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ACTION:
Decision
TOPIC:
PURPOSE:
To provide a summary list of recommendations from the reports on the consent agenda for the Board meeting on
May 28, 2015.
BACKGROUND INFORMATION:
SUMMARY OF ITEMS ON THE CONSENT AGENDA:
a) Minutes:
THAT the minutes of the previous meetings held on March 26, 2015 be approved as circulated.
b) Chair Report:
THAT the Chair Report for May 2015 be received for information.
c) CEO Report:
THAT the CEO Report for May 2015 be received for information.
d) Finance & Audit Committee Report:
THAT the Waterloo Wellington Local Health Integration Network Board of Directors receive the Finance
& Audit Committee Report from March 26, 2015 as information.
e)
f)
NEXT STEPS:
N/A
RECOMMENDATION:
THAT the items of the consent agenda for May 28, 2015 be accepted.
Consent Agenda
Item 7.0 A
Page 1
Regrets:
D. Small (Vice-Chair)
Staff Present:
Recording
Secretary:
D. Ruprecht
1.0
2.0
3.0
4.0
Closed Session
Motion No. 66-14/15 Moved by M. OBrien, seconded by J. Nesbitt and unanimously
approved:
THAT the meeting adjourn and move into a closed session for the
purpose of a discussion about matters of such a nature that the
desirability of avoiding public disclosure of them outweighs the
desirability of adhering to the principle that Board meetings be open
to the public under section 9(5) (a) of the Local Health System
Integration Act, 2006.
Page 2
Note: The open session adjourned at 12:02 p.m. to move into closed session
Note: The closed session adjourned at 1:55 p.m.
WELCOME
J. Fisk welcomed Board members and guests to the meeting at 2:02 p.m.
5.0
7.0
Consent Agenda
The following item was on the Consent Agenda for March 26, 2015.
a)
Minutes:
THAT the minutes of the previous meetings held on January 29, 2015 be approved
as circulated.
b)
Chair Report:
THAT the Chair Report for March 2015 be received for information.
c)
CEO Report:
THAT the CEO Report for March 2015 be received for information.
d)
Page 3
THAT the Waterloo Wellington Local Health Integration Network Board of Directors
receive the Finance & Audit Committee Report from January 29, 2015 as
information.
e)
f)
g)
h)
9.0
Page 4
Page 5
Page 6
__________________
J. Fisk
Chair
_
M. OBrien
Secretary
__
____________________
D. Ruprecht
Recording Secretary
Chairs REPORT
Consent Agenda
item 7.0 B
Consent Agenda
item 7.0 C
education/self- management program that will be delivered in accordance with the cultural beliefs of our
diverse aboriginal community.
This will be welcome news for people like 53-year old Peter who has problems with his feet related to his
diabetes. Peter, who has deep respect for traditional ways, will be able to get the help he needs that is
culturally appropriate.
The aboriginal program is led by the Aboriginal Health and Wellness program at Kitchener Downtown
Community Health Centre and will be delivered in Kitchener, Guelph and North Wellington.
The percentage (prevalence) of diabetes among the French-speaking community is also higher than the
general population. To meet the needs of the community, our French Language Services Coordinator
France Tolhurst was successful in working with Langs Community Health Centre in Cambridge to establish
a partnership with members of our Francophone Community in Hamilton to access a French language
diabetes education session series (through Langs) via the Onatario Telemedicine Network for our local
French speaking residents who have diabetes. One session took place at the end of March and two more
sessions are planned for June and September. The program could be expanded at other locations within
Waterloo Wellington to respond to the demands from other areas.
Another new innovative program in French has been developed in partnership with the Waterloo
Wellington LHIN and the Canadian Mental Health Association Waterloo Wellington Dufferin. The program
features a series of workshops on suicide prevention for the community, service providers and those in
education. Yet another example of collaboration leading to great outcomes for our diverse communities
and addressing prevelant gaps in health equity.
We are working hard to ensure our health system is one that is truly accessible to everyone while
recognizing the way people access health services may be different depending on the unique needs of
individuals. As we develop our next Integrated Health Service Plan access to health services from the
perspective of health quity will be an increasingly strong focus for us.
50 Sportsworld Crossing
In addition to our new Senior Director of Health Service Integration, Gloria Cardoso, we welcomed several
new faces to our LHIN dynamic team as we shift from contract to more permanent staff role. David Meyer,
Manager, Contracts and Accountability. David brings a broad range of expertise most recently as Manager,
Capital Projects at the Ministry of Research and Innovation. Jenny Flagler-George, Senior Planner has
joined us to cover Hilary Blacketts maternity leave. Jenny worked with a number of groups locally,
including the Manulife Centre for Community Health Research, Age Friendly City Committee for the City of
Waterloo, the Social Planning Council in KW, and the Canadian Council of Muslim Women. Cheryl Evans,
Communications Lead has joined us for a one-year secondment from Grand River Hospital. Cheryl is an
award-winning communications officer with 10+ years of health care experience and accredited with the
Health Care Public Relations Association. Karen Bell, Senior Manager, Health System Integration has
joined us from Grand River Hospital where she was Program Director of the Emergency Department and
lead the performance improvement of GRHs ED wait times. Karen has also worked within a professional
consulting firm focused on ehealth solutions and is a keen advocate to in the use of information and
information systems to help inform decision making. Brian Bailey recently moved to the Performance &
Accountability Department. Brian will continue to support his current area of performance analysis. The
Performance & Accountability team mandate is to ensure that health care dollars are spent efficiently and
effectively, yielding the best results possible for our residents.
Consent Agenda
item 7.0 D
Moved by B. Dinwoody
Seconded J. Fisk (adopted)
THAT the Finance & Audit Committee make a
recommendation to the WWLHIN Board of
Directors to accept the Financial Statements ending
December 31, 2014.
Moved by B. Dinwoody
Seconded M. OBrien (adopted)
THAT the Finance and Audit Committee
recommend that the Board approve the WWLHIN
2015/16 Operating Budget pending confirmation of
Page 1 of 2
Recommendation
THAT the Board receive this report of the Finance & Audit Committee meeting
held on January 29, 2015 for information
Page 2 of 2
Consent Agenda
item 7.0 E
Page 1 of 1
Financial statements of
Deloitte LLP
5140 Yonge Street
Suite 1700
Toronto ON M2N 6L7
Canada
Tel: 416-601-6150
Fax: 416-601-6151
www.deloitte.ca
Opinion
In our opinion, the financial statements present fairly, in all material respects, the financial position of
Waterloo Wellington Local Health Integration Network as at March 31, 2015 and the results of its
operations, change in its net debt, and its cash flows for the years then ended in accordance with Canadian
public sector accounting standards.
Page 2
Financial assets
Cash
Due from Ministry of Health and Long-Term Care (Note 9)
Other receivables
Liabilities
Accounts payable and accrued liabilities
Due to Ministry of Health and Long-Term Care (Note 3b)
Due to Health Service Providers (HSPs) (Note 9)
Due to the Local Health Integration Networks Shared
Services Office (Note 4)
Deferred capital contributions (Note 5)
Net debt
2015
$
2014
$
421,932
5,546,146
306,375
6,274,453
844,942
2,378,472
124,090
3,347,504
542,072
248,355
5,546,146
667,663
334,506
2,378,472
4,308
249,620
6,590,501
89
252,488
3,633,218
(316,048)
(285,714)
66,428
249,620
316,048
-
33,226
252,488
285,714
-
Commitments (Note 6)
Non-financial assets
Prepaid expenses
Tangible capital assets (Note 7)
Accumulated surplus
Approved by the Board
The accompanying notes to the financial statements are an integral part of this financial statement.
Page 3
Revenue
Ministry of Health and Long-Term Care funding
Health Service Providers transfer payments
(Note 9)
Local Health Integration Network
operations - general and administrative
Project Initiatives (Note 10)
Diabetes Regional Coodination (Note 10a)
Enabling Technologies ETI PMO (Note 10b)
Emergency Department Lead (Note 10c)
Emergency Department/Alternative Levels
of Care Lead (Note 10d)
Aboriginal Planning (Note 10e)
French Language Services (Note 10f)
Critical Care Lead (Note 10g)
Primary Care Lead (Note 10h)
Amortization of deferred capital contributions
(Note 5)
Funding repayable to Ministry of Health and
Long-Term Care (Note 3b)
Expenses
Transfer payments to Health Service Providers
(Note 9)
Local Health Integration Network operations general and administrative (Note 11)
Proejct Initiatives (Note 10)
Diabetes Regional Coordination (Note 10a)
Enabling Technologies ETI PMO (Note 10b)
Emergency Department Lead (Note 10c)
Emergency Department/Alternative Levels
(Note 10d)
Aboriginal Planning (Note 10e)
French Language Services (Note 10f)
Critical Care Lead (Note 10g)
Primary Care Lead (Note 10h)
Annual surplus and accumulated surplus,
end of year
Budget
(Note 8)
$
2015
Actual
$
2014
Actual
$
1,007,340,276
1,035,139,980
1,021,950,105
4,107,342
4,107,343
4,173,795
1,057,284
510,000
75,000
1,057,284
510,000
75,000
1,341,284
280,000
75,000
100,000
5,000
106,000
75,000
75,000
100,000
5,000
106,000
75,000
75,000
100,000
5,000
106,000
75,000
75,000
94,245
1,013,545,147
94,245
1,041,344,852
81,134
1,028,262,318
1,013,545,147
(248,355)
1,041,096,497
(478,506)
1,027,783,812
1,007,340,276
1,035,139,980
1,021,950,105
4,201,587
4,085,542
4,243,669
1,057,284
510,000
75,000
985,524
454,095
75,000
998,133
171,752
66,661
100,000
5,000
106,000
75,000
75,000
1,013,545,147
100,000
924
105,432
75,000
75,000
1,041,096,497
100,000
360
106,000
72,132
75,000
1,027,783,812
The accompanying notes to the financial statements are an integral part of this financial statement.
Page 4
(91,377)
94,245
2,868
(285,714)
(282,846)
2015
$
(33,202)
(91,377)
94,245
(30,334)
(285,714)
(316,048)
2014
$
26,417
(52,268)
81,134
55,283
(340,997)
(285,714)
The accompanying notes to the financial statements are an integral part of this financial statement.
Page 5
Operating activities
Annual surplus
Less: items not affecting cash
Amortization of tangible capital assets
Amortization of deferred capital contributions (Note 5)
2015
$
2014
$
94,245
(94,245)
-
81,134
(81,134)
-
(3,167,674)
(182,285)
(125,591)
(86,151)
3,167,674
(2,378,472)
(67,959)
(5,412)
(35,341)
2,378,472
4,219
(33,202)
(423,010)
(35,361)
26,417
2,260,816
(91,377)
(52,268)
Financing activity
Capital contributions received (Note 5)
91,377
52,268
(423,010)
844,942
421,932
(117,656)
962,598
844,942
The accompanying notes to the financial statements are an integral part of this financial statement.
Page 6
Description of business
The Waterloo Wellington Local Health Integration Network was incorporated by Letters Patent on
June 2, 2005 as a corporation without share capital. Following Royal Assent to Bill 36 on March 28,
2006, it was continued under the Local Health System Integration Act, 2006 (the Act) as the Waterloo
Wellington Local Health Integration Network (the LHIN) and its Letters Patent were extinguished. As an
agent of the Crown, the LHIN is not subject to income taxation.
The LHIN is, and exercises its powers only as, an agent of the Crown. Limits on the LHINs ability to
undertake certain activities are set out in the Act.
The mandates of the LHIN are to plan, fund and integrate the local health system within its geographic
area. The LHIN spans carefully defined geographical areas and allows for local communities and health
care providers within the geographical area to work together to identify local priorities, plan health
services and deliver them in a more coordinated fashion. The LHIN covers all of the County of
Wellington, the Region of Waterloo, and the City of Guelph. The LHIN also contains part of Grey County,
which is split with the South West and the North Simcoe Muskoka LHINs. The LHIN enters into service
accountability agreements with health service providers.
The LHIN is funded by the Province of Ontario in accordance with the Ministry LHIN Performance
Agreement (MLPA), which describes budget arrangements established by the Ministry of Health and
Long-Term Care (MOHLTC) and provides the framework for the LHIN accountabilities and activities.
These financial statements reflect agreed funding arrangements approved by the MOHLTC. The LHIN
cannot authorize an amount in excess of the budget allocation set by the MOHLTC.
The LHIN assumed responsibility to authorize transfer payments to Health Service Providers (HSPs),
effective April 1, 2007. The transfer payment amount is based on provisions associated with the
respective HSPs Accountability Agreement with the LHIN. Throughout the fiscal year, the LHIN
authorizes and notifies the MOHLTC of the transfer payment amount; the MOHLTC, in turn, transfers
the amount directly to the HSP. The cash associated with the transfer payment does not flow through
the LHIN bank account.
Commencing April 1, 2007, all funding payments to LHIN managed HSPs in a LHIN geographic area,
have flowed through each LHINs financial statements. Funding allocations from the MOHLTC are
reflected as revenue and an equal amount of transfer payments to authorized HSPs are expensed in
each LHINs financial statements for the year ended March 31, 2015.
The LHIN statements do not include any Ministry managed programs.
2.
Page 7
For assets acquired or brought into use during the year, amortization is provided for a full year.
Segment disclosures
A segment is defined as a distinguishable activity or group of activities for which it is appropriate to
separately report financial information. Management has determined that existing disclosures in the
statement of operations and within the related notes for both the prior and current year sufficiently
disclose information of all appropriate segments and, therefore, no additional disclosure is required.
Use of estimates
The preparation of financial statements in conformity with Canadian public sector accounting standards
requires management to make estimates and assumptions that affect the reported amount of assets and
liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the
reported amounts of revenues and expenses during the reporting period. Significant items subject to
such estimates and assumptions include valuation of accrued liabilities and useful lives of the tangible
capital assets. Actual results could differ from those estimates.
Page 8
b)
The amount repayable to the MOHLTC related to current year activities is made up of the following
components:
Funding
received
$
Eligible
expenses
$
2015
Funding
excess
$
2014
Funding
excess
$
1,035,139,980
4,085,542
116,046
11,260
985,524
454,095
75,000
75,000
71,760
55,905
-
343,151
108,248
2,868
8,339
100,000
924
105,432
75,000
1,041,096,497
4,076
568
248,355
4,640
478,506
4.
2014
$
334,506
(334,506)
369,847
(513,847)
248,355
248,355
478,506
334,506
Page 9
5.
6.
252,488
91,377
(94,245)
249,620
2014
$
281,354
52,268
(81,134)
252,488
Commitments
The LHIN has commitments under various operating leases and maintenance contracts related to
building, software and equipment. Lease renewals are likely. Minimum lease payments due in each of
the next five years are as follows:
$
2016
2017
2018
2019
2020
Thereafter
334,982
311,380
311,380
311,380
77,845
-
The LHIN also has funding commitments to HSPs associated with accountability agreements. The
actual amounts which will ultimately be paid are contingent upon actual LHIN funding received from the
MOHLTC.
Page 10
8.
Cost
$
Accumulated
amortization
$
2015
Net book
value
$
2014
Net book
value
$
362,261
85,467
358,650
806,378
347,296
83,233
126,229
556,758
14,965
2,234
232,421
249,620
56,478
3,439
192,571
252,488
Budget figures
The budget figures reported in the statement of operations reflect the initial budget at April 1, 2014 as
approved by the LHIN Board. The figures have been reported for the purposes of these statements to
comply with PSAB reporting requirements. During the year the government approved budget
adjustments. The following reflects the adjustments for the LHIN during the year:
The final HSP funding budget of $1,035,139,980 is derived as follows:
$
Initial budget
Additional funding received during the year
Final budget
1,007,340,276
27,799,704
1,035,139,980
The final LHIN general and administrative and specific initiatives budget of $6,204,871 is derived as
follows:
$
Initial budget
Additional funding received during the year
Amount treated as capital contributions made during the year
Final budget
6,296,248
(91,377)
6,204,871
Page 11
Operations of hospitals
Grants to compensate for municipal taxation public hospitals
Long-term care homes
Community care access centre
Community support services
Assisted living services in supportive housing
Community health centres
Community mental health programs
Specialty psychiatric hospitals
Addictions programs
2015
$
2014
$
591,089,080
592,553,624
159,225
178,940,392
130,112,449
27,176,605
6,013,278
21,393,493
38,641,303
30,642,050
10,972,105
1,035,139,980
159,225
176,901,625
122,436,308
25,334,972
5,923,778
20,799,606
36,660,812
30,642,050
10,538,105
1,021,950,105
The LHIN receives funding from the MOHLTC and in turn allocates it to the HSPs. As at March 31,
2015, an amount of $5,546,146 (2014 - $2,378,472) was receivable from the MOHLTC and payable to
HSPs. These amounts have been reflected as revenue and expenses in the statement of operations and
are included in the table above.
10.
Project Initiatives
Separate funding amounts were received by the LHIN from MOHLTC for specific project initiatives.
These revenues and the associated expenses are classified by initiative in the Statement of operations.
The following table classifies the initiative expenses by object:
2015
$
2014
$
1,664,776
74,338
120,008
1,410
5,042
5,401
1,870,975
1,363,517
82,957
103,467
25,518
3,717
10,862
1,590,038
Diabetes strategy operational expenses included in the project initiative expenses above are as follows:
2015
$
2014
$
857,288
128,236
985,524
799,082
199,052
32,533
1,030,667
Page 12
12.
2015
$
2014
$
2,579,361
215,822
94,245
283,655
47,500
129,647
271,347
67,888
65,975
26,550
53,023
44,148
206,381
4,085,542
2,843,504
230,213
81,134
308,951
36,743
38,686
142,928
45,784
66,500
34,925
45,343
39,512
329,446
4,243,669
Pension agreements
The LHIN makes contributions to the Hospitals of Ontario Pension Plan (HOOPP), which is a multiemployer plan, on behalf of approximately 35 members of its staff. The plan is a defined benefit plan,
which specifies the amount of retirement benefit to be received by the employees, based on the length
of service and rates of pay. The amount contributed to HOOPP for fiscal 2015 was $299,130 (2014 $276,881) for current service costs and is included as an expense in the statement of operations. The
last actuarial valuation was completed for the plan on December 31, 2014. At that time, the plan was
fully funded.
13.
Guarantees
The LHIN is subject to the provision of the Financial Administration Act. As a result, in the normal course
of business, the LHIN may not enter into agreements that include indemnities in favour of third parties,
except in accordance with the Financial Administration Act and the related Indemnification Directive.
An indemnity of the Chief Executive Officer was provided directly by the LHIN pursuant to the terms of
the Local Health System Integration Act, 2006 and in accordance with s. 28 of the Financial
Administration Act.
14.
Comparative figures
Certain comparative figures have been reclassified to conform with the financial statement presentation
adopted for the current year.
Page 13