Indian River County Hospital District

Regular Monthly Meeting: October 17, 2019

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



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