In Indian River County, more than a decade of mistrust, suspicion and public controversy fed local headlines. This history colored interactions between the Indian River County Hospital District Board and the Board of Indian River Medical Center, creating a strained working relationship as the two entities struggled to share governance of the hospital.

Indian River Medical Center is located in Vero Beach, Florida, and was a 285-bed acute care facility with $230M in annual net patient revenue. This facility earned robust philanthropic support and hosted cardiac and cancer centers of excellence.