Indian River County Hospital District

Budget Presentation Meeting: June 8, 2021

Indian River County Hospital District Conference Room/ Zoom
June 8, 2021
1:00 PM

TRUSTEES: Marybeth Cunningham Barbara Bodnar
Ann Marie McCrystal Kerry Bartlett
Karen Deigl Michael Weiss
Allen Jones

STAFF: Jennifer Frederick Kate Voss
Jennifer Peshke, Esq.

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the budget presentation meeting of the IRCHD Board of Trustees at 1:00 PM by welcoming those participating via Zoom and in person.

FY 21-22 Funding Requests-

Senior Collaborative- Randy Riley, Executive Director

Mr. Riley provided a review of the Senior Collaborative funding request and stated that they are requesting $22,500 which is a $5,000 increase from last fiscal year. The increase in funding will be used towards additional marketing, to expand the collaboratives awareness to the public. There was group discussion surrounding the Senior Collaborative mission and how they differ from other referral centers in the county. The Trustees also discussed other funding sources that the Collaborative could access to support their mission. Mr. Riley stated that while he understands that the Collaborative does not provide direct healthcare services, they do provide a collaborative approach to obtain healthcare services for their clients. It was also suggested that the District, City of Vero Beach, and County Commission should meet to discuss how to best collaborate in providing referral and information services to seniors and how to reduce duplication in efforts. Mr. Riley thanked the Trustees for their support last fiscal year with the start up funding and stated he realizes that the District may not be the most appropriate funding source for the Collaborative moving forward.

Phoenix Rising- Pedro Bernabe, CEO

Mr. Bernabe addressed the board and thanked them for their continued support of Phoenix Rising. He stated that the center is requesting a total of $505,000 in funding which is an increase of $85,000 from last fiscal year. There was group discussion surrounding the increase request, which Mr. Bernabe attributed to an increase of clients seeking treatment. The Trustees requested clarification and revision to the budget schedule within the funding request, to reflect the correct projected number of clients they anticipate serving. Additionally, there was discussion surrounding alternative funding sources for the center and Mr. Bernabe indicated that they receive additional revenue from self-pay patients, as well as private insurance reimbursement. Currently they are not credentialed to accept Medicaid or Medicare patients for reimbursement. There was also discussion surrounding the length of stay for a patient during treatment and what safety nets are in place after treatment is completed. The Trustees requested a breakdown of patient data surrounding clients who have remained sober after completing treatment at Phoenix Rising. Further, Mr. Bernabe indicated that Phoenix Rising works collaboratively with United Against Poverty and Dynamic Life, in helping clients obtain life skills, job opportunities and sober living arrangements. The Trustees thanked Mr. Bernabe for his continued efforts in helping those in our community with alcohol and substance abuse issues.

TCCH- Vicki Soule, CEO

Mrs. Soule provided a review of the TCCH funding request for fiscal year 21-22. She discussed the funding increase to the three service areas TCCH provides. They are requesting an additional $761,264 for primary care services; $108,080 increase for behavioral health services; and $125,324 for dental services. The total funding request of $3,182,054, is an increase of $994,668 from last fiscal year. Ms. Soule discussed the cost per service for those service areas and stated that the cost per service is calculated by the difference between the actual cost of care for indigent residents and payments received for medical services. With the exception of patients meeting the criteria for homelessness and others who are unable to pay the nominal fee, all patients are expected to pay something for services rendered. She further explained that TCCH has increased their cost per service amount from the District. Additionally, they have also increased salaries and benefits to employees and physicians, to remain competitive with other healthcare agencies. There was discussion surrounding the reimbursement rates from Medicare and Medicaid. The group also discussed additional revenue TCCH receives from Federal and State grants. Mrs. Soule indicated that TCCH just completed its next three-year strategic plan and spoke to their goals for the upcoming year. One of the main initiatives is that TCCH will be transitioning to the EPIC electronic health records system, which is also used by Cleveland Clinic. Mrs. Soule stated that TCCH mission remains to provide accessible, cost effective, high quality, comprehensive healthcare to all persons, regardless of their socioeconomic circumstances.

Other Business

Mrs. Cunningham stated that she and Mrs. Suriano received the House Bill 1103 Analysis and provided the Trustees with a copy of the same. There was group discussion surrounding the requirements of the bill and that formal communication to all Special Districts outlining compliance with those requirements, has yet to be distributed by the state. In meeting with Representative Grall, she indicated that the compliance requirements will be distributed by the Auditor General and the Florida Department of Economic Opportunity with in the next few months. Additionally, the District has asked Senator Debbie Mayfield to address the board next week at the Chairman’s meeting to hear her interpretation of the bill. The Board also plans to hear from Representative Grall next month at the July Chairman’s meeting to discuss the same. Mrs. Peshke stated that she will also update the Trustees with any additional information that she may obtain.

Public Comment & Adjourn

Mrs. Cunningham asked for public comment and there was none. The meeting was adjourned at 2:30 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