Indian River County Hospital District

Chairman’s Meeting Minutes: June 20, 2018

Chairman’s Meeting
Indian River County Hospital District
Hospital District Conference Room
June 20, 2018
10:00 AM

TRUSTEES: Marybeth Cunningham Allen Jones
Ann Marie McCrystal Tracey Zudans
Dr. Michael Weiss Karen Deigl

EXCUSED: Barbara Bodnar

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

OTHER ATTENDEES: Monisola Oni, MD Steven Trooboff
Michelle Genz Miranda Hawker
Robert Gilbreath James Burgdorfer
Myra Weiss Lundy Fields

Convene Meeting – Marybeth Cunningham, Chairwoman

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

Whole Family Health- Steven Trooboff, Board Chair- Whole Family Health

Mr. Trooboff, Chairman of the Whole Family Health Board of Directors, provided a historical review of the program. He stated that Whole Family Health Center became a reality in April, 2013 with group of individuals from the Treasure Coast who decided to expand the scope of service at their existing medical facility. The Center would offer primary care services to the community regardless of patient’s socio-economic status and ability to pay. The health center occupies two medical practices, one in Fort Pierce and the other in Vero Beach. Additionally, Whole Family Health is a 501(c)3 non-profit corporation. Currently there are 51 staff members and contracted employees under the guidance and direction of a Board of Directors. Mr. Trooboff stated that Whole Family Health Center relies on partnerships with community leaders, hospitals, physicians, and the patients they serve, to help enable the development of new ideas and resources to ensure total care for people. He further reviewed data concerning the payor mix and patient population information. He further discussed the centers work with HIV patients which has been a critical in a treating those with the disease.
Dr. Oni, Medical Director at Whole Family Health has been with the center for four years. She provided the Trustees an idea of the types of patients they serve and discussed their work in pediatrics which assists in childhood obesity, behavioral health issues and child safety. She further discussed the centers pending initiatives which include a dental program.

Mr. Trooboff explained that the center is currently conducting search for a new CEO and hopes to have someone hired in the next few months. Additionally, they are going to meet with the UP Center to have a representative present at the lactation a few days a week to provide additional assistance.

Mr. Jones asked what the main payor source was to Whole Family. Mr. Trooboff indicated that mainly the population is Medicaid and Medicare. Other patients are placed on a sliding fee scale and in some cases, they receive no reimbursement for the service they provide.

Mrs. McCrystal asked what cooperation they with local organization for specialty care services. Dr. Oni stated that Whole Family has strong referral team who works to get the patients to a specialist. They also utilize indigent care coverage through the hospital. In some cases, patients are referred out of the county.

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

Mrs. Suriano stated that the document distributed is a breakdown of each funded agencies fiscal year 2018-2019 budget request, along with the projected amount of funds they will spend in the current year. At this time, she offered to further discuss the budget with the Trustees if they have specific questions.

Mr. Jones discussed the request for the Gifford Health Center and reviewed the current expenditures which total $6,000. Being that the request is so low, he questioned whether the facility is being used to its full potential. He explained that currently the center is used exclusively for pediatrics, but most patients do not qualify under the District guidelines and are Medicaid eligible. He feels the center should be providing a greater impact than what it is currently, to the area. Mr. Jones stated that Ms. Hawker indicated she has future plans to include a nurse from Healthy Start at the Center, along with some additional programs. He asked the Health Department to prepare a proposal of their plans for the center and present the same to the District for consideration. Mr. Jones also stated that he plans to conduct some research of his own and asked the Trustees if they would support his efforts. The Trustees agreed that this is a matter that needs reviewed and supported Mr. Jones working with the Health Department on the proposal. The Trustees had further discussion concerning the history of the center and the Districts involvement with building the facility.

Dr. Weiss discussed the hospitals funding request and stated he felt it was high considering the pending Cleveland Clinic partnership, which could potentially be implemented half way through the fiscal year. He believes that Cleveland Clinic will be funding most of the indigent care and does not feel the District should fund IRMC’s full request. Many of the other Trustees disagreed with his comments and felt that the District will need fund the hospital at its current level regardless of the pending partnership. Mrs. Peshke indicated that there is also the Indigent Care Agreement in place between the District and the hospital, which they must honor as well. Additionally, the Trustees discussed that they are required to approve a tentative budget in July which cannot be increased. Therefore, if they needed to add additional funding to the budget, they would not be able to, thus unable to support the needs of the community. Ms. Deigl requested that Mrs. Frederick prepare a summary of each funding request for the Trustees to review, prior to next months meeting.

Mr. Jones discussed the increase to the Partners program budget. He explained that the funding requested has increased by $375,520 due to the following reasons. The clinic added an additional physician to help fill the critical community shortage in OB/GYN services. Further, they will add a nurse practitioner at the Gifford Health Center. Lastly, IRMC conducted a review of employee salaries and they were increased to 50% of the state average.

There was further Trustee discussion concerning the tentative budget and it was discovered that a few funding requests were inadvertently left off the document. Mrs. Frederick indicated she and Mrs. Suriano would update the sheet and send out the revised document to the Trustees for review as soon as possible. Further, the Trustees agreed to hold a special meeting to further discuss the budget on July 11 at 2:00 PM. The meeting is open to the public.

Other Business-

Mrs. Zudans requested an update concerning the District office space. Mrs. Suriano stated that the District lease dose not end until December, 2021 and that she prepared a demand letter to building management with the assistance of Ms. Peshke. The letter outlines her concerns with the air quality and water damaged carpet. Ms. Peshke indicated once the letter is sent, the District must give management ample time to remedy the situation and fulfil the request. If they do not respond, the District will proceed with other options to terminate the lease. The Trustees discussed the potential of utilizing office space at the Gifford Health Center or the Human Services building, which is currently home to the VNA.

Public Comment-

Mr. Bob Galbraith, community member, asked if there were any health agencies who provided indigent care that are open on the weekends or after 7:00 PM. He believes extended hours would be beneficial to the community and have a potential to reduce the use of the emergency department for non-emergent visits. Ms. Cunningham stated that the District received feedback on this matter and most funded agencies felt that extending operating hours would not be cost effective or reduce ED usage.

Adjourn- The meeting was adjourned at 11:30 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