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College of Physical Therapists of AlbertaAnnual Report 2014

College of Physical Therapists of AlbertaAnnual Report

Covering period January 1, 2014 to December 31, 2014 except financial statements (year end September 30, 2014)

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President + Registrar’s Message . . . . . . . . . . . . . . . . . . . . . . . 2

Public Members’ Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Staff, Council and Committees . . . . . . . . . . . . . . . . . . . . . . . . . . 3

About the College . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

About Physiotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Key Achievements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Other Professional Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Member Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Profile of Physiotherapy Profession . . . . . . . . . . . . . . . . . . . . . 10

Continuing Competence Program . . . . . . . . . . . . . . . . . . . . . . . 12

Complaints and Discipline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Financial Statements

Auditor’s Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Statement of Financial Position . . . . . . . . . . . . . . . . . . . . . . . . 15

Statement of Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Statement of Changes in Net Assets . . . . . . . . . . . . . . . . . . . . 17

Statement of Cash Flows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Notes to Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Contents

2 College of Physical Therapists of Alberta | Annual Report 2014

Albertans deserve the best health and therefore, the best health care. As contributors to the health system, physiotherapists have a key role in improving the function, mobility and quality of life of Albertans. The College of Physical Therapists of Alberta has an important role in serving the public interest by supporting physiotherapists in their practice.

In 2014, Council and staff spent time considering what we, as an organization, can do to contribute to safe, quality care. Our new heightened focus on fostering a culture of quality improvement became our number-one priority with the development of a series of quality activity pillars. It will take time to do all that we hope to accomplish. However, we are on a path that should lead to success and enhance support and engagement of physiotherapists who do great work every day.

Enjoy our 2014 Annual Report. We look forward to continuing our engagement with all stakeholders.

President + Registrar’s Message

Sean FitzGerald, PT President

Dianne Millette, PT Registrar

Public Members’ Message

It has been my pleasure to serve another year as a public council member with the College of Physical Therapists of Alberta. My priority remains representing the public interest and perspective in respect to the regulation of the physiotherapy profession in Alberta.

I continue to be impressed by the dedication, passion and creativity the staff members bring to their work and I’m confident the organization is well on its way to meeting the objectives set out in our strategic plan. We have seen success with projects like our Internationally Educated Physiotherapist Bridging Program and initiatives in furthering patient safety. Opportunities exist in exploring new ways to manage continuing education and how to better connect physiotherapists by developing communities of practice.

This report outlines our activities for the past year as well as the many relationships we have with stakeholders that are key to our work. I look forward to supporting the further advancement of physiotherapy in what is an increasingly complex health care environment with the mission of keeping Albertans moving.

Ron Crossley Public Member

Joshua BezansonPublic Member

Public members are encouraged to provide a slightly different perspective to the decision-making process for the College of Physical Therapists of Alberta than that of the members of the profession. This has been a challenging and rewarding experience for me. Although I have gained considerable insight into the field of physiotherapy, I still have to ask questions and ensure that the decisions being taken will support improved service delivery for the citizens of Alberta.

Over the past four years the basic principles of Council governance have been employed by the Council and this year broadened by a session with Doug MacNamara, President and CEO of Banff Executive Leadership Inc. The challenge for the Council in the coming year will be to move further into a more “generative” form of governance wherein the Council engages in deeper inquiry, exploring root causes, values, optional courses and new ideas.

Thanks for letting me participate.

Joshua Bezanson Ron Crossley

Staff Members as of December 31, 2014

Council as of December 31, 2014

Committees as of December 31, 2014

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Registrar: Dianne MilletteAccounting/Hearings Director: Jane McKenzieAdministrative Support: Haylee O’Reilly Communications: Alison Baird Competence: Audrey Lowe Conduct: Moyra McAllisterProfessional Practice: Leanne LorangerRegistration/Corporate Services: Joyce VogelgesangRegistration: Lori Auld

President: Sean FitzGeraldVice President: Simone HunterMembers-at-large: Tress Gibson Candis Whittall Craig Wilson Todd WolanskyPublic Members: Joshua Bezanson + Ron CrossleyStudent Representatives: Greg Cugnet + Rob Fenrich

Thank you to the individuals who volunteer their time, knowledge and expertise to serve Albertans and guide the

profession.

Competence CommitteeNurudeen AmusatRafeeq Ansari Jennifer HorneCarol RobertsenNatasha Tiemstra

Registration CommitteeJonathan Gabbai Stephen Keating Nicole LavoieRakib Mohammed

Reinstatement ReviewTo be determined

Conduct Committee (complaint reviews and hearing tribunal)Each Hearing Tribunal and Complaint Review Committee is appointed by the Hearings Director and comprised of two or more members from the following membership list:

Simon CookeMark HallShelley HolitskiDavid MageeMelissa MerrittJulie MoylanBarbara NortonJo-Anne OgleMara ShularBob SydenhamJanelle Van Herren Janice YurickDiane Zayac

About the College


Protect the public interest

Our mandate, first and foremost, is to protect the public interest. The public places the utmost trust in health-care providers. Patients and families expect safe, effective, quality care. We share those expectations and work to ensure the right systems and processes are in place to support quality physiotherapy service delivery. We:

• Set and enforce practice and professional standards.

• License only qualified and competent physiotherapists.

• Administer a Continuing Competence Program.

• Investigate public and patient concerns.

• Promote and advocate excellence in physiotherapy and patient care.

• Support member understanding of and adherence to their regulatory responsibilities.

Leadership and direction to the profession

We provide leadership and direction to the profession and promote excellence in practice, education and research to improve the health and mobility of Albertans. We:

• Offer professional development opportunities; collaborating with partners such as academic institutions.

• Promote the value of the profession through marketing and public relations activities.

Governing board

Our governing board (Council) is made up of:

• Six physiotherapists elected by their peers.

• Two government-appointed public members who provide valuable and insightful public input and perspective into Council’s policy and decision-making processes.

• Student representatives from the University of Alberta’s Department of Physical Therapy.

Council’s role, in collaboration with staff, is to:

• Fulfill our mandate to serve and protect Albertans by regulating the profession within the legal framework.

• Lead and guide the profession through policy, standard and guideline development.

Our regulatory authority

We receive our regulatory authority from Alberta’s Health Professions Act (HPA) and the Physical Therapists Profession Regulation (PTPR).

The College of Physical Therapists of Alberta regulates physiotherapy practice in Alberta. Through effective regulation and leadership we ensure the physiotherapists we license (i.e., our members) are qualified to practice and have the appropriate training, education and skills to provide competent, ethical and professional physiotherapy care to Albertans.

About Physiotherapy

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Physiotherapists:

• Assess, diagnose and treat physical symptoms and limited movement caused by injury, aging, disability or medical condition.

• Help patients understand what’s causing their condition.

• Work with patients to restore, maintain and maximize movement, flexibility and physical independence.

• Develop customized treatment plans.

• Teach patients how to reduce pain and manage chronic symptoms.

• Teach patients how to stay well, avoid future injury and achieve the best quality of life they can.

Physiotherapists use individualized therapeutic exercise, manual techniques and a range of modalities in their practice.

Protected titles

• Physical Therapist

• Physiotherapist

• Physical Therapist Intern

• Physiotherapist Intern

• P.T.

Physiotherapy is performed by physiotherapists. Physiotherapists are experts in physical function, movement and mobility. They have advanced knowledge of how the human body moves and what stops it moving. They help to restore, maintain and maximize optimal function and quality of life.


Competent practice and public safety

Registration and licensing

y Responded to 432 practice advice calls.

y Created new resource on registration of class 3B lasers.

y Council approved a new quality improvement strategy as part of the 2014-2017 strategic plan.

y Welcomed a knowledge mobilizer to review research completed in Alberta and it’s impact.

y Reflective Practice Program rules were updated following member input and Council approval. Program descriptions were also updated.

y Developed Reflective Practice Program audit criteria and process for implementation in 2015.

y Members provided feedback on an updated Record Keeping Standard of Practice. The updated version combined two existing standards and added provisions to comply with requirements related to the Alberta Electronic Health Records regulation.

y Produced a series of successful public blog posts that were shared electronically through our newsletter and various social media networks.

y Expanded our social media portfolio to include Facebook, LinkedIn and Pinterest. All social networks, including Twitter and YouTube continue to grow.

y Switched newsletter format from paper to electronic. Also updated the newsletter to include more value-added content.

y Continued to provide condition sheets and other marketing materials for members.

y Produced a video of Council to engage members in the Council election process.

y Made website mobile-friendly.

Stakeholder communication and awareness

Key Achievements

Grants

y Continued to partner with the Department of Physical Therapy, University of Alberta to deliver the Alberta Internationally Educated Physiotherapy Bridging (AIEPB) Program.

· 16 IEPT students graduated in 2014 and are in various stages of licensing.

· Five became eligible for registration on the General Register and are employed in Alberta.

· 20 new IEPTs were welcomed into the program. Additional funding was confirmed to offer the program to a third cohort.

· The AIEPB received the federal government International Qualifications Network Special Advisory Committee award for excellence in innovation from program conception to implementation.

y Development of the Evaluating Examination continued in 2014 funded by the Foreign Qualification Recognition Innovation Fund.

y Received a grant from Alberta Services, Occupational Health and Safety to raise awareness and knowledge of psychological occupational health and safety hazards in the workplace.

Collaboration and partnerships y Gained or continued membership in:

· Workers’ Compensation Board Physical Therapy Advisory Committee

· Collaborative Practice and Education Executive Committee

· Federation of Regulated Health Professionals and various sub-committees

· Grant MacEwan University and Norquest College therapist assistant advisory Committee

Other Professional Activities

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OtherContinuing professional developmentContinued to sponsor Special Olympics Alberta, an organization offering sports programming in more than 100 communities around the province for Albertans with an intellectual disability.

y Sponsored Ever Active Schools and the AMA Youth Run Club, a free, school-based running program aimed at increasing physical activity levels among Alberta children and youth.

y Sponsored Finding Balance, a province-wide campaign to raise awareness and prevent falls among Alberta seniors.

y Created two new e-learning modules on Spinal Manipulation and Infection Prevention and Control available online in our eLearning Center.

y Continued the webinar series.

y Regularly sent out links to research in the Evidence Corner and implemented a series of articles on evidence-based practice for our newsletter to promote evidence-based practice.

Member Statistics


Table 1: Regulated members as of December 31

2014 2013

General Register 2370 2250

Provisional Register 184 132

Total 2554 2382

Table 2: Changes to regulated member registers in 2014

New and returning members

Coming from another Canadian jurisdiction (see Table 4) 38

Canadian educated (see Table 5) 118

Internationally educated (see Table 8) 97

Reinstatements 46

Total 299

Removed from registers

Cancellation for failure to renew 17

Career change 1

Conditions not met 5

On leave 33

Other/unknown reason 15

Relocating 35

Retirement 21

Total 127

Table 3: Applications denied, restricted or incomplete

Denied 0

Restricted 0

Incomplete as of December 31, 2014 16

Registration reviews by Council in 2014 0

Table 4: Canadian jurisdiction where members registered previously

2014 2013

British Columbia 8 18

Manitoba 2 2

New Brunswick 1 1

Newfoundland and Labrador 1 1

Nova Scotia 3 3

Ontario 19 19

Prince Edward Island 0 1

Quebec 1 1

Saskatchewan 3 3

Total 38 49

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Table 5: Canadian educated members by province of education

2014 2013

Alberta 97 72

British Columbia 3 2

Manitoba 0 4

Nova Scotia 3 7

Ontario 6 9

Quebec 2 1

Saskatchewan 7 2

Total 118 97

Table 8: Internationally educated members by country of education

2014 2013

Australia 15 2

Brazil 2 2

Columbia 2 0

Czech Republic 0 1

Egypt 0 1

India 49 17

Ireland 1 1

Israel 0 1

Jamaica 1 0

Netherlands 1 0

New Zealand 2 1

Nigeria 5 2

Pakistan 1 0

Philippines 4 4

Romania 1 0

Scotland 5 4

South Africa 0 0

United Kingdom 8 7

United States 0 3

Total 97 46

Table 6: Members on the Courtesy Register in 2014

Number Average # of days

Visiting clinician 0 0

Visiting learner 19 15

Visiting instructor 7 4

Total 26

Table 7: Non-regulated members as of December 31

Alumni Member Register 33

Physiotherapy Student Register 202

Total 235

Profile of Physiotherapy Profession in Alberta


Age and gender of physiotherapists

Total Female Male

# % # % # %

0 - 34 years 865 34 650 75 215 25

35 - 49 years 1070 42 736 69 334 31

50+ years 619 24 516 83 103 17

Total 2554 100 1902 74 652 26

Oncology 8

Orthopaedics 899

Other 51

Palliative care 5

Perineal 12

Plastics 12

Research 15

Respirology 13

Return to work rehabilitation 29

Rheumatology 7

Sports medicine 43

Vestibular rehabilitation 8

Women’s health 22

Unknown or not applicable 112

Total 2554

Areas of practice

Administration 110

Amputations 7

Arthritis 5

Burns/wound management 15

Cardiology 47

Chronic pain/pain management 15

Client service management 6

Consultation 25

Critical care 17

Education 27

General practice 820

Hands 13

Health promotion and wellness 23

Joint replacement rehabilitation 23

Neurology 165

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Association/government 43

Community health centre 153

General hospital 669

Home care 93

Industry/manufacturing/commercial 11

Mental health facility 13

Not practicing in Alberta

Where physiotherapists are working

By health zone

Post-secondary education/institution 46

Private practice 1198

Rehabilitation hospital/facility 81

Residential care facility 97

School or school board 34

Unknown, not applicable or other 116

By practice type

Zone 5North

Zone 4Edmonton

Zone 3Central

Zone 2Calgary

Zone 1South

144 928

237 1090

133 22

Based on employment and personal information

Continuing Competence Program


The Continuing Competence Program is comprised of three components: competence development, competence assessment and practice visits. Practice visits have not been developed and therefore are not part of this report.

Competence developmentReflective Practice Review (RPR)Launched: April 2012Frequency: Annual activity

Description: A cognitive educational strategy intended to result in meaningful changes in individual competence, patient care and/or physiotherapy/health services. It encourages reflective judgment and critical thinking regarding professional competencies and practice. The RPR requires members of the General Register to annually complete an essential competency self assessment, patient care reflection, a learning planner and tracker, and to report of learning outcomes at renewal.

Activities in 2014:

• Reflective practice review program description and rules revised and circulated to members

• Reflective Practice Review audit criteria approved

• Pilot test of Reflective Practice Review Audit Criteria (19 submissions)

• Reflective Practice audit criteria revised to prepare for launch with general membership and approved

• Audit operational processes and procedures developed

• Document audit scheduled for February 2015 initiated with email notice provided to 4% of eligible General Register members (100/1915)

Outcomes:

Table 1: Reflective Practice Review cycle

Members in third year activities 1915

Members in second year activities 162

Members in first year activities 190

Members granted a deferral 0

Members exempt until next registration year* 103

Total 2370

*First reporting year for members registered April 1 – September 30 is the following renewal.

Table 2: Learning goals by competency role 2014

Expert role 31%

Communicator role 8%

Collaborator role 8%

Manager role 10%

Advocate role 6%

Scholarly practitioner role 32%

Professional role 6%

At renewal, one member did not complete the required Reflective Practice Review activities and conditions were imposed by October 31, 2014. The member met the requirements.

Competence assessmentJurisprudence ModuleLaunched: 2011Reporting: Within six months of registration and every five years thereafter.

Description: An online exam designed to assess knowledge of physiotherapy legislation, standards and other legislation that impacts practice. In 2014, only new registrants were required to complete.

Activities in 2014:

• No new activities related to the operation of the jurisprudence module were undertaken

• Postponed updating current jurisprudence module until the new national standards project is complete

Outcomes:

Table 3: Jurisprudence module

Members required to complete module before Sept. 30 to qualify for 2014/2015 practice permit

347

Members required to complete module after Sept. 30 to qualify for 2015/2016 practice permit

103

Member exempt (completed within previous 5 years) 1920

Total 2370

Table 4: Jurisprudence results

Successful completion first attempt 98%

Successful completion second attempt 2%

Successful completion after remediation 0%

At renewal, two members had not met the Jurisprudence requirements and conditions for successful completion by October 31, 2014 were imposed. The members met the requirements.

Under the Health Professions Act, participation in the Continuing Competence Program is mandatory for members on the General Register and a requirement for practice permit renewal, regardless of practice area, role or experience.

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While our members are qualified and competent practitioners who practice within our standards and guidelines, occasionally complaints arise, often through misunderstanding and/or miscommunication between provider and patient.

Our complaints process We take all concerns very seriously and investigate all formal (i.e., written) complaints in an objective and confidential manner. Our process is designed to ensure fairness to both the person making the allegation (the complainant) and the practitioner in question. During the investigation phase, we gather all information possible about the situation (e.g., interview the complainant, physiotherapist in question and others, and review patient charts, billing records and other relevant documentation). If at any time during the investigation, the physiotherapist in question is deemed a danger to the public, the Registrar will be informed and actions taken to ensure the public is protected.

After the investigation, a decision is made to refer the complaint for a hearing or dismiss it (often because of lack of or insufficient evidence). If dismissed, the complainant has 30 days to appeal.

Complaints and Discipline

The College is committed to high standards of professional conduct and competency. One way we protect Albertans and ensure safe, quality and competent physiotherapy care is by receiving, investigating and administering concerns about our members’ conduct.

The College of Physical Therapists of Alberta investigates and manages complaints about physiotherapists in accordance with the Health Professions Act. To be considered a ‘formal’ complaint, which requires action, the complaint must be submitted in writing and signed.

The following data is based on formal complaint activity between January 1 and December 31, 2014.

Table 1: Number of complaints

Complaint files open on January 1, 2014 11

New complaints received (see Table 2) 14

Complaint files closed (see Table 3) 18

Total open as of December 31, 2014 7

Table 2: Nature of complaints

Unprofessional conduct 14

Unskilled practice 0

Total 14

Table 3: Status/Disposition of complaints

Investigated and dismissed 8

Resolution:

• Agreement and undertaking 2

• Informal resolution between parties 6

• Patient did not wish to proceed 0

• Referred to hearing (see Table 4) 2

Total 18

Table 4: Hearing outcomes

Reprimand, condition to undergo billing review and pay partial costs of hearing and investigation

1

Reprimand, condition to undergo charting and billing audits, partial costs of hearing and investigation, repayment of service costs

1

Appeals

There was one appeal heard by Council under the Physical Therapist Professions Act (PTPA). An investigated member filed an appeal with the Court of Appeal.

Section 118 of the HPA

No members were dealt with under Section 118 of the Health Professions Act.


To the Members of the College of Physical Therapists of Alberta

Report on the Financial Statements

We have audited the accompanying financial statements of the College of Physical Therapists of Alberta, which comprise the statement of financial position as at September 30, 2014 and the statements of operations, changes in net assets and cash flows for the year then ended, and a summary of significant accounting policies and other explanatory information.

Management’s Responsibility for the Financial Statements

Management is responsible for the preparation and fair presentation of these financial statements in accordance with Canadian accounting standards for not for profit organizations, and for such internal control as management determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

Auditor’s Responsibility

Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with Canadian generally accepted auditing standards. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement.

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by management, as well as evaluating the overall presentation of the financial statements.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.

Opinion

In our opinion, the financial statements present fairly, in all material respects, the financial position of College of Physical Therapists of Alberta as at September 30, 2014 and the results of its operations and its cash flows for the year then ended in accordance with Canadian accounting standards for not for profit organizations.

Independent Auditor’s Report

Edmonton, AlbertaMarch 15, 2015

Chartered Accountants

College of Physical Therapists of Alberta Financial Statements

15

September 30, 2014

Approved on behalf of Council:

Sean FitzGeraldCouncil President

Commitments (Note 9)

Statement of Financial Position

2014 2013

ASSETS

CURRENT

Cash (Note 3) $ 893,042 $ 761,632

Accounts receivable 11,609 12,379

Prepaid expenses 52,007 30,779

956,658 804,790

UNRESTRICTED INVESTMENTS (Notes 4) 1,562,309 1,402,999

RESTRICTED INVESTMENTS (Note 4, 8) 1,225,222 1,101,097

PROPERTY AND EQUIPMENT (Note 5) 129,813 158,225

$ 3,874,002 $ 3,467,111

LIABILITIES AND NET ASSETS

CURRENT

Accounts payable and accrued liabilities (Note 6) $ 126,576 $ 131,990

Deferred membership revenue 1,784,658 1,698,420

Deferred contributions related to government grants (Note 7) 384,164 479,455

2,295,398 2,309,865

NET ASSETS

Internally restricted for membership reserve (Note 8) 1,225,222 1,101,097

Invested in property and equipment 129,813 158,225

Unrestricted 223,569 (102,076)

1,178,604 1,157,246

$ 3,874,002 $ 3,467,111

Ron Crossley Public Member


Year ended September 30, 2014

2014 2013

REVENUE

Membership fees (Note 10) $ 1,921,661 $ 1,769,723

MEMBERS’ SERVICES EXPENSES

Special projects 159,920 148,629

Conduct 94,883 71,610

Technology 56,250 46,395

Bank and credit card fees 53,587 48,112

Dues and membership fees 38,978 36,648

Legal fees 14,034 9,151

Professional fees 9,975 20,764

Committees 7,225 1,044

Records management 3,664 5,529

438,516 387,882

INCOME BEFORE OPERATING EXPENSES 1,483,145 1,381,841

OPERATING EXPENSES

Salaries and employee benefits 836,063 800,203

Communications 138,868 190,895

Rent 117,668 108,354

Representation and travel 65,361 67,472

Amortization 56,964 46,685

Printing 23,603 18,653

Office support 18,432 17,228

Office supplies 12,390 9,670

Gifts and recognition 9,648 3,700

Salary replacement and honorariums 8,275 8,116

Donations 3,080 24,457

1,290,352 1,295,433

INCOME FROM OPERATIONS 192,793 86,408

OTHER INCOME (EXPENSES)

Government grants 667,950 561,959

Other income 94,325 43,245

Unrealized gains on investments 92,333 47,157

Investment income 70,367 52,518

Gain (loss) on disposal of investments 2,445 (11,998)

Loss on disposal of equipment (900) -

Investment fees (28,061) (22,076)

Special projects related to government grants (669,894) (560,664)

228,565 110,141

REVENUE OVER EXPENSES $ 421,358 $ 196,549

Statement of Operations

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Internally restricted for membership

reserve

Invested in property and

equipment Unrestricted 2014 Total 2013 Total

NET ASSETS AT THE BEGINNING OF THE YEAR $ 1,101,097 $ 158,225 $ (102,076) $ 1,157,246 $ 960,697

Purchase of property and equipment - 29,452 (29,452) - -

Revenue over (under) expenses 124,125 (57,864) 355,097 421,358 196,549

NET ASSETS AT THE END OF THE YEAR $ 1,225,222 $ 129,813 $ 223,569 $ 1,578,604 $ 1,157,246

Statement of Changes in Net Assets



2014 2013

OPERATING ACTIVITIES

Revenue over expenses $ 421,358 $ 196,549

Items not affecting cash:

Amortization 56,964 46,685

Loss of disposal of equipment 900 -

(Gain) loss on disposal of investments (2,445) 11,998

Unrealized gains on investments (92,333) (47,157)

384,444 208,075

Changes in non-cash working capital:

Accounts receivable 770 (7,603)

Prepaid expenses (21,228) (678)

Accounts payable and accrued liabilities (5,416) 12,775

Deferred membership fees 86,238 117,135

Deferred contributions related to government grants (95,291) 415,714

(34,927) 537,343

349,517 745,418

INVESTING ACTIVITIES

Purchase of property and equipment (29,452) (90,250)

Net change in investments (1,338,467) 817,646

(1,367,919) 727,396

(DECREASE) INCREASE IN CASH (1,018,402) 1,472,814

Cash - beginning of year 2,161,992 689,178

CASH - END OF YEAR $ 1,143,590 $ 2,161,992

CASH FLOWS SUPPLEMENTARY INFORMATION

Interest received $ 70,367 $ 52,518

CASH CONSISTS OF:

Cash $ 893,042 $ 761,632

Cash included in investments 250,548 1,400,360

$ 1,143,590 $ 2,161,992

Statement of Cash Flows

19


1. NATURE OF OPERATIONS

The College of Physical Therapists of Alberta was established pursuant to the Physical Therapy Profession Act of Alberta, A/R 298/95 and transitioned to the Health Professions Act Revised Status of Alberta, H7 on May 9, 2011. The College operates to regulate physical therapists in the province who are licensed under the Health Professions Act. Operations are administered by a registrar and office staff and are governed by an elected council. Several standing committees carry out the business activities and programs which include complaints, discipline and continuing competence. The College is a not for profit organization for income tax purposes and is not subject to income taxes. No dividends may be paid or assets distributed to members of the College.

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of presentationThese financial statements have been prepared in accordance with Canadian accounting standards for not for profit organizations.

Cash Cash is defined as cash on hand and cash on deposit, net of cheques issued and outstanding at the reporting date.

Property and equipment Property and equipment are stated at cost less accumulated amortization. Property and equipment are amortized over their estimated useful lives at the following rates and methods:

InvestmentsInvestments for which there are quoted prices in an active market are carried at fair value. Unrealized gains or losses are reported as part of net income.

Contributed goods and services Goods and services were contributed to the College during the year. Due to the difficulty in determining their fair value, contributed goods and services are not recognized in the financial statements.

Leases Leases are classified as either capital or operating leases. A lease that transfers substantially all of the benefits and risks of ownership is classified as a capital lease; all other leases are accounted for as operating leases. At the inception of a capital lease, an asset and a payment obligation are recorded at an amount equal to the lesser of the present value of the minimum lease payments and the property’s fair market value. Assets under capital leases are amortized on a straight line basis, over their estimated useful lives. Rental payments under operating leases are expensed as incurred.

Revenue recognition The College follows the deferral method of accounting for contributions. Contributions, including grants, are included in revenue in the year in which they are received or receivable, with the exception that contributions to fund a specific future period’s expenses are included in revenue in that later period.

Membership fees are recognized as revenue in the fiscal year in which membership services are provided and when collection is reasonably assured.

Deferred membership fees represents membership fees for the service period after the College’s fiscal year end.

Computer software 50% Straight-line method

Leasehold improvements 20% Straight-line method

Computer equipment 30% Declining balance method

Furniture and fixtures 20% Declining balance method

Notes to Financial Statements


Financial instruments Financial instruments are recorded at fair value when acquired or issued. In subsequent periods, financial assets with actively traded markets are reported at fair value, with any unrealized gains and losses reported in income. All other financial instruments are reported at amortized cost and tested for impairment at each reporting date.

Use of estimates The preparation of financial statements in conformity with Canadian accounting standards for not for profit organizations requires management to make estimates and assumptions that affect the reported amount of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the period. Such estimates include providing for allowance for doubtful accounts, amortization, accrued liabilities and deferred contributions related to government grants. Actual results could differ from these estimates.

3. RESTRICTED CASH

Included in cash is $384,164 (2013 $479,455) restricted for use in accordance with the agreements related to the deferred contributions related to government grants described in Note 7.

4. INVESTMENTS

5. PROPERTY AND EQUIPMENT

2014 2013

Cash $ 250,548 $ 1,400,360

Mutual funds 2,536,983 1,103,736

$ 2,787,531 $ 2,504,096

Investments are comprised of:

Restricted investments $ 1,225,222 $ 1,101,097

Unrestricted investments $ 1,562,309 $ 1,402,999

Cost Accumulated amortization

2014 Net book value

2013 Net book value

Computer software $ 8,694 $ 8,248 $ 446 $ 1,339

Leasehold improvements 214,545 144,227 70,318 113,227

Computer equipment 44,020 25,362 18,658 10,552

Furniture and fixtures 93,139 52,748 40,391 33,107

$ 360,398 $ 230,585 $ 129,813 $ 158,225

6. ACCOUNTS PAYABLE AND ACCRUED LIABILITIES

Included in accounts payable and accrued liabilities are the following government remittances:

7. DEFERRED CONTRIBUTIONS RELATED TO GOVERNMENT GRANTS

A portion of receipts received in the year are deferred to be recognized as revenue in future years as the related expenses are incurred. Deferred contributions consists of the following:

8. NET ASSETS

Internally restricted for membership reserveThe College has established a restricted investment account (Note 4) equal to at least one year of expected costs, recalculated on an annual basis as a contingency fund. This fund is to be used on unforeseen legal liabilities, discipline costs and other unanticipated expenses incurred during the operating year. Council approval is required for any utilization of the membership reserve net assets fund.

2014 2013

Government of Alberta - IEPT Bridging Program

$ 285,824 $ 353,564

Government of Alberta - Occupational Health and Safety

75,000 14,412

Government of Alberta - Alberta Provider Directory

15,009 -

Government of Alberta - Foreign Qualifications Recognition Evaluation Exam

8,331 90,911

Government of Alberta - Foreign Qualifications Recognition Accreditation

- 20,568

$ 384,164 $ 479,455

2014 2013

Payroll deductions $ 25 $ 174

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9. COMMITMENTS

The College leases equipment under long term leases that expire at various times in the future. The College also leases the office space under a long term lease that expires in October 2021. Future minimum lease payments are indicated below which include an estimate of the operational costs. The College is responsible for its share of any additional incremental operational costs.

10. MEMBERSHIP FEES

11. FINANCIAL INSTRUMENTS

The College’s financial instruments consist of cash, investments, accounts receivable, and accounts payable and accrued liabilities.

The College is exposed to the following risks through its financial instruments:

Credit riskCredit risk arises from the possibility that the members to which the College provides services to may experience financial difficulty and be unable to fulfill their obligations, which could lead to a financial loss to the College. The College’s main credit risks relate to accounts receivable. The College’s accounts receivable are generally the results of services to its members and government agencies.

2014 2013

Physical therapists $ 1,909,931 $ 1,726,438

Penalty fees 11,730 15,015

Physical therapy corporations - 28,270

$ 1,921,661 $ 1,769,723

The College’s members are numerous which reduces the concentration of credit risk. It is management’s opinion that there is no significant credit risk as of September 30, 2014.

Liquidity riskLiquidity risk arises from the possibility that the College might encounter difficulty in settling its debts or in meeting its obligations related to financial liabilities. In management’s opinion, this risk has been reduced due to the large cash and investment reserves kept on hand at September 30, 2014.

Currency riskCurrency risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in foreign exchange rates. The College has cash and investments denominated in a foreign currency. Foreign exchange gains and losses are included in the statement of operations.

Interest rate riskInterest rate risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The College is exposed to interest rate risk arising on its interest bearing assets. The College’s cash and investments include amounts held by financial institutions that earn interest at market rates. The College manages its risk by monitoring interest being earned on excess funds.

12. COMPARATIVE FIGURES

Certain amounts in the prior year financial statements have been reclassified for comparative purposes to conform with the presentation adopted in the current year’s financial statements.

2015 $ 129,451

2016 126,553

2017 126,553

2018 139,069

2019 138,111

$ 659,737

College of Physical Therapists of Alberta

Suite 300 Dorchester Building

10357 - 109 Street

Edmonton, Alberta T5J 1N3

T: 780.438.0338 | 1.800.291.2782

F: 780.436.1908

[email protected]

www.physiotherapyalberta.ca

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