Indian River County Hospital District

Chairman’s Meeting: April 25, 2019

Indian River County Hospital District
April 25, 2019
10:00 AM

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

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

OTHER ATTENDEES: Matt Reiser Kip Jacoby
Vicki Soule Angela Guzenski
Nick Coppola Elizabeth Buditz
Marie Andress Michelle Genz

Convene Meeting – Marybeth Cunningham, Chairwoman

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

Discussion on District Accounting- Allen Jones, Treasurer

Mr. Jones stated that a few months ago he informed the board that the District was looking at alternative way to provide the accounting services for the District office. Historically, the District has engaged Special District Services to process the monthly financial statements, payables, and payroll services. Over the last five years they have done an adequate job however, there have been routine errors that have required a fair amount of administrative oversite by Mrs. Suriano and Ms. Voss. The Districts Auditor Kip Jacoby, has recommended that the District reconsider this contract and pursue alternative options.

Therefore, Mr. Jacoby prepared an outline of procedures for the board to review of the proposed transition. The recommendation would be to utilize a local CPA for oversite of the District finances, while Ms. Voss maintained the monthly expenses through QuickBooks. This process will give the District equal or superior control over the office accounting and cost the District about 40% less annually. Mr. Jones stated that he also recommends this proposal and asked for a motion to approve the same. Mrs. McCrystal made a motion to approve which was seconded by Mrs. Zudans for further discussion. Mr. Jacoby addressed the group and stated that Cynthia Johnson, who he is recommending the District utilize for the accounting, is a local CPA with many years of experience. The Trustees agreed that this transition would be a cost savings and accepted Mr. Jones’ recommendation. The motion carried unanimously. Mr. Jones indicated that the transition will take place in June and that the District will need to prepare a termination letter to SDS for their services.

Discussion of Strategic Plan Goals- Ann Marie Suriano, Executive Director

Mrs. Suriano stated that she has prepared a dashboard schedule for the goals and objectives surrounding the District’s 2019-2021 Strategic Plan. The District staff has begun work on the goals and will ask for feedback from the Trustees on matters concerning the learning agenda. Mrs. Cunningham assigned Mrs. Zudans as the Health Policy Leader in connection with the learning agenda for the Strategic Plan.

Additionally, Mrs. Suriano stated that she met with the Executive Director of the Sebastian Water Inlet District and had a productive conversation. She explained that the District is located in Brevard County but also collect tax revenues from Indian River County since the waterway runs through both counties. She felt the meeting was very educational and their District was open to sharing ideas with our District concerning quality of health for the residents. She also met with Mr. Jason Brown, Indian River County Administrator, to review their annual budget to see if the District funding efforts align or overlap. There was further discussion surrounding opportunities for Trustees to participate in these activities as well, on an individual basis.

Discussion on Budget Cycle Schedule- Jennifer Frederick, Program Liaison

The Trustees discussed the upcoming Budget workshop schedule for May. It was recommended to the Trustees by staff that only new agencies or agencies who have significantly changed their funding request from prior years, give a formal presentation. All other funding requests will be summarized for the Board to review and follow up with any additional questions. This will reduce the number of meetings that need to be held, while still giving the Trustees ample time to review the requests. Mrs. Frederick will prepare the funding application summary and provide the same to the Trustees in the next few weeks.

Other Business-

Mrs. Cunningham indicated that UP has received the $750,000 needed to complete the new center and that the District looks forward to seeing the great work they do in the community grow and continue at the new location.

Mrs. McCrystal stated that Mrs. Cunningham was nominated for the Woman of the Year award, in the Volunteer category through the Junior League of Indian River County. While she didn’t win the award, she was recognized for her hard work and achievements with the Cleveland Clinic partnership and other community organizations she devotes her time to.

There was no public comment and the meeting was adjourned at 10:45 AM.



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