1993-001-RES RESOLUTION CONSENTING TO CAPITAL IMPROVEMENTS AT ST, JOSEPH'S HOSPITAL AND HEALTH

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EXHIBIT A Description of Projects to be Refinanced by the Issuance of the Bexar County Health Facilities Development CorpOration Incarnate Word Health Services Revenue Refundinq Bonds Series 1993 With reqard to Santa Rosa: The Project consists of two parts, The first and major part was the construction of Saint Rose Catholic Hospital, a complex to be located adjacent to the Medical Center's existing Villa Rosa Hospital. The second part of the project consisted of the renovation of certain spaces at the Downtown Facilities and at Villa Rosa Hospital. The new construction of Saint Rose Catholic Hospital provided 104 medical/surgical beds, 50 rehabilitation medicine beds, 20 pediatric beds and 26 obstetric and ICU/CCU beds, Upon completion of the Project, 150 beds were . relocated from the Medical Center's Downtown Facilities to Saint Rose Catholic Hospital. The total net increase in the Medical Center licensed beds was 20 rehabilitation beds, for a total licensed capacity of 1,118 beds, Upon the relocation of the 150 beds to Saint Rose Catholic Hospital, Villa Rosa Hospital became primarily a psychiatric care facility and the Villa Rosa Hospital laboratory was converted as part of the total Project to provide a model apartment for rehabilitation patients, additional physician office space and several classrooms and offices. With reqard to SI. Joseph: Proceeds of outstanding bonds, together with funds of the Hospital, were used to finance the acquisition and/or construction of various assets, as set forth below (the 'Project'): (i) construction of an additional floor for administrative offices, a relocated and expanded pharmacy, physical therapy area and an outpatient oncology area; (ii) construction of an additional floor for a new 14 bed oncology unit; a 18 bed rehabilitation unit and 7 relocated medical-surgical beds; (iii) renovation of the existing ICU and expansion of the unit from 12 to 15 beds; (iv) the addition of twenty medical-surgical beds and the construction of an addition for ambulatory care patients and (v) a new seven story elevator tower. The Project required additional movable medical equipment for physical therapy and major non-medical equipment including elevators and an energy management system. With reqard to St. Anthonv: The construction of a new 70-bed patient care tower so as to provide for the addition of 40 new inpatient medical/surgical beds and the conversion of 30 existing inpatient semi-private medical/surgical beds to private room beds, plus the relocation of four existing medical/surgical beds, The construction of new outpatient service facilities, including a new main entry, admissions and registration area, patient screening and preparation INC483:52000:ST -JOS:AES _ cc _p, SEX 12J07192:17 A-1