Indian River County Hospital District

Chairman’s/Budget Presentation Meeting: May 15, 2019

Chairman’s Meeting & Budget Presentations
Indian River County Hospital District
May 15, 2019

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

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

OTHER ATTENDEES: Marie Andress Laura Graze
Janet Begley Michelle Genz
Shannon Bowman Tracey Griffis
Tara Beard Vicki Soule
Corine Lester Diane Grossi

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the monthly chairman’s meeting of the IRCHD at 10:00 AM by welcoming those in attendance.

Indian River County’s Roles & Responsibilities- Jason Brown, County Administrator

Mr. Brown provided the Trustee with a review of the county administration organization chart which shows the breakdown of the functions of the county. He further reviewed the county taxing funds data which shows the counties current millage rate and taxing revenues which are collected. He explained that the county has multiple different tax rates depending on where you live and provided a detailed breakdown of each area. Mr. Brown then discussed the county’s general fund which provides funding for state agencies, economic development, children services, non-profit organization, and other various agencies. The continual expenses, which includes the county sheriff’s services, make up 63% of the total budget.

Mr. Brown continued his report and reviewed relevant health agencies that the District and the County support which include the county share of Medicaid; the county health department; and New Horizons. Ms. Deigl asked if there would be further review into the duplicated services which receive funding from both the District and the County and should there be a limit on the amount of tax dollars that can be received. There was further Trustee discussion concerning this matter and Mrs. Suriano indicated that she would continue to work with the county to see which programs could be solely funded by one agency as to not duplicate support with tax dollars.

Approval of Strategic Plan Governance Package- Ann Marie Suriano, Executive Director

Mrs. Suriano stated that last month she provided the Trustees with the updated job descriptions for the District staff and Trustees, as part of one of the Strategic Plan goals. She incorporated any changes that were requested from the Trustees and is asking for a motion to approve the same. Mrs. McCrystal made the motion to approve which was seconded by Ms. Deigl. The motion carried unanimously.

Update on Gifford Health Center RFP- Ann Marie Suriano

Ms. Suriano provided the Trustees with an updated concerning the Gifford Health Center RFP process and stated that the review committee met to open and review the proposals. The committee is made up of Allen Jones, Jennifer Peshke, Esq., Lenora Ritchie, Ann Marie Suriano, and Freddie Woolfork, who was asked to participate on behalf of the Gifford Community. It was at that time they agreed to independently review the proposals and hold another meeting the following week to discuss their findings and request any additional information from the agencies who submitted a response. The review committee convened again and Mr. Woolfork was unable to attend the meeting and no other members of Gifford community were present either. Therefore, the committee did not feel they could make a decision without the input of Mr. Woolfork or any other Gifford community leader. It was decided that two additional meetings would be scheduled at which time the committee would further discuss the proposals and vote on a recommendation which would be given to the District Trustees for consideration. It was suggested that the next committee meeting be held in Gifford to make it more accessible to the residents of Gifford. Additionally, Mr. Jones explained that TCCH and Whole Family are amended their proposals based of the further discussions and they will provide those to the committee by the end of the week. The hope is after the meeting on the 22nd the committee will have agreed on a recommendation and that recommendation will be provided to the Trustees on the 28th. There was further Trustee discussion the surrounding the challenges being faced concerning the Gifford community and their trust in this process. Some felt the community has not been receptive, even though all agencies participating in the transition have sought their input and included their community leaders.

Funding Requests-
Hope for Families- Dr. Tompkins & Diana Grossi

Ms. Grossi provided a review of the Hope for Families funding request for fiscal year 2019-202. She explained that Hope for Families Center supports the transition of families from homelessness to sustainable permanent housing by providing safe shelter, food, and supportive services. Families coming into the shelter are required to have up to date immunization records and health examinations, but often times present with inadequate or inaccurate information. Behavior issues are very common with the homeless clients and sometimes more serious mental health issues that require professional evaluation and management. The funds they are requesting from the District will be applied to a new medical and behavior program for their adult and children residents. The total request for funds is $85,520. Ms. Grossi stated that last fiscal year (July 1- June 30), 111 families came through the shelter. As of July 1, 2018, through April 2019 80 families have come to the shelter. She believes this new program funding will have a significant impact on providing needed health, mental and behavioral health services to the homeless families in Indian River County.

Substance Awareness Center- Carrie Lester, Executive Director
Ms. Lester reviewed the budget request for Substance Awareness Center which totaled $25,000. She explained that the Center is requesting District funding to support the work of the peers in both the Recovery Assistance program and in their role of outreach and engagement. The program is a recovery-based program that uses peers to help educate, engage and retain persons with substance use disorders into treatment and recovery. The peers begin their work with education, outreach, and engagement with one of the most vulnerable and excluded populations; those in the county jail. The peers conduct a weekly recovery outreach and engagement group for interested inmates at the jail and inmates must sign up for the program, which consists of 10 weekly group sessions. Ms. Lester further explained that the majority of their clients are indigent, without insurance, or coming out of jail. There is no other program that provides the peer services they provide in combination with housing. Additionally, Phoenix Rising Wellness Center, TCCH, UF Center for Psychiatry and Addiction Medicine provide substance abuse treatment services in our county, but do not provide the comprehensive peer programming that Substance Abuse Center offers.

Childcare Resources- Shannon Bowman, Executive Director

Mrs. Bowman introduced Terra Beard, who is the director of the school and is responsible for the curriculum and engaging with families, along with Tracey Griffis Director of Wellness and Intervention, who oversees the coordination of care. Their funding request, which totals $73,522, would be used to support the Wellness and Early Intervention Program. This program is operated by the Ms. Griffis who is a registered nurse with a background in social work. She coordinates care for program families to ensure that every child’s wellness needs are met. This includes scheduling basic vision and hearing screenings for all students, up to and including working with families to navigate the health care system to ensure needed therapies are covered. Additionally, Childcare Resources works collaboratively with a variety of agencies, such as All Aboard Therapy, Tykes & Teens, A+ Therapy and Piece of the Puzzle. They also provide access to mental health services through grant funding for students and their family members through the Mental Health Association. Ms. Bowman stated that funding would give this program the opportunity to enhance the level of care their families currently receive and continue to grow.

Other Business-

Mrs. Frederick stated that she will be providing the Trustees with a summary of all the funding requests from all agencies that are applying for funding. Since the number of new agencies requesting funding has increased significantly, the board agreed to only hear formal presentations from those new agencies. Ms. Frederick indicated that if any Trustee would like a complete copy of any of the funding request, they may contact the office.

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