The meeting of the Board of Trustees (“Board”) of The Health and Hospital Corporation of Marion County, Indiana (“HHC”), was held on September 21, 2004, at 1:30 p.m., 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., Betsy L. Brougher, Lula M. Journey, Marjorie H. O’Laughlin, and Robert B. Pfeifer.

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 August 24, 2004 Board meetings. There were none. Ms. Journey made the motion to approve the minutes. Mr. Pfeifer seconded the motion. The minutes for the August 24, 2004 Board of Trustees meetings were unanimously approved.

Dr. Miner then presented General Ordinances No. 4-2004, “An Ordinance of the Code of the Health and Hospital Corporation of Marion County, Indiana, Concerning Administrative Searches and Notices.” for the second reading. He requested an explanation of the Ordinance. Mrs. O’Laughlin explained that there had been discussion concerning Section C of the Ordinance in the Public Health Committee. The Public Health Committee recommended passage of the Ordinance. Dr. Miner asked if there was any further discussion. There was none. Mrs. O’Laughlin made the motion to approve. Mrs. Journey seconded the motion. General Ordinance No. 4-2004 was approved with 5 ayes and 0 nayes.

Next, Dr. Miner presented Resolution No. 12-2004, “Purchase of 3051, 3055 North Pennsylvania Street, 30 West 21st Street, and 3002 North Tibbs Avenue.” He stated that Brian Carney explained this Resolution to the Hospital Committee at the September 21, 2004 meeting. It was a unanimous decision to recommend that the Board approve the Resolution. Mrs. Journey made the motion to approve. Mr. Pfeifer seconded the motion. Resolution No. 12-2004 was unanimously approved.

There were no Bylaws and Policies presented for approval at this meeting.

Mr. Sellers presented the Treasurer’s Report. Mr. Sellers referred to Cash Disbursements for the month of August 2004. There was $28.6 million in cash disbursements, which is less than the average of $33.6 million for 2004. The difference is primarily due to two payments that were accrued for in August, but not paid. The first was $1.5 million insurance payment and the second was $750,000 bill for house staff services. Mr. Pfeifer moved to accept the Treasurer’s Report. Mrs. Brougher seconded the motion. The report was unanimously approved.

Mr. Sellers then presented the 2004 Revenue and Expenditure Budget Analysis. The local tax and federal Revenues are budgeted on 8/12ths of the total for the year. Public Health Revenues are 1.1% better than budget. Headquarters Revenues are greater than budget by $210,000, due to interest income. Grant Revenues for 2004 are $1.6 million better than budget. Expenditures for Personal Services remained better than budget by 3%. Supplies are over budget by $154,000. Other Services and Charges are over budget by $8 million. Seven million dollars of the Charges are encumbered purchase orders and disbursements to Wishard Health Services. Capital Outlays are under budget by $2.4 million. Ms. Journey moved to approve the 2004 Revenue and Expenditure Budget Analysis. Mrs. O’Laughlin made the motion to approve. Mrs. Brougher seconded the motion. The Budget Analysis was unanimously approved.

Dr. Harris presented Medical Staff Appointments and Reappointments for August 2004 and requested approval. Mrs. Journey made the motion to approve. Mrs. O’Laughlin seconded the motion. The appointments were approved.

There were no Bids presented at this meeting.

Dr. Miner summarized the discussions of the Hospital Committee meeting held on September 21, 2004. The Committee approved the Minutes of the August 24, 2004 meeting, discussed the purchase of Midtown Mental Health facilities and the Cambio Report.

The Audit, Nominating, and the Planning Committees did not meet this month.

Ms. O’Laughlin stated that the Public Health/Healthy Babies Committee met on September 21, 2004. The Committee discussed General Ordinance 4-2004 and was presented with an A.C.T.I.O.N. Center property update by Brian Carney and a presentation on the Maternal Child Health Program by Yvonne Beasley.

The Quality Committee will meet after today’s Board meeting.

Dr. Miner inquired about a report from the Board of Finance. Mr. Pfeifer stated there was none.

Dr. Miner asked about Representative Reports. Mr. AlGhani reported that Citizens Health Center is participating in the “Take a Loved One to the Doctor Day.” There have been new members added to the Board. Citizens staff continues to work on a corrective action plan and will be submitting it to the Board.

Ms. Brougher stated the content of the Midtown meeting was discussed in the Hospital Committee meeting and summarized in Dr. Miner’s report.

Mr. Gutwein reported on the progress of the Indiana Health Information Exchange. The Health and Hospital Corporation has been working with the State of Indiana on acquiring funds for this project. He also stated that the City County Council passed The Health and Hospital Corporation’s budget. The Rawls Scholarship Dinner will be held on Wednesday, October 6, 2004. He concluded by congratulating Dr. Caine on the success of the MCHD HOPP Conference. This is a conference for the older adult population. Dr. Caine stated that the conference was successful due to the work of Karen Holly and staff.

Dr. Caine stated that the “Take A Loved One To The Doctor” initiative is a partnership with the Indiana State Health Department, Indiana Minority Health Coalition, and the Citizens’ Health Center. Individuals will receive free health screenings at the Citizens Health Center. She reported that she would be one of three individuals to make a presentation to the United States Surgeon General who would be visiting Wishard Health Services on September 22, 2004. The presentation will be on the Indiana Health Information Exchange. She also extended an invitation to an HIV/AIDS exhibit, “A Broken Landscape” presenting the art of Gideon Mendel on Friday, October 8, 2004 from 6:00 to 8:30 p.m. at the Indiana Historical Society. The exhibit is a collaborative effort of the MCHD, Indiana AIDS Fund, Indianapolis Urban League, IUPUI Community Connections and other agencies. The art will be exhibited in many cities across the nation. She stated that Randall Robinson would be the keynote speaker at a luncheon on September 22, 2004 at the Indiana Historical Society. Mr. Robinson’s brother, Max Robinson, a well-known national news anchor died from HIV/AIDS. Dr. Caine also informed the Board that there was a special HIV/AIDS meeting co-sponsored by the Indiana Black Legislative Caucus that included a roundtable discussion on eliminating health disparities. The roundtable participants included the Rev. Jesse Jackson, politicians and community leaders.

Greg Porter stated that the one purpose of the meeting was to address health disparities in the community that will result in inclusion and in more diversity. The elimination of health disparities will also be addressed in the organization of a P.U.S.H. Chapter in Indiana.

Mrs. O’Laughlin stated that she is the co-chairman of the Indiana AIDS Walk that will be held on Sunday, October 10, 2004 at Crown Hill Cemetery. The Indiana AIDS Memorial is located at the cemetery. Those who wish to participate should contact Mrs. O’Laughlin or the Indiana AIDS Fund office.

Dr. Harris stated that communication continues to be a central focus at Wishard Health Services. In continuance of that effort a monthly CEO Breakfast will be implemented starting in October 2004. All departments will be included. This will be a platform to hear employee concerns and gather new ideas to improve Wishard Health Services. The WHS laboratory participated in a survey conducted by the College of American Pathologists and passed with a high rating. A director for medical management has been hired and will begin employment on October 4, 2004.

There being no further business to discuss, Mr. Pfeifer moved to adjourn and Mrs. Journey seconded the motion. Meeting adjourned.

The next meeting of the Board of Trustees will be held on Tuesday, October 19, 2004, at 1:30 p.m., in the Fourth Floor Administrative Conference Room “A”, Ott Building, Wishard Health Services, at 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