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Emory HospitalsAn Overview Emory University HospitalEmory Crawford Long HospitalWesley Woods Hospital/Center“more than a hospital”Robert J. Bachman , Chief Operating Officer, EUHMark Aycock, Chief Financial Officer, Emory Hospitals

Emory Hospitals - An Overview BeginningsCurrent ConfigurationLeadership (Management)ServicesOperational Statistics

Emory University HospitalBeginnings/Current Configuration Chartered in 1904/Opened as Wesley MemorialHospital in 1905Moved to Emory campus in 1920sCurrently Licensed to operate 579 bedsActual:360 Med/Surg Beds82 ICU Beds (new 20 bed NICU open in 1/07)52 Rehab Beds (38 in use)20 Psych Beds (18 in use)

Emory Hospitals – LeaderhsipEUH: Robert J. Bachman, COOMark Aycock, CFOSusan Grant, R.N., CNO, EHCIra Horowitz, M.D., CMONathan Spell, M.D., CQOECLH: Albert Blackwelder, COOJames Steinberg, CMORichard Gitomer, M.D., CQOWW: Peter Basler, COOJoseph Ouslander, M.D., CMO

Emory Healthcare System Leadership For EHs John T. Fox, President/CEOJames Hatcher, CFOSusan Grant, R.N., CNOWilliam Bornstein, M.D., Ph.D., CQO

Emory University Hospital12,000 surgeries (300 transplants)700 Heart surgeries/28,000 ED visits ( 28% of pts admitted)494 - Adjusted Average Daily Census27,500 – Adjusted Admissions2,700 FTEs (3,300 employees)ALOS – 6.4 daysCMI – 2.15

Emory University HospitalServices Cardiology/Cardiovascular SurgeryOncology – csThe Rollins PavilionNo OB/No Pediatrics - CHOA

Emory University HospitalOrganizational ChartPresident & Chief Executive OfficerEMORY HEALTHCAREJohn T. FoxChief Quality Officer, EmoryHealthcare/Chief Medical Officer, EmoryHospitalsWilliam A. Bornstein, MD, PhDInfection ControlEHC Information Systems’Medical DirectorMedical Staff OfficeRisk Management OfficeMedical StaffChief Operating Officer — EUHSenior Associate AdministratorEmory HospitalsRobert J. BachmanChief Medical OfficerDevelopmentPathology & Laboratory ServicesPharmacyImaging ServicesTransplant ServicesIra Horowitz, MDHospital AuxiliaryAssociate Medical DirectorDonald C. Davis, MD, PhDAssociate AdministratorChief Operating OfficerEmory HospitalsCRM, Mental Health Services, &Wesley WoodsChief Human Resources OfficerEmory HealthcareMargaret A. Bloomquist,SPHRChief Financial OfficerEmory HealthcareJames T. Hatcher, CPAAssociate AdministratorEmory HospitalsChief Nursing OfficerEmory HealthcareDavid E. PughSusan M. Grant, MS, RN,Associate AdministratorEmory HospitalsToni F. Wimby, CHECNAAPeter A. Basler, Jr.Center for Rehabilitation MedicineHospital Rehabilitation ServicesMental Health ServicesEducation & Learning ServicesEmployee Health Services Workers’ CompensationEducational Information & Media Services Medical LibraryEHC Service PerformanceMaterials Management PurchasingSocial Services Clinical ResourceManagementValue AnalysisChief Financial OfficerEmory HospitalsMark A. AycockAssociate AdministratorEmory HospitalsBarbara E. Hargett, RNClinical stant AdministratorEmory HospitalsLarry F. Hodges, CHEHuman ResourcesChief Quality OfficerNathan Spell, MDFinancial Services Accounts Payable Decision Support Financial Planning General Accounting PayrollManagement EngineeringMedical RecordsPatient Accounts Admissions Audit Coordinators Business OfficeGambroMedical Services & Patient ServicesInformation SystemsNursing Systems Integration & MaternityServicesOncology ServicesPerioperative & Endoscopic ServicesSupport SystemsGeneral Surgery & Transplant ServicesSurgical Specialties/Community ServicesGeriatric Nursing ServicesAnesthesiology ServicesFacility Planning & DevelopmentFacility Services Environmental Services Laundry Facilities Management Property Management Public Safety SafetyMedical EngineeringTelecommunicationsFood & Nutrition ServicesGuest & Volunteer ServicesNeurodiagnostics TestingPastoral ServicesRespiratory Care Services Electrocardiography Pulmonary Function Respiratory TherapyEmergency ServicesAssistant AdministratorEmory HospitalsJane Vosloh, RNGIDOperating RoomPACUAmbulatory SurgerySterile ProcessingSame Day SurgeryPre Admit TestingAssistant AdministratorEmory HospitalsM. June Connor, RNCardiac Services EP Cardiac Cath Lab Heart Failure ProgramCardiac Nursing ServicesSource: Administration, Emory HospitalsUpdated September 2006

Emory Crawford Long HospitalLicensed for 511 beds – 420 beds in serviceEmergency Room - 50,000 visits/year14,000 surgeries (IP & OP) – 1,100 cardiacOB - 4,200 births/year“Open Medical Staff”Long Term Acute Care HospitalCMI – 1.6FTEs – 2300Adjusted FTEs per AOB – 4.8Adjusted Admissions – 33,000/yearALOS – 5 days

Emory Crawford Long HospitalOrganizational ChartPresident & Chief Executive OfficerEMORY HEALTHCAREJohn T. FoxChief Quality Officer, EmoryHealthcare/Chief Medical Officer,Emory HospitalsChief Operating Officer — ECLHSenior Associate AdministratorEmory HospitalsWilliam A. Bornstein, MD, PhDAlbert K. Blackwelder, FACHEMedical StaffCardiothoracic Research LabDevelopmentInfection ControlEHC Information Systems’Medical DirectorMedical Staff OfficeRisk Management OfficeChief Medical OfficerJames P. Steinberg, MDAssociate Medical DirectorAssociate Medical DirectorJames K. Bennett, MDWilliam M. McKinnon, MDAssociate AdministratorChief Operating OfficerEmory HospitalsCRM, Mental Health Services, &Wesley WoodsChief Human Resources OfficerEmory HealthcareMargaret A. Bloomquist,SPHRHospital AuxiliaryChief Financial OfficerEmory HealthcareJames T. Hatcher, CPAChief Nursing OfficerEmory HealthcareSusan M. Grant, MS, RN,Associate AdministratorEmory HospitalsToni F. Wimby, CHEAssociate AdministratorEmory HospitalsDavid E. PughCNAAPeter A. Basler, Jr.Hospital Rehabilitation ServicesLTACEducation & Learning ServicesEmployee Health Services Workers’ CompensationEducational Information & Media Services Medical LibraryEHC Service PerformanceAssociate AdministratorEmory HospitalsBarbara E. Hargett, RNClinical f Quality OfficerRichard Gitomer, MDAssistant AdministratorEmory HospitalsLarry F. Hodges, CHEHuman ResourcesSource: Administration, Emory HospitalsFinancial Services Accounts Payable Decision Support Financial Planning General Accounting PayrollMaterials Management PurchasingSocial Services Clinical ResourceManagementValue AnalysisChief Financial OfficerEmory HospitalsMark A. AycockManagement EngineeringMedical RecordsPatient Accounts Admissions Audit Coordinators Business OfficeGambroMedical Services & PatientServices Information SystemsNursing Systems Integration &Maternity ServicesOncology ServicesPerioperative & EndoscopicServices Support SystemsGeneral Surgery & TransplantServicesSurgical Specialties/CommunityServicesGeriatric Nursing ServicesEmergency ServicesAssistant AdministratorEmory HospitalsJane Vosloh, RNGIDBronchoscopyOperating RoomPACUAmbulatory SurgerySterile ProcessingSame Day SurgeryPre Admit TestingFood & Nutrition ServicesGuest & Volunteer ServicesNeurodiagnostics TestingPastoral ServicesRespiratory Care Services Electrocardiography Pulmonary Function Respiratory TherapyAnesthesiology ServicesFacility Planning &DevelopmentFacility Services Environmental Services Laundry Facilities Management Property Management Public Safety SafetyMedical EngineeringTelecommunicationsAssistant AdministratorEmory HospitalsM. June Connor, RNCardiac Services EP Cardiac Cath Lab Heart Failure ProgramCardiac Nursing ServicesUpdated September 2006

Wesley Woods Hospital100 Geriatric HospitalLong Term Acute Care HospitalNo ED/OR/ICU“Continuum of Care”Budd Terace

Wesley Woods CenterOrganizational ChartCEO, Woodruff Health Sciences Center &Chairman of the Board, EHCChairman of the Board, WWCMichael M.E. Johns, MDPresident & Chief Executive OfficerEMORY HEALTHCAREJohn T. FoxChief Quality Officer, EmoryHealthcare/Chief Medical Officer,Emory HospitalsWilliam A. Bornstein, MD, PhDChief Operating OfficerChief Medical OfficerWesley Woods CenterWesley Woods CenterPeter A. Basler, Jr.Joseph G. Ouslander, MDPastoral Services DirectorDevelopmentRehabilitation ServicesMental Health ServicesMedical DirectorAssistant AdministratorEmory HospitalsBarbara E. Hargett, RNLong Term CareLong Term Acute Care HospitalFrank W. Brown, MDElwood H. SpackmanMedical DirectorMedical DirectorWesley Woods HospitalInfection ControlEHC Information Systems’Medical DirectorMedical Staff OfficeRisk Management OfficeClinical PerformanceImprovementRegulatory/AccreditationJeff Lesesne, MDGerry Staton, MDDirector of Quality,Wesley Woods CenterVicki DavisAssociate AdministratorChief Human Resources OfficerEmory HospitalsMargaret A. Bloomquist,SPHREducation & Learning ServicesEmployee Health Services Workers’ CompensationEducational Information & Media Services Medical LibraryEHC Service PerformanceAssociate AdministratorChief Financial OfficerEmory HospitalsJames T. Hatcher, CPAMaterials Management PurchasingSocial Services Clinical ResourceManagementValue AnalysisAssistant AdministratorEmory HospitalsLarry F. Hodges, CHEHuman ResourcesAssistant AdministratorEmory HospitalsChief Nursing OfficerEmory HealthcareWesley Woods, Inc.CEOKen WeberSusan M. Grant, MS, RN,CNAAMedical Services & PatientServices Information SystemsGeriatric Nursing ServicesBudd TerraceAdministratorJanice LangfordSOURCEDirectorJennifer SchuckHealth CenterAdministrator & WWCAssoc. AdministratorWilliam J. SuchWesley WoodsClinic AdministratorJoAnn CroleyDirector of NursingWesley Woods CenterBecky Provine, RNMark A. AycockFinancial Services Accounts Payable Decision Support Financial Planning General Accounting PayrollManagement EngineeringMedical RecordsPatient Accounts Admissions Audit Coordinators Business OfficeWesley Woods LTAC*AdministratorWilliam J. Such*Wesley Woods Long Term Acute Hospital (LTAC) is a separate corporate entity with a management agreement with Wesley Woods CenterSource: Administration, Emory HospitalsUpdated September 2006

Emory Hospitals FY07 Budget Total Operating Revenues of 1.025 billionfrom 2.1 billion in billingsooo Emory University Hospital 586 million (57%)Emory Crawford Long Hospital 384 million (38%)Wesley Woods Center 55 million (5%)Total Operating Expenses of 957 millionOperating Income of 68 million or 6.6%

Cardiology ServicesMarket Share – 2004Emory Hospitals combined 15%14%13%12%10%9%10%8%7%5%6%5%4%4%2%0%St. Joe'sPiedmontKennestoneGradyCobbEUHECLH

Orthopaedics and Spine ServicesMarket Share – 2004Emory Hospitals combined 8%10%10%9%9%8%7%7%6%6%5%5%4%4%EUHECLH4%3%2%1%0%St. Joe'sPiedmontKennestoneGradyNorthside

Oncology ServicesMarket Share – 2004Emory Hospitals combined edmontKennestoneGradyNorthsideEUHECLH

Neuroscience ServicesMarket Share – 2004Emory Hospitals combined 14%8%8%7%8%7%7%6%6%5%5%4%4%3%2%2%1%0%St. Joe'sPiedmont KennestoneGradyDekalbEUHECLHWW

Emory University HospitalFY2007 Payer Mix InformationBlue Cross12%HMO21%Medicaid6%PPO8%Medicare43%Self Pay & Other10%

Emory Crawford Long HospitalFY2007 Payer Mix InformationBlue Cross9%HMO22%Medicaid19%PPO6%Medicare37%Self Pay & Other7%

Wesley Woods HospitalFY2007 Payer Mix InformationMedicaid2%Medicare86%HMO7%Blue Cross2%PPO2%Self Pay & Other1%

Emory Crawford Long HospitalFY2007 Expense Information ( 957M)Interest &Depreciation6%Utilites & Maintenance5%Supplies27%EU & EHC Overhead6%Benefits9%All Other11%Salaries36%

Emory Hospitals Cash Flow FY2007 Cash Generated from Operations: 105 millionLESS:Debt Principal PaymentsCapital ExpendituresClifton Road DevelopmentWHSCAB & SOM Funding 30 million 37 million 12 million 34 millionFunding Total 113 millionThis is our biggest financial challenge as a healthscience center.

Medical Education Hospital, via billing from GME office, reimbursesSOM for residents in accredited programsHospital is then partially reimbursed for thisexpense from the Medicare program through thefiling of an annual cost reportMedicare has capped Emory Hospitals residentFTEs at 356Tightly regulated area, particularly on accountingfor residents time and the location where they areworking