Indian River County Hospital District

Chairman’s Meeting: December 7, 2022

Indian River County Hospital District Conference Room/ Zoom
December 7, 2022

TRUSTEES: Marybeth Cunningham Karen Deigl
Ann Marie McCrystal Barb Bodnar
Allen Jones- via zoom Kerry Bartlett

ZOOM: Tracey Griffis Tara Beard
Anne Posey Lauren Meeks
Marie Andress Jad Shalhoub

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

ATTENDEES: Lundy Fields Pat Knipper
Alex Greenspoon Michael Kint
Chriss Papayannis

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the meeting of the IRCHD Board of Trustees at 1:00 PM by welcoming those participating via Zoom and in person.

Childcare Resources Request for Funding- Tracey Griffis Director of Wellness & Early Intervention

Ms. Griffis thanked the Trustees for the opportunity to bring forth this additional funding request. She explained that after last month’s meeting they revaluated their needs to have put together this proposal for the Trustees’ consideration. She explained that the reallocation and additional funding request for the expansion of the Childcare Resources Wellness and Early Intervention Program will allow for the addition of two positions focused on addressing early childhood mental health, an area that has seen an increase in need. They also plan to add an Early Childhood Mental Health Therapist to provide one on one play-based therapeutic services and a Mental Health and Behavioral Coach who will implement individualized plans of care while supporting early childhood staff in the classroom setting. They provided the Trustees with a complete and updated budget reflective of the reallocation and prorated salary needs from February 2023 through September 30, 2023. The total additional request for funding is $57,211.00. There was Trustee discussion and Ms. Cunningham made a motion to approve which was seconded by Ms. Deigl. The motion carried unanimously.

Investment Ladder Proposal- Allen Jones, Treasurer

Mr. Jones addressed the board and stated that he and Ms. Suriano have been working with Deep Blue Investment Advisors, the successor organization to Water Walker, and believe it would be beneficial to add a laddered U.S. Treasury investment program to the Preferred Deposit Pool currently being utilized. He explained that the annual fee structure is $15,000 per year, billed on a monthly basis. There will then be three money management pools which include Preferred Deposit Pool, Treasury Direct, and the U.S. Treasury Laddered Portfolio. Currently there is about $10.5 million in the Preferred Deposit Pool consisting of about $3.5 million carried over from the last fiscal year, and a little over $7 million in new tax revenue that’s already been received for the current fiscal year. The Preferred Deposit Pool yields 3.76% interest subject to daily change. H further explained that the plan is to use the $3.5 million carry over to fund District commitments through March, 2023. Also, the District, through Treasury Direct has three investments in 1 year U.S. Treasury Bills with $1 million maturing in May, $1.5 million maturing in August and $2 million maturing December 1, 2023. Total interest earned from these will exceed $175,000 and the District expects tax revenue of $11.2 million in FY 2023 and $9 million is projected to be received by December 31, 2022. It is proposed that Deep Blue Investment Advisors be retained to manage a laddered portfolio of U.S. Treasuries to yield noticeably more than 4% with maturities of $1.25 million monthly beginning in March, 2023. Additional funds will be added to the ladder as they are received as interests earned in this account are expected to exceed $300,000 at current rates. In total, fiscal year interest earned is expected to exceed $500,000. This proposal is to automate a process that takes advantage of surging U.S. interest rates, improves the amount of interest earned and minimizes credit risk as U.S. Treasuries are generally considered the safest asset from default. There was Trustee discussion and Mr. Jones made a motion to approve the proposal as outlined which was seconded by Mrs. McCrystal. The motion carried unanimously.

VNA Notice of Vacate Discussion- Jennifer Peshke, Esq.

Ms. Peshke stated that the District has received a Notice of Intent to Vacate from the VNA with regards to their lease of the Human Services Building. She explained that the notice was received in compliance with the lease and they have indicated they will be leaving the premises on or before April 27, 2023. Therefore, the Trustees will now need to discuss how they would like to move forward with the utilization of the building and land parcel. As a guide, Ms. Suriano created a fact sheet with information concerning the monthly costs associated with upkeep of the building, the rental income received, along with a history of building repairs and maintenance. Mrs. Peshke then explained that pursuant to the long-term lease agreements with CCIRH, CCIRH is awarded the right of first refusal concerning this property and building. Two representatives from CCIRH were present at the meeting and addressed the board. It was discussed that CCIRH does have an interest in the property and would like to begin further discussions on the same. There was Trustee discussion and the Trustees requested that CCIRH bring forth a formal proposal concerning this matter for consideration. Ms. Peshke indicated that she would send formal correspondence outlining todays discussion

Other Business

Ms. Frederick stated that Ms. Suriano recently attended the Meet the Funders Forum. In response to the District’s participation in the event, Rene Byerly from the Samaritan Center, contacted Ms. Frederick to discuss the potential of future funding opportunities. Ms. Byerly explained that the Samaritan Center is looking to hire a licensed clinical social worker for their staff to provide mental health services to their clients. They are currently utilizing the services of an independent contractor, but would like to have full time LCSW on their staff. She asked the Trustees if they would like to hear a proposal from the organization in the next few months, or be included during the FY 23-24 budget cycle schedule. There was Trustees discussion surrounding various matters of the Samaritan Center, the scope of services it provides, and other funding sources they utilize. After robust discussion, it was decided that the Trustees would be open to hearing a presentation from them in the next few months. Ms. Frederick was asked to follow up with Ms. Byerly and obtain some additional clarification and information requested during Trustee discussion. It was also confirmed that Ms. Carboni would conduct her pre audit screening review of the organization as well.

Mr. Jones stated that he has been made aware that there are some changes being implemented to the Cleveland Clinic My Chart system, and that some functions of the system may now have a fee associated with their use. There was Trustee discussion and it was not clear as to the totality of the change and Mrs. Cunningham indicated that she would follow up with CCIRH to obtain further clarification.

Public Comment & Adjourn

Mr. Shalhoub addressed the board and thanked the Trustees for their work and dedication over the last year specifically Mr. Jones and Mrs. McCrystal, who are ending their elected official terms. He asked if he could share a project, he has been working on with current UCF students, which tracks health services and providers throughout Indian River County. He requested the opportunity to formally present this information to the Trustees at an upcoming Chairman’s meeting. Ms. Suriano stated that she would send a follow up email with the information to the Trustees, and that Mr. Shalhoub would be included on a future agenda to provide additional information.

The meeting was adjourned at 2:00 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