find the best in you at rexdale chc

1Rexdale Community Health Centre 2018/2019 Annual Report

2018/2019 Rexdale Community Health Centre Annual Report

FIND THE BEST IN YOU... AT REXDALE CHC

Children’s program

Pathways Graduation Celebration

Pharmacy Services

Primary Health Care Services


and support that enhance academic achievement and educational success, and also address the overall health and well-being of youth in the community.

People caring for a loved one who is ill or living with a disability also have a new Rexdale CHC program to support them. Self-care, avoiding caregiver burnout, and managing stress are just some of the relevant topics the caregiver program covers.

The initiatives and the stories of client success that you will read in this report’s pages illustrate Rexdale CHC’s commitment to lifting our community up. The tremendous skill and daily acts of caring shown by our staff and volunteers in delivering our services make finding “the best in me” possible for our clients and our centre. We are grateful to them and to our funders and partners for the example they show and ideas and achievements they have helped bring to fruition this year.

As we look to 2020, we will continue to support Rexdale, working with new and old partners, identifying and responding to evolving needs, and using every tool at our disposal—from technology to proven best practices—to deliver high-quality care and the best client experience to our community.

This year, that commitment to self-improvement saw us expand our service offerings, establish a new service location, and deepen and grow our relationships as a valued community and health service partner in Rexdale.

One significant development this year was the move to our newest permanent site at 222 Dixon Road. This satellite location provides a full range of Rexdale CHC primary health care and health promotion services. Its location offers convenient access for communities south of our 8 Taber Road site and has quickly become a bustling service point.

It is where we are delivering a new program for Somali seniors that offers a safe and friendly opportunity to reduce their isolation. Through a range of social recreational activities, the program supports the development of social networks for at-risk seniors, while promoting health, wellness and self-esteem. We hope that by anchoring this program at the Dixon satellite, it will highlight the location as a senior-friendly hub and encourage the Somali community to approach Rexdale CHC for their needs.

Free chiropractic services are also available at the Dixon Road location, thanks to our partnership with Canadian Memorial Chiropractic College. This much-needed service has been highly used since commencing in April 2019. As health service providers, we know that an unhealthy mouth can be linked to serious health problems, so we were delighted to partner with Toronto Public Health on a

pilot project to expand our dental services to include low-income adults between the ages of 18 and 65. New partnerships also enabled us to reach into Rexdale’s Francophone community with legal and settlement services.

Helping clients harness the best in themselves requires us to strive for continuous improvement. This year, Rexdale CHC became a member of Connecting Ontario—a province-wide electronic health record (EHR) system that supports more efficient, integrated, multidisciplinary care. The EHR reduces costs associated with duplicate tests and inaccurate information, reduces wait times and lets care providers immediately access a complete picture of a client’s health.

We continued to support the Central-West Local Health Integration Network’s subregion, working with partners to coordinate health service planning, provide coordinated care planning and ensure the smooth transition of clients across different providers. Our staff and board members also took part in capacity building work with leaders from Rexdale Community Hub’s other partner organizations to identify ways we can work more collaboratively and support more meaningful community engagements.

We continued to roll out new programs for youth achievement, such as the STEP+ initiative with Kipling Collegiate Institute. It seeks to offset the academic disparities in the Kingsview Village-The Westway neighbourhood through programs

Alexander LimChair, Board of Directors

Safia AhmedExecutive Director

Helping our clients achieve their full potential is a cornerstone of Rexdale CHC’s work—whether it is in the way our primary health care team guides clients to reach health outcomes, or how our health promotions team educates and supports them to achieve a healthy lifestyle, or how our Pathways to Education team shows students the way to academic and post-academic success. We are committed not only to bringing out the best in our clients but to empowering them to bring out the best in themselves.

MESSAGE FROM THE EXECUTIVE DIRECTOR AND BOARD CHAIR

4 Rexdale Community Health Centre 2018/2019 Annual Report

VISION, MISSION, VALUES AND BELIEFS

VisionA healthy and empowered community.

MissionOur doors are open to support and advocate for the physical, economic, social and mental health and well-being of our diverse community. We work together with our community and partners to improve equitable access to quality care and services.

Values and BeliefsRexdale CHC is committed to achieving a healthier community. This includes the physical, economic, social and mental health of all community members, and is supported by strategic partnerships and collaborations and the following values and beliefs:

Accountability: We do what we say we will do. We use our resources responsibly to provide equitable access to quality care and services.

Collaboration: We work together to find and implement innovative solutions to meet our community’s needs. We share our knowledge and celebrate our success.

Diversity: We warmly welcome everyone from our community. We create an inclusive environment that honours people of all cultures, traditions, faiths, genders, sexual orientation, abilities, and life experiences.

Respect: We are kind, polite and caring. We value each other’s contributions and abilities. We create a safe place for all.

Quality: We put excellence front and centre for all our programs and services. We strive to deliver the highest standards of practice, while focusing on sustainability, continuous improvement, experiential learning, and celebrating successes.

500+Naturopathy clients seen

SERVICE PROFILE

85%of clients agree they can get an appointment at Rexdale CHC when they need one.

100% of clients stated they feel comfortable and welcome

at Rexdale CHC.

96%of clients feel Rexdale CHC staff are easy to talk to and encourage

questions.

87% of clients indicated that they

always spend enough time with their health care provider.

97% of clients noted that Rexdale CHC has a positive impact on

the community.

92%of clients agreed

they were able to get services in a language

of their choice.

91% would refer a friend or family member to Rexdale CHC.

47Pathways mentoring sessions

90%of clients know how

to make a suggestion or complaint.

86%feel their health care

provider always tells them about

treatment options and involves them in decisions about the best treatment

93% of clients agreed the

staff help them connect to the services and programs they need at Rexdale CHC or in the community.

95% felt the programs

and services offered by Rexdale

CHC meet their needs.

126 Pathways tutoring sessions

In 2018-19, Rexdale CHC also achieved the following:

Rexdale Community Health Centre 2018/2019 Annual Report 5


When N.J. talks about the Pathways to Education Girls’ Group, she exudes thoughtfulness and confidence. “My Student-Parent Support Worker Shaniqua said I should check out the group, and if I didn’t like it I wouldn’t have to go. But of course I enjoyed it so much. Growing up in this area, people point down [at you] and there’s not much confidence. I like to be more of a leader than a follower and having that chance to all be an equal in leadership is just great,” she explains.

Through weekly lessons and workshops, the eight-week program focuses on providing girls from grades 9 to 12 with a well-rounded view of how to be independent and healthy in all aspects of their lives. “It started with sessions that were about ourselves, but we also did DIY stuff like face scrubs, and went on a lot of trips. We also had speakers talking about careers and how they went through life. There was a pageant queen who’s now an architect and a woman in politics—so very different. It really motivated us to go from something that was our mom’s dream to something that we really choose,” says N.J. It was also valuable socially. “We went from not knowing each other to us being more of a family. And that’s what I liked. All of us were at an equal stage—no one was better than the other,” she says. “And Shaniqua and the other staff were all amazing. It makes me want to be like them when I grow up.”

N.J. is more self-assured than ever now. “It made me a more confident individual. It showed us that, at the end of the day, it doesn’t matter how you look or show yourself, as long as you’re happy in yourself. Every single individual that was there felt much more confident and beautiful with ourselves. All of our insecurities are now what we find the most beautiful parts about ourselves.”

Family Caregivers Capacity Building Funded by the Ministry of Health and Long Term Care and now in its second year, Rexdale CHC’s Family Caregiver Capacity Building project is intended to provide training, skills development, social supports and to resources for family caregivers. Rexdale CHC has done extensive community outreach to find family caregivers who are not currently using our services and to identify the barriers to participating in our programs and gaps in current program content. We have completed work on monthly calendars and a program brochure, which is being translated into various languages.

On Board the Discovery BusThis project took 40 marginalized and socially isolated, ethno-racial seniors on a journey of discovery to connect them with each other and the community. Seniors were involved in all aspects of the project design, development and delivery. Through hands-on activities, participants explored Canadian and local history, our neighbourhoods, transportation and civic systems, and arts and cultural offerings. Participants enjoyed interactive on-site and in-community experiences, as well as support from a multimedia expert who encouraged and guided them to document their experiences using a such tools as journaling, photography, videography, social media, etc. A wrap-up community event provided an opportunity to celebrate the participants’ achievements as well as a forum for sharing their experiences with the broader community.

Francophone ServicesWith funding from the Central-West LHIN and participation from the target community, Rexdale CHC collaborated with Reflet Salvéo and Auberge Francophone to launch services for Francophones living in Rexdale. We hired a French-speaking doctor on our Primary Health Care team and began health promotion workshops and information sessions about Rexdale CHC and other partners’ services. Rexdale CHC also collaborated with Rexdale Hub partners, Centre francophone de Toronto, Wellfort Community Health Services, and others across the CWLHIN to assist with service planning and integration.

THE BEST IN… N.J.

‘‘ All of our insecurities are now what we find the most beautiful parts about ourselves.”


THE BEST IN… S.J.

When S.J. talks about her struggles of the last few years, it’s hard to believe she is still smiling. “I just felt isolated with everything going on, every single day a new crisis. In and out of the hospital once a week. It was a lot,” she explains.

While asking a counsellor at Rexdale CHC about getting help for a loved one, the counsellor asked, “Do you have anybody to talk to yourself? What you’re going through is stressful on a daily basis.” And that began S.J.’s own relationship with Rexdale CHC.

“I’ve been going to Rexdale CHC for two years now. I started seeing Eden, the psychotherapist, then I moved my family doctor there. I see the chiropractor, the physiotherapist, and take classes there as well. I do all kinds of things there now,” she laughs.

S.J. credits Rexdale CHC, and in particular her therapist, for helping her maintain her optimism. “She made me feel comfortable; she understood. I thought of her more like a family member or friend than a therapist. She has a way of making you feel good about yourself,” she says. “She reminded me that I needed to get out, be around people, and do things I like again.”

Through Rexdale CHC, she was able to do that in an unexpected way. “They suggested I attend a group they offer for seniors, even though I’m not a senior,” says the 53 year old. A self-described people person, S.J. found herself invited to a bunch of seniors events and making new friends. “I thought it was hilarious—I’m hanging out with people who are 75, but it’s so fun. I can get along with anybody, and I was helping them and they offered me something too.”

Today S.J. feels in more control. “I got my life back. Going there is like a breath of fresh air for me. I should work there because I’m always promoting the centre in the waiting room: ’Oh, did you know they also offer this service here?’ and I get people attending things,” she laughs. “Just being at Rexdale CHC makes me feel happy. It’s a safe haven.”

Tree for MeAs part of our efforts to promote healthy, inclusive and sustainable lifestyles, Rexdale CHC’s Urban Harvest Toronto program hosted a Tree for Me event on June 1, 2018, in partnership with Toronto Parks and Tree Foundation (TPTF). The event engaged residents and developed their tree planting and maintenance skills. Thanks to a TPTF grant, Rexdale CHC provided 103 community members with access to native and fruit trees, as well as vegetable plants to grow produce on their own.

Youth ProgrammingBCI QSA is a new program that runs at Burnhamthorpe C.I. during the school day and provides a safe space for youth to discuss issues and receive support about challenges and barriers that they face in their daily lives. The space promotes mental and emotional wellbeing and is the result of a request from the principal, who recognized the need for a program to support LGBTQ students at that school.

Pathways to EducationRexdale CHC’s Pathways to Education program continued to engage students to achieve educational goals and post-secondary success through mentoring and tutoring programs and the hands-on support of Student-Parent Support Workers (SPSWs). Using diverse ways to help students build the skills to thrive in school and beyond, we offered a Boys Club, Girls Club and Pathways Students Advisory (PSA). With support from partners like Boston Consulting Group we facilitated or co-facilitated sessions with adult mentors to encourage students to take leadership roles, acknowledge their needs and value their voices. In exit surveys, students praised the workshops and the support and guidance they received from staff and mentors.

‘‘ Going to Rexdale CHC is like a breath of fresh air for me.”


THE BEST IN… D.H.

The future looks bright for D.H. Being in the Pathways to Education Boys Group has opened him up to a world of exciting opportunities. The 16-year-old athlete likes science, math and English and is still deciding whether he wants to be a lawyer or work in the trades when he gets older.

Admittedly, D.H. was skeptical about the Boys Group when he first learned about it in grade 9, but “I went to a couple of sessions and we were doing activities on life skills and life lessons. They were things that could relate to me and help me in the future, like how to be presentable in job interviews. It was a very interesting group. After my experience in grade 9, I was happy to do it again.”

As the group explored challenging topics, such as the Criminal Code, the age of consent, and the myths and realities of gang involvement, D.H. learned a lot from the lively dialogue with his peers. “I got to learn how people deal with certain problems and how they learn. That taught me skills that help me and how I learn and deal with my problems. By the end of grade 9 I’d become close to everyone in the group.” Perhaps the biggest thing D.H. has gained from the Boys Group is a sense of openness to new things. “We learned about stepping out of your comfort zone to meet people and just try things in general. So I decided to take a business class last year. I wasn’t too sure about it, but I like it,” he explains. “This year I have picked physics and chemistry. We had a bunch of trades come in—plumbers, engineers and stuff—and I got to talk to them one-on-one. It kind of made me want to pursue that and take the classes to see if I’ll like it. I feel more confident for next year school-wise. If you don’t new try things you’re not going to know if you like them.”

Pathways Health Careers FairPathways’ Mentoring team organized and facilitated a career fair showcasing health care professions for 80 Pathways students. Attendees had the opportunity to speak to family physicians, dentists, physiotherapists, occupational therapists, nurse practitioners, chiropractors, and others in the health field—some engaging the students through interactive activities. In addition to hearing from a guest speaker who is an MD candidate and grew up in the community, the fair showed students how the diversity of the Rexdale community is reflected in health care roles and how to enter these fields. The event sparked interest in health care from students who had not considered it as a career path.

Student SuccessSeventy-eight Pathways students applied to post-secondary institutions. One student won a $2,000 Investing in Your Diversity scholarship and another received the Boston Consulting Group summer internship. At the time of writing this report, only preliminary data on college and university acceptances was available. Of Pathways’ 395 students, 80 scored 80% or more on their final exams.

Preparing for 2020In the coming school year, Pathways will continue to provide targeted supports to students based on their needs, interests and overall goals. Areas of focus will include struggling students, completing grade 11 profiles, and exposure to trades and post-secondary school life. The Ace of Trades program—a new collaboration with community partners—will expose students to career paths in the trades and provide information and resources for apprenticeship opportunities. The Pump for Post-Secondary program—a collaboration with Big Brothers/Sisters and Pathways group mentoring—will enable 30 grade 10 students to connect with student mentors at Humber College Lakeshore. Once a week from October to April, students will take part in a curriculum that explores post-secondary and career options and demystifies the post-secondary experience. They will develop goals to pursue post-secondary education and form a meaningful connection with a post-secondary institution.

‘‘ We learned about stepping out of your comfort zone. If you don’t try new things you’re not going to know if you like them.”


Primary Health Care AccessRexdale CHC’s Primary Health Care (PHC) unit continues to enroll new clients and promote greater access to our care. This year, we hired a temporary full-time physician, which enabled us to offer more services at the high-demand Dixon Road satellite clinic and increase the number of evening appointments. Evening appointments are available most days of the week and clients can also call to speak with a physician for after-hours medical services. We began piloting a walk-in clinic at the Rexdale Hub on Tuesday afternoons, and moved our Saturday clinics to the Hub to provide better access where and when we have most demand. The clinical team initiated, completed, or updated 160 coordinated care plans for clients with complex care needs and Rexdale CHC’s community pharmacy at our 8 Taber Road location continues to provide a range of services including medications review and medication reconciliation.

General Primary Care ServicesOur sexual health clinic moved from Albion Mall to the Rexdale Hub to accommodate more clients and efficiently use clinical resources. The clinic also expanded to 222 Dixon, and is being provided once a week at each Rexdale CHC location. We met or surpassed our performance targets for breast, colon and cervical cancer screenings and conducted annual influenza vaccinations.

Specialized Primary Care ServicesRexdale CHC’s Chronic Disease Management (CDM) team continues to offer mobile clinics and Diabetes Education services to Woodbine Racetrack’s seasonal workers who face multiple barriers to receiving care. We provide physiotherapy at our Dixon Road location and chiropody services through two chiropody students. We added a temporary chiropodist from February to May 2019, and urgent same-day appointment spots to meet the growing demand for foot care services. Our chiropody team offered more than 500 offloading devices, including air cast walkers, custom made orthotics and orthopedic shoes, to clients with a diabetes foot ulcer or at high risk for developing one. Guided by a new CDM , the Chronic Disease Management team conducted joint outreach and integrated program planning with diabetes nurses, diabetes dietitians, chiropody, physiotherapy, and community nutrition services. The team also provided in-person services, 41 telemedicine visits, and community education and workshops.

THE BEST IN… H.S.

When asked about Rexdale CHC and its staff, H.S. easily replies, “They are like my second family.” She goes on to explain, “I admire their dynamic. You don’t feel like you’re left out, you always feel like there is someone taking care of you and looking after you.”

A nurse and mother, H.S. turned to Rexdale CHC after moving to the neighbourhood seven years ago. “When I found out I was pregnant, I needed prenatal care. I had used a CHC near our last home so looked for one here and found Rexdale CHC.”

H.S. was very glad to find the centre. “I had a lot of issues during that pregnancy. The staff were very helpful and supportive throughout all my pregnancies,” she explains. Her third child is now 10 months old, but “After I had her, I was diagnosed with post-partum depression. So I saw the therapist at Rexdale CHC. I can’t thank her enough. It wasn’t easy for me but through Rexdale CHC’s care and advice, I have so much hope.”

H.S. has become stronger and healthier with the centre’s support. “I saw their physiotherapist for a while. I feel like that has helped me so much, and I just saw the chiropractor for the first time last week.” She and her children are all clients, and she doesn’t hesitate to sing the centre’s praises to others. “I recommend so many people to go here! Last week I took a relative who just arrived in country. Even they said, ‘Oh my gosh, they are so amazing.’ And it’s not only the care providers, it’s the office staff too.”

According to H.S., “I’m better in so many ways. The staff have always been there for me, always willing to help. I feel so safe. If we ever move, I will still travel here!” she says.

‘‘ I’m better in so many ways. It wasn’t easy for me but through Rexdale CHC’s care and advice, I have so much hope.”


Seniors ProgrammingThe Health Promotion team in partnership with the Primary Health Care team conducted a chair yoga program and health promotion talks for seniors, as well as an exercise program for high-risk seniors at our 222 Dixon Road site.

Healthy Kids Community ChallengeFor three years, Rexdale CHC and local partners have run HKCC programs along four themes to help kids make healthier decisions. Run. Jump. Play. Every Day. promoted family physical activity through 23 programs that reached more than 200 children and 200 staff and volunteers. Water Does Wonders encouraged choosing water over sugar-sweetened beverages. Choose to Boost Veggies & Fruit launched at a community block party in Rexdale where attendees learned about food security initiatives, community food programs, caterers, and food growing opportunities. As part of this theme, Cooking with Kids provided 48 interactive cooking sessions to children and families living in Rexdale. This theme’s Growing with Kids Initiative also taught more than 5,000 children and their families how to grow vegetables and herbs in community spaces and in their homes. Finally, Power Off and Play! aimed to reduce screen time and encourage physical activity, recreation, the arts and nature play, such as hiking and exploring local parks and rivers.

Rexdale Foodie FestFoodie Fest has become one of Rexdale CHC’s premier events, attracting more than 5,000 people for a day of physical activity, healthy foods and fun. This year’s event wrapped up the Healthy Kids Community Challenge (HKCC) and included pavilions to promote all four HKCC themes. The event featured 40 interactive booths and community residents received free nutritious foods and learned how to cook to encourage family time and discourage eating while watching screens.

THE BEST IN… F.D.

To say F.D. is an active senior is an understatement. “I am not working any longer so I have all the time, but I’m more busy now than I was before,” she says.

A regular attendee of Rexdale CHC’s seniors programs, she loves the connections that the centre has created for her. “Rexdale CHC is a comfortable home. You feel relaxed when you step in to take part in any of the activities. I’m happy to be a member of the seniors group. I look forward every day to coming to 8 Taber Road. Happiness cannot be bought, but it can be found at Rexdale CHC,” she says in a piece she wrote about the centre called The Freedom Palace.

The variety of activities offered by the seniors program have given F.D. the freedom to learn, explore, make new friends and feel engaged. She takes part in the exercises, listens to guest speakers, enjoys lunch with the other seniors, plays bingo and sings in the choir. “When we sing we forget all our problems and health issues, if we have any. Rexdale CHC makes it possible for us to attend different programs by providing TTC tickets. This eliminates seniors from being isolated.

Instead we get to be a huge family with different languages and cultures.”

Although she has been part of the seniors program for many years, F.D. still cherishes one of her first memories of Rexdale CHC, which took place during the ice storm of 2013. Her power had gone out and “just as I was thinking, ‘What to do next?’, my phone rang. It was Wendy, the seniors coordinator at Rexdale CHC. She gave me her phone number and said I could call any time. I really felt moved. Hardly anyone would do that, but they thought about everyone outside. It shows Rexdale CHC doesn’t just operate at 8 Taber Road but goes far beyond that.”

With her seniors program schedule, F.D. always feels supported. “I always like to be active. Instead of staying at home and eating and watching television, I’m out of the house. I appreciate Rexdale CHC for the service they provide us. They add spice to my life.”

‘‘ Happiness cannot be bought, but it can be found at Rexdale CHC.”


Dental CareIn partnership with Toronto Public Health (TPH), Rexdale CHC implemented a dental pilot program for low-income clients between 18 and 65 years of age who have urgent dental needs. At the request of CHCs, the Board of Health approved the pilot to determine the demand for services, and from March 1, 2018 to February 28, 2019, 148 clients made 242 dental visits to our clinic. During the pilot project, 99% of the clients either had their chief dental complaint addressed or their treatment was in progress. More than 90% of the clients were satisfied with the care they received and 87% felt that their dental treatment will improve their overall health. Final project evaluation and next steps are currently being discussed with TPH.

PartnershipsIn partnership with Humber River College we offered free massage therapy sessions to clients, and chiropractic services through a partnership with Canadian Memorial Chiropractic College. Another new partnership with Positive Change offers counselling to women who have lost children to violence, and educational sessions with high-risk youth. Clinical services at the Dixon Road site are now complemented by settlement counselling sessions through Rexdale Women’s Centre once a week, physiotherapy and community nutrition services are also offered at the Dixon Road site.

THE BEST IN… A.C.

A.C. and her family moved to Canada from Portugal in 2013. The family loves nature, sports, movies, reading and God, but despite the abundance of these things in Canada, adapting was a struggle. “I got sick and depressed—especially in winter,” says A.C. “I began to experience anxiety. I was unaware of Rexdale CHC, and struggled with these conditions for about a year. Then a friend told me about Rexdale CHC and how it could help our family.”

At the centre, A.C. found the support she and her family needed to live the healthy lifestyle they enjoy. “They absolutely helped us. The centre provided us with a family doctor and an amazing skilled dentist for our kids through the pilot project,” she says. “Without the pilot project’s support, we could never afford to have even basic dental care,” she explains.

It’s the personal relationships that stand out to A.C. though. “I love the doctors – every doctor. We are so grateful for their support. They are very sensitive and I can actually say that we have a relationship with our doctors. There’s empathy. It’s amazing. I feel so spoiled, me and my family, to have these doctors in our lives always giving valuable advice,” she says.

Having medical and dental care significantly reduced A.C.’s stress as she and her husband built their new life in Canada. “It absolutely improved our lives. When you move somewhere that you don’t have status, you don’t feel like a person – you don’t matter for the country. You feel so lost. Rexdale CHC were the pioneers to make us feel like a person. When we were struggling, that was the best experience we had in Canada and it is still happening. It returns a smile and dignity to people in our situation.”

“All I can say is thank you to all of the Rexdale CHC staff because they are all amazing,” says A.C..

‘‘ When we were struggling, Rexdale CHC was the best experience we had in Canada and it is still happening.”


INDEPENDENT AUDITORS’ REPORT

Statement of financial position for the twelve months ending March 31, 2019

ASSETS March 2019 March 2018

Current Assets

Cash $ 538,742 $ 625,346

Long-term investments – current portion 460,553 895,151

Accounts receivable 246,672 398,095

Prepaid expenses 123,564 212,860

1,369,531 2,131,452

Long-Term Investments 802,125 661,229

Property and Equipment 5,593,280 4,070,131

6,395,405 4,731,360

$ 7,764,936 $ 6,862,812

LIABILITIES

Accounts payable and accrued liabilities $ 908,279 $ 1,413,542

Accounts payable – Central West LHIN 44,021 75,520

Accounts Payable – Ministry of LTC 4,259 7,340

956,559 1,496,402

NET ASSETS 6,808,377 5,366,410

$ 7,764,936 $ 6,862,812

Consolidated statement of revenues and expenses for the twelve months ending March 31, 2019

ASSETS

Central West LHIN funding $ 6,935,202 $ 6,797,711

Sundry income 729,696 623,742

Other project grants 2,752,942 3,079,747

10,417,840 10,501,200

EXPENDITURES

Salaries 4,116,366 4,072,186

Benefits and relief 770,453 759,224

General and operating 1,638,847 1,597,383

Rent and maintenance 973,868 855,382

Project grant expenses 2,744,930 2,973,105

10,244,464 10,257,280

Excess of Revenue over Expenditures $ 173,376 $ 243,920

Amortization 334,034 241,983

The accompanying summarized statement of financial position and statement of revenues and expenditures are derived from the completed financial statements of Rexdale Community Health Centre as at March 31, 2019 and for the fiscal year ended on which we expressed a qualified opinion in our report dated June 26, 2019.

In common with many not-for-profit organizations, the Centre derives a portion of its revenue from donations, the completeness of which is not susceptible to satisfactory audit verification. Accordingly, our verification of these revenues was limited to the amounts recorded in the records of the Centre. Therefore, we were not able to determine whether any adjustments might be necessary to revenues, excess of revenues over expenditures, and cash flows from operations for the years ended March 31, 2019 and 2018, current assets as at March 31, 2019 and 2018, and net assets as at April 1 and March 31 for both the 2019 and 2018 years. Our audit opinion on the financial statements for the year ended March 31, 2018 was modified accordingly because of the possible effects of this limitation in scope.

We conducted our audit in accordance with Canadian Auditing Standards. Our responsibilities under those standards are further described in the Auditor’s Responsibilities for the Audit of the Financial Statements section of our report. We are independent of Rexdale Community Health Centre in accordance with the ethical requirements that are relevant to our audit of the financial statements in Canada, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our qualified opinion.

Hennick Herman LLPChartered Professional Accountants Licensed Public AccountsRichmond Hill, CanadaJune 26, 2019


*Other languages include Italian and Mandarin.

South Asian languages include Hindi, Urdu, Punjabi, Tamil & Gujarati.

3,648: Group sessions 55,727: Total number of attendees

Service in a Language Other

Than English

Community Programs and

Health Promotion

Clinical and Client Services

SERVICE STATISTICS

Clinical and Health Promotion Services, Fiscal Year 2018-2019

42%Primary Health Care

31%Client Support*

14%Diabetes Education

4%Foot Care

3%Physiotherapy

3%Sexual Health Clinic

3%Nutrition

54%Seniors Program

17%Diabetes Prevention & Health Promotion

14% Children, Youth & Family

12% Pre and Post Natal Nutrition Program

3%Community and

Capacity Building

31%Spanish

21%Somali

17%Arabic

9% French

9% South Asian*

6% Other non-English*

3% Portuguese

2% Farsi

2% Polish


Elvira Vargas

Lynett Funeral Home

Older Adult Centre

Ms. Sania Zahid

Spectrum

Symcor

The Toronto Dominion Bank

Woodbine Entertainment Group

PARTNERSAccess Alliance Multicultural Health & Community Services

Albion Islington Business Improvement Area

Albion Library

Alzheimer Society

Arbor Memorial

Art Manuel House

Arthritis Society

Asthma Society of Canada

Athabasca University

Boston Consulting Group

Braeburn EarlyON Child and Family Centre

Canadian Association of Retired Persons (CARP)

Canadian Business College

Canadian Memorial Chiropractic College

Canadian Diabetes Association

Canadian Hearing Society

Canadian Mental Health Association Toronto

Canadian National Institute for the Blind

Canadian Red Cross

Canadian Tire – Kipling and Albion stores

Canadian Training Institute

CANES Community Care

Career Foundations

Centennial College

Central West Community

Care Access Centre

CHUM City

City of Toronto

• Employment Social Services

• Ontario Disability Support Program

• Tower Renewal

• Waste Management

CMHA (Canadian Mental Health Association)

CMHA Peel

Community Choice Pharmacy

CSM

Daily Bread Food Bank

Dovercourt Boys and Girls Club

DSO (Disability Services Ontario)

EduCare Self Care Studio

Elmbank Junior Middle Academy

Elmbank Community Centre

Elspeth Heyworth Centre for Women

Ernestine’s Women’s Shelter

Etobicoke Children’s Centre

Etobicoke Falls Prevention Coalition

Etobicoke Services for Seniors

FAME (Family Association for Mental Health Everywhere)

Families For A Secure Future

Family Service Toronto

Focus on Youth

Food Reach

FoodShare Toronto

Friends and Advocates

Father Henry Carr

GANZ Gift Ideas

George Brown College

George Hull EarlyON Child and Family Centre

FUNDERS AND DONORS

Thank you to the following funders and donors who have supported our work, and to the many partners with whom Rexdale CHC has collaborated to help Rexdale residents achieve their best possibilities.

FUNDERSFederal Funders

Employment and Social Development Canada

Public Health Agency of Canada

Provincial Funders

Central West Local Health Integrated Network (CWLHIN)

Ministry of Children and Youth Services (Yorktown)

Ministry of Health and Long Term Care

Ministry for Seniors and Accessibility

Municipal Funders

City of Toronto

• Community Service Partnership (CSP)

• Social Development - Healthy Kids Community Challenge (HKCC)

• Social Development - Urban Harvest• Solid Waste Management Division

Other Funders

Canada Red Cross Society

Pathways to Education Canada

Toronto Foundation

Toronto Parks and Tree Foundation

Tropicana Community Services Organization

DONORSAnn Scobie

Bell Canada

Brescia

Canadahelps.0rg

Castle Honda

Dasd Contracting Inc.


Giant Tiger

Glow Academy

Greenholme Junior Middle School

Green Saver

Hearing Solutions

Heart To Home Meals

Heart & Stroke Foundation

HSBC

Humber College

Insuranceland

Kipling Acres Long Term Care Residence

Kipling Collegiate Institute

LAMP Community Health Centre

Leave Out Violence Everywhere

Legal Aid Ontario

LGBTQ Youth Line Live Green

Living Well Restaurant

Maple Leaf Foods

Medic Alert

Medix College (Toronto)

Metrolinx

Michener

Midaynta

Ministry for Seniors and Accessibility

Ministry of Transportation

Mosaic Homecare & Community Resource Centre

Mount Sinai Health Systems – Reitman Centre

New Leaf Foundation Nexus Holidays

NIWIC Mount Sinai Hospital

Nordix Pole Walking Canada

North Albion Collegiate Institute

North Kipling Community Centre

North Toronto Health Justice Project

North York Community House

North York Food Harvest

Nucleus Media Inc.

OCAD

Older Adults Centres Association of Ontario

Ontario Ministry of Finance

Ontario Network for Prevention of Elder Abuse (ONPEA)

Osteoporosis Society of Ontario

Parks, Forestry and Recreation – North Kipling CC

PFLAG (formerly Parents, Families and Friends of Lesbians and Gays)

Philips Lifeline

Pizza Pizza

Positive Change Toronto Initiative

Prevention Of Elder Abuse Coalition (PEACE)

Punjabi Community Health Services

Queen’s Plate Steering Committee

Queens University

Reconnect Community Mental Health Services

Rexdale Alliance Church

Rexdale Community Garden

Rexdale Community Legal Clinic

Rexdale Employment Services

Rexdale Food Access Committee

Rexdale Second Harvest

Rexdale Women’s Centre

REXPride

Ryerson University

Salvation Army

Seneca College

Sheridan College

Solid Waste (City of Toronto)

Spectrum Health Care

Spring Board

St. Elizabeth’s Mobile Crisis

St. John’s Ambulance

St. Stephen’s Mediation Services

StART- Street Art Toronto

Steeles L’Amoreaux Youth Empowerment

Stonegate Community Health Centre

Symcor

Syme 55+ Centre

TAIBU CHC

TECH Coaches

The Canadian College of Naturopathic Medicine

The Etobicoke Children’s Centre

The Next Best Phase - Royal LePage

Thistletown Collegiate Institute

Toronto and Region Conservation (TRCA)

Toronto Catholic Children Aid Society

Toronto Catholic District School Board

Toronto Children’s Aid Society

Toronto Community Housing Corporation

Toronto District School Board

Toronto Fire Services

Toronto Foundation

Toronto Hydro

Toronto Library Services-Albion

Toronto Parks People

Toronto Police Service

Toronto Public Health

Toronto Public Health Geriatric Dental Team

Toronto West Seventh Day Adventist Church

Toronto Services for Seniors

Toronto Supportive Housing

Toronto University

Toast Master International

UCAP

Unifor

UNISON Health & Community Services

University of Guelph Humber

University of Toronto

Urban Harvest: Rexdale VIBE Arts

Volunteer Toronto

Walden University

West End Midwives

West Glen Junior School

West Humber Collegiate Institute

West Park Senior Mental Health Services

William Osler Geriatric Outreach Team

William Osler Health System

Woodbine Entertainment Group

Woodbine Family Health Team

YMCA (GTA)

York Town Child and Family Centre

York University

York West Active Living Centre

Youth Without Shelter


Pathways to Education

Abdikarin Jimale – Student Parent Support Worker

Angela Brown-Knight – Student Parent Support Worker Coordinator

Alesha Anderson – Site Support Worker

Anisa Mohamud – Tutor

Bashir Mohamed – Student Parent Support Worker

Asha Ulusow – Tutor

Asma Mohamud – IT Support Assistant

STAFF AND VOLUNTEERS

Thank you to the many volunteers who shared their time and talents to help us provide services to the Rexdale community.

Rexdale CHC StaffMeenu Gupta – Tutor

Leticia Animodi – Outreach Worker

Lekesha Edwards – Student Parent Support Worker

Lenore Simbulan – Mentoring Coordinator

Lilian Obazei – Site Support Worker

Madina Wasuge – Director of Pathways to Education

Maria Cruz – Program Facilitator

Ravneet Kathuria – Site Support Worker

Ruwaida Muddei – Site Support Worker

Shaniqua Clarke – Student Parent Support Worker

Stephen Watson – Tutor

Sunita Kak – Tutoring Coordinator

Tanya Iskierski – Project Coordinator

Yogindra Chanchall – Program Facilitator

*Contract/Locum staff

Primary Health Care

Adib Ali – Physician

Adna Egal – Chiropodist

Almut Brenne-Davies – Nurse Practitioner

Aqsa Arshaad – Relief Chiropodist

Aynur Gurbanova – Director of Primary Health

Baredu Abdulshekur – Registered Nurse – DEC

Cheryl Mercuri – Physiotherapist

Camara Edwards – Student Parent Support Worker

Dodd Mohamud – Student Parent Support Worker

Ifrah Saeed – Tutor

Farah Abdi – Summer Program Tutor

Ernest Addo Sarkodie – Tutor

Indira Kumaralagan – Administrative Assistant

Jeetesh Chitanna – Site Support Worker

Kashish Gupta – Tutor

Meenaz Mansuri – Student Parent Support Worker

Mohamed Hassan – Program Facilitator

Musheraf Khan – Tutor

N’Kosi Whyte – Program Facilitator

Natalie Pozo – Student Parent Support Worker

Ormie Shikany – Program Facilitator

Omar Ahmed – Program Facilitator

Phu Ta – Program Facilitator

Partnering with Arts Etobicoke and Mural Routes, Rexdale CHC

members volunteer to make art for a mural to beautify the

sound barrier wall at Finch West between Kipling and Islington.


Claudia Scarangela – Dietitian

Dean Roehl – Physician

Debbie Gilmore – Registered Nurse

Dipti Sharma – Registered Nurse – DEC

Hervina Dosanjh – Registered Nurse

Himja Upadhyay – Locum Physiotherapist

Katherine Gibson – Physician

Latoya Rowe – Registered Nurse

Linda Akuamoah-Baoteng – Dietitian

Lisa Neilson – Dietitian

Miles Smith – Physician

Nancy Toofani – Dietitian

Nicole Sookhai – Physician

Nina Coutts – Relief Registered Nurse

Nimira Lalani – Manager for Chronic Disease Prevention and Management

Nirmala Mahipal – Registered Nurse – DEC

Petra Alexis – Nurse Practitioner

Radhika Mohan – Registered Dietitian

Rochelle Either – Registered Dietitian

Rory Goodman – Manager for Chronic Disease Prevention and Management

Samira Abukar – Chiropodist

Selam Amare – Nurse Practitioner

Shelly Clarke – Nurse Practitioner

Simone Stothers – Registered Nurse

Sonali Srivastava – Physician

Sonia Hernandez – Registered Dietitian

Sumaya Farah – Registered Nurse

Tetiana Snopok – Registered Nurse

Lia Christensen – Event Planning & Fundraising Assistant

Lou Clarisse Toa – French Language Services Program Worker

Martha Morales – EPPNNP Worker

Maryan Barre – Community Health Worker

Miriam Merino – Seniors Program Worker

Megan Diercks – HKCC Partner Coordination Support Worker

Natalia Pellew – Program Assistant

Olivia Brambridge – Health Promotion Administrative Assistant

Pascal Lumbala – French Language Services – Community Health Worker

Preety Sharma – EPPNNP Coordinator

Rhonda Tremblett – Children’s Worker

Rupa Gosh – Seniors Program Worker

Sajeda Aziz – Seniors Program Assistant

Sara Bhatti – HKCC Planning and Evaluation Coordinator

Shamim Hussein – Program Assistant

Souad Toma – Relief Program Assistant

Suad Aden – Volunteer Coordinator

Tania Fernandes – Health Promoter

Tania Fyke – Food Service Worker

Tiffanie Francis – Relief Program Assistant

Wendy Caceres-Speakman – Seniors Program Manager

VOLUNTEERSBoard of DirectorsAlexander Lim (Chair)

Angelina Brathwaite (Vice-Chair)

Sheila Baroro (Treasurer)

Nadini Sankar-Peralta

Karen Osagie (Secretary)

Alex Battick

Hugh Williams

Safia Nur Ahmed

Antoinette Clarke

David Opare

Alexandra Boasie

Board Community LiaisonBina Israni

Joza Spark

Kimberly Roach

Laura Faiczak

Sonia Stellato

Suzan Hall

Ted Berger

Anita Wilson

Shawn Bhimsingh

Prashant Kumar

Manal Salman

ClinicalErica Anders

Ancella Clarke

Bernice Preprah

Cassandra Neili

Cassie Agyekum

Eakanth Mathralakan

Hana Ali

Ilham Mahdi

Kinga Bransk

Kristine Oliver

Mashal Smith

Melissa Victor

Pauline Pursue,

Tammy Bedian

Uranne Jarquin

Viola Rawana

Mirza Yasir

*Contract/Locum staff

Yulian Pavlyuk – Locum Chiropodist

Health Promotion

Ahmed Jama – Youth Outreach Worker

Althea Martin-Risden – Director of Health Promotions

Anthony McGovern – Project Management Assistant

Ayan Yusuf – HKCC Program Coordinator

Basil Jardine – StreetArt Artist

Besma Chowdhury – Urban Harvest Coordinator

Channonjah Edwards – Program Assistant

Deanna Berry – Case Worker

Devika Persaud – Youth Worker

Easter Angeles – EPPNNP Worker

Eden Abraham – Mental Health Therapist

Ella Litwin – Client Support Worker

Fadumo Abshir Geire – Data Entry Clerk

Ferdinand Akpro – French Language Services Health Promoter

Folashade Orimalade – Health Promotions Program Assistant

Hawa Nur – Seniors Program Assistant

Helen Lim – Seniors Program Assistant

Grace Anane – Relief Program Support

Lashane Small – Children’s Program Assistant

La-Tifah Young – Senior’s Support Assistant

Layal Ashkar – Program Assistant

Administration

Agnes Magpantay – Medical Secretary

Annette Mosheel – Relief Medical Secretary

Asha Elmi – Relief Medical Secretary

Debby Khan – Medical Secretary

Doomeli Singh – Medical Secretary

Emelin Brown-McLaughlin – Facilities Coordinator

Evette Kyei-Marfo – Medical Secretary

Henry Bouclair – Maintenance Worker

Hodan Wais – Clinical Assistant

Jimit Thakkar – IT Support Worker

Jose Garcia – Data Management Coordinator

Leila Omar – Medical Secretary

Liberty Hacala – Human Resources Generalist

Lousin Lazarian – Medical Secretary

Monira Begum – Relief Medical Secretary

Naima Omar – Relief Medical Secretary

Nasra Yassin – Relief Medical Secretary

Nimo Noor – Diabetes Education Program Assistant

Safia Ahmed – Executive Director

Salimata Kone – Corporate Admin Secretary

Shazia Maqsood – Medical Secretary

Siman Abdilleh – HR & Payroll Assistant

Thandi Wong – Medical Secretary

Wilman Caceres – Bookkeeper

Tracy Zhang – Finance Manager

AdministrationAmina Abdi

Amal Choghri

Arielle Mahase

Asha Ahmed

Azeez Afusat Iyabo

Monira Begum

Emma Busjhillos

Faduma Yussuf

Fadima Mohamed

Fatuma Maqsood

Grace Anane

Joe Yoon

Rama Kadri

Ravenne Rivera

Yuli Parrage

Pathways To EducationAbrar Dabbagh

Adekalu Balogun

Alan Bui

Alan Surtees

Alexia Valela

Alyssa Smith

Amina Major

Amina Aly

Amtoj Kaur

Andrea Nelson

Anthony Alberreli

Apirami Kamalendiren

Areefah Dukhi

Ayda Sarkisian

Ben Juarez

Brianna Ramlagan

Bronwyn Mckenzie

Carlo Panero

Caroline Ramo

Catharine Khushaba

Cassidy Baijnauth

Christina Bonas

Chris Mckneown

Cyrina Santello

Cyrus Zahedi

Danielle Punnett

Daniel Di Salvo

Dhaval Rughani

Elisa Romeo

Emmanuel Nti

Farah Abdi

Frank Cirinna

Ifrah Saeed

Ifrah Mohamed


Imanuel Warner Brown

Hadi Yehia

Hamdi Aden

Hao Wang

Harleigh Lindsay

Harmanjit Sandhu

Hongwen Liu

Harpreet Bains

Jenny Diep

Jessica Panta

Jasakarn Malhi

Johanni Peralta

John Brady

Joanne Chang

Josh Alberelli Jolypha Williams

Jorge Rodriquez

Justin Kim

Karandeep Bath

Kawenvir Singh

Keri Michaud

Kiran Darhani

Kristine Lorzano

Lilian Obazei

Mahawa Taylor

Manpreet Atwal

Marian Farah

Megan Medeiros

Melissa Kuzne

Michael Beaini

Mike Bruen

Mukhtar Abdi

Nina Govaert

Olajumoke Shodunke

Omar White

Pavithira Kumaralagan

Princeton Ojiegbe

Rakesh Ramakrishnan

Satveer Sonia Nanuwa

Saida Elmi

Saciida Hilowlie

Sabreen Bhalagamwala

Ravneet Sidhu

Ramanbir Dhaliwal

Suman Dhillon

Samantha Silva-Gonzales

Stephanie Sciulli

Shaniqua DK Clarke

Shamsi Rashid

Shanoi Mundle

Sabina Asirfi

Sorit Seid

Sasha Hartig

Remo Fid

Rupaali Kumar

Thomas Cascone

Venita Campbell

Vincent Kazibwe

Vanessa Gould

Xheni Lila

Program and Special EventsAbdikadar Aden Abdiraman

Abdishakur Hilowle

Abu Mohamed

Abubakar Issa

Akhari Risden

Alesha Anderson

Alex Sahar

Alexandre Mcgucki

Ali-Akow Jabriel

Alvn James Estrella

Amos Sookoo

Amal Choghri

Ana (kitchen) C

Anisa Sheikh

Anita Simjanovska

Ashley Watson

Asha Hersi

Ashley Madrid

Ariel VanCampen

Au Jeremy

Ayan Ali

Bahja Ibrahim

Bandlish Samridhi

Batulla Sheikh

Beverly Toussaint

Bianca Lasalandra

Bilal Farah

Brianna Tawiah

Bustillos Ximena

Cabdirahman Abdi

Clementina Michael

Climaco Ana

Diya Dhaunkal

Ellen Buckley

Eng Kaitlyn

Esmahan Mohamed

Esther Oyewunmi

Erica Roy

Fatima Maqsood

Gabrielle Fordjour

Gunjan Sondhi

Gupta Tarun

Hafsa Shire

Halima Ibrahim

Hana Qowrah

Hanna Mohamed

Hasina Juma

Hawa Mohamed

Hayley Lindsey

Helen Pheiv Lim

Henna Banwait

Idiris Abdi

Icizhaicaicattil Bijimol

Ines Caello Cruz

Irene Nakasala

Irs Quello Omug

Jamal Lewis

Jashley Tapereria

Jenkins Akilah

Jessica Riehm

Joan Ambris

Kachhia Minal

Kessie Love

Khadija Aziz

Kifaya Mohamed

Lakeisha Bennett

Lana Kalani

Lazarian Lousin

Louna Andeson Reid

The Honourable Kirsty Duncan M.P. (third from left) brings greetings at Rexdale CHC’s Annual 2018 Seniors Holiday Party Event.

Mackenzie Wright

Maharaine Khan

Malti Khan

Martha Liliana V

Maria Alvarado

Mariam Touma

Mavis Clarke

Meena Gupta

Megan Roberts

Melissa K

Melissa Kulznie

Misbah Maryam Dar

Mohamed Ali

Montiel Raquel

Modupe Balonle Sode

Mohamed Abdi

Mubeyra S

M. Izaura Parda

Muddei Ruwaida

Mukhtar Abdi

Mulki Jumale

Mustafa Omar

Nasim Rezania

Nawal Jalala Ahmad

Najma Naslarani

Naomi Edwards

Nadina Ramsook

Nazik Deniz

Nicholas Ram

Nimo Noor

Obianuyu Iyere

Odillie Arrey

Paloma Dulinen

Prutha Raje

Princeton Ojiegbe

Radhika Jain

Richa Modi

Ravneet Kathuria

Rehana Akthar

Rihana Akther

Rosalyn Magpile

Rosalene Nelson

Rupaali Kumar

Ryan Fuentes

Saad Wasey

Sadia Yala

Sacida Hilowle

Safia Abdulkader

Safia Aziz

Sajeda Aziz

Anisa Salad

Safia Abdulkader

Salem Yaco

Sandir Mubeyra

Sherifat A. Kassim

Sheeraz Ullah

Steve Buckley

Sim Lidder

Simone Orlan

Sixn Lang

Son Hee Jin

Sudi Yusuf

Suzanna Tinglin

Victoria Boateng

Viola Rawana

Yazan Kawar

Yolanda Castro

Yusuf Sheikhali

Yusuf Ulusow

www.RexdaleCHC.com

@Rexdalechc @P2ERexdale

Head Office 8 Taber Road Toronto, ON, Canada M9W 3A4 T: 416-744-0066 F: 416-744-1881

Kipling and Dixon 222 Dixon Road, Unit 301Toronto, ON, Canada M9P 3S5 T: 416-744-6312 F: 416-744-1451

Rexdale Community Hub 21 Panorama Court, Unit 15Toronto, ON, Canada M9V 4E3 T: 647-288-0281 F: 647-288-0284

Central West Local HealthIntegration Network

http://www.RexdaleCHC.com

https://twitter.com/Rexdalechc

https://twitter.com/P2ERexdale

https://twitter.com/Rexdalechc

find the best in you at rexdale chc

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