Indian River County Hospital District

Regular Monthly Meeting: September 23, 2021

County Commissioner Chambers/ Zoom
September 23, 2021 @ 5:30 PM

TRUSTEES: Barb Bodnar Kerry Bartlett
Ann Marie McCrystal Marybeth Cunningham
Michael Weiss Karen Deigl
Allen Jones- via Zoom

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

ATTENDEES- Gregory Rosencrance, MD. Roxanne Hall
Pat Knipper Myra Weiss

Convene Meeting – Marybeth Cunningham, Chair

Mrs. Cunningham convened the regular monthly meeting of the IRCHD at 5:30 PM by welcoming those in attendance and via Zoom.

Consent Agenda- Marybeth Cunningham, Chair

Mrs. Cunningham asked for a motion to approve the IRCHD/We Care Joint Meeting Minutes dated August 10; Chairman’s Meeting Minutes dated August 18; Regular Monthly Meeting Minutes dated August 19, Special Meeting Minutes dated August 26; and a September disbursement of $1,369,723.11. Mrs. McCrystal made the motion which was seconded by Ms. Deigl. The motion carried unanimously.

Presentation of Donation to CCIRH Foundation Mother/Baby Campaign- Marybeth Cunningham, Chair

Mrs. Cunningham stated that she had the pleasure of presenting a check from the District to the CCIRH Foundation for $500,000, in support of the Hospitals Mother/Baby Campaign. Dr. Rosencrance addressed the board and thanked them for their support. He stated that the District support of Partners and their commitment to the community is essential and he looks forward to seeing the District’s role in the community develop. He introduced Ms. Roxanne Hall, the President of the CCIRH Foundation, and she provided some additional comments. She stated that across the nation communities are losing access to hospital maternity care at a high rate, which is causing serious implications for pregnant women and babies. However, CCRIH is committed to providing exceptional healthcare and believes all women deserve the opportunity to receive the health management services during pregnancy, despite their ability to pay. With the support of the District and generous donors, CCRIH will be able to modernize and update the only women’s health and maternity hospital in the community by adding immeasurable value to women’s healthcare in Indian River County. Dr. Rosencrance stated that they anticipate closing the funding campaign at the end of the year and beginning renovations during the second quarter of 2022. Additionally, Dr. Rosencrance provided the Trustees with an update concerning COVID admissions at the hospital. Currently, there are 26 COVID-positive patients at the hospital, which is down from their peak of 111. He confirmed that they have adequate staffing and hospital beds for admissions. Additionally, he stated that the hospital has not suspended elected procedures or surgeries. As of Monday, the positivity rate in the county was at 13%, which is down from a peak of 26%. He anticipates that the rate will drop down further to 10% at the next reporting. Mrs. Cunningham recognized and thanked all the caregivers who are continuing to support the healthcare needs of the community.

District Counsel Report – Jennifer Peshke, Esq.

Mrs. Peshke stated that the District has had a few busy months with its budget process and meetings. Additionally, she is looking into a potential county ordinance change that may impact the IRC floodplain and stormwater code. This change could affect property the District owns within the hospital campus. She had followed up with the IRC Planning and Zoning committee and they are still considering this change. She will bring any updates to the board as soon as they are available.

Financial Statement Review- Allen Jones, Treasurer

Mr. Jones provided his report and stated that as of August 31st, the District has $7.8 million in cash and investments, less the monthly disbursement of $1.4 million. He anticipates that the District will begin the new fiscal year with around $5.5 million in funds. $1.3 million of that is committed to specific needs, which leaves contingency reserves of $4.2 million to begin the next fiscal year. He further explained that within the budget just approved, there are additional reserves available to address future healthcare needs. This has been accomplished methodically over the last several years beginning with the long-term stability achieved through the Cleveland Clinic partnership. Further, the District has been able to support these healthcare agencies throughout the county, without increasing the millage rate and being fiscally responsible with tax dollars.

Executive Director Report- Ann Marie Suriano, Executive Director

Mrs. Suriano stated that Kip Jacoby has separated from Morgan, Jacoby, Thurn, and Boyle and began his own private practice. Therefore, the District will transfer its records to his new practice and maintain his services performing the annual audit moving forward. Additionally, the District has been informed that the roof at the Gifford Health Center needs substantial repairs and that it should be completely replaced. Therefore, she is working with TCCH on reviewing proposals for the work and the funds for this project will be allocated into the FY 21-22 budget. Further, she has posted the internal audit and data analyst position on Indeed and is also working with LF staffing on finding suitable applicants. Daphne will continue to work part-time processing new financial assistance applications through the District’s financial assistance database, but reducing her hours to 10 hours per week, from home. Lastly, she was made aware that the Indian River County Board of County Commissioners voted to enact an ordinance establishing a Local Provider Participation Fund (“LPPF”), to assist in local hospitals covering unreimbursed Medicaid costs. She explained that this fund is very similar to the Low-Income Pool funding at the District provides each year to WFHC and TCCH. At the Commissioners meeting this week their board further voted to approve an assessment resolution for the three properties that will be subject to the special assessment. The assessment resolution and roll include payments to Cleveland Clinic Health System, Encompass Health, and Steward Health Care System.

New Business- VNA Funding Request- Pat Knipper, Director of Development

Ms. Knipper addressed the board and thanked them for the opportunity to bring this request before them. She explained that she is submitting a proposal for additional funding to support the VNA’s immunization program for homebound residents of IRC. The VNA for many years has held flu vaccine clinics and most recently assisted with providing the COVID-19 vaccine as well. Additionally, at the request of the Health Department, they began a COVID-19 vaccine program for the homebound and have continued to fund these services through VNA & Hospice Foundation donor funds. In an effort to continue to meet the needs of the homebound, the VNA is requesting $8,275 in funding for consideration by the District. This request is made up of administrative and clinical support staff expenses, upgraded travel coolers to maintain proper vaccine temperature, and supplies, which are unable to be absorbed by the VNA Foundation. There was Trustee discussion and Ms. Deigl indicated that Senior Resource Association worked collaboratively with Ms. Knipper and the VNA on this, and it’s a needed resource for those vulnerable individuals and families. There was further Trustee discussion and Ms. Deigl made a motion to approve which was seconded by Ms. Bodnar. The motion carried unanimously. Mrs. Suriano indicated that she will move funds from the District’s contingency reserve into the budget line for the VNA, so the expense is properly recorded.

Public Comment/Adjourn

There was no public comment and 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