Avera Mckennan

PROMOTION OF HEALTH

AVERA MCKENNAN'S MISSION IS TO PROVIDE HEALTHCARE SERVICES TO SIOUX FALLS, SOUTH DAKOTA RESIDENTS AND RESIDENTS OF THE SURROUNDING AREA. AVERA MCKENNAN IS A 501(C)(3) ORGANIZATION AFFILIATED WITH AVERA HEALTH. AVERA MCKENNAN CONSISTS OF A 511-BED HOSPITAL, A 53-BED HEART HOSPITAL AND A 138-BED NURSING HOME IN SIOUX FALLS, SD. MAJOR SERVICE LINES INCLUDE ONCOLOGY, SURGERY, OBSTETRICS, PEDIATRICS, NEONATOLOGY, EMERGENCY AND TRAUMA, CRITICAL CARE INCLUDING EICU, RADIOLOGY AND DIAGNOSTIC IMAGING, PSYCHIATRY, PULMONARY, ORTHOPEDICS, NEUROLOGY, CARDIOLOGY AND GASTROENTEROLOGY. TRANSPLANT SERVICES INCLUDE SOLID ORGAN (KIDNEY, LIVER, AND PANCREAS) AND BONE MARROW TRANSPLANT.PROGRAM SERVICE STATEMENT CONTINUED ON SCHEDULE O.AVERA MCKENNAN OWNS OR LEASES RURAL CRITICAL ACCESS HOSPITALS AND A NURSING HOME IN SOUTH DAKOTA INCLUDING A 25-BED CRITICAL ACCESS HOSPITAL AND A 55-BED NURSING HOME IN GREGORY, SD, A 25-BED CRITICAL ACCESS HOSPITAL IN MILBANK, SD, A 23-BED CRITICAL ACCESS HOSPITAL IN DELL RAPIDS, SD, AN 18-BED CRITICAL ACCESS HOSPITAL IN FLANDREAU, SD, A 25-BED CRITICAL ACCESS HOSPITAL IN MILLER (HAND COUNTY), SD AND AN 11-BED CRITICAL ACCESS HOSPITAL IN ROCK RAPIDS, IA. SERVICES OFFERED BY THE RURAL CRITICAL ACCESS HOSPITALS INCLUDE RADIOLOGY AND IMAGING, COLONOSCOPY AND ENDOSCOPY, THERAPY AND REHABILITATION, 24-HOUR EMERGENCY CARE, CHEMOTHERAPY, ORTHOPEDICS, CARDIOVASCULAR TESTING, SURGERY, DIALYSIS AND OBSTETRICS.IN ADDITION AVERA MCKENNAN PROVIDES CLINICAL CARE, SECONDARY AND PRIMARY, THROUGH PHYSICIAN CLINICS IN SOUTH DAKOTA, NORTHWEST IOWA, SOUTHWEST MINNESOTA AND NORTHEASTERN NEBRASKA. THE PHYSICIAN CLINICS PROVIDE PRIMARY CARE AND URGENT CARE, AND SPECIALTIES SUCH AS CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY, HEPATOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, NEONATOLOGY, NEPHROLOGY, NEUROLOGY, OB/GYN, ONCOLOGY, OPHTHALMOLOGY, PEDIATRICS, ORTHOPEDICS, PAIN MANAGEMENT, PSYCHIATRY, PULMONOLOGY, GENERAL SURGERY, AND VASCULAR SERVICES. FOLLOWING IS A BREAKDOWN OF THESE STATISTICS BY FACILITY:AVERA MCKENNAN HOSPITAL24,954 ACUTE PATIENT DISCHARGES1,785 NEWBORN PATIENT DISCHARGES423,825 OUTPATIENT VISITS3,290 NEWBORN PATIENT DAYS1,034,299 CLINIC VISITSAVERA HEART HOSPITAL2,353 ACUTE PATIENT DISCHARGES9,738 OUTPATIENT VISITS67,022 CLINIC VISITSAVERA PRINCE OF PEACE36,824 LONG-TERM CARE RESIDENT DAYS379 LONG TERM CARE PATIENT DISCHARGESAVERA GREGORY HOSPITAL (CAH)351 ACUTE PATIENT DISCHARGES89 SWING BED PATIENT DISCHARGES15,525 OUTPATIENT VISITS622 SWING-BED PATIENT DAYS15,806 CLINIC VISITSAVERA ROSEBUD COUNTRY CARE CENTER9,900 LONG-TERM CARE RESIDENT DAYS42 LONG TERM CARE PATIENT DISCHARGESAVERA MILBANK HOSPITAL (CAH)269 ACUTE PATIENT DISCHARGES39 NEWBORN PATIENT DISCHARGES66 SWING BED PATIENT DISCHARGES28,424 OUTPATIENT VISITS69 NEWBORN PATIENT DAYS393 SWING-BED PATIENT DAYS21,297 CLINIC VISITSAVERA DELL RAPIDS HOSPITAL (CAH)153 ACUTE PATIENT DISCHARGES60 SWING BED PATIENT DISCHARGES10,025 OUTPATIENT VISITS617 SWING-BED PATIENT DAYS11,881 CLINIC VISITSAVERA FLANDREAU HOSPITAL (CAH)139 ACUTE PATIENT DISCHARGES20 SWING BED PATIENT DISCHARGES15,005 OUTPATIENT VISITS288 SWING-BED PATIENT DAYS8,363 CLINIC VISITSAVERA HAND COUNTY HOSPITAL (CAH)232 ACUTE PATIENT DISCHARGES60 SWING BED PATIENT DISCHARGES12,370 OUTPATIENT VISITS435 SWING-BED PATIENT DAYS7,312 CLINIC VISITSAVERA MERRILL PIONEER HOSPITAL (CAH) 110 ACUTE PATIENT DISCHARGES31 SWING BED PATIENT DISCHARGES10,089 OUTPATIENT VISITS339 SWING-BED PATIENT DAYS4,828 CLINIC VISITSAVERA MCKENNAN MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY AND EQUIVALENT SERVICE STATISTICS. THE AMOUNT OF CHARGES FOREGONE, BASED ON ESTABLISHED RATES, WERE $70,117,057.AVERA MCKENNAN ALSO PROVIDES COMMUNITY BENEFIT HEALTH ACTIVITIES AT LESS THAN OR AT NO COST TO SUPPORT THOSE IN THE AREA SERVICED, SEE SCHEDULE H. AS A MEMBER OF THE AVERA HEALTH NETWORK, AVERA MCKENNAN UPHOLDS THE VISION OF THE PRESENTATION AND BENEDICTINE SISTERS TO WORK THROUGH COLLABORATION TO PROVIDE QUALITY, EFFECTIVE HEALTH MINISTRY AND TO IMPROVE THE HEALTHCARE OF INDIVIDUALS AND OUR COMMUNITIES THROUGH A REGIONALLY INTEGRATED NETWORK OF PERSONS AND INSTITUTIONS. AVERA MCKENNAN ENGAGES IN ACTIVITIES DESIGNED TO IMPROVE THE HEALTH OF INDIVIDUALS AND COMMUNITIES IN RESPONSE TO A CALLING TO HEAL THE SICK, THE ELDERLY, AND THE OPPRESSED.DURING THE COVID PANDEMIC OVER THE LAST TWO YEARS, AVERA HEALTH AND ITS AFFILIATED ENTITIES HAVE STEWARDED SIGNIFICANT FUNDING TOWARD COMMUNITY BENEFIT, FROM OUR OWN RESOURCES AND FROM STATE AND FEDERAL ASSISTANCE AND RELIEF FUNDS. WHEN THE FIRST CASES WERE IDENTIFIED IN 2020, WE CREATED A 24/7 HOTLINE PEOPLE COULD CALL TO INQUIRE ABOUT TESTING, TREATMENT, AND LATER VACCINATION. THIS HOTLINE MINIMIZED THE BURDEN OF CLINICS AND HELPED PROTECT PATIENTS AND THE PUBLIC BY KEEPING PATIENTS FROM PRESENTING TO HEALTHCARE FACILITIES IN PERSON. ALONG WITH THE HOTLINE, AVERA LAUNCHED AN INNOVATIVE AND SPECIALIZED PROGRAM FOR CARING FOR COVID PATIENTS AT HOME, INCLUDING DAILY CHECKINS, VIRTUAL VISITS (IF NEEDED) AND AT-HOME OXYGEN THERAPY. THROUGHOUT THE PANDEMIC THIS PROGRAM HAS SUPPORTED PATIENTS AND KEPT HOSPITALS FROM BECOMING OVERWHELMED.ADDITIONALLY WE LAUNCHED PUBLIC AWARENESS CAMPAIGNS FOR MASKING AND VACCINATION THAT INCLUDED EARNED MEDIA, PAID ADVERTISING AND DIGITAL PRESENCE. WE SET UP TESTING SITES AND EVENTS, INCLUDING A MASS TESTING EVENT FOR WORKERS AT THE LOCAL PROTEIN PLANT. AVERA LED EFFORTS TO PRIORITIZE THOSE AT HIGHEST RISK, INCLUDING NOT ONLY ELDERLY AND INFIRM BUT HOMELESS, CONGREGATE LIVING RESIDENTS AND PROTEIN PLANT WORKERS WHICH INCLUDED A HIGH PERCENTAGE OF IMMIGRANTS. WE PARTICIPATED IN NATIONAL RESEARCH FOR COVID THERAPIES INCLUDING CONVALESCENT PLASMA, MONOCLONAL ANTIBODIES AND ANTIVIRAL MEDICATIONS. WE WORKED WITH LOCAL AND STATE OFFICIALS TO INFORM THE PUBLIC AT REGULAR PRESS CONFERENCES AND EXPANDED BED CAPACITY BY REALLOCATING RESOURCES ACROSS ALL HOSPITALS IN OUR SYSTEM. AVERA PARTNERED WITH OTHER HEALTH FACILITIES AND SYSTEMS TO ENSURE CAPACITY FOR THE SICKEST PATIENTS, AND THOSE IN NEED OF ICU CARE AND VENTILATORS. AVERA ALSO LAUNCHED EFFORTS TO SUPPORT AND RETAIN HEALTH CARE WORKFORCE, INCLUDING SUCH THINGS AS PAYING HEALTH INSURANCE PREMIUMS, PROVIDING SUPPORT PAYMENTS, $2 ACROSS-THE-BOARD PAY INCREASES, INCREASED ON-CALL PAY AND SHIFT DIFFERENTIALS, AND MORE.