Mayo Regional Hospital
Well Aware
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: 1,612
Patient days:
Acute care - 4,860
Intensive - 766
Daily patient census: 15.4
Average length of stays: 3.5 days
Births: 136
Newborn days: 262
Surgical procedures: 1,782
 Inpatient - 622
 Outpatient - 1,160
Radiology exams: 14,452
 Inpatient - 2,066
 Outpatient - 12,386
Laboratory units: 757,268
 Inpatient - 213,625
 Outpatient - 543,643
Physical Therapy Procedures:
12,082
Cardiopulmonary treatments: 7,879
Oncology visits: 354
Substance abuse visits: 947
Emergency room visits: 10,591
Ambulance runs: 1,970
CT scans: 1,287
Occupational health visits: 2,273
ACLS/Cardiac rehab visits: 1,081
Full-time equiv. employees: 216
Fiscal Year 2000 Newsletter

DOVER-FOXCROFT - Mayo Regional Hospital successfully weathered what was a difficult financial year for rural and community hospitals in 1999. Drastic reductions in Medicare spending due to the federal Balanced Budget Act, coupled with continued managed care pressures from private insurance plans and HMOs, created budgeting challenges.

Mayo met those challenges and recorded some noteworthy accomplishments. In two initiatives that helped position the hospital to meet community health needs assessment to identify healthcare priorities in the Penquis region, and finished a facility master plan that developed a comprehensive strategy for the hospital's future space needs.

As a result of the needs assessment, Mayo and others are pursuing healthcare initiatives aimed at improving the health status of the region. The facility master plan will lead to a $6.3 million construction/renovation project that should be undertaken in 2001 to expand space for the Emergency Department and ambulatory surgery services, modernize obstetrical service space and construct a new Mayo Resource Center office and educational building.

Mayo earned a three-year reaccreditation from the Joint Commission on the Accreditation of Healthcare Organizations. A three-day, on-site survey in June resulted in Mayo receiving a score of 90 from the Joint Commission.

Technological improvements at Mayo included a new, fixed-base CT scanner with spiral capabilities, and the addition of mobile Magnetic Resonance Imaging services.

In addition, the hospital completed a major project over the summer with the implementation of a new computer information system that provided support in managing patient and financial information.That computer upgrade played a key role in Mayo's ability to resolve Year 2000 compliance issues, and led to a trouble-free transition.

Mayo Regional Administrative Services Corporation, a hospital subsidiary that owns and operates physician practices in Dexter, Dover-Foxcroft, Guilford and Milo, also enjoyed a productive 1999. MRASC and the town of Guilford jointly completed a construction project that doubled space in the town-owned medical building used by Guilford Medical Associates. The corporation in August opened a new primary care practice in Milo, staffed by a family practice physician and a physician assistant.

Physicians added to Mayo's medical staff in 1999 were Kathleen Thibault, D.O. at Milo Family Practice, and general surgeon Peter Buerger, M.D., at Mayo Surgical Associates.

Community health initiatives in 1999 included Mayo's enrollment in the Maine Breast and Cervical Health Program, and two school-based programs: Mayo worked with the Harmony School Department to open Maine's first K-8 school-based health clinic, and collaborated with SAD 68 and Foxcroft Academy to revive their student health clinics.

The hospital also became the local sponsor for AmericasDoctor.com, a free, full-service, medical/health information Internet site.

Mayo finished 1999 with a consolidated net income of $304,785, as outpatient services represented 54% of gross revenues. Average daily census was 15.4 patients. During the year the hospital invested $1.9 million in capital equipment designed to bolster clinical capabilities.

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 multispecialty 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 collaborated with SAD 68 and Foxcroft Academy to reopen school-based health clinics at the Academy and SeDoMoCha Middle School. Financial support included hospital trust funds held by the Town of Dover-Foxcroft.

The hospital's Imaging Center for Women provided free mammograms during National Breast Cancer Awareness Month to 15 women aver age 35 who had never had a mammogram and had no insurance.

Mayo joined the Maine Breast and Cervical Health Program to provide mammography screening services for financially disadvantaged Maine women. The hospital extended its participation to include free breast biopsies for eligible women.

Mayo's exhibit at the annual Chamber of Commerce business expo at Guilford in April provided 133 free blood pressure checks and free cholesterol tests, and dozens of free vision screening and lung capacity tests.

Mayo and SAD 46 Adult Education sponsored a series of five, free community health forums at Dexter Regional High School.

The hospital's Heartwise program provided 420 blood pressure screenings at free community clinics located in Dover-Foxcroft, Guilford and Sangerville. Heartwise community education efforts during American Heart Month included labelling heart healthy foods at local supermarkets.

Mayo employees donated 27 pints to a Red Cross blood drive.

Mayo Regional Hospital Staff Members
Active Medical Staff
Anesthesiology
W. James Roberts, MD
Internal Medicine
Lesley Fernow, MD
Robert Ladato, MD
Thomas Murray, MD
Opthamology
David Frasz, MD
Orthopaedics
Richard Swett, MD
Radiology
Mark Piccirillo, MD
Family Practice
James Berry, MD
George Kousaie, MD
Susan Luthin, MD
David McDermott, MD
Challa Reddy, MD
Usha Reddy, MD
Kathleen Thibault, MO
Surgery
Robert Bach, MD
Peter Buerger, MD
Pamela Nourse, MD
Associate Medical Staff
Chiropractic
Kevin Chasse, DC
Dentistry
Sean Drower, DMD
Harold Gerrish, DMD
Daniel Steinke, DDS
Gynecology
Robert Grover, DO
Plastic Surgery
Donald Schassberger, MD
Psychiatry
Dannel Starbird, PhD
Janet Yelch-Weatherbee, LCSW
Podiatry
Ellen Anderson, DPM
Family Practice
Steven Arnold, MD
Lawrence DuBien, MD
Brian Griffin, MD
Carol Kuhn, MD
Walter Love, MD
Daniel Mingle, MD
Radiology
Robert P. Andrews, MD
Surgery
Richard Cabot, MD
Don Maunz, MD
Consulting Medical Staff
Gastroenterology
Richard Beveridge, MD
Daniel Cassidy, MD
Mark Lena, MD
Oncology
Phillip Brooks, MD
A. Merrill Garrett, MD
Otolaryngology
C. Henry Larson, MD
Pathology
George Eyerer, MD
Irwin Gross, MD
Lewis Haskell, MD
John Kaiser, MD
David Marmaduke, MD
Holly McDaniel, MD
Stephen Pfister, MD
David Renedo, MD
Richard Riemersma, MD
Maichael, Talbert, MD
Psychiatry
Mary Marshall Overstreet, MD
Pulmonary
Frederick Oldenburg, MD
Radiology
David Ahola, MD
Hugh Caggiano, MD
Douglas Cowan, MD
Don Factor, MD
Michael Halber, MD
Charles Lynch, MD
Frank Mroz, MD
Michael Pancoe, MD
Joshua Sherwin, MD
Paul Templeton, MD
Mary Warner, MD
David Warner, MD
Ralph Yeakley, MD
Urology
Richard Long, MD

Annual Appeal

Mayo Regional Hospital received $52,553 for its 1999 Annual Appeal.

Thank you to the donors listed below who contributed to the hospital's 1999 Annual Appeal (the list includes donations received between March 15, 1999, and March 8, 2000). The campaign raised funds for a new ambulance, intensive care unit monitors, and a bone densitometer in Mayo's Imaging Center for Women.

Leadership Circle ($2,500 and up)
HAD 4 Auxilliary
Town of Dover-Foxcroft ambulance trust fund

Founders ($1,000-$2,400)

Benefactors ($500-$999)
Stephanie Hall
Charles Knight,for Ambulance Fund
W.Ward Webber

Patrons ($250-$499)

Supporters ($100-$249) Donald A. Ambler, in memory of Brenda W. Ambler
William P. Bartlett
John H. Cushing
Rosalie E. Gagnon, in memory of Robert E. Gagnon
Avis M. Spear, in memory of Newbert Spear

Friends (Up to $100) Susan D. Annis, in memory of Olivia D. Annis
Charles E. Brown, in memory of Bessie Brown
Elizabeth A. Chase
Sadie Day, to Ambulance Fund, from the family of Mary Moore
Dennis W. Emery, to Ambulance Fund, in memory of Mary Moore
Eleanor Forsythe, in memory of Bessie Brown
Foxcroft Pony Club, for Ambulance Fund
Elaine Heath, in memory of Marilyn I. Petruzzelli
Wayne F. Kenerson, for Ambulance Fund
Annie A. Lee, in memory of Albina Jackson
Dr. Charles H. Lightbody, in memory of Rev. Paul Bell
Phyllis C. Michaud
Richard H. Millett

Donors
Heartwise
Donna Somers

Intensive Care Unit
In honor of Robert Bradford
Margaret A. Patzner

In memory of Kenneth W. Miles
Carol Alfonso
Gertrude R. Anderson
Thomas B. Barkley
Ellen H. Bearce
John A. Beaton
Don Church
Dorothy Dulac
Friends at Central Maine Newspapers
Matt Holland
Glenda K. Iverson
Dennis Miles
Tallus C. Miles
Winifred Miles
Montello Elementary School
Donald A. Moulton
Jim O'Halloran
Raymond Passick Family

Lifeline
Dexter Sunrise Kiwanis
HAD 4 Auxilliary
Junior Cosmopolitan Club
United Methodist Women

Oncology Services Fund
Phylis W. Rogers

In memory of Kenneth Nutter
Wendy Badger and family
Hazel Durant
Lisa Grant and family
Carla Hills
Kathy Lee and family
Christopher Lovejoy
Kenneth Lovejoy
Michael Lovejoy and family
Toni Lovejoy
Mary Lyford and family
Danny Nutter and family
Gloria Nutter and family
Greg Nutter and family
Mike Nutter and family
Frank Nutter
Terry Wolfram and family

In memory of Myles Smith
American Pulpwood Association, Inc.
Robert P. Andrews
Michael Boyson
Al Brown
Eva L. Burgess
John Cakouros
Dorothy Campbell
Paul Campbell
John Cotton
County of Piscataquis
Dolores L. Curtis
John H. Cushing
Town of Dover-Foxcroft
Linda S. Dyer
Lendall Flanders
Linwood G. Flanders
Frances Glover
Dorothy E. Gray
Katherine C. Green
Greenhouse Supply, Inc.
Elwood Hall
Donna L. Hathaway
H.D. Haynes, Inc.
Clarence R. Herrick
Jonathan B. Huntington
Frederick E. Hutchinson
Ruth M. Kinney
Louis M. Leavitt
Glenn M. Libby
Dana H. Luce
Maine Probate Judges Assembly
Stephen J. Mitchell
Moosehead Manufacturing Co.
Malcom E. Morrell
Amos E. Orcutt
Margaret A. Patzner
Stanley Pride
William T. Rayfield
Tony A. Saunders
James W. Sewall Co.
Richard O. Stutzman
Helen N. Taylor
Russell J. Tracy
Eaton Peabody Bradford & Veague, P.A.
Cheryl L. Vigue
Phyllis D. Weatherbee
Women's Community Garden Club
In memory of Robert Appleby
Kennard P. Allen
Veda M. Ames
Ronald M. Byers
Helen M. Calos
Lawrence E. Conley
Dolores L. Curtis
Adeline Dauphinee
Austin Deane
Bradley Deane
Donald O. Doore
John Douglass
Roy E. Fairbrother
Michael Giggey
Guilford of Maine
Hardwood Products Co. LP, from Maintenance Department
Beverly L. Herrick
Richard C. Hersey
R. Scott Hersey
Greg Lander
Myles Lemieux
Floyd A. Marsh
Durgin McKusick
Malcolm Melia
J. Clifford Morin
Roger F. Morin
Ruth S. Morin
Ralph Palmer
Winifred Pulkkinen and family
Paul L. Ruksznis
Kenneth H. Simmons
Clyde Thomas
Gerald Thomas
William Weymouth
Weymouth Chiropractic Center
Norma C. White
Kathy A. Willey
Richard M. Williams

In memory of Priscilla Packard
Lorene Bridges
Guilford of Maine
Viola C. Lander
Carl E. McKusick
Vincent L. McKusick
Norma Young

In memory of Vergie Nelson
Lewis R. Higgins
Robert K. Nelson

In memory of John Nelson
Robert K. Nelson

In memory of Paul London
Elsie London

Substance Abuse
Trustees of Foxcroft Academy

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

  1999 1998
Net Patient Service Revenue $18,990,151 $18,129,123
Other Revenue 625,466 783,078
Unrestricted gifts & donations -- 10
  ________________ ________________
Total revenues 19,615,617 18,912,211
Expenses    
Personnel Services 8,683,367 7,943,984
Employee Benefits 1,681,914 1,169,243
Professional Fees 266,874 293,459
Supplies & other direct exp. 4,142,466 3,482,321
Purchased Services 2,529,738 2,219,921
Gross revenue tax -- 929,853
Interest 179,636 207,693
Depreciation and Amortization 773,405 690,025
  ________________ ________________
Total Expenses 19,429,748 18,006,471
  ________________ ________________
Operating Income 185,869 905,740
Nonoperating income (expense)    
Investment income 247,462 226,786
Net increase in fair value of investments (129,678) 17,189
Gain (loss) on disposal of equip. 1,132 (7,782)
  ________________ ________________
  118,916 236,193
  ________________ ________________
Excess gross revenues over expenses $304,785 $1,141,933

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

Gross Revenue for fiscal year 1999

Gross revenue for fiscal year 1999, Medicaid was billed for 9% and Medicare accounted for 52% 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 those governmental shortfalls. Commerical insurances such as Blue Cross/Blue Shield were billed for 29%, 8% were people billed who had no insurance and 2% was other insurances such as worker's compensation.

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