## UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

Peet, BS HOSPITALS IN NEPAL Supporting their work 

## REPORT AND FINANCIAL STATEMENTS 

FOR THE YEAR ENDED 31 DECEMBER 2020 

Registered Charity No. 1083226 



# UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDING 31 DECEMBER 2019 

## CONSTITUTION 

The United Mission to Nepal Hospitals’ Endowment Trust was established by a Declaration of Trust on 20 September 2000 and registered with the Charity Commission on 7 November 2000. 

## TRUSTEES 

The Trustees during the financial year ending 31 December 2020 and up to the date of the signing of this Trustees’ report were the following: 

Dr Anthony Cleve Chevassut (Chair) Dr Katrina Butterworth 

| 

Mr lan Chadwell Mrs Alison Chevassut Dr Olak Jirel Dr Gary Parkes Dr David Rodgers Mr Timothy Trimble (Treasurer) 

REGISTERED OFFICE: Langtang Berry Lane East Hanney Wantage OX12 0JB BANKERS: CAF Bank Ltd 25 Kings Hill Avenue Kings Hill, West Malling ME19 4JQ INVESTMENT ADVISORS: CCLA Senator House 85 Queen Victoria Street London EC4V 4ET St James’s Place Wealth Management 11 Hamilton Place Mayfair London W1J 7DR 



## UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

## REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDING 31 DECEMBER 2020 


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|INDEX|Page|
|REPORT|OF|THE|TRUSTEES|1-4|
|INDEPENDENT|EXAMINER’S|REPORT|5-6|
|STATEMENT|OF|FINANCIAL|ACTIVITIES|7|
|BALANCE|SHEET|8|
|NOTES|TO THE|FINANCIAL|STATEMENTS|9-11|

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UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDING 31 DECEMBER 2020 

## ABOUT THE UNITED MISSION TO NEPAL HOSPITAL ENDOWMENTS TRUST 

The United Mission to Nepal (UMN) first established health work in Nepal in 1954 with a maternity clinic in Bhaktapur and a hospital in Kathmandu was opened a month later. This was to become Shanta Bhawan Hospital, evolving in 1982 into Patan Hospital. 1954 also saw the start of medical work in Tansen and by 1957 a school and a dispensary were established in Amp Pipal. By 1959 a dispensary had been established in Okhaldhunga, from which Okhaldhunga Community Hospital evolved. Other Community Health programmes were also started, and the UMN to this day continues to be a major contributor to health care. 

However, the UMN vision was to develop educate and eventually empower local communities to play a much larger part in the general management of its hospitals, and now both Patan Hospital and Amp Pipal Hospital have achieved that independence. The desire to continue the impartial and, where necessary subsidised, care to all who come for help regardless of status, caste, creed or resources is intended to remain integral to their work, whether under the UMN umbrella or under local management. 

Nepal has a population of approximately 27 million, and it is estimated that 45% of its people earn less than £1 per day. Nothing akin to our NHS exists in the country, so there is a great need for the funding of subsidised and charitable care. Recent turbulent times in Nepal have added to the increasing requests for assistance. 

In 2000 the United Mission to Nepal Hospitals’ Endowment Trust (UMNHET) was set up to support financially the ‘free care for the poor’ Medical Assistance Fund in each of the four hospitals that began under the UMN umbrella. The endowment fund is not separately managed for each hospital but managed by the Trustees for the mutual benefit of each hospital. Funds are allocated by the Trustees for the benefit of each hospital and any gifts received are added to these funds as according to the donor’s wishes. 

The endowment is invested with two investment managers who also advise the Trustees on detailed investment decisions. Interest received on the capital that is invested is paid each year to the four hospitals. Interest generated by the capital fund is usually paid to each hospital in proportion to the capital allocated to each hospital. Interest generated by the General fund is distributed each year in full according to the hospitals requirements and needs and may be distributed to other health care providers that have close links with the hospitals. The final decision on distribution is taken by the Trustees following a discussion based upon the needs and requirements expressed to the Trustees by the management of each hospital. 

Grants are sent twice a year and are always received with much gratitude. 



UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDING 31 DECEMBER 2020 

## ANNUAL REPORT OF THE TRUSTEES 

## Background 

This is our seventeenth Annual Report, representing events and progress for the period of 1% January 2020 through to 31** December 2020. 

## Trustees 

During 2020, the Trustees who served were Dr Cleve Chevassut, Dr Olak Jirel, Dr Gary Parkes, Mr Timothy Trimble, Mrs Alison Chevassut, Dr Katrina Butterworth, Mr lan Chadwell and Dr David Rodgers. All the Trustees have had, or continue to have, experience working in Nepal, under the auspices of The United Mission to Nepal (UMN). 

The Trustees collectively represent many years of service in Nepal and bring a wealth of knowledge and expertise to the running of the Trust. | am extremely grateful to all the Trustees for their hard work and willingness to serve the Trust over this past year. 

## Activities 

The Trustees met for an Annual General Meeting on 20" June 2020. The meeting was a virtual meeting by zoom, rather than a physical meeting, because of the COVID-19 pandemic and restrictions on movement and meetings. This meeting was attended by all eight of our Trustees, including Dr Olak Jirel in Nepal, and provided a good opportunity to discuss the ongoing work of the Trust, receive updated information on our current financial situation, hear news from the hospitals supported by the Trust, and discuss recent news from Nepal. 

During 2020, one of our Trustees, Dr Olak Jirel, continued his medical work in Nepal with the United Mission to Nepal, and Dr David Rodgers continued his role as a United Mission to Nepal Board member, which met for Board Meetings via zoom. 

Special thanks go to Tim Trimble, our Treasurer, for his detailed work on our finances, to Alison Chevassut, our Secretary, for writing thank you letters to our donors, and keeping in touch with our hospitals in Nepal, and to Katrina Butterworth for writing our Annual Newsletter. We are also very indebted to lan Linehan, a friend of UMNHET, who has constructed and managed our website so capably for many years. 

## Developments in Nepal 

2020 has been the year of COVID for Nepal. The first case was confirmed on 24th Jan, the first National lockdown commenced on 24th March, and the first death occurred on 16th May. The lockdown ended on 22nd July, and by 4th November 

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1000 deaths from COVID had sadly occurred. The National lockdown increased the rate of neonatal deaths, and marginalised ethnic groups suffered the greatest decline in access to health services. Daily wage labourers and farmers suffered disproportionate harm to their livelihoods, and school closures disrupted the education of more than 8 million children. 

Nepal remains one of the world’s poorest countries and according to The International Monetary Fund, in 2021 Nepal ranked 165" out of 195 countries for GDP per capita, with a figure of 1,236 USD. Of course, this average figure does not tell the true story for many in the country who live in abject poverty. 

The four UMN founded hospitals continue to serve the people of Nepal, with a special focus on the poor and marginalised. We commend the hard work and dedication of so many staff in these institutions, especially during the COVID pandemic. In 2015 The United Mission to Nepal signed a new Hospital Agreement with the Government of Nepal, securing the future of the two UMN hospitals, Tansen and Okhaldhunga, for the next five years. Patan and Amp Pipal Hospitals continue under their own governance structure, which is independent of UMN. 

The COVID pandemic created many new challenges for the UMN founded hospitals, as they sought to continue caring for patients. The lack of patients accessing the hospital due to the pandemic lead to a significant fall in hospital revenue, and there were enormous concerns about how to pay staff salaries and keep the hospitals running. UMN launched the “Save Our Hospitals” appeal to raise money for this purpose. 

As UMNHET Trustees we met for an Extraordinary Meeting on 5" April 2020, and the decision was taken to make our usual two annual disbursements as a single disbursement as early as possible, earmarking part of the disbursement for the Medical Assistant Fund (MAF), and part which the hospitals could use at their discretion towards their greatest need. In addition, we agreed that UMNHET would act as a “channel” for our donors to give money directly to the UMN “Save Our Hospitals” appeal. 

## Financial Situation 

The Trustees continue to be immensely grateful to our many donors for the gifts given to the Trust. This shows the ongoing commitment of many long-term friends to the work of the Trust. In 2020 the Trust was able to make grants to the four UMN founded hospitals, and allied organisations, of £34,244, being interest and dividends received from investments during the previous year. In addition a grant of £27,353 | was sent following fundraising for the ‘Save our Hospitals appeal a UMN appeal for | support during the COVID-19 pandemic. In total grants of £61,597 were sent to | Nepal in 2020 Since the Trust started making grants in 2005 it has paid out | £502,700 from its endowment funds and £40,629 from direct appeals. 

: 

Gift aid of £4,753 (2019 £949) was received during the year. 

The results for the year and the state of affairs as at 31 December 2020 are shown on pages 7 and 8 respectively. 

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## Investment Policy 

The market value of investments held at 31 December 2020 was £830,064 (2019 £828,395) made up of £518,607 invested with St James’s Place and £311,457 invested with CCLA as shown in note 2 to the accounts. 

St James’s Place managed funds are invested in a portfolio consisting about 63% (2019 65%) fixed interest bonds with the balance invested in equities, other investments and cash. COIF Charities Fixed Interest Fund - Income Units are invested in fixed interest securities of which about 38% (2019 40%) are Government Bonds, the balance is invested in non government bonds and cash. 

As funds are invested only for income generation the Trustees consider it prudent to value investments at cost. The market values of investments held are disclosed in note 2 to the accounts. 

Both investment funds meet the Trustees’ ethical concerns and provide income in preference to capital growth. During 2020 the income from investments was £30,206 (2019 £34,244). 

## Reserves Policy 

Funds invested generate interest and dividends which is paid out in full the following financial year. The Trustees consider no benefit in holding undesignated free reserves. 

## Risk Assessment 

At the AGM the Trustees reviewed an assessment of the risks to which the charity is exposed. The main risks are loss of investment income due to poor results from investment managers and ensuring that interest is used by the beneficiary hospitals for the purpose for which it is given. 

## Future Plans 

The Trustees will continue in 2020 to raise further funds and distribute income received as mandated by the governing document. 

## Responsibilities of the Trustees 

The law applicable to charities in England and Wales requires the Trustees to prepare the annual report and financial statements for each financial year, which give a true and fair view of the state of affairs of the charity as at the balance sheet date and of its incoming resources and application of resources, including its income and expenditure. In preparing these financial statements, the Trustees should follow best practice and: 

- e select suitable accounting policies and then apply them consistently; e make judgements and estimates that are reasonable and prudent; e ensure that the best accounting practice has been followed, subject to any material departures disclosed and explained in the financial statements; 

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- e and prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Charity will continue in operation. 

The Trustees are responsible for keeping proper accounting records, which disclose with reasonable accuracy at any time the financial position of the Trust and enable preparation of the financial statements complying with the Charities Act 2011. 

The Trustees are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. 

Further information can be obtained from the website www.umnhet.org.uk 

Approved by the Trustees and signed on their behalf by: 

Dr Cleve Chevassut 25 June 2021 

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UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDING 31 DECEMBER 2020 

Independent Examiner’s report to the trustees of United Mission to Nepal Hospitals’ Endowment Trust. 

| report on the accounts of the Trust for the year ended 31 December 2020, which are set out on the following pages. 

## Respective responsibilities of trustees and examiner 

The charity's trustees are responsible for the preparation of the accounts. The charity’s trustees consider that an audit is not required for this year under section 144(2) of the Charities Act 2011 (the 2011 Act) or under Regulation 10(1)(a) to (c) of the Charities Accounts (Scotland) Regulations 2006 (the 2006 Regulations) and that an independent examination is needed. The charity is preparing accrued accounts and | am qualified to undertake the examination by being a qualified member of the Association of Chartered Certified Accountants. 

It is my responsibility to: 

- e examine the accounts under section 145 of the Charities Act 2011 and under section 44(1)(c) of the Charities and Trustee Investment (Scotland) Act 2005 (the 2005 Act) 

- e to follow the procedures laid down in the general Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act 

- e to state whether particular matters have come to my attention 

## Basis of 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. It 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 in an audit and consequently no opinion is given as to whether the accounts present a ‘true and fair view’ and the report is limited to those matters set out in the next statement . 

## Independent examiner’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 130 of the 2011 Act and section 44(1)(a) of the 2005 Act and Regulation 4 of the 2006 Accounts Regulations and to prepare accounts which accord with the accounting records and comply with the accounting requirements of the 2011 Act and section 44(1)(b) of the 2005 Act and Regulation 8 of the 2006 Accounts Regulations 

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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 

Signed: 

4 loa John Hedderley 

Chartered Certified Accountant 

Grove, Wantage 

Date: 25 Jarre. 2221 

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## UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

## Statement of Financial Activities 

For the Year Ended 31 December 2020 

||Hospital<br>Funds|General<br>Fund|Save Our<br>Hospitals|Total<br>2020|Hospital<br>Funds|General<br>Fund|Total<br>2019|
|---|---|---|---|---|---|---|---|
|Income|£|£|£|£|£|£|£|
|Donations||||||||
|Trusts and foundations|2,500|=|15,000|17,500|-|4,000|1,000|
|Individual donors|18.715|2,100|12,353|33,168|20,591|2,990|23,581|
|Gift aid on donations|-|4,753|-|4,753|-|949|949|
|Total Donations|21,215|6,853|27,353|55,421|20,591|4,939|25,530|
|Investment Income||||||||
|CCLA managed funds|5,754|3,626|-|9,380|5,485|3,531|9,016|
|St James’s Place managed funds|12,774|8,052|-|20,826|15,348|9,880|25,228|
|Total Investment income|18,528|11,678|-|30,206|20,833|13,411|34,244|
|Total income|39,743|18,531|27,353|85,627|41,424|18,350|59,774|
|Expenditure on Charitable Activities||||||||
|Grants payable to Beneficiaries|18,528|11,678|27,353|57,559|20,833|13,411|34,244|
|Support costs|80|100|-|180|80|248|328|
|Total Expenditure|18,608|11,778|27,353|57,739|20,913|13,659|34,572|
|Netmovement in funds foryear|21,135|6,753|-|27,888|20,511|4,691|25,202|
|Reconciliation offunds||||||||
|Total funds broughtforward|490,155|315,520|-|805,675|469,644|310,829|780,473|
|Totalfundscarriedforward|511,290|322,273|-|833,563|490,155|315,520|805,675|



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## UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

Balance Sheet as at 31 December 2020 

||Notes|2020|2019|
|---|---|---|---|
|Current assets||£|£|
|investments at cost||||
|CCLAmanagedfunds|2|291,446|267 446|
|St James’s Place managedfunds|2|531,671|531,671|
|||823,117|799,117|
|Cash at bank||||
|Current account-CAF Bank||22,145|17,307|
|Depositaccount-CAF Bank/CCLA||8,036|14,507|
|||30,781|31,814|
|Debtors||||
|Ath Quarter interest on St James’s Place||5,374|6,744|
|Ath Quarter interest onCCLA||2,398|2,244|
|Accrued GiftAid||2,159|~|
|||9,871|8,988|
|Current Liabilities||||
|Creditors- less than one year||||
|Hospitalfunds|4|18,527|20,833|
|General funds|4|11,679|13,411|
|||30,206|34,244|
|Netcurrentassets/Liabilities||833,563|805,675|
|FundBalances|3|833,563|805,675|



## ne 

These financial statements have been prepared in accordance with the Financial Reporting Standard 102 SORP. 

The Financial Statements were approved by the Board of Trustees on 25 June 2021 and signed on their behalf by Dr Cleve Chevassut Chair of Trustees; 

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## UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDING 31 DECEMBER 2020 

## Notes to the Accounts 

## Note 1 - Accounting policies 

## a) Basis of accounting 

(i) The financial statements have been prepared under the historical cost convention in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice and the Charities Act 2011. 

## b) Incoming Resources 

Grants, donations and conference fees are recognised in full in the Statement of Financial Activities in the year in which they are receivable. 

Cc) Resources expended All expenditure is accounted for on an accruals basis when there is a legal or constructive obligation to do so. 

Support costs are those costs incurred directly in support of expenditure on the objects of the charity and represent the associated costs of finance and general administration in supporting the operational programmes for which the charity is responsible. 

Governance costs include the cost of the governance arrangements which relate to the general running of the charity as opposed to the direct management functions inherent in generating funds, service delivery and programme or project work. This includes such items as Independent Examiner’s fees, legal advice for trustees and costs associated with constitutional and statutory requirements. 

d) Fund accounting 

The Charity maintains various types of fund as follows: 

Hospital funds - these represent grants and donations which are allocated to specific hospitals based on the wishes of the donor. Unrestricted funds - these represent funds which are expendable at the discretion of the Trustees in the furtherance of the objects of the charity. 

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## UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

## REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDING 31 DECEMBER 2020 

## Notes to the Accounts 

|Note 2||||||||
|---|---|---|---|---|---|---|---|
|Investments||||2020|||2019|
||CCLA<br>StJames’s|||Total|CCLA|St James’s|Total|
|Investments at cost||||||||
||£||£|£|£|£|£|
|1 January|267,446|531,671||799,117|267,446|509,671|777,117|
|Additions|24,000||-|24,000|-|22,000|22,000|
|31 December|291,446|531,671||823,117|267,446|531,671|799,117|
|Investments at market value||||||||
||£||£|£|£|£|£|
|1 January|278,026|550,369||828,395|269,496|495,613|765,109|
|Added|24,000||-|24,000|-|22,000|22,000|
|Unrealised gains/(loss)|9,431|(31,762)||(22,331)|8,530|32,756|41,286|
|31 December|311,457|518,607||830,064|278,026|550,369|828,395|
|Note 3||||||||
|Fund Balances (Capital)||||||||
||Amp<br>Pipal||Okhaldh<br>-unga|Tansen|Patan|Total<br>Hospitals|General<br>Fund|
||£||£|£|£|£|£|
|Opening Balances|142,449||99,310|164,685|83,711|490,155|315,520|
|Donations received|3,483||3,483|10,743|3,506|21,215|2,100|
|Gift Aid received||-|-|-|-|-|4,753|
|Expenditure- bankcharges|20||20|20|20|80|100|
|Closing Balances|145,912||102,773|175,408|87,197|511,290|322,273|
||18%||12%|21%|10%|61%|39%|
|Summary of Capital Fund||balances||||||
||2020||2019|||||
||£||£|||||
|Hospital Funds|511,290||490,155|||||
|General|322,273||315,520|||||
|TotalFunds|833,563||805,675|||||



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## UNITED MISSION TO NEPAL HOSPITALS’ ENDOWMENT TRUST 

REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDING 31 DECEMBER 2020 

## Notes to the Accounts 

|Note 4|||||||||
|---|---|---|---|---|---|---|---|---|
|Funds payable|Amp<br>Pipal|Okhaidh<br>-unga|Tansen|Patan|SaveOur<br>Hospitals|Total<br>Hospitals|General<br>Fund|Total|
||£|£|£|£|£|£|£|£|
|Opening Balances 1 Jan|6,054|4,221|7,000|3,558|.|20,833|13,411|34,244|
|Donations received|-|-|-|-|27,353|27,353|-|27,353|
|Grants paid in year|6,054|4,221|7,000|3,558|27,353|48,186|13,411|61,597|
|St James’s Place|3,645|2,568|4,382|2,179|7|12,774|8,052|20,826|
|CCLA|1,643|1,156|1,974|981|:|5,754|3,626|9,380|
|Balance payable in 2021|5,288|3,724|6,356|3,160|Z|18,528|11,678|30,206|
|Summary offunds payable in following year|||||||||
||2020|2019|||||||
||£|E|||||||
|Hospital funds|18,528|20,833|||||||
|General|11,678|13,411|||||||
|TotalFundspayable|30,206|34,244|||||||



## Note 5. Related Party Disclosure 

During the year £27,353 was paid to United Mission to Nepal Worldwide Limited as a means to transfer the ‘Save Our Hospitals’ grant to Tansen and Okhaldhunga hospitals. Dr David Rodgers is a Director of United Mission to Nepal Worldwide Limited. The Trustees were in full agreement that the Save Our Hospitals appeal was in accordance with the objects of the Trust and a transfer by this method was the most efficient and timely method available. 

During the year £10,833 was paid to United Mission Hospital, Tansen and £6,533 was paid to Okhaldhunga Community Hospital both projects of United Mission to Nepal of which Dr David Rodgers is a Trustee. United Mission to Nepal works in Nepal under a General agreement and Project agreement with the Social Welfare Council of the Government of Nepal. The Trustees were in full agreement that these transfers were in accordance with the objects of the Trust. 

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