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2022-12-31-accounts

Page
ForewordbytheChairandChiefExecutive 3
Ouraim
5
Trustees’report
Aboutus 5
Ourimpactin2022-Goalsandachievements 6
Lookingaheadto2023—Our aimsandgoals 34
Ourfinances 35
OurStructure,Governanceandmanagement 38
Trustees’responsibilitiesstatement 42
Referenceandadministrativedetailsofthecharity, itstrustees andadvisers 44
Independentauditorsreport 46
Statement
offinancial
activities,
incorporating income and
expenditure
51
account
Balancesheet 52
Cashflowstatement 54
Notestothefinancialstatements 55

THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK (A company limited by guarantee)

(Pictured: The zipline at our annual young adult residential weekend at Mount Cook proved to be incredibly popular

Reaching and engaging with our patient community - Marketing and Communications

In line with our charitable objectives to reach and engage more kidney patients and to reduce inequalities among the most vulnerable groups, the Marketing and Communications Team plays a vital role in ensuring the patient community are aware of the Charity and more importantly the support we provide. The Team continues to work collaboratively with and support colleagues right across the Charity. Reflecting on 2022, the team’s impact has been unprecedented in terms of what Kidney Care UK has been able to deliver and achieve, especially when measured against our charitable objectives and key department plans.

Our response to the pandemic has been recognised as an exemplar case study while our response to the cost-of-living crisis has received national media coverage and recognition from the sector with the team being finalists in the Charity Film and Team of the Year categories at the Third Sector Awards.

To ensure that the Charity maintained and advanced its position as the leading kidney patient support charity and a charity worth giving to, we focused on five core strategic themes driven by our department plans:

Making our information easier to access through our website and digital work

“Not being able to do anything to help my brother when he was going through a terrible time was so difficult. I went online and I came across your charity website. It was all there and felt like a comfort blanket to me. To the people who are going through it, not just patients but their wider circle of family and friends too, a resource like your website really is a lifeline.”

15

THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK

(A company limited by guarantee)

INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK

Opinion

We have audited the financial statements of The British Kidney Patient Association t/a Kidney Care UK (the 'charitable company') for the year ended 31 December 2022 which comprise the Statement of financial activities, the Balance sheet, the Statement of cash flows and the related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditors' responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financial Reporting Council's Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the Trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report.

46

THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK

(A company limited by guarantee)

INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK (CONTINUED)

Other information

The Trustees are responsible for the other information. The other information comprises the information included in the Annual report, other than the financial statements and our Auditors' report thereon. Our opinion on the financial statements does not cover the other information and we do not express any form of assurance conclusion thereon.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Matters on which we are required to report by exception

We have nothing to report in respect of the following matters where the Charities (Accounts and Reports) Regulations 2008 and the Charities Accounts (Scotland) Regulations 2006 (as amended) requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the Trustees' responsibilities statement, the Trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the Trustees are responsible for assessing the charitable company's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

47

THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK

(A company limited by guarantee)

INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK (CONTINUED)

Auditors' responsibilities for the audit of the financial statements

We have been appointed as auditor under section 144 of the Charities Act 2011 and section 44(1)(c) of the Charities and Trustee Investment (Scotland) Act 2005 and report in accordance with the Act and relevant regulations made or having effect thereunder.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an Auditors' report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

Capability of the audit in detecting irregularities, including fraud The objectives of our audit are to identify and assess the risks of material misstatement of the financial statements due to fraud or error; to obtain sufficient appropriate audit evidence regarding the assessed risks of material misstatement due to fraud or error; and to respond appropriately to those risks.

Based on our understanding of the charity and industry, and through discussion with the directors and other management (as required by auditing standards), we identified that the principal risks of non-compliance with laws and regulations related to health and safety, anti-bribery and employment law. We considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements such as the Companies Act 2006, 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. We communicated identified laws and regulations throughout our team and remained alert to any indications of non-compliance throughout the audit. We evaluated management’s incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls), and determined that the principal risks were related to: posting inappropriate journal entries to increase income or reduce expenditure, management bias in accounting estimates and judgemental areas of the financial statements such as accounting treatment of grants awarded not yet claimed and accounting for legacies receivable. Audit procedures performed by the engagement team included:

48

THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK

(A company limited by guarantee)

INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK (CONTINUED)

There are inherent limitations in the audit procedures described above and the further removed non-compliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely we would become aware of it. Also, the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion.

As part of an audit in accordance with ISAs (UK), we exercise professional judgment and maintain professional scepticism throughout the audit. We also:

We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

49

THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK

(A company limited by guarantee)

INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF THE BRITISH KIDNEY PATIENT ASSOCIATION T/A KIDNEY CARE UK (CONTINUED)

Use of our report

This report is made solely to the charitable company's trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008 and regulation 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken so that we might state to the charitable company's trustees those matters we are required to state to them in an Auditors' report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and its members, as a body, for our audit work, for this report, or for the opinions we have formed.

Kreston Reeves LLP Chartered Accountants Statutory Auditor Chichester

Date 20 July 2023

Kreston Reeves LLP are eligible to act as auditors in terms of section 1212 of the Companies Act 2006.

50

Endowment Restricted Unrestricted Total Total
Funds Funds Funds Funds Funds
2022 2022 2022 2022 2021
£ £ £ £ £
Incomeandendowments
from:
2,019,194 2,234,674 1,272,987
Donationsandlegacies 4 - 215,480
Othertradingactivities 5 - = 58,682 58,682 62,218
Investments 6 1,911 - 693,543 695,454 679,056
Totalincomeand
endowments
1,911


215,480


2,771,419

2,988,810

2,014,261
Expenditureon:
Raisingfunds 7 - - 850,847 850,847 759,203
Charitableactivities
8

1,911


51,714


3,522,174

3,575,799

3,296,179
Totalexpenditure


1,911




51,714




4,373,021


4,426,646


4,055,382
Netincome/
(expenditure)beforenet
gainsoninvestment - 163,766 (1,601,602) (1,437,836) (2,041,121)
Net(losses)/gainson
investments
12 (6,671) a (2,791,421) (2,798,092) 2,869,412
Netmovementinfunds

(6,671)




163,766




(4,393,023)


(4,235,928)


828,291
Reconciliationoffunds:
Totalfundsbroughtforward
Netmovementinfunds
91,848
(6,671)

34,882
163,766

32,802,743
(4,393,023)
32,929,473
(4,235,928)
32,101,182
828,291
Totalfundscarried
forward

85,177



198,648



28,409,720

28,693,545

32,929,473

Note £ 2022
£
2021
FIXEDASSETS
Tangibleassets
Investments
17
18
387,650
28,042,921
394,486
32,875,893
28,430,571 33,270,379
CURRENTASSETS
Debtors
Cashatbankandinhand
19 915,284
272,179
503,110
511,802
1,187,463 1,014,912
CREDITORS:amountsfallingduewithinone
year
20 (758,827) (1,208,316)
NETCURRENTASSETS/(LIABILITIES) 428,636 (193,404)
TOTALASSETSLESSCURRENTLIABILITIES 28,859,207 33,076,975
CREDITORS:amountsfallingdueaftermore
thanoneyear
21 (165,662) (147,502)
TOTALNETASSETS 28,693,545 32,929,473

22 June 2023

54

Total Total
Funds Funds
2022 2021
£ £
Donations 1,116,898 573,912
Legacies 1,117,776 688,731
Grants - 10,344

2,234,674

1,272,987

Total Total
Funds Funds
2022 2021
£ £
58,682 62,218

Total Total
Funds Funds
2022 2021
£ £
Incomefromlisted investments 695,416 679,032
InvestmentIncome
-Cash
38 24


695,454


679,056

Total Total
Funds Funds
2022 2021
£ £
Costofraisingvoluntaryincome 693,227 584,142
Investmentmanagementfees 157,620 175,061

850,847

759,203

Activities Grant
undertaken fundingof Support
directly activities Costs Total2022
Note £ £ £ £
DirectPatientSupport 9,10,11
1,374,342

1,296,022

905,435

3,575,799
Activities
undertaken Grantfunding Support
directly ofactivities Costs Total2021
£ £ £ £
DirectPatientSupport 9,10,11
1,259,916

1,358,012

678,251

3,296,179
Analysisofdirectcosts
2022 2021
Note £ £
Staffcosts 931,288 771,384
Counselling 16,173 4,512
Advocacy
Policyservice
28,438
66,437
24,235
69,619
PatientInformation 332,006 390,166
8


1,374,342


1,259,916
10. Analysisofgrantfunding activities
Grantsto Grantsto Total
Institutions Individuals
2022 2022 2022
Note £ £ £
Grants,patientsupport 8
547,856

748,166

1,296,022
Grantsto Grantsto Total
Institutions Individuals
2021 2021 2021
£ £ £
Grants,patientsupport 8 808,463 549,549 1,358,012

Note 2022
£
2021
£
Grantsbytype
Postfunding,projectsandequipment
Smallgrants
DialysisFreedom
MountCook
Grantstopatients
Research/Development
405,866
18,970
40,145
26,525
748,166
56,350
576,708
36,997
35,627
1,487
549,549
157,644


1,296,022


1,358,012
2022
£
2021
E
GrantsbyInstitution
AltnagelvinHospital
BartsHealthNHSTrust
BritishRenalSociety
Childrenshospitals
DialysisFreedom
EvelinaChildren'sHospital
GreatOrmondStreetHospitalforChildren
HullRoyalInfirmary
King'sCollegeHospital
UniversityofManchester
MountCook
NewcastleFreemanHospital
NorthernGeneral-Sheffield
Othergrants
PNNGPaediatricNephrologyGroup
QueenAlexandraHospital-WessexKidneyCentre
Queen'sUniversityHospitalBelfast
RenalSpecialInterestGroup
RenalPsychologicalServicesGroup
Smallgrants
SouthmeadHospital&UniversityofBristol
SunderlandRoyalHospital
SouthamptonChildren'sHospital
RoyalStokeUniversityHospital
UniversityHospitalWalesPaediatricUnit
WalsallManorHospital
YoungAdultKidneyGroup(YAKG)
Lapsedorcancelledgrantsforprioryears
99,868
53,854
-
;
40,145
10,000
17,200
z
26,223
16,089
26,525
.
98,154
52,976
1,777
50,659
3
16,000
-
18,970
:
.
95,741
40,553
67,542
:
2,000
(186,420)

;
113,970
2,000
35,627
-
:
42,673
49,728
:
1,487
103,740
-
157,825
:
28,968
65,796
:
8,000
36,997
101,767
48,885
-
:
-
11,000
:
-

547,856

808,463

11. Analysisofsupportcosts Note 2022 2021
£ £
Governance 185,334 122,446
Finance 101,782 80,916
InformationTechnology
HumanResources
157,948
73,975
141,983
85,997
Premisesandfacilities
Communications
157,088
229,308
104,275
142,634
8

905,435


678,251
12. Netgainsoninvestments 2022 2021
£ £
Realised(losses)/gainsoninvestments
Unrealised(losses)/gainsoninvestments
18
Realisedforeignexchangegainsoncashheldininvestments
(399,112)
(2,434,742)
35,762
(11,076)
2,880,488
-

(2,798,092)

2,869,412

2022 2021
£ £
16,600 16,470

2022 2021
£ £
Wagesandsalaries 1,704,632 1,319,226
Socialsecuritycosts 164,851 123,559
Pensioncosts 94,292 80,213


1,963,775


1,522,998
2022 2021
No. No.
Grantsandpatientaid(includingsupportcosts)
Fundraising
AdvocacyService
Counsellingservice
7
13
18
4
6
8
16
3
Policyservice 3 2
Managementandadministration
11

10
56 45
2022 2021
No. No.
£60-70k
£70-80k
1
1

2
-
£80-90k - -
£90-100K
£100k-110k
1 -
1
-

Landand_ Fixturesand Office
buildings fittings Equipment Total
£ £ £ £
Costorvaluation
At1January2022 395,595 85,613 109,112 590,320
Additions - 689 20,019 20,708
At31December2022

395,595




86,302


129,131


611,028
Depreciation
At1January2022 65,537 50,379 79,918 195,834
Chargefortheyear 4,601 5,538 17,405 27,544
At31December2022

70,138




55,917


97,323


223,378
Netbookvalue
At31December2022
325,457


30,385

31,808

387,650
At31December2021 330,058

35,234
29,194
394,486

2022 2021
£ £
Costorvaluation
At1January 31,844,444 31,174,221
Additions 4,543,899 4,056,782
Disposals (6,960,848) (6,267,047)
Net(loss)/gainonrevaluation (2,434,742) 2,880,488
Marketvalueat31December
26,992,753

31,844,444
Cashbalances 1,050,168 1,031,449
Totalmarketvalueat31December


28,042,921


32,875,893
Investmentsatmarketvaluecomprise:
UK Overseas Total
2022 2022 2022
£ £ £
Listedinvestments 12,389,053 14,603,700 26,992,753
Cashheldbyinvestmentmanagers 1,050,168 - 1,050,168


13,439,221


14,603,700


28,042,921
2022 2021
£ £
Fixedinterest 3,638,655 3,679,968
Equities 19,753,831 23,753,976
Property 2,628,684 1,795,406
Alternatives 971,583 2,615,094
Cashheldbyinvestmentmanagers 1,050,168 1,031,449
Total
___28,042,921

32,875,893

19. Debtors
2022 2021
£ £
Duewithinoneyear
Otherdebtors 849,360 402,612
Prepaymentsandaccruedincome 65,924 100,498

915,284

503,110
2022 2021
£ E
TradeCreditors 124,367 381,738
Accrualsanddeferredincome 50,968 71,888
OtherCreditors 20,323 -
Grantspayable 563,169 754,690


758,827


1,208,316
21. Creditors:Amountsfallingdueaftermorethanoneyear
2022 2021
£ E
Grantspayable 165,662
147,502

Balanceat Transfer Balanceat31
1January Gains/ between December
2022 Income Expenditure (Losses) funds 2022
£ £ £ £ £
UnrestrictedFunds
DesignatedFunds 30,000,000 - - (2,000,000) 28,000,000
GeneralFund 2,802,743 2,771,419 (4,373,021) (2,791,421) 2,000,000 409,720
TotalUnrestrictedFund



32,802,743


2,771,419


(4,373,021)


(2,791,421)



-


28,409,720
EndowmentFunds
EndowmentFund

91,848

1,911

(1,911)

(6,671)

=

85,177
RestrictedFunds
KidneyMachine 34,882 - - - - 34,882
ChildrenandYoungActivity
Breaks
7 4,221 (1,221) - - -
TheAdvocacyOfficerFund - 11,600 (11,600) - - :
KidneyKitchen - 45,034 = * - 45,034
MyRenalCare - 15,000 - - - 15,000
PatientInformation - 90,200 (3,000) - - 87,200
ExeterandDistrictKPA - 20,000 (3,468) - - 16,532
Hardship,welfareand
benefits
- 21,200 (21,200) - - -
Scotland . 11,225 (11,225) - . 7
TotalRestrictedFunds

34,882

215,480

(51,714)

-

=

198,648
TotalofFunds


32,929,473

2,988,810

(4,426,646)

(2,798,092)


-

28,693,545

Statementoffunds-prioryear
Balanceat Balanceat31
1January Gains/ December
2021 Income Expenditure (Losses) 2021
£ £ £ £ £
UnrestrictedFunds
DesignatedFunds 30,000,000 - - - 30,000,000
GeneralFund 1,978,460 1,973,182 (4,005,679) 2,856,780 2,802,743
TotalUnrestrictedFund



31,978,460




1,973,182


(4,005,679)


2,856,780



32,802,743
EndowmentFunds
EndowmentFund

79,216


1,892

(1,892)

12,632

91,848
RestrictedFunds
KidneyMachine 42,882 - (8,000) = 34,882
TheAdvocacyOfficerFund - 34,567 (34,567) = <
KidneyKitchen 624 3,500 (4,124) -
Other = 1,120 (1,120) - -
TotalRestrictedFunds

43,506


39,187

(47,811)

-

34,882
TotalofFunds


32,101,182



2,014,261

(4,055,382)

2,869,412



32,929,473

Restricted Unrestricted
Funds Funds TotalFunds
2022 2022 2022
£ £ £
Tangiblefixedassets
Fixedassetinvestments
Currentassets
Creditorsduewithinoneyear
Creditorsdueinmorethanoneyear
-
85,177
198,648
-
-
387,650
927,957,744
988,815
(758,827)
(165,662)
387,650
28,042,921
1,187,463
(758,827)
(165,662)


283,825


28,409,720


28,693,545
Analysisofnetassetsbetweenfunds-priorperiod
Restricted Unrestricted
Funds Funds TotalFunds
2021 2021 2021
£ £ £
Tangiblefixedassets
Fixedassetinvestments
Currentassets
Creditorsduewithinoneyear
Creditorsdueinmorethanoneyear
-
91,848
34,882
-
-
394,486
32,784,045
980,030
(1,208,316)
(147,502)
394,486
32,875,893
1,014,912
(1,208,316)
(147,502)



122,722



32,802,743



32,929,473
Reconciliationofnetmovementinfundstonetcashflowfromoperating activities
2022 2021
£ £
Netincome/(expenditure)forthereportingperiod(aspertheStatementof
FinancialActivities) (4,235,928) 828,291
Adjustmentsfor:
Depreciationcharges
Realisedandunrealisedlosses/(gains)oninvestments
Exchangegainoninvestments
27,544
2,798,092
35,762
22,774
(2,880,488)
-
Dividends,interestandrentsfrominvestments
(Increase)/decreaseindebtors
Increase/(decrease)increditors
(695,454)
(412,174)
(431,329)
(679,056)
(360,061)
211,908
Netcash(usedin)operatingactivities
(2,913,487)

(2,856,632)

Note 2022 2021
£ £
Cashinhand
Cashheldaspartofinvestments
272,179
1,050,168
511,802
1,031,449
Totalcashandcashequivalents

26


1,322,347


1,543,251
26. Analysisofchangeindebt At At31
1January December
2022 Cashflows 2022
Cashatbankandinhand 511,802 (239,623) 272,179
Cashheldaspartofinvestments
1,031,449

18,719

1,050,168
1,543,251
(220,904)
1,322,347

At31December2022thecompanyhadannualcommi
follows:
tmentsundernon-cancellableoperating leasesas
2022 2021
£ £
Other
Withinoneyear
Between2and5years
Over5years

2,285
3,935
:

2,285
5,891
330




6,220

8,506

LandandBuildings
Withinoneyear 23,067 23,067
Between2and5years
60,181

83,248

83,248
106,315

Endowment Restricted Unrestricted
Funds Funds Funds Total
Note 2021 2021 2021 2021
£ £ £ £
Incomeandendowments
from:
Donationsandlegacies - 39,187 1,233,800 1,272,987
Othertradingactivities - : 62,218 62,218
Investments 1,892 = 677,164 679,056
Totalincomeand
endowment
1,892


39,187

1,973,182

2,014,261
Expenditureon:
Raisingfunds - - 759,203 759,203
Charitableactivities 8,10 1,892 47,811 3,246,476 3,296,179
Totalexpenditure


1,892





47,811



4,005,679


4,055,382
Netincome/(expenditure)
beforenet(losses)/gainson
investment - (8,624) (2,032,497) (2,041,121)
Netgainsoninvestments 12 12,632 7 2,856,780 2,869,412
Netmovementinfunds


12,632






(8,624)




824,283


828,291
Reconciliationoffunds:
Totalfundsbroughtforward 79,216 43,506 31,978,460 32,101,182
Netmovementinfunds
12,632



(8,624)


824,283

828,291
Totalfundscarriedforward 22
91,848





34,882



32,802,743

32,929,473