Æ

2026 Annual Meetings

The 2026 Annual Meetings of the AGH and CPDMH Corporations were held Tuesday, June 23, 2026 at Almonte General Hospital.  Please read our Press Release for more information.

A special presentation was held prior to the Annual Meetings under the theme Caring for a Growing Community: The Financial Reality of Local Healthcare, the evening brought together the broader community to reflect on the past year, hear from MRHA leadership, and discuss what sustainable healthcare looks like for one of Eastern Ontario's fastest-growing regions.

Residents who wish to support sustainable local healthcare are encouraged to download, print, sign, and send this letter to the Ontario Minister of Health and local elected representatives.

Community members are encouraged to personalize the letter and share their own experiences with local healthcare services and the importance of maintaining access to care close to home.

 

Notes for remarks by Brad Harrington, President & CEO- June 23, 2026

Good evening again everyone.

Before I reflect on the year that was, I want to thank everyone for participating in tonight’s Community Forum. We spoke candidly about the challenges facing healthcare\hospitals in our communities, and about the work that remains ahead of us.

As we move into the formal Annual Meeting, it is equally important to recognize what has been accomplished across the Mississippi River Health Alliance over the past year.

This has been a year of significant progress!

At Almonte General Hospital, the CT Scanner completed its first full year of service, helping thousands of patients access advanced diagnostic imaging closer to home.

AGH was also recognized by Ontario Health’s Trillium Gift of Life Network for leading practices in organ and tissue donation notification, a reflection of the compassion and professionalism demonstrated by our teams every day.

At Carleton Place & District Memorial Hospital, the Thomas Cavanagh Emergency Department continued to support one of Ontario’s fastest-growing communities. CPDMH also achieved National Echocardiography Accreditation and was recognized as a Using Blood Wisely Hospital by Choosing Wisely Canada and Canadian Blood Services — important acknowledgements of quality, patient safety, and clinical excellence.

Earlier this year, MRHA launched a new Strategic Plan that will guide our work through 2030. The plan is built around four priorities: providing access to quality healthcare, fostering a supportive workplace, enabling our teams through improved technology and infrastructure, and securing our fiscal and operational sustainability.

AGH and CPDMH joined the Atlas Alliance and began preparing for the implementation of Epic electronic health records across our region. Truly, a transformation, this work will strengthen coordination, improve access to information, and support safer, more connected care across our region. Thankyou to everyone, all staff, medical staff, leadership and everyone working night and day to ensure our transition is successful. Thanks to our amazing Foundations for the huge support for this transformational initiative.

We also continued to expand innovative programs that support people beyond the walls of our hospitals. Community Paramedicine, the Lanark Integrated Frontline Team (LIFT), and the NEST program have helped connect residents with healthcare, outreach services, and community supports while strengthening care for families, seniors, and vulnerable populations across our communities.

We completed and took occupancy of our new LCPS Almonte Paramedic base, a key redevelopment goal for 2025/26.

At Fairview Manor, under the leadership of Lainne, Amanda, Samantha and Christian we have been meeting weekly to proactively review all of our programs and processes, ensuring we are legislatively compliant. Huge progress, and in fact I received another report this morning from the ministry where are processes were reviewed and found to be fully compliant.

This year also marked the 25th anniversary of Lanark County Paramedic Service. I want to recognize Chief Travis Mellema and the entire LCPS team for their professionalism, leadership, and unwavering commitment to the residents they serve.

I would also like to acknowledge this year’s Long Service Award recipients, including Dr. Allyson Champagne, Chief of Staff at CPDMH, and Chief Travis Mellema, both of whom were recognized for 20 years of service. Their dedication reflects the long-standing commitment, expertise, and leadership that help make local healthcare strong.

To our Senior Team, Lianne, Sarah, James, Brad, Allyson and Melanie, thank you for your commitment, guidance, and dedication throughout a demanding and important year.

It would be reminiscent without me saying, Tina, Angie, Cindy, Tyller are what holds the Senior Team, the Medical Staff, the Allied Boards and committees together. You provide outstanding support and so much more to all of us. Thank you for everything you have done over the past year.

I would like to thank the members of our communities who make up the Allied Boards of Directors for your leadership, vision and support. Being on a hospital board is a significant commitment of time – both inside and outside the meeting room.

And finally, to our staff, medical staff, paramedics, volunteers, foundations, donors, and community partners — thank you. Every achievement we are celebrating tonight is the result of your work, your expertise, and your commitment to the people we serve.

Together, these accomplishments demonstrate an organization that understands change is primary ingredient of progress. We are investing in modern care, embracing new technology, strengthening regional partnerships, and planning for the future.

We should be proud of what has been accomplished, but we also know the work ahead is significant.

Our communities continue to grow. Healthcare needs are becoming more complex. Expectations are evolving. And we must continue to plan carefully, advocate clearly, and work together to ensure local healthcare remains strong and sustainable for future generations.

The year ahead will undoubtedly bring challenges, but it will also bring more opportunity. We have an exceptional team, strong community support, a clear Strategic Plan, and a shared commitment to delivering high-quality care close to home.

On behalf of the Senior team, thank you for your trust, your partnership, and your continued support of the Mississippi River Health Alliance.

Thank you.

Notes for remarks by Cheri Crosby, Treasurer - June 23, 2026

As Chair of the Finance Resources and Audit Committee and as Treasurer of the Mississippi River Health Alliance, it is my pleasure to present the financial results – first for the Almonte General Hospital – and followed by those for the Carleton Place & District Memorial Hospital.

Almonte General Hospital

The audited financial statements for the Almonte General Hospital represent the results of operations for the year ended March 31, 2026, as well as the financial position for the organization at that date. The results include the Hospital, Fairview Manor, and Lanark County Paramedic Services.

INDEPENDENT AUDITOR'S REPORT

The firm of BDO Canada completed the year-end audit. You should note that the independent auditor’s report gives their opinion that the financial statements present fairly, in all material respects, the financial position of Almonte General Hospital as of March 31, 2026; and the results of its operations, changes in net assets, cash flows, and re-measurement gains and losses for the year that ended are reported in accordance with Canadian public sector accounting standards. This is a clean audit opinion.

STATEMENT OF FINANCIAL POSITION
The Working Capital Ratio, representing Current Assets/Current Liabilities, decreased from 0.61 as at March 31, 2025 to 0.56 on March 31, 2026.

Think of it as a measure of our capacity to cover day-to-day financial commitments. Last year, for every dollar we owed of short-term bills, we had 61 cents available. This year we had 56 cents. The decrease was primarily due to delays in one time funding that came much later in the year compared to last year.

Results of Operations were a deficit of $626,000 compared to a deficit of $1,396,000 in the previous year, which were mainly due to based funding increases plus significant one-time funding provided for operating pressures. Basically, the organization still spent more than it received during the year, but the gap was much smaller than previous year because additional funding helped offset some operating costs.

Some of the increased costs we experienced included the cost of adding additional resources to operate the CT scanner for the entire year, as well as higher sick and overtime costs. Additional costs were also incurred to repair the older facilities, as well as incremental IT costs to continue to strengthen internal systems.

FOUNDATION

Thank you to the Almonte General Hospital Foundation for its very generous support of critical equipment purchases of $986,000. Our communities have been better served with this investment in equipment.

Carleton Place & District Memorial Hospital

The financial statements for the Carleton Place & District Memorial Hospital represent the results of operations for the year ended March 31, 2026.

INDEPENDENT AUDITOR'S REPORT

BDO completed the year-end audit. The independent auditor’s report states the financial statements present fairly, in all material respects, the financial position of Carleton Place & District Memorial Hospital at March 31, 2026, and its financial performance and its cash flows for the year then ended in accordance with Canadian generally accepted accounting principles. This is also a clean audit opinion.

STATEMENT OF FINANCIAL POSITION

This year, we had a shortfall of $1.415M, meaning expenses were higher than revenues by that amount, but this is an improvement from $1.818M shortfall in the previous year.

The increased expenses were primarily due to compensation increases including overtime, sick time and inflationary pressures combined with increasing lab, food, waste removal, depreciation, and interest costs.

We did however, obtain additional funding for the costs incurred with the opening and operation of the new Emergency Department for the full fiscal year.

FOUNDATION

I wish to thank the Carleton Place & District Memorial Foundation for its very generous support of the equipment purchases of $340,517 for clinical equipment and the EPIC project.

We are now ready to put forward a motion concerning the audited financial statements for the Almonte General Hospital and Carleton Place & District Memorial Hospital.

Motion 1
To approve the AGH Audited Financial Statements for the 12 months ended March 31, 2026.

Motion 2

To approve the CPDMH Audited Financial Statements for the 12 months ended March 31, 2026.

AUDIT FIRM

To streamline year-end financial processes across the Mississippi River Health Alliance, a single audit firm was used for both the Almonte General Hospital and the Carleton Place and District Memorial Hospital. This was the first year of this combined service being provided by BDO.

Representatives from the Finance, Resources and Audit Committee reviewed the services provided by BDO. The recommendation of the committee, and that of the Board of Directors, is to appoint BDO for 2027 audit services. This will now be put forward as a motion.

Motion 3
To appoint BDO as Auditors for the AGH Corporation for the fiscal year ending March 31, 2027.

Motion 4

To appoint BDO as Auditors for the CPDMH Corporation for the fiscal year ending March 31, 2027.

A Few Thank Yous

I would like to specifically thank the Carleton Place & District Memorial Hospital and Almonte General Hospital Foundations and their Boards of Directors for the support they provide to our communities’ hospitals. As you likely know, the province does not fund capital purchases of equipment which our hospitals require. We could not have pursued the redevelopment of the Carleton Place Emergency Department, nor the new CT in Almonte, without the support of our communities through the Foundations. As we look to the future, that support from our communities and our Foundations is critical to our hospitals providing quality care.

I would also like to thank the BDO audit team for completing the audit work for both hospitals within the same time frame, delivering as promised.

I would like to extend my sincere thanks to the following members for their valuable support and contributions to the Finance Resources and Audit Committee: Alex Bennett, Kent Kirkpatrick, Michael Maidment, Michel Vermette, Brad Harrington, Brad Hilker, and our volunteer community member, Nick Kroeger.

I would especially like to recognize the professionalism, capacity and tenacity of Brad Hilker, in his role as VP & Chief Financial Officer, and his small but mighty team. It’s been another challenging year, and many long hours have been spent making sure our money is managed appropriately and wisely. We are tremendously grateful for your dedication.

I would also like to thank the members of the Allied Boards for their due diligence during the last year, and particularly for their forbearance as their Treasurer droned on, and on about financial and IT matters. Financial oversight is a cornerstone of good governance, and I appreciated the Allied Boards’ interest, involvement and wisdom.

I am passing the torch as Chair of the Finance Resources and Audit Committee and Treasurer to a new Chair beginning in September, but it has been a privilege to lead this committee during this very interesting year, and I look forward to continuing as a member of the committee as we tackle the challenges ahead.

Thank you all very much,