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DEPARTMENT OF PROVINCIAL SECRETARY TWELFTH ANNUAL REPORT OF THE TRANQUILLE SANATORIUM OF THE PROVINCE… British Columbia. Legislative Assembly [1934]

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 DEPARTMENT OF PROVINCIAL SECRETARY
TWELFTH ANNUAL REPORT
OP
THE TRANQUILLE SANATORIUM
OF   THE   PROVINCE   OF
BRITISH COLUMBIA
FISCAL YEAE ENDED MAECH 31ST, 1933
PRINTED  BY
AUTHORITY OF THE  LEGISLATIVE  ASSEMBLY.
VICTORIA,   B.C. :
Printed by Charles F. Banfield, Printer to the King's Most Excellent Majesty.
1933.  To His Honour J. AAr. Pordham Johnson,
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 Tranquille Sanatorium for the fiscal year ended March 31st, 1933.
S. L. HOAVE,
Provincial Secretary.
Provincial Secretary's Office. DEPARTMENT OF THE PROVINCIAL SECRETARY.
HON. S. L. HOAVE, Provincial Secretary.
P. WALKER, Deputy Provincial Secretary.
TRANQUILLE SANATORIUM HEADQUARTERS STAFF.
A. D. Lapp, M.B., Medical Superintendent. H. Jefferis, Bursar.
H. G. Chisholm, M.D., Assistant Medical Superintendent.
H. A. Jones, M.D., Assistant Physician. A. Hakstian, M.B., Assistant Physician.
G. F. Kincade, M.D., Assistant Physician.
G. Darling, Laboratory Technician.
Miss B. Bibry, R.N., Matron. Miss L. AVriqht, Dietitian.
Miss M. L. Haycroft, Stenographer.
W. Jackson, Farm Manager.
A. N. Low, Steward. Miss D. Creech, Book-keeper.
J. Trevors, Laundry Manager. J. L. Stephenson, Chief Engineer.
Rev. Dr. E. D. McLaren, Chaplain.
DEPARTMENT OF PUBLIC WORKS.
J. R. Mathieson, Clerk of Works. TRANQUILLE SANATORIUM.
REPORT OF THE MEDICAL SUPERINTENDENT.
Tranquille, B.C., March 31st, 1933.
The Honourable S. L. Howe,
Provincial Secretary, Victoria, B.C.
Sir,—I have the honour to submit herewith the Twelfth Annual Report of Tranquille
Sanatorium, covering the fiscal year April 1st, 1932, to March 31st, 1933.
The average daily patient population was 329, slightly less than the previous year, resulting
in somewhat fewer days' treatment given. There is always a number of patients waiting to be
admitted. Every bed cannot be kept occupied at all times, due to some unavoidable delay in
patients arriving after being sent for.
The death-rate from tuberculosis in British Columbia remains high and for several years
I have been recommending some extension of the measures employed to combat it. Prevention
is more economical and more effective than cure. Preventive measures should receive first consideration when our anti-tuberculosis programme is being revised. Probably the greatest forward step which could be taken at present would be the co-ordination of all this work in the
Province under one direction. This could best be brought about by the formation of a commission or a board with the power to formulate and carry out some definite policy designed to deal
with the whole problem as a Provincial one.
MEDICAL AND SURGICAL.
The medical and surgical procedures employed here are practically identical with those in
all the large sanatoria in Canada and the United States. It has been the good fortune of the
writer to attend the large conventions fairly regularly and also to visit many of the institutions
treating tuberculosis. By these means we have kept pace with improvements which have been
adopted. My assistants have not been able to make contacts with people doing similar work,
owing to our isolated geographical location. It would be a great help if arrangements could be
made for each member of the staff to visit one of the larger institutions each year, remaining
long enough to familiarize himself with their work and methods.
Our weekly staff meetings have been continued during the past year, and help both patients
and staff through the clinical discussions which take place.
AATe are making use of the various surgical procedures now used in the modern treatment of
pulmonary tuberculosis in all suitable cases. The following table shows this work done during
the past year :—
Number receiving pneumothorax, April 1st, 1932       55
New cases of pneumothorax attempted during the year       64
New cases successfully established      59
Bilateral pneumothorax cases       10
Oleothorax cases        5
Number of pneumothorax refills 2,656
Total phrenicectomies during year      29
In conjunction with pneumothorax      10
As a separate measure      19
Total thoracoplasties to date      54
Thoracoplasties during past year         6
The medical staff are now doing all the X-ray work and I have found this arrangement very
satisfactory. The doctors undoubtedly take a greater personal interest in this work than
formerly, and the medical work is improved by the more intimate knowledge of patients all the
staff have gained through familiarity with their X-ray pictures. There has also been a very
noticeable saving in X-ray films and other supplies. This may be partly due to the increased
use of the fluroscope.
A new X-ray unit has just been installed and we are now able to do work which compares
favourably in quality with that seen anywhere. R 6 • BRITISH COLUMBIA.
During the past year there were 293 stereoscopic and 1,182 single chest-films taken. In
addition, numerous films of other parts of the body were taken. As mentioned above, the fluro-
scope is used freely in checking cases in the intervals between X-ray films, and more particularly
in pneumothorax cases.
One of our most successful undertakings in connection with the medical work was the
establishment of an affiliate course with nurses' training-schools throughout the Province in
1931. It is popular with the students and those directing the training-schools. Almost without
exception the students coming to us have applied themselves diligently to learning what they can
during the two months they have here. They have made a very creditable showing in their
examinations. The knowledge of tuberculosis which they carry with them to the various parts
of the Province is certain to repay us well for any effort we have put into it. Since the affiliation was made about 130 nurses have received a diploma from us.
FINANCIAL.
Further economies have been practised and our per capita cost has again been reduced. The
gross cost is down from $2.60 per patient-day last year to $2.42 and the net from $1.84 to $1.32.
There is a limit to which economy can be carried and still be economy. We have at least
reached that limit if we have not overreached it. This must be kept in mind in our future
budgets.    The Bursar's report covers the financial operations fully.
SANATORIUM FARM.
During the past year prices have been so low that it has been difficult, in spite of making
every effort, to avoid showing a loss on the farm. On account of the type of buildings the
depreciation necessary to be charged is a heavy load, amounting to over $6,000 per year. It
means that we must show that much profit on operation before we can show any real profit on
our books.
Our beef herd continues to increase satisfactorily and we are confident of having over 1,000
head come in off the ranges this fall.
The health of our dairy herd has been excellent. The services of a- veterinary have not been
required. We have had no tuberculin reactors, and tests conducted regularly show no sign of
bacillus abortus infection. The bacterial count of the milk, which is checked weekly, shows us
to be keeping well within the limits of certified milk. The appearance of the herd keeps improving as the poorer-type old cows are weeded out. The 2-year-old heifers are setting new
records of production for our herd.
The swine have remained healthy and we have produced all our pork and pork products. It
requires ten head per week for this purpose, so that we always have about 450 in various stages
of development. AVe have found a cross obtained from Yorkshire sows and Berkshire boars to
be the most economical and hardy. Some of these have been quite ready for the abattoir at five
months, weighing around 200 lb. on foot.
The farm and the stock have never been in such good condition and with any improvement
in prices there should be no difficulty in showing a profit.
ACKNOWLEDGMENTS.
The contributions towards the patients' entertainment and welfare made by any individuals
or organizations are gratefully acknowledged. The Elks' Club, the Red Cross, and the 1.0.D.E.
have been particularly generous.
The visits of the clergymen are much appreciated and bring spiritual comfort and consolation
to our patients.
I wish to express my appreciation to the various members of my staff for their assistance
and co-operation.
Allow me, Sir, in concluding, to thank you heartily for the encouragement and assistance
which I have had from all members of your Department.
I have the honour to be,
Sir,
Your obedient servant,
A. D. LAPP, M.B.,
Medical Superintendent. TRANQUILLE SANATORIUM, 1932-33.
R 7
STATISTICAL TABLES.
TABLE No. 1.—GENERAL STATISTICS FOR YEAR 1932-33.
Movement of Population.
Male.
Military.
Female.
Total.
Number of patients in Sanatorium, March 31st, 1932
Number of patients admitted, 1932—33	
Number of patients discharged, 1932-33	
Number of patients treated, 1932-33	
Number of patients in Sanatorium, March 31st, 1933.
Daily average population	
Total number of patient-days	
160
123
136
283
150
24
35
25
59
30
143
100
102
243
146
327
258
263
585
326
329
119,983
TABLE No. 2.—CLASSIFICATION OF 258 CASES ADMITTED TO SANATORIUM
DURING YEAR 1932-33.
Classification.
Male.
Military.
Female.
Total.
Percentage.
8
30
81
4
9
24
2
16
27
57
24
66
162
6
9.3
25.6
62.8
Miscellaneous	
2.3
Totals	
123
35
100
258
100.0
TABLE No. 3.—CLASSIFICATION OF SIX CASES ADMITTED AS MISCELLANEOUS.
Classification.
Male.
Female.
Total.
2
2
1
1
2
2
1
Dehilitv   	
1
Totals	
6
6
TABLE No. 4.—SHOAVING CIVIL STATE OF PATIENTS ADMITTED PROM
APRIL 1st, 1932, TO MARCH 31st, 1933.
Civil State.
Male.
Female.
Total.
76
78
4
45
49
2
4
121
127
2
8
Totals      	
158
100
258 TABLE No. 5.—SHOWING THE NATIONALITY OF PATIENTS ADMITTED FROM
APRIL 1st, 1932, TO MARCH 31st, 1933.
Nationality.
Male.
Female.
Total.
5
1
1
86
2
23
4
9
2
3
2
1
1
13
1
3
1
5
67
1
11
1
3
1
1
1
1
1
1
1
4
1
10
1
1
153
1
2
34
1
7
1
1
1
10
3
3
1
2
2
1
17
1
3
1
1
Australian	
Polish  	
Scotch            .       .                 	
Totals	
158
100
258
TABLE No. 6.—SHOAVING AVHAT DISTRICTS CONTRIBUTED PATIENTS FROM
APRIL 1st, 1932, TO MARCH 31st, 1933.
Place of Eesidenee.
Male.
Female.
Total.
2
2
1
1
1
7
1
1
1
1
1
1
1
1
1
1
1
1
1
10
2
1
2
1
1
4
2
1
1
1
1
1
1
2
6
2
1
2
3
1
1
1
11
1
1
1
3
1
1
1
1
2
1
1
1
1
<>
1
3
1
16
4
2
2
Ladysmith	
1
43
24
67 TRANQUILLE SANATORIUM, 1932-33.
R 9
TABLE No. 6.—SHOWING WHAT DISTRICTS CONTRIBUTED PATIENTS—ConUnued.
Place of Residence.
Male.
Female.
Total.
43
1
2
1
4
1
2
10
1
1
1
1
1
1
1
2
1
2
1
1
1
1
1
62
4
8
1
1
1
24
1
1
1
1
1
1
6
1
1
1
1
1
1
46
1
8
1
1
1
67
1
1
2
1
1
1
1
5
1
3
16
1
1
1
1
Pitt Meadows 	
1
1
1
1
1
1
1
2
1
Sechelt	
2
1
1
Trail	
i
1
1
108
16
1
1
White Rock	
1
1
Totals	
158
100
258
TABLE No. 7.
-SHOAVING THE OCCUPATIONS OF THOSE ADMITTED FROM
APRIL 1st, 1932, TO MARCH 31st, 1933.
Occupation.
Male.
Female.
Total.
3
2
3
2
23    ■
2
2
2
3
13
2
3
13
9
41
3
2
3
2
32
Cook	
2
2
2
3
13
9
3
41
15
75
50
125 R 10
BRITISH COLUMBIA.
TABLE No. 7.—SHOAVING THE OCCUPATIONS OF THOSE ADMITTED FROM
APRIL 1st, 1932, TO MARCH 31st, 1933—Continued.
Occupation.
Male.
Female.
Total.
Brought forward	
Housework	
75
5
2
14
9
12
6
2
2
2
2
2
2
3
5
4
2
7
1
1
50
5
5
4
15
7
5
3
3
3
125
5
5
2
19
9
12
10
15
Nurse-in-training	
7
2
2
2
2
2
2
8
5
4
9
10
4
4
Totals	
158
100
258
TABLE No. 8.—SHOWING THE AGES OF THOSE ADMITTED FROM
APRIL 1st, 1932, TO MARCH 31st, 1933.
Age.
Male.
Female.
Total.
2
10
21
30
24
19
18
18
7
3
5
1
1
15
26
27
15
7
5
2
2
3
15  to 20     „    	
25
21   ,,   25      „    	
47
26   „   30     „    	
57
31   „   35      „    	
39
36   „   40      „     	
26
41   „   45      „	
23
46   „   50     „    	
18
51   „   55      „    	
9
56   „   60     ,,     	
5
61   „   65      „    	
5
66   „   70     „     	
1
Over    70     „    	
Totals	
158
100
258 TRANQUILLE SANATORIUM, 1932-33.
R 11
TABLE No. 9.—SHOAVING ADMISSIONS, DISCHARGES, AND DEATHS FROM
APRIL 1st, 1932, TO MARCH 31st, 1933.
Month.
Admissions.
Male.    Female.    Total,
Discharges.
Male.    Female.    Total.
Deaths.
Male.    Female.    Total
1932.
April	
May	
June	
July	
August	
September	
October	
November	
December	
1933
January	
February	
March	
Totals...
11
17
21
11
10
12
12
15
14
18
158
9
9
12
7
12
9
16
3
10
100
20
26
33
18
22
21
28
18
24
13
22
13
258
17
11
13
8
8
10
15
10
9
6
16
4
6
10
10
7
7
7
10
2
9
82
23
21
23
15
15
17
25
12
18
20
11
209
34
2
2
3
10
2
1
5
3
4
3
5
4
6
2
2
5
1
5
5
1
3
20
54
TABLE No. 10.—SHOWING CLASSIFICATION OF 263 DISCHARGES
DURING 1932-33.
Results.
Classification on Admission.
Apparently
arrested.
Quiescent.
Improved.
Unimproved.
Died.
Total.
20
1
11
51
62
1
5
19
9'
1
2
23
4
4
49
1
33
63
153
14
Totals	
21
124
34
30
54         ]       263
1
TABLE No. 11.—AVERAGE LENGTH OF RESIDENCE OF 209 DISCHARGED
PATIENTS.
Condition.
Male.
Female.
Apparently arrested
Quiescent	
Improved	
Days.
Days
196
226
667
604
400
541
TABLE No. 12.—SHOAVING LONGEST AND SHORTEST PERIODS OF RESIDENCE
IN 209 DISCHARGES.
Condition.
Shortest Period.
Apparently arrested
Quiescent	
Improved	
Days.
59
46
22 R 12
BRITISH COLUMBIA.
TABLE No. 13.—SHOAVING CLASSIFICATION OF 14 CASES
(MISCELLANEOUS)  DISCHARGED.
Classification.
Male.
Female.
Total.
x\sthma	
Bronchiectasis	
Bronchitis	
Carcinoma of the lung	
Debility	
Lues	
Pyelnaphiosls	
Silicosis and bronchiectasis
Totals	
11
14
TABLE No. 14.—SHOAVING WORK COMPLETED BY PATIENTS IN OCCUPATIONAL
THERAPY CLASSES DURING THE YEAR ENDED MARCH 31st, 1933.
Reed-work—
Trays, size 14 by 20   62
Trays, size 12 by 18  71
Trays, size 12 by 12   22
Trays, size 9 by 12   48
Sandwich-trays   42
Doll-cradles     34
Flower-baskets    56
Pin-trays   24
Sewing-baskets    22
Flowers   21
Pine-needle work—
Sewing-baskets     24
Trays, size 12 by 18  6
Trays, size 9 by 12   24
Fruit-dishes    11
Woodwork—
Picture-frames   48
Cribbage-boards     16
Small tables   8
Wall-shelves   10
Storks, pine-cone  82
Full-rigged ship models  3
Embroidery—
Tray-cloths   8
Table-centres   12
Table-mats    82
Hand-painted handkerchiefs   196
Knitted dolls  :  96
Pillow-slips   8
Passe-partout work—Pictures framed  '  200
Note.—A sale of work was held on December 7th which netted $52 for the patients. The
day being very cold, not many people came to the sale, but most of the remaining articles were
sold before Christmas. TRANQUILLE SANATORIUM, 1932-33.
R 13
TABLE No. 15.—AVEATHER SUMMARY, BEGINNING APRIL 1st, 1932, AND
ENDING MARCH 31st, 1933.
Month.
Max. Temp.
Min. Temp.
Ave. Temp.
Ave. Hum.
Rainfall.
Snowfall.
Sunshine.
1932.
April	
Deg. F.
72
82
90
92
95
85
75
55
53
47
49
58
Deg. F.
33.0
37.0
41.0
45.0
51.0
36.0
25.0
27.0
— 3.0
4.0
—11.5
15.0
Deg. F.
51.133
54.032
66.316
65.983
70.85
54.00
49.032
39.00
25.10
29.475
48.70
39.354
Deg. F.
01.784
55.403
54.966
58.838
59.98
66.583
74.096
51.406
18.225
59.677
52.64
70.53
Inches.
0.58
0.57
0.07
0.48
0.46
0.38
0.86
1.42
0.14
0.07
0.12
0.70    .
Inches.
Nil
Nil
Nil
Nil
Nil
Nil
Nil
4.50
2.50
4.00
8.00
1.75
Hours.
125 8
223 1
281 0
July	
245.7
273 9
221 9
October	
137.3
49 5
78.9
1933.
60 1
103 7
March	
157.1
GENERAL WORK DONE IN LABORATORY DURING THE YEAR ENDED
MARCH 31 st, 1933.
Material examined.
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cd
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01
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0
Sputum	
278
81
197
40
5
4
4
4
11
10
9
1
3
3
4
6
1
5
5
5
1
2
1
1
313
94
219
355
23
3
1
2
2
12
23
1
1
1
1
1
4
17
1
4
4
4
1
2
258
94
164
44
7
2
2
1
1
2
48
40
1
2
3
9
13
5
5
5
5
1
1
1
203
82
181
24
9
2
1
1
3
3
4
24
24
4
2
1
14
18
1
1
5
5
5
1
258
80
178
330
26
1
1
1
2
4
1
14
14
4
1
1
13
8
1
4
4
4
1
3
2
1
1
208
43
165
42
8
3
3
1
33
31
2
1
12
18
4
5
5
5
1
368
101
267
33
5
2
21
21
2
3
17
23
3
4
4
4
1
1
1
243
78
165
336
16
4
2
2
1
7
7
6
31
24
1
1
18
27
4
2
4
4
4
1
2
180
48
132
30
8
7
7
2
2
1
24
25
3
2
1
2
1
9
10
2
2
4
4
4
1
1
234
67
167
21
1
1
1
o
1
7
12
1
1
1
199
208
1
4
4
4
1
1
1
198
152
46
349
19
2
1
1
2
1
1
2
19
20
1
1
2
2
1
127
150
2
4
4
4
1
3
213
25
188
33
2
2
2
1
2
2
8
19
16
2
1
2
2
2
50
41
5
5
5
1
3
1
1
3,014
945
2,069
1,637
79
24
Albuminuria	
5
19
Blood—
27
29
34
263
Sedimentation	
Blood-sugar	
Non-protein nitrogen	
260
31
3
7
Guinea-pig inoculation	
17
15
476
Bacterial smears	
Gastric analysis	
545
9
18
Autogeneous vaccines	
Milk-
Bacteriology	
3
53
53
53
12
14
8
5
T.B. negative	
3 R 14 BRITISH COLUMBIA.
BURSAR'S REPORT.
Tranquille, B.C., March 31st, 1933.
The Medical Superintendent,
Tranquille Sanatorium, Tranquille, B.C.
Sits,—I have the honour to submit herewith the Balance-sheet and financial tables covering
the fiscal year 1932-33.
Contrary to expectations, we reached a new low figure for our per capita cost this year,
which compares very favourably with most institutions of a similar class in the Dominion and
in many cases being much lower. The gross per capita cost per patient per day has been
reduced to $2.42 as compared to previous years, which were as follows: 1928-29, $3.83; 1929-30,
$3.25;  1930-31, $2.88;  1931-32, $2.60;  1932-33, $2.42.
Complete details of other figures may be obtained by referring to Financial Tables A, B,
C, and D.
Operating cost for fuel was the highest on record, due to a long period of very cold weather.
To offset this extra expenditure the markets were much lower than usual for other merchandise.
My personal opinion is that prices will advance and our per capita cost will be higher in future.
Every effort is being made to keep the operating costs as low as possible, maintaining the same
high state of efficiency as in the past.
The anticipated increase in revenue is not up to expectations, due to quite a number of
municipalities being in financial difficulties and unable to meet their obligations in full. This
condition is to be expected while the depression still exists.
I beg to express my appreciation of your cordial support in the performance of my duties,
and of the active co-operation of the department heads, stewards, and office staff.
I have the honour to be,
Sir,
Your obedient servant,
H. JEFFERIS,
Bursar.
TRANQUILLE SANATORIUM.
Balance-sheet, Makch 31st, 1933.
Assets.
Land and improvements   $12,684.05
Buildings   602,468.10
Plant and equipment   145,623.85
Bedding, linen, etc  46,221.90
Inventory   14,831.31
Petty cash :  1,500.00
Accounts receivable   32,737.30
$856,066.51
Deficit (cost of operating, 1932-33)        200,263.34
$1,056,329.85
Liabilities.
Government of British Columbia  $1,056,329.85
Profit and Loss Account, March 31st, 1933.
Salaries   $133,885.58
Office supplies   1,821.18
Travel and transportation   1,671.93
Fuel, water, and light  49,583.54
Carried fortvard      $186,962.23 TRANQUILLE SANATORIUM, 1932-33. R 15
Profit and Loss Account, March 31st, 1933—Continued.
Brought forward   $186,962.23
Maintenance and Janitors' supplies  9,948.47
Bedding and linens  6.277.49
Provisions  68,905.20
Medical and surgical   12,531.38
Incidentals   6,202.07
$290,826.84
Depreciation  41,816.72
Revenue— $332,643.56
Dept. of P. and Nil     $25,451.12
Municipalities       101,189.80
Patients         2,739.30
Donation, J. H. Greaves Estate         3,000.00
  132,380.22
Operating cost for year  $200,263.34
Expense and Revenue Statement for Year ended March 31st, 1933.
Operating Expense Accounts.
Expenditure by voucher—
Salaries—
Medical and clerical staff  $21,108.60
Sundry employees   179,315.29
Office supplies—     $200,423.89
Books and journals   $294.86
Stationery, etc  1,190.57
Telephone and telegraph   444.07
Travelling and transportation—   1,929.50
Travelling expenses   $491.75
Auto and truck   1,480.69
Fuel and light— "         1,972.44
Fuel    $53,099.98
Plant supplies   792.83
Maintenance of buildings, grounds, etc.— od,89-.bl
Janitors' supplies   $8,448.91
Equipment renewals   1,663.63
Garden and grounds  567.66
        10,680.20
Bedding and linens   4,298.25
Provisions—
Groceries   $29,662.17
Meats   7.304.53
Fish  1,730.46
Milk and eggs  4,298.42
Medical and surgical supplies— 42,995.58
Medicine and drugs   $3,976.90
Consultants' fees  7,171.91
X-ray and dental   7,910.57
        19,059.38
Carried forward      $335,252.05 R 16 BRITISH COLUMBIA.
Expense and Revenue Statement for Year ended March 31st, 1933—Continued.
Operating Expense Accounts—Continued.
Brought forward      $335,252.05
Expenditure by voucher—Continued.
Incidentals and contingencies—
Laundry  $4,058.07
Freight and express   649.95
Sundry  '.  80.02
Occupational     146.58
Training-school   2,117.65
Indigent patients  603.58
  7,655.85
Gross expenditure by voucher as per Finance Department Statement  $342,907.90
Less deductions for board      $66,445.02
Less sundry credits         3,476.40
Less revenues     129.380.22
Less donation, J. B. Greaves Estate         3,000.00
  202,301.64
$140,606.26
Plus inventory, March 31st, 1932   13.731.44
$154,337.70
Less inventory, March 31st, 1933     $14,831.31
Less equipment transferred to capital         5,051.53
Less sundry collections          9,091.52
  28.974.30
Farm Contra Account— $125,363.34
Purchases from farm      $37,942.61
Less sales to farm        4,859.33
Debit net amount   33,083.28
Net cost of operating for year   $158,446.62
Depreciation   41,816.72
$200,263.34
Summary of Profit and Loss Account. March 31st, 1933. Yearly
Per Capita.
Salaries  $133,885.58 $406.95
Office supplies          1,821.18 5.53
Travel and transportation          1,671.93 5.08
Fuel, water, and light       49.583.54 150.71
Maintenance and Janitors' supplies          9,948.47 30.24
Bedding and linens .         6.277.49 19.08
Provisions        68,905.20 209.44
Medical and surgical       12.531.3S 38.09
Incidentals           6,202.07 18.85
Gross operating cost   $290,826.84 $883.97
Less revenue      132,380.22 402.37
Net operating cost  $158,446.62 $481.60
Depreciation (plant, buildings, and fixtures)       41,816.72 127.10
$200,263.34 $608.70 TRANQUILLE SANATORIUM, 1932-33.
R 17
Remarks.
Number of days' treatment given during 1932-33  119,983
Number of patients in residence, March 31st, 1933  326
Daily average population for year  329
Gross maintenance per capita cost, 1 year  $883.97
Gross maintenance per capita cost, 1 day  2.42
Net maintenance per capita cost, 1 year  481.60
Net maintenance per capita cost, 1 day  1.32
FINANCIAL TABLES.
Table A.—Showing the Average Number of Patients in Residence each Year, the Total
Amounts spent for Maintenance, and the Gross Per Capita Cost.
Year.
Average Number
in Residence.
Maintenance
Expenses.
Per Capita
Cost.
1921-22 	
190.04
194.46
207.15
221.21
224.00
223.00
216.00
214.31
293.00
325.00
330.00
329.00
8271,730.08
284,019.31
312,065.72
300,350.00
293,980.72
308,194.82
294,674.82
299,621.79
347,939.58
342,120.06
313,213.82
290,826.84
$1,429.85
1,460.55
1,506.46
1922-23	
1923-24	
1924-25	
1,357.75
1,312.44
1,382.04
1925-26	
1926-27	
1927-28	
1,364.24
1,400.10
1,187.51
1,052.67
949 13
1928-29	
1929-30	
1930-31 -.	
1931-32
1932-33	
883.97
Table B.—Showing Analysis of Gross Per Capita Cost.
Year.
ui
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482.22
479.85
467.52
479.75
501.57
554.98
603.51
544.63
484.06
447.65
406.95
$9.01
8.09
7.46
6.01
8.97
9.51
10.32
9.67
10.21
8.09
6.73
5.53
$20.56
11.32
9.42
11.93
8.09
14.81
11.89
12.60
8.78
6.52
7.64
5.08
$225.14
232.81
243.48
211.11
189.92
173.22
169.48
190.78
157.94
132.71
148.82
150.71
$138.43
133.03
85.77
70.55
68,62
65.85
64.20
82.77
62.23
48.92
33.16
30.24
$57.79
66.89
13.70
25.78
6.62
33.96
34.93
24.66
.92
14.23
13.32
19.08
$421.96
472.17
441.26
288.86
392.98
426.23
448.96
421.89
338.82
297.72
226.62
209.44
$28.37
13.07
39.95
26.17
34.68
39.32
53.82
42.95
50.34
44.93
41.04
38.09
$72.06
28.46
65.76
33.05
19.31
12.36
15.65
11.27
13.64
15.69
24.15
18.85
$1,429.85
1922-23    	
1,460.55
1923-24       	
1,506.46
1924-25    	
1,357.75
1925-26     	
1,312.44
1926-27         	
1,382.04
1927 28                  	
1,364.24
1928-29         	
1,400.10
1929-30       	
1,187.51
1930-31         	
1,052.67
1931-32                    	
949.13
1932-33     	
883.97 R 18
BRITISH COLUMBIA.
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R 19
Table E.—Summary of Laundry-work, April 1st, 1932, to March 31st, 1933.
Month.
Personal.
Flat-work.
Total.
Value of Work
done.
1932
April	
May	
June	
July	
August	
September	
October	
November	
December	
1933
January	
February	
March	
Totals	
15,269
20,105
17,185
15,096
17,458
16,380
10,307
17,327
16,400
18,160
15,910
17,959
203.556
47,915
49,412
49,547
47,941
50,164
47,154
47,948
48,968
48,297
48,390
44,369
51,530
581,635
63,184
69,517
66,732
63,037
67,622
63,534
64,255
66,295
64.697
66,550
60,279
69,489
785,191
$3,368.63
3,695.06
3,674.54
3,349.28
3,738.60
3,491.67
3,464.82
3,612.15
3,397.27
3,576.33
3,245.27
3,717.46
$42,331.08
Flat-work, 581,635 ;   personal, 203.550 ;   total, 785,101.    Earnings, $42,331.08.
Average per month :   Flat-work, 48,469 ;   personal, 16.963 ;   total, 65,432.    Earnings, $3,527.59.
Cash received for cleaning, pressing, and laundry, $257.30.
SANATORIUM FARM REPORT.
Tranquille, B.C., March 31st, 1933.
The Medical Superintendent,
Tranquille Sanatorium, Tranquille, B.C.
Sir,—I have the honour to submit herewith Balance-sheet and Profit and Loss Account of
the farm for the fiscal year ended March 31st, 1933.
The profit for the year is very much less than 1931-32. This is partly accounted for by the
heavy expenditure in building a new dam, which was necessary to increase the water-supply for
irrigating extra land brought under cultivation. Also, due to lower market prices prevailing
for beef, pork, and garden produce, the Sanatorium paying current market prices for said items.
The long severe winter was heavy on the feed for the range cattle, a considerable amount of hay
having to be purchased.
The expenses during the past three years have been very high. Due to their dilapidated
condition, many miles of fences had to be replaced, and it was also necessary to renew many
irrigation flumes and gates. Also, several acres of new land have been cleared and cultivated.
The above work has been completed and we anticipate better results in future.
I have the honour to be,
Sir,
Your obedient servant,
H. JEPFERIS,
Bursar. R 20 BRITISH COLUMBIA.
BURSAR'S REPORT, TRANQUILLE SANATORIUM FARM.
Balance-sheet, March 31st, 1933.
Assets.
Buildings and improvements   $100,235.62
Equipment    4,719.44
Land   70,405.88
Automobile Account  600.00
Accounts receivable   877.04
Dam Account '.  2,074.80
Petty cash  500.00
Inventory    77,507.01
$256,919.82
Liabilities.
Capital balance   $256,799.14
Operating profit, 1932-33   120.68
$256,919.82
Profit and Loss Account, March 31st, 1933.
Disbursements.
Salaries  i  $17,502.05
Office supplies   27.73
Truck and tractors   1,464.18
Fuel   630.65
Repairs and renewals   464.76
Feed   13,615.66
Provisions  :  4,425.27
Leases    1.477.81
Implements and harness   776.75
Drugs  38.81
Incidentals  ,  436.91
Boarding-house   572.22
$41,432.80
Depreciation   6,049.94
Net profit   120.68
$47,603.42
Livestock- 'Receipts.
Beef and dairy products   $15,305.36
Swine products  «  3,731.34
Milk-sales   27,417.50
Garden produce  1,149.22
$47,603.42.
Expenditure by Voucher, Vote No. 146b, 1932-33.
Salaries—■
Staff  :     $3,108.21
Sundry employees      25,625.71
  $28,733.92
Carried forward   $28,733.92 Expenditure by Voucher, Vote No. 146b, 1932-33—Continued.
Brought forward      $28,733.92
Office supplies—
Stationery, etc  $11.90
Telephone and telegraph  15.83
 ;  27.73
Auto-truck and tractors          1,500.13
Fuel   803.71
Maintenance and repairs—
Equipment and renewals         $443.03
Fencing   97.90
Dams and ditches   135.37
Gardens and grounds          416.13
        1,092.43
Feed       13,489.68
Provisions  138.16
Leases          1,477.81
Implements and harness—
Harness        $163.31
Implements         717.69
  881.00
Live stock   20.25
Drugs and veterinary—
Drugs          $35.81
Veterinary  3.00
  38.81
Incidentals—
Fees  $70.10
Freight and express  42.76
Miscellaneous         324.05
  436.91
$48,640.54
Less deductions for board   $10,126.22
Less credit   80.24
Less sundry revenue        3,110.83
        13,317.29
As per Public Account Report     $35,323.25
Inventory as at March 31st, 1932—
Live stock—
Cattle  -  $54,215.00
Steer carcasses   93.92
Horses        2,175.00
Swine       5,214.00
Slaughter-house—
Equipment          571.33
Pork products         974.66
Implements, etc,       2,938.25
Tools          261.25
Produce   305.00
Feed       4,187.18
Gasoline  7.20
Fuel   81.44
      71,024.23
Carried forward   $106,347.48 R 22 BRITISH COLUMBIA.
Expenditure by Voucher, Vote No. 146b, 1932-33—Continued.
Brought forward  $106,347.48
Less inventory as at March 31st, .1933—
Live stock—
Cattle   $62,380.00
Horses.  2,067.50
Swine   3,789.00
Slaughter-house—
Equipment   550.50
Merchandise   855.39
Implements, etc  3,042.50
Tools    261.25
Feed   4,058.25
Produce   205.00
Travel and transportation   43.15
Fuel   254.50
 77,507.04
$28,840.44
Purchases from Sanatorium—
Provisions      $4,287.11
Laundry  572.22
        4.859.33
$33,609.77
Less transfers to Dam Account     $547.43
1,105.65
        1,653.08
$32,046.69
By Sales to Sanatorium   $37,942.61
Accounts receivable, 1933          877.04
$38,819.65
Less accounts receivable, 1932   602.34
       38,217.31
Gross profit      $6,170.62
Depreciation         6,049.94
Net profit         $120.68
Summary of Farm Production for Fiscal Year 1932-33.
. Alfalfa, 403 tons at $12  $4,836.00
Meadow-hay, 196 tons at $3  588.00
Green feed, 382 tons at $5  1,910.00
Corn ensilage, 450 tons at $5  2.250.00
Mangels, 75 tons at $5  375.00
Potatoes, 38 tons at $15   570.00
Potatoes (seed), 30 tons at $25  750.00
Onions, 9,086 lb. at $1 per 100 lb  90.86
Carrots, 21,620 lb. at $1 per 100 lb  216.20
Beets, 7,153 lb. at $1 per 100 lb  71.53
Lettuce, 42 dozen heads at 40 cents ■  16.80
Carried forward      $11,674.39 TRANQUILLE SANATORIUM, 1932-33.
R 23
Summary of Farm Production for Fiscal Year 1932-33—Continued:
Brought forward     $11,674.39
Vegetable marrow, 5,375 lb. at 2 cents  107.50
Spinach, 170 lb. at 2% cents  4.25
Corn, 98 dozen at 12 cents  11.76
Apples, 74 boxes at 75 cents  :'.  55.50
Apples, 299 boxes at $1   299.00
Rhubarb, 300 lb. at 2 cents   6.00
Pears, 34 boxes at $1.50  51.00
Honey, 135 lb. at 15 cents  20.25
Green onions, 6 boxes at $1 ■ 6.00
Cucumbers, 15 dozen at 25 cents   3.75
Kohl rabi, 470 lb. at 2 cents  9.40
String beans, 290 lb. at 4 cents   11.60
$12,260.40
Sundries sold to Sanatorium.
Beef and beef products, 52,378 lb. at 8 cents   $4,190.24
Pork, 15,986 lb. at 9 cents  1,438.74
Bacon, 15,079 lb. at 16 cents   2,412.64
Ham, 13,939 lb. at 14 cents  1,951.46
Sausages, 4,479 lb. at 13 cents   582.27
Bakeasy, 105 lb. at 3 cents  3.15
Soap lard, 450 lb. at 3 cents  13.50
Pure lard, 4,419 lb. at 8 cents  353.52
Sundries sold to Provincial Home, camps, etc  657.06
$11,602.58
Milk produced from Dairy Herd.
82,326.4 gallons at 40 cents   32,930.56
$44,533.14
List of Record of Performances produced by the Tranquille Sanatorium Farm Herd
FOB THE Yeab 1932-33.
Name.
Class.
Milk Producton.
Butter.
Alexandra Gordon Pontiac...
Alexandra Verona DeKol	
Alexandra Fairy Gem	
Aaggie Lady Posch	
Alexandra Carnation Peach..
Alexandra Mercena DeKol	
Excellency Hengerveld Echo.
Alexandra Stella Kate	
Alexandra Excellency Sylvia
2-year-old
3-year-old
3-year-old
4-year-old
2-year-old
4-year-old
Mature (
3-year-old
3-year-old
(305 days)
(305 days)
(365 days)
(305 days)
(365 days)
(365 days)
365 days)
(365 days)
(365 days)
Lb.
13,097
15,180
18,722
12,747
13,689
19,655
,22,736
*14,827
19,047
Lb.
551.25
652.50
637.50
556.25
596.25
848.75
961.25
621.25
837.50
VICTORIA, B.C.:
Printed by Charles P. Banfield, Printer to the King's Most Excellent Majesty.
1933.
425-1233-5498 

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