xt70k649q77d https://exploreuk.uky.edu/dips/xt70k649q77d/data/mets.xml The Frontier Nursing Service, Inc. 1980 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 Frontier Nursing Service Quarterly Bulletin, Vol. 56, No. 1, Summer 1980 text Frontier Nursing Service Quarterly Bulletin, Vol. 56, No. 1, Summer 1980 1980 2014 true xt70k649q77d section xt70k649q77d ' FIFTY-FIFTH ANNUAL REPORT
. VOLUME 56 SUMMER, 1980 NUMBER'!
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FRONTIER NURSING SERVICE QUARTERLY BULLETIN All
US ISSN 0016-2116  R
Published at the end of each quarter by the Frontier Nursing Service, Inc. ‘
Wendover, Kentucky 41775
Subscription Price $2.00 a Year
Edit0r’s Office, Wendover, Kentucky 41775
VOLUME 56 SUMMER, 1980 NUMBER 1 `
Second-class postage paid at Wendover, Ky. 41775 and at additional mailing offices
Send Form 3579 to Frontier Nursing Service, Wendover, Ky. 41775
Copyright 1980, Frontier Nursing Service, Inc. —
.’  I

 I
l CONTENTS
1
J ARTICLE AUTHOR PAGE
  Annual Report 2
  Transmittal Letter 3
  Audited Financial Statement 4
  Statement of Contributions 13
T Placed in Trust
  Statement of Donations 14
{ and Subscriptions
  Report of Operations 15
l Letter from the Director 18
l The Fifty-Fifth Annual Meeting 19
l The Home Health Agency Anne Standley and Rachel Buff 21
MBH Birthing Room Susan Albritton Worley, C.N.M. 24
E "Criers of the Storm" Battle Alexander Beasley 26
i  New Medical Director 27
2 The Birth of a Nurse Midwife Anne Richter, C.NM 28
 T The Affiliation at Mound Bayou Sr. Paula Smith, CNM. 30
l The Prevention and Early 32
 2 Interception of Dental Disease Aubrey Hopkins, DMD.
l  Student News 34
f  The Baker Baby Betty Lester 38
  Small Baby Boom at FNS 38
  I Old Staff News 40
  Old Courier News 41
3 Urgent Needs 44
V   Memorial Gifts 45
 1 In Memoriam 47
  Oneida Horse Show 48
  The Duck’s Tale Tina Thuermer Hall 50
tl Field Notes 56
2
 l
1
 %
 1

 2 FRONTIER NURSING SERVICE
FIFTY-FIFTH ANNUAL REPORT Q
of the _Q
FRONTIER NURSING SERVICE, Incorporated A:
for the Fiscal Year E
May 1, 1979 to April 30, 1980 °
 
PREFACE  
As has been our custom since we were one year old, we present  
i.
our annual report of the fiscal affairs and the field of operations of  
the Frontier Nursing Service, Incorporated.  
We have, as in previous years, divided our report into two -.
sections. One section is about money, and one section about work.  
FISCAL REPORT  
The figures that follow are taken from the Balance Sheet, the I
Exhibits and Schedules of the Audit for the fiscal year which  ,
A ended April 30, 1980. Q 

 § QUARTERLY BULLETIN 2.
  Citizens Bank Square
  Lexington, Kentucky 40507
(V 606/254-3328
  Board of Governors
i Frontier Nursing Service, Inc.
F Hyden, Kentucky
  We have examined the balance sheets of Frontier Nursing
  Service, Inc. as of April 30, 1980 and 1979, and the related
Q statements of revenues and expenses, changes in fund balances
_, and changes in financial position for the years then ended. Our
, examinations were made in accordance with generally accepted
{ auditing standards and, accordingly, included such tests of the
Q4 accounting records and such other auditing procedures as we
— considered necessary in the circumstances.
  In our opinion, the financial statements referred to above present
I fairly the financial position of Frontier Nursing Service, Inc. at
  April 30, 1980 and 1979, and the results of its operations and
`Q changes in its financial position for the years then ended, in
  conformity with generally accepted accounting principles applied
  on a consistent basis.
  A
  (é/x,.4,4.(';· v¢  
  Lexington, Kentucky
August 13, 1980

 4 FRONTIER NURSING SERVICE
BALANCE SHEETS
FRONTIER NURSING SERVICE, INC.
` \
April 30 4
1980 1979 I
UNRESTRICTED FUNDS EM
CURRENT ASSETS 4
Cash and short term investments $ 272,008 $ 343,938
Accounts receivable:
Patients 1,323,655 964,364 1
Other 107,668 9,449 ,
1,431,323 973,813 g
Less allowance for uncollectible accounts 730,570 565,100 ,
700,753 408,713 ,
Due from Medicaid-estimated--Note B -0- 87,599 ;
Inventories--Note A 95,192 116,663 T
Prepaid expenses 42,330 26,476 g
TOTAL CURRENT ASSETS 1,110,283 983,389 ~
PROPERTY, PLANT, AND EQUIPMENT-—Note A E
Land 103,945 104,994 {
Buildings 2,341,051 2,334,677 `
Equipment 2,178,501 2,101,941 `
4,623,497 4,541,612 U
Less allowance for depreciation 1,479,335 1,321,435 Q
3,144,162 3,220,177 ,
BOARD-DESIGNATED FUNDS--Notes A and D E
Consolidated Investment Fund X
Cash 1,690 2,159 y
Investments 1,808,197 1,590,603 p
1,809,887 1,592,767
Less endowment fund investments (restricted) 199,919 194,328 Q
1,609,968 1,398,439 w
55,864,413 $5,602,005 i`
RESTRICTED FUNDS
Endowments--Notes A and D 4
Cash s 15,472 s 265  *
, Student loan receivable 45,651 -0- Q
, Investments 504,314 502,314  '‘'
x Investments included in Consolidated Investment I
Fund 199,919 194,328 2
§ 765,356 5 696,907 1
, Certain 1979 amounts have been reclassified to conform to 1980 classifications i
l See notes to financial statements I

 QUARTERLY BULLETIN 5
April 30
3 1980 1979
UNRESTRICTED FUNDS
i CURRENT LIABILITIES
L Accounts payable S 175,382 S 123,307
Accrued salaries and payroll taxes 121,913 108,338
- Accrued vacation expense 108,062 102,041
I Unexpended portion of special purpose funds 123,663 80,835
jr. Other current liabilities -0- 128,732
1 Payable to third party programs--Note B 98,178 -0-
{ Current portion of 1ong—term debt--Note E 21,695 19,402
k TOTAL CURRENT LIABILITIES 648,893 562,705
LONG—TERM DEBT less current portion--Note E 59,115 72,000
, FUND BALANCE 5,156,405 4,967,300
 
1 $5,864,4 } $5,602,005
A RESTRICTED FUNDS
8 Fund Balance
T Permanent; $ 665,356 $ 596,907
F` Term 100,000 100,000
Q, ·T—·—*— it
Ut § 76§,§56 § 696,907
!

 6 FRONTIER NURSING SERVICE
STATEIENTS OF REVENUES AND EXPENSES
FRONTIER NURSING SERVICE, INC. _
Year Ended April 30 I
1980 1979 z
PATIENT SERVICE REVENUE L
Mary Breckinridge Hospital:
Inpatient services $1,979,532 $1,729,279 U
Outpatient services 443,493 327,846 T
Primary care center 757,554 731,403
Primary care extensions 347,053 228,879 ·
Home health 356,476 218,188 k
3,884,108 3,235,595 Q
Less contractual allowances, charity, and Q
bad debts 1,000,438 888,481
NET PATIENT SERVICE REVENUE 2,883,670 2,347,114
OTHER OPERATING REVENUE 800,622 813,294 {
TOTAL OPERATING REVENUE 3,684,292 3,160,408 S
OPERATING EXPENSES 4,506,968 4,230,665 y
LOSS FROM OPERATIONS (822,676) (1,070,257)
NONOPERATINC REVENUE 4
Unrestricted donations:
Deposited into Consolidated Fund 129,936 98,692
Retained for use in operations 383,036 307,570 r
Unrestricted income from endowment and ·
other funds 30,525 25,367
Investment income from Board-designated funds 140,828 136,270
Gain (loss) from sale of investments--Board-
designated funds 72,532 (412) I
Other nonoperating revenue 87,009 49,950 ,
843,866 617,437 h
EXCESS (DEFICIENCY) OF REVENUE OVER
EXPENSES BEFORE FOLLOWING ITEM 21,190 (452,820) I
Revenue from donated services resulting from
waiver of refund for services in the fiscal V
year ended April 30, 1979-—Note F 120,135 -0-
EXCESS (DEFICIENCY) OF REVENUE
OVER EXPENSES § 4 ,§2§ S (452,820) "
\
Certain 1979 amounts have been reclassified to conform to 1980 classifications. Q
3 See notes to financial statements `
<  -

  
STATEMENTS OF CHANGES IN FUND BALANCES
r FRONTIER NURSING SERVICE, INC.
1 Years Ended April 30, 1980 and 1979
e
11 Unrestricted Endowment Funds
1 Funds Permanent Term
ki
¤» Balances at April 30, 1978 S 5,385,99A S &93,510 $100,000
Excess of expenses over revenues for
, the year ended April 30, 1979 (A52,820)
J Restricted contribution used for
` purchase of equipment 3&,126
1 Contributions restricted for specific
€ purpose (additions to endowment) 670
1 Restricted revenue earned by endowments
J held in consolidated fund 371
{ Gain on sale of investments 102,356
E, BALANCES AT APRIL 30, 1979 &,967,300 596,907 100,GOO
F Excess of revenues over expenses for
g the year ended April 30, 1980 lel,325
T Restricted contributions used for
{ purchase of equipment 47,780
5 Restricted contributions used for
5 revolving financial aid fund 60,3&3
Contributions restricted for specific
=_ purpose (additions to EUGOWMEDC) 1,230
1 Restricted revenue earned by endowments
· held in Consolidated Fund 4,361
V \
_ Guin on sale of investments 2,515
E BALANCES AT APRIL 30, 1980 5 5,156,505 5 6§5,}56 §L00,00Q
in See notes to financial statements

 8 FRONTIER NURSING SERVICE
STATEM NTS OF CHANGES IN FINANCIAL POSITION Q
FRONTIER NURSING SERVICE, INC. A
Year Ended April 30 Q
1980 1979 L
souacr or FUNDS if
Loss from operations $ (822,676) $(1,070,257) I
Provision for depreciation (which did 1,
not require funds) 203 079 191 119 `
FUNDS REQUIRED FOR OPERATIONS (619,597) (879,138) —
Nonoperating revenue 843,866 617,437 ‘
Revenue from donated services resulting V
from waiver of refund for services in T
the fiscal year ended April 30, 1979 120,135 -0-
344,404 (261,701) I
Disposals of property and equipment 2,727 -0- ,
Decrease in Board—Designated funds -0- 31,918 `
Contributions restricted for purchase '
of equipment 47,779 34,126 Q
Increase in long-term debt -0- 70,705
394,910 (124,952) ·
APPLICATION OF FUNDS ·
Additions to property and equipment 129,790 100,205
Increase in Board-Designated funds 211,529 -0- *
Decrease in long-term debt 12,885 -0- 1
354,204 100,205 3
INCREASE (DECREASE) IN WORKING CAPITAL § 40,206 § (225,157) »
CHANGES IN COMPONENTS OF WORKING CAPITAL 4
Increase (decrease) in current assets: ·
Cash and short term investments S (71,930) S 28,591 ,
Accounts receivable - net of allowance 292,040 47,987 7
Due from Medicaid (87,599) (197,401)
Inventories (21,471) (2,398) j
Prepaid expenses 15,854 7,648 {
126,894 (115,573) l'
Increase (decrease) in current liabilities: E
Accounts payable 52,075 (1,149) ·
Accrued salaries and payroll taxes 13,575 17,913
~ Accrued vacation expense 6,021 10,258 "“
, Unexpended portion of special ‘
; purpose funds 42,828 26,507 T
j Other current liabilities (128,782) 37,954 E
{ Payable to third party programs 98,178 -0- ,
j Current portion of long-term debt 2,293 18,101 Q
j 86,188 109,584 I
3 INCREASE (DECREASE) IN WORKING CAPITAL S 40,706 § (225,157) ·
I See notes to financial statements Q

 QUARTERLY BULLETIN 9
NOTES TO FINANCIAL STATEMENTS
_ FRONTIER NURSING SERVICE, INC.
April 30, 1980 and 1979
R, -
ry NOTE A--SUTDMRY OF SIGNIFICANT ACCOUNTING POLICIES
5 Patient Service Revenues: Patient service revenues are reported on an accrual
V basis in the period in which services are provided, at established rates regard-
V- less of whether collection in full is expected. Contractual allowances,
g charity, and bad debts are reported as deductions from patient service revenue
I on an accrual basis.
; Unrestricted Donations and Grants: Donations and grants which are not
Q restricted by donors are reported as nonoperating revenue.
I Investments: Investments are stated in the financial statements at cost or,
Q` if donated, at fair market value at the date of donation. Investment income
{ is accounted for on the cash basis which is not significantly different from
¥ the accrual method. Gain or (loss) from sale of investments is the difference
j between proceeds received and the carrying value of the investment sold.
._ Unrealized gains or losses are not reflected in the accompanying financial
§ statements.
»» Board—Designated Funds: The Board of Governors has designated the Consolidated
I Investment Fund for accumulating funds for such operating and general purposes
`1 as they may determine. During the years ended April 30, 1980 and 1979, the
. Service transferred $-0- and $225,000, respectively, from the Consolidated
§ Investment Fund to meet operating expenses.
V The Board of Governors has designated that unrestricted donations and income
3 from the principal portion of the Consolidated Investment Fund be used to
<‘ subsidize care for indigent patients unless such funds are specifically
Q designated by the Board for other uses.
Q iestricted Funds: Restricted funds represent endowments, the principal or
Q corpus of which cannot be expended. Income from such endowments is available
X for operating purposes and is credited to revenue when earned in accordance
{. with donor's instructions.
I At April 30, 1980, endowment funds included a term endowment consisting of a
$100,000 unsecured note receivable due December Bl, 1988 which is reflected
*`. at a zero market value.--See Note D.
 L
r Frontier Nursing Service, Inc. is also income beneficiary of certain trust
—‘ funds (aggregate market value at April 30, 1980 and 1979--approximately $391,557
; and $33Q,025, respectively) which are not administered or controlled by the
L Service. Accordingly, such funds are not reflected in the balance sheets at
A April 30, l980 and 1979.
3 Resources restricted by donors for additions to property are recorded as
increases to the unrestricted fund balance when expended for the purposes
intended. Resources restricted by donors for specific operating purposes are
. credited to other operating revenues when expended for the purposes intended.

  I
 €
.1
 
10 FRONTIER NURSING SERVICE  
NOTES TO FINANCIAL STATEMENTS——CONTINUED E
FRONTIER NURSING SERVICE, INC. Q
April 30, 1980 and 1979 9
F 1
l` '
,5
NOTE A——MDDmRY OF SIGNIFICANT ACCOUNTING POLICIES--CONTINUED 3F
:1
gayegtories: Inventories are stated at cost (first—in, first-out method) gi
wnich is not in excess of market. E;
?rope;ty_und Equipment: Property and equipment is stated at cost, or fair {
market value at date of donation for items donated to the Service. Depre- I
ciation has been computed on the straight—line method over the estimated (
useful lives generally as follows:
Buildings (including components) - 10 to @0 years _
Equipment - 5 to 15 years
Vehicles — 3 years }
NOTE B--MEDICARE AND MEDICAID PROGRAMS E
The Service participates in the Medicare and Medicaid programs (including E
Tr;nary Cure) for eligible services. Under cost reimbursement formulas for H
Medicare and Medicaid in effect for the years ended April 30, 1980 and 1979, 1
eligible program costs for the Hospital and Primary Care Center are in excess j
of customary charges for service, and reimbursement, therefore, is limited to g
the lesser of cost or customary charges. During the year ended April 30, i
1979, Home Health Agency reimbursements were similarly limited. The Service Q
has recorded estimated amounts payable to the Programs through April 30, 1980;
however, the Programs' administrative procedures preclude a final determination l
of amounts due until after the Service's cost reports are audited or other- I
wise reviewed and settled upon. Audits or reviews of the cost reports have
been substantially completed through the year ended April 30, 1979, and adequate `
provision has been made for the results thereof. {
From May ll, 1973 to February 9, 1973, the Hyden hospital was terminated as a l
provider of services under the federal Medicare and state Medicaid programs.
Qhe Service has been retroactively reinstated as a provider of services under
rnrwe programs for that period. During the year ended April 30, 1979, the Q,p
Service received final settlement (approximately $128,000) from the Medicare l
prueram. Settlement under the state Medicaid program (approximately $165,000) Q
was pending at April 30, 1979. During the year ended April 30, 1980, the l
Service received final settlement from the Medicaid program. The difference .
(approximately $16,000) between the final settlement and the amount previously
estimated is reflected in the 1980 financial statements. {
' NOTE C--RETIREMENT PLAN Q
i Frontier Nursing Service, Inc. has a retirement plan for regular ful1—time i
. emolovees with 1,000 hours of continuous service who are twenty-five years of ;
Q age or more. The policy of the Service is to fund pension costs accrued. Past
l service liability is being funded over a period of 20 years. Total retirement Q
1 plan expense for the years ended April 30, 1930 and 1979 was $56,277 and {
E :Q7,l30, respectively. “
I  V

 I
»
1
1
I,
g QUARTERLYBULLEHN U
 
»K NOTES TO FINANCIAL STATEMENTS--CONTINUED
1 ERONTIER NURSING SERVICE, INC.
E
I3
Bj April 20, 19220 and 1979
:\
is
fi NOTE D--INVESTMENTS
J
I
{M The carrying value and approximate market value at April 30, 1980 and 1979
{ are summarized as follows:
L 1980 1979
Carrying Carrying
Value Market Value Market
, Investments recorded in:
[ Boart-designated funds:
Consolidated Investment Fund:
{ U. S. Government obligations 5 358,207 S 356,372 S 53,256 $ 52,397
I Corporate bonds 736,950 490,181 736,950 669,281
E Common stocks 6l3,0Q0 995,707 700,402 1,228,675
{ Other-term endowment 100,000 -0- 100,000 -0-
l 5;,808,197 §l,8&2,260 $1,590,608 $1,950,35;
[ Endowment funds:
` Corporate bonds 5 85,028 S Q9,75l S 85,028 S 60,339
Common stocks 89,236 91,153 89,236 88,909
, Investments in common trust funds 330,050 340,163 328,050 349,565
i S 504,§15 § A8l,067 § 502,21Q § &98,81}
x
é NOTE E--LONG-TERM DEBT
I
} Long-term debt consists of the following:
I April 30
i 1980 1979
2
6* unsecured promissory note to an individual,
_ principal is payable in annual
,,, installments of 518,000 through April,
l 193L; interest is payable in semi—annual
installments through April, 198h 5 72,000 $ 90,000
2
l, 5.75Z installment note to IBM; payable
‘ in monthly installments of $108 through
I January, 1930; collaterialized by equip-
i ment costing $7,200 -0- l,&02
g Non—interest bearing unsecured installment
j note to DHEN; payable in two installments--
i 53.858 due 6/30/80 and $&,952 due 6/30/81. 8,810 -0-
rl 80,810 91,402
_ Less: Current Portion 21,695 19,502
9 TOTAL LONG-TERN PORTION § 59,115 5 72,000

 i
12 FRONTIER NURSING SERVICE
NOTES TO FINANCIAL STATENENTS——CONTINUED i
FRONTIER NURSING SERVICE, INC. V
April 30, 1980 and 1979 ;
 "
NOTE F——REVENUE FROM DONATED SERVICES jk
u
Revenue representing the value of donated services for salary expenses of 3
professionals provided by National Health Services Corps (NRSC) has been —
recorded, in 1980, based upon the expectation of receiving a waiver for
refunding the value of such services to NHSC. In prior years, it was not
possible to determine, in advance, that a waiver would be received. As a
result of recording revenue based upon the expectation of receiving the
waiver, revenue recorded in 1980 consist of the following: `
kvenue resulting from waiver received g
during the year ended April 30, 1980
for services rendered in previous year $120,135 ”
Revenue recorded in 1980 for services 1
rendered in 1980 (reported as other 0
operating revenue) 178,642
$298,777 _
 
{L

 G QUARTERLY BULLE'I‘IN 13
j FRONTIER NURSING SERVICE, INCORPORATED
CONTRIBUTIONS PLACED IN TRUST
 S May 1, 1979 to April 30, 1980
 W In previous Annual Reports it has been our custom to list all
  contributions placed in trust since 1925. To make this section of
_;  our Annual Report more manageable to compile, and in our effort
_  to keep printing costs down, we are listing previous trust funds
 , which have had additions and new contributions which were
placed in trust during this fiscal year.
Frontier School of Midwifery and Family Nursing
Mrs. Paul B. Crapsey Legacy in memory
  of her son, Timothy
- The Friends Fund
  Branham Fund
  Kate Ireland Fund
  Anne Steele Wilson Memorial
. Bolton Foundation
V Ann Allen Danson Memorial Fund
y Elizabeth Canby Bradford duPont Memorial
X Lucie Wilshire Graham Memorial
A Wilson Neel Memorial Baby’s Crib
William Waller Carson Fund in honor of
t Katherine Breckinridge Carson Breckinridge
A Thomas G. Spencer Legacy
5 Louise H. Parsons Legacy
·  Grace Merrill Magee Legacy
’ {_ Winifred Dole Mann Legacy
_` Katharine A. Robb Legacy

  
FRONTIER NURSING SERVICE, INCORPORATED
LEXINGTON, KENTUCKY _
STATEMENT OF DONATIONS AND SUBSCRIPTIONS PAID  i
MAY 1, 1979 TO APRIL 30, 1980  
SUMMARY  
 t
Benefits and `
Contributions Bargain Box Total ·
Baltimore Committee ............................. $ 1,029 $ $ 1,029 5
Boston Committee ................................ 20,588 7,000 27,588
Chicago Committee ............................... 12,064 12,064 ‘
Cincinnati Committee ............................. 4,285 4,285 ’
Cleveland Committee ............................. 75,338 75,338 _ 
*Daughters of Colonial Wars ....................... 5,677 5,677 ;
Detroit Committee ................................ 12,979 12,979  _
Hartford Committee ............................... 1,420 1,420 {
**Kentucky:  §
Blue Grass Committee ........................ 40,704 1,800 42,504 Q
Louisville Committee .......................... 22,643 22,643  1
Miscellaneous State ........................... 53,591 53,591
Minneapolis Committee ........................... 2,096 2,096
New York Committee .................. _ ........... 99,081 5,433 104,514 I
Philadelphia Committee ........................... 17,720 3,767 21,487
Pittsburgh Committee ............................. 58,988 58,988 A
Princeton Committee .............................. 969 969
Providence Committee ............................ 544 544
Rochester Committee .............................. 2,208 2,208
Washington, D.C. Committee ..................... 19,330 5,000 24,330
Miscellaneous .........,........................... 73,772 73,772 ,
TOTALS .......................................... $525,026 $23,000 $548,026  N
Total Contributions Above
Restricted $165,138  dl
Unrestricted 359,888 i
$525,026  
*Donations from various state chapters.
  **Tota1 for Kentucky: ..........,.................... $116,938 1,800 $118,738
` `

 QUARTERLY BULLETIN 15
_ II.
. REPORT OF OPERATIONS
 N Comparative Analysis of Service Provided
 { In the Two Fiscal Years, 1979 and 1980
r  1-
 1 HOSPITAL
  1979 1980
ADMISSIONS
V Medical-Surgical, Obstetrics, &
  Pediatrics ............................ 2,064 1,955
,’ Newborn ............................. 330 319
I TOTAL ADMISSIONS .................. 2,394 2,274
 _ DEATHS
 r Institutional (over 48 hours) .......... 20 17
  Institutional (under 48 hours) ......... 13 11
. Non-Institutional (ER or OPD) ....... 11 11
 i TOTAL DEATHS ....................... 44 39
` PATIENT DAYS
 . All Patients (except newborn) ......... 9,111 8,488
Percent of Occupancy ............. 62% 58%
Newborn ............................. 1,382 1,343
Percent of Occupancy ............. 38% 36.7%
I TOTAL PATIENT DAYS ............... 10,493 9,831
AVERAGE DAILY CENSUS
` All Patients (except newborn) ......... 25 23.2
. Newborn ............................. 3.8 3.7
Q H AVERAGE LENGTH OF STAY
  All Patients (except newborn) ......... 4.4 4.3
rg Newbom ............................. 4.2 4.2
  OPERATIONS
T Major ................................ 213 166
Minor ................................ 185 234
ENT ................................. 31 102
TOTAL OPERATIONS .................. 429 502
AN ESTHESIA .......................... 429 502

 16 FRONTIER NURSING SERVICE
X—RAY EXAMINATIONS Z
Inpatient Procedures ..... . ........... 1,65 1,641  _
Outpatient Procedures ................ 4,515 5,003  
TOTAL ................................. 6,168 6,664  
EKGs  ig
Inpatient ............................. 851 846  ;
Outpatient ........................... 585 717 Q,
TOTAL ................................. 1,436 1,563 `F 
LABORATORY  
Inpatient ............................. 17,848 19,507 Q
Outpatient ........................... 25,238 27,761
Referred in from District ............. 11,136 16,096 A 
Referred out to Lexington ............ 5,821 7,173
TOTAL ................................. 60,043 70,537  V
TOTAL PATIENTS SEEN IN THE  e
PRIMARY CARE CENTER  {
(OUTPATIENT DEPARTMENT) ........ 30,557 27,764 _
Average Primary Care Center  i
Visits Per Day ....................... 117.1 103.6 J
*EMERGENCY ROOM VISITS .......... 7,139 5,939  
Total Patients Admitted to ;
Hospital From Emergency Room ..... 766 678  
DENTISTRY  `
Inpatient ............................. 16 9 `
Outpatient ........................... 2,956 2,268  '
TOTAL ................................. 2,972 2,885 2 
PHYSICAL THERAPY  tl,
Outpatients .......................... 624
Treatments Given ................. 934 1,120
Inpatients ............................ 479 .
Treatments Given ................. 756 944  I *‘
Home Health Patients ................ 13  I
Treatments Given ................. 15 52  °
i TOTAL PATIENTS ..................... 1,116 '
  TOTAL TREATMENTS .............. 1,705 2,116
` -
  RESPIRATORY THERAPY TREATMENTS .'
  Inpatient Treatments ................. N/ A 6,368 I
5 Outpatient Treatments ............... N/ A 1,478 _
Q TOTAL R.T. TREATMENTS ............ N/ A 7,846  
l

 QUARTERLY BULLETIN 17
PRESCRIPTIONS FILLED ............. 67,205 66,428
ii 2.
;  WOOTON DENTAL CLINIC
 l], Inpatient ................................ N/ A N/ A
'i·  Outpatient .........4.................... N/A 667
  *Includes Weekends and Holidays
S 3.
{ DISTRICT NURSING
$ 1979 1980
_ District HHA Total District HHA Total
A Patients Attended .......... 10,326 100 10,426 10,863 174 11,037
 = Children and Babies .... 3,504 6 3,510 3,743 5 3,748
 .— Families Attended .......... 3,409 95 3,504 3,936 158 4,094
 2 TOTAL VISITS ............ 18,493 5,298 23,791 22,893 7,016 29,909
 L_ 4.
 V MIDWIFERY
I Registered Cases
1 1979 1980
  Women Attended in Childbirth ............................ 337 323
*  Live Births ................................................ 325 318
 -_ Twin Deliveries ........................................ 5 2
‘ Mjscarriages .............................................. 13 7
* Stillbirths ................................................. 4 O
 ‘ Delivered by Physician .................................... 43 35
Q_ New Cases Admitted ...................................... 374 359
` Matemal Deaths .......................................... 0 O
 i #‘ Emergency Cases
Emergency Deliveries ..................................... 31 25
 . _ Live Births ................................................ 6 5
{_ " Twin Deliveries .................,...................... 0 0
 1 Emergency Miscarriages .................................. 22 20
z Matemal Deaths .......................................... 0 O
III.
- FIF’I`Y-FIVE YEAR TOTALS
I 1979 1980
Patients registered from the beginning ..................... 69,809 71,599
P Children (including babies under 1 year) ................... 41,704 42,651

 rs F1zoN·r1ER NURSING SERVICE
Adults ..................................... . ............ 28,105 28,948 {
Maternity Cases (registered) delivered ..................... 18,535 18,858  ‘
Matemal Deaths: 11 (9 puerperal, 2 cardiac) { 
53,510 55,465 `
Number of Days of Occupancy in FNS Hospital ........... 412,932 421,420  L
*For 51 years and 6 months. The FNS Hospital in Hyden was opened in the fiscal Q  
year 192829 and operated only six months in that year. QE
 S)
KATE IRELAND, National Chairman  I
HOMER L. DREW, Treasurer I
ELAINE M. PENDLETON, R.N., C.N.M., Director I
To All FNS Staff and Employees:  1
The auditors have approved our books for the fiscal year 1979- if 
1980 and for the first time in thirteen years, we have stayed within  Q
our budget. We have held the annual budget increase to 6.5%, .
compared to the 1978-1979 rate of 9% and the national average of  
12.8%.  
All of this is due to your hard work to cut spending, get more  ·
done with fewer people, and hold the line against a staggering rate g ’*
of inflation while continuing to offer quality care to our patients.  . 
You and Dr. Beasley are to be congratulated for the tremendous  A V
effort and stunning success these figures reflect. gi
1 I thank each and everyone of you. ‘
1 Mrs. Elaine M. Pendleton, R.N., B.S., C.N.M., M.A.  »
, Director Q

  H QUARTERLY BULLETIN is
THE FIFTY-FIFTH ANNUAL MEETING
i The Annual Meeting of Trustees, members and friends of the
  FNS was held at Spindletop Hall near Lexington, Kentucky, on
;f June 6, 1980. The meeting was called to order by the national
  chairman, Miss Kate Ireland, and Rev. Geoffrey Ashworth gave
 #3 the invocation. A pleasant luncheon which was arranged by Mrs.
_,  Betty Kenan, co-chairman, and the members of the Blue Grass
R Committee, preceded the business meeting.
A Following the luncheon, Miss Ireland introduced several
; special guests and then presented the speaker, Dr. Grady Stumbo,
P; Secretary of Human Resources for the state of Kentucky and
 5 Trustee of the FNS. Dr. Stumbo brought greetings and best wishes
 ‘ from Governor and Mrs. John Y. Brown, Jr., and spoke about the
. role of his department. His philosophy of health care includes "a
» commitment to the kind of programs that FNS has had for fifty-
 — five years". Dr. Stumbo expressed his strong belief in the future
growth of home health care in Kentucky and used the FNS Home
‘ Health Agency as a model of health care to home bound patients.
The treasurer, Mr. Homer L. Drew, introduced a resolution
 - expressing the appreciation of everyone associated with Frontier
t Nursing Service to Mr. Henry Heyburn for his dedication in
j serving on the Board of Governors as legal advisor and one who
Q. supports the goals and philosophies of the FNS. Mr. Heyburn
 A retired from the Board of Governors and the resolution was made
 j a part of the minutes of the meeting as a small token of our
i appreciation. Also, Mr. Heyburn was elected an honorary member
  to the Board of Governors.
 vi The members of the Board of Governors whose terms had
 ¥ expired were re-elected. They are: Mr. W. F. Brashear, Hyden,
 j Kentucky; Mr. C. V. Cooper, Hazard, Kentucky; lVIiss Fredericka
 ,:3 Holdship, Sewickley, Pennsylvania; Mrs. Clinton W. Kelly, III,
  Reston, Virginia; and Mr. John H. Kerr, Jr., Lexington, Kentucky.
 A Elected to the Board were two long-standing friends of the
` FNS: Mr. James Mosley, Hyden, Kentucky and Mr. Kenneth J.
A Tuggle, Louisville, Kentucky.
· Nine people who have given distinguished service as Trustees
· were elected as Honorary Trustees: Miss Sarah Gibson Blanding,
, Newtown, Pennsylvania; Mr. Kenyon Castle Bolton, Cleveland,
g Ohio; Mr. A. B. Comstock, Louisville, Kentucky; Mr. John

 20 Fnoimmz NURSING smzvicz  ,
Sherman Cooper, Washington, D.C.; Mrs. Cleveland Marcum,
Lexington, Kentucky; Mrs. Langdon Marvin, New York, New Z
York; Mrs. Elinor M. Moore, Lexington, Kentucky; Hon. Thruston {
B. Morton, Louisville, Kentucky; and Mr. Arnold Whitridge, New  
York, New York.  
Five people who have been active with various aspects of the Q
FNS were elected as Trustees. They are: Dr. 'I`im Lee Carter,  
Washington, D.C.; Mr. Jack Maggard, Hyden, Kentucky; Mrs.  *
Henry Meigs, Frankfort, Kentucky; Mrs. Hal H. Newell, Potomac, I
Maryland; and Miss Margaret Watkins, Detroit, Michigan. _
General Joe L. Hamilton, National Commander ofthe Order of
Kentucky Colonels, presented a check to the FNS in the amount of
$5,000. General Hamilton said that the Colonels base the awar- ,
ding of their grants on need and on the programs which an »
institution such as Frontier Nursing Service provides. The  .
Colonels is an organiz