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2021-03-31-accounts

nts
1. Strategic Report Page
o Highlights
ofthe year		 3
o Vision, Mission and Values 5
o Structure,
Governance		 and Management 6
o Report ofthe chair 9
o Chief Executives Report 10
o Strategic Priorities for 2020-23 11
o Risk Management
and		 Internal Control 12
o Financial Review 13
2. Directors Report
o Reserves Policy 16
o Volunteers 16
o Fundraising 16
o Executive remuneration 17
o Investment
policy and		 objectives 17
o Our impact on the environment 17
o Tax status 18
o Directors responsibilities statement 18
o Statement ofdisclosure to auditor 18
3. Independent
auditor's
report		 19
4. Financial
Statements		 23
5. Notes to the Financial Statements 26

Patient Care 2019/20 2020/21
Number of patients admitted 380 404
Number of patients discharged 132 162
Occupied bed days 5626 5491
Outpatient
appointments		 37 na
Lymphedema
appointments		 1284 1276
Advice Line calls 1754 1479
Hub patients
seen		 620 258

Risk Table 202ty21
RiskArea CHC K
Risk		 internal
An increased nunster ofstaff have left the We have widened the number
ofchannels used toadvertise vacanci
Shortage ofstaff and charity and ithas become Increasingly for staff snd volunteer
posts. The number of
promotlons
have
volunteers across the 4fflcult to recruit replacements.
Many		 been increased.
Fora linfted number ofhard to fill vacandes we have
organisation volunteers 4d not return due to need to used recruitment
agendes. Our campaigns toattract new volunteers
isolate or care for fsnsly members through sodal me4a have been successful
ohsrsdpvtafnhNEtons'fff
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ahdtE our tkork, role and phtce
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Business requirenwnts
have been scoped and potential
options
NHS organisstlon
and organisations
that		 identified.
Apreferred solution has been chosen and coatings agreed.
Electronic patient records deliver care under NHS contract are
required to have electronic records by		 the However, as at Februaty
2020we have no dearsteerfromlocal
consrtssloners
snd other providers
about their choice ofsystem
end of2020. Covid has delayed the 2020dea4ine. Eprescribing has been
Insane gansrsgon prloritised
at CHC and went live at both units during June 2021.
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Consultant
delivered spedalist
palliative		 Service Review positive snd the former Me4cal Director wss
care in reach service being paoted with supporting
RCHT In development
ofbusiness case for more
Clinical RCHT. Informal agreement
during pllotand		 consultant
capadty across all care settings
in in the county.
potential
rdsmateh ofexpectations
could		 Agreement
reached totransler
CHC consultant
resource to RCHT I
lead to reputstionsl
risk.		 CF7in mid 2021.

Financial Summary f0005 Financial Summary f0005 Financial Summary f0005 2020/21
Actual		 2020/21
Budget		 2019/20
Actual
Total Income 9,669.6 11,212.6 10,313.6
Expenditure 10,141.9 11,508.0 10,978.4
Operating
Result		 -472.3 -295.4 -664.8
Gain / lloss) on investments &pro 406.3 22.0 -182.1
Gain / lloss) on disposal of fixed a 1.3 0.0 2.6
Gain / lLoss) on pension scheme p 16.0 0.0 -14.8
Surplus / deficit ~.8 -273.4 -859.2

Income Summary f0005 2020/21
Actual		 2020/21
Budget		 2019/20
Actual
Legacies 1,674.5 2,433.6 1,433.4
Donations 540.8 410.6 429.8
Fundraising 498.1 993.3 820.3
Gross income from Retail 1,282.4 5,220.8 4,955.6
Gross income from Lottery 678.0 736.5 680.0
Income from clinical contracts 1,444.8 1,044.8 1,172.5
Covid 19Grants 3,248.7 0.0 487.1
Investment
Income		 121.2 69.5 106.8
All other income 181.1 303.5 228.1
Total Income 9,669.6 11,212.6 10,313.6

Expenditure Summary f0005 2020/21
Actual		 2020/21
Budget		 2019/20
Actual
Retail 3,265.5 4,083.4 4,113.0
Lottery 195.5 329.3 292.9
Cost of raising funds 472.9 534.6 562.3
Provision ofcare 6,105.4 6,440.6 5,914.4
Support costs 102.6 120.1 95.8

Consolidated
statement		 Consolidated
statement		 Consolidated
statement		 offinanci al
activitie		 s
For the year ended 31March 202/
Unrestricted Restricted Total Total
funds funds 2021 2020
Notes
Income
Donations
8t; legacies		 2,215,283 2,215,283 1,863,218
Income from Charitable Activities 1,444,792 1,444,792 1,172,503
Income from Other Trading Activities:
Commercial
trading
operations		 1,960,435 1,960,435 5,635,616
Fundraising 488,066 10,000 498,066 820,286
Covid-19 support
income		 1,317,449 1,931,295 3,248,744 487,041
Other income 181,072 181,072 228,072
Investment
income		 121,192 121,192 106,821
Total Income 7,728,289 1,941,295 9,669,584 10,313,557
Expenditure
Expenditure
on raising		 funds
Commercial
trading
activities		 3,460,993 3,460,993 4,405,925
Costs ofgenerating
donations		 and legacies 451,786 451,786 539,935
Investment
portfolio fees		 21,126 21,126 22,357
Expenditure
on charitable		 activities
Provision ofcare 4,154,248 1,951,083 6,105,331 5,914,388
Support costs 102,629 102,629 95,822
Total Expenditure 8,190,782 1,951,083 10,141,865 10,978,427
Net gains/(losses)
on investments		 406,319 406,319 (182,076)
Net expenditure (56,174) (9,788) (65,962) (846,946)
Transfers
Gross transfers between funds
Other recognised
gains		 and losses
Gain on disposal offixed assets 1,240 1,240 2,637
Pension Liability 15,966 15,966 (14,822)
Net movement
in funds		 (38,968) (9,788) (48,756) (859,131)
Reconciliation
offunds:
Fund balances brought
forward		 8,374,369 759,986 9,134,355 9,993,486
Fund balances carried forward 27,28,29 8,335,401 750,198 9,085,599 9,134,355

As at 31M a rch 202 1
The The The The
Company Group Company Group
2021 2021 2020 2020
Notes
Fixed assets
Tangible assets 18,19 4406,744 4406,744 4,430,588 4,430,588
Intangible assets 20 4,139
Investments 21 3,611,643 3,611,643 3,405,080 3,405,080
7,918,387 7,918487 7,835,673 7,839,807
Current assets
Stock 22 20,979 104,029 20,979 105,366
Debtors 23 1495,430 1,098,545 1,607,707 1,500,835
Cash at bank and in hand 340,101 603,711 121,789 402,229
1,656,510 1,806,285 1,750,475 2,008,430
Creditors: amounts falling due within
one year (549,858) (639,073) (890,933) (713,882)
Net current assets 1,106,652 1,167,212 859,542 1,294,548
Provision for liabilities
Total net assets 9,025,039 9,085,599 8,695,215 9,134,355
The funds ofthe charity
Restricted funds 27 750,198 750,198 759,986 759,986
Unrestricted funds 28 8474,841 8435,401 7,935,229 8,374,369
9,025,039 9,085,599 8,695,215 9,134,355

For the year ended 31March 2021
Note 2021 2020
Cash provided
by/(used
in)
operating
activities		 34 44,937 (947,002)
Cash flows from investing
activities
Interest income 198 1,861
Dividends
income		 61,580 74,593
Rental income from investment
property		 59,414 30,367
121,192 106,821
Purchase oftangible fixed assets (173,042) (177,919)
Purchase ofinvestments (634,155) (580,270)
Receipts from sale ofinvestments 833,916 537,595
Withdrawal
offunds from Investment		 Portfolio 139,500
Receipts from sale oftangible fixed assets 8,634 1,707
Net cash flows from investing
activities		 35,353 (79,387)
Increase/(decrease)
in cash equivalents		 201,482 (919,568)
Cash and cash equivalents
at 1April		 2020 402,229 1,321,797
Cash and cash equivalents
at 31March 2021		 603,711 402,229

Tangible fixed assets and depreciation
Individual
fixed assets costing /500 or		 more are capitalised
at cost and are depreciated		 over their estimated useful
economic lives on a straight
line basis as follows:
Freehold buildings 2%per annum at cost (minor refurbishment costs 100%)
Short leasehold
improvements		 over the period ofthe lease
Long leasehold
buildings		 2%per annum (minor refurbishment costs 100%)
Medical equipment
and fittings		 10%per annum
I.T.equipment 15% - 25%per annum on cost
General equipment
and fittings		 10%- 100%per annum
Motor vehicles 20%per annum
Depreciation
is calculated on a monthly		 basis where assets are purchased during the year.

Donations
and Legacies
2021 2020
Legacies 1,674,488 1,433,383
Donations 540,795 429,835
2,215,283 1,863,218

6 Income from trading activities
Commercial
operations
2021 2020
Gross Income Irom shops 1,282,414 4,955,568
Gross Income Irom Lottery 678,021 680,048
1,960,435 5,635,616
Fundraising
2021 2020
Trusts and grants 84,258 121,651
Fundraising
activities		 413,808 698,635
498,066 820,286
7 Covid-19 support grant income
Group Group
2021 2020
Grant income &om NHS England 1,931,295
Job Retention Scheme grant income 987,903
Local Authority
grant		 income 329,546 487,041
3,248,744 487,041
8 Investment
income
Group Group
2021 2020
Property 59,414 30,367
Bank interest 198 1,861
Listed investments 61,580 74,593
121,192 106,821

9
Total expendit		 ur e
-group
Commercial
Provision Raising trading Support 2021 2020
ofcare funds expenses costs Total Total
Staffcosts 5,332,722 326,253 2,015,557 45,795 7,720,327 7,623,730
Patient care 32,070 32,070 79,914
Medical supplies &drugs 104,610 104,610 98,491
Catering &domestic supplies 64,838 64,838 78,257
Travel expenses 15,077 15,077 40,249
Training &education 33,220 33,220 50,680
Laundry 7,188 7,188 16,980
Electricity &Gas 51,711 51,711 46,547
Telephone 47,108 47,108 48,928
Rates and water 19,610 19,610 16,824
Uniforms 2,921 2,921 8,452
Printing,
Postage and		 stationery 28,108 7,810 35,918 36,349
Insurance 27,336 27,336 28,114
Repairs and maintenance 102,887 102,887 117,368
Depreciation 147,430 127,990 275,420 293,063
Direct fundraising
costs		 34,570 34,570 128,595
Department
fundraising		 costs 67,753 67,753 76,496
Banking charges 5,730 10,682 16,412 12,234
Administration
charge		 88,495 8,374 70,258 167,127 227,490
Audit and accountancy 15,146 15,146 14,505
Legal and professional fees 41,688 41,688 39,574
Irrecoverable
VAT		 9,105 9,105 9,472
Cost ofsales 152,368 152,368 509,524
Shops operating
expenses		 1,057,468 1,057,468 1,331,396
Investment
portfolio fees		 21,127 21,127 22,357
Staffrelocation &recruitment 18,860 18,860 22,838
6,105,331 472,912 3,460,993 102,629 10,141,865 10,978,427

charitable
activity. Their		 deta il along with basis o fapportionment
is shown		 in the table below:
Governance Basis ofapportionment
function
Staffcosts 35,066 Key management
allocated on time
Audit and accountancy 15,146 Governance
Legal and professional 41,689 Governance
91,901
Net expenditure
for the		 year
This is stated after charging the following:
2021 2020
Auditors'
remuneration		 —audit (group) 15,146 14,505
Operating
leases		 661,460 680,361
Depreciation
(group)		 289,487 293,063
Amortisation
(group)		 4,139 4,139
2021 2020
Staff and management 269 300
The aggregate payroll costs ofthese persons were as follows:
2021 2020
Wages and salaries 6,520,065 6,592,307
Social security costs 533,531 546,571
Other pension costs 510,866 459,852
Termination payments 155,865 25,000
7,720,327 7,623,730

ine employees
had annualised
emolume		 nts
for the yea		 r in excess off60,000 and fell i nto the following ba nds:
2021 2020
f60,000to f70,000 —Director ofClinical Services, 3 Consultants, Head ofHR
f70,000to f80,000 —Finance Director, 1 x Consultant, 1 x Speciality Doctor
f80,000to f90,000
f90,000to f100,000 —Chief Executive
f100,000to f,110,000
f110,000to K120,000

A summary of the r esults oft he subsidiaries
is sh		 own below:
Cornwall Cornwall Resource
Hospice Care Hospice Care Kernow
Trading Lottery Newco Total Total
Limited Limited Ltd 2021 2020
Per company accounts
Turnover 81,742 678,021 759,763 1,213,489
Cost ofsales (49,966) (102,401) (152,367) (506,059)
Interest payable
Administrative expenses (31,127) (90,730) (121,857) (268,979)
Interest receivable 14 14 690
663 484,890 485,553 438,141
Amount
distributed		 to the
charity via Gift Aid (61,178) (802,963) (864,141) (440,742)
Result in the subsidiary (60,515) (318,073) (378,588) (2,601)
The assets and liabilities ofthe subsidiaries
were:
Cornwall Cornwall Resource
Hospice Care Hospice Care Kernow
Trading Lottery Newco Total
Limited Limited Ltd 2021
Per company
accounts
Current assets 190,494 157,171 1 347,666
Current
liabilities		 (189,827) (97,280) (287,107)
Total net assets 667 59,891 60,559
Aggregate
share capital and reserves		 667 59,891 60,559

Total Total
2021 2020
Income 9,391,720 9,160,409
Gift aid from subsidiaries 864,141 440,742
10,255,861 9,601,151
Expenditure on charitable activities 9,926,037 10,458,677
Net income/(expenditure) 329,824 (857,526)
Total funds brought forward 8,695,215 9,552,741
Total funds carried forward 9,025,039 8,695,215
Represented by:
Restricted funds 750,198 759,986
Unrestricted funds 8,274,841 7,935,229
Total funds carried forward 9,025,039 8,695,215

Consolidated
Unrestricted Restricted Total
funds funds 2020
Income
Donations k legacies 1,863,218 1,863,218
Income &om Charitable Activities 1,172,503 1,172,503
Income from Other Trading Activities:
Commercial
trading operations		 5,635,616 5,635,616
Fundraising 771,030 49,256 820,286
Covid-19 support income 487,041 487,041
Other income 228,072 228,072
Investment
income		 106,821 106,82
Total Income 10,264,301 49,256 10813,557
Expenditure
Expenditure
on raising		 funds
Commercial
trading
activities		 4,405,925 4,405,925
Costs ofgenerating
donations		 and legacies 539,935 539,935
Investment
portfolio fees		 22,357 22,357
Expenditure
on charitable		 activities
Provision ofcare 5,845,594 68,794 5,914,388
Support costs 95,822 95,822
Total Expenditure 10,909,633 68,794 10,978,427
Net losses on investments (182,076) (182,076)
Net expenditure (827,408) (19,538) (846,946)
Transfers
Gross transfers between funds
Other recognised
gains		 and losses
Gain on disposal offixed assets 2,637 2,637
Costs payable re pension contributions adjustment (14,822) (14,822)
Net movement
in funds		 (839,593) (19,538) (859,131)
Reconciliation
offunds:
Fund balances brought
forward		 9,213,962 799,524 9,993,486
Fund balances carried forward 8,374,369 759,986 9,134/55
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Goodwill Total
Costor valuation
At 1 April 2020 12,417 12,417
Additions
Disposals
At 31 March 2021 12,417 12,417
Depreciation
At 1 April 2020 8,278 8,278
Charge for the year 4,139 4,139
Released on disposal
At 31 March 2021 12,417 12,417
Net book value
At 31March 2021
At 31March 2020 4,139 4,139
Investments
Freehold Investment in
investment subsidiary Investment Company Group
property undertakings portfolio 2021 2021
K
At 1 April 2020 516,641 2,888,439 3,405,085 3,405,085
Additions
at cost		 634,155 634,155 634,155
Disposals (833,916) (833,916) (833,916)
Unrealised
gains/(losses)		 406,025 406,025 406,025
Realised gains/(losses) 294 294 294
At 31March 2021 516,641 3,094,997 3,611,643 3,611,643

22 Stocks
Company Group Company Group
2021 2021 2020 2020
Goods for resale 12,079 95,129 12,079 96,466
Drugs, medical supplies etc. 8,500 8,500 8,500 8,500
Maintenance stocks 400 400 400 400
20,979 104,029 20,979 105,366
23 Debtors
Company Group Company Group
2021 2021 2020 2020
Recoverable income tax 51,130 51,130
VAT recoverable 50,967 49,778 73,999 63,697
Amounts
owed by group undertakings		 196,701 98,314
Other debtors 51,814 52,819 48,658 48,658
Prepayments and accrued income 995,948 995,948 1,335,606 1,337,350
1,295,430 1,098,545 1,607,707 1,500,835
24 Creditors:
amounts		 falling due within one year
Company Group Company Group
2021 2021 2020 2020
Trade creditors 138,557 141,107 134,574 147,837
Other creditors 98,068 98,280 215,752 220,001
Other taxation and social security 135,893 135,775 136,652 137,577
Amounts
owed to group undertakings		 298,990
Accruals 166,660 182,617 94,706 129,258
Deferred income (note 25) 10,680 81,294 10,259 79,209
549,858 639,073 890,933 713,882

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Unrestricted Restricted Total
funds funds
Fixed assets 3,556,546 750,198 4,306,744
Investments 3,611,643 3,611,643
Current assets 1,806,285 1,806,285
Current liabilities (639,073) (639,073)
8,335,401 750,198 9,085,599
Consolidated fund balances at 31March 2020 are represented by:
Unrestricted Restricted Total
funds funds
Fixed assets 3,674,741 759,986 4,434,727
Investments 3,405,080 3,405,080
Current assets 2,008,430 2,008,430
Current liabilities (713,882) (713,882)
8,374,369 759,986 9,134,355

Land &buildings Land &buildings Land &buildings Land &buildings
Company Group Company Group
2021 2021 2020 2020
Expiring within 1 year 415,424 415,424 395,116 395,116
Expiring 2 - 5 years 982,585 982,585 937,807 937,807
Expiring in more than five years 375,313 375,313 340,033 340,033
1,773,322 1,773,322 1,672,956 1,672,956
Other Other
Company Group Company Group
2021 2021 2020 2020
Expiring within I year 45,725 45,725 45,725 45,725
Expiring 2-5 years 2,638 2,638 40,844 40,844
48,363 48,363 86,569 86,569

2021 2020
Net expenditure
per		 statement offinancial activities (48,756) (859,131)
(Gains)/losses
on investments		 (406,319) 182,076
Investment
income		 (121,192) (106,821)
Less profit on sale ofassets (1,240) (2,637)
Add back depreciation
charge		 293,626 297,202
Decrease in stocks 1,337 72,666
Decrease in debtors 402,290 (539,688)
(Decrease)/increase in creditors (74,809) 9,331
Net cash provided by/(used in) operating activities 44,937 (947,002)
Analysis ofnet debt
1 April 2020 Cash flows 31March
2021
Cash at bank and in hand 402,229 201,482 603,711