The trustees present their report and financial statements for the year ended 31 May 2023.
The Charity
Hadassah Medical Relief Association (Hadassah UK) is the UK registered charity (UK Charity
Reg No 1040848) dedicated to raising funds for Hadassah Medical Organization (Hadassah Hospital) in Jerusalem and promoting awareness of its medical and scientific excellence in healing, teaching, research and community outreach.
Hadassah UK is run by a small professional team, overseen by a Board of Trustees with a distinguished Advisory Board. There is an additional volunteer team for social media and we have launched our website at www.hadassahuk.org adding areas such as “our impact” and “Hadassah Health” channel with podcasts on individual medical conditions of interest.
In the wake of the Russian invasion of Ukraine in February 2022, Hadassah International had immediately sent a team from Hadassah Hospital to the border of Poland/Ukraine establishing a forward base at Prezemyl and to Lublin to create an aid centre for the refugees and to share experience and medical protocols with the Polish medics of their experience of mass casualty and war medicine techniques. A second team followed later.
In addition, in the wake of the terrible Hamas terrorist attack on Israel in October 2023, Hadassah Hospital in Jerusalem is a tertiary hospital, so is treating many of the more seriously injured victims helicoptered from the South, Hadassah UK launched an emergency aid appeal in the UK Jewish Press, also by email and social media, via our trustees and individual donor phone calls. HUK had a really successful response as in this exceptional situation in Israel, everyone wants to be able to do something no matter how little and we have raised $100,000 to create a new emergency ward at Hadassah Hopital.
HUK Trustee Board are finding self-contained projects at Hadassah Hospital in Jerusalem (see below) and to invite UK based philanthropists, communities, organisations and individuals to support the growing needs of the greater Jerusalem population. This population is now at 950,000 (2019) and projected to grow to 1.4 million within the next 15 years and is the most aging population in Israel creating new infrastructure demands on Jerusalem.
The Trustees will support new projects at the hospital over the next five years.
Currently in construction, the Rehabilitation Centre with a “Technological Incubator Hub”, including four “breakout” rooms projects
Projects to advance women’s health,
The reconstruction of the original “Round Building” for HUK to specifically help create a Haematology Oncology Dept named in honour of Prof. Victor Hoffbrand, former HUK trustee and now an advisor and supporter.
The Organoid Centre in the Wohl Institute of Translational Medicine at Hadassah.
Projects within the Hadassah School, this being the only “experimental” Hospital School in Israel (of 29 in total) looking for new methods of education, supporting and treating children and their parents.
Other projects in support of the new Gandal rehabilitation centre being completed at Hadassah Mount Scopus
Hadassah Hospital in Jerusalem is now one of the most advanced hospitals in Israel and has just been awarded the highest scores in the Israel Ministry of Health annual quality indicators for both Ein Kerem and Mount Scopus campuses.
With 5,500 employees, it is the largest non-governmental employer in Jerusalem. Hadassah is thus vital for the future of the capital city Jerusalem, needing modern medical infrastructures and new rehabilitation facilities.
The Hospital has four main objectives:
Healing- Hadassah's two hospital campuses in Ein Kerem and Mount Scopus, Jerusalem treat over 1 million patients per year and carry out over 4 million laboratory tests.
Teaching- Hadassah is a university teaching hospital, partnering with the Hebrew University and has five academic medical schools teaching the next generation of medical and nursing practitioners for the region and also, students from 90 countries from around the globe.
Research- All Hadassah medical employees are involved in its integrated research programme with the result that it now conducts a high proportion of all the hospital research in Israel, a highly technologically advanced country.
Its "centres of excellence" in healing mean that it can conduct cutting-edge research in areas such as stem cells, multiple sclerosis, blood cancers, familial genetic diseases, myeloma and age-related macular degeneration. Hadassah UK has assisted in the establishment both directly within these medical departments and with the creation of the 2019 dedicated Wohl Institute of Translational Medicine at Hadassah which is now producing outstanding research.
Outreach- "Building Bridges to Peace" between Muslim, Christian and Jew, Israeli and Palestinian occurs not only in treatment at Hadassah but in creating integrated medical teams without distinction to race, religion, or ethnicity for well over 100 years.
The Association's objects are as detailed above and there has been no change in these or in the policies adopted in furtherance of these objects in the year.
The Association also holds an endowment fund as detailed in the notes to the accounts for the purpose of assisting young doctors involved in medical training or research at Hadassah Medical Association in Jerusalem and offers seven scholarships per year.
If you are keen to find out more or would like our newsletter or Year on Review Book, please phone us on 020 8202 2860, email us at uk.office@hadassah.org.uk or visit our website: http://www.hadassahuk.org You can also reach us on Instagram, Facebook, Twitter and LinkedIn.
For an example of what HUK does- see below.
Hadassah UK is the British office representing Hadassah Hospital, proudly supporting Hadassah Hospital’s mission of peaceful coexistence, dedication to saving lives today, and finding medical solutions for a world of tomorrow.
The trustees have paid due regard to guidance issued by the Charity Commission in deciding what activities the Association should undertake.
The accounts have been prepared in accordance with the accounting policies set out in note 1 to the accounts and comply with the charity’s memorandum and articles of association, applicable law and the requirements of the Statement of Recommended Practice, "Accounting and Reporting by Charities" issued in 2015.
The excess of expenditure over income for the year is shown at page 10.
At 31 May 2023 the state of affairs of the Association was satisfactory.
There have been no important events affecting the Association since the year end and no major future developments in the activities of the Association are anticipated.
Total incoming resources amounted to £204,216, a decrease of £511,033 compared with the previous year due largely to a number of substantial legacies having been received in the previous year and delays to a substantial settlement which was received after the year end and will be included in the current year which is on course to reflect the historic norm for the charity.
As a matter of fact, the average income over the 5 previous years has been £769,000.
Direct charitable expenditure, all made to the Hadassah Medical Organisation in Jerusalem, Israel, amounted to £339,116, an increase of £136,730 over the previous year.
The costs of managing and administering the Association show little difference from last year.
The Association's day to day activities are administered by its employees and trustees. Its trustees are responsible for the consideration and authorisation of the charitable donations made by the Association.
The Balance Sheet on page 11 shows the financial position of the Association as at 31 May 2023. Total assets less current liabilities amounted to £607,163, of which £330,383 is represented by endowment funds, the balance being represented by the accumulated balance on the unrestricted income funds and funds designated for future charitable expenditure.
The net current assets represent monies held in order to meet ongoing overheads, investments held for endowment funds, and also funds received that have yet to be applied towards the Association's charitable objectives.
The trustees have reviewed the unrestricted reserves of the Association. The trustees believe that it is prudent to maintain a level of unrestricted reserves that will be sufficient to cover the anticipated costs for each ensuing year of fundraising, publicity, administration and management. They are satisfied that the current level of reserves will be sufficient for this purpose. The Trustee Board or Management use their discretion in relation to the use of these funds.
The trustees regularly review the major risks to which the Association is exposed, and are satisfied that systems are in place to mitigate exposure to the major risks.
Hadassah Medical Relief Association UK (The Association) is a company limited by guarantee. The Association is also a registered charity and is governed by its memorandum and articles of association and by the relevant sections of the Charities Act 1993.
The trustees who served during the year were as follows;
New trustees are given the Charities Commission "The Essential Trustee; What You Need To Know" as recommended by the Charities Commission which outlines their duties and responsibilities as trustees.
None of the trustees has any beneficial interest in the company. All of the trustees are members of the company and guarantee to contribute £1 in the event of a winding up.
In accordance with the company's articles, a resolution proposing that Glazers be reappointed as auditor of the company will be put at a General Meeting.
The trustees' report was approved by the Board of Trustees.
The trustees, who are also the directors of Hadassah Medical Relief Association UK for the purpose of company law, are responsible for preparing the Trustees' Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
Company Law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the Association and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that year.
In preparing these financial statements, the trustees are required to:
- select suitable accounting policies and then apply them consistently;
- observe the methods and principles in the Charities SORP;
- make judgements and estimates that are reasonable and prudent; and
- prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Association will continue in operation.
The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the Association and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Association and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
Opinion
We have audited the financial statements of Hadassah Medical Relief Association UK (the ‘Association’) for the year ended 31 May 2023 which comprise the statement of financial activities, the balance sheet, the statement of cash flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).
In our opinion, the financial statements:
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the financial statements section of our report. We are independent of the Association in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’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.
In auditing the financial statements, we have concluded that the trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the Association’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
Other information
The other information comprises the information included in the annual report other than the financial statements and our auditor's report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
We have nothing to report in this regard.
We have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 require us to report to you if, in our opinion:
the information given in the financial statements is inconsistent in any material respect with the trustees' report; or
sufficient accounting records have not been kept; or
the financial statements are not in agreement with the accounting records; or
we have not received all the information and explanations we require for our audit.
As explained more fully in the statement of trustees' responsibilities, the trustees, who are also the directors of the Association for the purpose of company law, are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, the trustees are responsible for assessing the Association’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.
We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder.
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
The extent to which our procedures are capable of detecting irregularities, including fraud, is detailed below.
In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, we considered the following:
1) Enquiries of management concerning the charity's policies and procedures relating to:
- identifying, evaluating and complying with laws and regulations and whether they were aware of any instances of non-compliance
- detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected or alleged fraud; and
- the internal controls established to mitigate risks related to fraud or non-compliance with laws and regulations;
2) The company's remuneration policies, and
3) Discussions among the engagement team regarding how and when fraud might occur in the financial statements and any potential indicators of fraud.
In common with all audits under ISAs (UK), we are also required to perform specific procedures to respond to the risk of management override.
We also obtained an understanding of the legal and regulatory framework that the charity operates in, focusing on provisions of those laws and regulations that had a direct effect on the determination of material amounts and disclosures in the financial statements. The key laws and regulations we considered in this context included the UK Companies Act and IFRS as issued by the IASB and adopted by the EU, and "Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)". The charity is a Public Benefit Entity as defined by FRS 102.
In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements but compliance with which may be fundamental to the charity's ability to operate or avoid a material penalty.
As a result of performing the above, we did not identify any key audit matters related to the potential risk of fraud or non-compliance with laws and regulations.
In addition to the above, our procedures to respond to risks identified included the following:
- Reviewing the financial statement disclosures and testing to supporting documentation to assess compliance with provisions of relevant laws and regulations described as having a direct effect on the financial statements;
- Enquiring of management concerning actual and potential litigation and claims;
- Performing analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due to fraud;
- In addressing the risk of fraud through management override of controls, testing the appropriateness of journal entries and other adjustments; assessing whether the judgements made in making accounting estimates are indicative of a potential bias; and evaluating the business rationale of any significant transactions that are unusual or outside the normal course of business.
We also communicated relevant identified laws and regulations and potential fraud risks to all engagement team members, and remained alert to any indications of fraud or non-compliance with laws and regulations throughout the audit.
We note that our audit is not primarily designed to detect non-compliance with laws and regulations and the Trustees and other management are responsible for such internal control as the Trustees and other management of the Charity determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to errors or fraud, including compliance with laws and regulations. Additionally, owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements, even though we have properly planned and performed our audit in accordance with auditing standards. We are not responsible for preventing non-compliance and cannot be expected to detect non-compliance with all laws and regulations.
A further description of our responsibilities is available on the Financial Reporting Council’s website at: https://www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor's report.
Use of our report
This report is made solely to the charity’s trustees, as a body, in accordance with part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the charity's trustees those matters we are required to state to them in an auditor's 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 charity and the charity’s trustees as a body, for our audit work, for this report, or for the opinions we have formed.
Glazers is eligible for appointment as auditor of the Association by virtue of its eligibility for appointment as auditor of a company under section 1212 of the Companies Act 2006.
Endowment grants payable
The statement of financial activities includes all gains and losses recognised in the year.
All income and expenditure derive from continuing activities.
Hadassah Medical Relief Association UK is a private company limited by guarantee incorporated in England and Wales. The registered office is Beit Meir Building, 44b Albert Road, Hendon, London, NW2 2SJ, United Kingdom.
The financial statements have been prepared in accordance with the Association's [governing document], the Companies Act 2006, FRS 102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland” (“FRS 102”) and the Charities SORP "Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)" (effective 1 January 2019). The Association is a Public Benefit Entity as defined by FRS 102.
The financial statements are prepared in sterling, which is the functional currency of the Association. Monetary amounts in these financial statements are rounded to the nearest £.
The financial statements have been prepared under the historical cost convention, [modified to include the revaluation of freehold properties and to include investment properties and certain financial instruments at fair value]. The principal accounting policies adopted are set out below.
At the time of approving the financial statements, the trustees have a reasonable expectation that the Association has adequate resources to continue in operational existence for the foreseeable future. In particular, the trustees have considered the effects of the coronavirus pandemic and have a reasonable expectation that adequate reserves are held to cover any resulting downturn in incoming resources.
Thus the trustees continue to adopt the going concern basis of accounting in preparing the financial statements.
Unrestricted funds are available for use at the discretion of the trustees in furtherance of their charitable objectives.
Restricted funds are subject to specific conditions by donors as to how they may be used. The purposes and uses of the restricted funds are set out in the notes to the financial statements.
Cash donations are recognised on receipt. Other donations are recognised once the Association has been notified of the donation, unless performance conditions require deferral of the amount. Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation.
Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, it is probable that a transfer of economic benefits will be required in settlement, and the amount of the obligation can be measured reliably.
Expenditure is classified by activity. The costs of each activity are made up of the total of direct costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs which contribute to more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of time spent, and depreciation charges are allocated on the portion of the asset’s use.
Tangible fixed assets are initially measured at cost and subsequently measured at cost or valuation, net of depreciation and any impairment losses.
Depreciation is recognised so as to write off the cost or valuation of assets less their residual values over their useful lives on the following bases:
The gain or loss arising on the disposal of an asset is determined as the difference between the sale proceeds and the carrying value of the asset, and is recognised in the statement of financial activities.
At each reporting end date, the Association reviews the carrying amounts of its tangible assets to determine whether there is any indication that those assets have suffered an impairment loss. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the extent of the impairment loss (if any).
Cash and cash equivalents include cash in hand, deposits held at call with banks, other short-term liquid investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within borrowings in current liabilities.
The Association has elected to apply the provisions of Section 11 ‘Basic Financial Instruments’ and Section 12 ‘Other Financial Instruments Issues’ of FRS 102 to all of its financial instruments.
Financial instruments are recognised in the Association's balance sheet when the Association becomes party to the contractual provisions of the instrument.
Financial assets and liabilities are offset, with the net amounts presented in the financial statements, when there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to realise the asset and settle the liability simultaneously.
Basic financial assets, which include debtors and cash and bank balances, are initially measured at transaction price including transaction costs and are subsequently carried at amortised cost using the effective interest method unless the arrangement constitutes a financing transaction, where the transaction is measured at the present value of the future receipts discounted at a market rate of interest. Financial assets classified as receivable within one year are not amortised.
Basic financial liabilities, including creditors and bank loans are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future payments discounted at a market rate of interest. Financial liabilities classified as payable within one year are not amortised.
Debt instruments are subsequently carried at amortised cost, using the effective interest rate method.
Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of operations from suppliers. Amounts payable are classified as current liabilities if payment is due within one year or less. If not, they are presented as non-current liabilities. Trade creditors are recognised initially at transaction price and subsequently measured at amortised cost using the effective interest method.
Financial liabilities are derecognised when the Association’s contractual obligations expire or are discharged or cancelled.
The cost of any unused holiday entitlement is recognised in the period in which the employee’s services are received.
Termination benefits are recognised immediately as an expense when the Association is demonstrably committed to terminate the employment of an employee or to provide termination benefits.
Payments to defined contribution retirement benefit schemes are charged as an expense as they fall due.
Transactions denominated in foreign currencies are recorded at the rate ruling at the date of the transaction.
Monetary assets and liabilities denominated in foreign currencies are translated into sterling at the rates of exchange ruling at the balance sheet date. All differences are included in net outgoing resources.
In the application of the Association’s accounting policies, the trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.
The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods.
Rent and rates
Insurance
Repairs and maintenance
Postage and stationery
Telephone
Travelling expenses
Sundry expenses
Bank charges
No emoluments or expenses were paid to trustees in this or the previous year.
The average monthly number of employees during the year was:
The charity is exempt from tax on income and gains falling within section 505 of the Taxes Act 1988 or section 252 of the Taxationof Chargeable Gains Act 1992 to the extent that these are applied to its charitable objects.
The Association operates a defined contribution pension scheme for all qualifying employees. The assets of the scheme are held separately from those of the Association in an independently administered fund.
The charge to profit or loss in respect of defined contribution schemes was £6,666 (2022 - £7,143).
Unrestricted
Unrestricted
Two endowment funds are held, the Katz Memorial Fund and the Bernhard Zondek Fund, the income from both of which is to be applied in assisting young doctors involved in medical training or research at Hadassah Medical Organisation in Jerusalem.
The auditor's report was unqualified.
The remuneration of key management personnel is as follows.
The Association had no debt during the year.