VCH is one of five publicly funded regional healthcare authorities[3] within the Canadian province of British Columbia.

The government of British Columbia, through the British Columbia Ministry of Health, sets province-wide goals, standards and performance agreements for health service delivery by the seven health authorities.

Vancouver Coastal Health Authority serves the 1.25 million of British Columbia's population of five million (approximately one in four) who live in a geographic area of 58,560 square kilometres (22,610 sq mi) that includes 12 municipalities, four regional districts and 14 Aboriginal communities.

VCH is geographically divided into three health service delivery areas (HSDA), which in turn are divided into 14 local health areas (LHA).

[4] The following regional districts are partially or entirely covered by VCHA.