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← Imra

2025-03-31-accounts

ANNUAL REPORT & ACCOUNTS 2025

OVER 190 CHARITABLE COCHLEAR IMPLANT OPERATIONS PERFORMED

2000 PATIENTS SERVICES EQUATING TO APPROX. £2.5 MILLION

Our team consists of over 100 medical professionals whose primary aim is to provide free surgical facilities, educate and train those in the medical profession to better the healthcare of the most underprivileged countries in the world.

DONATION OF ESSENTIAL MEDICAL EQUIPMENT MIDDLE EAR SURGERY PROJECTS Over 700 FREE Middle Ear operations performed TRANSFERRING SURGICAL EXPERTISE

IMRA Annual Report & Accounts 2025

Company and Charity Legal Name:

IMRA

Charity Registration Number:

1089354 (England & Wales)

Accountants:

MSJ CCA Limited t/a MSJ Chartered Certified Accountants 61 Grangethorpe Drive, Burnage, Manchester, M19 2NF

3 Allington Drive, Eccles, Manchester, M30 9EG

Bankers:

Santander Bridle Road, Bootle, Merseyside, L30 1PH

Trustees:

Dr Mohammed Haroon Zafarullah Khan

(Chairman) CORPORATE DIRECTORY Dr Ishrat Muhammad Yousuf (Treasurer)

Dr Ijaz Ahmad Dr Anwar Moin Khan Dr Jawaid Akhtar Khan

IMRA Annual Report & Accounts 2025 - Page 1

Welcome from our chair

I am immensely proud of the outstanding achievements of our diligent Trustees and staff, dedicated volunteers, the communities we serve, and the unwavering support from our generous donors.

testament to their compassion and faith in our mission to give the Gift of Speech and Hearing to the impoverished.

CI programme is being planned for areas where there is need in near future.

In alignment with the objectives and aims of the Charity, the following activities were undertaken during the year 2024-2025. The Trustees convened 4 meetings over the past year to achieve these objectives.

IMRA started a new programme of Thyroid Surgery for poor patients both in rural and urban areas.

New Surgical specialties are being included for future as well as Endoscopic Sinus surgery.

These objectives included:

This Annual Report illustrates the diverse spectrum of IMRA’s work across Pakistan. Our efforts span from operating on poor patients to enhancing medical expertise by supporting medical education, transferring technology and donating essential medical equipment to areas of need.

As in previous years, the Trustees agreed to continue the Cochlear Implant program in Pakistan, alongside other projects. This program supports families who are so impoverished that they cannot afford a Cochlear Implant for their child, born with profound deafness or who becomes deaf later and thus cannot hear or speak.

These endeavours demand ingenuity, innovation, and unwavering commitment, particularly at a time when the need for our services has surged and costs have escalated.

IMRA’s mission remains steadfast: to work effectively and assist as many people as possible

Such progress would have been inconceivable without the extraordinary philanthropy of our donors. Their selfless giving, amidst global economic uncertainty, rising inflation, and mounting cost-of-living pressures, is a

Dr Mohammed Haroon Khan (Chair)

IMRA Annual Report & Accounts 2025 - Page 2

WHAT WE DO

In 2024-2025, we continued to deliver projects under eight areas:

IMRA Annual Report & Accounts 2025 - Page 3

OVER 190 CHARITABLE COCHLEAR IMPLANT OPERATIONS PERFORMED

Cochlear Implants

May 2024 Aug 2024 Dec 2024 Feb 2025

Memon Medical Institute Hospital, Karachi

IMRA's Cochlear Implant Team operated on seventeen children who were implanted in this hospital.

20th - 23rd Ghurki Hospital, Lahore August IMRA's Cochlear Implant Team operated on six children who were 2024 implanted in this hospital.

PIMS Hospital, Islamabad

11th - 13th PIMS Hospital, Islamabad December IMRA's Cochlear Implant Team operated on six children who were 2024 implanted in this hospital.

IMRA Annual Report & Accounts 2025 - Page 5

Middle ear surgery

IMRA has provided this free service for poor patients who are unable to travel to big cities like Karachi and Hyderabad. Local trainees were also given an opportunity to assist and observe on a monitor the major ear surgical procedures in the operating theatre. This allows the trainees to gain experience and learn from experts and was very much appreciated by the Pakistan Society of Otolaryngology.

==> picture [288 x 464] intentionally omitted <==

----- Start of picture text -----
Al Ihsan Specialist Hospital,
May 2024 Mogadishu, Somalia
Jan 2025 39 Free Major Ear Surgery
performed.
Mayo Hospital,
15th - 18th
Lahore, Pakistan
October
13 Free Major Ear Surgery
2024
performed.
Memon Medical Hospital,
25th - 28th
Karachi, Pakistan
November
12 Free Major Ear Surgery
2024
performed.
----- End of picture text -----

IMRA Annual Report & Accounts 2025 - Page 6

Middle ear surgery

Bhitai Welfare Hospital, December Mirpurkhas, Pakistan 2024 16 Free Major Ear Surgery performed.

Thyroid surgery

Bhitai Welfare Hospital, 25th August Mirpurkhas, Pakistan 2024 7 patients received this free treatment.

Memon Medical Hospital, 2nd - 4th Karachi, Pakistan December 6 patients received this free 2024 treatment.

IMRA Annual Report & Accounts 2025 - Page 7

Transfer of Technology

IMRA has been providing scholarships to Senior ENT and General Surgery Trainees from Pakistan to visit UK for enhancing their surgical experience and knowledge. This enables them to provide better service to the patients in Pakistan.

SCHOLARSHIPS

Dr Hira Jalil 1st Jul - General Surgeon, Upper GI Trainee 31st Aug This senior trainee beneffited extensively 2024 from senior UK Consultants to apply her knowledge to poor patients in Pakistan.

Medical Education activities

9th May - 11th May 2024

CI Advocacy in Action: First Global Conference - Belgium IMRA attended this conference in Brussels and is now part of this network.

2nd OTOCON, Islamabad

16th May - 19th May 2024

IMRA Team attended and contributed extensively in the workshops & panel discussions in the conference as well as delivering high quality lectures.

IMRA Annual Report & Accounts 2025 - Page 8

Medical Education activities

21st May 2024

Scholarship Presentation, DOW University, Karachi, Pakistan

IMRA has been providing scholarships to senior general surgery trainees in Pakistan. Two of the trainees presented their experience in UK.

3rd Arab Cochlear Implant 24th - 27th Conference, Abu Dhabi, UAE October - IMRA ENT Team (Mr Noweed Ahmad & Mr Haroon 2024 Khan) attended this conference, the most prominent & largest in the field of ENT. OO ~~=~~ Global Health Conference London, UK 15th Mr Haroon Khan (Chair, IMRA) attended this November international conference where significant health 2024

Mr Haroon Khan (Chair, IMRA) attended this international conference where significant health inequalities globally were discussed and solutions were suggested.

4th - 9th December 2024

13th SAARC Conference, Karachi, Pak Society of ORL (Organisers)

Master trainers from IMRA UK Team contributed in the workshops as well as delivered high quality lectures on important topics.

IMRA Annual Report & Accounts 2025 - Page 9

Donating Medical Equipment

Queen Elizabeth Hospital, 21st Blantyre, Malawi, Africa October Medics Across Continents Charity acknowledged the donation of medical 2024 equipment for their ongoing theatre projects at Queen Elizabeth Hospital, worth £40k. O ~~m~~

27th February 2025 C) 5th March 2025 C) 5th March 2025 C)

Memon Medical Institute

Hospital, Pakistan

IMRA donated a microscope to MMIH to be used in the outpatient clinic worth approx. £2k.

Mayo Hopspital,

Lahore, Pakistan

IMRA donated a microscope to ENT Department worth approx. £10k.

Nishtar Hospital, Multan,

Pakistan

IMRA donated a microscope to ENT Department worth approx. £10k.

IMRA Annual Report & Accounts 2025 - Page 10

fundraising events

London 24th IMRA held its second London fundraising event at the The Fairway Pavilion, Southall, August Middlesex. The IMRA Team presented its work in the last 12 months which was 2024 appreciated by approx. 250 guests. Celebrity guest Mohammad Hafeez, former Pakistani coach and cricketer graced the occasion and urged people to support IMRA. Ot Birmingham 9th IMRA held its second Birmingham fundraising event at the Badshah Palace. The IMRA November Team presented its work in the last 12 months which was appreciated by approx. 250 2024 guests. Guest speaker was Moe Nawaz (Trusted advisor to FTSE 100). A representative from High Commission of Pakistan, London attended the event. Ot Manchester 25th IMRA held its annual fundraising event at The Sheridan, Manchester. The IMRA Team January presented its work in the last 12 months which was well appreciated by approx. 300 2025 guests. Mr Tariq Wazir Consul. General of Pakistan, Manchester attended along with other dignitaries. Ot IMRA Annual Report & Accounts 2025 - Page 11

IMRA Annual Report & Accounts 2025 - Page 12

MSJ

IMRA Annual Report & Accounts 2025 - Page 13

IMRA STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2025

Notes 2025 2024 £ £ £ INCOMING RESOURCES Restricted General General Donaoitn sandc ellooitcns 321,785 222,477 Total incomming resources 0 321,785 222,477 LESS EXPENDITURE Driec tchatiraelb expentidure 236,159 159,491 Admrtsiniaoitn expentidure 34,107 38,043 Total resources expended 0 270,266 197,534 NET SURPLUS/(DEFICIT) FOR THE YEAR 51,519 24,943 BALANCE BROUGHT FORWARD 78,564 53,621 BALANCE CARRIED FORWARD 0 130,083 78,564

IMRA Annual Report & Accounts 2025 - Page 14

IMRA INCOME AND EXPENDITURE ACCOUNT FOR YEAR ENDED 31 MARCH 2025

ANALYSIS OF INCOME AND EXPENDITURE

General
Restricted
1. Donations & Collections
6
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321,785
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Direct Charitable Expenditure
4
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2. ANALYSIS OF INCOME AND EXPENDITURE (continued)
Administration Expenditure
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34,107
0
NET SURPLUS/(DEFICIT)
51,519
0
TOTAL FUNDS BROUGHT FORWARD
78,564
0
TOTAL FUNDS CARRIED FORWARD
130,083
0
2025
2025		 Total
6
0
2
,
6
8
2
9
7
5
,
5
3
321,785
4
3
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4
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6
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236,159
Total
0
0
0
,
1
2
3
5
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,
3
4
0
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2
7
2
1
6
6
1
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1
0
5
6
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1
5
3
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7
4
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34,107
51,519
78,564
130,083

IMRA Annual Report & Accounts 2025 - Page 15

IMRA BALANCE SHEET AS AT MARCH 2025

==> picture [136 x 56] intentionally omitted <==

==> picture [443 x 302] intentionally omitted <==

----- Start of picture text -----
Notes 2025 2024
£ £
FIXED ASSETS
Tanelbigxif ed assest 4 108 127
CURRENT ASSETS
Cash a tban kandni hand 133,696 82,008
133,696 82,008
LIABILITIES :
Amounts falling due within one year 7 -3,721 -3,571
NET CURRENT ASSETS 129,975 78,437
TOTAL ASSETS LESS CURRENT LIABILITIES 130,083 78,564
Generf launds 8 130,083 78,564
TOTAL FUNDS 130,083 78,564
----- End of picture text -----

Dr Mohammed Haroon Zafarullah Khan

Chairman Approved on 06 August 2025

IMRA Annual Report & Accounts 2025 - Page 16

1. ACCOUNTING POLICIES

Basis of accounting

The accounts have been prepared on the historical cost basis of accounting and in accordance with applicable accounting standards and comply with the Statement of Recommended Practice 'Accounting by Charities'.

2. WINDING UP OR DISSOLUTION OF THE CHARITY

If upon winding up or dissolution of the charity there remain any assets, after the satisfaction of all debts and liabilities, the assets represented by the accumulated fund shall be transferred to some other charitable body or bodies having similar to the charity.

Income

Income is accounted for on a receipt basis.

Tangible fixed assets are stated in the balance sheet at cost less depreciation. Depreciation has been provided at the following rates in order to write off the assets over their estimated useful lives.

3. STATEMENT THAT NO EXPENSES WERE PAID TO TRUSTEES OR CONNECTED PERSONS

No expenses were paid to the trustees or persons connected with them. Neither the trustees nor any persons connected with them have received any remuneration in the current year.

Fixtures, fittings & equipment: 15% reducing balance

Taxation

As a registered charity, the company is exempt from income and corporation tax to the extent that its income and gains are applicable to charitable purposes only. Value added tax is not recoverable by the company, and is therefore included in the relevant costs in the statement of financial activities.

IMRA Annual Report & Accounts 2024 - Page 17

NOTES TO ACCOUNTS

4. TANGIBLE FIXED ASSETS
COST
At 1 April 2024
Additions
Disposal
At 31 March 2025
DEPRECIATION
At 1 April 2024
Charge for the year
on disposal
At 31 March 2025
NET BOOK VALUE
At 31 March 2025
At 31 March 2024
5.DEBTORS
Prepayments
6.STAFF COSTS
Staff salaries and NIC
The average number of
employee during the
year were;
Fund raising
Administration
Volunteers
7.CREDITORS
Amounts falling due within one year :-
Accruals
Other creditors
Social security & other taxes
8. ACCUMULATED FUNDS
Balance at 1 April 2024
Net surplus/(deficit)
Balance at 31 March 2025		 Fixtures
and
Fittings
£
759
759
632
19
651
108
127
2025
Nil
2025
21,000
Number
2
2
0
2025
2,062
1,374
285
3,721
GENERAL
FUNDS
£
78,564
51,519
130,083		 2024
Nil
2024
16,600
Number
2
2
0
2024
1,912
1,374
285
3,571
GENERAL
FUNDS
£
53,621
24,943
78,564

IMRA Annual Report & Accounts 2025 - Page 18