KK HOSPITAL

HEALTH ENDOWMENT FUND

ANNUAL REVIEW 2008/09

KK Women’s and Children’s Hospital 100 Bukit Timah Road Singapore 229899 Tel : (65) 6394 2322/2327 Fax: (65) 6394 8268 Website: www.kkh.com.sg E-mail: [email protected]

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KKHHEF ANNUAL REVIEW 08/09

The best care to be given to patients free of financial constraints and to be an excellent support for the advancement of healthcare for women and children.

To raise funds for needy patients as well as education, research and disease prevention programmes targeted at women’s and children’s health.

KKHHEF ANNUAL REVIEW 08/09

CHAIRMAN’S MESSAGE

Prof Tan Ser Kiat Chairman Board of Trustees KKHHEF

The KK Hospital Health Endowment Fund was not spared the ravages of the financial crisis that swept the world economy in 2008. Fundraising proved to be more challenging and as result, our income fell to $2.2 million in FY 2008/09, compared with a record income of $3.1 million in FY 2007/08. As with any financial downturn, we also saw a huge increase in the number patients seeking financial assistance. Despite these challenges, I am pleased that we were able to help every needy woman and child who approached us for financial assistance with their medical bills. The Fund helped a total of 354 local women and children, a 40% increase over FY 2007/08 when there were 251 beneficiaries. These patients suffered long-term and serious illnesses such as cancer, HIV, gynaecological and other chronic conditions. The Fund also helped 12 underprivileged children from Cambodia, China and Indonesia with complex conditions which their own countries were unable to treat with their available level of surgical expertise. While the financial crisis brought unprecedented challenges, there was also much to be thankful for. In this regard, despite trying times, our partners, fundraisers, donors and volunteers who have supported the Fund through the years continued to do so without hesitation. I would like to thank them for their fortitude in caring for the less fortunate amongst us. I am certain that their kindness in helping lift the financial burden from our needy patients will give our patients new courage to handle their illnesses. I am also grateful to our dedicated Board of Trustees for their combined leadership in making a difference to our needy patients. It is heart-warming and encouraging to see such generosity borne out of compassion and empathy for the less fortunate, even as we grapple with the financial crisis in our own way. I am certain we will continue to contribute, each in our own small way, in helping build lives for those who need a helping hand, and in doing so, we build a stronger and more compassionate society.

The KK Hospital Health Endowment Fund (KKHHEF) was registered as a charity in 2002. It is administered by KK Women’s and Children’s Hospital (KKH) and governed by a Board of Trustees. The Board serves for a term of three years in an honorary capacity and receives no financial benefits from the fund. Donations to the fund are tax exempted.

BOARD OF TRUSTEES Chairman

Prof Tan Ser Kiat

Members

Prof Ivy Ng Ms Tan Su Shan Mr Douglas Benjamin Dr Caroline Low Ms Laura Hwang Mr Sushil Nair

KKHHEF ANNUAL REVIEW 08/09

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OUR BENEFICIARIES

Local Patients When the less fortunate come down with critical and long-term illnesses, they are unlikely to be able to afford their medical bills. At KK Women’s and Children’s Hospital, they are given a helping hand with financial aid from the KK Hospital Health Endowment Fund. In FY 2008/09, 354 local women and paediatric patients received a total of $2.01 million in financial aid for medical treatment of cancer, HIV, and gynaecological and other chronic conditions. One beneficiary, John*, came down with a condition called Rickets when he was just three years old. Being the only child of a single parent family, his mother had to work, leaving him in his grandmother’s care. John’s condition required fourhourly medication to prevent his legs from turning inwards in a bow-legged manner. With dedicated care from his grandmother, John did well until he came down with a rare condition known as Leukodystrophy when he was 6 years old. With Leukodystrophy, he is unable to control his limbs. With help from KKHHEF, John has a new wheel-chair with special features that support him well. KKHHEF also supports the family with John’s expenses on medication, medical consultation and physiotherapy. Having a baby born prematurely is a trying time for parents as they worry about the baby’s health. For some parents, they worry about medical bills too as premature babies stay in ICU from about two to seven months. For example, twins, Eric* and Edward* were born at 500 grams and 1.8kg respectively and had to remain in hospital for about 6 months. Their father’s salary of $2,000 per month was not sufficient to pay for the twins’ combined medical bill of $27,000 which was borne by KKHHEF. Additionally, some babies may require a special formula milk, breast pumps and medical equipment to keep them alive at home. It is also not unusual that some parents find it too expensive to make their daily trips by bus to the hospital to visit their babies. These expenses are often borne by KKHHEF. Children with HIV also benefit from the Fund. In FY 2008/09, KKH treated 27 children with the latest anti-viral medication which has kept them from succumbing to the terminal phase of the disease, AIDS. The treatment costs $800 to $1,800 per child per month depending on the child’s body weight. Pregnant women

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KKHHEF ANNUAL REVIEW 08/09

with HIV are also helped with medication to prevent the transmission of the disease to their unborn. Low-income women with serious illnesses such as cancer, high-risk pregnancies and gynaecological conditions are not usually able to bear the cost of medical treatment. One example is Joanne*, a 29-year old with breast cancer. Her salary of $1,100 as an administrative assistant together with her husband’s salary of $1,200 as a technician are barely sufficient to support her family of six comprising aged parents and her three-year old daughter. As such, her treatment was fully funded by KKHHEF.

Since FY 2002/03, KKROK has helped 70 patients from Cambodia, China, Indonesia, Malaysia and Myanmar with an average of about $15,000 per child.

Viriya-KK Children’s Hospital HomeCare Programme Children with chronic illnesses may require specialised medical equipment to keep them alive when they are at home. KKH saw the need for a homecare programme providing holistic care by a multi-disciplinary team of healthcare professionals to help these paediatric patients live better quality lives.

* Not the patient’s real name

Foreign Patients Underprivileged children in the region with rare and complex conditions, often unseen in Singapore, live with much physical and emotional suffering throughout their lives as medical treatment for such conditions are unavailable in their own countries. Sri Rejeki, an orphan at Yayasan Bakhti Luhur in Indonesia would have suffered the same plight if not for help from KKH doctors. She was born with severe cleft and craniofacial abnormalities requiring reconstruction and an eye prosthesis. After several surgeries at KKH, Sri Rejeki’s facial abnormalities are less obvious and this has given her new confidence and a happier disposition, thanks to the KK Regional Outreach to Kids (KKROK) Fund which paid her medical bill amounting to $18,000.

Sri Rejeki, an Indonesian orphan, received reconstructive surgery for cleft and craniofacial abnormalities.

The KKROK Fund sits under the umbrella of KKHHEF and helps needy paediatric patients from the region with complex conditions that their own countries are not able to rectify due to the available level of surgical expertise. These patients are identified by KKH doctors when they make regional medical trips to the region, as well as overseas doctors and community groups.

Homecare helps children with chronic illnesses have a better quality of life.

Moving beyond hospital grounds, KKH partnered Viriya Community Services in 2004 to start the Viriya-KK Children’s Hospital HomeCare Programme to provide financial, community and emotional support to chronically ill children and their families. Viriya Community Services contributed $240,000 yearly to KKHHEF in support of the Viriya-KKH HomeCare Programme since 2004, making it a cumulative donation of $1.48 million in FY 2008/09. As at the end of FY 2008/09, the programme has helped 467 chronically-ill patients.

Play Therapy Paediatric patients need special care and comfort when hospitalized. To ease their fears and help them cope with the hospital experience, KKH play therapists and volunteers help them handle their anxieties over treatment and surgery through a Play Therapy programme. The programme makes use of story-telling, games and art & craft work to ease their fears. The Kidz Horizon Appeal, a fundraiser for KKHHEF, supports this programme.

Play therapy helps ease children's fears of treatment.

Dr Siow Wan Tew, Head and Senior Consultant, Neurosurgical Service

KKHHEF ANNUAL REVIEW 08/09

MAKING A DIFFERENCE

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FUNDRAISING ACTIVITIES

The success of KKHHEF in helping the less fortunate is dependent on the benevolence of partners, fundraisers and donors. In this regard, the Fund has received firm support from many generous individuals, corporations and foundations.

Kidz Horizon Appeal The Kidz Horizon Appeal was set up in 2004 and comprises a group of friends of one mind to help the less fortunate children who are ill. Over the years, the Appeal has raised an average of about $1 million a year to support needy children with cancer, HIV and other chronic conditions, a Play Therapy programme to make the hospital experience less threatening, and pregnant women with HIV. On 14 March 2009, the Appeal held the Kidz Horizon Gala Dinner for 440 guests, themed ‘The Golden Era of Travel’, with guest of honour, Dr Ng Eng Hen, Minister for Education and Second Minister for Defence. The dinner raised about $379,000. The Kidz Horizon Golf Charity Tournament held on 16 January 2009 at Sentosa Golf Club, with guest of honour, Dr Balaji Sadasivan, Senior Minister of State for Foreign Affairs, and Special Guest, Dr Lim Wee Kiak, Member of Parliament (Canberra), raised about $133,000.

The American Association of Singapore The American Association of Singapore has been a firm supporter of the KKHHEF cause since 2002. On 1 November 2008, the Association held their annual charity ball at Hort Park which raised about $119,200 for the KK Regional Outreach to Kids (KKROK) Fund and KKHHEF.

Canadian Association of Singapore The Canadian Association of Singapore has been running the annual Teddy Bear Drive since 2004. On 14 December 2008, the Association donated teddy bears to paediatric patients at KKH. The charity drive raised $23,000 for KKHHEF.

OCBC Mighty Savers Programme The OCBC Mighty Savers Programme, launched in 2008 to encourage children to save, also has a component for the less fortunate. OCBC Bank contributed $1 to KKHHEF for every $20 saved by a child from August to September 2008. A total of $20,000 was donated to KKHHEF from this promotion.

SMRT Gift of Mobility Programme SMRT’s Gift of Mobility Programme donated $9,000 worth of taxi services to KKHHEF to help patients with transportation to and from the hospital for treatment. Patients who are wheelchair bound find this service useful.

On the next page...

Viriya Community Services Viriya Community Services (VCS) is a charitable organization that provides community and social services to low income families in Singapore. VCS has supported the Viriya-KK Children’s Hospital HomeCare Programme through KKHHEF with a yearly donation of $240,000 since 2004.

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KKHHEF ANNUAL REVIEW 08/09

Guest of Honour, Dr Ng Eng Hen, Minister for Education and Second Minister for Defence (centre) and Prof Tan Ser Kiat, Chairman, KKHHEF, receive the Kidz Horizon donation from Dr Caroline Low, Chairperson, Kidz Horizon at the 2009 Gala 01 Dinner.

Guest of Honour, Dr Balaji Sadasivan, Senior Minister of State for Foreign Affairs, receives a token of appreciation from Mr Tan Jack Thian, Chief Operating Officer, KKH, at the Kidz Horizon Charity Golf Tournament.

His Excellency Mr David 03 Sevigny, Canadian High Commissioner to Singapore (extreme right), gave out teddy bears at the wards at the Canadian Association of Singapore's Teddy Bear Drive.

Mr Nicholas Tan, Head of 0 4 Wealth Group Management, OCBC Bank, (left) with Mr Tan Jack Thian, Chief Operating Officer, KKH as they open the OCBC Mighty Savers playground at KKH. Mr Tan Jack Thian receives the OCBC Bank donation.

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KKHHEF ANNUAL REVIEW 08/09

01

02

03

04

FUNDRAISING ACTIVITES

07

FINANCIAL REPORT

2006 01/04/06 to 31/03/07 (S$’000)

2007 01/04/07 to 31/03/08 (S$’000)

2008 01/04/08 to 31/03/09 (S$’000)

% Increase / (Decrease) [Year 2008 on Year 2007]

1,938 184

2,183 805

1,668 375

(24) (53)

-

-

-

-

Grants / Sponsorships

181

94

134

43

Investment income

65

77

54

(30)

Investment gains

-

-

-

-

Others (please specify if material)

-

-

-

-

2,368

3,159

2,231

(29)

2006 01/04/06 to 31/03/07 (S$’000)

2007 01/04/07 to 31/03/08 (S$’000)

2008 01/04/08 to 31/03/09 (S$’000)

% Increase / (Decrease) [Year 2008 on Year 2007]

378

277

393

42

1,170 -

2,126 -

2,010 -

(5) -

Other Operating & Administration Expenses4

3

8

7

(13)

Others (please specify if material)

-

-

-

-

Total Expenditure

1,551

2,411

2,410

-

Surplus / (Deficit)

817

748

(179)

(124)

2006 01/04/06 to 31/03/07 (S$’000)

2007 01/04/07 to 31/03/08 (S$’000)

2008 01/04/08 to 31/03/09 (S$’000)

% Increase / (Decrease) [Year 2008 on Year 2007]

Land and Buildings

-

-

-

-

Other Tangible Assets

-

-

-

-

Investments

-

-

-

-

Inventories

-

-

-

-

Income Donations in Cash

Tax Deductible Non-Tax Deductible 1 Donations in Kind

Tax Deductible Non-Tax Deductible

Total Income

Expenses Direct Fund-raising Expenses 2 Charitable Activities Expenses 3

Local Overseas

Balance Sheet ASSETS

These include donations collected through flag days, donations that entail benefits to the donors and donations received for overseas purposes. This refers to costs directly incurred and paid for during fund-raising. They include such costs as advertisements, printing, publicity materials, rental of premises, logistics, hiring of commercial third-party fund-raisers, organizing games of chance, etc. 3 These are all resources applied by the charity in undertaking its work to meet its charitable objectives in the delivery of goods and services. Such costs include the direct costs of the charitable activities together with those support costs incurred that enable these activities to be undertaken. 4 These are expenses which relate to the general running of the charity that provide the governance infrastructure which allows the charity to operate, to generate the information required for public accountability, and the strategic planning processes that contribute to future development of the charity. 1 2

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KKHHEF ANNUAL REVIEW 08/09

FINANCIAL REPORT

2006 01/04/06 to 31/03/07 (S$’000)

2007 01/04/07 to 31/03/08 (S$’000)

2008 01/04/08 to 31/03/09 (S$’000)

% Increase / (Decrease) [Year 2008 on Year 2007]

296

650

141

(78)

2,886

3,463

3,835

11

-

-

-

-

3,182

4,113

3,976

(3)

395

782

1,063

36

2,530

2,891

2,430

(16)

-

-

-

-

2,925

3,673

3,493

(5)

-

-

-

-

Current Liabilities

257

440

483

10

Total Liabilities

257

440

483

10

3,182

4,113

3,976

(3)

2006 01/04/06 to 31/03/07 (S$’000)

2007 01/04/07 to 31/03/08 (S$’000)

2008 01/04/08 to 31/03/09 (S$’000)

% Increase / (Decrease) [Year 2008 on Year 2007]

Donations/Grants and Sponsorships given to other Charities (S$’000)

-

-

-

-

No. of Employees

-

-

-

-

Total Employee Costs (S$’000)

-

-

-

-

Total Related Party Transactions (S$’000) 8

211

140

146

4%

Fund-raising efficiency

16%

9%

18%

9%

2.49

1.72

1.73

1%

Balance Sheet Accounts Receivable Cash & Deposits Others (please specify if material) Total Assets FUNDS Unrestricted Fund 5 Restricted Fund

6

Endowment Fund

7

Total Funds LIABILITIES Long-Term Liabilities

Total Funds and Liabilities

Other Information

9

Ratio of reserves to annual operating expenditure 10

These are generally unrestricted funds which the IPC is free to use for its programmes and operating costs e.g. General Fund. These are special funds held by the IPC that can only be applied for specific purposes, e.g. a specific medical condition. 7 These are funds which the IPC holds in trust for the benefit of the IPC as a capital fund. Generally, only interest income from Endowment Funds are used, and not the capital sum. 8 Related Party Transactions refer to transactions between the IPC and another person where either person could have influence over the other. For example, if a board member of an IPC is related to a certain supplier of services for the IPC, the value of the transactions should be disclosed. Refer to the Financial Reporting Standards for the full definition of Related Party Transactions. 9 This is expressed in the ratio of A to B, where A refers to Direct Fund-raising Expenses and sponsorships relating to fund-raising (where receipts have been issued by sponsors); and B refers to total donations received from fund-raising and sponsorships relating to fund-raising (where receipts have been issued by sponsors). 10 This is expressed in the ratio of C to D, where C refers to Unrestricted and Restricted Funds; and D refers to Charitable Activities Expenses and Other Operating and Administration Expenses. 5 6

KKHHEF ANNUAL REVIEW 08/09

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MAJOR DONORS

More than $60,000

$500 to $2,499

KK Women's and Children's Hospital Pte Ltd

Ashton Wong U Jae

Kidz Horizon Appeal

Chan Kwok Wing Gary

Viriya Community Services

Cheng Sou Mei Chong Pik Wan

$25,000 to $59,999

Chua Pek Kim Deanna Hoh & Vincent Lim

American Association of Singapore

FCI Retail Concepts Pte Ltd

New Century Foundation

Franklin Tan Goh Mee See

$10,000 to $24,999

Ho Kee Kok Ivy Ng Swee Lian

Bristol Myers Squibb

Janet Lim Eng Kim

Canadian Association of Singapore

KONE Pte Ltd

Canadian International School Pte Ltd

Land Transport Authority, Road Operations & Community Partnership

Lee Wee Kok Newsman Realty Private Limited Oversea-Chinese Banking Corporation Limited Peter Warnes Theng Yin Leng Wong Cheng Kiong

Lionel Yeo Hung Tong LHS Electronics Enterprise L'Oreal Singapore Pte Ltd Lee Vanderson Ng Siew Khim Ngim Siong Choo Pang Tuck Wing

$2,500 to $9,999 Australian International School Singapore Capital International Chay Oh Moh Chia Chee Ming, Timothy Derek Jackson Yan Elizabeth Dionisio Garrett Lim Goh Foundation Limited Jardine Cycle & Carriage Ltd Kim Eng Securities Pte Ltd SMRT Corporation Ltd The American Chamber of Commerce in Singapore (AmCham) Wilmar International Limited

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KKHHEF ANNUAL REVIEW 08/09

Pei Chun Public School RPS Energy Limited (Singapore Branch) Seah Hui Tong Salbiabi Binte Mohamed Ali Staff of Emerson Process Management Asia Pacific Pte Ltd Tanusha Ismail Tat Hong Heavyequipment (Pte) Ltd