WATERLOO WELLINGTON LOCAL HEALTH INTEGRATION NETWORK

WATERLOO WELLINGTON LOCAL HEALTH INTEGRATION NETWORK Finance and Audit Committee SUMMARY REPORT TO BOARD OF DIRECTORS DATE: April 24, 2012 From: D. Small, Chair of Finance and Audit Committee The Finance and Audit Committee met on Tuesday, April 24, 2012. New Business 1. Internal Controls Report Staff presented an update on actions taken in response to recommendations made by Deloitte & Touche in their report on specific controls. The WWLHIN has implemented a number of actions that were proposed in the January 17, 2012, report to the Committee and will continue to work towards improving practices, processes and internal controls for the many business functions of the WWLHIN. 2. WWLHIN Operations -- Financial Report Staff presented a briefing note on the preliminary WWLHIN Operations Financial Summary results for fiscal 2011/12. On a YTD basis, operations show a surplus of $85,390 and one-time funding initiatives show a surplus of $25,258. The Audited Financial Statements will be presented at the May 3, 2012, Finance and Audit Committee meeting. 3. WWLHIN 2012/13 HSP Allocation Update Revisions have been required to the 2012/13 Health Service Provider funding allocations as presented on March 21, 2012. WWLHIN staff are preparing 2012/13 Notification of Funding Allocation letters for all Waterloo Wellington Health Service Providers. WWLHIN staff have implemented several preventive and detective controls to prevent the future occurrence of inaccuracies in financial schedules. Post Meeting Note: Since the date of the meeting, updated Long-Term Care Home 2012/13 funding information has been made available by the Ministry of Health and Long Term Care. Revised allocation schedules and an overview detailing revisions from the previous report are provided as Attachment 1 to this report. Page 1 of 3

4. Risk Update Staff shared the WWLHIN top five risks identified at the end of the Fourth Quarter 2011/12, including the risk management plan formulated to mitigate each identified risk. 5. St. Mary s General Hospital Improvement Plan Update The Hospital is continuing to work to confirm final financial numbers for 2011/12; the Hospital has conceded that its deficit will not be eliminated. On this basis, the WWLHIN can confirm the Hospital has breached its HSAA. Area hospital leaders have since set a 30-day objective to agree on a preliminary realignment of services to address the multiple objectives of ensuring access to service, quality service, and value for money. Following a May 7 th meeting to enact this objective, the WWLHIN CEO will report back to the Finance and Audit Committee and Board on the degree to which appropriate action has been taken. 6. Cambridge Memorial Hospital Cash Advance Request Based on WWLHIN staff review of applicable policy and the two issues raised in the Hospital s Cash Advance request, a recommendation has not been made to review and approve CMH s cash advance request. It was noted that the request points to risks to access to care, quality of care, and value for money in current Hospital operations. No action was taken. 7. Health System Funding Reform (HSFR) Update HSFR calculations were discussed, noting differences between expected provincial and individual hospital expenses. These differences are intended to promote comparisons thus inducing clinical, financial and quality improvements. LHINs will work to help hospital understand their Indicative Planning Numbers and encourage a patient-centred focus on current and planned resource usage. It is expected that hospitals will not be receiving Small Hospital Funding or High Growth Funding, as in the past, or other increases to their global budgets. Potential HSP reactions were discussed, including possible negative effects. The WWLHIN will mitigate risk by acting in the best interest of Waterloo Wellington residents. A table was reviewed indicating financial gains and losses that could have transpired this year, factoring in unmitigated HSFR allocations. It was decided an HSFR informational discussion will take place at the Board level. This discussion will include any actions the WWLHIN Board can take to support the May 7 th hospital CEO meeting. Recommendation THAT the Board receive the minutes of the March 21, 2012, Finance & Audit Committee meeting for information. Page 2 of 3

AND THAT the Board receive this report of the Finance & Audit Committee meeting held on April 24, 2012, for information. SUPPLEMENT: Declaration of Compliance for Q4 (2011/12) Following the Finance and Audit Committee, it was brought to the attention of the Chair that the CEO Declaration of Compliance for Q4 had mistakenly not been included in the Agenda. While all the steps (including signatures) necessary to support the Committee s review of the Declaration had been taken well in advance of the meeting date, the item and documentation were collectively overlooked by staff in assembling agenda materials. Staff are redesigning the internal business process for Declarations of Compliance to ensure cross-checks are in place and thereby ensure this omission does not recur. The next Declaration of Compliance, following the end f Q1 2012/13, will be supported by this process. The CEO Declaration of Compliance for Q4 (2011/12) was reviewed by the Chair and he was satisfied that obligations have been met by the organization. Attachment 2 to this report includes a briefing note and copies of the Chair s Declaration of Compliance and Attestation of Compliance to the Broader Public Sector Accountability Act (BPSAA). Recommendation THAT the Board Chair accept the CEO Certificate of Compliance for Q4 (2011/12), to support that Board Chair sign (1) the Declaration of Compliance and (2) the Attestation of Compliance to the Broader Public Sector Accountability Act (BPSAA) for submission of both to the Ministry of Health & Long-Term Care. Page 3 of 3

2011/12 Funding Allocations for WWLHIN Health Service Providers & Attachment 1 - Revised Allocation Schedules 2012/13 Funding Planning Targets for WWLHIN Health Service Providers Community Health Service Providers The purpose of this document is to project funding allocations to WWLHIN health service providers, based on current information of funding available to the WWLHIN through the Ministry LHIN Performance Agreement (MLPA). These funding allocations are provisional in nature and cannot be considered final until after the WWLHIN allocation is confirmed through the Ontario Budget process. All funding amounts are stated in dollars. Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base 102,430,965 103,166,087 735,122 0.7% 9K Nurses Initiatives : IALP Program 4,940,853 4,760,853 Palliative Care Teams 765,463 765,463 Parish Nursing 138,812 114,568 In Home Primary Care 161,457 161,457 Overnight Weekday Respite 196,020 196,020 Alternate Level of Care 476,280 952,560 Residential Hospice 958,682 WTS, Care Connectors Waterloo Wellington Community Care Access Centre 110,068,532 110,117,008 Base 102,430,965 103,166,087 735,122 0.7% 6,202,605 5,998,361 Alternate Level of Care 476,280 952,560 958,682 Total - Community Care Access Centre 110,068,532 110,117,008 Base 53,162 53,162-0.0% 52,512 52,512 Alzheimer Society of Cambridge 105,674 105,674 Base 127,703 127,703-0.0% 28,077 28,077 Alzheimer Society of Guelph-Wellington 155,780 155,780 Base 89,540 89,540-0.0% 122,911 122,911 Alzheimer Society of Kitchener-Waterloo 212,451 212,451 Base 214,368 214,368-0.0% CNIB - Waterloo/Wellington District 214,368 214,368 Base 173,482 173,482-0.0% Centre for Sight Enhancement, University of Waterloo 173,482 173,482 Base 707,049 707,049-0.0% Alternate Level of Care 12,857 30,940 Comm Care Concepts of Woolwich, Wellesley and Wilmot 719,906 737,989 Base 1,187,550 1,187,550-0.0% Community Support Connections Meals on Wheels & More 1,187,550 1,187,550 Base 422,037 422,037-0.0% 357,524 357,524 Corporation of the City of Cambridge 779,561 779,561 Report Date: 5/1/2012 1

Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base 434,827 499,428 64,601 14.9% Annualized ADP Funding Corporation of the City of Kitchener 434,827 499,428 Base 529,830 529,830-0.0% 75,046 75,046 Corporation of the City of Waterloo 604,876 604,876 Base 178,375 178,375-0.0% East Wellington Advisory Group for Family Services 178,375 178,375 Base 4,366 4,366-0.0% 291,035 291,035 Fairview Mennonite Homes 295,401 295,401 Base 46,893 46,893-0.0% Guelph Independent Living 46,893 46,893 Base 124,213 - Guelph Seniors Association 124,213 - Service winding down. Consistent with March 2011 board decision for this AAH year 1 initiative. Base 135,807 135,807-0.0% Hospice Wellington 135,807 135,807 Base 429,345 429,345-0.0% K-W Seniors Day Program, Incorporated 429,345 429,345 Base 914,460 1,198,013 283,553 31.0% Specialized Alzheimer Adult Day Program 835,354 835,354 Alternate Level of Care 123,761 Specialized Alzheimer Adult Day Program 82,591 Respite program, Social Determinants of health Report Regional Municipality of Waterloo - Sunnyside Home 1,956,166 2,033,367 Base 1,555,424 2,478,924 923,500 59.4% Annualization of BSO & Overnight Respite 337,046 337,046 ADP St Joseph's Health Centre 1,892,470 2,815,970 Base 10,034 10,034-0.0% 668,868 668,868 68,400 Additional POP funding The Working Centre 747,302 678,902 Base 179,300 179,300 Township of Mapleton 179,300 179,300 Base 101,659 101,659-0.0% Trellis Mental Health and Developmental Services 101,659 101,659 Report Date: 5/1/2012 2

Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base - 57,308 57,308 ADP Alternate Level of Care 28,845 124,925 Annualization of ADP Trinity Village Care Centre 86,153 182,233 Base 99,267 99,267-0.0% Waterloo Wellington Community Care Access Centre 99,267 99,267 Base 7,415,178 8,686,832 1,271,654 17.1% 3,129,194 3,004,981 - Alternate Level of Care 165,463 155,865 150,991 - Total - Community Support Services 10,860,826 11,847,678 Base 135,198 135,198-0.0% St Joseph's Health Centre 135,198 135,198 Base 1,512,205 1,827,205 315,000 20.8% ABI services as per March 2012 Board decision 983,398 983,398 57,696 ABI Coordinator, Business Case Development Traverse Independence 2,553,299 2,810,603 Base 1,647,403 1,962,403 315,000 19.1% 983,398 983,398 - - 57,696 - Total - Acquired Brain Injury 2,688,497 2,945,801 Base 447,006 447,006-0.0% Guelph Independent Living 447,006 447,006 Base 2,839,866 2,839,866-0.0% 575,000 575,000 Independent Living Centre of Waterloo Region 3,414,866 3,414,866 Base 3,286,872 3,286,872-0.0% 575,000 575,000 - - - - Total - Attendant Outreach 3,861,872 3,861,872 Base 304,659 304,659-0.0% 117,000 118,755 Hospice of Waterloo Region 421,659 423,414 Base 174,231 174,231-0.0% St Mary's General 174,231 174,231 Base 34,577 34,577-0.0% Waterloo Wellington Community Care Access Centre 34,577 34,577 Base 513,467 513,467-0.0% - - 117,000 118,755 - - Total - Palliative Care 630,467 632,222 Report Date: 5/1/2012 3

Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base 1,411,836 1,411,836-0.0% 539,400 539,400 Guelph Independent Living 1,951,236 1,951,236 Base 2,326,380 2,326,380-0.0% Independent Living Centre of Waterloo Region 2,326,380 2,326,380 Base 1,604,946 1,604,946-0.0% Traverse Independence 1,604,946 1,604,946 Base 5,343,162 5,343,162-0.0% 539,400 539,400 - - - - Total - Supportive Housing 5,882,562 5,882,562 Base 4,341,953 4,444,378 102,425 2.4% 166,400 Guelph Community Health Centre 4,508,353 4,444,378 Annualization for new nurse practitioner and physician salary increase Base 3,707,203 3,761,003 53,800 1.5% Physician Salary Increase Kitchener Community Health Centre 3,707,203 3,761,003 Base 4,516,554 4,595,454 78,900 1.7% Physician Salary Increase Langs Farm Village Association 4,516,554 4,595,454 Base 4,392,514 4,473,214 80,700 1.8% Physician Salary Increase Woolwich Community Health Centre 4,392,514 4,473,214 Base 16,958,224 17,274,049 315,825 1.9% Physician Salary Increase - - - - 166,400 - Total - Community Health Centre 17,124,624 17,274,049 Base 392,804 392,804-0.0% Grand River Health Centre 392,804 392,804 Base 214,364 214,364-0.0% Cambridge Memorial Hospital 214,364 214,364 Base 607,168 607,168-0.0% - - - - - - Total - Psychiatric Outpatient Medical Salaries 607,168 607,168 Mental Health Unit and Psychiatric Day Base 1,380,352 2,669,677 1,289,325 93.4% Hospital/Outpatient Services 287,515 Sessional Fees Cambridge Memorial Hospital 1,667,867 2,669,677 Report Date: 5/1/2012 4

Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base 6,040,592 6,043,008 2,416 0.0% Canadian Mental Health Association, Grand River Branch 6,040,592 6,043,008 Base 44,350 44,350-0.0% Family Counselling & Support Services for Guelph-Wellington 44,350 44,350 Base 3,959,216 3,959,216-0.0% Grand River Health Centre 3,959,216 3,959,216 Base 2,986,906 2,986,906-0.0% Homewood Health Centre Inc. 2,986,906 2,986,906 Base 95,225 95,225-0.0% Mosaic 95,225 95,225 Base 37,758 37,758-0.0% Torchlight Services 37,758 37,758 Base 8,338,348 8,410,033 71,685 0.9% Annualized 9000 Nurses allocations 1,178,784 1,061,784 Reduction in IGSW funding 59,786 122,753 BSO - One-Time for FY12/13 Trellis Mental Health and Developmental Services 9,576,918 9,594,570 Base 5,844,161 5,844,161-0.0% Alternate Level of Care 200,000 500,000 Extraordinary Needs Program 300,000 Extraordinary Needs Program Waterloo Regional Homes for Mental Health Inc. 6,344,161 6,344,161 Base 497,196 497,196-0.0% Wellington-Dufferin Homes for Psychiatric Rehab (Dunara) 497,196 497,196 Base 29,224,104 30,587,530 1,363,426 4.7% 1,178,784 1,061,784 - - Alternate Level of Care 200,000 500,000 647,301 122,753 Total - Community Mental Health Programs 31,250,189 32,272,067 Base 1,198,409 1,198,409-0.0% Grand River Health Centre 1,198,409 1,198,409 Base 1,271,756 1,271,756-0.0% Homewood Health Centre Inc. 1,271,756 1,271,756 Base 1,498,267 1,498,267-0.0% House of Friendship of Kitchener 1,498,267 1,498,267 Report Date: 5/1/2012 5

Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base 1,121,921 1,121,921-0.0% Portage Ontario 1,121,921 1,121,921 Base 707,176 695,011 (12,165) -1.7% 811,000 823,165 1.5% increase for UPF funded programs 151,450 Ray of Hope 1,669,626 1,518,176 Base 804,282 804,282-0.0% St Mary's General 804,282 804,282 Base 1,285,435 1,285,435-0.0% Stonehenge Therapeutic Community Inc. 1,285,435 1,285,435 Base 7,887,246 7,875,081 (12,165) -0.2% - - 811,000 823,165 151,450 - Total - Substance Abuse Programs 8,849,696 8,698,246 Base 157,274 157,274-0.0% Homewood Health Centre Inc. 157,274 157,274 Base 219,553 219,553-0.0% St Mary's General 219,553 219,553 Base 376,827 376,827-0.0% - - - - - - Total - Problem Gambling 376,827 376,827 GRAND TOTAL 192,201,260 194,515,500 * 2011/12 Funding: Funding amounts are as per known WWLHIN funding allocations as at April 20, 2012 ** Funding Planning Targets for 2011/12 and 2012/13: For planning purposes, funding targets include only: Base (global) funding with any known adjustments/redistributions (as noted) funding which will roll-over into the fiscal year which will roll-over into the fiscal year Funding which is confirmed via Ministry funding letter as at the date of this report. Report Date: 5/1/2012 6

2011/12 Funding Allocations for WWLHIN Health Service Providers & 2012/13 Funding Planning Targets for WWLHIN Health Service Providers Long-Term Care Homes The purpose of this document is to project funding allocations to WWLHIN health service providers, based on current information of funding available to the WWLHIN through the Ministry LHIN Performance Agreement (MLPA). These funding allocations are provisional in nature and cannot be considered final until after the WWLHIN allocation is confirmed through the Ontario Budget process. All funding amounts are stated in dollars. Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base 7,630,305 7,951,440 321,135 4.2% Per MOHLTC record-keeping 40,279 42,730 iltc Beds Alternate Level of Care 2,560 1367178 Ontario Inc. - The Westmount 7,673,144 7,994,170 Base 3,166,220 3,292,740 126,520 4.0% Per MOHLTC record-keeping 41,057 10,860 iltc Beds Alternate Level of Care 3,750 Caressant Care - Cambridge Country Manor 3,211,027 3,303,600 Base 3,459,778 3,451,908 (7,870) -0.2% Per MOHLTC record-keeping Caressant Care - Caresant Care - Fergus 3,459,778 3,451,908 Base 2,914,638 2,914,860 222 0.0% Per MOHLTC record-keeping Caressant Care - Caressant Care - Arthur 2,914,638 2,914,860 Base 3,476,270 3,577,716 101,446 2.9% Per MOHLTC record-keeping Caressant Care (Harriston) 3,476,270, 3,577,716, Base 9,235,108 9,642,456 407,348 4.4% Per MOHLTC record-keeping Central Park Lodge/Forest Heights LTC 9,235,108 9,642,456 Base 1,810,468 1,935,996 125,528 6.9% Per MOHLTC record-keeping Chateau Gardens Elmira - Chartwell Master Care LP 1,810,468 1,935,996 Base 6,444,979 6,653,532 208,553 3.2% Per MOHLTC record-keeping Columbia Forest Long-Term Care 6,444,979 6,653,532 Base 6,779,421 7,150,812 371,391 5.5% Per MOHLTC record-keeping Wellington Terrace 6,779,421 7,150,812 Base 2,766,509 2,880,468 113,959 4.1% Per MOHLTC record-keeping 39,352 41,862 iltc Beds Alternate Level of Care 3,714 Derbecker's Heritage House Ltd. 2,809,575 2,922,330 Base 6,872,915 7,200,288 327,373 4.8% Per MOHLTC record-keeping Lanark Heights Long Term Care Centre 6,872,915 7,200,288 Report Date: 5/1/2012 7

Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base 2,621,270 2,678,136 56,866 2.2% Per MOHLTC record-keeping 39,698 9,972 iltc Beds Alternate Level of Care 2,266 Eden House Nursing Home 2,663,234 2,688,108 Base 3,013,212 3,182,760 169,548 5.6% Per MOHLTC record-keeping Fairview Mennonite Homes 3,013,212 3,182,760 Base 3,406,539 3,516,420 109,881 3.2% Per MOHLTC record-keeping 80,693 21,440 iltc Beds Alternate Level of Care 7,500 Golden Years Nursing Homes (Cambridge) Inc. 3,494,732 3,537,860 Base 3,316,765 3,565,092 248,327 7.5% Per MOHLTC record-keeping LaPointe-Fisher Nursing Home Ltd. 3,316,765 3,565,092 Base 4,107,919 4,294,848 186,929 4.6% Per MOHLTC record-keeping Leisureworld Elmira 4,107,919 4,294,848 Base 1,097,670 1,151,712 54,042 4.9% Per MOHLTC record-keeping Morriston Park Nursing Home Inc. 1,097,670 1,151,712 Base 7,671,409 8,052,552 381,143 5.0% Per MOHLTC record-keeping Riverside Glen Long Term Care Facility 7,671,409 8,052,552 Base 3,803,031 3,982,092 179,061 4.7% Per MOHLTC record-keeping Parkwood Mennonite Home Inc. 3,803,031 3,982,092 Base 3,356,437 3,459,552 103,115 3.1% Per MOHLTC record-keeping 39,179 10,345 iltc Beds Alternate Level of Care 3,750 PeopleCare Inc. 3,399,366 3,469,897 Base 3,284,043 3,523,932 239,889 7.3% Per MOHLTC record-keeping 39,790 43,151 iltc Beds Alternate Level of Care 3,750 Pinehaven Nursing Home 3,327,583 3,567,083 Base 10,935,957 11,440,764 504,807 4.6% Per MOHLTC record-keeping Regional Municipality of Waterloo - Sunnyside Home 10,935,957 11,440,764 Base 1,996,372 2,093,124 96,752 4.8% Per MOHLTC record-keeping 39,519 10,440 iltc Beds Alternate Level of Care 2,266 Riverbend Place Retirement Community 2,038,157 2,103,564 Base 3,893,340 4,152,456 259,116 6.7% Per MOHLTC record-keeping Saint Luke's Place 3,893,340 4,152,456 Report Date: 5/1/2012 8

Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base 3,274,737 3,469,584 194,847 6.0% Per MOHLTC record-keeping 39,955 - Alternate Level of Care 3,732 Saugeen Valley Nursing Center Ltd. 3,318,424 3,469,584 Base 2,562,784 2,753,532 190,748 7.4% Per MOHLTC record-keeping Shanti Enterprises Limited - Royal Terrace 2,562,784 2,753,532 Base 9,169,811 9,779,736 609,925 6.7% Per MOHLTC record-keeping St Joseph's Health Centre 9,169,811 9,779,736 Base 5,058,738 5,322,108 263,370 5.2% Per MOHLTC record-keeping St. Andrew's Terrace LTC Community 5,058,738 5,322,108 Base 4,392,663 4,585,092 192,429 4.4% Per MOHLTC record-keeping Stirling Heights Long Term Care Centre 4,392,663 4,585,092 Base 3,441,809 3,544,752 102,943 3.0% Per MOHLTC record-keeping The Elliott Home for the Aged 3,441,809 3,544,752 Base 2,945,047 3,125,208 180,161 6.1% Per MOHLTC record-keeping A.R. Goudie Eventide Home 2,945,047 3,125,208 Base 3,553,401 3,746,328 192,927 5.4% Per MOHLTC record-keeping 80,385 81,632 iltc Beds Alternate Level of Care 5,122 Tri-County Mennonite Homes - Nithview Home 3,638,908 3,827,960 Base 6,526,485 6,842,484 315,999 4.8% Per MOHLTC record-keeping 2,556,626 2,537,214 iltc Beds 317,447 519,871 iltc Beds Alternate Level of Care 207,129 Trinity Village Care Centre 9,607,687 9,899,569 Base 1,120,373 1,191,120 70,747 6.3% Per MOHLTC record-keeping Twin Oaks of Maryhill Inc. 1,120,373 1,191,120 Base 3,521,155 3,734,820 213,665 6.1% Per MOHLTC record-keeping Winston Hall Nursing Homes Ltd. 3,521,155 3,734,820 Base 152,627,578 159,840,420 7,212,842 4.7% 2,556,626 2,537,214 797,354 792,303 Alternate Level of Care 245,539 - - - Total - Long Term Care Homes 156,227,097 163,169,937 * 2011/12 Funding: Funding amounts are as per January 2011 WWLHIN Ministry LHIN Performance Agreement (MLPA) Schedule ** 2012/13 Funding Planning Target: For planning purposes, funding targets include only: Base (global) funding with any known adjustments/redistributions (as noted) funding which will roll-over into the fiscal year which will roll-over into the fiscal year Funding which is confirmed via Ministry funding letter as at the date of this report. Report Date: 5/1/2012 9

2011/12 Funding Allocations for WWLHIN Health Service Providers & 2012/13 Funding Planning Targets for WWLHIN Health Service Providers Hospitals The purpose of this document is to project funding allocations to WWLHIN health service providers, based on current information of funding available to the WWLHIN through the Ministry LHIN Performance Agreement (MLPA). These funding allocations are provisional in nature and cannot be considered final until after the WWLHIN allocation is confirmed through the Ontario Budget process. All funding amounts are stated in dollars. Health Service Provider / Sector Funding Type 2011/12 Funding * 2012/13 Funding Planning Target ** Base Base % Notes Base 84,721,500 87,893,400 3,171,900 4% Mental Health Unit and Psychiatric Day Alternate Level of Care 1,306,386 Hospital/Outpatient Services HELP 3,952,600 1,149,700 Wait Time Strategies Cambridge Memorial Hospital 89,980,486 89,043,100 Base 235,819,321 235,820,000 679 0% 935,079 934,400 Restorative Care Beds to be funded from AAH Alternate Level of Care 150,060 7,556,900 1,071,300 Wait Time Strategies, Chronic Care, PCOP Grand River Health Centre 244,461,360 237,825,700 Base 16,364,300 16,364,300-0% 44,500 22,000 Wait Time Strategies, Chronic Care Groves Memorial Community 16,408,800 16,386,300 Base 91,208,800 91,208,800-0% 3,854,900 1,354,900 Wait Time Strategies Guelph General Hospital 95,063,700 92,563,700 Base 14,077,000 14,077,000-0% 48,500 ECFAA for Small Hospitals North Wellington Health Care Corporation 14,125,500 14,077,000 Base 16,930,338 17,280,482 350,144 2% Annualization of Nurses Telemedicine 943,451451 128,168168 Restorative ti Care Beds 165,971 159,533 Restorative Care Beds Alternate Level of Care 180,072 833,579 Restorative Care Beds 296,089 4,200 Wait Time Strategies, Chronic Care St Joseph's Health Centre 18,515,921 18,405,962 Base 105,775,695 105,363,500 (412,195) 0% Annualization of an ALC Investments project 1,675,000 1,675,000 Geriatric Lead, GEM Nurses Alternate Level of Care 412,195 824,390 Longer-Term Ventilator Weaning Unit 2,278,596 450,100 Wait Time Strategies St Mary's General 110,141,486 108,312,990 Base 564,896,954 568,007,482 3,110,528 1% 3,553,530 2,737,568 165,971 159,533 Alternate Level of Care 2,048,713 1,657,969 18,032,085 4,052,200 Total Hospitals 588,697,253 576,614,752 Total Municipal Taxes (Hospitals) 159,225 159,225 Base 30,083,800 30,083,800-0% 550,000 558,250 Homewood Health Centre Inc. 30,633,800 30,642,050 - Base 30,083,800 30,083,800-0% - - 550,000 558,250 Mental Health Care Beds for North Wellington - - Total - Specialty Psychiatric Hospital 30,633,800 30,642,050 GRAND TOTAL 619,490,278 607,416,027 * 2011/12 Funding: Funding amounts are as per known WWLHIN funding allocations as at April 20, 2012 ** 2012/13 Funding Planning Target: For planning purposes, funding targets include only: Base (global) funding with any known adjustments/redistributions (as noted) funding which will roll-over into the fiscal year which will roll-over into the fiscal year Funding which is confirmed via Ministry funding letter as at the date of this report. Report Date: 5/1/2012 10

2011/12 Funding Allocations for WWLHIN Health Service Providers & 2012/13 Funding Planning Targets for WWLHIN Health Service Providers Alternate Level of Care Funding The purpose of this document is to project funding allocations to WWLHIN health service providers, based on current information of funding available to the WWLHIN through the Ministry LHIN Performance Agreement (MLPA). These funding allocations are provisional in nature and cannot be considered final until after the WWLHIN allocation is confirmed through the Ontario Budget process. All funding amounts are stated in dollars. 2011/12 Funding 2012/13 Funding Health Service Provider / Sector Project Description Base One-Time Base WWCCAC Residential Hospice 476,280 952,560 St. Mary's General Hospital Longer-Term Ventilator Weaning Unit 412,195 824,390 Waterloo Regional Homes for Mental Health Supports for Patients with Complex Needs 200,000 500,000 St Joseph's Health Centre Restorative Care Beds * 180,072 833,579 Grand River Hospital Restorative Care Beds 150,060 Cambridge Memorial Hospital Transitional Reactivation / Assess and Restore 1,306,386 Various LTCH Interim Long Term Care Beds 245,536 Trinity Village Outreach Services Adult Day Program 28,845 - Community Care Concepts of Woolwich, Wellesley and Wilmot Adult Day Program 12,857 30,940 ADP - Waterloo Region Sunnyside Home Adult Day Program 123,761 - Unallocated ALC Funds 5,477 Total 1,584,070 1,557,399 3,141,469 * 2012/13 base funding to be provided to HSP on a one-time basis 11

2011/12 Funding Allocations for WWLHIN Health Service Providers & 2012/13 Funding Planning Targets for WWLHIN Health Service Providers Urgent Priorities Funding The purpose of this document is to project funding allocations to WWLHIN health service providers, based on current information of funding available to the WWLHIN through the Ministry LHIN Performance Agreement (MLPA). These funding allocations are provisional in nature and cannot be considered final until after the WWLHIN allocation is confirmed through the Ontario Budget process. All funding amounts are stated in dollars. Health Service Provider / Sector Project Description 2011/12 Funding 2012/13 Funding Hospice of Waterloo Region Day Respite Program 117,000 118,755 Various LTCH Interim LTC Beds 797,354 797,059 WWLHIN to TCLHIN InterLHIN transfer - to TC 15,437 - Homewood Health Centre Inc. Mental Health Care Beds for North Wellington 550,000 558,250 St Joseph's Health Centre Restorative Care Beds 165,971 159,533 Ray of Hope Youth addiction treatment beds 811,000 823,165 Total 2,456,762 2,456,762 12

2011/12 Funding Allocations for WWLHIN Health Service Providers & 2012/13 Funding Planning Targets for WWLHIN Health Service Providers Aging at Home Funding Health Service Provider / Sector Project Description 2011/12 Funding 2012/13 Funding Alzheimer Society of Cambridge First Link 52,512 52,512 Alzheimer Society of Guelph-Wellington First Link 28,077 28,077 Alzheimer Society of Kitchener-Waterloo First Link 122,911 122,911 Corporation of the City of Cambridge Adult Day Program 357,524 357,524 Corporation of the City of Waterloo Adult Day Program 75,046 75,046 Fairview Mennonite Homes Connection for Healthy Aging 291,035 291,035 Grand River Health Centre Linking Survivors with Survivors 148,179 148,179 Grand River Health Centre Restorative Care Beds 786,900 934,400 Guelph Independent Living Assisted living for at Risk Elderly 539,400 539,400 Guelph Seniors Association Make Yourself at Home 124,213 - Independent Living Centre of Waterloo Region Expand Attendant Outreach 575,000 575,000 Regional Municipality of Waterloo - Sunnyside Home Overnight Weekday Respite Care 171,681 171,681 Regional Municipality of Waterloo - Sunnyside Home Sunnyside Supportive Housing 663,673 663,673 St Joseph's Health Centre Restorative Care Beds 943,451 128,168 St Joseph's Health Centre Adult Day Program 337,046 337,046 St Mary's General Geriatric Lead 75,000 75,000 St Mary's General GEM Nurses 1,600,000 1,600,000 The Working Centre Access to Care and Housing 668,868 668,868 Township of Mapleton Close to Home 179,300 179,300 Traverse Independence ABI - Transitional Supported Living 312,500 312,500 Traverse Independence ABI - Assisted living Services (Supportive Housing) 437,500 437,500 Traverse Independence Adult Day Program 233,398 233,398 Trellis Mental Health and Development Services Intensive Geriatric Services Workers 1,178,784 1,061,784 Trinity Village Care Centre Interim LTC Beds 2,556,626 2,537,214 Trinity Village Outreach Services Adult Day Program 57,308 57,308 Waterloo Wellington Community Care Access Centre IALP Program 4,940,853 4,760,853 Waterloo Wellington Community Care Access Centre Palliative Care Teams 765,463 765,463 Waterloo Wellington Community Care Access Centre Parish Nursing 138,812 114,568 Waterloo Wellington Community Care Access Centre In Home Primary Care 161,457 161,457 Waterloo Wellington Community Care Access Centre Overnight Weekday Respite Care 196,020 196,020 Unallocated AAH funds 1,132,652 Total 18,718,537 18,718,537 13

Schedule of Revisions to 2011/12 Funding Allocations and 2012/13 Funding Planning Targets for WWLHIN Health Service Providers Health Service Provider / Sector Funding Type Previous 2012/13 Funding Planning Target Revised 2012/13 Funding Planning Target Notes Base 109,368,692 103,166,087 (6,202,605) Calculation error : IALP Program 4,940,853 4,760,853 (180,000) Reduction of ialp funding resulting from AAH review Palliative Care Teams 765,463 765,463 - Parish Nursing 114,568 114,568 - In Home Primary Care 161,457 161,457 - Overnight Weekday Respite 196,020 196,020 - Alternate Level of Care 952,560 952,560 - Waterloo Wellington Community Care Access Centre 116,499,613 110,117,008 (6,382,605) Total Community Care Access Centre (6,382,605) Base 434,827 499,428 64,601 Annualization of Adult Day Program funding Corporation of the City of Kitchener 434,827 499,428 64,601 Base 1,910,561 2,478,924 568,363 Annualization of BSO & Overnight Respite Program Funding 337,046 337,046 St Joseph's Health Centre 2,247,607 2,815,970 568,363 Base 2,690 Funding allocated but not provided (sign-back not received (2,690) from HSP) 179,300 179,300 - Township of Mapleton 181,990 179,300 (2,690) 57,308 57,308 - Alternate Level of Care 124,925 124,925 Annualization of Adult Day Program funding Trinity Village Care Centre 57,308 182,233 124,925 Total Community Support Services 755,199 Base 4,413,653 4,444,378 30,725 Guelph Community Health Centre 4,413,653 4,444,378 30,725 Total Community Health Centre 30,725 Annualization for new nurse practitioner, physician salary increase Base 9,517,132 8,410,033 (1,107,099) Calculation Error 1,178,784 1,061,784 (117,000) Reduction in IGSW funding resulting from AAH review 122,753 122,753 Additional One-time BSO Funding Trellis Mental Health and Developmental Services 10,695,916 9,594,570 (1,101,346) Total Community Mental Health Programs (1,101,346) Base 235,671,821 235,820,000 148,179 Reallocation of AAH funded program to base 1,082,579 934,400 (148,179) Reallocation of AAH to Base 1,062,000 1,071,300 9,300 Inclusion of Chronic Care Funding Grand River Health Centre 237,816,400 237,825,700 9,300 Base 16,364,300 16,364,300-21,300 22,000 700 Inclusion of Chronic Care Funding Groves Memorial Community 16,385,600 16,386,300 700 Base 17,280,482 17,280,482-128,168 128,168 Annualization of restorative care beds 159,533 159,533 - Alternate Level of Care 833,579 833,579-4,200 4,200 - St Joseph's Health Centre 18,277,794 18,405,962 128,168 Total Hospitals 138,168 14

Schedule of Revisions to 2011/12 Funding Allocations and 2012/13 Funding Planning Targets for WWLHIN Health Service Providers Health Service Provider / Sector Funding Type Previous 2012/13 Funding Planning Target Revised 2012/13 Funding Planning Target Notes Base 7,952,079 7,951,440 (639) MOHLTC Revision 42,730 42,730-1367178 Ontario Inc. - The Westmount 7,994,809 7,994,170 (639) Base 3,292,853 3,292,740 (113) MOHLTC Revision 10,885 10,860 (25) Caressant Care - Cambridge Country Manor 3,303,738 3,303,600 (138) Base 3,449,611 3,451,908 2,297 MOHLTC Revision Caressant Care - Caresant Care - Fergus 3,449,611 3,451,908 2,297 Base 2,913,571 2,914,860 1,289 MOHLTC Revision Caressant Care - Caressant Care - Arthur 2,913,571 2,914,860 1,289 Base 3,578,816 3,577,716 (1,100) MOHLTC Revision Caressant Care (Harriston) 3,578,816 3,577,716 (1,100) Base 9,642,930 9,642,456 (474) MOHLTC Revision Central Park Lodge/Forest Heights LTC 9,642,930 9,642,456 (474) Base 1,891,285 1,935,996 44,711 MOHLTC Revision Chateau Gardens Elmira - Chartwell Master Care LP 1,891,285 1,935,996 44,711 Base 6,651,612 6,653,532 1,920 MOHLTC Revision Columbia Forest Long-Term Care 6,651,612 6,653,532 1,920 Base 7,150,868 7,150,812 (56) MOHLTC Revision Wellington Terrace 7,150,868 7,150,812 (56) Base 2,880,502 2,880,468 (34) MOHLTC Revision 41,737 41,862 125 MOHLTC Revision Derbecker's Heritage House Ltd. 2,922,239 2,922,330 91 Base 7,200,537 7,200,288 (249) MOHLTC Revision Lanark Heights Long Term Care Centre 7,200,537 7,200,288 (249) Base 2,628,683 2,678,136 49,453 MOHLTC Revision 10,350 9,972 (378) MOHLTC Revision Eden House Nursing Home 2,639,033 2,688,108 49,075 Base 3,183,084 3,182,760 (324) MOHLTC Revision Fairview Mennonite Homes 3,183,084 3,182,760 (324) Base 3,516,603 3,516,420 (183) MOHLTC Revision 21,490 21,440 (50) MOHLTC Revision Golden Years Nursing Homes (Cambridge) Inc. 3,538,093 3,537,860 (233) Base 3,566,171 3,565,092 (1,079) MOHLTC Revision LaPointe-Fisher Nursing Home Ltd. 3,566,171 3,565,092 (1,079) Base 4,295,111 4,294,848 (263) MOHLTC Revision Leisureworld Elmira 4,295,111 4,294,848 (263) Base 1,106,953 1,151,712 44,759 MOHLTC Revision Morriston Park Nursing Home Inc. 1,106,953 1,151,712 44,759 Base 7,324,884 8,052,552 727,668 MOHLTC Revision Riverside Glen Long Term Care Facility 7,324,884 8,052,552 727,668 Base 3,982,171 3,982,092 (79) MOHLTC Revision Parkwood Mennonite Home Inc. 3,982,171 3,982,092 (79) Base 3,459,276 3,459,552 276 MOHLTC Revision 10,370 10,345 (25) MOHLTC Revision PeopleCare Inc. 3,469,646 3,469,897 251 Base 3,524,839 3,523,932 (907) MOHLTC Revision 43,249 43,151 (98) MOHLTC Revision Pinehaven Nursing Home 3,568,088 3,567,083 (1,005) Base 11,010,516 11,440,764 430,248 MOHLTC Revision Regional Municipality of Waterloo - Sunnyside Home 11,010,516 11,440,764 430,248 Base 2,048,469 2,093,124 44,655 MOHLTC Revision 10,774 10,440 (334) MOHLTC Revision Riverbend Place Retirement Community 2,059,243 2,103,564 44,321 Base 4,153,597 4,152,456 (1,141) MOHLTC Revision Saint Luke's Place 4,153,597 4,152,456 (1,141) Base 3,469,856 3,469,584 (272) MOHLTC Revision Saugeen Valley Nursing Center Ltd. 3,469,856 3,469,584 (272) Base 2,754,373 2,753,532 (841) MOHLTC Revision Shanti Enterprises Limited - Royal Terrace 2,754,373 2,753,532 (841) 15

Attachment 2 Meeting Date: May 3, 2012 Action: Decision Topic Compliance Reporting Purpose: To provide the Waterloo Wellington Local Health Integration Network Board of Directors with background related to the Quarterly CEO Certificate of Compliance and the Board Chair s Declaration of Compliance. Recommendation: THAT the Board Chair accept the CEO Certificate of Compliance for Q4 (2011/12), to support that Board Chair sign (1) the Declaration of Compliance and (2) the Attestation of Compliance to the Broader Public Sector Accountability Act (BPSAA) for submission of both to the Ministry of Health & Long-Term Care. Background Information: Starting April 1, 2010 each Local Health Integration Network has been required to submit quarterly documentation to the Ministry of Health and Long-Term Care (MOHLTC) attesting: In the Chairs Declaration of Compliance to the fulfillment of its obligations under its agreement with MOHLTC and compliance with government directives; and In the CEO s Certificate of Compliance to, among others, fulfillment of its mandated obligations to employees and governors, the accuracy and completeness of financial statements, sufficiency of internal controls, and compliance with applicable law, directives, and policies. In the Waterloo Wellington Local Health Integration Network, consistent with Finance and Audit Committee s direction of December 2009, both the Chair s Declaration of Compliance and the CEO s Certificate of Compliance are to be submitted to the Committee prior to their submission to the Ministry. The usual process is for the Committee reviews the information and provides a recommendation to the Board. The process is reviewed, at minimum, annually with the Finance and Audit Committee and the LHIN s external auditors who are both comfortable with the approach taken.