Skip to main content

Funding Arrangements

​​​​​​​​​​​​​​​​​​​​​​​​All FNHA Contribution Agreement Reports can be sent to: FNHA.Reports@fnha.ca

​​​

Summary of Improvements to Contrib​ution Agreements​​

Who do I contact for my Contribution Agreement?​​​

Communities/​Organizations​

Approach to Upstream Investments​

Summary of Rep​orting Requirements​

Funding Arrangements Advisory Team​

FAQ's​

Funding Model Comparison​

Community Based Reporting Templates​​



FNHA-Summary-Of-Improvements-To-Contribution-Agreements.jpg 

Who do I contact for my Contribution Agreement?

Attached is an updated listing of community assignments with the funding arrangement advisors and their contact information.

Below is a brief summary of the changes in the realignment:
Staff contacts and the communities they serve are shown below. Click on the staff member’s name to email them.

Michael Rupisan
*also responsible for AHSOR stand-alone agreements
Billie-Jean MetzLana LeonDawn Lee​
​*also responsible for Treatment Centre agreements and IRS stand-alone agreements

North

Carrier Sekani Family Services*

Dease River First Nation

Gitanmaax Band

Gitanyow Human Services

Gitga'at First Nation

Gitsegukla Indian Band

Gitwangak Band

Gitxaala Nation

Gitxsan Health Society*

Hagwilget Village Council

Haisla Nation

Iskut First Nation

Kitselas Band Council

Kitsumkalum Indian Band

Lake Babine Nation*

Lax Kw'alaams Indian Band

Lheidli T'enneh Band

Liard First Nation

Metlakatla First Nation

Moricetown Band Council

Nazko First Nation

Nak'azdli Indian Band*

Old Massett Village Council*

Prince Rupert Aboriginal Community Services Society

Skidegate First Nation

Tahltan Band Council

Taku River Tlingit First Nations

Tl'azt'en Nation

Vancouver Island

Campbell River Band**

Cape Mudge Band**

Cowichan Indian Band*

Gwa'Sala-'Nakwaxda'Xw Nation

H'ulh-etun Health Society*

Homalco First Nation**

Inter-Tribal Health Authority*

Klahoose First Nation

Kwakiutl First Nation

Kwakiutl District Council Society*

Namgis First Nation*

Nuu Chah Nulth Tribal Council

Ka:'yu:'k't'h'/Che:k:ties7et'h' First Nation ( Kyuquot)**

Pacheedaht First Nation

Pauquachin First Nation

Penelakut Tribe**

Qualicum First Nation

Quatsino First Nation

Songhees First Nation

Snuneymuxw First Nation*

Stz'uminus First Nation*

Tsawout First Nation*

Tlatlasikwala First Nation

Tsartlip First Nation

Interior

?Akisq/nuk First Nation**

?Esdilagh First Nation

Adams Lake Indian Band*

Alexis Creek First Nation

Ashcroft Indian Band

Bonaparte Indian Band

Bridge River Band

Canim Lake Band

Cayoose Creek Band

Esk'etemc First Nation

Heskw'en'scutxe Health Services Society

Kanaka Bar Indian Band

Ktunaxa Nation Council Society

Lhtako Dene Nation

Lhoosk'uz Dene Government

Lillooet Tribal Counc​il

Little Shuswap Indian Band

Lower Kootenay Band**

Lower Nicola Indian Band

Lower Similkameen Band

Lytton First Nation

Neskonlith Indian Band

Okanagan Indian Band

Osoyoos Indian Band

Penticton Indian Band

Q'Wemtsi'n Health Society

Scw'exmx Community Health Services Society*

Seton Lake Band

Shuswap Band

Simpcw First Nation*

Splatsin First Nation

Skeetchestn Indian Band

Skeesht​ Health Society

Skuppah First Nation

ʔaq'am First Nation**

Three Corners Health Services Society*

T'it'q'et Administration

Tl'etinqox-t'in Government

Tobacco Plains Band**

Toosey Indian Band

Ts'ilhqot'in  National Government

Ts'kw'aylaxw First Nation

Ulkatcho Indian Band 

Upper Nicola Band*

Upper Similk​ameen Band

Westbank First Nation

Xaxli'p Band

Xeni Gwet'in First Nation Government

Yunesit'in Government

Vancouver Coastal

Douglas First Nation**

Heiltsuk Indian Band*

Kitasoo Band Council

Mount Currie Band

Musqueam Indian Band

N'Quata Qua First Nation** (Anderson Lk)

Nuxalk Nation

Oweekeno Band

Samahquam First Nation**

Sechelt First Nation

Southern Stl'atl'lmx Health Society

Squamish First Nation

Tla'amin First Nation*

Tsleil-Waututh Nation


 

 

 

 

 

 

 

 

Fraser

Cheam Indian Band

Fraser Thompson Indian Services Society

Katzie First Nation

Kwantlen First Nation

Kwikwetlem First Nation

Peters First Nation

Seabird Island Band*

Semiahmoo First Nation

Skwah First Nation

Soowahlie Indian Band

Sto:Lo Nation

Sts'ailes Indian Band*

Tsawwassen Band

Yale First Nation

North

Blueberry River First Nations

Doig River First Nation

Fort Nelson First Nation

Halfway River First Nation

Kwadacha Indian Band

McLeod Lake Indian Band

Prophet River First Nation

Saulteau First Nation

Treaty 8 Tribal Association

Tsay Keh Dene Nation

West Moberly First Nation​

 

 

 

 

 

 

 

 


*Communities / Organizations engaged in and/or maintaining accreditation of services

**Communities with stand-alone health funding arrangements

Regional Breakdown (Source): based on the document titled: Regional Profiles of First Nation Communities, FNHC

FNHA acknowledges community working relationships and collaborations across regional jurisdictions and partnerships

Green = SET Funding Ar​rangeme​nt

Blue = Transitional/Flexible Funding Arrangement

Orange = Block Funding Arrangement​​

Approach to Upstream Investments​ (March 31, 2016)

The FNHA has recently received inquiries about funding for 2016/2017 associated with the following programs:


• Aboriginal Diabetes Initiative;

• National Aboriginal Youth Suicide Prevention Strategy; and,

• Maternal and Child Health Program. ​


These programs were developed as part of a national effort targeted at 'upstream investments'  and were originally scheduled to sunset across the country at the end of this fiscal year. This funding was protected in BC through negotiation of the British Columbia Tripartite Framework Agreement on First Nations Health Governance .

The funding provided to BC communities for these three programs has a total value of $9.6 million annually. The programs were originally established through proposal-driven processes, and resulted in inequities in funding across regions and between larger organizations and more remote communities. These inequities conflict with the instructions from leadership to "leave no community behind."

As a result, and as per the FNHA Summary Service Plan, we will be reviewing the approach to the $9.6 million upstream investment in the coming year. Health Funding Agreements for these programs had an end date of March 31, 2015; however, the FNHA extended these programs in their current form for one more year through to March 31, 2016. We hope to have a renewed approach to these programs for the 2016/17 fiscal year.

It is important to note that the review will not result in a reduction in funding for communities with existing programs.

The intention of the review and renewal process is to bring a strong 'upstream'  and wellness-focused approach to this upstream investment funding. The review will consider options to support increased equity across communities and regions, and will support greater value for investment by examining current program strengths and emerging best practices. Finally, the review will consider opportunities to introduce more flexibility in the use of these funds to better support community and regional priorities and to ensure sustainability of programs.

Communities will be invited to participate in this renewal process by identifying gaps in programming, best practices and key successes. Maternal and early childhood development, mental wellness and chronic disease prevention are priority health issues for BC First Nations, and as your wellness partner, FNHA looks forward to working with you to transform these important programs.

If you have further questions, please contact Diana Clarke, Director – Funding Arrangements at 604-693-6812 or Diana.Clarke@fnha.ca .

Communique - Approach to Upstream Investments - March 31, 2015 (PDF 163 KB)

Changes to funding agreements

Through engagement sessions with health directors, we have heard that reporting requirements for communities are significant and at times onerous. We are also hearing that the pace of change for communities has increased considerably, and that a degree of predictability and familiarity will make this change more comfortable for health providers and partners.

This year we made some incremental and administrative changes to funding agreements, while maintaining many elements familiar to health directors. We recognize that significant changes are needed in the areas of reporting and contribution agreements in the long term, and we are committed to implementing necessary changes in a steady, sustainable pace.

Funding increase for 2016/2017

A 5.5% escalator will be applied to all First Nation Health Service Organization agreements for eligible programs. We would encourage communities to address areas of challenge or priority as part of plans for this year. This increase is reflected in an April 1, 2016 amendment letter to First Nations agreement holders.

Making contribution agreements more flexible

Increasing flexibility for contribution agreements was identified as a priority during Health Director Engagements in 2014. This spring, FNHA will introduce new terms enabling communities and service providers with set funding to request approval to carry over funds to the next fiscal year (IRS funding remains an exception to this change). In addition, communities will have the opportunity to carry over First Nations Health Benefits funding for the duration of the funding agreement with the written approval of FNHA. This is an interim step towards improving contribution agreements. These new carry-over terms are BC-specific and may not occur in other regions of Canada.

New planning and reporting templates to formalize this change and support communities in retaining any unspent funds will be shared with First Nations agreement holders in an updated reporting package that will be made available in April 2016.  


​​ ​​

​Summary of Reporting Requirements - Block and Flexible Agreements

​Funding​

Financial Reporting

Program Reporting

For all levels of funding:

An Annual Audit report due July 29th [no later than one hundred and twenty (120) calendar days after the end of each Fiscal Year].

 

Annual Audit report

Apr-Mar due Jul 29th

BLOCK:

An annual report to the FNHA and Recipient Members within one hundred and twenty (120) calendar days of the end of each Fiscal Year. The annual report, based on the Health Plan, will incorporate the Community Based Reporting Template and/or as per any Schedule. 

An evaluation report every 5 years.

Report on Mandatory Programs.

FLEXIBLE:

An annual report to the FNHA within one hundred and twenty (120) calendar days of the end of each Fiscal Year as per the Community Based Reporting Template and/or as per any Schedule. 

Set Funding:

In addition to the Annual Audit report, one interim financial report.

 

Interim report

Apr-Sep due Nov 15th

As above.
First Nations Health Benefits:

In addition to the Annual Audit report, two interim financial reports.

 

1st report

Apr-Aug due Oct 15th

 

2nd report

Sept-Nov due Jan 15th​

In addition to the annual report, two interim program activity reports as per Reporting Requirements Guide

 

1st report

Apr-Aug due Oct 15th

 

2nd report

Sept-Nov due Jan 15th

Indian Residential Schools Resolution Health Support Program:

In addition to the Annual Audit report, one interim financial report.

 

Interim report

Apr-Sep due Nov 15th

Four program activity reports as per Reporting Requirements Guide

 

1st report

Apr-Jun due Aug 15th

2nd report

Jul-Sep due Nov 15th

3rd report

Oct-Dec due Feb 15th

4th report

Jan-Mar due Jul 29th


Summary of Reporting Requirements - Set Agreements​

Funding

 

Financial Reporting 

Program Reporting

​ 

Set Funding:

One interim financial report & one year end financial report.

Interim report

Apr-Sep due Nov 15th


Year-end report

Apr-Mar due Jul 29th

An annual report within one hundred and twenty (120) calendar days of the end of each Fiscal Year as per the Community-Based Reporting Template and/or as per any Schedule.
First Nations Health Benefits:

In addition to the year-end financial report, two interim financial reports.

1st report

Apr-Aug due Oct 15th


2nd report

Sept-Nov due Jan 15th 

In addition to the annual report, two interim program activity reports as per Reporting Requirements Guide

1st report

Apr-Aug due Oct 15th


2nd report

Sept-Nov due Jan 15th

Indian Residential Schools Resolution Health Support Program:

One interim financial report & one year-end financial report.

 

Interim report

Apr-Sep due Nov 15th

 

Year-end report

Apr-Mar due Jul 29th 

Four program activity reports as per Reporting Requirements Guide

 

1st report

Apr-Jun due Aug 15th


2nd report

Jul-Sep due Nov 15th


3rd report

Oct-Dec due Feb 15th


4th report

Jan-Mar due Jul 29th

​ 

Funding Arrangements Advisory Team

Community Health and Wellness Services

The Funding Arrangements Advisory Team is part of Community Health and Wellness Services.  This team works with community health directors and health leads to:

• Support Funding Arrangement Management;
• Provide support and coordination for Community Health Planning;
• Liaise with FNHA program specialists; and
•​ Initiate accreditation efforts to improve the quality and safety of community-based health services*

Funding Arrangements Advisory Team – Contact Information​

Office Address: 540 – 757 West Hastings Street, Vancouver, BC V6C 3E6​

NameOfficeMobileEmail
Funding Arrangements Advisory Team ​ ​ ​
Diana Clarke, Director604-693-6812778-877-7353 diana.clarke@fnha.ca
Michael Rupisan604-693-6767604-908-4802 michael.rupisan@fnha.ca
Billie-Jean Metz604-865-0249​n/a billiejean.metz@fnha.ca
Lana Leon604-693-6712604-220-3016 lana.leon​@fnha.ca
Dawn Lee​604-693-6736778-828-3490 dawn.lee@fnha.ca ​
​* Parm Poonia ​604-693-6748604-209-9229 ​parm.poonia@fnha.ca​


* For any inquiries regarding community based health and treatment services accreditation.


FAQ's

Q) The new agreements don't refer to Health Canada/First Nation Inuit Health Branch (FNIHB).

A) Now that novation has been completed, all references to Health Canada/FNIHB have been removed from the new Health Funding Agreements.

 

Q) Are we still required to complete the Community Based Reporting template (CBRT)?

A) FNHA has made some incremental improvements to  update the CBRT to make it more user-friendly and it remains as the primary annual program reporting requirement FNHA will distribute the template and updated Guide to communities in April to sup​port them in completing their 2015/16 reporting.  

 

Q) What are the changes to reporting?

A) Previous reporting schedules that used to be attached to each Health Funding Agreement have been rolled into the "FNHA Reporting Requirements Guide".  

FNHA-Reporting-Requirements-Guide.jpg

The annual reporting date for ALL agreement types is now July 29.

 

Q) Why is there only one year's cash flow in the agreement?

A) As an interim step to shortening and simplifying the agreements, current year cash flows are provided to provide an accurate financial picture at that moment in time. Each time an amendment is done throughout the year, a new cash flow will be provided.  Schedule 2 (Program Funding) will continue to show program budgets for the duration of your agreement. 

 

Q) Can we now Fax or email the signed agreements instead of mailing them?

A) Yes. The new agreements include the flexibility for agreements to be via fax or email in a PDF format.

 

Q) Where do I send my reports to?

A) FNHA has a reports inbox that is monitored and reports are then logged. Communities are asked to send their reports to this email address to ensure the reports are captured and not left in any staff's email: fnha.reports@fnha.ca.

 

Q) Who do I talk to if I want further information on the health funding arrangement renewal?

A) Please feel free to contact your Funding Arrangements Advisor if you have any questions or need  further clarification on your health funding agreement.​​

Funding Model Comparison​

FNHA Contribution Agreements have three funding models: Set, Flexible and Block.  A recipient's contribution agreement can accommodate one or more of these funding models. This feature allows contribution agreements to be structured to accommodate the financial and reporting requirements of different sub-activities. The models also provide built-in flexibility to address the unique levels of managerial capacity of a recipient, as well as changes in that capacity during the period of an agreement.

The three funding models vary in:

• The type of plan required;
• The extent of involvement of FNHA in program management and administration;
• Flexibility to move funding within and among Program Authorities 
​•​ Ability to use a surplus and/or to carry forward unspent funds from one fiscal year to the next;
• Duration of the contribution agreement; and
•​ Financial and activity reporting requirements ​

  • The funding models described above give progressively more flexibility and control coupled with an increasing level of accountability for the use of funds. The greater the flexibility, the greater the responsibilities in financial and program management. The options possible with the new funding models facilitate a recipient's path to increased local decision-making through self-administration and financial control over health programs and services.​
Requirements Set ​Flexible Block
PlanningRecipient follows multi-year Program Plan. This plan will include​:  objectives, activities that will be deliveredRecipient establishes Multi-Year Work Plan including a hea​lth management structure. This Plan will include a budgetary plan, key priorities, objectives and activities that will be delivered

Recipient establishes a Health Plan including a health management structure. The Health Plan will include key priorities, objectives, activities, mandatory health programs and other programs and services.

Recipient must deliver all FNHA programs and services including mandatory programs and service, professional and program advisory functions.

The ability to redesign non-mandatory programs.

Reallocation of FundsRecipient can only reallocate funds within the same Functional Areas within the same Function Group (with the exception of specifically identified programs), with written approval of FNHA within the fiscal year reporting period.Program objectives are better achieved by providing flexibility to redirect funding among any Functional Area Groups within the same Program Activity during a fiscal year, provided that Mandatory Programs are delivered in that fiscal year.Recipients can reallocate funds among any Program Activity during a fiscal year, provided that Mandatory Programs are delivered in that fiscal year (with the exception of specifically identified programs).​
Durationup to 3-5 years2 to 5 years5 to 10 years
Financial ReportingInterim and final (year end) financial reportsAnnual year end audit reportAnnual year end audit report ​

Annual Program Reporting

 

Annual Report based on performance indicatorsAnnual Report based on performance indicatorsAnnual Report to recipient's members based on annual reporting guide ​
Evaluation ReportNo Evaluation ReportNo Evaluation ReportEvaluation Report every 5 years ​

Surplus

 

Recipients, with the written approval of the FNHA, are be able to​ carry forward:
-Set program funding for reinvestment the following fiscal year within the same activity.
- FNHB programs funding for the duration of the funding agreement
 
Any unspent funding remaining at the expiry of the funding arrangement must be repaid to FNHA.
Recipient may carry forward surplus funding remaining at the end of each fiscal year to further achieve results toward the program objectives as identified in their Multi-Year Work Plan for the duration of the funding arrangement. Any unexpended funding remaining at the expiry of the funding arrangement may be retained for expenditure in subsequent Fiscal Years of the renewing Agreement, if any.Recipient may retain the unspent amount for reinvestment in priorities listed in the Health Plan, or as may otherwise be approved by the FNHA.
MUST ENSURE THE PROVISION OF ALL MANDATORY PROGRAMS ​ ​ ​ ​ ​​


For a detailed breakdown of functions and key contacts for FNHA Programs and Services download and read our FNHA Programs and Services Compendium​.



​​

Community-Based Reporting Templates

Skip Navigation LinksFNHA.ca>What We Do>Funding Arrangements

Stay up to date! Join our mailing list to get updates, news and events emailed to you.

Sign up

There was an error subscribing you. Please try again later.

You are now subscribed!