REPORT OF THE COMMISSIONERS OF FISHERIES, GAME AND FORESTS. 349 



appeals, a few thousand dollars were obtained by the writer, with which one small 

 cottage and a wing of the intended main building were erected. Each year the work 

 was developed step by step, and the running expenses met, principally through the 

 generous aid of guests at Paul Smith's, Saranac Inn, and other hotels in the Adiron- 

 dack region, who contributed and held annual fairs during the summer for the benefit 

 of the institution. Its growth has been steady and uninterrupted, until a small village 

 consisting of twenty-two cottages, accommodating one hundred patients, now stands 

 on the original site where sixteen years ago the institution made so humble a 

 beginning. 



The Sanitarium is situated about a mile from Saranac Lake village, on a high hill 

 which rises abruptly from the Saranac River, and well protected from the prevailing 

 winds by a high wooded ridge, while the soil is sandy and the drainage excellent. 

 A magnificent panorama of wooded slopes and high mountains, heavily wooded with 

 evergreen timber, extends as far as the eye can reach, while the Saranac River can be 

 seen threading its way through the distant hills until it is lost to sight among them. 



The requisites for admission to the Sanitarium are that the applicant should be in 

 the earlier stages of the disease, or, at least, that in the opinion of the examining 

 physician he has a fair chance of more or less complete restoration to health, and that 

 his pecuniary circumstances should be such that he cannot afford to pay the usual 

 prices asked at the hotels and boarding-houses in the region. Every effort is made to 

 reduce to a minimum the expenses of the patients who wish to avail themselves of the 

 advantages of the institution. The regular charge — five dollars a week — is made to 

 all alike, and includes everything except laundry and medicines, which are furnished 

 at cost. No charge is made for medical attendance, no graded rates, and no accom- 

 modations for private patients. 



The deficiency in the running expenses is made up each year by subscription. An 

 attempt to place the institution on a firm financial basis has also been made ; and, 

 principally by personal appeal, an endowment fund of $150,000 has already been 

 secured, which, it is hoped, by bequests and subscriptions may some day grow 

 sufficiently to assure the permanence of this work for all time. 



The Sanitarium also has a small free-bed fund, the income of which is applied to 

 defray the expenses of patients whose resources have entirely given out. Last year 

 nineteen were maintained for varying periods of time without charge, and twenty- 

 seven others had their expenses paid by benevolent persons interested in the work. 



Applicants for admission are examined in New York city by one of the regular 

 examiners — who give their services in this capacity without any remuneration — or, 

 the patients apply directly at the institution and are examined without charge at 

 Saranac Lake. The regular examining physicians in New York city are Dr. E. G. 



