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DEPARTMENT OF PROVINCIAL SECRETARY THIRD ANNUAL REPORT OF THE TRANQUILLE SANATORIUM OF THE PROVINCE OF… British Columbia. Legislative Assembly 1924

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 DEPARTMENT OF PROVINCIAL SECRETARY
THIED ANNUAL EEPOET
OF
THE TRANQUILLE SANATORIUM
OF the province of
BRITISH COLUMBIA
FOR   THE
FISCAL YEAR ENDED MARCH 31ST, 1924
PRINTED   by
AUTHORITY OF THE LEGISLATIVE ASSEMBLY.
-VICTORIA, B.C.:
Printed by Charles F. Baneield, Printer to the King's Blost Excellent Majesty.
1924.  To His Honour Walter Cameron Nichol,
Lieutenant-Governor of the Province of British Columbia.
May it please Your Honour :
The undersigned respectfully submits herewith the Annual Report of the
Medical Superintendent of the Tranquilh Sanatorium for the fiscal year ended
March 31st, 1924.
j. d. Maclean,
Provincial Secretary.
Provincial Secretary's Office. DEPARTMENT OF THE PROVINCIAL SECRETARY.
Hon. De. J. D. MacLean, Provincial Secretary. J. L. White, Deputy Provincial Secretary.
TRANQUILLE SANATORIUM  STAFF.
Medical Staff: •
A. D. Lapp, M.B., Medical Superintendent.
A. S. Lamb, M.D., Assistant Physician. H. G. Chisholm, M.D., Assistant Physician.
P. J. Carroll, M.D., Assistant Physician.
W. G. Thurston, M.D., Assistant Physician. Wm. Mobeis, M.D., Assistant Physician.
W. G. Lothian, X-ray Technician. W. M. McLean, Dentist.
Miss M. Hodgetts, Matron.
Consulting Surgeons:
Dr. J. S. Bueeis, Kamloops, B.C. Dr. R. W. Ibving, Kamloops, B.C.
Administrative Staff:
A. Whiteceoss, Bursar. Miss G. Forbes, Clerk and Stenographer.
A. N. Low, Storekeeper. Miss L. C. Buckley, Dietitian.
J. P. Bolton, Chief Engineer. J. Tbevoes, Laundry Manager.
Rev. E. D. McLaeen, Chaplain.
Sanatorium Farm Staff:
D. W. Steachan, Farm Superintendent.
Miss L. D. Kelly, Book-keeper.   TRANQUILLE   SANATORIUM.
REPORT OF THE MEDICAL SUPERINTENDENT.
Teanquille, B.C., April 1st, 1924.
The Honourable J. D. MacLean, M.D.,
Provincial Secretary, Victoria, B.C.
Sie,—I have the honour to submit herewith the Third Annual Report of Tranquille
Sanatorium, covering the fiscal year April 1st, 1923, to March 31st, 1924.
A larger number of patients received treatment this year than in any year since the
Sanatorium was established, there being 425 in all, an increase of fifty-three over the previous
year. There were 245 available beds and the highest population was 237. The admissions
totalled 202 and the discharges 199, showing an increase of three in the patient-population at
the end of the year.
In examining the statistical table on discharges it will be noted that over SO per cent,
were classed as moderately advanced, or far advanced, on admission. When this high percentage
of advanced cases is taken into consideration the results are quite satisfactory, there being
eighteen apparently arrested, ninety quiescent, and twenty-two improved, on discharge. Many
of the cases who are able to go out and earn a living must be classed as quiescent for years
owing to the persistence of physical signs in the chest.
A few years ago early cases only were welcome in a sanatorium, but in recent years ideas
have changed, and statistics on discharges show that it is well worth while treating the far
advanced, many of whom are sufficiently restored to health to lead useful lives for many years.
Another great good which results from treating advanced cases is the isolation secured, which
helps to limit the spread of infection. While fairly satisfactory results may be obtained in
treating advanced cases, it must not be forgotten that the earlier in the disease that treatment
is instituted the greater the chance for recovery and in much shorter time. It is to be hoped
that, as the public becomes better informed regarding the disease, there will be a decline in the
phthisiphobia which is still quite prevalent, and that it will not be so difficult to persuade
patients to take treatment while they still feel well.
Dental Service.
The work in this department was interrupted temporarily by the sudden death of Dr. H. C.
Cowan, who had been in charge of the clinic here ever since it was established. Much good work
has been done during the year and this service continues to be a very valuable adjunct to the
treatment.
Laboeatoey.
Although provision was made in the estimates, a laboratory technician has not yet been
appointed, as the position is being held for an ex-patient who is taking special training which
will fit him for it. A great deal of routine work has been accomplished and the laboratory was
used as extensively as possible under existing conditions.
Surgical.
A higher percentage of our cases than usual have had lesions suitable for treatment by
collapsing one lung, either by means of artificial pneumothorax or by thoracoplastic methods.
At the beginning of the year we had ten cases taking artificial pneumothorax, and during the
year the treatment was attempted in forty-nine new cases. In thirty-three of these we were
able to induce pneumothorax, and of these thirty-three the treatment had to be discontinued in
four for various reasons. In the remaining twenty-nine cases the treatment has been continued
with very satisfactory results. Of the sixteen cases in which pneumothorax could not be induced,
live were selected as suitable for thoracoplastic collapse, and the necessary operations were
performed by Dr. H. L. Burris and Dr. J. S. Burris, of Kamloops. The results have been
excellent with the exception of one case, and in this case a bronchopneumonia followed the first
operation.    These cases make a total of seven which have had collapse produced by this method, W 6 Tranquille Sanatorium. 1924
and as marked improvement has followed in all but the one case mentioned, the results must
be considered as most encouraging.
Besides these, several of our patients have required the attention of our consulting surgeons,
either for consultation or treatment.
X-BAY   DepABTMENT.
We have used this department more extensively than ever before. We now have stereoscopic
films made of the chest of each new employee, and in this way have a record which is very
valuable in the event of an employee breaking down with the disease, as there can be no doubt
about whether it originated before or after they were employed. As our one Sun lamp was not
sufficient for our needs, we added another one to our equipment at the end of the year. The
results of this treatment are good in certain types of cases.
Laundey Depaetment.
As our average number of patients has been higher this year, the laundry has had more
work, having put through a monthly average of over 28,500 pieces. The seamstress and sewing-
room are now in the laundry, and we are able to have all linen mended before it leaves the
laundry and save handling and wrinkling it afterwards. This is a well-equipped and efficiently
managed department.
I Financial.
This report shows a reduction in the net per capita cost, and, when everything is considered,
is very satisfactory. Our gross per capita cost was higher, due to a fairly heavy depreciation
being charged to this year's maintenance, besides many large items, including a trestle on the
railway spur, which in former years would have been chargeable to capital expenditures. The
bill for repairs and renewals continues high, and is likely to be so for three or four years more,
as some of the buildings are getting old. There has been a great improvement in the condition
of both buildings and grounds since the .Sanatorium was taken over by the Government.
Sanj^toeium Faem. i
The farm is essential for the production of milk for the Sanatorium. No other dairy in the
Interior, where we could procure milk in sufficient quantity, is equipped to produce it under the
sanitary conditions which prevail on our own farm. The difficulty of transporting milk during
the hot weather makes it necessary to have our source of supply close at hand. We have a
pure-bred herd of dairy cattle free from disease, with a production record equal to that of any
herd in the Dominion. The quality of our range stock is gradually being improved, and for
the past year stall-fed young steers from this stock have formed the beef-supply of the Sanatorium. A flock of sheep was purchased at the end of the year, and as the size of this flock
is increased it is hoped that the farm will be able to supply enough lamb and mutton to meet the
needs of the Sanatorium. The Cooney Ranch is gradually being made more productive, and when
all of our land is in good condition the revenue from the farm should be much greater.
: Building Opekjvtions.
The building which contains a workshop for patients on occupational therapy, as well as
our own carpenter and paint shops, and which was under construction at the beginning of the
year, is now completed and has been occupied for some time.
Five new cure cottages to house two patients each were erected. These cottages have every
convenience for the comfort of the patients, and are just about as economical to build as the
modern type of pavilion, and are more economical in operation. We have also found that patients
in these quarters take " the cure " more faithfully than in pavilions.
The farm boarding-house was completed and is proving most satisfactory. An implement-
shed, a blacksmith-shop, a feed-room, two large silos, a piggery for the accommodation of 140
hogs, and a slaughter-house are under construction on the farm and are all badly needed.
Recommendations.
The Department should keep in mind the problem of providing accommodation for advanced
cases, who do not respond well to Sanatorium treatment. During the past winter we had a large
number of women applying, whom we could not admit, and it will soon be necessary to build
more quarters for patients, either here or at the Coast. Nurses' Home, Tranquille  Sanatorium.
.       -r-'i.
' .
Sitting-room, Nurses'  Home, Tranquille  Sanatorium.  15 Geo. 5 Third Eeport. W 7
The question of a gravity water-supply from Tranquille Creek should be investigated again,
as the pumps are taxed to their limit, as well as being expensive to operate. The fire hazard
would also be greatly reduced.
The approach to the Sanatorium should be improved, as it now presents the poorest appearance of any part of the grounds. It was pointed out last year that the quarters for employees
were rather unsatisfactory, and I would again recommend that a suitable building for housing
the female employees be erected and their present quarters used for male help.
Acknowledgments.
We would like to acknowledge with thanks all donations received at Christmas from various
organizations and individuals. The military branch of the Y.M.C.A. again made liberal contributions towards amusements and provided an orchestra to play in the infirmaries on Christmas
Day.    Their kindnesses were greatly appreciated.
Many organizations and individuals from Kamloops helped to provide amusements during
the winter, and to these our sincere thanks are due, as well as to the visiting committee of the
Red Cross, whose visits are always looked forward to with pleasure by the patients.
I would like to thank Dr. J. S. Burris and Dr. R. W. Irving, consulting surgeons, for advice
and assistance.
I wish to express my appreciation of their co-operation to the assistant physicians and to
all the various members of the staff.
In conclusion, I thank you, sir, for the support and assistance your Department has given me.
I have the honour to be,
Sir,
Your obedient servant,
. A. D. LAPP,
Medical Superintendent. W 8
Tranquille Sanatorium.
1924
STATISTICAL TABLES.
Statistics foe Year ended Maech 31st, 1924.
Civil.
Military.
Female.
Total.
Number of patients in Sanatorium, Marcli 31st, 1923	
Number of patients admitted during year 1923-24	
Number of patients discharged during year 1923-24	
Number of patients treated during year 1923-24	
Number of patients in Sanatorium, March 31st, 1924	
89
97
73
186
111
70
41
71
111
42
64
64
55
128
73
223
202
199
425
226
Cases admitted during Year ended Maech 31st, 1924.
Males ....
Females
138
64
Total  202
Civil state—
Married      82
Single   117
Widowed       3
Total   202
Classification—
Incipient        36=17.82%
Moderately advanced      62=30.68%
Far advanced   102=50.49%
Suspects        2= 0.99%
Total   202
Age Classification of Cases admitted during Yeae ended March 31st, 1924.
1-10 years	
11-15     „     	
16-20     „       	
21-25     „ !	
26-30     „     	
31-35     „     	
36-40     „      -	
41-45      „      	
46-50     „     	
51-55     „     	
Over 55 years  -	
Males.
Pema
2
9
1
4
7
10
23
17
IS
9
21
6
27
7
20
3
7
2
2
3
10
1
Totals   138 64
Number Patient-days during Year ended Maech 31st, 1924.
Total   75,819
Religion of 202 Cases admitted during Year ended Maech 31st, 1924.
Church of England   88 Greek	
Presbyterian   45 Congregational   	
Roman Catholic  27 Scientist   	
Lutheran   IS None 	
Methodist     13 Buddhist 	
Baptist      5 Salvation Army	 15 Geo. 5
Third
Ebport.
W 9
Addresses of 202 Cases admitted i
Vancouver  SS
Cloverdale     2
Fort Langley      1
Rosedale      1
Kaslo       1
Blucher Hall      1
Williams Lake      1
Kamloops     12
ueing Yeae ended March 31st, 1924.
    l
Winnipeg	
McKay ..	
1
l
    1
McLure   -	
    l
Harrison's Mills 	
Okanagan Centre 	
Nichol   	
l
2
     1
     1
New Westminster	
South Vancouver 	
Chase 	
     5
  10
     1
     4
Saskatchewan  	
     1
Brighouse 	
Invermere	
Ladysmith   	
1
1
     1
Nanaimo  	
     5
     2
Wilson Creek 	
Swift Creek 	
1
     1
Prince Rupert  	
Alberta   	
Sidney  	
     1
     2
     2
     1
North Thompson 	
Mount Olie 	
Keating 	
Cobble Hill  -	
1
1
1
     1
Nelson  	
     1
     1
West Summerland 	
Surrey 	
Stewart 	
Calgary 	
Jaffray 	
Revelstoke   	
1
1
1
1
1
     1
     1
Courtenay 	
Victoria 	
     1
  13
     2
Salmon Arm	
     3
     4
1
* Lytton  	
North Wellington 	
Coquitlam 	
Ottawa   	
1
1
1
    1
Tranquille —	
Coal Creek 	
Moose Jaw 	
Occupations
Salesman	
Farmer   	
School-teacher 	
2
     1
     1
of 202 Cases admitted
     2
  19
     4
dueino Yeae ended Maech 31st, 1924.
Forester	
Woodsman   	
Furniture-packer   	
Chauffeur  	
Electrical engineer 	
Insurance agent 	
Storekeeper 	
2
2
1
1
1
1
1
Miner 	
Accountant 	
Labourer 	
Time-keeper	
Hotel clerk 	
Clerk   	
     8
     2
  10
     2
2
.     12
Lumberman   	
2
Bridgeman   	
Baggageman 	
Mechanical engineer	
Domestic 	
Pipe-fitter	
Housewife 	
Draper 	
Gardener ....'. ,....
At home 	
Nurse 	
1
1
1
1
2
21
1
2
11
.    5
Chambermaid 	
Butcher 	
Stenographer 	
Fisherman   	
Policeman 	
     4
     3
 v     7
     1
.    1
Cook 	
Blacksmith 	
     1
     2
Teamster 	
Sheet-metal worker
Photographer 	
Bar-tender   	
Telephone operator
Stone-mason 	
     1
     1
     1
     1
2
     1
Secretary 	
Seaman 	
Painter     	
1
8
3
\
Shoemaker   	
                   .             3
9 W 10
Tranquille Sanatorium.
1924
Occupations of 202 Cases admitted dubing Year—Continued.
School-child  14
Carpenter    6
Artist   1
Piano-tuner   1
Window-trimmer   1
Motorman   1
Student    1
Fireman  1
Conductor   1
Book-keeper    2
Soldier  1
Upholsterer   1
Mechanic   1
Pressman  2
Waiter   1
Shipper   	
Cashier   	
Cleaner and dyer
Ship-work 	
Naval man 	
Nationalities of 202 Cases admitted dubing Yeae ended Maech 31st, 1924.
Canadian     71
English     52
Swedish      6
Scottish   24
Irish      9
Norwegian        5
Welsh      5
Japan      1
Russian   4
Finlander    3
Australian  4
America, United States of  13
North American Indian   1
French-Canadian  1
Danish   2
Italian   1
Classification of Patients on Dischaege dubing Yeae ended Maech 31st, 1924.
Results.
Classification on Admission.
Apparently
arrested.
Quiescent.
Improved.
Unimproved.
Died.
Incipient      23= 11.55%
Moderately advanced   84= 42.21%
Far advanced    80= 40.20%
Non-tuberculous     12—■    6.03%
10
S
12
53
25
8
14
10
9
1
5
32
Totals  199—-100%
18
90
22
19
38
Classification of Cases dischabged as Non-tuberculous.
For observation 	
Empyema   	
Pneumonia  	
Asthma    '.	
Nephritis 	
Subphrenic abscess
Psychoasthenia   	
Neurasthenia  	
12
Report of Pneumothorax Treatment for Year ended March 31st, 1924.
Number of new cases ill which pneumothorax was attempted     49
Number of cases in which it could not be induced      16
Number of injections  337
Pneumothorax treatment has proved to be, on the whole, very beneficial to certain types of
the disease. We have had to discontinue the treatment in four cases, the reasons for so doing
being varied—namely, asthma, the setting-up of an abscess, partial collapse, and too far advanced
disease, etc. There have been five operations for thoracoplasty, and, with one exception, these
have proved successful. '■■■    .,.;>,      ■■■.■■      ■'•
'.-     .V.  ^   -
Mm,-.  S;.;^%1
No.  1 Pavilion and Administration Building, Tranquille Sanatorium.
Vvy"-   « %'
Men's Infirmary, Tranquille Sanatorium.  15 Geo. 5
Third Eeport.
W 11
Laboratory Report foe Six Months ended March 31st, 1924.
The reports for this work are available for six months of the year—namely, from October,
1923, until March 31st, 1924. Prior to October, 1923, we had no one working regularly in the
laboratory,  and no records were kept beyond the ordinary routine cards for the  files.
Examination for T.B. in sputum   597
Examination for T.B. in urine      41
Examination for T.B. in fseces        5
Examination for T.B. in ear       1
Urinalysis  591
Diazo reaction  187
Blood-counts   109
Tests for haemoglobin      23
Cerebro-spinal fluid test      5
Outside work (examinations sputum, urine, etc.)      37
X-ray Report foe Year ended March 31st, 1924.
Stereoscopic chest-plates, pairs   397
Miscellaneous       52
Dental films, sets   285
Miscellaneous, dental   170
The Alpine Sun lamp has proven to be of such benefit in certain cases that a second quartz
lamp has been added to the equipment of the X-ray room.
Laundry Report for Year ended Maech 31st, 1924.
Total number of pieces put through during year   343,071
Average monthly amount      28,5S9ll/4
METEOEOLOGICAL EEPOET.
Summary of Meteorological Observations taken at Tranquille, B.C.,
Yeae ended Maech 81st, 1924.
Month.
Maximum
Temp.
Minimum
Temp.
Average
Temp.
Hours of
Sunshine.
Rain.
Average
Humidity.
Snow.
1923
April	
May	
June.	
July	
August	
September	
Qctober	
November	
December	
1924.
January....	
February	
March	
Deg. F.
83.0
85.0
90.0
94.0
88.0
82.0
75.0
59.0
52.0
54.0
65.0
57.0
Deg. F.
23.0
32.0
41.0
47.0
49.0
34.0
19.0
24.0
— 15.0
-15.0
26.0
15.0
Deg. F.
52.80
58.40
64.70
70.00
68.83
58.66
48.56
38.28
30.91
24.04
39.31
40.85
225.3
197.9.
207.5
207.4
263.6
237.4
163.4
41.7
34.3
44.8
83.4
158.0
Inches.
0.46
1.08
1.33
1.35
0.99
0.30
0.48
0.29
0.09
0.22
0.06
66.35
78.00
79.90
75.00
71.43
71.85
79.80
86.61
65.00
70.00
75.27
64.15
Inches.
1.25
9.75
16.75
* Trace. W 12 Tranquille Sanatorium. 1924
DENTAL EEPOET.
The Medical Superintendent,
Tranquille Sanatorium, Tranquille, B.C.
Sir,—I have the honour to submit this report for the year ended March 31st, 1924.
Throughout the year there has been performed much intensive dental work by the late
Dr. H. Cowan, and I wish to convey to you, with my full appreciation, that the work was well
done and full satisfaction given.
The present policy of a full-mouth X-ray of all patients is one to be very highly commended
and the expense is fully justified.    It is of the utmost importance to locate the many vital
troubles of focal infection which are a menace to the health of the patients, and the X-ray is the
means of locating such infections, which otherwise might be overlooked.
I wish to express at this time my sincere thanks for the assistance I have received from the
professional staff of the institution.
The following is the report of the actual work performed at the dental clinic during the
year:—
Fillings  614
Miscellaneous treatments   641
Extractions     165
Anaesthetics  158
Inlays        11
Dentures       35
Repairs to dentures      34
Reset dentures       3
Bridges     15
Crowns        34
Prophylaxis  230
X-ray sets   285
Removal of bridges      6
I have, etc.,
W. M. McLean,
Dentist.
BUESAE'S EEPOET.
Tranquille, B.C., March 3.1st, 1924.
The Medical Superintendent,
Tranquille Sanatorium, Tranquille, B.C.
Sib,—I have the honour herewith to submit the Balance-sheets and Profit and Loss Accounts
for the fiscal year ended March 31st, 1924.
It is very gratifying to be able to report a reduction of 12 cents per patient-day in our
maintenance cost for the year, when it is taken into consideration that our depreciation charges
and the whole cost of our railway spur and unloading-trestle are charged against our operating
accounts. During the year there has been a decided tendency towards a lower per capita rate
and all departments have shown a decrease on the year's work.
Our patient-days have increased greatly over the previous year, an average of thirteen
patients per day more than last year having been treated. The total number of days' treatment
for the year amounts to 75.S19, making an average of 207.15 patients having been treated daily.
During the year seven municipalities have paid for the maintenance of fifty-nine patients
at the rate of $2.50 per day, while the Department of Soldiers' Civil Re-establishment has paid
for 111 military patients at the monthly per capita rate, and thirty-three patients have paid
for their own maintenance at varying rates, according to what they could afford. We have
carried on the free list 210 patients unable to contribute anything towards their maintenance.
We have distributed to those of our patients who were in need 130 suits pyjamas, 60 suits
underwear, 45 shirts, 22 bath-robes, 95 pairs socks, 26 pairs slippers, 28 pairs boots, 7 sweaters,
22 suits clothes and a large number of toilet and other necessities. 15 Geo. 5 Third Eeport. W 13
Our new workshops were completed and are now fully occupied. The workrooms allotted
to the Occupational Therapy Department have been taken full advantage of by the patients
and a large amount of very beautiful and artistic work has been turned out.
The new cure cottages, erected to replace the old ones which were in very bad shape, have
proven very satisfactory and economical to operate.
The fire-fighting equipment is now up to the standard required by the Provincial Fire Marshal,
and our fire brigade is now in a position to effectively handle any outbreak that may occur.
The coal-unloading trestle has proved of great value in the economical handling of our fuel.
In conclusion, I wish to thank my assistants for the faithful services rendered, and also to
thank you for the kindness and help you have given me during the year.
I have, etc.,
A. Whiteceoss,
Bursar.
TRANQUILLE SANATORIUM.
Balance-sheet, Maech 31st, 1924.
Assets.
Land    $ 39,711 14
Buildings    402,222 31
Plant and equipment  72,451 98
Furniture and fixtures  17,158 SO
Inventories     7,116 14
Treasury advance (for petty expenses)   1,000 00
Accounts receivable  15.66S 46
$555,328 S3
Deficit (cost of operations, 1923-24)      134,137 54
$689,466 37
Liabilities.
Government of British Columbia  :  $689,466 37
Pbofit and Loss Account, Maech 31st, 1924.
Depreciation—
Buildings     $ 20,347 25
Plant and equipment          3,568 92
Furniture and fixtures   903 09
Salaries       99,400 17
Office supplies        1,545 66
Travelling expenses and transportation         1,952 17
Fuel, water, light, and power        50,436 74
Maintenance and repairs       17,767 20
Furniture and fixtures         2,837 67
Provisions        91,407 31
Medical and surgical supplies         8,276 71
Incidentals and unforeseen       13,622 S3
By Donations   $ 70,500 00
Receipts from maintenance of patients  .•     107,428 18
Balance       134,137 54
$312,065 72 $312,065 72 W 14 Tranquille Sanatorium. 192-4
Expense and Revenue Statement for Year ended March 31st, 1924.
Operating Expense Accounts.
Expenditure by voucher (less amounts credited to vote for supplies sold) —
Salaries—
Medical and clerical staff  $ 11,646 93
Sundry employees       S7,753 24
 — $ 99,400 IT
Office supplies—
Books and journals   $       145 46
Postage and office supplies         1,087 15
Telephone and telegraph   362 26
        1,594 87
Travelling expenses and transportation :        2,2S5 06
Fuel, water, light, and power—
Fuel    $ 44,769 07
Power-house supplies          5,080 41
      49,849 48
Maintenance and repairs—
Repairs and renewals   $ 12.272 23
Janitors' supplies         6,7S9 51
      19,061 74
Furniture and fixtures—
Bedding » $    1,486 64
Furniture and fixtures          3,644 37
        5,131 01
Provisions— •
Groceries   $ 33,383 38
Meat       28,006 89
Fish    :        3,270 57
Milk and eggs      26,245 75
      90,906 59
Medical and surgical supplies—
Medicines and drugs   $    4,084 04
X-ray and miscellaneous         3,543 18
.  —        7,627 22
Incidentals and unforeseen—
Laundry     $    2,038 63
Freight and cartage         2,041 55
Sundries         1,322 02
Clothing          1,024 25
Railway spur         6,071 62
■ ■     12,498 07
Total operating expense by voucher   $288,354 21
inventories as at March 31st, 1923—
Office supplies   $ 371 96
Transportation   299 11
Fuel     2,094 38     •
Maintenance and repairs   1,593 36
Provisions   2,329 42
Medical and surgical supplies  815 94
Incidentals   484 00
        7,988 17
Carried forward   $296,342 38 15 Geo. 5 Third Eeport. W 15
Expense and Revenue Statement—Continued.
Operating Expense Accounts—Continued.
Brought foncard   $296,342 38
Depreciation written off—
Buildings     $ 20,347 25
Plant and equipment          3,568 92
Furniture and fixtures   903 09
 24,819 26
$321,161 64
Less inventories as at March 31st, 1924—
Office supplies  $      421 17
Transportation   29 00
Fuel, water, light, and power   1,507 12
Maintenance and repairs   2,887 90
Provisions   1,888 70
Medical and surgical supplies   166 45
Incidentals    215 80
7,116 14
$314,045 50
Less equipment transferred to Asset Account         4,642 40
$309,403 10
Add Spur Account transferred from Asset Account        2,602 62
$312,005 72
Add adjustment, Board Account (ward aides)   60 00
Gross cost of maintenance for year   $312,065 72
Revenue.
By Donations from Greaves Estate  $ 70,500 00
Receipts from Department of S.C.R      67,2S6 79
Receipts from municipalities        30,512 50
Receipts from private patients         9,628 89
 177,928 18
Net cost of operation for year ended March 31st, 1924  $134,137 54
Summaby of Peofit and Loss Account. Yearly Per
Capita.
Depreciation   $ 24,819 26 $   119 81
Salaries    99,400 17 479 85
Office supplies   1,545 66 7 46
Transportation and travelling expenses   1.952 17 9 42
Fuel, water, light, and power   50,436 74 243 48
Maintenance and repairs  17,767 20 85 77
Furniture and fixtures  2,S37 67 13 70
Provisions   91,407 31 441 26
Medical and surgical supplies   8,276 71 39 95
Incidentals and unforeseen   13,622 83 65 76
$312,065 72 $1,506 46
Less donations   $ 70,500 00
„    revenue  (maintenance)       107,428 18
177,928 18 858 93
Net cost to Government for maintenance of patients  $134,137 54 $   647 53 W 16 Tranquille Sanatorium. 1924
Remarks.
Number of patients in residence, March 31st, 1924   226
Daily average population for year ended March 31st, 1924   207.15
Gross maintenance per capita cost, 1 year   $1,506.46
Gross maintenance per capita cost, 1 day   4.11
Net maintenance per capita cost, 1 year   647.53
Net maintenance per capita cost, 1 day   1.77
Capital Expenditures.
Bungalows and cottages  $2,895 45
Workshop and garage  2,878 00
Bakery     1,100 00
Fire-apparatus shed   400 00
Cure cottages  7,428 00
Nurses' Home     250 00
Salaries, Clerk of Works, etc  673 00
FAEM SUPEEINTENDENT'S EEPOET.
The Medical Superintendent,
Tranquille Sanatorium, Tranquille, B.C.
Sie,—I have the honour to submit herewith a report on the Tranquille Sanatorium Farm
operations for the year ended March 31st, 1924.
The farm crops in nearly every line were good, notwithstanding the large amount of rundown and weedy land brought under cultivation on the Cooney Ranch. This was due in part
to the great amount of labour expended in the cultivation and preparation of its soil and also
the goodly quantity of manure spread upon it. The season was also favourable, being warm,
with plenty of spring and summer showers, especially in the mountains, which kept up the supply
of irrigation-water. More ensilage was produced than ever before, consisting of 250 tons of oats,
peas, and vetch, 300 tons of corn, and 100 tons of sunflowers. Nearly 30O tons were fed to the
beef cattle and weaned range calves with excellent results, as they came through the winter in
better condition than ever before. Three fair crops of alfalfa were grown this year on the
ranch, 300 tons of which were fed green. Three hundred and fifty tons of cured hay were also
grown for the beef stock and horses. It is confidently expected that with the land in preparation
for the next year's crop sufficient hay will be grown on the ranch to supply all the needs of the
live stock. As large an amount of vegetables as there was suitable land for were grown for the
use of the Sanatorium.
The dairy herd has enjoyed the best of health during the last year and has given excellent
returns per cow. They produced 557,494 lb. of milk during the year, which was sufficient for
all the wants of the institution. As was suggested in last year's report, the grade cows were
weeded out and replaced by pure-breds. A large percentage of the pedigreed cows produced
semi-official records varying from 16,000 to 24,000 lb. of milk in the year.
An average-quality flock of grade-bred ewes, fifty in number, were purchased in March from
the Calgary stockyards at $12 a head.    These will be used for breeding stock.
The beef herd, consisting of 425 head, were all turned out on the range in good shape.
They are sufficient in number to supply the Sanatorium with all the fresh beef they require.
Nine pure-bred Hereford females were purchased to form the nucleus of a pure-bred herd. They
are good-type animals and have done well on the range during the past season, and came into
winter quarters in a much better condition than did the grades.
The Hog Department is always profitable and a very fine crop of young stock was produced
again this year. There was at all times a sufficient amount of prime animals on hand to supply
all the requirements of the Sanatorium in the way of fresh pork. A modernly equipped hoggery
is in the course of erection with accommodation for 140 hogs. This improvement will be a great
benefit to the farm in the care and handling of the hogs. -••*..*
y
:-   '"'.,-■'.■
I
;i u,; -;;-; ■
5;
Farm Boarding-house, Tranquille Sanatorium.
Dairy-bam, Tranquille  Sanatorium.  15 Geo. 5 Third Eeport. W 17
Several other farm buildings greatly needed on the ranch are in the course of erection.
A machinery-hall 30 by 120 feet is nearly completed, which will accommodate most of the farm
implements and protect them from the sun and wind. A commodious feed-room 30 by 40 feet
and two reinforced-concrete silos 17 by 40 feet, inside measurements, are also under construction.
These will give the farm ample storage for mill-feed and silage. The new farm boarding-house
has been completed and is all that could be desired for the accommodation and comfort of the
farm employees.    It has been a great benefit in the way of securing a good reliable type of labour.
It has been necessary to expend a great deal of money in labour and material for fencing,
ditching, fluming, and cleaning the land on the newly purchased ranch. In the irrigation
system all the water-gates, ditches, flumes, and dams had to be renewed, replaced, .or repaired.
This work, while a heavy expenditure at the present time, will reimburse the farm in years to
come and is already showing good results by the way of better crops.
All of which is respectfully submitted.
D. W. Stbachan,
Farm Superintendent.
SANATORIUM FAEM EEPOET.
Tbanqutlle.  B.C., March 31st, 1924.
The Medical Superintendent,
Tranquille Sanatorium, Tranquille, B.C.
Sib,—I have the honour to submit herewith the Balance-sheet with Profit and Loss Account
for the Sanatorium Farm for the year ended March 31st, 1924.
Our expenses have been very heavy during the year, large sums having been spent on
improvements, which the farm will reap the benefit of in future years. Over and above the
ordinary farm operating expenses we have been renewing and rebuilding our fences, flumes,
ditches, and corrals. It has also been necessary to renew and add to our machinery and equipment. The live-stock has been revalued—bringing values down to present market prices—and
consequently a heavy loss has been shown in this department.
The quantity of milk produced by the dairy herd has been very satisfactory, the Sanatorium
having used 490,700 lb. of our total production. The herd has produced an average of 15,541 lb.
per animal per year. The largest amount given by any one cow for the year was 23,939 lb.
milk, or 060% lb. butter. The largest quantity of milk produced by one animal in one day was
93% lb.
The Sanatorium has also been supplied with 29,643 lb. of beef of a high quality, the animals
having been stall-fed for three months previous to being slaughtered. Our pork-sales have also
been high; 13,839 lb. have been sold, of which the Sanatorium took 4.266 lb. The vegetable-crop
has shown good results, 15,112 lb. having been grown and sold to the institution.
The field-crops have done remarkably well—the season having been very favourable—650 tons
of ensilage having been grown and put up, besides 650 tons of hay, 75 tons of mangels, 12 tons
of carrots, and approximately 10 tons of various other roots.
I have, etc.,
A. Whiteceoss,
Bursar. W 18 Tranquille Sanatorium. 1924
TRANQUILLE SANATORIUM FARM.
Balance-sheet, Maech 31st, 1924.
Assets.
Buildings and improvements  -  $ 55,833 72
Equipment Account  - :  6,433 70
Land Account   35,500 00
Real estate   137 88
Accounts  receivable    1,821 81
Dam Account   421 72
D. W. Strachan  (Advance Account)    1,000 00
Inventories  37,609 35
Canadian Bank of Commerce (Trading Account)  1,207 30
Deficit   22,023 05
$161,988 59
Liabilities. =
Treasury advance (Petty Account)    $    1,000 00
Treasury advance (Trading Account)         1,500 00
Capital surplus     159,488 59
$161,988 59
Peofit and Loss Account, Maech 31st, 1924.
Salaries—
Farm Superintendent  $ 2,400 00
Book-keeper         660 00
Other employees  - -     12,555 81
  $ 15,615 81
Provisions        3,S76 60
Fuel, light, and water         2.380 53
Feed       12,064 20
Seeds and fruit-boxes  L -   37S 41
Blacksmith and repairs  523 72
Drugs and veterinary supplies  -  234 60
Implements, harness, and hardware  - - -         3,697 34
Travelling expenses  522 17
Incidentals         1,273 S3
Loss on live stock           3.218 37
Depreciation—
Automobile  $   439 00
Farm buildings      1,374 76
Equipment           235 56
 2.049 32
$ 45,S34'90
Sale of hides  ,  $        65 36
Sale of produce  22,450 03
Sale of milk (private parties)  -  100 40
Teaming  7 00
Beef-sales   (sundry)  1.098 31
Board Account  (private parties)  90 75
Deficit for year 1923-24  22,023 05
$ 45,834 90 VICTOHIA,   B.C. :
Printed by Charles F. Banfield, Printer to the King's  Most Excellent Majesty.
1924. 

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