Annual Report 2012-213
Transcription
Annual Report 2012-213
DOVER PARK HOSPICE MAKING E V E R Y MOMENT MATTER ANNUAL REPORT 2012-2013 DOVER PARK HOSPICE Every Moment Matters 10 Jalan Tan Tock Seng, Singapore 308436 Tel: 6500 7272 Fax: 6258 9007 Email: info@doverpark.org.sg Website: www.doverpark.org.sg VISION To be a Centre of Excellence for Palliative Care Services, Education and Research MISSION To provide comfort, relief of symptoms and palliative care to patients with advanced disease regardless of age, race or religion, and to support the grieving families CONTENTS MAKING EVERY MOMENT MATTER Chairman’s Message 5 WE SERVED Within The Hospice 6 Outside The Hospice 14 In The Community 22 WE CELEBRATED Special Moments 30 New Beginnings 38 Life 44 WE GREW As A Team 54 ABOUT US Governing Council 66 Committee Members 68 Senior Management 70 Visiting Consultants 71 Our Donors 72 FINANCES 81 4 Chairman’s Message 2012 marked the 20th year since the birth of Dover Park Hospice, with 2013 heralding a new chapter in the DPH’s journey of providing compassionate care to terminally ill patients in Singapore. As DPH moves into the new decade, we not only seek to do more for our patients, but also to extend our hand to the community at large. I am pleased to report that since the official launch of our Dover Park Home Care service last year, our Hospice have received a lot of interest from patients and families who are keen on our service, and we have been greatly encouraged by the positive responses from patients and caregivers who were part of this home care programme. Our team also continues to win numerous awards and chart new ground which is testament of the team’s dedication and our vision of excellence in all we do. New services such as Art Therapy to enhance the holistic elements of patient care, and a new photography service which seeks to create positive memories for patients and their loved ones during the patients’ stay at our hospice were launched. Holistic care also means taking care of the psychosocial needs of our patients’ families, and in this regard, we have increased our services in areas such as bereavement support. Beyond Dover Park Hospice, we also extended our hand to other worthy causes in celebration of our Hospice’s 20th years of service to the community, in line with DPH’s philosophy to help and care for those in need. We collaborated with four other organisations on Project SilverCare, which provided free community health screening for 800 elderlies living in the Kallang district, as well as initiated a blood donation drive, in conjunction with Tan Tock Seng Hospital. I find it especially poignant for the Hospice to help in giving the gift of life to others, especially since the hospice work revolves around end-of-life care. This year’s Annual Report has also taken on a new format which we hope would be more informative and provide you with a good understanding of what we do every day. All these are only possible with the staunch support from our friends, contributors and supporters, and I want to express my gratitude to all our management and staff members who have worked very hard to look after our patients and their families. I also want to thank each and every one of you in helping Dover Park Hospice ensure that Every Moment Matters. Chey Chor Wai Chairman 5 1 WE SERVED Within The Hospice “I want to say Thank-You to all the doctors and nurses at Dover Park Hospice for the special care and attention they gave me.” ~ Mr Lim Cheng Phoh, DPH Patient “My father liked this ‘home’ more than our home, and even wanted to spend his Chinese New Year and last moments here. He went home only to give ang-pows to his grandchildren. To old folks, where they choose to spend their Chinese New Year is very important, and this is the place he chose – Dover Park Hospice. Thank you for creating such a wonderful place.” ~ Ann Wong, Daughter of late DPH patient Mr Wong WE SERVED ~ Within The Hospice ~ Inpatient Service Last year, we received a total of 542 admissions, an increase of 22% from last year’s figure of 443 as a result of DPH’s expansion to increase its number of beds from 40 to 50 beds. Summary of Admissions and Referrals for the past 6 years Referrals 443339 446296 439274 446 439 782 737 428309 742 713 480369 849 480 443 428 542412 954 Admission 542 FY FY FY FY FY FY 2007/2008 2008/2009 2009/2010 2010/2011 2011/2012 2012/2013 Source of Referrals 9 15 11 36 17 53 74 98 185 280 280 185 H JG / AH C ar e s th er sH om e O th er O ita sp Ho at Pu Te ck 9 Kh oo 15 11 l l ta Ho sp i al er en iG ng ha C 36 17 C ar e Ho m e D PH l 53 C ar e ita sp Ho Ho sp ic e HC A y 74 N at io na lU ni ve r sit SG H TT S / H N / C JH C 98 9 “My family and I would like to thank Dover Park Hospice for not only taking care of my sister, but also help counsel her to ease her mind and manage her expectations. We would like to thank the doctors for patiently helping my sister to manage her pain by adjusting her medication and dosage, the nurses for taking care of her daily living and the volunteers who sang songs, massage and did memorable scratch book and photo cardboards with her. It is no easy task and you have done a great job. All these made her stay a pleasant one. “ ~ Yap Kian Hin, Brother of late DPH patient Ms Yap WE SERVED ~ Within The Hospice ~ Outcome of Referrals 42 26488 58 14 954 Total Referrals 88% (835) Accepted 2% (21) Died before assessment 6% (59) Cancelled before assessment 4% (39) Rejected Outcome of Accepted Patients 835 Total Referrals Accepted 65% (542) Admitted 21% (172) Died before Admission 14% (121) Cancelled by Patient Admitted Patients by Gender 508 Admitted Patients 58% (293) Male 42% (215) Female 11 “When my boss presented me with the Best Employee Award at Dover Park Hospice, I was very surprised and overjoyed. This is the first time ever in my life that I’ve received such an award and I’m very thankful to the people at DPH who have made this possible!” ~ Mohammad Hanizan Bin Joony, DPH patient WE SERVED ~ Within The Hospice ~ Admitted Patients by Age Group 334 Admitted Patients by Ethnic Group 90 1 2 6 508 Admitted Patients 508 Admitted Patients <20 20-45 0% (0) 4% (19) 46-55 12% (61) 56-65 26% (135) >75 33% (166) Other 1% (5) 66-75 25% (127) Chinese 90% (459) Eurasian 1% (2) Indian Malay 2% (11) 6% (31) Outcome of Patients Accepted Length of stay Count of Discharges < 1 day 1 1 - 7 days 127 8 - 14 days 75 15 - 21 days 56 22 - 30 days 47 31 - 60 days 81 61 - 90 days 26 > 90 days 11 Grand Total 424 Major Diagnostic Group Major Diagnostic Group FY 2012/2013 FY 2011/2012 FY 2010/2011 Pax % Pax % Pax % Cancer 477 93.90% 396 91.88% 433 94.54% Non-Cancer 31 6.10% 35 8.12% 25 5.46% Total 508 100.00% 431 100.00% 458 100.00% 13 2 WE SERVED Outside The Hospice “It’s not how much we give, but how much love we put into giving.” ~ Mother Teresa The Dover Park Home Care Team pops champagne to celebrate their 100th patient. WE SERVED ~ Outside The Hospice ~ Dover Park Home Care The Dover Park Home Care service, which was officially launched as a pilot project just a year ago, received numerous requests for help but we could only accept 271 patients into the home care programme. The positive response from patients, their caregivers and the staff of Tan Tock Seng Hospital, where it is piloted, have been encouraging. The team has been able to give a smoother journey for our patients as they traverse the various settings; from hospital to home, from home to hospital, from home to hospice, and from hospice to home. It has often been said that a hospital death is usually not a “good” death, with its “sterile environment and cold atmosphere” where families and loved ones have limited access to the patient. For patients under our care last year, less than 5 per cent died in hospital. We are glad to be able to enable a high percentage of home or hospice deaths, where the environment is more conducive to support of patient and their families. 17 “Without her help, I would not have had the confidence to look after my mother at home. I felt more assured, and my mother died a more peaceful death.” ~ Mdm Tay Bee Wah on Specialist Nurse Chen Wei Ting, who is part of DPH’s home care team WE SERVED ~ Outside The Hospice ~ No. of referrals for FY2012: 271 Total no. of referrals from May 2011 - March 2013: 299 Homecare Patients by Gender 47 53 271 Homecare Patients 53% (144) Male 47% (127) Female Homecare Patients by Age Group Age Patients 15-24 1 25-34 1 35-44 9 45-54 19 55-64 49 65-74 63 75-84 75 85-94 45 95-104 8 105-114 1 Grand Total 271 19 WE SERVED ~ Outside The Hospice ~ 87 Homecare Patients by Ethnic Group 931 20 Chinese 87% (236) Malay 9% (25) Indian 3% (7) Eurasian 1% (2) Others 0% (1) Homecare Patients by Religion Religion Patients Buddhism 93 Taoism 34 Christian/ Catholic 40 Islam 24 Free Thinker 19 Others 7 Unknown 54 Grand Total 271 WE SERVED ~ Outside The Hospice ~ Diagnosis Diagnosis Pax Acute Myelomonocytic Leukemia % 3 188 69.37% Non-Cancer 83 30.63% Total 271 100% Cancer 3033767557 Length of Service (Days) 80 70 60 50 76 75 57 40 30 20 30 33 10 0 < 3 Days < 1 wk < 1 mth < 3 mth > 3 mth 21 3 WE SERVED In Our Community DPH partnered four other organisations in Project SilverCare to provide free community health screening for 800 elderlies living in the Kallang district as part of our 20th year anniversary event. Our volunteer ambassador engaging a member of the public at one of the roadshows WE SERVED ~ In Our Community ~ Project SilverCare 2013 Health Screening for Elderly We collaborated with four other organisations, namely Yong Loo Lin School of Medicine, Alice Lee Centre for Nursing Studies, Department of Pharmacy and the Social Work Department and O’Joy Care Services, on PROJECT SILVERCARE, to provide free community health screening for 800 elderlies living in the Kallang district. In addition to health tests which included blood pressure and glucose measurements, visual acuity testing, and fall risk assessments, there were also professionals present to provide free consultation on medical queries that the elderly may have, and also advice on nutrition and other related concerns. With DPH celebrating its 20th year of service to the terminally ill in Singapore, this collaboration is an apt extension of the Hospice’s continued service to the local community. Volunteer Ambassadors In October 2012, we formed the DPH Ambassadors Group consisting of volunteers to support DPH’s ongoing efforts in raising awareness on hospice care and DPH’s services amongst the local community. Trained in public speaking, with each ambassador having undergone an intensive two-day workshop to hone their communications technique, these volunteer ambassadors play an valuable supportive role to DPH’s communications team by sharing information on Hospice Care and DPH services with the local community at roadshows, health talks and other grassroots events. 25 “I think it’s a great idea for DPH to celebrate its anniversary with such a meaningful event.” ~ Jumaat Bin Hassan, National Serviceman WE SERVED ~ In Our Community ~ Blood Donation Drive 2012 While most organisations commemorate their anniversaries in a lavish manner, we have chosen to pay it forward by celebrating our Hospice’s 20th year of service by helping others in need instead. Care and compassion has always been the driving force behind Dover Park Hospice’s provision of end-of-life care, it is no surprise that the hospice chose to support another worthy cause by collaborating with Tan Tock Seng Hospital (TTSH) to organise a blood donation drive as one of DPH’s 20th anniversary activities. Mr Chey Chor Wai, Chairman of Dover Park Hospice shared, “This blood donation drive is DPH’s way of giving back to the community after having been the recipient of kind support from various partners throughout the years.” “It is an extension of our philosophy to help and care for those in need, and also a good opportunity to highlight the spirit of giving in this upcoming festive season. I find it especially poignant for the Hospice to help in giving the gift of life to others, especially since the hospice work revolves around end-of-life care.” 27 Dover Park Hospice gets active on the social media front. “Like” our Facebook page to receive regular updates on DPH and other related hospice news. WE SERVED ~ In Our Community ~ We Got On Facebook! Social media is transforming the communication landscape in a revolutionary way, and it is a platform that we can no longer ignore. Like many small and large organisations which have turned to social media to reach the community and garner support, Dover Park Hospice now uses its Facebook page to keep the community informed on the latest news on palliative care and other DPH activities, including interesting resources drawn from around the world. The purpose is to have an on-going dialogue with social networkers in the community and to ensure that palliative care is better understood. DPH staff are on hand to ensure that the content remains updated with the latest happenings in DPH and the hospice community. Please visit our Facebook page for updated news on DPH and hospice care! www.facebook.com/DoverParkHospice 29 4 WE CELEBRATED Special Moments Senior Staff Nurse Phua Joo Keow’s dedication to her profession is not limited to just caring for her patients but also in providing patient guidance to the younger generation of nurses, often taking the extra time to share her knowledge and experiences with them. She was presented with the Nurses’ Merit Award in 2012. PHOTO OF AWARD RECIPIENT Enrolled Nurse Sui Hniang builds great rapport with her patients and often goes the extra mile to meet their needs. She was recognised for her outstanding service and was presented with the Healthcare Humanity Award by President Tony Tan Keng Yam in 2012. WE CELEBRATED ~ Special Moments ~ At Dover Park Hospice, we believe in providing a conducive environment that encourages our staff to excel in their work. Healthcare Humanity Award & Nurses’ Merit Award Our Enrolled Nursing Aide Sui Hniang and Senior Staff Nurse Phua Joo Keow were presented with the 2012 Healthcare Humanity Award and Nurses’ Merit Award respectively, in recognition of their exemplary service to patients and contributions outside of their job scope. SPCC Poster Competition – 2nd Prize In Hospice Care, the well-being of our patients’ loved ones is just as important to us as that of our patients. A DPH team consisting of Ms Maureen Fung, former Head of DPH’s Allied Health Services and our Music Therapist Ms Melanie Kwan examined the key causes of caregiver stress amongst our patients’ loved ones, and explored how Dover Park Hospice can provide greater support for these caregivers while their loved ones are being taken care of by the DPH team. Their poster on caregiver support garnered the 2nd prize at the SPCC Poster Competition last year. 33 Members of the “Honey I Fed My Patients!” project with their Merit-award poster at the ILTC Quality Festival 2012 WE CELEBRATED ~ Special Moments ~ ILTC Quality Fest – Merit Award Exemplary attention to detail was what prompted several healthcare workers in Dover Park Hospice to examine ways to counter the problem of dysphagia, a swallowing impairment that is common amongst terminally ill patients. The team embarked on a project named “Honey I Fed My Patients” which examined strategies to improve compliance to dysphagia preventive measures, such as standardised documentation of feeding practices and skills training. The project won a merit prize in the ILTC Quality Festival 2012 Poster Competition, and this new feeding education programme is now part of the orientation for all new doctors and nurses in DPH which improves the quality of care for our patients. 35 The Sunflower Ball 2012 raised more than $1 million towards DPH’s home palliative care programme, which will allow our patients to spend their last days at home and surrounded by loved ones. WE CELEBRATED ~ Special Moments ~ Sunflower Ball 2012 To mark our new initiatives in home hospice care, and because we try to make our hospice a home away from home for our patients so that their last days can be spent in comfort and surrounded by those they love, the theme for the 2012 Sunflower Ball was “Heart and Home”. We had the honour of local celebrity chef Willin Low, whose Modern Singapore cuisine has been feted by the New York Times, collaborate with the culinary team at the Shangri-La Hotel to bring our donors special dishes reminiscent of home, with the dinner also featuring snacks and specialties from childhood days in line with the theme. The event garnered support from many supporters and raised $1.1 million, which will go a long way towards DPH’s efforts to bring home palliative care to more people. Charity Golf 2013 This fundraising golf tournament and dinner, that was graced by A/P Muhd Faishal Ibrahim, Parliamentary Secretary for Ministry of Health, garnered more than $350,000 in donations to support DPH’s compassionate work with the terminally ill. 37 5 WE CELEBRATED New Beginnings In 2012, the Ministry of Health rolled out initiatives aimed at strengthening the ILTC sector with a competent workforce, with funding support given towards salary adjustments, training and health-worker recruitment. Our DPH nurses Elf Chiang, Pa Pa Tun and Mya San Kyi were amongst the first batch of graduates from the Specialist Diploma in Palliative Care Nursing. This new part-time diploma was launched by DPH in conjunction with the National Cancer Centre and Ngee Ann Polytechnic in 2012. WE CELEBRATED ~ New Beginnings ~ Making Healthcare A More Attractive Career In April 2012, the Ministry of Health (MOH) rolled out various initiatives to strengthen the ILTC sector to ensure that they are professionally staffed with competent workforce. The fourpronged approach is aimed at; Ensuring adequate manpower, Competitive pay, Investing in Skills & Professional Development & Promoting Quality & Productivity. Funding support were rolled out for two years from April 2012 to March 2014, and Institutions could use the funding for staff salary adjustments to reach the minimum target salary benchmarks or fund manpower related initiatives such as training and recruitment of healthcare staff. Specialist Diploma In Palliative Care Nursing Dover Park Hospice, in partnership with the National Cancer Centre and Ngee Ann Polytechnic, launched a new part-time Specialist Diploma in Palliative Care to meet the increasing need for trained palliative care practitioners in Singapore. The Specialist Diploma comprised of two Certificates (Essential Clinical Knowledge and Essential Clinical Skills in Palliative Care), with the first open to allied health professionals while the second only for registered nurses. The 290-hour course which was conducted over 38 weeks from April to December last year, was subsidised by the Ministry of Education and endorsed by the Singapore Nursing Board. The first graduates were awarded their diploma on 23 May 2013. The inaugural best student award, sponsored by Dover Park Hospice, was won by Nurse Clinician Nuraishah Binte Zulkifle from National Cancer Centre. 41 “Attending the course gave me a better understanding and perspective of palliative care; and provided me an avenue of networking and sharing of experiences from other nurses. This is especially important in palliative care as every individual brings with them different experiences, as providing care for these patients involves not just sound theoretical knowledge but valuable real life experiences as well.” ~ DPH Nursing Officer Narin Kaur WE CELEBRATED ~ New Beginnings ~ HMDP-ILTC Expert & ELNEC Workshops In December last year, Dover Park Hospice collaborated with the Lien Centre for Palliative Care (LCPC) to organise the inaugural End-of-Life Nursing Education Consortium (ELNEC) International Curriculum and Train-the-Trainer Workshops in Singapore, which provided training for end-of-life care educators so they can in turn be certified to teach this essential information to nursing students, practicing nurses and other healthcare providers. We invited Dr Roger Strong (AHPCN, PhD, FPCN) Nurse Practitioner Manager, Institute of Palliative Medicine and San Diego Hospice, to conduct the ELNEC course for nurses involved in end-of-life care or education, with the aim of empowering these nurse educators with a simple tool-kit to train their colleagues and other staff to provide quality end-of-life care in whatever setting they may be. During Dr Strong’s stay in Singapore, Dr Noreen Chan from LCPC also facilitated a Roundtable discussion on local nursing education issues to tap on his expertise to inform local practices while DPH Medical Director Dr Angel Lee led a strategic workgroup meeting with senior nursing leaders from hospitals and intermediate and long term care (ILTC). These sessions helped bridge information gathered during the week to leaders from the Singapore Nursing Board and other clinical areas to help them understand the development of palliative care in Singapore discussed ways that they can facilitate growth of the service, such as enabling Advanced Practice Nurses to perform roles that will distinctively help patients receiving palliative care and their families. 43 6 WE CELEBRATED Life “We can’t all leave a prestigious background or lots of money to our children, but we can leave them a legacy of love” ~ Naomi Rhode WE CELEBRATED ~ Life ~ Patient Portrait Project We believe that Every Moment Matters, and with this belief, we started on the Patient Portrait Project which seeks to create positive memories for patients and their loved ones during the patients’ stay at our hospice. A group of professional photographers were roped in to volunteer their skills in taking photographs for our patients and their family members. The sessions, which takes place every Saturday, has proven to be popular with the patients, with many who signed up for the service often seen dressing up to the nines in preparation for their photoshoot. Volunteering for this complimentary service is especially poignant for professional photographer Aundry Gan, who has many years of experience under his belt. He said, “I can understand the excitement of having a special occasion that will bring the whole family together in times of illness, having previously cared for my late Grandmother when she was ill herself.” It is indeed a heartwarming sight to see patients and their families getting all excited about the photoshoot, and in that moment, the stress which the illness had brought to the family seem to have been lifted away, if only for that few hours. 47 “Given the uniqueness of people and situations, the complexity of care and the mysteries of life, you never can tell what will make a difference for someone in a given moment. This can be a liberating concept for volunteers and all team members.” (From Foundations of volunteer practice in palliative care adapted from ‘Task Group Inukshuk: Model for development of standards, best practices and quality in the Canadian hospice palliative care volunteer component’, 2005, Health Canada Secretariat on Palliative and End of Life Care) WE CELEBRATED ~ Life ~ Patients & Our Volunteers Volunteers have been an integral part of Dover Park Hospice since its inception, and they continue to play an important role in the progress of the Hospice throughout the years. As palliative care volunteers, they focus on the quality of life aspects of care, and bring a focus of normal living to situation where all else seems to underline a medical crisis. In addition to providing the special touch that can make a patient’s stay more comfortable, our volunteers also support the hospice in various administrative functions and patient services. To share our Hospice’s vision and philosophy with our volunteers and inspire them towards our common goal, we created the Volunteer Manual which furnished guidelines with regard to volunteering at DPH, and also provided information on DPH’s policies, culture and beliefs. Our dedicated pool of 325 active volunteers was the highlight of the 2012 DPH Open House, which was held at the HCA Auditorium last September. Each of the volunteer groups, mostly named after gemstones for our volunteers are as precious to DPH as gems, showcased their specialties and functions to public who attended the event. 49 Volunteers from Sunstone group provide bed-side grooming services to DPH patients. Some of our patients were unable to even visit a barber prior to their admission to DPH due to mobility issues. Nutritious home-made soup by Pearlie’s Angels warm the hearts of patients Befriender volunteers provide companionship and bring much cheer to patients during their stay at Dover Park Hospice. WE CELEBRATED ~ Life ~ Amethyst : Singing group that performs for patients Crystal : Creates craft items and sell them for fundraising purposes Diamond : Malay-centric group that organises the monthly birthday celebrations for patients and Malay festivals such as Hari Raya Emerald : Brings patients for outings to various places of interests every Thursday Garnet : Volunteer ambassadors who supports DPH in public awareness efforts GEMS : In-house choir consisting of DPH staff and volunteers that performs for patients and at DPH events Jade : Chinese-based group that organizes celebratory events for patients during Chinese festivals such as CNY and MidAutumn festival Lapis Lazuli : Provides massage service to patients to ease aches and pains Pearl : Prepares home-cooked soups for patients to bring a taste of home Ruby : Brings their pets to interact with patients under the Pets Therapy Programme Sapphire : Musicians & pianists who performs for patients’ listening pleasure SOKA : Prepares local delights of Kopi & Roti for patients Sunstone : Provides hairdressing / grooming service for patients Topaz : Gardening group that helps maintain the greenery for DPH 53 6 WE GREW As A Team “Talent wins games but teamwork and intelligence wins championships.” ~ Michael Jordan “I think something happened in this art therapy for me…I need to be better, and it got better. I feel fresh now, nothing heavy… before like got stone, coconut in my head.” ~ Mr Yusoff Mohamad, DPH patient WE GREW ~ As A Team~ Allied Health Hospice Care is not just about caring for the physical welfare of our patient, but also his psychological and spiritual well-being, and that of his loved ones too. Such requires a multidisciplinary approach to patient care, with inputs from doctors, nurses, social workers, psychologists and other allied health professionals to formulate a plan of care to address physical, emotional, spiritual, and social concerns that arise with advanced illnesses. In the past year, Dover Park Hospice has strengthened its team of Allied Health personnel to provide a more comprehensive range of services to its patients. Some of these include Art Therapists, Music Therapists and Therapy Aides. We have also added more Social Workers and Counsellors to our team so as to allow for more personalised attention to each patient. Holistic care also means taking care of the psychosocial needs of our patients’ families as well, and in this regard, we have increased our services in areas such as bereavement support. 57 “I hope to bring my experience of working in acute hospitals to help the organisation tackle the problems and issues faced by patients, through harnessing the efforts and talents of the whole team” ~ Dr Stella Wee, CEO of Dover Park Hospice WE GREW ~ As A Team~ Enhanced Workforce To improve our capability to take care of more patients and provide them with more comprehensive care, we have increased our staff strength by 10 per cent, with the majority of new hires in clinical areas such as in-patient and home care nurses as well as resident physicians. On the management front, we also welcomed our new CEO Dr Stella Wee May Li, who brought with her more than 24 years of working experience in the healthcare industry. In addition to having provided managerial support to senior medical professionals, healthcare specialists, Divisional Chairmen and Heads of Department at the Singapore General Hospital, National Neuroscience Institute, Kandang Kerbau Women’s & Children’s Hospital and West Point Hospital, she also worked overseas for an Abu Dhabi Government-linked investment conglomerate with interests in Healthcare Services. 59 “As a Family Medicine Resident, interacting with a patient as a family unit is part and parcel of my scope of practice. This was the first time however where I was able to participate in the patient’s end of life in his own home setting, and being able to walk with patients as they journey down this unknown road has been a treasured and invaluable learning experience” ~ Dr Jessica Chin (2nd from left), who was on a one-month attachment at Dover Park Hospice WE GREW ~ As A Team~ Training & Development Training and education has always been a core emphasis for Dover Park Hospice, and we continue to share our knowledge and experience in palliative care by providing training, clinical attachments and visits in both in-patient and home care settings to various partners, such as medical students from the Yong Loo Lin School of Medicine, postgraduate students from ALCNS-NUS, Kyoto University and the University of Manchester, as well as other nursing, dental and allied health students, just to name a few. We have also recently expanded our Training & Development team so as to increase the range of palliative training courses that DPH can facilitate for our staff as well as other practitioners in related fields. With a stronger DPH training team and in partnership with the National Cancer Centre and Ngee Ann Polytechnic, we were able to launch a new part-time Specialist Diploma in Palliative Care to meet the increasing need for trained palliative care practitioners in Singapore. We also partnered St Joseph’s Nursing Home and the Agency for Integrated Care (AIC) to conduct the “Introduction to Palliative Care Nursing Course”, which was aimed at increasing nursing aides’ confidence and competence in caring for patients with life-limiting illnesses. 61 Unity is strength! - DPH staff bond over an outdoor team building session WE GREW ~ As A Team~ Team Building We believe that it is important for everyone in the organisation to work together in order to reach our organisational goal of providing high quality and holistic palliative care to terminally ill patients. At the DPH Team Building Programme in January this year, we took the opportunity to reinforce our Hospice’s vision and mission with our staff, and also had a team brainstorm on how we can work together to make DPH into a “Hospice of the Future”. Aimed at promoting collegiality and teamwork, the programme included a personality profiling exercise which helped participants learn more about their personal behavioural styles and also how to interact with others who may have different working styles. It also consisted of various activities aimed at fostering team synergy and improving communications amongst staff across all levels. 63 7 ABOUT US ABOUT US ~ Governing Council~ A strong foundation is the key to any successful organisation. Its vision, commitment and purpose - all form the basis for an organisation, and are all-important pillars for the establishment. Just as important are the people behind the organisation; the Governing Council and its various sub-committees, which provide proactive external leadership in a collaborative partnership with the CEO to ensure that the organisation is headed on course in its strategic direction. Governing Council Mr Chey Chor Wai Honorary Treasurer : : : : : Members : Dr Chen Ai Ju Mr Robert Goh Say Hong Mr Lam Yi Young Mr Tan Seng Hock Ms Joy Tan Dr June Goh Ms Marlene Foo Dr Lionel Lee Ms Woo E-Sah A/P Chin Jing Jih Dr Robert Lim Seng Cheong Dr Seet Ju Ee Dr Uma Rajan Ms Cheng Yoke Ping Chairman Vice-Chairman Honorary Secretary Asst. Hon. Secretary Founding Chairperson : Co-Founder : 66 Mr Robert Chew Ms Ong Ai Hua Ms Angelene Chan Ms Diane Chen Dr Seet Ai Mee Dr Jerry Lim Kian Tho ABOUT US ~ Governing Council~ General Declaration 1. Governance Evaluation Checklist Dover Park Hospice falls under the Enhanced Tier of Guidelines for purposes of the Code of Governance (Code) for Charities and Institutions of a Public Character as the Enhanced Tier covers IPCs with gross annual receipts of $200,000 and up to $10m in each of its two immediate preceding financial years. Dover Park has complied with the relevant guidelines as stipulated in the Code. Full checklist is available at the Charity Portal (www.charities.gov.sg). 2. Conflict of interest All Council Members and employees of the Hospice are required to read and understand the conflict of interest policy in place and make full disclosure of any interests, relationships, and holdings that could potentially result in a conflict of interest. When a conflict of interest, real or perceived, Council members/ employee will not participate in decision making and approvals of transactions to which they have a conflict of interest. 3. Nomination and appointment of Council members All Council members were nominated and appointed to Council at the 20th Annual General Meeting held on 25 August 2012. 67 ABOUT US ~ Committee Members~ Committee Members 68 Executive Committee : Mr Chey Chor Wai (Chairman) Ms Angelene Chan Ms Diane Chen Mr Robert Chew Ms Ong Ai Hua Appointment / Nomination Committee : Mr Chey Chor Wai (Chairman) Mr Robert Chew Ms Ong Ai Hua Audit Committee : Mr Robert Chew (Chairman) Ms Woo E-Sah A/Prof Ho Yew Kee Ms Phyllis Kum Fundraising Committee : Dr June Goh (Co-Chairperson) Ms Joy Tan (Co-Chairperson) Ms Stephanie Cheah Ms Diane Chen Ms Jacqueline Chua Ms Ho Ching Lin Ms Amy Lai Ms Sharon Saw Ms Shan Tjio Ms Karen Soh Ms Miranda Walsh Ms Vivien Yui Human Resource Committee : Mr Robert Goh (Chairman) Mr Robert Chew Mr Andrew Loh Ms Ong Ai Hua Dr Uma Rajan Dr Seet Ju Ee ABOUT US ~ Committee Members~ Investment Committee Information Technology Committee Medical Professional Audit Committee Volunteer Committee : Mr Tan Seng Hock (Chairman) Ms Jacqueline Khoo Mr Freddy Orchard Dr Seet Ai Mee Ms Tan Geok Lin Mr Michael Wong Pakshong : Mr Lam Yi Young (Chairman) Mr Chau Chee Chiang Mr Robert Chew Col. Rupert Gwee : Dr Chen Ai Ju (Chairperson) A/Prof Chin Jing Jih Dr Gilbert Fan Dr Jerry Lim Dr Robert Lim A/Prof Pang Weng Sun Dr Uma Rajan Ms Tiew Lay Hwa Mr Wu Tuck Seng Dr Eric Yap Adj Asst Prof Nellie Yeo : Ms Marlene Foo (Chairperson) Muhammad Agus Bin Othman Mdm Cheok Boon Kiew Mr Raymond Chiang Ms Jasmine Chong Mr Koh Wee Chee Mr Lester Lee Ms Pearl Lim Mr Allard Mueller Ms Elsie Sng Ms Ida Tan Ms Wee Geok Hua Mr Anthony Wong Ms Nancy Yap Mr Bernard Yeo 69 ABOUT US ~ Senior Management~ Senior Management Chief Executive Officer : Medical Director : Consultant : Resident Physicians : Head, Allied Health Dr Stella Wee May Li Dr Angel Lee Dr Ong Wah Ying Dr Karen Liaw Dr Hoh Sek Yew : Ms Maureen Fung (till 31 Dec’12) Ms Chee Wai Yee (from 02 Jan’13) Head, Nursing Services : Ms Serene Tan (till 12 April’12) Ms Huang Der Tuan (till 30 Sep’12) Ms Chin Soh Mun (from 17 Sep’12) Head,Training & Development : Ms Tan Wee King (from 04 Jun’12) Manager, Administration & Finance : Mr Steven Foo Manager, Corporate Communications : Ms Lee Tien Sin Manager, Donor Management : Ms Lilian Lee (from 01 Feb’13) Manager, Information Technology : Mr Anthony Chim (till 28 Sep’12) Mr Steven New (from 24 Sep’12) Manager, Human Resource 70 : Ms Nancy Lee Manager, Volunteer Programmes : Mr Allard Mueller Assistant Manager, Patient Affairs : Ms Joyce Lee ABOUT US ~ Visiting Consultants~ Visiting Consultants Anaesthesiology : Dr Chan Yeow MBBS, M Med (Anaes) Dr Chan Yung-Wei Stephen MBBS, M Med (Anaes) Colorectal Surgery : Dr Denis Nyam Ngian Kwong MBBS, FRCSEd (Gen Surg), FRCS (Gen Surg), M Med (Gen Surg) Dr Teoh Tiong Ann MBBS, M Med (Gen Surg), FRCSEd (Gen Surg), FAMS (Gen Surg) Dentistry : Dr Tay Kwang Hua BDS Dr Yang Jing Rong BDS Dermatology : Dr Martin Chio Tze Wei MB ChB, MSc, MRCP (Int Med), FRCP, FAMS (Dermatology) General Surgery : Prof Low Cheng Hock MBBS, M Med (Gen Surg), FRACS (Gen Surg), FAMS (Gen Surg) Geriatric Medicine : A/Prof Pang Weng Sun MBBS, M Med (Int Med), FRCP (Int Med), FAMS (Geriatric Med) Gynaecology : Dr Ho Tew Hong MBBS, M Med (O&G), MRCOG, FAMS (O&G), FRCOG Haematology : Dr Ong Kiat Hoe MBBS, MRCP (Int Med), FRCPA Infectious Diseases : Dr Leong Hoe Nam MBBS, MRCP Neurology : Dr Ho King Hee MBBS, MRCP (Int Med), FAMS (Neurology) Ophthalmology : Dr Lim Kuang Hui MBBS, DO (Ophth), FRCS (Ophth), FAMS (Ophth), MD (NUS) Orthopaedic Surgery : Prof Tay Boon Keng MBBS, FRCSEd (Gen Surg), FRCS (Orth Surg), FAMS (Orth Surg), FACS Dr Yeo Khee Quan MBBS, M Med (Gen Surg), FRCSEd (Gen Surg), MCh (Orth Surg), FAMS (Orth Surg) Otolaryngology : A/Prof Christopher Goh Hood Keng MBBS, FRCS (ENT), FAMS (ENT) Dr Mark Khoo Li Chung MBBS, FRCS (ENT) Pharmacy : Mr Wu Tuck Seng BPharm (Hons), MHSM Podiatry : Ms Jessica Tennant BHSc (Podiatry) Psychiatry : Dr Tham Wai Yong MBBS, M Med (Psychiatry) Rehabilitation Medicine : Dr Kong Keng He MBBS, MRCP (Int Med), M Med (Int Med) Respiratory Medicine : A/Prof Alan Ng Wei Keong MBBS, M Med (Int Med), FRCP (Int Med), FAMS (Resp Med) Urology : Dr David Terrence Consigliere MBBS, FRCS (Gen Surg), FAMS (Urology) Wound Care : Ms Tay Ai Choo RN, BHSc (Nursing) 71 ABOUT US ~ Our Donors~ Our Donors 4Point3 Pte Ltd Abner Low Mao Ze Accenture Pte Ltd ACR Capital Holdings Pte Ltd Aegis Portfolio Managers Pte Ltd Allalloy Dynaweld Pte Ltd Allen & Gledhill LLP Allgreen Properties Limited AM Aerospace Supplies Pte Ltd Andrew Cheong Fook Onn Andrew Kwek Ang Beng Chong Ang Eng Hieang Ang Peck Ngoh (IMO - Ang Boon Bian) Ang Yoke Lian Anita Fam Antara Koh Pte Ltd ARA Trust Management (Suntec) Limited Au Oi Leng Automated Micron Assembly Pte Ltd Basil Yeo Bayshore Green Pte Ltd Bobby Lim Chye Huat Bulk Trade Pte Ltd Business Continuity Planning Asia Pte Ltd Cathay Photo Store Private Limited Chan Chong Beng Chan Guek Cheng Noreen Chan Keng Meng Chan Kok Meng (IMO - Lek Kah Cheng) Chao Tar Liang Anthony Chee Kit Wan (IMO - Chee Hian) Cheh Khee Chen Ai Ju Chen Choong Joong Chen Dan Chen Wern Sin Cheng Heng Yu Cheng Yoke Ping Cheok Han Meng Chew Bang Ing Lucy Chew Lin Ho (IMO - Tan Khian Tee) Chey Chor Wai 72 ABOUT US ~ Our Donors~ Chi Eelyn Chia Eng Lan Chia Piah Yam Chiam Quee Lun Jenny Chiam Tua Soon Chip Eng Seng Corporation Ltd Chiu Huey Ching (IMO - Leow Pit Lan) Choo Chieh Chen Helen Choo Teck Seng Chow Joo Ming Christopher Chong Fook Choy Christopher James De Souza Chua Buck Cheng Chua Choon Liong (IMO - Lim Geok Heen) Chua Eng Him Chua Hai Siew Ambrose Chua Kim Chiu Chua Kim Suan Chua Ming Lee Chua Puay Meng (IMO - Teo Lee Keng) Chuah Siew Keat (IMO - Teh Toong Yin) Chui Chow Yoke, Karen ComfortDelGro Corporation Limited Consys Enterprise Pte Ltd Courts Asia Pte Ltd CPM Pacific Pte Ltd Credit Suisse AG Singapore Crystal Group CWT Limited D L Resources Pte Ltd Deepak Vasant Wagh (IMO - Priolkar Mohandas Yeshwant) Dilhan Pillay Sandrasegara Dong Yi Enterprise Pte Ltd Dorothy Loke DP Architects Pte Ltd East Marine Pte Ltd Ellen Lee Eng Seng Tech Pte Ltd Erabelle Pte Ltd ERS Holdings Pte Ltd Esfira Pte Ltd Eu Oy Chu Eu Oy Chun Expats Furniture Rental Pte Ltd Far East Flora Pte Ltd Focus Investments Pte Ltd 73 ABOUT US ~ Our Donors~ Foo Jong Wey Foo Shi Ming Francis Tan Frank Yung-Cheng Yung Fu Hao Fung Swee Kim Maureen Fusion Cosmetics Pte Ltd G&C General Contractors Pte Ltd Gammon Pte Ltd Gan Geok Toh Gan Soh Har Gan Tee Hiyang Geetha Chandran Geonamics (S) Pte Ltd George Huang Chang Yi Gien Siew Yong (IMO - Gien Chong Sim) Goh Eng Heng Goh Jong Khun (IMO - Ho Juat Keng) Goh Liang Hai Goh Peck Suan June Goh Tiong Ean Grace Sim Hong Hong Hafary Pte Ltd Haleywood Industries Pte Ltd Hiroshi Fujiwara Ho Mui Peng Ho Sau Ling Ho See Cheng Ho Seng Chee Ho Thean Aik Derek Ho Wai Han Hoe Kee Hardware Pte Ltd Hsu Chin-Ying, Stephen Ian Rickword Isaac Manasseh Meyer Trust Fund Isetan Foundation Jack Koh Jacqueline Khoo Kim Geok James Fang James Than Boon Song Jerry K T Lim Jimmy Koh JMA Singapore Pte Ltd John Morhall Jumbo Valley Pte Ltd Kah Hong Pte Ltd 74 ABOUT US ~ Our Donors~ Kang Wee San Jessie Kang Wen Ling Karen Chua Sui Geok (IMO - Chua Choo Lim) Karen Tan Meng Poh Keppel Care Foundation Keppel Corporation Ltd Kheng Leong Co. Pte Ltd Khoo Chwee Tin Khua Kian Keong Kian Soon Hardware & Trading Pte Ltd Kiang Kin Ngoh Kim Technology & Systems Engineering Pte Ltd Koh Bee Lan Koh Choon Fah Koh Choon Kiat Koh Kok Tian Kok Ee Lan (IMO - Toh Kim Bee) Kong Kiong Tai (IMO - Foong Yit Yau) Kong Wai Meng KPMG LLP Kuan Im Tng Temple (Joo Chiat) Kwan Lai Ling (IMO - Kwan Kong Meng) Lam Kah Hoe Lam Kun Kin Lars Sorensen Lau Kian Hwa Law King Lan (IMO - Tan King Guan) Lee Beng Hooi Lee Chia Poh Alvin Lee Choy Peng Eddie Lee Foundation Lee Kim Tah Foundation Lee Kim Tah Holdings Ltd Lee King Chi Arthur Lee Lung Nien Lee Onn Kei Angel Lee Ping Jin Lee Tuan Lee Yin Kwan Leong Chee Seng Leong Wai Leng Leong Ying Wah Jimmy Leow Fan Siew Leow Suat Lay (IMO - Chow Yew Weng) Li Qianwei Lien I-Hsien Gail 75 ABOUT US ~ Our Donors~ Liew Kum Chong (IMO - Lam Cheng Kam) Liew Kum Chong Liew Nyuk Sing Lim Chew Meng Vincent Lim Eng Hong Lim Han Ngee Lim Hsiu Mei Lim Hwee Leng (Lin Wei Liang) Lim Kong Eng Lim Peck Neo Lilian Lim Seng Cheong Robert Lim Ser Yong Lim Siok Keng Sheila Lim Wee Li Linda Ong Li San (IMO - Steven Ong Ah Teck) Linus Chua Chin Yang Lion Global Investors Limited Loh Boon Guan Loh Puay Hia Loi Boon Kun (IMO - Ang Koon Bian) Loke Siu Cheng Low Boon Yean Low Chee Pak Low Cher Leng Low Willin Madeleine Tan Guek Cheng Margaret Chan-Lien Marilyn Hweetiang Tang Maritime and Port Authority of Singapore Maybank Kim Eng Securities Pte Ltd Boustead Singapore Limited Mckinn International Pte Ltd Sharon Choo Howe Seng (IMO - Ronald Choo) Mellford Pte Ltd Meritor HVS (S) Pte Ltd Micky Lee Teck Joo Million Lighting Co Pte Ltd Mix Metal Pte Ltd Moh Thye Foon/Ng Seng Hung Gary MSIG Insurance (Singapore) Pte Ltd N.Thanabalen Nea Joe Lin (IMO - Tan Ah Ta) Nexcomm Asia Pte Ltd Ng Khim Sim (IMO - Huang Ming Sing) Ng Keck Sim (IMO - Huang Ming Sing) Ng Lak Chuan 76 ABOUT US ~ Our Donors~ Ng Lei Piar Ng Ler Poey (IMO - Dr Khoo How Eng) Ng Nga Hua (IMO - Ng Joo Hiang) Ng Ngee Geap Ng Poh Guan Ng Seng Siang Ng Wee Lin Ng Weng Pan Ngee Ann Development Pte Ltd Ngiam Julynn NTUC Fairprice Foundation Limited Oh Teik Guan OKAYi (S) PTE LTD Ong Ai Hua Ong Chuan Yuan Ong Eng Hong (IMO - Loh Poh Hoon) Ong Kim Ling (IMO - Ong Eng Hung) Ong Kim Seng Ong Mong Siang Ong Say Teong Ong Seok Khin Ong Siew Tin Ong Yew Huat OSIM International Limited Overseas Academic Link Pte Ltd Overseas Union Enterprise Limited Ow Kok Eng (IMO - Aw Tog Leen) Ow Meng Liang (IMO - Aw Bee Hee Linda) Pacific Carriers Limited Park Hotel Management Pte Ltd Parthasarathy Subramanian Peh Libby Tin Pek Tiong Khuan Phua Sock Hoon (IMO - Aw Yuen Chong) Phua Soo Kheng Poh Beng Wee Poi Choo Hwee Premier Security Co-Operative Limited PriceWaterhouseCoopers LLP Prof & Mrs Lionel Lee Project Accolode Quah Poh Choo Quah Tjeng Nien Quintiles East Asia Pte Ltd Ray Ferguson Redrock Automation Pte Ltd 77 ABOUT US ~ Our Donors~ Renault Enterprise Rider Levett Bucknall LLP Robert Chew Robert Quek Roselle Mont-Clair Furnishing Pte Ltd Roxy-Pacific Holdings Limited Saw Cheow Hin Saw Swee Hock Seah Buck Tiang Seah Sin Yee (IMO - Tham Geok Thai) Seaquest Enterprise Pte Ltd Seet Ai Mee Seet Ju Ee SembCorp Cogen Pte Ltd Sembcorp Industries Ltd SF Consulting Pte Ltd Shaws CDLC @ Mountbatten Pte Ltd Siew Yit Foong Sim & Yeo Co Pte Ltd Sim Guan Poh Sim Guek Neo Elizabeth Sim Lye Seng Sinanju Marine Services Pte Ltd Singapore Buddhist Youth Mission Singapore Petroleum Company Limited Singapore Press Holdings Ltd Singapore United Estates Pte Ltd Siow Fung Wai Ying Sng Tiong Yee Stacey Tan Stefanie Yuen Thio Steven Wong Kok Hoo Sunray Woodcraft Construction Pte Ltd Susan Toh Cheng Huay Susiwaty Luhur Sydney Michael Hwang Tampines Chinese Temple Tan Alvin (IMO - Tan Bee Lian) Tan Bee Eng Tan Beng Tat Tan Bock Huat Tan Boo Hock Tan Boon Hui Tan Cheng Suan Alice Tan Ee Mei May Tan Keng Sin 78 ABOUT US ~ Our Donors~ Tan Kheng Leng Anderson Tan Kwang Hong Tan Lay Ping Tan Mae Shen Tan May Ling Tan Mei Meii Tan Mui Siang Caroline Tan Pauline (IMO - Tan Kiah Bee) Tan Pei-San Tan Poh Soon Tan Puay Kheng Tan Sai Tin Tan Soo Hwee Tan Soo Seng Tan Swee Kee Tan Tee Jim Tan Teow Siang (IMO - Tan Kia Poh) Tan Thiam Chua Tan Wei Yi Tan Whei Mien Joy Tan Yang Guan Tan Ye Chien Joyce Tan Yin Ying Tang Hwe Joo Tang See Chim Tay Keng Guan Shawn Tay Lee Soon Alaric Tay, Fly Entertainment Artiste Tay Miow Lan Tee Up Dormitory Pte Ltd Teknor Apex Asia Pacific Pte Ltd Teo Chee Hean Teo Miang Yeow Teo Ser Luck Teo Tong How Tham Kum Fook The Shaw Foundation Pte Tjio Shan Toh Ee Loong Tok Say Beng Tong Poh Bee (IMO - Tong Chin Keong) Transview Golf Pte Ltd Trends n Trendies Pte Ltd TSMP Law Corporation United Overseas Bank Limited Valerie Tan Whei Tet 79 ABOUT US ~ Our Donors~ Wan Chee Heng Web Structures Pte Ltd Web Synergies (S) Pte Ltd West Point Interior Renovation & Furniture William Security Services Wing Ship Marine Services Pte Ltd Wong Ah Chye Wong Ah Mui Wong Chong Wah Wong Chooi Wan Wong Kiat Kong Wong Kok Wah Wong Kum Weng Wong Lee Fun Wong Poo Sing Wong Siu Ching Cindy Wong Song Seong Wong Tien Yin Wong Wei Kong Wong Yee Lih Wong Yik Mun Woo Siew May Wu Gek Yan Yap Chwee Ann Yap Guat Eng Yap Kian Hin (IMO - Jacelyn Yap Kian Hwee) Yeo Boon Inn Yeo Geok Choe Yeo Li Hoon Yeung Shun Yun Yip Shee Keen Yip Siew Mun Dennis (IMO - Teo Huay Yong) Yip Yue Lee Yong Chin Hwee Yong Kon Yoon Yong Leng Leng Ann (IMO - Tan Lay Hiok) Yong Pei Xin Marianna Yoong Noeline Cora Yue Yean Feng Yui Vivien Zap Piling Pte Ltd Zik Pte Ltd Zulkifli Bin Baharudin 80 Dover Park Hospice UEN Number: S92SS0138D (Registered under the Societies Act, Chapter 311) Charity Registration Number: 1019 (Registered under the Charities Act, Chapter 37) Financial Statements Year ended 31 March 2013 ."#!#*19 2378 /)$## #( !#!" !"#! ! $! # # #( !#!" # . #! 274/ ! ! ##&! #!!"#&# #!# !#%.,#!#-/)&"" ##(* Dover Park Hospice Corporate information Year ended 31 March 2013 Corporate information Registration Dover Park Hospice (the Hospice) is registered as a Voluntary Welfare Organisation in accordance with the Societies Act, Chapter 311. The Hospice is registered as a charity under the Charities Act, Chapter 37. The Hospice is approved as an institution of a public character (IPC) under the provisions of the Income Tax Act. The Hospice’s tax exempt status has been extended from 01 October 2012 to 30 September 2014. Registered Address 10 Jalan Tan Tock Seng Singapore 308436 Governing Council Chairman Mr. Chey Chor Wai Vice Chairman Mr. Robert Chew Honorary Treasurer Ms. Chen Dan, Diane Honorary Secretary Ms. Ong Ai Hua Members Dr. Chen Ai Ju Ms. Cheng Yoke Ping A/P Chin Jing Jih Dr. June Goh Mr. Goh Say Hong, Robert Mr. Lam Yi Young Dr. Lee Kim Hock, Lionel Dr. Lim Seng Cheong, Robert Ms. Marlene Foo Dr. Seet Ju Ee Mr. Tan Seng Hock Ms. Tan Whei Mien, Joy Dr. Uma Rajan Ms. Woo E-Sah Assistant Honorary Secretary Ms. Chan Li Chen, Angelene Honorary Council Member Dr. Seet Ai Mee Dr. Lim Kian Tho, Jerry 1 Dover Park Hospice Statement by Governing Council Year ended 31 March 2013 Statement by Governing Council In our opinion, the financial statements set out on pages FS1 to FS24 present fairly, in all material respects, the state of affairs of the Hospice as at 31 March 2013 and the results, changes in funds and cash flows of the Hospice for the year then ended in accordance with the provisions of the Charities Act and Singapore Financial Reporting Standards. The Governing Council has, on the date of this statement, authorised these financial statements for issue. On behalf of the Governing Council ─────────────────── Mr. Chey Chor Wai Chairman, Governing Council ─────────────────── Ms Chen Dan, Diane Honorary Treasurer, Governing Council 16 July 2013 2 27"$(033+11 $ !159692 27"$(033+11 $ !159692 ' #!# ;7673244499 ;7673361:95 &&&* **" Independent auditors’ report Members of Dover Park Hospice (Registered under the Societies Act, Chapter 311 and Charities Act, Chapter 37) Report on the financial statements We have audited the accompanying financial statements of Dover Park Hospice (the Hospice), which comprise the statement of financial position as at 31 March 2013, the statement of comprehensive income, statement of changes in funds and statement of cash flows for the year then ended, and a summary of significant accounting policies and other explanatory information, as set out on pages FS1 to FS24. Management’s responsibility for the financial statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with the provisions of the Societies Act, Chapter 311, Charities Act, Chapter 37 and Singapore Financial Reporting Standards, and for such internal control as management determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. Auditors’ responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with Singapore Standards on Auditing. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgement, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of these financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. ."#!#*19 2378 /)$## #( !#!" !"#! ! $! # # #( !#!" # . #! 274/ ! ! ##&! #!!"#&# #!# !#%.,#!#-/)&"" ."#!#*19 2378 /)$## ##(* #( !#!" !"#! ! $! # # #( !#!" # . #! 274/ ! ! ##&! #!!"#&# #!# !#%.,#!#-/)&"" ##(* 3 Dover Park Hospice Independent auditors’ report Year ended 31 March 2013 We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Opinion In our opinion, the financial statements of the Hospice present fairly, in all material respects, the state of affairs of the Hospice as at 31 March 2013, and the results, changes in funds and cash flows of the Hospice for the year then ended in accordance with the provisions of the Charities Act and Singapore Financial Reporting Standards. Report on other legal and regulatory requirements In our opinion: (a) the accounting and other records required by the regulations enacted under the Societies Act to be kept by the Hospice have been properly kept in accordance with those regulations; and (b) the fund-raising appeals held during the year ended 31 March 2013 has been carried out in accordance with Regulation 6 of the Societies Regulations issued under the Societies Act and proper accounts and other records have been kept of the fund-raising appeals. During the course of our audit, nothing has come to our attention that causes us to believe that: (a) the Hospice did not comply with the requirements of Regulation 15 (fund-raising expenses) of the Charities (Institutions of a Public Character) Regulations; and (b) the donation monies have not been used in accordance with the objectives of the Hospice as an institution of a public character. KPMG LLP Public Accountants and Certified Public Accountants Singapore 16 July 2013 4 Dover Park Hospice Financial statements Year ended 31 March 2013 Statement of financial position As at 31 March 2013 Note 2013 $ 2012 $ Non-current asset Property, plant and equipment 4 5,924,697 6,109,264 Current assets Financial assets – Investments Deposits, prepayments and other receivables Cash and cash equivalents 5 6 7 17,647,839 664,505 10,658,200 28,970,544 18,924,497 1,468,498 6,877,677 27,270,672 34,895,241 33,379,936 8(i) 20,104,764 18,718,297 8(ii) 10,785,912 30,890,676 10,574,934 29,293,231 Non-current liability Deferred capital grants 9 3,289,598 3,185,270 Current liability Trade and other payables 10 714,967 901,435 4,004,565 4,086,705 34,895,241 33,379,936 Total assets Funds of the Hospice: Restricted fund Endowment Fund Unrestricted fund Accumulated Fund Total funds Total liabilities Total funds and liabilities The accompanying notes form an integral part of these financial statements. FS1 Dover Park Hospice Financial statements Year ended 31 March 2013 Statement of comprehensive income Year ended 31 March 2013 2013 2012 ‹--Unrestricted--› ‹--Restricted--› Financial activities/Income and expenditure Note Incoming resources Incoming resources from generated funds Voluntary income Income from fund-raising activities Investment income Others 11 11 12 Charitable activities Patient fees Government subvention grant Other grants Amortisation of deferred capital grants Total incoming resources Resources expended Cost of generating funds Fundraising costs Investment management expenses 14 15 Charitable activities Governance activities Total resources expended Net incoming resources before holding gains and losses Fair value gains/(losses) on financial assets at fair value through income and expenditure Realised losses on disposal of financial assets Net incoming resources for the year and total comprehensive income for the year 16 17 13 fund Accumulated Fund $ fund Endowment fund $ ‹--Unrestricted--› ‹--Restricted--› Total Funds $ fund Accumulated fund $ fund Endowment fund $ Total Funds $ 1,161,405 1,932,073 82,708 126,673 3,302,859 – – 693,308 69 693,377 1,161,405 1,932,073 776,016 126,742 3,996,236 1,939,132 1,258,969 92,818 281,402 3,572,321 – – 713,412 – 713,412 1,939,132 1,258,969 806,230 281,402 4,285,733 855,197 2,754,150 1,527,004 191,162 5,327,513 8,630,372 – – – – – 693,377 855,197 2,754,150 1,527,004 191,162 5,327,513 9,323,749 469,570 1,621,612 916,509 206,284 3,213,975 6,786,296 – – – – – 713,412 469,570 1,621,612 916,509 206,284 3,213,975 7,499,708 (374,639) – (374,639) (6,390,325) (1,667,126) (8,432,090) – (98,018) (98,018) – – (98,018) (374,639) (98,018) (472,657) (6,390,325) (1,667,126) (8,530,108) (242,317) – (242,317) (4,668,907) (1,367,120) (6,278,344) – (81,432) (81,432) – – (81,432) (242,317) (81,432) (323,749) (4,668,907) (1,367,120) (6,359,776) 631,980 1,139,932 198,282 595,359 793,641 12,696 – 809,549 (18,441) 822,245 (18,441) 210,978 1,386,467 1,597,445 507,952 27,804 (1,624) 534,132 (102,909) (534,326) (5,255) (75,105) (535,950) 528,877 The accompanying notes form an integral part of these financial statements. FS2 Dover Park Hospice Financial statements Year ended 31 March 2013 Statement of changes in funds Year ended 31 March 2013 Unrestricted fund Accumulated fund $ Restricted fund Endowment fund $ Total funds $ At 1 April 2011 10,040,802 18,723,552 28,764,354 Total comprehensive income for the year Surplus/(deficit) of income over expenditure Total comprehensive income for the year At 31 March 2012 534,132 534,132 10,574,934 (5,255) (5,255) 18,718,297 528,877 528,877 29,293,231 At 1 April 2012 10,574,934 18,718,297 29,293,231 Total comprehensive income for the year Surplus of income over expenditure Total comprehensive income for the year At 31 March 2013 210,978 210,978 10,785,912 1,386,467 1,386,467 20,104,764 1,597,445 1,597,445 30,890,676 The accompanying notes form an integral part of these financial statements. FS3 Dover Park Hospice Financial statements Year ended 31 March 2013 Statement of cash flows Year ended 31 March 2013 Note Cash flows from operating activities Surplus of income over expenditure for the year Adjustments for: Amortisation of deferred capital grants Deferred capital grant written off Depreciation of property, plant and equipment Dividend income Interest income Net changes in fair value of financial assets Property, plant and equipment written off Realised loss on disposal of financial assets 1,597,445 9 9 4 Changes in working capital: Deposits, prepayments and other receivables Accrued operating expenses and other payables Net cash from operating activities Cash flows from investing activities Dividend received Interest received Proceeds from disposal of financial assets Purchase of financial assets Purchase of property, plant and equipment Fixed deposits (net) Net cash generated from investing activities Cash flows from financing activity Deferred capital grants received during the year Net cash from financing activity Net increase in cash and cash equivalents Cash and cash equivalents at beginning of the year Cash and cash equivalents at end of the year 2013 $ 4 9 7 2012 $ 528,877 (191,162) – 459,994 (315,150) (460,866) (822,245) 8,358 18,441 294,815 (166,741) (39,543) 481,796 (441,700) (364,530) 75,105 109,853 535,950 719,067 790,036 (186,468) 898,383 (991,484) 462,781 190,364 315,150 474,823 9,314,879 (7,234,417) (283,785) (9,115) 2,577,535 441,700 397,461 5,910,808 (4,720,077) (2,566,269) 1,063,759 527,382 295,490 295,490 949,786 949,786 3,771,408 4,266,410 8,037,818 1,667,532 2,598,878 4,266,410 The accompanying notes form an integral part of these financial statements. FS4 Dover Park Hospice Financial statements Year ended 31 March 2013 Notes to the financial statements These notes form an integral part of the financial statements. The financial statements were authorised for issue by the Hospice’s Governing Council on 16 July 2013. 1 Domicile and activities Dover Park Hospice (the Hospice) is a society registered with the Registrar of Societies under the Societies Act, Chapter 311, and has its registered office at 10 Jalan Tan Tock Seng, Singapore 308436. The Hospice has been registered as a charity under the Charities Act, Chapter 37 since 20 April 1994. The principal activities of the Hospice are those relating to the provision of inpatient and homecare services to the terminally ill. The Hospice is approved as an institution of a public character (IPC) under the provisions of the Income Tax Act. The Hospice’s tax exempt status has been extended from 01 October 2012 to 30 September 2014. 2 Basis of preparation 2.1 Statement of compliance The financial statements have been prepared in accordance with Singapore Financial Reporting Standards (FRS). 2.2 Basis of measurement The financial statements have been prepared on the historical cost basis except for certain financial assets which are measured at fair value. 2.3 Functional and presentation currency The financial statements are presented in Singapore dollars which is the Hospice’s functional currency. All financial information is presented in Singapore dollars, unless otherwise stated. 2.4 Use of estimates and judgements The preparation of financial statements in conformity with FRS requires management to make judgements, estimates and assumptions that affect the application of accounting policies and the reported amounts of assets, liabilities, income and expenses. Actual results may differ from these estimates. FS5 Dover Park Hospice Financial statements Year ended 31 March 2013 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 and in any future periods affected. In particular, information about significant areas of estimation uncertainties and critical judgements in applying accounting policies that have the most significant effect on the amounts recognised in the financial statements are stated below. 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. The selection of critical accounting policies, the judgements and other uncertainties affecting application of those policies and the sensitivity of reported results to changes in condition and assumptions are factors to be considered when reviewing the financial statements. The Hospice believes the following critical accounting policies involve the most significant judgements and estimates used in the preparation of the financial statements. Useful lives of property, plant and equipment Property, plant and equipment are stated at cost and depreciated on a straight-line basis over their estimated useful lives. The estimated useful lives represent the estimate of the periods that management expects to derive economic benefits from these assets. In estimating these useful lives and in determining whether subsequent revisions to useful lives are necessary, the management considers the likelihood of technical obsolescence arising from changes in technology, asset utilisation and anticipated use of the assets. 3 Significant accounting policies The accounting policies set out below have been applied consistently to all periods presented in these financial statements. 3.1 Funds structure The Accumulated Fund is available for use at the discretion of the Council in furtherance of the Hospice’s objects. The Endowment Fund was established under Article 14 of the Dover Park Hospice Constitution. The objectives of and restrictions over the Endowment Fund are stated in note 8 to the financial statements. 3.2 Property, plant and equipment Recognition and measurement Property, plant and equipment are stated at cost less accumulated depreciation and impairment losses. FS6 Dover Park Hospice Financial statements Year ended 31 March 2013 Cost includes expenditure that is directly attributable to the acquisition of the asset, costs directly attributable to bringing the asset to a working condition for its intended use, and the cost of dismantling and removing the items and restoring the site on which they are located. Property, plant and equipment costing less than $1,000 each are fully written off in the accounting period of their acquisition. When parts of an item of property, plant and equipment have different useful lives, they are accounted for as separate items (major components) of property, plant and equipment. The gain or loss on disposal of property, plant and equipment is determined by comparing the proceeds from disposal with the carrying amount of property, plant and equipment, and is recognised net within other income/other expenses in surplus or deficit. Depreciation Depreciation is recognised in the statement of income and expenditure on a straight-line basis over the estimated useful lives of property, plant and equipment as follows: Building Facilities improvement Office equipment Plant and equipment Medical equipment Furniture and fittings Motor vehicles Computer equipment 50 years 15 years 5 years 5 years 5 to 10 years 5 years 10 years 3 years Depreciation methods, useful lives and residual values are reviewed, and adjusted as appropriate, at each reporting date. 3.3 Financial instruments Non-derivative financial assets The Hospice initially recognises loans and receivables and deposits on the date that they are originated. All other financial assets are recognised initially on the trade date at which the Hospice becomes a party to the contractual provisions of the instrument. The Hospice derecognises a financial asset when the contractual rights to the cash flows from the asset expire, or it transfers the rights to receive the contractual cash flows on the financial asset in a transaction in which substantially all the risks and rewards of ownership of the financial asset are transferred. Any interest in transferred financial assets that is created or retained by the Hospice is recognised as a separate asset or liability. Financial assets and liabilities are offset and the net amount presented in the balance sheet when, and only when, the Hospice has a legal right to offset the amounts and intends either to settle on a net basis or to realise the asset and settle the liability simultaneously. The Hospice classifies non-derivative financial assets into the following categories: financial assets at fair value through income and expenditure and loans and receivables. FS7 Dover Park Hospice Financial statements Year ended 31 March 2013 Financial assets at fair value through income and expenditure A financial asset is classified at fair value through income and expenditure if it is classified as held for trading or is designated as such upon initial recognition. Financial assets are designated at fair value through income and expenditure if the Hospice manages such investments and makes purchase and sale decisions based on their fair value in accordance with the Hospice’s documented risk management or investment strategy. Upon initial recognition, attributable transaction costs are recognised in income and expenditure as incurred. Financial assets at fair value through income and expenditure are measured at fair value, and changes therein are recognised in income and expenditure. Loans and receivables Loans and receivables are financial assets with fixed or determinable payments that are not quoted in an active market. Such assets are recognised initially at fair value plus any directly attributable transaction costs. Subsequent to initial recognition, loans and receivables are measured at amortised cost using the effective interest method, less any impairment losses. Loans and receivables comprise deposits, prepayments, other receivables and cash and cash equivalents. Cash and cash equivalents comprise cash balances and bank deposits. Non-derivative financial liabilities Financial liabilities are recognised initially on the trade date at which the Hospice becomes a party to the contractual provisions of the instrument. The Hospice derecognises a financial liability when its contractual obligations are discharged or cancelled or expire. Financial assets and liabilities are offset and the net amount presented in the balance sheet when, and only when, the Hospice has a legal right to offset the amounts and intends either to settle on a net basis or to realise the asset and settle the liability simultaneously. The Hospice classifies non-derivative financial liabilities into the other financial liability category. Such financial liabilities are recognised initially at fair value plus any directly attributable transaction costs. Subsequent to initial recognition, these financial liabilities are measured at amortised cost using the effective interest method. Other financial liabilities comprise deferred capital grants and trade and other payables. 3.4 Impairment Non-derivative financial assets A financial asset is assessed at each reporting date to determine whether there is objective evidence that it is impaired. A financial asset is impaired if objective evidence indicates that a loss event has occurred after the initial recognition of the asset, and that the loss event had a negative effect on the estimated future cash flows of that asset that can be estimated reliably. Objective evidence that financial assets are impaired can include default or delinquency by a debtor, restructuring of an amount due to the Hospice on terms that the Hospice would not consider otherwise, and indications that a debtor or issuer will enter bankruptcy. FS8 Dover Park Hospice Financial statements Year ended 31 March 2013 The Hospice considers evidence of impairment for receivables at both a specific asset and collective level. All individually significant receivables are assessed for specific impairment. All individually significant receivables found not to be specifically impaired are then collectively assessed for any impairment that has been incurred but not yet identified. Receivables that are not individually significant are collectively assessed for impairment by grouping together receivables with similar risk characteristics. In assessing collective impairment, the Hospice uses historical trends of the probability of default, timing of recoveries and the amount of loss incurred, adjusted for management’s judgement as to whether current economic and credit conditions are such that the actual losses are likely to be greater or less than suggested by historical trends. An impairment loss in respect of a financial asset measured at amortised cost is calculated as the difference between its carrying amount and the present value of the estimated future cash flows discounted at the asset’s original effective interest rate. Losses are recognised in the statement of financial activities and reflected in an allowance account against receivables. Interest on the impaired asset continues to be recognised through the unwinding of the discount. When a subsequent event causes the amount of impairment loss to decrease, the decrease in impairment loss is reversed through statement of income and expenditure. Non-financial assets The carrying amounts of the Hospice’s non-financial assets are reviewed at each reporting date to determine whether there is any indication of impairment. If any such indication exists, then the asset’s recoverable amount is estimated. An impairment loss is recognised if the carrying amount of an asset or its related cash-generating unit (CGU) exceeds its recoverable amount. The recoverable amount of an asset or CGU is the greater of its value in use and its fair value less costs to sell. In assessing value in use, the estimated future cash flows are discounted to their present value using a pre-tax discount rate that reflects current market assessments of the time value of money and the risks specific to the asset or CGU. For the purpose of impairment testing, assets that cannot be tested individually are grouped together into the smallest group of assets that generates cash inflows from continuing use that are largely independent of the cash inflows of other assets or groups of assets or CGU. Impairment losses are recognised in the statement of financial activities. Impairment losses recognised in respect of CGUs are allocated to reduce the carrying amounts of the other assets in the CGU (group of CGUs) on a pro rata basis. Impairment losses recognised in prior periods are assessed at each reporting date for any indications that the loss has decreased or no longer exists. An impairment loss is reversed if there has been a change in the estimates used to determine the recoverable amount. An impairment loss is reversed only to the extent that the asset’s carrying amount does not exceed the carrying amount that would have been determined, net of depreciation, if no impairment loss had been recognised. 3.5 Employee benefits Contribution to Central Provident Fund Obligations for contributions to Central Provident Fund are recognised as an expense in the statement of income and expenditure as incurred. FS9 Dover Park Hospice Financial statements Year ended 31 March 2013 Short-term accumulating compensated absences Short-term accumulating compensated absences are recognised when employees render services that increase their entitlement to future compensated absences. Short-term benefits Short-term employee benefit obligations are measured on an undiscounted basis and are expensed as the related service is provided. A liability is recognised for the amount expected to be paid under short-term cash bonus or profit-sharing plans if the Hospice has a present legal or constructive obligation to pay this amount as a result of past service provided by the employee and the obligation can be estimated reliably. 3.6 Deferred capital grants Grants from the government received by the Hospice to construct, furnish and equip the Hospice and to purchase depreciable assets are taken to the deferred capital grants account. Deferred capital grants are recognised in the income and expenditure statement over the periods necessary to match the depreciation of the assets purchased or donated, with the related grants. 3.7 Operating leases Where the Hospice has the use of assets under operating leases, payments made under the leases are recognised in the statement of income and expenditure on a straight-line basis over the term of the lease. Lease incentives received are recognised in the statement of income and expenditure as an integral part of the total lease payments made. 3.8 Incoming resources (i) Donations are recognised as income when the following three criteria are met: • • • Entitlement – normally arises when there is control over the rights or other access to the resource, enabling the Hospice to determine its future application; Certainty – when it is virtually certain that the income will be received; Measurement – when the monetary value of the income can be measured with sufficient reliability. (ii) Grants received to meet operating expenses are recognised as income in the year these operating expenses are incurred. (iii) Membership subscriptions are recognised on an accrual basis. (iv) Revenue from rendering services is recognised when the services are rendered. 3.9 Finance income Finance income comprises interest income on funds invested, dividend income, gains on disposal of financial assets, gains in fair value of financial assets through income and expenditure and foreign exchange gain that are recognised in the statement of income and expenditure. Interest income is recognised as it accrues, using the effective interest method. Dividend income is recognised on the date the Hospice’s right to receive payment is established. FS10 Dover Park Hospice Financial statements Year ended 31 March 2013 3.10 Resources expended All expenditure is accounted for on an accrual basis and has been classified under headings that aggregate all costs related to that activity. Cost comprises direct expenditure including direct staff costs attributable to the activity. Where costs cannot be wholly attributable to an activity, they have been apportioned on a basis consistent with the use of resources. These include overheads such as utilities, amortisation of renovations and support costs. (i) Allocation of support costs Support costs comprise staff costs relating to general management, human resource and administration, budgeting, accounting and finance functions and have been allocated to fundraising, charitable activities and governance based on management’s best estimated amount of time spent on each activity, if possible. (ii) Costs of generating funds The costs of generating funds are those costs attributable to generating income for charity, other than those costs incurred in undertaking charitable activities or the costs incurred in undertaking trading activities in furtherance of the Hospice’s objects. (iii) Charitable activities Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the Hospice. The total costs of charitable expenditure include an apportionment of support costs. (iv) Governance costs Governance costs comprise all costs attributable to the general running of the Hospice in providing the governance infrastructure and in ensuring public accountability. These costs include costs related to constitutional and statutory requirements, and include an apportionment of overhead and support costs. 3.11 New standards and interpretations not yet adopted A number of new standards, amendments to standards and interpretations have been issued as of 1 April 2012 but are not yet effective. The Hospice has yet to assess the full impact of these standards and intends to apply these standards from 1 April 2014. FS11 Dover Park Hospice Financial statements Year ended 31 March 2013 4 Property, plant and equipment Building $ Facilities improvement $ Office equipment $ Plant and equipment $ Medical equipment $ Furniture and fittings $ Cost At 1 April 2011 Additions Re-classification Written off At 31 March 2012 Additions Written off At 31 March 2013 4,538,567 – – – 4,538,567 – – 4,538,567 1,086,659 2,279,987 – (160,244) 3,206,402 142,032 – 3,348,434 29,906 5,564 1,325 (6,208) 30,587 8,831 (18,477) 20,941 99,150 25,648 7,200 (23,219) 108,779 19,042 (19,115) 108,706 949,155 130,188 (7,200) (308,522) 763,621 42,593 (53,450) 752,764 384,957 20,043 – (278,358) 126,642 41,814 (20,334) 148,122 105,804 – – – 105,804 – – 105,804 258,092 104,839 (1,325) (118,745) 242,861 29,473 (15,103) 257,231 7,452,290 2,566,269 – (895,296) 9,123,263 283,785 (126,479) 9,280,569 Accumulated depreciation At 1 April 2011 Depreciation for the year Re-classification Written off At 31 March 2012 Depreciation for the year Written off At 31 March 2013 1,420,148 90,771 – – 1,510,919 90,771 – 1,601,690 355,826 224,443 – (55,009) 525,260 222,117 – 747,377 29,651 1,365 1,324 (6,208) 26,132 2,879 (18,475) 10,536 81,757 12,910 5,760 (23,219) 77,208 12,203 (16,059) 73,352 743,795 81,501 (5,760) (308,522) 511,014 64,737 (48,651) 527,100 354,429 25,679 – (275,235) 104,873 15,318 (19,833) 100,358 87,275 4,632 – – 91,907 4,632 – 96,539 244,765 40,495 (1,324) (117,250) 166,686 47,337 (15,103) 198,920 3,317,646 481,796 – (785,443) 3,013,999 459,994 (118,121) 3,355,872 Carrying amounts At 1 April 2011 At 31 March 2012 At 31 March 2013 3,118,419 3,027,648 2,936,877 255 4,455 10,405 17,393 31,571 35,354 205,360 252,607 225,664 30,528 21,769 47,764 18,529 13,897 9,265 13,327 76,175 58,311 4,134,644 6,109,264 5,924,697 730,833 2,681,142 2,601,057 Motor vehicles $ Computer equipment $ Total $ FS12 Dover Park Hospice Financial statements Year ended 31 March 2013 5 Financial assets – Investments ‹----------------------------- 2013 -----------------------------› Managed by Managed internally fund manager Investments at fair value through income and expenditure Quoted equity securities Fixed income securities Quoted preference shares Accumulated Endowment Fund Fund $ $ – 1,060,440 561,010 1,621,450 2,036,120 954,015 816,429 3,806,564 Endowment Fund $ Total $ 3,821,268 8,398,557 – 12,219,825 5,857,388 10,413,012 1,377,439 17,647,839 ‹----------------------------- 2012 -----------------------------› Managed by Managed internally fund manager Accumulated Endowment Fund Fund $ $ – 1,064,074 544,680 1,608,754 2,453,119 974,650 1,322,525 4,750,294 Endowment Fund $ Total $ 4,294,124 8,271,325 – 12,565,449 6,747,243 10,310,049 1,867,205 18,924,497 Fixed income securities bear fixed interest rates as at balance sheet date ranging from 2.15% to 5.75% (2012: 1.69% to 5.75%). All financial assets are denominated in Singapore dollar. FS13 Dover Park Hospice Financial statements Year ended 31 March 2013 6 Deposits, prepayments and other receivables 2013 $ Deposits Interest receivable Other receivables Prepayments Receivable from Ministry of Health 97,964 105,605 235,338 31,842 193,756 664,505 2012 $ 97,806 119,562 161,128 24,569 1,065,433 1,468,498 Included in the Receivable from Ministry of Health is an amount of $51,661 (2012: $1,065,433) due from the Community Silver Trust Fund. The Community Silver Trust is a scheme whereby the government will provide a matching grant of one dollar for every donation dollar raised by eligible organisations. The objectives are to encourage more donations and provide additional resources for the service providers in the Intermediate and Long Term Care Sector and to enhance capabilities and provide value-added services to achieve affordable and higher quality care. The movement of the grant and utilization of the Community Silver Trust are as follows: 2013 $ Balance at beginning of year Add: Receipts Community Silver Trust - Matching Grant Less: Expenditure Balance at the end year 7 2012 $ (1,065,433) – 1,830,851 – (817,079) (1,065,433) (51,661) (1,065,433) Cash and cash equivalents 2013 $ Cash at bank and in hand Fixed deposits with financial institutions Cash and cash equivalents in statement of financial position Less: Fixed deposits with maturity more than 90 days at year end Cash and cash equivalents in statement of cash flows 2012 $ 7,537,818 3,120,382 4,266,410 2,611,267 10,658,200 6,877,677 (2,620,382) 8,037,818 (2,611,267) 4,266,410 The effective interest rates per annum at the balance sheet date ranged from 0.25% to 0.50% (2012: 0.27% to 0.43%). Interest rates reprice at intervals of one to twelve months. FS14 Dover Park Hospice Financial statements Year ended 31 March 2013 Included in cash at bank and in hand is $1,497,511 (2012: $386,654) held on behalf of the Hospice by an external fund manager. The Hospice considers this amount as cash and cash equivalent as it is able to utilise this amount for its operating requirements on short notice. 8 Funds of the Hospice (i) Restricted Fund: Endowment Fund The Endowment Fund is represented by the following: Financial assets at fair value through income and expenditure Deposits, prepayments and other receivables Cash and cash equivalents 2013 $ 2012 $ 16,026,389 84,324 3,994,051 20,104,764 17,315,743 99,104 1,303,450 18,718,297 2013 $ 2012 $ 9,786,146 10,318,618 20,104,764 9,786,146 8,932,151 18,718,297 The Endowment Fund comprises: Capital account Accumulated surplus The Endowment Fund was established on 1 September 1996 under Article 14 of the Dover Park Hospice Constitution. It comprises the capital account and accumulated surplus. According to Article 14, the accumulated surplus of the Endowment Fund may be applied by the Council for the purposes of the Hospice. No capital of the Endowment Fund shall be expended without the approval of members of the Hospice at a general meeting. The purpose of the Endowment Fund is to provide a constant stream of income to the Hospice to supplement the Accumulated Fund, the amount of which is subject to uncertainty. (ii) Unrestricted Fund: Accumulated Fund The Accumulated Fund is represented by the following: 2013 $ Property, plant and equipment Financial assets at fair value through income and expenditure Deposits, prepayments and other receivables Cash and cash equivalents Deferred capital grants Trade and other payables 2012 $ 5,924,697 6,109,264 1,621,450 580,181 6,664,149 (3,289,598) (714,967) 1,608,754 1,369,394 5,574,227 (3,185,270) (901,435) 10,785,912 10,574,934 FS15 Dover Park Hospice Financial statements Year ended 31 March 2013 Capital management The capital structure of the Hospice consists of the endowment fund and the accumulated fund. The Hospice’s primary objective in capital management is to maintain the size of the capital account in its Endowment Fund whilst having sufficient funds to continue to provide palliative care services. Pursuant to the Code of Governance for Charities and Institutions of a Public Character Guideline 6.4.1, the Council has established a reserve policy (“Reserve Policy”) for the Hospice. In setting the Reserve Policy, the Council is of the view that it is more reasonable to use net liquid assets available to meet expenditure obligations as a reserve measurement instead of the full unrestricted funds. Unrestricted net liquid asset available to meet expenditure obligations is calculated as the sum of the financial assets at fair value through income and expenditure, deposits, prepayments and other receivables, cash and cash equivalents less trade and other payables relating to the unrestricted fund. The reserves of the Hospice provide financial stability and the means for the development of its operations and activities. The Hospice intends to maintain the reserves at a level sufficient for its operating needs and the Council regularly reviews the amount of reserves that are required to ensure that they are adequate to fulfil its continuing obligations. 2013 $ 2012 $ Unrestricted Funds Financial assets at fair value through income and expenditure Deposits, prepayments and other receivables Cash and cash equivalents Trade and other payables Total unrestricted liquid assets 1,621,450 580,181 6,664,149 (714,967) 8,150,813 1,608,754 1,369,394 5,574,267 (901,435) 7,650,980 Total expenditure 8,432,090 6,278,344 0.97 1.22 Ratio of net liquid assets to total operating expenditure There were no changes in its approach to capital management during the year. 9 Deferred capital grants 2013 $ At 1 April Contribution transferred to deferred capital grant during the year Deferred capital grants written off Amortisation for the year At 31 March 2012 $ 3,185,270 2,441,768 295,490 – (191,162) 3,289,598 949,786 (39,543) (166,741) 3,185,270 Deferred capital grants comprise government grants and solicited donations received for the purpose of constructing, furnishing and equipping the Hospice. FS16 Dover Park Hospice Financial statements Year ended 31 March 2013 10 Trade and other payables Trade payables Accrued operating expenses Advance membership subscriptions Employees’ short-term accumulating compensated absences Other payables 2013 $ 2012 $ 160,802 232,177 1,525 23,602 108,383 2,150 79,734 240,729 714,967 86,125 681,175 901,435 The contractual undiscounted cash outflows of accrued operating expenses and other payables is the carrying amounts, which is due within a year, for both financial years as at 31 March 2013 and 2012. 11 Incoming resources from generated funds 2013 $ Tax exempt receipts Non tax exempt receipts 2,844,625 248,853 3,093,478 2012 $ 3,003,509 194,592 3,198,101 Included in non tax exempt receipts is an amount of $146,188 (2012: $93,817) donations without tax reference number registered under Institutions of Public Character portal. 12 Investment income Interest income from banks Income from fixed income securities Dividend income 2013 $ 2012 $ 11,488 449,378 315,150 776,016 8,783 355,747 441,700 806,230 FS17 Dover Park Hospice Financial statements Year ended 31 March 2013 13 Net incoming resources The following items have been included in arriving at net incoming resources: 2013 $ Depreciation of property, plant and equipment Staff costs Contributions to Central Provident Fund included in staff costs Audit fees Operating lease expense 14 (481,796) (4,019,284) (384,540) (70,272) (258,926) (266,481) (49,168) (258,944) 2013 $ 2012 $ 374,639 242,317 2013 $ 2012 $ Investment management expenses Management fee Investment charges Other charges 16 (459,994) (5,923,170) Fundraising costs Fundraising events 15 2012 $ 65,738 21,516 10,764 98,018 65,047 9,589 6,796 81,432 Charitable activities 2013 $ Depreciation of property, plant and equipment Staff costs Operating lease expense Patient care expenses Establishment expense Other expenses 394,264 4,819,303 230,445 555,596 219,151 171,566 6,390,325 2012 $ 386,642 3,068,464 233,050 478,205 206,057 296,489 4,668,907 FS18 Dover Park Hospice Financial statements Year ended 31 March 2013 17 Governance activities 2013 $ Depreciation of property, plant and equipment Staff costs Operating lease expense Establishment expense Other expenses 2012 $ 65,730 1,097,264 28,481 299,326 176,325 1,667,126 95,154 943,711 25,894 239,710 62,651 1,367,120 Staff costs under governance activities include cost of staff of the Hospice who are involved in general running of the Hospice. It is not practicable to allocate their time accurately so as to apportion their salaries to fundraising and charitable activities. 18 Remuneration of employees The number of employees whose remuneration exceeded $100,000 in the year are as follows: 2013 Number of employees in bands: $100,001 to $150,000 $150,001 to $200,000 2012 1 2 – 2 The Hospice entered into a service agreement for the purchase of medical consultancy services from Tan Tock Seng Hospital Pte Ltd which commenced on 1 July 2008. The Hospice receives services from its volunteers. The volunteers are not remunerated for their services. The total number of employees as at financial year end is 89 (2012: 80). 19 Income tax expense The Hospice is an approved charity organisation under the Charities Act, Chapter 37 and an institution of a public character under the Income Tax Act, Chapter 134. No provision for taxation has been made in the financial statements as the Hospice is a registered charity with income tax exemption. FS19 Dover Park Hospice Financial statements Year ended 31 March 2013 20 Financial risk management Overview Risk management is integral to the whole operation of the Hospice. The Hospice has a system of controls in place to create an acceptable balance between the cost of risks occurring and the cost of managing the risks. The Council continually monitors the Hospice’s risk management process to ensure that an appropriate balance between risk and control is achieved. The Hospice is exposed to credit risk, liquidity risk and market risk. This note presents information about the Hospice’s exposure to each of these risks, the Hospice’s objectives, policies and procedures and processes for measuring and managing risks. Further quantitative disclosures are included in these financial statements. Credit risk Credit risk is the potential financial loss resulting from the failure of a counterparty to settle its financial and contractual obligations to the Hospice, as and when they fall due. The Hospice’s exposure to credit risk arises principally from deposits, prepayments and other receivables and investments in fixed income securities and non-cumulative, non-convertible preference shares. The Hospice’s other receivables amounting to $235,338 (2012: $161,128) are not past due. The Hospice establishes an allowance for impairment that represents its estimate of incurred loss in respect of grant due from Ministry of Health, patient fees receivable and other receivables. The main component of this allowance is a specific loss component that relates specifically to individually significant exposures. There are no allowances for impairment arising from these amounts. The allowance accounts are used to record impairment losses unless the Hospice is satisfied that no recovery of the amount owing is possible; at that point, the amount considered irrecoverable is written off against the allowances directly. Similarly on investment operations, the Investment Committee limits investments to bonds with at least BBB or equivalent credit rating. Cash and fixed deposits are placed with banks and financial institutions which are regulated. Investments and transactions involving financial instruments are allowed only with counterparties that are of high credit worthiness. At the reporting date, significant concentration of credit risk relates to cash at bank and fixed deposits placed with a local bank and a foreign bank in Singapore and financial assets held on behalf by a fund manager. The maximum exposure to credit risk is represented by the carrying amount of each financial asset in the balance sheet. FS20 Dover Park Hospice Financial statements Year ended 31 March 2013 The table below summarises the types of fixed income securities held by the Hospice and the credit ratings which are based on Standard & Poor’s financial strength rating or its equivalent. The fixed income securities comprise mainly government securities and corporate bonds. A to AAA $ 2013 Fixed income securities Corporate bonds Government securities Non-cumulative, non-convertible preference shares 2012 Fixed income securities Corporate bonds Government securities Non-cumulative, non-convertible preference shares B to BBB $ Total $ 3,776,949 520,692 4,297,641 6,115,371 – 6,115,371 9,892,320 520,692 10,413,012 561,010 4,858,651 816,429 6,931,800 1,377,439 11,790,451 3,447,152 514,938 3,962,090 6,347,959 – 6,347,959 9,795,111 514,938 10,310,049 1,055,650 5,017,740 811,555 7,159,514 1,867,205 12,177,254 Liquidity risk Liquidity risk is the risk that the Hospice will not be able to meet its financial obligations as they fall due. The Hospice’s approach to managing liquidity is to ensure, as far as possible, that it will always have sufficient liquidity to meet its liabilities when due, under both normal and stressed conditions, without incurring unacceptable losses or risking damage to the Hospice’s reputation. Typically, the Hospice ensures that it has sufficient cash on demand to meet expected operational demands excluding the potential impact of extreme circumstances that cannot reasonably be predicted. The carrying amount of trade and other payable approximates the expected contractual cash flows which will mature within the next one year. Market risk Market risk is the risk that changes in market prices, such as interest rates, foreign exchange rates and equity prices will affect the Hospice’s income or value of its holdings of financial instruments. The objective of market risk management is to manage and control market risk exposures within acceptable parameters, while optimising the return on risk. FS21 Dover Park Hospice Financial statements Year ended 31 March 2013 Equity price risk Equity price risk is the risk that the fair value or future cash flows of an equity security will fluctuate because of changes in market prices (other than those arising from interest rate risk or currency risk), whether those changes are caused by factors specific to the individual eqity security or its issuer, or factors affecting all similar equity security traded in the market. Sensitivity analysis The Hospice’s investments in equity securities are designated as fair value through income and expenditure investments. A 10% increase or decrease in the underlying equity prices at the reporting date would increase or decrease income by $585,739 (2012: $674,724) respectively. This analysis assumes that all other variables remain constant. Interest rate risk The Hospice’s exposure to changes in interest rates relates primarily to investments in fixed income securities and fixed deposits. Sensitivity analysis The Hospice’s investments in fixed income securities are designated as fair value through income and expenditure investments. A 10% increase or decrease in the underlying interest rate at the reporting date would increase or decrease income by $1,179,045 (2012: $1,217,725) respectively. This analysis assumes that all other variables remain constant. At the balance sheet date, management assessed that an increase/(decrease) of 50 basis points in the interest rates would have no significant impact to the Hospice. Foreign currency risk The financial assets of the Hospice are all denominated in Singapore dollars. The Hospice has no exposure to foreign currency risk. Estimation of fair values The following summarises the significant methods and assumptions used in estimating the fair values of financial instruments of the Hospice Investments in equity and fixed income securities The fair value of financial assets at fair value through income and expenditure is determined by reference to their quoted bid prices at the reporting date. Other financial assets and liabilities The carrying amounts of financial assets and liabilities with a maturity of less than one year (including trade and other receivables, cash and cash equivalents, and trade and other payables) are assumed to approximate their fair values because of the short period to maturity. FS22 Dover Park Hospice Financial statements Year ended 31 March 2013 Fair value hierarchy The table below analyses financial instruments carried at fair value by valuation method. The different levels have been defined as follows: Level 1: quoted prices (unadjusted) in active markets for identical assets or liabilities; Level 2: inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly (i.e., as prices) or indirectly (i.e., derived from prices); Level 3: inputs for the asset or liability that are not based on observable market data (unobservable inputs). Level 1 $ 21 Level 2 $ Level 3 $ Total $ 31 March 2013 Financial assets - Investments 17,647,839 – – 17,647,839 31 March 2012 Financial assets - Investments 18,924,497 – – 18,924,497 Related party transactions For the purpose of these financial statements, parties are considered to be related to the Hospice if the Hospice has the ability, directly or indirectly, to control the party or exercise significant influence over the party in making financial and operating decisions, or vice versa, or where the Hospice and the party are subject to common control or common significant influence. Related parties may be individuals or other entities. Key management personnel remuneration Key management personnel of the Hospice are those persons having the authority and responsibility for planning, directing and controlling the activities of the Hospice. The senior management are considered as key management personnel of the Hospice. Key management personnel remuneration recognised in the statement of comprehensive income is as follows: Key management personnel - short-term employee benefits 2013 $ 2012 $ 549,477 361,168 The Hospice is governed by the Governing Council. All members of the Council are volunteers and received no monetary remuneration for their contribution to the Hospice. FS23 Dover Park Hospice Financial statements Year ended 31 March 2013 The transactions with related parties are as follows: 2013 $ Purchase of computer peripherals Purchase of architectural services and resident technical officer service 2012 $ 7,511 13,441 32,100 221,483 FS24