The 2016-2017 Annual Report for East Tennessee Children's Hospital.

2. Our Promise
What does it mean to be a caregiver?
‘Care’ can come in many forms, but when it comes to young patients we believe that
healthcare requires more than expert physicians and state-of-the-art equipment. Child- and
family-centered care requires a compassionate, empathetic staff and a culture dedicated to
service.
At East Tennessee Children’s Hospital every employee carries the title of ‘caregiver.’ From
physicians and clinical staff, to volunteers who check families in; from the housekeeper who
brings clean linens, to the administrator filing new policies that keep patients safe – every
employee at our hospital is passionate about the care they provide.
To make sure we meet our patients’ care needs, we asked patients and families what they
expect from us as caregivers.What we have discovered is that the children we treat have three
main expectations from us: Treat Me. Keep Me Safe. Be Nice to Me.
We carry these expectations with us every time we walk into a patient room.We keep them
in mind when we sit at our desks, while we cook your meals, as we drive to visit our home
health patients.We’ve committed ourselves to honoring these requests – so much so that
2 | 2016-2017 Annual Report

3. Keith Goodwin, President and CEO
we even incorporated it into our new employee orientation. By keeping our focus on family-
centered care, we are able to improve our services in meaningful ways.
There are many ways we have grown and improved this year to better meet those three
requests: Treat Me, Keep Me Safe, Be Nice to Me. From upgrading our surgery center with 12
state-of-the-art surgery suites, to introducing new programs that reduce the time a patient
spends recovering, we spent the year enhancing the quality care Children’s Hospital has
provided our region for 80 years.
We are excited to share our fiscal year 2017 accomplishments with you in this annual
report.We hope they give you a glimpse at our mission every day: our promise to treat, to
protect and to offer the best customer service alongside exceptional family-centered care.
Thank you,
2016-2017 Annual Report | 3

4. Board of Directors
John Q. Buchheit, M.D., Chairman
Larry B. Martin,Vice Chairman
R. Gale Huneycutt,Jr., Secretary/Treasurer
Cathy Ackermann
Scott W. Brice, M.D.
Daniel K. Carter, M.D.
James B. Clayton
Scott Daniel
Brian T. Ferguson
Randall L. Gibson
Keith D. Goodwin
David A. Nickels, M.D.
Kenneth J. Rueter
Cameron J. Sears, M.D.
David D. Stevens
Barbara Summers, M.D.
Andrea Anne White
Kim Wood
Board Chairmen Emeritus
James S. Bush
Donald H. Parnell
Dennis B. Ragsdale
Senior Leadership
Keith D. Goodwin, President and Chief Executive Officer
Joe Childs, M.D.,Vice President for Medical Services
Lise Christensen, M.D., Chief Clinical Officer
Hella Ewing,Vice President for Patient Care and Chief Nursing Officer
Steven Godbold,Vice President for Operations
Caryn Hawthorne,Vice President for Financial Services and Chief Financial Officer
Carlton Long,Vice President for Institutional Advancement
Jeanann Pardue, M.D., Chief Quality Officer
Cathy Shuck,Vice President for Legal Services
Sue Wilburn,Vice President for Human Resources
Medical Staff Officers
Cameron J. Sears, M.D., Chief of Staff
Ryan Redman, M.D.,Vice Chief of Staff
Allison Schmitt, M.D., Secretary
DeAnn Holbrook, M.D., Chief of Medicine
Jay Crawford, M.D., Chief of Surgery
4 | 2016-2017 Annual Report

5. 2017 Facts about Children’s
Cost to operate Children’s Hospital
Payer mix Financial highlights
Hospital
admissions:
5,465
Surgeries:
10,788
Emergency
department visits:
66,001
Home Health
visits:
34,335
Child Life
encounters:
22,993
Employees:
1,777
Visits with patients
by volunteers:
19,998
Hours of
volunteer service:
48,072
Per day: $461,798
Per year: $168,556,191
Other:
2.8%
PPO/HMO
Commercial:
30.2%
TennCare/
Medicaid:
67.1%
$443,056,540
$284,017,633
$16,078,790
$89,301,609
$210,703,845
Top 3
languages interpreted:
Spanish,
Arabic, Swahili
East Tennessee Children’s Hospital is the only independent, non-profit comprehensive
regional pediatric center in East Tennessee.We serve families throughout the southeast region,
including Southeast Kentucky, Southwest Virginia, and more than 16 Tennessee counties.
With 152 beds and more than two-dozen pediatric subspecialties, Children’s Hospital offers
full capabilities to care for seriously ill children in a unique pediatric environment.
Gross revenue:
Deductions from revenue:
Net gain:
Debt:
Available for reinvestment:
2016-2017 Annual Report | 5

6. Treat Me
Volunteers
greet and register
families at the
front desk.
Because children are special...
For more than 80 years, Children’s Hospital has been the first in the region to offer
a number of unique, specialized services to meet the special needs of infants, children
and teens.This emphasis on children is what makes Children’s Hospital unique among
medical centers.This past year, we had 66,001 children visit our emergency depart-
ment and more than 44,000 children visit one or more of our pediatric specialists.
These children and their families came from all over the southeastern United States
for one purpose: to be healed.
6 | 2016-2017 Annual Report

7. Isaiah, age 7
2016-2017 Annual Report | 7

8. 8 | 2016-2017 Annual Report
East Tennessee Children’s
Hospital offers more pediatric
subspecialties than any other
hospital in Knoxville and the
greater East Tennessee region.
For a full list of our services, visit
www.etch.com/specialties
Who are the children and families that we serve?
Subspecialty Snapshot
Home Health
visits:
34,335
Rehabilitation
visits:
17,378
NICU
admissions:
759
PICU
admissions:
467
Here is a glimpse at our population from 2017.
13,933
3,245
8,880
3,020
5,043
2,593
4,706
1,722
722
664
Endocrinology:
Physiatry:
Pulmonology:
Urology:
Developmental-Behavioral:
Surgery:
Cardiology:
Nephrology:
Psychology:
Genetics:

9. Outpatient visits
Breakdown amongst 16 counties
167,651
Other – 6,772
Scott
2,221
Campbell
3,872
Claiborne
2,110
Union
2,528
Grainger
2,204
Jefferson
4,628Knox
65,032
Anderson
7,073
Morgan
1,135
Roane
4,375
Loudon
4,406
Monroe
3,129
Blount
12,850
Sevier
11,404
Cocke
1,979
Hamblen
3,929
Tennessee
136,571
Kentucky
627
Virginia
478
2016-2017 Annual Report | 9

10. Extracurricular activities
97
children attended
a Children’s Hospital
summer camp
Children involved in activities or
programs to improve nutrition: 18,155
Teenagers and adults who attended
hospital’s CPR training: 179
10 | 2016-2017 Annual Report
Your favorite tweet by
Children’s Hospital
Your favorite tweet by

11. Because children deserve the best...
Children’s Hospital continues to enhance its facility.When we opened the Scripps Networks Tower
expansion in 2016, we knew the building would come to house some of the best in cutting-edge
medical equipment. Last year we opened our new neonatal intensive care unit (NICU), and this year the
Children’s Hospital surgery center, endocrinology center, and multi-specialty clinics became the latest
additions to this building.The new surgery center is outfitted with twelve state-of- the-art surgery suites,
including a dedicated neurosurgery suite and dental surgery suites.Each operating room allows space
for emerging technology,and the design of the center provides a better overall experience for surgery
patients and their families.
10,788
surgeries
in
FY2017
2016-2017 Annual Report | 11

12. In addition, patients who are treated for chronic
illnesses now have a newly renovated space inside East
Tennessee Children’s Hospital.The hematology and on-
cology clinic moved into its new home in April.The 15-
room clinic allows for patients and families privacy and
comfort during treatment, and the expanded infusion
center offers comfortable reclining chairs and games for
patients to play with during treatment.
12 | 2016-2017 Annual Report

13. 2,730
Chemotherapy
treatments
in
FY2017
2016-2017 Annual Report | 13

14. Keep Me Safe
Because children are not “tiny adults”…
Their health care requires family involvement, special understanding, special
equipment, and specially-trained personnel.We understand that a child’s medical
needs vary greatly from an adult’s; therefore, we offer a facility with a well-trained staff
whose only interests and concerns are keeping children safe. In FY 2017, our experts
saw 167,651 outpatient visits, treated more than 250 newborns for drug dependency,
and inspected nearly 2,000 car seats across the region.
Meet the team who keeps you safe.
14 | 2016-2017 Annual Report1414 || 2016-2017 Annual Report2016-2017 Annual Report
Jasmyne, age 13,
meets with specialists
in the East Tennessee
Children’s Hospital’s
Healthy Ways
Clinic.

15. Clinical Stats
Expertise
Doctors
417
Nurses
598
Employees
1,777
Beds
152
Subspecialties
35
NICU patient days: 14,604
PICU patient days: 2,293
Sleep studies: 1,127
Lab tests: 390,721
CT scans: 5,362
MRIs: 3,299
Ultrasounds: 8,144
X-rays: 49,026
Chemotherapy treatments: 2,730
Transports: 833
Babies treated with a drug dependency: 252
Medical fellows and residents students: 65
Undergrad nursing students: 894
Continuing Medical Education participants: 2,020
Continuing Nursing Education participants: 1,023
Trainees in simulation center: 1,439
Schools served by Project ADAM programs: 84
Students served by Project ADAM: 286,156
Teens and adults trained to administer CPR in schools: 1,435
Research dollars: $119,194
Blood drives conducted at hospital: 4
2016-2017 Annual Report | 15
Inside Children’s Hospital

16. East Tennessee Children’s Hospital embraces a model of shared leadership, which is
created by fostering an environment of practice, communication and collaboration between
medical professionals and community partners.We understand that when we involve our
families in their healthcare journey, we can better meet their expectations and fulfill our
core values: respect, teamwork, enthusiasm, excellence and integrity.
Some of our councils who were active in 2017:
• Family Advisory Council
• Family Education Committee
• Clinical Performance Improvement Council
• Evidence Based Practice and Research Council
• Professional Engagement Council
• Diversity and Inclusion Council
• Best Places to Work Council
Supply Snapshot
Councils and committees
Safety
Bandages
83,100
Diapers
77,401
Containers of Wipes
18,769
Pounds of Linen
787,930
Tongue depressors
46,500
Helmets distributed: 3,414
Car seats inspected: 1,983
Car seats distributed: 756
Hospital rounds by our security officers: 12,556
16 | 2016-2017 Annual Report

17. Be Nice To Me
Because we get kids...
Quality care goes beyond treating symptoms – it requires treating the whole
patient.Whether that means finding an interpreter for a family, identifying the best
way to interact with a special needs patient, or scheduling a visit from one of our HABIT
dogs, we strive to make every patient’s stay at Children’s Hospital comfortable and as
stress-free as possible. Most parents do not plan to be at our doorstep, but those un-
planned days are our expertise.Thanks to a highly-skilled, diverse staff, countless vol-
unteers, and the generous gifts from donors like you, Children’s Hospital is positioned
to offer the children of East Tennessee the best healthcare experience in the region.
Children need more than medicine to get well. Here are some of the ways
Children’s Hospital and the community help heal kids.
2016-2017 Annual Report | 172016-2017 Annual Report2016-2017 Annual Report || 1717
Music therapist
Joni Pappas
sings in the
NICU.

18. Hours cuddlers
spent soothing
drug dependent
babies:
6,141
18 | 2016-2017 Annual Report

19. Visits with patients by Child Life specialists: 22,993
Therapy dog visits: 2,834
Hours of social work services for families: 24,581
Hours of family support by chaplains: 3,120
Hours of interpretations: 13,006
Languages interpreted: 27
Hours dietitians spent with inpatient, outpatient and clinic families: 12,850
Money raised for charity care: $52,895
Cost of medical services not covered by insurance: $29,209,869
Hours cuddlers spent soothing drug dependent babies: 6,141
Visits with patients by volunteers: 19,998
Active volunteers: 380
Volunteer hours: 48,072
Donors:
5,994
Total dollars
donated:
$8,104,103
Total given
toward
capital
campaign:
$1,863,660
Annual
fundraising
events hosted
by the hospital:
5
Patient-Family Benefit
Volunteers
Giving
2016-2017 Annual Report | 19

20. Event Highlights
In February, 107.7 WIVK and NewsTalk 98.7
listeners helped raise more than $107,000 for
Children’s Hospital as part of the Children’s
Miracle Network Radiothon. Broadcasted live
from Cumulus Media, the radio station mixed
interviews with patients and Children’s Hospital
experts as part of its regular programming.
Funds raised by the 12-hour event helped
purchase medical equipment for the hospital.
Children’s Hospital Golf Classic
Radiothon
This June, Scripps
Networks Interactive
presented the Children’s
Hospital Golf Classic, a golf
tournament to benefit East
Tennessee Children’s Hospital.
Drew Scott, co-star of HGTV’s
hit show Property Brothers,
joined 180 local golfers for
the 2-round tournament at
Cherokee Country Club.
The event raised more than
$100,000 for East Tennessee
Children’s Hospital, which will
purchase medical equipment
for the surgery department.
20 | 2016-2017 Annual Report
Children’s Miracle Network ambassador,
Audrey shares her story with WVIK morning
hosts Andy & Alison

21. Local celebrities laced up their dancing shoes this April to
raise money for Children’s Hospital. Star 102.1’s Dancing with the
Knoxville Stars 2017 featured 10 local celebrities performing a
variety of dances with professional partners from Dance Tonight
studio. Hosted at the Knoxville Convention Center, more than
750 people came out to support the dance-off. By the end of the
night, the event had raised more than $184,000, which is a record
for the event’s history. Proceeds from the event will be used for
new equipment in the neonatal intensive care unit (NICU).
Star 102.1’s Dancing with the Knoxville Stars
Dancing winner Trent Magill with professional
dance partner Emily Norris
Fundraising winner Shohreh “Nazzy” Hashemian with
professional dancing partner Jeremy Norris
2016-2017 Annual Report | 21

22. Children’s Hospital hosted the first
Butterfly Dash and Bash this August. The
all-day event began with the Butterfly Dash,
a 5k race and 1-mile fun walk in partnership
with the Butterfly Fund. Runners wove their
way through the historic Fort Sanders area
and passed between the towers of Children’s
Hospital, where a crowd of patients, physicians
and nurses cheered them on. More than 1,400
runners completed the race, which ended in
World’s Fair Park.
Later that morning on the festival lawn
at World’s Fair Park, volunteers kicked off the
Burger Bash, a slider competition between
20 teams of grillers. Local businesses and
members of Children’s Hospital medical staff
competed for the prize of “best slider.”
Thousands of people were able to vote for
their favorite slider, while enjoying live music
and children’s activities. The inaugural
Butterfly Dash and Bash raised more than
$62,000 for East Tennessee Children’s Hospital,
which will go towards the pain and palliative
care program and will purchase new equipment
which will benefit the hematology and
oncology clinic.
Event Highlights
Butterfly Dash and Bash
Patients, physicians and nurses from Children’s
Hospital’s hematology and oncology clinics
cheered runners on as they raced by the hospital.
22 | 2016-2017 Annual Report

23. The 33rd annual Fantasy of Trees kicked off the holiday
season in East Tennessee while supporting Children’s Hospital.
More than 60,000 attended the 5-day event to shop, purchase
holiday decorations, enjoy children’s crafts and more. This
year, Fantasy of Trees raised more than $400,000 for Children’s
Hospital, which will be used to purchase new and replacement
surgical equipment.
2016-2017 Annual Report | 23
Fantasy of Trees

24. 2018 Clinch Ave. • P.O. Box 15010
Knoxville, Tennessee 37901-5010
www.etch.com
2018 Clinch Ave. • P.O. Box 15010