Indian River County Hospital District

Chairman’s Meeting: October 20, 2021

Indian River County Hospital District Conference Room/ Zoom
October 20, 2021
10:00 AM

TRUSTEES: Marybeth Cunningham Barbara Bodnar
Ann Marie McCrystal Karen Deigl
Michael Weiss Kerry Bartlett

ABSENT: Allen Jones

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

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the Chairman’s meeting of the IRCHD Board of Trustees at 10:00 AM by welcoming those participating via Zoom and in person. Mrs. Suriano introduced Dawn Carboni, who has been hired by the District to work in the newly developed position of Internal Audit and Data Analyst. She has a robust background in accounting management and data analysis, and will be a welcomed addition to the District.

Program Liaison Report- Jennifer Frederick

Mrs. Frederick provided her report and stated that all FY 21-22 agency funding agreements have been signed and returned to the District. There are 18 funded agencies and 29 agreements in total. She informed the Trustees that a few agencies went over their total allotted budget for FY 20-21, the first being TCCH who was over by $266.00. This was due to an increase in volumes for medical services, however they were under budget in behavioral health services and the Gifford Health Center, which offset the overage to $20,644. New Horizons also went over budget in outpatient and case management services, but remained under in their total budget. She further discussed that Phoenix Rising had requested additional funding last month to support treatment for three additional clients. At the time, the Trustees were not in favor of approving the request, and had requested additional information because it wasn’t initially clear if the patients had already completed the treatment. Subsequently, Mrs. Frederick had further discussions with Mr. Bernabe, to clarify those questions. It was determined that the patients had finished treatment and were District qualified. There was further Trustee discussion surrounding this and most Trustees felt it was appropriate to reimburse Phoenix Rising for the three patients who had completed treatment. Therefore, Mrs. McCrystal made a motion to approve the additional funding request of $27,000, which was seconded by Ms. Deigl. The motion carried unanimously. The Trustees agreed that for FY 21-22, they want to see clear and concise metrics and outcome reporting from Phoenix Rising on a regular basis.

Strategic Visioning Before Action Review w/ Carter- Jim Starr, Managing Director & Lenora Ritchie, Vice President

Ms. Ritchie addressed the board and thanked the Trustees and stated that Carter is thrilled to have been given this opportunity. She introduced Mr. Jim Starr, who will be one of the lead contacts through this visioning process. Additionally, Mr. Mark Lynch will also be facilitating this process, but had a prior commitment and was not able to join today’s discussion. She reviewed the engagement objectives and stated that over the next three months Carter will design and facilitate a board retreat that will guide the Trustees in creating an aspirational vision and five-year strategic direction. Carter deliverables include a final reporting outlining findings from data analysis and assessment; consensus and agreement from the board retreat about the vision and five-year strategic direction; and recommendations for how IRCHD can approach gaining Trustee approval on the final vision and direction. Mr. Starr addressed the board and provided further review of the scope of work for the next two months. In January, they will round out the process with their reporting phase which includes final reporting and recommendations for next steps. He asked for Trustee input and discussion surrounding their vision and goals through this process, there was robust Trustee discussion on the same. Lastly, he stated that over the next 2-3 weeks, the Trustees will be asked to complete a survey and there will be follow up discussions with individual Trustees if needed.

Other Business-

Ms. Suriano stated that We Care will be presenting a draft of their revised plan at tomorrow’s regular monthly meeting. She asked the Trustees to review the proposal thoroughly, as Mr. Robinson would like feedback from the Trustees on the same. There was group discussion surrounding the same, and some Trustees felt the new proposal was not much different from the current model. Ms. Soule stated that she met with Mr. Robinson and they had discussions on how best to streamline the referral process from TCCH to We Care. She has not seen the proposal that was submitted to the District, but she and Mr. Robinson also discussed holding specialty clinics and the best use of the We Care space at the Gifford Health Center.

Public Comment & Adjourn

Mrs. Cunningham asked for public comment and there was none. The meeting was adjourned at 11:40 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