So it would ever be, when the vision of the visitor was not sharpened by individual interest." The case is given by Mr. Binney in his argument in the Girard case. In a foot-note to the case Mr. Bimicy says: "This is a melancholy picture of charitable gifts and institu- tions ; but, while its resem])lancc to individual cases 74 mnv 1)0 admitted — lor what iiist it iitioiis are not soine- tinu's ahiisc'il? — uc sliouUl, lor tlic lioiioi- of liumaiiity, 1)0 slow to admit its aecui-acv in point of general jeseniblance. AVo must all know many charities which have been I'aithriilly, disinterestedly, and most benelicially administered. The city of Philadel[)hia has main- of them, and, it is to be hoped, ever will have them, and as in times past they have been, so we may predict that in all future time they will con- tinue to be, as much a source of praise to the giver, of honor to the visitors and trustees, as they have been and wall be of comfort, relief, and improvement to their manifold objects." I cannot doubt that, in writing these words, Mr. Binney may have thought of this very Hospital, for often have I heard him speak with great satisfaction and commendation of its man- agement. I have now brought the history of this institution, during the past twenty-five years, to a conclusion, and I might end my labor here, but, in stndying the past of anything that has a continuous existence, the mind travels inevitably into the future, and I feel that my work w'ould be unfinished, were I to say nothing as to the probable future of the Hosj^ital. Two points in particular press upon my thoughts in considering the future of the Hospital — one is the direction in which its progressive development ought to take place — and the other is the fact which should be known to all men, wdio feel an interest in its suc- cess, that it needs a large addition to its funds, if it is to go on increasing in usefulness as it has done in the past. 75 The Hospital was chartered for the " reception and rehef of Innatics, and other distempered and sick poor within this Province," as the charter recites in one paragraph, or for " the entertainment and cnre of tlie sick and distempered poor," as the words rnn in another paragraph. It is fair to presume that its duty is to disti'ibute its care in due proportion to these different classes of the sick. The dew of its charity should fall upon all classes of the sick and wounded poor, in as fair a proportion as it is possible for the Hospital to arrange and provide for. It is for the Managers to decide how to expend the funds given or bequeathed to the Hospital so as best to realize this end. I can think of no better guide for the Hospital au- thorities in this matter, than the determination by re- liable vital statistics, of the proportion of deaths in a large community, caused by the three great divi- sions of disease, received into this Hospital — medical, surgical, and insane. This will give a standard to decide the direction in which a hospital, created and maintained by the gifts and legacies of the chari- table, ought to seek to develop itself. To obtain this standard, I shall take first the Report of the Registrar General of England, the best, ])i'ob- ably, the world aftbrds, and ascertain the proportion of deaths from medical and surgical causes in all England, and then in the city of London. In this way, we shall find the relative proportion of deaths from these two chief groups of causes, first, in the rural and town populations together, and then in the 7rtod by, the private charitable institutions ready and uiUin<2^ to take care of them. The other point connected with the future career of this Hospital, to Avhich 1 desired to call atten- tion, was its need for a larger endowment. It re- quires more funds in order to continue what it has been doing for several years past, in a more complete and elFective manner, or to increase, as it ought to be enabled to do, the number of sick to be received within its walls. The expenses have been increasing from two prin- cipal causes — the diminution in the number of pay- patients in proportion to the free, and the great m- crease in the cost of living. In 1856, twenty years since, the whole number of patients admitted was 1714, of which number 1151 were poor and 560 pay. The expenses were $31,657.83, of which amount $9,185.17 were received from the board of patients. In 1876 the admissions were 1638, of which 1270 were poor and 368 pay. The expenses were |62,- 666.22, of which sum $9,766.80 were received for board, so that it cost the Hospital $28,028.39 more to supj)ort, in 1876, a number of patients less by 76 than in 1856, yet the amount received for board was very nearly the same. Though the whole number of patients in 1876 was less than in 1856, it is probable that this diminution was owing to some temporary cause, for I find, on comparing periods of five years, that there has been a very decided increase. In the five years 1851 to 1856 the whole number was 8,815, while in the five 83 years, 1872 to 1876, it was 9,250, a difference in the five years of 405. It is clear, therefore, that the funds of the Hos- pital, for the maintenance of the department for the sick and wounded, ought to be increased as soon as jDOSsible, and in a very considerable degree. The other branch of the Hospital, the Insane De- partment, also needs additional endowment. This department has had most remarkable success. As stated before, it has received, of the income from the vested capital in the last thirty years, $159,996.36, or but $4,571.32 per annum. And yet its expenditures are very heavy. I find that, for the last five years, its annual expenditure has varied from $172,000 to $214,000. These large sums were paid almost wholly by the board received from the j^aying patients. In- deed, in the last year, 1875, it appears to have been more than self-supporting, since the total expendi- tures were $201,366.53, and the net receipts $205,- 532.70. This branch supports, on these means, a good many poor patients who pay nothing, and a number of others who are received at a rate of board so moder- ate, that it does not pay the cost of their support. During the last five years, the number of free patients has varied from 35 in 1873, to 43 in 1871 and 1872, and 51 in 1875. Since its opening in 1841, it has received 7167 patients in all, of which number 1532 wei'e taken without charge, and about as many more paid less than the cost of their support. So that this department is now, and has been, doing 84 all that it can allord to do lor the poor. To extend its care to a yet larger luimhei", it must have an in- crease of its funds. In the last report, that of 1875, it is stated that, " The claimants for admission on the part of those unable to pay the full cost of their sup- port, are constantly increasing, and are far beyond the resources of the Institution. Many of them are of the greatest interest and curable. It is to meet these applications, and to provide everything that will promote additional comforts, greater happiness, and o-ive better chances of restoration for all its patients, that the Institution needs large additions to its re- sources, and especially a great increase of the perma- nent fund, which has been liberally started by a few benevolent individuals. When free beds are established, they are for indi- gent, recent, and supposed curable cases only; and, judging by past experience, when thus used, every such bed may be expected to be the means of restor- ino' to reason and to society, from one to two patients in every year the Hospital shall exist." To all who have read this history of the last twenty- live years of the Pennsylvania Hospital, it must be plain that, for the extensive good it has done and is still doino-, it is not the wealthy institution which many suppose it to be. I think I have shown, on the contrary, that it has been compelled to exceed con- stantly its income, and that it has never been able to attain to that degree of usefulness, in its city depart- ment especially, which it might reach had it more abundant means. The history has exhibited the 85 Managers embarrassed, hampered, distressed, at times despondent, obliged to go before the public, hat in hand, so to speak, to implore the gift of funds to make up its annual deficiencies. What toil, what stripes, what rebufis, have they not been forced to en- dure? The hospital may be likened to that noblest sight in the world, the good man struggling with ad- versity. I have portrayed, too, the spotless integrity, the steady and devoted loyalty to the right, the reputa- tion undimmed even by a suspicion, with which its affairs have been administered. Having shown this noble picture of what has been accomplished by this charity, shall I hesitate to advise any one who desires to see the gracious fruit of his liberality while he yet lives, or who may wish to leave a lasting good be- hind him, not to forget that here is an institution, one of the antiquities of our young country, the history of which shows forth only the finest uses of charity ? I will venture to add that, to me personally, it ap- pears most wise to give money to the general endow- ment fund, in order that the Board of Managers, that active, intelligent body which never dies, never wastes, never misappropriates, may apply the income of the capital in such manner for the general good of all the l^oor, as time and progress shall declare to be most wise and necessary. If any one should wish to perpetuate the name of some beloved relative, or to illustrate his own name and family, let him endow one or more free beds to 8() be called aller the person i'oi" whom they arc endowed. I doubt even whether it is wise to choose between the two depai'lnients. AVho can know^, at this moment of time, what may be the necessities of a great hospital in tlie future? To the Managers, it appears to me, it would be best to leave the appropriation of the income in such direction in the distant future as time and the growth of societ}^ shall show to be necessary. And now at length I come to the end of my labor. The task I have essayed, and am about to conclude, has been a labor of love. I am, and have always been, a citizen of Philadelphia. I w^as brought up in a medical family, and imbibed from my father, w^ho served the hospital faithfully for ten years, a senti- ment towards this institution which touched upon the romantic. And he and I were by no means sin- gular in this, for it is a fact, and I wish to put this on record, that there always has been amongst our citizens a peculiar sentiment of tenderness, mingled with the pride felt for the Pennsylvania Hospital. This sentiment w^as composed largely of love, un- touched by any fear of abuse. Such has been the management throughout its career that no one sus- pected, or dreaded, anything like misapplication of its funds. Perfect love had, indeed, cast out fear in this one, at least, of our public institutions. The hospital is now, and ever has been, one of the embellishments of Philadelphia. In this city, for now so many years, its large square of ground, open to the air and light, except for its neat and simple, but striking mass of buildings, and its noble girdle of trees, which has so 87 long surrounded the square, has had, I cannot but fancy, something to do with the interest felt by the citizens in the institution. The circlet of superb foliage which marked, like a crown, the house of the poor sick, was visible from all parts of the city, and could not be seen by those who knew what it marked, and who had any sense of the beauty and fitness of things, without raising in the mind a sense of grati- tude, that there the sick and wounded who were homeless, might find a refuge, and one of pride that the city could boast so great an embellishment. APPENDIX. I. MANAGERS AND TREASURERS. The folloiowg is a list of those who have served as 31anagers and Trea- surers from the covimencement of the Institution to the present time ; with the date of their respective elections, and the length of time they continued in office. Managers. Joshua Crosby Benjamin Franklin Thomas Bond Samuel Hazard Richard Peters Israel Pembertou, Jr. Samuel Rhoads Hugh Roberts Joseph Morris John Smith Evan Morgan Charles Norris Isaac Jones John Re3fnell William Griffltts Thomas Lawrence, Jr. Joseph Fox William Grant Thomas Crosby Daniel Roberdeau Charles Jones Isaac Greenleaf Joseph Richardson, Mer't Jacob Duchee Plunket Fleeson Anthony Benezet John Say re Stephen Shewell Thomas Gordon Elected. Resigned. 1751 1755 1751 1757 1751 1752 1751 1754 1751 1752 1751 1779 1751 1781 1751 1756 1751 1757 (1751 11761 1756| 1762 i j 1751 (1753 1752) 1763) 1751 1752 (1752 1756) ■^17^0 1762 V- (1764 1773 ) 1752 1780 1752 1753 1752 1753 1753 1756 1754 1756 1755 1757 J 1756 (1766 1758) 1776) 1756 1761 1756 1771 1756 1770 1756 1758 1757 1759 1757 1758 1757 1758 1758 1760 1758 1766 Served the Institution. 4 years (died). 6 years. 1 year. 3 3'ears. I year. 28 3'ears. 30 years. 5 3' ears. 6 3'ears. 6 3-ears. II 3^ears. 1 year. 15 years and 5 months (died). 28 years. 1 3'ear and 5 months. 1 year. 2 3'ears and 7 months. 2 3'ears. 1 year and 11 months. 12 years. 5 years. 15 3'ears. [(died). 17 3'ears and 6 months 1 3'ear and 9 months. 2 years. 1 year. 9 months, years. 8 years. (89) 00 Managers SaiiuK'l MitUiu James remberton Jacob TiCwis John Moase Ilonry Harrison Thomas Wliarton John Gibson Joseph Redmon John Xixon Joseph ^lorris * Isaac Cox William Loijan Thomas Mifflin Thomas Wharton Edward Penington Robert Strettell Jones George Roberts Thomas Fisher Joseph Swift William West Jacob Shoemaker William Morrell Samuel Powell Joshua Howell Samuel Pleasants Peter Reeve George Mifflin Thomas Franklin Tench Coxe Reynold Keene Jonathan Shoemaker Owen Jones, Jr. Isaac Wharton Josiah Hewes John Morton Adam Hubley Nathaniel Falconer Andrew Doz Thomas Moore Samuel Howell William Hall Samuel Coates John Pascliall Thomas Penrose Elected. Resigned 1758 1760 1758 1780 1759 1774 17(!0 1768 1702 1766 17(52 1769 f 1763 1764) 11767 1770; 1766 1767 1768 1772 1769 1781 1770 1776 1770 1775 1771 1773 1772 1779 1773 1779 1773 1781 1774 1776 1775 1776 1776 1786 1776 1778 1776 1781 1776 1782 1778 1780 1779 1782 1779 1781 1779 1786 1780 1785 1780 1783 1780 1781 1781 1790 1781 1790 1781 1795 1781 1784 1781 1812 1781 1785 1782 1784 (1782 (1784 1783) 1790; 1783 1788 1783 1788 1784 1789 1785 1787 1785 1825 1786 1795 1786 1798 Served the Institution. 2 years. 22 years. 15 years. [(died). 7 years and 10 months 3 3''rs and 9 mo's (died). 7 years. 3 years and 7 months. 1 3'ear and 1 month. 4 3'ears. 12 years. 5y'rsand 8 mo's (died). 4 3'ears and 6 months. 1 3'ear and 11 months. 7 years. 6 years. 8 years. 2 years and 3 months. 1 j'^ear and 3 months. 9 years and 9 months. 2 3^ears. 5 3'ears. 6 3'ears and 8 months. 2 }^ears. 3 years. 2 3'ears. 7 years. 5 y'rs and 2 mo's (died). 3 3' ears. 1 3'ear. 9 3'ears and 7 months. 9 years and 1 month. 13 3^ears and 9 months. 3 3^ears. 30 3"ears and 5 months. 3 years and 8 months. 2 3'ears and 4 months. 6 years and 6 months. 5 years. 5 3^ears. 4 3'ears and 5 months. 1 year and 11 months. 40 years and 4 months. 8 years and 10 months 12 years. [(died). * It appears from the minutes of the Board, that Isaac Cox was lost at sea, on his return from the Island of New Providence, in the winter of 1775-6. 91 Managers. Elected. Resigned. Served the Institution. Richard Rundle 1787 1789 2 years. Samuel Clark 1788 1802 13 years and 6 months Pattison Hartshorne 1788 1823 35 years. [(died). Elliston Perot 1789 1806 17 years and 2 months. Bartholomew Wistar 1789 1796 7 years. Cornelius Barnes 1790 1793 3 y 'rs and 5 mo's (died). Lawrence Seckel 1790 1820 29 years and 9 months. William McMurtrie 1791 1794 3 years. [(died). Thomas Morris 1793 1809 15 3'ears and 1 1 months Samuel M. Fox 1794 1797 3 years. Robert Wain 1795 1800 5 years and 2 months. James Smith, Jr. 1795 1805 10 years. Israel Pleasants 1796 1800 4 years. John Dorse}' 1797 1804 7 years. Robert Smith, Merchant 1798 1805 7 years. Zaccheus Collins 1800 1822 22 years. Paschall Hollingsworth 1800 1812 12 years. Richard Wistar 1803 1806 3 years and 4 months. Joseph Lownes 1804 1820 16 years. Peter Brown 1805 1811 6 y'rs and 7 mo's (died). Edward Penlngton 1805 1820 15 years. Zachariah Poulson 1806 1808 1 3^ear and 10 months. William Poyntell 1806 1811 5 y'rs and 2 mo's (died). Thomas Stewardson 1808 1841 33 years and 2 months Thomas P. Cope 1809 1828 19 years. [(died). Reeve Lewis 1811 1814 3 years and 3 months. Joseph S. Morris 1811 1817 5 y'rs and 3 mo's (died). Samuel W. Fisher 1812 1817 4 y'rs and 9 mo's (died). Joseph Watson 1812 1824 12 years and 5 months. Mordecai Lewi* [1814 |l828 1818") 1849J 24 years and 9 months. Israel Cope 1817 1828 11 years. Thomas Morris 1817 1840 23 years and 9 months. Henrj' Hollingsworth 1818 1823 5 years and 6 months. Alexander Elmslie 1820 1827 7 years. Matthew L. Bevan 1820 1828 7 years and 10 months. Joseph Johnson 1820 1828 7 years and 10 months. William L. Hodge 1822 1824 2 years. Roberts Vaux 1823 1834 11 years. Charles Roberts 1823 1844 21 years and 3 months. William W. Fisher 1824 1838 13y'sand 8 mo's (died). Charles Watson 1824 1846 21 3'ears and 2 months. John Paul 1825 1844 18y'sand 8mo's (died). Joseph R. Jenks 1827 1828 10 months. Joseph Price 1828 1845 17 .years and 6 months. Alexander W. Johnson 1828 1848 20 years and 8 months. John J. Smith 1828 1836 8 years and 7 months. 92 MiinaL Whitall 1851 1867 16 years and 3 months. Alexander J. Derbyshire 1855 Samuel Mason 1855 S. Morris Wain 1855 1870 15 y's and 3 mo's (d'd). Samuel Welsh 1856 Joseph S. Lewis 1856 1857 1 year and 8 months. Wistar Morris 185Y Caleb Cope 1861 1868 7 3'ears and 5 months. Adolph E. Rorie 1864 1868 4 years and 3 months. Jacob P. Jones 1866 Renjamin H. Shoemaker 1867 Alexander Riddle 1868 Edward Y. Townsend 1868 1869 5 months. Joseph R. Townsend 1869 Joseph C. Turnpenny 1870 John J. Thompson 1872 1875 2y'sandllmo's(died). T. Wistar Rrowu 1872 Henry Haines 1875 Of the above, the following were the successive Presidents of the Roard: — Years. 1. Joshua Crosbj^ 4 9 2. Renjamin Franklin 2 10 3. John Re3'nell . 23 11 4. Samuel Rhoads 1 12 5. Peter Reeve . 5 13 6. Samuel Howell 3 14 7. Reynold Keen . 1 15 8. Josiah Hewes 22 Samuel Coates . Thomas Stewardson John Paul . Mordecai Lewis . Lawrence Lewis Mordecai L. Dawson William Riddle . Years. 13 16 3 5 6^ 161 93 Treasurers. Elected. Resigned. Served the Institution. John Reynell nsi 1752 1 year. Charles Norris 1752 1756 4 years. Hugh Roberts 1756 1768 1 2 years. Samuel P. Moore 1768 1769 1 year. Thomas Wharton 1769 1772 3 years. Joseph King 1772 1773 13 months (died). Joseph Hilborn 1773 1780 7 years. Mordecai Lewis 1780 1799 18y 's and 8 mo's (died). Joseph S. Lewis 1799 1826 27 years. Samuel N. Lewis 1826 1841 14 y 'sand 2 mo's (died). John T. Lewis 1841 94 II. MEDICAL OFFICERS. The follotoing are the names of the gentlemen who have served the Insti- tution as Physicians and Surgeons, in the order of their appointment ; together with the date of their resignation or death, and their respective periods of service. Pliysieian? and Surgeons, Elected. Resigned. Lloyd Zachary 1751 1753 Thomas Bond 1751 1784 Phineas Bond 1751 1773 Thomas Cadwalader 1751 1777 Samuel Preston Moore 1751 1759 John Redman 1751 1780 William Shippen 1753 1778 Cadwalader Evans 1759 1773 John Morgan (1173 ^778 1777| 1783) Charles Moore "1773 1774 Adam Kuhn (1774 (1782 1781] 1798) Thomas Parke 1777 1823 James Hutchinson (1777 (1779 1778) 1793; William Shippen, Jr. fl778 (1791 1779) 1802] John Jones 1780 1791 Benjamin Rush 1783 1813 John Fonlke 1784 1794 Caspar Wistar 1793. 1810 Philip S\'ng Ph3-sick 1794 1816 Benjamin Smitii Barton 1798 1815 John Redman Coxe 1802 1807 Thomas C. James 1807 1832 John Syng Dorsey 1810 1818 Joseph Hartshorne 1810 1821 John C. Otto 1813 1835 Samuel Colhoun 1816 1821 Joseph Parrish 1816 1829 Served the Institution. I year and 5 months. 32 years and 6 months 21 y's and S mo's (died). 25 years and 6 months. 7 years and 6 months. 28 3^ears and 6 months. 25 years and 2 months. 14 y's and 1 mo. (died). 8 years and 1 1 months. 10 months. 22 years and 6 months. 45 years and 9 months. 15 years (died). II jf'rs and 11 months. 11 y's and 1 mo. (died). 29 3^ears and 10 months 10 years. [(died). 16 years and 5 months. 22 years and 1 month. 17 years and 10 months. 4 years and 9 months. 25 y'rs and 10 months. 8 y'rs and 6 mo's (died). 11 years and 2 months. 22 years and 4 months. 5 years. 12 years and 8 months. 95 Physicians and Surgeons. Elected. Resigned Served the Institution. Thomas T. Hewson John Moore William Price John Wilson Moore Samuel Emlen John Rhea Barton John K. Mitchell Benjamin H. Coates Thomas Harris Charles Lukens Hugh L. Hodge William Rush George B. Wood Jacob Randolph George W. Norris Thomas Stewardson Charles D. Meigs Edward Peace William Pepper William W. Gerhard George Fox Joseph Carson John Neill Joseph Pancoast James J. Levick John Forsythe Meigs Edward Hartshorne Francis Gurney Smith Addinell Hewson William Hunt Thomas Geo. Morton Jacob M. DaCosta D. Hayes Agnew James H. Hutchinson J. Aitken Meigs Richard J. Levis 1818 1820 1821 1821 1823 1823 1827 1828 1829 1829 1832 1834 1835 1835 1836 1838 1838 1840 1842 1845 1848 1849 1852 1854 1856 1859 1859 1859 1861 1863 1863 1865 1865 1868 1868 1871 1835 1829 1828 1827 1828 1836 1834 1841 1840 1839 1854 1837 1859 1848 1863 1845 1849 1861 1858 1868 1854 1854 1859 1864 1868 1865 1864 1871 16 years and 5 months. 9 years. I year and 10 months. 5 years and 3 mouths. 5 years (died). 13 years and 5 months. 7 years. 12 years and 9 months. II years and 9 mouths. 10 years and 3 months. 21 years and 3 months. 3 years and 5 months. 23 years and 6 months. 12y'sandl0mo's(d'd). 27 years. 1 7 years. ilO y'rs and 10 months. |20 years and 1 month. 1 16 years and 7 months. 23 years. 6 years. 4 years and 10 months. 7 years and 1 month. 9 years and 1 1 months. 12 years and 5 mouths. 5 years and 9 mouths. 5 years and 7 months. 6 3'ears and 2 months. 9G MEDICAL APPRENTICES AND RESIDENT PHYSICIANS. The Apprentices were Students of Medicine ivhen indentured to the Hos- pital, and usually graduated before leaving it. To. Served. Jacob Kluvnzoller "William Gardner Edward Cutbush Samuel Cooper Thomas Horsefield George Lee James Ilutchinson, Jr. Joseph Hartshorne Samuel C. Hopkins Thomas Bryant, M.D. Philip Thornton Samuel Betton, M.D. John Wilson Moore Benjamin S. Jannej' Wm. P. C. Barton, M.D. Samuel Colhoun, M.D. Theodore Benson John Rhea Barton William Price, M.D. Benjamin H. Coates Jason O'B. Lawrence,") M.D. I Warwick P. Miller George Balfour Thomas H. Ritchie Re^-nell Coates Thomas Flanner Robert J. Clark, M.D. Southey H. Satchell, M.D Charles B. Jaudon, M.D. 1773 1786 1790 1792 1794 1798 1799 1801 1804 1806 1806 1808 1808 1808 1809 1809 1810 1813 1813 1814 1814 1815 1818 1819 1819 1819 1820 1823 1823 1778 1791 1794 1797 1799 1802 1804 1806 1808 1807 1808 1808 1813 1813 1809 1810 1813 1818 1814 1819 1815 1819 1819 1823 1823 1820 1821 1824 1824 3'ears. 5 3^ears. 4 years. 5 3'ears. 5 3'ears. 4 3-ears (died). 5 3'ears. 5 years. 4 3'ears. 1 3'ear. 1 3'ear and 9 months. 6 months, 5 3'ears. 5 years. 4 months. 1 3'ear. 3 3'ears (died). 5 3'ears. 1 year. 5 3'ears. 6 months. 4 3'ears (died). 9 mouths. 4 years. 4 years. 9 months. I9 months. 1 year. 10 months. The three last-named gentlemen served for unfinished terms of preceding apprentices. From this time, it was resolved to elect graduates of medicine only as 97 RESIDENT PHYSICIANS. Caspar Wistar Caspar Morris John Kodman Paul Charles Mifflin James A. Washington George Fox Ralph Hammersly Thomas Stewardson, Jr. George W. Norris Mifflin Wistar Thomas S. Kirkbride William W. Gerhard James A. McCrea Josliua M. Wallace Henry H. Smith John F. Meigs Alfred Stille Anthony E. Stoeker Edward Hartshorne Moore Robinson Samuel Hollingsworth Ellerslie Wallace Fitzwilliam Sargent John D. Logan Robert P. Harris Henr^' Hartshorne Wm. McKennan Morgan Spencer Sergeant Moreton Stille James J. Levick Francis W. Lewis Wm. H. Gobrecht William Hunt Addinell Hewson Ricliard A. F. Penrose Thomas Hewson Baclie James E. Rhoads James Darrach William S. Forbes W. Rusli Dunton Augustus Wilson John H. Packard Andrew Fleming Douglass A. Hall George H. Humphreys 1 From. To. Served. 1824 1826 2 3'ears. 1824 1827 2 years. 1825 1826 5 months. 1826 1828 2 years. 1827 1829 2 years. 1828 1830 2 3'ears. 1829 1830 1 y'r and 3 mo's (died). 1830 1832 2 3'ears. 1830 1833 3 years. 1832 1834 2 3'ears. 1833 1835 2 years. 1834 1836 2 years. 1835 1837 2 3'ears. 1836 1838 2 3^ears. 1837 1839 2 years. 1838 1840 2 years. 1839 1841 2 years. 1840 1842 2 years. 1841 1843 2 3'ears. (. 1842 1842 8 months (died). 1842 1843 5 months. 1843 1844 1 3^ear. 1843 1845 2 years. 1844 1846 2 years. 1845 1847 2 3'ears. 1846 1848 2 years. 1847 1848 1 year and 4 months. 1848 1850 2 3'ears. 1848 1849 8 months. 1849 1851 2 years and 3 months. 1849 1850 1 year. 1850 1851 1 year. 1850 1852 2 years. 1851 1852 1 3^ear and 6 months. 1851 1853 2 years. 1852 1853 1 year and 6 months. 1852 1854 1 3'ear and 4 mo)iths. 1853 1854 1 year and 6 months. 1853 1855 1 year and 6 months. 1854 1855 1 year and 8 months. 1854 1856 1 year and 6 months. 1855 1856 1 year and 6 months. 1855 1857 1 3'ear and 5 months. 1856 1857 1 year and 6 mouths. .1856 1858 1 year and 6 months. 98 TlioiiKis (jioo. Morion Will. Leliinaii Wells Albert H. Smith James II. Hutchinson It. Lenox Hodge George Harlan Thomas I). Reed Edward Livezey Charles A. MeC'all Charles Carroll Lee John Ashhurst William F, Norris William Savery Joseph G. Richardson Horatio C. Wood, Jr. William Elmer, Jr. James Tyson Thomas Wistar Edward Rhoads T. Hollingsw'th Andrews • AVilliam Pepper, Jr. Horace Williams Theodore Herbert Horace Binney Hare James Markoe Herbert Xorris Henry Chapman Elliot Richardson Charles M. Ritz Charles T. Hunter Arthur Yan Harlingen Morris Longstreth James C. Wilson Robert H. Alison George S. Gerhard Daniel Bray William C. Cox Arthur Y. Meigs Ewing Jordan Frank Woodbury Edward W. Jameson J. Aubrey Lippincott Morris J. Lewis T. Hewson Bradford John B. Roberts Wm. Barton Hopkins M. Frank Kirkbride Prom. To Served. 1857 1858 1 3'ear and 4 months. 1857 1857 2 months. 1857 1859 1 year and 4 months. 1858 1859 1 3'ear and 6 mouths. 1858 1860 1 year and 9 months. 1859 1860 1 year and 6 months. 1859 1861 1 year and 6 months. 1859 1861 1 3'ear and 6 months. 1860 1861 9 months. 1861 1862 1 3-ear and 6 months. 1861 1862 9 months. 1861 1863 1 year and months. 1862 1863 1 3'ear and 6 months. 1862 1863 9 months. 1863 1864 11 months. 1864 1864 7 months. 1863 1864 8 months. 1863 1864 1 3'ear and 6 months. 1864 1865 1 3'ear and 6 months. 1864 1866 1 3'ear and 6 months. 1865 1866 1 year and 6 months. 1865 1867 1 year and 6 months. 1866 1867 1 3'ear and 1 month. 1866 1867 9 months. 1867 1868 1 3'ear and 6 months. 1867 1868 1 3'^ear and 5 months. 1867 1869 2 \'ears. 1868 1870 1 year and 6 months. 1868 1869 1 year. 1869 1870 1 year. 1869 1871 1 3'ear and 6 months. 1870 1871 1 3'ear and 6 months. 1870 1871 1 year. 1871 1872 1 3'ear and 6 months. 1871 1872 10 months. 1871 1872 6 months. 1872 1873 1 3'ear and 6 months. 1872 1874 1 year and 6 months. 1872 1873 7 months. 1873 1874 1 year. 1873 1875 1 3'ear and 4 months. 1873 1875 1 3'ear and 6 months. 1874 1875 1 3'ear and 6 months. 1875 1876 1 year and 8 months. 1875 1875 1876 99 APOTHECARIES. From. To. Served. Joirathan Roberts 1152 1155 2 years and 4 months. John Morgan 1155 1156 1 3'ear and 1 month. John Bond 1156 1158 2 years. James A. Bayard 1158 1159 1 year. John Davis 1161 1168 1 months. William Smith 1110 1113 2 years and 10 months. Thomas Boulter 1113 1113 2 months. James Hutchinson 1113 1115 2 years and 1 month. James Dunlap 1115 1116 1 year. Peter Yarnall 1180 1181 1 year and 5 months. Gustavus F. Kielman 1181 1182 1 year and 4 morrths. James Hartley 1182 1184 1 3-ear and 3 months. *Nrcholas B, Waters 1184 1181 3 years and 1 nronth. Graham Hoskins 1821 1823 2 3^ears. Robert Harris 1823 1824 10 months. Samuel C. Sheppard 1824 1825 1 3^ear and 2 months. Newberry Smith, Jr-. 1825 1829 4 years. Franklin R. Smith 1829 1831 2 years. John Conrad 1831 1810 39 3^ears. Jacob K. Hecker 1810 1814 4 years and 2 months. Jacob K. Hecker 1816 Charles Wirgman 1814 1816 2 years and 3 months. * From 1787 to 1821, the duties of the Apothecary were performed by the Medical Apprentices. 100 111. STEWARDS AND MATRONS OF THE HOSPITAL. Stewards. From. To. Served Matthew Taylor 1758 1759 1 year. *(ieoroe AVeed 17<)0 1767 7 years and 3 months. * Robert Sladc 17G8 1769 1 y'r and 2 mo's (died). John Saxtou 1773 1776 3 years. *John Story 1776 1780 4 years. Joseph Henszey 1780 1796 16 years. n79G 1803) 12 years and 3 months Francis Iliggins ■^1808 1813J (died). William Johnston 1803 1808 4 years and 8 months. Samuel Mason 1813 1826 13 years. Isaac Bonsall 1826 1830 4 years and 6 months. Allen Clapp 1830 1849 18 years and 9 months. William G. Malin 1849 Matrons. From. To. Served. f Elizabeth Gardner 1751 1760 9 years. Esther Weed 1760 1767 6 y 'rs and 8 mo's (died). fMary Ball 1767 1768 1 3^ear and 5 months. |Sarah Harlan 1768 1772 4y'rsand5mo's (died). Sophia Saxton 1773 1776 3 years. Marj' Stor}' 1776 1780 4 3"ears. Deborah Henszey 1780 1790 10 years and 3 months Mary Falconer 1790 1795 5 years. [(died). Ann Henszej'^ 1795 1796 9 months. Hannah Higgins (1796 (1808 1803) 1813J 12 years and 3 months. Abigail Johnston 1803 1808 4 years and 8 months. ]\lar3' Mason 1813 1826 13 years. Ann Bonsall 1826 1830 4y'rsand3mo's (died). Margaret Clapp 1830 1835 4y'rsand5mo's (died). Margaret Robinson 1835 1835 4 months. Elizabeth Clapp 1835 1842 6 years and 10 months. Elizabeth Hooton 1842 1848 6 years. Harriet P. Smith 1848 1853 5 years and 4 months. Mary D. Sharpless 1853 1876 23 years. Anna M. Morris 1876 * These also acted as Apothecaries. f These ladies acted also as Stewards. 101 lY. The following table exhihits the number of pay and poor patients, and the total number admitted into the Pennsylvania Hospital in the City, and the average number maintained during each year from its foun- dation to 4th mo. {April) 22, 1876. Admitted from yp„- Feb. lUh, 1752, Z'^'c, to end of April, 1703 Pay. 24 Poor. 40 Total. 64 Average, 9 1754 14 39 53 12 1755 13 60 73 17 1756 7 61 78 17 1757 13 68 81 17 1758 29 85 114 33 1759 25 102 127 34 1760 32 105 137 40 1761 40 113 153 45 1762 29 128 157 47 1703 46 194 240 73 1764 50 272 322 101 1765 45 261 306 111 1766 56 283 339 119 1767 38 307 345 120 1768 54 337 391 123 1769 32 353 3S5 110 1770 49 336 385 113 1771 44 338 382 118 1772 44 349 393 117 1773 46 315 361 105 1774 63 374 437 117 1775 60 361 421 105 1776 42 393 435 89 1777 109 268 377 67 1778 31 96 127 39 1779 16 107 123 36 1780 10 118 128 35 1781 18 103 121 35 1782 69 42 111 36 1783 83 23 106 37 1784 156 47 203 61 1785 133 35 168 51 1786 113 25 138 51 1787 108 30 138 54 102 Year. Pay. Poor. Total. Avernge. 17S8 78 32 110 54 1789 49 28 77 47 UOO 51 27 78 46 1791 73 32 105 52 1792 107 72 179 64 1793 87 63 150 63 1794 170 78 248 71 1795 107 67 174 72 1796 113 103 216 69 1797 114 89 203 75 1798 101 71 172 78 1799 60 66 126 74 1800 80 96 176 78 1801 106 70 176 85 1802 176 73 249 87 1803 217 87 304 114 1804 214 88 302 113 1805 231 89 320 103 1806 241 98 339 109 1807 338 115 453 129 1808 288 121 409 122 1809 419 141 560 158 1810 216 152 368 127 1811 281 171 452 138 1812 373 172 545 150 1813 376 145 521 161 1814 307 140 447 163 1815 235 159 394 147 1816 500 181 681 178 1817 483 201 684 200 1818 468 170 638 199 1819 474 243 717 214 1820 457 292 749 226 1821 414 286 700 20S 1822 300 244 544 158 1823 346 842 688 170 1824 363 384 747 178 1825 353 391 744 177 1826 368 362 730 175 1827 416 383 809 183 1828 427 460 887 202 1829 492 658 1150 219 1830 455 675 1130 225 1831 506 616 1112 233 1832 552 587 1139 249 1S33 455 587 1042 232 1834 394 589 983 228 1835 345 644 989 236 103 Year. Pay. Poor. Total. Average 1836 390 615 1005 227 1837 382 592 974 213 1838 382 655 1037 202 1839 333 038 971 210 1840 290 660 950 215 1841 328 571 899 196 1842 321 503 824 106* 1843 328 577 805 93 1844 271 667 938 101 1845 267 688 955 102 1846 265 808 1073 114 1847 335 942 1277 127 1848 478 1068 1546 142 1849 526 1126 1652 148 1850 565 1250 1815 159 1851 467 1298 1765 158 1852 506 1140 1646 144 1853 543 1164 1707 162 1854 591 1240 1831 174 1855 621 1275 1896 178 1856 560 1154 1714 158 1857 614 1066 1680 159 1858 630 1126 1656 162 1859 511 1147 1658 164 i860 623 1173 1796 172 1861 651 1191 1842 180 1862 530 1148 1678 166 1863 606 1004 1610 183 1864 453 1287 1740 155 1865 441 1397 1838 157 1866 491 1509 2000 167 1867 435 1338 1773 170 1868 421 1366 1787 168 1869 416 1532 1948 160 1870 338 1410 1748 153 1871 329 1G05 1934 170 1872 406 1599 2005 176 1873 441 1563 2004 155 1874 459 1328 1787 146 1875 488 1328 1816 162 1876 368 1270 1638 159 * This reduction in the average population of the Hospital was caused by the re- moval, in 1841, of more than 90 insane patients (mostly permanent boarderc) to the Pennsylvania Hospital for the Insane. 101 Since the estal)lisliincnt of tlie llospitul in 1752, tliore admittoil into it 95,84S patients, of \vl\om 62,357 have persons, supported at the expense of the Institution. 95,848 patients tliere have been Cured ....... Relieved ...... Discharged without material improvement Discharged for misconduct or eloped Pregnant women safely delivered Infants born in the Hospital and discharged in health Died Remaining Fourth month 22d, 1876 liavc been been poor Of these 61,880 12,849 7,295 2,105 1,335 1,255 8,974 95,693 155 95,848 In addition to those above enumerated, 15,258 persons were attended as out-patients, and furnished with medicine at the expense of the Hospital. This was done during the years 1797 to 1817, when, in consequence of the establishment of institutions having this special object, the dispensary practice of the Hospital was discon- tinued. The out-door department was resumed 11th mo. 1st, 1872, and from that date to 5th mo. 2d, 1876, 9327 were admitted — thus making altogether 24,585 patients treated in this department. 105 Y. OFFICERS OF THE INSTITUTION. ELECTED BY THE CONTRIBUTORS. At the 125th Annual Meeting of this Corporation, hehl 5th month 1st, 1816, the foUoAving Contributors were elected for the ensuing year: — MANAGERS. WILLIAM BIDDLE, BENJAMIN H. SHOEi\tAKER, ALEX. J. DERBYSHIRE, ALEXANDER BIDDLE. SAMUEL MASON, JOSEPH B. TOWNSEND, SA^IUEL WELSH, JOSEPH C. TURNPENNY, WISTAR MORRIS, T. WISTAR BROWN, JACOB P. JONES, HENRY HAINES. TREASURER. JOHN T. LEWIS. APPOINTED BY THE MANAGERS. HOSPITAL OX PINE STREET. STEWARD, William G. Malin. MATRON, ASSISTANT MATRON, Fannie G. Irwin. CLERK, LIBRARIAN, AND ASSISTANT STEWARD, Jonathan Richards. APOTHECARY, Charles Wirgman. PHYSICIANS. JOHN FORSYTH MEIGS, M.D., JAMES H. HUTCHINSON, M.D., JACOB M. DA COSTA, M.D , J. AITKEN MEIGS, M.D. SURGEONS. ADDINELL HEWSON, M.D., THOS. GEORGE MORTON, M.D., AVILLIAM HUNT, M.D., RICHARD J. LEVIS, M.D. RESIDENT PHYSICIANS. T. HEWSON BRADFORD, M.D., WM. BARTON HOPKINS, M.D., JOHN B. ROBERTS, M.D. PATHOLOGIST AND CUR.VTOR, Mouuis Longstreth, :\LD. PATHOLOGICAL CHEMIST, Horace Binney Hare, M.D. MICROSCOPIST, Joseph G. Richardson, M.D. OUT-PATIENT DEPARTMENT. PHYSICIANS. MORRIS LONGSTRETH, M.D., JOSEPH G. RICHARDSON, M.D., JOSEPH J. KIRKBRIDE, M.D. SURGEONS. CHARLES HUNTER, M.D., ELLIOTT RICHARDSON, M.D., THOMAS H. ANDREWS, M D., WILLIAM ASHBRIDGE, M.D. lOG YI. PENNSYLVANIA HOSPITAL FOR THE INSANE. The Pennsylvania Hospital for the Insane (situated in West Phil- adelphia) was opened for the reception of patients on the 1st day of the year 1841, since which time there have been admitted into it — Males. Females. Pay. Free. Total. 3831 3336 5635 1532 71G7 Of the whole number admitted have been discliarged — Cured 3324 Much improved ..... ) ,p„^ T J r lb ti Improved ...... ) Stationary ....... 853 Died 894 6748 Remain under treatment . . . . 419 Total, 7167 The following table exhil)its the gradual increase in number of insane patients in the Hospital, being the number under care at the close of each official year since it was opened. At the close of the year ending 4th mo. 24, Average number during the year. 1841 th ere were 97 p atients. 1842 " 109 " 106 1843 i< 135 11 120 1844 " 147 " 138 1845 " 158 (( 154 1846 i< 180 (1 169 1847 " 188 (1 172 1848 (1 202 " 192 1849 i( 208 (( 202 1850 *' 230 " 210 1851 (( 230 1 1 216 1852 <( 227 (< 226 1853 i( 226 " 223 1854 (( 229 (1 232 1855 " 236 (1 228 1856 (( 230 " 234 1857 (( 243 II 234 107 At the close of the year ending 4th mo. 24, ]858 there were 235 patients. 1859 252 1860 264 1861 277 1862 2(;5 1863 272 1864 290 1865 297 1866 319 1867 336 1868 361 1869 337 1870 331 1871 35 G 1872 398 1873 391 1874 426 1875 434 1876 427 Average number during tlie year. 237 239 256 276 27 2 273 286 288 305 311 349 346 326 352 o85 404 412 424 433 The total number of patients treated for insanity in both branches of the Pennsylvania Hospital since its foundation in 1752 is 11,507. 108 PHYSICIAN-IX-CIIIEF AND SUPERINTENDENT, Ok. THOMAS S. KIRIvBRIDE (Elected 1840). ASSISTANT PHYSICIANS. 1 From. To. Dr. Edwai'il Ilartshonie 1840 1841 3 mouths. " Francis Guriiey Smith 1841 1841 9 months. " l\ol)crt A. Given 1842 1844 2 years and 4 months. " John Curwen 1844 1849 5 years and 4 months. " Thomas J. ^lendenhall 1849 1851 1 year and 4 months. " J. Edwards Lee n851 tl862 1856| 1868i 11 years and 7 months. " Edward A. Smith 1856 1862 6 years and 1 month. " William P. Moon 1868 " Rob'i J. Iless, MAss't 1875 MALE DKPARTMEXT. Dr. S. Preston Jones, 1st As't 1859 2d Assistants. Dr. "William Longshore 1860 1862 1 year and 7 months. " James Hall 1863 1863 6 months. " Daniel Beitler 1864 1867 3 years and 2 months. " John T Wilson 1867 1868 1 year and 2 months. " J. Roe Bradner 1869 1871 2 years and 5 months. " William n. Bartles 1871 " Frank G. Corson Jd As't 1875 STEWARDS AND MATRONS OF THE HOSPITAL FOR THE INSANE. Stewards. From. To. Served. William G. Malin 1840 1849 8 years and 8 months. Jonathan Richards (1849 11859 1853> 1869] 14 years and 2 months. John Wistar 1853 1866 13 years. Joshua P. Edge 1866 1873 6 years and 2 months. Joseph Jones 1870 George Jones 1873 Matrons. Mary D. Sharpless 1840 1849 8 years and 6 months. Margaret C. Richards (1849 (1859 1853) 1865)' 9 years and 9 months. Margaret N. Wistar 1853 1866 13 vears. Harriet P. Smith 1865 1870 5 years. Jane Mitchell 1866 1867 1 year and 1 month. Anne Jones 1870 109 YII. OFFICERS OF THE IKSTITUTI0:N^ FOR THE DEPARTMENT OF THE INSANE. MANAGERS. William Biddle, President. Jacob P. Jones, Benj. H. Shoemaker, Secretary. Alexander Biddle, A. J. Derbyshire, Joseph B. Townsend, Samuel Mason, Joseph C. Turnpenny, Samuel Welsh, T. Wistar Brown, Wistar Morris, Henry Haines. TREASURER. John T. Lewis. PHYSICIAN IN CHIEF AND SUPERINTENDENT. Thomas S. Kirkbride, M.D. Department for Males. ASSISTANT PHYSICIAN. S. Preston Jones, M.D. 3d ASSISTANT PHYSICIAN. Wm. H. Bartles, M.D, 3d ASSISTANT PHYSICIAN. Frank F. Corson, M.D. STEWARD. Geokge Jones. MATRON. Hannah P. Sager. Department for Females. ASSISTANT PHYSICIAN. William P. Moon, M.D. 2d ASSISTANT PHYSICIAN. Robert J. Hess, M.D, STEWARD. Joseph Jones. MATRON. Anne Jones. 110 YIIT. LEGACIES BEQUEATHED TO THE PENNSYLVANIA HOSPITAL FROM 1751 TO 1876. 1761 Maiy Allen, mother of Chief Justice Allen $266 66 " Mary Andrews, ground rents valued at 633 33 " Margaret Ashetou 26 67 1765 Hannah Allen 26 67 1770 Robert Allison, Lancaster County 266 66 1775 Enoch Abrahams, Radnor 53 33 1776 Aaron Ashbridge 80 00 1777 Caleb Ash, butcher 31 33 1803 Caleb Ash 200 00 1812 Susanna P. Abington 250 00 1816 George Aston 400 00 1873 John Agnew 1425 00 B. 1761 John Baldwin 133 33 1765 William Bromwich 53 33 u George Benzel 80 00 u General Henry Bouquet 106 66 (( Christopher Brown, Queen Ann's Co., Maryland (received from 1765 to 1776) 1333 33 1776 Daniel Bornemann, Philadelijliia Co. 16 00 1770 James Bright, hatter 80 00 1773 William Bettle 66 66 1807 John Blakey 266 66 1843 Pierre Antoine Bleuon (received from 1843 to 1851) 1,700 00 1849 Paul Beck, Jr. 975 00 1860 Benjamin F. Butler 500 00 1862 " " " 150 00 1870 " " " 150 00 800 00 1863 Samuel Breck 225 62 1869 Isaac Barton 4.300 00 1872 Nathan Barrett 95 00 Ill 1755 Joshua Crosby $266 66 nr,o Henry Croyder, Lancaster Co. £20 ^ 100 89 1762 u i; u 17 16 9 i 1761 Rebecca Cooper 53 30 1765 Thomas Campbell 26 67 1769 William Coleman, Esq [• 133 33 1772 Charles Cress 400 00 1773 John Roberts Cadwal; ider, , of Wh itpain 13 33 1785 Deborah Claypole, £6 [)er annum 206 66 1806 Samuel Cooper, M.D. (received fr( 3m 1806 to 1812) 2,415 76 1814 William Chancellor 1,000 00 1817 Hannah Clarke 50 00 1819 Nathaniel Curren 133 38 1821 Robert Correy 500 00 1857 Jasper Cope 5,000 00 1858 Elliott Crcsson 5,728 84 1859 Jane Clark 1,000 00 1863 John Clark 95 00 1870 Cozzens 423 98 1872 a 33 33 457 31 1874 Esther L. Cooper 2,000 00 it St. George Tucker Campbell 1,000 00 D. 1761 Peter Dicks 133 33 1766 Matthew Drason 66 66 1769 Peter Del age 106 06 1770 Mary Dougherty 13 33 (; John Davis, of Darby 133 33 1771 Gilbert Deacon 26 67 1774 Jacob Dubree 133 33 1782 Esther Duche 133 33 1801 William Dawson, Jr. 133 33 1820 William Dawson, brewer 400 00 1808 Andrew Doz (received from 1808 to 1844) 5,028 89 1811 Christian H. Denckla 200 00 1812 John Descamps 500 00 1820 Elizabeth Dawson 100 00 1832 Dorothy Dale 390 00 1860 Josiah Dawson 11,500 00 1871 Henry Duhring 100 00 1863 F. M. Drexel 900 00 1873 Mordecai L. Dawson 5,000 00 112 E. 1707 Hudson Kniloii 1771 1\:k"1u'1 lOmk'ii 1775 C'liristian Kdol 182-4 John 0. Evans, carpenter 1854 J. Elej- $106 G6 133 33 13 33 400 00 3,758 10 1790 Robert Fleniino- (received 1700 and 1791) 1800 Benjamin Fuller Captain Nathaniel Falconer Thomas Fisher Sarah Falconer Anthony- Fotliergill Robert Fieldinu' 1808 1810 1815 1821 1853 18G4 1808 1867 1868 Joseph Fisher 4S7 66 400 00 133 33 100 00 80 00 100 00 4,460 24 239 79 1,873 92 6,573 95 35.459 25 9,126 18 44,585 43 G. 1762 Thomas Griffin, of Bucks Co. 1765 Samuel Grubb, of Chester Co. 1772 Isaac Greenleafe " Michael Gross, of Lancaster 1808 Thomas George 1817 Margerj' Ged 1828 John Grandom 1832 Stephen Girard 1835 Ann Guest 1870 John W. Grigg 1871 James R. Greeves 1872 George W. Groove 1873 Jesse George 26 67 133 33 266 69 36 00 200 00 300 00 2,925 00 29^250 00 487 50 47,500 00 950 00 5,000 00 20.000 00 H. 1765 Elizabeth Hinmarsh 1769 Edward Hill, of Berks Co. '' Charles Harrison, of Boston 1770 Philip Hulbert 1785 Michael Hutchison 1795 Reuben Haines " Margaret Haines 1813 Samuel Howell 13 33 266 66 2,040 00 53 33 133 33 266 66 266 66 266 66 113 1815 Isaac Harvey 1822 Josiah Hewes 1824 Godfrey Haga 1836 Elizabeth Hampton 1866 Mary Ann Harris 18G7 John Harding, Jr. ;1,200 00 1.200 00 1,000 00 61 25 800 00 1,000 00 I & J. 26 67 533 33 266 66 26,914 17 1,037 56 100 00 1768 Richard Johnson 133 33 1770 Mary Jacob 26 67 1869 N. S. Jennings 120 00 K. 1772 Conrad Kelmer 1801 Peter Knight 1803 Robert Knox, mariner 1808 John Keble (received from 1808 to 1851) 1854 John Keble 430 54 1855 » " 607 02 1871 William Kirkham 1775 Jacob Lewis, a ground rent, value 225 00 1776 William Logan 266 66 1778 Mary Loveday 133 33 1782 Joseph Lownes 26 67 1795 Samuel Lewis 266 66 1796 Hannah Lownes 26 67 1800 Mordecai Lewis 266 66 1803 James Logan, merchant 1,333 33 1805 Christopher Ludwig 266 66 1823 Josiah H. Lownes 500 00 1835 Mahlon Lawrence 292 50 1870 Margaret Latimer 5,000 GO M. 1762 James McCulloch 23 91 1765 Samuel Mirkle 66 66 (( Joseph Marshall 133 33 1766 Frederick Mirele, Springfield, Phila. Co. 29 46 1768 Daniel Murphy 8 00 1774 Archibald McLean 26 67 1774 Samuel Morton 133 33 1776 Sarah Morris 66 66 lU 17TS William Mitoliell $133 33 17S9 Robort Morton 133 33 17111 liiicoa McCalla 88 87 171U Alexander Major, of G\vvne 1768 " his Exrs. and Devisees 67 11 U\ ' 1793 Jonathan Zane (received from 1793 to 1800) ' 889 15 53 33 160 00 80 00 26 67 213 33 26 67 933 39 266 66 133 33 658 33 100 00 500 00 ,950 00 200 00 117 IX. DOI^ATIOKS. 1751 \1Q2 1758 1763 1789 1759 1786 1864 1858 1864 1852 1864 1867 1868 1869 1870 1871 1864 1867 1864 1866 1867 1868 1869 1870 1871 1864 1867 1868 1869 1870 1871 1857 FROM CORPORATIONS, ETC. Thornbury Township Middletown Townsliip, Chester Co. Union Fire Company £25 Friendship Fire Co. Concert in German Reformed Church First National Bank Philadelphia Bank City National Bank Penn National Bank Saint Peter's Churcli The Phoenix Iron Co. The Philada. and Reading R. R. Co. The Pennsylvania R. R. Co. a u The Phila. W. & B. R. R. Co. Lehigh Valley R. R. Co. Ilarrisburg, Lancaster & Portsmouth R $26 67 150 66 Os. OcZ. I. 10 33 26 67 110 95 500 00 1,000 00 100 00 100 00 100 00 250 00 2,000 10,000 1,000 1,000 1,000 1,000 1,000 17,000 00 10,000 5,000 15,000 00 600 600 1,000 1,000 1,000 1,000 1,000 6,200 00 1,000 300 300 300 300 300 2,500 00 . R. Co. 500 00 118 lSf>T Sc-Iuiylkill Xaviiiiitioii C(». $300 00 ISi;;") Sanilarv C'Ominissiou $1,000 1809 //? sii ra nee Co mpan ies. 2,000 3,000 00 1S(U Mutual Aissuiauce 1.000 1808 u u 5,000 fi,000 00 18(U Insurance Co. of North America 1,000 00 " Delaware jNIutual Safety 1,000 00 ii Keliance Fire Co. 200 00 i> Mutual Life 500 00 18G7 Philadelphia Conlrihutionship Co. 5,000 00 Froni Individuaiti and Finyis. Charles Bartles, lumber Cornelius Smith, in stock James P. Wood, deduction from bill low steam apparatus Kommel, Potts & Co., deduction from coal bill George Dodd & Son, carriage work Supplee & Pennepacker, deducted from bill, plastering John G. Reading, lumber Baker, Davis & Co., deducted from bill of books Wm. D. Rodgers, deduction in i^rice of pony phaeton George Vogt, deduction in i^rice of piano 50 00 100 00 100 00 119 90 100 00 250 00 50 00 53 00 65 00 200 00 119 X. CONTRIBUTORS TO THE PENNSYLVANIA HOSPITAL, 1751 TO 1876. 1751 William Allen, Esq., Ch'f Justice. " Stephen Anthony. " John Armitt, cooper. 175-4 William Attwood. " Alexander Allair. " George Asbridge. " jNIatthias Aspden. 1755 Benjamin Armitage, Jr., smith. 1759 Captain Henry Ash, mariner. 17G1 Martin Ashburn. " Joshua Ash, Darby, Chester Co. 1764 William iishbridge, miller, Ox- ford Township. 17(57 Lawrence Anderson. 1775 Joseph Allen. 1781 Chamless Allen. 1785 Richard Adams. 1786 Joseph Anthony, merchant. " Peter Aston. " John Angres. 1788 Thomas Affleck (in furniture). 1791 James Ash, Esq., sheritf. " Thomas Powell Anthony. 1801 Robert Annesley, merchant. 1806 Robert Adams, merchant. 1809 John Ashley. 1821 William Abbott, brewer. 1882 liobert Andrews. 1833 Thomas Astley. "_ William V. Anderson, grocer. 1841 Richard Ashhurst, merchant. " Lewis R. Ashhurst, merchant. 1845 Joseph B. Andrews, lumber mer- chant. '< William Ashbridge. 1847 John Ashhurst. " William L. Aslihurst. 1856 Richard Ashhurst, Jr. " Josepli Andrade. " S. Austin Allibone. " Anthony J. Antelo. " Ellis S. Archer. 1856 Mary Ann Archer. " Jacob T. Alberger & Co. " John Anspach. " Joshua W. Ash. " John Agnew. " John B. Austin. " Jacob Alter. " Geo. R. Ayres. " George Abeel. 1857 Abbott & Lawrence. " Thomas Allibone. <' William L. Abbott. 1858 James Andrews. " Lewis Audenreid. 1859 John C. Allen. " Samuel Ashhurst. " John Ashhurst, Jr. " Jane Ashbridge. " Thomasin Ashbridge. •' Allen & Needles. 1860 Mrs. Lewis R. Ashhurst. " Andrews & Dixon. " W. & J. Allen. 1865 D. Hayes Agnew, M.D. 1867 William II. Ashiiurst. 1868 Dr. Francis Aslihurst. 1873 W. Ashmead, xM.D. B. 1751 Anthony Benezet. " John Bleakley, shopkeeper. " Dr. Thomas Bond. " Dr. Phineas Bond. 1752 Daniel Benezet. " John F>owman. " William I'.ranson, merchant. " John Bayley. " William Hall, golilsmith. " William Bard, merchant. " John 15aynton. 1754 Gunning Bedford, carpenter. " I'hilip Benezet, merchant. 120 1 -04 John RicMle. 1793 " Samuel Boiniel, sinitli. 1794 n Thonius Hourne. " " 'J'lionias Brooks, bricklayer. 1795 " .IiToiniali Urown. 1797 " George Bullock. '« •' John Bringhurs^t, merchant. ■ I 1 "55 William Bradford. 1798 " John Bleaklej', Sr. 1799 '» Andrew Bankson. " " AVilliani Buckley. 1801 r -o6 Henry Bossier, innkeeper. George Bensell. Samuel Burge. 1802 " James Benezet. 1803 " George Bryan. 1804 1 "58 John and Jacob n:inkson. 1807 " John Bissell, smith. " " Joseph Baker. " " ^Yilliam Bingham, Sr. " r ■59 John Bell Richard Blackham. 1809 it. r ■(31 David Bacon, hatter. James Bringhurst, house carpen- 1810 ter. 1812 " Joseph Bringhurst, cooper. 1818 " Matthias Bush. 1820 " John Baily (furniture). 1821 ■62 David Barclay and Sous, London. 1823 " Davis Bassest. 1824 ■63 Job Bacon, hatter. Abraham Bickley, merchant. 1827 ■64 David Bevcridge, merchant. 1828 ■66 Captain Richard Budden. 1833 " Elias Bland (tire engine). 1834 " Timothy Bevan, London. " ■67 Clement Biddle, merchant. " -68 Robert Bass. 1840 " John Bayard, merchant. 1841 ■69 John Bringhurst, of Gerraant'n. 1845 r70 William Barrell. 1846 ul James Biddle, Esq. 1847 " George I'ertram. 1848 (73 Morris Birkbeck, of Gt. Britain. 1849 775 Barnabas Barnes. " Edward Bonsall. 1851 ■80 Hillary Baker. «' r8i William Bingham. 1852 ■86 Peter Baynton. Jacob Biker. Edward Bird. John Bartholomew. William Bradford, Jr. Captain Thomas Bell. i( Robert Bridges. 1853 J. J. Burchell. 1854 Joseph Blewer. " Daniel Byrnes. 1855 r ■87 Edward Brooks. • ' r ■88 Cornelius Barnes. " Robert Buchanan, of Scotland. David Breintnall. Frederick Boiler. Samuel Baker, hatter. Paul Beck, Jr., merchant. Peter Brown. Samuel Bloiiget. Dr. Benjamin S. Barton. Joseph Ball, merchant. Andrew Brown, printer. Robert Barclay, merchant, George Branner, milkman. Anthony AL Buckley, merchant. Samuel Brown. John Bacon, merchant. Jacob Beninghove, tobacconist. Thomas Biddle, broker. John Coates Brown, shipsmith. William J. Brown. Curtis Bolton, merchant. John Bolton, of Savannah. Matthew L. Bevan, merchant. Horace Binney, Esq., attorney- at-law. Joshua Byron. John 11. B iker. Charles Bird. Joseph D. Brown. John Rhea Barton, M.D. Josiah Bunting, lumber nierch't. John Bell, .M.D. Franklin Bache, M.D. Edward Burd. Theophilus E. Beesley, M.D. David S. Brown, merchant. Jeremiah Brown, merchant. William Henry Brown, merchant. Frederick Brown, apothecary. James H. Bradford, M.D. Clement C. Biddle. Johu B. Biddle, M.D. Issac Barton. Jacob T. Bunting. William Biddle. T. Hewson Bache, M.D. Samuel Bettle, Jr. William Bettle. Charles L. Boker. Henry Paul Beck. Geo. W. Biddle. Charles S. Boker, M.D. Ann M. Biker. Charles H. Baker. Frederick Brown, Jr. Washington Brown. Clement Biddle, Jr. Thomas A. Biddle. Henry I. Biddle. Bennerville D. Brown. Alexander Biddle. 121 1855 James Bayard. " Jona. Willinms Biddle. 1856 M. Brook Buckley. " Timothy M. Bryan. " Abraliaai Barker. " Albert Barnes. " Charles Boiie. " Joseph B Bloodgood. " W. G. Boyd. " John Bohlen. " John A. Brown. " William A. Blanchard. " John B. Budd. " Thomas Beaver. " Bucknor, McCammon & Co. " Maria Blight. " Moses Brown. " William II. Brown & Co. " Ale.xander Brown. " Joel J. Baily. " Pierre Antoine Blenon. " Thomas Biddle. 1857 H. Nelson Burroughs. " Brown & Embly. " John .M. Butler. " Henry P. Borie. " William M. Baird. " Patrick Brady. " James Benners. " Stephen Baldwin. '• Budd & Comley. " Biites & Coats. " E. F. Bockius. " Bute & Smith. " Samuel Barton & Co. " William liucknall. " William E. Bowen. " Washington Butcher. " John Butclier. " Alexander Benson. " Gustavus S. Benson. " Matthew W. Baldwin & Co. " Stacey B. Barcroft. " Bunn, Kaiguel & Co. " Horace Bitiney, Jr. " John W. Biddle. " Samuel Biddle. " Boulton, Vandevere & Co. " Ge()rge II. Burgess, M.D. " S. S. Brown. " H. S. Benson. " John Bohlen, Jr. 18G8 Bailey & Brothers. " Mary Br;iy. " M. & C. Bancroft. " Josiah B;icon. " John A. lirowii (builder). " Joseph M. Bennett. 1859 Atherton Bliglit. " T. W. & .M. Brown. 1859 John Baird. " Michal & Baker. •' Joshua L. Bailey. " Edward Bedlock. " John P. Brock. " John C. Bullitt. " Robert Buist. " Elizabeth C. Biddle. " Beiijtunin Bullock. " L)r. James Bond. " Henry M. Benners. " George W. Benners. " Samuel Branson, " Jane Brinton. " George Brinton. " Samuel Baugh. " Allen II. Bookhammer. " Joseph Budd. " Lewis Brinton. " Andrew C. Barclay. " Dr. George II. Burgin. " T. Wistar Brown. " Wiiliiim S. Baird. 1860 Henry B. Benners. " Mrs. Moses Brown. " Mrs. A. E. Borie. " Mrs. Ball. " Mrs. Horace Binney. " Mrs. Christian Biddle. " Mrs. John B. Budd. " Mrs. .John A. Brown. " William Brown. " Clement B. Barclay. " John Brock. " John Black. " Charles Bullock. William S. Boyd. Michnel Bouvier. Mary D. Brown. Emily M. I'.iddle. Clement Biddle. Adolph E. Horie. J. H. Bracken. William II. Boyer. Helen Bell. " S. Mason P.ines. " S. Mason Bines, Jr. " William T. Bines. " David A. Bines. " Bowen & Fox. " .lairus Baker. " Emily Bell. " Ann M. Baker. 1866 Boyd & Hough. " Ilichani W. IJacon. " Andrew C. Barclay. " Charles P. I'.ayard. 1867 Laura Bell. " v.. & II. Borie. " John R. Blackiston. 1861 1864 1865 122 1SG7 1870 1871 1874 1875 1751 1752 1754 ^56 1757 1758 Joseph IVieon. HolHMt ."t W. i: . IVKl,lle. E W. baiU-y. Tlieoilore Bliss. Henry Hower. Mrs. Will. lUiokiiell. Alfred G. Baker. Matthew BairJ. Eihvanl S. Buckley. B. H. Bartol. John nouU2 David Deshler. 17.54 William Dowel!. " Daniel Dupu^', silversmith. " Andrew Doz. " Thomas Davis, merchant. " .Jacob Duchee, Esq. " Edward Duffield, watchmaker. 1756 William Dilworth, carpenter. " John Drinker, bricklayer. 1757 David Davis (in lumber). 1758 Matthew Drason. 1759 Robert Dixon, innkeeper, " Henry Drinker. 1 759 1761 1768 1764 1765 1771 177-2 1778 1782 1785 1786 1787 1793 1791 1795 1796 1798 1801 1805 1807 1808 1809 1818 1815 1816 1827 1838 1844 1840 1852 1855 1856 1857 William Denny. (Charles Dingee. George Dillwyn, merchant. John Dickenson, Esq. William Dickenson. Sliarpe Delany, druggist. Daniel Drinker, merc^hant. Samuel Duffield, M.D. Benedict Dorsej', grocer. Joseph Dean. Henry Diering, of Lancaster. Leonard Dorse^'. William Dawson. John Donnaldson. AVillinm Delany. John David, silversmith. John Dorsey. Andrew Douglas. Jonathan Dawes. John E>unlap, printer. Abijah Dawes. Robert Dawson, merchant. William Dillwyn, of Great Britain. William P. Dewees, M.D. Florimond Dusar, merchant. John Syng Dorsey, M.D. Samuel F. Dawes, merchant. John Dayton. Jacob Downing. David Jones Davis, M.D. Bernard Dahlgren. Isaac Davis, tanner. Nathan Dunn, merchant. Mordecai L. Dawson, brewer. William H. Dillingham, attorney- at-law. James Dundas. William M. Dawson. Joseph Dingee. Alexander J. Derbyshire. Benj. J. Douglas. Joseph H. Dullas. Dallett Brothers. Dawson & Hancock. Isaac R. Davis. Levi Dickson. James N. Dickson. Sally N. Dickinson. Josiah Dawson. Benj. Davis. Ellwood Davis. Gillies Dallett. Henry Duhring. Sophia Donaldson. Elijah Dallett. John Devereus. Mrs. Richard C. Dale. Charles Dutilth. Ferdinand J. Dreer. Michael Day. 125 1857 James C. Donnell. 1787 John Elliott, druggist. i< William A. Drown. 1796 John Elliott, Jr., druggist. 1858 John C. Uavis. 1798 Samuel Elam, merchant of R. 1. « Dr. James C. Darracb. " Robert Elam, merchant of G. B. 1859 J. Perot Downiug. " Gervas Elam, merchant of G. B. " Ilaward W. Driiyton. 1800 Josiah Evans, plasterer. " John A. Dougherty. " Edward Evans, plasterer. " Charles A. Dougherty. 1802 Nathan Eyre, tailor. " William H. Dougherty. 1803 Hugh Ely, merchant. " William Divine. 1806 Joseph Bennett Eves, merchant. " P'lizabeth Dawson. " Jonathan Evans, lumber mer " Edward M. Davis, Jr. chant. " William Dill worth. 1807 Charles C. Evans, carpenter. " Stanton Dorsey. 1809 Alexander Elmslie, merchant. " William Dorsey. 1810 Ann K. Eyre. " Danforth, Wright & Co. 1813 Maria K. Eyre. " Mrs. Joseph H. Dulles. 1822 Samuel Emlen, M.D. ti H. T. Desilver. 1826 Governeur Emerson, M.D. " Wm. Heyward Drayton. 1833 Isaac Elliott, conveyancer. 18 GO Tiiomas Drake. " Charles Evans, M.D. " Miss M. Dixon. 1840 Thomas Evans, apothecary. " Miss S. Dixon. 1845 Charles Ellis, apothecary. (( Mrs. R. C. Dale. 1847 Adam Eckfeldt. " Charles Desilver. 1850 George M. Elkintou. " Mrs. John Dallett. 1852 William Ellis. " Wm. Dunlap. " Lindley M. Elton. 1864 John Dobson. 1855 Joshua P. Eyre. " Mary A. Derbyshire. 1856 Thomas Estlack. 1865 Anthony .J. Drexel. " Samael W. Earl. " Smedley Darlington. " John Eisenbray, Jr. «' De Haven & Brother. " Thomas Earp. " J. M. DaCosta, M.D. " Michael Errickson. 1867 Henry Disston. " Andrew M. East wick. " Drexel & Co. " John B. Ellison & Sons. < Rebecca Elnisley. 1786 George Eddy. i( Ann Elmslcy. 1787 Thomas Eddy. " Elizabeth Elmsby. 12G 18f)6 Thomus Karle. 1870 Cli;»rlos Kviuis. 1873 Mary L Krwiii. 1870 John Kmbley. 1751 Williiim Fislibourne. " Joshua Fisher. " Enoch Flowers. " Joseph Fox. " Benj.-unin Franklin, printer. 1752 Richartl Farmer, M.D ■'• Solomon Fussel, merchant. 1754 Hugh Forbes. " William Franklin. " William Fisher. 1755 Standisli Ford, innkeeper. " U.ivid Franks. 1756 Plunket Fleeson. 1758 Judah Foulke. " Samuel Fisher. " Lester Falkuer. 1759 John Franks. 1764 Ferdinand Farmer. " Robert Field. 1765 John Fothergill, M.D. 1768 Thomas Fisher. " Captain Nathaniel Falconer. 1770 Caleb Foulke. 1771 Samuel Fisher, Jr. 1772 Thomas Forrest. " William Fisher, Jr. " John Field, merchant. 1775 Samuel Fisher, hatter. 1776 Ludwig Falkenstine. 1782 William Forbes. 1784 John Foulke, M D. 1785 Miers Fisher. 1786 William Folwell. " George Fox. " Nalbro Frazer. " Joseph Few. 1794 Samuel M. Fox, merchant. 1796 James C. Fisher, merchant. 1801 John Folwell, merchant. " Samuel W. Fisher, merchant. 1802 Walter Franklin, attorney-at-law 1807 Thomas W. Francis, merchant. 1808 Redwood Fisher, merchant. 1811 Robert Fielding, coachmaker. 1819 Samuel Fox, brickmaker. 1824 William W. Fisher. 1826 Samuel M. Fox, M.D. 1829 William B. Fling. 1833 Stephen G. Fotterall. 1834 Alexander Fullerton, Jr., drug- gist. 1835 George Fox, M.D. 1844 Samuel T. Fisher. 1845 John Farmim, merchant. " .Mary 1'. Fisher. 1848 Frederick Fraley. 1852 Aaron Fogg. " W S. Forbes, M.D. 1855 Joseph Fisher. " Alfred Fassett. " Jason L. Fennimore. 1856 George W. Farnuiu. " Biirtholoniew Wistar Fellows. " Fearons & Smith. " Charles Henry Fisher. " John Fallon. " Christopher Fallon. " F. T. Fiqueira. " . Field & Keehmle. " Fales, Lothrop & Co. " David Faust. " J. Gillingham Fell. " Rodney Fisher. " John C. Farr. " Alexander Fullerton. 1857 Charles 1'. Fox. " Franklin Fell. " William B. Foster. " George W. Fobes. " Stephen Fuquet. " B. A. Fahnestock. " James Field. '♦ Henry Flin' 1759 James Hamilton, Governor. 1803 • ' Benjamin Hooton. 1P06 " Robert Hamilton, of Manchester, " Eng. 1807 " James Humphreys. " " Henry Harrison. 1760 William Henderson. 1810 1761 Andrew Hannis. " " Roger Hunt, Esq. 1811 " Jonathan Harbine. " 1762 John Hunt. " •' Adam Hoops. 1812 " Richard Hookley. 1821 " John Hannum, Esq. 1822 " Abraham Hendrick. " " Reuben Haines, brewer. 1827 1764 Benjamin Hammet, Loudon. Henry Hill. 1828 n 1765 John Howard. " t( Amos Hillborn. 1829 «' Samuel Hudson, merchant. " 1766 George Halneker. 1831 1768 William Hoffman, sugar-baker. Isaac Howell, brewer. " " Francis Hopkinson. 1834 t< James Hunter, merchant. " 1769 Benjamin Harbeson, copper- " smith. 1 835 " Jacob Harman. 1836 1771 Adam Hubley. Thomas Harpur. '* Samuel Howell, Jr. James Hartley. William Hall. Captain Robert Hardie. Israel Hallowell. John Hood. John Hublej'. Hugh Howell. Robert Haydock. John Head, Jr. Samuel Hodgdon. Godfrey Haga, merchant. Rattison Hartshorne, merchant. Levi Hollingsworth. Caspar Wistar Haines. John Hart. Richard Hartshorne. Goorge Hunter, M.D. Isaac ILizlehurst. Joseph Henszey. Jacob Hiltzheimer. Anna Head (Stewardson). Catharine Haines. Isaac Harvej', Jr., merchant. Paschal Hollingsworth, merch't. Francis Higgins, Steward of P. H. James Hutton, ironmonger. Adam Herkness, stonecutter. Thomas T. Hewson, M.D. Benjamin Horner, mei'chant. Henry Hollingsworth, merchant. Reuben Haines. Joseph E. Howell. Philip Whitfield Harvey, of Dub- lin, printer. Thomas Haskins, merchant. Robert E. Hobart. Joseph Hartshorne, M.D. Benjamin B. Howell. Talbot Haiiiilton. Joseph P. Horner. Samuel Haydock, plumber. William L. Hodge, merch.ant. Rowland Parry Heylin, M.D. Hugh L. Hodge, M D. Erskine Hazard. Joshua Haven. Thomas Harris, M.D. Robert M. Huston, M.D. George Harrison. William E. Horner, M.D. George Handy, hardware mer- chant. Hugh F. Hollingshead. James Hutchinson. Richard Harlan, M.D. John Haseltine. Thomas Hutchinson. John G. Hoskins. William Harris, M.D. 129 1841 Joseph C. Harris, broker. 1858 1843 Edward llartshorne, M.U. " 1845 Robert P. Harris, M.D. William Heinbel. J. Pemberton Hutchinson. William E. Hacker, merchant. I.saiah [lacker, merchant. " " Jeremiah Hacker, merchant. 1859 " William R. Hanson. i( 1846 A. FuUerton Hazard, druggist. Jolin Hinkle, butcher. u 1852 Wm. D. Hunt, M.D. John Harding, Jr. (1 1855 Wra. P. Hinds. '< 1856 Josiah L. Harvey. Henry Hartshorne, M.D. Heron & Martin. A. Douglass Hall, M.D. Hildeburne & Bros. Charles Humphries. t( " James C. Hand. 1860 <( Arthur H. Howell. t( " Joseph Howell. " " William 11. Hart. t( " Benj. P. Hutchinson. " " George L. Harrison. 18G3 " Edward M. Hopkins. " " Henry EI. Houston. 1864 " Daniel B. Hinman. " " Hoskins, Heiskell & Co. " •' Aaron A. Hurley. '< (1 Haywood, per Hawkins. Mary Hibbard. William Hay. ?4rs. W. E. Hornor. Abraham Hart. 1865 ti (( 1857 Herman Haupt. Morris L. Hallowell & Co. (( «< Marshall Hill. 1866 " Philip R. Howard. " " Ann Harris. 1867 '« G. Craig Heberton, M.D. " '• S. K. Hoxie. " " Thomas P. Hoopes. " " Isaac T. Hacker. " " Samuel Huston. " " William S. Hausell. " •< (1 S. P. Hancock. William Howell. George Howell. I John A. Howell. George Henderson. N. P. & S. W. Hacker. Robert Ifansell. May Humphries. Alexander K Horn. (I 11 li 11 1858 Ilaibert & Davis. William C. Houston. James Harmer. Howard & Co. 9 1868 A. W. Harrison. W. J. Horstman. Lewis Hayward. Silas F. Herring. Joseph Htirrison, Jr. W. S. Helmuth, M.D. George Helmuth. Addinell Hewson, M.D. Edward Hopper. Alfred M. Harkness. Curtis Hoopes. Christian J. HofiFman. Jules Hauel. Geo. W. Harris. Heilwan & Rank. John Plulme. Mrs. W. Helmuth. Charles H. Hutchinson. Margaret J. Handy. Dr. Jas. H. Hutchinson. William Hopper. Mrs. M. A. Hodgson. James Harper. Morris L. Hallowell. Mrs. Geo. L. Harrison. George R. Harmstead. Samuel Hutchinson. Spencer H. Hazard. Hoopes & Townsend. Joseph Howell & Co. T. C. Henry & Co. Daniel Hendrie. Morris Haclcer. William Hacker. Paschall Hacker. J. Barclay Hacker. T. G. Hollingsworth, Ex'rs of. Henry Haines. Jane R. Haines. Anton Heppman. Hammitt cSi Neal. Hoyt & Brother. James C. Hand & Co. Margaretta Hutchinson. Emlen Hulchinsoii. William Harmer. Homer, Colladay & Co. Dr. Henry C. Hart. Marshall Henzey. Edwin Henderson. Julia Harvey. Barnabas Hammitt. Howell Brothers. James G. ilardie. Wm. P. & Geo. W. Hacker. Madame Hardy. Mrs. E. Hayward. Houston & Collins. I J. Henry Henlz. W. II. liorstmau & Sons. 130 18G0 Ann TTcrtzoji. " Mrtsscy Huston. " Alfred Hunt. 1870 Elizabeth M. Hacker. " Hannah M. Hacker. " George 0. Harlan, M.D. H. Lenox Hodge. M.l>. 1872 George W. Hainmersle}'. 1873 .Taraes Hopkins. 1874 Chns. T. Hunter. 187(? Dr. Willianj Barton Hopkins. I & J. 1751 Derrick Janson. " Cliarles Jones. " Abel James. " Isaac Jones, Esq. 1752 Robert Jenney, LL.D., ^Minister of Christ Church. " Matthew Johns, cooper. 1754 John Jones, shoemaker. " Robert Jones, of Lower Marion. " Joseph Johnson, tinman. 1755 Joseph James. " Joseph Jackman, of Birbadoe.s. 1759 William Jones. " Joseph Jones, of Plymouth. " William Ibison. 1761 Captain Daniel Joy. •' Edward Jones, baker. " Abraham Jadah. 1762 Jacob Jones, baker. 1765 Joseph Jacobs. " John Jekyll. 1768 Jacob Joner. of Lancaster Co. " Richard Jackson, Esq., of Lon- don. 1770 Isaac Jones, carpenter. 1773 Robert Strettel Jones. 1 774 John James. 1775 Owen Jones, Jr., merchant. 1776 William Johnson. 1779 Matthew Irwin. 1784 Herbert Jones. 1785 Ezra Jones. 1786 Leonard Jacoby. " Norris Jones. 1787 Dominick Joyce. •' David Jackson, M.D. '• Richard Jones. 1788 John Johnson, of Germantown. 1794 John Jorden, grocer. 1795 Jonathan Jones, merchant. 1801 Isaac H. Jackson, merchant. 1803 Thomas Jones, merchant. " James Jones, farmer. 1807 Thomas C. James, M.D. 1809 Joseph Jones. 1813 1817 1819 1820 1822 1826 1831 1841 1844 1846 1847 1848 1852 1855 1856 1857 1858 1859 1860 1861 1864 Joseph .Johnson, ship chandler. Joseph L. Ingles. Isaac C. Jones, merchant. Samuel T. Jones. George W. Jones, painter. Jonathan Jones, of Bordeaux. Alexander W. Johnston. Joseph H, Jenks, flour merchant. George M. Justice. William P. Johnston, ^\.D. Watson Jenks, flour merchant. John Jordan, Jr., grocer. Caleb Jones. Antoinette Jordan. David Jayne, .M.D., druggist. Samuel Jeans. James R. Ingersol. Joshua T. Jeans. Robert S. Johnson. William D. Jones. Jno. 0. James. Samuel W. Jones. Lawrence Johnson. John Jordon, Jr. Joseph Jones. Benjamin S. Janney, M D. John H. Irwin. Jeans & Scattergood. Samuel N. Jones. Jauretche & Carstairs. Louis lungerich. Joseph R. Ingersoll. George R. Justice. Thomas Jeans. Israel H. Johnson. Joseph Jeans. Lewis Jans. Jacob P. Jones. Andrew M. Jones. Alfred D. Jessup. Chas. C. Jackson. Thomas C. James. James, Jeffries & Co. .Tames, Kent & Santee. Mrs. Joseph Jones. Mrs. A. D. Jessup. Frederick L. John. Ruth Johnson. Chalkley Jeffries. B. Muse Jones. Eben C. Jayne. David W. Jayne. Mrs. Samuel W. Jones. Charles M. Jackson. Mrs. B. Muse Jones. Samuel Johnson. Randolph & Jenks. Philip S. Justice. Isaac T. Jones. Jay Cooke & Co. 131 1864 Wm. P. Jenks. 18(55 Samuel Jones. " Mrs. Edward C. lungerich. " S. Harvey Jones. " Eliza F. Johnson. 1866 Lewis C. lungerich. 1867 Sidney G. Johns. " Isaac C. Jones, Jr. " John H. Irwin. " Owen Jones. 1868 John W. Jordon. 186'J Napoleon A. Jennings. 1870 Ewing Jordon. " Charles Ingersoll. " Russell H. Johnson. K. 1751 Joseph King. " Matthias Koplin. 1754 Peter Keen, merchant. " Mahlon Kirkbride. " Paulus Kripner, shopkeeper. " Marcus Kuhl. " Edward Kuhl. " Matthias Kensil, inkeeper. 1755 John Kearsley, M.D. " John Knowles (in lumber). 1756 Edmund Kearney. 1750 Benjamin Kendal. 1761 Henry Kepple, merchant. " Philip Kinsey. 1762 George Kreeble. 1769 Reynold Keen, alderman. 1770 Adam Kuhn, M.D. 1786 John Kaighn. " Peter Knight. " Frederick Kuhl. 1798 George Krebs. 1801 Frederick Kisselman, merchant. " Reay King, merchant. 1807 Elisha Kane, merchant. 1814 Edmund Kimber. 1818 Hartman Kuhn. 1821 John Kenworthy, painter. 1835 Thomas S. Kirkbride, M.U. 1841 Thomas Kimber, merchatit. 1855 Hartman Kuhn. " William C. Kent. 1856 Ed. C. Knight. " Thomas Kimber, Jr. " Frederick V. Krug. *' David Kirkpatiick. '' William Kirkham. '' Dennis Kelley. " II. Kellogg & Sons. 1857 Edwin T. Kirpatrick. " John Kirkbride. " liowlaud Kirpatrick. 1857 Robert Kelton. " Willinm Kirk. " Isaac Koons. 1858 Charles Koons. " Ann W. Kirkbride. ^ " Anne J. Kirkbride. '' Jos. John Kirkbride. " Josiah Kisterbock. " Reeve L. Knight. 1859 Kirkpatrick, De Haven & Co. " Charles Kelly. " Elizabeth Kirkbride. " John Ketchum. " Catharine Klingman. " Ann M. Knight. 1864 Alfred J. Kay. 1866 Edwin Kirkpatrick. 1867 Wm. H. Kirpatrick. " Adam A. Konigmacher. " Lizzie 1>. Kirkbride. " Charles M. King, M.D. 1751 Thomas Lightfoot. " Thomas Lawrence, Jr. " Joseph Leech. " Jacob Lewis. 1752 Joseph Lownes. " Benjamin Loxley, carpenter (in VFork). 1754 William Logan. 1755 John Luke, of Barbadoes. 1756 James Lownes. " John Lynn. " Philip Ludwell, of Virginia. 1757 Benjamin Lay. 1758 William Lightfoot. 1759 Jeptha Lewis, of Gwynedd. •' Samuel Lloyd, merchant. 1760 Samuel Lewis, carpenter. 1761 Thomas Livezey, Jr. " John Lukens, Surveyor-General. " Thomas Leech. 1763 John Lownes. 1764 Joseph Lancaster, joiner. 1765 William Lloyd. 1766 Christopher Ludwick, baker. " Oeoigh Legh, Vicar of Halifax, G. B. 1770 Ellis Lewis. 1771 Captain Charles Lyon. 1775 Mordecai Lewis. 1780 (Jeorge Logan, M.D. 1785 Thomas Lieper. " George Ludlam. 1786 Abraham Liddon. " Ebenezer Large. " Natlianiel Lewis. 132 1786 Willii^m Lowis, merchant. " Willimu I,ewis, n(torney-ivt-law. 17S7 llonrv Linul, M.D. (iiieiiicincs). 171>1 Roboi-t Lowis. 179- William Lucas. 1701 Josepli Lownes, silversmitli. " Sotli liiicvs. 170r> Daviil l.,iMvis, insurance broker. 17".H) Moses Levy, nttorney-at-law. 170'.t Joseph S. Lewis. 180'2 Reeve Lewis, merchant. " DaviJ Lee. 180G Alordecai Lewis, Jr., merchant. " Samuel Neave Lewis, merchant. 1810 Joseph Lea. 1812 Hannah Lewi?, .Jr. (Paul). " Mary Lewis (Moore). 1816 Mahlon Lawrence. " Josiah H. Lownes. 1819 Joshua Lippincott, auctioneer. 1820 James Lyie. 1826 llen^ La Roche, M.D. 1828 Lawrence Lewis. 1829 Charles Lnkens, M.D. 1831 William Lynch, merchant. 1832 James Leslie, carpenter. " Robert Looney, plumber. " Isaac S. Lloyd, merchant. 1833 Mordecai D. Lewis, merchant. 1840 John T. Lewis, merchant. 1843 Saunders Lewis, attorney-at- law. 1844 George T. Lewis. 1845 Lyon J. Levy, silk merchant. " J. Smith Lewis. " Joseph S. Lewis. 1848 William R. Lejee. " Robert M. Lewis. 1851 Lawrence Lewis, Jr. " Robert M. Lewis, Jr. " Francis W. Lewis, M.D. " David Lapsley. 1852 Isaac Lea. " Francis Albert Lewis. " Daniel A. Langhorne, M.D. " Robert M. Lewis. 1853 Samuel N. Lewis, Jr. 1854 James Dundas Lippincott. 1856 James J. Levick, M.D. " Benj. I. Leedom. " William W. Longstreth. " Joseph S. Lovering. " Ludwig, Kneedler & Co. " P. L Laguerenne. " William T. Lowber. " Lindsay & Blackiston. " Jacob B. Lancaster. " Casper P. Lukens, M.D. " Leaury & Sister. 1850 Charles S. Lewis. " George r.,owis. 1857 Edward Lowber. " Martha 11 Lewis. '• Edwin M. Lewis. " Abel Lincoln. " Charles Leland. " Anna M. Lewis. " Edward E Law. " George Lippincott. " Joshua Longstreth. " Joseph B. Laps'ey. " Maria D. Logan. " Mary Anna Longstreth. " Levick, Raisin & Co. " Lightfoot & Walton. 1858 James M. Linnard. " Henry C. Lea. " Frederick Leibrandt. " J. B. Lippincott & Co. " R. F. Loper. 1859 Francis S. Lewis. " John Lindsay. " John Lambert. " David Landreth. " Lippincott & Parry. " James Long. " Sarah M. Livezey. " Mrs. Edward Law. 1860 Miss Mary Lewis. " Miss Elizabeth W. Lewis. " Miss Sarah Lewis. " Anna W. Lapsley. " Frederick Lenuig, " F. Mortiuier Lewis. " Lewis Tiiompson & Co. " Miss A. Leamig. " Miss A. M. Lewis. 1863 Joseph Lea. " David Oldham Lewis. " Edward Livezey, M.D. 1864 Henry Lawrence. " John T. Lewis & Bros. " John Livezey. " Henry Lewis. 1865 Mrs. Lawrence Lewis. " William H. Earned. " Elizabeth W. Lewis. " J. Fisher Leaming. 1867 D. Landreth & Co. " Charles Lennig. " John B. Love. " Thomas C Love. " William T. Leech. " Charles E Lex. 1870 John T. Lewis, Jr. 1871 Dr. Richard J. Levis. 1873 Morris J. Lewis. 1875 David M. Lutz. 133 M. 1751 Anthony Morris, brewer. " Anthony Morris, Jr. " Jonathan INIifflin, merchant. " Robert Moore. .. George Mifflin. Samuel Mifflin. " Wright Masscy. William Moode, " Evan Morgan, " Samuel Mifflin, of New Jersey " Joseph Morris. Rees Meredith. " John Mifflin. 1752 Samuel Preston Moore. " John Mease. 1754 William Masters. • ' William Moore. " Thomas Maddox. <' Joshua Morris, of x^bington. (I Christopher IMarshall. " Hugh Matthews. i< Leonard Melchior, shopkeeper Charles Meredith. .< Benjamin Mifflin. John Mifflin, Jr. " George Miller. " Charles Moore, hatter. " James Murgatroyd, merchant. " Jacob Maag. «' Samuel Morris, Sheriff. 1755 Joseph Mnrriot. Thomas Maule. " Joseph Mather, miller. 1756 Luke Morris. '< William Morris, Jr. " Thomas Moore. 1757 John Morris (lime). 1758 John McMicbael. " Samuel Morris, Jr. '« John Malcolm, sailmaker. 1759 Samuel Massey. Benjamin Morgan. 1760 John Molnnd, Jr. 1761 Captain William Morrell. " Allen McLane, leather-dresser. " Samuel Alorton, merchant. " Samuel McCall. " Edward Milner " Abraham Mason, tailor. •' Charles Moore, M.D. " John McPherson. " Robert Morris, movchant. 1762 Mildred and Roberts, London. " McLean and Stewart. 1764 John Morton, merchant. ,( Peter Miller conveyancer. Esther Mifflin. '« Edward Miluer, miller. 1765 Thomas Mayberry. " John Mease, Jr. " Cadwalader Morris. " John Morgan. " Archibald .McCall. 1767 Thomas Mifflin. 1768 James McCracken. 1773 Levi Marks. 1775 Thomas Afarriot, farmer. " Samuel Miles. " Benjamin MarshalL " Joseph Mifflin. 1780 Thomas IMorris, brewer. 1781 Blair McCleiiachan, merchant. " Robert Morton. 1784 John F. Mifflin. 1785 Jonathan Mifflin. 1786 James Miller. •■' Magnus jNIiller. " John Marshall. " Thomas Murgatroyd. " William iSIcMurtrie. " Samuel Meredith. 1787 John McCulloch. " James McCrea. " Benjamin Wistar ^lorris. " Patrick iNIoore. 1788 Christain ^Lirshall, Jr. " Charles Marshall. 1796 John Morris, M.D. 1800 Richard Hill Morris 1801 Israel Maul, carpenter. " Thomas Morris, .Jr., brewer. " Joseph S. Morris, brewer. " Charles Marshall, Jr., druggist. 1803 Malcolm McDonald, merchant. 1804 Sarah Moore. 1806 John Morton. Jr., merchant. 1807 Gouverneur Morris, of New York. " John Miller, butcher. 1810 John Mullowny. 1812 William Morrison, brewer. 1815 James Mease, M.D. 1816 John W. Moore, M.D. 1817 Samuel Mason, Steward Penn. Hospital. 1818 George Morris. " James J. Mazurie. 1819 Lloyd Mifflin. 1820 John Moore, M.D. 1821 William Montelius, tobacconist. " Elizabeth Marshall, druggist. 1825 J. K. Mitchell. IM.D. 1826 Stephen P. Morris. " Charles D. Meigs, M.D. 1827 Caleb B. Mathew.«, M.D. 1831 John iMoss, mei'chant. 1834 Caspar Morris, M.D. 1835 Thomas Mellon. 1836 Samuel George Morton, M,D. 134 18S7 George McClellnn, M.P. 1S4I Isrtne v. Morris, irou-fomider. • • Jacob G. Morris. 1S44 Wistiir Morris, iron-founder. • • Henry Morris, iron-founder. 184o Thoniiis H. McAlli.ster, optician. " ^ViIli.•\m y. McAllister, optician. '• Cliarles .Moj-er^ druggist. ]«4G Israel Morris. 1847 Conrad ^leyer, piauo manufac- turer. •• John B. Myers. 1849 William G. Malin, ijteward Pcnn. Hospital. " Richard M. Marshall. 1852 Mary Marshall. " George W. ^lorris. )85.S Samuel C. Morton. 1854 S. Weir Mitchell, M.D. . ■' James Markoe. " Israel W. Morris. " Catharine Morris. 185-) Samuel Mason. 1856 Morris, Tasker & Morris. •' Andrew M mderson. " Benjamin Marshall. " Dr. J. Wilson Moore. '• Dr. J. Forsyth Meigs. " Isaac Meyer. " McKeau, Borie & Co. " Catharine McCall. " John Mason. " Richards & Miller. '* Charles Megarge. " Wm. L. Maddock. " Charles Macalester. " Richard C. McMurtrie. it David Milne. " James Martin. ti John McAllister, Jr. " McAllister & Bro. ii James McGee. " William R. Maxfield. " Abram Miller. " Mary Elizabeth Mackey. 1857 Samuel Morris. | Morris, Jones & Co. " William McCallum. " Alex. R. McHenry. " Joseph B. Myers, " James Manderson. '• Thomas Manderson. " Robert .Morrell, M.D. ti A. Miskey. " Charles McKeone. " John S. Miller. «' Patrick McBride. « Sons of Malta. «' Thomas H.Moore. " Israel \V. Morris, Jr. 1857 John M. Maris. '' Samuel V. Merrick. " Thomas J. Magear. " James McHvain. " Michael Molloy. " Edward Maule. " Israel Maule. " Henry Maule. " Charles McCaudless. " H. C. Megarge. " A. J. McClure. 1858 Samuel Megargee. " William Miller. '• C. H. Mattson. " Robert V. Massey. " Hugh McHvain. " William Musser. " James A. McCrea, M.D. " John R. Morrell. " Dr. Samuel Moore. " Megargee Bro. " Hiram Miller. 1859 William H. Moore. " John R. McCurdy. " Malone & Taylor. " Myers, Kirkpatrick & Co. " Sarah ]\larshall. " P. Pemberton Morris. " William G Morehead. " Harry McCall, Jr. " James Mott. " Anne D. Morrison. " E. L. Moss. " Joseph S. Medara. " Mahlon Moon. " Jacob Miles & Son. " Joel B. Morehead. " David McConkey. " John McAllister. " Stephen Morris. Massey, Collins & Co. Dr. T. Geo. Morton. Merrick & Sons. Henry Pratt ^McKean. Thomas Mott. Morris, Wheeler & Co. McCallum & Co. Henry D. Moore. " Samuel Mason. Jr. " Thomas McEwen, M.D. " John C. Mercer. " George C. Morris. " James T. Morris. " Isaac W. Morris. " John T. Morris. " Lydia T. Morris. " R. P. Morton. 1866 Levi Morris. " Hannah Morris. »' Thomas Miller. 1862 1863 1864 1865 135 1867 James Moore & Son. " Moore & Campion. " E. P. Moyer & Bros. " I. P. Morris, Towiie & Co. " Theo. Megargee & Co. " Matthews & Moore. " E. Spencer Miller. " J. E. Mitchell. " Helen K. Mortou. " J. H. Morris. " .James T. Magee. " Michael II. Magee. " William 8. Magee. " Thomas S. K. Morton. " Mellor, Baines & Mellor. " Miskey, Merrill & Thnclvara. " Massey, Houstouu & Co, " Jane Morris. 1868 J. Aitken Meigs, M.D. 1869 T. Magee & Co. 1874 Chas. M. Morton. 1876 Dr. Arthur V. Meigs. " Edith Mason. " Alfred C. Mason. N. 1751 Isaac Norris, Esq. " Samuel Neave. " Charles Norris. " John Nelson. " Samuel Noble. 1752 Peter Nygh. 1754 John Nixon. 1760 William Neate, of London. 1764 Richard Neave and Sou, London. 1786 Alexander Nesbit. " Philip Nicklin. 1794 Mary Norris. 1813 Joseph P. Norris. 1815 Henry Neill, M. U. 1818 George Nugent. 1822 Lindsay Nicholson. 1823 .loseph G. Nancrede, M.D. 1828 James S. Newbold. 1833 George W. Norris, M.D. 1845 Paul W. Newhall. " John Notman 1856 Thos. A. Newhall. " Charles Newbold. " Newbold, Sou & Aertsoa. " Daniel Neall. " Richard Norris. " Thomas S. Newlin. " Nohlit, Brown & Noblit. 1857 Joseph A. Needles. ♦' James Nevins. " Isaac Norris. 1859 Norcross & Sheets. 1859 James S. Newbold. 1860 Mrs. Robert Nelson. 1863 William F. Norris, M.D. " J. Shipley Newlin. " Thomas S. Newlin, Jr. " Samuel Norris. " Richard Norris & Son. 1865 Charles F. Norton. 1867 Newhall, Borie & Co. " Richard L. Nicholson. 1871 Rev. Matthew Newkirk, Jr. 1873 N. P. S. (N. Parker Shortridge). 0. 1754 .lohn Ord, shopkeeper. 1758 Charles Osborne. 1759 Daniel Offley, smith. 1761 George Owen, halter. 1762 John Oseland. 1766 Samuel Ormes, M.D. 1774 John Odenheimer, victualler. 1796 John Oldden. 1813 John C. Otto, M.D. " Griffith Owen, clock and watch maker. 1852 George Ord. " Joseph B Ord. 1856 J. B. Okie. " Lewis G. Osbnurne. " Outerbridgp, Ilarvey & Co. " Charles S. Ogden. " James H. Orne. 1857 John M. Ogden. 1858 Benjamin Orne. " George R. Oat. «' Charles Oakford & Son. 1 859 Margaret J. Otto. 1860 J. F. & E. B. Orne. Thomas and Richard Penn (sons of VVm. Penn), an annuity of £40 paid from 1762 to 1776. 1751 Israel Pemberton, merchant, " Israel Pemberton. Jr., merchant. " Richard Peters. Esq. " James Pemberton, merchant. " William Plumstead. " Edward Peuington. " John Pole. 1752 Samuel I'owell, hatter. " Thomas Paschall, hatter. 1754 John Pemberton. " Oswald Peel. " Joseph Parker. " Richard Partridge, of Loudon. 13(5 17-'i4 Willinm Parr, ntlnrnej'-at-law. 1750 Jolin Palmer, bricklayer. *' Isnne Pascliall. .John I'arritih, bricklayer. " Ric^haril Poarne. 1757 William Peters, of Concord fin hiniher). 1758 Samuel Furviance. " Isaac Parrish. " Joseph Paul, miller. 1759 Richar.l Parker. " Samuel Powell. 1761 Thomas Penrose. " James Penrose. " John Paul, of Wissahickon, miller. " William Pusey, merchant. " John Potts, Esq. 1765 Charles Pettit. 1766 Nathaniel Pennock. 1767 Joseph Potts, mercliant. " Samuel Pleasants. 1768 Joseph Paschall. " Samuel Potts. 1770 Joseph Pemberton. 1776 Thomas Parke, M.D. 1780 Jonathan Potts, M.D. (a loan office certificate for £1000). 1781 Frederick Phile, M.D. 1785 Timothy Pickering. " John Priiigle. 1786 Elliston Perot. " Jeremiah Parker. " Richard Parker. " Michael Pragers. " Ignatius Polyart. 1787 Derick Peterson. " Thomas Penrose, Jr., shipbuilder. " Henry Pbysick. 1788 John Penn. " John Penn, .Jr. 1790 John Perot, merchant. 1798 William Penrose. 1794 Philip S. Physick, M.D. " Elizabeth Coates Paschall. " Sarah Pascha'.l. 1795 Zachariah Poulson, Jr. " Thomas Paschall, merchant. " Edward Peningtou, Jr., sugar- refiner. " Isaac Penington, sugar-refiner. " Israel Pleasants, merchant. " Joseph Paschall, merchant. 1799 George Pennock, merchant. 1800 Abraham Patton, watchmaker. 1801 Henry Pratt. " William Poyntell, merchant. 1804 Joseph Price, hatter. 1805 Samuel Parrish, merchant. 1807 Thomas Palmer, merchant. 1808 David Parrish. 1811 1814 1815 1819 1821 18l>2 1825 1834 18.36 1837 1838 1839 1840 1842 1843 1845 1846 1848 1852 1853 1854 1 855 1856 1857 1858 George Peterson. Henry Pemberton. Joseph M. Paul. Joseph Parrish, M.D. Isaac Parry, pl.asterer. Willia-n P. Paxson. William Price, M.D. Richard Price, Jr., merchant. John Paul. Abraham L. Pennock. Sansom Perot. Caspar W. Pennock. John Hare Powell (a calf). W'illiam Pepper, M.D. Edward Peace, M D. Joseph Pancoast, M D. Isaac Parrish, M.D. George Pepper, brewer. William Piatt, merchant. Clayton T. Piatt. Hannah Paul. Henry Pepper. Charles Collins Parker, M.D. Thomas H. Powers, chemist. Dr. Wm. Byrd Page. Eli K. Price. Josluia L. Price. Dillwyn Parrish. Caroline Pennock. Hannah Parke. Edward Perot. Charles Perot. .John F. Peniston. Joseph Patterson. Francis Perot. Charles W. Pultney. Wil]ia?n S. Perot. Joseph Perot. Robert Pearsall. Letitia Poultney. Sarah R. Paul. Palmer, Thomas & Co. Frederick S. Pepper. Henry M. Phillips. Prichett & Baugh. George D. Parrish. Elliston Perot. D. T. Pratt. Richard Price. Parry & Randolph. Edward T. Pusey. Samuel Parry. Ario Pardee. George PhiJler. Edward Patterson. Geo. W. Page. Francis Peters. Daniel R. Paul. Daniel R. Paul, Jr. Jonathan Palmer & Co. 137 1858 Wm. D. Parrish. 1859 Frances Pierpont. " Robert S. Paschal). " Thomas Potter. " Thomas Pritchett. " Asa Packer. " A. Pardee & Co. " David Potts. Jr. " Stephen S. Price. '' Jane Preston. " James W. Paul. " A. M. Powers. ♦' Mrs. G. S. Pepper. 18G0 Mrs. Morris Patterson. " Mary Pepper. " Sally W. Pennock. " Mary T. Pleasants. 1861 John H. Packard, M.D. " Wm. F. Potts. 1862 John H. Palethorpe, Est. of. 1864 J. Price Patton. " R. Hare Powell. " R. S. Peterson. 1865 William Pepper, Jr., M.D. " Sarah Phipps. " Caleb Peirce. " Fannie R. Purves. " William Piatt Pepper. " George S. Pepper. " Philip Physic Peace. " Edward Coleman Peace. " Benjamin Perkins, Jr. " Sarah A. Purves. 1867 Davis Pearson & Co. " Moro Phillips. " T. Morris Perot & Co. " John Hare Powell. " Mrs. John Hare Powell. 1868 William Procter, Jr. 1869 Est. of Davis Pearson, dec. 1870 William A. Porter. " Mrs. S. N. Pepper. Q. 1857 James W. Queen. R. 1751 .John Reynell. " Hugh Roberts. " .Joseph Richardson, merchant. " Francis Richardson. " John Pioss. •' John Redman, M.D. " Samuel Rhoads. 1754 John Roberts, miller. " Daniel Roberdeau. 1756 1757 1758 1759 1761 1763 1765 1766 1767 1787 1788 1789 1795 1800 1801 tl 1802 1806 1813 1814 1815 1821 1822 1823 1828 1831 1835 1841 1843 1845 1849 1851 1852 1855 Peter Reeve Francis Rawle. Joseph Redman. Daniel Rundle. John Rhea Benjamin Rawle. John Relfe. William Rush, blacksmith. Isaac Roberts, brickmaker. John Rouse. John Rhobotham. Thomas Robinson, merchant. John Reily. Christopher Rawson, of Halifax. Nicholas Rittenhouse, miller. George Roberts. Samuel Rhoads, Jr. Thomas Ringold, of Maryland. Mary Richardson. Thomas Rutter. Thomas Robeson. Thomas Riche, merchant. Joseph Richardson, goldsmith. Benjamin Rush, M.D. Edward Russell. David Rittenhouse. Richard Rundle. James Read, flour merchant. George Rutter (picture of Good Samaritan). William Rawle. Robert Ralston, merchant. John Piedman, M D. John Robeson, merchant. William Redwood. Samuel Rhoads, merchant. .Jacob Ridway, merchant. James Rush, M.D. William Rogers. Samuel Richards. Mark Richards. Hugh Roberts. Charles Rolierts. William Rush, M.D. Jacob Randolph, M D. David Rankin, grocer. Romulus Riggs. Solomon W. Roberts, civil engi- neer. Elihu Roberts, merchant. Caleb C. Roberts, merchant. John J. Ridgway. Mrs. Hugh Roberts. Richard Ronaldson. Nathaniel Randolph. Mrs. M. Ricketts. Moncure Robinson. Jonathan Richards. Richard Ronaldson. Thomas Ridgeway. 138 18oG 1857 1858 1859 1860 1863 1864 Hugh Roberts. R;indolpli & Jenks. Joliii i\. Hue. Tlionias Robins. Clmrles P. Keif. Robert J Ross. Riclianl Richanlson. Eviins Roilgers. Thoinns Ricliardsou & Co. Edwaril Roberts. Evan Randolph. Richards & Miller. Charles W. Rogers. Philip S. Reilly. George W. Richard.s. Benjamin B. Reath. Samuel Rhoads. Rutter, Newhall & Co. Richardson, Thomas & Co. Anne Iv. Reynolds. John T. Ilicketts. George D. Rosengarten. William B. Reed. Samuel Riddle. Wni. H. Richards. John G. Repplier. Clement S. Rutter. James Rohb. Benjamin Rowland. John Bobbins, Jr. A. S. cSt E. Roberts. William Rowland. John J. Richardson. Joseph J. Redner. John Rice. Joseph W. Ryerss. William L. Rebn. A. L. Randall. Richardson & Carver. Jacob Reigle. Charles Rugan. Mary Ashbridge Rlioads. Hannah Richardson. Charles Rhoads. Mrs. Thos. Robins. John Richardson. James Rowland & Co. Ritter & Brother Pvockhill & Wilson. Elizabeth Rhoads. Samuel J. Reeves. R. N. Ratbban. William Rowland & Co. James Rowland. Nathan Rowland. Stephen Robbins. Dr. James E. Rhoads. John M. Read. Wra G. Rhoads. Edward Rhoads, M.D. 18C5 Edward Taylor Randolph. " Albert C. Roberts. " John Robins. " P. Reilley & Son. «' B. Howard Rand, M.U. 1866 Craig D. Richie. 1867 H. B. Rianhard. " A. P. Roberts & Co. " Wm. Reid. " W. H. Rhann. " Lewis H. Redner. •' Wm. K. Raniborger. " J. G & G. S. Repplier. «« Robert L. Reilly. '* Julianua Randolph. 1809 Joseph G. Richardson. 1872 Charles Roberts. 1874 John B. Roberts, M.D. 1751 1751: 1754 1755 1756 1758 John Smith. Samuel Sansora. Edward Shippen. Thomas Stretch. Thomas Say. Christopher Sauer. Peter Sonmans, M.D. William Shipley, victualler. W'illiam Shippen, M.D. Stephen Shewell, baker. Joseph Shewell, baker. Jacob Shoemaker, Jr., wheel- wright. Samuel Smith, merchant. W'illiam Smith, tanner. Robert Smith, carpenter. Isaac Snowden, tanner. William Stanley. Moses Stanley. Joseph Sennard. James Stone. James Stevenson. Daniel Steinmetz, baker. Samuel Swift. Valentine Stanley. Jacob Shoemaker, smith. Joseph Saunders. Joseph Stretch. Attwood Shute. Amos Strettell. John Stamper, Esq. Joseph Stamper. Edward Shippen, Jr. William Shute, tallow-chandler. Thomas Saltar, lumber merchant. James Stoops, brickmaker. Enoch Story. Walter Shee, merchant. 139 1759 Bavnaby Shute. " Joba Scott, merchant. 1760 John Sniith, of Kingsessing. " Joseph Sermon, smith. 1761 John Shoemaker, of Cheltenham, " Richard Smith, merchant. " Joseph Sims. " John Casper Stivers. 1762 Jedediah Snowden. " Jonathan Shoemaker. " George David Sickle, butcher. 1764 Adam Straker, smith. 1765 John George Snyder. 1766 William Shippen, Jr., M.D. 1767 Jonathan B Smith. " Samuel Southall. 1768 William Sitgreaves, merchant. " Samuel Sansom, Jr. 1771 Joseph Shippen, Jr. " Jose|ih Stout. " Robert Stevens. " James Stewart, merchant. 1772 Joseph Swift. 1774 Samuel Simpson. 1775 Philip Syng. 1776 Jacob Spicer, of New Jersey. 1780 Benjamin Say, M.D. 1782 George Shoemaker, blacksmith. 1784 John Swan wick. 1785 Leonard Snowden. " Lawrence Seckel, merchant. " James Smith, Jr. 1786 Samuel Shaw. " Robert Stevenson. 1787 Robert Smith, merchant. " Townsend Speakman. 1794 Joseph Sansom. " Thomas Stewardson. 1795 William Sansom, merchant. 1797 Jacob Shoemaker. " Buckridge Sims. 1799 Charles Shoemaker. " Estiier Sprague, of Dedham, Mass. 1800 Willet Smith, merchant. 1801 Thomas Shoemaker, merchant. " John Simpson, merchant. " James Skerrett, blacksmith. 1802 Thomas Stewart. " William W. Smith, merchant. " James Stokes, merchant. " James Smith, merchant. 1803 Stephen Smith, merchant. " Philip Smith, grocer. 1806 George Smith, merchant. 1807 Thomas Shipley, merchant. *' James Stewart, M.D. " John J. Smith, merchant. '■ Daniel Sutter, grocer. 1811 John Savage, merchant. 1812 James Sawer. 1814 William Schlatter, merchant. " Samuel Spackman, merchant. " Ann Saunders, teacher. 1815 Joseph Allen Smith. 1816 John Stack. <' Charles J. Sutter. 1817 William A. Skerrett. 1818 Edward James Stiles. 1819 Nathan Shoemaker. 1820 Samuel Sellers. 1821 James Schott. 1830 John Struthers, marble-mason. 1833 Blakey Sharpless, bookseller. 1834 Samuel L. Shober. " Benjamin P. Smith. " John W. Shoemaker. 1835 Thomas Stewardson, M.D. " Rebecca Simmons. 1837 George Roberts Smith. 1842 James Schott, Jr. " George Stewardson. (i Rev. Edward J. Sourin, 1843 Alfred StiUg, M.D. 1844 Henry Seybert. " Joseph Swift, broker. 1845 Alexander H. Smith. " Isaac Starr. 1846 John Sergeant, attorney at-law 1847 Henry H. Smith, M.D. 1848 C. E Spaiigler. " Robert W. Sykes. " John Siter, merchant. 1849 Moreton Stille, M D. 1851 Wm. Struthers, marble-mason. " Joseph P. Smith. 1852 John P. Steiner. " F. Sargeant, M.D. (( Henry G. Sharpless. 1855 Lewis A. Scott. " Rosa Steadman. It Dr. George Smith. " Charles Santer. 1856 Joseph Shipley. " Catharine W. Sheppard. " Samuel F. Smith. " William S. Smith & Co. " J. R. Savage & Co. " Thomas M. Smith. " John Saunders. " Macpherson Saunders. " John M. Scott. " Jacob II. Smith. eth 11. Turnpenny. " Rebecca A. Tasker. ISTfi Mary E. Turnpenny. U. 1709 Abraham Usher. 1856 George Urwiler. V. 1756 William Vanderspiegel. 1761 John Vanderen. 1785 John Vaughan. 1786 William Von Phul. 1796 Ambrose Vasse, merchant. 1799 William Vicary, mariner. 1819 Roberts Vaux. 1826 George Vaux. 1887 F. A. Vandyke, M.D. 1855 Eliza 11. Vaux. " W. S. Vaux. 1856 George Vaux, .Jr. " Mrs S. B. Vansycle. " Verree & Mitchell. 1859 Vandevear & Bolton. " Charles Vezin. 1867 Wm. P. Vaux. W. 1751 Casper Wistar. " Joseph Wharton, cooper. " Townsend White, merchant. " Robert Willan. 1752 John Wistar. " James Wright. " Daniel Williams, baker. 1754 Charles West. " John Wier. " Abraham Wagner. " Robert Wain, merchant. " Richard Wistar. " Joseph Watkins. " George Westcott, brazier. " Charles West, Jr., cooper. " Anthony Wilkinson, carver. " Joseph Wills, clockmaker. " Edmund Winder. " Jacob Winey. " Joseph Wood, merchant. " Peter Worrell. 1755 Jeremiah Warder, hatter. 1756 William Wallace. " Thomas Wharton. •• James Whitehead. " James Wharton. " Joseph Wharton, Jr. " Stephen Wooley. " Samuel Wharton. 1758 William West, merchant. " Stephen Williams. " Swen Warner. " James Wallace. " AVilliam Wishart. 1759 Daniel Wistar. " Joseph Wurner. 1761 James West. " Richard Wain. " John Wood, clockmaker. " Thomas Willing, Esq. 1762 John Whitelock. " Isaac Whitelock. " John Wikoff. " James Webb. " John Wilcocks. " Joseph Watkins. Jr. 1763 Joseph Wetherill. " Kev. George Whitfield. 1765 Thomas Wharton. " Thomas WagstafF, of London (a watch). " James White. 1767 Richard Walker. 1768 Robert Wickersham, 1769 Joseph Watson, M.D. " William Wistar. 1771 Anna Warner. " Thomas Wishart, chandler. " John Wharton. 1772 Benjamin Wynkoop. " Jeremiah Warder, Jr. 1775 Richard Willing. ♦' Isaac Wh.'trton. " William Whitpain, carpenter. 1776 Noah Webster (lectures for bene- fit of hosj)ital). 1780 Charles Wharton, merchant. 1782 John Wall. 1784 Samuel Williams, cabinet-maker. 1785 Christian Wirtz. " William Wirtz. " William West. " Thomas Wistar. " Israel Wheelen. " Nicholas Wain. 1786 Gideon Hill Wells. " Jesse Wain. " John Warner, whalebone-carver. " Henry Wynkoop. " Solomon White. " Robert Wharton. 143 1786 Philip Wager nnd George Ha- backer. '♦ Lambert Wilmer. " James Wilson, shopkeeper. " Charles West, Jr. " Robert Wain, Jr., merchant. " Sarah Wistar. 1787 Samuel Wheeler. " Bartholomew Wistar. 1788 Richard Wistar. •' John Warder. 1791 Bryan Wilkinson. " Caspar Wistar, 1\I.D. 1795 Kearney Wharton, merchant. " Caspar Wistar, of Chester Co. " Catherine Wistar, Jr. " George G. Woelpper, butcher. 179fi James Woodhouse, M.D. 1797 Dr. John White, druggist. 1798 Andrew Wood. 1799 Martha Whitelock. 1801 William Wister, merchant. " William Wain, merchant. 1802 James Wood, merchant. 1 803 Jeremiah Warder, Jr., merchant. 1806 John G. Wachsmuth, mercliant. " Alexander Wilson, merchant. •' Thomas M. Willing, merchant. " John Watson. 1807 William Warner, merchant. " Benjamin C. Wilcocks, merchant. 1808 Samuel Williamson, silversmith. 1810 Georges. Wilson. " John Wister. " Charles J. Wister. 1811 Henry L. Waddell. 1812 Joseph Watson, lumber mer- chant. 1814 Israel Whelen. 1816 Jacoh S. Wain. Jr. " Edward Wilson. 1817 Benjamin West (picture of Christ Healing the Sick). 1819 Richard Wistar, .)r. 1821 Thomas Wildon. " Silas E. Weir. " Bartholomew Wistar. 1824 Caspar Wistar, M.D. " Charles Watson. 1825 George B. Wood, M.D. 1828 Henry J. Williams, attorney-at- law. 1832 David Woelpper, Sr., butcher. " Jeremiah Willets, plasterer. 1833 Josiah White. 1834 Captain William West, mariner. " Henry White. 1835 Mifflin Wistar, M D. " Joseph Warrington, M.D. 1840 Joshua M. Wallace, M.D. 1840 John Wistar, lumber merchant. " B. Wyatt Wistar, merchant. 1841 Richard Willing. 1844 Charles Willing, IM.D. 1845 Horatio C. Wood, merchant. " John R. Worrell. «' William Welsh. 1846 Samuel Welsh. '» David Woelpper, Jr , butcher. " George Woelpper, butcher. 1848 Robert F. Walsh. " William Weightman, manufactur ing chemist. " Thomas H. White. 1851 Richard D. Wood, merchant. << John M. Whitall. 1852 James Whitall. 1853 Charles S. Wurtz. 1854 R. Sterling Wilson. " Edward S. Whelan. " Peter Williamson. " Henry J. Williams. 1855 S. Morris Wain. " Rebecca White, 1856 J. Ringgold Wilmer. " Benjamin H. Warder. " Elizabeth Wistar. " Isaac S. Waterman. t( Dilwynn AVistar. " Caleb Cresson Wistar. " Bartholomew Wistar. " G. D. Wetherill & Co. i< C. R. & S. Welsh. " Charlotte W. Wetherill. " Rachel P. Wetherill. <« Thomas B Wattsoii. " John W. Wallace. " Francis R. Wjiarton. '< Edward S. Wiielan. »' Welsford & Wilson. (1 Mrs. Samuel Welsh. Si# i«^M >rr-:nv m '. ,'. \ ■ * > i 1 ' -^ i' J b ^ ■' '■ wm^m. 1 -^■:/:;;;;^-;?'.5 1 ■:-;:■ ^'•■|':* ii 'M 'H