North Okanagan/Columbia Shuswap Regional Hospital District Present: Absent: Guests: Call to Order

NORTH OKANAGAN/COLUMBIA SHUSWAP REGIONAL HOSPITAL DISTRICT

Minutes of a Regular meeting of the North Okanagan/Columbia Shuswap Regional Hospital District Board held October 25, 2016 in the Board Room of the ReQional District of North Okanaaan

Note: The following minutes are subject to correction when endorsed by the Board at the next Regular meeting,

PRESENT: R. Martin, Chair Area E, CSRD Directors: P. Demenok Area C, CSRD M. Macnabb Area C, RDNO R. Fairbairn Area D, RDNO H. Halvorson Area F, RDNO D. Dirk District of Coldstream, RDNO H. Cameron Area E, RDNO C. Eliason City of Salmon Arm, CSRD N. Cooper City of Salmon Arm, CSRD J. Brown Township of Spallumcheen, RDNO A. Mund CityofVernon,RDNO J. Cunningham CityofVernon,RDNO C. Lord CityofVernon,RDNO L. Parker Area B, CSRD H. Halvorson Area F, RDNO G. McCune City of Enderby, RDNO

Staff: C. Hamilton Secretary L. Shykora Deputy Mgr., Corporate Admin. (Recorder) J. Pierce Manager, Financial Services

ABSENT: S. Fowler City of Armstrong, RDNO K. Acton Village of Lumby, RDNO M. McKee City of Revelstoke, CSRD T. Rysz District of Sicamous, CSRD B. Quiring CityofVernon,RDNO B. Fleming Area B, RDNO

GUESTS: P. du Toit Interior Health D. Gournough Interior Health K. Peters Interior Health

CALL TO ORDER:

Chair Martin called the meeting to order at 10:01 AM. NORTH OKANAGAN/COLUMBIA SHUSWAP HOSPITAL DISTRICT BOARD MEETING MINUTES October 25, 2016

ADOPTION OF MINUTES

H2016-109 M/S Directors Cunningham/Macnabb THAT: ADOPTION OF the minutes of the March 22, 2016 North Okanagan/Columbia Shuswap MINUTES Regional Hospital District Board meeting be adopted.

Discussion: Staff noted the correct spelling of Director Macnabb's surname.

CARRIED

BUSINESS ARISING FROM THE MINUTES

DELEGATIONS

INTERIOR HEALTH Mr. Peter de Toit, Interior Health, introduced Dan Goughnour, Director, Business Support, Hospitals and Communities - Central. Mr. Goughnour has assumed the Interior Health position, previously held by Mr. Scott Bowen.

Mr. Kevin Peters, Head, Pharmacy, Laboratory & Radiology, Vernon Jubilee Hospital attended the meeting to provide a Report on the New Pharmacy, Vernon Jubilee Hospital (Benefit Analysis). A Powerpoint presentation contained highlights of the project as outlined in the October, 2016 Report: by Richard Harding and circulated with the Agenda. The summary of the presentation provided background to the Vernon Jubilee Hospital Pharmacy Project, funding and costs: Project Highlights: Improved physical environment to meet standards, regulatory and licensing requirements and to meet the needs of future growth atVernon Jubilee Hospital; Photographs showed the 'before' and 'after' of areas within the updated pharmacy, for example mixing of chemotherapy and jntravenous medications, a confidential/private patient counselling area, and a secure electronic storage and tracking of controlled substances area; The project has culminated in enhanced efficiencies and has greatly improved staff morale.

Mr. Peters responded to several questions.

Dan Goughnour, Interior Health attended the meeting to provide a brief update on VJH Poison Tower Expansion - Financial Report at October, 2016, summarized in a Powerpoint presentation.

Page 2 NORTH OKANAGAN/COLUMBIA SHUSWAP HOSPITAL DISTRICT BOARD MEETING MINUTES October 25, 2016

The Board was advised that the projected overall savings had been projected at $4.7 million; the current overall projected is $5 million dollars.

Chair Martin thanked Mr. Peters and Mr. Goughnour for attending the Board meeting to make the presentations and to answer questions of the Board.

CORRESPONDENCE Letter dated May 26, 2016 from B. Koster, Director Business Support, Capital Planning re: 2015-2016 Global Grant.

• For information.

Letter dated August 2, 2016 from B. Koster, Director Business Support, Capital Planning, Interior Health re: Closed Projects/Major Equipment

• For information.

Copy of Response Letter from Deputy Minister of Health dated August 5, 2016 to Chair, Comox Strathcona Regional Hospital District • For Information. and

Letter from the Comox Strathcona Regional Hospital District Chair dated June 28, 2016 re: Hospital District Act - Cost Sharing Authority • Request to Minister of Health for update to Hospital District Act to reflect recommendations from the 2003 Ministry of Health Review. • Ministry of Health Health Review, 2003 Executive Summary . circulated with Agenda, for reference. • For information.

Letter from Chair E. Malzer dated April 26,2016 - Response to NOCSRHD Resolution requesting a Scope Audit of Interior Health.

Copy of Letter from Chair Martin dated April 25, 2016, circulated with agenda package, for reference.

• For information.

Letter from BC Emergency Health Services dated September 22, 2016 re: Community Paramedicine Initiative - Interior Health

Update on status of recruiting and placing community paramedics in communities within Interior Health selected for initial rollout of the Community Paramedicine Initiative.

• For information.

Additional Correspondence Item: News Release dated October 24, 2016 - New Board Chair John O'Fee named for Interior Health effective January 1,2017. Page3 NORTH OKANAGAN/COLUMBIASHUSWAP HOSPITAL DISTRICT BOARD MEETING MINUTES October 25, 2016

For information.

H2016-110 M/S Directors Dirk/Lord THAT: the correspondence contained on the October 25, 2016 agenda be received.

Discussion: Several Directors commented on the response letter from the Chair, Interior Health in relation to the NOCSRHD resolution requesting a Scope Audit of Interior Health: Remarks that local governments are charged with community health initiatives such as smoking cessation, water service, improved road networks to promote healthier lifestyles, land use planning (example of approving production plant, may result in air quality issues) - when issues arise the local government is left holding the bag; Interior Health is not involved at this level; It is difficult to pinpoint where Interior Health responsibility starts and stops, comments on the overlap with local government and some provincial ministries where Interior Health has authority but may step away, examples of water quality testing, air quality matters; Mr. du Toit commented from an Interior Health perspective and pointed out that Interior Health has legislated requirements to follow (such as the Drinking Water Act, Public Health Act, etc.); Mr. du Toit acknowledged the comments of Board members, advising that much of the funding is mandated from the Ministry of Health and is essentially designated to keep people healthy and to avoid hospital stays, as laid out in Interior Health's (5) five steps strategic plan.

CARRIED

Other:

Mr. du Toit advised that Interior Health would provide information to the Board at its next meeting, on the following topics:

• Outcomes in relation to capital expenditures: ie surgical wait times, measurement of infectious disease spread, current situation and statistics on the number of long term care beds/population.

Mr. du Toit suggested that Public Health Inspection representatives be invited to the next Board meeting.

Page 4 NORTH OKANAGAN/COLUMBIA SHUSWAP HOSPITAL DISTRICT BOARD MEETING MINUTES October 25, 2016

REPORTS

H2016-111 Report from J. Pierce, Manager of Financial Services, dated October 6, 2016NOCSRHD 2016. FINANCIAL UPDATE For information.

Ms. Pierce provided an overview of the Year to Date Financial Summary contained in the Report, advising that expenses on some projects won't be finalized for some time; an assessment of conversion to long term debt will be considered at that time.

M/S Directors Cunningham/Macnabb THAT: the report from J. Pierce, Manager of Financial Services dated October 6, 2016 re: 2016 Financial Update, be received.

Discussion: In response to questions about renewing long term debt given the current low interest rate; staff confirmed there are no debentures that can be renewed at this time or in the immediate future; The total debenture debt is approximately $6.7 million; the rate fluctuates depending on the time of issue.

CARRIED

DATEOF NEXT MEETING

Tuesday, March 28, 2017 at 10:00 a.m. - Board Room, Columbia Shuswap Regional District, 555 Harbourfront Drive NE, Salmon Arm, B.C.

ADJOURNMENT

H2016-112 M/S Directors Macnabb/Parker THAT: the October 25, 2016 meeting of the North Okanagan/Columbia Shuswap Regional Hospital District Board be adjourned.

CARRIED

CERTIFIED CORRECT

SECRETARY CHAIR

Page 5 NOCSRHD BOARD REPORT

TO: Chair and Directors File No: 8900 55

FROM: Jodi Pierce Date: March 8, 2017

Manager of Financial Services SUBJECT: 2016 NOCSRHD Year-End Financial Statements

RECOMMENDATION: THAT: in accordance with the Local Government Act, the 2016 NOCSRHD Year End Financial Statements be approved.

APPROVED for Board Consideration: 0^4- Ik^ll-^ Meeting Date: March 28, 2017 Charles Hamilton, CAO

SHORT SUMMARY:

The Canadian Auditing Standard 700 states that "The auditor's report shall be dated no earlier than the date on which the auditor has obtained sufficient appropriate audit evidence on which to base the auditor's opinion on the financial statements, including evidence that those with the recognized authority have asserted that they have taken responsibility for those financial statements."

The attached draft financial statements have been provided to BDO Canada LLP on which to base their audit, and as such are subject to change. If necessary, a final copy of the 2016 NOCSRHDYear End Financial Statements will be distributed to Directors at the beginning of the Board meeting.

Mrs. Angle Spencer, BDO Canada, will review the 2016 Financial Statements at the Board Meeting.

Unweighted Weighted D Stakeholder VOTING: Corporate Corporate (Weighted)

POLICY:

The Year-End Financial Statements must be approved as required by section 376(1) of the Local Government Act.

LIST NAME OF REPORT(S) / DOCUMENT(S): Attached to Available from 1. 2016 Draft Year End Financial Statements Agenda Staff: Summary: _D_

DESIRED OUTCOMES: That the Board approve the 2016 NOCSRHD Year End Financial Statements.

Page 1 of 2 Board Report 2016 NOCSRHD Financial Statements March 28, 2017

BOARD'S OPTIONS:

1. Endorse the Recommendation

2. Any other action deemed appropriate by the Board

COMMUNICATIONS:

The approved financial statements will be distributed to member Municipalities and various Provincial Ministries no later than June 30, 2017 and also posted on the CSRD website.

Page 2 of 2 North Okcyilgan Columbji^Shuswa^i Regional Hl|s»pital Dplfict Financial Statements^ For the year ended December 31,2016

Contents

Management's Responsibility for Financial Reporting^ /<©? 1

Independent Auditors'lReport ^ 2

Financial Statetrtehts % '%. ^®

StatemenifeofeFinancial Position? ./ i:y 3

Statement of Operations.^:"" "'""'•' :.' 4

.Statement of Change in|Net Debt and Accumulated Deficit 5

Statement ofe Cash Flows yw; ^' 6

Summary of SignjficantAccQQntmg Polrc^^ 7

Notes to FinanciatStatements 8-10

Schedule of Debt^ 11 North Okanagan Columbia Shuswap Regional Hospital^District Statement of Financial Position

December 31 2016 2015

Financial assets .-•'-...• %.:v

Cash $ , 451,852 $ 42^.563 Investment funds - Municipal Finance Authority (Note 1) 4,329,466 4,403t%6 ] Accounts receivable 17,295 11,562^,, -A Due from member municipalities 750,246 750,2461-: Deposit and demand notes - MFA (Note 2) 2,949,317 2,921,60^

8,498,176 8,514,081

Liabilities

Accounts payable 539,703 2,078,656 Accrued MFA interest payable 750,24& 750,246 MFA debt reserve (Note 2) 2,949,317 2,921,604 Temporary borrowing (Note 3 and Schedule);; 3,054,000 1,166,000 Long-term debt (Note 3 and Schedule) 68,906,864 71,565,498

76,200,130 78,482,004 Net debt and accumulated deficit ^ (67,701,954) $ (69,967,923)

Treasurer

The accompanying summary of significant accounting policies and notes are an integral part of these financial statements. North Okanagan Columbia Shuswap Regional Hospital District Statement of Operations

For the year ended December 31 2016 /' 201 &

Revenue Actual Actual Requisition on member municipalities City of Armstrong 213,880 210,730 City of Revelstoke 466,403 M43.216 District of Salmon Arm 955,004 917,413 District of Sicamous 216,605 225,835 City of Enderby 109,362 109,63fis City of Vernon 2,531,993 2,512,310 District of Coldstream 618,040 599,721 Township of Spallumcheen 273,159 271,576. Village of Lumby 80,140 80,563^ Electoral Areas 1,937,624 1,932,775 Little Shuswap Indian Band 52,676 52,000 Adams Lake Indian Band £18,800 18,337

7,473,686 7,374,114

Payments in lieu of taxes 20,696 22,197 Interest 31,429 40,830 Actuarial adjustments on MFA debt ,463,417 361,162

7,989,228 7,798,303

Expenses Administration 72,055 72,000 Audit 4,830 4,809 Director's remuneration 5,640 5,590 Director's travel ' : 2,028 2,089 Project - Vernon Jubilee Hospital s | 802,631 3,520,189 Project - ShuswajyLake Hospital ' ; 131,885 238,259 Project - QyeenYictoria Hospital /, 143,534 Project- Regional /^h 113,436 180,209 Equipment - Vernon Jubilee Hospital 228,338 702,124 Equipment - Shuswap t-ake Hospital 92,130 422,706 Equipment - Queen Victoria Hospital (800) 116,476 Equipment - Regional 155,563 48,633 Interest on short-term debt '; /' 38,264 4,735 Interest on long-term, debt ; . 3,327,700 3,327,700 Supplies . : ; 380 Staff travel 325 345 Section 20-2 funding - Interior Health Authority 605,700 624,600

5,723,259 9,270,844

Annual surplus (deficit) $ 2,265,969 $ (1,472,541)

For the year ended December 31 2016 2016 2015

Budget Actual s^., Actual

Annual surplus (deficit) $ (1,997,367) $ i 2,265,969 $ (1^2,541)

Net debt and accumulated deficit, beginning of year (69,967,923) (69,967,923) (68,495,382)

Net debt and accumulated deficit, end of year $ (71,965,290)^$ (67,701,954) $ (69,967,923)

Net debt and accumulated deficit represented by: Cash and investments 4,781,318 4,830,669 Other current fund (522,408) (2,067,094) Debt recoverable from future taxation (Note 3) (71,960,864) (72,731,498)

Net debt and accumulated deficit, end of year $ (67,701,954) $ (69,967,923)

For the year ended December 31 2016 ^2015

Operating Annual surplus (deficit) $ 2,265,969 $ (1,472,^41)

Decrease (increase) in accounts receivable (5,733) 31 ,831 Increase (decrease) in accounts payable (1,538,953) 1 ,768 ,228

721,283 327 ,518

Investing

Decrease in investment funds 73,640 865 ,624

Financing Long-term debt retirement (2,658,634) (2 ,556,378) Short-term debt issued 1,888,000^ 1 ,166,000

(770,634) -a ,390,378)

Net change in cash and cash equivalents 24,289 (197,236)

Opening cash and cash equivalents 427,563 624 ,799

Closing cash and cash equivalents $ 451,852 $ 427,563

December 31, 2016

The North Okanagan Columbia Shuswap Regional Hospital District ("Regional Hospital District") is a governing agency for the hospitals in the North Okanagan Columbia Shuswap region and is inGorporated under the Hospital District Act. Its principal activities are to finance capital construcfjon projects and capital equipment purchases for health care facilities within the Regional Hospital District.

Management's The Regional Hospital District financial statements have been prepared by Responsibility for the management in accordance with the recQmmendatibns of the Public Sector Financial Statements and Accounting Board ("PSAB") of the^Canadian Institute of Chartered Basis of Presentation Accountants and include all funds belonging to the economic entity of the Regional Hospital District. -^ ^

Revenue Recognition The Regional Hospital District does not accrue grants receivable for equipment and construction. Grants are recorded only when received.

Taxation revenues are recognized at the time the property,tax requisitions for the fiscal yearbecpme receivable. ;. ,<./

MFA Debt Reserve The MF^requires a cash contribution of 1% of th&face value of debt when issued. The MFA:debt reserve-veai-ns interest income and is used to pay expenses of the debt issue,. Any remaining^alance will be returned to the Regional Hospital District atthe maturity of the underlying debt issue.

Use of Estimates The financial statements of the Regional Hospital District have been prepared by management in accordanpe with Canadian public sector accounting standards. As such, management is required to make estimates and assumptions that affect thp amounts reported in the financial statements and accompanying, notes. Actual results could differ from those estimates. The financial'estimates have, in management's opinion, been properly prepared fusing careful judgment within reasonable limits of materiality and within the framework of the accounting policies identified.

Long-term Debt Long-term .debt is recorded net of any sinking fund balances. Debt service charges/including principal and interest, are charged against current revenue in ttie period incurred. North Okanagan Columbia Shuswap Regional Hospital District Notes to Financial Statements

December 31, 2016

1. Investment Funds

The investments totalling $4,329,466 (2015 - $4,403,106) are held under the name of tb&yColumbia Shuswap Regional District. They are held with the Municipal Finance Authority and are invested in money market funds; as such, fair market value is equal to carrying value. The 2016 annual rate of return was .79t%:(2015 - ,85%)|

2. MFA Debt Reserve Deposits and Demand Notes

The MFA administers the debenture debt of the Regional Hospital District.vAs a condition of these borrowings, a portion of the debenture proceeds are withheld as a debt reserve fund;

3. Debt Recoverable from Future Taxation

These financial statements only recognize that proportion of the equipment and Construction grants that the Regional Hospital District is obligated to finance through future taxation.

/-' .':•.'.•.-'

Grants to hospitals will be amortized to tl'ieextent oftheiprincipal payments and the increment in the sinking fund for the related debt. Grants that are fully amortized are removed from accumulated amortization figures.

The debt recoverable from future taxation has been calculated as follows: 2016 2015 Long-term debt: :^ ,< ••„>•' --' Queen Victoria HOC Residential Care Facility '•./;; •'.",,.."' 1,329,843 1,329,843 Pleasant Valley Manor firefalarm ^ \ 3,822,900 3,822,900 Shuswap Lake General Hospital Geothermal heat/copling 651,399 651,399 Vernon Jubilee Hospital Diagnostic/Treatment building (MFA issue 106) 27,280,235 27,280,235 Vernon Jubilee Hospital Diagnostic/Treatment building (MtFA issue 116) 30,586,554 30,586,554 Shuswap Lake General Hospital Phase 1 Renovations 7,480,000 7,480,000 Vernon Jubilee Hospital two: additional shelled infloors 10,500,000 10,500,000 Vernon Jubilee Hospital Infrastructure Modificatiohs 1,500,000 1,500,000 Less accumulated amortization (Note 4) (14,244,067) (11,585,433)

68,906,864 71,565,498 Short-term debt: Vernori Jubilee Hospital /'', 3,054,000 1,166,000

Debt recoverable from taxation $ 71,960,864 $ 72,731,498 North Okanagan Columbia Shuswap Regional Hospital District Notes to Financial Statements

December 31, 2016

4. Accumulated Amortization

The accumulated amortization balance has been calculated as follows:

2016 2015

Balance - beginning of year $ 11,585,433 9,029,055; Principal payments applied in the year 2,195,217 2,195,216. Actuarial adjustments 463,417s 361,162 Balance -end of year ^.14,244,067^$ 11,585,433

5. Budget

The scope of the financial activity reported in the Statement of Operations; is not the same as that reported in the Annual Budget. For comparative purposes, actual financial activities have been; summarized below; in the same manner as was budgeted. .; :;' "'^

2016 2016 Actual Budget Revenue Tax requisition total $ 7,402,210/SP 7,402,210 Other revenue - Agreement - Indian Bands 71,476 70,800 Payments in lieu of taxes 20,696 22,200 Interest .,/', 31,429 40,000 Actuarial adjustment on MFA debt ^' ,; :., > 463,417 463,417

^7,989,228 7,998,627 Expenses Debt Debenture debt - interest and expenses 3,327,700 3,410,575 Interim borrowing interest 38,264 32,000

Administration Expenditures 84,880 87,000

Capital Expenditures Capita] Projects 302,823 600,000 Capital equipment i^! 378,803 1,367,800 .-''Maintenance and equipment < $ 100,000 605,700 605,700 Gapital Equip/Projects - carried forward from prior year 985,089 3,892,919

5,723,259 9,995,994

Annual surplus (deficit)/^ ;' 2,265,969 (1,997,367)

plus: Transfer (to) from accumulated deficit (1,495,335) 297,000 Proceeds from issue of debt ,-- 1,888,000 4,359,000 Debenture debt - principal ; , ,, (2,195,217) (2,195,216)

less; ^ /. Actuarial adjustment (463,417) (463,417) Financial plan balance $ - $ North Okanagan Columbia Shuswap Regional Hospital District Notes to Financial Statements

December 31, 2016

6. Commitments

a) The Hospital District has committed to the following expenditures which have been approved by.the; Interior Health Authority and the Regional Hospital District Board and are to be financed from reserve funds: . ' ,'

Total Unexpended Vemon Jubilee Hospital - Diagnostic Imaging Redesign (planning) $ 60,000 $ 60,000? - Inpatient Psychiatry Redevelopment (planning) 60,000 60,000 - Plumbing Replacement ,-'; 39,960 39,960 - Pneumatic Tube Station 27,200 27,200 -Vocera /'•• / ! 60,000 282 - Chemistry Analyzer 58,000 58,000 - Table, Surgery 57,600 57,600 - Chillers in South Tower ,< - 480,000 177,177 - Multipurpose System ,;' 470,000 288,071 - General Radiographic System ' 246,800 246,800 - Laser, C02 78,000 78,000

Shuswap Lake Hospital - Boiler Heating Water System Upgrade :; ,^::, 140,000 10,240 (Salmon Arm) - Radiologist Diagnostic Monitor Replacement 17,000 17,000 - General Radiographic System 218,800 153,140 - C-Arm 106,000 106,000

Queen Victoria Hospital - Replace Steam Boiler 180,000 36,466 (Revelstoke) - Ultrasound'^ ~^ 58,400 2,720 - Replace Isolatidri.Transformers 120,000 120,000 - Wireless -Infrastructure Refresh 8,000 8,000

Regional - Enderby/Gateby Care Centres - Telephone Infrastructure 44,000 1,841 - Gateby Care Centre-JHVAC Upgrades (additional) 38,000 23,932 - None House - Heating Bgilers (x2) ,;; 100,000 18,179 - Various Facilities - Forms ori Demand and Patient ID 114,400 27,745 - VJH/SLGH - MedistationsyH Wide Infrastructure 32,000 14,189 - Parkview Place - Vocera Expansion 28,000 1,251 - Pleasant Valley Health Centre - Laser, Retinal Fibre Optic 48,800 48,800

$ 2,890,960 $ 1,682,593

b) The Hospital District has committed to the following expenditure which has been approved by the Interior Health Authority and the Regional Hospital District Board and to be financed through a borrowing bylaw:

Total Unexpended Vemon Jubilee Hospital - Poison Tower Completion (Bylaw 58) $ 5,525,000 $ 2,364,754

10 North Okanagan Columbia Shuswap Regional Hospital District Schedule of Debt

For the year ended December 31,

Short-term Debt

Security Issuing 2016 2015 Bylaw Rate Net Debt Net Debt

58 1.44% 3,054,000 $ 1,166,000

Interest on short-term debt is paid monthly. There are no speaficterms of repayment. Interest is a variable rate through the Municipal Finance Authority. Repayment of short-term debt is ejthen by cash payment at the completion of the project or by conversion to long term debt. The interim financing for bylaw 58 will be converted to long term debt in the earliest available debt issue after completion ofthepr6ject anticipated to be fall 2017.

Long-term Debt

Security i Issuing Maturity' Original Debt 2016 / 2015 Bylaw Date, Rate Amount Net Debt Net Debt

27 2022 4.82% $ 4,329,843 $ ( ^r 626,999 $ 717,891 32 2029 4.13% •3,822,900 2,808,919 2,971,361 38 2035 3.73%^ 7,480,000 / 6,288,655 6,507,177 -43 2019 4.13%, 651,399 222,872 291,523 ,45/106 2034 4.13%, 27,280,235 22,106,442 22,935,291 45/116 2036 4.20%. 30,586,554 26,608,573 27,467,767 46 ^ 2036 3.25% 10,500,000 9,134,406 9,429,358 44 2023 3.15% ;1,500,000 1,109,998 1,245,130

$ 83,150,931 $ 68,906,864 $ 71,565,498

Principal payments; actuarial adjustments and interest obligations for thei next five years and thereafter:

Principal & Year Actuarial Adj Interest

2017 2,764,979 3,327,700 2018 2,875,578 3,327,700 2019 2,990,601 3,327,700 2020 3,029,913 3,300,797 2021 3,151,110 3,300,797 Thereafter 54,094,684 43,696,836

Totals $ 68,906,864 $ 60,281,530

Interest is calculated on a semi-annual basis and is based on the original debt amount. An actuarial adjustment is recorded to adjust the outstanding loan balance to actual.

-11 City of Revelstoke

P.O. Box 170, Revelstoke, British Columbia VOE 2SO revelstoke.ca

OFFICE OF THE MAYOR

November 9, 2016

North Okanagan /Columbia Shuswap Regional Hospital District 555 Harbourfront Drive NE Salmon Arm, BC V1E4P1

To Whom it May Concern:

Re: Support for Queen Victoria Hospital Heliport Project

On behalf of the City of Revelstoke, I am pleased to provide this letter of support for the Queen Victoria Hospital Hetiport Project and request that the North Okanagan/Columbia Shuswap Regional Hospital District provide funds to finance the heliport construction project.

As a mountain community that is internationally recognized as a major adventure capital in Canada, Queen Victoria Hospital is a busy hospital that must provide critical emergency care to members of our community, region and to the many visitors to our mountain community.

We are seeing increasing traffic on the Trans-Canada Highway, rail traffic through the mountain with CP Rail, and a substantial industry and forestry sector, a National Park, BC Hydro dams, and of course our 8,000 permanent residents. Revelstoke's Queen Victoria Hospital needs a helicopter landing pad that meets Transport Canada regulations. Our community needs and deserves top quality, reliable transportation.

We look forward to the construction of a Heliport in our community!

Sincerely, ._^A acAO lAgenda Ov/nership: DWorks riR"a Pnard Qoy CilryUiiricir.l lzll^ Mayor, Mark McKee :in/Adm ft ill;!. MllJ w-^o :cf 17

ec: Revelstoke District Health Foundation l^^^w'^^^ • • n?!^i in r;;;;:on ! . ...--. I US'fiii .,> P:' ;.-.^ 1 i , -..: j [-JS'^1 ir'.; ':^..' J ,'; . , , [ "~~~^:^F«H^^^^^ DEVELOPMENT PUBLIC WORKS FINANCE FIRE RESCUE PARKS, RECREATION CORPORATE/^^^^CORTMI SERVICES SERVICES & CULTURE ADMINISTRATfON . ECONOMICECONOMIC DEVELOP DEVELOPMENT

(250) 837-3637 (250) 837-2001 (250) 837-2161 (250) 837-2884 (250) 837-9351 (250) 837-2911—" '•' v (250) 837-5345 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] DCAO j L'.'.nership

DWcvks DR";; B;,,,rd DD; I Din Camera FllGS ji^in/Adm DOihor W.g ^ ST~-'-:;::-:~ r^ m DEC Dev .RECEIVED, DIT DSia!f lo Rcoort a Parks asiaif lo Re_spond asEP dSlaff Inlo Only REVELSTOKE DHR DDir Mailbox DOther DDir Circulatecirculate District' Health FoundatJor; ^,^jt^li

Revelstoke District Health Foundation [^QCS^Hb 6oa.r^ ^1€^ PO Box 2421 Br^eu I. Revelstoke, BC

VOE 2SO

November 4,2016

North Okanagan/Columbia Shuswap Regional Hospital District

Dear Chairman Martin & North Okanagan/Columbia Shuswap Regional Hospital District directors,

The Revelstoke District Health Foundation (RDHF) is initiating a fundraising campaign to raise funds for a helicopter landing pad at Revelstoke's Queen Victoria Hospital. It will be able to serve the needs of residents, recreation visitors, manufacturing, commercial transportation, forestry industry and also the travelling public on our dangerous highways. We are acutely aware of the increased number of injuries directly resulting from ski hill and mountain hiking activities. This will only increase further with the increasing popularity of Revelstoke as a destination city for outdoor adventure.

The design and construction plans for the helipad were completed in 2015 and paid with collaborative funding from the City of Revelstoke Tourism Infrastructure Program and the Revelstoke District Health Foundation. The Health Foundation has also committed to providing funding towards administration and all overhead related to the fundraising activities. The estimated cost of construction of the landing pad, pathway and new covered ramp to the ER department is $465/000. This does not include the approximate $40,000 that has been spent on design and construction plans, thus making the project over $500,000.

We are requesting support from the Regional Hospital District in the form of a grant to aid this project. We are hoping to see construction occur in 2017. However, this is all dependent on the success of our fundraising. We have commitments and donations to date of $175,000 for this project. We have included an information leaflet and construction details on the project. We are attaching letters of support from various stakeholders, local government and personnel who are involved in providing emergency care services in Revelstoke. Please visit our website at:

http://i'evelstokeheaithfoynda'i:ion.com_/hielipad/

If you have any further questions concerning the project feel free to contact myself or Fred Beruschi. We would be available to meet with your committee and provide more details on the project at your convenience. We thank you in advance or your time in considering this request.

Respectfully,

Steven Hui

Co-Chair, RDHF Fundraising Committee

ec.

Mark Mckee, Mayor of Revetstoke

Lonnie Parker/ Director CSRD Area B

Chris Mazurkewich/ CEO Interior Health

Contacts: Steven Hui ph: 250-837-1096 email: [email protected]

Fred Beruschi ph: 250-837-8607 email: L;2^L^ci;ii^J^idjl:com REVELSTOKE !"i!';::i'ir1 i'l"'-,ii'n i riiinr',-!' 'in

QUEEN VICTORIA HOSPITAL HELIPORT PROJECT

Goal

Revelstoke's Q.ueen Victoria Hospital needs a helicopter landing pad that meets Transport Canada regulations. The Revelstoke District Health Foundation goal is to raise $465,000 to make this a reality.

It is our belief that Revelstoke and surrounding areas would benefit from this increase in service and more importantly provide lifesaving medical transport to our community's most critical patients. Help us help you and together we will make a difference in a life that needs it most.

Identifying the Need

As a mountain community that is internationally recognized as a major adventure capital in Canada, Q.VH is a busy hospital that must provide critical emergency care to members of our community, region and to the many visitors to our mountain community. We are seeing increasing traffic on the Trans-Canada Highway, rail traffic through the mountain with CP Rail, and a substantial industry and forestry sector, a National Park, BC Hydro dams, and of course our 8,000 permanent residents.

Whether it is highway accidents, mountain or water adventure accidents, industrial accidents or general medical emergencies- unfortunately, accidents happen and the QVH medical team provides urgent, lifesaving care. When these situations occur, patients need transportation to a higher level of care as quickly as possible. QVH currently has a small informal landing area that has been used in the past. It is recommended by Transport Canada, BC Emergency Health Services (BCEHS) and Interior Health that this pad not be used for safety reasons - at this time, any landing is at the discretion and risk of each pilot. Our community and patients need and deserve top quality, reliable transportation.

Why now?

Revelstoke can be a very isolated community, especially when the highways are closed to major traffic accidents, snow or weather conditions (i.e. avalanches). There are a number of reasons why now:

1. Since 2011, BCEHS has provided a dedicated air ambulance located in Kamloops. This helicopter operates from

7 a.m. to 7 p.m. seven days a week. 2. The tertiary hospitals in Kelowna and Kamloops, where most often QVH patients are transported, have had their heliports upgraded to receive direct transfers right to the hospital. 3. Because critical patients from Revelstoke deserve the best care we can provide - which means fast transportation to specialized medical care when it is needed.

1 I Page i?i

REVELSTOKE ?iti'ict Hra'th !:oi.ind

The Revelstoke District Health Foundation is asking the community, businesses and government agencies to come together and raise the $465,000 capital costs to build this heliport.

Interior Health has committed to cover the ongoing annual costs to operate the heliport once it is constructed.

The Plan

The detail design work for the proposed QVH heliport has been completed and meets Transport Canada requirements. Funds for this work were generously donated by the City of Revelstoke Tourism Infrastructure Committee and the Revelstoke District Health Foundation.

How you can help

To donate please visit the Revelstoke District Health Foundation at: www.revelstokehealthfoundation.com or send your donation to: Revelstoke District Health Foundation PO Box 2421 The above photo shows theflightpath into the proposed Revelstoke, B.C. VOE 2SO Tax deductible receipts will be provided with helipad beside QVH in Revelstoke. donations to the Foundation ]

For More Information

Please contact the QVH Heliport Fundraising committee, either:

Fred Beruschi - Co-Chair 250-837-8607 email [email protected]

Steven Hui - Co-Chair 250-837-1096 email [email protected] f -^ or Carol Palladino - Executive Director Above is the completed helipad at Invermere District email [email protected] Hospital - similar to what QVH's pad will look like in the future!

2 I Page City of Revelstoke

P.O. Box 170, Revelstoke, British Columbia VOE 2SO revelstoke.ca

OFFICE OF THE MAYOR

November 9, 2016

North Okanagan /Columbia Shuswap Regional Hospital District 555 Harbourfront Drive NE Salmon Arm, BC V1E4P1

To Whom it May Concern:

Re: Support for Queen Victoria Hospital Heliport Project

On behalf of the City of Revelstoke, I am pleased to provide this letter of support for the Queen Victoria Hospital Heliport Project and request that the North Okanagan/Columbia Shuswap Regional Hospital District provide funds to finance the heliport construction project.

We iook forward to the construction of a Heliport in our community!

Sincerely,

Mayor, Mark McKee

:cf

ec: Revelstoke District Health Foundation

DEVELOPMENT PUBLIC WORKS FINANCE FIRE RESCUE PARKS, RECREATION CORPORATE COMMUNITY SERVICES SERVICES & CULTURE ADMINISTRATION ECONOMIC DEVELOPMENT

(2SO) 837-3637 (250) 837-2001 (250) 837-2161 (250) 837-2884 (2SO) 837-9351 (250) 837-2911 (250) 837-5345 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] COLUMBIA SHUSWAP REGIONAL DISTRICT

rCSRD^ PO Box 978, 555 Harbourfront Drive NE, Salmon Arm, BC VIE 4P1 COLUMBIA SHUSWAP REGiONAL DISTRICT T: 250.832.8194 | F; 250,832.3375 | TF: 1.888.248.2773 | www.csrd.bc.ca

From the Office of Electoral Area 'B' Director

August 18, 2016

Revelstoke District Health Foundation PO Box 2421 Revelstoke BC VOE 2SO

Dear Mr. Hui,

Thank you for your letter of August 8th informing me of your endeavors to raise funds for a newheliportatthe Queen Victoria Hospital in Revelstoke. I am fully supportive of your plans for construction of the facility.

As stated in your letter our community has grown and I agree that aside from our local residents' needs for the service, it is important that we have the necessary emergency services for the significantly higher level of visitors we are currently experiencing.

Given the direction we have taken as a community to further increase our recreational activities related to mountain sports it is imperative that we can provide the best care possible when accidents happen.

1 applaud your efforts and wish yuu Lhe best with. this endeavor.

Best Regards,

Lonl Pai-ker, Regional Director CSRD Area B 2508375804 Iparker@csrd,bc.ca

ELECTORAL AREAS MUNICIPALITIES A GOLDEN-COLUMBIA c SOUTH 5HUSWAP E SICAMOUS-MALAKWA GOLDEN SALMON ARM B REVELSTOKE-COLUMBIA D FALKLAND-SALMON VALLEY F NORTH SHUSWAP-SEYMOUR ARM REVELSTOKE SICAMOUS ! BC Emergency Health Services

September 21,2016 CLIFF: 1030701 File: 51260-20

Steven Hui Chair Revelstoke District Health Foundation PO Box 2421 Revelstoke, BC VOE 2SO

Dear Mr. Hui,

Re: Letter of Support - Revelstoke Queen Victoria Hospital Heliport

On behalf of the BC Emergency Health Services I would like to express our full support for the planned heliport infrastructure development at the Revelstoke Queen Victoria Hospital.

The ability of an air ambulance helicopter to land at a designated hospital heliport is a fundamental requirement to shortening inter-facility transit times and ensuring that critically injured patients receive timely medical care. Although the Revelstoke Airport is only a five minute drive from the Queen Victoria Hospital, the transfer of the patient and medical equipment from the road ambulance to the aircraft can take up to twenty minutes, a transfer that must also occur at the receiving destination. Hospital heliports render these additional transfers unnecessary enabling the patient to receive medical attention much sooner. And, a helicopter flight from Queen Victoria Hospital to Kelowna General or Royal Inland Hospital is approximately 45 minutes as compared to two hours and forty-five minutes by road. Of interest, in the past two years the BC Emergency Health Services transferred 13 patients by fixed wing aircraft and 28 patients by helicopter from Revelstoke.

A designated heliport affords greater safety of flight as compared to an emergency landing zone. Heliports with prepared surfaces, fixed lighting, safety areas and designated approach/departure paths enable the safe and timely transfer of patients to the receiving hospital and the eventual transfer to a higher care facility.

Unfortunately, the BC Emergency Health Services is not in a position to provide funding for heliport infrastructure initiatives. We encourage communities to establish and maintain well equipped hospital heliport facilities that afford safe and reliable access for our rotary wing air ambulance fleets.

Should you require any further information, please contact me directly at 250.952.6061 or [email protected].

Sincerely,

^ I ^ . ^' lo-^\ i^<'^ •

Paul Bouchard Director, Aviation Provincial Programs

BCEHS Victoria Office • PO Box 9600 Stn Prov Govt, Victoria BC V8W 9P1 • TEL 250-953-3298 • FAX 250-953-31 19 -^••— CANADA —:-ri-

Revelstoke District Health Foundation PO Box 2421 Revelstoke, B.C. VOE 2SO

September 26, 2016 via email: fberuschi(aiQmail.com

To whom it may concern,

Re: Queen Victoria Hospital Heliport Project

On behalf of our association and members who operate in and around the Revelstoke region we would like to express our support for the Queen Victoria 1-lospjtal fQVH) Heliport Project. The need for a heliport at QVH has been identified many times over many years and will greatly benefit the community as a whole and its development as an international tourism destination well into the future.

Every year the many helicopter and snowcat skiing businesses operating in and around Revelstoke are called upon by the RCMP, Parks Canada and Emergency Management BC to assist public in need. The most notable, recent incident being the Boulder Mountain Accident on March 10, 2010 that resulted in 7 heliskiing operators and over 50 professional guides assisting in the search and rescue efforts for a group of recreational snowmobilers struck by a large avalanche. The resulting Best Practices Review, conducted by the BC Government in the spring of 2010, highlighted the need and importance of a heliport at Queen Victoria Hospital numerous times. Since that time local search and rescue efforts would have benefited many times from a heliport at QVH. It is without question that a heliport will be of significant benefit to public safety efforts in and around Revelstoke.

PO Box 968 I Revelstoke BC VOE 2SO I 250.837.5770 i [email protected] helicat.org [HEUCATj 'CANADA

Fast and efficient access to medical care needs to be a cornerstone of rural communities across BC developing their adventure tourism industries. The enhancements to the public safety net for residents of and visitors to the community of Revelstoke through the construction of this heliport will be profound and longlasting.

HeliCat Canada supports this initiative, please do not hesitate to contact me at any time should you require further information or clarification regarding our organization's support of this initiative.

Sincerely,

lan Tomm Executive Director ianfcuhelicat.org

PO Box 968 | Revelstoke BC VOE 2SO | 250.837.5770 I [email protected] helicat.org Avalanche A Canada

Revelstoke District Health Foundation PO Box 2421 Revelstoke BC VOE 2SO

October 20, 2016

To whom it may concern:

Please accept this letter as our endorsement for the construction of a heliport at Queen Victoria Hospital in Revelstoke, BC. As Canada's national public avalanche safety organization, Avalanche Canada is committed to helping winter backcountry users to keep safe in avalanche terrain. We are honoured to be headquartered in Revelstoke, the widely acknowledged epicentre of winter recreation.

We believe strongly that a helipad is vital to the future of Revelstoke's emergency services. As a mountain community, all of us are familiar with the increasing number of injuries that accompanies the expanding use of our beautiful surroundings. There are many benefits to our growing tourism economy but they come with a responsibility to offer a "safety net" to our visitors and residents. A helipad provides an important piece of that safety net and Avalanche Canada is fully behind the movement to develop one.

Avalanche Canada believes this is an important and necessary project and we look forward to seeing it completed in the near future.

Sincerely

GillesValade, Executive Director Avalanche Canada

Box560,Revetstoke,BCVOE2SO P250.837.2141 F 250.837.2885 avalanche.ca Interior Health

Thompson Cariboo Shuswap Health Service Area Dr. Christopher MacDonald, MD, Chief of Medical Staff Revelstoke Health Services, Queen Victoria Hospital Queen Victoria Hospital Bag 5000,1200 Newlands Road Phone: (250) 814-2258 Revelstoke, BC VOE 2SO Fax: (250) 814-2283 www.interiorhealth.ca Email: [email protected]

Revelstoke District Health Foundation PO Box 2424 Revelstoke, BC VOE 2SO

October 19, 2016

Dear Revelstoke District Health Foundation,

On behalf of the Medical Staff of Queen Victoria Hospital I would like to thank you for, and lend our full support to, your efforts in the development of an appropriate Helicopter Landing pad at Queen Victoria Hospital.

Any Rural Health Care Provider will admit that access to timely and appropriate transfer for acutely injured patients is the bottleneck in our system and greatly affects our ability to provide the type of care we desire for our patients. Time to definitive care is paramount in achieving good patient outcomes. Revelstoke's beautiful geography, which attracts many adventure seeking individuals, poses significant issues when it comes to patient transport.

Although there has been great strides forward within the region for providing road transfers and High Acuity Response Teams, the time involved to reach, package and leave our site remains a significant concern.

Revelstoke is in the heart of backcountry access and we have a robust community of mechanized operators providing rotary access to the backcountry and who routinely need urgent medical services.

The medical staff at QVH has been successful in attracting and maintaining a unique set of qualified practitioners in order to support Queen Victoria Hospital and provide 24/7/365 access to Emergency, Trauma, Obstetrical, Surgical and Anesthetic care. We routinely deal with significant trauma off of our remote and challenging highways as well as injuries to the many adventure seeking locals and tourists who make use of the extensive backcountry and associated mechanized operators.

As regional trauma and transfer services are reviewed by our health authorities it is clear that access to 24/7 all-weather rotary transport would be a significant leap forward in ability to provide the type of care our residents demand and deserve.

Thank you again for your work toward this important goal.

Sincerely, ^T^^^^^f Dr. Christopher MacDonald, MD Chief of Staff, Queen Victoria Hospital, Revelstoke September 28tn, 2016 ^.

Revelstoke District Health Foundation PO Box 2421,Revelstoke, BC VOE 2SO

Ladies, Gentlemen,

Revelstoke Search and Rescue is happy lend our support to this worthwhile project.

As a provider to the community ofRevelstoke with pre-hospital care, we are very much aware of the complications that currently exist from the lack of timely access to the Queen Victoria Hospital by helicopter.

At present, we are obliged to land at the Revelstoke Airport with critically injured subjects, then transfer them through BC Ambulance Service for access to Queen Victoria Hospital. This results in a time delay that is typically an extra 20 to 30 minutes before they can be seen and treated by emergency physicians and staff at the hospital.

A heli-pad at the hospital could easily mean the difference between life and death for a severely injured patient.

Please add our name to the growing list of supporters for this project. If we can be of any help, do not hesitate to contact us.

Best Wishes

7~3^

TS Buck Comgan, SAR Manager Revelstoke Search and Rescue 434 Campbell Ave, Box 2478 Revelstoke, BC, VOE2SO rex sure/ telus.net m| m] z| INTERIOR HEALTH <1 01II ;0| QUEEN VICTORIA HOSPITAL >1 0| a>| HELIPORT UPGRADE "a I Revelstoke, BC ^| I—] TABLE of CONTENTS: §| 00 - COVER ^1 01 - FLIGHT PATH PLAN | 02 - REMOVALS Sl 02A - ADDITIONAL REMOVAL ITEMS o?| 03 - GENERAL ARRANGEMENT 04 - GRADE PLAN 05 - GRADE SECTIONS || 06 - DETAILS AND SECTIONS 31 07 - MARKINGS S| M1 - MECHANICAL HELIPORT SNOW MELT PIPING PLAN ^| M2 - MECHANICAL HELIPORT SPECIFICATIONS, EQUIPMENT AND SCHEMATICS M3 - MECHANICAL HELIPORT DETAILS ^| <1 ml

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Mr. Charles Hamilton, Chief Administrative Officer North Okanagan / Columbia Shuswap Regional Hospital District Box 978, 781 Marine Park Drive NE Salmon Arm, BCV1E4P1 CONFIDENTIAL

February 15, 2017

Dear Mr. Hamilton:

RE: FUNDING REQUIREMENTS & MAJOR CAPITAL PROJECTS

As mentioned in our annual funding request letter sent to you in December 2016 we would like to provide you with information to support your planning process. The top part of the table below presents the total funding envelope that Interior Health (IH) is expected to receive over the next three fiscal years from the Ministry of Health (MOH). The available funding is notional, meaning, that these amounts can be used for planning purposes, but are not yet confirmed. The final allocations are dependent upon capital funding provided to the MOH from the annual provincial budget. Annual amounts are confirmed to us in the beginning of each fiscal year.

Accordingly, IH's outer years' funding requirements is a high level estimate based on a calculation that incorporates government's national allocations and prior years' actual requests. It could shift based on actual demands and changes in available funding. IH relies on its rigorous prioritization process when developing its annual capital budget.

The bottom part of the table refers specifically to your Regional Hospital District (RHD). It shows the total capital requests that have been identified for your area for facility construction, equipment and Information Management Information Technology. This compares to the funding that is estimated to be allocated to your area. The last line indicates the projected funding requirement from your RHD for planning purposes.

North Okanagan Columbia Shuswap Potential Capital Funding Requirements February 2017

Three-year \Anticipated Funding from Ministry of Health to Interior Health 2017/18 2018/19 2019/20 Total [millionsl fnotionaH ^notional) (notionall fnotionall Available Funding for planning purposes only $ 21.3 $ 28.0 $ 29.6 $ 78.9

Three-year North Okanagan Columbia Shuswap (NOCS) 2017/18 2018/19 2019/20 Total (millions) (notional) (notional) (notional) Total of all Capital Requests Identified for the next three years $ 118.0

Approximate Funding from all Sources for NOCS (Ministry, RHD, Equity, Foundaimn, etc.) 4.8 $ 6.8 $ 7.0 $ 18.6 Anticipated Regional Hospital District Funding Requirements for planning purposes only 1.9 $ 2.7 $ 2.8 $ 7.4

Interior Health Authority VP Support Services & Chief Financial Officer 505 Doyle Ave. Telephone: (250862-4025 Fax: (250)862-4201 Kelowna, BC V1Y6V8 E-Mail: [email protected] Web: www.interiorhealth.ca Page | 1 Please note that the above funding requirement amounts do not include any potential Priority Investments in your Regional Hospital District (RHD) area. These types of projects require individual MOH approval and are granted outside of the regular capital budget cycle.

Attached please find the prioritized listing of IH's major planned capital projects consisting of:

• Construction projects over $2 million that are "program" related • Net new Information Management Information Technology over $5 million • Net new major diagnostic equipment regardless of value

The list is grouped in "A" and "B" priorities and is sorted alphabetically by facility name within these two categories.

If you require further information, or if you have any questions or concerns, please contact Dan Goughnour or me directly.

Sincerely,

6-^TV^

Donna Lommer, CPA, CGA, EMBA VP Support Services & CFO

/bk

End. Major Capital Projects Priority List, December 2016 ec: Rhona Martin, Chair, NOCSRHD Jodi Pierce, Manager Financial Sen/ices, NOCSRHD Richard Harding, Acute Health Service Administrator, North Okanagan Peter Du Toit, Acute Health Service Administrator, Columbia Shuswap Dan Goughnour, Director, Business Support Birgit Koster, Director Business Support, Capital Planning

Page [ 2 Interior Health

Prioritized Listing of Major Planned Capital Projects consisting of: Decembers ,2016 Construction projects > $2 million that are "program" related regardless of funding source (RCI or Pl) Net new IMIT > $5 million Net new major diagnostic equipment regardless of value (CT/MRI/PET/Radiation Therapy)

ESTIMATED TOTAL COST PROJECT/EQUIPMENT FACILITY NAME LOCATION (millions) TYPE STATUS

Category A Priorities Redevelopment Cariboo Memorial Hospital Williams Lake ec $115 Pl Concept Plan complete and sent to MOH June 2015 Strategic Land Acquisition Kelowna General Hospital Kelowna co TBD PI Strategic Land acquisition ongoing Kootenay Boundary Regional MRI Trail WKB TBD Pl Short Form Business Plan sent to MOH as part of MRI strategy in February 2016 Hospital Kootenay Boundary Regional Service Priority Renovations Trail WKB $40 Pl Short Form Business Plan completed in October 2015 and presented to MOH Hospital Patient Care Tower Royal Inland Hospital Kamloops T $417 Pl Business Plan completed; to be presented to government by the end of 2016 Inpatient Psychiatry Concept design complete; schematic design needed to finalize cost estimate; Vemon Jubilee Hospital Vemon NOCS $31 Pl Redesign/Redevelopment require MOH approval to continue planning work. MR1 & Diagnostic Imaging Concept design complete; schematic design needed to finalize cost estimate; Vernon Jubilee Hospital Vernon NOCS $15 Pl Redesign require MOH approval to continue planning work.

Category B Priorities Community Dialysis Unit Cranbrook Cranbrook KE TBD RCI Emergency Department Elk Valley Hospital Femie KE TBD RCI Short Form Business Plan completed Renovation OR Renovation Golden & District Hospital Golden KE TBD RCI Short Form Business Plan completed

Redevelopment Golden & District Hospital Golden KE TBD Pl Short Form Business Plan completed 34 Inpatient Beds - 6th Floor Kelowna General Hospital Kelowna co $14 Pl Short Form Business Plan completed Centennial Buildina Redevelopment Queen Victoria Hospital Revelstoke NOCS TBD RCI Short Form Business Plan completed Critical Care and IP Shuswap Lake Hospital Salmon Arm NOCS $15 RCI Short Form Business Plan completed Redevelonment

LEGEND RHD Areas RCI - Routine Capital Investment ec - Cariboo Chilcotin PI - Priority Investment co - Central Okanagan TBD - to be determined NOCS - North Okanaaan Columbia Shuswao os - Okanagan Similkameen KE - Kootenay East T - Thompson WKB - West Kootenay Boundary NOCSRHD BOARD REPORT

TO: NOCSRHD Chair and Directors File No: 8900 42

FROM: Jodi Pierce Date: March 8, 2017 Manager of Financial Services SUBJECT: 2017 NOCSRHD Five Year Financial Plan RECOMMENDATION: THAT: Bylaw No. 65, cited as "2017 North Okanagan/Columbia Shuswap Regional Hospital District Bylaw No. 65", be read a first, second and third time this 28th day of March, 2017.

THAT: Bylaw No. 65, cited as "2017 North Okanagan/Columbia Shuswap Regional Hospital District Bylaw No. 65", be adopted this 28th day of March, 2017.

APPROVED for Board Consideration: ^ /b- ^—/ Meeting Date: March 28, 2017 Charles Hamilton, CAO

SHORT SUMMARY: Attached is the proposed 2017 Five Year Financial Plan for the North Okanagan Columbia Shuswap Regional Hospital District. This financial plan includes all traditionally funded capital initiatives and all previously approved projects, including the completion of Poison Tower, as requested by Interior Health Authority, in the Capital Funding request submitted Dec 9,2016 in the amount of $1 ,900,400. Allowance is made for the completion of the Poison Tower project in the spring of 2017 for which the Capital Expenditure and Borrowing Bylaw No. 58 in the amount of $5,525,000 was adopted March 26, 2013.

Unweighted D Weighted Stakeholder VOTING: Corporate Corporate (Weighted)

POLICY:

An annual budget must be approved by March 31st each year and a provisional budget must be approved by December 31st each year as required by section 23 of the Hospital District Act. The 2017 Five Year Financial Plan serves as both documents.

FINANCIAL: The 2017 Five Year Financial Plan is produced in the same format as the 2016 Five Year Financial Plan and is compliant with PSAB requirements. The current year actuals, as per the Annual Financial statements, are compared to the related budget and are projected out based on reasonable estimates for five years to meet the requirement to approve a provisional budget by December 31st. On February 15, 2017, correspondence was received that indicated the funding for the next two years would be $2.7 million and $2.8 million, respectively. For the purposes of the five year plan, staff has projected increases in funding requests for years 4 and 5 at 2.5% per year; these increases will be adjusted annually to agree to the actual requests received from Interior Health.

Page 1 of 3 Board Report 2017 NOCSRHD Five Year Financial Plan March 28, 2017

The annual deficit in 2017 is still due primarily to the completion of the Poison Tower Project as borrowing is not considered a revenue stream and the project has not yet been completed. In years following, the annual surplus component of the budget includes actuarial adjustments; but not transfers from reserves, debt payments nor proceeds from additional debt. These comparisons are necessary for internal financial reporting purposes. To arrive at a balanced financial plan per the Hospital District Act requirements, the transfers from resen/es, debt payments and proceeds from additional debt are added or subtracted to the annual surplus or deficit as determined under PSAB requirements.

The overall proposed 2017 tax requisition is a 3.4% increase over 2016 which when applied across jurisdictions can range from 0.9% in Sicamous to 3.9% in the rural electoral areas due to changes in assessments. This financial plan is projecting to eliminate the use of excess cash reserves over the next five years as current taxation does not cover all expenditures, including debt payments.

The tax rate implication is an increase in the mill rate from $0.2807/$1,000 assessment in 2016 to $0.2876/$1,000 in 2017. The average residential tax would increase from $84.65 per average residence assessed at $300,376 in 2016 to $91.42 per average residence assessed at $317,500 in 2017.

KEY ISSUES/CONCEPTS:

The 2017 Five Year Financial Plan includes the following:

1. Total Tax Requisition has increased by 3.4% to $7,654,858 (2016 - $7,402,210). 2. The financial plan includes annual IHA capital expenditure request of $1,900,400 for the current year. Prior approved capital expenditures carried over from previous years to 2017 is $4,047,347 which includes completion of the Poison Tower project ($2,364,754). 3. Transfer from reserves in the amount of $1,428,000 4. Budget indicates a deficit of $1,240,367 (2016 - deficit of $1,997,367) largely as a result of projects that have been carried forward for completion that were budgeted and taxed for in prior years. 5. Final 2016 Tax Requisition will change slightly utilizing BC Assessment 2017 Revised Roll (and 2016 Final roll) due March 31st 2017 (current rates have been calculated using the 2017 Completed Roll) 6. The RHD does not fund Hospital operating expenditures which are the responsibility of IHA.

LIST NAME OF REPORT(S) / DOCUMENT(S): Attached to Available from 1. 2017 NOCSRHD Annual Budget Bylaw No. 65 Agenda Summary: Staff: _D_ Attached to Available from 2. 2017 NOCSRHD Estimated Tax Requisition Agenda Summary: Staff:

Attached to Available from 3. Status of NOCSRHD approved projects (in progress) Agenda Summary: Staff:

Page 2 of 3 Board Report: 2017 NOCSRHD Five Year Financial Plan March 28, 2017

DESIRED OUTCOMES: That the 2017 NOCSRHD Five Year Financial Plan in the amount of $9,477,322 be approved.

BOARD'S OPTIONS:

1. Endorse the Recommendation

2. Any other action deemed appropriate by the Board

COMMUNICATIONS:

The approved annual budget will be distributed to member Municipalities and various Provincial Ministries as well as posted on the CSRD website.

Page 3 of 3 NORTH OKANAGAN/COLUMBIA SHUSWAP REGIONAL HOSPITAL DISTRICT

BYLAW NO. 65

A bylaw to adopt the Five Year Financial Plan for the period 2017 - 2021, inclusive

The Board of the North Okanagan/Columbia Shuswap Regional Hospital District, in open meeting assembled, HEREBY ENACTS as follows:

1. Schedule "A" attached hereto and made a part of this bylaw is the 2017 Five Year Financial Plan of the North Okanagan/Columbia Shuswap Regional Hospital District for the years 2017 to 2021, inclusive.

2. This bylaw may be cited for all purposes as "2017 North Okanagan/Columbia Shuswap Regional Hospital District Financial Plan Bylaw No. 65."

READ A FIRST TIME this day of _,2017.

READ A SECOND TIME this day of .,2017.

READ A THIRD TIME this day of ^2017.

ADOPTED this day of _,2017.

MANAGER OF CORPORATE CHAIR ADMINISTRATION SERVICES (SECRETARY)

CERTIFIED a true copy of Bylaw No. 65, as adopted.

Deputy Manager, Corporate Administration Services (Secretary) NORTH OKANAGAN COLUMBIA SHUSWAP REGIONAL HOSPITAL DISTRICT 2017 FIVE YEAR FINANCIAL PLAN BYLAW NUMBER 65

2016 2016 2017 2018 2019 2020 2021 Actual Budget Budget Budget Budget Budget Budget REVENUES:

Tax Requisiton: 7,402,210 $ 7,402,210 $ 7,654,838 $ 7,918,300 $ 8,193,300 $ 8,482,341 $ 8,804,241

Other: Payment in lieu of taxes 20,696 22,200 22,200 22,200 22,200 22,200 22,200 Interest 31,429 40,000 25,000 25,000 25,000 25,000 25,000 Actuarial adjustment 463,417 463,417 463,417 569,763 690,383 812,778 832,514 Service agreements - Indian Bands 71,476 70,800 71,500 71,500 71,500 71,500 71,500 Debenture surplus & debt reserve refund

7,989,229 7,998,627 8,236,955 8,606,763 9,002,383 9,413,819 9,755,455 EXPENDITURES Expenses: Administration 84,880 87,000 87,000 87,000 87,000 87,000 87,000 Debenture debt - interest (existing) 3,327,700 3,327,700 3,327,700 3,327,700 3,327,700 3,300,797 3,300,797 Debenture debt - interest (new) 82,875 165,750 165,750 165,750 165,750 Interim Borrowing MFA - Interest 38,265 32,000 114,875

Expenditures under Section 20(2) Global Grant 605,700 605,700 614,700 650,000 666,300 683,000 700,100 Capital Equipment - new requests 360,993 1,367,800 825,700 1,000,000 1,025,000 1,050,700 1,077,000 Capital Projects - new requests 78,216 600,000 460,000 1,050,000 1,108,700 1,136,500 1,165,000 Capital Equip/Projects - carried forward from prior year 985,089 3,892,919 4,047,347

5,480,842 9,995,994 9,477,322 6,280,450 6,380,450 6,423,747 6,495,647

ANNUAL SURPLUS (DEFICIT) $ 2,508,387 $ (1,997,367) $ (1,240,367) $ 2,326,313 $ 2,621,933 $ 2,990,072 $ 3,259,808 (for financial reporting purposes - PSAB)

Plus: Transfer from/(to) reserves (1,737,753) 297,000 1,428,000 725,000 550,000 250,000 Proceeds from issue of debt 1,888,000 4,359,000 2,471,000

Less: Debenture debt - Principal payments (existing debt) (2,195,216) (2,195,216) (2,195,216) (2,195,216) (2,195,216) (2,140,960) (2,140,960) Debenture debt - Principal payments (new debt) (286,334) (286,334) (286,334) (286,334) Actuarial Adjustment (463,417) (463,417) (463,417) (569,763) (690,383) (812,778) (832,514]L FINANCIAL PLAN BALANCE (0) $ 0 $ 0 $ 0 $ 0 $ 0 $ NOCSRHD - 2017 TAX REQUISITION

for 2017-2021 FIVE YEAR FINANCIAL PLAN

2017 2016 2017 Member Total Actual Estimated Tax Municipality Assessments Requisition Requisition +/- % City of Armstrong 701,452,240 213,880 217,482 3,602 1.7% City of Enderby 349,610,753 109,362 112,700 3,338 3.1% City of Revelstoke 1,334,151,571 466,403 473,732 7,329 1.6% City of Salmon Arm 2,905,598,497 955,004 991,411 36,407 3.8% City of Vernon 7,686,966,300 2,531,993 2,627,187 95,194 3.8% District of Coldstream 2,247,978,316 618,040 639,495 21,455 3.5% District of Sicamous 696,884,587 216,605 218,648 2,043 0.9% Township of Spallumcheen 780,524,912 273,159 279,751 6,592 2.4% Village of Lumby 239,074,430 80,140 81,158 1,018 1.3% Electoral Areas 6,750,500,640 1,937,624 2,013,274 75,650 3.9% $ 23,692,742,246 $ 7,402,210 $ 7,654,838 $ 252,628 3.4%

(Assessments from BCAA 2017 COMPLETED ROLL)

Comparison of Total Assessments

2017 2016 Member Total Total Municipality Assessments Assessments +/- % City of Armstrong 701,452,240 664,582,053 36,870,187 5.5% City of Enderby 349,610,753 326,005,260 23,605,493 7.2% City of Revelstoke 1,334,151,571 1,240,211,172 93,940,399 7.6% City of Salmon Arm 2,905,598,497 2,696,181,908 209,416,589 7.8% City of Vernon 7,686,966,300 7,159,534,552 527,431,748 7.4% District of Coldstream 2,247,978,316 2,099,704,128 148,274,188 7.1% District of Sicamous 696,884,587 671,926,637 24,957,950 3.7% Township of Spallumcheen 780,524,912 735,268,736 45,256,176 6.2% Village of Lumby 239,074,430 227,321,370 11,753,060 5.2% Electoral Areas 6,750,500,640 6,285,992,767 464,507,873 7.4% $ 23,692,742,246 $ 22,106,728,583 $1,586,013,663 7.2%

(COMPLETED Roll) (REVISED Roll)

Note: 2017 Actual requisiton subject to change based on 2017 revised roll to be received at the end of March 2017 North Okanagan Columbia Shuswap Regional Hospital District

Status of Hospital District Approved & Proposed Projects for 2017/2018

Expended in Expended in Remaining to Remaining Facility Project/Equipment Budget Category Total Cost RHD Cost Prior Year(s) Current Year Total Expended Project be spent borrowing room

B - Fully Funded Projects per NOCSRHD but not officially closed by IHA Vemon Jubilee Pathology Frozen Room External Ventilation Constover$100K $ 99.000 $ 39,600 $ 39,600 39,600.00 2014 Budget 60

Reaional Gateby Care Vemon HVAC Upgrades ConstoverWOK $ 350.000 $ 140,000 $ 140,000 140,000.00 2013 Budget 57

Global Grant Equipment between $5,000 and $100,000 Global S 1.514.250 $ 605.700 605,700.00 605,700.00 2016 Budget 64 Sub-total S 1.963.250 $ 785.300 S 179,600 $ 605,700.00 $ 785,300

C - In Progress Projects

Queen Victoria, Revelstoke Replace Steam Boiler Constover$100K $ 450,000 i; 180,000 $ 143,533.95 143,533.95 2015 Budget 62 36.466.05 Ultrasound Equip over $100K $ 146,000 S; 58.400 $ 56,480 (800.00) 55,680.02 2015 Budget 62 2,719.98 Replace Isolation Transformers Construction $ 300,000 3; 120,000 0.00 2016 Budget 64 120,000.00 Wireless Infrastructure Refresh IMIT $ 20,000 3i 8,000 0.00 2016 Budget 64 8.000.00

Shuswap Lake, Salmon Arm Boiler Heating Water System Upgrade Canst over$100K $ 350.000 3i 140,000 $ 129,760.17 129,760.17 2015 Budget 62 10,239.83 Radiologist Diagnostic Monitor Replacement IMIT $ 42,500 3; 17,000 0.00 2016 Budget 64 17,000.00 General Radiographic System Equip $ 547,000 1> 218,800 65,660.02 65,660.02 2016 Budget 64 153.139.98 C-Arm Equip $ 265.000 3> 106,000 0.00 2016 Budget 64 106,000.00

Vernon Jubilee Poison Tower Completion Const over $1 OOK $ 29,563,000 3i 5,525.000 $ 2.668.632 491,613.77 3,160,246.16 2013 Budget borrow 58 Cap Borrowing 2,364,753.84 Diagnostic Imaging Redesign (planning) Const over $1OOK $ 150,000 3> 60,000 $ 0.00 2015 Budget 62 60.000.00 Inpatient Psychiatry Redevelopment (planning Constover$100K $ 150,000 a> 60,000 $ 0.00 2015 Budget 62 60,000.00 Plumbing Replacement Constunder$100K S 99,900 3> 39,960 $ 0.00 2015 Budget 62 39,960.00 Pneumatic Tube Station Canst under HOOK I 68,000 3> 27,200 $ 0.00 2015 Budget 62 27,200.00 Vocera IMIT $ 150,000 3> 60.000 $ 31,120 28,597.93 59,717.94 2015 Budget 62 282.06 Chemistry Analyzer Equip over $100K $ 145,000 3i 58,000 $ 0.00 2015 Budget 62 58,000.00 Table, Surgery Equip over $100K $ 144,000 3; 57,600 $ 0.00 2015 Budget 62 57.600.00 Chillers in South Tower Construction $ 1.200.000 3i 480.000 302.823.04 302,823.04 2016 Budget 64 177,176.96 Multi-purpose System Equip $ 1,175,000 3i 470,000 181,929.34 181.929.34 2016 Budget 64 288.070.66 General Radiographic System Equip $ 617.000 3i 246,800 0.00 2016 Budget 64 246,800.00 Laser, C02 Equip $ 195.000 3i 78,000 0.00 2016 Budget 64 78,000.00

C " In Progress Projects, continued Reaional

Enderby Care Centre/Gateby Care Cer Unified Communications -Telephone Infrastructure IMIT $ 110,000 $ 44.000 42.158.72 42.158.72 2015 Budget 1,841.28 Gateby Care Vernon HVAC Upgrades (additional in 2015) ConstovertlOOK 445.000 $ 38,000 821 13,247.12 14,067.96 2015 Budget 62 23,932.04 None House Heating Boilers (x2) Canst over $1 OOK 250,000 $ 100,000 81,821.30 81.821.30 2015 Budget 62 18.178.70 Various Facilities Forms on Demand and Patient ID System IIVHT 286,000 $ 114.400 86,655.09 86,655.09 2016 Budget 64 27,744.91 VJH/SLGH Medistations, IH Wide Infrastructure Equip 80.000 $ 32.000 17,810.46 17,810.46 2016 Budget 64 14,189.54 Parkview Place Vocera Expansion IMIT 70,000 $ 28,000 26,748.90 26,748.90 2016 Budget 64 1.251.10 Pleasant Valley Health Centre Laser, Retina], Fibre Optic Equip 122,000 $ 48,800 2016 Budget 64 48,800.00

Sub-total $ 37,140,400 $ 8.415.960 $ 2,757,053 $1,611,559.81 $ 4,368.613 $ 1,682,593 2.364.754 D - New Projects for 2017/2018 Queen Victoria, Revelstoke Heliport Constover$100K 465,000 186,000 0.00 2017 Budget 186,000 Video Conferencing Infrastructure Refresh IMIT 30.000 12,000 0.00 2017 Budget 12.000

Shuswap Lake General, Salmon Arm Sterilizer - Low Temp VHP Equip 159,000 $ 0.00 2017 Budget 63.600

Vernon Jubilee HVAC Upgrade Constover$100K $ 600,000 $ 240,000 0.00 2017 Budget 240.000 Wireless Infrastructure Expansion IMIT $ 20,000 $ 8.000 0.00 2017 Budget 8,000 Integrated Chemisty/lmmunochemls T (add'l in Equip $ 322,000 $ 70,800 0.00 2017 Budget 70.800 Hematology Analyzer Equip $ 170,000 $ 68.000 0.00 2017 Budget 68,000

Bastion Place Parking Lot Upgrades Constunder$100K $ 85.000 $ 34.000 0.00 2017 Budget 34,000 Regjonai Corporate Projects over $100K IMIT $ 684,500 $ 273,800 0.00 2017 Budget 273,800 Various Specialized Surgical Sen/jces IMIT $ 107.000 $ 42,800 0.00 2017 Budget 42,800 Regional Corporate Projects under $1 OOK IMIT $ 346,500 $ 138,600 0.00 2017 Budget 138.600 Vernon Health Centre Wireless Infrastructure Expansion IMIT $ 40,000 $ 16,000 0.00 2017 Budget 16,000 Various Telehealth Expansion IMIT $ 33.250 $ 13,300 0.00 2017 Budget 13,300 Various Telehealth Infrastructure Expansion IMIT $ 30,000 $ 12,000 0.00 2017 Budget 12.000 None House Wireless infrastructure Expansion IMIT $ 15,000 $ 6,000 0.00 2017 Budget 6,000 Bastion Place Cooler/Freezer, Walk In Equip $ 135,000 $ 54,000 0.00 2017 Budget 54.000 Bastion Place Resident Bus Equip $ 117.000 $ 46,800 0.00 2017 Budget 46,800 Global Grant Equipment between $5,000 and $100,000 Global $ 1.536.750 $ 614.700 0.00 2017 Budget 614.700

Sub-total $ 78:580800—$- 1,900,400 8,394,2BO~T T 8;538,012- 1.900.400

TOTAL $124,030,450 $ 13,640.060 $13,667,523 $2,272,415.75 $ 16,083,671 $ 3,582,993 $ 2,364,754 NOCSRHD BOARD REPORT

TO: NOCSRHD Chair and Directors File No: 8900 42

FROM: Jodi Pierce Date: March 8, 2017

Manager of Financial Services SUBJECT: 2017 NOCSRHD Capital Expenditure Bylaw No. 66 RECOMMENDATION: THAT: Bylaw No. 66, cited as "North Okanagan Columbia Shuswap Regional Hospital District Capital Expenditure Bylaw No. 66", be read a first, second and third time this 28th day of March, 2017.

THAT: Bylaw No. 66 cited as "North Okanagan Columbia Shuswap Regional Hospital District Capital Expenditure Bylaw No. 66", be adopted this 28th day of March, 2017.

APPROVED for Board Consideration: i^^ l^^ •^-- Meeting Date: March 28, 2017 Charles Hamilton, CAO

SHORT SUMMARY: Attached is the Capital Expenditure Bylaw No 66 to be enacted by the Board as required by section 32 of the Hospital District Act.

Unweighted D Weighted Stakeholder D VOTING: Corporate Corporate (Weighted)

POLICY: Section 32 of the Hospital District Act says that a Board that proposes to spend money to meet capital expenditures must prepare and enact a capital bylaw permitting the spending of that money.

FINANCIAL: The 2017 Five Year Financial Plan includes an additional $1 ,900,400 in capital expenditures as submitted by Interior Health for the 2017/18 fiscal year. These expenditures will be funded through monies budgeted in the current year of operation.

LIST NAME OF REPORT(S) / DOCUMENT(S): Attached to Available from 1. Capital Expenditure Bylaw No. 66 Agenda Summary: Staff: n_

Page 1 of 2 Board Report 2017 NOCSRHD Capital Expenditure Bylaw No. 66 March 28, 2017

DESIRED OUTCOMES: That the North Okanagan Columbia Shuswap Regional Hospital District Capital Expenditure Bylaw No. 66 in the amount of $1,900,400, as described in Schedule "A", be approved.

BOARD'S OPTIONS:

1. Endorse the Recommendation

2. Any other action deemed appropriate by the Board

COMMUNICATIONS:

The approved bylaw will authorize the Treasurer to settle the terms and conditions of the expenditures.

Page 2 of 2 NORTH OKANAGAN/COLUMBIA SHUSWAP REGIONAL HOSPITAL DISTRICT

CAPITAL EXPENDITURE BYLAW NO. 66

WHEREAS the Board of the North Okanagan/Columbia Shuswap Regional Hospital District proposes to expend money for the capital expenditures described in Schedule "A" attached hereto and forming an integral part of this bylaw;

AND WHEREAS those capital expenditures have received the approval required under Section 23 of the Hospital District Act;

NOW THEREFORE the Board of the North Okanagan/Columbia Shuswap Regional Hospital District enacts the following capital expenditure bylaw as required by Section 32 of the Hospital District Act:

1. The Board hereby authorizes and approves expenditure of money necessary to complete the capital expenditures as described in Schedule "A" attached hereto totaling $1,900,400.00.

2. The payment of the portion that the Regional Hospital District is responsible for, shall be funded through monies budgeted in the current year of operation.

3. Board hereby delegates the necessary authority to the Treasurer to settle the terms and conditions of the expenditure.

4. This bylaw may be as the "North Okanagan/Columbia Shuswap Regional Hospital District Capital Expenditure Bylaw No. 66."

READ A FIRST TIME this. day of _, 2017.

READ A SECOND TIME this . day of _, 2017.

READ A THIRD TIME this. day of _,2017.

ADOPTED this. day of -,2017.

MANAGER OF CORPORATE ADMINISTRATION CHAIR SERVICES (SECRETARY)

CERTIFIED a true copy of Bylaw No. 66 as adopted.

Deputy Manager, Corporate Administration Services (Secretary) SCHEDULE"A"

NORTH OKANGAN/COLUMBIA SHUSWAP REGIONAL HOSPITAL DISTRICT

CAPITAL EXPENDITURE BYLAW NO. 66

2017/18 Facility Location Equipment/Project Description Total Budget RHD Share Funding Request

Construction Project over $100,000

Vernon Jubilee Hospital \/emon HVAC Upgrade $ 600,OOC $ 240,000 240,000

Queen Victoria Hospital Revelstoke Heliport 465,OOC 186,000 186,000

Construction Project under $100,000

Bastion Place Salmon Arm Parking Lot Upgrades 85,00[ 34,000 34,000

[MIT over $100,000

Regional Sorporate Projects 684,50C 273,800 273,800

Various Facilities Specialized Services" Surgical Services 107,OOC 42,800 42,800

IMIT under S100.000

Regional corporate Projects 346,50C 138,600 138,600

Vernon Health Centre i/emon Mreless Infrastructure Expansion 40,OOC 16,000 16,000

Various Facilities Felehealth Expansion 33.25C 13,300 13,300

Various Facilities Felehealth Infrastructure Refresh 30,OOC 12,000 12,000

Queen Victoria Hospital ^evel stoke i/ideo Conferencing Infrastructure Refresh 30,OOC 12,000 12,000

Vemon Jubilee Hospital /emon A/ireless Infrastructure Refresh 20,OOC 8,000 8,000

None House /ernon /Vlreless Infrastructure Refresh 15,OOC 8,000 6,000

sauipment over $100,000

Vernon Jubilee Hospital /emon ntegrated Chemistry/lmmunochemistry Analyzer 322,000 128,800 70,800

Vernon Jubilee Hospital /ernon -lematology Analyzer 170,000 68,000 68,000

Shuswap Lake General Salmon Arm 3terilizer- Low Temperature VHP 159,000 63,600 63,600

Bastion Place Salmon Arm Dooler/Freezer, Walk In 135,000 54,000 54,0001

Bastion Place Salmon Arm resident Bus 117,000 46,800 46,8001

iauioment Under $100.000 (Global Grant)

All Facilities iquipment between $5,000 and $100,000 1,536,750 614,700 614,7001

Total $ 4,896,000 $ 1,958,4001 1,900,400