Indian River County Hospital District

Regular Monthly Meeting: April 15, 2021

County Commissioner Chambers/ Zoom
April 15, 2021 at 4:00 PM

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

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

Convene Meeting – Marybeth Cunningham, Chair

Ms. Cunningham convened the regular monthly meeting of the IRCHD at 4:00 PM by welcoming those in attendance and via Zoom.

Pastor Sempsrott provided an invocation and Dr. Weiss led the group in the pledge of allegiance.

Consent Agenda- Marybeth Cunningham, Chair

Mrs. Cunningham asked for a motion to approve the chairman’s meeting minutes dated March 17th, regular monthly meeting minutes dated March 18th, and a monthly disbursement of $1,248,722.18. Mrs. McCrystal made the motion to approve, which was seconded by Dr. Weiss. The motion carried unanimously.

District Chairwoman Report- Marybeth Cunningham, Chair

Mrs. Cunningham welcomed Ms. Bartlett as the newest District Trustee. She stated that the board looks forward to working with her over the next few years.

District Counsel Report – Jennifer Peshke, Esq.

Mrs. Peshke provided her district counsel report and stated that she has responded to questions from Trustees as they have arisen pertaining to various matters of the District. She also continues to review the annual deadlines and deliverables due to the District under the Lease with CCIRH. She is actively following the current legislative session for bills related to Special Districts. Lastly, she has worked with Mrs. Suriano as well as Ms. Bartlett to conduct a new Trustee Orientation and has shared with her the recent presentations given to the board regarding Conflict of Interest, and Robert’s Rules of Order.

Financial Statement Review- Allen Jones, Treasurer

Mr. Jones provided his treasurer’s report and stated there is approximately $12.7 million in cash and investments in the District’s accounts at of the end of March. The District expects to receive an additional $900,000 in tax revenues by the end of the fiscal year. Total expenses budgeted for the remainder of the year project to about $6.7 million of which $6.3 million is for approved healthcare programs. The remaining balance is for administrative and other operating expenses. Mr. Jones explained that after the approval of $1.2 million in expense for March, the District will have around $11.6 million in cash and investments. Lastly, he explained that the District investment structure with Water Walker has changed slightly. In the past, District funds went temporarily into a Qualified Public Deposit program and then shifted into a FDIC insurance CD as soon as practicable. This method has become impractical and banks no longer have much demand for deposits. The result is banks have much less desire for CDs of any kind of competitive interest rates. Therefore, about 2/3’s of the District funds are now sitting in Qualified Public Deposit accounts yielding about .25% in interest. Mr. Jones explained that the Qualified Deposit pools are authorized by Section 280 of Florida Statutes. These funds are not FDIC guaranteed but are in deposits deemed safe by the state and appropriate for public funds deposits. Therefore, the District’s interest income will be down this year as expected and predicted. The funds in the Qualified Public Deposit pool are basically the same as if the District deposited sums greater than FDIC limits in a local bank, so the funds are safe.

Executive Director Report- Ann Marie Suriano, Executive Director

Mrs. Suriano stated that the Alma Lee Loy memorial garden at the hospital has been completed and she showed pictures of the garden and memorial plaque that the District purchased in her honor. On April 10th a small ceremony was held at the garden, with a few hospital executives, and Mrs. Cunningham, as well as some family members of Alma Lee. Additionally, Mrs. Suriano discussed pending Senate bill 1624 and House bill 1103, currently being considered during this Florida legislative session. It appears that the those bills relative to Special District accountability have a good chance of being adopted and it will directly affect our District. She will keep the Trustees updated on this matter moving forward.

CCIRH Maternal Fetal Medicine Introduction and Update- Jeff Chapa, M.D.

Dr. Chapa addressed the board via Zoom and provided a brief introduction of his medical credentials and career. Currently Dr. Chapa is working for Cleveland Clinic Ohio and spends one week a month in Florida providing Maternal Fetal Medicine (“MFM”) care in Stuart and Vero Beach for Cleveland Clinic Florida. He explained MFM and provided a PowerPoint outlining the same. He discussed trends within this service line and the objectives they strive to meet through this specialty care. He further discussed the plans for future growth within this service line with plans to expand the NICU to a level three facility, as well as the integration of women and children’s healthcare. Dr. Chapa also discussed the risk factors with patients who receive MFM care, which include obesity and hypertension, along with substance abuse. Dr. Chapa stated that he plans to expand his time in Florida and will be providing additional support with MFM services in this area. He also currently participates in telehealth medicine with patients and is able to review ultrasounds virtually as well. The Trustees thanked Dr. Chapa for his work and look forward to hearing more from him on the future of MFM in the area.

Funded Agencies Semi Annual Report-

Mental Health Collaborative- Brett Hall, Executive Director

Mr. Hall provided the Trustees with an update concerning the Mental Health Collaborative and the McCabe Connections Center. He reviewed the performance metrics and preventative measures that the Collaborative is working on to better serve the clients in the county. He stated that the Collaborative has a therapist meeting every two weeks, which provides local area therapists an opportunity to discuss challenges they are facing within their profession as well as the influx of mental health needs due to COVID-19. Additionally, they discussed the trend of providing telehealth therapy and how to provide the same standard of care, in a virtual setting. The Collaborative also created an unmet needs committee to help work with the United Way and the task of providing CARES Act funding to those community agencies who have applied. Their biggest success has been working with long term care facilities and providing therapy to residents who have been isolated due to COVID-19. They are currently working with five facilities in the county and have provided a therapist to provide therapy services to the residents. He further discussed the additional training sessions they have provided to area therapists in additional mental health areas of service.

Senior Collaborative- Randy Riley, Executive Director

Mr. Riley addressed the board and provided a PowerPoint presentation with an update concerning the Senior Collaborative. He reviewed some successes that the collaborative has experienced over the last 6 months, which included the inception of a telephone assessment and referral system. This system provides individuals with information to local healthcare providers as well as information on assistance to access to the COVID-19 vaccine. He then introduced Ms. Abby Walters who is the Chair of Livable Indian River. She discussed the Health Needs Assessment that was conducted to address the needs of residents 55 and older. With the help of TCCH, they were able to distribute and receive responses to 1,200 surveys. Additionally, Mr. Riley stated that the collaborative has completed an update to its strategic plan and created three new subcommittees to focus on marketing; sustainability; and a connection center task force. He further discussed each initiative that the subcommittees were working on in detail. He also provided a walkthrough of their new website which includes a database that provides users with information on medical providers, community activities, and much more. Lastly, he discussed the Collaborative’s efforts with the Connection Center Task Force. The Connections Center would be a facility for seniors, family members and caregivers to access information and referrals for senior services. The discussions on this matter are in the beginning stages and he estimates that it will be a two year process to bring the project to fruition. Ms. Deigl stated that she has worked closely with Mr. Riley and serves on the Connections Center task force. She thanked him for his efforts and support of the senior community in Indian River County.

Phoenix Rising- Pedro Barnaby, CEO

Mr. Barnaby provided a review of Phoenix Rising for the period of October 1, 2020 through March 31, 2021. He reviewed the number of screenings conducted on prospective clients and stated that they made 103 referrals to other community organizations for clients to receive substance abuse and mental health services. Additionally, 25 clients have completed at least one level of care over the last 6 months. He further reviewed patient satisfaction data and outcome measures for the intensive out patient program and partial hospitalization program. Additionally, he discussed the center’s work with the non-profit organization Team Success. He stated that they also work collaboratively with TCCH and Mental Health Association in getting their clients primary and behavioral health services during and after their treatment at Phoenix Rising. Lastly, he stated that Phoenix Rising has received accreditation from the Joint Commission, which is a success.

New Business- Partners in Women’s Health Budget Deficit Request- Warren Fuller, CFO and Charles Mackett III, MD, Chief of Staff

Dr. Mackett addressed the board and stated that Cleveland Clinic Indian River Hospital is requesting financial funding from the District for the Partners in Women’s health budget deficit in the amount of $300,000. He explained that the Partners program experienced significant patient volume reductions due to COVID-19. Patients were reluctant to seek services due to the pandemic and either delayed services or chose to cancel scheduled appointments or procedures. He notes that patient revenue is projected to be $306,00 below budget for fiscal year 20-21. Mr. Fuller discussed further the request and also spoke to next year’s Partner’s budget. The Trustees questioned whether they felt their request for fiscal year 21-22 was sufficient to support the program. Mr. Fuller indicated that they are not comfortable with the amount of their request for next fiscal year and are hopeful that volumes will increase to offset any shortfalls they may experience. Mrs. Cunningham asked for a motion to approve the request for funding. Mr. Jones made the motion which was seconded by Mrs. McCrystal. 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