Mayo Regional Hospital
Well Aware
A newsletter of health information from Mayo Regional Hospital * Annual 2001

The new, two-story Resource Center has been constructed at the rear of Mayo Regional Hospital as the first stage of the construction/renovation project.

Growth in services, facilities
Growth in services, financial stability and facilities expansion were hallmarks of 2001 at Mayo Regional Hospital.

Ground was broken on May 19 for an ambitious construction/renovation project that will greatly expand Mayo's capacity to meet the future healthcare needs of Penquis region residents. Phase I of the hospital expansion will cost $6.3 million and last 15 months, ending in August, 2002. It will construct a new Emergency Department and renovate existing space for Radiology, Cardiopulmonary Services, Patient Registration and Obstetrics. A new addition, the two-story Mayo Resource Center, has been built to house Rehabilitation Services, the WorkWISE occupational health program, administration and business offices, medical records, medical staff services and conference rooms.

Phase II of the project should start in 2003 and build another addition on the hospital's west end for an enlarged Ambulatory Services Unit, including more space for Mayo's growing Surgical Services Department.

The construction and renovation is being financed through the Maine Municipal Bond Bank and a Capital Campaign that has raised $477,000 to date.

Mayo's medical staff welcomed the addition of orthopaedic surgeon Dr. Richard Bower, who practices with Richard Swett, MD and Bill Bisbee, PA-C at Penquis Orthopaedics. Three new mid-level providers -- Family Nurse Practitioners Chris Schlief and Angela Del Vecchio, and Physician Assistant Brandy Lakin -- joined Mayo practices in Milo and Dexter.

Mayo signed a 10-year lease agreement with the Town of Corinna for that community's medical office building. Mayo Regional Administrative Services Corp., the hospital's physician practice management subsidiary, opened Corinna Family Practice as its eighth site in February, 2002.

Mayo Regional's continuing growth was supported by an outstanding financial performance. Mayo finished 2001 with a consolidated net income of $1.2 million, a 33% increase over 2000. That improvement was driven by rising usage of the hospital's outpatient services, which generated 59% of gross revenues.

Although inpatient admissions were up just 1.9% and the daily patient census held steady at 15, the demand for outpatient services surged. Surgical Services set a record with 2,036 procedures, a 12% increase. Utilization also rose strongly in the Emergency Department, Radiology, Laboratory, Cardiac Rehab, Occupational Health and EMS ambulance.

Mayo's focus on improving both patient care and staff working conditions was also validated in 2001. Patient satisfaction surveys and an employee opinion survey conducted by Avatar International, Inc. placed Mayo satisfaction levels in the top echelon for hospitals across the United States.

Two significant community health initiatives were launched during the year. Acting as the lead agency for the Piscataquis Public Health Council, Mayo secured tobacco settlement grant funds to reduce tobacco use and related chronic disease as part of the Campaign for a Healthy Maine. The hospital started the Mayo Diabetes and Nutrition Center in response to the high level of diabetes in the region.

Mayo collaborated with the Muskie School of Public Service to produce a report detailing the crucial link between health sector employment and economic development in Piscataquis County.

The hospital responded to concerns over workforce recruitment, and retention issues by implementing an innovative education loan/scholarship program.


Mayo Leadership (left to right): Gregory Bowler, HAD 4 Board President; Ralph Gabarro, Chief Executive Officer; David McDermott, M.D., Medical Staff President.
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
Norman Higgins
Judy Raymond, Secretary
Robert Pomeroy, Treasurer

Guilford
Dolores Curtis, RN, Vice President
Alvin McDonald

Monson
Robert Wilson

Parkman
Candice Cyr

Sangerville
Ellen C. Haley

Sebec
Ruth Nason

Willimantic
Ellen Woodall

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. The17-person board of directors includes representatives elected from the member towns.

A subsidiary of the hospital, Mayo Regional Administrative Services Corporation, operates eight medical offices in Dover-Foxcroft, Dexter, Guilford, Milo and Corinna.

The hospital is licensed by the state of Maine and is accredited by the joint Commission on Accreditation of Healthcare Organizations.

The active medical staff includes 21 physicians board-certified in the following specialities: anesthesiology, family practice, internal medicine, general surgery, obstetrics/gynecology, ophthalmology, orthopaedics, radiology and pediatrics. 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, rehabilitation services, laboratory, substance abuse treatment program, 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 hosted a Family Sign-up Day for Cub Care and the expanded Medicaid program, serving 47 people and registering 21 families for no- or low-cost state health insurance coverage.
  • The hospital staged two free health fairs, in February as part of an open house at the new EMS ambulance garage and in April at the annual Chamber of Commerce business Expo. Blood pressure checks were given to 190 people and cholesterol tests were provided to 70 individuals
  • Mayo collaborated with the Muskie School of Public Service and Oklahoma State University to document the strong link between healthcare sector employment and economic development in Piscataquis County.
  • Mayo Women's Health and Dr. Betsy Vanderburgh organized a free women's educational program on menopause that was attended by 70 participants. The hospital also sponsored a day-long conference on Improving Care at the End of Life.
  • Mayo EMS sponsored Scouting's Venturers program to help young people explore health care careers, hosted a YMCA Safety Awareness Summer Camp, and staged the annual Kiwanis bicycle safety rodeo. The hospital also hosted Husson College's MedStart program, exposing high school juniors to possible careers as physicians.
  • Mayo has provided corporate financial support to worthy community projects and organizations, ranging from the Arcady concert series to the Piscataquis County Economic Development Council.
Financials

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 30)
  2001 2000
Net Patient Service Revenue $23,663,281 $21,104,495
Other Revenue 589,093 559,116
Unrestricted gifts and donations   76,265
Total revenues 24,252,374 21,739,876
Expenses:    
Personal Services 10,189,303 9,530,083
Employee Benefits 1,847,281 1,686,139
Professional Fees 307,893 268,830
Supplies and other direct expenses 5,422,750 4,724,591
Purchased Services 2,861,919 2,536,887
Interest 134,432 150,201
Depreciation and Amortization 894,281 930,928
Provision for doubtful accounts 1,176,769 1,306,542
     
Total expenses 22,834,628 21,134,201
OPERATING INCOME 1,417,746 605,675
     
Nonoperating income (expense):    
Investment income 165,206 229,058
Net increase in fair value of investments (369,098) 76,414
Gain on disposal of equipment 2,500 500
     
  (201,392) 305,972
     
EXCESS OF REVENUES OVER EXPENSES $1,216,354 $911,647
Gross Revenue
As the pie chart to the left shows, Medicaid was billed for 13% and Medicare accounted for 52% of the services provided by the hospital last year. Payment is less than cast for many of those services. The unreimbursed cost of 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 33%, and 2% of gross revenues were billed to people who had no health insurance.

FY 2001

Mayo Regional Hospital and its subsidiary, Mayo Regional Administrative Services Corporation, had a consolidated gain of $1,216,354 for fiscal year 2001, a significant improvement in financial performance from the previous year. Increased use of hospital services was a key factor, as net patient service revenues grew by 12%. Mayo provided $467,556 in charity care, in addition to making provisions for covering $1,176,769 in bad debt.
The hospital’s operating margin was a just above 8 percent, keeping Mayo ahead of most other small hospitals in Maine.

Key statistics

Admissions: 1,682
Patient days:
Acute care - 4,714
Intensive care - 755
Daily patient census: 15.0
Average length of stay: 3.3 days
Births: 158
Newborn days: 271
Surgical procedures: 2,036
  Inpatient - 582
  Outpatient - 1,454
Radiology exams: 17,565
  Inpatient - 2,903
  Outpatient - 14,662
Laboratory units: 110,842
  Inpatient - 24,545
  Outpatient - 86,297
Physical therapy procedures: 11,151
Cardiopulmonary treatments: 6,323
Oncology visits: 607
Substance abuse visits: 654
Emergency room visits: 11,558
Ambulance runs: 2,044
CT scans: 2,025
Occupational health visits: 2,500
ACLS/Cardiac rehab visits: 1,629
Full-time equivalent employees: 219

Capital Campaign

Mayo Regional Hospital has received $477,080 toward its Capital Campaign.
Thank you to the donors listed below who have contributed to the hospital's New Century Capital Campaign (the list includes donations received between March 1, 2001 and Feb. 28, 2002). The Campaign is raising funds for Mayo's ongoing construction/renovation project.

Capital Campaign

Leadership Circle ($2,500 and up)
Dr. and Mrs. Robert P. Andrews
Dr. and Mrs. Robert Bach
DiGiorgio Associates Inc. and Monitor Builders Inc.
Libra Foundation
Moosehead Manufacturing Co.
Rowell's Garage
Town of Dover-Foxcroft, Mayo
Memorial Trust Fund

Founders ($1,000-$2,499)
Dr. David Frasz and Dr. Lesley Fernow
Ralph Gabarro
James Gustafson
John W Hunter, in honor of Mr. and Mrs. Jack W Hunter, Sr.
Dr. David B. McDermott, M.D.
Dr. and Mrs. Thomas K. Murray
Bill Sheppard, PA-C
Mr. and Mrs. John Smith, PA-C
Spectrum Medical Group
Matt Spooner and Dr. Kathleen Thibauh
Mr. and Mrs. Lynn H. Vernon
Robert Wright, PA-C

Benefactors ($500-$999)
Lisa Bartley, FNP
Diane R. Dill
Christine Durham
Mr. and Mrs. George E. Emmons
Mrs. Judy Gerrish, RN
Susan R. Lancaster
Thomas Lizotte
Mr. and Mrs. Glenn M. Libby

William Orton
Martha G. Rollins, in memory of Bart Rollins
Mark Stroud
Sandra Thibodeau
Lillian Williams

Patrons ($250-$499)
Rev. Ken Dale
Douglas G. Emmons
Mr. and Mrs. Robert Haley
Susan Jardine
Jacqulyn Laffin
Kathy Malatesta, in memory of Joan Fricke
Ruth W. Nason
Mr. and Mrs. Craig H. Nelson
Kenneth D. Proctor
Mr. and Mrs. Doug Roberts
Debbie Stroud
Anita Stuart, in memory of Rev. Werner and Anna Eberbach
Helen N. Taylor, in memory of Dr. Paul Taylor
Mr. and Mrs. Philip Weatherbee
Elizabeth Wheeler
Linda Zimmerman

Supporters ($100-$249)
Pauline Albee
Mr. and Mrs. Mark Allen, in honor of Ethel Hersey
Mr. and Mrs. William Bartlett
Theresa B. Boettner and Stephen R. Jackson
Richard D. Boss
Mr. and Mrs. Paul J. Bradeen
Nicole Chadwick, RN
Mr. and Mrs. J. Paul Curtis
Carol Davidson
Michael Hendrix
Mr. and Mrs. Clarence R. Herrick, in memory of Scottie Herrick
Hibbard Nursing Home, Inc.
Mr. and Mrs. Clarence G. Hinton
Viola C. Lander
Mary A. Lutterell
Marion McLellan
Lisa Murray
Margaret Murray-Thurston, in memory of Wilfred Murray Sr.
Roxanne Nason
Mr. and Mrs. Robert S. Parker
Barbara M. Roullard, in memory of Edward L. Roullard
Sylvia L. Turner
Evelyn G. Weston
Kathy A. Willey
YMCA of the North Shore, in memory of Frank M Gould

Friends (Up to $100)
Jim Annis, in memory of Susan D. Annis
Susan D. Annis
Irene Cochran, in memory of Francis Pitkin
Michelangelo Deleso
Mark Donaghy
Lorraine Gilbert
Leonard R. Gould
Mary C. Hayes, in memory of Elinor Hayes Tripp
Mr. and Mrs. Lionel J. Laferriere
Mr. and Mrs. Patrick Leighton
Elsie London, in memory of Paul E London
Mr. and Mrs. Floyd A. Marsh
Mr. and Mrs. Ivan G. Marshall
Robert McElroy, in memory of Ruth McElroy
Ramona 0. McPherson
Betty G. Morse
Mr. and Mrs. Philip Mosley
Deborah Sawyer
Mr. and Mrs. Raymond Sears
Renee Speh
Mr. and Mrs. J. Paul Raymond, in memory of Jeffrey S. Parola
Mr. and Mrs. William Thompson, in memory of Dr. George Howard
Delbert Vaczy

In memory of Vergena Herring Lee
Gloria Chase
Mr. and Mrs. George E. Fowler
Dianne E. Herring
Durward L. Herring
Lillian Herring

Donors
Heartwise
In memory of Wendell L. Brown
Geo. E. Howard & Co.
Celeste B. Hyer
Beatrice G. Gellerson

In memory of Arlin Thackery
Mr. and Mrs. Bradley Deane
Hardwood Products Co. shop crew

Oncology Services Fund
In memory of Joyce Doolittle
James W Doolittle

In memory of Francis and Vergie Nelson
Mr. and Mrs. Robert K Nelson

In memory of Dorene Graf
Mr. and Mrs. Jerry M. Bates
Mr. and Mrs. Philip Bullard
Harriet P Colson
Mr. and Mrs. Lawrence E. Conley

Auxiliary donation

HAD 4 Auxiliary President Gloria Leighton, left, and Rehabilitation Services Manager Fran Moore display portable biofeedback monitoring units purchased by the Auxiliary for Mayo's new urinary incontinence management program. Auxiliary members contributed over $9,500 to hospital projects in 2001, raising those monies through a variety of fundraising events held throughout the year.

Mr. and Mrs. J. Paul Curtis Mr. and Mrs. Thomas E. Mills
Sonia Dillard Mr. and Mrs. Thomas D. Myers
Mr. and Mrs. Michael L. Doore Mr. and Mrs. James E. Page
Mr. and Mrs. Michael L. Doore Mr. and Mrs. Ralph Palmer
Mr. and Mrs. Rodney Edgerly Mr. and Mrs. Stanley Pride
FHWA Courtesy Committee Mr. and Mrs. Donald V. Pushor
Linwood G. Flanders Mr. and Mrs. Michael Ramirez
Mr. and Mrs. Gary Fortier Mr. and Mrs. Paul L. Ruksznis
Mr. and Mrs. Jay Fortier Mr. and Mrs. Richard Q. Studer
Mr. and Mrs. John P. Foss Mr. and Mrs. Richard E. Thomas
Mr. and Mrs. Howard Garniss Mr. and Mrs. William E. Thompson
Mr. and Mrs. David E. Gaw Whetstone Pond Association
Jean E. Graf Norma C. White
Town of Guilford  
Guilford Sangerville Water District Incontinence management program
HAD 4 Auxiliary
Beth D. Haley  
Mr. and Mrs. Robert D. Haley Medical error prevention
HAD 4 Auxiliary
Patricia Harrington  
Mr. and Mrs. Ralph G. Harvey Radiology stretcher
HAD 4 Auxiliary
Beverly L. Herrick  
Shirley Hersey Every effort has been make to ensure the accuracy of this donor list. If the information is incorrect, we appologize and ask that you call Tom Lizotte, 564-4342, about any error.
Mr. and Mrs. Robert B. Kallgren  
Dr. and Mrs. Charles H. Lightbody Donations may be sent to Development Offive, Mayo Regional Hospital, 75 West Main Street, Dover-Foxcroft, Maine 04426.
Mr. and Mrs. Robert O. Littlefield  
Mr. and Mrs. Floyd Marsh  

Medical Staff

Members of Mayo Regional Hospital's active Medical Staff:

Anesthesiology
W. James A. Roberts, MD

Family Practice
George R. Kousaie, MD
Susan L. Luthin, MD
David B. McDermott, MD
Challa V. Reddy, MD
Usha R. Reddy, MD
Kathleen S. Thibault, DO

Internal Medicine
Lesley M. Fernow, MD
Larry B. Labul, DO
Robert J. Ladato, MD
Thomas K. Murray, MD

Obstetrics & Gynecology
Elizabeth A. Vanderburgh, MD

Opthalmology
David P. Frasz, MD

Orthopaedics
Richard D. Bower, MD
Richard B. Swett, MD

Pediatrics
John R. Pearsall, MD

Radiology
Mark Piccirillo, MD
Brenda M. Roy-Clark, MD

Surgery
Robert D. Bach
Peter M. Buerger, MD
Pamela J. W. Nourse, MD

Call 564-4342 for Mayo's free physician referral service.

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