All right, uh we'll uh uh I'm gonna ask Bishop uh Rob to uh start us off with a word of prayer, as we together approach our nation's 250th anniversary giving thanks for the gifts of life and liberty and the pursuit of happiness.

We recognize that those gifts nothing if we are unable to find health, strength, and care in the communities where we reside.

Therefore, this day we invoke a spirit of grace and of prudence for our board that they may at all times and in all ways served to steward the resources of our community so that all may enjoy the founding liberties our nation has to offer.

Thank you, Bishop Rob.

Uh, uh two o'clock, and we'll uh do a call of order.

Uh before I do that, Joseph.

Uh I'm not sure we do we have somebody on WebEx or not.

I don't I don't believe.

Okay, I I believe he told Paul he was not gonna be here.

So okay, very good.

Um, do a roll call with uh uh Vice Chairperson Drummer present, trustee to set, trustee Hannafee present.

Trustee Horn and both Trustee O'Brien and uh trustee Dr.

Fish are absent, so I will omit calling them from the remainder of the roll call, and Chair Lazar is here.

So uh we have a quorum and uh the the next item uh on our agenda is the uh uh the the consent agenda uh and uh uh hopefully members have had a chance to look through that.

Uh I'll do a roll call uh for approval of consent agenda.

Uh trust uh uh chairperson or vice chairperson drummer like a motion on that.

I move that we accept the agenda.

It's been motioned by uh Vice Chairperson Drummer and seconded by Trustee Du Sett.

Uh the roll call vote for uh uh Vice Chairperson Drummer.

Aye, uh Trustee Du Set.

Trustee Hannafee, Trustee Horn, and both trustee uh O'Brien and Fish are absent.

Uh the chair votes aye, and so it carries uh uh six six zero.

Um, two, three, four, five.

Okay, it's just it's math.

Five-zero.

Um the uh uh the the first uh uh order of uh uh business is the uh general ordinance uh number one-26, the adoption of the Marion County Public Health Department fee schedule, which is in your board book on page 18, it starts on page 18 of 185, and uh uh so uh uh I'm gonna ask uh our general counsel uh to uh to read an appropriate introduction.

Dear trustees, general ordinance number one-2026 adoption of Marion County Public Health Department fee schedule was posted in Board Effect, the online platform for HHC Board of Trustee documents on Friday, June 12, 2026.

The ordinance establishes a revised fee schedule for the Marion County Public Health Department.

Sincerely, Robert W.

Lazard, Chairperson, House and Hospital Corporation of Marion County, Indiana.

Chair Lazard, I request a general ordinance number one-2026 be received for introduction and order read for the first time by title.

The uh ordinance will be received and read for the first time by uh uh HHC's general counsel.

Number one, number one-2026, adoption of Marion County Public Health Department fee schedule.

Thank you.

Uh no one uh from the public signed up today to to speak to the ordinance.

Are there any uh comments or questions uh from the uh from the board?

Uh the uh ordinance will be presented uh for public hearing at the July 28th uh meeting.

Oh.

Okay.

Uh so uh I'd like to have uh uh Tara Parchman who is our director of finance for Marion County Public Health Department uh jump back in and go over what I skipped.

Thank you, Chair.

I don't know if you skipped anything, but I'll just say briefly that the um proposal uh represents the increases for um certain services that we provide, which includes dental, so that we can provide crowns to our um adult um patients that we see, and also we looked at our immunization fee schedule for our clinics, and we're introducing uh new vaccines as well as increasing the fees of existing vaccines due to increased costs, and so that is the proposal before the board.

Thank you.

Are there any questions from the board uh for Tara?

Again, the ordinance will be presented for public hearing at the July 28, 2026 uh board meeting.

Uh with that, then the next item on our agenda is a request for a public health lab uh furniture purchase.

Uh, and that can be found in your board book on uh board effects at on page starting on page 23 of 185.

Uh and I would ask for a motion uh uh to uh to approve the uh request for bid.

So move it's been moved by uh vice chair person drummer.

Is there a second?

It's been moved and seconded.

Uh I'd like to uh introduce uh our director of purchasing uh Adelaide to uh speak to the uh uh to this particular uh item uh that we're looking to spend just a little bit of money on.

All right.

Thank you, Chair Lazad.

Uh good afternoon, everybody.

On behalf of uh Pink Bissette, the VP of uh facilities services in real estate.

I would like to present this uh procurement um uh opportunity that we had.

Uh we put out a public bid for finisher for the lab as we uh getting into the final stages of uh construction for the new lab.

In this uh finisher package, it included uh fixtures and equipment uh for the laboratory, and to note this is in addition to other furniture that was purchased uh through government cooperative uh agreements.

Uh we issued out a bid uh publicly as required by statute um for Indiana Procurement 5-22.

Uh, it was advertised in the paper.

Uh 22 vendors had access to the bid, and only five vendors uh responded.

Uh, let Felicia um get into more detail about the type of vendors in their um diversity status.

Um is uh outlined in your packet um vendors in comparable uh pricing uh from our review um we are asking uh for your uh approval and uh recommendation for um awarding the procurement of the finisher to RJE, one of the um proposals in the bidding process.

I'll let Felicia get into more detail about their diversity status.

Good afternoon again, Chair Lazard and members of the board.

There were other five respondents.

Um I was actively um part of the evaluation process of the five respondents, all of them were um XBE organiz um companies, and that was a great positive.

We have implemented a new evaluation process where we um do not do scoring, however, what we do do is look at the supplier participation plan, which each vendor is expected to submit and evaluate that based upon their completion of the requirements in the plan, answering all of the the specific portions of the plan.

Of the five vendors, one that the one that we did recommend, which had the um a high level of spend and was the most responsive across all of those evaluation categories.

However, they did have the highest price, and there was other portions of their submission that were not submitted appropriately.

So while they did have a positive response, as did all five of the respondents, the one that we recommended um hadn't missed on some other technical and business related needs for the organization.

So we were able to agree with purchasing that the selected vendor could meet the requirements of our supply participation.

Okay.

Thank you.

Are there uh any questions for uh for our staff members regarding the uh details of the uh request for bid?

I think it is interesting that there were 22 entities that asked for bid packets and only five responded.

Um, and uh so I and I do appreciate the level of detail and the descriptions that are in the uh in the information to help explain why the committee selected who you selected.

Um is there a uh I'll do a roll call to uh because there's a motion on the floor to approve the uh a request for for bid.

The uh vice chairperson drummer.

I vote yes, trustee du set.

Yes.

Trustee Horn.

Yes, trustee Hannafee, yes, and the chair votes yes as well.

So the motion carries 5-0.

Uh with that, we'll move into the report section of the uh of our meeting, and I'll turn it over to our uh CEO and uh uh president uh Paul Babcock.

Thank you, Mr.

Chair, trustees of the board, just have a few items to hit on.

Um first one is that in July uh we'll be presenting to the board a resolution authorizing the issuance of bonds to finance several capital projects.

Uh, we've mentioned this a few times during um the board meetings, and this is an extension of the levy that we did, I think three years ago or so.

Uh the corporation plans to issue approximately 25 million in bonds, the maximum term of 20 years, maximum interest rate of six percent, but we expect it to be much lower than this.

This is just the maximum parameter.

These bonds will be secured by general obligation of the corporation, payable from ad valorium property taxes on a taxable property within the county.

Um, and the projects we would like to fund are um three IEMS ambulance stations, as Dr.

Dan is really trying to get his guys um out into their own facilities as well as possibly we would like to acquire real real property located near our headquarters and campus around 38th Street and Millersville Road.

Uh the timing and authorization of this issuance, we're doing it in tandem with the adoption of the corporation's 2027 annual budget to provide efficiency and transparency to our strategic capital plans and financing.

So, more information to come uh next month as well being your package and happy to answer any questions with our bond teams as well as James.

Additionally, since we're talking about construction, so quick updates.

The lab and IEMS uh headquarters are on time.

Uh, there is a tour being offered to the board members on June 25th at two.

Uh Michael Daniels sent out an email.

Um, but as always, if that time doesn't work and you'd like to still go on a tour, we're more than happy to set up something for you.

Uh, I think this is a really interesting and fun tour because we're gonna start.

I know it sounds funny to say government touring government buildings is fun, but um, we're gonna start in the old lab in the basement of Hasbrook and then walk across the street to see the new lab so you can see the contrast and then head on over to the ambulance headquarters to see it.

Um additionally, uh the Eskenazi Health First Floor Fifth Third Renovation.

Um, that project is on prop uh on time and in process.

We hope to begin that selection process here in the next two weeks.

Uh, additionally, the strategic plan is continuing along well across all divisions.

Uh monthly operating reports are being established.

This is providing staff updates and comm where we intend to provide updates to staff and communication across the organization next month.

And our Power BI dashboard is in process, and we hope to have that launched here in the next couple months so that everybody can see where we are making our progress.

And then finally, not to steal much of James's thunder, but we have started the budget process and are exploring all ways and avenues available to us to continue to shore up our budget and be able to present a balanced budget to the organization.

So with that, I'll turn it back over to you, Mr.

Chair, and happy to answer any questions.

Are there any questions for uh Mr.

Babcock?

Hearing none, I'll uh move it over to our uh to uh James Simpson to give us a little bit of update on some financial information.

Thank you, Chairman Lazard.

Um I'll start with the the report out for the finance and external audit committee report if that's okay with the the board.

Um, so the finance and external audit committee met this morning at 10 a.m.

and there were two reports on the agenda.

Andy Renzel and Nicholas Eichelmann partners with Forbus Mazars presented the fiscal year 2025 audit report communication.

The Forbes team presented the audit results in draft format, which we anticipate issuing the annual comprehensive financial report, the ACFR, and the single audit report by June 26th.

The communication to the committee included the scope of the audit, Forbus's responsibility, independence, and HHC's responsibilities.

They also covered the standards, guidances, and additional information accompanying the audited financial statements.

The Forbes team then covered new significant accounting policies, management judgment and accounting estimates, and significant statement disclosures in the ACFER.

Next, they discussed audit adjustments, recorded and uncorrected were communicated.

Other communications, future GASB statements, and industry insights that included the delay in long-term care supplemental payment program for managed care since July 1st of 25, and the OBBBA impacts, which include the state-directed plan, the SDP plan.

Forvis is prepared to issue an unmodified or a clean audit opinion for HHC's 2025 reports.

The second report this morning was for uh on the unaudited internal consolidated financials as of March 31st, 2026.

This report is split into four uh divisions as follows.

I presented the governmental activities, excluding the Mary County Public Health Department activities on the general fund, Health First Indiana funds, and then also the Marion County Public Health Grants where applicable.

Presented the Eskenazi Health Enterprise Fund, and then Brian Jarvis with American Senior Communities or ASC, VP of Finance and Accounting, presented the long-term care enterprise fund.

Just some highlights for the all trustees, because I know we we get into individual divisions, but at the corporate wide level, as of March 31st, 2026, uh cash is slightly down from this same time last year by three million dollars.

The net position increased approximately 155 million dollars during this time period.

Operating income is favorable to budget by 20 million, and then also non-operating revenue is currently favorable to budget by 16 million.

I can answer any questions or move on to the CFO's report if they're not.

Before you move on, I would just encourage.

I know that the you referred to it as the ACFER, the uh annual comprehensive financial report.

It's, a very lengthy report, but it is worth reading uh some of it.

Especially the MDNA that your staff and you work so hard to put together, which is a very um comprehensive but succinct summary of the financial activity of the organization in in English, and uh uh and so I would encourage all the board members.

It's the very first part of the uh of the annual comprehensive financial report, and and again, I think your staff you and your staff have done a very nice job of taking over that report and that part of that report and the responsibility.

So thank you.

Correct.

And I would also add the transmittal letter, which is just before the MDNA.

The MDNA is about 10 pages.

I think the transmittal is about the same, and the transmittal has each divisional leadership.

They get their uh input on some of the the current year updates and a little bit of uh perspective into where divisions going in the near future, too.

Thank you, Chair.

So carry on with the uh first quarter.

Thank you.

Uh general fund budget-based revenue and expenditures as of May 2026.

Through May 2026, the general fund is reporting a decrease in fund balance of 7.8 million.

This position is favorable to budget by 6.7 million.

This is in reference to the 2026 budget with the 25 million dollar deficit.

Financial highlights through May 2026 include the following.

Public health revenue collections through May 26 are 415,000 favorable to budget, and that is with seasonality built into their budget numbers.

Grant revenues and expenditures are below budget by 5.2 million.

Personal services are favorable to budget by 4.5 million.

We expect this position to move more towards budget as market adjustments took place in April, and also seasonal summer staff expenses will be incurred in the coming months, and open positions will be filled.

Supplies are 1.3 million unfavorable to budget, and that is uh a pretty good drop from last month.

Where last month we mentioned there was a couple duplicate POs on computer orders, so we were able to clear that clean that up this past month.

So those are unfavorable to budget currently by 2.9 million, but of this, we have annual POs as of May 2026.

Um, that's how much the open POs are.

And then other charges and services are also unfavorable to budget by 600,000, and there we have almost 20 million in open POs through uh as of May 2026.

Capital outlays are favorable to budget by 3.9 million.

However, spend will increase in the coming months, and we expect capital outlays to be at budget by year.

Support and transfers are approximately at budget, except except for the Eskenazi and IMS operating capital transfers through May 2026.

Headquarters has funded capital support of 20 million as Eskenazi requests this monthly funding based on actual capital projects, and then our year-end projections, which we update monthly.

Currently, we project to end 2026 with a reduction in fund balance of 15.1 million, and this is in comparison to the budget that had a deficit of 25 million.

This favorable position is driven by current projections for personal services to the end of the year being better than budget due to some positions not being filled as quickly as projected in the budget, and then also bond and lease payments being favorable to budget due to the savings from the refunding of the BAPS bonds in the fall of 2025.

And then unfavorable, the unfavorable position on grants revenue is offset by favorable positions on other charges and services under expenditures.

So that would conclude that's the CFO's portion of the report.

If there's any questions, if not, I could just give a just a small other brief update on the budget.

Just go a little more detail from what Paula mentioned earlier.

Any other questions before Mr.

Simpson goes into the budget?

Right ahead.

Thank you.

So the 2027 statutory budget, um, our director of decision support, Luke Davison, he's actively working with each division to request and review their 2027 projected uh budget projections.

Part of this review is we're comparing comparing the budget projections and ensuring they're in line with the HHC strategic plan and that the run rate improvements are you know realized in these budget report uh projections.

So we will introduce the 2027 budget ordinance to the finance and external audit committee at the July 28th meeting, and then that ordinance will be introduced to the full board later that same day on July 28th.

So that would include my report unless there's any questions.

Sir, there any questions uh regarding the timing of the uh any of the information and as well as uh looking forward to uh reading wonderful document uh toward the end of July.

Thank you.

All right.

That takes us to the uh uh to our director and chief medical officer of the Marion County Public Health Department down to Virginia Kane to give us an update.

Um thank you.

Uh Chairman uh Lazard and the rest of the board of trustee members.

Uh today during our public, I apologize.

I I skipped over an item that with HHC yet, so let me let me go to Felicia uh and let her give us an update on the Cultural Excellence Committee, which I uh errantly blew by.

This should be very quick.

So good afternoon again, everyone.

Dr.

Representing Dr.

Kimberly MacAlloy Jones, who is not with us um in this meeting today.

I want to give a quick update about what's going on in the Office of Cultural Excellence.

Um, a couple of things to report.

Um, our connected culture workshops continue.

We have updated our strategy to increase engagement with the connected culture workshops.

We have developed um materials to assist us in this process and facilitators are on um on guard to promote the workshops in person and have um set up tables here at Eskenazi Health to assist in um getting more people engaged with those workshops.

And then as an additional point, in 2026, we are also focused on providing professional development for the workshop facilitators via the facilitator team connection sessions.

We hosted the first team connection on May 6, 2026, and during the session, facilitators from all four core cohorts collaborated and shared insights.

We will host additional team connection sessions quarterly in 2026.

And then regarding our supplier engagement spend update regarding spend reported to the Office of Minority and Women's Business Development with the City of Indianapolis.

Our total applicable spend was a little over 39 million dollars with our um applicable spend as an organization.

Um the year-to-date Q1 spend with diverse businesses was 5.7 million dollars.

Um, noteworthy um things regarding that spend.

We were we did exceed our goal, um, our 3% goal with veteran-owned businesses, which is the first time I think that we've exceeded that.

So we exceeded that by um the total was 3.36%, which is progress, and then our goal with disabled owned businesses was one percent, and we exceeded that as well at 1.18 percent for total XPE spend reported to the city of 14.69% for Q1.

Thank you.

Any uh questions for Felicia before we get go back to none appearing.

I'll return to Dr.

Kane.

That was good news.

Thank you.

Uh thank you, everyone.

Uh, today, during our public health committee meeting, Carl Parchman, our director of finance presented the general ordinance number 01 2026 fee schedule.

Uh the schedule reflected the updates and fee increases in dental and immunizations as the health department has faced uh increased uh purchasing costs.

Uh Dr.

Human, uh, who was our medical director for the Bellflower Clinic and SCD control program, um, presented on uh Belflar Clinic, which is the public health SCD clinic in Marion County that typically serves anywhere between 250 to 300 patients per week.

Our SCD program includes surveillance and case management, disease intervention specialists, and outreach programming.

Dr.

Hume shared the trends for chlamydia, gonorrhea, syphilis, and syphilis among our newborns.

Nationally, the numbers show a decrease in cases for chlamydia and gonorrhea and increases in syphilis from 2020 through uh 2024.

And our detailed data that we looked at from Marion County for 2025 was shared to show similar trends.

And so the health department set a goal to reduce congenital syphilis by 10% by December 31st, 2027.

This goal was set along with uh state goals that we are a party with uh in collaboration with the Indiana State Department of Health.

The Health Department is achieving this goal, so from 2024 to 2025, we saw a 34% reduction in congenital syphilis cases in Marion County, and just even looking so far in 2026, we look like we will continue to see a further decline for congenital syphilis.

Dr.

Human also shared funding highlights that includes a new grant called Scaling Up HIV Prevention Services in Sexual Health Clinics.

This was a competitive grant, and only 15 cities uh were uh received this grant.

And this award is for five years of funding from August 2024 to July of 2029.

We get usually receive about $600,000 per year, but for um uh 2020 6 that award has increased up to $883,000.

So we're excited about that.

Now the strategies part of this award includes strengthening our clinic infrastructure to support a synemic approach to address HIV and STDs with a goal of how can we provide comprehensive sexual health services but foster a community and other partnership strategy to complement and extend our reach of HIV and STD prevention efforts throughout our community.

And so wanted to be um really pleased about that uh award.

We also have an asthma prevention program called Breathe Easier, which is designed to reduce asthma incidence through education and outreach.

The goal of the program is to equip clients with asthma and their families to proactively control uh asthma.

And the Healthy Homes Department receives referrals from several internal and external partners.

For example, we have a very strong partnership with Raleigh, Children's Hospital, so that uh if a child has asthma and having frequent visits, uh so we get the referral to do the home assessment to see if we can identify any triggers inside the home, such as MO, tobacco, smoke, uh, and things you'd be surprised at uh that might trigger an asthma attack.

But we we we um we do that assessment and also we try to eradicate whatever those triggers are in the home and give a feedback to the external partner who refers their cases to us.

And so during the home assessment, um, we shared an example of a partner asthma program report uh for people to look at uh from Raleigh Hospital.

In addition to that, um, items discussed in the public health committee meeting, I want to tell folks we are going to have a tire recycle day.

It's coming up.

So you got any old tires, and you want to dispose of them.

That's gonna happen Saturday June the 27th.

Now we're only going to take up no more than just six towers from you, okay?

And we want the ram removed from the passenger vehicles.

And so you can drop it off in two locations of 4001 East 21st Street.

You won't miss it.

It has a large Marion County Public Health Department signed there.

Or you can go to 1925 Fletcher Avenue.

And don't forget, you know, mosquitoes, these turrets line around, they capture water, and it's a it's a growing bath for mosquitoes.

So we want to really make sure we're knocking and decreasing our West Now virus.

So come on and give us your tires, okay?

You want to drop off some new ones too?

That's all right, too.

And lastly, I just want to say we are excited about kicking off our community health improvement plan that's going to take place next Thursday on June the 25th from 1 to 4 p.m.

Where we're having a community improvement plan that we're going to address our five community priorities that has been identified through our community health assessment.

This will take place in our 4012 building that's on our Marion County Public Health Department campus.

Come and join us if you're excited about working with us to get our improvement plans so we can have the strategies and identify the resources to make a difference with our priorities.

So that's all I have.

Thank you.

Thank you, Dr.

King.

So that's going to take place in our 4012 building.

That's that's in that location uh right by right behind our parking lot that's to the side of uh our Hasbrook main building for the health department and the um HH headquarters.

Thank you.

Are there any questions for Dr.

King?

Okay, thank you.

Hearing none, uh then we'll uh move on to uh Eskenazi Health, and I'll turn it over to Dr.

Lisa Harris.

Thank you, uh Chair Lazarin and trustees.

I just have a handful of announcements for the board today.

First of all, I'm happy to say that uh Eskenazi Health Family Beginnings and Newborn Intensive Care Unit has uh undergone a success successful re-verification uh visit uh with no deficiencies noted.

And this allows Eskenazi Health to maintain our designation as an obstetric level of care three and neonatal level of care three program in accordance with the Indiana Department of Health perinatal level of care program.

According to the uh Department of Health program guidelines, a level three facility is equipped to care for complex maternal medical conditions and obstetric complications as well as infants requiring neonatal intensive care.

Eskenazi Health offers obstetric care at Eskenazi Health Center sites located across Marion County, and also maternal fetal medicine care provided by specialists and other support staff for high risk pregnancies at the high-risk obstetric clinic that's located here on campus at the Sandra Eskenazi Outpatient Care Center.

In addition to obstetric and neonatal care, Eskenazi Health also offers patients access to a variety of support services, including family resource coordinators, dietitians, nutritional education, financial counseling, and childbirth classes for expectant mothers and their partners.

Patients also are connected through these services to community resources that offer additional support and social services, and this is in direct support of uh the one of the community health uh agendas under uh goals under the HAC strategic plan of improving maternal and um fetal health.

So, this is one of the ways that our uh departments work together to divisions work together to advance uh the um well-being of the community.

So those we encourage, as Dr.

Kane would endorse, that individuals begin prenatal care as early in their pregnancies as possible, and those wishing to schedule an appointment or to establish a care as a new patient may call the Eskenazi Health Connections at 317 880 7666.

Then I'm happy to say that our Linda Hajnacki RN residency program has just announced their latest graduates of our nurse residency.

We had nine nurses representing four Eskenazi Health Clinical Areas, acuity adaptable, critical care, the Michael and Susan Smith Emergency Department, and the operating room.

And these individuals completed the six-month program in June, and this is all about supporting and enhancing and celebrating the work and the critical role of nurses who stay at the bedside and advance their skills and their contribution to the profession while continuing to provide uh patient care at the bedside or in the in the clinics.

Staying on the subject of nurses, looking at Tracy Martin back there, our chief nursing officer standing there in the back.

We will be welcoming experienced nurses, recent graduates, and nursing students to explore career opportunities within Eskenazi Health.

And this will be June 23rd from 4 to 6 p.m.

in Cafe Soleil in the 5th Third Bank building across the way.

And this offers a chance.

These events are high energy.

It's standing room only, the buzz is incredible.

Honestly, the line forms outside.

And this is the opportunity for individuals who are interested in joining us to meet directly with the hiring leaders to learn about available nursing roles and gain insight into the upcoming opportunities across the departments.

Individuals do need to register and so and can visit our website to do so.

And I would say the energy of this work in conjunction with human resources is what contributes to our nurse vacancy rate being significantly below the national average.

Then I would then the next keeping on this subject of you know emerge of growing our own and bringing people in to the fold.

We're also happy to say that our emerging professionals internship program welcomed 18 interns this summer.

I think last week was when they started.

And these we have juniors and seniors representing 16 different colleges and universities, 44% of which are Indiana institutions.

This year's 17 Eskenazi Health Departments will host an intern from the emerging professionals program.

Also, the Gregory S.

Fairbox Center continues to grow.

Eskenazi Health Departments will be hosting 27 of these interns with two departments hosting interns for the first time.

Our Eskenazi Health Employer Partners will host the remaining 40 interns.

And since its inception in 2013, the Fairbox Center has provided internships to over 300 college students with physical disabilities from 49 colleges and universities.

And at this point, we have 61 employers engaged in hosting interns.

So a kudos to uh former board member Gregory S.

Fairbox's vision in uh creating uh just opening up a whole world of uh professional opportunities to individuals with disabilities.

That's completes my report.

Thank you, Dr.

Harrison.

Are there any questions for Dr.

Hurst?

I don't know if you have anything else to add for Dr.

Overly.

She's on the agenda.

I conferred with Dr.

Overly before she left for vacation earlier this week, and she said she didn't have anything new.

She shared the uh news of our expansion into the into Warren and Lawrence Township last time, and that is proceeding a pace.

Thank you.

I'll turn it over to uh our chief of the Indianapolis Emergency Management Service, uh Dan O'Donnell.

Uh thank you, Mr.

Chair.

Good afternoon, everyone.

Uh first I want to start by thanking everyone who came out to our EMS week cookout in May.

Uh, it was great seeing everybody uh who shared in our beam signing for our new headquarters.

I'm excited to report that we did have our beam placement ceremony.

Uh, and so that is placed, and we're really amazed at the progress that has come into this this great uh facility, and we're really looking forward to continuing to watch the progress each and every day.

Uh today I'm uh I just want to focus on a couple smaller programs that we have at IEMS.

First, our mobile integrated health program.

I've talked about this before.

This is a team of EMTs and paramedics that are going out and doing proactive work in the community uh looking to address uh patients who utilize the 911 system and looking for ways that we can reroute them to better uh services, which ultimately lead to better patient outcomes.

And to date, this team's made more than 400 contacts this year.

Uh so again, we are exceeding our stated goals, and we're looking to improve that with through some other uh additional programs that will supplement that.

The next area I want to highlight is our special events team.

I think someone, a board member asked, they saw an ambulance go by that said special events.

What does that mean?

As I report almost monthly, is IML.

If it's happening in Indianapolis, there's a good chance IMS is covering that.

And historically, we would do that with of it was a way for our our current street level providers to gain overtime and provide this service, or we would actually have to pull from the 911 system.

One uh this was we found this was obviously taxing an already heavily taxed uh group of uh providers, you know, who are working their day-to-day 911 and and would like to get a break.

And two, you know, we want to ensure that we're covering we're providing coverage for these events, but at the same time providing the same level of coverage for the city.

So again, we've really built up our special events team.

This is a group of individuals, both paramedics and ENTs that um work for us part-time, doing special events, uh covering all the various activities and the development of this team has allowed us to expand what we can cover, uh, but doing a very organized manner that has strong medical direction, strong medical oversight, and strong uh protocol adherence rather than uh a lot of the variabilities sometimes you can see with special event coverage.

Uh right now our team has 19 EMTs and paramedics who work part-time.

Uh but again, uh while they cover a significant amount of events, we still have uh this opportunity for our full-time folks to actually gain some overtime and and work some of the events and really get paid to provide medical care to some pretty neat events.

Uh this past weekend, for example, we covered the Pride Parade, we'll be covering the corporate challenge, the all the fireworks festivities downtown, Momentum Indie Cycling, and the Indie Black Expo Health Fair.

Uh today we've covered 248 special events.

So again, uh it's busy and we're just gonna be ramping up.

And then finally, I want to give an update on our crosswalk uh to care.

Again, this is the partnership with our nurse navigation line embedded in the 911 system.

Uh, looking at over the past six months, they've had just over 1,200 calls.

Uh, and we've seen of those calls, we see about a 46% decrease in ambulance and emergency department utilization, and these folks are being generally redirected to other uh avenues of care, most commonly uh primary care, urgent care.

Again, keeps our ambulances in service so we can make it to the next run as well as help lessen the burden of our our stretch emergency uh departments.

Again, our recruited academy is in session.

We're preparing 24 EMTs and paramedics to join our full-time ranks, but we always are recruiting, so we're accepting applications for our next ENT civilian EMT training class.

Please go to Indianapolis EMS.org uh to apply.

Uh and finally, I want to recognize our latest Clear Vision Award.

Uh, this award recognizers providers who have gone above and beyond our uh for our entire service.

Our most recent winner is AJ White, who's one of our district medics.

AJ was recognized for multiple by multiple providers for his tremendous leadership skills uh while ons on scene as well as his compassionate care with patients as well as others providing uh during you provide support during debriefs during critical incidents as well as he's just amazing paramedics.

So again, I would like to congratulate him.

With that, it ends my report.

Thank you, Dr.

O'Donnell.

Any questions for Dr.

O'Donnell?

Brings us to our vice president of long-term care, Julie.

Take it away.

Thank you, Chairman Lazard and trustees of the board.

And Mayor Quality Review Team completed 21 audit visits, 11 environmental and emergency preparedness with 10 additional clinical and administrative reviews.

They average May Daily Census with 6174 residents.

Medicaid occupancy decreased from 78% to 72%.

Medicare averaged at 7% with an additional 6% managed care.

With the remaining 50 15% private pay or Medicaid pending, our HHC facilities celebrated National Nursing Home Week May 10th through May 16th.

The theme for 2026 was moments in bloom, which celebrated hell everyday acts of compassion, connection, and teamwork, flourish into meaningful experiences for residents, their families, and staff.

Finally, trustee Hannafee and I visited Coventry Meadows, Sage Bluff, a new acquisition, and Summit City, which houses a specialized ventilator unit last Tuesday on June 9th.

This concludes my report.

Any questions?

Any questions for Julie?

Alright, our last report, our president and CEO of the Esquenazzi Health Foundation who already had a little bit of your presentation presented.

Yeah, that's right.

Thank you, Chairman Lazard.

And I will just uh take off from where Dr.

Harris ended and talk a little bit about the Ferry Box Center.

You know that I've told you along the way of this phenomenal 10 million dollar grant from the Lilly Endowment that required a two million dollar match.

And we the foundation had until August 31st of this year to complete raising the commitments, both cash and pledges to that match.

So I'm pleased to report that we are completed a little ahead of schedule thanks to our awesome and generous donors, and thanks to the St.

Margarets Hospital Guild, who is one of those donors making a very nice gift based on the proceeds from the show house and many, many, many others.

So we're really thrilled to be able to continue to provide funding for the expansion and growth as Dr.

Harris talked about for the Ferry Box Center as well as endowing the center so that there is sustainability there over the long term for that program and its operational cost.

So just wanted to say thank you for that.

Just an update again on where we are in terms of both giving the money, making certain that we're supporting the health system and our community partners, and then also raising funds.

So these numbers are as of March 31st andor June 1st, depending on looking at them.

But thus far, our grants committee, which awards the spendable portion of our unrestricted funds, has awarded just over a million dollars to support the needs of the health system, and we um the grants committee has another meeting at the end of August to look at additional proposals and award additional dollars to move over to the health system.

So I'll give you an update on that after they have their August meeting.

And then again, support from our existing funds that we hold within the foundation.

Right now, we've distributed almost 1.7 million to the health system and and distributed means the health system departments invoice us to utilize the funds and we authorize and um and distribute the funds to them.

So those two top lines are money going out, money coming in at this point.

We are um as of June 1st, we were at about 2.2 million dollars in cash received, and we are working on a very large grant right now that I'll be happy to tell you about as that comes to fruition.

Um that would be be a very generous investment in research.

So those are my reports.

If you have any questions, happy to answer them.

Any questions for Angela?

Do any of the board members have either any unfinished or any new business to come before the board?

Michael has informed me that no one has signed up for public comment.

The date of our next meeting is July 28th, 2026, on a Tuesday.

And so with that, I'll adjourn the meeting.