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� � s care and support several preventative and primary health care programs such as the VNA mobile clinic and the Fellsmere Clinic. - The Board of Directors of Indian River Memorial Hospital, Inc. who manage the hospital and set up the operating policies consists of 13 members: 3 are appointed by the Hospital District Board of Trustees 3 are appointed by the IRMH, Inc. Board of Directors 3 are elected by the members of the Hospital Foundation (members who have contributed over $5 a year) 4 ex -officio members: Chief of Staff Vice Chief of Staff 1 member of the medical staff who is elected by the members of the medical staff President of IRMH, Inc., (Michael O'Grady) In response to a question by Commissioner Macht, Attorney Polackwich noted that the contract between the Hospital District and IRMH, Inc. requires that the Hospital District comply with the Sunshine Law and Public Records Act separate and apart from the contractual agreement. There is the question of whether they are required anyway, as a matter of law, to meet the Sunshine Law and the Public Records Act. There is an Attorney General's opinion on that says that depends on how much public function the Inc. Board does. Attorney Polackwich explained -that over the years, he and Bill Stewart, attorney for the IRMH, Inc. Board of Directors, have disagreed on this issue. He believed they are subject to the Sunshine Law and Public Records Act separate and apart from the contract. However, he did not believe they are required to comply with the financial disclosure laws. Commissioner Macht wondered if that should be part of the contract since so many of the physicians hold stock in competing companies such as the Surgery Center. There is a question of ethics if they are voting on behalf of the hospital at the same time they have common stock in competing companies like laboratories to which they refer patients. Commissioner Macht believed financial disclosure should be required and that the matter should be part of the renegotiation of the contract. Mrs. Ingram expressed the Trustees' appreciation of the support from the public. She has been on the Board of Trustees for 12 years, and there are so many good programs, preventive programs, that keep people out of the hospital and save the taxpayers' money. She urged people to attend the Hospital District Board of Trustees regular meetings because she felt it is very important that they understand and hear what is being done and not get caught up in one 5 MARCH 21, 1996 BOOK 97 PAGE 66 7 A