Agenda April 21, 2021; 2:00 PM Virtual Meeting Held Via Zoom Pursuant to Ministerial Orders M192 and M431

UPDATED Sea to Sky Regional Hospital District Board Agenda April 21, 2021; 2:00 PM Virtual Meeting Held via Zoom Pursuant to Ministerial Orders M192 and M431

Item Item of Business and Page Number Page

1. Call to Order

We would like to recognize that collectively we are on the unceded territories of all of the First Nations within our regional boundaries.

2. Approval of Agenda

3. Special Staff Report

3.1 Request for Decision - Resolution Required Pursuant to 4 - 12 Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3) (Unweighted All Vote)

THAT the Sea to Sky Regional Hospital District is excluding in- person public attendance at this April 21, 2021 meeting on the basis of the Order of the Public Health Officer on Gatherings and Events dated December 2, 2020 which prohibits in person attendance at board meetings.

• continuing to livestream this meeting, enabling the public to watch in real time;

• continuing to post an archived video of this meeting on the Squamish-Lillooet Regional District (SLRD) website, for viewing by the public on an on demand basis;

• continuing to reflect disconnections and re-connections of Directors due to technology issues in the meeting minutes;

• continuing to provide information to the public on how they can review agendas and meeting minutes; continuing to provide public notice of meetings;

Page 1 of 59 Item Item of Business and Page Number Page

• continuing to assign specific start times for agenda items that are likely to be controversial or attract high public interest;

• posting of draft minutes of this meeting on the SLRD website as soon as they are approved by the Chair and prior to being adopted by the Board at the subsequent Board meeting; and

• allowing additional time on the agenda to resolve technical issues and lags when admitting staff members into meetings.

4. Delegation (2:30 PM)

4.1 Dr. James Cranston, Diamond Head Medical Clinic, A CT for 13 - 21 Squamish Committee [Updated] • Request for funding and a letter of support

5. Consent Agenda

(Voting rule on each item may vary; unanimous vote required)

Items appearing on the consent agenda which present a conflict of interest for Board Directors must be removed from the Consent Agenda and considered separately.

Any items to be debated or voted against must be removed from the Consent Agenda and considered separately.

THAT the resolutions set out in the Consent Agenda be approved, and those Consent Agenda items which do not have resolutions related thereto be received.

5.1 Approval and Receipt of Minutes

5.1.1. Sea to Sky Regional Hospital District Board Draft 22 - 25 Meeting Minutes of February 24, 2021

THAT the Sea to Sky Regional Hospital District Board Meeting Minutes of February 24, 2021 be approved as circulated.

6. Business Arising from the Minutes

7. Staff Reports & Other Business

(Unweighted All Vote, except as noted)

7.1 CAO Verbal Update

7.2 Request for Decision - Approval of 2020 Sea to Sky Regional 26 - 38 Hospital District Audited Financial Statements

Page 2 of 59 Item Item of Business and Page Number Page

THAT the Sea to Sky Regional Hospital District 2020 Audited Financial Statements be approved as presented; and

THAT the Chair and Treasurer be authorized to sign the Sea to Sky Regional Hospital District 2020 Audited Financial Statements.

8. Director's Reports

8.1 Chair's Verbal Report

9. Correspondence for Action

9.1 Letter from Brenda McLeod - COVID Vaccine Program in Sea to 39 Sky Corridor

Mrs. McLeod requests a response to her concerns with respect to a COVID vaccine program for essential workers in the Sea to Sky corridor.

10. Correspondence for Information

10.1 Peace River Regional Hospital District - Letters to Ministers - 40 - 59 Regional Hospital Boards - Responsibility for Capital Costs

11. Decision on Late Business

(2/3 majority vote)

THAT the late business items be considered at this meeting.

12. Late Business

13. Director's Notice of Motion

14. Adjournment

THAT the meeting be adjourned.

Page 3 of 59 Request for Decision - Resolution Required Pursuant to Ministerial Order...

Request for Decision

Resolution Required Pursuant to Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3)

Date of Meeting: SSRHD Board – April 21, 2021

Recommendations:

THAT the Sea to Sky Regional Hospital District is excluding in-person public attendance at this 21April , basis2021 the meetingthe of on of Order the Healthon Officer Public Gatherings and Events dated December 2, 2020 which prohibits in person attendance at board meetings.

THAT pursuant to Ministerial Order No. M192, the Sea to Sky Regional Hospital District will continue to meet the principles of openness, transparency, accessibility and accountability in the current circumstances by the following means: • continuing to livestream this meeting, enabling the public to watch in real time; • continuing to n archived post a video of this shmeeting-Lillooet on the Squami Regional District (SLRD) website, for viewing by theon anpublic on demand basis; • continuing to reflect and - connections re disconnections of Directors due to technology issues in the meeting minutes; • continuing to provide information to the public on how they can review agendas and meeting minutes; • continuing to provide public notice of meetings; • continuing to assign specific start times for agenda items that are likely to be controversial or attract high public interest; • posting of draft minutes of this meeting on the SLRD website as soon as they are approved by the Chair and prior to being adopted by the Board at the subsequent Board meeting; and • allowing additional time on the agenda to resolve technical issues and lags when admitting staff members into meetings.

Background:

At the March 24, 2021 Sea to Sky Hospital District (SSRHD) Board meetings, the SSRHD Board passed the following resolution:

THAT the Sea to Sky Regional Hospital District is excluding in-person public attendance at this March 24, 202 basis1 meeting on the the of of Order Officer the Health Public on Gatherings and Events dated December 2, 2020 which prohibits in person attendance at board meetings.

Page 4 of 59 Request for Decision - Resolution Required Pursuant to Ministerial Order...

Request for Decision

Resolution Required Pursuant to Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3)

• continuing to n archived post a video of this shmeeting-Lillooet on the Squami Regional District (SLRD) website, for viewing by theon anpublic on demand basis; • continuing to reflect and - connections re disconnections of Directors due to technology issues in the meeting minutes; • continuing to provide information to the public on how they can review agendas and meeting minutes; • continuing to provide public notice of meetings; • continuing to assign specific start times for agenda items that are likely to be controversial or attract high public interest; • posting of draft minutes of this meeting on the SLRD website as soon as they are approved by the Chair and prior to being adopted by the Board at the subsequent Board meeting; and • allowing additional time on the agenda to resolve technical issues and lags when admitting staff members into meetings.

Also, at the Board meetings on September 16, 2020, June 24, 2020, July 22, 2020, September 16/17, 2021 2021 24/25, 16, respectively, and December Board February the2020, passed resolutions to address the requirements of Ministerial Order No. M192.

[Please note that changes since the last report (March 2021) are highlighted in yellow below.]

Key Information

Pandemic Adaptation – Ministerial Orders, Provincial Legislation and Guidance/Resources

A provincial declaration of a state of emergency allows the provincial government to implement provincial emergency measures or access assets as necessary to prevent, respond to and alleviate the effects of an emergency. The Province of BC has been in a state of emergency for 56 weeks due to the COVID-19 global pandemic. The initial declaration of state of emergency was made on March 18, 2020 (Ministerial Order No. M073) and has been extended every two weeks, most recently (for the 29th time) on April 13, 2021 through the end of day on April 27, 2021.

Physical distancing is a measure required to limit or slow the spread of the novel coronavirus. The requirement of physical distancing applies to meetings of local governments, which restricts or limits the ability of local governments to hold meetings that are open to the public. To resolve this M139 No. Order Ministerial issue Province the basis, temporary a on issued (“M139”) relieving local governments of certain legislative requirements (such as holding meetings that are public). res a to of As open M139, B permitted ult the was the in May oard its conduct to meeting virtually, and by electronic means, for the limited period of time that the provincial state of emergency is in effect.

2 Page 5 of 59 Request for Decision - Resolution Required Pursuant to Ministerial Order...

Request for Decision

Resolution Required Pursuant to Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3)

On June 17, 2020, the Province issued Ministerial Order No. M192 (“M192”) which continues to authorize local governments to hold electronic meetings and public hearings, while encouraging the transition back subject to normalto any operations public health officer orders and recommendations which may be put in place as necessary. M192 replaced M139 that previously authorized local governments to hold meetings and hearings by electronic means and imposes further obligations on local governments to encourage in-person open meetings when possible. Therefore, as of June 17, 2020, the SSRHD may only exclude public attendance at an open meeting if, despite using best efforts, the SSRHD is unable to accommodate public attendance in a manner consistent with public health orders and recommendations. If a local government body does not allow public attendance, the body must pass a resolution stating the basis for not allowing public by Board ensuring means is openness,attendance and the which the transparency, accessibility and accountability in respect of the meeting.

On July 2020, COVID the8, - Act Measures (the 19 RelatedAct “ which force, came into ”) included (1) formalized provisions that were previously created in response to the pandemic, and (2) a mechanism for unwinding such provisions as appropriate after the provincial state of emergency ends. In the recently issued publication titled Electronic Meetings & Public Hearings – Considerations for Local Governments, the Act is described as providing:

“a temporary legal framework for Ministerial Orders and regulations made under the EPA in relation to - and th COVID e allows the effects of some orders and 19 pandemic regulations to continue after the state of emergency ends. The Act extends some of the Ministerial Orders for 45 days or 90 days after the date on which the last extension of the state of emerge days 90 for extends Order (e.g. cancelled is or ncy M192 expires pandemic some that requirements after). and Given are related the limits expectation likely to continue even when the state of emergency under the EPA ends (such as limits on mass gatherings), the Act also provides the possibility, if required, for extension of COVID-19 related orders by up to one year after the Act is brought into force.”

On August (the Housing published a circular Affairs Municipal 12, 2020, the Ministry of and “Circular”) Province the the Circular, M192. regarding needed much provides that In clarity recognizes “that the capacity, technology and space available to local governments to conduct meetings in-person and/or electronically differs across the province and have therefore intended that Order M192 provide flexibility to local governments to decide what will work best for their community as they continue to reopen under Phase 3 of the BC Restart Plan”.

According to the Circular, there are several factors to consider when preparing to hold in-person meetings, including:

• the HVAC system or fresh air exchange (e.g. open windows/doors);

• posting the COVID-19 safety plan at the venue;

• establishing a process for collecting and safely retaining the first and last names and telephone number, or email address of every person who attends an open meeting in person;

3 Page 6 of 59 Request for Decision - Resolution Required Pursuant to Ministerial Order...

Request for Decision

Resolution Required Pursuant to Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3)

• the wearing of face masks by elected officials, staff and members of the public when physical distancing is not practical;

• having a greeter at the entran ce the public about established safety informing protocols, including hand washing or sanitization, physical distancing and using a face mask where physical distancing is not practical or if they are concerned for their personal well-being;

• posting occupancy limits (no more than 50 persons) based on the PHO Order requirements and WorkSafeBC recommendation and guidelines;

• implementing separate entrances and exit points to control the flow of people through the venue; and

• ensuring washrooms ith are supplied w soap, water and drying materials so a time in public of the number people at hands. their can wash visitors Limit washrooms and establish how often cleaning and disinfection will take place.

Up until November 7, 2020, the SSRHD had been working towards a return, if possible, to in person the helpful provided Circular and has cautious in a manner, measured and meetings publication The Hearings regard. Public – & guidance in Meetingsthis Electronic “ titled Considerations for Local Governments” (as mentioned above) also provides considerations and best meetings and on hearings governments public electronic local for practices electronic during the extended period of pandemic adaptation.

As previously reported, engineering controls (specifically plexiglass at the reception counter and at an adjacent staff work station) have been installed at the SLRD Administrative Office. Staff has also considered occupancy limits in the Boardroom. Based on allowing 5 square metres per person and the Boardroom size of 56 square metres and allowing 6 feet between people, the Boardroom could hold a total of 11 people, with a maximum of 3 of these people being members of the public.

Second Wave/Increased Transmission in Fall 2020 and Associated Public Health Orders

In early 2020,there were November of of concerning- inrates 19 the transmission COVID province. With this surge, health officials have begun to make changes designed to reduce the spread of the disease. The Prevention Regional Measures Order dated November 10, 2020 includes the following regarding Workplace Safety:

“F. WORKPLACE SAFETY

1. Employers must review their COVID-19 Safety Plans to ensure that they adequately protect workers from the transmission of COVID-19 in the workplace and are consistent with WorkSafeBC requirements.

4 Page 7 of 59 Request for Decision - Resolution Required Pursuant to Ministerial Order...

Request for Decision

Resolution Required Pursuant to Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3)

2. An employer of a worker who is working in a workplace other than the worker’s private residence must ensure that the worker has done a daily health check for the symptoms of COVID-19.

3. If an employer is not satisfied that a worker has done a daily health check the employer must not permit the worker to work at the workplace.

4. Employers should encourage workers to work from their private residence if feasible, unless there is a preference on the part of the employer or the worker for the worker to work at the workplace.

5. Employers must ensure that their COVID-19 Safety Plan includes measures to prevent workers including risk higher in spaces, or together crowding from congregating elevators, lobbies, stairwells, corridors, bathrooms, break rooms and kitchens.”

On November 24, 2020, Ministerial Order No. 425 was put in place, requiring masks to be worn by all British Columbians, 12 years and older unless otherwise exempted, in many indoor public settings, i of fitness and sport areas common and buildings office of areas ncluding common centres when not engaged in physical activity.

The SLRD’s applicable administrative policies have been these updated account into take to measures, including the daily health screening for the core staff members that continue to work at the SLRD Administrative Office. There was a further reduction of core staff workers at the office, with staff members being deployed to work remotely.

CAO Helmer the has SLRD’s 19 COVID Safetycompleted - t reflects Plan ; i the a review of updated administrative policies and will be further reviewed if/as needed.

Developments regarding Public Attendance at Board Meetings and PHO Order on Gatherings and Events

Among many other prohibitions and restrictions, the current Order of the Public Health Officer on Gatherings and Events prohibits in person attendance at board meetings and does not have an expiration date (this specific prohibition regarding in person attendance at board meetings has been in place since December 2020). As a result of this specific prohibition, staff is currently not required to make best efforts to enable in person public participation.

(The first Recommendation on page 1 of this staff report reflects these current circumstances. The second Recommendation on page 1 of this staff report identifies measures that are already underway as well as measures intended to increase the principles of openness, transparency, accessibility and accountability.)

On March 29, 2021, due to the exponential increase in COVID-19 case counts and the impact to acute the Province health new announced province widecare - system, the provincial restrictions effective March 30, 2021 to April 19, 2021 inclusive. The new restrictions include the following:

5 Page 8 of 59 Request for Decision - Resolution Required Pursuant to Ministerial Order...

Request for Decision

Resolution Required Pursuant to Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3)

• Indoor dining at restaurants, pubs and bars is paused (outdoor patio seating and take-out delivery is allowed); • Indoor low intensity group fitness activities are paused; • Indoor religious worship is suspended; and • Closure of Whistler Blackcomb ski resort.

A few days after the announcement of these restrictions, Whistler Blackcomb announced that the mountain was closing for the rest of the spring skiing season and would re-open for summer operations in May.

As of date of this staff report finalization, there is a general expectation that in the coming days the Province will be extending the April 19, 2021 deadline mentioned above.

On December 16, 2020, the Province expanded provincial COVID-19 ticket enforcement and workplace safety measures, including the enhancement of WorkSafeBC’s inspection presence in workplaces (particularly in sectors where COVID-19 transmission is occurring). On March 25, 2021, the increased theProvince fine non a promotingcompliant or for social attending - gathering or event from $230 to $575. The fine for those who organize or host a prohibited event remains at $2,300.

Expedited Workplace Closure Order

On April 11, 2021, the Provincial Health Officer announced the delegation of specific powers granted by the Public Health Act to WorkSafeBC to implement an "expedited workplace closure order", allowing WorkSafeBC prevention officers to shut down a workplace for a period of 10 days or longer, if needed, on the advice of public health if COVID-19 transmission is occurring in the workplace.

CAO Helmer in is the process potential impact of assessings of this the new the order on continuity of local government operations.

BC Government Vaccination Plan

The timeline for -19 B.C.’s Immunization Plan is COVID dependent on vaccine supply and availability. According to ovincial the pr government’sCOVID-19 Vaccination, second Plan doses will be administered approximately 16 weeks after dose one. Phase 3 is now underway. Phase 3 and Phase 4 will primarily be distributed in five-year age increments.

6 Page 9 of 59 Request for Decision - Resolution Required Pursuant to Ministerial Order...

Request for Decision

Resolution Required Pursuant to Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3)

In addition, frontline and essential workers (i.e. police officers, firefighters and educational staff with irecta d invitation from ) tar and gtheireted group s (i.e. employer Whistleresidents r and workers between the ages of 18 and 54) are currently being vaccinated.

Use of Third-Party Applications for Maintaining Operations & Activities of the SLRD

On December the 1,Province issued 2020, Order M431whichMinisterial authorizes public bodies to disclose personal informationapplications outside of Canada to enable the use of ( Zoom as ) such 19 COVID un the 2021 31, during May til the . that pandemic event the In Province does not extend the deadline of this Ministerial Order, SLRD staff is in the process of reviewing options to ensure that the SLRD can be in compliance with privacy legislation while continuing to provide the facilities for virtual meetings if required.

Recent Reported Case Counts

The reported daily positive COVID-19 tests in recent days have been as follows:

Date Number of Reported Positive COVID-19 Tests in B.C. April 1, 2021 832 April 2, 2021 1074 April 3, 2021 1072 April 4, 2021 999 April 5, 2021 890 April 6, 2021 1068 April 7, 2021 997 April 8, 2021 1293 April 9, 2021 1262 April 10, 2021 1283 April 11, 2021 1036 April 12, 2021 970 April 13, 2021 873 April 14, 2021 1168 April 15, 2021 1205

According to the Province's COVID -19 Dashboard, as of end of y April da 5, 1 2021, the total number of activewas 10,052 cases, with 409 people in hospital 125 of wh ich are in Critical Care).

SLRD Reopening Plan

At the October 28/29, 2020 SLRD Board meeting, the SLRD Board approved an updated version of the Policy to Approve the SLRD Reopening Plan No. 24-2020 (the “Policy”). The Policy is available on the SLRD website here: SLRD Reopening Plan No. 24-2020 - Version #2

Septemb On 11, er SLRD of 2 Stage of the phased a into moved SLRD the 2020, approach COVID-19 Reopening Plan. Whereas Stage 2 consists of (1) limited public access to the Office and in (2) - Chief the meetings, Board at of the members by attendance person public 7 Page 10 of 59 Request for Decision - Resolution Required Pursuant to Ministerial Order...

Request for Decision

Resolution Required Pursuant to Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3)

Administrative Officer has determined that it is only possible at this time to provide (1) limited public access to the Office. Thus, a phased approach to Stage 2 has been adopted – this is Stage 2A. The scope of Stage 2A Operations is characterized by a partial and restricted reopening of the Office, as follows:

• To allow for restricted reception/frontservices (in accordance counter applicable with WorkSafe guidelines), from Monday to Friday from 8:00 a.m. to 4:30 p.m. with an hour lunch closure. (For clarity, the preferred method for document delivery remains to be by electronic transmission, regular mail or Canada Post courier);

• In all other respects, SLRD operations continue in accordance with Stage 1 Operations described in the table below.

Summary of the SLRD Reopening Plan:

Start Date Public Access to In-Person Employees Public Office Attendance at Board Meetings

Stage 1 March 19, None None Small core team 2020 until remaining in the Office,

September 10, with remainder of 2020 employees working from home. Stage 2A September 11, Partial, restricted None Same as Stage 1 above. 2020 reception/front until further notice counter services (with engineering (in progress) controls and other measures as required) Stage 2B To be Partial, restricted Yes, as per Same as Stage 1 above determined reception/front Ministerial Order No. counter services M192 (with engineering controls and other (if possible) measures as required) Stage 3 To be determined Stage 4 Expected to be aligned with Phase 4 of the BC Restart Plan

Options

(1) Approve the Recommendations as set out above (Preferred Option). (2) Make revisions to the Recommendations. (3) Other, as per Board direction.

8 Page 11 of 59 Request for Decision - Resolution Required Pursuant to Ministerial Order...

Request for Decision

Resolution Required Pursuant to Ministerial Order No. M192-2020 (Local Government Meetings and Bylaw Process (COVID-19) Order No. 3)

Follow-Up Action

If the Recommendations are approved, staff will continue to monitor the guidance being provided by public health officials in determining when in person Board and Committee meetings can be convened.

Submitted by: Kristen Clark, Director of Legislative and Corporate Services Reviewed by: Melany Helmer, Chief Administrative Officer Approved by: Melany Helmer, Chief Administrative Officer

9 Page 12 of 59 Dr. James Cranston, Diamond Head Medical Clinic, A CT for Squamish Commi...

Page 13 of 59 Dr. James Cranston, Diamond Head Medical Clinic, A CT for Squamish Commi...

A CT for Squamish Page 14 of 59 Dr. James Cranston, Diamond Head Medical Clinic, A CT for Squamish Commi...

. University of Calgary Bachelor of Science Zoology . UBC Masters of Education . University of Calgary Medical School . Family Practice Residency at UBC St Paul's Hospital About the . CCFP (EM) - Emergency Medicine qualified Speaker . Living in Squamish 2009 – present . Diamond Head Medical Clinic 2011 – present Page 15 of 59 . Co-Lead SGH Emergency Department . Lead: A CT for Squamish Committee Dr. James Cranston, Diamond Head Medical Clinic, A CT for Squamish Commi...

What is Computed Tomography Page 16 of 59 Dr. James Cranston, Diamond Head Medical Clinic, A CT for Squamish Commi...

What is Computed Tomography Page 17 of 59 Dr. James Cranston, Diamond Head Medical Clinic, A CT for Squamish Commi...

. In 2021 CT is the standard of care in every Emergency Department in North America. How Important . Squamish is the largest population centre in BC (by far) to not have a CT. is CT? . Practicing medicine without a CT is quite literally like

Page 18 of 59 practicing medicine in the 1980s. Dr. James Cranston, Diamond Head Medical Clinic, A CT for Squamish Commi...

. Missed Diagnoses / Delayed Diagnoses leading to How does our increased morbidity and mortality lack of a CT . Patients stranded at LGH with no ride home after CT . Patients / families required to drive to LGH for effect the SLRD? outpatient studies Page 19 of 59 Dr. James Cranston, Diamond Head Medical Clinic, A CT for Squamish Commi...

. Increased utilization of ambulance for transfers to LGH . Increased nursing shortages as nurses often required for transfers How does this . Less physician time available for patient care as more time required to arrange transfers / consult with LGH effect SGH? ED

Page 20 of 59 . Prevents SGH from recruiting surgical / medical specialists to the hospital Dr. James Cranston, Diamond Head Medical Clinic, A CT for Squamish Commi...

. Advocacy – We need the SLRD to advocate for us. We need your voice to force VCH to meet their responsibility to What do we provide quality care in the SLRD. need? . Funding – We are attempting to raise the capital to purchase and house the CT Page 21 of 59 to further pressure VCH to fund the operation of the CT. Sea to Sky Regional Hospital District Board Draft Meeting Minutes of Feb... These minutes are in draft form only and are subject to approval by the Board at the next regularly scheduled Board meeting, and they are provided in draft form pursuant to the Board resolution dated December 16, 2020. DRAFT Sea to Sky Regional Hospital District Board Minutes February 24, 2021; 2:00 PM Virtual Meeting Held via Zoom Pursuant to Ministerial Orders M192 and M431

In Attendance:

Board: J. Ford, Chair (Whistler); K. Elliott, Vice-Chair (Squamish); R. Mack (Area C); T. Rainbow (Area D); M. Richman (Pemberton); J. Crompton (Whistler); J. Stoner (Squamish)

Staff: M. Helmer, Chief Administrative Officer (Deputy Corporate Officer); K. Clark, Director of Legislative and Corporate Services (Corporate Officer); S. Lafrance, Director of Finance

1. Call to Order

The meeting was called to order at 3:15 PM.

The Chair recognized that collectively we are on the unceded territories of all of the First Nations within our regional boundaries.

2. Approval of Agenda

It was moved and seconded:

THAT the agenda be approved as circulated. CARRIED

3. Special Staff Report

3.1. Request for Decision - Resolution Required Pursuant to Ministerial Order No. M192 (Weighted All Vote)

It was moved and seconded:

THAT the Sea to Sky Regional Hospital District is excluding in-person public attendance at this February 24, 2021 meeting on the basis of the Order of the Public Health Officer on Gatherings and Events dated December 2, 2020 which prohibits in person attendance at board meetings.

THATDRAFT pursuant to Ministerial Order No. M192, the Sea to Sky Regional Hospital District of transparency, openness, principles will meet to continue the accessibility and accountability in the current circumstances by the following means:

• continuing to livestream this meeting, enabling the public to watch in real time;

Page 22 of 59 Sea to Sky Regional Hospital District Board Draft Meeting Minutes of Feb... Page 2 of 4 of the minutes of the Sea to Sky Regional Hospital District Board meeting, held on Wednesday, February 24, 2021 in a Virtual Meeting Held via Zoom Pursuant to Ministerial Orders M192 and M431.

• continuing to post an archived video of this meeting on the Squamish- Lillooet Regional District (SLRD) website, for viewing by the public on an on-demand basis; • continuing to reflect disconnections and re-connections of Directors due to technology issues in the meeting minutes; • continuing to provide information to the public on how they can review agendas and meeting minutes; • continuing to provide public notice of meetings; • continuing to assign specific start times for agenda items that are likely to be controversial or attract high public interest; • posting of draft minutes of this meeting on the SLRD website as soon as they are approved by the Chair and prior to being • opted by the Board at the subsequent Board meeting; and • allowing additional time on the agenda to resolve technical issues and lags when admitting staff members into meetings.

CARRIED

4. Consent Agenda (Voting rule on each item may vary; unanimous vote required)

It was moved and seconded:

THAT the resolutions set out in the Consent Agenda be approved, and those Consent Agenda items which do not have resolutions related thereto be received.

4.1. Approval and Receipt of Minutes

4.1.1. Sea to Sky Regional Hospital District Board Draft Meeting Minutes of December 16, 2021

THAT the Sea to Sky Regional Hospital District Board Meeting Minutes of December 16, 2021 be approved as circulated.

4.2. Correspondence for Information

4.2.1. Vancouver Coastal Health - Assessment of Current and Projected Clinical Services and Infrastructure

CARRIED

5. Business Arising from the Minutes

None

6. Bylaws DRAFT

(Unweighted All Vote, except as noted; 2/3 majority required for bylaw adoption on same day as third reading)

Page 23 of 59 Sea to Sky Regional Hospital District Board Draft Meeting Minutes of Feb... Page 3 of 4 of the minutes of the Sea to Sky Regional Hospital District Board meeting, held on Wednesday, February 24, 2021 in a Virtual Meeting Held via Zoom Pursuant to Ministerial Orders M192 and M431.

6.1. Request for Decision - 2021 SSRHD Budget Bylaw No. 45-2021

It was moved and seconded:

THAT Bylaw No. 45-2021, cited as the "Sea to Sky Regional Hospital District 2021 Budget Bylaw No. 45-2021", be introduced and read a first, second and third time.

CARRIED

It was moved and seconded:

THAT Bylaw No. 45-2021, cited as "Sea to Sky Regional Hospital District 2021 Budget Bylaw No. 45-2021", be adopted.

CARRIED

7. Staff Reports & Other Business (Unweighted All Vote, except as noted)

7.1. CAO Verbal Update

None

8. Director's Reports

8.1. Chair's Verbal Report • Upcoming meeting with Sean Parr (Interim Vice-President, Coastal Region, Vancouver Coastal Health Authority)

It was moved and seconded:

THAT Chair's Verbal Report be received.

CARRIED

9. Decision on Late Business (2/3 majority vote)

None

10. Late Business

N/A

11. Director's Notice of Motion none DRAFT 12. Sea to Sky Regional Hospital District Board Closed Meeting

It was moved and seconded:

THAT the Board close the meeting to the public under the authority of Section 90(1)(k) of the Community Charter.

Page 24 of 59 Sea to Sky Regional Hospital District Board Draft Meeting Minutes of Feb... Page 4 of 4 of the minutes of the Sea to Sky Regional Hospital District Board meeting, held on Wednesday, February 24, 2021 in a Virtual Meeting Held via Zoom Pursuant to Ministerial Orders M192 and M431.

90(1)(k) negotiations and related discussions respecting the proposed provision of a municipal service that are at their preliminary stages and that, in the view of the council, could reasonably be expected to harm the interests of the municipality if they were held in public (negotiations)

CARRIED

The meeting was closed to the public at 3:25 PM. The meeting was re-opened to the public at 3:37 PM.

13. Rise & Report from the Closed Sea to Sky Regional Hospital District Board Meeting

None

14. Adjournment

It was moved and seconded:

THAT the meeting be adjourned. CARRIED

The meeting was adjourned at 3:38 PM.

Certified Correct:

J. Ford, Chair K. Clark, Corporate Officer

DRAFT

Page 25 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Request for Decision

Approval of the 2020 Sea to Sky Regional Hospital District Audited Financial Statements

Date of Meeting: Board of Directors – April 21, 2021

Recommendations:

THAT the Sea to Sky Regional Hospital District 2020 Audited Financial Statements be approved as presented; and

THAT the Chair and Treasurer be authorized to sign the Sea to Sky Regional Hospital District 2020 Audited Financial Statements.

Attachment:

Sea to Sky Regional Hospital District 2020 Audited Financial Statements.

Key Information:

• The 2020 Sea to Sky Regional Hospital District audited Financial Statements as attached are presented to the Directors for their approval.

• There may be small formatting errors that will be fixed in the final version.

• The final Auditor’s report will be attached to the final version, following Board approval of the Financial Statements.

Options:

1. Approve and authorize the Chair and Treasurer to sign the 2020 Sea to Sky Regional Hospital District Financial Statements as presented.

2. Do not approve the 2020 Sea to Sky Regional Hospital District Financial Statements and request additional information from the auditors.

Preferred Option: Option 1

Follow Up Action: Once approved the Chair and Treasurer will sign the Statement of Financial Position. The auditors will then distribute the auditor’s report which will be added to the financial statements and presented to the Board at the meeting held May 26, 2021.

Submitted by: Suzanne Lafrance, Director of Finance Approved by: Melany Helmer, CAO

Page 26 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Financial Statements For the year ended December 31, 2020

Page 27 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Sea to Sky Regional Hospital District Financial Statements For the year ended December 31, 2020

Contents

Management Responsibility Report 2

Independent Auditor's Report 3-4

Financial Statements

Statement of Financial Position 5

Statement of Operations 6

Statement of Cash Flows 7

Statement of Changes in Net Debt 8

Notes to the Financial Statements 9-11

Page 28 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Management responsibility report To follow board approval

Page 29 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

BDO Canada BDO Canada Auditors' Report to follow board approvalAuditors' Report to follow board approval

Page 30 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

BDO Canada BDO Canada Auditors' Report to follow board approvalAuditors' Report to follow board approval

Page 31 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Sea to Sky Regional Hospital District Statement of Financial Position

As at December 31 2020 2019

Financial Assets

Cash and Cash Equivalents (Note 3) $ 1,392,108 $ 819,570 Accounts Receivable 37,858 31,197 Sinking Funds Held by MFA 102,409 100,344

1,532,375 951,111

Liabilities

Accounts Payable $ 4,539 $ 6,935 MFA Long-term Debt (Note 4) 4,052,170 4,420,345

4,056,709 4,427,280

Net Debt and Accumulated Deficiency (Note 5) $ (2,524,334) $ (3,476,169)

Approved by:

Treasurer

Chair

The accompanying summary of significant accounting policies and notes are an integral part of these financial statements

Page 32 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Sea to Sky Regional Hospital District Statement of Operations

Budget For the year ended December 31 2020 2020 2019 (Note 6) Revenue

Requisition 1,050,589 1,050,589 1,050,589 Interest/Investment Income 9,500 6,679 9,887 Debenture Refund and Actuarial Earnings - 121,514 107,766 Actuarial Accrual - 6,661 31,193 Payments In Lieu of Taxes 550 238 655

1,060,639 1,185,681 1,200,090

Expenses

Administration Charges 2,500 2,720 2,822 Bank Charges 250 78 130 Miscellaneous Operating Cost 13,525 10,843 10,947 Section 20(3) Expenditures - Capital Equipment 278,111 53,557 311,190 Interest 166,648 166,648 280,199

461,034 233,846 605,288

Annual Surplus 599,605 951,835 594,802

Accumulated Deficiency, beginning of year (3,476,169) (3,476,169) (4,070,971)

Accumulated Deficiency, end of year $ (2,876,564) $ (2,524,334) $ (3,476,169)

The accompanying summary of significant accounting policies and notes are an integral part of these financial statements

Page 33 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Sea to Sky Regional Hospital District Statement of Cash Flows

2020 2019

Cash provided by (used in)

Operating Transactions

Annual Surplus $ 951,835 $ 594,802

Non Cash Items Debenture Refund and Actuarial Earnings (121,514) (107,766)

Changes in Non-cash Operating Balances Accounts Receivable (6,661) (31,167) Accounts Payable (2,396) (10,866)

821,264 445,003

Financing Transactions

Principal Payments (248,726) (248,726)

Increase in cash and cash equivalents for the year 572,538 196,277

Cash and cash equivalents, beginning of year 819,570 623,293

Cash and cash equivalents, end of year $ 1,392,108 $ 819,570

The accompanying summary of significant accounting policies and notes are an integral part of these financial statements

Page 34 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Sea to Sky Regional Hospital District Statement of Changes in Net Debt

As at December 31 Budget 2020 2020 2019 (Note 6)

Annual Surplus $ 599,605 $ 951,835 $ 594,802

Net Debt, beginning of the year (3,476,169) (3,476,169) (4,070,971)

Net Debt, end of year $ (2,876,564) $ (2,524,334) $ (3,476,169)

The accompanying summary of significant accounting policies and notes are an integral part of these financial statements

Page 35 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Sea to Sky Regional Hospital District Notes to the Financial Statements For the year ended December 31, 2020

1. Incorporation

The Sea to Sky Regional Hospital District was established by an Order of the Lieutenant Governor in Council on November 19, 1998 and effectively commenced operations on January 1, 1999. The Regional Hospital District raises funds through requisition of taxes from property owners within its geographical boundaries. These revenues are used to fund capital equipment purchases for hospitals in the area through local community health authorities. The Regional Hospital District is not subject to income taxes.

2. Significant Accounting Policies

The Regional Hospital District is responsible for the preparation and fair presentation of the financial statements in accordance with Canadian public sector accounting standards (PSAS) of the Chartered Professional Accountants Canada. Significant principles are as follows: (i) Cash and Cash Equivalents Cash consists of cash on hand, cash in transit, and cash on deposit. Cash equivalents are short-term investments made to obtain a return on a temporary basis and are carried at the lower of cost or market value. (ii) Revenue Recognition Sources of revenue are recorded on the accrual basis and recognized in the period in which they are earned. (iii) Government Transfers Government transfers, which include legislative grants, are recognized as revenue in the financial statements when the transfer is authorized and any eligibility criteria are met, except to the extent that transfer stipulations give rise to an obligation that meets the definition of a liability. Transfers are recognized as deferred revenue when transfer stipulations give rise to a liability. Transfer revenue is recognized in the statement of operations as the stipulation liabilities are settled. (iv) Requisition Revenue Each Municipality and Electoral Area within the Regional Hospital District is requisitioned for their portion of the Sea to Sky Regional Hospital District service. These funds are then levied by the Municipalities and the Province (for Electoral Areas) to individual taxpayers and turned over to the Regional Hospital District by August 1 of each year and are recorded as revenue in the calender year to which they are related. Levies imposed by other taxing authorities are not included as taxes for Regional Hospital District purposes. (v) Financial Instruments The Regional Hospital District’s financial instruments consist of cash and cash equivalents, accounts receivable, sinking funds held by Municipal Finance Authority of BC (MFA BC), long-term debt and accounts payable. Financial instruments are carried at cost. Unless otherwise indicated, it is management's opinion that the Regional Hospital District is not exposed to any significant interest, credit or currency risks arising from these financial instruments.

Page 36 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Sea to Sky Regional Hospital District Notes to the Financial Statements For the year ended December 31, 2020

3. Investments

At December 31 2020 2019 MFA BC-CIBC Mellon $1,357,513 $739,833

Included in cash and cash equivalents are Municipal Finance Authority of BC (MFA BC) Pooled Investment Funds held in a CIBC Mellon Money Market account. These funds are tax requisition funds invested for regular Hospital District operations and are carried at market value which approximates cost. Average yield on the MFA BC Money Market Fund in 2020 was 0.64% (2019 = 1.48%)

4. Municipal Finance Authority of BC (MFA BC) Long-term Debt

(a) Long-term debentures issued through the Municipal Finance Authority of BC:

Issue Interest Rate 2020 2019 105 Issued in 2009, maturing in 2029 2.25% $2,532,677 $2,762,793 106 Issued in 2009, maturing in 2029 2.25% 1,519,493 1,657,552 Total as at December 31 $4,052,170 $4,420,345

(b) Future principal payments on existing debt: 2021 248,726 2022 248,726 2023 248,726 2024 248,726 2025 248,726 Thereafter 994,901 2,238,531

Actuarial additions 1,813,639 $4,052,170

5. Accumulated Deficiency

Components of Accumulated Deficiency: 2020 2019 Unrestricted $ 93,458 $ 150,117 Appropriated for Section 20(3) Reserve 1,331,969 693,715 MFA Debt Reserve Fund 102,409 100,344 Issued Debt Recovered through Future Taxation (4,052,170) (4,420,345) Accumulated Deficiency, end of year $ (2,524,334) $ (3,476,169)

Page 37 of 59 Request for Decision - Approval of 2020 Sea to Sky Regional Hospital Dis...

Sea to Sky Regional Hospital District Notes to the Financial Statements For the year ended December 31, 2020

6. Budget

The 2020 budget was approved by the Board through the adoption of Bylaw No. 43 - 2020 on February 26, 2020. The budget includes items not shown on the statement of operations as identified below:

Annual budgeted deficit as reported in these financial statements $ 599,605

Adjustments for items not reflected in financial statements Budgeted Operating Surplus Brought Forward 62,821 MFA Debt Principal Payments (248,726) Contingency Expense (for Capital purposes) (491,811) Transfer from Appropriated Capital Surplus 78,111 Budgeted Annual Surplus $0

7. Uncertainty due to COVID-19

On March 11, 2020, the COVID-19 outbreak was declared a global pandemic by the World Health Organization. As the impacts of COVID-19 continue, there could be further effects on the Regional Hospital District, the local health authorities, regional taxpayers and suppliers. The Regional Hospital District has continued to operate without interruption during this pandemic. Given the daily evolution of the COVID-19 outbreak and the global responses to curb its spread, the Regional Hospital District is not able to fully estimate the effects of the COVID-19 outbreak on its results of operations, financial condition, or liquidity at this time.

Page 38 of 59 Letter from Brenda McLeod - COVID Vaccine Program in Sea to Sky Corridor

From: Brenda McLeod Sent: April 11, 2021 1:17 PM To: Jack Crompton ; Mike Richman ; Russell Mack ; 'Jordan - Sturdy' Cc: SLRD Info ; [email protected] Subject: *** External *** COVID Vaccine Program Importance: High

Hello Gentlemen, I am writing to you concerning the current situation with COVID in the Sea to Sky Corridor. The Sea to Sky corridor continues to have many people travelling in the area despite restrictions. They are visiting gas stations, parks, bike trails, backcountry, and stores etc. Unfortunately, the whole Sea to Sky corridor presently has many cases of COVID and also a heightened risk in the entire area, not just Whistler. It is unfortunate that the recent concern regarding the need for immediate vaccination was only centered around Whistler. The entire Sea to Sky corridor that includes Squamish and Pemberton is where many Whistler workers live and also where many people recreate. To ignore the communities surrounding Whistler is short-sighted. I am hearing from many people in Pemberton who do not want to risk going to work right now until they are vaccinated due to the current situation in the Pemberton area. There are whole families getting COVID now, due likely to the presence of variants. I feel it is important for all essential workers in the Pemberton and Squamish areas to be vaccinated at the same time as the Whistler essential workers. By essential workers I mean anyone who is serving the public, such as in ambulance, police, fire, gas stations, stores etc. Currently, this weekend there is a huge presence of people mountain biking in the Pemberton area as one example and accessing all Pemberton services. Does Pemberton need to go to the media to get support for vaccinations for our essential workers? I am happy to contact them if you think it will be helpful. I look forward to hearing from you asap, as each day we wait there are more cases in our area. Kind regards Brenda I respectfully acknowledge I am speaking from and living on the traditional, ancestral and unceded territory of the Lil’wat Nation. Kukwstumckacw, merci, and thank you.

Brenda McLeod

Pemberton BC V0N 2L0

Page 39 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

March 19, 2021

Honourable Selina Robinson Minister of Finance Email: [email protected]

Dear Minister Robinson:

RE: Regional Hospital Boards – Responsibility for Capital Costs

Please find enclosed a letter of inquiry dated February 9, 2021, forwarded to you from the Peace River Regional Hospital District Board (PRRHD), regarding changes to the Translink funding model as it relates to the funding of hospital capital costs in Metro Vancouver.

To summarize the attached inquiry, as BC Government mandate letters place responsibility for TransLink with the Province, will the funding of 40% of hospital capital costs be transferred back to Metro Vancouver? If that is not the case, the PRRHD Board respectfully requests that all hospital districts in BC receive similar assistance from the Province to create tax room for initiatives unique to each area.

The PRRHD Board respectfully requests a timely response to its inquiry.

Sincerely,

Brad Sperling Chair

Enclosure: Correspondence dated February 9, 2021 from the PRRHD Board

c: Honourable Rob Fleming, Minister of Transportation and Infrastructure Email: [email protected] Honourable George Heyman, Minister of Environment and Climate Change Strategy Via Email: [email protected] Honourable Josie Osborne, Minister of Municipal Affairs, Email: [email protected] Honourable Bowinn Ma, Minister of State for Infrastructure, Email: [email protected] Mr. Mike Bernier, South Peace MLA, Email: [email protected] Mr. Dan Davies, North Peace MLA, Email: [email protected] diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] Page 40 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Association of Kootenay & Boundary Local Governments, Email: [email protected] of [email protected] & [email protected] Local Governments, Email: Association of Kootenay & Boundary Local Governments, Email: Association of Vancouver Island and Coastal Communities, Email: [email protected] of [email protected] [email protected] and Coastal Communities, Email: Association of Vancouver Island and Coastal Communities, Email: Lower Mainland Local Government Association, Email: [email protected] Mainland [email protected] Local [email protected] Association, Email: Lower Mainland Local Government Association, Email: North Central Local Government Association, Email: Northadmin@nclga Central [email protected] .caGovernmentadmin@nclga Association, Email: North Central Local Government Association, Email: Southern Interior Local Government Association, Email: [email protected] Interior [email protected] Government Association,[email protected] Email: Southern Interior Local Government Association, Email: AlberniAlberni--Clayoquot- AlberniClayoquot Regional Regional HospitalClayoquot RegionalHospital District, Hospital District,Email:Email: [email protected] District,Email: [email protected] [email protected] CapitalCapital Regional CapitalRegional Hospital Regional Hospital District District,Hospital Email:District ,[email protected] Email: , Email: [email protected]@crd.bc.ca CaribooCariboo--Chilcotin- Cariboo RChilcotinegional egionalH RospitalHChilcotinH egional ospitalDDistrict, DR ospital Email: istrict,[email protected] Email: istrict, Email: [email protected] [email protected] Central CoastCentral Regional Coast Regional Hospital CentralRegional Hospital District CoastDistrict,Hospital Email:, , District Email: [email protected] Email: [email protected] [email protected] Central OkanaganCentral Regional Okanagan RegionalHospitalCentral DistrictHospitalRegional DistrictOkanagan, Email:Hospital District, [email protected] Email: , Email: [email protected]@cord.bc.ca Comox Strathcona RComoxegional StrathconaegionalHospitalHH egional DospitalDistrict, RDComox ospital Email: Strathcona istrict, administration@comoxvalleyrd Email: R istrict, Email: administration@comoxvalleyrd administration@comoxvalleyrd Cowichan CowichanValley Valley Regional CowichanValleyRegional Hospital Regional Hospital District District,Hospital Email,:District Email:[email protected] : , Email [email protected] [email protected] Fraser ValleyFraser Regional ValleyRegional Hospital FraserRegional Hospital District ValleyDistrict,Hospital Email:District ,[email protected] Email: , Email:[email protected] [email protected] FraserFraser--Fort- GeorgeFraser FortRegional George RegionalHospital Fort George DistrictHospitalRegional District, Email:Hospital District ,[email protected] Email: , Email: [email protected]@rdffg.bc.ca Kootenay East Regional Hospital DistrictKootenay, Email: ,[email protected] Email: East Regional , Email: [email protected] [email protected] East Regional Hospital District Mount WaddingtonMount Regional Waddington RegionalHospital HospitalDistrictRegionalMountDistrict, Email:WaddingtonHospital District ,[email protected] Email: , Email: [email protected] [email protected] Northern Rockies RNorthernegional egionalH ospitalHRockiesH egional ospitalD RDistrict,NorthernD ospital Email: Rockies istrict,[email protected] R Email: istrict, Email: [email protected] [email protected] NanaimoNanaimo Regional NanaimoRegional Hospital RegionalHospital District, Hospital District,Email: Email:[email protected] District, Email: [email protected] [email protected] North OkanaganNorth--Columbia- Okanagan ShuswapNorth Columbia Regional Okanagan HospitalShuswap District,Columbia Email: Shuswap [email protected] Hospital District,[email protected] Email: [email protected] Hospital District, Email: North West RNorthegional West Hospital RNorth District, West Email: R [email protected] Hospital District,[email protected] Email: [email protected] Hospital District, Email: OkanaganOkanagan--Similkameen- OkanaganSimilkameen Regional Regional Hospital SimilkameenRegional Hospital District ,DistrictHospital Email:District ,[email protected] Email: , Email: [email protected]@rdos.bc.ca Powell RiverPowell Regional River HospitalPowell District, River Email: [email protected] Hospital District, Email:[email protected] Regional Hospital District,[email protected] Email: Sea to SeaSky RtoegionalSky Sea R Skyto egionalH RospitalHH egional DospitalDistrictD :istrictospital Email:istrict :[email protected] Email: : Email: [email protected] [email protected] StuartStuart-Nechako-- Stuart RNechakoegional egionalH RospitalHNechakoH egional ospitalDDistrict: DR ospital Email: istrict: [email protected] Email:istrict: Email:[email protected] [email protected] Sunshine CoastSunshine Regional Regional CoastHospital SunshineRegionalHospital District CoastDistrict,Hospital Email:District ,[email protected] Email: , Email: [email protected] [email protected] Thompson Thompson Regional HospitalThompson District, Email: [email protected] [email protected] District, Email:[email protected] Regional Hospital District, Email: West Kootenay BWestoundary Kootenay Regionaloundary BWest egionalH RospitalHoundaryH Kootenay egional ospitalDDistrict, RD B ospital Email: istrict,[email protected] Email: istrict, Email:[email protected] [email protected]

Page 41 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

February 9, 2021

Honourable Selina Robinson Minister of Finance Via Email: [email protected]

Dear Minister Robinson:

RE: Regional Hospital Boards – Responsibility for Capital Costs

At its December 11, 2020 meeting, the Peace River Regional Hospital District Board (PRRHD) discussed changes to the Translink funding model related to the funding of hospital capital costs in Metro Vancouver.

In October 2012, the responsibility for funding 40% of hospital capital costs was transferred from Metro Vancouver to the Province, which allowed Metro Vancouver to levy property taxes to fund Translink instead.

As BC Government mandate letters place responsibility for TransLink with the Province, will the funding of 40% of hospital capital costs be transferred back to Metro Vancouver? Suppose Metro Vancouver will not be resuming responsibility for funding 40% of hospital capital costs. In that case, the PRRHD Board respectfully requests that hospital districts throughout BC receive similar assistance from the Province to create tax room for initiatives unique to each area. To that end, the PRRHD Board resolved:

“That the Regional Hospital District Board authorize that a letter be forwarded to the Ministers of Environment and Climate Change Strategy (MoECCS), Finance, Municipal Affairs, Transportation and Infrastructure, and State for Infrastructure, to remind the Province of its commitment made in October 2012 to relieve Metro Vancouver of the responsibility for 40% of hospital capital costs to allow Metro Vancouver to instead levy property taxes to pay for Translink; and further, to enquire with the Province regarding the mandate letters for the BC Government that place responsibility for Translink in provincial jurisdiction (MoECCS), and whether this will result in Metro Vancouver resuming responsibility for 40% of hospital capital costs, and if not, to request that the Peace River Regional Hospital District, and other hospital districts in the Province receive similar assistance from the Province to create tax room for specific initiatives unique to the area.”

diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] Page 42 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Thank you for your consideration of the PRRHD Board’s request.

Sincerely,

Brad Sperling Chair

c: Honourable Rob Fleming, Minister of Transportation and Infrastructure, Email: [email protected] Honourable George Heyman, Minister of Environment and Climate Change Strategy Email: [email protected] Honourable Josie Osborne, Minister of Municipal Affairs, Email: [email protected] Honourable Bowinn Ma, Minister of State for Infrastructure, Email: [email protected] Mr. Mike Bernier, South Peace MLA, Email: [email protected] Mr. Dan Davies, North Peace MLA, Email: [email protected]

Page 43 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

March 19, 2021

Honourable Rob Fleming Minister of Transportation and Infrastructure Via Email: [email protected]

Dear Minister Fleming:

RE: Regional Hospital Boards – Responsibility for Capital Costs

The PRRHD Board respectfully requests a timely response to its inquiry.

Sincerely,

Brad Sperling Chair

Enclosure: Correspondence dated February 9, 2021 from the PRRHD Board

c: Honourable George Heyman, Minister of Environment and Climate Change Strategy Email: [email protected] Honourable Josie Osborne, Minister of Municipal Affairs, Email: [email protected] Honourable Selina Robinson, Minister of Finance, Email: [email protected] Honourable Bowinn Ma, Minister of State for Infrastructure, Email: [email protected] Mr. Mike Bernier, South Peace MLA, Email: [email protected] Mr. Dan Davies, North Peace MLA, Email: [email protected] Association of Kootenay & Boundary Local Governments, Email: [email protected] diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] Page 44 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Association of Vancouver Island and Coastal Communities, Email: [email protected] Lower Mainland Local Government Association, Email: [email protected] North Central Local Government Association, Email: [email protected] Southern Interior Local Government Association, Email: [email protected] Alberni-Clayoquot Regional Hospital District, Email: [email protected] Capital Regional Hospital District, Email: [email protected] Cariboo-Chilcotin Regional Hospital District, Email: [email protected] Central Coast Regional Hospital District, Email: [email protected] Central Okanagan Regional Hospital District, Email: [email protected] Comox Strathcona Regional Hospital District, Email: administration@comoxvalleyrd Cowichan Valley Regional Hospital District, Email: [email protected] Fraser Valley Regional Hospital District, Email: [email protected] Fraser-Fort George Regional Hospital District, Email: [email protected] Kootenay East Regional Hospital District, Email: [email protected] Mount Waddington Regional Hospital District, Email: [email protected] Northern Rockies Regional Hospital District, Email: [email protected] Nanaimo Regional Hospital District, Email: [email protected] North Okanagan-Columbia Shuswap Regional Hospital District, Email: [email protected] North West Regional Hospital District, Email: [email protected] Okanagan-Similkameen Regional Hospital District, Email: [email protected] Powell River Regional Hospital District, Email: [email protected] Sea to Sky Regional Hospital District: Email: [email protected] Stuart-Nechako Regional Hospital District: Email: [email protected] Sunshine Coast Regional Hospital District, Email: [email protected] Thompson Regional Hospital District, Email: [email protected] West Kootenay Boundary Regional Hospital District, Email: [email protected]

Page 45 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

February 9, 2021

Honourable Rob Fleming Minister of Transportation and Infrastructure Via Email: [email protected]

Dear Minister Fleming:

RE: Regional Hospital Boards – Responsibility for Capital Costs

diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] Page 46 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Thank you for your consideration of the PRRHD Board’s request.

Sincerely,

Brad Sperling Chair

Page 47 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

March 19, 2021

Honourable George Heyman Minister of Environment and Climate Change Strategy Via Email: [email protected]

Dear Minister Heyman:

RE: Regional Hospital Boards – Responsibility for Capital Costs

The PRRHD Board respectfully requests a timely response to its inquiry.

Sincerely,

Brad Sperling Chair

Enclosure: Correspondence dated February 9, 2021 from the PRRHD Board

c: Honourable Rob Fleming, Minister of Transportation and Infrastructure Email: [email protected] Honourable Josie Osborne, Minister of Municipal Affairs, Email: [email protected] Honourable Selina Robinson, Minister of Finance, Email: [email protected] Honourable Bowinn Ma, Minister of State for Infrastructure, Email: [email protected] Mr. Mike Bernier, South Peace MLA, Email: [email protected] Mr. Dan Davies, North Peace MLA, Email: [email protected] diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] 48 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Association of Kootenay & Boundary Local Governments, Email: [email protected] Association of Vancouver Island and Coastal Communities, Email: [email protected] Lower Mainland Local Government Association, Email: [email protected] North Central Local Government Association, Email: [email protected] Southern Interior Local Government Association, Email: [email protected] Alberni-Clayoquot Regional Hospital District, Email: [email protected] Capital Regional Hospital District, Email: [email protected] Cariboo-Chilcotin Regional Hospital District, Email: [email protected] Central Coast Regional Hospital District, Email: [email protected] Central Okanagan Regional Hospital District, Email: [email protected] Comox Strathcona Regional Hospital District, Email: administration@comoxvalleyrd Cowichan Valley Regional Hospital District, Email: [email protected] Fraser Valley Regional Hospital District, Email: [email protected] Fraser-Fort George Regional Hospital District, Email: [email protected] Kootenay East Regional Hospital District, Email: [email protected] Mount Waddington Regional Hospital District, Email: [email protected] Northern Rockies Regional Hospital District, Email: [email protected] Nanaimo Regional Hospital District, Email: [email protected] North Okanagan-Columbia Shuswap Regional Hospital District, Email: [email protected] North West Regional Hospital District, Email: [email protected] Okanagan-Similkameen Regional Hospital District, Email: [email protected] Powell River Regional Hospital District, Email: [email protected] Sea to Sky Regional Hospital District: Email: [email protected] Stuart-Nechako Regional Hospital District: Email: [email protected] Sunshine Coast Regional Hospital District, Email: [email protected] Thompson Regional Hospital District, Email: [email protected] West Kootenay Boundary Regional Hospital District, Email: [email protected]

Page 49 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

February 9, 2021

Honourable George Heyman Minister of Environment and Climate Change Strategy Via Email: [email protected]

Dear Minister Heyman:

RE: Regional Hospital Boards – Responsibility for Capital Costs

diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] Page 50 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Thank you for your consideration of the PRRHD Board’s request.

Sincerely,

Brad Sperling Chair

c: Honourable Rob Fleming, Minister of Transportation and Infrastructure, Email: [email protected] Honourable Josie Osborne, Minister of Municipal Affairs, Email: [email protected] Honourable Selina Robinson, Minister of Finance, Email: [email protected] Honourable Bowinn Ma, Minister of State for Infrastructure, Email: [email protected] Mr. Mike Bernier, South Peace MLA, Email: [email protected] Mr. Dan Davies, North Peace MLA, Email: [email protected]

Page 51 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

March 19, 2021

Honourable Josie Osborne Minister of Municipal Affairs Email: [email protected]

Dear Minister Osborne:

RE: Regional Hospital Boards – Responsibility for Capital Costs

The PRRHD Board respectfully requests a timely response to its inquiry.

Sincerely,

Brad Sperling Chair

Enclosure: Correspondence dated February 9, 2021 from the PRRHD Board

c: Honourable Rob Fleming, Minister of Transportation and Infrastructure Email: [email protected] Honourable George Heyman, Minister of Environment and Climate Change Strategy Via Email: [email protected] Honourable Selina Robinson, Minister of Finance, Email: [email protected] Honourable Bowinn Ma, Minister of State for Infrastructure, Email: [email protected] Mr. Mike Bernier, South Peace MLA, Email: [email protected] Mr. Dan Davies, North Peace MLA, Email: [email protected] diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] Page 52 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Page 53 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

February 9, 2021

Honourable Josie Osborne Minister of Municipal Affairs Via Email: [email protected]

Dear Minister Osborne:

RE: Regional Hospital Boards – Responsibility for Capital Costs

diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] Page 54 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Thank you for your consideration of the PRRHD Board’s request.

Sincerely,

Brad Sperling Chair

c: Honourable Rob Fleming, Minister of Transportation and Infrastructure, Email: [email protected] Honourable George Heyman, Minister of Environment and Climate Change Strategy Email: [email protected] Honourable Selina Robinson, Minister of Finance, Email: [email protected] Honourable Bowinn Ma, Minister of State for Infrastructure, Email: [email protected] Mr. Mike Bernier, South Peace MLA, Email: [email protected] Mr. Dan Davies, North Peace MLA, Email: [email protected]

Page 55 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

March 19, 2021

Honourable Bowinn Ma Minister of State for Infrastructure Email: [email protected]

Dear Minister Ma:

RE: Regional Hospital Boards – Responsibility for Capital Costs

The PRRHD Board respectfully requests a timely response to its inquiry.

Sincerely,

Brad Sperling Chair

Enclosure: Correspondence dated February 9, 2021 from the PRRHD Board

c: Honourable Rob Fleming, Minister of Transportation and Infrastructure Email: [email protected] Honourable George Heyman, Minister of Environment and Climate Change Strategy Via Email: [email protected] Honourable Josie Osborne, Minister of Municipal Affairs, Email: [email protected] Honourable Selina Robinson, Minister of Finance, Email: [email protected] Mr. Mike Bernier, South Peace MLA, Email: [email protected] Mr. Dan Davies, North Peace MLA, Email: [email protected] diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] Page 56 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Page 57 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

February 9, 2021

Honourable Bowinn Ma Minister of State for Infrastructure Via Email: [email protected]

Dear Minister Ma:

RE: Regional Hospital Boards – Responsibility for Capital Costs

diverse. vast. abundant. PLEASE REPLY TO: X Box 810, 1981 Alaska Ave, Dawson Creek, BC V1G 4H8 Tel: (250) 784-3200 or (800) 670-7773 Fax: (250) 784-3201 Email: [email protected] 9505 100 St, Fort St. John, BC V1J 4N4 Tel: (250) 785-8084 Fax: (250) 785-1125 Email: [email protected] Page 58 of 59 Peace River Regional Hospital District - Letters to Ministers - Regional...

Thank you for your consideration of the PRRHD Board’s request.

Sincerely,

Brad Sperling Chair

c: Honourable Rob Fleming, Minister of Transportation and Infrastructure, Email: [email protected] Honourable George Heyman, Minister of Environment and Climate Change Strategy Email: [email protected] Honourable Josie Osborne, Minister of Municipal Affairs, Email: [email protected] Honourable Selina Robinson, Minister of Finance, Email: [email protected] Mr. Mike Bernier, South Peace MLA, Email: [email protected] Mr. Dan Davies, North Peace MLA, Email: [email protected]

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