Annual Report 2019
www.makna.org.my
Passionately supporting cancer patients for 25 years.
MAKNA is a not-for-profit social enterprise registered under the Registrar of Societies in 1994. Lembaga Hasil Dalam Negeri:
Subseksyen 44(6) Akta Cukai Pendapatan 1967.
RUJ: LHDN.01/35/42/52/179-6.4232
Nombor Warta Kerajaan 2153 bertarikh 30 Mac 1995.
MAKNA is aligned with four (4) of the United Nations’ Sustainable Development Goals (SDGs).
MAKNA is a member of the Union for International Cancer Control (UICC).
MISSION AND OBJECTIVE
MESSAGE FROM FOUNDER & PRESIDENT
FOREWORD BY THE GENERAL MANAGER
BOARD OF TRUSTEES
EXECUTIVE COMMITTEE
DIGITAL MOBILE MAMMOGRAM UNIT
BURSARY PROGRAMME
HOME VISIT
VOLUNTEERS
CANCER AWARENESS
CANCER RESEARCH
DONOR ACQUISITION
MAKNA - PPUKM CANCER INSTITUTE
OTHER SERVICES
GOING FORWARD, LOOKING AHEAD
FINANCIAL STATEMENT
02 04 05 06 07 09 10 11 12 13 15 17 18 19
24
03
CONTENT
01
MISSION
To mobilise resources in order to provide curative, preventive, research and support services to cancer patients and families, high-risk groups and the general public, in Malaysia and the region.
OBJECTIVE
To pool and utilise all efforts, expertise and finance from all sectors of the society to fight cancer and reduce related pain, morbidity and the suffering that cancer patients undergo.
02
MESSAGE FROM FOUNDER & PRESIDENT
“Crazy people do crazy things and achieve crazy results”.
That is what I tell people when they do not believe that we can run a charity professionally.
I have achieved many things in life that I am very proud of; from fulfilling my dream of becoming a lawyer to having the chance of serving in the Cabinet of Malaysia. Yet, the one achievement which I will always hold so dearly to my heart is establishing MAKNA.
2019 marks MAKNA’s 25th anniversary. I have spent 25 years of my life to ensure that we will help as many cancer patients as possible to get the best treatment in the country. Success demands hard work. We need to work hard and work smart. Although I have mentioned it countless times to the point that I may even sound like an old broken record, but believe me, everything will fall into its place should we embrace this principle. MAKNA is the embodiment of endless possibilities and success that we can achieve when we give it our all.
I am now in the twilight of my years. I still feel strong physically but my memory is slowly fading. Nevertheless, deep in my heart, my love for this organisation is unshakeable. It is my wish that MAKNA will continue to be a meaningful organisation to the society. With the unwavering trust and contributions from our donors, together with the sheer dedication of our staffs at MAKNA, I believe this is possible.
My doa to all is for a world where there is no sickness. Let’s heal it together, for a better future insya-Allah.
DATO’ MOHD FARID ARIFFIN
03
FOREWORD BY THE GENERAL MANAGER
2019 marks the 25th anniversary of MAKNA. It seems like only yesterday that we started our operations at Insas Berhad in Jalan Sultan Ismail.
Now, we have our own office at Jalan Ampang. Praise be to Allah and to all donors who have supported our work. Together, we can move mountains. It has been a meaningful 25 years of bringing the much needed service to cancer patients in the country.
As much as it is important for us to continue to serve the underprivileged community, it is equally vital for us to promote a stable and sustainable growth in our organisation. Only by doing so, we are able to maintain longevity. Additionally, we take serious effort in protecting the trust of our stakeholders and beneficiaries, which is why we seek to publish our annual reports as a method of practicing transparency and accountability.
We are proud to share that in 2019:
• We successfully provided financial support to 5,320 cancer patients comprised of 4,994 adults and 326 children through our Bursary Programme.
• Our Home Visit team met with 3,277 patients in 14 states across the country.
• Our Digital Mobile Mammogram Unit travelled nationwide, performing 3,704 mammogram screenings including 2,442 clinical breast examinations.
I encourage you to find out more regarding the achievements of our various programs and services in 2019 in the following pages.
In addition, digitalisation is an area which we look to capitalise on. It shall allow for the mobilisation of people towards our purpose. As a social enterprise, improvement in the digital aspect is a must. This is due to the fact that it will also improve productivity and efficiency of the organisation which will ultimately translate into a lower operational cost.
We remain optimistic for a bright outlook in 2020. By utilizing digital technology as mentioned earlier, we believe it is possible. Our Digital Mobile Mammogram Unit will be expanding its services to East Malaysia to provide free screening especially in the rural areas. Plus, a new halfway house located in Putrajaya is set to be launched to accommodate patients receiving treatment at the National Cancer Institute.
By running and staying relevant for 25 years, MAKNA has stood the test of time. It indicates the fruitfulness of our organisation and that we are on the right track in our journey of helping cancer patients in Malaysia. With your endless support, we will continue to march onwards.
A final note of thanks to the Board of Trustees, Executive Committee and staffs of the large MAKNA family. Each and everyone’s effort is instrumental in the good results of 2019. Thank you.
FARAHIDA MOHD FARID
04
BOARD OF TRUSTEES
YAM Tengku Puteri Seri Lela
Wangsa Pahang Tengku Tan Sri
Hajjah Meriam Binti Sultan Haji Ahmad Shah
DK., PSM., SIMP., JP.
YBhg Emeritus Professor Tan Sri Dato’ Dzulkifli Abdul Razak Chairperson, Rector, International Islamic University Malaysia
EXECUTIVE COMMITTEE
Vice President
Emeritus Professor Dr Cheong Soon Keng
Dean, Faculty of Medicine & Health Sciences UTAR & Emeritus Professor, Hospital Canselor
Tuanku Muhriz
Hon. Lecturer, Penang Medical College & Chairman Badan Sokongan Pesakit Kanser Seberang Perai
05
Honorary Treasurer
Rosleem Haji Nordin @ Bohari Senior Accountant, Accountant General’s Department of Malaysia
Assistant Honorary Treasurer Douglas Tan Hock Kee Group Managing Director, Asian Business Solutions Group of Companies
Assistant Honorary Secretary Farahida Mohd Farid General Manager, Majlis Kanser Nasional
Member
Professor Datin Paduka Dato’ Dr Aini Ideris Vice-Chancellor, Universiti Putra Malaysia
Member Professor Abdul Aziz Baba Vice-Chancellor, Professor of Medicine, International Medical University Malaysia
Member
Professor Dato’ Dr Hj Jafri Malin Datuk Hj Abdullah Director, Centre for Neuroscience Services and Research, Universiti Sains Malaysia Kampus Kesihatan & Professor of Neurosciences and
Member
Dr Teoh Hoon Koon Assistant Professor, Faculty of Medicine & Health Sciences UTAR
Member
Zainol Bahari Talib Vice Chairman, Takaful National Board, NAMLIFA
06
Total Mammogram Screening by Age and Ethnicity : RURAL URBAN POOR CORPORATE TOTAL SCREENING 50-59 40-49 43% 41% 2019 : 2960 2019 : 638 2019 : 106 INDIAN MALAY CHINESE OTHERS 2219 1172 47 266 60-69 15% Year 2019 2019 : 3704 2018 : 5620 2018 : 4514 2018 : 729 2018 : 377 07
DIGITAL MOBILE MAMMOGRAM UNIT
Digital Mobile Mammogram Unit Programme deliver breast cancer screening service to locations all over Malaysia, from districts to cities, from rural to urban poor dwellings, to those who are unable to afford or have access to such facility. By doing so, we aim to enable the detection of breast cancer at the early stages and help reduce breast cancer death rate.
Detected Abnormalities
08 2019 : 1801 2019 : 94 2019 : 8 2018 : 4335 2018 : 115 2018 : 11 2019 : 324 2019 : 2118 2018 : 851 2018 : 2796 2019 : 2442 2018 : 3647
BURSARY PROGRAMME (FINANCIAL ASSISTANCE)
Under the Bursary Programme, cancer patients in the lower income groups who are undergoing treatment at government hospitals can apply to MAKNA for financial aid via the hospitals’ Medical Social Work (MSW) Department. Financial aid is provided for purchasing necessities that are recommended by their doctor which include non-formulary drugs, surgical equipment, prostheses, medical appliances and also monthly financial assistance for those who need it.
Cancer patient has to be undergoing or seeking treatment at any government hospitals.
The Medical Officer will refer financially-challenged patients to the MSW Department for assistance.
MSW officers will then refer eligible cancer patients’ application to MAKNA through online MAKNA Bursary Online System-(MBOS).
Received application via MBOS will be verified by MAKNA Officer.
Application will be processed within 14 working days upon management’s approval.
The status of the approval then can be accessed via MBOS by MSW officers for further action.
of Assistance : ADULT CASES PAEDIATRIC CASES TOTAL CASES AMOUNT DISBURSED FINANCIAL ASSISTANCE MEDICAL APPLIANCES PROSTHESES NON-FORMULARY DRUGS SURGICAL EQUIPMENT
Total Assistance Types
2019 2019 : RM10,782,762.00 2018 : RM7,584,172.00 09 2019 : 5114 2018 : 3992 2019 : 330 2018 : 300 2019 : 5444 2018 : 4292
Year
HOME VISIT
To ensure that donations are channeled to the rightful recipients, all patients assisted under the Bursary Programme are visited by our Home Visit Team. In addition, they are able to establish rapport with patients and better understand their conditions as well as socio-economic background. The team plays an essential role in providing emotional support and encouragement for patients to continue with their treatment or check-ups.
Year 2019
Visit Roles: ADULT PATIENTS PAEDIATRIC PATIENTS TOTAL CASES HOSPITALS BURSARY DEPARTMENT APPROVED BURSARY APPLICATIONS HOME VISIT TEAM LATEST STATUS HOSPITALS BURSARY DEPARTMENT PRE VISIT POST VISIT
Total Visits Home
10 2019 : 3053 2018 : 2727 2019 : 224 2018 : 194 2019 : 3277 2018 : 2921
VOLUNTEERS
Our volunteers are the key driving force which help us cast a wider net and extend support to a larger group of cancer patients as they undergo treatment; encompassing communities from all parts of the country. Some of the volunteers are cancer survivors themselves and this allows them to help other cancer patients by sharing their own experiences and struggles surviving cancer.
Main Functions:
LEADERS ACTIVE POTENTIAL LEADERS
TOTAL ACTIVITIES CONDUCTED
Year 2019 11 2019 : 32 2018 : 27 2019 : 97 2018 : 81 2019 : 430 2018 : 300
: 566
: 414
2019
2018
CANCER AWARENESS
Another key objective of MAKNA is to help reduce cancer incidences in Malaysia through continuous education to drive awareness and encourage positive health behavior changes. Our Exhibition team organizes talks and exhibitions on a yearly basis in addition to regular demonstrations and more in local communities, corporate sector, government agencies, institutions of higher learning and schools.
CORPORATES COMMUNITIES 21 28 TOTAL
Year 2019 44 40 34 24 2019 2018 12 142
CANCER RESEARCH
Year 2019
For the past 18 years, we have committed towards advancing cancer research in providing research funds and grants to make life-changing scientific discoveries. As of 2019, RM12 million has been allocated to fund cancer research through 20 collaborative efforts in which 83 research topics have been initiated with various higher learning institutions and research institutes.
Project Categories:
Graduates produced from research collaboration projects
PRE-CLINICAL BASIC EPIDEMIOLOGY
Provides results applicable to prevention, diagnosis or treatment of cancer, and rehabilitation of cancer patients, but not ready for use in human
Seeks to answer fundamental questions about development and nature of cancer
Investigates circumstances under which cancer occurs in populations
HEALTH POLICY & OUTCOME
Investigates creation and e ects of laws and public policies a ecting people making health decisions related to cancer control
PUBLIC HEALTH
Public health and nutrition studies
Collaborations
RESEARCH PROJECTS PROJECTS COMPLETED PhDs 21 MSCs 69 BSC 2 83 56
13
CANCER RESEARCH
The MAKNA Cancer Research Award, initiated in collaboration with the Academy of Sciences Malaysia, aims to promote cancer research among young scientists. Through such funding and grants, we are hoping to make a positive impact to the future of cancer research.
Malaysian Stem Cell Registry
No. of Search, Match and Transplants
In collaboration with Ministry of Health Malaysia and The Institute for Medical Research New registered stem cell donors 1 Search Match Transplant 2010 2011 2012 2013 2014 2015 2016 2017 2018 95 35 1 96 32 2 90 33 0 111 46 3 140 31 3 158 40 1 163 39 4 176 26 0 157 23 YEAR 2019 TOTAL SEARCH 176 MATCH 23 TRANSPLANT 0
MALE 2 14 2019 : 2047 2018 : 1846 2019 : 36.7% 2018 : 31.2% FEMALE 2019 : 63.3% 2018 : 68.6%
DONOR ACQUISITION
Our donors’ support and generosity made it possible for us to stay true to our mission to reduce the burden of cancer patients. Together, we are saving lives through the continuous effort of fund raising and enhancing the life of cancer patients.
My Pledge Against Cancer Direct Debit Donor Programme
This fund raising project has been the main income generator for MAKNA since 2002. Each donor commits to MAKNA a monthly deduction of RM38, RM58 or RM88. The donation is made via credit cards, debit cards or bank accounts.
New Donors Anniversary Donors Amount Collected Monthly Commitment RM38 - RM88 Auto Debit
2019
million 2018
million 15 2019 : 13,460 2018 : 12,741 2019 : 85,693 2018 : 92,268
Year 2019
: RM41.25
: RM37.13
DONOR ACQUISITION
Year 2019
Making a donation has never been easier. Our donors can now contribute through the Sen Saves Lives (SSL) program, donation boxes or electronically via e-Charity platforms.
Sen Saves Lives (SSL)
The initiatives under SSL include Kempen Kutip Syiling and donation boxes. This programme is supported by the Ministry of Education and Bank Negara Malaysia to encourage participation of the younger generation. Additionally, donation boxes are located in selected premises for the public.
Year 2019
e-Charity:
Donors are able to make online donations via credit cards or online banking payment at www.makna.org.my, or crowdfund via peoplegiving.org, simplygiving.com and globalgiving.org
Amount Collected
2019 : RM155,778.49
2018 : RM244,308.31
MAKNA bank accounts for e-Charity:
Bank Rakyat : 220621275301
Billplz (CIMB) : 8001183431
PayPal (CIMB) : 8001183431
SimplyGiving (Maybank) : 514075001920
People Giving (Maybank) : 514075001920
Amount Collected
2019 : RM356,006.90
2018 : RM403,122.68
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MAKNA - HCTM CANCER
INSTITUTE
Year 2019
Total Patients
2019 : 974
2018 : 838
The cancer institute, established in 1999 in collaboration with Hospital Canselor Tuanku Muhriz UKM (HCTM), provides comprehensive and state-of-the-art facilities to cancer patients of all financial background. The cancer institute comprises of an oncology ward, radiotherapy services centre and a stem cell transplant ward.
2019 : 92
2018 : 124
RADIOTHERAPY
2019 : 58
2018 : 62
BONE MARROW TRANSPLANT
2019 : 238
2018 : 145
CHEMOTHERAPY PALLIATIVE
2019 : 25
2018 : 23
2019 : 12
2018 : 19
2019 : 42
2018 : 41
2019 : 559
2018 : 497
ONCOLOGY WARD STEM CELL TRANSPLANT WARD
17 BRACHYTHERAPY SYMPTOMATIC
CANCER HELPLINE
We are always here to listen and give support, not only to cancer patients, but also their families, caregivers and the general public. Our personnel who are trained in oncology will attend to the helpline and emails seeking information, guidance and emotional support.
Calls attended: 4920 Emails replied: 1634
CANCER SUPPORT GROUP
Battling with cancer is already hard; dealing with the emotional toll of cancer can also be overwhelming. Our support group headed by trained staffs and volunteers will give counsel to cancer patients, their family members or caregivers to ease their cancer journey. Members meet to share their personal experiences, exchange information, and gain insight into how others cope with their condition and the problems they encountered.
Sharing therapy sessions: 67 sessions
Visits to patients at home and hospitals: 126 visits
YOUNG CANCER SURVIVOR SCHOLARSHIP
For young cancer patients/survivors, their studies might be affected as a lot of resources are allocated for their treatment. To help them complete their education, we provide financial assistance through this scholarship programme.
Total amount: RM13,362.00
Total application: 10 applications
HALFWAY HOUSE
Our halfway houses provide short-term accommodation for patients and their caregivers travelling away from home for treatment. Patients can have a comfortable stay to rest after undergoing the treatment without having to worry about the cost of travel.
Total patients assisted: 125
GOING FORWARD, LOOKING AHEAD
COMING SOON
Halfway House in Cheras
COMING SOON
Halfway House in Gombak
LAUNCHING SOON
Halfway House in Putrajaya
COMING SOON
Exhibition Truck
19
MAKNA IN HANOI, VIETNAM
Address: Room 1003, Ford Thang Long building, 105 Lang Ha Street, Dong Da District, Hanoi, Vietnam.
Email: international@makna.org.my
Community outreach projects:
Homecare visit
Emotional support for cancer patients in Hanoi K hospital
Cancer awareness and education events
COMING SOON
Digital Mobile Mammogram Unit in Sabah
Partners:
Bright Future Fund, Ministry of Health, Vietnam
Hung Viet Oncology Hospital
National Cancer Hospital (K Hospital)
Hanoi Oncology Hospital
Supporters & Volunteers:
Hanoi Medical University
Electric Power University
Centre for Research – Consulting and Support of Community Health (RCSCH)
Cancer Survivor Groups
LAUNCHING SOON
Digital Mobile Mammogram Unit in Sarawak
20
ACTING TOGETHER, TO FIGHT CANCER
STATEMENT BY EXECUTIVE COMMITTEE MEMBERS
STATEMENT OF INCOME AND EXPENDITURE
STATEMENT OF ASSETS, LIABILITIES AND FUND BALANCES
STATEMENT OF CHANGES IN ACCUMULATED FUND NOTES TO THE
STATEMENT OF CASH FLOWS
24 28 29 30 31 33
FINANCIAL STATEMENTS 25
OF THE FINANCIAL STATEMENTS CONTENT
2019
REPORT ON THE AUDIT
FINANCIAL STATEMENTS
STATEMENT BY EXECUTIVE COMMITTEE MEMBERS
24
REPORT ON THE AUDIT OF THE FINANCIAL STATEMENTS
Our opinion
In our opinion, the financial statements of Majlis Kanser Nasional (the “Society”) give a true and fair view of the financial position of the Society as at 31 December 2019, and of its financial performance and its cash flows for the financial year then ended in accordance with the accounting policies set out in Note 2 to the financial statements.
What we have audited
We have audited the financial statements of the Society, which comprise the statement of assets, liabilities and fund as at 31 December 2019, and the statement of income and expenditure, statement of changes in accumulated fund and cash flow statement for the financial year then ended, and notes to the financial statements, including a summary of significant accounting policies, as set out on pages 28 to 41.
Basis for opinion
We conducted our audit in accordance with approved standards on auditing in Malaysia and International Standards on Auditing. Our responsibilities under those standards are further described in the “Auditors’ responsibilities for the audit of the financial statements” section of our report.
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Independence and other ethical responsibilities
We are independent of the Society in accordance with the By-Laws (on Professional Ethics, Conduct and Practice) of the Malaysia Institute of Accountants (“By-Laws) and the International Ethics Standards Board for Accountants’ Code of Ethics for Professional Accountants (“IESBA Code”), and we have fulfilled our other ethical responsibilities in accordance with the By-Laws and the IESBA Code.
Responsibilities of the Executive Committee Members for the financial statements
The Executive Committee Members (“the Committee”) if the Society is responsible for the preparation of the financial statements of the Society that give a true and fair view in accordance with the accounting policies set out in Note 2 to the financial statements. The Committee is also responsible for such internal control as the Committee determines is necessary to enable the preparation of financial statements of the Society that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements of the Society, the Committee is responsible for assessing the Society’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Committee either intends to liquidate the Society or to cease operations or has no realistic alternative but to do so.
25
REPORT ON THE AUDIT OF THE FINANCIAL STATEMENTS (CONTINUED)
Auditor’s responsibilities for the audit of the financial statements
Our objectives are to obtain reasonable assurance about whether the financial statements of the Society as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditors’ report that includes our opinion. Reasonable assurance is high level of assurance, but it is not a guarantee that an audit conducted in accordance with approved standards on auditing in Malaysia and International Standards on Auditing will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
As part of an audit in accordance with approved standards on auditing in Malaysia and International Standards on Auditing, we exercise professional judgment and maintain professional skepticism throughout the audit. We also:
(a) Identify and asses the risks of material misstatement of the financial statements of the Society, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.
(b) Obtain an understanding of internal control relevant to the audit 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 Society’s internal control
(c) Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the Committee.
(d) Conclude on the appropriateness of the Committee’s use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the Society’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditors’ report to the related disclosures in the financial statements of the Society or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditors’ report. However, future events or conditions may cause the Society to cease to continue as a going concern.
26
REPORT ON THE AUDIT OF THE FINANCIAL STATEMENTS (CONTINUED)
(e) Evaluate the overall presentation, structure and content of the financial statements of the Society, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation.
We communicate with the Committee regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.
OTHER MATTERS
This report is made solely to the members of the Society and for no other purpose. We do not assume responsibility to any other person for the content of this report.
PRICEWATERHOUSECOOPERS PLT
LLP0014401-LCA & AF 1146
Charted Accountants
Kuala Lumpur
30 July 2020
27
STATEMENT OF INCOME AND EXPENDITURE
SURPLUS OF INCOME OVER EXPENDITURE BEFORE TAXATION
SURPLUS OF INCOME OVER EXPENDITURE AFTER
28 INCOME
from
Donation received from individuals, societies and corporations Interest from deposits Dividend income Annual subscriptions Other income
Receipts
projects
Bursary Salaries and related costs Activities costs Administrative costs Depreciation of property, plant and equipment Consumables, cleaning and utilities Scholarship granted (Reversal of)/provision for impairment of investments
LESS: EXPENDITURE
TAXATION
3 44,982,583 361,697 4,534,314 175,103 2,780 300 50,056,777 10,782,762 11,946,915 11,386,540 816,280 569,108 239,727 13,362 (467,584) 35,287,110 14,769,667 (25) 14,769,642 41,711,482 158,868 3,873,786 313,146 3,170 553 46,061,005 7,584,172 10,818,924 11,039,926 1,035,203 531,748 377,8451,003,399 32,391,217 13,669,788 (264) 13,669,524 NOTES 2019 2018
TAXATION
RM RM
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019
STATEMENT OF ASSETS, LIABILITIES AND FUND BALANCES
29
Property, plant and equipment CURRENT ASSETS Investments Receivables Tax recoverable Fixed deposits with licensed banks Cash and bank balances CURRENT LIABILITIES Trade and other payables NET CURRENT ASSETS NET ASSETS Financed by: ACCUMULATED FUND Accumulated surplus of income over expenditure 6 7 8 9 9 10 9,899,393 7,808,092 2,059,411 20,275 110,527,104 9,069,402 129,484,284 3,412,330 126,071,954 135,971,347 135,971,347 9,261,538 7,167,211 1,779,913 18,494 100,325,621 6,339,208 115,630,447 3,690,280 111,940,167 121,201,705 121,201,705 NOTES 2019 2018
NON-CURRENT ASSETS
AS AT 31 DECEMBER 2019 RM RM
STATEMENT OF CHANGES IN ACCUMULATED FUND
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019
2019
1
30
2018
expenditure Balance at
121,201,705 14,769,642 135,971,347 107,532,181 13,669,524 121,201,705 TOTAL
Balance at
January 2019 Surplus of income over expenditure Balance at 31 December
Balance at 1 January 2018 Surplus of income over
31 December 2018
RM
STATEMENT OF CASH FLOWS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019
CASH FLOWS FROM OPERATING ACTIVITIES
Surplus of income over expenditure after taxation
Adjustment for:
Depreciation of property, plant and equipment
Gain on disposal of property, plant and equipment
Interest income
Dividend income
Tax expense
Provision for impairment of receivables (Reversal of)/provision for impairment of investment
Surplus before working capital changes
Changes in working capital: Receivables
Trade and other payables
Cash generated from operating activities
Interest received Tax paid
Tax refund
Net cash flows generated from operating activities
CASH FLOWS FROM INVESTING ACTIVITIES
Purchase of property, plant and equipment
Proceeds from disposal of property, plant and equipment
Net movement in fixed deposits with licensed banks with maturity of more than 3 months
Dividend received
Reinvestment of dividend income into investments in unit trusts
Net cash flows used in investing activities
31
14,769,642 569,108(4,534,314) (175,103) 25(467,584) 10,161,774 (277,692) (277,950) 9,606,132 4,164,480 (1,806)13,768,806 (1,206,963)(9,831,649) 173,297 (173,297) (11,038,612) 13,669,524 531,748 (554) (3,873,786) (313,146) 264 199,317 1,003,399 11,216,766 (330,793) 1,184,268 12,070,241 3,586,133 (5,921) 20,364 15,670,817 (759,781) 3,687 (15,970,471) 307,921 (99,700) (16,518,344) 2019 2018
RM RM
STATEMENT OF CASH FLOWS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONTINUED)
Net increase/(decrease) in cash and cash equivalents
Cash and cash equivalents at beginning of the financial year
Cash and cash equivalents at end of the financial year
Non-cash transactions:
During the financial year, dividend income of RM173,297 (2018: RM99,700) had been reinvested in investments in unit trusts and tax payment of RM1,806 (2018: RM5,224) had been deducted from the gross dividend income.
32
9 2,703,194 6,339,208 9,069,402 (847,527) 7,186,735 6,339,208 NOTES 2019 2018
RM RM
NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019
1. CONSTITUTION
Majlis Kanser Nasional ("MAKNA") was registered on 10 November 1994 and officially launched on 30 March 1995 and was approved by the Department of Inland Revenue for the purposes of Section 44(6) of the Income Tax Act, 1967. The objectives of Majlis Kanser Nasional are to work towards the attainment of a better health care system for all Malaysians especially in terms of the prevention and control of cancer; to develop and formulate policies for cancer prevention and intervention; to strengthen and generate services and programmes on cancer and to strengthen support services for cancer patients and affected persons.
MAKNA has 211 (2018: 181) employees at the end of the financial year.
The address of the principal place of activity is as follows:
BG 03A & 05, Ground Floor
Megan Ambassy, 225, Jalan Ampang 50450, Kuala Lumpur.
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
(a) Property, plant and equipment
Property, plant and equipment are stated at cost, with the amount of sales and services tax (“SST”) included, less accumulated depreciation and impairment losses.
Property, plant and equipment are depreciated on a straight line basis to write-off the cost of each asset over its expected useful life. The principal annual rates of depreciation used are as follows:
Property, plant and equipment received on donation are not capitalised.
At each balance sheet date, an assessment is made for any indication of impairment. If such indications exist, an analysis is performed to assess whether the carrying amount of the asset is fully recoverable. A write down is made if the carrying amount exceeds the recoverable amount. See accounting policy Note 2 (e) on impairment of assets.
33
Building Office
Hospital
Office
fittings
Motor vehicle 2.0% 20.0% - 33.3% 20.0% 20.0% 20.0% 20.0% 20.0% 20.0% 20.0% 20.0%
renovation
renovation
equipment Hospital equipment Computer equipment Exhibition equipment Furniture and
Mobile trailer
NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONTINUED)
2 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
(b) Cash and cash equivalents
Cash and cash equivalents consist of cash in hand, cash at bank and fixed deposits with licensed banks with original maturities of 3 months or less that are readily convertible to known amounts of cash which are subject to an insignificant risk of change in value.
(c) Income and expenditure
Income is recognised when it is probable that the economic benefits associated with the transaction will flow to the organisation and the amount of income can be measured reliably.
Receipts from projects
Receipts from projects relate to donations raised from projects and are recognised on a receipt basis.
Donation received from individuals, societies and corporations
Donation received from individuals, societies and corporations are recognised on a receipt basis.
Interest from deposits with licensed banks
Interest from deposits with licensed banks is recognised on an accrual basis based on the principal outstanding and the rates applicable.
Interest from investment
Interest from investment is recognised on an accrual basis based on the principal outstanding and the rates applicable.
Dividend income
Dividend income is recognised when the right to receive payment is established.
Expenditure is recognised on an accrual basis.
(d) Investments
Investments are stated at lower of cost or market value on an aggregate portfolio basis. On disposal of an investment, the difference between the net disposal proceeds and its carrying amount is charged or credited to the statement of income and expenditure.
Investments are classified as current assets if maturity is due within one year or less. If not, they are presented as non-current assets.
34
NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONTINUED)
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
(e) Impairment of assets
Property, plant and equipment are reviewed for impairment losses whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. Impairment loss is recognised for the amount by which the carrying amount of the asset exceeds its recoverable amount.
The recoverable amount is the higher of an asset’s net selling price and value in use. For the purpose of assessing impairment, assets are grouped at the lowest level for which there are separately identifiable cash flows. The impairment loss is charged to the statement of income and expenditure and any subsequent increase is recognised in the statement of income and expenditure.
(f) Receivables
Receivables are measured initially at cost, with the amount of sales and service tax (“SST”) included, less provision for impairment. The provision is established when there is objective evidence that the Society will not be able to collect the amounts due according to the original terms of receivables. Cash flows are included in the statement of cash flows on a gross basis.
(g) Payables
Payables are obligations to pay for goods and services that have been acquired in the ordinary course of operation from suppliers. Payables are recognised at cost, with the amount of sales and service tax (“SST”) included. Cash flows are included in the statement of cash flows on a gross basis.
(h) Income taxes
Current tax expense is determined according to the tax laws of each jurisdiction in which the Society operates and include all taxes based upon the taxable income.
35
NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONTINUED)
3. RECEIPTS FROM PROJECTS
Donation received from projects:
- Direct Debit Donor System
- MAKNA Pledge against Cancer
- Zakat
- E-Charity
- Sens Saves Lives
- Mobile Project
- Exhibition/ Pameran
- Lifeline Clothing - Volunteers
- Klimb for Kanser - Payroll Giving
- Direct Mail
4. EXPENDITURE
Included in expenditure are:
Provision for impairment of receivables
The employee information is as follow:
Contribution to Employees’ Provident Fund
36
International donors
Movember
AirAsia
Jom Botak
Ad-hoc
Others
- Merchandise & Home Visit - Telemarketing -
-
-
-
-
-
Salaries and related costs Audit remuneration Legal fees
Salaries and wages
Other employee benefits 35,954,527 6,320,851 1,467,500 356,007 155,778 124,900 113,316 104,392 87,197 82,518 79,232 74,352 27,485 18,286 12,362 1,661 926 432861 44,982,583 32,711,190 5,600,004 1,440,300 403,123 244,308 174,075 170,260 126,218 37,001 45,507 84,381 141,877 20,067 18,826115,186 319,100 7,676 47,569 4,814 41,711,482 2019 2018
RM RM 11,946,915 30,000 15,3708,954,060 1,062,662 1,930,193 11,946,915 10,818,924 20,000 14,802 199,317 8,355,668 983,950 1,479,306 10,818,924 2019 2018 RM RM
NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONTINUED)
5. TAXATION
MAKNA has been given exemption on income, other than dividend income, under Paragraph 13 of Schedule 6 of the Income Tax Act, 1967 with effect from 1 January 2001. The taxation charge for the financial year is in respect of dividend income. There is no taxation charge on the income of the Society arising from its operations which is exempted from taxation under the mutuality concept.
6. PROPERTY, PLANT AND EQUIPMENT
37 Tax expense: Current year
Building Office renovation Office equipment Hospital equipment Exhibition Equipment Computer equipment Furniture and fittings Mobile trailer Capital work in progress Motor vehicle
25 264 2019 2018----4,575,849 453,072 171,032 190,155 161,850 516,229 643,869 2,637,920 4,797,592 891,394 15,038,962 4,575,849 410,425 134,547 190,155 134,650 390,378 608,123 2,631,470 3,865,008 891,394 13,831,99942,647 36,48527,200 125,851 35,746 6,450 932,5841,206,963----665,046 181,313 99,501 110,527 63,646 313,271 418,521 2,552,499 735,245 5,139,569 9,899,393 573,529 95,258 74,377 79,261 34,903 258,010 308,904 2,525,890 620,329 4,570,461 91,517 86,055 25,124 31,266 28,743 55,261 109,617 26,609 114,916 569,108 RM RM
Disposals Cost at 31.12.2019 RM RM Cost at 1.1.2019 Additions RM RM Disposals Accumulated depreciation 31.12.2019 RM RM Accumulated depreciation 1.1.2019 Charge for the year RM RM Building Office renovation Office equipment Hospital equipment Exhibition Equipment Computer equipment Furniture and fittings Mobile trailer Motor vehicle Net book value
NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONTINUED)
6. PROPERTY, PLANT AND EQUIPMENT (CONTINUED)
Net book value
MAKNA has 40,468.6 square metres of donated leasehold land in Mukim Bentong, Pahang under a 99 years lease period from 2 February 1999 to 1 February 2098 which has not been capitalised in the financial statements. The land cannot be transferred, leased or mortgaged and can only be used for commercial building purposes.
38
2018 Building Office renovation Office equipment Hospital equipment Exhibition equipment Computer equipment Furniture and fittings Mobile trailer Capital work in progress Motor vehicle-(837)(2,985)-(3,822) 4,575,849 410,425 134,547 190,155 134,650 390,378 608,123 2,631,470 3,865,008 891,394 13,831,999 4,575,849 232,620 102,383 189,735 88,810 320,593 554,356 2,499,500 3,620,800 891,394 13,076,040177,805 32,164 1,257 45,840 69,785 56,752 131,970 244,208759,781-(42)(647)(689) 573,529 95,258 74,377 79,261 34,903 258,010 308,904 2,525,890 620,329 4,570,461 9,261,538 482,012 26,636 54,026 44,945 13,321 208,635 210,693 2,493,722 505,412 4,039,402 91,517 68,622 20,351 34,358 21,582 49,375 98,858 32,168 114,917 531,748 Disposals Cost at 31.12.2018 RM RM Cost at 1.1.2018 Additions RM RM Disposals Accumulated depreciation 31.12.2018 RM RM Accumulated depreciation 1.1.2018 Charges for the year RM RM Building Office renovation Office equipment Hospital equipment Exhibition equipment Computer equipment Furniture and fittings Mobile trailer Motor vehicle
NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONTINUED)
7. INVESTMENTS
8. RECEIVABLES
39
Cost Provision for impairment
value: Quoted unit
Quoted unit trusts:
Market
trusts
Debtors Less: Provision for impairment Prepayments Cash advances Deposits Accrued interest income Movement in provision for impairment: At 1 January Provision for the financial year At 31 December 9,096,014 (1,287,922) 7,808,092 7,808,092 8,922,717 (1,755,506) 7,167,211 7,167,211 2019 2018 RM RM 316,868 (206,652) 110,216 218,302 15,147 71,877 1,643,870 2,059,411 206,652206,652 568,152 (206,652) 361,500 71,560 23,359 49,459 1,274,035 1,779,913 7,335 199,317 206,652 2019 2018 RM RM
NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONTINUED)
9. CASH AND CASH EQUIVALENTS
Fixed deposits with licensed banks
Cash and bank balances
Less: Investment in fixed deposits with licensed banks with maturity more than 3 months
Cash and cash equivalents
The weighted average interest rate per annum of fixed deposits with licensed banks effective as at the financial year end is 4.13% (2018: 4.34%) per annum. Fixed deposits have an average maturity period of 12 to 24 months (2018: 3 to 12 months). Bank balances are deposits held at call with banks.
10. TRADE AND OTHER PAYABLES
Trade payables
Other payables and accruals
11. FINANCIAL ASSISTANCE COMMITMENT
Financial assistance commitment
As at 31 December 2019, the Society is committed to provide financial assistance to patients. The number of months committed is within the range of 6 to 12 months, for an amount of RM150 to RM500 per month (2018: RM150 to RM500 per month).
40
110,527,104 9,069,402 119,596,506 (110,527,104) 9,069,402 100,325,621 6,339,208 106,664,829 (100,325,621) 6,339,208 2019 2018 RM RM 2,834,656 577,674 3,412,330 2,842,807 847,473 3,690,280 2019 2018 RM RM 742,600 885,350 2019 2018 RM RM
NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONTINUED)
12. CAPITAL COMMITMENT
Mammography machine
Semi trailer
On 1 March 2016, the Society engaged Eemed International Sdn Bhd (“the Contractor”) to obtain on its behalf, from GE Healthcare Sdn Bhd 2 units of GE Senographe CARE Mamography machines. The balance due on this agreement as at 31 December 2019 is RM700,000 (2018: RM1,484,000).
On 1 March 2016, the Society also committed under an agreement entered with the Contractor for the commissioning of the two mobile screening units in 2 semi trailers. The balance due on this agreement as at 31 December 2019 is NIL (2018: RM254,000).
700,000700,000 1,484,000 254,000 1,738,000 2019 2018 RM RM 41
Here’s an overview of MAKNA’s social impact throughout our 25 years of existence. Cancer Research 46 21 9 2 2 Pre-clinical research Basic research Public health & nutrition research Health, policy & outcome Epidemiological research 32,436 14 patients visited states visited Home Visit Bursary Programme (Financial Assistance) 58,849 approved cases 5821 pediatric patients 53, 028 adult patients RM120,036,550.13 total assistance MAKNA - HCTM 20,374 male: 9958 female: 10,416 patients admitted 128 stem cell harvesting 308 peripheral blood stem cell transplant Digital Mobile Mammogram Unit 32,168 mammogram screenings done in 2019 12 states for mammogram screenings and CBE 33 clinical breast examinations (CBE) 21,063 done for women below 45 years or unable to do screenings confirmed breast cancer cases via mammogram screening MOBILE MAMMOGRAM Cancer Helpline social media messages calls 4894 emails 1624 130 Education and Awareness 13 890 total exhibitions states
Halfway Houses 392 patients admitted Kubang Kerian, Kelantan Kepala Batas, Penang Johor Bahru, Johor Kuching, Sarawak Likas, Sabah 5 halfway houses in total
IMPACT
covered
SOCIAL
(Majlis Kanser Nasional/National Cancer Council)
BG 03A & 05, Ground Floor, Megam Ambassy, No 225, Jalan Ampang, 50450 Kuala Lumpur, Malaysia
Telefon: +603-2162 9178
Faksimili: +603-216 29203
Email: makna@makna.org.my