AHS Board and Executive Expense Report

Transcription

1 Name Sharon Lehr Title Chief Program Officer Operational Best Practices Edmonton Expenses submitted during the month of September 208 AHS Board and Executive Expense Report MMM-YY Travel () Source Document Purpose Airfare Meals Accommodation Other Travel Total Travel Professional Development (2) Working Sessions Hosting and Hospitality (3) Other (4) Sep-8 Expense Claim Meetings ,572 Sep-8 Direct Billing Meetings,23,23 Total $,23 $ - $ 82 $ 760 $ 2,695 $ - $ - $ - Total for the Month $ 2,695 Maximum daily single meal expense claimed in the month $ - Maximum daily base hotel rate claimed in the month $ 59 Non economy air travel in the month $ - ) Travel expenses Includes local and out of province/country travel expenses. Other travel includes items such as taxis, parking mileage, car rental and other expenses related to travel. 2) Professional Development Includes conference, seminar and course registration fees and material 3) Hosting and Hospitality expenses Hospitality and Hosting expenses may be incurred to advance AHS' mission, vision and values. For example, may include working lunches with staff and prospective employees meetings with government officials, dignitaries, public interest groups, donors other public or private organizations. 4) Other Other expenses include expenses incurred in the normal course of business that are required for work purposes. May include small item technology purchases, books, etc. 5) Remuneration, Allowances Reported in the Financial Statements Car allowance, honoraria, meeting fees, and any other employment benefits reported in the annual financial statements are excluded from this report.

2 AHS Public Disclosure Expense Claims Claimant Name LEHR, SHARON Claimant Title Chief Program Officer, Operational Best Practices Claimant Expense Claim Total Edmonton $,572. Expense Date Business reason Expense Expense Type Amount From To Justification 9/0/208 Meeting - OBP Phase IV presentation to AB - Other Parking - Lot or $ 7.50 Parking at MHRH for OBP Phase IV Medicine Hat Regional Hospital s Parkade Meeting. 9/0/208 Meeting - OBP Phase IV Presentation Mileage-Other $ Calgary, Medicine Mileage from Southport to Medicine Hat Southport Hat Regional Hospital to present on OBP Regional Phase IV. Hospital 9/0/208 Meeting - OBP Phase IV presentation to AB - Other Accommodations $ One night accommodation in Lethbridge Chinook Regional Hospital s to present OBP Phase IV to Chinook Regional Hospital # of days # of Attendees Attendee Name(s) 296 9/0/208 Meeting - OBP Phase IV presentaton to Chinook Regional Hospital Mileage-Other $ Medicine Hat Regional Hospital Chinook Regional Hospital Mileage from Medicine Hat Regional Hospital to Chinook Regional Hospital to present on OBP Phase IV 70 9/3/208 Meeting - OBP Education Sessions -Covenant Health Rural Team AB - North Parking - Lot or Parkade $ Parking at YYC: OBP Education Sessions in Edmonton 9/3/208 Meeting - OBP Education Sessions - Covenant AB - North Taxi $ YEG SSP Taxi from YEG to SSP: OBP Education Health Rural Team Sessions (flight from YYC to YEG) 9/3/208 Meeting - OBP Education Sessions - Covenant AB - Other Taxi $ SSP YEG Taxi SSP to YEG: OBP Education Sessions Health Rural Team s (Flight to Calgary) 9/4/208 Meeting - OBP Overview at South Health Campus AB - Local Parking - Lot or Parkade $ 4.25 Parking at South Health Campus: OBP Overview Meeting 9/6/208 Meetings in Edmonton OBP Phase IV presentations to RAH, UAH, Stollery, Addiction & Mental Health & Glenrose Hospital AB - North Accommodations $ Accommodations for two nights (Sept. 6 & 7): OBP Phase IV Site Visits in Edmonton with RHA, UAH, Stollery, A&MH & Glenrose Hospital. (Drove from Calgary to Edmonton on Sept. 6) 2 9/6/208 Meeting - OBP Phase IV presentation to RAH, Mileage-Other $ 7.70 Home Edmonton - Mileage from home to Edmonton for UAH, Stollery & Addiction & Mental Health Matrix Hotel OBP Phase IV presentations 340 Trip Distance

3 AHS Public Disclosure Expense Claims Claimant Name LEHR, SHARON Claimant Title Chief Program Officer, Operational Best Practices Claimant Expense Claim Total Edmonton $,572. Expense Date Business reason Expense Expense Type Amount From To Justification 9/8/208 Meeting -OBP Phase IV presentation at AB - North Parking - Lot or $ 4.25 Parking at Glenrose Hospital: - OBP Glenrose Hospital Parkade Presentation 9/9/208 Meeting - OBP Session at Rockyview General AB - Local Parking - Lot or $ 9.00 Parking at Rockyview General Hospital - Hospital Parkade OBP Education Session 9/20/208 Meeting - OBP Sessions in Grande Prairie AB - North Parking - Lot or $ Parking at YYC: OBP Data Review Parkade sessions -Queen Elizabeth II Hospital (Flight from Calgary to Grande Prairie) 9/20/208 Meeting - OBP Data Review Sessions - Queen AB - North Taxi $ Grande Queen Taxi from Grande Prairie Airport to QE Elizabeth II Hospital Prairie Elizabeth II Hospital (flight from Calgary to Grande Airport Hospital Prairie) 9/20/208 Meeting - OBP Data Overview Sessions - Queen Elizabeth II Hospital AB - North Taxi $ Queen Elizabeth II Hospital Grande Praire Airport 9/30/208 Meeting - OBP Workshops at UAH & Stollery AB - North Taxi $ YEG Airport Holiday Inn Express Downtown Taxi from QEII to Gr. Pr. Airport (Return flight to Calgary) Taxi from YEG to Holiday Inn Express Downtown for OBP workshops on Oct. st & 2nd, at UAH & Stollery (Provided own transportation from Calgary to Edmonton), (Return flight from Calgary to Edmonton Oct. 2) 9/30/208 Meeting - OBP Workshops at UAH & Stollery AB - North Accommodations $ Two nights accommodations for workshops at the UAH & Stollery Approver(s) for the claim Approval Status Approval Date GORDON, DEBORAH A Approve 8-Jan-9 # of days 2 # of Attendees Attendee Name(s) Trip Distance

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9 Expense Report Direct Bill Summary Purpose of This Form: The purpose of this form is to report expenses incurred on behalf of a designated Executive or an AHS Board Member and paid for by a third party vendor. The information will be used for public disclosure reporting. Expenses Paid Directly to Third Party Vendors: AHS may have established accounts with certain vendors used to book travel and other expenses that are billed directly to AHS. Examples include but are not limited to hotels, travel agencies, car rental agencies, conferences, courses and expenses reimbursed from a petty cash fund. It is mandatory to include in monthly reports these expenses that pertain to each member. AHS is required to disclose expenses for all applicable receipts and back up must be attached. Direct Bill Report Enter all items related to expenses incurred while conducting AHS business and paid for via a third party vendor (i.e. accommodations, airline tickets, car rentals, hosting events and working sessions) Enter all expenses pertaining to professional development such as conferences and courses, etc. Enter all expenses paid by AHS not mentioned above. Copies of invoices and other relevant back up must be attached, approvals for hosting events/working sessions that exceeds $600 must be provided. Information will be used for reporting purposes only. A personal cheque must be attached to cover expenses deemed ineligible. Indicate whether you have expenses to report in this section for this reporting period: YES Name : Sharon Lehr Reporting Period for the Month of : Sep-8 DD-MMM-YYYY Payment Method Category Description/Purpose of the Expense Name of Vendor Amount Paid 3-Sep-208 Direct Billing Airline Ticket Flight from Calgary to Edmonton and return to attend OBP Phase IV workshops at Covenant Health and Rural Health Services. Marlin Travel Sep-208 Direct Billing Airline Ticket Seat Selection for flight from Calgary to Edmonton and return to attend OBP Phase IV workshops at Covenant Health and Rural Health Services. Marlin Travel Sep-208 Direct Billing Airline Ticket Flight from Calgary to Grande Prairie and return to attend OBP Phase IV workshops at Queen Elizabeth II Hospital. Marlin Travel Direct Billing Choose from Drop-down List Choose from Drop-down List - Direct Billing Choose from Drop-down List Choose from Drop-down List - Total Paid in the Month $,23.27

10 Invoice ALBERTA HEALTH SERVICES ALBERTA HEALTH SERVICES STREET EDMONTON AB T5J 3E4 Trip #: Booking Date: 09 Sep 8 Client: Agent: Agents File Locator: PASSENGERS: MS SHARON LEHR REFERENCE/ DESCRIPTION FARE HST/GST PST OTHER TAXES PENALTY TOTAL AIR CANADA Ticket # AIR CANADA Ticket # $ $ CAD 23.0 CAD Total: CAD PAYMENTS Balance Due CAD Currency 0.00 CAD CORPORATE UNIT 0 REASON FOR TRAVEL OPERATIONAL BEST PRACTICE PHASE IV SITE VISITS Total GST 0.00 Total HST $0.00 *************************************************** AFTER HOURS EMERGENCY HELP DESK WITHIN CANADA OR UNITED STATES CALL OUTSIDE OF TOLL FREE AREA CALL COLLECT PLEASE QUOTE ACCESS CODE 2EC0 *************************************************** ***PLEASE REVIEW YOUR ITINERARY FOR ACCURACY*** PLEASE INFORM US WITHIN ONE BUSINESS DAY SHOULD YOU FIND ANY DISCREPANCIES. DEPENDING ON THE NATURE OF THE DISCREPANCY COSTS ASSOCIATED WITH MAKING CORRECTIONS MAY BE YOUR RESPONSIBILITY AIR CANADA RULES TICKET IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO FLIGHT TIME CHANGE FEES PLUS ANY FARE INCREASE WILL APPLY 24HOURS IN ADVANCE GO TO TO CHECK IN AND PRINT YOUR BOARDING PASS. v4 GOVERNMENT CENTRE MAIN FLOOR, TH ST, EDMONTON, AB T5KG8 Tél.: Page of 2

11 ALBERTA HEALTH SERVICES ALBERTA HEALTH SERVICES STREET EDMONTON AB T5J 3E4 Trip #: Booking Date: 09 Sep 8 Client: Agent: Agents File Locator: MY ITINERARY Passengers SHARON LEHR Citizenship Not Specified Required Travel Documents Not Specified All passengers need to ensure that correct documentation requirements are met for entry to the applicable destinations as well as for their return to Canada AIR Passengers: SHARON LEHR Booking Date: File Locator/Ticket #: 07 Sep 8 Airline Flight From Terminal To Class/Seat Stops AIR CANADA 0830 CALGARY INTL EDMONTON INTL Q/ 3 Sep 8 7:00AM 3 Sep 8 7:50AM AIR CANADA 0853 EDMONTON INTL CALGARY INTL Q/ 3 Sep 8 6:00PM 3 Sep 8 6:53PM v4 GOVERNMENT CENTRE MAIN FLOOR, TH ST, EDMONTON, AB T5KG8 Tél.: Page 2 of 2

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