paving the way for economic growth - Henry Ford Health System

Paving the Wayfor EconomicGrowth• Revitalization• Optimism• Opportunity2010 - 2011 System Report

Transforming lives andcommunities through health andwellness – one person at a time.

2010 - 2011 System ReportHenry Ford Health System cares for more than 100,000 patients every year, but through a number ofstrategic initiatives, the organization is also working to boost the health of an ailing local economy.Michigan has been hard-hit by our nation’s economic turndown. Throughout this challenging time,Henry Ford has increased its investment in southeast Michigan with forward-thinking projects andprograms. Creating optimism and opportunity through expansion, these initiatives play a key part ofthe area’s revitalization and are a driving force in bolstering the economy.Table of ContentsGREETINGS FROM SYSTEM LEADERSHIP...............................................1HENRY FORD HEALTH SYSTEM FAST FACTS.............................................2CLINICAL EXCELLENCEAir Ambulance Expands Emergency Outreach............................................4Physicians Focus on Affordability, Efficiency and Quality ....................................5GROWTHCaring for Canadians ................................................................6Committing to Dearborn with Fairlane Expansion .........................................7REVITALIZATIONLiving, Working and Investing in Midtown................................................8Future Henry Ford Hospital Campus to Span ‘the Boulevard’ ................................9INNOVATIONApplying Science to Innovate Solutions. ...............................................10Harnessing National Funding through Leading Research ................................... 11TechTown Supports Local Entrepreneurs. ..............................................13COMMUNITY INVESTMENTDonating Our Expertise.............................................................14HAP Incentives Create a Healthier Population. ..........................................15One-of-a-Kind Care for the Elderly.....................................................16PHILANTHROPY ENDEAVORS. .......................................................17FINANCIAL PERFORMANCE..........................................................19ACCCOMPLISHMENTS. .............................................................22LEADERSHIP.......................................................................27Henry Ford Health System • 2010 - 2011 System Report 1

Henry Ford Health System’s Board and senior executive leaders, (left to right) are:Anthony F. Earley, Jr.Chair, Board of Trustees,Henry Ford Health SystemNancy M. SchlichtingChief Executive Officer,Henry Ford Health SystemRobert G. RineyPresident and ChiefOperating Officer,Henry Ford Health SystemMark A. KelleyExecutive Vice Presidentand Chief Medical OfficerHenry Ford Health System;and Chief Executive Officer,Henry Ford Medical Group

Henry Ford Health System Fast FactsFast FactsOur Hospitals• Henry Ford Hospital (Detroit) – The System’sflagship hospital and a Level 1 trauma center,with 802 beds and the most intensive care privaterooms in Michigan.• Henry Ford Kingswood Hospital (Ferndale) – Mentalhealth experts offer inpatient care for all ages with100 beds.• Henry Ford Macomb Hospitals – Clinton Township– Macomb County’s 349-bed hospital offersemergency, specialty and general care.• Henry Ford Macomb Hospitals – Warren – Morethan 203 beds and specialties such as bariatrics,inpatient rehab and orthopedics, and emergencycare.• Henry Ford West Bloomfield Hospital – TheSystem’s newest hospital with all private rooms,comprehensive and complementary care.• Henry Ford Wyandotte Hospital – ServingDownriver with more than 400 beds and a fullrange of comprehensive and specialty services.Our Medical Centers• 32 Henry Ford Medical Centers are located inmetropolitan Detroit.Locations in Wayne, Oakland, Macomb andWashtenaw Counties.• 3 Medical Centers offer 24-hour Emergency Careand ambulatory surgery and are primary carestroke centers.• Focus on preventive care services, family andinternal medicine, pediatrics, diagnostic services,rehabilitation, and specialty services includingallergy and gastroenterology.Henry Ford Milestones 2010• More than 23,000 employees and 9,200employees in the city of Detroit• 3,214 allied health professionals• Almost 10,000 hospital admissions• 3.2 million outpatient visits• 88,000 surgical procedures• More than 1,600 future physicians trained• Continuing Medical Education provided to almost54,000 physicians• HFHS researches engaged in more than 1,400active studiesThe Henry Ford Medical Group• 1,200 research and specialists in 40 specialties• More physicians listed in Top Docs than any otherhospital in metro Detroit• National leaders in e-Prescribing, usingtechnology to send prescriptions directly topharmacies• Physicians also use E-visits, online consultationswith patientsCommunity Care Services• Henry Ford Health Products, a medical supplyretailer• Henry Ford Medical Center Pharmacies andFairlane Pharmacy Services, IV therapy andmedication services for long-term care facilities• Pharmacy Care Management, medicationmanagement for patients• Greenfield Health Systems, dialysis and bloodtherapies• Lifeline, an emergency-alert system• Henry Ford Extended Care, private-duty nursing• Henry Ford Home Health Care, a Medicarecertifiedhome care agency• Occupational Health, workplace injury prevention,evaluation, treatment and safety services• Center for Senior Independence, an alternative tonursing home care for the frail elderly• Henry Ford Continuing Care Corporation, withnursing homes in Harper Woods (153 beds) andRoseville (172 beds)• Henry Ford Hospice, including Kaleidoscope Kids,a program for children with terminal and chronicillnesses, and SandCastles, a grief supportprogram for children and families• Henry Ford OptimEyes, in partnership with EyeCare Services• Josephine Ford Cancer Center – Downriver• Henry Ford Self-Health Center, home medicalproducts and servicesMedical Group Clinical Excellence• Heart and Vascular Institute• Josephine Ford Cancer Center• Henry Ford Transplant Institute• Maplegrove Center for addiction care• Neuroscience Institute• Orthopaedic Surgery• Vattikuti Urology Institute2 Henry Ford Health System • 2010 - 2011 System Report

Henry Ford Health System HospitalsHenry Ford Health System hospitalsHenry Ford Hospital – DetroitHenry Ford Kingswood Hospital – FerndaleHenry Ford Macomb Hospital – Clinton TownshipHenry Ford Macomb Hospital – WarrenHenry Ford West Bloomfield Hospital – West BloomfieldHenry Ford Wyandotte Hospital – WyandotteHenry Ford Health System • 2010 - 2011 System Report 3

Clinical ExcellenceAir Ambulance Expands Emergency OutreachEvery week, the sounds of “chopper” blades can beheard reverberating in the courtyard at Henry FordHospital. This is where the Superior Air aeromedicalhelicopter lands, bringing critically ill or injured patientsfrom as far as 150 miles away.“In October 2010, we added the Air Med I helicopteras a new service for transporting patients to HenryFord for care,” said John Popovich Jr., M.D., presidentand CEO of Henry Ford Hospital. “We predicted thiswould bring more than 100 patients every year toHenry Ford, but the trajectory is already higher.”Patients are rapidly transferred from outlying areaswhere trauma or critical care is not available, andwhere any delay could worsen their condition or leadto death. Most air ambulances travel up to 50 miles,but Henry Ford brings patients from three timesfarther, including patients from Sarnia and Leamington,Canada.“Patients who are flown have a complex profile andmuch higher likelihood of requiring surgery,” explainsPopovich. “As a designated Level 1 trauma centerwith more intensive care beds than any other facilityin Michigan, Henry Ford is ideally prepared to helppatients in the direst conditions.”Patients flown in for care also have a much highercase mix index, which means the complex natureof care required results in higher charges that arereported to Medicare. “A higher case mix indexgives us the opportunity to offset lower paymentinsurances or non-insured care for our other patients.This is very important for the continued financialstability of the System,” reveals Dr. Popovich.The complex cases also expose medical staff andstudents to injuries and illnesses not frequently seen,expanding educational opportunities and researchrelated to areas such as critical care, acute traumaand transplant programs.In the future, Henry Ford may be able to reach evenfarther outlying areas with the helicopter. Anotherpossibility on the horizon is fixed wing – or airplane –transport.“These moves allow us to continue to expand therange of patients who are able to come to Detroit fortheir care,” says Dr. Popovich. “Our goal is to grow,and the Air Med helicopter allows us to do that in avery meaningful way for the patients we reach.”Henry Ford’s Air Med 1 helicopter brings critically ill and injured patients to Henry Ford Hospital from up to 150 miles away. This capability extends the hospital’s reach topatients in the most dire conditions. At the same time, it creates a higher case mix index and opportunities to offset uninsured care.4 Henry Ford Health System • 2010 - 2011 System Report

Clinical ExcellencePhysicians Focus on Affordability, Efficiency and QualityIn January 2009, Henry Ford Health Systemleadership gathered on a snowy Saturday at the underconstructionWest Bloomfield Hospital. They wereacting on a request Health Alliance Plan received froma major client, who wanted Henry Ford to providea high-performance physician network for theiremployees.“After four hours, leadership realized we neededto develop a more effective way to actively engageall our physicians, whether part of the Henry FordMedical Group, employed, or private practice,” saysMatthew Walsh, Vice President of OperationsHenry Ford Physician Network.This was the unofficial beginning of Henry Ford’sAccountable Care Organization (ACO). “The goal wasto standardize a high level of quality and efficiencyacross the System, wherever patients are seen underthe blue Henry Ford sign,” explains Walsh. “Creatinga better model for health care delivery means HenryFord will provide care more cost effectively withhigher quality, eliminating waste and creating valuethat will be shared by patients, employers, providersand health system.”Physicians willingly participated. The entire HenryFord Medical Group, as well as a majority ofemployed and private practice physicians, steppedup to the plate. The Henry Ford Physician Network isled by a board of physicians who focus on improvingthe quality and efficiency of health care in the region,finding innovative ways to make it safer and moreaffordable.The ACO establishes a way for leadership to engagewith medical staff and attract new physicians into thesystem. Physicians share best practices, measureoutcomes, and improve how they care for patients.“We’ve built and invested in infrastructure,information technology and relationships betweenand among physicians,” says Walsh.Physicians have access to patient’s complete medicalrecords, reducing duplicate tests and procedures, andmaking lab and radiology results readily available tothose involved in the patient’s care.“Physicians will have the information at theirfingertips to do the right thing, at the right time,for the right reason, for every patient within thenetwork,” says Walsh. “The direct result is highqualitycare with greater efficiency and cost savings.Preventive care increases and disease managementimproves, resulting in healthier patients who can bemore productive at work and miss fewer work daysbecause of illness or complications from disease.Patients and employers save money on health care,which can go back into the local economy, resulting inmore jobs and greater economic stability.”Henry Ford Health System physicians are leading the way in establishing theSystem’s Accountable Care Organization (ACO). This new model for health caredelivery will result in improved preventive care, better disease management andlower health care costs for patients and employers.Henry Ford Health System • 2010 - 2011 System Report 5

GrowthCaring for CanadiansOne of Detroit’s closest suburbs isn’t even in thesame nation – it is Windsor and Essex County,Canada. While the Canadian health care systemoffers its patients excellent hospitals and services,the distance to transfer a patient from the Windsorarea to the nearest tertiary hospital in Canada is fargreater than the distance to transfer the same patientto Henry Ford Hospital in Detroit. Many patientsare treated and stabilized, then return to Canada forcontinued post-acute care and monitoring.“Because of our proximity to Canada, Henry Ford canstep in to offer care for the most complex cases, suchas patients with heart disease, vascular disease andtrauma,” explains John Popovich Jr., M.D., presidentand CEO, Henry Ford Hospital. “In addition, thosewho want to expedite care for elective procedures,especially joint replacement or bariatric weight-losssurgery, have easy access to Henry Ford.”Since January 2006, almost 4,000 Canadian patientshave accessed Henry Ford’s services, who mostfrequently come to HFHS for Bariatrics, Cardiologyand Orthopedics.At the System’s New Center One offices, severalemployees are specially trained to answer questionsfrom Canadian patients who call using 1-800-Henry-Ford. Canadian patients receive a discount forservices and often can use their Canadian healthplan. Ties to Canada offer significant opportunities forthe System to favorably affect financial performance,and have a far-reaching effect into the local economy.Canadian patients come to Detroit for proceduresand often, second opinions. While in the area,they dine at local restaurants, overnight at hotels,and solicit gas stations and shops. Some discoverentertainment opportunities in the area, such asDetroit’s many theaters and sports venues, thatbring them back to the city. This new, local groupof customers is attracted to the city, bringing theirfinancial support to local businesses.“We don’t actively seek or solicit patients fromCanada, but we have become a trusted, availableresource for Canadians and offer programs inpartnership with Canadian health care providers,universities and medical schools. We’re continuingto grow that partnership and good will to create aninternational gateway for healthcare,” concludes Dr.Popovich.Edward Falica, Tecumseh, Ontario, was rushed to Henry Ford Hospital following a major heart attack. Crossing the US-Canada border offered the best chance for quickinterventional treatment, which saved the 57-year-old’s life.6 Henry Ford Health System • 2010 - 2011 System Report

GrowthCommitting to Dearborn with Fairlane ExpansionWith an $11 million investment, Henry Ford HealthSystem looks forward to the November 2011 openingof a second Medical Center in Dearborn, augmentingthe services currently offered one mile away at theHenry Ford Medical Center – Fairlane.“In July 2010, the former Visteon World Headquartersbuilding, located at Auto Club Drive and Ford Road,became available, and Henry Ford leased 65,000square feet to start,” explains Tom Nantais, chiefoperating officer, Henry Ford Medical Group.After extensive remodeling, the Center will beoutfitted to house an Optimeyes SuperVision Center,Ophthalmology, Dermatology, expanded Women’sHealth services, a large Henry Ford Pharmacy,Laboratory and Radiology services, an Urgent CareCenter, Pediatrics and Physical Therapy.“The current Fairlane Medical Center will remainopen and fully functioning, including the ER. We’llbe remodeling, updating and expanding the buildingto better serve patients,” says Nantais, “includingthe operating rooms, 23-hour observation area, andLaboratory and Radiology.”Remodeling has already brought an influx of workersto the area, and with the opening of the new building,more staff will be needed.“We’ve contracted workers through the remodelingprocess, and will add staff with the Center’s opening,”says Nantais. “When the Henry Ford MedicalCenter – Columbus in Novi opened eight years ago,it resulted in a 20 percent surge in retail sales formerchants in that building alone. With space availablein the former Visteon building, this also createssignificant retail and business opportunities.”Area merchants whose traffic has decreased sincethe closing of the Visteon building, such as gasstations, restaurants and shops, are certain to benefitfrom the expansion, as well.“Fairlane is the busiest ambulatory center in theHenry Ford Health System, with approximately350,000 patient visits and 62,000 EmergencyDepartment visits annually,” concludes Nantais. “Theadditional Center shows a long-term commitment byHenry Ford to patients and the Dearborn community.”Leaders from Henry Ford Medical Group, Henry Ford OptimEyes and Henry Ford Medical Center - Fairlane inspect the new Henry Ford Medical Center - Ford Road location.Featured from left to right: Dr. Richard Dryer, chief medical officer for Primary Care, Henry Ford Medical Group; Cecelia Fydroski, administrator, Henry Ford Medical Center- Fairlane; Nanette Michaels, vice president of Operations, OptimEyes; Tom Nantais, chief operating officer, Henry Ford Medical Group; Joann Quaine, RN, supervisor,Women’s Health Services & Pediatrics, Henry Ford Medical Center - Fairlane; Paul Szilagyi, regional vice president, Primary Care & Medical Centers, Henry Ford MedicalGroup; and Dr. Deloris Berrien-Jones, physician-in-charge, Henry Ford Medical Center - Fairlane.Henry Ford Health System • 2010 - 2011 System Report 7

RevitalizationLiving, Working and Investing in MidtownA Midtown area anchor, Henry Ford Health Systemteamed up with the University Cultural CenterAssociation, Wayne State University and TheDetroit Medical Center to offer financial incentivesto its employees who want to live and invest in aMidtown residence.“Employees who apply to the program can receiveup to $25,000 toward a new home purchaseand $2,500 toward a first-time rental within theLive Midtown boundaries,” explains Noel Baril,vice president, Talent Selection & Rewards. “TheMidtown area is a vibrant, growing community, andwe’re excited that so many of our employees areinterested in living in the community where theywork.” Current Midtown residents can also receivesubstantial incentives toward rent or exterior homeimprovements.Live Midtown incentives have encouraged homepurchases. In April 2011, 19 HFHS employees hadalready received funding, six for rent renewal, eightfor new rentals, and five for home purchase.Not only do home purchases help stabilize homeprices, Live Midtown also incentivizes exteriorhome improvements, which have a positive visualimpact on the area and bolster home values.“Local merchants, restaurants, and entertainmentvenues benefit from the increase in Midtownresidents who, as a result of the incentives, enjoyhigher discretionary income,”says Baril.According to Schantelle Steen (pictured on cover),admitting officer, Henry Ford Hospital, whopurchased a home with Live Midtown funding,“Everything I do is in Midtown. Kim’s Produce,Goodwells Natural Foods Market and the Avalonbakery are all close by. I like supporting localbusinesses and taking part in local activities, likejazz and coffee nights at the library.”Conceived in 2010 and launched in January 2011,Live Midtown will continue through 2011.Jamar Williams, retention coordinator, HAP, took advantage of Live Midtownfunding to purchase his 2,100-square-foot Midtown loft. Williams likes everythingabout his new home, from the high ceilings, open spaces and hardwood floors to thelocation, which allows him to walk to work, restaurants and the theater.8 Henry Ford Health System • 2010 - 2011 System Report

RevitalizationFuture Henry Ford Hospital Campus to Span ‘the Boulevard’TThe Henry Ford Hospital campus is situated northof West Grand Boulevard, but a planned expansionwill create a campus that spans the Boulevard andembraces the surrounding community.“Our vision is for a walkable, open and green campusthat is accessible to the community and offers ablend of activities,” explains John Popovich, Jr. M.D.,president and CEO, Henry Ford Hospital. “It will feelmore like a college campus and support our overallvision of being one of the premier health sciencescenters in the country.”Henry Ford’s North Campus would gain expandedinpatient care space, while new research, ambulatorycare and education facilities will be built on the SouthCampus. Henry Ford plans to invest $500 million ormore into the expansion, with an additional $500 to$800 million expected in commercial investment.The South Campus will house three main buildings:Research, Ambulatory Care and Education. HenryFord is in discussions with Wayne State Universityto develop a plan for a combined research building tosupport both basic and clinical research.Creating ambulatory care space on the South Campuswill allow expansion of primary care and specialtycare clinical programs. This concept, under currentevaluation, would allow Centers of Excellence andsubspecialty programs to expand in the Clinic Toweron the North Campus, and at the same time, expandand enhance space for specialty hospital care, alsoplanned for the North Campus. The South CampusAmbulatory Care Center will also consolidate theclinical operations located at New Center One.“A great advantage of the planned Henry Ford HospitalClinic is to have one site to meet all ambulatory needsof the patient,” notes Dr. Popovich. “This creates anenvironment which supports the team-based careconcepts provided by the Henry Ford Medical Group.”The new education building will support the spectrumof medical education for physicians, nurses, and alliedhealth, starting with undergraduate education throughcontinuing professional education.The goal is for the Henry Ford Campus to beseamlessly integrated into the community. Beyondresearch, ambulatory care and education, thecampus will offer ideal space for retail, commercialand residential enterprises that support health,medicine, community events, and the restoration ofthe city.“The education building is planned to be a conveningsite, similar to the Kellogg Center at Michigan StateUniversity, providing a professional conference site.We plan for its use by the community, as well, forother educational and cultural events. The campuswill be integrated with the community througheducational support facilitated by Henry Ford, such asour Early College, and will support other local schoolprograms,” says Dr. Popovich.The System continues to make steady progresstoward property control, and has purchasedapproximately 80 percent of the initial targetedland. Selective demolition of existing structures hasalready begun and has been positively received bythe community. The current timeline calls for definedpriorities and an architectural plans to be completedby the end of 2011. Infrastructure work will begin in2011, and construction will start by 2014.“We have committed to work closely with thesurrounding community residents, business leadersand community associations to ensure they areclosely informed of our activities. Over the course ofthe next several years, we will see tangible evidenceof progress,” says Dr. Popovich. “We’re excited topartner with others, facilitate transformation, andtake a leadership role in restoring Detroit’s vitality andtransforming the city.”Henry Ford Health System • 2010 - 2011 System Report 9

InnovationApplying Science to Innovate SolutionsGrowth and expansion don’t always come in form ofbricks and mortar. Sometimes they come in the wayof ideas. The Henry Ford Health System InnovationInstitute was developed to offer an environmentwhere scientific ideas can be applied to solve realproblems and improve technology, equipment andprocesses in health care.“Innovation strengthens when you have a criticalmass of creative thinkers and build an environmentthat offers support, enhances success andtolerates failure. Through failure, we discover,”explains Madhu Prasad, M.D., director of the Institute.The Innovation Institute brings together people withvarious skills who have unique design, engineering,technological and creative talents that enable them tolook at a problem and devise a solution, whether it’sa new piece of equipment, technology, or a process.Currently, the Education Building, located in thecenter of Henry Ford’s Downtown Campus, is beingrenovated to house the Institute.“We’re bringing together students and faculty fromDetroit’s College for Creative Studies, Wayne StateUniversity’s College of Engineering and SmartSensors and Integrated Microsystems Program, andengineers, physicians, nurses, and other professionalswho work together to identify opportunities wherethey can pioneer solutions,” says Dr. Prasad.More than 30 projects are in process, and includeinnovating new technology and procedures fortreating congestive heart failure and arrhythmias,diagnosing and treating cancer, and applying radiationto tumors. Advanced technologies, more commonlyfound in the aerospace, automotive, and informationtechnology sectors, are all being brought together todevelop devices into marketable products.“Our goal is multi-fold,” reveals Dr. Prasad. “Weare forming the center point of a new medicaltechnologicaleconomy in the city of Detroit. We’realso establishing an environment where intellectualproperty is valued and protected and can potentiallybe commercialized to become new scienceand technology to improve health care.”Henry Ford has partnered with TechTown and anumber of major donors to make a significantinvestment in the Innovation Institute and thecommunity.“We’re working to develop a technology transfercapability that will amplify the effect of new products,enhance development of spin-off companies,and have the potential for providing high-qualityjobs locally,” reveals Dr. Prasad. “Technology- andknowledge-based economic development is a frontierfilled with possibilities for a creative economy.”Henry Ford Health System in partnership with the Henry Ford Medical Group and other institutions such as Wayne State University andthe College for Creative Studies is launching the new Innovation Institute which will open in October, 2011 on Henry Ford Hospital’s MainCampus. The Institute will provide resources to foster collaboration, coordination and communication between physicians, engineers,designers and industry. By combining their talents they will develop, test, and market novel technology-based approaches in an effort tosave resources, time and ultimately – patient lives.10 Henry Ford Health System • 2010 - 2011 System Report

InnovationHarnessing National Funding through Leading ResearchIn 2010, Henry Ford Health System received morethan $52,000,000 in research awards, grants andcontracts and lead the state in National Institutesof Health funding awarded to non-universitybased heath care systems.Researchers at Henry Ford Health System areengaged in more than 1,400 active studiesinvolving patients, patient data, or animal models.In 2010, Henry Ford ranked in the top 200 out ofmore than 1,200 institutions receiving NationalInstitutes of Health (NIH) funding from the federalgovernment. In the state of Michigan, HFHS ranksafter only the University of Michigan, Wayne StateUniversity and Michigan State University in NIHfunding. It has the largest NIH-funded researchprogram of any non-university hospital in thestate.Some Major Research Programs at Henry FordHealth SystemDepartment: The Department of Internal Medicine’sHypertension and Vascular Research Division.Research Goal: Examine the causes and consequencesof high blood pressure.Funding: Funded by two Program Project Grants awardedby the NIH (one funded continuously since 1982) andother NIH and foundation awards. This division received$5.3 million in external funding in 2010.Department: The Department of Internal Medicine’sCardiology Division.Research Goal: Develop and test model devices and newdrugs for treating heart failure.Funding: $3.6 million in external funding in 2010.Other divisions in the Department of Internal Medicinebring in an additional $19 million in external funding.Department: The Department of Public Health Sciencesand the Center for Health Policy and Health ServicesResearch.Research Goal: Investigate gene-environmentinteractions in prostate cancer, causes and consequencesof childhood allergies, asthma, racial disparities in care,problems with adherence to medications and cancerepidemiology.Funding: NIH and foundation grants of more than $6million awarded.Department: The Department of Neurology.Research Goal: Investigate stroke, migraine, cerebralmetabolism, Parkinson’s disease, neuromuscular diseasesand epilepsy, and how bone marrow cells help restorebrain function after stroke.Funding: More than $6.5 million in grants and contracts.Department: The Department of Emergency Medicine.Research Goal: Advance treatment of traumatic braininjury. The Department is the coordinating center for theNeurological Emergency Treatment Trial Network.Funding: $2.8 million in external funding.Department: The Department of Neurosurgery.Research Goal: Understand and develop treatments forbrain tumors and traumatic brain and spinal cord injuries.Funding: $2 million in external funding.Henry Ford Health System • 2010 - 2011 System Report 11

InnovationTop 10 Henry Ford Hospital research projects funded by the National Institutes ofHealth grants in 2010:$2,447,006 Vasoactive autacoids in blood pressure regulation Oscar Carretero, MD$2,054,380 Blood pressure regulation: Novel roles for the kidney Jeffrey Garvin, PhD$1,094,936 ProTECT III: Progesterone for Traumatic Brain Injury: Christopher Lewandowski, M.D.Experimental Clinical Treatment Multicenter Clinical Trial$1,056,874 Prostate, lung, colorectal and ovarian cancer screening Paul Kvale, MD$963,563 Stroke Research Center Michael Chopp, PhD$777,286 National Lung Screening Trial Paul Kvale, MD$760,606 Admixture mapping of sarcoidosis genes in African Americans Benjamin Rybicki, PhD$732,635 Pharmacogenomics of inhaled corticosteroid responsiveness Keoki Williams, MDin patients with asthma$718,662 Development of hardware and software for clinical MEG Norman Tepley, PhD$692,432 Statins and lymphoid malignancy risk in a large multi-site Christine Johnson, PhD, MPHpopulation based cohort2010 Awards, Grants and ContractsTotal AwardOrganization$24,669,404 National Institutes of Health awards$20,493,521 Pharmaceutical/Industrial awards$3,261,816 Other federal awards$2,337,693 Foundation and other awards$1,636,028 State and local agency awardsTotal: $52,398,462Oscar A. Carretero, M.D. (far right), senior staff investigatorin the hypertension and vascular research division,Department of Internal Medicine at Henry Ford Hospitalwas awarded the Robert Tigerstedt Distinguished ScientistAward in 2011 for his outstanding work in the field ofhypertension. Dr. Carretero is the lead investigator on afive-year, $12 million grant from the National Institutesof Health. He is also the principal investigator on a $1.3million, four-year grant from the National Institutes ofHealth. Dr. Carretero has received the E.K. Frey - E. WerleCommemorative Gold Medal from the E.K Frey - E. WerleFoundation; Distinguished Scientist Award from the HenryFord Medical Group; Novartis Award for HypertensionResearch from the Council for High Blood PressureResearch of the American Heart Association; and theLifetime Achievement Award in Hypertension Researchfrom the Inter-American Society of Hypertension. He haspublished more than 350 papers in peer-reviewed journalsand 35 book chapters.12 Henry Ford Health System • 2010 - 2011 System Report

InnovationTechTown Supports Local EntrepreneursAfter decades as a manufacturing giant, Detroithad become a town where entrepreneurshipwas no longer a part of the culture. Residentsgrew complacent in a comfortable reliance on theautomotive industry and the jobs it created. But goneare the days of Henry Ford and the Dodge Brothers,and changes in the economic landscape have createda burgeoning entrepreneurial spirit. Today, TechTownoffers a supportive and dynamic environment wheremore than 240 start-up companies are currentlygrowing.Hosted by WayneState Universityand supportedby a handful ofstakeholders,includingHenry FordHealth System,TechTownis located atthe corner ofBurroughs andCass Avenue inMidtown Detroit.The buildingwas donated byGeneral Motorsand underwentextensiverenovation.“TechTown is an incubator-accelerator,” explains LeslieSmith, general manager of Tech Town. “An incubatoris a place where tools and support are given tohelp launch a business. An accelerator continues toprovide support to move the company forward. Thegoal is for every startup to outgrow TechTown andmove out into the community on their own.”More than an office building, TechTown offers tenantsaccess to coaches, mentors and interns, marketresearch at Wayne State University, assistance withprototype development, and locating and tapping intofunding sources. Start-ups can also receive assistancein developing financials, conducting a market survey,creating a board of directors and establishing anexecutive team.Tenants pay for space, but wraparound services arefree. Non-tenants pay a small membership fee toparticipate in entrepreneurial support services.Residents are situated in space that ranges from avirtual office with an email box and shared meetingspace to fully developed suites with multiple officesand labs. Many companies focus on the life sciences,biomedical technology, medical devices, therapeutics,engineering, energy, information technology,homeland defense and robotics.TechTown hasnot only filled avacant buildingwith activeand growingbusinesses, butis helping plantingseeds todaythat will growover the comingyears. It is nowthe largest, mostdiverse start-upincubator in theworld servingcompanies ofevery size, type,ethnicity and agerange.“We have a diverse demographic, with many clientsover age 50. Right now, the majority are women.Within the building, there is a natural energy andunique connection between the new and moreestablished tenants,” says Smith.Exceptional outcomes have been realized sinceTechTown was established in 2004. According toSmith, “Most recently, our programs have helped15 displaced industrial professionals transfer theirskills to a new economic paradigm, preparing themto transfer their intellectual capabilities and real-lifeexperiences. We’ve exposed 5,000 people to the ideaof entrepreneurship and have taken 1,300 throughentrepreneurial education. And in the last two years,more than 250 new companies were created.”Henry Ford Health System • 2010 - 2011 System Report 13

Community InvestmentDonating Our ExpertiseIn their time off, System leaders are coaching specialathletes, helping kids through grief and loss, stockingfood banks and serving hot meals to adults andchildren.“As an organization, we want to be connected withthe community through volunteerism,” explainsDoug Clark, Vice President, Audit and Tax ServicesHenry Ford Health System. “This year, 287 leadershave already reported on their volunteer activities, anincrease of 150 percent over last year.”“Unofficially, volunteerism has been a part of theSystem’s culture for a long time. But about two yearsago, under the leadership of CEO Nancy Schlichting,we stepped up our focus and began to track it,” saysClark.While it’s not a requirement, directors and abovereport their community support, volunteering at areaorganizations of their own choosing. In 2010, 10,000volunteer hours were reported. In 2011, the goal is12,000 hours, but Henry Ford will far surpass thatgoal, as more than 18,000 hours were reported inthe first quarter alone. This equates to a staggering$1.4 million contribution based on salary averages.The community benefits in ways that can’tbe tracked, but can be felt. “The demand forhumanitarian services in economically tough timesmay never have been never greater. At the sametime, the financial strength of the very organizationsthat help are threatened, as donations andsupport decrease,” points out Clark. “This level ofvolunteerism plays a significant role in keeping vital‘safety nets’ functioning effectively at a time whenthey are most in need.”The Special Olympics, Habitat for Humanity, SafeHaven for Kids, Sandcastles and Sandcastlescamp, Crossroads Soup Kitchen, Gleaners and theMacomb County Food Bank are all recipients ofHenry Ford leadership’s time and energy. Leadershipgrow through their work in the community, and havereported they feel their professional development isenhanced through their volunteer work.lsdfjlasdjf lakwefjkl lqerj l lar lqwerjklwej l;sdfgkl;awe;rk ;lawekrl;ka wrk;lawe4kjfg jqw3lkerjwjaekl lkjl;kfl;;lsdf gk; asl; l;akf;aslfkas k;awer;kfl;asdk;flk awkal;r;laek;f;alerk;ef ;lawek l; awfl;l;awekl;ikal; fk;lf;ak;elf ;afk;awekl;,dk, k;awelrkl;a f;lfk;aweke asl;f;f.14 Henry Ford Health System • 2010 - 2011 System Report

Community InvestmentHAP Incentives Create a Healthier PopulationAccording to Bill Alvin, Health Alliance Plan (HAP)president and CEO, “The Mission of HAP is toenhance the health and well being of the lives wetouch. To that end, we’ve evolved from a healthinsurance company to a health and well-beingcompany that sells health insurance products.”Not only has HAP rolled out new products, they’reencouraging members to focus on prevention. HealthEngagement is a plan structured to create strongrelationships between physicians and members, whoreceive incentives to work toward improving theirhealth. Health Engagement membership has grownto more than 60,000.Studies show that primary-care provider continuityimproves outcomes for those with chronic illness.Health Engagement is structured to create thoseconnections and offer financial rewards for gettinghealth screenings and keeping weight, blood sugar,cholesterol and blood pressure under control. HAPeven conducts wellness programs at many companyworksites.Since the program’s inception, preventiveservices have increased by 50 percent and clinicalimprovements in cholesterol and diabetes controlhave been achieved.“A healthier population also results in more productiveemployees and lower absenteeism,” says Alvin.“Increased productivity makes businesses moreviable economically.” In addition, members whoprevent health crises, such as heart attack or stroke,prevent personal economic hardship brought about byserious medical events.HAP has also responded to increased joblessnessand early retirement by offering a broader range ofproducts, from a solo product for self-insurers toMedicare products for those who retired early. Thisresponse, coupled with Health Engagement, hasresulted in positive financial outcomes for MichiganbasedHAP.“We’ve been able to reverse a multi-year trendin member loss, and in spite of the economy,membership increased last year,” says Alvin.“Between 2009 and 2010, we added 59 newemployees, and are proud to have a positive impacton their lives and the lives of our members.”A new HAP product, Health Engagement, rewards members who focus on prevention and work toward improved health and wellness. HAP representatives engageGeneral Motors employees in exercise that can be done anywhere at any time as part of a healthy lifestyle.Henry Ford Health System • 2010 - 2011 System Report 15

Community InvestmentOne-of-a-Kind Care for the ElderlyThe prospect of aging brings with it a host ofquestions for much of the population. Finding theright level of care is a concern, but just as compellingis a need to continue living a life rich in experiencesand relationships, good health and daily activity.Henry Ford Health System, together withPresbyterian Villages of Michigan (PVM) and UnitedMethodist Retirement Communities (UMRC), willbreak ground in late summer 2011 on the EastJefferson Collaborative, a senior center with a dayprogram on the first level and housing and assistedliving on the upper floors. Henry Ford and PVM, willoperate the senior center, while PVM and UMRC willoperate the assisted living program.According to John Polanski, president and ChiefExecutive Officer for Community Care Services atHenry Ford Health System, “Henry Ford currentlyoperates the Center for Senior Independence, aninnovative, all-encompassing approach to senior carethat packages health care, social, and economicservices. Everything needed for the care of theindividual is included in this capitated program fundedby Medicare, from prescriptions to doctor visits tofull day care services, personal care services andsocial activities. It’s truly unique and allows HenryFord to care for the entire person in a coordinated,meaningful way.”Located at Outer Drive and the Southfield Freeway,the Center serves more than 210 seniors. Theaverage age is 86, and all continue to live in their ownhomes but come to the Center as often as every day.Transportation is provided daily for all participants.“The one component we’re missing with the Centeris the ability to offer housing for our clients when theyneed more care,” explains Polanski. “That need will bemet by the East Jefferson Collaborative. While we arestarting with one location, looking ahead, Henry Fordand PVM plan to expand to four sites in SoutheastMichigan. This plan would allow the Centers to servemore than 1,000 participants.”The East Jefferson Collaborative equates to a$4-5 million investment in the community,redevelopment of a neighborhood, and additionaljobs numbering at least 100.It also fills a need for supportof the elderly population inDetroit. Clients without familiesgain a loving, extended family.And when clients have familymembers, they can continue towork knowing their loved one iscared for.“The Center for SeniorIndependence is the onlyprogram of its kind in the area,”says Polanski. “It’s heartwarming.We have a choir, an annualcelebration for those 100 orolder, and our clients enjoy amuch-improved quality of life.With continued expansion, we’llbe able to offer an even greatercompliment of care to many moreresidents. It’s very exciting and soimportant.”16 Henry Ford Health System • 2010 - 2011 System Report

Philanthropy En d e av o r s2010 - 2011 Philanthropy Endeavors• More than $3 million was raised from Systememployees and physicians through the annualemployee Community Giving Campaign, witha 56 percent participation rate. A total of 2160volunteers, including 1,450 employee and physicianambassadors for the Community Giving Campaign,150 leadership volunteers, and 560 eventvolunteers supported the fundraising efforts.• At the end of the fourth year of the seven-yearEnvision Campaign, more than $167 million in giftcommitments were recorded, achieving more than67 percent of the campaign’s $250 million dollargoal. Henry Ford Health System has received 43gifts of $1 million dollars or more for the EnvisionCampaign.• For the eighth consecutive year, the System hasachieved a record number of donors contributing ina single year – more than 19,700.• For the fourth consecutive year, the System hasreceived 100 percent Trustee participation in giving.• The 2010 cost-for-dollar raised in philanthropicgiving was 17 cents on the dollar. The nationalaverage is 30 to 35 cents per dollar raised.The success of Henry Ford Health System, foundedas Henry Ford Hospital in 1915, would not have beenpossible without generous support of Henry and ClaraFord and their family. The Ford family contributedthe funds that were used to build and equip thebuildings and staff the hospital. In the early years,the Ford family helped the hospital keep its doorsopen by reimbursing the hospital for any lossesaccumulated throughout the year. This tradition ofphilanthropy continues to this day. Philanthropic giftshave helped to establish Henry Ford Health System asa national leader in health care. The mission of HenryFord Health System’s Office of Philanthropy is tosecure charitable resources to improve lives throughexcellence in the science and art of health care andhealing.We accomplish this when we engage volunteers,stakeholders, medical and administrative staff aspotential and retained donors and seek their counselduring the identification, education, cultivation andsolicitation of additional philanthropic prospects. Theobjective of Henry Ford’s philanthropic pursuits isto build long-lasting relationships that honor donorinterests and commitments. Henry Ford HealthSystem engenders loyalty through the thoughtfulrecognition and stewardship of gifts of both time andriches.In 2010, the System welcomed, among others, thefollowing philanthropic programs and bequests:Health Alliance for Neighborhood Kids…HANKIn 2010, the Children’s Health Fund out of New YorkCity gifted a mobile medical clinic to Henry FordPediatrics School-Based and Community HealthProgram. This “doctor’s office on wheels” providesa medical home for medically underserved kids inDetroit, including such services as primary care,treatment for chronic conditions, immunizations,vision and dental care, and urgent care, amongothers. As part of the Children’s Health Fund nationalnetwork, HANK (Health Alliance for NeighborhoodKids), the name affectionately given to the big blueRV, receives annual support and technical assistance.In the first three years, gifts will total more than $1million. HANK will deliver comprehensive health careservices to approximately 1,000 to 1,500 children ayear. The mobile clinic visits local Detroit schools andcommunity sites on a weekly schedule to ensurecontinuity of care and to build on-going relationshipswith teachers, parents and students.Kresge Challenge Awards System $2.5 MillionChallenge GrantIn 2010, the Kresge Foundation awarded Henry FordHealth System a $2.5 million challenge grant. HenryFord raised $27.5 million in support of capital needsfor the flagship Henry Ford Hospital in Detroit, andthe Kresge Foundation topped off Henry Ford’s$30 million Detroit campaign with a gift of $2.5million. Henry Ford feels strongly that a healthcare organization should be the cornerstone of itscommunity. Through its grantmaking programs, theKresge Foundation seeks to strengthen the capacityof charitable organizations that are responding tonew challenges in their communities. The challengegrant was a perfect match between the twoorganizations.Henry Ford Health System • 2010 - 2011 System Report 17

Philanthropy En d e av o r sPhilanthropy (continued)$5.1 Million Kane Estate GiftIn her will, Victoria V. Kane gave Henry Ford MacombHospitals more than $5 million in honor of her latehusband John, who was the first ophthalmologist inMacomb County. The gift is believed to be the largestcharitable donation to a nonprofit organization in thehistory of Macomb County. The funds will establisha retinal surgery program at the Henry Ford MacombHospital - Clinton Township. Phase I of the programwill renovate and outfit two surgery and endoscopyoperating suites with state-of-the-art, retinalsurgery equipment. Phase II will benefit Henry FordOptimEyes at Lakeside by expanding and equippingit for additional medical capacity, and Phase III willinvolve the exploration of a low-vision clinic or asimilar facility. Half of the funds was deposited intoan endowment, which will provide annual income tosupport the new programs.18 Henry Ford Health System • 2010 - 2011 System Report

Financial Performance2010 Financial PerformanceFor the eighth consecutiveyear, Henry Ford HealthSystem experienced positiverevenue growth and netincome in 2010.The System reported totalrevenues of $4.08 billion in2010, an increase of$115 million over 2009. HenryFord Health System reported$61.9 million net income fromconsolidated operations for2010 as compared to$32.1 million in 2009.The financial growth of theSystem continued in 2010despite continued economicchallenges in Michigan lastyear. Henry Ford HealthSystem increased hospitaladmissions 2.3% from 2009to 2010.The System providednearly $200 million inuncompensated medicalcare costs, an increase of15 percent from 2009.CONSOLIDATED BALANCE SHEETSDecember 31, 2010 and 2009(In Thousands)December December2010 2009ASSETSCURRENT ASSETS:Cash and cash equivalents $ 369,553 $ 339,972Short-term investments 8,914 142,258Patient care receivables 153,910 118,914Health care premium receivables 32,865 22,536Other current assets 200,152 210,623Total Current Assets 765,394 834,303LONG-TERM INVESTMENTS 333,427 156,604ASSETS LIMITED AS TO USE 857,801 788,328JOINT VENTURES & OTHER ASSETS 25,110 25,581PROPERTY, PLANT AND EQUIPMENT 1,213,327 1,233,470TOTAL $ 3,195,059 $ 3,038,286LIABILITIES AND NET ASSETSCURRENT LIABILITIES $ 501,627 $ 479,145LONG TERM DEBT 841,482 849,578OTHER LONG TERM LIABILITIES 458,375 486,102NET ASSETS 1,393,575 1,223,461TOTAL $ 3,195,059 $ 3,038,286Days Cash on HandDebt to Capitalization Ratio109201041.5%2010101200945.1%2009(continued)Henry Ford Health System • 2010 - 2011 System Report 19

Financial Performance2010 Financial Performance (continued)CONSOLIDATED STATEMENT OF OPERATIONSAND CHANGES IN NET ASSETSDecember 31, 2010 and 2009(In Thousands)2010 2009UNRESTRICTED REVENUENet patient service revenue $ 2,155,893 $ 2,085,274Health care premiums 1,726,628 1,696,399Investment (loss) income 64,886 46,831Other income 136,278 139,970Total Unrestricted Revenue 4,083,685 3,968,474EXPENSESSalaries, wages and employee benefits 1,568,133 1,563,822Healthcare provider expense 978,532 986,117Supplies and other expenses 1,158,327 1,051,758Depreciation and amortization 138,366 139,906Provision for uncompensated services 177,746 189,136Total Expenses 4,021,104 3,930,739EXCESS OF REVENUE OVER EXPENSES BEFORE UNUSUAL ITEMS 62,581 37,735UNUSUAL ITEMS (707) (5,581)EXCESS OF REVENUE OVER EXPENSES FROM CONSOLIDATED OPERATIONS 61,874 32,154OTHER INCREASE (DECREASE) IN NET ASSETS 108,240 138,161TOTAL INCREASE (DECREASE) IN NET ASSETS 170,114 170,315TOTAL NET ASSETS AT BEGINNING OF YEAR 1,223,461 1,053,146TOTAL NET ASSETS AT END OF YEAR $ 1,393,575 1,223,461Total Unrestricted RevenueExcess of Revenue over Expensesfrom Consolidated Operations*$4,083,6852010$61,8742010$3,968,4742009$32,1542009* Includes Noncontrolling Interests of $1.8 millionin 2010 and 200920 Henry Ford Health System • 2010 - 2011 System Report

Financial Performance2010 Financial Performance (continued)PATIENT CARE AND OTHER STATISTICSDecember 31, 2010 and 20092010 2009Hospital Admissions 104,377 102,007Patient Days 542,473 532,161Emergency Room Visits 387,502 388,239Surgeries 66,499 65,453Births 7,282 6,789Length of Stay (Medical / Surgical) 4.9 4.8Full Time Equivalents 20,794 20,520Health Alliance Plan Membership 475,559 476,350(Includes Alliance Health and Preferred Health Plan)2010 Third Party Payors■ Managed Care■ Medicare■ Blue Cross■ Medicaid■ Other10.0%31.0%13.0%30.0%16.0%2010 AdmissionsHenry Ford Hospital39,16520,718Henry Ford Wyandotte HospitalBehavioral Health ServicesHenry Ford Cottage HospitalHenry Ford Macomb Hospital – Warren4,2725635,62111,238Henry Ford West Bloomfield Hospital22,800Henry Ford Macomb Hospital – Clinton Twp.Henry Ford Health System • 2010 - 2011 System Report 21

2010 - 2011 Accomplishments2010 - 2011 AccomplishmentsPeople• Named as one of the 101 Best & Brightest Placesto Work by the Michigan Business & ProfessionalAssociation for the fourth consecutive year andreceived the Elite Award in the Communicationscategory• Named as one of the Top Workplaces by the DetroitFree Press• Recognizednationally as thenumber one hospitalin the country byDiversityInc forthe diversity andinclusion program• Nancy Schlichting,CEO of Henry FordHealth System, waschosen a secondtime as one of thetop women in healthcare in the UnitedStates by Modern Healthcare magazine; one of 25women selected by the magazine for this honor,and the only one from Michigan to make the list• Continuing itscommitment toemployee healthand wellness, thefollowing wasaccomplishedthrough the Moveto Improve…mybody, mind and spiritprogram:– Nearly 2,000employeesparticipated in theTeamUp For Wellness Challenge,which included asocialnetworking component– Established a network of more than 120wellness ambassadors at the majority of sites– Offered more than 100 lunch and learnpresentations• More than 85 percent of eligible employeesand their spouses/same sex domestic partnersparticipated in Health Alliance Plan’s HealthEngagement health insurance plan, which rewardshealthy choices with lower out of pocket choices.These results exceeded the 2010 participationgoal• Launched the Diversity Council and electedRichard E. Smith, M.D., as chair• Established Employee Resource Groupscomprised of employees of same race, ethnicityor special interest focused on common objectives• Henry Ford Health System launched a new Visionstatement: Transforming lives and communitiesthrough health and wellness – one person at atime, which reflects the desired future state ofthe System, where we are headed and what wewant to achieve• Appointed new leaders:– Jason Desentz, vice president, HumanResources, Henry Ford Macomb Hospitals– Linda S. Fisher, R.N., chief nursing officer,Henry Ford West Bloomfield Hospital– Veronica M. Hall, R.N., chief nursing officer,Henry Ford Health System– Charles E. Kelly, D.O., senior vice president& chief medical officer, Henry Ford PhysicianNetwork– Rand O’Leary, chief operating officer and seniorvice president, Henry Ford Wyandotte Hospital– John Popovich, Jr., M.D., president & chiefexecutive officer, Henry Ford Hospital– Michael Saad, chief technology officer, HenryFord Health System– Richard E. Smith, M.D., vice president ofPhysician Outreach & Partnerships, Henry FordHospital– Mary Ann Tourneaux, senior vice president &chief marketing officer, Health Alliance Plan– Mary R. Vidaurri, Ph.D., chief operating officer,Henry Ford West Bloomfield Hospital– Donna Wellington, vice president forOperations, Henry Ford Hospital• Announced new leadership titles:– William R. Alvin to executive vice presidentof Henry Ford Health System, while retainingthe title of president and chief executive officerof Health Alliance Plan; from senior vicepresident of Henry Ford Health System– Denise P. Beaudoin, to vice president ofCustomer Engagement, Marketing and WebServices, Henry Ford Health System; fromdirector, Marketing and Web Services22 Henry Ford Health System • 2010 - 2011 System Report

2010 - 2011 Accomplishments– James M. Connelly, to executive vice presidentof Finance and Administration, Henry FordHealth System, while retaining his title of chieffinancial officer; from senior vice president andchief financial officer– Richard D. Dryer, M.D., to chief medical officerfor primary care, Henry Ford Medical Group;from medical director, Southern Region– Edith L. Eisenmann to vice president of HenryFord Health System and chief governanceofficer; from vice president of Governance– Sven Gierlinger to vice president of CustomerHospitality and Service Culture, Henry FordHealth System, from administrator, HospitalityServices, Henry Ford West Bloomfield Hospital– Rose M. Glenn, APR, to senior vice presidentof Communications and chief marketing officer,Henry Ford Health System; from senior vicepresident of Marketing and Public Relations– Susan S. Hawkins to senior vice president ofPerformance Management, Henry Ford HealthSystem; from vice president of Planning andPerformance Management– Mark A. Kelley, M.D., to chief medical officer ofHenry Ford Health System; while continuing inhis role as executive vice president, HenryFord Health System; and chief executive officerof Henry Ford Medical Group (HFMG)– David B. Lee to vice president of Henry FordHealth System and general counsel; from vicepresident, Legal Affairs– Robert G. Riney to president and chief operatingofficer, Henry Ford Health System; fromexecutive vice president and chief operatingofficer– Elizabeth R. Schnell to vice president, BrandStrategy, Henry Ford Health System; fromdirector, Brand Management– Josephine Wahl to vice president, Patient CareServices and chief nursing officer, Henry FordWyandotte Hospital; from vice president ofPatient Care Services and chief nursing officer atHenry Ford Macomb Hospital - Warren Campus– Matt Walsh to vice president of Operations,Henry Ford Physician Network; from associatevice president of Purchaser Initiatives at HealthAlliance Plan– Kimberlydawn Wisdom, M.D., M.S., to seniorvice president of Community Health & Equityand chief wellness officer, Henry Ford HealthSystem; from vice president, Community Health,Education & WellnessService• Henry Ford Health System launched a newservice culture transformation initiative to createa more superior and consistent Henry FordExperience for patients, visitors and employees• Henry Ford West Bloomfield Hospital maintaineda 99th percentile ranking for overall inpatientsatisfaction andthe hospital’sEmergency Roomand AmbulatorySurgery were abovethe 75th percentilefor the past year• Henry Ford WestBloomfield Hospitalranked #2 on the Top20 Most BeautifulHospitals in the U.S.by Soliant Health• Community Care Services continues to performwell with a composite score of 95.6 percent,overall care rating of 97.2 percent and likelihood torecommend “top box” at 93.7 percent• Health Alliance Plan’s performance for overallrating of “Health Plan” exceeds the NationalCommittee for Quality Assurance’s 90thpercentile for all plans, excluding PreferredProvider Organizations• Henry Ford Wyandotte’s Center for HealthServices received Press Ganey Summit Award forthe second year in a row for Ambulatory Surgeryand Outpatient Services, indicating sustainedperformance for four years at or above the 95thpercentile• Henry Ford Wyandotte Hospital continued toimprove patient engagement scores, with 77percent of patients rating the hospital as “verygood” on likelihood to recommendQuality & Patient Safety• Henry Ford Hospital was recognized as theFinalist in the American Hospital Association -Henry Ford Health System • 2010 - 2011 System Report 23

2010 - 2011 Accomplishments2010 - 2011 AccomplishmentsMcKesson Quest for Quality program• More than 200 Henry Ford Medical Group andcommunity physicians were named “Top Docs”in their specialty in Hour Detroit’s 11th annual TopDocs survey, and Henry Ford physicians werethe leading vote-getters in 49 of the 92 adult andpediatric specialties listed• System-wide readmission rates decreased in fourout of five hospitals• Behavioral Health Services experienced tenquarters without a suicide in its referencepopulation• Featured 94 improvement teams at the 2010 HenryFord Health System Quality Exposition• Held an International Safety Symposium incollaboration with Henry Ford Hospital and HotelDieu Grace Hospital in Windsor, Ontario• More than 25,000 Health Alliance Plan (HAP)members have lost a collective 250,000 pounds(125 tons) since HAP teamed up with WeightWatchers®, with dramatic improvement in clinicalmeasures – program extended to Alliance PPOmembers in 2010• Henry Ford Health System achieved an 18 percentreduction in patient and employee harm eventsSystem-wide between 2008 and 2010 as partof the No HarmCampaign• Henry Ford HealthSystem launched anew section devotedto Quality and Safetyon its Web site,www.henryford.com/quality, toprovide patients withthe information theyneed to make moreinformed decisionsabout their health care• Henry Ford Hospital and the Henry Ford MedicalGroup were featured in a prominent November2010 Time magazine article on our clinicalleadership and innovations, and the advances ofrobotic surgery pioneered by Dr. Mani Menon• Established the Henry Ford Physician Network,with a total of 1,575 physicians joining as of April30, 2011. This includes all 1,314 Henry Ford MedicalGroup physicians, all 81 employed physicians, and180 private practice physicians• Henry Ford Health System hosted a visit fromKathleen Sebelius, secretary, U.S. Departmentof Health and Human Services in June 2011 forthe Michigan kick-off of the federal government’sPartnership forPatients qualityimprovementprogram• Henry Ford HealthSystem launchedCarePlus NextGeneration, theSystem’s newand improvedelectronic medicalrecord system –the first in a seriesof technologicalenhancements planned over the next severalyears. The new program will ensure peakperformance for more than 15,000 employeesacross 100 different sites who will use thesystem daily• Henry Ford increased its information privacyand compliance efforts by launching an iComplycampaign aimed at protecting personal patientand employee information and records. Todate, the program has been very successfuland the System has collected more than 3,600unprotected USB drives as of the third week ofthe programGrowth• Henry Ford WestBloomfield Hospitalis now larger than 19southeast Michiganhospitals in termsof admissions and iscash positive; on acash basis revenuesare now exceedingexpenses• Transformed HenryFord CottageHospital into anambulatory center• Implemented Henry Ford Hospital and Henry FordMedical Group’s outstate growth strategy, and24 Henry Ford Health System • 2010 - 2011 System Report

2010 - 2011 Accomplishmentshave made connections with more 200 physiciansfrom six states – Henry Ford Hospital and HenryFord Medical Group have experienced more than300 new patients and transfers during 2010• In partnership withSuperior Ambulance,began providing airambulance service• Launched thestate’s only smallbowel/multivisceraltransplant programand conductedthe first intestine(bowel) transplant inMichigan• Opened MacombCounty’sfirst outpatient ostomy clinic at the WoundManagement and Consultation Center at theChesterfield Health Center• Opened the Acute Care for the Elderly Unit atHenry Ford Macomb Hospital - Warren Campus,specifically focused on care for frail, elderlypatients, one of only two such units to open insoutheast Michigan• Opened the first Henry Ford Health Products’ SelfHealth Center in Commerce Township, and then asecond location in Woodhaven• Grew pharmacy business with a 50 percentincrease in Pharmacy Advantage and 13.7 percentincrease in overall prescriptions• Hosted a national symposium on innovation,“Going Radical,” attracting 120 attendees fromacross the United States• Announced an $11 million investment in the city ofDearborn, by expanding Henry Ford Medical Center– Fairlane into a second facility, called Henry FordMedical Center – Ford Road, and adding medicalservices (the new facility is expected to open inOctober 2011)• Henry Ford Health System and the Henry FordMedical Group announced a $1 million investmentin the city of Detroit with a 4,000 sq. ft. expansionof the Henry Ford Medical Center – Harbortown onJefferson Ave.Research & Education• Strengthened the research affiliation with WayneState University (WSU)– Supported the WSU Institute for PopulationStudies, Health Assessment, Administration,Services and Economics (“INPHAASE”) GrantProgram– Supported the WSU School of Medicine M.D./Ph.D. Program by contributing $55,000 to covertwo student stipends– Completed and submitted the National Institutesof Health Clinical and Translational ScienceAwards grant application with WSU andMichigan State University– Utilizing the WSU Mott Clinical ResearchCenter for a clinical trial– Participating in planning for an Henry FordHealth System/WSU Joint Research Building• Awarded $52 millionin National Institutesof Health (NIH)funding in 2010• Strengthened themedical educationaffiliation agreementwith WSU– Agreed to take 90third year medicalstudents withescalation to150 over 3-5 years(clinical campus model)– Agreed to train like number of first and secondyear medical students– Agreed to collaborate on Continuing MedicalEducation (“CME”), simulation, and libraryservices– Received approximately 580 facultyappointments– Received state approval for participation inenhanced Medicaid Program to help fund theUndergraduate Medical Education (UGME)missionHenry Ford Health System • 2010 - 2011 System Report 25

2010 - 2011 Accomplishments2010 - 2011 AccomplishmentsCommunity• Named as one of the top 10 health systems in thecountry by the Institute for Diversity in the area ofgovernance• Named the Health Care Corporation of the Year bythe Michigan Supplier Diversity Council• Smoke Free AirLaw named for thelate director of theHenry Ford HealthSystem Center forHealth Promotion &Disease Preventionand former presidentof the AmericanMedical Association,Ronald M. Davis,M.D.• In collaborationwith Wayne StateUniversity and the Detroit Medical Center, HenryFord Health System led the Midtown EconomicDevelopment Project, including:• awarding a Living Cities Grant;• partnering with U-3 Ventures, Cleveland Clinic andMichael E. Porter, Ph.D. from the Harvard BusinessSchool;• collaborating on several “purchase Detroit” efforts;and• developing joint safety/security efforts• Provided nearly 2,500 health screenings inunderserved, health-disparate communities• Launched Phase II of the Healthcare EquityCampaign, including Healthcare Equity 101, anonline course for employees; trained more than120 Equity Ambassadors• Continued to play major role in 2010 MetroDetroit Heart Walk, raising more than $349,000 indonations and recruiting more than 2,000 walkers• Launched the first ever Tour de Ford bike ride tobenefit the Tom Groth Patient Medical Needs fund,with 150 riders raising $17,000• Henry Ford Health System and Children’s HealthFund (CHF) launched a new health care programinvolving a mobile medical clinic to providecomprehensive health care services to medicallyunderserved children at schools and in communitylocations. Senator Debbie Stabenow (D-MI) andsinger/songwriter and CHF Co-founder PaulSimon joined CHF and Henry Ford Health Systemleadership at an event in December to inauguratethe Children’s Health Project of Detroit• Henry Ford Health joined Midtown Detroit’sother two largest employers, the Detroit MedicalCenter (DMC) and Wayne State University (WSU),in an aggressive “Live Midtown” incentiveprogram for employees. The program is designedto entice people to move to the area and retainthose who are already living there, providinga significant economic jolt to one of the city’spremiere urban neighborhoods - Midtown Detroit• Announced the vision for a $500 millioninvestment and planned expansion at the HenryFord Hospital Detroit campus that would provideadditional clinical, research and education facilitiesand programs. The expansion also would offerspace for retail, commercial and residentialenterprises that support health, medicine,community events and the restoration of the cityFinance• Maintained “A stable” credit rating from Standard& Poor’s• Strengthened the System’s financial position withimproved days cash on hand• Achieved 100 percent participation in the TrusteeGiving Campaign for the fourth consecutive year• Reported total revenues of $4.08 billion in 2010,an increase of $115 million from the $3.96 billiontotal revenues in 2009; reported $61.9 million netincome for 2010 as compared to $32.1 million in2009• Launched in 2007, the System’s seven-year, $250million Envision Campaign focuses on renovatingand expanding our world-class flagship HenryFord Hospital, the creation of the new Henry FordWest Bloomfield Hospital in Oakland County,and enriching our nationally recognized Centersof Excellence. As Henry Ford enters the fourthyear of this historic endeavor, we are 71 percentto our goal with more than $176 million received,including 45 gifts of $1 million or more• System employees, physicians and leaderscelebrated a seventh consecutive record-breakingyear for the Community Giving Campaign with 56percent of the health system’s 23,000 employeespledging more than $3 million to the campaignin 2011. Since 2006, employees have generouslydonated nearly $15 million toward the EnvisionCampaign’s $250 million goal26 Henry Ford Health System • 2010 - 2011 System Report

Leadership2011 Henry Ford Health System Governance LeadershipChairAnthony F. Earley, Jr.Vice ChairsStephanie W. BergeronEdward D. Callaghan, Ph.D.Jack MartinMariam C. NolandChief Executive OfficerNancy M. SchlichtingSecretaryEdith L. EisenmannTreasurerJames M. ConnellyAssistant TreasurerBrian R. GambleBoards of Trustees/DirectorsHenry Ford Health SystemMarwan S. Abouljoud, M.D.*Lynn Ford AlandtN. Charles AndersonEdward J. Bagale*Stephanie W. BergeronEdward D. Callaghan, Ph.D.Anthony F. Earley, Jr.James GrosfeldSteven D. Harrington, M.D.**David M. HempsteadJoseph R. JordanMark A. Kelley, M.D.*Alan M. KirilukDavid Baker LewisJack Martin*Mariam C. NolandJohn C. PlantCharles H. PodowskiLeroy C. RichieNancy M. Schlichting*Gary C. Valade*Kathleen L. Yaremchuk, M.D.**Honorary TrusteesE. Paul CaseyWalter E. DouglasEdsel B. Ford IIMartha F. FordWilliam Clay FordMorton E. HarrisDouglas T. McClureRobert J. VlasicBehavioral Health ServicesSharon Walsh, ChairJacalyn S. Goforth, Chair-ElectJocelyn K. AllenBarry R. BessDaniel M. ClarkC. Edward Coffey, M.D.*William D. DechavezWilliam R. DowLinda N. FisherBenson Ford, Jr.Martha F. Ford****Marc E. JeffriesNikhil KumarThomas S. Nantais***Melissa Bair PeirceWaltraud E. PrechterJoanne L. Sobeck, Ph.D.Charlotte B. TerryWilliam J. Wischman, Jr.Community Care ServicesEric A. Hardy, ChairJ. Carlos Borrego, M.D.Mary C. DicksonTiffany Slemmons DouglasJohn E. Duckworth, D.Min.Gwendolyn R. Graddy-Dansby,M.D.***Michael F. HampBeverly A. HartmanKatherine A. Howe, R.N.Linda JimenezLawrence J. Kearney, Jr.Rona M. LumRandolph W. MartinRobert S. Michaels, M.D.Julie S. OldaniBalakrishna R. Pai, M.D.***George PennaJohn J. Polanski*Robert B. PutnamRobert G. Riney*Howard B. Schwartz, M.D.*Irving A. ShapiroDonald E. SniderHenry Ford Health SystemFoundationGary C. Valade, ChairLynn Ford AlandtMargaret AlleseeRichard A. BrodieThomas C. BuhlVivian L. Carpenter, Ph.D.Susan M. CischkeJames H. DantoKaren W. DavidsonWayne S. DoranMichael R. FisherEleanor B. FordLinda D. ForteMorton E. HarrisDavid M. HempsteadDoreen HermelinThomas W. IversonGregory JacksonFrank G. JonnaMark A. Kelley, M.D.Alan M. KirilukHenry W. Lim, M.D.Florine MarkDavid N. McCammonRichard M. NodelAlex L. ParrishCarl M. Pesta, D.O.Wendy Williams PowersWaltraud E. PrechterJohn Rakolta, Jr.William C. Rands IIIMark L. Rosenblum, M.D.David L. SchlaffNancy M. Schlichting*Matthew S. SosinGary H. TorgowRajendra B. VattikutiAnthony J. VivianoPaul A. VlasicW. Douglas Weaver, M.D.Michel H. WilliamsHenry Ford Health System • 2010 - 2011 System Report 27

Leadership2011 Henry Ford Health System Governance LeadershipHealth Alliance Plan of MichiganJack Martin, ChairWilliam R. Alvin+Cynthia M. Bala-Brusilow++Marvin W. BeattyWilliam A. Conway, M.D.+Linda EwingJ. Timothy GargaroJoyce V. Hayes GilesJamie C. Hsu, Ph.D.Kirk J. LewisCatherine A. RobertsRobin Scales-Wooten++Nancy M. Schlichting+Rebecca R. SmithSusie M. Wells++Henry Ford Hospital and HealthNetworkEdward J. Bagale, ChairMark A. Douglas, Vice ChairMarwan S. Abouljoud, M.D.*Michael E. BergerDavid J. BreenKimberly A. Brown, M.D.Anthony L. CaudleGeorge CostarisScott A. Dulchavsky, M.D., Ph.D.*Elena A. FordCarol A. GossLydia R. GutierrezSheila Ford HampHassan JaberJoseph R. JordanMark A. Kelley, M.D.*Gail C. Mee, Ed.D.Patricia E. MooradianJohn Popovich, Jr., M.D.*Robert G. Riney*Mark L. Rosenblum, M.D.Eric J. Scher, M.D.*Vivian Day StrohPaul A. VlasicHenry Ford Macomb HospitalCorporationAlbert L. Lorenzo, Ph.D., ChairAndrea L. Wulf, Vice ChairPaul D. AlandtMyra Bergman, R.S.M.Edward D. Callaghan, Ph.D.Rod Dimitrijevic, M.D.David F. GirodatSteven D. Harrington, M.D.S. Nasir Husain, M.D.*Carolann K. Kinner, D.O.Raymond C. Lope’Thomas B. MeldrumWilliam A. Morelli, Sr.Carl M. Pesta, D.O.Ross C. RichardsonRobert G. Riney*Barbara W. Rossmann*Diane L. Sayers, D.O.James E. Thompson, D.D.Rosalie VicariAnthony J. VivianoHenry Ford Physician NetworkBoard of TrusteesJohn Popovich, Jr., M.D., Chair*Mohammed R. Al-Ansari, M.D.##Ghazwan Atto, M.D.##James M. Connelly*William A. Conway, M.D.#Brent N. Davidson, M.D.#Kevin G. Deighton, M.D.##Richard D. Dryer, M.D.#Jerome H. Finkel, M.D.##Steven D. Harrington, M.D.*Mark A. Kelley, M.D.*Paul A. Ragatzki, M.D.##Robert G. Riney*Diane L. Sayers, D.O.#Kathleen L. Yaremchuk, M.D.#Henry Ford West BloomfieldHospitalAlan M. Kiriluk, ChairFlorine Mark, Vice ChairPaul A. Vlasic, Vice ChairJonathan S. AaronMichael E. BergerPenny B. BlumensteinRobert N. CanvasserAnthony L. CaudleMi K. DongBenson Ford, Jr.Maurice G. JenkinsFrank G. JonnaMark A. Kelley, M.D.*Timothy D. LeulietteWilliam H. Liebold IIBruce K. Muma, M.D.*Jeffrey G. Obron, M.D.**Robert G. Riney*Mark L. Rosenblum, M.D.*Jean S. ShaperoGerard van Grinsven*Gregg G. WilliamsEdna M. ZaidHenry Ford Wyandotte HospitalJ. Wes Paisley, ChairSaroj V. Bhat, M.D.Vonda R. CiniThomas G. Costantino, D.O.James P. DalyDeborah Y. EdwardsJerry D. GriffithThomas W. IversonSyed M. Jafri, M.D.**Linda JimenezLawrence J. Kearney, Jr.John F. KillMaureen A. KorneffelKimberly A. KovacThomas A. KuzmiakBarbara R. LottMelanie L. McCoyRick A. Poston, D.O.Robert G. Riney*James J. Sexton *Mohinder P. Singh-Sandhu, M.D.*Honorary TrusteesGerald P. ColeConrad W. Kreger*Ex-Officio Trustee**Physician Trustee***Ex-Officio Appointed Trustee****Life Trustee+Ex-Officio Director++Enrollee Elected Director#HFMG Trustee##Non-HFMG Trustee28 Henry Ford Health System • 2010 - 2011 System Report

Leadership2011 Henry Ford Health Physician LeadershipHenry Ford Medical Group Boardof GovernorsMarwan S. Abouljoud, M.D., ChairGregory L. Barkley, M.D., Vice-ChairCharles J. Barone II, M.D.Deloris Ann Berrien-Jones, M.D.Kimberly A. Brown, M.D.Manuel L. Brown, M.D.Robert A. Chapman, M.D.William A. Conway, M.D.Richard D. Dryer, M.D.Scott A. Dulchavsky, M.D.Stanton B. Elias, M.D.Sudhakar G. Ezhuthachan, M.D.Rodney P. Gilreath, M.D.Lynne C. Johannessen, M.D.Mark A. Kelley, M.D.Gregory D. Krol, M.D.Margot C. LaPointe, Ph.D.Christopher A. Lewandowski, M.D.Bruce K. Muma, M.D.Earlexia M. Norwood, M.D.Suresh C. Patel, M.D.John Popovich, Jr., M.D.Mark D. Richter, M.D.Eric J. Scher, M.D.Richard J. Schubatis, M.D.Alexander D. Shepard, M.D.Richard E. Smith, M.D.Peter Y. Watson, M.D.Kathleen L. Yaremchuk, M.D.Henry Ford Medical GroupLeadershipMark A. Kelley, M.D.EVP & CMO, HFHSCEO, HFMGMarwan S. Abouljoud, M.D.,Director, Transplant InstituteSurgeryCharles J. Barone II, M.D.Chair, PediatricsManuel L. Brown, M.D.Chair, RadiologyMorris Brown, M.D.Chair, AnesthesiologyRobert A. Chapman, M.D.Director, Josephine Ford CancerCenterC. Edward Coffey, M.D.Chair, PsychiatryWilliam A. Conway, M.D.CMO, Detroit RegionRichard D. Dryer, M.D.Medical DirectorDownriver/Western RegionsScott A. Dulchavsky, M.D., Ph.D.Chair, SurgeryPaul A. Edwards, M.D.Chair, Ophthalmology and EyeCare ServicesStanton B. Elias, M.D.Chair, NeurologyChris Cole Johnson, Ph.D.Chair, Public Health SciencesMargot C. LaPointe, Ph.D.Research DirectorHypertension & Research DivisionHenry W. Lim, M.D.Chair, DermatologyGerard B. Martin, M.D.Chair, Emergency MedicineGerard B. Martin, M.D.Chair, Emergency MedicineMani Menon, M.D.Chair, UrologyHans Strickler, M.D.Jack Elder, M.D.Benjamin Movsas, M.D.Chair, Radiation OncologyBruce K. Muma, M.D.CMO, HFWB HospitalAdnan R. Munkarah, M.D.Chair, OB/GYNTheodore W. Parsons III, M.D.Chair, Orthopaedic SurgeryMark L. Rosenblum, M.D.Chair, NeurosurgeryDiane L. Sayers, D.O.Medical Director, Northeast/Northwest RegionsEric J. Scher, M.D.Director, Medical EducationSusan Schooley, M.D.Chair, Family MedicineW. Douglas Weaver, M.D.Division Head, CardiologyInternal MedicineBarry Wolf, M.D., Ph.D.Chair, Medical GeneticsKathleen L. Yaremchuk, M.D.Chair, OtolaryngologyRichard J. Zarbo, M.D.Chair, PathologyHenry Ford Health System • 2010 - 2011 System Report 29

Leadership2011 Henry Ford Health System Physician Leadership (by Hospital)Henry Ford Kingswood HospitalMedical Executive CommitteeLeadershipPresidentNicole Stromberg, M.D.Vice PresidentVijaya Ramesh, M.D. (resigned)SecretaryConcepcion Ty-Ancog, M.D.TreasurerHetal Patel, M.D.Medical DirectorTaft Parsons, M.D.Member-at-LargeRobert Lagrou, D.O.Henry Ford Macomb Hospital– Clinton Township MedicalExecutive Committee LeadershipChief of StaffNasir Husain, M.D.Chief ElectRandy Chudler, M.D.Past Chief of StaffAlfred Schneider, M.D.Members-at-LargeAnthony Munaco, M.D.Patel Prashant, M.D.Randy Chudler, M.D.Joseph Naoum, M.D.Omokayode Osobamiro, M.D.Robert Peleman, M.D.Chakradhar Reddy, M.D.Chair, MSQCCSteven Harrington, M.D.Chair, Credentials CommitteeBrad Berger, M.D.Henry Ford Macomb Hospital– Warren Medical ExecutiveCommittee LeadershipPast Chief of StaffLaila Shehadeh, D.O.Vice Chief of StaffCarl Pesta, D.O.Members-at-LargeDavid Lustig, D.O.Fremont Scott, D.O.Chair, MSQLCMichele DodmanHenry Ford West BloomfieldHospital Medical ExecutiveCommittee LeadershipChief Medical OfficerBruce K. Muma, M.D.Vice President of Clinical ProgramsMark Rosenblum, M.D.Medical Staff LeadershipHans Stricker, M.D.Howard Schwartz, M.D.Lynn Miller, M.D.Derek McCalmont, M.D.Ghaus Malik, M.D.Kenneth Levin, M.D.Nabil Khoury, M.D.David Katcherian, M.D.David Kastan, M.D.Bruce Jones, M.D.Michael Dunn, M.D.Brent Davidson, M.D.Bruce Adelman, M.D.Brian Gendelman, M.D.Paul Ragatzki, M.D.Henry Ford Wyandotte HospitalMedical Executive CommitteeLeadershipPresidentMohinder P. Singh-Sandhu, M.D.President – ElectSyed Danish, M.D.SecretaryKempaiah Gowda, M.D.TreasurerKempaiah Gowda, M.D.Senior Member-at-largeAshish Gupta, M.D.Junior Member-at-largeSyed Jafri, M.D.Immediate Past PresidentMohammed R. Al-AnsariEx-Officio MembersJames Sexton, CEOCheryl Taylor, RN, Interim CNODennis Lemanski, D.O., CMO30 Henry Ford Health System • 2010 - 2011 System Report

Leadership2011 Henry Ford Health System Executive LeadershipWilliam R. AlvinExecutive Vice President,Henry Ford Health SystemPresident and Chief ExecutiveOfficer, Health Alliance PlanDarlene BurgessVice President,Corporate Government AffairsHenry Ford Health SystemJ. Douglas ClarkVice President,Audit and Tax ServicesHenry Ford Health SystemC. Edward Coffey, M.D.Vice President, Behavioral HealthServices, Henry Ford HealthSystem and Kathleen and EarlWard Chair of PsychiatryJames M. ConnellyExecutive Vice President,Finance and Administrationand Chief Financial OfficerHenry Ford Health SystemWilliam A. Conway, M.D.Senior Vice President andChief Quality Officer,Henry Ford Health System andChief Medical Officer,Henry Ford HospitalEdith L. EisenmannVice President and ChiefGovernance OfficerHenry Ford Health SystemRose M. GlennInterim Senior Vice President,PhilanthropySenior Vice President,Communicationsand Chief Marketing OfficerHenry Ford Health SystemVeronica M. Hall, R.N.Chief Nursing Officer,Henry Ford Health SystemChief Operating Officer,Henry Ford HospitalSusan S. HawkinsSenior Vice President,Performance ManagementHenry Ford Health SystemMark A. Kelley, M.D.Executive Vice President andChief Medical Officer,Henry Ford Health SystemChief Executive Officer,Henry Ford Medical GroupDavid B. LeeVice President and GeneralCounsel, Henry Ford HealthSystemHenry W. Lim, M.D.Senior Vice President, AcademicAffairs, Henry Ford HealthSystem and Chair and C. S.Livingood Chair, Department ofDermatologyThomas S. NantaisChief Operating OfficerHenry Ford Medical GroupKathleen M. OswaldSenior Vice President andChief Human Resources OfficerHenry Ford Health SystemJohn J. PolanskiChief Executive Officer,Community Care Services,Henry Ford Health SystemJohn Popovich, Jr. M.D.President and Chief ExecutiveOfficer, Henry Ford Hospital andDetroit CampusRobert G. RineyPresident and Chief OperatingOfficer, Henry Ford Health SystemBarbara W. RossmannPresident and Chief ExecutiveOfficer, Henry Ford MacombHospitalsNancy M. SchlichtingChief Executive OfficerHenry Ford Health SystemWilliam R. SchrammSenior Vice President,Strategic Business DevelopmentHenry Ford Health SystemJames J. SextonPresident and Chief ExecutiveOfficer, Henry Ford WyandotteHospitalGerard van GrinsvenPresident and Chief ExecutiveOfficer, Henry Ford WestBloomfield HospitalRandy D. WalkerVice President and Chief DiversityOfficer, Henry Ford Health SystemKimberlydawn Wisdom, M.D.,M.S.Senior Vice President,Community Health and Equityand Chief Wellness OfficerHenry Ford Health SystemHenry Ford Health System • 2010 - 2011 System Report 31

www.henryford.com