Mayo Regional Hospital - Well Aware Newsletters

A newsletter of health information from Mayo Regional Hospital * Annual 2003

Hospital expansion complete The completion of a 28-month, $8 million facilities expansion with the opening of a new Ambulatory Services Unit wing was the high point of 2003 at Mayo Regional Hospital.

The ASU opened in May with expanded space for the hospital's growing Surgical Services, and the project was concluded in September, when the Imaging Center for Women occupied its new suite.

The construction milestones reached in 2003 finalized Phase II of Mayo's facilities plan, which began with groundbreaking in May, 2001. Phase I work completed in 2002 included construction of a two-story Resource Center and a new Emergency Department addition, as well as extensive renovations of existing hospital space.

Mayo's growth was not confined to building construction, for the hospital also extended its community outreach efforts with two major initiatives during the past year.

On April 1, the Hospital Administrative District 4 Board of Directors approved a plan to merge eight Penquis area physician practices directly into the operations of Mayo Regional Hospital. As a result of that action, Mayo Regional Administrative Services Corporation, a wholly-owned subsidiary of the hospital formed in 1995 to manage physician offices, no longer exists. In its place, a new hospital department, Mayo Practice Associates, has assumed responsibility for doctor's offices in Corinna, Dexter, Dover-Foxcroft, Guilford and Milo.

During 2003 Mayo also expanded the scope of its hospital ambulance service, as Mayo Emergency Medical Service grew into Penobscot County in two directions: in the east, to Corinth, and in the south, to Dexter. Mayo forged agreements with those two towns to respond to all ambulance calls, taking over for municipal services that had been experiencing challenges in staffing. Mayo EMS began serving Corinth on Feb. 1, and took over operations of the Dexter Ambulance on July 1.

Three new doctors joined Mayo's active medical staff during the year: general surgeon Richard Evans, M.D. started a private practice in Dover-Foxcroft, obstetrician-gynecologist Deborah Surette, M.D. joined Mayo Women's Health, and family practice physician Elisa Thompson Ruksznis, M.D. joined Dover-Foxcroft Family Medicine. The arrival of Dr. Ruksznis was a homecoming, for Mayo's newest physician is a native of Guilford.

Mayo experienced an off year financially, as the hospital had its first operating loss since 1993. Due to a number of environmental factors -- the departure of two key surgeons, the waning regional economy and the state's continuing budget crisis -- Mayo had a net loss of $781,483 for the year. Important steps were taken during the year to address the deficit and strengthen the hospital's financial performance in 2004.

Mayo collaborated on two major projects during the year in order to strengthen healthcare delivery. The hospital, using a mix of financial and in-kind support, joined with Eastern Maine Community College to expand nursing education opportunities in Dover-Foxcroft. Mayo also helped bring the "Miles for Smiles" oral health program to Piscataquis County, in partnership with the Penobscot Community Health Center and Anthem Blue Cross and Blue Shield.

Hospital Administrative District 4 Board of Directors

Abbot
Heather Weymouth

Atkinson
Irene White

Bradford
Gregory Bowler, President

Cambridge
Cinthia Hoak

Dexter
Steve Whitesel
Al Tempesta
Patricia Tobin

Dover-Foxcroft
Norman Higgins
Judy Raymond, Secretary
Robert Pomeroy, Treasurer

Guilford
Dolores Curtis, Vice President
Alvin McDonald

Monson
Sue Ruby

Parkman
Candice Cyr

Sangerville
Ellen C. Haley

Sebec
Ruth Nason

Willimantic
Jeff Morin

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 department of the hospital, Mayo Practice Associates, operates eight medical offices in Dover-Foxcroft, Dexter, Guilford, Milo and Corinna.

The hospital is licensed by the state of Maine Department of Human Services.

The active medical staff includes 20 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, EMS ambulance, radiology, cardiopulmonary, day surgery, Diabetes and Nutrition Center, diet counseling, Heartwise cardiac rehabilitation, Imaging Center for Women, WorkWISE occupational health, oncology clinic, rehabilitation services, laboratory, alcohol and drug counseling, 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.

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)

2003 2002

Net Patient Service Revenue $24,474,519 $25,796,805

Other Operating Revenue 816,377 860,484

Total revenues 25,290,896 26,657,289

Expenses:

Personnel Services 12,003,590 11,146,660

Employee Benefits 2,460,207 2,504,932

Professional Fees 235,141 349,158

Supplies and other direct expenses 5,977,643 5,565,446

Purchased Services 2,752,263 3,574,819

Interest 366,907 211,798

Depreciation and Amortization 1,268,807 1,051,358

Provision for doubtful accounts 1,259,268 1,262,640

Total expenses 26,323,826 25,666,811

Operating income (loss) (1,032,930) 990,478

Nonoperating revenues (expense):

Investment income 171,199 176,381

Net increase (decrease) in fair value of investments 74,472 (78,378)

Gain (loss) on disposal of equipment 5,000 (13,546)

250,671 84,457

Income (loss) before other revenues ( $782,259) $1,074,935

FY 2003

Mayo Regional Hospital and its subsidiary, Mayo Regional Administrative Services Corporation, had a consolidated loss of $782,259 for fiscal year 2003, the first operating loss experienced by the hospital since 1993.

Mayo provided $409,129 in charity care, in addition to making provisions for covering $1,259,268 in bad debt.

Key statistics

Admissions: 1,366
Patient days:
Acute care - 4,108
Intensive care - 429
Daily patient census: 12.4
Average length of stay: 3.3 days
Births: 164
Newborn days: 308
Surgical procedures: 2,024
Inpatient - 356
Outpatient - 1,668
Radiology exams: 18,535
Inpatient - 2,335
Outpatient - 16,200
Laboratory tests: 122,408
Inpatient - 23,326
Outpatient - 99,082
Physical therapy procedures: 10,444
Cardiopulmonary treatments: 6,437
Oncology visits: 973
Substance abuse visits: 646
Emergency room visits: 12,908
Ambulance runs: 2,503
CT scans: 2,568
Occupational health visits: 3,095
ACLS/Cardiac rehab visits: 1,420
Physician office visits: 40,061
Full-time equivalent employees: 285

Mayo Regional Hospital received $57,282 for its Annual Appeal Thank you to the 162 donors listed below who have contributed to the hospital's Annual Appeal, which raised funds to purchase laparascopic equipment for Mayo's Surgical Services department. Total charitable contributrions to Mayo last year amounted to $184,000. The following list includes donations received between March 1, 2003 and March 1, 2004.
Leadership Circle ($2,500 and up) NEHE-MRI Pamela Nourse, M.D. William Orton Plummer Memorial Foundation Founders ($1,000-$2,499) Gerald Collins Mr. and Mrs. John Cushing Dr. David Frasz and Dr. Lesley Fernow Ralph Gabarro, in memory of Pete Gabarro Mr. and Mrs. James B. Gustafson Susan R. Lancaster David B. McDermott, M.D. Dr. and Mrs. Thomas K. Murray Mr. and Mrs. Stanley Pride Rowell's Garage Dr. and Mrs. Richard B. Swett Elisa Thompson, M.D. Van D. Wentworth Benefactors ($500-$999) Mr. and Mrs. Dennis Allen Lisa Bartley, FNP, in memory of Christine Rozakis Karen Brooks Diane R. Dill Karen Dow Bradford Ellis, in memory of Alice Ellis Sandra Engstrom, in memory of Jerry & Pauline Sweet Dora N. Littlefield Thomas Lizotte Oscar & Reuben Lumbra Inc. William Sheppard, PA-C Mr. and Mrs. John Smith, PA-C Mark Stroud Deborah B. Surette, M.D. Sandra Thibodeau Mr. and Mrs. W. Ward Webber Lillian Williams Linda Zimmerman, in honor of Surgical Services staff Patrons ($250-$499) Kathleen D. Allen Community Pharmacies LP Sheri Conley Mr. and Mrs. Charles E. Darr, in honor of David McDermott, M.D. Olive Ducharme, in memory of Alvia Ducharme Christine A. Durham Dr. and Mrs. John W. Ellery Dr. and Mrs. Richard A. Evans Harold T. Gerrish, DMD, in honor of Heartwise Stephanie Hall Carmen Lander Susan Luthin, M.D. Gerald Menard Lisa Murray Ruth W. Nason Mr. and Mrs. Craig H. Nelson Robert L. Pomeroy Kenneth S. Proctor Mr. and Mrs. Doug Roberts Bonnie Stone Elizabeth VanDyke, in memory of Frank G. VanDyke Supporters ($100-$249) Mr. and Mrs. Donald Ambler, in memory of Brenda W. Ambler Mr. and Mrs. Philip S. Annis Ethel M. Ayres, in honor of all staff Dr. James W. Berry Roy A. Bither Jr. Richard D. Boss Mr. and Mrs. James A. Brown Mark and Elizabeth Donaghy Mr. and Mrs. George E. Emmons Lisa H. Fortier	Rosalie E. Gagnon, in memory of Robert Gagnon Mr. and Mrs. Edgar E. Gammon Beatrice G. Gellerson Judith Gerrish, RN Frances R. Glover Jeff Hastings Michael Hendrix Hibbard Nursing Home Inc. Mr. and Mrs. Duane L. Huff Mr. and Mrs. Wayne O. Huff Susan Jardine Junior Cosmopolitan Club Mr. and Mrs. Brad Limbert Mary A. Lutterell Marion McLellan Roxanne Nason Ray Noddin Mr. and Mrs. Paul J. Raymond, in memory of Jeffrey S. Parola Drs. Challa V. Reddy and Usha Reddy, in memory of Vasudeva Reddy Darcy M. Redmond Mr. and Mrs. Russell A. Scott E. Marie Thompson, in memory of Keith K. Thompson Sylvia L. Turner Dr. and Mrs. Robert L. Veon, in honor of Mark Hanson, Laurie Tremblay and William Sheppard Evelyn G. Weston Clifford L. Wiley, in memory of Wanda P. Wiley Roger W. Willis Friends (Up to $100) Abaris Club State Rep. James D. Annis, in memory of Susan D. Annis Gregory Bowler Kristina Carroll Mr. and Mrs. Roland T. Clukey, in memory of Elizabeth Clukey Ali Conroy, Rachel Cody, Mamie Clarke and Lucy McDermott Mr. and Mrs. Paul Curtis Candice L. Cyr Dexter Regional Federal Credit Union Mr. and Mrs. Rodney L. Edgerly Linwood G. Flanders Sara Fogler Dorothy E. Gray Mr. and Mrs. Clarence R. Herrick Mr. and Mrs. Arthur L. Hitchcock Stephen R. Jackson and Theresa B. Boettner Theresa M. Joslyn, in memory of Roberta Campbell Mr. and Mrs. Lionel J. Laferriere Mr. and Mrs. Greg Lander Dr. and Mrs. Charles H. Lightbody Robert O. Littlefield Mr. and Mrs. Floyd A. Marsh, in memory of Vance A. Pratt Susan R. McKinley Darlene Miles, in memory of Clifton and Rebecca Miles Phyllis Mills and Rebecca Mills Betty G. Morse Mr. and Mrs. Philip D. Mosley Mr. and Mrs. Robert S. Parker Mr. and Mrs. David R. Perkins, in memory of Agnes G. Lindsay Janet A. Rines Susan K. Ruby Mr. and Mrs. Herbert O. Severance Mr. and Mrs. Samuel G. Shepherd Mr. and Mrs. Kenneth H. Simmons, in memory of William and Alice Mitchell Dorothy Speed, in memory of Philip Speed Renee Speh Laura T. Stacy Mr. and Mrs. Richard O. Stutzman Mr. and Mrs. William E. Thompson Margaret M. Thurston	Mr. and Mrs. James H. Tobin Delbert Vaczy Rosanne Young Barbara S. Walker, in memory of Frank Walker Irene S. White, in memory of Virginia White Donors Mayo Regional Hospital Endowment John and Anne Urban Fund Intensive Care Unit Betty Bates, in memory of George W. Rollins Oncology Services Fund In memory of Mary Beth Dean Bessie L. Bush In memory of Kathleen Hanscome Mr. and Mrs. Dick Bagley Patricia Colbry Adeline Dauphinee Helen M. Gooch Cheryl A. Hanscome Beverly J. Moulton Virginia C. McGuire Nancy L. Nogueira Mr. and Mrs. Andy H. Payson William W. Robinson Kathleen N. Staples Mr. and Mrs. Barry Stultz Linda H. Vose HAD 4 Auxiliary projects Bone densitometer Memorial donations to Auxiliary In memory of Roscoe Littlefield Mr. and Mrs. Austin Deane In memory of Walter Ebersteen Dover-Foxcroft Congregational Church In memory of Marjorie Warren John Clark, DDS office In memory of Marjorie Eldridge John Clark, DDS office Helen Brown In memory of Kenneth and Margaret Badger Marion Race In memory of Frank Murch Viola Murch In memory of Jeffrey Parola Mr. and Mrs. Paul Raymond In memory of Clyde Nason Joyce Mazerolle In memory of Mary Beth Dean Junior Cosmopolitan Club Kathrine Green In memory of Brenda Ambler Mr. and Mrs. Donald Ambler
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, Mayo Regional Hospital, 897 West Main Street, Dover-Foxcroft, Maine 04426.