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Report Number: CAO 05-21
Date: August 30, 2021
From: Fiaz Jadoon
Director, Economic Development & Strategic Projects
Subject: Lakeridge Health – New Hospital Opportunity
-File: A-1440
Recommendation:
1.That in accordance with Purchasing Policy Item 10.03 (c), the proposal submitted by
HOK in the amount of $195,000.00, dated July 27, 2021 and Deloitte LLP in the amount
of $85,425.00, dated August 11, 2021, respectively, to develop a compelling and
comprehensive response to the anticipated RFP release for a new hospital in Durham
Region in the amount of $316,880.25 (HST included), and the net project cost of
$285,360.00 (net of HST rebate) be accepted;
2.That Council authorize the Director, Finance & Treasurer to finance the net project cost of
$285,360.00 as follows:
a. The sum of $142,680.00 to be charged to the General Government Consulting
account (2126.2392.0000); and
b. The sum of $142,680.00 to be funded from the North East Pickering Landowners
Group;
3.That the appropriate City of Pickering officials be authorized to take the necessary
actions as indicated in this report; and
4.That the City Clerk forward a copy of Report Number CAO 05-21 to the North East
Pickering’s Landowner’s Group.
Executive Summary: Lakeridge Health, Durham Region’s community healthcare system
provider, will be releasing a request for proposal (RFP) to invite municipalities to submit
responses for the selection of a site for its new hospital. The City of Pickering has expressed
interest in this opportunity, and is proposing a hospital on a site situated at Salem Road and
Highway 407 in Pickering. The 70 acre site is being donated by the North East Pickering
Landowners Group Inc. for this purpose for this purpose.
In 2019, Lakeridge Health began developing its Master Plan to map out the next 25 years of
healthcare in Durham. During this process, Lakeridge Health identified the need for a new
comprehensive acute care hospital to address the needs of the community. This proposed new
hospital (along with other key capital investments identified in Lakeridge Health’s Master Plan)
will help ensure that, as Durham continues to grow over the coming decades, residents’ health
REVISED
CAO-05-21 August 30, 2021
Subject: Lakeridge Health – New Hospital Opportunity
care needs are met. The site selection process is expected to be completed by the end of
2021.
An acute care hospital with an emergency department would significantly improve the
healthcare infrastructure in the City of Pickering and provide much needed care to an
underserved area with a significant projected population growth, without causing an overlap in
the existing network. Pickering’s site is ideally located to not only serve a large catchment
area, but to also attract top tier talent from a number of post-secondary institutions in Durham
Region, York Region, and the City of Toronto. The site is also highly connected with access
from Highways 407, 412, 7, and 401.
The City of Pickering is one of two municipalities in Durham Region without a major healthcare
asset. Lakeridge Health sites currently reside in Ajax, Whitby, Oshawa, Clarington, and
Scugog. Additionally, Uxbridge features a satellite site at the Markham-Stouffville Hospital, and
Whitby is home to Ontario Shores Centre for Mental Health Sciences. As such, the addition of
a hospital site in Pickering would fill a void in the Region of Durham that meets the basic needs
of the community and supports the growth expected in Seaton and Northeast Pickering.
HOK and Deloitte’s services span decades of experience across hundreds of international and
high-profile clients. The degree and quality of expertise provided by these two firms will benefit
the City of Pickering’s position in the site selection process. It is therefore recommended that
the proposals submitted by HOK and Deloitte LLP for the combined total amount of
$316,880.25 (HST included) be accepted, and that HOK and Deloitte LLP be retained to
undertake the response to the anticipated RFP release for a new hospital by Lakeridge Health.
In support of this initiative, the North East Pickering Landowners Group Inc. is prepared to fund
50 per cent of the project cost, in the amount of $158,440.00 (HST included) to facilitate the
retention of consultants and preparation of the proposal.
Note that the net project cost to the City is $285,360.00 (as per Recommendation 2) and gross
project cost is $316,880.25 (13 per cent HST included). The North East Pickering Landowners
Group is obligated to pay the 13 p er cent HST, therefore, their share of 50 per cent is equal to
$158,440.00 (13 p er cent HST included).
Financial Implications:
1.Project Costing Summary
HOK Proposal $195,000.00
Deloitte LLP Proposal 85,425.00
Total Project Costs (excluding HST) $280,425.00
HST (13%) 36,455.25
Total Gross Project Costs $316,880.25
HST Rebate (11.24%) (31,520.00)
Total Net Project Costs $285,360.00
2. Source of Funds –Current Budget (Unbudgeted)
Account Code Source of Funds Amount
2126.2392.0000 Property Taxes (General Government) $142,680.00
North East Pickering Landowners Group 142,680.00
Total Funds $285,360.00
Discussion: The proposed development of a new hospital in Durham Region is a
major component of Lakeridge Health’s Master Plan, which serves as a roadmap for the future
of health care delivery in Durham Region. Based on evidence and growth projections,
Lakeridge Health is planning for inpatient bed growth of almost 1,000 beds to meet projected
demand over the next 25 years.
In moving forward with the process to identify and protect a site for a proposed new hospital in
Durham Region, Lakeridge Health announced in June 2021 the members who were selected
for the Independent Expert Panel. The Panel is made up of a diverse group of professionals
who bring many years of leadership experience and expertise in health care and real estate
development to this site selection process. The Panel members were selected based on a
skillset that the Board’s Site Selection Committee approved, and have the experience
necessary to lead all aspects of the independent and transparent process to identify the right
site. To ensure the independence of the process, the Panel is made up of professionals with
no employment, residency, or financial ties to Durham Region. The site selection process is
expected to be completed by the end of 2021.
For the first phase, Lakeridge Health launched a public survey to give members of the
community an opportunity to provide input on the site selection criteria used to assess potential
sites for the proposed future hospital. It is currently unknown what the RFP deliverables will be
until the release of the documents, which is expected soon. At present, three municipalities in
Durham Region have expressed interest in being considered to be the host of the new
hospital. The City of Pickering, Town of Whitby, and City of Oshawa are expected to submit an
official response to the Request for Proposal from Lakeridge Health.
It is critical to start the analysis and concept development in preparation of the RFP release.
For this reason, the services of HOK and Deloitte LLP are required to conduct early analysis
and concept development, working alongside City staff, in order to be prepared and meet the
quick turnaround period for the proposal.
The two firms combined bring a wealth of knowledge, expertise, and resources, which will be
key in preparing a comprehensive submission in response to the RFP. In addition to working
on high profile projects, the companies also bring experience specific to attracting hospitals to
communities. HOK has specialized in planning and design of healthcare facilities for more than
40 years. In the past 10 years, they completed projects exceeding $10 billion in construction
costs, including more than 500 projects in acute and ambulatory care. HOK is able to draw
upon the resources and experiences of an international firm while simultaneously providing
localized personal knowledge. In addition, Deloitte’s advisory practice is the pre-eminent
healthcare and public sector professional services firm in its field. The Infrastructure & Capital
Project team has advised Canada’s largest hospitals on its complex planning, procurement,
implementation, financing and strategic financing initiatives with a combined capital value in
excess of $11 billion. Clearly, considering the tight deadline and lack of internal resources and
expertise, the consulting services of HOK and Deloitte would assure that a detailed and quality
proposal is being submitted by the City of Pickering.
The total cost of retaining HOK and Deloitte LLP to develop a comprehensive proposal for the
City is $316,880.25 (HST included). The City will share the cost of the consultants with the
North East Pickering Landowners Group Inc. The Group has formally confirmed their 50 per
cent funding in the amount of $158,440.00 (HST included).
HOK will be focusing on two main areas:
1. Research and Analysis; and
2. Design and Urban Planning
Deloitte will be focusing four main areas:
1. Provide the City with advice and best practices regarding its development of a strategy
and value add proposition to enhance its RFP Response;
2. Assist in documenting the City’s RFP Response;
3. Graphic and Communications Package; and
4. Work with other advisors, such as HOK, and stakeholders as appropriate.
The City’s Public Affairs & Corporate Communications Division has also engaged the services
of NKPR to render public relations and marketing services to drive community-wide awareness
of the need for a new hospital. Members of Council approved the hiring of NKPR at the June
2021 Council meeting.
The services of NKPR, at the cost of $35,000.00 (plus HST), include:
1. Strategic PR and social media counsel;
2. Key media materials development;
3. Media relations – proactive and reactive;
4. Influencer relations;
5. Content integrations into NKPR’s social media channels; and
6. Regular reporting.
Attachments:
1. Letter from North East Pickering Landowners Group
Prepared By:
Original Signed By:
Laraib Arshad
Senior Economic Development Officer
Approved/Endorsed By:
Original Signed By:
Fiaz Jadoon MPM, Ec.D.. CEcD.
Director, Economic Development &
Strategic Projects
Original Signed By:
Stan Karwowski, MBA, CPA, CMA
Director, Finance & Treasurer
FJ:la
Recommended for the consideration
of Pickering City Council
Original Signed By:
Marisa Carpino, M.A.
Chief Administrative Officer
Attachment #1 to Report # CA0 05-21
August 8, 2021
Sent Via Email
City of Pickering
One The Esplanade
Pickering, ON
L1V 6K7
Dear Mayor Ryan and Members of Council:
RE: North East Pickering Landowners Group Inc.
Lakeridge Health – New Durham Hospital – Site Selection Request for Proposals
We are writing to you in our capacity as the Group Manager on behalf of the North East Pickering
Landowners Group Inc. (NEPLG). The NEPLG includes the below landowners:
•Dorsay (Pickering) Limited (Dorsay Development Corp.)
•Stonelake Developments Inc. (Tribute)
•Canelli Heights Development Inc. &
Gladesbrook Pine Estates Corp. (Trinison Management Corp.)
•Cougs (Lakeridge) Ltd. (Coughlan Homes)
•2750 Hwy 7 Inc. (Clark/Ravi)
•Pinebrown Salem Lands Ltd. (The Brown Group)
•Trinipark Developments (BT) Corp. (Armland Group)
The NEPLG understands that Lakeridge Health is proceeding with a site selection process to
identify a potential site for a new hospital within Durham Region. The NEPLG are supportive of a
site within Northeast Pickering and understand that the City of Pickering will be preparing a
proposal to Lakeridge Health. In order to prepare such proposal, it is understood that the City
will be retaining several consultants to develop a comprehensive proposal for the City.
Recognizing the importance of the proposed hospital to the City, the NEPLG would like to
formally confirm that we are prepared to fund 50% of the City’s $280,425.00 + HST proposed
project costs, ($140,212.50 + HST NEPLG share) to facilitate the retention of consultants and
preparation of the proposal.
The NEPLG are prepared cooperate with the City through the proposed process by sharing
background reports/studies and related information that the NEPLG has prepared to date.
On behalf of the NEPLG, we look forward to working with the City on this exciting project!
Michael May, P. Eng., General Manager
Delta Urban Inc., North East Pickering Landowners Group Inc. – Group Manager
cc: M. Carpino, Chief Administration Officer
F. Jadoon, Director of Economic Development & Strategic Projects
K. Bentley, Director of Planning
North East Pickering Landowners Group Inc.