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-I BOOK 97 PAGF. 6 d 0 to the subject at hand, which is the Hospital District Board of Trustees and their relationship to the IRMH, Inc. Board of Directors. Ital Veron, 280 Peppertree Drive, Indian River Shores, felt this joint meeting is a wonderful thing. However, he felt we should keep in mind that these problems started years ago. In the last 10 years the rate at the hospital has quadrupled resulting in an increase to the taxpayers of 12.7%, which is a lot of money. No one wants to see anything but quality care for everyone in this county, including indigents, but they do not believe it is being provided at the very lowest cost. They do believe that a great deal of erosion has happened on the District Board over the years. It seemed to him that the Inc. Board of Directors is calling the shots. He felt that all of the changes suggested by Commissioner Macht should be considered, such as making the IRMH, Inc. Board of Directors an advisory board only. Alan Seed, 200 N. Camelia Ct., a financial consultant, announced that he is filing tomorrow to run for a seat on the Hospital District Board of Trustees. With regard to judgment on the Everglades Memorial Hospital case, he felt sufficient control involves decision making, authority and power. His recommendation ' would be to renegotiate the lease or replace it with either a new lease or a purchase/sale agreement which does have control mechanisms embodied in it. The renegotiated document should include budgetary approval of general rate increases and indigent care reimbursement rate. Mr. Seed pointed out that in the past, the IRMH, Inc. Board of Directors has told the Board of Trustees what the deal is going to be. It should be that the Trustees tell the Inc. Board what the deal is going to be because it is the Hospital District Board of Trustees that represents the public's interest. To that end, Mr. Seed wanted to see the hospital returned back to the public sector and not see it operated with the primary goal of making money so that they amass $6 million. He wanted to get the hospital back so that they are providing medical excellence at the lowest feasible cost to the patient and the taxpayer. Ailf Wood, 5151 AIA, felt that this meeting materialized due to concerns voiced by the public for the last couple of years regarding excessive bonuses, salaries, hospital costs and rates for indigent care costs. These things have had an effect on the taxpayers. 8 MARCH 21, 1996