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Boston  City  Hospital 


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EIGHTY-FIBST  iiNNUAL  REPORT 

OF  THE 

TRUSTEES 

OF 

The  Boston  City  Hospital 

INCLUDING  THE  REPORT  OF  THE  SUPERINTENDENT 

ON  THE 

Hospital    Proper,     the    South    Department    foe     Intectious    Diseases, 
THE  East  Boston  Relief  Station,  also  the  Sanatorium  Division 

FOR  THE  EIGHTY-FIRST  YEAR 

January  1,  1944,  to  December  31,  1944,  Inclusive 


CITY  OF  BOSTON 

PRINTING  DEPARTMENT 

1945 


EIGHTY-FIRST     ANNUAL     REPORT 


OP 


THE    TRUSTEES 


THE   BOSTON   CITY   HOSPITAL 

INCLUDING   THE 

REPORT    OF    THE    SUPERINTENDENT 

UPON   THE 

HOSPITAL   PROPER 

THE    SOUTH     DEPARTMENT     FOR     INFECTIOUS     DISEASES 

THE   EAST   BOSTON   RELIEF  STATION 

ALSO 

the  sanatorium  division 

for  the  eighty-first  year 

January  i,  1944,  to  December  31,  1944,  inclusive 


CITY    OF   BOSTON 

PRINTING   DEPARTMENT 

1945 


''''"  tn  20^2  with  Tuhding  from 
Boston  Public  Library 


littp://www.arcliive.org/details/annualreportoftr1944bost 


[Document  14  —  1945.] 


\d,  (coHmnrAJE).    ^/ 

^A      163©.       ^^2 

^^^^ 

ANNUAL  REPORT 

OF   THE 

HOSPITAL  DEPARTMENT 

FOR  THE   YEAR  ENDING   DECEMBER   31,    1944. 


REPORT   OF   THE   TRUSTEES. 


Boston,  January  2,  1945. 

Hon.  Maurice  J.  Tobin, 

Mayor  of  the  City  of  Boston. 

Sir, —  In  compliance  with  the  ordinances,  the  trustees 
of  the  Boston  City  Hospital  present  the  following  report 
of  its  condition  for  the  year  ending  December  31,  1944. 

This  is  the  eighty-first  annual  report  of  the  Hospital 
Department,  which  consists  of  the  Main  Hospital,  the 
South  Department  for  contagious  diseases,  the  Sana- 
torium Division,  the  East  Boston  Relief  Station.  The 
Haymarket  Square  Relief  Station  has  been  in  the  cus- 
tody of  the  Public  Works  Department  since  May,  1938. 
The  West  Department  w^as  transferred  to  the  Public 
Works  Department,  February,  1939. 

The  Board  of  Trustees  was  organized  on  May  1,  1944, 
by  election  of  Mr.  Carl  Dreyfus  as  President,  and 
Dr.  Martin  J.  English  as  Secretary. 

Dr.  Thomas  J.  Giblin,  D.  M.  D.,  was  appointed  to  the 
Board  of  Trustees  for  the  term  ending  April  30,  1949. 


City  Document  No.  14. 


Expenditures. 

The  total  expenditures  for  all  departments  of  the 
Hospital,  excepting  the  Sanatorium  Di\dsion,  during  the 
fiscal  year  were  $3,540,591.69.  Of  the  total  operating 
expenses,  $2,887,229  was  expended  on  the  hospital 
proper  and  its  subdivisions;  $272,515.15  on  account  of 
the  Out-Patient  Department;  $286,674.43  on  account 
of  the  South  Department;  $27,429.55  on  account  of  the 
East  Boston  Relief  Station,  and  $14,731.20  for  CiviHan 
Defense. 

Of  the  amount  spent  on  the  Pathological  Laboratory, 
$81,370.41,  $78,115.59  is  included  in  the  hospital  proper 
expenditures,  $1,627.41  in  the  Out-Patient  Department, 
and  $1,627.41  in  the  South  Department  expenditures. 
The  entire  amount  spent  on  the  Thorndike  Memorial 
Laboratory,  $71,417.38,  is  included  in  the  hospital  proper 
expenditures.  Of  the  $110,860.82  total  amount  spent 
on  the  X-Ray  and  Photographic  Department,  $55,430.41 
is  charged  to  the  hospital  proper  and  $55,430.41  to  the 
Out-Patient  Department.  Of  the  total  amount  spent 
on  the  Department  of  Physical  Therapeutics,  $19,706.76, 
$2,561.88  is  charged  to  the  hospital  proper,  $16,947.81 
to  the  Out-Patient  Department  and  $197.07  to  the 
South  Department.  Of  the  amount  spent  on  the  De- 
partment of  Immunology,  $5,954.54,  $59.54  is  charged 
to  the  hospital  proper,  $5,478.18  to  the  Out-Patient 
Department  and  $416.82  to  the  South  Department. 
Of  the  amount  spent  on  the  CHnical  Laboratory, 
$61,478.27,  $57,174.79  is  charged  to  the  hospital  proper 
and  $4,303.48  to  the  Out-Patient  Department.  Of  the 
amount  spent  on  the  Department  of  Surgical  Research, 
$15,300.37,  $7,650.18  is  charged  to  the  hospital  proper 
and  $7,650.19  to  the  Out-Patient  Department.  Of  the 
amount  spent  on  the  Department  of  Oral  Surgery, 
$7,889.81,  $1,104.57  is  charged  to  the  hospital  proper 
and  $6,785.24  to  the  Out-Patient  Department.  Of 
the  amount  spent  on  the  Department  of  Social  Work, 
$62,272.34,  $41,099.75  is  charged  to  the  hospital  proper, 
$20,549.87  to  the  Out-Patient  Department  and  $622.72 
to  the  South  Department.  Of  the^  amount  spent 
in  ascertaining  the  settlement  of  patients,  $5,614.59, 
$5,333.86  was  spent  on  the  hospital  proper  and  $280.73 
on  the  South  Department. 


Hospital  Department.  3 

In  Table  No.  2  the  expenditures  of  the  hospital  proper 
and  the  South  Department  are  combined  under  the 
title  "Main  Hospital." 

Paying  Patients. 
During  the  past  year  there  has  been  collected  for 
the  care  and  treatment  of  patients  of  all  classes,  except- 
ing  those    at   the    Sanatorium    Division,    the    sum    of 
$470,645.68. 


City  Document  No.  14. 


The  Boston  City  Hospital  —  Exclusive  of  Sanatorium      1 

Division. 

The  following  is  a  tabular  statement  of  the  income  from  paying 
patients  during  the  j^ear  1944. 


Main  Hospital. 


House. 


Out-Patient 
Department. 


South 

Department, 

House. 


All 
Departments. 


From  Overseers  of  Public  Welfare, 

From  cities  and  towns 

From  paying  patients: 

In  private  rooms 

In  wards 

Protamine 

Physiotherapy 

Insulin 

Venereal  disease 

Electrocardiograph 

Tonsils  and  adenoids 

Deviated  septum 

Blood  transfusions 

Circumcision 

Radium 

Record  fees 

Ambulances 

X-Ray  examination  and  treatment, 

Social  disease  clinic 

Motor  vehicle  accidents 

Industrial  accidents 

Group  insurance 

Miscellaneous  accidents 

Nurses'  board 

Old  Age  Assistance 


$64,962  93 
35,805  61 

27,687  29 
96,351   01 


2,453  00 

149  25 

2,203  29 

2  50 

20  00 


4,529  72 


20,714  40 
33,008  07 
55,007  68 
3,669  21 
15,251  50 
34,787  07 


$57  00 
278  42 


5,294  62 


$1,335  91 

3,414  51 

197  54 

66  75 

101  00 


2,123  50 

20,508  57 

320  00 

2,354  00 

14  00 

355  50 


8  50 

300  50 

3,409  75 


43  00 


$65,019  93 
36,084  03 


,325  81 
199  00 


Totals. 


Collected  by  City  Collector  for  con- 
tagious cases: 


From  the  state 

From  cities  and  towns. 


$396,602  53 


4,601  00 
2,790  78 


3,791  28 


$9,391  79 


12,809  00 
9,134  49 


$4,524  81 


Totals. 


$403,994  31 


$30,791  28 


$31,335  28 


$4,524  81 


Hospital  Department.  5. 

Contracts. 

In  January,  1944,  a  contract  was  awarded  to  J.  J. 
Hurley  &  Company  in  the  sum  of  $1,918,  for  repairs  to 
Aerofin  coils  in  kitchen  and  cafeteria.  This  contract 
was  completed  and  accepted  on  January  14,  1944,  and 
final  payment  made  to  contractor. 

The  contract  of  Peter  Rossi  for  installation  of  Edison 
stand-by  service,  which  was  awarded  in  1943,  has  not 
as  yet  been  completed  and  accepted.  The  contract 
price  to  date,  including  additions  and  deductions,  is 
$30,271.17;  of  this  amount  $16,091.44  has  been  paid  to 
Mr.  Rossi,  leaving  a  balance  of  $14,179.73.  It  is  ex- 
pected that  this  contract  will  be  completed  early  in  1945. 

The  contract  of  the  Boston  Edison  Company  for 
installation  of  electric  service  in  connection  with  Mr. 
Rossi's  contract  is  awaiting  the  completion  and  accept- 
ance of  the  Rossi  contract. 

In  connection  with  the  Rossi  contract,  James  H. 
Ritchie  and  Associates  received  during  1944  $900  as 
architectural  fees  and  commission,  making  a  total  paid 
them  on  this  contract  $3,064.84. 

The  contract  of  the  Otis  Elevator  Company  for  fur- 
nishing Otis  service  to  elevators  in  the  sum  of  $11,820 
per  year,  said  service  to  continue  during  the  year  1945. 

On  October  27,  1944,  a  contract  was  awarded  to 
J.  J.  Hurley  &  Company  for  installation  of  boiler  feed 
pump  and  piping  in  boiler  house  in  the  sum  of  $1,240. 
This  contract  has  been  completed  and  accepted  and 
final  payment  made  to  contractor. 

On  July  25,  1944,  a  contract  in  the  sum  of  $2,985 
was  awarded  to  the  Boston  Screen  Company  for  in- 
stallation of  new  screens  and  repairs  to  old  ones. 
This  contract  has  been  completed  and  accepted  and  final 
payment  made  to  contractor. 

On  July  25,  1944,  a  contract  in  the  sum  of  $1,695  was 
awarded  to  the  C.  &  G.  Contracting  Company  for 
painting  cafeteria  and  kitchen  building.  This  contract 
has  been  completed  and  final  payment  made  to 
contractor. 

During  the  year  1944,  James  H.  Ritchie  and  Asso- 
ciates were  authorized  by  the  Trustees  to  prepare  plans 
and  specifications  for  changes  in  Drown  House  and 
Linda  Richards  House.  The  sum  of  $977.56  was  paid 
to  the  architect  in  1944  for  this  service.  The  proposed 
work  was  to  have  been  paid  for  from  Government  funds 


6  City  Document  No.  14. 

(F.  W.  A.)  but,  as  these  funds  were  not  granted  by  the 
Government,  it  was  necessary  to  at  least  temporarily 
suspend  the  work  involved. 

On  November  29,  1944,  a  contract  in  the  sum  of  $5,250 
was  awarded  to  John  F.  Shea  Company  for  pointing, 
waterproofing  and  caulking  connecting  corridors  and 
tunnels.  Due  to  weather  conditions  it  was  necessary 
to  delay  the  work  called  for  in  the  contract,  but  it  is 
expected  to  be  completed  early  in  the  spring  of  1945. 

James  H.  Ritchie  and  Associates,  Architects,  have 
already  received  the  sum  of  $315  as  their  commission  on 
the  above  contract. 

On  December  2,  1944,  a  contract  in  the  sum  of  $1,379 
was  awarded  to  Burgess  &  Blacher  for  new  roofing, 
sheet  metal  work  and  exterior  painting,  Thorndike 
Building.  It  is  expected  the  work  on  this  contract  will 
be  started  early  in  1945.  James  H.  Ritchie  and  Asso- 
ciates, Architects,  are  in  charge  of  the  work  to  be  done. 

On  December  4,  1944,  a  contract  in  the  sum  of  $6,969 
was  awarded  to  J.  W.  Fraught  Company  for  installation 
of  new  heating  mains  to  South  Department  and  Vose 
House,  and  new  returns  and  repairs  to  heating  system 
in  Drown  House.  Work  on  this  contract  will  be  started 
early  in  1945. 

James  H.  Ritchie  and  Associates,  Architects,  are  in 
charge  of  the  work  to  be  done. 

On  June  30,  1944,  a  contract  in  the  sum  of  $2,298 
was  awarded  to  Rich  Brothers  Construction  Company 
for  installation  of  a  fresh  air  system  for  Fenwal 
Laboratory. 

This  contract  was  somewhat  delayed  in  starting 
because  of  ''priorities,"  but  will  probably  be  completed 
early  in  1945. 

James  H.  Ritchie  and  Associates,  Architects,  are  in 
charge  of  the  work  and  have  already  been  paid  $137.88 
on  account  for  their  services. 

On  September  22,  1944,  the  Trustees  approved  the 
acceptance  of  a  bid  of  $689,  from  the  Rossano  Con- 
struction Company,  Inc.,  for  repairs  to  incinerator. 
Pathological  Building.  This  work  has  been  completed 
and  accepted  and  payment  made  to  contractor. 

Civilian  Defense. 
During  the  past  year  there  has  been  added  to  the 
Hospital  budget  the  amount  of  $14,731.20  for  Civilian 
Defense. 


Hospital  Department.  7 

A.    Shuman   Memorial   Fund   for   Care   of   Men 
Patients  at  the  Boston  City  Hospital. 

To  the  1100,000  bequeathed  by  the  late  Abraham 
Shuman,  $53,791.98  has  been  added  to  January  1, 
1945,  making  the  total  amount  available  on  that  date 
$153,791.98.  During  the  year  1944  there  was  expended 
from  this  fund  the  sum  of  $3,467.33  for  care  of  con- 
valescent male  patients  at  various  nursing  homes. 

Charles  H.  Tyler  Fund. 
The  $1,000,000  bequest  of  the  late  Charles  H.  Tyler 
is  being  received  in  bonds  and  cash.  Up  to  January  1, 
1945,  $1,289,804.24  has  been  delivered  to  the  City 
Treasurer.  This  fund  will  be  used  for  the  erection  and 
maintenance  of  a  surgical  research  building  to  be  named 
in  honor  of  the  late  Dr.  George  G.  Sears. 

Respectfully  submitted, 

Carl  Dreyfus,  President. 

Martin  J.  English,  M.  D.,  Secretary. 

Stuart  C.  Rand. 

Roger  T.  Doyle,  M.  D. 

Thomas  J.  Giblin,  D.  M.  D. 


City  Document  No.  14. 


REPORT  OF  THE  SUPERINTENDENT  AND 
MEDICAL   DIRECTOR. 


The  Boston  City  Hospital,  January  2,  1945. 

To  the  Trustees. 

Gentlemen, —  I  present  herewith  the  annual  report 
of  the  Hospital  Department  for  the  year  1944. 

The  finances  of  the  Hospital  and  its  various  depart- 
ments are  shown  in  the  following  tables. 


TABLE  NO.  1. 


TABLE   NO.    1. 

Disbursements  According  to  Various  Subdivisions. 


Hospital 
Proper. 

Out-Patient 
Department. 

Pathological 
Laboratory. 

Thorndike 
Laboratory. 

X-Ray  and 
Photographic 
Department. 

Department 

of  Physical 

Therapeutics. 

Department 
of 

Immunology. 

Clinical 
Laboratories. 

Department 
of  Oral 
Surgery. 

Department 
of  Surgical 
Research. 

Department 

of  Social 

Work. 

Settlement 
Account. 

South 
Department. 

East  Boston 
Relief 
Station. 

^       All 
Departments. 

Totals. 

$508,347  16 

89,673  45 

223,111  66 

1,511,7.53  17 

63,839  32 

554  15 

17,329  .52 

16,624  01 

49,772  41 

18,008  81 

25,581  76 

24,428  08 

1,440  21 

8,404  98 

33,532  28 

4,780  96 

$54,660  87 

19,179  33 

6,328  55 

175,864  32 

2,065  78 

77  50 

724  82 

1,931  36 

3,410  97 

2,121  02 

2,892  58 

1,104  81 

$187  48 

837  81 

558  03 

20,572  20 

56  07 

Fuel 

$4,700  95 

17,630  69 

110,001  44 

1,296  77 

$5,542  40 
6,983  47 

58,812  32 
1,555  29 

$2,663  85 

5,735  91 

56,972  00 

204  72 

$1,508  47 

.54,537  41 

50,884  03 

34  47 

$563,195  51 

$351  73 
18.100  85 

$192  92 
5,745  48 

$20,476  99 
38,949  25 

.$2,237  23 
5,346  17 

$1,907  32 

9,321  35 

1  26 

$56,716  04 

$3,431   89 

2,122,470  51 

631  65 
22,331  32 
18,960  89 
55,609  66 
20,718  .58 
29,366  50 
33,970  59 

1,914  06 
24,486  95 
41,310  51 

5,437  93 
11,992  74 

26  450  42 

95  35 

128  54 
578  36 
389  27 
105  41 
1,060  12 

720  07 
86  88 

744  44 
49  34 
86  14 

773   12 

467  32 

14  76 

207  29 

1,810  43 

14  23 

314  58 

8.56  14 
21  55 
47  45 
56  82 
7  49 
62  93 

3  86 

13  28 

91  20 

7  91 

119  96 

688  40 

6  84 
8  86 
118  22 
63  21 
52   10 
57  18 

4  02 

5  63 
87  96 

312  95 
111  25 
62  34 
22  20 
73  42 
24  23 
60  00 
137  45 
100  90 
336  22 

54 
6  01 

167  94 

49 

398  94 

1,811   15 

15  25 

731  41 

403  60 

5  93 
860  06 

4  01 

5  58 

38  76 
67  62 

1,576  51 

398  60 

3,413  25 

1,4.'50  80 

2,925  64 
807  21 

243  80 
100  90 

487  61 
403  60 

60  95 
201  80 

731  41 

7,350  45 

5,356  62 

320  75 

201  80 

201  80 

5,672  24 

1,791   18 

864  67 

3,664  65 

22,831  21 
1,146  11 
1,110  55 
1,237  95 
6,503  75 
3,695  31 

708  10 

2,913  11 

1 

1,146  11 
1,217  70 

33  75 

73  40 

1,237  95 

6,503  75 

3,695  31 

- 

$14,731  20 

14,731  20 

$2,633,706  81 

96% 

78,115  59 
100% 
71,417  38 
50% 

55,430  41 
13% 

2,561  88 

1% 

59  54 
93% 

57,174  79 
50% 

7,650  18 
14% 

1,104  57 
66% 

41,099  75 
95% 

5,333  86 

$140,459  60 

2% 
1,627  41 

$81,370  41 

$71,417  38 

$110,860  82 

$19,706  76 

$5,954  54 

$61,478  27 

$7,889  81 

$15,300  37 

$62,272  34 

$5,614  58 

$286,376  24 

2% 
1,627  41 

$23,452  55 

$14,731  20 

$3,540,591  69 

Adjustments: 

(A)     Pathological  Laboratory 

(B)     Thorndike  Memorial  Laboratory 

50% 

55,430  41 
86% 

16,947  81 
92% 

5,478  18 

7% 

4,303  48 
50% 

7,650  19 
86% 

6,785  24 
33% 
20,549  87 

(D)    Department  of  Physical  Therapeutics 

1% 

197  07 
7% 

416  82 

(E)     Department  of  Immunology 

(H)    Department  of  Oral  Surgery. .    .    . 

1% 

622  72 
5% 

280  73 

(J)      Settlement  Account 

Totals 

$2,953,654  76 

-11,841  96 
-3,847  00 

$259,232  19 
-f  11,841  96 

$289,520  99 

$23,452  55 

$14,731  20 

$3,540,591  69 

Charged  from  Hospital  on  account  of  board  of  employees: 
Out-Patient  Department 

East  Boston  Relief  Station 

-1-3,847  00 

$2,937,965  80 
-49,734  80 

$271,074  15 

$289,520  99 
-2,539  56 

$27,299  55 

$14,731  20 
-14,731  20 

$3,540,591  69 

Deduct  permanent  improvements  and  extraordinary  expendi- 
tures  

-67,005  56 

$2,888,231  00 
-1,002  00 

$271,074  15 

$286,981  43 
-307  00 

$27,299  55 

$3,473,586  13 

Deduct  increase  in  stock  on  hand  more  than  January  1,  1944  .  .  . 
Add  decrease  in  stock  on  hand  less  than  January  1,  1944 

-1,309  00 

4-1,441  00 

+  130  00 

-1-1,571  00 

Amount  properly  chargeable  to  maintenance 

$2,887,229  00 
$6  43 

$272,515  15 

$286,674  43 

$5  65 

$27,429  55 

$3,473,848  13 

$1  22 

$2  92 

1 

The  total  cost  of  subsistence  supplies  was  $569,010.37;  $5,814.86  of  this  being  cost  of  food  for  animals  (used  for  experimentation)  in  Pathological,  Thorndike,  Surgical  Research  and  Neurological  Laboratories. 


Hospital  Department. 


THE   BOSTON   CITY   HOSPITAL. 
Per  Capita  Costs,  Year  1944. 


Per  Visit. 


Per  Day. 


Per  Week. 


Hospital  Proper: 

Per  ward  patient  (after  deducting  cost  of  permanent 
improvements  and  extraordinary  expenditures) .  . 

Per  person  for  uncooked  food  supplies 

Per  Out-Patient  Building,  per  visit 

South  Department: 

Per  patient 

Per  person  for  uncooked  food  supplies 

Hospital  Proper  and  South  Department,  together: 

Per  ward  patient  (after  deducting  cost  of  permanent 
improvements  and  extraordinary  expenditures)  . . 

East  Boston  Relief  Station: 

Per  Out-Patient  visit 

Sanatorium  Division: 

Per  patient , 

Per  person  for  uncooked  food  supplies 

All  departments  except  Sanatorium  Division: 

Per  person  for  uncooked  food  supplies 


$1  22 


2  92 


$6  43 
50 


5  65 
50 


6  35 


4  36 
73 


45 


$45  01 
3  50 


39  55 
3  50 


44  45 


30  52 
5  11 


3  15 


10 


City  Document  No.  14. 


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Hospital  Department. 


15 


HOSPITAL  PROPER. 


Principal  Statistics  for  the  Year  1944. 


Patients  remaining  in  the  hospital  proper,  Decem- 
ber 31,  1943 

Admitted  During  the  Year  1944. 


Medical 

11,910 

Surgical 

11,690 

Gynecological  and  obstetrical 

4,271 

Pediatric          .... 

3,858 

Ophthalmic     .... 

552 

Aural  and  laryngological 

1,579 

Neurological    .... 

384 

Neurosurgical 

488 

Dermatological 

113 

Urological        .... 

538 

Dental 

90 

Deduct  intra-transfers  . 


Treated  during  the  year 
Discharged  during  the  year 
Deduct  intra-service  transfers 

Died  during  the  year    . 


35,473 
1,187 


32,590 
1,187 


31,403 
2,918 


Patients  remaining  in  the  hospital  proper,  Decem 

ber  31,  1944 

Births  during  the  year 

Deaths  during  the  year 

Deaths  within  forty-eight  hours  of  admission 
Maximum  number  of  patients  at  any  one  time 
Minimum  number  of  patients  at  any  one  time 
Daily  average  of  patients     .... 
Average  number  of  days'  stay  of  patients 
Weeks'  treatment  given  in  hospital    . 
Days'  treatment  given  in  hospital 
Out-patients  treated  during  the  year  * 
Visits  made  by  out-patients  during  the  year 
Applicants  for  admission  to  hospital  . 
Applicants  rejected 


1,202 


34,286 
35,488 


34,321 

1,167 

2,028 

2,918 

1,015 

1,371 

1,042 

1,227.35 

12.66 

64,143 

449,212 

113,288 

317,681 

35,780 

292 


*  Includes  patients  treated  in  accident  room,  oral  surgery,  X-ray  and  plaster  room 
besides  those  treated  in  Out-Patient  Department. 


16  City  Document  No.  14. 


SOUTH   DEPARTMENT. 


Principal  Statistics  for  the  Year  1944. 

Number  of  patients  remaining  in  the  South  De- 
partment, December  31,  1943         ....  156 

Admitted  from  January  1,  1944,  through  December 
31,  1944 1,564 


Treated  during  the  year 1,720 

Discharged  during  the  year  .        1,545 

Died  during  the  year 15 

1,560 


Number  of  patients  remaining,  December  31,  1944  .  160 

Maximum  number  of  patients  at  any  one  thne       .  230 

Minimum  number  of  patients  at  any  one  time        .  49 

Daily  average  of  patients 138.53 

Average  number  of  days '  stay  of  patients        .        .  29 .  48 

Number  of  days '  treatment  given  patients       .        .  50,701 

Number  of  weeks '  treatment  given  patients     .        .  7,243 

Number  of  patients  admitted  over  15  years  of  age     .  234 

Average  age  of  patients 9 .  56 

Number    of    deaths    within    forty-eight    hours    of 

admission 8 

Percentage  of  deaths  to  discharges     ....  .96 

Death  rate  from  all  diseases .87 

Death    rate    from    all  diseases,   deducting  deaths 

within  twenty-four  hours  of  admission  ...  .  523 

Number  of  appUcants  examined  for  admission  1,909 

Number  of  applicants  rejected 345 

Number  of  births  during  the  year      ....  1 


Hospital  Department.  17 


EAST   BOSTON   RELIEF   STATION. 


Principal  Statistics  for  the  Year  1944. 

Number  of  out-patients  treated: 

Medical 538 

Surgical 2,106 


Number  of  visits  of  out-patients : 

Medical 538 

Surgical 8,871 


2,644 


9,409 

Number  of  male  patients  treated  in  out-patient      .  6,167 

Number  of  female  patients  treated  in  out-patient  .  3,242 

Maximum  number  of  out-patients  treated  on  any 

one  day 54 

Minimum  number  of  out-patients  treated  on  any 

one  day 10 

Number  of  deaths 1 

Number  of  ambulance  trips  to  the  Boston   City 

Hospital 1,170 

Number  of  miscellaneous  ambulance  trips,  22 

Number  of  "no  case"  trips  ...  21 


Total  number  of  ambulance  trips       ....  1,213 

Total  number  of  patients  carried  in  ambulance  .  1,205 
Number  of  out-patients  transferred  to  the  Boston 

City  Hospital  by  ambulance  ....  95 
Number  of  accident  cases  brought  in  by  police 

ambulance 113 

Number  of  accident  cases  brought  in  by  private 

cars 55 

Total  number  of  accident  cases 225 

Respectfully  submitted, 

James  W.  Manary,  M.  D., 
Superintendent  and  Medical  Director. 


18 


City  Document  No.  14. 


ANNUAL   REPORT 

OF   THE 

SANATORIUM 


HOSPITAL   DEPARTMENT 
DIVISION. 


Boston,  January  2,  1945. 

Hon.  Maurice  J.  Tobin, 

Mayor  of  Boston. 
Dear  Sir, —  The  report  of  the  Hospital  Department, 
Sanatorium  Division,  for  the  year  ending  December  31, 
1944,  is  respectfully  submitted  herewith: 


Principal  Statistics  for  the  Year  1944. 
Number   of   patients   remaining   in   Sanatorium 
Division,  December  31,  1943   .... 
Admitted  during  the  year  1944       .... 

Minimal 91 

Moderately  advanced    ....  193 

Far  advanced 265 

Non-tubercular 1 


434 
550 


984 


Treated  during  the  year 

Discharged  during  the  year: 

Arrested  and  quiescent  .        .        .  138 

Improved 189 

Progressive 33 

Non-tubercular      .....  8 

Died 214 

Number  of  patients  remaining,  December  31 ,  1944,  402 

Maximum  number  of  patients  at  any  one  time     .  455 

Minimum  number  of  patients  at  any  one  time     .  389 

Daily  average  number  of  patients  ....  427 

Average  number  of  days'  stay  of  patients     .        .  250 

Number  of  days'  treatment  given  patients   .        .  156,485 

Number  of  weeks'  treatment  given  patients         .  22,355 

Rate  of  mortality 21.7 

Number  of  patients  admitted  over  fifteen  years 

of  age 549 

Number  of  beds 616 

Total  operating  expenses $685,579  15 

Amount  properly  chargeable  to  maintenance  .  682,535  95 
Paid  into  City  Treasury,  revenue  from  all  sources,  118,017  93 
Net  cost  of  Sanatorium  Division  to  City  .  .  573,538  59 
Per  capita  cost  per  patient  per  day        ...  4.36 

Per  capita  cost  per  person  per  day  for  uncooked 

food  supplies .73 


Hospital  Department.  19 


FINANCIAL  TABLES. 

Receipts  and  Expenditures  for  1944. 

Carried  forward  from  1943  appropriation  .        $1,373  64 

City  appropriation -  .      682,793  00 

Transferred  from  Reserve  Fund      ....        14,000  00 


Net  appropriation      .......  $698,166  64 

Carried  forward  to  1945  appropriation  .        .        .  1,062  88 

Returned  to  City  Treasury 11,524  61 

Total  appropriation  expenditures    .        .        .  $685,579  15 


20 


City  Document  No.  14. 


Sanatorium  Division. 

TABLE   NO.    I. 
Disbursement  According  to  Various  Subdivisions. 


Totals. 


Totals. 


Subsistence  supplies . 
Fuel 


Medical  supplies 

Salaries  and  labor 

Workmen's  Compensation 

Building  supplies  and  repairs 

Grounds 

Electric  appliances 

Electric  lighting,  power  and  gas 

Kerosene  and  matches 

Soap  and  cleansing  stuffs 

Furniture,  furnishings  and  fixtures 

Beds  and  bedding 

Dry  goods,  uniforms,  clothing  for  patients. . 
Stationery,  printing,  postage  and  advertising . 

Transportation,  cartage  and  freight 

Telephone  and  telegraph 

Laundry,  repairs,  etc 

Garage  and  ambulance  —  general  supplies . . 

Entertainment 

Medical  library 

Subscriptions 

Occupational  therapy 

Housecleaning 

Loose  leaf  records  —  general  expenses 

Insurance 

Miscellaneous 


S179,098  44 

40,426  18 

14,333  38 

397,578  54 

2,782  90 

12,896  57 

50  00 

1,085  68 

11,581  93 

23  75 

^,236  54 

6,231  27 

2,318  52 

2,176  11 

1,896  07 

90  45 

1,920  02 

1,599  59 

3,310  74 

424  00 

39  00 

67  50 

1,446  06 

1,625  01 

290  40 

30  00 

20  50 


Total  operating  expenses 

Deduct  for  permanent  improvements  and  extraordinary  expenses . 


$685,579  15 
9,020  57 


Net  total 

Add  increase  in  stock  on  hand  less  than  January  1,  1944. 


576,558  58 
5,977  37 


Amount  properly  chargeable  to  maintenance . 
Coat  per  day  per  patient 


$682,535  95 
$4  36 


Hospital  Department. 


21 


Sanatorium  Division. 

TABLE   NO.   2. 
Expenditures  in  Accordance  with  the  Uniform  System  of  Hospital 

Accounting. 


Expendi- 
tures, 
Salaries,  and 
Expenses. 

Totals. 

Totals. 

Administration. 

Salaries 

$21,129  63 

Expenses 

7,299  49 

$28,429   12 

$28,429   12 

Professional  Caee  of  Patients. 

Physicians: 

Salaries 

19,758  55 

Superintendent  of  Nurses: 

Salary 

2,002  66 

Supervisors  of  Nurses: 

6,475  13 

Head  Nurses: 

Salaries 

13,619  99 

Nurses: 

Salaries 

62,348  19 

Surgical  Nurse: 

Salary 

1,293  85 

Male  Nurses: 

Salaries 

19,068  61 

Ward  Maids: 

Salaries 

17,691  46 

Ophthalmologist : 

Salary 

1,800  00 

Drug  Room: 

Salaries 

3,005  59 

Supervisors : 

Salaries 

3,752  00 

Medical  and  Surgical: 

Expenses 

11,406  17 

X-Ray  and  Physiotherapy : 

$3,914  48 

2,020  09 

5,934  57 

Carried  forward 

$168,156  77 

$28,429  12 

22 


City  Document  No.  14. 

TABLE   NO.   2.— Continued. 


Expendi- 
tures, 
Salaries  and 
Expenses. 


Totals. 


Totals. 


Brought  forward 

Laboratory  Department: 

Salaries 

Expenses 

Surgical  Assistant: 

Salary 

Dental  Department: 

Salaries 

Expenses 

Social  Service  Department: 

Salaries 

Expenses . 

Laryngologist: 

Salary 

Care  of  Patients: 

Expenses 

Clinical  Department: 

Salaries 

Expenses 

Religious  Services: 

Salaries 

Expenses 

Occupational  Therapy  Department: 

Salaries , 

Expenses 

Medical  Library: 

Expenses 


Dbpaktment  Expenses. 
Ambulance: 

Salaries 

Expenses 

Housekeeping  Department: 

Salaries 

Expenses 


S3,250  51 
241  19 


$2,729  35 
115  93 


S4,881  46 
57  90 


$3,046  90 
290  40 


$2,836  61 
44  80 


$1,750  01 
1,446  06 


$1,878  00 
3,310  74 


$58,077  36 
13,722  95 


$168,156  77 

3,491  70 
2,031  23 

2,845  28 

4,939  36 
1,199  95 

1,154  16 

3,337  30 

2,881  41 

3,196  07 
39  00 


$5,188  74 


71,800  31 


$28,429  12 


193,272  23 


Carried  forward. 


$76,989  05 


$221,701  36 


Hospital 

TABLE   NO 


Department. 

,    2. —  Concluded. 


23 


Expendi- 
tures, 
Salaries  and 
Expenses. 


Totals. 


Totals. 


Brought  forward 

Dietary  Department: 

Salaries 

Expenses 

Laundry  Department: 

Salaries 

Expenses 

Heat,  Light  and  Power: 

Salaries 

Expenses 

Storeroom: 

Salaries 

Expenses 


Buildings  and  Grounds. 
Buildings: 

Salaries 

Expenses 

Grounds : 

Salaries 

Expenses 


$67,252  61 
179,098  44 


$18,572  58 
1,599  59 


$25,371  64 
52,008  n 


$3,445  33 
113  34 


$76,989  05 


246,351  05 


20,172  17 


77.379  75 


3,558  67 


$221,701  35 


424,450  69 


$13,657  30 
13,982  25 


$11,737  56 
50  00 


$27,639  55 


11,787  56 


39,427  11 


Total  operating  expenses 

Deduct  for  permanent  improvements  and  extraordinary  expenses. 

Net  total  operating  expense 

Add  difference  in  stock  on  hand  less  than  January  1,  1944 


35,579  15 
9,020  57 


76,558  58 
5,977  37 


Amount  properly  chargeable  to  maintenance . 

Total  patients'  days'  treatment 

Cost  per  day,  per  patient 


$682,535  95 
156,485 

$4  36 


24  City  Document  No.  14. 

TABLE   NO.    3. 

Revenue  from  All  Sources  for  the  Period  of  Twelve  Months  from 

January  1,   1944,  to  December  31,   1944. 

Board  of  Patients: 

Commonwealth  of  Massachusetts, 
subsidy        ..... 

Board  of  private  patients     . 

Board  of  special  nurses  for  pa- 
tients     

Bones  and  grease  and  chicken  fat 
Junk,  boxes,  etc. 

Commission  on  canteen  machinc;<b 
Sale  of  garbage  .... 
Medical  records  on  patients     . 
New  England  Telephone  Company 

commissions 

Occupational  therapy 

Total $118,017  93 

SUSAN   H.    LEEDS    BEQUEST. 

Balance,  January  1,  1944         .        .  $690  55 

Income        ......  416  92 


Kl  14,482 

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129 

00 

299 

60 

430 

19 

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10 

455 

00 

103 

00 

127 

62 

1,705  30 

Total $1,107  47 

Total  expenditures     .......  374  85 


Balance,  December  31,  1944        .        .        .  $732  62 

Respectfully  submitted, 

Frederick  L.  Bogan,  M.  D., 

Assistant  Superintendent. 


CITY  OP  BOSTON     i^^f^    PRINTING  DEPARTMENT 


