The annual meeting of the Board of Trustees (“Board”) of The Health and Hospital Corporation of Marion County, Indiana (“HHC”), was held January 12, 2004, 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.; Jean S. Blackwell; Henry C. Bock; Lula M. Journey; Marjorie H. O’Laughlin; Robert B. Pfeifer. Member Absent: Betsy L. Brougher.

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

Dr. Miner asked if there were any additions, corrections or deletions to the minutes for the December 22, 2003 meeting. Mrs. Journey made a motion to amend the minutes to read that the members were present via telephone. Dr. Bock seconded the motion. The motion to amend the minutes was unanimously approved. Dr. Miner requested approval of the amended minutes from the December 22, 2003 meeting. Mrs. O’Laughlin made the motion to approve and Mr. Pfeifer seconded the motion. The amended minutes for the December 22, 2003 Board of Trustees meeting were unanimously approved.

Dr. Miner asked if there were any additions, corrections or deletions to the minutes for the December 16, 2003 meeting. There were none. Dr. Bock made the motion to approve the minutes. Mrs. Journey seconded the motion. The minutes from the December 16, 2003 meeting were unanimously approved.

The meeting continued with the Election of Officers for the Board of Trustees for the year 2004. Dr. Bock stated that the Nominating Committee met via telephone. He submitted the nominations of Dr. James D. Miner as chairman and Mrs. Lula M. Journey as vice chair of the Health and Hospital Corporation of Marion County Board of Trustees. Mrs. O’Laughlin seconded the motion. The Board unanimously accepted the election of Dr. James D. Miner as chairman and Mrs. Lula M. Journey as vice chair. At this point Ms. Blackwell entered the meeting and confirmed the election with her vote.

The next agenda item was General Ordinances and Resolutions. Dr. Miner requested that General Ordinances No. 6-2003, 7-2003, 8-2003, 9-2003, 10-2003, 11-2003, 12-2003 and 13-2003 be presented for the second reading. Mrs. Keith read the following General Ordinances:

General Ordinance No. 6-2003, “An Ordinance of The Code of the

Health and Hospital Corporation of Marion County, Indiana

Concerning Child Care Facilities.”

General Ordinance No. 7-2003, “An Ordinance of The Code of the

Health and Hospital Corporation of Marion County, Indiana

Concerning Sewage Disposal Systems.”

General Ordinance No. 8-2003, “An Ordinance of The Code of the

Health and Hospital Corporation of Marion County, Indiana

Concerning Standards For Public Pools, Spas and Beaches.”

General Ordinance No. 9-2003, “An Ordinance of The Code of the

Health and Hospital Corporation of Marion County, Indiana

Concerning Water Wells.”

General Ordinance No. 10-2003, “An Ordinance of The Code of the

Health and Hospital Corporation of Marion County, Indiana

Concerning Tattoo Parlors and Body Piercing Facilities.”

General Ordinance No. 11-2003, “An Ordinance of The Code of the

Health and Hospital Corporation of Marion County, Indiana

Concerning Enforcement Procedures.”

General Ordinance No. 12-2003, “An Ordinance of The Code of the

Health and Hospital Corporation of Marion County, Indiana

Concerning License Fees for Retail Food Establishments.”

General Ordinance No. 13-2003, “An Ordinance of The Code of the

Health and Hospital Corporation of Marion County, Indiana

Concerning Officers of the Corporation.”

Dr. Miner asked if there were any comments or questions from the Board of Trustees or from the public. There were none. General Ordinances 6-2003, 7-2003, 8-2003, 9-2003, 10-2003, 11-2003, 12-2003 and 13-2003 were approved with 6 ayes and 0 nays.

Next, Dr. Miner requested that Mr. Sellers present the Treasurer’s Report for the month of December 2003. Mr. Sellers stated that the 2003 Investment Report in the Board packet is for information only and does not need approval. The 2003 Investment Report is a summary of the Corporation’s investment income for the fiscal year 2003. Interest earnings were $1.0 million in 2003 as compared to $2.8 million in 2002. This report will be presented to the Marion County Board of Finance. He stated that the Treasurer’s Report for the month of December would be presented at the next Board of Trustees meeting.

Mr. Gutwein stated that a goal for the future is to have the Hospital Committee include the most recent months financial information. The hospital will also make changes to the format of the report to make it easier to understand. The changes will include operational and financial information. The Treasurer’s Report will also be changed to include information on the enterprise fund.

Dr. Lisa Harris presented a list of Medical Staff Appointments and Reappointments for January 2004 for approval. She stated that these appointments have been approved by the executive council of the medical staff and asked for Board approval. Mr. Pfeifer made the motion to approve. Mrs. Journey seconded the motion. The Medical Staff Appointments and Reappointments for January 2004 were unanimously approved.

There were no additional Standing Committee or Board Representative Reports presented.

Mr. Gutwein distributed two documents for Board review. One document was a narrative and the other was an outline of accomplishments. The documents were titled, An Overview of 2003, and were summaries of the accomplishments of the Health and Hospital Corporation d/b/a Marion County Health Department and d/b/a Wishard Health Services for the year 2003.

Priscilla Keith, chief counsel, introduced Sylvia Wilcox, the new assistant chief counsel

for Wishard Health Services.

Mr. Gutwein introduced Chris Pappas, of Cambio, who will be focusing on the area of nursing. He stated that there are several other new individuals who have been appointed to assist with clinical and financial systematic changes at Wishard Health Services. They are Greg Mason, chief financial officer, and also several revenue cycle specialists.

Dr. Caine reviewed information on the Communicable Disease Report for December 2003. Influenza cases have significantly increased from 3,862 in 2002 to 13,091 in 2003. Tuberculosis cases have doubled due to drug resistant strains and due to clients not taking their tuberculosis medications on a regular basis.

Dr. Lisa Harris thanked the Board for selecting her for the position of Medical Director and Chief Executive Officer of Wishard Health Services and for the privilege of being able to serve the people of Marion County.

There was no further business therefore the meeting was adjourned.

The next meeting of the Board of Trustees will be held on Tuesday, February 17, 2004, 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