As we gather this day with an awareness of the diverse needs of our community and the resources at our disposal to provide for those needs.

We seek wisdom, care, grace, and compassion for those who will inform our board for the steps our board will take, and for all those who being committed to their care will be the recipients of resources of our community to further their health, their well-being, and the cohesion of our community.

Amen.

Thank you, Vishram.

Um, and with that, um I'll uh do a uh call to order and a roll call vote.

Uh uh Vice Chairperson Drummer Trustee Du Set Present, Trustee Dr.

Fish Present, Trustee Hannafi.

I believe Trustee Horn is not with us.

Is that correct, Joseph?

Um and uh Trustee O'Brien present and um chairperson Lazard is present.

So six of us are here and one's absent.

Um I'll ask for a motion to approve the uh consent agenda.

So moved and moved by trustee du set, seconded by trustee Hannafi.

Are there any questions?

All in favor, I'll uh say aye.

All opposed say no.

I'll uh do a roll call vote.

Uh uh vice chairperson drummer.

Aye.

Trustee Du Set.

Aye.

Trustee Dr.

Fish.

Aye, trustee Hannafee.

Aye.

Trustee O'Brien.

Aye.

And for the Vice Co Chairperson Lazard votes yes.

Um motion carries uh 601.

Uh the uh resolution uh for the adoption of uh Eskenazi Health uh bylaws.

Uh is there a uh motion to approve the uh Eskenazi Health bylaws.

So moved it's been moved by Dr.

Fish, seconded by uh trustee uh O'Brien.

I would like to introduce Julie Conrad, our chief uh counsel and vice president of legal affairs at Eskenazi Health to uh give us an update and a brief on this uh information, which is in your board effects uh packaged uh page 79.

79, thank you.

Afternoon.

Um as Dr.

Hurris mentioned last month at the Sonazi Health Committee meeting.

Um we're here to present some updates to the Eskenazi Health uh bylaws, and then Dr.

Lisania's gonna give some updates to the Eskenazi Health Medical Staff files as well.

So um HHC' code requires that the board adopt bylaws for the governing of the hospitals that it oversees and that those bylaws are approved by resolution.

The Indiana Administrative Code also requires that the hospital board adopt bylaws and that they be reviewed triennially.

So the board last reviewed our bylaws in May of 2023, so they are up for renewal um this May.

Um so uh what we've done is done a review of the bylaws and basically just made some updates.

There's not really any substantive changes to the bylaws, which have been in place for quite a little time.

Um the changes that were made were um to update the different committees of the board to represent the current committees and give a description of um what those committees do, and then there was a provision in the bylaws that we um that stated that the director of the division of public hospitals must be appointed at an annual meeting of the board.

And that was modified just to say that that position could be appointed at any meeting of the board because there was no that gives the board more flexibility and there wasn't a statutory reason for district that's annual meeting.

So those were the only changes this year to the bylaws for this three days.

Are there any questions for uh Julie?

Thank you.

Very straightforward, and I really appreciate the summary of the revisions that uh you put in front of the the document uh for both of these resolutions.

They're very much appreciated.

Um I'll do a roll call vote uh uh as well.

Uh again, uh yes or aye for approving no or nay for for no uh vice chairperson drummer?

Trustee Du Set.

Aye, Trustee Dr.

Fish.

Aye, Trustee Hannafee.

Aye, trustee O'Brien, and Chairperson Lazard votes yes 601.

That brings us to uh resolution 5-2026, the adoption of the Eskenazi Health Medical Staff By Laws, and I'll ask for a motion to uh uh to approve these in a second so that we can have a discussion.

Is there a motion to approve?

Yes, so moved.

It's been moved by Trustee Dusset, seconded by Trustee O'Brien.

Uh, and I'll introduce uh Dr.

Dan uh Raciniak, who is our uh Chief Medical Officer for Eskenazi Health.

So thanks.

Uh followed up uh as Julie mentioned.

We're also due for uh approval of updated medical staff bylaws.

These were last approved in May of 2023.

Uh the medical staff bylaws really oversee the governance of the medical staff, the self-governance of it.

They are required by the joint commission that we have an organized medical staff and that we have bylaws.

They also the joint commission also dictates what is contained within those bylaws, and it also requires that they are adopted and amended by the medical staff and that they are submitted to the government board for approval.

In addition to the hospital, uh we also have India and the distributed code as well as the issue C code that requires uh approval of the bylaws.

That process typically involves first going to the medical executive committee, which uh we did on March 26, so receiving that approval vote, and then sending it to the entire medical staff for review and opportunity for comment and vote, which is also recovered.

So in your packet, you should have uh the amendments.

There really uh only a couple uh minor changes that will be your red line version one that changes the leadership of the medical staff, adding that serving as the medical staff supported executive officer to clarify that's the CMO that serves as the medical staff executive officer, and the other clarifying that the majority of voting members on the medical executive committee will be licensed doctors and medicine cost uh at the act of the practicing efforts.

So with that uh we take any questions.

Thank you, Dr.

Soniac.

Uh uh again that the two things the two revisions are noted on uh on in your board effects information page 117 out of 252.

Um and uh uh are there any questions regarding the information that Dr.

Rosiniak uh presented hearing none?

Uh do a roll call vote for the uh uh on the uh adoption of the resolution uh 5-2026.

Uh Vice Chairperson Drummer Trustee Du Set Aye, Trustee Dr.

Fish.

Aye, Trustee Hannafee, aye, trustee O'Brien, aye, trustee Lozard uh votes uh yes as well, so 601 as well.

Thank you again very much.

Uh that brings us to the uh um the the next item uh that requires the book board's vote, which is the uh uh uh the the economic impact plan.

I'm looking around for uh uh Felicia.

Oh switch chairs only, thank you this morning.

All right, very good.

Uh so in order to do this, it's we'll put a motion on the floor uh so that we can discuss it.

Um is there a motion to uh approve uh uh the the uh agency economic impact plan?

So moved.

It's been moved and by trustee Hannafee, seconded by Trustee Dusett.

uh uh Felicia oh the oh switch chairs only thank you from this morning all right very good uh so in in order to do this let's we'll put a motion on the floor uh so that we can discuss it um is there a motion to uh approve uh uh uh the the uh agency economic impact plan so moved it's been moved and by trustee hannafi seconded by trustee du set uh uh is there uh uh some information you uh you you you would like us to have uh uh position Felicia Rosenberg our director and supplier of engagement and economic impact for health and hospital corps thank you good to see you um our plan is required to be reported to the city of Indianapolis each year um it details our plan for 2026 along with outcomes for 2020 um 2020 2025 our um development areas for 2026 will be focused on the supplier engagement supplier development um and supply supplier outreach some of our outcomes for 2025 included hiring assistance integration and performance manager completion of our in-house XP E spend reporting dashboard project um completion of our first corporate economic impact report and then implementation of a supplier um engagement strategic planning resource posted by RGMA and assessments thank you um are there any are there any questions of um uh of of Felicia uh regarding the report which was discussed in committee earlier today hearing none uh we'll proceed with a with a vote from the board uh vice chairperson drumming trustee du set aye trustee doctor fish aye trustee annafi aye trustee o'brien aye person lazard also votes yes uh so motion carries uh six zero one um thank you very much that brings us to the report section uh of our meeting um and we have a number of people from uh health and hospital corporation uh that will be addressing the board and we'll start with uh our CEO and uh president uh mr paul babcock chair trustees um just want to first start off just to commend and congratulate and thank Kenberly and her team um in committee this morning it was mentioned how we progress um and really come a long way in our just supplier diversity across the organization so I just wanted to say thank you for uh you and the team especially obviously you know in a challenging environment to use my best legal language um so I just wanted to say that and put that in the record um but my points for the board I'd be brief one as we mentioned last meeting uh an RFP for renovation of the first floor of the fifth third building will be going out um at the end of this week so I just want to make sure everyone's aware of that we are continuing to be on track and progress with that second uh the strategic planning committee uh we'll meet in May and that notice should come out here hopefully in the next few days uh depending on our general counsel um three and probably the most uh important price doing james is under to some extent is that budget season is about to begin um so as an organization we will be you know we're being reaching out to the different divisions as we try and hit our goals at least plan um which is obviously to decrease our deficit by at least um so we'll be looking forward to presenting that to both the board as well as just all the divisions across the organization for I'm gonna steal Dr.

a little bit because I just got the text message um lab facade uh is up and it looks great so I haven't seen it just in pictures but I do encourage everyone to uh drive by 38th and rural and see the how the progress on the um public health acts coming a long way and it looks really good and it's really big um and then finally just in general all of our construction is continuing to be on task and on time um you'll notice that I mean that headquarters is pretty prominent as well as the security building in that 10 handle space so want to thank everyone for um their diligent work on that and supporting it and look forward to continuing to uh provide great services to people in county thank you uh Paul um and uh although you didn't mention I I also think I want to thank you for uh whole hosting a town hall meeting with the with with staff and uh I think that's a a good uh addition to uh to to to the things you do with the organization so thank you for getting feedback directly from lots of people okay I'll turn it over to uh James Simpson our uh CFO and uh the assistant treasurer and you chairman board uh today an update on the general fund budget basis revenue spend report as of March 31st 2026 uh through Mars the general fund is reporting a decrease in fund balance of 13 million uh this position is slightly unfavorable to our uh year to date budget by about 1.5 million um the financial highlights through March 2026 including uh public health revenues we continue to budget those figures with some seasonality included so we're we're showing budget wise 37 percent of our annual budget and the public health actual revenue collections are exceeding that budget through the end of March about 735000 day report the grant revenues and expenditures are below budget by 3.1 million

The financial highlights through March 2026 including public health revenues.

We continue to budget those figures with some seasonality included.

So we're we're showing budget-wise 37% of our annual budget, and the public health actual revenue collections are exceeding that budget through the end of March.

Around 735,000 favorable budget.

The grant revenues and expenditures are below budget by 3.1 million.

Personal services are favorable to budget by 2 million.

We do expect this position to move more towards budget as we completed market adjustments as well as merit increases.

Both of those were in place as of last Friday's payday on April 17th.

Expenditure categories of supplies and other services and charges are also budgeted with some seasonality included.

We're showing those at 33% of the annual budget compared to if we did straight line to 25%.

Supplies are unfavorable to budget by 2 million.

And this is a result of we have $3.3 million of open commitments at the end of March.

And other charges, other charges and services are also unfavorable to budget by 4.5 million.

And again, this is due to open purchase orders of 20.5 million through the end of March.

So we've early in the year we have a lot of annual purchase orders put in through the purchase.

Capital LAs are favorable to budget.

However, this spend will continue to increase in the coming months.

We expect to spend the full amount on the capital outlook budget line.

In March, there were commitments made against the capital outlays on a strengthening public health infrastructure grant, and that was the purchase dental equipment.

So I'm gonna give that update.

Um the capital transfers through March.

We're we're nearly a budget, but we are funding those as requested and invoiced by the hospital.

And so through March, headquarters has funded capital support of 12.3 million dollars for the hospital.

And then for the year-in 2026 projections, I know in February or at March meeting we did not uh include year-in projections.

So currently we're projecting to end 2026 with a reduction fund balance of just under 21 million.

This is compared to the budget deficit of 25 million.

So this favorable position currently is driven by a favorable position in personal services, and we expect this to continue throughout the year.

Um as there were some positions that we had budgeted for that start, they're not getting filled quite as timely as we would have estimated on the process.

Our decision support team will continue to monitor the projections for all the expenditure categories, and we'll continue to update this in future months.

Um right now we have the other categories at budget, but typically as we get close to the end of the year, we'll know if some of those open commitments are going to be fully utilized or not, and we'll reduce them as we can.

Um I would conclude my report unless there's any questions.

Are there any questions for James?

Seeing none, thank you.

Um is that the end, or do you have any other things to go through?

All right, all right, very good.

Um that brings us to uh our uh compliance and internal audit uh committee report uh that uh uh from from the meeting we had in between the last date of the board meeting and this board meeting, and I'll turn that over to Lisa Taylor, our chief compliance officer from Health and Hospital Corporation.

Thank you, Mr.

Chairman, and trustees.

Um here to get just a high-level summary of the discussion at the compliance audit committee of the board on April 7th.

Um, at that time, our internal audit group, um, which is CODIA or external with performing that function on our behalf, provided an update of where they're at with their internal audits.

They are currently planning uh the risk assessment along with the compliance department internally for this next fiscal year, and they have seven audits that are planned for this fiscal year.

Three are in progress, um, two are slotted for completion this month, um, and four have not been started yet.

So, we're gonna start seeing some feedback from the internal audit team on those current audits.

Their presentation compliance also gave a presentation, gave an overview of the compliance program and where we're at to date, providing a copy of a five-year plan that was developed based upon the five-year strategy of HHC.

We also provided an update of our audit monitoring plan with no major issues identified.

We provided a hotline update, and our hotline is trending similarly to what it has in prior years, and there's no issues that have provided a spike or no issues that have provided an alarm to date.

Again, no significant findings for the disorder.

So very high level, that's the compliance and audit report from that meeting.

Are there any questions of our chief compliance officer?

Thank you.

Thank you, Lisa.

And with that, I'll turn it over to our cultural excellence committee.

Thank you, Chairman Lazar and trustees on the board.

Here are some of the highlights that we discussed in our committee meeting today.

Our commitment to the development of our staff and our continuance in our organizational culture remains strong in our training.

The workshops continue to be deployed across all of the visions.

Erin Chavez, our senior project manager, has been leading our work in this area.

And earlier in our committee meeting, she presented the training levels, the number of training sessions deployed across the country today, and some statistics related to those metrics.

She has also identified how we are continuing to build our internal capacity and deliver these workshops across the organization.

And she provided the aggregate numbers of employees who have experienced any level of training and the percentages of the employee phase across all divisions that is yet to be captured.

She also shared the strategy of how we plan to ensure that we are capturing new and emerging leaders in our organization for our lab experience and also the inclusive leadership offerings.

So she was pleased to be able to share that this morning.

We will also, and I will now turn it over to Polisa to provide some high-level updates.

Good afternoon again.

So our total SPE spend for 2025 was 37 million, 10,000 20.14 cents for the corporation.

And then for the Escamazi and Corporate Divisions reporting to the Office of Minority Women's Business Development, the total spend for 2025 was 20 million eight hundred and seventy thousand four hundred and sixty-six dollars and seventy-two cents.

That includes our report.

Thank you.

Thank you both.

Are there any questions for either Dr.

McInla Jones or two?

Um are increasing, and the data now was just jam.

Making sure that the data is there for us to look at.

Again, I will say that I think your revision is going to be a really great case that you will do looking at how do we increase our SPE spend and bring some of those out in fact the hands.

So thank you for your work.

Thank you very much.

And that brings us to the Marion County Public Health Department.

I'll turn it over to the Director and Chief Medical Officer, Dr.

Virginia King.

Thank you, Chair.

Thank you, Chairfot.

Our public health committee meeting met today, and we discussed two major topics.

One was the returnal and child health and the financial review.

Dr.

Shana Macon is our director of material and child health, and she provided an overview of the Indiana Department of Health's infant mortality reduction goals established for 2030, and how the Marion County's current data compares to those targets.

The Indiana Department of Health has set a statewide goal of reducing the infant mortality rate to 6.2 deaths per 1,000 live births by 2030.

In contrast, when you look at Marion County's infant mortality rate, and we're averaging it over a four-year period from 2020 to through 2024.

Our inframortality is significantly higher than that goal for 2030.

Currently, we're right now at 9.9 deaths per 1,000 live births.

So our work's cut out for us.

We got the 26.

We got 400 years to get down to that 6.2.

So it's highlighting a very ongoing and very critical public health challenge for our community.

She also outlined how Mary County's public health multi-prone strategy to address this gap, which includes strengthening our community partnerships, expanding our evidence base, home visiting services, increasing access to safe sleep resources, and enhancing especially safe parenting education.

And these efforts are coordinated, our focus on improving our maternal as well as our infant health outcomes, trying to prevent preventable infant deaths.

But more important than that, ensuring that families are receiving the support and the education they need during their pregnancy and early childhood.

Then we go on to Dr.

to uh Miss Carl Parchman, who's our director of finance.

Uh, she gave the Mary County Public Health Department's year-to-date financial performance through March of 2026, reflecting strong alignment with our first with our four strategic priorities, our pillows, as part of our strategic planning, of clinical health outcomes, community health, enhancing access and growth and sustainability.

So our investments in our personnel and grant funded programs continue to support high-quality care delivery, expanded community partnerships, and increased access to preventative services, particularly as we prepare for our seasonal immunization efforts.

Financially, the general fund remains favorable to the budget with disciplined spending and strong revenue performance in key areas such as our licensing and service fees, which are helping to offset our timing delays in Medicaid and other revenues.

While we will continue to monitor changes in rent funding and legislative requirements that may impact our revenues and overall financial performance.

From the Bureau of Environmental Health, the staff from our Bureau of Environmental Health attended the public health emergency preparedness conference in Baltimore, Maryland.

The focus was building resilience, maximize and reduced funding, and supporting staff experiencing burnout.

Staff also attended the bio watch session.

The biowatch is a national program that if there's any terrorism or anything going on toward the community, uh we will get signals related to that and be prepared.

Where we discussed the status of that program operating under a care resolution, where it's being partially set down, but still being able to conduct field activities and plan for that FIFA World Cup soccer events across the country.

So be prepared.

An address is 601 North Short Ridge Road in India, Sindiana.

I just want to remember the main five most important issues that came out.

Number one was neural health and wellbeing.

That was the number one overall concern in the community.

Number two, access to care.

Number three, safe and affordable housing.

Number four, trauma and injury prevention, which includes gun balance substance use disorder.

And number five, infomercial.

Thank you so much.

Thank you, Dr.

Kahn.

Are there any questions for Dr.

Kane?

Very good.

That brings us to the uh uh the Edskinazi Health portion, and I'll turn it over to Dr.

Ashley Overly, our uh CEO of uh Sandra Eskenazi Mental Health.

Thank you, Chairman.

I am very pleased to share today that for the second year in a row, Eskinazi Health has been recognized with the platinum level Mental Health America Bell SEAL workplace, uh Bell Seal for workplace mental health, which is the highest distinction available to recognize employers that promote employee mental health and workplace.

Um we know that work is a very important determinant of mental health.

There are lots of workplace related variables that can influence people's mental health.

So things like work overload, even work underload sometimes, unpredictable work schedules, long hours, some having low participation in decision making, having poor or unsafe environmental conditions, poor communication, role conflict, and challenges with work life balance are all things that can negatively impact people's mental health.

At the same time, there's also lots of opportunities to promote mental health in the workplace, and we know that having supportive work environments can be very protective for people's mental health.

Positive work environments can contribute to a person's sense of accomplishment, their confidence, their financial stability, and work can also be an opportunity for recovery and inclusion for people living with different psychosocial disabilities.

So Mental Health America has worked with a variety of experts to define standards that are intended to help employers create workplace environments that support and promote mental health in the workplace.

They use those standards to create the Bell SEAL program that provides benchmarks to recognize employers that are doing an excellent job of supporting employees and also to challenge employers to do more to support their employees.

And so the Bell SEAL evaluates how organizations support their uh employees in health and well-being through a very comprehensive criteria and an extensive application that looks at things like workplace culture, benefits, compliance, and wellness.

So in 2025, there were actually 360 employers across the country that were Bell SEO recipients, representing over 4 million employees.

Some of the initiatives that were reported by some of the highest ranking organizations demonstrating things like having an integrated mental health strategy, having transparent communication, um, offering resources for financial wellness, having comprehensive benefits, and having promoting a culture of accessibility and belonging.

And so I have the privilege of talking to you about this because I'm putting it in the context of mental health and wellness, mental health awareness, but I do want to be clear that this is really an accomplishment that is a reflection of values across Eskenazi Health, and definitely is far broader than the scope of my own leadership.

This really reflects organizational values across the system.

Um, as every one of these categories really requires leadership and decision making at every level, making decisions in the best interest of our employees.

So we are very proud to be the recipients of the platinum distinction and proud to support our employees.

And that concludes my health.

Are there any questions for Dr.

Overly?

Thank you very much, uh Dr.

Overley.

That'll uh bring us to an individual who I hope is recovered from his uh joyous occasion, uh, Dr.

Dan O'Donnell, our chief of IEMS.

Uh thank you, Mr.

Chairman.

Good afternoon to the board.

Uh well, my first point is IMS did uh finish up our successful coverage of the final four weekend uh on many different levels, both personally and professionally uh just to show off uh IMS's role in the realm of public safety community that was over part of the day-to-day operation for all the events, including the large concerts that were downtown, as well as uh everything else that was going on Georgia Street and around your integral part of the public safety footprint, and obviously that worked very, very well and gets us ready for what's to come in May.

Uh, our mobile integrated health team is providing some positive results.

We're really starting to dig into data in a recent 90-day look back at patient contacts.

Uh, we've seen a 93% reduction in unnecessary 9-1 usage with this cohort of individuals.

Again, you have a team of three individuals of paramedic and student teams that are tasked with going out and visiting doing proactive visits for individuals who utilize our 9-1 system frequently in an effort to help redirect them to more appropriate resources and better resources that will lead to better outcomes.

So, again, great numbers.

Uh, we were happy to see that, and that will lead to uh a likely upcoming expansion of that mobile integrated health team in July.

Uh our academic services is adding a new continuum education operator for our providers.

One of the things we got from our town hall with our employees is that they were looking for more opportunities to have continual education.

Uh so actually next week we're conducting our first ever EMS escape room, uh, where crews are actually giving uh virtually locked in a room, I hope.

Um virtually uh to deal with a critical patient, and they'll have to essentially work through the clinical uh scenario to be able to escape a room.

Again, this is uh they'll receive educational credit before this.

This is our second of all be quarterly opportunities where we're trying to touch all of our providers to give this continuous education that they so desperately need.

We think this will go a long way and continue to obviously improve the skill set of our providers, but also lead to positive impacts on our retention efforts that we're doing as a service.

Last week, uh group from our leadership team was invited for our first walkthrough of our our building site for the new IMS headquarters.

We're very excited to see uh all things coming together, and I think our team is doing a good job of driving Pink crazy uh with everything.

And she's again I want to give a shout out to Pink for uh being very good at helping facilitate us and learning through this this uh whole process.

Uh the national uh firefighters conference is in town this week, uh the largest firefighter conference in uh the world.

Uh we're happy to provide medical support for variety of their training opportunities that are going around Indianapolis, as well as the uh our own chief Tom Arkins is actually a presenter at the EMS portion of that conference.

So again, it's been another great opportunity.

And finally, as I alluded to, we are moving into May.

That is our busiest month.

That is our Christmas and New Year's all combined in the warm.

Uh I think we're the only service not excited.

We are excited not to be having the uh World Cup conference.

Uh that does start with the mini marathon, uh, 500 Decibel Parade camping lot.

Uh we're sprinkling in Eli Lilly's 150th birthday celebration, which they're gonna have 50,000 people expected to be, which we are actually providing.

We've been asked to provide medical coverage for them uh in the various concerts.

Uh so again, uh on top of that.

If you are going to the parade, uh look for two of our providers to be riding on a float.

Uh, we were proud to recognize paramedic Allison Cole as our paramedic of the year and EMT Bertha Martinez, who is our EMT of the year.

This is actually the first time that we've actually had IEMS representation in the parade, not in the facts the street sweepers.

So again, we're very excited for that opportunity to have them represent IEMS.

Well, congratulations on that.

Are there any questions for Dr.

O'Donnell?

Hearing none, I'll uh I'll move on to uh our uh vice president of long-term care, uh Julie White.

Thank you, Chairman.

Thank you.

So thank you, Chairman Lazard and trustees of the board.

Long-term care march updates include the quality review team completed 19 audit visits, 11 environmental and emergency preparedness with an additional eight clinical and administrative.

After transitioning West End nursing and rehabilitation on March 1st, daily facility census continued to average near 6,000 residents with an additional 376 residents in assisted living and 356 residing independent living units.

Medicaid occupancy remains unchanged at 78%.

On April 1st, HHC became the operator of two additional facilities, Sage Bluff and Greystone and Rehabilitation Center.

Two quality review clinical staff will soon be enrolled to become a quad quality assurance performance improvement, our QCP certified professional to improve oversight of creating implementation and maintenance of data for them and prevent plans ensuring compliance with CMS regulations.

CMS recently released a proposed rule for updates to Medicare Payment Policies and rates for fiscal year 2027.

Training by Myers Histor is scheduled for Friday, April 24th.

Finally, court ring facility visits.

The committee chairman Tom Hannafee.

Any any additional board members will be conducted in June.

This concludes my report.

Any questions?

Don't appear to be any questions.

Thank you, Julie.

And just to keep our cameramen on our toes, we'll go across the other side of the room to uh Angela White, our president and uh CEO of the uh Eskenazi Health Foundation.

Thank you, Chairman Lazard.

I missed the March meeting, so I thought I would bring you up today on the two jobs that we have in the foundation.

One is to raise money, and the other is to distribute the money.

And so looking at, and I realize that's small and screen that you have it in your packet.

So looking at 2025 and our philanthropic impact in the distributing of money, we do that two ways.

We have some unrestricted funds, the spend rate on which is allocated through our grants committee of the foundation board, and we also hold obviously programmatic spendable dollars and endowed funds that are restricted.

And so through our grants committee, the grants committee distributed about 1.28 million last year to Eskenazi Health, and the programs that we support through our permanent funds return back to the system about 8.1 million, and then on top of that, the raising of the money.

Um, we raised $8 million in new commitments last year.

So what does that mean for the year right now?

This is a report that I share with our foundation board, so I thought I would share it with you.

Um we have available from our grants committee this year 3.8 almost 3.9 million dollars to distribute, and as of March 31st, they've awarded a million dollars.

This is the first time that our grants committee has awarded operational funds to Eskenazi Health, but we felt that was very important this year in terms of the budget year that we're in to assist the system as much as possible.

We will award more money as the year goes along and we have additional grants committee meetings in terms of distributing dollars from our program dollars that we hold and our endowed funds that we hold.

On average, that's about four million a year.

Last year was a larger year.

Right now, we um as of March 31st have distributed back about a million dollars into the system that will keep growing as the year goes along.

And then the fundraising side contributions to the foundation.

Our baseline goal is six million.

It will we will raise more than that this year, I can tell you, but right now we've raised just about a million, and that's on track for us.

Generally, the first quarter is our slowest quarter in terms of contributions as we are working with donors.

So, in addition to those two jobs, we just completed a new strategic plan.

I mentioned that we were in the process of it.

It was approved at our March board meeting, and it's in alignment with the HHC plan, the strategic directives and plans of Eskenazi Health.

We did tweak our mission and vision statements as a foundation.

We wanted our vision to be reflective of the bold future that we hope to create through philanthropy, and so you can see here that our vision is mental and physical health, well-being, and longevity in every neighborhood.

And to achieve that, we say our mission is to improve health in central Indiana by supporting Eskenazi Health and community partners.

And we added that phrase community partners in this strategic planning process because we know none of us can do this work alone, and community partners are especially important in the work that Eskenazi Health does around the social drivers of health.

So a few tweaks to our mission statement, and then I'm going to move to the goals of the plan.

So we have three initiatives in our strategic plan.

The first one is to continue to provide funding to improve community mental and physical health and addressing the social drivers of health.

The second one is to support Eskenazi Health and the delivery of value-based care that improves patient outcomes and also on our end can lead then to more sustainable reimbursement streams for Eskenazi Health.

And our third goal is to secure additional unrestricted funds for the foundation so that we can have more flexible funding to meet the changing needs of health care and to sustain the foundation long term.

So I can keep you posted on the targets of the plan, and I am happy to take any questions.

Are there any questions for Angela?

Thank you.

Very good.

Thank you very much.

Um, and I'll just double check uh the Michael Shaking his head.

No, that no one has signed up for public comment.

Is there any either any unfinished or new business to come before the board from members?

Hearing none, our next meeting date is May nineteenth, uh, twenty twenty-six on Tuesday.

And with that, I'll uh call for an adjournment of the meeting.

I'll move that.

We're adjourned.