Mayo Regional Hospital
Well Aware

A newsletter of health information from Mayo Regional Hospital * Annual 2000

Gregory Bowler, President
Gregory Bowler, President

HAD 4
Board of Directors

Abbot
David Amrein

Atkinson
Irene White

Bradford
Gregory Bowler, President

Cambridge
Cinthia Hoak

Dexter
Lorraine Gilbert
Al Tempesta
Patricia Tobin, RN

Dover-Foxcroft
Dr. Harold Gerrish, Treasurer
Judy Raymond, Secretary
Robert Pomeroy

Guilford
Dolores Curtis, RN, Vice President
Alvin McDonald

Monson
Robert Wilson

Parkman
Candice Cyr

Sangerville
Ellen C. Haley

Sebec
Ruth Nason

Willimantic
Ellen Woodall

Key Statistics
Admissions: 1,650
Patient days:
Acute care - 4,723
Intensive - 777
Daily patient census: 15.0
Average length of stays: 3.3 days
Births: 167
Newborn days: 314
Surgical procedures: 1,814
 Inpatient - 565
 Outpatient - 1,249
Radiology exams: 16,513
 Inpatient - 2,744
 Outpatient - 13,769
Laboratory units: 757,268
 Inpatient - 24,476
 Outpatient - 80,102
Physical Therapy Procedures:
11,441
Cardiopulmonary treatments: 7,028
Oncology visits: 423
Substance abuse visits: 778
Emergency room visits: 11,138
Ambulance runs: 1,791
CT scans: 1,867
Occupational health visits: 2,300
ACLS/Cardiac rehab visits: 1,286
Full-time equiv. employees: 210
New Ambulance Garage
Construction of the sixth building on the Mayo Regional Hospital campus was completed in 2000, providing a new base for Mayo Emergency Medical Services.

Building for the future: 2000

Mayo Regional Hospital's campus began to take on a different look in 2000 as construction was completed on a new, three-bay ambulance garage for Mayo's Emergency Medical Service. That project is the precursor of major changes to come, for the year also saw Mayo receive Certificate of Need approval from the state Department of Human Services for a $6.5 million expansion and renovation of the hospital's main building.

That larger project, on which construction will start in April, 2001, will result in a new Emergency Department and enlarged space for ambulatory surgical services. A new addition, the Mayo Resource Center, will be constructed to house Rehabilitation Services, the WorkWISE occupational health program, administration, business offices, medical records, medical staff services and conference rooms.

Financing for the hospital building project will come from bonds to be issued through the Maine Municipal Bond Bank, and through a Capital Campaign. The fundraising effort was helped by leadership gifts of $75,000 from the Peter S. Plouff Charitable Trust and $50,000 from the Plummer Memorial Foundation of Dexter.

Mayo's medical staff also grew in 2000. Larry Labul, D.O, an internal medicine specialist, joined Dover-Foxcroft Family Medicine and allowed Mayo to expand the successful hospitalist program begun three years earlier by Tom Murray, M.D. Elizabeth "Betsy" Vanderburgh, M.D., who had served as a staff obstetrician and gynecologist with the U.S. Air Force, was recruited to bring OB-GYN services to the Penquis region.

Dr. Vanderburgh's arrival allowed Mayo Regional Administrative Services Corporation (MRASC) to open Mayo Women's Health, a new physician practice that expands Mayo's line of existing healthcare services for women. MRASC, a wholly-owned hospital subsidiary, now owns, operates or manages seven physician offices in Dexter, Dover-Foxcroft, Guilford and Milo.

leadership
Mayo Leadership (left to right): David McDermott, M.D., Medical Staff President; Ralph Gabarro, Chief Executive Officer; Gregory Bowler, HAD #4 Board President

Mayo was able to respond aggressively to the region's healthcare needs in 2000 due to a strong financial performance resulting from increasing community support for hospital services. Mayo finished 2000 with a consolidated net revenue of $911,647, triple the total from 1999.

Outpatient services accounted for 58% of total revenue, with Radiology, Laboratory and Emergency Room all experiencing significant growth. Admissions were up 2.4%, with an average daily census of 15 patients and an average length of stay of 3.3 days. Mayo recorded 167 births, up 23% from the previous year.

The hospital maintained its policy of accepting all patients regardless of their ability to pay. Mayo provided $718,892 in charity care,and made provisions to cover another $1.3 million in bad debts.

Mayo launched a variety of community health initiatives in 2000, including the Heartwise program's involvement in a statewide effort to improve treatment outcomes for patients with Congestive Heart Failure. The hospital led the successful referendum vote to fluoridate Dover-Foxcroft's public drinking water supply, and is the lead agency for a local public health coalition that applied for and was awarded tobacco settlement grant funds to reduce tobacco use and tobacco-related chronic diseases.

Mayo also became the local sponsor for AmericasDoctor, an Internet health site dedicated to providing information for consumers suffering from chronic illnesses. AmericasDoctor is a free service that may be accessed through a link with the hospital's web site at Mayohospital.com.

Our Mission
To provide you with up-to-date, high quality, compassionate and affordable healthcare. To assist you in achieving the highest level of health by offering a broad range of education, prevention and wellness services in partnership with other health care organizations.

Our Vision
Mayo Regional is a caring family committed to excellence in people-centered care in a community setting. As the role of community hospitals change, Mayo Regional remains committed to serving as a health care and civic leader, concerned employer and good neighbor.

Our Values
At Mayo we value all individuals and strive always to provide an environment that supports courtesy, honesty, accountability, respect and trust for all.

About the Hospital
Mayo Regional Hospital, operated by Hospital Administrative District 4, is a non-profit, 46-bed acute care facility in Dover-Foxcroft. It was opened in 1978 by 12 towns to serve their communities. The board of directors includes representatives elected from the member towns.

A subsidiary of the hospital, the Mayo Regional Administrative Services Corporation, operates medical offices in Dover-Foxcroft, Dexter, Guilford and Milo serving over 10,000 people.

The hospital is licensed by the state of Maine and in 1999 was reaccredited by the Joint Commission on Accreditation of Healthcare Organizations.

The active medical staff includes 17 physicians board-certifies in the following specialities: anesthesiology, family practice, internal medicine, general surgery, ophthalmology, orthopaedic surgery, and radiology. There is a multi-specialty consultant and associate staff of physicians and allied health specialists.

Inpatient services are acute medical/surgical care, intensive care, surgical services and obstetrics.

Outpatient services include 24-hour emergency care, ambulance, radiology, cardiopulmonary, day surgery, diabetes clinic, diet counseling, Heartwise cardiac rehabilitation, Imaging Center for Women, WorkWISE occupational health, oncology clinic, physical therapy, laboratory, prenatal clinic, substance abuse treatment, Lifeline and Pine Tree Hospice.

As the role of community hospitals changes, Mayo Regional remains committed to serving as a healthcare and civic leader, concerned employer and good neighbor. For more information, call 564-4342.

Community Service
Mayo Regional served as the lead agency for the newly-formed Piscataquis Public Health Council in its successful application to the state Bureau of Health for tobacco settlement grant funds. These funds will help to reduce tobacco use and tobacco-related chronic diseases through coordinated efforts involving the Penquis region's healthcare and education systems.

The hospital's Imaging Center for Women provided free mammograms during National Breast Cancer Awareness Month to 15 women over age 35 who had never had a mammogram and had no insurance. Mayo became the local sponsor hospital for AmericasDoctor, an Internet health site dedicated to providing information to people suffering from chronic illnesses. Access to AmericasDoctor is provided free of charge at Mayohospital.com.

Mayo's exhibit at the annual Chamber of Commerce business expo at Guilford in April provided 150 free blood pressure checks, 53 free cholesterol screenings, 57 free vision screenings and several dozen free lung capacity tests.

The hospital's Heartwise program provided over 400 blood pressure screenings at free community clinics in Dover-Foxcroft, Guilford, Milo and Sangerville. Heartwise education efforts during American Heart Month included labelling heart healthy foods at local supermarkets.

Mayo led the successful referendum to flouridate Dover-Foxcroft's drinking water supply.

Capital Campaign
Mayo Regional Hospital received $173,296 toward its Capital Campaign.

Thank you to the donors listed below who contributed to the hospital's New Century Capital Campaign (the list includes donations received between Jan. 1, 2000, and March 1, 2001). The campaign is raising funds for a new and expanded Emergency Department.

Leadership Circle ($2,500 and up)
Dr. and Mrs. Robert P. Andrews
Dr. and Mrs. Robert Bach
Plouff Charitable Trust
Plummer Memorial Foundation
Spectrum Medical Group

Founders ($1,000-$2,400)
Junior Cosmopolitan Club
Mr. and Mrs. William Bisbee
Dr. and Mrs. John W. Ellery
Dr. David P. Frasz and Dr. Lesley Fernow
Ralph Gabarro
Dr. David B. McDermott
Dr. Thomas Murray and Cathy Ditsch
Ruth W. Nason
Dr. Pamela Nourse
Drs. Challa V. Reddy and Usha Reddy
Bill Sheppard, PA-C
Mr. and Mrs. John Smith, PA-C
Dr. and Mrs. Richard B. Swett,
in memory of Linus Stitham, MD and Paul Taylor MD
Matt Spooner and Dr. Kathleen Thibault
Lillian M. Vachon
Robert Wright, PA-C
 

Benefactors ($500-$999)
Dahl-Chase Pathology Associates
Oscar & Reuben Lumbra Inc.
Mr. and Mrs. Dennis H. Allen
Lisa Bartley, FNP
John Cotton
Mr. and Mrs. John Cushing
Diane R. Dill
Mrs. Judy Gerrish, RN
Thomas Lizotte
Craig H. Nelson
William Orton
Mr. and Mrs. W. Ward Webber
Mrs. Van D. Wentworth
Lillian Williams
Roger W. Willis

Patrons ($250-$499)
Rowell's Garage
Sheri Conley
Dana M. Fadley
Ruby Grindle
Mr. and Mrs. Wayne O. Huff
Janice Lowery
Mr. and Mrs. Brian Mullis
Robert L. Pomeroy
Christina Pratley
Kenneth S. Proctor
Elizabeth Wheeler
Shirley White

Supporters ($100-$249)
Skowhegan Savings Bank
Mr. and Mrs. Philip S. Annis
Thomas B. Barkley
Mr. and Mrs. William P. Bartlett
Mr. and Mrs. Herman Bayerdorffer
Gregory Bowler
Mr. and Mrs. Robert Bridge
Sara Fogler
Joline Frazier
Mrs. Beatrice G. Gellerson
Ruth C. Goldstine
Stephanie Hall
Jeff Hastings
Julie Ann Hatch
Michael Hendrix
Beverly L. Herrick
Mr. and Mrs. Clarence Herrick
Kathryn Hogan
John W. Hunter
Mr. and Mrs. Stephen L. Jacobs
Carmen Lander
Dr. and Mrs. Charles H. Lightbody
Dr. Susan Luthin
Kathy Malatesta
Marion McLellan
Mr. and Mrs. Francis P. Moore
Margaret Murray-Thurston
Dr. Moshe Myerowitz
Robert S. Parker
Cheryl Roberts
Cynthia Scott
Mrs. Helen N. Taylor
Judith Viner
Ms. Evelyn G. Weston
Mr. and Mrs. Clifford L. Wiley
Kathy A. Willey
Mr. and Mrs. Robert Wilson
Linda Zimmerman
In memory of Clinton Lindsay Jr.
Fleet Private Clients Group
Betsey W. Cousins
Ms. Affie Perkins

Friends (Up to $100)
Amicus Sunshine Club
Mr. and Mrs. Paul B. Allen
Mr. and Mrs. Gordon Andrews
Mr. and Mrs. William Bates
Arline E. Bishop
Mr. and Mrs. James A. Brown
Barbara B. Clukey
Donald E. Davis
Dexter Regional Federal Credit Union
Mark Donaghy
Margaret M. Dunham
Mr. and Mrs. Rodney Edgerly
Donald A. Eichel
Mr. and Mrs. Lendall Flanders
Linwood G. Flanders
Orman M. Fortier
Frances Glover
Dorothy E. Gray
Mr. and Mrs. Arthur L. Hitchcock, Jr.
Mary H. Jewett
Arthur J. Kelly
Mr. and Mrs. William A. Keyte
Faye Lundin
Mr. and Mrs. Floyd A. Marsh
Mr. and Mrs. Sewall L. Moody
Mr. and Mrs. Paul L. Ruksznis
Mr. and Mrs. Samuel G. Shepherd
Mrs. Laura T. Stacy
Mrs. Doris E. Stanchfield
Mr. and Mrs. Lester A. Stevens
  In memory of David Hughes
Hardwood Products Co. shop crew
  In memory of Roberta Campbell
Mayo Regional Hospital Business Office
Mayo Regional Hospital Surgical Services
FA Alumni Band
Mr. and Mrs. Hugh F. Burgess
Bessie Bush
Mr. and Mrs. John H. Cushing
Mr. and Mrs. Rodney L. Edgerly
Marjorie Frautten
Old Mayo Gang
Martha G. Rollins
Vicki J. Spearing
Kathy A. Willey
  In memory of Clinton Lindsay Jr.
Pauline Albee
Harriet P. Colson
Mr. and Mrs. Ruel Cross
Mr. and Mrs. Austin M. Deane
Mr. and Mrs. Bradley Deane
Jean M. Durham
Mr. and Mrs. Rodney L. Edgerly
Mr. and Mrs. Richard Elderkin Sr.
Mr. and Mrs. Arthur E. Emerson
Linwood G. Flanders
Mr. and Mrs. David E. Gaw
Mr. and Mrs. Fred Hall
Hilda Hersey
Mr. and Mrs. Richard C. Hersey
Shirley Hersey
Mr. and Mrs. Duane L. Huff
Mr. and Mrs. Alfred L. Johnston
Mr. and Mrs. Robert B. Kallgren
Mr. and Mrs. Charles J. Larsen
Mr. and Mrs. Robert O. Littlefield
Mr. and Mrs. William A. Littlefield
Mr. and Mrs. Chesley Lovell
Eleanor A. Merrill
J. Clifford Morin
Fern E. Palmer
Mr. and Mrs. Clyde Perkins
Susan Pulkkinen
Winifred Pulkkinen
Mr. and Mrs. George Rollins
Mr. and Mrs. Paul L. Ruksznis
Mr. and Mrs. Richard Q. Struder
Mr. and Mrs. Richard A. Thomas
Milton W. Troy
Norma C. White
Norma Young

Donors
HAD 4 Auxiliary
Bone Densitometer
HAD 4 Auxiliary
Dover-Foxcroft Congregational Church

Mammography
Mary L. Shea

Oncology Services
In memory of Charlene Johnson
Frank A. Johnson
In memory of Stu Bush
Bessie Bush
In memory of Myles Smith
George Carlisle
Mr. & Mrs. Tony Saunders

Intensive Care Unit

In memory of Kenneth W. Miles
Darlene Miles
Mr. & Mrs. Albert R. Willette

Lifeline
United Methodist Women

Mayo EMS Ambulance
Mr. & Mrs. Charles Knight
Dover-Foxcroft Kiwanis
Mary Lo Shahawy

Heartwise
In memory of Perley Merrill
Mr. and Mrs. James E. Bridges
Merrill A. Clukey
Mr. and Mrs. Jeffrey Cote
Mr. and Mrs. Leon A. Cote, Jr.
Mary H. Jewett
Mr. and Mrs. Rodney Page
Mr. and Mrs. George W. Warren

General Donations
In memory of Odella Fern Ruksznis
American Legion Auxiliary Unit 29
In memory of Francis C. Pitkin
Mayo Regional Hospital Housekeeping
Ann E. Cavery
Mr. and Mrs. James H. Tobin III
Idyllene S. Warren
In memory of Doris Potter
Bessie Bush
In memory of Marion Cotton
Mrs. Elizabeth C. Britcher
In memory of Everett S. Colson
Mrs. Johanna Colson
Elaine Heath
Paul Levensalor
Mr. and Mrs. Jeff Stevens
Mr. and Mrs. David Weatherbee
Heath Weatherbee
In memory of John Gunther
Duncan Construction Co.
New Jersey Ground Water Association
Howell P.B.A. Local 228
Mr. and Mrs. Gerard C. Coviello
Dr. Gary Fessler
Raymond Peters
Christine Somay
Janet and Brenda Tinson
In memory of Edward Marsh
Mayo Regional Hospital
Mayo Regional Hospital Laboratory
Heartwise Program
Habitat for Humanity
Richard D. Boss
Mr. and Mrs. Carl H. Boutilier Jr.
Mr. and Mrs. Fred Burow
Mr. and Mrs. J. Paul Curtis
Mr. and Mrs. John H. Cushing
Mr. and Mrs. Harry Drew
Margaret M. Dunham
Mr. and Mrs. Rodney L. Edgerly
Mr. and Mrs. Arthur L. Hitchcock Jr.
Mr. and Mrs. Clinton L. Lindsay Jr.
Joyce Mazerolle
Ruth W. Nason
Mr. and Mrs. Blaine Rideout
Mr. and Mrs. Tony A. Saunders
Anne C. Sweeney
Mr. and Mrs. Ralph E. Wright Jr.

Every effort has been made to ensure the accuracy of this donor list. If the information is incorrect, we apologize and ask that you call Tom Lizotte, 564-4342, about any error.

Donations may be sent to Development Office, c/o Cynthia Scott, Mayo Regional Hospital, 75 West Main Street, Dover-Foxcroft, Maine 04426

Financials

  2000 1999
Net Patient Service Revenue $21,104,495 $18,990,151
Other Revenue 559,116 625,466
Unrestricted gifts & donations 76,265 -----------
  ________________ ________________
Total revenues 21,739,876 19,615,617
Expenses    
Personnel Services 9,530,083 8,683,367
Employee Benefits 1,686,139 1,681,914
Professional Fees 268,830 266,874
Supplies & other direct exp. 4,724,591 4,142,466
Purchased Services 2,536,887 2,529,738
Interest 150,201 179,636
Depreciation and Amortization 930,928 773,405
Provision for doubtful accounts 1,306,542 1,172,348
Total Expenses 21,134,201 19,429,748
  ________________ ________________
Operating Income 605,675 185,869
Nonoperating income (expense)    
Investment income 229,058 247,462
Net increase in fair value of investments 76,414 (129,678)
Gain (loss) on disposal of equip. 500 1,132
  ________________ ________________
  305,972 118,916
  ________________ ________________
Excess gross revenues over expenses $911,647 $304,785

Hospital Administrative District #4 d/b/a Mayo Regional Hospital and its subsidiary, Mayo Regional Administrative Services Corporation. Consolidated Statements of Operations Unrestricted Funds Year Ended September 30th.

gross revenue

Gross Revenue for fiscal year 2000

Gross revenue for fiscal year 2000, Medicaid was billed for 10% and Medicare accounted for 54% of the services offered by the hospital last year. Payment is less than cost for many of those services. The unreimbursed cost providing this care causes other payers to be charged more to make up for these governmental payment shortfalls. Commercial insurances such as Blue Cross/Blue Shield were billed for 30%, 6% of the people had no insurance coverage.

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