Indian River County Hospital District

Regular Monthly Meeting: January 16, 2020

Regular Monthly Meeting
Indian River County Commission Chambers
January 16, 2020 @ 5:00 p.m.

TRUSTEES: Marybeth Cunningham Tracey Zudans
Ann Marie McCrystal Barbara Bodnar
Allen Jones Dr. Michael Weiss
Karen Deigl

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

ATTENDEES: Michelle Genz Nicholas Coppola
Jeanne Shepard Angela Guzenski
Dennis Saver Shelley Stuven
Vicki Soule Myra Weiss
Marie Andress Matt Reiser

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the regular monthly meeting of the Indian River County Hospital District (“IRCHD”) at 5:00 p.m.

Invocation- Mrs. Zudans provided the invocation for the meeting and Dr. Weiss led the group in the Pledge of Allegiance.

Organizational Matters- Jennifer Peshke, Esq.

Mrs. Cunningham stated that the first order of business is the election of officers. Mrs. Peshke explained that the Hospital District Bylaws require that the District reorganize at the first meeting of each year and elect five officers. Any board member may make a nomination for the five offices, which include Chairman, Vice Chair, Treasurer, Secretary, and Assistant Secretary. Each office will be elected by calling for a nomination, and a second. She asked that the nomination for the Chairman, begin the process.

Mr. Jones nominated Mrs. Cunningham as Chairman, which was seconded by Ms. Deigl. The motion carried unanimously

Mrs. McCrystal nominated Dr. Weiss as Vice Chairman, which was seconded by Mrs. Cunningham. The motion carried unanimously.

Mrs. Zudans nominated Mrs. McCrystal as Secretary, which was seconded by Mr. Jones The motion carried unanimously.

Ms. Deigl nominated Mrs. Zudans as Assistant Secretary, which was seconded by Mrs. Cunningham. The motion carried unanimously.

Mrs. Bodnar nominated Mr. Jones as Treasurer, which was seconded by Mrs. McCrystal. The motion carried unanimously.

Mrs. Cunningham asked the Trustees if they would like to continue to hold the District’s regular monthly meeting on the third Thursday of each month at 5:00 PM, in the County Commission Chambers. The board agreed. Additionally, the board agreed to hold a monthly Chairman’s meeting on the third Wednesday of each month at 10:00 AM. All other meetings will be scheduled on an as needed basis.

Consent Agenda- Marybeth Cunningham, Chairwoman

Mrs. Cunningham asked for a motion to approve the Special Meeting Minutes dated December 9; Chairman’s Meeting Minutes dated December 18; Regular Monthly Meeting Minutes dated December 19; and a January disbursement of $1,115,865.30. Mrs. McCrystal made the motion, which was seconded by Ms. Bodnar. The motion carried unanimously.

Mrs. Cunningham stated that on January 25, United Against Poverty will have their grand opening of their new center and tours will be available to the public. Additionally, she encouraged everyone to visit which has information on the 3 corners property where the old power plant currently sits.

District Counsel Report – Jennifer D. Peshke, Esq.

Mrs. Peshke provided her counsel report and stated that she is currently working with Mrs. Suriano on reviewing the District Bylaws to see if there are any needed updates. She will circulate the changes to the Trustees for their review.

Financial Statement Review – Allen Jones, Treasurer

Mr. Jones provided his report and stated that the District’s tax receipts total $6.3 million of the $13.9 million expected to be received this fiscal year. The bank accounts total $2.6 million and there is approximately $11 million invested in FDIC insured investment fund managed by Water Walker, in the Florida fixed income trust. Interest received on those investments to date total $13,000. The District will continue to maintain $500,000 in the local Seacoast bank account and any excess funds will be invested into the FDIC insured component of the fixed income trust. Amounts needed to fund the District’s operating expenses will be wired from the investment account to Seacoast bank for disbursement. Lastly, Mr. Jones stated that through the first quarter the District is running slightly better than budget in both program and administrative expenses.

Executive Director Report- Ann Marie Suriano, Executive Director

Mrs. Suriano stated that in addition to her written report she met with representatives from We Care yesterday and they will speak about their discussion during tonight’s presentation.

Funded Agencies Quarterly Report- Mental Health Association- Nicholas Coppola, CEO; Angela Guzenski, COO; and Jeanne Shepherd, Clinical Director

Ms. Guzenski reviewed data concerning MHA’s walk-in center and support group services. She further discussed clinical outcome measures for the walk-in center. For the first quarter there were 2,343 visits to the walk-in center and 117 of those were unduplicated. Ms. Shepard and Dr. Coppola spoke to the MHA school violence and suicide prevention program. To date the Erika’s Lighthouse program has been administered to 159 12th grade charter high school students and 590 9th grade Vero Beach high school students. Additionally, the program will be offered to approximately 600 Sebastian River high school 9th graders starting in February. Further they are in discussions with St. Edwards, Imagine and the Indian River Alternative school regarding implementation of the program as well. Lastly, Dr. Coppola shared a letter that MHA received from Dr. Packard of the Indian River County School District. Dr. Packard praised the work that the MHA clinicians have done in the schools and looks forward to working collaboratively with them to address the mental health issues within the schools. Next week community workers and leaders involved in mental health services will meet to discuss the gaps in services and ways to work collaboratively to provide a better continuum of care.

We Care Foundation- Shelley Stuven, Executive Director & Dennis Saver, Medical Director

Dr. Saver extended the invitation to each Trustee to shadow Dr. Fountain during his day at the We Care clinic to witness first-hand how the clinic operates and how they serve the patients. He believes that this opportunity will show the Trustees exactly what We Care is about. He also invited the Trustees to attend the We Care Foundation Mardi Gras gala being held in February.

Dr. Saver reviewed the We Care patient visit data from October-December. He stated that volumes have slightly decreased due to Dr. Fountain taking 10 days off in November and 10 days in December. They expect volumes to rise in the coming months. He further reviewed the waiting list of specialty services that patients are waiting to receive. He explained that due to lack of doctors volunteering their services, the list continues to have around 300 or more patients waiting. However, with the help of Cleveland Clinic, they have seen a slight decrease in the list. There was Trustee discussion surrounding the successes of patients receiving specialty services through We Care. The Trustees would like to have data outlining how many patients were able to be seen and have their issues addressed and treated. Dr. Saver felt that this data is difficult to quantify, due to the way they deliver care. He explained that We Care provides its patients with care coordination and many patients have multiple health issues which require multiple visits to the clinic. The Trustees asked Dr. Saver to work with the District in creating a system to track the clinic successes, so that it may show the positive impact the program has on the community. Additionally, it was suggested that some of the We Care patients enroll in the VNA’s positive change program to better assist them in reaching their health goals.

New Business –

Mrs. McCrystal stated that the World Health Organization named 2020 the year of The Nurse. She stated that these individuals, including all caregivers, provide an invaluable service in health care and encouraged words of thanks be given to those who serve.

Other Business-

Ms. Zudans stated that the Patient Advocate position for TCCH at the Gifford Health Center has been filled. Before the final selection, Ms. Soule invited members from GHC Advisory Committee and other Gifford community members to a meet and greet of the potential candidates. Ms. Zudans stated that it was well attended and provided everyone with a chance to have meaningful discussions about the position and what was expected of the person being hired.

Public Comment- There was no public comment.

Adjourn- The meeting was adjourned at 6:30 PM

Respectfully Submitted,

Ann Marie McCrystal



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