xt7ngf0mtr1k https://exploreuk.uky.edu/dips/xt7ngf0mtr1k/data/mets.xml The Frontier Nursing Service, Inc. 1981 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. 57, No. 1, Summer 1981 text Frontier Nursing Service Quarterly Bulletin, Vol. 57, No. 1, Summer 1981 1981 2014 true xt7ngf0mtr1k section xt7ngf0mtr1k suns".,
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Mary Breckinridge, L.L.D., R.N., S.C.M., 1881-1965
Founder and Director 1925-1965
1981 ——~ The 100th Anniversary of Her Birth

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Lewis, and Vanda Summers ,
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   I
FRONTIER NURSING SERVICE QUARTERLY BULLETIN _, 
US ISSN 0016-2116  ’_
Published at the end of each quarter by the Frontier Nursing Service, Inc. A 'I
Wendover, Kentucky 41775 , 
Subscription Price $5.00 a Year  
Edit0r’s Ofiice, Wendover, Kentucky 41775 ( ,_
VOLUME 57 SUMMER, 1981 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 1981, Frontier Nursing Service, Inc.  

 ·    
  _·_v   CONTENTS
-   Amicus Ammon PAGE
  Annual Report 2
· Q  Transmittal Letter 3
  Audited Financial Statement 4
A raf   Statement of Contributions Placed in Trust 13
  j j?   Statement of Donations and Subscriptions 14
   IQ Report of Operations 15
`  -   Courier and Volunteer Hours and Days 18
`_   A Day In The Mountains
_ V i`   Report of the Annual Meeting 20
    I   The Great Endeavor James Sizemore 26
    Talk Back 27
  V  Staff Opportunities 30
  New Staff 31
  New Board of Governors 32
* ·;·1   . .
  That Vacation Feeling Elizabeth Washak, R.N 37
  BEAVOR sr. Valerie Chaplain, FNP 39
  Urgent Needs 41
  Old Courier News 42
  Babies! Babies! Babies! 43
    Old Staff News 44
eiéizn  i‘‘‘ e
  " Alumnae News 46
  ·?
  A Summer Spent With FNS Patty Reinking, Volunteer 53
  Memorial Gifts 56
ji   In Memoriam 58
  Field Notes 60
, ‘‘—`   l Order Form 68
 
  ’”!!’  

 J
l
‘ - 2 FRONTIER NURSING SERVICE
i
  FIFTY-SIXTH ANNUAL REPORT
i of the
A FRON TIER NURSING SERVICE, Incorporated
for the Fiscal Year
. May 1, 1980 to April 30, 1981  .
 
l 2
PREFACE  
As has been our custom since we were one year old, we present  
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.
I.
FISCAL REPORT
The figures that follow are taken from the Balance Sheet, the
Exhibits and Schedules of the Audit for the fiscal year which A
ended April 30, 1981.  Q V

 QUARTERLY BULLETIN 3
    Citizens Bank Square
Lexington, Kentucky 40507
g. 606/254-3328
W
2 ,
E z
  Board of Governors
' Frontier Nursing Service, Inc.
, Hyden, Kentucky
We have examined the balance sheets of Frontier Nursing Service, Inc. as
of April 30, 1981 and 1980, and the related 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 accounting records and such other auditing procedures as
we considered necessary in the circumstances. _
In our opinion, the financial statements referred to above present
fairly the financial position of Frontier Nursing Service, Inc. at
April 30, 1981 and 1980, and the results of its operations and changes
in its financial position for the years then ended, in conformity with
generally accepted accounting principles applied on a consistent basis.
Lexington. Kentucky
June 12, 1981

 1  
1 2
1   >
1 A
1 BALANCE SHEETS _
FRONTIER NURSING SERVICE, INC. `
April 30 Q
j 1981 1980 Q
1 UNRESTRICTED FUNDS Q
CURRENT ASSETS YL
Cash and short—term investments S 247,331 S 272,008 ‘
Accounts receivable: |?
Patients 1,476,906 1,323,655 lg
Other 85,952 107 668 1,
1,562,858 1,431,323 J
] Less allowance for uncollectible accounts 695 422 730 570 Q
867,436 700,753 5
Inventories-—Note A 122,631 95,192 2
Prepaid expenses 34,238 42,330
TOTAL CURRENT ASSETS 1,271,636 1,110,283
PROPERTY AND EQUIPMENT——Note A
, Land 142,163 103,945
Buildings 2,524,450 2,341,051
Equipment 2,231,469 2,178,501 ~
4,898,082 4,623,497
Less accumulated depreciation 1,680,104 1,479,335
3,217,978 3,144,162 ·
BOARD-DESIGNATED FUNDS-—Notes A and D
Cash 41,625 1,690
Consolidated Fund investments 1,523,045 1,808,197
Depreciation Fund investments 215,587
1,780,257 1,809,887
Less endowment fund investments (restricted) 56,000 199,919
1,724,257 1,609,968
$6,21},821 $5,864,4li
RESTRICTED FUNDS 9
ENDOWMENTS—-Notes A, C and D ~;
Cash $ 53,757 S 15,472 S;
Student loan receivable 68,204 45,651 im
Investments 704,868 504,314
Investments included in Consolidated Fund 56,000 199,919
  L.7.65....15.€z 1

    
7 April 30
{ 1981 1980
7; UNRESTRICTED FUNDS
E CURRENT LIABILITIES
{ Accounts payable S 314,034 S 175,737
E Accrued salaries and payroll taxes 153,125 121,913
g Accrued vacation expense 136,821 108,062
Q Unexpended special purpose funds 168,767 123,663
{ Other current liabilities 94,126
2 Payable to third party programs-—Note B 24,478 98,178
~ Current portion of 1ong—term debt--Note F 26,455 21,695
Q` TOTAL CURRENT LIABILITIES 917,806 649,248
`§ LONG-TERM DEBT, less current portion-—Note F 36,000 58,760
M
" FUND BALANCE 5,260,065 5,156,405
5,;.11.1..811  
RESTRICTED FUNDS
FUND BALANCE--Note C
Permanent S 882,829 $ 665,356
Term 100,000
g § 882,829 § 265,366
See notes to financial statements.

   6 FRONTIER NURSING SERVICE
{
, STATEMENTS OF REVENUES AND EXPENSES
T FRONTIER NURSING SERVICE, INC.
Year Ended April 30
1981 1980
PATIENT SERVICE REVENUES
Mary Breckinridge Hospital:
` Inpatient services $2,216,859 $1,708,544
‘ Outpatient services 851,405 682,071
Primary care center 893,634 829,803
Primary care extensions 344,690 312,003
Home health 367,951 351,687 y
, 4,674,539 3,884,108 »
Less contractual allowances, charity, and 5
` bad debts 942,689 1,000,438 i
NET PATIENT SERVICE REVENUES 3,731,850 2,883,670 `°
4 OTHER OPERATING REVENUES 778,690 800,622
TOTAL OPERATING REVENUES 4,510,540 3,684,292
OPERATING EXPENSES
Salaries and wages 2,720,118 2,329,291
Fringe benefits 302,539 228,756
Medical services and supplies 1,746,859 1,449,376
Facility costs 495,253 499,545
- 5,264,769 4,506,968
LOSS FROM OPERATIONS (754,229) (822,676)
NONOPERATING REVENUES
Unrestricted donations:
Deposited into Consolidated Fund 150,719 129,936
Retained for use in operations 406,297 383,036
Unrestricted income from endowment and
other funds 33,307 30,525
Investment income from Board-designated funds 170,003 140,828
Gain (loss) from sale of investments-—Board—
designated funds 4,092 72,532
Coal royalties 89,405
Other nonoperating revenues 19,721 87,009
873,544 843,866
EXCESS OF REVENUES OVER EXPENSES
BEFORE FOLLOWING ITEM 119,315 21,190
Revenue from donated services resulting from .
waiver of refund for services in the fiscal g)
year ended April 30, 1979——Note G 120,135 4
EXCESS OF REVENUES OVER EXPENSES § 11Q,}1§ S ]4l,}25 iQ
See notes to financial statements.
Certain 1980 amounts have been reclassified to conform to 1981 classifications

 QUARTERLY BULLETIN 7
STATEMENTS OF CHANGES IN FUND BALANCES
FRONTIER NURSING SERVICE, INC.
Unrestricted Endowment Funds
Funds Permanent Term
Balances at May 1, 1979 $4,967,300 $596,907 S 100,000
__ Excess of revenues over expenses for
i` the year ended April 30, 1980 141,325
i Restricted contributions used for
Q purchase of property and
{ equipment 47,780
Restricted contributions used for
` revolving financial aid fund 60,343
Contributions restricted for specific
purpose (additions to endowment) 1,230
Restricted revenue earned by endow-
ments held in Consolidated Fund 4,361
Gain on sale of investments 2,515
Balances at April 30, 1980 5,156,405 665,356 100,000
Excess of revenues over expenses for
the year ended April 30, 1981 119,315
Restricted contributions used for
purchase of property and
equipment 102,667
Fair value of donated land 38,000
Transfer of funds to restricted fund
balance (156,322) 156,322
Contributions restricted for specific
purpose (additions to endowment) 44,255
Restricted revenue earned by specific
purpose funds 722
Gain (loss) on sale of investments 16,174 (50,000)
Transfer of term endowment to
unexpended special purpose funds (50,000)
Balances at April 30, 1981 $5,260,065 $882,822 § -0-
{
See notes to financial statements.

 n
  8 FRONTIER NURSING SERVICE
Q STATEMENTS OF CHANGES IN FINANCIAL POSITION
l FRONTIER NURSING SERVICE, INC.
i Year Ended April 30
1981 1980
` SOURCE OF WORKING CAPITAL
` Loss from operations $(754,229) $(822,676)
Charge to operations not affecting working
capital — depreciation 209,874 203,079 -
FUNDS REQUIRED FOR OPERATIONS (544,355) (619,597)
Nonoperating revenues 873,544 843,866 6
Q Revenue from donated services resulting from {
waiver of refund for services in the fiscal _i
year ended April 30, 1979 120,135 3
329,189 344,404 (L
` Disposals of property and equipment 585 2,726
Restricted contributions used for purchase
1 of property and equipment 102,667 47,780
Donated land 38,000
~ 470,441 394,910
APPLICATION OF WORKING CAPITAL
Additions to property, equipment, and land 284,274 129,790
Increase in Board—designated funds 114,289 211,529
Decrease in long-term debt 22,761 12,885
Transfer of funds to restricted funds 156,322
577,646 354,204
(DECREASE) INCREASE IN WORKING CAPITAL §(102,205) S 40,206
CHANGES IN COMQONENTS OF WORKING CAPITAL
Increase (decrease) in current assets:
Cash and short—term investments S (24,677) $ (71,930)
Accounts receivable - net of allowance 166,683 292,040
Due from Medicaid (87,599)
Inventories 27,439 (21,471)
Prepaid expenses (8,092) 15,854
161,353 126,894
(Decrease) increase in current liabilities:
Accounts payable 138,297 52,075
Accrued salaries and payroll taxes 31,212 13,575
Accrued vacation expense 28,759 6,021 4-
Unexpended special purpose funds 45,104 42,828 {
Other current liabilities 94,126 (128,782)
Payable to third party programs (73,700) 98,178
Current portion of long-term debt 4,760 2,293 i`
268,558 86,188 -
(DECREASE) INCREASE IN WORKING CAPITAL $(107,205) $ 40,206
See notes to financial statements.

 _ QUARTERLY BULLETIN 9
NOTES TO FINANCIAL STATEMENTS
FRONTIER NURSING SERVICE, INC.
April 30, 1981
NOTE A--ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Organization: Frontier Nursing Service was organized in 1925 as a nonprofit
charitable organization. The Service's purpose is to provide needed health
Q1 services in the Appalachian area. During its early years, the Service was
§ the only provider of health services in the area and it remains the largest
N provider of health services in Leslie County and the portion of surrounding
. counties comprising its service area. The Service operates an accredited
{L midwifery and family nursing school, a home health agency, a 40 bed hospital,
‘ and provides primary care services through a primary care center and out-
lying extension clinics. Frontier Nursing Service has historically been
dependent on charitable contributions to fund a significant portion of the
costs of services and programs.
Patient Service Revenues: Patient service revenues are recorded at
established rates regardless of whether collection in full is expected.
Contractual allowances, charity, and bad debts are reported as deductions
from patient service revenues.
Unrestricted Donations and Grants: Donations and grants which are not
restricted by donors are reported as nonoperating revenues. Donations under
will are recorded when received by the Service.
Investments: Investments are stated in the financial statements at cost or,
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
between proceeds received and the carrying value of the investment sold. Un-
realized gains or losses are not included in the accompanying financial state-
ments.
Board-Designated Funds: The Board of Governors has designated the Consolidate
Investment Fund for accumulating funds for such operating and general purposes
as they may determine.
The Board of Governors has designated that unrestricted donations and income
J from the principal portion of the Consolidated Investment Fund be used to
Q` subsidize care for indigent patients unless such funds are specifically
Y designated by the Board for other uses.
i In 1981, the Board of Governors adopted the policy of funding depreciation.
" Amounts so funded are designated for replacement, expansion or improvements
- of the Service's facilities.
Restricted Funds: Restricted funds represent endowments, the principal or
corpus of which cannot be expended. Income from such endowments is available

 I
I
1
i 10 FRONTIER NURSING SERVICE
k NOTES TO FINANCIAL STATEMENTS--Continued
i FRONTIER NURSING SERVICE, INC.
l NOTE A--ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES-—Continued
i for operating purposes and is credited to revenue when earned in accordance ,
with donor's instructions.
. Frontier Nursing Service, Inc. is also income beneficiary of certain trust E
funds (aggregate market value at April 30, 1981 and 1980--approximately $440,00C
and $392,000, respectively) which are not administered or controlled by the
Service. Accordingly, such funds are not included in the balance sheets at y
April 30, 1981 and 1980.
1 Resources restricted by donors for additions to property are recorded as X
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.
Inventories: Inventories, principally medical supplies and drugs, are stated
at cost (first—in, first—out method) which is not in excess of market.
Property and Eguipment: Propertj and equipment is stated at cost, or fair
market value at date of donation for items donated to the Service. Depre-
ciation has been computed on the straight-line method over the estimated useful
lives.
NOTE B--MEDICARE AND MEDICAID PROGRAMS
The Service participates in the Medicare and Medicaid Programs for eligible
services. These Programs make interim payments to the Service based on
estimates during the year and the difference between estimated payments
and amounts actually due to the Service are determined based on cost reports
prepared by the Service at year—end. These Programs reimburse the Service
for services provided to Program beneficiaries based upon the lower of
Program costs or customary charges. In the past, costs for the Hospital and
Clinics exceeded customary charges and thus, reimbursement was limited to
the amount of customary charges. The Programs permit carrying forward
amounts not reimbursed due to this limitation for two years. During 1981, H
charges exceeded cost and a portion of such carryforward (i.e., the dif- S
ference between cost and charges) was recouped. Home Health Agency reim- Q
bursement in 1981 was not limited because of the lower of QOSC or charge `
principle. The estimated payable to the Medicare Program for the Home @
Health Agency during 1981 is included in the financial statements. Audits
or reviews of ¢he cost reports have been substantially completed by the 1
federal or state agencies through the year ended April 30, 1979 and ade-
quate provision has been made for the results thereof and other potential
adjustments for 1980 and 1981 costs reports, which have not yet been audited.

 QUARTERLYBULLEHN H
NOTES TO FINANCIAL STATEMENTS-—Continued
FRONTIER NURSING SERVICE, INC.
NOTE C-—EXPIRATION OF TERM ENDOWMENT
I At April 30, 1980, endowment funds included a term endowment consisting of
g a $100,000 unsecured note receivable due December 31, 1988. During 1981, the
} note was sold to the issuer for $50,000, resulting in a loss of $50,000.
{ Concurrent with the sale, the term restriction expired. The proceeds are to
~` be expended over the next five years to meet certain expenses and consequently,
Q the proceeds have been transferred to the unexpended portion of special purpose
_ funds.
I NOTE D-—INVESTMENTS
j The carrying value and approximate market value at April 30, 1981 and 1980 are
sum arized as follows:
1981 1980
Carrying Carrying
Value Market Value Market
Investments recorded in:
Board—designated funds:
’ Consolidated Investment Fund:
U.S. Government obligations S 196,263 S 194,644 S 358,207 S 356,372
Corporate bonds 736,950 439,750 736,950 490,181
Common stocks 589,832 1,130,947 613,040 995,707
Other-term endowment 100,000
1,523,045 1,765,341 1,808,197 1,842,260
Depreciation fund:
U.S. Government obligations 215,587 215,587
2  
Endowment funds:
{ Short-term money-market certi-
{ ficates S 12,229 S 12,229 S S
Q U.S. Government obligations 145,121 145,121
y Corporate bonds 85,028 41,738 85,028 49,751
p Common stocks 121,802 183,837 89,236 91,153
- Investments in common trust
funds 340,688 414,699 330,050 340,163
S 204,868 § 2Q2,§24 § 5Q§,}|§ § 481,062

 1
5 12 FRONTIER NURSING SERVICE
 
é NOTES TO FINANCIAL STATEMENTS--Continued
1 ;
* FRONTIER NURSING SERVICE, INC. ’
1
1 NOTE E-—RETIREMENT PLAN j
Frontier Nursing Service, Inc. has a retirement plan for regular full-time
employees with 1,000 hours of continuous service who are twenty-five years of g
g age or more. The policy of the Service is to fund pension costs accrued. {Q
{ Past service liability is being funded over a period of 20 years. Total N
` retirement plan expense for the years ended April 30, 1981 and 1980 was I
$55,719 and $56,277, respectively. The most recent available actuarial E
valuation does not include information required for disclosure in accordance 5
. with Financial Accounting Standards Board Statement No. 35, and these dis- ¤
closures are therefore not presented.
NOTE F——LONG—TERM DEBT -
4 Long-term debt consists of the following:
April 30
1981 1980 *
6% unsecured promissory note--principal G
payable in annual installments of 4
$18,000 through April 1984; interest B
payable in semi-annual installments
through April 1984 $54,000 $72,000 Q
Non-interest bearing unsecured installment ?
note to DHEW due in 1981 8,455 8,455 V
62,455 80,455 =
Less: Current portion 26,455 21,695 ·
TOTAL LONG-TERM PORTION $§6,00Q $58,260 L
 
NOTE G-—REVENUE FROM DONATED SERVICES i
 _
 
Revenue ($101,500 — 1981; $298,777 — 1980 and 1979) representing the value of -
donated services for salary expenses of professionals provided by National
Health Services Corps (NHSC) has been recorded based upon the expectation of
receiving a full or partial waiver for refunding the value of such services
to NHSC.

 QUARTERLY BULLETIN is
V FRONTIER NURSING SERVICE, INCORPORATED
{ CONTRIBUTIONS PLACED IN TRUST
, MAY 1, 1980 TO APRIL 30, 1981
i Funds which are placed in trust are a measure of strength for
 N Frontier Nursing Service as we fulfill our purpose and plan for a
` solid future. This is a listing of previous trust funds which had
. additions and new contributions which were placed in trust
{Q;. during this fiscal year.
  The Friends Fund
e Branham Fund
i Kate Ireland Fund
· William Waller Carson Fund in honor of
I Katherine Breckinridge Carson Breckinridge
- Ann Allen Danson Memorial Fund
L Bolton Foundation
_ Frontier School of Midwifery and Family Nursing
~ Elizabeth Canby Bradford duPont Memorial
` Lucie Wilshire Graham Memorial
Louise H. Parsons Legacy
  Frances P. Bolton Legacy
 ‘ Grace Anne McDonald Legacy
 ‘ Jean Brown Legacy
Elizabeth R. Lewis Legacy
L Joan H. Henderson Legacy
 ` Lennox L. Allen Legacy
 L Elizabeth Hope McC0wn Legacy
.?
\

 é
 
5 14 FRONTIER NURSING SERVICE
 
l
[ FRONTIER NURSING SERVICE, INCORPORATED
l LEXINGTON, KENTUCKY
I STATEMENT OF DONATIONS AND SUBSCRIPTIONS PAID
i MAY 1, 1980 TO APRIL 30, 1981
2 SUMMARY
i Contributions Benefits and Total
3 Bargain Box p
· .<
1 [tl
i Baltimore Committee ............................. $ 1,171 $ $ 1,171 t
` Boston Committee ................................ 16,195 7,000 23,195 ,;>
Chicago Committee ............................... 7,078 7,078 ’K`
Cincinnati Committee ............................. 4,568 4,568  §··
Cleveland Committee ............................. 87,468 87,468
*Daughters of Colonial Wars ....................... 9,921 9,921
Detroit Committee ................................ 16,246 16,246
Hartford Committee ............................... 1,271 1,271
**Kentucky:
Blue Grass Committee ........................ 53,180 53,180
Louisville Committee .......................... 26,279 26,279
Miscellaneous State ........................... 49,030 49,030
Minneapolis Committee ........................... 2,011 2,011
New York Committee ............................. 89,533 8,975 98,508
Philadelphia Committee ........................... 19,192 4,425 23,617
Pittsburgh Committee ............................. 29,702 29,702
Princeton Committee .............................. 1,291 1,291
Providence Committee ............................ 630 630
Rochester Committee .............................. 16,627 16,627
Washington, D.C. Committee ..................... 25,734 4,000 29.734
Miscellaneous ..................................... 78,422 78,422
TOTALS .......................................... $535,549 $24,400 $559,949
Total Contributions Above
Restricted $154,966
Unrestricted 380,549
$535,549
*Donations from various state chapters. ¥?
**Total for Kentucky: ............................... $128,489 $128,489_  

  
II.
REPORT OF OPERATIONS
Comparative Analysis of Service Provided
In the Two Fiscal Years, 1980 and 1981
  1.
  HOSPITAL
  1980 1981
 ` ALL PATIENTS (Excludes Newborn):
PERCENT OF OCCUPANCY ................... 58.0% 64.3%
A PATIENT DAYS — TOTAL ............. 8,488 9,390
Medical-Surgical Unit Days .................. N.A. 7,734
Obstetrical Unit .............................. N.A. 1,656
ADMISSIONS —- TOTAL ....................... 1,955 2,200
Medical—Surgical Unit ........................ N.A. 1,696
Obstetrical Unit .............................. N.A. 504
AVERAGE DAILY CENSUS .................... 23.2 25.7
AVERAGE LENGTH OF STAY ................. 4.3 4.3
NEWBORN:
` Percent of Occupancy ......................... 36.7% 35.0%
Patient Days — Total ........................ 1,343 1,278
Admissions — Total .......................... 319 338
Average Daily Census ........................ 3.7 3.5
Average Length of Stay ...................... 4.2 3.8
DELIVERIES — TOTAL ........................ 318 339
  OPERATIONS — TOTAL ....................... 502 795
 il Major ........................................ 166 516
if Minor ........................................ 234 191
A   ENT ......................................... 102 88
_A ANESTHESIA — TOTAL ....................... 502 792
Spinal ....................................... 4 20
General ...................................... 389 625
Local ........................................ 109 147

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i -
E 16 FRONTIER NURSING SERVICE
l
l 1980 1981
l
  DEATHS — TOTAL ............................ 39 26
, Institutional (over 48 hours) 17 16
~ Institutional (under 48 hours) ................. 11 8
. Noninstitutional (OP D/ ER) .................. 11 2
X—RAY EXAMINATIONS — TOTAL ............ 6,644 7,530 A
l Inpatient ..................................... 1,641 1,659
, Outpatient ................................... 5,003 5,871 p
i LABORATORY PROCEDURES — TOTAL ...... 70,537 82,229  
Inpatient ..................................... 19,507 23,542  
Outpatient ................................... 27,761 32,232 i`
  Referred in ................................... 16,096 18,329
Referred out .................................. 7,173 8,196
PRESCRIPTIONS FILLED — TOTAL .......... 66,428 68,756
Inpatient ..................................... 11,310 11,018
Outpatient ................................... 46,371 51,395
Oneida Pharmacy ............................ 8,747 6,343
PHYSICAL THERAPY TREATMENT — TOTAL 2,116 1,407
Inpatient treatments ......................... 944 438
Outpatient treatments ........................ 1,120 855
Home Health treatments ..................... 52 114
ELECTROCARDIOGRAMS — TOTAL .......... 1,563 1,634
Inpatient ..................................... 846 882
Outpatient ................................... 717 752
RESPIRATORY THERAPY — TOTAL .......... 7,846 9,484
, Inpatient treatments ......................... 6,368 9,084
i Outpatient treatments ........................ 1,478 400
MBH — DENTISTRY — TOTAL ................ 2,277 1,807
Inpatient ..................................... 9 4
Outpatient ................................... 2,268 1,803 i
Average Per Day ............................. 9.0 7.1 $3
WOOTON DENTAL VISITS — TOTAL ......... 667 1,639  
Average Visits Per Day ...................... 5.7 6.5 .
t
HOME HEALTH VISITS — TOTAL ............ 7,018 7,740
EMERGENCY ROOM VISITS — TOTAL ....... 5,939 6,243
Average Visits Per Day ...................... 16.2 17.1

 QUARTERLY BULLETIN 17
1980 1981
ADMI'I`TED THROUGH E. R. — TOTAL 678 789
. PCC VISITS BY CLINIC — TOTAL ............. 27,615 25,088
General Clinic ................................ 14,412 14,104
Diagnostic ...................,............... 157 1
Q Pediatric ..................................... 6,340 5,332
Qi Well Child ................................... 174 50
  Family Planning ............................. 416 263
  GYN ......................................... 591 320
  PAP ......................................... 198 45
ENT ......................................... 411 260
Orthopedic ................................... 358 345
Ophthalmology .............................. 275 215
MTD ......................................... 4,283 4,153
Average Visits Per Day ...................... 103.6 98.9
DR. ALLOUCH VISITS — TOTAL .............. 262 2,103
Average Visits Per Day ...................... 10.1 13.0
PCC EXTENSIONS — TOTAL VISITS .......... 22,923 21,756
Average Visits Per Day ...................... 89.5 85.7
PINE MOUNTAIN CLINIC — TOTAL .......... 1,490 1,791
Average Visits Per Day ...................... 6.9 7.1
BEECHFORK CLINIC -- TOTAL ............... 5,218 5,632
Average Visits Per Day ...................... 20.4 22.2
WOOTON CLINIC — TOTAL ................... 3,894 4,113
Average Visits Per Day ...................... 15.2 16.2
COMMUNITY HEALTH CENTER — TOTAL ... 3,159 4,591
‘ Average Visits Per Day ...................... 20.5 18.1
¢  ONEIDA CLINIC — TOTAL .................... 7,089 5,629
` Average Visits Per Day ...................... 27.7 22.2
I BOBFORK CLINIC — TOTAL .................. 1,165 N.A.
Average Visits Per Day ...................... 11.0 N.A.
RED BIRD CLINIC — TOTAL .................. 908 N.A.
Average Visits Per Day ...................... 8.6 N .A.

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1 18 FRONTIER NURSING SERVICE
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` COURIER AND VOLUNTEER HOURS AND DAYS REPORT
  May, 1980 - April, 1981
1
1 Departments Served Couriers Volunteers
1 Accounting 8
1 Administration
1 —Craft Fair 3
1 —Employees’ Christmas Party 3.5
5 —Employees’ Children’s Christmas Party 2
1 —FNS Cookbook 8.5
` -—Ron Hart 12 1 .
1 —statistics 46.25 1 *1
. Audit 63.5  
1 Auxiliary ‘ {
` —Gift Shop 15.5 1,1
—Used Clothing 15.75 V 
Beechfork Clinic 182 48
Betty Lester’s Yard 6.75
Business Office 89.25 1
Business Ofiice—Grace 13 4
Community Health Center 19 16
Dental Department 115 12.5
Dietary 20
Dr. Carey 4
Donor Office 12
Education 274.5 _
Emergency Room 18.5 57.5
ENT Clinic 30.5 j
Finance 4 A
` GRAB 26.5 1.5
1 Home Health 79.5 17.75
Hope House 107.25 j
Lab 363.5 I
` Library 120.5
Leslie County Ambulance Service 247
Leslie County School System
—High School P.E. 16 =
—Hyden Elementary tutoring 25
2
Y

 QUARTERLY BULLETIN 19
Medical Records 234 1
Medical-Surgical floor 225.6 246.5
OB floor 95.5
Oncology 43.25 2
Oneida Clinic 310.5 7
Operating Room 54.5 89
Oral History Project 56.75 412
Orientation 70.5 40.75
Patient Transport 47.25
PCC 382 95.25
_ Pharmacy 10.5
{‘·_ Physical Therapy 111.25
Pine Mountain Clinic 26.75
Print Shop—Bill Weaver 45
, Promotion and Development
"·‘ —District Christmas Parties 13.5 4
' —Misc. 21 32
Public Relations 1021.25
Rounds
—Long 606.25 25.5
—Short 523.25 10.5
Senior Citizens 5
Social Services 62.5 24.5
Transportation 681 80
Wendover
—Garden 170 326.25
= —Half—tones 42.5
j —Misc. 747.75 223
{ —Sister Adeline’s letters 39 4
1 X—ray 331 4.5
j Total Hours 6660.75 3054.25
i Total Days 1018 452
= Total number of Couriers — 32
` Total number of Volunteers — 13
KATE IRELAND, National Chairman
jj HOMER L. DREW, Treasurer
ELAINE M. PENDLETON, R.N., C.N.M., Director
gn
 
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Q zo Fnomrm Nunsmo smvicm x
  ‘
  A DAY IN THE MOUNTAINS ‘
  For the first time in its fifty-six year history, the Frontier
  Nursing Service celebr