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The expenditure amounted to ,£22,278 9s. gd., which, with the balance of ,£5980 6s. rod, left an indebtedness of ,£6580 os. 5d. T h e Endowment Fund had been augmented by benefactions to the extent of ,£1088 12s.; the balance to credit was ,£12,185 9s. 2d. T h e total number of cases treated yvas 22,900, of which 18,877 had received medical and surgical aid, either as Out-patients or Casualties, and 4023 were treated in the wards of the Hospital. T h e general result of treatment is reported as-.—cured and relieved, 2874; discharged as incurable and from sundry causes, 183 ; died, 634; remaining in the Hospital on 31st December, 332. O f incurable cases received, into the wards, 108 died within twenty-four hours of admittance, and a large proportion of these were moribund when brought to the Institution. T h e Fortieth Annual Report furnishes the following additional particulars for the year 1887, which will be read with interest:— T h e receipts, including ^14,000 from the Parliamentary Grant, and ,£2325 u s . iod. from the Committee of the Hospital Sunday Fund, have amounted to ,£24,105 3s. 4d.; for the same period the expenditure has been .£23,558 ios. 9d, to which must be added the indebtedness from the previous year °f £l1°% 8s. 3d, leaving a debit balance of ,£7330 n s . 2d. Apartments for the accommodation of the Pathologist and the Students attending his demonstrations, with the addition of a Jury R o o m for use at inquests, are completed. T h e imperative necessity for proper provision for the comfort of the Nursing Staff received the early attention of the Committee; as further delay could not be justified it was decided to remodel the old buildings and make such additions as would furnish space, with other necessary offices as the circumstances required. T h e new buildings have been occupied for some months, and the Nurses' House is noyv an important feature in the establishment. Improved accommodation was also required for the male staff of the Hospital; to meet this want a range of buildings extending along the Russell Street boundary have been constructed, which provide dormitories, workshops, etc. These works, together with those previously described, have involved an expenditure of ,£4823 14s. 8d. A sum of ^'700 has been allocated from the Parliamentary vote in aid ofthe expenditure for the Nurses' House, but the Committee trust that a future representation of the claims of the Hospital for increased assistance on account of expenditure for buildings will be deemed worthy of recognition. During the year the E n d o w m e n t Fund has increased by sundry bequests to the extent of ,£4539 2s. 8d, bringing the total of the Fund up to ,£29,924 19s. gd., of which sum ,£29,897 16s. iod. is deposited at interest. During the past year the Hospital has afforded medical and surgical assistance to 19,519 persons; of these 15,926 have been treated as Out-patients, and 3593 have been admitted to the wards; of this number 2628 have been discharged, cured or relieved, 123 have left as incurable or for various reasons, 574 have died, and 268 remained in the Institution at the close ofthe year, O f the fatal cases 179 died within 72 hours of admission. O f typhoid fever patients there were 430 treated throughout the year, the mortality being 13.95 per cent. T h e aggregate of patients treated in the Institution since its foundation in and including the years 1848 and 1887, are as follow :—In-patients 106,227, Out-patients 523,751; grand total 629,978. T h e totals of Receipts and Expenditure during the last eleven years (1877-1887 inclusive) are thus stated:—Receipts—Government Grants, ,£159,500; Private Subscriptions, ^87,781 7s. 5d.; Other sources, ,£9542 5s. 2d. ; Grand Total, ,£256,823 12s. ,d. Expenditure under all heads, ^269,785 14s. -jd. T h e " Sunday Hospital F u n d " has, since its inception fifteen years ago, contributed the handsome sum of ,£35,672 9s. id. to the revenue ofthe Melbourne Hospital. Mr. James Williams, a popular and most courteous official, performs the Secretarial duties of the establishment. T h e original building is almost lost amidst the mass of additions. It faced Swanston Street, and now forms the east wing of the new main building yvhich was thefirstaddition on the central block. Next was attached the west wing, and subsequently tyvo pavilions on the east side of the reserve. T h efirstsite granted for the purpose of an Hospital was the centre of the present enclosure. R