Indian River County Hospital District

Regular Monthly Meeting Minutes: August 16, 2018

Regular Monthly Meeting Minutes
August 16, 2018
5:00 PM

TRUSTEES: Marybeth Cunningham Karen Deigl
Ann Marie McCrystal Tracey Zudans
Michael Weiss

EXCUSED: Allen Jones Barbara Bodnar

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

OTHER ATTENDESS: James Large Lundy Fields
Deb Hawkins Michelle Genz
Val Zudans Dan Bach
Miranda Hawker Ann Posey
Richard Van Lith Vicki Soule
George Eighmy Angela Dickens

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.


Senior Pastor Jeremy Rebman, of the First Methodist Church of Vero Beach, provided the invocation for the meeting.

Consent Agenda- Marybeth Cunningham, Chairwoman IRCHD

Mrs. Cunningham asked for approval of the budget discussion meeting minutes dated July 11; chairman’s meeting minutes dated July 25; regular monthly meeting minutes dated July 25; and an August disbursement of $1,102,685.09. Mrs. Deigl made the motion which was seconded by Mrs. McCrystal. The motion carried.

Mrs. Cunningham stated that last month the Trustees heard from IRMC with a request to implement a co-pay at the hospital’s emergency department for non-emergent visits by indigent patients. She explained that there are two components to this request. The first is the question of whether the District is legally able to implement a charge for services to the indigent, which was raised by Mrs. Zudans. District counsel researched the matter and prepared a memorandum addressing the same. Mrs. Peshke wrote in her memorandum that the Special Act, which governs the District, states that implementing a charge for medical services for indigent is at the discretion of the Board of Trustees. Additionally, the second component was whether the hospital requests was a matter the District had authority over. Through a request by Mrs. Zudans, the board sought a second opinion from District outside counsel at GrayRobinson. Mrs. Ramos of GrayRobinson prepared a memorandum on the matter and stated that she believed this matter was not under the District purview and was a hospital operations issue. Therefore, the District Board has no authority over the matter.

Mrs. Cunningham provided an update concerning the Cleveland Clinic Partnership with IRMC. She indicated that the process continues to move forward and they have set a date to hold a joint meeting with the IRMC Board of Directors. This meeting will take place on September 25 at 1:00 PM, at the Richardson Center. At a later date, the District Trustees will have a follow up meeting where they will have board discussion and subsequently vote on a definitive agreement.

District Counsel Report- Jennifer Peshke, Esq.

Mrs. Peshke provided her monthly counsel report and stated that she continues to work with District special counsel on the Cleveland Clinic Partnership. Additionally, she is participating in discussions concerning the District fiscal year 2018-2019 budget with the District staff and Board of Trustees.

Executive Director Report- Ann Marie Suriano

Mrs. Suriano provided her Executive Director report and stated that she is working with Mr. Jones to prepare the RFP for the operation of the Gifford Health Center. She indicated that she would be providing a draft of the RFP to the Trustees for their review and input. Additionally, she has set a kick off meeting with Michael Felix to begin work on the District Strategic Plan.

IRMC Monthly Report- Richard Van Lith- Patient Room Renovation Update

Mr. Van Lith provided an update concerning the hospital’s renovations to the patient rooms at IRMC. He explained that before January 1, 2018 they have renovated 40 patient rooms. They began phase two of the project on May 21st and it has taken around three weeks to complete each room. By September 30, they hope to have the east tower of the hospital completed. Lastly, he provided photos of the updated rooms so that the Trustees may see the improvements.

Funded Agency Quarterly Report- Indian River County Health Department- Miranda Hawker, Health Administrator

Mrs. Hawker provided a quarterly update concerning the Health Department and its operations. She reviewed the social determinants of health with the Trustees and explained that this continues to be a focal point of the Health Department. She further reviewed data and outcomes concerning the Gifford Health Center, We Care, and the dental program.

New Business- Action Required

Mrs. Zudans read proposed Resolution 2018-02 and asked for comment from the Trustees. Mrs. Cunningham offered a suggested amendment to paragraph seven. The board agreed to Mrs. Cunningham’s recommendations. Mrs. Cunningham asked for public comment. Dr. Zudans, member of the public, thanked the Trustees for their support of this Resolution. He stated that the sale of City of Vero Beach Utilities to FPL would reduce utility costs to the county by approximately $23 million. Mrs. Deigl made a motion to approve Resolution 2018-02 as amended by Mrs. Cunningham, which was seconded by Mrs. McCrystal. (proposed and amended resolution attached)

Public Comment- There was no additional public comment.

Adjourn- The meeting was adjourned at 6:00 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