Indian River County Hospital District

Budget Discussion Meeting Minutes: August 28, 2018

Budget Discussion Meeting
Indian River County Hospital District
August 29, 2018

TRUSTEES: Marybeth Cunningham Tracey Zudans
Ann Marie McCrystal Dr. Michael Weiss
Barbara Bodnar


STAFF: Ann Marie Suriano Jennifer Frederick
Kate Voss Jennifer Peshke, Esq.

OTHER ATTENDESS: Miranda Hawker Anne Lanier
Jeanne Shepherd Beverly Smith
Dan Bach Michelle Genz
Donna Sorge Vicki Soule
Lillian Martinez Barbara Pearce
Lundy Fields Janet Begley

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the budget discussion meeting of the Indian River County Hospital District at 10:00 AM, by welcoming those in attendance.

School Violence Prevention/Intervention Discussion- Jeanne Shepherd, M.Ed. LMHC & Lillian Martinez-Torrez, M.D.

Ms. Shepherd provided a review of the School Violence Prevention program for the Trustees. The program has three proposed levels which include a violence prevention teaching module for ninth grade students; Crisis intervention; safety planning; and therapeutics intervention for at risk students; and critical incident response if needed. The total request for funding is $75,905.00, which includes costs for clinical staff and training materials. Dr. Martinez-Torrez reviewed data concerning the need for violence prevention and statics on how violence effects low income youth. Dr. Martinez-Torrez further discussed Florida Senate Bill 7026 which requires school districts to establish or expand school-based mental health care, which is what this program directly addresses. There was further Trustee discussion and the board inquired whether the Indian River School Board was aware of this program and if so, why was the School District not providing the funding. Dr. Martinez-Torrez indicated that the school district was not approached to provide funding and that the Mental Health Association developed this program based off the District Trustees offering their assistance with violence prevention and mental health services after a monthly report to the Board of Trustees in February, earlier this year. There was further Trustees discussion and the board agreed to have Mrs. Cunningham and Mrs. Suriano follow up with the school district to understand their involvement with this initiative and find out if they plan on supporting it financially.

Trustee Discussion concerning FY 2018-2019 Budget- Allen Jones, Treasurer

Mrs. Cunningham asked Mr. Fields, CEO at the VNA, to briefly discuss the funding request for the mobile unit health campaign and the progress made with the initiative so far. Mr. Fields indicated that the VNA held their kick-off meeting on August 23rd. They have begun to park the mobile unit at Sunset Apartments which is also located near two other apartment complexes in the Gifford area, to serve as a main access point. They will continue to hold collaborative meetings every two weeks to discuss the progress and share ideas with the community leaders. Lastly, he discussed plans to work with patients in helping them seek continued care with a primary care physician, by providing follow up phone calls to patients who visits the unit and work to get them to schedule with a primary care physician.

Mr. Jones led discussion concerning the District FY 2018-2019 budget and reviewed each line item with the Trustees. The board had open discussion concerning the same and some items in the budget were reduce or removed. The amount of funding allocated for the hospital was adjusted to $7,560,000 and the board agreed to remove the $100,000 incentive set aside for the Partners program. Additionally, they agreed to fund the UF suboxone program at only $50,000 which adjusted the total funding request for UF to $212,870. There was further board discussion concerning the MHA School Violence Prevention program. Many of the Trustees felt this program was outside of the purview of the District. It was recommended by Mrs. Cunningham, that she and Mrs. Suriano meet with the Superintendent of the School District and Dr. Martinez-Torrez to find out the involvement of the School District with this program. They will then provide that information to the Trustees for further consideration. Additionally, the Trustees had discussions concerning the VNA mobile unit health campaign. The board agreed to allocated $150,000 towards the effort, along with the $14,000 originally requested which is their projected fee-for-service amount for the mobile unit. There was discussion concerning the Public Guardianship program who is requesting $28,500, which is an increase of $8,500 over last year. The Trustees agreed to include the additional $8,500 being requested, which will help assist with providing services to two additional wards in the program. The Trustees had discussion concerning the funding request from Tykes & Teens. The board agreed that this request was outside the purview of the District and that is would not be included in the budget. Lastly, the Trustees reviewed the administrative expenses relative to the budget. They agreed to set the District legal counsel budget to $185,000, along with reducing funds for professional services and consulting to $100,000.

Other Business-

Mrs. Suriano requested that the Trustees provided any feedback relative to the RFP for the Gifford Health Center by Friday, August 31. There was Trustee discussion concerning the RFP and a recommendation was made to include a Letter of Intent with the document. It was also discussed whether a committee should be formed to review the responses from the RFP. Mrs. Peshke indicated that she would prepare a memorandum concerning the Districts obligations and exemptions with the process in accordance with Florida Statutes governing this matter.

Mrs. Cunningham provided the Trustees with the following meeting schedule for the upcoming month:

Sept 13- 5:00 PM- First Public Budget Hearing;
Sept 25- 1:00 PM- Joint Meeting with IRMC Board of Directors;
Sept 27- 10:00 AM- District Trustee meeting to discuss Cleveland Clinic Documents;
Sept 27- 5:01 PM- Final Budget Hearing/ Regular monthly meeting; and
Oct. 3- 12:00 PM- Vote on Cleveland Clinic documents.

Public Comment- There was no public comment.

Adjourn- The meeting was adjourned at 12:45 PM.



William P Cooney MD 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

Origination: Elected (2 OC)

Occupation: Retired Surgeon



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



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

Origination: Elected 1 OC | Elected NOC

Occupation: President/CEO



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.

1/23-12/26   |   1/21-12/24

Origination: Elected 1 OC 

Occupation: Attorney & Mediator



Barbara has practiced physical therapy, specializing in orthopedics and sports medicine, in her hometown of Vero Beach since 1981. She was an integral part of the sports medicine team at Vero Beach High School for 35 years. Barbara completed the reserve police academy training, and served with the Vero Beach Police Department from 1982-1989. Her volunteer involvement in the community includes serving on the City of Vero Beach Recreation Committee, Arthritis Association of Indian River County, and the Senior Good Life Games. She and her husband, Michael, enjoy spending their free time traveling in their RV and training their Labradors, Gunner and Chase, in K-9 performance events, including agility and dock jumping. Barbara is a lifelong resident of Indian River County, and received her degree in physical therapy from Chattanooga State College. Barbara 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

Origination: Elected 1 OC | Elected 1 OC

Occupation: Physical Therapist



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



Marybeth’s professional career encompasses 34 years of working for GM/Delphi in a variety of positions. Starting out as a traffic claims clerk, she worked her way through the organization, with roles in Purchasing, Engineering, and Quality and Reliability. She retired in 2009 as the executive director of Global Operations for the Packard Electric Division of Delphi. In this position, she was responsible for 94 plants in 33 countries. Marybeth has served on the board of directors for numerous non-profits, including Northeast Ohio Adoption Agency; United Way of Warren Ohio, where she served as chairman of the annual campaign for two years; Up with People; Head, Heart and Hands of Indian River Club; Indian River Community Foundation, and the Indian River Mental Health Collaborative. She earned her B.A. in Political Science from Albion College. Marybeth was elected to the Indian River County Hospital District Board of Trustees in 2014, and joined the Board in January 2015. She currently serves as Chair.


Term:  1/15-12/18   |   1/19-12/22   |   1/23- 12/24

Origination: Elected 1 OC | Elected  NOC | Elected NOC

Occupation: Retired Executive GM