ACCOUNTS - Final Accounts preparation
ACCOUNTS - Final Accounts preparation
Registered number:
FOR THE YEAR ENDED 31 MARCH 2021
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HEALTHSHARE LIMITED
COMPANY INFORMATION
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HEALTHSHARE LIMITED
CONTENTS
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HEALTHSHARE LIMITED
GROUP STRATEGIC REPORT
FOR THE YEAR ENDED 31 MARCH 2021
The directors present their Strategic Report of the Company and Group for the year ended 31 March 2021.
The principal activity of the Company is the provision of medical services. Company Overview Healthshare Group is a leading Independent Integrated Community and Diagnostic Service Provider delivering physiotherapy, MSK (musculoskeletal), chronic pain, orthopaedics, rheumatology, podiatry and women’s health across its Community Services division, with endoscopy, MRI, CT, ultrasound, x-ray, DEXA, interventional radiology and day-case surgical procedures across its Diagnostics and HM Prisons Healthcare Division. The company serves over 500,000 NHS patients per annum across 40 partner agencies including Clinical Commissioning Groups (CCG), Primary Care Networks (PCN) and Secondary Care NHS Trust partners while supporting Her Majesty’s Prisons Service in delivering onsite community care and diagnostics services to 27 prisons nationwide. With the acquisition of Global Diagnostics in 2018 Healthshare has successfully vertically integrated and expanded its NHS provision allowing it to move care closer to home while successfully delivering better patient outcomes and whole systems savings to its commissioners. Following the acquisition of Global Diagnostics and subsequent onboarding of The Business Growth Fund (BGF) in 2019 as a shareholder, the company has successfully delivered on its strategy to establish a national network of Community Integrated Diagnostic, Endoscopy and Ambulatory Surgical Centre’s with the establishment of 2 centres in 2019/20 based in Norwich and Orpington with subsequent site role outs planned for 21/22. The success of these sites validates the company strategy to vertically integrate community services away from the acute hospital setting while demonstrating whole systems savings for the NHS across Community Clinical Services and Diagnostics. In line with the developing integration of Independent and NHS provision of care, accelerated during the COVID-19 pandemic, and to ensure sustainability, innovation and financial performance the organisation will continue to build on its successful mixed model of NHS and private provision. The organisation is unique in that it has proven its ability to deliver service transformation in a whole systems context with external validation of its success, while investing in infrastructure projects such as Community Diagnostic Hubs to sustain service delivery, transformation and sustainability and will continue to do so in 21/22 with new sites and services identified. As with all healthcare providers Healthshare recognised the need to harness a data driven approach to its services while acknowledging the need to ensure external validation of its innovative models of care and has partnered with the University of East Anglia (UEA) Medical School and department of Nutrition and Preventive Medicine to further develop, assess and peer review its models of care linked to its Virtual Digital MSK Management Platform, while supporting the university in its research into Healthy Ageing as a co-researcher. Nationally the company has been recognized by UK Research and Innovation (UKRI) with the award of grants for its digital management platform while being identified by UKRI as a candidate to scale both nationally and internationally and has been accepted onto the government funded UKRI Scale Up Program.
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HEALTHSHARE LIMITED
GROUP STRATEGIC REPORT (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2021
The results for the period which are set out in the profit and loss account show an operating profit before exceptional items and amortisation of £4,774,147 (2020: £1,711,313). This increase in operating profit occurred firstly due to the improved performance from Healthshare’s Diagnostic division following the integration of the Global Diagnostics acquisition in 2019/20, and secondly due to efficiencies made in Healthshare’s Clinical Division during 2020 mainly arising from the adoption of a number of new digital health pathways.
The balance sheet remained strong during 2020-21 despite the disruption to trading which arose at various times during the pandemic. Net Assets at £10,772,884 were £3.7m above prior year (2019: £7,103,091), with £5,289,144 of tangible fixed asset additions in the year, mainly in respect of the new diagnostic centres in Brentford (Riverside) opened in June 2020. The Directors consider the result for the year and the financial position of the group at the year-end to be satisfactory. As part of corporate monthly reporting the Directors use Key Performance Indicators (KPIs) to assist in the understanding of the development, performance and position of the business of the group. The KPIs used by the company to measure its own performance include contract and site revenues and profitability, Earnings before Interest, tax, depreciation and amortisation (EBITDA) operating cash flow conversion, number of patient visits/ tests, equipment capacity and utilisation, patient outcomes, new contracts won and quality ratings including Care Quality Commission ratings.
The business, in common with every other business, is subject to several risks and uncertainties which are monitored by the company’s board of directors and sub-committees. The key business risks and uncertainties affecting the group are considered to relate to uncertainty on the commissioning environment linked to the disestablishment of CCG’s, formation of new Integrated Care Systems, quality compliance in a highly challenging marketplace, staff resourcing and from disruption to normal trading caused by possible further future waves of the COVID-19 pandemic if these occur.
Normalised pro forma revenues and EBITDA of the Group:
2021 2020 Turnover £26.0M £22.0M EBITDA £6.1M £2.0M EBITDA % 23.1% 9.1%
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HEALTHSHARE LIMITED
GROUP STRATEGIC REPORT (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2021
The company is well positioned to sustain its current growth trajectory linked to service demands and capacity needs as outlined in the NHS Long-term plan. We are aware that our vertical integration strategy aligns with the findings of the recent Sir Mike Richards report on both National Screening Programmes and Diagnostics Capacity which highlight the need for the UK to develop a significant number of additional Community Diagnostic Hubs away from the traditional hospital setting to ensure that overall imaging and scoping additionality is added to the currently under-resourced NHS system. The company is also confident that the breadth of its offering across a wider range of Community Services is well positioned to offer whole system solutions to the newly emerging NHS commissioning structures.
This report was approved by the board and signed on its behalf.
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HEALTHSHARE LIMITED
DIRECTORS' REPORT
FOR THE YEAR ENDED 31 MARCH 2021
The directors present their report and the financial statements for the year ended 31 March 2021.
The directors are responsible for preparing the Group strategic report, the Directors' report and the consolidated financial statements in accordance with applicable law and regulations.
Company law requires the directors to prepare financial statements for each financial year. Under that law the directors have elected to prepare the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice), including Financial Reporting Standard 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland'. Under company law the directors must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the Company and the Group and of the profit or loss of the Group for that period.
In preparing these financial statements, the directors are required to:
∙select suitable accounting policies for the Group's financial statements and then apply them consistently;
∙make judgements and accounting estimates that are reasonable and prudent;
∙state whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the financial statements;
∙prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Group will continue in business.
The directors are responsible for keeping adequate accounting records that are sufficient to show and explain the Company's transactions and disclose with reasonable accuracy at any time the financial position of the Company and the Group and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Company and the Group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
The profit for the year, after taxation, amounted to £3,938,956 (2020 - £171,382).
A dividend of £400,000 (2020: £400,000) has been approved and paid for the year end 31 March 2021.
The directors who served during the year were:
Information on future developments of the group can be found in strategic report.
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HEALTHSHARE LIMITED
DIRECTORS' REPORT (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2021
The directors have considered the impact of the COVID-19 pandemic on the Group, further details of which can be found in the accounting policy 2.3.
Based on their assessments and having regard to the resources available to the Group, the directors have concluded that there is no material uncertainty and that they can continue to adopt the going concern basis in preparing the accounts.
The auditor, MHA MacIntyre Hudson, will be proposed for reappointment in accordance with section 485 of the Companies Act 2006.
This report was approved by the board and signed on its behalf.
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HEALTHSHARE LIMITED
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF HEALTHSHARE LIMITED
We have audited the financial statements of Healthshare Limited (the 'parent Company') and its subsidiaries (the 'Group') for the year ended 31 March 2021, which comprise the Group Statement of comprehensive income, the Group and Company Balance sheets, the Group Statement of cash flows, the Group and Company Statement of changes in equity and the related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland' (United Kingdom Generally Accepted Accounting Practice).
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the financial statements section of our report. We are independent of the Group in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financial Reporting Council's Ethical Standard and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
In auditing the financial statements, we have concluded that the directors' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the Group's or the parent Company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the directors with respect to going concern are described in the relevant sections of this report.
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HEALTHSHARE LIMITED
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF HEALTHSHARE LIMITED (CONTINUED)
The directors are responsible for the other information. The other information comprises the information included in the Annual Report, other than the financial statements and our Auditor's report thereon. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.
In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
We have nothing to report in this regard.
In our opinion, based on the work undertaken in the course of the audit:
∙the information given in the Group strategic report and the Directors' report for the financial year for which the financial statements are prepared is consistent with the financial statements; and
∙the Group strategic report and the Directors' report have been prepared in accordance with applicable legal requirements.
In the light of the knowledge and understanding of the Group and the parent Company and its environment obtained in the course of the audit, we have not identified material misstatements in the Group strategic report or the Directors' report.
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HEALTHSHARE LIMITED
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF HEALTHSHARE LIMITED (CONTINUED)
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an Auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these Group financial statements.
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:
∙Enquiry of entity staff to identify any instances of non-compliance with laws and regulations;
∙Performing audit work over the risk of management override of controls, including testing of journal entries and other adjustments for appropriateness, evaluating the business rationale of significant transactions outside the normal course of business and revieing accounting estimates for bias;
∙Reviewing minutes of meetings of those charged with governance; and
∙Reviewing financial statement disclosures and testing to supporting documentation to assess compliance with applicable laws and regulations.
Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our Auditor's report.
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HEALTHSHARE LIMITED
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF HEALTHSHARE LIMITED (CONTINUED)
This report is made solely to the Company's members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the Company's members those matters we are required to state to them in an Auditor's report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Company and the Company's members, as a body, for our audit work, for this report, or for the opinions we have formed.
for and on behalf of
Statutory Auditors
United Kingdom
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HEALTHSHARE LIMITED
CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME
FOR THE YEAR ENDED 31 MARCH 2021
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HEALTHSHARE LIMITED
REGISTERED NUMBER: 06896144
CONSOLIDATED BALANCE SHEET
AS AT 31 MARCH 2021
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HEALTHSHARE LIMITED
REGISTERED NUMBER: 06896144
CONSOLIDATED BALANCE SHEET (CONTINUED)
AS AT 31 MARCH 2021
The financial statements were approved and authorised for issue by the board and were signed on its behalf by:
The notes on pages 20 to 46 form part of these financial statements.
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HEALTHSHARE LIMITED
REGISTERED NUMBER: 06896144
COMPANY BALANCE SHEET
AS AT 31 MARCH 2021
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HEALTHSHARE LIMITED
REGISTERED NUMBER: 06896144
COMPANY BALANCE SHEET (CONTINUED)
AS AT 31 MARCH 2021
The financial statements were approved and authorised for issue by the board and were signed on its behalf by:
The notes on pages 20 to 46 form part of these financial statements.
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HEALTHSHARE LIMITED
CONSOLIDATED STATEMENT OF CHANGES IN EQUITY
FOR THE YEAR ENDED 31 MARCH 2021
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HEALTHSHARE LIMITED
COMPANY STATEMENT OF CHANGES IN EQUITY
FOR THE YEAR ENDED 31 MARCH 2021
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HEALTHSHARE LIMITED
CONSOLIDATED STATEMENT OF CASH FLOWS
FOR THE YEAR ENDED 31 MARCH 2021
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HEALTHSHARE LIMITED
CONSOLIDATED STATEMENT OF CASH FLOWS (CONTINUED)
FOR THE YEAR ENDED 31 MARCH 2021
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HEALTHSHARE LIMITED
CONSOLIDATED ANALYSIS OF NET DEBT
FOR THE YEAR ENDED 31 MARCH 2021
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Healthshare Limited is a private company limited by shares incorporated in England and Wales in the United Kingdom. The address of the registered office is Suite 9, 20 Churchill Square, Kings Hill, West Malling, Kent, ME19 4YU.
The financial statements are presented in sterling wich is the functional currency of the company and rounded to the nearest £1.
2.Accounting policies
The financial statements have been prepared under the historical cost convention unless otherwise specified within these accounting policies and in accordance with Financial Reporting Standard 102, the Financial Reporting Standard applicable in the UK and the Republic of Ireland and the Companies Act 2006.
The preparation of financial statements in compliance with FRS 102 requires the use of certain critical accounting estimates. It also requires Group management to exercise judgement in applying the Group's accounting policies (see note 3).
The Company has taken advantage of the exemption allowed under section 408 of the Companies Act 2006 and has not presented its own Statement of comprehensive income in these financial statements.
The following principal accounting policies have been applied:
The consolidated financial statements present the results of the Company and its own subsidiaries ("the Group") as if they form a single entity. Intercompany transactions and balances between group companies are therefore eliminated in full.
The consolidated financial statements incorporate the results of business combinations using the purchase method. In the Balance sheet, the acquiree's identifiable assets, liabilities and contingent liabilities are initially recognised at their fair values at the acquisition date. The results of acquired operations are included in the Consolidated statement of comprehensive income from the date on which control is obtained. They are deconsolidated from the date control ceases. In accordance with the transitional exemption available in FRS 102, the group has chosen not to retrospectively apply the standard to business combinations that occurred before the date of transition to FRS 102.
The financial statements have been prepared on a going concern basis. The directors have considered relevant information, including the annual budget, forecast future cashflows and the impact of subsequent events in making their assessment. The COVID-19 pandemic and the ensuing economic shutdown has not had a significant impact on the Gorup's operations. In response to the COVID-19 pandemic, the directors have performed a robust analysis of forecast future cash flows taking into account the potential impact on the business of possible future scenarios arising from the impact of COVID-19. This analysis also considers the effectiveness of available measures to assist in mitigating the impact of COVID-19.
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
2.Accounting policies (continued)
Grants of a revenue nature are recognised in the Consolidated statement of comprehensive income in the same period as the related expenditure.
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
2.Accounting policies (continued)
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
2.Accounting policies (continued)
Goodwill
Depreciation is charged so as to allocate the cost of assets less their residual value over their estimated useful lives, using the straight-line method and reducing balance basis.
Depreciation is provided on the following basis:
The assets' residual values, useful lives and depreciation methods are reviewed, and adjusted prospectively if appropriate, or if there is an indication of a significant change since the last reporting date.
Gains and losses on disposals are determined by comparing the proceeds with the carrying amount and are recognised in profit or loss.
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
2.Accounting policies (continued)
In the consolidated accounts, interests in associated undertakings are accounted for using the equity method of accounting. Under this method an equity investment is initially recognised at the transaction price (including transaction costs) and is subsequently adjusted to reflect the investors share of the profit or loss, other comprehensive income and equity of the associate. The Consolidated statement of comprehensive income includes the Group's share of the operating results, interest, pre-tax results and attributable taxation of such undertakings applying accounting policies consistent with those of the Group. In the Consolidated balance sheet, the interests in associated undertakings are shown as the Group's share of the identifiable net assets, including any unamortised premium paid on acquisition. Any premium on acquisition is dealt with in accordance with the goodwill policy.
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
2.Accounting policies (continued)
Provisions are charged as an expense to profit or loss in the year that the Group becomes aware of the obligation, and are measured at the best estimate at the Balance sheet date of the expenditure required to settle the obligation, taking into account relevant risks and uncertainties. When payments are eventually made, they are charged to the provision carried in the Balance sheet.
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised if the revisiion effects that period alone, or in the period of the revision and future periods if the revision effects both current and future periods.
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 29
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
11.Taxation (continued)
Legislation has been introduced in the Finance Bill 2021 to increase the Corporation Tax main rate to 25% for the financial year begining 1 April 2023.
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 31
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 32
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 33
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
15.Tangible fixed assets (continued)
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
15.Tangible fixed assets (continued)
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
15.Tangible fixed assets (continued)
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 37
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 38
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 39
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 40
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
The bank loan is secured by charges on freehold property, fixed and floating charges over the other assets and undertaking of the Group underpinned by intercompany gurantees across the Group.
Obligations under finance lease and hire purchase contracts are secured against the assets to which the contracts relate.
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 42
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Page 43
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
25.Deferred taxation (continued)
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
Capital redemption reserve
Profit and loss account
Loan arrangement costs totalling £925,079 have been recategorised from intangible assets to be included against the loan balance to which they relate.
£800,000 which was capitalised as part of an investment in an Associate has now been determined to be a loan granted to the associate and has been reclassified to amounts owed by joint ventures and associated undertakings, interest of £40,000 has been rolled up into the loan balance.
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HEALTHSHARE LIMITED
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2021
The Group operates a defined contributions pension scheme. The assets of the scheme are held separately from those of the Group in an independently administered fund. The pension cost charge represents contributions payable by the Group to the fund and amounted to £376,965 (2020 - £413,355).
Contributions totalling £55,335 (2020 - £76,922) were payable to the fund at the balance sheet date and are included in creditors.
There are no controlling parties by means of their shareholdings in the Company.
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