xt7kkw57fm1f https://exploreuk.uky.edu/dips/xt7kkw57fm1f/data/mets.xml The Frontier Nursing Service, Inc. 1947 bulletins  English The Frontier Nursing Service, Inc. Contact the Special Collections Research Center for information regarding rights and use of this collection. Frontier Nursing Service Quarterly Bulletins The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. 23, No. 1, Summer 1947 text The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. 23, No. 1, Summer 1947 1947 2014 true xt7kkw57fm1f section xt7kkw57fm1f Ihe Quarterly Bullet'
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Ihe Frontier Nursin S ' I
Q GIVICG, IIC.
TY-SECOND ANNUAL REPORT
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VOLUM
·1 E 23 SUMMER, 1947
yr NUMBER 1
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URES IN THE JUNE FLASH FLOODS
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APPROACH TO HYDEN, BRIDGE OVER THE MIDDLE FORK
IN THE JUNE FLASH FLOODS
Pictures by Louise Fink
  ~_ .
THE QUARTERLY BULLETIN ur TI-IE FRONTIER NURSING SERVICE, Inc.
Published Quarterly by the Frontier Nursing Service, Lexington, Ky.
Subscription Price $1.00 Per Year s
VOLUME 23 SUMMER, 1947 NUMBER 1
"Entered as second-class matter June 30, 1926, at the Post Office at Lexington, Ky., {
under Act of March 3, 1879." - · 
Copyright, 1947, Frontier Nursing Service, Inc.
9
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1
 ·. INDEX
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,!,_ M
ARTICLE AUTHOR PAGE
` Annual Report 2
J Beyond the Mountains 43
Courier in Backwaters of Flash Floods Inside Back Cover
Field Notes 51
Beloved Beasts 61
Flash Floods (Illustrated) 17
Old Courier News 16
Old Staff News ' _ 35
Proud Papa (Cartoons) Bertha, Bloomer 50
Rocky Mountain Spotted Fever Bulletin, Kentucky 49
Department of Health
Where, Oh Where Jane Burt 16
BRIEF BITS
Clothing Roanoke Times 42
From a Reader in Florida 16
Frontier Nursing (Cartoon) Reflections of 1947 48
· Just Jokes, Final 63
Just Jokes, Military ` 63
Satisfied 34
Season’s Greetings Good Business 34
•
 
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2 THE QUARTERLY BULLETIN  
HIFNER AND FORTUNE V
CERTIFIED PUBLIC ACCOUNTANTS I
LEXINGTON, KENTUCKY I  \
To the Officers and Directors,
Frontier Nursing Service, Incorporated, I
Lexington, Kentucky.
E 
E 
Ladies and Gentlemen:  
We have made a detailed examination of your records and I
accounts for the fiscal year ended April 30, 1947, with the  
results as disclosed by the annexed Exhibits and supporting  
— schedules. Q ~
In our opinion all monies have been duly and properly ac-  
counted for. ?
Your operations for the year result in a net loss of
$17,317.09, due, in the main, to the payment of old salary claims ?
amounting to $14,837.42. In order to satisfy these old claims,
it was necessary to borrow $14,448.30, and it is respectfully
suggested the loans be repaid out of future unrestricted gifts V
and bequests. =
Your records, found in their usual perfect order, are in I
accord with this report.;  
Respectfully submitted, ;
(Signed) HIFNER AND FORTUNE pl
Certified -Public Accountants. Q 
Lexington, Kentucky, I
May Fifteen, Q ,
Nineteen Forty-seven. l,

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E
  Fnonwiaa Nunsmo smnvicn s
, ANNUAL REPORT
I of the .
V FRONTIER NURSING SFRVICE, Inc.
I  , May 1, 1946 to April 30, 1947
v PREFACE
In presenting the report of our twenty-second fiscal year,
which closed April 30, 1947, we ask our trustees, members and
. subscribers to read it attentively. In our early years we printed
E annually our audit in full, and complete tabulations of all our
  statistics. This took up a whole issue of the Bulletin even then,
  when our work was in its infancy, and it cost a lot of money.
  We found upon inquiry that few people read these masses of
  figures. We then adopted the method we still use, of giving
  significant figures only with brief explanations of them. This
ly method attracts many readers. In the report which follows we
l have tried to give our readers a clear picture of our fiscal
Q affairs and of our work.
FISCAL REPORT
The fiscal statements in this annual report are taken from
I the exhibits and schedules of the audit which was duly made by
E Hifner and Fortune, certified public accountants; and the figures
A · in the report of operations are supplied by the statistical depart-
  ment of the Frontier Nursing Service.
é REcE1PTs
* ` Our receipts this year from all sources for running expenses
"  and new endowment were $137,252.73 (Exhibit B of the audit).
  Of this total, the sum of $5,923.51 is new endowment.
,, The total gifts and contributions to the Service for running
  ` expenses were $85,453.43 inclusive of $2,979.69 from the Alpha
* Omicron Pi National Sorority and its chapters for Social Serv-
ice. Our investment income from endowment for the year was
L $17,966.19. Scholarships and partial scholarships for students
in the Frontier Graduate School of Midwifery received under

 1
4 THE QUARTERLY BULLETIN E 
the G. I. Bill of Rights and from other sources, such as churches,  
amounted to $3,280.00. The income from the Wendover Post  
Office was $1,447.01. The revenue from benefits and from the g
Bargain Box in New York was $9,082.80. The total receipts <
from medical, hospital, nursing fees, and the sale of clinic sup- if .
plies at cost, were $13,343.30. These are the main sources of _ .
income for the past fiscal year. (Schedule B-1 of the audit.)  
EXPENDITURES  
In operating the work of the Frontier Nursing Service this L_ 
_ past fiscal year we spent $133,80889. Our total receipts for  
running expenses were $131,329.22. This means an excess of  
expenditures over receipts of $2,479.67. At the close of the  
previous fiscal year in 1946 we had spent $3,101.19 in excess of if
revenue received. This, therefore, makes the second consecutive ji
fiscal year in which we have used our small reserves to balance  
our budget. We now have no reserves left.  
Time was when we could make a budget of $104,000.00  
annually and find that our expenditures had come within a few  
hundred dollars of it. We are doing exactly the same things  
we did in 1940 when our budget was $104,000.00, but it is cost-  
ing us nearly $30,000.00 more annually to do them. Costs of  
everything we have to buy are staggering and our operations  
are large. We spent last year $71,754.60 for salaries and wages ,2
alone,—-and our salaries and wages are so low that only the :5
devotion of our staff to the work we do keeps them with us. On §‘
page 14 a detailed analysis of our actual expenditures for last  
year (taken from the audit) runs parallel with the estimated I
budget for the current year. This will show our subscribers the ,`
reasonableness of the proposed budget.  
CASH IN BANKS Y
The current accounts and salaries of the Service were paid j  I
up in full at the close of the fiscal year, and the cash on hand i Y
in banks and petty cash funds was only $6,123.24. PY 
INDEBTEDNESS
The Service assumed a bank indebtedness of $12,000.00 in
order to pay in full the salaries on a two-thirds basis due cer-
tain members of our old staff who had stayed with us for prac-

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E  FRONTIER NURSING SERVICE 5
  tically nothing during the depression years in the early thirties.
  This is of course just a transference of the debt from one cate-
Q gory to another. We carried this obligation as a legal indebted-
< ness on our books and in every audit. We made mention of it
if  in every annual report. We had reduced it by many thousands »
‘ _ over the years. We felt the time had come when we should
  repay what remained of this indebtedness even though we had
Q to take out a bank note in order to cover it.
  In the letter with which our auditors prefaced the audit
4-  they mentioned $14,438.30 as the sum we borrowed, but our
  bank note is for only $12,000.00. The reason for this disbrepancy
Q lies in the fact that two members of our old staff, two who
  have remained with the Frontier Nursing Service throughout
  _ the years, refused to take their money, because they knew the
Qi Frontier Nursing Service had a need for it at the present time.
  They want to give this money to the Service—but we have
,g taken it as a loan without interest.
si
  REAL ESTATE, BUILDINGS, AND EQUIPMENT
  (From Exhibit C of the Audit)
  The Frontier Nursing Service owns realty, equipment, and
ii livestock conservatively estimated by our auditors, after adjust-
  ments in values have been written down or up, at $268,71346,
  all without lien.
Y INVENTORY
2 An inventory is taken every spring of the property of the
I. Service. Among its major holdings are the following:
  Hyden
I A stone Hospital, one wing of which is the Mary Ballard
4  ` Morton Memorial, one wing the Mary Parker Gill Memorial,
{ and the frame Annex, a Memorial to "Jackie" Rousmaniere; Joy
{  House, home of the Medical Director, gift of Mrs. Henry B. Joy; _
Aunt Hattie’s Oak Barn, gift of Mrs. Henry Alvah Strong;
Mardi Cottage, the Quarters for the Frontier Graduate School
of Midwifery; two water tanks; two tenant cottages; and out-
buildings such as garages, Work shop, pig house, forge, engine
house, fire hose house, and the Wee Stone House.

 6 THE QUARTERLY BULLETIN  gg
Wendover  ~y
Three log houses, as follows: the Old House ("in memory of  
Breckie and Po1ly") ; the Old Cabin and the Ruth Draper Cabin; ‘
the Garden House; the Upper and the Lower Shelf; the Cou- ‘
riers’ Log Barn and Aunt Jane’s Barn; numerous smaller build- ‘·
ings such as the heifer barn, horse hospital barn, tool house, ,
chicken houses, forge, apple house, smoke house, engine house, {
fire hose houses, water tanks, and the Pebble Work Shop. ·
i
Georgia Wright Clearing yl
A caretaker’s cottage and barns; extensive pasture land  
for horses and cows; a bull’s barn and stockade.  
Jessie Preston Draper Memorial Nursing Center fi
(Beech Fork; Post Office, Asher, Leslie County)  
Frame building and oak barn; water tank and engine house;  
fenced acreage for pasture and gardens; deep well.  I
i ,  QL
Frances Bolton Nursing Center  
(Possum Bend; Post Oiiice, Confluence, Leslie County)  
Frame building and oak barn; pump and tank; fenced acre- J 
age for pasture and gardens; deep well.  
Clara Ford Nursing Center  
(Red Bird River; Post Office, Peabody, Clay County)  
Log building and oak barn with electricity; engine house (
and fire hose house; deep well; tank; fenced acreage for pasture ,§
and gardens.  
gi
Caroline Butler Atwood Memorial Nursing Center  
(Flat Creek; Post Office, Creekville, Clay County) ,
Frame building and oak barn; tank and fire hose house;  A
walled-in spring; fenced acreage for pasture and gardens. ,_ 2
Belle Barrett Hughitt Memorial Nursing Center  
(Bullskin Creek; Post Office, Brutus, Clay County) *
Frame building and oak barn; tank; fire hose house; walled- i
in spring; fenced acreage for pasture and gardens. '

  
  FRoNT1E1>. Nunsme SERVICE 7
 
 ,' Margaret Durbin Harper Memorial Nursing Center
  (Post Omce, Bowlingtown, Perry County)
  Frame building and oak barn; tank; fire hose house; walled-
. in spring; fenced acreage for pasture and gardens.
I. Subsidiary Clinics
i Five small clinic buildings on the following streams: Bull
. Creek, Stinnett (Mary B. Willeford Memorial), Grassy Branch,
+ Hell-for-Certain Creek, and the Nancy O’Driscoll Memorial on
2  Cutshin Creek.
  Livestock
  Twenty-four horses; two mules; thirteen cows; five heifers;
 A. one bull; over three hundred chickens; pigs.
  Equipment
 Q Equipment includes: five jeeps; one Ford station-wagon- V
 pj ` ambulance; one half-ton truck; one old Chevrolet; tanks;
  engines; pumps; farm implements; plumbers’ tools; sixty—two
g pairs of saddlebags; saddles; bridles; halters; hospital and dis- .
  pensary supplies and hospital and household furnishing in twenty
  buildings variously located in a seven-hundred-square-mile area.
li  II
I  REPORT OF OPERATIONS
  MEDICAL AND SURGICAL
  It was not until after the close of the fiscal year that we
ig secured in Dr. Maurice O. Barney a permanent Medical Director.
  Under Field Notes in this Bulletin we tell about him, but so far
  as the past fiscal year is concerned he does not come into the
  report. We had three different Medical Directors and there were
 i periods in which we had no Medical Director. Dr. Howard M. ‘
hi ; Freas came to us first. He was one of the finest men we ever
if knew, but he was not physically equal to our work. After that Dr.
5 . Margaret L. Dale came to us. She was an excellent physician,
  but she too was not equal to our work and left us in February.
g Through the great kindness of a member of our National Medi-
· cal Council, Dr. Karl M. Wilson of the University of Rochester,

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8 THE QUARTERLY BULLETIN Y
New York, we had on loan Dr. Rowland W. Leiby until the mid- ij
dle of May when Dr. Leiby returned to Rochester to continue Qi
. his residency in obstetrics. That it was possible for us to carry
on during such a difficult year, when at various times we had Q
no Medical Director at all, was due to the kindness and the -
devotion of Dr. R. L. Collins of Hazard and his assistants. They `
gave us standing orders for emergency cases to carry out before ¥
we relayed them to the Hazard Hospital. They came on call  
whenever we sent for them. Dr. R. L. Collins and Dr. Cooley _;
Combs gave the medical lectures to the students of the Frontier  
Graduate School of Midwifery. For none of these courtesies and  
kindnesses would they charge us anything. There are no words  
in which we can express our gratitude and that of those patients  
whose lives they saved.  
It was early in the past fiscal year, in June, that Dr. F. W.  
Urton of Louisville came tous for his tonsillectomy clinic. With {
I him came Dr. D. M. Dollar to give the anesthetic. It was late  
in the fiscal year, in April, that Dr. Francis Massie with his r
assistant, Dr. Eugene Todd, came for the general surgical clinic  
he gives usannually. All of these dear men gave their time to  
our patients and to us. ,
. HYDEN HOSPITAL  
The Hospital at Hyden was occupied 7,095 days last year  
by 799 patients with a daily average of 20.0 patients. When you 3
stop to think that our Hospital has only 18 ward beds and one V 
isolation bed (in the Wee Stone House) and eight bassinets for `
the new-born, you can easily see the dangerous overcrowding —
represented by a daily average of 20.0 patients.
Of the 799 patients cared for during the fiscal year, 121 .
were sick adults, 309 were obstetrical patients, 156 were chil-
dren, and 213 were newborn. There were 17 deaths in the Hos- A 
pital during the fiscal year, of which nine were newborn, and
none were obstetrical. Seventy-six operations were performed.  
At the Medical Director’s clinics in the outpatient department  `
of the Hospital there was a total of 5,865 visits received during  
the past fiscal year.  
J

 i
H Fnonrmn NURSING snnvicm s
  DISTRICT NURSING
  l In the 12 districts carried by the Frontier Nursing Service
from the Hospital, Wendover, and six outpost centers, we
i_ attended 8,567 people in 1,866 families. Of these, 4,476 were
. children including 2,161 babies and toddlers. The district nurses
paid 15,887 visits and received 17,119 visits at their nursing
  centers and at their special clinics. Bedside nursing care was
, given in their homes to 598 sick people of whom 22 died. At
1 the request of the State Board of Health, the Frontier Nursing
  Service gave 5,540 inoculations and vaccines against typhoid,
  diphtheria, smallpox, whooping cough, et cetera, and sent 2,063
  specimens for analysis.
  This part of our report has reference to general district
di nursing only and does not include the midwifery carried day _
  and night by the nurse—midwives along with their district nurs-
  ing. The iigures for midwifery are covered under the following
_1 section.
  MIDWIFERY
  Registered Cases
, The nurse-midwives and the midwifery students of the
  Frontier Graduate School of Midwifery (under supervision of
,‘ their instructors) delivered 456 women in childbirth, and gave
I them full prenatal and postpartum care. There were 454 live
g births and 8 stillbirths. There were 6 deliveries of twins. There
  were 412 new cases admitted and 447 closed after postpartum
·  care. There was 1 miscarriage and there were no maternal
· deaths.
Emergency Cases—Unregistered
4 In addition to these regular registered maternity cases, the
nurse-midwives and midwifery students of the Graduate School
,_ y were called in for 35 emergency deliveries, where the mother had
l not been registered or given prenatal care, which resulted in
l 15 live births, 1 stillbirth, and 19 emergency miscarriages (13
  early and 6 late). They also gave postpartum care to 16 other
  mothers. There was 1 delivery of twins. There were no ma-
  . ternal deaths. _
.2
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10 THE QUARTERLY BULLETIN  
1 Outside-Area Cases  
There were 185 women from outside our area who were  
carried for prenatal care. Of these 46 were closed before deliv— l
ery. Most of our outside area patients move into our districts
or our Hospital for delivery. In that case they are transferred V
to our regular midwifery service. However, the nurse-midwives J
did go outside our area to deliver 6 such patients of 6 live `
babies in their own homes. `  
`  
FRoNT1ER GRADUATE scHooL OF MIDWIFERY  
The Frontier Graduate School of Midwifery has two classes  
annually, each of six months duration, which start on October V?
' 15th and April 15th. During the past year twelve registered  
nurses were graduated from the School. The fourteenth class gl.
since the School opened in 1939 is now in attendance. When its  
work is completed on October 15th the School will have sent  
sixty nurses, qualified as midwives and in our frontier technique,  
to serve quite literally all over the world. Graduates of the  
School are in a number of our states, in Puerto Rico and Alaska, ii
and in various parts of Africa, China, India, and South America.  
A catalogue of the School will be sent to anyone interested in 4
· receiving further information. 3
 
l GUESTS ~*
- The Frontier Nursing Service entertained at Wendover 90
overnight guests who stayed 299 days. In addition Wendover
entertained for meals 111 guests for 420 meals. Included among `
these guests are both outside and mountain friends.
The Frontier Nursing Service entertained at the Hyden  
Hospital overnight guests for a total of 99 days, and day guests ill)
for 843 meals. Meals served to patients totaled 21,862. { 
. il
Guests of the Frontier Nursing Service during the past year  
have included not only Americans but persons from the follow-  
ing lands:—Belgium, Canada (several), China (several), France,
India, Korea (two), Paraguay, and South Africa (several).  

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  FRoNT1ER NURSING smzvicn 11
 { VOLUNTEER WORKERS
Q A Twenty—one couriers and fourteen other volunteers worked
l for the Frontier Nursing Service a total of 1,271 days. Of these
days, 100 were spent as nurse’s aides to the Hospital in Hyden
, and 83 with the district nurses.
  A Six volunteer nurses gave a total of 93 days’ work in the
{ Hospital.
  During the time the volunteers were with the Service they
  lived at Wendover, Hyden, and the Outpost Centers.
’· SOCIAL SERVICE DEPARTMENT
  (Alpha Omicron Pi Fund)
  Services and aid have been given in connection with the
  following numbers and types of cases:
  Aid and care to 4 dependent children who are placed in
  private homes.
  Aid and care to 8 families of widows or men imable to
  work.
ll Emergency aid to 3 families who were burned out.
  Acted as Committee for family receiving Idiot’s Claim.
  Garden Seed Assistance to 5 families.
  Sent 8 patients to the Children’s Hospital in Cincinnati.
  Sent 4 patients to The Kentucky Crippled Children’s
` Commission in Louisville.
Sent 3 patients to other Hospitals for treatment, and
helped meet the cost.
· Transported 19 patients to Hazard to oculists and
dentists. _
A. Transported 10 patients to Hazard to The Kentucky
Q) Crippled Children’s Clinic.
 . Aided 4 patients in purchase of complete dentures.
  Aided in securing fitting and purchase of Hearing Aid
  for 1 patient.
i Paid expenses of 2 prenatal patients in Hyden while
l Hospital filled.

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12 THE QUARTERLY BULLETIN  
Transported 43 patients to outside physicians and hos-  
pitals by car or on passes given for them and their _‘
attendants by the Louisville and Nashville Rail- · *
road. Y
Transported 13 children to and from Boarding School.  
Distributed hundreds of articles of clothing, books, etc. _ {
Helped with preparations for Christmas Celebrations.  
Held Easter Egg Hunt. 4
Helped with local Red Cross Drive.  
Service and time given in a number of other cases of L 
miscellaneous nature in co-operation with county  
welfare and health departments, the county judges,  
the F. N. S. district nurses and hospital staff. ;
CHRISTMAS  
The Frontier Nursing Service gave toys and candy to more  
than 5,000 children at Christmas and clothing to those that L}
needed it. The Service also held Christmas parties at many dif-  
ferent places for these children, with Santa Claus, Christmas L
trees and Christmas carols. All of this was made possible by ·  
the generous responses of hundreds of people to our annual E
request card for the children’s Christmas. 1
I
III ‘
TWENTY—TWO YEAR TOTALS   ·
It will be of interest to our members to read a few totals  
covering the whole twenty-two-year period of our work.  
Patients registered from the beginning .........................,.......... 30,926  
Babies and toddlers ........,............................................. 12,656 \
School children .........................................................,.... 6,422
Total children ............... . ........................................ 19,078 il,
Adults ............................................................................ 11,848 ,
Midwifery cases (reg.) delivered ................................................ 6,809 ,,
Inoculations ...................................................................................... 149,244  
Patients admitted into the Hyden Hospital* .......................... 8,757 ; .
Number of days of occupation in Hyden H0spital* ................ 85,308 `
* For 18 years and 6 months. The F. N. S. Hospital at Hyden was opened in
the Hscal year 1928-1929 and operated only six months in that year.

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  · FRoN1·1E1>. Nuasmo simvicm is
  IV
  ENDOWMENT
Y The total endowment funds of the Service at the close of
I the fiscal year are taken from Exhibit D of the audit and are
f as follows:
  Joan Glancy Memorial Baby Crib .......,..........................   5,000.00
Mary Ballard Morton Memorial ..................................,. 85,250.83
;; Jessie Preston Draper Memorial Fund No. 1 .............. 15,000.00
  Jessie Preston Draper Memorial Fund N0. 2 .............. 50,000.00
  Belle Barrett Hughitt Memorial .................................... 15,000.00
  Isabella George Jeffcott Memorial ................................ 2,500.00
{ Bettie Starks Rodes Memorial Baby Crib .................... 5,000.00
S John Price Starks Memorial Baby Crib ...................... 5,000.00
jl Eliza Thackara Fund ..,..._.,..................._....................,..., 1,118.87
  Children’s Christmas Fund in Memory of Barbara
  Brown ........................................ Z ............................... 1,000.00
  Marion E. Taylor Memorial ................ I ............................,. 10,000.00
 { Fanny Norris Fund .......................... 4 ........... L .................... 1 0,000.00
  Marie L. Willard Legacy ................................. Q ................ 3,127.36
.   William Nelson Fant, Jr. Memorial .... ’ .......................... I .; 78,349.52
E   Charles H. Moorman Bonds .................................... 500.00
, Lillian F. Eisaman Legacy .............................. . ............... 3,250.00
  Donald R. McLennan Memorial Bed ...................... .. ..... 12,750.00
5 Lt, John M. Atherton Memorial Fund .......................... 1,000.00
ll V Mrs. Morris B. Belknap Fund ........................................ 10,000.00
t Elisabeth Ireland Fund .................................................... 12,120.00
· Louie A. Hall Legacy in Memory of Sophronia Brooks
  for a Center and Its Endowment ...................._..... 37,457.11
  Margaret A. Pettet Legacy ............................................ 1,953.70
S Elizabeth Agnes Alexander Legacy .............................. 5,000.00
‘ Richard D. McMahon Legacy ........................................ 17,265.00
» Anonymous General Endowments .................................. 102,400.00
 "l Mrs. W. Rodes Shackelford’s Fund in Memory of
Q her two children ........................................................ 1,000.00
  Cassius Clay Shackelford (a boy)
  i Rodes Clay Shackelford (a girl)
, Total _.................... . .................................................... $491,042.39

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14 THE QUARTERLY BULLETIN I
.§
V .
BUDGET FOR FISCAL YEAR 1947-1948
HYDEN HOSPITAL and
FRONTIER GRADUATE SCHOOL OF MIDWIFERY:
EXPENDITURES BUDGET ,
‘ 1946-1947 1947-1948  
1. Salaries and Wages ................,...,.,. $ 19,624.73 $ 20,000.00 { `
2. Running Costs (food, cows, elec- ·
tricity, fuel, laundry, freight,  1
haulage, et cetera) .......................... 11,366.57 11,000.00 s'
3. Dispensary Supplies (Note 1) ...... 7,861.04 8,000.00  g
4. Medical Director (Note 2) ............ 3,102.18 3,000.00
$ 41,954.52 $ 42,000.00 $ 42,000.00 ,
DISTRICTS (Wendover and Six Nursing Centers):  E.
1. Salaries and Wages (Note 3) ...... $ 26,675.55 $ 27,000.00 Z
2. Feed and Care of Horses (Hos— ,  ,
pital, Graduate School, Wendover, A
and 12 districts) .............................. 9,481.70 10,000.00 i
3. Cars, Jeeps, Truck, Station- Y ·
g Wagon-Ambulance (Ditto) ............ 2,666.13 3,000.00  I
4. Running Costs (food, minus board  
of residents; cows, fuel, kerosene, I
candles, laundry, freight, haul-  L
age) .................................................... 8,771.57 9,000.00  '
_ $ 47,594.95 $ 49,000.00 $ 49,000.00 ¤_
ADMINISTRATIVE EXPENSES: 1
Salaries, accounting, auditing, oilice  Q
supplies, printing, telephone, ;
telegraph, postage, et cetera  s
(Note 3) .............................................. $ 17,403.74 $ 17,000.00 $ 17,000.00  i
GENERAL EXPENSES:  
1. Social Service .................................... $ 3,370.85 $ 3,300.00 I
. 2. Insurance (Fire-—$209,000.00 cov- {
erage, Employer’s Liability, full
_ coverage on station wagon, truck, `
car, and jeeps) .................................. 3,554.33 3,200.00
3. Quarterly Bulletins (covered by ,
subscriptions, with small surplus) 3,091.32 3,100.00 {
4. Statistics and Research (Note 3).. 3,005.83 3,000.00  
5. Miscellaneous Projects such as: .
Doctors, nurses, and cadets for  =
study and observation .................. 1,671.58 1,600.00 · 
6. Uniforms .......................................... —— 2,000.00  ‘
7. Miscellaneous Promotional Ex- _
penses Beyond the Mountains ...... 493.95 500.00 ,»
$ 15,187.86 $ 16,700.00 $ 16,700.00 A
8. Maintenance of Properties and +
Replacement of Equipment and
Livestock (Auditor’s Valuation:
` $268,713.46) ...................................... $ 11,667.82 $ 5,300.00 $ 5,300.00 g.
$133,808.89 $130,000.00 $130.000.00  
Note 1: Approximately one-third of supplies relayed to districts. El
Note 2: Approximately one-fourth of his time spent on districts. g"
Note 3: Audit shows larger expenditures, due exclusively to repayment of `.
remaining two-thirds on old salaries and in settlement of old claim. Y

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5 1¤RoN1·1ER NURSING smavicm is
  CONCLUSION
‘ It is obvious from our report that we have suffered the
t hardships of staff shortages and an income inadequate to meet
  the increased cost of living. The work we do is unique in that
E — there is no other in the United States which combines a vast
  demonstration field of remotely rural medical, nursing, mid-