QQQQ 960227 PINK File Reference Number: 4656-3 TT 960229 1 ADMINISTRATIVE REPORT Date: February 27, 1996 Dept. File No. A701 TO: Vancouver City Council FROM: Manager of Non-Market Housing, in consultation with the Director of Legal Services and the General Manager of Human Resource Services SUBJECT: Transfer of the Operation of Taylor Manor to Little Mountain Residential Care & Housing Society RECOMMENDATION A. THAT Council approve the transfer of the operation of Taylor Manor from the City to Little Mountain Residential Care & Housing Society (Little Mountain) effective April 1, 1996 or as soon as possible thereafter, on the following terms and conditions: 1. the building and lands presently occupied by Taylor Manor and to be occupied by the new replacement facility (the "New Building") legally known and described as Lot 3, Section 27 Plan 19386 THSL ("Lot 3") be leased to Little Mountain on the following terms and conditions: a) use: continuing care facility; b) rent: (i) from the commencement of the term until the occupancy permit is issued for the New Building and the operation of Taylor Manor has been successfully transferred to the New Building the rent shall be $76,300 per year plus a payment- in-lieu of taxes and water charges (estimated 1995 rates are $17,699 for property taxes and $4,000 for water). For the first year of the Term, the City will provide a grant-in-lieu of taxes and water charges so as to keep the budget at the same level as when the City operated Taylor Manor. This constitutes a grant and requires eight affirmative votes of Council. (ii) after the occupancy permit is issued for the New Building and the operation of Taylor Manor has been successfully transferred to the New Building the rent shall be $1.00 per year plus a payment- in-lieu of taxes and water charges (At the 1995 rates, the payment would be $76,247 based on one- half the present $2,823,000 assessed value of Lot 3 with an $11,200,000 building); c) day-to-day repairs and maintenance: Little Mountain's responsibility; d) structural repairs: in connection with the existing Taylor Manor, Little Mountain must first make its best efforts to receive money from the Province for these repairs. If the Province fails to pay for these repairs the City shall pay for them provided that the City shall not be obliged to repair if the cost of the repairs is excessive, in the sole opinion of the General Manager of Corporate Services. Little Mountain shall be solely responsible for structural repairs required to the New Building; e) term: the term of the Lease shall commence the effective date of the transfer and shall terminate forty (40) years later; f) early termination rights: prior to commencement of construction of the New Building, Little Mountain shall be able to terminate the Lease on six (6) months' prior written notice if, in the sole discretion of Little Mountain, the operation of Taylor Manor by Little Mountain is not economically viable. Throughout the term of the Lease the City shall have the City's standard termination rights (for example, in the event of default by Little Mountain under the Lease); g) subdivision, sublease or licence: the approximate one half of Lot 3 occupied by the current Taylor Manor, access and recreation areas, shall be subdivided from the remainder of Lot 3, subleased or licenced back to the City, at the City's sole option, once the occupancy permit is issued for the New Building and the operation of Taylor Manor has been successfully transferred to the New Building; h) notice in the Province's favour: the Title to Lot 3 shall be subject to a notice in the Province's favour providing that all persons who deal with Lot 3 shall know of the Province's involvement in the funding of the construction of the New Building and the consequent obligations to obtain the Province's approval prior to dealing with Little Mountain's leasehold interest; i) ownership of the building: the City shall always own the existing Taylor Manor. The New Building shall be owned by Little Mountain during the term of the Lease and by the City thereafter (excluding any hazardous substances); 2. the City transfer the non-fixed capital assets situated at Taylor Manor valued at $126,549 (depreciated value at December 31, 1995, as shown in Appendix "A" attached hereto), plus other physical assets not on inventory but in the facility, excluding residents' personal belongings, be transferred to Little Mountain for the nominal fee of $1.00; 3. accumulated operating surplus to cover 100% of real liabilities (vacation, gratuity, statutory and compensating time) and 50% of contingent liabilities (sick leave) for employees who transfer to Little Mountain estimated as $95,083 as at February 1, 1995 be transferred to Little Mountain. Source of funds to be from combined accumulated surpluses of Taylor Manor and Cordova House 4. Little Mountain offer employment to all City employees whose worksite is Taylor Manor under the 1996/97 revised budget and staffing levels. 5. the City give notice to the Ministry of Health, Vancouver Health Board and Continuing Care Facilities Licensing that the City of Vancouver will cease to operate Taylor Manor, effective the transfer date. 6. the City assign, convey or transfer to Little Mountain such other interests, obligations and documentation including the food service contract, personnel records and residents files and trust funds, as deemed appropriate by the General Manager of Community Services, effective the transfer date; 7. Little Mountain enter into a new operating agreement with the Ministry of Health, Continuing Care Division; and apply for a new license from Community Care Facilities Licensing; 8. the City indemnify Little Mountain for any liabilities which might arise from events occurring prior to the transfer date. When the City operated Taylor Manor, liabilities were covered by the City's self-insurance program. Accordingly, the City would cover liabilities incurred prior to the transfer date and would indemnify Little Mountain for these liabilities. (Staff are unaware of any potential claims which predate the transfer date.) 9. the City pay for the exceptional audit of the facility for the three months January 1 to March 31, 1996 at a fee not to exceed $3,000 with funds to be provided in the 1996 Operating Budget; 10. such further and other arrangements as seem appropriate to the General Manager of Community Services and the Director of Legal Services. B. THAT Council authorize the General Manager of Community Services and/or the Director of Legal Services to execute the necessary documentation to effect the above recommendations. No legal obligation shall arise until the documentation is fully executed. C. THAT Council instruct the General Manager of Community Services to report back on options to deal with the shortfall in administrative fees. GENERAL MANAGER'S COMMENTS The General Manager of Community Services RECOMMENDS approval of A, B and C. COUNCIL POLICY There is no applicable Council policy, except that a grant requires eight affirmative votes of Council. PURPOSE This report recommends that Council approve the transfer of the operation of the 58-bed City-operated continuing care facility Taylor Manor to the Little Mountain Residential Care and Housing Society effective April 1, 1996, or as soon as possible thereafter, on the terms and conditions negotiated to the satisfaction of the General Manager of Community Services and the Director of Legal Services. BACKGROUND Taylor Manor was built in 1915 as a senior's home and later converted to a 58-bed continuing care facility for people with mental and behavioural problems. The City operates this facility with Provincial Ministry of Health funding for "hard-to-house" seniors. The residents live in rooms with up to 10 beds sharing toilets and showers and inadequate or inappropriate interior space. While Taylor Manor is an accredited facility delivering quality care and programs to residents, the building is recognised as being below intermediate care standards. A replacement 72-bed multi-level care building is designed and waiting approval in the Provincial Ministry of Health's 1996/97 Capital Plan. The new building includes secure wing(s) to house the cognitively impaired. On November 14, 1995, Council approved the transfer of the Vancouver Health Department to the Vancouver Health Board, effective January 1, 1996. As a result, the City decided to withdraw from health services and an alternative operator for the City-operated continuing care facilities, Taylor Manor and Cordova House, had to be identified. DISCUSSION 1. Transfer to a Non-profit Society Options considered were transfer to the Vancouver Health Board; creation of a new non-profit society; or transfer to an existing non-profit society. The Vancouver Health Board was not prepared to manage any care facilities. Creating a new society was contrary to the objectives of health regionalization which includes integration, consolidation and mergers. Consequently, transfer to an existing non-profit society experienced with continuing care was deemed to be the best solution and was the preferred option of the Vancouver Health Board. As the City has not incurred costs in building or operating Taylor Manor, the City would not expect to receive compensation for the transfer of the facility and its assets. 2. The Little Mountain Residential Care & Housing Society Interest in assuming responsibility for Taylor Manor was explored initially with a society operating a facility located within the same Community Health Committee area as Taylor Manor. After several months of negotiations, concerns about the "fit" led to termination of those discussions and a search for a better "fit". While located in a neighbouring Community Health Committee area, Little Mountain shares the City's resident care focus and is training all their staff in "gentle care". Little Mountain operates a 121-bed continuing care facility located at 330 East 36th Avenue and a 96 apartment seniors housing project next door. Little Mountain's Board is experienced and very involved in ensuring that the facility provides quality care for the residents. Their draft Mission, Vision, Values and Commitment are attached for Council's information as Appendix B. Little Mountain is planning to renovate 330 E. 36th Avenue to include a 26-bed unit for cognitively impaired residents. Little Mountain is financially healthy and confident that they can manage Taylor Manor's finances effectively. Little Mountain has agreed to include representation for Taylor Manor residents on its Board. Little Mountain's Board presently provides for representation from Little Mountain Neighbourhood House Society, Little Mountain Senior Live Wires, CNIB and up to three Provincial Government appointees. Due to aging and waning interest on the part of the societies, only two of their six possible representatives have been appointed and only one government appointee. Little Mountain is therefore seeking approval from the Ministry of Health to amend their Constitution and By-laws to reduce representation from the three societies and increase the number of members-at-large. Little Mountain plans to request that the government fill their two vacancies with persons who have knowledge and expertise in mental health and the hard- to-house and are receptive to City recommendations. 3. Lease of City-owned Land and Building The Taylor Manor site located on Lot 3 of the map attached as Appendix "C" on the corner of Boundary and Adanac, is owned by the City. In a letter dated December 8, 1977 the Province agreed to accept financial responsibility for the City to operate Taylor Manor under the Long Term Care program. Taylor Manor currently pays the City market rent of $76,300 with rental review every two and one-half years. Because the building is obsolete, residents who can climb stairs and are willing to sleep in shared rooms with up to 10 beds have become increasingly scarce. Empty beds has reduced revenues and Taylor Manor has had an operating deficit for the last two years. Little Mountain is not willing to assume an on-going liability and asked the City to agree to rent the building to the Society at a nominal rent for up to five years or until they relocate to the New Building. In turn, Little Mountain would make a payment- in-lieu of property taxes and water charges (the 1995 rates for these are $17,669 property taxes and $4,000 water charges). The Ministry of Health, however, has advised that they will fund the $76,300 rent only if it is paid. Since a nominal rent or a market rent will make no net difference to Little Mountain, it is recommended that Little Mountain pay $76,300 yearly plus a payment-in-lieu of taxes and water charges from the commencement of the term of the lease until the occupancy permit is issued for the New Building and the operation of Taylor Manor has been successfully transferred to the New Building. In addition, it is recommended Council provide a grant-in-lieu for property taxes and water charges in the first year of the Term, to keep the budget at the same level as if the City operated Taylor Manor. Little Mountain has requested the City pay for structural repairs to the present building should requests to the Province for Minor Capital Project funding prove futile. Little Mountain does not view the present building as suitable for the long term and expects to relocate to the New Building within the next five years or serve the required 12 month notice to Continuing Care of their intention to cease to operate. On relocation, Little Mountain expects to return the heritage building and approximately half Lot 3 to the City to decide what new use might be appropriate. Little Mountain will lease Lot 3 for the balance of the Term at a nominal fee of $1.00 per year and make a payment-in-lieu of taxes and water charges (estimated at $76,247 1995 rate based on half of the present land value of Lot 3 of $2,823,000 and new building value of $11.2 million) and sub-lease or licence half back to the City at a nominal rate. Alternatively, the City may elect to subdivide Lot 3 in which case Little Mountain would lease only that portion of Lot 3 with the New Building constructed thereon, access and recreation areas (probably 1/2 of Lot 3). 4. Transfer of Capital Assets The physical assets of Taylor Manor including a vehicle, computers, beds, dishes and floor polishers, were purchased with funds from the Provincial Ministry of Health and should transfer with the facility. The inventory of capital assets appended is not comprehensive and only includes items with a capital value of $500 or more. The December 31, 1995 depreciated value of these items are $126,549. The remaining physical assets while not listed on the inventory and not valued, were also purchased with Provincial funds and should remain with the facility. Accordingly, Little Mountain shall pay the City only a nominal fee for the transfer of all capital assets. 5. Transfer of Accumulated Surplus In 1993, Taylor Manor had an operating surplus of $226,594 from which approved purchases of computers and a paratransit vehicle were made. In 1994 and 1995, ongoing two to three vacant beds resulted in lost revenue and deficits of $204,435 and $44,784. The accumulated surplus for Taylor Manor as at December 31, 1995 is $29,301. Cordova House, which also spent large amounts of its accumulated surplus in the last two years on a paratransit vehicle, computers and a sprinkler system, still has $176,891 remaining in its surplus as at December 31, 1995. In the City's negotiations with the two non-profit societies, both societies sought indemnification from liabilities accumulated by the City. The City has accumulated both real and contingent liabilities for which no accruals were made. The value of the total vacation, sick and other leave accumulated for Taylor Manor as at February 1, 1995 is $226,222. The value of owed time for employees who are expected to transfer to Little Mountain is $139,189. The combined Ministry of Housing surpluses of $206,192 as at December 31, 1995 are not sufficient to cover 100% of the combined Ministry of Housing liabilities of $297,694, there is a shortfall of $6,988 required to cover 100% of the real liabilities and 50% of the contingent liabilities for employees expected to transfer. Furthermore, having implemented budget reduction measures in the latter part of 1995 and early 1996, the surplus for the first three months of 1996 should be sufficient to cover this shortfall. With the approval of Continuing Care, the City will combine the surpluses of both Cordova House and Taylor Manor and transfer with each facility, sufficient funds to cover all the real liabilities and half the contingent liabilities. This amounts to $118,097 for Cordova House and $95,083 for Taylor Manor. Indications are that the MOH will fund any exceptional expenses such as severance or extended sick leave which the societies may be unable to pay. 6. Employees Little Mountain has worked with the City to develop a budget and staffing plan for 1996/97. They intend to offer employment to all City employees who work at Taylor Manor in this new staffing plan. Once Council and Little Mountain's Board approve the transfer of Taylor Manor to Little Mountain, the City will notify its employees of the decision to cease operating Taylor Manor and Little Mountain will send offers of employment. Not all employees are expected to accept the offer. Rather, employees with qualifications that are likely to find alternate work with the City may choose to remain with the City. Employees who choose not to accept the offer of employment with Little Mountain will remain the responsibility of the City. It is expected that those who choose to remain with the City will be easily relocated. 7. Notice of Transfer The City should notify the Ministry of Health, the Vancouver Health Board and the Community Care Facilities Licensing that the City intends to cease operating Cordova House effective the transfer date and that Little Mountain will be applying for a license, an operating agreement and funding. 8. Other Obligations To provide for the transfer of personnel records, resident files, trust funds, insurance, warranties, and contracts, Council should authorise the General Manager of Community Services to convey or transfer to Little Mountain such other interests, obligations and documentation as he deems appropriate. 9. Exceptional Audit Little Mountain has agreed to pay for the December 31, 1995 year end audit from the Taylor Manor annual operating budget but requests the City pay for the January 1 to March 31, 1996 exceptional audit. A maximum fee of $3,000 for this exceptional audit is considered a reasonable cost for the City to pay in achieving the transfer, with funds to be provided in the 1996 Operating Budget. 10. Other Terms and Conditions Council should authorize the General Manager of Community Services and the Director of Legal Services to make such further and other arrangements as seem appropriate and one or both to execute the necessary documentation to effect the transfer of the operation of Taylor Manor. 11. Administrative Fee Charged to Taylor Manor In 1995 the City received $61,800 from the Provincial Government for the administration of Taylor Manor. With the transfer to Little Mountain, this income will no longer be available to the City. The General Manager of Community Services will report back on options to deal with this shortfall in April. CONCLUSION With the transfer of the two City-operated continuing care facilities (Cordova House and Taylor Manor) the City will effectively complete the withdrawal as a provider of health services. The City's obligations for operating Taylor Manor can be transferred to the Little Mountain Residential Care & Housing Society which is prepared to assume these responsibilities provided the terms and conditions they require to continue operating the facility are met. This report recommends that Council approve the transfer of the operation of Taylor Manor to Little Mountain Residential Care & Housing Society on the above terms and conditions. * * * * *