1. Avera Marshall Bi-Annual Update August 2014

2. Topics Avera Cancer Institute Marshall Avera Medical Group Marshall Expanded Footprint Avera Morningside Heights Obstetrics Health & Health Promotion Grants Parking Update

3. Avera Cancer Institute Marshall On time & on budget New cancer care services – Radiation therapy – Chemotherapy/infusion – Medical oncology – Diagnostic technology – Surgical care – Patient navigation & supportive care Milestones – September 10: Linear accelerator installation – Early November: Building occupancy – November: Chemo/infusion & medical oncology move – Late December: Full construction complete – January 28, 2015: First radiation treatment

6. Avera Medical Group Marshall Team of 45 providers in 12 specialties 9 new providers in the past 6 months

7. Expanded Footprint Added eye clinic in Worthington Added family medicine outreach at Wabasso Public School Ivanhoe School Nurse Contract

8. Avera Morningside Heights 50 year anniversary eLTC

9. Obstetrics Surpassed 500 deliveries in FY14!

10. Health & Health Promotion Grants $1.5M gift – “to support the health and health promotion needs of the city of Marshall and the surrounding community through grants to the medical center, or other qualifying organizations.” Special Committee – 5 members – Dr. C. Paul Martin, Chair; Dr. Mike Rich, Randy Gaffney, Dan Ritter and Larry Doom Dollars invested through Bremer Bank Committee Policy to use interest only for grants Committee has rolling cycle for grant applications Meets annually to review investment performance of fund

11. Health & Health Promotion Grants 2010: Diabetes Risk Reduction Program – Authorized $9,500 / Actual spend $6,784 – Phase 1, Fall 2010; Phase 2, 2011 (an additional $7,650 was authorized) – Targeted Avera Marshall employees – Goals of participation, exercise, weight loss, and reduced A1-C were met 2011: Heath Risk Assessment, Weight-Loss Challenge & Healthy Food Sampling Program – Authorized $10,250 / Actual spend $6,810 – Targeted Avera Marshall employees – Goals of participation and weight-loss were met 2012: Care Transitions Program – Authorized $67,500 / Actual spend $17,989 – Served a variety of patients in Southwest MN – Goal of reduced hospital readmissions met 2013: Certified Health Care Home Project – Authorized $50,000 / Spend to-date $34,580 – Targets include primary care prevention and population health – Goals of certification, enrollment, individual health were met 2014: Behavioral Health Medical Home – Authorized $33,112 / Recently awarded – Expands on Certified Health Care Home Project – Targets mental health patients

12. Parking Update

13. Variance in place Informational meeting held with neighbors Request parking needs to prove itself over time Purchase of 102 S Bruce Street finalized Potential parking

14. Questions?