COMMITTEE OF THE WHOLE

 

 

 

 

 

TO:

Mayor and Members of Council

 

 

 

 

FROM:

Jim Sales, Commissioner of Community and Fire Services

Jim Baird, Commissioner of Development Services

 

 

 

 

PREPARED BY:

Stuart Taylor, Director of Strategic Services

David Clark, Town Architect

 

 

 

 

DATE OF MEETING:

June 14, 2005

 

 

 

 

SUBJECT:

Markham Stouffville Hospital Site Master Plan

 

 

 

 

 

RECOMMENDATION:

 

THAT the report entitled “Markham Stouffville Hospital Site Master Plan” be received;

 

AND THAT Council endorse the concept of the Markham Stouffville Hospital Site Master Plan as the basis to develop an integrated facility incorporating the Town’s future Central East Community Centre complex with the hospital’s Health and Wellness facility;

 

AND THAT staff be authorized to participate and report to Council on the results of the public information open house scheduled for June 29, 2005, to present the emerging land use concept for Cornell Centre and an overview of the Markham Stouffville Hospital Master Plan concept;

 

AND THAT staff bring forward the “Principles of an Understanding between the Markham Stouffville Hospital and the Town of Markham” as the basis for entering into a land, design, construction and operating arrangement with the Markham Stouffville Hospital in the fall of 2005.

 

PURPOSE:

The purpose of this report is to present the concept plan for the Markham Stouffville Hospital Site Master Plan.  This concept plan is an integral part of the Development Services Commission’s emerging Cornell Centre concept, as presented to Council in May 2005, and scheduled for presentation at a public information open house on June 29, 2005.  The Cornell Centre is a response to the Provincial growth initiatives and York Region’s Centres and Corridors policies.  The public information open house results will be reported to Council.

 

This report will outline;

 

§         the advantages presented to the Town of Markham in an integrated facility with the hospital.  The facility would include the future Central East community centre and library complex, along with a proposed Health and Wellness facility;

§         the need and rationale for structured parking as part of the first phase of a joint Town-Hospital development; and

§         the operational opportunities and challenges presented to the Town of Markham.

 

BACKGROUND:

A Community Centre & Library Complex to be located in Cornell

The Recreation and Cultural Services Master Plan prepared in 1999 recommended a community centre and library facility in the east end of Markham. The approved Cornell Secondary Plan identified a 20-acre site (north of Highway 7 and east of a future Bur Oak alignment) for a future community centre facility.

 

Expansion of the Markham Stouffville Hospital Site

In February 2004 the Markham Stouffville Hospital and the Grace Hospital of York Region jointly released a Request for Proposal for the development of a program and site master plan at the Markham Stouffville Hospital location.  The site master plan was initiated to;

 

§         identify renovations and expansions required at the Markham Stouffville Hospital;

§         locate the Grace Hospital of York Region onto the site; and

§         situate a new Health and Wellness facility (approximately 150,000 sq. ft.) onto the site.

 

The Health and Wellness facility will provide out-patient rehabilitation, asthma and diabetes clinics, as well as professional offices and related retail opportunities. The two hospitals launched the site master planning process on September 13, 2004.

 

On September 28, 2004 Council approved a report authorizing Town staff to work with the Markham Stouffville Hospital to explore an integrated Community Centre and Library complex on the site.  Town staff worked with the hospital staff and consultants to provide regular input into the preparation of a concept master plan for a joint Town-Hospital facility.

 

Hospital Site Master Plan Received Board Approvals this May

The Hospital Site Master Plan was completed recently.  It received endorsement by the boards of Markham Stouffville Hospital and Grace Hospital on May 11, 2005 and May 10, 2005, respectively.  The hospitals will submit a concept plan document to the Province.

 

The site master plan is predicated on the acquisition of adjacent lands by the Markham Stouffville Hospital.  The adjacent land is located to the southeast of the current hospital site (see Appendix 1).   The Town has supported the hospital’s acquisition efforts by facilitating contacts with adjacent landowners. Hospital representatives have contacted all adjacent landowners and are confident the land acquisition programme will be successfully completed.

 

Key principles of the Site Master Plan included incorporation of stakeholder requirements, strong functional links among buildings, and consideration of supportive facilities such as an on-site parking structure and transit friendly elements. 

 

The Location of the New Facilities

Appendix 2 outlines the conceptual location of the Health and Wellness facility, Central East Community and Library complex, and the new Grace Hospital.  The Community Centre and Library complex fronts onto Bur Oak Avenue and incorporates the Health and Wellness features into its building.  The Grace Hospital of York Region is immediately south of the existing Markham Stouffville Hospital and to the west of the Health and Wellness/ Community Centre complex.  A small urban plaza has been located at the Bur Oak Avenue and new east-west street intersection to provide internal programme visibility and animation to the two street fronts.   

 

The hospitals envisioned a two-phased approach to the development time frame.  Phase 1 will commence construction in 2008 and Phase 2 in 2016.  Phase 1 (2008) contains the expansion of Markham Stouffville Hospital and the new Grace Hospital, the development of the joint Community Centre complex and Health and Wellness building, and related parking and transit features.  Phase 2 (2016) will feature limited expansion to the hospital facilities, as well as medical office, research or compatible commercial development and parking on the remainder of the site. 

 

The Site Master Plan features the provision of a parking structure between the Markham Stouffville Hospital and the Health and Wellness/ Community Centre and Library.  The parking structure has direct access to Bur Oak Avenue and is strategically located to serve the three major building programme elements. In addition there is other surface parking, principally on the west side of the site, to support the new and expanded programmes.

 

A York Region Transit terminal is included in the Site Master Plan. The proposed terminal is located adjacent to the north east corner of the existing Markham Stouffville hospital building.  A preliminary functional analysis for transit “fit” has been completed.  The Markham Stouffville Hospital and the Region of York will need to negotiate the final details related to the transit terminal lands. 

 

At the same time, Town staff in consultation with York Region Transit and York Region Rapid Transit  are working with the Cornell landowners group to identify a long-term alternative location that would see the transit terminal fronting onto Highway 7.  A future Highway 7 location is anticipated to serve a larger ridership and provide a more extensive transit terminal adjacent to the planned employment node at Highway 7 and the Markham By-pass.

 

The Site Master Plan is conceptual at this stage.  However, the plan has been developed in sufficient detail to provide a sound basis for estimating the capital cost of each programme area.

 

 

 

The Health and Wellness Development Program

In the draft 2005-2021 Parks, Recreation, Culture and Library Master Plan, two new ice pads were recommended.  However, the incorporation of a twin pad arena into the integrated concept is problematic.  The large indoor ice facilities would be difficult to locate within the plan, add significantly to the parking demand and would have operational impacts that are not well suited to the overall concept. 

 

Town staff recommends that the twin pad not be located in the Hospital Site Master Plan.  Instead the twin pad arena would be located at a proposed southeast community centre in Markham.

 

The proposed integrated Health and Wellness/Community Centre and Library would be jointly developed by the Markham Stouffville hospital and the Town.  The combined multi-level facility is estimated at 270,000 square feet.  The building will include;

 

Health and Wellness (Hospital) features (est. 150,000 sq.ft.):

Recreation and Library (Town) features (est. 120,000 sq.ft.):

§         day surgery

§         diagnostics

§         outpatient/ ambulatory clinics

§         professional offices

§         outpatient rehabilitation

§         health related retail

§         library

§         gymnasium

§         aquatic facilities

§         fitness centre

§         youth and older adult space

§         program space

 

 

The Benefits to Markham

By integrating the Town’s Community Centre and Library with the hospitals’ Health and Wellness facility, there are a number of direct benefits to the Town.  The benefits are aligned to a number of Town of Markham corporate goals.  These include:

 

1.      Capital and Operating Cost Efficiency

An integrated facility will provide capital and operating efficiencies to the Town.  Most notably, the Town will avoid the significant capital costs associated with land purchase.  In return, visitors to the Health and Wellness facility and approximately 2,000 hospital employees will have access to the Community Centre and Library facilities.  Access to shared facilities and services and access to Town programs by the on-site hospital population will provide incremental efficiencies to the Town’s operating costs over time.

 

2.      Alignment with the Cornell Vision

This joint project supports the Town’s policies to promote compact urban form and new urbanism. The complex will be located adjacent to Cornell’s main corridor, Bur Oak Avenue. The buildings are in close proximity to the street line to provide a continuous urban edge to Bur Oak Avenue.  It is compatible with the development form used by the residential neighbourhoods to the north. Programme activities will animate the pedestrian environment.

 

There is pedestrian connectivity through the site.  Built space is integrated with urban open spaces and plazas to provide a continuous interaction between indoor and outdoor space.

 

3.      Transit Supportive

This joint facility will support and be accessible by public transit.  The consolidation of the major community and regional destinations on the same site makes for ease of service for public transit users. Bur Oak Avenue will be a major focus of local transit activity.

 

4.      A Catalyst for Structured Parking

The compact urban form of this project has necessitated the development of a structured parking strategy to serve the needs of patrons and visitors to the hospital campus.  The development of a structured parking facility represents a financial challenge to build and operate.  Provincial hospital funding and the Town’s current development charge regime do not support the development of structured parking facilities.  Town staff has identified two potential opportunities to help support the construction and operation of the parking facility, as outlined below.

 

Possible Contribution from Cornell Developer’s Group

The location of the Community Centre complex on the hospital lands removes the burden of providing land for a stand alone community centre complex by the Cornell Developer’s Group.  Land that would otherwise be dedicated and purchased by the Town can now be put into revenue production as additional residential development by the developers. Town staff believe that impacted developers might be willing to contribute capital support for the development of a parking structure.  However, it is anticipated that any such contribution may not cover the full capital costs of a parking structure.

 

Possible Contribution from On-site Parking Revenues

Markham Stouffville Hospital operates user pay surface parking on the existing property.  The hospitals plan to extend this policy to apply to all new parking facilities, including the proposed parking structure. The largest customer segment for the proposed structure is hospital users. Fees generated by hospital patrons and visitors are expected to support a significant component of the operating costs for the parking facility. Town staff will investigate the financial feasibility of operating the facility as a shared resource and the basis in which community centre and library users will access the parking structure.

On-site paid parking will have an impact on the surrounding streets once the adjacent street network is completed. It is conceivable the Town might implement on-street paid parking on surrounding streets to control parking impacts. The on-street parking revenues could be redeployed to support parking operation costs in the area.

 

5.      The Programme Consolidation will act as a Community Focal Point

The new and expanded facilities on this site will complement the Cornell community.  The facilities could attract additional employment, stimulate economic activities, such as retail and business services, and provide support for a range of higher density residential opportunities and new residential forms.  The area would function as a community focal point and support Markham’s economic development strategy on bio-tech and medical research related industries. 

 

6.      Supports Markham’s Environmental Objectives

The Markham Stouffville Hospital and the Grace Hospital of York Region will consider incorporating green initiatives into building design, energy efficiency and product procurement.  These discussions have been general in nature and requirements will be built into the Request for Proposals for architectural design as the project moves ahead. 

 

7.      An Opportunity for Markham District Energy

The existing and proposed facilities covered by the Site Master Plan will be served by a central energy facility.  As well, additional medical office or commercial buildings are contemplated at full development.  As the surrounding urban mixed-use residential and employment node develops, there could be more demand for central energy facilities.   

 

Preliminary discussions have already taken place between Markham District Energy and the Hospitals.  Markham District Energy has been made aware of the discussions between the Town and the surrounding landowners that could enhance the business case for central energy facilities.   Markham District Energy is examining a potential energy strategy for the Cornell Centre and the Hospital district area.  Markham Stouffville Hospital remains open to continuing discussions.

 

8.      The Health and Wellness Concept Will Support Healthy Active Living in Markham

The combination of services and features within the Health and Wellness complex will support and reinforce the benefits of healthy active living.  The aging adult market is a health care risk for the Canadian society.  In addition, the Foundation for Healthy Active Kids has identified that in 1996, 35% of males and 29% of females between the ages of 7 to 13 were overweight in Canada.  In the long-term, an investment in healthy active living may be a proactive way to reduce significant health care costs. 

 

 

OPTIONS/DISCUSSION:

There are a number of land parcels to be acquired in order for the Site Master Plan to be realized.  The Markham Stouffville Hospital is in discussions to acquire these properties.  It is assumed the properties will be purchased in a timely manner.  A delay or unanticipated setback could slow the progress on some or all of the components of the project.  The basic assumption that additional lands will be acquired is a fundamental basis for the Hospitals’ funding application to the Province.

 

The Markham Stouffville Hospital and the Grace Hospital of York Region will be reviewing the Site Master Plan with the Ontario Ministry of Health.  It is anticipated the Ministry will provide both verbal and financial support before detailed project designs are initiated.  As a fall back position the Town will continue to secure an alternative site for a stand-alone facility on the lands immediately to the east of the current proposal through the Secondary Plan and agreements with the Cornell Developer’s Group. The alternate lands need only be secured through to 2007 to ensure the partnership with the hospitals would be a successful one.

 

There are significant infrastructure improvements and agreements required in order for the construction of buildings to begin.  This includes, but is not limited to;

 

§         The construction of a local connector road to the south of Markham Stouffville Hospital to link Ninth Line to Bur Oak Avenue

 

§         Site servicing easements need to be in place

 

§         Assessing the impact of storm water management on the site plan

 

§         The extension of Bur Oak southward  to connect to Hwy. 7

 

The Town, the Markham Stouffville Hospital and the Grace Hospital of York Region will need to reach an agreement with the Cornell Developer’s Group on the cost sharing arrangement for the financing and delivery of the required infrastructure.

 

The Town is pursuing potential sites for the Cornell Fire Hall within this geographic area.  There is a possibility that the Cornell Fire Hall could be integrated into the plan or be identified within the nearby area.

 

The concept of a joint facility, land acquisition challenges, and the operation of an on-site parking structure make this a complex and challenging partnership.  This is a collaborative partnership between two primary organizations, namely the Town of Markham and the Markham Stouffville Hospital.  To ensure success, the Town of Markham and the Markham Stouffville Hospital will need to come to terms with the different ownership and operating models.  The arrangements between the parties will have to address various financial and operating issues, including revenues and costs of the integrated facility and parking structure, treatment of ancillary uses such as retail and food services, and the maintenance agreement of the facilities, just to name a few.  Further negotiations with the hospital will be required.

 

Development Services staff are holding a public information meeting in June on the Cornell Centre.  Since the hospital site is a part of the Cornell Centre, Town staff would be interested in providing an overview of the Hospital Site Master Plan at the information meeting.

 

 

FINANCIAL CONSIDERATIONS:

Financial considerations will be discussed in detail as part of a future report on the joint Health and Wellness/ Community Centre and Library and the parking structure ownership and financing strategy.

 

 

BUSINESS UNITS CONSULTED AND AFFECTED:

The discussions to date have involved staff from the Development Services Commission and the Community and Fire Services Commission.

 

 

 

ATTACHMENTS:

Appendix 1:  Location Map

Appendix 2:  Hospital Site Master Plan Concept

 

 

 

 

 

 

 

 

 

 

 

Jim Sales,

Commissioner of Community and Fire Services

 

Jim Baird,

Commissioner of Development Services

 

 

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