Toronto Rehab Annual Report 2002-2003

Toronto Rehab Annual Report 2002/2003

Our Vision

To advance rehabilitation and enhance quality of life.

Our Mission

We partner with individuals, their families and supporting communities in innovative, effective adult rehabilitation and complex continuing care. In affiliation with the University of Toronto, we lead the integration of service, research and education, and the development of a coordinated rehabilitation system.

Core Values We are committed to: CARING

We are sensitive and compassionate in our interactions with individuals, their families and our colleagues, respecting the uniqueness, traditions and values of each person.

DISCOVERY

We support enquiry through research leading to the generation of new knowledge.

LEARNING

We foster creativity, critical thinking and the sharing of ideas to enable personal growth and professional development.

C O L L A B O R AT I O N

We are committed to open communication and working together, ensuring inclusion and participation.

A C C O U N TA B I L I T Y

We conduct our activities with competence and integrity and are responsible to the public for the efficient and effective use of resources.

ADVOCACY

We partner with individuals, their families and the community to advance societal beliefs and attitudes, and public policy.

Contents A Message from the Board Chair and the President and CEO

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Report of the Public Affairs Committee

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Report of the Finance and Resource Planning Committee Report of the Quality Service Committee

Report of the Research and Ethics Committee

Hospital Directors, Committees and Volunteers

A Message from the Board Chair and President of the Toronto Rehab Foundation

Report of the Foundation Finance Committee

Report of the Foundation Governance Committee

Foundation Directors and Committees Donors

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Board Chair and the President and Chief Executive Officer

A Message from the

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Walk down the hall of any one of our inpatient units. Take time to visit the physical therapy gym. Stop by the hydrotherapy pool, the cardio-exercise track, or the meeting place and you will find, as we do, the inspiration that drives our determined and collective efforts each and every year to enhance the care we provide; to discover new and better ways of helping people rebuild their lives after a life-altering illness or injury; and to turn keen minds on to the exciting and expansive field of rehabilitation and complex continuing care.

Last year—despite the challenges associated with hospital funding, the limitations of some of our aging and inadequate facilities, and the unprecedented challenge of SARS late in the year—we have again made significant progress in all of these areas.

First among these was the continued expansion and enhancement of patient care services for the 15,000 people who are referred to us each year for treatment. Providing these individuals and their families with clinically advanced and compassionate care is our first priority. For it is around our Health care worker in full protective garb commitment to patients that all other activity—including scientific inquiry, education, our quality initiatives, fundraising and support services—revolves.

You can read more about the steps we have taken to improve and expand the care we provide, including breaking ground for our new long-term care centre, in this report.

As is the case in every health care specialty, scientific inquiry holds the key to new and more effective rehabilitation techniques. To this end, we continued to build our research program last year. We recruited more scientists and provided financial support for more researchers-in-training. We extended our linkages with investigators throughout the province and across the country, and engaged in discussions with our colleagues associated with the University of Toronto to harmonize our research policies and procedures. And we continued expanding the infrastructure and systems required to support our growing research endeavours. The hospital’s founding, and now retired, Vice President – Research, Dr. Cardio-exercise indoor track – Rumsey Centre Jack Williams, can be credited with shaping the leadership position Toronto Rehab now holds in rehabilitation research. We are deeply grateful to Jack for his knowledge and vision during the formative stage of our research enterprise.

Another significant achievement of 2002/2003 was the development a joint strategic plan with our academic colleagues at the University of Toronto to guide our respective and complementary contributions to building intellectual capacity in rehabilitation science. The plan will bring both organizations closer to achieving our shared goal of providing patients with the best possible care today, and in years to come, through research and education. In the coming year, we will focus on further

integrating our research, education and patient care initiatives in order to advance knowledge and practice, and to enrich the clinical training we offer to students in a variety of health care disciplines.

Continuous quality improvement in all that we do remained high on our agenda last year as did Hydrotherapy pool, Lyndhurst Centre living within our financial resources. We ended the year in a slightly better than breakeven position by effecting operating efficiencies, and with a yearend infusion of revenue from the government as a result of the Ministry of Health and Long-Term Care’s third party review process. Like most hospitals in Ontario, our ability to continue to meet our service obligations in the years ahead will be directly related to the resources provided by the province.

We anticipate that the full report on the third party review, when released, will contain some key learnings and insights for both health service providers and governments that will have a long-term positive influence on the financial sustainability of our health care system. We also remain optimistic that government support for our capital needs will materialize in the year ahead. We look forward to continuing to work with our government colleagues to ensure alignment between the needs of our patients, students and researchers, and our resources.

The progress made during the past year is attributable to an outstanding group of dedicated clinicians and researchers, and behind them every step of the way—a less visible, but incredible cadre of administrative and support personnel and volunteers, including our colleagues on both the foundation and hospital Boards of Directors. Their talents are impressive. Their energy, inexhaustible. Their commitment, unwavering. Their collective and collaborative efforts make Toronto Rehab what it is today—a national leader in rehabilitation science.

The accomplishments highlighted in this year’s annual report are their achievements, their breakthroughs, their successes, and we take great pride in them. Never more so, than during the past few months when they have been tested beyond anything any of us has ever imagined or experienced—the SARS outbreaks. To each and every one, we say ‘thank you’—for keeping our patients safe; for looking after one another; and continuing to make exemplary contributions under extraordinary circumstances.

RONALD H. MEREDITH-JONES Chair, Board of Directors M ARK K. ROCHON President and Chief Executive Officer

Left to right: Ron Meredith-Jones, Mark Rochon

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Report of the

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Finance and Resource Planning Committee

In keeping with the Committee’s role to oversee the implementation of Toronto Rehab’s strategic plan and to ensure the appropriate and prudent use of resources–human and financial–our focus over the past year has been on developing and delivering the infrastructure to support the hospital’s key initiatives in patient care, research and education. This has included the continued development of information systems, major capital projects, financial and human resource planning, and managing our operating budget despite formidable funding challenges. These challenges are discussed in greater detail in the Management Discussion and Analysis section accompanying the audited financial statements for fiscal 2003.

Reviewing the hospital’s operating budget—including its compensation and benefits plan to ensure competitiveness—remained a standing item on our agenda last year. Despite the fall 2002 announcement by the Hospitals of Ontario Pension Plan (HOOPP) of a significant premium increase (effective January 1, 2003) that will increase our expenses by more than $2 million annually, operating results were consistently on target and a modest surplus realized by yearend.

Advising management on its discussions with Ministry of Health and Long-Term Care officials regarding annual and capital funding requirements was the subject of many of our discussions.

Last November, province-wide funding concerns led the Ministry to undertake a third party review of the financial positions of all Ontario hospitals. Our hospital Board Chair, Finance and Resource Planning Committee Chair and senior management met with reviewers in February 2003 to discuss Toronto Rehab’s operating and funding pressures. The hospital has since been awarded an increase in annual base funding of $866,000, effective for the 2002/2003 fiscal year.

The Committee then oversaw the preparation of and recommended to the Board for approval and submission, our Long-term care centre groundbreaking ceremony 2004 financial plan in the form of a business planning brief as requested by the Ministry. In it we identified extraordinary cost pressures such as pension plan premium increases, escalating energy and drug costs as well as declining differential revenues, in addition to normal inflationary pressures. The resulting financial challenge, prior to knowing the Ministry’s funding increase for 2003/2004, will be approximately $6.1 million. Fortunately, a strong working capital position will give the hospital some resilience should Ministry funding fall short of our budget pressures.

The Finance and Resource Planning Committee also devoted considerable time to preparing recommendations to our Board on a preferred financing option for a new long-term care centre at our Queen Elizabeth site in Parkdale. Despite sub-zero temperatures, we did indeed break ground in January 2003 with construction of the 128-bed facility scheduled for completion next spring. After extensive review, we recommended entering into contracts with our project partner, Extendicare (Canada) Inc., relating to the development of the facility and the management of it once we open the doors in the spring of 2004.

In line with our information management strategic plan, recommendations were made in support of a two-year, $2 million upgrade of information systems to support enhancements in patient care and research as well as to enhance decision-making across the organization. Our goal is to ensure all necessary information is collected once at the point of service and can be easily retrieved and configured in a variety of ways to support the work of the organization. The upgrade involves 20 major applications and will touch all University Centre front entrance aspects of our operations from patient care to gets a facelift. research, to education and administrative functions.

Several capital redevelopment and renovation projects are underway and in various stages of completion. We are grateful to the foundation for its contributions to many of these improvements and will continue to pursue government support for the balance of some of these. Projects include a new, fully accessible front entrance to University Centre, major renovations at Lyndhurst Centre to accommodate new and enhanced outpatient and therapeutic day services for those with spinal cord injuries and disorders, and a comprehensive retrofit of elevators at three of our sites as well as an upgrade of the ventilation system at Queen Elizabeth Centre.

High on next year’s agenda will be securing the operating and capital resources needed to maintain quality service, and to significantly redevelop our aging and antiquated University Avenue site in order to provide both patients and clinicians with an environment that is more conducive to rehabilitation and recovery. We will continue to examine hospital operations in search of cost savings and additional revenues to support the vital work of this institution.

WINSTON LING Chair, Finance and Resource Planning Committee CAROL BOETTCHER Vice President, Human Resources and Organizational Development

JIM ELLIOTT Vice President, Finance and Support Services Left to right: Carol Boettcher, Winston Ling, Jim Elliott

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Report of the

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Public Affairs Committee

This committee, which includes representatives from both the hospital and foundation boards, helps guide and shape the internal and external communication initiatives of both organizations. During the past year, the committee took on the additional responsibility of overseeing the development of communication strategies to support the foundation’s capital fundraising campaign, now underway.

Working closely with the hospital’s Marketing and Public Affairs group—a portfolio made up of three departments, all of which are engaged in some form of communication—the committee devoted time to evaluating the many communication programs currently underway and bringing new initiatives on stream to continue to build the hospital’s public One of six challenge cards from Toronto Rehab’s profile. Baseline public awareness levels have now award-winning public awareness campaign been established against which future activity can be measured and evaluated. Similarly, the results of our first media audit demonstrate that a new and focused media relations approach launched last fall is achieving the desired results: in just four months, Toronto Rehab generated more media coverage than any other facility in its category.

Our continuing efforts to update and upgrade the hospital’s Web site also appear to be attracting attention: we have seen an increase in visitation to the site of 154% over the previous year. We anticipate even greater growth next year once the new site is re-launched in September. Toronto Rehab’s first Intranet went live in November.

Preliminary figures suggest that the majority of hospital staff access the site daily, and use it routinely as a source of up-to-the-minute information and as a valuable tool to do their jobs more efficiently and effectively. Both the internal Premier Ernie Eves and Minister of Health and Long-Term Care and external sites were instrumental in keeping Tony Clement visit patients – University Centre. everyone informed about the precautions and restrictions in place at the hospital as a consequence of the SARS emergency.

Significant developments have also taken place in Media and Conference Services this past year. Both departments were restructured to better meet the needs of the institute. Media Services now provides a comprehensive array of professional audio-

visual and media support services to help Toronto Rehab clinicians, educators and researchers communicate more effectively with patients and their families, students and colleagues.

Conference Services is now well positioned to play a lead role in knowledge transfer and exchange.

For the first time ever, the department operated on a breakeven basis last year and hosted more than 10 specialized educational programs—including the country’s largest conference on Alzheimer’s disease—for practicing rehabilitation professionals from across the country, and of interest to members of the general public. The newly established Conference and Event Advisory Committee is The Challenge Card awareness currently reviewing proposals for more than 20 campaign won six awards educational programs and events that will take place including a Silver Leaf Award of Excellence from the over the next 18 to 24 months.

International Association of In the year ahead—and with the thoughtful Business Communicators. advice and generous support of our colleagues on the Board of Directors—we will continue to pursue the strategies outlined here and to explore new ways of bringing the innovative and remarkable work of this institution to the fore so that others may come to know about and benefit from the significant contributions Toronto Rehab is making to rehabilitation science.

BRENDA PERGANTES Chair, Public Affairs Committee

JENNIFER FERGUSON Vice President, Marketing and Public Affairs

Left to right: Brenda Pergantes, Jennifer Ferguson

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Report of the

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Quality Service Committee

Monitoring overall hospital operations and ensuring that all of its services meet or exceed established benchmarks and quality standards is the mandate of the Quality Service Committee. Staff use a variety of measures and mechanisms to evaluate different aspects of their work—from clinical outcomes to customer satisfaction, and from learning and innovation to resource utilization. These indicators are linked to Toronto Rehab’s vision, mission and strategic directions, and are aligned with the five success factors articulated in the hospital’s accountability framework.

Results are reported three times annually in the corporate balanced scorecard to give members of the Committee, and the Board, a comprehensive understanding of organizational performance relative to the hospital’s long-term goals and annual objectives, best practices and financial capacity. The document is a valuable accountability tool, one that New dialysis unit serves patients in Geriatric Rehabilitation and Complex enables us to establish baselines of Continuing Care. activity, manage risk, identify opportunities for improvement and track initiatives to improve access and enhance service delivery.

For example, last summer the Complex Continuing Care Program decided to further explore components of patient and family satisfaction because scorecard results indicated there was an opportunity to improve this dimension of care.

Regularly scheduled forums with both patients and families were set up so staff could learn more about the issues of greatest concern and importance to them, and to develop ways in which to address these issues. A number of solutions were developed as well as measures to track their implementation and effectiveness.

The Neuro Rehabilitation Program established a Community Advisory Group last year to engage former patients and community service providers in its ongoing efforts to maintain favourable customer satisfaction levels while continuing to advance and enhance services for stroke survivors. Other clinical programs are in the process of introducing advisory groups as important venues for information sharing.

Results of the employee satisfaction survey conducted in the winter 2001 helped shape the hospital’s work-life enhancement project. A great deal of work has been done to address the 14 recommendations put forward by the three working groups focused on improving working life at Toronto Rehab.

Toronto Rehab’s scorecard is a work in progress: it has evolved over time and will continue to do so as new ways of measuring different dimensions of hospital

operations are developed. For instance, with the assistance of Information Management Services, several new systems were implemented throughout the hospital, including the National Rehabilitation System Functional Independence Measure (FIM™). This computerized tool provides a standardized assessment of the condition of rehabilitation patients upon admission, and again at discharge, to help us better understand which interventions make a difference and under what circumstances.

Also last year, Toronto Rehab researchers helped to develop and test two new and important measures related to patient satisfaction. One measures patient involvement in decision-making, an important dimension of client-centred care. This new tool has not only been incorporated into our scorecard, but also into the client perception section of the province’s Hospital Report on Rehabilitation Services in Ontario. The other new tool, developed in partnership with St. John’s Rehabilitation Hospital, measures satisfaction levels among patients receiving outpatient rehabilitation services, a large and growing segment of our business. The innovation earned the development team a 2003 3M Health Care Quality Team Award.

Through the scorecard and other means, the Quality Service Committee continued to monitor the continuing efforts of all programs to improve access and enhance service.

The Geriatric Psychiatry Service, for example, recruited a new psychiatrist to increase outreach services for patients seen in their homes.

The Cardiac Rehabilitation and Secondary Prevention Program reconfigured its services last year to reflect best practices and to integrate new components of care—including psychological assessment and counselling, stress and nutrition management and weight training—to better meet the needs of patients with heart disease. In January, Dr. Paul Oh joined Toronto Rehab’s cardiac team as the program’s new Medical Outpatient therapy – Rumsey Centre Director.

The new Multiple Trauma Service, part of the Musculoskeletal Rehabilitation Program, celebrated its first anniversary this spring. This evolving service provides intensive multi-faceted rehabilitation for people who have sustained multiple injuries, often as a result of traumatic circumstances. Also last year, the program welcomed its new Medical Director, Dr. John Flannery.

Our new Dialysis Service at University Centre completed its first full year of operation as well. Developed in partnership with and staffed by University Health Network nephrology experts, the unit provides life-sustaining treatment to as many as 24 patients in Geriatric Rehabilitation and Complex Continuing Care who have chronic kidney disease.

The past year also saw the development of new therapeutic day and outpatient

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services in the Spinal Cord Rehabilitation Program. Substantial renovations to our Lyndhurst site are required and are now being designed to accommodate these service enhancements, which will significantly improve both access and clinical support for patients upon and following discharge from the inpatient component of the program.

Redesigning the Acquired Brain Injury Service of the Neuro Rehabilitation Program was completed last year to better meet the needs of patients whose injuries result in deficits or impairments that are predominantly either physical or cognitive. Expertise and therapy are now focused and applied accordingly.

Another significant achievement of the past year was the completion, in New outpatient satisfaction tool wins 3M collaboration with our colleagues at the University of Toronto, of a joint Health Care Team Quality Award. strategic plan to guide the development of our respective and synergistic research and educational pursuits.

The Professional Practice portfolio has been reoriented to more closely align and enhance the clinical skills and services provided by this team of advanced practitioners and clinical educators with the specific needs of the different patient populations served by the hospital. New structures and processes to facilitate and support further integration and alignment of best practices, education and research initiatives are now being explored. A key player in this process will be Toronto Rehab’s new Vice President, Professional Practice and Chief Nursing Officer, Karima Velji, who came on board last October.

A joint education committee was established during the reporting year to continue strengthening our relationships with the University of Toronto and our other academic partners, and to enrich the specialized educational experiences we offer students preparing for careers in health care. New to this roster were students in dentistry and chiropody.

In addition to the clinical training of undergraduate and postgraduate students, the hospital reached out to more than 2,000 practicing professionals from across the country last year with its ongoing professional development programs. As well, a new leadership development course for employees was introduced last year, as was a tuition assistance fund to provide financial assistance to employees who wish to further their formal education.

Looking ahead, members of the Quality Service Committee will be actively engaged in preparations for the hospital’s second Accreditation survey, which will take place next spring. Our first survey yielded outstanding results and a full three-year accreditation award.

Reviewing the hospital’s first annual accessibility plan, now a requirement under the Ontarians with Disabilities Act, and overseeing its implementation will also be high on our agenda next year.

We look forward to reviewing program plans now in development for an exciting addition to Toronto Rehab’s continuum of care—namely, the 128-bed long-term care centre currently being built at our Queen Elizabeth site. By combining the considerable expertise of this organization with that of our partner, Extendicare (Canada) Inc., we believe opportunities abound to introduce teaching and research to this new facility and to develop a range of innovative services to meet the needs of an aging population.

RONALD COOPER Chair, Quality Service Committee

ELAINE AIMONE, BScPT, MSc Director, Quality, Utilization and Risk Management

GEORGIA GERRING, BScN, MHSc, FACHE Vice President, Programs GAÉTAN TARDIF, MD, FRCPC Vice President, Medicine and Physician-in-Chief

KARIMA VELJI, RN, MSc, AOCN, PhD (C) Vice President, Professional Practice and Chief Nursing Officer

Left to right: Ron Cooper, Gaétan Tardif, Karima Velji, Elaine Aimone, Georgia Gerring

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Report of the

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Research and Ethics Committee

In its first full year of operation, the Research and Ethics Committee—which oversees the development and ethical conduct of the hospital’s research—dealt with a number of substantial agenda items that reflect significant progress in broadening the breadth and scope of Toronto Rehab’s burgeoning research program.

First among these was the review of the hospital’s research plan and annual budget, which were approved in October by the Ontario Ministry of Health and Long-Term Care, the single largest financial supporter of our research program. The plan outlines the steps the hospital is taking to develop a comprehensive program of rehabilitation research in Ontario to advance rehabilitation and enhance quality of life for individuals who experience life-altering illness and injury.

Also high on our agenda was taking part in the discussions with other teaching hospitals and the University of Toronto (U of T) to harmonize our research policies and procedures. These policies are broad in scope and govern research practices such as the use of human and other subjects, consent, Bone density lab – Lyndhurst Centre confidentiality and privacy, intellectual property, commercialization, conflicts of interest, publication, ethical conduct and misconduct. These important and complex policies continue to be reviewed by the Committee.

2002/2003 saw the hospital’s core research program expand to more than 100 studies. Funded both internally and by external grants totaling $5 million, these investigator-initiated projects are closely linked to Toronto Rehab’s six clinical programs and focus on six thematic areas of investigation. Such projects include developing new tools and techniques to evaluate rehabilitation interventions, and examining which ones work best and under what circumstances to reduce impairment and restore function; exploring the effects of physical and cognitive limitations, and the impact they have on an individual’s behaviour, level of independence and ability to participate in society; evaluating the potential of different pharmaceuticals, technological and mechanical devices to aid, improve and restore mobility; and finally, looking at ways in which we can best translate new and important research findings into clinical practice to enhance the quality of care. Collectively, these studies resulted in 80 published articles in peerreviewed journals last year.

Best practice research initiatives constitute another important component of the hospital’s research program. Last year 21 studies got underway across all clinical programs and, in some cases, involve joint ventures with other

rehabilitation and complex continuing care providers. These focused projects hold the most immediate potential to influence and shape the care we and other practitioners provide.

The recruitment of scientists and candidates to fill our two endowed research chairs continued last year. Notably, one of our scientists, Dr. Gary Naglie, was named the University of Toronto’s Mary Trimmer Chair in Geriatric Medicine Research. Dr. Naglie, who is also affiliated with the University Health Network, is based at Toronto Rehab and specializes in outcome measures and outcome evaluation as they pertain to the frail elderly. We are confident that our negotiations with a topnotch scientist to assume the Saunderson Family Chair in Acquired Brain Injury (ABI) Research will soon reach a successful conclusion and that a formal announcement will be made shortly. The search for a suitable candidate for the University of Toronto/Toronto Rehab Chair in Rehabilitation Research, jointly funded by the U of T and the Toronto Rehab Foundation, continues.

We continued our work with colleagues at the University of Toronto and other academic centres last year to build our current and future intellectual capacity. By linking our respective academic and research endeavours, we aim to enrich the learning experiences and research opportunities that we provide to students. In so doing, we also hope to pique their curiosity and ignite their passion for careers in rehabilitation science.

Toronto Rehab’s researcher-in-training program supports such ambitions. Last year, six promising students received our financial assistance to pursue postgraduate studies at four Ontario universities. As well, clinical research fellowships were granted to three postdoctoral candidates associated with Toronto Rehab: Nadine Gagnon, Ed Hanada and Adam Thrasher. In September, Dr. Thrasher was awarded a two-year fellowship funded by the Canadian Paraplegic Association Ontario, becoming a Clinical Fellow in Spinal Cord Research.

During the reporting year, we also reviewed the first joint strategic plan between Toronto Rehab and the University’s Departments of Occupational Therapy, Physical Therapy and Speech Language Pathology, the Faculty of Nursing, the Division of Physiatry (Faculty of Medicine) and the Institute of Biomaterials and Biomedical Engineering. The plan maps out four key strategies that all parties to the agreement will pursue to achieve a shared and bold vision "to revolutionize rehabilitation".

The hospital’s linkages and collaborative ventures with other academic and clinical centres and networks are equally as ambitious and promising. These activities involve joint programs of research, collaborative submissions for funds to Functional electrical stimulation research – Lyndhurst Centre support infrastructure development, as well as promoting and

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Scientist Catriona Steele studies swallowing disorders.

facilitating research development province-wide in this relatively new and exciting field of inquiry.

Obtaining the additional space in which to conduct research, as well as the information and other systems required to support scientific inquiry, is critical to the continued progress of Toronto Rehab’s promising research program. Over the past year, the Committee heard from various hospital departments and personnel involved in securing and developing these vital resources. We appreciate their ongoing efforts on behalf of the hospital’s research enterprise, and remain optimistic that the required capital funding will soon be in hand to support future growth and development.

In closing we would like to thank our colleagues on the Board of Directors for their generous and thoughtful direction and support.

DAVID E. THRING Chair, Research and Ethics Committee JACK WILLIAMS, PhD Vice President, Research

Left to right: David Thring, Jack Williams

Toronto Rehab

Board of Directors

Board Committees

Ronald H. Meredith-Jones, Chair David K. Bragg, Vice Chair Winston Ling, Treasurer Mark K. Rochon, Secretary

Executive Ronald H. Meredith-Jones, Chair David K. Bragg Ronald Cooper Trent Gow Winston Ling Margaret Mottershead Brenda Pergantes Mark K. Rochon David E. Thring

Nimmi Bharatwal, MD Karen Burgess, DDS Michael Clarke George Cooke Ronald Cooper Barry J. Goldlist, MD Trent Gow Iain Hunter Louise Lemieux-Charles, PhD Karen P. Louie Gordon C. McCauley Margaret Mottershead* C. David Naylor, MD Harley Nott Brenda Pergantes Connie Roveto Jan A. Seyfried David E. Thring

Finance and Resource Planning Winston Ling, Chair George Cooke Ronald H. Meredith-Jones Paul Moffat, Non-director Margaret Mottershead* Mark K. Rochon Connie Roveto Jan A. Seyfried Paul Weiss, Non-director, Chair, Toronto Rehab Foundation Finance Committee Governance Ronald H. Meredith-Jones, Chair David K. Bragg Ronald Cooper Trent Gow Winston Ling Margaret Mottershead Brenda Pergantes Mark K. Rochon David E. Thring Quality Service Ronald Cooper, Chair Michael Clarke Iain Hunter Louise Lemieux-Charles, PhD Karen P. Louie Mark K. Rochon Connie Roveto Public Affairs Brenda Pergantes, Chair David K. Bragg Gordon C. McCauley Margaret Mottershead Mark K. Rochon Research and Ethics David E. Thring, Chair George Cooke Barry J. Goldlist, MD Karen P. Louie Harley E. Nott Brenda Pergantes Mark K. Rochon * Retired from the Board during the year

Toronto Rehab Volunteers Last year Toronto Rehab’s 376 volunteers contributed 24,787 hours of their time to enrich the lives of patients throughout the hospital’s five sites. Toronto Rehab is grateful for their generous and varied contributions.

Volunteer Association Executive (Queen Elizabeth and University Centres) Margaret Antonides, President Andrea Veccera, Past President Mary Keaveney, Vice President June O'Donnell, Treasurer Anne Leies, Secretary Officers Shirley Dimmock Cory Eaton Inez Gannicott Marguerite Larkin Sandy Melanson Evelyn Miller Mabel Morency Gertrude Pfeiffer Volunteer Auxiliary Executive (Hillcrest Centre) Gigi Merek, President Rose Kropfl, Vice President Laurie Wall, Treasurer

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A Message from the

Board Chair and President

of the Toronto Rehab Foundation 16

Every member of the Toronto Rehab Foundation team is inspired every day by the drive and determination of Toronto Rehab’s patients and their families. Yet these incredible individuals, recovering from a disabling illness or injury, tell us that they need more to rebuild and reclaim their lives. They need the help and support of an acclaimed team of rehabilitation practitioners and the assistance of an entire community truly committed to their recovery. Cultivating this kind of community is at the heart of the Toronto Rehab Foundation’s mission to support the pioneering work of the Toronto Rehabilitation Institute.

In 2002/2003 this support was focused on laying the foundations for effective annual and capital campaigns, completing our fundraising infrastructure in both systems and human resource terms, and, of course, raising the money to help patients, their families and rehab specialists achieve their goals. We are pleased to report that each of our fundraising objectives was met, resulting in total revenues of $2.3 million (cash and pledges). We contributed $2.4 million to the hospital to support rehabilitation research, and for much needed capital improvements. In addition, we allocated $1 million of unrestricted donations to match a donor contribution to create a $2 million research chair. These investments will help patients in their rehabilitation today and in the future through Toronto Rehab’s research and teaching enterprise. These accomplishments are only possible through the generous and farsighted support of a wide range of donors, from philanthropists and past patients, to community groups and corporations.

We must also note that while our investment portfolio returns were poor, reflecting the marketplace in general, the historical prudence and stewardship of our Finance Committee, led by Treasurer Paul Weiss, allowed us to make substantive contributions to Toronto Rehab notwithstanding investment returns this year.

The foundation’s annual gala, our premier fundraising event, generates approximately 40 per cent of net annual revenues each year. This signature event also helps build a strong support network for Toronto Rehab. The Physiatrist Nora Cullen climbed Mt. Kilimanjaro to 13th annual gala was a record-breaking one on both fronts. Under the raise funds for Toronto Rehab. impressive leadership of foundation Vice-Chair Rob Pitfield, the gala raised $366,000 and attracted a number of high-profile supporters, some of whom have been involved in the city’s health care community for over 60 years. Our longterm partners at Loblaw Companies Limited sponsored the event again this year and featured performer, Amanda Marshall, gave the occasion a special cachet. Proceeds will go toward extensive renovations to Lyndhurst Centre to accommodate new and enhanced therapeutic day and outpatient services to better support individuals living in the community who have spinal cord injuries and disorders.

Our annual staff campaign exceeded all expectations raising over $48,000 under the leadership of committee chairs Alison Caird and Jim Borysko. In particular, we note the commitment of Dr. Nora Cullen, a physiatrist in our Acquired Brain Injury Service, who personally raised over $5,000 in pledges for climbing Mount Kilimanjaro. These results reflect the exceptional dedication and tenacity of the Toronto Rehab team.

The direct marketing program to former patients and their families raised $150,000 from more than 2,000 donors.

This represents a 300 per cent increase from the previous Gala gets bigger and better year and is a testament to the leadership of Ken Copeland, every year.

Chair of Annual Giving. The foundation was also the grateful recipient of a number of bequests, and individual and corporate donations. In total, the foundation raised a record amount of over $1.5 million in annual donations.

This past year, we also laid the groundwork for a major fundraising campaign that will build on these and other past successes. We have already reached our initial campaign targets, both in participation and revenue, and reached out to almost 100 past individual and corporate donors. This campaign, under the remarkable leadership of Barb Stymiest, is quietly building momentum to set a new standard. Certainly the energy and dedication of Barb and her campaign cabinet have already done so, and they have only begun.

The Toronto Rehab Foundation has outstanding dedicated volunteers, staff and donors who understand that our work is about more than raising money—it’s about helping people whose lives change course, often dramatically and irrevocably, as a consequence of serious illness or injury. But as much as we have achieved together during the past year, there remains much more to do. Driven by life-saving advances in medical science that enable more individuals to survive traumatic illness and injury than ever before, as well as an aging population, demand for rehabilitation and complex continuing care services is on the rise. This demand necessitates a greater investment on our part in research that will lead to new and better treatment, and in new facilities that are more conducive to the rehabilitation process. To help us make these vitally necessary investments, we turn to individuals and organizations that share our vision to enhance the quality of other people’s lives.

We are pleased with the progress that we made this year. Next year we will see an even greater number of caring and committed Canadians rise to the challenges that our patients meet every day.

These Canadians will join our growing community of supporters who help patients and their families reach their greatest potential.

We will continue to assist Toronto Rehab and its wonderful team of professionals as they define the tools and techniques that will make the greatest difference in advancing rehabilitation and enhancing quality of life.

We are profoundly grateful to each of you who have contributed so generously. Similarly, we are deeply appreciative of the guidance and support we receive from the hospital and foundation Boards and management, and the energetic and invaluable contributions of foundation staff and volunteers.

GORDON C. MCCAULEY Chair, Toronto Rehab Foundation

Left to right: Sheila Hicks, Gordon McCauley

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Report of the

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Foundation Finance Committee

Stewardship of our foundation’s $39.2 million investment portfolio was the primary focus of the Finance Committee this past year.

Regular consultations with our professional fund managers were central to this responsibility, as was our annual review of formal guidelines relating to investment policy and portfolio holdings.

Like most institutions, we have had to contend with depressed equity markets and lower returns on our investments. Portfolio performance and the activities of our fund manager were carefully monitored throughout the year at regular meetings with our investment advisors. This enabled us to better understand the performance of our portfolio, discuss emerging trends and take appropriate action when necessary. This process, in combination with our conservative investment policy, enabled us to limit the decline in the value of our investments to less than 5 per cent in a volatile market environment.

In 2002/2003, annual fund revenues surpassed target and exceeded $1.5 million. Our capital campaign also raised close to $1 million in donations and pledges. Expenses were effectively managed with both annual program and campaign costs coming in under budget.

Cardiac patients are assessed in the Human The foundation raises funds to support the major elements of the Performance Lab – Rumsey Centre. hospital’s business: patient care, research and education. Each year, the hospital submits to the foundation its request for support of special needs and projects that are not funded by other sources. These requests are reviewed by the Finance Committee, which then prepares recommendations to the foundation Board for final approval. In reviewing these submissions, we try to meet the most urgent needs of the day.

In 2002/2003, the foundation granted $2.4 million to the hospital to support research, capital projects and public education. Capital projects involved upgrades to our facilities to better serve patients and to foster their recovery.

The foundation’s longer-term plans to support hospital initiatives are incorporated into its 10-year financial planning model. The model is a vital Toronto Rehab's University Centre is getting a facelift. The new strategic and planning tool, one that is fully accessible entrance will open in the fall 2003. routinely updated to reflect hospital priorities as well as the realities of the operating and investment environments. As such, it is always a work in progress.

In the year ahead, we will maintain our conservative approach to managing the

19

Toronto Rehab magazine reaches out to patients and families.

foundation’s investments, and keep a watchful eye on portfolio performance.

The portfolio manager will continue to attend our meetings on a regular basis to keep us abreast of market developments so that we can make adjustments as required and in a timely manner to build the portfolio’s value. We anticipate that fundraising targets will again be met next year and that expenses will continue to be rigorously managed so that monies donated serve the purpose for which they were given.

PAUL R. WEISS, Chair, Finance Committee JIM ELLIOTT Vice President, Finance and

Donations by Source In 2002/2003 the Toronto Rehab Foundation raised over $1.5 million. We are extremely grateful for the continuing generosity of so many.

Special Events

40%

Community Gifts* 22%

Planned Gifts

17%

Direct Mail

9%

Family Gifts

9%

Gifts-in-Kind

3%

* includes corporations, foundations, individuals, associations, schools, service clubs and employee trusts

Allocations to Toronto Rehab In 2002/2003 the Toronto Rehab Foundation allocated $2.4 million to the hospital to support capital improvements, research and education.

Left to right: Paul Weiss, Jim Elliott

Capital Improvements

46%

Research

38%

Education

12%

Other

4%

Report of the

Foundation Governance Committee

20

Strong relationships and a vibrant support network have been fundamental to Toronto Rehab’s success to date, and to the success of its founding partners in years gone by. It is the company we keep that has enabled us to continually expand Toronto Rehab’s circle of friends as well as its sphere of influence—attracting some of the country’s best and brightest minds in the process, and focusing their considerable talents and energy on building the hospital’s capacity for innovative rehabilitation and complex continuing care service, education and research. So, as Toronto Rehab prepares to launch a major fundraising campaign to accelerate its contributions to the advancement of rehabilitation science, the Governance Committee is doing its part to enlist even more supporters, and to bring former partners back into the fold.

To achieve our goal, we launched the Chair’s Council, a forum through which we can inform new and longer-term patrons of Toronto Rehab’s current activities and engage them in our ambitious plans for the future. Our inaugural Hospital supporters and partners mingle at the first Council meeting was held at the TSX Group last November. meeting of the Chair’s Council.

We were delighted to welcome a number of newcomers to the event, and to see so many loyal friends in attendance, many of whom were key players in the evolution of Toronto Rehab’s four legacy hospitals—The Queen Elizabeth, Hillcrest and Lyndhurst Hospitals, and the Toronto Rehabilitation Centre. The collective contributions of this impressive group of individuals span nearly a century. One guest recalled going to The Queen Elizabeth Hospital as a child with her father to drop off Christmas gifts. Her passion for helping others has endured to this day, some 60 years later.

Researchers review study results.

Last year the foundation’s Governance Committee also recruited a number of new and influential Board members and fundraising volunteers. I would like to officially and warmly welcome Joie Watts, Managing Director of Instinet Canada Limited; Gary German, Managing Director of Kingsdale Capital Partners; and Seth Mersky, Managing Director of Onex Corporation. These Directors will play an instrumental role in championing the work of Toronto Rehab and generating funds for the foundation that it supports. We are grateful to these individuals, and to those who have been with us for some time, for pledging their time and support for Toronto Rehab. We believe their personal

investments to advance rehabilitation and complex continuing care will greatly benefit others today, and generations to come.

As we turn our attention to the year ahead, the Committee is poised to expand its legion of supporters even further. We cannot overstate how much Getting a workout at Lyndhurst Centre we value their many contributions and appreciate their tireless efforts on our behalf.

I have no doubt that, together, we will achieve new milestones in Toronto Rehab’s distinguished history.

BARBARA G. STYMIEST Chair, Governance Committee

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Foundation Board of Directors Gordon C. McCauley, Chair David K. Bragg, Past Chair Robert H. Pitfield, Vice Chair Paul R. Weiss, Treasurer Sheila Hicks, President and Secretary Libby (M.E.) Burnham Ken Copeland Gary German Barry J. Goldlist, MD Craig A. Laurence Robert E. Lord Ronald H. Meredith-Jones John E. Richardson Mark K. Rochon Barbara G. Stymiest Joie Watts

Foundation Committees EXECUTIVE Gordon C. McCauley, Chair David K. Bragg, Past Chair Robert H. Pitfield, Vice Chair Paul R. Weiss, Treasurer Sheila Hicks, President FINANCE Paul R. Weiss, Chair David K. Bragg Sheila Hicks Winston Ling Gordon C. McCauley Robert H. Pitfield John E. Richardson Mark K. Rochon GOVERNANCE Barbara G. Stymiest, Chair Libby (M.E.) Burnham Sheila Hicks Robert E. Lord Gordon C. McCauley Ronald H. Meredith-Jones Mark K. Rochon Barbara Stymiest

Donors The Toronto Rehab Foundation expresses its sincere appreciation to the following individuals and foundations that supported the foundation’s annual fund in the fiscal year 2002/2003:

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$50,000 + Canadian Cardiac Rehabilitation Foundation William and Meredith Saunderson $10,000 - $49,999 Toronto Community Foundation $5,000 - $9,999 Charles Lombard Robert H. Pitfield Paul R. Weiss $2,500 - $4,999 George Linton Sidney Mendelson Joie Watts $1,000 - $2,499 Lisa M. Andrade Robert Baines Peter Bartes David K. Bragg Jamie Coatsworth Jennifer Ferguson The Wolfe & Millie Goodman Foundation Sheila Hicks Reg Hunter The Nelson Arthur Hyland Foundation Louise Lemieux-Charles The George Lunan Foundation Dean Mank Joe Mapa Gordon C. McCauley David Melnik Gary Naglie Peter Naylor Lionel Parry John E. Richardson Mark and Sarah Rochon James Savage Nancy M. Scott Barbara G. Stymiest Karima Velji Milan Voticky James P. Waddell Diana Weatherall Winberg Foundation Anonymous (1)

$500 - $999 Terrence Big Canoe James Borysko Richard J. Boxer Greig Brown R. Geoff Browne Karen L. Burgess Dr. and Mrs. Anthony C. Capon Paul Comper Catharine Craven Leonard Cullen Mark Cullen Nora K. Cullen John DaSilva Joseph Dickstein James A. Edney Jim Elliott Richard Ellis Robert G. Franks Michelle George Georgia Gerring Minnie Givens Barry J. Goldlist Dennis Hill Iris Hogan Andrew H. Holliday Rosemary J. Kennett Edward J. Kernaghan Charles M. Laidley Craig A. Laurence Nenita Lorenzo Karen P. Louie Joseph B. Lubotta Charitable Foundation Wayne McAdoo Mary McCall Joan McCauley John Donald Mingay John Moore John Morrow Paul Nanoff James L. Oliphant Ronald Park Peter Pauly Brenda Pergantes Vivian E. Pilar David E. Thring Walter B. Tilden Zulfikarali Verjee The WB Family Foundation John G. Weir Michael Wilson William Young $250 - $499 Elaine Aimone Edward Aizen Edward J. Alon James L. Attwood Michael M. Barmherzig Alan Bernstein Carol L. Boettcher Alan Bowers Murray E. Buckstein Alison Caird Susan Carey Hee Chun Murray Cockburn Jacqueline Coles Ronald Cooper Neil Da Silva Laszlo Endrenyi John Gilroy

Ethel Godwin Leonard Gold Abraham and Malka Green Foundation Robin Green Susan Green Margaret Griffiths Delia Lynn Hannon Sharon G. Howell Olga Hyman Thomas Kennedy Bernard Kraft Marjorie K. Leddy Virginia Lepp Rhoda Lordly Paul J. MacCormick Jessie MacDonald Loralee MacLean Mary Scot Magill Joel E. Maser Nancy C. McFadyen Fiona S. Morton Marguerite Noble Harley R. Nott R. Stan Orser Joyce Osborne Alborz Oshidari Gerhard Penz Catherine Petrogiannis Catherine Pitt Richard Poole Jean-Charles Potvin Merle Rachlin William H. Rivers Arthur Rocket Joseph Rosenthal George Rota Diana M. Schatz Hazel Sebastian Laurel Sefton-Macdowell Brian J. Slattery Richard Soberman Bernardo Sztabinski Gaetan S. Tardif Chan-Phong Tu Moyra Vande Vooren John A. White Marcia Winterbottom David Wong Jane Wong Harry Young Berhard Ziegler Joseph Zver The Toronto Rehab Foundation expresses its sincere appreciation to the donors who supported the Foundation with gifts up to $250 in the fiscal year 2002/2003. They are too numerous to print in this report.

The Toronto Rehab Foundation expresses its sincere appreciation to the following corporate donors and sponsors that supported the foundation’s annual fund in the fiscal year 2002/2003: C O R P O R AT E D O N O R S $10,000 - $24,999 McLean Budden Limited United Way of Greater Toronto $5,000 - $9,999 “The Pact” BEI Pact Productions Inc. Bicklette Limited $2,500 - $4,999 Birch Cliff Lodge AF & AM No. 612 GRC Crown Heights Productions Limited Rotary Club of Scarborough Bluffs $1,000 - $2,499 Bell Canada, Employee Volunteer Program Maple Leaf Sports & Entertainment Ltd. Nancy Ralph & Associates The National Life Assurance Company of Canada Sceptre Investment Counsel Torstar Limited TSX Group $250 - $999 Alfonso Gallucci General Construction Ltd. Beaver Bible Class The Boiler Inspection & Insurance Company of Canada ETS Equities Trading Services Inc. Fidelity Property Management Limited Fountain of Hope Graywood Developments Ltd. Honda Canada Finance Inc. IBM Canada Ltd. IBM Employees' Charitable Fund Janadee Management Inc. MacNaughton Hermsen Britton Clarkson Planning Ltd. Minuk Construction & Engineering Company OPG Employees' & Pensioners' Charity Trust Toronto Rehabilitation Institute Volunteers Association Ryerson Polytechnic University Scott & Scott Soil-Eng Limited Yorkgate Developments Ltd. C O R P O R AT E S P O N S O R S $10,000 - $24,999 Merck Frosst Canada Inc. $5,000 - $9,999 Gluckstein & Associates $2,500 - $4,999 Allergan Inc. $1,000 - $2,499 Cygnet Stroke Recovery Humphrey Funeral Home InterAction Rehabilitation Inc. The O'Neill Centre Pfizer Canada Inc. Therapist's Choice Medical Supplies $250 - $999 Arjo Canada

The Toronto Rehab Foundation expresses its sincere appreciation to the following Estates, that supported the foundation in the fiscal year 2002/2003: Estate Estate Estate Estate Estate Estate Estate Estate Estate Estate Estate Estate Estate Estate Estate Estate

of of of of of of of of of of of of of of of of

Graham Campbell Marshall Sim Donaldson Almira Grover Foley Ewart Max Harbour Mildred Cecile Johnston Arthur William Kirkpatrick Jeffrey Laycock Susan B. Lind Roy Gerald Mimms Viola Pedersen Mary Pollard William Ramsay Mary Steffler Lillian Massey Treble John William Walker Dvora and Angel Zylberman

The Toronto Rehab Foundation expresses its sincere appreciation to the following individuals and corporations, that supported Gala XIII: 3M Canada Company AccertaClaim Servicorp Inc. A C Nielsen Company of Canada Adams Lori Adler ADP Brokerage Services Division AEC Valuations Inc. Agropur A. Lassonde Inc. Alex Rebanks Architect Inc. Algoma Orchards Limited Alte-Rego Corporation Anchor Hocking Angus Consulting Management Ltd. Aramark Canada Ltd. Ashley-Koffman Foods A.S. May Powell Corporation Associated Brands Inc. Atlantic Stainless Fabricators Ltd. Atlantic Waffles Inc. B.M.I. Construction Co. Limited The Bank of Nova Scotia Barbados Beach Club Barrick Gold Corporation Don Bartlett Bayer Inc. Nathalie Beaulieu Bensimon – Byrne - DMB & B Better Beef Limited Bilt-Rite Disposal Equipment Ltd. Bizerba Canada Inc. Blaney McMurtry LLP Blue Stripe Properties (Dupont) Ltd. Carol L. Boettcher Borden Ladner Gervais Brownstone Investment Planning Inc. Bruce Edmeades Sales Limited Karen L. Burgess Burnbrae Holdings Ltd. Cadbury Chocolate Canada Inc. Cadbury Trebor Allan Inc. Alison Caird Campbell Soup Company Ltd. Canadian Imperial Bank of Commerce

Canadian Tire Real Estate Limited Capital International Asset Management (Canada) Inc. Carecor Carrier Connection International Carwell Construction Cascades Dominion Inc. Cavendish Farms 23 Centa Construction Limited Centennial Foods Centrecorp Management Services Limited Charlotte Products Ltd. CI Funds CIBC Mellon Global Securities Services Company Clayton Research Associates Limited Cliffstar Corporation The Clorox Company of Canada Clover Leaf Seafoods Inc. Coast To Coast Newsstand Services Ltd. Coca-Cola Bottling Colgate-Palmolive Canada Inc. Colliers International Paul Comper ConAgra Foods Connors Bros.

Consolidated Energy Solutions Inc. Corso, Mizgala & French Cott Beverages Inc. Catharine Craven Crazy Plates Inc. Crombie Kennedy Sales Ltd. Cuddy Food Products Nora K. Cullen Dainty Foods Danone Inc. Dawn Food Products (Canada) Ltd. Designated Space Inc. Digi Canada Incorporated Dimpflmeier Bakery Limited Dixon Drywall The Dominion Group Foundation Donut Time William DuBourdieu Earth Tech Canada Inc. Eastern Refrigeration Supply Co. Ltd. E.D. Smith Effem Inc. EHN Jim Elliott Elmira Poultry The Employment Solution The Erin Mills Development Corporation Etobicoke Ironworks Limited Exchange Solutions ExpressCo. Extendicare (Canada) Inc. Fasken Martineau DuMoulin LLP Jennifer Ferguson F.G. Lister & Co. Ltd. Fiera Foods Co. First International Asset Management Inc. First Professional Management Four Seasons Hotels Limited FPI Ltd. Freddychef Gay Lea Foods General Mills Canada, Inc. Georgia Gerring Gillette Canada Inc. Give and Go Prepared Foods Ltd. Barry J. Goldlist Goldman Marketing Strategy Inc. Goodman and Carr

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Lynn M. Guerriero Guest Tile Inc. Hamilton Beach/Proctor-Silex Handi Foods Ltd. Herman Miller Workplace Resource High Liner Foods Incorporated H.J. Heinz Company of Canada Ltd. Hobart Food Equipment Group Canada Iris Hogan HOK Canada Hostess Frito-Lay Hubbeu Lighting Mark Hughes Michael Hughes Humpty Dumpty Husky Foods IBD Canada Ltd. ICE River Springs Water Co. Inc. Idahoan Innovative Foods Corporation Instore Products Ltd. InterBase Consultants Ltd. Intercorp Excelle Foods Inc. Ippolito Fruit & Produce Limited Irving Tissue Italian Home Bakery Ltd. Italpasta Limited Jamieson Laboratories Ltd. Janes Family Foods Ltd. Johnston Smith International Inc. J.J. Barnicke Limited Kearsley Electric Limited Kellogg's Canada Inc. KIK Corporation Holdings Inc. Kimberly-Clark Inc. Kircher Research Associates Ltd. Korhani Canada Inc. KPMG Canada Kraft Canada Inc. Kretschmar Inc. Sara L. Lankshear Lantic Sugar Limited Lavo LEA Consulting Ltd. James W. Leech Louise Lemieux-Charles Kim Lenahan Virginia Lepp Les Cuisines Rochette Inc. Lindt & Sprungli Canada Inc. Loblaw Companies Limited Long Valley Construction Limited Robert E. Lord L & M Produce And Truck Lines Ltd. Patricia Lyon Bruce S. MacLellan Mady Development Corporation Maple Leaf Foods Inc. Marsan Foods Ltd. Marsham International Food Brokers Inc. Maxims Limited Partnership M.B.I. Commercial Inc. McCain Foods (Canada) Ltd. McCarthy Tetrault LLP Gordon C. McCauley McConnell Sales McCormick Canada Inc. Colleen McGillivray McKinsey & Company Inc. Luis Melo Menkes Developments Inc. Menu Foods Limited

Ronald H. Meredith-Jones Metrus Properties Limited Nick Minotti The Minute Maid Company Canada Inc. Mitchell’s Gourmet Foods Inc. Molinaro’s Montgomery Sisam Associates Inc. Morningstar Research Inc. Morrison Lamothe Inc. M & R Plastics Inc. Mucci International Marketing Inc. Nadir Fluorescent Service NCR Canada Neilson Dairy Nestle Canada Inc. New Zealand Lamb Company Ltd. Newell Rubbermaid Norampac Normerica Northbud Distributors Ltd. Northstar Research Partner Inc. Nursing & Homemakers Inc. O/A Regal Confections Oakrun Farm Bakery Ltd. The Odan Detech Group Inc. Olar Limited Olymel/Flamingo O. P. D. I. Logistics O & Y Enterprise Panigas Group of Companies Papazian, Heisey, Myers Par Pak Parmalat Canada Parmalat Dairy & Bakery Inc. Jack Pasternak Patton and Associates PCL Packaging Corporation The Pepsi Bottling Group P & H Foods Phoenicia Piller Sausages & Delicatessens Ltd. P.L. Foods Limited Praxia Information Intelligence Inc. Premcorp Presidential Gourmet Corp. priszm brandz LP ProVealCo Inc. Puresource Inc. QTG Canada Inc. Quad Steel Inc. Quality Meat Packers Limited R.H. Irwin & Associates Ltd. Miriam Radley Ralston Purina Canada Inc. Rankin Architects Inc. Rebanks Pepper Littlewood Boyd Architects Inc. Reckitt Benckiser Request Foods Heather Reuber RIO CAN Real Estate Investment Trust Robert Half Canada Inc. Robin Hood Multifoods Inc. Mark Rochon Rogers Group of Companies Ron Koudys Landscape Architect Ronco Disposable Products Ltd. Ronzoni Foods Canada Corp.

Roots Canada Russell Russell Installations Rybka Smith and Ginsler Ltd. Eric Sanderson

Saputo Savoia Canada Inc. S.C. Johnson Wax Thomas Schwartz Deborah Scott Scott Paper Ltd. Seaforth Creamery Inc. Sears Canada Seenergy Foods Inc. Select Food Products Limited Shah Trading Co. Ltd. Robin Shan Simon Zucker & Associates The Sixty Three Foundation The Sleeman Brewing & Malting Co. Ltd. Speight Van Nostrand & Gibson Limited Dana Stehr Stiefel Stoneworth Ltd. Strategic Horizons Inc. Stratix Technologies Inc. Charles R. Stuart StuCor Construction Sun Life Financial Sunbelt Transport Services Symcor Gaetan S. Tardif Terraplan Landscape Architects TFI Food Equipment Solutions Thai Indochine Trading Inc. Irv Thompson Thomson Terminals Limited TLS Inc./Thomas Large & Singer Toronto Inspection Ltd. Trans-Ocean Products Inc. Trillium Health Care Products Inc. Trophy Foods Inc. TSX Group Turner Fleischer Architects Unico Foods Ltd. Unilever Canada Limited Unisource Canada Inc. Urban Electrical Contractors Moyra Vande Vooren Veg-Pak Produce Limited Vice and Hunter Vulsay Warren Bitulithic Limited Paul R. Weiss Western Creamery Inc. Westmoreland Sales Weston Bakeries William M. Dunne & Associates Ltd. Willow Heights Estate Winery Inc. Wilton The Works Design Communications Ltd. World Kitchen Canada (EHI) Inc. W. Ralston (Canada) Inc. Wrigley Canada Inc. W. T. Lynch Foods Limited Anonymous (1)

Note: Pledges and cash contributions to the capital campaign are not reflected in the above lists.

Copies of this report are available from: Marketing and Public Affairs Toronto Rehab 550 University Avenue Toronto, Ontario M5G 2A2 Tel: 416-597-3422, ext. 3425 www.torontorehab.com

Toronto Rehabilitation Institute A Teaching Hospital of the University of Toronto

HILLCREST CENTRE

47 Austin Terrace, Toronto, ON M5R 1Y8 LY N D H U R S T C E N T R E

520 Sutherland Drive, Toronto, ON M4G 3V9 QUEEN ELIZABETH CENTRE

130 Dunn Avenue, Toronto, ON M6K 2R7 RUMSEY CENTRE

345/347 Rumsey Road, Toronto, ON M4G 1R7 UNIVERSITY CENTRE

550 University Avenue, Toronto, ON M5G 2A2

Design: David Wyman Design

Telephone: 416-597-3422 www.torontorehab.com