Trustees’ Annual Report & Financial Statement 2023/24 

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## Report of the trustees for the year ending 31[st] March 2024 

**The trustees present their report with the financial statements of Health Amplifier for the year ending 31 March 2024. The trustees have adopted the provisions of the Statement of Recommended Practice (SORP) ‘Accounting and Reporting by Charities’ issued in March 2005.** 

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## Objectives Activities **&** 

## The purpose of the charity is... 

“The relief of sickness and preservation of health, in particular, but not limited to, persons in extreme poverty.” 

“And the relief and/or prevention of poverty in the community in such ways as the Charity Trustees may from time to time decide.” 

Before Health Amplifier was established, the community of Kikavu, Tanzania had no access to a local health clinic so had to travel for many miles to receive healthcare, consequently disease and malnutrition were high. 

Additionally, with little education about the importance of good hygiene, environmental and personal sanitation was poor with waterborne diseases occurring frequently. We are working to educate and support the community in overcoming the issues of poor healthcare, malnutrition, malaria, disease and dental hygiene. 

As part of our programme to fight poverty in Kikavu and its surrounding villages, the charity funds the salary of local health professionals working in the Kikavu dispensary and community projects which help the charity to achieve its objectives and ensures sustainability. 

The charity carries out its projects through partnership with other institutions but most specifically with the Catholic Diocese of Moshi – Korongoni Parish. The trustees have had due regard to the Charity Commission guidance on public benefit and recognise that it is their responsibility to ensure that the benefits offered have a positive impact in Kikavu and the surrounding area. 

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The remainder of this report illustrates the activities undertaken to support the public benefit. Health Amplifier, although new, has had a great year since its start in June of 2016. The charity is now running in partnership with Catholic Diocese of Moshi with seven different projects in the Kikavu village, benefiting more than 10,000 residents in the area. 

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## Achievement Performance **&** 

## Clinical Care 

Between April 2023 to March 2024, 2,045 patients have been treated at the Kikavu clinic, where upper respiratory infections, urinary tract infections, gastro-intestinal diseases, skin diseases together with hypertension and diabetes type II are the most common diseases in the region. During the past year the cases of malaria have decreased drastically, having few cases during raining season. 

In total we have had 2,045 patients attending our clinic this year, which is an average of 228 patients a month. 

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## What has been happening so far... 

We are happy to report that 2023/2024 was very exciting. We have mainly focused on the mother & Child unit and Dispensary. 

We have had a significant increase on, pregnant women appointments, baby deliveries, children’s appointments and vaccinations. 

Our mobile vaccination program has been a success. We were able to reach out to those who could not otherwise come to the unit. 

Our malaria eradication program continues to be a very efficient, helping the local have a better quality of life. 

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## Kikavu Dispensary 

## Providing Excellence in Care 

This year, we are pleased to let you know that the number of patients may be higher compared to the year before. 

As the quality of our services increases, more people are attending our clinic and benefiting from our services. 

This year, we are excited to announce that 2,045 patients have been treated for various health conditions, with upper respiratory infections being the main one. 

We have also had a considerable decrease in the number of malaria cases. Out of the 504 patients screened, only 12 tested positive. This is due to our commitment to educating the local community on how to take practical steps to prevent malaria from spreading. 

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## The Mother & Child Medical Unit 

These have been the main areas of activities of the  Mother & child care unit and Dispensary: 

**The Outpatient Treatments:** Which includes, patients consultations, laboratory investigations and provision of medicines. 

**Mother and Child services:** With main focus on caring of women during pregnancy and conduct uncomplicated delivery, conduct growth monitoring to under five children and provide vaccinations. 

We also conduct mobile vaccination campaigns in our community to catch up with those who didn’t attend clinic for various reasons. 

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## Summary of the main achievements 

- 2,045 patients treated for various health conditions. 

- 98% in 2023/2024 donations spent in the front-line projects. 

- 283 pregnant women seen by our midwives and doctors. 

- 86 babies delivered. 

- 872 children vaccinated within the immunisation program. 

- Only 15 malaria positive cases out of 391 people tested. Less then 5% incidence. This is due to our malaria prevention programme. 

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## Policy on Grant Making 

The charity has established a grant making policy to achieve its objectives to the public benefit. The trustees apply the funds of the charity at their discretion and in accordance with the charitable purposes and objectives of the charity. The trustees will consider any requests or known situations that are eligible for consideration. 

- a. Each request or situation will be considered on its own merits. Where situations have been previously considered (whether successful or not) any due diligence undertaken to reach an earlier decision will be made available to the trustees. 

- b. The trustees will carry out sufficient due diligence to ensure that the request or situation meets both the charitable purposes, and the priorities for support set out in its policy. 

- c. The trustees are happy to work in partnership with other grant making bodies where funding of an entire project is beyond the scope of any single organisation. This includes, but is not limited to, national and international relief operations in the wake of natural disasters. 

At the moment, the main beneficiary of our grants is the Kikavu Dispensary in Tanzania. The total amount of funds awarded to the Dispensary between April 2023 and March 2024 was £70,800 which was essential for the running of the Dispensary and all the projects associated to it. 

All the grants awarded are closely monitored by the trustees and by our onsite project manager to make sure that they reflect the charity’s objectives and thereby advance public benefits. 

## Plans for the Future 

We cannot believe that it has been eight years since the beginning of the project in Kikavu. How time flies! 

During this time The Kikaku project had several key achievements, including successful completion of major milestones, reducing the high rates of maternal and infant deaths in the area, the construction of the Mother & Child Medical Unity, delivering thousands of school meals to make sure that no children would go hungry, treating and educating hundreds of children with dental problems and reducing high number of malaria contamination through our health and social programs. 

All of these were just possible due to team collaboration, the development of innovative solutions and positive feedback and financial support from stakeholders. 

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These accomplishments have likely paved the way for the project to become sustainable, which has always been the aim of the project to start with. We are so happy that the team in Kikavu, under the leadership of Dr. Temu August worked very hard for the project to come to this stage. 

The trustees feel that it is now time for the charity Health Amplifier to look for future projects and initiatives. Therefore, the trustees decided that we will be ceasing our financial support to the Kikavu project from February 2025. 

We would like to thank you for all your support and we will keep you updated what these new adventures will be. 

We will also be offering appointments with a podiatrist, nurses and doctors. Dr Julian will be coming to Tanzania to educate and train all members of staff on diabetes, as this is his specialist area. Another area of interest of the charity is ecology. 

We are currently in discussions with the local community as to how they could be involved in the preservation, conservation and the protection of the environment and the prudent use of resources. More to come on that. 

## Financial Review 

Although the charity welcomes donations made by the public, the charity’s major source of funding is from grants and donations issued by private companies and other institutions that share the same ethos of the charity. This way we make sure that all the public donations will go to the front line. 

We are pleased to report that for the fiscal year of 2023/2024, Health Amplifier invested all of the donations received in the project we run in Kikavu -Tanzania. The charity holds no designated, restricted, investment or endowment funds. 

Due to the generosity of our donors we managed to make grants to the total amount of £70,800 to fight poor health issues and poverty in Kikavu, Tanzania and still close the 2023/2024 account with a surplus, which will be invested in the finance of new projects in the next fiscal year. 

## Reserves Policy 

The trustees aim to keep the free reserves amounting to approximately three months average expenditure. The trustees believe that this level will be sufficient to respond to our grant beneficiary and have enough money to cover any governance costs. 

Since we are a new charity this policy will be reviewed annually as the work of the charity develops. 

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## Structure, Governance and Management 

## **Governing Document** 

Health Amplifier is a Charitable Incorporated Organisation (CIO) governed by its constitution dated on 20th April 2016. It is registered as a charity with the Charity Commission number 1167973. The charity is governed by a board of trustees. 

## **Risk management** 

The trustees have a duty to identify 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. 

## **Appointment of Trustees** 

As set in the constitution, apart from the first Charity Trustees, unless the Charity Trustees decide otherwise every Charity Trustee is appointed by a resolution passed at a properly convened meeting of the Charity Trustees. In selecting individuals for appointment as Charity Trustees, the Charity Trustees have considered the skills, knowledge and experience needed for the effective administration of the charity. There must be a majority of Charity Trustees who subscribe and adhere to, in belief and lifestyle, the Statement of Faith. 

## **Reference and Administrative details** 

**Charity name:** Health Amplifier **Charity number:** 1167973. 

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**Charity website:** 

www.healthamplifier.org 

**Registered Office:** Happisburgh Manor, The Street, Happisburgh, Norfolk, NR12 0AB. **Banker:** Barclays Bank, 34 Market Pl, Dereham NR19 2AS. 

## **The trustees and officers serving during the year and since the year end were as follows:** 

**Chairman** Dr. Julian David Brown **Executive Director** Rev. Jorge Luis De Souza Damasceno **Trustee** Dr. Marianne Simoes (appointed on 28th March 2018) 

## Declarations 

The trustees declare that they have approved the trustees’ report above. Signed on behalf of the charity’s trustees. 

Signature(s) 

‘fot baw 

Full name(s): Jorge Damasceno Position: Trustee 

Date:  08.01.2025 

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**REGISTERED COMPANY NUMBER: CE007715 (England and Wales) REGISTERED CHARITY NUMBER: 1167973** 

## Report of the Trustees and 

Unaudited Financial Statements for the Year Ended 31 March 2024 

for Health Amplifier 

Steve Pye & Co. Chartered Certified Accountants Unit 10 Aylsham Business Park Richard Oakes Road Aylsham Norwich Norfolk NR11 6FD 



Health Amplifier 

Contents of the Financial Statements for the Year Ended 31 March 2024 

||Page|
|---|---|
|Report of the Trustees|1|
|Independent Examiner's Report|2|
|Statement of Financial Activities|3|
|Balance Sheet|4 to  5|
|Notes to the Financial Statements|6 to  10|
|Detailed Statement of Financial Activities|11|





Health Amplifier 

## Report of the Trustees 

## for the Year Ended 31 March 2024 

The Health Amplifier Trustees present their report and the financial statements for the year ended 31 March 2024. The financial statements comply with current statutory requirements of the Companies Act 2006, the charity's trust deed and the Statement of Recommended Practice - Accounting and Reporting by Charities: SORP applicable to charities preparing their accounts in accordance with FRS 102 (effective 1 January 2015). 

## **STRUCTURE, GOVERNANCE AND MANAGEMENT** 

The charity is controlled by its governing document, a deed of trust, and constitutes a limited company, limited by guarantee, as defined by the Companies Act 2006. 

## **REFERENCE AND ADMINISTRATIVE DETAILS Registered Company number** 

CE007715 (England and Wales) 

**Registered Charity number** 1167973 

## **Registered office** 

16 Potters Way Poringland Norwich Norfolk NR14 7GG 

## **Trustees** 

Rev J L d S Damasceno Dr J D Brown Dr M Hernandez 

## **Independent Examiner** 

Steve Pye & Co. Chartered Certified Accountants Unit 10 Aylsham Business Park Richard Oakes Road Aylsham Norwich Norfolk NR11 6FD 

Approved by order of the board of trustees on January 8[th] 2025 and signed on its behalf by: 

........................................................................ Rev J L d S Damasceno - Trustee 

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## Independent Examiner's Report to the Trustees of Health Amplifier 

## **Independent examiner's report to the trustees of Health Amplifier ('the Company')** 

I report to the charity trustees on my examination of the accounts of the Company for the year ended 31 March 2024. 

## **Responsibilities and basis of report** 

As the charity's trustees of the Company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 ('the 2006 Act'). 

Having satisfied myself that the accounts of the Company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your charity's accounts as carried out under Section 145 of the Charities Act 2011 ('the 2011 Act'). In carrying out my examination I have followed the Directions given by the Charity Commission under Section 145(5) (b) of the 2011 Act. 

## **Independent examiner's statement** 

I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe: 

1. accounting records were not kept in respect of the Company as required by Section 386 of the 2006 Act; or 

2. the accounts do not accord with those records; or 

3. the accounts do not comply with the accounting requirements of Section 396 of the 2006 Act other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination; or 

4. the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)). 

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached. 

L—lOwr 

Liam McHugh ACCA 

Steve Pye & Co. Chartered Certified Accountants Unit 10 Aylsham Business Park Richard Oakes Road Aylsham Norwich Norfolk NR11 6FD 

Date:  8 January 2025 

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## Health Amplifier 

## Statement of Financial Activities for the Year Ended 31 March 2024 

|Unrestricted<br>funds<br>Notes<br>£<br>**INCOME AND ENDOWMENTS FROM**<br>Donations and legacies<br>70,800<br>**Total**<br>70,800<br>**EXPENDITURE ON**<br>Support costs<br>2<br>114<br>Charitable activities<br>68,997<br>**Total**<br>69,111<br>**NET INCOME/(EXPENDITURE)**<br>1,689<br>**RECONCILIATION OF FUNDS**<br>Total funds brought forward<br>9,154<br>**TOTAL FUNDS CARRIED FORWARD**<br>10,843|Restricted<br>fund<br>£<br>-<br>-<br>-<br>-<br>-<br>-<br>-<br>-|2024<br>Total<br>funds<br>£<br>70,800<br>70,800<br>114<br>68,997<br>69,111<br>1,689<br>9,154<br>10,843|2023<br>Total<br>funds<br>£<br>61,765<br>61,765<br>2,764<br>65,006<br>67,770<br>(6,005)<br>15,159<br>9,154|
|---|---|---|---|



The notes form part of these financial statements 

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Health Amplifier 

## Balance Sheet 

## 31 March 2024 

|Unrestricted<br>funds<br>Notes<br>£<br>**FIXED ASSETS**<br>Tangible assets<br>6<br>848<br>**CURRENT ASSETS**<br>Cash at bank and in hand<br>10,715<br>10,715<br>**CREDITORS**<br>Amounts falling due within one year<br>7<br>(720)<br>**NET CURRENT ASSETS**<br>9,995<br>**TOTAL ASSETS LESS CURRENT LIABILITIES**<br>10,843<br>**NET ASSETS**<br>10,843<br>**FUNDS**<br>8<br>Unrestricted funds<br>Restricted funds<br>**TOTAL FUNDS**|Restricted<br>fund<br>£<br>-<br>-<br>-<br>-<br>-<br>-<br>-|2024<br>Total<br>funds<br>£<br>848<br>10,715<br>10,715<br>(720)<br>9,995<br>10,843<br>10,843<br>10,843<br>-<br>10,843|2023<br>Total<br>funds<br>£<br>1,130<br>10,230<br>10,230<br>(2,206)<br>8,024<br>9,154<br>9,154<br>9,154<br>-<br>9,154|
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The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 March 2024. 

The members have not required the company to obtain an audit of its financial statements for the year ended 31 March 2024 in accordance with Section 476 of the Companies Act 2006. 

The trustees acknowledge their responsibilities for 

- (a) ensuring that the charitable company keeps accounting records that comply with Sections 386 and 387 of the Companies Act 2006 and 

- (b) preparing financial statements which give a true and fair view of the state of affairs of the charitable company as at the end of each financial year and of its surplus or deficit for each financial year in accordance with the requirements of Sections 394 and 395 and which otherwise comply with the requirements of the Companies Act 2006 relating to financial statements, so far as applicable to the charitable company. 

The notes form part of these financial statements 

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Health Amplifier 

## Balance Sheet - continued 

## 31 March 2024 

These financial statements have been prepared in accordance with the provisions applicable to charitable companies subject to the small companies regime. 

The financial statements were approved by the Board of Trustees and authorised for issue on January 8[th] , 2025, and were signed on its behalf by: 

............................................. Rev J L d S Damasceno - Trustee 

The notes form part of these financial statements 

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Health Amplifier 

Notes to the Financial Statements for the Year Ended 31 March 2024 

## **1. ACCOUNTING POLICIES** 

## **Basis of preparing the financial statements** 

The financial statements of the charitable company, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) '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 2019)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Companies Act 2006. The financial statements have been prepared under the historical cost convention. 

## **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. 

## **Expenditure** 

Liabilities are recognised as expenditure as soon 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 allocated to activities on a basis consistent with the use of resources. 

## **Tangible fixed assets** 

Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life. 

Computer equipment -  25% reducing balance 

## **Taxation** 

The charity is exempt from corporation tax on its charitable activities. 

## **Fund accounting** 

Unrestricted funds can be used in accordance with the charitable 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. 

Further explanation of the nature and purpose of each fund is included in the notes to the financial statements. 

## **Pension costs and other post-retirement benefits** 

The charitable company operates a defined contribution pension scheme.  Contributions payable to the charitable company's pension scheme are charged to the Statement of Financial Activities in the period to which they relate. 

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Health Amplifier 

## Notes to the Financial Statements - continued for the Year Ended 31 March 2024 

## **2. SUPPORT COSTS** 

|**Support costs**<br>Support costs|2024<br>£<br>114|2023<br>£<br>2,764|
|---|---|---|



## **3. NET INCOME/(EXPENDITURE)** 

Net income/(expenditure) is stated after charging/(crediting): 

|Depreciation - owned assets|2024<br>£<br>282|2023<br>£<br>377|
|---|---|---|



## **4. 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' expenses** 

There were no trustees' expenses paid for the year ended 31 March 2024 nor for the year ended 31 March 2023. 

## **5. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES** 

|Unrestricted<br>funds<br>£<br>**INCOME AND ENDOWMENTS FROM**<br>Donations and legacies<br>61,765<br>Investment income<br>-<br>**Total**<br>61,765<br>**EXPENDITURE ON**<br>Support costs<br>2,764|Restricted<br>fund<br>£<br>-<br>-<br>-<br>-|Total<br>funds<br>£<br>61,765<br>-|
|---|---|---|
|||61,765|
|||2,764|



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Health Amplifier 

## Notes to the Financial Statements - continued for the Year Ended 31 March 2024 

## **5. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES - continued** 

|Unrestricted<br>funds<br>£<br>Charitable activities<br>65,006<br>**Total**<br>67,770<br>**NET INCOME/(EXPENDITURE)**<br>(6,005)<br>**RECONCILIATION OF FUNDS**<br>Total funds brought forward<br>15,159<br>**TOTAL FUNDS CARRIED FORWARD**<br>9,154<br>**6.**<br>**TANGIBLE FIXED ASSETS**<br>**COST**<br>At 1 April 2023<br>At 31 March 2024<br>**DEPRECIATION**<br>At 1 April 2023<br>Charge for year<br>At 31 March 2024<br>**NET BOOK VALUE**<br>At 31 March 2024<br>At 31 August 2022|Restricted<br>Total<br>fund<br>funds<br>£<br>£<br>-<br>65,006<br>-<br>67,770<br>-<br>(6,005)<br>-<br>15,159<br>-<br>9,154<br>Computers<br>£<br>2,247<br>2,247<br>1,117<br>282<br>1,399<br>848<br>1,130|
|---|---|



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Health Amplifier 

Notes to the Financial Statements - continued for the Year Ended 31 March 2024 

|**7.**<br>**CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR**<br>Trade creditors<br>Accruals and deferred income<br>**8.**<br>**MOVEMENT IN FUNDS**<br>**Unrestricted funds**<br>General fund<br>**Restricted funds**<br>Restricted funds<br>**TOTAL FUNDS**<br>Net movement in funds, included in the above are as follows:<br>**Unrestricted funds**<br>General fund<br>**Restricted funds**<br>Restricted funds<br>**TOTAL FUNDS**|At 1.4.23<br>£<br>9,154<br>9,154<br>-<br>9,154<br>Incoming<br>resources<br>£<br>70,800<br>-<br>70,800|2024<br>2023<br>£<br>£<br>-<br>1,386<br>720<br>820<br>720<br>2,206<br>Net<br>movement<br>At<br>in funds<br>31.3.24<br>£<br>£<br>1,689<br>10,843<br>1,689<br>10,843<br>-<br>-<br>1,689<br>10,843<br>Resources<br>Movement<br>expended<br>in funds<br>£<br>£<br>(69,111)<br>1,689<br>-<br>-<br>(69,111)<br>1,689|
|---|---|---|



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Health Amplifier 

Notes to the Financial Statements – continued for the Year Ended 31 March 2024 

## **8. MOVEMENT IN FUNDS – continued** 

## **Comparatives for movement in funds** 

|At 1.4.22<br>£<br>**Unrestricted funds**<br>General fund<br>15,159<br>15,159<br>**Restricted funds**<br>Restricted funds<br>-<br>**TOTAL FUNDS**<br>15,159<br>Comparative net movement in funds, included in the above are as follows:<br>Incoming<br>resources<br>£<br>**Unrestricted funds**<br>General fund<br>61,765<br>**Restricted funds**<br>Restricted funds<br>-<br>**TOTAL FUNDS**<br>61,765|Net<br>movement<br>At<br>in funds<br>31.8.22<br>£<br>£<br>(6,005)<br>9,154<br>(6,005)<br>9,154<br>-<br>-<br>(6,005)<br>9,154<br>Resources<br>Movement<br>expended<br>in funds<br>£<br>£<br>(67,770)<br>(6,005)<br>-<br>-<br>(67,770)<br>(6,005)|
|---|---|



## **11. RELATED PARTY DISCLOSURES** 

There were no related party transactions for the year ended 31 March 2024. 

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## Health Amplifier 

|Detailed Statement of Financial Activities<br>for the Year Ended 31 March 2024<br>**INCOME AND ENDOWMENTS**<br>**Donations and legacies**<br>Donations<br>**EXPENDITURE**<br>**Charitable activities**<br>Grants to institutions<br>**Support costs**<br> **Management**<br>Insurance<br>Telephone<br>Office expenses<br>Depreciation<br> **Management**<br> **Finance**<br>Bank charges<br> **Governance costs**<br>Accountancy fees<br>Total resources expended<br>**Net income/(expenditure)**|2024<br>£<br>70,800<br>70,800<br>67,208<br>67,208<br>259<br>214<br>1,034<br>282<br>1,789<br>-<br>114<br>69,111<br>1,689|2023<br>£<br>61,765<br>61,765<br>63,251<br>63,251<br>288<br>157<br>870<br>377<br>1,692<br>63<br>2,764<br>67,770<br>(6,005)|
|---|---|---|



This page does not form part of the statutory financial statements 

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# THANK YOU! 

**“For all your support in Loving, Educating and Liberating lives. You are making the difference!”** 

**Don’t forget to visit our website for more information:** 

**healthamplifier.org/impactreports/** 

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