Indian River County Hospital District

Chairman’s Meeting: July 17, 2019

Indian River County Hospital District
July 17, 2019
12:00 PM

TRUSTEES: Michael Weiss Tracey Zudans
Ann Marie McCrystal Karen Deigl
Marybeth Cunningham

VIA PHONE: Allen Jones

ABSENT: Barbara Bodnar

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

OTHER ATTENDEES: Angela Guzenski Nick Coppola
Michelle Genz Myra Weiss
Annabel Robertson

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the Chairman’s meeting of the IRCHD at 12:00 PM by welcoming those in attendance.

Updated Funding Request FY 19-20- Mental Health Association, Inc.- Nick Coppola, CEO

Dr. Coppola provided a review of the MHA request for school violence and risk prevention program. He discussed in detail the suicide and depression rate statistics for adolescents on a state and national level. He also reviewed data surrounding violence risks of these adolescents who experienced depression and suicidal thoughts. The program which they are requesting funding for would serve a total of 2,772 students at 10 schools in Indian River County. Dr. Coppola provided the trustees with a breakdown of the $45,000 request and there was trustee discussion surrounding the same. The Trustee requested that MHA obtain a letter of support from the school board which reflected their support of this program. The overall consensus of the Trustees was to fund the request and Ms. Suriano indicated that she would include the same within the FY 19-20 budget.

Gifford Health Center Advisory Committee Update – Tracey Zudans, Assistant Secretary

Ms. Cunningham thanked Ms. Zudans for heading the GHC advisory committee and felt she was the best choice for the position. Ms. Zudans provided the Trustee with an update regarding the same. She stated that at the July 11 meeting, the group covered clinic transition, creating subcommittees to address specific topics, and rumor control. In regards to the clinic transition, the department of health will begin their move out of GHC on July 19 and fully vacate the building by August 9. TCCH will begin their move-in on August 9 and will resume providing a full range of services on August 26. Healthy start and We Care services will continue and be uninterrupted during this transition time. Also, the VNA mobile unit will be in the MLK park on Mondays from 5 to 7 PM, Thursdays 8 to 7, Fridays from 8 to 7, and Saturdays from 9 to 3, to assist in treating patients. The mobile unit will also be at the Wabasso location Mondays, from 8 to 4 and GYAC on Wednesdays from 8 to 7.

Further, four subcommittees have been formed and all committees have been assigned leadership/members. They will continue working on the details for each committee. The committees are:

•Open house/resource fair planning committee
•Community health worker selection committee
•Advocacy, awareness and public relations committee
•Quality assurance statistics

In regards to rumor control, Ms. Zudans stated that there are many rumors and misinformation within the Gifford community about the Gifford Health Center. She explained that the group would like to come up with a communication plan to dispel rumors. The group agreed to create a bullet point form addressing the rumors and sharing that information with the five pillars group, so that they could disseminate that information to the community. Further, she attended the five pillars meeting which is comprised of different organizations and leaders that are in the Gifford community. She stated that there was good discussion at the meeting and out of The Pillars meeting came a few questions about communication of services and free healthcare at the clinic. In regards to communication of services, it was suggested that there be a list of available services as well as the cost of the services, so that people know ahead of time what is available before they walk in the door. This may or may not be possible but will be brought to the advisory committee for discussion. In regards to free healthcare at the clinic, this is an ongoing discussion and concern not only by the community but also by the trustees and by all parties involved in the Gifford health center. Mr. Jones feel the board should have further discussion on the issue of “free care” and find out what the cost would be for those who are 100% and below the Federal poverty level. Ms. Zudans indicated that the next meeting will be held on July 24, and she will provide another update to the Trustees next month.

District Financial Assistance Program Update- Daphne Jacko, Program Administrator

Ms. Jacko provided an update concerning the District’s financial assistance program data base. To date there are 1808 total active members and 131 renewal applications pending. She explained that the District completed its first archived of 1,792 inactive members from the period of October 1, 2016- September 30, 2017. An archived export file has been saved to the District’s server for record. She also reviewed a graph which depicted where the 1808 active members reside within the county.

FY 2019-2020 Budget Discussion – Ann Marie Suriano, Executive Director

Ms. Suriano provided the Trustees with the proposed tentative FY 19-20 budget for their review and discussion. There was robust Trustee discussion on the same and they discussed the following agency request in greater detail:

1. VNA- Mobile Health Clinic Vulnerable Village Initiative
2. We Care- Program Funding
3. Tykes & Teens- Non-Billable Therapy Services
4. Sunshine Physical Therapy- Assistance to Medicaid Managed Care plans shortfall
5. Childcare Resources- Funding of hearing and screen equipment
6. TCCH- Increase in FPL to 200% and increased volumes
7. Whole Family Health- FQHC lookalike questions & reimbursement shortfall
8. Hope for Families- Patient navigator

The trustees agreed to hold a separate budget discussion meeting on September 3 to review additional information and hear from the agencies directly with their follow up information.

Other Business-

Ms. Cunningham stated that the Community Foundation has published the community health needs assessment survey and asked that the Trustees complete the same. The survey can be completed online or at the community foundation offices. Ms. Voss will provide the Trustee with the information and a link to the survey via email.

Public Comment & Adjourn

There was no public comment and the meeting was adjourned at 3:00 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