Emory Hospitals Emory Hospitals An OverviewAn Overview

Emory University HospitalEmory University HospitalEmory Crawford Long HospitalEmory Crawford Long HospitalWesley Woods Hospital/CenterWesley Woods Hospital/Center““more than a hospitalmore than a hospital””

Robert J. Bachman , Chief Operating Officer, EUHRobert J. Bachman , Chief Operating Officer, EUH

Mark Aycock, Chief Financial Officer, Emory HospitalsMark Aycock, Chief Financial Officer, Emory Hospitals

Emory Hospitals Emory Hospitals -- An OverviewAn Overview

BeginningsBeginningsCurrent ConfigurationCurrent ConfigurationLeadership (Management)Leadership (Management)ServicesServicesOperational StatisticsOperational Statistics

Emory University Hospital Emory University Hospital Beginnings/Current ConfigurationBeginnings/Current Configuration

Chartered in 1904/Opened as Wesley Memorial Chartered in 1904/Opened as Wesley Memorial Hospital in 1905Hospital in 1905Moved to Emory campus in 1920sMoved to Emory campus in 1920sCurrentlyCurrently

Licensed to operate 579 bedsLicensed to operate 579 beds

Actual:Actual: 360 Med/Surg Beds360 Med/Surg Beds

82 ICU Beds (new 20 bed NICU open in 1/07)82 ICU Beds (new 20 bed NICU open in 1/07)

52 Rehab Beds (38 in use)52 Rehab Beds (38 in use)

20 Psych Beds (18 in use)20 Psych Beds (18 in use)

Emory Hospitals Emory Hospitals –– LeaderhsipLeaderhsip

EUH: Robert J. Bachman, COOEUH: Robert J. Bachman, COO

Mark Aycock, CFOMark Aycock, CFO

Susan Grant, R.N., CNO, EHCSusan Grant, R.N., CNO, EHC

Ira Horowitz, M.D., CMO Ira Horowitz, M.D., CMO

Nathan Spell, M.D., CQONathan Spell, M.D., CQO

ECLH: Albert Blackwelder, COOECLH: Albert Blackwelder, COO

James Steinberg, CMOJames Steinberg, CMO

Richard Gitomer, M.D., CQORichard Gitomer, M.D., CQO

WW: WW: Peter Basler, COOPeter Basler, COO

Joseph Ouslander, M.D., CMOJoseph Ouslander, M.D., CMO

Emory Healthcare Emory Healthcare --System Leadership For EHsSystem Leadership For EHs

John T. Fox, President/CEOJohn T. Fox, President/CEOJames Hatcher, CFOJames Hatcher, CFOSusan Grant, R.N., CNOSusan Grant, R.N., CNOWilliam Bornstein, M.D., Ph.D., CQOWilliam Bornstein, M.D., Ph.D., CQO

Emory University HospitalEmory University Hospital

12,000 surgeries (300 transplants)12,000 surgeries (300 transplants)700 Heart surgeries/700 Heart surgeries/28,000 ED visits (>28% of pts admitted)28,000 ED visits (>28% of pts admitted)494 494 -- Adjusted Average Daily CensusAdjusted Average Daily Census27,500 27,500 –– Adjusted AdmissionsAdjusted Admissions2,700 FTEs (3,300 employees)2,700 FTEs (3,300 employees)ALOS ALOS –– 6.46.4 daysdaysCMI CMI –– 2.152.15

Emory University HospitalEmory University HospitalServicesServices

Cardiology/Cardiovascular SurgeryCardiology/Cardiovascular SurgeryOncology Oncology –– WCIWCINeurology/NeuroSurgeryNeurology/NeuroSurgeryTransplantationTransplantationOrthopaedicsOrthopaedicsThe Rollins PavilionThe Rollins PavilionNo OB/No Pediatrics No OB/No Pediatrics -- CHOACHOA

Emory University HospitalOrganizational Chart

Source: Administration, Emory Hospitals

DevelopmentPathology & Laboratory ServicesPharmacyImaging ServicesTransplant Services

Assistant AdministratorEmory Hospitals

Larry F. Hodges, CHE

Chief Financial OfficerEmory HospitalsMark A. Aycock

Center for Rehabilitation MedicineHospital Rehabilitation ServicesMental Health Services

Chief Operating Officer — EUHSenior Associate Administrator

Emory HospitalsRobert J. Bachman

Medical Staff

Chief Medical OfficerIra Horowitz, MD

Associate Medical DirectorDonald C. Davis, MD, PhD

Hospital Auxiliary

Education & Learning Services Employee Health Services• Workers’ Compensation

Educational Information & Media Services• Medical Library

EHC Service Performance

Infection ControlEHC Information Systems’Medical Director

Medical Staff OfficeRisk Management Office

Materials Management• Purchasing

Social Services• Clinical Resource

ManagementValue Analysis

Human Resources

Financial Services• Accounts Payable• Decision Support• Financial Planning• General Accounting• Payroll

Management EngineeringMedical RecordsPatient Accounts• Admissions• Audit Coordinators• Business Office

Clinical Performance Improvement

Regulatory/Accreditation

Chief Human Resources OfficerEmory Healthcare

Margaret A. Bloomquist, SPHR

Anesthesiology Services Facility Planning & Development Facility Services• Environmental Services• Laundry • Facilities Management• Property Management• Public Safety• Safety

Medical EngineeringTelecommunications

Associate AdministratorEmory HospitalsDavid E. Pugh

Chief Financial OfficerEmory Healthcare

James T. Hatcher, CPA

Associate AdministratorChief Operating Officer

Emory Hospitals CRM, Mental Health Services, &

Wesley WoodsPeter A. Basler, Jr.

GambroMedical Services & Patient Services Information Systems

Nursing Systems Integration & Maternity Services

Oncology Services Perioperative & Endoscopic Services Support Systems

General Surgery & Transplant ServicesSurgical Specialties/Community ServicesGeriatric Nursing Services

Emergency Services

Assistant AdministratorEmory Hospitals

M. June Connor, RN

Cardiac Services• EP• Cardiac Cath Lab• Heart Failure ProgramCardiac Nursing Services

Assistant AdministratorEmory HospitalsJane Vosloh, RN

GIDOperating RoomPACUAmbulatory SurgerySterile ProcessingSame Day SurgeryPre Admit Testing

President & Chief Executive OfficerEMORY HEALTHCARE

John T. Fox

Associate AdministratorEmory Hospitals

Toni F. Wimby, CHE

Food & Nutrition ServicesGuest & Volunteer ServicesNeurodiagnostics TestingPastoral ServicesRespiratory Care Services• Electrocardiography• Pulmonary Function• Respiratory Therapy

Chief Quality Officer, Emory Healthcare/Chief Medical Officer, Emory

HospitalsWilliam A. Bornstein, MD, PhD

Chief Quality OfficerNathan Spell, MD

Associate AdministratorEmory Hospitals

Barbara E. Hargett, RN

Chief Nursing OfficerEmory Healthcare

Susan M. Grant, MS, RN, CNAA

Updated September 2006

Licensed for 511 beds Licensed for 511 beds –– 420 beds in service420 beds in serviceEmergency Room Emergency Room -- 50,000 visits/year50,000 visits/year14,000 surgeries (IP & OP) 14,000 surgeries (IP & OP) –– 1,100 cardiac1,100 cardiacOB OB -- 4,200 births/year4,200 births/year““Open Medical StaffOpen Medical Staff””Long Term Acute Care HospitalLong Term Acute Care HospitalCMI CMI –– 1.61.6FTEs FTEs –– 2300 2300 Adjusted FTEs per AOB Adjusted FTEs per AOB –– 4.84.8Adjusted Admissions Adjusted Admissions –– 33,000/year33,000/yearALOS ALOS –– 5 days5 days

Emory Crawford Long HospitalEmory Crawford Long Hospital

Emory Crawford Long HospitalOrganizational Chart

Source: Administration, Emory Hospitals

Assistant AdministratorEmory Hospitals

Larry F. Hodges, CHE

Associate AdministratorEmory Hospitals

Barbara E. Hargett, RNChief Financial Officer

Emory HospitalsMark A. Aycock

Hospital Rehabilitation ServicesLTAC

GambroMedical Services & Patient Services Information Systems

Nursing Systems Integration & Maternity Services

Oncology Services Perioperative & EndoscopicServices Support Systems

General Surgery & Transplant Services

Surgical Specialties/Community Services

Geriatric Nursing ServicesEmergency Services

Medical Staff

Chief Medical OfficerJames P. Steinberg, MD

Associate Medical DirectorJames K. Bennett, MD

Associate Medical DirectorWilliam M. McKinnon, MD

Chief Operating Officer — ECLHSenior Associate Administrator

Emory HospitalsAlbert K. Blackwelder, FACHE

Hospital Auxiliary

Chief Quality Officer, Emory Healthcare/Chief Medical Officer,

Emory HospitalsWilliam A. Bornstein, MD, PhD

Education & Learning Services Employee Health Services• Workers’ Compensation

Educational Information & Media Services• Medical Library

EHC Service Performance

Infection ControlEHC Information Systems’Medical Director

Medical Staff OfficeRisk Management Office

Financial Services• Accounts Payable• Decision Support• Financial Planning• General Accounting• Payroll

Materials Management• Purchasing

Social Services• Clinical Resource

ManagementValue Analysis

Food & Nutrition ServicesGuest & Volunteer ServicesNeurodiagnostics TestingPastoral ServicesRespiratory Care Services• Electrocardiography• Pulmonary Function• Respiratory Therapy

Human Resources

Management EngineeringMedical RecordsPatient Accounts• Admissions• Audit Coordinators• Business Office

Clinical Performance Improvement

Regulatory/Accreditation

Chief Human Resources OfficerEmory Healthcare

Margaret A. Bloomquist, SPHR

Chief Nursing OfficerEmory Healthcare

Susan M. Grant, MS, RN, CNAA

Chief Financial OfficerEmory Healthcare

James T. Hatcher, CPA

Assistant AdministratorEmory Hospitals

M. June Connor, RN

Cardiac Services• EP• Cardiac Cath Lab• Heart Failure ProgramCardiac Nursing Services

President & Chief Executive OfficerEMORY HEALTHCARE

John T. Fox

Cardiothoracic Research LabDevelopment

Assistant AdministratorEmory HospitalsJane Vosloh, RN

GIDBronchoscopyOperating RoomPACUAmbulatory SurgerySterile ProcessingSame Day SurgeryPre Admit Testing

Associate AdministratorChief Operating Officer

Emory Hospitals CRM, Mental Health Services, &

Wesley WoodsPeter A. Basler, Jr.

Associate AdministratorEmory Hospitals

Toni F. Wimby, CHE

Associate AdministratorEmory HospitalsDavid E. Pugh

Anesthesiology Services Facility Planning & Development

Facility Services• Environmental Services• Laundry • Facilities Management• Property Management• Public Safety• Safety

Medical EngineeringTelecommunications

Chief Quality OfficerRichard Gitomer, MD

Updated September 2006

Wesley Woods HospitalWesley Woods Hospital

100 Geriatric Hospital100 Geriatric Hospital

Long Term Acute Care HospitalLong Term Acute Care Hospital

No ED/OR/ICUNo ED/OR/ICU

““Continuum of CareContinuum of Care””Budd Terace Budd Terace

Wesley Woods CenterOrganizational Chart

Assistant AdministratorEmory Hospitals

Larry F. Hodges, CHE

Assistant AdministratorEmory Hospitals

Barbara E. Hargett, RN

Assistant AdministratorEmory HospitalsMark A. Aycock

Medical Services & Patient Services Information Systems

Geriatric Nursing Services

Chief Medical OfficerWesley Woods Center

Joseph G. Ouslander, MD

Medical Director Wesley Woods Hospital

Frank W. Brown, MD

Education & Learning Services Employee Health Services• Workers’ Compensation

Educational Information & Media Services• Medical Library

EHC Service Performance

Infection ControlEHC Information Systems’Medical Director

Medical Staff OfficeRisk Management Office

Materials Management• Purchasing

Social Services• Clinical Resource

ManagementValue Analysis

Human Resources

Financial Services• Accounts Payable• Decision Support• Financial Planning• General Accounting• Payroll

Management EngineeringMedical RecordsPatient Accounts• Admissions• Audit Coordinators• Business Office

Clinical Performance Improvement

Regulatory/Accreditation

Associate AdministratorChief Human Resources Officer

Emory HospitalsMargaret A. Bloomquist,

SPHR

Associate AdministratorChief Financial Officer

Emory HospitalsJames T. Hatcher, CPA

Source: Administration, Emory Hospitals

DevelopmentRehabilitation ServicesMental Health Services

Medical DirectorLong Term Care

Jeff Lesesne, MD

Pastoral Services Director

Elwood H. Spackman

Budd Terrace Administrator

Janice Langford

Health Center Administrator & WWC

Assoc. AdministratorWilliam J. Such

Chief Operating Officer

Wesley Woods Center

Peter A. Basler, Jr.

President & Chief Executive OfficerEMORY HEALTHCARE

John T. Fox

CEO, Woodruff Health Sciences Center & Chairman of the Board, EHC

Chairman of the Board, WWCMichael M.E. Johns, MD

Medical DirectorLong Term Acute Care Hospital

Gerry Staton, MD

Wesley Woods, Inc. CEO

Ken Weber

SOURCEDirector

Jennifer Schuck

Wesley Woods Clinic Administrator

JoAnn Croley

Director of Quality,Wesley Woods Center

Vicki Davis

Director of NursingWesley Woods Center

Becky Provine, RN

Wesley Woods LTAC*Administrator

William J. Such

*Wesley Woods Long Term Acute Hospital (LTAC) is a separate corporate entity with a management agreement with Wesley Woods Center

Chief Quality Officer, Emory Healthcare/Chief Medical Officer,

Emory HospitalsWilliam A. Bornstein, MD, PhD

Chief Nursing OfficerEmory Healthcare

Susan M. Grant, MS, RN, CNAA

Updated September 2006

Emory Hospitals FY07 BudgetEmory Hospitals FY07 Budget

Total Operating Revenues of $1.025 billion Total Operating Revenues of $1.025 billion from $2.1 billion in billingsfrom $2.1 billion in billingsoo Emory University Hospital $586 million (57%)Emory University Hospital $586 million (57%)

oo Emory Crawford Long Hospital $384 million (38%)Emory Crawford Long Hospital $384 million (38%)

oo Wesley Woods Center $55 million (5%)Wesley Woods Center $55 million (5%)

Total Operating Expenses of $957 millionTotal Operating Expenses of $957 millionOperating Income of $68 million or 6.6%Operating Income of $68 million or 6.6%

Cardiology ServicesCardiology ServicesMarket Share Market Share –– 20042004

Emory Hospitals combined = 15%Emory Hospitals combined = 15%

13%

9%

7%

5%

4%5%

10%

0%

2%

4%

6%

8%

10%

12%

14%

St. Joe's Piedmont Kennestone Grady Cobb EUH ECLH

OrthopaedicsOrthopaedics and Spine Servicesand Spine ServicesMarket Share Market Share –– 20042004

Emory Hospitals combined = 8%Emory Hospitals combined = 8%

7%

10%9%

6%

5%

4% 4%

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

St. Joe's Piedmont Kennestone Grady Northside EUH ECLH

Oncology ServicesOncology ServicesMarket Share Market Share –– 20042004

Emory Hospitals combined = 16%Emory Hospitals combined = 16%

7%

9%

8% 8%

10% 10%

6%

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

Dekalb Piedmont Kennestone Grady Northside EUH ECLH

Neuroscience ServicesNeuroscience ServicesMarket Share Market Share –– 20042004

Emory Hospitals combined = 14%Emory Hospitals combined = 14%

5%

7%

8%

7%

6%

8%

4%

2%

0%

1%

2%

3%

4%

5%

6%

7%

8%

St. Joe's Piedmont Kennestone Grady Dekalb EUH ECLH WW

Emory University HospitalEmory University HospitalFY2007 Payer Mix InformationFY2007 Payer Mix Information

Medicaid6%

Medicare43%

Blue Cross12%

HMO21%

PPO8%

Self Pay & Other10%

Emory Crawford Long HospitalEmory Crawford Long HospitalFY2007 Payer Mix InformationFY2007 Payer Mix Information

Medicaid19%

Medicare37%

Blue Cross9%

HMO22%

PPO6%

Self Pay & Other7%

Wesley Woods HospitalWesley Woods HospitalFY2007 Payer Mix InformationFY2007 Payer Mix Information

Medicaid2%

Medicare86%

Blue Cross2%HMO

7%

PPO2%

Self Pay & Other1%

Emory Crawford Long HospitalEmory Crawford Long HospitalFY2007 Expense Information ($957M)FY2007 Expense Information ($957M)

Benefits9%

Salaries36%

Supplies27%

Interest & Depreciation

6%

Utilites & Maintenance5%

EU & EHC Overhead6%

All Other11%

Emory Hospitals Cash Flow FY2007Emory Hospitals Cash Flow FY2007

Cash Generated from Operations: $105 millionCash Generated from Operations: $105 millionLESS:LESS:Debt Principal PaymentsDebt Principal Payments $30 million$30 millionCapital ExpendituresCapital Expenditures $37 million$37 millionClifton Road DevelopmentClifton Road Development $12 million$12 millionWHSCAB & SOM FundingWHSCAB & SOM Funding $34 million$34 million

Funding TotalFunding Total $113 million$113 millionThis is our biggest financial challenge as a health This is our biggest financial challenge as a health

science center.science center.

Medical EducationMedical Education

Hospital, via billing from GME office, reimburses Hospital, via billing from GME office, reimburses SOM for residents in accredited programsSOM for residents in accredited programsHospital is then partially reimbursed for this Hospital is then partially reimbursed for this expense from the Medicare program through the expense from the Medicare program through the filing of an annual cost reportfiling of an annual cost reportMedicare has capped Emory Hospitals resident Medicare has capped Emory Hospitals resident FTEs at 356FTEs at 356Tightly regulated area, particularly on accounting Tightly regulated area, particularly on accounting for residents time and the location where they are for residents time and the location where they are workingworking

ResearchResearch

The hospitals have a standard rate of 35% of The hospitals have a standard rate of 35% of charges for research (was 40% in FY2006)charges for research (was 40% in FY2006)

Hospital rates change each September and a new Hospital rates change each September and a new listing of charges is provided to the Clinical Trials listing of charges is provided to the Clinical Trials Office for download into the Office for download into the SiteminderSiteminder SystemSystem

Upfront identification of research patients is a Upfront identification of research patients is a must if proper hospital billing is to occurmust if proper hospital billing is to occur

Research revenues are budgeted at $1.5 million for Research revenues are budgeted at $1.5 million for FY07 (0.1% of hospital revenues)FY07 (0.1% of hospital revenues)

Emory Hospitals: An OverviewEmory Hospitals: An Overview

Q U E S T I O N S Q U E S T I O N S

Emory Healthcare Organizational Chart

Source: Emory Healthcare, Office of the President and Chief Executive Officer

CEO, Woodruff Health Sciences Center & Chairman of the Board, EHCMichael M.E. Johns, MD

CEO, Woodruff Health Sciences Center & Chairman of the Board, EHCMichael M.E. Johns, MD

President and Chief Executive OfficerJohn T. Fox

President and Chief Executive OfficerJohn T. Fox

Director,The Emory Clinic

Wright Caughman, MD

Director,The Emory Clinic

Wright Caughman, MD

President & CEO, Emory Children’s Center Barbara J. Stoll, MD

President & CEO, Emory Children’s Center Barbara J. Stoll, MD

Senior Director, Managed Care

S. Patrick Hammond

Senior Director, Managed Care

S. Patrick Hammond

Senior Director,Marketing

Una H. Newman

Senior Director,Marketing

Una H. Newman

Chief Compliance OfficerAnne Adams, JD

Chief Compliance OfficerAnne Adams, JD

Chief Information OfficerDedra Cantrell

Chief Information OfficerDedra Cantrell

Senior Director, Risk & Insurance Svcs.

Shulamith Klein

Senior Director, Risk & Insurance Svcs.

Shulamith Klein

Chief Human Resources Officer

Margaret A. Bloomquist

Chief Human Resources Officer

Margaret A. Bloomquist

Chief Quality OfficerWilliam A. Bornstein,

MD, PhD

Chief Quality OfficerWilliam A. Bornstein,

MD, PhD

Chief Operating Officer,Emory University Hospital

Robert J. Bachman

Chief Operating Officer,Emory University Hospital

Robert J. Bachman

Chief Operating Officer,Wesley Woods Center

Pete A. Basler, Jr.

Chief Operating Officer,Wesley Woods Center

Pete A. Basler, Jr.

Chief Operating Officer,Emory Crawford Long Hospital

Albert K. Blackwelder

Chief Operating Officer,Emory Crawford Long Hospital

Albert K. Blackwelder

Chief Nursing Officer,Emory Healthcare

Susan M. Grant, RN, MS, CNAA-BC

Chief Nursing Officer,Emory Healthcare

Susan M. Grant, RN, MS, CNAA-BC

Chief Operating Officer,The Emory ClinicDonald I. Brunn

Chief Operating Officer,The Emory ClinicDonald I. Brunn

Chief Financial Officer, Emory Healthcare

James T. Hatcher, CPA

Chief Financial Officer, Emory Healthcare

James T. Hatcher, CPA

Executive Director,Emory Center for Pastoral Services

Elwood H. Spackman, M.Div.

Executive Director,Emory Center for Pastoral Services

Elwood H. Spackman, M.Div.

Chief of StaffGary L. Teal, MBA

Chief of StaffGary L. Teal, MBA

Updated October 2006

Associate AdministratorDebra Bloom, APR

Associate AdministratorDebra Bloom, APR