Indian River County Hospital District

First Public Budget Hearing: September 13, 2018

First Public Budget Hearing
September 13, 2018
5:01 PM

TRUSTEES: Marybeth Cunningham Karen Deigl
Dr. Michael Weiss Tracey Zudans
Ann Marie McCrystal (via telephone)

EXCUSED: Allen Jones

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

OTHER ATTENDEES: Sue Tompkins Kathie Pierce
Dan Bach Barbara Pearce
Kathy Orton Carol Kanerak
Jeanne Shepherd Susan Maizano
Lundy fields Michel Genz
Val Zudans

Convene Meeting – Marybeth Cunningham, Chairwoman IRCHD

Mrs. Cunningham convened the first public budget hearing of the Indian River County Hospital District (“IRCHD”) at 5:01 p.m. She reminded the attendees at the meeting that the purpose of this meeting is to discuss and approve a tentative budget for the upcoming fiscal year. Further, she stated that pursuant to state regulations, no other business shall be discussed at today’s meeting.

Review of the July 25, 2018 proposed FY 2017-2018 Budget Information- Ann Marie Suriano, Executive Director

Mrs. Suriano stated that on July 25, the board approved a tentative budget with a millage rate of .9405, which would produce tax proceeds of approximately $16 million. Additionally, that proposed millage rate would create an 11.37% increase over the rolled back rate. Mrs. Suriano explained that the rolled back rate is what the board would asses to receive the same amount of taxes in a year with an increased property value, which is the case this year. She further discussed the reasons of the increase in budget which included increased volumes at the hospital, and three new agencies also requested funding in fiscal year 2017-2018.

Mrs. Cunningham asked for Trustee comment. Mrs. Zudans stated that property tax value increases for the District will provide $900,000 in extra revenue without raising the rates. Additionally, due to the Partnership process, the District will have a cost savings of $750,000. As a steward of the tax payers, she cannot support a tax rate increase. Dr. Weiss echoed her sentiments.

Adoption of Tentative FY 2018-2019 Budget- Ann Marie Suriano

Mrs. Suriano stated that on August 29th, the Trustees held a budget discussion meeting and the Trustee agree to reduce some line items within the budget. Therefore, the millage rate being proposed today is .9122. Mrs. Cunningham indicated that the final budget hearing will take place on Sept 27, which is after the first meeting relative to the Cleveland Clinic partnership. At that time, the Trustees will have a better understanding of the financial commitment that Cleveland Clinic will propose to support indigent care. There was further Trustee discussion concerning the proposed millage.

Dr. Weiss made a motion to adopt a millage rate of .9122, which was seconded by Ms. Deigl. Motion carried 5-1 with Mrs. Zudans in opposition.

Ms. Deigl made a motion to adopt the tentative budget as written, which was seconded by Ms. Bodnar. Motion carried 5-1 with Mrs. Zudans in opposition.

Mrs. Suriano publicly announced the District proposed millage rate of .9122 for fiscal year 2018-2019, which represents an increase over the rolled back rate of 8.2%.

Public Comment-

Dr. Val Zudans, taxpayer, stated that he believes that the District is “mission creeping” by funding programs that are outside of the Districts purview. He believes the District should only fund programs that have proven outcomes. He also stated he does not feel the District should increase the millage due to the additional funds they will be receiving from the property value increase.

Ms. Sue Tompkins, volunteer at VNA and taxpayer stated that is the VNA is entering a new era and their mission is to drive positive health care outcomes for the community. She believes that the VNA and the District share the same mission and vision which is much greater than serving just indigent patients. She explained that the Mobile Unit Community Health Campaign will be result oriented and they will work collaboratively with other health agencies in the community. She encouraged the Trustees to reconsider their choice to fund the program at half the requested amount.

Mrs. Jeanne Shepherd of the Mental Health Association and Mr. Freddie Woolfork of the Gifford Health Council, also voiced their support of the VNA Mobile Unit Community Health Campaign and encouraged the Trustees to support it fully.


The meeting was adjourned at 6:00 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