REGISTERED COMPANY NUMBER: 03164820 {En8land and Wales)
REGISTERED CHARITY NUMBER: 1053448
ort of the Trustees and
Financial Statements
for the Year Ended 31 March 2024
for
Martha Trust Hereford Limited
Thorne Widgery Accountancy Ltd
Chartered Accountants
Statutory Auditors
2 Wyevale Business Park
Kings Acre
Hereford
Herefordshire
HR4 7BS

Martha Trust Hereford Limited
Contents of the Financial Statements
for the Year Ended 31 March 2024
Page
Report of the Trustees
Report of the Independent Auditors
8 to 11
Statement of Financial Activities
12
Balance Sheet
13
Cash Flow Statement
14
Notes to the Cash Flow Statement
15
Notes to the FTnancial Statements
16 to 24
Detailed Statement of Financial Activities
25 to 26

Martha Trust Hereford Limited
Re ort of the Trustees
for the Year Ended 31 March 2024
The trustees who are also directors of the charity for the purposes of the Companies Act 2006, present their report
with the financial statements of the charity for the year ended 31 March 2024. The twstees have adopted the
provisions of Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities
preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of
Ireland (FRS 102) (effective 1 January 20191.
OBJECTIVES AND ACTIVITIES
Slgnlflcant activities
Martha House
The latest CQC inspection was May 2023 all lines of inspection were rated as good. The home has fourteen lifelong
residents. The staff ensure that the residents have a busy but enjoyable time. The registered manager is responsible
for the home residents and staff. The therapy team works very closely with the care team. Each resident has an
individual activity programme specifically developed for their needs.
Sophie House
The latest CQC inspection was December 2018 with a paper review carried out on 6 July 2023 all lines of inspection
were rated good. The home has fourteen lifelong residents. The activities available are similar to those provided at
Martha House. Each home has a team of nurses and carers. The therapy team works across both sites.
Public benefit
Martha Trust Hereford Limited offers lifelong care which is funded by the fees paid by the County Council or
Integrated Care Board.
The Charity was established in 1996 to provide care for children and adults with complex and profound emotional and
physical disabilities. In 1997 Martha House, a custom-designed home, was opened providing nursing and one to.one
care to residents. In 2012, the increased demand for the services offered at Martha House led to the decision to build
a second home, Sophle House, In close proximity to the original home. The Charity aims to provide the highest
possible quality of care enabling the residents to develop to their own full potential.
The trustees have paid due regard to guidance issued by the Charity Commission in deciding what activities the charity
should undertake.
STRATEGIC REPORT
Achievement and performance
The financial year ending 31 March 2024 proved to be a very busy time for the Charity. At March 2024 Sophie House
was full with 14 residents while Martha House had 1 empty bed and 13 residents.
Recruitment for nursing and care staff c¢)ntinues to be difficult due to the nationwide shortage. The Charity continues
to offer a bursary scheme for staff expressing an interest in undertaking a nursing degree. In addition to the flnancial
benefits of the project, the individual works for the Charity during university closure and gains experience in care to
expand on their skills. The scheme guarantee5 the individual a position once they have obtained their degree.
The Nursing Associate Training Programme continues to be very successful and beneficial. During the year to March
2024 2 individuals worked as Nurs?ng Associates having completed their training through the Charity. One of these
individuals is enrolled on the Nursing Apprenticeship and expects to be fully qualified in February 2025. The Charity
employed 7 individuals on the TNA programme. The Charity offers trainee Nurse Associates from other localities the
opportunity to undertake their leaming disability placements in one of our homes which could lead to the recruitment
of qualified Nurse Associates in the future.
The success of the charity in achieving its goals is largely measured and monitored against the many and varied
requirements set out by the Care Quality Commission. The Trustees seek to ensure the charfty provides high quality
care within the learning disability care and seryices sector with the continual aim of achieving an 'out5tanding' award
for the work undertaken
Page 1

Martha Trust Hereford Limited
Re
rt of the Trustees
for the Year Ended 31 March 2024
STRATEGIC REPORT
Flnancial review
Réserves policy
The trustees aim to hold at least 12 months of expenditure within reseryes.
The results for the year show net outgoing resources of £255,460 (2023: net incorning resources £344,417). Net assets
amounted to £8,891,15812023: £9,146,618).
Unrestricted funds are generated where there is no stipulation from the donor as to how the income may be spent.
The Trustees have identified the need to maintain some rese￿e5 for set purposes and have designated reserves as
follows:
In 2022 the Trustees had set aside an operational reserve of £220,000. This was to cover any unplanned structural
repairs or replacement of equipment or loss of income. In addition in 2022 £100,000 had been set aside as a Sophie
House fund for upcoming maintenance and works planned.
In 2023 a further £1,000,000 has been designated within the year also for future repalrs and upgrades at both Sophie
and Martha House. None of these funds have been spent in the year.
A Fixed Asset reserve comprises of the funds invested in fixed assets to allow the Charity to carry out its work. At 31
March 2024 the level of this reserve was £3,327,027 12023: £3,353.3981 (the book value of fixed assets that are not
funded from restricted funds). At 31 March 2024 the restricted funds amounted to £1,287,961 {2023: £1,287,961).
As at 31 March 2024 undesignated free reserve5 amounted to £2,956,170 (2023: £3,185,259).
The trustees have assessed the major risks to which the charity is exposed, and are satisfied that Systems are in place
to mitigate exposure to the major risks.
Residents. fee5 are the principal fundlng source and are fully expended in meeting the objectives. An intensive
analysis of the residents. current care needs and thus the staffing requirements to meet those needs, continues to be
carried out to ensure that the fee levels are commensurate with the care plans.
Prlnclpal rlsks and uncertalntles
The care provided by Martha Trust Hereford Limited is funded by the fees paid by the Local Authority or Integrated
Care Boards. The economic downtum has led to the failure of the public sector to provide increases in fees for the
majority of vulnerable people living in care facilities. The Trustees are fully aware of this potential risk and it is being
fflanaged by the Trust Director and the Trustees.
These factor5 mean that the reserves held by the Charity need to reflect these potential risks. The Charity provides
lifelong care to our residents and the Trustees need to ensure the Charity is financially stable to meet their future
needs.
The Trust Director and management team continue to work together with the Care Quality Commission to ensure the
service provided is safe, caring, responsive, effective and well led.
Page Z

Martha Trust Hereford Limited
Re
rt of the Trustees
for the Year Ended 31 March 2024
STRATEGIC REPORT
Plans for Future periods
The Trust will continue to provide a loving. safe and secure home environfflent for our residents. To help us maintain
our high quality of care we will encourage staff to develop their own individual potential.
The annual survey to the parents and staff will be undertaken;
The policies and procedures will be reviewed as required;
The required audits will be completed as directed by the Commissioning Authorities, CQC and Internal reviews.
The Trustees have set aside funds for planned expenditure during the next financial year on the following Items:
Upgrade all bathrooms, clinical rooms, sluice, laundry and bedroom sink areas at Sophie House begun in 23124 to
continue in 24125
Plan to erect a canopy in the garden at the rear of Sophie House to provide shade
Extensive redecoration of Martha House communal areas and bedrooms including carpet replacement begun in
23124 to continue in 24125
Martha House laundry upgrade
Additional storage at Martha House
Repairs to drainage from Farmhouse
Staffing
It ha5 been established by the Government and the Care Quality Commission that there 15 a nationwide shortage of
nurses and care staff. Martha Trust will continue to advertise all vacant Posts a5 required however thls is a nationwide
concern with the t)opulation living longer and care homes being financially pressured by the lack of funding within the
adult KKial care environment.
The Charity will continue with its involvement in the Nurse Associate Training Programme.
Quality
The Quality Audit Officer continues to review all the policies and procedures required by the homes. A timetable is
produced detailing all the regular audit reports, which are undertaken both internally and also by external agencies.
Purchasing authorities complete contract monitoring visits annually. A questionnaire will be issued to the parents,
staff and purchasing authorities as a quality monitoring tool.
Recruitment and appointment of new Trustees
Potential Trustees are carefully selected from local people who have the required background and experience and
who are likely to have a long-standing interest in the work of the Charity. They are approached personally by existing
Trustee5.
None of the trustees has any beneficial interest in the company. All of the trustee5 are member5 of the company and
guarantee to contribute £1 in the event of a winding up.
Organlsatlonal strurture
Page 3

Martha Trust Hereford Limited
Re
rt of the Trustees
for the Year Ended 31 March 2024
STRATEGIC REPORT
The Trustees consider six Trustees to be appropriate, in number, skill mix and in their contribution to the running of
the Charity and the homes. There are no plans to appoint further Trustees at present. As it becomes necessary, the
Trustees will determine potential candidates who, if willing to stand, will be considered by inteNew Nwth the full
Board. Ail Trustees submit DBS (Disclosure and Barring Servlcel disclosure applications.
Induction and tralnlng of new Trustees
An appropriate candidate is given an Tnduction programme that includes an in.depth tour of both homes and
discussions with the existing Trustees and senior management team. The successful appointee is given a portfolio of
financial, governance and Charity Commission documents and is guided through the Board and management meetings
providing an insight into the work of the Charity and the roles of indiwdual managers. They are introduced informally
to all staff, residents and families.
Management and staffing
From 1st April 2023 the Charity has been managed by the Trust Director. The Director of Care retTred in March 2024.
From November 2023 the Registered Manager of Sophie House also took on the role of Registered Manager for Martha
House and responsibility for the clinical operation of the two homes. Each home has a Care Manager and Deputy Home
hlanager.
Sufficient staff are employed to generally facilitate one to one care. Each resident has a primary nurse, Senior carer
and key carers who provide continuity of care.
The day is divided into three shifts w7th at least one registered nurse on duty for each shift at each home. The waking
night shift is staffed by a nurse with two carers and there is an on-call rota for nurses and managers in case of
emergency. Extra staff will work at night when a resident is ill and requires one to one care throughout the night shift
either in the home or the hospital. Other employed staff include. cooks. housekeepers. maintenance. gardening and
administratlon.
The primary nurses and senior care staff on both sites plan, monitor and evaluate the activities which take place
throughout the day. A team of professional therapists and the care staff provide a wide range of activities ensuring a
balanced daily activity programme for each resident. This is complemented by social activities and outings.
Key management remuneration
The salaries for all senior managers are agreed by the Trustees and reviewed annually. Costed proposals are
forwarded to the Trustee5 and these consider the economic climate, including risks associated with the lack of funding
in adult sttial care and the effect this has on the income for the charity, local trends and length of time in service.
The registered manager, care managers and their deputies have detailed roles and responsibilities against which their
performance can be measured.
Related parties
The Charity works closely with the Care Quality Commission (CQCI, County Councils, Integrated Care Boards {ICB'sl
and all local and national agencie5.
Martha Trust is one of very few providers of highly specialise care for individuals with profound and multlple learning
and physical disabilities, particularly in relation to its ability to encompass children with adults in such a homely
setting. Unlike most homes, the Trust has no age limit or geographical boundary and can therefore accept referrals
from across the United Kingdom.
The Charity owns all the issued share capital of hlartha Hereford {Developments) Limited, a Company Incorporated in
the United Kingdom. The Company wa5 incorporated on 24 August 2(M)9 to design and construct the second home on
behalf of the Charity. The Company ceased trading on 31 March 2016.
Page 4

Martha Trust Hereford Limited
ort of the Trustees
for the Year Ended 31 March 2024
STRUCTURE, GOVERNANCE AND MANAGEMENT
The charity is a company limited by guarantee and as such is governed by its Memorandum and Articles of Association
in accordance with the Companies Act 2006. It was incorporated on 21 February 1996.
The trustees, who are also the directors for the purpose of company law. and who served during the year and up to
the date of signature of the financial statements were:
R E L Smith Esq
Miss S F Smith
Mrs S J Sharp-smith
A C Stewart Esq
S W Somers Esq
Ms L Sharp-smith
REFERENCE AND ADMINISTRATIVE DEfAILS
Reglstered Company number
03164820 {England and Wales)
Registered Chartty number
1053448
Registered office
Hampton Green
Old Eign Hill
Hereford
HR1 1UB
Trustee5
Miss S F Smith
RELSmith
S W Somers
A C Stewart
Ms S J Sharp-smith
Ms L Sharp-smith
Company Secretary
Miss S F Smith
Auditors
Thome Widgery Accountancy Ltd
Chartered Accountants
Statutory Auditors
2 Wyevale Business Park
Kings Acre
Hereford
Herefordshire
HR4 7BS
Page 5

Martha Trust Hereford Limited
Re
rt of the Trustees
for the Year Ended 31 March 2024
REFERENCE AND ADMINISTRATIVE DETAILS
Solicltors
Willans LLP
28 Imperial Square
Cheltenham
Gloucestershire
GL50 1 RH
Harri50n Clark Rickerbys
Ellenborough House
Wellington Street
Cheltenham
Gloucestershire
GL20 1TD
Bankers
Uoyds TSB Bank PIC
38 Blue Boar Row
Salisbury
Wiltshire
SP1 1DB
STATEMENT OF TRUSTEES. RESPONSIBILITIES
The trustees (who are also the directors of Martha Trust Hereford Limited for the purposes of company law} are
responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law
and United Kingdom Accounting Standards {United Kingdom Generally Accepted Accounting Practice).
Company law requires the trustees to prepare financial statements for each financial year which give a true and fair
view of the state of affairs of the charitable company and of the incoming resources and application of resources,
including the income and expenditure, of the charitable company for that period. In preparing those financial
statements, the trustees are required to
select suitable accounting p)licies and then apply them consistently.
observe the methods and principle5 in the Charity SORP;
make judgements and estimates that are reasonable and prudent.
state whether applicable accountin£ standards have been followed, subject to any material departures disclosed
and explained in the financial statements"
prepare the financial statements on the going concem basis unless it is inappropriate to presume that the
charitable company will continue in business.
The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any
time the financial position of the charitable company and to enable them to ensure that the financial statements
comply ￿th the Companies Art 2006. They are also responsible for safeguarding the assets of the charitable company
and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
In so far as the trustees are aware:
there is no relevant audit information of which the charitable company's auditors are unaware; and
the trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit
information and to establish that the auditors are aware of that information.
AUDITORS
The audltors, Thorne Widgery Accountancy Ltd, will be proposed for re-appolntment at the forthcomin8 Annual
General Meeting.
Page 6

Martha TNst Hereford Ll Ited
Re rt of the Trustees
for Year Ended 31 Ilarch 2024
Re￿rt of the trustees. Incorp)ratlng a strategk report? approved by order of the board of trustees. as the coNpany
dlrector5, on .............
and slgned on the tM)ard* behalf by.
REL
h - Trustee
Page 7

Re rt of the Inde
ndent Audltors to the hlembers of
Martha Trust Hereford Limited
Oplnlon
We have audlted the financial statements of Martha Trust Hereford Llmited {the 'charitable company'> for the year
ended 31 March 2024 which comprise the Statement of Financlal Actlvltles, the Balance Sheet, the Cash Flow
Statement and notes to the financial statements, including a summary of signlficant accounting policie5. The financial
repjrting framework that has been applied in their preparation is applicable law and United Kingdom Accountlng
Standards {United Klngdom Generally Accepted Accounting Practice).
In our opinion the financial Statements:
give a true and fair view of the state of the charitable companrfs affairs as at 31 March 2024 and of its incoming
resources and application of resources, including its income and expenditure, for the year then ended"
have been properly prepared In accordance with United Kingdom Generally Accepted Accounting Practice. and
have been prepared in accordance Nwth the requirements of the Companies Act 2006.
Basls for oplnlon
We conducted our audit in accordance with International Standards on Auditing IUKI IISAS IUKII and applicable law.
Our responsibilities under those standards are further described in the Auditor5. responsibilities for the audit of the
financial statements section of our report. We are independent of the charitable company in accordance with the
ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC'S Ethical
Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe
that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Concluslons relating to golng concern
In auditing the financial statements, we have concluded that the trustees, use of the going concern basis of accounting
in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or
conditions that, individually or collectively, may cast significant doubt on the charitable company's ability to continue
as a going con￿rn for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant
sections of this report.
Other inforniation
The trustees are responsible for the other information. The other informatlon comprises the information included in
the Annual Report, other than the financial statements and our Report of the Independent Auditors thereon.
Our opinion on the financial statements does not cover the other information and, except to the extent otherwise
explicitly stated in our report, we do not express any form of assurance conclusion thereon.
In connection with our audit of the financial statements, our responsibility is to read the other information and, in
doing so, consider whether the other information is materially inconsistent with the financial statements or our
knowledge obtained in the audit or otherwse appears to be materially misstated. If we identify such material
inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a
material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude
that there is a material misstatement of this other information, we are required to report that fact. We have nothing
to report in this regard.
Opinions on other matters prescrlbed by the Companies Act 2006
In our opinion, based on the work undertaken in the course of the audit:
the information given in the Report of the Trustees for the financial year for which the financial statements are
prepared is consistent with the financial statements. and
the Report of the Trustees has been prepared in accordance with applicable legal requirements.
Page 8

rt of the Inde
ndent Auditors to the hlembers of
Martha Twst Hereford Limited
Matters on which we are required to report by exception
In the light of the knowledge and understanding of the charitable company and it5 environment obtained in the course
of the audit, we have not identified material misstatements in the Report of the Trustees.
We have nothing to report in respect of the following matters where the Companies Act 2006 require5 US to report to
you if. in our opinion:
adequate accounting records have not been kept or returns adequate for our audit have not been received from
branche5 not visited by us. or
the financial statements are not in agreement with the accounting records and returns. or
certain disclosures of trustees. remuneration specified by law are not made. or
we have not received all the information and explanations we require for our audit.
Responslbllltles of trustees
As explained more fully in the Statement of Trustee5' Responsibilities, the tnJstee5 (who are also the directors of the
charitable company for the purposes of company law) are responsible for the preparation of the financial statements
and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is
necessary to enable the preparation of financial statements that are free from material misstatement, whether due to
fraud or error.
In preparing the financial statement5, the trustees are responsible for assessing the charitable companrfs ability to
continue as a going concern, disclosing, as applicable. matters related to going concern and using the going concern
basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or
have no realistic alternative but to do so.
Page 9

Re
rt of the Inde
ndent Auditors to the Members of
Martha Trust Hereford Limited
Our responsibilities for the audlt of the flnancial statements
Our objectlves are to obtain reasonable assurance about whether the flnancial statements a5 a whole are free from
material misstatement, whether due to fraud or error, and to Issue a Report of the Independent Auditors that includes
our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in
accordance with ISAS {UKI will alway5 detect a material misstatement when it exists. Misstatements can arise from
fraud or error and are considered material if. individually or in the aggregate, they could reasonably be expected to
influence the economic decisions of users taken on the basis of these financial statements.
The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:
Fraud and breaches of laws and regulations - abillty to detect
Identifying and responding to ri5k5 of material misstatement due to fraud
To identify risks of material misstatement due to fraud I'fraud risks") we assessed event5 or conditTons that could
indicate an incentive or pressure to commit fraud or provide an opportunity to commit fraud. Our risk assessment
procedures included:
o Enquiring of trustees, management and inspection of policy documentation as to the Charity's hTgh-level policies and
procedures to prevent and detect fraud as well as whether they have knowledge of any actual, suspected or alleged
fraud.
o Reading meeting minutes.
o Considering performance targets for management.
We communicated identified fraud risks throughout the audit team and remained alert to any indications of fraud
throughout the audit.
A5 required by auditing standards, and taking into account our overall knowledge of the control environment, we
perform procedures to address the risk of management override of controls, in particular the risk that management
may be in a position to makè inappropriate accounting entries. On this audit we do not believe there is a fraud risk
related to revenue recognitlon because the revenue is non-judgemental and straightforward, with limited opportunity
for manipulation.
We did not identify any additional fraud risks. We performed procedures including identifying journal entries to test
based on risk criteria and comparing the identified entries to supporting documentation. These included those posted
by finance managementl those posted and approved by the same userl those posted to unusual accounts.
Identifying and responding to risks of material mlsstatement due to non-compliance with laws and regulations
We ident7fied areas of laws and regulations that could reasonably be expected to have a material effect on the
financial statements from our general commercial and sector experience, and through discussion with management las
required by auditing standards) and discussed with management the policies and procedures regarding compliance
with Lay￿ and regulations.
We communicated identified laws and regulations throughout our team and remained alert to any indications of
non-compliance throughout the audit.
The potential effect of these laws and regulations on the financial statements varies considerably.
Firstly, the Charity is subject to laws and regulations that directly affect the financial statements including financial
reporting legislation, taxation legislation, the Charlties Act legislation and guidance issued by CQC and we assessed
the extent of compliance with these laws and regulations a5 part of our procedure5 on the related financial statement
items.
Secondly, the Charity is subject to many other laws and regulations where the consequences of noncompliance could
have a material effect on amounts or dlsclosure5 in the flnanclal statements, for Instance through the Imposltlon of
fines or litigation or the loss of the Charity's license to operate. We identified the following areas as those most likely
to have such an effect: health and safety, anti.bribery, employment law, data protection, anti.money laundering and
specific areas of other leglslatlon recognlslng the nature of the Charity's activities.
Page 10

Re
rt of the Inde
ndent Auditors to the Alembers of
Martha Trust Hereford Limited
Auditing standards limit the required audit procedures to identify non-compliance with these laws and regulations to
enquiry of management, inspection of regulatory and legal correspondence, If any. Therefore, if a breach of
operational regulations is not disclosed to us or evident from relevant correspondence, an aLKlit will not detect that
breach.
Context of the ability of the audlt to detect fraud or breaches of law or regulation
Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some
material misstatements in the financial statements. even though we have properly planned and performed our audit in
accordance with auditing standards. For example, the further removed non.cornpliance with laws and regulations is
from the event5 and transactions reflected in the financial statements, the less likely the inherently limited
procedures required by auditing standards would identify it.
In addition, as with any audit, there remained a higher risk of non-detection of fraud, as these may involve collusion,
forgery, intentional omissions, misrepresentations, or the override of internal controls. Our audit procedures are
designed to detect material misstatement. We are not responsible for preventing non-compliance or fraud and cannot
be expected to detect non-compliance with all laws and regulations.
A further description of our responsibilities for the audit of the financial statements ls l￿ated on the Financial
Reporting Council's website at www.frc.org.uklauditorsresponsibilities. This description forms part of our Report of
the Independent Auditors.
Use of our report
This report is made solely to the charitable company's members, as a body, in accordance with Chapter 3 of Part 16 of
the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company's
mefflbers those matters we are required to state to them in an auditors. report and for no other purpose. To the
fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable
company and the charitable companrfs members as a body, for our audit work, for this report, or for the opinions we
have formed.
Loo￿/
Lisa Weaver FCCA (Senior Statutory Auditorl
for and on behalf of Thorne Widgery Accountancy Ltd
Chartered Accountants
Statutory Auditors
2 Wyevale Business Park
Kings Acre
Hereford
Herefordshire
HR4 7BS
Date:
Page11

Martha Trust HL¥eford Limited
Statement of Financial Activities
for the Year Ended 31 March 2024
31.3.24
Total
funds
31.3.23
Total
funds
Unrestricted
funds
Restricted
fund
Notes
INCOME AND ENDOWMENTS FROM
Donations and legacies
15,560
55.300
70,860
35.966
Charitable activities
Lifelong care for people with profound
intellectual and physical disabilities
4,746,164
4,746,164
4,495,425
Investment income
Other income
104,448
104,448
9,218
155,173
Total
4,866,172
55,3LKI
4,921,472
4,695,782
EXPENDrruRE ON
Charltable actfvltles
Lifelong care for people with profound
intellectual and physical disabilities
5,121.632
55.300
5,176,932
4,351,365
NEf INCOMEI(EXPENDITURE)
(255,4601
1255,4601
344,417
RECONCILIATION OF FUNDS
Total funds brought forward
7,858,657
1,287,961
9,146,618
8.802,201
TOTAL FUNDS CARRIED FORWARD
7,603,197
1,287,961
8,891.158
9,146,618
The notes form part of these financial statements
Page 12

Martha Trust Hereford Llmlted
Balance Sheet
31 March 2024
31,3.24
Total
fund5
31.3.23
Total
fund5
Unrestrlcted
funds
Restrfcted
fund
Notes
FiXED ASS￿$
Tanglble a55ets
Investments
12
13
3.327,027
1.287,961
4,614,988
4.641.359
3.327,027
1.287.961
4,614,988
4,641,360
CURRENT ASSETS
Debtors
Cash at bank and In hand
14
308.830
4,157,883
308,830
4,157,883
183,058
4,487,079
4.466,713
4,466,713
4.670.137
CREDITORS
Amount5 falllng due wlthin one year
15
(190,543)
1190,543)
1164,879)
NEf CURREKf ASSErs
4,276.170
4,276,170
4,505,258
TOTAL ASSETS LESS CURRENT LIABILmE5
7.603.197
1,287,961
8,891,158
9,146,618
Nrr Assrrs
7,603,197
1.287.961
8.891,158
9,146,618
FUNDS
Unre5trfcted lund5:
General fund
Designated
f 6
2,956,170
4,647.027
3,185,259
4,6T3,398
7,603,197
7,858,657
Restrlcted fund5
1,287.961
1,287,961
TOTAL FUNDS
8.891,158
9.146,618
The fln
al statrments were appmved by the Board of Tnt5tees and auttrK>rlsed for fssue on
. and were SI￿ed on Its behalf by.
R E L Sfflith - Trustee
The note5 form part of these flnancial Statements
Page 13

Martha Trust Hereford Limited
Cash Flow Statement
for the Year Ended 31 March 2024
31.3.24
31.3.23
Notes
Cash flows from operatlng actlvltles
Cash generated from operations
(241,2491
563,098
Net cash (used inllprovided by operating actiwties
(241,249)
563,098
Cash flows from investing activitles
Purchase of tangible fixed assets
Sale of tangible fixed assets
Sate of fixed asset investments
Interest received
(192,396)
(70,796)
29,860
104,448
9,218
Net cash used in investing activities
{87,9471
131,718)
Change in cash and cash equivalents in the
reporting period
Cash and cash equivalents at the
beginning of the reporting period
1329,1961
531,380
4,487,079
3,955,699
Cash and cash equivalents at the end of
the reporting period
4,157,883
4,487,079
The notes form part of these financial statements
Page 14

Martha Trust Hereford Limited
Notes to the Cash Flow Statement
for the Year Ended 31 March 2024
RECONCILIATION OF NEf (EXPENDITURE)IINCOME TO CASH FLOW FROM OPERATING ACTIVITIES
31.3.24
31.3.23
Net (expendlturevlncome for the reporting period las per the
Statement of Financial Actlvities)
Adjustments for:
Depreciation charges
Profit on disposal of fixed assets
Interest received
(Increaselldecrease in debtors
Increase in creditors
1255,460
344,417
218,766
206,5n
(29,860)
(9,218)
39,209
11,978
(104,448)
(125,7n)
25,665
Net cash (used inllprovided by operations
{241,249}
563,098
ANALYSIS OF CHANGES IN NEf FUNDS
At 1.4.23
Cash flow
At 31.3.24
Net cash
Cash at bank and in hand
4,487,079
1329,196)
4,157,883
4,487,079
(329,1961
4,157,883
Total
4,487,079
{329,1961
4,157,883
The notes form part of these financial statements
Page 15

hlartha Trust Hereford Limited
Notes to the Financial Statements
for the Year Ended 31 March 2024
ACCOUNTING POLICIES
Basis of preparlng the flnanclal statements
The financial statements of the charitable company¥ which is a public benefit entlty under FRS 102, have been
prepared in accordance with the Charities SORP (FRS 1021 'Accounting and Reporting by Charities: Statement of
Recommended Practice applicable to charities preparing their accounts in accordance with the Financial
Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021 {effective 1 January 2019)..
Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of
Ireland. and the Companies Act 2¢J06. The financial statements have been prepared under the historical cost
convention, with the exception of investments which are inclLKled at market value.
Income
All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds,
it is probable that the income will be received and the amount can be measured reliably.
Cash donations are recognised on receipt. Other donations are recognised once the charity has been notified of
the donation, unless performance conditions require deferral of the amount. Income tax recoverable in
relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation.
Le¥acies are recogni5ed on receipt or otherwise if the charity ha5 been notified of an impending distribution,
the amount is known, and receipt is expected. If the amount is not known, the legacy 15 treated as a
ontingent asset.
Income from grants and government grant5 15 recognised when there is evidence of entitlement to the grant,
receipt is probable and its amount can be measured reliably.
Interest is included when received by the charity.
Expenditure
Liabilities are recognised as expenditure as sts)n as there is a legal or constructive obligation committing the
charity to that expenditure, it is probable that a transfer of economic benefits will be required in settlement
and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis
and has been classified under headings that aggregate all cost related to the category. Where costs cannot be
directly attributed to particular headings they have been aLl￿ated to activities on a basis consistent with the
use of resources.
Tangible fixed assets
Tangible fixed assets are initially measured at cost and subsequently measured at cost or valuation, net of
depreciation and any impairment Losses.
Depreciation is recognised 50 as to write off the cost or valuation of assets less their residual values over their
useful lives on the following bases:
Freehold land and buildings 2%, 15% and 20% straight line
Property improvements 2%, 5%. 15% and 20% straight line
Plant and equipment 15% straight line
Fixtures and fittings 15% and 33% straight line
Motor vehicles 25% straight line and 25% reducing balance
The gain or loss arising on the disposal of an asset is determined as the difference between the sale
proceeds and the carrying value of the asset, and is recognised in the statement of financial activities.
Capitalisation policy of fixed assets is set at £1,OCQ.
Taxation
The charity is exempt from corporation tax on its charitable activities.
Fund accountlng
Unrestricted funds can be used in accordance with the charltable objectlves at the discretion of the trustees.
Page 16
ontinued...

Martha Trust Hereford Llmlted
Notes to the Financial Statements - contTnued
for the Year Ended 31 March 2024
ACCOUNTING POLICIES - contlnued
Fund accounting
Restricted funds can only be used for partlcular restricted purposes within the objects of the charity.
Restrictions arise when specified by the donor or when funds are raised for particular restricted purp05e5.
Designated funds are funds set aside by the trustees out of unrestricted general funds for specific future
purposes or projects
Further explanation of the nature and purpose of each fund is included in the notes to the financial
statements.
Penslon costs and other post-retirement benefits
The charitable company operates a defined contribution pension scheme. Contributions payable to the
charitable companls pension scheme are charged to the Statement of Financial Activities in the period to
which they relate.
Going Concern
At the time of approving the financial statements, the trustees have a reasonable expectation that the charity
has adequate resources to continue in operational existence for the foreseeable future. Thus the trustees
continue to adopt the going concern basis of accounting in preparing the financial statements.
DONATIONS AND LEGACIES
31.3.24
31.3.23
Donations & Grants
70,860
35,966
Grants receivable for core actlvltles
2024
55,300
8,300
2023
24,100
Nurse training grant
Apprenticeship Funding
Coronavirus Grants
Donations received in the year amounted to £7,26012023: £4,888)
INVESTMEKf INCOME
31.3.24
31.3.23
Deposit account Interest
104,448
9,218
Page 17
contlnued...

Martha Trust Hereford Limited
Notes to the Financial Statements - contlnued
for the Year Ended 31 March 2024
INCOME FROM CHARrrABLE ACTNMES
31.3.24
31.3.23
Activity
Llfelong care for people with profound
intellectual and physical disabilities
Involced Patient Care
4,746,164
4,495,425
CHARITABLE ACTIVITIES COSTS
Direct
Costs (see
note 61
Support
costs (see
note 7)
Totals
Lifelong care for people with profound
intellectual and physical disabilities
4,485,382
691,550
5,176,932
DIRECT COSTS OF CHARITABLE ACTIVITIES
31.3.24
31.3.23
Staff costs
Rates, water & waste disposal
Light and heat
Insurance
4,281,237
40,860
107,478
55,807
3,598,665
38,630
107,367
45,776
4,485,382
3,790,438
SUPPORT COSTS
Govemance
costs
Other
Totals
Lifelong care for people with profound
intellectual and physical disabilities
665,158
26,392
691,550
NEf INCOMEI{EXPENDITURE)
Net incomel{expenditurel is stated after chargingl (crediting):
31.3.24
31.3.23
Audit Fees
Depreciation - owned as5et5
Surplus on disposal of fixed assets
6,500
218,767
6,000
206,573
(29,8601
Page 18
continued...

Martha Trust Hereford Limited
Notes to the Financial Statements - continued
for the Year Ended 31 March 2024
TRUSTEES. REMUNERATION AND BENEFITS
There were no trustees. remuneration or other benefits for the year ended 31 March 2024 nor for the year
ended 31 March 2023.
Trustees. expense5
There were no trustees. expenses paid for the year ended 31 March 2024 nor for the year ended
31 March 2023.
10.
STAFF co&rs
31.3.24
31.3.23
Wages and salaries
Social security costs
Other pension costs
3,882,665
331,516
71,832
3,312.065
230,819
60,557
4,286,013
3,603,441
Key Management Remuneration paid for the year ended 3110312024 was: £412,27213110312023: £271,452).
This consists of the Trust Director, Deputy Trust Director, Director of Care, Manager of Sophie House and
Manager of Martha House and HR manager.
Full time equivalent employees - anatysed by function
2024
110
14
124
2023
Patient Care
Management & Admin
Total
13
117
The average monthly number of employees during the year was as follows:
31.3.24
80
33
31. 3.23
76
30
Full Time (more than 30 hours per week)
Part Tiffle130 hours or less per week)
113
106
The number of employees whose employee benefits (excluding employer pension costs) exceeded £60,OW was:
31.3.24
31.3.23
£60.001- £70,000
£80,001- £90,000
The current year and prior year both include the director of care. But the current year also Includes the
manager of sophie house and a night nurse.
Page 19
continued...

Martha Trust Hereford Limited
Notes to the Financial Statements - continued
for the Year Ended 31 March 2024
COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTNITIES
Unrestricted
funds
Restricted
fund
Total
funds
INCOME AND ENDOWMENTS FROM
Donations and legacies
35,966
35,966
Charitable activltles
Lifelong care for people with profound
intellectual and physical disabilitie5
4,495,425
4,495,425
Investment income
Other income
9,218
155,173
9,218
155,173
Total
4,695,782
4,695,782
EXPENDITURE ON
Charitable activities
Lifelong care for people with profound
intellectual and physical disabilities
4,318,596
32,769
4,351,365
NEf INCOMEI(EXPENDITURE)
377,186
(32,769)
344,417
RECONCILIATION OF FUNDS
Total funds brought forward
7,480,691
1,321,510
8,802.201
TOTAL FUNDS CARRIED FORWARD
7,857,877
1,288,741
9,146,618
12. TANGIBLE FIXED ASSErs
Freehold
Land &
BuildTngs
Improvements
to
property
Plant and
machinery
COST
At 1 April 2023
Additions
Disposals
5.602.278
504.266
28,494
81,773
3,816
At 31 March 2024
5,602,278
532,760
85,589
DEPRECIATION
At 1 April 2023
Charge for year
Eliminated on disposal
1,568,753
116,111
139.076
15,690
76,667
617
At 31 March 2024
1,684,864
154,766
T7.284
NEf BOOK VALUE
At 31 March 2024
3,917,414
377,994
8,305
At 31 March 2023
4,033,525
365,190
5,106
Page 20
contlnued...

Martha Trust Hereford Limited
Notes to the Financial Statements - continued
for the Year Ended 31 hlarch 2024
12.
TANGIBLE FIXED ASSEfs - continued
Fixtures
and
fittings
Motor
vehicles
Totals
COST
At 1 April 2023
Additions
Disposals
739,936
77,613
(19,628}
118,457
82,473
7,046,710
192,396
(19,6281
At 31 March 2024
797,921
ZIXI,930
7,219,478
DEPRECIATION
At 1 April 2023
Charge for year
Eliminated on disposal
511.578
80,588
(19,628)
109,277
5,761
2,405,351
218,767
(19,628)
At 31 March 2024
572,538
115,038
2,604,490
BOOK VALUE
At 31 March 2024
225,383
85,892
4,614,988
At 31 March 2023
228.358
9,180
4,641,359
Included viithin Freehold Land & Buildings is Land at cost of £199,151.
13.
FIXED ASSET INVESTMEKrs
There were no investment assets outside the UK.
14.
DEBTORS: AMOUNTS FALLING DUE wrrHIN ONE YEAR
31.3.24
31.3.23
Trade debtors
Prepayments and accrued income
260,546
48,284
114,520
68,538
308,830
183,058
CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
31.3.24
31.3.23
Trade creditors
Social security and other taxes
Other creditors
Accrued expenses
Deferred government grants
72,862
81,567
13,824
15,098
7,192
35.069
70.723
12,643
38,564
7,880
190,543
164,879
Deferred Income arising from patient care Invoices raised in advance for 2024 was £7,19212023: £7,880)
Page 21
continued...

Martha Trust Hereford Limited
Notes to the Financial Statements . continued
for the Year Ended 31 March 2024
16.
MOVEMENT IN FUNDS
Net
movement
in funds
At
31.3.24
At 1.4.23
Unrestrlcted funds
General fund
Designated
3,211,630
4,647,027
{255,460)
2,956.170
4,647,027
7,858,657
1255,460)
7,603.197
Restricted funds
Restricted
1,287,961
1,287,961
TOTAL FUNDS
9,146,618
(255,4601
8,891,158
Net movement in funds, included in the above are as follows:
Incoming
resources
Resources
expended
Movement
in funds
Unrestricted funds
General fund
4,866,1n
15,121,632)
(255,4601
Restricted funds
Restricted
55,300
(55, 31x1)
TOTAL FUNDS
4,921,472
15.176.932)
(255.4601
Comparatives for movement in funds
Net
movement
in funds
Transfers
between
fund5
At
31.3.23
At 1.4.22
Unrestrlcted funds
General fund
Designated
3,707,606
3,773,085
584,538
{206, 5721
{1,106,8851
1,106,885
3,185,259
4,673,398
7,480,691
377,966
7,858,657
Restrlcted fund5
Restricted
1,321,510
(33, 549)
1,287,961
TOTAL FUNDS
8,802,201
344,417
9,146,618
Page 22
contlnued...

Martha Trust Hereford Limited
Notes to the Financial Statements . Continued
for the Year Ended 31 March 2024
16.
MOVEMEKf IN FUNDS - continued
Comparative net movement in funds, included in the above are as follows:
Incoming
resources
Resources
expended
Movement
in funds
Unrestrlcted funds
General fund
Designated
4,695,782
14,111,244)
{2IyJ,572)
584,538
(206,5721
4,695,782
14,317,816)
377,966
Restrlcted funds
Restricted
{33,549)
(33.5491
TOTAL FUNDS
4,695.782
14,351,365)
344,417
A current year 12 months and prior year 12 months combined position is as follows:
Net
movement
in funds
Transfers
between
funds
At
31.3.24
At 1.4.22
Unrestricted funds
General fund
Designated
3,707,606
3,773,085
329,078
(206,572)
11,106,885)
1,106,885
2,929,799
4,673,398
7,480,691
122,506
7,603,197
Re5trlcted funds
Restricted
1,321.510
(33, 549)
1,287,961
TOTAL FUNDS
8,802,201
88,957
8,891,158
A current year 12 months and prior year 12 months combined net movement in funds, included in the above
are as follows:
Incoming
resources
Resources
expended
Movement
in funds
Unrestrlcted funds
General fund
Designated
9,561,954
{9,232,8761
(206, 5721
329,078
{206.572)
9,561,954
{9,439.4481
122,51
Restricted funds
Restricted
55,300
188,8491
{33,549)
TOTAL FUNDS
9,617,254
{9,528,2971
88,957
Desi
nated Funds
Within designated funds there is £220,1)JO set aside as an operational fund. Thi5 15 to cover any unplanned
structural repairs or replacement of equipment.
Page 23
continued...

hlartha Trust Hereford Limited
Notes to the Flnancial Statements - continued
for the Year Ended 31 March 2024
16.
MOVEMENT IN FUNDS - continued
£1.100,000 is set aside for future repairs and upgrades at both Martha House and Sophie House. An additional
£1,000,000 has been designated in the prior financial year. In 2022 there wa5 £100,000 set aside as a Sophie
Htyjse fund which was for upcoming maintenance and works planned at Sophie House.
The remaining amount is within the fixed a55et reserve which is the funds invested in fixed asset5 to allow the
charity to carry out its work.
Restricted Funds
Restricted funds all relate to fixed assets for Sophie House where funding had been allocated solely for this
purpose. The total fund balance at the year end is £1,287,961 which agrees to the net book value of restricted
fixed assets.
In the year we have recognised the LD Grant funding from HEE within restricted funds but there is no effect on
the overall clf balance as this income has been fully spent on Salaries for these nurses.
17.
CAPITAL COMMITMENTS
As at 31 March 2024 the following purchase orders were in place for the following capital item5:
Pressurisation Unit £2,276.06, Water Heater l Boiler £13,278.83 and Gas Commercial Tumble Dryer £5,455.20.
18.
RELATED PARTh DISCLOSURES
There were no related party transactions for the year ended 31 March 2024 or 31 IAarch 2023.
Page 24

Martha Trust Hereford Limited
Detailed Statement of Flnancial Activities
for the Year Ended 31 March 2024
31.3.24
31.3.23
INCOME AND ENDOWMENTS
Donations and legacies
Donations & Grants
70,860
35,966
Investment income
Deposit account interest
104,448
9,218
Charitable actlvltles
Invoiced Patient Care
4,746,164
4,495,425
Other Income
Gain on sale of tangible fixed assets
Insurance Claim Income
29.860
125,313
155,173
Total Incom1￿ resources
4,921,4n
4,695,782
EXPENDITURE
Charitable activltSes
Wages
Social security
Pensions
Rates, water & waste disposal
Light and heat
Insurance
3,877,889
331,516
71,832
40,860
107,478
55,807
3,307,289
230,819
60,557
38,630
107.367
45,776
4,485,382
3.790,438
Support Costs
Other
Medical & Hygiene
Telephone & IT Costs
Postage and stationery
Sundry Expenses
Cleanlng & Laundry
Catering
Protective Clothing
Holidays & Activities
Recruitment Costs
CQC & CRB
Travelling
Motor Expenses
Property Expenses
Equipment Repairs & Small Tool
Licences & Subscriptions
Staff Training
Carried forward
104,081
26,736
10,980
6,576
14,166
56,709
4,184
6,786
35,677
12,047
3,061
15,086
70,353
66,559
1,779
10,974
445,754
91,143
16,774
8,233
5,065
10,666
47,643
4,049
8,788
17,011
4,4n
1,106
14,463
35,325
58,224
1,714
6,259
330,935
This page does not fomi part of the statutory financial statements
Pase 25

Martha Trust Hereford Limited
Detalled Statement of Financial Activitles
for the Year Ended 31 March Z024
31.3.24
31.3.23
Other
Brought forward
Bank Charges
Disposal of Pknrtha Development
Freehold property
445,754
637
330,935
709
218,766
206, 572
665,158
538,216
Governance costs
Wages
Auditors. remuneration
Accountancy fees
Legal fees
Office Costs
4,776
6,500
3,352
9,785
1,979
4,776
7,130
1,805
26,392
22,711
Total resources expended
5.176,932
4,351.365
Net (expenditure)lincome
(255,460)
344,417
This page does not form part of the statutory financial statements
Page 26