THE ALMA HOSPITAL TRUST
TRUSTEES' ANNUAL REPORT
AND
FINANCIAL STATEMENTS
For the year ended 31 October 2024
UK Charity Number 1054108
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THE ALMA HOSPITAL TRUST
FINANCIAL STATEMENTS YEAR END 31 OCTOBER 2024
| CONTENTS | PAGE |
|---|---|
| Legal and Administrative details | 2 |
| Trustees' Report | 3-6 |
| Independent Examiner's Report | 7-8 |
| Statement of Financial Activities | 9 |
| Balance Sheet | 10 |
| Notes to Financial Statement | 11-13 |
| Incoming Resources | 14 |
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THE ALMA HOSPITAL TRUST
LEGAL AND ADMINISTRATIVE DETAILS YEAR END 31 OCTOBER 2024
| UK Charity registration number | 1054108 |
|---|---|
| Trustees | Mr Abdul Qayyum Medhni Younis (Chair) |
| Mr Asghar Ali | |
| Ms. Irina Nicoleta Bucsa | |
| Principle Address | PO Box 260 |
| Watford | |
| Hertfordshire | |
| WD18 8HA | |
| Bankers | Barclays Bank Plc |
| Hoddesdon and Broxbourne Branch | |
| The Lea Valley Group | |
| 78 Turners Hill | |
| Cheshunt | |
| Herts | |
| EN8 9BW |
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THE ALMA HOSPITAL TRUST
TRUSTEES' REPORT FOR THE YEAR END 31 OCTOBER 2024
The Trustees have pleasure presenting their annual report of The Alma Hospital Trust (the charitable company) for the year ended 31 October 2024. The financial statements are prepared in accordance with the accounting policies set out in note 1 to the financial statements and comply with the Charities Act 2011 and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their financial statements in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1st January 2019).
Structure, Governance and Management
Governing Document
The charity is contolled by its governing document, a deed of trust, and constitutes an unincorporated charity.
Risk management
The trustees have a duty to identity and review the risks to which the charity is exposed and to ensure appropriate controls are in place to provide reasonable assurance against fraud and error.
Recruitment and appointment of new trustees
The board of trustees is authorised to appoint new trustees to fill vacancies arising through removal, resignation or death of an existing trustee by ordinary resolution, however, during the year there were no such resolutions.
Objectives and Activities
Purposes and activities
The charity's object and its principal activity continues to be that of running a hospital for the poor and needy of the people of Hafizabad District in Pakistan and to benefit the public by providing free medical for immediate healthcare needs and general medical services for the day to day ailments and sickness.
We review our aims, objectives and activities each year. The review looks at what we have achieved and the progress in the previous 12 months. The review looks at the benefits we have brought to those group we are setup to help. The review also helps us to ensure our aim, objectives and activities remain focused on our stated purpose. We have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing our aim and objectives and in planning our future activities.
FINANCIAL REVIEW
The charity had received £27,764 income during the year, it's total outgoings were £17,160.
STATEMENT OF TRUSTEES' RESPONSIBILITES
The trustees are responsible for preparing the Trustees' Annual Report and the financial statement in a accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
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THE ALMA HOSPITAL TRUST
TRUSTEES' REPORT
FOR THE YEAR END 31 OCTOBER 2024
Law applicable to charities in England and Wales requires the trustees to prepare financial statements for each financial year which give a true and fair view of charity and of the incoming resources and application of
resources of the charity for that year. In preparing these financial statements the trustees are required:
-select suitable accounting policies and then apply consistently;
-
-observe the methods and principles in the Charities SORP;
-
-make judgements and estimates that are reasonable and prudent;
-
-state whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the financial statements, and
-prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in operation.
ACHIEVEMENTS AND PERFORMANCE
CORE MEDICAL SERVICES
Throughout the reporting period (1 November 2023 – 31 October 2024), the hospital delivered a full range of free medical services, including:
-
General medical consultations
-
Diagnostic services
-
Pharmacy support and access to essential medicines
-
Inpatient and outpatient care
MATERNITY SERVICES
The Alma Bi Hospital continued to be a trusted resource for expectant mothers, providing:
-
Antenatal check-ups
-
Safe deliveries overseen by qualified medical staff
-
Postnatal care and early infant assessments
-
Nutritional guidance for vulnerable mothers
-
Emergency referral pathways for high-risk pregnancies
For many women in Hafizabad and surrounding villages, the hospital remains the only accessible and dependable place to give birth safely.
ANNUAL EYE CAMP (2024)
The 2024 annual eye camp, delivered within this financial year, achieved significant impact:
-
300+ visual screenings
-
120 cataract surgeries provided free of charge
-
Full postoperative medicines and follow-up care
The eye camp continues to be one of the Trust’s most effective and valued health intervention
COMMUNITY OUTREACH AND PREVENTATIVE HEALTH (2023 -2024)
Between November 2023 and October 2024, the Trust expanded outreach into remote villages, providing:
-
Distribution of essential medicines
-
Health education on diabetes, maternal wellbeing, and early detection
-
Strengthened specialist referral pathways
These initiatives supported families who otherwise face severe barriers to accessing healthcare.
EMERGENCY FLOOD RESPONSE (SUMMER 2024)
During the summer of 2024, severe flooding reached villages near the hospital. In response, the Trust collaborated with:
- The Punjabi Health Authority
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THE ALMA HOSPITAL TRUST
TRUSTEES' REPORT
FOR THE YEAR END 31 OCTOBER 2024
Together, operations included:
-
Delivery of emergency medical supplies
-
First-aid assistance to displaced families
-
Mobile health services to high-risk areas
-
Ensuring continuity of care for vulnerable patient’s
This response provided essential support during a regional humanitarian crisis.
GOVERNANCE, OVERSIGHT & FINANCIAL STEWARDSHIP
Throughout 2023–2024, the Trust strengthened governance and oversight through:
-
Improved financial reporting
-
Careful management of rising operational costs
-
Efficient resource allocation with minimal waste
-
Ongoing compliance with UK charity regulations
Transparency and accountability remain central to the Trust’s operations.
PUBLIC BENEFIT
All activities undertaken between 1 November 2023 and 31 October 2024 directly advanced the charity’s purpose of improving health outcomes for disadvantaged communities in rural Pakistan, prioritising households experiencing the greatest medical and financial hardship.
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THE ALMA HOSPITAL TRUST
TRUSTEES' REPORT FOR THE YEAR END 31 OCTOBER 2023
Cash reserves at the end of the year 31st October 2024 were equivalent to 24 months hospital running costs, with monetary assets of £130,154.21
16 March 2026 This report was approved by the Board of Trustees on ……………………………………………. }
Mr Abdul Qayyum Medhni Younis (Chair) Chair- Alma Trust Hospital
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THE ALMA HOSPITAL TRUST
INDEPENDENT EXAMINER'S STATEMENT FOR THE YEAR END 31 OCTOBER 2024
I report on the accounts for the year ended 31 October 2024 set out on pages four to seven.
Respective responsibilities of trustees and examiner
The charity's trustees are responsible for the preparation of the accounts. The charity's trutees consider that an audit is not required for this year (under Section 144(2) of the Charities Act 2011 (the 2011 Act)) and that an independent examination is required.
It is my responsibility to:
-examine the accounts under Section 145 of the 2011 Act
-to follow the procedures laid down in the General Directions given by the Charity Commission (under Section 145(5)(b) of the 2011 Act); and
-to state whether particular matters have come to my attention.
Basis of the independent examiner's report
My examination was carried out in accordance with the General Directions given by the Charity Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records. I also includes consideration of any unusual items or disclosures in the accounts, and seeking explanations from you as trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required for an audit and consequently, no opinion is given whether the accounts present a 'true and fair view' and the report is limited to those matters set out in the statement below.
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THE ALMA HOSPITAL TRUST
INDEPENDENT EXAMINER'S STATEMENT FOR THE YEAR END 31 OCTOBER 2024
Independent Examinier's Statement
In connection with my examination, no matter has come to my attention:
(1) which gives me reasonable cause to believe that in any material respect the requirements:
- to keep accounting records in accordance with section 386 of the Companies Act 2006; and
-to prepare accounts which accord with the accounting records, comply with the accounting requirements of section 396 of the Companies Act 2006 and with the methods and principles of the Statement of Recommended Practice: Accounting and Reporting by Charities have not been met, or
(2) to which, in my opinion, attention should be drawn in order to enable a proper understanding of the accounts to be reached.
Fayra Accountants Ltd 12 Botanical Grove
Luton Bedfordshire LU2 7GZ
Date:
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THE ALMA HOSPITAL TRUST
STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR END 31 OCTOBER 2024
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2024 2023
Unrestricted Restricted
funds funds Total Total
£ £ £ £
Incoming resources
Incoming resources from generated funds
-
Incoming resources from charitable activities 27,772 27,772 29,804
-
Total incoming resources 27,772 27,772 29,804
Resources expended
Costs of generating funds
Charitable activities 17,160 - 17,160 15,507
-
Total resources expended 17,160 17,160 15,507
-
Net incoming resources before transfers 10,612 10,612 14,297
Net movement in funds
-
Net income for the year 10,612 10,612 14,297
Total funds brought forward 119,542 119,542 105,245
Net funds carried forward 130,154 - 130,154 119,542
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THE ALMA HOSPITAL TRUST
BALANCE SHEET AS AT 31 OCTOBER 2024
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2024 2023
Notes
CURRENT ASSETS
Cash at bank and in hand 0 130,154 119,542
NET ASSETS 130,154 119,542
EQUITY AND LIABLITIES
CAPITAL AND RESERVES
Unrestricted funds 2 130,154 119,542
LIABILITIES - -
130,154 119,542
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Approved by the Board of Trustees on ……………………………………. And signed on their behalf by
………………………………………………… Mr Abdul Qayyum Medhni Younis Chair- Alma Trust Hospital
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THE ALMA HOSPITAL TRUST
NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024
(1) ACCOUNTING POLICIES
1a. Basis of Accounting
The accounts have been prepared under the historical cost convention and in accordance with the Financial Reporting Standard of Smaller Entities (effective January 2015) and the requirements of the Statement of Recommended Practice, Accounting and Reporting by Charities. The charity accounts have been prepared on a receipts and payments basis.
1b. Incoming Resources
All incoming resources are included on the Statement of Financial Activities when the charity is legally entitled to the income and the amount can be quantified with reasonable accuracy.
1c. Resources Expended
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 allocated to activities on a basis consistent with the use of resources.
1d. Allocation and Apportionment of Costs
All costs relate to the single activity of the charitable company and are recognised accordingly.
1e. Fund Accounting
Unrestricted funds can be used in accrodance with the charitable company objectives at the discretion of the trustees.
Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes.
Designated funds are funds set aside bty the trustees out of unrestricted general funds for the specific future purposes or projects.
1f. Depreciation
No depreciation has been charged as there are no fixed assets held under the charity.
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THE ALMA HOSPITAL TRUST
NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 OCTOBER 2024
2. UNRESTRICTED FUNDS
3. RESTRICTED FUNDS
| - Forward Brought £ 119,542 Brought Forward £ |
Incoming Resources £ 27,772 Incoming Resources £ - |
Outgoing Resources £ 17,160 Outgoing Resources £ - |
Transfers £ - Transfers £ - |
Carried forward £ 130,154 Carried forward £ - |
|---|---|---|---|---|
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THE ALMA HOSPITAL TRUST
INCOMING RESOURCES FOR THE YEAR ENDED 31 OCTOBER 2024
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2024 2024 2023 2023
£ £ £ £
Incoming resources
Incoming resources from generated funds
Charitable Activity
From Charitable Activity 1 27,764 29,801
27,764 29,801
27,764 29,801
27,764 29,801
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