McGill University Health Centre Foundation Financial Statements For the year ended March 31, 2018

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McGill University Health Centre Foundation Financial Statements For the year ended March 31, 2018

Financial Statements For the year ended March 31, 2018 Contents Independent Auditor's Report 2 Financial Statements Statement of Financial Position 4 Statement of Revenue and Expenditures 5 Statement of Changes in Fund Balances 6 Statement of Cash Flows 7 Notes to Financial Statements 8

Tél./Tel: 514 931 0841 Téléc./Fax: 514 931 9491 www.bdo.ca BDO Canada s.r.l./s.e.n.c.r.l./llp 1000, rue De La Gauchetière O. Bureau 200 Montréal QC H3B 4W5 Canada Independent Auditor's Report To the Board of Directors of McGill University Health Centre Foundation We have audited the accompanying financial statements of McGill University Health Centre Foundation (the "Foundation"), which comprise the statement of financial position as at March 31, 2018, and the statements of revenue and expenditures, changes in fund balances and cash flows for the year then ended, and a summary of significant accounting policies and other explanatory information. Management's Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with Canadian accounting standards for not-for-profit organizations, and for such internal control as management determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. Auditor's Responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with Canadian generally accepted auditing standards. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity's preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity's internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. BDO Canada s.r.l./s.e.n.c.r.l., une société canadienne à responsabilité limitée/société en nom collectif à responsibilité limitée, est membre de BDO International Limited, société de droit anglais, et fait partie du réseau international de sociétés membres indépendantes BDO. BDO Canada LLP, a Canadian limited liability partnership, is a member of BDO International Limited, a UK company limited by guarantee, and forms part of the international BDO network of independent member fi rms. 2

Independent Auditor's Report Opinion In our opinion, the financial statements present fairly, in all material respects, the financial position of McGill University Health Centre Foundation as at March 31, 2018, and the results of its operations and its cash flows for the year then ended, in accordance with Canadian accounting standards for not-for-profit organizations. Montréal, Québec June 20, 2018 1 1 CPA auditor, CGA, public accountancy permit No. A121744, through BDO & Company LLP/s.r.l./S.E.N.C.R.L. which provides accounting, assurance, taxation and other professional services to BDO Canada s.r.l./s.e.n.c.r.l./llp 3

Statement of Financial Position March 31 2018 2017 Assets Trust, Special General and Capital Endowment Fund Campaign Funds Fund Total Total Current Cash $ 355 $ 9,556,609 $ - $ 9,556,964 $ 9,752,903 Other receivables 20,733 23,265 255 44,253 51,713 Investments (Note 3) 1,096,789 - - 1,096,789 1,752,574 Due from other funds (Note 6) - 1,316,410 1,109,102 2,425,512 1,354,942 Prepaid expenses and other assets 11,699 45,021-56,720 46,251 1,129,576 10,941,305 1,109,357 13,180,238 12,958,383 Investments (Note 3) - 9,778,421 3,146,008 12,924,429 4,119,659 Liabilities and Capital $ 1,129,576 $ 20,719,726 $ 4,255,365 $ 26,104,667 $ 17,078,042 Current Accounts payable and accrued liabilities $ 236,467 $ 3,361 $ 2,262 $ 242,090 $ 107,148 Due to the Royal Victoria Hospital Foundation (Note 2) 186,793 - - 186,793 40,531 Funds payable to the Research Institute (Note 4) 1,096,789 - - 1,096,789 1,752,574 Payable to the MUHC, non-interest bearing, due on demand 5,798 197,618-203,416 - Due to other funds (Note 6) 2,425,512 - - 2,425,512 1,354,942 3,951,359 200,979 2,262 4,154,600 3,255,195 Capital Fund balances Unrestricted (2,821,783) - - (2,821,783) (1,446,553) Restricted - 20,518,747 4,253,103 24,771,850 15,269,400 Subsequent Event (Note 8) On behalf of the Board (2,821,783) 20,518,747 4,253,103 21,950,067 13,822,847 $ 1,129,576 $ 20,719,726 $ 4,255,365 $ 26,104,667 $ 17,078,042 Director The accompanying notes are an integral part of these financial statements. Director 4

Statement of Revenue and Expenditures For the year ended March 31 2018 2017 Trust, Special General and Capital Endowment Fund Campaign Funds Fund Total Total Revenue Donations and grants $ 735,249 $ 13,840,547 $ 1,434,117 $ 16,009,913 $ 10,279,265 Estates 180,158 77,226-257,384 139,480 Investment income (loss) (Note 5) 411,700 (160,768) 132,065 382,997 368,733 Activities - 831,752-831,752 710,775 1,327,107 14,588,757 1,566,182 17,482,046 11,498,253 Expenditures Administrative and fundraising costs 2,687,203 353,250-3,040,453 2,144,569 Investment management fees 15,134-6,290 21,424 15,062 2,702,337 353,250 6,290 3,061,877 2,159,631 (Deficiency) excess of revenue over expenditures before the following (1,375,230) 14,235,507 1,559,892 14,420,169 9,338,622 Distributions for the benefit of the MUHC - (6,292,949) - (6,292,949) (5,326,273) (Deficiency) excess of revenue over expenditures for the year $ (1,375,230) $ 7,942,558 $ 1,559,892 $ 8,127,220 $ 4,012,349 The accompanying notes are an integral part of these financial statements. 5

Statement of Changes in Fund Balances For the year ended March 31 2018 2017 Trust, Special General and Capital Endowment Fund Campaign Funds Fund Total Total Fund balances, beginning of year $ (1,446,553) $ 12,576,189 $ 2,693,211 $ 13,822,847 $ 9,810,498 (Deficiency) excess of revenue over expenditures for the year (1,375,230) 7,942,558 1,559,892 8,127,220 4,012,349 Fund balances, end of year $ (2,821,783) $ 20,518,747 $ 4,253,103 $ 21,950,067 $ 13,822,847 The accompanying notes are an integral part of these financial statements. 6

Statement of Cash Flows For the year ended March 31 2018 2017 Cash flows from operating activities Contributions received from individuals, corporations, and events $ 17,106,511 $ 12,059,033 Interest and investment income 340,204 138,935 17,446,715 12,197,968 Office administration, investment management fees and fundraising expenses paid (2,791,142) (2,724,589) Grants and transfers (6,089,533) (5,326,273) (8,880,675) (8,050,862) 8,566,040 4,147,106 Cash flows from investment activities* Purchase of other assets - (4,416) Purchase of investments (14,366,109) (1,513,554) Proceeds on sale of investments 5,604,130 89,163 (8,761,979) (1,428,807) (Decrease) increase in cash during the year (195,939) 2,718,299 Cash, beginning of year 9,752,903 7,034,604 Cash, end of year $ 9,556,964 $ 9,752,903 * Purchase of investments and the proceeds on sale of investments represent, in large part, the periodic rollover of funds in investments pending distribution to the MUHC. The accompanying notes are an integral part of these financial statements. 7

Notes to Financial Statements March 31, 2018 1. Significant Accounting Policies Nature of Operations The McGill University Health Centre Foundation's mission is to receive and invest funds and apply them to health care activities for the benefit of the McGill University Health Centre and related institutions. The Foundation is a not-for-profit organization incorporated under the laws of Québec and is a registered charity under the Income Tax Act (Canada). Basis of Accounting These financial statements have been prepared using Canadian accounting standards for notfor-profit organizations. Fund Accounting and Fund Balances The McGill University Health Centre Foundation follows the restricted fund method of accounting for contributions. The General Fund includes all unrestricted resources. It includes operating expenditures, unrestricted investment income and unrestricted donations. The fund balance represents net assets that are not subject to internally or externally imposed restrictions. The Trust, Special and Capital Campaign Funds include donations from individuals, grants from corporations and foundations and donations designated for the MUHC's Best Care for Life Campaign. Funds are spent primarily on research, teaching, patient care and the construction of the new hospital. These funds include externally restricted funds from donations that must be spent according to the donors' wishes and also include funds that are internally restricted by the Board. Income generated from investments held in this Fund is recognized as income of the General Fund, unless otherwise specified by the donor. This Fund was referred to as the Best Care for Life Fund in the prior year. The Endowment Fund consists of donations received from donors requesting that their donations be retained permanently. The income generated from these donations is spent in accordance with the donor's specifications. Revenue Recognition Unrestricted and restricted donations and grants, endowments and estate contributions are recognized as revenue in the appropriate fund when received or receivable if the amount to be received can be reasonably estimated and collection is reasonably assured. Donations in kind are recorded at fair value when such value can reasonably be determined. Revenue from activities are recognized as revenue when received. Income on invested funds and expenditures are recorded on an accrual basis. Other revenues are recognized as revenue when received. Pledges Pledges are recorded as donations when the funds are received unless conditions for recognition are met. 8

Notes to Financial Statements March 31, 2018 1. Significant Accounting Policies (Continued) Contributed Services Every year, volunteers contribute many hours to assist the McGill University Health Centre Foundation in carrying out its activities. Because of the difficulty of determining their fair value, contributed services are not recognized in these financial statements. Foreign Currency Translation Foreign currency accounts are translated into Canadian dollars as follows: At the transaction date, each asset, liability, receipt and disbursement is translated into Canadian dollars by the use of the exchange rate in effect at that date. At the year-end date, monetary assets and liabilities are translated into Canadian dollars by using the exchange rate in effect at that date and the resulting foreign exchange gains and losses are included in income in the current period. Financial Instruments Measurement of Financial Instruments The Foundation initially measures its financial assets and liabilities at fair value. The Foundation subsequently measures all its financial assets and liabilities at amortized cost with the exception of investments which are subsequently measured at fair value based on closing prices. Financial assets measured at amortized cost include cash and other receivables. Financial liabilities measured at amortized cost include accounts payable, due to the Royal Victoria Hospital Foundation, funds payable to the Research Institute and payable to the MUHC. Impairment Financial assets measured at amortized cost are tested for impairment when there are indicators of impairment. The previously recognized impairment loss may be reversed to the extent of the improvement, directly or by adjusting the allowance account, provided it is not greater than the amount that would have been reported at the date of reversal had the impairment not been recognized previously. The amount of the reversal is recognized in the combined statement of revenue and expenditures. Unrealized gains (losses) on investments, which are measured at fair value, are recognized in the statement of revenue and expenditures. Transaction Costs The Foundation recognizes its transaction costs for financial instruments at fair value in statement of revenue and expenditures in the period incurred. Financial instruments that will not be subsequently measured at fair value are adjusted by the transaction costs that are directly attributable to their origination, issuance or assumption. 9

Notes to Financial Statements March 31, 2018 2. Related Party Royal Victoria Hospital Foundation (RVHF) The Foundation and the RVHF have a common Board of Directors and a single President overseeing the activities of both Foundations. It is presumed that each of the two foundations exerts control over the operations of the other. The RVHF is incorporated under the laws of Québec and is a registered charity under the Income Tax Act (Canada). Its mission is to receive and invest funds and apply them to health care activities for the benefit of the MUHC Royal Victoria Hospital. The RVHF has not been consolidated in these financial statements. A financial summary for the RVHF as at March 31, 2018 and 2017 and for the years then ended is as follows: 2018 2017 Total assets $141,063,900 $140,722,738 Total liabilities $ 42,312,677 $ 43,429,278 Total fund balances 98,751,223 97,293,460 $141,063,900 $140,722,738 2018 2017 Revenue and investment income $ 11,431,359 $ 16,462,592 Expenses and distributions 9,973,596 10,934,387 Excess of revenue over expenditures $ 1,457,763 $ 5,528,205 Cash flows used for operations $ (40,352) $ (1,794,345) Cash flows (used for) from investment activities $ (298,950) $ 2,102,485 Fund balances included restricted Trust, Special and Capital Campaign funds in the amount of $11,225,055 (2017 - $11,747,711) and endowments of $85,680,841 (2017 - $84,918,509). The balance due to RVHF presented in the statement of financial position is comprised of amounts paid by the RVHF on behalf of the Foundation. These amount are non-interest bearing, have no specific terms of repayment and are due on demand. 10

Notes to Financial Statements March 31, 2018 3. Investments 2018 2017 Fair Fair Value Cost Value Cost Pooled funds (1) $ 14,021,218 $ 14,141,811 $ 5,872,233 $ 5,510,034 Less: current portion - investments held on behalf of the Research Institute 1,096,789 1,084,674 1,752,574 1,618,134 Long-term portion $ 12,924,429 $ 13,057,137 $ 4,119,659 $ 3,891,900 (1) Pooled funds include cash of $7,000,000 (2017 - $Nil) transferred to the investment accounts for which the related units had not yet been purchased. 4. Funds Payable to the Research Institute In 2013, the Foundation and the Research Institute of the McGill University Health Centre (the "Institute") signed a memorandum of understanding whereby the Foundation would manage funds amounting to $5,000,000 on behalf of the Institute. Under this agreement, all investment income generated by these funds will be payable to the Institute. As at March 31, 2018, an amount of $1,096,789 was included in the current liabilities (2017 - $1,752,574). The assets that have been restricted in the General Fund include investments at fair value of $1,096,789 (2017 - $1,752,574). 5. Investment Income Investment income is comprised of the following: 2018 2017 Interest and dividends $ 340,204 $ 138,935 Gain on sale of investments 403,258 69,224 Change in unrealized (loss) gain on investments (360,465) 160,574 $ 382,997 $ 368,733 11

Notes to Financial Statements March 31, 2018 6. Interfund Balances Interfund balances are non-interest bearing, have no specific terms of repayment and are due on demand. 7. Financial Instruments The Foundation is exposed to various risks by virtue of holding financial instruments. There have been no changes to the Foundation's exposure to those risks nor in how those risks are managed since the previous year. Credit Risk Credit risk is the risk that one party to a financial instrument will cause a financial loss for the other party by failing to discharge an obligation. The Foundation is exposed to credit risk in relation to cash, amounts receivable and fixed-term securities held through its investment in pooled funds. The Foundation mitigates the risk by dealing with creditworthy financial institutions and counterparties. Liquidity Risk Liquidity risk is the risk that an entity will encounter difficulty in meeting obligations associated with financial liabilities. Liquidity risk includes the risk that, as a result of operational liquidity requirements, the Foundation will not have sufficient funds to settle a transaction on the due date; will be forced to sell financial assets at a value, which is less than what they are worth; or may be unable to settle or recover a financial asset. Liquidity arises from accounts payable and due to Royal Victoria Hospital Foundation. Market Risk Market risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices. Market risk comprises three types of risk: interest rate risk, other price risk and currency risk. Each of these risks is discussed hereafter. Interest Rate Risk The Foundation is exposed to financial risks that arise from fluctuations of interest rates and the degree of volatility of these rates. The Foundation is exposed to interest rate risk with respect to its investments. The fixed-term securities held inside the units of the pooled funds earn interest at various coupon rates ranging between 0.75% and 6.90% (2017-0.50% and 6.90%) and mature at various dates up to 2048 (2017-2048). 12

Notes to Financial Statements March 31, 2018 7. Financial Instruments (Continued) Other Price Risk This is the risk that the fair value of future cash flows of a financial instrument will fluctuate because of changes in market prices (other than those arising from interest rate risk), whether those changes are caused by factors specific to the individual financial instrument or its issuer, or factors affecting all similar financial instruments traded in the market. The Foundation's exposure to price risk relates to changes in market prices in its investment portfolio. The Foundation moderates this risk through the selection and diversification of securities within its portfolio. The Foundation's investment guidelines allow for investments in certain "permitted investments". The target allocation is currently set at 60% fixed income, 30% equities and 10% international equities. Currency Risk Currency risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in foreign exchange rates. The Foundation owns investments denominated in various foreign currencies traded on foreign stock exchanges. The market value of securities in foreign currencies at March 31, 2018 was $1,152,232 (2017 - $1,127,691). 8. Subsequent Event Effective April 1, 2018, the Foundation and the Royal Victoria Hospital Foundation were amalgamated. The charity registration number of the McGilll University Health Centre Foundation was retained on amalgamation. 9. Comparative Figures Certain of the comparative figures have been reclassified to conform to the current year's presentation. 13