The meeting of the Board of Trustees (“Board”) of The Health and Hospital Corporation of Marion County, Indiana (“HHC”), was held July 22, 2003, at 1:30 pm., in the Fourth Floor Administrative Conference Room “A” of the Ott Building, Wishard Health Services, 1001 West Tenth Street, Indianapolis, Indiana. Members present: James D. Miner, M.D.; Henry C. Bock, M.D.; Lula M. Journey; Marjorie O’Laughlin; Robert B. Pfeifer. Members absent: Jean S. Blackwell; Betsy L. Brougher.

The Chairman of the Board, Dr. James Miner, called the meeting to order and proceeded with roll call.

Dr. Miner requested approval of the minutes from the June 17, 2003 meeting. Mr. Pfeifer made the motion to approve. Dr. Bock seconded the motion. The minutes for June 17, 2003, were unanimously approved.

The next agenda item was General Ordinances and Resolutions. Dr. Miner asked that Ms. Keith, general counsel, present General Ordinance No. 3-2003 by title. Ms. Keith asked Mrs. O’Laughlin to read a letter presenting General Ordinance No. 3-2003, “Annual Budget of the Health and Hospital Corporation of Marion County for the Fiscal Year Beginning January 1, 2004 ending December 31, 2004.” Mrs. O’Laughlin read the letter presenting the Ordinance and made a motion to accept the first reading of the Ordinance. Mr. Pfeifer seconded the motion. Ms. Keith read General Ordinance No 3-2003. Next, Dr. Miner asked that Resolution No. 5-2003 be presented for approval. Ms. Keith presented Resolution No. 5-2003, “Indemnification of Marion County Sheriff’s Department for Special Deputy Powers Granted Health and Hospital Corporation Employees” for Board approval. Mrs. Journey made the motion to approve. Mrs. O’Laughlin seconded the motion. Resolution No. 5-2003 was unanimously approved.

The next agenda item was Bylaws and Policies. Dr. Miner asked Dr. Jones to present

Policy No. 700-45, “Moderate and Deep Sedation” for approval. Dr. Jones stated that the changes in the Policy are on page four and are indicated by strikeout. He asked for approval of the Policy. Dr. Bock made the motion to approve. Mrs. Journey seconded the motion. Policy No. 700-45 “Moderate and Deep Sedation” was unanimously approved.

Next, Dr. Miner requested that Dan Sellers, treasurer, present the June 2003 Treasurer’s Report. Mr. Sellers stated that Cash Disbursements were $40.2 million for the month of June. The June 2003 Cash Disbursements were unanimously accepted.

Mr. Sellers stated that the June Revenue report would be presented at the August 2003 Board meeting.

Dr. Jones presented a list of Medical Staff Appointments and Reappointments for July 2003. Dr. Bock made the motion to approve. Mrs. Journey seconded the motion. The Medical Staff Appointments and Reappointments for July 2003 were unanimously approved.

Dr. Miner reported that the Hospital Committee met on July 22, 2003. The following topics were discussed:

- Wishard Health Services (WHS) May 2003 Financial Report

- Patient Financial Responsibility Policy (Recommended for Board approval)

- WHS Budget Reduction

A long-term care presentation was also given at the meeting. Dr. Miner asked for Board approval of the WHS Patient Financial Responsibility Policy. Dr. Bock made the motion to approve. Mrs. Journey seconded the motion. The WHS Patient Financial Responsibility Policy was unanimously approved.

Mrs. O’Laughlin reported on the Public Health Committee meeting. The Committee was presented information on the following:

- Treatment Plus Program, Mike Bryson, program director

- A.C.T.I.O.N. Center Update, Dr. Joyce Gill, medical director

- Healthy Start, Yvonne Beasley, director

The Public Health Committee also discussed the public health budget.

Mrs. Journey reported on the status of Citizen’s Health Center. Citizens received a letter stating that they had been awarded the grant money for which they applied. Mr. Gutwein stated that this award would allow Citizen’s Health Center to remain at Federally Qualified Health Center (FQHC). He also acknowledged Mrs. Journey, Mrs. O’Laughlin, and Mrs. Brougher for their service on the Citizen’s Board of Directors and Greg Porter and Ibrahim AlGhani for their diligent work with Citizens.

Dr. Jones reported that he met with a member of the Midtown Mental Health Center Search Committee. The committee is searching for a director. He stated that Margie Payne is the interim director.

Mr. Gutwein reported that Wishard Health Services will have to reduce expenses. He stated that the plan to acquire financial assistance from the federal government is pending.

Dr. Caine reported that there will be an abundance of mosquitoes this year. This is due to the numerous rains that have caused flooding throughout the county. She requested Dave Hurley, bureau chief, Environmental Health to give information about the MCHD mosquito control effort. Mr. Hurley stated that the Mosquito Control Program is working on a 24-hour schedule in order to keep the problem under control.

Dr. Jones reported that WHS is conducting Town Hall meetings t o keep the staff informed. There was a Town Hall meeting held on July 22, 2003 and other meetings will be held in the future.

No additional business was offered at this time. Dr. Miner entertained a motion to adjourn by the Board, which was unanimously passed.

The next meeting is Tuesday, August 12, 2003 (Budget Hearing), 1:30 pm, in the Fourth Floor Administrative Conference Room “A”, Ott Building, Wishard Health Services, 1001 West Tenth Street, `Indianapolis, Indiana.

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James D. Miner, M.D.

Chairman, Board of Trustees

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Matthew R. Gutwein

President and Chief Executive Officer