BY THE HEART ROYAL ALEXANDRA HOSPITAL FOUNDATION / 2016-2017 Annual Report - By the Heart Annual Report - By the Heart

TABLE OF CONTENTS 03 08 14 20

By the Heart Jesse’s Drawing Best Welcome Story from in Message a Passion Class BY THE HEART

“The best and most beautiful things in the world cannot be seen or even touched - they must be felt with the heart.”

04 10 16 22 - HELEN KELLER

Every Day is Family- Kinanâskomitin - Beyond a Reason to Centered I am Grateful the Call Celebrate Care to You of Duty Each day at the Royal Alexandra Hospital hearts and minds are touched by the Sincerely, incredible patient-centred care that happens here. Care and caring are certainly alive and well. Dr. Curtis Johnston

As President and Chief Executive Officer of the Royal Alexandra Hospital Co-Facility Medical Director Foundation and as Associate Zone and Co-Facility Medical Director of the Royal Royal Alexandra Hospital Alexandra Hospital we are touched each day by the stories we hear, and those we Associate Zone Medical Director witness first-hand. 06 12 18 24 Royal Alexandra Hospital The pages that follow share a small sample of the stories that unfolded within the & Sturgeon Community Hospital walls of the hospital over the past year.

From The Medium Tiny Board The Royal Alexandra Hospital Foundation’s 2017 Annual Report will serve to Andrew Otway highlight not only those stories that are important to our donors, but those that are 100 to is the Philanthropist of President and Chief Executive important to the families served by this incredible centre of medical excellence. None Message Directors Officer Royal Alexandra It is our pleasure to introduce to you, By the Heart. Hospital Foundation

2 Royal Alexandra Hospital Foundation Royal Alexandra Hospital Foundation 3 Annual Report - By the Heart

AMANDA “I had to remind myself to take it focus renewed, Amanda had easy after my procedure with the something to look forward to each TWIDALE da Vinci because I felt like I was day. With the help of her nurses, EVERYDAY back to normal by the next day,” she was reminded of just how HAD HER remembers Amanda. significant each day really was. FIRST CHILD, Months after her successful Amanda and her team aimed IS A surgery, Amanda was told she for 23 weeks for her baby, but GRADY, could begin to try for another she exceeded expectations with baby. After months without a successful cesarean section FIVE YEARS success, she was referred to the delivery at 37 weeks. 126 days AGO fertility program at the Lois Hole after she had first been admitted REASON Hospital for Women. to the Lois Hole Hospital Amanda and her new baby were finally “I was thrilled,” Amanda beams. able to return home. “Knowing the fertility clinic at the hospital was available to our Even now, while Amanda’s life

family was such a relief; finding is seemingly back to ‘normal’ TO At her six-week postpartum CELEBRATE out we were pregnant and would with her husband, and sons, appointment the joy of becoming no longer need their support was Grady and Clay, she still a new mom was clouded with fear; even better news.” remembers and honours the her doctor found abnormal cells. importance each day brings And so began Amanda’s journey Not yet out of the woods, with it. “The Lois Hole Hospital for with the Lois Hole Hospital Amanda knew the risks that came Women is with me every for Women. with pregnancy and no cervix; “The Lois Hole Hospital for pregnancy loss or premature birth Women is with me every day. day. I know that I have my “I had a colposcopy at the were real possibilities. Nineteen I know that I have my life now life now because of this hospital which came back with weeks into her pregnancy, because of this hospital. The staff hospital. The staff were abnormal cells, which led to Amanda received the news were amazing. They let me be a another procedure and it was amazing. They let me be that she would be admitted to part of their lives just as much as confirmed that I had cervical a part of their lives just as the hospital on bed rest for the they were of mine – they were cancer,” shares Amanda. much as they were of mine – remainder of her pregnancy. With my friends.” they were my friends.” Even though Amanda lived hours her husband and two-year old son away in Cold Lake, Alberta the at home, hours away in Cold Lake, - Amanda Twidale, Lois Hole Hospital for Women’s Amanda feared that she would Proud Mother specialized care was available face the majority of her second to her. The da Vinci robot—the pregnancy alone. only one of its kind in Western Instead of looking to the weeks Canada dedicated to women’s and months ahead, Amanda health— was also available to needed to see the beauty in Amanda which allowed surgeons the small steps. Nurses on the to remove her cervix, and with it antepartum unit saw this and the cancer. The robotic surgery encouraged Amanda to celebrate meant less pain, less bleeding, each day. This was a turning point and a shorter recovery time. for Amanda. With her hope and

4 Royal Alexandra Hospital Foundation 5 Annual Report - By the Heart

IMAGINE This story, thankfully, has a Over the past year, more than happy ending. Marissa was one $100,000 has been raised by BEING of the lucky ones; she found donors to the Royal Alexandra help through multiple local Hospital Foundation in support FROM HOMELESS, organizations that secured of Pregnancy Pathways, and the AND HUNGRY… housing and income support mission to raise funds continues before her baby arrived. today. FOR TWO. The Royal Alexandra Hospital “I was one of these women. 100 TO Foundation’s 2016 Giving Tuesday Today, I am a mom who works and campaign was held in support of goes to university. I am building a a new initiative called Pregnancy wonderful life for my son and for Pathways. This innovative program myself. These donations will help NONE Every year there are approximately aims to help women who find others to do the same,” stated 100 pregnant and homeless themselves in Marissa’s situation. Marissa. women in Edmonton. Marissa The objectives of the program Marissa made it through, but, the Nakoochee, at 21 years of age, are to meet affordable housing sad reality is many have not. was one of those women. needs and to provide a full suite However, the future looks bright of wrap-around support services Marissa was never afforded the thanks to the Royal Alexandra for homeless pregnant women in chance to experience the joy Hospital Foundation’s donors and our city - with the goal of bringing that every mother-to-be should the Giving Tuesday campaign. the number of pregnant homeless at the moment she learns, women from 100 to none. Thank you to all of those who “I was one of these women. “I’m pregnant”. have supported this important Pregnancy Pathways is a Today, I am a mom Instead, Marissa’s pregnancy was cause, and who are committed to collaboration among 25 different who works and goes to filled with worry for herself and the reducing the number of pregnant organizations in Edmonton. university. I am building a future for her child. homeless women in Edmonton wonderful life for my son Not only will these women from 100 to none. “I avoided telling people that I be provided safe, affordable, and I. These donations will was in-between places, because judgement-free housing, they will help others to do the same,” I knew I would be judged, and I also have access to addictions knew that people would assume support, acute health care, - Marissa Nakoochee, that I couldn’t parent – I was mental health assistance, cultural Proud Mother afraid someone was going to guidance, and long-term income take my child. I was alone. I was and housing opportunities – a truly vulnerable. Fear and anxiety were holistic approach providing these my daily companions,” women the hand-up each and reflects Marissa. every one of them deserves.

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“You inspire us every day with your commitment to saving lives and caring for others. Being INSPIRING Jesse Lucas is the eldest of four “We felt the doctors were very children. He was everything a sensitive to what we were going friendly, kind, and most of all big brother is supposed to be. through,” Spenser remembers. patient, with families like ours, EMPATHY AND JESSE’S Charming, funny, the centre of joy “They gave us a heartfelt feeling of improves the patient and the UNDERSTANDING at every family event; in a nutshell, confidence that they were going family experience each he was loved. to do everything humanly possible and every day.” AT THE to save Jesse’s life. Unfortunately When Jesse was 28, he was ROYAL ALEX. the system, at times, was difficult to STORY - Spenser Brassard, diagnosed with Crohn’s disease, navigate.” which brought with it terrible Edmonton, AB backaches and stomach pains and Spenser shared with the crowd the loss of the life he once knew. ideas on how to improve patient and family care with suggestions After years of struggling with like having a place to hang coats An afternoon of inspiration the disease, Jesse contracted and store their belongings. She and learning, as well as some a bacterial pneumonia. The shared the idea of a healthcare laughs, brought staff of the Royal pneumonia worsened and Jesse liaison, someone who understands Alexandra Hospital together on developed sepsis, leading to the system and can ask the right a cold November day for the cardiac arrest. He was resuscitated, questions and then translate the inaugural Patient and Provider but he subsequently suffered answers into familiar terms. This Experience Summit. a severe brain injury and would have been invaluable to The event – a first in Alberta – was remains with a condition called their family, she says. sponsored by the Royal Alexandra Unresponsive Wakefulness to Hospital Foundation, and it served this day. Spenser closed her talk with the sentiment that the Summit gave to illustrate a hospital-wide effort At the time of this tragedy her family a platform, which in turn by care providers to succeed at Jesse was only 37 years old. improving the healthcare journey gave her brother a voice. During Jesse’s lengthy hospital for their patients and the workplace “You inspire us every day with your stay, his mother, Tracy Lucas, culture for themselves. commitment to saving lives and had made requests to bring in caring for others. Being friendly, Hospital leadership, motivational alternative care professionals for kind, and most of all patient, with speakers, and employee Jesse. A chiropractor, a masseuse, families like ours, improves the engagement experts all took a naturopath, and energy healers patient and the family experience their turn inspiring the crowd, to try to give Jesse any opportunity each and every day.” but perhaps the most influential possible. She ran into a lot of, speech of the day was delivered ‘unfortunately no we cannot allow The response from the audience by Spenser Brassard, who told the you to do that’ messages, and it was authentic and emotional. emotional story of her brother, was an uphill battle to give Jesse Thank you to Jesse’s family for Jesse, and the experience their the care opportunities she thought sharing their impactful story. family had with the healthcare were best. Their words and insight will system, which included care at continue to influence the care the Royal Alex. provided at the Royal Alexandra Hospital for years to come.

Left to Right: Spenser Brassard, Tracy Lucas, Desiree Hughes.

8 Royal Alexandra Hospital Foundation 9 Annual Report - By the Heart Annual Report - By the Heart

“I think family-centred care comes down to one word and four letters and that’s love. No medication or treatment can replace the love of a family member. As healthcare professionals, we are compassionate and caring, but nothing replaces the love of a family or friend. I am so proud to work at a hospital where the patient and their family are at the centre of all we do.”

- Lisa Sorenson, Patient Care Manager, Emergency Services, Royal Alexandra Hospital.

In the past year a strong focus has been placed on providing patient and family centred care at the Royal Alexandra Hospital. This work has been undertaken by the Patient and Provider Experience Office funded by donors to the Royal Alexandra Hospital Foundation.

10 Royal Alexandra Hospital Foundation Royal Alexandra Hospital Foundation 11 Annual Report - By the Heart

THE “Thousands of public comments “Not only is the new Child and requests were made and Adolescent Mental Health VOICE asking the government to building and Norwood important make the Alex its top priority in and of themselves, this work has THE OF ALEX for health infrastructure due to always been identified as needing CAMPAIGN the awareness raised by our to move forward to allow the Alex foundation’s campaign,” shares to rebuild. The decision shows Andrew Otway, President and that the current government is MEDIUM CEO of the Royal Alexandra addressing the needs Hospital Foundation. “It was of the biggest and busiest hospital incredible to see the outpouring in the province, and it will take With the dawn of 2017 came of support for our hospital and we action on the first steps toward the launch of a public advocacy couldn’t be more grateful.” the rebuild of the Royal Alexandra IS THE Hospital,” stated Otway. campaign and the creation of a As Alberta’s biggest and champion who set on a mission busiest hospital, the Royal The announcement, however, to raise awareness for the need to Alexandra Hospital is central to leaves many steps remaining rebuild the main area of patient the delivery of health care not along the path to a new Royal care, the Active Treatment Centre, only in Edmonton, but to the Alex. The Royal Alexandra MESSAGE at the Royal Alexandra Hospital. whole province. After delaying Hospital Foundation and its Board An approachable and appealing upgrades to the Royal Alex of Directors continue to advocate character, Alex, short for for years, the only option now for the need for further funding. Royal Alexandra Hospital, was is redevelopment. This fact “The Royal Alexandra Hospital introduced to the public through has been confirmed through is the place where many a website, a series of videos, and comprehensive, independent Edmontonians were born - her own social media feeds. building assessment studies. including me. I believe Edmonton Alex shared her emphatic opinion Several buildings on the cares about the Royal Alex. The about the primary concerns of campus are effectively shuttered deteriorating conditions simply patient privacy, patient dignity, because acute care has been cannot be ignored any longer, and and patient safety: all of which compromised; they no longer we are proud to have members of are at risk due to the outdated meet the minimum standards the public stand alongside us to infrastructure within the Active required for acute patient care. champion this cause.” Treatment Centre. As the ‘Voice of Alex’ campaign Alex quickly became a wound down, the provincial recognizable face around government’s 2017 budget “Thousands of public the hospital and the City of was released, and the first comments and requests Edmonton. In fact, hospital steps toward the rebuild of the were made asking the staff members stopped by the Royal Alex were announced. government to make the Foundation’s office to take selfies Specifically, the Government of Alex its top priority for with her, and many public voices Alberta announced that a new health infrastructure due to joined her online advocacy in Child and Adolescent Mental the awareness raised by our raising their concern about failing Health building will be built, and foundation’s campaign,” infrastructure. improvements to CapitalCare Norwood will be undertaken— - Andrew Otway, both are phased-in components President and CEO of the Royal Alexandra of the overall Royal Alex project. Hospital Foundation

12 Royal Alexandra Hospital Foundation 13 Annual Report - By the Heart

THE “It was something that I always mitral valve so that blood flows enjoyed. I loved medicine and the more easily through the heart, INFLUENCE human body and its mechanisms Dr. Brass is leading by example. DRAWING growing up,” said Dr. Brass, with a OF A GOOD This minimally invasive procedure look of contentment on his face. is allowing patients of the CK Hui TEACHER Now, as a long-time cardiologist at Heart Centre to return to their the Royal Alexandra Hospital, Dr. lives quickly and with very little FROM CAN NEVER Brass has been appointed the new downtime due to the need for Chief of Cardiology. only a small incision through BE ERASED. their arm or groin to reach the Dr. Brass joined the team in A heart. Thanks to Dr. Brass, interventional and general patients who receive this cardiology at the Royal Alexandra treatment have seen incredibly hospital in 1993. Since then, successful outcomes and almost Dr. Brass’ passion for the human Dr. Brass served as President of immediate symptom relief. PASSION body has been present since he the Section of Cardiology for the was a child. Even as a young boy Alberta Medical Association and As a self-described lifelong he would spend hours flipping sat on numerous local, regional, learner, the future for our medical through and learning from a and provincial committees, which centre of cardiac excellence is “I saw becoming the Chief human anatomy book that he made him the perfect choice to bright. The CK Hui Heart Centre, of Cardiology as another was given. be named the new Chief at the already a national leader in cardiac CK Hui Heart Centre. innovation and technique, is sure challenge. I got to a certain His father, an architect by trade, to see a future full of growth with noted this keen desire and put “I saw becoming the Chief of stage in my career where Dr. Neil Brass at the helm. his own drafting skills to work Cardiology as another challenge. I had a good knowledge drawing an anatomical heart I got to a certain stage in my base and familiarity with on the chalkboard in Dr. Brass’ career where I had a good the clinical side of what I childhood bedroom. To this knowledge base and familiarity was doing. Now is the time day, this drawing stands out to with the clinical side of what I was to look at my position from Dr. Brass as an influence on his doing. Now is the time to look a broader perspective, passion for the human heart. at my position from a broader perspective, beyond my patients.” beyond my patients.” His fascination continued through his schooling years, As the only interventional - Dr. Neil Brass, and it eventually led him to cardiologist in Alberta carrying out Chief of Cardiology become a cardiologist. percutaneous mitral valvuloplasty - a procedure that widens the

14 Royal Alexandra Hospital Foundation 15 Annual Report - By the Heart

A PATIENT This past June, Gilman lost his Years ago, a condition like the mother. She lived a long and full one Gilman suffered from would SHARES HOW life; even so, the loss hit Gilman have likely meant the loss of very hard. In Gilman’s opinion, his life. Today, thanks to donor KINANÂSKOMITIN CK HUI HEART this was the beginning of his contributions for equipment and severe heart issue. the support of research so patients CENTRE SAVED can continue living full and The CK Hui Heart Centre at the enjoyable lives, even after such a HIS LIFE Royal Alex was there for Gilman serious issues occurs. I AM recently when he needed it. After returning from a road trip, “Over the last few years, there Gilman—weary from the travel— has been recognition that rapid arrived home and attempted to treatment of patients with Born and raised in the small lay down for a well-deserved rest; heart attacks markedly reduces GRATEFUL northern Alberta village of Calling unfortunately, rest never came. mortality. By the time a patient arrives at the hospital, a care Lake, Gilman Cardinal has always “I could tell something was team has been assembled and understood the value of family. wrong,” remembers Gilman. patients are brought directly to Today, Gilman relies on the “I had suffered from heart issues TO YOU the cardiology area for treatment, support of another family, the in the past, and I knew in most cases bypassing the team at the CK Hui Heart Centre. immediately what I needed to do.” emergency department. “I had two moms and two dads,” Driving himself to the Royal Alex, The Edmonton region has one Gilman reflects. “I was extremely he arrived at the Emergency of the best survival rates— if lucky to be raised by both my department and was quickly not the highest for heart attack mother and my grandmother, assessed be the team. victims— in the country because and to have my father and of this system,” said Dr. Neil Brass, grandfather guiding me “I remember the doctor coming Chief of Cardiology. throughout my childhood.” in and saying, ‘Well Gilman, did you know that you had a heart “The heart is the most sacred “I will always hold the team When Gilman was a young man, attack earlier today? And did you part of the body in my culture,” at the CK Hui close to my he made a promise to his mother know that you are having another states Gilman. “I will always hold heart. They saved my life, that he would leave his village right now?’” the team at the CK Hui close to to pursue a position with the and for that I am forever my heart. They saved my life, government. With this promise, Gilman was shocked. He had grateful. Kinanâskomitin.” and for that I am forever grateful. began Gilman’s journey to more other heart issues in the past, Kinanâskomitin.” than 40 years of working for the but nothing so serious. It wasn’t - Gilman Cardinal, government to promote and long before Gilman was moved to Calling Lake support his Indigenous heritage. the CK Hui Heart Centre, where doctors placed two stents to open “I made my mother a promise, up the blood flow to his heart and I kept it,” Gilman shares. once again. “She knew I could do more good for our culture outside of the small boundary of Calling Lake, and she was right. Through my work, I was able to share the world views, strengths, and gifts of my culture with others: work I continue to do today.”

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“I know the Royal Alex because my dad goes there to get his eyes dilated. I thought it would help so I saved my allowance for many months and made a donation of $110.”

- Vinessa Carew, Tiny Philanthropist, age 10

2016 saw the completion of a $4 million campaign for the Eye Institute of Alberta; the hub in northern Alberta for all things ophthalmology related. Funding will support patient experience improvements, additional technology for the Ophthalmic Surgical Skills Centre and investment in eye-related research. A portion of the $4 million was raised by 10 year old Vinessa Carew. Vinessa’s father Bill has been receiving expert eye care at the Eye Institute of Alberta for many years. Bill has uveitis, a disease that causes inflammation of the eyes and glaucoma which led to corrective surgery four years ago.

18 Royal Alexandra Hospital Foundation Royal Alexandra Hospital Foundation 19 Annual Report - By the Heart

WORLD CLASS thereby allowing valuable time “The onsite e-platforms will bring in the operating room to be used content from published experts TECHNOLOGY more efficiently for learning, while inside the ‘operating room’ to our BEST at the same time maximizing fingertips. The chance to share AT THE EYE patient safety,” shared Dr. Kelsey and experience simulated surgery INSTITUTE OF Roelofs, Eye Institute of Alberta in real-time is an opportunity I Chief Resident. “The skills centre never thought I would have, and IN CLASS ALBERTA played a major role in my decision now thanks to donors to the Royal to make the Eye Institute of Alexandra Hospital Foundation Alberta my top choice when I I do!” shared Dr. David Plemel, was choosing where to perform Junior Resident at the Eye Institute my residency.” of Alberta. The Eye Institute of Alberta’s While textbooks and internet The centre allows dedicated Ophthalmic Surgical Skills resources give residents the ophthalmologists the opportunity Centre (OSSC) overlooks the ability to be self-directed learners, to find new methods for improving Royal Alexandra Hospital’s main the OSSC provides a hands-on, patient care and treatment atrium. The centre provides the surgical equivalent that empowers options. The applications of the best possible training facility motivated learners to capitalize OSSC are continually expanding for doctors to develop skills for on the opportunity to further with procedures and surgeries delicate eye surgeries, and the their skills. for the treatment of serious eye diseases. Recently published OSSC allows current ophthalmic Thanks to a $500,000 research reports on the OSSC’s surgeons to share information and commitment from William K simulation techniques, and this prepare for difficult or rare and Mary Jo Robbins—Patrons research demonstrates that the surgical procedures. of the Royal Alexandra Hospital OSSC is a premier and consistently This technologically advanced Foundation—the surgical skills improving surgical learning facility. surgical simulation space has centre will receive updates The Royal Alexandra Hospital drawn elite residents to the Royal to further enhance its Foundation is proud to have it play Alexandra Hospital because they teaching capacity. a central role in the Eye Institute want to work in this facility. With The Robbins’ unwavering of Alberta. national programs competing support has facilitated further for the best residents, this centre technological integration, which helps the Eye Institute of Alberta will provide an even richer stand at the top of the class. learning environment. These “The surgical simulation space that advancements facilitate small “The skills centre played a has been developed in the OSSC group teaching sessions led by major role in my decision is truly world class. It has provided staff surgeons: an opportunity to make the Eye Institute of an unparalleled opportunity unmatched in any other city across Alberta my top choice when to learn and develop my skills, the country. I was choosing where to perform my residency.”

- Dr. Kelsey Roelofs, Chief Resident at the Eye Institute of Alberta

20 Royal Alexandra Hospital Foundation 21 Annual Report - By the Heart

AN OFFICER’S “Dr. Weis is a phenomenal The surgery was a success. doctor,” remembers Michael. Michael was cancer free. JOURNEY WITH “Not only in his skill with Returning to work after surgery medicine, but also in his bedside BEYOND THE CANCER AND THE required many adjustments. manner. When someone has to Losing his dominant eye meant DOCTOR WHO tell you that you have cancer, the Michael’s life would be different. conversation is never an easy one, Navigating his new reality WENT ABOVE yet Dr. Weis made it a little easier meant physical challenges: CALL to hear.” an adjustment in his depth AND BEYOND On a trip to Ontario to visit family, perception, learning to drive Michael began to experience with changes to his vision, and incredibly intense headaches retraining himself to shoot left handed are only a few. OF DUTY This intensifying of symptoms For nearly a decade, Constable led Michael to seek help while in While life after surgery Michael Jaszczyszyn has been a Ontario. What was discovered brought many challenges and Royal Canadian Mounted Police was unprecedented; Michael’s uncertainties, one thing that officer. For Michael, like many who tumor had grown exponentially, remained constant was the work in protection, his job is much something no one—including support Michael found in Dr. Weis. more than a nine-to-five role; his Dr. Weis—could have predicted. “Dr. Weis didn’t just tell me I job is a huge part of who he is. Doctors decided to remove the could do it, he stood beside and Six years ago, Michael began to tumor in its entirety, knowing full backed me up when things were have blurred vision in his right eye. well this would mean complete uncertain,” remembers Michael. Over time, his vision went from loss of vision in his right eye: “He even went as far as writing blurry to almost completely gone; a sacrifice Michael was willing letters and recommendations to something was going on. to make. my employer supporting my will to return to operational duties. Michael was eventually referred The entire time that Michael He provided them with the to the Eye Institute of Alberta at received treatment in Ontario, information they needed to make the Royal Alexandra Hospital. Dr. Weis monitored his a decision. Now thanks to Dr. care. Unprompted, Dr. Weis Through further exploration it Weis, I am working on the tactical couriered his medical records was identified that Michael had training unit teaching new officers and conducted research on the an optic nerve glioma; a rare the skills and abilities I needed to doctors slated to remove the cancer that is typically a slow- relearn myself.” tumor. Dr. Weis was committed growing tumor. Left untreated, “Dr. Weis is a phenomenal to ensuring Michael was in the In every case, Dr. Ezekiel Weis the diagnosis could be fatal. doctor. When someone has best hands possible, even if they provided not only care, but caring, to tell you that you have “The diagnosis was scary. weren’t his own. for Constable Michael Jaszczyszyn. Any time you hear the word cancer, the conversation Ultimately, Michael decided to Dr. Weis is not alone in his mission tumor, or the word cancer of is never an easy one, yet have the surgery in Edmonton to improve patient care at the Eye course you would be frightened,” Dr. Weis made it a little at the Royal Alex as a joint Institute of Alberta; many staff shares Michael in a moment of easier to hear.” surgery performed by Dr. members and physicians at the quiet reflection. Weis and University of Alberta Royal Alex continue to go above - Michael Jaszczyszyn, Michael’s diagnosis meant he Neurosurgeon, Dr. David Steinke. and beyond the call of duty for Royal Canadian Mounted Police Officer was placed under the care of their patients each and every day. Dr. Ezekiel Weis, an ocular oncologist working out of the Eye Institute of Alberta.

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BOARD OF BOARD OF DIRECTORS DIRECTORS

Dan Manning Brian Tod, QC Iris Evans David S. Tam, Krista Ference Liza J. Wold Melanie Nakatsui Mez Irani Sales Executive Counsel, Miller President, BSc Pharm, LLB Community Volunteer Partner, Miller Community Volunteer Branch Manager, CTV Edmonton Thomson LLP You First Inc. Partner, Parlee Thomson LLP Scotiabank McLaws LLP

Dr. Garnet E. Cummings, Elizabeth Dr. Zaheer George Coon, Diane Olivia Butti Paul Lanni, CPA, CA Rod Knecht Selikke Judith Hockney FRCP, FACEP, MSc, Hurley, ICD.D Lakhani, CM, FRCP FCPA, FCMA, CFP Kyle-Buchanan Community Volunteer President, Chief, Edmonton Janes-Kelley Senior Operating BPe and EMDM Officer, Royal Partner, Davies Park Clinical Professor, Regional Director, Prairies, Yorkshire Equities Inc. Averton Homes Police Services Site Executive Director, Alexandra Hospital Executive Director, Executive Search University of Alberta First West Capital Royal Alexandra Hospital and Sturgeon Brain Care Centre Community Hospital

Jerry L. Kavanagh, Douglas Pratt, John Cameron Kimberly Shulha Dr. Curtis Johnston, William K. and Dale Sheard Andrew Otway CA, CPA (Illinois, USA) FCPA, FCMA, CFP President & CEO, Manager of Health MD, FRCP(C) Mary Jo Robbins Patron President and Chief Keller Construction Ltd. Policy & Patient Executive Officer, Royal Partner, Price Senior Assistant Vice Co-Facility Medical Director, Patrons Access, Novartis Alexandra Hospital Waterhouse Coopers President, Credit Royal Alexandra Hospital; Risk Management, Pharmaceuticals Associate Zone Medical Director, Foundation Canadian Western Bank Canada Inc. Royal Alexandra Hospital and 24 Sturgeon Community Hospital 25 BY THE NUMBERS ROYAL ALEXANDRA HOSPITAL FOUNDATION / 2016-2017 TABLE OF CONTENTS 03 06 12 15

By the Numbers Lois Hole Eye Statement Welcome Hospital for Institute of Message Women of Alberta Income BY THE NUMBERS

“The results of philanthropy are always beyond calculation.” 04 08 13 16 - MIRIAM BEARD

Advancing Giving Diagnostic Advocating Healthcare for Tuesday Imaging for a New all Albertans Royal Alex It is often said that the numbers speak for themselves. The 2017 Royal Alexandra Sincerely, Hospital Foundation’s Annual Report brings to you an ample selection of impactful numbers; numbers that have stories to tell. Judith Hockney

Stories of contributions, and of lives touched. Stories of impact today, and of impact Senior Operating Officer for the future. Royal Alexandra Hospital As Chair of the Board of the Royal Alexandra Hospital Foundation and as the Senior & Sturgeon Community Hospital 05 10 14 18 Operating Officer of the Royal Alexandra Hospital we know the importance of the numbers you will encounter in this section of the Annual Report. Dan Manning

There is strength in numbers, and we hope you will sense the power and influence Board Chair 2015 - 2017 Royal Alexandra CK Hui Investing Investing these numbers bring to our foundation and to the medical centres of excellence we Royal Alexandra Hospital Foundation Hospital Heart in Our in Our support on the pages that follow. Board of Directors Foundation Centre Hospital Hospital Please dive into and enjoy, By the Numbers.

2 3 ADVANCING HEALTHCARE ROYAL ALEXANDRA FOR ALL ALBERTANS HOSPITAL

$6,326,267 The Royal Alexandra Hospital, one of Canada’s largest and longest serving hospitals, is dedicated to the highest level of patient care, medical excellence 12% DISTRIBUTIONS TO HEALTHCARE 33% and compassion. In the past year there have been: Inner City Health Hospital Programs & Wellness and Priorities 44,165 SURGERIES (BY A LANDSLIDE THE MOST IN THE PROVINCE) 6% 3% Ophthalmology EMERGENCY ROOM VISITS (ONE OF THE BUSIEST IN THE PROVINCE) CK Hui Heart 73,163 Centre/Cardiology 437,057 OUTPATIENT VISITS Since 1991, the Royal Alexandra Hospital 14% Foundation has distributed Men’s Health $61.4 million to the Royal Alexandra Hospital. SITE 847 BEDS 32% 15 BUILDINGS 2016 Lois Hole Hospital for Women & Women and Children’s Health FACTS Research Institute 2017 26.5 ACRES OF LAND

4 5 LOIS HOLE OVERTIME HOSPITAL FOR WOMEN 600 WOMEN CURRENTLY ACTIVE PATIENTS IN THE As Alberta’s only dedicated women’s hospital, the Lois Hole ALLARD HEREDITARY BREAST & OVARIAN CANCER CLINIC Hospital for Women offers high-risk obstetrical and maternal care as well as surgical treatment for women of all ages and in all stages of life. In the past year: 400 SURGERIES PERFORMED WITH THE DA VINCI ROBOT TO DATE OVER 7,500 BABIES BORN WITH 271 OF THEM MULTIPLE BIRTHS (TWINS, TRIPLETS, ETC) IN THE HOSPITAL THERE ARE:

OVER 8,500 WOMEN’S OPERATING ROOM PROCEDURES 18 GENERALIST OB/GYNE PHYSICIANS 15 SUBSPECIALISTS 15,000 4,500 400 An interdisciplinary team consisting of nurses, surgeons, physicians, social workers, psychologists, IN VITRO MATERNAL FETAL COLPOSCOPY physiotherapists, midwives, support staff, managers, FERTILIZATION MEDICINE VISITS VISITS PROCEDURES educators, lab technologists, & embryologists

6 7 GIVING TUESDAY

Most people know about Black Friday and Cyber Monday but have they heard of Giving Tuesday? Our community of donors have! This past November an incredible amount of awareness and funding was raised for a new initiative called Pregnancy Pathways that the Lois Hole Hospital for Women is proud to be a part of.

“Imagine being hungry and homeless for two. This is the reality for over 100 women every year in the City of Edmonton. Our most sincere and emphatic thank you to all of those who have made a difference for some of Edmonton’s most vulnerable.”

Andrew Otway, President and CEO of the Royal Alexandra Hospital Foundation

NOVEMBER 2016 SAW $100,000 OVER 1.5 MILLION RAISED IN SUPPORT OF THE PREGNANCY IMPRESSIONS WERE MADE ONLINE

PATHWAYS INITIATIVE FROM A GROUP OF THROUGHOUT THE CAMPAIGN 106 DONORS - 86 OF WHOM GAVE ONLINE 58 INCREDIBLE “CAUSE CHAMPIONS” ONLINE REACH OF MORE THAN RAISED THEIR VOICES AND BROUGHT 430,000 PEOPLE AWARENESS TO THIS IMPORTANT CAUSE

8 9 * a non-surgical procedure IN THE PAST YEAR: used to treat narrowing of the coronary arteries of the heart. HEART FACTS

AN ADULT HEART BEATS ABOUT 100,000 TIMES EACH DAY

SECOND MINUTE DAY AT LEAST ONE 60-100 BEATS 86,000-144,000 BEAT PER SECOND PER MINUTE BEATS PER DAY

NON DIAGNOSTIC CLINIC VISITS A HEALTHY IS ABOUT THE SIZE OF YOUR

CORONARY ANGIOGRAMS HEART FIST PERCUTANEOUS CORONARY INTERVENTIONS* PERFORMED PERCUTANEOUS CARDIOLOGY INPATIENTS CARDIOLOGY

STRESS TESTS PERFORMED TESTS STRESS

CORONARY CARE UNIT PATIENTS

PACEMAKERS INSERTED PACEMAKERS IMPLANTABLE CARDIOVERTER DEFIBRILLATORS INSERTED INSERTED CARDIOVERTER DEFIBRILLATORS IMPLANTABLE YOUR 14,356 4,4813 2,243 2,203 1,617 984 479 179 HEART IS Every minute, your heart pumps about five litres of blood through a system of blood vessels that’s ONE GIANT over 96,500 km long. That translates to over CK HUI HEART CENTRE PUMP 7,500 litres of blood every day.

The CK Hui Heart Centre is at the leading-edge of diagnosis and minimally-invasive treatment of heart disease and specializes in the non-surgical treatment of coronary artery IF ALL OF YOUR BLOOD VESSELS WERE STRETCHED OUT, THEY’D EXTEND MORE disease, as well as interventional cardiology. THAN 96,500 KM LONG AND WRAP AROUND THE WORLD MORE THAN TWICE.

10 11 THE DIAGNOSTIC IMAGING DEPARTMENT PERFORMS MORE THAN EYE INSTITUTE 200,000 PROCEDURES EACH YEAR OF ALBERTA 32,747 COMPUTED TOMOGRAPHY (CT) SCANS PLANNING FOR THE FUTURE Special x-ray equipment used to help detect a variety of diseases and The Eye Institute of Alberta is the only hospital-based Currently the Royal Alexandra Hospital conditions. The scans are fast, painless, noninvasive and accurate. In comprehensive eye treatment centre in northern Alberta that Foundation is fundraising for a Positron sees patients from Western Canada and the three territories. emergency cases, it can reveal internal injuries and bleeding quickly Emission Tomography and Computed enough to help save lives. Tomography (PET/CT) scanner, which is not currently available at the Royal Alexandra Hospital. IN THE PAST YEAR: RADIOGRAPHY AND FLUOROSCOPY 107,937 PET/CT scans provide information that is unattainable through other imaging Also known as X-rays and X-rays in motion. X-rays are used to identify technologies. Having access to a VISITS TO THE EIA OUTPATIENT EYE CLINIC deformities in the body and their moving counterparts are particularly PET/CT scanner will enable our 47,534 helpful when needing to see a patient’s range of motion to assist with physicians to identify disease in its diagnosis and treatment of disease. earliest stages and determine its exact location—often before symptoms occur. 7,342 OF THAT NUMBER WERE OPHTHALMIC EMERGENCY VISITS When physicians see more, 18,634 MAGNETIC RESONANCE IMAGING (MRIS) they can do more. Interested in supporting our Used to create detailed pictures of organs and other structures inside THE OPHTHALMIC ULTRASOUND UNIT WAS USED TIMES exciting campaign? Would you like 1,287 the body to detect brain tumors, traumatic brain injury, developmental more information? If so please contact anomalies, multiple sclerosis, stroke, dementia, infection, and the Jeff Buhr, Director of Development causes of headache. at 780-735-5804.

6,604 37,381 3,486 NUCLEAR MEDICINE ULTRASOUNDS INTERVENTIONAL RADIOLOGY The ophthalmic ultrasound unit was made possible For the diagnosis and To check on unborn babies, look Utilizes minimally-invasive determination of course of at a patient’s abdominal and image-guided procedures by generous support from the Lions Clubs of Alberta treatment plans for a variety of pelvic organs, their muscles to diagnose and treat diseases, including many types of and tendons, or their heart diseases in nearly every cancers, heart disease, and more. and blood vessels. organ system.

12 13 FUND BALANCES INCOME AS OF MARCH STATEMENT

2017 - $39,853,589 2016 - $36,326,970 YEAR END MARCH 31, 2017 WITH COMPARATIVE INFORMATION FOR 2016

Extract from the annual audited financial statements UNRESTRICTED $1,538,507 FUNDS $417,779 2017 Total 2016 Total

Revenue

Fundraising 4,951,450 4,591,656

INTERNALLY $4,144,432 Gaming 9,620,362 10,232,310 RESTRICTED Investment Income/Loss 5,041,193 (466,214) $4,144,432 FUNDS $19,613,005 $14,357,752

Expenditures

Fundraising 1,950,720 2,251,479 EXTERNALLY $12,815,728 Gaming 7,196,007 6,792,201 RESTRICTED FUNDS $10,870,197 Administrative 613,392 500,898 $9,760,119 $9,544,579

Net Revenues $9,852,886 $4,813,173 $21,355,012 ENDOWMENT FUNDS $20,894,652 Distributions 6,326,267 4,862,641 Excess (deficiency) of revenue over expenditures 3,526,619 49,467 Fund balances, beginning of year 36,326,970 36,376,437

Fund balances, end of year $39,853,589 $36,326,970 $0 $5,000,000 $10,000,000 $15,000,000 $20,000,000 $25,000,000

14 15 ADVOCATING FOR A NEW ROYAL ALEX

“Thousands of public comments and requests were made asking the government to make the Alex its top priority for health infrastructure due to the awareness raised by our foundation’s campaign. It was incredible to see the outpouring of support for our hospital and we couldn’t be more grateful.”

Andrew Otway, President and CEO of the Royal Alexandra Hospital Foundation

1 PUPPET WITH AN IMPORTANT MESSAGE

JUST SHY OF 10 MILLION ONLINE IMPRESSIONS

MORE THAN 86,000 CLICKS TO INTERACT WITH THE CAMPAIGN

OVER 18,000 ACTIONS, INCLUDING VISITS TO THE WEBSITE, VIDEO VIEWS AND EMAILS SENT TO MLAS

NOW THAT’S IMPACT!

16 17 FUND BALANCES Extract from the annual audited financial statements FUND BALANCES Extract from the annual audited financial statements

Year End Balance 2017 Year End Balance 2016 Year End Balance 2017 Year End Balance 2016

CK Hui Heart Centre Lois Hole Hospital for Women

Cardiology Innovation Endowment Fund 1,578,224 1,573,224 Adam Burkholder Memorial 14,944 14,944 Cardiology Innovation Endowment Fund Interest 662,738 526,116 Allard Hereditary Breast and Ovarian Cancer Clinic (HBOC) 681,177 525,623 CK Hui Cardiology 1,333,266 1,213,732 Edmonton Eskimo Women’s Ovarian Cancer Research Endowment 460,836 356,608 Coronary Intensive Care Unit Fund 6,593 6,593 Edmonton Eskimo Women’s Ovarian Cancer Research Endowment Interest 30,998 63,475 The Hui Family Endowment for Cardiology Research and Innovation 1,053,016 1,041,774 Edmonton Chinese Community Fund - 5,000 The Hui Family Endowment for Cardiology Research and Innovation Interest 296,830 274,454 Cavarzan Chair in Mature Women’s Health Research Endowment 3,109,473 3,084,353 William K. Robbins Endowment for Research and Innovation in Cardiology 1,567,277 1,550,545 Cavarzan Chair in Mature Women’s Health Research Endowment Interest 415,807 411,317 William K. Robbins Endowment for Research and Innovation in Cardiology Interest 259,291 211,010 Cecilia Johnstone Endowment for Research and Innovation in the Treatment of Cervical Cancer 376,844 371,844 Dr.Talibi Innovation Fund 292,339 287,339 Cecilia Johnstone Endowment for Research and Innovation in the Treatment of 99,092 105,505 Cervical Cancer Interest Total CK Hui Heart Centre Funds $7,049,574 $6,684,787 daVinci Robotic Surgery Campaign (169,179) (369,721) Dawn & Cam Allard Endowment Fund for Education and Innovation in Urogynecology, 75,000 - Lois Hole Hospital for Women General Purpose Dawn & Cam Allard Endowment Fund for Education and Innovation in Urogynecology, 27,182 - Casino Interests 271 238 Lois Hole Hospital for Women Interest Chint Kaur Lali, Boota Singh Lali and Family Endowment Fund 103,270 500 Lois Hole Hospital for Women 570,687 1,135,639 Chint Kaur Lali, Boota Singh Lali and Family Endowment Fund Interest - 27 Lois Hole Hospital for Women Endowment 2,683,797 2,683,797 Full House Lottery (1,348,067) (951,205) Lois Hole Hospital for Women Bereavement Fund 92,249 86,342 General Fundraising Fund 328,989 297,310 Lois Hole Hospital for Women IVF Compassionate Care 42,562 41,162 Gift in Kind 11,856 11,856 Lois Hole Hospital for Women Advanced Minimally Invasive Surgery 320,128 258,168 Steve Ozipko Priority Equipment Fund 421,089 397,902 Mary Jo Robbins Endowment for Research and Innovation in Women’s Health 1,044,717 1,033,564 Priority Equipment 26,228 18,609 Mary Jo Robbins Endowment for Research and Innovation in Women’s Health Interest 240,834 159,044 RAH Foundation Fund 4,144,342 4,144,342 Pregnancy Pathways 89,703 - RAH Foundation Fund Interest 1,063,912 - Sawin & Baldwin Chair in Ovarian Cancer Research Endowment 1,511,780 1,495,615 Win Win 50 Staff Lottery (265,396) 124,925 Sawin & Baldwin Chair in Ovarian Cancer Research Endowment Interest 275,816 232,460 Total General Purpose Funds $4,486,494 $4,044,504 Dr. Zenon Shewciw Fund for Gynecological Oncology Endowment 138,976 137,492 Dr. Zenon Shewciw Fund for Gynecological Oncology Endowment Interest 10,880 24,358 Terry Horwitz Fund 49,397 47,013 Inner City Health & Wellness Dr. Terry Traff Endowment for Reproductive Endocrinology/In Vitro Fertilization 18,050 17,750 Inner City Health & Wellness Fund (11,140) (222,235) Dr. Terry Traff Endowment for Reproductive Endocrinology/In Vitro Fertilization Interest 6,565 4,960 Total Inner City Health & Wellness Fund (11,140) (222,235) Total Lois Hole Hospital for Women Funds $12,218,314 $11,926,312

18 19 FUND BALANCES Extract from the annual audited financial statements FUND BALANCES Extract from the annual audited financial statements

Year End Balance 2017 Year End Balance 2016 Year End Balance 2017 Year End Balance 2016

Men’s Health Orthopedics

Prostate Health Research and Innovation Endowment Fund 1,067,383 1,055,987 Orthopedics 405,677 298,713 Prostate Health Research and Innovation Endowment Fund Interest 389,292 305,727 Orthopedics Research and Innovation Endowment Fund 1,074,924 1,074,924 Men’s Health External Restricted 1,900,492 2,043,719 Orthopedics Research and Innovation Endowment Fund Interest 416,491 319,829

Urology 52,847 52,347 Total Orthopedics Funds $1,897,092 $1,693,466 Total Men’s Health Funds $3,410,014 $3,457,780

Research and Education

Neonatal Intensive Care Unit (NICU) Critical Care Fund - Education 22,694 22,694 Neonatal Education Fund 7,335 7,335 Grant Funds 26,208 107,343 Neonatal Intensive Care Unit (NICU) Donations Fund 290,351 191,084 Mary Anne Komaran Symposium Endowment 250,000 250,000 Princess Madison Trust 21,574 19,794 Mary Anne Komaran Symposium Endowment Interest 49,629 27,147 RAH Neonatal Intensive Care Unit (NICU) Compassionate Support Fund 302 2,296 Mary Anne Komaran Professional Development 148,652 136,519

Total Neonatal Intensive Care Unit (NICU) Funds $319,562 $220,509 Mary Anne Komaran Social Work Grants Endowment Fund 250,000 250,000 Mary Anne Komaran Social Work Grants Endowment Interest 38,086 15,855 Harold and Florence Mosley Nursing Education and Research Fund 35,384 35,066 Ophthalmology Research and Innovation 48,071 48,071 Eye Institute of Alberta 1,746,313 416,920 Respiratory Education Fund 5,598 4,688 Lions Eye Research Endowment Fund 343,167 342,327 Speaking of Health 71,307 53,789 Lions Eye Research Endowment Fund Interest 98,868 75,494 William Arnold Diagnostic Imaging Education Endowment Fund 25,000 - George and Dorothy O’Neill Eye Research Endowment Fund 170,791 170,791 William Arnold Diagnostic Imaging Education Endowment Interest 375 - George and Dorothy O’Neill Eye Research Endowment Fund Interest 4,357 38,999 Total Research and Education Funds $971,004 $951,172 Ophthalmology Research Endowment Fund 3,213,477 3,174,202 Ophthalmology Research Endowment Fund Interest 585,371 484,019 Ophthalmology Equipment 103,144 100,434 Ophthalmic Surgical Skills Centre 229,004 229,126

Total Ophthalmology Funds $6,494,492 $5,032,312

20 21 FUND BALANCES Extract from the annual audited financial statements FUND BALANCES Extract from the annual audited financial statements

Year End Balance 2017 Year End Balance 2016 Year End Balance 2017 Year End Balance 2016

Special Purpose Special Purpose (cont’d)

Aboriginal Welcome Baby Fund 471 471 Graduates’ Fund of RAH School of Nursing Alumnae 43,547 41,197 Acute Care for the Elderly Fund 1,818 1,818 Holmes Endowment Fund 30,000 30,000 Adult Mental Health 399 399 Holmes Endowment Fund Interest 8,447 5,749 Colon Cancer Canada Fund 31,595 - Chris Hrudey Endowed Fund In Memory of William Hrudey 50,000 50,000 Diagnostic Imaging 30,472 - Chris Hrudey Endowed Fund In Memory of William Hrudey Interest 14,077 9,581 Dr. C.A. Berner Endowment Fund for Patient Care Excellence 27,609 27,509 Intensive Care Unit Fund 48,726 43,812 Dr. C.A. Berner Endowment Fund for Patient Care Excellence Interest 17,120 14,644 Mary Anne Komaran Compassionate Care Fund Endowment 450,000 450,000 Al Blumer Memorial Fund 5,414 4,823 Mary Anne Komaran Compassionate Care Fund Endowment Interest 40,158 10,539 Cable Family Compassionate Support Endowment Fund IV 665,555 656,114 Neurosurgery/Research/Thoracics 1,025 1,025 Cable Family Compassionate Support Endowment Fund IV Interest 154,855 85,627 Dr. Larry Olhauser Fund 500 500 Cancer Research and Innovation Fund - 1,950 Patient & Provider Experience Fund 229,897 26,369 Children’s Mental Health 1,243 (33,256) Palliative Care Fund 31,707 32,357 Departments of Surgery & Anesthesiology Fund 13,809 13,809 Peter & Mary Prokopiw Endowment Fund 5,000 5,000 Department of Medicine General Fund 6,471 5,635 Peter & Mary Prokopiw Endowment Fund Interest 1,408 958 Emergency Department Fund 23,517 21,736 Rheumatology Outpatient Clinic Fund 5,000 5,000 Catherine Folinsbee Fund for Pediatric Care Endowment 10,847 10,732 Robbins Learning Centre 953,484 874,816 Catherine Folinsbee Fund for Pediatric Care Endowment Interest 5,097 4,248 Dr. Elizabeth Schwab Fund 11,434 10,490 Agnes Moffatt Fraser Patient Comfort Fund 58,367 81,488 Sigurborg Gundrun Gail Pjetursson Adult Psychiatry 6,199 6,199 Surgery Donation Fund 28,794 27,903 David White Memorial Fund 4,121 9,121

Total Special Purpose Funds $3,018,183 $2,538,363

Total Funds $39,853,589 $36,326,970

The Standards Program Trustmark is a mark of Imagine Canada used under licence by the Royal Alexandra Hospital Foundation. The Royal Alexandra Hospital Foundation is accredited by Imagine Canada for excellence and compliance in Board Governance, Financial Accountability and Transparency, Fundraising, Staff Management, and Volunteer Involvement.

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