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INNOVATION2016 ANNUAL REPORT

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Scarborough Centre for Healthy Communities is a

not-for-profit community health and social services

organization. We address the physical, mental, social,

financial and environmental aspects of health and

delivery of a diverse range of health and social services

to meet the holistic health needs of the communities of

Scarborough. We operate 38 services across 11 sites,

including primary care, services for children, youth and

seniors, hospice palliative care, social support programs

and health education. For over 38 years we’ve worked

closely with a variety of community stakeholders

to cultivate vital and connected communities.

Table of ContentsSCHC adding up . . . . . . . . . . . . . . . . . . . . . 4

From the President & the CEO . . . . . . . . . . 5

A harrowing journey, a humbling beginning . . . . . . . . . . . . . . . . . 6

Positive client feedback . . . . . . . . . . . . . . . . 8

Scarborough homelessness . . . . . . . . . . . 10

Financial statements . . . . . . . . . . . . . . . . . 12

Thank you to our supporters . . . . . . . . . . . 14

Our core values . . . . . . . . . . . . . . . . . . . . . 15

Our mission, vision, and services . . . . . . . 16

Board of DirectorsMelisse Willems, MA, LLB. Board Chair and PresidentRegistrar and Executive Director, College of Dietitians

Janice Dusek, RN, BSN, MS, MBA, CHE Board Vice PresidentCEO, JD & Associates

Vincent Correia CPA, CGA, MBA TreasurerDirector of Finance, Legal Aid Ontario

Sandra Zoratti, B.Sc. Board SecretaryAssociate Vice President, TD Bank Group

Ainum AfrozaProfessor and Medical Educationist

Caryl Arundel, MSc, MPAPrincipal, Caryl Arundel and Associates

Junie B. Facey, MHS, RSW, BSW, CMPContract Faculty, Ryerson University – The Chang School and Contracted Faculty and Health Programs Coordinator, Cestar/Lambton College Toronto

Sarwar Khan, BComm, MComm, MBA, CA(BD)Assistant Controller, EOS Canada Inc.

Olivia LondonTelehomecare Nurse, Toronto Central CCAC

Nekeisha MohammedStrategic Writer, Stewardship Canadian National Institute for the Blind (CNIB)

Sonia NgManager, Strategy & Operations Consulting, Healthcare & Not-for-Profit, OPTIMUS | SBR

Mahesh Nileshwar, CCNA, ITIL, CISAExecutive Director, Retire-At-Home Services

Christopher Robert TaylorKizhaay Anishinaabe Niin ProgramHealing and Wellness Work Group Trainer, Ontario Federation of Indigenous Friendship Centre’s (OFIFC)

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As we reflect on this past year, we are proud to say that on many levels it has been a success. We continue to innovate to ensure

that in our service to a very diverse community of ethnicities, of socioeconomic status and of age we are excelling. Therefore, it is important for us to continue to strengthen community supports to better meet the holistic health needs of these Scarborough communities. Some examples include the growth of our Hospice Palliative Care services, our continued efforts to address food security for Scarborough residents and our recent leadership in addressing homelessness in Scarborough through the formation of the Scarborough Housing Stabilization Network. In addition, when Canadians called for action to support the Syrian Refugees, SCHC was looked to as a key partner to facilitate the primary care needs of over 245 Syrians arriving in Scarborough. Working together with our dedicated staff, volunteers and community partners we help to ensure the safe and timely settlement of Scarborough’s newest residents.

Looking forward we are making sure SCHC continues to be a critical resource in cultivating vital and connected communities. As such we have embarked on a journey to develop SCHC’s Organizational Sustainability Strategy, as a roadmap to a strong organization well into the future. This process has involved extensive stakeholder engagement, including our staff, volunteers, clients, community partners and funders. Over the coming year we look forward to implementing many of the recommendations identified in the strategy.

In addition, building on our recent recognition by Accreditation Canada of our commitment to providing quality care and service to the community through achievement of the Primer Award in 2015, we are preparing for the next level of Accreditation which will take place in April of 2017. SCHC has embedded a culture of quality that will support our teams on this journey.

Of course, we could not achieve any of our goals without the support of our many volunteers, staff, donors, partners and funders, including the Central East Local Health Integration Network, United Way Toronto and York Region, and the City of Toronto. We extend our sincere thanks to them as it is their generous contributions and support that allow us to make health care accessible to Scarborough’s most vulnerable.

Melisse Willems, Jeanie Joaquin Board Chair and President CEO

From the President & the CEO

SCHC Adding UpGeneral

Food Bank Education

Seniors’ Services Holiday Winter Relief

442Families registered

698 Toys deliveredto children

375Food hampersfor families

= 67Families sponsored by individuals or groups[ ]

3,819 Served in our Community Health Centre

11,170 Individuals served

49,348Meals served][Served through

SCHC outreach

219,194

1,747Unique

households supported

Total household visits last year

15,502

4,217Clients served

35%under the age of 18

1,127 Clients using transportationservices

28,722RIDES PROVIDED =

118 supported by our Assisted Living Program

149 supported in our Elderly Person’s Centre

SCHC

3,182 Benefitedfrom Diabetes Program

6,016 Participatedin Health Promotion

3,465 Supportedby Palliative Care Pain &

Symptom Management Note from the President and ChairBeing President and Chair of SCHC has been a privilege and a pleasure. Over the last six years as a member of the Board of Directors, I have seen this organization continue to develop as a strong and vital part of the Scarborough community. SCHC has changed since I joined the Board as every organization must do to remain relevant, sustainable and impactful. It has been rewarding to participate to that and, as my time as President wraps up, I am confident that SCHC is in good hands. I wish to thank the other members of the Board who have provided such excellent support over the years. Even more so, I want to thank all of the staff and volunteers who every day make SCHC the kind of organization that I have been so very proud to be a part of. — Melisse Willems

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It was September 2015 when the image of a young Syrian boy’s lifeless body lay alone on the shore of a beach in Turkey sparked outrage across the globe. Aylan Kurdi, was just three years old when he died along with his five-year-old brother and their mother as they were trying to flee to their relatives in Vancouver. This is one of many heart wrenching stories and journeys that many Syrian refugees have endured.

In early December 2015, the government of Ontario pledged to resettle 25,000 Syrian refugees to Canada by the end of February 2016. The city of Scarborough was projected to receive 156 Syrian refugees. Flights from Jordon, Lebanon and Turkey began to arrive at Pearson International Airport in Toronto in mid- December.

Scarborough Centre for Healthy Communities was called to action in early January to establish a hotel health clinic in a local Scarborough Hotel. A team of CHC and transportation staff arrived at the hotel on the morning of January 19, 2016. The temperature was -12 degrees Celsius with a wind chill of -22 degrees Celsius. I recall thinking how difficult it must be for the Syrian refugees to arrive in Canada in such cold temperatures. The team

set up the health clinic while curious onlookers watched and waited. News of the health clinic spread rapidly throughout the refugees. Women and children began to arrive at the clinic seeking care. Their fear was evident as they cautiously approached the staff for help while their male partners waited in the hallway close by.

In the first week of the clinic we treated a number of children ill with a respiratory virus. I recall one mother arriving at the end of the clinic day with her infant struggling to breathe. The ambulance was called and arrangements were made to transfer the infant to the nearest hospital. Mom was holding the infant trying to comfort her as the tears streamed down her cheeks as she relayed her daughter’s health history and her birth in a refugee camp. It all seemed so surreal, how is it possible that a child in this day and age would be born in a refugee camp? The shock and sadness was overwhelming. How naive of us to think we understood anything these refugees have endured. A few days later the Mom and infant returned to the clinic. She held out her infant to show us she was well and thanked us with her smile and tears in her eyes.

A harrowing journey, a humbling beginning.

Over the weeks and months to come the staff at the hotel health clinic worked tirelessly to meet the urgent health care needs and to connect the newcomers to primary care for ongoing care and support. Relationships formed with the refugees and their stories emerged. Each story we heard somewhat different as they recounted their harrowing journey but all filled with loss, grief and sadness. We will never fully appreciate the depth of the loss and the impact of their journey to Canada has had.

On the day we closed the health clinic there were only a few families remaining in the hotel. A few of the male refugees came to the clinic early and helped as we packed and loaded our transportation vans one last time. We waved good bye and wished them well.

We have met up with a few of our families while out and about in Scarborough. Most recently we met one of our male refugees. He greeted us with a warm smile and a wave and in broken English he told us his family is well and he is waiting for the birth of his child.

As I walked away I was struck by the happiness in his smile and his eyes. So different these eyes were from the eyes we encountered at the start of the clinic. The haunted look, the fearful glance, the eyes full of sadness and loss. It was wonderfully heartwarming to see the change in a few short months that must have felt like a lifetime to the refugees. I hope we have provided some comfort and support to the lives of the 239 newcomers we met in the Scarborough hotel health clinic. We are honoured and humbled to have had an opportunity to meet such courageous and resilient people.

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Positive Client Feedback

“We were at the Markham clinic today with my daughters (both ill) and I just want to say that Dr. Gopal was excellent!! She was very patient, friendly and explained everything to them and us. Sharon and I were very impressed and very happy that she was there today. Please let her know how pleased we were!”

“Excellent enthusiastic staff who care about my well being.”

“It was my first visit and I had a wonderful experience.”

“I attended at the Markham/Lawrence diabetes classes. I wanted to say the classes were very helpful and I keep my booklet with me most days to have it for handy reference. I learned some good tips and suggestions and while not perfect every day, I am making better choices as well as walking a lot more than I used to. I had a blood test a week ago and dropped down from a 6 to 5.9. My doctor was pretty pleased about this. I wanted to share my good news with yourselves as I did appreciate the classes and tips on reading labels.”

“Especially an area like Scarborough Village can be happy to have such a caring and committed organization as the SCHC and especially the ANC.”

“The bus driver and the new female driver are extremely kind and helpful. Navia is always supportive both to my mother and to me.”

“Our experiences have been very positive, we look forward to more in the future. We are very grateful for this wonderful service you provide as we are pensioners and my husband’s mobility is an issue.”

“Everything was well explained and gave complete details for health improvement and teaching.”

“I am definitely satisfied with the whole staff, they are excellent.”

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marginal housing or at risk of homelessness than in other parts of Toronto. Scarborough has more lone-parent families, and a larger population of immigrants, racialized groups, and aboriginal people then Toronto as whole. One in five Scarborough residents have low incomes, and more of its residents rely on government transfer payment than in other parts of the city. Service providers in Scarborough recognize that we are still behind in our efforts to establish a full range of homelessness services in the community. Scarborough’s vast geography also creates challenges with awareness among homeless system services providers of available services and challenges with service coordination. The following are priority actions that were identified in the report and areas members of the SHSPN and the community started to collaboratively address:

• Strengthen partnerships and service collaboration

• Work towards closing the service gaps with available resources

• Improve service quality

• Build capacity of the homeless service system

• Advocate and work with government and other systems

Scarborough Centre for Healthy Communities is the lead agency of the Scarborough Housing Stabilization Planning Network (SHSPN), a multi-agency planning table that works with over 15 local service providers to build a coordinated system of services for people who are homeless or at risk of homelessness in Scarborough. The network initiated a research project to explore homelessness and housing security in Scarborough, this was made possible by the generous support of the City of Toronto. This research report was released April 2016 and involved almost a year-long process to develop a better understanding of homelessness and housing issues in Scarborough.

The report, “Laying a Foundation: A Housing and Homelessness Research Report for Scarborough”, draws on research conducted with over 200 people who have experienced being homeless or having unstable housing in Scarborough, as well as 55 community agencies. The Network also hosted a Scarborough homelessness planning day and received additional feedback on what is needed to address homelessness and housing instability in Scarborough. The report examines the needs, strengths and gaps related to homelessness

and housing security in Scarborough, as well as various priority populations which included LGBTQ2S adults and youth, women, individuals exiting incarceration, newcomers, Aboriginal people, seniors, and individuals experiencing addictions and mental health issues.

The key issues in Scarborough as identified in the report that related to homelessness and instability are:

• Lack of affordable housing

• Discrimination and unfair rental practices

• Inadequate building conditions

• Overcrowding

• Insufficient availability of services

• Negative client experience with services

• Inadequate coordination among service providers

• Lack of awareness of services

• Issues with the social assistance system

• Barriers created by social Housing policies

Scarborough’s changing demographics in the inner-suburbs indicates that larger segments of Scarborough’s residence are experiencing

Scarborough homelessness

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Statement of Financial Position Statement of OperationsMarch 31 2016 2015

AssetsCurrentCash $ 774,872 $ 479,855Short-term investments — 221,737Accounts receivable 422,507 418,693Prepaid expenses and deposits 137,192 144,590

1,334,571 1,264,875

Capital assets 2,903,077 3,564,147

$ 4,237,648 $4,829,022

Liabilities and Net AssetsCurrentAccounts payable and accrued liabilities $856,330 $ 807,165Central East Local Health Integration Network grant payable 208,586 —Deferred revenue 47,384 36,775

1,112,300 843,940Deferred capital contributions 1,038,991 1,169,060

2,151,291 2,013,000

Net assets General Reserve Fund 222,271 420,935Funds Invested in Capital Assets 1,864,086 2,395,087

2,086,357 2,816,022

$ 4,237,648 $4,829,022

Approved by the Board of Directors

It is suggested the financial highlights be reviewed along with the March 31st, 2016 Audited Financial Statements and the Notes to the Statements, which have received an unqualified opinion from SCHC’s external auditors.

March 31 2016 2015

RevenueProvincial government Central East Local Health Integration Network $ 10,229,235 $ 9,960,762 Ministry of Health and Long-term Care 54,145 54,931City of Toronto 659,757 571,725United Way of Greater Toronto 720,421 706,361User fees 581,093 503,222Foundation grants 183,492 157,924Donations 96,717 74,026Other 140,263 129,801

12,665,123 12,158,752Less: Deferred capital contributions received (30,431) (98,553)

12,634,692 12,060,199

ExpendituresSalaries and benefits 9,356,030 8,795,528Building occupancy 1,384,651 1,351,282General program expenses 528,845 477,217Non-insured - specialist 16,212 48,213 - diagnostic 29,025 51,359Office and general 567,858 529,217One-time expenses 73,935 108,877Other outside services 541,479 436,189Outreach and promotion 23,487 21,284Professional fees 53,637 69,904Staff training 49,611 38,609

12,624,770 11,927,679

Excess of revenue over expenditures before undernoted items 9,922 132,520Less: Government grants clawed back (208,586) (148,950)

(198,664) 16,430Other income (expenses)Amortization of capital assets (691,501) (729,320)Amortization of deferred capital contributions 160,500 163,775

Deficiency of revenue over expenditures $ (729,665) $ (581,975)

1 Salary and Benefits2 Building Occupancy3 Office and General4 Other Outside Services5 General Program Expenses6 Other

E XPENDITURES

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3

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1 Central East Local Health Integration Network2 United Way of Greater Toronto3 City of Toronto4 User Fees5 Foundation Grants6 Other7 Donations

RE VENUE

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CORE FUNDERS

Supporting Our Mandate: We work in close coordination with several organizations that recognize and value our efforts. Each of our core funders is a vital partner in our mission to provide for the health needs of Scarborough’s at-risk population.

Central East Local Health Integration Network

City of Toronto

United Way Toronto and York Region

Arbor Memorial Foundation

Arun Kapoor

Capital One

Chum Charitable Foundation

Deboah Stewart

Dr. Stacy Costa

Ferrara Realty Inc.

Foundation La Capitale Groupe Financier

Guildwood Presbyterian Church

Jeanie Joaquin

Jesus Calls Canada

Jose alves Pargana

Kamlesh Shah

Kenneth Johnston

Mcdougall & Brown Funeral Home

Melville Presbyterian Church

Michael Filosa

Mildred Setterington

Mondelez International Inc.

New Breed Ministries

Pepsico Foods Canada

Royal bank of Canada

Scarbough Bluffs United Church

St.Dunstan of Canterbury

The Great-West Life Assurance Company

The Rainbow Foundation

West Hill Highland Creek Lions Club

DONORS

Community Support Matters: Not all of our programs and services are fully-funded. Many of our them are supported by the generous contributions from the community, charitable foundation, local businesses and private donors. We would like to thank all of those in the community who have contributed financially, with in-kind services and with their time. In addition we would like to recognize those below that have donated $500 or more in support of SCHC services.

Thank you to our supporters Our core values

INCLUSIVENESS We believe in creating an atmosphere that is reflective of the diversity of our community, eliminating any physical, social, psychological, or systemic barriers . This includes creating a welcoming and non-discriminatory environment that encourages a sense of belonging in our organization .

COMMUNITY ENGAGEMENT Our client-centred and community-oriented organization is built on a framework of transparency, open communication, and sharing . We believe in building partnerships with members of our community to maintain a firm understanding of what our clients require, in order to adapt to changing needs .

ACCOUNTABILIY We have a responsibility to our community of clients, staff and funders to remain transparent at all levels of the organization; to provide accurate, reliable, and timely services and information; to ensure ethical decision-making policies; and to continuously ensure that our clients are receiving the best and most effective services possible .

RESPECT All members of the SCHC community deserve compassion, dignity and empathy . To achieve this and build the trust of our community, we believe we must begin from a foundation of non-judgmental respect and inclusivity .

EQUITY We recognize and respect that our community members come from diverse backgrounds, and often access our organization according to their current needs . In order to accommodate the specific requirements of our clients and to provide them with the best services possible, we assess and identify the level of service they require while at SCHC and provide them with the right resources for their continued off-site support .

Our Mission: SCHC is dedicated to meeting the holistic health needs of the communities of

Scarborough by addressing many aspects of health including physical, mental, social, financial

and environmental. Through the promotion of healthy lifestyles and the delivery of a diverse

range of health and social services, we cultivate vital and connected communities.

Our Vision: To be recognized as the leading organization addressing the holistic health

and wellness needs of the people of Scarborough.

Our Services:Community Health• After hours phone consultation

• Assessment and treatment of acute and episodic illnesses

• Cervical screening

• Foot Health Services

• Diabetes education

• Family Counseling including sexual assault & domestic violence

• Health Promotion and Outreach

• Immunization for children and adults

• Pre-natal Care

• Preventative health care and screening

• Routine physical exams

Community Development• Action for

Neighbourhood Change

• Child, Youth & Family Engagement

• Food, Furniture and Clothing banks

• Family resource centre

• Homelessness intervention

• Housing Stabilization Program

• Pre-natal education

• Youth engagement

Community Services• Adult Day Centre

• Caregiver Wellness

• Congregate Dining

• Elderly Persons Centre

• Friendly visiting and security checks

• Home at last

• Home first

• Home help

• Home maintenance

• Hospice Bereavement Care

• Hospice Palliative Care

• Meals On Wheels

• Respite Care

• Supportive housing

• Tamil speaking seniors health & wellness

• Transportation

629 Markham Road, Unit 2Scarborough, M1H 2A4www.schcontario.ca De

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