File - Sunnybrook Health Sciences Centre

Transcription

File - Sunnybrook Health Sciences Centre
Your Goals
are Our
Business
2002 / 2003 ANNUAL REPORT
Don Wade, Assistant Captain,
Canada’s Amputee Hockey Team
An Ontario Leader in Specialized
Rehabilitation
Hockey is Canada’s game. For Don Wade of Brooklin, Ontario,
“I woke up in ICU and was completely crushed to find my
it’s also a lifeline. He learned to set high personal goals as
arm had been removed. I found it very difficult to accept and
a patient in St. John’s Rehabilitation Hospital’s specialized
questioned how I could go on living”. Racked with phantom
amputee rehabilitation program: that motivational principle
limb pain, months later he began outpatient rehabilitation
is what helped him and four other Hospital alumni form
treatment at St. John’s Rehab.
Canada’s Amputee Hockey Team in 2001.
In May 2003, the team won the gold medal in the First World
Championships for Standing Amputee Ice Hockey in Finland,
in a heart-stopping final match against Team U.S.A.
“I’ve been very fortunate in the past six years to have
the help of some of the world’s best in helping me recover
from my amputation,” the 38 year-old commented while being
photographed for the cover of the 2002-2003 Annual Report.
Don’s left arm was amputated in a farm accident in Lindsay,
Ontario in late 1997. He was airlifted to Sunnybrook and
Women’s College Health Sciences Centre.
2
Photo front cover: Don Wade, Assistant Captain,
Canada’s Amputee Hockey Team
“I remember when I donned ice skates for the first time
Don’s experience in specialized rehabilitation at St. John’s
after the accident. A year after starting therapy, some of my
Rehabilitation Hospital represents our organization’s commitment
rehabilitation team members were going skating after work
to reach beyond traditional rehabilitation to help our patients
at Mel Lastman Square. They offered to take me with them.
achieve the best possible quality of life.
It was an incredible experience. That’s when I really started
to push myself physically.”
Soon after, he set his first rehabilitation goal - to compete
As you read through the highlights of the hospital’s
achievements in 2002-2003, you will come to know our goal
as a specialized rehabilitation teaching hospital is to meet the
at the Windsor Indoor Classic Games in 1999. “I had never
physical, psychological, emotional and spiritual needs of each
competed in track and field in my life and I was faced with
and every patient through dedication, innovation and highly
the additional challenge of having to raise money to travel
personal care.
to the meet”. For almost eight months, he trained up to six hours
a day. As the competition drew near, he still had not raised the
money necessary for travel expenses. The Sisters of St. John the
Divine at the Hospital provided the financial support he needed
to make the trip. “I came home with three gold medals. Since
then, the Sisters and I are really tight!”
Today, Don is looking to build a new career. He just
completed his first year at Durham College in a mechanical/
electrical engineering technology program. He also has a new
personal goal. To ensure other young adults who experience
amputations benefit by participating in competitive sports.
TABLE OF CONTENTS
Stroke Program Redesigned to Meet Patient and
Family Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Ontario’s Largest Trauma Rehabilitation Program . . 10
Providing Leadership in Amputee Treatment,
Education and Research . . . . . . . . . . . . . . . . . . . . . 12
Burn Specialists Gather at St. John’s Rehab for
North American Conference . . . . . . . . . . . . . . . . . . . 13
Sisters of St. John the Divine . . . . . . . . . . . . . . . . . . 17
Our Volunteers – Vital Members of the
Rehabilitation Team . . . . . . . . . . . . . . . . . . . . . . . . . 18
Financial Performance . . . . . . . . . . . . . . . . . . . . . . . 20
Moving Beyond Traditional Rehabilitation . . . . . . . . 22
St. John’s Rehabilitation Hospital Foundation
Annual Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3
A Message from the Chair of the Board
and the Interim CEO
A diamond is the universal symbol of strength and perfection.
Created from pressure within the earth’s core, it is coveted for its
from 185 to 160 by March 2003. This has been accomplished,
sparkling brilliance and unparalleled resilience.
in consultation with staff and other stakeholders, by closing
Over the past fiscal year, St. John’s Rehabilitation Hospital
25 beds in the Musculoskeletal Program. We have reinvested
has faced increasing pressures as we boldly move forward in
the funding from these beds to enhance care in our other
pursuit of excellence. Difficult decisions have been made as we
rehabilitation programs.
align our core operations with the directives of the Health
Restructuring our rehabilitation programs to address increased
Services Restructuring Commission (HSRC) and our own vision
patient complexity has put tremendous pressure on our financial
of the future. Our goal is to be a diamond in the rehabilitation
and staff resources and resulted in a budget deficit. As proof of
sector, to be the benchmark for customized and highly specialized
our fiscal sustainability and adaptability, we have worked hard to
rehabilitation care. We don’t expect our patients to settle for
move toward a balanced budget in 2003-2004. Staff, physicians
anything less.
and volunteers collaborated with us on identifying ways to
Like many hospitals in the Toronto area, St. John’s Rehab
has embarked on a journey. We are proud of our official designation
by the HSRC as a regional centre for patients with the most
eliminate the deficit with minimal impact on our rehabilitation
programs and services.
During the year, the Ministry of Health and Long-Term
challenging rehabilitative needs – amputations, complex orthopaedic,
Care agreed to work with us to review our current operating
cardiovascular and neurological conditions, strokes, burns and
budget, and the resources needed to meet the present and future
traumatic injuries.
rehabilitation needs of our patients. This was in recognition
Since 1998, the rehabilitation care our patients require has
changed dramatically. We are now admitting people with more
acute and complex therapeutic needs, requiring intravenous and
4
The HSRC also directed us to reduce our inpatient beds
of the challenges we face addressing more acute patient needs
within our historic global budget.
We were not surprised with the results of this review.
other medications, and with a greater need for psychosocial
Program costs are rising steadily as we evolve into our new role
support and education. We have absorbed the costs of these
as a regional referral centre; as we admit patients with more
expensive program changes.
complex rehabilitative needs and who need more intensive
treatment and medications. The review demonstrated that the
care during a period of uncertainty and transition. And we applaud
areas in which we are mandated to specialize are restricted by
our patients, who have never lost confidence in our ability to
inadequate resources. We are hopeful this review will lead to
heal body, mind and soul, enabling them to return to active lives
additional resources coming to St. John’s Rehab to enhance our
in their communities.
patient care programs.
The final polish to our gemstone was the appointment
The community of St. John’s Rehabilitation Hospital is
working together to create a diamond. Brilliant. Resilient.
of Malcolm Moffat as President and Chief Executive Officer.
As Mr. Moffat takes the helm in the new fiscal year, his extensive
experience in both acute care and rehabilitation, most recently
Charles L. Seguin,
CHAIR
as Vice-President and Chief Planning Officer at St. Michael’s Hospital,
will strongly position the Hospital for the future.
We thank the Ministry of Health and Long-Term Care
Sister Constance Joanna Gefvert,
SECRETARY AND INTERIM CEO
for collaborating with us in identifying a solution to address the
Hospital’s long-term funding issues. We salute our staff, physicians,
Sisters of St. John the Divine, volunteers and the Board of
Directors who remain steadfast in their commitment to quality
2002-2003 BOARD OF DIRECTORS
Charles L. Seguin, CHAIR
Sally M. Horsfall, PAST CHAIR
Charles Harnick, VICE CHAIR
Elizabeth Martin, TREASURER
Sister Constance Joanna Gefvert, SECRETARY
DIRECTORS
Sarah Agnew
Joyce Bailey
Roger Barton
Stephen Beatty
Thomas D. Curzon
T. Richard Davies
Christian Dingman
Joanne Flint
Nigel Goodall
Sr. Brenda Jenner
Andrew Mathers
Frank Moir
Dr. John Patcai
Dr. Eliot Phillipson
Bruce Rathbone
Dr. Murray Waldman
Angelina Yau
HONOURARY DIRECTORS
Arnold Agnew
Clifford Beatty
Dr. Thomas Brown
Sr. Philippa Watson
5
Milestones
Stroke Program Redesigned to Meet
Patient and Family Needs
the video and subtitles were made bolder to help identify each
topic. St. John’s Rehab staff have spent the past year piloting the
new program, with its provincial launch expected in fall 2003.
As a patient in St. John’s Rehabilitation Hospital’s Stroke and
Neurological Rehabilitation Program, Imogene Smith participated
in a five-week program called Living with Stroke, an educational
resource created by the Heart and Stroke Foundation of Ontario
for stroke survivors and their caregivers. Hospital staff who
coordinate the program noted trends in nearly a third of the
participant evaluations. They identified program content was too
complex for patients who have aphasia, a common disorder
following a stroke that affects a person’s ability to communicate
and can seriously impact their ability to read or write. Revising
the program material would also better serve patients and families
who have English as a second language.
Through funding from the Ontario Trillium Foundation,
hospital staff have spent the past year working with the Aphasia
Institute and the Heart and Stroke Foundation of Ontario
revamping program material which includes a video, brochures
and a manual. The printed material was transferred into
pictographic form, mirroring images used in the video segments
to make it easier to follow. Repetitive information was edited from
6
Occupational Therapist Anne McEwen
assists Imogene Smith in regaining the use
of her right hand during therapy.
Provincial Coordinated Stroke Strategy –
Working Toward an Integrated Approach
to Stroke Prevention, Care, Rehabilitation
and Research
regional and district stroke centres or through telecommunications
links. This is a joint project of the Ministry of Health and LongTerm Care and the Heart and Stroke Foundation of Ontario.
The goal of the initiative is to ensure that all Ontarians have
access to the best possible stroke treatment. A major area of
St. John’s Rehabilitation Hospital is a member of the North and
East Greater Toronto Area Stroke Strategy Committee involved
focus for the group this past year is the creation of a network to
deliver “Tele Stroke Care”.
in creating expert stroke assessment and treatment services at
Imogene and Speech
Language Pathologist
Joanne Shlanger
practice strategies
designed to overcome
stroke-related speech
and language problems.
7
8
Survivors Speak the Same Language
start a stroke support group. Gwen believes the real challenge
for stroke patients begins when they leave the hospital.
When she faced her toughest challenge three years ago, Toronto
“That’s when day-to-day living with stroke begins.
resident Gwen Brook’s determination allowed her to overcome
You’re on your own, which can be very difficult for the
the enemy that dealt its blows from within.
individual and the family. You no longer have the support of
In June 2000, Brooks was on her way to the Orkney
the hospital and rehab team,” Gwen says. “The Group is a place
Islands in Scotland when she suffered a blood clot in her brain.
where stroke survivors can go to talk to each other, because
Since that time, she has had a tireless dedication to achieve
only survivors can understand each other’s problems. We speak
maximum physical function in the stroke rehabilitation program
the same language.”
at St. John’s Rehabilitation Hospital. Following her discharge
from Hospital, Gwen has taken it upon herself to help out others
who experience the condition that kills 16,000 Canadians
every year.
As Gwen went through the ups and downs of the recovery
process, one of the Hospital’s social workers invited her to
Gwen Brooks (foreground) is seen here
with members of the Stroke Support
Group. Gwen has also started
yoga and drawing classes for stroke
survivors at the Hospital.
Physiotherapist Sherley Lee (opposite)
is part of an interdisciplinary team who
provide Imogene Smith with an
individually customized program of
care designed to maximize her recovery
from a stroke.
9
Ontario’s Largest Trauma
Rehabilitation Program
Canada with expertise in providing treatment and programs for
people who have undergone lung, liver or heart transplants.
We are working with the Multi-Organ Transplant Program at
St. John’s Rehab is home to the largest inpatient and outpatient
Toronto Hospital and have submitted a proposal to the Ministry
trauma rehabilitation program in Ontario. Patients are referred
of Health and Long-Term Care to develop a dedicated
to us from Sunnybrook and Women’s College Health Sciences
rehabilitation program for organ transplant patients. Organ
Centre, the largest regional trauma unit in Canada,
transplants, and the resulting demand for our rehabilitation
and St. Michael’s Hospital, the designated trauma centre in
services, are expected to rise over the next few years as Organ
downtown Toronto.
Donation Ontario steps up public awareness of the need for
The Hospital’s expertise in trauma rehabilitation led to
organ donations.
the piloting of an organ transplant program three years ago.
Today, we are the only rehabilitation teaching hospital in
10
Physiotherapist Deryck Pollard says the goal
of the trauma rehabilitation team is to meet
the complex needs of each patient.
Don Mikhailov works with
Occupational therapist
June Li to build strength
and endurance in his
upper body as part of his
treatment in the amputee
rehabilitation program.
11
Providing Leadership in Amputee Treatment,
Education and Research
provides a complete range of treatment, education and support
St. John’s Rehabilitation is one of two health care facilities in
for individuals dealing with amputations. Hospital staff are
the Toronto area with specialized inpatient and outpatient
also involved in leading-edge research into the effectiveness of
rehabilitation services for people recovering from upper and
acupuncture in minimizing phantom limb pain.
lower amputations caused by disease or trauma. The program
Sr. Louise Manson talks
with Don Mikhailov
prior to his discharge
about his transition
home and into
the community.
12
services. In 2002-2003, a group of former Hospital patients
created Amps to Amps, a peer support and networking group
Burn Specialists Gather at St. John’s Rehab
for North American Conference
The clear, plastic mask fits snuggly and applies uniform pressure
all over the person’s face. Continuous pressure during healing
prevents grafted burn scars from becoming hardened, raised and
In September 2003, St. John’s Rehabilitation Hospital and the
unsightly. St. John’s Rehab designed its first mask in 2001 after
Ross Tilley Burn Centre at Sunnybrook and Women’s College Health
unsuccessful trials with commercially available masks. Since then,
Sciences Centre will play host to more than 150 burn specialists
we have modified our technique in response to patient feedback.
from across Ontario and the northeastern U.S. states. Gathering
annually since 1972, multidisciplinary health professionals,
including surgeons, nurses and therapists gather to share new
trends, technologies and therapies to advance treatment for
patients with burn injuries. St. John’s Rehab is the site of Canada’s
only burn rehabilitation program and conference delegates will
have the opportunity to tour the Hospital’s facilities and learn
about burn rehabilitation research conducted by our health care
professionals. The conference will be sponsored by private sector
corporations and the Toronto Professional Fire Fighters’ Association.
Imagine lying on a table breathing through a straw.
A therapist smears plaster of paris all over your face and
commands you to lie perfectly still until it dries. That is only the
beginning of a healing process which can take up to 18 months
and involves wearing a form fitting mask day and night.
Therapists at St. John’s Rehab are among a small number
of health professionals in Ontario who can fabricate what can only
be described as an intrusive and innovative mask that greatly
reduces facial scaring in patients recovering from severe burns.
Vaughn Ward works to improve his
fine motor skills in specialized burn
rehabilitation with Occupational
Therapist Dianne Beynon.
13
Telerehab – Improving Access to
Specialized Rehabilitation Services for
Ontario Residents
St. John’s Rehab and Toronto Rehab
Collaborate to Earn National 3M Award
During the year, the Hospital began planning for the construction
Institute are the co-recipients of the national 3M Health Care Quality
of an audio-visual teleconferencing facility with the goal to
Team Award for 2003 in the non-acute care environments category.
improve access to specialized rehabilitation expertise for patients
The two specialized rehabilitation hospitals worked in partnership
living in smaller and more remote communities throughout the
to create a patient satisfaction survey for outpatient rehabilitation.
province. The Telerehab project will be piloted at St. John’s Rehab
The survey tool will be used to share best clinical practices to
in fall 2003. In the next year, the Hospital will work toward
improve outpatient rehabilitation not only in the two hospitals,
establishing a secure communications link to transmit patient
but also by acute care hospitals providing rehab services, home
health information to northern community hospitals. This
care providers and private clinics across the country. Presented by
telehealth initiative will also enable the hospital to establish
the Canadian College of Health Services Executives (CCHSE) and
a strong follow-up system for patients after they are discharged
3M Health Care, the award recognizes quality and innovation as
and support rehabilitation research and education initiatives.
well as exemplary teamwork by multidisciplinary groups.
St. John’s Rehabilitation Hospital and the Toronto Rehabilitation
Provincial Report Card to Measure
Rehabilitation Performance
St. John’s Rehabilitation Hospital is preparing to participate in the
province’s first standardized survey of patient satisfaction for Ontario
rehabilitation and complex continuing care hospitals. The results,
which will be released to the public in the form of a report card in the
fall 2003, will include important benchmarks for measuring inpatient
rehabilitation performance. The rehab survey, is being coordinated
by the Ontario Hospital Association. These surveys are a part of
one of the largest and most comprehensive hospital-level reviews
and public accountability processes in the country, and represent
14
one of the largest patient satisfaction surveys in North America.
National Rehabilitation Reporting System –
Evaluating Patient Outcomes
A new system to track the effectiveness of specialized
rehabilitation in helping patients achieve maximum function
has been implemented at St. John’s Rehabilitation Hospital.
The computerized system records patients’ medical conditions
upon admission, the therapies they receive and the outcome of
treatment, both at the time of discharge and at later follow-up
in the community. The National Rehabilitation Reporting System
was created by the Canadian Institute for Health Information
(CIHI). St. John’s Rehab was one of 31 rehabilitation facilities
in Canada that pilot-tested an early version of the evaluation tool
in 1998. Since then we have implemented the system in all of
our rehabilitation programs.
RN Joyce McFarlane works with
Norman Coxall to ensure he has the
treatment, education and training
required to achieve maximum
independence and quality of life on
his return home.
15
Accreditation Process Focuses on Quality
Patient-Focused Care
Every three years, St. John’s Rehab evaluates its patient care
services and programs based on national standards set by the
Canadian Council on Health Services Accreditation (CCHSA).
That is followed by an independent, on-site evaluation by external
and objective reviewers using national standards of quality.
St. John’s Rehab has spent more than a year completing a selfevaluation and preparing for a May 2003 visit by three surveyors
from western Canada. The survey findings are expected in the
summer of 2003 and will be used to help us develop plans to
improve patient care and service in the year to come.
16
Embraced by Registered Practical
Nurse Delores McFadden,
Jeannie Maillet found the highly
personal care she received in
specialized rehabilitation to be
a source of motivation and
inspiration for her to achieve
successful recovery from
burn injuries.
Sisters of St. John the Divine –
Integral to our Culture of Care
The Sisters of St. John the Divine founded the Hospital in 1936
is an Honourary Director of the Hospital Board. Still other Sisters
and continue to play a major role at the governance, senior
are represented on many clinical and operational committees at
management and front levels of the organization. The Sisters
the Hospital as well as overseeing library and chapel services.
are members of the rehabilitation teams in all of the Hospital’s
As pioneers in health care, the Sisters helped to define
specialized rehabilitation programs. At the senior management
rehabilitation treatment here in Ontario by developing a
level, the Director of Mission is the Chair of the Hospital’s
program of services that address the physical, emotional,
Clinical and
psychological
Operational
and spiritual
Ethics Committee
needs of
and serves as a
patients.
member of the
Today, their
Hospital Board
multi-cultural,
of Directors.
multi-faith
Sister Philippa
approach to
Watson, who
patient care
held the position
is an integral
of President and
element of our
CEO of the
rehabilitation
Hospital for 27
programs.
years until 1996,
Pictured here on the grounds of the Hospital from left are: Sister Brenda Jenner,
Sister Margaret Ruth Steele, Sister Margaret Ann Macfarlane, Sister Teresa Keen,
Sister Sarah Jean Thompson, Sister Louise Manson and Sister Wilma Grazier.
17
Our Volunteers – Vital Members
of the Rehabilitation Team
All of our 260 volunteers at St. John’s Rehabilitation Hospital
contribute to a culture of care that creates a warm and supportive
environment for patients at the Hospital. Adult and student
volunteers are involved in many different programs that directly
support patients, their families and our staff. The Hospital Auxiliary
and our student volunteers contributed almost 20,000 hours
of dedicated service in 2002-2003 and raised more than
$56,000 for the purchase of specialized wheelchairs and other
hospital equipment.
“
From the Sisters to the doctors,
physios, nurses, support staff, volunteers…
all have been instrumental in not only
giving me a functional and re-energized
body, but also a new outlook on life
”
and my personal well-being.
Patient Satisfaction Survey January 2003
18
Linda Allen knows that volunteers play an important role in the rehabilitation
programs at the Hospital. Volunteers such as student volunteer Edwin Shum
and Auxiliary members Gywnneth Ettinger and Shirley Sellen visit with and
provide necessary services to patients each week.
St. John’s Rehabilitation Hospital Specialty
Clinics and Community Programs
As a leader in rehabilitation care in the Greater Toronto Area,
the Hospital offers a number of specialized clinics and
community programs to serve the individual health needs of
residents of Toronto, as well as the regions of York, Durham
and Peel. For more information, please call 416.226.6780.
Massage Therapy Clinic
Back on Track
Diabetes Education Program
Back on Track is an outpatient rehabilitation program for
individuals involved in traumatic motor vehicle and work-related
accidents. Our goal is to help our clients regain their pre-accident
level of function in the areas of vocation, activities of daily living,
mobility, leisure, and social roles.
Weekly classes are offered at the Hospital for patients, their
family members and community residents.
Acupuncture Clinic
As a fully accredited Hospital in North Toronto, St. John’s Rehab
offers high quality acupuncture treatment services and clinic
staff are involved in leading-edge acupuncture research.
Clinic services are offered in partnership with the Canadian Centre
for Acupuncture.
Chiropody Clinic
Family foot care services are provided by clinic staff who are
also involved in teaching third year interns from The Michener
Institute of Applied Health Sciences. This is a teaching program
offered in partnership with Rouge Valley Health System –
Centenary Site and funded by the Ministry of Health and LongTerm Care.
Chiropractic Clinic
Community chiropractic services are offered three days a week
in partnership with the Canadian Memorial Chiropractic College.
Our clinicians are involved in massage therapy treatment,
education and research programs. Community referrals
are welcome.
Arthritis Aquatic Program
This eight-week warm water program to sooth arthritis-related
pain and inflammation is offered in partnership with The Arthritis
Society of Ontario.
Living with Stroke Program
Stroke survivors and their caregivers participate in this fiveweek education program to learn important information and
strategies to help them in the recovery process. The program
is offered in partnership with the Heart and Stroke Foundation
of Ontario.
Stroke Support Group
This peer support group meets monthly at the Hospital to
share strategies and to build a network of shared experience.
Frequently, guest speakers are invited to provide formal
education sessions.
Amps to Amps
A group of former patients from the Hospital’s amputee
rehabilitation program meet weekly to offer supportive
networking opportunities for individuals recovering from
amputations.
19
Financial Performance
AUDITORS’ REPORT
We have audited the balance sheet of St. John’s
Rehabilitation Hospital as at March 31, 2003 and
the statements of revenue and expenses, changes
in net assets and cash flows for the year then ended.
These financial statements are the responsibility of
the Hospital’s management. Our responsibility is to
express an opinion on these financial statements
based on our audit.
We conducted our audit in accordance with
Canadian generally accepted auditing standards.
Those standards require that we plan and perform
an audit to obtain reasonable assurance whether
the financial statements are free of material
misstatement. An audit includes examining, on a
test basis, evidence supporting the amounts and
disclosures in the financial statements. An audit also
includes assessing the accounting principles used
and significant estimates made by management,
as well as evaluating the overall financial statement
presentation.
In our opinion, these financial statements
present fairly, in all material respects, the financial
position of the Hospital as at March 31, 2003 and
the results of its operations and its cash flows for the
year then ended in accordance with Canadian generally
accepted accounting principles.
Chartered Accountants
Toronto,Ontario
May 23, 2003
20
BALANCE SHEET – March 31, 2003
2003
Special
Purpose Fund
Operating
Fund
ASSETS
CURRENT
Cash and cash equivalents
Accounts receivable
Due from St. John's Rehabilitation
Hospital Foundation
Inventories
Prepaid expenses
Interfund balance
CAPITAL ASSETS
LIABILITIES AND NET ASSETS
CURRENT
Accounts payable and
accrued charges
Deferred revenue
ACCUMULATED SICK LEAVE
DEFERRED CAPITAL CONTRIBUTIONS
NET ASSETS
Invested in capital assets
Internally restricted
Unrestricted
2002
Total
Total
$ 1,272,752
2,718,318
$
52,475
–
$ 1,325,227
2,718,318
$ 2,601,246
1,830,821
78,457
168,000
58,370
(1,078,021)
3,217,876
7,049,424
$ 10,267,300
–
–
–
1,078,021
1,130,496
–
$ 1,130,496
78,457
168,000
58,370
–
4,348,372
7,049,424
$ 11,397,796
–
161,769
42,543
–
4,636,379
7,257,211
$ 11,893,590
$ 3,574,816
–
3,574,816
301,181
$
–
–
–
–
$ 3,574,816
–
3,574,816
301,181
$ 3,366,478
114,810
3,481,288
365,011
–
–
6,205,356
10,081,353
5,693,754
9,540,053
844,068
1,130,496
( 658,121)
1,316,443
$ 11,397,796
1,563,457
3,113,274
(2,323,194)
2,353,537
$ 11,893,590
6,205,356
10,081,353
844,068
–
( 658,121)
185,947
$ 10,267,300
–
1,130,496
–
1,130,496
$ 1,130,496
APPROVED BY THE BOARD
______________________________ Director
Charles L. Seguin
Chair, Board of Directors
______________________________ Director
Elizabeth Martin
Treasurer
Financial Performance
STATEMENT OF REVENUE AND EXPENSES AND CHANGES IN NET ASSETS – YEAR ENDED MARCH 31, 2003
2003
Special
Purpose Fund
Operating
Fund
REVENUE
Ministry of Health and
Long-Term Care
Preferred accommodation
Other patient revenue
Parking
Dietary
Amortization of deferred
capital contributions
Marketed services
Other revenue
$ 15,343,945
2,911,711
277,158
322,483
309,210
EXPENSES
Inpatient
Ambulatory care
Administration
Environmental services
Direct patient support services
Education
Marketed services
Amortization of capital assets
Restructuring costs
EXCESS OF (EXPENSES OVER REVENUE)
REVENUE OVER EXPENSES
NET ASSETS, BEGINNING OF YEAR
INTERFUND TRANSFER
NET ASSETS, END OF YEAR
$
Total
Total
$ 15,343,945
2,911,711
277,158
322,483
309,210
$ 14,306,795
3,154,172
325,705
344,148
335,548
1,044,398
4,176,270
409,310
–
–
17,222
1,044,398
4,176,270
426,532
967,168
3,814,846
417,435
24,794,485
17,222
24,811,707
23,665,818
12,800,744
1,393,438
2,698,176
2,289,122
2,216,824
125,385
2,311,702
391,726
1,621,684
–
–
–
–
–
–
–
–
–
12,800,744
1,393,438
2,698,176
2,289,122
2,216,824
125,385
2,311,702
391,726
1,621,684
13,296,880
1,479,210
2,903,636
2,063,089
2,309,111
256,198
2,688,999
408,852
–
25,848,801
–
25,848,801
25,405,975
(1,054,316)
17,222
(1,037,094)
( 1,740,157)
(759,737)
3,113,274
2,353,537
4,093,694
2,000,000
$
–
–
–
–
–
2002
185,947
(2,000,000)
$
1,130,496
–
$
1,316,443
–
$
2,353,537
21
Moving Beyond Traditional Rehabilitation
St. John’s Rehabilitation Hospital’s Redevelopment Project
St. John’s Rehabilitation is building for the future. The Foundation
its 160 inpatient beds thereby expanding treatment and
and Hospital Boards of Directors have joined together to begin
accommodation space for patients. A new centralized entrance
preparations for a major fundraising campaign to build a state-
linking the new building to the existing inpatient wing will
of-the-art outpatient rehabilitation facility and significantly
provide patients with convenient and wheelchair accessible
expand the Hospital’s inpatient treatment area.
services.
One of the keystones of the project will be a new
22
Total cost of the project is $23.6 million, of which $12 million
outpatient rehabilitation wing that will allow a greater number
needs to be raised by St. John’s Rehabilitation Hospital’s Community.
of patients to access our outpatient services. The new facility
We hope to begin construction of the new outpatient facility
will have expansive views onto the Hospital’s beautifully
in 2004 with the planned opening in 2006. A Capital Campaign
landscaped gardens and feature a therapy pool and wellness
Team of community, health and business leaders is being formed
centre. A new rehabilitation unit will also be added to the
to help us reach our goal. We hope that you will join us as we
existing Agnew Wing allowing the Hospital to reconfigure
invest in the future of rehabilitation for Ontario.
S T. J O H N ’ S R E H A B I L I T AT I O N H O S P I T A L F O U N D AT I O N
Building a Future for Rehabilitation Excellence
2002-2003 Annual Report
Message from the Chair
Since its inception, St. John’s Rehabilitation
Hospital Foundation has generated $1.3 million
in support of specialized rehabilitation programs
and initiatives at St. John’s Rehabilitation Hospital.
These funds have been used to purchase
specialized rehabilitation equipment and to fund education and
research. In the 2002-2003 fiscal year, St. John’s Rehabilitation
Hospital Foundation was asked by the Hospital to play a
leading role in building a strong base of community support for
the first major redevelopment and expansion of the Hospital’s
facility in 30 years.
To that end, the Foundation is pleased to announce its
initial pledge of $800,000 to an exciting Capital Campaign which
aims to raise between $12 and $15 million in community
support for a dramatic enhancement of the Hospital’s patient
treatment and service areas. This brings the total amount
pledged to date for the project to $6.3 million. The Foundation
believes this initiative, which will result in the construction
rehabilitation care for patients from across Ontario.
In partnership with the Hospital Board of Directors, we are
building a team of committed and experienced leaders and
volunteers who will help us realize our fundraising goal.
The Foundation would like to extend special thanks
to St. John’s Rehabilitation Hospital Auxiliary for their gift of
$56,000 in 2002-2003. This gift was used to purchase
wheelchairs, other specialized equipment and to support the
Hospital Staff Education Fund.
On behalf of the St. John’s Rehabilitation Hospital
Foundation Board of Directors, I would like to gratefully
acknowledge the generous support of all of our donors and
sponsors this past year, especially those who contributed to
the successful 5th Annual St. John’s Rehab Golf Classic.
To the Foundation Board of Directors, the Foundation
and Hospital staff, your dedication and creative efforts in
2002-2003 have made it possible to develop our fundraising
programs and bring fresh perspective for future development
opportunities.
Sincerely,
of a new Outpatient Wing including a therapy pool and Wellness
Centre (highlighted on opposite page) and a new inpatient
treatment unit, will dramatically improve the quality of
Christian Dingman,
CHAIR
23
S T. J O H N ’ S R E H A B I L I T AT I O N H O S P I T A L F O U N D AT I O N
Complete Audited Financial Statements available on
request from:
St. John’s Rehabilitation Hospital Foundation
285 Cummer Ave.
Toronto, ON M2M 2G1
416.224.6945
2002 St. John’s Rehab Golf Classic
St. John’s Rehabilitation Hospital Foundation
extends its sincere appreciation to the
sponsors of this annual charity tournament
Gold Sponsor
Ian Burns and Bill Murphy of
Investment Planning Counsel (Durham Region)
2002-2003 FOUNDATION BOARD
OF DIRECTORS
Christian Dingman, CHAIR
Sister Philippa Watson, VICE-CHAIR
Ralph Selby, TREASURER
T. Richard Davies, PAST CHAIR
Debra Bond-Gorr,
SECRETARY/DIRECTOR
(April-August)
Holly Bannerman,
SECRETARY/DIRECTOR
(September-March)
DIRECTORS
24
Ian Burns
Thomas Curzon
Howard Dayton
Sister Constance Joanna Gefvert
Paul Godfrey
Sister Brenda Jenner
Robert Korthals
Elaine Kowalchuk
Peter W. Mills
Sister Margaret Mary Watson
Owen Watt
Robert Wong
Tony Wong
Bronze Sponsor
Aramark Canada Ltd.
Gibson Printing
Miller Thomson LLP
Dinner Sponsor
Infiniti of Yorkville
Lunch Sponsor
Hospitality Network
2002-2003 Donor List
What a difference our donors have made! Thank you
to all those who made donations to St. John’s
Rehabilitation Hospital Foundation, including those
who donate through the United Way and those
who wish to remain anonymous. This listing of donors
acknowledges all donations of $100 or greater
during the period April 1, 2002 to March 31, 2003.
BENEFACTOR - $25,000 - PLUS
Estate of Donald McGill
St. John's Rehabilitation
Hospital Auxiliary
PATRON - $10,000 - $24,999
Sisterhood of St. John
the Divine
The Christina Mary Hendrie
Trust
CONTRIBUTOR - $2,000 - $4,999
T. Richard Davies
Charles Seguin
E. Meddings
Gibson Printing Co. Ltd.
Miller Thomson LLP
William P.K. Murphy
Insurance Agencies Ltd.
MEMBER - $100 - $1999
Frances Abel
FRIEND - $5,000 - $9,999
Geoffrey Adamson
Aramark Canada Ltd.
Sarah Agnew
Estate of Karan Pauline
Agnew, Peckham &
Davies
Associates Ltd.
The John C. and Sally
Mary Alcock
Horsfall Eaton Foundation Allergan
Estate of Nellie L. Farthing
Phyllis Allin
Doris Hansen
David Angus
Insurance Initiatives INC.
Ian Armstrong
Warren Goldring
Joyce Ashfield
Estate of Norah Joan Nolan
Babiak Floor Coverings Ltd.
Joyce Bailey
Zari Bakhtiari
John Bankes
Holly Bannerman
Russell Bannock
Roger Barton
Rose Marie Baskin
Jennifer Beal
Kingston Beamish
Arthur Beatty
Clifford Beatty
Stephen Beatty
Bruce Becker
Anthony Bedek
Lindsay Belch
Paul Bennett
Jessie Bennett
Bernard Berger
Daryll Bernstein
Peter Berry
Elaine Beutel
Margaret Black
Harold Boyd
Doris Boyle
Hilda Bradford
Brawley Cathers Limited
Daryl Bridges
Norma Brighty
Britacan Facilities
Management
Group Inc.
Beverley Brock
Brookfield Lepage Johnson
Controls Ltd.
Harry Brown
Mary Brown
Thomas Brown
A. Bruce
Antoinette Budaci
Edward Bumeister
Burn Survivors Association
Rhonda Burstyn
Cadillac Fairview Corp. Ltd.
Canadian Waste
Management Service Centre
Charles Canning
Lucie Cantrell
John Cernik
David Chaiton
Teresina Chan
Hou Huan-Chen Chang
Muriel Chapman
Kwok-Lim Chow
Julia Chunoo
Franco Ciardulli
Michael Clancy - F. Wallace
Clancy & Son Limited
M. Clarke
Bairbre Connolly
Mervyn Couse
Stewart Coxford
G. Cram
Robin Creeden
Peter Crimo
Margaret Cronin
Norman Cross
Noel Croxon
Thomas Curzon
Dorothy Daisley
Susan Daly
Sheila Davis
Ann Daw
Brian Dawe
De Boer's
Valentino De Thomasis
Ellen Dietz
Christian Dingman
Khorshed Divecha
R. Donnelly
Rudolf Dorn
Luella Dove
Clifford Dresner
Marilyn Durant
EPSON
Estate of Ms. Kate Perlmutter
Estate of Robert John Hopkin
David Eveleigh
F G U C Mens Club
Josephine Farmer
M. P. Featherstone
Barbara Feehan
Donald Fenton
Christina Ferguson
Fidelity Investments
Virginia Finlay
Joan Fleming
25
J. L. Foley
Brian Foley
William Foley
Catherine Forsyth
Floyd Forsyth
Hugh Derek Foster
Peter Foulds
Bonnie Fowler
Della Fox
David Freckelton
Martin Fredricks
Marino Giannini
Alex Gibson
Robert Gilchrist
Egils Gimis
Bernard Glazier
Sally Goldkind
Dean Gooderham
Jan Goulding
Elizabeth Gowanlock
Natalia Graham
James Grierson
Grace Griffin
Gary Gunter
Norman Hall
Rosalie Hall
May Hambly
Audrey Harper
Laura Hawthorn
John Heldman
Judith Henderson
Anthony Hendrie
Frances Hilmer
H.J Holliday
Egon Homburger
26
Hospitality Network
Lewis Howe
Elizabeth Hrenchuk
Michael Hughes
J.N.P Hume
Marion Humphries
Infiniti of Yorkville
Katarina Iskric
Calleja J.
Norm Jackman
Diana Jackson
Doreen Jarvis
Dennis Johnson
Johnson Controls
Karolina Jus
JVC Canada Inc.
K. J. Beamish
Construction Co.,
Limited
Patricia Kanowitz
Randal Kenny
John Kerr
Rose Keushguerian
Chang Kim
Robert Korthals
Joseph Koskie
Elaine Kowalchuk
Lina Krautter
Peter Kuiper
May Kwok
Alex Kyle
Rita Lacroix
W. Lambourne
Marjorie Larmon
Bella Larson
Murray Lawson
Arthur Lebowitz
William Leck
George Lee
Michael Lester
Magda Letai
R. William Lewis
Ann Lillepold
William Lind
Ka-Yau Liu
Gary Loschke
Ronald Lougheed
Thomas Louie
Miriam Lowi-Young
Inge Lueders
Sai Ma
Robert Mackenzie
Margaret MacKenzie
Dorothy MacPherson
Charles Manchee
G.L. Mansfield
Kathleen Marchant
Ernest Marshall
Andrew Mathers
Irene McBride-Watt
Donald McGregor
Alma McKay
June McLarty
John A. McLeod
James McVicar
J. Meden
Leslie Merrifield
Susan Merry
Eugenia Middleton
Jack Miller
Peter Mills
Katharine Moffat
Frank Moir
Antonoio Montemarano
Brian Moore
William Moorhead
John Morawetz
Alice Moulton
Susie Muldoon
Lilo Murray
Elizabeth Nash
National Council of
Jewish Women,
York Mills Branch
Hon Joan Neiman
E.M.C. Newall
Edith Newton
Gordon Norris
Northtown Ford
Gwen Oakden
James O'Brian
Reiichiro Okada
James O'Neil
Lyle Palmer
Paul Palmer
Rocco Pantalone
Paragon Protection Ltd.
Janet Park
Margaret Parke
Murray Parmiter
John Patcai
Shardaben Patel
Rose Pearlman
G.B. Pearson
Lucille Pherrill
Phillips, Hager & North
Maureen Philps
Edward Pinfold
Toy Ping Lee
Phyllis Porter
Rennie Pot
Powell Plumbing Supply
Limited
Roy Preston
PriceWaterHouse
Coopers
Leslie Quackenbush
Bruce Rathbone
Irene Reed
Jack Reeves
Helen Reid
D. Rice
A. Ritchie
Charmaine Roberts
Lilian Robertson
Patricia Rodgers
Glen Rogers
Heather Rogers
Gordon Rogers
Dorothy Rogers
Rose Rotenberg
Rene Roy
Royal Taxi
Howard Russell
Salter Farrow Pilon
Paul Samonas
Haralambos Sarros
Scott Scheuermann
Else Schillings
Elvine Schimoni
✁
Lorraine Stubbs
Carolyn Symonds
Lorna Synnott
James Taylor
John Taylor
TD Canada Trust
Gwen Tefft
Giselle Teodosijevich
E. Winifred Thacker
The Clan MacLeod Society
of Central Ontario
The Frankel Family
Foundation
The James Franceschini
Foundation
The Molson Indy
John D. Thompson
Donald Thorne
L. Thurston
Margaret Tierney
Donna Torrey
Robert Turner
Kathleen Tyler
United Restaurant Supplies
Roman Urbanek
Carmela Valentino
Mary Van Patter
Joanne Vanderwal
Agnes Vliegen
Chinh Vuong
Andrea Waines
Sloane Waitzer
Paul Waitzer
William Wakely
William Wallace
Paul Walsh
Ivan Warr
Lois Watson
Owen Watt
J.S. Watters
Joie Watts
Audrey Wells
Josephine Werbicki
Margaret Whittaker
Doreen Wilford
Alice Wilkinson
Helen Williams
Isobel Wilson
Violet Wilson
William Wilson
Esme Wilson
Gertrude Wilson
Myrtle Wingrove
William Woloshyn
Tony Wong
Robert Wong
Muriel Wood
Elizabeth Woods
Lisette Wright
Patricia Wroblewski
Mary Young
TOUCHING LIVES MOST IN NEED
We invite you to make a generous donation in support of St. John’s
Rehabilitation Hospital Foundation. Remember, when you give to the
Foundation, you join with others who believe that the special care
provided by St. John’s Rehabilitation Hospital should be supported and
enhanced for the benefit of residents from all across the province.
I (we) would like to support the work of the St. John’s Rehabilitation
Hospital Foundation and touch the lives of those most in need.
Please accept my gift of:
❏ $50
❏ $75
❏ $100
❏ $150
I prefer to contribute $ ___________________
OR
I want to become a monthly donor.
Monthly giving is an easy way to contribute. You can change your
donation by contacting us anytime.
I authorize St. John’s Rehabilitation Hospital Foundation to debit my
credit card with a monthly donation of:
❏ $10 per month ❏ $15 per month ❏ $20 per month
❏ Other $ __________ per month
Name _________________________________________________
Address _______________________________________________
City _________________________________Prov. _____________
Postal Code ______________ Phone ________________________
Email _________________________________________________
Method of Payment
❏ Cheque
(payable to SJRH Foundation, 285 Cummer Ave, Toronto, ON, M2M 2G1)
❏ Cash ❏ Visa ❏ Mastercard ❏ American Express
Credit Card # –––––––––––––––––––––––––––––––––––––––––––
We apologize for any
spelling mistakes or errors
in omission. Please call
the Foundation at
416-224-6945 to inform
us of any changes.
Expiry Date ––––––––––––––––––––––––––––––––––––––––––––
Signature ––––––––––––––––––––––––––––––––––––––––––––––
To contact us by phone, please call 416-224-6945
Charitable Registration # 11918 0529 RR0001
✁
Isabel Schnapp
John Schnarr
Isaac Schwartz
Alan Scott
Donald Scott
Celia Scott-Fisher
Ralph Selby
J. Service
Irene Shadlock
Jean Shanks
Rod Shantz
Alfred Sharp
Michael Shipowick
Katherine Shumski
David Sime
Robert P. Singer
Margaret Sisley
Mary Sketch
Arthur Skidmore
David Slee
Jeanne Slemon
W. Smallegange
Harry Smith
Muriel Smith
Alex Smith
Helen Smith
Ronald Smith
Paul Snider
Margaret Sokoloff
Ursula Solmsen
Arlene Sosna
Mary Springer
Chris Stagas
Marcia Stober
Joyce Strebel
27
This report was produced by Public Affairs, 416.226.6780, Ext. 7330
A partially affiliated
hospital of the
University of Toronto
Accredited by the Canadian
Council on Health Services
Accreditation
Photography: Liam Sharp, Razor Inc. – www.liamsharp.com
Creative: Norfolk – Email: ebbet@sympatico.ca
St. John’s Rehabilitation Hospital
285 Cummer Ave., Toronto, Ontario, Canada, M2M 2G1
Voice 416.226.6780 Fax 416.226.6265
www.stjohnsrehab.com