MISSION:
To provide persons who are mentally ill or chemically dependent with effective, individualized professional treatment that enables them to achieve their highest level of personal independence in the most therapeutic environment.

	ACTUAL FY 2008	ACTUAL FY 2009	BUDGETED FY 2010	REQUESTED FY 2011	GOVERNOR'S RECOMMENDED FY 2011	RECOMMENDED INC/(DEC) FY 2011
FUNDING SOURCE:
General Funds	$30,786,172	$30,866,177	$30,391,756	$31,254,872	$31,394,575	$1,002,819
Federal Funds	8,741,533	10,537,101	10,200,258	9,835,668	9,878,604	(321,654)
Other Funds	2,931,206	671,253	606,420	606,420	607,506	1,086
Total	$42,458,911	$42,074,532	$41,198,434	$41,696,960	$41,880,685	$682,251
EXPENDITURE DETAIL:
Personal Services	$28,007,114	$29,212,789	$29,326,066	$29,326,066	$29,509,791	$183,725
Operating Expenses	14,451,797	12,861,743	11,872,368	12,370,894	12,370,894	498,526
Total	$42,458,911	$42,074,532	$41,198,434	$41,696,960	$41,880,685	$682,251
Staffing Level FTE:	563.6	557.5	562.5	562.5	560.5	( 2.0)

	ACTUAL FY 2008	ACTUAL FY 2009	ESTIMATED FY 2010	ESTIMATED FY 2011
REVENUES:
Deposits to General Funds:	$0	$0	$0	$0
Private Pay	528,081	612,531	713,392	713,392
Insurance	1,138,514	1,455,474	1,094,786	1,094,786
Counties	541,500	655,300	526,193	526,193
Indian Health Services (IHS & PHS)	1,336,561	2,665,682	1,599,724	1,599,724
Deposits to Federal Funds:	0	0	0	0
Title XVIII - Medicare	2,892,703	4,953,349	3,505,835	2,386,653
Title XIX - Medicaid	5,395,453	5,709,778	6,217,978	6,243,208
Title XIX - Medicaid ARRA	0	479,881	616,934	199,729
Disproportionate Share Hospital	451,005	469,968	471,215	471,215
Children's Health Insurance Program (CHIP)	592,694	523,420	410,440	409,386
Title I - Improving America's School	40,689	44,001	0	0
Act (IASA) Adolescent Grant	0	0	0	0
School Breakfast and Lunch	75,229	84,023	84,240	84,240
Deposits to Other Funds:	0	0	0	0
Prescription Drug Plan	242,299	213,280	213,276	213,276
Medical Faculty Training	32,858	40,682	37,438	37,438
Other HSC Fund	34,432	10,357	16,951	16,951
Building/Rent	16,275	18,975	19,875	19,875
Yankton Rehab Vending	121,756	124,287	120,417	120,417
Deposits to Special Revenue Fund:	0	0	0	0
Land Interest	5,081	5,374	8,535	8,535
Total	$13,445,130	$18,066,362	$15,657,229	$14,145,018
PERFORMANCE INDICATORS:
Operating Bed Capacity of Each Unit:
Acute Psychiatric Services	60	60	60	60
Psychiatric Rehabilitation	66	66	66	66
Adolescent Psych (Acute/Intermediate/Long-Term)	15/20/12	15/20/12	15/20/12	15/20/12
Chemical Dependency (Adolescent/Adult)	20/32	20/32	20/32	20/32
Geriatric Psychiatric (Nursing Home)	69	69	69	69
Intensive Treatment Unit	10	10	10	10
Average Daily Census for Hospital	239.7	253.3	250.0	250.0
Average Daily Census by Unit:
Acute Psychiatric Services	43.7	52.6	50.0	50.0
Psychiatric Rehabilitation	53.4	58.2	56.0	56.0
Adolescent Psych (Acute/Intermediate/Long-Term)	9.0/14.9/10.0	8.8/16.2/10.6	10.0/16.0/11.0	10.0/16.0/11.0
Chemical Dependency (Adolescent/Adult)	15.3/23.9	13.6/22.5	14.0/24.0	14.0/24.0
Geriatric Psych (Nursing Home)	63.9	64.2	64.0	64.0
Intensive Treatment Unit (Adult/Adolescent)	3.0/2.6	4.0/2.6	3.0/2.0	3.0/2.0
Admissions to / Discharges from Mickelson	2,003/2,004	1,959/1,982	2,010/2,010	2,010/2,010
Center for the Neurosciences (MCN)
Direct Admissions by Unit:
Acute Psychiatric Services	1,322	1,332	1,350	1,350
Psychiatric Rehabilitation	2	1	2	2
Adolescent Psych (Acute/Intermediate/Long-Term)	177/7/1	203/1/5	190/5/5	190/5/5
Chemical Dependency (Adolescent/Adult)	65/259	66/198	70/220	70/220
Geriatric Psychiatric (Nursing Home)	1	2	5	5
Intensive Treatment Unit (Adult/Adolescent)	121/48	122/29	125/25	125/25
Average Length of Stay in Days
Acute Psychiatric Services	12.0	14.3	13.0	13.0
Psychiatric Rehabilitation	89.4	125.7	120.0	120.0
Adolescent Psych (Acute/Intermediate/Long-Term)	17.1/68.8/151.4	13.3/79.7/226.5	15.0/72.0/215.0	15.0/72.0/215.0
Chemical Dependency (Adolescent/Adult)	69.9/27.8	66.3/31.9	65.0/30.0	65.0/30.0
Geriatric Psychiatric (Nursing Home)	440.3	509.4	450.0	450.0
Intensive Treatment Unit (Adult/Adolescent)	3.7/5.4	5.3/6.3	5.0/5.0	5.0/5.0
Average Length of Stay	31.3	33.9	33.0	33.0
Discharges by Unit:
Acute Psychiatric Services	1,106	1,164	1,150	1,150
Psychiatric Rehabilitation	218	169	200	200
Adolescent Psych (Acute/Intermediate/Long-Term)	106/79/24	112/74/17	110/80/18	110/80/18
Chemical Dependency (Adolescent/Adult)	71/310	68/259	70/220	70/220
Geriatric Psychiatric (Nursing Home)	53	46	50	50
Intensive Treatment Unit (Adult / Adolescent)	24/13	42/31	30/20	30/20
Average Direct Cost/Patient Days:
Acute Psychiatric Services	$302.39	$255.05	$266.42	$266.42
Psychiatric Rehabilitation	$180.55	$173.57	$170.21	$170.21
Adolescent Acute	$390.42	$409.12	$368.10	$368.10
Adolescent Intermediate	$233.89	$215.27	$220.16	$220.16
Adolescent Long-Term	$355.63	$337.20	$329.36	$329.36
Adolescent Chemical Dependency	$221.93	$256.44	$231.87	$231.87
Adult Chemical Dependency	$142.67	$145.97	$139.95	$139.95
Geriatric Psychiatric (Nursing Home)	$197.84	$204.26	$197.55	$197.55
Intensive Treatment Unit	$484.72	$475.65	$580.01	$580.01
Average Direct Cost/Average Cost - Inpatient	$231.82/$421.50	$225.86/$415.20	$223.31/$419.16	$223.31/$419.16
Average Indirect Cost:
Medical	$75.40	$73.57	$76.12	$76.12
Administrative	$106.17	$115.77	$119.73	$119.73
Direct Care Staff (Total)
(Nurses, Aides, Techs, and Assistants)	334	326	326	326
Direct Care Staff Separations	64	70	70	70
% Direct Care Staff /Employee Turnover	19.7%/15.7%	21.4%/16.9%	21.4%/16.9%	21.4%/16.9%

generated 11/25/09 03:28:27 PM