Long-term care activities of New York City voluntary hospitals in 1967 have been studied through annual reports to the United Hospital Fund. Only 10 per cent of the beds in 39 hospitals were in long-term care; general hospitals had chiefly mental-illness beds and special hospitals, beds for chronic patients. Home care programs represented a substitute for an addition of about 5 per cent of capacity. Physical medicine departments were widely prevalent but size of program (treatment load) was variable. Serious diagnoses were unevenly distributed among hospitals but related to the distribution of general practitioners on hospital staffs. Variability was also found in the ratio of admissions to social workers, and this ratio was lowest where length of stay was greatest. It would appear that expansion of various programs not involving intramural beds is achievable and holds promise of reducing long-term disability.