THOMPSON REGIONAL HOSPITAL DISTRICT Regular ... - TNRD

THOMPSON REGIONAL HOSPITAL DISTRICT

Regular Meeting – Thursday, March 24, 2011

A G E N D A

Time: 10:00 a.m. Place: Board Room

4 th Floor 465 Victoria Street Kamloops, BC

Page

1. ELECTION OF OFFICERS(a) Thompson Regional Hospital District Election of Chair and Acting Chair

Report from Director of Finance dated March 15, 2011 attached. Recommendation(s): In keeping with past practice utilized by the Thompson Regional Hospital District, it is recommended: 1. That the Chief Administrative Officer of the Thompson-Nicola

Regional District be appointed Acting Chair for the purposes of conducting the Election of Chair and Acting Chair of the Thompson Regional Hospital District;

2. That the Recording Secretary of the Thompson-Nicola Regional

District be appointed Recording Secretary of the Thompson Regional Hospital District;

3. That those staff members present at the meeting be appointed scrutineers for the Election of Chair and Acting Chair of the Thompson Regional Hospital District; and

4. That the Election of Chair and Acting Chair of the Thompson Regional Hospital District be carried out by way of secret ballot.

2. MINUTES(a) Thompson Regional Hospital District Minutes of December 2, 2010.

5-6

7-14

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DELEGATIONS(a) Mr. Douglas Rae, CA, KPMG

Re: Audit report for the year ended December 31, 2010

(b) Ms. Joanne Konnert, Vice President, Tertiary Services Re: Royal Inland Hospital

(c) Mrs. Diane Kostachuk, CMA Re: Capital Equipment

4. UNFINISHED BUSINESS(a) Mr. Douglas Rae, CA, KPMG

Re: Audit report for the year ended December 31, 2010

(b) Ms. Joanne Konnert, Vice President, Tertiary Services Re: Royal Inland Hospital

(c) Mrs. Diane Kostachuk, CMA Re: Capital Equipment

5. BYLAWS(a) Thompson Regional Hospital District Remuneration Bylaw No. 91, 2011

Report from Director of Finance dated March 15, 2011 attached. Recommendation(s): 1. That Remuneration Bylaw No. 91, 2011 be read a first and second

time by title only. That the Board of Directors provide direction (if any) on other desired changes. 2. That Remuneration Bylaw No. 91, 2011 as amended be read a third

time by title only.

3. That Remuneration bylaw No. 91, 2011 be reconsidered and adopted.

15-21

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BYLAWS(b) Thompson Regional Hospital District 2011 Annual Budget Bylaw No. 89

Report from Director of Finance dated March 14, 2011 attached Recommendation(s): 1. That the Thompson Regional Hospital District 2011 Annual Budget

Bylaw No. 89 be read a first time by title only. 2. That any amendments to the Thompson Regional Hospital District 2011

Annual Budget, if any, be made after the first reading and direction be provided in this regard.

3. That the Thompson Regional Hospital District 2011 Annual Budget

Bylaw No. 89 as amended be read for the second time by title only and carried through three readings.

4. That the Thompson Regional Hospital District 2011 Annual Budget

Bylaw No. 89 as amended be reconsidered and adopted.

(c) Thompson Regional Hospital District Major Equipment and Renovations – Capital

Bylaw No. 90

Report from Director of Finance dated March 11, 2011 attached. Recommendation(s): 1. That the Thompson Regional Hospital District Capital Bylaw No. 90 be

read a first time by title only and carried through to three readings. 2. That the Thompson Regional Hospital District Capital Bylaw No. 90 be

reconsidered and adopted.

6. REPORTS(a) Thompson Regional Hospital District Financial Statements - 2010

Report from Director of Finance dated March 14, 2011 attached. Recommendation(s): That the 2010 Financial Statements of the Thompson Regional Hospital District be approved.

(b) Thompson Regional Hospital District Financial Information Act Disclosures - Calendar Year 2010

Report from Director of Finance dated March 14, 2011 attached.

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27-35

36-54

55-62

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REPORTS

Recommendation(s): That the Thompson Regional Hospital District Statement of Financial Information for the Year Ended December 31, 2010 be received by the Board of Directors and be made available for public inspection thereafter.

(c) Director and Committee Member Remuneration and Expense Report – 2010 Thompson Regional Hospital District

Report from Director of Finance dated March 14, 2011 attached. Recommendation(s): That the Thompson Regional Hospital District “Director and Committee Member Remuneration and Expense Report” for 2010, as submitted, be approved by the Board of Directors and be made available for public inspection thereafter.

7. CORRESPONDENCE

8. NEW BUSINESS

9. ADJOURNMENT

Attachments

63-68

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FINANCE DEPARTMENT

BOARD REPORT

TO:

FROM:

SUBJECT:

Chair and Board of Directors

Director of Finance

TRHD Election of Chair and Acting Chair

DATE: March 15.2011

RECOMMENDATION{S):

In keeping with past practice utilized by the Thompson Regional Hospital District, it is

recommended:

1. That the Chief Administrative Officer of the Thompson-Nicola Regional District be

appointed Acting Chair for the purposes of conducting the Election of Chair and

Acting Chair of the Thompson Regional Hospital District;

2. That the Recording Secretary of the Thompson-Nicola Regional District be

appointed Recording Secretary of the Thompson Regional Hospital District;

3. That those staff members present at the meeting be appointed scrutineers for the

Election of Chair and Acting Chair of the Thompson Regional Hospital District;

and

4. That the Election of Chair and Acting Chair of the Thompson Regional Hospital

District be carried out by way of secret ballot.

S. GILL, SB • C.A.Director of Finance

Approved forBoard Consideration

CAD

Thompson Regional Hospital District Election of Chair and Acting Chair

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March 15,2011

Subject: TRHD Election of Chair and Acting Chair

BACKGROUND:

Page 2 of 2

Pursuant to Section 13(1) of the Hospital District Act, "where the Directors hold offices under

Section 8(1), the Board must elect a Chairfrom among its Directors at the first meeting held in

the year".

DISCUSSION:

Section 8(1) refers to the situation where, as in this case, "the Regional Hospital District Board

consists of the Directors on the Board of the Regional District that corresponds to the Regional

Hospital District". Consequently, the Board must elect a Chair from among its Directors at the

first meeting.

Furthermore, pursuant to the Procedural Bylaw No.1, the Board shall elect from among its

Directors an Acting Chair, who, during the absence or inability of the Chair has all the powers

and is subject to the same rules as the Chair.

To facilitate these elections, it is customary for the Board to enlist the services of an Acting

Chair, a Recording Secretary and a few scrutineers.

Past practice in the Thompson Regional Hospital District has been to appoint staff to these

positions and to utilize the method of secret ballot as stated in the Procedure Bylaw.

In accordance with Section 13(3) "each Director has one vote only for a selection under this

section".

CONCLUSION:

The election of Chair and Acting Chair for the Thompson Regional Hospital District be

conducted byway of a secret ballot, as required by the Hospital District Act and the Thompson

Regional Hospital District procedural bylaw.

Attachment(s)

None.

Thompson Regional Hospital District Election of Chair and Acting Chair

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:'~.41i, ~blc9J'

~".~ Q~ 1).'~q'~ ~tQ~

%-eq:"hTHOMPSON REGIONAL HOSPITAL DISTRICT ,.~~

~~. ''''-:Thursdav. December 2, 201 0 ~ ~'/;

MINUTES of a Meeting of the Board of Directors of the THOMPSON REGIONALHOSPITAL DISTRICT held in the Boardroom, 465 V~ctoria Street, Kamloops, BC onThursday, December 2, 2010 commencing at 10:00 a.m.

PRESENT:Chair H. DanylukDirector M.A. AndersonDirector M. FennellDirector P.A.J. RantaDirector J. HarwoodDirector R StankeDirector J. De CiccoDirector J. HarkerDirector P. MilobarDirector P.A. WallaceDirector M. DoschDirector J. LightfootDirector A. RaineDirector T. PennellDirector M. LentzDirector S. WatsonDirector B. TaitDirector RH. ElliottDirector J. TaylorDirector R MurrayDirector H.S. GrahamDirector B. CruzelieMyramDirector J. SternigDirector B. RinderoDirector M. MacriDirector R OakleyDirector D. Delisle

Village of ChaseVillage of AshcroftDistrict of BarriereVillage of Cache CreekDistrict of ClearwaterVillage of ClintonCity of KamloopsCity of KamloopsCity of KamloopsCity of KamloopsDistrict of Logan LakeVillage of LyttonSun Peaks Mountain Resort MunicipalityElectoral Area "A" (Wells Gray Country)Electoral Area "B" (Thompson Headwaters)Electoral Area "E" (Bonaparte Plateau)Electoral Area "I" (Blue Sky Country)Electoral Area "J" (Copper Desert Country)Electoral Area "L"Electoral Area "M"Electoral Area "N"Electoral Area "0" (Lower North Thompson)Electoral Area "P" (Rivers and The Peaks)District of LillooetSquamish-Lillooet Regional DistrictSquamish-Lillooet Regional DistrictColumbia Shuswap Regional District

PRESS:

I Mr. G. Toma, Chief Administrative OfficerMr. L. Huntley, Clerk/Director of Community ServicesMr. S. Gill, Director of FinanceMs. L. Cornwell, Deputy Clerk/Manager of Community ServicesMs. S. Thiessen, Finance SuperviserMs. A. Dyck, Recording Secretary

A. Iacobucci - CHNL RadioM. Young - Kamloops Daily News

Page 1 of 8Thompson Regional Hospital District Minutes of December 2, 2010.

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Thompson Regional Hospital DistrictThursday, December 2, 2010

OTHERS:3 persons

1. MINUTES

(a) Thompson ReQional Hospital District Minutes dated July 15. 2010

Moved by Director DoschSeconded by Director Harwood

That the Minutes ofthe Regular Meeting of July 15, 2010 be adopted ascirculated.

CARRIED Unanimouslv

2. DELEGATIONS

(a) Interior Health AuthorityMs. Jackie-Ellen Watson, Director of PlanninQ, Capital PlanninQ and ProiectsRe: Royal Inland Hospital Masterplan

Ms. Watson provided a powerpoint presentation with regard to the Royal InlandHospital Master Plan (MSP). Ms. Watson provided an overview of the MSPincluding plans for future growth and development, evaluation of site and trafficflow, staffing, construction phasing and constraints and exploration of possiblelong term planning options.

She clarified factors to achieve a successful Plan such as on-site pressures dueto population growth, clinical demands and building for the future. Ms. Watsondiscussed current, onsite, offsite and projected parking. She further advised offacility upgrades that have occurred from 2004 to 2010.

In regard to the planning process, Ms. Watson presented a balanced scorecardwhich outlined organizational priorities, impact, functionality and value. Sheadvised that planning considerations include a number of factors, buildinglocation, priority programs, whether to demolish or reuse buildings, whetherspace is able to meet current standards, ability to capitalize on natural featuresand use of adjacent sites or offsite locations.

Stakeholder engagement was detailed as follows:• Steering Committee;• Project Team;• User Groups;• External Stakeholders; and• Community Engagement

Ms. Watson advised that a community information session was held inNovember, 2010 and that a second session will be held in spring, 2011. Sheoutlined the schedule as follows:


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Thompson Regional Hospital DistrictThursday,December2,2010

• Site Assessment and Date Collection;o Spring - Summer (2010)

• Master Site Programmingo September - November (2010)

• Charette Sessionso October, November and December (2010)

• Community Information Presentationso November (2010)o Spring (2011) (TBD)

• Final Documents and Presentations to Steering Committeeo February (2011)

Discussion ensued regarding parking issues and the options of potentialexpansion and or demolition of existing buildings at the hospital. Upon question,Ms. Watson advised that the hospital is known as a tertiary hospital with amazingtrauma response, rehabilitation and perinatal and neonatal services.

(b) Interior Health AuthoritvMrs. Dianne Kostachuk, CMA. Director, Business SupportThompson Cariboo Shuswap Health Services AreaRe: Minor Equipment

Ms. Dianne Kostachuck provided a powerpoint presentation with regard to minorcapital equipment in 2010. She advised that focus was on patient safety andcomfort, improved surgical and diagnostic access and annual replacement. Shefurther detailed patient safety and comfort, noting that purchases included blanketwarmers, ceiling track lifts and slings, pressure release mattresses, wanderguardsystem and security enhancements.

Ms. Kostachuck stated that improved surgical and diagnostic access includedadditional scopes and replacement, portable ultrasound systems, ECG/EEGmachines, arthroscopic tower and ACU renovation. Replacements were made tothe following hospitals:

• Lillooet District Hospital: portable ultrasound;• Nicola Valley Health Centre: stretcher;• Chase and District Health Centre: floor scrubber; and• Royal Inland Hospital: lab freezer fume hood, IV pumps and chiller

Discussion ensued regarding the ultrasound equipment that was removed fromthe Nicola Valley Health Centre and relocated to the Royal Inland Hospital withconcerns that the relocation will result in less availability to patients in the NicolaValley. Further concerns were raised regarding the staffing issue of theultrasound equipment and that the community of Merritt raised money originallyto bring the equipment to their area.


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(c) Interior Health AuthorityMs. Joanne Konnert, Vice President. Tertiary ServicesRe: Royal Inland Hospital Update

Joanne Konnert addressed the Board of Directors to provide a Royal InlandHospital update. She provided a comparison of 2009/10 and 2010/11 regardingcases, patient days, surgicallP cases, surgical dlc cases, ER visits andambulatory care visits noting the increase of all in 2010/11.

Ms. Konnert detailed the areas of excellence in the Royal Inland Hospital andoutlined priorities for the hospital. She further identified surgical services andnoted that the location of the heliport is a priority to address. She providedinformation regarding high acuity transport teams and added that the ERdepartment is looking at opportunities to access patient focused funding.

It was noted that the MSP is to be completed by January 2011, the ICUrenovations are on target for completion in January 2011 and that winter surgebeds are planned for Royal Inland Hospital from November 2010 to March 2011.Ms. Konnert detailed capital challenges specifically advising that they includereplacing current asset base for facilities and equipment requires significantinvestment, replenishment of current facilities and that projects greater than $2million are provincially prioritized and approved through the Capital PlanningSecretariat before being placed in the Health Authority's approved capital plan.

Ms. Konnert advised the Board of Directors of the next steps as follows:

• Confirm Ministry funding; and• Allocate Interior Health equity to help address the capital funding

challenge

3. UNFINISHED BUSINESS

(a) Interior Health AuthorityMs. Jackie-Ellen Watson. Director of PlanninQ, Capital Planning and ProiectsRe: Royal Inland Hospital Masterplan

Moved by Director WallaceSeconded by Director Fennell

That a letter of thanks be forwarded to Ms. Jackie-Ellen Watson for herpresentation to the Board of Directors.

CARRIED Unanimously

(b) Interior Health AuthorityMs. Dianne Kostachuk. CMA. Director, Business SupportThompson Cariboo Shuswap Health Services AreaRe: Minor Equipment


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That a letter of thanks be forwarded to Ms. Dianne Kostachuk for herpresentation to the Board of Directors.

CARRIED Unanimouslv

(c) Interior Health AuthorityMs. Joanne Konnert, Vice President. Tertiary ServicesRe: Royal Inland Hospital Update


That a letter of thanks be forwarded to Ms. Joanne Konnert for herpresentation to the Board of Directors.

CARRIED Unanimouslv

4. BYLAWS

(a) 2011 Provisional BudQet - Bylaw No. 87

Report from Director of Finance dated November 17, 2010.

The Director of Finance provided a powerpoint presentation on the ThompsonRegional Hospital District Provisional Budget. He advised that total expendituresfor 2011 have been budgeted lower than as in 2010 and noted that included inthe 2011 expenditures is full funding for the Intensive Care Unit at Royal InlandHospital. He stated that the 2011 expenditures include additional long termfinancing projects, specifically $900,000 for the first year payment of the MedicalDevice Reprocessing Unit and the second floor redevelopment at Royal InlandHospital.

The Director of Finance advised that emergency funds total $848,860. He statedthat the 2011 tax rate proposed on a combined basis with the Thompson-NicolaRegional Hospital District is $.2182 of residential assessment, which is anincrease of approximately 2%. He noted that a household property tax of $.2182cents per thousand of assessed value represents $21.82 on a home levied at$100,000.

Discussion ensued on the Medical Device Reprocessing Unit and the RoyalInland Hospital Master Plan.


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Moved by Director RantaSeconded by Director Elliott

That Thompson Regional Hospital District Provisional Budget Bylaw No. 87,2011 be read a first time by title only.

CARRIED Unanimously

Moved by Director ElliottSeconded by Director Murray

That the Thompson Regional Hospital District Provisional Budget BylawNo. 87, 2011 be read for the second time by title only and carried through tothird reading.

CARRIED Unanimouslv

Moved by Director PennellSeconded by Director Fennell

That Thompson Regional Hospital District Provisional Budget Bylaw No. 87,2011 be reconsidered and adopted.

CARRIED Unanimously

(b) Minor Equipment - Capital Bylaw No. 88

Report from Director of Finance dated November 17, 2010.

Moved by Director RantaSeconded by Director Dosch

That Thompson Regional Hospital District Capital Bylaw No. 88, 2011 beread a first time by title only.

CARRIED Unanimouslv

Moved by Director AndersonSeconded by Director Taylor

That Thompson Regional Hospital District Capital Bylaw No. 88, 2011 beread for the second time by title only and carried through to three readings.

CARRIED Unanimously


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Moved by Director CruzelleMyramSeconded by Director Fennell

That Thompson Regional Hospital District Capital Bylaw No. 88, 2011 bereconsidered and adopted.

CARRIED Unanimouslv

(c) Temporary BorrowinQResolution No.15-10

Report from Director of Finance dated November 17,2010.

Moved by Director ElliottSeconded by Director Wallace

That Thompson Regional Hospital District Temporary BorrowingResolution No. 15-10 in the amount of $ 1,000,000 be approved.

CARRIED Unanimouslv

5. REPORTS

None.

6. CORRESPONDENCE

None.

7. NEW BUSINESS

(a) Relocation of Ultrasound Equipment from Nicola Vallev Health Centre

Moved by Director GrahamSeconded by Director Murray

That a letter be forwarded to the Interior Health Authority requesting thatthe ultrasound equipment that has been relocated from the Nicola ValleyHealth Centre to the Royal Inland Hospital be reinstalled and that staffingrequired to operate the equipment be addressed.

CARRIED Unanimouslv

(b) Letter of ConQratulationsto Mr. Frank Quinn

Moved by Director HarkerSeconded by Director Elliott


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That a letter be forwarded to Mr. Frank Quinn congratulating him on hisappointment to the Interior Health Authority Board of Directors.

CARRIED Unanimouslv

8. ADJOURNMENT

Moved by Director HarwoodSeconded by Director Anderson

That the meeting adjourn at 12:01 p.m.

CARRIED Unanimouslv

Certified Correct:

Clerk Chair

Page 8 of 8

Thompson Regional Hospital District Minutes of December 2, 2010.

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FINANCE DEPARTMENT

BOARD REPORT

TO:

FROM:

SUBJECT:


Director of Finance

TRHD Remuneration Bylaw No. 91

DATE: March 15, 2011

RECOMMENDA TION(S):

1. That Remuneration Bylaw No. 91, 2011 be read a first and second time by title

only.

That the Board of Directors provide direction (if any) on other desired changes.

2. That Remuneration Bylaw No. 91, 2011 as amended be read a third time by title

only.

3. That Remuneration bylaw No. 91, 2011 be reconsidered and adopted.

~I \S. GILL, BBA, C.A. ,Director of Finance

BACKGROUND:


CAD

The remuneration bylaw is reviewed annually to provide for adjustments as noted within the

bylaw and reviewed for consistency with changes made to the remuneration bylaw for the

Thompson-Nicola Regional District.

DISCUSSION:

The existing Remuneration Bylaw No. 83, 2010 was adopted in March 2010. Attached hereto is

a draft of Bylaw No. 91,2011 for consideration by the Board of Directors. Changes to the bylaw

are identified with bold print. The changes are as follows:

Thompson Regional Hospital District Remuneration Bylaw No. 91, 2011

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March 15.2011Subject: TRHD Remuneration Bylaw No. 91

Page 2 of 2

1. Adjustment of annual claim indemnity by Consumer Price Index for the

previous year, 2010 Amount = $3676,2011 Amount = $3765. Consumer Price

index adjustment is in the amount of 2.4%.

2. Adjustment of Schedule "A" rates to be consistent with rates within the

Thompson-Nicola Regional District remuneration bylaw.

Attachment(s)

• Draft bylaw No. 91, 2011


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BYLAW No. 91

A BYLAW TO AUTHORIZE THE REMUNERATION Of THE CHAIR, ACTING CHAIR,DIRECTORS AND ALTERNATE DIRECTORS OF THE THOMPSON REGIONAL HOSPITAL

DISTRICT

WHEREAS under the provisions of the Hospital District Act the Board of Directors may, bybylaw, provide for remuneration of the Chair, Acting Chair, Directors and Alternate Directors,and any officer of the Board of Directors;

NOW THEREFORE the Board of Directors of the Thompson Regional Hospital District, in openmeeting assembled, enacts as follows:

1. CITATION

This bylaw may be cited as the "Board of Directors Remuneration Bylaw No. 91,2011".

2. CHAIR

2.1 The Chair shall be paid an annual indemnityof $3,765.00.

2.2 In addition to the annual indemnity authorized in Clause 2.1, the Chair is entitledto receive:

(a) the sum of One Hundred and Eighty Dollars ($180.00) for chairing ameeting of the Board of Directors;

(b) remuneration under Clause 4.2 of this bylaw;(c) remuneration under Clause 4.3 of this bylaw;(d) remuneration under clause 4.4 ofthis bylaw;(e) remuneration under Clause 4.5 of this bylaw;(f) remuneration under Clause 7.1 ofthis bylaw; and(g) expenses under Clause 6.1 ofthis bylaw.

The Chair is not entitled to remuneration under Clause 4.1 Vlhere remunerationis claimed under Clause 2.2(a).

The remuneration paid to the Chair pursuant to Clause 2.1 shall be increasedannually by the same percentage as the Consumer Price Index published byStatistics Canada for the Province of British Columbia for the twelve monthperiod January to December of the previous year.


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Thompson Regional Hospital DistrictRemuneration Bylaw No.91, 2011

3 ACTING CHAIR

Page 2

3.1 The Acting Chair, in the absence of the Chair, shall be entitled to theremuneration to be paid to the Chair pursuant to Paragraph 2.2 (a), (b), (c), (d),(e), (f) and (g).

3.2 The Acting Chair is not entitled to remuneration under Clause 4.1 Wlereremuneration is claimed under Clause 3.1.

4 DIRECTORS

4.1 Directors shall be paid the sum of One Hundred and Forty Dollars ($140.00) forattending meetings of the Board of Directors.

4.2 In addition to the remuneration othe~se provided in this bylaw, Directors areentitled to receive the sum of Twenty Dollars ($20.00) for every hour or portionthereof by which any Board of Directors meeting exceeds Five (5) hours in lengthin anyone day.

4.3 Directors are entitled to receive the sum of One Hundred and Forty Dollars($140.00) per day when attending Conventions or Seminars as approved by theBoard of Directors.

4.4 Directors are entitled to receive the sum of Seventy Dollars ($70.00) whenattending a Facilities Planning & Capital Development Committee meeting orequivalent if they are duly designated by the Chair or Board of Directors toattend.

4.5 Remuneration for time spent in transit shall be paid in accordance with thefollowing schedule:

Distance Traveled

o - 29 kilometres30 - 59 kilo metres60 - 89 kilometres90 - 119 kilometres

120 - 149 kilometres150 - 179 kilometres180 - 209 kilometres210 - 239 kilometres240 - 269 kilometres270 - 299 kilometres300 - 329 kilometres330 - 359 kilometres360 - 389 kilometres390 - 419 kilometres420 - 449 kilometres450 - 479 kilometres

Amount

$ 0.00$ 10.00$ 20.00$ 30.00$ 40.00$ 50.00$ 60.00$ 70.00$ 80.00$ 90.00$100.00$110.00$120.00$130.00$140.00$150.00


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Thompson Regional Hospital DistrictRemuneration Bylaw No.91 , 2011

480 - 509 kilometres510 - 539 kilometres540 - 569 kilometres570 plus kilometres

5. ALTERNATE DIRECTORS

$160.00$170.00$180.00$$190.00 maximum

Page 3

5.1 Alternate Directors, in the absence of a Director, are entitled to receive thefollowing when attending a Board of Directors Meeting and other authorizedBoard of Directors Meetings:

(a) One Hundred and Forty Dollars ($140.00) except those meetings heldduring the same morning or afternoon as a meeting of the Board ofDirectors of the Thompson-Nicola Regional District;

(b) Further remuneration as provided under the provisions of Clause 4.5 ofthis bylaw; and

(c) Expenses as provided under Clause 6.1 ofthis bylaw.

5.2 Alternate Directors are entitled to receive remuneration under Clause 4.5 of thisbylaw and the "Meals" provisions of Schedule "A" of this bylaw when attendingup to three (3) Board of Directors meetings per year when attending meetingsalong with the Director.

5.3 Alternate Directors are entitled to receive the sum of One Hundred and FortyDollars ($140.00) per day and remuneration under Clause 4.5 and expensesunder Clause 6.1 of this bylaw when attending the Board of Directors OrientationSeminars.

6. EXPENSES

6.1 Directors are entitled to receive reimbursement for expenses, at the levelsoutlined in Schedule "A" ofthis bylaw, for attending meetings provided underClauses 4.1 and 4.3.

6.2 Reimbursement of Per Diem expenses shall be made only where the claimantis required to stay overnight in order to attend a meeting, workshop,convention, seminar or other function.

6.3 Where reimbursement is made for Per Diem expenses, there shall be noreimbursement under the "Meal" provisions of Schedule "A" to this bylawincurred on the same day.

6.4 The Chair and Acting Chair are entitled to receive reimbursement for expensesat the levels outlined in Schedule "A" of this bylaw, for attendance at meetingsrelative to the discharge of duties of offices as Chair or Acting Chair.


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Thompson Regional Hospital DistrictRemuneration Bylaw No.91, 2011 Page 4

6.5 The Chair and Acting Chair are entitled to remuneration for time spent in transitat the rates outlined in Clause 4.5 of this bylaw for attendance at meetingsrelative to the discharge of duties as Chair or Acting Chair subject to an annualmaximum of $1,500.00.

7. MISCELLANEOUS

7.1 The Board of Directors may authorize, by specific resolution, the payment to oneor more Directors for attendance at meetings for functions not cited within thisbylaw, the payment of one or more of the following;

(a) One Hundred Forty Dollars ($140.00), and(b) Reimbursement for expenses.

7.2 One-third of all remuneration paid to the Chair, Acting Chair, Directors andAlternate Directors shall be paid as an allowance for expenses incidental to thedischarge of duties of office.

7.3 This bylaw shall come into force and take effect on January 1, 2010, with theexception of the mileage rate set out in Section 3 of Schedule "A" which will takeeffect on the date of adoption of this bylaw.

7.4 "Board of Directors Remuneration Bylaw No. "83,2010" is hereby repealed.

READ a FIRST time this day of _

READ a SECOND time this day of __ . _

READ a THIRD time this day of .__

RECONSIDERED and ADOPTED this day of _

Clerk Chair


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Thompson Regional Hospital DistrictRemuneration Bylaw No.91, 2011 Page 5

SCHEDULE "A"

Per diem

1.

2.

Meals

(a)(b)(c)

BreakfastLunchSupper

Column #1

$ 12.0014.00$ 14.00 15.00$ 22.0024.00

$ 80.0085.00

Column #2*

$ 15.0016.00$ 20.0022.00$ 30,00 32.00

$ 95.00100.00

3. Travel The lesser of $.52 per kilometre or airfareActual costs for tolls (Ferry and/or Highwaytolls.)

4. Accommodation

(a)(b)(c)

Hotel RoomHotel ParkingPrivate Accommodation

Actual cost at government rate (receipt required)Actual cost (receipt required)$35.00 per night (no receipt required)

5. Airport Transfers Actual cost (receipt required)

* The Rates in Column #2 under Sections 1 and 2 above shall apply only whenattending meetings, conventions and seminars in locations where the normal cost ofmeals are substantially higher than that experienced in the Thompson-Nicola region;such locations being but not limited to the Greater Vancouver Regional District, theCapital Regional District (Victoria), the Resort Municipality of Whistler and out-of-province.


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FINANCE DEPARTMENT

BOARD REPORT

TO:

FROM:

SUBJECT:


Director of Finance

2011 Annual Budget Bylaw No. 89


RECOMMENDA TION{S):

1. That the Thompson Regional Hospital District 2011 Annual Budget Bylaw No. 89 be

read a first time by title only.

2. That any amendments to the Thompson Regional Hospital District 2011 Annual

Budget, if any, be made after the first reading and direction be provided in this regard.

3. That the Thompson Regional Hospital District 2011 Annual Budget Bylaw No. 89 as

amended be read for the second time by title only and carried through three readings.

4. Thatthe Thompson Regional Hospital District 2011 Annual Budget Bylaw No. 89 as

amended be reconsidered and adopted.

s. Gill, BBA,h---------Director of Finance


CAD

BACKGROUND:

Accompanying is the proposed 2011 Annual Budget for the Thompson Regional Hospital

District, as required by the Hospital District Act Section 23.

DISCUSSION:

Pursuant to Section 23(5) of the Hospital District Act, "on or before March 31 in each year, the

Board must adopt the annual budget of the Board, and the Board must at once transmit to the

Minister a copy of the bylaw and budget certified by the secretary."

Thompson Regional Hospital District 2011 Annual Budget Bylaw No. 89

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March 14, 2011

Subject: 2011 TRHD Annual Budget Bylaw No. 89

Page 2 of 2

Accordingly, attached is Bylaw No. 89, the Annual Budget for the Thompson Regional Hospital

District for 2011.

The 2011 tax requisition of the Thompson Regional Hospital District of $ 5,373,759 is up from

that of 2010 by $ 210,437. The 2011 tax requisition for the Thompson-Nicola Regional Hospital

District is $ 106,001. The combined tax requisition for both the old and new Regional Hospital

Districts has decreased to .2114/$1,000 of residential assessment; 2010 rate was

$.2140/$1,000 residential assessment. This tax rate is inclusive of a 2% tax increase in the

combined hospital districts as included in the provisional budget and approved in 2010 for the

period of 2010 to 2014. The 2% rate increase equates to approximately $ 1.15 for the average

assessed house. The 2011 average residential home, assessed at $ 275,855, will pay $ 58.31

in hospital taxes in 2011 for both hospital districts as compared to an amount of $ 57.25 paid in

2010, average assessed house in 2010 was $ 267,521.

The 2011 tax combined requisition of $ 5,479,760 is inclusive of $ 102,913 taxation attributed to

new growth that occurred in 2010.

TNRHDTRHD

Total

Residential $/$1,000

2011$ 106,001

$ 5.373.759

$ 5,479,760

$.21

2010$ 105,353

$5.163.322

$5,268,675

$.21

2009($ 436,747)

$5.526.602

$5,089,855

$.22

CONCLUSION:

The combined tax requisition for the two hospital districts is $ 5,479,760 and this is inclusive of a

2% tax increase, which equates to approximately $ 1.15 for the average house and is inclusive

of $ 102,913 of new growth taxation. The combined tax rate for 2011 is $ .2114 as compared to

$ .2140 for 2010 per thousand of residential assessment.

Attachment(s)

• 2011 Annual Budget Bylaw No. 89


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BYLAW NO. 89

A BYLAW TO ADOPT THE ANNUAL BUDGET FOR THE YEAR 2011

The Board of Directors of the Thompson Regional Hospital District, in open meetingassembled, enacts as follows:

1. CITATION

1.1 This bylaw may be cited as the "Thompson Regional Hospital District 2010Annual Budget Bylaw No. 89, 2011".

2. MISCELLANEOUS

2.1 Schedule "A" and Schedule "B", attached hereto and made part ofthis bylaw, isthe Annual Budget for the Thompson Regional Hospital District for the yearending December 31,2011.

READ a FIRST time this day of _

READ a SECOND time this day of _

READ a THIRD time this day of _

RECONSIDERED and ADOPTED this dayof _

Clerk Chair


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THOMPSON REGIONAL HOSPITAL DISTRICT2011 Annual BudgetBylaw 89 Schedule A

REVENUE

2010AnnualBudget

2011ProvisionalBudget

2011AnnualBudget

Tax Requisition Total

Grants in Lieu of Taxes

Miscellaneous Income - Borrowing(09)

Other Revenue: - Interest Income

Surplus from Previous Year

TOTAL REVENUE

EXPENDITURE

$5,163,322 $5,260,470 $5,373,759

0 0 0

0 0 0

0 0 0

9,330,394 7,335,779 8,948,922

$14,493,716 $12,596,249 $14,322,681

General Operations:Debenture Debt - Principal

Debenture Debt - InterestEquipment/Capital ProjectsShort Term Debt: Principal & InterestTemporary Borrowing InterestTotal Expenditures General Operations

608,812360,348

13,314,556

o100,000

14,383,716

608,812360,348

11,417,089

o100,000

12,486,249

608,812360,348

13,143,521o

100,00014,212,681

Section 20(2):

ExpendituresReserveTotal Section 20(2)

Surplus- Current Year

TOTAL EXPENDITURE

60,000 60,000 60,000

50,000 50,000 50,000

110,000 110,000 110,000

0 0 0

$14,493,716 $12,596,249 $14,322,681


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THOMPSON REGIONAL HOSPITAL DISTRICT2011 Annual Budget

Section 20(2) Reserve Fund for Future ExpendituresBylaw 89 Schedule B

SOURCE OF FUNDS:

Balance at beginning of year

Transfer trom Operating Fund

Total funds available

APPLICATION OF FUNDS:

2010AnnualBudget

$848,860

50,000

$898,860

2011ProvisionalBudget

$898,860

50,000

$948,860

2011AnnualBudget

$898,860

50,000

$948,860

Grants to FacilitiesTreasury Board Minor ProjectsEmergency items, works or services

Total application of funds

BALANCE AT END OF YEAR:

$0 $0 $0

0 0 0

898,860 948,860 948,860

$898,860 $948,860 $948,860

$0 $0 $0


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FINANCE DEPARTMENT

BOARD REPORT

TO:

FROM:


Director of Finance


SUBJECT: Major Equipment and Renovations - Capital Bylaw No. 90

RECOMMENDA TION(S}:

1. That the Thompson Regional Hospital District Capital Bylaw No. 90 be read a firsttime by title only and carried through to three readings.

2. That the Thompson Regional Hospital District Capital Bylaw No. 90 be reconsideredand adopted.

~S. GILL, BBA, cADirector of Finance


CAD

BACKGROUND:

Each year the Interior Health Authority has presented a list of major equipment and renovation

projects that they wish the Thompson Regional Hospital District to cost share at 40%. Attached

to this memo is their letter requesting such cost sharing.

DISCUSSION:

The list of major equipment and renovation projects is in the amount of $ 3,334,000 and the40% share requested for cost sharing is $ 1,333,600. The list of projects includes one

renovation project, 7 pieces of equipment and 2 projects in upgrading technology.

The amount requested $ 1,333,600 for cost sharing was anticipated and included in the 2011

budget. Accordingly if the board chooses to cost share it can be accommodated within the 2011

budget and tax rate.

Thompson Regional Hospital District Major Equipment and of 68

March 11,2011Subject: Major Equipment and Renovations - Capital Bylaw No. 90

CONCLUSION:

Page 2 of 2

The major equipment list and renovations presented is consistent with past practice and is

within the scope of the 2011 budget.

Attachment's)

• Minor and Major Equipment and Renovations - Capital Bylaw No. 90



CAPITAL BYLAW NO. 90

WHEREAS the Board of Directors of the Thompson Regional Hospital District proposes toexpend money for the capital expenditures described in Schedule "At attached hereto andforming an integral part of this bylaw;

AND WHEREAS those capital expenditures have received the approval required under Section23 of the Hospital District Act;

NOW THEREFORE the Board of Directors of the Thompson Regional Hospital District enactsthe following capital expenditure bylaw as required by Section 32 of the Hospital District Act;

1. This bylaw may be cited for all intents and purposes as the "Thompson RegionalHospital District Capital Bylaw No. 90, 2011"

2. The Board hereby authorizes and approves expenditure of money necessary tocomplete the capital expenditures as described in Schedule "A" attached hereto totalingone million three hundred thirty three thousand six hundred dollars ($1 ,333,600).

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

4. The Board hereby delegates the necessary authority to the Treasurer to settle the termsand conditions of the expenditure.

READ A FIRST TIME this day of _

READ A SECOND TIME this day of _

READ A THIRD TIME this dayof _

RECONSIDERED AND ADOPTED this day of _

Chair Clerk



CAPITAL BYLAW NO. 90

Facility Equipment! Estimated 40% Regional 60% PreviouslyProject Total Cost Hospital MOHS/IH Approved

Description District FundinaFundina

ConstructionProject

Royal Inland Elevators #5,6 $ 450,000 $ 180,000 $ 270,000Hospital and 7 upgrades

Equipment over$100,000

Royal Inland Multi-purpose 1,150,000 460,000 690,000Hospital SystemRoyal Inland Nurse Call 750,000 300,000 450,000HospitalRoyal Inland Nucleic 365,000 146,000 219,000Hospital Amplification

Assay AnalyzerRoyal Inland Microbiology 160,000 64,000 96,000Hospital AnalyzerRoyal Inland Vitrectomy Unit 115,000 46,000 69,000HospitalOverlander Dishwasher 104,000 41,600 62,400Extended Care

IMITRoyal Inland Cardiology PACS 215,000 86,000 129,000Hospital Phase IIKamloops Mental Telephone 25,000 10,000 15,000Health System Upgrade

TOTAL $ 3,334,000 $ 1,333,600 2,000,400


Interior

Interior Health Authority#220 -1815 Kirschner Road, Kelowna, BC V1Y 4N7Web: www.interiorhealth.ca

Donna Lommer, CGAVP Residential Services & Chief Financial Officer

Telephone: (250) 862-4025 Fax: (250) 862-4201E-Mail: [email protected]

Mr. Greg Toma, CAOThompson Regional Hospital District300-465 Victoria StreetKamloops, B.C.V2C 2A9

December 21, 2010

Dear Mr. Toma:

Re: CAPITAL FUNDING REQUEST FOR THE 2011/12 FISCAL YEAR

The 2011/12 fiscal year continues to be a challenge for Interior Health (IH) with the limitations onavailable capital funding, which requires us to focus on directing capital investments to address safetyissues, replenish basic infrastructure, and replace urgent equipment.

The Ministry of Health Services (MoHS) outlined a vision of system sustainability with the goal to bend therising cost curve of health care by concentrating on prevention and integrated community and pre-hospitalcare in order to decrease the demand in acute care. With the strong focus on prevention and communityinvestments, the current provincial plans do not include new acute care beds for IH in the near future.

Last week we sent you a letter outlining lH's planned projects over $2 million. As stated in the letter eachindividual project gre.ater than $2 million requires approval from the MoHS, as well as the provincialCapital Planning Secretariat prior to including the project in IH's Capital Budget. Consequently, this year'sfunding request letter only relates to capital initiatives costing less than $2 million individually.

For the 2011/12 fiscal year we are requ.esting funding for the following projects and equipment:

1. Construction Project

Elevators #5, #6 and #7 Upgrades at Royal Inland Hospital, KamloopsElevators #5 and #6 are Montgomery elevators which were installed in 1980 and serve patienttransport needs in the main building. Elevator #7 is the only elevator that serves the 7 floors of theAlumnae Tower and was installed in 1964. All the elevators are unreliable and have not undergoneupgrades since installation. They do not meet current safety, emergency service or handicappedaccessibility codes. The modernization of these units will improve response times and reliability, willmeet current codes and standards, and provide significant power savings.


2. Equipment over $100,000

a. Multi-purpose System for Royal Inland Hospital, KamloopsThis is a piece of radiology equipment used to manage allgastrointestinal studies, interventional radiology and angiographicprocedures. This system utilizes a multidirectional interactive digitalC-arm system, providing a variety of configurations which enableradiographic procedures that cannot be completed on any otherequipment. This is replacing a 1998 machine.

b. Nurse Call for Royal Inland Hospital, KamloopsThe current nurse call system .atRoyal Inland Hospital is obsolete,failing and parts are difficult to obtain. If this system is notfunctioning properly it could lead to a potentially dangeroussituation for patients and therefore replacement of this system hasbeen identified as a top priority. This system will replace a 1984Rauland R3000 in parts of the South Tower, a 1999 RaulandR3000 in the North Tower and a 1986 R4K in the NorthWest Wing.

c. Nucleic Amplification Assay Analyzer for Royal InlandHospital, KamloopsThis system allows you to consolidate your nucleic acid extractionson one bench-top platform. This fully automated universalextraction technology isolates and purifies both DNA and RNA fromdiverse clinical samples using a single set of reagents, reducinginventory and maximizing lab efficiency. This unit provides qualityisolations using proprietary extraction technology, which will provideincreased productivity and efficiency using an automated platformfor increased walk-away time. It also enhances versatilitysupporting a variety of sample types and molecular applications.This unit is replacing three analyzers currently used in Clinical Lab.

d. Microbiology Analyzer for Royal Inland Hospital, KamloopsThis system has everything healthcare laboratories need for fast,accurate microbial identification, and antibiotic susceptibility testing.This innovative microbial identification system includes anexpanded identification database, the most automated platformavailable, rapid results, improved confidence, with minimal trainingtime. It is a next-generation platform which provides greaterautomation while increasing safety and eliminating repetitivemanual operations. The rapid response time means results can beprovided more quickly than with manual microbial identificationtechniques. This system is replacing a 2004 model in the ClinicalLab.

e. Vitrectomy Unit for Royal Inland Hospital, KamloopsVitrectomy systems provide high speed cutting, intraocular pressurecontrol, illumination, laser and other features to allow for moresurgeon control during retinal surgery. This unit replaces a 2000model.

2Thompson Regional Hospital District Major Equipment and of 68

f. Dishwasher for Overlander Extended Care, KamloopsThis dishwasher is a fully automatic, flight-type machine consistingof a load section with a power recirculating prewash. Other sectionswithin the system are an 8 foot power wash, power rinse, dualrinse, final rinse and unloading with blower dryer. Included with themachine are.flexible plastic strip curtains to control over spray. Thissystem is replacing a 1988 machine.

3. IMIT

a. Cardiology PACS Phase II at Royal Inland Hospital, KamloopsThe second phase of this project connects the Royal Inland Hospital echocardiography machines tothe installed McKesson Cardiology Picture Archiving Communication System (CPACS). Anechocardiography machine is a specific type of ultrasound device used to image the heart. Inaddition to producing images, these machines provide a wide array of measurements of heartfunction. To properly process these measurements, a specific type of PACS called CardiologyPACS or CPACS is required. Early in 2009, Interior Health invested in a CPACS solution from ourstandard PACS Vendor McKesson. The system provides a complete work'flow solution resulting inthe following benefits: automated and on line reporting, remote coverage opportunities,comprehensive archiving and data backup, web based review anywhere in Interior Health, andconnection to the provincial image sharing network if the patient is traveling to Vancouver fortreatment. The Cathlab at Kelowna General Hospital has also been connected to CPACS whichallows enhanced handling of data from the Cardiac Catheterization Lab, which in turn supportsenhanced Cardiac Services within Interior Health. With this automation, clinicians completing theexams are able to focus on the patient, rather than on administrative tasks such as manuallycreating backup DVD's, and studies are more easily shared among physicians.

b. Telephone System Upgrade at Kamloops Mental Health, KamloopsThe present telephone system at this site is a Norstar - 616. This hardware is obsolete and parts toexpand and upgrade this system are not readily available. This project will replace the existingsystem with a much needed up-to-date telephone system.

We have included as Appendix 1 a financial summary of our funding request, which totals $1,333,600.

We would appreciate it if you could submit our request for funding these items to iyour Board for approval.. Please advise us as to the date of the meeting this will be discussed at and if you would like to have IHrepresentatives at the meeting to answer questions the Directors may have on these items. Uponapproval, please send Birgit Koster, Manager, Capital Accounting copies of the relevant bylaws for ourrecords.

As our requests to you are directly linked to the availability of funding from third parties over the timing ofwhich we have little control, the possibility exists that if any additional funds become available we mayapproach your Regional Hospital District (RHO) to contribute towards further items at that time. Werecognize that later requests present challenges to your capital budget process and thank you for yourunderstanding if such requests are presented for your consideration.

Due to the limited availability of capital funds, IH has changed its internal processes this year to ensurethat the highest capital needs are addressed. This was accomplished by vetting all capital submissionsfrom various departments across IH through their respective advisory groupis, such as Laboratory,Diagnostic Imaging, Plant Maintenance, etc. The advisory groups prioritized th~ requests, which werethen ranked by the Capital Planning Steering Committee into two comprehen$ive lists (one for facilityprojects and one for major equipment) and matched to the available funding envelope. The initiativeslisted in Appendix 1, for which we ask you to share in the funding, reflect the recommendations from theCapital Planning Steering Committee, which were approved by our Senior Executive Team. They are stillsubject to IH Board approval, which is expected in the beginning of the new year.

In addition to these items we would like to present you with a few other infrastructure projects, which arehigh on our priority, but did not fit within the existing funding envelope. Although not part of our formal


request, you may wish to consider funding them fully in order to allow us to proceed with them. They are,for your RHD area:

1. Replacement of Flooring for Royal Inland Hospital, Kamloops, Budget: $2,000,000This projects scope will be to abate and replace asbestos backed flooring at the RoyalInland Hospital in Kamloops. The current flooring is at least 30 yeqrs old, deteriorating andhas been identified by Workplace BC as a hazard requiring intensive management. There isa significant risk of fibre release and associated exposure to the buil~ing occupants.

2. New Flooring for Overlander Extended Care, Kamloops, Budget: $500,000This projects scope is to abate and replace asbestos backed floorirlg at this residential caresite. The current flooring is at least 30 years old, deteriorating and has been identified byWorkplace BC as a hazard requiring intensive management. Thete is a significant risk offibre release and associated exposure for staff and residents.

3. Emergency Generator Replacement for Lillooet Hospital, Lilloo~t, Budget: $175,000The current emergency generator at this acute care facility was installed in the late 1980'sand is beyond its useful life. Due to the number of power outages this site experiences thisgenerator is in desperate need of replacement to ensure uninterruptJd power at this hospital.

As you are aware Royal Inland Hospital is undergoing a master planning· exercise. Once complete it willdeliver the strategic infrastructure plan for the site for the next 15 to 20 years, including parking andaccess issues. This will guide our infrastructure requests over the foreseeaple future. The plan isexpected spring 2011. IH is committed to providing you next year with a comprehensive list of all majorequipment and construction project requests between $100,000 and $2 million, not only those that havebeen approved.

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

Sincerely,

Donna Lommer, CGAVP Residential Services & CFO

/at

Encl. Appendix 1 Summary of Regional Health District Funding Request

cc: Sukhbinder Gill, Director of Finance/Deputy Administrator, TRHDMargaret Brown, Health Service Administrator, Royal Inland HospitalJoanne Konnert, VP Tertiary ServicesDianne Kostachuk, Director, Business Support - Community IntegrationNicola Huppertz, Corporate Director, Capital Planning & ProjectsBirgit Koster, Manager, Capital Accounting


, --

Interior HealthThompson

Summary of Regional Hospital District Funding Requ~st2011/12

Appendix 1

Name of Facility Location Equipment/Project Description Total Budget RHD Share

Construction Proiect

Royal Inland Hospital Kamloops Elevators #5,6 and 7 Upgrades $ 450,000 $ 180,000

Eauipment over $100.000

1,150,000 IRoyal Inland Hospital Kamloops Multi-purpose System 460,000I

Royal Inland Hospital Kamloops Nurse Call 750,000 I 300,000

Royal Inland Hospital Kamloops Nucleic Amplification Assay Analyzer 365,000 146,000

Royal Inland Hospital Kamloops Microbiology Analyzer 160,000 64,000

Royal Inland Hospital Kamloops Vitrectomy Unit 115,000 46,000

Overlander Extended Care Kamloops Dishwasher 104,000 41,600

IMIT

Royal Inland Hospital Kamloops Cardiology PACS Phase II 215,000 ' 86,000

Kamloops Mental Health Kamloops Telephone System Upgrade 25,000 10,000

TOTAL $ 3,334,000 : $ 1,333,600

2011/12FundingReauest

$ 180,000

460,000

300,000

146,000

64,000

46,000

41,600

86,000

10,000

$ 1,333,600


FINANCE DEPARTMENT

BOARD REPORT

TO:

FROM:


Director of Finance


SUBJECT: 2010 Thompson Regional Hospital District Financial Statements

RECOMMENDA TION(S):

That the 2010 Financial Statements of the Thompson Regional Hospital District be

approved.

S. GILL, BBA, .ADirector of Finance


CAD

BACKGROUND:

The Thompson Regional Hospital District (TRHD) has a fiscal year of January 1 to December

31 and the audit of the TRHD accounting records is done in concert with the audit of the TNRD.

DISCUSSION:

The 2010 Financial Statements for the Thompson Regional Hospital District as audited by

KPMG, have been included in the agenda package.

You will note that as at December 31, 2010, there was an operating surplus of $ 8,948,922. The

majority of this surplus relates to projects already approved but yet to be completed and the

TRHD invoiced.

The 2010 Financial Statements are provided for the information of Directors, as nothing is

formally required of the Board of Directors in this regard.

Thompson Regional Hospital District Financial Statements - 2010

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March 14,2011

Subject: TRHD Financial Statements - 2010

AttachmentCs)

• 2010 Thompson Regional Hospital District Financial Statements

Page 2 of 2


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FINAL PENDING BOARD APPROVALConsolidated Financial Statements of

THOMPSON REGIONALHOSPITAL DISTRICTFINAL PENDING BOARD APPROVALYear ended December 31, 2010


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Thompson Regional Hospital District

Index to Consolidated Financial StatementsFINAL PENDING BOARD APPROVAL

Year ended December 31, 2010

Auditors' Report Page 1

Consolidated Financial StatementsConsolidated Statement of Financial Position Page 2 Consolidated Statement of Financial Activity and Financial Equity Page 3 Consolidated Statement of Capital Equity Page 4

Notes to Consolidated Financial Statements Page 5

Auditors' Report on Supplementary Information Page 10

Schedules:Capital Fund - Statement of Financial Position Page 11Capital Fund - Statement of Equity in Capital Assets Page 12Operating Fund - Statement of Financial Position Page 13Operating Fund - Statement of Financial Activities Page 14Operating Fund - Statement of Reserve for Future Expenditures Page 15


of 68

AUDITORS' REPORT

1Thompson Regional Hospital District Financial Statements - 2010

of 68


Consolidated Statement of Financial Position

FINAL PENDING BOARD APPROVALDecember 31, 2010, with comparative figures for 2009

2010 2009

Assets

Cash $ 494,23~ $ 133,408Investments 9,401,249 10,091,672Debt Reserve Fund 504,393 501 ,433Grants to Health Region 34,052,329 29,473,074

$ 44,452,205 $ 40,199,587

Liabilities

Accounts payable and accrued liabilities $ 47,701 $ 45,826Debt Reserve Fund 504,393 501 ,433Debenture debt (note 4) 3,878,228 4,625,989

4,430,322 5,173,248

Reserves, Surplus and Equity

Capital reserves (note 5) 898,860 848,860Unrestricted surplus 8,948,922 9,330,394

Total financial equity 9,847,782 10,179,254Total capital equity 30,174,101 24,847,085

40,021,883 35,026,339

$ 44,452,205 $ 40,199,587

See accompanying notes to consolidated financial statements.Commitments and contingencies (note 6)

Approved by:


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Consolidated Statement of Financial Activity and Financial EquityFINAL PENDING BOARD APPROVAL

Year ended December 31, 2010, with comparative figures for 2009

2010 2010 2009Budget

(unaudited)(note 3)

Revenue:Tax requisition $ 5,163,322 $ 5,163,322 $ 5,526,603Grants in lieu of taxes - 30,083 22,202Interest - 63,397 92,198Other - 21 138Actuarial adjustment on long-

term debt - 138,949 105,461

5,163,322 5,395,772 5,746,602

Expenditure:Grants to Health Region 13,314,556 4,579,255 3,435,043Interest on short term borrowing 100,000 256 1,702Section 20(2) Grants 50,000 39,940 29,247Debentures - interest 360,348 360,032 360,032Other projects 60,000 - -

13,884,904 4,979,483 3,826,024

Net Operating Activity (8,721,582) 416,289 1,920,578

Debentures - principal reduction (608,812) (747,761) (714,272)

Increase (decrease) in equity (9,330,394) (331,472) 1,206,306Financial equity, beginning of year 10,179,254 10,179,254 8,972,948

Financial equity, end of year $ 848,860 $ 9,847,782 $ 10,179,254

See accompanying notes to consolidated financial statements.


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Consolidated Statement of Capital EquityFINAL PENDING BOARD APPROVAL


2010 2009

Balance, beginning of year $ 24,847,085 $ 20,697,769

Grants to Health Region 4,579,255 3,435,043Debenture debt principal payments 608,812 608,812Actuarial adjustment on long-term debt 138,949 105,461

Net change in capital equity 5,327,016 4,149,316

Balance, end of year $ 30,174,101 $ 24,847,085

See accompanying notes to consolidated financial statements.


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Thompson Regional Hospital DistrictNotes to Consolidated Financial Statements

FINAL PENDING BOARD APPROVALYear ended December 31, 2010

The Thompson Regional Hospital District was incorporated under the Hospital District Act, a statute ofthe Province of British Columbia. Its principal activities include providing funds to the Interior HealthAuthority (Thompson Cariboo Shuswap service area) to purchase necessary capital assets for serviceto residents of the Thompson Regional Hospital District.

1. Significant accounting policies:

(a) Basis of presentation:

The consolidated financial statements of the Thompson Regional Hospital District are preparedby management in accordance with the accounting standards prescribed by the Hospital DistrictAct of the Government of British Columbia.

These financial statements, which have not been, and were not intended to be, prepared inaccordance with Canadian generally accepted accounting principles, are solely for theinformation and use of the Board of Directors of the Thompson Regional Hospital District and theMInistry of Health of the Province of British Columbia in complying with the Hospital District Act.The financial statements are not intended to be and should not be used by anyone other than thespecified users or for any other purpose

(b) Funds of the Thompson Regional Hospital District:

The resources and operations of the Thompson Regional Hospital District are separated intoCapital and Operating Funds for accounting and financial reporting purposes. Each fund istreated as a separate entity which is identified in its statement of financial position and, whereapplicable, its statements of financial activities. Fund statements are presented assupplementary information to the consolidated financial statements.

(c) Principles of consolidation:

Consolidated financial statements include the accounts of all funds of the Thompson RegionalHospital District. Interfund balances and transactions have been eliminated.

(d) Investments:

Short-term investments are carried at cost, which approximate net realizable value.


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1. Significant accounting policies (continued):

(e) Debenture Debt:

Debenture debt is recorded net of any related sinking fund balances. Debt charges, includingprincipal and interest, are charged against current revenue in the periods in which they areaccrued.

(f) Grants to Health Region:

Grants to the Health Region are capitalized in accordance with Ministry of Health policy.

(g) Use of estimates:

The preparation of the financial statements in conformity with generally accepted accountingprinciples requires management to make estimates and assumptions based on currentconditions and laws that affect the reported amounts of assets and liabilities and disclosure ofcontingent assets and liabilities at the date of the financial statements and the reported amountsof revenue and expenses during the year. Actual results could differ from those estimates.

2. Statement of Cash Flows and Object:

A Statement of Cash Flows and Statement of Object have not been prepared as thesestatements would provide no additional useful information.

3. Budget:

The budget figures are based on the Annual Budget Bylaw adopted March 25, 2010


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4. Debenture debt:

(a) Future principal requirements on outstanding debenture debt are as follows:

2011 $ 608,8112012 608,8112013 608,8112014 608,8112015 204,208

Years subsequent 169,901

Total principal 2,809,353Actuarial adjustment 1,068,873

Total long-term debt $ 3,878,226

Maturity dates on long-term debt range from 2014 to 2017. Interest rates on long-term debtrange from 4.17% to 4.95%. The weighted average interest rate for 2010 was 4.73%. The debtinterest expense for year 2010 was $360,032 ($360,032 in 2009). All debenture debt is held bythe Municipal Finance Authority of B.C.

5. Reserve Funds:

As at December 31, 2010 the Thompson Regional Hospital District held the following reserve forfuture capital expenditures:

Balance at 2010 Transfer from Grants to Balance atDecember 31, 2009 Operating Surplus Hospitals December 31, 2010

Capital Reserve $ 848,860 $ 50,000 $ - $ 898,860


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6. Commitments and contingencies:

The Thompson Regional Hospital District issues debt instruments through the Municipal FinanceAuthority. As a condition of these borrowings, a portion of the proceeds is withheld by theMunicipal Finance Authority as a debt reserve fund. The Hospital District also executes demandnotes in connection with each debenture whereby the Hospital District may be required to loancertain amounts to the Municipal Finance Authority. These demand notes are contingent innature and are not reflected in the accounts. Details of the cash deposits and contingentdemand notes at December 31, 2010 are as follows:

2010 2009

Cash deposits $ 94,061 $ 91,102Contingent demand notes 410,332 410,332

$ 504,393 $ 501,434

7. Financial instruments:

The carrying values of cash, investments, accounts receivable, accounts payable and accruedliabilities approximate their fair value due to the relatively short periods to maturity of theseitems.

The carrying value of long-term debt approximates its fair value as the terms and conditions ofthe borrowing arrangements are comparable to current market terms and conditions for similaritems.

It is management's opinion the District is not subject to any significant interest rate, currency, orcredit risk associated with these financial instruments.


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8. Related party transactions:

The Thompson Regional Hospital District is related to the Thompson-Nicola Regional District asthe members of the Board of Directors of Thompson-Nicola Regional District form the majority ofthe members of the Board of Directors of the Thompson Regional Hospital District. As legislatedby the Hospital District Act, the officers and employees of the Thompson-Nicola Regional Districtare the corresponding officers and employees of the Thompson Regional Hospital District. Eachof the Regional District and the Hospital District are separate legal entities as defined byseparate Letters Patent and authorized by separate legislation. During the year the ThompsonRegional Hospital District received accounting and management services from the Thompson-Nicola Regional District and paid $5,000 (2009 - $5,000) for these services.

These transactions are in the normal course of operations and are measured at the exchangeamount, which is the amount of consideration established and agreed to by the related parties.


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Auditors' Report on Supplementary Information to the Board of Directors


of 68

Thompson Regional Hospital DistrictCapital Fund

Statement of Financial PositionFINAL PENDING BOARD APPROVALDecember 31, 2010, with comparative figures for 2009

2010 2009

Assets

Grants to Health Region $ 34,052,329 $ 29,473,074

$ 34,052,329 $ 29,473,074

Liabilities and Equity

Debenture debt $ 3,878,228 $ 4,625,989Capital Equity 30,174,101 24,847,085

$ 34,052,329 $ 29,473,074


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Thompson Regional Hospital DistrictCapital Fund

Statement of Equity in Capital AssetsFINAL PENDING BOARD APPROVALDecember 31, 2010, with comparative figures for 2009

2010 2009

Balance, beginning of year $ 24,847,085 $ 20,697,769

Capital expenditures (net) 5,327,016 4,149,316

Balance, end of year $ 30,174,101 $ 24,847,085


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Thompson Regional Hospital DistrictOperating Fund

Statement of Financial PositionFINAL PENDING BOARD APPROVALDecember 31, 2010, with comparative figures for 2009

2010 2009

Assets

Cash $ 494,234 $ 133,408Investments - MFA Money Market Fund 9,401,249 10,091,672Debt Reserve Fund 504,393 501,433

$ 10,399,876 $ 10,726,513

Liabilities, Reserves and Surplus

Accounts payable $ 47,701 $ 45,826Debt Reserve Fund 504,393 501,433Capital reserves 898,860 848,860Unrestricted surplus 8,948,922 9,330,394

10,399,876 10,726,513

$ 10,399,876 $ 10,726,513


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Statement of Financial ActivityFINAL PENDING BOARD APPROVAL


Budget Operations Operations 2010 2010 2009

Revenue:Tax requisition $ 5,163,322 $ 5,163,322 $ 5,526,603Interest - 63,397 92,198Grants in lieu of taxes - 30,083 22,202Miscellaneous - 21 138Surplus, beginning of year 9,330,394 9,330,394 8,174,089

Total revenue 14,493,716 14,587,217 13,815,230

Expenditure:Debentures - principal 608,812 608,812 608,812Debentures - interest 360,348 360,032 360,032Equipment/Capital projects 13,314,556 4,579,255 3,435,043Interest on temporary borrowing 100,000 256 1,702Section 20 (2) Grant expenditures 60,000 39,940 29,247Transfer to Section 20 (2) Reserve 50,000 50,000 50,000

Total expenditure 14,493,716 5,638,295 4,484,836Surplus - end of year - 8,948,922 9,330,394

Total Expenditure & Surplus $ 14,493,716 $ 14,587,217 $ 13,815,230


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Statement of Reserve for Future ExpendituresSection 20 (2)

FINAL PENDING BOARD APPROVALDecember 31, 2010, with comparative figures for 2009

Budget Operations Operations 2010 2010 2009

Balance, beginning of year $ 848,860 $ 848,860 $ 798,860

Contribution from Operating Fund 50,000 50,000 50,000898,860 898,860 848,860

Emergency items, works orservices - - -

Balance at end of year $ 898,860 $ 898,860 $ 848,860


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FINANCE DEPARTMENT

BOARD REPORT

TO:

FROM:


Director of Finance


SUBJECT: TRHD Financial Information Act Disclosures - Calendar Year 201 0

RECOMMENDA TION(S):

THAT the Thompson Regional Hospital District Statement of Financial Information for the

Year Ended December 31, 2010 be received by the Board of Directors and be made

available for public inspection thereafter.

S. GILL, BBA, C.Director of Finance


CAO

BACKGROUND:

The Financial Information Act requires certain information to be prepared annually within certain

dates of the Year end and be made available to the public along with filing this information with

the provincial government.

DISCUSSION:

Attached is the following information as required by Sections 2(2) and 2(3) of the Financial

Information Act and related regulations:

1) Schedule of debts;

2) Schedule of remuneration re: elected officials;

3) Schedule of goods and services; and

4) Schedule of guarantee and indemnity agreements.

If the Directors have questions regarding any of the listed items, please advise the Director of

Finance in advance of the Board Meeting so the appropriate research may be undertaken.

Thompson Regional Hospital District Financial Information Act Disclosures - Calendar Year 2010

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March 14,2011

Subject: TRHD Financial Information Act Disclosures - 2010

CONCLUSION:

Report as presented be adopted and made available for public inspection thereafter.

Attachment(s)

• Schedule of debts;

• Schedule of remuneration re: elected officials;

• Schedule of goods and services; and

• Schedule of guarantee and indemnity agreements

Page 2 of 2


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Statement of Financial Information

For the year ended December 31, 2010

04-Mar-11


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Thompson Regional Hospital DistrictStatement of Financial InformationTABLE OF CONTENTSFor the year ended December 31, 2010

Schedule of Debts ...

Schedule of Remuneration

Schedule of Goods and Services

Schedule of Guarantee and Indemnity Agreements

Page 1

Page 2

Page 3

Page 4


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Thompson Regional Hospital DistrictStatement of Financial InformationSCHEDULE OF DEBTSFor the year ended December 31, 2010

Issue Interest Maturity SinkingLender Number Amount Rate Date Fund

MFA 85 2,336,981 4.975% 2014 YesMFA 95 694,958 4.170% 2015 YesMFA 97 214,128 4.660% 2016 YesMFA 101 632,160 4.520% 2017 Yes

Total: 3,878,228

Note 1: The Municipal Finance Authority (MFA) maintains a sinking fund for all

debenture debt. However, monies within the sinking fund have not been

allocated to specific issues.

1Thompson Regional Hospital District Financial Information Act Disclosures - Calendar Year 2010

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Thompson Regional Hospital DistrictStatement of Financial InformationSCHEDULE OF REMUNERATIONFor the year ended December 31, 2010

Director

Total Director Remuneration: - Over $75,000

Total Director Remuneration: - $75,000 and Under

Receiver General - Employer Portion (EI & CPP)

?

Remuneration

$021,036

$21,036

Expenses

$05,644

26$5,670


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Thompson Regional Hospital DistrictStatement of Financial InformationSCHEDULE OF GOODS AND SERVICESFor the year ended December 31, 2010

Supplier

Interior Health - Capital

Total expenditures of accounts over $25,000:Total expenditures of accounts $25,000 or less:

Total expenditures for provision of goods and services:

Amount

$4,579,255

$4,579,255

11 ,385

$4,590,640


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Thompson Regional Hospital DistrictStatement of Financial InformationSCHEDULE OF GUARANTEE & INDEMNITY AGREEMENTSFor the year ended December 31, 2010

Nil

Director of

4


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FINANCE DEPARTMENT

BOARD REPORT

TO: Chair and Board of Directors DATE: March 14, 2011

FROM:

SUBJECT:

Director of Finance

Director and Committee Member Remuneration and Expense Report-2010 Thompson Regional Hospital District

RECOMMENDATION(S):

That the Thompson Regional Hospital District "Director and Committee Member

Remuneration and Expense Report" for 2010, as submitted, be approved by the Board of

Directors and be made available for public inspection thereafter.

s. Gill, BBA C.A.Director of Fi ance

BACKGROUND:

~-Approved for

Board ConsiderationCAG

Pursuant to section 814(3) of the Local Government Act find attached the Thompson Regional

Hospital District "Director and Committee Member Remuneration and Expense Report" for

2010.

DISCUSSION:

In addition to the items listed on the attached report, provided for the Directors is a life insurance

policy in the amount of $300,000 as well as weekly accident indemnity of $500. Both of these

items will apply when Directors are on Thompson Regional Hospital District business. The

insurance policy is inclusive of an age restriction whereby Directors and Alternate Directors

provided coverage be under the age of 70. Accordingly, if any Director or Alternate Director is

above this age, please advise the Director of Finance and we can purchase special insurance.

Director and Committee Member Remuneration and Expense Report –

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March 14, 2011 Page 2 of 2

Subject: Director and Committee Member Remuneration and Expense Report-2010 Thompson Regional Hospital District

CONCLUSION:

Report as presented be adopted and made available for public inspection thereafter.

Attachment(s)

• Directors and Committee members Remuneration and Expense Report for the year endingDecember 31,2010.


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Directors & Committee Members

Remuneration and Expense Report

For The Year Ended December 31, 2010

04-Mar-11


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Thompson Regional Ho~pital Di~trictDirector and Committee Member Remuneration and Expense ReportFor the Year Ending December 31, 2010

TABLE OF CONTENTS

Remuneration/Expenses to Directors Page 1

Committee Expenses Page 2


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Thompson Regional Hospital DistrictDirector and Committee Member Remuneration and Expense ReportFor the Year Ending December 31,2010

REMUNERATION/EXPENSES TO DIRECTORS

Employee

Anderson, K.Anderson, M.Cruzelle-Myram, B.

Danyluk, G.De Cicco, J.Delisle, D.Dosch, M.Elliott, R.Fennell, M.Graham, H.Harker, J.Harwood, J.Lentz, M.Lightfoot, J.Macri, M.

Makara, I.Milobar, P.Murray, R.Oakley, R.S.O'Fee, JPennell, T.C.Pinkney, M.Raine, A.E.Ranta, PAJ.Rindero, R.Roline, S.Smith, v.Spina, M.Stanke, R.Sternig, J.Tait, D.8.Taylor, J.Walker, A.G.Wallace, P.Watson, S.Total:

Remuneration

250$420610

4,646560600420560460420420420560670

930140560640960280560200280470750330140140640580420560220560660

$21,036

Expenses

$175o

1041,189207343oo66oooo

185

627oo

1231,302

oo

114o

10055887oo

12636oo

139164o

$5,644


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Director and Committee Member Remuneration and Expense ReportFor the Year Ending December 31, 2010

COMMITTEE EXPENSE REPORT

Committee Member

Nil

2

Expenses


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THOMPSON REGIONAL HOSPITAL DISTRICT Regular ... - TNRD

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