On a separate sheet, summarize the nominee’s professional achievements and contributions to the health care industry. Note involvement in THA and/or other industry trade associations or professional groups. Attach a complete curriculum vitae. Also include individual statements and/or supplemental information or documents addressing activities and accomplishments of the nominee in such fields as health care administration, patient care, health care research or education, and participation in community, civic or pertinent religious activities.
Attach the summary, curriculum vitae and supplemental documents below.