. The New England magazine. elligent, enthusiasticcooperation of physicians and citi-zens, put this institution into thefront rank of small hospitals. It isquite probable that if the institutionwere starting now the trustees wouldplan some of their buildings differ-ently. In other respects they have made only a few have simply followedalong the line of develop-ment- as it was indicatedby the thoughtful consid-eration of needs as thoseneeds sprang up. It ismuch easier to start and tomaintain a small hospitalnow than it was when thisbegan, for experienceshows pretty clearly whatthe
. The New England magazine. elligent, enthusiasticcooperation of physicians and citi-zens, put this institution into thefront rank of small hospitals. It isquite probable that if the institutionwere starting now the trustees wouldplan some of their buildings differ-ently. In other respects they have made only a few have simply followedalong the line of develop-ment- as it was indicatedby the thoughtful consid-eration of needs as thoseneeds sprang up. It ismuch easier to start and tomaintain a small hospitalnow than it was when thisbegan, for experienceshows pretty clearly whatthe ordinary needs are andhow they can be met. It will be interesting tosee how other communi-ties have provided them-selves with hospitals, andwhat kind of hospitalsthey have. Out of themany that might be cited, it maybe most helpful to take some that willserve as types. There are four typesof small hospitals: (1) where therehas been some previous experience inhospital management, and wherethere is a fund in hand to construct. A MEMORIAL WINDOW IN THE CHILDREN SROOM, NEWTON HOSPITAL. THE FOUNDING OF SMALL HOSPITALS. 259 and equip fairly good buildings; (2)where individual generosity gives thecomplete plant outright; (3) wherethe hospital begins in a small way inan old building; (4) where the insti-tution feels its way along slowly,building by degrees, enlarging itswork as it sees the way open, andgrowing from a feeble start to consid-erable size and strength. One of the most important of thefirst kind is the Springfield hos-pital. It had some advantages tobegin with, for it started out withmoney in hand and it absorbed a pre-viously existing hospital. The pres- and are surrounded by a plot of overthirty acres. Occasionally we have instances ofmost open generosity amounting tolavishness. Something is done inthe very best manner possible withoutany regard to the cost. The deter-mination is to have it just as com-plete as it can possibly be. The MaryHitchcock Memorial Hospital atHan
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