2014 Annual Report Our Mission Our Values The Alberta College of Paramedics governs and regulates the practice of paramedicine in the public interest. While maintaining and enforcing a Code of Ethics, the College leaders and staff commit to upholding the following values: Our Vision Excellence The Alberta College of Paramedics - a global leader in the governance of the paramedic profession. Professionalism Leadership Integrity Accountability Table of Contents 2014 Council. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 College Committees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Message from the President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Message from the Registrar/Executive Director. . . . . . . . . . . . . . . . . . . . . . 5 Message from the Public Member. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Educational Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Examinations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Continuing Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Professional Conduct and Competency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Communications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Finance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Audited Financial Statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Alberta College of Paramedics • 2014 Annual Report ii 2014 Council Back row: Pete Helfrich (EMT-P), Stephen Tweed (EMT), Dusty Schlitter (EMR), Tyler Douglas (EMR), Public Member Barry Cavanaugh Front row: Public Member Ted Langford, Vice-President Ian McEwan (EMT-P), President Sheldon Thunstrom (EMT-P), Treasurer Ian Burgess (EMT) Missing: Richard Bergen (EMT), Enzo della Rocca (EMT) 2014 Councillors ÎÎ President: Sheldon Thunstrom, EMT-P ÎÎ Pete Helfrich, EMT-P ÎÎ Vice-President: Ian McEwan, EMT-P ÎÎ Dusty Schlitter, EMR ÎÎ Treasurer: Ian Burgess, EMT ÎÎ Stephen Tweed, EMT ÎÎ Richard Bergen, EMT ÎÎ Public Member: Barry Cavanaugh ÎÎ Enzo della Rocca, EMT ÎÎ Public Member: Ted Langford ÎÎ Tyler Douglas, EMR Alberta College of Paramedics • 2014 Annual Report 1 College Committees 2014 Registration Committee ÎÎ Chair: Barry Straub ÎÎ Luke Flowers ÎÎ Vice-Chair: Dana Terry ÎÎ Dennis Poulin ÎÎ Past Vice-Chair: Jason Gabriel ÎÎ Richard Santos ÎÎ Jeff Wilbur ÎÎ Steven Ward ÎÎ Eric Vallee ÎÎ Allison Gentry ÎÎ Ronald Cory Annett ÎÎ Scott Mullin ÎÎ Bill McGregor ÎÎ Rob Ritchie 2014 Continuing Education Committee ÎÎ Chair: Genevieve Marshall ÎÎ Phillip Tautchin ÎÎ Past Chair: Len Stelmaschuk ÎÎ Sergio Garofalo ÎÎ Dale Bayliss ÎÎ Greg Cruickshank ÎÎ David Dufour ÎÎ Amir Danishwar (as of August 2014) ÎÎ Andy Wiebe ÎÎ Leannea Simpkins (as of August 2014) ÎÎ Kieran Moore ÎÎ Melody Hall (until September 2014) ÎÎ Gareth Hughes ÎÎ Bethany Moore (until April 2014) 2014 Conduct and Competency Committee Main committee Hearing Tribunal members ÎÎ Chair: Amber Bagan ÎÎ Stan Berry ÎÎ Jane Mitchell ÎÎ Wesley Hayes ÎÎ Charles Way ÎÎ Scott Jamison ÎÎ Joseph Zelmer ÎÎ Sandra Marini Public members ÎÎ Rajan Minhas ÎÎ Pedrom Nasiri ÎÎ John Chapman ÎÎ Darren Peterson ÎÎ James Balmer ÎÎ Fred Stegmeier ÎÎ Christopher Williams ÎÎ Joseph Zelmer Alberta College of Paramedics • 2014 Annual Report 2 Message from the President I am honoured to present the Annual Report for the Alberta College of Paramedics for the fiscal year ending on December 31, 2014. Council, regulatory and governance committees, and the Registrar/Executive Director and his staff, with the contribution of hundreds of volunteers, have made real progress again this year. We bring integrity and respect for the paramedic profession’s contributions to the health system and public safety services. Building national partnerships The College has been active nationally, including contributions to the Paramedic Association of Canada (PAC) and the Canadian Organization of Paramedic Regulators (COPR). The College and its registered members are very involved with PAC’s national Steering Committee, composed of over two dozen members. As the Alberta Chapter of the national organization, the College benefits considerably from its relationship with PAC. Among the programs and services PAC offers is professional liability insurance, including protection of a practitioner’s personal and professional assets in the event of a lawsuit or allegation of professional misconduct. Ten working groups support the PAC Steering Committee. There are over 50 volunteers involved in parallel working groups dealing with Emergency Medical Responders, enhanced educational preparation, community paramedicine, high-fidelity simulation, Standards of Practice and Code of Ethics, and Critical Care Paramedics. Working toward self-regulation The College continues to partner with Alberta Health in transitioning to the Paramedics Profession Regulation under the Health Professions Act (HPA). This is a complex and demanding process, and we reviewed successive drafts of the regulation in the fall and winter of 2014. We believe that the profession will be regulated under the HPA by the middle of 2015. This will be a milestone for our profession. Among the more important aspects of this transition is the adoption of provincial Standards of Practice and a Code of Ethics. These have been further refined in the past year, and will be forwarded again for consultation in early 2015. Thank you to practitioners who completed their 120 educational credits, including the mandatory module, in the 2013/14 registration cycle. Regulation under the HPA requires all registered members to demonstrate a “continuing competence” approach to their professional development throughout their careers. We encourage you to be a lifelong learner, and to avail yourself of the many formal education activities endorsed by the College. Alberta College of Paramedics • 2014 Annual Report 3 Paramedicine profession remains strong in Alberta Despite the economic news, Alberta remains a vibrant and growing province. We continue to see increasing numbers of practitioners from other provinces and countries applying for and successfully registering in Alberta — now up to one-third of all applicants for registration. We are fully committed to the inter-provincial labour mobility provisions of Canada’s Agreement on Internal Trade. The College’s Registrar/Executive Director, Tim Essington, EMT-P, Ph.D., and his staff and subject-matter experts have had a particularly strong year. Council has been continually updated on developments with educational programming, registration examinations, registration, continuing education, and investigation and discipline. We certainly appreciate having Tim leading our group of highly capable professionals. Council and the Registrar/Executive Director rely on the contributions of registered members to regulatory committees, examinations and working groups. My Council member colleagues and I gratefully acknowledge all these volunteers, who contribute thousands of hours each year away from their families, homes, employment and communities to move forward the profession. Registration fees to remain the same in 2015 The College is in a solid financial position, which is important for many reasons, including no forecasted increase in registration fees in 2015. We have a strong and respectful relationship with the Health Disciplines Board and Alberta Health, to which we are legally responsible. We have first-rate governance policies and procedures, available on the College website. Council receives specifically designed governance professional development sessions at every meeting. Our relationships with registered members, employers, medical directors, educational programs, provincial regulators and other stakeholders continue to mature and grow. My Council colleagues devote their initiative, time, and energy to important regulatory, governance, and corporate decisions. We welcomed Dusty Schlitter and Tyler Douglas to Council, and Barry Cavanaugh joined us as a new Public Member appointed by the Minister of Health. We look forward to new Council members following the October 2015 Annual General Meeting. As I look to my last year as your President, my colleagues and I have every confidence in our College and its members’ contributions to high-quality, safe, cost-effective and optimal patient care in 2015. Respectfully submitted, Sheldon Thunstrom, EMT-P President Alberta College of Paramedics • 2014 Annual Report 4 Message from the Registrar/Executive Director As the Registrar/Executive Director, I am responsible to Council for implementing the Strategic Plan, which includes all of the College’s regulatory, corporate, and governance responsibilities. My team and I support Council’s regulatory committees: ÎÎ Registration ÎÎ Continuing Education ÎÎ Conduct and Competency Council has three accountable governance committees: ÎÎ Governance and Nominations ÎÎ Finance, Risk Management and Audit ÎÎ Registrar Performance Appraisal A year of accomplishments As you will note in this report, there were many accomplishments in 2014, including the following: ÎÎ Significant advances in educational program advancement and delivery, particularly the early stages of enhancements to Emergency Medical Responder education. ÎÎ An ambitious project to redevelop entry-to-practice practical examinations. ÎÎ Refinement of registration policies and procedures, especially dealing with interprovincial labour mobility applicants and applicants with substantially equivalent competencies (e.g., with foreign credentials). ÎÎ Rollout of a comprehensive program for regulated members to obtain their continuing education credits — a cornerstone of health professional legislation. ÎÎ Updating of policies and procedures relating to conduct and competency (investigation and discipline). As the Registrar/Executive Director, I am the “sole employee” accountable to Council under the College’s well established governance model; yet, I lead a highly talented group of paramedic professionals, administrators, subject-matter experts, legal counsel and others. The College and our profession are particularly indebted to the dozens of volunteers who selflessly contribute their time, energy and competencies to assist the College in all aspects, especially regulation. Alberta College of Paramedics • 2014 Annual Report The College and our profession are particularly indebted to the dozens of volunteers who selflessly contribute their time, energy and competencies to assist the College in all aspects, especially regulation. 5 In addition to managing the College’s operations, my role is to consult and network with stakeholders who shape the profession’s future, including the following: ÎÎ Alberta Health and the Health Disciplines Board ÎÎ Alberta Enterprise and Advanced Education ÎÎ Alberta Health Services, including contracted ambulance operators ÎÎ Industry-based employers ÎÎ Fire departments ÎÎ Medical directors ÎÎ Educators and researchers ÎÎ Occupational Health and Safety ÎÎ Registrars of health professional regulatory colleges ÎÎ Many others Leading the profession Our team has devoted much time and many resources to leading the profession on a national level as the Alberta Chapter of PAC. All regulated members of the College are in turn full members of PAC. The Registrar/Executive Director and Deputy Registrar have worked with PAC’s President and Executive Director and a Steering Committee of over 30 influential opinion leaders across the country to redevelop the National Occupational Competency Profile initiative. We anticipate that in 2015, new occupational competency profiles will be in place for the following: ÎÎ Emergency Medical Responders ÎÎ Primary Care Paramedics (currently Emergency Medical Technicians) ÎÎ Advanced Care Paramedics (currently Emergency Medical Technologists-Paramedics) Our solid and long-term partnership with PAC was central in the development and implementation in late 2014 of a national personal and portable professional liability insurance program, which complements the enabling provisions in the Paramedics Profession Regulation under the HPA. All of our activities in 2014 were in support of a long sought-after goal, regulation under the HPA. We are finally very close, with a consultation underway in early 2015. Registered members’ and stakeholders’ comments and input will be sought as part of an overall communications plan. My team and I look forward to 2015 with much anticipation. Respectfully submitted, Tim Essington, EMT-P, Ph.D. Registrar/Executive Director Alberta College of Paramedics • 2014 Annual Report 6 Message from the Public Member Public members are accountable to the Minister of Health and Wellness, and actively participate in the governing Council of the College along with elected practitioner colleagues. We equally share our views and personal experience, and contribute to the full range of planning and business decisions made by the organization. A number of important matters were pursued with vigour and diligence in 2014. Some of the significant initiatives effectively addressed by the College this past year include the following: ÎÎ The College’s proactive approach in working with key officials from the Alberta Health ministry has helped to further advance the profession’s transition to the HPA. These officials, as well as related medical directors and other associated stakeholders, are to be acknowledged and thanked for their assistance. ÎÎ In 2014, the College more formally pursued paramedicine initiatives nationally. Collaboration with national and other provincial organizations will lead to established nationwide standards and practices that will serve the profession well into the future. ÎÎ Extra attention has been required by the College to work with employers and educational institutions to help address problems in arranging the required practicums for students enrolled in paramedicine training programs. This matter will require ongoing oversight. ÎÎ As increased opportunities for the effective use of the College’s regulated practitioners arise and established standards and competencies advance, it is important that the profession’s ongoing continuing education requirements be well defined and appropriately implemented. The College’s Continuing Education Committee and administrative staff are actively strengthening ongoing learning procedures and opportunities. It is important to acknowledge the contributions of the elected Council members. They are to be complimented for their hard work, passion, and commitment to the profession. Juggling work responsibilities and family obligations to accommodate College business can be challenging. Their dedication is appreciated. The evolving dynamics of the health care system provincially and nationally continue to present both challenges and opportunities. The Alberta College of Paramedics could not manage in such times of change and transition without the involvement and support of the College staff. Their knowledge, proactive approach and hard work are critical to meeting the organization’s priorities, while they continue to competently carry out the day-to-day business of the College. These efforts are recognized and highly valued. The strong support known to exist for the paramedicine profession in Alberta is valuable as the College continues to constructively manage its evolving role in service to the public and the province. Respectfully submitted, Barry Cavanaugh Public Member Ted Langford Public Member Alberta College of Paramedics • 2014 Annual Report 7 Educational Programs Since the inception of the Paramedicine Educational Program Standards in 2011, the Alberta College of Paramedics has had the responsibility of approving and monitoring educational programs for paramedics. Program approval processes ensure that Alberta educational programs operate in compliance with both provincial and national educational best practices. The following institutions and their approved sites can provide paramedicine education in Alberta: ÎÎ Keyano College ÎÎ Lakeland College Emergency Training Centre ÎÎ Medicine Hat College ÎÎ NAIT ÎÎ Northern Lakes College ÎÎ Portage College ÎÎ SAIT ÎÎ A-1 Medical Training ÎÎ Alberta Health and Safety Training Institute ÎÎ Breath For Life Inc. ÎÎ Emergency Services Academy Ltd. ÎÎ Kinetic Medical ÎÎ Professional Medical Associates ÎÎ St. John Ambulance Program approval activities for 2014 In 2014, the Alberta College of Paramedics undertook numerous educational activities. These activities were guided by a strong sense of fiscal responsibility, educational institution cooperation, and effective evaluation of students in the classroom and simulated and clinical environments. Activities included the following: ÎÎ Review of the Paramedicine Educational Program Standards, policies and procedures ÎÎ New EMR program redesign and licensing activities ÎÎ Implementation of OH&S educational initiatives, which included the following: • Standardized preparation of driving instructors • Introduction of driving education within approved educational programs • Development of mental health education framework ÎÎ Development of an airway management policy framework for educational programs Alberta College of Paramedics • 2014 Annual Report 8 The College has collaboratively worked with both its educational and governmental stakeholders to access grant source funding and to resolve challenges to ensure the success of educational activities. Graduate and program information All approved programs submitted annual reports to the College. These reports were instrumental in helping the College identify important program and student data. Current institutions and program data indicate that the current collective annual program graduates for each of the discipline levels are the following: ÎÎ 2,000 EMR graduates ÎÎ 500 EMT graduates Approximate yearly graduates by program ÎÎ 130 EMT-P graduates 2,000 The College noted with much interest that programs also identified the following: ÎÎ Educational programs are challenged with gaining sufficient clinical and practicum student placement opportunities ÎÎ Only two programs reported having no capacity to offer additional programming 500 130 EMR EMT EMT-P ÎÎ Only one program had refused a request for additional programming ÎÎ Three institutions had to cancel programs due to low enrolment The College expects to continue its moves to strengthen paramedicine education and has demonstrated that it is committed to changes that result in quality education that prepares students, graduates, and practitioners for transition to the HPA. The College expects to continue its moves to strengthen paramedicine education and has demonstrated that it is committed to changes that result in quality education that prepares students, graduates, and practitioners for transition to the HPA. Alberta College of Paramedics • 2014 Annual Report 9 Examinations The Alberta College of Paramedics operates the Provincial Registration Examination to assess graduates of College-approved paramedicine educational programs (or those candidates deemed substantially equivalent) who seek registration as an Emergency Medical Responder (EMR), Emergency Medical Technician (EMT)/Primary Care Paramedic (PCP) or Emergency Medical Technologist-Paramedic (EMT-P)/Advanced Care Paramedic (ACP) by testing candidates’ entry-to-practice competencies in paramedicine. Successful candidates demonstrate the knowledge and skills required within their designation to provide independent, safe, effective, and efficient patient care. The Exam department has kept the focus of its initiatives on the HPA for improvement to the exam. All eyes are on the following: ÎÎ Best practices ÎÎ Future clinical exam ÎÎ Reporting improvements ÎÎ Innovative testing Exam quality-assurance teams have continued concentrated work efforts on the written and practical exam delivery components. The number of practitioners volunteering to support exam projects — not only as examiner faculty, but also as exam developers and reviewers — continues to grow. Further improvements coming to exams A rigorous program supports the written exam by increasing the item bank and including continuous monitoring of and alignment to current practice. Exam-review and item-development teams have taken on ever-growing projects to enhance the item bank along with concentrated focus on bank defensibility. The written exam continues to be psychometrically supported by Psychometric Strategies and Research (PSAR) led by Dr. Dwight Harley. Exam delivery will also undergo continuous monitoring and improvements. Looking to 2015, new processes for enhancement to exam delivery have been established and will be implemented in the spring of 2015. HPA attention and focus have driven the platforms for exam projects that will improve upon defensibility and reliability. Alberta College of Paramedics • 2014 Annual Report A rigorous program supports the written exam by increasing the item bank and including continuous monitoring of and alignment to current practice. Exam-review and item-development teams have taken on ever-growing projects to enhance the item bank along with concentrated focus on bank defensibility. 10 Candidate attendance for 2014 examinations 1,727 1,560 513 487 155 EMR EMT Written 135 EMT-P Practical Development of a new clinical model The current model of the registration exam uses two methods of evaluating a candidate: a written exam and a practical exam. The practical exam is an oral exam that evaluates how a candidate verbalizes an assessment and decision about the treatment of a patient. Evidence through research suggested an update of the clinical exam model. In 2014, a team developed the framework for a new clinical exam model that aligns with the best practices of a regulatory exam. The rollout of this model is expected to start with the beta-testing phase in spring of 2015. A date for full implementation will be determined after the testing phase is complete. The new clinical exam model will include set vignettes designed to evaluate a candidate’s clinical judgment, clinical skills, professionalism, and ability to interact appropriately with patients, peers, or allied health professionals. The clinical exam will use scoring rubrics that reduce subjectivity, improving defensibility and reliability. By having a broader evaluation, we ensure we are offering the best protection to the public. Provincial Registration Examination goals ÎÎ Eye on HPA ÎÎ Exam restructuring ÎÎ Defensibility The new clinical exam model will include set vignettes designed to evaluate a candidate’s clinical judgment, clinical skills, professionalism, and ability to interact appropriately with patients, peers, or allied health professionals. Alberta College of Paramedics • 2014 Annual Report 11 Registration At the onset of the registration renewal period for 2014/15, the College membership included 10,525 Emergency Medical Responders (EMRs), Emergency Medical Technicians (EMTs), and Emergency Medical Technologist-Paramedics (EMT-Ps). By the end of the 2014 registration renewal period, the College identified 10,292 registered members. The College implemented new electronic software for online registration and registration renewal, which helped facilitate these processes. Self-declaration of non-renewal Retrospective College data demonstrates that a subset of College members fail to renew their annual registration every year, which causes the College to send them notices of impending cancellation. Because a professional College offers professional registration entry routes, the College felt that a route of registration exit would be beneficial. In late 2013, the College began strategic implementation of processes to address members who were intending to not renew. This strategy includes the self-declaration of intent not to renew. Although the 2013/14 registration renewal period saw a little more than 100 of these forms completed, the 2014/15 registration renewal period saw 490 College members complete the self-declaration documentation. The College is now collating the information received from this initiative, which will also yield important workforce data. Provincial regulators in both British Columbia and Newfoundland have also implemented similar processes. Labour mobility and equivalency In 2014, the College identified that 24% of total registration applicants were labour mobility and equivalency applicants. The College received 408 Canadian inter-jurisdictional labour mobility applications and 13 foreign-trained and interdisciplinary applications. British Columbia continues to account for the largest number of Canadian labour mobility applicants, closely followed by Ontario. Australia, the United States, and the United Kingdom dominate as the current countries of registration among foreign equivalency applicants, and registered nurses and physicians dominate in terms of interdisciplinary applicants. In 2014, the previously increasing trends for labour mobility and equivalency applicants stabilized. The College, which operates a career posting board for Alberta paramedics, also saw a decrease in new job postings. These factors lead the College to confirm that the current provincial economic downturn has resulted in lower paramedicine employment opportunities, especially in the Alberta industrial sector. Alberta College of Paramedics • 2014 Annual Report The College implemented new electronic software for online registration and registration renewal, which helped facilitate these processes. 12 The College continues to work cooperatively with its national regulatory partners and the provincial labour mobility coordinator. In the last year, the College was involved in multiple scope-of-practice change discussions with British Columbia, Saskatchewan, Newfoundland, and Prince Edward Island. The College also assumed a new leadership role with the COPR as Chair of the paramedicine labour mobility coordinating group and looks forward to being at the forefront of national labour mobility initiatives. 2014 labour mobility applications 84 2014 labour mobility total applications 76 2014 equivalency applications 44 29 8 6 BC 5 SK EMR 12 1 3 MB 12 ON 20 10 3 QE NB PCP 18 23 29 3 NS NL 2 3 PEI ACP EMR (51) PCP (273) ACP (67) Others (5) USA (3) UK (3) Australia (2) Registration Committee The current regulatory framework, under the Health Disciplines Act (HDA), requires the Registrar to refer a registration applicant to the College’s Registration Committee if he is not satisfied that the applicant is eligible for registration and believes that terms, conditions, or limitations should be imposed on registration, and/or if a member does not meet the requirements for renewal. In reviewing applicants, the College is expected to adhere to the concept of natural justice and administrative best practices of reasonableness and fairness. In 2014, the Registration Committee met 27 days and reviewed 340 labour mobility and 70 more complex registration and renewal applications. Complex applications reviewed by the Registration Committee 95 70 The College implemented, in the fourth 41 quarter of 2014, a system-wide strategy to address standardization of criminal record reports. It also continued with its efforts to 2012 2013 2014 enhance the College’s online jurisprudence modules. As of February 20, 2015, 997 applicants have navigated the new criminal record report system and 351 applicants have participated in the College’s online jurisprudence course. The regulatory work completed by College administration in conjunction with the Registration Committee, which included a joint task force to evaluate Committee operational guidelines, serves as another demonstration of the College’s readiness to regulate the paramedicine profession, in the public interest, under the HPA. Alberta College of Paramedics • 2014 Annual Report 13 Practice Practice settings of our practitioners continued to evolve in 2013/14. The unique skill set our practitioners can provide is expanding past just using the ambulance. It was identified that our 10,000 practitioners are working in clinical, community, extended-care, corrections, private, and public settings, to name a few. Our practitioners are a part of the health care team and are expanding their settings to become a part of the collaborative and holistic model of care. As the practice settings of our practitioners expand, we look forward to a change in regulation. A transition to the HPA will enable further practice settings and full integration into a collaborative allied health professional model. Our profession has been working towards a professional practice model and this will be realized with self-regulation. Furthering standards of care Working with stakeholders, we have been furthering the standards of care and education for our practitioners. Through this collaboration we are establishing minimum paradigms of practice in all practice settings and for all levels, from entry to practice to our seasoned practitioners. Collaboration with the Continuing Education Committee has supported the professional development of our practitioners. The definition and validation of competency is an ongoing project and will help lay the foundation for the future with self-regulation. In 2015, we look forward to working with our stakeholders to acknowledge and address the unique challenges that face our practitioners in the various practice settings. We will continue to establish guidelines our practitioners will use to support their practice. Continuing Education The Continuing Education Committee governs the Continuing Education Program, which is designed to ensure all registered practitioners maintain competency and develop professionally over time. The year 2014 marked the second year of the two-year transition to the Continuing Competency Program under the HPA. This program included completion of required credits in mandatory topics and achievement of 120 credits overall in order to renew registration for the coming year. The mandatory continuing education activity for 2014 focused on learning to review evidence found in the literature. The module, developed by the College, was designed as an introduction to the topic for all practitioners. The module was provided online, at no cost to the practitioners. Alberta College of Paramedics • 2014 Annual Report 14 The Continuing Education Committee continues to refine the program by reviewing the criteria for learning activities for the purposes of assigning credits and expanding the program to include an audit component, as well as by developing policy principles for practitioners away on employer-approved leaves of absence. The Continuing Education Committee participated in professional development opportunities that focused on governance within self-regulation. Facilitated by a consultant, the committee members learned about expectations and accountabilities of practitioners within a professional practice model. Further, the committee members explored best practices in developing policy that ensures skill maintenance and professional competency. Annual review of the committee terms of reference was completed with minor editorial changes. Further steps included review of the committee diversity in representing all paramedicine practice settings. Navigation Portal helps practitioners track credits The 2014 renewal season was administered through the new Navigation Portal online system. This allows for online registration and review of a practitioner’s status regarding compliance with Continuing Education requirements. Also, this system allows for tracking and management of completed education — practitioners can now monitor their own profiles and have up-to-the-minute status reports about their own continuing education and what is still required. The Continuing Education Committee continues to work with Council, the Registration Committee, and Practice staff to align with best practices, and the mission and vision of the College in protecting the public. The Continuing Education Committee continues to strengthen the feedback processes between the College, practitioners, and employers. This is demonstrated in the customer service framework initiated within the Continuing Education program, which includes provision of a newsletter, web pages, a dedicated email link, and resources to support practitioners’ needs in managing their Navigation Portal profiles and understanding the continuing education program. All feedback received in 2014 regarding Continuing Education policy, processes, and tools were analyzed to inform program changes and program supports. The 2014 Continuing Education Summit was developed based on the received feedback. Speakers and topics at the annual summit and AGM were directly informed by practitioner feedback in order to ensure topics were relevant and interesting. Alberta College of Paramedics • 2014 Annual Report The Continuing Education Committee continues to work with Council, the Registration Committee, and Practice staff to align with best practices, and the mission and vision of the College in protecting the public. 15 Professional Conduct and Competency As a regulatory body of registered health care practitioners, the Alberta College of Paramedics receives complaints of alleged professional misconduct from the public. These complaints are received under the authority of s.28 of the HDA. A complaint can be made surrounding the conduct, skill, judgment, or fitness to practise of a registered member. Any person may lodge a complaint to the College. The Conduct and Competency Committee is a legislated committee that supports Council by making procedural and policy recommendations related to the complaint process. Currently, the main committee consists of six members (two of whom are appointed public members from the provincial government), with an additional seven members who participate in hearings. Other than the appointed public members, all members are registered practitioners with the Alberta College of Paramedics. In assessing whether an investigated complaint constitutes professional misconduct, the committee prepares for the hearing by reviewing a large amount of material. Attention to detail within the evidence and a high degree of fairness, objectivity, and reasonableness are given in every case. Speculation or relying solely on he-said-she-said information is not an option. Ensuring fairness through natural justice All self-governing professions are bound by the concept of fairness, which is expanded and described as the rules of natural justice. These rules are general principles that arise from judicial precedent and have evolved to ensure that individuals are not deprived of rights or property or otherwise subject to sanctions in an unreasonable or arbitrary manner. Natural justice ensures procedural fairness and a fair decision by an objective decision maker. Finally, the committee is responsible for ensuring its written decision reflects not only its finding, but the rationale behind it. This process for each hearing requires extensive analysis of information, which takes up volunteered time. Each member accepts this as a dutiful responsibility and obligation in bettering the profession in the interests of the public. The Alberta College of Paramedics is committed to the principles of natural justice. These principles protect the rights of the individuals and enhance public confidence in the process. Complaints are enabled under s.28 (general complaints) and s.54 of the HDA. In 2014, the conduct area dealt with 14 new complaints, 4 hearings, 11 closed files and 3 reports with no accompanying complaint. Alberta College of Paramedics • 2014 Annual Report Complaints dealt with by the Conduct and Competency Committee in 2014 14 11 4 New complaints Hearings 3 Closed files Reports with no accompanying complaint 16 The breakdown of the fourteen new complaints is as follows: ÎÎ 5 investigations: Ongoing and carried over into 2015 — Related to Practice Type of new complaints dealt with by the Conduct and Competency Committee in 2014 ÎÎ 1 investigation: Reviewed and dismissed — Related to Practice Practice (8) Termination (4) Criminal (1) Suspension (1) ÎÎ 2 investigations: Carried over to 2015 awaiting decision — Related to Practice ÎÎ 1 pending — Related to Criminal Charges ÎÎ 1 — Related to Suspension ÎÎ 4 — Related to Termination There were an additional 3 reports (above the 14) that were dismissed as non-complaints. In these cases, reports were received by the College but didn’t go through the formalized complaint process. When the College followed up on these reports, no complaint was filed; therefore, these were dismissed. The complaint process (which is also listed on the College’s website) dictates that the complaint must be in writing (not verbal) and must be signed by the complainant. In addition to new complaints, 2014 also saw the closure of previous years’ complaint files. The College monitors decisions and tracks compliance of decisions as a direct result of hearings. When these orders of compliance requirements are met by the practitioners involved, the files are subsequently closed. In 2014, we closed 11 files in total. Complaint files closed from previous years in 2014 2013 2014 2011 2010 All self-governing professions are bound by the concept of fairness, which is expanded and described as the rules of natural justice. These rules are general principles that arise from judicial precedent and have evolved to ensure that individuals are not deprived of rights or property or otherwise subject to sanctions in an unreasonable or arbitrary manner. Alberta College of Paramedics • 2014 Annual Report 17 Improving processes to prepare for new legislation In between addressing complaints and investigations, there has been continued work in anticipation of the College moving from the HDA to the HPA as a part of self-regulation. While it seems that this initiative has been talked about for quite some time, 2015 looks exceptionally promising for crossing over. When the HPA legislation is enabled, professional conduct moves to sections 54 and 55 of the HPA. Complaints under the HPA can be handled in different ways. The complaints director may do any of the following: ÎÎ Encourage the complainant and the investigated person to communicate with each other to resolve the complaint ÎÎ With the consent of the complainant and the investigated person, attempt to resolve the complaint ÎÎ Make a referral to an alternative complaint resolution process ÎÎ Request an expert to be used to assess and provide a written report on the subject matter of the complaint ÎÎ Conduct or appoint an investigator to conduct an investigation The College and the Conduct and Competency Committee have been preparing for the day the HPA takes effect by increasing the number of processes. Work has been underway towards improving policy and processes to ensure compliance with the new legislation. While the above changes seem relatively straightforward, the legislation also links these pieces to other items such as timelines, appeals, and Council responsibilities. Throughout 2014, the committee was busy working under HDA legislation while also working on HPA legislation and ensuring that nothing crossed over until the correct time. No one at the College is ever excited to receive complaints from the public surrounding our profession; however, incidents occur. When they occur, the College has the processes and tools available to provide solutions and perform its role to protect the public. Communications The communications and media relations department had a busy year in 2013/14. We continued working to improve engagement with our practitioners and with our external stakeholders. We use a variety of media to reach our audience: our website, social media, and electronic mailings. This year the College transitioned to a new data management system that provided a new way for the communications department to send electronic mailings. Through analysis of our metrics, we have been able fine-tune our strategies to reach a broad audience. Alberta College of Paramedics • 2014 Annual Report 18 Our social media presence has increased over the past year. We have surpassed 2,000 likes on Facebook and we reach upwards of 10,000 people through boosted posts. The Twitter account has regular followers and, depending on the topic, we reach upwards of 6,000 people and make 14,000 impressions. Our blog account allows us to write informally about topics of importance to our practitioners and stakeholders. The blog has had favourable results with a consistent following and measurable results of increased traffic to our website. We have slowly been updating our website to improve the navigation and facilitate the retrieval of data. The future plan for communications includes an update to the website to modernize its functionality. In the coming year, the communications team plans to continue to strive to improve our engagement with practitioners, stakeholders, and the health community. Included in the plan is refreshing our identity and brand as we move closer to self-regulation. Finance The Finance department is committed to developing a strong financial foundation in order to support the long-term sustainability of the legislated regulatory body for paramedics in Alberta. It achieves this goal by managing membership’s investment in the organization’s infrastructure, service delivery, professional development, and information systems, as well as by enhancing accountability, improving transparency, safeguarding assets, monitoring internal controls, and reducing organizational risk for members. In 2014, the Alberta College of Paramedics received $4.835M in registration and administration fees and $1.599M in exam and other fees for a total revenue amount of $6.434M. This was over the budget amount of $6.295M. Membership increased to 10,292 on Dec 31, 2014, from 9,892 the year prior, and total examinees decreased to 2,471 at year end, from 2,593 a year earlier. Expenses for the year totaled $5.247M, which was $1.01M below budget, for a total year end surplus of $1.186M. The key spending variances versus anticipated spending were in Moneris transaction expenses, litigation and investigation expenses, and Council-related expenses. There was also a transfer to assets for the development work within the iMIS database. The Council has approved the transfer of $2.5M from the general operating fund to the reserve fund to set aside additional funds for anticipated future spending in building a facility, information technology, and branding. Total assets increased to $11.6M on December 31, 2014, from $10.1M the prior year. Working capital was $764K on December 31, 2014, after accounting for liabilities and planned reserve allocations. Alberta College of Paramedics • 2014 Annual Report The Finance department is committed to developing a strong financial foundation in order to support the long-term sustainability of the legislated regulatory body for paramedics in Alberta. 19 Alberta College of Paramedics • 2014 Annual Report 20 Alberta College Of Paramedics Audited Financial Statements Year Ended December 31, 2014 Collins Barrow Edm 2380 Commerce Pl 10155 – 102 Street Edmonton, Alberta T5J 4G8 Canada INDEPENDENT AUDITOR’S REPORT To the Members of Alberta College of Paramedics T. 780.428.1522 F. 780.425.8189 www.collinsbarrow. We have audited the accompanying financial statements of Alberta College of Paramedics, which comprise the statement of financial position as at December 31, 2012, and the statements of revenues and expenses, changes in net assets and cash flows for the year then ended and a summary of significant accounting policies and other explanatory information. Management’s Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with Canadian accounting standards for not-for-profit organizations, and for such internal control as management determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. Auditor’s Responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with Canadian generally accepted auditing standards. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the Organization’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Opinion In our opinion, the financial statements present fairly, in all material respects, the financial position of Alberta College of Paramedics as at December 31, 2012, and the results of its operations and its cash flows for the year then ended in accordance with Canadian accounting standards for not-for-profit organizations Alberta College of Paramedics • 2014 Annual Report 21 Comparative Information INDEPENDENT AUDITORS’ REPORT INDEPENDENT AUDITORS’ REPORT To the Members of Alberta College of Paramedics Collins Barrow Edmonton LLP 2380 Commerce Place 10155 – 102Edmonton Street N.W. Collins Barrow LLP Edmonton, Alberta 2380 Commerce Place T5J –4G8 10155 102Canada Street N.W. Edmonton, Alberta 780.428.1522 T5JT.4G8 Canada F. 780.425.8189 T. 780.428.1522 F. www.collinsbarrow.com 780.425.8189 ToWe the have Members of Alberta College of Paramedics audited the accompanying financial statements of Alberta College of Paramedics, which www.collinsbarrow.com comprise the statement of financial position as at December 31, 2014, and the statements of revenues We have audited changes the accompanying financial statements of the Alberta of Paramedics, which of and expenses, in net assets and cash flows for year College then ended and a summary comprise the statement of financial position as at December 31, 2014, and the statements of revenues significant accounting policies and other explanatory information. and expenses, changes in net assets and cash flows for the year then ended and a summary of significant accounting policies and for other explanatory information. Management’s Responsibility the Financial Statements Management’s for the the preparation Financial Statements Management Responsibility is responsible for and fair presentation of these financial statements in accordance with Canadian accounting standards for not-for-profit organizations, and for such internal Management is responsible for the preparation andtofair presentation of theseof financial control as management determines is necessary enable the preparation financial statements statements in that accordance withmaterial Canadian accountingwhether standards not-for-profit are free from misstatement, duefor to fraud or error. organizations, and for such internal control as management determines is necessary to enable the preparation of financial statements that areAuditors’ free fromResponsibility material misstatement, whether due to fraud or error. Auditors’ Responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with Canadian generally accepted auditing standards. Those Our responsibility to express an opinion on these financialand statements on the ouraudit audit.to obtain We standards requireis that we comply with ethical requirements plan andbased perform conducted ourassurance audit in about accordance Canadian generallyare accepted Those reasonable whetherwith the financial statements free fromauditing materialstandards. misstatement. standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are freeabout from material misstatement. An audit involves performing procedures to obtain audit evidence the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgment, including the Anassessment audit involves performing to obtain audit evidence about the amounts and disclosures of the risks of procedures material misstatement of the financial statements, whether due to fraudin or theerror. financial statements. The procedures selected depend on the auditor’s judgment, the In making those risk assessments, the auditor considers internal control relevantincluding to the entity’s assessment thefair risks of materialofmisstatement of the financial statements, due to fraud preparationofand presentation the financial statements in order to designwhether audit procedures thatorare error. In making those risk assessments, thethe auditor considers internalan control relevant the entity’s of appropriate in the circumstances, but not for purpose of expressing opinion on the to effectiveness preparation fair presentation the also financial statements in order to design audit procedures that are the entity’sand internal control. An of audit includes evaluating the appropriateness of accounting policies appropriate the circumstances,ofbut not for theestimates purpose of expressing an opinion as on well the effectiveness used and in the reasonableness accounting made by management, as evaluatingofthe theoverall entity’s internal control. audit statements. also includes evaluating the appropriateness of accounting policies presentation of the An financial used and the reasonableness of accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for ourOpinion audit opinion. Opinion In our opinion, the financial statements present fairly, in all material respects, the financial position of Alberta College of Paramedics as at December 31, 2014, and the results of its operations and its cash In flows our opinion, financial statements present fairly, all material respects,standards the financial of for the the year then ended in accordance with inCanadian accounting for position not-for-profit Alberta College of Paramedics as at December 31, 2014, and the results of its operations and its cash organizations. flows for the year then ended in accordance with Canadian accounting standards for not-for-profit organizations. Edmonton, Alberta March 23, 2015 Edmonton, Alberta March 23, 2015 Chartered Accountants Chartered Accountants This office is independently owned and operated by Collins Barrow Edmonton LLP The Collins Barrow trademarks are used under License. This office is independently owned and operated by Collins Barrow Edmonton LLP The Collins Barrow trademarks are used under License. Alberta College of Paramedics • 2014 Annual Report 22 ALBERTA COLLEGE OF PARAMEDICS Statement of Financial Position December 31, 2014 December 31, 2014 December 31, 2013 ASSETS Current assets Cash Interest receivable Prepaid expenses $ Deposits Service contracts Capital assets (Note 3) Restricted investments (Note 4) 6,940,148 $ 34,826 167,973 6,383,325 30,823 57,035 7,142,947 6,471,183 12,732 60,660 722,439 3,689,571 12,732 80,880 588,992 3,148,261 $ 11,628,349 $ 10,302,048 LIABILITIES Current liabilities Accounts payable and accrued liabilities Deferred registration and examination fees $ NET ASSETS Internally restricted (capital assets) Unrestricted Internally restricted (Note 4) 271,075 $ 3,879,802 136,299 3,874,809 4,150,877 4,011,108 722,439 3,065,463 3,689,570 588,992 2,553,687 3,148,261 7,477,472 6,290,940 $ 11,628,349 $ 10,302,048 Commitments (Note 5) Approved on behalf of the Council Councillor Councillor See accompanying notes to the financial statements Alberta College of Paramedics • 2014 Annual Report 1 23 ALBERTA COLLEGE OF PARAMEDICS Statement of Revenues and Expenses For the Year Ended December 31, 2014 2014 Revenues Registration fees Interest Program evaluation Other Annual general meeting fees $ 4,689,012 106,895 51,967 16,787 20,030 2013 $ 4,540,305 91,153 53,725 16,079 860 Total revenues 4,884,691 4,702,122 Expenses Administration (Schedule 1) Registration Council Annual general meeting Continuing competency Professional conduct Communications Health Professions Act Paramedic practice and standards 2,542,817 381,335 237,021 212,876 178,785 104,468 39,376 22,126 12,322 2,101,862 342,162 239,977 140,270 38,729 214,935 33,207 25,191 --- Total expenses 3,731,126 3,136,333 Excess of revenues over expenses before examinations 1,153,565 1,565,789 32,967 234,070 Excess of revenues over expenses from examinations (Schedule 2) Excess of revenues over expenses $ 1,186,532 $ 1,799,859 See accompanying notes to the financial statements Alberta College of Paramedics • 2014 Annual Report 2 24 ALBERTA COLLEGE OF PARAMEDICS Statement of Changes in Net Assets For the Year Ended December 31, 2014 Internally Restricted (Capital Assets) Balance, beginning of year $ Excess of revenues over expenses Interfund transfers Purchase of capital assets Balance, end of year $ Internally Restricted Funds Unrestricted Professional Conduct 588,992 $ 2,553,687 $ Building Fund 608,713 $ 2,027,050 $ Branding and IT 2014 2013 Total Total 512,498 $ 6,290,940 $ 4,491,081 (218,332) 1,363,555 7,197 28,491 5,621 1,186,532 1,799,859 --- (500,000) --- 500,000 --- --- --- 351,779 (351,779) --- --- --- --- --- 722,439 $ 3,065,463 $ 615,910 $ 2,555,541 $ 518,119 $ 7,477,472 $ 6,290,940 See accompanying notes to the financial statements 3 Alberta College of Paramedics • 2014 Annual Report 25 ALBERTA COLLEGE OF PARAMEDICS Statement of Changes in Cash Flows For the Year Ended December 31, 2014 2014 2013 Cash Provided by (Used in): Operating Activities Excess of revenues over expenses Items not involving cash for operations: Amortization Accrued interest Loss on disposal of assets Expiration of long term service contracts $ Net change in non-cash working capital items related to operations: Accounts receivable Prepaid expenses Deposits Accounts payable Deferred registration and examination fees Investing Activities Purchase of service contracts Purchase of capital assets Increase in restricted investments Increase in cash Cash, beginning of year Cash, end of year $ 1,186,532 $ 1,799,859 217,550 (4,339) 783 20,220 143,653 (15,233) ----- 1,420,746 1,928,279 336 (110,938) --134,776 4,993 4,289 (21,374) (5,292) (323,724) 188,951 29,167 1,771,129 --(351,780) (541,310) (2,975) (476,190) (815,880) (893,090) (1,295,045) 556,823 476,084 6,383,325 5,907,241 6,940,148 $ 6,383,325 See accompanying notes to the financial statements Alberta College of Paramedics • 2014 Annual Report 4 26 ALBERTA COLLEGE OF PARAMEDICS Notes to the Financial Statements December 31, 2014 1. Description of Organization Alberta College of Paramedics (the “Organization”) operates under the authority of the Health Disciplines Act of Alberta. The objectives of the Organization are to regulate membership of emergency personnel and to promote their professional development. As a not-for-profit organization under the Income Tax Act (Canada), it is not subject to income taxes. 2. Summary of Significant Accounting Policies These financial statements have been prepared in accordance with Canadian accounting standards for not-for-profit organizations. Revenue recognition (i) Registration fees Registration fees are recognized as revenue proportionately over the fiscal year to which they relate. The registration year coincides with the fiscal year of the Organization. Registration fees received in advance of the registration year to which they relate are recorded as deferred registration fees. (ii) Services Revenue from examinations, program evaluation, special projects and other is recognized when the service are rendered. Examination fees in advances of the date of examination are held and recorded as deferred examination fees. (iii) Interest income Interest income comprises of interest from cash and fixed income investments. Revenue is recognized on an accrual basis. Interest on fixed income investments is recognized over the terms of these investments using the effective interest method. Capital assets The costs of capital assets comprise of purchase price and any directly attributable cost of preparing the asset for its intended use. All capital assets with an economic life greater than one year are capitalized. The Organization regularly reviews its capital assets to eliminate obsolete items. Capital assets are stated at cost less accumulated amortization. Capital assets are amortized over their estimated useful lives at the following rates and methods: Office equipment Computer equipment Computer software Leasehold improvements Examination equipment Alberta College of Paramedics • 2014 Annual Report 20% declining balance method 30% declining balance method 30% declining balance method 5 years straight-line method 20% declining balance method 5 27 ALBERTA COLLEGE OF PARAMEDICS Notes to the Financial Statements December 31, 2014 2. Summary of Significant Accounting Policies (Continued) Management estimates The preparation of financial statements in conformity with Canadian accounting standards for notfor-profit organizations requires management to make judgements, estimates and assumptions that affect the application of accounting policies and the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the current period. Such estimates include providing for the estimated useful life of capital assets. Actual results may differ from these estimates, the impact of which would be recorded in future periods. Financial instruments The Organization initially measures its financial assets and financial liabilities at fair value adjusted by transaction costs in the case where a financial asset or liability is subsequently measured at amortized cost. The Organization subsequently measures all its financial assets and liabilities at amortized cost. Financial assets measured at amortized cost include cash, restricted investments and interest receivable. Financial liabilities measured at amortized cost include accounts payable and accrued liabilities. Cash equivalents Highly liquid investments with maturities of three months or less at date of purchase are considered to be cash equivalents. Disclosure of allocated expenses General and administrative expenses are allocated to the exam function based on the percentage of budgeted exam revenues relative to total examination and registration revenues for the year. Pension plan The Organization has a voluntary Registered Retirement Savings Plan for employees under which the contributions are expensed as benefits in the year incurred. Alberta College of Paramedics • 2014 Annual Report 6 28 ALBERTA COLLEGE OF PARAMEDICS Notes to the Financial Statements December 31, 2014 3. Capital Assets December 31, 2014 Accumulated Amortization Cost Office equipment Computer equipment Computer software Leasehold improvements Examination equipment December 31, 2013 Net Net $ 227,126 $ 212,298 775,934 135,591 2,077 164,099 $ 122,712 251,906 90,559 1,311 63,027 $ 89,586 524,028 45,032 766 72,114 100,106 360,504 55,311 957 $ 1,353,026 $ 630,587 $ 722,439 $ 588,992 During the year, amortization in the amount of $217,550 (2013 - $143,653) was provided for in respect of capital assets. 4. Internally Restricted Net Assets Restricted cash is comprised of cash subject to internal restrictions and not available for use for current purposes. The Council has internally restricted the following funds: i) Professional Conduct Fund: The Professional Conduct Fund was established to provide a reserve should the Organization experience higher than normal conduct complaints. The fund would be used to cover investigation and legal costs. A transfer of $Nil was recorded in 2014. ii) Building Fund: The Building Fund has been established to allocate funds for the Organization in the future to purchase or build an office building to use in daily operations. A transfer of $500,000 was recorded for 2014. iii) Branding and Information Technology (“IT”) Funds: The fund has been established to allocate funds for projects that meet the objectives of projects determined by the Council. A transfer of $Nil was recorded for 2014. Any inter-fund transfers require the approval of the Council. All internally restricted funds are invested in short-term GIC’s until required for use. The GIC’s held as of December 31, 2014, mature between the period of February 2015 to May 2016 and yield interest between 0.80% and 1.6%. Interest is paid upon maturity of the investment. Alberta College of Paramedics • 2014 Annual Report 7 29 ALBERTA COLLEGE OF PARAMEDICS Notes to the Financial Statements December 31, 2014 5. Commitments Office lease The Organization has a long-term lease with respect to its premises. The lease contains a renewal option and provides for payment of utilities, property taxes and maintenance costs. This lease agreement expires on January 31, 2018. Future minimum lease payments excluding operating costs as at December 31, 2014 are as follows: 2015 2016 2017 2018 6. $ 170,928 175,824 176,270 14,689 $ 537,711 Financial Instruments The Organization is exposed to various risks through its financial instruments. The following analysis provides a measure of the Organization’s risk exposure and concentration at December 31, 2014. Credit risk The Organization is exposed to credit risk resulting from the possibility that parties may default on their financial obligations, or if there is a concentration of transactions carried out with the same party, or if there is a concentration of financial obligations which have similar economic characteristics that could be similarly affected by changes in economic conditions, such that the Organization could incur a financial loss. The Organization does not hold directly any collateral as security for financial obligations of counterparties. Credit risk associated with cash and investments is minimized substantially by ensuring that these assets are invested with a major financial institution. Liquidity risk Liquidity risk is the risk that the Organization will not be able to meet a demand for cash or fund its obligations as they come due. Liquidity risk also includes the risk of the Organization not being able to liquidate assets in a timely manner at a reasonable price. The Organization meets its liquidity requirements by preparing and monitoring detailed forecasts of cash flows from operations, anticipating investing and financing activities and holding assets that can be readily converted into cash. Alberta College of Paramedics • 2014 Annual Report 8 30 ALBERTA COLLEGE OF PARAMEDICS Notes to the Financial Statements December 31, 2014 6. Financial Instruments (Continued) Interest rate risk Interest rate risk refers to the risk that the fair value of financial instruments or future cash flows associated with the instruments will fluctuate due to changes in market interest rates. The exposure of the Organization to interest rate risk arises from its interest bearing assets. The Organization’s cash includes amounts on deposit with financial institutions that earn interest at market rates. The Organization manages its exposure to the interest rate risk of its cash by maximizing the interest income earned on excess funds while maintaining the minimum liquidity necessary to conduct operations on a day-to-day basis. Fluctuations in market rates of interest on cash do not have a significant impact on the Organization’s results of operations. The primary objective of the Organization with respect to its investments is to ensure the security of principal amounts invested and provide for a high degree of liquidity, while achieving a satisfactory investment return. 7. Allocated Expenses General administrative expenses include items such as rent, supplies, printing, and postage along with information technology costs. The amounts are allocated to the exam function based on a percentage of 27% (2013 - 28%) and totalled $350,046 (2013 - $243,442). Salaries are also allocated to the exam function based on a percentage of 27% (2013 –28%) and totalled $525,097 (2013 - $467,533). Alberta College of Paramedics • 2014 Annual Report 9 31 ALBERTA COLLEGE OF PARAMEDICS Schedule of Administration Expenses For the Year Ended December 31, 2014 Schedule 1 2014 Salaries and benefits Rent and storage Amortization of capital assets Programming and network maintenance Moneris user fees and bank charges Recruitment Supplies and printing Postage and courier Telephone Staff development Equipment rental Consulting and legal services Audit services Repairs and maintenance Association registrations Insurance Travel and other Awards and gifts 2013 $ 1,616,596 265,641 182,707 90,614 84,846 50,682 44,455 33,082 21,690 21,465 21,360 20,255 19,755 18,186 17,182 16,833 13,395 4,073 $ 1,308,522 223,868 105,187 113,059 120,774 --29,361 32,135 52,220 11,830 19,126 23,704 10,982 17,818 20,408 6,198 4,793 1,877 $ 2,542,817 $ 2,101,862 See accompanying notes to the financial statements Alberta College of Paramedics • 2014 Annual Report 10 32 ALBERTA COLLEGE OF PARAMEDICS Schedule of Examination of Revenue and Expenses For the Year Ended December 31, 2014 Schedule 2 2014 Revenue Examination fees $ Expenses Salaries and benefits Honorarium Travel Programming and network maintenance Hotels and facilities Meals Rent and storage Telephone Amortization of capital assets Marking service Moneris user fees and bank charges Supplies and printing Recruitment Postage and courier Staff development Equipment rental Consulting and legal services Audit services Repairs and maintenance Association registrations Insurance Travel and other Awards and gifts Total expenses Net surplus $ 1,560,967 2013 $ 1,633,898 525,097 223,708 202,120 157,828 109,027 92,445 50,658 37,779 34,842 21,320 16,055 12,065 9,665 6,309 4,093 4,073 3,863 3,767 3,468 3,277 3,210 2,554 777 467,533 227,847 213,193 9,398 106,054 89,535 81,917 4,274 38,466 45,406 44,193 17,183 --11,757 4,684 6,999 8,674 4,018 6,520 7,468 2,268 1,754 687 1,528,000 1,399,828 32,967 $ 234,070 See accompanying notes to the financial statements Alberta College of Paramedics • 2014 Annual Report 11 33 #220-2755 Broadmoor Blvd. Sherwood Park, AB T8H 2W7 Ph: 780-449-3114 | Fax: 780-417-6911 | Toll-free: 1-877-351-2267 Email: [email protected] | www.collegeofparamedics.org
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