agenda - aphasia institute · agenda item details call to order welcome . welcome approval of the...

32
AGENDA Date: Jun 19, 2017 Time: 18:00-20:00 Meeting Chair: Jane Brenneman Gibson Meeting Location: 10 Inglewood Drive, Toronto Agenda Item Details Call to Order Welcome Welcome Approval of the Agenda Motion Required Approval of the Minutes of Previous Meeting Motion required approving minutes for Apr 24, 2017 Business Arising from Previous Minutes Review of the Action Items from April Board Meeting: Jane to contact Lyn about being the facilitator for the new Strategic plan- completed Carrie to send AODA training link to the Board - completed Governance and Nominations Committee BOD Survey – John Motion on QRE Terms of reference– John Update – Jane on the LHIN Governance Council Meeting Quality, Research, and Ethics To be carried forward Fund Development Committee Updates – Ky Executive Report Motion Required: To approve Executive Report Finance Report Motion Required: To approve 2016-17 Draft Audited Financial Statements Motion Required: To approve the submission of the 2016/17 Year End Results and Financial statement to Central LHIN Motion Required: To approve the Declaration of Compliance Other Business Next steps in creating a Foundation Meet with Lyn McDonell to discuss new Strategic Plan Founder Patricia Arato Charitable Reg No. 13306 5227 RR0001

Upload: trandat

Post on 24-Sep-2018

223 views

Category:

Documents


1 download

TRANSCRIPT

AGENDA Date: Jun 19, 2017 Time: 18:00-20:00 Meeting Chair: Jane Brenneman Gibson Meeting Location: 10 Inglewood Drive, Toronto

Agenda Item Details

Call to Order

Welcome Welcome

Approval of the Agenda Motion Required

Approval of the Minutes of Previous Meeting

Motion required approving minutes for Apr 24, 2017

Business Arising from Previous Minutes

Review of the Action Items from April Board Meeting:

• Jane to contact Lyn about being the facilitator for the new Strategic plan- completed

• Carrie to send AODA training link to the Board - completed

Governance and Nominations Committee

BOD Survey – John Motion on QRE Terms of reference– John Update – Jane on the LHIN Governance Council Meeting

Quality, Research, and Ethics

To be carried forward

Fund Development Committee Updates – Ky

Executive Report Motion Required: To approve Executive Report

Finance Report Motion Required: To approve 2016-17 Draft Audited Financial Statements

Motion Required: To approve the submission of the 2016/17 Year End Results and Financial statement to Central LHIN

Motion Required: To approve the Declaration of Compliance

Other Business Next steps in creating a Foundation Meet with Lyn McDonell to discuss new Strategic Plan

Founder Patricia Arato Charitable Reg No. 13306 5227 RR0001

AGENDA Date: Jun 19, 2017 Time: 18:00-20:00 Meeting Chair: Jane Brenneman Gibson Meeting Location: 10 Inglewood Drive, Toronto

In Camera Session

Meeting termination Motion Required

Date of the next meeting Sept 25, 2017 – Quick meeting after AGM October 23, 2017 @ 18.00

Items included in this Package Agenda Minutes for April 24 QRE TOR Amendments Executive Report 2016-17 Financial Highlights Draft Audited Financial Statements Declaration of Compliance Lyn McDonell’s Message

Founder Patricia Arato Charitable Reg No. 13306 5227 RR0001

Minutes of the Board of Directors Meeting Of the Aphasia Institute Monday, April 24, 2017

Present: Jane Brenneman Gibson Silvia Gomes George Kopulos Camilla Todesco Teleconference: Henry Hsu

Staff: Aura Kagan Carrie Harrison Rochelle Cohen-Schneider Regrets Patricia DiNicolantonio Moira Dean Ky Pruesse

John Gayle Valerie Chavossy

Topic Discussed Outcome/Action 1. Call to Order Jane called the meeting to order at 6:00 p.m.

2. Approval of Agenda

Motion to approve the agenda

Moved: George Kopulos Seconded: Silvia Gomes

Carried 3. Approval of the

Minutes of the Previous Meeting

Motion to approve the minutes of Mar 27, 2017

Moved: Camilla Todesco Seconded: George Kopulos

Carried

4. Business Arising from Previous Minutes

All action items were completed

The Executive/Finance committee put forward a recommendation to the Board to hire Lyn McDonell as the facilitator for our strategic plan. The Board supported this recommendation. The first strategic planning meeting with the Board maybe sometime during the summer.

Action: Jane will contact Lyn about being the facilitator for the Strategic plan

5. Governance and Nominations

The Board will look to recruit additional Board members with skills in the following areas: Financial skills Human Resource skills (community HR experience) Fundraising skills Communication skills

6. Quality, Research and Ethics

Carried forward

Page 1 of 3

Topic Discussed Outcome/Action 7. Fund Development

Committee Update The internal launch for WTR was held last week.

The Board goal for fundraising for the WTR this year is $17K.

The Communications committee will be meeting early in May to discuss the Annual Report – there is a possibility of making it a tribute to Pat Arato.

8. Executive Report Motion to approve Executive Report.

Jane asked if Board members also should do the AODA training. Carrie said that it is not necessary, but she will send the link to the Board.

Aura stated that the Ministry meeting will be held on May 4.

Moved: Silvia Gomes Seconded: Henry Hsu

Carried Action: Carrie to send AODA training link to the Board

9. Other Business Carrie presented the QRE Report for 2016

Two additional reports were discussed:

• Scorecard on Operational Deliverables • Status of Strategic Plan Year 3

Board members are encouraged to use the Strategic Plan as a guiding document for our new strategic plan.

10. Finance Report Silvia presented an overview of the Financial Update that was included in the Board Package.

The year ended with a deficit of -$35K, a positive variance to the budget of $206K. Some of the reasons for lowering the deficit include:

High investment income Social Enterprise exceeded our budget by $53K Jane said a special thank you to all the staff who contributed to lowering the deficit.

Motion to approve the 2017-18 Budget

Moved: George Kopulos Seconded: Henry Hsu

Carried

11. In Camera Session

Page 2 of 3

Topic Discussed Outcome/Action 12. Next Meeting Date Monday, June 19, 2017

Meeting Termination The meeting was terminated at 7:15 pm

Motion to terminate meeting

Moved: Camilla Todesco Seconded: Henry Hsu

Carried

By my signature, I hereby confirm that these minutes accurately reflect the business conducted at the Apr 24, 2017, Aphasia Institute Board Meeting.

Page 3 of 3

QRE Terms of Agreement Amendments Further to the March 27, 2017 meeting of the Board of Directors of the Aphasia Institute in which there was discussion relating to whether or not the Quality, Research and Ethics (QRE) Committee should become a sub-committee of the Board, a motion is required to pass the following resolution: To amend the QRE Committee’s Terms of Reference, as follows:

• by adding under the “General Membership” heading:

o “4. At least one (1) member from the BOD.”;

• by deleting under the “Roles and Responsibilities of the Chair” heading:

o “To sit as a member of the Board of Directors and provide regular updates on the work of the QRE Committee at the Board meetings.”; and

• by adding under the “Roles and Responsibilities of the Chair” heading:

o “To provide regular updates on the work of the QRE Committee at BOD meetings, as required.”

Executive Report to the Aphasia Institute Board of Directors – June 2017

Vision Statement There are no barriers to living successfully with aphasia Mission Statement Give hope to people with aphasia and their families by developing and sharing innovative solutions that reduce language barriers to full life participation

1

Executive Report: June 2017

Acronyms A list of acronyms to assist you as you navigate this report: AAH Aging At Home ALC CAMS

Alternate Level of Care Communicative Access Measures for Stroke

CAPS Community Accountability Planning Submission CCAC Community Care Access Centre Central LHIN COLA

Central Local Health Integration Network Cost of Living Allowance

CSS Community Support Service CSS Network HRDC

Community Support Service Network Human Resource Development Canada

H-SAA Hospital Service Accountability Agreements HSF Heart & Stroke Foundation H-SIP Health System Improvement Pre-Proposals

Health System Improvement Project IHN Important Health Notice IHSP Integrated Health Service Plan M-SAA Multi-Sector Accountability Agreement MOHLTC Ministry of Health and Long-Term Care OAHPP Ontario Agency for Health Protection and Promotion OCSA Ontario Community Support Association OHA Ontario Hospital Association OHRS/MIS Ontario Healthcare Reporting Standards / Management Information

System OSN OSS OTF

Ontario Stroke Network Ontario Stroke System Ontario Trillium Foundation

OTN The Ontario Telemedicine Network SCA™ Supported Conversation for Adults with Aphasia SHKN Seniors Health Knowledge Network SNAGA Health Service Needs Assessment and Gap Analysis TRI Toronto Rehabilitation Institute WERS WTR

Web Enabled Reporting System Walk Talk ‘n’ Roll

2

Executive Report: June 2017

This report is respectfully submitted by the Executive Staff Team:

Aura Kagan, Executive Director and Director of Education and Applied Research Catherine Brookman, Consultant Executive Leadership, Research and Program Innovation Carrie Harrison, Director of Finance and Operations Rochelle Cohen-Schneider, Director of Clinical and Educational Services

Prepared with administrative support from Caryl Pereira

3

Executive Report: June 2017

Updates related to:

Strategy

Operational Plan

• The status of the annual operational deliverables arising from the strategic plan will be provided in Q2

Finance and Operations (including agency related –LHIN, human resources) Finance • Please refer to the Financial Report included in Board Package • Cash Flow – based on discussion with the Board Executive and our requirement to

increase our cash flow position, we have drawn $60K from our non-endowment investments. We will continue to monitor and have a better understanding of further cash flow requirements, once we have completed our Walk Talk ‘n Roll Campaign

• Our two new SLP’s were hired mid-May, overlapping withour SLP who will be taking maternity leave. Although this comes with an unanticipated financial cost of approximately $15K that was not included in our budget, it is operationally necessary to ensure that new staff have the training and support to provide quality service to our clients and volunteers

Operations • We have begun the interview process for a summer student (related to the successful

grant application reported in April. • We have completed our financial audit and draft audited statements are included in

the Board Package

External Relationships

Ministry/CLHIN

• Health Quality Ontario -Lee Fairclough, VP Quality Improvement, and Ivan Yuen met with the executive team. They introduced us to QUORUM, Ontario’s new healthcare quality improvement community and are interested in working with us to promote the Aphasia Institute. There is particular interest in CAMS (Communicative Access Measures for Stroke) as this is a quality improvement tool.

• Jane and Aura met with Dr. Bob Bell the Deputy Minister of Health, Nancy Naylor the Associate Deputy Minister and Tim Hadwin the Assistant Deputy Minister, Sara McNally from the Deputy's Office and Dara McLeod from the Minister's Office.

4

Executive Report: June 2017

Aura presented an overview of who we are and what service we provide and how we want to scale our education across the province using distance learning technology. The Deputy was very complimentary about what we had achieved to date. It may take several months before we have any follow-up from the Ministry of Health

• For the fiscal year 2017/18, the Ministry of Health has provided new guidelines/updates to Service Providers on the Multi-Sector Accountability Agreement LHIN funded indicators. Rochelle and Carrie met with the LHIN to discuss the changes and to work with the LHIN in understanding the service we provide, and what we can do to realign the Aphasia Institute’s indicators to meet the requirements of the new guidelines. The meeting was very positive and we felt the LHIN will do all it can to support us with our recommendations. It may take time to receive a response from the LHIN regarding our recommendations

Communications • Henry has supported the communication working group in developing brochures,

based on the feedback from the group. Henry has created WTR brochure, The Gift of Conversation, Matching Gifts. Caryl will have these available at the Board Meeting

• The communication working group is in early discussions related to developing a theme and content for our Annual Report

Revenue Generation/Fund Development (including fundraising, donor cultivation)

• We hosted a donor cultivation event in May – with 8 people observing our

Toastmasters Program, and then meeting with Aura and Rochelle Training and Education • Knowledge Exchange Webinar Speaker Series- We completed three more webinars in

our 4-part series. In April, Abe Snaiderman, MD, University of Toronto presented on mood, behaviour and management after acquired brain injury. In May, Dr. Rick Swartz, MD, Ph.D. presented on Stroke in Young Adults. Both webinars attracted 75 – 80 registrants. A final webinar was presented in June by Riva Sorin-Peters, Ph.D. on taking partner training to the next level using adult learning approach

• Two-Day SCA Core Training Workshop – Social Work focus – We recently approached the Toronto Stroke Network with a recommendation that Social Workers (SW) in their region should be trained in SCA™ given the level of SCA™ skill and proficiency necessary to support the kinds of conversation they have with their clients. There have been quite a few inquiries as a result and, pending funding approval, the field of SW should be well represented at next month’s workshop

• Talking to Your Communication Health Assistant – We have just completed a new resource for Communication Disorder Assistants. The resource was recently shown at a CDA Conference where we were able to gather emails and consent to market to this target audience once the product is rolled out this month

5

Executive Report: June 2017

• We received feedback from the pilot webinar we did with students from Boston University. The webinar was well-received and 100% of students agreed or strongly agreed that they would “be able to apply what I learned in my future clinical practice/work”. While there were some technical issues, we have brainstormed ways in which we might work around these and will be approaching other Universities to offer this webinar

• We continue to work with the Toronto Stroke Network to help them implement SCA™ training to 5 hospital sites in Toronto. While assisting them in developing a plan, we are learning a lot about implementation and hope to be able to start using some of this learning to help support the SLPs who take our Train the Trainer Program

• We recently completed our April Train the Trainer Survey. Based on the responses (24% responded), we see that 75 new workshops have been offered and almost 1,775 people have been trained in the last 12 months. It is very useful to see which disciplines are being trained through these workshops

Direct Service General • The two new SLP staff members have started. They will be good additions to the

team as they bring some rehab and hospital experience. There will be a steep learning curve and the program team is working hard to put things in place so that there is no disruption to the service provided to members and the support of volunteers

Students • Our University of Toronto SLP students have started. They are very strong students

and in addition to getting good experience and meeting their University requirements, they do very valuable work for us

• We also have a student from Queen Mary University in Edinburgh – this is a very short 3-week placement

Volunteers • The Volunteer Celebration event was held on May 11th - an evening party to

celebrate with our volunteers featuring a "Cross-Canada Adventure". 47 volunteers attended

• 7 of our volunteers received the Volunteer Service Award on June 6. The awards were presented by the Ontario Ministry of Citizenship. These volunteers are; Anna Taylor (25yr), Michael Wright (15yr), Phia Hibbeln (10yr), Joyce Ostler (10yr), Don McKellar (5yr), George Aldworth (5 yr.), and 3 Youth recipients

• Spring volunteer recruitment: 10 new volunteers joined our CAP including 2 volunteers who are completing a summer short-term volunteer experience

6

Executive Report: June 2017

Research and Project Updates

Communicative Access Measures for Stroke (CAMS) • Technical support continues for users of the tool SCA-Acute • An amendment was successfully submitted to the North York General Hospital

Research Ethics Board to include an additional department into the project, due to additional interest in participation

• Recruitment efforts broadened for hospital staff and family members • The project officially commenced, with a meeting between participants and principal

investigators in May, and early data collection activities set for June

Institute for Clinical and Evaluative Sciences (ICES) • A final teleconference took place with the project team to clarify additional details

about the analysis in preparation for the poster to be presented at the Clinical Aphasiology Conference at the end of May. Next steps were also discussed.

Basic Outcome Measurement for Protocol for Aphasia (BOMPA) • The research protocol for the evaluation trial continues to be developed, with support

from a statistician and a research consultant • A grant application for a small amount ($3500) was submitted to Speech-Language

and Audiology Canada to support the BOMPA tool evaluation study projected to begin sometime in Fall 2017

QRE Committee • The QRE Committee met on June 8 and included updates on various projects.

Conferences and Presentations • Aura (on behalf of a research team including ICES) presented a poster at the Clinical

Aphasiology Conference, May 30-June 3 • Aura presented a keynote address to the Nordic Aphasia Conference, June 15-17

7

Executive Report: June 2017

Upcoming Events

Month Board Meeting Board Education Events to attend

July 2017

Town Hall July 18

August 2017

Volunteer Training Aug 11 & 18

September 2017 Board Meeting Sept 25

Annual General Meeting – Sept 25

October 2017 Board Meeting Oct 23

Family Night Oct 25

November 2017 Board Meeting Nov 27

Volunteer Training Nov 10 & 17 Town Hall-Nov 22

December 2017

Holiday Party Dec 9

8

2016-2017 Financial Highlights 2016/17 Current Status Our current financial position leaves us with a deficit of -$8K a positive variance to the budget of $232 K. Actual to Budget Variances Overall revenue exceeds our budget by $154

• Social Enterprise (Professional Training and Resource Products) exceeds our budget by $53K; related to additional Professional Training

• Investment income exceeds budget by $66K. (We have recognized $13K in income (book value vs. Fair Market value), $51K in Endowment Interest Income recognized to offset Endowment Management Fees and CAMS technical development, and converting US investments to Canadian Funds

• Fund Development is currently exceeding budget by $15K • One time LHIN funding of $18K to offset additional salary position • Misc. Income +2K

Overall expenditures are below budget (a positive variance) by $78K:

• $-20K Salaries ($18K offset by one-time funding) • $8K employee benefits (budget is was overstated) • $27K decrease in consultant fees (related to illness) • $15K decrease in supplies (related to social enterprise and resource product sales) • $21K decrease in rent due to budgeting error • $14K decrease in amortization costs (related to calculation error in previous year) • $5K decrease in training did not fully utilize budget based on predicted deficit • $4K decrease in controller cost (decreased the number of hours worked) • $4K decrease in additional expenditures.

DRAFT (June 15, 2017)

APHASIA INSTITUTE

FINANCIAL STATEMENTS

MARCH 31, 2017

APHASIA INSTITUTE NOTES TO FINANCIAL STATEMENTS

FOR THE YEAR ENDED MARCH 31, 2017

7

GENERAL The Aphasia Institute (�Institute�) is a registered charitable organization incorporated without

share capital under the laws of the Province of Ontario and, as such, is exempt from income tax.

The Institute was established as a partnership of individuals with aphasia, family members, volunteers, staff and supporters dedicated to reducing language barriers to full life participation at a local, provincial, national and international level. Within the framework of a teaching and learning centre, the Institute:

provides service to people with aphasia and their families in the Toronto Area through the Pat Arato Aphasia Centre, and

works to inspire and influence others locally and elsewhere through advocacy and awareness, education and training, and applied research and resource development.

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

(a) Basis of Accounting

The financial statements of the Institute have been prepared by management in accordance with Canadian accounting standards for not-for-profit organizations.

(b) Measurement Estimates

The preparation of financial statements in conformity with Canadian accounting standards for not-for-profit organizations requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Management believes that the estimates utilized in preparing its financial statements are reasonable and prudent. Actual results may differ from these estimates.

(c) Revenue Recognition

The Institute follows the deferral method of accounting for contributions, which include donations and grants. Unrestricted contributions are recognized as revenue when received or receivable if the amount to be received can be reasonably estimated and collection is reasonably assured. Endowment contributions are recognized as direct increases in net assets in the year. Restricted contributions are recognized as revenue in the year in which related expenses are incurred. Contributions that are restricted for the purchase of property and equipment are deferred and amortized at the same rate as the related property and equipment. Revenue from sales of resource material is recognized when the resource material is delivered and collection is reasonably assured.

APHASIA INSTITUTE NOTES TO FINANCIAL STATEMENTS

FOR THE YEAR ENDED MARCH 31, 2017

8

Revenue from client service fees, professional training and education is recognized when the service is provided and collection is reasonably assured. Investment income in the Endowment Fund includes dividend, interest, and realized gains and losses on the sale of investments. Such investment income is externally restricted and therefore is recognized as revenue in the year in which related expenses are incurred. Unspent endowment investment income is included in deferred income. Investment income from outside the Endowment Fund is recognized on each investment using the effective interest rate approach. Changes in unrealized gains or losses based on year-end quoted closing prices are included in investment income.

(d) Capital Assets

Capital assets are recorded at cost and are amortized on a straight line basis over their estimated useful lives using the following rates: Office furniture and equipment 10 years Computer equipment 3 years Leasehold improvements 10 years

Website infrastructure 5 years Amortization is recorded at half of the regular rate during the year of acquisition.

(e) Financial Instruments

The Institute�s financial assets and financial liabilities are accounted for as follows: Cash is subject to an insignificant risk of change in value so carrying value

approximates fair value.

Endowment Fund investments are valued at amortized cost.

Investments outside of the Endowment Fund are valued at year-end quoted closing prices.

Accounts receivable, accounts payable and accrued liabilities are measured at amortized cost.

(f) Foreign Exchange

The Institute uses the current rate method for its foreign currency transactions. Under this method foreign denominated monetary assets and liabilities are translated into Canadian dollars at the exchange rates in effect at the balance sheet date. Revenues and expenses are translated at the yearly average exchange rates. Non-monetary assets and liabilities are translated at the exchange rate at the date of acquisition. Exchange gains or losses arising on the translation are included in the statement of revenues and expenditures.

APHASIA INSTITUTE NOTES TO FINANCIAL STATEMENTS

FOR THE YEAR ENDED MARCH 31, 2017

9

(g) Contributed Goods and Services

The value of donated goods and services is recorded as revenue and an expense in the financial statements when the fair value can be reasonably estimated and when the goods and services are normally purchased and would be paid for if not donated. The Institute benefits substantially from services in the form of volunteer time. The value of these services is not recorded in these financial statements.

2. MANAGEMENT OF CAPITAL

The Institute defines capital as the sum of its net assets invested in capital assets, sustainability fund, Impact Fund, endowment fund and unrestricted net assets less the accumulated increase or decrease in the fair value of investments. The total capital of the Institute as at March 31, 2017 amounted to $1,502,864 (2016 - $1,493,437).

The Institute's objectives when managing capital are to match generally the structure of its capital to the underlying nature of the assets being financed and to hold sufficient unrestricted net assets to enable it to withstand negative unexpected financial events, in order to maintain stability in its financial structure. The Institute seeks to minimize exposure to financial leverage and variable rate financial obligations and to maintain sufficient liquidity to meet its obligations as they become due. The Institute is not subject to any externally imposed capital requirements.

The Institute met these objectives in 2016 and 2017.

3. FINANCIAL INSTRUMENTS

The Institute manages its exposure to risk associated with financial instruments in accordance with its risk management policy. The objective of the policy is to reduce volatility in cash flow and earnings. The Institute monitors compliance with risk management policies and reviews risk management policies and procedures regularly. The Institute does not use derivative financial instruments to manage its risks. Credit risk Credit risk refers to the possibility that parties may default on their financial obligations or, if there is a concentration of transactions carried out with the same party, that these transactions could materially, if defaulted on, have an adverse effect on the Institute, or if there is a concentration of financial obligations which have similar economic characteristics such that they could be similarly affected by changes in economic conditions. Cash, investment in debt instruments and accounts receivable are exposed to credit risk. The Institute�s total exposure

to credit risk from these financial instruments was $443,551 as of March 31, 2017 (2016 - $680,133). The credit risk associated with cash is minimized by ensuring that cash is held at a major financial institution which is insured by the Canadian Deposit Insurance Corporation. The

APHASIA INSTITUTE NOTES TO FINANCIAL STATEMENTS

FOR THE YEAR ENDED MARCH 31, 2017

10

credit risk associated with investments is managed by investing in accordance with the investment policy approved by the Board of Directors. The policy stipulates the type and limits of allowable investments. The credit risk associated with accounts receivable is minimized by its review of clients� creditworthiness and ability to pay. Accounts receivable credit risk is further reduced by ensuring a broad and diverse client profile within its credit policy.

Market risk Market risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices. Market risk is comprised of currency risk, interest rate risk and other price risk. Currency risk Currency risk reflects the risk that the fair value of financial instruments or future cash flows associated with the instruments will fluctuate due to changes in foreign currency exchange rates. As of March 31, 2017, the Institute holds $396,689 (2016 - $382,092) of foreign securities, which are mostly denominated in US Dollars, in its Endowment Fund and therefore is exposed to currency risk. Interest rate risk Interest rate risk refers to the risk that the fair value of financial instruments or future cash flows associated with the instruments will fluctuate due to changes in market interest rates. The Institute�s cash on deposit with financial institutions and investments earn interest rates that are both fixed and variable. Interest on cash balances is exposed to interest cash flow risk as the cash balance earns interest based on fluctuating market interest rates. The investments are exposed to interest rate price risk since their fair values will fluctuate depending on the prevailing market interest rates. The primary objective of the Institute with respect to investments is to ensure the security of the principal amounts invested and to provide a high degree of liquidity, while achieving a higher rate of return than if excess funds were held as cash. The Institute manages the interest rate risk exposure to its bond investments by using staggered maturity dates. The staggered maturity dates help to enhance the average portfolio yield while reducing the sensitivity of the portfolio to the impact of interest rate fluctuations. Other price risk Other price risk refers to the risk that the fair value of financial instruments or future cash flows associated with the instruments will fluctuate because of changes in market prices (other than those arising from currency risk or interest rate risk), whether those changes are caused by factors specific to the individual instrument or its issuer or factors affecting all similar instruments in the market. The Institute�s investments are exposed to other price risk. The Institute manages the other price risk exposure to its investments by establishing and adhering to an Investment Policy which specifies a conservative risk tolerance and requires a diversified investment portfolio.

APHASIA INSTITUTE NOTES TO FINANCIAL STATEMENTS

FOR THE YEAR ENDED MARCH 31, 2017

11

Liquidity risk Liquidity risk is the risk that the Institute will not be able to meet a demand for cash or fund its obligations as they come due. The Institute meets its liquidity requirements by monitoring cash flows from its activities, preparing budgets, and anticipating investing and financing activities.

4. INVESTMENTS

The Institute�s investments represent investments held outside of the Endowment Fund and consist of the following:

2017 Amortized

Cost $

2017 Carrying

Value $

Bank of Montreal preferred shares,

5.8% dividend non-cumulative

60,505

58,305 Canadian Tire Corp bond,

due October 13, 2021, 3.51% yield

122,818

129,999 Province of New Brunswick CDS,

due June 3, 2023, 3.75% yield

11,647

12,478 Province of British Columbia bond

due February 23, 2024, 3.23% yield

61,834

64,909 Loblaws preferred shares,

5.3% dividend cumulative

131,814

132,600 388,618 398,291

The investments had unrealized gain of $9,673 as of March 31, 2017 (2016 - unrealized gain of $9,601).

5. CAPITAL ASSETS

March 31, 2017 Accumulated Net book Cost amortization value $ $ $ Office furniture and equipment 72,290 56,903 15,387 Computer equipment 47,911 41,091 6,820 Leasehold improvements 19,593 10,503 9,090 Website infrastructure 10,361 10,361 - 150,155 118,858 31,297

APHASIA INSTITUTE NOTES TO FINANCIAL STATEMENTS

FOR THE YEAR ENDED MARCH 31, 2017

12

March 31, 2016 Accumulated Net book Cost amortization value $ $ $ Office furniture and equipment 78,541 58,462 20,078 Computer equipment 58,517 47,151 11,366 Leasehold improvements 19,593 8,543 11,051 Website infrastructure 49,615 48,579 1,036 206,266 162,735 43,531

6. DEFERRED INCOME

2017 $

2016 $

Client service fees and donations 51,146 46,799

Endowment investment revenue - 7,905

Other deferred grants 2,177 1,299

53,323 56,003 7. DEFERRED CAPITAL CONTRIBUTIONS

2017 $

2016 $

Balance, beginning of year 19,434 11,848

Additions Amortization of deferred capital contributions

- (6,558)

13,638 (6,052)

Balance, end of year 12,876 19,434 8. GOVERNMENT AND OTHER GRANTS

2017 $

2016 $

Ministry of Health and Long-Term Care � Annual 913,612 913,612

Trillium Foundation - 58,617

City of Toronto � Community Services 20,075 20,507

Others 21,024 19,001

954,711 1,011,737

APHASIA INSTITUTE NOTES TO FINANCIAL STATEMENTS

FOR THE YEAR ENDED MARCH 31, 2017

13

9. ENDOWMENT FUND

The Aphasia Research and Education Endowment Fund (�Endowment Fund�) was established in June 2014 with a $1 million contribution from a donor. The Institute has agreed to manage the Fund as a perpetual endowment fund. The original capital shall not be encroached on and all income earned shall be restricted to support the Institute�s aphasia

research and education activities, adhering to an Endowment Agreement dated June 4, 2014. The Endowment Fund is open to contributions from other donors. During fiscal year 2016/2017, the Endowment Fund received $50,000 of donations (2015/2016 - $50,000). The Institute�s Endowment investments consist of cash, fixed income instruments, Canadian equities and foreign equities. These instruments are stated on the statement of financial position at amortized cost. As of March 31, 2017, the Endowment Fund investments had a total market value of $1,206,440 (2016 - $1,028,249). As of March 31, 2017, the Endowment Fund held the following types of instruments in its portfolio: 2017 2016 $ $ Cash and money market 272,156 41,957 Bonds 99,685 284,999 Canadian common shares 340,141 336,182 Foreign securities 396,689 382,092 Total 1,108,671 1,045,230

10. INTERNALLY RESTRICTED FUNDS

The Aphasia Impact Fund, formerly known as the Research, Development and Technology Reserve Fund, has been established by the Board of Directors in fiscal year 2004/2005 for the internally restricted purpose of funding aphasia-related research and development activities. A Sustainability Fund, an internally restricted fund established by the Board of Directors in fiscal year 2011/2012, was created to promote the long-term financial health and sustainability of the organization. During 2015/2016, the Board of Directors has approved the transfer of the balance in the Sustainability Fund to the General Fund.

APHASIA INSTITUTE NOTES TO FINANCIAL STATEMENTS

FOR THE YEAR ENDED MARCH 31, 2017

14

11. COMMITMENTS

The lease for the premises occupied by the Institute expires in August 2022. The Institute is also committed to making periodic payments for equipment under operating leases which expire from 2020 to 2022. The minimum annual payments for these operating leases are as follows: $

2018 279,923

2019 285,920 2020 280,166 2021 278,248 2022 278,248 12. ECONOMIC DEPENDENCE

The Institute is dependent on the Province of Ontario for the provision of funds to cover the cost of operations. Ontario provincial grants accounted for 64% of the Institute�s total revenues in 2017 (2016 � 64%).

Multi-Sector Service Accountability Agreement April 1, 2014 - March 31, 2017

SCHEDULE G – FORM OF COMPLIANCE DECLARATION

DECLARATION OF COMPLIANCE Issued pursuant to the M-SAA effective April 1, 2014

To: The Board of Directors of the Central Local Health Integration Network (the

“LHIN”). Attn: Board Chair. From: The Board of Directors (the “Board”) of the Aphasia Institute (the “HSP”)

Date: June 19, 2017

Re: April 1, 2016 –March 31, 2017 (the “Applicable Period”)

Unless otherwise defined in this declaration, capitalized terms have the same meaning as set out in the M-SAA between the LHIN and the HSP effective April 1, 2014.

The Board has authorized me, by resolution dated [insert date], to declare to you as follows:

After making inquiries of the Executive Director, Aura Kagan responsible for managing the and other appropriate officers of the HSP and subject to any exceptions identified on Appendix 1 to this Declaration of Compliance, to the best of the Board’s knowledge and belief, the HSP has fulfilled, its obligations under the service accountability agreement (the “M-SAA”) in effect during the Applicable Period.

Without limiting the generality of the foregoing, the HSP has complied with:

(i) Article 4.8 of the M-SAA concerning applicable procurement practices; (ii) The Local Health System Integration Act, 2006; and (iii) The Public Sector Compensation Restraint to Protect Public Services Act, 2010.

Jane Gibson, Board Chair

Multi-Sector Service Accountability Agreement April 1, 2014 - March 31, 2017

Schedule G – Form of Compliance Declaration Cont’d.

Appendix 1 - Exceptions [Please identify each obligation under the M-SAA that the HSP did not meet during the Applicable Period, together with an explanation as to why the obligation was not met and an estimated date by which the HSP expects to be in compliance.

From: "Lyn McDonell" <[email protected]> Date: June 13, 2017 at 2:19:40 PM EDT To: "'Jane Gibson'" <[email protected]> Subject: Consultant's Message - June 19th evening

Jane, Board members and senior staff of the Aphasia Institute I am pleased to be your consultant who will be assisting this fall’s strategic planning for the Aphasia Institute. This is a heads up that I will be part of your dinner event on June 19th to meet the newer Board members and greet the Board members who were part of the process last time. I know you made progress on the last plan – what is the next leap forward? Somewhere during that evening, we will focus on the planning exercise ahead, the timetable in general for it, and I will find a way to get your early input efficiently and in a fun way. I won’t take too much of your time -- it is a social evening. Our commitment is to facilitate an excellent dialogue amongst staff and leadership on key issues to build a shared understanding of the future. That process starts next Monday! See you soon. I look forward to it.

LYN Lyn McDonell CAE C.Dir CMC | President | The Accountability Group 416.444.5932 Telephone | Mobile 647.225.5932 [email protected] | www.theaccountabilitygroup.com