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Mr. Don C. Scurlock, Jr. Chairman Indian River County a Board of County Commissioners 1840 25th Street Vero Beach, Florida 32960 Dear Mr. Scurlock: /ndw /liver NenroAd Hospital 1000 38th Street 9 305-567-4311 Vero Beach, Florida 32960 Executive Director John T. Hoyt July 30, 1982 At its meeting held July 27, 1982, the Board of Trustees of the Indian River County Hospital District rejected a request from Aware Concerned Taxpayers that the Hospital District conduct pub- lic hearings during the month of August, 1982, on the -_issue of selling the Indian River Memorial Hospital. While endorsing the concept of public hearings on the issue of alternative forms of governance for the hospital, including its sale, the Board of Trustees rejected ACT's demand that the public hearings be held within such a short time frame. It is the opinion of the Board of Trustees that it would not be in the public inter- est for the Board to hold public hearings at this time beyond those already being held by the hospital's Building and Long Range Plan- ning Committee. It was the wish of the Board of Trustees that the Board of County Commissioners be advised of the basis of the Board of Trustees' opinion and the reasons for its rejection of ACT's request. As I explained to you in my letter of July 1, 1982, the Hos- pital District has commenced a broad range in depth analysis of alternative forms of governance for the Indian River Memorial Hos- pital with a view towards finding the form -which -will provide the highest level of health care in the most efficient and cost saving manner. This activity is being pursued currently by the hospital's select Building and Long Range Planning Committee with the assist- ance of TriBrook Group, Inc., a highly respected national hospital consulting firm. The Committee's task is a large and complex.one .which, in the first instance, requires education of Committee mem- bers with respect to hospitals in general and the economic climate in which they now operate and can be expected to operate in the future and, in the second instance, requires mature thought and reflection as to which alternative will be in the best interest of the community. The Committee is working on its task in a diligent and responsible manner but still has important ground to cover. The issues which must be dealt with in -reaching a conclusion on this -matter are varied. Some of the issues can be expressed by the following questions: Which form of governance will provide the highest quality of health care and best serve the health care needs of the entire community at a reasonable cost? Which form will be best able to provide affordable capital for facility expansion as the community grows? A IJ G 4 198273-A�xt�Ji F??