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03 - November 14, 2023 Budget Committee Agenda Packaged/o zuiuull�lr, o,�fir D+ NA101 Budget Committee ORDERS OF THE DAY Tuesday, November 14, 2023, 11:00 a.m. Council Chambers 450 Sunset Drive St. Thomas ON NOTE FOR MEMBERS OF THE PUBLIC: Please note that the Budget Committee Meeting will begin immediately following the County Council Meeting, at approximately 11:00 a.m. Please click the link below to watch the Council Meeting: https://www.facebook.com/ElginCountyAdmin/ Accessible formats available upon request. 1. CALL TO ORDER 2. APPROVAL OF AGENDA 3. ADOPTION OF MINUTES 4. DISCLOSURE OF PECUNIARY INTEREST AND THE GENERAL NATURE THEREOF 5. DELEGATIONS 6. REPORTS/BRIEFINGS 6.1 Consideration for Funding Budget 2024 6.2 Engineering Services - Capital Projects Budget Presentation 7. OTHER BUSINESS 8. CORRESPONDENCE 9. CLOSED MEETING ITEMS 10. MOTION TO RISE AND REPORT 11. DATE OF NEXT MEETING 12. ADJOURNMENT Pages 2 5 52 Diu i�oiY@11%;,, BUDGET COMMITTEE MINUTES October 24, 2023, 11:00 a.m. Council Chambers 450 Sunset Drive St. Thomas ON Members Present: Warden Ed Ketchabaw, Chair Deputy Warden Grant Jones Councillor Andrew Sloan Councillor Mike Hentz Staff Present: Don Shropshire, Chief Administrative Officer/Clerk Jennifer Ford, Director of Financial Services/Treasurer Jenna Fentie, Manager of Administrative Services/Deputy Clerk Stefanie Heide, Legislative Services Coordinator 1. CALL TO ORDER The meeting was called to order at 11.01 a.m. with Warden Ketchabaw in the chair. 2. APPROVAL OF AGENDA Moved by: Councillor Sloan Seconded by: Councillor Hentz RESOLVED THAT the agenda for the October 24, 2023 Budget Committee meeting be approved as presented. Motion Carried. 3. ADOPTION OF MINUTES Moved by: Councillor Sloan Seconded by: Deputy Warden Jones RESOLVED THAT the minutes of the Budget Committee meeting held on September 12, 2023 be adopted. 1 Page 2 of 98 Motion Carried. 4. DISCLOSURE OF PECUNIARY INTEREST AND THE GENERAL NATURE THEREOF None. 5. DELEGATIONS None. 6. REPORTS/BRIEFINGS 6.1 Director of Financial Services/Treasurer - 2024 Budget Survey Results The Director of Financial Services/Treasurer presented the results of the 2024 Elgin County Budget Survey. The Director informed the Committee that there was an error on one of the slides in the presentation in the agenda package. An amended presentation will be posted to the County's website. Moved by: Councillor Sloan Seconded by: Deputy Warden Jones RESOLVED THAT the report titled "2024 Budget Survey Results" dated October 18, 2023 from the Director of Financial Services/Treasurer be received and filed. Motion Carried. 7. OTHER BUSINESS None. 8. CORRESPONDENCE None. 9. CLOSED MEETING ITEMS 1101 10. MOTION TO RISE AND REPORT None. 11. DATE OF NEXT MEETING The next meeting of the Budget Committee will be held on November 14, 2023 at 1.00 P.M. 12. ADJOURNMENT 2 Page 3of98 Moved by: Councillor Sloan Seconded by: Councillor Hentz RESOLVED THAT we do now adjourn at 11.35 a.m. to meet again on November 14, 2023 at 1.00 p.m. Motion Carried. Don Shropshire, Chief Administrative Officer/Clerk. Warden Ed Ketchabaw, Chair. 3 Page 4 of 98 E191,11, RECOMMENDATIONS: REPORT TO BUDGET COMMITTEE FROM: Jennifer Ford, Director of Financial Services/Treasurer DATE: November 8, 2023 SUBJECT: Funding Considerations for Budget 2024 THAT Staff continue to compile the 2024 budget using Scenario A as outlined in this report, and; THAT Scenario (or no scenario) be provided as an optional add to the 2024 budget for consideration once the levy increase is known, and; THAT Staff create (or does not create) a draft policy that directs non -core funding activities to be considered by the Budget committee and approved by Council at a future date, and; THAT the report dated November 8, 2023 entitled "Funding Considerations for Budget 2024" by the Director of Financial Services/Treasurer be received and filed. INTRODUCTION: Council has received three requests for consideration of additional funding spanning across the 2024 budget year and beyond. The County does lack a general policy related to funding of this nature so Council has suggested that these requests first be considered at the level of the Budget committee. This report outlines the items for consideration in order to provide staff direction. BACKGROUND AND DISCUSSION: County Council has received three requests that have been sent forward to the Budget committee for consideration and review as it relates to increased funding- - St. Thomas Elgin General Hospital (STEGH) has requested $2.5M for an MRI machine - Hospice of Elgin has requested $1.2M towards their capital campaign - St Thomas Elgin Public Arts Centre (STEPAC) has requested $1 OK in additional funding support. Page 5of98 2 I wo oT ine requests would fall within the non -core functions of a municipality as outlined in the Municipal Act 2001. The lack of a County policy related to non -core funding of this nature prompted some discussion at the Council level that supports the importance of these projects to the community but highlights that the general nature of these requests falls outside of the scope of core Health related activities for which the County is responsible. One of the items received may be considered for inclusion under the Cultural Services envelope. Staff are also aware of other pending priorities that are upcoming and these will also be discussed as relevant items for the budget committee to consider when providing direction on these funding requests. Staff await information related to increases to Social Services and Public Health which are shared services. These amounts have not been included in this discussion since their magnitude is unknown at this time. FINANCIAL IMPLICATIONS: The addition of these requests come at a time when the County will have a large debt commitment related to our own infrastructure coming online as well as other pressures due to possible required core infrastructure needed in advance of growth. Staff have provided scenarios for consideration using population data from the 2021 census: Scenario A: Fundina is restricted to core munici Hospital Hospice resaonsibilities: Health TerraCe R.ecrUitment Lodge Debt Partnership Additional Repayment with St.. for MILISIDUI n (approx. Thomas Elgin's share) % increase Airrnt by to Levy HOUsehold No No No Yes Yes t 10,000 0 02% � 0 m 10,000 500,000 °W 1.18% � 25 10,000 1,000,000w. .34%� 50 t, 10,000 1,000,000 °W 34% � 50 10,000 1,000,000 ° �2 34%� 50 10,000 1,,000,,000 °w �2 34%� 50 10,000 1,,000,,000 ° � .34%�� 50 t 10,000 1,000,000 °W 34% � 50 t 10,000 1,,000,000 2 34% � 50 q, 10,000 1,000,000 °W 2.,34% � 50 a r 100.000 8,600,000 In Scenario A, the increase per household for our Core activities is placing approximately 2.34% ($50) on the levy by 2026 in order to maintain County capital Page 6 of 98 3 inrrasiruciure. The amount considered in this example is approximate as the County will take out the loan in late 2024 or early 2025 in order to maximize the potential for interest rates to come down. The loan will be repaid over 25 years to fund the rebuild of the Terrace Lodge long term care facility. Scenario B: Funding is not restricted to core responsibilities (5-year window): Hospital Hospice MR.1 2'..5M 1.2M Health Terrace RecrUitl i7t Lodge Debt Partnership Additional Repayment with St.. for Mriseriirn (appro: . Thomas EIg!in"s share) % increase All by t.o Levyr Horlsehol'd I"+ulo I"+ulo 1,,10 Yes Yes ` 500,,000 300,000 10,000 IF 1 88% IF 40 500,,000 300,000 34;,437 10,000 500,,000 312% 6,6 600,,000 300,,000 35,126 10,000 1,,000,,000 4 28% 91 p, 600,,000 300,,000 35,823 10,000 1,,000,,000 4 8% 91 p, 600,,000 36,546 10,000 1,,000,,000 3 59% 76 10,000 1,000,000 p �2 34% p 50 10,000 1,,000,000 p 2 34%III 60 N, 10,000 1,,000,000 p2 34� lip' 60 t 10,000 1,,000,,000 p 2 34% p 50 t 10,000 1,000,000 p 2 34% p 50 a 2,500,000 1,200,000 141,936 100,000 8,500,000 In Scenario B, the increase per household for non -core activities is placing an additional 2% (approx. $39) on the levy in 2024 in order to provide funding to the Hospital and Hospice (requested within 4 years) for their Capital needs within a 5-year time period. It should be noted that if each household were to donate directly to the efforts of the two groups, ratepayers may receive a donation receipt depending on the value of their donation. This is not an option when paid through the levy. St. Thomas has requested an increase toward our jointly shared Health Recruitment Partnership efforts. For 2024, we can contain the ask by carrying forward 2023 unspent funds in this envelope (currently approximately $71 K is in the budget as ongoing). It is unforeseen that we would be able to do this again in a future year should this become an ongoing need. Staff have included Scenario B with the increase for 2025 and beyond as an ongoing option in the event it is required. Beyond 2028, the levy returns to core activities of 2.43% in order to account for the Terrace Lodge Infrastructure debt. Page 7 of 98 acenano u: 0 Funding is not restricted to core responsibilities (10-yearwindow): Health Terrace R.ccnlitlMl l7t Loclige Debt Hospital Hospice Partnership Additional Repayment MR.I 2.5M 1 2M with fit for MLISIOLIlm (a rox .. Thomas Elgin"s % increase Arnt by ® share) to L avy HoLISehold No No No Yes Yes .m 2687„888 120,„808 1 10,000 °p° 8 88%lip 19, 2:60�,888 128,°808 34,„437 10,000 6K„888 212% 46 $ 2'587,,888 120,°808 357,1226 10,000 1„8087,,888 3 28% 78 2887,,888 128,°808 38 828 10,000 1,°8087,,888 3 28% 78 288,000 120,°808 36,545 10,000 1,,000,000 3 28% 70 2'687„888 120,008 377,276 10,000 1,,0007,888 3 29% 78 � f 2,K,888 120,°808 38�„821 10,000 1,,113M„888 3 29% 78 2887,880 128,,000 38,782 10,000 1,°808,000 3 29% 78 �2587,,888 120,°808 397,557 10,000 1,.8087,,888 3 29% 78 1 . 288,888 120,,000 40,348 10,000 1,,000,888 3 29% 78 2'.508.°888 1,288.800 335,920 100,000 8,508.°888 In Scenario C, the increase per household for non -core activities is placing an additional 1 IN (approx. $18) on the levy in 2024 in order to provide funding to the Hospital and Hospice for MRI equipment and Capital infrastructure within the 10-year window. While this commitment is long, it is one that may be more acceptable as there is anticipated to be growth that would increase the number of households over the given timeframe in order to support the gift. It is unknown how long the Health Recruitment Partnership will continue but we have added this as a placeholder to ensure uniformity of the two scenarios. Consideration of a Funding Policy: A commitment to fund an outside source is something that must be raised by the County on the levy for the years related to the commitment. It seems noteworthy to mention that County Council and staff continually advocate for our core needs through Provincial and Federal agencies and User Fees whenever possible. When funds are received, it can help to reduce the levy in order to bring relief to the taxpayer. Unfortunately, these funds cannot be redirected to outside agencies in order to fund non -core activities. Page 8of98 i nererore, while we may get additional funding for core activities, if the County continues to fund non -core activities, ratepayers may never recognize the benefit of additional Provincial or Federal funding due to increased demands received by and allocated to non -core agencies. There is an opportunity at this time for the Budget Committee to identify the need for a policy to restrict funding to core activities. The Committee may suggest that such a policy be developed related to the distribution of funds relevant to core activities governed under the Municipal Act 2001. Once approved, such a policy could provide direction at the Council level that would eliminate requests related to non -core activities from consideration. Such a policy would support additional funding received for core activities to ensure that gains from advocacy will directly benefit the core activity and ratepayer. ALIGNMENT WITH STRATEGIC PRIORITIES: Serving Elgin ® Ensuring alignment of current programs and services with community need. ® Exploring different ways of addressing community need. ® Engaging with our community and other stakeholders. Additional Comments: Growing Elgin ❑ Planning for and facilitating commercial, industrial, residential, and agricultural growth. ® Fostering a healthy environment. ® Enhancing quality of place. LOCAL MUNICIPAL PARTNER IMPACT: Investing in Elgin ® Ensuring we have the necessary tools, resources, and infrastructure to deliver programs and services now and in the future. ® Delivering mandated programs and services efficiently and effectively. The City of St. Thomas is also receiving requests to donate toward these projects. COMMUNICATION REQUIREMENTS: None 5 Page 9of98 Le ► l� t�17_�� 0 In summary, the impacts that adding large non -core activities have on the levy and, subsequently, the average household includes- - Increased taxes from 1% to 2% ($18-$39 per household on example given) - Inability to obtain a donation receipt for tax purposes - Increase will be based on assessment - Support of projects is not subject to personal preference (not optional) - Benefits of continued advocacy for funding of core activities do not significantly decrease levy pressures as intended when allocations to non -core activities are added At this time, staff suggest that we continue to draft the 2024 budget using Scenario A as the base. Staff request that the budget committee determine which scenario, if any, staff should provide as a separate line item for consideration once the overall levy is known (Scenario B or C or other). Staff also request clarification as to whether a policy should be researched and drafted that would provide framework to inform funding related to non -core projects. All of which is Respectfully Submitted Jennifer Ford Director of Financial Services/Treasurer Approved for Submission Don Shropshire Chief Administrative Officer/Clerk Page 10 of 98 I / 17- N 7t 7t 7t 7t 7t 7t 7t 7t 71 r-D r-D r-D r-D r--) r--) r-D . .. . .. . .. . .. __j CEO co o III N co en CL W co N co co C) 7t 7t 7t 7t 7t co N N ko m m m m m 4-A A Z E- C� CD rD rD rD CD C-) C-) CD CD Op M" M 1 co co m 4- 0 W N co N I-lin 7t m Ito s_- co I-lin U) (1) 65 77 cl� CL 5 CL 77 76 C--) C--) :t:� Ia. [If) [If) [If) L.n Lin [In 0 FF- 0 2E 7-7 = �a �a I Z �a _cam 4 CR I-,n tt,g+cE tt,.� tt,g+cE tt,.� tt,g+cE tt,.� tt,g+cE tt,.� tt,g+cE tt,.� m ',1i a LOCo ". c) , m m m m m m m m 7t W NE m 77 0 c O _0 O i N O i N CL 0 N 0 0 T- O 4- N X N N U 0 O 0 N E cn N cn cn m O N cn N N cn N U 0 A, 0 4- L- O U U O m 0 N N cn -0 M -0 c N N cn cn cn N .N a ♦= >cn U O O U U c: O O >1 0 U O .0) 0 in O C: C N i 4- 0 LO (1) m L > O U O m U LZ CL 0 O m Q m O c U mm O to N (6 U CL' U (a E m m C m 2, E LL in U >, O .: T � (� � U U O -0N = -0U � O N L- m co N N N N N ^� p a) a) Cq N O O m � a)c pp >� -0 •L- L a � -�-O(a O Nm C:�� E-CU�U E O ; to a) N N N E • - -2 to -0 > }, N o •— U L� O� m Z 0 _0 O _0 O OU U N N ) O m C O N O S 70 L N -�, N CU N L O � •� :� M O U-C CU� U•> � N O N C!) 7C3C!) N C!) : 7 N U_ Q� QN Q7° Q�i-> _� =�U =oa) co rn 4- 0 c0 ) 0) a November 9, 2023 Warden Ed Ketchabaw & Elgin County Budget Committee Members Re: 2024 Budget Funding Requests Dear Elgin County Budget Committee, Elgin County Council has recently received and considered requests for funding from various community organizations, and has forwarded each request to the Budget Committee for consideration. The funding requests are attached, and the resolutions passed for each request are included below for your information. Hospice of Elgin At its meeting on June 27, 2023, Elgin County Council considered a request from the Hospice of Elgin for an investment of $300,000 per year over four (4) years, and passed the following resolution: "Moved by: Deputy Warden Jones Seconded by: Councillor Noble RESOLVED THAT staff be directed to consider the budgetary implications of Hospice of Elgin's request for a total investment of $300,000 each year over four (4) years during County Council's 2024 budget deliberations; and THAT the presentation from the Hospice of Elgin be received for information. Motion Carried." St. Thomas -Elgin General Hospital Foundation — Transforming Tomorrow Campaign At its meeting on October 10, 2023, Elgin County Council received a presentation from the St. Thomas -Elgin General Hospital Foundation requesting $2.5 million in funding to support the Transforming Tomorrow Campaign, and passed the following resolution: "Moved by: Deputy Warden Jones Seconded by: Councillor Couckuyt RESOLVED THAT the presentation from the St. Thomas -Elgin General Hospital Foundation be received and filed; and THAT the request for $2.5 million in support of the Transforming Tomorrow Campaign be forwarded to the Elgin County Budget Committee for consideration as part of the 2024 budget deliberations. Motion Carried." St. Thomas -Elgin Public Art Centre At its meeting on October 24, 2023, Elgin County Council considered a request from the St. Thomas -Elgin Public Art Centre for an increase in funding to $40,000, and passed the following resolutions: "Moved by: Councillor Giguere Seconded by: Councillor Sloan RESOLVED THAT the request for additional funding from the St. Thomas -Elgin Public Art Centre be forwarded to the Elgin County Budget Committee for consideration as part of the 2024 budget deliberations; and THAT correspondence be sent to the St. Thomas -Elgin Public Art Centre requesting additional details to support the funding request. Motion Carried". Yours truly, jV, 1, -, a - (14 � "�, Jenna Fentie Manager of Administrative Services/Deputy Clerk ifentieQ,elgin.ca cc Jennifer Ford, Director of Financial Services/Treasurer OF VP HOSPICEELGIN June 27, 2023 Dear Elgin County Council, 613 Talbot Street, St. Thomas, ON N5P 1 C6 p: 519.631.7495 ( w: elginhospice.com Charitable Registration #701658916 RR0001 How people are supported at the end of their life impacts the fabric of our community! Our community is one of the last regions without a hospice. Because of this, many of our residents struggle to receive access to expert palliative care and grief and bereavement services. They are travelling outside our community to neighbouring regions for care. Some are dying in the hospital, which isn't designed for end -of -life care. We know we can do better, and that you care about the residents of Elgin County, just as much as we do. Three years ago, Hospice of Elgin mobilized a team of passionate volunteers and staff to change how we provide end -of -life care in Elgin County. The goal was to build Elgin County's first hospice - a 17,000 sq. ft. facility that would offer 24/7 end -of -life care. We are so humbled by our community who has helped us get to 75% of our campaign goal. However, we still have a lot of work to reach $15 million and need your help! Hospice of Elgin last presented to Elgin County in 2019. At that time, we had requested an investment of $2.4 million. We recognize that this request may have come too soon, so we are continuing this conversation with you today because we believe this project matters. Hospice of Elgin is a community project that will significantly change healthcare in Elgin County. This welcoming, cottage -like building, will be tucked in the woods at 8 South Edgeware Road in St. Thomas. It will house hospice beds and an innovative hospice palliative care hub. When our doors open, more than 500 individuals and more than 4,000 family members will receive care through Hospice of Elgin each year. These individuals will be our family members, friends, and neighbours. We need your leadership and support to build a Hospice! Hospice of Elgin will build a compassionate community and be a centre of palliative care excellence. We are grateful for this opportunity to share our plans with you today. Sincerely, John Callaghan, Chair Page fol Qy bones, Campaign Chair I-Iospice is more thanjUst a L)Llftdfirig. It's about,- ,0, Webrating Ve hght until the end of Life 0 Making room for a goodbye wrapped in care, Love, honour & 6gnity 0 Supporting the pattiative, their caregivers & farniLies V KnowMq your loved ones wilt be okay V Expert care,',it no cost qo Nlo one in our community clues alone Page 21 of 98 And most of aLL. 1. Elgin County grew by 8.3% in the last 10 years and is continuing to grow. This growth will place significant pressures on our healthcare system (long-term care, family doctors, etc). Our healthcare system will need to keep up with this growth by ensuring our community has access to hospice palliative care. With the absence of hospice, it means that those individuals are being cared for in other settings, reducing the overall capacity of the system. 2. Elgin County is the only region of its size without a hospice Our population is aging faster than the Provincial average. There are currently no dedicated hospice palliative care beds in our hospital. With 800 deaths annually, this number is estimated to increase by 50% in the next 15 years. The lack of hospice beds is becoming an increased issue. In 2051, there will be more than 20,900 people above 70 years old, compared to only 7,300 in 2021. 3. Cancer patients have very limited options According to Cancer Care Ontario, 52% of cancer deaths occur between 60 and 79 years old. The majority of hospice residents come to hospice with a cancer diagnosis. These individuals are not on a trajectory for long-term care. They often have an exhaustive journey through the healthcare system. Hospice offers dignified care, focused on quality of life, a service that currently doesn't exist in our community. 4. Rural communities suffer more than their urban counterparts Ontarians who live in rural areas often face inequitable access to health care services compared to citizens of metropolitan areas. This is often exacerbated due to the limitations of transportation options. These inequities extend to hospice and palliative care services. 5. Seniors don't have access to resources to live well at home According to our research, 25% of our Elgin County seniors are living alone compared to Provincial average of 12%. Many are women with low -incomes, with limited transportation options. They also don't have immediate access to their family doctor. 6. More than 20% of hospital patients require Alternate Level of Care One sixth of Ontario's total hospital beds are occupied by ALC (Alternate Level of Care) patients who don't need to be in hospital. Most ALC patients have a short life expectancy, with a majority of those dying within 90 days. With pressures on hospitals and long-term care homes, hospice is essential is expanding the system's overall capacity. 7. Caregivers are burned out In Elgin County, more than 80% of care is provided by informal caregivers like family members, friends and neighbours. Many of these caregivers struggle with this burden (and their own health issues) and would benefit from hospice support and resources. Hospice will offer respite beds, so loved ones can have a short stay, while offering a break for caregivers and families. The goal of Hospice palliative care is to enhance the quality of life during end -of -life for the individual and their loved ones. Hospice is helpful not only when a person is approaching death but also during the earlier stages of an illness, combined with other treatments aimed at curing the illness, such as chemotherapy. What is the hospice difference? Type of care Private Clinic, respite Acute or Palliative In -office suites beds, caregiver complex care for training care residents only Average length of stay 2-3 weeks Up to 2 years 23 days* 18 months* - (ALC) Patient to Staff Ratio 1:5 - 1:6* 1:12* High caseloads Specialized palliative team Limited Limited Limited care Cost per day $470 - $1,100 - - Home -like setting Clinical - - (private patios) 24/7 visiting hours - - - - Pets welcomed - - - Grief & bereavement - - - counselling for families Dedicated family sleep - - - suite New jobs & volunteers 30+ jobs - - Some Some - 200+ volunteers * This data may vary based on facility. Page 25 of 98 5 Hospice of Elgin has been inspired by Elgin County's rural and urban roots! We have also been inspired by Hospices across Canada. We hosted several focus groups in 2022 to gather feedback from community members, partners and friends to help shape our design. We have included a few of the photos that will influence our final design. A design idea for our FAmiI%/ SnaCPc Hospice, Exeter, ON —we are inspired by their big windows, stone and wood features to create a welcoming Hospice! 7 Living room and kitchen designs to he us cr to r s for families to gather, be comfortable r�eltrP! The Hospice in Edmonton — a comfortable patient suite with minimal equipment Hospice of Elgin is working with the architectural firm ROA Studio to bring our hospice vision to life. The below design is a draft version, as the design continues to evolve as we modify and perfect the space. The building is divided into five zones: hospice suites (brown), heart of hospice (green), hospice palliative care hub & clinic (pink), staff and volunteer lounge (yellow), and our office space (blue). IS9Hospice will be tucked into the woods and wrapped with public traits LoungeStaff and Volunteer /; volunteers will support Hospice; each year 00b 71 1 MI Hospice Palliative care Hub - clinic, programs, and care for 400 iin ividuals, care ivers, and families each year One fluor, approx. 17,000 s , ft. 9 N7 Page 28 of 98 Ten private hospice Suite$, caring for 125 individuals each year The Hospice of Elgin project is moving forward with the below targeted timeline. We need your support to get shovel in the ground! Page 29 of 98 9 Hospice of Elgin is grateful to more than 700 donors who have supported this project to date. Our local doctors have seen the gap in end -of -life care for decades. They have sat at the besides of our loved ones and neighbours and have seen unnecessary suffering. They have been in the shared room, when one patient is dying and one patient is healing. They are acutely aware that there is a lack of palliative care training on their teams. And, even in their own professional skills. That is why they are putting their own personal financial support into this project. More than 75 local doctors are behind this project 100%. They represent doctors in our hospital emergency department, internal medicine and primary care. Together, they have donated close to half a million dollars. This project matters to our community! 10 Page 30 of 98 We need your leadership to pave the way for Elgin County. Hospice of Elgin is a once in a lifetime project that will impact our loved ones and neighbours today, and the generations who will come after us. What level of support is Hospice look for from the County? Elgin County Council has demonstrated leadership in supporting transformational capital healthcare projects in our community ($3.5 million to STEGH). Hospice is seeking $300,000 per year for four years (total investment of $1.2 million). This request is based on the project need, size of community being served (60% live in the County), and sense of urgency in advancing construction. This project is an opportunity to significantly improve the compassion and care of our community. It will help address the system pressures in long-term care, in the hospital, in our doctors' offices, and in our paramedic services. Hospice will also help address the needs that our community is facing with caregiver burnout and lack of grief and bereavement services. Join the hundreds of people in our community who are involved in this project! OF 4PHOSPICEELGIN • What is Hospice? Hospice provides wraparound care to individuals (and their families) at end -of -life in a welcoming `home -like' setting. Hospice is about comfort, quality of life and care, and includes addressing pain & symptoms, while also supporting the psycho - social, spiritual, and practical needs of the individual. • Is Hospice a place where people go to die? Not exactly, Hospice will be a hub of care, meaning that some people will access Hospice services (clinic, respite, caregiver programs, counselling) but continue to stay at home. Hospices will also support families, after the death of a loved one. • How many people will be impacted by Hospice? Each year, Hospice expects to provide care to 500 individuals in our community, of which 100-125 will die at Hospice. • What is the average length of stay for those that come to Hospice? 2-3 weeks • How much does it cost the resident to stay at the hospice? There is no cost to the resident or their family. • How many staff are required? Approximately 30 staff will be required to run the hospice, including nurses, personal support workers, physicians, and administrative roles in fundraising, volunteer management, finance and human resources. Staff recruitment will begin in summer 2024. • Will volunteers be needed? Once doors are open, Hospice will require hundreds of volunteers to support operations (some roles include reception, kitchen, gardens, care, sitting vigil, fundraising and more). Volunteer recruitment is expected to begin in the Fall of 2024. • How big will Hospice be? Approximately 17,000 sq. ft. one -floor facility • What will Hospice look like? Our goal is to create a welcoming cottage -like Hospice that is tucked in the woods. Page 33 of 98 13 • When is construction expected to start? Fall of 2023 • When will Hospice be open? Late 2024 • How much will it cost to build this Hospice? We have established a working goal of $15 million. Market conditions and rising construction costs continue to put pressures on our campaign budget. • How will hospice cover the operational expenses? We have built a $1.8 million sustainability fund into our campaign fundraising. Hospice will have a robust fundraising plan for operations. The partnership with St. Joseph's Health Care Society has also been pivotal in helping build a strong foundation for Hospice of Elgin. • Who is supporting this project? The Province has provided $2 million in capital funding (and will provide 50% of operational funding). Over 700 community donors (individuals, corporations, and the City of St. Thomas) have supported the project. Page 34 of 98 14 ^vw�e�� ,��„ � s �rr�!� trou �1� ` v „-. ��i��, �yc! CL a) :3 E c a) cq 0 cu 0 c a) 0 _0 LL a) 0) cuuU Q)-o cu :3 :3 0 CD 2 w a) . U) 0 ... 0 00 a) o) -a cu 10 I.......... _0 CT M 00 (D _0 ui a) U) x 00 4— r w ECU - a) 0 C: a) 0 0 w cu 76 _0 0 E CU sue.:3 0 0 a) ICL 0 a) (1) U) :3 0 cu l� C) 0 a) E .......... a) 0 0 o CL 0 � a) C-) CO) 0 cu a) �C: 0 a) C'i a) :3 76 > 0a) 0 > E 6 o clq cu a) E c: -o cL .......... M E m W co m 4-- 0 0 'IT (D 0) m 0- 0 0 N cu E C6 0 0 U) T- 0 _0 0 c 0 cu a) 0 (D CL (N U) U) E as 0 U) Cu :3 0 Cu U) c 0 im U) 0Ste. 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THOMAS-ELGIN �► PUBLIC ART CENTRE St. Thomas -Elgin Public Art Centre 301 Talbot Street St. Thomas, ON N5P I B5 info@stepac.ca (519) 631-4040 Brian Masschaele Director of Community and Cultural Services Elgin County 450 Sunset Drive, St. Thomas, ON N5R 5V1 Subject: Request for Consideration of Increased Funding for the St. Thomas -Elgin Public Art Centre I am writing on behalf of the St. Thomas -Elgin Public Art Centre, a vital cultural institution that has been serving our community for 54 years. We are grateful for the support and collaboration we have received from the County of Elgin over the years, and we would like to express our sincere appreciation for your commitment to promoting the arts and culture in our community. The St. Thomas -Elgin Public Art Centre plays a crucial role in fostering creativity, cultural diversity, community engagement and well-being. The Public Art Center offers a wide range of programs and activities that cater to people of all ages and backgrounds. These include art exhibitions, workshops, educational programs, per- formances, and community events. We firmly believe that art has the power to inspire, educate, and trans- f he However, we are facing significant financial challenges that are hindering our ability to fulfill our mission effec- tively. The funding allocation granted to the St. Thomas -Elgin Public Art Centre in 2008 has remained the same. Over the years, our Board of Directors and staff enthusiastically worked toward raising funds to continue our important work. But, we are beginning to see it impacting the quality and diversity of our programs, which are essential for the enrichment of our community. We kindly request that the County of Elgin consider increasing the funding allocated to St. Thomas -Elgin Public Art Centre in the upcoming budget cycle to $40 000. By doing so, you would not only demonstrate your con- tinued commitment to the arts but also ensure the long-term susfainabilify and growth of the Public Art Centre. The additional funding would enable us to expand our programming, reach a wider audience, and enhance the overall experience for our visitors. Investing in the art and art educalton has numerous benefits for our community. It stimulates economic growth, attracts tourism, and enhances the overall quality of life for residents. Moreover, it provides a platform for local artists to showcase their talent, encourages cultural exchange, and fosters a sense of pride and iden- tity within our community. 301 Talbot Street, St. Thomas, ON N5P I B5 (519) 631-4040 info@stepac.ca Page 50 of 98 We understand that the municipality faces various competing priorities when allocating funds. However, we firmly believe that investing in St. Thomas -Elgin Public Art Centre is an investment in the future of our communi- fy. We are confident that the positive impact of increased funding will be felt by all residents, regardless of age, background, or socioeconomic status. Thank you for your time and consideration. We sincerely hope that you will give due attention to our request for increased funding. Together, we can continue to nurture a vibrant and culturally rich community that ben- efits all its members. Yours sincerely, Laura Woermke Executive Director / Curator St. Thomas -Elgin Public Art Centre S-1 TI A/6 EI.GIN Page 51 of 98 -= O U O U Q coj °o • p cn m � 0- - -t 0- cn CIO 0 p N }' m� N O .c, to ., OU _ .,� I U !� C: C: c:-0. m =3 5 �c 02: o M a� cn-� �U� � � O 0- N �-� E 0. u) m c� OU Z O a). 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