RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l

RAMBAM HEALTH CARE CAMPUS b. 1135 Cordoba, Spain Who was the and scholars in Jewish designation signals our d. 1204 Fostat (old Cairo), Egypt RAMBAM? history, by day served hospital’s aim Rambam is named for in the palace of Sultan always to be guided by 12th century Rabbi Salah-a-Din of Egypt the RAMBAM’s Moses Maimonides as court physician, and practice of superlative (the RAMBAM), who by night cared for a devotion to patients in addition to being steady stream of Arab and to the art of one of the greatest and Jewish patients healing. philosophers, teachers rich and poor. e who cares? >>>

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>>> “We care for the child within the family and put the child in the center. Because usually the prognosis is good, our approach is optimistic and rightly so! The children are strengthened by our approach; they want to return to regular life and will think positively.” Prof. Myriam Weyl Ben Arush Head, Miri Shitrit Pediatric Hematology & Oncology Department Deputy Director, Children’s Hospital, RHCC Chair, Israel Society of Pediatric Hematology Oncology >>> RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 4 5

“When an elderly patient comes to Rambam for treatment, our team has the option of doing broad- based diagnostic testing that covers many aspects of that person’s life. We are here for those who cannot or are afraid to speak for themselves. This subject is dear to our hearts; after all, we are the elderly of tomorrow.” Roni Gagin Director, Social Work Department

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>>> “What did I think of when I was on the stretcher? I thought of my unit, and I thought that I have to stay conscious because at Rambam the doctors and the high technology will take care of me.” Captain (res.) Tomer Bohadana

August 7, 2006: Volunteer Air Force reservist Dr. Nimrod Adi preserves the life of Captain Bohadana, who is shown badly injured but giving the V for victory sign upon arrival at Rambam by helicopter from Lebanon after his dramatic battlefield rescue and evacuation under Dr. Adi’s care. >>> “We are taking the best and most motivated residents and providing them with the best possible clinical and research- oriented training. We are investing in the single most important resource available to us, the human resource.” Prof. Aaron Ciechanover Laureate, the 2004 Nobel Prize in Chemistry Chair, Scientific Advisory Board, RHCC Cancer and Vascular Biology Research Center Rappaport Faculty of Medicine & Research Institute Technion – Israel Institute of Technology RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 8 9 >>> “When lying in the hospital, bed next to bed, a Muslim, a Christian, a Druze or a Jew, mutual empathy and natural identification with each other’s suffering are formed.If we could bring the leaders of negotiations to an educational workshop here, at Rambam, maybe problems that seem huge would suddenly seem more human and solvable.” His Excellency Shimon Peres, President of the State of Israel RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 10 11 >>> Esteemed Friends and Benefactors, Rambam Health Care Campus, located in Haifa next to the Mediterranean Seashore and directly below Mount Carmel, is really a city within a city: a hospital devoted to healing the sick and injured, and with this humanitarian purpose always before us, a university affiliated major medical center dedicated to training physicians of the future to think flexibly and creatively, and a research hub pledged to providing our clinicians with the best laboratory conditions for making patient-oriented discoveries. In the pages of this Annual Report, we have tried in pictures and words to communicate something of the healing human energy animating Rambam at all hours and in all seasons.

We hope also to have conveyed the dynamism of the Rambam campus during this, an exhilarating year of construction activity and medical and research development in the context of our Vision of Adam master plan for the 21st century -- with renovated and new facilities, the recruitment of excellent additional staff members, and the achievement of top-notch research results and technological innovations to show for it, and you, our steadfast Friends, to thank! RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 12 13

Devoted to healing

Professor Rafi Beyar MD, DSc, MPH Director General Rambam Health Care Campus >>> BUILDING An Emergency Department and Trauma Center

NEW HOME OF ABLE TO ACCOMMODATE 6 AMBULANCE STATIONS THE EMERGENCY OVER 100,000 PATIENTS 6 DEPARTMENT ANNUALLY, CARE FOR 60 2 DIGITAL X-RAY 2009 AND TRAUMA PATIENTS SIMULTANEOUSLY, ROOMS CENTER AND BE EXPANDED TO 100 2 TREATMENT STATIONS RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 14 15

In 2009, Rambam dedicated Israel’s first emergency medical facility fortified against conventional and chemical warfare. The 60-million-shekel project was initiated by Rambam during the Second Lebanon War. The largesse of Mr. Nochi Dankner, Chairman of the IDB Group and first in line to back the project, attracted a consortium of funding partners: the Ministry of Health, the Jewish Agency, the United Jewish Communities (UJC) of the Jewish Federations of North America, the Claims Conference, and the NGO Reut for the Advancement of Medicine in Israel.

6 TRAUMA AND ICU 2 ISOLATION ROOMS FULLY COMPUTERIZED 6STATIONS (expandable for patients with RECORD-KEEPING AND to 11) built in cooperation 2suspected infectious MONITORING SYSTEMS with the Technion’s Human diseases or weakened DEVELOPED IN COOPERATION Engineering and Patient immune systems WITH THE TECHNION AND IBM Safety Department

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The soaring, fan-shaped parking roof is wide enough to shelter six ambulances.

>>> ER >>>

“This visit closes a circle from my previous visit in August 2006, when I saw an old facility without a doubt too small to serve Haifa and the North, especially during a crisis, and only with these wonderful doctors and nurses to keep it going. I adore Rafi Beyar for his determination and abil- ity to realize this project, and I am so happy to come here only three years later and see an exemplary, all-inclusive ER.” Nochi Dankner Chairman, IDB Group RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l >>> REALIZING Our Master Development Plan

As originally conceived, Rambam’s master development plan for the 21st century called for recruiting the best physicians, nurses, allied healthcare professionals, and administrative and financial personnel to our workforce from within Israel and abroad, and for constructing a four-building complex: ER a clinical research-oriented Biomedical Discovery Tower and expanded, modern facilities for our Children’s Hospital, Cardiovascular Hospital, and Oncology Hospital.

In July and August of 2006, the Lebanon- parking garage quickly convertible into a based Hezbollah targeted the civilians of 1,750-bed emergency hospital, whose ceiling Northern Israel with thousands of Katyusha would provide the reinforced foundation for rockets and Fajar missiles, hundreds of which the above-ground 4-building complex. rained down on Haifa, and 45 of which struck within a 500-meter radius of Rambam. 2009 This was an extraordinary year for everyone “We became concerned with finding at Rambam, Dr. Golan reports, and especially urgent solutions for fortifying the hospital,” for Ariye Berkoviz, Head of the Engineering remembers Dr. Esty Golan, Chief Operating Department. Significant progress in realizing Officer. “A Regional Underground Hospital our master plan was made on four fronts: was not part of the original blueprint, but it became our new, top-priority postwar aim.” Underground Emergency Hospital • 20-sq-dunam, 14-meter-deep building Shipping magnate and Haifa native son site excavated and cleared Sammy Ofer stepped forward with a $25M donation, and in August 2008, ground was Recruitment of Human Resources broken. Planned for the heart of Rambam’s • 120 physicians, 77 nurses, 112 paramedics, and West Campus was a 3-level underground 52 administrative and financial personnel hired RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 24 25

Statutory Permissions • First four laboratories of the Legacy Heritage • National (Israel Lands Authority), regional Clinical Research Institute at Rambam and municipal building permits received (LHCRIR, est. 2008) inaugurated (see related article, p34-35) New Construction and Renovations • Emergency Department and Trauma Center • Tender published for underground parking inaugurated (see related article, pp14-23) lot and Sammy Ofer Regional Underground Emergency Hospital and for exterior • Neurology Department takes up residence construction of Cardiovascular Hospital, in expanded and gracefully renovated quarters Ruth (Rappaport) Children’s Hospital and Joseph Fishman Oncology Hospital • Surgical Departments A & B refurbished The Rambam of the future RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 26 27

Biomedical Discovery Tower

Ruth Rappaport Children’s Hospital Joseph Fishman Oncology Hospital

Cardiovascular Hospital >>> TREATING Children with Kidney Disease Every day at 5 AM, two-year-old Aya Aiid Abo-Mois and her mother, Sahir Abo-Mois, residents of a small village outside of Jenin that is under Palestinian Authority jurisdiction, wait for a driver of the Derech Hachlama (Way to Recovery) volunteer- run organization from Israel, which operates transportation services for Palestinian patients from their homes to hospitals in Israel. They are on their way to Rambam, where the little girl undergoes dialysis.

“Kidney failure in children represents one of The explanation is delivered by courtly, the most difficult challenges in pediatric health soft-spoken Prof. Israel Zelikovic, Director of care. In children, chronic renal failure is usually the Pediatric Nephrology Division since its caused by genetic-hereditary kidney diseases or establishment at Rambam in 1997. congenital urinary tract abnormalities. During the progression of their renal failure, children “Our aim is to prevent kidney disease in children have serious problems with eliminating waste when possible, to slow disease progression by products from the blood and with balancing using appropriate drug and nutrition therapy, water, salt and such minerals as calcium and to use the best multidisciplinary approach and phosphorus; they develop bone fragility, most modern equipment to treat children with growth-related problems, neurodevelopmental established kidney failure and alleviate their delay, severe anemia, and unstable blood suffering, and to allow these children to live as pressure. Children whose kidney function normally as possible within the context of the decreases to less than 10% of normal – what family,” he continues. is called end-stage renal disease – require dialysis therapy until a kidney can be found for Although the goal is to transplant new kidneys transplantation.” in all children with end-stage renal disease,

Dialysis treatments Hemodialysis Hemodialysis Peritoneal dialysis 4,121 provided to children, 2,797 treatments for 956 treatments for 249 treatments performed infants, neonates and children with end- children with acute overnight at home for premature infants stage chronic renal renal shutdown children with families presenting with a disease able to supervise wide range of kidney patient compliance diseases RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 28 29

If you visit our Pediatric Dialysis Unit, which he adds, only twenty children in Rambam’s program have received a kidney transplant “is small and crowded, you will be impressed since 1997, and this after a wait of three to four by the bond between the children/families and years, reflecting the severe shortage of donated the team members who take care of them. I kidneys for transplantation in Israel. am blessed with a fantastic medical team; they Under Prof. Zelikovic’s leadership, the Pediatric have a unique combination of professionalism Nephrology Division has developed into a and soul!” leading clinical, academic, and research center in Israel and has achieved international stature. PROF. ISRAEL ZELIKOVIC I Director, Pediatric Nephrology Division

Inpatient peritoneal Hemofiltration 92 dialysis treatments 27 treatments performed 1,293 1,561 in the Pediatric Intensive In-house consultations Ambulatory clinic Care Unit in conjunction consultations with other aggressive lifesaving measures INTRODUCING Medical Tai Chi >>>

In 2009, at the initiative of Dr. Simon Vulfsons, Deputy Director of the Pain Relief Unit, the medieval-Chinese, meditative-kinetic martial art of tai chi was added to the range of complementary medical therapies offered to patients at Rambam. The idea was realized with the encouragement of Dr. Elon Eisenberg, Director of the Pain Relief Unit.

Tai chi is particularly suited to alleviating such “musculoskeletal pain as neck, joint and chronic back aches and, as a bonus, it also develops balance, coordination and motor skills and helps to reduce falling and fractures.” Dr. Simon Vulfsons, Deputy Director, Pain Relief Unit RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 30 31

With CP patients, I focus on stability and simple actions. In “ the case of autism, I concentrate on communication. From these patients, I have learned how movement is created and which treatment will help with specific diseases and disabilities. We must also remember that there is a great mental element to pain. Working on the soul releases pain no less than does working on the body.”

YOSSI FISHER I Tai Chi Master

Dr. Vulfsons explains that until approximately “Yossi had made time-lapse videotapes 25 years ago, the medical community documenting these individuals’ progress over thought of the nature of pain as solely acute time,” Dr. Vulfsons recalls. “I realized that he (for instance, in response to burns, cuts was onto something more than just another and infections). “However, we have now exercise so I asked him to organize all his recognized that whatever the [pain’s] original material for us, and in 2009, we brought cause, which hasn’t or cannot be solved, him on staff.” chronic pain is accompanied by changes in the nervous system and has to be treated He adds, “To the best of my knowledge, as a disease.” despite the existence over the years of research attesting to tai chi’s health benefits, Five years ago, Dr. Vulfsons became a Rambam is the first hospital in Israel and student of tai chi master Yossi Fisher, one of probably in the world to have taken the step Israel’s foremost martial arts practitioners. of bringing in someone who is not a certified Other complementary Dr. Vulfsons was intrigued to learn that clinical healthcare professional.” medical therapies offered already for a decade, his instructor had to chronic pain patients at been using the self-conscious, slow and With the goal of teaching the exercise Rambam are acupuncture, gentle movements of tai chi as therapy regimen to physiotherapists, Dr. Vulfsons biofeedback, chiropractic for children with cerebral palsy, autistic and Master Fisher plan to collaborate with adjustment, deep tissue massage, laser therapy, children, adult stroke victims relearning Technion scientists in the computerized mindfulness meditation, and actions that their brains have forgotten, analyses of patients’ musculoskeletal osteopathic manipulation. and elderly Holocaust survivors. movements during medical tai chi. >>> ALLEVIATING Parkinson’s Symptoms

This is the first time that this unconventional “therapy has been used to improve symptoms of Parkinson’s disease. While this is only initial research, we have opened the door. If we can prove the effectiveness of implementing RGI daily, we can greatly improve these patients’ quality of life. The treatment of Parkinson’s is complicated; the possibility of offering a new therapy brings hope.”

DR. ILANA SCHLESINGER I Head, Movement Disorders and Parkinson’s Center

The central nervous system is Neurotransmitters are naturally comprised of approximately produced chemicals that one hundred billion neurons send messages from a neuron (nerve cells), whose job is to to a neuron or other cell. In send and receive electrical neurodegenerative diseases, messages throughout the body. some neurons die or are RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 33 33 Preliminary clinical research conducted in 2009 by Senior Neurologist Dr. Ilana Schlesinger, Head of the Movement Disorders and Parkinson’s Center, and Orna Ben-Yakov, RN, Nursing Director of the Specialized Internal Medicine Units Division and of Ambulatory Care Services, has found that relaxation guided imagery (RGI) significantly ameliorates Parkinsonian tremor.

Relaxation Guided Imagery (RGI)

The idea for the study germinated in the relaxation, and RGI. Each subject’s degree empirical observations of Ms. Ben-Yakov, of tremor was recorded at baseline and who introduced RGI into the rehabilitation throughout the session by means of a wrist- and support group for Parkinsonian patients worn accelerometer and an actigraph. that she supervises at Rambam. “It worked like magic!” she says, recalling her initial Of the three stimuli, RGI proved most surprise. “When the patients got up to leave, effective; all 20 subjects exhibited dramatically it was impossible to detect that they had decreased tremor, and in 75% (15 subjects), Parkinson’s.” tremor was completely abolished for 1-13 minutes. Furthermore, the subjects reported She reported her experience to Dr. post-session tremor reductions lasting Schlesinger, and together, they embarked on anywhere from two to fourteen hours. The a pilot study designed to objectively measure researchers then held additional sessions the phenomenon. For this purpose, they with three of the subjects, during which these randomly recruited among their Parkinsonian dramatic results were replicated and the data patients twenty subjects (thirteen women supplemented with electroencephalogram and seven men) aged 50-73 with moderate (EEG) recordings of brain wave behavior. to severe tremor and divided them into same-gender groups of three to four The findings were published in 2009 in individuals. Each group attended a two-hour Movement Disorders, the journal of the session during which they were exposed to international Movement Disorder Society. three stimuli – calming music, self-induced

damaged and, as a result, some The incapacitating symptoms of associated mainly with body functions are impaired the neurodegenerative disease motor-function control; this because messages are not sent Parkinson’s (PD) are caused by loss results in a dopamine or received. a loss of specific populations deficit in the brain. of neurons that produce dopamine, a neurotransmitter >>> ADVANCING Clinical & Translational Research

In recent years, Rambam has prioritized mechanisms to facilitate funding for medical research. Foremost among these are the Legacy Heritage Clinical Research Institute at Rambam (LHCRIR, est. 2008), whose aim is understanding, treating and ultimately curing human diseases, and the Etai Sharon Memorial Rambam-Atidim Program for Excellence in Research (est. 2006), which provides select Rambam Medical Center residents with two- year fellowships to pursue basic research projects in the leading labs of the Technion-Israel Institute of Technology and Rappaport Faculty of Medicine.

2009 Prof. Derek Le Roith is designated Director of Dedicated laboratory Two new Principal LHCRIR’s Diabetes and Metabolism Clinical Research space is created for Investigators are Center of Excellence effective October 2010; he is the Diabetes and 2 appointed, bringing currently Chief, Division of Endocrinology, Diabetes Metabolism Clinical to five the number of and Bone Disease and Director, Metabolism Institute Research Center of LHCRIR Members at the Mt. Sinai School of Medicine, New York Excellence RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 34 35

Legacy Heritage Clinical Research Institute at Rambam

The entire medical world is open to instructions for manufacturing just the individuals gifted with the scientific-research right amount of proteins in a regulated achievements and high promise that are manner and at the appropriate time and sought by the LHCRIR for recruitment to place. Both healthy and sick heart cells are membership. People like RHCC-trained reading different pages in the same book; clinician-researcher and graduate of the the question is which pages of the book. Technion’s Rappaport School of Medicine If we can answer this question, we can Izhak Kehat, MD, PhD, currently a resident genetically manipulate heart cell behavior at the Heart Institute of the Cincinnati away from illness to health.” Children’s Hospital Medical Center. In 2009, Dr. Kehat was appointed to LHCRIR During the next six years, the LHCRIR plans membership effective summer 2010. to establish 3-5 patient-oriented Research Centers of Excellence and to absorb 42 Dr. Kehat speaks of his research goals: “I Principal Investigators. The Institute’s am looking for groups of genes implicated permanent home will be established in the pathogenesis of congestive heart within five years as part of the Biomedical failure. DNA is like a book of code with Discovery Tower.

rd3rd Annual Research Day provides LHCRIR Charter 1stst Rambam Meets the Technion Seminar 14 medical and life sciences Members gastroenterologist Prof. Yehuda Chowers brings together Rambam Hospital- studies are initiated by 3 & molecular pathologist Dr. Edmond Sabo, and 1based physicians and Technion-based 14Rambam’s Unit for the the Class of 2010 Etai Sharon Memorial Rambam- engineers and scientists for a day of Advancement of Research in Atidim Fellows, with a campus-wide showcase for brainstorming technical solutions to joint partnership with the presenting their results clinical challenges University of Haifa >>> CURING Erectile Dysfunction

Prof. Yoram Vardi, Director of the Neuro-Urology and Male Sexual Dysfunction Unit, made headlines around the world in 2009 by adapting a shock wave machine – a medical device that generates focused shock waves and has been in common use for twenty years to break up kidney stones and heal damaged joints – for use on patients with erectile dysfunction (ED). RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 36 37

My idea was that if a shock wave machine can “work on the heart, why not on another vascular organ, the penis, inducing better blood flow to the vessels of the penis? We speculate that the therapy improves arterial blood flow and positively affects the complete vasculature. What the real mechanism is, we don’t know yet.”

PROF. YORAM VARDI I Director, Neuro-Urology and Male Sexual Dysfunction Unit

Five years ago, cardiologists successfully the drug is active in the bloodstream; it does adapted the machine by lowering the not cure ED, and includes such side effects amplitude of the shock waves generated and as headaches and visual and gastrointestinal thereby inducing better arterial blood flow in disturbances. ischemic heart disease patients. The subjects received twelve shock wave Because both the heart and the penis are treatments over the course of nine weeks. vascular organs, and cardiovascular disease is Each therapy session lasted for twenty responsible for 80% of patients with ED, Prof. minutes, during which the administering Vardi wondered what would happen if he physician used a device similar to an further adapted the machine by lowering the ultrasound wand to apply thirty low- shock wave energy to 100 bar (one tenth of energy shock waves to three sites along the the pressure used to break up kidney stones) penile shaft and two sites on the perineum and directly applying this energy to the penis. (invisible inside the body). Fifteen of the men responded positively at the time, and at six Of the twenty patients aged 33-73 at months after cessation of treatment had Rambam enrolled in the pilot study, all reported a lasting ability to achieve normal suffered from such diseases as hypertension, erections. hyperlipidemia, coronary heart disease or other cardiovascular problems, or diabetes. In 2010, Prof. Vardi commenced a second All had previously responded to Viagra. This study, this time using a placebo group as well pharmacological intervention, however, as an experimental group. makes possible an erection for only as long as >>> In the News

“Rambam has put at the top of our priorities mechanisms to facilitate funding for medical research, but currently funding in Israel is insufficient; we require a national research authority analogous to the NIH to support clinical investigations. The Israeli government should establish a stimulus plan for medical research.”

Prof. Rafi Beyar Director General Rambam Health Care Campus For Balanced Health

Renal phosphate transporter protein defect identified; responsible for phosphate balance in health and disease. Results published in New England Journal of Medicine by Daniella Magen, MD, Israel Zelikovic, MD, and Karl Skorecki, MD, FRCPC, in collaboration with Technion, Tel Aviv University, Tel Aviv Sourasky Medical Center, and University of Montreal colleagues.

No Kidding Around Genes from America Personal Best

Breast- and bottle-feeding found Published in Human Molecular Genetics: Personalized medicine: cooperation to most effectively control pain African- and Hispanic-American genetic between Clinical Pharmacology Institute during heel-lancing in newborns; risk markers for end-stage kidney and Pharmacogenetics Laboratory results published in Pediatrics by Amir disease discovered by RHCC-based enables high-efficacy drug treatments with Weissman, MD, Michal Aranovitch, RN, geneticist Dr. Doron M. Behar, doctoral improved dosages and prevention of side MSc, Shraga Blazer, MD, and Etan Z. student Shay Tzur, biologist Dr. Sara effects and complications. Zimmer, MD. Selig, and nephrologist and molecular geneticist Karl Skorecki, MD, FRCPC, in collaboration with colleagues from the Technion, Tel Aviv University, and the National Institutes of Health and other USA-based research institutions. RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 38 39

Hi-tech Discovery Halfway Home

Discovery NM/CT 670 hybrid imaging Israel’s first halfway house for anorexic young people opened by device for improved disease diagnosis with Eating Disorders Clinic in partnership with National Insurance less radiation in half the time developed Institute; year-long program provides living quarters and by GE Healthcare Israel in partnership with medical, social and psychological support during recovery. Department of Nuclear Medicine.

Rambam in Haiti

Intensive Care Nurse Sergey Altunin and Operating Room Nurse Maxim Berezin join 236-member Israeli medical and paramedical delegation to earthquake-devastated Haiti; Israel’s field hospital treats 1,111 patients.

Burn-Care Training Rambam Goes Green

Department of Plastic Surgery provides Israel’s first fully computerized, paper- advanced-specialist training in burn free patient recordkeeping system care to general surgeon Dr. Leon introduced by Department of Emergency Mubenga of the Democratic Republic & Urgent Care Medicine with assistance Ahoy Me Hearties! of Congo (pop. 68 million), his of Division of Information Technology & war-torn country’s first physician Communication Services. to be so trained. Carto 3 cardiac mapping and navigation system developed by Electrophysiology Unit in partnership with Biosense Webster provides heart rhythm specialists with advanced tool for diagnosing and treating atrial fibrillation. Thank you for caring. RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 40 41

Maimonides Circle

Barzani, Ovadia Moscona, Alberto Nissim

Barer, Meri and Sol Ofer, Sammy

Caroline & Joseph S. Gruss Schreiber, Jacob & Shoshana Life Monument Sim Lev LaLev, Rivka Davidas Conference of Jewish Material Claims Against Germany Spencer, Aaron & Irma

Dankner, Nochi Stichting Levi Lassen

Dibner, Relly & Brent Rappaport, Ruth & Bruce

Dr. Miriam & Sheldon G. Adelson Reut Foundation Charitable Trust Tilinka Foundation Fishman, Joseph United Jewish Communities Forchheimer, Leo & Julia Wohl Foundation Israel Cancer Association Wolfson Family Foundation Jewish Agency for Israel Women‘s League for Israel Leir Foundation Wertheimer, Eitan & Ariella Legacy Heritage Fund

Meyer, Menashe

Maimonides Circle donors have gifted $ 1 M and more to Rambam Health Care Campus Israeli Friends American Friends British Friends Canadian Friends of Rambam of Rambam of Rambam of Rambam Gifts Medical Center Medical Center Medical Center Medical Center

A.M.N. Foundation Bercowitz, Sharon M.D. Christian, Vincent Abraham & Sonia Rochlin Berg, Jonathan & Sharon Ciechanover, Yossi Foundation Berg, Marsha & James L. Clara Mendes Foundation AAbrahami, Baruch Berkley, Mr. & Mrs. Fred Clark-Dibner, Victoria Abrahams, Gerald Berry, Dr. Richard & Beverly Club for Yiddish Culture Abrahem, Peletz & Pisa Bertler, Mrs. Mariana Association for Elderly Abutbul, Michael Best Products Foundation Immigrants - San Francisco Adelipour, Sohaila Bettsak, Samuel E. & Family Jewish Community Center Adler, Leah Beutler, Ernest Cluck, Isabella Aide Médicale Pour Israël Birnboim, Moshe Cohen, Amar Aktionskomitee Zur Betreuung Black, Isabelle & Scott Cohen, Arnold L. & Barbara Israelischer Kriegsgeschadigter Blaichman, Frank & Cesia Cohen, Ayala & Elisha Alberto Muscona Nissim Blank, Edward & Sharon Cohen, Bruriah Alexander-Passe, Anita Bloch, Sam & Lilly Cohen, Dvora & Menachem Amar, Raymond et Samuel Blond, Elaine & Neville Cohen, Ethel American Physicians Bloom, Beatrice Cohen, Jeremy Fellowship Inc. Bloome, Sharon & Mark Cohen, Omer for Medicine in Israel Blumenthal, Eva & Lionel Cohen-Debra, Marianne American Technion Society Bochshtenski, Esther Combined Jewish Philanthropies Amster, Dr. Irene Bodock, Rivka et Joseph of Greater Boston Anbargi, Stella Born, Robert & Esther Crown Foundation Angers, Marcl Jampolsky Bouaziz, Guy & Renee Cutler, Natalie Ari, Nimri Bowes, Rev. George & Ivy Czerniejewer, Herman & Rose Arison Family Foundation Brachman, Malcolm Arnowitz, William & Janice Braunstein, Joann & Harry P. Daily-Rauch, Shlomit Askin, Paula Brecher, Susan & the Brecher Dalman, Michael & Dafna Atkind, Leon & Belle Family Danon, Joseph Ayer, Ariela Breindel, Stella Dansac, Madame Judit Renee Azaz, Yaffa Brieman, Mira DDansker, Norman & Gloria Broder, Abraham Darzener, Carmela & Michael Babush, Harry & Evelyn Broder, Dr. Rose David, Fanny & Davy Baghdadi, Nissim Brosh, Yakobi-Kobi David, Miriam & Joseph Baier, Family of Belle & Hy Buchari, Muhammed Amin David, Stella & Sonny Ballon, Florence Burstin, Jack & Erna Davidah, Yakov BBallon, Milton Butnick, Milton & Dora Davidov, Yakov Bank HaPoalim Ltd. Davidovitch, Abraham Bar-David, Sarah & Aaron Cahana, Yakov Davids, Rivka Barucha, Beram Estate Cardozo, Irma De Hart, Elvir Barush, Yakov-Kobi Carr, Dr. Daniel B. Denburg, Dorothy & Howard Bashaari Haim Va Rachamim Carroll, Prof. John Derfeld, Maria Beecraft, Doris & Bert CCarter Family of London Deutsch, Alex Belachman, Arieh Chai, Pircha Ben-Uriel, Mica Chais, Pamela Beracha Foundation Chet, Meir RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 42 43

Deutsch-Israellische Hilfe Für Feldman, Eyal Gerlis, Gina Krebskranke Kinder Feldman, Goldie Gettenberg, Gary S. Dibly, John Felix Lustman Estate Gettenberg, Rachel Die Deutsche Artegemeinschaft Ferg, Ittah Gil, Marcel für Medizinische Fhima, Leah & Joel Gindi, Jack E. Zusammenarbeit Finegold, Sgt. Major Jack Ginsberg, Albert Diller, Dorothy Finkelstein, Paul D. Ginsburg, Judith Donor, Mr. Herbert Fishman, Joshua & Visma Ginzberg, Ella Dor Udi, Oded Foley, Michael Glatman, Esther Doron, Dr. Jaffa & Arieh Forman, Alan & Tatyana Glitzelik, Esther Dover, Dr. Bertie & Barbara Forman, Alan J. Gokovski, Eve Dr. Shlomit & Eliezer Feldman Frank Albert & Patricia Golan, Edna Foundation Frank Cass Estate Goldfarb Black, Barbara Dr. Sigismund & Aurelia Franke, Senator A.D. Klaus Goldman, Richard Herschdoerfer Frankel, B. Harrison Goldschmidt, Arieh Dr. Yaffa & Arie Shapiro Franklin, Jonathan Goldstein, Alfred Research Fund Freedman, Norman Goldstein, Anna & Victor Dragul, Dr. Paul H. Freeman Gail Goldstein, Betty & Simon Drake, Linda & Jack Freeman, Hariette & Brian Goldstein, Heinach (Henry) Dreifus, Leora Igger Friedman, Chaim & Magda Drucker, Zacharia Friedman, Leon & Roberta Max Goldstein, Smadar & Rami Friedman, Roy Goldstein, Israel Ebin, Drs. Eva & Leonard Friends in Munich of the Israel Goodman Family Einziger, Moritz Cancer Association Gottlieb, Leo & Eva Eisenshtadt, Dr. Isabella Friends of the I.C.A. in Berlin Gould, Fredric & Helene Eizziger, Anita & Monek Friends of the Israel Cancer Great Neck Synagogue EElectric Company’s Northern Association in Great Britain Green, Adam & Dido Division Workers Froilich, Ruth Green, Hannah Organization Furman, Dave Green, Herbert & Joyce and Elsbach, Hugo their family Emrani, Daniel G2 Foundation Green, Lita & Mikey Ernzweig, Neta Gabbay, Aran Green, Yair Eretz Siamak Cultural Center Gabrel, Dora & Sydney Green, David Estate of Sophie Lazaroff Gabrel, Leon Greenberg, David Ezekial, Professor E.M. GGabrel, Sylvia & Ben Gregory, Vera Gadanski, Jacob Grosberg, Esther & Harry Fattal, William Gallatzer, Zalman Gross, Erez Falach-Mahar, Fars Gannett, Gertrude Gross, Minden Fedderman, Yekutiel Garbous, Mme. Lisa Gross, Sarita Feig, Ze’ev Gaty, Debbie Karen Grossman, Alan R. & Marjorie FFeigenbaum, Marvin Gaty, Erno Auspitz (Avraham Gundash, Noami Feigenbaum, Zev Zvi Ben Yitzhak) Robert Feld, Reb. Yitzchok Dov Geller, Bruno & Sophia Feldenkreis, George George, Elizabeth Israeli Friends American Friends British Friends Canadian Friends of Rambam of Rambam of Rambam of Rambam Gifts Medical Center Medical Center Medical Center Medical Center

Hacohen, Elli Jablow, Robert & Carol Landsburg, Elizabeth & Morris Haifa – Boston Connection Jaglom, Elchanan Lapseker, Joshua Haifa Foundation James Leon Dubrow Foundation Lasher, Moe & Charlotte Haisman-Glucker, Edna JJesse Diamond LLaughton, Martin HHalevi, Yoav Jesselson Foundation Lavenstein, Lance Halperin, Yosepha Jewish Federation of Greater Lavon, Benjamin Hansen, Jenny Los Angeles Lawson, Erica Hansje Sillevis Stichting Jewish Medical Colleagues Lazer, Rachel Harounian, Lee of Johannesburg LB- Fighting Together Society Harris, Bernard Joles, Mr. & Mrs. Harold Le Comite Amit Abramson Hart, Mary Jourdan, Michael Leeds Jewish Ex-Servicemen’s & Hasten, Mark Women’s Association Heymann Foundation, Annette Kahn, Bruce & Guinter MD Leffler, Dorothy Herczeg, George Kamhi, Sami Leibel, Mrs. Adela Hier, Marvin Kane, Dot & Alan Leopar, Gerta Hitter, Yoli Noe Kaplan, Isaac Leopar, Shlomo & Miriam Hochfeld, Henry KKasner, Joseph Lev, Nira Hoffman, Arthur S. Katz, Frances R. Levi, Sima Hoffman, Muriel Amelia Katz, Miriam Levi, Yossi Holland, Ted & Linda Katz, Sali & Kalman Leviatan, Shlomo & Dora Horowitz Family Kav-Or Levine, Gabby Horowitz Foundation Kefter, Steven Levine, Joseph & Karen Howard, Wendy Keren Hayesod France Levine, Family & Friends of Hyams, Miriam Keren Hayesod Holland Dr. & Mrs. Lawrence Hyams, Norman Keren Hayesod Israel Levitan, Oded Kessler, Howard Levitt, Herma & Harry Ignace-Picard, Mr. & Mrs. Kessler, Randall E. Levitus, May Ilan Industries Ltd. Kessler, Rosa Levy, Yossi Ilan-Aaron, Zvi Kettler, Steven Lewin, Ben & Elizabeth Immanuel College Kitamura, Zeni & Ryuji Lewin, Clement & Susan IIn His Image Foundation Klein, John & Miriam Lewis, David Iranian American Jewish Klipper, Harry Lewis, Stanley A. Federation of New York Koppel, Hagai Libovitch, Yoseph Iranian Jewish Community Korenvaes, Harlan Lichtenstein, Steve of Los Angeles Korn, Henry H. & Ellen Lidor, Avner ISCAR Kornach, Michael Liebes, Alicia Israel Children’s Cancer Foundation Krant, Joseph & Renee Liebeskind, Drs. Arie & Doreen Israeli, Avi Kroppweld, Erna Alsina Jacqueline Liniel, Shimmon Isselbacher, Rachel Kruger, Harvey Lipschik, Rochelle Isud, Tamar Kusnetz, Rose & Samuel Lipsett, Norman Ittkin, Israel Kustanovitch Temchina, Gissana Lisker, Pinchas Paveli Ivy, Judah Locker Foundation Livnat, Moshe RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 44 45

Lounal, Matilde & Joseph Namari, Uri Rabbi Dodem and Rabbitzen Luchins, David Nechmada Inadezhdai Zbar Dolly Mashash Lulki, Mila Emilie Nephrosis Research Foundation Rabinovitch, Maurice NNeria Yomtoubian Foundation RRaff, Eitan Magid, Abe Nerken, Jean & Albert Raphael Employee Fund Magid, Larry Neufeld Family Rauch, Ada & Mordechai Mahoney, Cohen & Co. Newman, Erna & Bernard Rauch, Uzi Maizels, Joseph Niago, Malka & Sammy Raviv, David MMandles, Martinn Nirberg, Ze’ev & Wilmush Raz, Itzak Maor, Galia Reichmann, Layke Maramoresher Society Ochana, Shlomo Reichmann, Paul Marcus, Dror Ohevshalom, Nader & Fred Reichmann Susanne Marienberg, Isaac, Alice & Ralph Operation Wheelchairs Reichret, Assa Mark, Arthur S. Committee Reiss, Louise & Ota Marmezai, Williard L. M.D. OOrganization for Paraplegic Rekah Foundation Mason, Peter & Mary Soldiers in Zurich Rekover, Oded Mayer, Mrs. Etti Osama Engineering Services Rich, Judith Meltzer, Merth & Engineers Ltd. Rommer, Hanka Mendelbaum, Salo Oscar Gruss & Construction Rose, Ron Mendelson, Alan C. Oster, Abe & Ann Rosen, Lilian Merard, Avi Rosenberg, Malcolm Mesznik, Eugene Geula Pally Rose Estate Rosetrees Charitable Trust Mesznik, Eitan Paris, Stuart A. & Elaine Ross-Slater, Sabina Mesznik, Joel Pariser, Paul S. Rotary - Carmel Mevarech, Amikam Pearce, Nicky Rotenier, Richard Meyer, Dr. Martin M. PPepper, Merlin Rousso, Eli Meyer, Sally Peretz, Liron Rowe, Yakov Michel, Carol Perry, Lily & Morris Rozenfeld, Ildikko Miller, Alan B. Phillips, Rachel Rozenfeld, Yocheved Miller, Antonia M.D. Pinchas, Shmuel Rozitski, Doron Miller, Marlene Pisso, Amra & Family Rubin, Freda Mintz, Rivka Pizan, Alf Rudman, Duke M.B. Mizrachi, Margalit Pizan, Sidney Moadad, Rephael Polakoff, Dale Sachs, Benjamin P. Moadad, Sarah & Son Polo/Ralph Lauren Sacta Rashi Foundation Model, Jeffrey Pomeranc, Jack & Sally Saks, Mark W. Moos, Emannuel Portsmouth Jewish Ladies Samson Goldschmidt, Mory-Rowe, Leah Benevolent Society S Betty & David Moshkowitz, Pnina & Yossi Printz-Platnick, Tobi Samuels, John Moss, Sam & Sophie Prostak, Silvia Sandler, Sam & Reba Muller, JCI Putsman, Maurice Sava, Alex Sayage, Michael Schmuelbitz, Yifat Schneider, Greg Israeli Friends American Friends British Friends Canadian Friends of Rambam of Rambam of Rambam of Rambam Gifts Medical Center Medical Center Medical Center Medical Center

Schneir, Idan Stark, Helen Vald, Rosa Schrage, Barry Starnetcki, Karla & Alexander Valdman, Eyal & Ella Schreiber, Betty Sterling, David Van Embden Schreiber, John J. Stoler, Michael R. Verbov, Haizel & Julian Schreiber, Paul S. & Joan Stowe, Marilyn VVidovski, Omri Schreiber, Rivka & Naftali Strasberger, Joseph Viennagrad Organization – Schwartzman, Vladimir M.D. Strauss, Andres & Carolina Gmach Carmiah Seattle 4 Rotary Club, Strelitz, Arlene & Joseph Vigdor, Eliyah Rotary Foundation Strelitz, Leonard & Joyce Segal Elisabeth Strelitz, Robert Wagner, Daphna Seglev, Karen Striar, Daniel & Marlene Wakslak, Haim Seitchik, Murray W. M.D. Sukenik, Avrohom Watson, Bernard Serafus, Chanan Sultoon, Babette Wax, Robert & Sara Shamron, Audrey Sultoon, Maurice WWeil, Emile et Marthe Marguerite Shapira, Robi Suppree, Isidore D.L. Weinberg Family Foundation Sherman, Marjorie & Archie Sutnik, Shaul Witte, Allan K. Shillman, Dr. Robert Swartz, Sosan Wohl, Ruth Shiloh family Wolf, Dora Shine, Barnett & Sylvia Tadmor, Prof. Ze’ev Shinolad, Bruriah & Ze’ev Tagger, Sarah Yad Avi Community Shlomo, Baron Talmon, Yehuda YAEL Organizations for Rambam Shnuelbitz, Yifat Tanenbaum, Wayne Yaghoubzadeh, Shahram Shochat, Hannah & Leora Tanner, Harold Yakov Meridor & Mila Brener Shoshan, Jacob Ben Tauber, Carla Y Foundation Shore, Neil TTaussik, Marcelo Yassky Harold Shulsky, Marvin R. & Linda Temple Shaaray Tefila Yassky, Joyce & Marc Sick Kids Foundation Tendler, Moshe D. Yechiely, Menachem Silber, Rachel Tessler, Aviva Yeshurun, Ariel Silberman, Richard & Sylvia Thirteen Synagogues of the Shore Simon Wiesenthal Center Area Walk for Israel Zelazo, Ronal E. Sinai Temple Toronto General & Zilberblum, PFeibel Singer, Daphne Western Foundation Zimberg, Morton M.D. Skalla, Hans & Eva Tovia, Sela Zucker, Uzi Skolnick, Hannah & Alex Trau, Solomon & Beryl ZZuckerman, Boris Skolnick, Howard Troy, Gil & Family Slutsky, Rebecca & Edward Truman, Carole Smargon, Andrea Tueffert, Mr. & Mrs. Dietrich Sobell Foundation Tzuckerman, Dina Sofer, Judith & Shaul Songo, Asher Uchana, Shlomo Sophie Lazaroff Estate Southend & Westcliff Hebrew Congregation Sporer, Harry U RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 46 47

Board of Trustees Board of Directors Board of Directors Board of Directors Rambam Health American Friends Canadian Friends Israeli Friends Care Campus of Rambam of Rambam of Rambam

Eitan Wertheimer Adam O. Emmerich David Green Bruriya Cohen Chairman President President Honorary President

Yitzhak Apeloig Yair Kagan Jules Berman Prof. Yehuda Hayuth Udi Angel Executive Vice President Rachel Blumenfeld Chairman Aharon Ben-Ze’ev Harvey M. Krueger Bayla Chaikoff Moshe Gan Zvi Joseph Ciechanover Vice President Karen Goldenberg Vice Chairman Nochi Dankner David A. Sterling Edwin Goldstein Rafi Edri Secretary and Treasurer Marilyn Gotfrid Uri Yanovski Uzia Galil Cary Green Samuel Pray Levy Gerzberg Meri Barer Ron Kalifer Rachel Shapira Moshe Grerdinger Pamela Chais Jules Kronis Gila Tzlik Yehuda Hayuth Relly Dibner Diane Wilson Vered Avital Peretz Lavie George A. Feldenkreis Les Wynn Uriel Reichman Michael J. Foley Earl Gorman Moshe Revah Frances R. Katz David Ordon Ruth Shitrit Harold J. Magid Simcha Stern Alan C. Mendelson Kobi Vortman Berndt Perl Yona Yahav Aaron D. Spencer Medical Advisory Uri Yanovski Board Giora Yaron Dr. Mark Bernstein Dr. Eli Bienenstock Dr. Daphne Gladman Scientific Advisory Dr. Barry Goldlist Board Rambam Dr. Helen Nadel Health Care Campus Dr. Jonathan Wilson

Professor Aaron Ciechanover General Advisory Chair, Israel Board Prof. Hedvig Hricak, USA Prof. Jacob I Sznajder, USA Stephen Herbert Prof. Sir John Gurdon, UK Stephen Posen Prof. Eugene Braunwald, USA Lionel Robins Prof. Irun Cohen, Israel Prof. Murray Sachs, USA Fiscal Overview

BALANCE STATEMENTS (in millions of shekels NIS) 2009 2008

INCOME: Medical services rendered 966 912 Donations 76 65 Research projects 19 14 Other 13 11 1,074 1,002

ALLOCATIONS: Building construction and renovation 61 55 Medical equipment 28 10 Computerized equipment 5 6 Office and cleaning materials 6 5 100 76

EXPENSES: Salaries 668 625 Medical and technical equipment 175 164 Building renovations and equipment 71 65 Operating expenses 126 142 General administrative expenses 55 59 1,095 1,055

INCOME (in millions of shekels NIS)

1,074

1,007 1,002

963 960 RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 48 49

Construction Areas

Built-up area

100 000 m2 Built-up area after implementation of master plan

160 000 m2

Employees

EMPLOYEES BY RELIGION EMPLOYEES BY SECTOR

Muslim Christian Household & Administration Druze 7% 6% 1% Other Allied 2% Health 1043 870 1020 Doctors 84% 1511

Nurses Jewish Patients

PATIENTS BY AGE

Over 70 yrs

15 942

0 - 10 yrs 13 391

43 442 6 224

11 - 20 yrs 21 - 70 yrs

NUMBER OF BIRTHS 2004-2009 RAMBAM HEALTH CARE CAMPUS l ANNUAL REPORT l 2009 l 50 51

ADMISSIONS 2005-2009

77,526 79,061

73,124 71,788 2nd Lebanon War

65,393

OCCUPANCY 2005-2009

99% 97%

96% 94% 2nd Lebanon War 90% Rambam: Caring for your future. we care. Contact the representative American Friends of British Friends of >>> office nearest you: Rambam Medical Center Rambam Medical Center Yair Kagan Anita Alexander-Passe Executive Vice President Director 521 5th Avenue, 1 Opal Court Suite 1731 120 Regents Park Road New York, NY 10175 London N3 3HY USA United Kingdom

Tel: 212.292 4499 Tel: 020.8371 1500 [email protected] Fax: 020.8371 1501 www.aforam.org [email protected]

Canadian Friends of Israeli Friends of Rambam Medical Center Rambam Medical Center Suzanne Kaye Yehudit Asnin Executive Director POB 9616 64 Merton St. 1st Floor Haifa, Israel 31096 Toronto, Ontario M4S 1A1 Canada Tel: 972-4-8520670 Fax: 972-4-8515527 Tel: 416.481 5552 [email protected] [email protected] www.cframbam.com Israel Main Office & All Other Countries © 2010. Rambam Health Care Campus

Published by the Department of International Talia Zaks Relations & Resource Development Head, International Relations & Resource Development Head, International Relations Rambam Health Care Campus & Resource Development: Talia Zaks POB 9602 Administrative Assistant, Haifa 31096 International Relations Israel & Resource Development: Abigail Zohar Spokesman David Ratner Tel: 972.4.854 2042 Assistant to the Spokesman Dganit Kenig Fax: 972.4.854 2104 Marketing Director Oded Mayer [email protected] Writer & Editor Dvora Kreda Design Castronawy, Paris Photography Pioter Fliter, Elad Gershgoren – Yediot Achronot (pp6-7), Eli Gross, Eduard Kaprov, Baz Ratner, Amos Schliack, Raanan Tal, and others

Architectural renderings Dagan Mochly Architects Ltd.; Sharon Architects: Arieh Sharon, Eldar Sharon, Architects & Town Planners Ltd. www.rambam.org.il