AHS Board and Executive Expense Report

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1 Name Gregory Cummings Title Chief Officer, North Location Westlock Expenses submitted during the month of April 2018 AHS Board and Executive Expense Report MMM-YY Travel (1) Source Document Purpose Airfare Meals Accommodation Other Travel Total Travel Professional Development (2) Working Sessions Hosting and Hospitality (3) Other (4) Apr-18 P-Card Meetings 2, ,782 Apr-18 Expense Claim Meetings Apr-18 Direct Billing Meetings Total $ 754 $ 664 $ 2,236 $ 714 $ 4,368 $ - $ - $ - Total for the Month $ 4,368 Maximum daily single meal expense claimed in the month $ 24 Maximum daily base hotel rate claimed in the month $ 150 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. 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 P-Card Claimant Name Claimant Title Claimant Location Expense Claim Total CUMMINGS, GREGORY Chief Officer, North Westlock $ 2, Expense Date Business reason Expense Location Expense Type Amount From Location To Location Justification # of days 3/19/2018 Whitecourt UNA Meeting AB - North Accommodations $ Whitecourt UNA Meeting 1 # of Attendees Attendee Name(s) Trip Distance 3/20/2018 Senior Leaders Meeting in Calgary AB - Other Accommodations $ Senior Leaders Meeting in Calgary 1 s 3/21/2018 Grande Prairie LSA AB - North Parking - Lot or $ 7.50 Grande Prairie LSA 1 Parkade 3/21/2018 Grande Prairie Long Service Awards AB - North Accommodations $ Grande Prairie Long Service Awards 1 3/21/2018 Senior Leaders Mtg and Grande Prairie LSA AB - Other Parking - Lot or $ Senior Leaders Mtg and Grande Prairie s Parkade LSA 3/21/2018 de Grande Prairie Long Service Awards AB - North Fuel $ 2.56 de Grande Prairie Long Service Awards 1 3/22/2018 Peace River PRC Meeting AB - Other Accommodations $ Peace River PRC Meeting 1 s 3/22/2018 Peace River PRC Meeting AB - Other Parking - Lot or $ Peace River PRC Meeting 1 s Parkade 3/26/2018 Grande Prairie ED Interviews AB - North Parking - Lot or $ 7.50 Grande Prairie ED Interviews 1 Parkade 3/26/2018 Fuel for rental car - Grande Prairie ED AB - North Fuel $ 5.57 Fuel for rental car - Grande Prairie ED Interviews Interviews 3/26/2018 Grande Prairie ED Interviews AB - North Accommodations $ Grande Prairie ED Interviews 1 3/26/2018 Grande Prairie ED Interviews AB - Other Parking - Lot or $ Grande Prairie ED Interviews 1 s Parkade 3/28/2018 Mental Health First Aid AB - North Parking - Lot or $ 7.50 Mental Health First Aid 1 Parkade 3/29/2018 Fuel for rental car - Mental Health First Aid AB - North Fuel $ 3.17 Fuel for rental car - Mental Health First Aid 3/29/2018 Mental Health First Aid AB - North Accommodations $ Mental Health First Aid 2 3/29/2018 Mental Health First Aid AB - Other Parking - Lot or $ Mental Health First Aid 1 s Parkade 4/2/2018 ECC Workshop AB - North Taxi $ Airport Hotel ECC Workshop

3 AHS Public Disclosure P-Card Claimant Name Claimant Title Claimant Location Expense Claim Total CUMMINGS, GREGORY Chief Officer, North Westlock $ 2, Expense Date Business reason Expense Location Expense Type Amount From Location To Location Justification # of days 4/2/2018 Hinton HCC Opening (former GSS) AB - North Accommodations $ Hinton HCC Opening (former GSS) 1 4/3/2018 ECC Workshop AB - North Taxi $ NLRHC Airport ECC Workshop 1 4/3/2018 ECC Workshop in Fort McMurray AB - Other Parking - Lot or $ ECC Workshop in Fort McMurray 1 s Parkade 4/4/2018 Edson Clinic Tour and Engagement Session AB - North Accommodations $ Edson Clinic Tour and Engagement Session 4/4/2018 Wood Buffalo HAC Open House AB - Other Taxi $ Airport Hotel Wood Buffalo HAC Open House 1 s 4/4/2018 ECC Workshop in Fort McMurray AB - North Accommodations $ ECC Workshop in Fort McMurray 1 4/6/2018 Wood Buffalo HAC Open House AB - North Taxi $ NLRHC Airport Wood Buffalo HAC Open House 1 4/6/2018 Wood Buffalo HAC Open House AB - Other Parking - Lot or $ Wood Buffalo HAC Open House 1 s Parkade 4/7/2018 Wood Buffalo HAC Open House AB - North Accommodations $ Wood Buffalo HAC Open House 2 4/10/2018 ELT Meeting in Edmonton AB - Other Accommodations $ ELT Meeting in Edmonton 1 s 4/10/2018 ELT Meeting in Edmonton AB - Other Parking - Lot or $ ELT Meeting in Edmonton 1 s Parkade 4/11/2018 Connect Care in Calgary AB - Other Parking - Lot or $ 9.45 Connect Care in Calgary 1 s Parkade 4/11/2018 Connect Care in Calgary AB - Other Accommodations $ Connect Care in Calgary 1 s 4/12/2018 Connect Care in Calgary AB - Other Accommodations $ Connect Care in Calgary 1 s 4/12/2018 Connect Care in Calgary AB - Other Parking - Lot or $ Connect Care in Calgary 1 s Parkade Approver(s) for the claim Approval Status Approval Date 1 # of Attendees Attendee Name(s) Trip Distance GORDON, DEBORAH A Approve 1-May-18

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8 Parking $16.00 Accommodations $161.67

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21 Parking $15.00 Accommodations $161.67

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24 AHS Public Disclosure Expense Claims Claimant Name CUMMINGS, GREGORY Expense Date Claimant Title Chief Officer, North Business reason Claimant Location Expense Claim Total Westlock $ Expense Location Expense Type Amount From Location To Location Justification # of days 3/18/2018 Whitecourt UNA Meetng AB - North Meals Per Diem $ Dinner $ /19/2018 Whitecourt UNA Meeting & travel for SLT AB - Other s Meals Per Diem $ Bfast $10.50 Lunch $13.00 Dinner $ /20/2018 Senior Leaders Meeting in Calgar AB - Other Meals Per Diem $ Dinner $ s 3/21/2018 Grande Prairie Long Service Awards AB - North Meals Per Diem $ Bfast $10.50 Lunch $13.00 Dinner $ /22/2018 Peace River PRC & Seniors Audit Planning AB - Other Meals Per Diem $ Bfast $ Day s Dinner $ /25/2018 Travel to Grande Prairie for Interviews AB - North Meals Per Diem $ Dinner $ /26/2018 ED Interviews in Grande Prairie AB - North Meals Per Diem $ Bfast $10.50 Lunch $13.00 Dinner $ # of Attendees Attendee Name(s) Trip Distance 4/1/2018 Travel to Hinton for opening of GSS as AB - North Meals Per Diem $ Dinner $ AHS. 4/2/2018 Hinton CCC and Travel to Fort mcmurray AB - North Meals Per Diem $ Bfast $10.50 Lunch $13.00 Dinner $ /3/2018 ECC Workshop in Fort mcmurray AB - North Meals Per Diem $ Bfast $10.50 Lunch $13.00 Dinner $ /4/2018 Travel to Edson for Clinic Tour and AB - North Meals Per Diem $ Bfast $10.50 Engagement Lunch $13.00 Dinner $

25 AHS Public Disclosure Expense Claims Claimant Name CUMMINGS, GREGORY Expense Date Claimant Title Chief Officer, North Business reason Claimant Location Expense Claim Total Westlock $ Expense Location Expense Type Amount From Location To Location Justification # of days 4/5/2018 Wood Buffalo HAC Open House AB - North Meals Per Diem $ Bfast $10.50 Lunch $13.00 Dinner $ # of Attendees Attendee Name(s) Trip Distance 4/6/2018 Fort McMurray AB - North Meals Per Diem $ Bfast $10.50 Lunch $13.00 Dinner $ /9/2018 Travel for ELT Meeting AB - Other Meals Per Diem $ Dinner $ s 4/10/2018 ELT and travel to Calgary AB - Other Meals Per Diem $ Bfast $10.50 s Lunch $13.00 Dinner $ /11/2018 Connect Care in Calgary AB - Other Meals Per Diem $ Bfast $10.50 s Dinner $ /12/2018 Connect Care & Redwater Staff Meeting AB - Other Meals Per Diem $ Bfast $10.50 s Lunch $13.00 Dinner $24.00 Approver(s) for the claim Approval Status Approval Date 1 1 GORDON, DEBORAH A Approve 1-May-18

26 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 : Gregory Cummings Reporting Period for the Month of : Apr-18 DD-MMM-YYYY Payment Method Category Description/Purpose of the Expense Name of Vendor Amount Paid 27-Mar-2018 Direct Billing Car Rental Travel to Grande Prairie to conduct Executive Director Interviews Other Mar-2018 Direct Billing Airline Ticket Travel to Fort McMurray for ECC Workshop (Air Canada Ticket # Marlin Travel Apr-2018 Direct Billing Airline Ticket Travel to Calgary for Connect Care (Air Canada Ticket # Marlin Travel Apr-2018 Direct Billing Car Rental Connect Care in Calgary Other Other Total Paid in the Month $

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28 Invoice ALBERTA HEALTH SERVICES ALBERTA HEALTH SERVICES STREET EDMONTON AB T5J 3E4 Trip #: Booking Date: Client: Agent: Agent Phone: File Locator: 16 Mar 18 PASSENGERS: MR GREGORY CUMMINGS REFERENCE/ DESCRIPTION FARE HST/GST PST OTHER TAXES PENALTY TOTAL AIR CANADA Ticket # $ CAD Total: CAD PAYMENTS Balance Due CAD Currency 0.00 CAD CORPORATE UNIT 101 BOOKING METHOD NUTRAVEL REASON FOR TRAVEL ECC WORKSHOP IN FORT MCMURRAY 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 v14 GOVERNMENT CENTRE MAIN FLOOR, TH ST, EDMONTON, AB T5K1G8 Tél.: Page 1 of 2

29 ALBERTA HEALTH SERVICES ALBERTA HEALTH SERVICES STREET EDMONTON AB T5J 3E4 Trip #: Booking Date: Client: Agent: Agent Phone: File Locator: 16 Mar 18 MY ITINERARY Passengers GREGORY CUMMINGS 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: GREGORY CUMMINGS Booking Date: File Locator/Ticket #: 16 Mar 18 Airline Flight From Terminal To Class/Seat Stops AIR CANADA EDMONTON INTL FT. MCMURRAY G/ 02 Apr 18 6:35PM 02 Apr 18 7:46PM AIR Passengers: GREGORY CUMMINGS Booking Date: File Locator/Ticket #: 16 Mar 18 Airline Flight From Terminal To Class/Seat Stops AIR CANADA FT. MCMURRAY EDMONTON INTL S/ 03 Apr 18 2:05PM 03 Apr 18 3:19PM v14 GOVERNMENT CENTRE MAIN FLOOR, TH ST, EDMONTON, AB T5K1G8 Tél.: Page 2 of 2

30 Invoice ALBERTA HEALTH SERVICES ALBERTA HEALTH SERVICES STREET EDMONTON AB T5J 3E4 Trip #: Booking Date: Client: Agent: File Locator: 03 Apr 18 PASSENGERS: MR GREGORY CUMMINGS REFERENCE/ DESCRIPTION FARE HST/GST PST OTHER TAXES PENALTY TOTAL AIR CANADA Ticket # $ CAD Total: CAD PAYMENTS Balance Due CAD Currency 0.00 CAD CORPORATE UNIT 101 BOOKING METHOD NUTRAVEL REASON FOR TRAVEL CONNECT CARE 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 v14 GOVERNMENT CENTRE MAIN FLOOR, TH ST, EDMONTON, AB T5K1G8 Tél.: Page 1 of 2

31 ALBERTA HEALTH SERVICES ALBERTA HEALTH SERVICES STREET EDMONTON AB T5J 3E4 Trip #: Booking Date: Client: Agent: File Locator: 03 Apr 18 MY ITINERARY Passengers GREGORY CUMMINGS 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: GREGORY CUMMINGS Booking Date: File Locator/Ticket #: 03 Apr 18 Airline Flight From Terminal To Class/Seat Stops AIR CANADA EDMONTON INTL CALGARY INTL V/ 10 Apr 18 4:45PM 10 Apr 18 5:37PM AIR CANADA CALGARY INTL EDMONTON INTL V/ 12 Apr 18 10:45AM 12 Apr 18 11:39AM v14 GOVERNMENT CENTRE MAIN FLOOR, TH ST, EDMONTON, AB T5K1G8 Tél.: Page 2 of 2

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