Indian River County Hospital District

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.

News

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

  • Camp Haven $19,600
  • Childcare Resources $279,878
  • Cleveland Clinic IRH BH in ED $450,000
  • Cleveland Clinic IRH IOP $268,167
  • Cleveland Clinic Partners In Womens Health $3,127,359
  • Crossover Mission $10,000
  • Dynamic Life Recovery $63,000
  • GlobeChek $530,041
  • Healthy Start Coalition $496,666
  • Hope For Families Center $58,883
  • The Learning Alliance $87,815
  • Mental Health Association $632,094
  • Mental Health Collaborative $220,000
  • Mental Health Court $494,909
  • New Horizons or the Treasure Coast $90,362
  • Samaritan Center $66,893
  • Senior Collaborative $30,000
  • Senior Resource Association $1,290,851
  • Substance Awareness Center $390,043
  • Sunshine Physical Therapy Center $349,940
  • Treasure Coast Community Health $3,624,774
  • Treasure Coast Homeless Services Council $334,113
  • Tykes & Teens $716,222
  • United Against Poverty $9,211.48
  • UF Psychiatry & Addiction Medicine $3,400
  • Visiting Nurse Association $848,703
  • We Care Program $47,800
  • Whole Family Health Center $996,153

Total Program Funding

$15,531,877

Our Commitment to the future

Ensure essential healthcare needs are affordable and readily accessible to all residents of Indian River County.
Address critical shortages in the field with support and collaboration on recruitment and retention efforts to ensure we have the necessary supply of well-trained, highly skilled healthcare professionals to meet the needs of our growing county.
Utilizing accurate consistent outcome measures to demonstrate the impact of our funding and endeavors.
Increased access to primary care and the promotion of preventive screenings to lower the number of emergency room visits for episodic care.
Expanding access to healthcare through developing the longterm infrastructure to support virtual healthcare delivery systems, acute care at home, and telehealth visits.
Provide more community-based care including home care, more community clinics, and mobile solutions that bring healthcare closer to our residents.
Foster collaboration across organizations to fortify our preparedness to address future challenges.
Forge new partnerships to amplify the impact of our funding and initiatives.

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

WILLIAM COONEY, MD

Seat 7

Previous Impact reports

WILLIAM COONEY, M.D.

SEAT 7

William P Cooney M.D. is an orthopedic surgeon (retired) who has been a resident of Vero Beach since 2004. He practiced orthopedic surgery at Indian River Medical Center from 2006-2015 within the orthopedic practice of Prosports. He served on the IRMC Foundation for four years. Prior to this, he was a Professor of Orthopedics at Mayo Clinic in Rochester Minnesota, Chair of the Division of Hand Surgery and Vice president of the Department of Orthopedic Surgery. He served as the Vice Chairman of the Mayo Clinic Development Department. He has been President of the American Society for Surgery of the Hand, Orthopedic Research and Education Foundation, Consultant at Shrine Hospital systems. He was editor in chief of the Journal of Orthopedic Surgery and co-editor of the Journal of Hand Surgery. He held grants in hand and wrist surgery sponsored by National Institute of Health (NIH) and Stryker Orthopedics and has over 250 publications in the field of orthopedic surgery, hand, wrist and elbow surgery and microsurgery- free tissue transfers. Within Indian River County, he has served as Chairman of the Board and President of the Hope for Families Homeless Center, Board of the Indian River Hospital Foundation, We Care and Whole Family Health Center medical practices.

Term:  1/23-12/24   |   1/24-12/29

Origination: Elected (2 OC)

Occupation: Retired Surgeon

Email: w.cooney@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

KERRY BARTLETT

SEAT 6

Kerry Bartlett,  of Vero Beach, has more than 30 years experience in philanthropy, including as vice president of the VNA & Hospice Foundation; VNA chief advancement officer from 2001-2007; and executive director of the Indian River Community Foundation from 2008-2014. Kerry is the founder of The Bartlett Company, which focuses on nonprofit and philanthropic consulting. She also is a managing director for Carter, a Vero Beach company that specializes in advancing philanthropy worldwide. Kerry has spent more than 25 years in the nonprofit sector as a fund development professional and has particular expertise in annual funds, major gifts, endowment campaigns and legacy giving. Kerry is also known for creating and implementing effective donor-centered stewardship programs that build, maintain and strengthen nonprofits’ relationships.

Term:  3/21-12/22   |   1/23-12/26

Origination: Appointed by Governor Ron DeSantis
Elected NOC

Occupation: Philanthropic Consultant/Managing Director

Email: k.bartlett@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

KAREN DEIGL

SEAT 5

Karen has been President and CEO of Senior Resource Association, where she successfully advocates for older adults and their families, since 2006. In that role, she helps provide activities, education and services benefiting older and disabled adults in Indian River County. In addition, Karen provides oversight of the community mass transit system for residents and visitors of the county. As CEO, Karen is responsible for a $7 million operational annual budget and managing more than 100 employees. She ensures that fiscally sound and responsible solutions are created to provide healthcare and a better quality of life for all Indian River County residents. Karen earned a BS in Health Administration from Florida Atlantic University and an MHA from the University of Florida. She was elected to the Indian River County Hospital District Board of Trustees in 2016, and joined the Board in January 2017.

Term:  1/17-12/20   |   1/21-12/24   |   1/24-12/29

Origination: Elected 1 OC | Elected NOC

Occupation: President/CEO

Email: k.deigl@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

PAUL WESTCOTT

SEAT 4

Paul Westcott has been a Board Certified Workers' Compensation Attorney since 1999. In addition, Paul has earned his certification from the Florida Supreme Court as a Circuit Civil and Family Law Mediator. Receiving his Bachelor of Arts degree in both Economics and Political Science at Florida Southern College, he continued his education at Stetson University College of Law. He graduated from Stetson in 1988, having been a published member of the Stetson Law Review. Paul has been a member of the Florida Bar since 1988.  He began his practice in a combined civil litigation and transactional practice before serving as an Assistant State Attorney.  He began his career in Workers' Compensation with Rissman, Weisberg, Barrett, Hurt, Donahue & McClain P.A., where he handled Workers' Compensation cases at the trial and appellate levels.  In 1997, Paul opened the Ft. Pierce office of Hurley, Rogner, Miller, Cox, Waranch & Westcott P.A. handling workers' compensation cases at all levels throughout central and south Florida, while managing the operations of that office.  During his nearly 25 year career in Workers' Compensation, he lectured on a wide range of industry topics.


Term: 
1/23-12/26   |   1/21-12/24

Origination: Elected 1 OC 

Occupation: Attorney & Mediator

Email: p.westcott@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

CHUCK MACKETT, M.D.

SEAT 3

Charles “Chuck” Mackett MD is a practicing primary care physician who has a long and storied career in military, academic and executive medicine. Dr. Mackett recently retired from Cleveland Clinic Indian River Hospital where he served for fourteen years as Chief Medical Officer, Chief of Staff and President of Indian River Medical Associates. Dr. Mackett serves on the Board of Directors of the We Care Foundation of Indian River County and the Mental Health Collaborative of Indian River County. He currently cares for patients at Treasure Coast Community Health. These experiences give Dr. Mackett a unique perspective regarding mental health, substance abuse, maternal-child care, care for veterans, preventive medicine and access to high quality medical care.

Dr. Mackett is a graduate with honors from the University of Notre Dame and is a graduate from the SUNY Upstate Medical Center in Syracuse, NY. He is a member of the Alpha Omega Alpha National Medical Honor Society and earned his Master of Medical Management degree from Carnegie Mellon University. Dr. Mackett is trained in Aerospace Medicine and is board certified in Family Medicine and Geriatrics. He is a combat veteran, former Air Force Hospital Commander and flight surgeon who served in Germany, Haiti, Japan, Korea, Romania and Iraq. His many military decorations include two Legions of Merit, a Bronze Star Medal, a Defense Meritorious Service Medal and three Air Force Meritorious Service Medals. Dr. Mackett is an Outstanding Graduate of the Air War College.

A native of Upstate New York, Dr. Mackett and his family first moved to Florida in 1996 when he served as Fight Commander and Residency Program Director at Eglin Air Force Base before later serving as Medical Group Commander at Patrick and MacDill Air Force Bases. Dr. Mackett served as Associate Professor, Executive Vice Chairman of Family Medicine and Consultant in the International and Commercial Services Division at the University of Pittsburgh Medical Center before returning permanently to Florida and Vero Beach in 2009.

As a Hospital District Trustee, Dr. Mackett plans to advocate for improved access to mental health services and access to affordable high quality primary and specialty care for all residents of Indian River County particularly mothers, children, the elderly, the underserved and veterans.

Term: 1/24-12/29

Origination: Elected NOC

Occupation:  Primary Care Physician

Email: c.mackett@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

MICHAEL KINT

SEAT 2

Born and raised in Illinois, Michael was a Theatre and Speech Instructor at Lincoln College when he moved to Indian River County in 1984. He was the Director of Education for the Riverside Theatre for a decade, helping to build the Riverside Children’s Theatre and directing many productions. Michael is well known in the community for his 25 years of service at the United Way of Indian River County, 16 of those years as the CEO. He is very proud of his work with dozens of nonprofit agencies and his commitment to creating and strengthening community collaboratives. Michael was also an Adjunct Faculty member at Barry University for 20 years. He has served on many boards and committees over the years, including: Children’s Services Advisory Committee Needs Assessment, Chair of the Emergency Food and Shelter Program for many years, and he was a founding member of the Mental Health Collaborative, the Senior Collaborative of IRC and the IRC Executive Roundtable. As a Hospital District Trustee he is committed to serving all the citizens of our county. In particular, he hopes to see enhanced availability and affordability for behavioral/mental health for all in need.

Term: 1/23- 12/26

Origination: Elected 1 OC

Occupation: Retired CEO United Way

Email: kintm.irchd@gmail.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

ALLEN JONES

SEAT 1

In 1973, Mr. Jones began a 27 year career with Merrill Lynch, eventually becoming a senior executive of the company, Senior executive positions included Chairman and CEO of Merrill Lynch Life Insurance Company, serving on the Private Client Executive Committee and various other leadership roles including leading the effort to transition Merrill Lynch to a fee based rather than commission based business. Prior to joining Merrill Lynch, Mr. Jones’ professional career began in the United States Air Force from 1964-1968, achieving the rank of Captain. He then worked with Investment Company Dabbs, Sullivan, Trulock located in Little Rock, Arkansas rising to partner before the firm was sold and joining Merrill Lynch. Mr. Jones received his B.S.B.A in 1964 from University of Arkansas. He further completed advanced management courses at the Kellogg School of Business at Northwestern University, the Wharton School of Business at the University of Pennsylvania and Stanford University. His past community service efforts include serving on the Board of Directors for the John’s Island Club from 2008-2010; Board of Directors for the Indian River Medical Center from 2007-2010; Chairman of the Indian River Medical Center Foundation from 2006-2010; Board of Directors of the Bedens Brook Golf Club; Board of Directors of the Princeton Community Hospital from 1994-1999 and the Chairman of the American Health Association, in Houston, Texas.

Term: 1/24-12/29

Origination: Elected 2 OC

Occupation: Retired CEO

Email: a.jones@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960