CHL_Annual Review 2015-16_Digital

2015-2016Annual Review Annual Review 2015-2016 1

At Catholic Healthcare,our focus is to promote the lives of each resident, client andpatient while supporting their family members and our staff. 2 Annual Review 2015-2016

Contents About Catholic Healthcare 5 Year in Review 7 Our Mission 11Innovation, Research and Partnerships 15 Our Services 21 Our People 39 Generosity 43 Governance 44 Financial Report 46 Annual Review 2015-2016 3

2015-2016 YEAR AT A GLANCE RESIDENTIAL AGED CARE 41 2,371 RESIDENTIAL AGED CARE RESIDENTIAL AGED CARE SERVICES PLACES RETIREMENT COMMUNITIES 10 322 RETIREMENT RETIREMENT LIVING COMMUNITIES UNITS HEALTHCARE 2 34 HEALTHCARE HEALTHCARE BEDS SERVICES 4,768 COMMUNITY SERVICES 1,219COMMUNITY SERVICES 11,759 HOME CARE CLIENTS PACKAGES REGIONAL ASSESSMENT (RAS) COMPLETED$307,014,000 CATHOLIC HEALTHCARE 3,536 ANNUAL REVENUE $740,533,000 EMPLOYEES AND OTHER INCOME TOTAL ASSETS4 Annual Review 2015-2016

About Catholic Healthcare Catholic Healthcare is a leading not-for-profit provider of Residential Aged Care, Community Services, Retirement Living and Healthcare in NSW and QLD. We have a strong and proud history of providing care and support to people of all faiths, backgrounds and ethnicities, for more than 22 years. Catholic Healthcare was established in 1994 by the Bishops of NSW and the ACT. Today, Catholic Healthcare operates 41 Residential Aged Care services and 10 Retirement Living communities, two Healthcare services and provides services to more than 4,700 persons in the community. We provide care and support for all seniors, helping them and their family members who might need assistance through any stage of life. We also provide care for people with disabilities, mental illness or people who are at a risk of homelessness.Annual Review 2015-2016 5

Our passion is toenrich the lives of our clients, supportingthem to live life to the full every day. 6 Annual Review 2015-2016

Year in ReviewWelcome to the Catholic Healthcare Annual Review for 2015/16We have had another successful year in delivering The rollout of our enhanced dementia model of careour mission, as we continue to position ourselves in commenced, as did our residential electronic residentthe rapidly changing aged care environment around management system (eCase), and our eLearningus. We have renewed our strategic vision this year platform was further populated with course content,and created our “2020 Vision” roadmap for the next enabling our geographically dispersed workforce todecade. receive important education online. We completedWe are excited at the opportunities before us to our first year as a Regional Assessment Servicereach out in new ways to support our thousands of (RAS) provider, assessing the home care needs ofresidents, clients and patients to live life to the full thousands of elderly members of our communities.every day. We are transforming our organisation to We were also successful in tendering for Transitionrespond to need, and our achievements in our areas Care services for elderly residents in Central Sydneyof focus this year are a step along the Local Health District.way to a new future. We are excited at the Under the Catholic Healthcare opportunities before Foundation, we partnered in sixThe first major strategic focus of the us to reach out in new separate research projects withyear has been the strengthening of ways to support our organisations such as Macquarieour response to client need through thousands of residents, University, Sydney University,continued support of those with clients and patients Alzheimer’s Australia andless means in their elder years, with to live life to the full Mundipharma PANACEA project.nearly 50% of our residents incurring We also reached an agreementno entry fees. every day. to appoint a Clinical Chair in Aged Care at Charles Sturt University toVincentian Aged Care celebrated 50years of service to some of the most focus on research and innovation invulnerable in our community, and we regional areas.continued to be recognised by Government for our A second major strategic drive over several yearsElder Abuse and Hoarding and Squalor prevention has been the renewal and growth of our residentialservices. This was further reinforced by our successful services. This has culminated in the establishmenttender to partner with NSW Health in providing of a major development pipeline this year. Catholicspecialised mental health services in aged care Healthcare plans to build 1,000 new residentialsettings over the next decade. private rooms and renew a further 350 existingWe were successful in 15 full aged care accreditation rooms in the coming four years, representing areviews with 70 visits from the Aged Care Quality capital investment of over $300m.Agency achieving full quality compliance. Annual Review 2015-2016 7

This is part of our drive to meet the needs of the As an organisation, we met our financial objectives growing ageing communities around us, and to for the year and strengthened our mission establish a level of amenity respectful of our stewardship. We successfully transferred our long- seniors. We currently have three developments standing health service, Hawkesbury District Health under construction, with a further six developments Service, to St John of God during the year, closing an in varying stages of construction. important chapter in the Catholic Healthcare story. We have been successful in securing over 300 new We were also finalists in the Aged & Community bed licences through Aged Care Approval Rounds Services NSW awards for Volunteers and (ACAR) in the past two rounds and have purchased Environmental Sustainability; for Best Retirement five new greenfield sites in this calendar year. In Living Development for The Brighton with the addition, we have invested cash surpluses of more Urban Development Institute of Australia; for Best than $28m during the year in renewal of our existing Management Development Program with the facilities, significantly improving resident amenity. Australian Human Resource Institute; and for the Best Pastoral Care Program with Meaningful Supporting our staff to be passionate advocates Ageing Australia. for the elderly in our communities has been a third major focus. We launched an overarching Great A quick look at these impressive award categories Place to Work framework during the year, focusing reinforces the breadth of excellence our organisation on work environments that support and motivate has achieved across the year. These are but a fraction our colleagues; we developed and introduced our however, of the outstanding work carried out by New Graduate Nursing Development program for thousands of our dedicated staff and volunteers who first year graduate registered nurses and continued interact with our clients every day. They are vitally our successful Management Essentials program, important, and we express our gratitude to our staff for which has now developed 115 key leaders since the way they carry out their mission and service. commencement. We also created and launched a new intranet (Connect), an organisation wide newsletter, and an internal social media platform (Yammer) to provide avenues for our people to stay in touch with each other and participate in the vision and achievements of our organisation. After 18 years at Epping, we relocated and renewed our Corporate Office base to Macquarie Park. In preparing our organisation for new operating environments stemming from the aged care reform process, we undertook work in establishing sound business processes for our Home Care Package service, involving tremendous initiative from our Community, Finance and Information Services teams. We also launched a new Catholic Healthcare website, and established a social media presence for the organisation on LinkedIn, Facebook, YouTube, Google plus and Twitter, cementing our presence in social media and creating more channels of communication for our clients.8 Annual Review 2015-2016

We are committed to building a great place to work for our people that inspires them to be passionate about enriching the lives of our clients.We also thank the Bishops of NSW and the ACT Emeritus Professorfor their support and guidance, and the Diocesan Jack FlanaganDevelopment Funds for partnering with Catholic Chair of Trustees,Healthcare in pursuit of our mission. Catholic HealthcareSo what does the future hold for Catholic Healthcare? David RobinsonIt is clear that the ageing of the population, ChairmanGovernment reforms and increased competition Catholic Healthcareall point to significant changes in the way agedcare services will be provided into the future. Our David Maher2020 Vision focuses on building the aged care oftomorrow. Inspired by our Catholic tradition, we Managing Directorwill be at the forefront of integrated aged care, Catholic Healthcaresignificantly growing our services to meet increasingneed. Our passion is to enrich the lives of ourclients, supporting them to live life to the full everyday, through a continued focus on person-centredservices that improve their health and wellbeing.The aged care environment is changing, and weare changing too. We are building the aged careof tomorrow. Annual Review 2015-2016 9

Through dedication and a consistent approach to teamwork, our staffembrace our key valuesof compassion, honesty,hospitality, respect andexcellence through their daily interactions. 1 0 Annual Review 2015-2016

Our MissionCatholic Healthcare’s mission is to promote life in all its fullness by providing agedcare, healthcare, community services and retirement living, inspired by the Catholictradition. Our mission promotes life, service and respect for our Heritage and Tradition.Promoting life ServiceOur key focus in Catholic Healthcare is to promote Compassion is a quality our service staff embrace,the lives of each resident, client and patient, while ensuring our clients, patients and residents are caredsupporting their family members and our staff. for and understood. Our programs are conduits forCatholic Healthcare offers quality holistic aged our key organisational values. One such programcare services and a significant part of our approach is our Values Alive program, which focuses onto supporting those in need, is our Pastoral Care the behaviours that flow from our values and howservices. they apply in the workplace through our roles responsibilities and interactions.Reflective of our Catholic identity and of ourorganisations’ mission, our pastoral carers are We believe it is important tocommitted to our patients, clients and residents embrace the individuality ofthrough times of adversity. We promote quality of every resident. By doing this,life through our services and stand in solidarity with we work with resident andthose who are suffering, providing the highest quality their families to ensure theyof palliative care. This requires Catholic Healthcare to get the right care and support.maintain a person-centred approach which focuseson the resident, patient or client together with familymembers and staff in relationships of trust, all workingfor the good of the individual.Spiritual or pastoral care is an essential componentof this and our 35 professional pastoral carers andpastoral volunteers, supported by parishes, priestsand other ministers, creates a network of pastoralsupport for those in our care. We understand thatliving situations, responsibilities and belief systemsvary greatly, and what works for one person maynot be ideal for the next. Regardless of culture andreligious beliefs, our dedicated pastoral carers arealways on hand to provide support, empathy andcompassion. Annual Review 2015-2016 11

Catholic Healthcare maintains aperson-centred focusto care, with a strong spiritual approach and a commitment to community engagement. Respect for our Values in action Heritage and Tradition Through the value of respect, we will continue to We maintain a strong focus on the founding uphold the dignity of all persons across different truths of our own Heritage and Tradition. social groups, languages, cultures and traditions; ensuring all residents, patients and clients are Catholic Healthcare employs staff of all religious treated respectfully and compassionately, with denominations, and none; and we care for the appropriate care and support given. residents, patients and clients of every culture and religious tradition. In the midst of this, we Honesty is a quality that unites our care staff, maintain a strong focus on the founding truths of residents, patients and clients and is best our own Heritage and Tradition. This is evident known as a trusting collaboration. Our staff and in our significant investment in pastoral care and volunteers live this through speaking the truth, our commitment to the Code of Ethical Standards by doing what is right and by having truthful and for Catholic Health and Aged Care Services in open conversations in sensitive and challenging Australia. The sense of a preferential option for situations. those in need is strong in Catholic Healthcare. In 2015-16, nearly 50 % of residents were cared for on Hospitality and celebration are part of life at a concessional or supported basis. Catholic Healthcare and this year we have marked a number of significant anniversaries across Catholic Healthcare maintains a person-centred our aged care services. Vincentian Aged Care focus to care, with a strong spiritual approach and celebrated 50 years of caring and supporting the a commitment to community engagement. local community of East Sydney and St John’s Villa1 2 Annual Review 2015-2016

in New Lambton celebrated 30 years of service to Honesty is a quality that unitesNewcastle’s ageing population. our care staff, residents, patients and clients and is best known asExcellence is evident in staff performance, and wehonour this through our reward and recognition a trusting collaboration.programs. These include the annual Gold Dove StaffMember Awards, the Gold Dove Projects of the YearAwards, and many other Dove categories.Compassion motivates people to go out of their wayto help others and all our volunteers and staff playa significant role in showing compassion throughtheir dedication and interaction with residents,clients and patients. Our hardworking volunteerswere recognised and celebrated during the NationalVolunteers Week in May.Our organisation-wide Great Place to Work Initiativeensures staff feel connected, valued and recognised.As a growing organisation caring for others, creatingand ensuring we offer a cohesive work environment issignificant to our philosophy and mission. Annual Review 2015-2016 13

Community Services’ Health and Wellnessinitiative is proving whatis possible when seniors are empowered and placed in the centre of a health coach guided restorative program. 1 4 Annual Review 2015-2016

Innovation, Researchand PartnershipsAt Catholic Healthcare, we are committed to ensuring our research, partnershipsand innovations influence our delivery of aged care and community services foran ageing population.Tackling the skills shortage The education and training benefits for nursingin rural and regional areas graduates is a significant drawcard, with ongoing academic support from Charles Sturt University inCatholic Healthcare and Charles Sturt University combination with clinical mentoring and support fromare working collaboratively to bring about real Catholic Healthcare. The graduates have accesschange in health and lifestyle outcomes for our to the Master of Nursing course materials, withaged care residents. specialisations in a variety of areas including, Chronic and Complex Nursing, Palliative Care and LeadershipCatholic Healthcare and Charles Sturt University have and Management.partnered in a valuable program based in Dubbo andForbes to help address the skills shortage in rural Health and Wellness:and regional NSW. The collaboration is focused on setting new goals withinattracting nursing graduates into aged care careers in restorative careregional and rural locations. Community Services’ Health and Wellness initiative The great thing about this is proving what is possible when seniors are partnership with Charles Sturt empowered and placed in the centre of a health University is that together we coach guided restorative program. are creating the opportunity to discover how rewarding a career Physical strength and mobility, social engagement and stimulating your brain are all important factors in aged care can be. at any age, but are absolutely key for an ageing population keen to stay independent and living inThis project allows a proactive approach to attracting their own homes, within their own communities.nurses into the growing aged care sector. It is also the focus of a new suite of Health andAs part of this project, students have the opportunity Wellness programs introduced to assist our clientsto gain practical learnings by visiting services and to experience new things and stay socially active.speaking with residents and staff. Bachelor of Nursing Community Services are working with researchgraduates are mentored by Catholic Healthcare partners at the University of Auckland and Hunterstaff as they rotate through postgraduate work Medical Research Institute.placements at Holy Spirit Residential Aged Care,Lourdes Hospital and Saint Mary’s Villa in Dubbo andForbes’ Jemalong Residential Village. Annual Review 2015-2016 15

We understand thevital role research andacademic partnerships play in improvinghealth outcomes within our aged care and community services. Improving care through Lifeful research partnerships Restorative care and reablement program Lifeful, The Catholic Healthcare Foundation partnered a partnership with Sydney University, aims to in several separate research projects with keep seniors out of hospital by helping them to organisations such as Macquarie University, live independently within their home. Bodington Sydney University and Alzheimer's Australia. Aged Care, Wentworth Falls were the first to trial the Lifeful restorative care pilot, recording positive Catholic Healthcare, Southern Cross Care and outcomes. By learning about each resident and Alzheimer’s Australia have joined forces in a unique their personal history, we are able to implement research partnership that is designed to inform the a more targeted approach to understanding their co-creation of services that will help to enhance health needs. the quality of life for people living with dementia. The framework includes six key areas - Being The findings of the study will be reported to the Active, Healthy Eating & Drinking, Staying NSW Parliament with recommendations provided Connected, Lifestyle, Clinical Care and Healthy to governments, service providers and the Mind. It also acknowledges that the development broader community on how to support people with and implementation of services and programs dementia. will occur using a range of technology and communication channels, recognising that staff and It is crucial that we look into how we can assist the culture of the organisation are key enablers of people with dementia and their carers. The aim of the success of the implementation. the partnership is to gain a better understanding of the wants and needs of people living with dementia.1 6 Annual Review 2015-2016

Supporting our frontline workforce to become Medicines in advanced care planningmore diverse and adaptable has meant that theycan assist greatly in improving health outcomes. A qualitative study and research partnershipGiven the struggle with sourcing staff within the with Macquarie University is set to review andaged care sector we have focused on building explore Residential Aged Care staff practices, andskills internally and supported a group of staff to approaches to medication related directives inundertake further formal education. There are so advanced care plans. The project will audit residentmany programs and services where they will be medical records to determine the prevalence andmaking a difference as the swing from traditional type of medicine related directives included inservices occurs. advanced care plans. Senior citizens want more things that are meaningful to them. It is exciting to see people’s health and wellness flourish. Annual Review 2015-2016 17

It’s like a boutique hotel with a local village feel. Mum’s room has a lovelyoutlook and is on the same level as the dining room.Property and innovation  The Sister Anne Court in Surry Hills, provides ageing-in-the future of our aged care place with permanent care options, respite care, dementiaservices care, specialised mental health care, palliative care and pastoral care.At Catholic Healthcare, we are committed todelivering exceptional care and support to the New deployments and innovationageing population, today and into the future. In thepast 12 months, we have opened new residential In 2015 we were successful in securing 190 newand retirement living services and currently have a residential licences through the Aged Care Approvalnumber of sites under construction, with more aged Rounds, showing confidence in our organisation bycare developments in the pipeline. the Government to meet the growing need for aged care services.A new lease on our much-lovedand existing services We have now commenced construction of two projects in Bathurst and Waitara, with seven furtherAs part of our promise to meet the needs of our aged care developments in varying stages ofageing communities, Catholic Healthcare are planning.committed to both new growth and development aswell as upgrade works to existing residential aged Catholic Healthcare plans to deliver 1,000 beds overcare services. the next three years. 650 of these will be new beds with a further 350 existing beds to be renewed asRefurbishments have taken places across more than part of our commitment to both growth and renewal.20 services, providing a new lease on life to some This represents a capital investment of more thanof our much-loved services. These works have been $300 million.focused in areas that significantly improve residentamenity. We continue this program with a further 14 In regional NSW, St Catherine’s Aged Care, Bathurstsites to be upgraded over the next 12 months. is set to be completed in mid-2017.Earlier this year we opened a new dementia unitat Lewisham Nursing Home, designed to providespecialised care for 16 residents who have dementiaor exhibit wandering behaviours.The Sister Anne Court at Surry Hills now offers 68rooms including 18 brand new private rooms withensuites. This service provides ageing-in-place withpermanent care options, respite care, dementia care,specialised mental health care, palliative care andpastoral care.1 8 Annual Review 2015-2016

Catholic Healthcare underwent an extensive process of planning and review across our existing services, new developments and potential sites to target the needs of the ageing population. Catholic Healthcare's McQuoin Park in Waitara, will offer 122 private ensuite rooms to accommodate existing and potentialresidents. It will integrate retirement living, aged care services and a state of the art health and wellness centre.Once complete, the relocated St Catherine’s will A total of 122 private rooms with ensuites, communalprovide a modern residential aged care service dining and lifestyle spaces are currently in the earlywithin an integrated aged care campus, providing stages of construction at McQuoin Park Waitara, withcommunity care and healthcare services. This stage one due to open mid-2017. Once complete,development will create additional aged care this new aged care service on Sydney’s upperresidential rooms for the Bathurst region and see North Shore will offer an integrated community withthe merging of St Vincent’s Aged Care and St a Residential Aged Care service, Retirement LivingCatherine’s Aged Care. After 50 years at Busby village, a Health and Wellness centre, on-site respiteStreet Bathurst, Catholic Healthcare’s existing St and community support services for seniors, togetherCatherine’s Aged Care will be closed and relocate to with specifically designed dementia spaces.Gorman’s Hill Road, in early 2017. The Brighton - official openingA 10,850 square metre site in Maroubra waspurchased in June 2016 with plans to build a The Brighton marked its official opening Novemberbrand new aged care campus, featuring state-of- 2015. Designed by renowned Australian architectthe-art design and integration with respite, home Leo Campbell, each apartment has been created withand community care services for seniors living in simplicity and adaptability in mind. The Brighton atSydney’s Eastern suburbs, as well as creating more Croydon offers a Retirement Living solution for thosejobs for the sector. who wish to live an active and social lifestyle and is one of Catholic Healthcare’s premium retirement villages. Annual Review 2015-2016 19

We invest in our highlyskilled staff to providea responsive workforce and a person-centredapproach to care, onethat people may trust. 2 0 Annual Review 2015-2016

Our ServicesWe believe in being there for you as a trusted companion and partner, encouragingand enabling you to choose the type of assistance, guidance and care you need.Residential Aged CareThrough the provision of health and aged care Accreditation successservices, residents, practitioners, family membersand carers all become their own community, This year, 15 of our Residential Aged Care servicesworking collaboratively for a person’s health and underwent the accreditation process and anwellbeing. These relationships are connected by exceptional outcome was achieved with all services.a common purpose of supporting an individualthrough life’s changes. 11 ANNOUNCED 38 VISITSAs an organisation providing aged care services, we 42 UNANNOUNCEDplace our residents, clients, and carers at the centre VISITSof all our decision-making. All needs are unique and FOODno single person ages or deals with the process in AUDITSthe same way. Compliance record from more than 70 departmentAt Catholic Healthcare, we continue to grow and visits across the year.be at the forefront of increasing consumer choiceby delivering sustainable and supportive aged care Catholic Healthcare’sservices to meet the needs of an ageing population. Residential Aged Care servicesOur commitment to providing personalised and were successful in all agedholistic aged care services for more than 20 years care accreditation reviews andhas cemented Catholic Healthcare as a leader inaged care services. We understand that sometimes accomplished a compliancecoming to terms with the need for any form of record from more than 70 visitssupport can often be confronting and overwhelmingfor everyone involved. This is why our staff are on from the Aged Care Qualityhand to ensure that our residents, clients and their Agency across the year.loved ones make informed decisions about the careand services they need. We invest in our highlyskilled staff to provide a responsive workforce anda person-centred approach to care, one that peoplemay trust. Annual Review 2015-2016 21

Food is an occasion for sharing and bringing people together at mealtimes. We areensuring we nourish our resident’s health and wellbeing.SUCCESS STORY its focus on the “Five Star Comfort Food” philosophy, through presentation and nutrition.Changing the face ofaged care cuisine To help implement this change, Catholic Healthcare recruited top-line professional restaurant chefCatering to the diversity of cultures and faiths of Gregory Nicholas in May 2016. Hailing from theresidents helps when your chefs mirror the society picturesque countryside of Mudgee in NSW, Gregthey work in. Catholic Healthcare is extremely has worked in some of the best restaurants inlucky to attract top-line chefs, and it is a measure Europe, along with world-renowned chefs, Gordonof how serious we are taking food quality and the Ramsay and Marco Pierre White.enjoyment of food in our services by investing inprofessionally skilled and qualified staff. Since Greg’s arrival, there have been a number of improvements to the culinary standards offered atFollowing a recent review and survey of the current Holy Spirit Dubbo. By completely removing frozen,catering model of food standards within our 41 aged processed and pre-packaged foods, all meals arecare services, we have been working hard to make now cooked from scratch including soups, stocks,improvements to the food served to our valued fresh wholesome vegetables and quality meat,guests, the residents, by listening to their feedback poultry and fish. Additionally Greg has reducedand input. It not only comes down to the need to costs by establishing new relationships with localeat. We recognise the significance of enhancing the meat wholesalers, grocers and milk suppliers.eating experience for our residents, making food amemorable and enjoyable experience.Holy Spirit Dubbo provides an inspiring examplehaving recently adopted the new food strategy with2 2 Annual Review 2015-2016

Because ‘you eat with your eyes’, food presentation, Residential Aged Carealong with nutrition, is a major focus for Catholic AwardsHealthcare. We are working with our own chefs ina collaborative approach to develop a base menu In 2015 a unique Newcastle-based aged carethat is then tailored to the individual services to program operating at Newcastle’s Charlesincorporate residents’ preferences and the chefs’ O’Neill Hostel for Australians living with a mentalparticular skill sets. What works in Surry Hills may not illness has won the Team Innovation category atwork in Bathurst or the Blue Mountains. the 2015 HESTA Aged Care Awards.Our chefs come from as far afield as Singapore, The program, ‘A Safe Place to Call Home’ hasEngland, Malaysia, China, Italy, South Africa and been recognised for providing care to people whoFrance and they all bring unique life experiences have often been turned away or referred fromto our kitchens and are changing catering in our other facilities without the resources to provideservices. adequate care for people with a mental illness. In the past three years, Also in 2015, Charles O’Neill were awarded resident surveys from the Prime Super Employer Excellence in Aged Holy Spirit Dubbo show 94% Care Award, for providing outstanding care to vulnerable members in Newcastle. food satisfaction. Annual Review 2015-2016 23

Honouring our history eCase new learning and development initiativesAs an organisation strengthened by its range of agedcare services available across NSW and QLD, each As part of Catholic Healthcare’s commitment toservice brings its own unique culture and tradition quality care, the rollout of a new clinical care systemwhich helps define Catholic Healthcare as one entity. has been implemented at two pilot sites, St Peter’sOur dedicated services reach impressive milestones, Lane Cove North and Our Lady of Loreto Gardenscontributing to our mission and rich history. Hamlyn Terrace. eCase will assist staff by reducing the amount of time spent on clinical documentation.Vincentian Aged Care celebrated their Golden Jubilee The Resident Management and Aged Care Fundingin June, with 50 years of caring for the community of Instrument (ACFI) appraisal functionality of eCase hasEast Sydney. St John’s Villa in New Lambton, Newcastle rolled out to all 41 services with Medicare transactionscelebrated 30 years of dedicated care to its 45 for ACFI appraisal submissions with residentresidents. St Vincent’s Auxiliary, celebrated 90 years of movements now transmitted via eCase. This nowservice to the Bathurst community since starting in 1926. ensures we have real time accessible information regarding occupancy and room availability for allCatholic Healthcare was successful in securing more services.than 300 new residential licences through ACARin the past two years, with a view to increasing our Throughout the 12 month period, more thanresidential aged care services across New South Wales 1000 residential aged care staff across 31 serviceand Queensland. Construction commenced early locations participated and completed the Device and2016 in Bathurst and Waitara and refurbishments were Technology training.completed in Surry Hills, along with new land purchasesand planned approvals for Lewisham, Maroubra,Leppington, Casula and Ipswich in Queensland.2 4 Annual Review 2015-2016

Each service brings its own unique culture and tradition which helps define Catholic Healthcare as one entity. OVER 2,400 New Graduate Nursing Development programRESIDENT RECORDS WERE MIGRATEDFROM PROCURA TO eCASE DURING THE Catholic Healthcare services in Dubbo and ForbesROLLOUT OF THE SOFTWARE joined forces with Charles Stuart University to introduce a new Graduate Nursing Development 1,000+ STAFF program. The program aims to increase and reinforce MEMBERS the nursing workforce in aged care, rehabilitation TRAINED ACROSS NEW TECHNOLOGY services and palliative care in order to help tackle the skills shortage in rural and regional areas. The partnership between CSU and Catholic Healthcare is really helping to change attitudes. Two new graduate registered nurses will rotate every three months through Lourdes Hospital, Holy Spirit, St Mary’s Villa and Jemalong Forbes. The agreement is a testament to the staff at Catholic Healthcare who are truly pivotal to the project by providing their knowledge, practice and experiences to the graduates. Annual Review 2015-2016 25

Through healtheducation and greaterprogram accessibility and affordability, our seniors can live autonomously and as independently as possible.Community Services The Procura Mobile application has been rolled out to all Community Care workers and is helpingPeople are choosing to remain living in their own our carers with fast and effective ways to view theirhomes for longer as they age. Community Services rosters and understand client requirements. Procuraprovide a range of in-home and community based Mobile serves our Community Care workers on theservices to empower people to live comfortably and go, providing maps and directions to reach clients’independently in their own home for longer. homes, and up-to-date information to help them meet clients’ individual needs.We provide services and products to more than4,700 people across NSW and the ACT and we are 4,768 COMMUNITYpassionate about the health, wellbeing and quality of CLIENTSlife of our clients. 1,219 HOME CAREOver the past 12 months Catholic Healthcare’s PACAKGESInformation Services, have made a number ofsignificant changes across all our aged care, 2,182 ELDER ABUSEcommunity services and entire organisation to HOTLINE CALLS MADEimprove and strengthen our systems and services. 1,819 ABUSE RELATED 363Community Services made significant changes INFORMATION CALLSto multiple key internal systems to support theestablishment of legislative changes to consumerdirected care. This allows increased opportunities forour clients and the flexibility to choose how to fundtheir own personal services.2 6 Annual Review 2015-2016

Health and Wellness In addition to the restorative program, our Health and Wellness unit has developed three unique programs:Catholic Healthcare aims to empower our clients,residents and staff to make a difference in their own ppWalking with Confidence – falls preventionlives for optimal health outcomes and an improved programquality of life. ppNeck and Back Health Program – assistingCatholic Healthcare’s Health and Wellness seniors to improve posture as a result of prolongedRestorative Care Program focuses on helping seniors sitting and inactivityrebuild strength and regain confidence throughenhancing function, independence and quality of ppFeel Fit – improve heart health program.life. Through health education and greater programaccessibility and affordability, our seniors can live as Health and Wellnessindependently as possible. pp90% of clients improved their level of functioningSince the launch of our Health and WellnessRestorative Program, 90% of our community clients ppImprovements across a range of mobility, transfers,engaged in this program improved their level of feeding, showering and walking (pre- and post-functioning and mobility, with the majority of all clients intervention)achieving at least one of their set occupationaltherapy goals. pp75-100% improvement in daily living activities for clients pp100% commitment from clients and caregivers towards implementing restorative program Annual Review 2015-2016 27

CLIENT STORY Aged Care Assessment ServicesRestorative Care The Aged Care Assessment Service (ACAS) deliversMary* was a participant in Catholic Healthcare’s Home Support Assessment Services across 10Community Services’ Short-Term Restorative Care aged care planning regions in NSW and the ACT,(STRC) pilot. Mary’s ongoing frozen shoulder and started operations on the 1 July, 2015. Ascontinued to impact on her mood and capacity to do part of its aged care reform, the Commonwealthwhat she once loved. Government tendered for providers across Australia to deliver a new regional assessment program.Mary was central in designing the “how-to-steps” of Catholic Healthcare was one of 13 organisations whoher restorative goal so that she could get back into successfully tendered.the ocean pool. ACAS continues to work with the Department of“The long summer is one to remember especially in Health and the Community Services sector to resolvemy 90th year,” says Mary. She feels that she can once access and equity issues and advises on policyagain manage her health condition through exercise; and system improvements within the My Aged Careshe feels motivated and plans to keep on having fun. Program.“Every day is a blessing. I was lucky to be selected Home Support Assessors’ professional developmentfor the pilot program and feel younger than I have in focused on Health and Wellness in the context ofa long time. Thanks Catholic Healthcare’s Community assessment, Elder Abuse, cultural competenceServices for your health and wellness guidance.” and Hoarding and Squalor to further develop their professional practice.* not her real name.2 8 Annual Review 2015-2016

In its first year of operation, Providing supportACAS completed 11,759 Home in a myriad of ways Support Assessments and Transition Aged Care Packages through assessment and support planning, generated Transition Aged Care Packages (TACP) are over 50,000 referrals for examples of how Catholic Healthcare’s shortCommonwealth Home Support term restorative care plans approach can support Services and other non- seniors to live longer in their own home andgovernment funded programs. recover in their homes, especially after time spent in hospital. As one of only two providers delivering TACP services in the City of Sydney and Inner West Local Health District, our TACP team supported more than 190 people on their return home after hospitalisation through the delivery of short-term allied health services and in-home support. Our services enable people to regain control over their daily living activities, along with renewed self-care strategies to maintain their independence within their own home. While some people are able to live comfortably in their own home without additional support after completion of the program, our case managers were always on hand to help connect them to Community Services whenever the need arises. In May 2016, Community Services commenced providing additional in-home services as part of Sydney Local Health District TACP PLUS. Annual Review 2015-2016 29

COMMUNITY STORY The National Disability Insurance Scheme – HunterNDIS Plan The National Disability Insurance Scheme (NDIS) is aMy journey started with Catholic Healthcare change to the way disability services are funded andCommunity Services when Jill visited me in delivered nationally. The NDIS is a social reform formy rehab unit after losing my second leg. Jill people living with disabilities.helped me to complete an NDIS Plan whilst inrehabilitation to get ready to return home on Our Community Services in the Hunter region aremy own, something I thought would never be a helping to shape the future of the NDIS scheme. Partspossibility. of the Hunter New England district have had access to the NDIS since 2013 as the local government areasThe plan Jill negotiated with NDIS on my behalf of Newcastle, Maitland and Lake Macquarie formedmade a real difference for my return home and the NDIS trial site in NSW.to my overall daily living. The plan includedmodification to my mobile home, purchase of a The most spectacular thing of allnew wheelchair and a new mobility scooter (as I was that Catholic Healthcare wascan no longer drive), the addition of a tilt bed and able to negotiate approval for aother aids. new prosthetic leg.The most spectacular thing of all was that CatholicHealthcare was able to negotiate approval for anew prosthetic leg. My new leg has given me agreat deal of freedom that I never thought I wouldbe able to achieve.The staff helped me with my rehab to adapt tousing my new leg and with my overall gym trainingto improve my health. I knew nothing of the NDISor what help I could access… I felt I was just goingto be a burden to my family.Without the expertise of their services and staffmember Jill, and her ability to go above andbeyond in her job, I would still be feeling sorryfor myself but she has given me reason to lookforward to the future.Thank you Jill and Catholic Healthcare’sCommunity Services for being there for methrough the really dark times. People like me needpeople like you.Thank you very muchDonNDIS Client3 0 Annual Review 2015-2016

Supporting older Australians through home and community services.NSW Elder Abuse Helpline Hoarding and Squalorand Resource Unit Hoarding disorder is a psychiatric condition, whichThe past 12 months, Community Services received describes excessive collecting and extreme inabilityrecognition from Government for our commitment to to discard worthless objects.Elder Abuse and Hoarding and Squalor services. Catholic Healthcare’s Hoarding and SqualorDue to raised public awareness, the Elder Abuse program aims to support people who live inHelpline and Resource Unit has seen a 44% increase uninhabitable conditions, have hoarding tendenciesin calls over the past 12 months and has delivered and live in domestic squalor. Our program providesmore than 50 education sessions across the state, comprehensive assessment, service coordinationand reached more than 50,000 people through face- and case management.to-face awareness-raising activities. In June, Community Services held the 4th NationalOn World Elder Abuse Day in June 2016, the NSW Hoarding and Squalor Conference with twoElder Abuse Helpline and Resource Unit launched a international speakers hailing from the United States,five-step approach toolkit, a resource for all agencies Dr Randy Frost and Dr Sheila Woody.who work and provide to older people living inthe community who may be at risk of or who areexperiencing abuse.The NSW Minister for Ageing, the Hon John AjakaMLC, attended an Elder Abuse Art event in WesternSydney to highlight the importance of elders in ourcommunities and announce the finalist in the TEA artcompetition. Annual Review 2015-2016 31

Community Services Ongoing collection of the NPS scores will enableClient Satisfaction Net Promoter Score Community Services to see the change in scores(NPS) over time, and indicate whether the strategies implemented as a result of the feedback hasIn 2015 Catholic Healthcare’s Community Services been successful. It will also inform our customercommenced the use of the Net Promoter Score (NPS) engagement strategies in each of our regions, andas a strategic initiative in preparation for the aged prompt us to review these strategies and localcare sector reforms. This customer feedback tool relationships. Our priority is to achieve exceptionalmeasures customer loyalty and helps us understand client satisfaction for all our services.our client needs and changes in their use of services.The NPS provides key customer service informationto assist in the development of action plans tofurther improve or enhance the experience of theCommunity Services client. The scores and feedbackare used to focus efforts on improving services toclients. Understanding and addressing the concernsof people using our services and establishing actionsto increase loyalty.3 2 Annual Review 2015-2016

Our retirement living locations offer warm, friendly welcoming environments where residents are sure to feel right at home. The state-of-the-art quality and design of Catholic Healthcare’s The Brighton at Croydon, received two major awards at theMaster Builders Association of NSW’s Excellence in Housing Awards.Retirement Living The state-of-the-art quality and design of Catholic Healthcare’s The Brighton at Croydon, received twoBelonging to a community is at the heart of major awards at the Master Builders Association ofretirement living. Catholic Healthcare offers NSW’s Excellence in Housing Awards. The Grindleyunique Retirement Living options and services, Construction team took out the state Housingeach with the choice of social and physical needs Lifestyle Living Over 55’s award and the Best Use ofto suit all our residents and clients. Bricks award.322 RETIREMENT LIVING Both St Peter’s Green and Aquinas Court have 10 UNITS enjoyed successful open days garnering public LOCATIONS IN NSW interest in each of these unique locations.The year has seen growth across our retirement Jean Leaf, Village Manager of St Mary's was one ofcommunities. Progress continues with McQuoin Park four Finalists in the NSW/ACT Retirement ManagerWaitara, as preparation moves ahead to close the of the Year Awards, for her outstanding care andcurrent site and relocate residents to make way for an support shown to all residents at St Mary’s Village.exciting new living community of 168 units. The year saw many a celebrations across the villages, with a number of residents marking significant wedding anniversaries and celebrating milestone birthdays, such as Dorothy Yeoman celebrating her 101st birthday. Annual Review 2015-2016 33

We provide the care and support youand your family need, helping you live in comfort and with dignity. Healthcare 4,223 Catholic Healthcare operates two healthcare ADMISSIONS services that provide quality healthcare in the regional areas of NSW: Lourdes Hospital & 20,531 Community Health Service in Dubbo and St Vincent’s Outreach Services. PATIENT DAYS Through a significant initiative 80,605 in the treatment of patients in Western NSW, new medical NON-ADMITTED OCCASIONS equipment was introduced to OF SERVICE improve the provision of care and services to patients living with 9,922 cancer-related symptoms and EMERGENCY DEPARTMENT recovering from stroke. ATTENDANCES3 4 Annual Review 2015-2016

Increased our service level The Physiotouch machine assists in the treatmentagreements of lymphoedema symptoms by promoting improved mobility and pain reduction in patients affected byThere have been a few changes to our Healthcare cancer.operations throughout the 2015/2016 financial year.We successfully transferred our long standing health At Lourdes Hospital, assisting the rehabilitation ofservice, Hawkesbury District Health Service, to St stroke patients is the Lite Gait machine, used to helpJohn of God during the year, closing an important patients improve their mobility and function.chapter in the Catholic Healthcare story. Food revolution andNew service level agreements between Catholic streamlining of servicesHealthcare and Western NSW Local Health Districtwere implemented for the current year. The new Catholic Healthcare has embarked on improvingagreements outline the services Catholic Healthcare our food standards across the healthcare and agedwill provide to patients at Lourdes Hospital, care services. The new catering model has beenCommunity Health Services and St Vincent’s Health implemented in Dubbo and revolutionising meals atService in Bathurst. Lourdes Hospital, Holy Spirit Dubbo, St Mary’s Villa and Community Services in Dubbo.Through a significant initiative in the treatment ofpatients in Western NSW, new medical equipmentwas introduced to improve the provision of careand services to patients living with cancer-relatedsymptoms and recovering from stroke. Annual Review 2015-2016 35

Fundraising The generous financial support of our donors is crucial toSupporting the local community with fundraisingevents throughout the year, Lourdes Hospital and the successful operation andSt Vincent’s have run successful events in support of performance of our services.Jeans for Genes Day, Daffodil Day, Australia’s BiggestMorning Tea and Dry July.The St Vincent’s Ladies Auxiliary celebrated 90 yearsof continuous service to the St Vincent’s HealthService. The Auxiliary is always on hand to help raisefunds to support the provision of community nursingservices within the Bathurst community.Lourdes Hospital and St Vincent’s successfully rana number of Health and Wellness groups throughoutthe year including Parkinson’s Support Services,Stepping On programs and Living with MemoryLoss groups.3 6 Annual Review 2015-2016

 Katrina feels her personal experiences, including undergoing long-term rehabilitation after a significant life altering event, havemade her better at her job. Katrina pictured with Associate Professor Jagdish Mahara.STAFF STORY Katrina once again lost the use of her arms and legs and had difficulty swallowing.Healthcare staff Katrina was subsequently transferred to LourdesKatrina Organ – Allied Health Assistant Lourdes Hospital under the care of Associate ProfessorHospital Dubbo For 28 years, Katrina has been a Jagdish Mahara, Catholic Healthcare’s Rehabilitationvalued staff member at Lourdes Hospital in Dubbo. Physician, for intensive rehabilitation. Katrina spent sixShe initially started working in the hospital kitchen months at Lourdes and was eventually discharged,but it was her transition to a Dietary Aide position that returning home without the use of any mobility aids,cemented her passion for her work and patients. as well as returning to work in the hospital.In 2012, Katrina was admitted to Lourdes Hospital Katrina loves her work, and enjoys helping patientsas a patient following a diagnosis of Polymyositis, a with their meal selections and working alongsideconnective tissue disease that triggers inflammation speech pathologists and dieticians. Katrina’s illnessesand muscular weakness. In Katrina’s case, the disease and admissions to Lourdes Hospital have given her aleft her unable to move her arms and legs. unique insight into the needs of patients.Initially, Katrina was admitted to the Dubbo Base She feels her personal experiences, includingHospital for two weeks and then came to Lourdes undergoing long-term rehabilitation after a significantHospital for rehabilitation. During this period of life altering event, have made her better at her job.rehabilitation, Katrina regained the full use of her armsand legs and returned to full time work at Lourdes.In 2014, Katrina was back in hospital following twostrokes and an exacerbation of her Polymyositis. Annual Review 2015-2016 37

Working at Catholic Healthcare is more than just a job; it is an opportunity to make a difference in thecommunity and in other peoples’ lives. 3 8 Annual Review 2015-2016

Our People, Volunteers and AwardsOur people Launch of Great Place to WorkWe employ more than 3,500 staff who are To support the growth of the organisation and ensurepassionate about their contribution to the that our values and culture are represented throughorganisation. Our employees are people of many all levels of the organisation, Catholic Healthcaredifferent faiths, backgrounds and nationalities. launched the Great Place to Work initiative, with a focus on:Our people and volunteers are not only committedto the organisation’s values and mission, they help ppMaintaining a strong sense of purpose anddeliver the high quality care that supports the strong reputation, and ensuring our people feel proud toreputation of Catholic Healthcare. While not all of be associated with Catholic Healthcareour staff are directly employed to care for residents,patients or clients, we all work together to provide the ppEnsuring our staff feel connected, valued andbest of care. recognised for their work and contributionCatholic Healthcare invests significant resources in ppCreating an enjoyable and supportive workplaceestablishing management infrastructure that deliversa consistent, high-quality and person-centred care The initiative consists of a suite of workplaceacross the organisation, with training and support. We improvement programs focused on organisationalstrive to make our workplaces welcoming, affirming reputation, staff recognition, leadership development,and enabling. career development pathways for key roles, simple communication frameworks, enhanced systems andLeadership Development Program technology and effective e-learning tools.Catholic Healthcare has a diverse managementteam that works collaboratively with staff to provideeffective, high quality care and positive outcomes forclients and their families.During the year, 56 managers participated inthe internal Leadership Development Program‘Management Essentials’. Since its launch in May2014, a total of 115 people have completed theprogram designed specifically to raise the capabilityof the people who manage the various services on aday-to-day basis.Most recently this program was a finalist in theAustralian Human Resources Awards for BestLeadership Development Program. Annual Review 2015-2016 39

Safety in the workplace Our VolunteersThe wellbeing and safety of our staff is paramount. Catholic Healthcare would like to thank all theThe organisation’s safety performance improved volunteers who live out the spirit of generosity to sosignificantly due to an increased ‘return to work’ effort many of our clients and residents, embodying thedesigned to reduce workers compensation lost time values of hospitality, respect, excellence, honestyhours. The Staff Injury Hotline continued to have a and compassion.positive impact on the health and wellbeing ofour staff. 661 VOLUNTEERS RESIDENTIAL AGED CAREThis initiative is considered ground-breaking for ourindustry. The approach resulted in a 33% reduction 330 VOLUNTEERSin lost time hours in the 2015-16 FY, compared to the COMMUNITY PROGRAMSprevious 12 months. We thank you…Awards and recognition Volunteers play a significant role across our2015 Gold DOVE Award Winners organisation. They are committed to our mission and values, and help to enhance the quality of peoples'Residential Aged Care lives.Individual: John Tay – Chef at Holy Spirit CroydonVolunteer: Jocelyn Jackett – George Mockler House At Catholic Healthcare, we are fortunate to have soProject: Medication Manual Project – Janine Lundie, many dedicated volunteers working across our agedCas Condie, Toni Beeler and Julie Rossi care, Healthcare and Community Services. Volunteers assist with home visitations, fundraising events, foodCommunity Services preparation, social and recreational activities and clientIndividual: Christina Smith – Care Advisor transportation. Volunteers also offer unwavering supportVolunteer: Julian Duckworth – Ageless Angels Choir and companionship to our clients and residents throughProject: ACAS Establishment – Jessica Innes and pastoral care.Richard de la Roche This year, Catholic Healthcare celebrated VolunteersHealthcare Week with a special luncheon held for our volunteers,Individual: Peter Blanchard – acknowledging them for their dedication andVolunteer: HDHS Community Board of Advice contribution towards various programs and departmentsProject: The sale and transition of HDHS to SJOG of our vibrant organisation.Healthcare The event was attended by many of the volunteers fromCorporate across the organisation, including volunteers from in-Individual: Sandra Gois – AP/Fleet Manager home visiting services, Residential Aged Care programsProject: Corporate Office Relocation and the Community Link Telephone Support Services which reaches out to many isolated clients acrossVolunteer Awards Sydney.ppJan Wright, St Catherine’s Aged Care Bathurst received 1st place prize for the 2015 ACS State Awards for Excellence – Volunteer AwardppJanice Duggan, Charles O’Neill Hostel Mayfield West received 3rd place prize for the 2016 ACS State Awards for Excellence – Volunteer Award4 0 Annual Review 2015-2016

 Tony volunteers at Catholic Healthcare’s Willoughby Wellness Centre, which offers respite services to people and their carersliving with dementia.VOLUNTEER STORY “Our family had amazing support and that’s what impressed me so much about what a great jobDementia - touching the lives people do in providing care and support. I saw andof many experienced how these services can really bring out the best in both the carer and the person living with An estimated 1.2 million people dementia,” said Tony. are involved in the care of a person with dementia. Dementia is often kept within families and families tend to carry a lot on their own. Sometimes, they don’tAfter caring for his father who lived with dementia understand that there is an enormous amount of helpfor seven years, and experiencing first-hand what it out there and that it’s okay to take some time out andmeans to receive support and care for people and let others take care of family members.families affected by Alzheimer’s or dementia, Tonywanted to give something back. Dementia and Alzheimer’s affects many families and I wanted toNow, two days each week, he volunteers at Catholic give something back.Healthcare’s Willoughby Wellness Centre, whichoffers respite services to people and their carers Dementia is the second leading cause of death inliving with dementia. His wife, also a Catholic Australia and the single greatest cause of disability inHealthcare Community Services volunteer, had also older Australians (aged 65 years or older). Tony feelsseen her own father affected by dementia. it is important for families to know that there are local services out there to help. Annual Review 2015-2016 41

We are lucky to have the help of so many volunteers across arange of organisations. 4 2 Annual Review 2015-2016

GenerosityAt Catholic Healthcare, we are fortunate to have a community of generous peoplewho volunteer their time, support and funds for the benefit of our valued residents,clients and patients. We thank you for your ongoing dedication and support.Each year, our Christmas appeal focuses on our We are lucky to have the help of so many volunteersCommunity Service clients who are at the risk of across a range of organisations such as studentshomelessness and in need of some Christmas from Macquarie University and AON who answeredcomforts. Throughout the year, 150 hampers were the call for help, putting together goodie bags fordistributed to isolated and disadvantaged clients in Volunteers Week in May.Sydney’s South East. Working alongside Ryde Rotaryand our Community Services division, CatholicHealthcare supported the Tree of Joy joint Christmasappeal, for over 200 persons in need of assistancein the Ryde area.Our end of financial year appeal focused onplanning for the future of aged care and theinfluence of evidence-based research to bestdevelop improved models of aged care services.Funds from this appeal support our CatholicHealthcare Foundation, which has embarked on anumber of research initiatives to inspire innovativeproducts and services within aged care and supportthe advancement of clinical nursing research andeducation. We believe in the kind of research thatimproves the lives of those in our care and meetsthe needs of the disadvantaged.We are always overwhelmed by the show ofsupport and generosity received in response to ourannual appeals, and would like to acknowledge thededication of our partners, funders and supporterswho each year help us deliver on the commitment ofour organisation. Left to right: Zoe, Margaret, Tracey and Amy putting  Left to right: Michelle Kerle and Rebecca Zhang from AON.together Volunteer gift bags for Volunteers Week. Annual Review 2015-2016 43

GovernanceCatholic Healthcare’s governance structure operates under both Canon Law and CivilLaw and ensures that our foundational responsibilities are achieved.Canon LawPublic Juridic PersonOur governance structure comprises Catholic ppSisters of Perpetual AdorationHealthcare – the Church entity. Catholic Healthcarewas canonically established as a public juridic person ppSisters of St Joseph (NSW)by the Bishops of NSW and the ACT on 21 July 1994. ppSt Augustine’s Parish, Coffs HarbourOur foundational responsibilities are enshrined inthe Statutes of Catholic Healthcare and the norms ppSt Thomas Aquinas Parish, Springwood.of Canon Law. The governance of our public juridicperson is entrusted to the Trustees who are elected Civil Law entitiesby the members’ representatives at the AnnualGeneral Meeting. Each member organisation The Trustees of Catholic Healthcare is a statutoryappoints a person to act as its representative. body corporate created under the Roman Catholic Church Communities’ Lands Act (NSW) 1942 (theCatholic Healthcare, the public juridic person, is Act) and is the civil law entity of Catholic Healthcare,comprised of the following members: the public juridic person. By virtue of the Act, the governance of the Trustees of Catholic Healthcare isppArchdiocese of Canberra and Goulburn entrusted to the Trustees.ppBrigidine Sisters, NSW Province The Trustees of Catholic Healthcare (the civil body corporate) does not provide services. It functions inppDiocese of Bathurst a stewardship capacity to oversee the ministry of the organisation and to ensure that Catholic Healthcare’sppDiocese of Lismore mission is fulfilled. This body corporate is the sole member of the main operating entity, CatholicppDiocese of Parramatta Healthcare Limited (CHL). The Trustees appoint the Directors and the Chairman of CHL.ppDiocese of Wollongong Catholic Healthcare Limited (CHL) – is a not-for-ppInstitute of the Sisters of Mercy Australia and Papua profit public company limited by guarantee, which New Guinea provides residential aged care services, retirement communities and community services. is also anppMaronite Diocese of St Maroun affiliated health organisation with funding from NSW Health and provides services through twoppLittle Company of Mary – Province of the Southern CrossppOur Lady of Dolours Parish, ChatswoodppSisters of Mercy, North Sydney Congregation (NSW)4 4 Annual Review 2015-2016

third schedule facilities at Lourdes Hospital and Trustees of Catholic Continuing/Resigned/Community Health Service, Dubbo, and St Vincent’s Healthcare 2015/16 Retired/ ElectedHealth Service, Bathurst. Trustee ContinuingHawkesbury District Health Service Limited) (HDHS) Continuingwas formally transferred of its healthcare ministry to St Prof Jack Flanagan, Chair Elected - 24/11/15John of God Hawkesbury District Health Campus Ltd Sr Mary Comer RSJ Continuing(SJOG) on 3 November, 2015. Mr Michael Kennedy Continuing Sr Anna Koeneman RSM Retired - 10/10/15Catholic Healthcare is subject to Federal, State and Mr Hugh O’Reilly ContinuingCanon Law and is accountable to the following Herbie O’Flynn Continuinggovernment agencies: Sr Judy Sippel RSJ AM Sr Mary Wright IBVMppDepartment of Health and Ageing Directors of CatholicppNSW Department of Ageing, Disability and Home Healthcare Limited 2015/16 Care Directors Continuing/Resigned/ppNSW Department of Family and Community Retired/Appointed Services David Robinson, Continuing ChairppDepartment of Veterans’ Affairs Alan Crouch, Continuing Deputy ChairppNSW Ministry of Health Sr Diana Hayes RSCJ Continuing Paul Johnson Continuing David Maher Continuing Jim Tate Continuing Annual Review 2015-2016 45

FOR THE YEAR ENDED 30 JUNE 2016Financial Report 2015/16 Summary REVENUE AND OTHER INCOME $ MILLIONS 327.7 307.0 265.8 278.6 350 16.7 21.32014/20152015/2016 303.1 1.1 300 2.6 Care and Retirement Living. Normalised revenue and 250 other income, which excludes the HDHS legal entity, demonstrated consistent upward trending growth. 237.5 Operating surplus remained in line with the prior 200 financial period. 2013/2014 Revenue and Other Income Revenue and Other Income - NormalisedThe transfer of Hawkesbury District Health Service(HDHS) to St John of God in the first half of the 2016financial year saw a decrease in revenue.Year-on-year growth was experienced in the majorityof business areas, significantly in Residential AgedREVENUE AND OTHER INCOME BY SEGMENT $ MILLIONS 327.7 179.4 52.4 76.6 2014/2015 188.8 52.6 43.2 307.0 50 100 150 200 250 300 350 2015/2016 0 Residential Aged Care Community Retirement Living Healthcare Other4 6 Annual Review 2015-2016

SURPLUS $ MILLIONS 29.9 29.3 35 10.4 2014/2015 2015/2016 30 25 2013/2014 20 15 10 5 NET ASSETS 2013/2014 2014/2015 $ MILLIONSCash, debtors, inventory & other assets 91.1 74.9 2015/2016Property, plant & equipment 513.6 456.2Investment property & intangibles 90.6 160.4 103.7TOTAL ASSETS 695.3 691.5 464.8 172.0Payables, employee provisions & other liabilities 82.6 83.4 740.5Accommodation bonds & refundable deposits 194.6 206.6Loan licences 37.9 93.5 88.2Borrowings 137.7 35.7 242.3TOTAL LIABILITIES 452.8 419.2 98.4 10.0NET ASSETS 242.5 272.3 438.9 301.6Catholic Healthcare’s balance sheet and net assets Catholic Healthcare currently has a low level ofcontinue to improve. Underpinned by strong borrowings, however borrowings are expectedoperational performance, the organisation has to increase to support further expansion and newexperienced improved cash flow from bond receipts developments, providing care and support for thoseand sales of retirement living units. In turn, the who need it most.organisation has used this improved cash flow tomake significant investments into the renewal and We continue to acknowledge the support of theupgrading of residential aged care services, with Brisbane Archdiocese Development Fund, themore than $28million of refurbishments. Canberra/Goulburn Catholic Development Fund and Westpac Banking Corporation. Annual Review 2015-2016 47

COMPASSION EXCELLENCE HONESTY HOSPITALITY RESPECT Trustees of Catholic Healthcare catholichealthcare.com.au ABN 89 915 142 048 Catholic Healthcare Limited ABN 69 064 946 318 Suite 1, Level 5, 15 Talavera Road Macquarie Park NSW 16704 8 Annual Review 2015-2016