CHARITY REGISTILITION NUMBER: 1194571 Indus Health INetwork UK REPORT & FINANCIAL STATEMENTS 31 December 2022 Indus Health Network UK Financial Statements Year ended 31 December 2022 Page Trustees, annual report - Charity Reference and Administrative Details Trustees, annual report Audit Report Statement of financial activities Statement of financial position io Statement of Cash Flow li Notes to the financial statements 12-22 Indus Health Network UK Trustees. Annual Report Charity Reference and Administrative Details Year ended 31 December 2022 Registered charity name Indus Health Network UK Charity registration number 194571 Registered office 7 Bradman House, Abcrcorn Place St John% Wood London NW8 9XY Trustees Dr. Maieen Durrani Mr. Tahir Ali Mr. Mukarram Sattar Mr. Anwar Zaidi Trustee Tiustee Tiustee Trusiee Auditor Arif Malida Chartered Accountants & Registered Auditors 66 Moyser Road London SW166SQ Bankers Barclays Bank PIC I Chuichill Place. London, E14 5HP Metro Bank Ple I Southampton Row, London WCIB SHA CAF Bank Ltd 25 Kings Hill Avenue, Kings Hill, West Malling MEI 9 4TA Indus Health Network UK Trustees. Annual Report Year ended 31 December 2022 The Trusiees present iheir annual report together with ihe financial staiernents for the Charity for the period ended 31 December 2022. The Trusiees have adopted the provisions of the Statement of Recommended Practice ISORPI 'Accouniing and Reporting by Chariiies" Ib RS 1021 in preparing ihe annual report and financial staiements of ihe Chariry. The financial statements have been prepared in accordance with the accounting policies set out in notes to the accounts and comply with the Charity's LToverninb docuinent {Constitution). the Charities Act 2011 and Accountingy and Rcporting by Charities.. Statemcnt of Recomincndcd Practice (second cditionl applicablc to charitlC5 prcparingj thcir accounts in accordance with thc Financial Reporting Standard applicable in the UK and Republic of Ireland published in October 2019. OBJECTIVES, AIMS & ACTIVITIES FOR THE PUBLIC BEIYEFIT Objective5 and ActI￿tieS The objective of Indus Health Network UK {IHN UK) is the relief of financial need and suffering for the benefit of the public in Karachi, other cities thai require medical facilities, its surrounding areas, in¢luding but not limited to victims of natural or other kinds of disastcr, by providinuj aid, assisting in setting up hospitals. clinics and vaccination ccntrcs and Jncdical ccnircs and by such othcr Jncans as dccmcd suitablc, for such pcrsons, bodi¢s and organisations. IHN UK reli¢s sol¢ly on public donations to raisc funding for thi% cause. IHN UK is anilialed with Indus Hobpital & Hedlth Neiwork IIHHNI. bdsed in Pakistdn which IS d noi-for-profit company rcgistcred under s¢clion 42 of the Companies Ordinancc 11)84. Pakisian. IHHN is a regiSte￿d charity in Pakistan with Charity Registrdlion No. PCP-R2120191234. IHHN is a primary beneficiary of IHN UK'S grant making activities. IHN UK and IHHN have leadership boards which are independent of each other. The appeal and collection of funds in order to make grants (grant making) and charitable donations for the benefit of the health network. the Trustees have ieviewed the ¥uidaiice issued by the Charity Cotnmission regarding public benefit and confirm that the charity objectives and activitie5 are within the public benefit Temit. Grant MakiDg Policies IHN UK has established its grant making policy with a view to directing funds for the public benefit. Only ihose individuals and insiitutions whose appliLaiions lor grani making meet the eligibiliiy criieria, as sei out within ihe Charity Commi8sion for England and Walc%, ar¢ ¢nl¢rtaincd. Thi% would include grants to ovcr%¢a% organizations that havc charitablc or not-for-profit status in thcir location of opcration or to individuals con%idcrcd in nccd of charitable donations as outlined in the Objectives. IHN UK receives grant applications primarily from or for the benefit of IHHN which are reviewed by the Trnsiees on a case-to-case basis. The Charity assesses the grant requesis taking into account the purpose, it's impact and whethcr thcy arc in linc w'ith the ovcrall 0bjccti￿CS %ct by IHN UK. Thc a%%c%smcnt al80 takcs into account whcthcr thcre arc mcchanisms establishcd with tlic applicant tliat would allow thc ongoing monitoring and cvaluation of thc projcct including its su%tainability. To %trcamlinc this procc%s, a standard fomiat ha% bccn c8tablishcd whi¢h has been found adequate for the ongoing grant applications. Once a grant has been approved, authorisaiion is accorded to release the funds to the beneficiary and only upon approval does a grant become payable. Indus Health Network UK Trustees. Annual Report Year ended 31 December 2022 For the maintenante of adequate cashllows that are required to meet the overall running of the Charity. the Trnstees ensure that a minirnum reserve is retained at all times prior to considering any grant application (see Reserves Policy b¢lowl. STRUCTURE, GOVERNANCE & MANAGEMENT The governance responsibilities of IHN UK are overseen by experienced TNstees on a pro bono basis. They includ¢ spcciali8ls from thc mcdical fjeld, financc, marketing and thosc with community knowledge. Try%lc¢% arc expectcd to provide guidance and devclop strategies to steer the Chariiy towards achieving its laid-down goals and objcciives within thc Rcgulatory framewi)rk. The Charity's constitution backed by internal policies sets out the framework to oversee the raising of donations ond its deployrnent. An annual budget is set based on the previous year's perforniance with close aitention being placed on cost-to-income ratios. Trusiees hlild regular meetings during the year io monitor ￿rfL}rnian¢e. When required, policies are discussed and updated, requests for grants are reviewed for approval and new iniliatives debated lor launching. The mana¥etnent of the Charity is ent￿sted to a full-time consultant who is supported by a part time expeTienced consultant. Their principal activity IS birounded towards building awaiene5s amon¥st the ta￿￿tted donoTS of the woiks being uiidertaken by Indus Hospital & Ilealth Network IIIIIINI. Thi5 Tequires the development of vaTIOUS Lhannels to communicate with the dontsi community including", engaging volunteers ltii the fomation ol. chapters around the UK, live appeals on radioftv. healih shows on specific TV channels, live talks via Zoom or other virtual means, golvcricket tournaments when pemissible. In addition to buildinbF awaTenes5, the consultants are responsible to maintain donor records with due re¥yard to expectation5 under the GDPR ¥uidelines and foi peTiodic lodgmient of gift aid clairn5. GOVERNING DOCUMENT & HOW THE CHARITY IS CONSTITUTED The Charity was fonned as a chariiable incorporated organisation under a Foundation ConstitutiL)n dated 24 May 2021. Thc Charity con%iitutcd and its asscts arc admini%icrcd at]d managcd by thc Trnstcc% under thc namc of Indu5 Hcalth Network UK or by such other naine a5 the Trllstees shall from tirne to time decide with the approval of thc Charity Commi%sion for England and Walc% Ithc CoJnmi%%ionl. TRUSTEE SELECTION METHODS & INDUCTION I TRAINING Structure & Management The Charity operations are overseen by the Twslees with consultanis involved in awareness building and odministration. Management decisions are undertaken through consultation between the Trustees and final Jpproval is made collectively. At the induction of a new Trustee. training would be reeommended dependent on the level of knowledge I experience thai the new Trustee brings. Public Benefit The Trustees have referred to the Commission's guidance on Publi¢ Benefit, including the guidance 'Publi¢ bcncfit.. running a Charity {PB2), and confirni thai thc cliaritable activities arc undcrtakcn for public bcncfit. Indus Health Network UK Trustees. Annual Report Year ended 31 December 2022 FUND-RAISING STANDARDS INFORMATION IHN UK not any exteTnal pmfessional fundraisernoiany ora¢omme]cia] Cornpany to act on itsbehalf to fund rdise. IHN UK is rcgistcrcd with thc Fundraising Regulator (FRI and practiccs its (Xmlc of conduct for fiu)drnising in acconknce with it. li has registered iiself on the Fundraising Preference Service IFPSI which is a secure charity portal of FR, to ensure that il docs not send dire¢1 markcling communications to peoplc who have made an FPS request. IHN UK u￿S Donofy CRM, a GDPR compliant systcm that records thc donor's communication prcfcrL￿cCs for fi]rther contact with thc Sup1￿Cr5. IHN UK is committed to protecting and respeding privacy and security of its donors and Eelieves that their r¢rsonal dats is an 'Amanah' ITrustl- much like the donaiions- and are therefore committed to being open and tran4went aix)ut how the data is stO￿d and used. The Charity has a Privacy and Data Prowtion wlicy which ouilines how data is collecie£t manag¢1 ur￿1 al￿ mtrdn% of pmlccting tho ￿nal infonnaiion. Thi8 policy 18 acc¢%%ible to the public via the IHN UK wcbsitc, https.'Ilindusliospitsl.org.uWprivacy-policyl IHN UK d￿S noi practice a (￿Id telephone fundtaising carnpai￿ sn as to avoid and prOt￿t vujnerdble people and other members of the public. RISK MANAGEMENT IHN UK has a risk management strategy which comprises.. A periodic review of potential risks; Thc cstabli%hmcnt of %ystcms and pro¢¢dur¢% to mitigate tho%c risks id¢ntified and The implementation of piocedures designed to minimise any potential impact on the Charity should those risks materialise. These measures have allowed the Trustee5 to consider the risk5 facin¥ the Charity and believes the exposure to be minimal. The Trustees believe that thib approach to risk managFement is effective. ACHIEVEMENTS & PERFORMANCE The charity complLied the iransfer of all asseis and liabililics from Indus Hcalih Neiwork IChari¢y No.. I154809} on 31 December 2021 and involved prior approval with the Charity Commission for the transfer of these net assets. Net asscts comprisc all asscts and liabilitics transfcrrcd. For the year to 31 December 2022, donation income durins the year totalled £2.450,567 cornptising general donations of £1,140,415 and resiricied dundtions of £1,310.152. A total of 7 gFidnt paymentb were reledbed totalling £307,790. All grant payments wete released foi procurement of equipTnent and services for the benefit of IHHN for health care skill development and expansion of the hospital. Events in the year included the signature Annual Golf Tournament and Speaker event5 Wlth celebrities. As in the past, several community events were held to update them on how their donations were deployed. The donations collected were deployed towards providin¥ medical care to over 300.000 patients at IHHN. There weie in excess of 25,000 patient visits. diagn05tlC5 and tneals were di5tiibuted to the Tnost vulnerable patients. There were over 5,500 cancer treatments providing chemotherapy, 500 custom made prosthetic limbs attached, clubfoot treatment provided to children and adults. As part of the exp)nsion project ai Korangi Hospital, a new ward was funded for mother and baby for safe pregnancies and neonatal care. Indus Health Network UK Trustees. Annual Report Year ended 31 December 2022 The grant requests received from IHHN during the year included: Healih care skill developmeni £ 13,320 Medical Equipment Piocuied for Hospital Institutions £ 294.470 The above granis were approved during the year and grants of £ 233,330 were disbursed. A grant of £ 74.460 was approved prior lo the year end, committed and paid aftcr the year end. IHN UK has received substantial grani requests post year end for the expansion programme of IHHN dethils of which are further cxplainod in thc Tru%t¢cs' Annual report %oclion Plans for th¢ future bclow. TITLE ASSET TILINSFERS Following the Chaiity Cominission approval foT the transfeT of asset5 fr(iin the previou5 Charitable Trust Indus Healih Network (Charily No 11548091 to IHN UK, Ihe Trusiees absisled by ihe managFement team arrdngFed for all title )1 l. thc Cljarity (A¢cothits ￿ Rqynry) Wicns2fN)8 ￿1 the wovisithu ofthe IALSL d¢¢d we reswwible for ¥fe8uwJini the ofthe Chty and txn(t fof takin8 rt&*Thable steps for the Sigloj M b¢fralfof th¢ Tr￿* on 18 (k4*# 2023 Indus Health Network UK Independent Auditorfs Report To The Trustees of Indus Health Network UK Year ended 31 December 2022 WL have audiicd ihe financial siaiements of Indus Hcalih Nciwork Iihc'chariiyl for Ihc year endLd 31 December 2022 which comprise of th¢ Staiemeni of Financial Activiti¢£. th¢ Balance Sh¢¢t. the cash tlow stal¢ni¢nt and the relal¢d nol¢s. including si¥nifiLanl dLLuunlinB policies. The financidl teportinLT fratnewLTrtk Ihdl has been applied in their p￿P￿TatIon is appliLdble law and UnItL￿ Kingdom Aeeouniing Siandards including FRS102 'Yhc Financial Rcporting Siandard applieablc in Ihc UK and Rcpublic of Ircland" IUniic41 Kingdom Gcncrally AcC￿l¢d Accounting Praciiccl. In our opinion Ihc financial sraiemenis.. givc a t￿¢ and fair vicw of the srate of ihe charity'5 affairs as at 31 Dcccmbcr 2022, and of its incoming Tcsources and applicalii>n of r¢%Durce4. for the y¢aT tlitn ended.. havL bccn propcrly prLyarcd in ac£ordancc wilh Uniied Kingdom Generally Accepied Accouniing Practice,. and hav¢ been prepared in accordanc¢ wilh the requireinent% of the Charities Act 2011. Basis for opinion Wc conducicd our audit in accordance with Inlcrnational Siandards on Auditing IUKI IISAS IUKI and applicable law. Our Te.%￿n￿1b111t1eS under those standards are further de￿Cribed in the AuditQT 8 responsibilities foi the audit of the financial siaicmcnis section of our rcpori. Wc arc indcpcndcni of Ihc chariiy in accordanel wilh Ihc cihical rcquircmlmts thai arc rele￿an1 to ouraudii of the finaiicial sial¢m¢nts in the UK. iiicludiiig the FRC'S Fthical Standard. gnd we have fvlfillcd our oih¢r ethical Te5wnsibililies in aLLUTddnLe with Ihese requitemenis. We believe that the audit evidenLe we have obtained is sutriciertl dppruptidle ILI PTuvide fui uur vpiniun. Conelusions relating to going eoncern In auditing ihe financial slateinents, we have concluded Ihat the trusiees, use of the going concem basis of accounting in the PTcparatlOll of ihe financial statcrncnts is appTopriai¢. Based on th¢ w¢ have pertarmd. w¢ have not identified any tnaterial unc¢rtainli¢% T¢lating to ¢v¢nts OT condilian% thllt, individudlly LTrILoIIcLIivL'ly. ttidy La51 significant duubi vn the Lhatily's ability Iu LontinuL' as a LTLTrin¥ LuncLm fur a PLYILNI uf ai l¢asl twelve monihs from when ihe financial siatanents are authorised for Issue. Our r¢sponsibiliti¢s and ihe r¢swnsibilit1¢5 of the trust¢¢s with r￿pect to going concern 8r¢ de5crib¢d in the relevant sections of thi% report. Other infortnation The firtanLial slateTnents fur the PTIOI firtancidl peTiod year ertding 31 DeLembei 2021 were unaudited the Charity did nul uperate in the periud ended 31 DecembeT 2021. We refer lo the trustees, Tepurt where the TTUStees expldin the ttansferuf funds 10 Ihe Charity on 31 December 2021. Thc other infomiaiion Lomprises Iht InfoM￿lI0ll incliided in the trusiecs, annual rLVOrt. other than IhL financial siaitmtnts and our audiior's report Ihcrcon. Thc Irusiecs arc rcsponsiblc lor ihc oihcr inforniaiion coniaincd wiihin ihc annual r¢p)rt. Our opinion on the financial siaicmenis dijes noi Co￿er IhL oihcr information and, excepi 10 ihe exieni otherwise expljciily siaied in oiir report. we do rtoi express any form ofa55urartLe conLIu510n Ihereon. Our rcsponsibility is ￿ rcad ihe othcr information and. in doing so, con5idcr whcihcr thc other information is maicrially incon%i%l¢nt with the financial stal¢rn¢nt4. or our knowledg¢ Dbiained in the course of the audit Dr oth¢TWi%¢ 3pp¢ar% to E¢ Inaterially mi%4lal¢d. It. we identity such material inconsisl¢nci¢s or appareni material Inissthtein¢nls. w'e ar¢ required to dettrmine whether (his gil'es rise 10 a mai¢rial Inissiaiemeni in (he financial staieintnts Iheinselvts. If, based on the work we 11gv¢ pcrforined. we conclud¢ that Ih¢r¢ is a Inaicrial niisslat¢ni¢nt ot'iliis other inforiiiaiion. wt r¢quir¢d io rew)rt ihai fact. Matters whirh we are required to report bv exception W¢ hai'¢ nothing lo r¢port in r¢sp¢ct of th¢ follow'ing rnatt¢r5 in Telalion to which th¢ Charili¢s (Accounts and Report51 Re¥ulaliun% 2008 require us lu report tu you if, in OUT upinion.. the infortnaliun given in the financial slatetnentS IS ItiLunsisient in any mateTial respeLt with the trustees. Tepurt" or Indus Health Network UK Independent Auditorfs Report To The Trustees of Indus Health Network UK Year ended 31 December 2022 the charity hds not kept adequate accounting ￿C￿￿5,. 01 the firtartcial statements are nul irt dwemeni with the accouniillg Tecords artd retums: or we have not ￿CeiVed all the infO￿￿￿tIon and explanation￿ we require for our audit. Responsibilities of trustees As explained morc fully in Ihe Irusiecs. rcsponsibiliiics siaicrncni Isci oui on pagc 51, (he INsiccs are responsiblc for ihe prLparaiion ol finanLial siaiemcnis which a IruL and fair VILW. and for such inlLmal conirol as Ihc IruslLLS dciemiinL IS ncccssary 10 cnable thc prcparaiion of tinancial siaicmcnis Ihal arc frcc from matuial rnissiaicmcnl, whcihcr due lo traud or error. In prcparing Ihc financial siaicmcnts, Ihc IrustLYs arc r￿￿￿)nsIbIC lor asscssing Ihc Lhariiy s abiliiy 10 continuc as a going conccm. disclosing. as applicablc. maiicrs relaicd 10 going conccrn and using ihc going conccrn basi5 ofaccouniing unlcss thc trust¢¢% ¢itheT inl¢lld to liquidal¢ the ¢h3Tity or to c¢a%e op¢rations, or have no reali£ti¢ alt¢maliv¢ but to do %0. Auditor'5 rtSPOn5ibilitlC5 for the gudit of the financial statements We have been dppuinled as audilur linder secliun 144 of the Chatities Act 2011 and report in accordance with the Act and Televant regulations tnade OT having effect theTeunder. Our objectives aTe to obtain Tea%onable a%%urance about whether the financial statenienl% a% a whole aTe free froTll Tnalerial TrtlSsldlL'tnL'nt. wheihL'r due lu fraud ur Ltrvr. and lu issue art duditur,￿ rcwvrt thdl InLludL'S LIUI opinion. ReasunablL dssiirdnLe ig a high level of assurdneL bui is noi a guar4gniLC thai an audii conducicd in accordanc¢ with ISAS IUKI will always dcicci a ierial missiaiemeni when Il exisis. Missialement￿ Lan an¥e from (Taud or error artd are Lonsidered material If, irtdiNidu&lly UT in ihe ag¥re¥ale, Ihey Luuld re￿￿OnablY be expeLled lu inflLience Ihe eLunDtnic deLisions of Use[￿ tsken un Ihe basis uf these rillanLial 51dietnenis. Irregularities. including fraud. are in4iance% of non-complignc¢ wilh laws and regulations. We design proc¢dur¢s iii line wilh our responsibilities. outlined aboN'e, io detect maierial misstaiemenis in respeci of irregularities. Including fraud. We planned our audit so thai we havc a rcasonablL cxpceiaiion ofdthcciingy maicrial missiaicmcnis in IhL financial siaicmcnis rcsulting from irrcgulariiics. t'raud or non compliancc ￿lIh law or rcgulations. In idcntifying and a55cssing risks ot'rnaicrial niisst3teni¢nt in re%pect of irr¢gul3riti¢%. includiiiby fraud and non-complianc¢ with law.4 2nd r¢gulalion£. our PToc¢dur¢s iiicluded ih¢ lollowing.. Pwtom)ing analyiical and substaniivc proccdurcs 10 idcniify any unusual or uncxpccicd rclaiionships and icsiing Iransaclional sainple% and jounial entries for appropriai¢n¢ss. Asscssing ￿hether judgcrncnl and assumptions made in dctumining accouniing cstimatcs indicaic potcniial bias Ini'esligated transactions which appears unusual or significani in value and ihe raiionale of Ihe Iransaciion. Enquiring wilh Irusiws and Ihc ehariiy whcihcr Ihcy arc aware or hold knowlcdgc ot'any non-compliancc with laws and regjulaiions. Enquirinbi with Irusiees and thL chariiy of their internal conirols esiablishcd 10 miiigaie risk rclaicd 10 fraud or non- compliancc wilh laws and rcgulaiions. RLviLwing) accounting csiimaics for bias and evaluating whcihcr circumsts￿¢Cs producing any bias, rcprcscni a risk ot'malcrial missiaicmcni duc io fraud. Reviewing eorrespondence with HMRC and relevant regulators. Asscssing financial siaiLMn¢ni disclosurcs and Icsiing 10 supponing documcniation for compliancc wilh appljcablc laws and regulaiions. Bccause ofihe InhLrLni limithiions oran audii, Ihcrc is a risk Ihai WL will noi dLILci all irrLgulariiies, Including Ihosc Icading to a maicrial misslat￿Ment in Ihc financial staicmcnis or non-compliance with rcgulation. This risk incrcascs Ihc morc that ompliance with a law or r¢&Tul3tion is rem0￿ed trom th¢ ¢i'enl£ and transactionfi r¢tl¢¢ted iii th¢ financial 413t¢m¢nls. 3£ w¢ 'ill be le85 likely lo becotne aware of i11slwice4 of non-cornpliance. The Tisk 1% also greater regarding irregulaTltie8 (￿cu￿l￿g du¢ to fraud rather than error. as fraud i11￿.01￿.¢$ intentional conc¢alm¢nt. forgery. collusion. omi44ion or misrepresenlalion. A further de¥Tiplion of our r¢s￿￿5ibilities for the audit of the financial stateinenls is located on the Trinancial Re￿rtIng CounLiI's website httpS.'i.'www.frc.org.uklaiidilvr￿audit-￿5su[￿nceIaud110r-5-resFX)nSIbIIiIIe%-fur-1he-aud1l-0f-Ihe- fddL5cfipiiort-of-Ihe-auditort/.E20/.800/.99s-responsibililiLs-fur. Thi5 dcsLriPlion fum pafl vf OUT auditor's rL'POrt. Inu:F,*nci- .JrJrt ! a Tli Lund()Il SW'16 &%Q Indus Health Network UK Statement of Financial Activities Year ended 31 December 2022 Period from 24 May 2021 to31 December 2021 21122 Restricted runds Unrestricted funds Total fund5 Total funds Income From Donatioiis and legacies Total income 1,140,415 1,310,152 2,450,567 1,140,415 1,310,152 2.450,567 Expenditure On Ra15iiigT Funds Charitable activitie5 1283,2871 1436,471) (283,287) (436.471) 617 Total Expenditure 1719,7581 719,758) Net Income l {Expenditure) for the Yeor before other recognised gains I (losses) 420,657 1,310,152 1.730,¥09 Other Recognised Gain5 1 (Ios5es} OtheT gains / Ilosscsl Net movemeDt funds 420,657 1,310.152 1,730.809 Reconclllatlon of funds Asseis Ir(Insferred frum Indus Health Network Charity No 1154809 AI 3111212021 543,063 203.249 746,312 746,312 Total funds carried forward 9113 963,720 1,513,4111 2,477,121 746.312 The statement of financial activities includcs all gains and losses rccognised in the year. All income and expendi￿re derive from continuing activities. The notes on es 12 to 22 forrn art of these finan¢ial ststernents. 3.1 O