official administrator and executive expense report

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Name Dr. Rollie Nichol Title ACMO, Medical Leadership, Workforce & Medical Affairs Location Calgary Expenses submitted during the month of August 2015 Month-Year Source Document Purpose Airfare Meals Accommodation Other Travel Total Travel Professional Development (2) Working Sessions Hosting and Hospitality (3) Other (4) Aug-15 Expense Claim Meetings 97 154 251 Aug-15 Direct Billing Meetings 749 749 Total 749 $ 97 $ - $ 154 $ 1,000 $ - $ - $ - $ Total for the Month $ 1,000 Maximum daily single meal expense claimed in the month 21 $ Maximum daily base hotel rate claimed in the month - $ Non economy air travel in the month - $ 1) 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. Car allowance and any other employment benefits reported in the annual financial statements are excluded from this report Travel (1) Official Administrator and Executive Expense Report

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Page 1: Official Administrator and Executive Expense Report

Name Dr. Rollie Nichol

Title ACMO, Medical Leadership, Workforce & Medical Affairs

Location Calgary

Expenses submitted during the month of August 2015

Month-Year

Source

Document Purpose Airfare Meals Accommodation

Other

Travel

Total

Travel

Professional

Development

(2)

Working

Sessions

Hosting and

Hospitality

(3)

Other

(4)

Aug-15 Expense Claim Meetings 97 154 251

Aug-15 Direct Billing Meetings 749 749

Total 749$ 97$ -$ 154$ 1,000$ -$ -$ -$

Total for

the Month $ 1,000

Maximum daily single meal expense claimed in the month 21$

Maximum daily base hotel rate claimed in the month -$

Non economy air travel in the month -$

1) 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.

Car allowance and any other employment benefits reported in the annual financial statements are excluded from this report

Travel (1)

Official Administrator and Executive Expense Report

Page 2: Official Administrator and Executive Expense Report

                                                                         AHS Public Disclosure Expense Claims

Claimant Name Claimant Title Claimant

Location

Expense

Claim Total

NICHOL, ROWLAND ACMO, Medical

Leadership,

Workforce &

Medical Affairs Calgary

183.69

Expense Date Business reason Expense

Location

Expense

Type

Amount From

Location

To 

Location

Justification # of days # of

Attendees

Attendee

Name(s)

Trip Distance

7/30/2015 Attend hearing in

Grande Prairie

July 30

AB - Other

Zones

Parking 39.85 Attend hearing in

Grande Prairie July

30

1

7/30/2015 Attend hearing in

Grande Prairie

July 30

AB - Other

Zones

Taxi 5.00 Attend hearing in

Grande Prairie July

30

1

7/30/2015 Breakfast meeting

before hearing

July 30

AB - Other

Zones

Meals -

Breakfast

43.59 Attend hearing in

Grande Prairie July

30

1 3 Jonathan

Carlzon, Brent

Windwick,

Rollie Nichol

7/29/2015 Attend hearing in

Grande Prairie

July 30

AB - Other

Zones

Taxi 27.00 Attend hearing in

Grande Prairie July

30

1

7/30/2015 Attend hearing in

Grande Prairie

July 30

Mileage 15.15 Residence YYC

return

Attend hearing in

Grande Prairie July

30

1 30

7/29/2015 Attend hearing in

Grande Prairie

July 30

Meals Per

Diem

53.10 Attend hearing in

Grande Prairie July

30

Meals Per Diem-

July 29 -Dinner

July 30-Lunch &

Dinner

2

Approval Date

12-Aug-15

Approver(s) for the claim Approval Status

YIU, VERNA Approve

Page 3: Official Administrator and Executive Expense Report
Page 4: Official Administrator and Executive Expense Report

                                                                         AHS Public Disclosure Expense ClaimsClaimant Name Claimant Title Claimant

Location

Expense

Claim Total

NICHOL, ROWLAND ACMO, Medical

Leadership,

Workforce &

Medical Affairs Calgary

67.08

Expense Date Business reason Expense

Location

Expense

Type

Amount From

Location

To  Location Justification # of days # of

Attendees

Attendee

Name(s)

Trip Distance

7/21/2015 Meeting Red Deer

Regional Hospital re

ARP

AB - Other

Zones

Fuel 21.11 Meeting Red Deer

Regional Hospital re:

ARP

1

7/21/2015 Mtg Red Deer

Hospital re ARP

AB - Other

Zones

Car Rental 45.97 Meeting Red Deer

Regional Hospital re:

ARP

1

Approval

Date

27-Jul-15

Approver(s) for the claim Approval Status

YIU, VERNA Approve

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