Indian River County Hospital District

RESOLUTION NO. 2018-01

RESOLUTION NO. 2018-01
of the
BOARD OF TRUSTEES OF THE
INDIAN RIVER COUNTY HOSPITAL DISTRICT
to
SELECT AND ENTER INTO A NON-BINDING LETTER OF INTENT WITH A PARTNER

WHEREAS, Indian River County Hospital District (the “District”) is a special taxing district created by the Legislature of the State of Florida, Chapter 2003-382, Laws of Florida and located in Indian River County, Florida.

WHEREAS, the District is organized and operated to establish, construct, purchase, operate, maintain and lease such health facilities and provide health and medical services as are necessary and desirable for the preservation of the health of the residents of the District and for the good of the public of the District, all of which is set forth in the District’s enabling legislation.

WHEREAS, the District is, among other things, the owner of real estate, facilities and fixtures leased to Indian River Memorial Hospital, Inc., d/b/a Indian River Medical Center (“IRMC”) for the operation of a medical center (the “Medical Center”) as set forth in that certain Amended and Restated Lease of Hospital Facilities and Agreement for Operation of Indian River Memorial Hospital dated November 15, 2012 by and between IRMC and District (the “Lease”).

WHEREAS, as a result of health care reform, consolidation of providers and outside factors beyond the control of the District and IRMC, the Board of Directors of IRMC has become increasingly concerned about its ability to remain competitive in long-term future as an independent, free-standing hospital.

WHEREAS, the Board of Directors of IRMC determined that it was in its best interest and in the best interest of the community that it serves to join an integrated health care delivery system in order to continue to improve quality and enhance access for the citizens of Indian River County, Florida and its surrounding regions and accelerate the building of a preeminent, regionally significant and locally-responsible health care delivery system that provides value- based health care services throughout the region.

WHEREAS, the District shares the concerns of the Board of Directors of IRMC that a relationship with an integrated health care delivery system is necessary to improve quality and enhance access to quality medical care for citizens of Indian River County, Florida and its surrounding regions.

WHEREAS, after a public, open and transparent evaluation process and with the input of its selected advisors, the Board of Trustees of the District (the “Trustees”) believe that

(the “Partner”) represents the best potential transaction partner to achieve the foregoing goals and objectives and to advance the District’s, IRMC’s and Partner’s combined missions through coordinated planning, effective allocation of resources and services, cost savings and

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integrated health care delivery in order to achieve measurable national-leading high quality care and best patient experience.

WHEREAS, the Trustees believe that the combination of IRMC and Partner into an integrated health system will benefit community residents of Indian River County, Florida and the surrounding regions, regardless of their ability to pay.

WHEREAS, after a parallel and similar public, open and transparent evaluation process and with the input of its selected advisors, IRMC also believes that Partner represents the best potential transaction partner to achieve the foregoing goals and objectives.

WHEREAS, the Trustees deem it to be in the best interest of the residents of the District and communities it serves to work collaboratively with IRMC and its Board of Directors toward the development of definitive terms and conditions of the duration, structuring and operation of an integrated health care delivery system on the terms and conditions of the proposed materials that Partner presented to the Trustees and IRMC as part of the evaluation process including possible amendments to the Lease (the “Proposed Transaction”).

NOW, THEREFORE, be it resolved:

  1. The recitals set forth above are true and correct, and are adopted as findings anddeterminations of the Trustees.
  2. Based upon the presentation materials submitted pursuant to the evaluation process described above, the Trustees select Partner as the organization with which the Trustees wish, on behalf of the District, to pursue the Proposed Transaction.
  3. The Trustees authorize the negotiation and execution of a non-binding letter of intent among the District, IRMC, and Partner for the Proposed Transaction (the “LOI”), which LOI shall include the following terms and conditions:
    1. The LOI shall be non-binding and no party will be entitled to any recourse, in the form of damages, or otherwise, if there is a failure, for any reason, of the parties to agree to or execute definitive, binding agreements for the Proposed Transaction.
    2. The Proposed Transaction shall be contingent upon:
      1. Satisfactory completion of legal, financial and other due diligence;
      2. Successful negotiation and execution of definitive agreements setting forth the binding terms and conditions of the Proposed Transaction (the “Definitive Agreements”);
      3. The parties’ obtaining any and all required internal approvals, including the approval by the Trustees and other respective governing boards;

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  1. The parties’ obtaining any and all required governmental and third party approvals; and
  2. Satisfaction or appropriate waiver of any and all other conditions to closing set forth in the Definitive Agreements.

c. The LOI will include the following binding terms and conditions:

  1. The District and IRMC shall negotiate exclusively with the Partner for a period of 90 days (the “Exclusivity Period”) regarding the Proposed Transaction.
  2. Each party will be responsible for its expenses, except that the Partner will incur the cost of any Hart-Scott-Rodino and any other antitrust pre-merger filing.

d. The LOI shall include such other terms and conditions as are customarily found in similar non-binding letters of intent.

  1. The Trustees authorize the Chairwoman of the Board of Trustees, in the name and on behalf of the District, to be their appointed representative and execute and deliver the LOI and to take such other actions as are necessary to carry out the intent and accomplish the purpose of the foregoing and the actions contemplated thereby.
  2. This Resolution shall take effect immediately upon its adoption.

Dated this 30th day of January, 2018.

ATTEST:

____________________________________ Ann Marie McCrystal, Secretary

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WILLIAM COONEY, M.D.

SEAT 7

William P Cooney M.D. 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   |   1/24-12/29

Origination: Elected (2 OC)

Occupation: Retired Surgeon

Email: w.cooney@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

KERRY BARTLETT

SEAT 6

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

Email: k.bartlett@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

KAREN DEIGL

SEAT 5

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   |   1/24-12/29

Origination: Elected 1 OC | Elected NOC

Occupation: President/CEO

Email: k.deigl@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

PAUL WESTCOTT

SEAT 4

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.


Term: 
1/23-12/26   |   1/21-12/24

Origination: Elected 1 OC 

Occupation: Attorney & Mediator

Email: p.westcott@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

CHUCK MACKETT, M.D.

SEAT 3

Charles “Chuck” Mackett MD is a practicing primary care physician who has a long and storied career in military, academic and executive medicine. Dr. Mackett recently retired from Cleveland Clinic Indian River Hospital where he served for fourteen years as Chief Medical Officer, Chief of Staff and President of Indian River Medical Associates. Dr. Mackett serves on the Board of Directors of the We Care Foundation of Indian River County and the Mental Health Collaborative of Indian River County. He currently cares for patients at Treasure Coast Community Health. These experiences give Dr. Mackett a unique perspective regarding mental health, substance abuse, maternal-child care, care for veterans, preventive medicine and access to high quality medical care.

Dr. Mackett is a graduate with honors from the University of Notre Dame and is a graduate from the SUNY Upstate Medical Center in Syracuse, NY. He is a member of the Alpha Omega Alpha National Medical Honor Society and earned his Master of Medical Management degree from Carnegie Mellon University. Dr. Mackett is trained in Aerospace Medicine and is board certified in Family Medicine and Geriatrics. He is a combat veteran, former Air Force Hospital Commander and flight surgeon who served in Germany, Haiti, Japan, Korea, Romania and Iraq. His many military decorations include two Legions of Merit, a Bronze Star Medal, a Defense Meritorious Service Medal and three Air Force Meritorious Service Medals. Dr. Mackett is an Outstanding Graduate of the Air War College.

A native of Upstate New York, Dr. Mackett and his family first moved to Florida in 1996 when he served as Fight Commander and Residency Program Director at Eglin Air Force Base before later serving as Medical Group Commander at Patrick and MacDill Air Force Bases. Dr. Mackett served as Associate Professor, Executive Vice Chairman of Family Medicine and Consultant in the International and Commercial Services Division at the University of Pittsburgh Medical Center before returning permanently to Florida and Vero Beach in 2009.

As a Hospital District Trustee, Dr. Mackett plans to advocate for improved access to mental health services and access to affordable high quality primary and specialty care for all residents of Indian River County particularly mothers, children, the elderly, the underserved and veterans.

Term: 1/24-12/29

Origination: Elected NOC

Occupation:  Primary Care Physician

Email: c.mackett@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

MICHAEL KINT

SEAT 2

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

Email: kintm.irchd@gmail.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

ALLEN JONES

SEAT 1

In 1973, Mr. Jones began a 27 year career with Merrill Lynch, eventually becoming a senior executive of the company, Senior executive positions included Chairman and CEO of Merrill Lynch Life Insurance Company, serving on the Private Client Executive Committee and various other leadership roles including leading the effort to transition Merrill Lynch to a fee based rather than commission based business. Prior to joining Merrill Lynch, Mr. Jones’ professional career began in the United States Air Force from 1964-1968, achieving the rank of Captain. He then worked with Investment Company Dabbs, Sullivan, Trulock located in Little Rock, Arkansas rising to partner before the firm was sold and joining Merrill Lynch. Mr. Jones received his B.S.B.A in 1964 from University of Arkansas. He further completed advanced management courses at the Kellogg School of Business at Northwestern University, the Wharton School of Business at the University of Pennsylvania and Stanford University. His past community service efforts include serving on the Board of Directors for the John’s Island Club from 2008-2010; Board of Directors for the Indian River Medical Center from 2007-2010; Chairman of the Indian River Medical Center Foundation from 2006-2010; Board of Directors of the Bedens Brook Golf Club; Board of Directors of the Princeton Community Hospital from 1994-1999 and the Chairman of the American Health Association, in Houston, Texas.

Term: 1/24-12/29

Origination: Elected 2 OC

Occupation: Retired CEO

Email: a.jones@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960