Indian River County Hospital District

Chairman’s Meeting Minutes: August 15, 2018

Indian River County Hospital District
August 15, 2018

TRUSTEES: Marybeth Cunningham Tracey Zudans
Ann Marie McCrystal Dr. Michael Weiss
Allen Jones (via telephone)

EXCUSED: Barbara Bodnar

STAFF: Ann Marie Suriano Jennifer Frederick
Kate Voss

OTHER ATTENDEES: Miranda Hawker Joelle Tinney
Dan Bach Pat Knipper
Gerri Smith Lundy Fields
Kathie Pierce Rudy Johnson
Tommy Johnson Beverly Smith
Ann Lanier Anthony Brown
Julianne Price Janet Begley
Kathy Orton Vicki Soule
Freddy Wolfork 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.

VNA Community Health Care Initiative Review- Lundy Fields, CEO

Mr. Fields provided an updated and detailed review of the VNA’s 2018-2019 Health Care on Wheels funding request. He explained that their strategy is to launch a community wide health education and patient care campaign localized by area codes in the county. They would create a community health team and have this initiative be a collaborative effort with different community health organizations. He further explained that the Community Health Team would be comprised of one manager and eight community nurses. Their key responsibilities would be to collaborate with community leaders; coordinate clinic locations and mobile unit schedules; set up clinics; and connect people with community partners. Additionally, he stated that the mobile unit would be strategically placed in areas of the community to provide care and develop patient relationships, with the mission of assisting patients in obtaining a primary care provider. Mr. Fields further explained that they would begin this initiative in the Gifford and the Wabasso areas. He discussed the village concept in greater detail, along with their plan to identify a “Village Champion” who would be a contact for direct health needs in that community. Mr. Fields also reviewed their method for outcome data collection and reporting. He stated that all initiatives would be measured through metrics and patient surveys. There was further board discussion concerning the request and the trustees asked Mr. Fields to prepare a consolidated request which addressed key items from today’s discussion for further consideration.

Proposed Gifford Health Center Structure- Allen Jones, Treasurer

Mr. Jones provided a historical review of the creation of the Gifford Health Center. He explained that the center was opened in 2003 and was designed to be a full-service health center for the community of Gifford. Since its inception, it has been operated by the health department and is comprised of approximately 10,000 square feet. The funding for the center was comprised of $2.6 million in tax payer funds, along with $400,000 from philanthropy. The project total cost was approximately $3 million. He explained that over the last ten years the medical services offered has declined, ultimately transitioning the center to just pediatrics in 2014. A review of the health department’s funding request of approximately $4,000 for the center, reflected the fact that patients being served at the center were unable to meet the Districts guidelines for eligibility and that the center was not being utilized as it was originally intended.

Therefore, Mr. Jones took the opportunity to meet Gifford Health Council and members of the Gifford Community to discuss this matter and develop a list of primary services they believe are best for the center, while honoring the tax payer’s investment. The top priority service areas would be primary care for adults; pediatric care; extending hours of operation; and mental health counseling. He further stated that he has also worked with Ms. Hawker and the two prepared a proposal for the future of the center, but the document is still a work in progress. Mr. Jones explained that this proposal is similar to the funding structure set up between the Partners Program and the District. He reviewed the outline of the proposal with the Trustees and stated that the Gifford Health Council expressed their desire to have the Health Department remain the operator of the center due to their established relationship with the community. There was further Trustee discussion concerning this matter and the Board agreed with Mr. Jones recommendation to transition the Gifford Health Center back to a full function clinic for all.

Mrs. Zudans recommended that the board create an RFP concerning this matter and solicit additional bids from other health agencies. Ms. Deigl agreed and believes the District may be required to offer up an RFP, due to the cost associated with this initiative. Mrs. Peshke indicated that she would review the District’s Special Act concerning any obligation to offer up an RFP. Ms. Deigl made a motion to prepare an RFP relevant to the operations of the Gifford Health Center, which was seconded by Mrs. Zudans. The motion carried 4 to 3. The board also agreed to keep $500,000 in reserves for this matter, in the budget for upcoming fiscal year 2018-2019.

FY 2018-2019 Budget Questions/Discussion- Ann Marie Suriano, Executive Director

Before discussion concerning the budget began, Mrs. Zudans stated that she is recommending that the board go out for RFP on all contracted services. Many Trustees agreed with her recommendation and stated that they could implement that process for the following fiscal year. The Trustees had a brief discussion concerning the budget for fiscal year 2018-2019. The board agreed to hold a separate meeting to discuss any items of concern in greater detail, which will take place on August 29 at 10:00 AM.

Vero Electric Sale for Presentation at PSC- Tracey Zudans, Trustee

Mrs. Zudans read the proposed resolution 2018-02 concerning the Vero Beach Electric sale to Florida Power and Light. She is requesting that the board approve this resolution in support of the sale. She further explained that other local government agencies have also approved similar resolutions. As to why the District should support the sale, Mrs. Zudans stated that most of the District funded agencies currently receive electric service through the city of Vero Beach. Approving the sale to FPL could potentially provide 28% saving in electric costs to those agencies. She further explained that she plans to attend a hearing at the Florida Public Service Commission in Tallahassee in October and would like to present this resolution. There was further Trustee discussion and a few Trustees offered up changes to the document. Mrs. Peshke stated that she would incorporate the changes and the item would be placed on tomorrow night’s agenda for a vote. Mrs. Soule, CEO of TCCH, encouraged the Trustees to support this resolution as the sale would help support lower electric costs for the center.

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