2024-03-31-accounts

Teesside Hospice Care Foundation (A Company limited by guarantee) FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Company No. 01642201 Registered Charity No. 512875

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 Statement from the Chief Executive As we look back on the last year it's been remarkable to see the difference the team at Teesside Hospice have continued to make to individuals and families affected by life limiting illness. Following the pandemic our Core Clinical seTvices have retained their focus on delivering specialist-level palliative and end of life care and back to business 'as nomial. Our ambition5 to help more people reduce the pain and distress they experience has led to new and innovative ways to reaching out into our Community and opening up access to hospice care for those who might not previously have known about us. We continue to engage in clinical and service developments, engaging in medical research, implementing new digital healthcare, and further developing the skills mix within our teams. Using our unique specialist skills and knowledge wtthin the team to deliver training outside the hospice, raise publi¢ awareness about death and dying in a timely and supportive way. Of course, the year hasn't been without its challenges. We are noticing a change to the demographic of people who need our clinical services. More younger people, with increasingly complex conditions, are being admitted to our In-Patient Unit. These patients require more support, which is increasing pressure on our staff, but our wonderful team is coptng admirably. Recent legislative amendments to th¢ Health and Care Act have made the commissioning of specialist palliative Care a mandatory requirement which alongside explicit statutory guidance on how this should be funded has offered some hope that hospice care might be moving towards a more sustainable financial footing. Given the precarious nature of most hospices in the country and all of the hospice5 in Tees Valley, using these new opportunities to secure an improved funding arrangement that 5upporLs the delivery of specialist-level care to local people remains a high priority for the hospice. Teesside Hospice wouldn't be able to function without the support of its wider partners across the system. This year has seen further integration and even closer collaboration with our health partners at South Tees NHS and social care in Middlesbrough, Redcar and Cleveland. Additionally. closer co-operation withiii the h05pice network itself continues to deliver opportunities to learn. share and collaborate in order to bring greater benefits for those we are here to serve. This report showcases our achievements over the last year and ambitions for the next. Hospice care is very much a team activity, and my thanks go to everybody who has contributed to our work this year. Partners. SUPPOrters. donors, funder5, Staff. volunteers on the front line. back office, in retail and income generation and others still opening doors and championing the cause. Mike Thornicroft Chief Executive

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS. AND TRUSTEES, REPORT For the year ended 31 March 2024 Directors and Trustees The directors of the charitable company (the charity) are its Trustees for th¢ purpose of charity law. The Trustees and officers servin8 during the year and since the year end were &8 follows.. Trustees: E. Criddle - Chal￿erson J. Davies M. C. Ellington M.P.R. Firnian C. Langrick D. Lusardi T.J.O. Payne S. Quinn J. Sheridan G. Whitehead - Chairperson (resigned 2910212024) (resigned 2910212024) (appointed 2910212024) (appointed 2910212024) (Chairperson from 2910212024) Key management personnel: All Trustees &$ listed above and the Senior Management Team: Chief Executive- D. Smith (resigned 3110312024) Chief Executive- M. Thornicroft (appointed 0410312024) Finance DirectorlDeputy CEO- A. Wardle Director of Nursing & Quality- D. Edwards Director of Income Generation- D. Coulson (resigned 0810312024) HR Manager- L. Mcmann Head of Retail - C. Mcmahon Company registration number: 01642201 Registered charity number-. 512875 Registered office= l Northgate Rokd Linthorpe Middlesbrough TS5 5NW Bankers: Royal Bank of Scotland 31 Grey Street Newcastle Upon Tyne NEI 6ES Solicitors: Jacksons Law 17 Falcon Court Preston Farm Industrial Estate Stockton on Tees TS18 3TU

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 Auditor: Waltons Business Advisers Limited Maritime House Harbour Walk Hartlepool TS24 OUX Investment advisors: Rathbone Investment Management Earl Grey House 75-85 Grey Street Newcastle NEI 6EF

TEESSIDE HOSPICE CARE FOUIYDATION DERECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 The Trustees are pleased lo present their annual r¢port together with the financial statements of the charity and group for the year ended 31 March 2024. The financial statements comply with the Charitie5 Aci 2011, the Companies Act 2006, the organisation s Memorandum and Articles of Association and Accounting and Reporting by Charities ststement of Recommended Pra¢ti¢e Applicable to charities preparing their accounts in accordan¢e with the Financial Reporting Standard Applicable in the UK (FRS 102) (effective l January 2019). Sin¢e the group and the Charity qualify as small under section 383 of the Companies Act 2006, the group strategic report required of medium and large companies under the Companies Act 2006 (Strategic Report and Directors, Report) Regulations 2013 has been omitted. Objectives and Aetivities The principal objective of Teesside Hospice Care Foundation during the year was that of providing hospice services for the public benefit. The hospice exists to enhance the quality of life for those suffering from life-limiting illness, and offers specialist palliative care and support to patients and carers, in the belief that each person is entitled to dignity and choice within the best provision of care. The TrLtstees confirm that they have complied with the duty in section 17 of the Charities Aot 201 I to have due regard to the public benefit gutdance published by the Charities ComTlli5sion. The Trustees have wnsidered this guidance in shaping the charitable company's objectives for the year and planning current and future activities. Further details of the activities which provide public benefit are given below. The hospice benefits the public by providing ail of its services free of charge. The main catchment areas are Middlesbrough and Redcar & Cleveland. If it is appropriate. the Hospice accepts referrals from anywhere in the UK without prejudice. The clinical services at Teesside Hospice are provided for individuals with a life-limiting illness and this care is available regardless of their diagnosis. Although the majority of patients have advanced cancer. non- cancer diagnoses are also treated. Bereavement counselling services (adult and children) are accessible to any individual suffering from bereavemtnt. Teesside Hospice helps many members of the public each year and relies on other sources of income such as grants, donations and trading activities to cover its operating costs. Siralegic aim and objeclives The charity's strategic aim is to provide holistic palliative care at any point during a life-limiting illness. The majority of the charity's work focuses upon pain and symptom control and end of life care. All the charitable activities are undertaken to further our charitable purposes for the public benefit and fully reflect the purposes that the charitable ¢ompany was set up to fijrther. Teesside Hospice is greatly supported by the local community and relies on voluntary help. The Hospice has an estsblished team of volunteers who offer their time to all areas of the hospice. The volunteers are a valued resource to the organisation. enabling lower staff costs than would otherwise be the case. The activ¢ volunteer workforce has increased during the year and the count which we aim to in¢rcase further is approximately 370. Our Corporate objectives were renewed at the beginning of 2023 and the Board of Trustees and Senior Management Team hold the details which fall under the following eight headline objective5: Partnerships and Integration Collaboration Transition to Digital Influence and Campaigning Increase Cost Effectiveness Increase Self-Generated Revenue Workforce Development Securing a Fair Funding Deal with the NHS Page I

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 Acliviliesfor achieving objectives The charity's range of specialist palliative care services include: Ten bedded Inpatient Unit providing specialist care for patients wtth complex symptoms and end of life care Wellbeing Services empowering those in our care to achieve their goals and improve their quality of life Bereavement Counselling Services offering counselling for complex grffief and trauma to adults and young people from the age of 7 years and up Community In-Reach in partnership with the AdLElt Social Care Discharge Fund to work alongside colleagues from the acute trust to increase assessment and planning capacity within the network Tees wide specialist Lymphoedema clinics Stru¢thr¢, governance and management Governing documenl Teesside Hospice Care Foundation is a charitable company limited by guarantee {incorporated 9 June 1982 No. 01642201) and as such is govemed by its Memorandum and Articles of Association, last amended by special Tesolution dated 27 August 2020. It is registered as a charity with the Charity Commission (No. 512875). Members of the charitable company are the TnEstees who have guaranteed liabilities of the company up to a M￿lmuM of £1 each. Governing body The charitable company has a Board of Trustees in accordance with its Articles of Association, who are required to serve as members of the charitable company. The Board is made up of the Trustees who are elected by the members at a Board meeting. Each Trustee is required to meet specifications conceming eligibility, personal competence. specialist skills and local availability. Teesside Hospice (Trading) Limited is IOOO/o owned by the Charity. The Trustees have no interest in the shares of the subsidiary company, other than as directors of the parent company. Trzislee recrnilmenl, induclion and iraining Trustees are recrnited through word of mouth or through advertising in the local press and on our own website. Whilst new Trustees are often familiar with the work of the hospice, they are inducted into the working environment of the hospice. New Trustees rective a detailed induction. an explanation and discussion session i5 also held with both the Chair and Chief Executive. where new Trustees are briefed on their legal obligations under both Company law and Charity Law. Trustees are also encouraged to spend time with Senior Managers from across the organisation and this has been found to be highly beneficial. Due to the planned change in Trustees and Chief Executive at the end of 2023124, there were no Trustee workshops held during the year. In 2024125 th¢s¢ will be resurrected and will include charity governance as a topi¢. All Trustees give their time voluntarily and re¢¢ive no benefits from the charitsble company. Any expenses reclaimed from the charitable company are set out in note 14 to the financial statements. No members of the Board of Trustees have served a tenn longer than the recommended period of nine years and Board omp05ition has been heavily reviewed in prior years, and continues to be, to ensure an appropriate sktll mix is present. Page 2

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 Organisalionul slriiclilre The Board currently consists of 8 Trustees who meet at least four times per year to determine both the general and strategic direction and policy of the charity, and to review its overall management and control for which they are legally responsible. Other sub-committees (finance & facilities, fundratsing, workforce development. quality & performance) meet as appropriate to d&s¢uss relevant issues. All sub-committees rep)rt back to the Trustees and have Trustee representation. In addition, the Senior Management Team meet fortnightly. Each sub-committee has a mandate from the Board to receive. ¢ons&der and agree policies on behalf of the Board with the exception of those poli¢ies deemed by the committee to be ¢ontentious or of particular significan¢¢ to the organisational culture. In these ¢ase5, the chair of the committee will then have the responsibility of presenting the policy for discussion at the next Board Meeting or convening a special meeting of Board members if deemed necessary. A Chief Executive is appointed by the Trustees to manage the day-to-day operations of the charity and responsibility for the provision of the services rests with the Chief Ex¢¢utive. A scheme of delegation is in place. ensuring that the charity delivers the services specified and the Chief Executive is aided in his duties by departmentsl managers. Paypolicyfor key managemenlpersonnel The Trustees consider that key management comprise the charity's Trustees and the Senior Management Team who are in charge of directing and controlling, running and operating the charity on a day-to-day basis. All Trustees give of their time freely and tko Trustee received remuneration in the year. Details of TrLtstees' expenses and related party transactions are disclosed in notes 14 and 34 to the accounts. With effect from l April each year the National Minimum Wage (NMW) increases. For the 2023124 year, pay was increased for all staff including SMT by a varying percentage. With the challenge imposed by the high rise in NMW each year, Teesside Hospice were aware of the need to review the pay St￿ctUre as a whole. with 2023124 being the fErst year ofa redesigned pay scale system. SMT salaries have been reviewed by the Remuneration Committee against appropriate benchmarks and Teesside Hospice strives to pay all of its staff at an appropriate level taking into account our financial position and market pressures. Si Teesside Hospice is committed to providing a working environment which is free from discrimination and encourages diversity and promotes a positive culture whilst developiiig itself as an 'employer of choice, Our aim is to be truly representative of all sections of society and for each member of staff to feel respected and able to give their best. This poltcy extends beyond staff and volunteers to all service users, stakeholders and supporters. The Teesside Hospice staff and volunteer survey ¢n￿mPa$seS all aspects of the workforce. paid and unpaid, and was completed in May 2023. The majority of responses were ¢ompleted online. This was sent to all employees and all volunteers where an email address was on record via the HR tekm and for those who required it, a number of paper surveys were also provided- all responses both online and in paper format were anonymous. We received a total of 112 responses which was a 15.5 /0 increase on the 97 responses received in July 2021. It w&$ extremely encouraging to see that the number of volunteer respondents has increased since the last survey in July 2021 by 920/D, however there was a significant reduction in the number of staff respondents which were down by 29.5 % compared to July 2021. In addition to the staff and volunteer SU￿eY, in November 2023 the then CEO, sent staff a health & wellbeing survey for completion as part of the Hospice's review of our wellbeing offer. This along with other verbal feedback from forums is being used to infonn the impending Wellbeing Strategy being developed in conjun¢tion with the new CEO for 24125. In 2023 we achieved Better Health at Work Award Bronze Accreditation and we continue to progress toward the Silver Award. The award and participation throughout the year tn 'health campaigns, associated to this accreditation allows us to determine whi¢h health and wellbeing information and resources our staff and volunteer5 most want from us that then run throughout the year as we seek to support staff and volunteers in the best and m05t relevant ways possible. Page 3

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 Oui'fundraisingpraclice Teesside Hospice's Fundraising Committee ensures that appropriate scrutiny and oversight has been applied to fundraising activity, perforniance and delivery. Development opportunities and future growth is debated, planned and actioned. The Committee meets quarterly whilst the SMT member of staff with day to day operational responsibility for ￿ndraiSing activity (including lottery activity) is the Director of Income Generation. The postholder left the organtsation in March 2024 with their successor commencing June 2024. A fiJndTaising strategy has prevtously been developed. However. the change in personnel will be opportunity to take a refreshed approach. Teesside Hospice is regislered with the Fundraising Regulator and is a member of the Hospice Lotteries Association. There have been no failures to comply with regulation nor have there been any ¢omplaints re¢eived. Risks associated with ￿ndraising activity are continuously examined by inclusion in the operational risk register. In April 2022 we commenced using an external company to recruit new lottery members and it was ensured that their work was Conducted in accordance with the agreed contract, reflecting the values and behaviours expected by Teesside Hospice. All staff and third parties receive training on protecting vulnerable individuals - if it is felt that a person is not capable of makin8 an inform¢d decision about 5UPPOrting Teesside Hospice, e.g. because of mental health problems, learning disabilities or Substance misuse relating to alcohol or drugs, attempls must not be made to sell any fundraising related product. Teesside Hospice operates an over 18s policy in respect of lottery membership and education is provided to staff on ways to spot a problem gambler. Relaledparlies The charity'5 wholly owned subsidiary, Teesside Hospice (Trading) Limited is established lo provide a trading arm to the charity- The principal activities of the subsidiary are that of lottery organiser and charity shopkeeper. The subsidiary gift aids all of its t￿able profits to the charity. Strategic Report Achievemenls andpeiformance The charitable company's policies in the pursuit of its objectives are kept under regular review. The Board of T￿stee5 considers the activities of the company during the year to be satisfactory. The funds and resources are used entirely for its main objective. The movements in funds are described in the consolidated statement of financial activities on page 15. The Quality and Perfornian¢e Committee The Quality and Perfonnanee Committee is designated by the Board of Trustees to oversee the development and implementation of the professional framework for nursing. medicine, allied health and social care disciplines at Tee5side Hospice. Issues relating to national, regional and local policies are debaled, ratified and aclioned by the ommittee in line with the agr¢¢d temis of reference. Membership of the committee Is made up of multi professional staff that all contribute to the success of the committee. Subgroups are forn)ed as required and r¢port to the Quality and Performance Committee. Teesside Hospice always strives to deliver excellent, much needed services to the local people and its success depends on the delivery of safe, responsive and effective care and how valued we are by the people that need us. We monitor the care we provide, seek assurances that we provide high standards of care and outline aspirations that support our delivery of the slralegic aims. Feedback from our patients, families and friends is very important to us so that we can understand their personal experiences. They are at the centre of everything we do at the hospice. This enables the translation of user comments into real improvements. We use this feedback to continuously strive to improve the quality of our services. Feedback can be obtained via questionnaires. patient and carer groups, surveys, outcome reports, suggestions and comments and complaints and compliments. Throughout the year, there has been continuous evaluation of the services and any concerns have been addressed in a timely way. Page 4

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 The Care QuaEity Commission Teesside Hospice is ￿qUired to register with the Care Quality Commission (CQC) and its current registration status is for the following a¢tivities'. Treatment of disease, disorder or injury Teesside Hospice is registered with the following conditions.. Services are provided for people over l 8 years old The maximum of10 patients may be accommodated overnight The last unannounced routine inspection of Teesside Hospice took pla¢e on 16 March 2016. Our feedback w&s very positive and we received an overall rating of GOOD for our service. No areas were rated as inadequate. On 8th Feb￿ary 2021, relevant members of the SMT had a Transitional Monitoring Approach {Th4A) call with the CQC. Positive feedback was given, and this did not result in any follow-up action such as an immediate visit. The CQC now use a mix of onsite and offsite monitoring and in accordance with this approach. Ihey wried out a review of the data about Teesside Hospice in July 2022. They found no evidence to suggest that they needed to carry out an on-skte inspection or reassess our rating. Regular contact is maintsined with the CQC as appropriate. Inpatient Unit: There were 150 patients who received inpatient care (167 episodes of care) with a variety of complex needs. The average length of stay for patients is 16 days. 340/0 of patients were discharged to their homes or a care home. 64 /0 of patients received end of life care and 2¥0 were discharged to the hospitallother services. Wellbeing Centre: 2023￿4 has continued to be a period of development for the services provided by the wellbeing team. There were 604 face-to-face sessions w&th 1.564 patient contacts which were individual and group sessions involving morning and afternoon progratnEnes. 723 telephone contacts were made to patients. Lymphoedema se￿ice. The lymphoedema clini¢ received 657 referrals over the course of 202312024. There were 3,647 patient interactions including cliniclhome visit appointments, education. advice ealls and IPU and Wellbeing patients seen. There were 1,2J9 patients on the lymphoedema clinic caseload at the end of March 2024. Bereavement Counselling Service.. From April 2023 to March 2024 there were 1,714 bereavement counselling appointments attended {individual adults= 200 attended 1,424 appointments and children & young persons- 71 attended 290 appointments). These appointments were face to face, either as individual or group sessions. The Service received 351 referrals - 59 /0 self-referral, 41 % from GPS. schools. mental health professionals 2nd others. Volunteers Teesside Hospi￿ has an estsblished team of volunteers who offer their time to each department across both ihe Trading Company and the Charity. The current headcount is in the region of 370 volunteers working side by side with paid staff to support them to fulfil their duties. Volunteer support wa5 sadly affected in various ways during the pandemic and volunteer recruitment is to b¢ a key focus area in 2024125. Volunteer5 are a valued resource to the organisation and we recognise their commitment and value. The Board of Trustees and Trading Company Directors, who have upperniost authority for controlling the activities of Teesside Hospice are volunteers. Financial review The Financial Statements are prepared in accordance with Financial Reporting Standard R02 (FRS 102) and the Charities SORP (2019). Page 5

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS. AND TRUSTEES, REPORT For the year ended 31 March 2024 Teesside Hospi¢¢ has had a successful year, and has ultimately generated a surplus (before unrealised investment gains) of £621,607. Without legacy income this result would have been deficit (£275,538). We commenced the year with a deficit budget of £404,361 (excluding unrealised gainlloss on investment). The surplus for the year dramatically ex¢eeds expectations. The principal variances arose from.. supplementary ICB funding in respect of additional support services provided. an increase in investment returns. income generation (as a whole) outperfoming expectations. and legacy income. Donations and legacies have increased by £657,217 (420/u). Legacy income is the largest contributor to this ineome heading and is very unpredictable. Legacy income totalled £897,145 which was an increase of £600k on ihe prior year. Legacy income has contributed £7.5 million in the last fifteen years, with the 2023124 year being the second highest of those years. Donations have decreased in the year which is predominantly as a result of not running a spring appeal in 2024 compared with £38k raised in March 2023. SponSo￿d events income is growing as the fundraising offer continues to expand. Charitable activities income has increased in total by £53,895 primarily dye to contract value increases and the ASC Discharge Fund work. Trading income has increased by £79,797. Although £38,000 was a one-off revenue stream for the 2022123 year only, fundraising and catering income have grown on the previous year. The standout element in the fundraistng total is community events which received great support from local group5. Expenditure on charitable activities on page 15 has increased by £124,158. Whilst the commitment to the control of exptnditure remains, the economic environment means that ristng costs were (aTtd are) inevitable. Cash at bank and short term investments totals £4.1 million at 31 March 2024. Liquidity and reserves are in constant focus and we endeavour to strike a balance between cash at bank and in investments. Due to the increased levels of cash and interest rates, bank interest investment income has increased in the year by over £80k. The principal assets of the Hospice are buildings dedicated to the provision of Specialist Palliative Care Services which include the Inpatient Unit, the Wellbeing Centre and th¢ Bereavement Counselling Centre. In February 2019 the Charity completed the purchase of land adjacent to the current Hospice buildings. The land currently adds value to the overall grounds of the hospice land and buildings but needs to be thought about in future planning. The Charity relies on the support of the local ICBS. the supw)rt of the community and its own eommercial activities to continue operating. The Trustees continue to ensure the success of the Charity through close monitoring and cotttrol of clinical and support operations and close working with local partners to ensure their continued support. A key element in the management of financial risk is a regular review of funds on deposit, investments, legacy incom¢ due. debtors. Creditors and working capital. The net increase in unrestricted fund5 was £874,582 (2023: decre&8e £104,369). Unr¢stri¢ted fund5 are the operational reserves of the charity. The Trustees continually review the financial sustainability of Teesside Hospice and thanks are expressed to all staff and volunteers of the hospice who have made tremendous efforts to keep running costs to a minimum whilst Maintaining a high standard of Ca￿ to patients and their families and a safe working environment for all staff and volunteers. Commercial Activities It has been another year of operating within a ditTi¢ult fundraising landscape. The ever-changing environment has hit our lo¢al community hard. We have had to be r¢sourceful and creative with our approach to income generation. We have recruited a strong team but recruitm¢nt and retention of this team has been a focus this year including the volunteer workforce. We have continued to streamline a¢tivity to focus on greater return on inveslment. Page 6

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 By focusing on what matters the most to our community and tailoring our ask to fit the operating environment, we have successfully brought in an income of £3,380,570 which surpassed the previous year by £170k and outperfomied our expectations in raising a profit which was an tncrease of £ L60k on budget. Highlights include: Maintained growth in community and events income to £516.669 which was an increase of £114,285 on the previous year Successful re-introduction of grants and trusts fundraising generating £154,530 an increase of £21,803 on the previous year Reindeer Run, Midnight Walk, Annual Ball, GNR all well supported community activitieslevents Additional £30k raised through Lucky Dip Sales and £6k profit from pop-up shops The retail department opened a new shop in Ingleby Banvick expanding OUF presence in the community and reaching new customers Retail Gift Aid increased to £85k sutpassing last year by £14k Charitable A¢tivities Funding is provided by Clinical Comrnissioning Groups on behalf of the Integrated Care Boards (ICBS). In r¢¢ent year5, the grants received from what is now called the North East & North Cumbria ICB have seen small growth. In 2023124. the contract value was uplifted by 1.50/0 then by a further 1.60/0. The Hospice continues to work closely with the ICB in respe¢t of its services. It Is re¢ogni5ed that leg3cie5 are a critical element of the charitable company's fLEnding, and the timing and amount of this income i5 uncertain. In the fifteen years to date. the annual legacy income averages approximately £456k (excluding an exceptional lega¢y of £695.000 in 2014115 which significantly increased income in that year). The Board of Trustees recognises the need to continue to develop a legacy strategy whilst also developing income from other sources. Key perf0m￿Ce Indicators are as follows.. 2023124 3.14Y. 2022123 Increase in Tees Valle ICB contract value Increase kn Humber and North Yorkshire ICB contrart value Social media followers at ear end- all latfonns IIncrease in total ￿ndS Number of le ators included in income for the Number of active retail ift aid donors in ear Lotte entries in last draw of the ear Fundraisin element of income eneration ROI Would you recommend the service - patient satisfaction survey IPU 26,208 876,714 24 5,880 10.377 2.90 Definitely 96L7/0 Possibly 20/0 £134 307 17 4,603 10,671 2.86 Definitely 100 /. ear Would you recommend the serv&ce- patient satisfaction survey Wellbeing Definitely 940/ Possibl 60/0 Risk managemenl Keeping patients. families. staff and visitors safe, as well as protecting the organisation, is a fundamental principle at Teesside Hospice and a5 such risk management is a high priority within the organisation. The Board of Trustees ha5 conducted a review of the major strategic, business and operational risks to which the hospice is exposed and has produced a corporate risk register. The Senior Management Team review and update th¢ operational risk register on (at least) a quarterly basis. Page 7

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES". REPORT For the year ended 31 March 2024 Dashboards were also produced for each department and presenled at committee meetings. If there are areas of concern, or risks are identified, they are discussed at the Risk, Health and Safety Sub-committee (RHSC) meetings and action is taken to mitigate risks. The RHSC ensures policies. procedures, systems, controls and awareness programmes are in place to minimise risks. We also engage the services of an external consLEltancy company lo add an additional layer of scrutiny. The diverse nature of the group's activities mean Teesside Hospice is exposed to numerous risks daily. Corporate risks include damage to reputation, fraud, compliance issues, loss of funding and IT security- Each department has had input into the operational risk register which provides further control over day-lo-day risks faced. Teesside Hospice sets expectations that all employees and volunteers will comply with all laws and regulations governing our company's behavior. When this is not the case. inforn)ation is reported up internally within the organisation to Senior Management and shared with the Trustees. the external auditors and regulatory bodies as appropriate. Teesside Hospice takes compliance issues very seriously, investigating each one, and revisiting our operational controls. A full list of laws and regulations is maintained. Non-compliance is a major threat to the organisation which ¢ould result in patient servi¢es being closed or income generation being stopped. Reservo8 In considering our policy on reserves, the approach taken has been to split the reserves requiT¢d into constituent parts. Firstly. to look at future forecasts in order to a5¢¢rtain a working capital reserve. This encompassed looking at future budgets with a range of best to worst case scenario planning. Next it was necessary to look at income risk i.e. the figure needed to manage and survive any unprecedented or unpredicted loss of revenue and not to be used to pemianently fund budget deficits but to be used to tnanage in emergency circumstances. Finally. it wa5 necessary to consider expenditure risk. OLEr risk register captures everything that would require us to draw on reserves. each risk has an estimated cost and cumulatively give rise to a need to draw on reserves should the risks become a reality- Our acceptable balance of free ￿SerVeS is reviewed annually by the Finance & Facilities Committee and moving into 2024/25 the risk based approach above has defined an acceptable level 01 £3,100,000. Teesside Hospice has a strong balance sheet with free ￿SerVeS exceeding this figure. This excess will play heavily into the strategy to be produced in 2024125 led by the Chairperson and CEO with input from all Ttvstees arkd SMT. The hospice group Cu￿entlY has free reserves of £3,714,343 (2023- £2.628.447). In calculating free resetves. the Trustees have excluded from total funds the restricted fvnds (£546.478). unrestricted tangible assets (£971,373), the fixed assels investment property (£120,000), the investment portfolio (£4.117.401) and designated funds (£587,607). The above items must be excluded from total funds as it is essential to determine funds whtch are not subject to donor- imposed conditions (restricted) and hence are freely available for gener21 (unrestricted) purposes. Free reserves are the resources the charity has or can make available to spend, after allowing for fixed assets and ￿tUre spending plans. For full details of the designated funds and restricted funds and see notes 29 and 30. Trustees have agreed the serious consideration of purchasing freehold property. Presently. all our retail stores are leased. The only exception to this is the premise at 410 Linthory)e Road which is owned by the charity. The lower floor is used for retail and the upper floor for office space. The addition of freehold propety into our portfolio would bring a long-temi asset for the business whereas rent is investing in another person's asset. A designated ￿nd of £500k has been carried forward for the purchase of commercial property. It may be that this designation is increased in the future, but the value of this designation would be sulTJcient for the coming year5. Deficit budgets are forecasted, and we accept that reserves will be needed whilst we work through the current e¢onomtC situation and the reviews being conducted by the NHS. We ¢ontinue to look for cost improvements and new revenue initiative5. The aim is to hold sufficient free reserves to ¢over defi¢its in the future. Despite the challenges, the 2023124 year has seen fantastically positive financial results. Consequently. a previous designated fjjnd of £400,000 was released to general reserves. Page 8

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 In line with the corporate objectives, the digital development of the organisation is a priority. Teesside Hospice will take a collaborative approach to adopting digital solutions, developing digital roadmaps for each of our business fitnctions whlch offer greater integration both intemally and externally. We will invest in improving our knowledge. capability and Confidence and as such a designated fund of £87,607 remains at the year end. Investment powers and policy Under the Memorandum and Articles of Association, the charity has the power to invest moneys not immediately required for its purposes, as thought fit. subject to good practice conditions. The Board of Trustees sel¢¢ts a group of Trustees to forni the Fknance & Facilities Commlttee. which in turn is responsible for overseeing the selection of professional Investment advisors to aid the charity in identifying suitable investment for its funds. No additional funds have been added into the investment portfolio in the financial year. At the year end, the unrealised gain on investment holdings for the 2023124 year 3mounÉed to £255.107 (2023.. loss £192,390). The investment property wa5 professionally valued with no ¢hange (2023.. no change). PIAns for future periods The priorities for quality improvement we have identified for 2024125 are Set out below. We have selected one that will impact directly on each of the three headings: patient safety. clinical effectiveness and patient experience. Improvement l - Patient Safety (Implementation of Patient Safety Incident Reporting Framework Plan) The NHS Patient Safcty Strategy was published in 2019 (and updated 2021) setting out new approaches to ontinuously improve patient safety by building upon the existing foundations of having a patient safety culture and a patient safety system. The ambitious strategy sets out several actions to be implemented and delivered including the introduction of a new Patient Safety Incident Reporting Framework (PSIRF), which is a catalyst for chinge and &5 such it ¢hallenges us to think and respond dtfferently when a patient safety incident oc¢ur5. PSIRF is a replacement for the NHS Serious Incident Framework. The ethos of PSERF is to promote learning and systematic improvement, moving away from the previous framework which focused more on process than emphasi5ing a culture of continuou5 improvement in patient safety. Due to size the of hospices in comparison to NHS trusts and the patient safety incident profiles of hospices it has been xgreed with the local Inlegrated Care Board (ICB) that northeast hospice work collaboratively on providing a joint plan to deliver the national requirements. Improvement 2- Clinic21 Effectiveness (Single Nurse AdminÈstration of Controlled Drugs) Single Nurse Administration of Controlled Drngs has been adopted by many organi5ation5 and has proved successful in promottng timely, responsive administration of medication, releasing time for Registered Nurses (RNS) to fulfil other duties. with no compromise in patient safety. Adopting the electronic prescribing medication administration record at Teesside Hospice in the previous year has been implemented su¢¢essfvlly however it h2s htghlighted time required when two RNS are needed to administer controlled drngs. RNS and occasionally patients and relatives have ratsed concerns regarding delays in administering controlled drngs. RNS are open to exploring alternatives to enhancing patient care drug administration and concomitantly releasing RNS. time to care. Improvement 3 - Patient Experience (Nutrition & Hydration) Adequate nutrition and hydratton are a fundamental part of patient Care. Optimising nutrition attd hydration for patients with 5pe¢ialist palliative care is ensuring that it is right for the patient at their stag¢ of life. Page 9

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS, AND TRUSTEES, REPORT For the year ended 31 March 2024 In palliative care the focus of nutrition should be on improving quality of life and reducing any anxieties around food and eating. Illness, disease, and associated treatments ¢an make huge demands on the body and. as a result, the recommendations for nutritional intake may be different to those for a person who is well. Teesside Hospice has a track record of providing exceptional choice and high-quality nourishing food and drink to patients. We would like build upon existing good practice and promote further. Other plans for the future We await the ICB adoption of the NHS End of Life Care ￿ndIng review. We are fvlly Committed to the provision of safe, ¢aring, responsive, effective and well-led services at Teesside Hospice. The hospice has a well-established Clinical and ￿rpOrate governance structure. with Trustees playing an active part in ensuring that Teesside Hospice fulfils its mission. according to its charitable objectives and in ensuring that the organisation remains responsible and compliant in all areas of regulation, health and safety, employment law and other releva¥Jt legislation. Our plans for the future involve widening access to ensure our Services are accessible to the whole community as we understand there are inequalities in accessing palliative and end of life care for minority groups. We aim for further collaboration with the wider system to expand our reach. Going concern After making appropriate enquiries, the Trustees have a reasonable expectation that the Charity has adequate resourees to continue in operational existence for the foreseeable future. Forthis reason, they continue to adoptthe going eoncern basis in preparing the financial statements. Further details regarding the adoption of the going concern basis cttn be found in the accounting policies. Auditors The auditor, Waltons Business Advisers Limited has indicated fftts willingness to continue in offi¢e. Statement of Trustees, Tesponsibilities The charity Trustees (who are also the directors of Teesside Hospice Car¢ Foundation for the purpose of wmpany law) are responsible for preparing the Trustees. Annual Report and the financial statements in accordance with United Kingdom Generdlly Accepted Accounting Practice and applicable law and regulations. Company law requires the Trustees to prepare financtal statements for each financial year, which give a true and fair view of the state of affairs of the charitable group and of the incoming resources and application of resources, including the income and expenditure, of the charitable company and the group for that period. In preparing these financial statements, the Trustee5 are required to: select suitable accounting policies and then apply them consistently, - observe the methods and principles in the Charities SORP (FRS 102). make judgments and estimates that are reasonable and prudent- state whether applicable UK Accounting Standards (FRS 102) have been followed, subject to any malerial departures disclosed and explained in the financial statements. and prepare the financial statements on the going concern basis unless it is inapproprRate to presume that the charitable company will continue in operation. The Trustees are responsible for keeping adequate accounting re￿rdS that are sufficient to show and explain the charity and the group's transactions and disclose with reasonable a¢¢uracy at any lime the financial posilion of the charitable company and whÈch enable them to ensure that the financial statements comply with the Companies A 2006. They are also responsible for safeguarding the assets of ihe charitable company and the group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. Page 10

TEESSIDE HOSPICE CARE FOUNDATION DIRECTORS: AND TRUSTEES, REPORT For the year ended 31 March 2024 The Trustees are responsible for ensuring that in its conduct and operation the charitable company applies financial and other COTJtrols, which conform with the requirements both of propriety and of good financial management. The Trustees are responsible for the maintenance and integrity of the corporate and financial inforniation included on the ¢haritable company's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions. Statement as to disclosur¢ of information to auditors In so far as the Trnstees are aware there is no r¢levant audit infonnation of which the charitable company's auditors are unaware, and the Trustees have all taken steps that they ought to have taken to make themselves aware of atiy relevant audit inforniatton and to establish that the auditors are aware of that inforniation. This report was approved by the Trustees on and signed on its behalf by Trnstee Page 11

INDEPENDENT AUDITORS, REPORT TO THE INDEPEIYDENT MEMBERS OF TEESSIDE HOSPICE CARE FOUNDATION FOR THE YEAR ENDING 31 MARCH 2024 Unqualified Opinion We have audited the financial statements of Teesside Hospice Care Foundation (the 'parent charitable ¢ompany') and its subsidiaries (the'group.) for the year ended 31 March 2024 which comprise the consolidated statement of financial activities, the consolidated balance sheet, the company balance sheeL the consolidated 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: give a true and fair view of the state of the group's and of the parent charitable company's affairs as at 31 March 2024 and of the charity's incoming resource5 and application of resources, including its in¢ome and expenditure for the year then ended. have been properly p￿pared in accordance with United Kingdom Generally Accepted Accounting Practice. have been prepared in accordance with the requirements of the Companies Act 2006. 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 group and parent charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financtal 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 eoneern In auditing the financial statements, we have concluded that the Trustees, use of the going concern basis of accounting in the preparation of Ihe financial statement5 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 group's or the parent charitable ¢omp3ny'5 ability to Continue as a going concern for a period of at least twelve moT]ths 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. Other inform4tio The other infomation comprises the information included in the annual report other than the financial statements and our auditors, report thereon. The Twstees are responsible fr>r the other infornialion contained within the annual report. Our opinion on the financial statements does not cover the other inforniation and. except to the extent otherwise explicitly stated in our report, we do not express afty form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so. Consider whether the other infomlation is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit. or otherwise appears to be materially misstated. Kf we identify such material inconsistencies or apparent material misstatements, we are required to detemiine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have perfomied, we conclude that there is a material misstatement of this other information, we are required Éo report that fact. We have nothing to report in this regard. Page 12

INDEPENDENT AUDITORS, REPORT TO THE INDEPENDENT MEMBERS OF TEESSIDE HOSPICE CARE FOUNDATION FOR THE YEAR ENDING 31 MARCH 2024 Opinion on other matters pr￿crIbed by the Companies Act 2006 In our opinion, based on the work undertaken in the course of the audit: the information given in the Trustees, report including the Stfdtegic report for the financial year for which the financial statements are prepared is consistent with th¢ financial slatements. the Trustees, report and the Strategi¢ report have been prepared in accordance with applicable legal requirements. Matters on which we are required to report by ¢xe¢ption In the light of our knowledge and understanding of the Charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustees, report including the Strategic rew)rt. We have nothing to report in respect of the following matters in relation to which Companies Act 2006 requires us to report to you if, in our opinion: the parent charitable company has not kept adequate and sufficient accounting records, or returns adequate for our audit have not been received from branches not visited by us. or the parent charitable company financial statements are not in agreement with the ac¢ounÉing tt¢ords and returns- or certain disGlosvres of Trustees, remuneration specified by law are not made. or we have not received all the information and explanations we require for our audit. Responsibilities of trustees As explained more fully in the trustees, responsibilities statement, the Trustees (who are also the directors of the haritable 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 5u¢h internal control as the Trustees detemiine is necessary to enable the preparation of financial statements that are free from material mi5StatemenL whether due to fraud or error. En preparing the financial statements, the Trustees are responsible for assessing the groups and the parent charitable company's ability to continue as a going concem, disclosing. as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the group or the parent charitable OTnpany or to cease operations, or have no realistic aitemative but to do 50. Auditors, responsibilities for the audit of the financial statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material mi5Statement, whether due to fraud or etTor, and to issue an auditors, report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that audit conducted in accordance with ISAS (UK) will always detect a material misstatement when it exists. Mi5Statements can arise from fraud or error and are considered material if, individually or in the aggregate, they could re&8onably 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 regulation5. We design pro¢edures tn line with our responsibilities, outlined above, to detect material misstatements in resp¢¢t of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, in¢ludtng fraud is detailed b¢low'. W¢ gained an understanding of the legal and regulatory framework applicable to the charity and the area in which it operates, and considered the risk of acts by the charity that were contrary to applicable laws and regulations, including fraud. We designed audit procedures to respond to the risk, recognising that the risk of not dete¢ting a material mi5Statement due to fraud is higher than the risk of nol detecting one resulting from error. as fraud may involv¢ deliberate conceaIment by. for example, forgery or intentional mksrepresentations, or through collusion. Page 13

INDEPENDENT AUDITORS, REPORT TO THE INDEPENDENT MEMBERS OF TEESSIDE HOSPICE CARE FOUNDATION FOR THE YEAR ENDING 31 MARCH 2024 We identified the greatest potential for fraud in the following areas.. existence and timing of recognition of in¢ome and the posting of unusual journals. We discussed these risks with management and designed audit procedures as follows: to test the timing and existence of revenue, to review journals posted to key control accounts or posted around the year end, to [￿k for potential'window dressing" as well as looking at a sample throughout the year. A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at: ww.frc.org.uklauditorsresponsibilities. This description fonns part of our auditors, report. Use of our report This report is made solely to the charitsble company's members, as a body, in accordan¢e with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company's members 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 charitsble company and its members. as a body, for our audit Work. for this report, or for the opinions we have fortned. Waltons Busine55 Adviser5 Limited Chartered Accountants Statutory Auditor Maritime House Harbour Walk The Marina Hartlepool TS24 OUX Date-. 23 September 2024 Page 14

TEESSIDE HOSPICE CARE FOUNDATION CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING CONSOLIDATED tNCOME AND EXPENDITURE ACCOUNT) For the year ended 31 March 2024 2024 2024 Unrestrieted Restricted funds funds As restated 2023 Total 2024 Total Note Income: Donations and legacies Charitable activities Other trading activities Investments Other income 2,086,596 1,551,997 2,121,478 220,215 645 130,021 65,366 3,057 2,216,617 1.617.363 2,124,535 220,215 645 1,559,400 1,563,468 2,044,738 133,057 46 Total ineome 5,980,931 198,444 6,179,375 5,300.709 Expenditure: Raising funds.. other trading activities Charitable activities 2.285,750 3.075.706 10.450 185.862 2.296.200 3.261.568 2,105.216 3,137,410 Totsl expenditure 5.361,456 196.312 5,557,768 5,242,626 Net income/(expenditure) before other gainsnosses 619.475 2.132 621,607 58.083 Net gain/(loss) on investments 255,107 255,107 (192,390) Net incomel(expenditure) 874.582 2.132 876,714 (134,307) Gross transfers between funds Net movement in funds for the year 874.582 2.132 876,714 (134,307) Reeonciliation of funds: Total funds brought forward 8,636,142 544,346 9,180,488 9,314,795 Total funds carried fornrd 29130 9.510.724 546,478 10,057.202 9,180,488 The statement of financial activities includes all gains and losses recognised in the year. All of the above amounts relate to continuing activities. Page 15

TEESSIDE HOSPICE CARE FOUNDATION Compkny number 01642201 Registered Charity Number 512875 CONSOLIDATED AND CHARITY BALANCE SHEETS AT 31 MARCH 2024 Group 2024 Group 2023 Charity 2024 Charity 2023 Note Fixed asset$ Tangible assets Investments 18119 20 1,453,013 4,320.382 1,474,777 4,086,557 1,445,787 4,320,384 1,458.953 4,086.559 5.773.395 5,561,334 5,766,171 5,545,512 Current assets Stocks Debtors Short term inveslments Cash at bank and in hand 21 22 23 63.188 573.765 3,100,537 985.658 56.384 327,287 2,331,819 1,221,006 2,584 547.917 3.100,537 888.375 15,637 353,907 2,331,819 1,072,761 4.723,148 3.936,496 4,539,413 3,774,124 Creditors: amounts falling due Ivithin one year 24 (435,979) (310.914) (294,563) (196.373) Net current assets 4,287,169 3,625,582 4,244,850 3,577,751 Total assets less current liabilities 10,060.564 9.186,916 10,011,021 9,123,263 Creditors: amount5 falling due gft¢r more than one year 25 (3,362) (6,428) Net gssets 10,057.202 9,180,488 10,011.021 9.123,263 The funds of the tharity Unrestricted funds Restricted funds 29 30 9,510,724 546.478 8,636.142 544,346 9.464.543 546,478 8,578,917 544.346 Total Charity funds 27 10,057,202 9.180,488 10.011.021 9,123.263 A separate Statement of Financial Activities for the Charity as an individual entity is not presented because the Charity has taken advantage of the exemption offered by Section 408 of the Charities Act 2006. The net incoming resources before gains and losses for the year for the Charity was £632,651 (2023= £61,658). The financial s ts were approved by the Board of Directors and authorised for issue on - and signed on their behalf by.. Trustee Trustee The accompanying a¢¢ounting poli¢ie5 and notes fomi an integral part of these financial statements. Page 16

TEESSIDE HOSPICE CARE FOUNDATION CONSOLIDATED STATEMENT OF CASH FLOWS For the year ended 31 March 2024 2024 2023 Note Net cash flows from operating aetÉvitios 32 352,256 520,705 Cash flows from investing activities Income from UK listed investments Income from other investmenl assets Interest re¢eiv¢d Purchase of property, plant and equipment Proceeds from sale of fixed assets Proceeds from sale of investrnents Purchase of financial investments 91,946 6,300 121.969 (60,947) 564 758,668 (752,329) 85,058 6,300 41,699 (5,091) 326,381 (7R8,621) 166,171 (264,274) Decrease in ¢ash held in investment portfolio 14.943 19.434 Net e#$h (used in) investing activities 181.114 (244,840} Increase in cash and cash equivalents in the year Cash and cash equivalents at the beginning of the year 533,370 3.552,825 275,865 3,276,960 Total cash and eash equivalents at the end of the year 4,086.195 3,552.825 Relating to: Cash at bank and in hand Short term investments 985,658 3,100,537 1.221.006 2.331.819 Tot81 cash gnd cash equivalents at the end of the yeAr 4,086.195 3,552.825 Page 17

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 ACCOUNTING POLICIES The principal accounting policies are summarised below. The accounting policies have been applied consistently throughout the year and the preceding year. BASIS OF ACCOUNTING Teesside Hospice Care Foundation is a charitable company. limited by guarantee. registered in England. The address of the charity's registered office and principal place of business is l Northgate Road, Linthorpe. Middlesbrough, TS5 5NW. Teesside Hospice Care Foundation meets the definition of a public benefit entity under FRS 102. The charity exists for the benefit of the public through the provision of hospice services to members of the public suffering from life- limiting illnesses. These financial statements have been prepared tn accordance with "Accounting and Reporting by Charities": Statement of Recommended Practice applicable to charities preparing their accounts in acwrdance with the Financial Reporting Standard applicable in the UK and Republic of Ireland {FRS 102) (effective l January 2019)- (Charities SORP (FRS 102)), and the Companies Act 2006. Assets and liabilities are initially recognised at histori￿1 cost of transaction value except for investments which are included at market value, and in accordance with the Statement of Recommended Practice 'Accounting and Reporting by Charities, effective l January 2019 (Charities SORP (FRS 102)) and the Companies Act 2006. REDUCED DISCLOSURE ovfioNS In accordance with FRS102. the Charity has taken advantage of the exemptions from the following diselosure requirements.. Section 7 Statement of Cash Flows presentation of a statement of cash flow and related notes and disclosures in relation to Ihe Charity's own statement of cash floivs. A consolidated statement of cash flows is presented in Ihese financial statements. GOING CONCERN FRS 102 requires that, if appropriate, the charity's and oroup's financial statements are prepared on the going concem basis. which means ihat the organisation is able to operate for the foreseeable future on the basis of known and reasonable projected resources. There are no material uncertainties in respect of the charity's and gr()up's ability to continue as a going ¢on¢ern. All areas within the organisation are constantly tasked with Tnereasing cost-effectiveness and increasing self-generated revenue. The 2024125 budget has been produced with line by line scrutiny. Measures are in place to ensure the financial position of the organi5ation is under constant review. The ongoing demand for services provided by the group ensures that the exposure to risk from the cutTent difFicult ewnomic wnditions is mitigAted. The Trustees have prepared profit and loss forecasts and Cash flow for¢Gasts for the following 12 months and have r¢viewed the group's resources. Reserves are available to meet the group's neeils xs they arise as detailed in the reserves policy. As a consequence, the Trustees belteve the group is well placed to manage its business risks successfully and have a reasonable expectation that the charity and group have adequate reserves to continue in operational existence for the foreseeable future. Thus, the Trust¢¢s continue to adopt the going concern basis of accounting in preparing the financial statements. Page 18

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FENANCIAL STATEMENTS For the year ended 31 March 2024 BASIS OF CONSOLIDATION The financial statements consolidate the results of the charity and its wholly owned subsidiary undertaking, Teesside Hospice (Trading) Limited, on a line-by-line basis. All financial statemenls are made up to 31 March 2024, and consistent accounting policies are used. A separate Statement of Financial Activities and Income and Expenditure Account for the charity has not been presented because the charity has taken advantage of the exemption afforded by se¢lion 408 of the Companies Act 2006. INCOME Income is recognised in the statement of financial activities when the charity has entitlement to the funds, any perfom]ance conditions attached to the item(s) of In￿Me have been met, it is probable that the income will be received, and the amount can be measured reliably. The following policies are applied to particular categories of income.. Donations and legacies are received by way of grants. donations. legacies and gifts and are recognised where there is entitlement, receipt is probable, and the amount can be measured with sufficient reliability. Legacies are included when the charitable company is advised by the personal representatives of an estate, whereby probate has been granted, and that payment will be made. or property transferred provided that sufFicient infonnation has been received to enable valuation of the charity's entitlement and hence the amount involved can be quantified. Gifts in kind, which include donated drugs and dressings, is included as income at a valuation which is an estimate of the financial cost borne by the donor where such a ￿5t is quantifiable and measurable. The amount included in note 3 is £47,244 (2023: £57,345) of which £34,678 was drugs and dressings purchased then recharged to the ICB and £12.566 was the value of donated dNg5 and dressings. No income is recognised where there ig no financial cost bome by athird party. Income from charitable activities also include fees and grants received for services within contra¢És for operdtional programmes, and the income is recognised in the period in which it is receivable Income from investments is included ID the year in which it is receivable. Income generated by the charitable company'5 sole subsidiary, is included within other trading activities ftncome, and is included in the period in which the income is receivable. The charity lets a non-investment propety to the trading subsidiary in furtherance of the charity's objects. Rentallservice charge income and expenditure is removed on consolidation. The group also operates a donor procurement and management recharge agreement in relation to Retail Gift Aid donors. The income and expenditure is removed on consolidation. Government grant income is recognised in the Statement of financial activities when the group has entitlement to the funds, any perfomiance conditions attached to the item(s) of income have been met, it is probable that the income will be received and the amount can be measured reliably. Where a grant is receivable as compensation for costs already incurred or for immediate financial support, with no future related costs, the grant is recognised as income in the period in which it is receivable. Gifts donated for resale are included as income when they are sold. The Trustees acknowledge that they a￿ assets of the Charity as soon as received but due to the fact that a very large number of small value items are received. the time and cost of valuing donated goods at receipt would outweigh any benefit (of having them valued) to the users of the financial statements. Where goods are donated under the Gift Aid scheme the Charity is not entitled to the income until the goods are sold and the donor has confirmed that they are gifting the proceeds. In this ease the income is included as a donation rather than a sale. Page 19

TEESSIDE HOSPICE CARE FOUNDATIOIY NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 RESOURCES EXPENDED Expenditure is recognised once there is a legal or constructive obligation lo make a payment to a third party, it is probable that settlement will be required, and the amount of the obligation can be measured reliably. Expendi￿re is included in the Statement of Financial Activities on an accruals basis inclusive of any VAT which cannot be fully recovered. Costs of raising ￿ndS are those incurred in attracting voluntary income, and the costs of the tradin8 subsidiary for fundraising purposes. Charitsble expenditure comprises those Costs incurred by the charity in Ihe delivery of its a¢tivities and services for its beneficiaries, and includes both the direct costs and support costs relating to these activities and an apportionment of support and governan¢e costs. Certain expenditure is directly attributable to spe¢ific activities and have been included in these Categories. Certain other support costs, which are attributable to more than one activity, are apportioned across costs Categories using methods including floor space, activity and headcount. OPERATING LEASE AGREEMENTS Thegroup as tt lessee The charity classifies the lease of properties as operating leases. Rental charges are charged to the statement of financial activities on a straight-line basis of the period of the lease. The grollp os le550r Renthl income from assets leased under operating leases in recognised on a straight-line basis over the terni of th¢ lease. FUNDS ACCOUNTING - The funds held by the charity are: Unrestricted generdl funds discretion of the Trustees. these are funds which can be used in accordance with the charitable object5 at the Designated funds- these are funds that comprise general funds that have been set aside at the discretion of the trustees for specific purposes. The purpose and use of these designated funds is set out in the notes to the financial statements. Restricted funds- these are funds that can only be used for funds within the objects of the charity. Restrictions arise when specified by the donor or when funds are ratsed for particular restricted purposes. TAIYGIBLE FIXED ASSETS Individual tangible fixed assets costing £5,000 or more are capitalised. Tangible fixed assets are initially measured at ost and subsequently measured at cost less accurnulated depreciation. Depreciation is provided at rates calculated to write off the cost less residual value of each asset over its expected useful life, as follows- Freehold buildings Straight line over foty years Freehold land Nil Leasehold improvements Straight line over the temi of the lease Computer equipment 33 % straight line Fixtures, fittings and equipment I59/￿25 /0 Straight line Motor vehicle5 25 /0 Straight line INVESTMENTS Interests in subsidtaries are initially measured at cost and subsequently measured at cost less any accumulated impairment losses. Interests in subsidiaries are assessed for impaimient at each reporting date. Any impairment losses or reversals of impaimient losses are recognised immediately in income and expenditure. Page 20

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 Fixed asset investments held in the fom) of shares or securities are included at mid-mark¢t value at the balance sheet date. Realised gains and losses on investments are calculated difference between sales proceeds and their market value at the start of the year, or their subsequent cost, and are charged or credited to the SOFA in the year of disposal. Unrealised gain5 and losses represent the movement in the market values during the year and are credited to the statement or charged to the SOFA based on market value at the year end. Fixed asset investment property is measured at fair value whilst a reliable measure of fair value is available without undue cost or effort. Changes in fair value are recognised in the SOFA. Short terni investments are deposits held in fixed terni bank accounts on which penalties would be incurred if funds were withdrawn before maturity. STOCK Stock is valued at the lower of cost and net realisable value. Items donated for resale are included in the financia statements when they are sold. DEBTORS Trade and other debtors are recognised at the settlement amount. Prepayments are valued at the amount prepaid. CASH AT BANK AND IN HAND Cash at bank and cash in hand includes cash held at bank and c&8h held in short term investments. CREDITORS AND PROVISIONS Creditors and provisions are recognised where the charity has a present obligation resulting 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 and provisions are nornially recognised at their settlement amount. FINANCIAL INSTRUMENTS The charity has elected to apply the provisions of Section I I 'Basic Financial Instruments" and Section 12 "Other Financial InstruTnent5 155ues" of FRS 102. in full to all of ils financial instruments. All of the charities financial assets and financial liabilities qualify as basis financial instruments. Basic Financial instruments are initially recognised at transaction value and subsequently me&5ured at their settlement value. Fin8nci2125sets: Trade and other debtors Trade, group and other debtors (including accrued income) which are receivable within one year and which do not constilute a financing transaction are initially measured at the transaction price and subsequently measured at amortised cost. being the transaction price less any amounts settled and any impairnient losses. A provision for impaiment of trade debtors is established when there is objective evidence that the amounts due will not be collected according to the original terms of the contract. Impairment losses are recognised in profit or loss for the excess of the carrying value of the trade debtor over the present value of the future cash flows discounted using the original effective interest rate. Subsequent reversals of an impainnent 105S that objectively relate to an event occutTing after the impairment loss was recognised, are recognised immedtately in profit or loss. Financial liabilities: Trade and other creditors Trade. group and other creditors {including accruals) payable within one year that do not constitute a financing transaction are initially measured at the transaction price and subsequently measured at amortised cost, being the transaction price less any amounts settled. DEFERRED TAXATION Deferred tax is recognised in respect of all timing differences that have originated but not resolved at the balance sheet date where transactions or events have occurred at that date will result in an obligation to pay more, or a right to pay less or to receive more tax with the following exceptions- Page 21

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 Deferred lax assets are recognised only to the extent that the directors consider that it is more likely than not that there will be suitable taxable profits from which the future reversal of the underlying timing differences can be deducted. Deferred tax is measured on a non-discounted basis at the tax rates that are expected to apply in the periods in which timing differences reverse, based on rates and laws enacted or substantively enacted at the balance sheet date. EMPLOYEE BENEFITS The costs of short-term employee benefits are recognised as a liability and an expense, unless those costs are required to be capitalised as an intangible fixed asset or a tangible fixed asset. Employees are entitled to carry fonvard unused holiday entitlement at the reporting date. The Cost of any unused entitlement is ￿COgniSed in the period in which the employee's services are received. Provision for terniination benefits are recognised only when the company is demonstrably committed to terminate the employment of an employee, or a group of employees, before their normal retirement date or to provide temiination benefits as a result of an offer made in order to encourage voluntary redundancy. RETIREMENT BENEFITS Mulii-Employer Plan The charitable company's clinical staff are eligible to contribute to the NHS pension scheme, an unfunded final salary scheme. Contributions are made by both the employer and the employee. The pensfton scheme is a multi-employer scheme. The charitable company is unable to identify its share of the underlying assets and liabilities of the scheme; the scheme is therefore accounted for as a defined contribution scheme in accordance with FRSI 02. Contributions are recognised as income and expenditure in the period to which they relate as there is insufficient inforniation available to use defined benefit accounting. Where applicable. a liability is recognised for contributions arising from an agreement with the multi-employer plan that detemiines how the charity will fund a deficit. Contributions att discounted when they are not expected to be settled wholly within 12 months of the period end. DefinedeonÉributionpla The charitable company also contributes to the personal pension scheme of certain other employees. The pensions costs charged in the financial statements represent the contribution payable by the charitable company during the year. Differences between contributions payable in the year and contributions actually paid are shown as either accruals or prepayments. CRITICAL ACCOUNTING ESTIMATES AND AREAS OF JUDGEMENT Estimates and judgements are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances. CriliGal area5 ofjudge￿ellI In categorising leases as finance leases or operating leases, management makes judgments as to whether significant risks and rewards of ownership have transferred to the charity as lessees, or the lessee, wher¢ the Charity is lessor. Legacy recognition lega¢ies are re¢ognised on a case by case basis after considering whether probate has been granted. and when the ¢xe¢utor of the estate has communicated in writing both the amount and settlement date and hence there is sufficient inforniation received to be able to value the charity's entitlement. Page 22

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 DONATIONS AND LEGACIES Uftrestricted funds Restricted funds 2024 Totsl 2023 Total General donations Sponsored events 'In Memory, donations Pla¢ements/teaching Retail sales applT¢able for Gift Aid Gift Aid on retail Grants and trusts received Legacies 303,649 298,653 131,224 4,607 340,020 85,048 26,250 897.145 1,741 305,390 298,653 131,224 4,607 340,020 85,048 154,530 897, 145 346,168 268,383 142,965 13,199 285,092 71,319 132,727 299,547 128,280 2.086.596 130,021 2,216,617 1,559,400 2023 total 1,480.848 78,552 ,559.400 Teesside Hospice has an established team of volunteers who offer their free time to the organisation. In accordance with FRS 102 and the Charities SORP (FRS 102) Section 6. the economtc contribution of general volunteers is not recognised in the accounts in the absence of a reliable measurement basis. The current headcount approxtmately 370. INCOME FROM CHARITABLE ACTIVITIES Unrestricted funds Restricted funds 2024 Total 2023 Total North East and North Cumbrta ICB Dnigs from ICB and Acute Trust Lymphoedema clini Other ICB recharges NHS England 768,475 47,244 662,177 74,101 768.475 47.244 727,543 74.101 711,308 57,345 710,282 75,823 8.710 65,366 1,551,997 65.366 1,6 l7,363 1,563,468 2023 total 1.491.379 72.089 1,563,468 Drugs from the ICB and Acute Trust have been reclassified as Charitable activities from donations and l¢ga¢ies and therefore the prior year figures have been restated accordingly. OTHER TRADING ACTIVITIES Unrestri¢t¢d funds Restricted funds 2024 Total 2023 Total Retail sales Local authority grant funding Fundraising Lottery Cateringlcoffee shop Recharged employment costs 1.143,836 1,143,836 1.159,168 3,800 142,793 662,090 38,887 38,000 264,064 654.667 58,911 3.057 267,121 654,667 58,911 2,121,478 3,057 2,124,535 2,044,738 The income from other trading activities in 2023 all related to unrestricted funds. Page 23

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 In 22123 the local authorities contributed to shop stgnage. There are no ￿n￿lfilled conditions or contingencies attached to the recognised grants. TRADING SUBSIDIARY The charity controls the company listed below by virtue of holding a controlling interest in the equity share capital.. Name of Subsidiary Country of incorporation share capital held Teesside Hospice (Trading) Limited England and Wales loo Teesside Hospice Group consists of two Companies. The holding company is Teesside Hospice Care Foundation (Limited by Guarantee) and its IOOO/o subsidiary is Teesside Hospice (Trading) Limited. The subsidiary company. Teesside Hospice (Trading) Limited is incorporated in England & Wales and undertakes trading and fuT]drai5ing activities. Company Number of Teesside Hospice (Trading) Limited is 02265205. Taxable profits from this company are donated to the Hospice by Gift Aid, a fad which is referred to in the trading company's publicity material. The activities of the subsidiary have been Consolidated on a line by line basis in the SOFA. Two members of the charity's Board of Trustees plu5 two members of the Senior Management Team sit are Director5 of the subsldiary. The trading results of the subsidiary. as extracted from the audited financial statements, are summarised as follows: 2024 2023 Turnover 1.798,503 1,821,258 Total expenditure Other inwme Taxation (deferred tax credit - reversal of timing differences) (1,643,555) 309,326 (1,528,744) 241.960 Profit after tsx for the year 464,274 534,474 The assets and liabilities of Teesside Hospi¢¢ (Trading} Limited were= 2024 2023 Assets Liabilities 214.154 (167.971) 233,771 (176.544) Total net a5S¢ts 46.183 57.227 INVESTMENTS Unrestricted fund5 2024 Total 2023 Total Income from UK investment properties Income from UK listed investsnents Bank interest receivable 6,300 91,946 121.969 6.300 91,946 121,969 6,300 85.058 41.699 220.215 220,215 133,057 The investments income in 2023 all related to unrestricted funds. Page 24

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 OTHER INCOME UnrestTlCted funds 2024 Total 2023 Total Sundry income Profit on disposal of assets 81 564 81 564 46 645 645 46 The other income in 2023 all related to unrestricted funds. RAISING FUNDS: COMiVIERCIAL TRADING ACTIVITY Unrestricted Funds RestTlCted ruTrds 2024 Total 2023 Total Wage5 & salaries Other costs Depreciation Investment management fees 1,193.473 1.063,353 9.968 18,956 220 10,230 ,193,693 1,073.583 9,968 18.956 1,069,121 1,002,491 9,569 24,035 2.285,750 10,450 2,296.200 2,105,216 2023 total 2.101,912 3,304 2.105.216 Administrdtive/SMT functions and caterÈng activities have been reclassified as trading activities from charitable SUPPOrt ¢osts and therefore the prior year figures have been restated accordingly. COSTS OF CHARITABLE ACTIVITI£S- By FUND TYPE Unrestricted funds Restricted funds 2024 Total 2023 Total Ipu Wellbeing & Lymphoedema Bereavement Counselling 1,891,311 973,099 211,296 65.432 117,544 2.886 1.956,743 1,090,643 214,182 ,896,116 1.034,708 206.586 3,075,076 185,862 3.261.568 3,137,410 2023 totsl 2,960,642 176.768 3,137.410 io COSTS OF CHARITABLE ACTIVITIES- BY AcfiviTY 2024 Total 2023 Total Direct costs Support costs Ipu Wellbeing & Lymphoedema Bereavement Counselling 1.515.475 816,212 119.902 441,268 274,431 94,280 1,956.743 1,090,643 214,182 1,896,116 1,034.708 206,586 2,451,589 809,979 3,261,568 3,137,410 2023 total 2,341,408 796.002 3,137,410 Page 25

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 li ANALYSIS OF DIRECT AND SUPPORT COSTS Wellbeing and Lymph- oedema Bereayement Coun5elling 2024 Total 2023 Total DIRECT COSTS Ipu Staff costs Establishment Drugs and dressings Waste ￿moVal Volunteer costs Unifomis Counselling resources General expenses Depreciation 1.354,887 21,267 80,984 8,476 429 864 465,205 5,823 337,250 2,825 23 802 117.486 1,937.578 27,090 418,234 11,301 1.968 1.666 900 4.302 48,550 1,892,451 19,160 363,518 9.927 1,458 1.650 2.736 1.958 48.550 1,516 900 18 48,550 4,284 1,515,475 816.212 119,902 2,451,589 2,341,408 2023 total 1.480,004 745,534 115.870 2,341,408 W¢llbcing and Lymph- ocdema Ber¢avement C￿ll￿￿tIll￿g 2024 Total 2023 Total SUPPORT COSTS Ipu Staff costs Establishment Training & HR Cleaning supplies Kitchen supplies Uniforms General expenses Deprecialion Irrecoverable VAT Governanre costs 257.917 88.022 16,347 11,711 28,345 132 19,643 11,837 265 7,049 179,606 63,259 6,901 4,391 54,716 29,806 1,831 722 492.239 181,087 25,079 16.824 28,345 203 30,136 24,193 1,060 10,813 468.292 171.932 26,989 19,271 39.404 585 33.297 23,151 1,068 12,013 56 8,293 8.420 530 2,975 15 2,200 3,936 265 789 441.268 274,431 94.280 809,979 796,002 2023 total 416.112 289,174 90.716 796.002 Support costs have been allorated using varying methods as described in resour¢es expended on page 20. Consumables and Clinical waste have been reclassified a5 dir¢¢t costs from support costs and therefore the prior year figures have been restated a¢¢ordingly. 12 GOVERNANCE COSTS Unrestricted Funds 2024 Total 2023 Total Accountancy fees Auditor remuneration Internal audit Legal and professional fees 500 11,500 9.050 1,600 163 9,050 1.600 163 13 10,813 10,813 l2,013 The governance costs in 2023 all related to unrestricted funds. Page 26

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 13 NET INCOMING RESOURCES FOR THE YEAR 2024 2023 Net incoming resources for the year are stated after charging- Auditor's remuneration Non audit services Depreciation of owned fixed assets Profit on disposal of assets Operating lease rentals- land and bliildings 13.035 560 82,711 (564) 217,935 11,500 500 81,270 210,057 14 ANALYSIS OF STAFF COSTS, TRUSTEE REMUNERATION AND EXPENSES AND COST OF KEY MANAGEMENT PERSONNEL Costs of r2ising funds Charitable expenditure 2024 Total 2023 Total Wages and salaries Social security costs Pension costs Termination payments Salaries paid via service level agreements 1,060.835 79,018 44,851 8,989 2,031,544 166,466 179.66 I 3,092.379 245,484 224,512 8,989 52,146 2.903.517 237,367 228,077 52.146 60,903 1,193.693 2,429,817 3,623,510 3,429,864 Throughout the last number of years it has been necessary to review the entire landscape of service delivery. and income generation, which resulted in the above tennination payment. Employees, emoluments The number of employees who earned more than £60,000 excluding company pension and national insurance contributions during the year was as follows.. 2024 Number 2023 Number £90,000 to £99.999 £80,000 to £89,999 £60,000 to £69.999 The number of higher paid employees a¢¢ruing pension benefit was.. 2024 Number 2023 Number Defined contribution 5¢heme- salary sacrifEce arrangement Pension contributions paid tn the year in respect of the above staff were £7,250 (2023: £4,556). Key management personnel The key management personnel of the group comprise those of the charity and the key management personnel of its wholly owned subsidiary Teesside Hospice (Trading) Limited. The total employee benefits of the key management personnel of the group were £395,098 (2023.. £355,479). Page 27

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCEAL STATEMENTS For the year ended 31 March 2024 Trustees, remuneration The Trustees received no remuneration during the year {2023.' £nil) and no Trustee individually received payment for professional or other services supplied tr> the charity (2023: £nil). The aggregate amount of expenses reimbursed to the Trustees for the year was £nil (2023: £nil). The number of persons reimbursed was O (2023.. 0). 15 STAFF NUMBERS The average monthly numbers of employees during the year. was as follows.. 2024 Number (Headeount) 2024 2023 Number Number (￿E} (Headcount) Number (FTE) 2023 Hospice services 29 24 28 24 Medical Wellbeing Administration Kitchen Cleaning Bereavement 18 13 18 14 AHP Establishment Lymphoedema io 91 64 89 65 Income generation 52 41 50 40 143 105 139 105 On average 14 bank staff are used per month. The Hospice is recharged by South Tees Hospitals NHS Foundation Trust for the salaries of employee5 as follows: 2024 Number 2023 Number AHP 16 TAXATION The company is a registered charity and is exempt from tax on income and gains falling within sections 466 to 493 of the Corporation Tax Act 2010 or section 256 of the Taxable Chargeable Gains Act 1992 to the extent that these are applied to its charitable objects. No tax charges have arisen in the charity. The trading subsidiary is liable to corporation tax on their t￿able profits. Current tax, including UK corporation tax and foreign tax, is provided at amounts expected to be paid (or recovered) using the tax rates and laws that have been enact¢d or substantively enacted by the balance sheet date. Page 28

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 17 FINANCIAL PERFORMANCE OF THE CHARITY A separate Statement of Financial Activilies, or in¢ome and expenditure account. for the charity itself is not presented because the charity has taken advantage of the exemption afforded by Section 408 of the Companies Acl 2006. The net incoming resources before gains and loss for the year for the charity was £632,651 (2023.. £61,658). 18 TANGIBLE FIXED ASSETS- GROUP Fixtures, fittings and equipment Freehold Leasehold buildings improvements Freehold land Motor vehi¢les Totsl Cost At l April 2023 Additions Disposals 2.358.751 32,102 556,439 322,599 60,947 (123.220) 35.368 3,305259 60,947 (190,690) (32,102) (35,368) At 31 March 2024 2.358.751 556,439 260.326 3,175,516 Depreciation At l April 2023 Charge for the year Disposals 1,478.675 58.098 32,102 284,337 24.613 (123,220) 35,368 1,830,482 82,711 {190.690) (32.102) (35,368) At 31 March 2024 1.536.773 185,730 I.722,503 Net book values At 31 March 2024 821,978 556.4J9 74,596 1,453,013 At 31 March 2023 880,076 556.439 38,262 1.474,777 19 TANGIBLE FIXED ASSETS- CHARITY Fixtures. fittings and equipment Freehold buildings Freehold land Motor vehicle5 TotAI Cost At l April 2023 Additions Disposals 2,358,75 556,439 220,773 59.577 (72,729) 35,368 3.171J31 59.S77 (108,097) (35,368) At 31 March 2024 2,358,751 556,439 207.621 3,122,811 Depr¢¢i9tion At l April 2023 Charge for the year Disposals 1,478,675 58,098 198.335 14,645 (72,729) 35,368 1,712J78 72.743 (108,097) (35,368) At 31 March 2024 1,536,773 140,251 1,677,024 Net book vallles At 31 March 2024 821,978 556,439 67.370 1,445,787 At 31 March 2023 880,076 556,439 22,438 1,458,953 Page 29

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 20 FIXED ASSET INVESTMENT- GROUP AND CHARITY Cash held as part of the investment portfolio Listed investments Investment property TotAI Valuation At l April 2023 Additions Disposals Unrealised gain on revaluation of investments 3,868,633 752,329 {758.668) 255,107 120.000 97,924 758,668 (773.611} 4,086,557 1,510,997 (1,532279) 255,107 At 31 March 2024 4,117,401 120,000 82.981 4J20,382 Historical cost as at 31 March 2024 3,509.516 92,500 82,981 3,684,997 In addition to the above, the charitable company holds a £2 investment in the share capitat of Teesside Hospice (Trading) Limited. All fixed &sset investments are held within the United Kingdom. The investment property was professionally revalued as at 31 March 2024 by Browns Estate Agcncy Limited. Chartered Surveyors, on an open market basis. The investment property was also valued at 31 March 2023. There has been no change in valuation in the year. Browns Estate Agency Limited are not connected with the group. The property has three restrictions attached which are in existence during the donor's lifetime- l. it will not be occupied by more than two adults- 2. There will be no pets and 3. It will not be sold without the donor's consent. 21 STOCKS Group 2024 Group 2023 Ch#rity 2024 Charity 2023 Stocks 63,188 56.384 2,584 15,637 22 DEBTORS Group 2024 Group 2023 Charity 2024 Charity 2023 Trade debtor5 Amounts due from subsidiary undertaking Other debtors VA T receivable Prepayments and a¢¢ru¢d income 197.920 4,803 197,920 4,803 49,977 22,300 26.139 250,688 l9,234 27,180 329.431 31.685 20.541 270.258 10,655 40,965 298,377 573,765 327.287 547,917 353,907 23 SHORT TERM INVESTMENTS Group 2024 Group 2023 Ch#rtty 2024 Charity 2023 Cash equivalents on deposit 3,100,537 2,331.819 3.100.537 2.331,819 Page 30

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 24 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR Group 2024 Group Charity 2024 Charity 2023 Trade creditors Amounts due to subsidiary undertaking Other tax and social security Other creditors Accruals and deferred income 181.151 66,108 147.955 9.408 58,701 29,721 48,778 63,669 58,701 38,356 157,771 53,157 35,916 155,733 53,157 29,965 49,582 435.979 310,914 294,563 196,373 Group 2024 Group 2023 Charity 2024 Charity 2023 Deferred income Deferred income brought forward Resources deferred in the year Amounts released from previous year 92,996 83,320 (92,996) 94.008 92.996 (94.008) 13,830 9.025 (lJ,830) 300 13,830 (300) Deferred income carried forward 83,320 92.996 9,025 13,830 Deferred income in the group includes £74.295 in respect of lottery membership payments paid in advance for fu￿re drawsldonations. 25 CREDITORS.. AMOUNTS FALLING DUE ArfER MORE THAN ONE YEAR Group 2024 Group 2023 Charity 2024 Charity 2023 Lease liabilities 3.362 6.428 Page31

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 26 FINANCIAL INSTRUMENTS Group 2024 Group 2023 ChArity 2024 Charity 2023 FINANCIAL ASSETS Debt instruments measured at amortÉsed cost: Trade debtors Other debtors Accrued income 197,920 10.655 219,347 4,803 22,300 194,279 197,920 10,655 219,347 4,803 22.300 194.279 TOTAL 427,922 221,382 427.922 221.J82 FINANCIAL LIABILITIES Measured at amortised ¢ost- Trade ¢reditors Other creditors Acoruals Rent liabilities due after more than one year 181,151 38,356 74,451 3,362 66.108 35.916 62.737 6,428 147,955 29.721 39.753 63,669 29,965 35,752 TOTAL 297.320 171,189 217,429 129,386 27 ANALYSIS OF NET ASSETS BETWEEN FUNDS- GROUP Unrestricted funds Restricted funds Total funds 2024 Total funds 2023 Fund balances at 31 March 2024 represented by: Tangible fixed assets Investment assets Current 855ets Current liabilities and provisions 971.373 4,320,382 4,649,392 (430,423) 481.640 1,453,013 4,320,)82 4,723,148 {439,341) 1,474.777 4.086.557 3,936.496 (317,342) 73,756 (8,918) 9,510,724 546,478 10.057,202 9,180,488 2023 total 8,636,142 544.346 9,180,488 ANALYSIS OF NET ASSETS BETWEEN FUNDS- CHARITY Unrestrlcted funds Restricted funds Total funds 2024 Total nds 2023 Fund balances at 31 March 2024 represented by: Tangible fixed assets Investment assets Current assets Current liabilities and provisions 964,147 4,320,384 4,465,657 (285.645) 481.640 1.445,787 4.320,384 4,539,4l3 (294,563) 1,458,953 4,086,559 3,774.124 (196,373) 73.756 (8,918) 9,464,543 546,478 10,ORI,021 9,123,263 2023 total 8,578.917 544,346 9,123,263 Page 32

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 28 RETIREMENT BENEFtTS The trading company operates a defined contribution pension scheme for all qualifying employees. The assets of the scheme are held separately from those of the company in an independently administered fund. The ￿ntributIOnS payable by the company charged to income and expenditure amounted to £20,645 (2023-. £18.728). The group also operates the same defined contribution pension scheme for employees of the ¢harity and in addition, participates in a multi-employer pension plan, being the NHS Pension Scheme. The assets of the scheme are held separately from those of the charity in independently administered funds. Furthermore, the group participates in the Pensions Trust Growth Plan. Series 4, a defined contribution pension scheme. Total pension ￿ntribUtiOnS payable by the group Charged to income and expenditure amounted to £224.512 (2023: £228,077). Pension ¢osts have been allocated based on Éhe member of staff to whom the cost relates and the department they work in. Total contributions for all three pension schemes totalling £29,721 (2023= £29.965) were payable to the fund at the year end and are included in creditors. NHS Pension Scheme The NHS Pension Scheme is an unfunded. multi-employer defined benefit scheme that covers NHS employers. General Practices and other bodies, allowed under the direction of the Secretary of State, in England and Wales. The scheme is not designed to be run iTt a way that would enable participating bodies to identify their share of the underlying Scheme assets and liabilitie5. Therefore, the Scheme is accounled for as if it were a defined ¢ontribution scheme= the cost lo the charity of participating in the Scheme is taken as equal to the contributions payable to the Scheme for the accounting period. At the balance sheet date there were 21 active members of the Scheme employed by the charity. The Scheme is subject to a full actuarial valuation every four years, and an FRS102 accounting valuation every year. The most recent 2020 valuation identified the need to increase employer contributions. From l April 2024 the employer contribution rate was increased to 23.780/0 from 20.680/0 (including an administration levy of 0.08% Employers will continue to pay at the rate of14.380/0 With the balance of 9.4 /0 being funded by government. The 2024 valuation will commence in 2025 and will deterniine the contribution rate for the fr>ur years from l April 2027. Page 33

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 29 UNRESTRICTED FUNDS- GROUP At 31 March 2024 At l April 2023 Incoming resources Outgoing Gains, losses resources & transfers 2023ll4 Ceneral reserves Charity Non- charitable trading funds 7,528,917 57.225 3,873,102 2,107,829 (3.663,864) (1.635.199) 1,138,781 (483,674) 8.876,936 46,181 Total General reserves Designated property fund Designated deficits fund Designated digital fund 7,586,142 500,000 400,000 150,000 5,980,931 (5.299,063) 655,107 8,923,117 500,000 (400,000) (62.393) 87,607 8.636.142 5.980,931 (5,361,456) 255.107 9.510,724 At 31 March 2023 At April 2022 Incoming resources Outgoing resource5 Gains. losses & transfers 2022123 General reserves Charity Non- charitable trading funds 7,779,711 60.800 3.086.850 2.063.218 {3.533.810) (1,528.744) 196,166 (538,049) 7.528,917 57,225 Total Genergl reserves Designated property fund Designated deficits fund Designated digital fund 7.840,511 500,000 400,000 5,150,068 (5.062.554) (341,883) 7,586.142 500,000 400,000 150.000 150,000 8.740,511 5,150.068 (5,062.554) (191,883) 8,636.142 UNRESTRICTED FUNDS- CHARITY ONLY At 31 March 2024 At l April 2023 Incoming resources Outgoing Gains, losses resources & transfers 2023124 General reserves Designated property fvnd Designated deficits fund Designated digttal ￿nd 7,528,917 500,000 400.000 150,000 4,367.620 (3.683,064) 663.463 8.876,936 500,000 (400,000) (8,356) (54,037) 87,607 8,578,917 4.367,620 (3,737,1 O l) 255,107 9.464.543 At 31 March 2023 At April 2022 Incoming resources Outgoing resources Gains, losses & transfers 2022123 General reserves Designated property fund Designated deficits fund Designated digital fund 7,779,711 500.000 400,000 3,644,099 (3,553,010) (341.883) 7,528,917 500,000 400,000 150,000 150.000 8,679,711 3,644,099 (3,553,010) (191,883) 8.578,917 Page 34

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 Name of unrestricted fund General reserves Description, nahtre and purposes of the fund The general reserves represent the free funds of the charity which are not designated for any particular purpose. In March 2021 Trustees agreed to designate £500,000 for the purchase of ¢ommercial property. further details of which are given in the reserves policy. Suitable premises have not yet been identified. Designated funds At that time Trustees also agreed that, despite the challenges fa¢ed in the year to 31 March 2021, the year had seen very positive financial results due to one-off government assistance. This non-recurrent in¢ome was required to support the hospice for a longer period of time than the 2020121 financial year. Therefore, £400.000 was designated to be used against the 2021122 budgeted deficit. The results for 2021122 and subsequent years have been surpluses therefore the designation has bcen reversed and released to general reserves as at 31 March 2024. The digital development of the organisation is a priority. A technology budget plan has been produced by the Senior Management Team with the assistance of the IT service provider. In order to invest in improving our knowledge, capability and confidence a designated fund of £150.000 was established at 31 March 2023. This has reduced by a spend of £62,393 in the year. 30 RESTRICTED FUNDS- GROUP AND CHAIUTY At l April 2023 Gains, 105ses & transfers At 31 March 2024 Ineoming resources Outgoing resources 2023124 Building Fund North East and North Cumbria ICB Individual Supportcrs Grants & Trusts Edward Guy Foundation Patient Comfort Appeal Screwfix Foundation St James's Place Charitsble Foundation Woodsmith Foundation Tee5 Valley Business ERDF The National Lottery Community Fund 488.221 (31,408) (65,366) (4,874) (16,980) {4,739) (11.662) (308) {25,983) (23,276) (10,230) (1.486) 456,813 65.366 4,798 65,657 2,213 8,689 4.739 17.495 6.802 2,137 57,366 5,833 6,494 25,983 7,089 10.230 19,321 16,187 17,835 544,346 198.444 (196.312) 546,478 Page 35

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 At l April 2022 Gains, losses & transfers At 31 March 2023 Incoming resources Outgoing resources 2022123 Building Fund Local ICBS Individual Supporters Grants & Trusts Edward Guy Foundation Patient Comfort Appeal Masonic Charitable Foundation Screwfix Foundation St James's Place Charitable Foundation Woodsmith Foundation NHS England 519,629 (31,408) (63.379) (5,858) (33,666) (5,205) (11,662) (12,646) 488,221 63,379 7,075 35,106 996 7.306 10,394 29,157 2,213 8.689 4.739 17,495 (57) (450) 12,646 6,802 6,802 5,725 18,000 8,710 (5.725) (1,813) (8,710) 16,187 574,284 150,641 (180,072) (507) 544,346 Name of restricted fund Description. nature and purposes of the fund Building fund The building fund represents the net book value of the inpatient uttit and annexed buildings. The fund is reduced by the depreciation charge on these fixed assets. From April 2018 the local ICB has funded a proportion of the Lymphoedema Clinic salaries. Durftng the year, individual supporters mxde donations specifically for the benefit of core clinical services. These monies were spent on wellbeing crafts and equipment. lymphoedema equipment, complementary therapies, bereavement resources and IPU purchases. Two of these have been part spent with balances to be used in 2024125. North East and North Cumbria ICB Individual Supporters Grants & Trusts Various grant providers supported the Hospice again this year. These graTEts supported the maintenance and purchase of new equipment. unifomis. bereavement counselling service provision. wellbeing services and website design. Twenty fO￿r grants (of £IOk or less) have a combined spend of £16.980 in the year. Of the balance of £57,366, five grants at £31,140 are to be reduced by the depreciation Charge on these assets and the remaining £26,226 is tr> be expended in 2024125. Edward Guy Foundation Edward Guy Foundation kindly contributed £17,000 in 18119. £4,739 was spent in the year on landscaping and ground works which has transfornied the hospi¢¢'s exterior entrance / outdoor area. In March 2019 Teesside Hospice launched the Patient Comfort Appeal with the target of raising £49.000 for l O new specialist beds for the Inpatient Unit. The appeal was very successful. The fund is reduced by the depreciation charge on these fixed assets. £6,802 was donated to install a car park barrier. Planning processes were passed in the year. with installation taking place in 2023124. The fund 15 reduced by the depreciation charge on this fixed asset. A Satellite clinic was set up to hold weekly sessions in Brotton ommencing February 2023. Funding of £25,983 has been ¢laimed to hold these sessions which continue until 30 April 2024. Patient Comfort Appeal Screwfix Foundation St Jam¢s'5 Place Charitable Foundation Page 36

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 Woodsmith Foundation Similarly to the SÈ James's Place outreach ¢linic, £18,000 was paid in advance by Woodsmith Foundation to hold satellite clinics in Redcar for the benefit of over 65s. The clinic5 commenced in March with a spend of £1,813 with a further spend of £23,276 until completion at 29 February 2024. The funding of £10.230 was fully used in the financial year to ncrease growth in awareness and engagement from the corporate sector via social media. Tees Valley Business ERDF The National Lottery Community Fund The National Lottery Community Fund awarded £19,321 to fund complementary therapy services for a year from l March 2024. 31 COMMITMENTS UNDER OPERATING LEASE COMMITMENTS Group and eharity The group as a lessee: The total future minimum lease payments under non-cancellable leases is set out below: 2024 Land and buildings 2023 Land and buildings Operating leases which expire-. Within l year Between l and 5 years Greater than 5 years 247.977 525,309 62,000 217.100 626.228 34.333 835.286 877,661 The operating leases represent leases of premise5. The leases are of varying terms. Lease costs of £217,935 have been recognised as an expense in the year for Ihe group and £237,135 for the trading subsidiary. The subsidiary leases part of 4081410 Linthorpe Road from the charity which 15 removed from the group accounts. The charity as a lessor: The total future minimum lease payments under non-cancellable leases is set out below: 2024 Land and buildings 2023 Land and buildings Operating leases which expire: Within l year Between l and 5 years 19,200 19.200 19,200 38.400 38,400 57,600 The operating lease represents the lease of premises from Teesside Hospice Care Foundation to its wholly owned subsidiary Teesside Hospice (Trading) Limited. Page 37

TEESSIDE HOSPICE CARE FOUNDATIOIY NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 32 RECONCILIATION OF NET MOVEMENT IN FUNDS TO NET CASH FLOW FROM OPERATING ACTIVITIES 2024 2023 Net incoming movement in fijnds (GainyLoss on revaluation of investments Income from investments Interest receivable Depreciation Profit on disposal of assets Increase in 5to¢ks Decreasel(Increase) in debtors (Decrease)/lncrease in creditors 876,714 (255,107) (98,246) (121.969) 82,711 (564) (6,804) (246,478) 121,999 (134.307) 192,390 (91,358) (41,699) 81,270 {24,910) 589,192 {49,873) Net cash (outflow)/inflow from operating a¢tivities 352.256 520.705 33 LEGAL STATUS OF THE CHARITY Teesside Hospice Care Foundation is a company limited by guarantee and ￿￿OrdInglY does not have a share capital. Every member of the company undertakes to contribute such amount as may be required not exceeding £1 to the assets of the charitable comparky in the event of its being wound up while he or she is a member, or within one year after he or She ceases to be a member. 34 RELATED PARTY TRANSACFIONS The Clinkard Grou Limited The group benefits from the kind support of The Clinkard Group Limited. Teesside Hospice Care Foundation and Teesside Hospice (Trading) Limited and The Clinkard Group Limited share a common TrusteelDirector, T Payne. In the year ended 31 March 2024 £1,500 (2023= £2,500) was donated to assist fundraising activity. HR Alchem Teesside Hospice Care Foundation welcomed new Trustee J Davies to the Board during the year. J Davie5 business HR Alchemy kindly donated £2,385 to corporate fundraising in the year ended 31 March 2024 (2023: £2.410). Hos ire UK David Smith, Chief Executive to 31 March 2024 is a Trustee on the Board of Hospice UK. We pay annual membership f¢es of £1.403 (2023.. £858) lo Hospice UK. In 2023124 Teessid¢ Hospice was also invoiced £8,400 for a contribution to Hospice UK'5 national legacy campaign. This 15 in creditors and prepayments at the year end. During the year Hospice UK paid Teesside Hospice £1,165 for reimbursement of David Smith's expenses (2023: £nil). ACEVO David Smith, Chief Executive to 31 March 2024 is a Trustee on the Board of ACEVO (Association of Chief Executives of Voluntary Organisations). We paid £735 (2023.. £2,078 to ACEVO during the year. ACEVO paid Teesside Hospice £520 (2023.. £645) for reimbursement of expenses. Page 38

TEESSIDE HOSPICE CARE FOUNDATION NOTES TO THE FINANCIAL STATEMENTS For the year ended 31 March 2024 St Teresa's Hos ice During the period l April 2022 to 31 March 2023, employment Costs totalling £38,438 were recharged to St Teresa's (Darlington Hospice) in respect of Chief Executive David Smith. This arrangement ceased with effect from 31 March 2023. Tees ide Ho Tradin Limited During the year, the charity engaged in the following transactions with the wholly owned trading subsidiary. At 31 March 2024 the unsecured amount owed by Teesside Hospice Care Foundation was £9,408. Lottery Future Credits (65,324) Intercompany Account 115,301 65,266 784,922 475,318 340,020 (371.094} 3l,260 (1,385.077) 4,324 Total 49,977 65.266 784,922 475,318 340,020 (371.094) 31,260 (1,385.077) As at l April 2023 410 Linthorpe Road office Payroll Gift Aid covenant Gift Aided retail sales Donor management charges Amounts paid to incorrect bank Paid Transfer 4.324 As at 31 March 2024 61,000 Teesside Hospice (Trading) Limited operates the weekly lottery in which members pay in advance for future draws. The balance of £61.000 would be repayable at 31 March 2024 should the lottery cease. The funds have been remitted to Tecsside Hospice Care Foundation in previous years. The above balance therefore represents the charity's liability to lottery members at the year end. Page 39