Dolly Parton Children's Hospital

What it reported doing in 2024

East Tennessee children's hospital ("etch") is the only comprehensive regional pediatric center in east Tennessee. Since 1937, etch has provided excellent pediatric health care for children from birth to 21 years of age. Etch offers more pediatric subspecialties than any other hospital in the region, serving children from east Tennessee, southwest Virginia, southeast Kentucky and western North Carolina. The subspecialties available at etch include: adolescent medicinechild abuse pediatrics(subspecialty list continued on schedule o)developmental-behavioral pediatricsneonatologypediatrics/primary carepediatric allergy & immunologypediatric anesthesiologypediatric cardiology clinical geneticspediatric critical carepediatric dermatologypediatric emergency medicinepediatric endocrinologypediatric forensic medicinepediatric gastroenterologypediatric hematology/oncologypediatric infectious diseasepediatric inpatient medicinepediatric intensive carepediatric nephrologypediatric neurologypediatric neurosurgerypediatric ophthalmologypediatric orthopedicspediatric otolaryngologypediatric physiatrypediatric plastic/reconstructive surgerypediatric pulmonologypediatric radiologypediatric rehabilitation servicespediatric rheumatologypediatric sleep medicinepediatric surgerypediatric urologyperinatologypsychologyin addition, etch provides the following: medical/surgical services: the emergency department is staffed with board certified pediatric physicians, nursing staff, and diagnostic capabilities to provide treatment for all types of emergencies 24 hours a day, seven days a week. The department provides evaluation and treatment for patients up to 21 years of age with varying levels of illness and injury, from minor to life threatening. The hospital's pediatric intensive care unit (picu) provides comprehensive, 24-hour-a-day treatment for critically ill and injured children. The picu is staffed with fellowship trained, board certified, critical care physicians and nurses specifically trained and experienced in the care of critically ill children. Patients in the picu receive a high level of monitoring and/or treatment until they are well enough to be transferred to a regular patient room or discharged home.in the neonatal intensive care unit (nicu), tiny and fragile infants born prematurely or facing life-threatening illnesses receive treatment from a team of board-certified neonatologists, with valuable assistance from specially trained nurses, respiratory therapists, lactation consultants, and other medical professionals. The nicu treats more than 900 newborns each year.as a regional referral center for east Tennessee, etch offers neonatal and pediatric transport from outlying hospitals in lifeline, a mobile intensive care unit specially designed to maintain the same quality of care during transport as patients receive in the hospital's critical care units. Lifeline carries more than 1,000 supplies to administer care to patients, from the tiniest premature infant to an adult-size pediatric patient, during transport to the hospital. In addition to the special equipment, the lifeline medical team may include a neonatologist, neonatal nurse practitioner, pediatric/neonatal rn, respiratory therapist, an emt, a-emt, and paramedics, depending on the condition of the patient.etch meets a wide range of pediatric surgical needs, from common outpatient procedures such as tonsillectomies to more complicated procedures, such as reconstructive surgery or neurosurgery. Five departments comprise etch's surgical services: operating room, pre/post surgery (outpatient surgery), inpatient surgery, anesthesia, and sterile processing. These departments work together to make sure each child's surgery and recovery is as quick and painless as possible. The doctors, nurses, anesthesiologists and other surgical staff are trained in pediatric medicine. At any given time and for various reasons, a child may need to be admitted to etch as an inpatient. Doctors and nu

Financial Efficiency

• Mission deployment rate: 67.9%; rating input score 68
• Program expense ratio: 79.9%; rating input score 80
• Fundraising efficiency: $8.44 raised per $1 spent on fundraising; rating input score 37; 37th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 57.2%; rating input score 57; 11th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 88%; rating input score 88; 35th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 14.9%; rating input score 82; 82nd percentile among comparable filings
• Total-asset coverage ratio: 2.1; rating input score 65; 65th percentile among comparable filings
• Liabilities to assets ratio: 0.28; rating input score 59; 59th percentile among comparable filings
• Officer compensation ratio: 2.9%; rating input score 40; 40th percentile among comparable filings

Growth

• Program expense growth: 4.6% per year; rating input score 100; 36th percentile among comparable filings
• Revenue growth: 5.2% per year; rating input score 100; 44th percentile among comparable filings
• Asset growth: 7% per year; rating input score 100; 51st percentile among comparable filings