GUIDING AMERICA TO BETTER HEALTHCARE. Comprehensive award-winning care.

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GUIDING AMERICA TO BETTER HEALTHCARE Comprehensive award-winning care. H O N O R A B L E M E N T I O N

Avera McKennan Hospital & University Health Center is more than a hospital we are part of Avera Health, an integrated health care delivery network Patients have come to expect 5-Star healing through medical expertise and technology. Avera McKennan also offers 5-Star service and amenities to care for patients in the best way possible with the greatest level of comfort possible. Every stay, every time, ALWAYS. ALWAYS Our full continuum of care: 545-bed tertiary hospital 13 regional hospitals Comprehensive network of 58 primary and 27 specialty care clinics Convenience clinic in local Hy-Vee store Retirement housing, assisted living, long-term care and hospice Nationally recognized for excellence in: Behavioral Health Cancer treatment Emergency, trauma and critical care Orthopedics Pediatrics and neonatal intensive care Rehabilitation Solid organ and bone marrow transplant Stroke care and neuroscience Women s health care Also within our network The 55-bed Avera Heart Hospital of South Dakota The 110-bed Avera Behavioral Health Center Avera Children s Hospital & Clinics, a hospital within a hospital on the main campus 2012 13

Our mission of health ministry Sponsored by the Presentation and Benedictine Sisters, a strong sense of mission is foundational to Avera McKennan. Our health ministry impacts lives locally and regionally, as we provide high quality, compassionate care to everyone who comes to our doors. Avera McKennan provides a free Health Care Clinic for uninsured and underinsured people; visits total more than 8,000 annually. Avera McKennan also sponsors and supports numerous community projects which work in concert with our mission, such as Sioux Falls Catholic Schools, Face It TOGETHER Sioux Falls, The Banquet, Good Shepherd Center, McCrossan Boys Ranch, St. Francis House, and Ronald McDonald House Charities, just to name a few. Our mission also extends internationally. For the past three decades, the Avera Haiti Project has sent volunteers and supported a clinic in Jeremie, Haiti. In cooperation with Los Cabos Children s Foundation, Avera McKennan serves children with serious illnesses from Los Cabos, Mexico. Quality care, right here at home Local and regional network of primary care clinics. Avera Medical Group McGreevy has seven Sioux Falls locations, with five additional locations in neighboring towns and two Urgent Care locations Specialty outreach services in transplant, cardiology, pediatric specialties, dermatology, orthopedics, nephrology, neurology, oncology and rehabilitation 24-hour Medical Call Center and Ask-A-Nurse service, providing health information, answers to health questions, and phone triage directing callers to the appropriate medical services 1-877-AT-AVERA

Technological sophistication Nation s most advanced use of e-services in a rural setting, including Avera eicu CARE, eemergency, econsult, estroke, epharmacy and eprescribing Advanced surgical techniques, including robotic surgery, IntraOperative Electron Radiation Therapy (IOeRT), imageguided brain surgery, and scarless surgical techniques State-of-the-art imaging, including 3 Tesla MRI, BSGI, PET/CT, digital mammography and 3-D and 4-D ultrasound The newest neurological diagnostic tools, including a balance center and Autonomic Testing Lab World class expertise Avera Medical Group is an integrated physicians network providing connectedness and seamless referral to specialists throughout the Avera system More than 600 physicians in more than 60 distinct medical specialties Region s only team devoted to breast surgery Women s care specialists in perinatology, gynecologic oncology, urogynecology, nurse midwifery and midlife care Region s largest neuroscience specialty team Region s only specialists in liver disease and surgery Area s most experienced team of transplant specialists in bone marrow, kidney and pancreas transplant, having performed nearly 1,000 transplants Over 40 pediatric specialists in 20 specialty areas, including pediatric intensive care and neonatology Board-certified, residency trained emergency physicians on site 24 hours a day Largest team of behavioral health specialists in the region

Clinical excellence The Avera Breast Center is the first breast program in South Dakota to receive accreditation by the National Accreditation Program for Breast Centers Avera McKennan s laboratory is the first hospital lab in the United States to hold ISO 15189 SM accreditation from the College of American Pathologists for excellent processes, resulting in higher test accuracy and faster turnaround time American College of Surgeons Verified Level II Trauma Center, one of three in South Dakota The Avera McKennan Stroke Center has attained advanced certification by the Joint Commission, and is recognized by the American Stroke Association/American Heart Association for success in implementing excellent care for stroke patients, according to evidence-based guidelines Avera McKennan s Level III Neonatal Intensive Care Unit one of three in South Dakota and Pediatric Intensive Care Unit have outstanding outcomes and indicators compared to national benchmarks Specialized certification and accreditation for rehabilitation and Careflight medical air transport The Avera Heart Hospital of South Dakota is the region s first Nationally Accredited Chest Pain Center, and is one of the nation s 50 Top Cardiovascular Hospitals as named by Thomson Reuters Avera McKennan is a Level 1B Accredited Bariatric Center as named by the American College of Surgeons New and expanded services Expanded access to primary care through three new Avera Medical Group McGreevy locations Pediatrics clinic on West 69th Street Avera Medical Group McGreevy Pediatrics South Multidisciplinary case review conferences for lung, breast and gastrointestinal cancer Avera Digestive Disease Institute brings all aspects of care together in a cohesive program for patients diagnosed with cancer and other complex diseases of the digestive tract Avera Medical Group Ophthalmology Partnership with CORE Orthopedics Avera Medical Group Free-standing same-day surgery center, the Avera Surgery Center, offering 5-Star service and amenities with state-of-the-art technology for the best possible patient experience Comprehensive breast health center, the Avera Breast Center, brings together all aspects of breast care including prevention, early detection and diagnosis of breast cancer, as well as all treatment modes, follow-up and survivorship care Participation in an international research trial of IntraOperative Electron Radiation Therapy (IOeRT) in the treatment of breast cancer one of only 13 sites in the nation to have IOeRT and one of only three sites in the United States in the trial Avera Concussion Management Program provides diagnosis, treatment and follow-up care for athletes who sustain a concussion A second davinci surgical robotics system expands the use of this state-of-the-art minimally invasive technology for procedures such as hysterectomy, prostatectomy, gynecologic surgery and more Radiology services, including 21 providers with Avera Medical Group Radiology Sioux Falls; the Avera PET-CT Center, which serves primarily cancer patients in the staging and monitoring of cancer; and the Avera Veradia Vein Center, treating varicose veins, spider veins, and other medical conditions using interventional radiology and laser technology

Industry leadership The Avera Cancer Institute offers state-of-the-art, comprehensive cancer services in an unmatched healing environment. Patient navigation services and multidisciplinary case review conferences for lung, breast and gastrointestinal cancer cases The Avera Transplant Institute is home to the region s only bone marrow and pancreas transplant programs, and longest-standing kidney transplant program. Since 1993, the program has performed nearly 1,000 transplants. The Avera Behavioral Health Center is the largest private psychiatric inpatient care facility in the region, and the only local provider of inpatient behavioral health care. The Avera Neuroscience Institute is the region s foremost provider of diagnostic, evaluation, treatment, rehabilitation and education services for patients with injuries or disorders of the brain, spine and nervous system. Avera McKennan s orthopedics program offers advanced surgical, interventional and treatment procedures including joint replacement, sports medicine, arthritis care and physical therapy. The Avera Sports Institute is the Midwest s finest and most comprehensive environment for athletes, featuring advanced training programs and exceptional indoor playing facilities. The Avera Research Institute is involved in all aspects of medical research, adding to the body of scientific knowledge and making available new, cutting-edge treatments for patients in fields such as oncology, rheumatology, behavioral health and more. Avera by the numbers A system of strength Avera McKennan is a member of the Avera Health system, comprised of more than 300 locations including hospitals, clinics, long-term care facilities, retirement communities, home medical equipment outlets and research centers. Nearly 14,000 physicians and employees 5,700+ at Avera McKennan 2.5 million clinic, inpatient and outpatient visits per year, a number equal to more than twice the population of the Avera service area Nearly 1.3 million within the Avera McKennan region 1,500 physicians in the Avera network 600 at Avera McKennan 60+ medical specialties 300 locations 115 within the Avera McKennan region 100 communities 57 within the Avera McKennan region 5 states 4 within the Avera McKennan region $2.5 billion Avera gross revenues and assets * Avera McKennan Regional 2011 Fiscal Year At a Glance AVERA MCKENNAN REGION Discharges 22,618 Outpatient Visits 270,323 Clinic Office Visits 988,817 *Includes joint venture clinics Gross Revenues $1,460,850,000 Net Patient Revenues $715,429,000 PERSONNEL Employees 5,734 Registered Nurses 1,510 Physicians Employed 304 Residents 80 Midlevels Employed 119 Volunteers 1,115 Total Providers Employed 2,013 TOP 10 SERVICE LINES Discharges at Avera McKennan Hospital Psychiatry 4,791 Orthopedics 2,335 Obstetrics 2,203 Neonatology 2,010 General Surgery 1,453 General Medicine 1,340 Pulmonary 1,305 Gastroenterology 1,096 Neurology 1,032 Cardiology 924 AVERA HEART HOSPITAL OF SOUTH DAKOTA Discharges 2,942 Outpatient visits 4,318 Employees 413 To find a physician or for more information about Avera McKennan, call 1-877-AT-AVERA or go to www.averamckennan.org MKTG-23856-JL2111