FINANCES
Poor people often do not use skilled medical services because they are afraid of the cost.LAMB has so far managed to find ways to make healthcare accessible to the poor, and to the very poor.
Annual Budget
The annual budget for normal operations of LAMB is now nearly US $1.8 million (Approx 1250 Lakh or 12.5 crore BD Tk).This excludes purchases of new and replacement equipment and significant maintenance, which probably add on another US$ 100,000 per year.
LAMB Income
LAMB earns about 89% of the costs it spends for normal operation. For the rest, particularly those parts which enable it to serve the poorest of the poor, LAMB has to rely mainly on donations.The income split for LAMB’s normal operations is approximately...
- 36 % from patient fees, medicines, and training services
- 53 % for work done for grant providers
- 11 % from donations to LAMB
The work done for grant providers is primarily for community development work. The current major community providers are PLAN International, DFID, and Tearfund.
However there is also work done in the hospital for grant providers. Engender Health, Glencoe Foundation, and Operation Cleft all support specific surgery to cure debilitating problems. Muslim Aid, DFID, and PLAN International all support the Hospital Poor Fund.Most of the grant providers - PLAN, Tearfund, Muslim Aid, Engender Health, Operation Cleft and Glencoe Foundation - themselves rely on individual donations to enable their work, but use LAMB to implement their specific target activities.
Despite earning the majority of its income, LAMB still relies on charitable donations for approximately 11% of its income – primarily to cover the hospital and Poor Fund deficits. This funding comes currently mainly via Friends of LAMB groups - in the UK, (LHCF), in the USA, (FOL), and in Australia, (FOLIA), and also via World Mission Prayer League, (WMPL) in the USA. They raise invaluable support from individuals, churches, and other groups.Last but not least, LAMB also receives donations in kind from the services of the expatriate missionary staff.
How is the Money Used ?
One way of describing this is that...
- 44 % goes on salaries
- 8 % goes on purchase of medicines and surgical supplies
- 10 % goes to the Poor Fund
- 38 % goes to other costs
Another breakdown is that...
- 38 % is spent on community development activities and clinics etc
- 45 % is spent on the hospital
- 4 % is spent by the Training Unit
- 1 % is spent by the School
- 6% Research and Information/ Scholarships
- 6 % is spent on support services
There are areas that we consider key to our witness and service to the poor that donors will not fund, namely a lot of the Poor Fund, and chaplaincy. It is only the gifts that we receive from churches and individuals that allow us to maintain such freedom of action.