Chairman’s Meeting: January 14th, 2024

Chairman’s Meeting: January 14th, 2024

Indian River County Hospital District Conference Room/ Zoom
January 17, 2024

TRUSTEES: Marybeth Cunningham Barb Bodnar Michael Kint Paul Westcott
William Cooney Karen Deigl (zoom)
Kerry Bartlett

STAFF: Jennifer Peshke, Esq. Jennifer Frederick
Kate Voss Frank Isele
Dawn Carboni

ZOOM: Anne Posey Nancee Long
Ann Marie McCrystal Ceclia Stalnaker
Lisa Zahner Marie Andress

ATTENDEES: Jane Sneed Vicki Soule Wayne Creelman Lauretta Farrell

Convene Meeting

Ms. Cunningham convened the meeting of the IRCHD Board of Trustees at 10:00 AM by welcoming those participating via Zoom and in person.

Beyond SNAP Pilot- Marybeth Cunningham, Chairman & Frank Isele, Executive Director & Jane McNulty Snead, Director of Development United Against Poverty

Ms. Cunningham stated that she and Mr. Isele recently met with Ms. Snead to discuss a potential partnership opportunity with United Against Poverty (“UAP”), to help address some gaps in care with regard to their crisis intervention clients. Ms. Snead addressed the board and discussed her experience with homelessness. She briefly discussed the mission of UAP and stated that they operate to provide a hand up not a handout. Then she discussed their crisis intervention program and stated that many families and individuals who are screened through their crisis stabilization department are in need of basic essential items such as toilet paper, and personal hygiene items. However, many of these items are not covered under the SNAP guidelines, and UAP is looking for a way to effectively provide these items to these families and individuals who are in crisis. It was discussed whether the District could provide reimbursement to UAP, for these items on a monthly basis and what the qualification guidelines would be in order for someone to receive these items. Mr. Isele reviewed an estimated cost schedule for these items, based on an average number of families in crisis, for an approximate cost of $685 per month for 100 individuals to be served. There was Trustee discussion, and it was requested that UAP prepare a one-page summary request, which would also outline the qualification guidelines for eligibility. After further Trustee discussion, Mr. Westcott made a motion to approve the partnership contingent upon the receipt of a summary request which also outlines the qualification guidelines for eligibility. Dr. Cooney seconded the motion, which carried unanimously. There was also discussion concerning the procurement process to purchase these essential items and if UAP had any partnerships with local vendors or the CVS distribution center. Ms. Snead indicated that UAP has a procurement department who has various contracts with vendors to ensure they are obtaining the most appropriate and affordable products. Many of the items are also donated from community organizations.

Update on funding RiteLife Services- Dawn Carboni, Internal Audit/Data Specialist

Ms. Carboni addressed the board and stated that she provided the Trustees with a pre audit follow up report concerning RiteLife Services. She explained that she and Ms. Frederick conducted an initial site visit back in April, 2023 and at that time found that various formal polices and procedures were not in place, and requested additional follow-up items be provided, including an audit report from an accredited CPA firm. During the budget approval process, the Trustees agreed to approve $108,000 in the FY 23-24 budget, however funds would not be released until policies and procedures were put into place, as well as the receipt of their audit report. Ms. Carboni stated that the organization has worked over the last 8 months to get those requested documents to her and they also provided her with a copy of their audit report. She and Ms. Frederick conducted a second site visit on January 4th, and at that time it was disclosed that they had recently hired a remote CFO to serve in that role. However, it was discovered that the person hired was the daughter of the CEO Barbara Holbrook, and Ms. Carboni explained that in her professional capacity she could not condone this hire and felt it was a conflict of interest in upper management. Therefore, her recommendation to the board is to not move forward with funding the organization. There was Trustee discussion and they questioned the credentials of the CFO. Ms. Carboni explained that while she has experience in bookkeeping and some accounting, she has no formal accounting degree or higher education degree and has never served in the role of CFO. There was further Trustee discussion, and many questioned how this hire had been approved by the RiteLife Board of Directors. The Trustees felt that they had provided RiteLife with additional opportunities to correct the various shortcomings concerning their operation and management deficiencies and were disappointed with this hiring decision. However, they did recognize the work RiteLife is doing as a community partner, and hope that they can become a more mature organization in the future. Ms. Carboni further stated that she notified Ms. Holbrook of the perceived conflict of her hiring her daughter to serve as CFO, and Ms. Holbrook did not agree with Ms. Carboni. After further Trustee discussion Ms. Bartlett made a motion to accept Ms. Carboni’s recommendation not to move forward in funding RiteLife Services for FY 23-24, which was seconded by Ms. Cunningham. The motion carried unanimously.

Update on Lease Agreement with VCOM- Jennifer Peshke, Esq.

Ms. Peshke stated that the District received correspondence from VCOM dated December 10th, last week. The correspondence outlines their projected timeline regarding the leasing of the HSB. She stated that her office is in the process of drafting a lease agreement for consideration by VCOM and would like Trustee feedback. Ms. Cunningham stated that she would like language to be included in the agreement that states if VCOM is unable to reach their benchmark achievements or decides to close the school, the property would revert back to the District in that event. Dr. Conney stated that he would like to better understand CCIRH engagement with VCOM and their path to accreditation of the medical school. He is requesting that CCIRH submit to the District a memo of understanding outlining the same. The Trustees would also like to know the amount of capital investment VCOM plans to make concerning renovations of the building. Dr. Creelman addressed the board and recommended that the lease include language outlining the residency program and expectations. Ms. Peshke stated that she would look into these matters and provide the Trustee with an update next month.

Update on Letter of Intent for Women’s Sober Living Property- Jennifer Peshke, Esq.

Ms. Peshke stated that a Letter of Intent was drafted and presented to the Childrens Home Society of Florida (“CHS”) with regard to their property on 10th street. The representative from CHS indicated that they were not agreeable to the terms of the Letter of Intent and wanted the District to engage in a Letter of Commitment or Purchase Agreement. Ms. Peshke felt that the District should conduct further due diligence, before entering into any further agreement. Specifically, they requested an appraisal figure of the property from CHS, who declined to provide the same. Ms. Peshke stated that she has ordered a title search of the property, and it is currently restricted to the use of housing for children and young adults. She believes that if the Trustee would like to move forward with further investigation into this property, they should obtain an appraisal report, to gauge the actual value of the property. There was Trustee discussion and Mr. Kint made a motion for Ms. Peshke to move forward in obtaining an appraisal report for the property, which was seconded by Ms. Cunningham. The motion carried unanimously.

Other Business

Ms. Frederick informed the board that she has began the process of the utilization of the eCImpact grant management software, for the upcoming FY 24-25 budget cycle. She explained that Nate Bruckner from the United Way will be facilitating a introduction to the software meeting at the District offices, at the end of January, for all applying agencies who are unfamiliar with the program. She further stated that the funding application cycle will begin February 19th and all applications are due to the District no later than March 29th.

Dr. Cooney stated that he has been pleased with the recent articles concerning the District which have been published in 32963. He feels that the District has been well represented and the reporting is accurate.

Mr. Isele stated that in preparation for the upcoming strategic planning meeting, Trustees should submit to him any items they would like to have included on the agenda for discussion. Additionally, he provided an update concerning FL House Bill 7013 and stated that one of the areas of concern is the language requiring a continuation referendum every 10 years. If passed this would become effective in 2026. He stated that it is one of his primary goals is to make certain that the community is aware of the work the District does and the value the District brings to the community. He further stated that he and Ms. Voss continue to monitor this bill and will provide further updates when available.

Mr. Kint stated there was a recent article published in TC Palm, which discussed the issue of affordable housing in the county. One of the individuals being interviewed for the article stated that they would like to work with the District to establish housing on the District parcel located at 12th street and 82nd avenue. Mr. Kint stated that the affordable housing committee, which he serves on, meets next week and he plans to reiterate that this parcel is included in the lease agreement with CCIRH and is not available for development.

Ms. Bodnar discussed the Districts support of Treasure Coast Homeless Services Council (“TCHSC”) and their respite program. She stated that she was recently informed that only one individual is currently being housed and asked if the program is as effective as it was intended to be. There was discussion concerning the referral process and how engaged CCIRH is and do they understand that this is a resource that is available to homeless individuals being discharged from the hospital. Ms. Frederick stated that she would reach out to the Director of TCHSC to gain a better understanding of the current utilization of the program and their relationship with CCIRH.

Public Comment & Adjourn

There was no further business and Ms. Cunningham asked for public comment. There was no further public comment, and the meeting was adjourned at 11:30 am.