annual report 2008 - Heart and Stroke Foundation of Ontario
Transcription
annual report 2008 - Heart and Stroke Foundation of Ontario
ANNUAL REPORT 2008 We have the right to live well. The Heart and Stroke Foundation believes that Ontario can be, and must be, a place where health flourishes and future generations are healthy and active. To realize our vision, we must address one of the most important health issues threatening Ontarians – the alarming rise in the number of overweight and obese children in the province. And we must do it together. Table of contents A generation in peril 20 The power of partnership 28 The strength of community 12 Addressing the needs of Ontarians today 22 Innovative results in stroke care 30 Leadership donors 14 The changing face of heart disease 24 Corporate leaders 36 Message from the Chair 18 Message from the CEO 26 Media and agency friends 38 Financial highlights 2 “Given the prevalence of childhood A generation in peril The health issues of today foreshadow the health crises of tomorrow. And one of the most significant issues we face today is the threat that obesity poses to our children. The alarming fact is that childhood obesity rates in Canada have tripled over the past 15 years, and today 28 per cent of children in Ontario are overweight or obese. Not only are today’s children at risk, but this alarming trend also signals an imminent health crisis as these children become adults. The magnitude of this emerging health crisis is irrefutable. The health risks to overweight and obese children include heart disease, high blood pressure and Type 2 diabetes. Even now, health practitioners are seeing these diseases and their symptoms in children and youth long before these adult diseases are typically diagnosed. Consider these facts: • More than half of Canadian children between the ages of five and 17 aren’t active enough to support optimal health and development. Children need to be active 60 to 90 minutes a day, most days of the week. • Less than 50% of Canadian children walk to school. 2 H E AR T AND S T RO KE FOUNDAT IO N OF ONTA RIO obesity, and its contributions to many diseases, this is the first generation that may not live as long as their parents. Obesity is now having a huge life expectancy impact which was not foreseen 10 years ago. Action must be taken that will help children and youth live longer, healthier and more productive lives. The time to act is now. Many life-long diseases begin in childhood.” – Dr. Kellie Leitch, MD, MBA, FRCSC Advisor on Healthy Children and Youth, Health Canada • Only 25% of children are meeting Canada’s Food Guide recommendations for servings of grain products per day. • Breakfast for Learning’s 2007 Report Card on Nutrition for School Children found that only 50% of kids are getting the minimum number of servings of vegetables and fruit per day. • According to Active Healthy Kids Canada, an organization we help support, all children, regardless of background, are spending too much time in front of screens. Getting Ontario’s children healthy and active is a responsibility we all share. Our society’s well-being is inextricably linked to the health of future generations. “In addressing today’s important health issues, advocacy is one of our most important strategies. The Foundation’s continuing leadership in advocacy places it at the forefront of organizations confronting the challenge of childhood obesity.” – Dr. Andrew Pipe, Chief, Minto Prevention and Rehabilitation Centre, University of Ottawa Heart Institute Heart and Stroke Foundation funded researcher A generation in peril Creating sustainable social change The Heart and Stroke Foundation leads in eliminating heart disease and stroke and reducing their impact through the advancement of research and its application, the promotion of healthy living, and advocacy. In this role, we are uniquely positioned to serve as a forceful and effective catalyst for change, and this year we have made childhood obesity a top priority health issue. We believe the rising rate of childhood obesity signals an imminent and preventable crisis. It is a societal health issue that affects all of us, regardless of race, gender, geography or ability. Further, we believe it is our collective responsibility to act. To that end, the Heart and Stroke Foundation is implementing a multi-faceted strategy to raise awareness of the impact and scope of childhood obesity and encourage positive action to stop the rising tide. To do so will demand an investment of time, money and the will to affect positive and lasting change. We’ve committed to investing more than $9 million over the next three years to help 4 H E AR T AND S T RO KE FOUNDAT IO N OF ONTA RIO make Ontario healthy and active. In addition, advocacy and partnerships will be pivotal to realizing our vision. Our strategy calls for the establishment of public policies that encourage and enable children to be active and have access to healthy foods and, for the long term, to inspire a social movement that will create a healthy Ontario for children. We will lead in advocating to governments for the adoption of sustainable policies. We will raise awareness and engage the public to take action and demand solutions. And we will build a broad coalition of like-minded partners to work together to drive change. Look around your community. What does it need to get kids more active and healthier? Speak out on their behalf. Contact your municipal government representative, your MPP or your local Heart and Stroke Foundation office – and start to create change. A generation in peril The importance of healthy eating Healthy eating and increased physical activity are the best solutions to the growing epidemic of childhood obesity. The Foundation is helping Ontarians to eat well with nutrition education and resources, like our Health Check™ program, our best-selling cookbooks, websites, newsletters and advocacy to eliminate trans fats. Making the healthy choice The Heart&Stroke Health Check food information program is a not-for-profit program that helps Canadians make informed food choices by making it easier to identify products that can be part of a healthy diet. Every one of the 1,700 food and menu items that display the Health Check symbol have met specific nutrient standards based on Canada’s Food Guide. These standards, developed by our team of registered dietitians, reflect the latest science that supports healthy eating recommendations for Canadians. This year, we undertook a summer-long campaign aimed at increasing awareness of Health Check and understanding of the importance of healthy eating. The campaign 6 H E AR T AND S T RO KE FOUNDAT IO N OF ONTA RIO culminated in a ‘Back-to-School’ Tour across Ontario and promoted active play and healthy eating for families. Building support for healthy schools Schools are an important setting to instill healthy eating behaviours. Unfortunately, at school, students have limited access to nutritious foods. As a leader in advocating to eliminate trans fats in our foods, the Foundation partnered with the Government of Ontario to announce Bill 8 – Healthy Food for Healthy Schools Act. Bill 8 is an important starting point for creating a healthy and supportive food environment and ensuring all children have access to healthy foods in our schools. We continue to advocate for more comprehensive nutritional policies and guidelines for schools, not only for trans fats, but also other nutrients including fat, fibre, sugar and salt, as set out in Canada’s Food Guide. “Faith Health Initiative’s work with the A generation in peril Heart and Stroke Foundation of On- Working with communities tario will continue well beyond the life of the initial project. This is the key to its strength. The Minister of Health Pro- Community Mission Specialists The Foundation has 13 dedicated Community Mission Specialists working in partnership with Foundation leadership volunteers to develop, deliver and support activities to engage Ontario communities in our mission initiatives. This team works in the areas of physical activity and nutrition, resuscitation, diversity, health partnerships, advocacy and community-specific needs, including working with community partners in the support of social change aimed at enhancing our children’s health. Community Advocacy Fund Advocacy is a vital part of our mandate. The Heart and Stroke Foundation of Ontario’s Community Advocacy Fund (CAF) provides financial support to groups to advocate for and implement increased opportunities for physical activity and access to healthy food for children in their communities. Grants of up to $25,000 are awarded twice a year. This initiative is off to a tremendous start, already supporting 39 community ventures in the areas of advocacy, public policy, education, school and parent engagement and physical activity. 8 H E AR T AND S T RO KE FOUNDAT IO N OF ONTA RIO motion has responded positively to the continued involvement of churches in promoting increased physical activity.” – Barbara Thompson, Project Lead, Faith Health Initiative, North York, CAF recipient Turning knowledge to action In partnership with Queen’s University, we developed and delivered 15 free, one-day “Knowledge to Action” workshops across Ontario. Attended by more than 500 participants, three of these were held in First Nations communities and two were conducted in French. The workshop began with a summary presentation of key findings from the International Conference on Physical Activity & Obesity in Children held in June 2007. The aim of these workshops was to promote integrated, community-based action towards increasing physical activity and healthy eating in children and youth. We’re pleased to continue to work with these communities to support ongoing planning and activities. See a full list of Heart&Stroke Community Advocacy Grants and learn more at heartandstroke.ca/kidfit A generation in peril Partners for a healthier future “We’re starting to see 30-year-olds coming to our facilities for cardiac tests. This is a disturbing trend. The echo generation is at risk, and we must educate this generation about prevention, both for themselves and their children.” – Neena Kanwar, President and CEO, KMH Labs 1 0 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO The Heart and Stroke Foundation is uniquely positioned as a catalyst for change. But we can’t do it alone. We are partnering with organizations that share our vision, our concern and our commitment to the future of our children. Partners for change We are building new relationships and partnering with organizations whose interests are aligned and whose reach extends deeply into our communities. These new partners include the Waterfront Regeneration Trust, the Ontario Physical and Health Education Association, Active Healthy Kids Canada, Breakfast for Learning and People for Education. With our partners at the Ontario Professional Planners Institute, we created the Healthy Communities Award as part of their annual Excellence in Planning awards. And we are proud to have received the President’s Award of Distinction for exceptional contribution and commitment to the promotion of physical activity in the province from our partners at Parks and Recreation Ontario. We also continue to work closely with our long-standing healthcare partners. Partners in research Hypertension in children is rapidly becoming a significant health concern. Increased incidence of child hypertension translates into increased incidence of cardiovascular disease as children become adults. Foundation researcher Dr. Terrance Wade is studying the influence of social determinants such as family history, ethnicity and socio-economic factors on blood pressure in youth. Partners for a smoke-free world A long-time advocate for tough anti-tobacco legislation, the Foundation has been instrumental in advocating for strengthening tobacco control legislation and regulations. We successfully partnered with the Ontario Medical Association this year to create a very effective ad campaign to support legislation that would ban smoking in cars carrying children. Bill 69 was passed in June. It prohibits smoking or having lighted tobacco products in a motor vehicle with passengers under 16 years of age. The law becomes effective in January 2009. Addressing Ontarians’ needs today the Hypertension Management Initiative was fully implemented in 11 primary care sites across Ontario and piloted in two First Nation communities on Manitoulin Island. Foundation mission plan strikes the right As we work to ensure the future is healthy, we continue to respond to those at risk today. Research, education and awareness, combined with innovative new tools and patient support, are making a vital difference. balance between providing programs for The gender quotient people who need help now and advocat- This year, The Heart Truth national campaign was launched to increase awareness about the leading cause of death in women – heart disease and stroke. Because many women don’t think they are at risk, are not aware or ignore signs and symptoms, they often put off seeking medical treatment when needed. Over the next five years, Foundation studies will provide more answers. In the meantime, we urge women to take charge of their heart health today. The Heart and Stroke Foundation develops innovative online tools that provide a confidential, private environment for people to take control of their health. Our Heart&Stroke Blood Pressure Action Plan and Risk Assessment programs launched the first module of their interactive, self-management portal in May 2008. “Ontario has the potential to have the lowest rates of heart disease and stroke in the world. To help achieve this, the ing for the broader changes to create a heart healthy society.” – Dr. Doug Manuel, Senior Scientist, Ottawa Health Research Institute, Heart and Stroke Foundation funded researcher Fighting the silent killer Our efforts in helping prevent and manage high blood pressure continue through our High Blood Pressure Strategy. The findings of our Ontario Survey on the Prevalence and Control of Hypertension, led by co-principal investigators Drs. Frans Leenen and George Fodor, was published in the Canadian Medical Association Journal in May 2008. Also, 1 2 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO Helping patients take control Supporting stroke recovery Living with Stroke is an eight-week community support and education program for stroke survivors and their caregivers. By engaging survivors in their own recovery, we help them take a major step in reaching their goals. Excellence in research and education continues to deliver real results that change lives. Learn more about this vital and exciting work at heartandstroke.ca/MeetOurResearchers The changing face of heart disease & stroke When it comes to some of Ontario’s diverse communities, risk and prevalence can vary significantly. Compared to the general population, research has shown: • South Asians have a three-to five-fold increase in the risk for a heart attack and death from heart disease and stroke. • Ontarians of African descent are three times more likely to have high blood pressure. • Smoking and high cholesterol are more frequent among Chinese Canadians. • Heart disease rates are as much as 50 per cent higher and the death rate due to stroke is twice as high in First Nations, Inuit and Métis. As part of our commitment to the health needs of our diverse populations, we continue to build awareness and deliver health messages as effectively as possible. One way is through symposia where scientific experts share knowledge with residents and their healthcare providers in one setting. Further efforts include the following. 1 4 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO South Asians at risk To address this community’s high cardiovascular risk, we created a video resource, The Story of Every Heart, following a South Asian family as they learn about their risk factors for heart disease and stroke. It is available in several South Asian dialects. It can be viewed at heartandstroke.ca/southasian Asian community awareness For over 15 years, the Heart and Stroke Foundation’s Chinese Canadian Council has been actively working in our communities to bring heart disease and stroke awareness and hope to Asian families. Data from a study led by members of the Council was recently published, substantiating low awareness levels and supporting the urgency to reach more Chinese residents with vital prevention information. To support this effort, this year we partnered with the Canadian Multicultural Council for Asian Heritage Month. At several events throughout May 2008, we shared healthy lifestyle information and resources specific to Asian communities. The Horn of Africa Parents Association’s Fitness for East African Girls project is The changing face of heart disease & stroke funded by a Heart&Stroke Community Advocacy Fund. This initiative involves raising parents’ awareness about the importance of physical fitness for their daughters, and helping them convince schools and the City of Toronto’s Parks and Recreation Division to adapt recreation and sports programs to make them culturally appropriate for Muslim girls. Aboriginal stroke education We are developing an Aboriginal Stroke Educational Strategy that will employ talking circles, focus groups and one-on-one interviews to gain an understanding of how Aboriginal people understand stroke. The research will be led by Lakehead University and the Regional Stroke Centre in Thunder Bay. Finding answers The Foundation conducted a survey on the Prevalence and Control of Hypertension with three key ethnic groups: people of African descent, South Asian and East Asian. The survey provided first-ever Canadian data on prevalence and control of hypertension among these groups. It is only the beginning of the work that lies ahead. The Foundation is funding several research studies, such as follows: Dr. Majambu Mbikay is investigating why people of African ancestry show a higher rate of diabetes than those of European ancestry. Data indicates that people with diabetes aged 35 to 64 are six times more likely to have heart disease or stroke than those without diabetes in the same age group, making this a vital area of research to 1 6 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO help this group reduce their risk. The study involves 500 people of African descent, and hopes to reveal more about an enzyme, PCSK9, and its potential role in regulating glucose levels. Foundation researcher Dr. Sonia Anand is the Foundation’s new Endowed Chair in Population Health Research. With her colleagues, Dr. Anand is undertaking research initiatives that include a project uncovering community level determinants of obesity in Aboriginal communities, and a project to learn why South Asians develop high rates of abdominal obesity and Type 2 diabetes. Dr. Milan Gupta is conducting a pilot study of language and ethnic specific cardiovascular risk counselling in South Asians with coronary heart disease. The study will determine if culturally specific counselling helps South Asian patients improve their health following a heart attack. We expect it to show how this may result in greater health improvements and increased compliance with cardiac treatments. The Heart and Stroke Foundation needs your support to continue life-saving research. Please give generously at heartandstroke.ca For what matters most For more than 50 years, the Heart and Stroke Foundation has been at the forefront of groundbreaking research into heart disease and stroke. The knowledge we now have is saving lives, not just in hospitals, but in community centres, schools and homes across the province. By reaching deeply into our communities, we’re making a difference in the lives of all Ontarians – regardless of gender, age or ethnicity – when disease strikes and, more importantly, before it takes a life. As this report shows, the Foundation is investing in a focused effort to reverse a deadly trend in our children’s health, and we are looking to a multitude of sectors in our society to help us carve the most effective path to success. Our Automated External Defibrillator (AED) initiative committed to, and has been successful in funding, the placement of 2,000 AEDs across Ontario. With the help of donors and community partners, 1,184 AEDs have already been placed and, as a result, nine hearts have been restarted, nine lives have been saved. We must and can do so much more. 1 8 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO In regards to extraordinary results achieved through compassionate and confident support, the Heart and Stroke Foundation Centre for Stroke Recovery stands as a beacon of enlightenment and innovation in stroke care. Thanks to everyone who played a part in its success. There is no greater model in the world, and no greater tribute deserved by those who made it real. The commitment and generosity of our partners, donors and volunteers support this remarkable progress, and will continue to create sustainable and measurable change in all our lives. On behalf of everyone at the Heart and Stroke Foundation of Ontario, I thank you for your support. Now, please take a moment and think about what matters most to you. Our health, and the health of our children and grandchildren, depend on us all. Sincerely, Rocco Rossi Chief Executive Officer The power of partnership Transamerica Life Canada is an enthusiastic supporter of our efforts that are placing life-saving AEDs in public spaces. As a presenting sponsor, Transamerica helped to bring the inaugural Heart&Stroke 7 Summits™ event to life. Transamerica generously matched the first $250,000 raised, helping the event exceed its $1 million fundraising goal. All the funds raised were used to place life-saving AEDs in priority communities throughout Ontario. Partners with heart Volunteers are the lifeblood of our Foundation. They are the face of the Foundation in our communities, and our ambassadors in the fight to save lives. From our Board of Directors to the thousands who engage in community events across the province, volunteers are vital partners in advancement. There are more than 40,000 volunteers in Ontario, including more than 250 leadership volunteers who hold influential local council positions spearheading fundraising, advocacy and health education efforts. Together they generously give their talent, expertise and thousands of hours of time critical to delivering our mission. Thank you from the bottom of our hearts. Partnering for life In 2008, the Foundation doubled a goal of placing 1,000 Automated External Defibrillators (AEDs) in more public places across Ontario to 2,000 by 2010. Donations received through Heart&Stroke Restart a Heart, Restart a Life and the Chase McEachern Tribute Fund helped us meet with early success, and has resulted today in 1,184 more AEDs in our communities. But beyond these two initia2 0 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO tives, this success can be attributed to so many more: 12 additional funding partners, more than 59 municipal groups, the commitment of Ontario’s front-line emergency medical services personnel, volunteer firefighters, mayors, councillors, city and town administrators, corporate and community foundations, and participating First Nations communities. Nine people and their families are already thanking you for their second chance. Many more will surely follow. Partnering for results The Foundation values the support of all levels of government in our mutual commitment to the health of Canadians. In January 2008, the Federal government announced $15 million in funding for the Heart and Stroke Foundation Centre for Stroke Recovery – the largest investment ever provided to stroke recovery and rehabilitation research in Canada. Also, in partnership with the Ontario government, we are establishing the Northern Ontario School of Medicine Chair in Aboriginal and Rural Health. The province will match our commitment of $1.5 million to establish the HSFO Aboriginal Research Chair with a total endowment of $3 million. Innovative results in stroke care Every ten minutes in Canada, someone dies or is disabled by a stroke, and the numbers are rising. Currently, there are 300,000 Canadians living with the effects of stroke – with varying degrees of mental and physical disability that can be truly life-altering. The Heart and Stroke Foundation Centre for Stroke Recovery (HSFCSR) is the first centre in the world to streamline research, stroke care and stroke recovery designed to improve the quality of life for stroke patients. Combining the expertise of the Ottawa Health Research Institute (OHRI), the University of Ottawa, Sunnybrook Health Sciences Centre (Sunnybrook) and Baycrest, this internationally acclaimed virtual centre is paving the way for the design and testing of novel post-stroke interventions and therapies, moving new discoveries to the bedside faster than ever before. Recognizing the critical role of HSFCSR in the fight against stroke, the Government of Canada and the Government of Ontario have both provided significant funding for this initiative. To date, the Centre has raised more than $83 million in support of vital stroke research, including $23 million raised through the Heart and Stroke Foundation inaugural cam2 2 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO paign, “A Mind to Give,” and matched with $20 million contributions from each of the Centre’s three founding partner institutions, OHRI, Sunnybrook and Baycrest. We are tremendously grateful to the Campaign Cabinet Members of the “A Mind to Give” campaign for their fundraising efforts and dedication to this initiative. Ned Goodman (Co-Chair), Don Lenz (Co-Chair), Dr. Anthony Graham (Cabinet Member), Frank Anderson (Cabinet Member) and Wilfred Posluns (Honorary Chair). Our heartfelt thanks to all our generous campaign donors for sharing in our vision and commitment to stroke research – leaving a legacy that will benefit stroke patients around the world. We also recognize the Centre’s scientific leaders, researchers and investigators for their ongoing work; their inspirational efforts are leading major advances in stroke prevention, treatment and recovery for Canadians affected by stroke. While our pace of discovery is brisk, we are constantly reminded of how urgent the need is today – and will continue to be tomorrow. Corporate leaders We congratulate and thank the following companies for putting their confidence and trust in our efforts to deliver results that change lives. The Heart and Stroke Foundation is committed to promoting $10,000 – $49,999 healthy living among young Canadians. Sanofi-aventis has part- Astellas USA Foundation Astra Zeneca Bell Canada Helping Hands, Open Hearts BMO Employee Charity Fund Deluxe Labs Desjardins Financial Security Dole Giant Tiger Medtronic Physio-Control Goodlife Fitness IBM Industrial Alliance Italian Trade Commission Kyolic Garlic Louis Garneau Mackenzie Financial Charitable Foundation Merrill Lynch Mindshare National Bank Financial OPG Employees’ & Pensioners’ nered with us to tackle the critical issue of childhood obesity. Their generous donations have been a cornerstone of this initiative, supporting the development of the strategy to build greater public awareness and effective policies to facilitate social change. 2 4 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO Charitable Trust Phillips Rose Reisman Catering TD Bank Financial Group The Pickle Barrel Zoll $50,000 – $99,999 Sears Employee Charitable Trust Al Paladini Legacy for Life $100,000+ Apotex Inc. Becel BMO Financial Group Boehringer Ingelheim Ltd. Canadian Tire Jump Start Federated Health Charities Fortinos Frank Cowan Foundation Metamucil Pace Polo for Heart Pfizer RBC Foundation Sanofi-aventis Scotiabank Group SSQ Financial Group Transamerica Life Canada Media and agency friends Thanks to the following media and agency partners who have demonstrated their commitment to supporting the health of Ontarians by providing services valued at over $10,000. Media AOL Astral Media Mix 99.9 EZ Rock CFRB Canwest Global Captivate CBS Outdoor ClearChannel Concourse Media Corriere Canadese Corus Entertainment CTV Direct Target Promotions Shopper’s Source EcoMedia Direct Get Out There Globe&Mail Google Canada 2 6 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO Harrowsmith Country Life IMA Outdoor Laurentian Media Group Northern Life Maple Leaf Sports Metroland Media Group Ltd. South Asian Focus The Brampton Guardian The Record The Northumberland News The Guelph Mercury Metro News Mochasofa.ca The Morrisburg Leader Multimedia Nova Corporation MyTelus.com NOW Osprey Media The Examiner Barrie Examiner The Algoma News Review Outdoor Broadcast Network P.O.P. Media Pedal Magazine PHSN TV Quebecor Redux Rogers Media Chatelaine/Châtelaine Macleans/L’actualité City TV CHUM OMNI Streetseen Media Sun Media The Londoner Telelatino Network Time Inc. TITAN Media Tonic Canada Toronto Star TSN UpTrend The Winchester Press Wild on Media Yahoo Canada Zoom Media Agency The Justin Poy Agency Mindshare Ogilvy One Worldwide Publicis Canada Zenith Optimedia Canada Inc. The strength of community The Heart and Stroke Foundation congratulates the following individuals, teams and corporations who have shown true heart in raising vital funds in support of healthy Ontario communities. Thank you for giving us your best this year, and making such an important difference. Heart&Stroke Hoops for Heart Top Schools Heart&Stroke Big Bike Top Companies River Heights E.S. – Brantford Lombardy P.S. – Brockville Rolling Hills P.S. – Peterborough Scotiabank TELUS MTS Allstream Borealis CIBC Heart&Stroke Fit for Heart Peter Mastorakos – London Juve Jesus – Toronto Dr. Anthony Graham – Toronto Barb Refausse – Trenton Robert Week – Caledon Top 5 Individual Fundraisers Mark Audett – Hockey Tournament Euan Ferguson – Squash for Heart Russ Weire – Curl for Stroke Sandra Chisholm – Crystal Heart Curling Classic Janice Baldwin – Curling for Heart Top 5 Events Mayfair Spinathon – Toronto AIC Walk for Heart – Newmarket Row for Heart – Kitchener Crystal Heart Curling Classic – Ottawa Pembroke Best Western Adventure Challenge – Pembroke Heart&Stroke Jump Rope for Heart Top Schools Brisdale P.S. – Peel Jackman Avenue Jr. P.S. – Toronto Herb Campbell P.S. – Peel 2 8 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO Heart&Stroke Heart Month Outstanding Canvassers Becel Heart&Stroke Ride for Heart Top 5 Fundraisers Denys Calvin Rocco Rossi Colleen Johnston Amanda Belzowski Gil Palter Top 5 Corporate Challenge Teams Rocco’s Riders Scotiabank Group Unilever Canada Deloitte RBC Heart&Stroke 7 Summits Heart&Stroke 7 Summits™ launched its inaugural stair climbing event, inspired by the mountaineering world and held in the tallest office towers of downtown Toronto. In year one of this high-pledge event, almost 100 senior executives and corporate sponsors raised $1.1 million for AEDs. Heart&Stroke 7 Summits will return on February 22, 2009. “Group of 7” Top Fundraisers Iain Scott – McCarthy Tétrault LLP Aldo DiFelice – Telelatino Network David Blanchard – Unilever Canada Gord Love – Scotia McLeod Eileen Greene – HKMB International Robin Hibberd – Scotiabank Ken Tanenbaum – Kilmer Group Apex Top Corporate Fundraising Team Gary Maavara and Aldo DiFelice – Corus Entertainment Inc. / Telelatino Network Leadership donors The Frank Cowan Foundation With their generous donation of $1 million, The Frank Cowan Foundation is helping to fast-track our initiative to place life-saving AEDs in even more public spaces across Ontario. A special thanks to our Leadership Donors, whose generous contributions will make a significant impact in helping advance our mission. A.W.B. Charitable Foundation Randall Abramson Mollie Adamson R. Addison Saeid Aghaei Deborah Alexander Nickey Alexiou Frank Anderson Cynthia M. Andrew Aqueduct Foundation-Yaffe Feld Fund Shaun Arnold Julie Atkins Robert Auld Maureen Bailey-Lee Kenneth Baillie Kathryn Balls J. E. Barbour Brock Barker Dominique Barker Evelyn Barker Francine & Bob Barrett Basilian Fathers Phares and Laura Bauman John Hoare and Andrea Beal Alan Bean Julie Bellisimo and Colin Norris Evelyn Bensch Andrew Berthoff Roland and Marie Bertin David Blanchard Jamie Blond Anne Blow Cynthia Blumenthal Mr. and Mrs. Fredric R. Boardman Ruth Bolt Louis Borick Yvan Bourdeau Mr. and Mrs. Walter H. C. Boyd Mary Boyle Douglas and Grace Bradley Chantelle Bramley Elizabeth Breen Michael Bregman 3 0 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO Maureen Briscoe David Britnell Robert Brooks Buchan Family Foundation John Budreski Neil Bullock Vi Bunclark Shawn Burnett D. Burry Robert Burton Bill Butt Marion Buttars George Butterfield Denys Calvin L. Campbell Bruce Cappel Gary and Nancy Carlston Cindy Carswell P. M. Casey Paul Casey Dorothy Catterson J. Charles Caty Brian Cepuran Jerry Chadwick Paul Charette Barbara Cheung Catherine Christodoulou Dr. Chi-Ming Chow Paul Ciampaglia Richard Ciupak Gordon A. Clark L. and L. Clarke M. Cochran George Cohon Ted J. Coker Marco Colabella J. Colburn Esther Cole Wallace Compton William “Chip” Comstock Patrick Consoli John Cook Randolph Cousins Barry Cracower David Craig Elizabeth Crawford Maria Crignano Bruce Croxon Brian Curtner Ralph Cutten Kasia Czarski and Fred Glady Albert Dahbour Kevin and Kelley Dalton H. Wayne Daniel Lloyd Darlington Betty Davey Glen Davidge Laurie Davis Irene J. Davis Dr. A. V. Dejardine Catherine Delaney Douglas Derry Joseph Detommaso Dan Devlin Gianpiero Di Rocco Dean D’Mello Larry J. Doble Richard Dodds Frank Domenichiello Reverend M. V. Donald Robert Dorrance Robert Duke Nic Edwards Kim Edwards Stella L. Eversfield Dr. Ernest Fallen George Fanjoy Audrey D. Fawcett Anne Fawcett Paul Faynwachs Robert A. Fear Andrew Federer Anthony Fell Jarmila Filipko George and Gold Fine Family Foundation Fleck Family Foundation Mr. and Mrs. Terry Fletcher Terence Flynn Gwynneth Ford Wayne & Isabel Fox Gerry Fox Anna Marie Frediani Antonio Freitas Robert Frimet Marie Frossard Harvey Fruitman Edward Fujisawa Jeanne F. Fuller Ross E. Fullerton Julia Furdos Craig Gagliano Enrico Galante David Galloway Ken Gardner William R. Garratt T. Genua Bluma Gertner Michael Gibbens Stephen Gilpin Merlin Gilroy Mario Giorgio Gary Goddard Murtaza Gokal Ori Goldman Mrs. C. Warren Goldring Lynda Goldson Wilfred Goodman Brian Gore Sanjeev Gosain and Rajvir Samra Dr. Anthony F. Graham Laurie Graham Norman Graham Shirley L. Grant Trudy Grant Richard Grape Alan Greenberg Richard and M. Greening Dr. Noemi Guindon Elizabeth Hamilton Margot Elaine Hamilton Elaine Hamilton Charles H. Hantho David Harris Mr. & Mrs. Bill Hatanaka David O. Hawkey Alan Hawtin Philip Henderson Gary Hendrix Ron Hendrix George and Agnes Herczeg Foundation Mark Herzog Andre Hidi Esther Hillier Elizabeth Hilton Roy and Joan Hintsa Isabel Hodgkinson G. M. Hogarth John Hogarth Mary Holloway Gwen Holmes James E. Horn Barbara J. Houlding Nick Hulst John Hurl Amna Husain Alice Irwin Kris & Margaret Isberg Ivey Foundation 3 2 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO Richard M. Ivey Jonathan Jelinek Colleen Johnston Fred Karp Ruth Kelner Lorraine Kerr Paul Keul Habib Khawja Greg Kiessling Brian King Leslie Klein Morris Klid Holger and Claudette Kluge John and Marge Knebel Wendy Knelsen Audree Koehle Peter Kozicz Krembil Family Foundation David and Crystalle Kruis Ray Kumagai Arthur Lam Margaret Lam Linda Lameront R. Latuskie Michael LeClair Linda Ledbetter Lydia Lee Morris Leifso Don and Marjorie Lenz Marcel Leroux Allan Levy Mary Lewis David Li Lind Family Foundation Anita Lo Jon and Nancy Love Robert W. Luba Brian Luborsky Hazel Ludlow Peter Lunney James M. MacDonald Rory MacDonald Kenneth and Audrey MacGowan Ralph L. MacIntosh Michael Mackasey Helen MacKenzie Arthur and Gwendolyn MacKenzie Delmar MacKinnon Donald Maclaren Robert MacLellan Catherine MacMaster David MacNaughtan Laura Malisoni and Graham Carey Kwok Lau Man Joe Manget Scott Martyn Gary Mattan Joseph Maybin Peter McArthur Andrew and Louise McAskile Nora McAuliffe Eugene McBurney Peter McCawley Christopher McCulloch Robert and Debbie McFarland Olive McFarlane Stewart A. McGrandel Richard McGraw John L. McGugan Ian McKinley Dr. Elizabeth McLean Richard McMillan Mabel and Gordon McMillen Foundation Daniel McPhee Catherine and Maxwell Meighen Foundation Judith Mewett Michael D. Milligan Tom Milroy Vaughan Minor Moffat Family Foundation Susan Mohamed Lauro Morettin Joe Moretto Thomas Moriarity John Morrissey Donald E. Munro Barbara Munro Doug Munro John Murray Shawn Murray R. Muscat Steven Muzzo Peter Myers Helen Nash Elizabeth Nelson George Niblett Dora Noy David Nuttall Sandra Nymark Sandy Offenheim K. Ogaki Helen Orsino Marie J. Overweel Alfred Page Richard Palser Olive Palser J.E. Panneton Family Foundation Donald J Parker John Parker Roy Parmelee Donna Parr David and Anne Patterson Peter B. P. Pearce Dr. Ronald Pearlman David Pegues Hershel Perera Lee Peters S. Peterson Richard and Karen Pettit Kenneth Pifher Beverley Jane Pinchin Stephen Potter Chris Potter Hope Powell Horst Prelog Ron Prosserman Robert J. Pyne Mr. and Mrs. John Rapley Sanaz Rasouli and Ryan Charland Irfhan Rawji Michael Rayfield Christine Raymond Marguerite Redman Blake Reid Allan and Sandra Reid Aurene Richardson Ralph F. D. Richardson Christopher Ritchie Mark Ritchie C.E. Ritchie Lola Robb Mary Ann Roberts Lloyd and Nancy Robertson Dr. Samuel S. Robinson Charitable Foundation Warren Robinson Colleen Rodi Richard Rooney Elaine Roper Rocco and Rhonwyn Rossi Rotman Family Foundation Martha Roy Alan Ryder L. Sabetti Suzanne Sanson Barbara Sawaszkiewicz James Sauder Louis Savlov Yvonne Sawden Evelyn Scott Kenneth Scott Martin Semler Shadowcorp Investment Limited Kenneth Sharpe N. Sharratt Noel Shen Neil Shepherd William Sheppard John Sheridan Margaret Shillolo Masako Shishido Michael Shulist Mrs. Audrey I. Sillick Phyllis Simon 3 4 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO Joginder Pal Singh Paul and Cathy Singleton Sitka Trust Gary Slaight Jerry Smith Jane Somerton N. K. Somerville Charles J. Soper Arthur R. Standish Patricia Stark Bruce Starzenski Eleanor Stephanson James Stewart J. C. Stodgell Brian Stokoe Fred Streiman Fred Strong Joan Strothard R. Struminger Donald Stuss Dr. Matthew Suh Judy Sutherland Austin A. Sweet Charles Swire Keith and Laura Syron William A. Szego Michael Tamblyn Tanya Marie Taggart K. E. and Joan S. Taylor Lee T. Taylor Mario Tedesco Elisa Terizo and Michael Nikolovski Lorne A. Thomas Gail Thomas William Thomas Brian Thompson Timothy Thompson Thelma Thomson Steve Tiller Ian S. Tollerton Muriel Tolton Joe Trigiani Eric Tripp Earl Trouten M. J. Utting Gary J. Van Haren Luc Vanneste Sheila Waengler Walker Lynch Foundation Walkers Trust M. Warman Jeff Watchorn Jim Waters John Watson Nicholas Watson Michael Wayling Belle and Bill Wilkinson C. H. Williams Wilma Williams Craig Wilson Greg And Tara Wilson Richard B. Wilson Winberg Foundation Gregory Winfield Alfred G. Wirth Barbara Wolfe James Wolfe Henry Wolfond Greg Wolfond Philip Wong John W. Woon Alan Wortzman Robert Wright Patricia Wright Debbie Wright Harry Wynne Dr. Laval Yau J. A. Young John Young Henry Yung Steve Zivanov Cvetka Zoldos-Antolin Aesop Zourdoumis And others wishing to remain anonymous. This is 6-year-old Lucas as he really is today at a healthy weight. The Heart and Stroke Foundation thanks Lucas and his family for allowing us to manipulate his image through computer graphics and photography in order to dramatize the threat of obesity on a generation. Transparency, accountability and trust This last year of my term as Chair of the Board has been one of the most rewarding of my life. We have seen incredible strides, but particularly so this year, in advancing our mission spend to a remarkable $83.2 million. Since our inception, the Foundation has invested close to $500 million in our mission to eliminate heart disease and stroke. The generous contributions of donors and volunteers are affecting real change in the 3 6 H E AR T AN D ST ROKE FOUNDAT IO N OF ONTA RIO Board of Directors: (From left) Anthony Graham, M.D. - Honorary Director, Donna Parr, U. Phillip Daniels, Ph.D., Colleen Johnston, F.C.A. - Vice Chair, David Garland, C.A., Heather M. Arthur, Ph.D., Irfhan Rawji, Barry Cracower, Michael LeClair - Chair of the Board and President, Margaret L. Rand, Ph.D., Shafiq Ebrahim, M.B.A., Allan Reynolds, Chi-Ming Chow, M.D., Marlys L. Koschinsky, Ph.D. Missing from Photo: Paul Nelson, Robert S. McKelvie, M.D. Honorary Patron: The Honourable David C. Onley, O.Ont. Lieutenant Governor of Ontario. Foundation Secretary: Pauline Wijeyesekera lives of all Ontarians, across a wide range of diverse communities. ensuring our donors and benefactors reap the highest possible value from every gift. Our Board, dedicated volunteers from the medical and business sectors, continues to build on our leadership in the stewardship of donor support. The following pages reflect changes to our financial reporting this year, adopting Imagine Canada’s new Ethical Code. Transparency, accountability and excellence remain our highest priorities, I am confident our volunteer leadership will echo strongly on future results. Sincerely, Mike LeClair Chair of the Board and President Financial highlights Statements of gross and net revenue and expenditures for the year ended August 31, 2008 (in $ thousands) Leading the way in financial transparency and accountability The Heart and Stroke Foundation of Ontario is a sector leader with respect to transparency and stewardship of donor contributions. To continue this leadership, we’ve made some changes to how we report our financial statements this year. The Foundation is among the first to adopt the updated Ethical Fundraising and Financial Accountability Code developed by Imagine Canada and works closely with other partners in the sector to ensure best practices in reporting. To make it easier to have a full understanding of where your money goes when you make the choice to support the Foundation, we have provided some further explanations to highlight key entries in the reporting tables, and have provided answers to some typical questions. This code sets the standards for charitable organizations in managing and reporting their financial affairs. 3 8 H E AR T AND ST RO KE FOUNDAT IO N OF ONTA RIO a) Record investment in mission In 2008, both health education and research expenditures increased as planned, making the Foundation’s investment in mission activities a record $83.2 million, 46.5% greater than the $56.8 million spent on research and health education in 2007. b) Lottery contribution to research In 2008, $10.7 million was generated for life-saving research through the Foundation’s lottery. Over the past ten years, the Foundation’s lottery has contributed almost $150 million towards vital research, health education and community programs. Direct costs for the Foundation’s lottery business are substantially higher than the costs of non-lottery activities. These costs relate to spending on prizes and promotion to maximize lottery proceeds. Gross Revenue Fundraising revenue Community-based programs Centralized programs Lottery Government sponsored projects Interest, dividends and realized gains on investments Net Revenue after direct fundraising costs² Fundraising revenue Community-based programs Centralized programs Lottery Government sponsored projects Interest, dividends and realized gains on investments Decrease in market value of investments Net revenue before operating and mission expenditures c) Operating expenditures remain stable While the Foundation’s investment in mission activities rose dramatically from 2007 to 2008, the Foundation’s operating expenditures during that same period increased by only 3.8%. General fundraising expenditures include all costs and salaries that cannot be attributed to a program. Administrative expenses include all other expenses that are not related to either direct, general fundraising or mission costs. Operating expenditures³ General fundraising Administration Net revenue before mission expenditures Mission expenditures Research Health education and community programs Excess (deficiency) of net revenue over expenditures for the year Unrestricted and Board Restricted Donor & Government Restricted 2008 Total 2007¹ $ 32,176 35,618 6,536 $ 370 7,941 46,639 4,315 331 $ 32,546 43,559 46,639 4,315 6,867 $ 33,096 40,722 48,632 4,124 12,101 $ 74,330 $ 59,596 $ 133,926 $ 138,676 25,394 30,606 6,368 - 370 7,938 10,737 4,315 331 - 25,764 38,544 b) 10,737 4,315 6,699 - $ 26,342 35,965 12,140 4,124 12,236 (3,377) $ 62,368 $ 23,691 $ 86,059 $ 87,430 15,457 3,570 137 15,457 3,707 15,104 3,351 19,027 137 c) 19,164 18,455 $ 43,341 $ 23,554 $ 66,895 $ 68,975 36,096 23,520 16,255 7,299 52,351 30,819 37,804 18,959 59,616 23,554 a) 83,170 56,763 ($ 16,275) - ($16,275) $12,212 ¹ Certain comparative figures have been re-classified to conform to the financial statement presentation adopted in the current year. ² Direct fundraising costs are costs directly attributable to a specific program. ³ Operating expenditures are 14.3% of gross revenue. 4 See About the Annual Report (page 41) for details. 4 Statement of financial position as of August 31, 2008 (in $ thousands) Assets Current assets Cash and cash equivalents Investments Accounts receivable Prepaid expenses and deposits Inventory Long term assets Investments Endowment funds Property and equipment Liabilities Current liabilities Accounts payable and accrued liabilities Research grants and awards payable Deferred contributions Leasehold inducements Rent allowances Deferred contributions Research grants and awards payable Net Assets Internally restricted Unrestricted Restricted for endowment purposes Invested in property and equipment 4 0 H E AR T AND ST RO KE FOUNDAT IO N OF ONTA RIO Unrestricted e) Board Restricted d) Donor & Government Restricted About the Annual Report 2008 Total 2007 $7,699 1,160 1,560 1,412 28,756 - $24,455 - $32,154 28,756 1,160 1,560 1,412 $29,115 1,819 1,039 1,365 11,831 28,756 24,455 65,042 33,338 13,643 1,615 47,599 208 13,984 369 - 75,226 369 1,823 101,066 369 2,066 $27,089 $76,563 d) $ 38,808 $142,460 $136,839 $8,028 - e) 28,756 - $5,469 16,180 2,806 $13,497 44,936 2,806 $5,565 38,314 6,048 8,028 28,756 24,455 61,239 49,927 1,615 1,717 - 1,298 13,984 - 1,615 1,717 13,984 1,298 1,746 1,480 587 1,947 11,360 30,054 38,439 79,853 55,687 15,729 - e) 46,301 208 369 - 46,301 15,729 369 208 56,029 24,434 369 320 15,729 46,509 369 f) 62,607 81,152 $27,089 $76,563 $38,808 $142,460 $136,839 d) Donor and Government Restricted Assets $38.8 million represents the assets that are restricted, based on the source of the money and/or the expressed wishes of those making the donation. This amount includes lottery proceeds which fund certain research activities, automated external defibrillators, and government funding for the Heart and Stroke Foundation Centre for Stroke Recovery, a collaborative multi-year project. e) Board Restricted Assets $28.8 million of assets will fund current year research grants approved by the Foundation’s Board. The Board also prudently ensures that 50% of all financial commitments to multi-year research projects are set aside. Future payments are made following an annual review and achievement of initial milestones. $46.3 million is reserved by the Board for these future commitments. How is it possible that the Foundation invested more in 2008 than it received? The Foundation, as planned, used its existing financial assets to invest in vital research and health education activities identified in the Foundation’s five year strategic plan. These assets include funds received from a substantial bequest. Carefully planned spending over the next three years will also exceed annual revenues and ensure assets will continue to be deployed in a strategic and thoughtful manner for the following key mission priorities: • 50% of multi-year research commitments ($23.4 million) • High Blood Pressure: Getting Ontarians’ blood pressure under control ($3.5 million) • Healthy Kids: Tackling childhood obesity ($9.4 million) • Providing free health information related to heart disease and stroke ($3.1 million) f) Net assets • Working capital reserve ($6.9 million) The Foundation’s record investment in mission in 2008 occurred because a portion of the Foundation’s assets were used, in accordance with our strategic plan, to support critical research and health education priorities. This allowed the Foundation to spend $16.3 million more than it raised in 2007, resulting in a total of $83.2 million in mission spending. We invest the money relating to future financial commitments not yet paid in order to produce valuable additional income. Who is responsible for overseeing Financial Management? The Foundation fulfills its important governance roles through its strong volunteer committee structures comprised of members with relevant expertise. Ultimate responsibility for governance and oversight lies with the Board of Directors. Assisting the Board in fulfilling its financial mandate are various committees including the Audit Committee, the Finance and Investment Committee and the Investment Sub-Committee. The Audit Committee assists the Board in fulfilling its oversight responsibilities for the external financial reporting process, the system of internal control, the audit process and the processes for identifying, evaluating and managing the Foundation’s principal risks which have an impact on financial reporting. The Finance and Investment Committee is accountable to the Board for providing oversight regarding the financial well-being of the Foundation and oversees an Investment Sub-Committee which provides oversight regarding the Foundation’s investment portfolio. 4 2 H E AR T AND ST RO KE FOUNDAT IO N OF ONTA RIO How do I get more information about the Foundation’s financials? The financial information reflected in this annual report is a component of the Foundation’s complete Audited Financial Statements. These Audited Financial Statements have been prepared in accordance with generally accepted accounting principles (GAAP), and are audited by the firm PricewaterhouseCoopers LLP. The auditors review this annual report for consistency with the Audited Financial Statements. They also review the Foundation’s annual Registered Charity Information Return form T3010 that is filed with the Canada Revenue Agency (CRA) and is available annually on the CRA website (Business number 10747-2839-RR0001). A complete set of financial statements is available upon request from the Foundation’s Finance Department (416-489-7111 ext. 477). Why is lottery revenue different from charitable revenue and how does that affect the Foundation’s figures as reported by the Canada Revenue Agency (CRA)? Because Canada Revenue Agency regulations do not allow a tax deduction for the purchase of lottery tickets, the Foundation does not issue tax receipts for revenue derived from the lottery. To maintain this distinction, lottery revenue is reported on a separate line to charitable revenue in our financial statements. For the Foundation and all other organizations in the marketplace, lottery costs are substantially higher than the costs of nonlottery fundraising activities. The costs relate to spending on prizes and promotion to maximize lottery proceeds. This fact is not made readily apparent in CRA reporting, which may cause some readers to misinterpret a charity’s fundraising costs for non-lottery activities as higher than they are. Where does the revenue come from? 1. Our events (Heart&Stroke Jump Rope for Heart, Hoops for Heart, Big Bike, Fit for Heart, 7 Summits, and Ride for Heart) and Door-to-Door fundraising for Heart Month in February are examples of the community based programs that generate 30% of the Foundation’s net revenue. 2. Centralized programs account for 45% of net revenue. These include donations made through annual gifts given directly to the Foundation from an individual or organization and other centralized activities such as Direct Mail. 3. Our Lottery business generates 12% of net revenue. Lottery tickets legally are considered a non-charitable gift, not a donation and, hence, are not tax-deductible. 4. Financial gains and government sponsored projects account for 13% of net revenue. 1. Community based programs 30% 2. Centralized programs 45% 4. Financial and government 13% 3. Lottery 12% (in $ thousands) Where did the Foundation invest this money? We must be committed to support research in the long-term, to yield the greatest possible impact for people affected by heart disease and stroke. Many of our grants are awarded for up to five years, reflecting the long-term investment required for new ideas to produce significant impact. The Heart and Stroke Foundation of Ontario prides itself on ensuring that every time someone sponsors an event participant, gives at the door, or makes a memorial donation, their money fuels the very best in scientific research and health education. Through rigorous review and selection processes, we are committed to funding only the best research that will have the greatest and most meaningful impact on people’s lives. The Foundation supports almost 450 researchers and investigative teams across Ontario. We are also building the scientific minds of tomorrow, while transferring knowledge to healthcare providers and professionals. Your support contributes to all of these efforts, and results in lives saved by continually improving diagnoses, treatment and prevention of heart disease and stroke. Research grant investments Greater Toronto Area Baycrest Centre Centre for Addiction and Mental Health Hospital for Sick Children Mount Sinai Hospital St. Michael’s Hospital Sunnybrook Health Sciences Centre Toronto Rehabilitation Institute University Health Network University of Toronto York University Ontario West London Health Sciences Centre Robarts Research Institute University of Western Ontario University of Windsor Ontario North Northern Ontario School of Medicine Lakehead University Ontario East Queen’s University University of Ottawa/Heart Institute Ottawa Health Research Institute Ontario Central Brock University McMaster University University of Guelph University of Waterloo Multi-Provincial Grants National Research Awards Other Research Investments HSF Centre for Stroke Recovery¹ Diversity Research Canadian Stroke Network Total research investment: 4 4 H E AR T AND ST RO KE FOUNDAT IO N OF ONTA RIO $79 $293 $2,296 $507 $1,405 $1,660 $32 $3,540 $3,226 $383 $974 $1,164 $2,656 $310 $1,500 $18 $2,330 $3,524 $2,008 $157 $6,699 $212 $220 $306 $6,113 $5,680 $4,809 $142 $107 $52,350 (in $ thousands) Health education and community programs investment $3,274 Healthy Kids: Tackling childhood obesity. $4,772 Raising awareness of the warning signs and risk factors for stroke, Provincial coordination for stroke system and disseminating knowledge to healthcare providers. Ensuring all Canadians learn CPR (Cardiopulmonary Resuscitation) and have access to defibrillation (Automated External Defibrillators). When defibrillation is used along with CPR, survival rates can go from 5% to more than 50% if delivered in the first few minutes. The Heart and Stroke Foundation, a volunteer-based health charity, leads in eliminating heart disease and stroke and reducing their impact through the advancement of High Blood Pressure: Getting Ontarians’ blood pressure under control. Providing free health information, community programs and raising awareness and campaigning for policy and system change to improve the quality of life of people affected. We want heart disease and stroke to be high in the minds of the government, health departments and every other body with influence. Mission Statement research and its application, the promotion of healthy living and advocacy. Chief Executive Officer Community Offices Rocco Rossi Barrie Belleville Brampton Brantford Brockville Burlington Chatham Cornwall Guelph Hamilton Kingston Kitchener-Waterloo London Newmarket North Bay Vice Presidents $13,433 Nickey Alexiou Human Resources Kasia Czarski Marketing Laura Syron Research, Advocacy & Health Promotion $3,354 Bill Thomas Chief Financial Officer, Finance, Systems & Business Solutions Heart and Stroke Foundation of Ontario 2300 Yonge Street Ste 1300 P.O. Box 2414 $5,986 Total health education and other community programs: $30,819 Total research and health education investment: $83,169 Toronto, ON M4P 1E4 Tel: 416 489 7111 Fax: 416 489 6885 Note: Specific initiatives included above that target diverse communities at increased risk: $4,200 ¹ Funds Baycrest Centre, Sunnybrook Health Sciences Centre and University of Ottawa/OHRI. Email: [email protected] Web site: www.heartandstroke.ca Business Number: 10747-2839-RR0001 North York Ottawa Owen Sound Peterborough Richmond Hill Sarnia Sault Ste. Marie St. Catharines Stratford Sudbury Thunder Bay Timmins Toronto Whitby Windsor Every child has the right to grow up healthy. Our commitment to a healthy Ontario has been well demonstrated this year. Yet we can – and must – do more. We all want to live healthy lives and raise healthy kids. So why is this not happening? Perhaps because messages like “exercise more” and “eat better” are just not enough. The real challenge is to change the way we live our lives, as individu- als, families and communities. We must rethink the lifestyle standards we have accepted as a society. Because right now, the way we are all living is getting in the way of living well. gether to ignite new possibilities for healthier living. Together, we can create an Ontario where health flourishes and children are active and healthy. To become healthy Ontarians we must spark a collective change – in our behaviours and in our societal priorities. We must work to- It is time.