Aohc annual report 2001 02

Association of Ontario Health Centres Association des centres de santĂŠ de l'Ontario

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Celebrating 20 Years

mission To represent member centres in the promotion of healthy public policy, healthy individuals and communities through the creation and continuing development of health centres which embody principles of accessible quality primary care, health promotion and active community ownership and participation.

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Celebrating 20 Years

board of directors

vision

2001-2002

That Ontarians:

Executive Officers

1

Live in healthy, vibrant communities

2

View health centres as the preferred model of primary health care

3

Have access to a health centre in their community which provides health and social service programs that address the determinants of health

That the membership:

1

Look to the Association of Ontario Health Centres for leadership both within the broad community health sector, and internally advancing creative solutions to issues brought forward by members

2

Have a sense of ownership of AOHC and actively participate and contribute on province-wide initiatives

That the Association:

1

Has effectively positioned health centres in the overall health framework in Ontario

2

Is recognized and sought by health care providers as experts in primary health care through cutting edge policy development

3

Has fostered effective open two-way communication among member centres

APPROVED BY AOHC BOARD OF DIRECTORS, OCTOBER 1999

President, J. Robert Groves, Lanark Vice-President, Cathy Jordan, Ottawa Secretary, Nathalie Levesque, Ottawa Treasurer, Richard Bissonnette, Cornwall Past President, Pat McLean, Waterloo Directors

Ekua Asabea Blair, Toronto Denise Brooks, Hamilton Jan Campbell, Toronto Brian Dokis, London France GĂŠlinas, Sudbury Harold Martin, St. Jacobs Jean-Gilles Pelletier, Toronto

staff members Gary O`Connor, Executive Director Rishia Burke, Centre Development Coordinator (Maternity Leave) * Jayne Cardno, Information Specialist * Loralee Gillis, Centre Development Coordinator Charmaine Haddock, Receptionist/Secretary Marion Jones, Information Systems Assistant Cory LeBlanc, Executive Assistant Joe Leonard, Executive Support Consultant Darin Meilleur, Information Technology Manager ** Christine Miller, Administrative Assistant, Centre Development Gillian Nichol, Centre Development Coordinator (Leave of Absence) * Anne O’Neill, Administrative Assistant (MAT leave replacement) ** Theresa Sciberras, Receptionist (MAT leave replacement) ** Michael Sidlofsky, Information Specialist ** Cristina Siletchi, Data Analyst ** Kully Singh, Data Analyst ** Linda Stewart, Director of Operations *Left mid-year ** Joined mid-year

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committees Advocacy and Public Policy Development

Chair: Denise Brooks, Hamilton Urban Core CHC, Hamilton Committee: Jan Campbell, Davenport Perth CHC, Toronto J. Robert Groves, North Lanark CHC, Lanark Eunadie Johnson, Women’s Health in Women’s Hands, Toronto Marguarite Keeley, Centretown CHC, Ottawa Harold Martin, Woolwich CHC, St. Jacobs Jocelyne Maxwell, CSC Temiskaming, New Liskeard Pat McLean, Woolwich CHC, St. Jacobs AOHC: Cory LeBlanc, Executive Assistant Gary O’Connor, Executive Director Best Practices

Committee: Christiane Bergeron, CSC du Temiskaming, Kirkland Lake Dominic Boyd, Sandwich CHC, Windsor Sheila Buckmire, Women’s Health in Women’s Hands, Toronto Moira Coates, NorWest CHC-Ogden, Thunder Bay Andrea Cohen, Lawrence Heights CHC, Toronto Betty Harvey, London InterCommunity Health Centre, London Harry Hodgson, Teen Health Centre, Windsor Liz Jackson, North Lanark County CHC, Lanark Rena LaFleur, Carlington CHS, Ottawa Karen Laing, London InterCommunity Health Centre, London Sonja Nerad, Access Alliance Multicultural CHC, Toronto Mandy Tappay, North Hamilton CHC, Hamilton Shelly Walkerley, Stonegate CHC, Toronto Petra Wall, Noojmowin Teg HC, Sheguiandah AOHC: Loralee Gillis, Coordinator, Centre Development Conference Planning

Chair: Gary O’Connor, Executive Director, AOHC Committee: Linda Cornwell, Women’s Health in Women’s Hands, Toronto Sue Finnie, Flemingdon CHC, Toronto Douglas Graham, West Elgin CHC, West Lorne Cliff Ledwos, Davenport Perth CHC, Toronto Lynne Raskin, South Riverdale CHC, Toronto AOHC: Cory LeBlanc, Executive Assistant

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Celebrating 20 Years

Information Systems Co-ordinating

Chair: Barbara MacKinnon, Pinecrest-Queensway Health & Community Services, Ottawa Committee: France Gélinas, CSC de Sudbury, Sudbury Jeanne Goodhand, Gateway CHC, Tweed Michelle Hurtubise, London InterCommunity HC, London Wanda MacDonald, North Lanark County CHC, Lanark Keith McNair, Davenport Perth Neighbourhood Centre, Toronto Carla Palmer, Barrie CHC, Barrie Cathy Paul, Lawrence Heights CHC, Toronto Mac Redmond, North Lambton CHC, Forest Ministry of Health Representatives: David Thornley Wayne Oake AOHC: Linda Stewart, Director of Operations Gary O’Connor, Executive Director, ex officio Information Systems, User Support

Chair: Jean-Gilles Pelletier, CMSC, Toronto Michelle Hurtubise, London InterCommunity Health Centre, London Committee: Pam Ferguson, North Lanark CHC, Lanark Matthew Garrison, Sandy Hill CHC, Ottawa Suzanne Giroux, Centre medico-social communautaire, Toronto Sue Leal-Schnarr, Langs Farm Village Association, Cambridge Elsa Lee, Regent Park CHC, Toronto Ella Litwin, Rexdale CHC, Toronto Kay Marsh, Four Villages CHC, Toronto Laura Muldoon, Somerset West CHC, Ottawa Christine Randle, East End CHC, Toronto Jennifer Rayner, London InterCommunity Health Centre, London Ram Shankar, North Hamilton CHC, Hamilton Lori Trelinski, Ogden East End CHC, Thunder Bay Karen Yik, Lawrence Heights CHC, Toronto Ministry of Health: Jeff Kwok AOHC: Marion Jones, Information Systems Assistant Darin Meilleur, Information Technology Manager Membership Secretariat

Chair: Cathy Jordan, CRC of Goulbourn, Kanata & West Carleton, Kanata

Committee: Susan Bland, The Youth Centre, Ajax Brian Dokis, Southwest Ontario AHAC, London Kurt Liebe, Guelph CHC, Guelph Jocelyne Maxwell, CSC du Temiskaming, New Liskeard Peter McKenna, Merrickville District CHC, Merrickville Susan Milankov, LAMP, Toronto Charlene Ramage, Mary Berglund CHC, Ignace AOHC: Loralee Gillis, Coordinator, Centre Development Christine Miller, Administrative Assistant Nominations

partnerships Canadian Alliance of Community Health Centre Associations, CACHCA Health Determinants Partnership, HDP Ontario Health Providers Alliance, OHPA Ontario Healthy Communities Coalition, OHCC Ontario Hospital Association Ontario Public Health Association, OPHA The Coalition for Primary Care The Ontario Rural Council, TORC

Chair: Pat McLean, Woolwich CHC, St. Jacobs Committee: Brian Dokis, Southwest Ontario AHAC, London Doug Graham, West Elgin CHC, West Lorne Hersh Sehdev, North Kingston CHC, Kingston Ex-officio: J. Robert Groves, Chair, AOHC Board Gary O’Connor, Executive Director, AOHC Research Advisory

Chair: Rosana Pellizzari, Davenport Perth CHC, Toronto Committee: Sue Arai, St. Catharines Jan Barnsley, Flemingdon CHC, Toronto Alba DiCenso, Hamilton Marion Maar, Noojmowin Teg Health Centre, Little Current Ministry of Health: David Thornley AOHC: Theresa Sciberras, Research Committee Assistant Linda Stewart, Director of Operations Resolutions

Chair: Richard Bissonnette, CSCE, Cornwall Committee: Sheila Gordon, Teen Health Centre, Windsor David Hole, South East Ottawa CHC, Ottawa Eunadie Johnson, Women’s Health in Women’s Hands, Toronto Ex-officio: J. Robert Groves, Chair, AOHC Board Gary O’Connor, Executive Director, AOHC

awards AOHC Award

Isabel Cimolino, Sandwich CHC (posthumous) Cliff Gazee, Somerset West CHC AOHC Leaders in Health Care Award

Dr. Fraser Mustard, Toronto EPIC Award 2002

Excellence in Primary Health Care Awards Community Development

Carlington Community Health Services, Ottawa, Belair Project, a multi-faceted health and social program in the low-income community of Belair Health Promotion and Communications

Centre de santé communautaire de Sudbury, Young at Heart theatre troupe Programs and Services

Guelph Community Health Centre, Linking Health & Social Service Under One Roof, One-stop location with community partners Volunteer

Guelph Community Health Centre, Building Collaboration, integration of volunteers in service provision Health is a Community Affair Award

North Hamilton CHC, Hamilton Jody Boxall, Brenda Flaherty, Ruth Kaulback, Robert Kingsley, Robin Marrit, John Mathes, Lindy Millen

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table of

contents

Vision ........................................................................page 1 Board of Directors ......................................................page 1

Staff Members ............................................................page 1

Committees ................................................................page 2

Partnerships ................................................................page 3

Awards........................................................................page 3

Executive Message ......................................................page 4

Strategic Directions ....................................................page 6

-Support to Members........................................... page 8

-Advocacy and Partnerships.................................. page 8

-Governance......................................................... page 9

Financial Statements ................................................page 10

executive

message

Celebrating 20 years of Achievements

The year 2002 marks our twentieth anniversary, a major accomplishment for the Association of Ontario Health Centres.

This feat represents two decades of serious challenges and equally wonderful achievements for the sector. Our survival and ability to flourish reflect the enormous talent and spirit of a multitude of people. Our good fortune results from many: dedicated Board members; committed member centre executive directors, staff and volunteers; as well as capable association staff.

We express our profound gratitude for every person’s key contributions. We especially recognize that all the time, energy and work everyone has contributed required the generous support and love of their families whose sacrifice for the greater good must also be praised.

The illustration on the cover is the artwork for AOHC’s Award for Excellence in Primary Health Care.

Artist: Sue Todd Designer: Millie Shale Copywriter: Carole Elliott

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Celebrating 20 Years

Investment in the principles and values of community health has provided a solid foundation for building the critical mass that enables us to excel in the increasingly complex post-modern world of health. Our sustainability in this century rests not only on maintaining our convictions, but also on recognizing

the value of creative collaboration with everyone who has an interest in the health of all Ontarians.

Effectively situating ourselves in the health domain depends upon the strength that comes from strategic partnering. We have always known this at the grass roots level. And we are beginning to experience it more fully at the provincial and national levels where we now have a place at important policy tables. As we understand the strengths and limitations of our model of care, we have confidently moved forward as serious contributors to the larger debate in such forums as the Romanow Commission. We address such key issues as Medicare, primary health-care reform, national housing, poverty, rural health, and immigration.

Health centres have over thirty years experience with responsive community governance and multi-disciplinary service delivery. Now we can smile at the recognition the corporate world gives to the fundamental truth inherent in our service model reflected in such marketing mottoes as: the right service by the right provider at the right time. The pervasive and insidious economic and human resource impact of ignoring the larger determinants of health is bursting into the consciousness of government, political and institutional leaders.

This recognition is surely due in part to the advocacy efforts of AOHC and our members. Public health epidemiologists regularly report independent data that underscore the merits of the community health centre concept of health.

The huge importance of the CHC value of inclusivity in a jurisdiction as diverse as Ontario puts community health centres in the vanguard as powerful agents of community development and positive social change. This is not lost on officials of the Ministry of Health and Long-Term Care with whom the Association enjoys an open and mutually respectful dialogue. We thank the Ministry for continuing to fund our many programs and services for our members.

Although we are small, we have become vitally important players in the health sector. Key government leaders are noting the significance and potential value of our role. As well, we are included as important players in the Ontario health scene

with organizations such as the Ontario Hospital Association, Registered Nurses Association of Ontario, Ontario Medical Association, and Ontario Public Health Association.

Your Board of Directors strives to capture members’ priorities in strategic directions that you think should guide our actions.

This can only be accomplished with your input and support.

In Brief: A Message from Your Association Board, a newsletter that we issue following each board meeting, is one way that we aim to keep you informed about your board’s activities.

We invite you to communicate with us. We are very mindful of your patient and faithful support when we are on target and even if we sometimes miss the mark.

We want to sincerely thank each and everyone for your spirit of generosity and goodwill. We would also like to thank all the members of the Board and its committees for their contributions of expertise and enthusiasm.

This year the Board of Directors bids goodbye to outgoing directors Pat McLean and Richard Bissonnette, who have completed their second terms, and Ekua Asabea Blair who is completing her term. We thank them for their hard work and dedication.

We express our sadness at the deaths of Isabel Cimolino, Executive Director of Sandwich CHC (Windsor) and Doris Anderson, the former Executive Director of Oshawa CHC. These women exemplified a quality of leadership that has inspired and encouraged us. We honour their courage and commitment and remember them with much fondness.

We face the future confident that AOHC will succeed in becoming increasingly focused and better organized to meet members’ needs. Our aim is to harness and integrate the strengths and expertise in our work together. The Board will continue to hold meetings at various member centres. We appreciate the opportunity to meet local boards, to enjoy the hospitality of each host centre, and we look forward to visiting more centres in the coming year.

J. Robert Groves,

Gary O’Connor,

President

Executive Director

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AOHC strategic directions Annually, AOHC’s Board of Directors meets to review and revise the organization’s strategic directions considering past accomplishments, future challenges, and the current health-care environment. Association activities during the year are tested against these strategic directions to ensure that AOHC’s activities continue to be focused and strategic.

At its July 2001 meeting, the Board of Directors reviewed and assessed its past strategic direction. The Directors determined the need for a new strategy to enable the Association to meet future challenges in the health-care field. They identified a three-point thrust for the coming year.

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Celebrating 20 Years

1

Support to Members • Support development of existing members • Training and support of current and new members • Increase communications/consultation activities with members

2

Advocacy and Partnerships • Strengthen role of health centres within health and social service delivery system

• Support new health centre organizations • Promote healthy public policy

3

Governance • Strengthening the governance capacity of AOHC

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1 Support to Members Support development of existing members

• The top advocacy priorities in 2001/02 were: human resource needs of centres; salary needs of staff; and the need to advocate for enhanced funding for CHCs and AHACs.

• Over the year we saw increasing support for CHCs within the Ministry and the Minister’s office. Due to this success we have started Advocacy Futures planning and workshops to shift the focus of advocacy from the model of care to future-driven scenarios.

• The Board also supported the development of an Aboriginal Caucus within AOHC to provide support to the Aboriginal Health Access Centres and to help the Board better understand Aboriginal-Centre needs.

• Organizationally, we provided support to members through: Centre Development Programs ~Executive Support ~Best Practices ~Needs-based planning re New Centre Development ~The Learning Centre ~Developing Strategic Capacity of CHCs, and ~IT and Evaluation systems support programs Training and support of current and new members

The Strategic Issues workshops were a major training and development thrust for the board and membership. We held workshops on topics such as Defining CHC Office Hours; Defining a Minimum Set of CHC Services; How to Make On-Call Payments Reflect Actual Practice; and Defining Registration Criteria for CHCs to help focus the sectors’ vision on these key health-care topics.

Information systems support for programming support for CHCs and the Executive Support and Learning Centre workshops, i.e., board and staff development workshops such as organizational change, risk management, stress management, board self assessment, finances for non-profits, legal responsibilities were examples of organizational responses to this priority.

Increase communications/consultation activities with members

• The Board developed In Brief, a newsy fact sheet for members about the Board’s activities and upcoming issues.

• At the Board’s request the Membership Secretariat developed a position paper on Membership Diversification.

Rooted in AOHC Values, the purpose of this initiative is to broaden our scope of influence in health in Ontario.

The MS is conducting consultations with member centres about the issues and options related to diversification.

• Board members undertook consultations with centres in their areas.

• The Board initiated the first Board Summit to be held during the Conference 2002.

• We renewed our efforts to brief political leaders about health centres. All-party support for CHCs is emerging.

• We reached out to other organizations and responded to invitations from these organizations that are key to the survival of centres such as the OMA and the OHA.

• Organizationally we supported this goal through our revamped web site, Healthlink, and through reducing the use of fax messaging.

• Finally, we supported the development of the AOHC/MOHLTC Liaison Committee.

2 Advocacy and Partnerships Strengthen role of health centres within health and social service delivery system

• We continued to distribute the Business Case to key leaders and have dialogues with them about how health centres support the needs of Ontarians.

• We initiated a process to update the Association Advocacy Plan in consultation with members.

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Celebrating 20 Years

• The CHC Program Strategic Review has had a positive impact on Ministry and government. We have supported the Ministry’s use internally while also pressing for its public release.

• We supported the development of the CHC Physicians section in the OMA.

• Organizationally, we continued to provide secretariat support to the Canadian Alliance of Community Health Centre Associations and Health Determinants Partnership. We also participated in the following alliances, coalitions and organizations: Ontario Health Providers Alliance, Ontario Healthy Communities Coalition, Ontario Hospital Association, Ontario Public Health Association, The Coalition for Primary Care and The Ontario Rural Council.

• Finally, we led lobbying campaigns within the membership targeted at informing key local, provincial and national leaders about the needs of CHCs and recognition that CHCs are part of the solution to health-care reform.

Support new health centre organizations

• Over the year, we worked to educate new communities about the CHC model of care and support a growing list of communities that have identified CHCs as a solution to their needs. As of May 2002, there are 98 community groups in 80 communities seeking to have a local CHC. Promote healthy public policy

• We made submissions to the Standing Senate Committee on Social Affairs, Science and Technology – The Kirby Committee; The Romanow Commission; the Provincial Pre-Budget Hearings; and the Proposed Provincial Privacy Legislation, to name a few.

• We helped found and support the Coalition for Primary Health Care, which is a coalition of provider and consumer organizations founded to press for communitycentred, interdisciplinary, and health-promotion focused, primary-care reform in Ontario.

• We were invited to participate in the Ministry of Health Asthma Advisory Committee, which recommended increased support for asthma care in Ontario through CHCs and other care providers.

• We supported the development of the Diabetes Complications Prevention Co-op.

• We supported the provision of OHIP coverage for Canadian-born children of people without immigration status.

3 Governance Strengthening the governance capacity of AOHC

• Renewing and revitalizing our board governance has been a key board activity this year. We conducted a Board Governance Review and completed the transformation to a policy board. We developed an executive succession plan, board evaluation criteria, plans for a policy and mission review, and policies and procedures aimed at better communicating with our members.

• We adopted the dialogue method to promote more complete and creative solutions at the board table.

• The following Board Committees reviewed their activities in light of the changing board governance priorities.

- Executive Committee - Finance and Budget Committee - Nominations Committee - Resolutions Committee - Membership Secretariat - Advocacy and Public Policy.

• We held meetings with various caucuses and key leaders to advocate for health centre and public policy issues.

• A key part of our verbal presentation to the Romanow Commission was in support of healthy public policy.

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AUDITOR’S report C H A RT E R E D A C C O U N TA N T 5805 WHITTLE ROAD, SUITE 209 MISSISSAUGA, ONTARIO, L4Z2J1 TELEPHONE: (905) 502-7660 FAX: (905) 502-7662 e-mail grclow@netcom.ca

To the Members of the Association of Ontario Health Centres:

I have examined the balance sheet of the Association of Ontario Health Centres as at March 31, 2002 and the statements of revenue, expenses and fund balances and of changes in financial position for the year then ended.

These financial statements are the responsibility of the Association's management. My responsibility is to express an opinion on these financial statements based on my audit.

I conducted my audit in accordance with generally accepted auditing standards. Those standards require that I plan and perform an audit to obtain reasonable assurance whether the financial statements are free from material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation.

In my opinion, these financial statements present fairly, in all material respects, the financial position of the Association as at March 31, 2002 and the results of its operations and the changes in its financial position for the year then ended in accordance with generally accepted accounting principles.

Graham R. Clow C.A. May 15, 2002 Mississauga

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Celebrating 20 Years

ASSOCIATION OF ONTARIO HEALTH CENTRES BALANCE SHEET - MARCH 31, 2002

2002 Operating Fund

2002 Special Purpose Fund

2002

2001

Total

Total

$26,979 55,131 91,364 173,474

$551,306 2,239 – 553,545

$578,285 57,370 91,364 727,019

$766,111 21,162 30,177 817,450

38,446 38,446 –

54,629 54,629 –

93,075 93,075 –

50,221 50,221 –

$173,474

$ 553,545

$ 727,019

$ 817,450

$12,384 – 67,658 80,042

$32,458 7,790 495,798 536,046

$44,842 7,790 563,456 616,088

$237,449 22,363 462,392 722,204

93,432 $173,474

17,499 $553,545

110,931 $727,019

95,246 $817,450

ASSETS

Current assets

Cash and short term deposit Accounts receivable Prepaid expenses

Office equipment

Cost Less: Accumulated depreciation

LIABILITIES AND FUND BALANCES

Current liabilities

Accounts payable and accrued liabilities Unused grants repayable Deferred revenue

Fund balances

Approved by the Board

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ASSOCIATION OF ONTARIO HEALTH CENTRES STATEMENT OF REVENUE, EXPENSES AND FUND BALANCES FOR THE YEAR ENDED MARCH 31, 2002

2002 Operating Fund

2002 Special Purpose Fund

2002

2001

Total

Total

$11,562 190,875 134,952 5,000 55,290 25,633 18,600 23,917 465,829

$1,333,902 15,669 – – – 24,969 – – 77,821 1,452,361

$1,333,902 27,231 190,875 134,952 5,000 80,259 25,633 18,600 101,738 1,918,190

$1,706,771 64,262 175,400 151,376 1,068 19,865 58,727 40,545 17,594 2,235,608

– 141,996 80,749 50,718 151,288 23,933 448,684

344,950 389,128 245,218 316,962 – 157,563 1,453,821

344,950 531,124 325,967 367,680 151,288 181,496 1,902,505

682,287 566,922 356,766 388,172 146,836 91,636 2,232,619

Excess of revenue over expenses (expenses over revenue)

17,145

(1,460)

15,685

2,989

Fund balances, beginning of year

76,287

18,959

95,246

92,257

$93,432

$17,499

$110,931

$95,246

Revenue

Grants from Ministry of Health, Ontario Grants from the Federal Government Memberships Annual Conference Special contributions Revenue from services to members Revenue from equipment and facilities use Secretariat Fees Other revenue

Expenses

Computer upgrades for CHCs Salaries and related expenses Administrative expenses Professional and consulting Annual Conference Meeting expense

Fund balances, end of year

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ASSOCIATION OF ONTARIO HEALTH CENTRES STATEMENT OF CHANGES IN FINANCIAL POSITION FOR THE YEAR ENDED MARCH 31, 2002

2002 Operating Fund

2002 Special Purpose Fund

2002

2001

Total

Total

$17,145

$(1,460)

$15,685

$2,989

21,648 38,793

21,206 19,746

42,854 58,539

6,908 9,897

(128,809)

(74,702)

(203,511)

301,735

Cash provided by operating activities

(90,016)

(54,956)

(144,972)

311,632

Investing activities Additions to office equipment

(21,648)

(21,206)

(42,854)

(6,908)

Cash and term deposit, beginning of year

138,643

627,468

766,111

461,387

Cash and term deposit, end of year

$26,979

$551,306

$578,285

$766,111

Operating activities

Excess of revenue over expenses (expenses over revenue) Add: Non-cash expenses Depreciation expense

Changes in non-cash elements of working capital

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ASSOCIATION OF ONTARIO HEALTH CENTRES NOTES TO THE FINANCIAL STATEMENTS MARCH 31, 2002 1.

Status of the Association The Association was incorporated, without share capital, in 1982 by Letters Patent, as amended in 1996, under the Corporations Act of Ontario. In addition, the Association is registered as a charity under the federal Income Tax Act. The mission of the Association is to represent member centres in the promotion of healthy public policy, healthy individuals and communities through the creation and continuing development of health centres which embody principles of accessible quality primary care, health promotion and active community ownership and participation.

2.

Significant accounting policies: Basis of accounting and financial statement presentation The Association reports revenue and expenses using the accrual basis of accounting. It follows the deferral method of accounting for revenue, whereby funding for specific projects is recognised as revenue in the year in which the related expenses are incurred.

The financial statements separately disclose the activities of the following funds maintained by the Association: Operating fund – Reflects the various activities associated with the Association's day to day operations Special purpose fund – Reflects the activities associated with grants received for specific projects.

Fixed assets Fixed assets are recorded at cost, or, where contributed, at the fair value at the date of contribution. Those assets that are acquired from specific project funding are depreciated over the term of that project. Other assets are depreciated over their estimated useful lives using the straight line method as follows: computer hardware and software is depreciated over a period of two years and other equipment is depreciated over four years.

Deferred revenue Deferred revenue consists of cash received by the Association that will not be recognised as revenue until a future fiscal period and includes membership dues for the following fiscal year and the unspent portion of grants and other funding in respect of projects in progress.

Contributed services Without volunteers contributing a substantial amount of time each year to the Association's activities, it would cease to operate effectively. However, because of the difficulty of determining the fair value of these contributed services from an accounting standpoint, they are not recorded in these financial statements.

3.

Community Organization Health (COH) Inc (COHI) To carry out the accreditation process of the Building Healthier Organization's program, the Association's material, developed in conjunction with the Ministry of Health, has been licensed for a nominal annual fee to Community Organization Health (COH) Inc (COHI), the organization now responsible for the accreditation review.

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4.

Funding by the Ministry of Health The Ministry of Health funds many of the Association's projects and such funding is provided on the basis that amounts not spent on the particular project are to be refunded to the Ministry. At March 31, there was $7,790 (2001 - $22,363) repayable to the Ministry in respect of projects completed but for which a portion of the funding remained unspent.

As the Ministry funds most of the special projects undertaken by the Association, it is in a position to significantly influence the operations of the Association in this respect. This risk is managed by closely defining relationships through contracts and funding letters.

5.

Financial instruments The carrying value of cash and short term deposit, accounts receivable, accounts payable and accrued liabilities reflected in the balance sheet approximate their respective fair values due to their short term maturity or capacity for prompt liquidation. Cash and the short term deposit which matures on April 22, 2002, have been placed with a major Canadian chartered bank and the credit risk is therefore considered insignificant.

6.

Commitments The Association has committed to a lease, expiring in 2005, for office equipment. Minimum quarterly charges will amount to $2,498 for each of the fiscal years through to 2005.

During the fiscal year, the Association has negotiated for new office space and has signed an offer to lease. The lease will be for a term of five years commencing in May 2002. The monthly rent approximates $5,400 and in addition the Association will be responsible for the share of operating expenses allocated to its space. Currently the relevant share of the operating costs amount to approximately $4,500 per month.

7.

Contingent liability In a prior year, the Association was served with a statement of claim relating to alleged abuses of the procedures used in the selection of a software supplier. In the view of the Association's board of directors, its management and its solicitors, the statement of claim is without merit and is being vigorously contested. As no subsequent liability is anticipated other than legal fees incurred to defend the Association against this claim, no provision has been made for this matter in these financial statements. In the opinion of the Association's board of directors, its management and its solicitors, costs of contesting the claim will either be recoverable from the plaintiff or from the carrier of the Association’s general liability insurance policy or both.

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ASSOCIATION OF ONTARIO HEALTH CENTRES SCHEDULE OF ADMINISTRATIVE EXPENSES FOR THE YEAR ENDED MARCH 31, 2002

2002 Operating Fund

2002 Special Purpose Fund

2002

2001

Total

Total

$12,194 12,885 19,090 18,362 6,671 69,202

$6,433 51,771 18,913 8,591 131 85,839

$18,627 64,656 38,003 26,953 6,802 155,041

$28,085 43,358 62,543 26,622 11,026 171,634

38,681 21,648 6,060 – – 6,050 72,439

49,768 21,206 4,155 – 44,325 1,048 120,502

88,449 42,854 10,215 – 44,325 7,098 192,941

95,855 6,908 17,170 18,257 43,504 3,438 185,132

141,641 (60,892)

206,341 38,877

347,982 (22,015)

356,766 –

$80,749

$245,218

$325,967

$356,766

Direct administration costs

Telephone Supplies Printing and copying Postage and courier Other

Other administration costs

Rent and related costs Depreciation of office equipment Translation Equipment supplies Data management Promotion

Less: Expense recovery

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Celebrating 20 Years Association of Ontario Health Centres 1 Eva Road, Suite 220, Toronto, Ontario M9C 4Z5 Telephone: 416 236-2539 Fax: 416 236-0431 Email: mail@aohc.org Web: www.aohc.org