Impact report
2024
A LETTER FROM
Marybeth Cunningham, Chairman & Frank Isele, Executive Director
As we reflect on the accomplishments of the 2023-2024 fiscal year, we are proud of the progress made toward improving the health and well-being of Indian River County residents. Through collaborative partnerships, innovative solutions, and a commitment to our mission, the District has addressed critical access challenges, expanded healthcare access, and laid the foundation for sustainable improvements in community health.
A key focus this year has been strengthening transparency and data-driven decision-making. In the fall of 2023, we launched the Performance Measures and Health Outcomes Dashboard, a publicly accessible tool designed to track the progress of funded agencies against key metrics aligned with our strategic goals. This dashboard integrates data from Florida Charts and other sources, offering a comprehensive view of our community’s health and the effectiveness of our initiatives. Recognizing the need for more localized insights, we partnered with Clearview Research to conduct an annual survey of county residents, which was launched in January 2025. This survey will provide statistically significant data to measure progress toward District goals, objectives, performance measures, and standards.
Behavioral health remained a top priority throughout the year, as we worked to address several significant access challenges. Following the planned closure of the UF Health Center for Psychiatry and Addiction Medicine, the District convened more than 24 organizations to ensure the seamless transition of care for 2,600 affected patients, including 300 children. Through this collaborative effort, all children were successfully placed in appropriate care, and transition plans were developed for adults to ensure continuity of treatment. To further strengthen mental health services, we worked closely with New Horizons to expand the Mobile Response Team (MRT), ensuring that individuals experiencing a crisis during peak evening and early morning hours receive timely and appropriate care. This expansion enhances access to critical behavioral health interventions, promoting both safety and better outcomes for those in need.The District’s commitment to preventive care was exemplified through our proactive response to a $321,000 state funding reduction for essential preventive health programs. By working alongside local leaders, nonprofit organizations, and community stakeholders, we helped secure the necessary resources to sustain these critical services, ensuring continued access to care for hundreds of residents.
Addressing the growing need for primary and specialty care providers was also a major priority this year. In August 2024, we entered a lease-to-own agreement with the Edward Via College of Osteopathic Medicine (VCOM) to establish a state-of-the-art educational and healthcare facility on a 5.6-acre property. This initiative represents a transformative investment in our healthcare infrastructure, primarily focused on expanding the number of primary care providers, while also fostering high-paying job opportunities and enhancing medical education to strengthen the region’s healthcare ecosystem. Additionally, the sale of a 14.5-acre parcel of land in April 2024 provided the resources necessary to purchase a women’s sober living residence, which will provide a supportive environment for women in recovery and address a critical gap in our community’s preventive healthcare services.
Throughout the year, the District has remained committed to transparency, efficiency, and accountability. This dedication was reaffirmed through our recent third-party performance review under the Uniform Special District Accountability Act (Florida Statute Section 189.0695). Conducted by BJM-CPA, Inc., an independent firm with extensive experience, this assessment evaluated the District’s financial management, program oversight, and overall effectiveness in serving the community. The review, completed and submitted in June 2024, received excellent feedback, reinforcing the District’s strong fiscal responsibility and measurable impact on healthcare access and outcomes.
These achievements reflect the District’s ongoing commitment to fostering partnerships, addressing challenges, and investing in long-term solutions that improve the health of Indian River County residents. We are deeply grateful for the support of our dedicated Trustees and staff, community partners, nonprofit agencies, and residents, whose collaboration and shared vision make this progress possible. As we move forward, we remain committed to our mission “to improve the health of Indian River County residents” and will continue to serve as a catalyst for positive change in our community.
Marybeth Cunningham
Marybeth Cunningham
Chairmain
Frank Isele
Frank Isele, PT, MBA, FACHE
Executive Director
Our Story, So Far
Established in 1959 by the Florida Legislature as a special tax district, the Indian River County Hospital District (the “District”) is dedicated to ensuring access to quality healthcare for all residents. Through property tax assessments, we secure the necessary funding to support essential healthcare services and community-based programs, making them both accessible and affordable.
The District is committed to addressing the health of our community’s residents through a three-prong approach: investing taxpayer dollars in collaborative efforts that provide strategic solutions to identified health and healthcare needs, championing initiatives that improve health and expand access to care, and convening key stakeholders to drive meaningful change. As a trusted partner, the District collaborates with residents, local organizations, and government entities to develop sustainable solutions that address the evolving healthcare needs of Indian River County.
Our mission extends beyond funding – we actively partner with healthcare providers to bridge gaps in care and enhance services for our community. By bringing together healthcare and community leaders, we assess local needs, identify barriers, and develop innovative solutions to improve health outcomes.
The District’s Trustees ensure that all approved funding requests align with our Mission and Vision, strategically leveraging resources and fostering partnerships to drive measurable improvements in health outcomes and enhance the overall well-being of our community. Over the years, our investments have fostered greater integration and collaboration within Indian River County’s healthcare system, leading to tangible improvements in health and well-being for tens of thousands of residents and their families.
At the heart of our work is a commitment to strengthening the healthcare landscape, ensuring that every individual – regardless of income or circumstance- has access to the care they need.

MISSION - VISION - VALUES
As stewards of community health, we go beyond financial support. Our proactive approach involves bringing together healthcare providers and funding partners to establish a collaborative platform. This forum aims to identify and address gaps in the healthcare continuum, going beyond merely recognizing challenges we actively seek and fund innovative solutions. Together, we are shaping a community that thrives on compassion, health, and well-being, cultivating a healthier, happier, and more connected Indian River County.
Ensuring Accessible & Advanced Healthcare
We firmly believe essential healthcare services should be accessible to all. Our efforts ensure every member of our community has equitable access to high-quality healthcare services, regardless of their background or circumstances. We are resolute in our mission to support individuals and families in achieving and maintaining optimal health, making our community healthier and stronger.
Prioritizing Community Health
Indian River County Hospital District understands that a healthy community is not only a reflection of individual well-being but also a crucial element for a sustainable, thriving society. At the heart of our mission is the belief that everyone deserves access to quality healthcare, regardless of socioeconomic factors.
Transparency & Accountability
We maintain transparency in our actions and decisions, ensuring that tax dollars are spent judiciously, effectively, and with utmost accountability to benefit the community. We are governed by seven elected Trustees who steer the direction of our initiatives. By actively seeking and incorporating diverse perspectives, we ensure that our initiatives and actions reflect the collective needs of the residents of Indian River County.
Success Stories
Visiting Nurse Association
Success Story
In August, a Treasure Coast Community Health provider contacted us about a patient living in extremely difficult circumstances. The patient was a 63 year old female with a rapidly progressing degenerative condition with multiple comorbidities, confined to a wheelchair. Her support system was finding it increasingly difficult to manage their loved one without help. The TCCH provider also informed us the patient had developed a pressure sore that needed immediate attention.
We accepted the home health order and contacted her insurance company , who informed us the patient had no out-of-network benefits and they declined to cover home health services. The patient had no means to pay out of pocket for home care. We contacted the Hospital District to discuss this special case to see if we could get an exception to the qualification process so we could start the patient’s care as soon as possible. We received immediate approval that enabled us to start home health within 48 hours to provide the support this patient needed. She has since transitioned to hospice care at home.
This patient’s story is an excellent example of a patient who could have easily “fallen through the cracks” in our system had it not been for the excellent collaboration amongst VNA, TCCH, and IRCHD who, in working together, identified a significant need and created a solution to get this very vulnerable patient the care she needed. Both the patient and her family are so grateful for the care she is receiving and the relief from the burden of not knowing how they would pay for her care at home as she prepares for end-of-life. We thank IRCHD for their support that is now contributing to comfort care in hospice and a peaceful transition for this special patient.
Dynamic Life Recovery Community
Success Story
Troy's Story | Restoration, Transformation and Hope.
Like many men in our program, Troy’s story began with hopelessness and brokenness. He lost a lot. His life, family and livelihood to addiction. Because of bad choices, incarceration became part of his life as well. However, it was during his time in prison that he attended a treatment program, went to Bible studies and entered into a relationship with God. Six months after his release, he entered into our Recovery and Development Program for a new lease on life.
During his time at Dynamic Life, he became committed to true, sustainable sobriety. Thanks to our grant with the Indian River County Hospital District, he went on scholarship for six weeks to attend the Success Training Employment Program at the UP Center. He participated in our behavioral health counseling program to get “the monkey off his back”.
After a year at Dynamic Life, Troy is now renting his own place and became a Quality Assurance Technician at Perricone Farms in Vero Beach. He is giving back to Dynamic Life as part of our Alumni Program and teaches our recovery curriculum to our residents. Most importantly he was reunited with his children and family.
Sunshine Physical Therapy Clinic
Success Story
I’d like to share a story about Maci, a young patient whose journey illustrates the incredible work being done at Sunshine Physical Therapy Clinic and why financial support from the Hospital District is essential.
At just two and a half years old, Maci endured unimaginable physical abuse that left her with a traumatic brain injury. Her condition was so severe that doctors had to remove part of her skull to relieve the swelling. For a month, Maci lay in a coma, her future uncertain. Her mother, unable to care for her, reached out to long-time friends, Darin and Lisa Jones, who felt a profound calling to foster, and later adopt, her.
When Maci began her journey with Sunshine Physical Therapy Clinic, her challenges seemed insurmountable. She wore a helmet to protect her skull, couldn’t walk or speak, struggled with vision, and had minimal control of her left side. She could only drink thickened liquids through a straw and weighed just 17 pounds. But with Sunshine’s expert team of pediatric therapists, offering physical, occupational, and speech therapy, Maci’s progress exceeded all expectations. I was fortunate enough to meet Maci and her family a couple of weeks ago – and today I can say she talks up a storm, eats whatever she likes, and is even celebrated by her favorite football team, the Miami Dolphins.
Having an independent, non-profit outpatient therapy clinic providing customized care for all ages in a community our size is exceedingly rare. Sunshine accepts all insurances, including Medicaid, because they believe in accessible care for everyone in need, regardless of financial barriers. Despite this commitment, they lose $65 on each Medicaid visit — not a great business model – as Ginny Blossom, their CEO often says- and in any given month, over 80% of their pediatric visits are Medicaid patients. Yet, they persist, driven by a mission to support our community’s most vulnerable, like Maci, whose life is forever changed because of their care.
I wanted to share this because Maci’s story exemplifies why the Hospital District exists and why our Trustees and staff our so dedicated to our mission. Through our investments in healthcare services, mental health support, and upstream initiatives like supportive housing, we are not just addressing immediate needs but unlocking the potential within individuals like Maci. When we invest in human beings, we strengthen the foundation of our community, enabling people to thrive, contribute, and live healthier, more fulfilling lives. This work is about more than dollars spent— it’s about fostering hope, dignity, and the opportunity for every resident to reach their full potential.
Our Support
October 1, 2023 - September 30, 2024
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Camp Haven $19,600
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Childcare Resources $279,878
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Cleveland Clinic IRH BH in ED $450,000
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Cleveland Clinic IRH IOP $268,167
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Cleveland Clinic Partners In Womens Health $3,127,359
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Crossover Mission $10,000
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Dynamic Life Recovery $63,000
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GlobeChek $530,041
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Healthy Start Coalition $496,666
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Hope For Families Center $58,883
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The Learning Alliance $87,815
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Mental Health Association $632,094
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Mental Health Collaborative $220,000
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Mental Health Court $494,909
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New Horizons or the Treasure Coast $90,362
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Samaritan Center $66,893
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Senior Collaborative $30,000
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Senior Resource Association $1,290,851
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Substance Awareness Center $390,043
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Sunshine Physical Therapy Center $349,940
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Treasure Coast Community Health $3,624,774
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Treasure Coast Homeless Services Council $334,113
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Tykes & Teens $716,222
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United Against Poverty $9,211.48
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UF Psychiatry & Addiction Medicine $3,400
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Visiting Nurse Association $848,703
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We Care Program $47,800
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Whole Family Health Center $996,153
Total Program Funding
$15,531,877
Our Commitment to the future
Board of Trustees

MARYBETH CUNNINGHAM
Chairwoman - Seat 1

MICHAEL KINT
Seat 2

BARBARA S. BODNAR
Seat 3

PAUL WESTCOTT
Seat 4

KAREN DEIGL
Seat 5

KERRY BARTLETT
Seat 6
