The Columbia Shuswap Regional District (CSRD) Board responds to locally expressed needs for service and consults with residents about which services they can provide, where they are to be provided and how the services are to be financed. A variety of forms of consultation are used, including referenda and the receipt of petitions. Some services may be provided to only part of an electoral area, while others are provided region-wide. Costs are recovered through many avenues - taxation, user fees, public admission revenues and government grants.
Regional District staff work to ensure that these services are provided in the most effective and efficient way. The Regional District also functions as the Regional Hospital District in order to provide capital financing for the building of new hospitals, improvements, major renovations, and machinery and equipment purchases. This cost is usually shared on a 60% Provincial and 40% Regional Hospital District basis.