MINUTES
BOARD OF TRUSTEES
INDIAN RIVER COUNTY HOSPITAL DISTRICT
Regular Monthly Meeting Minutes
October 17, 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: Michelle Genz Myra Weiss
Brett Hall Vicki Soule
Convene Meeting – Marybeth Cunningham, Chair
Ms. Cunningham convened the regular monthly meeting of the IRCHD at 5:00 PM by welcoming those in attendance. Dr. Weiss led the group in the Pledge of Allegiance.
Consent Agenda- Marybeth Cunningham, Chair
Ms. Cunningham asked for a motion of approval of the Chairman’s/Budget Discussion Meeting Minutes dated September 9; First Public Budget Hearing Meeting Minutes dated September 12; IRCHD & We Care Joint Meeting Minutes dated September 18; Final Public Budget Hearing Meeting Minutes dated September 19; Regular Monthly Meeting Minutes dated September 19 and an October disbursement of $1,229,445.70. Mrs. McCrystal made a motion to approve which was seconded by Dr. Weiss. The motion carried unanimously.
Ms. Cunningham stated that there was an addition to this evenings meeting agenda. Ms. Vicki Soule, CEO of Treasure Coast Community Health, will be providing their agency’s quarterly update.
District Counsel Report – Jennifer D. Peshke, Esq.
Ms. Peshke stated that all sublease agreements relative to the Gifford Health Center have been executed and they are working to finalize the agency funding agreement with We Care. Additional she has researched and prepared a memo to all Trustees, regarding options for investing the District’s surplus reserve funds.
Financial Statement Review – Allen Jones, Treasurer
Mr. Jones provided the finical statement review and stated that the District completed its fiscal year on September 30, 2019. As of September 20, the District’s bank accounts totaled $5 million and current liabilities for the month accumulated to $1.25 million. As the District moves into the new fiscal year, it will carry over funds of about $3.95 million. Of that total, $1.5 million is expected to be necessary to cover the District’s operating expenses, until the new tax receipts begin to be received. He explained that the balance of funds may be invested to earn additional income, until the funding requirements materialize. He further explained that in the past, the District has earned nominal amounts of money on its deposits and last year that amount totaled just under $18,000. In the last few years, the Trustees returned reserves to the tax payers and maintained minimal excess funds. However, because of the evolving nature of the District’s responsibilities, the Trustees have determined to carry more reserves than in past years and are developing more extensive interest-bearing investment policy. He and Ms. Suriano will be working to develop alternatives for the Trustees to consider. Lastly, he would like the public to be aware that the District’s millage rate is declining for the tax payers and the decline will likely accelerate when the responsibility for reimbursement to Cleveland Clinic ceases, at the end of fiscal year 2021. This year’s millage rate is .8011 which is down a little more than 12% from last year.
Funded Agencies Quarterly Report- Mental Health Collaborative- Brett Hall, Executive Director
Mr. Hall provided an updated on the Mental Health Collaborative who just finished its 3rd fiscal year. Their membership meeting took place in September and they reviewed the accomplishment for the year. First being their support of the 19th circuit guardianship program in Indian River County, which provides a guardian advocate for persons deemed incapable to handle their personal affairs, by the courts. To date, they have provided that support to over 120 people in the county over the last fiscal year. Additionally, the Behavioral Health Provider Group has met to help support therapist in the county and Collaborative has been able to provide seven free CEU’s classes to local clinicians. They are currently working to expand their CEU program to assist more clinicians in the county. Further, the Building Community Awareness Committee is working to reduce the stigma against mental health and they will be holding a Food Truck Frenzy at Riverside Park on Saturday, October 19th. Also, the Collaborative is involved in administering Mental Health First Aid, which is evidenced based program that teaches individuals to recognize signs and symptoms of mental health and substance abuse disorders. The course will be offered to the Trustees next February, with Mr. Hall administering the class. Lastly, Mr. Hall reviewed data concerning persons served at the McCabe Connections center and reviewed patient satisfaction data as well.
Funded Agencies Quarterly Report- TCCH- Vicki Soule, CEO
Ms. Soule provided the Trustees with some information relative to recent achievements TCCH has be awarded. She stated that TCCH has been re-awarded a three-year approval rating as a Patient Center Medical Home by the Accreditation Association of Ambulatory Health Care in July, 2019. Additionally. HRSA, the primary federal agency for improving health care to people who are geographically isolated, economically, or medically vulnerable, awarded an additional three years of grant funding to TCCH. They were also recognized by HRSA as a quality leader in 2018, placing TCCH in the top 30% of CHC’s (“Community Health Center”) national wide and a national quality leader in behavioral health services, which is awarded to fewer than 2% of CHC’s nationally. She further reviewed the HRSA quality measures scores for TCCH and how they compared to state and national average for other CHC’s. She further reviewed data relative to patient satisfaction and patient volumes.
Public Comment- There was no public comment.
Adjourn- The meeting was adjourned at 6:00 PM
Respectfully Submitted,
Ann Marie McCrystal
Secretary
