Indian River County Hospital District

FY 24-25 Budget Request Presentation Meeting: May 2nd, 2024

Indian River County Hospital District Conference Room/ Zoom
May 2, 2024
1:00 PM

TRUSTEES: Barbara Bodnar William Cooney
Karen Deigl Michael Kint
ABSENT: Paul Westcott Kerry Bartlett
Marybeth Cunningham

STAFF: Jennifer Frederick Kate Voss
Frank Isele Dawn Carboni
Jennifer Peshke, Esq. Kaytlin Dickens

ZOOM: Vicki Soule Kim Jeansonne

ATTENDEES: Heather Dales Cynthia Ryan Chuck Bradley Jeremey Gates Chris Drake Stu Keiller

Convene Meeting

Dr. Cooney convened the budget request presentation meeting of the IRCHD Board of Trustees at 1:00 PM by welcoming those participating via Zoom and in person. Dr. Cooney asked that each presenter keep their presentation under 15 minutes and that Trustees hold their questions, until the end of the presentation.

FY 24-25 Budget Request Presentations

The Arc of IRC – Heather Dales, Chief Executive Officer

Ms. Dales addressed the board and stated that ARC is a 501 (c)(3) non-profit organization that provides advocacy, medical transportation, day programs, and housing to individuals with special needs. There are six group homes for clients who need 24-hour care and those homes house 4-6 individuals. The funding requested submitted to the District of $165,718.00 would support client medical management which would assist in paying for two FT employees with benefits to assist in managing and coordinating 80% of the health appointments for clients. She further explained that ARC provides a significant amount of medical case management care beyond two appointments per year. Many clients have complicated medical, physical, and aging issues that require a significant number of various health care appointments to maintain their quality of life and are averaging three or more health care appointments per week. The agency currently is meeting the health appointments through overtime and long hours, which is creating difficulties for the organization. There was further discussion surrounding the reimbursement rates they received from the DOT, which are significantly lower. There was Trustee discussion and they questioned how outcome measure could be tracked and justified. They also recognized the important role Arc plays for this population.

Youth Sailing Foundation of IRC, Inc. – Chris Drake, Executive Director

Mr. Drake addressed the board and explained that he assumed the role of Executive Director approximately 8 months ago. He then introduced former Executive Director Stu Keiller, who accompanied him for today’s presentation. Mr. Drake discussed the funding request of $45,000, which was to support their adaptive sailing program. He explained that the adaptive sailing program provides the opportunity for sailing on the Indian River Lagoon for people with special needs. These special needs span from physical disabilities to mental disabilities, and the program serves individuals from early teens to late sixties. Currently the program is at its capacity of serving 25 individuals, but they are hoping to expand to 30, if they are awarded the District support. There was a review of the programs budget and Mr. Drake discussed how clients are referred to the program. Currently, the organization is 90% supported by private donations and no child is turned away from their services for lack of financial means. There was Trustees discussion, and many expressed their concern regarding the lack of developed outcome measures. Mr. Drake indicated that he is willing to develop those metrics and will work with other reputable sailing programs in the country, who have this data available and are tracking the same.

Camp Haven – Chuck Bradley, Executive Director

Mr. Bradley provided a brief overview of Camp Haven and the services they provide to men within Indian River County. He then discussed the new funding request of $52,000 which is to support their case management and psychological counseling programs. He further explained that the funding request is 15.21% of the total budget and the $52,000 request is to replace the Treasure Coast Homeless Services Council (“TCHSC”) grant, which redistributed to its rapid housing program. There was Trustee discussion surrounding the requests and the funding lost from TCHSC. They also heard from Shotsi Lajoie, the therapist who provides counseling and she discussed the positive impact these services have on the residents. It was also discussed that having mental health counseling available on site improves the client’s participation and supports better outcomes.

Veteran’s Council of IRC – Cynthia Ryan, Executive Director

Ms. Ryan provided an overview of the funding request of $120,000, which was to support the hiring of two case workers to provide case management services to veterans. She explained that veterans in crisis face a multitude of challenges accessing resources, such as navigating the VA and local programs. Many also suffer with mental health issues or physical disabilities, which complicates the situation further. These case managers would work directly with veterans to develop individualized case plans that outline specific goals and steps for achieving self-sufficiency in all aspects of their life. There was Trustee discussion and they expressed the need for the organization to be able to track and monitor data and outcome measures. There was also discussion surrounding the other organizations the Veterans Council is working with collaboratively, to better assist their clients.

Other Business-

Ms. Peshke informed the board that after she and Mr. Isele had the individual Trustee discussion with the board regarding the CHS properties an offer to purchase the properties was submitted. The owners of the CHS properties have until Friday to respond or provide a counteroffer. There will be further updates provided at this month’s Chairman’s meeting.

Ms. Carboni stated that she has provided the Trustees with some of her preaudit reports on the new agencies who have requested funding for the FY 24-25 budget cycle. She explained that her recommendations are based on the data and materials she has received from the agency. If a recommendation not to fund is made in her report, it is based on the fact that the organization did not provide the required documentation requested and is not in compliance with the District’s funding guidelines which are in place.

Public Comment & Adjourn

Dr. Cooney asked for public comment and there was none. The meeting was adjourned at 3:15 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