Read the 2014-2015 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. Harley Yacko, 1 year,
her mother Jaclyn Hayashi
and Keith Goodwin
Annual Report 2015 | 2

3. On any given day at East Tennessee Children’s
Hospital, our staff members and volunteers give the
best possible care and attention to children from
across our region. From play therapy to child-friendly
equipment, Children’s Hospital is the only medical
center in the region organized to provide family-
centered care.
A day at Children’s Hospital for a patient and
his or her family may include visits from a Child
Life specialist, arts and crafts with our team of
dedicated volunteers and sessions with a wide
variety of pediatric specialists as part of his or her
individualized care plan. For Harley Yacko and her
mom Jaclyn Hayashi, positive interactions and time
to play are part of the healing process.
The dedication of our diverse team to our patients
and families is evident in their commitment to their
work here each day. From Radiology to Children’s
Hospital’s senior leadership, our staff members
continue to learn new skills and adapt to new
technologies for the betterment of our patients.
While the numbers in this report are essential to
understanding our commitment to our community,
they do not tell the whole story. Our success is in the
everyday. It is in every moment a child smiles, laughs
and feels safe in our care. We are honored to provide
this care to your children.
Keith Goodwin, President and CEO
Annual Report 2015 | 3

4. 4 | Annual Report 2015

5. Noah Reichert, 6, and Genevieve Dorris, R.N.
Annual Report 2015 | 5
Inside Children’s Hospital
104,305
patient
meals
33
Starlight
video game
systems
387
transports in
Lifeline, our critical
care ambulance
2,563
toy cars distributed
to future race
car drivers
300
active
volunteers
460
rehabilitation
sessions in
the pool
1,420
breathing
treatments
2,671
dolls distributed
to little
princesses
3,470
electro-
cardiograms
6,257
therapy dog
visits
428
doctors
647
nurses
33
pediatric
specialties
152
beds
Every day, hundreds of specialists wake up to care for our region’s children.
Here is a look at what we did this year.

6. 6 | Annual Report 2015

7. highlights
This report highlights our 2015 fiscal year—July 1, 2014, to June 30, 2015.
Annual Report 2015 | 7
Serenity Brooks, 1 year,
and Chelsea Ameen, R.N.
Employee honors
Volunteer Services Director Cheryl Allmon was named a Health
Care Hero by the Greater Knoxville Business Journal.
Second-floor Health Unit Coordinator Denise Hall was named the Certified
Health Unit Coordinator of the Year from the National Association
of Health Unit Coordinators, Inc.
Recognized by Press
Ganey as a Workplace of
Distinction for sustaining 90th-
percentile satisfaction on our employee
engagement survey. Received the
Guardian of Excellence award from
Press Ganey for achieving 95th
percentile or higher on
employee engagement survey.
Received the Press
Ganey Pinnacle of Excellence
Award, which honors the top
performing organizations on the
basis of extraordinary achievement
and consistently high levels of
excellence between
Jan. 2013-2015.
Recognized by
the Solutions for Patient
Safety National Network as one
of the top children’s hospitals
out of more than 96 in the network
for quality care and improving
patient outcomes.
Launched
telemedicine to
reach patients in the
Morristown area.
Recognized by
Interactive Health as being
one of the 67 healthiest
companies in America for the
third year in a row. Children’s
Hospital is the only pediatric
hospital and only company in
Tennessee included.
Laboratory officially
became College of
American Pathologists
(CAP) accredited
in May 2015.

8. 8 | Annual Report 2015
Samari Tyler, 8, with
Brenda Hendry, R.N.
Every day, your child
is our priority.
From sneezes and sniffles to chronic conditions,
our staff members are dedicated to addressing all
of your child’s health needs. On any given day, we
may treat children from down the block or across
the country. No matter where your family is from,
you’ll be treated like you’re at home.

9. Primary Service Area
Annual Report 2015 | 9
patient population
142,332 patient visits
Tennessee
547 patient visits
Virginia
836 patient visits
other states
71,974 unique patients • 144,783 patient visits
1,068 patient visits
Kentucky
1,812
Scott
3,594
Campbell
2,075
Claiborne
2,624
Union
2,177
Grainger
4,478
Jefferson68,244
Knox
6,972
Anderson
1,913
Morgan
3,312
Roane
4,327
Loudon
3,554
Monroe
12,568
Blount
10,765
Sevier
2,028
Cocke
3,570 Hamblen

10. Stephanie and Addison Helton
10 | Annual Report 2015
Home Health visits 32,883
Rehabilitation visits 12,239
Subspecialties:
Adolescent gynecology
Adolescent medicine
Developmental-behavioral pediatrics
Neonatal intensive care
Pediatrics
Pediatric allergy and immunology
Pediatric anesthesiology
Pediatric cardiology
Pediatric dentistry and pedodontics
Pediatric dermatology
Pediatric emergency medicine
Pediatric endocrinology
Pediatric forensic medicine
Pediatric gastroenterology
Pediatric hematology and oncology
Pediatric infectious diseases
Pediatric critical care
Pediatric nephrology
Pediatric neurology
Pediatric neurosurgery
Pediatric ophthalmology
Pediatric orthopedics
Pediatric otolaryngology
Pediatric pulmonology
Pediatric radiology
Pediatric reconstructive surgery
Pediatric sedation
Pediatric sleep medicine
Pediatric sports medicine
Pediatric surgery
Pediatric urology
Perinatology
Physical medicine, rehabilitation and physiatry
outpatient statistics
Hematology/oncology 3,396
Diabetes 2,933
Cystic fibrosis 553
Infectious disease 298
Rheumatology 284
Weight management 270
Cleft lip and palate 120
Dermatology 125
Gynecology 106
Hematology/oncology 3,396
Multi-disciplinary
clinic visits

11. Annual Report 2015 | 11
patient stats
5,983
hospital admissions
96,415
non-emergency
outpatient visits
68,884 Emergency
Department visits
16,387 Neonatal Intensive Care
Unit (NICU) patient days
2,120 Pediatric Intensive Care
Unit (PICU) patient days

12. 12 | Annual Report 2015
clinical stats
845
transports
272
babies treated
for drug dependency
9,959
surgeries
870
sleep studies
436,215
lab tests
5,569
CT scans
2,874 MRIs
49,708 X-rays
2,422 chemotherapy
treatments
Pediatric
Ophthalmologist
Gary Gitschlag, M.D.,
and 8-year-old
McClain Hardin

13. Services
21,848
visits with patients
by Child Life
specialists
17,673
sessions of therapeutic
play, distraction, medical
play and preparations
for procedures
3,095
family and sibling
supportive
interactions
27,984
hours of social work services for 4,062 families
14,997
hours of interpretations for 13,853
families in 28 languages
Top three languages interpreted:
Spanish, Burmese, Kirundi
8,040
hospital rounds by our
security officers
87,600
nightly family passes issued by security
3,328
hours of family support by chaplains
Annual Report 2015 | 13

14. 14 | Annual Report 2015
Tiffany Smith, Child Life specialist,
and 7-year-old Sophia Reichert
Every day, our care
extends beyond
the bedside.
We build our individualized care plans around
your whole family. Our social workers, chaplains,
interpretive services and Child Life specialists
work together to give you and your family emotional
support and help with logistics. On any given day,
you can focus on your child. We’ll take care of the rest.
Child Life is only
at Children’s Hospital.

15. Annual Report 2015 | 15
On any given day:
Child Life
Often when Tiffany Smith arrives at Children’s Hospital at 8 a.m., she does not know what
to expect for her workday. As a Child Life specialist on the inpatient surgery floor and Pediatric
Intensive Care Unit (PICU), Smith is responsible for working with other caregivers to create
individualized plans to address each of her patient’s needs. For a patient having a procedure,
this plan may include using her surgery prep book to explain to him where he will go, where his
parent or guardian will be and what will happen - all in child-friendly terms. When a patient
needs an IV, Smith may use toys, activities or deep breathing to distract him from the process.
“We are there to help patients cope and support them through any procedure,” Smith said.
“We advocate for the things that make patients comfortable during something like an IV, like
how they will sit, where their parents will stand and what coping methods they need.”
The first part of Smith’s day includes reviewing the list of patients under her watch and
visiting them to determine what they will need that day. “Patients who are new to the hospital
may need entirely different interventions than patients with chronic conditions who have been
with us for a long time,” she said. “We collaborate with patients, families and the health care
team to assess the need for Child Life.”
Child Life specialists also provide support to siblings by including them in explanations of
what to expect and distracting games and activities. This focus on family-centered care allows
anxiety surrounding the hospital visit to be relieved for the rest of the family, too.
Throughout her day, Smith relies on play-based therapy methods. “Children play. It’s what
they do, what they know and how they learn,” she said. “Sometimes we play with baby dolls to
show them what IVs or bandages will look like. Sometimes we play without a specific goal to
allow them to feel safe and share what they’re feeling. There’s so much you can learn from a
child through play.”
During follow-ups with patients who have previously had surgery, Smith provides guidance
on what they can do to heal and recover. She may detail what the playroom has to offer and
encourage them to walk there - which gets them moving - or use painting or drawing to help
them sit up in a chair. Her efforts are coordinated with the health care team’s goals for the
patient.
Before she leaves, Smith documents her day’s work for the evening Child Life specialist.
In the morning, she will take the specialist’s notes into consideration as she plans the interven-
tions and activities for the day. In a job that requires the constant reassessment of the needs of
her patients and their families and coordination with other clinical team members, Smith has
learned to rely on only one thing every day: change.

16. $
6,135,788
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.
$
2,895,597
Community Benefit programs
$
2,170,517
Education of medical students,
residents and health
professionals
$
242,804
Research
$
826,870
Charity care
16 | Annual Report 2015
Every day, we care
for our community.
We are proud to work with partners to positively
impact children’s health and safety through programs
aimed at creating a healthier community. Through
injury and obesity prevention programs, CPR and AED
training, asthma screenings and other wellness
initiatives, we continue to help address the needs of
communities in East Tennessee.

17. Annual Report 2015 | 17

18. 18 | Annual Report 2015
Children’s Hospital’s Childhood Obesity Coalition
hosts the Grub Club weekly throughout the year at
the New Harvest Park Farmer’s Market. Local schools
bring students to learn from the Coalition’s gardener,
Jennifer Baldy, at right.
4
MEDIC blood drives
22
health fairs and presentations
$
140,269
given to community partner
organizations that promote the
health and well-being of children
and economic development
Community
Outreach

19. Annual Report 2015 | 19
Wellness
16,560
children involved in activities and
programs to improve nutrition and
commitment to physical activity
10
school nurses
funded in 13
Title 1 Knox County
elementary schools
1,009
people screened for asthma,
95 percent of which were children and
232 of which had an abnormal screening
without a known history of asthma
Training
17,728
participants in injury prevention
education programs
572
individuals
trained to
administer
CPR in schools
76
AED heart-safe
drills conducted
Injury Prevention
1,871
helmets
distributed
417
car seats
distributed
and installed
correctly
68
car seat inspection
events conducted
Project ADAM
79
automated external defibrillators
(AEDs) placed in schools
74
schools certified
as ready to
respond to
sudden cardiac arrests
115,289
students served by
Project ADAM programs

20. As part of our commitment to our community, we are
proud to host the Project SEARCH program. Project
SEARCH provides skills training and workplace
internships for individuals with significant disabilities,
particularly youth transitioning from high school to
adult life. Project SEARCH participants at Children’s
Hospital work in a variety of areas to learn skills like
stocking shelves and changing linens. They also learn
life skills that can be applied outside of work. Through
Project SEARCH, we hope to make a difference in
the lives of youth and adults with special needs even
after they leave our facility.
Project SEARCH intern Sarah French and
patient care assistant Pamela McLean
20 | Annual Report 2015
Every day, our staff
strives for excellence.
Caring for your child is a privilege, and our
staff members must have the proper expertise and
experience to deserve this honor. We invest in training
our doctors, nurses and other clinical staff members
so your child can receive the best care possible. On
any given day, continuing education of our providers
can make the difference in your child’s care.

21. Annual Report 2015 | 21
9 years, 7 months
is the average tenure of a
Children’s Hospital employee
12,960
new applicants for open positions
Employee stats
Success at Work
Success at Work (SAW) offers for frontline/
entry-level employees the chance to prepare for
continuing education, job advancement,
professional and personal growth and career
planning.
Employee wellness
Employee Health and Wellness offers annual
wellness screenings. The most recent screenings
included 1,114 employee and 489 spouse
participants. Seventy-nine percent of participants
met their health goals and were in the low-risk
category – compared to the 64 percent average
of other participating companies.
Children’s Hospital wellness screenings
resulted in the early diagnosis of serious health
conditions in 34 participants. Participants also
experienced nearly 478 health improvements
related to blood pressure, cholesterol and blood
sugar.
14 participants completed program
2 completed leadership training
1 promoted to shift supervisor
Environmental Services staff member
Melissa Hopson

22. 22 | Annual Report 2015

23. Annual Report 2015 | 23
80
medical fellows,
residents and students
861
undergraduate
students
100
students in other health
care positions such as
respiratory therapists
and emergency medical
technicians
2,476
continuing medical
education participants
1,161
continuing nursing
education participants
1,193
trainees in our pediatric
simulation center
Educational
opportunities
David Moritz, respiratory therapist, instructs
neonatal intensive care unit (NICU) nurses at a
neonatal resuscitation course in the Simulation Center.

24. 24 | Annual Report 2015
Denise Majors, R.N., likens her job to air traffic control. As the shift
leader in the Surgery Department, Majors is in charge of making sure the
scheduled surgeries run smoothly and that all patients are transported to
the right places at the right times.
With 14 years at Children’s Hospital under her belt, Majors is able to easily
navigate this complex position. Each day includes a wide variety of surgeries,
and Majors and her team set up the operating suites for all procedures, which
includes preparing all the instruments the surgeons need.
After all, Majors knows it’s more than efficiency. Whether it’s a routine
tonsillectomy or a lengthy neurology procedure, she and her team are aware
there is a nervous parent or loved one waiting on the floor for their child.
Her day begins at 5 a.m.; she reviews the day’s scheduled surgeries, gives
assignments to her nursing and scrub tech teams and assigns transporters
to retrieve patients from the Outpatient Surgery Department and bring them
to Surgery.
When surgeries begin at 7 a.m., Majors monitors the nine operating
rooms, two endoscopy suites and one bronchoscopy suite on the floor, keeping
track of which patients are where, what surgeries are happening and which
patients will be heading to the floor next.
“I keep an eye on all the rooms so I can be prepared,” she said. “I know
approximately how long procedures will take, so I can alert our transporter to
get the next patient when the doctors are almost finished.”
By keeping the patients moving from waiting to surgery to recovery, Majors
allows the surgeons to speak with families in between procedures without
worrying about the logistics of patient transport. “I handle any questions the
surgeons may have about patients and the flow of the day,” she explained. “If
I have to move any procedures to other operating suites, I let the entire team
of doctors, anesthesia staff and my team know so we all can be prepared.”
As her day ends at 3 p.m., Majors waits for the height of the activity on
the floor to dissipate before she heads home. All surgeries have usually been
completed by this time, and Majors was essential in making sure they ran on
schedule. She won’t leave until, she said with a laugh, “all the planes have
landed.”
On any given day:
Surgery

25. Denise Majors, R.N., and
17-year-old Blythe Gulley
Annual Report 2015 | 25

26. Your generosity allows us to treat all children
regardless of financial situation and provide the
most up-to-date, child-friendly equipment available.
The support of donors like you has led to our 245,000
square-foot expansion, which will be completed in
2016.
The new space will include 44 Neonatal Intensive
Care Unit (NICU) rooms to address the growing need
for private spaces for babies to heal in their first
days of life. The building will also be home to new
operating rooms and expand services for children
with chronic conditions like cystic fibrosis and
diabetes.
In addition to our donors, we rely on the
dedication of our team of volunteers. From cleaning
playrooms to singing to patients in the waiting room,
these men and women allow our staff to focus on
providing the best care possible to our patients.
On any given day, the children of our community
benefit from your donations, our volunteers’ time and
the commitment this region has to healing the most
vulnerable of all of us.
Your generosity allows us to treat all children
Every day,
we are grateful
for our
community’s
support.
26 | Annual Report 2015

27. Annual Report 2015 | 27
$8,043,191
in donations toward our
hospital expansion
$4,076,210
in other annual donations
5,746
donors
$0.08
the cost to raise a dollar
Donors

28. 28 | Annual Report 2015
22,618
visits with patients
by volunteers
6,229
hours cuddlers spent
holding babies born drug
dependent in the NICU
54,879
volunteer hours, which
is a cost savings of more
than $1 million
$48,000
raised by volunteers who
parked cars on game
days, all of which was
donated to the hospital
expansion
22,618
Volunteers

29. Volunteers Tyrone Beach and
Kaitlyn Dowling with
3-year-old Jaden Angel
Annual Report 2015 | 29

30. financial highlights
$
407,230,125
$
246,225,177
$
164,840,182
$
4,393,303
Gross revenue
Deductions from revenue
Expenses
Available for reinvestment
30 | Annual Report 2015
Cost to operate
Children’s Hospital
$
577,303 a day
$
210,715,622 a year
payer mix
65.4 percent
Medicaid/TennCare
32.3 percent
commercial
2.3 percent
other

31. Annual Report 2015 | 31
On any given day at Children’s Hospital, we strive to provide family-centered
care, wellness and education to our region’s children. Our accreditations in cystic
fibrosis, cleft palate, sleep medicine and diabetes care, child-sized equipment and
expertise in pediatric care mean you never have to look beyond East Tennessee for
your child’s health care needs.
With the support of our donors and community, we’ve created a friendly, safe
space for children to heal. As we expand to meet the growing needs of our region,
we remain focused on why we’re here on any given day: the children who need us.
Board of Directors
Dee Haslam, Board Chairman
Larry B. Martin, Board Vice Chairman
Steven D. Harb, Board Secretary/Treasurer
John Q. Buchheit, M.D., Member at Large
Andrea Anne White, Member at Large
Cathy Ackermann
Scott W. Brice
Jim Clayton
Randall L. Gibson
Keith D. Goodwin
Lewis W. Harris, M.D.
R. Gale Huneycutt, Jr.
A. David Martin
Christopher A. Miller, M.D.
David A. Nickels, M.D.
Laura Palenkas
Barbara Summers, M.D.
Kim Wood
Board Chairmen Emeritus
James. S. Bush
William G. Byrd
Donald H. Parnell
Dennis B. Ragsdale
Senior Leadership
President/CEO: Keith Goodwin
Vice President for Legal Services: Bruce Anderson
Vice President for Medical Services: Joe Childs, M.D.
Vice President for Patient Care: Hella Ewing
Vice President for Operations: Steven Godbold
Vice President for Finance: Zane Goodrich
Vice President for Development and
Community Services: Carlton Long
Vice President for Human Resources: Sue Wilburn
Chief Quality Officer: Jeanann Pardue, M.D.
Chief Clinical Officer: Lise Christensen, M.D.
Medical Staff Officers
Chief of Staff: Barbara Summers, M.D.
Vice Chief of Staff: Cameron Sears, M.D.
Secretary: Carlos Angel, M.D.
Chief of Medicine: Ryan Redman, M.D.
Chief of Surgery: Glaze Vaughan, M.D.
Department of Medicine: Kevin Brinkmann, M.D.
Department of Surgery: Bob Lembersky, M.D.

32. 2018 Clinch Ave. • P.O. Box 15010
Knoxville,Tennessee 37901-5010
www.etch.com
2018 Clinch Ave. • P.O. Box 15010