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2022-12-31-accounts

Unaudited reports and Financial Statements

For the year ended 31 December 2022

ECHO International Health Services Limited

Registered in England and Wales

Charity No: 264681 Company No: I 059894

Contents

Contents
Page
Legal and administrative details 1
Report of the Trustees 2-4
Independent examiners' report 5
Statement of Financial Activities 6
Balance Sheet 7
Notes to the financial statements 8-10

ACCOUNTS 2022

ECHO INTERNATIONAL HEALTH SERVICES LTD

REG CHARITY NO 264681

REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 DECEMBER 2022

LEGAL AND ADMINISTRATIVE DETAILS

Legal Registration

Registered in England and Wales Company limited by guarantee - Number 1059894 Registered Charity - Number 264681

Trustees (Directors)

T Ron Irwin (Chairman) (resigned 22 June 2022) Hugh Belshaw, OBE Alan Butler (appointed 24 August 2022) Ian Campbell Andy Jong (appointed 22 June 2022) Joan Mayes Nick Wooding (Chaiman appointed 22 June 2022)

Company Secretary

Stephen Travis

Registered Office

6 Grosvenor Road Banbury, OX 16 5HN

Independent Examiner

M R Hickson FCA CT A Jacob Cavenagh & Skeet 5 Robin Hood Lane Sutton Surrey SM I 2S W

Bankers

HSBC pie 42 Chipstead Valley Road COULSDON Surrey CR5 2RA

CCLA 80 Cheapside LONDON EC2V 6DZ

Investment Company

Investec Wealth & Management 2 Gresham Street LONDON EC2Y 7QN

PAGE I

REG CHARITY NO 264681

ACCOUNTS 2022

ECHO INTERNATIONAL HEALTH SERVICES LTD

REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2022

The trustees present their report and financial statements for the year ended 31 December 2022.

I. STRUCTURE, GOVERNANCE AND MANAGEMENT

I.I Constitution of the Charity and Status: ECHO International Health Services Ltd is an incorporated charity limited by guarantee, having no share capital and is governed by its Memorandum and Articles of Association. The company number is I 059894 and the charity is registered with the Charity Commission number 264681.

1.2 Trustees (Directors): The trustees (who are also Directors for the purpose of Company Law), who held office during the year are listed on page I, Legal and Administrative Information. Trustees are appointed and elected in accordance with the Memorandum and Articles of Association through a vote of members at the AGM and are appointed for a three year term. There are currently six Trustees, all of whom have been given relevant Charity Commission publications.

1.3 Organisation and Management of the Charity: The charity has no staff and the trustees are actively involved in the running of the charity. The charity is a member of Global Connections, a network of mission agencies, and several trustees use the network for training and peer learning. The operations of the charity are conducted accordance with the policies and strategy approved by the trustees. There are no sub-committees.

1.4 Trustees' meetings and procedures: The trustees schedule approximately three meetings a year. All meetings are fully recorded with clear decisions and action points. There are clear governance procedures and lines of authority. None of the trustees had any financial interest in any transaction or arrangement with the charity during the year and no trustee received any remuneration from the charity other than the repayment of expenses (note 5). The trustees maintain a conflict of interests register. There is a clear procedure that if there is a potential conflict of interest on any matter, the trustee with the potential conflict of interest is asked to leave the room and take no part in the debate or decision.

1.5 Risk Management: During the year, the trustees continued to review the risks to which the charity is exposed seeking to identify all the major risks, in particular those relating to the grant making operations and finances of the charity. The trustees are satisfied that there are systems in place to mitigate the exposure to major risks. Internal risk are minimised by the implementation of control procedures for all financial transactions. This included data back-up of all records and reviewing monitoring and reporting relating to all grants made. External risks are minimised by regular monitoring of the external environment covering donors and health care issues.

2. OBJECTIVES AND ACTIVITIES

2.1 Objectives: The object for which the charity is established is to relieve sickness abroad in any way which charitable according to the Law of England and Wales.

At its foundation in 1966, ECHO had sought to achieve this objective through the provision of medical equipment and pharmaceuticals. Since becoming a grant-making body, the charity has concentrated on grant making to mission hospitals, other providers of health care and innovative health initiatives, especially in sub-Saharan Africa. The objective of the grants programme is:

"The improvement in healthcare to people in underdeveloped countries, particularly rural areas of sub-Saharan Africa, where access to appropriate levels of healthcare is very difficult".

2.2 Activities: ECHO seeks to fulfil its objectives and provide public benefit through providing support via grants and advice to institutions, in conjunction with a UK partner who has a long-term commitment to an area. The trustees consider that the charity provides public benefit in the healthcare sector to poor communities through its focus on helping improve sustainable health care facilities.

PAGE2

ECHO INTERNATIONAL HEALTH SERVICES LTD REG CHARITY NO 264681

ACCOUNTS 2022

REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2022 (CONT'D)

2. OBJECTIVES AND ACTIVITIES (CONT'D)

ECHO aims to allocate each year at least the income from donations and interest. The grants programme focuses on:

3. ACHIEVEMENTS, PERFORMANCE AND OUTCOMES

3.1 Review of the achievements and performance of the Charity: The charity has invested a majority of its funds in longer term investments as described in section 4.4 below. ECHO continues to use its General Funds to provide a wide range of grants and subsidies to appropriate bodies. All funds are channelled via UK registered charities. Detailed information on grants made is contained in the note 5 to the financial statements. During the year the main areas of subsidy and grants included:

MAI Pioneering palliative care programme, India 8,000 Semiliki Trust, quality health outcomes project, DRC 15,000 Friends of K iwoko Hospital nurse's accommodation, Uganda 20,000 MAI New women's ward for Guinebor 2 hospital, Chad 20,000 Worldshare Chaplaincy Community Health project, DRC 20,000 INF Leprosy free community Project, Nepal 5,000 Amplifying voices, community health, India 10,000 98,000

3.2 Assessing outcomes: ECHO aims to improve healthcare to people in underdeveloped countries, where access to appropriate levels of healthcare is very difficult. The trustees assess carefully all proposals for funding put to them. The trustees also monitor any grants awarded through reports from beneficiary groups and seek clarification on whether the aims of funded projects have been met. All projects funded submitted reports that were due during the period.

3.3 Public Benefit: The Trustees are committed to improving the organisation's practice and ensuring that it delivers public benefit as it seeks to strengthen healthcare facilitates. In particular, the Trustees consider how grants made will contribute to the aims and objectives that they have set. The trustees have had regard to the guidance from the Charity Commission on reporting on Public Benefit.

4. FINANCIAL REVIEW

4.1 Results: The charity's activities for 2022 are summarised in the Statement of Financial Activities on page 6. The results show a net decrease in funds of £297,032 (2021: increase of £57,811).

The financial position of the charity at 31 December 2022 is shown in the Balance Sheet on page 7. The trustees consider the financial position at 31 December 2022 to be satisfactory. The£1,408,478, (2021: £1,705,510) unrestricted fund currently held is required to finance the charity's long term grant-making programme.

4.2 Going Concern: There is no material uncertainty about the ability of the charity to continue as a going concern.

PAGE3

REG CHARITY NO 264681

ACCOUNTS 2022

ECHO INTERNATIONAL HEALTH SERVICES LTD

REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 DECEMBER 2022 (CONT'D)

4. FINANCIAL REVIEW (CONT'D)

4.3 Reserves Policy: Free reserves are those unrestricted funds not invested in fixed assets nor designated for specific purposes or otherwise committed. Since the closure of the trading aspects of the charity and the sale of the property, the trustees have sought to invest the funds raised to provide an annual income so that they can pursue their grant making policy over a long period. The level of free reserves stands at £58,711(2021: £ I 16,482).

4.4 Investment Policy: The trustees have discussed the investment policy on various occasions during the year. The trustees have continued with investing in various investments via a professional investment company. In doing this the trustees have sought appropriate investment advice and the charity reviews what funds should be held in equities with longer term growth in mind on a regular basis. There is an approved investment policy which the professional investment company follows, which prohibits investments in companies whose main trade is based on armaments, tobacco, the sex trade or gambling.

5. FUTURE DEVELOPMENTS: ECHO is planning to carry on its grant making programme over the coming years, using at least the income from its donations and investments each year. Several mission hospitals are receiving regular assistance, as are a variety of other charitable bodies. It is hoped to be able to continue to increase the grants in the coming years as appropriate projects are identified.

6. INDEPENDENT EXAMINER: Miriam Hickson at Jacob Cavenagh & Skeet served as the Independent Examiner to the Charity. A resolution to reappoint Miriam Hickson as Independent Examiner will be proposed at the Annual General Meeting.

7. STATEMENT OF TRUSTEES' RESPONSIBILITIES: The trustees, who are also the directors for the purposes of company law, are responsible for preparing the Trustees' Report and the financial statements in accordance with applicable law and regulations and United Kingdom Generally Accepted Accounting Practice. Company law requires the trustees prepare financial statements for each financial year which give a true and fair view of the state affairs of the charity as at the balance sheet date and of its income and expenditure for the financial year. In preparin those financial statements, the trustees are required to:-

The trustees are responsible for maintaining proper accounting records which disclose with reasonable accuracy at any time the financial position of the charity and to enable them to ensure that the financial statements comply with the Companies Act 2006. They 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.

The financial statements have been prepared in accordance with the special provisions of the Companies Act 2006 relating to small companies.

Approved by the Board on .. and signed on its behalf by

N Wooding, Chairman n

Date s

l/4LJ,

PAGE4

REG CHARITY NO 26468 I

ECHO INTERNATIONAL HEALTH SERVICES LTD

ACCOUNTS 2022

INDEPENDENT EXAMINERS' REPORT TO THE TRUSTEES ON THE UNAUDITED ACCOUNTS OF ECHO INTERNATIONAL HEALTH SERVICES LIMITED

I report on the financial statements of Echo International Health Services Limited for the year ended 31 December 2022 which are set out on pages 6 to IO.

Respective responsibilities of the Trustees and examiner

The trustees (who are also the directors of the company for the purposes of company law) are responsible for the preparation of the financial statements in accordance with the requirements of the Companies Act 2006 ('the 2006 Act').

Having satisfied myself that the financial statements of the charity are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect ofmy examination of the charity's financial statements 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 l45(b) of the 20 I I Act.

Independent examiner's statement

In connection with my examination, which is complete, no matters have come to my attention which give me reasonable cause to believe that in any material respect

I have no concerns and have come across no other matters in connection with the examination to which, in my opinion, attention should be drawn in order to enable a proper understanding of the financial statements to be reached.

M R Hickson FCA CTA Jacob Cavenagh & Skeet 5 Robin Hood Lane, Sutton, Surrey SM I 2S W

Date: 16 S12pk1..v.. Zoz..3

PAGE 5

ACCOUNTS 2022

ECHO INTERNATIONAL HEALTl-I SERVICES LTD

REG CHARITY 264681

STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME AND EXPENDITURE ACCOUNT) YEAR ENDED 31 DECEMBER 2022

INCOME
Donations,legaciesandgrants
Investments
TOTAL INCOME
EXPENDITURE
Raisingfunds
Grantmaking activities
TOTALEXPENDITURE
NET (EXPENDITllRE)
Gains/(losses)on investments
8
NET MOVEMENTIN HINDS
RECONCILIATIONOF FUNDS:
Total funds brought forward
TOTAL HINDS CARRIED FORWARD
Note
2
3
4
5		 116,628
(71,675)
(225,357)
(297,032)
1,705,510
1,408,478
Unrestricted
Funds
2022
£
5,238
39,715
44,953
13,904
102,724		 Unrestricted Unrestricted
152,625
(102,455)
160,266
57,811
1,647.699
1,705,5IO
Funds
2021
£
5,757
44,413
50,170
14,822
137,803

The charity has no recognised gains or losses other than the result for the year.

All income and expenditure derive from continuing activities

The notes on pages 8 to IO form part of these financial statements

PAGE6

ACCOUNTS 2022

ECHO INTERNATIONAL HEALTH SERVICES LTD

REG CHARITY 264681

BALANCE SHEET

ASAT31DECEMBER2m2

INVESTMENTS
Assetsinvestedinequities
8
CURRENTASSETS
Debtors
Cashheld ondeposit
Cash at bank and in hand
6
CREDITORS:
Amountsfalling due within oneyear
7
NETCURRENTASSETS
TOTAL ASSETS
FUNDS
Unrestricted funds
GENERALFUND
(includesRevaluation Reserveof £145,366 (2021:£439,330)
TOTAL FUNDS		 2022
1,349,767
10,690
85,906
96,596
(37.885)
58,711
1,408,478
1,408,478
1,408,478		 2022
1,349,767
10,690
85,906
96,596
(37.885)
58,711
1,408,478
1,408,478
1,408,478		 1,589,028
8,173
109,892
I18,065
(1,583)
I16,482
1,705,510
1,705,510
1,705,510		 1,589,028
8,173
109,892
I18,065
(1,583)
I16,482
1,705,510
1,705,510
1,705,510
96,596
(37.885)
1,408,478
1,408,478
1,408,478		 1,705,510
1,705,510
1,705,510

The Trustees consider that the charity is entitled to exemption from the requirement to have an audit under the provisions of section 477 of the Companies Act 2006 ("The Act") and members have not required the charity to obtain an audit for the year in question in accordance with section 476 of the Act. TI1e Trustees acknowledge their responsibilities for ensuring that the charity keeps accounting records which comply with section 386 of the Act and for preparing financial statements which give a true and fair view of the state of affairs of the charity as at 31 December 2022 and of its deficit for the year then ended in accordance with the requirements of section 396 of the Act and which otherwise comply with the requirements of the Companies Act 2006 relating to the financial statements so far as applicable to the charity.

The notes on pages 8 to l O form part of these financial statements

These financial statements were approved by the Board on date

and signed on be fofthe Board by

PAGE

ACCOUNTS 2022

ECHO INTERNATIONAL HEALTH SERVICES LTD

REG CHARITY 264681

NOTES TO THE FINANCIAL STATEMENTS

YEAR ENDED 31 DECEMBER 2022

I. ACCOUNTING POLICIES

The Charity is a private company limited by guarantee incorporated in England and Wales and registered within the Charity Commission in England and Wales.

The financial statements have been prepared under the Companies Act 2006 and in accordance with the Charities Statement of Recommended Practice (Charities SORP (FRS I02)) and Financial Reporting Standard I02 (FRS I02). The particular accounting policies adopted are described below.

Accounting convention

The financial statements are prepared under the historical cost convention modified to include investments at fair value, rounded to the nearest pound. The charity meets the definition ofa public benefit entity under FRS 102.

Income

Income is shown on an accruals basis. Donations consist of funds received for specific (restricted) and general (unrestricted) purposes. The donations are used to provide grants to various health care projects and institutions. Legacies are accounted for as income either upon receipt or where the receipt of the legacy is probable: this will be once confirmation has been received from the representatives of the estates that the payment of the legacy will be made and once all conditions attached to the legacy have been fulfilled.

Investments

Investments arc stated at fair value at the balance sheet date. All movements in value arising from investment changes or revaluation are included in the statement of financial activities. Gains or losses on investments are calculated as the difference between the disposal proceeds and the carrying value. Dividend income is accounted for as income and available to be applied to the general purposes of the charity.

Expenditure

The Charity is mainly a grant making charity. Grants payable arc charged in the year when the offer is conveyed to the recipient except in those cases where the offer is conditional, such grants being recognised as expenditure when the conditions attached are fulfilled. Grants offered subject to conditions which have not been met at the year end are noted as a commitment, but not accmed as expenditure.

Governance costs comprise all costs involving the public accountability of the charity and its compliance with regulation and good practice. These costs include costs related to the statutory examination, together with trustees' expenses.

Other than governance costs. the ongoing support and administration costs form an integral part of the cost of carrying out the direct charitable objectives of the charity. Irrecoverable VAT is charged against the category of expenditure for which it was incurred. All support and governance costs have been allocated against the charitable activity in accordance with FRS I02.

Funds

Unrestricted funds arc those which arc not subject to any special restrictions and they can be used as the trustees decide. Restricted funds are those where the donor has imposed restrictions on how the fund may be used. but which do not prevent the fund being spent. There are currently no restricted funds.

Cash and cash equivalents

Cash at bank and in hand include cash and short term highly liquid investment with a short maturity of three months or less from the date of opening of the deposit. Cash held on deposit includes cash and short term liquid investment with a longer maturity of between tl1ree and twelve months from the date of opening oft he deposit.

Liabilities

Liabilities are recognised when the charity has a present obligation arising from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors are recognised at their settlement amount.

Basic Financial Instruments

The charity has financial assets and liabilities of a kind that qualify as basic financial instruments. Basic financial instruments arc initially recognised at transaction value and subsequently measured at their settlement value.

PAGE

ACCOUNTS 2022

ECHO INTERNATIONAL HEALTH SERVICES LTD

REG CHARITY 264681

NOTES TO THE FINANCIAL STATEMENTS (CONT'D)

YEARENDED3JDECEMBERWn

2. DONATIONSAND GRANTS
Generaldonations -inc taxreclaim
3.INVESTMENT INCOME
Bank interest received
Dividends received		 Unrestricted
Funds
2022
£
5,238
£
39,715
39,715		 Unrestricted
Funds
2021
£
5,757
£
44,413
44,413
4. RAISINGFU'DS
Thecharitydoesnotsolicitfunds from thegeneralpublic.Most of itsincomecomes from dividends relatingto
portfolio. The management feeschargedby theinvestmentcompany are chargedtoraising funds.
S. GRANT MAKINGACTIVITIES
SemilikiTrust,qualityhealthoutcomes project.DRC
£
15,000
InternationalNepal Fellowship- Leprosy free3rd year, Nepal
The Brickworks(PublichealthstafTtraining, S.Sudan)
Amplifyingvoices,communityhealth,India
10,000
Medic AssistInternational - PalliativeCare,India
8,000
Medic AssistInternational - New ward,India
Medic AssistInternational-Guinebor2 Chad
20,000
Worldshare- ChaplaincyDRC
20,000
InternationalNepal Fellowship-Covidrehabilitation,Nepal
International NepalFellowship- Leprosyfree project
5,000
MedicAssistInternational- Covid Ventilator
Amplifying voices, Covidresponse,SierraLeone
Friends ofKiwoko Hospital Theatre expansion,Uganda
Friends ofKiwokoHospital nurse'saccomodation,Uganda
20,000
TheBrickworks-Cataract surgery, Uganda
Total grants payable
98,000
Supportcosts:
Generaladministrativecosts
2,626
Governance costs
IndependentExaminer'sfees
2,098
Total supportcosts
4,724
TOTAL GRANTMAKING ACTIVITIES
102,724		 itsinvestment
£
10,000
8,000
15,000
10,000
10,000
16,000
10,000
6,000
10,000
12,000
20,000
7,500
134,500
1,728
1,575
3,303
137,803

There were no grants paid to individuals during the year (2021: none).

No remuneration was paid lO any Trustee in respect of such otlke. Expenses were paid to O trustees (2021: None) for travel to trustees meetings which amounted to £0 (2021: nil) in the year.

6.DEBTORS-duewithin oneyear
Debtor fortax recovery
Otherdebtors
Totaldebtors
7.CREDITORS-amounts fallingduewithin one year
GeneralAccruals
Totalcreditors		 £
10,690
10,690
£
37,885
37,885		 £
8,173
8,173
£
1,583
1,583

PAGE

ACCOUNTS 2022

ECHO INTERNATIONAL HEALTH SERVICES LTD

REG CHARITY 264681

NOTES TO THE FINANCIAL STATEMENTS (CONT'D)

YEAR ENDED 31 DECEMBER 2022

8. INVESTMENTS

Overall Funds 2021
INVESTMENTS
Movementsduring theyearwereas follows:
Quotedmarketvalue atIstJanuary 2022
Additions
Disposalproceeds
Cashmovements
Re-organisationsandmergers
Capital drawdown
Fees and charges
Netrealised investmentgains/(losscs)
Net unrealisedinvestmentgains/(losses)
Quotedmarketvalue at 31st December 2022
Historiccostat31st December 2022
ANALYSIS OFNETASSETS BETWEEN FUNDS
Analysis for2022
Unrestricted Funds
Overall Funds 2022
Comparisonfor 2021
Unrestricted Funds		 Cashwith
Listed
Broker
£
Investments
£
Total
£
19,092
1,569,936
1,589.028
(452,529)
452,529
460,825
(460,825)
(13,904)
(13,904)
(48,781)
(48,781)
(176,576)
(176,576)
13,484
1,336,283
1,349,767
13,484
1,190,917
1,204,401
Investments,
Othernet
depositsand
Current
Total
cash atBank Assets/(Liab)
Assets
2022(£)
2022(£)
2022(£)
1,435,673
(27, I95)
1,408,478
1,435,673
(27,195)
1,408,478
2021(£)
2021(£)
202I(£)
1.698.920
6,590
1,705,510
1,698,920
6,590
1,705,510

9. ANALYSIS OF NET ASSETS BETWEEN FUNDS

to. RELATED PARTY INTERESTS

The charity maintains a conllicts ofintcrest register and trustees register any related party interests before there is discussion on any grants and trustees do not take part in any decisions when there is a conllict of interest.

II. TAXATION

The company is a registered charity and is exempt from Corporation Tax on its charitable activities.

12. LIMITED LIABILITY

The company is limited by guarantee and the liability of each member is not to exceed £100.

At 31 December 2022 there were 5 members of the company.

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