A WORD FROM CELEBRATING 2015 2015 FINANCIAL AWARDS AND OUR LEADERSHIP 100 YEARS ACCOMPLISHMENTS PERFORMANCE RECOGNITION 3 10 12 24 26

2015 SYSTEM REPORT ® HENRY FORD HEALTH SYSTEM 2015 SYSTEM REPORT

• Continuing to optimize Epic—our electronic medical record. • Opening a QuickCare Clinic in Detroit catering to young professionals and a school-based health clinic in Mt. Clemens to provide care to underserved students. • Expanding and improving coordination of care for our patients and families. • Improving our operating margin and reducing cost per unit of service. Our organization is built on the foundational pillars of People, Service, Quality & Safety, Growth, Research & A MESSAGE FROM Education, Community, and Finance. And, it’s our privilege to continually OUR EXECUTIVE improve in each of these areas in order to provide the highest quality LEADERSHIP health care to our patients and to the communities we serve.

Dear Colleagues and Friends, Sandra E. Pierce e were so proud to celebrate In this report, you will receive Chair, Board of Trustees Henry Ford Health System our Centennial year in 2015. a snapshot of the innovation and WThe year was truly inspiring commitment our organization has to Nancy M. Schlichting and provided us many opportunities quality, safety and service, including: Chief Executive Officer, to share our rich history and our Henry Ford Health System exciting vision for the future. • Expanding our footprint outside of southeastern Michigan with the Wright L. Lassiter III President, Throughout 2015, we had the addition of Henry Ford Allegiance Henry Ford Health System pleasure of reuniting with many of Health in Jackson and HealthPlus our health system’s alumni physicians, in Flint. Robert G. Riney Executive Vice President and nurses and leaders, as well as meet • Providing our nursing staff with Chief Operating Officer, team members at the more than 24 Henry Ford Health System celebration events held across the Culture of Caring workshops organization. Time and time again we to enhance the Henry Ford William A. Conway, M.D. Care Experience for patients Executive Vice President, were reminded of their commitment Henry Ford Health System and families. to our vision: Transforming lives and Chief Executive Officer, Henry Ford Medical Group communities through health and • Launching the Structural wellness - one person at a time. Heart Program as part of our John Popovich, Jr., M.D. President and Chief Executive Bringing this vision to life for the Henry Ford Heart and Vascular Institute. Officer, Henry Ford Hospital entire southeast Michigan region and Executive Vice President and beyond — now with the addition of • Announcing plans to build a $110 Chief Medical Officer, Henry Ford Health System Allegiance Health and HealthPlus to million cancer center as part of the Henry Ford family — is something the South Campus vision. Edward G. Chadwick our trustees, leaders, physicians, staff Executive Vice President and members and volunteers aspire to • Initiating daily safety huddles at Chief Financial Officer, Henry Ford Health System every day. each of our hospitals that resolve critical issues in real time.

3 HENRY FORD HEALTH SYSTEM

Several accomplishments stand out for me: • Our positive impact on the Detroit community. We believed in the future of our city before most people did! Through our financial investments, community leadership, and commitment to the city and its residents, Henry Ford has been at the forefront of the city’s re-birth. Since 2005, the System has invested more than a half-billion dollars which includes: - The South of the Boulevard development and revitalization plan (including the opening of the $30 million Cardinal Health Distribution Center and the $110 million cancer center anticipated to open in 2018). - A $200 million investment in the renovation and updating of the Henry Ford Hospital Campus. - Nearly $1.5 million in housing incentives for employees who chose to live in Midtown. • Henry Ford West Bloomfield Hospital opened in 2009 — to world acclaim for its innovative approach to health care — during the worst recession in our country’s history. With a relentless focus on clinical quality, wellness and service, the hospital has grown to nearly 14,000 A REFLECTION admissions annually. • In 2011 Henry Ford Health System received the FROM OUR CEO Malcolm Baldrige National Quality Award, which recognizes national role models with the only Presidential Award for performance excellence. At the time we were honored, the Baldrige Award had been presented to only 15 health care or the last 13 years, I have had the privilege of organizations since its inception and none as writing about the accomplishments of the past year large or complex as Henry Ford. for our System Report. As I complete my final year as F • In 2015, we celebrated the System’s 100th CEO, I have the opportunity to reflect on what I believe anniversary and the promise of what the next are the most important achievements during my time 100 years will bring as we continue to serve our leading Henry Ford Health System — and to share my communities with world class care, service and gratitude to those who are responsible for our remarkable innovation. accomplishments. It has been my joy and honor to lead one of the It is all about our people. I am so proud of our doctors, best health care systems in the country and the world nurses, leaders, pharmacists, home care workers, through transformational times. For the last 13 years, I customer service representatives, environmental services have had the best job in health care. I am so proud of staff members, radiology and respiratory technologists, everyone who works so hard and with great passion to valet attendants, accountants, lawyers, call center staff­ make our organization successful. The people of Henry — everyone who provides direct care to patients and Ford will always be in my heart. those who support the team members who do. Working together, they provide the best care experience possible Warm wishes, for our patients, customers and friends.

Nancy M. Schlichting Chief Executive Officer 4

2015 SYSTEM REPORT It’s been an incredible“ century of caring. Our responsibility is to ensure the next 100 years are “even better.

It’s been an incredible century of caring. Our responsibility is to ensure the next 100 years are even better. We will do this by: • Providing clinical excellence, combining the science of health care with the compassion of healing. • Leading the health care industry in providing value-based care. ENVISIONING • Expanding our geographic footprint. • Continuing to be a community leader in the wonderful resurgence of a great city — Detroit — OUR FUTURE and in all the communities we serve. • Remaining committed to diversity in all that we do — how we care for our patients and how we interact with each other. s Henry Ford Health System heads into our next 100 years, we have a clear path to becoming the We are committed to becoming the most preferred: Asafest, most reliable, customer-centric health care • Provider of choice. organization in the country. • Employer of choice. I have immense confidence that our passion to create • Practice site. a safe and superior customer experience will lead us to fulfilling our “All for You” customer promise introduced in • Environment for research and education early 2016. that supports the care we provide and the communities we serve. All for You is all about meeting our customers where they are in their health care journey. We just don’t treat • High-value network powered by our insurance disease. We treat people with every solution as unique as company, Health Alliance Plan (HAP). each person for whom we provide care. It’s a commitment The path to the future is clear and begins now as to the communities we serve. It’s how we: Transform Henry Ford Health System leads the way. lives and communities through health and wellness — one person at a time. Sincerely, Henry Ford Health System is a unique organization in the health care space in the United States. We have a long-standing history of excellence and integration that is rooted in our very beginnings when auto pioneer Henry Ford opened the doors to Henry Ford Hospital in 1915. Wright L. Lassiter III President 5 HENRY FORD HEALTH SYSTEM INNOVATIONS TECHNOLOGY

6 2015 SYSTEM REPORT MEDICAL INNOVATIONS WORLD’S FIRST: TINY HEART PUMP

SAVES

HENRY FORD PATIENT’S LIFE ardiologists at Detroit’s Henry I’m glad they said, ‘This is “ at Henry Ford Hospital. They worked Ford Hospital were the first in going to be your temporary closely with Robert Lederman, M.D., the world to use a novel route an interventional cardiologist at the C heart,’ Tarita said, sitting to the heart to insert a tiny heart National Heart, Lung, and Blood pump to keep a woman alive. in her hospital bed Dec. 16 Institute who developed the procedure as she stirred a cup of red Tarita Harrison, 45, of Detroit, in a research setting. gelatin. “I’m glad to be alive. had been suffering from a severe “ The technique is now being taught viral illness when she came to the its own again. Ms. Harrison’s blood all over the world as an alternative emergency room by ambulance, nearly vessels were too small to access her method for patients whose veins unconscious on Dec. 2, 2015. As she heart using traditional routes. Using are too small or have other medical neared death and her heart began to the transcaval approach, Henry Ford conditions that prevent traditional fail, William W. O’Neill, M.D., medical specialists guided the tiny, straw-size access routes to the heart. The director of the Henry Ford Center for heart pump through a catheter into Impella heart pump is used for Structural Heart Disease, and Adam Ms. Harrison’s leg vein, crossing over temporary support of heart function Greenbaum, M.D., the center’s co- mid-body into the aorta, and moving while a patient’s health improves or director, used the transcaval approach up into the heart. The approach is until doctors are able to repair other to insert the straw-sized Impella pump used when vessels typically used structural issues. into her heart. are either too small or inadequate Henry Ford cardiologist Celeste The tiny pump supported her due to blockage or scar tissue for Williams, M.D., medical director weakened heart muscles for six days conventional approaches. for the health system’s Mechanical as Ms. Harrison’s heart function The transcaval approach was Circulatory Support Device Program improved. They removed the pump pioneered at Henry Ford Hospital in and Heart Transplantation Program, through a catheter once she had 2013, first performed by Drs. O’Neill was instrumental in providing recovered from the virus and her and Greenbaum, and Gaetano Paone, continuing care for Ms. Harrison’s heart was strong enough to work on M.D., division head of cardiac surgery recovery. • 7 HENRY FORD HEALTH SYSTEM SURGEONS COLLABORATE TO REMOVE KIDNEY TUMOR USING SUCTION DEVICE

hysicians at Henry Ford Hospital the tumor had spread into his vena procedure to help this patient, I was successfully suctioned a cava and his lungs. He would need intrigued and excited about using this Pcancerous tumor from a major a complex surgery to remove the new technology,” says Scott Schwartz, vein in a patient with metastatic cancerous kidney and the diseased M.D., the interventional radiologist kidney cancer, clearing the way for portion of the vena cava, then “clean who uses the device. “I knew that we him to undergo a minimally-invasive out” the large vein and reconstruct it had to find a way to make this work in kidney removal. This allowed him to back together. an attempt to give this patient hope participate in a clinical trial using “We thought the risks outweighed for any future surgical treatment.” genetic material from his tumor to any benefits he may receive,” Dr. These joint procedures were produce a vaccine to help fight his Rogers says. successful, and together, the first of metastatic disease. Aware of the AngioVac and its use their kind. It was the first such use for the in cardiovascular surgery, Dr. Rogers “Being able to provide patients with AngioVac, a device that employs consulted with another Henry Ford improved health and ultimately with large suction catheters to filter blood physician about a novel approach. the ‘gift of time’ is a privilege that as through a cardiac bypass machine and “When Dr. Rogers approached me a physician is the most rewarding and remove clots, tumors or other foreign ® • about possibly using the AngioVac humbling,” Dr. Schwartz says. material. CANCER PATIENT’S TUMOR SUCTIONED “This is a very exciting new way to FROM VEIN TO ALLOW FOR KIDNEY SURGERY treat these tumors,” says Craig Rogers, M.D., the Henry Ford urologist and AngioVac Cannula surgeon who led the multidisciplinary team in this endeavor. Chris Teodoro, 60, of Madison Heights, Mich., was admitted to Henry Filter Ford Hospital through the emergency room after complaining of pain and blood in his urine.

He was diagnosed with an advanced Reinfusion cancer after scans showed a tumor Cannula in his right kidney was growing into a major blood vessel, the vena cava,

A toward his heart.

At first, Dr. Rogers believed . Mr. Teodoro was not a good surgical candidate because of the extent Until now, these “ patients with complex tumors involving the major vessels have not had a lot of B C D options,” says Dr. Rogers. “The AngioVac procedure “offers one.

8 2015 SYSTEM REPORT

HENRY FORD FIRST TO BRING NEW BRAIN SURGERY TECHNOLOGY TO MICHIGAN

enry Ford Hospital was the first see an actual red blood cell travelling detailed pre-planning of the surgery, to bring fantastically advanced through an artery in the brain. The BrightMatter’s sensors let the doctors Hbrain surgery technology to level of detail allows us to think of know if their instruments are properly Michigan — and one of the first in the surgery and visualize the brain in aligned before they move forward in United States. an entirely new way. That’s a huge the patient’s brain. “The BrightMatter technology — a benefit for patients.” Doctors who have been using the highly detailed imaging and robotic The result: smaller incisions, technology describe the new views it positioning system with sensor-driven less recovery time and — most provides as “crazy.” • tools used in the operating room — importantly — a better ability for arrived in Detroit in January 2016,” surgeons to avoid important structures says Steven Kalkanis, M.D., chairman in the brain, he adds. The technology This is a significant game-

of neurosurgery at Henry Ford Hospital is used to operate on brain tumors, changer,” Dr. Kalkanis and co-director of the Hermelin Brain aneurysms, vascular lesions and says. “This technology Tumor Center. skull-based issues. The high-powered will transform our ability

Henry Ford Health System was the microscope and light source also can to enhance and perform first in Michigan to sign a purchase be used in minimally invasive spine “neurosurgical procedures surgery, Kalkanis says. at Henry Ford Hospital. agreement with the technology’s “ developer, Synaptive. The long, movable metal arm of This state-of-the-art imaging, navigation and “This is the future of not only BrightMatter contains a microscope robotic optical platform neurosurgery, but what technology and high-powered lighting that can transform surgeries can do for medicine,” Kalkanis says. provides incredibly detailed vision previously deemed “Three, four, five years ago, this would to surgeons. The arm is also linked impossible to possible — have been considered space-aged, to sensors built into the surgeon’s science-fiction technology. You can tools. Using images created during and with great outcomes.

9 HENRY FORD HEALTH SYSTEM

A CENTURY OF CARE

N 2015, HENRY FORD HEALTH SYSTEM CELEBRATED ITS 100TH ANNIVERSARY. The System shared the celebration with the community beginning with an exhibition at the Detroit Historical Museum and continuing with events Ithroughout the year, including alumni get-togethers with nurses and physicians, a centennial float in America’s Thanksgiving Day Parade, and a Grand Ball benefitting Henry Ford Hospital featuring a spectacular fireworks display. Throughout the summer, the System hosted 24 anniversary picnics for employees at nine locations, with musical entertainment, lawn games, food, and a special gift for each employee. More than 12,000 employees attended. Relive or join in the fun through these 100th anniversary photo albums.

10 2015 SYSTEM REPORT

11 HENRY FORD HEALTH SYSTEM 2015 ACCOMPLISHMENTS

PEOPLE

long-standing tradition of caring for its employees EMPLOYEE BENEFITS AND WORKFORCE continued in 2015 at Henry Ford Health System. UTILIZATION PROGRAMS Investments in its workforce include programs to A • The System established a new health benefits model improve the financial and physical health and wellness of including its first Consumer Driven Health Plans and Henry Ford staff, demonstrating the concept that employees Health Savings Account. This model contains a “basic who are at their best provide optimum patient care. plan” that meets Affordable Care Act requirements and EMPLOYEE WELLNESS aims to better attract and retain employees who want More than 20,000 employees participated in Henry Ford lower cost medical insurance. Employee Wellness programs in 2015: • In addition to an across-the-board increase, market-based • Team Up For Wellness Challenges brought teams increases were given to employees in a wide range of together for healthy competition with the goal of job classifications. The changes were in classifications walking 7,500 steps daily. where the market had moved significantly to ensure our overall compensation program remains competitive in our • Caught Doing Something Healthy. Nearly 2,000 regional market. employees were “caught” by their colleagues practicing a healthy habit. • Turnover rates were significantly reduced in a market experiencing increased rates. • Instant recess at multiple Henry Ford locations gave employees the chance to relive their school days on the • Reduced worker’s compensation claims. playground, exercising and relieving stress. • Implemented a payroll deduction system. • Wellness Ambassadors — 267 in all — volunteer to • Through Live Midtown, Henry Ford offered up to $20,000 provide wellness information and support to their to employees who bought or leased a home in Detroit’s colleagues in their work locations. Midtown community. Through 2015, the program’s fifth • More than 2,000 employees have and final year, 240 Henry Ford employees had received downloaded the free “EatWell” app funds totaling nearly $1.5 million. • that provides detailed nutrition information about the food served in Henry Ford cafeterias.

12 2015 SYSTEM REPORT

t Henry Ford, caring for patients SERVICE and their loved ones extends Abeyond medical expertise. The health system has established and invested in a “Culture of Caring,” following proven models for care and seeking input from patients, to ensure that patients and visitors have an experience that far exceeds their expectations.

NURSING CULTURE OF CARING WORKSHOPS All nurses at all System hospitals, in addition to unit secretaries and medical assistants, participated in Culture of Caring workshops. By following a specific model, caregivers learned to deliver a highly reliable and exceptional care experience. A key part of the approach is empathy and recognition of suffering, which patients and their families often experience. The workshops are now a part of new employee orientation for all Henry Ford and Health Alliance Plan (HAP) employees.

PHYSICIAN CUSTOMER ENGAGEMENT TRAINING For the second year, all new Henry Ford Medical Group senior staff physicians attended a three-hour course on enhancing physician-patient communication. Current physicians also were invited to participate in the sessions, offered every month. Physicians can try out various THROUGH THE PATIENT communication models with actual ADVISOR PROGRAM, Henry situations from their own experiences. Ford trained more than 125 patient advisors across the CURBSIDE PHARMACY SERVICE System and created seven AT HENRY FORD WEST Patient Advisory Councils BLOOMFIELD HOSPITAL to enhance the System’s Henry Ford West Bloomfield patient-centered approach Hospital Pharmacy launched to care. Several patients now curbside pickup of prescriptions serve on health system and which improved service and board committees, providing resulted in increased patient valuable perspective. volume.• 13 HENRY FORD HEALTH SYSTEM QUALITY AND SAFETY

ALL SYSTEM HOSPITALS IMPLEMENT DAILY SAFETY HUDDLES ith patient lives at stake, MICHIGAN COLLABORATIVE Every day, leaders at all Henry every physician, nurse and QUALITY INITIATIVE SCORES Ford hospitals collaborate employee at Henry Ford GENERATE FUNDING W on safety processes, working Health System works to uphold the Working with Blue Cross Blue together to enable quick and highest standards for quality and Shield of Michigan, Blue Care effective resolution to quality safety. Whether on a large scale, Network and the Michigan Hospital and safety issues. affecting 20,000 lives, or within a Association, Henry Ford participated single department, all initiatives are in the Michigan Collaborative Quality directed at ensuring the safety of Initiative to improve patient care and patients and staff and offering care HENRY FORD WEST BLOOMFIELD reduce costs. As a result, the System that surpasses patient expectations. EARNS BABY-FRIENDLY HOSPITAL earned $5.1 million in 2015 and an DESIGNATION additional $2.5 million in direct BEHAVIORAL HEALTH RAPID funding for project staff for 2016. By implementing 10 important RESPONSE TEAM steps, Henry Ford West Bloomfield By launching a Rapid Response team Hospital joined almost 300 hospitals TOMOSYNTESIS LAUNCHED approach, Behavioral Health staff nationwide to offer optimal care AT HENRY FORD members were trained in verbal for infant feeding and mother/baby WEST BLOOMFIELD HOSPITAL de-escalation skills. Combative bonding. Since opening, obstetrics patient behaviors toward employees To complement the services volume has grown steadily and in decreased by 84 percent, resulting in at its Breast Center, Henry Ford 2015, 2,149 newborns were welcomed 17 percent fewer employee injuries. West Bloomfield Hospital is the into the world at Henry Ford West first hospital in the System to add Bloomfield Hospital. tomosynthesis technology for imaging of dense breasts.

14 2015 SYSTEM REPORT

GLOBAL HEALTH INITIATIVE With more than 60 global health activities in 20 countries, Henry Ford Health System is making a positive and far-reaching impact building capacity in low-resource communities through the Global Health Initiative (GHI). Highlights for 2015 include: Research: Published 15 papers in professional journals, presented 16 abstracts at conferences, and received $1.6 million in external funding.

MYCHART ENROLLMENT for Medicare & Medicaid Services’ (CMS) Next Generation Accountable Henry Ford and Health Alliance Training: Provided training for 625 Care Organization (ACO) model for Plan (HAP) enrolled more than 84,000 individuals, hosted 20 speakers and Traditional Medicare patients effective patients in MyChart in 2015, for a total 15 global health events, launched Jan. 1, 2016. The Henry Ford ACO enrollment of more than 283,000 since tele-education programs with (HFACO) includes nearly 2,000 Henry the program began in 2012. With this institutions in Haiti, Myanmar and Ford Medical Group and System- online tool, patients are empowered India, launched a Global Health employed physicians in addition to to manage their health care how, when Lecture Series in the Congo, Haiti many specialists and select primary and where it’s best for them. and Taiwan, and hosted 15 students care physicians from the Henry Ford and visiting faculty for internships Physician Network. It also includes all Henry Ford and and rotations. Henry Ford hospitals and facilities. Health Alliance Plan (HAP) An ACO is a group of health care enrolled more than providers who come together to use proven best practices to provide the 283,000 most appropriate care to patients and since MyChart began in 2012. improve communication within the care team, resulting in better patient Community Engagement: With outcomes and a lower cost of care. 26,000 hours of service, the GHI worked with communities in Haiti, AMBULATORY HEDIS SCORES Colombia, Myanmar, Guatemala REACH 90TH PERCENTILE and Detroit to build local research The Healthcare Effectiveness Data infrastructure, worked with and Information Set (HEDIS) is a tool community leaders in Detroit to used by almost every health plan in the create sustainable health goals, United States to measure performance and partnered with Henry Ford’s on important dimensions of care and School-Based and Community HENRY FORD ACO IMPACTS service. Henry Ford scored in the Health Program to launch an 20,000 LIVES 90th percentile for ambulatory breast asthma education intervention cancer and colon cancer screening, and program in Detroit Public Schools. • Henry Ford Health System was one in blood pressure control for patients of 21 health care systems in the United with hypertension. States to implement the Centers 15 HENRY FORD HEALTH SYSTEM

the Boulevard development and revitalization plan.

DETROIT QUICKCARE CLINIC Henry Ford opened a new QuickCare Clinic, its seventh patient care facility in Detroit. The clinic’s nurse practitioners provide expert care for illnesses and injuries, and support wellness and healthy living.

REGIONAL AND STATEWIDE GROWTH

Henry Ford Health System served more than

1.5 MILLION LIVES and added HENRY FORD WELCOMES ALLEGIANCE HEALTH 22,576 NEW PATIENTS in 2015. Following completion of due diligence and regulatory approval ith the evolution of medicine comes the need for space, partnerships, processes which began in November and expanded capabilities to bring the most advanced care available 2015 with a Letter of Intent, to the patients who need it. Henry Ford is continuously growing within W Allegiance Health — now named the City of Detroit, southeast Michigan, and beyond, to harness and deliver the Henry Ford Allegiance Health (HFAH) best possible care. — has become part of Henry Ford Health System. Henry Ford Allegiance Health has 475 beds and is based in CITY OF Jackson, Mich. HFAH will invest $300 DETROIT GROWTH million in the Jackson community and surrounding areas over the next

five years, a portion of which will WORLD-CLASS CANCER CENTER be raised through philanthropy. The Henry Ford announced plans to build a $110 investment will be used for new million cancer center as part of the South of facilities, information technology and the Boulevard initiative. The planned five- other new programs and services. story, 144,000 square-foot cancer center is anticipated to open in summer 2018. Patients HEALTHPLUS FLINT AND can expect the most modern technology, HAP MERGE access to research and novel treatments, and Health Alliance Plan (HAP) and seamless, coordinated cancer care in one location. HealthPlus, a Flint-based HMO, merged in 2015. Joining the SOUTH OF THE BOULEVARD two organizations adds 70,000 The System continued progress on its $500 million expansion and neighborhood new members to HAP and $400 improvement initiative, located south of West Grand Boulevard. The 300-acre million in annual revenue, extends area across from Henry Ford Hospital is home to the new Cardinal Health HAP’s service area, and enhances Distribution Center and will be joined by the cancer center in 2018. These relationships with major HAP clients, plans are a key development in the System’s role in Detroit’s revitalization and including General Motors and the UAW growth, and include affordable and market-rate housing, retail and commercial Retiree Medical Benefits Trust. space, and expansion of Henry Ford services in response to community need. HENRY FORD MACOMB

SURGICAL SERVICES CARDINAL HEALTH At Henry Ford Macomb Hospital, May 2015 marked the official opening of the $30 million Cardinal Health construction is continuing to expand Distribution Center. Cardinal Health is a medical products distribution center, the hospital’s operating rooms. supplying Henry Ford Health System and the Detroit Medical Center. The 18- The hospital also implemented a acre building and grounds are a major component of Henry Ford’s South of 16 2015 SYSTEM REPORT retinal surgery program, funded by a than 13,000 new Personal Alliance® in their homes, resulting in fewer generous donation from the Victoria members and more than 200 new readmissions and emergency room Kane Estate in honor of her husband, small groups. visits. It has been expanded to Macomb County ophthalmologist John • HAP Midwest Health Plan rolled out include kidney transplant, oncology Paul Kane, M.D. “My Health Link,” a dual-eligible and skilled nursing facility patients. program with Centers for Medicare STATEWIDE GROWTH STRATEGY and Medicaid Services and the GASTROENTEROLOGY By partnering with physicians and Michigan Department of Health and The Division of Gastroenterology hospitals throughout Michigan and Human Services, and enrolled more expanded, increasing referral volume beyond, Henry Ford Hospital and Henry than 7,000 members. at Henry Ford Hospital and Henry Ford Medical Group have realized strong • Personal Service Coordinators Ford West Bloomfield Hospital by 113 growth in hospital-to-hospital patient are piloting use of Epic to sign percent in six months. Henry Ford led transfers. Statewide growth transfers members up for MyChart and the market in Michigan for high-end increased 16 percent from 2014 to 2015, schedule appointments. hepatology and interventional and and transfers from greater than 50 miles • HealthPlus Flint and HAP merge. advanced therapeutic gastroenterology. increased 28 percent. See page 14. STRUCTURAL HEART PROGRAM Henry Ford is one of the busiest structural heart centers in the SPECIALTY United States, with more than 150 GROWTH trans-aortic valve repairs and an overall rise in volume of 25 percent in 2015.

Physicians developed several new SOUTHFIELD GAINS HENRY techniques and procedures, including DOWNRIVER CARE EXPANDS FORD OPTIMEYES 3-D imaging to guide valve placement in the heart. Henry Ford Wyandotte Hospital grew The Henry Ford OptimEyes inpatient rehabilitation admissions by Supervision Center opened in DIALYSIS SERVICES 29 percent, recruited five surgeons Southfield, bringing 20,000 square feet • Macomb Regional Dialysis Centers and increased surgical volume by 878 of retail optometry and full-service expanded to 20 treatment stations cases, and was verified as a Level III comprehensive eye care to the area. and added training suites to Trauma Center. VIRTUAL CARE AND TELEHEALTH enable patients to perform dialysis treatments at home. Approximately HENRY FORD WEST BLOOMFIELD Henry Ford Health System is 25 percent of patients perform HOSPITAL EXPANDS ACCESS, using virtual care and telehealth — treatment in the comfort of home, GROWS VOLUME computers and mobile devices — to compared with the national average Henry Ford West Bloomfield Hospital connect patients, medical staff, and of 10 percent. announced an alliance with a private the community. • In partnership with the DMC and physician management group to • Physicians participated in a private practice physicians, Henry expand access to direct primary care in successful pilot program using video Ford relocated the Northwest southeast Michigan. Direct patient care, visits/consultations in dermatology, Detroit Dialysis Center offerings to or concierge medicine, provides patients behavioral health/psychiatric a new and contemporary setting, direct access to their personal private services, travel medicine, vascular markedly expanding capacity and physician 24 hours a day, 365 days a procedure assessments, post- service levels. year. surgical follow up, and remote • Henry Ford created a new home- The West Bloomfield Hospital also surgical consultations. only dialysis service located in expanded joint replacement surgical • Henry Ford admitted more than Berkley, Mich., in partnership with volume, growing 34 percent over 2014. 1,600 new patients to its e-Home a local health system physician Care program, with 200 patients practice group. HEALTH ALLIANCE active daily. Using remote tele- PLAN (HAP) monitoring, nurses monitor and SPECIALTY PHARMACY GROWTH communicate with congestive Henry Ford grew its specialty drug heart failure, chronic obstructive pharmacy from $194 million in 2014 to • HAP added 50,000 members across pulmonary disease, severe $295 million in 2015. • all product lines including more hypertension and diabetes patients 17 HENRY FORD HEALTH SYSTEM RESEARCH AND EDUCATION

HENRY FORD PHYSICIANS edicine is a constantly evolving field, and its evolution is driven by are using 3-D printing cutting-edge research, innovation, and physicians who are trained technology to create exact to bring research results to patient care. Henry Ford Health System replicas of patient hearts, M which are more powerful than embraces its role as a leader in both medical research and education, and supports the individuals who are pioneering treatment, techniques and just visualizing a picture on a technology to improve and extend human lives. monitor. Physicians are able to predict how a patient’s anatomy will react to different Henry Ford Health System received more than surgical techniques, types of $70 MILLION in research funding in 2015. equipment and movement. NATIONAL INSTITUTES OF To date, more than 150 HEALTH (NIH) FUNDING: patients have benefited. $21,961,125 GRANT FUNDING: FOUNDATION AND OTHER $50,818,657 AWARDS: $4,235,026

PHARMACEUTICAL/INDUSTRIAL AWARDS: $39,315,015

OTHER FEDERAL AWARDS: STATE AND LOCAL AGENCY $4,193,246 AWARDS: $627,785 TOTAL 2015 RESEARCH FUNDING: $70,332,197 18 2015 SYSTEM REPORT

HENRY FORD INNOVATION INSTITUTE GLOBAL OPPORTUNITIES The Henry Ford Innovation Institute in Detroit As part of a broad international strategy, Henry Ford enhances patient care and research, training, and Health System is actively engaged in sharing and licensing commercialization opportunities through innovation and its knowledge, expertise, and best practices. creative ideation. In 2015, the Institute received more • Henry Ford signed a memorandum of understanding than $1.05 million in licensing revenue and entered (MOU) with Apollo Hospitals, one of India’s premier into multiple license agreements, including MedLine for healthcare systems, to collaborate on innovative the Model G patient gown and Vision IT for a physician products, programs, technology, and services, for communication tool. patients in low- and developing-income countries and the United States. MEDICAL EDUCATION • Through a partnership between Henry Ford Health Through Henry Ford’s medical education program, System and a Riyadh, Saudi Arabia hospital, a pilot 1,061 physicians and 748 undergraduate medical medical center will open in Riyadh as early as fall 2016. students were trained in 2015. The System is the largest It is modeled after Henry Ford West Bloomfield Hospital osteopathic (D.O.) training program in the United States. using a population health/ambulatory care approach. • Of the 2015 graduate medical education participants, 24 percent remained in Michigan, 72 percent went into practice, and 28 percent continued their training in Michigan fellowship programs.

19 HENRY FORD HEALTH SYSTEM COMMUNITY

Henry Ford contributes more than

$6 BILLION in economic impact to the metro Detroit area. he Henry Ford Health System community extends from downtown More than 8,800 Detroit to all surrounding suburbs and beyond, and each area has a Henry Ford employees Tdistinct personality and history. Through carefully selected and managed work in the City of Detroit. programs, the System meets the unique needs of each area and continues to create valuable services for members of the communities it serves. EARLY COLLEGE SUCCESS MOBILE MEDICAL CLINICS Almost 300 high school students HANK and CLARA are the result of a partnership between Henry Ford Health benefited from the Henry Ford Early System and the Children’s Health Fund. The mobile medical clinics travel to College, which offers 12 health career Detroit schools and community centers to deliver complete health care services programs for at-risk students from 17 to Detroit’s medically underserved children, addressing children’s health care school districts. The school ranks in needs in the city and improving access to high-quality care. In 2015, the units the 99th percentile of schools in the provided 3,467 medical appointments (560 more than 2014) to 875 unduplicated state of Michigan. patients and 1,109 general health education contacts to 735 unduplicated students. HFHS Pharmacy delivers approximately 1,000 prescriptions each year HENRY FORD LIVEWELL GROWS to all school-based program sites. • Since its launch in February 2015, CEO APPOINTED TO PRESIDENTIAL COMMISSION the henryfordlivewell.com web site and blog has logged between 4,000 President Obama appointed Henry Ford Health System CEO Nancy Schlichting and 5,000 page views per month. as chairperson of the Commission on Care, established by Congress to examine It contains health and wellness how to best deliver health care to military veterans. information directly from the experts TRANSFORMING DETROIT NEIGHBORHOODS at Henry Ford. Henry Ford has continued to physically transform the area surrounding its • Meetings don’t have to be sedentary downtown campus. This included collaborating with the UAW, Midtown Detroit, and include doughnuts. Henry Ford Inc., and the City of Detroit to landscape space along West Grand Boulevard. produced the Healthy Meeting Toolkit The System demolished 15 structures and deconstructed five more, salvaging in 2015, and is leading change in how half of the materials for re-use. meetings are conducted inside and out of the health system. 20 2015 SYSTEM REPORT

• 5-2-1-0 Kids, an original Henry Ford app, was designed by 3,000 pediatric patients, most provided at their schools wellness experts and engages children through four games during the school day. The clinics delivered more than and healthy lifestyle messaging. Since it was released 1,000 prescriptions, completed 1,500 well checks/ and promoted in late 2014, more than 5,000 users have physicals, administered 3,000 vaccinations, and offered downloaded the app. Medicaid outreach assistance to 25,000 families. The team also made more than 10,000 evidence-based health GENERATION WITH PROMISE education interventions. Henry Ford operates seven school- This Henry Ford program received more than $809,000 based health centers, one school-linked health center, from the U.S. Department of Agriculture for SNAP-Ed two mobile health units, one telemedicine office, and six food stamp education by way of the Michigan Fitness satellites with registered nurse provided care in the City of Foundation, and touched 37,360 lives through school, Detroit and surrounding communities. Services are provided community and faith-based outreach in 2014 and 2015, by pediatricians, nurse practitioners, registered nurses, and making 114,319 contacts. Generation With Promise brings licensed masters prepared social workers, and are available nutrition education and promotes physical activity and regardless of ability to pay. youth leadership at Detroit elementary, middle, and high schools. MT. CLEMENS SCHOOL-BASED HEALTH CLINIC A partnership between Henry Ford Macomb Hospital and Henry Ford Pediatrics, together with grant funding from the State of Michigan Health Department and Department of Education, brought the first school-based health clinic to Mt. Clemens middle- and high-school students. The clinic expands an existing partnership with Mt. Clemens Community Schools and offers treatment for illnesses and injuries, sports physicals, immunizations, health education, laboratory testing, and individual counseling and behavioral health groups.

HENRY FORD WEST BLOOMFIELD HOSPITAL WOMEN INSPIRED NEIGHBORHOOD SERVES UP SPECIAL MENU FOR NETWORK (WINN): DETROIT DIVERSE CULTURES Since 2012, community health workers enrolled more As part of its community outreach efforts to provide than 1,200 women in WINN: Detroit to reduce infant delicious and healthy foods to diverse cultures, Henry Ford mortality. Since the program began in spring 2012, zero West Bloomfield Hospital launched Kosher Korner in an effort preventable infant deaths have occurred among the babies to provide kosher food options for patients, guests and born to mothers in the program, 88 percent had normal staff. The food selection in the kosher menu also meets the birth weights, and 89 percent were full-term deliveries. dietary needs of individuals following the practice of halal. •

HEALTHCARE EQUITY SCHOLARS The first class of the Healthcare Equity Scholars Program Henry Ford provided approximately graduated, equipping 17 employees with skills to improve clinical quality, patient satisfaction, and employee $459 MILLION engagement by addressing the unique needs of patients IN COMMUNITY from diverse cultures and backgrounds. BENEFIT SCHOOL-BASED AND COMMUNITY in 2015. HEALTH PROGRAM Through the School-Based and Community Health This includes reported community programs Program, Department of Pediatrics, Henry Ford provided and services, patient financial assistance, in-kind 9,995 medical clinical appointments including 2,501 donations, research revenue, charity care, bad integrative mental health appointments, for more than debt and losses on government programs.

21 HENRY FORD HEALTH SYSTEM DEVELOPMENT INNOVATION, INSPIRATION, TRANSFORMATION

The mission of the Henry Ford Development Office is to joyfully create a culture of giving and engagement that will transform healthcare in the communities we serve.

THE NUMBERS 2015 PERFORMANCE AT A GLANCE

$27 MILLION $25 MILLION CASH REVENUE + $1.9M YEAR OVER YEAR PRODUCTION REVENUE + $1M YEAR OVER YEAR

PARTICIPATION 4,874 51.1% $1.7 238 $4.4 16,500 First-time Donor Renewal Rate MILLION Proposals MILLION Donors Donors 46% National Average Endowed Revenue Submitted Planned Gift Raised Commitments was a year of transition for Development Office staff identified, developed and packaged fundraising and development more than $100 million in fundraising products, all built on 2015throughout the Henry Ford Health strategic System priorities. Each one weaves together medical System, continuing the tradition of INNOVATION, INSPIRATION innovation and inspiring narrative to lay the groundwork for and TRANSFORMATION. transformational gifts. At the same time, the Development The Henry Ford Development Office has made significant Office has worked to transform its own staff, adding strength in strides in each. Working with our medical partners, the strategic areas to build the best possible fundraising team.

22 2015 SYSTEM REPORT

INNOVATION: FUNDING PRODUCTS DEVELOPED*

Heart and Vascular Institute/Structural Heart: South Campus Neighborhood: “Beyond Grand”: $25 MILLION $50 MILLION opportunities identified

Tomosynthesis Machines: Henry Ford Macomb Surgical Center: 7 machines upgraded or purchased: focus on raising Innovation Institute:

$1.4 MILLION $15 MILLION $25 MILLION for the project naming opportunity

*highlights some of the priorities identified in 2015

Henry Ford invested in technology enhancements bills and continues to assist with household items, to leverage patient data, with a focus on creating an utility bills and necessities for their children. exceptional high value healthcare experience. We • Gary, with stage IV prostate cancer, faced a grim established new vehicles for giving, moved our Employee prognosis. His final wish was to attend a Detroit Tigers Giving Program online and participated in the first National baseball game with his family. The day before he was Giving Day. We strengthened gift admitted to hospice care, Game On Cancer provided him reporting efforts and highlighted stories and 10 family members with luxury transportation to a that share the impact of donor support. game, dinner and VIP tickets. In Henry Ford’s Game On Cancer • A Josephine Ford Cancer Institute social worker partnership with the Detroit Lions discovered that Deborah, a cancer patient from Macomb football team, we raised more than Township, was living on food stamps and had no available $600,000 for both cancer research and transportation. Every week for a year, she had been riding for a cancer patient needs fund. her bike to Henry Ford Macomb Hospital to receive her chemotherapy treatments. Game On Cancer contracted INSPIRATION: with a local cab service to provide her with ongoing roundtrip transportation to all of her treatments and THE POWER OF THE GIFT grocery assistance. No matter the level, philanthropic giving both demonstrates and inspires our commitment to our patients and our communities. A few of the many examples of the power of TRANSFORMATION: the gift from Game on Cancer are: NEW STRUCTURES FOR NEW OPPORTUNITIES • Aijaz is a brain tumor patient suffering from extremely • In 2015, the Development Office reorganized to focus limited mobility. He lives with his wife and child, and on revenue streams: Major Giving, Annual Giving/Donor in order for his wife to continue working, an at-home Engagement, and Foundation Giving. Henry Ford has caregiver is needed two to three times per week to a long tradition of philanthropy, with an historic focus assist Aijaz in getting out of bed, showering, dressing, on employee giving and fundraising events. The System and feeding himself. Aijaz has that care, thanks to the will continue to build on that tradition, leveraging the Game On Cancer program. tremendous spirit of private philanthropy both locally and nationally. Our 2016 efforts will continue to emphasize • Gina has aggressive breast cancer. Her husband, Chris, increased revenue and welcoming new donors from across is also a cancer patient with stage IV renal cancer. the health system. • Gina, Chris, and their four children have very limited means. Game On Cancer paid their outstanding medical 23 HENRY FORD HEALTH SYSTEM FINANCIAL PERFORMANCE

or the thirteenth consecutive year, the System experienced Fpositive revenue growth $5.1 in 2015. Henry Ford is one of a handful of healthcare organizations nationally with both a strong provider $4.7 organization and large insurance operations. Overall revenue increased $4.5 $4.5 by 7.3% in 2015. Revenue growth reflects the System’s continued success in touching more lives.

The System reported excess revenues over expenses before unusual items of $111.9 million for the year ended Dec. 31, 2015, providing a margin of 2.2%. This reflected significant improvement in excess revenues over expenses from prior year results. Improved performance was the result of strong revenue growth for both provider and insurance plan segments and effective expense management. Improved operating performance provides resources to invest in people, facilities, equipment, and services.

MARGIN

$111.9 2.5% 2.2% 2.0% 1.5% 1.0% 0.6% $28.4 $27.8 0.6% 0.5% 0.0% -0.3% $(12.0) -0.5% 2012 2013 2014 2015 24 2015 SYSTEM REPORT

Health Alliance Plan membership continued to grow.

Inpatient admissions increased slightly in 2015, after declining in prior years. Outpatient services continue to grow dramatically as more care shifts to ambulatory settings.

100,405 3,202

95,415 94,396 3,039 93,341 2,956 2,933

$3.5 $3.5 $3.5 $3.6 The System maintains a solid balance sheet. Total assets and liabilities grew from 2014 to 2015 by $2.1 2.7 % and 3.3%, respectively. $2.0 $2.0 $2.0

The System provided $459 million TOTAL 2015 COMMUNITY BENEFIT COST (IN MILLIONS) total community benefit during $24 2015 including $300 million of $33 $69 uncompensated medical care costs. Charity Care $218 Unpaid Medicare, Medicaid, and other Public $57 Bad Debt Research Health Professional Education 2012 2013 2014 2015 $58 Other 25 HENRY FORD HEALTH SYSTEM

• Supplier Diversity Excellence 2015 AWARDS AND Award, Great Lakes Women’s RECOGNITION Business Council • “The Best and Brightest Companies n 2015, Henry Ford Health System was honored to receive recognition for to Work For®,” National high-quality care, innovation, and organizational excellence. This selection Association for Business Resources Iof awards represents the enthusiasm, dedication and pioneering spirit embraced throughout the System. • Henry Ford Macomb Hospital, • “Best of the Best,” Metro • Equity of Care Top 50 Detroit’s 101 Best & Award, American Cardiovascular Brightest Places to Work, Hospital Association Programs, Truven Michigan Business & Professional Association • Healthcare Equity Scholars • Henry Ford Hospital Stroke and Program, Challenge Award, Neurovascular Disease Center, • Health Alliance Plan Association of American Medical Get With The Guidelines® Stroke (HAP), highest ranking Colleges Gold Quality Achievement Award, in member satisfaction American Heart Association/ among commercial • Leader in Lesbian, Gay, Bisexual, American Stroke Association health plans in and Transgender (LGBT) Michigan, J.D. Power Healthcare equality, Human Rights • Henry Ford Hospital dermatology & Associates Campaign Foundation residency program, ranked one of the top 10 residency programs in • “50 Great Health Systems to • Henry Ford Wyandotte Hospital, the Midwest, Doximity/U.S. News Know 2015,” Becker’s Women’s Health Excellence Award, & World Report Healthcare Healthgrades • Henry Ford Hospital and Henry • 2015 Press Ganey Success Story • Women-Inspired Neighborhood Ford Wyandotte Hospital, Most Award® (WIN) Network: Detroit, Program Connected Hospitals, U.S. News & of Excellence, Hospital Charitable World Report • John C. Dingell Heroes for Babies Services Awards Award, March of Dimes, Michigan • “Good Install” award, Epic Chapter • Detroit Regional Infant Mortality Reduction Task Force, featured • “Most Wired” • Excellence in Race and Ethnicity in national study of exemplary list, Hospitals & Data Collection and Use for Quality partnerships Health Networks Improvement, Commission to End Health Care Disparities • Family Medicine Resident Clinic/ • Fit-Friendly Worksite Platinum Community Health Worker pilot Award, American Heart Association • #1 of Top 5 Hospitals program, Clinical Innovations and Health Systems, and Care Award, Association of • Diamond level, Healthy Workplace DiversityInc American Medical Colleges Award, Governor’s Council on Physical Fitness, Health and Sports • Henry Ford Wyandotte Hospital, • Supply Chain Excellence Award, one of America’s Best 100 Premier Inc. • Seniors CONNECT for Health, Hospitals, Healthgrades Health Innovations Award, • Supplier Diversity Health Care Michigan Department of Health • Henry Ford Hospital, Consumer Choice Corporation of the Year, Michigan and Human Services hospital, Detroit-Wayne County Minority Supplier Development Council

26 2015 SYSTEM REPORT HENRY FORD HEALTH SYSTEM GOVERNANCE LEADERSHIP

Henry Ford Health System Morton E. Harris Henry Ford Macomb Hospital Board of Trustees Jack Martin Corporation Gary C. Valade David F. Girodat, Chair Chair Raymond C. Lope’, Vice Chair Sandra E. Pierce *Ex-Officio Trustee. Paul D. Alandt Vice Chairs Health Alliance Plan Myra Bergman, R.S.M. N. Charles Anderson of Michigan Edward D. Callaghan, Ph.D. Stephanie W. Bergeron Shari L. Burgess, Chair Jerome H. Finkel, M.D. David J. Breen Marvin W. Beatty Peter D. Gates David M. Hempstead Sandra A. Cavette, MPH, RDH++ Steven D. Harrington, M.D. J. Wes Paisley Rosalind E. Denning++ Carolann K. Kinner, D.O. Leroy C. Richie Colleen M. Ezzeddine, Ph.D.++ Brian G. Loder, DPM* Joyce V. Hayes Giles Albert L. Lorenzo, Ph.D. Chief Executive Officer Harvey Hollins III Thomas B. Meldrum Nancy M. Schlichting Jamie C. Hsu, Ph.D. Rhonda M. Powell Secretary Wright L. Lassiter III+ Robert G. Riney* Edith L. Eisenmann Raymond C. Lope’++ Barbara W. Rossmann* Judith S. Milosic++ Ali H. Shakir, M.D. Treasurer Susanne M. Mitchell James E. Thompson, D.D. Edward G. Chadwick Marguerite S. Rigby++ Mary Ann Victor Boards of Trustees/Directors Michelle B. Schreiber, M.D. Anthony J. Viviano Lynn Ford Alandt James G. Vella Andrea L. Wulf N. Charles Anderson +Ex-Officio Director. *Ex-Officio Trustee. Stephanie W. Bergeron ++ Subscriber Elected Director. David J. Breen Henry Ford Physician Network Henry Ford Hospital and Thomas C. Buhl* John Popovich, Jr., M.D., Chair# Shari L. Burgess* Health Network Mohammed R. Al-Ansari, M.D.## William A. Conway, M.D.* Mark A. Douglas, Chair Ghazwan Atto, M.D.## Mark A. Douglas* Eileen M. Ashley Ronald Y. Barnett, D.O.## David F. Girodat* Kimberly A. Brown, M.D.** Charles J. Barone II, M.D.# David M. Hempstead William A. Conway, M.D.* Edward G. Chadwick* John F. Kill* George Costaris William A. Conway, M.D.# Alan M. Kiriluk Scott A. Dulchavsky, M.D., Ph.D.* Brent N. Davidson, M.D.# Charles G. McClure, Jr. Elena A. Ford Kevin G. Deighton, M.D.## Adnan R. Munkarah, M.D.* Lydia R. Gutierrez Jerome H. Finkel, M.D.## J. Wes Paisley Sheila Ford Hamp Diane L. George, D.O.# Sandra E. Pierce Eric A. Hardy Charles E. Kelly, D.O.* Joseph J. Richardson, Jr. Hassan K. Jaber Wright L. Lassiter III* Leroy C. Richie Steven N. Kalkanis, M.D.** Bruce K. Muma, M.D.# Nancy M. Schlichting* Adnan R. Munkarah, M.D.* Paul A. Ragatzki, M.D.## Lawrence H. Schultz Faye Alexander Nelson Robert G. Riney* John Popovich, Jr., M.D.* Edgar L. Vann II *Ex-Officio Trustee. Paul A. Vlasic* Robert G. Riney* #HFMG Trustee. Eric J. Scher, M.D.* ##Non-HFMG Trustee. Honorary Trustees Vivian Day Stroh Walter E. Douglas Paul A. Vlasic Edsel B. Ford II *Ex-Officio Trustee. Martha F. Ford **Physician Trustee. William Clay Ford, Jr. 27 HENRY FORD HEALTH SYSTEM

Henry Ford James P. Daly Eleanor B. Ford West Bloomfield Hospital James H. Davis, Jr. Gregory Jackson Paul A. Vlasic, Chair Deborah Y. Edwards Frank G. Jonna Florine Mark, Vice Chair Heidie M. Gorno Steven N. Kalkanis, M.D.** Jonathan S. Aaron Jerry D. Griffith Henry E. Kim, M.D.** Michael E. Berger Syed M. Jafri, M.D.* Alan M. Kiriluk Linda H. Blair Lawrence J. Kearney, Jr. Henry W. Lim, M.D.* Robert N. Canvasser Gregory E. Pflum Florine Mark Betty S. Chu, M.D.* Elizabeth S. Plemmons, M.D.** David N. McCammon Mi K. Dong Robert G. Riney* Niko Moschouris Jennifer Fischer R. R. Yalamanchi, M.D.** Benjamin Movsas, M.D.** Benson Ford, Jr. Richard M. Nodel Maurice G. Jenkins Honorary Trustees Alex L. Parrish Frank G. Jonna Gerald P. Cole Wendy Williams Powers Alan M. Kiriluk Conrad W. Kreger Waltraud E. Prechter William H. Liebold II *Ex-Officio Trustee. John Rakolta, Jr. Shalini S. Modi, M.D.** **Physician Trustee. William C. Rands III Adnan R. Munkarah, M.D.* David L. Schlaff Yahya Murad, M.D.** Nancy M. Schlichting* Henry Ford Health System Robert G. Riney* Matthew S. Sosin Jean S. Shapero Foundation Gary H. Torgow Lynn M. Torossian* Thomas C. Buhl, Chair Raj B. Vattikuti Edna M. Zaid David M. Hempstead, Vice Chair Mary Ann Victor Lynn Ford Alandt Anthony J. Viviano *Ex-Officio Trustee. Margaret Allesee Paul A. Vlasic **Physician Trustee. Margaret E. Burns-Deloria* Kathleen J. Whelan Vivian L. Carpenter, Ph.D. William A. Conway, M.D.* Henry Ford James H. Danto Honorary Trustees Wyandotte Hospital Karen W. Davidson Morton E. Harris John F. Kill, Chair Wayne S. Doran Doreen N. Hermelin Saroj V. Bhat, M.D., FACP** Walter E. Douglas Thomas W. Iverson Denise Brooks-Williams* Shari Finsilver John M. Bussa Michael R. Fisher *Ex-Officio Trustee. Vonda R. Cini **Physician Trustee.

HENRY FORD MEDICAL GROUP LEADERSHIP

Henry Ford Medical Group Henry W. Lim, M.D. Henry Ford Medical Group Board of Governors Bruce K. Muma, M.D. Chairs’ Council Adnan R. Munkarah, M.D., Chair Suresh C. Patel, M.D. William A. Conway, M.D. Alexander D. Shepard, M.D., John Popovich, Jr., M.D. Executive Vice President, Henry Vice-Chair Ilan S. Rubinfeld, M.D. Ford Health System, Chief Executive Manuel L. Brown, M.D. Eric J. Scher, M.D. Officer, Henry Ford Medical Group William A. Conway, M.D. Farzan Siddiqui, M.D., Ph.D. Emmanuel P. Dizon, M.D. Peter Y. Watson, M.D. Marwan S. Abouljoud, M.D. Diane L. George, D.O. Celeste T. Williams, M.D. Director, Transplant Institute Christine Cole Johnson, Ph.D. Jerry Yee, M.D. Kimberly M. Baker-Genaw, M.D. Henry E. Kim, M.D. Director, Medical Education 28 2015 SYSTEM REPORT

Charles J. Barone II, M.D. Cathrine B. Frank, M.D. Benjamin Movsas, M.D. Chair, Pediatrics Chair, Psychiatry Chair, Radiation Oncology

Kimberly A. Brown, M.D. Diane L. George, D.O. Bruce K. Muma, M.D. Division Head, Gastroenterology Chief Medical Officer, Primary Care Chief Medical Officer, Henry Ford Physician Network Manuel L. Brown, M.D. Christine Cole Johnson, Ph.D. Chair, Radiology Chair, Public Health Sciences Adnan R. Munkarah, M.D. Chair, Gynecology, Obstetrics and Robert A. Chapman, M.D. Steven N. Kalkanis, M.D. Women’s Health Director, Josephine Ford Cancer Chair, Neurosurgery Institute Theodore W. Parsons III, M.D. Henry E. Kim, M.D. Chair, Orthopaedic Surgery John M. Deledda, M.D. Division Head, Cardiology Chair, Emergency Medicine Eric J. Scher, M.D. Margot C. LaPointe, Ph.D. Chair, Internal Medicine Scott A. Dulchavsky, M.D., Ph.D. Vice President, Research Chair, Surgery Susan Schooley, M.D. Michael C. Lewis, M.D. Chair, Family Medicine Paul A. Edwards, M.D. Chair, Anesthesiology Chair, Ophthalmology and Kathleen L. Yaremchuk, M.D. Eye Care Services Henry W. Lim, M.D. Chair, Otolaryngology – Head and Chair, Dermatology Neck Surgery Stanton B. Elias, M.D. Chair, Neurology Mani Menon, M.D. Richard J. Zarbo, M.D. Chair, Urology Chair, Pathology and Laboratory Medicine HENRY FORD HEALTH SYSTEM PHYSICIAN LEADERSHIP

Henry Ford Elected Members Medical Director of Kingswood Hospital Anthony J. Colucci, D.O. Quality and Clinical Integration Medical Executive Sachinder Hans, M.D. Vikram Reddy, M.D. Committee Leadership John Lim, M.D. Henry Ford Anthony Munaco, M.D. West Bloomfield Hospital President Joseph Naoum, M.D. Medical Executive Committee Maria N. Villafuerte, D.O. Leo Toomajian, D.O. Leadership Secretary Chair, MSQC Sam Schwendiman, M.D. Prashant S. Patel, M.D. Chief Medical Officer Betty S. Chu, M.D. Henry Ford Macomb Hospitals Chair, Credentials Committee Medical Executive Committee Geoffrey Siedel, M.D. Medical Staff Leadership Bruce T. Adelman, M.D.

Chief Medical Officer Division Chiefs Denise D. Collins, M.D. Joanna R. Pease, D.O. Harold Gallick, M.D. Pino Colone, M.D. Chief of Staff Surgery Brent N. Davidson, M.D. Michael J. Dunn, M.D. Brian G. Loder, D.P.M. Christopher O’Connell, D.O. Bruce A. Jones, M.D. Ambulatory Medicine Immediate Past Chief of Staff Nibras Karmo, M.D. Nasir Husain, M.D. Rajinder Sikand, M.D. David Katcherian, M.D. Vice Chief of Staff Medicine Gerald Koenig, M.D. Ali H. Shakir, M.D. Kenneth Levin, M.D.

29 HENRY FORD HEALTH SYSTEM

Ghaus M. Malik, M.D. Junior Member-at-Large Mark Pensler, M.D. Earlexia M. Norwood, M.D. Elizabeth S. Plemmons, M.D. Representative, Medicine Paul A. Ragatzki, M.D. Chairs/Representatives Charles Raymond, M.D. Kandis Rivers, M.D. Dennis Lemanski, D.O. Chair, Anesthesiology Hans J. Stricker, M.D. Anne Abrahamson, M.D., Leonard Rosen, M.D. Robb Weir, M.D. Chair, Physical Medicine & Rehab Chair, Psychiatry Nancy Sabal, D.O. Henry Ford Fadi Baidoun, M.D. Chair, Family Medicine Wyandotte Hospital Chair, Surgery Rebecca Steele, D.O. Medical Executive Sandra Bronni, M.D. Representative, Family Medicine Committee Leadership Chair, Pediatrics Ahmad Farah, D.P.M. Peter Stevenson, M.D. Chief Medical Officer Representative, Surgery Chair, Ob/Gyn Dennis R. Lemanski, D.O. Ravinder Gandhi, M.D. Eve M. Van Egmond, M.D. President Representative, Medicine Chair, Pathology Syed M. Jafri, M.D. Kempaiah Gowda, M.D. Past President Chair, Medicine Syed M. Danish, M.D. Thomas McKeown, M.D. Chair, Emergency Medicine President Elect Gregory Olson, M.D. Megha Mohey, M.D. Chair, Radioloty Secretary/Treasurer Leo Ottoni Jr., M.D. Balbir Gandhi, M.D. Chair, Orthopaedics Senior Member-at Large Baldev Gupta, M.D. HENRY FORD HEALTH SYSTEM EXECUTIVE LEADERSHIP

Henry Ford Health System William A. Conway, M.D. Veronica M. Hall, R.N. Senior Executive Team Executive Vice President, Chief Nursing Officer, Henry Ford Health System Henry Ford Health System Mary Alice Annecharico Chief Executive Officer, Chief Operating Officer, Senior Vice President and Henry Ford Medical Group Henry Ford Hospital Chief Information Officer, Henry Ford Health System Edith L. Eisenmann Charles E. Kelly, D.O. Vice President and President and Chief Executive Officer, Denise Brooks-Williams Chief Governance Officer, Henry Ford Physician Network President and Chief Executive Officer, Henry Ford Health System Henry Ford Wyandotte Hospital Wright L. Lassiter III Cathrine B. Frank, M.D. President, Margaret E. Burns-Deloria Chair, Behavioral Health Services Henry Ford Health System Senior Vice President, Development Henry Ford Health System President and Chief Executive Officer, Henry Ford Health System Health Alliance Plan of Michigan Rose M. Glenn Edward G. Chadwick Senior Vice President, David B. Lee Executive Vice President and Communications Vice President and General Counsel, Chief Financial Officer, and Chief Marketing Officer, Henry Ford Health System Henry Ford Health System Henry Ford Health System Henry W. Lim, M.D. J. Douglas Clark Senior Vice President, Vice President, Academic Affairs Business Integrity Services Henry Ford Health System Henry Ford Health System 30 2015 SYSTEM REPORT

Thomas S. Nantais Barbara W. Rossmann Mary Ann Tournoux Chief Operating Officer, President and Chief Executive Officer, Senior Vice President and Henry Ford Medical Group Henry Ford Macomb Chief Marketing Officer, Hospital Corporation Health Alliance Plan Kathleen M. Oswald Senior Vice President and Nancy M. Schlichting Kimberlydawn Wisdom, M.D. Chief Human Resources Officer, Chief Executive Officer, Senior Vice President, Community Henry Ford Health System Henry Ford Health System Health and Equity, Chief Wellness Officer and John J. Polanski William R. Schramm Chief Diversity Officer, President and Chief Executive Officer, Senior Vice President, Henry Ford Health System Community Care Services Strategic Business Development Henry Ford Health System Henry Ford Health System

John Popovich, Jr., M.D. Michelle B. Schreiber, M.D. President and Chief Executive Officer, Chief Quality Officer and Senior Vice Henry Ford Hospital President for Clinical Executive Vice President and Transformation and Clinical Chief Medical Officer, Information Technology Integration, Henry Ford Health System Henry Ford Health System

Robert G. Riney Lynn M. Torossian Executive Vice President and President and Chief Executive Officer, Chief Operating Officer Henry Ford West Bloomfield Hospital Henry Ford Health System

31 ® www.henryford.com