Read the 2013-2014 Annual Report for Children's Hospital to find out how we are serving the kids of Knoxville and the greater East Tennessee area. Find out more at https://www.etch.com/about/annual-report/

2. ask yourself...
matters?
Keith Goodwin with Ayden Case
what
When Drew Shelor gave his daughter, Julia Mae,
a kiss and watched nurses wheel her down the hall
for ear tube surgery, what mattered to him was
knowing she was in the best possible hands. What
mattered to him was knowing she’d soon be free of
the painful ear infections that often kept her from
playing with her brother, Blake.
Like Drew, pictured on the cover with Julia Mae,
nothing is more important to you than your child. And
when you turn to us when she’s sick or injured, nothing
matters more to us at East Tennessee Children’s
Hospital than ensuring she receives the best care
possible in a warm, child-friendly environment.
What matters to us is helping our patients get
back to what they do best—playing with their siblings,
scoring a goal on the soccer field or dancing a solo in
the recital—as soon as possible.
We’re excited to share our fiscal year 2014
accomplishments in this report. We hope they’ll show
that we’re constantly working to better the lives of
our community’s children—like Ayden Case. Because
that’s what matters to us at Children’s Hospital.
Keith Goodwin
President and CEO

3. Visit www.etch.com/annualreport
to view our annual report video.
Annual Report 2014 | 3

4. 4 | Annual Report 2014

5. highlights
This report highlights our 2014 fiscal year—July 1, 2013, to June 30, 2014.
Named one of
the country’s top
hospitals by the
Leapfrog Group.
Accredited as the
only sleep medicine
center dedicated to
pediatrics in East
Tennessee.
Awarded the
2013 Tennessee
Nurses Association’s
Outstanding
Employer Award.
Received
accreditation with
commendation from
the Accreditation Council
for Continuing Medical
Education.
Approved as
a cleft palate team
by the Commission
on Approval of
Teams.
Accredited as
a cystic fibrosis care
center by the
Cystic Fibrosis
Foundation.
Launched our $75 million
hospital expansion, which
includes a new surgery
center and a new 44-bed
Neonatal Intensive Care Unit.
Michelle Derenski, radiological
technologist, with Chase Brody
Annual Report 2014 | 5

6. care
matters
When a child is sick or injured, it doesn’t just
matter that he gets care, it matters that he gets
the right care that’s designed for his growing body.
So whether a child has a simple cold, a chronic
condition like asthma or a life-threatening illness,
we’re ready to provide the diagnosis and treatment
he needs.
Each one of our patients has a story. Each one
makes an imprint in the lives of our staff. Each one
reminds us why what we do counts. When every
second matters, we’re here for our community’s
children.
Jordan Martinez with Bryce Bower, R.N.
6 | Annual Report 2014

7. Annual Report 2014 | 7

8. patient population
70,230 unique patients • 142,312 patient visits
8 | Annual Report 2014
1,220
Kentucky
Anderson 6,938
Blount 12,338
Campbell 3,693
Claiborne 1,984
Cocke 1,939
Grainger 2,111
Hamblen 3,332
Jefferson 4,474
Knox 67,394
Loudon 4,149
Monroe 3,282
Morgan 1,818
Roane 3,256
Scott 1,953
Sevier 11,244
Union 2,376
139,794
Tennessee
519
Virginia
779
other states
East Tennessee counties
Kristin Farr, M.D.,
with Porter Dickson

9. patient stats
5,887
hospital admissions
254,992
physician practice visits
161,834
outpatient visits
Annual Report 2014 | 9
65,758 Emergency
Department visits
774 Neonatal Intensive Care
Unit (NICU) patient visits
619 Pediatric Intensive Care
Unit (PICU) patient visits

10. 10 | Annual Report 2014
clinical
stats
741 transports
301 babies treated
for drug dependency
10,477 surgeries
802 sleep studies
441,637 lab tests
6,142 CT scans
2,718 MRIs
7,022 ultrasounds
49,687 X-rays
2,407 prescription
orders for chemo

11. outpatient activity
Annual Report 2014 | 11
28,904
23,078
13,606
10,424
8,545
6,574
4,962
3,766
3,029
2,829
1,173
509
373
317
282
266
117
112
Home Health
Gastroenterology
Rehabilitation
Endocrinology
Pulmonology
Physiatry
Cardiology
Hematology/oncology
Urology
Diabetes
Nephrology
Cystic fibrosis
Psychology
Infectious diseases
Rheumatology
Weight management
Gynecology
Dermatology
Delilah Carter, Laboratory

12. 12 | Annual Report 2014

13. inside Children’s Hospital
107,772
patient
meals
47,000
tongue
depressors
2,340
frozen
pops
8,045
58,800
bandages
stethoscopes
Annual Report 2014 | 13
652,854
pounds of linen
hospital gowns
to bedsheets
362,830
diapers
14,640
containers of
baby wipes
438
doctors
152
beds
633
nurses
32
pediatric
specialties
Marloh and
Cannon Dowd

14. family
matters
To a child, few things matter more than his
family. That’s why we provide family-centered care
that ensures we care for our patients and everyone
who matters to them.
That means our social workers are ready to assist
families to find the resources they need. Our chaplains
are available 24 hours a day to provide support. And
for our non-English-speaking families, we provide
interpretation services nearly around the clock.
For our young patients, it’s not just the clinical
care that matters. It’s the therapy dogs whose furry
high-fives can brighten their days. It’s the child life
specialists who can explain a complicated procedure
in words that seem a little less scary.
At Children’s Hospital, it’s all part of our
commitment to care not just for the child—but for
the entire family.
14 | Annual Report 2014
Kristi Riggins, child life specialist,
with Amanda and Bennett Regas

15. Annual Report 2014 | 15

16. 16 | Annual Report 2014
5,708
visits by 12
therapy dogs

17. services
26,026
hours of social work
services for 4,619
patient families
interpretations
for 5,788 Spanish-speaking
patients and
their families
hospital rounds by
our security officers
to ensure patient
interactions between
child life specialists
and patients, including
10,164 cases of play
14,968
hours of
3,150
27,032
therapy
hours of family
support by
staff chaplains
6,811
safety
Annual Report 2014 | 17
Carley Hall with
Millie the therapy dog

18. community
matters
At Children’s Hospital, our responsibility to
improving the health and quality of life for our
community matters to us. A 2014 study by the Annie
E. Casey Foundation reports that the health of
Tennessee’s children ranks 31st in the country. That’s
why we offer programs that not only address the
needs of our patients in the hospital, but those of
children and families throughout East Tennessee.
We see our role in our community as vital. It
matters to us to be leaders in improving child health
through specialty services such as asthma
screenings, injury prevention programs to keep our
children safe and obesity prevention programs to
encourage our children to make healthy choices.
It’s all part of how Children’s Hospital shows
that our community matters to us.
18 | Annual Report 2014
Averi Ramsey

19. Annual Report 2014 | 19
$5,057,444
in community benefit
These are programs and services
designed to improve health in
communities and increase access
to health care. They’re integral to
the mission of Children’s Hospital.
$740,867
Charity care
Includes losses we incur to cover the
costs of providing medical care to
patients whose families are unable
to pay for all or part of their care.
$4,316,577
Community outreach, education
and wellness programs
Includes child health programs we engage
in for which we’re not reimbursed and
costs for training medical professionals
and community caregivers.

20. 20 | Annual Report 2014
wellness
9,671
children educated about
the benefits of nutrition
and physical activity
517
children screened for asthma
injury
prevention
2,049
helmets distributed
403
car seats distributed
38
car seat inspection
events conducted
John Miguel

21. 12,838
adults and children
participated in
safety training
for things like water
safety and correct
helmet use
60
teens and adults
in the community
trained to do CPR
378
adults trained
to do CPR
in schools
167
fire department
and police personnel
trained to conduct
car seat inspections
53
AED heart-safe
drills conducted
Annual Report 2014 | 21
10
school nurses
funded in 13
Title 1 Knox
County elementary
schools
199
people attended our
13th annual school
nurse conference
29,702
moms interacted
with us on
social media
27,665
people visited our
website each month
training
school
nurse
support
expert
health
information
source
Project
ADAM
52
automated external
defibrillators (AEDs)
placed in schools
28
schools certified as
heart-safe—ready to
respond to sudden
cardiac arrests
community
outreach
4
blood drives conducted
at the hospital
260
children attended
our summer camps
$151,912
in sponsorships
provided to
community
organizations that
promote the health
and well-being of
children and
economic development

22. expertise
matters
Our clinical care providers are essential to the
future of Children’s Hospital. It matters that they
receive the education they need to be prepared for
a lifetime of caring for our children.
Our investment in training doctors, nurses and
other health care providers helps ensure that
children of future generations will have access to
highly trained professionals specializing in pediatric
care. We also offer continuing education to thousands
of health care professionals already caring for
children in the community.
We work with more than 70 hospitals, universities
and institutions. And every day, the clinical care
providers trained by Children’s Hospital are performing
lifesaving work and making an impact in our
community and beyond.
22 | Annual Report 2014
Christy Cooper, R.N.

23. Annual Report 2014 | 23
educational
opportunities
77
medical fellows,
residents and students
1,042
undergraduate nursing students
201
students in other health care
positions such as respiratory
therapists, emergency medical
technicians and surgical
technicians
2,291
continuing medical
education participants
1,726
continuing nursing
education participants
732
trainees in our pediatric
simulation center

24. giving
matters
When a child has an injury or illness, it matters
that he receives the specialized care he needs—
regardless of his family’s financial situation. And
because of the generosity of donors like you, we’re
able to provide the necessary equipment to care for
thousands of children.
We also rely on the tireless commitment by our
volunteers. Every day, our volunteers are showing
anxious parents the way to their appointments,
distracting patients with arts and crafts or rocking tiny
infants whose heartsick parents had to return to work.
We’re grateful for the countless ways our donors
and volunteers show us that what we do for the
youngest and most vulnerable members of our
community matters to them.
24 | Annual Report 2014
Kyler Jett Bivens

25. Annual Report 2014 | 25

26. 26 | Annual Report 2014

27. volunteers
56,502 volunteer hours
This represents a $1,097,268.84 cost-savings. It’s equivalent
to providing chemo to all of our patients who need it.
donors
$11,667,094
in donations
toward our
hospital expansion
$5,483,914
in regular annual
donations
Visit www.etch.com/donors to see a list of
our donors who contributed $100 or more in
fiscal year 2014, listed by giving levels.
Annual Report 2014 | 27
5,716
donors
15 cents
the cost to
raise a dollar
Harper Dickson with
volunteer Zach Reynolds

28. cost to operate
Children’s Hospital
$563,301.36 a day
$205,604,997 a year
payer mix
2.4 percent
32.7 percent
commercially
insured
financial highlights
28 | Annual Report 2014
64.9 percent
Medicaid/TennCare
other
$413
$246
$162
$8.4
$35.9
(millions)
Gross revenue
Deductions from revenue
Expenses
Net gain
Debt

29. Annual Report 2014 | 29
Cory Plowman,
2,000
employees
Environmental Services

30. 30 | Annual Report 2014

31. what
matters
most
Keeping them healthy. Making them better. Giving
them second chances. Showing them the future. This is
what we’re striving to do for the children who turn to us
every day at Children’s Hospital—children like Julia Mae
Shelor.
And together, with support from our generous
community, we’re proving that when we focus on
what matters most—remembering that it’s all about
the children—we can make a difference in thousands
of young lives.
Annual Report 2014 | 31
Drew and Julia Mae Shelor

32. Nothing puts a smile on aNothing puts a smile on a child’s face quicker than getting a gift— child’s face quicker than getting a gift
Our children matter.
Children’s Hospital matters.
And you, our donors, matter.
Without your generosity, we can’t care for the young patients who need us most.
Show our patients that they matter by calling 865-541-8172 or
visiting www.etch.com/donate to give.
2018 Clinch Ave. • P.O. Box 15010
Knoxville, Tennessee 37901-5010
www.etch.com