CHAIN OF HOPE

Registered charity 1081384 · accounts filings on the Charity Commission register · also known as C O H, CHAIN OF HOPE UK, COH UK

Chain of Hope provides medical treatment for children and young persons overseas. Providing on-site and overseas training, mentoring and provision of equipment, Chain of Hope also builds up infrastructure to help to establish and develop cardiac services in developing countries. As an interim measure, Chain of Hope brings children to the UK and Europe for open and closed heart operations.

Causes: Education/training · The Advancement Of Health Or Saving Of Lives · Overseas Aid/famine Relief · website · Get email alerts

Latest income
£4.9m
Latest spending
£5.6m
Registered
2000
Accounts read
FY2025

Financial health, per its FY2025 accounts

The charity reported total income of £4.88m and total expenditure of £5.61m, resulting in a net expenditure of £727k for the year. Despite this deficit, unrestricted reserves remained stable at £2.54m, supported by cash and current asset investments of £3.11m, which the trustees state ensures liquidity for ongoing activities.

Automated summary of the FY2025 accounts; the evidenced findings below carry the verbatim passages.

What the accounts disclose

Reserves policy: one quarter of the total year’s budgeted operating expenditure plus a further one quarter of baseline operating expenditure (salaries and fundraising expenditure) less planned one-off investments (held: £2.5m)
“Subsequent to the current accounting year a revised reserve policy was adopted. Minimum Reserves will be calculated as one quarter of the total year’s budgeted operating expenditure plus a further one quarter of baseline operating expenditure (salaries and fundraising expenditure) less planned one-off investments” — page 16
Per its FY2025 accounts as filed with the Charity Commission.
Related-party transaction: A daughter of one of the Trustees is employed by the charity under the same terms and conditions as all other employees.
“A daughter of one of the Trustees is employed by the charity under the same terms and conditions as all other employees.” — page 38
“During the year Chain of Hope made grants to Chain of Hope Jamaica towards the Finance support costs and salary costs of the Director, Programme Co-ordinator and external finance support amounting to £35,403”
Per its FY2025 accounts as filed with the Charity Commission.
Related-party transaction: Grants to Chain of Hope Jamaica for finance support and salaries.
“A daughter of one of the Trustees is employed by the charity under the same terms and conditions as all other employees.” — page 38
“During the year Chain of Hope made grants to Chain of Hope Jamaica towards the Finance support costs and salary costs of the Director, Programme Co-ordinator and external finance support amounting to £35,403”
Per its FY2025 accounts as filed with the Charity Commission.

Accounts audited by Moore (South) LLP. Discloses 4 of 6 completeness components.

What the charity says about itself (2024/25)

From its own voluntary annual review / impact report — the charity’s account of its work, distinct from the statutory accounts analysed above.

The report states 393 procedures were carried out in total, but does not explicitly state this is an increase from the previous year in the main text; the Treasurer's note mentions 'an increase from 2023-24' regarding the 393 procedures. I will use the Treasurer's quote for the increase claim.
“For every £1 raised 81p was spent on charitable activities, 15p on raising more funds and 4p on essential support for charitable activities.”
The report details 78 operations in Jordan.
“A total of 78 cardiac operations were performed during these missions, including support for two children from Gaza, whom the charity helped evacuate for urgent care.”
The report details 59 operations in Jamaica.
“During the last financial year, Chain of Hope successfully mobilised six missions to the Bustamante Hospital for Children in Jamaica, carrying out a total of 59 complex cardiac operations.”
The report details 13 children transferred via the referral programme.
“The International Child Referral Programme (ICRP) coordinated the safe transfer and treatment of 13 children from six countries, with a total of 16 life-saving cardiac operations carried out by our partner hospitals.”

Public fundraising profile: JustGiving — Chain of Hope (matched by registered charity number).

Leadership, per the charity’s website

Listed on the charity’s own website when we last crawled it; roles may have changed. Pay-band disclosures above are anonymous statutory disclosures and are not attributed to any named individual.

Public profiles (found on the charity’s own website): facebook · instagram

Structured financials (annual return, FY ending 31/03/2025)

Total income
£4.9m
Total spending
£5.6m
Cost of raising funds
£922k
Reserves (reported)
£750k
Employees
14

Reported reserves equal ~1.6 months of spending — in the bottom quarter for charities its size (median 4.8 months; benchmarks).

Per its annual return, largest income source: Donations and legacies (90% of income) — components as reported reconcile to the return’s total income; not from the accounts narrative.

Per its annual return, cost of raising funds: 18.9% of total income — in the top quarter for charities its size (median 5.2%) (benchmarks).

Register events

Trustees · trustee networks

Trustee list from the Charity Commission register (current, not historical).

Operates in: Burundi · Egypt · El Salvador · Ethiopia · Jamaica · Kosovo · Mozambique · The Gambia · Throughout England · Uganda

Income and spending

Financial year endIncomeSpending
31/03/2025£4.9m£5.6m
31/03/2024£4.0m£4.1m
31/03/2023£5.1m£3.9m
31/03/2022£2.1m£2.1m
31/03/2021£2.0m£2.1m

Common questions

Is CHAIN OF HOPE financially healthy?

Per its FY2025 accounts: The charity reported total income of £4.88m and total expenditure of £5.61m, resulting in a net expenditure of £727k for the year. Despite this deficit, unrestricted reserves remained stable at £2.54m, supported by cash and current asset investments of £3.11m, which the trustees state ensures liquidity for ongoing activities. Its FY2025 accounts were audited by Moore (South) LLP.

Who funds CHAIN OF HOPE?

Funders whose own accounts filings name CHAIN OF HOPE as a grant recipient include NNS FOUNDATION, THE MANOUKIAN CHARITABLE FOUNDATION, THE ASFARI FOUNDATION, MILLS AND REEVE CHARITABLE TRUST, THE EIGHTY EIGHT FOUNDATION.

Known funders

Grants to this charity found in funders’ own accounts filings.

FunderYearAmountPurpose (as stated by the funder)
NNS FOUNDATIONFY2023£428kcharity to provide treatment for children and young adults from developing countries with heart disease
NNS FOUNDATIONFY2024£355k
THE MANOUKIAN CHARITABLE FOUNDATIONFY2024£190k
NNS FOUNDATIONFY2023£184kcharity to provide treatment for children and young adults from developing countries with heart disease
THE MANOUKIAN CHARITABLE FOUNDATIONFY2023£50k
THE MANOUKIAN CHARITABLE FOUNDATIONFY2022£50k
NNS FOUNDATIONFY2023£12kcharity to provide treatment for children and young adults from developing countries with heart disease
THE ASFARI FOUNDATIONFY2023£10kRelief
THE ASFARI FOUNDATIONFY2022£10kRelief
MILLS AND REEVE CHARITABLE TRUSTFY2024£10k
THE EIGHTY EIGHT FOUNDATIONFY2023£9k
YAFA FOUNDATIONFY2024£8k
THE JOSEPH AND LENA RANDALL CHARITABLE TRUSTFY2024£2k
THE JOSEPH AND LENA RANDALL CHARITABLE TRUSTFY2023£2k
THE JOSEPH AND LENA RANDALL CHARITABLE TRUSTFY2022£2k
THE ASTOR FOUNDATIONFY2022£1kMedical
THE ASTOR FOUNDATIONFY2023£1k
THE EIGHTY EIGHT FOUNDATIONFY2022—Reg Charity No 1081384

Funders of similar charities

Funders whose accounts show grants to charities similar to this one (and no recorded grant to this charity) — a starting list for fundraisers.

Charities like this

Semantically similar by activities and financial character, from our analysed corpus. Compare with TREE OF HOPE.

Side by side with its peers

CharityIncomeTop pay bandStaff >£60kReserves vs policyFundraising costGoing concern
CHAIN OF HOPE£4.9m——unclear—no doubt
TREE OF HOPE FY2025£1.1m——below—no doubt
PROJECT HOPE, UNITED KINGDOM FY2025£176k—0below—noted
CHRISTIAN HOPE INTERNATIONAL FY2026£399k—0unclear—no doubt
HOPE CHURCH NETWORK FY2026£259k—0unclear—no doubt
HOPE FOR THE YOUNG LIMITED FY2024£537k—0unclear4.0%no doubt

Each row is that charity’s latest analysed filing; every value is quote-backed on its own page.