Published on February 19, 2014
Hero is a word that can be applied to people who do extraordinary things in sometimes extraordinary circumstances. Oftentimes, heroes are people who exhibit inspiring works of bravery when the situation calls for it. Walking through our hospital, I see heroes every day. Heroic children who are battling illnesses and injuries. Heroic doctors, nurses and staff members who do everything they can to ensure these children go on to lead healthy, productive lives. We are proud of our hospital and our more than 1,900 employees who make a lifesaving impact every day. As donors, you are heroes—champions— for all of our patients at East Tennessee Children’s Hospital. You enabled us to have an incredible year, managing 148,140 patient visits in the hospital. You’ve helped us become the largest pediatric clinical care provider in East Tennessee and allowed us to care for our most vulnerable patients—more than 700 premature and critically ill newborn babies. We are excited to share with you our accomplishments—and our heroes—in this year’s annual report. And we’re even more excited about looking forward to the future. With your help, we will continue to make a difference and allow our little heroes to grow up and become heroes to their own children. Keith Goodwin President and CEO 2012-2013 Annual Report 2
continued on page 4 2012-2013 Annual Report 3
More than 30 pediatric specialties only Comprehensive Regional Pediatric Center in East Tennessee continued from page 3 They come in all shapes, sizes and ages. Some of them wear lab coats. Others wear surgical gowns and masks. There are even a few, as in the case of some of our volunteers, who don fairy wings when the occasion calls for it. Our heroes make a difference every day. And their super powers are even more exceptional than those found in comic books. Nurses who ease nerves while checking vitals. Doctors who create treatment plans to give our young patients the best chance at healthy futures. Child life specialists who hold a shaky hand and turn fear into fun. Anesthesiologists who take away the pain. Volunteers who soothe a crying baby to sleep with a lullaby. Athletes and special visitors who raise spirits just by saying hello. Children’s Hospital would not be the extraordinary place it is without our heroes, including our donors. Your support helps fund a significant portion of the lifesaving equipment and innovative treatment we use for our patients. The daily care we provide with help from our donors makes a significant impact to the children of our community. This can easily be seen in our busy Emergency Department, where last year we had 71,764 patient visits. Because we care for more children needing emergency care than anyone else in East Tennessee, our doctors and nurses are equipped to treat everything from minor injuries to major medical concerns. We understand we are caring for patients who need a special kind of treatment—not only to make them well, but also to make them feel comfortable and safe. Our heroes are also busy offering pediatric specialty care like the team from our Cleft and Craniofacial Clinic, which was officially approved 2012-2013 Annual Report 4
More than 400 doctors 152 beds as a Cleft Palate Team by the American Cleft Palate-Craniofacial Association and Cleft Palate Foundation in January. Or, our Cystic Fibrosis Care Center, which is accredited by the Cystic Fibrosis Foundation. In addition to the care we provide every day, we strive to be pioneers. We are at the forefront of care in treating neonatal abstinence syndrome (NAS), a condition that stems from the country’s prescription drug epidemic. Tennessee ranks among the top states in prescription drug abuse, and Children’s Hospital developed the treatment protocol for NAS after seeing its impact. Our heroic efforts also extend beyond the hospital. We sponsor the Knoxville Area Coalition on Childhood Obesity, which works to decrease the number of overweight and obese children in East Tennessee. We also run Project ADAM Tennessee, a program that works with school systems to prevent sudden cardiac deaths. But of course, the most important heroes of Children’s Hospital are the bravest of them all. The ones who wear pink pajamas featuring their favorite Disney princesses. The ones who dream of being professional baseball players or teachers. The ones in your family, your school and your community. There’s your little neighbor, who’s been fighting for her life since the day she was born— battling a rare cancer that requires intense chemotherapy treatments. Your 15-year-old son, whose life is often put on hold for treatment and hospitalization for his cystic fibrosis. Your 8-year-old nephew, who is finally feeling well enough to go back to soccer practice after undergoing ear tube surgery. These everyday heroes are the ones we most celebrate. And they’re the reason we are committed to making Children’s Hospital the best place for pediatric care in East Tennessee. 2012-2013 Annual Report 5
148,140 patient visits 148,015 in FY12; 149,295 in FY11 72,575 patients 71,914 in FY12; 71,478 in FY11 261,558 physician practice visits 257,514 in FY12; 261,342 in FY11 71,764 Emergency Department visits 66,068 in FY12; 66,628 in FY11 10,918 330 transports surgeries 10,844 in FY12; 10,952 in FY11 313 864,762 website visits babies treated for drug dependency 168 in FY12; 82 in FY11 We are a trusted source of pediatric health care information for East Tennessee families. 2012-2013 Annual Report 6
2012-2013 Annual Report 7
Hospital Admissions FY13 6091 FY12 5941 FY11 5976 Hospital Admissions FY13 6091 Visits Outpatient FY12 5941 FY13 142,049 FY11 5976 FY12 142,074 FY11 143,318 Hospital admissions Outpatient Visits NICU Patient FY13 142,049Visits FY13 790 FY12 142,074 FY12 646 FY11 143,318 FY11 600 Hospital Admissions FY13 6091 FY12 5941 FY11 5976 ospital Admissions Y13 6091 Visits Outpatient Y12 5941 FY13 142,049 Y11 5976 FY12 142,074 FY11 143,318 FY11 FY13 FY12 5,976 6,091 5,941 CU Patient Visits Home Health Visits Y13 559 FY13 21,810 Y12 615 FY12 17,584 Y11 600 FY11 16,120 NICU Patient Visits PICU Patient Visits FY13 790 FY13 559 FY12 646 FY12 615 FY11 600 FY11 600 Outpatient visits FY13 790 FY12 646 FY11 600 Pediatric Intensive Care Unit (PICU) patient visits PICU Patient Visits Home Health Visits FY13 559 FY13 21,810 FY12 615 FY12 17,584 FY11 600 FY11 16,120 utpatient Visits NICU Patient Visits Y13 142,049 FY13 790 Y12 142,074 FY12 646 Y11 143,318 FY11 600 CU Patient Visits PICU Patient Visits Y13 790 FY13 559 Y12 646 FY12 615 Y11 600 FY11 600 Neonatal Intensive Care Unit (NICU) patient visits FY11 FY12 FY13 170,757 168,355 168,517 Home Health Visits FY13 21,810 FY12 17,584 FY11 16,120 Hours for Evaluation FY13 15,266 FY12 14,441 FY11 15,858 2012-2013 Evaluation Hours for Annual Report 8 FY13 15,266 FY12 14,441 FY11 15,858 FY13 559 FY12 615 FY11 600
Outpatient activity 21,810 20,444 10,453 9,290 6,836 4,673 3,901 2,913 2,336 1,235 Home Health Gastroenterology Endocrinology Pulmonology Physiatry Cardiology Hematology/oncology Diabetes Urology 2012-2013 Annual Report 9 570 379 348 Nephrology Cystic fibrosis Psychology Infectious disease Rheumatology Weight management Dermatology Gynecology 348 259 132 91
12 24,980 7 therapy dogs iPads Visits from these furry friends help ease anxiety and promote shorter recovery times for our patients. Used daily to help educate children about their care and provide them with much-needed distractions during uncomfortable medical procedures. 9,925 Our child life specialists help educate patients about their illnesses and treatments. Because our patients range from infants to 21-year-olds, child life specialists must be prepared with a variety of activities to support them during stressful experiences and painful procedures. patient interactions 2012-2013 Annual Report 10 distractions
52,784 volunteer hours This represents a $1,339,657.92 cost-savings. It is equivalent to providing more than 6,300 chest X-rays. 12,573 Spanish translation requests This is a 27.27 percent increase since FY11. We are the only hospital in Knoxville with interpreters on staff. 2012-2013 Annual Report 11
58 medical fellows, residents and students 1,798 nursing students 302 students in other health care positions, such as respiratory therapists, emergency technicians and surgical technicians We provide pediatric clinical training to more than 70 hospitals, universities and institutions. 6,750 hospital rounds For the safety of our patients and staff, we employ full-time security officers 24 hours a day, seven days a week. 2012-2013 Annual Report 12
5,698,12007 $ in donations Visit www.etch.com/donors to see a list of our donors who contributed $100 or more in FY13, listed by giving levels. 2012-2013 Annual Report 13
518,55413/day $ 189,272,25800/year 1,900 $ employees the cost to operate Children’s Hospital 3% Other 35% FY13 Commercial Payer mix 62% Medicaid/TennCare 416 $ Gross revenue Deductions from revenue Expenses Net gain Debt 234 $ 160 $ 30 $ (millions) 2012-2013 Annual Report 14 41.5 $
Patient population 609 1,212 Virginia Kentucky 144,680 Tennessee 1,639 Other states East Tennessee counties Anderson 7,330 12,386 Blount Campbell Claiborne Cocke Grainger Hamblen Jefferson 3,928 2,042 2,038 2,051 3,310 4,698 Knox Loudon Monroe Morgan Roane Scott Sevier Union 2012-2013 Annual Report 15 4,708 3,137 1,922 3,390 2,186 11,574 2,694 69,932
2018 Clinch Ave. • P.O. Box 15010 Knoxville, Tennessee 37901-5010 www.etch.com
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