Indian River County Hospital District

Budget Presentation: May 28, 2019

Budget Presentations
Indian River County Hospital District
May 28, 2019

TRUSTEES: Marybeth Cunningham Allen Jones
Ann Marie McCrystal Tracey Zudans
Barbara Bodnar Karen Deigl
Michael Weiss

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

OTHER ATTENDEES: George Eighmy Charles Mackett, M.D.
Ralph Turner, DBA Lynne House
Marie Andress Laura Graze, ARNP
Andrea Fedock Shawna Callaghan
Jennifer Johnson

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the budget presentation meeting of the IRCHD at 2:00 PM by welcoming those in attendance.

Funding Requests-

Partners in Women’s Health-

Mr. Eighmy introduced Dr. Mackett and Dr. Turner, who accompanied him during today’s presentation. He provided a review of the 2019-2020 fiscal year funding request for Partner’s in Women’s Health, which totaled $1,682,520. Currently the practice consists of 6 physicians and one midlevel provider. The center provides prenatal, obstetric and gynelogical services to any county resident regardless of the ability to pay, with the goal of improving community health outcomes. He further reviewed data concerning the reimbursement trends for the center which showed a net shortfall of $403,382 in 2018. Mr. Eighmy further reviewed the additional funding sources the center utilizes with managed care being the highest, making up 45% of total reimbursements Additionally, there was discussion surrounding the executive team members at Partners and discussion regarding who is in charge of running the clinic. Dr. Mackett indicated that the physicians and Ms. McFall report directly to him as he is the head of Physician Services with Cleveland Clinic. Dr. Mackett advised that he then directly reports to Dr. Rosencrantz who is the CEO of CCIR.

Sunshine Physical Therapy

Ms. House provided the Trustees with a brief history of the center and stated that their mission is to provide personalized care to both children and adults to improve function and health through physical, speech, and massage therapies. In 2013 Sunshine completed their Medicaid certification and launched the Sunshine Kids program. She reviewed the funding request for fiscal year 2019-2020, which totaled $25,000. The request is to help support their Support Fund Program for children with financial needs, which helps reduce delays in receiving needed therapy services. She explained that in 2018 the Support Fund Program provided 1009 visits to children who had financial needs, lack of provider under their Managed Fund Medicaid plan, limited visits by an insurance plan, or exhaustion of coverage or benefits. She further explained that the program has shown an operational loss since its inception due primarily to the discrepancy between reimbursement form Medicaid Managed Care plan and the costs required to provide a therapy visit.

Whole Family Health Center

Ms. Andress introduced Dr. Laura Graze, a doctor of nursing at the center, who accompanied her for todays presentation. Ms. Andress provided a review of Whole Family and stated that the center offers a full range of primary care and internal medicine service to adults and children. These services include wellness visits, child-well services, immunizations, behavioral health, family planning, and gynecological care. The clinic is currently a federally-designated provider of services and accepts most insurance, while also offering a sliding fee discount payment scale. The funding the center is requesting will be used to subsidize existing services being provided to uninsured patients within the county. Whole Family plan to increase its uninsured patient capacity by 16% during the current fiscal year and additional funding from the District would allow them to expand their outreach by an additional 28%. Whole Family is requesting $147,250 to serve the uninsured population below 200% of the Federal Poverty Level, and are projecting 950 visits at $155 per visit.

Treasure Coast Community Health

Ms. Fedock, CFO at TCCH, provided a review of the centers request for their new collaborative effort with United Against Poverty. TCCH is also requesting funding for their core services which they will continue to provide such as medical, behavioral health, and dental services, however she is only reviewing the United Against Poverty portion today as it is a new request for the upcoming fiscal year. Ms. Fedock explained that TCCH will be collaborating with United Against Poverty, to provide same day health services at the UP-Center. These services include medical and behavioral health counseling. Additionally, TCCH is requesting funding for the expanded Federal Poverty Guidelines from 150% to 200%. The total funding request for the Center is $1,523,310, which includes $68,288 for the UP-Center clinic.

Public Guardianship Program-

Ms. Callaghan and Ms. Johnson introduced themselves to the Trustees. Ms. Callaghan explained that they both are employees of Senior Resource Center, which has now absorbed the Public Guardianship program. She explained that is was a natural fit for Senior Resource Center to absorb the program, due to the similar mission of providing services to the elder population in Indian River County. As a historical review, Public Guardianship provides support and advocates for individuals who are deemed by the courts to be unable to care for themselves. A guardian is assigned to each ward and they are available 24/7 to that person, until the death of the ward. The total funding request for the program is $30,000 and it will assist the needs of 16 wards.

Public Comment- There was no public comment.

Adjourn- The meeting was adjourned at 4:00 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