Indian River County Hospital District

Chairman’s Meeting Minutes: October 16, 2019

Indian River County Hospital District
October 16, 2019
10:00 AM

TRUSTEES: Michael Weiss Tracey Zudans
Ann Marie McCrystal Karen Deigl
Marybeth Cunningham Allen Jones
Barbara Bodnar

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

OTHER ATTENDEES: Marie Andress Michelle Genz
Vicki Soule James Large
Lundy Fields Myra Weiss

Convene Meeting – Marybeth Cunningham, Chairwoman

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

Gifford Health Center Advisory Committee Update- Tracey Zudans

Ms. Zudans provided an update concerning the Gifford Health Center Advisory Committee. She stated that the committee met on October 3 and Dr. Nancy Baker has been chosen as the community physician, for the committee. Further, an emergency phone tree was created by Healthy Start, which outlines emergency protocol and provides contact information of those in charge at the Gifford Health Center. She further discussed information relative to Healthy Start, TCCH, and We Care, which all operate out of the center. Overall, TCCH patient volumes have increased and they are having success with community outreach efforts. Additionally, she informed the Trustees that a Resource Fair with over 30 healthcare related vendors will take place at the Gifford Youth Achievement Center, and she invited the Trustees to attend. She stated that the Trustees may also schedule a tour of the Gifford Health Center, to meet the new staff and see the clinic.

Legislative Update – Tracey Zudans

Ms. Zudans informed the Trustees that she met with Florida House Representative Erin Grall, to discuss matters concerning the upcoming Legislative session. Some items relative to the District include mental health initiatives and parental rights in regards to delivery of health services in a school setting. Additionally, Senate Bill 64, which would jeopardize the current religious exemptions for vaccinations in children, is a topic that has been heavily debated prior to this legislative session and will remain so. Ms. Zudans stated that she will continue to remain updated on any legislative matters and will report on any matters relative to healthcare or important to the District. Ms. Grall indicated to Ms. Zudans, that she would be happy to meet individually with any Trustees who may have any specific concerns for this upcoming session.

Reserve Investment Strategy – Marybeth Cunningham

Mrs. Cunningham stated that as the District moves away from funding Cleveland Clinic over the next few years, there will be more excess public funds for the stewardship of the Trustees to manage. It is important to note that it is not anticipated that the District will have permanent excess funds but may have more funds than necessary to meet its obligations in any given fiscal year. There was further Trustee discussion and Ms. Peshke indicated that she had included a memo within the Chairman’s meeting packet outlining the legal requirements and parameters, which govern the District for this matter. Mr. Jones stated that he prepared an investment policy for the Trustees to review and consider. Mrs. Peshke indicated that while a policy is typically used in making investments, it is not a requirement of the District and a formal resolution on the matter would suffice. The Trustees agreed to allow Ms. Suriano and Mr. Jones to meet with a few competitive vendors and report back to the board with their findings in the coming months.

District Property Ownership Discussion- Tracey Zudans

Ms. Zudans stated that she requested to have the District owned property as a discussion item included on this month’s Chairman’s agenda. She would like to see the District sell or transfer ownership of some land and asked Ms. Suriano to create a list of the District owned property for the Trustees to review and discuss. There was further Trustee discussion concerning this matter and it was decided that there would need to be discussion with representatives at Cleveland Clinic, due to the lease agreement terms regarding the property. There will be more discussion on this matter in the next months.

District Annual Report and Learning Agenda- Ann Marie Suriano

Ms. Suriano stated the District staff has prepared a draft annual report for the Trustees review and input. This report will be distributed to other county organizations and District funded agencies. The report outlines who and what the District is, along with achievements and outcomes from fiscal year 2018-2019. There was Trustee discussion concerning the same and they offered some additional changes to the report, which Ms. Voss will implement.

Additionally, Ms. Suriano review the proposed learning agenda which outlines some education opportunities for the Trustees over the next fiscal year. The most recent opportunity will be a presentation on population health given by Dr. Edelman of Cleveland Clinic Florida, which will take place at the end of November.

Further, Ms. Cunningham indicated that she and Ms. Suriano met with representatives from the Indian River County School Board to discuss mental health mandates imposed by the State, along with future funding opportunities. They also discussed holding a joint meeting with other county leaders to look at who is funding what programs in the county and ways to collaborate and reduce duplicate spending. She will keep the Trustees informed on this ongoing matter.

Program Liaison Update- Jennifer Frederick

Ms. Frederick provider her program liaison report and stated that all but two agencies have returned their funding agreements with the District for fiscal year 2019-2020. She reviewed data concerning the District patient portal and estimates there are 16 new application uploaded per day. District staff will continue to approve the new applications, as well as review and approve any renewal applications uploaded. Lastly, she indicated that she and Ms. Jacko visited The Source and spoke with clients there about the District’s financial assistance program and getting them qualified to receive services.

Other Business-

Ms. Deigl stated that the Cleveland Clinic integrity committee, which she was appointed to sit on as a District Trustee, will meet on November 16th. She will provide an update on the same to the Trustees at the next Chairman’s meeting.

Public Comment & Adjourn

There was no public comment, and the meeting was adjourned at 12:00 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