1. Purposeful Partnerships:
Seeing Lives Changed by Building a Stronger Community
F i sc a l Y e a r 2 0 1 4 C o m m u n i t y B e n e f i t R e p o r t

2. CHI Memorial’s mission is to provide high quality, holistic care that improves
and sustains the health of individuals, families and communities with special
emphasis on the poor and vulnerable. This mission drives and informs how we
support and contribute to organizations in this community.
As a non-profit hospital system, CHI Memorial recognizes and takes seriously
our obligation to measure, track and report on the level of community benefit
investment through each organization we serve.
Community benefit includes both the programs and services described in
this report and also the millions of dollars in free or reduced-cost health
care CHI Memorial provides annually to the poor, vulnerable, uninsured or
underinsured in the Chattanooga region.
In fiscal year 2014, CHI Memorial provided community benefits totaling more
than $28 million including more than $7 million in financial assistance. This
benefit encompasses charity care, improving access to healthcare services and
community education. As a partner with community organizations and by
fortifying existing resources, we continue to broaden and expand our impact.
Community Benefit remains at the heart of CHI Memorial and our commitment
to creating healthier communities. This report provides a small window into
four organizations that are seeing real change in the lives of people they serve.
We hope these stories give you a deeper understanding of the work we are
called to do and people we are called to serve.
Brad Pope, Vice President, Human Resources
& Interim Vice President, Mission Integration
Purposeful Partnerships:
Seeing Lives Changed by Building a Stronger Community
CHI Memorial
Board of Directors
Charles L. Arant, Chair
Judith Raley, SCN, Vice Chair
Corinne A. Allen, Secretary
James M. Hobson, CEO
Peter Banko, Sr. Vice President,
Catholic Health Initiatives, E/SE Division
John F. Boxell, M.D.
Christopher P. Crimmins
Gertrude Foster, SCN
Robert C. Greving
James L.E. Hill
Dorothy Jackson, SCN
Christopher T. McKee
John P. Nash, M.D.
Cynthia Nesson
James H. Pesnell
Wayne T. Scott, M.D.
Carolyn H. Smeltzer, Ed.D.
Christopher S. St. Charles, M.D.
Mary P. Tanner, Ph.D.
William P. Warren, M.D.
Jeffrey T. Wilson
C o mm u nit y B enefit R ep o rt 2 0 1 4 1
Brad Pope
Vice President, Human
Resources & Interim
Vice President, Mission
Integration
Our Mission
The mission of CHI Memorial and Catholic Health Initiatives is to
nurture the healing ministry of the Church, supported by education
and research. Fidelity to the Gospel urges us to emphasize human
dignity and social justice as we create healthier communities.

3. CHI Memorial provides millions of
dollars each year to address critical
needs within the community.
Community benefit is a planned,
organized and measured approach
to meeting identified community
health needs or increasing access
to health care. It may serve a
specific group of persons who
are economically poor, or may
serve a broad cross-section of the
community. Always, the intent is
to address and improve the overall
health of the community.
CHI Memorial’s mission statement
calls for us to“emphasize human
dignity and social justice as we
create healthier communities.”
Community benefits are programs
and services designed to improve
health in communities and increase
access to health care. They are
integral to the mission of Catholic
and other not-for-profit health care
organizations.
2 C H I mem o rial
CHI Memorial’s Benefit
to the Community
In determining what counts as
community benefit, we follow the
guidelines of the Catholic Health
Association and the Volunteer
Hospitals of America which have
been adopted and followed
by many states. Our systematic
approach to helping those in the
community is in accordance with
these guidelines. A community
benefit must meet at least one of
the following criteria:
• Generate a low or negative
margin.
• Respond to the needs of special
populations, such as minorities,
frail elderly, poor persons with
disabilities, the chronically
mentally ill, or persons with AIDS.
• Supply a service or programs
that would likely be discontinued
if the decision were made on a
purely financial basis.
C o mm u nit y B enefit R ep o rt 2 0 1 4 3
ATradition of Giving
The Cornerstone of CHI Memorial’s Mission
In the past five fiscal years, CHI Memorial has provided $129 million in community benefit including
more than $37 million in financial assistance.
30,000,000
25,000,000
20,000,000
15,000,000
10,000,000
5,000,000
2010 2011 2012 2013 2014
Charity Care
Unpaid Cost of Medicaid/TNCare
Mission Driven Health Services
Community Health Services
Health Professions Education
Research
Contributions
Community Building
Community Benefit Operations
CHI Memorial provides community
benefit in a number of ways – with
the overarching goal of assessing,
identifying and responding to
community health needs. It’s
accomplished by increasing access
to care, providing a variety of
outreach services, and improving
the health status of the most
underserved families in our
community.
During fiscal year 2014, CHI Memorial
provided services and benefits to
73,386 people at a cost of $57.1
million. Donations, grants and
other receipts totaling $29 million
were available to offset these costs,
bringing the total community benefit
cost to $28.1 million.

4. 28th CDC- Hamilton County Minority Health Fair
A Night to Remember, Inc.
American Cancer Society
Survivors Life Inspiration Awards Luncheon
Relay for Life
Summer in the City Gala
American Diabetes Association Tour de Cure
American Heart Association
Gala
Go Red for Women
Start! Walking
American Lung Association
Research Dinner
Women of Distinction Luncheon
American Red Cross Hometown Heros Luncheon
Arts Build Annual Campaign
Bethlehem Community Center
Blood Assurance
Breast Cancer Support Services
Catholic Charities
Annual Dinner
Home Place
Office of Immigrant Services
Interfaith Senior Services
Catoosa County Chamber of Commerce
Chamber of Commerce
Annual Luncheon
Chattanooga Can Do
Channels of Love
Chattanooga-Hamilton County Health Department
Homeless Health Center
Chattanooga Area Food Bank
Chattanooga CARES
Chattanooga Catholic Schools Chatti Gras
Chattanooga Homeless Coalition Grateful Gobbler Walk
Chattanooga NAACP Ruby Image Awards
Chattanooga Room in The Inn
Chattanooga Sports Ministries
Chattanooga State Community College
Chattanooga Youth Association
Choices Pregnancy Resource Center
City of Chattanooga Fire Prevention Week
Creative Discovery Museum
East Chattanooga Improvement Corporation
Epilepsy Foundation
Girls Inc.
Glenwood Neighborhood Association
Dues
Jazz Festival
Goodwill Health Equipment (HELPS)
Hosanna Community
Interfaith Homeless Network
Junior League
Kay Chitty Chair (Contingency) UTC Foundation
Kidney Foundation
Komen Race for the Cure
LaPaz
Mary Ellen Locher Foundation
Medical Society/Foundation Denim and Diamonds
Northside Neighborhood House
On Point
Oral Cancer Walk
Orange Grove Golf Tournament
Partnership for Families, Children & Adults
Richmont Community Counseling
Salvation Army Purse Auction
Second Missionary Services
Siskin Children’s Institute Star Night
Siskin Hospital
Golf Contribution
Possibilities Luncheon
Tennessee Aquarium Serve and Protect
United Way of Chattanooga Corporate Contribution
Urban League
EOD Breakfast
Community Health Navigator
UTC MOCs
Walker County Chamber of Commerce
Womens Leadership Institute
YMCA
Y-CAP
Healthy Kids Day
Summer Feeding Program
Young Women’s Leadership Academy Foundation
Organizations Receiving
Community Benefit in 2014
Summary of FiscalYear 2014
Quantifiable Community Benefits
with Measurable Results
In FY 2014, CHI Memorial provided more than $28 million in community benefit
including more than $7 million in financial assistance
Offsetting Net
Encounters Total Cost Revenue/ Community
Grants Benefit
Charity Care
Providing services free of charge or at reduced
charges to individuals who meet certain financial
criteria and are unable to pay. 25,452 7,889,816 228,000 7,661,816
Unpaid costs of Medicaid/TNCare
The amount of costs for Medicaid and TNCare
patients that are not reimbursed. 28,036 22,167,483 10,327,054 11,840,429
Community Health Services
Community health education, community based health
services for underinsured or uninsured persons, support
groups and self help programs, and community health
initiatives addressing specifc health targets and goals. 1,407 1,319,957 48,194 1,271,763
Subsidized Health Services
Clinical programs that meet an identified community
need that incur a financial loss. 16,171 20,157,158 18,332754 1,824,404
Health Professions Education
Education and training for health care workers. 455 2,092,921 2,092,921
Research
Direct and indirect costs associated with clinical
trials and studies on health care delivery. 489,686 89,101 400,585
Financial Contributions, Community Building
and Community Benefit Operations
Financial support to community organizations and
individuals, administrative costs for community benefit
operations, and initiatives to support community
based programs. 1,865 3,041,098 520 3,041,098
73,386 $57,158,119 $29,025,103 $28,133,016
4 C H I M em o rial C o mm u nit y B enefit R ep o rt 2 0 1 4 5

5. Natasha Pickett understands
the value of health eduction and
support from the Urban League’s
Community Navigator program.
Through partnership with them
and their health programs,
she’s changed her lifestyle and
improved her health. Now an avid
exerciser, Natasha runs, works
out, and teaches boot camp-style
fitness classes. All along the way,
she’s sharing what she’s learned
and encouraging her friends and
family to get active and fit!
6 chi mem o rial
Purposeful Partnerships
Working with the Underserved to Create
Healthier Communities and Happier Lives
Health disparities exist for
low-income families – and that’s
true even in the Chattanooga
region. Knowing this, the Urban
League of Greater Chattanooga
launched the Community Health
Navigator program to close
healthcare disparity gaps among
the uninsured. CHI Memorial
partners with this program by
providing funding, support,
and educational opportunities
through CHI Memorial
Community Health in Hixson and
Chattanooga’s Westside.
“There was an obvious need in
our community for those without
insurance and access to routine
medical care,”says Carline Nord,
Ph.D, director of education and
youth initiatives at Urban League
of Greater Chattanooga.“This
program provides basic services
that those with insurance may
take for granted, but that can
lead to changes that ultimately
have a positive effect on the
whole family.”
Racial health disparities are
widespread on a local and
national level with African
Americans in Hamilton County
twice as likely as Caucasians to
C o mm u nit y B enefit R ep o rt 2 0 1 4 7
be diabetic and twice as likely
to be uninsured, according to
a study by the Ochs Center for
Metropolitan Studies. Providing
several outreach services, the
program helps individuals
navigate the sometimes-
complicated health care
resources that are available in
the community and is designed
to help reduce negative health
outcomes.
“It’s critical that we meet people
where they are and give them
the information, resources and
tools to make better decisions
that ultimately lead to better
health,”says Nord.“My goal is to
hear that we’ve helped people
start on a different path – one
that continues to make their
lives better.”
The Community Health
Navigator program provides
one-on-one counseling and
referral services such as:
• monthly free health
screenings
• mammograms
• referrals for primary care
• nutritional counseling
• free prescriptions and
eyeglasses
• free exercise programs
In partnership with CHI Memorial,
the Community Health Navigation program
serves many individuals in the community
who would otherwise not have knowledge
of or access to quality health care. As a
service oriented health program, here is an
overview of the results from FY2014:
• A comprehensive referral list was
developed and refined to provide links
to national agencies, local healthcare
providers and community based
organizations such as free or low-cost
clinics and healthcare professionals.
• The majority (95%) of the Urban
League clients were surveyed to
inform health program planning and
implementation.
• Each participant who completed an
Individual Health Improvement Plan
was coached on suggested
improvements, behavior and attitude
changes that could lead to better health.
Data was also collected to determine the
use of medicine, adherence and ability
to seek care based on cost.
• More than 400 individuals were referred
to CHI Memorial Community Health.
• More than 200 diabetic referrals were
sent for eye exams. Patients with diabetes
who also had high blood pressure
were referred to CHI Memorial facilities
for diabetic training and coaching.
• Campaigns were initiated to increase
screenings for identified health disparities
within the minority community.

6. 8 C H I mem o rial
Amy Covington didn’t realize when
she volunteered to help with a
diabetes education class offered
through CHI Memorial’s Westside
Clinic that she would find a passion
and a calling. That passion is Kids
of Growth, an organization whose
mission is to develop consistent
relationships with children and
families in the Westside to cultivate
growth in wisdom, stature, and in
favor with God and man.
“I’m studying to become a nurse
practitioner, and I hadn’t planned to
work with families in the Westside
beyond my first summer,”says
Covington.“But I developed these
relationships with families and
kids where it’s often hard to break
down barriers. The Lord gave me
favor in the community, and I felt
a responsibility for Kids of Growth
to be here for the long term as a
support and refuge.”
The idea for Kids of Growth came
directly from the people who
needed it the most. Over a potluck
dinner in 2012, mothers in the
community shared the plight of
their children in the summer - hot
days with no air conditioning
and no structured activities,
often leading to trouble in the
neighborhood. They agreed that a
consistent, positive presence in the
community would be a relief.
Kids of Growth
Influencing Community Health on the Westside
Kids of Growth was initially funded
through an anonymous gift, and
has received help from several area
organizations and grant funding
sourced through CHI Memorial’s
Foundation. One of those sources
included Sisters of the Holy Cross,
a congregation of women religious
whose mission is to live out Jesus’
mission by ministering in many
different ways to people around
the world. The unique connection
to the organization was through
Sister Eileen Wrobleski, C.S.C., vice
president, mission integration at
CHI Memorial.
Currently, forty children actively
participate in Kids of Growth each
week. Amy is seeing firsthand
the positive results this program
is having on the Westside, even
if they aren’t happening at the
speed she would like.“Because
of the relationships, I decided to
stay and continue this work,”says
Covington.“The progress is slow
growing, but it’s worth it.”
By partnering with other
organizations and people in the
community to extend the arm of
healthcare into this underserved
community, Westside has become
a launch pad to reach children
who often have limited exposure
to healthcare, healthy food, and
the benefits of regular exercise.
That summer, Kids of Growth
offered its first summer camp for
elementary-aged children. Singing,
dancing, crafting and Bible stories
made up the first curriculum, and
at the end of the summer it was
considered a meaningful and
beneficial program to everyone
involved.
After its initial success, Kids of
Growth continued as an after
school program on Thursdays.
They adopted the community
garden and continue to minister to
families through arts, crafts, games,
singing, sports, Bible studies,
health education, homework
help, and maintaining consistent
relationships with families who
need it most.
C o mm u nit y B enefit R ep o rt 2 0 1 4 9

7. That’s what Phyllis Cheeks
remembers her husband saying the
day she found out she had stage IV
lung cancer, and was told that that
she couldn’t be helped because
of her lack of insurance. She didn’t
know what they were going to do,
but her husband had a suggestion:
“I’m calling Memorial. They helped
me through my six-bypass surgery,
and I know they can help you, too.”
That initial phone call was with
Betsy Quinn, nurse navigator at
CHI Memorial, who also works with
the Centers for Cancer Support to
connect those in need with financial
and other support services. She had
compassion for their situation and
knew Memorial could help.
“Mrs. Cheeks was uninsured, so we
investigated every avenue to help
find financial and other types of
support to make the process easier–
including applying for financial
aid and charity care,”says Rhonda
Edwards, LCSW, licensed clinical
social worker at CHI Memorial.
“Memorial stepped in to provide
the very best team of doctors and
treatments because we help people
regardless of their ability to pay.”
CancerTimesTwo
After Mrs. Cheeks began
chemotherapy, Mr. Cheeks also
discovered he had lung cancer.
The couple, known for spending all
of their time together, now shared
the same doctors and many of the
same types of cancer treatments.
“God’s going to open another door.”
1 0 chi mem o rial
“Talk about togetherness! Even
though it was hard, we didn’t have
to explain to each other what we
were going through,”says Mrs.
Cheeks.“We just understood and
took care of each other.”
Through CHI Memorial’s Centers
for Cancer Support, the Cheeks
were able to stay at a local hotel on
Monday through Thursday nights
while they were receiving radiation
treatments, meaning they didn’t
have to make the long drive from
their home every day – saving
money and also reserving their
strength to focus on recovery.
They also participated in We Care,
Weekend, a getaway for cancer
survivors, those currently receiving
treatment for cancer, and their
families. In the midst of the chaos
of cancer, they were able to be
together and be with others who
are facing similar challenges – all in
a beautiful and restorative setting.
Support Continues
Unfortunately, Mr. Cheeks lost his
battle with lung cancer, but Mrs.
Cheeks’resolve is strong. She feels
blessed to have had support and
care from her friends, family, and
also the team at CHI Memorial who
have been there through every high
and low.
“Memorial has been really good to
us. They are our angels who have
supported us through everything,”
Mrs. Cheeks shares tearfully.“I don’t
know what we would have done
without their support, their care and
their compassion.”
Jerry and Phyllis Cheeks were both
treated by a multidisciplinary team at
CHI Memorial that comes together to
provide leading treatment plans
to fight cancer – and the support
services to help them through the
process. Their team included Krish
Bhadra, M.D., interventional
pulmonologist; Davey Daniel, M.D.,
medical oncologist; Betsy Quinn,
RN, nurse navigator; and Rhonda
Edwards, LCSW, licensed clinical
social worker.
C o mm u nit y B enefit R ep o rt 2 0 1 4 1 1

8. 1 2 C H I mem o rial
Domestic violence. It’s not
something we often talk about
as a community or even among
close friends. But it’s a problem
that crosses all socio-economic,
religious and ethnic backgrounds.
And that also includes teens. In
fact, in the 2011 Hamilton County
youth risk behavior survey, 11%
of high school students reported
having been hit, slapped, or hurt
on purpose by their boyfriends or
girlfriends in the previous year.
The Teen Dating Violence
Prevention Program was
established in 2013 in part
through Catholic Health Initiatives’
Mission and Ministry Grant,
and aims to address abuse that
happens within teen dating
relationships. The foundation of
the program teaches teens that
positive dating relationships
are based on mutual attraction,
interests and respect. They also
learn what’s not ok - that includes
control, physical and emotional
abuse, and sex without consent.
Through the program, a facilitator
works inside the classroom
to develop relationships with
students and help them feel
comfortable sharing what’s
happening in their schools. Online
curriculum is used as a guide, but
it’s often the starting point for
discussion and asking questions.
No MoreViolence.
Teens Starting the Conversation
This has led to some great ideas
for how to communicate vital
information about teen dating
violence to a wider audience -
including producing educational
videos based on things they’ve
personally witnessed.
“Digital abuse like Facebook
stalking, spreading rumors,
posting private photos, and
hacking into another person’s
email and social media accounts to
write things about them or other
people - these are real problems
teens are facing right now,”says
Macy Licht, UTC sociology major
and on-site coordinator for the
Teen Dating Violence Prevention
Program.“This program gives
students the tools they need
to recognize abuse when it’s
happening, but also what they can
do it put a stop to it.”
A Joint Effort to Stop Abuse
This community collaboration
between the City of Chattanooga
Youth and Family Development
Centers, the Hamilton County
Department of Education and
the University of Tennessee at
Chattanooga Department of
Criminal Justice has resulted in a
program that is reaching students
across the Chattanooga region.
“Part of our mission was to find
partners who would work with us
to implement the program, and
then adopt it within their own
organizations,”says Liz Walden,
healthy communities coordinator
at CHI Memorial.“There’s a lot of
excitement from students and
leaders about how the program can
grow and change - and ultimately
how it can help prevent abuse
within our community.”
StudentsfromIvyAcademy(shown
here),CentralHighSchool,and
SequoyahHighSchoolmeetas
anadvisorygrouptofindwaysto
connectwiththeirpeersandeducate
themabouthowtoaddressdomestic
violenceorhowtohelpsomeone
whoisexperiencingit.Partofthat
planincludesproducingshortvideos
anddevelopingasocialmedia
campaignthatwilllaunchinthe
springof2015.
C o mm u nit y B enefit R ep o rt 2 0 1 4 1 3

9. Our Values
We are guided by our Mission and Core Values of Reverence,
Integrity, Compassion and Excellence.
Reverence - A profound spirit of awe and respect for all of creation,
shaping our relationship to self, one another and to God, and
acknowledging that we hold in trust all that has been given to us.
Integrity - Moral wholeness, soundness, uprightness, honesty and
sincerity as the basis of trustworthiness.
Compassion - Feeling with others, being one with others in their
sorrows and joy, rooted in the sense of solidarity as members of
the human community. It is the heartfelt concern for the needs of
others that compels us to respond. Compassion makes a difference
you can feel.
Excellence - Outstanding achievement, merit and virtue,
continually surpassing standards to achieve and maintain quality.
2525 deSales Avenue
Chattanooga, TN 37404
(423) 495-2525