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Howard has extensive strategic and operational health care leadership experience in both Canada and the United Kingdom, having held a number of key President and CEO roles on both continents.

Most recently, Howard served as the President and Chief Executive Officer of the Vancouver Island Health Authority, a fully integrated regional health authority in British Columbia serving over 750,000 individuals with an annual operating budget in excess of $2.0B. Prior to this he was the Chief Operating Officer in Calgary Health Region in Alberta. He is also an Adjunct Professor and is the Principal of the Strategic Consulting firm, Caledonia Solutions Canada Inc.