Indian River County Hospital District

Special Meeting Minutes: April 7, 2020

Zoom Application
April 7, 2020
11:30 AM

TRUSTEES: Marybeth Cunningham Karen Deigl
Ann Marie McCrystal Tracey Zudans
Allen Jones Barbara Bodnar
Michael Wiess

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

OTHER PARTICIPANTS: Patricia Knipper Janet Begley
Marie Andress Vicki Soule

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the Special meeting of the IRCHD Board of Trustees at 11:30 AM by welcoming those participating via Zoom. She reviewed the regulations for conducting a meeting remotely as outlined in Governor DeSantis’ Executive Order 20-69.

Update on COVID-19- Marybeth Cunningham

Mrs. Cunningham provided an update concerning impacts from COIVD-19 on the local community. She provided data with regard to those being tested and treated at Cleveland Clinic Indian River Hospital. Dr. Rosencrance indicated to her that the hospital currently has enough personal protective equipment for its staff. Additionally, they will continue with the agreed upon employee raises this month, and have offered housing for caregivers free of cost.

Review of Funded Organization Current & Anticipated Financial Needs- Ann Marie Suriano

Ms. Suriano stated that the District has received two funding requests from local agencies relative to the COVID-19 pandemic. The VNA has submitted a request in the amount of $33,500 for the purchase of 40,000 surgical masks for their care givers. Additionally, Ms. Knipper submitted a funding request of $38,023.07 which is inclusive of additional extraordinary salary expenses and equipment to operate the VNA Mobile Unit. There was further Trustee discussion and they asked Ann Marie to obtain additional information concerning the salary request, however Trustees did agree to fund the request for personal protective equipment and other items as required to continue using the mobile unit at the Walmart parking lot, during this time.

The second request came from New Horizons in the amount of $10,000 for the purchase of 20 iPads to provide telehealth services to their patients. There was further Trustee discussion concerning this request. The Trustees questioned the use and purpose of the iPads and if they were for patients and staff. Additionally, what safeguards were in place if the equipment were to be lost or stolen. The trustees asked Mrs. Suriano to follow up with Mr. Shopland to obtain further information before approving the funding of this request.

Mrs. Suriano stated that included with today’s agenda were a few additional updates from other funded agencies and how they were dealing with the COVID-19 pandemic. Lastly, she stated that no other funding requests relative to COVID-19, have been submitted at this time.

Budget Situation and Available Reserve Funds- Allen Jones

Mr. Jones provided the Trustees with a review of the District finances. The District accounts total approximately $12.6 million, with $7.6 million to be used for the remainder of the fiscal year. There is also approximately $1.5 million to carryover in reserves. Mr. Jones stated that the District is in sound financial condition to help assist with any extraordinary requests due to the COVID-19 pandemic. Additionally, Mrs. Suriano referenced the remaining funds left in the current fiscal year budget for TCCH; WFHC; VNA; MHA; and We Care.

Mrs. Suriano discussed how the funded agencies’ March invoices were relatively average but both TCCH and WFHC expressed that patient volumes have decreased due to COVID-19 and there may be a cash flow issue. She believes that most agencies have applied for any government assistance grants to help with operations and payroll. Mrs. Suriano proposed that in April, fee for service funded agencies be paid on their last 5-month average. The Trustees agreed with her recommendation.

Upcoming Budget Process Discussion- All

Mrs. Suriano explained that due to the stay at home order issued by the Governor and the uncertainty of meeting in-person, the Trustees should discuss future plans on how to best conduct the review and discussion of the upcoming agency funding requests and budget workshops. The fiscal year 20-21 funding applications are due at the end of April, and the District has already received some requests to extend that deadline. There was further Trustee discussion concerning these upcoming meetings and it was decided that all budget presentation workshop meeting would be cancelled. Mrs. Suriano, Mrs. Frederick, and Mr. Jones will discuss and present a process for moving forward on how to best circulate and review these requests, for the Trustees. Additionally, it was decided that all funded agency semiannual reporting will be postponed until further notice.

Other Business-

The Trustees discussed the holding of future District meetings. It was decided that the Board will meet virtually every Tuesday at 10:00 AM, to discuss any new business and any funding requests relative to COVID-19. Additionally, the Regular Monthly meeting will also be held virtually on the third Thursday of each month, with a start time of 4:00 PM. Ms. Voss will continue to notify all funded agencies of the meetings each week, along with updating the District website with the same information. She will also maintain publishing the meeting notices in the legal section of the newspaper as required through the Sunshine Law.

Adjourn- There was no public comment and the meeting was adjourned at 12:45 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