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Volume 90

Number 4

kate ireland’s legacy Continuing to benefit Frontier students today

TABLE OF CONTENTS Introduction to FNU................................................................................1 The Journey – Dr. Susan Stone.................................................................2 Alumni Spotlight......................................................................................4 Courier Corner.........................................................................................6 Courier Spotlight......................................................................................8 Field Notes ..............................................................................................12 Beyond the Mountains...........................................................................16 Wendover Report....................................................................................18 Footprints................................................................................................20 In Memoriam..........................................................................................22 Tributes....................................................................................................23 Trustees...................................................................................................25 Board of Directors..................................................................................26 Your Gifts at Work..................................................................................27 Ways to Give............................................................................................29

US ISSN 0016-2116 Frontier Nursing Service Quarterly Bulletin (USPS 835-740, ISSN 00162116) is published at the end of each quarter by Frontier Nursing Service, Inc., 132 FNS Dr., Wendover, KY 41775. Periodicals Postage Paid at Hyden, KY, and at additional mailing offices. Subscriptions: $5 per year. POSTMASTER: Send address changes to Frontier Nursing Service Quarterly Bulletin, 132 FNS Dr., Wendover, KY 41775. Copyright FNS, Inc. All Rights Reserved. Frontier does not share its donor mailing list.


Introduction to Frontier Nursing University


ary Breckinridge spent her early years in many parts of the world — Russia, France, Switzerland and the British Isles. After the deaths of her two children, she abandoned the homebound life expected of women of her class to devote herself to the service of families, with a particular focus on children. Mrs. Breckinridge founded the Frontier Nursing Service in 1925 after several years of studying and practicing nursing and midwifery in the United States, England, Scotland and France. It was the first organization in America to use nurses trained as midwives collaborating with a single medical doctor, based at their small hospital in Hyden. Originally the staff was composed o  f nurse-midwives trained in England. They Our aim has always been traveled on horseback and on foot to provide to see ourselves surpassed, quality primary care, including maternity care, to families in their own homes. In 1928, and on a larger scale.” she recruited young people to serve as Couriers –Mary Breckinridge, and help the Frontier staff and nurse-midwives in Wide Neighborhoods, 1952 all manner of efforts. In 1939, Mrs. Breckinridge established a school of nurse-midwifery. The school provided graduates, many of whom stayed to offer care to families in Leslie County, Kentucky.

Today, Mrs. Breckinridge’s legacy extends far beyond Eastern Kentucky through Frontier Nursing University (FNU), which offers a Doctor of Nursing Practice degree and a Master of Science in Nursing degree with tracks as a Nurse-Midwife, Family Nurse Practitioner and Women’s Health Care Nurse Practitioner. FNU has students and graduates serving all 50 states and many countries.

How to Reach Us The Office of Development and Alumni Relations: Please direct questions, comments or updates to Denise Barrett, Director of Development, at (859) 899-2828 or send an e-mail to The Wendover Bed & Breakfast Inn: The Big House, Mary Breckinridge’s home, is a licensed Bed & Breakfast Inn located at Wendover. For reservations or to arrange a tour, call Michael Claussen, Development Officer, at (859) 899-2707 or e-mail Group tours can be arranged, and we are always happy to set up tours for organizations and educational programs with an interest in nursing history and Appalachian studies.



the journey


rontier Nursing University had many achievements and milestones to celebrate in 2015. The year marked the beginning of a new five-year strategic plan which includes ambitious plans for improvements to didactic and clinical education, new programs, furtherance of diversity efforts, student services programs aimed at student success, longterm facilities planning, development efforts to support our goals, and responsible fiscal management. Strategic plan goals are further developed by the responsible departments and annual plans are approved at the start of each year. Our Strategic Planning process has served us well over the years and aims to keep us continually growing and improving in order to best meet our mission. FNU Receives National Recognition Frontier Nursing University’s (FNU) nurse-midwifery program was ranked as #1 in the United States by US News & World Report. With 39 accredited midwifery education programs in the country, FNU is at the top of the list and additionally in 2015, 34% of the nation’s newly certified nurse-midwives were graduates of Frontier. FNU’s master of science in nursing degree program also ranked in the Top 30 Best Online Graduate Nursing Programs by US News & World Report.

In 2015, 34% of the nation’s newly certified nurse-midwives were graduates of Frontier.

Minority Nurse magazine once again selected Frontier Nursing University (FNU) as one of three national 2015 Take Pride Campaign winners, recognizing the school’s efforts to promote diversity in nursing and midwifery through the FNU PRIDE program. Each year, the magazine recognizes employers that go above and beyond to encourage diversity; recruit and retain minorities; and create a cooperative, inclusive work environment. In recognition of National Midwifery Week in October 2015, FNU hosted a digital summit to explore how today’s nurse-midwife plays an important role in collaborative care. The


QUARTERLY BULLETIN nationwide, online event called Today’s Nurse-Midwives: Creating a Collaborative Community of Care brought together a number of industry leaders to explore the latest evidence and discuss changes that are needed now. This event served to educate providers and consumers about the troubling trends in women’s healthcare, as well as, the strategies to improve women’s healthcare through collaboration. Celebrating Success Together With more than 8,000 alumni and donors nationwide, nearly $3.5 million was raised in 2015 to support FNU’s mission. This support helps to build the endowment, fund new scholarships, fund special projects, support technology needs, and maintain our historic campus. We are grateful for the financial contributions that help to sustain and grow our programs. FNU hosted 102 Case Management Days in 2015 with 53 of these being virtual days and the others representing in-person events in 28 states (Alaska, Arizona, California, District of Columbia, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Montana, Nevada, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, and Wyoming). These events provide an opportunity for students and faculty to gather in regional sites, network, and for clinical practicum students to present case studies to FNU faculty, alumni, preceptors, and fellow students. FNU Case Days drew over 900 participants in 2015. In October FNU hosted annual commencement in celebration of over 500 nurse-midwife and nurse practitioner graduates and we were honored to welcome more than 2,000 graduates and their guests to attend the ceremony. FNU Annual Homecoming brought graduates back to Wendover in the fall to celebrate the 25th reunion of the first distance-education class of nurse-midwifery students. To end the year, FNU hosted the annual holiday party at Wendover for local children and families. The “Big House” at Wendover celebrated its 90th anniversary throughout 2015. Thank you to the friends and family of FNU that helped make 2015 so incredible. Here’s to 2016! Respectfully,

Susan E. Stone, DNSc, CNM, FAAN, FACNM President



alumni spotlight

Jennifer Alston Garate, MSN, APRN-CNM CNEP Class 104


ennifer Alson Garate, CNM, was born in and has lived most of her life in Sierra Vista, AZ. Sierra Vista is a small city with an Army base situated on the border near Mexico. Jennifer worked for over ten years as a labor and delivery nurse at the Sierra Vista Regional Hospital, but she always wanted to be a midwife. After her children were grown, Jennifer enrolled in Frontier Nursing University CNEP class 104, and graduated in November 2014. Jennifer feels Frontier equipped her well for beginning practice as a sole provider, and credits Jennifer’s clients are diverse: about 30% are FNU for helping her start her practice. One of her from military families courses at FNU required that students develop a business plan—typically for a free-standing birth and another 10-15% center. However, with the support of her faculty, are pregnant mothers who come from across Jennifer was allowed to modify the assignment as an appeal to open a sole-provider practice in a hospithe border in Mexico tal system. After completing the assignment for the in order to receive course, Jennifer modified the proposal to present better prenatal care. to the CEO of her hospital, who forwarded it to the hospital system’s headquarters in Tennessee. The Canyon Vista Medical Center CEO was supportive of the midwifery model of care. Ultimately, the hospital system offered Jennifer a recruitment agreement which provided financial support to help her with startup and setup processes during her first year of practice, which began in February 2015. That support helped her build an initial client base and helped with credentialing and contracting processes with insurance companies. Jennifer described some of the startup processes, particularly being credentialed with various insurance companies, as a challenge that has been helped with professionals who have expertise in credentialing and contracting with insurance companies. She anticipates having those arrangements complete by the end of her first year of practice.



Jennifer stressed the value of the course at FNU that prepared her for presenting a business plan. Even more, she values the scope of her education, saying that after talking with midwives who studied in other institutions, even ones who have had some years of practice experience, she feels far better prepared for what to do with patients—even though she is only recently graduated. She believes FNU is far ahead of other programs in preparing graduates to be providers “in the real world.” She encourages current students to study hard and stick with the program because it’s all worth the effort. Jennifer also credits another faculty member who taught her in a writing course for ensuring that Jennifer left the program knowing how to write well. Jennifer’s practice is as a sole provider, providing hospital-based births. Jennifer is proud she was able to help introduce the midwifery model of care into their city where previously only the obstetric model of care was available. She offers full scope care to women, with about 20% of her clients being pregnant women and the remainder being gynecological or primary care patients. All her babies are delivered in the hospital. So far she has delivered 12 babies, with about 25 mothers soon to give birth as the first wave of her new clients’ babies come due this winter. Jennifer worked with an obstetrician while she was practicing as a labor and delivery nurse prior to attending FNU, and he is now her consulting physician to her new practice. He has remained supportive and encouraging, and has been a vital asset to her practice. After her first year in practice, Jennifer is looking forward to being able to precept FNU students. Jennifer’s clients are diverse: about 30% are from military families and another 10-15% are pregnant mothers who come from across the border in Mexico in order to receive better prenatal care. Many of the Mexican families pay cash for their care because they are not insured—but like all of Jennifer’s clients, are very vocal about the advantages of her midwifery care over other options. Jennifer’s other clients are covered by commercial insurance or Medicaid. Jennifer commits to attend each mother during her active labor. Jennifer loves being able to practice in her home community, and is proud to have inspired her daughter, who is now a labor and delivery nurse, to follow in her footsteps. Her daughter is considering becoming a nurse-midwife or neonatal nurse practitioner, as well as a lactation consultant.



courier corner By Mandy Hancock, FNU Courier Program Coordinator


his year’s couriers will be arriving to the mountains of Hyden, KY on June 5, 2016 to begin their first steps into the amazing Courier legacy. We are excited about the incredibly bright and diverse applicants thus far and know we will have eight new Couriers who will carry the torch of service to the region. We are excited to partner with two new sites this year. Grace Community Health Center is a Community Health Center in Wooton, KY. Nurse Practitioner, Brian Overbee, has been practicing for over 11 years. Mr. Overbee has a long standing relationship with FNS and FNU having worked for FNS for over three years, teaching at Clinical Bound at FNU and previously serving as a Courier mentor. Brian is excited to introduce the Couriers to Eastern Kentucky, its people and its healthcare. To learn more about Grace Community Health Center, visit Kentucky One Health Primary Care Associates in Berea, KY is a rural family practice clinic. Betsy Coblentz graduated from the Family Nurse Practitioner track at FNU in 2013. The Courier at this site will have the opportunity to develop community resource bulletin boards, patient education handout files/ documents, assist with group medical visits (patient education) particularly for populations managing chronic conditions such as diabetes and Fibromyalgia, as well as community networking. To learn more about Primary Care Associates, please visit



In addition to the programming for the upcoming Courier class, we are excited to announce a “Former Courier Service Project”. As a recommendation from Carlyle Carter, Courier 1965, Courier Advisory Committee (CAC) member and Trustee, we are currently planning a project that will bring former Couriers back to the mountains of Leslie County to the place where it all began. There is still work to be done in the area and the passion of Couriers to do service in the area was evident! In a recent survey, over half of survey respondents indicated they would be interested in a short term service experience. Program planning for the “Former Courier Service Project” is currently underway. Once the details have been finalized, we will disseminate the information so interested Couriers may sign up to participate. If you have any questions or suggestions about the programming or are interested in the experience, please reach out to us at Thank you to everyone who has shared their stories with us! The stories help preserve the beautiful history of the Courier Service. In addition to sharing stories in the Quarterly Bulletin, a Courier story is shared monthly on the FNU blog and updated on the Courier website. This is my first year leading the Courier program and I want to send a warm thank you to everyone who has been so welcoming to me. I sincerely appreciate all of those who have helped mold and make this program a success. From donations of time, talent, skills, etc. your stewardship is what allows the Courier program to continue to thrive. We are so grateful for your ongoing and generous support. From the CAC, to the individual phone calls, those sharing their beautiful stories of service, and so much more, we thank you for your continued service!

Save the Date!

Join us for Alumni Homecoming/ Courier Conclave Weekend September 30 – October 2, 2016. Circle up and share your memories with other Couriers! Join us for a celebration of your service. Visit Wendover and enjoy historic tours and fellowship! Contact Mandy Hancock, Courier Coordinator, at (859) 899-2827 or for more details.



courier spotlight

Cathy Croft Schieffelin Cathy Croft Schieffelin served as a Courier in 1990 after graduating from college at Denison University. Originally interested in joining the Peace Corps, she decided to look into a domestic experience before going overseas. Cathy attended the same high school as Kate Ireland (Laurel School in Shaker Heights, OH) and had written Kate to learn more about FNS after reading a story about her work with FNS in her alumni newsletter. As a result, she became a courier after college graduation. In the summer of 1990, Cathy made the trek to Wendover, KY and moved into the Garden House where she met a group of other college grads who were interested in rural health care. The Courier Director at the time, Cari Michaels, helped the Couriers find his/her niche and connect them with various projects for which they were responsible. Cathy was particularly interested in literacy work. She remembers teaching a 30 year old woman, from Camp Creek, KY. Through this work, Cathy became close friends with her and her extended family, even attending church on Sundays at the Church of Christ where the woman’s father was the minister. She spent most weekends with the family, attending family reunions, church revivals or just enjoying Sunday brunch after the main service. A few years ago Cathy and her daughters had a wonderful visit with the family and got to meet the younger generation. Cathy has fond memories of working with a 60 year old woman who wanted to learn to read so she could read the bible to her grandbabies. She taught Cathy to make apple butter and her husband taught Cathy rattlesnakes can jump across the yard at great speeds, which he found out first hand after being chased by one when he was out weeding his garden. Cathy says she has great memories of spending time with many of the local residents, including Sherman Wooten, a local furniture maker who hosted regular fish fries at his cabin. Cathy says “It was there that I tried rattlesnake for the first (and only) time. His brother George lived up on Camp Creek and conducted mine



tours. I remember he had a horse that lived out in the pasture outside his house. When I asked the name of his horse, he said, ‘Horse’.” After spending a few months as a Courier, Cathy wasn’t ready to end her time at Wendover. As it turned out they were looking for someone to help with improved public relations and to help write stories for the Quarterly Bulletin (QB). Cathy spent the next 5-6 months writing for the QB, conducting interviews with various local artisans as well as visiting Couriers or midwives. She remembers working with midwife, Kim McQuoid, who became a close friend. She followed Ms. McQuoid to a delivery at Mary Breckinridge Hospital. The young mother allowed Cathy to photograph her birth and to interview her and her husband. They were expecting their eighth child and they’d decided to name the boy after her husband. Cathy also has very fond memories of spending time with the other Couriers. One fellow courier, Jon Wonnell, was a great musician. He taught Cathy to play guitar and they played together regularly with some of the local musicians around Hyden. There was no better time than when some of the locals would show up at the Big House and they’d roll up the rugs, clog and play music into the wee hours. The Couriers were a tight knit group, and spent many weekends on various adventures. “We might go down to the Tennessee border to Cumberland Gap to see the Moonbow, or we’d go hiking in the Daniel Boone national forest. I made some lifelong friends; some of whom I still keep in touch with. One former courier, Flora Jewell came from a family of circus folks. One weekend Circus Flora came to Hyden and we got to meet Flora the elephant (Flora’s namesake) and some of her amazing family. Flora and I continue to keep in touch on Facebook,” said Cathy. Cathy feels lucky to have met the people she met at FNS. Many of them led her to other adventures that came to pass after FNS, including moving to Minnesota thanks to Jane Schnyder. Cathy also worked with the International Rescue Committee teaching ESL. She moved to Bogota, Colombia due to another former Courier, Katie Payne, who had a connection at a Franciscan girl’s school (Santa Franscisca Romana) where Cathy taught English for 8 months. Cathy did finally go into the Peace Corps in the Comoros Islands, off the East Coast of Africa and met her husband, John. They worked as health education volunteers for 15 months before a coup d’etat interrupted their stay. Cathy eventually came back to the States and moved to New Orleans where John had gone to public health school prior to Peace Corps. John and Cathy still live in New Orleans. John is an infectious disease physician and has worked extensively on the Ebola outbreak over the past



clockwise, from l to r: Cathy with students in the Wild Times Education Program; Cathy and her husband John; Cathy’s children Anna, Caroline and Sam in front of a pile of antlers.

year. He continues to work with Ebola survivors in Sierra Leone and conducts research on both Ebola and Lassa fever. Although they met in a far-flung country, they’ve continued to grow close and love exploring new places together. Cathy obtained her Master’s in Public Health and worked in HIV/AIDS evaluation for three years before having children. But she believes her greatest accomplishment is her three children, Anna, Caroline and Sam. Cathy no longer works in public health but has moved on to another passion; wildlife education. She founded a small business five years ago called “Wild Times Education Programs”. “I go to schools around the New Orleans area and teach children about wildlife, habitats and ways to protect our environment. I have worked as a volunteer at our local zoo and am able to borrow wonderful biofacts (i.e. skulls and pelts) to teach children about different animals,” says Cathy. Her business has been a great joy, and she’s very proud of the work she does, reaching out to children about how to appreciate the beauty of the things they may find in their own backyard. FNS helped her form that love of nature and her insatiable curiosity.



Cathy feels the Courier Program was an incredible program, especially for a recent college graduates. Cathy met many volunteers who were interested in rural healthcare or becoming a doctor or midwife, and they got to experience the realities of that work in a close knit and loving community. “The people of Leslie County will always hold a special place in my heart. They were very welcoming to me and to the Couriers I knew. They allowed us into their lives and shared their love of life and music and culture. I am also so grateful to the physical place, Wendover. I loved going into the Big House, where I spent many hours by the fire reading or knitting or sipping tea (and a bit of sherry) with the B&B guests. I loved meeting the earlier generation of midwives and nurses who’d come back to visit. I loved hearing their stories of trips up into the hollers on horseback or in Jeeps to help deliver babies,” says Cathy. FNS was incredibly formative for Cathy. It led to so many other great things in her life, and although she isn’t as involved with the program currently, Cathy would like to stay connected. Cathy hopes to come back to visit with her family. “I am hoping the Courier projects that I’ve learned about do come to fruition. I’d love to come back for a week to work on some kind of project. Although it’s been nearly 30 years since I lived there, it feels like just yesterday. I would also love to learn more about the oral history projects (that I worked on briefly) as well as any others that have been ongoing,” says Cathy.

Let’s Connect!

Once a Courier, Always a Courier! Like us on Facebook! Share your story! I want to capture your memories! Contact me at for an interview. Host a “high tea” at your home, in the spirit of Mary Breckinridge. I will help you plan it! Come home to Wendover! Visit the place where your journey began! I will meet you for tea! Join the Wide Neighborhoods Program and be an ambassador in your state. Check out our website at



field notes

Preceptor Spotlight: Erin Bjork, APRN, CNP


n December 2015, FNU honored Erin Bjork, APRN, CNP, from Melrose, Minn., as the featured preceptor for the term. Erin has been a preceptor with Frontier since 2011 and has taken on numerous students, with another student slated to begin winter term. Erin has demonstrated her dedication to the nurse practitioner profession as a clinical educator, and students enjoy and respect her instruction. She has precepted students on very short notice, and responds immediately to calls for urgent placement from FNU’s Regional Clinical Faculty in Minnesota, Nancy Pesta Walsh. Carrying out FNU’s mission and emphasis on rural and underserved populations, Erin has served her small rural community for more than eight years. She provides full scope NP practice, from pediatrics to elderly, and care to a large Hispanic immigrant population. Erin is actively engaged with her employer, Centracare Health System, and its efforts to keep clinics and hospitals in small towns. With a strong influence in Central Minnesota, CentraCare strives to improve health care for those living in rural communities. The system is recognized as a National Health Service Corps site (NHSC) and a Health Professional Shortage Area (HPSA). Recent FNU graduate, Heather Christenson, FNP student class 116, describes Erin as instrumental in her learning as a nurse practitioner. “Ms. Bjork is efficient and caring, truly listening and explaining things to her patients,” shared Heather.

Congratulations, FNU’s PRIDE Program! Recently, FNU was selected by as the Featured School for FNU’s Diversity Initiative PRIDE Program! This is a great way to display FNU PRIDE students and their efforts to contribute to increasing diversity in nurse-midwifery and nurse practitioner healthcare fields. The full article and recognition can be accessed at http://diversitynursing. com/frontier-nursing-university/. 12


Annual FNU Financial Reports Frontier Nursing University is pleased to share our annual financial reports and will publish these in the Winter issue of each Quarterly Bulletin ahead of the start of the new fiscal year on May 1. Thank you to our supportive friends, foundations, students and alumni who continue to ensure financial stability and growth in our programs. FRONTIER NURSING UNIVERSITY, INC. CONSOLIDATED STATEMENTS OF FINANCIAL POSITION April 30, 2015 and 2014 2015 2014 ASSETS Current Assets Cash $ 6,160,774 $ 6,348,787 Cash held in escrow 381,806 1,606,432 Accounts receivable, student tuition, net of allowance of $92,031 and $56,797 for 2015 and 2014, respectively 316,220 317,461 Other receivables 232,316 78,999 Prepaid expenses 830,898 544,081 Other current assets 11,632 14,912 Total current assets 7,933,646 8,910,672 Investments(Note 3)



Property and equipment, net (Note 4)



Beneficial interest in perpetual trust



$ 36,111,019

$ 30,387,677

$ 560,494 270,595 556,668 3,551,719 1,121,958 276,437 6,337,871

$ 186,033 517,928 632,271 3,320,120 1,063,328 155,213 5,874,893



10,433,996 10,948,036 8,282,350 29,664,382

6,365,155 10,095,742 7,865,152 24,326,049

$ 36,111,019

$ 30,387,677

Total assets LIABILITIES AND NET ASSETS Current liabilities Accounts payable Accrued salaries and withholdings Accrued vacation Deferred tuition Accrued preceptor fees Nurse faculty loan program Total current liabilities Other liabilities Net assets Unrestricted Temporarily restricted (Note 5) Permanently restricted (Note 6) Total net assets Total liabilities and net assets




Temporarily Permanently Unrestricted Restricted Restricted Total Revenues, gains and other support Tuition and education fees Less student aid Tuition and fees, net Contributions Federal grant revenues Investment income, net of fees Realized/unrealized gains on investments Auxiliary enterprises Other revenues Net assets released from restrictions Total revenues, gains and other support

2014 Total

$ 21,681,222 (494,072) 21,187,150 945,180 444,360

$ - - - 458,668 -

$ - - - 275,000 -

$ 21,681,222 (494,072) 21,187,150 1,678,848 444,360

$ 20,193,835 (592,226) 19,601,609 1,804,823 608,948






49,965 357,822 46,461

352,796 - -

142,198 - -

544,959 357,822 46,461

523,789 368,493 54,987











9,522,689 6,991,947

- -


9,522,689 -

1,242,088 1,137,592 39,547 448,946 19,382,809

- - - - -

- - - - -

1,242,088 1,137,592 39,547 448,946 19,382,809

911,172 624,569 429,423 16,993,307

Change in net aseets from operating activities






Non-operating activities Recovery of (transfer to cover) underwater endowments (Note 7)











Change in net assets






Net assets, beginning of year






$ 10,433,996 $ 10,948,036

$ 8,282,350

$ 29,664,382

$ 24,326,049

Operating expenses Instruction  Institutional support 5,796,996 Academic support Student services Public services Auxiliary enterprises Total operating expenses

 xcess of net aseets E acquired over consideration transferred in acquisition of Foundation (Note 12)

Net assets, end of year


9,231,147 6,991,947

QUARTERLY BULLETIN FRONTIER NURSING UNIVERSITY, INC. CONSOLIDATED STATEMENTS OF CASH FLOWS Years ended April 30, 2015 and 2014 2015 2014 Cash flows from operating activities Change in net assets $ 5,338,333 $ 8,387,655 Adjustments to reconcile change in net assets to net cash from operating activities: Realized/unrealized gains on investments (402,761) (465,788) Realized/unrealized gains on perpetual trust (142,198) (58,003) Loss on property and equipment disposal - 8,369 Depreciation 349,351 325,516 Contributions restricted for long-term investment (275,000) (1,353,429) Excess of net assets acquired - (2,130,856) Increase (decrease) in cash due to changes in: Accounts receivable, student tuition 1,241 (54,492) Other receivables (153,317) 129,561 Prepaid expenses (286,817) 98,546 Other current assets 3,280 (2,111) Accounts payable 374,461 (240,317) Accrued salaries and withholdings (247,333) 55,428 Accrued vacation (75,603) 85,326 Deferred tuition 231,599 239,425 Accrued preceptor fees 58,630 (123,085) Nurse faculty loan program 121,224 85,115 Other liabilities (77,969) 148,158 Net cash from operating activities 4,817,121 5,135,018 Cash flows from investing activities Net cash received from acquisition Purchases of property and equipment Purchases of investments Proceeds on sales of investments Net cash used in investing activities

- (1,389,795) (13,580,115) 8,715,150 (6,254,760)

Cash flows from financing activities Contributions restricted for long-term investments Payments on notes payable Net cash from (used in) financing activities Decrease in cash Cash, beginning of year Cash, end of year


1,816,717 (762,398) (14,892,694) 9,197,015 (4,641,360)

25,000 - 25,000

301,624 (6,779,946) (6,478,322)





$ 6,542,580

$ 7,955,219


beyond the mountains

Report of the Boston Committee of Frontier Nursing University by Lees Breckinridge Dunn Yunits


he Boston Committee of Frontier Nursing University met on Thursday, November 19, 2015, at the beautiful Thorny Lea Golf Club in Brockton, MA, under the tutelage of the new Committee Chair, Mrs. Lees Yunits. It was the first luncheon where the former Committee Chair, Mrs. Patsy Perrin Lawrence, was allowed to simply enjoy herself, after leading the event for many outstanding years. Albeit, she still provided the name tags! Two dozen guests arrived on this late fall day, including Dr. Susan Stone, President of FNU, and Mrs. Denise Barrett, Director of Development. A remarkable gathering, that also included representatives from the area’s leading hospitals, as well as former Couriers, current Family Nurse Practitioners, and active Certified Nurse-Midwives. A sharing of backgrounds among the guests included a memory from a former Courier, Liz Hunter. She recalled riding on horseback after an assignment, and needing to choose (in the fading light) which road to take back to Wendover. The lower path, which was windy and dense, or the upper path, offering more light, but with the possibility of encountering whisky stills along the way. Ms. Hunter chose the upper path and to ease her apprehensions, sang hymns aloud all the way home! Another guest, a CNM, fulfilled a dream she had of purchasing a Jeep like the ones used at Frontier.

Dr. Susan Stone, Bob and Patsy Lawrence, and Lees Units

Mrs. Patsy Lawrence received the “Unbridled Service Award,” an annual award presented to a former Courier. She was presented with a silver platter, engraved with her name and thanking her for her “unbridled service.” Ever gracious, Patsy expressed that she’d never “won” anything before. Thank you again, Patsy, for your dedicated years of service.

Two young and optimistic new service providers who were educated by Frontier and are both newlyweds, now care for patients in the Boston area, and travelled some long distances to attend. Their voices added to the miracle that FNU continues 16


to be relevant and vital, even while caring administrators and donors pondered why America is falling behind in maternal mortality rates. Fortunately, Dr. Stone enlightened us about the overriding success of FNU’s distance learning programs, with their many new simulations, and also Frontier’s exciting venture dedicated to training Psychiatric Nurse Practitioners. To that end, Dr. Stone also shared that U.S. News and World Report magazine proclaimed FNU offers the #1 nurse-midwifery program in the U.S. today. Another of the many charms of the luncheon came during an exchange between two attendees sitting across the room from one another, when they recognized that they’d met years before, through Frontier. It is this embrace between those who are called to the mission of FNU, as well as to those simply inspired by the courage and fortitude of Mary Breckinridge, that keeps Frontier thriving today. As people were gathering their things and taking leave, these two women lingered by the windows, sharing their stories, and connecting their futures. A living example of the healthy relations upon which Mrs. Breckinridge based her life’s work.

Friends Gather for the Annual Louisville Committee Luncheon On Wednesday, November 4th over thirty individuals gathered to support Frontier Nursing University for the 2015 Louisville Committee Luncheon. The event was hosted by Louisville Committee Members Betty Brown, Sandra Schreiber and Mary Clay Stites at the beautiful River Valley Club. Guest enjoyed a sumptuous lunch, an update from FNU President, Dr. Susan Stone and a rousing call to action by FNU Associate Director of Development, Angela Bailey. The event was sponsored by SeaCure Advisors, Neace Lukens and Liberty Mutual. Our sincere thanks to the hostesses and sponsors! If you are interested in hosting an event in your community to promote FNU, please contact Angela Bailey at She will be happy to assist you.



wendover report By Michael Claussen, Development Officer


FNU Holiday Party a Big Hit at the Big House

rontier Nursing University hosted its annual holiday party at Wendover Bed & Breakfast Inn on Saturday, Dec. 5, to benefit local families in the Leslie County, Ky., area. Guests were invited to take a step back in time and enjoy snacks and fun while they gathered around FNU’s one-of-a-kind nurse’s tree. More than 100 people attended the festive gathering. Guests were treated to Frontier stories portrayed by Leslie County High School Drama students, and the Leslie County High School Choir performed a wonderful Christmas program. Christmas ornament crafts were a big hit with guests of all ages! Many of the guests who stay at the Wendover Bed and Breakfast Inn specifically come for the home-cooked meals that are served in the Big house. A delicious sampling of chicken and dumplings, meatloaf, pulled pork and peach cobbler were featured at the special “Taste of Wendover.” With two kinds of hot chocolate—white chocolate with peppermint and rich milk chocolate—served with peanut butter and chocolate chip cookies, everyone had a “sweet” time. Santa also made his way from the North Pole to Wendover to the delight of the children in attendance. Each child received a special gift bag, a longstanding tradition at the “Big House,” and a copy of one of two beautifully illustrated children’s books, Katie Caught a Cold or Sadie’s Sore Throat, written and donated to FNU by a former Courier, Charlotte Cowan, MD. The holiday celebration marked 90 years since FNU founder Mary Breckinridge hosted the first Christmas party at her log cabin home at Wendover. All of Leslie County, Ky., was invited to the Big House in 1925 for hams, pies and a retreat from the cold thanks to the log home’s large fireplaces.



Following is a review of the Bed and Breakfast by a party attendee and former Leslie County resident, Amy Pennington Brudnicki. Sometimes in your travels, you come across a place that’s so special, you know that one trip won’t be near enough. I found this to be true recently when I returned to the Big House for a weekend visit with my Mom, sister and niece. The Wendover Bed & Breakfast was decorated beautifully for Christmas, both the house and grounds. And just like my last visit, the meals were delicious. Unlike my last visit, I brought my family this time—one of which was my eight-yearold niece. It was nice to share this experience with her because we weren’t immersed in technology. We played cards, walked down by the river, took pictures, and hiked the mountain around the house. When it was time for bed, we shared stories about events that likely happened in the Big House over the years. I was able to tell her about the legacy of Mary Breckinridge, about the saddle bags on the horses and how children used to think they bulged because they were holding babies, and about our family’s own first-hand experience with Frontier Nursing School. I told her I really liked the Big House. She told me she really liked bacon. It’s the small things in life that make you smile and that certainly made me smile! Then she said, “I like talking with you.” If you have kids, I don’t have to tell you how much that statement meant to me. My reason in sharing this is to point out the importance of stepping back and focusing on the genuine simplicity of things. The Big House is perfect for that. You can’t help but to reflect when you’re surrounded by so much nature and history. Someday when my niece is older, she won’t recall an App or a video game. But she will remember this trip and the memories we made just enjoying the moment. I love technology as much as the next gal, but sometimes, it’s nice to get back to the basics, to get back to what really matters and make lasting memories. The Big House has quickly become a favorite destination of mine. If you have an appreciation of Appalachia and discovering its genuine beauty, check out the Wendover Bed & Breakfast Inn. My hunch is that you’ll love it as much as I do. And just like me, you’ll make plans to return…

Handmade Baby Caps, Scarves and Blankets Update FNU is still in need of handmade baby caps, scarves and lap quilts that we give to our Frontier Students at the Wendover Celebration Dinner during Clinical Bound. Following is a list of recent contributors to this popular project: Harriet Butts; Catherine Dodds, grandmother of Courier Lee Ann Adesheim; Rose Heide, CNEP Class 80 Graduate; Amy MacDonald, Courier (‘72); Harriet Palmer; Merrell Lee Porteous; Alice Van Farowe (Friend of Dawn Sneathen CNEP Class 15). 19


footprints Below is an article that a young Kate Ireland wrote while she was a Courier for the Frontier Nursing Service in 1951.

I Went to Brutus On Monday of my second week with the Frontier Nursing Service, Mary Jo Clark drove me to the Brutus Nursing Center in Clay County. I was supposed to ride Peru back from there, via the Bowlingtown and Confluence Centers. But, I just couldn’t seem to get started! Tuesday it snowed, and the river between Brutus and Bowlingtown was up. While I waited on Wednesday, Phyl sent me to pick up the blacksmith and go shopping for them in Oneida. Thursday, Maud went lame, and Phyl had to ride Peru. Came Friday, and Peru and I were at last ready to start when I remembered that I hadn’t asked the directions of how to get to Bowlingtown, and Phyl had gone to a delivery on the other side of the district. I had to wait! Saturday I had my bags packed again, and Phyl was going to ride with me as far as Leatherwood Creek to put me on the right trail to Bowlingtown. We stopped on the way to make a call, and she found her patient badly needing our doctor. The telephone was not working, and Phyl sent me back to the Center to get the jeep and drive to Hyden for the doctor. When I reached the Hospital, I phoned Jean Hollins at Wendover. Jean sounded as though she had given up hope of my ever returning with Peru. It had started to rain, and Jean said the river would probably be up the next day, and she had better send Anna out to Brutus in another jeep so that if I couldn’t start back on Peru on Sunday, I could return via jeep. The river did come up, and on Sunday I did come back to Wendover in the jeep with Anna. A week later, the river down, I went to Brutus to try again. This time Jean gave me orders how to come over the mountain to Hyden if it should rain and make it impossible to go by way of Bowlingtown and Confluence. But the river stayed down, and Peru and I finally got to Wendover over the route; originally planned but some two weeks late! A few days later Jean informed me that Anna and I were to ride Doc and Marvin to Brutus, over the mountain trail from Hyden. I was to leave Doc there,



and ride Laura back. (Anna was sent along for the ride, and to see that I got there, and back, safely!) Directions were a bit vague. We asked as we went along, but the directions we got from the mountain folk were still more vague. Finally we found the trail we were on ending- in a corn field half way up Osborne’s Hill. Jean’s worst fears were realized— we were both lost. We decided to break a trail to the top of the mountain. It was funny to see Anna leading Marvin, and Marvin practically clambering on Anna’s heels at every step. By sheer luck we found the right trail when we reached the top of the hill. Farther on we got off the trail again, but not for long, and finally arrived, safely, at Brutus. Jean had told us to return, Anna on Laura, and I on Marvin, the very next morning. But when we went to saddle the horses, we found Marvin was lame. The phone was working so I phoned Jean at Wendover. “Oh no,” said Jean, “you aren’t stuck at Brutus again!” Since Laura was immediately needed at the Hospital, Jean advised that Anna ride her in over the mountain, and let me stay on at Brutus until Marvin was able to be ridden. Jean sounded as though she suspected me of deliberately planning delays to keep me at Brutus—she knew how I loved it there. However, it had been fate, each time. Marvin recovered after only one day’s rest, and we returned to Wendover on Wednesday. I wasn’t allowed to go to Brutus for the remainder of my junior Courier term!



in memoriam Margaret Ruth Campbell, of Danville, KY died on Jan 29, 2016. Margaret was raised in Hyden, where her parents operated Campbell Drug. She graduated from Centre College in 1960 and in the years following toured Europe several times, developing a lasting affection for England and cementing herself as a true Anglophile. After marrying, she returned to Danville to raise her daughter and later opened M. Campbell Antique Prints, an enterprise that demanded regular trips abroad to find the rarest and earliest prints. For 15 years, Margaret acted as the Director of Development for the Kentucky Governor’s Scholars, while simultaneously serving as a director on the Boards of Hyden Citizens Bank (Hyden), Farmers State Bank (Booneville), Farmers and Traders Bank (Campton) and Middlefork Financial Group, several of which she chaired. Mrs. Campbell was a longtime friend and support of Frontier Nursing Service and Frontier Nursing University, most recently serving on the Leadership Council from 2011 until her passing. Frances Prescott Baker MacAusland, 91, of Dedham and Tuftonboro,

NH, died peacefully at home December 17, 2015 surrounded by her family. Her husband, Dr. William R. MacAusland Jr., predeceased her. She was born in Boston, daughter of Theodore Colcord Baker and Edith Prescott Baker. She grew up in Brookline, graduated from The Park School, and Beaver Country Day School. A past trustee of Dexter School, she was also a former courier and long time volunteer for the Frontier Nursing Service (Wendover, KY). Judy Ann Pennington-Adams (mother of FNU receptionist Susan Morgan), Charlene L. Lewis (mother of Senior Admissions Officer Chasity Collett), Tiffany Anna Paige Hope Williams Morgan (granddaughter of Judy and niece of Susan) and her children Kyson and Easton were killed in a horrific car crash on December 18, 2015. Judy worked with all of us for many years as both receptionist and financial aid officer. We will always remember and how she touched so many students lives with her friendly hello.

Donations were raised among the Frontier Community to help support these families during this time. Over $7,100 was given to help ease the burden of expenses.



tributes The following people gave contributions to Frontier in memory of their friends or loved ones. The names in bold are the deceased. Frances MacAusland Francis Keally Leonard Opdycke Peter and Mary Beth Hand Elizabeth Ames William Phinney Louise Crane Charles Batchelder Ned and Susan Culver Ronald Fleming Susan Bassett Roberta Griff Bob and Pam Lasher Orthopaedic Associates, Inc.

Dorothy Aaron Cheryl Aaron

Jane Haldeman Hope Bruce Haldeman

Olive Alberta Ady Karen Ady

Mary Ellen Houston John and Sally McDougall

Harriett Sherman Barnes Mary Ann Barnes Martha Nye

Kate Ireland Wendy Ware William Leach

Ruth Beeman Barbara Thompson

Elizabeth Y. Kilbourn Mary Kilbourn-Huey

Sue Brown Kentex Mineral Co.

Adelaide Klosterman Ellen Robinson

Nancy Dammann Sarah Hamby

Sharon Koser Susan Hooper

Jane Leigh Powell Robert Phipps Zara Harris

Ryan Christopher Fay Rebecca Fay

Julie McGee Lamberth Anne Ardery

Ruth Longfellow Wright Marilyn Wright

Helen Hoon Marcia Hanks

Agnes Lewis Judith Ryan

Ruth and Ernie Wright Linda and Steve Longstreth

Gertrude & Ed Longstreth Linda and Steve Longstreth



The following people gave contributions to Frontier in honor of their friends or loved ones. The names in bold are the honorees. Jean Bowman Dale Sansing

Beverly and Bill Friel Linda and Steve Longstreth

Patricia Nachowicz Gregory Gutgsell

Julia Breckinridge Davis Catherine Hornaday

Peggy Foiles Linda and Steve Longstreth

Susan Stone Peter Schwartz

Michael Claussen Sara Bolten

Carol Greenlee Jacob Noonan

Ann Thomas Nancy Thomas

Kitty Ernst Betty Ann Bradbury Sherley Young

Patsy Lawrence Elise Wallace

Dudley and Mary Lou Thomas Nancy Thomas

Haley Gandsey Abby Cohen Faye Feltner Jeff Feltner Jean Feltner Jeff Feltner Jeff Feltner Wanda Feltner Elizabeth Leggett

Betty Leggett Jeff Feltner Kathleen Lewis Jeff Feltner Charles Herbert Feltner Elizabeth Leggett Mary and Ray Myers Nancy Thomas


Bob and Peggy Trocin Linda and Steve Longstreth Marilyn Wright Linda and Steve Longstreth


trustees Mrs. Tia Andrew, Bermuda Mrs. Betty Dabney Brown, Louisville, KY Ms. Sarah Bacon, Brooklyn, NY Mrs. Heather Bernard, Hamilton, NY Governor and Mrs. Steven L. Beshear, Frankfort, KY Dr. Wallace Campbell, Berea, KY Ms. Carlyle Carter, Evanston, IL Ms. Anna Carey, Hyden, KY Dr. Holly Cheever, Voorheesville, NY Mrs. Lois Cheston, Topsfield, MA Mrs. John Dawson, Little Compton, RI Mrs. John J. Dete, West Liberty, OH Mrs. Peter Ehrlich, Bedford, NY Mrs. Robert Estill, Raleigh, NC Mr. John Grandin, Chestnut Hill, MA Dr. Joyce Fortney Hamberg, Southgate, KY Mr. and Mrs. John Hodge, Berwyn, PA Mr. Kenneth C.A. Isaacs, Lincoln, MA Ms. Deborah King, Dedham, MA Mrs. Patricia Perrin Lawrence, Westwood, MA Mrs. Henry Ledford, Big Creek, KY

Mrs. Marian Leibold, Cincinnati, OH Mrs. Noel Smith Fernandez, Pomona, NY Mr. Theodore R. P. Martin, St. Louis, MO Mrs. Joan Lambert McPhee, Potomac, MD Mr. Wade Mountz, Louisville, KY Dr. Spencer Noe, Lexington, KY Mrs. Frank O’Brien, Boston, MA Mr. Dean Osborne, Hyden, KY Mrs. James Rawleigh, Louisville, KY Mrs. Helen Rentch, Midway, KY Mrs. John Richardson, Washington, DC Mrs. Linda Roach, Lexington, KY Mrs. Georgia Rodes, Lexington, KY Mrs. Sandra Schreiber, Louisville, KY Mrs. Austin Smithers, Lyme, NH Mrs. Robert Steck, Arlington, MA Mrs. Mary Clay Stites, Louisville, KY Dr. W. Grady Stumbo, Hindman, KY Mr. Richard Sturgill, Paris, KY Mrs. Mary Frazier Vaughan, Lexington, KY Mrs. LouAnne Roberts Verrier, New York, NY Dr. Patience White, Bethesda, MD Mr. Harvie Wilkinson, Lexington, KY

Frontier Nursing University Susan Stone, DNSc, CNM, FAAN, FACNM, President

Michael Steinmetz, CPA, CMA, Vice President of Finance

Julie Marfell, DNP, FNP-BC, FAANP, Dean of Nursing

Shelley Aldridge, BA, Chief Operations Officer

Anne Cockerham, PhD, CNM, WHNP, Associate Dean of Academic Affairs

Denise Barrett, MBA, Director of Development and Alumni Relations

Tonya Nicholson, DNP, CNM, WHNP-BC, CNE, Associate Dean of Midwifery and Women’s Health

Angela Bailey, BA, Associate Director of Development Mandy Hancock, MA, Development Officer and Courier Program Coordinator

Lisa Chappell, DNP, FNP-BC, Associate Dean of Family Nursing

Michael Claussen, BA, Development Officer

Jacquelyne Brooks, ADN-MSN, Bridge Director

Beulah Couch, Human Resources/ Site Manager Barb Gibson, Facilities Manager



board of directors Chairman Michael Carter, FNP, DNSc Vice Chairman Michael T. Rust, Louisville, KY Secretary Marion McCartney, CNM, FACNM, Washington, D.C Treasurer John Foley, Lexington, KY Board Members Wallace Campbell, PhD, Berea, KY Peter Coffin, Chair, Frontier Nursing Service, Inc. Foundation Chestnut Hill, MA Eunice (Kitty) Ernst, CNM, MPH, Perkiomenville, PA Della Deerfield, CPA Richmond, KY Nancy Hines, Shepherdsville, KY Cabin John, MD Jean Johnson, PhD, RN, FAAN Phyllis Leppert, M.D., Ph.D., Durham, NC Robert Montague, JD Urbanna, VA Peter A. Schwartz, M.D., Wyomissing, PA Kenneth J. Tuggle, JD, Louisville, KY Nancy Fugate Woods, PhD, RN, FAAN, Seattle, WA

Pictured seated l to r: Kitty Ernst, Phyllis Leppert, Marion McCartney; Standing l to r: Wallace Campbell, Jean Johnson, Michael Carter, Robert Montague, Peter Coffin, Peter Schwartz, Mike Rust; Not pictured: Nancy Fugate-Woods, Nancy Hines, Della Deerfield, Ken Tuggle, and John Foley



your gifts at work

Kate Ireland Endowed Scholarship


he late Kate Ireland first served as a Courier for the Frontier Nursing Service in the 1950s, following a family tradition of helping FNS. Her grandmother was a donor and her mother was chairman of the Cleveland, Ohio committee. Kate’s sister also served as a courier. In Miss Ireland’s biography, Full Speed Ahead: With a Twinkle in Her Eye, she surmises that “Going to Kentucky had always been in the cards for me.”

In her biography, Full Speed Ahead: With a Twinkle in Her Eye, Kate Ireland surmises that “Going to Kentucky had always been in the cards for me.”

Ms. Ireland served as Courier during the summers of 1951-1954 and as a part-time courier from 1959-1960. She volunteered as Director of Volunteers for FNS from 1961-1975. She was elected to the FNS Board of Governors in 1963 and served in various capacities on the Board until her death. In 1967, Ms. Ireland was named Chairman of the Development Committee; in 1968, she was elected Vice Chairman; and in 1975, elected National Chairman of the Board of Governors, a post she held until 1992. In 1997 she was named National Honorary Chairman.

One of Miss Ireland’s many accomplishments is supporting the creation of the CommunityBased Nurse-Midwifery Education Program in 1989 with Kitty Ernst and Ruth Beeman. In 2014, Ms. Ireland was posthumously awarded the first ever “Unbridled Service” award. This award, initiated by the Frontier Courier Council, is given annually to a former Courier who has carried the torch of Mary Breckinridge beyond the mountains, perpetuating the mission and spirit of Frontier in their own lives. The Kate Ireland Scholarship, endowed by Ms. Ireland, continues to award scholarships to students annually. Recent scholarship recipient Robyn McHugh currently works at the Missouri Mennonite Clinic. Robyn has eleven children, six continuing to live at home, and she is a single mom. She states that “receiving a Frontier


FRONTIER NURSING UNIVERSITY Nursing University scholarship promotes my ability to continue to provide for my children’s needs, while completing my clinical practicum.� Robyn has committed to the Board of Directors at Missouri Mennonite Clinic to resume working after graduation as a certified nursemidwife. There are over 500 Old Order families living in the Versailles, Missouri vicinity requesting midwifery services; Recent recipient Robyn McHugh this need exceeds the access to care options currently available. Robyn plans to participate in the solution to this urgent access-to-care need, by providing nursemidwifery care for these families after graduation. The Kate Ireland Scholarship provides support to two students every year and will continue to so into the future. Friends and family continue to build the corpus of this endowed scholarship through gifts to the Kate Ireland Scholarship so that it can increase awards in future years. With just 2% of Frontier students receiving private financial scholarships, the need is great to continue to build this fund. We appreciate the original commitment and continued support that make this award possible!



Ways to Give: A Lasting Investment Your investment in Frontier Nursing University is an investment in quality healthcare for all.

IRA Charitable Rollover Donors can now transfer IRA contributions directly to charity without counting the distributions as income. In December 2015, the Consolidated Appropriations Act of 2016 made qualified charitable distributions from individual retirement accounts a permanent option. Donors can make direct transfers to Frontier Nursing University, or any qualified charity, totaling up to $100,000 of tax-deferred IRA savings. Funds cannot be transferred from the IRA to the IRA owner, but must be transferred directly to the non-profit organization. This offers an advantage over taking a taxable IRA distribution and then contributing the proceeds to a charity. Only individuals age 70½ or older may make qualified charitable distributions. To make a donation to Frontier Nursing University through a qualified charitable distribution, ask your IRA trustee or custodian to make a transfer directly to Frontier Nursing University. FNU will issue acknowledgement of the donation that can be used for your tax returns. For additional information on IRA Charitable Rollovers, please call 859.899.2828 or email Denise Barrett, Director of Development at



FRONTIER NURSING SERVICE, Inc. Its motto: “He shall gather the lambs with his arm and carry them in his bosom, and shall gently lead those that are with young.� Isaiah 40:11 Its object: To safeguard the lives and health of mothers and children by providing and preparing trained nurse-midwives and nurse practitioners for rural areas where there is inadequate medical service; to give skilled care to women in childbirth; to give nursing care to the sick of both sexes and all ages; to establish, own, maintain and operate hospitals, clinics, nursing centers, and educational programs for nurse-midwives and nursepractitioners; to carry out preventive public health measures; to educate the rural population in the laws of health, and parents in baby hygiene and child care; to provide expert social service; to obtain medical, dental and surgical services for those who need them, at a price they can afford to pay; to promote the general welfare of the elderly and handicapped; to ameliorate economic conditions inimical to health and growth, and to conduct research toward that end; to do any and all other things in any way incident to, or connected with, these objects, and, in pursuit of them to cooperate with individuals and with organizations, private, state or federal; and through the fulfillment of these aims to advance the cause of health, social welfare and economic independence in rural districts with the help of their own leading citizens.

From the Articles of Incorporation

of the Frontier Nursing Service. Article III as amended April 1999


FNU Quarterly Bulletin Winter 2016 Volume 90 Number 4  

The official quarterly publication of Frontier Nursing University

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