Message from our CEO and Board President
With over 50 years’ experience, Surrey Place has a long history of excellence and innovation, and this year was no exception.
In 2018/19, we were focused on driving system changes that increased access and reduced wait times to better meet the needs of those we serve. At Surrey Place, we believe that every individual deserves access to services that help them learn, grow and thrive. We also fostered cross-sectional partnerships to improve service coordination for children and families with complex needs because each person’s situation is unique.
In addition to our many accomplishments, this year also brought on challenges as we navigated the transition to a new Ontario Autism Program and fee for service model. Despite the changes, we have remained steadfast in advocating for individuals of all ages with developmental disabilities and autism spectrum disorder.
These and the many other achievements found in our 2018/19 Annual Report would not have been possible without our exemplary staff. Whether they provide clinical services or administrative support, our employees are the reason we can offer a wide range of services to children and families within Toronto and across the province.
We want to thank Andre Greenwood, who after nearly three years as Board President has stepped down. We thank him for his six years of dedicated service, leadership and wisdom. We also acknowledge the entire Board of Directors for the time they so graciously volunteer and for always having the best interests of Surrey Place at heart.
Last, we would like to express our gratitude to all our partners and stakeholders. Collaboration is imperative in establishing a system that delivers high-quality services for children and adults with developmental disabilities and autism spectrum disorder.
In the coming year, we will begin a new strategic planning process involving staff at all levels of the organization as well as the Board of Directors. This process will set out our directions as we continue the journey to realizing our vision, living your potential – all your life!
Steven Finlay, MSW, RSW
Chief Executive Officer
Helen Wojcinski, P.Eng., FEC, FCAE, MBA, CMC
Board President
“At Surrey Place, we believe that every individual deserves access to services that help them learn, grow and thrive.”
Our Values
With a passionate commitment to improving the lives of people with developmental disabilities, autism spectrum disorders, blind low vision and their families, we believe in providing an inclusive, interdisciplinary approach to programs and services.
Collaboration
We succeed by working together with our clients, families, community and government partners.
Accountability
We do what we say we will do and deliver the best possible results for the people we serve.
Innovation
We develop new ideas and approaches to share with the world.
Respect
We seek to understand before being understood and accept differences in a professional and caring manner.
Responsiveness
We respond to the needs of our clients and partners promptly and with excellence.
Highlighted Achievements
Continuous improvement has been a priority for Surrey Place and we have always found ways to be more efficient, more innovative and more effective. We continue to rise to the challenge to support more clients, families and caregivers through collaborative partnerships. We believe in building capacity across the sectors in which we work.
An Approachable, Reachable and Responsive Intake Process
Intake Services
With the increase in volume and diversity of individuals and families in various Surrey Place programs and services, we launched a streamlined, straightforward and convenient integrated intake process that is available 24 hours a day, 7 days a week. Clients report that Surrey Place is more approachable, reachable and responsive and staff report that it improves connectivity and collaboration.
Defining and Expanding Wellness Across All Program and Service Areas
Wellness Services
Over the past year, Surrey Place has been busy re-designing and re-defining what Wellness Services mean to our clients. This has resulted into a new Wellness service system offering time-limited training events, drop-in sessions, clinics and groups. They provided opportunities for clients no matter what program they registered in.
Expanding Support for Our Clients Through Their Senior Years
Adult Program
People with intellectual and developmental disabilities (IDD) are now living well into their senior years but many centers are not prepared for their needs. Our staff have worked hard to address this gap by creating the Plus 45 Clinic. We provide clients care and support including referrals to palliative and end-of-life care. Seniors involved become better advocates for themselves and families feel more supported and less worried about their loved ones.
Connecting the Dots to Reintegrate Our Clients to the Community
Connecting the Dots
One key determinant of health is housing. While rates of developmental and intellectual disabilities (IDD) are escalating in homeless populations, IDD is not commonly recognized by support providers. Surrey Place in collaboration with partner agencies developed several initiatives to better assess prevalence rates, create safe housing alternatives, develop individualized plans and build system connections across Ontario for at-risk youth and adults with IDD who are experiencing homelessness.
Overcoming Barriers in Reproductive Health for Women with Intellectual Disabilities
Research & Education
In Ontario, women with intellectual and developmental disabilities (IDD) have lower screening rates for both cervical and breast cancer than women without IDD. Through the assistance of a Women’s Xchange 15K Challenge grant, Surrey Place conducted an intervention study for mothers with IDD that has helped improve their knowledge and contributed to research that has been used by leading research bodies in Canada and internationally.
Alleviating Mental & Physical Stress for Families and Caregivers
Autism Services
Families and caregivers of persons with autism spectrum disorder (ASD) and intellectual and developmental disabilities (IDD) often experience mental and/or physical stress in supporting their families and navigating the system. This year Surrey Place created its first Family Advisory Council. Furthermore, our staff actively engaged in several training events and contributed to research to help reduce stress, improve the quality of family interactions and increase well-being for families and caregivers.
Enhancing Fetal Alcohol Spectrum Disorder (FASD) Services
Fetal Alcohol Spectrum Disorder (FASD) Services
There is growing worldwide attention to Fetal Alcohol Spectrum Disorder (FASD) prevalence rates and the impacts on individuals and communities. Over the last year Surrey Place implemented improvements and updates to our FASD team resulting in higher referrals for assessments, strengthened screening tools, increased family coordination plans and community education and advocacy across Ontario.
Sharing Our Expertise in Supporting Children with Visual Impairments
Blind – Low Vision Early Intervention Program
For many years our Blind – Low Vision Early Intervention Program has provided children with visual impairments and their families and caregivers opportunities that support the development of all the senses for optimized learning. Through a one-time grant from the Ministry of Children, Community and Social services, Surrey Place leveraged our experience to develop a mentorship program for Early Childhood Vision Consultants (ECVCs) across Ontario. As a result, they have reported increased confidence and capacity to service families, caregivers and children dealing with visual impairments.
Expanding Supports to Children with Down Syndrome with SickKids Hospital
Children & Youth Program
Children with Down Syndrome require extra support developmentally and medically throughout all life stages. We continue to deepen our collaboration with SickKids Hospital with the Down Syndrome Clinic that has enhanced the clinic’s developmental assessments and client supports enabling children and families to lead healthy and meaningful lives.
Making School Transitions Easier for Children with ASD
School Support Program
Changes like going to camp or starting school is a major event in any child’s life and this can be particularly challenging for those with Autism Spectrum Disorder (ASD). Surrey Place partnered with the City of Toronto’s Parks and Recreation Programs to train professionals in assisting children with ASD to cope with the transition in summer camps and then back to school. This innovative pilot successfully strengthened parks and recreation staff skills to provide children with additional transition strategies.
Commitment to Our Employees
Human Resources
Surrey Place is committed to our employees and dedicated to improving the work culture by creating a positive workplace. We have implemented several strategies in the past year to strengthen our capacity and equipped our staff with better ways to support our clients. As a result, our employees responded with enthusiasm and commitment.
Financials
3 Year Expenditure Trend ($’000)
Summarized Statement of Financial Position
As of March 31, 2019, with comparative figures for 2018
| Assets | 2018 | 2019 |
| Cash and cash equivalents | $7,646,105 | $8,646,155 |
| Receivables and prepaids | $1,800,232 | $3,432,057 |
| $9,446,337 | $12,078,212 | |
| Property and equipment | $4,462,587 | $3,069,739 |
| $13,908,924 | $15,147,951 | |
| Liabilities | ||
| Accounts payable and accrued liabilities | $5,432,709 | $4,851,932 |
| Deferred revenue | $3,477,690 | $6,694,628 |
| $8,910,399 | $11,546,560 | |
| Deferred contributions for property and equipment | $4,096,931 | $2,999,676 |
| $13,007,330 | $14,546,236 | |
| Net Assets | ||
| Invested in property and equipment | $367,079 | $67,079 |
| Internally restricted reserve fund | $157,284 | $157,284 |
| Unrestricted operating | $377,231 | $377,352 |
| $901,594 | $601,715 | |
| $13,908,924 | $15,147,951 | |
Funding Sources
Summarized Statement of Operations
Year ended March 31, 2019, with comparative figures for 2018
| Revenue | 2018 | 2019 |
| Provincial government | $60,611,324 | $77,534,701 |
| Municipal Government | $852,736 | $1,067,339 |
| Fee for service and grant revenue | $427,998 | $1,385,070 |
| Other revenue | $1,143,773 | $136,122 |
| Amortization of deferred contributions | $775,195 | $671,642 |
| $63,811,026 | $80,794,874 | |
| Expenses | ||
| Program Expenses | $62,610,789 | $79,899,461 |
| Administration | $4,968,526 | $5,029,656 |
| Administration recoveries | ($4,553,610) | ($4,805,574) |
| Amortization of property and equipment | $777,293 | $671,210 |
| $63,802,998 | $80,794,753 | |
| Excess of revenue over expenses | $8,028 | $121 |
2017-18 Key Performance Metrics
Key Performance Indicators for the Three Years Ended March 31, 2017, 2018 and 2019.
| Key Performance Indicators | Definition | 2016-17 | 2017-18 | 2018-19 | 3 Yr. Change |
| Growth in service delivery revenue | Revenue from all sources | $53,386,583 | $63,811,026 | $80,794,874 | 51.3% |
| % Spent on programs | % of total expenditures on programs | 92.6% | 92.6% | 94.1% | 1.6% |
| Budget management effectiveness | Surplus (deficit) for the year | $19,826 | $8,028 | $121 | -99.4% |
| Cash flow effectiveness | Current assets less current liabilities | $527,762 | $535,938 | $531,652 | 0.7% |
| Community partner service delivery support | Payments to partner agencies for service delivery | $4,843,116 | $6,497,181 | $8,152,301 | 68.3% |
| 1Growth in clients served | Unique clients served per year | 9,796 | 9,701 | 13,051 | 33.2% |
| Organization wide quality standards with Accreditation Canada | 4 year third party assessment against national health care standards | Accredited 2016-2020 status | |||
| Organization wide risk assessment (Transfer Payment Risk Assessment) | 3 year provincial government organizational risk assessment | 2018 low risk rating assessment status | |||
| Program specific quality standards (Quality Assurance Measures) | Ministry of Children, Community and Social Services annual assessments against provincial service delivery standards | 2018 audit compliance achievement for adult and Developmental Services Ontario, Toronto Region | |||
| Successful Proposals | Number of successful grants and total $ raised | 4 successful proposals, with $817,994 recognized in 2018-19 | |||
| 1Includes active Developmental Services Ontario, Toronto Region. Excluding this program the numbers would be 7,155, 7,087 and 9,942 for 2016-17, 2017-18 and 2018-19 respectively. The increase in clients served in 2018-19 is partially attributed to a change in government definitions around autism foundational and family services. When adjusted for this change the increase in clients served from 2017-18 to 2018-19 was 21%. | |||||
Our Services Have Reached
Infants, children, youth and
adults served in 2018-19
of individuals are infants
0 to 6 years old 1
of individuals are children and
youth 6 to 18 years old1
individuals are adults
over 18 years old1
Total unique individuals served during the period April 1, 2018 to March 31, 2019 – Reviewed and approved by Director, Quality and Decision Support
of individuals identify as Male 1
of individuals identify as Female1
individuals speak English as their second language1
individuals speak English as their first language1
Clients Reside in East Toronto
Clients Reside in South Toronto
Clients Reside in North Toronto
Clients Reside in West Toronto
Clients reside in Northern Ontario and other communities
1Characteristics of individuals served during the period April 1, 2018 to March 31, 2019 – Reviewed and approved by Director, Quality and Decision Support
Thank You
Thank you to our donors who have given so generously to the Surrey Place Charitable Foundation. The financial commitment to give has continued to make a difference in the lives of clients served. Because of our donors we can continue to focus on delivering specialized, evidence based services that use the most effective treatments available. Thank you for your generosity!
Alain Mootoo
Alan Flint
Alan Shar
Alexis Gaum
Andrea Englert-Rygus
Ann Reinschild-Lindsay
Barry Isaacs
Bond Child & Family Development
Bruce Edwards
Bruce Wilson
Centre for Addiction & Mental Health
Claire L. Staniforth
Cresa Toronto Inc.
Daniel Burns
Danielle D’Alessandro
David Montanera
Denise Tarud
Dovercourt Boys & Girls Club
Elly Niedzviecki
Erika Yoshida
Fern Goncalves
Gail Thompson
Ginny Lyon
Heidi Mitchell
Helen Wojcinski
Hilary Windover
Issmi Japanese Restaurant
James L. Green
Janet Vogt
Jean West
Jeanny Scantlebury
Jeff Bernstein
Jennifer Howey
Joan Cullemore
Karen Keung
Karen White
Larissa Rozdzilski
Linette Partridge
Marcia Williams
Margaret Howard
Mary Ann Nagel
Melissa Lavallee
Michael Montanera
Michael Solder
Muriel Flynn
Nancy Freeman
Nicole D’Alessandro
Norie Anlacan
Paul Allen
Paul Gasztold
Paul Szikszai
Pogue Mahone Pub & Kitchen Limited
Poul & Susan Hansen Family Foundation
Rachel Greenbaum
Richard Wildes
Robert Perkins
Rogers Communications
Ruth Pedley
Sanober Diaz
Sheryl Trachter
Shirley McMillan
Suzanne Meagher
Tai-Hing Hui
TD Bank Group
Terri Hewitt
The Auxilium Foundation
Toronto Foundation
United Way
University of Toronto
Valerie Temple
Walter Montanera
William Crystal