Indian River County Hospital District

Chairman’s meeting: December 19, 2018

Indian River County Hospital District
December 19, 2018
10:00 AM

TRUSTEES: Marybeth Cunningham Tracey Zudans (via phone)
Ann Marie McCrystal Barbara Bodnar
Allen Jones Karen Deigl

ABSENT: Dr. Michael Weiss

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

OTHER ATTENDEES: Cecilia Escorbore Janay Brown
Julianne Price Janet Begley
Tony Brown Cheryl Martinez
Angela Guzenski Rick Van Lith
Michelle Genz Miranda Hawker
Lundy Fields Nick Coppola, M.D.

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the Chairman’s meeting of the IRCHD at 10:00 AM by welcoming those in attendance. She informed the board that the Cleveland Clinic Indian River closing documents will be executed on December 31, 2018 and available to the public thereafter.

Community Health Needs Assessment Review- Jennifer Frederick, Program Liaison

Mrs. Frederick provided a historically review of the community health needs assessment for 2018 and reviewed the data identifying unmet health care needs in Indian River County. She stated that Indian River Medical Center, TCCH, VNA, and Whole Family Health all participated in the process. The main areas of focus remain on “Healthy Moms, Healthy Kids” and “Long, Healthy Lives”. There further was group discussion surrounding the data outlined in the report.

Gifford Health Center RFI Discussion- Allen Jones, Treasurer

Mr. Jones provided the Trustees with an updated concerning the RFI process for the Gifford Health Center. He stated that the District has received proposals from the Health Department and TCCH for primary care services. Additionally, Healthy Start and the Mental Health Association each submitted proposal which address behavioral health and prenatal services respectively. Mr. Jones stated that he and Mrs. Suriano will be preparing a summary of the proposals with additional information for the Trustees to review. They plan to hold a special meeting in January to discuss the same.

Strategic Planning Review- Michael Felix, MSHA

Mr. Felix explained that the purpose of his presentation would be to discuss population health and population management, along with leadership opportunities for the District. He recommended that the District adopt a population health funding mentality and discussed future funding opportunities for the District. The Trustees will hold a special meeting the week of January 7th to review and discuss the pending strategic plan in more detail, with an opportunity to provide comments and suggestions.

Other Business-

Mrs. Cunningham stated that outside legal counsel recommends obtaining title insurance in connection to the transaction with Cleveland Clinic. Mrs. Peshke explained that if the District purchased an owner’s title policy, the policy would remain in place as long as the District has an ownership interest in the property. An owner’s policy, when necessary, can help pay for the defense against a claim on the title and will pay all valid claims that are covered by the policy. The total cost of the policy is $34,000 and Mrs. Peshke asked for a motion to approve the expense if the board agreed to the recommendation. Mrs. McCrystal made the motion to obtain the title insurance which was seconded by Mrs. Bodnar. Motion carried unanimously.

Mrs. Cunningham notified the board that of the slate of individuals put forth by the District, Cleveland Clinic chose Mr. Matthew Reiser to serve as the community representative.

Mr. Jones stated that as the board may recall, the hospital ran over budget by approximately $1 million, in terms of indigent care. Over the past few months, he and Mrs. Suriano have worked with Mr. Fuller at IRMC to true up that amount and apply any reversals that may have occurred. Mr. Jones explained that reversals occur when the hospital obtains an alternative payor source such as Medicare or Medicaid, instead of utilizing District funds. Once this happens, the hospital credits the District for that expense. In preparation for the Cleveland Clinic closing January 1, Mr. Jones wanted to make sure that there was a clean slate in billings. Therefore, they looked at the average reversal rate over the last four years which was 17.5%. Therefore, in October, November, December and January, payments to the hospital for indigent care services will be reduced by 17.5% each month. This method will assure that the District is upholding their obligation within the Indigent Care Agreement and keeping the taxpayers whole. Mr. Jones will address this matter in his treasurer’s report at tomorrow night’s meeting.

Public Comment- There was no public comment.

Adjourn- The meeting was adjourned at 1:00 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