You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care

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You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
You matter.
                                                                                     We care
                                                                                   about you.

                                                             LITTLE COMPANY OF MARY
                                                                 HEALTH CARE LIMITED
                                                                          ANNUAL REVIEW
Continuing the Mission of the Sisters of the Little Company of Mary

                                                         Continuing the Mission of the Sisters of the Little Company of Mary / 1
You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
You matter.
The Community Care Story                                         The Retirement Communities Story                               The Hospitals’ story                                                                        We care
Calvary Community Care has been supporting people
in their own homes and communities for over 20 years.
                                                                 Calvary Retirement Communities (CRC) provides
                                                                 quality care and services within a supportive
                                                                                                                                Calvary has four public and 11 private hospitals that provide acute and
                                                                                                                                sub-acute care. Eleven of our hospitals work together to provide
                                                                                                                                                                                                                          about you.
We deliver a range of aged care, disability and other
support services that enable independence, improve
                                                                 environment in which residents are respected for
                                                                 their individuality. CRC has 14 residential care facilities
                                                                                                                                complementary care across the regions in which they operate including:
                                                                                                                                three hospitals in ACT, four hospitals in South Australia and four hospitals               Caring for
social connections and promote positive health and               and three stand-alone independent living villages across       in Tasmania, including two hospitals in Hobart and two hospitals in
wellbeing.                                                       NSW, SA and the ACT.                                           Launceston. Our single hospitals in Riverina, Sydney, Newcastle and

                                                                                                                                                                                                                          since 1885
                                                                                                                                Melbourne work closely with local health area networks to provide valued
                                                                                                                                services for our communities.

                                     AGED AND COMMUNITY CARE SERVICES                                                                                                HOSPITALS

   OUR PEOPLE                                                             OUR PEOPLE                                              OUR PEOPLE

   1,631                                                                  1,373                                                   8,005 1,140
                                       SUPPORT WORKERS                                                         FACILITY STAFF

                                       1,342             3,004                                                 1,126
                                       SUPPORT STAFF                                                           SUPPORT STAFF

                                       289                                                                     247                employees                               volunteers

   CARE STATISTICS                                                        CARE STATISTICS                                          CARE STATISTICS

                                                                                                                                  2,030                                   217,383
                            1,292,336                                                                 1,945,732
              Total hours                                million hours                  Total hours
              of care                                                                   of care                                   beds                                    admissions
                                                                                                                                  AVERAGE LENGTH OF STAY
                                                                                                                                                                                                                         The Calvary story
   CLIENTS                                                                RESIDENTS
                                                                                                                                  6.96                                    105,855                                        Calvary has provided health care
                                                                                                                                                                                                                         to the most vulnerable Australians,

              9,172                                                                       1,128
                                            MALE                                                                       MALE

                                            2,994                                                                      335        days                                    home care visits                               including those reaching the end
                                            FEMALE                                                                     FEMALE
                                                                                                                                                                                                                         of their life, since the arrival in
                                                                                                                                                                                                                         Australia of the Sisters of the Little
                                            6,178                                                                      793
                                                                                                                                  482,982                                  3,969
               Active clients                                                              Active residents
                                                                                                                                                                                                                         Company of Mary in 1885. We are
                                                                                                                                                                                                                         a charitable Catholic not-for-profit
                                      78 years old                                                            83 years old        outpatients                              births                                        organisation operating across six
                                                                                                                                                                                                                         states and territories in Australia

                                                                                                                                  118,450 122,387
                                                                                                                                                                                                                         with 15 public and private hospitals,
   SERVICES & LOCATIONS                                                  SERVICES & LOCATIONS                                                                                                                            17 Retirement and Aged Care
                                                                                                                                                                                                                         facilities, and a national network of

   19                           102                                  17 366 1,176
                                                                                                                                                                                                                         Community Care service centres.
              VIC TAS                                                             NSW                                             surgical procedures                     emergency department
              NSW SA                                                              ACT
              ACT NT                                                              SA
                                                                                                                                                                          presentations                                  NATIONAL OFFICE
                                                                                                                                                                                                                         Level 12/135 King Street
   Service Centres              Service types                        Facilities         ILUs     NSW & ACT      Beds              SERVICES & LOCATIONS                                                                   Sydney NSW 2000

                                                                                                                                  15       Hospitals
                                                                                                                                           NSW, ACT, SA, TAS & VIC         59          Service types

                                                                                                                                                                                             As at 30 June 2018

2 / ANNUAL REVIEW 2017/2018                                                                                                                                                                        Continuing the Mission of the Sisters of the Little Company of Mary / 3
You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
Contents                                                                                                                                  Foreword from the Chair
00    INSIDE FRONT COVER                                                                                                                  Calvary Ministries

      The Calvary Story

01    Foreword from the Chair, Calvary Ministries
01    Our Mission                                                                                                                         “All we do is for God, and if no one sees what we do but God,
                                                                                                                                          so much the better.” Writings of Venerable Mary Potter.
02    The Spirit of Calvary

03    Message from the Chair, Little Company of Mary Health Care                                                                          Venerable Mary Potter had a vision for the      My term as Chair of Calvary Ministries
                                                                                                                                          Calvary spirit to live through the Sisters of   finished a few months after the end of this
04    OUR STRATEGY AND YEAR IN REVIEW                                                                                                     the Little Company of Mary, and through         financial year, so this is my last message
06    Message from the National Chief Executive Officer                                                                                   what she called the Greater Company             to you.
                                                                                                                                          of Mary, which includes all who share
07    Strategic Intent 2018-2023                                                                                                                                                          Calvary Ministries is a church body
                                                                                                                                          this journey of spirit and service across
08		 Caring for our resources                                                                                                                                                             established by the Sisters so that their
                                                                                                                                          the Calvary organisation in retirement
                                                                                                                                                                                          ministries and the charism of Venerable Mary
10			 – Review of operations                                                                                                              communities, hospitals and community care.
                                                                                                                                                                                          Potter could live on and thrive in Australia,
12			 – Profit or Loss                                                                                                                    The work, the sacrifice to God and the          even though the number of Sisters is on the
13			 – Balance Sheet                                                                                                                     humanity of the Sisters of the Little           decrease, and the age of those remaining is
                                                                                                                                          Company of Mary in Australia since 4            on the increase. We all owe a huge debt of
14		 Partnering and planning for the future                                                                                               November 1885, has set the foundations for      gratitude to the Sisters for their foresight,
16			 – Highlights                                                                                                                        what Calvary is today.                          hard work and commitment. We stand on
                                                                                                                                                                                          their shoulders.
18			 – Capital developments		                                                                                                            When we succeed in sharing the Calvary                                                                Bill d’Apice
                                                                                                                                          spirit with those whom we serve, lives are      It has been an honour and a privilege to play
22		 Caring for our people and working environment                                                                                       touched for the better. Over the course of      my little part and to serve as the initial Chair
25			 – People, Values and Culture                                                                                                       the year, people touched by Calvary have        of Calvary Ministries. I leave Calvary Ministries
                                                                                                                                          reflected on what this means to them.           Trustee Board in very good hands under the
25			 – Evaluating our mission                                                                                                                                                            capable leadership of the Hon. Michael Lee
                                                                                                                                          Here are two examples:.
26			 – Our people                                                                                                                                                                        as its new Chair.
27			 – Training and development
28			 – Workplace health and safety review                                                                                                	“I have a deep regard for the values of
                                                                                                                                                                                          I thank the LCM Health Care Board of
                                                                                                                                                                                          Directors ably led by the Hon. John Watkins
                                                                                                                                                                                                                                                Our Mission
                                                                                                                                            Calvary and have empathy, respect and
                                                                                                                                                                                          AM, the National Executive Leadership team
30		 Excellence in care                                                                                                                    admiration for Mary Potter and all she
                                                                                                                                                                                          led by Mr Martin Bowles PSM, and all Calvary          We bring the healing ministry
                                                                                                                                            achieved in her lifetime. I always choose                                                           of Jesus to those who are
32			 – Patient safety and quality indicators                                                                                                                                             leaders for their dedication, attention to
                                                                                                                                            to attend ‘Mary Potter Day’ to celebrate
33			 – Patient experience surveys                                                                                                          her and all she did to help others. The
                                                                                                                                                                                          detail and stewardship of our mission.                sick, dying and in need
34			 – Palliative and end of life care                                                                                                     loneliness aspect of her care resonates       I also wish to thank my fellow Trustees and           through ‘being for others’:
                                                                                                                                            deeply with me.                               the dedicated staff of Calvary Ministries for
38			 – Industry Awards
                                                                                                                                                                                          their support and commitment.                         – In the Spirit of Mary
                                                                                                                                          	To say “rewarding” is very cliché, but
40    OUR SERVICES                                                                                                                           for me, seeing my clients happy to see       The Trustees offer their continued support,              standing by her Son on
42    Our locations                                                                                                                          me walk through their door is the best       and I can assure you that you are in their               Calvary;
44    Services by region                                                                                                                     feeling in the world. It makes me want       thoughts, hopes and prayers. On behalf of
                                                                                                                                             to be the best I can be. I love being a      Calvary Ministries, the Trustees thank you            –T
                                                                                                                                                                                                                                                  hrough the provision of
44		 – Australian Capital Territory                                                                                                          part of the Calvary family.”                 all for carrying on the important work and             quality, responsive and
45		 – New South Wales                                                                                                                                                                    traditions of the Sisters of Little Company
                                                                                                                                            Staff member
                                                                                                                                                                                          of Mary.
                                                                                                                                                                                                                                                 compassionate health,
48		 – South Australia and Northern Territory
                                                                                                                                                                                                                                                 community and aged care
50		 – Tasmania and Victoria
                                                                                                                                                                                          BILL D’APICE                                           services;
52    GOVERNANCE                                                                                                                                                                          CHAIR, CALVARY MINISTRIES
                                                                                                                                          	“Talking to a lovely lady who came to                                                               –B
                                                                                                                                                                                                                                                  ased on Gospel values;
54    About Calvary governance
                                                                                                                                            massage and oil my arms and hands,                                                                   and
56    Little Company of Mary Health Care Board of Directors                                                                                 not only felt great but she was also an
58    Calvary National Executive Leadership Team                                                                                            adept conversationalist.                                                                            – In celebration of the rich
                                                                                                                                          	I sat contemplating a while and thanked                                                                heritage and story of
                                                                                                                                            God, as well as commended the kind                                                                     the Sisters of the Little
60    Calvary Directory                                                                                                                     hearted staff and volunteers; people that                                                              Company of Mary.
                                                                                                                                            not only serve, but give of themselves.

                                                                                                                                          	One touch, one remark, one expression
                                                                                                                                            of empathy would be more beneficial
                                                                                                                                            than medicine, to build up a patient’s will
ACKNOWLEDGEMENT OF LAND                                                                     COVER IMAGE                                     to fight his malaise.
AND TRADITIONAL OWNERS                                                                      Our cover features Mary and Calvary’s         	It works; I have been through it.
Calvary acknowledges the Traditional Custodians and Owners of the lands on which all        community palliative care nurse Jenny.
                                                                                            Mary was one of the first patients admitted   	I leave Calvary with a heavy heart to
our services operate. We acknowledge that these Custodians have walked upon and                                                             my lonely existence at home, but I will
cared for these lands for thousands of years. We acknowledge the continued deep             to Calvary North Adelaide’s new community
                                                                                            palliative care service that commenced          always remember the peaceful and
spiritual attachment and relationship of Aboriginal and Torres Strait Islander peoples to                                                   happy time I was given.
this country and commit ourselves to the ongoing journey of reconciliation. Aboriginal      in September 2018. Mary values and
and Torres Strait Islander people are respectfully advised that this publication may        appreciates the care and support she            Thank you and God bless you.”
contain the words, voices, names, images and/or descriptions of people who have             requires at home following an admission
                                                                                            to the oncology ward at Calvary North           Patient
passed away.
                                                                                            Adelaide. See page 17 for more details.

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You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
Message from the Chair
                                    Little Company of Mary Health Care (LCMHC)

                                    The mission of Venerable Mary Potter,              •	Privacy requirements, cyber security and
                                    and the work of the Sisters of the Little             Enterprise Risk Management;
                                    Company of Mary in Australia for over 133
                                                                                       •	Ensuring that Calvary has appropriate

Spirit of Calvary
                                    years, inspires each of our services, the
                                                                                          Medical Grade Infrastructure;
                                    staff and volunteers to provide high quality,
                                    compassionate heath, aged and home care            •	Developing our position on and preparing
                                    to thousands of Australians in need.                  the organisation for the introduction of
Being for others                    While a continuing industry-wide downturn
                                                                                          euthanasia in Victoria;
                                    in private hospital throughput results in          •	Strategy in relation to Capital Expenditure
                                    subdued revenue levels, Calvary continues             and Cash Flow Management;
Everyone is welcome.                to trade strongly. Much needed reform,
                                                                                       •	The redevelopment of Calvary Health Care
                                    funding pressures and changes in the aged
You matter. We care about you.      and home care sectors continue to focus the
                                    Board’s attention.                                 •	The ongoing integration into the
                                                                                          Calvary family of Flora McDonald and St
Your family, those who care for     A new National Chief Executive Officer,
                                    Martin Bowles, PSM joined the organisation            Catherine’s Retirement Communities in
you, and the wider community        in November 2018 to assist the board                  South Australia;

we serve, matter.                   lead our mission. Martin has a wealth of
                                    experience gained during his almost 40
                                                                                       •	Finalising the Calvary Ryde Retirement
                                                                                          Community redevelopment plan together
                                                                                                                                            The Hon. John Watkins AM, Chair

                                    years as a senior public servant. For the             with strategies to minimise disruption for
Your dignity guides and shapes      last 11 years he was Deputy Secretary in              existing residents;
the care we offer you.
                                    the Departments of Defence and then
                                    Climate Change, and then the Secretary             •	The development of Calvary Adelaide
                                    of the Department of Immigration and                  Hospital; and
                                                                                                                                            My sincere admiration
Your physical, emotional,           Border Protection, followed by three years
                                                                                       •	Strengthening our partnerships with               and appreciation goes
                                    as Secretary of Health. Calvary is the richer
spiritual, psychological and        for Martin’s diverse experience, as well as his
                                                                                          respect to procurement, locally and
                                                                                          globally.                                         to our staff throughout
social needs are important to us.   incisive strategic and leadership skills.
                                                                                       Our hospitals, aged care and community
                                                                                                                                            Calvary. Their work each
                                    The board is focused on creating a culture
                                                                                       facilities are very fortunate to have excellent      day brings a human face
We will listen to you and to        of accountability and transparency, of clear
                                                                                       assistance from a committed volunteer                to the mission of Calvary
                                    messaging about Mission and expectations
those who care for you.             for organisational behaviour. We remain
                                                                                       community. I also thank members of the
                                                                                       auxiliaries who operate within our services.
                                                                                                                                            and they are our greatest
We will involve you in your care.   committed to prioritise services for the poor
                                    and vulnerable. We appreciate members
                                                                                       The funds these groups raise are significant,        ambassadors. Their positive
                                                                                       enabling us to provide leading edge care             contribution is evidenced by
                                    of our organisation who respond to the
We will deliver care tailored       pain felt by other members, as well as the
                                                                                       in some instances where funds are not
                                                                                       otherwise available. Most importantly
                                                                                                                                            donations, bequests, letters
to your needs and goals.            positive impact of compassionate leadership
                                                                                       they are a visible part of the communities           of praise and ongoing highly
                                    both on employees and those with whom                                                                   complimentary feedback
                                                                                       they serve.
                                    they interact. The board reinforces the
Your wellbeing inspires us          organisation’s zero tolerance for bullying         We acknowledge and thank Sisters Jennifer            that filters to our board
                                                                                                                                            with regularity. I commend
to learn and improve.               behaviours and harassment.                         Barrow LCM, Kathleen Cotterill LCM and
                                                                                       their Councils for their unwavering support
                                    We advocate strongly for aged citizens in                                                               everyone at Calvary for
                                                                                       of our work. Likewise, we value the support
                                    residential facilities and in particular, those
                                                                                       and guidance of the Trustees, who, led by            the service we have been
                                    in the last months of their lives. We have
                                                                                       Bill d’Apice, undertake a critical role in the       privileged to offer this year.
                                    inherited a sacred duty from the Sisters of
                                                                                       governance of Little Company of Mary
                                    the Little Company of Mary to do all we
                                                                                       Health Care. Bill retires as the inaugural Chair     THE HON. JOHN WATKINS AM
                                    can to ensure the highest quality of care
                                                                                       of Calvary Ministries at the end of this year.       CHAIR, LCMHC BOARD
                                    is provided to those who are frail, aged
                                                                                       His work over many years to ensure that the
                                    and dying. To this end, we made strong
                                                                                       mission of the Sisters of the Little Company
                                    submissions to ACT Parliamentarians as they
                                                                                       of Mary is embedded in the Calvary
                                    debated end of life choices.
                                                                                       Ministries’ family has been unwavering,
                                    Areas the board has been addressing this           tireless and most professional.
                                    year also include the following:
                                                                                       I am proud to lead an enthusiastic,
                                    •	The development of a new Strategic              professional and inspirational group of
                                       Intent;                                         directors. We thank our departing director,
                                                                                       Dr Katherine McGrath for over nine years of
                                    •	Strengthening clinical governance,              high quality and professional service to
                                       particularly the prioritisation of innovation   the board.
                                       and improvements in clinical safety, and
                                       the opportunity for Calvary to become a         I thank and commend the work of the
                                       champion in this area;                          National Executive Leadership Team and
                                                                                       all our leaders. They bring a wealth of
                                    •	Strengthening safeguarding of children          knowledge to the table for the benefit of all
                                       and vulnerable adults, including those who      at Calvary.
                                       are aging;

2 / ANNUAL REVIEW 2017/2018                                                                                            Continuing the Mission of the Sisters of the Little Company of Mary / 3
You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
Our strategy and
year in review

                                            Martin Bowles PSM, National Chief Executive Officer.

4 / ANNUAL REVIEW 2017/2018   Continuing the Mission of the Sisters of the Little Company of Mary / 5
You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
Message from the National Chief Executive Officer                                                                                                                                                                           Strategic Intent 2018-2023
                                                                                                                                                                                                                                                           You matter. We care about you.
Firstly, let me say that my inaugural year at       the behaviours we need to exhibit to live          our behaviours and four key areas: Quality
Calvary has been really enjoyable. One of           our values. Our behaviours are the most            and safety; Care of our people and working
the key attractions of Calvary for me is that       significant contributor to the successful          environments; Partnering and planning for
I see it as a microcosm of the health System,       delivery of our Strategic Intent, featured         the present and future; and Caring for our
which creates a tremendous opportunity to           opposite.                                          resources.
                                                                                                                                                      Our Mission                                                                    Our Values
look at healthcare from a person-centered                                                                                                             We bring the healing ministry of Jesus to those who are sick,
                                                    The 2017/18 year was also a busy year on
way, with an integration model in mind.                                                                                                               dying and in need through ‘being for others’:
                                                    the development front. The new Adelaide
I would like to acknowledge the work of             Hospital is progressing well and keeping us
former National CEO Mark Doran, who led             very busy. Once complete, this will be one         We are moving forward to a                     •      in the spirit of Mary standing by her son on Calvary;
                                                                                                                                                      •      through the provision of quality, responsive and
Calvary through nine years of significant           of the most advanced private hospitals in          place where we can not only                           compassionate health, community and aged care services;
transformation and growth, preparing the            Australia.                                         explore our current markets,                   •      based on Gospel values; and
ground well for our next set of opportunities.
                                                    Stage one of the theatre redevelopment in          but also our new ones. In                      •      in celebration of the rich heritage and story of the
                                                    Lenah Valley is now operational. This will                                                               Sisters of the Little Company of Mary.
                                                                                                       doing so, we are guided by
                                                    give us the capacity to grow our business in
                                                    Hobart to better serve the local community.        our Strategic Intent, focused
I see it (Calvary) as a                             In 2018, the ACT’s Calvary Bruce Private
                                                                                                       on our behaviours and
microcosm of the health                             Hospital saw its first year of operation. The      four key areas: Quality and
System, which creates a                             Calvary Public Hospital Bruce completed            safety; Care of our people                     Our Vision                                                        Our
                                                    the redevelopment of the maternity services
tremendous opportunity to                                                                              and working environments;                      As a Catholic Health, Community and Aged Care                     •   •   We
                                                                                                                                                                                                                                             present, attentive
                                                                                                                                                                                                                                                        attentiveand listen
                                                                                                                                                                                                                                                                   and       toto
                                                                                                                                                                                                                                                                        listen  each
                                                    ward and approval for works to make our
                                                                                                       Partnering and planning for                    provider, to excel, and to be recognised as a                     •   •   We
                                                                                                                                                                                                                                          recognise the
                                                                                                                                                                                                                                                           achievements   ofof
look at healthcare from a                           Emergency Department more appropriate
                                                                                                                                                                                                                        •       We will actively involve   each  other  inin
                                                                                                                                                                                                                                                                           decision  making.
                                                                                                                                                      continuing source of healing, hope and nurturing                      •    We will  actively involve   each  other     decision  making.
person-centered way, with an                        for the patients we see. While challenging,        the present and future; and                    to the people and communities we serve.                           •   •   We
                                                    we are seeing signs of improvement in its
integration model in mind.                                                                             Caring for our resources.                                                                                        •   •   We
                                                                                                                                                                                                                                             accountable   for our
                                                                                                                                                                                                                                                             for   actions.
                                                                                                                                                                                                                                                                 our actions.
                                                    performance. This is critical for the citizens
                                                                                                                                                                                                                        •   •   We
                                                                                                                                                                                                                                    willnot look
                                                                                                                                                                                                                                          not looktoto
                                                    of the ACT.

The health and aged care industry is in a           As we contemplate our service offering in          I invite you to read more about those in the
state of disruption, in a good way. We seek         Launceston, we submitted an unsolicited            coming pages.
more than ever to understand and support            proposal to the Tasmanian Government
                                                                                                       I am enormously proud of the contributions
the unique needs of each individual, moving         to build a co-located facility adjacent to                                                              Priority: A focus on quality and safety                                             Priority: Care of our people and our
away from a one-size-fits-all model of care.        Launceston General Hospital. We have now           our people are making towards our patients,
A constant in the current environment               progressed this to the second stage. We            residents and clients, many of whom are at     Build workforce capability to ensure that all staff understand
                                                                                                                                                                                                                                                       working environments
is that consumers, regulators, providers            are working closely with our medical and           their most vulnerable.                         and are supported to perform their roles and responsibilities
and governments are making different                broader community to develop a proposal                                                                          with maximum effectiveness.                                           Provide safe, equitable workplaces that are welcoming and
                                                                                                       It is a privilege to serve our communities
decisions than in the past. The challenge is        that will serve the needs of the local                                                                                                                                                                       respectful of all.
                                                                                                       with compassionate health and aged care
anticipating what that may look like so we          community in Launceston.                                                                              Create respectful, collaborative relationships with patients,
                                                                                                       and have the opportunity to make a positive
can adapt accordingly. The Aged Care Royal                                                                                                                 residents, clients, families and community partners from                         Attract diverse people who value making a difference and
                                                    The redevelopment of the Caulfield site            difference to their lives; and I thank my
Commission will be a fantastic opportunity                                                                                                                 which to grow compassionate, person-centered models                              are willing to contribute a range of complementary skills,
                                                    in Melbourne has also progressed as we             Senior Executive team and all our people for
to help us find the best way for us to assist                                                                                                                                         of care.                                                     motivated by the spirit of ‘being for others’.
                                                    received a positive outcome from the VCAT          their hard work and support throughout the
our residents and clients in the Aged and
                                                    to replace the ageing Bethlehem Hospital           year to help make this a reality.
Community Care space.                                                                                                                                          Commit to zero preventable harm and reduce the                               Entrust, support and equip people to make their best and
                                                    with a hospital and residential care facilities.
                                                                                                                                                             unplanned variation that leads to such harm, within a                         most effective contribution to Calvary’s mission to provide
In the private hospital space, we are seeing        We are currently developing the formal             MARTIN BOWLES PSM
                                                                                                                                                             ‘high reliability’ framework that prioritises safety and                     ‘healing, hope and nurturing to the people and communities
quite a lot of volatility as the national reforms   proposal for Board endorsement.                    NATIONAL CHIEF EXECUTIVE OFFICER
                                                                                                                                                                             continuous improvement.                                                               we serve.’
around quality, safety and appropriateness
                                                    In South Australia, our Calvary Community
take hold. This coupled with the potential
                                                    Care business has also made some inroads
capping of the private health insurance rates
                                                    into new business with a new contract with
will see short term pressures on the system                                                            	Martin Bowles PSM joined Calvary
                                                    the South Australian Government. We have
leading to subdued results.                                                                              in December 2017 and is the former
                                                    also developed a palliative care in the home
                                                                                                         Commonwealth Secretary of Health.
                                                                                                                                                             Priority: Partnering and planning for                                                Priority: Caring for our resources
Even with this volatility, Calvary has made         program, the first of which is running in
                                                                                                         Martin has played an integral role in                    the present and the future
some good progress on preparing ourselves           Calvary North Adelaide (p17).
                                                                                                         changes across the health sector,
for these changes. During the year we
                                                    The year was not without its challenges.             including the significant reforms to             Anticipate future developments and be ready to respond to                        Upgrade and maintain our facilities, ICT assets, infrastructure,
introduced a new structure that brought our
                                                    The most significant of these being the              government funding for public                     opportunities that will impact upon the communities that                        and work environments and pursue innovative enterprise for
residential aged care (Calvary Retirement
                                                    colonoscopy recall of almost 400 patients in         hospitals in Australia, to generate                                    Calvary serves.                                                  the benefit of our people and our environment.
Communities) and community care (Calvary
                                                    Hobart. This was a difficult time, particularly      greater efficiency, safety and quality
Community Care) businesses under the
                                                    for the patients who were affected. I was            in our hospital system.                            Research partnerships to meet health and social needs                          Sustain and develop new sources of funding to serve people
one Aged Care and Community Services
                                                    proud to see local and national teams                                                                                  now and in the future.                                                            now and in the future.
umbrella. This has allowed us to improve our
                                                    coming together to work tirelessly to ensure
focus on the residents and clients we serve
                                                    the best possible outcome for the patients.                                                             Advocate for, and initiate responses to, unmet needs                           Create opportunities and partnerships to utilise our resources
across the country.
                                                                                                                                                          and people experiencing disadvantage in the communities                             more effectively and efficiently in the service of others.
                                                    We will always have to manage difficult
In the hospital sector, we have introduced                                                                                                                                        we serve.
                                                    issues, but for me, how the teams come
a regional structure, allowing us to more
                                                    together to get the best outcome for our
effectively develop clinical service plans for
                                                    patients, the community and Calvary is
the communities we serve.
With the new structure, we are focusing
                                                    We are moving forward to a place where we
on leadership and our culture so we can
better deliver on our Mission and Values.
                                                    can not only explore our current markets,                                                         In 5 years’ time Calvary will...
                                                    but also our new ones. In doing so, we are                                                        Be the health, community and aged care provider of choice in the markets we serve in delivering integrated, seamless, safe and quality
We have undertaken a lot of reflection using
                                                    guided by our Strategic Intent, focused on                                                        care with equity and compassion at its base that is appropriate to the individual and community’s needs.
different tools and have focused heavily on

6 / ANNUAL REVIEW 2017/2018                                                                                                                                                                                                                Continuing the Mission of the Sisters of the Little Company of Mary / 7
You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
Caring for
our resources

L-R: Calvary South Australia hospitals’ Finance Team
• Carlos Mora Patino, Acting Director Finance, Calvary North Adelaide and Central Districts Hospitals
• Naomi Heritage, Acting Finance Manager, Calvary North Adelaide Hospital
• Scott Prettlejohn, Director of Finance, Calvary Wakefield and Calvary Rehabilitation Hospitals
• Rebecca Lines, Assistant Accountant, Calvary North Adelaide Hospital
• Anh Luu, Management Accountant, Calvary Rehabilitation Hospital
• Chad Ownsworth, Management Accountant, Calvary Wakefield Hospital

8 / ANNUAL REVIEW 2017/2018                                                                             Continuing the Mission of the Sisters of the Little Company of Mary / 9
You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
STRATEGIC INTENT                               Review of Operations
  Priority: Caring for our                              Calvary is pleased to deliver a solid           •	The continuing Calvary Adelaide
  resources                                             surplus of $62.02 million, in a challenging        Hospital development due for
                                                        industry environment.                              completion mid 2019

  Upgrade and maintain                                  Calvary is unique in that it participates       •	The Calvary Health Care Bethlehem
                                                                                                           integrated care development, receiving
  our facilities, ICT assets,                           in three health and care sectors being:
                                                                                                           the Victorian Civil and Administrative
                                                        private and public hospitals, aged care
  infrastructure and work                                                                                  Tribunal (VCAT) approval to proceed in

                                                        and community care. Each of these
  environments, and pursue                              has had its own set of challenges and              May 2018
  innovative enterprise for                             industry dynamics that Calvary has              •	Calvary Ryde Retirement Community,
  the benefit of our people                             navigated successfully.                            historic site development receiving
  and our environment.                                  Calvary continues to invest its surplus
                                                                                                           approval to proceed in July 2018.
                                                        funds back into the operations:                 Calvary has a very strong balance
  Sustain and develop new                                                                               sheet and overall financial position.
  sources of funding to serve                           •	Calvary Bruce Private Hospital,
                                                                                                        This financial strength will enable the
  people now and in the                                    completed in 2017
                                                                                                        organisation to pursue opportunities,                                                                                                  Total surplus of the managed group
  future.                                               •	Calvary St Vincent’s Hospital,               continue to invest in its people and                                                                                                   for reinvestment in our mission.
                                                           $6.2 million endoscopy unit and              facilities and support a culture of
  Create opportunities and                                 cardiovascular laboratory, completed         delivering quality and safe care to our
  partnerships to utilise our                              in September 2017                            patients, residents and clients.
  resources more effectively                            •	The Calvary Lenah Valley Hospital
  and efficiently in the                                   operating theatre upgrades due for
  service of others.                                       completion in April 2019

Our Services

               State                                       Calvary Hospitals                          Calvary Retirement        Calvary Community
                                                                                                         Communities               Care Centres

                                                 Public                        Private

  Australian Capital Territory                      1                            2                            1                          1

  New South Wales                                   2                             1                           14                         8

  South Australia                                   -                            4                            2                          4

  Tasmania                                          -                            4                            -                          1

  Victoria                                          1                             -                           -                          4

  Northern Territory                                -                             -                           -                          1

  TOTAL                                             4                            11                           17                         19

See pages 42-51 for full details of all locations and services.

                                                                                                                                                    L-R: Clinical nurses Lauren Few and Sopheap Seng-Le, Calvary Rehabilitation Hospital, South Australia.

10 / ANNUAL REVIEW 2017/2018                                                                                                                                                                                                         Continuing the Mission of the Sisters of the Little Company of Mary / 11
You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
Profit or Loss FY18                                                                                                                  Balance Sheet
                                                                    2018                                              2017                                                                                     2018                                2017
                                                                   $’000                                             $’000                                                         Note                       $’000                               $’000

Revenue                                                           1,235,754                                              1,187,877   Current assets

                                                                                                                                     Cash and cash equivalents                        10                         296,734                              397,661
Other income                                                          35,129                                               55,313
                                                                                                                                     Trade and other receivables                      9                           80,664                              76,385
Total revenue and other income                                   1,270,883                                          1,243,190
                                                                                                                                     Inventories                                                                   16,690                              13,889

                                                                                                                                     Term deposits                                    11                          257,168                             124,248
Employment expenses                                                 758,285                                          709,984         Other current assets                                                           7,684                               8,359

Goods and services                                                  310,253                                               311,005    Total current assets                                                       658,940                             620,542

Finance costs                                                         4,688                                                 1,894    Non-current assets

                                                                                                                                     Trade and other receivables                                                     1,114                               943
Depreciation and amortisation                                        50,049                                                46,011
                                                                                                                                     Property, plant and equipment                    4                          822,505                             788,862
Other expenses from ordinary activities                               116,671                                            106,859
                                                                                                                                     Investment property                              5                             3,232                               3,286
Total expenses                                                   1,239,946                                          1,175,743
                                                                                                                                     Intangible assets                                6                           38,734                               39,391
Operating surplus                                                    30,937                                               67,447     Other non-current assets                                                        364                                 364

                                                                                                                                     Total non-current assets                                                    865,949                             832,846

Capital funding received                                             31,080                                               10,370     Total assets                                                              1,524,889                           1,453,388

Total surplus                                                        62,017                                               77,817
                                                                                                                                     Current liabilities
Total comprehensive income                                           62,017                                               77,817     Trade and other payables                                                      95,746                              93,822

                                                                                                                                     Borrowings                                       13                            9,059                               8,788

                                                                                                                                     Employee benefits                               20                           128,238                              119,731

Expenses                                                           Revenues                                                          Other provisions                                 16                            6,386                               5,034

                                                                                                                                     Income received in advance                                                    19,665                               17,081
 The Group’s expenses from operating activities                    The Group’s revenue from operating activities
 totalled $1,235.3 million (2017: $1,173.8 million).               totalled $1,266.8 million (2017: $1,198.2 million).               Refundable loans                                 14                          287,474                            263,320

 Personnel costs represent 61% (2017: 60%) of total                Grants and subsidies from Government for                          Total current liabilities                                                   546,568                              507,776
 operating expense.                                                hospital and aged care operations totalled
                                                                   $526.3 million (2017: $472.6 million).                            Non-current liabilities
 Staffing levels for clinical services have increased
 during the reporting period with total staff of 7,263             Grants and subsidies represent 42% (2017: 39%)                    Trade and other receivables                                                    1,085                                 833
 full time equivalents as at 30 June 2018 (2017:                   of revenue from operating activities.
 6,437). The actual number of staff as at 30 June                                                                                    Borrowings                                       13                          84,363                              107,895
 2018 was 11,155 (2017: 10,843).
                                                                                                                                     Employee benefits                               20                            14,855                              13,668

                                                                                                                                     Other provisions                                 16                             3,216                              2,701

                                                                                                                                     Total non-current liabilities                                                103,519                            125,097

                                                                                                                                     Total liabilities                                                           650,087                             632,873

                                                                                                                                     NET ASSETS                                                                  874,802                             820,515

                                                                                                                                     Consolidated cash flow statement

                                                                                                                                     Net cash inflows from operating activities                                   113,208                             120,187

                                                                                                                                     Net cash outflows from investing activities                                  213,202                            146,460

                                                                                                                                     Net cash flow used in financing activities                                       933                              78,728

                                                                                                                                     Net increase/(decrease) in cash                                              100,927                              52,455

                                                                                                                                     Free                                                                         463,712                            430,792

                                                                                                                                     Tied                                                                          90,190                               91,117

                                                                                                                                                                                                                 553,902                             521,909

12 / ANNUAL REVIEW 2017/2018                             Continuing the Mission of the Sisters of the Little Company of Mary / 12                                                     Continuing the Mission of the Sisters of the Little Company of Mary / 13
You matter. We care about you - ANNUAL REVIEW LITTLE COMPANY OF MARY HEALTH CARE LIMITED - Calvary Health Care
and planning
for the future

Calvary Adelaide Hospital, South Australia.

14 / ANNUAL REVIEW 2017/2018                  Continuing the Mission of the Sisters of the Little Company of Mary / 15

                                                                                                                                                                                                                                                                  Priority: Partnering and
                                                                                                                                                                                                                                                                  planning for the present
                                                                                                                                                                                                                                                                  and the future.

                                                                                                                                                                                                                                                                  Anticipate future
                                                                                                                                                                                                                                                                  developments and be ready
                                                                                                                                                                                                                                                                  to respond to opportunities
                                                                                                                                                                                                                                                                  that will impact upon the
                                                                                                                                                                                                                                                                  communities that Calvary
                                                                                                                                                                                                                                                                  Research partnerships to
                                                                                                                                                                                                                                                                  meet health and social
                                                                                                                                                                                                                                                                  needs now and in the future.
                                                                                                                                                                                                                                                                  Advocate for, and initiate
                                                                                                                                                                                                                                                                  responses to unmet needs
                                                                                                                                                                                                                                                                  and people experiencing
                                                                                                                                                                                                                                                                  disadvantage in the
                                                                                                                                                                                                                                                                  communities we serve.

                                                                                                                                                        L-R: Robin Haberecht, Calvary Riverina Private Hospital General Manager with Deputy Prime
                                                                                                                                                        Minister and Member for Riverina Michael McCormack and Melissa Neal, Murrumbidgee PHN v.

L-R: The Hon. John Watkins AM, Chair Little Company of Mary Health Care; Bill d’Apice, Chair Calvary Ministries; Meeghan Fitzharris ACT Minister for
                                                                                                                                                        CALVARY RIVERINA AND
Health; and Jim Birch AM, Board Director Little Company of Mary Health Care.
                                                                                                                                                        MURRUMBIDGEE PRIMARY HEALTH                         CALVARY NORTH ADELAIDE AND BUPA LAUNCH
                                                                                                                                                        NETWORK LAUNCH WOMEN’S                              PALLIATIVE HOME CARE SERVICE
                                                                                                                                                        INITIATIVE                                          In September 2018, Calvary North Adelaide and Bupa launched a Palliative Home Care

Partnering and planning for the future                                                                                                                  Deputy Prime Minister and Federal Member
                                                                                                                                                        for Riverina Michael McCormack launched
                                                                                                                                                                                                            Service in response to an increasing desire from patients to be cared for and to die
                                                                                                                                                                                                            at home.

Highlights                                                                                                                                              The Women’s Wellness and Recovery
                                                                                                                                                        Program at Calvary Riverina Hospital’s
                                                                                                                                                                                                            The service helps identify the right balance between home based and inpatient
                                                                                                                                                                                                            palliative care and provides increased choice for patients to select the location of their
                                                                                                                                                        Drug and Alcohol Centre in Wagga Wagga
                                                                                                                                                                                                            care (home or hospice). The service creates a more seamless experience for patients
                                                                                                                                                        on 13 April 2018. The $1.8 million program
CALVARY AND SOUTH AUSTRALIA                         ACT MINISTER FOR HEALTH AND                         ACT HEALTH FUNDS $2.6 MILLION                                                                       transitioning between care environments.
                                                                                                                                                        will support pregnant women and new
HEALTH PARTNERSHIP                                  CALVARY CHAIR OPEN $77 MILLION                      MATERNITY WARD UPGRADE
                                                                                                                                                        mothers living in the Murrumbidgee region,          Service Manager and Palliative Care Nurse Practitioner Kevin Hardy notes that clinical
In October 2018, Calvary Health Care                CALVARY BRUCE PRIVATE HOSPITAL                      ACT Health provided $2.6 million funding        experiencing alcohol and drug disorders.            studies show a direct correlation between palliative care delivered within the home
South Australia hospitals has partnered             ACT Minister for Health Meeghan Fitzharris          for Calvary Bruce Public hospital’s maternity                                                       environment, and a higher quality of patient and carer experience.
with SA Health to alleviate pressures being                                                             ward upgrade. The refurbishment, unveiled       The program provides tailored specialised
                                                    and Calvary Chair the Hon. John Watkins AM
experienced across the public hospital                                                                  on Monday 30 July 2018, includes                treatment and practical support as early as         Palliative Home Care visits vary according to patient need from once a week for ‘stable’
                                                    opened the new Calvary Bruce Private
system. Our four hospitals across Adelaide                                                              an expanded capacity to 18 beds, a              possible. The one-to-one individualised and         patients up to several times per day for patients in the last days of life.
                                                    Hospital on 27 September 2017. “We are
– including Calvary Central Districts, Calvary                                                          reconfigured maternity unit with 10 single      community-based support service includes
                                                    committed to creating a better health
North Adelaide, Calvary Rehabilitation and                                                              rooms and four large twin rooms, a patient      drug education, specialist treatment
                                                    system in the ACT, and this new $77 million
Calvary Wakefield hospitals – have provided                                                             and family lounge, baby assessment room         and counselling within a family-based
                                                    hospital offers the community the latest
20 beds per day to help with overflow on an                                                             and enhanced facilities for partners who        intervention framework.
                                                    in medical facilities while retaining close
ongoing-as-needs basis.                             working relationships with the public               want to stay at the hospital.
                                                                                                                                                        CALVARY SUPPORTS SA HEALTH
                                                    hospital Calvary also operates,” Minister
CALVARY AND MEDIBANK PRIVATE                                                                            FEDERAL AND STATE GOVERNMENTS                   COMMUNITY CARE PROGRAM
                                                    Fitzharris said.
PARTNERSHIP                                                                                             AND SNOW FOUNDATION $6 MILLION                  Calvary Community Care are delighted to
Since 2017, Calvary has partnered with              ACT HEALTH FUNDS $15 MILLION                        CLARE HOLLAND HOUSE UPGRADE                     be chosen as one of four non-government
private health insurer Medibank Private to          CALVARY BRUCE PUBLIC HOSPITAL                                                                       organisations to deliver SA Health
                                                                                                        In September 2018, the Australian and ACT
reduce the number of hospital acquired              EMERGENCY EXPANSION                                                                                 Community Care services. Commencing
                                                                                                        Governments in partnership with the Snow
complications. The partnership focuses on                                                                                                               July 2018, the SA Community Care Program
                                                    In June 2018, the ACT government                    Foundation announced $6 million in funding
five key areas of preventable harm including                                                                                                            is a health initiative implemented by SA
                                                    announced a $15 million upgrade to the              to extend and upgrade Clare Holland House
falls, hospital acquired infections, surgical                                                                                                           Health with the objective of delivering
                                                    emergency department (ED) at Bruce                  hospice. The expansion will increase the
complications, blood clots and pressure                                                                                                                 support and assistance to people in the
                                                    Public Hospital, with works to commence             number of specialist in-patient palliative
ulcers. Under the agreement, Medibank                                                                                                                   home environment to avoid unnecessary
                                                    in September 2019. The upgrades to the              care beds, improvements and development
provides data to build a comprehensive                                                                                                                  visits to the emergency department,
                                                    emergency department’s waiting area                 of administration and clinical spaces
picture of patient outcomes across all our                                                                                                              admission to hospital or to assist consumers
                                                    will make a difference to people who are            together with more family friendly features
hospitals to ensure patients receive the best                                                                                                           to leave hospital when clinically safe to do
                                                    waiting and ED staff along with additional          that enable loved ones to stay with patients.
quality care.                                                                                                                                           so. Calvary Community Care along with
                                                    treatment spaces, equipment upgrades and
                                                                                                                                                        other service providers are assisting in
                                                    improved access.
                                                                                                                                                        the delivery of a range of services tailored
                                                                                                                                                        to meet individual needs, replacing the
                                                                                                                                                        previous model of predominantly packaged
                                                                                                                                                        services.                                        Kevin Hardy, Palliative Care Nurse Practitioner.

16 / ANNUAL REVIEW 2017/2018                                                                                                                                                                                                            Continuing the Mission of the Sisters of the Little Company of Mary / 17
Partnering and planning for the future
Capital developments

                                                                                                                                              New Calvary Bruce Private Hospital, ACT                                                                L-R: Phil Clisby, Design Manager at AW
                                                                                                                                                                                                                                                     Edwards and Angus Bradley, National
                                                                                                                                              BEST COMMERCIAL BUILDING AWARD                                                                         Development Manager at Calvary.

                                                                                                                                              Congratulations to AW Edwards, builders of the new Calvary Bruce Private Hospital in
                                                                                                                                              the ACT, who won the award for Best Commercial Building over $50 million at the ACT
                                                                                                                                              Master Builders Awards on 29 June 2018. The awards recognise and celebrate the ACT’s
                                                                                                                                              best builders, their teams, and the projects which have won them acclaim in the residential,
                                                                                                                                              commercial and civil construction sectors.

                                                                                                                                              The award is a great acknowledgement of the work by AW Edwards and the Calvary team
                                                                                                                                              who worked alongside them. We would like to acknowledge in particular the efforts of
                                                                                                                                              Mick O’Driscoll the external Project Manager (now with Calvary) and Jennifer Raxworthy,
                                                                                                                                              Transition Manager, and all the Bruce Private staff for their efforts in getting the new hospital
Artist’s impression of Calvary Adelaide Hospital, Adelaide, South Australia.                                                                  up and running.

                                                                                                      “Calvary has been caring for            The AW Edwards and Calvary team gave their all to this project, which was achieved under
New Calvary Adelaide Hospital, South Australia                                                        South Australians for more
                                                                                                                                              excellent stewardship with regards to budget and was delivered in just under 18 months,
                                                                                                                                              opening 27 September 2017.
TOTAL PROJECT VALUE: $300 MILLION                                                                     than 100 years, and this
                                                                                                      new hospital enables us to
The new Calvary Adelaide Hospital is the largest-ever private hospital to be built in South           increase capacity and meet
Australia and the first new private hospital in nearly 20 years.
                                                                                                      rising demand for quality                                                                                                                          The Calvary Bethlehem Health
                                                                                                                                                                                                                                                         and Retirement Precinct is a
The 344 bed hospital will replace the Calvary Wakefield and Calvary Rehabilitation                    health care.”                                                                                                                                      significant project for Calvary. For
hospitals. Around 700 hospital staff will relocate to the new facility, which will allow for
growth of around 50% staff on completion and capacity for significant growth in staff in              John Watkins AM, Chair Little Company                                                                                                              the first time, Calvary is combining
the following years.                                                                                  of Mary Health Care                                                                                                                                all Calvary services, including
                                                                                                                                                                                                                                                         hospitals, retirement and aged care,
Owned by Dexus and Adelaide-based developer Commercial & General, and under                                                                                                                                                                              in one residential location to allow
construction with building contractor John Holland Constructions, the 12 storey hospital is                                                                                                                                                              ageing-in-place.
located on the corner of Pulteney and Angas Streets, Adelaide. Details of the new hospital
are available at                                                                                                                                                                                                              •	A place that enables people to live
                                                                                                                                                                                                                                                            a healthy and fulfilled life;
                                                                                                                                                                                                                                                         •	A place to build friendships
                                                                                                                                                                                                                                                            and stay connected to the local
   In alignment with the values of wise stewardship, Calvary generates profits for the                                                                                                                                                                      community;
   purpose of reinvesting our funds in services and capital infrastructure. Our capital                                                                                                                                                                  •	A place to feel safe and enabled in
   development infrastructure aims are to: meet forecast population growth; and or                                                                                                                                                                          an accessible environment for all;
   provide more responsive and inclusive models of care; and or complement the delivery
   of public health services. Calvary is grateful for the support of multiple stakeholders,                                                                                                                                                              •	A place that embraces diversity
   including Primary Health Networks; local, federal and state governments; and the                                                                                                                                                                         and empowers people to make
   commercial sector in providing for the future health care needs of the communities                                                                                                                                                                       their own decisions and lifestyle
   we serve.
                                                                                                                                              Calvary Bethlehem Hospital Redevelopment, Victoria                                                         •	An option for people to age in
                                                                                                                                              HEALTH AND RETIREMENT PRECINCT DEVELOPMENT RECEIVES DEVELOPMENT                                               their local community, and to be
                                                                                                                                              APPROVAL MAY 2018                                                                                             supported to live in the same place
                                                                                                                                                                                                                                                            as their care needs change;
                                                                                                                                              Patients, residents, staff, neighbours and the wider community will benefit from a substantial
                                                        On 14 August 2018, (L-R) Commercial and                                               redevelopment of the current 1960’s Calvary Health Care Bethlehem public hospital in                       •	Access to appropriate and timely
                                                     General Executive Chairman Jamie McClurg,                                                Caulfield, after VCAT approved revised plans for the proposed precinct in May.                                interventions and supports to
                                                    SA Premier Steven Marshall and Calvary Chair
                                                                                                                                                                                                                                                            maintain independence; and
                                                         John Watkins AM attended an important                                                The design, revised in response to community sentiment, will see the existing hospital
                                                      ‘topping out’ milestone of Calvary Adelaide                                             replaced by a Health and Retirement Precinct comprising a new hospital, retirement village,                •	A place that enables people to die
                                                          Hospital construction at 12 storeys high.                                           residential aged care facility, medical centre and cafe.                                                      in their chosen location with the
                                                                                                                                                                                                                                                            level of support they require.

18 / ANNUAL REVIEW 2017/2018                                                                                                                                                                                                   Continuing the Mission of the Sisters of the Little Company of Mary / 19
Artist’s impression of Calvary Ryde roof                                                                                                     The Lenah Valley theatre upgrades
                                                                                                                 top terrace.                                                                                                                                 incorporated a range of new equipment
                                                                                                                                                                                                                                                              including the “Airo’® Mobile Intraoperative CT
                                                                                                                                                                                                                                                              Scanner. The scanner provides surgeons with
                                                                                                                                                                                                                                                              real time diagnostic imaging during surgery.

Calvary Ryde Retirement Community, New South Wales                                                                                                          Calvary Lenah Valley Hospital, Tasmania
HISTORIC SITE RE-DEVELOPMENT RECEIVES APPROVAL JULY 2018                     CALVARY STAGE 1- Roof Top Terrace                                              $23.4 MILLION THEATRE UPGRADES
TARGET COMPLETION DATE MAY 2020                                                                        26/3/18                                              TARGET COMPLETION DATE APRIL 2019

The redevelopment of Ryde Retirement Community’s historic site will offer an integrated                                                                     Redevelopment of the operating theatres at Calvary Lenah Valley Hospital in Hobart,
community with a residential aged care service, retirement living village, health and wellness                                                              Tasmania is nearing completion, bringing the number of functional theatres to nine.
centre, onsite respite and community support services for seniors, as well as dedicated                                                                     The theatres are housed in a new building which adjoins the existing structure. The
dementia spaces, and open air gardens and community spaces.                                                                                                 redevelopment includes nine operating theatres, Stage 1 and 2 recovery units and a central
                                                                                                                                                            sterilising unit. The new Executive Suites are now open with the Day of Surgery Admission
                                                                                                                                                            Centre, Doctor’s Lounge and Board Room due for completion in April 2019. Importantly, the
                                                                                                                                                            project allowed the introduction of cardiac surgery in 2018.

                                                                                                                 Artist’s impression of proposed Calvary
                                                                                                                 Launceston Private Hospital.

Proposed Calvary Launceston Private Hospital,                                                                                                               Calvary St Vincent’s Hospital, Tasmania
Tasmania                                                                                                                                                    $6.2 MILLION ENDOSCOPY UNIT AND CARDIOVASCULAR LABORATORY
$100 MILLION PROPOSAL MOVES TO SECOND STAGE                                                                                                                 COMPLETION: SEPTEMBER 2017

In December 2017 Calvary submitted an unsolicited proposal to the Tasmanian Government                                                                      Calvary St Vincent’s Private Hospital’s Cardiac Catheter Laboratory and Endoscopy Unit
to relocate St Luke’s and St Vincent’s Hospitals into one place, increasing the number of                                                                   marks the delivery of much needed services for all northern Tasmanians.
available hospital beds and providing more services. The plan to relocate the two private
                                                                                                                                                            Tasmanians in the north, north east and north west have the highest prevalence of
hospitals into one adjacent to the Launceston General Hospital could ease the pressure on
                                                                                                                                                            cardiovascular disease in Australia according to ABS data. Yet the Australian Commission
the public system and create a dedicated health hub for the region.
                                                                                                                                                            on Safety and Quality in Health Care analysis of 2014 confirmed that northern Tasmanians
The Tasmanian Government is progressing the proposal to the second phase, providing the                                                                     also experienced the lowest rate of coronary angiograms and cardiac intervention services
opportunity to explore the benefits of the private and public sector working in partnership to                                                              nationally, with most performed within the public sector.
provide the best health outcomes for the Northern Tasmanian community.
                                                                                                                                                            The new Cardiac Catheter Laboratory and Endoscopy Unit are welcomed by many, including
The second phase involves the Assessment Panel and Calvary working together to ensure                                                                       45% of the Tasmanian population with private health insurance, relieving the high case load
that the proposal meets the needs of both parties and future plans, and also ensures that the                                                               experienced by the public health system.
co-location improves the services and health outcomes for both public and private patients.

20 / ANNUAL REVIEW 2017/2018                                                                                                                                                                                                            Continuing the Mission of the Sisters of the Little Company of Mary / 21
Caring for
our people
and working

                                                             Mark Green, National Director, Mission.

22 / ANNUAL REVIEW 2017/2018   Continuing the Mission of the Sisters of the Little Company of Mary / 23
In August 2017, Sister Jennifer Barrow, Province
                               Leader of Australia - Little Company of Mary,         STRATEGIC INTENT                                      Evaluating our mission
                               is awarded Catholic Health Australia’s highest
                               honour, the “Maria Cunningham Lifetime                                                                      In 2016 Calvary developed a Mission               silence of statistics and absence. It took a
                               Contribution Award”.                                  Priority: Care of our                                 Accountability Framework strategy for             lot of work and engagement to call this out
                                                                                                                                           developing, monitoring, evaluating and            at a moral level. We are now in a position
                                                                                     people and our working                                learning how we might keep our mission            to appoint an Aboriginal Hospital liaison
                                                                                     environments.                                         firmly grounded in the rich heritage of           Officer and the Multicultural Health Unit
                                                                                                                                           the Sisters of the Little Company of Mary.        has appointed a liaison officer three days a
                                                                                     Provide safe, equitable                               These were women who grasped the Spirit           week with us also.
                                                                                                                                           of Calvary and learned how to hold an
                                                                                     workplaces that are
                                                                                                                                           aching heart, heal the sick, tend the dying       PREFERENCE FOR THE POOR
                                                                                     welcoming and respectful                              and nurture the soul.                             AND VULNERABLE
                                                                                     of all.                                                                                                 Across the year there were many examples
                                                                                                                                           The framework evaluates peoples’
                                                                                     Attract diverse people who                            feedback from their experiences and               where, as an organisation, we were able to
                                                                                                                                                                                             demonstrate our commitment to the poor
                                                                                     value making a difference                             stories to track achievement of our mission.
                                                                                                                                                                                             and the vulnerable in society. Examples
                                                                                     and are willing to contribute                                                                           include,
                                                                                                                                           SPIRITUAL FOCUS
                                                                                     a range of complementary                                                                                •	An indigenous client kept unnecessarily
                                                                                                                                           It is apparent that there is a real pride and
                                                                                     skills, motivated by the                              motivation from our rich Calvary heritage.           in hospital pending the purchase of a
                                                                                     spirit of ‘being for others’.                         Interaction with staff across different sites        special bed – the cost of which wasn’t
                                                                                                                                           offers up ‘current day heritage’ – those             going to be covered by other agencies.
                                                                                     Entrust, support and equip                            stories where clients and colleagues have            By paying for this bed, Calvary enabled
                                                                                     people to make their                                  experienced the Spirit of Calvary through            this client to return to country.
                                                                                     best and most effective                               the behaviour of staff.                           •	Advocacy for another indigenous client
                                                                                     contribution to Calvary’s                                                                                  ‘turned away’ by all other providers in
                                                                                                                                           ORGANISATIONAL CULTURE
                                                                                     mission to provide ‘healing,                                                                               Adelaide. Significant cooperation and
                                                                                                                                           Overall, our organisational culture, our             collaboration with her indigenous liaison
                                                                                     hope and nurturing to the                                                                                  officer resulted in improvements to the
                                                                                                                                           values and behaviours together with our
                                                                                     people and communities we                             strategic intent have been in sharp focus            habitable state of her home, relief from
                                                                                     serve.’ prioritises safety and                        since the arrival of Martin Bowles, National         an advocate who was abusing the client,
                                                                                     continuous improvement.                               Chief Executive Officer, in late 2017. In the        assistance with medication, assistance in
                                                                                                                                           words of the Calvary Community Care                  the care of her pets.
                                                                                                                                           Director of Mission (DoM),                        •	Clients living in squalor, not wishing to
                                                                                                                                                                                                be judged but needing support and
                                                                                  People, Values                                           Reflecting on examples of organisational
                                                                                                                                           suffering and the extent of it in some areas
                                                                                                                                                                                                advocacy to work through certain
                                                                                  and Culture                                              of our business, challenges us to respond
                                                                                                                                           on several levels, with our language,             •	Assistance to a staff member in dire
                                                                                                                                           behaviours and organisational focus. This            straits financially and compromised in
                                                                                                                                           particularly calls us as DOMs but is also            terms of her safety.
                                                                                  During the past year, Calvary has renewed
                                                                                  our focus on our People, Values and                      a collective call for Calvary managers            •	Budgeted contributions to fund
                                                                                  Culture. Our aim is to support staff health,             and executive staff to demonstrate                   charitable surgery established in
                                                                                  safety and wellbeing; inspire integrity in               compassionate and responsive leadership.             response to new policy.
                                                                                  decision-making; and learn from the people               Specifically, we need to identify, call,          •	Exercise programs run by Calvary
                                                                                  Calvary serves, together with partners and               manage, train the appropriate people to              Rehabilitation Hospital’s physiotherapist
                                                                                  organisations with whom Calvary shares a                 manage bullying behaviours. We need to               at Catherine House.
                                                                                  similar purpose.                                         mandate some form of a 360 appraisal for          •	Refugee student one-to-one mentoring.
                                                                                  Specifically, we focus on accountability for             all executive leaders. We need to help staff
                                                                                  mission and charism; attracting, retaining,              understand that performance management            ADVOCACY
                                                                                  training and developing people who strongly              is not “bullying”. We need to support             Another patient from rehabilitation
                                                                                  align with Calvary Mission and Values; and               people to have these conversations in such        presented with her major issue being not
                                                                                  communications that are timely, transparent              a way that they are not experienced as            her facial fractures from a recent fall at
                                                                                  and accountable.                                         such.                                             home, but her husband’s dementia and lack
                                                                                                                                                                                             of support and services because she lived
                                                                                                                                           COMMUNITY ENGAGEMENT
                                                                                  Calvary   MISSION
                                                                                          Mission    ACCOUNTABILITY
                                                                                                  Accountability Framework                                                                   in a rural area. Liaising with Social Work we
                                                                                  FRAMEWORKFive – FIVE ELEMENTS                            In the context of conducting a cultural           were able to get her the help she needed.
                                                                                                                                           safety audit, the Calvary Mater Newcastle         She asked if she could access pastoral care
                                                                                    What is the experience of     How well does Calvary    Director of Mission observes,                     for telephone support after she went home.
                                                                                   the people Calvary serves?   implement mission plans?
                                                                                                                                           The process of engaging with the local            I gave her the pastoral care number (which
                                                                                                                                           CALD and Aboriginal communities                   she has not yet used) but said she felt
                                                                                     1                                                     immediately took me into what I believe to        better having it in her handbag!
                                                                                                                 3                         be the heart of mission, being responsive
                                                                                          People’s                     Outcomes            the needs of the most vulnerable in the
                                                                                         experience                                        community we serve. Negotiating change
                                                                                                                 4                         and resources at an Executive level was a
                                                                                                                      Management’s         real learning, as was working with other key
                                                                                                                     progress reports
                                                                                                                                           stakeholders such as the Multicultural and
                                                                                                                                           the Aboriginal Health Units of our Local
                                                                                                                 5                         Health District. My learnings were around
                                                                                                                  External Reports         the importance of being attuned to those
                                                                                                                                           obvious in their absence. This was not
                                                                                                                                           driven by an overwhelming need that was
                                                                                                                                           confronting us each day, it was the eerie

24 / ANNUAL REVIEW 2017/2018                                                                                                                                          Continuing the Mission of the Sisters of the Little Company of Mary / 25
Training and development                                                                                   In FY 17/18 a total of
                                                                                                                                    In financial year 17/18, a total of 935 students completed 153,146 hours of training with Calvary.

                                                                                                                                    Calvary recognises the importance of partnerships with Tertiary and Vocational education
                                                                                                                                    providers. With that in mind an extensive review was undertaken of our agreements and
                                                                                                                                    facilitation processes of Undergraduate Clinical placements. This resulted in the development
                                                                                                                                                                                                                                               students completed

                                                                                                                                    of an overarching Calvary National Student Placement Agreement; development and
                                                                                                                                    deployment of National Facilitation and Supervision Policy and Clinical Facilitator Position
                                                                                                                                    Description; and a process for uploading student details into Calvary Core Business system to
                                                                                                                                    demonstrate facilitation and supervision effort in our Private Hospitals.

                                                                                                                                    Calvary also support clinical employees who wish to continue studying by maintaining a                     hours of training with
                                                                                                                                    collaborative relationship with the University of Tasmania, through the online Scholarship
                                                                                                                                    program with total enrolments of 199 staff as at April 2018.

                                                                                                                                                                                                                                 As at
                                                                                                                                     Calvary          Summary
                                                                                                                                                                                                                                9/4/18             Course
                                                                                                                                                                                                                                Sem 1
                                                                                                                                     Course Code      Course Title                                   2016         2017

                                                                                                                                     H4B              BNClinHons(Tran to Prac)                         21          17              1
                                                                                                                                                                                                                                                   ONLINE COURSES
                                                                                                                                     H4C              BNClinHons(Lead in Prac)                         4            1              0               COMPLETED FY 2017-18
                                                                                                                                     H4F              BN Prof Honours                                 121          153            179
                                                                                                                                                                                                                                                   2,587 employees
                                                                                                                                     H5F              Grad Cert in Nursing                             0            0              0
                                                                                                                                                                                                                                                   undertook the Calvary
                                                                                                                                     H5H              Grad Cert Flex Learning & Sim                    2            3              0               National Induction
L-R: Simone Pahl, Volunteer and Lauren Moore, Mission Services Resource Officer, Calvary Health Care South Australia.                H5G              Grad Cert Addiction                              1            0              0               Program Welcome

Our people                                                                                               FY 17/18                                                                                                                                  2,966 National Induction
                                                                                                                                     H6G              Grad Diploma Midwifery                           3            2              0

                                                                                                                                     H6F              Grad Diploma Nursing                             5            0              0               Program – Professional
In February 2018 Calvary was awarded an                   “Valuing difference can benefit all            Employees                   H7F/H7C          Master of Clinical Nursing                       5           20             19

Employer of Choice for Gender Equality                    organisations. Gender equality is
(EOCGE) citation for the fourth consecutive               incorporated into Calvary business                                                                      Total number of enrolments          162          196            199              2,920 National Induction
year. Calvary is a major employer of women                strategy as we believe that from creating                                                                                                                                                Program – Work Health
with over 10,000 employees, 8000 of which                 a positive, diverse and fair workplace, the                                                                                                                                              and Safety Fundamentals
are female, with 53% female representation                performance benefits will flow.”
at executive level.                                       Martin Bowles, National CEO
                                                                                                         Contracted FTE                                                                                                                            2,115 Palliative & End of

                                                                                                                                                                                                                                                   Life Care Modules 1 & 2

                                                                                                                                                                                                                                                   1,761 National Induction
                                                                                                                                                                                                                                                   Program – Customer
HEADCOUNT BY STREAM AND EMPLOYEE STATUS                                                                  Average age

                                                                                                                                                                                                                                                   375 Volunteers Induction
4000                       3,751

3000                                                                                                                                                                                                                                               ADDITIONAL COURSES
                                                                                                                                                                                                                                                   OFFERED ONLINE
2000                                            1,631
                                                                  1,373                                  Average years of service
                                                                                                                                                                                                                                                   5,228 Hand Hygiene

          Private          Public             Community         Aged Care             National                                                                                                                                                     3,691 Fire & Emergency
                                                Care                                  Service

                                    25%                                   Full time
                                                                                                         Volunteers                                                                                                                                1,377 Manual Handling

                                                                          Part time                                                                                                                                                                Introduction
44%                                                                       Casual
4,940                                   1%                                                                                                                                                                                                         1,975 Medication
                                        106                                                                                                                                                                                                        Calculations

                                                                                                         Female                                                                                                                                    3,891 Basic Life Support

               2%                                                                                                                   Calvary South Australia hospitals Learning and Development co-ordinators.
               179                                                                                                                  L-R: Sarah Bricher, Calvary Wakefield Hospital, Mahasen Juaton, Calvary Rehabilitation Hospital,
                                                                                                                                    Cherete Harton, Calvary Wakefield Hospital.

26 / ANNUAL REVIEW 2017/2018                                                                                                                                                                                             Continuing the Mission of the Sisters of the Little Company of Mary / 27
Workplace health and safety review
In FY17-18 Calvary continued to achieve steady improvement in work health and safety, and
workers compensation performance.

Whilst there has been a slight increase, there has not been a drastic change to the lost time
injury severity rate. Further review on recording and capturing lost time injury rates are being
undertaken to ensure accuracy in reporting. Prompt intention to provide treatment to injured
staff remains a focus. The key going forward is to improve outcomes on the management
and reporting of hazards.


       LOST TIME INJURY FREQUENCY RATE (LTIFR)                                                      CAUSES OF INJURY





               2012–13         2013–14        2014–15          2015–16        2016–17     2017–18

       LTIFR is the number of LTIs per 1 million hours worked
                                                                                                      Manual handling – 50%
                                                                                                      Falls, trips and slips – 17%
                                                                                                                                                                                                                                L-R: Dennis Pomare and John Simpson, Radiation Oncology.
       LOST TIME INJURY (LTI) SEVERITY RATE                                                           Being hit by moving objects – 9%
                                                                                                             objects with a part o
350                                                                                                   the body – 9%
300                                                                                                   Mental stress – 8%                   The WHS awards have been running since 2015 recognising
250                                                                                                                                        the passion and efforts of those demonstrating excellence in
                                                                                                      Heat, electricity and 
                                                                                                       environmental factors – 3%
200                                                                                                                                        the delivery of Work Health Safety.
 150                                                                                                  Vehicle incident – 2%
                                                                                                      Other – 2%
                                                                                                                                           Whether it be an individual or a team, the awards are all
                                                                                                                                           about the application of safety; whether it is incorporating
                                                                                                                                           safety as an integral part of one’s job or being influential on
               2012–13         2013–14        2014–15          2015–16        2016–17     2017–18                                          a grander scale. Either way we all win!
       LTI severity rate is the number of days (shifts) lost per 1 million hours worked

                                                                                                                                           2018 Best work health
                         1.85%            1.84%
                                                                                                                                           and safety solution

                                                                             1.33%                                                         CALVARY MATER NEWCASTLE RADIATION ONCOLOGY ELECTRONICS DEPARTMENT –
                                                                                          1.12%                                            MULTI LIFT COLLIMATOR FLIPPING TOOL
                                                                                                                                           Linear accelerators (radiation treatment        The hazardous manual task has been
                                                                                                                                           machines) contain a beam shaping device         eliminated through the use of the MLC
                                                                                                                                           called a Multi Lift Collimator (MLC) which      tool created by Dennis Pomare. Thanks to
                                                                                                                                           requires periodic maintenance or repairs.       this creation, Bio Medical Engineers are no
                                                                                                                                           For works to be undertaken the MLC              longer required to lift the heavy carriage.
                                                                                                                                           carriage needs to be lifted out of the          Potentially, workers were at risk of back
       2012–13         2013–14          2014–15           2015–16          2016–17        2017–18                                                                                          injury and the circuit board attached to
                                                                                                                                           machine. The carriage is approximately
                                                                                                                                           22 kilograms and is very difficult to access    the carriage was also in danger of damage
                                                                                                                                           within the machine. Care must be taken          when being manually lifted.
                                                                                                                                           when lifting the carriage due to the delicate
                                                                                                                                           electronics within the unit.

28 / ANNUAL REVIEW 2017/2018                                                                                                                                                                                      Continuing the Mission of the Sisters of the Little Company of Mary / 29
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