Indian River County Hospital District

Regular Monthly Meeting- November 17, 2022

County Commissioner Chambers/ Zoom
November 17, 2022 @ 4:00 PM

TRUSTEES: Allen Jones Barb Bodnar
Ann Marie McCrystal Marybeth Cunningham
Karen Deigl Kerry Bartlett

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

ZOOM: Pat Knipper Anne Posey

ATTENDEES: Tracey Griffis Andrea Berry
Genevieve Mallen Bridgett Jerger
Tara Beard Matt Reiser
Michael Kint William Cooney
Phil Cromer Cheryl Martinez
Michael Davis Mike Cianci

Convene Meeting & Approval of Consent Agenda– Marybeth Cunningham, Chair

Ms. Cunningham convened the regular monthly meeting of the IRCHD at 4:00 PM. Pastor Derrick West, Genesis Church provided the invocation and Ms. Bartlett led the group in the Pledge of Allegiance. Ms. Cunningham asked for a motion to approve the consent agenda which was made by Mrs. McCrystal and seconded by Ms. Deigl. The motion carried unanimously.

Chairmans Report- Marybeth Cunningham, Chair

Ms. Cunningham announced that Dr. Greg Rosencrance has submitted his resignation effective December 31, 2022. He has accepted a position as President and CEO at Thomas Health, in Charleston, West Virginia, to be closer to his children, grandchildren, and immediate family. Since 2019, Dr. Rosencrance has provided outstanding leadership throughout this transition and he will be missed.

District Counsel Report- Jennifer Peshke, Esq.

Ms. Peshke provided her report and stated that she spent the past month preparing for the District annual compensation committee meeting review of the District staff. Additionally, the District received the VNA’s Notice to Vacate the Human Services Building which they currently lease from the District and she has met with their counsel to discuss next steps. This matter will be discussed further at the December monthly chairman’s meeting. Lastly, the county has requested a temporary construction easement for the 11th Drive project and this matter will be discussed later this evening under new business.

Financial Statement Review- Allen Jones, Treasurer

Mr. Jones provided his Treasurer’s report and stated that the District remains in strong financial condition. As of the 31st of October, the District has $7,337,102 in its bank accounts and another $2,430,233 in Treasury Direct bills scheduled to mature in May and August, 2023. In addition, tax revenues will begin being deposited in the accounts imminently. In 2023, the District budgeted $13.3 million in total operating expenses and since then, Trustees approved an additional $800,000 for GlobeChek. Therefore, spending is projected and budgeted to be approximately $14.1 million and tax revenues are projected to be $11.2 million. This means the District is estimating to reduce reserves in 2023 somewhat further in the next fiscal year. The District began this fiscal year with about $10.2 million in cash and investments, and Mr. Jones projects that the District will complete the fiscal year with about $7.3 million in cash and investments. Overall, the District will begin the new fiscal year in solid financial shape and with the lowest tax millage rate ever of .5115, down 48% since 2016 while, continuing to support more healthcare services for the community.

Mr. Jones further stated that someone recently told him that the Hospital District allows Indian River County the ability to solve local healthcare problems locally, and he believes this is a true and accurate assessment. Therefore, he would like to correct something he said at the IRC Taxpayer’s Association meeting in October. During the candidate forum he was asked if he would support future legislature reducing the maximum millage rate for the District from the current maximum of 5 mills to 1 mill. At the time he felt the question to be irrelevant, recognizing the millage rate has never exceeded 1 mill over many decades and is currently about 1/2 that rate. He answered that he probably wouldn’t object, but since then he has given the question more thought and would like to correct his response. He explained that while 5 mills is highly unlikely to ever be necessary to fund the District, there are potential disasters where having that flexibility might allow the District to solve a local healthcare crisis locally. For example, if the District had not brought in Cleveland Clinic in 2019, and still had Indian River Medical Center (“IRMC”) when the Covid pandemic hit in 2020, there would have most certainly been a financial crisis at IRMC, with the need for the District to financially support the hospital. Having the extra millage flexibility would have been a life saver – literally. In addition, there may come a need to issue municipal bonds to solve a healthcare need in the county. Therefore, he believes having more taxing authority would result in superior financing options, to help assist the continuum of care throughout Indian River County.

Mrs. Cunningham thanked Mr. Jones and stated that this his last in-person meeting with the District. She recognized all the work he has done as Treasurer on the District Board and stated that without his leadership, the District would not be in the strong financial position that it is in.

Executive Director Report- Ann Marie Suriano, Executive Director

Ms. Suriano stated that while it is not reflected on the current financial statement for October, the District has received almost 2 million in tax revenues in November. Additionally, she has been asked to participate on behalf of the District on the Children Services Advisory Council. Their first organizational meeting with take place this evening at 5:30 and she will be providing updates to the Trustees as appropriate. Next, she stated that she has chosen and extended an offer for the District Financial Assistance Specialist position, which was accepted. The new employee has valuable experience in this area and will begin work on December 12.

Funded Agencies Semi Annual Reports-

Childcare Resources -Tracey Griffis, Director of Wellness & Early Intervention

Ms. Griffis addressed the board and thanked the Trustees for their support. She stated that the wellness program is about to celebrate its six-year anniversary and their partnership with the Homeless Children’s Foundation, has been a huge success. The District supported case manager position has added additional support and has allowed for some parent programing to take place, based on conscious discipline. Tara Beard Director of the Childcare Resources School addressed the board and discussed their work at the school and stated that the teachers are now going through the process of being endorsed by the Florida Infant Mental Health Association, given the increase in mental health issues in children. Next Ms. Griffis stated that through discussions with their executive team concerning emerging issues, they have identified the need to have a child life specialist present every day in the classroom. She discussed how this specialist helps support the children in the classroom with self-regulation and behavioral issues. They also work with the parents and provide support to them as well. The current child life specialist in place has decided to take a position working at the hospital and with this transition, it was discussed that there is a need for Childcare Resources to have their own mental health therapist on staff. Therefore, Ms. Griffis requested that some of the FY 22-23 funding be relocated to support the hiring of a full-time therapist. There was Trustee discussion concerning this matter, and if the current funding would fully support the transition of these funds. The Trustees asked that Ms. Griffis address the board next month with a full outline of cost associated with this request, for their consideration.

Dynamic Life- Mike Cianci, Executive Director

Mr. Cianci thanked the Trustees for their support and stated that it has been a successful year, specifically with the purchase of Dynamic Life by the First Methodist Church in Vero Beach. He explained that while Dynamic Life Recovery remains a stand-alone operation, the resources of First Methodist Church expand their community outreach. This transition has also allowed for further professional development with their budget and board of directors. He then discussed their various partnerships throughout the community and data concerning the Pastor Roger Ball Memorial Scholarship Program. 31 men have completed the program since Oct. 2021, and many of those also completed the STEP program at UP and have found gainful employment within the county. There was further review of data concerning number of residents employment status, average length of stay, and discharge rates. There was also discussion surrounding the relapse rate which has decreased by 50% since 2021. He then discussed their hope for a detox facility for Indian River County, which would provide a much-needed service. Additionally, they are hoping to open up a Women Facility based on the same model as Dynamic.

IR Healthy Start Coalition- Andrea Berry, Executive Director

Ms. Berry addressed the board and recognized Mr. Jones and Mrs. McCrystal’s achievements and dedication to their work on the District board for the community. She stated that she will miss working with them both. She then introduced her team who included Autumn Schneider, Director of Internal Operations; Taylor Farnsworth, Director of External Engagement; Genevieve Mallon, Babies and Beyond Coordinator; Bridgett Jerger, Doula Coordinator, Cheryl Martinez, Nurse Family Partnership Coordinator; and Stacey Washburn, Program Manager. She began her report by discussing some organizational changes due to Healthy Start absorbing operations of the Healthy Families Program. Next, Ms. Washburn addressed the group and provided an update concerning the Fatherhood initiative, which was started after new state legislation was passed requiring the same. Healthy Start began their program a year prior to the legislation deadline and have seen positive results from their efforts to engage fathers in their children’s development. Next there was discussion concerning the PEPW expansion. Ms. Martinez explained that this processed has now been streamlined and is able to be offered at CCIRH. Ms. Berry then discussed the FIMR expansion which has been supported by the District over the last three years. She explained that Indian River County has been chosen by the State to be in charge of St. Lucie, Martin, and Okeechobee counties FIMR and providing them with the education and tools needed for a successful program. Next, Ms. Jerger provided an update concerning the Doula program and racial disparities. She stated that Healthy Start continues to nurture its relationship with Partners to make sure that those mothers concerns are being heard. She then discussed some data concerning higher cesarian rates, that have emerged and their efforts to combat those. She explained that even with doula support, there can be instances where mothers need to advocate for themselves and their birthing process. Mrs. Cunningham questioned how a recent award that was given to CCIRH for their reduction in cesarean rates, ties into this reported increase. Ms. Berry explained that the system has improved tremendously since the CCIRH transition, and they continue to try and move the needle. There have been some struggles with women who have had a cesarean section prior and now wanting to have a vaginal birth, but not being given that option at CCIRH. Lastly, Ms. Mallon provided a review of data concerning the out of county birth rates which have risen. This increase has resulting in an extra challenge of staying connected with the mothers and babies, because they are not delivering at CCIRH. Therefore, they are working on strengthening their support with Babies and Beyond for those mothers who are delivering out of county. Ms. Berry explained that this increase in out of county births was due to the fact that the only other county OBGYN physician delivers at Lawnwood. This creates a slight barrier as aftercare services are being set up in St. Lucie County and then being transfered to Indian River. Mr. Jones asked if this out of county birthing issues could be solved by further cooperation by CCIRH. Ms. Berry indicated that she is not fully aware of the dynamics of the situation but she is hopeful that through collaborative work, there can be some further resolution.

New Business- Drainage and Temporary Construction Easements for 11th Drive Project- Jennifer Peshke, Esq.

Ms. Peshke stated that the District has received a request to enter into a drainage and temporary construction easement for the 11th Drive project. The County needs this easement to complete the project and it is a routine matter. Mr. DeBraal Indian River County attorney addressed the board and stated that easement is for pipes that run over the road, so the water can properly drain. Included within the easement is language outlining the counties assurance to maintain the pipes in perpetuity. Mrs. McCrystal made a motion to approve the easement which was seconded by Ms. Deigl. The motion carried unanimously.

Public Comment/Adjourn

There was no public comment and the meeting was adjourned at 5:30 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