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2023-03-31-accounts

ANI -HOSPI Annual Report and Accounts 2022-23

Cantents
Chairman's
letter September 2023
Trustees' Report for the year ended 31March 2023
Section 1:Objectives and activities
Our strategic review 2022-23
Section 2:Achievements
and performances-
the impact ofour core services in 2022-23 10
Section 3:Financial
review 2022-23		 15
Reserves 16
Fundraising 17
Retail 19
Section 4:Structure, governance
and management		 20
Governance 21
Clinical governance 22
Environmental
reporting		 23
Our people
Legal and administrative
information		 27
Public beneht statement 29
Independent
auditor's
report tothe members of
Royal Trinity Hospice for the year ended 31March 2023

Overview of
palliative care
Sage and Thyme 46
Ethics 21
Nutrition 16
Symptom Control 1 19
Symptom Control 2 19
Last Days of Life 33
Understanding
Dementia
Bereavement 27

Patient care (cost
after tfHS income)		 (6,322) (4,141)
Retail post tax 2,031 1,416
Fundraising 3,168 5,264
Property 8
investment		 337 248
Government
Grants (Local
authority
retail		 42 132
grants 8 CYJRSfor
hospice 8rretail)
Net contribution' (746) 2,919
Capital
expenditure		 (600) (247)
Surplus /
(Deficit) before
depreciation (1,346) 2,672
and after capital
expenditure

Demand for services exceeding exceeding capacity capacity This is mitigated
by our growth
strategy,		 the
planned
implementation
of our new clinical
model ofcare via the Transform
programme
and a specific project looking at inpatient
unit optimisation
and recruitment.
Infrastructure failure impacting delivery of This is mitigated
by external
health and
healthcare safety audit and planned
review of all
maintenance
contracts.
Economic environment impacting on This is mitigated
by our fundraising
and
fundraising ability retail strategies
monitored
through
Board
committees.
Reputational damage due to any non- This is mitigated
through
corporate
compliance with governance or regulatory governance
policies and processes, with		 a
requirements particular
focus on compliance
with Care
Quality Commission
key lines of enquiry.
Economic environment impacting on This is mitigated
through
quarterly
review
investments of investment
strategy
by Finance and
Resources Committee

Energy consumption used to calculate emissions used to calculate emissions (kwhs) 2,091,666 1,941,300 1,962,675 1,848,644
Energy consumption breakdawn ktntr
Gas usage 1,194,166 1,210,085 1,195,055 1,072,558
Electricity usage 897,500 731,291 767,620 776,086
Energy consumpllon used localculate emissions (km)
Transport 50,012 41,919 63,513 37,735
Scope 1Emissions in melric tonnes CO2e
Gas consumption 219,547 222,498 218,886 195,784
Electricity usage 229,401 170,493 162,989 150,079
Vehicles 11,025 9,999 14,067 7,669
intensity ratios
Hospice emissions per FTE 2,054 2,099 2,067 1,811
Retail emissions per shop 2,835 2,076 2,706 2,650

Consolidated Consolidated Consolidated Statement Statement Statement of Financial of Financial Activities (incorporating Activities (incorporating consolidated
income and expenditure account) for the year ended 31 March 2023
General purpose Reshtded Endowment Total Total
funds funds funds 2023 2022
Note E E E E
Income from
Donations
and Legacies
- Donations 1,897,295 321,716 2,219,011 2,923,398
—Legacies 1,823,217 1,823,217 3,091,520
Charitable
activities:
-Patient
services		 4,464,366 62,000 4,526,366 4,004,075
- Education 27,989 27,989 19,999
-NHSE Coronavirus support 347,019
Other tradi ng activities:
—Sale of donated goods 6,580,294 6,580,294 5,502,029
—Income oftrading subsidiary 4 81,498 81,498 95,397
- Property
income		 166,499 166,499 164,116
Investment
income		 2 165,526 8,793 174,319 100,590
Other income 4 41,633 41,633 131,501
Total income 15,248,317 392,509 15,640,826 16,379,644
Expenditure
on:
Raising
funds:
Fundraising
and publicity		 874,370 874,370 750,575
Costs of trading
subsidiary		 4,631,102 4,631,102 4,181,218
Property
expense		 3,860 3,860 16,544
Charitable
activities:
—Inpatient
care		 6,340,713 101,481 6,442,194 5,203,454
—Community
& outpatient		 care 4,912,647 390,901 5,303,548 4,162,512
Other Expenditure (Loss on Sale) 3,564
Total expenditure 5 16,762,693 4392,382 17,255,075 14,317,867
Het (expenditure)
/		 income $,514,376) (99,873) $,614,249) 2,061,777
befare recognised gains
Gains /(losses) on other investments: (124,335) 05,114) 039,449) 52,790
0
/rt
)
Het (expenditure) /
income before Tax		 t t p p~t:
100,000)
~738.711		 ~99.873 —~i100,000
~5.114 ~853.698		 2.114.567
Tax Payable
Het (expenditure)
/
income after Tax		 ~758.711 ~99.875 ~5.114 ~858.698 2,114.567
Transfer between
funds		 30,132 30,132
Het movement
in funds		 0,708,579) (130,005) (15,114) (1,853,698) 2,114,567
Fund balances
brought		 forward 24,132,005 276,044 303,145 24,711,194 22,596,627
at
I April
Fund balances at 31 March 22,423,426 146,039 288,031 22,857,4i96 24,711,194

Group Group Charity Charity
2023 2022 2023 2022
Hots E E E
Fixed assets
Tangible assets 9 6,818,193 7,088,234 6,818,193 7,088,234
Investment property 10 4,900,000 5,000,000 4,900,000 5,000,000
Investments 11 6,137,588 5,271,946 6,137,591 5,271,949
17,855,781 17,360,180 17,855,784 17,360,183
Current assels
Stock 13,863 13,026 10,185 9,582
Debtors 12 1,813,268 2,490,597 1,733,850 2,843,273
Cash at bank and in hand 4,293,350 5,731,785 3,886,610 4,855,604
6,120,481 8,235,409 5,630,645 7,708,459
Creditors: amounts falling
due within one year 13 1,118,766 884,394 781,650 544,888
Het current assets 5,001,715 7,351,014 4,848,995 7,163,571
Het assets 22,857,496 24,711,194 22,704,779 24,523,754
Funds
Unrestricted funds
Designated funds - cost 16 8,561,820 8,831,860 8,561,820 8,831,860
Designated funds - revaluation 16 3,156,374 3,256,374 3,156,374 3,256,374
General purpose funds - cost 16 10,881,418 12,046,275 10,728,701 11,858,835
General purpose funds —revaluation (176,186) (2,505) (176,186) (2,505)
Restrided funds 15 146,039 276,044 146,039 276,044
Endowment funds
Cost 14 279,943 279,483 279,943 279,483
Revaluation 8,088 23,662 8,088 23,662
Total funds 22,857496 24 711194 22,704,779 24 523754

Group Group
2023 2022
Hots 2 2
Het cash provided
by operating		 acfiviTies 41,268 1,320,621
Cashflows
from investing		 adivitiea Reiums on investments
Investing
adivities
Dividends,
interest
and rent from		 investment properties 174,319 100,590
Purchase of tangible
fixed		 assets (599,585) (247,432)
Receipts from Sale of fixed assets
Purchase of investments 0,050,000) (3,300,000)
Receipts from sale of investments
475,266 3,446,842
Movement
in cash and cash equivalents		 0,433,998) (2,126,221)
Cash and cash equivalents at beginning ofthe year 7,383,033 5,256,812
Cash and cash equivalents at the end of the year 5,949,035 7,383,033
Notes to the cashflow statement
0) Reconciliation
of net		 income/ (expenditure) to net cash inflow from operating activities
Group Group
2023 2022
2 2
Net income / (expenditure) for the year (I 614249) 2,061,777
(as per the statement of financial activities)
Adjustments
for:
Dividends
and interest		 earned on investments 074,319) 000,590)
Other non cash - investment fees 49,346 31,600
Depreaation
of tangible
fixed		 assets 869,626 857,389
(Profit) / Loss on sale of fixed assets 3,564
(Increase)/decrease
in		 stock (837) 19,125
Decrease
in debtors
(Decrease)/increase
in		 creditors 677,329
234,372		 38,671
~590,915
41,268 1,320,621
Analysis of changes in net debt
Opening Cashf low non-cash Closing
2023 movement changes 2023
3 3 2
Operating
Cash		 5,731,785 0,438,435) 4,293,350
Investment
Cash		 1,651,248 4 437 I 655 685
Total 7,383,033 0,433,998) 5,949,035

2. Investment income income
2023
2		 2022f
Income from fisted investments 13i),108 ii1,398
Other interest receivable and similar income 40,211 1,337
174,319 42,735

Trinity Hospice S hops Limited profft and loss for the year ended 31 M arch 2023
Trinity Hospice Compdsingi
Shops Ltd Agency Trading
2 S
Turnover
(agency		 fee / trading income) 4,716,822 4,675,932 40,889
Other income i)0,609 40,609
Less cost of sales (17,008) O7,008)
Gross profit
Administration
expenses		 (shop operating costs) 4,740,423
*
9 2		 4,675,932
9 2		 64,491
Net profit for the year 64,491 64,491
Giff aid payment (l54,491) (64,491)
Tax
Retained
profit for the year
1he comparahve profit and loss account for 2022 is as follows.
Trinity Hospice Shops Limited profrt and loss for the year ended 31hlarch 2022
Shops Ltd Agency Trading
S
Turnover
(ogency		 fee/ trading income) 4,272,225 4,176,828 95,397
Otherincome 176,732 176,732
Less cost ofsales
Gloss profif
Administration
expenses
Nef profit for the year		 (shop operating costs) 4,424,107
~828)
247279		 4,176,828
(4 176828)		 247,279
247,279
Gift aid payment ('247,279) (247,279)
Retained profif for the year
Income from the sale of donated goods is not included in the subsidiary company's profit and loss account.
Total Total
2023 2022
2 3
The assets and liabilities
Current
assets
Current
fiabifities		 of the subsidiary were. 902,665
~~8		 1,223,945
~036,50
Total net assets 153,2il7 187,ili)3
Aggregate
share		 capital and reserves 153,247 187,443

Income from tradi ng subs id iary
in 21/22includes
 853658 business
interruptio		 n
insurance
claim.
b) Other income 2023 2022
Coronavirus
Job Retention		 Scheme 31,953
Local authority
business		 rate grants 99,548
Insurance
claims		 41,633
41,633 131,501
S. Analysis oftotal resources expended
2022/23 Staff costs Direct costs Management Total
2023
2
Charitable
expenditure
Inpatient
care		 3,475,601 533,088 2,433,505 6,442,194
Community
& outpatient		 care 3,119,599 25,936 2,158,013 5,303,548
Hospice services 6,595,200 559,024 4,591,518 11,745,742
Costs ofgenerating funds
Fundraising
and pubhaty		 720,825 153,545 874,370
Irading
subsidiary		 2,927,804 1,703,298 4,631,102
Property
expense		 1,246 2,615 3,861
Loss on sale
10,245,075 2,418,482 4,591,518 17,255,075
2021/22 Staff costs htanagement Total
2022
E
Charitable
expenditure
Inpatient care 2,936,609 57I,127 I,895,718 5,205454
Community
& outpatient		 care 2,455,124 47,025 1,660,365 4,162,512
Hospice services 5,591,754 418,150 3,556,085 9,365,966
Costs ofgenerating funds
Fundraising
and publicity		 579,467 171,108 750,575
Tradmg subsidiary 2,597,152 1,784066 4,181,218
Property expense I,889 14,655 16,544
Loss on sate 5,564 3,564
8570245 2,59I945 3556085 14317868
Total Total
2023 2022
Support costs
Staff costs 2,296,169 1,714,952
Insurance 65,947 55,441
Depreciation 869,627 857,389
Legal & professional fees 146,378 28,616
Bank charges 4,654 4,938
Repairs
& maintenance		 204,963 174,564
Utilities
& rates		 170,667 157,379
Other support
costs		 799,557 540,360
Subtotal
support		 costs 4,557,962 3,533,639
Governance
costs
Audit fees 26,078 21,400
Trustees expenses 7477 1044
Subtotal governance costs 33,555 22,444
Total management support 4,591,517 3,556,083

Staff Costs (conhnued)
The number of employees whose total remuneration exceeded 260,000and above was as follows:
Number Number
2023 2022
f60,000 to 269,999 8 5
E70,000 to 879,999
f80,000 to 289,999		 3
2		 2
2
f90,000 to 299,999
f100,000 to 2109,999
f110,000 to 2119,999
f120,000 to 2129,999
The average number of employees, analysed by function wasi
Number Number
2023 2022
Hospice services 161 153
Charity
shops		 92 84
253 237

Freehold Hospice Computer Group and
property equipment equipment Charity total
Cost
Balance at 1 Apnl 2022 13,417,519 3,120,185 1,091,986 17,629,690
Additions 500,269 99,316 599,585
Balance at 31 March 2023 13,417,519 3,620,454 1,191,302 18,229,275
Accumulated
depreciation
Balance at 1 Apnl 2022 6,914,296 2,728,213 898,947 10,54L456
Charge for the year 532,504 240,257 96,865 869,626
Disposals
/		 write-offs
Balance at 31 March 2023 7,446,800 2,968,470 995,812 11,411,082
Net Book value at 31 March 2023 5,970,719 651,984 195,490 6,818,193
Net Book value at 31 March 2022 6,503,223 391,972 193,039 7,088,234

Royal Institution of Chart ere d
S		 urveyors. The valuation
show		 s tha t the ma rket
value of the propert		 y
has decreased to 2		 4,900,000.
Group and
Charity total
5
Market value at I April 2022 5,000,000
Additions
Transfers
Less: Disposals at Opening Valuation
Revaluation
to		 MV 00,000
Market value at 31 March 2023 4,900,000
Historical cost as at 31March 2023 1,743,626
Historical cost at 31March 2022 1,743,626
n. Fixed asset inveshnents
Group Charity
2023 2022 2023 2022
Total Total Total Total
Note E 5 5 5
Investment
in subsidiary		 undertaking 3 3
Other investments 9 a) & b) 6137588 5271946 6,137,588 5,271,946
6,137,588 5,271,946 6,137,591 5,250,649
a) Other inveshnents
EndowmentFunds Investment 2023 2022
Garden fund Total Total
2 5 5
Market value at 31 March 2022 303,145 4,968,801 5,271,946 5,250,646
Add: Acquisitions at cost 1,050,000 1,050,000 3,300,000
Costs (49,346) (49,346) (31,600)
Net unrealised investment gains/(loss) 05,114) 024,335) 039,449) 52,790
Movements
in cash investments		 held 0,045,563) 0,045,562) (3,299,890)
Market value at 31 March 2023 2888 89 *» 88 2 9*
Historical cost as at 31March 2023 279,942 6,025,743 6,305,685 5,251,247
ll. h) Analysis of other investments
Endowment funds Investment 2023 2022
Garden fund Total Total
5 5 5
UK investments listed on a recognised
stock exchange:
—Cash 1,655,685 1,655,685 1,651,248
- Unit trusts 288,031 4,193,872 4,481,903 3,620,698
Market value at 31 March 2023 288,031 5,849,557 6,137,588 5,271,946

12. Debtors
Group Charity
2023
f		 2022
2		 2023
2		 2022
f
Other debtors 1,084,627 1,837,023 978,068 1,837,023
Amounts
owed		 by subsidiary undertaking 412,303 696,996
Taxahon recoverable 284,680 167,127 164,520 167,127
Prepayments
and accrued interest		 443,961 486,447 178,959 142,127
I 813268 2490,597 1,733,850 2,843,273
13. Creditors: amounts falling due within one year
Group Charity
2023 2022 2023 2022
2 2
Trade creditors 234,701 113,184 234,701 113,184
Taxation and social security 223,509 194,245 222,324 194,245
Other creditors 229,381 333,144 131,101 118,562
Accruals 431,175 243,821 193,524 118,897
1,118,766 884,394 781,650 544,888
14. Endowments
Expendable
endowment:
The Garden
Endowment		 fund 2023 2022
2 2
Balance at 31 Mar 2022 303,145 279,483
Incoming
Resources
Gains/(Losses) & transfer 23,662
Balance at 31 Mar 2023 288,031 303,145
15. Restdcled income funds income funds
2023
2		 2022f
Total Total
Balance at 31 Mar 2022 276,044 132,148
Incoming Resources 392,509 1,168,941
Expenditure
Gains/(Losses)		 & transfer (492,382)
~O, 3		 (921,703)
~03.3
Balance at 31 Mar 2023 146,039 276,044

Balance at 31 Designations Designations Balance at 31
March 2022 from / go) Utilised / (released) March 2023
other funds
2 2
Building
fund
Fixed assets
Equipment
fund
Fixed assets		 6,503,223
6,503,223
585,011		 99. 8 (532,504
~22		 5,970,719
847,474
585,011 847,474
Designated
funds		 - Axed assets 7,088,234 99, 8 ~89,2 6,818,194
Designated
fund investment		 properly
Investment
property
Investment
property
Total generalfunds		 —cost
—revaluation		 1,743,626
3,256,374
5,000,000
12,088,234		 5 .585 ~000.000
~6.5 I		 1,743,626
(»8,
Movementin funds
Balance at 31 Incoming Expenditure
gains/gosses)		 Balance at 31
March 2022 resources &transfers March 2023
2 2 2
General purpose
funds		 —cost 12,046,275 15,248,317 (16,413,174) 10,881,418
General purpose
funds		 —revaluation (2,505) 073,681) 076,186)
Total generalfunds 12,043,770 15,248,317 6,586,855 10,705,232
Analysis ofGroup hist Assets between Funds
Fund balances at 31 March 2023are represented by:
Unrestrided Restrided Endowment 2023
Funds Funds Funds Total
2 E
Tangible
fixed assets		 6,818,193 6,818,19
Investment
property		 4,900,000 4,900,000
Investments 5,849,557 288,031 6,137,588
Stock 13,863 13,863
Debtors
Cash at bank and
Current
habihhes
Total net assets		 in hand 1,813,268
4,147,311
~iI, 86
22,423,426		 146,039
146,039		 288,031 1,813,268
4,293,350
~8.66
22,857,496

Prior Year Comparison Prior Year Comparison
Balance at31 Designations Balance at31
Building
fund
Fixed assets
Equi pment fund
Fixed assets		 March 2021
7,035,727
7,035,727
0		 from
other		 / (to)
fundsf
8		 Utfifsed / (released)
March 2022
f
f
~0, 0
585,011
~2, !'0
585,00
Designated
funds -fixed assets
Designated
fund investment		 property
Investment
property		 -cost 1,743,626 I,743,626
Investment
property		 -revaluation 3,256,374 3256,374
5,000,000 5,000,000
Total designated
funds		 12,701,755
Movement in funds
Expenditure
Balance at 31 Incoming gains/Posses) Balance at31
General
funds		 March 2021
E
9,483,240
8.
0		 resources
f
0
. 0. 0		 Btranstbrs
~20,
~80.		 ) March 2022
12,043770
.0
.
0
4nalysis ofGroup tfet 4ssets between Funds
Fund balances at 31March 2022 are represented by:
Vnrestricted Restricted Endowment 2022
Funds Funds Funds Total
E E
Tangible
fixed assets		 7,088,234 7,088,234
Investment
property		 5,000,000 5,000,000
Investments 4,968,801 303,145 5,271,946
5tock
Debtors
Cash at bank and in
Current
liabilities
Total net assets		 hand 13,026
2,490,597
5,455,741
~0
2
200		 276,044
2
0		 0 13,026
2,490,597
5,731,785
~8. 0
2
!'

Group Charily
2023 2022 2023 2022
E E E E
Short leasehold premises
Operahng
leases		 which expire.
Within one year 1,053,964 1,042,135
Within two to five years 3,276,614 3,098,779
Over five years 986,459 790,059
5,317,038 4,930,972
Vehicles
Operating
leases		 which expire
Within one year 4,738 11,133
Within two to five years 4,738
Over five years
4,738 15,871
Equipment
Operating
leases		 which expire
Within one year 20,326 20,326
Within two to five years 8,469 28,796
Over five years
28,795 49,122

Comparative
Stat		 ement of Financial 4cti vities
General purpose Restricted Endowment Total
Note fundsf fundsf fundsf 2022f
Income from:
Donations
and Legacies
—Donations 2,435,541 487,857 2,923398
—Legacies 3,091,520 3091,520
Charitable
activi hes.
-Patient services 3678,629 325,446 4,004,075
—Education 19,999 19,999
-NHSE Coronavirus support 347,019 347,019
Other trading
activities1
—Sale ofdonated goods 5,502,029 5,502,029
—Income of trading
subsidiary		 95,397 95,397
—Property income 164,116 164,116
Investment
income		 91,971 8,619 100,590
Other income 131,501 131,501
Total Income 15,210,70$ 1,168,141 ld,379,644
Expenditure
on:
Raising
funds.
Fundraising
and publiaty		 750,575 750,575
Costs of trading
subsidiary		 4,181,218 4 181,218
Property
expense		 16,544 16,544
Charitable
activities.
—In patient care 4,758,478 444,976 5,203,454
—Community 8 outpatient care 3,685,785 476,727 4,162,512
Other Expenditure (Loss on Sale) 3,564 3,564
Total expenditure 1$,39d,164 921,703 14.317.S67
Het inmme
/ (expenditure)		 before
recognisect gains 1,814,539 247238 2,0d1,777
Gains /gasses) on other investments. 29,128 23,662 52,790
Gains /gasses) on investment property.
Het inmme/
(expenditure)		 before Tax 1,S43dd7 247,2$S 23dd2 2,B4,5d7
Tax Payable
Het inmme
/ (expenditure)		 after Tax 1,843,667 247,2$S 23662 2,B4,567
Transfer between funds
Het movement
in		 funds 1,947,009 14389d 23,662 2 114,5d7
Fund balances brought forward ~2184996 I 2 148 29948 25596622
Fund balances at 51March 2022 24,132005 27d,044 $03145 24,711,194