Pandemic Resilience in the - St. Paul's Hospital

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Pandemic Resilience in the - St. Paul's Hospital
St. Paul’s Hospital & SPH Foundation
Emergency Room Licensed Practical Nurse (LPN) Jenna Bilec
dons personal protective equipment (PPE) at St. Paul’s Hospital.
                                                                                   Annual Review
                                                                                           2020-2021

           Resilience
                                  in the
                       face of a
                                        pandemic
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Pandemic Resilience in the - St. Paul's Hospital
St. Paul’s Hospital
    A community of health, hope and compassion for all.

    St. Paul’s Hospital (SPH) is a 250-bed acute care teaching and
    applied research hospital delivering compassionate and holistic
    health care to the people of Saskatoon and Saskatchewan in
    partnership with the Saskatchewan Health Authority.
    Owned by the Catholic Bishops of             St. Paul’s Hospital Local Council 2020-2021
    Saskatchewan via Emmanuel Care,              Local presence remains critical to the
    St. Paul’s Hospital is a Catholic hospital   mission of Catholic Health Care. The
    governed, along with eleven other publicly   St. Paul’s Hospital Local Council is appointed
    funded non-profit Catholic health care       as a committee of the Emmanuel Health
    facilities across Saskatchewan, by           Board of Directors.
    Emmanuel Health.
                                                 Local Council Members: David Eberle, Chair;
    Emmanuel Health President and CEO            Dr. Bruce Berscheid; Gene Dupuis;
    Jean Morrison		                              Tracy Muggli, St. Paul’s Hospital Executive
                                                 Director; Maureen Preston; Neil Weber,
    Emmanuel Health
                                                 St. Paul’s Hospital Foundation Board Chair.
    Board of Directors 2020-2021
    Darryl Bazylak, Saskatoon (Chair);           Emmanuel Health’s Catholic
    Mary Donlevy-Konkin, Saskatoon (Vice-        Health Care Facilities in Saskatchewan
    Chair); Dr. Bruce Berscheid, Saskatoon;      Foyer St. Joseph Nursing Home, Ponteix;
    Wayne Blazieko, Moose Jaw; Gene Dupuis,      Hospice at Glengarda, Saskatoon; Providence
    Saskatoon; Richard Fontanie, Regina;         Place for Holistic Health, Moose Jaw; Radville
    David Gibson, Saskatoon; Omer Houde,         Marian Health Centre, Radville; Samaritan
    Wynmark; Don Kindopp, Estevan;               Place, Saskatoon; Santa Maria Senior Citizens
    Sr. Bonnie MacLellan, North Bay, ON;         Home, Regina; St. Ann’s Senior Citizens’
    Pina Melchionna, Woodbridge, ON;             Village, Saskatoon; St. Anthony’s Hospital,
    David Patola, Saskatoon; Gaetan Piche,       Esterhazy; St. Joseph’s Hospital/Foyer
    Gravelbourg; Shellyann Schaan, Saskatoon;    d’Youville, Gravelbourg; St. Joseph’s Hospital
    Colette Stang, Macklin.                      of Estevan, Estevan; St. Joseph’s Integrated
                                                 Health Centre, Macklin; St. Paul’s Hospital,
    St. Paul’s Hospital Executive Director
                                                 Saskatoon; St. Peter’s Hospital, Melville.
    Tracy Muggli

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Pandemic Resilience in the - St. Paul's Hospital
Message from
Executive Director Tracy Muggli

A Year of Challenges,                            tone for enacting necessary safety measures,
Resilience and Compassion                        while offering a compassionate welcome to
On April 1, 2020, I walked through the           everyone entering that space. The Protective
front doors of a hospital functioning            Services department also adapted their
in a pandemic. I could not then have             practices considerably to support those
imagined that one year later, we would           ongoing screening needs.
continue to be faced with the challenges of
                                                 Our Building Services team provided
managing hospital-based care under these
                                                 necessary and ongoing physical-space
circumstances.
                                                 adaptations while also tending to previously
But we persevered, and are now rounding          scheduled project work such as the
the corner on what surely will enter the         installation of our new Pneumatic Tube
history books as the largest public health       System. Our diligent Infection Prevention
challenge in recent history. What we have        and Control team, working closely with
learned through this experience will be          Occupational Health and Safety, worked
examined and studied for years to come.          tirelessly day after day to ensure our Personal
Most certainly, the new pathways we have         Protective Equipment (PPE) and practices for
established throughout this time will serve us   keeping ourselves and our patients safe were
well should this ever happen again.              leading-edge.
For many of us, this also has been a time        Every surface at St. Paul’s was cleaned, then
of intense personal reflection. As health        disinfected, then cleaned and disinfected
care workers in both the clinical and the        again! Environmental Services and Linen
support functions, we have many times been       Services did exceptional work and our
witness to intense grief experience when         supply chain folks made sure we always
lives are lost. But also impossible to forget    had all the supplies we needed, often at a
is the generous and daily demonstrations of      moment’s notice. Meanwhile, the Medical
kindness and compassion toward those we          Device Reprocessing Department and Clinical
serve and toward one another, in spite of the    Engineering worked hard to keep our
grief.                                           equipment clean and in safe working order.
I am filled with gratitude to be a part of the   Our Grounds and Parking crew implemented
action-oriented and hard-working team at         necessary new safety measures and installed
St. Paul’s Hospital. From the very outset of     directional signage to help with the increased
the pandemic, our St. Paul’s Hospital family     flow of staff and visitors. And who will
performed with integrity and unwavering          forget the fierce November blizzard that
perseverance in service of our community.        closed down the civic election, and kept
                                                 our Grounds crew working long hours to
We sprang into action quickly in response
                                                 maintain safe access to our Hospital.
to the need to adapt physical spaces and
enable screening and visitation measures         Human Resources helped navigate the
in accordance with continually changing          complexities of re-assigning staff, recruiting
public health directives. The Mission Office     then onboarding countless new or re-
initiated hospital entry screening and set the   assigned employees in response to the abrupt
                                                 and urgent call for “more hands on deck!”

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Pandemic Resilience in the - St. Paul's Hospital
This will go down in history as the largest         visitors from the North. We are also deeply                    of the most vulnerable amongst us.
“pivot” ever made by an HR team!                    grateful to the many family and patient
                                                                                                                   And throughout all of the hardships, we
                                                    advisors and partners who helped co-create
Nutrition and Food Services adapted                                                                                have been blessed by the leadership,
                                                    workable processes, particularly with respect
to distancing measures and changing                                                                                guidance and support of Emmanuel
                                                    to visitation in our Hospital.
requirements both in the cafeteria and also                                                                        Health, Emmanuel Care, and the
in the delivery of patient meals. Tim Hortons       Our Mission, Ethics, and Spiritual Care teams                  St. Paul’s Hospital Local Council.
wasted no time in conforming to public              worked around the clock to advance and
                                                                                                                   Saskatchewan Health Authority leadership
health requirements that ensured safety in          support patient care and to organize and
                                                                                                                   delivered a structured Incident Command
our Hospital. “Tim’s” is a popular destination      sustain contact between patients and their
                                                                                                                   Response that designated a safe and
here at St. Paul’s, so we greatly appreciated       loved ones. They also provided support to
                                                                                                                   accountable detailed planned response.
their co-operation and kind service.                staff and clinical teams by facilitating daily
                                                                                                                   St Paul’s Hospital is highly grateful to the
                                                    guided meditations, providing a listening
Information Technology folks spent                                                                                 team of leaders who diligently addressed
                                                    ear, advancing the Mission in Action awards,
unimaginable hours setting staff up to work                                                                        every necessary detail.
                                                    presenting a modified Feast Day, and even
virtually while accommodating the many
                                                    providing many treats along the way to lift                    Naming all who have joined forces
hardware and networking needs brought on
                                                    spirits!                                                       throughout this heroic struggle is an
by the pandemic. So many others, like Health
                                                                                                                   impossibility because they truly are beyond
Records, Digital Health Analytics and Surgical      Our community of donors supported us
                                                                                                                   count. But please clearly understand my
Scheduling all worked hard to make ongoing          in innumerable ways through backing the
                                                                                                                   profound and heartfelt appreciation for
changes to their daily work practices.              efforts of our Foundation and its hard-
                                                                                                                   every single human effort, large or small,
                                                    working staff. One greatly appreciated
The Safety Centre, Digital Health,                                                                                 that has been made in our Hospital!
                                                    initiative was the development of a
Registration Services, Finance, Cashiers
                                                    COVID-19 Hospital Fund that helped patients                    We now know that pandemics are
Office, Administrative Team, Administrative
                                                    by granting temporary free TV services,                        hard situations . . . extremely hard!
Fellow and countless others readily accepted
                                                    providing iPads to support virtual contact for                 Simultaneously adapting on both personal
new working conditions, whether that
                                                    patients and their families, and bringing in                   and professional levels is no easy feat. We
meant setting up at home or modifying
                                                    additional music therapy. Following a period                   are grateful to everyone who sent prayers
current practices. Health Emergency
                                                    of “pandemic closure,” the Foundation                          as well as messages of love and support
Management pivoted to meet expectations
                                                    ensured the reopening of the Gift Shop – an                    to help us find the strength and faith in
to support our Incident Command
                                                    important and welcome resource to staff,                       ourselves and in our purpose that we need
structure. The St. Paul’s Hospital Laboratory
                                                    patients and visitors.                                         to continue our Mission.
underwent a dramatic shift and expansion
to facilitate urgent new priorities including       And we could not be more grateful                              In spite of the many challenges, we
the processing of thousands of COVID-19             to St. Paul’s amazing clinical teams –                         continue to move forward in exciting
samples. A remarkable feat!                         pharmacists, social workers, addictions                        ways. We are proceeding with our front
                                                    counsellors, dietitians, occupational                          entrance enhancement work, and look
First Nations and Metis Health Services
                                                    therapists, respiratory therapists, physical                   forward to completion of a Cultural
stepped forward and responded to the
                                                    therapists, speech/language therapists,                        Centre, grounds redevelopments, and
community’s needs, including ensuring
                                                    diagnostic imaging staff, assessor                             other facility infrastructure improvements
safety of Elders and Knowledge Keepers and
                                                    coordinators, licensed practical nurses,                       to our Hospital. As well, donor support
easing accessibility of services to all including
                                                    continuing care assistants, nurses, physicians,                is enabling us to engage our staff and
                                                    system flow team members and so many                           community in discussions about how
                                                    others. They showed up every single day,                       we can improve the experience of those
                                                    donned the gear, and served with everything                    coming into the our front entrance.
                                                    they had to give!
                                                                                                                   What a year this has been! As one great
                                                       After supporting the community through                      team, we have worked together to
                                                         a typhoid pandemic here more than a                       embrace our Hospital’s Core Values of
                                                           century ago, the then newly arrived                     Respect for All, Collaborative Partnerships,
                                                             Grey Nuns went on to found our                        Compassionate Caring, Holistic Care and
                                                               Hospital. Daily we remain inspired                  Stewardship. I am simultaneously humbled
                                                                by their strength, compassion and                  and proud to be a small player on this
                                                                 courage in addressing the needs                   incredible team with a grand vision
                                                                                                                   for “a community of health, hope and
                                                                                                                   compassion for all.”

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                                                                        Samia Islam, Food Service Worker, serving a fresh meal in the cafeteria.
Pandemic Resilience in the - St. Paul's Hospital
Advancing our Mission

                                                                                                         Blake Sittler, St. Paul’s Hospital’s Director of Mission.
Mission Office
The Mission Office exists to support the staff and    Care also worked in collaboration with Rapid
physicians of St. Paul’s Hospital in living out our   Access Addiction Medicine and First Nation
Hospital’s Mission, Vision and Values. In 2020,       and Metis Health to offer a series of Creative
faced with the challenges brought on by the           Collective expressive arts workshops for
pandemic, Mission Office played the lead role in      patients exploring themes related to resilience,
implementation and operation of the Hospital’s        recovery and wellness.
important front entry screening process, which
                                                      Ethics
then evolved into its own office. We also
                                                      The Ethics office shares physical space with
expanded our staff services to offer guided
                                                      the Mission Office. In 2020, we worked with
meditations – a service that has now become an
                                                      researchers at St. Thomas More College on a
on-line provincial program in collaboration with
                                                      real-time study to measure the impact of the
the Saskatchewan Health Authority.
                                                      pandemic on health care workers. Conferring
As part of our commitment to holistic care,           with the researchers as they designed and
our team offers patient service in the Healing        implemented the study enabled a richer
Arts, Spiritual Care, and Ethics.                     understanding of the distress experienced by
                                                      staff in these unusual times. Examples of cases
Our Healing Arts Program is delivered by a
                                                      and situations encountered by Ethics services
multi-disciplinary team comprising an Artist-
                                                      include: supporting decision-making for an
in-Residence, a Music Therapist, a Writer-
                                                      unconscious patient with no known family;
in-Residence and volunteer artists from our
                                                      advising staff in their attempts to deliver care
community. The Mission Office continues
                                                      to patients who resist pandemic precautions;
to build intentional partnerships in our
                                                      supporting physicians in their assessments of
neighbourhood and surrounding area for the
                                                      when dementia patients might no longer be
shared benefit of our patients, clients and
                                                      safe living at home; working with physician
community members.
                                                      leaders in considering evolution of physicians’
Spiritual Care                                        duties during a pandemic; and considering
The role of spiritual care is to ensure that the      the ways in which social inequities might be
emotional and spiritual needs of both patients        reasonably considered in clinical triage.
and staff are being met, in accordance with
                                                      Bioethicist Mary Heilman spent much
respective belief systems. We have worked
                                                      of the pandemic on maternity leave
hard to nurture progress in working with other
                                                      starting in March 2020, and
health care disciplines in providing holistic and
                                                      Gary Goldsand joined our
person-centered care. The reality of COVID-19
                                                      team on an interim
has increasingly created an environment of
                                                      basis.
isolation, depression and certainly, for many,
hopelessness. Spiritual Care provides an
essential and supportive listening presence
that encourages reflection to help patients,
families and staff navigate immediate and
shifting difficult situations. Despite limited
visitation due to the pandemic, insofar as
possible Spiritual Care will journey with each
patient and family, especially at the end of
life. In the early months of the pandemic,
we connected patients to family by touring
the Hospital with iPads to virtually connect
patients with loved ones.
Despite the pandemic, we continued to teach
the Fall session of Clinical Pastoral Education
(CPE) with the regular class load. Spiritual

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Pandemic Resilience in the - St. Paul's Hospital
Hospital Highlights

                 Laboratory Medicine                              typing, which will decrease the turnaround
                 St. Paul’s Hospital Laboratory continues         time for HLA typing by as much as 4 weeks.
                 to provide services in the departments of        This new technology will support kidney
                 Anatomical Pathology, Hematology, Clinical       transplant recipients as well as Saskatchewan
                 Biochemistry, and Transfusion Medicine,          cancer patients waiting for bone marrow
                 with the addition of some specialized testing    transplantation, and will help increase their
                 divisions. The Laboratory provides high-volume   survival rates.
                 services for our surrounding communities and
                                                                  St. Paul’s Hospital Foundation is supporting
                 is a transportation hub for Saskatoon and
                                                                  the purchase and installation of a full-site
                 Northern Saskatchewan rural centers for the
                                                                  Pneumatic Tube Transport System. This system
                 testing and referral of specimens.
                                                                  is designed to safely and quickly transport
                 St. Paul’s Hospital’s Laboratory has been a      specimens, medications, and blood products
                 key partner in the provincial response of        throughout our Hospital. The new system will
                 specimen processing for the COVID-19             improve efficiencies, providing more time for
                 pandemic. Our Laboratory was approved to         employees to focus on quality patient care.
                 bring on additional human resources and          While the project has experienced some delays
                 set up a COVID-19 PreAnalytical team with        over the past year due to the pandemic, we
                 dedicated space to help process as many as       continue to move forward and completion is
                 2,000 specimens daily. The Laboratory team       slated for next year.
                 continues to respond to the health system
                                                                  Primary Health and
                 requests for diagnostic testing requirements
                                                                  Chronic Disease Management
                 for all patients, COVID-19 and non-COVID-19.
                                                                  The Chronic Disease Management team
                 Our Hospital’s Histocompatibility and            did an exceptional job of adjusting their
                 Immunogenetics Laboratory (HLA) is the           service delivery model to protect the health
                 only Saskatchewan lab location providing         of patients while following changing Public
                 services supporting both living and deceased     Health Orders during 2020. The teams
                 donor transplant programs, including bone        were able to shift from in-person visits to
                 marrow and solid organ transplantation.  The     virtual appointments while also continuing
                 HLA Lab is one of 14 laboratories in             connecting with patients “on-site” in our
                 Canada internationally accredited by the         Hospital, as well as support the SHA system
                 American Society of Histocompatibility and       as a whole. The Exercise Therapy team
                 Immunogenetics (ASHI). Testing includes HLA      provides rehabilitation in the community
                 typing as well as antibody and cross-matching    and, to meet COVID-19 demand, brought
                 to assess donor-recipient compatibility for      its skills to other services lines such as
                 transplantation as well as other specialized     Communicable Disease Control through case
                 testing connected to Histocompatibility. The     monitoring and following acute discharges
                 HLA Lab is slated to receive funding from        into the community. Amongst other services,
                 SPH Hospital Foundation to purchase a Nano       the Diabetes team shared its staff to help
                 Sequencer, the “gold standard” for HLA           support flu and COVID-19 immunizations.
                                                                  The Irritable Bowel Disease program provided
                                                                  staff for the initiation of the COVID19 Test
                                                                  and Assessment Centre, and Clinical Health
                                                                  Psychology was able to continue providing a
                                                                  meaningful residency and training program
                                                                  for the new psychologists. All the Chronic
                                                                  Disease Management teams maintained client-
                                                                  centered care as their top priority in addressing
                                                                  the ongoing needs of our population.

                                                                               Medical Laboratory Assistant Chantelle Walton
                                                                                         sorting specimens in the Laboratory.

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Pandemic Resilience in the - St. Paul's Hospital
Hemodialysis Registered Nurse (RN) Paulo Bautista.

Kidney Health and                                 Palliative Care and Hospice Services
Provincial Transplant Services                    St. Paul’s Hospital strives to provide
St. Paul’s Hospital provides hemodialysis         compassionate care and support to patients
and other specialized medical services for        and families facing end-of-life. Our
kidney patients not only in our Hospital and      interdisciplinary approach optimizes quality
throughout the Saskatoon community but            of life at end-of-life. This past year has seen
also in the northern regions of the province.     a number of renovations to the Palliative
Patient volumes continue to increase. We have     Care Unit at St. Paul’s Hospital, thanks to the
advanced our emphasis on patient education        remarkable generosity of our community and
and virtual support. Ongoing partnerships         their support of the Close to Home Campaign.
with the SHA Organ Donation Program,              Improvements include renovations to the Core
the Saskatchewan Transplant Program and           Nursing area, enlargement of the Tub/Shower
Satellite Dialysis units continue to advance      Room including the installation of a virtual
the department’s focus on having patients         “window” with a digital screen showcasing
receive the care they need as close as possible   nature scenes, as well as changes to the
to home. These collaborations are shown           Nursing Station to improve work stations and
to positively impact individuals with chronic     provide through access, an improved Clean
kidney disease.                                   Supplies Area, and a Family/Meeting Room
                                                  with capacity for virtual meetings.
Emergency and Air Ambulance Services
With 30 care spaces, St. Paul’s Emergency         We were thrilled to witness the completion
Department is Saskatoon’s second-largest          of the highly successful Close to Home
Emergency Department and has a long-              Campaign for Hospice and End-of-Life Care
standing history of providing urgent and          in May. Thanks to the generosity of donors
emergent care to those from our core              in our community, the funds generated will
neighborhood, city and province. Currently we     significantly advance end-of-life care in our
register between 70 and 100 patients per day      community. We are pleased to be part of
for emergency care needs, with the largest        the team that is working to ensure the funds
volumes arriving between noon and midnight        have the most meaningful impact. Further,
each day.                                         we are grateful to the Patient Family Advisory
                                                  Committee who are working to bridge gaps in
Throughout the COVID-19 pandemic, we
                                                  care for palliative patients at St. Paul’s Hospital
have fine-tuned our Personal Protection
                                                  who are not in the Palliative Care Unit.
Equipment (PPE), our triage processes and
                                                  Initiatives include advancing staff education
care model for those requiring aerosolized
                                                  and integrated care, as well as providing
generating medical procedures (AGMPs).
                                                  Comfort Care Kits for families of those facing
We have worked closely with the Rapid
                                                  end-of-life.
Access Addiction Medicine (RAAM) clinic to
have Addictions Counsellors begin working         The Hospice at Glengarda accepted its first
out of our Emergency Department. During           patient in January 2021.
COVID-19 there was a definite rise in the
                                                  Mental Health and Addiction Services
use of alcohol and other illicit drugs. These
                                                  Mental Health and Addiction Services provides
heightened numbers then increased the
                                                  a range of services for clients of all ages who
numbers of Take Home Naloxone (THN)
                                                  may face mild, moderate or severe issues
kits provided to patients, their care givers
                                                  involving mental health and addictions.
and other members of the public. More kits
                                                  Our team of professionals uses a variety of
available in the community means quicker
                                                  strategies including individual, group and
access to medication that can reverse the
                                                  family therapies.
effects of narcotics/opioids and save more
lives. Work with community partners also has      This past year involved breaking much
begun to expand. We are working on a Care/        new ground, because while we worked as
Arrival Plan Flag as part of Electronic Health    always to address the needs of our clients
Records to improve efficiencies by quickly        we concurrently were responding to a global
providing a summary of information to the         pandemic. Our teams adapted as required
Health Care Team on a variety of care needs.

                                                                                                                              Dialysis patient Shirley Parpat
                                                                                                            receiving treatment at the In-Centre at St. Paul’s.

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Pandemic Resilience in the - St. Paul's Hospital
to ensure that we not only met public health                       multidisciplinary team in the Emergency
                                                                  directives with respect to safety and reduction                    Department, we plan to continue working to
                                                                  of disease transmission risk, but also that we                     reduce and remove the stigma surrounding
                                                                  continue providing much-needed services and                        substance use and substance use disorders,
                                                                  supports to our clients.                                           thereby providing a holistic health care
                                                                                                                                     experience. The new investments also allowed
                                                                  Rapid Access Addiction Medicine (RAAM)
                                                                                                                                     us to develop a Community Recovery Team
                                                                  continues to provide care to Emergency
                                                                                                                                     (CRT) for youth with complex mental health
                                                                  Department patients and, in this past year,
                                                                                                                                     needs. To help increase capacity and improve
                                                                  to all inpatient units at St. Paul’s. With the
                                                                                                                                     access to intensive supports, the youth CRT
                                                                  opening of the Mental Health Short Stay Unit
                                                                                                                                     has developed direct linkages to EGADZ
                                                                  at Royal University Hospital on February 10,
                                                                                                                                     partners, as well as to youth residing in their
                                                                  2021, we continue to provide leadership to
                                                                                                                                     homes.
                                                                  enhance the continuum of care available for
                                                                  those needing acute mental health support in                       Our team continues to work to establish
                                                                  our community.                                                     collaborative relationships with a variety of
                                                                                                                                     community partners. We continue to work
                                                                  We were fortunate to receive new investments
                                                                                                                                     alongside Patient and Family Advisors to
                                                                  in 2020-2021 that included funding to
                                                                                                                                     advance innovations and engagement with
                                                                              develop Addictions Counselor
                                                                                                                                     mental health and addictions services.
                                                                                  positions in the Emergency
                                                                                    Departments at both                              Diagnostic Imaging
                                                                                     St. Paul’s Hospital and                         and Nuclear Medicine
                                                                                      Royal University Hospital.                     Diagnostic Imaging and Nuclear Medicine
                                                                                       These counselors will                         plays an important role in both diagnosing
                                                                                        ensure that clients                          and treating the spread of disease. Highly
                                                                                        receive appropriate                          specialized staff use state-of-the-art
                                                                                        help at the right                            equipment to generate detailed images to
                                                                                        time regarding their                         help identify, analyze, diagnose and treat
                                                                                        substance use, and will                      a wide range of medical conditions. Our
                                                                                         assist in connecting                        department is proud to be an important part
                                                                                             clients with                            in the patient’s health care journey.
                                                                                                 community
                                                                                                                                     As technology advances, so does the need for
                                                                                                   services. Also,
                                                                                                                                     innovating, updating and replacing existing
                                                                                                     as part of a
                                                                                                                                     systems in Diagnostic Imaging. Throughout
                                                                                                                                     the COVID-19 pandemic, our department
                                                                                                                                     has experienced an exponential demand for
                                                                                                                                     portable imaging. This specialized equipment
                                                                                                                                     enables us to provide bedside care and
                                                                                                                                     limit the degree to which patients must be
                                                                                                                                     transported through the facility.
                                                                                                                                     During this past year, Diagnostic Imaging
                                                                                                                                     implemented a new trial program developed
                                                                                                                                     and fostered by our Interventional Radiology
                                                                                                                                     team. This team comprises Medical Radiation
                                                                                                                                     Technologists, Interventional Radiologists and
                                                                                                                                     Interventional Radiology Nurses. The trials
                                                                                                                                     already have resulted in many patient benefits,
                                                                                                                                     including shorter wait times, less procedure
                                                                                                                                     carryover and earlier discharges.

Thomas Laughton, Licensed Practical Nurse (LPN) for the Mental Health and Addiction Services Rapid Access to Additions Medicine (MHAS-RAAM) Clinic
at St. Paul’s Hospital shares life-saving information about how to effectively use a Naloxone Kit.

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Pandemic Resilience in the - St. Paul's Hospital
Service Analysis

                                                                            2019-20     2020-21
Service Capacity
Acute Care Beds (Available)                                                      281        273
Acute Care Beds (Planned beds)                                                   258        250
Avg Daily Census (Actual Patient Days/Days in the Year)                          262        239
Avg Daily Census - Palliative Care (Actual Patient Days/Days in the Year)         12          11
Palliative Care Planned Beds (Included in Above Totals)                           12          12

Service Activity
Inpatient Admissions (based new data source)                                  11,104       9,391
Emergency Room Visits                                                         39,334      32,040
Out Patient Visits*                                                           17,356      11,600
Surgical Cases (Inpatient) OR Only                                             3,907       3,021
Surgical Cases (Day Surgery) OR Only                                           5,065       3,039
Occupancy Rate (True Occupancy Rate as of Apr 1, 2011)                        102%        105%
Average Length of Stay                                                           8.7         9.4

Admissions
Average patients admitted per day                                                 30          26
Busiest day of the week (on average most admissions)                            Tues        Tues
Busiest month of the year (most admissions)                                   Jan ‘20     Jul ‘20

*Notes
Outpatient Visits reflects the Ambulatory Care
Department Only.
Previous Years Adjusted.

                                                                                                       Dr. Janet Ferguson, Emergency Room Physician.

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Pandemic Resilience in the - St. Paul's Hospital
St. Paul’s Hospital Foundation
                                                                                  St. Paul’s Hospital Foundation believes           St. Paul’s Hospital Foundation
                                                                                  in the power of generosity in changing            Board of Directors 2020-2021
                                                                                  and saving lives. Founded in 1982, the
                                                                                                                                    The volunteer Board of Directors governs
                                                                                  Foundation advances the Hospital’s vision
                                                                                                                                    the affairs of St. Paul’s Hospital Foundation
                                                                                  by raising, managing and allocating
                                                                                                                                    (SPH Foundation) and ensures the
                                                                                  funds in keeping with donors’ wishes
                                                                                                                                    achievement of the organization’s mission
                                                                                  in support of St. Paul’s Hospital and the
                                                                                                                                    through three primary functions: Leadership,
                                                                                  Hospice at Glengarda.
                                                                                                                                    Development (Fund Raising) and Financial
                                                                                  Our Vision                                        Oversight.
                                                                                  Philanthropic leadership in support
                                                                                                                                    Responsible for the Foundation’s stability,
                                                                                  of St. Paul’s Hospital and the
                                                                                                                                    members of the SPH Foundation Board of
                                                                                  Hospice at Glengarda, as inspired by the spirit
                                                                                                                                    Directors provide important connections
                                                                                  of charity and compassion of the Grey Nuns.
                                                                                                                                    to and liaisons with a wide variety of
                                                                                  Our Values                                        organizations and individuals in our
                                                                                  Donor-centered philanthropy.                      community. Board members also sit on the
                                                                                  Accountability.                                   following Foundation Board Committees:
                                                                                  Community Support.                                Governance and Board Development
                                                                                  Partnerships.                                     Committee, Human Resources Committee
                                                                                                                                    and Audit and Finance Committee.
 SPH Foundation Board of Directors 2020–2021 (above)
 Standing centre (l-r): Dr. Bruce Berscheid, St. Paul’s Hospital Local Council; Neil Weber, Board Chair.
 Back row (l-r): Nicholle Povhe, Treasurer; Dr. Vivian Walker, Vice-Chair; Leah Schatz; Lecina Hicke, CEO; Ron Hyggen;
 Chris Boychuk, Past Chair; Tracy Muggli, St. Paul’s Hospital Executive Director.
 Seated (l-r): Steeg Holmes; Doreen Howlett; Arlene Jorgenson; Gwen Dueck; Shari Watson, Secretary; Kevin Sharfe.
 Missing: Larry Long.

10
Message from CEO
Lecina Hicke and
Board Chair
Neil Weber
On an annual basis, the Foundation has the        of the adversities that faced us throughout
honour and privilege of reflecting back on        2020 and how we worked to respond to the
the remarkable generosity extended by our         needs of a challenging and unprecedented
community in support of the mission, vision       situation.
and values of St. Paul’s Hospital. This support
                                                  Fortunately, there also were some bright
has helped us to realize significant positive
                                                  moments: Together we celebrated the
change for our Hospital over the past 38
                                                  opening of the Hospice at Glengarda – the
years. Through the support of our community
                                                  finale of the hugely successful Close to Home
we have improved patient and family
                                                  Campaign – from a distance; stepped up
experiences by our commitment to support
                                                  or took the drive-through to purchase our
holistic and compassionate care, placed-
                                                  “Smile Cookie” in support of end-of-life
state-of- the-art life-saving equipment in the
                                                  care; and kept the long-standing tradition
hands of dedicated health care providers, and
                                                  of Mistletoe alive as we delivered baskets of
implemented unique and impactful programs
                                                  Christmas joy throughout our community.
that promote the health and well-being of
those we serve.                                   We take this opportunity to similarly thank
                                                  our SPH Foundation family and staff for their
This year our gratitude ensues as always,
                                                  infallible dedication to the mission of SPH
but is magnified exponentially because of
                                                  and their perseverance throughout 2020.
COVID-19. On Monday, March 11, 2020,
the World Health Organization declared            Your remarkable support and committed
COVID-19 to be a global pandemic. Those           generosity are in the spotlight throughout
few spoken words triggered abrupt changes         this publication, as are the profound impacts
impacting daily lives throughout the entire       of your dedication to our Foundation. You
world. Immediately, we began working              opened your hearts to us when the world
from home, navigating new financial               appeared to be shutting its doors.
circumstances and forsaking personal visits       We thank you.
with family and friends. What followed was a
                                                  Lecina Hicke,
stark sense of uncertainty.
                                                  Chief Executive Officer
It is in the face of this uncertainty that we
                                                  Neil Weber
realize ourselves immeasurably grateful to
                                                  Volunteer Board Chair
our community as we bring together the
2020-2021 Annual Review. Within this
publication, you will see irrefutable examples

                                                                                                  11
Fundraising

              Transforming end-of-life care in                  Laboratory Excellence
              our community                                     We are pleased to continue raising
              Our Foundation was tremendously pleased to        the funds necessary to bring a Nano
              complete fund raising for the Close to Home       Sequencer and a Cell Imaging Analysis
              Campaign for Hospice and End- of-Life Care on     System to our Hospital’s Laboratory. The
              May 12, 2020. $20,954,000 was raised through      sequencer will allow medical specialists
              the campaign to build the Hospice at Glengarda,   to mix the ideal blend of anti-rejection
              renovate the Palliative Care Unit at              medications for organ donor recipients,
              St. Paul’s Hospital, advance education and        particularly those receiving kidney
              training, and expand holistic end-of-life-care.   transplants. A Cell Imaging Analysis
              We invite you to review the Close to Home Final   System is a highly detailed blood sample
              Report enclosed in this publication.              scanner that has the capacity to send
                                                                images to specialists anywhere in the
                                                                world for instant consultation. It can
              Circle of Angels
                                                                also compare blood samples and results
              Donors who choose to sign                         to a vast library of other results. We are
              up for monthly giving                             grateful to everyone who purchased a
              and Saskatchewan                                  Mistletoe 2020 Basket and Fall Hospital
              Health Authority                                  Home Lottery tickets, and for designated
              physicians and staff                              donor support. Thanks to you, in 2020 we
              who sign up for                                   raised $825,679 in support of this project.
              payroll deductions
              are making a
                                                                COVID-19 Initiatives
              significant difference
                                                                Bringing Urgent Care
              in the health and well-
                                                                to Where it is Most Needed
              being of our community.
              Monthly gifts helped us advance patient care      The COVID-19 Hospital Fund was
              even through the uncertainty of COVID-19.         launched on March 30, 2020, as a joint
              In 2020, the Circle of Angels programs raised     initiative between St. Paul’s Hospital
              $46,876. The security of continued support        Foundation, Royal University Hospital
              through monthly giving is a true blessing, and    Foundation, Saskatoon City Hospital
              that’s why we call our monthly donors our         Foundation and Jim Pattison Children’s
              “Angels.”                                         Hospital Foundation to respond to the
                                                                rapidly evolving COVID-19 urgent care
                                                                needs where that care was most needed.
                                                                This fund supported the purchase of a
                                                                new Quantalyzer for St. Paul’s Hospital’s
                                                                Laboratory. This equipment will allow
                                                                health care providers to process a high
                                                                volume of autoimmune tests with
                                                                significantly less hands-on time for

                                   “70% of medical decisions are made based on information from the
                                   lab. If you want to ensure optimal health care you need a vibrant
                                   laboratory component. You need a correct and timely diagnosis that
                                   allows you to determine appropriate treatment. Lab medicine is the
                                   science behind the cure.”
                                                                                           - Dr. Fergall Magee,
12                                                                                      Provincial Head and Clinical Lead,
                                                                                Laboratory Medicine (Provincial Programs)
Denis and Terry Sirois gave a generous $25,000 matching gift
because of their strong belief in helping ensure the best patient
care possible. Their gift helped to raise funds to bring not one, but
two portable ventilators to St. Paul’s Hospital’s Intensive Care Unit.

technologists allowing them to serve
a larger patient population with high-
quality testing and shorter turn-around
time. The Quantalyzer serves both
COVID-19 patients and people with
underlying immunological diseases and
autoimmune conditions such as lupus,
celiac disease and rheumatoid arthritis.
The fund also supports the expansion
of the Music Therapy Program at                                          Donors give the gift of breath
St. Paul’s Hospital to help provide isolated
and lonely patients with additional                                      We are grateful to our community’s rapid
support to ensure better mental health                                   and generous response to Respiratory
and physical recovery. Music therapy is                                  Therapy Clinical Supervisor Sherren Gillott’s
a holistic therapy that helps to alleviate                               urgent request for support to purchase
pain, manage stress and provides an                                      portable ventilators for the Intensive Care
enjoyable distraction for patients while in                              Unit. A portable ventilator is an essential
recovery.                                                                tool in helping a patient to breathe during
                                                                         transport for specialized treatments to
Some highlights of other purchases the                                   different areas of the Hospital. We are
fund supported includes: iPads for long-                                 grateful to donors Terry and Denis Sirois
term care facilities across the province,                                for inspiring others to give with their
Health Care Facility Entertainment                                       matching gift of $25,000. The $136,938
Services for patients and families at all                                raised enabled the purchase of not only
three hospitals; protective ear-guards                                   one, but two new portable ventilators for
for health care providers; mental health                                 St. Paul’s Hospital’s Intensive Care Unit!
“calling cards” connecting Dubé Centre
discharged patients with needed services;                                Heartfelt responses help bring vital
and a physical therapies educational                                     equipment to our Hospital
webinar series.                                                          In our Christmas Dove letter,
                                                                         St. Paul’s Hospital Anesthesiologist
The Frontline Fund                                                       Dr. Malcolm Lucy explained how a
The Frontline Fund is a national initiative                              Perioperative Echocardiography machine
to leverage nationwide corporate                                         helps health care providers to monitor
support for resources for distribution                                   vital signs and keep close watch over the
to frontline staff in hospitals across                                   heart and other vital organs during surgery.
Canada. Funds raised in 2020 by our                                      Donors Glenn and Jodi Wig responded with
Foundation through the Frontline Fund                                    a $50,000 matched gift, inspiring more
totaled $33,446. Funds are shared                                        than 900 donors to step forward and give.
and distributed as available and as                                      The appeal raised a total of $196,905 to
determined by number of beds in the                                      help bring this crucial equipment to our
hospital.                                                                operating theatres.

                                                                                                                         13
St. Paul’s Hospital Foundation staff Pamela Hujber
                                                                                 and Michelle Neufeld delivering Mistletoe 2020 baskets.

     Your support makes the patient                                    graciously thanking them for the positive
     journey more comfortable                                          difference they are making in the health of
                                                                       our community. Thanks to our generous
     Life for patients on hemodialysis is dictated
                                                                       sponsors, donors and those who purchased
     by a very demanding treatment schedule,
                                                                       baskets, Mistletoe 2020 revenue was an
     and they may spend as many as 12 hours
                                                                       astonishing $162,575 to help purchase a
     every week confined to a hemodialysis
                                                                       state-of-the-art Nano Sequencer that will
     chair receiving life-saving treatment. While
                                                                       help kidney transplant recipients go on to
     vitally necessary, this treatment also is very
                                                                       lead longer, fuller, healthier lives.
     challenging. Thanks to donor support,
     patients receiving hemodialysis in the                            Thank you to the dedicated volunteer
     Cameco Community Renal Centre across                              Mistletoe Ball Committee members for
     the street from St. Paul’s Hospital now have                      bringing their creativity, passion and
     a new television entertainment system –                           dedication to the event: Ms. Pam Prosofsky
     including 18 bedside terminals – to help                          (Chair), Mrs. Carol Yelland (Past Chair),
     make those long hours pass more quickly.                          Mrs. Barbara Berscheid, Mrs. Doreen Howlett,
     Thank you!                                                        Mrs. Nicholle Povhe,
                                                                       Mrs. Janna Dutton, Ms. Carrie Jamieson,
     Signature Event - Mistletoe 2020                                  Ms. Michelle Neufeld (SPH Foundation
                                                                       Manager of Annual Giving),
     Reluctant to let COVID “spoil another                             Mr. Jesse Greenwood (SPH Foundation
     party,” on Saturday November 21                                   Annual Giving Officer), and
     St. Paul’s Hospital Foundation’s 31st Annual                      Mrs. Jennifer Bow (SPH Foundation
     Mistletoe event (presented by Nutrien) was                        Executive Assistant).
     celebrated in a reimagined version! Instead
     of gathering at the Sheraton Cavalier
     Hotel in ball-gowns and tuxedos, the                              Partners in Philanthropy
     community was invited to purchase special                         Community partners who find creative ways
     Mistletoe-themed baskets to be delivered                          to support St. Paul’s Hospital deserve our
       for enjoyment in the safety and comfort                         particular gratitude.
          of home.
                                                                       The Ramada Hotel partnered to offer
             In addition to the many exquisite                         reduced-rate accommodations for
               basket items that were specially                        St. Paul’s Hospital family and friends, and
                curated by our Mistletoe                               donated a portion of the accommodation
                 Committee, Sheraton Executive                         rate, providing $2,130 in support of
                  Chef Robin Andreas, our                              St. Paul’s Hospital’s areas of greatest need.
                  Mistletoe Executive Chef for over
                                                                       Prairie Lube in Saskatoon donated $2 from
                   two decades, created delectable
                                                                       every oil change in the month of May to
                   and delicious desserts for the
                                                                       support St. Paul’s Hospital Foundation,
                   baskets. Chef Robin, a kidney
                                                                       raising $514 in support of the areas of
                   transplant recipient, virtually
                                                                       greatest need at our Hospital.
                  shared his personal story with
                 those who purchased baskets,

        Lecina Hicke, St. Paul’s Hospital Foundation CEO
        delivers a heart-warming speech via Zoom for the Mistletoe 2020 event.
14
14
Members of the Saskatoon Valkyries helping promote Smile Cookie.

“Smile Cookie”                                                     can go on to provide a lasting legacy and
For one week every year, Tim Hortons                               assure a bright future for health care in
“Smile Cookie” sales are donated to                                this province – a future in which life-saving
charities across Canada. From September 14                         medical equipment changes and saves lives.
to 20, 2020, Tim Hortons restaurant owners                         Thank you to our Spirit of Life donors and
in Saskatoon, Warman and Martensville                              those considering leaving a bequest to our
donated the full $1 from every freshly baked                       Foundation.
chocolate chunk “Smile Cookie” purchased
                                                                   Endowments
to support St. Paul’s Hospital Foundation
                                                                   SPH Foundation Endowments are a
and Stars Air Ambulance. We were
                                                                   wonderful way to make a significant and
delighted by the energetic participation of
                                                                   lasting contribution. Donors either can make
all those who either purchased a cookie
                                                                   a gift in support of an existing endowment,
or promoted the program through social
                                                                   or can set up a new Named
media channels. An amazing $58,526 in
                                                                   Endowment with a minimum
proceeds was donated to St. Paul’s Hospital
                                                                   gift of $25,000. As per donor
Foundation to support patient end-of-life
                                                                   wishes, the principal of the
care in our community.
                                                                   gift is held for a specific
                                                                   term, and the interest
Gift Shop                                                          earned is allocated to
St. Paul’s Hospital Foundation’s Gift Shop                         a program or need in
provides an important retail service to                            the Hospital. Thanks
patients, staff, visitors and our general                          to your generosity,
community. Day-to-day essentials, gifts,                           $2,620,097
flowers, clothing, snacks and more                                 was added to
are available at the Gift Shop. All shop                           Endowments this
profits support professional development                           year and $335,741 in
and training for St. Paul’s Hospital                               endowment earnings
employees. The Gift Shop had revenue                               were invested in our
of $84,354 in 2020. We are grateful                                Hospital.
to Gift Shop Sales Associates Chisha                               Honouring Others
Chongo and Luis Tumanon for their hard                             with your Gifts
work and dedication in early 2020. The                             We salute all of you who in 2020
SPH Foundation Gift Shop Manager is                                made a gift in memory of, in tribute
Stella Price.                                                      to, or in honour of a particular person or
                                                                   event, gifts that often are infused with
Creating a Better                                                  particular love, respect or gratitude. The
Tomorrow - Today                                                   Foundation deeply appreciates the many
                                                                   advancements in health care that are a
Bequests
                                                                   result of these gifts. In 2020, we received
Preparing a Will by leaving a bequest is
                                                                   Memorial gifts totaling $206,761 and In
a simple yet deeply thoughtful act that
                                                                   Honour / In Tribute gifts totaling $6,400. For
reflects both your care for others and a
                                                                   these we are very grateful.
vision for the future. A bequest in your
Will costs nothing during your lifetime but

                                                                                                                    15
St. Paul’s Hospital Foundation
2020 Distributions
The Audit and Finance Committee is chaired by the Treasurer of SPH Foundation and is responsible for reporting the distributions of the previous year.
With the support of our donors, St. Paul’s Hospital Foundation contributed $6,877,176 to St. Paul’s Hospital in 2020 for the following purposes:

                    Hospice at Glengarda construction and equipment                                               $4,999,358
                    Palliative Care renovations                                                                    $549,197
                    Healing Arts Therapy                                                                           $140,000
                    Catholic Health Administrative Fellow                                                          $140,000
                    Department purchases                                                                           $139,311
                    Television system for Cameco Community Renal Health Centre                                     $123,184
                    Holmium Laser                                                                                  $112,193
                    SPH Staff professional development                                                             $104,719
                    Kidney Health research                                                                         $100,000
                    Spiritual Care Program                                                                         $100,000
                    SPH Foundation Draws                                                                             $97,975
                    Named Endowment distributions                                                                    $52,241
                    Ear Nose and Throat / Ambulatory Clinic                                                          $39,297
                    COVID-19 Hospital Relief                                                                         $37,850
                    Laboratory Pneumatic Carrier System                                                              $31,140
                    Vascular Lab renovation                                                                          $25,000
                    Holistic Care Program at Hospice at Glengarda                                                    $24,250
                    Hospice at Glengarda staff professional development                                              $13,258
                    SPH and Foundation Annual Review                                                                 $11,236
                    Staxi patient chairs                                                                              $9,128
                    Other programs and equipment                                                                     $27,839
                    Total                                                                                         $6,877,176

                                                                               Total Distributions to St. Paul’s Hospital
                                                                                      from 1982 to December 31, 2020:
                                                                                                                     $79,520,800

16
 16
Pam Prosofsky, Volunteer Chair of Mistletoe 2020.

Independent Auditors’ Report

REPORT OF THE INDEPENDENT AUDITORs on THE Summary financial statements
To the Board of Directors of St. Paul’s Hospital Foundation, Inc.
Opinion
The summary financial statements of St. Paul‘s Hospital Foundation, Inc. (the Entity), which comprise:
• The summarized statement of financial position as at end of December 31, 2020
• The summary statement of operations and fund balances for the year then ended
• The summary statement of cash flows for the year then ended
• and related notes.
are derived from the audited financial statements of St. Paul’s Hospital Foundation, Inc. as at and for the year ended end of December 31, 2020.
In our opinion, the accompanying summary financial statements are consistent, in all material respects, with the audited financial statements, in
accordance with the criteria disclosed in the note to the summary financial statements.
Summary Financial Statements
The summary financial statements do not contain all the disclosures required by Canadian accounting standards for not-for-profit organizations.
Reading the summary financial statements and the auditor’s report thereon, therefore, is not a substitute for reading the Entity’s audited
financial statements and the auditor’s report thereon.
The summary financial statements and the audited financial statements do not reflect the effects of events that occurred subsequent to the
date of our report on the audited financial statements.
The Audited Financial Statements and Our Report Thereon
We expressed an unmodified opinion on the audited financial statements in our report dated March 25, 2021.
Managements’ Responsibility for the Summary Financial Statements
Management is responsible for the preparation of the summary financial statements in accordance with the criteria disclosed in the note to the
summary financial statements.
Auditors‘ Responsibility
Our responsibility is to express an opinion on whether the summary financial statements are consistent, in all material respects, the audited
financial statements based on our procedures, which were conducted in accordance with Canadian Auditing Standards 810, Engagements to
Report on Summary Financial Statements.

Chartered Professional Accountants
Saskatoon, Canada
April 27, 2021

                                                           St. Paul’s Groundskeeper Jackie Langhorst
                     created a one-of-a-kind birdhouse for the courtyard using all upcycled materials.                                             17
Notes To Summary Financial Statements:
The summary financial statements are derived from the audited financial statements, prepared in accordance with Canadian accounting
standards for not-for-profit organizations, as of December 31, 2020 and December 31, 2019 and for the years then ended.
The preparation of these summary financial statements requires Foundation management to determine the information that needs to be
reflected in them so that they represent fairly a summary of the audited financial statements.
Foundation management prepared these summary financial statements using the following criteria:
(a) The summary financial statements include a statement for each statement included in the audited financial statements;
(b) Information in the summary financial statements agrees with the related information in the audited financial statements;
(c) Major subtotals, totals and comparative information from the audited financial statements are included; and
(d) The summary financial statements contain the information from the audited financial statements dealing with matters having a pervasive or
otherwise significant effect on the summarized financial statements.
The audited financial statements of St. Paul’s Hospital Foundation Inc. are available on the Foundation website at www.sphfoundation.org or
upon request by contacting the Organization.
                                                         SUMMARIZED STATEMENT OF FINANCIAL POSITION
                                                         December 31, 2020, with comparative information for 2019

                                                                                                                                       2020            2019

                                                         Assets
                                                         Current assets                                                 $         4,784,320 $ 6,187,508
                                                         Investments                                                             12,732,615   13,955,867
                                                         Cash and investments in trust for endowment funds                       14,192,775   10,832,023
                                                         Equipment                                                                   11,504        8,162
                                                                                                                        $        31,721,214 $ 30,983,560

                                                         Liabilities and Fund Balances
                                                         Current liabilities                                            $           667,356 $ 1,060,290
                                                         Fund balances                                                           31,053,858   29,923,270
                                                                                                                        $        31,721,214 $ 30,983,560

                                                         SUMMARIZED STATEMENT OF OPERATIONS AND FUND BALANCES
                                                         Year ended December 31, 2020, with comparative information for 2019

                                                                                                                                   2020                2019

                                                         Revenue
                                                            Donations                                                   $    5,397,996        $   12,218,474
                                                            Gaming                                                           1,602,730             1,378,374
                                                            Events                                                             164,905               196,253
                                                            Gift Shop – gross sales                                             84,354               235,191
                                                            Government grants                                                  299,364                   -
                                                            Investment income                                                  967,450               974,731
                                                            Fair market value adjustment on investments                      1,533,469             1,664,335
                                                                                                                            10,050,268            16,667,358

                                                         Contributions to St. Paul's Hospital                                  6,877,176           5,461,454
                                                         Operating expenses                                                    2,042,504           2,033,352

                                                         Excess of revenue over expenses                                       1,130,588           9,172,552

                                                         Fund balances, beginning of the year                             29,923,270              20,750,718
                                                         Fund balances, end of the year                                 $ 31,053,858          $   29,923,270

                                                         SUMMARIZED STATEMENT OF CASH FLOWS
                                                         Year ended December 31, 2020, with comparative information for 2019
                                                                                                                                   2020                2019

                                                         Cash flows (used in) from:
                                                         Operations                                                             $(999,549)        $8,038,911
                                                         Investing                                                               (612,616)        (5,398,014)
                                                         (Decrease) increase in cash                                           (1,612,165)         2,640,897

                                                         Cash, beginning of year                                             5,850,958             3,210,061
                                                         Cash, end of year                                                  $4,238,793            $5,850,958

Wencel Nestor, Housekeeper, sanitizing a patient area.

18
Inspired to Give
Recognizing donors with cumulative giving to SPH Foundation of $500 and greater from January 1 to December 31, 2020

$500,000 +                    Harold and                    Robert and                        Randy and Renée              Dakota Dunes Community       Marlene Evans
                              Brenda Derksen                Sandra Stromberg                  Bokshowan                    Development Corporation      Robert Ewashko
Estate of Robert Steane
$100,000 - $499,999           Dr. Nicholas Peti Medical     Sunovion                          Martha Boldt                 Tony and Irene Danaher       Dennis Fabris
                              Prof. Corp.
Estate of Bernice Eileen                                    Al and Marie Toews                Eileen Boryski               Blair and Joanne Davidson    Felesky Flynn LLP
Harrison and Mervin D.        Estate of Leo Dubé
                                                            Vern and Clara Welker             Regina Boskill               Dawn-Wynne Davies            Charlene Ferguson
Harrison                      Gene and Adele Dupuis         Fund
                                                                                              Fernand, Jennifer, Léo,      Carrol Davis                 Fission Solutions Inc.
Neufeld Charitable            Jo-Elle Ford                  Basil and Cheryl Waslen           Luc, Ben and Anna Boutin
                                                                                                                           Michael and Tess Day         Brenda FitzGerald
Foundation
                              Shane Ford                    Hugh and Claire Wood              Dr. Alfons Boving
                                                                                                                           Wayne Day                    Douglas Forsyth
Orano Canada
                              Estate of                     Anonymous - Three                 Keith and Fran Bowler
                                                                                                                           Debi Dubé-Dean               Fortress Properties Inc.
Neil and Laura Weber          Raymond Peter Germaine        Donors
                                                                                              Chris and Meghan             and Bill Dean
                              Edward Hegarty                $500-$4,999                       Boychuk                                                   Barry and Giselle Frank
$25,000 - $99,999                                                                                                          Bernard and Lynn Del Frari
                              International Health          Affinity Credit Union             Braid Flooring and                                        Dr. Kenton Fredlund
Dr. Arthur and                                                                                                             Marci Deutscher
                              Management Assoc. Inc.        Gary and Gwen Allan               Window Fashions Ltd.                                      Derrin Raffey
Margaret Bergan                                                                                                            Jerry Didur
                              J. Culig Vascular Medical                                       Audrey Brayshaw                                           and Denise Frey
                                                            Cathy Allen
Ruth Creswell                 Prof.                                                                                        Family of Lena Woytiuk
                                                                                              Carol Brock                                               Alan and Beverly Garner
                                                            Norma Amson
Leonard and                   Jarislowsky, Fraser Limited                                                                  Cora Doig
                                                                                              Carola Brotzel                                            Ron and Caroline Gartner
Helen (Casey) Kutz                                          Bert and Heather
                              Dr. Kylie Kvinlaug                                                                           Dr. C. R. Gebhardt Medical   Murray and Marie Geenen
                                                            Anderson                          Albert and Fay Buettner
Dr. Hung Fook and             and Dr. Pamela Meiers                                                                        Prof. Corp.
Theresa Ma                                                  Alexander Ansell                  Allan Buhr                                                Nicholas Gehlen
                              Barbara Labatt                                                                               Dr. Donald Gordon Surkan
Nutrien                                                     Arcas Group Inc.                  Donna Burko                  Med. Corp.                   Gift Funds Canada
                              Laura Lacoursiere
Quorex Construction                                         Greg and Shelley Arvay            Dr. David and Cathy Burris   Jacob M. Driedger            Lionel Gilbertson and
Services Ltd.                 Les Filles de la Providence                                                                                               Gwen Wurm
                                                            Athabasca Basin Security          Father Rheal Bussiere        Anne Driediger
Denis and Terry Sirois        Les Soeurs de Notre Dame                                                                                                  Gilead Sciences Canada,
                                                            AVIR Pharma Inc.                  Lorna Callbeck               Sibyl Duncan
                              de LaCroix                                                                                                                Inc.
Estate of
                                                            B. Brar Medical Prof. Corp.       Giselle Camm                 Louise and Pat Dunn
Greta Catherine Switzer       Loraas                                                                                                                    Robert and
                                                            Virginia Baribeau                 John E. Campbell             Richard and Donna Dupuis     Yvonne Gilmour
TD Bank Group                 Murray and Dawn Louden
                                                            Richard and Susan                 Bob Card                     Suzanne and Bill Dust        Myriam Golf
Tim Hortons Advertising       Estate of Eric Lutz
                                                            Bauerfeld
and Promotion Fund            Estate of John Matwiiw                                          Maya Chakravarti             Janna Dutton                 Roland and Doris Gore
(Canada) Inc.                                               Elroy and Debbie
                              Dave and                                                        Jane Chorneyko               Brian and Diane Eckl         John and Marie Gormley
                                                            Baumann
Westcap Mgt. Ltd.             Neva McKeague Family                                            Dr. Vance and                Eldonan Holdings Ltd.        The Graham Group of
                                                            John and Monica Beavis
Glenn and Jodi Wig            Judith Muirhead                                                 Leanne Chow                                               Companies
                                                                                                                           Dr. Ali and
                                                            Harold and Dorothy Bell
Anonymous - Three             Padmanabh Family                                                Muriel Christiansen          Bernadette El-Gayed          Greg and Carmen Graham
Donors                                                      Leanne Bellegarde
                              Joan Page                                                       CIBC                         Ruth Eliason and             Gratrix Sand & Gravel Ltd.
$5,000 - $24,999                                            Dr. Janine Benoit                                              Cam Broten
                              Estate of                                                       Rémi Cloutier                                             Glen and Sandra Grismer
Daphne Arnason and                                          Pete and Helen Bergen                                          Gary and Heather Emde
                              Barbara Veronica Pavelich                                       Brian and Darlene Cocks                                   Dr. Mark Gryba
Leo Bourassa                                                Dr. Bruce and Barbara                                          Emmanuel Care                and Dr. Dorothy Barrie
                              Valerie Perret                                                  Joan Collins
Associated Radiologists LLP                                 Berscheid
                              Faye Piercy                                                                                  Ens Auto                     Dr. Rod Hafezi
                                                                                              Counsellor Management
Larry Bauman and                                            Dr. Rhonda Berthiaume
                              Henry Remai                                                     Partnership                  Eshtaya Professional Corp.   Bill and Karen Haffermehl
Sandhya Padmanabh                                           Rob Biggs
                              Saskatchewan Blue Cross                                         Claire Couture
William Black                                               Priscilla Blakely
                              Saskatoon Funeral Home                                          Gordon Cowie
Blossoms Florist                                            Nickolas Blocka
                              South Saskatchewan                                              Creative Fire
Dave Boyko                                                  Dr. Joseph and Deborah
                              Community Foundation Inc.                                       Doris Croteau
and Lena Savino                                             Blondeau
                              St. John Bosco CWL                                              Jean and Grant Currie
Cameco Corporation                                          The Honourable Judge Ernie
                              St. Paul’s Hospital School    and Adelyne Bobowski              Doug and
Clear Springs Hutterian
                              of Nursing Alumni                                               Veronica Dagenais
Brethren Corporation                                        Erin and Adam
                              Association
                                                            Bokshowan                         Richard Dagenais

                                                                                Dan Macdonald, Writer in Residence.

                                                                                                                                                                                   19
Dr. Jerry and                Lorraine Hrynuik            Dr. Kennedy and Family           Cuc Luu                          Dr. Mike Moser and           Ramada Saskatoon/Regina
Dr. Joanne Haigh                                                                                                           Dr. Tama Banerjee
                             Peter Hrytsak               Tom and Barb Kennedy             Trevor and Kimberly Maber                                     Gary Randall
Sonja Hansen                                                                                                               Caroline Murphy
                             Estate of Joan Hughes       Kent Family                      Dr. Donald and                                                Raymond James Ltd.
and Rick Kuckartz
                                                                                          Lorine MacRae                    Helen Murray
                             Melody Hughes               Dr. Anne Kernaleguen                                                                           Redl Cabinetry
Andrew Harmsworth
                                                                                          Gwen Manovich                    William Musschoot
                             Hutterian Brethren of       Dr. James Kerr                                                                                 John and Sonja Remai
Dr. Sameer Hasanni
                             Dinsmore                                                     Marion Marcotte                  Dr. K.W. and Dora Nasser
                                                         John and Myrna King                                                                            Rhein Holsteins Inc.
Paul Hayes and Joanne
                             John Hyshka                                                  Brian Mark and                   Peter and Irene
Smart                                                    Boris and Marie Kishchuk                                                                       Dr. Charles and
                                                                                          Roxanne Frey                     Nemanishen
                             IAS Farms Inc.                                                                                                             Anita Rhodes
Bonnie-Dee Hayward                                       Ron and Barbara Klombies
                                                                                          Dr. Hassan Masri                 Marilyn Neuert
                             Jason and Brenda Jabusch                                                                                                   Edith Ridsdale
Health Facility Resource                                 Knights of Columbus
                                                                                          Mayo Medical Laboratories        Ida Neufeld
Council                      Gus Jacek                                                                                                                  Sheldon and Angela Rioux
                                                         Duane and Sheila Koch
                                                                                          Terry and Betty McBride          Henry Neustaeter
Dr. Mary Heilman             Ted and Marilyn Jahnke                                                                                                     Alice Risling
                                                         Wallace and
                                                                                          Kenneth and                      Bernie and Louise Noble
Hugh and Elaine Helgason     Douglas and                 Edith Kononoff                                                                                 Kay Roach
                                                                                          Edith McDonough
                             Alexis Jamieson                                                                               North Ridge Development
Nils and Ruth Hellstrom                                  Alan Koop                                                                                      Don and Monica Robinson
                                                                                          McDougall Gauley LLP             Corp.
Foundation and Hellstrom/    Jancy Holdings Ltd.
                                                         Ted Kosteniuk                                                                                  Caroline Rohel
Switzer Foundation                                                                        McGee Farming Co. Ltd.           OGDODA Enterprises Inc.
                             Peter and Phyllis Jansen
                                                         Arnold and Lila Krause                                                                         Herman and Myrna Rolfes
Brian and Michelle Hergott                                                                Keith and                        Darlene Orosz
                             Rose Jarman
                                                         Paul and Marlene Kuch            Marylin McIntyre                                              Todd Rosenberg
Frank and Jean Hilbert       John and Anita Jarrell                                                                        Brendan Osatiuk              and Beth Clelland
                                                         A. Chakravarti and P. Lalli      Maureen and Alex McIsaac
Dave and                     Nayyar Javed                                                                                  Leonard E. Osiowy            Brian and Laurel Rossnagel
                                                         Claude and Judy Lang             Sheryl McKee
Melanie Hilkewich                                                                                                          Kay Oxley
                             Joyce Javillo                                                                                                              Mervin and Arlene Rumpel
                                                         Anita Langford                   McKercher LLP
Dianne Poole                                                                                                               Maurice and Julie Paquette
                             John Nyquist Fund at the                                                                                                   Dr. Sheila Rutledge Harding
and Murray Hill                                          Linda Larre                      Deloise McKnight and
                             Saskatoon Community                                                                           Park Funeral Chapel          and Terry Harding
David Hitchie                                            Brad Larsen                      Laurie Semenoff
                             Foundation
                                                                                                                           David Patola                 Tim and Joy Ryan
Beverley Hobbs                                           Brian Henderson and Betty        Brenda McLean
                             Doreen Johnson
                                                                                                                           David Pederson               Orest and
                                                         Anne Latrace-Henderson           Carman Mcleod
Estate of Norman Hodgson     Wade Johnson                                                                                                               Pauline Sadownick
                                                         Dr. Bernard                                                       Dorothy Perehudoff
Don and Pat Hoey                                                                          Yvette McPherson
                             Wilmar and Marjorie                                                                                                        Nora Sarich
                                                         and Amelia Lawlor                                                 Richard Perrier
Edwin Hoffart                Johnson                                                      Medtronic of Canada Ltd.
                                                                                                                                                        Saskatoon Prostate Cancer
                                                         Hannorah Ledding                                                  Olive Perverseff
Marc Hoffort                 Kjell Johnston                                               Mega Group Inc.                                               Support Group
                             and Cara McKee              Dr. Ted and                                                       Wayne and
Dr. Frank I. Hohn                                                                         Lucy Meikle                                                   Evelyn Sawchuk
                                                         Brenda Ledding                                                    JoAnne Petrychyn
                             Phyllis Johnston
Ron and Dr. Vicki Holmes                                                                  Evelyn Merkosky                                               Vipen Sawhney
                                                         G. Alan Ledingham                                                 Allan Pippin
                             A. Jorgenson
Louis and Barbara Holtorf                                                                 Ernest Mewis                                                  Schaan Healthcare
                                                         Marilyn and                                                       Karen and Pat Pitka
                             Edward and Betty Juzyniec                                                                                                  Products
Helen Horsman                                            Malcolm Leggett                  Micro Oil Inc.
                                                                                                                           James and Lorna Plemel
                             Jim Kammermayer                                                                                                            Alex Schamber
Roland and Susan Houle                                   Donna Leschyshyn                 Micronostyx Inc.
                                                                                                                           Cindy Pollard
                             Fred and                                                                                                                   Marga Schellenberg
Carol Howlett                                            Dr. Elaine Leung                 Helen Mibery
                             Dr. Joanne Kappel                                                                             Edmund Pollock
                                                                                                                                                        Selma Scherr
Dr. Evan and                                             George Liakopoulos               Milden Farming
                             Dr. Riley Katulka                                                                             Don and Judy Poon
Doreen Howlett                                                                                                                                          Dorothy Schick
                                                         Michel Liboiron                  Angus Mills
                             Dr. David and                                                                                 Janet and Art Postle
Eugene W. Hrycak                                                                                                                                        Cecil and Muriel Schmidt
                             Carolyn Keegan              Greg and Kathy Lightfoot         Robert and Rita Mirwald
                                                                                                                           Nicholle and John Povhe
                                                                                                                                                        Marty and Clare Schneider
                                                         Patricia Lillie                  MNP
                                                                                                                           Prairie Lube Ltd.
                                                                                                                                                        David and Darlene Seib
                                                         Dr. Daryl Lindsay                Arnold and
                                                                                                                           Bill and Maureen Preston
                                                                                          Phyllis Moen Nijssen                                          Dr. Songul Aytan Serafi
                                                         London Drugs Foundation
                                                                                                                           Pam Prosofsky
                                                                                          Edwin W. Mohr                                                 SGEU Comm Service
                                                         Larry Long
                                                                                                                           Henry Pulles                 Sector 5000
                                                                                          Mitch and Lisa Molnar
                                                         Dr. Jose and Matilde Lopez
                                                                                                                           Quadrant Newmedia            Dr. Anil Sharma
                                                                                          Patricia Moroz
                                                         Gerald Loster
                                                                                                                           Fangking Quan                Dr. Nawal Kishore and
                                                                                          Ron and Jean Morrison
                                                         Delbert and Fern Lowe                                                                          Leela Sharma

20                                                           Maintenance staff Joel Kreuger and Werner Spenst repairing a door.
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