SS Leviathan left Southhampton , England on 18 September 1923 with Seaman Courtney Routledge on board. He arrived in New York as "a Lunatic in (the) charge of the Ship's Surgeon” on 24 September 1923. Believed to be initially sent to St. Elizabeth’s Hospital, Washington, DC he is on the US 1930 and 1940 Census as residing in St. Elizabeth’s. He was finally found at the United States Public Health Services Hospital in Lexington, Fayette County, Kentucky, where records show he was there from on or about 4 October 1943. His Death Certificate indicates that he was brought to Lexington on or about 4 October 1943 as the Doctor who was the last to treat him also initially treated him on 4 October 1943. His death certificate states that he had been Hospitalized since 25 September 1923 which is one day after the Leviathan docked in New York with Courtney aboard. He died on 20 August 1951 USPHS, Lexington and was buried 21 August 1951, Hillcrest Cemetery, Lexington. His occupation on the death certificate was Messman (ie Catering), Seaman.
