Indian River County Hospital District

Chairman’s Meeting: May 22, 2024

Indian River County Hospital District Conference Room/ Zoom
May 22, 2024

TRUSTEES: Marybeth Cunningham Barb Bodnar Michael Kint Paul Westcott
William Cooney Karen Deigl
Kerry Bartlett

STAFF: Dawn Carboni Jennifer Frederick
Kate Voss Frank Isele
Jennifer Peshke, Esq. Kaytlin Dickens

ZOOM: Deborah Shellenberger Raquel Rivas
Lisa Zahner Ann Marie McCrystal Nancee Long Marie Andress Anne Posey

ATTENDEES: Vicki Soule Erin Refsland Gerri Rorick John Rorick Rick Cancelosi Steve Bell Tiffany Barley Wayne Creelman JoAnn Hitt Shannon Maitland Elide Gomez Michael Davis Mike Cianci George Pellington Lauretta Farrell Vicki Soule Kellie Hensley Vickie Johnson Chriss Papayannis

Convene Meeting

Ms. Cunningham convened the meeting of the IRCHD Board of Trustees at 10:00 AM by welcoming those participating via Zoom and in person.

Update on District HR Policies & Handbook- Donna D’Alfonso, President, HR Dynamics, Inc.

Ms. D’Alfonso addressed the board and stated that she was brought in to do an assessment of the overall HR policies and procedures within the District. She also conducted an assessment of staff’s engagement and overall satisfaction with their employment, and assessment results exceeded best practice benchmarks. Lastly, she stated that she worked with staff to update the employee handbook, which needed some additional compliance and best practices language added. She explained that she has finished her work with the District but is always available should they need further assistance with HR duties in the future. The Trustees were pleased with the outcomes and felt this was a good exercise to have completed due to the change in leadership that took place over the last year.

FY 24-25 Funding Request Presentation-

A Caring Center for Women – Gerri Rorick, Executive & Development Director

Ms. Rorick addressed the board and thanked the District staff for their visit to the Center several weeks ago. She provided an overview of the organization and the services they offer to women in the community. She further explained that due to increased demand for additional services they are expanding in an effort to strengthen wellness and prenatal care being provided. She reviewed the funding requested of $260,000, which would allow them to hire additional medical staff to support the expansion. There was Trustee discussion surrounding the request and how the funding would be disbursed. Most felt that reimbursement should be provided on a fee-for-service basis, so the clients served could be tracked. It was also noted that the executive director and treasurer for the organization are married and how this could be considered a conflict of interested. However, it was noted that neither individual collects a salary, and both serve on a volunteer basis.

Literacy Services – Shannon Maitland, Executive Director

Ms. Maitland addressed the board and introduced some of her staff who were present at today’s meeting, which included Elida Gomez, their community engagement coordinator and JoAnn Hitt the board chair. She provided an overview of the funding request, which totaled $34,500 to support their Health Literacy for Adults program in the county. She discussed their client population and stated that they work collaboratively with TCCH, United Against Poverty and the Red Cross. They also have partnerships with Indian River State College and Treasure Coast Technical College who refer students to Literacy Services when they need more extensive vocabulary, prior to entering the vocational/college programs. There was Trustee discussion and many questioned how this program could be tracked and measured to show outcomes. Ms. Maitland stated that one of the main objectives of this program is to teach health literacy, which includes being able to understand and complete medical paperwork, fill and pick up prescriptions, and understand doctor instructions and orders. Having literacy in these areas would improve health outcomes as clients would be able to better manage their healthcare needs. She further explained that progress will be tracked in the LACES program database and the tutors’ complete monthly reports, which are entered into the database. These monthly reports track students’ advancements in educational pursuits, language skills, and other relevant literacy goals.

Dynamic Life – Mike Cianci, Program Grants & Certifications Manager

Mr. Cianci thanked the Trustees for their continued support of the Mark 2 Scholarship program and stated that today he was here to discuss their new request for support of their mental health counseling program. Mr. Cianci discussed the funding request, which totaled $48,000 to support the program and explained the positive impact these services have had for the clients at Dynamic. He discussed the current funding structure of the program and informed the Trustees that last September, the Handley Center, who provided reimbursement for the mental health counseling program, stated that they were reducing their support due to restructuring of their grant funds. Therefore, they made the decision to include some funding support for this program in their request for the fiscal year 2024-25. However, just a week ago, they were informed that Handley has now ceased funding the program entirely, which will leave them in a deficit for the current fiscal year. Additionally, Mr. Davis explained that they are also owed back billed reimbursement from Handley of approximately $3,000. There as Trustee discussion and based on the information provided surrounding the departure of support from Handley, it was discovered that Dynamic Life would need to amend their funding request to include the full amount of funding needed to support the program. There was discussion surrounding how they could amend the request and Ms. Frederick stated that she would need board approval in order to open the eC Impact portal for the adjustment. After further Trustee discussion Mr. Westcott made a motion to approve the adjustment of Dynamic Life’s funding request within the eC Impact portal. The motion was seconded by Ms. Cunningham and carried unanimously. It was also suggested that Mr. Cianic look at their current needs and bring forth a proposal for additional funding for the current fiscal year.

82nd Ave Property/HSB & VCOM Discussion

Ms. Cunningham stated that the proposal originally sent out to the Trustees last week from Cleveland Clinic regarding the 82nd Ave parcel, was not intended to be sent and had only been discussed at a high level with Dr. Peter. However, Cleveland Clinic would like to continue conversations with the District about future usage of the 82nd Ave parcel and a possible land swap for use of the HSB. There was Trustee discussion surrounding some community effort to turn use some of the land into workforce housing but many of the Trustees felt that the District should not be entering into housing development. There was also discussion surrounding the lack of zoning in the community designated for healthcare, which is needed west of town, and if a representative from the board should reach out to the county planning and zoning to see what the future development plans look like, to support this need.

Next there was discussion surrounding the future use of the HSB and the potential partnership with VCOM. Ms. Cunningham stated that the board has been discussing this matter for over a year now and believes that some decisions should be made so that they can move forward. Mr. Isele discussed the building, its current condition, and the overall cost to maintain the same, which is approximately $45,000 a year. There was in-depth Trustee discussion with regard to a partnership VCOM and the lack of commitment from CCIRH to have residency program which would support the medical school. There was also in-depth discussion surrounding the possibility of the District and CCIRH engaging in a land swap which would incorporate the HSB into the current lease with CCIRH, in exchange for 25 acres of land on 82nd Ave for the District to utilize. Mr. Westcott stated that he would like to obtain a fair market value rental figure for the HSB, to see what the potential income for the District could be and an informed decision for the tax payer. There was further Trustee discussion and each voiced their opinion with regards to incorporating the HSB into the existing lease with CCIRH and other potential use for the property. Some would like a new lease agreement to be drafted, with the potential to charge rent and others were supportive of incorporating it into the existing lease agreement. In an effort to move forward with this matter, Ms. Bodnar made a motion to approach CCIRH about their interest in leasing the HSB parcel and coming back to the District with a proposal for the District Trustees consideration, which was second by Ms. Deigl. The motion carried unanimously.

Update Women’s Sober Living Property

Ms. Deigl provided an update regarding the search for and potential purchase of property to be used as a women’s sober living facility in the county. She and Mr. Isele and Ms. Peshke have been working with realtor T.P. Kennedy to find other potential properties, since it was decided that property located at 1766 20th Avenue was unsuitable for a sober living facility due to zoning restrictions. The District put in an offer for the properties located at 620 and 650 10th Street in Vero Beach owned by the Children’s Home Society and are waiting for a response from the seller. Ms. Peshke stated that she was told that she would hear back from the sellers today and would update the board with any new information.

Public Comment & Adjourn

There was no further business and Ms. Cunningham asked for public comment. There was no further public comment, and the meeting was adjourned at 12:15 p.m.



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