The meeting of the Board of Trustees (“Board”) of The Health and Hospital Corporation of Marion County, Indiana (“HHC”), was held March 16, 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, Betsy L. Brougher; and Robert B. Pfeifer. Members Absent: Lula M. Journey and Marjorie H. O’Laughlin.

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 February 17, 2004 Board meeting. There were none. Dr. Bock made the motion to approve the minutes. Ms. Blackwell seconded the motion. The minutes for the February 17, 2004 Board of Trustees meeting were unanimously approved.

The next agenda item was General Ordinances and Resolutions. Dr. Miner requested that Mrs. Keith, general counsel, present General Ordinance No. 1-2004, “Prohibition of Deadly Weapons; Exceptions” for the second reading and for approval. Mrs. Keith read the Ordinance. Dr. Miner asked for any comments from the Board. There were none. He asked if there were any comments from the public. There were none. General Ordinance No. 1-2004 “Prohibition of Deadly Weapons; Exceptions” was approved with 5 Ayes, 0 Nays.

Dr. Miner asked Dr. Harris to present Bylaws and Policies for approval. Dr. Harris presented Wishard Health Services “Policy No. 700-124, Cardiopulmonary Resuscitation (CPR) Competence for Physicians.” Ms. Blackwell made a motion to approve the Policy. Mr. Pfeifer seconded the motion. Policy No. 700-124 was unanimously approved.

Next, Dr. Miner requested that Mr. Sellers present the Treasurer’s Report for the month of March 2004. Mr. Sellers began with the Cash Disbursements Report. In February Cash Disbursements were $32.7 million, which is below the 2003 average of $36.1 million. This is due to the fact that Health and Hospital has no current construction projects. Dr. Miner requested approval of the Cash Disbursements Report. Ms. Brougher made the motion and Dr. Bock seconded the motion. The Cash Disbursements Report was unanimously approved.

Next, Mr. Sellers presented the Revenue and Expenditure Analysis Report. Actual Revenues are over budget by 6.95%. This is a result of grant receipts being over budget by $2.6 million and lower interest rates. Personal Services are under budget by $500,000. Supplies and Other Services and Charges are over budget due to governmental accounting and the purchase order process. Capital Outlays are under budget. Dr. Bock made the motion to accept the report. Ms. Blackwell seconded the motion. The report was unanimously accepted.

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

Standing Committee Reports began with the Hospital Committee Report. Dr. Miner reported that the Hospital Committee met on March 16, 2004, was presented information on and discussed the following:

- Wishard Health Services January Financials (Greg Mason)

- Medical Upper Payment Limits (Lisa E. Harris, M.D. and Dean Craig Brater, M.D.)

- Update on the JACHO Survey

- Report WHS radiological needs (Steve Nathan)

- Cambio Update (Steve Nathan)

- Budgetary Issues Update (Daniel E. Sellers)

As a result of WHS radiological needs the Board received information on a revised plan to all new radiology equipment to the emergency department. The Hospital Committee recommended Board approval of the plan. Dr. Miner asked the Board to approve. Ms. Blackwell made the motion and Mr. Pfeifer seconded the motion. The revised radiology plan was unanimously approved.

Ibrahim AlGhani reported that Citizens Health Center hired a new chief executive officer, Dr. Ruth Stevens. A senior accountant was also hired at Citizens.

Mrs. Brougher reported on the Midtown Mental Health Board of Directors meeting. Three new members were appointed to the Midtown Board. The Midtown Board has two vacancies. January financials and the EMR Project were reviewed. The Board members were updated on the status of the search for a chief executive officer.

Dr. Caine reported on a study conducted by the University of North Carolina on sexually transmitted diseases (STD’s). The study revealed that approximately 9 million individuals between the ages of 15-24 would acquire STD’s. It is also estimated, based on Center for Disease Control information, that 89% of individuals will be sexually active by age twenty-five. Indianapolis has three cases of active gonorrhea that have resulted in the need for treatment with very expensive drugs. There is also an increase in reports of shigella. The MCHD has responded by sending letters containing information on shigella to Day Care Centers and schools.

Dr. Harris announced that Kim Harper has been appointed vice president of human resources and public affairs at Wishard Health Services. Mrs. Harper has served as president of the Indiana and National Healthcare Recruitment Association. Dr. Greg Grammelspocher and the Critical Care Team have been recognized as finalists for the Indianapolis Business Journal (IBJ) Healthcare Award. Dr. Harris stated that Project Health, a joint effort of the Indianapolis Medical Society and the Hudson Institute, has been formed to improved access to specialty care for low-income residents of Marion County. This is a pro-bono project with 175 medical professionals participating. Brian Carney stated that Project Health is to begin on March 17, 2004 at the Gennesaret Clinics.

Greg Porter gave an update on the Pecar Health Center. IUMG has moved into the Center. The MCHD Northwest Office will move into the Center within the next week.

Dr. Harris distributed a WHS media report and also a videotape of the recent coverage on the care of the victims of a paint truck fire that occurred during the summer.

Dr. Caine announced that the Wishard Health Foundation would have a Art of Healing Dinner on Saturday, March 21, 2004 at the Indiana Historical Society.

There was no further business therefore the meeting was adjourned.

The next meeting of the Board of Trustees will be held on Tuesday, April 20, 2004, 1:30 pm, in the Fourth Floor Administrative Conference Room “A”, Ott Building, Wishard Health Services, and 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