Our Purpose: Our Vision: Our Values · 2020. 8. 11. · Our Values: Passion- We love what we do; do it the best we can and always enthusiastically. Professionalism- This is represented

NEERIM DISTRICT SOLDIERS’ MEMORIAL HOSPITAL Inc. ANNUAL REPORT 2015-2016

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Our Purpose: To provide high quality care and an environment in which the organisation can flourish.

Our Vision:

Neerim District Health Service is considered to be the most highly valued provider of community and individual wellbeing.

Our Values:

Passion- We love what we do; do it the best we can and always enthusiastically.

Professionalism- This is represented in the respect we hold for all people, being a role model in everything we do and always improving and learning.

Growth- We will nurture relationships, grow professionally and personally and ensure that we meet the growing and changing need of our community into the future.

Open Mindedness- We accept that we are all different and have a lot to offer so we will listen and embrace the new and different.

Compassion- Kindness and care is at the heart of all we do and we will take all things into consideration and making decisions.

Teamwork- We will work together toward common goals; play to our strengths and help and support each other.

Commitment- We deliver on our promises, we are an advocate for the organisation; the individuals that serve in it and that we serve, and we turn up even when life becomes difficult.


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Annual General Meeting

Wednesday 19th October, 2016 Commencing at 2:00 pm.

Phoenix Room, Neerim - Neerim South Football Club.

Neerim South

Agenda 1. Present

2. Apologies

3. Confirmation of the Minutes of the Previous Meeting

4. Matters Arising from the Minutes

5. Correspondence

6. President’s Welcome

7. Reports

President

Chief Executive Officer

Treasurer’s Report

8. Election of Committee

Members for re-election

9. Election of Auditor

10. Staff Service Awards

11. Close.


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Life Members Mr. Harry Price (Dec.) Miss. Ruby Mackintosh (Dec.) Mr. Barry Gleeson Mr. Robert Johnson Mrs. Doreen Doolan (Dec.) Mrs. Maureen Caygill

Mrs. Maureen Gleeson Mr. Kevin Williams Mrs. Mary Heilbronn (Dec.) Mr. John Delzoppo, Life Governor Mr. William Line ( Dec.) Mrs. June Flowers

2015/2016 Committee of Management

President

Mr. Geoff Neil

Vice President

Treasurer Mr. Robert Southgate

Committee Members

Mr. Paul Ford

Mr. Sean Dignum

Mr. Greg Howson

Mr. Arie Café


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Accountants: Robertson & Wouters Auditor: Mr. Julius Sommers Honorary Solicitor: Ms. Sabina Wakefield

(Wakefield & Vogrig Lawyers)

Chief Executive Officer Director of Nursing

1 November 2012 - current Mrs. Jacqui Brown

Permanent Staff Administration Staff: Bronwyn Radford Melissa Burton Kristy Mitchell Karlee Bennell Lisa Kimmitt Alexandra Blackwood


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Registered Division 1

Jacqui Brown Susan Carson Mary Davis Wendy Fornaro Susan Griggs Robina Ford

Heather Henry Kathy Irvine Shirley LePage Elizabeth Mapleson Wendy Symmons Merissa Price-Leggett

Mary Raudam Kate Skipworth Vicki Sutherland Sarah Davis Ki Hyunseok Anne Palmer

Enrolled Nurses and Personal Care Workers

Helen Assmussen Belinda Behncke Lorna Brown Judith Carey Michelle Dent Susan Dunne Kim Fawcett Penelope Gibson Vivian Tonisson

Izumi Hiraga Maria Kelly Debbie Snelling Loretta Lamb Elke Lissendon Kate McGinness

Melissa Joyce Lisa O’Neil

Dawn Pedersen Anne Ramage Karl Rasmussen Elizabeth Reid Gay Scott Nicole Scott Lisbeth Sheppard Samantha Smith

Diversional Therapist Lis Sheppard Maintenance: Shane McCabe Hotel Services Alison Adams (Manager)

Linda Agnew Judy Hatswell

Tracey Flintrop

Lynette Debyl Jillian Dowsett

Sandy Hartman

Lynne Oldham Lainie Silver Dinah Moles


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Annual General Meeting Minutes Held at the Phoenix Room, Neerim South.

Wednesday 21st October, 2015 at 2:00pm.

Present

Mrs. J Gleeson (Member) Mrs. M Gleeson (Life Member)

Mr. B Gleeson (Life Member) Mr. A Café (Member)

Mrs. H Henry (Staff)

Mr. R Johnson (Life Member)

Dr. C Lewis (Member)

Mrs. M Caygill (Life Member)

Mrs. J Brown CEO/DON

Mrs. E Lissenden (Staff)

Mrs. C Zipkas (Member)

Mr. N Lissenden (Visitor)

Mrs. B Radford (Staff/Member)

Mrs. M Price (Ladies Guild)

Mrs. E Gatford (Member) Mrs. S Pri Allen (NDFS)

Mr. J Gatford (Member) Mr. O Pearson

Mrs. M Davis (Staff)

Mr. A McGillivary

Mrs. E Southgate (Member)

Mrs. K Irvine (Staff)

Mrs. J Muir Cr. D Balfour

Mrs. K Fusinato (Member)

Cr. P Kostos

Mrs. L Johnson (Member)

Mr. S Dignum (Member)

Mr. G Neil (Member) Rev. J Batt (CLG/Church)

Miss. H Schellekens (Member)

Mrs. J Neil (Member)

Mr. R Southgate (Member)

Apologies

Cr. T Jones

Mr. R Gough

Dr. L Fitzgerald

Mr. C Gough

Dr. S Jedynak

Mrs. J Flowers

Mr. G Blackwood

Mrs. A Ramage

Mr. R Broadbent

Mrs. K Hundman

Mrs. E Mapleson

Mr. D Weeks

Mrs. S LePage

Mrs. M Raudam

Mr. T LePage

Mrs. P Trippier

Cr. H Shing

Cr. G Chapman

Mr. T Allen

Mr. G Howson

Mr. P Ford

Mrs. B Notman

Cr. D Brown

Mrs. E Payne

Ms. J Gourley


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The AGM commenced at 2:00 pm at the Phoenix Room Neerim South. 32 people attended and there were 25 apologies received. Confirmation of apologies:

Motion: Mrs. J Gleeson moved that the apologies be accepted. Seconded: Mrs. K Fusinato Carried

CEO/DON Mrs. J Brown welcomed to the AGM distinguished guests, members and all visitors. The presence of the Neerim District Health Service Life Governors, Board of Directors was acknowledged. Mrs. J Brown then noted that the meeting was being held in the land of the Kurma people and acknowledged them as the traditional owners. She also paid respect to the Kurma Elders and the Elders of other Victorian Aboriginal Communities.

Minutes of the 2014-15 Annual General Meeting confirmed.

Motion: Mrs. J Neil – accept minutes as presented in the 2014-15 Annual Report

Seconded: Mrs. L Johnson Carried

Matters arising from the previous AGM: Nil Correspondence: Nil Mrs. J Brown then handed the meeting over to President Mr. G Neil. Mr. G Neil welcomed the Life Governors and extended a special welcome to Cr. David Balfour, Cr. Peter Kostos, and Mr. O Pearson – the mentor of the CEO, and all present. President’s Report: Mr. G Neil praised the CEO and all staff in the surplus obtained in 2014-15. This financial year as required $100k is to be spent in achieving an enterprise bargaining agreement that was concluded only a month ago but back dated to the 1st of July 2014. Mr. G Neil noted improved viability of the Organisation comes at an interesting time when most recent demographic studies indicate a challenging nation tasks in caring for the elderly both in the home and aged care facilities. With forward estimates for health spending to be reduced creating challenges especially in the regional area, he expressed the hope that our ACAR application would be successful, as this would extend the effectiveness of our facility in this work. In a recent visit to the Hospital by the Health Minister, Mr. G Neil reported that she was impressed by what we might offer in the way of theatre space.

Motion: Mr. Geoff Neil - that President’s report is received, Seconded: Miss. H Schellekens Carried

Treasurer’s Report:


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The surplus generated during the financial year enabled us to have a buffer to meet all our financial commitments during 2014-15. Declared surplus $377,660 - Grant Held $96,049 = Net surplus $281,611 Segmental Break up - Aged care surplus $107,287 – always been a loss at in excess of $200,000. The Board employed consultants – Provider Assist to assess a number of patients, for a cost of $30,000 which increases income by approximately that amount per month for the financial year. Total income increased in 2014-15 by $360,000 from previous year. - The theatre made a record surplus of $732,854 due to efficiencies gained and being able to reach targets of 1 public cataract eye surgery to 1 privately insured. - Acute care lost $558,530 mainly due to a low occupancy rate. -Department of Health: There are 2 potential no interest recallable loan liabilities. 1. $143,000 in 2011-12 2. $250,000 in 2009-10

Motion: Mr R Southgate moved that the Treasurer’s report be accepted, Seconded: Mr. A McGillivary Carried

CEO/DON Report: Mrs. J Brown spoke of the achievements of the Health Service for the 2014-15 year. See page 16 of the Annual Report 2014-15.

Motion: Mrs. Jacqui Brown moved that the CEO/DON report is received, Seconded: Mrs. S Allen Carried

Fund Raising Report:

Dr. C Lewis presented a commemoration of the Fundraising Committee ten years’ service. Both community fundraising events and applications for grants to the philanthropic fund managers produced distinctive memorable moments. The $50,000 grant from the Ike Euror based Ian Rollo Gurrie Foundation and the 2009 4th July Community fundraising celebration were highlighted. The inauguration of the Fundraising Committee – Mrs E Southgate, Mr L Fewster and Dr C Lewis were recalled along with its terms of reference. - To source funds for essential equipment from the philanthropic funds grants program. - To encourage further generous funds from the local community.


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During the years 2006-15 a number of community fundraising activities were conducted which were most enjoyable and financially successful. 105 applications were submitted to the philanthropic foundations grants program with a success rate of more than 65%. It is now time for others to take over the Fundraising Committee with new ideas and skills. The 2015 Help-a-Life program was recommended as a means of enabling the whole community to extend practical support to the Hospital with donations towards essential equipment. Members were encouraged to do what they can to encourage others to join up as members of the Hospital Association.

Motion: Dr. C Lewis moved that the Fund raising committee report is received Seconded: Mrs. K Fusinato Carried

Election of Auditor:

The Treasurer proposed that Mr. Julius Sommers be appointed as Auditor for the financial year 2015-16.

Motion: This position endorsed by Mr. A McGillivary Seconded: Miss H Schellekens Carried

Staff Service Awards (Mrs. J Brown):

The Staff Service Awards were presented by Mrs. K Irvine NUM and Dr. C Lewis. 30 Years – Mrs. E Lissenden 15 Years – Mrs. E Reid, Mrs. G Scott, Mrs. B Notman (casual), & Mrs. S Sewell (casual) 10 Years – Mrs. J Brown CEO/DON, Mrs. L Silver, Mrs. S Norris (casual) & Mrs. G Notman (casual) 5 Years – Mrs. M Davis, Mrs. M Kelly, Mrs. A Ramage, Mrs. E Mapleson, Mrs. T Buckley (casual), Ms. J Gourley (casual), Mrs. E Payne (casual) & Mrs. M Raudam. Election of Board of Management positions:

Mr. R Southgate – Re-nominated – Elected Mr. A Café – Elected Mr. S Dignum - Elected General Business: Nil. Close and Invitation to refreshments:


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Mrs. J Brown thanked the staff assisting with the meeting. She also thanked those present for their attendance and invited all to enjoy in an afternoon tea. There being no further business the AGM closed at 3:30pm.


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Statistics

YTD - June 2015

ANNUAL TARGET 2015/16

ANNUAL TARGET 2016/17 ACUTE HEALTH UNIT MEASURE

INPATIENTS

Total Separations No. of patients discharged 118 300 219

Restorative Care Separations No. of patients discharged 17 9 9

Total Bed Days Bed Days 3574 4100 5000

RCP Bed Days Bed Days 686 730 730

Average Length of Stay RCP Bed Days 42.9 45 45

Average Length of Stay Bed Days 21.6 10 10

Occupancy Level 1663 61.3% 100% 100%

Med/Surg 1117 51.2% 100% 100%

RCP 686 92% 100% 100%

Theatre Operations No. of Cases 1946 1850 1850

Cataract surgery 1580 1500

Other surgery 366 350


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YTD - June 2016


ANNUAL TARGET 2016/17 AGED CARE UNIT MEASURE

Residents Admitted No. of Admissions 3 N/A N/A

Resident Bed Days Total Bed Days 8330 8760 8760

Respite Bed Days Respite Bed Days 161 405 405

Occupancy Level % 91.6% 100% 100%

Resident Classification ACFI

Activity Daily Living-High % 71.5% 75% 80%

-Medium % 19% 20% 15%

-Low % 9.5% 5% 5%

Behaviour -High % 80.9% 75% 80%

-Medium % 14.2% 20% 15%

-Low % 4.8% 5% 5%

Complex Health Care -High % 34% 70% 75%

-Medium % 23.8% 25% 20%

-Low % 34% 5% 5%

OUTPATIENT/COMMUNITY YTD - JUNE 2016


ANNUAL TARGET 2016/17 SERVICES UNIT MEASURE

ALLIED HEALTH SERVICES

Strength Training Attendances 630 650 650

OTHER SERVICES - Outpatients

Maternal & Child Health Attended Sessions 26 26 26

Emergency Stabilisation Contact Hours 90 150 150

YTD - JUNE 2015

ANNUAL BUDGET 2015/16

ANNUAL TARGET 2016/17 EMPLOYEES UNIT MEASURE

EFT Total Budgeted EFT 41.5 38 41

NB: YTD to JUNE 2016


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Staff Service Awards 2015/2016 40 years Shirley LePage 20 years Lynette Debyl 15 years Suzy Candappa (casual) Ann Ramage

10 years Lorna Brown Sylvia Dawson (casual)

5 years Kate Skipworth

Belinda Behncke Izumi Hiraga

With thanks to every staff member of the Neerim District Health Service for their

commitment, dedication and hard work throughout the year.


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President’s Report

I am pleased to present the President’s report for 2015/16. The Neerim District Soldiers’ Memorial Hospital trading as the Neerim District Health Service made a profit overall, the third in a row and the Board of Management has budgeted for a profit in the 2016-2017 year. The driver of the profit has been the operating theatre which has had a very busy year with more than 1540 cataract operations performed by 5 visiting Ophthalmologists, 700 of these procedures were for public hospital patients from La Trobe Regional Hospital and West Gippsland Healthcare Group lists and covered the whole of Gippsland. The theatre also hosted patient lists for 2 Endoscopists, 1 plastic surgeon, 1 general surgeon and a dental surgeon. Our theatre staff retain their high reputation and the Health Service continues to search for opportunities to increase theatre use. The acute section of the hospital with 8 beds continues to lose money but as it is an important adjunct to the operation of the theatre it remains important and the executive staff are continually working to make it more viable. Tarago Views made a small profit which is remarkable given the poor physical infrastructure that the staff have to work with. During the year we received a number of letters expressing the gratitude of families who’s loved ones were placed in our care. They all spoke about the gentle and loving care offered to their loved ones. This is a testament to the attitude and dedication of our staff. A highlight of the year was the completion and opening of the Wellbeing Centre, new office space and the dedicated palliative care “Forest Room”. The opening ceremony was conducted by the local MLA Harriet Shing in front of about 50 people including Federal and State politicians and local councillors. I thank the Victorian Department of Health for a $95,000 grant, matched by donations from the community and the work of the Hospital Ladies’ Guild in bringing these important improvements to fruition. The Health Service has again been unsuccessful in the ACAR round of Commonwealth grants to refurbish and enlarge our age care facility and to begin a care in the home service. This failure will heavily impact the service in the coming year. The change of direction in aged care funding, signalled by the Commonwealth in 2014 has become very apparent over the last 12 months.


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President’s Report cont. The Department of Aged Care has concentrated on funding large scale, privately owned nursing homes in the more heavily populated areas of the country whilst ignoring the needs of smaller rural communities and their aging population. “Tarago Views” will find it increasingly difficult to compete with these larger, modern facilities for clients even though our ethos of community care for our older citizens will always show itself in superior care for them. The Board of Management and Executive continue to fight strongly on behalf of the community to address these issues. I commend to you the hard work and long hours of CEO Mrs. Jacqui Brown and to all the staff of the Neerim District Health Service over the past year. It is their efforts that has made the year so successful. I thank the Hospital Ladies’ Guild and its volunteers for their hard work in raising extra finance for the facility. I appreciate them greatly. My thanks to the Board of Management which although depleted in numbers has wrestled with the hard questions and come up with good solutions. And lastly to you, the Neerim District Community, you are the owners of the Neerim District Health Service which is a wonderful asset to have in the District. But it will only remain so because of your continued support, not only financially, but in your personal interest and participation in its community service. Mr. Geoff Neil President of the Board of Management


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Chief Executive / Director of Nursing Annual Report, 2015-16

It is my pleasure to present my Annual Report to the members of the Neerim District Health Service.

Our achievements for the 2015-16 year: Our weekly community program in strength training for the

Neerim District continues. We continue to offer student placement for nurses attending

Nursing courses within the TAFE system and also with Careers Australia.

We have attended over 1946 surgical cases with 1580 in Cataract lens surgery.

We have purchased a Verion machine to assist the surgeons with the insertion of lenses in our Cataract surgery.

We have extended the front of the hospital by creating an Allied Health & Training room with a new office space.

We have completed our Palliative care – Forest room. We have repainted the corridors of the facility and replaced bed screens

through aged and acute care. As part of our ‘Help a Life’ campaign the ‘Go for your Life’ brochure has purchased 5

mattresses and 5 recliner chairs thanks to generous donations from our community. Our staff are busy preparing for our Organisational Wide survey with the implementation of

the National Safety & Quality Healthcare Standards in EquipNational through Australian Council on Healthcare Standards implementing many systems and processes in the acute and theatre areas.

New and exciting opportunities continue to be challenging for the Board of Management led by Geoff Neil as President. They discuss strategic plan actions against the 5 pillars of our strategic plan, striving for positive outcomes for the Health Service. The vision and purpose of the Health Service under these pillars enables it to forge a head in a new direction in a more sustainable and viable future, that is not concentrating on finances while also implementing new processes in Business continuity and Quality and Safety management. The members of the Board of Management have also embarked on a mission of Board renewal to ensure new insights and ideas are discussed in our aim of a new direction and more sustainability in the future. All members have represented our community efficiently making valuable contributions in validating management strategies and governance. The Board of Management have also reviewed ideas relating to fundraising with terms of reference reviewed and Sean Dignum, it is forging ahead with new representatives within our community. The climate of fundraising continues to be challenging but watch this space for the Fundraising and Appeals Committee.


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Chief Executive / Director of Nursing Annual Report, 2015-16 cont.

The management team at operational level have reviewed meeting strategies and now meet one on one to set goals for each manager and discuss issues within departments to ensure positive outcomes. We are also reviewing skills required by staff to enable a team environment that is able to move forward embracing opportunities within the Health service to enable our Strategic plan. I remain grateful for Ormond Pearsons’ support in my role as Chief Executive Officer/Director of Nursing for which I thank the Board of Management in their foresight as I continue to move our facility forward. The Board has given endless support with new initiatives always well tolerated and pursued as offered over the last 12 months, for this I thank each and every member of the Board of Management of the Neerim District Health Service.

Our Reception/Administration staff led by Bronwyn Radford has performed in leaps and bounds this year, they have overcome some challenges. Karlee has returned to her position and has accepted the challenge of financial management while Melissa Burton leaves us for Maternity leave later in the year. She will return in 2017.

Melissa has done an outstanding job reviewing the finance port-folio and implementing a new payroll system spending many hours entering and reviewing data. I thank her for her commitment and diligence implementing the new system. The front office has developed into a cohesive team continually providing the service and smiles in the midst of organising the many challenges involved with administering our service. Thank you, all of you, for your hard work in assisting us to achieve positive results in 2015-16. At the time of my report we continue to prepare our Organisation in the implementation of the National Safety & Quality Healthcare Standards in EQuipNational with our hospital accreditation body, Australian Council on Healthcare Standards. Our organisational wide review will take place later this year. The Management team has embraced this challenge as we plan to meet the operational objectives of the Health Service. The operating suite and day surgery continues to provide excellent services and lead the way in the provision of cataract surgery in Gippsland. We have continued our contracts with Latrobe Regional Hospital and West Gippsland Healthcare Group and have provided over 100 extra public surgery sessions to address waiting lists of both facilities. The Staff, including Theatre Nurse Unit Manager Elizabeth Mapleson, is excelling in their outcomes for the Health Service.


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The Board of Management has purchased a number of new pieces of equipment the highlight being a Phaco machine in November to assist in the insertion of Cataract lenses. Also monies raised have enabled the purchase of a new trolley for plastic surgical procedures. Purchases like these ensure we can continue to offer the best possible treatment to the Neerim District, while also attracting new specialists to offer the latest methods of treatment.

Education is essential and ongoing, staff have completed courses on infectious waste, handling and cleaning of Endoscopes to name just two. After a trial period that resulted in a reduction in expenditure, the operating suite now utilizes disposable pillowcases and disposable gowns. Throughout the facility there is a continual awareness, education and importance placed on Infection Control and Occupational Health and Safety. A simple illustration of this at work in Theatre is the rearrangement of the store room and the purchase of wire baskets to replace plastic ones. Liz continues to review policy and procedures for Theatre, her expertise and in-depth knowledge is transparent in the detail and dedication she shows in this extensive task. I thank her for her dedication to the Management team, the support of her team and the invaluable support she offers to me, the Board of Management and the Management Staff.

0

100

200

Surgical 15-16

Surgical 15-16

Figure 1-3 Surgical/Acute outcomes 2015-16


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Cataracts 15-16

Sack. J

Troski. M

Whitney. J

Madhok. P

Ng W

Acute

medical

Surgery

RestorativeCare

NUM Acute and Aged Care - Annual report contribution

Participation by a diverse group of staff in a major Quality improvement program this year has developed many new, exciting ideas and processes to save time, money and effort across the work place. The opportunity for employees to express their thoughts and share in discussion and ideas has proven to be a challenging and unique experience.

Many of the processes reviewed will be of benefit when the Acute Care sector undergoes the Organisational Wide Survey (OWS) for Accreditation in October 2016. Other new ideas and process reviews will improve time management and efficiencies across the organisation.

Acute Care

Preparation for the NSQHS OWS accreditation in October 2016 has been a huge learning experience for all involved. This new level of accreditation requires an extensive amount of input on many levels and will demand a constant focus and high degree of preparation for the survey on 13th and 14th of October 2016.

I would like to thank the RN’s who are involved in major portfolios such as Infection Control, Workplace Health and Safety, Education and Quality for their support and commitment to this process.

We continue to have an agreement with WGHG to provide beds for Restorative care and allocation of these two beds has been reasonably well occupied this year. The variable occupancy in the hospital continues to cause major concern from a revenue basis and despite some months of full occupancy this has not been sufficient to ease losses.

We hope to build on occupancy options by supporting members of the community who may initially need to spend time in tertiary level hospitals, to return to NDHS for ongoing rehabilitation and recuperation prior to eventually returning home. The management team are also working closely together to increase our surgery options both in theatre bookings and diversity of surgery offered.


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NUM Acute and Aged Care - Annual report contribution cont.

The addition of the Health and Wellbeing Centre as part of the hospital redevelopment will also increase our options for physiotherapy, exercise, strength training for patients, residents and the wider community.

The Acute hospital has again been used by Registered Training Offices for placement of students completing the Diploma in Nursing. This 4-week placement requires the support and mentoring of our Registered Nurses and Educator and I thank them for their involvement with these students.

We are grateful for the generous donations from the “Go for your Life” fundraising which has allowed the purchase of new, comfortable recliner chairs in the hospital rooms and the replacement of mattresses in Aged Care.

Aged Care

The team at Tarago Views continue to show their dedication and care to our residents. We continue to receive positive feedback from the current families and community on the warm, caring and family vibe within the facility.

A major addition to the care facility has been the Forest Room which will allow for dignified, private, family supported care for residents during their final days.

Many families of past and present residents donated money, time and ideas to achieve this result. The Ladies’ Guild and other grants have enabled the purchase of equipment to assist with the care of these residents.

The “Golden Years Art Group” continues under the expert guidance of Joan Bognuda and our Diversional Therapy team. This therapy gives enjoyment to several of the residents and continues to highlight the talent present amongst the participants.

A music therapy area has been developed with the support of a resident’s family and is used regularly to reduce agitation and restlessness in our residents with dementia.

The shared bathrooms received a major upgrade which has allowed care staff easier access when attending to hygiene care and provided a cleaner and aesthetically appealing area for residents.

We continue to mentor and support a number of students from various Registered Training Organisations and Universities in their aged care placement requirements. This has meant that we can selectively continue to recruit staff who may want to work at the facility after their placement experience is completed.

The care staff members continue their commitment to learning new skills and updating knowledge of dementia care, palliative care and other important aspects of Aged Care. This will be of long term benefit to patients and residents alike.


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NUM Acute and Aged Care - Annual report contribution cont.

I would like to thank my CEO/DON and the Board of Management for their support and guidance over this last year. I hope that we can look forward to further growth and financial stability in the year ahead.

Mrs. Kathy Irvine NUM Acute and Aged Care

Community exercise program continues every Friday morning 10-00 to 11-00 finishing with a cup of tea or coffee.

This program is designed for older adults regardless of health status, all that is needed is an authority from your General Practitioner to participate. The program combines strength training, aerobics, balance and flexibility. The aim of the program is to keep older persons active in a fun manner.

So come join a fun loving group at Algie Hall first week free then $10 a week. You won't regret it.

Tarago Views Aged Care runs a weekly seated exercise program for all residents. The program is tailored to individual needs of our residents with about 50% participation.

The program is designed to encourage our residents to keep mobile regardless of their limitations in a safe enjoyable atmosphere.

Our aim at Tarago Views is to increase strength to assist in preventing falls, encourage social interaction and give all participating resident’s a feeling of belonging to their exercise group.


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Tarago Views is feeling the pressure of resident’s higher acuity and staff has had a busy year Our level of occupancy is becoming difficult to maintain at over 95% to achieve targets set for 2015/16 but with the resident funding reviews attended, we are finally looking at a viable financial model into the future. This is only sustainable through the hard work and persistence of our dedicated Aged Care staff. Management is working hard to successfully achieve funding for the renovation of the area and create a dementia specific ward with our dream expansion plans to create a lifestyle for our aged more aligned to society demands.

I would like to extend my deepest gratitude to Kathy Irvine and all the aged care staff from the Division 1 and 2 nurses to the personal care workers for their continued support, friendship and caring of our patient’s and resident’s over the last 12 months.

The Health Service has continued within the community to encourage support and advice in patient and resident care matters relating to the business of the Neerim District Health Service.

Interested members of many local groups have met monthly and reviewed items as part of the Community Liaison Group including health service flyers, brochures and handbooks available to patients at the Health Service. I look forward to an interesting and informative journey with this enthusiastic group in our future direction with the appointment of a chairperson to lead in areas of patient centered care appraisal and recommendation to the Board of Management.

To Dr Elizabeth Fitzgerald, Dr Steven Jedynak and Dr Dennis Joyce, with their dedicated registrars that attend our service on rotations and provide commitment to the facility at all hours of the day and night, your support and contributions at meetings and developing processes that form the way NDHS does business is appreciated very much by all the management team.

We are looking forward to the results of a feasibility study to provide home care for our residents within our community.

Our thanks again for your continued support assisting us with our goals for the success and viability of the Neerim District Health Service and also for your friendship and commitment over the many years you have been associated with the Neerim District Soldier’s Memorial Hospital, the Veterans and Neerim district community.

Our Physiotherapist, Mr Phil Hunter who works tirelessly in providing mobility support for our patients and residents, we thank you for your ongoing service and for your contribution.

We are looking forward to continued support for our patients with the development of an Allied Health space.

The Neerim South Pharmacy provides an invaluable service to our facility. Phil Lo with his locum and part-time Pharmacist, Narai Jung have again provided us with exceptional services and always a smile. It is our pleasure to work with you. Thank you to Phil, Narai, Brydie and his team.


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Chief Executive / Director of Nursing Annual Report, 2015-16 cont

Led by Alison Adams, Hotel Services continues to make a valued contribution to our Health Service. Working closely with other departments, the team ensures individual nutritional needs are addressed, provides meals to the local community through meals on wheels, caters for special occasions like ANZAC day, staff training and of course our AGM. Hotel Services also ensures a clean, hygienic environment and liaises with Infection Control and Occupational Health and Safety to meet Standards, exceed expectations and always provide service with a smile.

I would also like to thank our maintenance officer Shane McCabe, for exceptional contributions to the Team. Shane came to us with many skills in renovating and maintenance tasks. He has been busy consolidating his role and learning all the very different aspect of maintaining a Health Service. We thank Shane for his tireless contribution and for his friendship.

Finally, my report is not complete without acknowledging the volunteers from all areas of our community. A special thankyou to all for your commitment and friendship, always presented with a smile.

The Ladies’ Guild as always have contributed in so many ways, their contribution to the fitout of the Forest room to ensure comfort for our residents is very much appreciated. The many activities planned by the small group are invaluable to our health service and we are all looking forward to a twilight fete later this year. For all the hard work and achievements for the health service I say a heartfelt thank you to each and every one of the group and we all look forward to your continued successful fundraising.

The pink ladies are not forgotten and also the volunteer members of our community who come to help our residents and support our staff in the many tasks to be attended. I thank all our wonderful volunteers for their commitment to our service and contributions that assist us to make the team complete, that is the Neerim District Health Service.

Neerim District Health Service continues through many challenges every year but also many rewards have come our way and I thank our community for their support of changing circumstances, commitment and dedication. Mrs. Jacqui Brown Chief Executive Officer/Director of Nursing


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Treasurer’s Report

For the third year in a row it is pleasing to report a surplus. The surplus this financial year is $159,060. The surpluses over the past three years have enabled the Health Service to have sufficient cash flow to meet all commitments on a monthly basis and also to establish term deposits totaling $200,000. Although the Health Service has continued to consolidate its financial position, to continue to be viable, there is an urgent need to upgrade the old facilities, particularly the nursing home area. The surplus of $159,060 is below the budgeted surplus of $490,000. The reduced surplus was due to extraordinary costs. After twelve month negotiations, there was wage back pay on a new enterprise bargaining agreement. The other significant additional costs were for urgent roof repairs and additional funding to supplement a Bush Nursing grant to redevelop the administration area. During the financial year the Health Service paid out a theatre loan of $75,000 for a microscope and also purchased other new equipment totaling $75,000 this other equipment will be used in the theatre to assist with eye surgery. The Health Service has an overdraft facility, with Neerim District Community Bank, of $170,000, it is very pleasing to report that we retained the facility as a buffer during the financial year but were able to operate the account in credit for the whole financial year. The income from our facility for the financial year was $6,338,562 with expenses totaling $6,217,154. The segment break up showed surpluses in Aged Care of $85,575 and Theatre $660,310 with a loss in Acute of $586,825. The financial support we receive on a regular basis is much appreciated and I would like to acknowledge contributions from Government Departments, Neerim District Community Bank, Baw Baw Shire, various trusts, Neerim District Lions Club, other service clubs throughout Gippsland, support groups such as the Ladies’ Guild, plus some significant donations from individual community members. In my role as treasurer I also appreciate the cooperation of all the Health Service staff that have assisted me in obtaining critical financial information to assist the Board and finance committee to make critical and informed decisions. Mr. Robert Southgate Treasurer


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Appeals and Fundraising Committee Report

A decision was made at the end of the 2015-16 financial year to form a new Appeals and Fundraising Committee to assist the Board of Management and Health Service Executive in the planning, coordination and implementation of all fundraising activities in support of the hospital.

The objectives of the Committee are to:

Develop the fundraising strategy for the Health Service

Implement, monitor and evaluate the fundraising strategy

Identify a register of existing and potential sponsors and funders

Guide development of proposals to submit to sponsors and funders

Assume leadership for fundraising activities, such as an annual appeal and individual events

Manage interactions with sponsors/funders

The Committee, which includes two members of the Board of Management and up to four members of the community, reports directly to the Board.

Mr. Sean Dignum Appeals and Fundraising Committee


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Visiting Medical Officer’s Report

I am pleased to report to the 2015/2016 Annual General Meeting of Neerim District Soldiers’ Memorial Hospital Inc. We are responsible for 24-hour care for patients in the Hospital and Nursing Home.

Hospital and Nursing Home Services are both important in community health management and a valuable contribution to the local economy. The business is an integral part of the towns health network and provides valuable employment and service to the local community. Hospital occupancy for 2015/2016 was approximately 56.2% across all services and Neerim District Soldiers’ Memorial Hospital has again delivered a profit for this financial year.

The Medical Advisory Committee meets quarterly and assists with regulatory and strategic medical issues. Review of quality and processes is undertaken to ensure safety and appropriate standard of medical care. The hospital and nursing home provide good quality accredited medical and surgical service.

We welcome the Tarago Gardens independent living units under construction in Neerim South. This project is well underway and will meet a growing need as our population ages. We are well placed, and very willing to provide medical services as required for residents of this new development. Our role in patient care is supported by the nursing staff of the hospital, the nursing home and the administration. On behalf of General Practitioners at Neerim South Medical Centre, I sincerely thank all the staff for their assistance and co-operation. Without exception it is delivered in a most obliging and professional manner and is genuinely valued and appreciated. Dr. Elizabeth Fitzgerald Dr. Stephen Jedynak

Dr. Dennis Joyce Visiting Medical Officers The hospital continues to be supported by a number of visiting medical officers: Dr. Elizabeth Fitzgerald - General Practitioner Dr. Anamalay Ayasamy - Dentist Dr. Stephen Jedynak - General Practitioner / Anaesthetist Dr. Mark Troski – Opthalmologist Dr. Julian Sack - Opthalmologist Dr. Dennis Joyce - General Practitioner Dr. Jill Whitney - Opthalmologist

Dr. Pradeep Madhok - Opthalmologist Dr. Weng Ng - Opthalmologist Prof. Colin Goodchild- Anaesthetist Mr. Philip Hunter - Physiotherapist

Dr. Grant Harrison – Anaesthetist Dr. Jenny King – Anaesthetist Mr. David Merenstein - General Surgeon Dr. Peter Snider - Anaesthetist

Dr. Brindi Rasaratnam - Gastroenterologist Dr. Amir Safe - Gastroenterologist Mr. Tom Robbins - Plastic Surgeon Mr. Phil Lo - Pharmacist


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Ladies’ Guild Report In presenting this report on the fundraising efforts of the Ladies’ Guild, the following office bearers for the year have been: Jenny Neil – President June Wachter – Vice President Margery Price – Secretary Catie Langelaan – Assistant Secretary Margaret Booth – Treasurer We thank all the members of the Ladies’ Guild for their dedicated assistance in our fundraising efforts. Thanks go to many people in the community who knit, sew, cook, provide plants for our stalls and provide donations of items for our raffles. Street stalls outside the Milk Bar have been very successful in raising funds together with many raffles held. Thanks to the Milk Bar owners. We participated in a clothing sale at the Hall and thank many people for their donations. Our Annual Fete held in November raised approximately $4,000. A stall at Rokeby Market and a stall at the Jindivick Flower and Craft show also helped the fundraising efforts. The Neerim Show committee paid for us to supply scones for their Devonshire teas. A donation of $500 was given by the Ladies’ Guild to the nursing home as a Christmas present for the benefit of residents. The Ladies’ Guild has contributed to the Hospital a Quick-Rinse system and a new Laundry Trolley last financial year. Our treasurer has left us to travel Australia and thank her for many years of assistance. Joyce Edney had been a loyal member for many years and passed away this year. We send condolences to the family. Three meetings were cancelled this year due to absences. We would appreciate more people to join the Ladies’ Guild to help us in our fundraising efforts – please contact the Secretary. Our thanks go to Jacqui Brown, Bronwyn Radford and staff for their assistance. Thanks also go to Bob Southgate who audited our books again this year. Mrs. Margery Price Secretary Ladies’ Guild of Neerim District Hospital and Tarago Views PO Box 498 Neerim South, 3831


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Community Liaison Group Report The Community Liaison Group was formed in August 2014. Its aim is to be an interface between the

local Community and Neerim District Health Service (NDHS).

According to its Terms of Reference - its purpose is twofold:

1. To be an advisory group established by the Neerim District Soldiers’ Memorial Hospital Board

of Management which comprises consumers and carers including those from diverse

backgrounds that use the services provided.

2. Provides a structured partnership between consumers and carers and the Health Service and

may provide advice, direction and guidance to the Health Service on safety and quality issues

as identified in these terms of reference.

The group was formed from within the Neerim district community; various community groups and

organisations were approached, representatives nominated by their representative group were co-

opted by invitation to the group from the Board of Management, Neerim District Soldiers’ Memorial

Hospital. Various people have served on the group since August 2014, thank you. Jenny Muir and Sean

Dignum resigned this year. Thankyou both for your valuable contribution.

As of the 10th of August 2016 the current members are Merilyn Rochford, Margery Price, Rev Dr John

Batt, Geoff Neil, Glen Chapman, John Gatford and Pamela Trppier. The attendance numbers have

fluctuated between 4 to 8 participants at meetings. Up until recently the CEO Jacqui Brown has

attended and provided valuable input and helpful suggestions.

The committee met monthly at the community rooms at the Bendigo Bank until the completion of the

new Health and Wellbeing Centre, Neerim District Health Service. Thank you to the Bendigo Bank for

the use of the community room.

The Liaison Group discusses various aspects of the life of the hospital and offers suggestions and input

into community expectations as per the Health Service and its interaction with community members.

The meetings are relaxed but also structured with diverse issues discussed such as capital projects,

specifically a review of Palliative care room design; plans for aged care expansion; bathroom

renovation; mother and baby education; the new NDHS website and the Day Surgery questionnaire.

The discussion is followed by suggested action required, a person responsible for action appointed and

an expected outcome. Agendas are distributed and Minutes are taken.

Rev. Dr. John Batt Chair Community Liaison Group


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Neerim District Community House and Men’s Shed Inc Report The Neerim District Community House & Men’s Shed organisation is pleased to be invited to again contribute to the Annual Report of the Neerim District Health Service. During the past twelve months we have continued to use the former ambulance bay at the rear of the hospital as a meeting room for the numerous groups associated with our organisation. These groups include the Committee of Governance, craft group, Men’s Shed and the former Tarago T.O.W.N. group is now an integral part of our organisation after reforming as the GOAL group. The room has also been used for community functions organised by our organisation, such as Australia Day, and by other community groups such as the Hospital Auxiliary. It is pleasing that the room has also been used for hospital training programs. The fundamental aim of the Neerim District Community House & Men’s Shed is to support the health and general wellbeing of our members. As such, we believe that our numerous activities both within the former ambulance bay and in other locations are consistent with the goals of the Neerim District Health Service. The use of the former ambulance bay has proved to be of great benefit to our organisation and has given us the opportunity to grow bigger and stronger. May we sincerely thank the Neerim District Health Service for it’s support. Mr. Ian Manley Chair NDCH&MS


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NEERIM DISTRICT SOLDIERS’ MEMORIAL HOSPITAL INC ABN: 77 228 450 675

FINANCIAL REPORT

FOR THE YEAR ENDED 30 JUNE 2016


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NEERIM DISTRICT SOLDIERS’ MEMORIAL HOSPITAL INC

CONTENTS

Balance Sheet 32 Income Statement 33-34 Statement of Comprehensive Income 35 Cash Flow Statement 36 Statement of Changes in Equity 37 Notes to the Financial Statements 38-45 Residential Aged Care Segment Information 46 Statement by the Board of Management 47 Audit Report including Auditor's Independence Statement 48-50

NEERIM DISTRICT SOLDIERS MEMORIAL HOSPITAL INC


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BALANCE SHEET AS AT 30 JUNE 2016 ___________________________________________________________________________ Note 2016 2015 $ $ CURRENT ASSETS Cash assets 7(a) 1,506,401 1,704,576 Receivables

- In-patient Debtors 541,493 242,726 - Other Trade Debtors 18,882 22,282 - Less Provision for Doubtful Debts (35,000) (35,000)

TOTAL CURRENT ASSETS 2,031,776 1,934,584 NON CURRENT ASSETS Property, plant and equipment 2 2,263,943 2,155,521 TOTAL NON CURRENT ASSETS 2,263,943 2,155,521 TOTAL ASSETS 4,295,719 4,090,105 CURRENT LIABILITIES Payables 3 856,069 471,741 Provisions 4 565,807 554,816 Interest bearing liabilities 5 750 2,493 Other 6 753,670 1,018,071 TOTAL CURRENT LIABILITIES 2,176,296 2,047,121 NON CURRENT LIABILITIES Interest bearing liabilities 5 - 82,621 TOTAL NON CURRENT LIABILITIES - 82,621 TOTAL LIABILITIES 2,176,296 2,129,742 NET ASSETS 2,119,423 1,960,363 EQUITY Retained surplus 8 1,518,662 1,359,602 Asset revaluation reserve 600,761 600,761 TOTAL EQUITY 2,,119,423 1,960,363

The accompanying Notes form part of this statement


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NEERIM DISTRICT SOLDIERS MEMORIAL HOSPITAL INC INCOME STATEMENT FOR THE YEAR ENDED 30 JUNE 2016

___________________________________________________________________________ Note 2016 2015 $ $ REVENUE Revenue from Operating Activities Accommodation charges 61,197 93,334 Daily Accommodation Payments 14,101 - Patient fees – Acute Care 610,249 485,584 - Aged Care 416,658 422,980 - Theatre 3,491,473 3,072,954 Government funding – Commonwealth (Aged Care) 1,555,490 1,515,960 Government Grant Funds – State (Hospital) 82,538 82,538 Recallable Grant 18 - - Fundraising and donations 45,611 36,135 Interest received 33,838 37,436 Other income 27,407 38,951 Total Revenue from Operating Activities 6,338,562 5,785,872 Revenue from Non-Operating Activities Gain on sale of asset - - Specific Purpose Equipment Grants 17 14,000 140,614 State Government Funding - - Bequests/Other Income _23,652 12,844 37,652 153,458 TOTAL REVENUE 6,376,214 5,939,330 EXPENSES Energy costs (93,336) (89,478) External contracts 15 (1,400,249) (1,031,078) Depreciation (237,754) (255,519) Bad & Doubtful Debts - - Insurance (75,970) (77,840) Interest (4,022) (5,159) Linen (59,221) (57,412) Repairs and maintenance (104,303) (102,130) Supplies (769,006) (760,435) Employee benefits: 16 (3,236,079) (2,898,636) Rounding (5) - Other expenses (237,049) (283,983) Total Expenses from Operating Activities (6,216,994) (5,561,670)



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NEERIM DISTRICT SOLDIERS MEMORIAL HOSPITAL INC INCOME STATEMENT FOR THE YEAR ENDED 30 JUNE 2016 cont.

___________________________________________________________________________ Note 2016 2015

$ $ Expenses from Non-Operating Activities Loss on sale of assets (160) - Review & restructure costs ________- - (160) - TOTAL EXPENSES (6,217,154) (5,561,670) Surplus/(Deficit) from Operating Activities 121,568 224,202 Surplus/(Deficit) from Non-Operating Activities 37,492 153,458 NET SURPLUS/(DEFICIT) FOR YEAR 159,060 377,660



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NEERIM DISTRICT SOLDIERS MEMORIAL HOSPITAL INC STATEMENT OF COMPREHENSIVE INCOME

FOR THE YEAR ENDED 30 JUNE 2016 ___________________________________________________________________________ Note 2016 2015 $ $ Surplus/(Deficit) from Operating Activities 121,568 224,202 Surplus/(Deficit) from Non-Operating Activities 37,492 153,458 NET SURPLUS/(DEFICIT) FOR YEAR 159,060 377,660 OTHER COMPREHENSIVE INCOME Changes in asset revaluation reserves - - Other comprehensive income _______- - Total Other Comprehensive Income - - TOTAL COMPREHENSIVE INCOME 159,060 377,660



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CASH FLOW STATEMENT FOR THE YEAR ENDED 30 JUNE 2016

_____________________________________________________________________

Note 2016 2015 $ $ CASH FLOWS FROM OPERATION ACTIVITIES Receipts from patients 4,518,380 3,981,518 Receipts from government

- Aged Care Funding 1,555,490 1,515,960 - Grants - -

A & E Funding 82,538 82,538 Receipts for fundraising, donations and other 171,968 181,264 Interest received 33,838 37,436 Payments to suppliers and employees (5,966,828) (5,354,771) Loss on Sale of Assets (160) - Interest paid (4,022) (5,159) GST (paid)/received 7,357 (4,477) NET CASH PROVIDED BY OPERATING ACTIVITIES 7(b) 398,561 434,309 CASH FLOWS FROM INVESTING ACTIVITES Payment for property, plant and equipment (346,335) (126,595) Proceeds from sale of property, plant and equipment _______- - NET CASH USED IN INVESTING ACTIVITIES (346,335) (126,595) CASH FLOWS FROM FINANCING ACTIVITES State Government Funding – Non operating Income - - Specific Purpose Equipment Grants 14,000 140,614 Net proceeds from borrowings - - Net (repayment)/proceeds from accommodation bonds (264,401) 153,791 NET CASH USED IN FINANCING ACTIVITIES (250,401) 294,405 Net increase/(decrease) in cash held (198,175) 602,119 Cash at the beginning of the year 1,704,576 1,102,457 CASH AT THE END OF THE YEAR 7 1,506,401 1,704,576


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NEERIM DISTRICT SOLDIERS MEMORIAL HOSPITAL INC STATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 30 JUNE 2016

_____________________________________________________________________

Note 2016 2015

$ $

EQUITY Balance at beginning of year 1,960,363 1,582,703 Changes in Reserves - - Net surplus/(deficit) 159,060 377,660

Balance at end of year 2,119,423 1,960,363

TOTAL EQUITY 2,119,423 1,960,363


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NEERIM DISTRICT SOLDIERS MEMORIAL HOSPITAL INC NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEAR ENDED 30 JUNE 2016 ___________________________________________________________________________________ NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES This financial report is a General Purpose Financial Report that has been prepared in accordance with Australian Accounting Standards, Urgent Issues Group Consensus Views and other authoritative pronouncements of the Australian Accounting Standards Board and the requirements of the Associations Incorporations Act of Victoria. The financial report covers the Neerim District Soldiers Memorial Hospital Incorporated as an individual entity. The Board have determined that the Hospital is a not for profit entity as the principal objective is not the generation of profit. The Hospital is incorporated in Victoria under the Associations Incorporation Act. The financial report is prepared on an accruals basis and is based on historical costs and does not take into account changing money values or, except where stated, current valuations of non-current assets. Cost is based on the fair values of the consideration given in exchange for assets. The financial report may not fully comply with International Financial Reporting Standards (IFRS) as some Australian equivalents to IFRS relating to not for profit entities are inconsistent with IFRS. The following is a summary of the material accounting policies adopted by the Board in the preparation of the financial report. The accounting policies have been consistently applied unless otherwise noted.

(a) The accounts comprise the operations of the Neerim District Soldiers Memorial Hospital and Nursing Home, which includes the operation of a Capital Account and maintenance of Accommodation Bonds on behalf of several residents in the Nursing Home.

(b) Property Plant and Equipment Property, plant and equipment are brought to account at cost less, where applicable, any accumulated depreciation. The carrying amount of property, plant and equipment is reviewed annually by the Board to ensure it is not in excess of the recoverable amount from these assets. The recoverable amount is assessed on the basis of the expected net cash flows that will be received from the assets employment and subsequent disposal. The expected net cash flows have been discounted to their present values in determining recoverable amounts. The depreciable amount of all fixed assets including buildings are depreciated using the straight line method over their useful lives commencing from the time the asset is held ready for use. The depreciation rates used for each class of depreciable asset are:- Rate Buildings 2.5% to 10% Plant and equipment 4.5% to 30%

(c) Employee Benefits

Provision is made for the hospital’s liability for employee benefits arising from services rendered by employees to balance date. Employee benefits expected to be settled within one year, together with


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FOR THE YEAR ENDED 30 JUNE 2016 ___________________________________________________________________________________ NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES

benefits arising from wages and salaries and annual leave, which will be settled after one year, have been measured at the amounts expected to be paid when the liability is settled. Other employee benefits payable later than one year have been measured at the present value of the estimated future cash outflows to be made for those benefits.

Contributions are made by the Hospital to employee nominated superannuation funds and are charged as expenses when incurred.

(d) Cash

For the purposes of the statement of cash flows, cash includes: (i) Cash at bank, and (ii) Cash on hand.

(e) Revenue Revenue is recognised on delivery of the service to customers, or on receipt in the case of grants and fundraising revenue. Interest revenue is recognised on receipt.

(f) Goods and Services Tax (GST) Revenues, expenses and assets are recognised net of the amount of GST, except where the amount of GST incurred is not recoverable from the Australian Taxation Office. In these circumstances the GST is recognised as part of a cost of acquisition of the asset or as part of an item of the expense. Receivables and payables in the Balance Sheet are shown inclusive of GST.


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FOR THE YEAR ENDED 30 JUNE 2016 ___________________________________________________________________________________

2016 2015 $ $ NOTE 2: PROPERTY, PLANT AND EQUIPMENT Land and buildings at cost and valuation 3,588,771 3,341,839 Less accumulated depreciation (1,646,235) (1,535,209) 1,942,536 1,806,630 Plant and equipment at cost 2,300,644 2,447,287 Less accumulated depreciation (1,979,237) (2,098,396) 321,407 348,891 Total property, plant and equipment 2,263,943 2,155,521 Movements in property, plant and equipment Land & Plant & Total Buildings Equipment Balance at beginning of year 1,806,630 348,891 2,155,521 Additions 246,932 114,404 361,336 Disposals - (15,160) (15,160) Depreciation (111,026) (126,728) (237,754) Balance at end of year 1,942,536 321,407 2,263,943 Office extensions worth $175,579 were completed this year, and are included in additions to Land & Buildings above. Bathroom renovations of $36,169 and Palliative Care renovations of $15,733 are also included.

NOTE 3: PAYABLES Accounts payable 691,299 358,214 GST payable/(receivable) 148 (7,208) PAYG tax payable 27,538 23,865 Superannuation payable 25,182 22,232 Accruals 103,036 65,772 Other creditors and accruals 8,866 8,866 856,069 471,741


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FOR THE YEAR ENDED 30 JUNE 2016 ___________________________________________________________________________________

NOTE 4: PROVISIONS Annual leave 246,289 208,463 Long Service Leave 319,518 346,353 565,807 554,816

2016 2015 $ $ NOTE 5: INTEREST BEARING LIABILITIES Current Bank overdraft (facility limit $170,000) - - MasterCard _750 2,493 750 2,493 Non Current Loan – Alcon - 82,621 - 82,621 The Bank overdraft facility is secured by a registered first mortgage over hospital land and buildings situated on 29 Main Road, Neerim South, and a charge over the business including bed licenses. The title to medical equipment, acquired by the loan from Alcon, was transferred to the hospital when the loan was paid out in 2015_16.

NOTE 6: OTHER CURRENT LIABILITIES Accommodation bonds 753,670 1,018,071

NOTE 7: NOTES TO THE CASH FLOW STATEMENT (a) Reconciliation of Cash For the purpose of the Cash Flow Statement, the Hospital considers cash to include cash on hand and in banks and investments in money market instruments. Cash at the end of the reporting period as shown in the Cash Flow Statement is reconciled to the related items in the statements of financial position as follows: Cash on hand and at bank - Term Deposits 1,137,099 1,301,630

- Accommodation Charges Account - - - Capital Equipment Account 7,549 53,177

- Petty Cash ____200 200 Cash Assets 1,144,848 1.355,007 Bank /(Overdraft) 361,553 349,569 1,506,401 1,704,576

The Term Deposits are held for the specific purpose of meeting repayment of accommodation bonds, and to cover the provision for Long Service Leave.


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FOR THE YEAR ENDED 30 JUNE 2016 ___________________________________________________________________________________ (b) Reconciliation of Net Cash provided by Operating Activities to Operating Surplus Surplus/(deficit) 159,060 377,660 Rounding 5 - State Government Funding - - Specific Purpose Equipment Grants (14,000) (140,614) Depreciation 237,754 255,519 (Profit)/Loss on sale of plant & equipment 160 - Changes in assets and liabilities Increase/(decrease) Credit Cards (1,742) 2,559 (Increase)/decrease in receivables (295,367) 63,792 Increase/(decrease) in payables 301,700 (108,185) Increase/(decrease) in provisions 10,991 (16,422) Net cash provided by operating activities 398,561 434,309

2016 2015 $ $ NOTE 8: RETAINED SURPLUS Balance at beginning of year 1,359,602 981,942 Net surplus/(deficit) 159,060 377,660 Balance at end of year 1,518,662 1,359,602

NOTE 9: REMUNERATION OF AUDITOR Audit of financial report 3,800 3,778 Audit of prudential compliance statement _ 500 500 4,300 4,278

NOTE 10: RELATED PARTY TRANSACTIONS There were no related party transactions.


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NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2016

___________________________________________________________________________________ NOTE 11: SEGMENT REPORTING Attachment 1 The hospital operates in the health care sector in the Neerim South district. Residential 2016 Acute Aged Care Theatre Total Revenue 734,508 2,118,351 3,523,355 6,376,214 Expenses (1,321,333) (2,032,776) (2,863,045) (6,217,154) Net surplus/(deficit) (586,825) 85,575 660,310 159,060 Residential 2015 Acute Aged Care Theatre Total Revenue 715,631 2,127,408 3,096,291 5,939,330 Expenses (1,178,112) (2,020,121) (2,363,437) (5,561,670) Net surplus/(deficit) (462,481) 107,287 732,854 377,660 Note: The 2015 figures include income of $96,049 from the Department of Health for office extensions, and $44,565 being Grants from various non-government organisations for the purchase of specified equipment. The specified equipment was not all purchased prior to balance date, but will be fully expended early in the next financial year. The income is included in Revenue apportioned across all departments.

NOTE 12: ASSOCIATION DETAILS The principal place of business of the hospital is Main Road, Neerim South.

NOTE 13: ONGOING VIABILITY OF HOSPITAL Despite the deficit in operational current assets, and considering the net surplus this year due to numerous measures taken by the Board throughout the year, the financial report has been prepared on the going concern basis.


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FOR THE YEAR ENDED 30 JUNE 2016 ___________________________________________________________________________________ NOTE 14: FINANCIAL INSTRUMENTS

(a) Interest Rate Risk The hospital’s exposure to interest rate risk, which is the risk that the Financial instrument’s value will fluctuate as a result of changes in market interest rates and the effective weighted average interest rates on classes of financial assets and financial liabilities, is as follows:

Weighted Non Interest Variable Fixed Interest Rate Total Average Bearing Interest Maturing Interest Rate Within 1 Yr 1 to 5 Yrs

2016 % $ $ $ $ $ Financial Assets -Cash 0.40 - 369,302 - - 369,302 - Term Deposits 2.55 1,137,099 - - 1,137,099 -Receivables N/A 525,375 - - - 525,375 Total Financial Assets 525,375 1,506,401 - - 2,031,776 Financial Liabilities -Payables N/A 856,069 - - - 856,069 -Accom. bonds N/A 753,670 - - - 753,670 -Bank O/Draft 7.55 - - - - - -Credit Card 13.99 - 750 - - 750 -Borrowings 0.00 - - - - - -Borrowings 0.00 - - - - - Total Financial Liabilities 1,609,739 750 - - 1,610,489 (b) Credit Risk The maximum exposure to credit risk, excluding the value of any collateral or other security, at balance date recognised as financial assets is the carrying amount, net of any provisions for doubtful debts, as disclosed in the balance sheet and notes to the financial statements. The hospital does not have any material credit risk exposure to any single debtor or group of debtors under financial instruments entered into by the hospital. (c) Net Fair Values The carrying amount of financial assets and liabilities recorded in the financial statements represents their respective net fair values.


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NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2016

___________________________________________________________________________________ 2016 2015

NOTE 15: EXTERNAL CONTRACTS $ $

Allied Health 7,732 14,684 Interim Care Consultations 42,103 7,372 Public Cataract Costs 1,350,414 1,009,022 1,400,249 1,031,078

NOTE 16: EMPLOYEE BENEFITS Salary & Wages - including leave payments 2,910,372 2,626,417 Superannuation 314,716 288,642 Increase/(Decrease) in provision for Annual Leave 37,826 (17,727) Increase/(Decrease) in provision for Long Service Leave (26,835) 1,304 3,236,079 2,898,636 Any decreases in Annual Leave and Long Service Leave provisions reflect leave payments made during the year, which have reduced the future liability estimates. The Long Service Leave provision includes a reduction of estimated future liability of $22,459 due to a change in Accounting Estimates as from 1st July 2012. Annual Leave and Long Service Leave will continue to be calculated at the time of payment to the employee.

NOTE 17: SPECIFIC GRANTS $ 4,000 from William Angliss Charitable Fund for air conditioning $10,000 Grant from Baw Baw Shire for general maintenance. These funds were spent during the year and some continue into the new financial year.

NOTE 18: CONTINGENT LIABILITIES The State Government Grant of $143,000 received in the 2011_12 year and $250,000 received in the 2009_10 year are recallable grants, and as such there is a possibility that they may be repayable in the future, if the Government deem that the hospital is in a strong financial position and has the capacity to pay.


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Neerim District Soldiers Memorial Hospital Inc. ABN: 77 228 450 675

NAPS ID = 1359 Segment Information (SSI)

Residential Aged Care Attachment 1

INCOME STATEMENT

REVENUE 2015-16 2014-15 EXPENSES 2015-16 2014-15

Operating Revenue

Commonwealth subsidies 1,555,490 1,515,960 Wages & superannuation - care 1,140,164 1,029,000

State grants 0 0 Wages & superannuation - admin 62,715 121,637

Resident/client charges 477,208 491,817 Wages & superannuation - other 301,238 288,293

Bond retentions 14,101 24,120 Management fees

Interest 18,611 27,551 Depreciation & amortisation 137,255 147,504

Trust distributions Interest 1 158

Donations & contributions 27,505 17,887 One-off expenses 0 3,701

Other operating revenue 9,932 15,953

Total operating revenue 2,102,847 2,093,288

Non-operating revenue Staff on-costs (ex superannuation) 4,155 6,783

Capital grants 9,000 32,815 Building/repairs & maintenance 29,390 47,973

Profit/loss on sale of assets 0 0 Insurance 41,363 26,963

Revaluation increase/(decrease) Motor vehicles 2,131 1,305

Insurance claims Rent

Other non-operating revenue 6504 1305 Utilities 51,405 49,330

Other expenses 262,959 297,474

Totan non-operating revenue 15,504 34,120

TOTAL REVENUE 2,118,351 2,127,408 TOTAL EXPENSES 2,032,776 2,020,121

NET PROFIT (BEFORE TAX) 85,575 107,287

BALANCE SHEET

ASSETS 2015-16 2014-15 LIABILITIES 2015-16 2014-15

Current assets Current liabilities

Cash 967,865 1,251,780 Short term borrowings 0 0

Liquid assets (non cash) Trade payables 406,182 209,210

Trade receivables 10,952 12,924 Employee provisions 418,507 386,677

Inventory Accomodation bonds 753,670 1,018,071

Other current assets Other current l iabilities 435 962

Total current assets 978,817 1,264,704 Total current liabilities 1,578,794 1,614,920

Non-current assets Non-current liabilities

Loans Long term borrowings 0 0

Property, plant & equipment 1,328,739 1,262,263 Employee provisions

Investments Accomodation bonds

Intangibles Other non-current l iabilities

Other non-current assets

Total non-current assets 1,328,739 1,262,263 Total non-current liabilities 0 0

TOTAL ASSETS 2,307,556 2,526,967 TOTAL LIABILITIES 1,578,794 1,614,920

NET ASSETS 728,762 912,047


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NEERIM DISTRICT SOLDIERS MEMORIAL HOSPITAL INC STATEMENT BY THE BOARD OF MANAGEMENT In the opinion of the Board the financial report:

(a) Presents a true and fair view of the financial position of the Neerim District Soldiers Memorial Hospital Inc as at 30 June 2016 and its performance for the year ended on that date in accordance with Australian Accounting Standards, mandatory professional reporting requirements and other authorative pronouncements of the Australian Accounting Standards Board.

(b) At the date of this statement, there are reasonable grounds to believe that the Neerim District Soldiers

Memorial Hospital Inc will be able to pay its debts when they fall due.

Signed in accordance with a resolution of the Board of Management.


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Our Purpose: Our Vision: Our Values · 2020. 8. 11. · Our Values: Passion- We love what we do; do it the best we can and always enthusiastically. Professionalism- This is represented