Indian River County Hospital District

Regular Monthly Meeting: December 17, 2020





December 17, 2020 at 4:00 PM




TRUSTEES:                           Marybeth Cunningham           Allen Jones

Ann Marie McCrystal             Karen Deigl


VIA ZOOM:                           Michael Weiss                         Tracey Zudans

Barb Bodnar


STAFF:                                  Ann Marie Suriano                 Jennifer Peshke, Esq.

Kate Voss                               Jennifer Frederick


Convene Meeting – Marybeth Cunningham, Chair


Ms. Cunningham convened the regular monthly meeting of the IRCHD at 4:00 PM by welcoming those in attendance. Mrs. Cunningham provided the invocation led the group in the Pledge of Allegiance. Mrs. Cunningham indicated that tonight’s meeting is being televised of Comcast Chanel 27 and Zoom. She asked that public comment from those participating on Zoom, be made in writing in the comment section.


Consent Agenda- Marybeth Cunningham, Chair

Ms. Cunningham asked for a motion to approve the, Chairman’s meeting minutes dated November 18, regular monthly meeting minutes dated November 19, and a monthly disbursement of $1,112,647.09.  Mrs. McCrystal made the motion to approve, which was seconded by Ms. Deigl. The motion carried unanimously. Mrs. Cunningham reminded the public of the importance of receiving your flu vaccine, specifically with the current situation of COVID-19.


District Counsel Report – Jennifer D. Peshke, Esq.

Mrs. Peshke stated that the District accomplished many things this month, that have been working towards completion, such as the right of way transaction with the county. The District also completed the Amended and Restated Lease Agreement with the VNA. Mrs. Peshke is working to renew the Trustee bonds for the upcoming year as well. Next month the District will elect board officers for the year 2021.


Financial Statement Review – Allen Jones, Treasurer

Mr. Jones provided the financial statement review and stated that the District is in sound financial condition. Through November 30th, the District received approximately $5 million in tax revenues, which resulted in total deposits of $8.4 million. This number is inclusive of funds carried over from last fiscal year. In December, the District received an additional $4 million is tax revenues. In total for the current fiscal year, the District has received around 70% of its projected tax revenues. Currently in the District’s Water Walker investment account, there is around $12 million in funds.


Executive Director- Ann Marie Suriano

Ms. Suriano stated she provided the Trustees with a written report but added that the District in December, has now received $7 million dollars in tax revenue for a total of approximately $12 million year to date. She also transferred an additional $2 million into the Water Walker investment account.


Cleveland Clinic Indian River Hospital Semi Annual Update- Gregory Rosencrance, M.D., President CCIRH

Dr. Rosencrance addressed the board and thanked them, along with the community for their support over the past year. He introduced the CCIRH executive team who accompanied him at today’s meeting. Dr. Rosencrance provided an update and discussed many topics including the scope of services offered at CCIRH; annual quality goals and benchmark achievement rates; indigent care data; capital spending; and COVID-19 response efforts. There was further discussion surrounding the roll out of the COVID-19 vaccine. Dr. Rosencrance explained that the hospital is prepared to receive the vaccine and has adequate storage facilities for the same. The initial recipients are to be healthcare workers and high-risk individuals. He believes within the next few months; the vaccine will be available to the general public. He asked for patience from the community during the initial roll out process. CCIRH plans to provide updates to the community as much as possible on the same. A complete recording of his presentation is available to the public through the District offices, and on its website.


Funded Agencies Quarterly Report 

Healthy Start Coalition- Andrea Berry, Executive Director

Mrs. Berry provided a brief history of the Healthy Start program and the services offered in Indian River county. Her report covered data concerning infant births and deaths over the last three years, along with fetal deaths which occur later in pregnancy at 20 weeks of gestation or more. She further reviewed data from the Florida Health Chart Indicators for Indian River county against the averages for the State of Florida. She also reviewed the Healthy Start care coordination executive summary report for the period of October, 2019-September, 2020. There was also discussion surrounding Healthy Start and their COVID-19 response. Lastly, she provided an update concerning the Nurse Family Partnership and Nurse Family Visitation programs, for which the District provides funding. Mrs. Berry indicated that the fetal and infant mortality review final report will be available in the upcoming months and she will share the results with the Trustees.


Whole Family Health Center- Marie Andress, CEO

Ms. Andress provided the Trustees with an update of Whole Family Health center for the months April, 2020 through September, 2020. She reviewed data concerning District qualified patient visits and utilized funding for behavioral and medical health services. She further reviewed the program quality measures and outcomes for the fiscal year and explained that the clinical outcomes have been adversely affected by COVID-19. Whole Family converted in-clinic visits to primarily telehealth and provided mostly preventative care services. She explained that in recognizing the limitations of telehealth visits, the center obtained additional funding to supply the highest risk patients with medical supplies and other home health equipment. The center also provided dive up rapid COVID-19 testing; COVID clinical research trials; free local pharmacy deliveries; and chronic care management. Lastly, she discussed the centers future and stated that their board is preparing its next three-year strategic plan. They also continue to recruit additional medical and behavioral health provider for their Vero Beach and Fort Pierce centers. Most recently they renovated both clinical sites to accommodate additional access to care.

Public Comment- There was no public comment.

Adjourn- 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