Indian River County Hospital District

Regular Monthly Meeting: November 21, 2019

Regular Monthly Meeting Minutes
November 21, 2019 at 5:00 PM

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

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

OTHER ATTENDEES: George Shopland Myra Weiss
Father Switz Vicki Soule
Michelle Genz

Convene Meeting – Marybeth Cunningham, Chair

Ms. Cunningham convened the regular monthly meeting of the IRCHD at 5:00 PM by welcoming those in attendance. Father Switz provided the invocation and Dr. Weiss led the group in the Pledge of Allegiance.

Consent Agenda- Marybeth Cunningham, Chair

Ms. Cunningham asked for a motion to approve the, Chairman’s meeting minutes dated October 17, regular monthly meeting dated October 18, and a monthly disbursement of $1,108,446.00. Mrs. McCrystal made the motion to approve, which was seconded by Ms. Deigl. The motion carried unanimously.

Ms. Cunningham informed the public that the District has published its first annual report and copies are available at the District offices. Additionally, Ms. Cunningham indicated that the presentation from Cleveland Clinic Florida on Population Health has been moved to Monday, December 9th at 3:00 PM and will take place at the District offices. Further, the board has had many discussion surrounding mental health in the county and Ms. Cunningham and Mrs. Suriano have met with members of the School District, to discuss collaborative efforts to support this matter. The Trustees have agreed to make this an area of focus.

District Counsel Report – Jennifer D. Peshke, Esq.

Ms. Peshke provided her District counsel report and stated all leases, funding agreements and sub-leases related to the entities operating and subleasing the GHC are in final form and are fully executed. She has reviewed all monthly meeting minutes from the monthly meetings this past month. Further, she responded to questions from Trustees as they have arisen pertaining to various matters the District is handling at the present time. Lastly, she has also assisted in preparing the resolution relative to the District investing its surplus funds.

Financial Statement Review – Allen Jones, Treasurer

Mr. Jones stated that the District is in sound financial condition with just under $3 million in the bank, after the approval of the November disbursements. He explained that the District has begun to receive its tax proceeds from Indian River county property tax revenues. Additionally, Mr. Jones stated that the District has updated the format of the financial statements to better assist Mr. Johnson in the preparation of the same. The Trustees agreed that the updated financial statemen format was an improvement and easier to review.

Partners Program Update- Allen Jones, Treasurer

Mr. Jones provided a historical review of the Partners in Women’s Health program which the Hospital District created and funded back in 1995, to provide prenatal care to uninsured women in the county. Prior to the establishment of the program, there were eight private practice obstetricians in the county, none of which accepted Medicaid eligible patients. It was further created to help combat a high infant mortality rate that the county was experiencing during that time. Mr. Jones reviewed the latest data outcomes from the program from 2018. He stated that 86.9% of IRMC deliveries were at performed through Partners, out of the 1294 total county births that occurred. He further reviewed the Partners metrics against the state average and the programs target goal. The first category of Healthy Infants includes metrics on neonatal mortality; Kotelchuck Neonatal Care index; first trimester prenatal care for mothers; breastfeeding initiated during hospitalization; postpartum visits by mothers’; and elective induction before 39 weeks. Mr. Jones further stated that recently Cleveland Clinic Indian River was awarded with the March of Dimes 39-week award and was the first hospital in the state to receive that recognition. He further reviewed and discussed the second group of Partner metrics which is the Healthy Mother initiative. This includes metrics on maternal mortality; primary C-section rate; infection rate associated with C-section; and patient satisfaction. A copy of this report with the data is available to obtain from the District offices. Lastly, Mr. Jones indicated that Cleveland Clinic Indian River will now set the metrics for the program moving forward and report on that data quarterly, to the District. The Trustees thanked Mr. Jones for his continued efforts and work with the Partners program and believe it is a true asset to the community.

Executive Director- Ann Marie Suriano

Mrs. Suriano stated that her written report is included with the meeting packet but she reiterated that the District’s annual report has been published and available for pick up at the District offices.

Funded Agencies Quarterly Report- New Horizons- George Shopland, CE

Mr. Shopland provided a review of the services provided at New Horizons from April-September, 2019. He explained there was a decrease in volumes due to the fact that the center was down one provider. They have since replaced that provider and have been slowly increasing patients volumes. He further provided a funding analysis for the center and stated that despite the lower volumes there was an $11,120 increase in services utilized. Mr. Shopland stated that a majority of clients who visit New Horizons are pre-qualified due to the District Care Card. Additionally, over 80% of IRCHD clients seen by New Horizons are referred by community partners. There was Trustee discussion surrounding adolescent mental health services and substance abuse treatment. They asked Mr. Shopland to keep them aware of any barriers or gaps in care that the center is experiencing. There was further discussion surrounding the possibility of the District providing additional funding to New Horizons, in order for them to serve more patients.

New Business- Approval of Resolution 2019-03- Allen Jones, Treasurer

Mr. Jones stated with the receipt of the FY 19-20 tax proceeds, the District Trustees agreed to invest the excess funds. The surplus funds shall be invested by the following guidelines:

1. In a financial institution on the published list of qualified public depositories as of September 30, 2019;
2. The surplus funds shall be invested only in U.S. Government Agency and/or FDIC insured funds; and
3. The surplus funds shall be invested with an organization that shall ensure all investments will mature not later than the last business day of the applicable fiscal year.

Therefore, Mr. Jones recommends the adoption of Resolution 2019-03, attached herein.
Ms. Peshke stated that she amended page two, section two to indicate that this matter of investing the surplus finds, will be reviewed on an annual basis. Dr. Weiss made a motion to approve, which was seconded by Mrs. McCrystal. Motion carried unanimously.

Public Comment-

Dr. Large thanked Mr. Jones for his work and dedication with the Partners program.

Adjourn- The meeting was adjourned at 6:00 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