Indian River County Hospital District

Regular Monthly Meeting: November 15, 2018

Regular Monthly Meeting
November 15, 2018
5:00 PM

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

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

OTHER ATTENDEES: Miranda Hawker Michael Felix
Gerri Smith Todd Bibbens
Matt Reiser Mike Swan
Morgan Libbey Jackie Solar
Janet Begley Val Zudans
Tony Brown Julianne Price

Convene Meeting – Marybeth Cunningham, Chairwoman IRCHD

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

The Invocation was given by Reverend Richard Murphy of the Holy Cross Catholic Church and Dr. Weiss led the group in the Pledge of Allegiance.

Mrs. Cunningham asked for approval of the Chairman’s meeting minutes dated October 17; regular monthly meeting minutes dated October 18; and a November disbursement of $2,143,473.71. Dr. Weiss made a motion to approve which was seconded by Ms. Deigl. The motion carried unanimously.

District Chairwoman – Marybeth Cunningham

Mrs. Cunningham provided her Chairman’s report and stated that the Cleveland Clinic Partnership is on track and all parties are still projecting January 1, 2019 to close. Additionally, Mrs. Suriano, Mrs. Frederick and she attended the United Against Poverty Symposium which took place earlier in the month. There were excellent key speakers and many collaborative ideas for the community were discussed.
District Counsel Report – Jennifer D. Peshke, Esq.

Mrs. Peshke provided her counsel report and stated that she continues to work with special transactional counsel on the Cleveland Clinic partnership. She has also attended meetings concerning the RFI for the Gifford Health Center and continues working with Mrs. Suriano on that matter. Additionally, the agreement concerning the Return of Granted Funds for the IRMC Foundation has been finalized and will be discussed later tonight under unfinished business.

Financial Statement Review – Allen Jones, Treasurer

Mr. Jones stated that the District remains in sound financial condition and after this months’ disbursements, there will be approximately $2.2 million in the bank. Mr. Jones discussed the hospitals increased volumes for indigent care. He stated that he is working with the hospitals finance executives to come up with accurate numbers for the end of the fiscal which could include the potential for reversal of charges. This would occur if the hospital initially billed the District for services rendered but then was able to obtain an alternate payor source such as Medicaid. If an alternative payor source was utilized, the hospital would be required to pay back the District. Since volumes have been high, he recommended that the District reduce the reimbursement amount paid to IRMC by 17% for the remainder of the year. By that time, they will have calculated the correct true up amount and this will prevent the District from overpaying the Hospital. The board agreed to his recommendation.

Executive Director Report- Ann Marie Suriano, Executive Director

Mrs. Suriano stated that the Human Services building renovations will be complete in approximately 30 days. The updates and renovations have been well received and have added value to the building. Additionally, they were able to stay within budget for the project. Further, she reported that the Senior Resource Center, in connection with the Go Line, has installed bike repair stations in a few areas of the county. Mrs. Suriano explained that the District help facilitated the installation of a repair station at the Gifford Health Center, by paying for a concrete slab for the project.

IRMC, Inc. Monthly Report – Interventional Neurology and Stroke Program- Todd Bibbens, VP Operations

Mr. Bibbens provided a review of the IRMC Interventional Neurology & Stoke program. He explained that stoke is the fifth leading cause of death in Indian River County and that this program is crucial to the community. He further provided a historical review of the program and performed their first procedure on July 23, 2018. Dr. Shhaden, one of the three physicians on the Arubah Neuroscience team, provided a step by step walkthrough of a procedure for an acute stroke. He further reviewed patient data and the programs capital budget. Lastly, Dr. Shhaden explained that there are currently only 800 physicians who are accredited to perform this procedure in the nation. Three of those physicians, including himself, are now working at Indian River Medical Center and providing this state-of-the-art procedure.

Funded Agencies Quarterly Report- The Public Guardianship Program of Indian River County- Mike Swan, CEO & Morgan Libbey, Executive Director

Ms. Libbey provided a quarterly update concerning the Public Guardianship Program. She explained that in the first quarter of the fiscal year, three wards were discharged from the program due to their death. Further, two more wards have been added to the program and she provided a few examples of the types of clients who qualify for the program. Additionally, in September the state conducted their annual monitoring visit and they determined that the program is exceeding best operating practices. Lastly, she discussed their continued obstacles within the program which include appropriate and safe housing for the wards. In 2019, they will have 22 wards in the program, which is an increase from last year due to additional District funding, which allowed them to serve more clients.

Unfinished Business- Action Required

Approval of Amended Returns of Granted Funds Agreement- Jennifer Peshke, Esq.

Mrs. Peshke stated that as previously discussed, the meeting packet contains resolution 2018-06 which discusses the Return of Granted Funds Agreement, along with the amendment to the same. Mrs. Peshke also prepared a summary of the agreement and its terms for the Trustees to review. Therefore, Mrs. Peshke asked for a motion to approve resolution 2018-06 as discussed. Mrs. Deigl made the motion which was seconded by Mrs. McCrystal. The motion carried unanimously.

New Business-
Gifford Health Center- Tony Brown, President Indian River County NAACP

Mr. Brown introduced himself and stated that he is here representing the Indian River County NAACP in his official capacity as President, as well as a community member of the Gifford community. He expressed his concerns with the utilization of the zip-code data for the health needs assessment and feels that the assessment should have utilized Census Track information. He also feels there are deep deficiencies and feel that the assessment is flawed. He further stated that he has concerns regarding the District RFI and RFP process and does not want to see the Health Department replaced by another entity at the Gifford Health Center, due to their long-standing relationship with the residents. There was further Trustee discussion and they assure Mr. Brown that the District is conducting this process for the betterment of the Gifford Health Center. Mr. Jones explained that $500,000 has been set aside in the District’s budget for this process, with the main objective of expanding services at the Gifford Health Center. He reaffirmed that the District will continue to work collaboratively with the Gifford Health Council, the Health Department and all other agencies who provide services at the clinic.

Public Comment-

Mr. Woolfork, thanked the Trustees for their continued efforts to provide health services in the Gifford Community. As follow up to Mr. Browns comments, he wanted to clarify that it is the responsibility of he and Mr. Brown as community leaders to take information back to the members. There was a negative perception in the community regarding the RFI, but after listening to the Trustees comments he believes that this process should help achieve expanded services at the Gifford Health Center. Additionally, he believes that if there are open lines of communication and collaboration, they will be able to provide the highest quality of care for the residents.


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