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Under a Health Funding Arrangement, the accountability relationship between Chiefs and Councils and the Minister of Health, reflect an approach based on the community having greater program and financial flexibility within a framework requiring more visibility and accountability to community members, and to Parliament. In its accountability to Parliament, the federal government reports on all activities that it has funded in every Department and on the results achieved. Similarly, in its accountability to community members, a First Nation's Council and administration are to report on where funds have been spent and what community members are getting in return.
The purpose of these requirements is to describe the reporting and auditing requirements for Health Canada.
In the context of these Requirements, relevant terms are defined as follows:
Funds for replacing items valued at less that $1,000 are included as part of regular annual operating funds transferred to communities. Funds for replacing items which have been transferred to the community and have a replacement value of $1,000 or more, are kept in a separate reserve call the Moveable Assets Reserve.
The following documents will be provided by the Band to meet accountability requirements for both the community members and Health Canada:
Audit Report
Annual Report to Community Members
Annual Report to the Minister
Reports on Mandatory Programs
Evaluation Report
Funds received from Health Canada must be audited by an independent accredited auditor. An audit report examines the adequacy of financial controls and certifies that sound accounting principles have been followed, and that the terms and conditions of the Agreement have been met.
The auditor's report will include the following:
This schedule will show total health program transfer expenditures for the past fiscal year under the program/services outlined in the Band's Community Health Plan.
As a second option, Bands may choose to use the existing FNIHB reporting format as the basis for completing the "Report on Health Expenditures", (Attachment 1-1). As such, for information purposes only, Attachment 2, lists the Programs/Services.
The last section of the "Report on Health Expenditures" is a disclosure, for the same fiscal period, of the funds received from other organizations and governments for health purposes.
This report describes the various financial transactions which have affected the Moveable Assets Reserve (MAR), funded through Health Canada, during the past year. The following details are to be provided by the Band:
opening balance in the Reserve;
annual amount included in the Transfer Agreement for the Moveable Assets Reserve;
interest or other revenues generated from the Reserve;
expenditures for the addition and replacement of moveable assets during the year; and
closing balance in the Reserve.
Note: The "Report on Moveable Assets Reserve" (Attachment 1-2) will be incorporated in the auditor's report as a schedule.
The Band will enter into a contract with an individual or a firm to obtain auditing services. The audit contract should include:
a summary of the Band's responsibilities;
a summary of the Auditor's responsibilities;
the purpose and nature of the audit;
the limitation of the audit;
the scope of the audit, including specifics to be addressed and reports to be produced;
the conditions for additional audit or financial services to be provided; and
a copy of these Reporting and Auditing Requirements.
The Band's auditor must be:
The Auditor will be responsible:
The Band will be responsible for:
accurately recording program information and financial transactions and preparing all reports and statements described above, in accordance with the instructions in these requirements;
making program, financial and administrative records and reports available to the Auditor and providing assistance to the Auditor, as necessary;
avoiding duplication of effort and resources, by coordinating and planning this audit with all other audits being conducted for other federal departments;
forwarding a copy of the audit report to the Region within ninety (90) days following the end of the fiscal year; and
making available to members a copy of the audit report, as well as the annual report to community members.
The FNIHB region is responsible for answering any questions concerning these requirements, and ensuring that the auditing requirements are well understood by Bands and their auditors. Once an audit report has been received, the region is responsible for reviewing it, including any attachments and ensuring that proper follow-up action is taken with respect to the opinion and observations expressed by the auditor by:
communicating with the Band concerning the auditor's opinions and observations;
developing a plan for corrective action with the Band, if required; and
monitoring on a regular basis, and through subsequent audits, if corrective action has been taken by the Band.
In cases where the Band defaults in its obligation to provide the Minister with an audit report, the Minister may:
require that an independent auditor, recognized in the province in which the Agreement was executed, be appointed immediately by the Band, at the Band's cost, and that the audited financial statements be delivered within a reasonable time as the Minister may determine; or
appoint an independent auditor recognized in the province in which the agreement was executed and in which case:
the Band will provide the auditor, appointed by the Minister, with full access to its financial records and provide such other information as the auditor may require to perform the audit; and
the Band will reimburse Health Canada for all costs incurred in having the audit conducted.
Under a Health Services Transfer Agreement, the Chief and Council, or their designated representatives are accountable to their members for delivering the health programs and services, and for the use of the resources transferred to them in accordance with the health priorities and objectives in the Community Health Plan.
To satisfy the reporting requirements to community members, the Chief and Council will produce and make available to all members, an Annual Report. This Annual Report, which will be based on the goals and objectives of the Community Health Plan, will summarize programs and financial information, provide data on services, operations and results, and will explain any deviations from the Community Health Plan.
Copies of the Annual Report shall be made available to community members within ninety (90) days following the end of the fiscal year.
The Band shall, on an annual basis, and within ninety (90) days of the end of each fiscal year, provide the Minister with the following:
an audit report by an independent accredited auditor;
a summary report on the provision of mandatory programs, according to the requirements of the Transfer Agreement; and
a copy of the annual report to the community members.
The Band will prepare reports on the provision of the following mandatory programs, if they are applicable, and included as part of the Health Services Transfer Agreement:
Communicable Disease Control;
Environmental Health; and,
Treatment Services.
"Mandatory Programs and their Reporting Requirements" (Attachment 3) describes the type of information, and the method and frequency of reporting required on all mandatory programs included in the Health Services Transfer Agreement. A copy of these Mandatory Reports will be provided to the Provincial authorities and to the Regions, where appropriate.
The evaluation provides valuable information for the community for planning new programs or modifying existing programs. This information includes any changes in the health status of the members of the community.
The Transfer Agreement requires that the community complete an evaluation of its health programs and services for every five-year period of the transfer. The evaluation is conducted during the fourth year of the Transfer period. To assist the community in the completion of the evaluation, resources are provided to complete and submit an evaluation plan to FNIHB during the first year of the Transfer Agreement. The evaluation plan outlines a proposed strategy for conducting the evaluation, including a time frame. For more information on evaluation, see Handbook 2 and A Guide for First Nations on Evaluating Health Programs, available from FNIHB.
The evaluation is designed to assess the effectiveness of community health programs and objectives, and to determine any changes in the health status of community members. The CHP must be updated regularly to reflect changes made to program priorities and objectives. The evaluation must be based on the current CHP.
Refer to Attachment 4 for a description of all reporting requirements.
Listing of Moveable Assets (Attachment 5)
This listing is a sample format of information for moveable assets and is to be maintained by the Band or First Nation organization as part of its accounting system. The format and the system used to maintain a moveable asset listing and to track the assets is at the discretion of the Band. A complete "Inventory", by facility, of all moveable assets initially transferred to the Band is normally attached to the Health Services Transfer Agreement. This listing shows the model, date of purchase, and the cost of each moveable asset and vehicle acquired during the last completed fiscal year.
To be consistent with sound financial management practices, the "moveable assets inventory" should be amended on a regular basis by the Band when there are changes.
The list will be used to determine the value of the Moveable Assets Reserve (MAR) at the time of any expansion or reconstruction of the existing health facility. Unless there is a current listing of MAR, financial adjustments to MAR may not be considered.
The "Listing of Moveable Assets" report will be made available by the Band to the Band's auditor, for audit purposes.
Auditor's Derivative Report
Sample Only
To the Minister of Health
c/o Regional Director
_ Region
First Nations and Inuit Health Branch
Health Canada
At the request of the _ First Nation and in accordance with the Reporting and Auditing Requirements established by your department, we have reviewed the financial information contained in The Report on Health Expenditures and in The Report on Moveable Assets Reserve. This information was found to be consistent with the audited financial statements for the year ended _.
We have also reviewed the terms and conditions of your agreement with _ First Nation and during the course of our audit did not encounter any instances where the terms and conditions were not met.
In addition, we have certified that the services of a Medical Officer of Health are available, that nurses are registered with their provincial association, that the Environmental Health Officer is certified as a Public Health Inspector and that mandatory reporting concerning immunization and communicable diseases has been completed and sent to the Province.*
This report is provided solely for the purpose of assisting Health Canada in discharging its responsibilities and should not be referred to or used for any other purpose.
*NOTE: The mandatory program requirements listed in this opinion may or may not be applicable depending on the programs transferred.Funds Available
Band:
Fiscal Year: 1999/200_
Surplus/Deficit from previous years
Funds from Health Services Transfer Agreement
Total Funds Available
Expenditures (By program or activity described in the Community Health Plan)
Total Expenditures $
Closing Balance at Year-end$
Funds from Other Sources (for information only) (specify organization)
Schedule - Report on Moveable Assets Reserve (MAR)
Band:
Fiscal Year: 1999/200_
Balance at the beginning of Fiscal Year:
PLUS
Amount provided in Agreement for MAR:
PLUS
Revenues Generated:
MINUS
NOTE: This Attachment is a sample list provided to assist the Band choosing to utilize the First Nations and Inuit Health Branch (FNIHB) activity reporting format to complete the "Report on Health Expenditures" (Attachment "1-1"). The Band should group the programs and services in accordance with the priorities and resources identified in the Community Health Plan.
Mandatory Programs and Their Reporting Requirements
NOTE: The mandatory program requirements listed in this opinion may or may not be applicable depending on the programs transferred.
The community shall report to the Minister on the provision of mandatory programs, according to the following schedule:
* Include only if treatment services are part of the Transfer Agreement
Summary of Reporting Requirements
Listing of Moveable Assets
FISCAL YEAR: 1999 /200_
BAND:
FACILITY:
Description:
Model:
Date of Purchase:
Cost:
Description:
Model:
Date of Purchase:
Cost:
Description:
Model:
Date of Purchase:
Cost:
* This listing is to be maintained by the Band.
Peter Glasgow, CA
Sue Brown, CA
125 Main Street
Ottawa, Ontario K1A OL3
Telephone: (613) 945-1234
Fax: (613) 922-4567
Sample: Auditor's Derivative Report
To the Minister of Health
c/o Regional Director
Alberta Region
First Nations and Inuit Health Branch
Health Canada
At the request of the Earth First Nation and in accordance with the Reporting and Auditing Requirements established by your department, we have reviewed the financial information contained in The Report on Health Expenditures and in The Report on Moveable Assets Reserve. This information was found to be consistent with the audited financial statements for the year ended March 31, 2000.
We have also reviewed the terms and conditions of your agreement with Earth First Nation and during the course of our audit did not encounter any instances where the terms and conditions were not met.
In addition, we have certified that the services of a Medical Officer of Health are available, that nurses are registered with their provincial association, that the Environmental Health Officer is certified as a Public Health Inspector and that mandatory reporting concerning immunization and communicable diseases has been completed and sent to the Province.
This report is provided solely for the purpose of assisting Health Canada in discharging its responsibilities and should not be referred to or used for any other purpose.
Ottawa, Ontario
June 15, 2000
Glasgow and Brown
Chartered Accountants
Sample Only
Schedule - Report On Health Expenditures Band: Earth First Nation Fiscal Year: 1999/2000Funds Available
Surplus/Deficit from previous years $ 5,000
Funds from Health Services Transfer Agreement $ 615,000
Expenditures
Surplus/Deficit from previous years $ 5,000
Funds from Health Services Transfer Agreement $ 615,000
Total Funds Available$620,000
Administration$ 195,000
Nursing Services$ 105,000
Building Health Communities$ 165,000
Health Transfer Evaluation$ 20,000
Health Facilities Operations$ 125,000
Total Expenditures$610,000
Closing Balance at Year-end$ 10,000
Sample Only
Schedule - Report on Moveable Assets Reserve (Mar)
Band: Earth First Nation
Fiscal Year: 1999/200
Balance at the beginning of Fiscal Year $ 75,000
Plus
Amount provided in Agreement for MAR $ 15,000
Plus
Revenus Generated (interest income) $ 1,200
Minus
Sub Total $ 91,200
Sub Total $ 91,200
Replacements during the Year: $ 6,708
Balance at The End of the Fiscal Year: $ 84, 492
Contents of Audit Report
Attachment
SAMPLE ONLY
Dent and Associates
CHARTERED ACCOUNTANTS
Peter Dent, CA
Sue Black, CA
130 Cushion Street
Ottawa, Ontario K1A 0L3
Telephone: (613) 123-4567
Fax: (613) 123-4568
Auditor's Report
To the Board of the Sun First Nation
We have audited the balance sheet of Sun First Nation as at March 31, 2000, and the statements of moveable assets reserve, revenue, expenditure and accumulated surplus (deficit) and cash flows for the year then ended. These financial statements are the responsibility of the Sun First Nation's management. Our responsibility is to express an opinion on these financial statements based on our audit.
We conducted are audit in accordance with generally accepted auditing standards. Those standards require that we plan and perform an audit to obtain reasonable assurance whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation.
In our opinion, these financial statements presented fairly, in all material respects, the financial position of Sun First Nation as at March 31, 2000 and the results of its operations and its cash flows for the year then ended in accordance with generally accepted accounting principles.
We have also reviewed the terms and conditions of the agreement between Health Canada and Sun First Nation and during the course of our audit did not encounter any instances where the terms and conditions were not met.
In addition, we have certified that the services of a Medical Officer of Health are available, that nurses are registered with their provincial association, that the Environmental Health Officer is certified as a Public Health Inspector and that mandatory reporting concerning immunization and communicable diseases has been completed and sent to the Province.
Ottawa, Ontario
June 15, 2000
Dent and Associates
Chartered Accountants
Sun First Nation Balance Sheet as at March 31, 2000
| Current Assets | 2000 | 1999 |
|---|---|---|
| Prepaid Expenses | $ 10,500 | $ 9,800 |
| Accounts receivable, Schedule 1 | $ 389,500 | $ 385,700 |
| $ 400,000 | $ 395,500 |
| Current Liabilities | 2000 | 1999 |
|---|---|---|
| Accounts payable, Schedule 1 | $ 36,500 | $ 2,000 |
| Accumulated Surplus (Deficit) | $ 276,000 | $ 320,000 |
|---|---|---|
| Moveable Assets Reserve, Attachment 7-4 | $ 87,500 | $ 73,500 |
| Equity as at March 2000 | $ 364,000 | $ 394,000 |
| $ 400,000 | $ 395,500 |
Approved By:
Chief
Councillor
| 2000 | 1999 | |
|---|---|---|
| Balance at Beginning of Year | $ 71,500 | $ 50,500 |
| Amount Provided in Agreement for Mar | $ 16,000 | $ 17,000 |
| $ 87,500 | $ 67,500 | |
| Expenditure | $ 6,000 | |
| Balance of End of Year | $ 87,500 | $ 73,500 |
| 2000 | 1999 | |
|---|---|---|
| Revenue | ||
| Health Services Transfer | $ 875,500 | $ 834,500 |
| Other | $ 10,500 | $ 5,500 |
| $ 886,000 | $ 840,000 | |
| Expenditure, Attachment 7-6 | ||
| Administration | $ 165,000 | $ 98,000 |
| Health Authority Management | $ 395,000 | $ 400,000 |
| Health Station Operations | $ 52,000 | $ 61,00 |
| Building Operation and Maintenance | $ 135,000 | $ 140,000 |
| Community Health Programs | $ 113,000 | $ 110,000 |
| Building Healthy Communities | $ 45,000 | $ 47,000 |
| Health Transfer Evaluation | $ 25,000 | ----- |
| $ 930,000 | $ 856,000 | |
| Excess Revenue (Expenditure) | (44,000) | (16,000) |
| Accumulated Surplus at Beginning of Year | 320,000 | 336,000 |
| Accumulated Surplus at End of Year | $ 276,000 | $ 320,000 |
| Administration | 2000 Budget |
2000 Actual |
1999 Actual |
|---|---|---|---|
| Director's salary | $36,000 | $35,000 | $ 33,000 |
| Assistant director's salary | $ 19,000 | $ 17,000 | $ 18,000 |
| Financial clerk | $ 23,000 | $ 22,000 | |
| Secretary's salary | $ 18,000 | $ 17,000 | $ 16,000 |
| Employee's benefits | $ 11,000 | $ 9,500 | $ 9,400 |
| Staff bonuses | $ 14,000 | $ 2,000 | |
| Travel | $ 34,000 | $ 37,000 | $ 9,000 |
| Office supplies | $ 17,000 | $ 18,000 | $ 4,000 |
| Insurance | $ 3,000 | $ 4,000 | $ 2,500 |
| Audit fees | $ 6,000 | $ 5,375 | $ 4,000 |
| Bank charges | $ 100 | $ 125 | $ 100 |
| Miscellaneous | $ 9,000 | ||
| $ 190,100 | $165,000 | $ 98,000 |
| Health Authority Management | 2000 Budget |
2000 Actual |
1999 Actual |
|---|---|---|---|
| Moon Tribal Council | $ 415,000 | $ 380,000 | $ 385,000 |
| Earth Tribal Council | $ 5,000 | $ 15,000 | $ 15,000 |
| $ 420,000 | $ 395,000 | $ 400,000 |
| Health Station Operation | 2000 Budget |
2000 Actual |
1999 Actual |
|---|---|---|---|
| Telephone | $ 10,000 | $ 10,500 | $ 10,100 |
| Supplies | $ 22,500 | $ 30,200 | $ 15,000 |
| Equipment | $ 3,000 | $ 6,500 | $ 5,000 |
| Sundry | $ 5,000 | $ 3,000 | $ 4,500 |
| Vehicle | $ 800 | $ 400 | |
| Educational material | $ 1,000 | ||
| $ 40,500 | $ 52,000 | $ 35,000 |
| Building Operation and Maintenance | 2000 Budget |
2000 Actual |
1999 Actual |
|---|---|---|---|
| Caretaker and janitorial | $ 49,000 | $ 51,000 | $ 48,000 |
| Hydro | $ 52,000 | $ 63,000 | $ 60,000 |
| Insurance | $ 10,000 | $ 8,000 | $ 11,000 |
| Fuel | $ 10,000 | $ 4,000 | $ 11,000 |
| Supplies | $ 5,000 | $ 6,000 | $ 4,000 |
| Casual labour | $ 2,000 | $ 2,500 | $ 1,500 |
| Repairs and maintenance | $ 1,500 | $ 500 | $ 3,100 |
| Sundry | $ 4,500 | $ 1,400 | |
| $ 134,000 | $ 135,000 | $ 140,000 |
| Community Health Programs | 2000 Budget |
2000 Actual |
1999 Actual |
|---|---|---|---|
| Community health representatives | $ 30,000 | $ 32,000 | $ 29,000 |
| Referral clerks | $ 27,000 | $ 27,000 | $ 31,000 |
| Alcohol and drug abuse | $ 17,000 | $ 20,000 | $ 19,000 |
| Public Health worker | $ 26,000 | $ 34,000 | $ 31,000 |
| $ 100,000 | $ 113,000 | $ 110,000 |
| Building Healthy Communities | 2000 Budget |
2000 Actual |
1999 Actual |
|---|---|---|---|
| Resource coordinator | $ 29,000 | $ 20,000 | $ 26,500 |
| Mental health worker | $ 21,500 | $ 25,000 | $ 20,500 |
| $ 50,500 | $ 45,000 | $ 47,000 |
| Health Transfer Evaluation | 2000 Budget |
2000 Actual |
1999 Actual |
|---|---|---|---|
| Health Transfer Evaluation | $ 15,000 | $ 25,000 |
| Total Expenditure | 2000 Budget |
2000 Actual |
1999 Actual |
|---|---|---|---|
| Total Expenditure | $ 950,100 | $ 930,000 | $ 830,000 |
| Cash Flow from Operating Activities | 2000 | 1999 |
|---|---|---|
| Excess Expenditure | $(44,000) | $ (16,000) |
| Net changes in non-cash working capital balances related to operations | ||
| Accounts receivable | $ 69,900 | $ (51,700) |
| Accounts payable and accrued liabilities | $ 34,500 | $ 300 |
| Due from Moon Tribal Council - administration | $ (76,000) | $ 57,000 |
| $ (15,600) | $ (10,400) | |
| Cash Flow from Investing Activities | $ 15,600 | $ 10,400 |
| Cash Position at End of Year | $ 0 | $ 0 |
Sample Only
Notes to Financial Statements
| 2000 | 1999 | |
|---|---|---|
| Moon Tribal Council | $ 70,000 | |
| Due from Health Canada | $ 389,500 | $ 315,700 |
| $ 389,500 | $ 385,700 |
| First Nations Health Authority | $ 34,000 | |
|---|---|---|
| HFA Airlines | $ 1,500 | |
| Connors Utilities | $ 1,300 | |
| Tolley Stationary | $ 1,200 | $ 500 |
| $ 36,500 | $ 2,000 |