Indian River County Hospital District

Special Meeting Minutes: May 13, 2019

Special Meeting- GHC RFP Review Committee Indian River County Hospital District
May 13, 2019

COMMITTEE MEMBERS: Allen Jones Jennifer Peshke, Esq.
Ann Marie Suriano Lenora Ritchie

ATTENDEES: Tracey Zudans Ann Marie McCrystal
Kate Voss Marie Andress
Jennifer Frederick Michelle Genz
Pat Knipper

Convene Meeting -Ann Marie Suriano, Executive Director

Mrs. Suriano convened the meeting and welcomed those in attendance. Mr. Woolfork who was invited to participate on the committee, was not in attendance at the meeting due to a scheduling conflict. She stated that she was hoping that some members from the Gifford Community would have been in attendance at the meeting today so the committee could receive feedback from them on the proposals. This process has always been a collaborative effort and their feedback is important.

Discussion of Individual Proposals-

Mr. Jones stated that Healthy Start and VNA both submitted proposals to collaboratively support whichever entity is chosen to run the Center. Treasure Coast Community Health and Whole Family health submitted more robust proposals relative to providing primary care, along with other health services.

Ms. Ritchie stated that she once she reviewed the proposals, she felt that TCCH responded to the RFP request criteria, while the Whole Family proposal seems to address the community’s needs. She questioned where the criteria for services came from and Mr. Jones stated that the District sought those answers directly from the Gifford community members, primarily the Gifford Health Council, through various meetings and discussions involving the community. There was further discussion concerning the transition of the Health Department leaving Gifford Health Center and no longer providing primary care services.

There was further committee discussion surrounding the hiring practices for the patient navigator which the committee felt is going to be an integral position for the center, as that person will be the key to build trust within the community. Additionally, the group agreed this person should be well known within the community and have some medical knowledge. Ms. Ritchie questioned whether is would be possible for the District to hire this person and the committee felt that was worth exploring.

Mr. Jones provided his comments to the group and asked Ms. Andress if Whole Family would be willing to provide pediatrics at the Center which she indicated they would. As an explanation Mrs. Andress stated that Whole Family would provide a pediatric nurse and a pediatrician at the center five days a week. There was further discussion as to the cost for those services and Ms. Andress stated that their request outlines the centers budget over the next three years.

Mr. Jones questioned the practice of TCCH sending outstanding unpaid invoices to collections, which he felt caused additional burden to patients. Ms. Soule indicated that government regulations from HRSA require the clinic to collect payment from patients that are above 100% of the Federal Poverty level. The most efficient way for TCCH to collect those outstanding invoices is through a collection’s agency.

There was further discussion concerning total startup costs for each agency to get the clinic up and running. Ms. Soule indicated that she would need to amend her request due to the fact that there will be more equipment left at the center, than she anticipated. Ms. Andress stated that Whole Family will also have to amend their request to include the potential reimbursement from the District which would begin October, 2019, if they were awarded funding.

Mrs. Peshke asked for clarification concerning the 340B pharmacy program which provides pharmaceuticals to patients at a highly discounted rate. Ms. Andress stated that Whole Family does not receive Federal Grant funding but has a fully operational pharmacy and they participate in the 340B program. She further explained that patients seen at the GHC would be transported to their pharmacy at the Vero Beach center or in some cases, prescriptions can be delivered to their home. There was further discussion surrounding the safety standards at the pharmacies and if there would be a potential issue of opening a pharmacy at the GHC. Mrs. Soule indicated they have security measures in place and have never had any issues at their other locations.

There was further discussion surrounding the board of directors for TCCH and Whole Family. The committee asked for information concerning the make-up of the board and the types of members they recruit. As a Federal Qualified Health Agency and a look-a-like, both their boards are required to have 50% of its members be consumers at their centers. Additional they recruit community members as well, to have representation from the areas they serve.

The committee asked for further information surrounding the dental services that the agencies provide. Ms. Soule stated TCCH has three dental centers and provides services to adults
and children. Whole Family provides fluoride treatment to children when they visit the pediatrician and refer the patient to a local dentist or TCCH for additional services.

Ms. Peshke asked for clarification concerning patient satisfaction data from Whole Family Health. Ms. Andress stated that the center routinely provides satisfaction surveys to the patients and are required to do that in order to receive HRSA funding. Ms. Knipper stated that VNA has proposed in their RFP to provide the patient satisfaction competent for the GHC because the data they receive back from them is important to provide the best quality health care to the patients. The VNA has already been tracking much of this data through the mobile unit encounters.

Since Mr. Woolfork was unable to attend today’s meeting, the committee agreed that Ms. Suriano will need to meet with Mr. Woolfork to update him on today’s discussion. The committee does not feel like it is ready to make a recommendation until they have received feedback from Mr. Woolfork and the Gifford community. It was decided that any committee member who is available to do so, will attend the Gifford Health Council meeting on Tuesday May 14. Mr. Jones will provide an update to the Gifford Health Council concerning the RFP process and todays discussions, and seek additional community input. Additionally, Ms. Suriano will provide an update to the District Trustees at the May 15th Chairman’s meeting, and collect the revised proposals and budget from TCCH and Whole Family Health. Further, the committee plans to meet again on the 22nd to have further discussions, complete the evaluations and come to agreement for recommendations to the District Board of Trustees on May 28th. Lastly, on May 28th, the District Board of Trustees will meet to vote on the proposed recommendation from the RFP Review Committee.

Adjourn- The meeting was adjourned at 11:00 AM



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