Indian River County Hospital District

Regular Monthly Meeting June 20, 2019

MINUTES
BOARD OF TRUSTEES
INDIAN RIVER COUNTY HOSPITAL DISTRICT
Regular Monthly Meeting Minutes
June 20, 2019
5:00 PM

TRUSTEES: Karen Deigl Michael Weiss
Ann Marie McCrystal Barbara Bodnar
Marybeth Cunningham (via telephone)

ABSENT: Tracey Zudans Allen Jones

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

OTHER ATTENDEES: Jeanne Shepherd Nicholas Coppola
Jared Bucheron Carrie Lester
Angela Guzenski Pastor Gainey
Myra Weiss Michelle Genz

Convene Meeting – Michael Weiss, Vice Chair

Dr. Weiss convened the regular monthly meeting of the IRCHD at 5:00 PM by welcoming those in attendance. Pastor Gainey provided the invocation for the meeting and Dr. Weiss led the group in the Pledge of Allegiance.

Consent Agenda- Michael Weiss, Vice Chair

Dr. Weiss asked for a motion for approval of the Special Meeting minutes dated May 8, 13, 22, 28; Chairman’s Meeting Minutes dated May 15; Budget Presentation Minutes dated May 22, 28; Regular Monthly Meeting Minutes dated May 16; and a June disbursement of $1,056,824.45. Mrs. McCrystal made a motion to approve which was seconded by Ms. Deigl. The motion carried unanimously.

Funded Agency Quarterly Report- Mental Health Association- Nicholas Coppola, Executive Director

Dr. Coppola stated that the report he prepared provides information regarding services provided at the MHA; client satisfaction and outcomes data for the Walk-In & Counseling Center, Drop-In Center; and information concerning the MHA School Violence program. Ms. Guzenski provided a review of the client satisfaction and outcome data with the Trustees. She stated that 70% of clients discharged from services at MHA have favorable outcomes. Ms. Shepard provided a review of the School Violence Prevention program data which served 970 9th grade students. The program offered students crisis and therapeutic support, as well as Botvin life skills training. Lastly, Dr. Coppola reviewed the financial data for the center. Currently they are operating with a $24,923.26 net loss, which is an improvement from this time last fiscal year.

District Counsel Report – Jennifer D. Peshke, Esq.

Ms. Peshke provided her monthly counsel report and stated that she has attended various meetings concerning the RFP committee, to select an organization to run the Gifford Health Center. Following the Board’s selection of TCCH to operate the Gifford Health Center, she has worked with District staff on various matters related to the center such as the new Lease and Funding Agreement with TCCH. She has further reviewed information regarding the District’s upcoming budget cycle meetings.

Financial Statement Review – Ann Marie Suriano, Executive Director

Ms. Suriano stated that she provided the Trustees with a written report prepared by Mr. Jones for them to review, in his absence. She explained that the District has received most of their tax revenues for the current fiscal year, which total approximately $15.5 million. Any unspent monies at the end of the fiscal year, will be placed into reserves. Lastly, program expenses are below budget for the year and administrative expenses are slightly above.

Executive Director Report- Ann Marie Suriano, Executive Director

Mrs. Suriano stated that she provided the Trustees with a written report of her monthly activities, Additionally, Ms. Suriano explained that at the April Chairman’s Meeting, the board voted to terminate the District accounting and payroll services with Special District Services, and bring the accounting system in house. The District has since terminated the agreement effective June 30 and Ms. Voss is currently being trained on Quickbooks. She explained that the final step is to transfer the bank accounts to the local Seacoast Branch and issue new signature cards. Allen Jones and she are already on the signature cards, and the SDS staff members who currently have authority to these accounts and signature cards will be removed. She recommends adding the board Chairwoman, Marybeth Cunningham and Secretary, Ann Marie McCrystal to the signature cards as the checks require 2 signatures, per District policy. Therefore, she asked for a motion to approve and give authority to her, as the District’s Executive Director to authorize Seacoast Bank to remove account administrative access from all Special District Services personnel and grant Administrative access to her and online banking review access to CPA, Cynthia Johnson. Additionally, SDS personnel signatures on the bank signature cards will be replaced with Marybeth Cunningham and Ann Marie McCrystal, continuing signature access on both District accounts to Allen Jones, Treasurer and Ann Marie Suriano, Executive Director. Ms. Deigl made a motion to approve, which was seconded by Ms. Bodnar. The motion carried unanimously.

New Business- Request for Additional FY2018-2019 Funding & Screening Day Pilot Program- New Horizons- George Shopland, CEO

Mr. Shopland explained that the District has provided $55,000 in funding for the current fiscal year however, they have billed $58,579 in services year to date and are projecting a shortfall of $33,000 for the remainder of the fiscal year. Factors of the increase include additional patients being qualified through the care card program and an increase in patients seeking services. He requested that New Horizons be able to bill for services for the remainder of the fiscal year, that would not exceed the $33,000 projected shortfall. Ms. McCrystal made a motion to approve the request, which was seconded by Ms. Deigl. The motion carried unanimously.

Mr. Shopland further discussed a potential pilot program that New Horizons would like to begin in the county. The proposed program would be an open intake day for patients He explained that a client will arrive at the office and complete the required registration forms. Then the patient would connect with a navigator for an intake appointment and treatment plan. They would also have psychiatric evaluations and referral care services available. Mr. Shopland stated that he is requesting $70,000 in funding from the District for a 6-month trial period for the program. There was Trustee discussion concerning his request and they agreed that it would not be appropriate to approve the expense due to the lack of Trustees present at the meeting. They would also like to review further data and outcomes of the proposed program. They instructed Mr. Shopland to prepare a more precise request with the additional data requested, for concertation in the next few months.

Public Comment- There was no public comment.

Adjourn- The meeting was adjourned at 5:42 PM

WILLIAM COONEY, M.D.

SEAT 7

William P Cooney M.D. 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   |   1/24-12/29

Origination: Elected (2 OC)

Occupation: Retired Surgeon

Email: w.cooney@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

KERRY BARTLETT

SEAT 6

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

Email: k.bartlett@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

KAREN DEIGL

SEAT 5

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   |   1/24-12/29

Origination: Elected 1 OC | Elected NOC

Occupation: President/CEO

Email: k.deigl@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

PAUL WESTCOTT

SEAT 4

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.


Term: 
1/23-12/26   |   1/21-12/24

Origination: Elected 1 OC 

Occupation: Attorney & Mediator

Email: p.westcott@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

CHUCK MACKETT, M.D.

SEAT 3

Charles “Chuck” Mackett MD is a practicing primary care physician who has a long and storied career in military, academic and executive medicine. Dr. Mackett recently retired from Cleveland Clinic Indian River Hospital where he served for fourteen years as Chief Medical Officer, Chief of Staff and President of Indian River Medical Associates. Dr. Mackett serves on the Board of Directors of the We Care Foundation of Indian River County and the Mental Health Collaborative of Indian River County. He currently cares for patients at Treasure Coast Community Health. These experiences give Dr. Mackett a unique perspective regarding mental health, substance abuse, maternal-child care, care for veterans, preventive medicine and access to high quality medical care.

Dr. Mackett is a graduate with honors from the University of Notre Dame and is a graduate from the SUNY Upstate Medical Center in Syracuse, NY. He is a member of the Alpha Omega Alpha National Medical Honor Society and earned his Master of Medical Management degree from Carnegie Mellon University. Dr. Mackett is trained in Aerospace Medicine and is board certified in Family Medicine and Geriatrics. He is a combat veteran, former Air Force Hospital Commander and flight surgeon who served in Germany, Haiti, Japan, Korea, Romania and Iraq. His many military decorations include two Legions of Merit, a Bronze Star Medal, a Defense Meritorious Service Medal and three Air Force Meritorious Service Medals. Dr. Mackett is an Outstanding Graduate of the Air War College.

A native of Upstate New York, Dr. Mackett and his family first moved to Florida in 1996 when he served as Fight Commander and Residency Program Director at Eglin Air Force Base before later serving as Medical Group Commander at Patrick and MacDill Air Force Bases. Dr. Mackett served as Associate Professor, Executive Vice Chairman of Family Medicine and Consultant in the International and Commercial Services Division at the University of Pittsburgh Medical Center before returning permanently to Florida and Vero Beach in 2009.

As a Hospital District Trustee, Dr. Mackett plans to advocate for improved access to mental health services and access to affordable high quality primary and specialty care for all residents of Indian River County particularly mothers, children, the elderly, the underserved and veterans.

Term: 1/24-12/29

Origination: Elected NOC

Occupation:  Primary Care Physician

Email: c.mackett@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

MICHAEL KINT

SEAT 2

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

Email: kintm.irchd@gmail.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

ALLEN JONES

SEAT 1

In 1973, Mr. Jones began a 27 year career with Merrill Lynch, eventually becoming a senior executive of the company, Senior executive positions included Chairman and CEO of Merrill Lynch Life Insurance Company, serving on the Private Client Executive Committee and various other leadership roles including leading the effort to transition Merrill Lynch to a fee based rather than commission based business. Prior to joining Merrill Lynch, Mr. Jones’ professional career began in the United States Air Force from 1964-1968, achieving the rank of Captain. He then worked with Investment Company Dabbs, Sullivan, Trulock located in Little Rock, Arkansas rising to partner before the firm was sold and joining Merrill Lynch. Mr. Jones received his B.S.B.A in 1964 from University of Arkansas. He further completed advanced management courses at the Kellogg School of Business at Northwestern University, the Wharton School of Business at the University of Pennsylvania and Stanford University. His past community service efforts include serving on the Board of Directors for the John’s Island Club from 2008-2010; Board of Directors for the Indian River Medical Center from 2007-2010; Chairman of the Indian River Medical Center Foundation from 2006-2010; Board of Directors of the Bedens Brook Golf Club; Board of Directors of the Princeton Community Hospital from 1994-1999 and the Chairman of the American Health Association, in Houston, Texas.

Term: 1/24-12/29

Origination: Elected 2 OC

Occupation: Retired CEO

Email: a.jones@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960