Indian River County Hospital District

Regular Monthly Meeting: December 8, 2022

County Commissioner Chambers/ Zoom
December 8, 2022 @ 4:00 PM

TRUSTEES: Allen Jones (via Zoom) 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: Anne Posey

ATTENDEES: William Cooney Carol Kanarek
Vicki Soule Marie Andress
Michael Kint Matt Reiser

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

Ms. Cunningham convened the regular monthly meeting of the IRCHD at 4:00 PM. Pastor Joe Moore, River of Living Waters Rhema Word Ministries 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 stated that in October the board was informed of Dr. Rosencrance resignation from CCIRH effective December 31st. She explained that it was just announced that Dr. Peter has been named interim President of CCIRH, while they search for a permanent replacement. Additionally, they also received notice from the Mental Health Collaborative that Brett Hall is resigning as Executive Director. It was discussed that he has accepted a position as clinical director with a newly formed substance abuse treatment facility in Indian River County. Mr. Hall will continue to serve the community and they wish him the best on his future endeavors. Lastly, Ms. Cunningham explained that she and Ms. Suriano will be joining a few other members from the Mental Health Collaborative to conduct a site visit of a women’s sober living facility in South Florida. The group is hopeful that this visit will provide insight to its operations and provide reference for a future facility in Indian River County.

District Counsel Report- Jennifer Peshke, Esq.

Ms. Peshke provided her report and stated that she has been working to obtain bonds for the newly elected Trustees and will forward copies of the issued bonds to the District offices. She is also working to cancel the existing bonds for the outgoing Trustees. Additionally, she has been working with District staff to prepare for the incoming Trustee orientation where she will review all District matters with the newly elected Trustees and answer any questions they may have before they take office on January 1, 2023. Further, the District received the Notice of Intent to Vacate from the VNA concerning their use of the HSB, which was in compliance with the requirements of the lease. Representatives from CCIRH have expressed their interest in utilizing the property and Ms. Peshke is working to draft correspondence requesting a proposal outlining their future intentions. She will provide the Trustees with further updates when they become available. Lastly, she is working with Ms. Frederick and representatives from GlobeChek to finalize their funding agreement for FY 22-23.

Mrs. McCrystal stated for the record that the VNA is not ceasing operations, but are moving their offices to another location and will continue to support the community.

Financial Statement Review- Allen Jones, Treasurer

Mr. Jones provided his Treasurer’s report and stated The District remains in sound financial condition. As of November 30, the District had deposits and investments totaling $14.8 million and received over $7 million in tax receipts of the $11.2 million budgeted for the fiscal year. Subtracting the funds just approved for the December disbursements, the District’s liquid assets are approximately $14 million. Mr. Jones reiterated that the District’s millage rate of a little over half a mill, is down 48% since FY 2016. However, despite this decline in millage, healthcare providers supported by the District in the county are budgeted to receive over $5 million allowing them to provide more healthcare services for IRC residents than in 2016. In addition, CCIRH reported providing over $13 million in indigent care in the last 12 months. Lastly, he explained that yesterday at the Chairman’s meeting, the District voted to approve and will implement a laddered investment program through its investment advisor, Deep Blue. They will now be providing monthly liquidity to cover operating expenses beginning in March, 2023, with all investments being in U.S. Treasury bills. It is projected the District will earn over $500,000 in combined interest during the next 12 months offsetting much of the administrative expense to operate the District.

Executive Director Report- Ann Marie Suriano, Executive Director

Ms. Suriano stated that the District has officially filled the Financial Assistance Specialist position and stated that Kaytlin Dickens has been hired and will begin her duties on December 12. Next, she explained that because the District’s regular monthly meeting occurred a week before its normal time, the Deep Blue investment statements were not included in the monthly financial report. She provided those figures and stated that the District received $20,494 in additional interest which was not reflected on the November financial statement. Ms. Cunningham felt it was important to note that prior to Mr. Jones, the District had never invested its funds and only collected a small amount of interest payments. Through his expertise, the District has been able to gain additional revenues to offset administrative costs and provide further community support.

Funded Agencies Semi Annual Reports-

Whole Family Health Center- Marie Andress, CEO

Ms. Andress provided the Trustees with an update concerning WFHC. She began by providing a review of the funding utilization for the last year. She explained that visits have declined due to varying factors including difficulty in qualifying patients. She also reviewed data concerning the billings invoiced to the District which had increased slightly. Next, she reviewed and discussed their program quality measures which had improved. She then discussed how their services positively impacted the community and stated that they established 3,500 new patients this year and recruited 4 additional new providers. WFHC also continues to be a resource of COVID, HIV, and STI testing and treatment. Additionally, Dr. Pierone continues to conduct his clinical research studies. She also provided an update concerning the GlobeChek pilot program and reviewed data regarding patients scanned, issues identified and the findings. She then discussed some challenges they were experiencing concerning follow up care for the screened patients. There was Trustee discussion and it was suggested that a meeting be held with representatives from GlobeChek, the District and WFHC to discuss these challenges and work towards solutions for the best continuum of care for the patient.

TCCH- Vicki Soule, CEO

Ms. Soule provided the Trustees with an update concerning TCCH. She began by discussing highlights and recognitions from the last fiscal year. She stated that TCCH received recognition from HRSA in August for being an access enhancer for addressing social risk factors and in September received accreditation by the Association of Diabetes Care and Education Services. They have also acquired 2 acres of land next to their Oslo location for clinical expansion. Additionally, they have completed their transition of the EHR system to EPIC. Next, she reviewed clinical advances within their practices which included the hiring of a certified diabetes nurse educator. They have also hired a certified wound care specialist and began a full vision program with their grant from impact 100. She then discussed their partnership with GlobeChek and stated that TCCH will begin offering screenings 5 days a week, rotating weekly at one of their sites. Their anticipated volume is approximately 4,800 adults annually. Further they have partnered with the IRC Sheriff office to provide healthcare services to all inmates at the IRC jail. Lastly, she discussed some challenges that the organization has faced this last year, with the first being staffing and competitive wages. Additionally, they are also struggling to maintain adequate clinic space for the volume of patients they are seeing. Their Foundation is working to combat this issue and as discussed earlier, they have acquired additional land at their Oslo location for a future clinic expansion.

New Business- Approval of Resolution 2022-04 & 2022-05

Mrs. Cunningham stated that it is a somber occasion as two Trustees will not be continuing their service on the board. Therefore, she asked for a motion to approve Resolution 2022-04 which recognized Mrs. McCrystal for her dedication and service to the IRCHD Board of Trustees. Ms. Bartlett made the motion which was seconded by Ms. Deigl, and the motion carried unanimously. Mrs. McCrystal addressed the group and spoke of her gratitude and appreciation relative to serving on the board. She thanked the other Trustees for their continued work to support the community. Next, Mrs. Cunningham asked for a motion to approve Resolution 2022-05 which recognized Mr. Jones for his dedication and service to the IRCHD Board of Trustees. Ms. Bodnar made the motion which was seconded by Ms. McCrystal, and the motion carried unanimously. Mr. Jones addressed the group and spoke of his gratitude and appreciation relative to serving on the board. He also thanked the other Trustees for their continued work to support the community.

Public Comment/Adjourn

Mr. Bill Stengel of the VNA Board stated that he would like to offer his gratitude and thanks to Mrs. McCrystal for her service and contributions to the District. He knows that she will continue to be a pillar in this community for years to come. Mr. Kint also addressed the board and recognized Mrs. McCrystal for her dedication to the board and for encouraging him to run for the seat on the board of Trustees. He also recognized Mr. Jones for his work and looks forward to taking office in January to serve the citizens of Indian River County. There was no further 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