Indian River County Hospital District

Budget Workshop Meeting Minutes: May 14, 2018


Budget Workshop: Tykes & Teens;  Healthy Start

Indian River County Hospital District

May 14, 2018


TRUSTEES:                           Marybeth Cunningham; Allen Jones; Ann Marie McCrystal; Tracey Zudans; Barbara Bodnar

EXCUSED:                            Dr. Michael Weiss; Karen Deigl

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

OTHER ATTENDEES:        Andrea Berry; Cecilia Escorbore; Kristen Crocker; Jeffery Shearer; Agniseka Marshall


Convene Meeting- Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the monthly chairman’s meeting of the IRCHD at 1:00 PM by welcoming those in attendance.

 Funding Requests-

Healthy Start- Andrea Berry, Executive Director

Ms. Berry began her presentation by providing a review of the services and assistance offered through the Healthy Start Coalition. She introduced her team of employees joining her today, which included Cecilia Escorbore, program director and Kristen Crocker, RN program manager. Ms. Berry explained that Healthy Start’s funding request for FY 2018-2019 totals $100,000 and is for the Nurse Home Visitation and Nurse Family Partnership programs. These programs are part of the ‘Babies and Beyond’ initiative which provides support to mothers, prenatal education and a newborn nurse home visit to all mothers in Indian River County. This visit is conducted by a Registered Nurse and is offered bedside at Indian River Medical Center after birth, along with a home follow up visit. The $50,000 in funding received from the District would be applied to the salary and benefit cost of the nurse. The Trustees had discussion concerning the home visit portion of the program and asked Ms. Berry if it were possible to bill Medicaid or private insurance for the home visit. Ms. Berry indicated that she would research that matter further.


Additionally, Healthy Start is requesting $50,000 for the Nurse Family Partnership program. The Nurse Family Partnership will have one full time registered nurse for home visits to mothers experiencing a chronic health condition during pregnancy. This individual would reside in the Gifford community or zip code 32967. This area was identified as a priority by the Community Health Improvement Planning Infant Mortality Workgroup (“IRCHHSC”) and would help support the Gifford Community where the infant mortality rate is the highest. Further, the program is going to be implemented throughout the Treasure Coast and Treasure Coast was awarded $735,000 from the National Nurse Family Partnership offices, to be split between Martin, St. Lucie, Indian River, and Brevard County. Indian River County Healthy Start will receive $150,000 over the next three years however; they will need to secure matching funds in the amount of $100,000 each year to keep the program operational. There was further Trustees discussion concerning the request and the impact that it would have on the community if they were to fund both programs.


Tykes & Teens- Jeffrey Shearer, CEO

Mr. Shearer provided a historical review of the Tykes & Teens program  and stated that the organization has been providing mental health prevention and treatment services to children and families in Martin County for 22 years. Due to a high demand for their services in Indian River County, they began to offer services in Indian River in 2016. Currently they provide infant mental health and manage the Healthy Families program. Mr. Shearer explained that this funding request would help bring additional mental health programing to Indian River by replicating the community outreach portion of the Prevention Services programming that has been ongoing in Martin County since 2010. This prevention programming (HOPE) would target low income areas of Indian River County. Mr. Shearer stated that according to ALICE data of 2016, 40% of households in Indian River County live below the threshold or poverty level.


He further discussed Tykes & Teens efforts to seek additional funding throughout the county and explained that they received a grant from Impact 100, but that those funds will go to support another program. Dr. Marshall reviewed the program in detail and explained that a HOPE program prevention specialist will be hired and supervised by her. The specialist will develop collaborative relationships with at least one community leader or organization in each of the three target areas to determine the specific needs of the middle and high school population in those locations. Some programming includes violence prevention, social media and internet safety presentations, art therapy workshops to help students prepare for the peer pressure and anxiety of school. The Trustees had further discussion concerning the request and if this program fits under the District’s mission and if this service was already being provided in Indian River. Additionally, they encouraged Mr. Shearer to seek funding from other philanthropic agencies in the county, to support the program.


Public Comment- There was no public comment.


 Adjourn- The meeting was adjourned at 3:00 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