Indian River County Hospital District

Chairman’s Meeting: November 14, 2018

Indian River County Hospital District
November 14, 2018
10:00 AM

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

EXCUSED: Dr. Michael Weiss

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

OTHER ATTENDEES: Miranda Hawker Tony Brown
Vicki Soule Lundy Fields
Michael Felix Julianne Price
Pedro Barnabe Kelly Gee
Angela Dickens

Convene Meeting – Marybeth Cunningham, Chairwoman

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

Teledoc Web Presentation- Allan Costner, Area VP Hospitals & Health Systems

Mr. Costner provided an informational review of Teladoc Health. He explained that Teladoc is the largest provider of telemedicine with 23 million members. He reviewed the hospital and health systems solution operation structure and explained that three benefits from using Teladoc include growth, access, and financial gain for the entity. Additionally, many large companies utilize Teladoc for their employees as a healthcare benefit. A further benefit in using Teladoc is that it expands access to primary and specialty care. It also helps them acquire and retain patients. Teladoc has also assisted to insure care of the at-risk population of the medically indigent. He further reviewed the configurability and security of the program, which includes 24/7 support and 400 employees. Mr. Costner finished his presentation by reviewing the cost of the service. He stated that a platform license would cost $137,500 annually and there is also a one-time set-up fee of $37,500. Mr. Costner provided the Trustees with a demo of a Teladoc medical visit so they could have a better idea of the patient’s experience. There was further Trustee discussion concerning the same and they agreed this was a matter they would like to research and understand further.

Phoenix Rising Wellness Center Introduction- Pedro Bernabe, CEO

Mr. Barnaby, CEO and Ms. Gee, clinical coordinator, provided an informational review of Phoenix Rising Wellness Center, LCC which opened in Vero Beach five months ago. Ms. Gee reviewed the treatment structure of the program which includes cognitive behavioral therapy, motivational interviewing, contingency management. Additionally, they have a strong focus on aftercare planning which they believe is a key component to the success of their treatment. Mr. Barnaby explained that the center is already working collaboratively with other agencies in the community such as TCCH; The McCabe Connections Center; and the UP Center, to assist clients with other medical and support services. Further, they are currently working with their legal counsel on an application to transition into a 501(c)3. There was further Trustee discussion and the board agreed that Indian River County is lacking with regard to in-patient substance abuse treatment. Lastly, the board encouraged Mr. Barnaby and Ms. Gee to continue to collaborate with the other agencies in the county, as well obtaining their 501(c)3 status as a not-for-profit. It was further discussed that the center could request funding during the budget cycle next spring in 2019.

Strategic Planning Review- Michael Felix, MSHA

Mr. Felix stated that he has taken some time to review the Special Act which governs the District. He explained that there have been previous conversation concerning the Districts structure and its authority to fund healthcare. He believes that the Special Act provides broad authority to fund and support multiple types of health and medical services within the county. He feels that some main areas to focus on would be the ALICE population, along with senior citizens in the community. Additionally, he understands that the board of Trustees has had serval discussion concerning increasing the Districts poverty guideline to 250% or 300%. Further, there is an option to fund agencies with a grant structure that is evaluated and monitored, instead of fee-for-service structure which is currently being used. There was Trustee discussion concerning the same and the future of the District’s funding structure. Additionally, there was discussion concerning community leaders that Mrs. Suriano and Mr. Felix have met and discussed the future planning efforts of the District.

There was further board discussion concerning the Gifford Community and the leaders within the same. The board agreed that it was important to meet and talk with other leaders outside of those associated with just the health department. Many other Gifford community leaders work with other health agencies in the community and they agreed that it would be beneficial to obtain feedback from them as well. Ms. Deigl stated that the Senior Resource center supports a lunch program in the Gifford Community. She suggested a Trustee visit the group to listen to their concerns and recommendations.

Lastly, Mr. Felix stated that District staff is working to schedule additional community conversations with other organizations within Indian River County. Next month, there will be further opportunity to attend those, once the details are confirmed.

Discussion/Approval of Slate of CC Board & Committee Appointment- Marybeth Cunningham, Chair

As a historical review, Mrs. Peshke stated that within the Member Substitution Agreement with Cleveland Clinic, the District is authorized to appoint one Trustee and one public member to serve on the Cleveland Clinic Commitment Integrity Committee. Additionally, the Board is authorized to submit three names of residents of Indian River County to be added to the slate for the Cleveland Clinic Indian River Board of Directors. Once all names on the slate have been submitted, Cleveland Clinic Foundation will select one. Further, the Chairman of the District board will also serve on the board of directors as well. Mrs. Peshke stated that the Trustees will need to approve this process and asked for a motion stating the same. Mrs. Cunningham made the motion which was seconded by Mrs. McCrystal. The motion carried unanimously.

To begin, Mrs. Peshke asked for the Trustees to nominate three individuals to be included on the slate being submitted to Cleveland Clinic for the Board of Directors. By popular vote, Matthew Reiser; Val Zudans; and J. Dale Sorenson were nominated. Additionally, after further trustee discussion and vote, the Trustees nominated Karen Deigl to serve as the Trustees representative on the Commitment Integrity Committee, along with John Moore as the appointed community member.

Other Business-

Mrs. Peshke provided the Trustees with a draft of Resolution 2018-06 which discussed the Return of Granted Funds to the Indian River Medical Center Foundation. She asked the Trustees to review the document prior to the regular monthly meeting this evening, where the same will be up for discussion and approval by the board.

Additionally, Mrs. Cunningham stated that Cleveland Clinic representatives have had conversations to discuss the language in the Cleveland Clinic Indigent Care Policy relative to undocumented residents in the county, who are seeking services. Currently the policy reads that residents must be legal U.S citizens. There was further Trustee discussion where it was pointed out that even though the policy states a person must be a legal U.S. citizen, the hospital is required by EMTLA regulations to provide emergency care services to any person who presents at the emergency room, regardless of their ability to pay. Mrs. Cunningham stated she will provide more information on this matter when it becomes available.

Public Comment- There was no public comment.



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