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Record of Proceedings

Health and Hospital Corporation Board of Trustees Meeting - October 22, 2026

Other Meetings (A-H) — Thursday, October 22, 2026
BodyIndianapolis, Indiana
SessionOther Meetings (A-H)
DateThursday, October 22, 2026
StatusFILED
Video Record
0:00 / 59:05

Original source
Transcript — VerbatimClick a timed line to jump · ⧉ to share it

Speaker numbers apply only to this recording.

Speaker 1

0:18

This week is spiritual care week, and the 2026 theme is Kinsuji Heart, Healing Through Presence and Grace.

0:27

The term refers to the Japanese practice of repairing broken pottery with precious metals and honoring the cracks rather than hiding them.

0:36

With this visual in mind, we give thanks for the work of the Health and Hospital Corporation in all its branches and divisions.

0:45

We recognize that for our employees, their daily presence brings healing, resilience, and restoration that is deeply precious to our community.

0:55

May our board and all who are present this day recognize the role they play in supporting that healing, and may we be blessed through our various acts of service and stewardship.

1:08

Amen.

Speaker 2

1:11

Thank you, Bishop Rob.

1:12

Uh I'll do the uh uh roll call uh to order of uh trustee drummer is I believe out in the hallway.

1:23

We'll come back to him in a minute.

1:25

Um trustee to set

Speaker 3

1:28

present

Speaker 2

1:28

trustee uh Hannafe Present Trustee Horn.

1:35

Oh

Speaker 4

1:37

just say present

Speaker 2

1:39

to say present you need just to say present

Speaker 5

1:45

present

Speaker 2

1:47

and uh trustee O'Brien Trustee Drummer

Speaker 6

1:52

Present

Speaker 2

1:53

and I just uh just so it's officially on the record.

1:56

Uh uh trustee uh Dr.

1:58

Fish uh did resign uh after the uh September meeting, and uh uh so he's uh we uh we were glad for his service for the time that he was on the board.

2:13

Um the uh next item uh of business is the uh consent agenda

Unassigned speaker

2:19

uh

Speaker 2

2:19

which includes the uh board minute uh meet uh minute meeting minutes from the September 18 2026 meeting, the uh

Unassigned speaker

2:28

uh

Speaker 2

2:29

treasurer and CFO report uh which includes the September 2026 cash disbursements, medical staff appointments, reappointments, and changes to privileges, which are in your board book and summarized in the board book, and the medical uh staff policies number 700-24, the guidelines for performance of sterilization procedures, and 700-79 tissue specimen uh review program, which are also summarized uh in in your board book.

3:01

Uh is there a uh motion to approve the consent agenda it's been moved by trustee drummer, seconded uh by uh trustee O'Brien.

3:15

Is there any comment uh from the board at this time?

3:20

Hearing none, do a roll call vote.

3:24

Uh Trustee Drummer, yes, Trustee Du Sett.

Speaker 5

3:28

Yes,

Speaker 2

3:28

Trustee Hannafee, yes, trustee Horn,

Speaker 5

3:31

yes,

Speaker 2

3:31

Trustee O'Brien,

Speaker 5

3:32

yes,

Speaker 2

3:33

trustee Lazard vote, yes.

3:35

The uh consent agenda is approved unanimously uh six to zero.

3:40

Uh next order item uh of on of order uh business uh is the uh uh general ordinance and uh introduction public hearing.

3:52

Uh the uh the the first of these is the general ordinance number uh three-2026.

4:01

I'll turn it over to Health and Hospital Corporation's General Counsel and O'Connor.

Speaker 7

4:11

I have your letter to the board chair Lazard that reads as follows.

4:15

Dear trustees, General Ordinance number three-2026, food safety was posted in board effect, the online platform for the HHC Board of Trustees documents on Thursday, October 15, 2026.

4:28

The ordinance amends chapter 8 of the HHC code regarding food safety.

4:32

Sincerely, Robert W.

4:33

Lazard, Chairperson.

Speaker 6

4:37

Chair Lazard, I request the general ordinance number 3-2026 for introduction and order read for the first time by title.

Speaker 2

4:47

The ordinance will be received, and we're read for the first time by title by our general counsel, Mrs.

4:54

O'Connor.

Speaker 7

4:55

Number three-2026, food safety.

Unassigned speaker

5:00

O'Connor number three twenty twenty six food safety next we'll hear an overview of the ordinance presented by Tara Townsend who is a supervisor for food and consumer food safety Marion County Public Health Department I'll turn it over to you okay we are just um adjusting for the statewide mobile licensing phase so usually it's just the county but now it will be um statewide starting January first anyone have any questions about it does not appear that there are any questions this was discussed in the committee meeting uh in the in in October so thank you um and uh are there Michael did anyone sign up for public comment he said no are there are there any other uh comments from board members the ordinance will be presented for public hearing and adoption at the November 17 2026 uh board of trustees meeting it's because this uh the ordinance uh the resolution or ordinance uh includes uh financial information that has to be adjusted and approved uh as far as increases in fees according to resolution number nine twenty twenty-four the board members uh must be present to participate in that vote therefore all board members uh uh we request you be in person on november 17th uh that takes us to the uh the next item on our agenda which is the uh ordinance general ordinance four dash twenty six uh I'll turn it back over to our general counsel uh connor chair Lazard I have your letter to the board that reads as follows dear trustees general ordinance number four dash twenty twenty six body art facilities was posted in board effect the online platform for HHC Board of Trustees documents on Thursday October 15th 2026 the ordinance amends chapter 17 of the HHC code regarding body art facilities sincerely Robert W.

Unassigned speaker

7:18

Lazard Chairperson Chair Lazard I request general ordinance number four dash 2026 be received for introduction and order read for the first time by title the ordinance will be received and read for the first time by title by Ms O'Connor again number four dash 2026 body art facilities so we will hear an overview of the ordinance presented uh by uh Gretchen Quirk our supervisor of water quality and hazard material management for the Marion County Public Health Department over to you this just clarifies a few things in the body art ordinance as it relates to minors being tattooed or pierced specifically defines what parental consent is and outlines the documentation required if a miners to get a tattoo or body piercing including photocopy ID copy of birth certificate or guardianship papers and some other information that was already in the ordinance clarify the wording yes we did um Michael I'll ask again if they're shaking his head no before I even ask the question do any uh board members have any comment um the ordinance will the ordinance will be presented uh for public hearing and adoption of the november twenty november seventeenth board board of trustees meeting uh as well thank you uh the uh the next item uh uh on the agenda is the uh resolution uh number nine dash twenty twenty six request uh uh but for reappointment of the executive director um is there a motion to approve the resolution I'll make the motion motion's been made by trustee Hannafi seconded by uh trustee o'Brien and just basically the um we're we're doing a little catch up here in uh uh reappointing our CEO and uh uh executive director uh to a four-year term uh beginning January one twenty twenty seven and uh uh and his salary is stated effectively in uh the resolution for reappointment uh and the board will determine future annual adjustments at regular meetings each calendar year uh moving forward uh are there any comments uh from the board at this time uh now do a roll call vote uh uh trustee drummer yes trustee du set yes trustee Hannafi yes trustee horn yes trustee o'brien yes trustee Lazard votes yes as well so the uh

Speaker 2

10:05

Uh are there any comments uh from the board at this

Unassigned speaker

10:08

time?

Speaker 2

10:13

Uh now do a roll call vote uh uh trustee drummer,

Speaker 8

10:18

yes,

Speaker 2

10:18

trustee du set, yes, trustee Hannafee,

Speaker 5

10:21

yes,

Speaker 2

10:22

trustee Horn,

Speaker 5

10:23

yes,

Speaker 2

10:23

Trustee O'Brien,

Discussion Breakdown — Share of Meeting
Public Health███████████████████████23%
Procedural███████████11%
Mental Health Awareness█████████9%
Budget████████8%
Compliance and Internal Audit███████7%
Cultural Excellence██████6%
Personnel Matters█████5%
Strategic Planning█████5%
Technology and Innovation█████5%
Summary of Proceedings

Health and Hospital Corporation Board of Trustees Meeting - October 22, 2026

The Health and Hospital Corporation (HHC) Board of Trustees met on Thursday, October 22, 2026, at 6:00 PM. The meeting featured the approval of routine consent agenda items, the introduction of two public health ordinances, and the unanimous reappointment of the Executive Director. Board members also voted to approve a governance, risk, and compliance software RFP and received comprehensive operational updates from HHC divisions including Eskenazi Health, the Marion County Public Health Department, Indianapolis EMS, and long-term care facilities, alongside reports from board committees.

Consent Calendar

  • September 18, 2026, board meeting minutes.
  • Treasurer and CFO report including September 2026 cash disbursements.
  • Medical staff appointments, reappointments, and changes to privileges.
  • Medical staff policies 700-24 (Guidelines for Performance of Sterilization Procedures) and 700-79 (Tissue Specimen Review Program).
  • Outcome: Approved unanimously (6-0).

Discussion Items

  • General Ordinance 3-2026 (Food Safety): Presenter Tara Townsend, Supervisor for Food and Consumer Food Safety at MCPHD, stated the ordinance amends Chapter 8 of the HHC Code to align with a statewide mobile licensing phase effective January 1, 2027. The ordinance was read by title for the first time.
  • General Ordinance 4-2026 (Body Art Facilities): Presenter Gretchen Quirk, Supervisor of Water Quality and Hazard Material Management at MCPHD, explained the ordinance amends Chapter 17, clarifying definitions of parental consent and documentation requirements for minors receiving tattoos or body piercings. The ordinance was read by title for the first time.
  • Resolution 9-2026 (Reappointment of Executive Director): A motion to approve the reappointment of the CEO/Executive Director to a four-year term beginning January 1, 2027, with salary stated in the resolution, was made by Trustee Hanafee and seconded by Trustee O'Brien. Future salary adjustments are to be determined annually by the board. Outcome: Approved unanimously (6-0).
  • Governance, Risk, and Compliance (GRC) Software RFP (SAI 360): Chief Compliance Officer Lisa Taylor reported that approximately 60% of the compliance department's time is currently spent on manual, non-core activities. The formal RFP recommended SAI 360. Director of Supplier Engagement Felicia Roseburg noted SAI 360 submitted the lowest bid and included commitments to local and XBE spend. The three-year commitment is expected to replace over $120,000 in annual expenses and provide an estimated $212,000 to $420,000 in efficiency value across HHC. Outcome: Approved unanimously (6-0).
  • Sandra Eskenazi Mental Health Center Advisory Board Bylaws: Dr. Ashley Overly presented two amendments from a routine review: simplified language defining the center, and formally defining the CEO as an ex-officio member of the advisory board. Outcome: Approved.

CEO Report (Paul)

  • Paul reported that the City-County Council passed the 2027 budget unanimously. The budget now goes to the state's DLGF for approval and accounts for anticipated financial challenges in 2027.
  • HHC is exploring the acquisition of additional skilled nursing facilities using a joint venture model (similar to the Fifth Third Bank building partnership with Healthcare Realty) to lower long-term operational costs.
  • The HHC Police Department headquarters at the old Chase Bank building in The Meadows is substantially complete, with dispatch set to relocate from Eskenazi Health shortly. Bond issuances have been approved, and work will begin with IEMS to identify locations for new standalone ambulance bases.
  • Renovation and construction of the first floor of the Fifth Third Bank building will commence soon, alongside the ongoing med spa project.

CFO Report & Strategic Plan Committee Report (James Simpson)

  • Through September 2026, the General Fund shows an $8.5 million decrease in fund balance, $12.1 million favorable to the budgeted $25 million deficit. The year-end deficit is projected at $18.2 million. Personal services and miscellaneous revenues are favorable to budget. Eskenazi is expected to request the full $50 million in capital support before year-end.
  • Resolution 10-2026, the annual investment policy review with no proposed changes, will be presented for adoption in November. A new policy is expected in early 2027.
  • The October 6 Strategic Plan Committee meeting introduced an updated scorecard summary using a three-tiered action categorization. The clinical and health outcomes category showed five green and two yellow scores. Enhancing access and growth had two red metrics related to patient volumes and revenues not increasing at projected pace. Sustainability had two red metrics related to Eskenazi revenue challenges and IEMS first-year turnover rate.

Compliance & Internal Audit Report (Lisa Taylor)

  • The October 6 committee session discussed completed 2026 internal audit projects. Details on seven proposed audits for 2027 were presented based on a joint risk assessment. The top 20 compliance issues were identified for 2027 auditing with no overlap in internal audit coverage.

Cultural Excellence Committee Report (Dr. Kimberly McIntyre-Jones & Felicia Roseburg)

  • The Connected Culture Workshop reached 264 participants across 19 sessions in Q2 2026, with expansion planned to primary care health center sites. Facilitator leadership development is also underway.
  • Total applicable supplier spend for Q2 2026 was $78,542,066.60. The year-to-date diverse spend through Q2 was $12,536,938.94, achieving 15.96% against a 27% overall goal.

Public Health Report (Dr. Virginia Caine)

  • Dr. Caine summarized the REACH grant (72 food pantries assisted), the Produce Rx program (772 completers showing reductions in A1C and blood pressure, all low-income and nutrition insecure), and the Fresh Bucks SNAP matching program (creating a $48,000 local economic impact in 2025 from 30 growers averaging $374 per person in additional revenue).
  • She reported 45 measles cases in Indiana (none in Marion County) and emphasized vaccination given exposures at hospitals, shopping centers, and zoos. Flu activity at 2.4% is spiking earlier than last year's 1.78% rate for the same period, with 96% of cases being Influenza A. She strongly encouraged vaccination.

Eskenazi Health Committee Report (Dr. Lisa Harris)

  • Dr. Harris introduced Dr. Sara Fortin Arazzo as the new CEO of Eskenazi Health Center, effective immediately. Dr. Arazzo, previously CMO of the health center for seven years, was praised for her role in doubling primary care visits to over 450,000.
  • The committee focused on the strategic evolution of the Epic EHR system, including the acceleration of major enhancements to a three-month cycle and an overarching AI strategy. Project Connect, a patient access and navigation initiative, has shown a 34% increase in specialty appointments scheduled and a reduction of over 1,300 provider basket messages.
  • The Quality Committee reported the Level 1 Trauma Center maintains strong national benchmarking outcomes with no American College of Surgeons criteria deficiencies. A partnership with Quitnow Indiana has generated 230 referrals and 40 patient enrollments (17.4%) for tobacco cessation since February 2026.

Sandra Eskenazi Mental Health Center Report (Dr. Ashley Overly)

  • The transition of the East 16th Street Clinic from Community Fairbanks Behavioral Health to the Sandra Eskenazi Mental Health Center is complete. An Eskenazi Health Pharmacy will open at this location in mid-November.
  • A new mobile van for the Assertive Community Treatment (ACT) team has been acquired, equipped to provide clinical and nursing services (blood draws, vitals, injections) directly in the community.

Indianapolis EMS Report (Chief Chuck Ford)

  • Year-to-date through October 15, 2026, IEMS has made 109,800 responses (average of 384 per day), transported 82,500 people, and driven over 1.4 million miles. The Mobile Integrated Health team has had 877 encounters with 417 unique patients.
  • The Blood Medic program has reached 57 field transfusions, and an additional vehicle will be added next year. A total of 17 new recruits will graduate this week, and two new ambulances were recently put into service.

Long-term Care Report (Julie White)

  • HHC quality review staff have completed 152 on-site visits through September. The September average daily census was over 6,000 residents at 79% facility occupancy, with individual occupancies ranging from 31% to 97%.
  • Todd Dickey Nursing and Rehabilitation received the American Health Care Association (AHCA) Gold Award.

Key Outcomes

  • Consent Agenda: Approved unanimously (6-0).
  • Resolution 9-2026 (Reappointment of Executive Director): Approved unanimously (6-0).
  • GRC Software RFP (SAI 360): Approved unanimously (6-0).
  • Sandra Eskenazi Mental Health Center Advisory Board Bylaws: Approved.
  • General Ordinances 3-2026 (Food Safety) and 4-2026 (Body Art Facilities): Introduced for first reading. Public hearings and adoption scheduled for the November 17, 2026, board meeting.
  • Resolution 10-2026 (Investment Policy): To be presented for consideration at the November 2026 board meeting.
  • Next Meeting: The next regular board meeting is scheduled for November 17, 2026. Board members were requested to attend in person.

Meeting Transcript

This week is spiritual care week, and the 2026 theme is Kinsuji Heart, Healing Through Presence and Grace. The term refers to the Japanese practice of repairing broken pottery with precious metals and honoring the cracks rather than hiding them. With this visual in mind, we give thanks for the work of the Health and Hospital Corporation in all its branches and divisions. We recognize that for our employees, their daily presence brings healing, resilience, and restoration that is deeply precious to our community. May our board and all who are present this day recognize the role they play in supporting that healing, and may we be blessed through our various acts of service and stewardship. Amen. Thank you, Bishop Rob. Uh I'll do the uh uh roll call uh to order of uh trustee drummer is I believe out in the hallway. We'll come back to him in a minute. Um trustee to set present trustee uh Hannafe Present Trustee Horn. Oh just say present to say present you need just to say present present and uh trustee O'Brien Trustee Drummer Present and I just uh just so it's officially on the record. Uh uh trustee uh Dr. Fish uh did resign uh after the uh September meeting, and uh uh so he's uh we uh we were glad for his service for the time that he was on the board. Um the uh next item uh of business is the uh consent agenda uh which includes the uh board minute uh meet uh minute meeting minutes from the September 18 2026 meeting, the uh uh treasurer and CFO report uh which includes the September 2026 cash disbursements, medical staff appointments, reappointments, and changes to privileges, which are in your board book and summarized in the board book, and the medical uh staff policies number 700-24, the guidelines for performance of sterilization procedures, and 700-79 tissue specimen uh review program, which are also summarized uh in in your board book. Uh is there a uh motion to approve the consent agenda it's been moved by trustee drummer, seconded uh by uh trustee O'Brien. Is there any comment uh from the board at this time? Hearing none, do a roll call vote. Uh Trustee Drummer, yes, Trustee Du Sett. Yes, Trustee Hannafee, yes, trustee Horn, yes, Trustee O'Brien, yes, trustee Lazard vote, yes. The uh consent agenda is approved unanimously uh six to zero. Uh next order item uh of on of order uh business uh is the uh uh general ordinance and uh introduction public hearing. Uh the uh the the first of these is the general ordinance number uh three-2026. I'll turn it over to Health and Hospital Corporation's General Counsel and O'Connor. I have your letter to the board chair Lazard that reads as follows. Dear trustees, General Ordinance number three-2026, food safety was posted in board effect, the online platform for the HHC Board of Trustees documents on Thursday, October 15, 2026. The ordinance amends chapter 8 of the HHC code regarding food safety. Sincerely, Robert W. Lazard, Chairperson. Chair Lazard, I request the general ordinance number 3-2026 for introduction and order read for the first time by title. The ordinance will be received, and we're read for the first time by title by our general counsel, Mrs. O'Connor. Number three-2026, food safety. O'Connor number three twenty twenty six food safety next we'll hear an overview of the ordinance presented by Tara Townsend who is a supervisor for food and consumer food safety Marion County Public Health Department I'll turn it over to you okay we are just um adjusting for the statewide mobile licensing phase so usually it's just the county but now it will be um statewide starting January first anyone have any questions about it does not appear that there are any questions this was discussed in the committee meeting uh in the in in October so thank you um and uh are there Michael did anyone sign up for public comment he said no are there are there any other uh comments from board members the ordinance will be presented for public hearing and adoption at the November 17 2026 uh board of trustees meeting it's because this uh the ordinance uh the resolution or ordinance uh includes uh financial information that has to be adjusted and approved uh as far as increases in fees according to resolution number nine twenty twenty-four the board members uh must be present to participate in that vote therefore all board members uh uh we request you be in person on november 17th uh that takes us to the uh the next item on our agenda which is the uh ordinance general ordinance four dash twenty six uh I'll turn it back over to our general counsel uh connor chair Lazard I have your letter to the board that reads as follows dear trustees general ordinance number four dash twenty twenty six body art facilities was posted in board effect the online platform for HHC Board of Trustees documents on Thursday October 15th 2026 the ordinance amends chapter 17 of the HHC code regarding body art facilities sincerely Robert W.

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