Indian River County Hospital District

Chairman’s Meeting: January 20, 2021



Indian River County Hospital District Conference Room/ Zoom

January 20, 2020

10:00 AM


TRUSTEES:                           Marybeth Cunningham                       Barbara Bodnar

Ann Marie McCrystal                         Allen Jones

VIA ZOOM:                           Karen Deigl                                          Michael Weiss


ABSENT:                               Tracey Zudans


STAFF:                                   Ann Marie Suriano                              Jennifer Frederick

Kate Voss                                             Jennifer Peshke, Esq.


Convene Meeting – Marybeth Cunningham, Chairwoman

 Mrs. Cunningham convened the Chairman’s meeting of the IRCHD Board of Trustees at 10:00 AM by welcoming those participating via Zoom and in person.


Mental Health Association Semi Annual Update- Angela Guzenski, COO

Ms. Guzenski introduced Ms. Sheana Firth, the Chief Brand Officer and Director of Marketing and Philip Cromer, PhD., the new Chief Executive Officer. She provided a review of the Walk-In Center and support group service activity data from Oct-Dec, 2020.  She explained that about 40% of these services are conducted through telehealth. Additionally, MHA has hired a new clinical director, Ms. Jessica Olsen, who has been a strong addition to their team. She further reviewed data concerning the clinical outcome measurers at the Walk-In Center and stated that the clinical team conducted 56 suicide risk assessments. 64% of clients discharged in the last quarter of 2020 ended care with a favortiable disposition. She also reviewed client satisfaction survey results from the Walk-In Center as well. Ms. Firth provided an update concerning the Vero Drop-In Center and discussed client satisfaction data. Through the first quarter there were 1605 member visits. Ms. Guzenski reviewed MHA’s financial data and stated that they received some private donations which have helped sustain the center during COVID. They were also awarded CARES Act funding and a PPE loan. She also provided an update concerning the Middle and High School Violence and Suicide Prevention program. She reviewed data on the same and discussed the challenges they faced with implementing the program during COVID. Ms. Jeanne Sheppard addressed the board and provided further insight as to how the COVID pandemic has placed a community wide focus on mental health. She explained that early on, MHA decided that they would not close any of their centers and chose to instead reduce hours of operation and limited the number of members inside. With the Walk-In Center remaining open, they saw a 30% increase in walk-in patients. They were also able to quickly adapt to telehealth delivery methods from CARES Act funding and plan on utilizing these new methods moving forward. Lastly, Dr. Comer introduced himself to the board and thanked the Trustees for their support.


Agreed Upon Procedures FY 18-19 Review- Kip Jacoby, CPA

Mr. Jacoby provided a summary overview of the agreed upon procedures. He explained that the biggest issue they found was providing proof of residency. The District staff has implemented a better system of acknowledging those issues and providing a write up of the same within the notes section on the database. He stated this year’s exception rate was at 7%, which was much better than 11% from the previous year. It was further discussed that the District has amended their proof of residency guidelines to combat this issue and should have less exceptions for fiscal year 19-20.


Other Business

Mrs. Cunningham announced that Mrs. Zudans submitted her letter of resignation to the board. Mrs. Suriano stated that she has notified the Governors Appointments office and they will have 45 days to fill the vacancy, from the date of her resignation. There was Trustees discussion surrounding the matter of a Trustee taking a leave of absence, instead of resigning. Mrs. Peshke stated that she would research the matter and follow up with the board.

There was group discussion surrounding the COVID-19 vaccine and its availability in the county. There was also discussion concerning home health workers having access to the vaccine, due to their work with direct patient care. Mrs. Soule stated she has spoken with Mrs. Hawker and she is working on a plan to address this need. Unfortunately, at this time, the demand for the vaccine is much greater than the supply.


Public Comment & Adjourn

Mrs. Cunningham asked for additional public comment and there was none. The meeting was adjourned at 12:10 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