Indian River County Hospital District

Regular Monthly Meeting: February 21, 2019

Regular Monthly Meeting Minutes
February 21, 2019
5:00 PM

TRUSTEES: Marybeth Cunningham Karen Deigl
Ann Marie McCrystal Barbara Bodnar
Michael Weiss

EXCUSED: Tracey Zudans

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

OTHER ATTENDEES: Aracely Ramirez Eliecer Romero
Dan Bach Kip Jacoby
Nick Coppola Miranda Hawker
Andrea Berry Jeanne Shepherd
Michelle Genz Myra Weiss
Michael Felix Marie Andress

Convene Meeting – Marybeth Cunningham, Chairwoman IRCHD

Mrs. Cunningham convened the regular monthly meeting of the IRCHD at 5:00 PM by welcoming those in attendance. Pastor Romero provided the invocation for the meeting and Dr. Weiss led the group in the pledge of allegiance.

Consent Agenda- Marybeth Cunningham, Chairwoman IRCHD

Mrs. Cunningham asked for a motion to approve the of special meeting minutes dated January 9, chairman’s meeting minutes dated January 16, and regular monthly meeting minutes dated January 17, and a February disbursement of $1,115,481.32.

Financial Statement Review – Allen Jones, Treasurer

Mr. Jones provided his treasurers report and stated that the District has received approximately $11 million in tax revenues and is in sound financial condition. Additionally, he indicated that the Auditors have recommended some changes to the way the District processes their monthly disbursements. He will discuss these matters in greater detail with the board next month.

Executive Director Report- Ann Marie Suriano

Mrs. Suriano stated that the Gifford Health Center RFP process is underway and the Trustees will receive a copy of the document for their input. A public meeting to discuss the same and obtain feedback on the RFP will take place at the District offices on February 27 at 1:30 PM.

Funded Agency Quarterly Report- Nicholas Coppola, M.D., CEO; Angela Guzenski, COO; and Jeanne Shepard, Clinical Director

Dr. Coppola provided a quarterly report on the MHA for the months of October through December, 2018. He reviewed data relative to clinic outcomes measures and the walk-in/ counseling center client satisfaction scores. Dr. Coppola further reviewed the financial data for the first quarter and stated that MHA is running a net loss of $35,000. The loss is about $23,000 less than budgeted due to vacant positions. He explained that about one-half of the loss was anticipated based on the donation cycle for October through December. Additionally, their annual fund and special events income will be reflected in the next quarter cycle. Dr. Coppola stated that through the transition at Gifford Health Center, the MHA will continue to support child behavioral health and work collaboratively with the agencies in the transition.

The Trustees asked for an update concerning the Violence Prevention program which the District allocated $75,000 in funding this fiscal year. Dr. Coppola explained that he has signed the contract with the school district and the program is slated to begin next semester. The Trustees question this start up date, as they believed the program was already in place and being administered to the 9th grade students. Dr. Coppola indicated that there were some delays caused by the school board but they have now executed the contract and are moving forward. The Trustees asked for continued updates concerning this matter and Dr. Coppola stated that he would be in communication with Mrs. Suriano.

New Business- Action Required

Mr. Jacoby provided a review of the Districts FY 2017-2018, which he explained was a clean and unedited Audit, the high level you can obtain. He reviewed the major initiatives that the District conducted throughout the year and explained that the District’s net position decreased due to the expenditures associated with the Cleveland Clinic transaction. He further reviewed the management letter in detail, which was prepared by Mrs. Suriano and Mr. Jones. Mrs. Cunningham asked for a motion to approve the FY 2017-2018 District Audit. Mrs. Deigl made a motion, which was seconded by Dr. Weiss. The motion carried unanimously.

Mrs. Frederick reviewed the 2019 Federal Poverty Guidelines and asked for a motion to approve the same. Mrs. Deigl made the motion to approve which was seconded by Mr. Jones. The motion carried unanimously. Mr. Jones state that the board continues to work on reviewing what the increasing the guidelines. The Trustees agreed that they will need to add this as an agenda item for next months meeting to vote.

Other Business-

Mr. Felix provided a review of the District’s strategic plan for 2019-2021. He stated that the purpose of this two-year plan is to place attention on two areas that will support efforts to improve the District’s responsibility towards assuring Indian River County residents have access to quality and equitable health services. He explained that the planning process is focused on engaging community partners and community resources along with data from Community Health Needs Assessment. Additionally, they will look to improve board governance by implementing a learning agenda that will focus on best health practices for improving health conditions in the community. The board will also continue their attention on continuous health improvement by ensuring that best health metrics are in place for monitoring and evaluating current and future funded services and programs. The board also plans to developed an annual report to keep the community informed on all District funded actives. Lastly, he reviewed the District’s updated mission and vision statements. Mrs. Cunningham made the motion to approve the strategic plan for 2019-2021, which was seconded by Mrs. McCrystal. The motion carried unanimously.

Public Comment- There was no public comment.

Adjourn- The meeting was adjourned at 6:30 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