944 $119.65 $134. 10 $111.36 $106.80 $104.92

3.07 3.35 3.19

1 Total costs for general service cost centers include direct costs for the cost center,
plus a share of the cost of other general service centers, from which it receives services.
However, the "stepdown" method of allocation provides that once a cost center has been
allocated to other departments to which it renders service, no further allocations will be
made to the center which has already been closed. To reduce the inaccuracies inherent
in this method, the centers which render the most service to and receive the least service
from other centers ar/closed first.

The general service cost centers were allocated in the order presented. For example,
operation of plant includes only its direct costs, maintenance of plant includes its direct
costs plus a share of operation of plant, and laundry includes its direct costs plus a share of
operation of plant and a share of maintenance of plant and so forth.

Actual pounds for the year are not available. This is a projction of a 2-week survey,
adjusted for the variance between average patient population for the survey period and
for the year.

Before reduction of income from meals served to employees. The income from employee meals and average cost of meals served to employees after applying the income factor are as follows:

4 Before reduction of rental income from employees. The rental income and average cost of maintenance of personnel after applying the income factor are as follows:

Exclusive of dormitory members.

In certain instances minor revisions have been made to prior years' figures to conform to current period allocations and statistical measures.

No amount has been included for fair value of food received from Government surplus.

Mr. EVERETT. For many years, Mr. John Quigley has been associated with the Massachusetts State Home located at Chelsea, Mass. Running a State home is in this man's blood since his father occupied this post before him.

In addition to his duties as commandant of the home, Mr. Quigley has served on several important committees of the American Hospital Association and has always displayed a keen interest in the affairs of veterans with particular reference to their hospital and nursing care needs.

He has served with distinction in many posts in the National Association of State Veterans Homes and we are happy to have Mr. Quigley with us this morning to present the viewpoint of that organization and to also offer any suggestions relevant to the nursing care field.

Mr. Quigley.

STATEMENT OF JOHN L. QUIGLEY, PRESIDENT, NATIONAL ASSOCIATION OF STATE VETERANS HOMES, AND COMMANDANT OF MASSACHUSETTS STATE HOME, CHELSEA, MASS.; ACCOMPANIED BY GUSTAVE W. EVERBERG, TRUSTEE, SOLDIERS' HOME, MASSACHUSETTS; JOHN P. HARRINGTON, SUPERINTENDENT, SOLDIERS HOME, HOLYOKE, MASS.; ERNEST WIXON, COMMANDANT, MICHIGAN VETERANS FACILITY, GRAND RAPIDS, MICH.; AND EUGENE COPENHAUER, OKLAHOMA VETERANS FACILITY, SULPHUR,

OKLA.

Mr. QUIGLEY. Thank you very much, Mr. Chairman.

The National Association of State Veterans Homes whom I have the privilege of speaking for this morning is appreciative of the opportunity to come with you and to discuss the matter of the care of the aging veteran.

We feel that we have had some experience, we feel that this matter is extremely important.

We feel that this discussion is unusually timely at this particular time because of the increasing load that we all face up to.

The matter of the care of aging is generally recognized as probably the greatest health problem that we are facing today in this country.

We would like to discuss with you briefly, if we may, four of the points that we would like to cover or try to cover today.

Can you see the chart, Mr. Chairman?

Mr. EVERETT. Yes, sir.

Mr. QUIGLEY. The first point we would like to discuss briefly is the history and location of several of the State hospitals throughout the country.

Secondly, we would like to point out the States are very much concerned over the transfer of nursing home care from the Federal Government to the State governments.

Mr. EVERETT. You are interested in assuming that responsibility if you can receive your remuneration for it?

Mr. QUIGLEY. This is one of the concerns. Remuneration will be important to us but we would like to point out the States right now are concerned on what is going to happen.