30 JOHN KOREN 



tenance the income from inmates was considerably larger in 

 ecclesiastical institutions than in private, a fact which must be 

 attributed to the numerous hospitals under church patronage 

 that are largely maintained by the revenue from patients. 



There is only one state without a public benevolent insti- 

 tution, but in 15 states there is no income whatsoever from 

 inmates of public institutions. The explanation is that these 

 states provide institutions at public cost only for the deaf and 

 blind, to whom support and education as a rule are given gra- 

 tis. In fact, less than one fifth of the income from pay cases 

 received at public institutions is secured by all the public in- 

 stitutions for the deaf and blind. 



The fact that the income from pay inmates of the public 

 institutions of Massachusetts is much more than twice as 

 large as that of any other state, and forms 30.1 per cent of the 

 total for the United States, must be ascribed chiefly to the 

 public hospitals in this commonwealth and the legal pro- 

 visions made for the recovery of the cost of maintenance of 

 indigent patients from the city or town in which they have a 

 domicile. 



As regards both private and ecclesiastical institutions, 

 the hospitals report most of the income from pay cases. 

 Among the states in which denominational institutions obtain 

 a larger share of income from pay cases than those designated 

 as private, the following are conspicuous: Alabama, Arizona, 

 Arkansas, Illinois, Montana, New Jersey, South Carolina, 

 Tennessee, Washington, and Wisconsin. 



The hospital class leads as to aggregate cost, a little more 

 than one half of the entire sum expended for the maintenance 

 of benevolent institutions being for the benefit of the sick in 

 hospitals. Of the total amount of annual subsidies, hospitals 

 receive 37.4 per cent, and 82 per cent of the entire income of 

 institutions from pay inmates falls to the share of this class. 

 In proportion to their activities, private hospitals receive a 

 much heavier donation from public treasuries than hospitals 

 under denominational management. On the other hand, in 

 proportion to the aggregate cost of maintenance the ecclesi- 

 astical hospitals receive a greater income from pay patients 

 than the private hospitals. 



