Local News
QDoc: a new venture that promises to change the way patients interact with doctors
By BERNIE BELLAN It was in May of this year when I read an article in the Winnipeg Free Press by business reporter Martin Cash which told of a new venture that was going to provide an entirely new way for people who needed to see a doctor for urgent care. The venture was known as QDoc and it was the brainchild of two members of our local Jewish community: Dave Berkowits and Dr. Norm Silver.
As Cash wrote at the time, “it is being designed as the Uber for medical clinics to help link local patients, especially the elderly, parents with young children and people in remote locations far from a hospital or medical centre easily and quickly — and at no cost — with local physicians using an innovative patent-pending technology.”
Fascinated as I was by Cash’s story – and subsequent stories in other news media, including on Global TV and CTV News, I thought it was early days and, rather than contact Silver and Berkowits immediately to write a story of my own, I would wait a few months to see how QDoc had evolved in that time.
Recently I sat down with Berkowits and Silver at their downtown Winnipeg office to find our more about how QDoc has progressed – and to try to obtain a better understanding of just who it is that QDoc is most likely to help.
As it was explained to me during the course of the lengthy conversation I had with Silver and Berkowits, QDoc is “designed for episodic care” – similar to what is available at the groundbreaking Minor Illness and Injury Clinic on Corydon, the concept for which both Silver and Berkowits helped develop.
I asked Berkowits and Silver to tell me about their respective backgrounds prior to becoming involved with QDoc.
Berkowits said that he’s long been involved “on the technical side. I’ve spent my whole career mostly in diagnostic imaging. Recently I spent 15 years commuting from Winnipeg to Calgary. This is very exciting because now it’s a chance to be at home – and a chance to work with Norm. Norm is very passionate about medical technology.”
Silver jumped in at that point to say that he had recently retired from his position as an emergency room paediatric physician – “as of July 1st,” he explained. “I really did only five or five shifts the past year,” he noted, as he’s been devoting his full time to developing QDoc.
Silver added that “Dave has loads of experience in technology, but a huge amount of his experience is medical related as well, and my area is medical, but I’m familiar with programming as well.”
I asked how long they’ve known each other?
“Many years,” Silver answered.
I asked how old they were?
Berkowits said he’s 60, while Silver said he’s 50, adding that “Dave looks younger while I look older.”
I asked whether Norm is the oldest of the three very well known Silver brothers (the other two being dermatologist Shane and financial planner Michael).
Silver said that he is – older than Shane by a year and a half, and six years older than Michael.
Dave Berkowits’s younger brother, by the way, is Rady JCC Executive Director Rob Berkowits. Dave Berkowits’s sister, Heather, is actually married to Norm Silver. There is also another sister in the Berkowits family: Heather. Dave is the oldest of the four Berkowits siblings, he said, with 10 years between him and Heather, who is the youngest of the four.
Silver noted that he and Berkowits have become especially close the past 10 years – often working out together at the Rady JCC, “where we try to solve the world’s medical technology problems.”
I wondered where the idea for QDoc came from?
Silver said that “one of us would come up with an idea – and we basically had no ego about these things – and one of us would say, ‘Here’s a great idea,’ and the other would say, ‘Yah, but maybe we should do it this way instead,’ and in the end we would come up with a way better idea than either one of us would have come up with on his own.”
It was just about a year ago that QDoc did what is known as a “soft launch”. Silver and Berkowits had received help from a variety of sources, of which key assistance came from something known as North Forge Technology Exchange. North Forge is an organization supported by a number of private businesses that provides support and advice for start-ups in the technology sector. QDoc began with $1 million in capital, all of which was raised in Manitoba. Both Silver and Berkowits poured a lot of their own money into the venture.
At that point I wanted to explore just how it is that QDoc works. Silver and Berkowits suggested that I actually go online and register on QDoc to see how easy it is to access their system.
Subsequently, I did that following my conversation with them. I went to the QDoc home page and filled out the information needed to register and complete a patient profile. It was simply a matter of giving some very basic data, including name, address, phone number, and medical numbers (both the 6 digit number and the 9 digit number that all Manitobans have).
Once that was completed there is an optional area in which you can give information about allergies, your family doctor’s name, and the name and address of a pharmacy to which you might want a prescription sent – if that is a result of your online visit with a doctor.
At that point you are asked to fill out information explaining why you would like to see a doctor. If you have pictures that might be useful to a doctor in understanding your situation, you are asked to upload them.
Then, you would click on a button that says “I am ready for the doctor.”
That’s where QDoc works like Uber, as Martin Cash noted in his May article. At any given time there are doctors available to speak with you. Given the information you’ve just provided, QDoc will determine which available doctor is best suited to respond to your query and, within minutes you should be contacted by a doctor.
Berkowits explained: “We look at things like geographic location. Then the doctors who are available will get text messages on their phone – and, just like Uber, the first one to answer the text will connect with you.”
Silver also noted that “95% of the patients who contact QDoc have been ‘self-triaging’” and have had experience explaining their symptoms when they’ve presented in person either to a doctor’s office, an urgent care centre, or an emergency room.
During the course of our conversation though, several times Silver and Berkowits remarked upon the fact that, as QDoc has grown rapidly in terms of the number of patient visits, it’s become apparent that the vast majority of users are rural based – upwards of 75% at the present time, Silver said.
“In the rural areas, it’s hard to see a doctor,” he noted. And, although there has been quite a bit of publicity about QDoc in media, as I noted at the outset, it’s been primarily through word of mouth that people have become aware of QDoc.
Others “have said their pharmacists told them about QDoc,” Silver added. “Or someone else might have called a quick care clinic, but were told they couldn’t be seen and were suggested to try QDoc instead. Health Links has recommended us. So have emergency rooms.”
Looking back to his own education in medical school, which was over 25 years ago, Silver said that, long before “virtual care” became a reality (and which really came into its own as a result of Covid), “70-90% of diagnoses were shown to be able to be made by history alone; that’s without seeing the patient. When you look at adding video and talking to the patient, we know from our own metrics that 95% of diagnoses can be done without having to touch the patient.”
He added that studies in BC and Ontario have shown that when people were asked what they thought of virtual care, “98% thought it was as good as, if not better than in-person care.”
I was curious though, as to what the doctors who were standing by to receive texts from QDoc would be doing when they’re not actually working with QDoc.
“They all have other jobs,” Silver explained. “I’d say 80% of them are emergency physicians – because they do shift work.”
I wondered how many QDoc visits require referrals to other doctors? (In the Free Press article, Martin Cash told the story of a woman who contacted QDoc when her seven-year-old son was hit with a baseball bat. The doctor who responded to her query arranged for her son to see an ear, nose, and throat specialist the next day.)
But, as Silver explained, that would have been the exception rather than the rule when it comes to consultations with a doctor on QDoc, saying that “95% of our patients are taken care of without any other help” needed from any other doctors.
Also, since those first reports of QDoc in various media appeared in May, QDoc has been able to assemble quite a bit more information about how the program is being utilized. For one, there’s been a monthly volume increase of 70% month over month each of the past four months. (There were 144 visits to QDoc in May, but well over 1,000 in August.) As a result of all the new data that’s been gathered based on who’s been using QDoc It’s been a constantly evolving learning curve, Silver explained, but they’ve now arrived at some interesting observations, including: “15% of our patients would have gone to the emergency department if we didn’t exist and, (as has already been noted) 76% of our patients are from outside of Winnipeg – that’s where the need is.”
As far as how patients interact with the doctors, I wondered about the software that’s used?
“We have our own software that we’ve built from scratch,” Berkowits explained. “It’s an end to end encrypted video conversation. The audio side of it is recorded and kept as part of a medical record.”
“So it protects the doctor – and the patient,” Silver added.
In terms of what the patient would actually see on their computer screen, here is how it was explained to me: The screen would show: “We are searching for a doctor for you.” Then, “when the doctor accepts the call, they would hit the link on their computer or mobile device and doctor and patient would be connected together, with both audio and video. The doctor would be writing notes and ordering prescriptions, if necessary, while the patient might be asked to upload pictures or, with video, show the doctor if they have, for instance, skin lesions or, say, it’s your son who’s having trouble breathing, the doctor could examine him on camera.
Then, the doctor could fax a prescription to a pharmacy of your choosing. (It may seem archaic but prescriptions are still faxed into pharmacies in Manitoba, rather than sent digitally.) If lab tests are needed, the patient can receive an order for tests that can be printed out and taken to a lab.
The results of those tests will be sent to the doctor who ordered the tests, but if, for instance, the patient didn’t actually go for the tests that the doctor might have ordered, QDoc will send a follow-up communication to the patient saying “You forgot.”
What QDoc also does, at the end of every interaction between a doctor and patient, is ask the patient whether QDoc can send a copy of the report prepared by whichever doctor has treated that particular patient to that patient’s family doctor.
I asked whether QDoc is available 24/7?
The answer was “Yes. We don’t always have coverage 24/7,” but the system will respond 24/7 and, if there is no doctor available at a particular moment you’ll be told that.
Currently, according to Silver, there are “34” doctors in the QDoc system. “We want it be as attractive as possible for doctors working with us, so we want to give them a lot of work. Most of them are pretty motivated. Eighty percent of our paediatric patients right now are seen within five minutes of logging on.”
Another benefit of QDoc is that the 34 doctors who presently make up the total number of physicians on call at present are all connected through WhatsApp, where they share information and can discuss particular cases.
Silver gave this example: “A doctor who’s seeing a patient who happens to be in Brandon and who should really be seen by a doctor in person can ask on WhatsApp: “Is there anyone in Brandon who can see such and such patient tomorrow?” and a physician in Brandon can respond, “Yes, I can see your patient.” (Since the likelihood is that Brandon doctor is an emergency room physician, he or she will also likely say: “Tell your patient to come to emergency and tell the nurse that I’ve agreed to see your patient.”
As Berkowits observed, “virtual health care – since the pandemic, has become widely accepted, but the platform that we’ve built is widely collaborative.”
Something that Silver added – about emergency room physicians, is that quite often they’ll deal with a case such as a car accident or a drug overdose where a patient may present in an unconscious or semi-conscious state, the doctor treats them, the patient wakes up – and can be quite belligerent. But treating a patient virtually, where the doctor is able to give immediate and effective treatment – and the patient is very much appreciative – well, that’s very rewarding for emergency doctors – and is one of the reasons so many of them are flocking to join QDoc.
I suggested to Silver and Berkowits though, that someone would have to have either a computer or a mobile device in order to contact Doc.
While they didn’t totally disagree, Silver gave an example of a new initiative that’s been taken in cooperation with the public sector as an example how QDoc can be used to help patients who have no access to a computer:
“We have a partnership with something called the Downtown Community Safety Partnership,” he explained. “They’re relatively new and they’re funded by government. They’re working with homeless people. If they can get the money, they’re going to be carrying tablets and then they can help homeless people contact us. A lot of these people don’t go to a doctor, they don’t go to a hospital, they don’t trust authority.” But, as Silver noted, a doctor from QDoc might be in the best position to provide help – through a worker from this downtown organization.
Similarly, QDoc will also be working with one personal care home by installing a large screen TV through which residents, with the help of an aide, will be able to communicate with a doctor.
I wondered though, whether an initiative of that sort wouldn’t be perceived as taking the place of a visit to a family doctor?
Silver said that wouldn’t be the purpose, but where it would make sense would be, for example, if a resident suddenly developed a rash – and it might take weeks to see a family doctor.
Again, it occurred to me that there could often be a language barrier between patients and doctors on QDoc. I wondered whether QDoc had any contingencies in place that might help to resolve difficulties of that sort.
Berkowits said that “there are translation services that are free from the government and we’re going to try and partner in real time so that we’ll have three people involved in a virtual call: the patient, the doctor, and the interpreter,” but, he admitted that’s not on the immediate horizon.
I asked how much QDoc could conceivably grow, especially if it continues at its current rate of 70% expansion every month?
Silver answered that “we’d like to get to one per cent market share.”
I asked what he meant by that?
He said it “translates into $15 million of revenue.”
I asked how many patients would have to use QDoc’s service to reach that goal?
He said it “would be 150,000 patient contacts a year.”
In the long term the goal is to open up in every province in Canada, Silver added.
As far as how much money QDoc makes on every call, they take 15% of whatever amount the physician would bill Manitoba Health Services.
Considering that Berkowits and Silver have some pretty serious ambitions to grow their company, starting first in Manitoba, then in all of Canada, with the possibility of licensing their software to other countries as well, I asked whether they’re looking for additional investors?
“We’ve talked about that a little bit,” Silver said. “But, we don’t think we need investors. We’ve been able to get a lot of grants so far ($200,000 worth, he specified). “We should be cash flow neutral by early next year – if we don’t keep hiring more programmers.” (He explained that currently QDoc has 10 programmers.)
I asked Berkowits, who’s the software guru behind QDoc, what more needs to be done with the existing software powering QDoc?
“We have a list of features that we want to keep introducing,” he explained. “When we started out initially we were pretty happy for just a patient and doctor to connect. But, as we built this out we started taking a look at other electronic medical record systems and how they do things, we also want to make it easier and better for the physician. We want to work on our platform.”
Berkowits then went on to describe some of the enhancements that DocQ would like to make, including incorporating: “Artificial intelligence, natural language processing, ambient listening, conscription services.” (There’s not enough room to expand upon each of those subjects here. Suffice to say that this is an entirely new world of virtual medicine that Berkowits and Silver are planning on entering.)
At the end of our conversation Silver suggested that, in addition to trying the QDoc portal to see how easy it is to register as a patient, I take a look at the reviews QDoc has received from patients. Now, while I’m always a little bit sceptical of online reviews, the number of Google reviews that I was able to see (69 as of the date I looked at them – Sept. 4) showed unanimous praise for QDoc. While this article was not intended as an endorsement of QDoc – although it might certainly be perceived that way, the high praise QDoc has received thus far from patients is certainly an indication that Berkowits and Silver have hit upon something that promises to fill a desperate need within our health care system.
Norm Silver had also suggested that I might want to talk with at least one of the doctors who is working with QDoc to get a sense of what a doctor’s perspective is on the QDoc platform.
I spoke with Dr. Taft Micks, who is an emergency room physician based out of Brandon. As I expected – given that Dr. Micks had volunteered to speak with me after having been contacted by Dr. Silver, he was quite enthusiastic about his experience with QDoc thus far. He told me that he’s been with QDoc from the very beginning – which goes back to last October.
As an emergency physician, Dr. Micks said that he’s constrained by several of the limitations that apply to the delivery of emergency medicine in this province. He noted that “I don’t fee like I can take the time to address people’s needs in emergency,” but when he’s on QDoc, “I’m able to connect with a patient almost instantaneously” and “from a physician’s perspective, I’m able to arrange treatment.”
Micks added that he’s like to see emergency services expanded, but he’s quite aware that’s not realistic at this point. And, even though he’d be prepared to put in more hours in the emergency ward in Brandon, where he’s currently working 32 hours a week, Micks is quite aware that expanding emergency services will require hiring more nurses – a problem that won’t be resolved in the short term.
As a result, he’s been spending increasing amounts of time working with QDoc and, he added, he’s hoping to scale back the amount of time he’ll be spending in the emergency department as a result.
Micks observed that what QDoc is doing “is the future of medicine.”
“The software is designed to be as physician friendly as possible – as opposed to other software” that he and other physicians have struggled to learn, he said.
His only concern, he noted, is that as QDoc becomes increasingly popular, wait times to interact with a physician might take longer, but in the meantime he said he’s been quite impressed with how the system has been working thus far.
Local News
Winnipegger liver recipient Mark Kagan now in need of new kidney
By MYRON LOVE About a year ago, Winnipegger Mark Kagan reached out to the Jewish community through the pages of the Jewish Post (and jewishpostandnews.ca) in his efforts to find a liver donor. At the time, his liver and his health were rapidly failing and he was quickly running out of time.
Back then, the former Best Western Hotels manager – who is in his mid-60s – reported that there is no cure for his condition (a non-alcohol related rare liver disease called Nodular Regenerative Hyperplasia).
“My only hope for survival is a liver transplant,” he said.
The good news is that he was able to get a liver transplant this past April in Toronto and his recovery went well. Within a short time, he was able to eat normally and resume exercising. He spent three weeks post-op in the hospital in Toronto and another two weeks at the Health Sciences Centre before being cleared to go home again.
The bad news was that once his liver failed, in turn, it caused his kidneys to fail. “My doctors originally hoped that my kidney function would return on its own once the liver was transplanted,” he notes.
That didn’t happen. Now Kagan has to have dialysis three times a week while trying to find a kidney donor.
On Tuesday, December 9, Kagan’s quest for a kidney donor will be the focus of a program at the Rady JCC hosted by Renewal Canada, a Toronto based organization that works within the Jewish community to find kidney donors and facilitate transplants. The event – that begins at 7:30 pm – is described as a Kidney Donation Awareness and Swab Drive with the hope that a donor can be found for Kagan. Speakers will include Rabbis Carnie and Kliel Rose – both discussing the mitzvah of organ donation, Penny Kravetsky representing Renewal Canada, and past donor Esther Dick, as well as Kagan.
Kagan adds a special thank you to Rebbitzen Bracha Altein for her role in directing his mother to Renewal Canada.
Comments that Kagan made last year in the Post article still ring true:
“Your support means everything to me and my family,” Kagan said. “Even if you cannot donate, sharing my story could connect me with someone who can. Thank you for taking the time to read and consider helping in this crucial time.”
Interested readers can register by going online at https://www.renewalcanada.org/
Local News
Manitoba trained Jewish physician now living in US laments state of medical care in Canada
By BERNIE BELLAN (Nov. 27, 2025) Introduction: We received a comment this morning from a former Winnipegger who had something to say about the state of medical care in Manitoba. Once you read her message you will be able to read an exchange of emails into which we entered that give more information about her:
I’m a physician who graduated from the University of Manitoba medical school (class of 1999). After training, I moved to Arizona to practice as a gastroenterologist. During my training in Winnipeg, I was always told how bad the American health care system was. I am here to tell you that this is incorrect. The poorest American who can’t afford health insurance and qualifies for state funded insurance has better health care than ALL of you.
I work in private practice. Yes, I’m busy. Yes, it takes many weeks to see me. However , if a family physician calls me and asks me to see a patient urgently, I will. If a patient needs a procedure urgently, I will get it done. If a patient needs to speak to me after my office hours or on weekends and holidays, I call them back. I am not the exception to the rule. I am practicing standard of care.
My niece has been in an out of the children’s emergency room (in Winnipeg) for several weeks because of kidney stones. She has been told numerous times by numerous physicians that her case is not “urgent”. Apparently, you can only get care if you become “urgent”. Urgent means that you are really sick and have developed complications. So, my niece has to end up in the ICU with sepsis (infection) and in renal failure for her to have the procedure she needs? What she was given was a prescription for morphine. Great, getting a teenager hooked on opiods as a way to treat kidney stones , that’s the answer? Her urologist told her mother (my sister) that the system is broken. Finally, an honest answer but in no way a solution.
The American health care system is not perfect but it’s significantly better than what you have. I’m appreciative of my excellent training I received in Winnipeg however, I could never work in your broken system as now I know better.
Good luck to you all.
Dr. Elisa Faybush
In response to Dr. Faybush’s comment, we sent her the following email:
Hi Dr. Faybush,
I read your message about the state of health care in Manitoba with great interest.
I wear 2 hats: I’m both an editor at the Jewish Post newspaper, also the publisher of a website called jewishpostandnews.ca
I would consider printing your message, but I’m curious: Is there a particular reason that you sent it to a Jewish publication?
For instance, are you Jewish yourself? It might put things into some sort of context which would explain why the letter was sent to us – or perhaps you sent the same message to other publications.
It would be helpful if you could elaborate on why you sent your message to us.
Regards,
Bernie Bellan
Dr. Faybush responded:
Hi Bernie
Yes I’m Jewish. Raised in garden city. My grand parents were Ann and Nathan Koslovsky
I sent the letter to the Winnipeg free press and was contacted for an interview but they wanted to interview my sister as well. Unfortunately my sister didn’t want to be interviewed.
I read your publication on line regularly to keep up with the Jewish community in Winnipeg.
My family still lives in Winnipeg and I was home this past summer for my niece’s graduation
I will always consider Winnipeg my home.
I’m so frustrated with the Canadian health care system and wanted the people from Winnipeg to know they deserve better.
Elisa Faybush
We wrote back:
Thanks for the speedy reply Elisa. I’ll add something to the end of your message about your roots.
And, for what it’s worth, I agree totally with you about the state of health care in Canada. It’s a sacred cow but this cow should be put out to pasture.
She responded:
100% agree
Feel free to call if you would like
(number redacted)
We wrote:
Well, if you’d like me to do a profile of you – which we do quite often of doctors who left Manitoba, usually written by Gerry Posner, I’d be glad to do that.
But it would be a full-on profile, not just a lament for the Canadian health care system. By the way, I searched your name in the History of Jewish Physicians in Manitoba, which was authored by Eva Wiseman a few years ago. I didn’t see your name in there, but one of the criteria for inclusion in that book was someone must have practised in Manitoba for at least 5 years after graduating. I assume you left before 5 years had elapsed. Is that right?
Elisa responded:
You are correct. I left after residency to complete my fellowship in gastroenterology in Arizona and never left.
I went to garden city collegiate graduated in 1991 and then went on to complete my bachelor of science at the u of w.
I’m not looking for a profile but thank you for the offer. I just need to express my opinion and I appreciate you giving me an outlet to do so.
We wrote:
When did you graduate from medical school?
Elisa responded:
1999
We wrote:
And did you go to Arizona immediately upon graduating?
Elisa responded:
After graduating u of m medical school in 1999 I completed my internal medicine residency at the u of m from 1999-2002. I then left to go to the university of Arizona in Tucson for my gi fellowship from 2002-2005. I then moved to Phoenix and started private practice. I just completed 20 yrs in practice this year.
We wrote:
ok great – I think it’s important to provide a fuller description of your career to lend some further significance to your original comment. By the way, you must have studied under Chuch Bernstein – right?
She responded:
Yes. He is the reason I did my fellowship in the USA. He encouraged me to do so. He probably thought I would come back to work in Winnipeg like he did!
We wrote:
He’s a great guy. I bet I know a lot of your schoolmates from med school. It’s too bad the Canadian medical system has alienated so many talented people. I still have lots of friends who were doctors and who still live here, but they’re all so embittered about our system.
Elisa responded:
I never practiced in Winnipeg but I hear about the problems with it as family members have to navigate through this broken system.
If I lived and practiced in Winnipeg I would know the doctors and specialists that I could call to help my family members but I’ve been gone for so long I don’t have any relationships with anyone anymore:
Local News
Simkin Centre shows accumulated deficit of $779,426 for year end March 31, 2025 – but most personal care homes in Winnipeg are struggling to fund daily operations
By BERNIE BELLAN The last (November 20) issue of the Jewish Post had as an insert a regular publication of the Simkin Centre called the “Simkin Star.”
Looking through the 16 pages of the Simkin Star I noticed that three full pages were devoted to financial information about the Simkin Centre, including the financial statement for the most recent fiscal year (which ended March 31, 2025). I was rather shocked to see that Simkin had posted a deficit of $406,974 in 2025, and this was on top of a deficit of $316,964 in 2024.
In the past month, I had also been looking at financial statements for the Simkin Centre going back to 2019. I had seen that Simkin had been running surpluses for four straight years – even through Covid.
But seeing the most recent deficit led me to wonder: Is the Simkin Centre’s situation unusual in its having run quite large deficits the past two years? I know that, in speaking with Laurie Cerqueti, CEO of the Simkin Centre, over the years, that she had often complained that not only Simkin, but many other personal care homes do not receive sufficient funding from the Winnipeg Regional Health Authority.
At the same time, an article I had read by Free Press Faith writer John Longhurst, and which was published in the August 5, 2025 issue of the Free Press had been sticking in my brain because what Longhurst wrote about the lack of funding increases by the WRHA for food costs in personal care homes deeply troubled me.
Titled “Driven by faith, frustrated by funding,” Longhurst looked at how three different faith-based personal care homes in Winnipeg have dealt with the ever increasing cost of food.
One sentence in that article really caught my attention, however, when Longhurst wrote that the “provincial government, through the Winnipeg Regional Health Authority, has not increased the amount of funding it provides for care-home residents in Manitoba since 2009.”
Really? I wondered. Is that true?
As a result, I began a quest to try and ascertain whether what Longhurst claimed was the case was actually the case.
For the purpose of this article, personal care homes will be referred to as PCHs.
During the course of my gathering material for this article I contacted a number of different individuals, including: Laurie Cerqueti, CEO of the Simkin Centre; the CEO of another personal care home who wished to remain anonymous; Gladys Hrabi, who wears many hats, among them CEO of Manitoba Association for Residential and Community Care Homes for Everyone ( MARCHE), the umbrella organization for 24 not-for-profit personal care homes in Manitoba; and a representative of the WRHA.
I also looked at financial statements for six different not-for-profit PCHs in Winnipeg. (Financial statements for some, but not all PCHs, are available to look at on the Province of Manitoba website. Some of those financial statements are for 2025 while others are for 2024. Still, looking at them together provides a good idea how comparable revenue and expenses are for different PCHs.)
How personal care homes are funded
In order to gain a better understanding of how personal care homes are funded it should be understood that the WRHA maintains supervision of 39 different personal care homes in Winnipeg, some of which are privately run but most of which are not-for-profit. The WRHA provides funding for all personal care homes at a rate of approximately 75% of all operational funding needs and there have been regular increases in funding over the years for certain aspects of operations (including wages, benefits, and maintenance of the homes) but, as shall be explained later, increases in funding for food have not been included in those increases.
The balance of funding for PCHs comes from residential fees (which are set by the provincial government and which are tied to income); occasional funding from the provincial government to “improve services, technology, and staffing within personal care homes,”; and funds that some PCHs are able to raise on their own through various means (such as the Simkin Centre Foundation).
But, in Longhurst’s article about personal care homes he noted that there are huge disparities in the levels of service provided among different homes.
He wrote: “Some of Winnipeg’s 37 personal-care homes provide food that is mass-produced in an off-site commercial kitchen, frozen and then reheated and served to residents.” (I should note that different sources use different figures for the number of PCHs in Winnipeg. Longhurst’s article uses the figure “37,” while the WRHA’s website says the number is “39.” My guess is that the difference is a result of three different homes operated together by the same organization under the name “Actionmarguerite.”)
How does the WRHA determine how much to fund each home?
So, if different homes provide quite different levels of service, how does the WRHA determine how much to fund each home?
For an answer, I turned to Gladys Hrabi of MARCHE, who gave me a fairly complicated explanation. According to Gladys, the “WRHA uses what’s called a global/median rate funding model. This means all PCHs—regardless of size, ownership, or actual costs—are funded at roughly the same daily rate per resident. For 2023/24, that rate (including the resident charge) was about $200+ (sorry I need to check with WRHA the actual rate) per resident day.”
But, if different residents pay different resident charges, wouldn’t that mean that if a home had a much larger number of residents who were paying the maximum residential rate (which is currently set at $37,000 per year) then that home would have much greater revenue? I wondered.
Laurie Cerqueti of the Simkin Centre provided me with an answer to that question. She wrote: “Residents at any pch pay a per diem based on income and then the government tops up to the set amount.” Thus, for the year ending March 31, 2025 residential fees brought in $5,150,657 for the Simkin Centre. That works out to approximately $27,000 per resident. I checked the financial statements for the five other PCHs in Winnipeg to which I referred earlier, and the revenue from residential fees was approximately the same per resident as what the Simkin Centre receives.
Despite large increases in funding by the WRHA for personal care homes in recent years, those increases have not gone toward food
I was still troubled by John Longhurst’s having written in his article that the “provincial government, through the Winnipeg Regional Health Authority, has not increased the amount of funding it provides for care-home residents in Manitoba since 2009.”
These days, when you perform a search on the internet, AI provides much more detailed answers to questions than what the old Google searches would.
Thus, when I asked the question: “How much funding does the WRHA provide for personal care homes in Winnipeg?” the answer was quite detailed – and specific:
“The WRHA’S total long-term care expenses for the fiscal year ended March 31, 2024 were approximately $632.05 million.” There are approximately 5,700 residents in personal care homes in Winnipeg. That figure of $632.05 million translates roughly into $111,000 per resident.
“The budget for the 2024-2025 fiscal year included a $224.3 million overall increase to the WRHA for salaries, benefits, and other expenditures, reflecting a general increase in health-care investments.” (But, note that there is no mention of an increase for food expenditures.)
But, it was as a result of an email exchange that I had with Simkin CEO Laurie Cerqueti that I understood where Longhurst’s claim that there has been no increase in funding for care-home residents since 2009 came from.
Laurie wrote: “…most, if not all of the pchs are running a deficit in the area of food due to the increases in food prices and the government/wrha not giving operational funding increases for over 15 years.” Thus, whatever increases the WRHA has been giving have been eaten up almost entirely by salary increases and some additional hiring that PCHs have been allowed to make.
Longhurst’s article focused entirely on food operations at PCHs – and how much inflation has made it so much more difficult for PCHs to continue to provide nutritious meals. He should have noted, however, that when he wrote there has been “no increase in funding for care home residents since 2009,” he was referring specifically to the area of food.
As Laurie Cerqueti noted in the same email where she observed that there has been no increase in operational funding, “approximately $300,000 of our deficit was due to food services. I do not have a specific number as far as how much of the deficit is a result of kosher food…So really this is not a kosher food issue as much is it is an inflation and funding issue.
“Our funding from the WRHA is not specific for food so I do not know how much extra they give us for kosher food. I believe years ago there was some extra funding added but it is mixed in our funding envelope and not separated out.”
So, while the WRHA has certainly increased funding for PCHs in Winnipeg, the rate of funding increases has not kept pace with the huge increases in the cost of food, especially between 2023-2024.
As Laurie Cerqueti noted, in response to an email in which I asked her how the Simkin Centre is coping with an accumulated deficit of $779,426, she wrote, in part: “The problem is that the government does not fund any of us in a way that has kept up with inflation or other cost of living increases. If this was a private industry, no one would do business with the government to lose money. I know some pchs are considering out (sic.) of the business.”
A comparison of six different personal care homes
But, when I took a careful look at the financial statements for each of the personal care homes whose financial statements I was able to download from the Province of Manitoba website, I was somewhat surprised to see the huge disparities in funding that the WRHA has allocated to different PCHs. (How I decided which PCHs to look at was simply based on whether or not I was able to download a particular PCH’s financial statement. In most cases no financial statements were available even to look at. I wonder why that is? They’re all publicly funded and all of them should be following the same requirements – wouldn’t you think?)
In addition to the Simkin Centre’s financial statement (which, as I explained, was in the Simkin Star), I was able to look at financial statements for the following personal care homes: West Park Manor, Golden West Centennial Lodge, Southeast Personal Care Home, Golden Links Lodge, and Bethania Mennonite Personal Care Home.
What I found were quite large disparities in funding levels by the WRHA among the six homes, either in 2025 (for homes that had recent financial statements available to look at) or 2024 (for homes which did not have recent financial statements to look at.)
Here is a table showing the levels of funding for six different personal care homes in Winnipeg. Although information was not available for all homes for the 2025 fiscal year, the figures here certainly show that, while the WRHA has been increasing funding for all homes – and in some cases by quite a bit, the rate of increases from one home to another has varied considerably. Further, the Simkin Centre received the lowest percentage increase from 2024 to 2025.
Comparison of funding by the WRHA for 6 different personal care homes
We did not enter into this project with any preconceived notions in mind. We simply wanted to investigate how much funding there has been from the WRHA for personal care homes in Winnipeg in recent years.
As to why some PCHs received quite large increases in funding, while others received much smaller increases – the WRHA response to my asking that question was this: “Due to the nature and complexity of the questions you are asking regarding financial information about PCHs, please collate all of your specific questions into a FIPPA and we can assess the amount of time needed to appropriately respond.”
Gladys Hrabi of MARCHE, however, offered this explanation for the relatively large disparities in funding levels among different PCHs: “Because funding is based on the median, not actual costs, each PCH must manage within the same per diem rate even though their realities differ. Factors like building age, staffing structure, kitchen setup, and resident complexity all influence spending patterns.
“The difference you found (in spending between two particular homes that I cited in an email to Gladys) likely reflects these operational differences. Homes that prepare food on-site, accommodate specialized diets (cultural i.e. kosher), or prioritize enhanced dining experiences (more than 2 choices) naturally incur higher total costs. Others may use centralized food services or have less flexibility because of budget constraints.
“The current model doesn’t adjust for inflation, collective agreements, or true cost increases. This means many homes, especially MARCHE members face operating deficits and have to make tough choices about where to contain costs, often affecting areas like food, recreation, or maintenance. The large differences you see in food spending aren’t about efficiency —–they’re a sign that the current funding model doesn’t reflect the true costs of care.”
But some of the disparities in funding of different personal care homes really jump off the page. I noted, for instance, that of the six PCHs whose financial statements I examined, the levels of funding from WRHA for the 2024 fiscal year fell between a range of $63,341 per resident (at Golden Links Lodge) to $78,771 at the Simkin Centre – but there was one particular outlier: Southeast Personal Care Home, which received funding from the WRHA in 2024 at the rate of $98,321 per resident. Not only did Southeast Personal Care Home receive a great deal more funding per resident than the other five PCHs I looked at, it had a hefty surplus to boot.
I asked a spokesperson from the WRHA to explain how one PCH could have received so much more funding per capita than other PCHs, but have not received a response.
This brings me then to the issue of the Simkin Centre and the quite large deficit situation it’s in. Since readers might have a greater interest in the situation as it exists at the Simkin Centre as opposed to other personal care homes and, as the Simkin Centre has reported quite large deficits for both 2024 and 2025, as I noted previously, I asked Laurie Cerqueti how Simkin will be dealing with its accumulated deficit (which now stands at $779,426) going forward?
Now, as many readers may also know, I’ve been harping on the extra high costs incurred by Simkin as a result of its having to remain a kosher facility. It’s not my intention to open old wounds, but I was somewhat astonished to see how much larger the Simkin Centre’s deficit is than any other PCH for which I could find financial information.
From time to time I’ve asked Laurie how many of Simkin’s 200 residents are Jewish?
On November 10, she responded that “55% of residents” at Simkin are Jewish. That figure is consistent with past numbers that Laurie has cited over the years.
And, while Laurie claims that she does not know exactly how much more the Simkin Centre pays for kosher food, the increases in costs for kosher beef and chicken have outstripped the increases in costs for nonkosher beef and chicken. Here is what we found when we looked at the differences in prices between kosher and nonkosher beef and chicken: “Based on recent data and long-standing market factors, kosher beef and chicken prices have generally gone up more than non-kosher (conventional beef and chicken). Both types of meat have experienced significant inflation due to broader economic pressures and supply chain issues, but the kosher market has additional, unique cost drivers that amplify these increases.”
In the final analysis, while the WRHA has been providing fairly large increases in funding to personal care homes in Winnipeg, those increases have been eaten up by higher payroll costs and the costs of simply maintaining what is very often aging infrastructure. If the WRHA does not provide any increases for food costs, personal care homes will continue to be squeezed financially. They can either reduce the quality of food they offer residents or find other areas, such as programming, where they might be able to make cuts.
But, the situation at the Simkin Centre, which is running a much larger accumulated deficit than any other personal care home for which we could find financial information, places it in a very difficult position. How the Simkin Centre will deal with that deficit is a huge challenge. The only body that can provide help in a major way, not only for the Simkin Centre, but for all personal care homes within Manitoba, is the provincial government. Perhaps if you’re reading this you might want to contact your local MLA and voice your concerns about the lack of increased funding for food at PCHs.