2019-03-06-Agenda

REGULAR BOARD MEETING Open Meeting Agenda

Date: March 6, 2019

Time: 6:00 pm

Location: Castlegar and District Community Complex Monashee Room

Directors will have the opportunity to participate in the meeting electronically. Proceedings are open to the public.

1. CALL TO ORDER & WELCOME

2. ADOPTION OF THE AGENDA

RECOMMENDATION

2.1 That the agenda for the March 6, 2019 Board meeting be adopted as circulated.

3. ADOPTION OF THE MINUTES

RECOMMENDATION

3.1 That the minutes of the January 23, 2019 Board meeting be adopted as circulated.

4. WKBRHD APPOINTMENTS

4.1 Appointment of Alternate Director – Village of Warfield

RECOMMENDATION:

That Diane Langman be appointed as an Alternate Director of the West Kootenay- Boundary Regional Hospital District for 2019 representing the Village of Warfield.

March 6, 2019 Regular Board Meeting West Kootenay Boundary Regional Hospital District

4.2 Appointment of Director- Village of Montrose

RECOMMENDATION:

That Don Berriault be appointed as a Director of the West Kootenay-Boundary Regional Hospital District for 2019 representing the Village of Montrose.

4.3 Appointment of Alternate Director- Village of Montrose

RECOMMENDATION:

That Mike Walsh be appointed as an Alternate Director of the West Kootenay-Boundary Regional Hospital District for 2019 representing the Village of Montrose.

4. DELEGATIONS

INTERIOR HEALTH AUTHORITY Mr. Todd Mastel, Director – Business Support Ms. Cheryl Whittleton, Health Services Administrator-Kootenay Boundary- Community Ms. Jane Cusden, Health Services Administrator-Kootenay Boundary- Acute Mr. Karl Hardt, Communications Director

5. BUSINESS ARISING OUT OF THE MINUTES

5.1 Summary of IHA Minor Equipment Global Grants

The list of 2019- 2020 WKBRHD Minor Equipment Global Grant items provided by Todd Mastel, Interior Health Authority, has been received.

5.2 Summary of Information Management & Information Technology Funding Requests

The list of 2019- 2020 Information Management & Information Technology Funding Requests provided by Todd Mastel, Interior Health Authority, has been received.

5.3 Bylaws

(a) BYLAW NO. 307 (Boundary Hospital WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL Chiller) DISTRICT CAPITAL EXPENDITURE BYLAW NO. 307

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 307, 2019 is hereby read the FIRST, SECOND and THIRD time.

March 6, 2019 Regular Board Meeting West Kootenay Boundary Regional Hospital District

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 307, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(b) BYLAW NO. 308 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Daly Window DISTRICT CAPITAL EXPENDITURE BYLAW NO. 308 Replacement)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 308,2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 308, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(c) BYLAW NO. 309 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Boundary- Medical DISTRICT CAPITAL EXPENDITURE BYLAW NO. 309 Vacuum System)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 309,2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 309, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(d) BYLAW NO. 310 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Boundary- DISTRICT CAPITAL EXPENDITURE BYLAW NO. 310 Security Upgrade)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 310, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 310, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(e) BYLAW NO. 311 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (KLH Oncology DISTRICT CAPITAL EXPENDITURE BYLAW NO. 311 Dept. Relocation)

March 6, 2019 Regular Board Meeting West Kootenay Boundary Regional Hospital District

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 311, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 311, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(f) BYLAW NO. 312 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (ALH Washroom & DISTRICT CAPITAL EXPENDITURE BYLAW NO. 312 Wheelchair Access)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 312, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 312, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(g) BYLAW NO. 313 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (KBRH Isolation DISTRICT CAPITAL EXPENDITURE BYLAW NO. 313 Valves)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 313, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 313, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(h) BYLAW NO. 314 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (KBRH Roof DISTRICT CAPITAL EXPENDITURE BYLAW NO. 314 Fall Protection)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 314, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 314, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

March 6, 2019 Regular Board Meeting West Kootenay Boundary Regional Hospital District

(i) BYLAW NO. 315 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (KLH Annex DISTRICT CAPITAL EXPENDITURE BYLAW NO. 315 Fire Alarm)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 315, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 315, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(j) BYLAW NO. 316 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Kiro Wellness DISTRICT CAPITAL EXPENDITURE BYLAW NO. 316 Air handlers)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 316, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 316, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(k) BYLAW NO. 317 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Regional IMIT) DISTRICT CAPITAL EXPENDITURE BYLAW NO. 317)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 317,2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 317,2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(l) BYLAW NO. 318 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Emergency Dept. DISTRICT CAPITAL EXPENDITURE BYLAW NO. 318 Medical Summary)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 318, 2019 is hereby read the FIRST, SECOND and THIRD time.

March 6, 2019 Regular Board Meeting West Kootenay Boundary Regional Hospital District

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 318,2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(m) BYLAW NO. 319 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (KLH Radiographic DISTRICT CAPITAL EXPENDITURE BYLAW NO. 319 System – Digital)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 319, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 319, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(n) BYLAW NO. 320 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (KBRH Physiological DISTRICT CAPITAL EXPENDITURE BYLAW NO. 320 Monitoring System)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 320, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 320, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(n) BYLAW NO. 321 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Waste/Cardboard DISTRICT CAPITAL EXPENDITURE BYLAW NO. 321 Compactor - KLH)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 321, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 321, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(o) BYLAW NO. 322 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Gordon Rd. Day DISTRICT CAPITAL EXPENDITURE BYLAW NO. 322 Program Bus)

March 6, 2019 Regular Board Meeting West Kootenay Boundary Regional Hospital District

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 322, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 322, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(p) BYLAW NO. 323 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (KLH Anaesthetic DISTRICT CAPITAL EXPENDITURE BYLAW NO. 323 Unit)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 323, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 323, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(q) BYLAW NO. 324 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Laboratory DISTRICT CAPITAL EXPENDITURE BYLAW NO. 324 Middleware)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 324, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 324, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(r) BYLAW NO. 325 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Equipment DISTRICT CAPITAL EXPENDITURE BYLAW NO. 325 $5,000- $100,000)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 325, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 325, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

March 6, 2019 Regular Board Meeting West Kootenay Boundary Regional Hospital District

(s) BYLAW NO. 326 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (KBRH Ambulatory DISTRICT CAPITAL EXPENDITURE BYLAW NO. 326 Care & Pharmacy)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 326, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 326, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(t) BYLAW NO. 327 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Castlegar- DISTRICT CAPITAL EXPENDITURE BYLAW NO. 327 Primary Care)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 327, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 327, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(u) BYLAW NO. 328 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (KBRH DISTRICT CAPITAL EXPENDITURE BYLAW NO. 328 Boiler Room)

3 Readings: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 328, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 328, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

(v) The report dated February 28, 2019 from Stuart Horn, Secretary /Treasurer, presenting budget scenarios, has been received.

RECOMMENDATION:

That the Board approve WKBRHD budget scenario _____ with a taxation level of $______and a contribution to reserve of $______.

March 6, 2019 Regular Board Meeting West Kootenay Boundary Regional Hospital District

BYLAW NO. 329 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL (Annual Budget) DISTRICT ANNUAL BUDGET BYLAW NO. 328)

3 Readings: West Kootenay-Boundary Regional Hospital District Annual Budget Bylaw No. 329, 2019 is hereby read the FIRST, SECOND and THIRD time.

Adoption: West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 329, 2019 is hereby ADOPTED and the Chair and the Secretary are authorized to sign same.

* Note the final bylaw will be laid on the table at the meeting in accordance with the budget option selected by the Board.

6. NEW BUSINESS

6.1 Capital Funding Request for the KBRH Ambulatory Care and Pharmacy Project

The letter from Donna Lommer, Interior Health Authority, dated February 6, 2019, has been received.

At the request of the Chair a list of previous WKBRHD Board resolutions relating to the KBRH sustainability project is provided for reference:

87/16 That the WKBRHD Board write a letter to Minister of Health Terry Lake advocating for immediate advancement of the KBRH Service Priority Renovation Project which would allow the Interior Health Authority to proceed with the planning process as the first step to further advance the project towards establishing the final cost estimate and approval to proceed with construction

11/17 That the West Kootenay Boundary Regional Hospital District send a letter to the Ministry of Health and the Interior Health Authority advising that before the WKBRHD will commit to fund Phase 1 (Emergency Department Redesign and Expansion, including electrical transformer upgrade) of the Kootenay Boundary Regional Hospital Sustainability Project when the Ministry of Health commits to fund the total Project, within a stipulated period of time; and further, that it be communicated that the net contribution from the WKBRHD for the entire Project will be 40%.

70/17 THAT the Board approve the expenditures for the Kootenay Boundary Regional Hospital Emergency Department Upgrade Project to be paid from Reserves.

6.2 Capital Funding Request for the Primary Care Space at the Castlegar and District Community Health Center

The letter from Darold Sturgeon, Interior Health Authority, dated February 22, 2019, has been received.

March 6, 2019 Regular Board Meeting West Kootenay Boundary Regional Hospital District

6.3 WKBRHD Accounts Payable Summary

The accounts payable summary prepared by the RDCK Finance Department for the Period January – February 2019 has been received.

6.4 Stipend and Expenses for Attendance at KBRH Funding Announcement

Acting Chair Main has requested that the Board consider allowing stipend and expenses to be claimed for representing the WKBRHD at the funding announcement for the KBRH Ambulatory Care and Pharmacy project held on February 15 in Trail.

6.5 WKBRHD Priorities The letter from Susan Brown, Interior Health Authority, dated February 27 , 2019 has been received.

The email from WKBRHD Chair Aimee Watson to IHA Chair Doug Cochrane dated November 14 , 2018., has been received

6.6 IHA Capital Projects and Planning Status report

The January, 2019 report from IHA has been received

7. QUESTIONS PERIOD FOR PUBLIC & MEDIA

The Chair will call for questions from the public and members of the media.

8. ADJOURNMENT

RECOMMENDATION

That the meeting adjourn at…

3.1

The first regular meeting of the Board of the West Kootenay-Boundary Regional Hospital District for the year 2019 was held on Wednesday, January 23 at 6:00 p.m. in the Monashee Room, Castlegar and District Community Complex, 2101 6th Avenue, Castlegar, BC.

Quorum was maintained for the duration of the meeting.

ELECTED OFFICIALS PRESENT: (RDCK) Director A. Watson Area D Director S. Hewat Kaslo Director D. Lockwood Salmo Director G. Jackman Area A Director R Faust Area E Director T. Newell Area F Director T. Newell Area F Director J. Morrison Nelson Director H. Cunningham Area G Director P. Peterson Area K Director B. Tassone Castlegar Director J. Lunn Slocan Director L. Main Silverton Director C. Moss New Denver Director R. Smith Area J Director J. Hughes Nakusp

(RDKB) Director A. Grieve Area A Director G. McGregor Area C Director R. Russell Area D Director J. Nathorst Greenwood Director L. Pasin Trail Director B. Wenman Fruitvale Director A. Parkinson Warfield Director K. Moore Rossland

ALTERNATE DIRECTORS PRESENT: Bill Edwards RDKB Area B

STAFF PRESENT: Stuart Horn Secretary/Treasurer Mike Morrison Deputy Secretary

INTERIOR HEALTH: Mr. Todd Mastel, Director – Business Support Ms. Cheryl Whittleton, Health Services Administrator-Kootenay Boundary- Community Ms. Jane Cusden, Health Services Administrator-Kootenay Boundary- Acute

1. CALL TO ORDER AND WELCOME At 6:02 p.m., Secretary / Treasurer Stuart Horn called the meeting to order. 3.1 2. WKBRHD APPOINTMENTS 2.1 Appointment of Directors

Moved by Director Main, seconded And Resolved:

01/19 That the following Regional District Directors/ Alternate Directors be appointed as Directors of the West Kootenay-Boundary Regional Hospital District for 2019:

Regional District of Central Kootenay Garry Jackman Electoral Area A Aimee Watson Electoral Area D Ramona Faust Electoral Area E Tom Newell Electoral Area F Hans Cunningham Electoral Area G Walter Popoff Electoral Area H Andy Davidoff Electoral Area I Rick Smith Electoral Area J Paul Peterson Electoral Area K Bruno Tassone City of Castlegar Suzan Hewat Village of Kaslo Joseph Hughes Village of Nakusp Janice Morrison City of Nelson Diana Lockwood Village of Salmo Leah Main Village of Silverton Jessica Lunn Village of Slocan Colin Moss Village of New Denver

Regional District of Kootenay Boundary Ali Grieve Electoral Area A Linda Worley Electoral Area B Grace McGregor Electoral Area C Roly Russell Electoral Area D Vicki Gee Electoral Area E Brian Taylor City of Grand Forks Jim Nathorst City of Greenwood Fred Grouette Village of Midway Mike Walsh Village of Montrose Kathy Moore City of Rossland Lisa Pasin City of Trail Arlene Parkinson Village of Warfield Bill Wenman Village of Fruitvale

Carried 2.2 Appointment of Alternate Directors Moved by Director Peterson, seconded And Resolved:

02/18 That the following Regional District Alternate Directors/Directors be appointed as Alternate Directors of the West Kootenay-Boundary Regional Hospital District:

Regional District of Central Kootenay Gina Medhurst Area A Clóe Bayeur-Holland Area D John Beerbower Area E Eric White Area F Isabelle Herzig Area G Briane Verigin Area H Andy Ozeroff Area I Laurie Watson Area J Theresa Weatherhead Area K Dan Rye City of Castlegar Farrell Segall Village of Salmo Rob Lang Village of Kaslo Tom Zeleznik Village of Nakusp 3.1 Brittny Anderson City of Nelson Jason Clarke Village of Silverton Madeleine Perriere Village of Slocan John Fyke Village of New Denver

Regional District of Kootenay Boundary Kirby Epp Area A Bill Edwards Area B Donna Wilchynski Area C Michael Tollis Area D George Delisle Area E Steve Morissette Village of Fruitvale Don Berriault, Village of Montrose Robert Cacchioni City of Trail Andy Morel City of Rossland Zak Eburne-Stoodley City of Grand Forks Gerry Shaw City of Greenwood Dick Dunsdon Village of Midway Carried

3. ELECTION OF CHAIR AND ACTING CHAIR 3.1 Secretary/ Treasurer Horn called for nominations for the position of Chair.

Director Main nominated Director Watson for the position of Chair, seconded.

Secretary/ Treasurer Horn called for nominations a second and third time.

There being no further nominations, Director Watson was acclaimed as Chair for 2019.

3.2 Secretary/Treasurer Horn called for nominations for the position of Acting Chair.

Director Peterson nominated Director Main, seconded.

Secretary/ Treasurer Horn called for nominations a second and third time.

There being no further nominations, Director Main was acclaimed as Acting Chair for 2019.

4. APPOINTMENT OF EXECUTIVE COMMITTEE

Chair Watson called for nominations for an Executive Committee representative from Arrow Lakes/Slocan/Castlegar/Nakusp:

Director Peterson nominated Director Moss, seconded.

Chair Watson called for nominations a second and third time.

Chair Watson declared that Director Moss was acclaimed as Executive Committee representative from Arrow Lakes/Slocan/Castlegar/Nakusp.

Chair Watson called for nominations for an Executive Committee representative from Kootenay (Kaslo-Nelson-Salmo):

Director Jackman nominated Director Morrison, seconded.

Chair Watson called for nominations a second and third time.

Chair Watson declared that Director Morrison was acclaimed as Executive Committee representative from Kootenay (Kaslo-Nelson-Salmo).

Chair Watson called for nominations for an Executive Committee representative from Boundary: 3.1 Director McGregor nominated Director Russel, seconded. Chair Watson called for nominations a second and third time.

Chair Watson declared that Director Russel was acclaimed as Executive Committee representative from Boundary .

Chair Watson called for nominations for an Executive Committee representative from Greater Trail:

Director Russel nominated Director Pasin, seconded.

Chair Watson called for nominations a second and third time.

Chair Watson declared that Director Pasin was acclaimed as Executive Committee representative from Greater Trail.

Moved by Director Main and seconded And Resolved:

03/19 That the following Directors, in addition to the Chair and Acting Chair, are hereby appointed to the Executive Committee of the West Kootenay-Boundary Regional Hospital Board for 2018:

Arrow Lakes/Slocan/Castlegar/Nakusp: Director Moss Kootenay (Kaslo/Nelson/Salmo): Director Morrison Boundary: Director Russel Greater Trail: Director Pasin

Carried

4. OPENING REMARKS FROM CHAIR AND ACTING CHAIR

Chair Watson and Acting Chair Main addressed the Board

5. ADOPTION OF THE AGENDA

Moved by Director Pasin and seconded, And Resolved:

04/19 That the agenda for the January 23, 2019 meeting be adopted with the addition of: the Additional Capital Funding Request- KBRH Boiler Room being included in Item 9.2

Carried Moved by Director Grieve and seconded, And Resolved (with 2/3 majority vote):

05/19 The foregoing resolution to adopt the agenda be amended to read:

That the agenda for the January 23, 2019 meeting be adopted with the addition of: 1. the Additional Capital Funding Request- KBRH Boiler Room being included in Item 9.2 2. item 9.6 WKBRHD Director Compensation

Carried 6. ADOPTION OF THE MINUTES

6.1 Moved by Director Nathorst and seconded, And Resolved:

06/19 The minutes of the August 22, 2018 Board meeting be adopted as circulated.

Carried 3.1 6.3 Moved by Director Jackman and seconded, And Resolved:

07/19 The minutes of the August13, 2018 Executive Committee meeting be adopted as amended to note Director Russel’s absence from the meeting

Carried 7. DELEGATIONS INTERIOR HEALTH AUTHORITY Mr. Todd Mastel, Director – Business Support Ms. Cheryl Whittleton, Health Services Administrator-Kootenay Boundary- Community Ms. Jane Cusden, Health Services Administrator-Kootenay Boundary- Acute

Todd Mastel introduced IHA staff attending the meeting and presented a summary of the Interior Health Authority’s capital planning and approval processes. He described how capital projects are prioritized, how the annual funding request to regional hospital districts is prepared is prepared, and the different project categories within the funding request.

Mr. Mastel provided an overview of the projects included in the 2019 funding request, and answered Director’s questions pertaining to specific projects. He also discussed the additional funding request for the KBRH Boiler Room project (included with agenda item 9.2). An update on the status of the in-progress Kootenay Boundary Regional Hospital and Arrow Lakes Hospital upgrade projects was provided.

8. BUSINESS ARISING OUT OF THE MINUTES

8.1 Interior Health/ Regional Hospital District 2018 Joint Meetings

The minutes of meetings held between the Interior Health Authority and regional hospital districts on April 11, 2018 and October 31, 2018, were received, with it noted that Chair Watson did not attend the ribbon cutting at the new Revelstoke helipad as was incorrectly stated in the minutes.

9. NEW BUSINESS

9.1 Interior Health Authority Capital Projects and Planning Status Report

The Master Summary report for November, 2018 from the Interior Health Authority was received

9.2 Interior Health Authority Capital Funding Request for 2019/2020 Fiscal Year

The letter from Donna Lommer, VP Support Services & CFO, Interior Health Authority, dated December 10, 2018, was received.

The letter from Donna Lommer, Interior Health Authority, dated January 22, 2019, requesting additional funding for the Boiler Room at Kootenay Boundary Regional Hospital, was received.

Moved by Director McGregor and seconded, And Resolved:

07/19 That the WKBRHD plan to fund the full amount of Interior Health Authority’s 2019 funding request; and that staff be directed to prepare the necessary bylaws for Board consideration at the March, 2018 Board meeting. Carried

9.3 2019 WKBRHD Meeting Dates

Moved by Director Moore and seconded, 3.1 And Resolved:

08/19 That the dates for 2019 WKBRHD Board meetings be set as follows: Wednesday March 27, 2019 Wednesday June 26, 2019 Wednesday August 21, 2019 Wednesday October 23, 2019

9.4 Chair’s Report

The Chair’s report summarizing the October 31, 2018 Regional Hospital District / Interior Health Authority meeting in Kelowna was received.

9.5 WKBRHD Accounts Payable Summary

The accounts payable summary prepared by the RDCK Finance Department for the period August 2018 to December 2018 was received.

9.6 WKBRHD Director Compensation

Moved by Director Grieve and seconded, And Resolved:

09/19 That staff be directed to prepare a report for the WKBRHD Board which reviews the existing director compensation program and which considers the following :

° Historical adjustments to WKBRHD director compensation ° Recent changes to taxation laws and the loss of the non-taxable allowance ° Review of other regional hospital district director compensation program ° Recommendations for changes to WKBRHD director compensation

Carried

8. QUESTION PERIOD FOR PUBLIC & MEDIA

The Chair called for questions from the public and members of the media.

9. ADJOURNMENT

Moved by Director Cunningham and seconded And Resolved:

10/19 That the meeting adjourn at 7:30 p.m. Carried

Certified Correct

Aimee Watson, Chair

Mike Morrison, Deputy Secretary 5.1 Interior Health West Kootenay Boundary Regional Hospital District Summary of Minor Equipment Global Grant Items (Between $5,000 and $100,000) 2019-20

2019-20 Funding Facility Department Type of Equipment Total Budget RHD Share Request Arrow Lakes Hospital Emergency Glidescope $20,918 $8,367 $8,367 Arrow Lakes Hospital Public Health Biological Refrigerator $8,029 $3,211 $3,211 Boundary Health Centre Public Health Biological Refrigerator $8,029 $3,212 $3,212 Boundary Hospital Food Services Steamer $35,000 $14,000 $14,000 Kootenay Boundary Regional Hospital Medical Bed $7,560 $3,024 $3,024 Kootenay Boundary Regional Hospital Maternity Glidescope $20,918 $8,367 $8,367 Kootenay Boundary Regional Hospital Operating Room Navigator $50,690 $20,276 $20,276 Kootenay Boundary Regional Hospital Day Care Surgery Stretcher $7,594 $3,037 $3,037 Kootenay Boundary Regional Hospital Laboratory Centrifuge $7,000 $2,800 $2,800 Kootenay Boundary Regional Hospital Laboratory Microtome $18,851 $7,540 $7,540 Kootenay Boundary Regional Hospital Medical Imaging Ergonomic Ultrasound stretcher and chair $13,000 $5,200 $5,200 Kootenay Boundary Regional Hospital GI Lab Gastroscope $43,140 $17,256 $17,256 Kootenay Boundary Regional Hospital Biomedical Engineering Vital Signs Simulator $24,889 $9,955 $9,955 Kootenay Boundary Regional Hospital Obstetrics/Gyne first hours unit $24,531 $9,812 $9,812 Kootenay Boundary Regional Hospital Ambulatory Care Colonoscopy $43,140 $17,256 $17,256 Kootenay Boundary Regional Hospital Medical Bed, Patient $7,560 $3,024 $3,024 Kootenay Boundary Regional Hospital Medical Bed, Patient $7,560 $3,024 $3,024 Kootenay Boundary Regional Hospital Operating Room System 8 reciprocating saw $6,956 $2,783 $2,783 Kootenay Boundary Regional Hospital HART Laryngoscope, Ranger with adult and peds wand $20,513 $8,205 $8,205 Kootenay Boundary Regional Hospital Daycare Unit Stretcher $7,594 $3,038 $3,038 Kootenay Boundary Regional Hospital Daycare Unit Stretcher $7,594 $3,038 $3,038 Kootenay Boundary Regional Hospital Daycare Unit Ice Machine $7,411 $2,965 $2,965 Kootenay Boundary Regional Hospital Operating Room Locking anaesthesia carts $6,877 $2,751 $2,751 Kootenay Boundary Regional Hospital Daycare Unit Blanket Warmer $7,070 $2,828 $2,828 Kootenay Boundary Regional Hospital Operating Room HD monitoring system $70,000 $28,000 $28,000 Kootenay Boundary Regional Hospital Operating Room HD monitoring system $70,000 $28,000 $28,000 Kootenay Boundary Regional Hospital Operating Room HD monitoring system $70,000 $28,000 $28,000 Kootenay Boundary Regional Hospital Operating Room Bed, OR $58,980 $23,592 $23,592 Kootenay Lake Hospital Operating Room Eurbie Cautery upgrade $33,452 $13,381 $13,381 Kootenay Lake Hospital Housekeeping Autoscrubber, Taski $8,089 $3,236 $3,236 Kootenay Lake Hospital General Surg/Mat Stretcher, Gyne $8,196 $3,278 $3,278 Kootenay Lake Hospital Medical Bed $7,560 $3,024 $3,024 Kootenay Lake Hospital Medical Bed $7,560 $3,024 $3,024 Kootenay Lake Hospital Operating Room Colonoscope $43,140 $17,256 $17,256 Kootenay Lake Hospital Emergency Ventilator $42,000 $16,800 $16,800 Kootenay Lake Hospital Medical Washer Disinfector, Vernacare $11,510 $4,604 $4,604 Kootenay Lake Hospital Laboratory Centrifuge - Refrigerated $13,616 $5,446 $5,446 Kootenay Lake Hospital Operating Room Vacuum Curettage System $10,735 $4,294 $4,294 Kootenay Lake Hospital Public Health Biological Refrigerator $7,647 $3,059 $3,059 Nelson Jubilee Manor Food Services Steamer $35,000 $14,000 $14,000 Salmo Wellness Centre Primay Care Podiatry Treatment Exam Chair $15,000 $6,000 $6,000 Slocan Community Health Centre Laboratory ECG Analyzer $23,093 $9,237 $9,237 TOTAL $948,000 $379,200 $379,200 5.2 Interior Health West Kootenay Boundary Summary of Information Management & Information Technology (IMIT) Funding Requests 2019-20

Description Total Budget Hardware Unified Communications - single centralized telephone system 2,000,000 Kamloops Data Centre (Back up) - Replace end of life physical servers 1,407,000 Network Infrastructure (e.g. network switches and routers) 816,133 Server and Storage Infrastructure 760,000 Kelowna/Kamloops Data Centre - Replace end of life data backup appliance 670,000 Diagnostic Imaging Data storage expansion (PACS) 344,000 5,997,133

Software Secure Mobile Access for Clinical Providers 635,000 Implement Order Management at Rural Emergency Departments 550,000 Application Performance Management Tool (analyzing & trouble shooting network issues) 500,000 Electronic Acute Provider Billing Transformation (automate manual systems) 450,000 Home Support Staff Scheduling 385,000 Telehealth/Video Conferencing Bridge Replacement 350,000 Physician Documentation with Voice Recognition 250,000 Legal Record, Archiving and Expansion of Scanning 94,000 Vocera - support use of smartphone application 86,200 Cardio-Pulmonary Program Enhancement 77,000 3,377,200

Interior Health wide total 9,374,333

West Kootenay Boundary proportion based on population - 10.25% 960,500

West Kootenay Boundary Regional Hospital District - 40% Share 384,200 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 307

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for replacing the chiller and ancillary equipment with a higher capacity, more reliable, energy efficient system at Boundary Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS pursuant to Section 23 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District has adopted an annual budget bylaw that has made provision for the capital expenditure;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $318,000 for the Chiller Replacement at the Boundary Hospital in Grand Forks, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling three hundred and eighteen thousand ($318,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 307, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 307, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 308

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for replacing glass windows in the Daly Pavilion at Kootenay Boundary Regional Hospital with an appropriate impact resistant safety glass, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $310,000 for Window Replacement at the Kootenay Boundary Regional Hospital in Trail, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling three hundred and ten thousand ($310,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 308, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 308, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 309

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for a new medical vacuum system, associated controls, alarms, and Canadian Standards Association commissioning at Boundary Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $110,000 for a Medical Vacuum System at the Boundary Hospital in Grand Forks, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling one hundred and ten thousand ($110,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 309, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 309, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 310

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for a security upgrade at Boundary Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $76,000 for a Security Upgrade at the Boundary Hospital in Grand Forks, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling seventy six thousand ($76,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 310, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 310, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 311

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for a capital planning project for the relocation of the Oncology department at Kootenay Lake Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $20,000 for the Relocation of the Oncology Department - Planning at the Kootenay Lake Hospital in Nelson, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling twenty thousand ($20,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 311, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 311, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 312

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for washroom renovations, wheelchair access at Arrow Lakes Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $38,000 for Washroom Renovations, Wheelchair Access at Arrow Lakes Hospital in Nakusp, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling thirty eight thousand ($38,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 312, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 312, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 313

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for replacing lines, valves and insulation and adding drain lines at Kootenay Boundary Regional Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $36,000 for Isolation Valves at Kootenay Boundary Regional Hospital in Trail, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling thirty six thousand ($36,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 313, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 313, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 314

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for roof top fall protection rails at Kootenay Boundary Regional Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $35,600 for Roof Top Fall Protection Rails at Kootenay Boundary Regional Hospital in Trail, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling thirty five thousand, six hundred ($35,600.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 314, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 314, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 315

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for a fire alarm system (Annex Building) at Kootenay Lake Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $22,000 for a Fire Alarm System (Annex Building) at Kootenay Lake Hospital in Nelson, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling twenty two thousand ($22,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 315, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 315, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 316

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure to replace rooftop air handlers at Kiro Wellness Centre, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $22,000 to Replace Rooftop Air Handlers at Kiro Wellness Centre in Trail, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling twenty two thousand ($22,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 316, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 316, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 317

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for Interior Health Region-Wide IMIT, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $384,200 for Interior Health Region-Wide IMIT at facilities within the Regional Health Districts in British Columbia.

2. The Board authorizes and approves the expenditure of money totaling three hundred, eighty four thousand, two hundred ($384,200.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 317, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 317, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 318

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for electronic emergency department (ED) medical summary at Kootenay Lake Hospital and Kootenay Boundary Regional Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $171,600 for Electronic Emergency Department (ED) Medical Summary at Kootenay Lake Hospital in Nelson, British Columbia and Kootenay Boundary Regional Hospital in Trail, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling one hundred, seventy one thousand, six hundred ($171,600.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 318, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 318, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 319

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for capital expenditure for a digital general radiographic system for Kootenay Lake Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $386,000 for a Digital General Radiographic System for Kootenay Lake Hospital in Nelson, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling three hundred, eighty six thousand ($386,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 319, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 319, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 320

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for a physiological monitoring system for Kootenay Boundary Regional Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $234,200 for a Physiological Monitoring System for Kootenay Boundary Regional Hospital in Trail, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling two hundred, thirty four thousand, two hundred ($234,200.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 320, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 320, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 321

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for a waste and cardboard compactor for Kootenay Lake Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $129,600 for a Waste and Cardboard Compactor for Kootenay Lake Hospital in Nelson, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling one hundred, twenty nine thousand, six hundred ($129,600.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 321, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 321, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 322

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for a Adult Day Program Bus for Gordon Road Wellness Centre, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $49,200 for a Adult Day Program Bus for Gordon Road Wellness Centre in Nelson, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling forty nine, thousand, two hundred ($49,200.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 322, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 322, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 323

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for an anaesthetic unit with monitor for Kootenay Lake Hospital, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $49,200 for an Anaesthetic Unit with Monitor at Kootenay Lake Hospital in Nelson, British Columbia.

2. The Board authorizes and approves the expenditure of money totaling forty nine, thousand, two hundred ($49,200.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 323, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 323, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 324

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for laboratory middleware software for various IH laboratories, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $49,200 for Laboratory Middleware for Various IH Laboratories in British Columbia.

2. The Board authorizes and approves the expenditure of money totaling forty nine, thousand, two hundred ($49,200.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 324, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 324, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3 WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 325

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for Region-Wide Global Grant Funding for equipment that costs between $5,000 and $100,000, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $379,200 for Region-Wide Global Grant funding for equipment that costs between $5,000 and $100,000.

2. The Board authorizes and approves the expenditure of money totaling three hundred, seventy nine thousand, two hundred ($379,200.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 325, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 325, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 326

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for the Kootenay Boundary Regional Hospital Pharmacy and Ambulatory Care Project, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $15,510,000 for the Kootenay Boundary Regional Hospital Pharmacy and Ambulatory Care Project.

2. The Board authorizes and approves the expenditure of money totaling fifteen million, five hundred and ten thousand ($15,510,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 326, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 326, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 327

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide local contribution of a conditional grant to the Interior Health Authority for the Primary Care Space at Castlegar & District Community Health Center, hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $140,000 for Primary Care Space at Castlegar & District Community Health Center.

2. The Board authorizes and approves the expenditure of money totaling one hundred forty thousand ($140,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 327, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 327, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

Capital Expenditure Bylaw No. 328

WHEREAS the Board of the West Kootenay-Boundary Regional Hospital District proposes to expend money to provide a local contribution of a conditional grant to the Interior Health Authority to fund the Boiler Room at Kootenay Boundary Regional Hospital , hereafter referred to as the capital expenditure described in Section 1 and Section 2;

AND WHEREAS by way of Section 32 of the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District must prepare and enact a capital bylaw;

NOW THEREFORE be it resolved that the Board of the West Kootenay- Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Board hereby authorizes and approves the expenditure of money necessary to provide a conditional grant to the Interior Health Authority of $50,000 for the Boiler Room at Kootenay Boundary Regional Hospital .

2. The Board authorizes and approves the expenditure of money totaling fifty thousand ($50,000.00) Dollars.

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

4. This Bylaw may be cited for all purposes as “West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 328, 2019.”

READ A FIRST TIME this 06th day of March, 2019

READ A SECOND TIME this 06th day of March, 2019

READ A THIRD TIME this 06th day of March, 2019

ADOPTED this 06th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Capital Expenditure Bylaw No. 328, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019

______Deputy-Secretary 5.3

TO: WKBRHD BOARD OF DIRECTORS FROM: Stuart Horn, Secretary/Treasurer SUBJECT: Preliminary Draft 2018 Budget Scenarios DATE: March 6, 2019 Open Regular Meeting

PURPOSE Staff was requested to prepare budget scenarios for the 2019 tax year. Staff has prepared the following:

1) Same taxation as 2018 with any surplus contributed to reserve. 2) Zero contribution to reserve, and taxation reduced from 2019 as needed to balance the budget. 3) Increase to taxation to accommodate $1 million contribution to reserve 4) Increase to taxation to accommodate $1.5 million contribution to reserve

Those scenarios are attached.

ANALYSIS AND IMPACT ON TAXATION AND RESERVES (Attached at Schedule A)

Scenario Net Contribution Tax Requisition Increase/(Decrease) to/(from) Capital Reserve from 2018 Taxation Scenario A $(6,880,336) $4,960,830 0% Scenario B $(7,378,748) $4,465,918 -10% Scenario C $(6,378,748) $5,465,918 10.2% Scenario D $(5,878,748) $5,965,918 20.3%

The net reserve contributions indicated above reflect that in each of the budget scenarios the 2019 contributions to reserves are offset by contributions from reserve for the Arrow Lakes Hospital project (remaining amount of $816,000 on the bylaw) as well as the remaining $6,522,232 for KBRH Phase 1.

Staff is showing both a contribution from reserves and a separate contribution to reserves due to the fact that the use of reserves for Arrow Lakes and KBRH Phase 1 was approved by bylaw.

Although some of this cash outlay may be made after 2019, staff has included it all in 2019 as the payment schedule, or estimates of, has not been provided. Note that under all scenarios the net impact is a reduction in reserve balances. 5.3 WKBHRD Board Report – 2019 Budget Scenarios March 6, 2019 Page 2

Attached at Schedule B is a reconciliation of the reserve balance as at December 31, 2018. The reconciliation includes all commitments to date for the Arrow Lakes Hospital as well as the Kootenay Boundary Regional Hospital.

At this time staff has assumed that the $15.5 million ask from IHA for the KBRH Pharmacy and Ambulatory Care Project will be funded through long term borrowing.

The Board may elect to use some of the remaining reserves to fund this project as well.

RECOMMENDATION:

Staff is requesting direction for the 2019 Budget.

ATTACHMENTS: Schedule A – 2019 Preliminary, Draft Budget Scenarios. Schedule B – December 31, 2018 Reserve Balance with Commitments Schedule C – Summary of Requisition for each Scenario – 2019 Taxation West Kootenay Boundary Regional Hospital District Schedule A 5.3 March 6, 2019 Open Board Meeting Draft For Discussion Budget Scenarios Subject to Change A B C D 2018 2018 2019 2019 2019 2019 Estimated Scenario A Scenario B Scenario C Scenario D Budget Actuals Budget Budget Budget Budget

REVENUE Note 0.0% -10.0% 10.2% 20.3% Tax Requisition Total $ 4,960,827 $ 4,960,830 $ 4,960,830 $ 4,465,918 $ 5,465,918 $ 5,965,918 Contributions from Capital Reserves $ 1,251,000 $ 681,253 1 7,378,748 7,378,748 7,378,748 7,378,748 Proceeds from borrowing $ - $ - 15,510,000 15,510,000 15,510,000 15,510,000 Grants in Lieu of Taxes 6,000 11,158 9,500 6,000 6,000 6,000 Investment Income 75,000 196,870 3 75,000 75,000 75,000 75,000 MFA Actuarial adjustment - 84,055 - - - - Surplus Previous Year 1,627,070 1,180,572 2 2,961,373 2,961,373 2,961,373 2,961,373 TOTAL REVENUE $ 7,919,897 $ 7,114,738 $ 30,895,451 $ 30,397,039 $ 31,397,039 $ 31,897,039

EXPENDITURES Capital Grants: Section 20(3) Expenditures: A.Commitments from prior periods$ 1,692,252 $ - $ 11,282,482 $ 11,282,482 $ 11,282,482 $ 11,282,482 B. Current Projects for Hospitals & Hospital Facilities 3,531,400 1,799,031 18,140,800 18,140,800 18,140,800 18,140,800 B.1 Minor Equipment Global Grant 379,200 379,200 379,200 379,200 379,200 379,200 B.2 KBRH Phase 1 411,000 - F. Contributions to Capital Reserve Fund 1,209,055 1,405,925 3 498,412 - 1,000,000 1,500,000 Total Capital Grants $ 7,222,907 $ 3,584,156 $ 30,300,894 $ 29,802,482 $ 30,802,482 $ 31,302,482

Debt Servicing: A. Servicing Current Debenture Issues $ 557,491 $ 447,778 $ 465,689 $ 465,689 $ 465,689 $ 465,689

Other Expenses Section 17(2) Expenditures Administration Agreement $ 87,574 $ 91,072 $ 92,893 $ 92,893 $ 92,893 $ 92,893 Director Remuneration 25,000 13,508 15,000 15,000 15,000 15,000 Director Travel Expenses 16,000 7,021 8,500 8,500 8,500 8,500 External Audit 7,000 7,000 7,000 7,000 7,000 7,000 Computer Software - - 3,000 3,000 3,000 3,000 Insurance 725 1,450 725 725 725 725 Office Supplies 200 238 250 250 250 250 Meeting Expense 3,000 1,143 1,500 1,500 1,500 1,500 Total Other Expenses $ 139,499 $ 121,431 $ 128,868 $ 128,868 $ 128,868 $ 128,868

TOTAL EXPENDITURES $ 7,919,897 $ 4,153,365 $ 30,895,451 $ 30,397,039 $ 31,397,039 $ 31,897,039

Surplus/Deficit $ - $ 2,961,373 $ (0) $ (0) $ (0) $ (0)

Page 1 of 2 West Kootenay Boundary Regional Hospital District Schedule A 5.3 March 6, 2019 Open Board Meeting Draft For Discussion Budget Scenarios Subject to Change

Residential Property Tax per $1,000 of Assessment 0.2525 0.2273 0.2782 0.3036 Assessement $ 100,000 $25.25 $22.73 $27.82 $30.36 200 ,000 200,000 50.50 45.46 55.64 60.73 250 ,000 250,000 63.12 56.82 69.55 75.91 300 ,000 300,000 75.75 68.19 83.46 91.09 350 ,000 350,000 88.37 79.55 97.37 106.27 400 ,000 400,000 100.99 90.92 111.28 121.46 Notes 1. The value in each scenario represents the $840,000 for Arrow Lakes Hospital plus the $6,240,000 and $980,000 for Kootenay Boundary Regional Hospital less the spending of $23,485 and $657,768 in 2018 for each project. 2. Surplus is per the 2017 Financial statements 3. The value for the 2018 Estimated Actuals includes the Interest of $196,870 for 2018 as Interest is reinvested into Reserves.

Page 2 of 2 Schedule B 5.3 Reserve Reconciliation West Kootenay Boundary Regional Hospital District March 6, 2019 Open Regular Meeting Reserve Reconciliation as at December 31, 2018 with projected commitments.

Amount ($)

Balance at December 31, 2017 $ 12,301,751

Contribution - 2018 + 1,209,055 Expenses (Arrow Lakes and KBRH) - 2018 - 681,252 Interest (Estimated) - 2018 + 196,870 13,026,424

Remaining Commitment KBRH Phase 1 - 6,522,748 Remaining Commitment Arrow Lakes Hospital - 816,000 7,338,748

Reserve Balance after Commitments $ 5,687,676

DRAFT: For Discsussion Only

Notes: Commitments are based on adopted bylaws to date. No further contributions to reserve have been included absent Board direction. West Kootenay Boundary Regional Hospital District Schedule C March 6, 2019 Open Board Meeting Summary of Taxation for each Budget Scenario 5.3

Municipality or COMPLETED 2019 Electoral Area Converted Assessments Scenario A Scenario B Scenario C Scenario D Regional District of Central Kootenay 06-CK 06-CK Castlegar 195,729,219 $ 494,304 444,889 $ 544,508 $ 594,317 06-CK Nelson 289,824,497 732,462 658,766 806,275 880,030 06-CK Kaslo 19,869,398 50,205 45,163 55,276 60,332 06-CK New Denver 8,899,327 22,451 20,228 24,757 27,022 06-CK Nakusp 26,786,227 67,406 60,885 74,518 81,334 06-CK Salmo 12,583,465 31,799 28,602 35,006 38,209 06-CK Silverton 5,259,587 13,292 11,955 14,632 15,970 06-CK Slocan 4,359,113 11,019 9,908 12,127 13,236 563,310,833 1,422,938 1,280,395 1,567,099 1,710,450 06-CK Area A (portion) 34,922,334 88,267 79,378 97,152 106,039 06-CK Area D 40,872,148 103,151 92,902 113,704 124,105 06-CK Area E 104,748,781 264,587 238,092 291,405 318,062 06-CK Area F 103,540,244 261,286 235,345 288,043 314,392 06-CK Area G 42,975,456 108,443 97,682 119,555 130,492 06-CK Area H 87,382,601 220,807 198,619 243,093 265,331 06-CK Area I 45,615,447 115,275 103,683 126,900 138,508 06-CK Area J 63,206,691 159,631 143,668 175,837 191,922 06-CK Area K 40,627,260 102,728 92,345 113,023 123,362 563,890,962 1,424,175 1,281,714 1,568,712 1,712,213 SubTotal for Regional District 06-CK 1,127,201,795 2,847,113 5,124,217 3,135,811 3,422,663 Regional District of Columbia-Shuswap 08-CS 08-CS Area B 7,703,072 19,429 17,509 21,430 19,429 SubTotal for Regional District 08-CS 7,703,072 19,429 17,509 21,430 19,429

Page 1 of 2 West Kootenay Boundary Regional Hospital District Schedule C March 6, 2019 Open Board Meeting Summary of Taxation for each Budget Scenario 5.3

Municipality or COMPLETED 2019 Electoral Area Converted Assessments Scenario A Scenario B Scenario C Scenario D Regional District of Kootenay Boundary 16-KB 16-KB Grand Forks 73,050,176 184,612 166,042 203,221 221,811 16-KB Greenwood 8,159,559 20,466 18,547 22,699 24,776 16-KB Rossland 81,143,123 204,966 184,437 225,736 246,385 16-KB Trail 187,843,307 474,660 426,964 522,569 570,372 16-KB Fruitvale 24,981,694 63,129 56,783 69,498 75,855 16-KB Midway 12,747,936 32,203 28,976 35,464 38,708 16-KB Montrose 12,802,045 32,353 29,099 35,615 38,872 16-KB Warfield 19,501,423 49,283 44,326 54,252 59,215 420,229,263 1,061,672 955,173 1,169,054 1,275,994 16-KB Area A 76,725,518 192,084 174,396 213,446 232,971 16-KB Area B 42,237,925 106,734 96,006 117,504 128,252 16-KB Area C 82,222,326 207,792 186,890 228,738 249,662 16-KB Area D 56,089,232 141,741 127,490 156,037 170,311 16-KB Area E 152,375,069 384,266 346,346 423,899 462,675 409,650,070 1,032,617 931,127 1,139,624 1,243,871 SubTotal for Regional District 16-KB 829,879,333 2,094,289 1,886,300 2,308,678 2,519,865

Total for West Kootenay-Boundary Regional Hospital District 1,964,784,200 4,960,831 7,028,027 5,465,919 5,961,957

Requisition $ 4,960,830 $ 4,465,918 $ 5,465,918 $ 5,965,918 Change from 2018 0.0% -10.0% 10.2% 20.3%

Residential Property Tax per $1,000 of Assessment 0.2525 0.2273 0.2782 0.3036

100,000 100,000 $25.25 $22.73 $27.82 $30.36 200,000 200,000 $50.50 $45.46 $55.64 $60.72 250,000 250,000 $63.13 $56.83 $69.55 $75.90 300,000 300,000 $75.75 $68.19 $83.46 $91.08 350,000 350,000 $88.38 $79.56 $97.37 $106.26 400,000 400,000 $101.00 $90.92 $111.28 $121.44

Page 2 of 2 5.3

WEST KOOTENAY-BOUNDARY REGIONAL HOSPITAL DISTRICT

BYLAW NO. 329

A Bylaw to adopt the Annual Budget for the year 2019

WHEREAS the West Kootenay-Boundary Regional Hospital District is a body corporate by way of Letters Patent approved and ordered on the fourteenth day of December 1995 by the Lieutenant Governor of the Province of British Columbia;

AND WHEREAS pursuant to Chapter 202 of the Revised Statutes of British Columbia (Hospital District Act) the Board of Directors of the West Kootenay-Boundary Regional Hospital District is empowered, inter alia, to raise in any year the money required to establish, construct, reconstruct, operate and maintain hospital and hospital facilities, and further, is empowered to raise annually the money required for the payment of principal and interest on borrowings;

AND WHEREAS pursuant to the Hospital District Act the Board of the West Kootenay-Boundary Regional Hospital District is empowered to raise in any year with the approval of the Minister, without other assents or approvals, for the purpose of granting aid to hospitals and hospital facilities by making provision in its budget;

NOW THEREFORE be it resolved that the Board of Directors of the West Kootenay-Boundary Regional Hospital District, in open meeting assembled, enacts as follows:

1. The Annual Budget for the West Kootenay-Boundary Regional Hospital District for the year ending December 31, 2019 shall be XXXX Million XXXX Hundred and XXXXX Thousand XXXXX Dollars ($000,000,000) Dollars.

2. Schedule 'A' attached hereto and made part of this Bylaw is the Annual Budget for the West Kootenay-Boundary Regional Hospital District for the year ending December 31, 2019.

3. This Bylaw may be cited as the "West Kootenay-Boundary Regional Hospital District Annual Budget Bylaw No. 329, 2019."

READ A FIRST TIME this 6th day of March, 2019

READ A SECOND TIME this 6th day of March, 2019 READ A THIRD TIME this 6th day of March, 2019

ADOPTED this 6th day of March, 2019

______Chair Deputy-Secretary

I hereby certify that this is a true and correct copy of "West Kootenay-Boundary Regional Hospital District Annual Budget Bylaw No. 329, 2019” of the Bylaws of the West Kootenay-Boundary Regional Hospital District.

DATED this day of , 2019.

______Deputy-Secretary 6.1

Mr. Stuart Horn, Secretary/Treasurer West Kootenay Boundary Regional Hospital District c/o Regional District of Central Kootenay Box 590, 202 Lakeside Drive Nelson, BC V1L 5R4

February 6, 2019

Dear Mr. Horn:

RE: CAPITAL FUNDING REQUEST FOR KOOTENAY BOUNDARY HOSPITAL PHARMACY AND AMBULATORY CARE PROJECT

We are pleased to advise you that the Provincial Government has granted approval for the Kootenay Boundary Regional Hospital Pharmacy and Ambulatory Care project (the Project).

Current pharmacy and ambulatory care areas present ongoing safety, quality and capacity challenges in meeting the needs of patients at the hospital. The pharmacy program is unable to comply with current standards regarding sterile preparation of hazardous and non-hazardous products, nor to expand its services to meet the clinical need. Ambulatory clinics scattered throughout the facility limit options for future growth due to facility constraints as well impacts access, flow and efficiency. It has also been noted by the site that there are space and decontamination issues related to the present surgical ambulatory care services that need to be addressed. The new unit will be able to accommodate ambulatory procedures for several specialities that are currently located in alternate less than suitable space throughout the hospital. This includes urology, orthopaedic and plastic surgery procedures currently using full operating room space which can be reallocated for more complex surgical procedures. The current endoscopy program is growing, including the Provincial Colonoscopy screening program and this expansion will allow full optimization of clinical space to sustain these initiatives.

To address the above issues, the scope of the Project entails the creation of new space for ambulatory care procedures above the emergency department expansion. The old ambulatory care will be upgraded to accommodate outpatient exam rooms, booking offices, reception, telehealth, and two physician sleep rooms. Current medical records will be relocated to the basement allowing for expansion of the existing oncology unit and physiotherapy will move into the remaining medical records space. In addition, the cast clinic space will be upgraded. Shifting of these other service areas will allow for a major expansion of the current pharmacy area to address the needs of the pharmacy program. In order to support the additional capacity at this site there will be infrastructure upgrades required as part of this Project, such as a back-up generator and chiller upgrades.

The Project has a total budget of $38.775 million. We would like to request the West Kootenay Boundary Regional Hospital District (RHD) to fund 40% of the cost for a total of $15,510,000. We recognize that this funding request is outside of the annual capital budget cycle, but trust that the RHD is supportive of this significant initiative which benefits the residents of your region so tremendously. We are looking forward to commencing with the design and procurement stage as soon as possible. Given the complexity of maintaining services while constructing, and the integration with the current Emergency Department Redevelopment project, this project will take approximately four years to complete.

Interior Health Authority VP Support Services & Chief Financial Officer 5th Floor - 505 Doyle Ave. Telephone: (250) 862-4025 Fax: (250) 862-4201 Kelowna, BC V1Y 0C5 E-Mail: [email protected] Web: www.interiorhealth.ca Page | 1 6.1

We would appreciate it if you could submit our funding request to your Board for approval at your next meeting on March 6, 2019. Interior Health (IH) representatives will be present at that meeting to answer questions the Directors may have. Upon approval, please send Birgit Koster copies of the relevant bylaws for our records.

IH is currently completing a parking study at this site to determine how we can address the parking constraints, which may include capital investment. Given the length of this Project, we expect the parking challenges to continue until we can implement recommendations and would like the opportunity to discuss options with your RHD and the City of Trail once we have been able to ascertain the viable upgrade options.

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

Sincerely,

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

/at cc: Aimee Watson, Chair, WKBRHD Jane Cusden, Acute Health Service Administrator, Kootenay Boundary Todd Mastel, Director, Business Support Lorne Sisley, Corporate Director, Facilities Management and Operations Birgit Koster, Director Business Support, Capital Planning

Page | 2 6.2

Mr. Stuart Horn, Secretary/Treasurer West Kootenay Boundary Regional Hospital District c/o Regional District of Central Kootenay Box 590, 202 Lakeside Drive Nelson, BC V1L 5R4

February 22, 2019

Dear Mr. Horn:

RE: ADDITIONAL CAPITAL FUNDING REQUEST FOR THE 2019/20 FISCAL YEAR

As a follow up to our funding request letter dated December 10, 2018 we would like to present you with an emergent project that Interior Health (IH) is proceeding with. We apologize for this late funding request outside of the normal capital funding request timelines.

For the 2019/20 fiscal year we are requesting additional funding for the following project:

Primary Care Space at Castlegar & District Community Health Centre, Castlegar

Over the past six years, a partnership between IH, the Ministry of Health (MOH), and the Kootenay Boundary (KB) Division of Family Practice has resulted in the KB Collaborative Services Committee and improved locally based health services. Now, the partners are proposing a new model of care that will enable unattached patients in KB to secure a primary care provider (physician or nurse practitioner), and improve access to care for everyone in these communities. The model will allow our patients to get the right service from the right people, and begin transformation to a sustainable system that has resilience to adapt to demographic shifts. This is consistent with the strategic direction of both IH and the MOH and supports a team-based primary care model.

As part of this plan, IH has identified three spaces at this facility for learning and orientation as we continue to work collaboratively with the KB Division of Family Practice to meet primary care service needs. The goal is to occupy the renovated areas by the end of summer 2019. Due to this aggressive timeline, project initiation will commence forthwith and IH is currently in the process of obtaining funding approval from the MOH. We formally request funding from the West Kootenay Boundary Regional Hospital District for 40 per cent of the project’s cost estimate of $350,000 in the total amount of $140,000.

We would appreciate it if you could submit our funding request to your Board for approval at your next meeting on March 6, 2019. IH representatives will be present at that meeting to answer questions the directors may have. Upon approval, please send Birgit Koster copies of the relevant bylaws for our records.

If you require further information or have any questions or concerns, please contact Todd Mastel or me directly.

Sincerely,

Darold Sturgeon on behalf of Donna Lommer, CPA, CGA, EMBA VP Support Services & CFO

From: Aimee Watson Sent: November1418 1:56 PM To: [email protected]; [email protected] Cc: Walter Popoff; [email protected]; Grace McGregor; Stuart J. Horn; Mike Morrison Subject: Follow up from WKBRHD

Hello Chair Cochrane,

Thank you for taking the time in Kelowna at the biannual RHD/IHA meeting to discuss areas of interest for the West Kootenay Boundary Regional Hospital District. The WKBRHD Board has several priority areas we would like to see to see move forward and I provide that list of priorities below:

1. Long term planning

As elected officials responsible for the efficient and strategic use of property taxation, our Board has struggled with the lack of long term planning for facilities. We are well aware of the condition of these facilities thanks to FCI report. Within our own government, we must complete asset management that enables us to ensure we are planning for assets into the future. With IHA, we are only able to ascertain a year to two in advance of request for funding. This impairs our ability to be accountable with local taxation and have requested for several years, along with other RHD's, that a long term planning process be established. This would enable a WKBRHD budget process that plans for future expenses and ensures that the public assets our health care depends on will sustain future demand.

Within the WKBRHD, we have had many conversations about the effectiveness of fixing old vs building new. Several future requirements were mentioned within Brent's discussion; net zero emissions, single patient rooms and the challenges with infection control plus compounding requirements for pharmacy. It is evident that there should a thorough review of whether funds are better spent on new facilities or if it is more economical to continually fix old facilities. Another key factor is the changing environment of access to services. We know that centralization of acute care and specialized services has increased the disparity in access for urban resident’s vs rural.

A thorough review of new vs old with a lens of access to service, geographical location for our regional hospital, and longterm planning capacity, is a request of the WKBRHD.

2. Rural Service Delivery

The WKBRHD Board very much wants to see a vast improvement of access to health care services for rural and remote residents who are travelling further for emergency services or other urgent care needs. Patients in some of our more remote communities are travelling upwards of 6 hours to reach the Regional Hospital with little support for a return trip home. We are aware that IHA provides a portion of their annual funds to transit initiatives. Has this allocation increased in conjunction with loss of services in rural areas?

As well, we are aware that telehealth and other digital forms of delivering health care are under development. As you are likely aware, many rural populations are do not have access to affordable and effective internet connections nor do many of them have cell service. We appreciated the letter of support provided by IHA for our lobby efforts on increasing cell service for our remote regions. I am sorry to report back it was not successful.

As for internet, many of our rural populations are not served by the large telecoms and rely on local ISP's for services. These ISP's are doing great work as quick as they can to improve access but do face may barriers in terms of capacity for grant writing and achieving the economies of scale required to provide broadband service in a rural area. It would be appreciated to know if there are avenues where the IHA can, similar to the transportation issues, indicate if support could be provided to ensuring that digital health care services have the necessary infrastructure to reach the clients.

1 6.5 3. Primary Care

It is an exciting venture to hear of coming to the WKB. We would appreciate being provided with a summary of what is coming and the timeline the RHD can expect for engagement.

I look forward to hearing from you,

T|Åxx jtàáÉÇ Director, Area D Regional District Central Kootenay Chair, Rural Affairs Committee Chair, West Kootenay Boundary Regional Hospital District 250-304-5842 www.rdck.ca

2 6.5 6.5 6.5 6.6 IHA Capital Projects and Planning Status Report Master Summary - January 2019 % Complete Status

Substantial Total Complete Complete Project Project Date Date On Other Insight Actuals Number Project Name/Phase Name Manager Program Design Const. Mth/Yr Mth/Yr On Time Budget Issues Project Budget as of January 17 RHD Interior Heart and Surgical Centre Bundled Project 6110349 KGH IHSC - PICIS Enhanced Surgical Services Systems Rob L. 75% N/A N/A Mar-17 Mar-17 Y Y N $ 3,530,296 $ 3,530,296 CO 6110354 KGH IHSC - Royal/Abbott Surface Parking (Complete) Doris L. 100% 100% 100% Dec-12 Feb-14 Y Y N $ 482,216 $ 482,216 CO 6110361 KGH IHSC - Rose Ave Entrance & Seismic U/G (Complete) David F. 100% 100% 100% Oct-13 Mar-14 N Y Y $ 2,429,915 $ 2,429,915 CO 9907151 KGH IHSC - Business Case (Complete) Nicola H. 100% N/A N/A Sep-09 Sep-09 Y Y N $ 3,300,000 $ 3,185,890 CO 9910156 KGH IHSC - IHSC Building David F. 100% 100% 100% Apr-15 Apr-17 Y Y N $ 176,935,170 $ 156,673,460 CO 9910157 KGH IHSC - Clinical Support Building (Dr. W. A. Bldg) (Complete) Doris L. 100% 100% 100% May-12 Apr-17 Y Y N $ 36,605,581 $ 36,605,581 CO 9910158 KGH IHSC - Royal Building David F. 100% 100% 100% Dec-17 Mar-18 Y Y N $ 21,860,593 $ 21,860,593 CO 9910159 KGH IHSC - Centennial Bldg Infusion Health (Complete) David F. 100% 100% 100% May-12 Oct-12 Y Y N $ 33,211,251 $ 33,211,251 CO 9910160 KGH IHSC - Centennial Building IH (Complete) Brent K. 100% 100% 100% Sep-15 Nov-15 Y Y N $ 2,105,409 $ 2,105,409 CO 9910161 KGH IHSC - Strathcona Building David F. 100% 100% 90% Nov-18 Dec-18 Y Y N $ 76,144,132 $ 48,796,716 CO 9911144 KGH IHSC - Acquisition (Complete) Doug L. 100% N/A N/A Jul-11 Jul-11 Y Y N $ 23,465 $ 23,465 CO Cariboo Chilcotin (CC) 6217000 CMH Building Management System Replacement Shane H. N/A 100% 100% Feb-18 Oct-18 Y Y N $ 1,075,000 $ 780,616 CC 6217008 CMH CT Scanner Shane H. N/A 100% 98% Feb-19 Mar-19 Y Y N $ 1,819,000 $ 1,591,011 CC 6217009 CMH General Radiographic System Shane H. N/A 100% 100% May-18 Dec-18 Y Y N $ 547,000 $ 446,283 CC 6218275 OMH Admitting/Triage Patient Area Renovation Shane H. 100% 100% 0% Mar-19 Apr-19 0 Y N $ 297,000 $ 21,500 CC 6218277 CMH Redevelopment Project - Business Plan Brian M. 85% N/A N/A Apr-19 May-19 Y Y N $ 1,200,000 $ 543,748 CC 6219006 CMH/OMH Medstations, IH-wide Pyxis replacement, Phase 3 Terry S. N/A 100% 85% Jan-19 Feb-19 Y Y N $ 574,000 $ 514,944 CC Central Okanagan (CO) 6114175 KGH Hybrid OR Brian M. N/A 100% 99% Aug-15 Feb-19 Y Y N $ 4,100,000 $ 3,373,544 CO 6118007 KGH General Radiographic System - Digital David F. N/A 100% 100% Jun-18 Jul-18 Y Y N $ 969,000 $ 786,484 CO 6118008 KGH Medstations, IH-wide Pyxis Replacement, Phase 2 Terry S. 100% 100% 95% Jun-18 Mar-19 Y Y N $ 4,161,000 $ 3,925,763 CO 6118024 TLM Generator Replacement Maxwell M. N/A 100% 70% Feb-19 Mar-19 Y Y N $ 561,000 $ 188,120 CO 6118027 CTW Aberdeen & Bridgeway Dining Room Renovation Shane H. N/A 100% 100% Jul-18 Sep-18 Y Y N $ 520,000 $ 505,431 CO 6118165 CPC Central Okanagan Wellness Centre Lucas M. 100% 100% 100% Mar-18 Apr-18 Y Y N $ 900,000 $ 811,067 CO 6118214 WHC Leasehold Improvements Neel C. N/A 10% 0% Sep-19 Nov-19 Y Y 0 $ 750,000 $ 7,886 CO 6118229 KGH Surface Parking David F. N/A 5% 0% TBD TBD Y Y N $ 1,350,000 $ 27,241 CO 6119002 KGH Pediatrics 4 South Renovation James D. N/A 100% 25% Dec-19 Feb-20 Y Y N $ 153,554 $ - CO 6119008 KGH Electrophysiology (EP) Lab Equipment James D. N/A 100% 50% Jun-20 Aug-20 Y Y N $ 2,539,250 $ 263,771 CO 6119149 KGH 3 West Medical Inpatient Nursing Unit Renovation James D. N/A 15% 0% Sep-19 Nov-19 Y Y N $ 250,000 $ 6,234 CO 6119195 CPR Surgical Optimization Clinic - Leasehold Improvements James D. N/A 100% 0% Mar-19 May-19 Y Y N $ 387,000 $ - CO 6119224 KGH Steam Boiler Plant James D. 0% 0% 0% Mar-20 Jun-20 Y Y N $ 630,000 $ - CO Kootenay East (KE) 6417000 FWG Generator and Transfer Switch Mario C. N/A 100% 99% Aug-18 Dec-18 Y Y N $ 447,000 $ 405,834 KE 6417003 KSH Generator and Transfer Switch Mario C. N/A 100% 100% Aug-18 Oct-18 Y Y N $ 416,000 $ 410,123 KE 6417053 EKH MRI Mario C. N/A 100% 99% May-18 Jun-19 Y Y N $ 5,650,000 $ 5,513,744 KE 6418002 CVH General Radiographic System Mario C. N/A 35% 0% May-19 Jun-19 Y Y N $ 953,000 $ 9,938 KE 6418003 EKH Chemistry/Immunochemistry Analyzer Mario C. N/A 0% 0% Jun-19 Aug-19 Y Y N $ 322,000 $ - KE 6418005 EKH Urology Imaging System Mario C. N/A 5% 0% Feb-19 Mar-19 Y Y N $ 623,000 $ 120,431 KE 6418007 EKH Medical Air Compressor Replacement Mario C. N/A 100% 100% Sep-18 Nov-18 Y Y N $ 398,000 $ 263,610 KE 6418008 EKH Boiler Room Upgrade Mario C. N/A 100% 100% Jun-18 Nov-18 Y Y N $ 829,000 $ 700,399 KE 6418009 IDH Medical Air Compressor Replacement Mario C. N/A 100% 100% Sep-18 Nov-18 Y Y N $ 393,000 $ 212,507 KE 6418010 EKH Biomed Department Renovation Mario C. N/A 50% 0% May-19 Jul-19 Y Y N $ 491,000 $ 19,004 KE 6418072 GOL Biomass Boiler Retrofit Shane H. N/A 100% 5% Jun-19 Jul-19 Y Y N $ 1,390,000 $ 54,651 KE North Okanagan Columbia Shuswap (NOCS) 6214233 QVH Helipad Lucas M. 100% 100% 100% Jan-18 May-19 Y Y N $ 623,595 $ 577,989 NOCS 6218006 BSP Walk-In Cooler/Freezer Shane H. N/A 100% 100% Nov-18 Dec-18 Y Y N $ 170,000 $ 131,502 NOCS 6218007 SLH Sterilizer - Low Temperature VHP Neel C. N/A N/A 0% Mar-19 Apr-19 Y Y N $ 159,000 $ 15 NOCS 6118010 VJH Integrated Chemistry/Immunochemistry Analyzer Lucas M. 0% 0% 0% Jun-19 Aug-19 Y Y N $ 322,000 $ - NOCS 6118026 VJH HVAC Upgrade Martin D. N/A 10% 0% Mar-19 May-19 Y Y N $ 600,000 $ 1,380 NOCS 6118134 VJH MRI Martin D. 100% 100% 30% Jul-19 Sep-19 Y Y N $ 7,100,000 $ 2,307,217 NOCS 6118213 VJH Equipment for 5th OR David F. N/A 100% 100% Jun-18 Aug-18 Y Y N $ 1,676,524 $ 1,072,871 NOCS 6119005 VJH Autopsy Suite/Morgue Update - Planning Jared F. 85% N/A N/A Feb-19 Mar-19 Y Y N $ 150,000 $ 30,207 NOCS 6219012 SLH Medstations, IH-wide Pyxis replacement, Phase 3 Terry S. N/A 100% 85% Jan-19 Feb-19 Y Y N $ 489,000 $ 440,543 NOCS 6119169 VJH MDR Redesign & Expansion Martin D. N/A 0% 0% TBD TBD Y Y N $ 2,010,000 $ - NOCS 6119007 VJH Urology Imaging System - digital Martin D. N/A N/A 90% Jan-19 Feb-19 Y Y N $ 758,000 $ 575,265 NOCS 6219195 QVH Heat Recovery Chiller Shane H. N/A 0% 0% Nov-19 Jan-20 Y Y N $ 823,000 $ - NOCS Okanagan Similkameen (OS) 6115193 PRH Patient Care Tower Brent K. 100% 100% 98% Dec-18 TBD Y Y N $ 258,870,918 $ 240,334,914 OS 6117190 PRH Patient Care Tower Equipment Randy W. 10% N/A N/A TBD TBD Y Y N $ 20,815,000 $ 11,225,689 OS 6117212 PRH Patient Care Tower Phase 2 Reno Brent K. N/A 48% 0% TBD Apr-21 Y Y N $ 22,681,082 $ 13,935 OS 6117015 OKR Medstations Replacement Terry S. 100% 100% 97% Feb-17 Mar-19 Y Y N $ 1,575,000 $ 1,574,806 OS 6117247 PRH MRI Randy W. 100% 100% 90% Mar-19 Apr-19 Y Y N $ 3,300,000 $ 1,363,648 OS 6118013 PRH Integrated Chemistry/Immunochemistry Analyzer Lucas M. N/A 0% 0% Jun-19 Aug-19 Y Y N $ 322,000 $ - OS 6118021 SOG -1 Chiller Replacement Lucas M. N/A 100% 100% May-18 Sep-18 Y Y N $ 670,000 $ 565,174 OS 6118022 PRH Replace Chiller #2 Michael M. N/A 100% 99% Jun-18 Dec-18 Y Y N $ 460,000 $ 350,037 OS 6118023 PRH Various Infrastructure Projects David F. N/A 75% 18% Oct-19 Nov-19 Y Y N $ 3,500,000 $ 539,306 OS 6118025 TCC Generator Upgrade Maxwell M. N/A 100% 60% Feb-19 Apr-19 Y Y N $ 570,000 $ 85,460 OS 6118128 PRH Nuclear Medicine, SPECT-CT Randy W. 100% 100% 90% Apr-19 Apr-19 Y Y N $ 1,400,000 $ 711,248 OS 6119001 SOG Renovation of Emergency Department, Triage and Admitting Ev K. 100% 90% 0% Nov-19 Dec-19 Y Y N $ 970,000 $ 74,063 OS 6119004 SSH General Radiographic System Maxwell M. 100% 95% 0% Jul-19 Aug-19 Y Y N $ 511,000 $ 11,028 OS 6119222 PRH Café Renovations Michael M. 0% 0% 0% TBD TBD Y Y N $ 170,763 $ - OS 6119223 SSH Chiller Maxwell M. 0% 0% 0% Jun-19 Aug-19 Y Y N $ 270,000 $ - OS

1 6.6 % Complete Status

Substantial Total Complete Complete Project Project Date Date On Other Insight Actuals Number Project Name/Phase Name Manager Program Design Const. Mth/Yr Mth/Yr On Time Budget Issues Project Budget as of January 17 RHD Thompson (T) 6214128 RIH Clinical Services Building David F. N/A 100% 100% May-16 Sep-16 Y Y N $ 63,252,000 $ 60,608,834 T 6217169 KSC North Shore Science Centre L/H (Ground Floor) Lucas M. 100% 100% 100% Feb-17 Mar-18 Y Y N $ 1,420,000 $ 1,396,604 T 6217170 KSC North Shore Science Centre L/H (Top Floor) Lucas M. N/A 100% 100% Jan-17 Mar-18 Y Y N $ 1,880,000 $ 1,871,423 T 6217171 KPN Northills Centre L/H Lucas M. 100% 100% 99% Apr-17 Feb-19 Y Y N $ 3,240,000 $ 3,219,321 T 6217187 MER Emergency Department Renovation Shane H. 100% 100% 99% Feb-19 Mar-19 Y Y N $ 6,430,000 $ 5,443,471 T 6217218 RIH Patient Care Tower Brent K. 100% 0% 0% Feb-21 TBD Y Y N $ 361,216,739 $ 14,051,897 T 6218181 RIH Patient Care Tower - Equipment Brent K. 0% 0% 0% TBD TBD Y Y N $ 25,834,758 $ - T 6218182 RIH PCT ACE Brent K. 0% 0% 0% TBD TBD Y Y N $ 9,949,299 $ 907,939 T 6218008 RIH General Radiographic System-digital Ev K. N/A 100% 100% Mar-18 Oct-18 Y Y N $ 960,000 $ 779,214 T 6218010 RIH Integrated Chemistry/Immunochemistry Analyzer (x2) Lucas M. N/A 0% 0% Jun-19 Aug-19 Y Y N $ 644,000 $ - T 6218015 ASH Water Cooled Chiller Replacement Shane H. N/A 100% 100% Jun-18 Sep-18 Y Y N $ 555,000 $ 521,598 T 6218016 LIH Air Handling Unit Replacement Shane H. N/A 100% 99% Jul-18 Jan-19 Y Y N $ 207,000 $ 142,759 T 6218017 LIH Biomass Boiler Retrofit Shane H. N/A 100% 99% Dec-18 Jan-19 Y Y 0 $ 1,180,000 $ 1,012,222 T 6218018 MER Boiler Replacement (x2) Shane H. N/A 100% 100% May-18 Dec-18 Y Y N $ 486,000 $ 418,649 T 6218019 OEC Generator and Switchgear Upgrade James D. N/A 50% 0% Aug-19 Oct-19 0 0 N $ 1,500,000 $ 23,085 T 6218021 RIH ED Streaming Expansion Ev K. N/A 100% 100% Jun-18 Oct-18 Y Y N $ 465,000 $ 347,122 T 6218022 RIH Microbiology Lab Renovation Maxwell M. 100% 100% 0% Apr-19 Jun-19 Y Y N $ 1,000,000 $ 60,952 T 6218023 RIH Security Upgrade on 1 South Maxwell M. 100% 100% 70% Feb-19 Mar-19 Y Y N $ 340,000 $ 66,528 T 6218024 KPC Lab Renovation/Expansion/Relocation Ev K. N/A 100% 100% Sep-18 Nov-18 Y Y N $ 200,000 $ 35,991 T 6218204 KUF Urgent Family Care and Teaching Centre Corinne G. N/A 100% 100% Mar-18 Mar-18 Y Y N $ 2,430,000 $ 2,404,654 T 6218241 RIH Bed Relocation Ev K. N/A 100% 87% Jan-19 Feb-19 Y Y N $ 300,000 $ 159,930 T 6218252 RIH Elevator Modernization Maxwell M. N/A 100% 0% Nov-19 Mar-20 0 Y N $ 850,000 $ 21,954 T 6218274 KUF Urgent Family Care General Radiography System Shane H. N/A 100% 70% Mar-19 Apr-19 Y Y N $ 970,000 $ 433,355 T 6219000 OEC Nurse Call James D. N/A 20% 0% Oct-19 Nov-19 Y Y N $ 613,000 $ 6 T 6219001 MER Generator and Automatic Transfer Switch Replacement Shane H. N/A 100% 95% Dec-18 Feb-19 Y Y N $ 550,000 $ 320,781 T 6219002 PON HVAC Upgrades Shane H. N/A 5% 0% Sep-20 Nov-20 Y Y N $ 4,000,000 $ 4,661 T 6219003 RIH General Radiographic System - digital Shane H. N/A 95% 0% Jul-19 Aug-19 0 Y N $ 860,000 $ 24,658 T 6219009 RIH Spect CT Shane H. N/A 50% 0% May-19 Jul-19 Y Y N $ 1,331,000 $ 52,812 T 6219010 RIH Urology Imaging System - digital Shane H. 100% 100% 0% Feb-19 Mar-19 0 Y Y $ 718,000 $ 132,904 T 6219011 RIH Medstations, IH-wide Pyxis replacement, Phase 3 Terry S. N/A 75% 50% Jan-19 Feb-19 Y Y N $ 2,981,000 $ 2,528,292 T 6219159 RIH Colonoscopy Room Conversion Martin D. N/A 0% 0% Sep-19 Oct-19 Y Y N $ 650,000 $ 24 T 6219164 RIH Coronary Care Unit James D. N/A 95% 0% May-19 Jul-19 Y Y N $ 1,340,000 $ 1,065 T 6219098 CLW Walk-in Cooler/Freezer Curtis N. N/A 100% 0% Feb-19 Mar-19 Y Y N $ 150,000 $ - T 6218000 BAR Fire Sprinkler System Curtis N. N/A 95% 0% Jul-19 Sep-19 Y Y N $ 236,000 $ 11,982 T 6218001 RIH Fire Sprinkler System Replacement Clarke A. N/A 95% 0% Jul-19 Sep-19 Y Y N $ 125,000 $ 1,513 T 6218009 RIH Hematology Analyzer Clarke A. N/A N/A 100% Jan-19 Feb-19 Y Y N $ 370,000 $ - T 6219167 RIH Outside Steel Stairs Clarke A. N/A 100% 40% Mar-19 May-19 Y Y N $ 115,000 $ - T 6219196 HLS Chiller Shane H. N/A 0% 0% May-19 Jun-19 Y Y N $ 395,000 $ - T 6219197 LYT Heat Pump Recommissioning Shane H. N/A 0% 0% Mar-20 May-20 Y Y N $ 360,000 $ - T West Kootenay Boundary (WKB) 6314001 KLH Emergency Power System Upgrade Steve M. N/A 100% 100% May-17 Sep-18 Y Y N $ 3,600,000 $ 3,086,248 WKB 6317006 KBR Medstations Replacement Terry S. 100% N/A 100% May-17 Apr-18 Y Y N $ 1,018,000 $ 982,226 WKB 6318006 KBH Integrated Chemistry/Immunochemistry Analyzer Mario C. N/A 0% 0% Jun-19 Aug-19 Y Y N $ 322,000 $ - WKB 6318007 KBH Spect CT Mario C. N/A 95% 0% May-19 Jun-19 Y Y N $ 1,623,000 $ 509,808 WKB 6318008 KBH Urology Imaging System Mario C. N/A 5% 0% May-19 Jul-19 0 Y N $ 623,000 $ 123,343 WKB 6318010 KBH Steam and Condensate Line Replacement Mario C. N/A 5% 0% May-19 Jun-19 Y Y N $ 523,000 $ 2,999 WKB 6318011 SCH Generator Replacement Maxwell M. N/A 60% 0% May-19 Jun-19 Y Y N $ 861,000 $ 15,678 WKB 6318053 KBH Emergency Department Redevelopment Mario C. N/A 100% 16% Dec-19 Mar-20 Y Y 0 $ 19,050,000 $ 2,235,026 WKB 6318089 KBH Boiler Room Ev K. N/A 100% 0% Mar-19 May-19 Y Y N $ 540,000 $ 23,371 WKB 6319000 KBH Dishwasher/Conveyor System James D. N/A 20% 0% May-19 Jul-19 Y Y N $ 296,000 $ 52 WKB 6319001 SCH Waste Water Treatment Plant Maxwell M. N/A 90% 0% Jun-19 Jul-19 Y Y N $ 360,000 $ 28,883 WKB 6319002 ALH Emergency Department Renovation Ev K. 100% 90% 0% Nov-19 Jan-20 Y Y N $ 2,100,000 $ 59,494 WKB 6319003 BDH Secure Room Maxwell M. N/A 0% 0% Oct-19 Dec-19 0 Y N $ 400,000 $ 267 WKB 6319004 KBH Waste and Cardboard Compactors James D. N/A 20% 0% Jul-19 Sep-19 Y Y N $ 465,000 $ 198 WKB 6319064 HVL Chiller Maxwell M. 0% 0% 0% May-19 Aug-19 Y Y N $ 795,000 $ - WKB 6319067 KBH Pharmacy & Ambulatory Care Project Ev K. 0% 0% 0% TBD TBD Y Y N $ 38,775,000 $ - WKB Property Purchases OK Property Purchases Doug L. $ 1,065,000 $ 1,035,686 CO

2 % Complete Status 6.6 Substantial Total Complete Complete Project Project Date Date On Other Insight Actuals Number Project Name/Phase Name Manager Program Design Const. Mth/Yr Mth/Yr On Time Budget Issues Project Budget as of January 17 RHD Completed Projects 6214003 RIH Chiller 600 Ton Clarke A. N/A 100% 100% Jun-16 May-18 Y Y N $ 821,000 $ 795,759 T 6017012 CRP IH-Wide Medstations Replacement Terry S. 100% 100% 100% Feb-18 Apr-18 Y Y N $ 443,000 $ 437,431 All 6415000 EKH Psych Seclusion Rooms (x 2) Mario C. N/A 100% 100% Feb-18 Apr-18 Y Y N $ 412,000 $ 364,321 KE 6218004 OMH Monitoring System, Physiological Shane H. N/A N/A 100% Jan-18 Feb-18 Y Y N $ 188,000 $ 175,901 CC 6116010 VJH Inpatient Psychiatry Redevelopment Planning David F. 100% N/A N/A Aug-16 Mar-17 Y Y N $ 150,000 $ - NOCS 6118019 KGH MRI/DI Sprinkler Piping Replacement David F. N/A 100% 100% Mar-18 May-18 Y Y N $ 180,000 $ 171,450 CO 6317002 KBH Sanitary Pipe Replacement, N and W Wings Kevin T. N/A 100% 100% Jul-17 Sep-18 Y Y N $ 400,000 $ 298,749 WKB 6117000 CTW Building Management System Replacement Shane H. N/A 100% 100% Aug-17 Jan-18 Y Y N $ 600,000 $ 476,735 CO 6118009 KGH Multi-Purpose System David F. 100% 100% 100% Mar-18 Aug-18 Y Y N $ 1,794,000 $ 1,685,109 CO 6116009 VJH MI Redesign Planning David F. 100% N/A N/A Aug-16 Mar-17 Y Y N $ 150,000 $ - NOCS 6216077 RIH CSB Amphitheatre Fit-out David F. N/A 100% 100% May-17 Sep-18 Y Y N $ 975,000 $ 755,191 T 6219004 RIH Medical Vacuum Pump and Air Compressor Replacement Ev K. N/A 100% N/A N/A N/A Y Y N $ 850,000 $ - T 6218011 RIH Physiological Monitoring System Martin D. N/A 100% 100% Jun-18 Sep-18 Y Y N $ 303,000 $ 293,366 T 6219129 CLW Boiler Room Shane H. N/A N/A N/A N/A N/A Y Y N $ 200,000 $ - T 6418004 EKH Pulmonary Function Equipment Mario C. N/A 100% 100% Feb-18 Oct-18 Y Y N $ 137,500 $ 137,182 KE 6317065 KBH Sustainability Project - Planning Brian M. 100% N/A N/A Apr-18 Sep-18 Y Y N $ 300,000 $ 114,195 WKB

LEGEND: Active Projects Project Budget Actuals To Date No Schedule, Budget or Other issues for the reporting period. 6 Cariboo Chilcotin $5,512,000 $3,898,101 Issues resolved without material impacts; projects proceeding. Or, issues under investigation. 13 Central Okanagan $17,270,804 $9,895,541 Issues have material impacts and/or corrective actions 11 Kootenay East $11,912,000 $7,710,241 and/or approvals required before project proceeding. 12 North Okanagan Columbia Shuswap $14,881,119 $5,136,989 Projects are complete and financially closed. 12 Okanagan Similkameen $13,718,763 $5,274,769 Y Yes 36 Thompson $103,103,000 $82,046,364 N No 16 West Kootenay Boundary $71,351,000 $7,067,593 0 Other 11 Interior Heart & Surgical Centre $356,628,028 $308,904,793 3 Penticton Regional Hospital Patient Care Tower $302,367,000 $251,574,538 NOTES: 3 Royal Inland Hospital Patient Care Tower $397,000,796 $14,959,836 123 Total Active Projects $1,293,744,511 $696,468,765 1 Property Purchases $1,065,000 $1,035,686 16 Completed Projects $7,903,500 $5,705,390 140 Total $1,302,713,011 $703,209,841

3 West Kootenay Boundary Reports January 20196.6

Project Name KLH Emergency Power System Upgrade Project Budget: $3,600,000 Project Number 6314001 Project Manager Steve M. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 100% 100% Y Y N May-13 Aug-14 5 May-17 Scope To perform upgrade required to meet the electrical code and the current CSA standard for an Acute Care facility. In order to meet these standards and the electrical code it is required to replace all of the original 1958 electrical distribution, add a second emergency power generator and replace the automatic transfer switch. Progress The project is substantially complete as of May 2017. Project has remained open for the removal of the underground fuel tank, which has been removed now and paving is completed. Project will be closed upon processing of final invoices. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ 3,025,061 $ 61,187 $ 61,187 $ - $ - $ - $ - $ 3,086,248 $ 513,752 $ -

Project Name KBR Medstation Replacement Project Budget: $1,018,000 Project Number 6317006 Project Manager Terry S. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised 100% N/A 100% Y Y N Jun-16 Feb-17 3 May-17 Scope To replace the Pyxis 3500 with Omnicell XT platform at KBH and KLH. Progress Purchase Order for cabinets was modified in February 2017 from the G4 type cabinets to the recently released version of Omnicell XT cabinets. For Kootenay Lake Hospital, cabinets are connected and operating since May 9th, 2017. For Kootenay Boundary Hospital, units are operational since June 27th, 2017. Project is complete, and it will be closed upon processing of final invoices and credits. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ 1,001,144 $ (18,918) $ 3,289 $ - $ - $ - $ - $ 1,004,433 $ 13,567 $ (0)

Project Name KBH Integrated Chemistry/Immunochemistry Analyzer Project Budget: $322,000 Project Number 6318006 Project Manager Mario C. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 0% 0% Y Y N Aug-17 Dec-17 3 Jun-19 Scope This innovative new integrated system is a single main frame chemistry instrument that provides routine and immunochemistry testing on a single platform. This will reduce the overall physical footprint within the laboratory while increasing efficiencies and flow through for urgent and routine testing. This new combined instrument will be replacing a 2002 Immunoassay analyzer and a 2007 Chemistry analyzer in the Clinical Laboratory.

Progress The equipment procurement will be done through a regional Request for Proposal (RFP) to allow standardization across all sites. Design and construction will be aligned with the procurement of equipment. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ - $ - $ - $ 322,000 $ - $ - $ - $ 322,000 $ - $ -

40 West Kootenay Boundary Reports January 2019 6.6

Project Name KBH Spect CT Project Budget: $1,623,000 Project Number 6318007 Project Manager Mario C. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 95% 0% Y Y N Aug-17 Feb-18 3 May-19 Scope These newer units combine a gamma camera with a CT to improve image quality and help with land marking (identifying the location of the abnormal function). They are used to locate cancerous tumors, minor bone fractures, abnormal functioning of organs and to examine cardiac functions. This unit is replacing a 2005 Gamma Camera in the DI department. Progress 95% Design will be complete in January 2019 for user review and cost Consultant's review. Construction tender is anticipated to be released by early 2019. Construction completion is anticipated by spring 2019. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ 489,863 $ 19,945 $ 70,945 $ 1,062,192 $ - $ - $ - $ 1,623,000 $ - $ -

Project Name KBH Urology Imaging System Project Budget: $623,000 Project Number 6318008 Project Manager Mario C. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 5% 0% 0 Y N Aug-18 Dec-18 4 May-19 Scope This fully digital system allows full-format exposures of the entire area from kidneys to bladder in one single shot with impressive image quality. This unit offers unique unrestricted symmetrical patient access from all four table sides, providing optimal view during all urological procedures. Progress Equipment layout has been completed by the vendor, Siemens. Consultant selection to be complete in early February 2019. Issues A review of the process for the use of the urology table has determined that additional mechanical infrastructure is required, including a new floor drain. This change in the scope of the renovations has delayed the anticpated start of design and construction. The system is now planned to be installed in May 2019. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ 76 $ 123,267 $ 143,267 $ 479,657 $ - $ - $ - $ 623,000 $ - $ -

Project Name KBH Steam and Condensate Line Replacement Project Budget: $523,000 Project Number 6318010 Project Manager Mario C. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 5% 0% Y Y N Sep-17 Feb-18 3 May-19 Scope The existing steam and condensate lines are 60 years old and leaks are developing. The replacement of these components will require access through patient care areas. Careful coordination and infection control precautions will be a key element for this project. Progress Steam and condensation pipe infrastructure condition report has been developed. Detailed review of the condition assessment report was completed by the Plant Services, and the required work on the system has been prioritized. Design consultant will be engaged as next step. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ 2,999 $ - $ 14,000 $ 506,001 $ - $ - $ - $ 523,000 $ - $ -

41 West Kootenay Boundary Reports January 20196.6

Project Name SCH Generator Replacement Project Budget: $861,000 Project Number 6318011 Project Manager Maxwell M. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 60% 0% Y Y N Sep-17 Mar-18 2 May-19 Scope The project scope includes the replacement of the generator and automatic switch gear in order to provide the facility with emergency power. This is a remote site which experiences numerous power failures throughout the year. Progress Consulting services have been procured. Several site visits have been completed to understand the present site conditions and gather the design information required to develop the initial Schematic Design. Utility billing information has been acquired from BC Hydro for the last 10 years to support the generator sizing. A land survey has been completed to confirm setbacks and location of proposed new generator pad. We are scheduled to release the tender in mid-February 2019. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ 1,400 $ 14,278 $ 26,408 $ 833,192 $ - $ - $ - $ 861,000 $ - $ -

Project Name KBH Emergency Department Redevelopment Project Budget: $19,050,000 Project Number 6318053 Project Manager Mario C. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 100% 16% Y Y 0 Jul-17 Dec-19 0 Dec-19 Scope The redesign and expansion of the KBRH ED as well as the upgrade to the electrical transformer will address immediate space and service inadequacies and accommodate projected ED needs to 2034. This is Phase 1 of the KBRH service priority renovations. Progress Drilling for the shoring work is underway and has been successful thus far in breaking up the encountered rock while staying within safe vibration limits. Sheet pile installation is now progressing and bulk excavation will proceed once fully installed. Civil work for electrical transformers complete, scheduling with Fortis for placement of the new transformers underway. Issues Installation of the shoring sheet piles is progressing now that the drilling rig has successfully broken up the cobble layer that was impeding the work. Schedule impacts due to the delays with the shoring installation will be evaluated once these site challenges have been fully addressed and excavation is underway. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ 383,960 $ 1,851,066 $ 5,214,812 $ 13,451,228 $ - $ - $ - $ 19,050,000 $ - $ -

Project Name KBH Boiler Room Project Budget: $540,000 Project Number 6318089 Project Manager Ev K. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 100% 0% Y Y N Feb-18 Mar-19 0 Mar-19 Scope The scope of this project is to install two new dedicated high efficiency domestic hot water boilers and associated storage tank to provide domestic hot water to the facility. The addition of these boilers will allow for the decoupling of the domestic hot water system from the existing steam plant. This project will increase energy efficiency of the domestic hot water production. Progress The tenders closed early January 2019 and the construction contract and the pre-tendered equipment was awarded to each successful proponent. The construction kick-off meeting is scheduled for January 27th. There is a 9-10 week lead time for the pre-tendered equipment. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ 437 $ 22,934 $ 141,943 $ 397,620 $ - $ - $ - $ 540,000 $ - $ -

42 West Kootenay Boundary Reports January6.6 2019

Project Name KBH Dishwasher/Conveyor System Project Budget: $296,000 Project Number 6319000 Project Manager James D. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 20% 0% Y Y N Oct-18 Dec-18 1 May-19 Scope The new energy efficient dishwasher will be fully automatic, conveyor type machine with a blower-dryer section. Other items within this system will include a soiled dish table, waste trough, stainless steel tray slides, overhead rack shelf, power roller rack transfer conveyor, clean dish table with backsplash and a hose clean up station. This system is replacing a 2003 machine in the food services department. Progress Site investigation/confirming adequate steam supply is almost complete by consultant. Project kick-off meeting is scheduled for January 30th, 2019. Equipment RFP to be issued end of January 2019. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ - $ 52 $ 20,152 $ 275,848 $ - $ - $ - $ 296,000 $ - $ -

Project Name SCH Waste Water Treatment Plant Project Budget: $360,000 Project Number 6319001 Project Manager Maxwell M. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 90% 0% Y Y N Apr-18 Dec-18 1 Jun-19 Scope Project is to upgrade the existing 26 year old waste water treatment plant. The Waste Water Treatment Plant upgrades will include septic field, sand filter, dosing tank with the associated pumps and controls to allow for improved treatment and processing of effluent. Progress The design consultant has been engaged. The consultant is conducting discharge flow testing and surveying the new septic field location to ensure soil conditions will support the new field. Construction tender is anticipated to be released in winter 2018/19 with the intent of awarding the contractor to begin the work once the snow clears in spring of 2019. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ - $ 28,883 $ 32,110 $ 327,890 $ - $ - $ - $ 360,000 $ - $ -

Project Name BDH Secure Room Project Budget: $400,000 Project Number 6319003 Project Manager Maxwell M. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 0% 0% 0 Y N Aug-18 Apr-19 1 Oct-19 Scope The current secure room is to be relocated to a more appropriate location within the hospital as its current location is not close to an external entrance or the ED. The current room does not meet standards and is a safety risk for staff, patients and the RCMP who sometimes need to move patients into the secure room. The scope of work will be to create a new secure room of approximately 14 square meters within the existing ED that meets the current provincial standards.

Progress Procurement of consulting services is now progressing following the selection of the alternate location for the secure room. Design work will begin in March 2019. Completion of the work is anticipated in fall 2019. Issues Structural and HVAC conflicts with the planned location for the secure room have delayed progress on the design and planning. An alternative location has been determined and work is now progressing with a revised target to complete the work in fall 2019. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ - $ 267 $ 30,267 $ 369,733 $ - $ - $ - $ 400,000 $ - $ -

43 West Kootenay Boundary Reports January 20196.6

Project Name KBH Waste and Cardboard Compactors Project Budget: $465,000 Project Number 6319004 Project Manager James D. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised N/A 20% 0% Y Y N Oct-18 Jun-19 1 Jul-19 Scope This project will include a new commercial compactor/packer roll off combo, container, walk-on dock, container stand assembly, controls and electrical supply to replace the existing year 2000 unit at this site. To address staff, public and contractor safety there are also renovations required to the loading dock, dock cover, driveway, the stair case/exit door and lighting. Progress Consultant services have been procured. Schematic design review and kick-off meeting are scheduled for January 30th, 2019. Tender documents to be completed by early April 2019 in alignment with the RFP to issued for the equipment. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ - $ 198 $ 19,698 $ 445,302 $ - $ - $ - $ 465,000 $ - $ -

Project Name ALH Emergency Department Renovation Project Budget: $2,100,000 Project Number 6319002 Project Manager Ev K. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised 100% 90% 0% Y Y N Jul-18 Oct-19 1 Nov-19 Scope Redevelopment of the Emergency Department (ED) areas will provide the appropriate space capacity necessary to support the provision of quality patient care within Emergency Services and address the immediate service delivery challenges experienced by the site. Planning, design and renovations will improve sight lines and visual oversight to monitor patients, improve infection control standards, address risk related to lack of privacy and confidentiality, improve patient flow by decreasing congestion, and provide appropriate space for essential equipment/supplies. Renovations will provide the High Acuity Response Team and visiting specialists’ appropriate space to deliver quality patient care. The plan for the expanded ED is to include four exam bays, one double trauma bay, one office/exam room and one physician dictation/multi-purpose room. The renovation will be phased to minimize disruption to emergency services at the site. Progress The 95% Working Drawing design review and sign-off took place January 24th involving clinical and medical staff. Consultants are finalizing the Issue for Tender documents. Invitation to Bid for General Contractor is scheduled to be released early February 2019. Issues None. Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ - $ 59,494 $ 99,691 $ 2,000,309 $ - $ - $ - $ 2,100,000 $ - $ 0

Project Name HVL Chiller Project Budget: $795,000 Project Number 6319064 Project Manager Maxwell M. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised 0% 0% 0% Y Y N Jan-19 May-19 0 May-19 Scope The scope of this project will be to replace the chiller and ancillary equipment with a higher capacity, more reliable, energy efficient system. Progress Planning work is underway and the consultant procurement will be issued in February 2019. A pre-tender for the equipment will be issued as early as possible and construction work is anticipated to begin in late spring 2019. Issues 0 Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ - $ - $ - $ 795,000 $ - $ - $ - $ 795,000 $ - $ -

44 West Kootenay Boundary Reports January 2019 6.6

Project Name KBH Pharmacy & Ambulatory Care Project Project Budget: $38,775,000 Project Number 6319067 Project Manager Ev K. RHD Contribution (Y/N): Y % Complete Status Start Date Substantial Completion On Time On Budget Other Issues Programming Design Const. Original Rev. # Revised 0% 0% 0% Y Y N Jan-19 TBD 0 TBD Scope The Project entails the creation of a new ambulatory care wing above the emergency department expansion. The old ambulatory care will be upgraded to accommodate outpatient exam rooms, booking offices, reception, telehealth, and two physician sleep rooms. Current medical records will be relocated to the basement allowing for expansion of the existing oncology unit and physiotherapy will move into the remaining medical records space. In addition, the cast clinic space will be upgraded. Shifting of these other service areas will allow for a major expansion of the current pharmacy area to address the needs of the pharmacy program. The existing generators will be replaced along with an upgrade to the chiller and associated cooling tower.

Progress Project initiation is underway. An RFP for consulting services will be issued by March 2019. Issues Return to main Status Report. 0 Financial Actuals Actuals Projected Total Actuals Projected Variance to March 31, 2018 YTD FY19 FY20 FY21 FY22 FY23 + Projected Unspent to Budget $ - $ - $ - $ 3,267,350 $ 12,456,700 $ 9,059,200 $ 13,991,750 $ 38,775,000 $ - $ -