annual report 2017-2018 - carel du...

1Carel du Toit Annual Report 2017-2018

Carel du ToitANNUAL REPORT 2017-2018

2 Carel du Toit Annual Report 2017-2018

Vision

To teach deaf children to speak so that they can function optimally in a hearing world.

The Carel du Toit Centre serves as a resource centre for mainstream schools.

Mission

We follow a natural language aquisition approach through the maximum use of the auditory modality and the application of auditory verbal principles.

• We believe that the hearing impaired child has the same capacity as normal hearing children to aquire functional spoken language.

• The hearing impaired child must be exposed to day-long listening through the use of appropriate hearing aids or cochlear implants.

• A normal hearing environment is created - the same as for normal hearing children where the hearing impaired child learns language through natural experiences.

• The intensive language learning environment leads the child to linguistic competence. This must extend into the school years and become a way of life.


Contents

1. Vision & Mission 1

2. Principal’s Report 5

3. 2017 CDT Learner Stats 8

4. Chairmans Report 9

5. CHAT (Children Hear And Talk) Report 11

6. Audiology Report 14

7. Speech Therapy Report 22

8. Trustees Report 24

9. Financial Report 26

10. Thank you 31


Principal’s Report

The 4th of January 2017 was a momentous day for me when I heard the good news that I had been appointed as the new principal of the Carel du Toit Centre. I felt very privileged and honoured but was also aware that this was going to be a big responsibility. The one thing I knew for certain was that I had a dedicated team on whom I could rely to give me the support I needed as I navigated my way in this new position at this remarkable school that has long been my passion.

I started teaching my very first class in 1993 at the Carel du Toit Centre after completing my studies in Deaf Education. I loved it from day one and never looked back. Although I won’t be teaching any more, I have made it my mission to make sure that every child and parent who comes through our doors will have the very best experience and teaching possible. We are all here to make sure that parents, learners, staff and visitors are treated with respect. Furthermore, I strongly believe in the auditory method used at the Centre and have thus initiated training for every member of staff throughout the year. I am determined that we will continue to strive to be a centre of excellence.

The year did not go by without challenges. We had floods, theft, drivers coming and going, resulting in children being left stranded, which is unthinkable, as well as having to fight to keep teaching posts at the school. The light at the end of the tunnel was the donors who helped make some of our dreams come true. We now have a brand new kitchen, three water tanks, many new toys for the children and a fully functional tennis/netball court. A heartfelt thank you to Rotary, Grinaker, Brights and all the other companies and donors for their generous contributions. We could not do it without you!

Teachers are not always confined within the four walls of a school. They might come in the form of your parents, a soulmate, friends or simply a companion like your dog. I am very lucky to have so many teachers at the Carel du Toit Centre in the disguise of drivers, cleaning staff, class assistants, therapists, the Trust Fund, the residence staff, the aftercare staff, the admin staff and the screeners. I am very proud and grateful for each member of my staff, who regards each moment as a teaching moment to make a difference in a deaf child’s life.

Not only are we a happy school, we are a safe school. During 2017, security cameras were installed and a signing-in system was introduced that requires every visitor to register at reception. We have also had many wonderful and exciting events throughout the year. The Ndiyeva Conference set a high standard followed by the opening of the Bourne to Hear Audiology wing at the CHAT Centre, the Fun Walk, the Spring Tea and Fashion Show, Carel Day, Information Day, the staff vs Grades hockey match, and the tear-jerking end of year concerts and graduation. As a Resource Centre, we also ran many workshops and reached out to local schools regarding speech therapy and audiological services.


The end of the year was a culmination of an era as our long-serving secretary, Elna Carl, retired. We are deeply grateful to her for 20 years of faithful service with the added benefit of being a mom of one of our alumni.

Sustaining the Centre is an ongoing and ever-increasing challenge and we would not be able to continue our service of teaching deaf children to speak without the financial support of the Trust Fund, donors, WCED, and the Western Cape Government Departments of Health, and Social Development. In that regard, I extend a warm welcome to Dr Diane Bell (also a mother of one of our alumni) as the new Director of the Carel du Toit Trust. Together we are going to try and move mountains!

Adri CombrinckPrincipal


2017 CDT Learner Stats

Learners at the Carel du Toit Centre

Total number of learners 125

Hotpots 15

Beginners 15

Pre-Grade R 22

Grade R learners 17

Grade 1 learners 19

Grade 2 learners 20

Grade 3 learners 17


Trust Chairman’s Report

To all our loyal friends, parents, supporters and donors, I wish to express our sincere thanks and appreciation for your financial support during 2017.

With your continued support, the Carel du Toit Centre can look back at another successful year during which deaf children have learned to speak and can enter mainstream society with confidence.

The work done at the Carel du Toit Centre is unmatched in South Africa and receives much praise from international leaders in our field such as the UK and Denmark.

As a past pupil and ambassador of the Carel du Toit Centre, I am reminded each day of how fortunate I was to be part of this programme. It was by pure chance that my parents found out about this wonderful verbal, hearing aid alternative to sign language. Now, 35 years later, I am an example to all that a hearing disability does not necessarily have to mean exclusion from mainstream society.

I cannot over-emphasise how important it is that we continue to work towards ensuring that all children, from every part of society, irrespective of income level or population group, continue to have access to the services of the Carel du Toit Centre and our satellites.

In developed economies, the government would fund the costs associated with disabilities. In South Africa, government funding covers only a small portion of our schools’ operating expenses. So, many of the Centres’ needs, such as transport costs, equipment and teachers’ salaries remain unfunded.

We were greatly encouraged by the appointment of Dr Diane Bell as a full-time, executive director of the Carel du Toit Trust during 2017. Previously, Dr Bell worked for the University of Stellenbosch Business School and was also based at the World Health Organisation in Geneva, Switzerland. She is an expert in managing both disability and education. She is also the mother of a past pupil of the Carel du Toit Centre and has personal experience of the work that is done here.

I have a disability, yes, that’s true,but all that really means is I may have to take

a slightly different path than you.(Robert M. Hensel)

The words of Hensel could not be more appropriate to what we do at the Carel du Toit Centre. Please continue to help our children to take that slightly different path.

Yours sincerely,

Gerhard van der MerweTrust Chairman and CDTC Alumni


CHAT (Children Hear And Talk) REPORT

“ …I felt like I was given permission to hope …. I find a deeper meaning in my life because of my daughter. I find a real sense of purpose. She has been hearing for one year now … and she loves music and dancing, reading stories and singing and says, “More, more,” when I finish singing a nursery rhyme.” From one of the moms invited to share her story at our annual CHATerrific meeting.

Hope, Support, Family are the values of our Carel du Toit CHAT Centre and 2017 saw those values put to task as we were inundated with new families requiring our assistance.

Support was the name of our game in 2017:

Sue Rumble, well known for her work with multiple challenges in the private sector, joined us at the beginning of the year as an Early Interventionist to ease the load, and fitted right in.

Social Worker, Charmaine, continued her monthly Support Group and added to the repertoire and Arubella Group and a Meningitis Group for families who have similar causes, similar challenges and similar joys to share.

The Support Group for our Xhosa parents grew in 2017. Sharing in mother tongue has been a huge success with good participation, covering a variety of topics such as the different hearing devices; the challenge of speaking English in a Xhosa home; and cultural differences in behaviour management. Singathwa, mom and Assistant Housekeeper, was sponsored to attend the FAMSA Basic Counselling 1 Course, which has helped her not only to lead the group but also to counsel parents individually and support new Xhosa families.

The Chatterbox group for Moms and Tots continued throughout the year for 1-2 year olds to socialise and have fun in a small, language-enriched environment with their families at hand to share the experience and learn from each other.

A Signing Group was started in the third term by Mariette and Sue to support families who are making the transition to Signing schools. Experience-based family learning gave hope to families as their children quickly mastered the Signs. We were also joined for a session by Simpho, who is a trilingual, Grade 1 learner, who uses English and Xhosa Sign Language because both her parents are Deaf, and she was an inspirational little “teacher”.

Community Service Audiologist, Nuha, visited Day Cares and Crèches that our main-stream CHAT toddlers attend to answer teachers’ questions, to help them understand hearing loss, hearing devices and the impact on our children, and to give tips on how to make the classrooms listening friendly. A Crèche workshop held in the third term by the CHAT and Audiology teams at the Centre is an additional, hands-on service provided.

Our very own Audiology Wing, named: Bourne to Hear, and dedicated to past Principal, Ruth Bourne, was unveiled in August to enrich the Carel du Toit audiology services offered at the CHAT Centre.


Barbara and Jenni, CHAT Early Interventionists, were kept very busy in 2017. Not only did they mentor students in the local LSLSA course but also they are personally studying to become Auditory Verbal certified and are being mentored through AV UK. It has been an intense year, wearing many hats and being stretched to capacity with their usual, full workload but this never diminished their professional service to the families with whom they work and their forward vision for all children with hearing loss. Well done to you two pioneering professionals! And pioneering continued as Carel du Toit was well represented by Principal Adri, Mariette, Audiologists Surida and Susan, and Mom Mia at the FCEI for Africa/Developing Countries in Johannesburg in June. It was the first Family-Centred Early Intervention Conference in Africa.

Hoop, Support, Uyifemeli: that is what we are about at the CHAT Centre.

Mariette NosworthyHead of CHAT Centre


AUDIOLOGY REPORT

Children with hearing loss are not just “little adults” when it comes to managing their hearing. They require more intensive and qualified services as well as specialised paediatric hearing technology that will enable them to learn and benefit from the rehabilitation services provided at the Carel du Toit Centre. It is our top priority to ensure that the children who enter our programme use appropriate hearing technology optimally while they receive the best possible support services available at the Centre.

2017 CAREL DU TOIT ENROLLEES

Early Hearing Detection and Intervention

In order to achieve truly successful outcomes, we need children and their families to start with our intervention programme by the age of 6 months. The Early Hearing Detection and Intervention (EHDI) Guidelines state that all children with hearing loss should be diagnosed by 1 month, fitted by 3 months and enrolled in quality intervention services by the age of 6 months.

The average ages of diagnosis, fitting and intervention in this year’s group of Carel du Toit enrollees unfortunately still indicate that most children who enter our programme start when the optimal neural plasticity period has passed. This suggests that we will need to continue providing rehabilitative services in CHAT and in our formal education programme rather than follow the preferred developmental approach. It remains a concern that it still takes on 6 months average from the diagnosis to the first entry into our CHAT programme.

Two Ears are Better than One

Based on our 2017 enrollees, it is clear that 90% of the children at the Carel du Toit Centre have a binaural hearing loss, which is a hearing loss in both ears. Although unilateral hearing loss is just as significant, it is those children with binaural hearing loss who are unable to develop spoken language without appropriate hearing technology and intervention services. The continued need for the Carel du Toit Centre and its support services is very clear.

CHAT Centre vs Carel du Toit Pre-Primary and Foundation Phase

The Carel du Toit is perhaps best known as an oral school, and not an Early Intervention Centre. A significant shift is occurring with children enrolled in CHAT only representing almost 40% of our current attendees. Added to this is the fact that many of the learners in our Educational programme still attend CHAT. Therefore, the significance of CHAT cannot be underestimated. This guides us towards a shift in focus that must occur in the coming years and will guide the school management team, the governing and the Trust in planning projects towards further horizons.


Hearing technology

It is hearing technology that enables children with hearing impairments to hear speech and thus allows for spoken language development. At the end of 2017, there were 81 children with cochlear implants in our programme who require specialised services by the Tygerberg Cochlear Implant Unit.

During the last term of 2017, we managed an average of 230 hearing technology repairs per month in our department, including troubleshooting, i.e. walk-ins into the clinic. This was not surprising, as most of the current hearing technology being used by the children at the Carel du Toit Centre is no longer reliable. We are an oral programme based on listening but the technology our children are using is not optimal in all cases, which affects outcomes for the children and the Centre negatively. We did not receive funding for new hearing technology this year. If we want to uphold our vision, we will need to address this issue proactively.

New referrals

During 2017, we received 80 new referrals, 74% of which arrived for their assessments. This was more than 10% less than last year and most likely can be attributed to the fact that the Child Speech and Hearing Project is no longer being overseen by two Programme Managers. We also propose that it has resulted in less infants being referred. Of the children who attended their first interview, 52 of the 59 were considered to be candidates for parent support and training as provided by CHAT. This number dropped slightly to 47 children still enrolled at the end of 2017, as we admitted a couple of children to provide short-term parent support until they could be accepted in a more appropriate language setting. Of these 47 children, 28% also enrolled in the Carel du Toit Centre Programme. Our department has been involved actively in the audiological management of more than 220 children during the last year.

Language of Education and Intervention - Afrikaans, Xhosa and English

The Carel du Toit Centre offers Education and Early Intervention Services in English and Afrikaans. It is very clear from research literature that mother tongue remains the preferred home language for children, particularly children who are late in acquiring language. An analysis of the home languages of the families who enrolled in the CHAT Centre during 2017 shows that there certainly is a need to consider adding quality intervention services in isiXhosa as well.

Bourne to Hear - CHAT Centre Audiology for New Families

In 2017 we proudly launched our CHAT Audiology Wing, aptly named “Bourne to Hear”, after our past principal, Mrs. Ruth Bourne. Many years of hard work and dedication finally paid off to make this dream a reality. This wing enables our Audiology Department to provide family-centred audiology services especially to new families joining our Early Intervention Programme, CHAT.


Building the skills of other Professionals

We hosted our 4th Ndiyeva Paediatric Audiology and Early Intervention Conference, with the theme of “Raising the Bar”, at the Lord Charles Hotel. Ndiyeva has grown tremendously and we had to close registrations at 274 individuals, with a significant number of international delegates attending from countries such as Singapore, India, England and the Netherlands. We had four keynote presenters who are international experts in their respective fields. At this year’s conference, we also offered an exclusive Advanced Paediatric Audiology Learning Lab, which was a first for 16 invited South African Audiologists who work with children and infants on a daily basis.

Ndiyeva is now established securely as the conference of choice for paediatric hearing loss in Africa. Our aim remains not to raise funds, but to raise awareness and build the skills of professionals managing children with hearing difficulties. The conference would not have been successful if it were not for fantastic partners and sponsors, in particular Southern ENT (Cochlear) and the Hass Group (Phonak).

Our annual Information Day with the theme “Pinna Power”, aimed at professionals, raised awareness about the latest treatment options available for children with differently shaped or absent outer ears and/or ear canals. As always, our hall was filled to capacity with 200 professionals.

Ears and Eyes for Education (3E Project)

Our clinical department has taken on the “3E” (Ears and Eyes for Education) project. This is a new Community Outreach Project that aims to screen the hearing and vision of 10 000 five-six-year-old children in Early Childhood Development Centres (ECDs) around the Peninsula, using mobile technology from the HearX Group. The project has been made possible through funding from the Hear the World Foundation. The project is growing, with four newly appointed screeners. We were extremely honoured to have had the head of Sonova: Research and Development, Prof Stefan Launer, visit us as a volunteer for a whole week. Until now, the community outreach projects of the Centre were always funded and manned by the Trust, so our department has taken on a huge responsibility for the Carel du Toit Trust by conceptualising, managing and rolling out the 3E project, with only financial support being provided by the Trust.

The team started to screen children officially in October 2017 and, in less than two months, 187 ECDs were serviced and the hearing and vision of 1 733 children were screened. The presence of the team in the community of Khayelitsha raised awareness of hearing loss and many adults and children who did not fall into the criteria for the project, were linked to audiological services. We have been piloting a new service delivery model for community-based screening and have an initial follow-up rate of 91%. Even though the project was still in its pilot phase, the impact in the community is noteworthy.

Surida BooysenAudiologist


LANGUAGES SERVED AT CHAT CENTRE (NEW REFERRALS N=80)

Distribution of services at the Carel du Toit Centre

CHAT Centre only

38%

School Learners

62%

Monaural Hearing

10%

Binaural Hearing

90%

Comparison of Children Bianaural vs Monaural Hearing Loss

Afrikaans

34%

English

16%

Xhosa

27%

Bilingual home language

23%

1733

165

40

62

0 200 400 600 800 1000 1200 1400 1600 1800 2000

Children screened

Ear Referrals

Further Diagnostic Hearing Tests

Eye Referrals

Summary of 3E Project Outcomes: September - November 2017

9,5% 2,3% 3,5%

SUMMARY OF 3E PROJECT OUTCOMES: SEPTEMBER - NOVEMBER 2017


2017 SOURCES OF REFERRAL TO CAREL DU TOIT CHAT CENTRE

AVERAGE AGES OF DIAGNOSIS, FITTING AND EARLY INTERVENTIONFOR CHILDREN ENROLLED AT THE CAREL DU TOIT CENTRE 2017

(N=221)

0

2017 CDT ENROLLEES

AGE OF DIAGNOSIS

AGE OF FITTING

AGE OF INTERVENTION

EHDI GOLD STANDARD

MONTHS

10 20 30 40

HEARING TECHNOLOGY USE AT THE CAREL DU TOIT CENTRE DURING 2017

0 50 100 150 200 250 300

Bone Anchored Hearing aids

Cochlear Implants

Hearing Aids

DM Systems

Not Fitted

Normal hearing

Hearing Technology Use at the Carel du Toit Centre during 2017

Total

Left Ear

Right Ear

0 50 100 150 200 250 300

Bone Anchored Hearing aids

Cochlear Implants

Hearing Aids

DM Systems

Not Fitted

Normal hearing

Hearing Technology Use at the Carel du Toit Centre during 2017

Total

Left Ear

Right Ear

Language of Education and Intervention – Afrikaans, Xhosa and English Carel du Toit Centre offers Education and Early Intervention Services in English and Afrikaans.It is very clear from research literature that mother tongue remains the preferred home language for children, particularly children who are late inacquiring language. An analysisof the home languages of the families who enrolled in the CHAT Centre during 2017 shows that there certainly is a need to consider adding quality intervention services in isiXhosa as well.

Bourne to Hear – CHAT Centre Audiology for New Families This year we proudly launched our CHAT Audiology Wing, aptly named “Bourne to Hear”, after our past principal, Mrs. Ruth Bourne. Many years of hard work and dedication finally paid off to make this dream a reality. This wing enablesour Audiology Department to provide family-centred audiology services especially to new families joining our Early Intervention Programme, CHAT.

0%

10%

20%

30%

40%

50%

Tygerberg Hospital

Red Cross Hospital

Private Practice

Tygerberg Hospital CI

Unit

Carel du Toit

Mitchell's Plan

Hospital

Self referrals

34%

16%27%

23%

Languages served at CHAT Centre (new referrals N=80)

Afrikaans

English

Xhosa

Bilingual home languages (e.g. isiXhosa & English)


Additional Supportive Therapies and Services

Speech Therapy

All children over the age of four years old attend weekly speech therapy sessions on-site. The Carel du Toit Centre has one speech therapist allocated by the Western Cape Government: Health, another speech therapist employed by the School Governing Body, and the third speech therapist is currently undertaking her community service with the Carel du Toit Centre.

Social Worker

The Centre’s Social Worker assists the hearing impaired child and family unit to adjust to the change that lies ahead. Parent-to-parent support groups help the families to mend and learn from each other through sharing their real-life experiences. The Social Worker works closely with all other therapists to assist and guide the family in their process of managing their circumstances and having to make decisions that will result in the best outcome for their children.

Occupational Therapy

Occupational therapy at the Centre assists in the detection and treatment of conditions that frequently occur in children with hearing and speech impairments, which are detrimental to their development and daily function. These conditions are related to motor, sensory and visual perceptual functions and their participation in activities of daily living.

Transport

The Centre provides transport services for learners to and from school to ensure that children are present each day. The costs are enormous and many families are just unable to foot the bill, over and above school fees. The Centre is currently transporting over 70% of learners to school in the morning and back home in the afternoon and costs rise each year with the increases in fuel and maintenance of vehicles to keep the Centre’s children safe on the roads and in class on a daily basis.

Aftercare

The Aftercare services at the Carel du Toit Centre is a caring environment provided for more than half of our total learners. Some children wait for their parents to fetch them en route from work, while others require a halfway house while waiting for the school’s transport services. Monetary donations and sponsorship of goods sustain this service and we are ever thankful for the generosity of all who contributed in 2017.


Speech Therapy Report

The Speech Therapy department at the Carel du Toit Centre continued to grow in 2017. With the Education department only providing the Centre with one post for a therapist, we have had to appoint our own therapists in School Governing Body posts. Delanie Smit is still in a permanent SGB post, with Carmen Roux and Ulfah both working three days per week. Barbara Kellett also provides speech therapy along with early intervention on behalf of the Cochlear Implant team at Tygerberg Hospital. We are also fortunate to have a community service speech therapist employed by the Department of Health. Adilah Allie joined our team in 2017. Our school is unique in that every single child who attends the school receives individual speech and language therapy, which translates into over 100 speech therapy sessions

per week, focusing on the development of listening and spoken language skills.

Continuous professional development is highly valued by all speech therapists working at the Carel du Toit Centre. Many workshops were attended through the year including our own Ndiyeva conference in March 2017. Barbara and Jenni also attended the National South African Cochlear Implant Conference in May 2017, which was held in Pretoria. Barbara and Jenni have also been selected to be part of a training programme presented through AV UK, a charity based in the UK. This course involves a minimum of three years’ postgraduate study and mentoring by a certified Auditory Verbal Therapist. This will allow the therapists entrance into the international exam co-ordinated by the AG Bell Academy in the US and, hopefully, will lead to Carel du Toit having some of the first ever certified Auditory Verbal Therapists in South Africa. Having certified Auditory Verbal Therapists in South Africa will change the journey to sound significantly for many children born with hearing loss and for their families who wish spoken language to be their outcome and will keep the Carel du Toit Centre at the forefront of excellent service delivery.

Community outreach is also a core value of the speech therapy team at Carel du Toit and this year, our therapists supported over 400 learners in mainstream schools. In 2017, we launched a new outreach project in collaboration with Parow East Primary School. Our community service therapists visited the school every Monday to provide classroom intervention and small group therapy for all foundation phase learners. The sessions were aimed at building early literacy and listening skills for the learners. All the Grade R learners received a hearing screening. The community service speech therapist provided weekly speech therapy sessions at the Tygerberg Hospital School for four learners with apraxia. The Speech Therapy department continued to assist the Education Department with therapy support for mainstream schools in our Metro by conducting ten speech and language assessments as well as hearing tests for children referred by the District Office.

We are looking forward to more growth and learning in 2018 and, of course, much more talking too.

Jenni BesterHead of Speech Therapy Department


Trustees’ Responsibilities and Approval

The Trustees are required by the Non-profit Organisations Act, No. 71 of 1997, to maintain adequate accounting records and are responsible for the content and integrity of the financial statements and related financial information included in this report. It is their responsibility to ensure that the financial statements fairly represent the state of affairs of the company as at the end of the financial year and the results of its operations and cash flows for the period then ended.

The financial statements are prepared in accordance with the International Financial Reporting Standard for Small and Medium-sized Entities and are based upon appropriate accounting policies consistently applied and supported by reasonable and prudent judgements and estimates. The external auditor is engaged to express an independent opinion on the financial statements.

The Trustees acknowledge that they are ultimately responsible for the system of internal financial control established by the Trust and place considerable importance on maintaining a strong control environment. To enable the Trustees to meet these responsibilities, the Trustees set standards for internal control aimed at reducing the risk of error or loss in a cost effective manner. The standards include proper delegation of responsibilities within a clearly defined framework, effective accounting procedures and adequate segregation of duties to ensure an acceptable level of risk. These controls are monitored throughout the Trust and all employees are required to maintain the highest ethical standards in ensuring the Trust’s business is conducted in a manner that in all reasonable circumstances is above reproach. The focus of risk management in the Trust is on identifying, assessing, managing and monitoring all known forms of risk across the Trust. While operating risk cannot be fully eliminated, the Trust endeavours to minimise it by ensuring that appropriate infrastructure, controls, systems and ethical behaviour are applied and managed within predetermined procedures and constraints.

The Trustees are of the opinion, based on the information and explanations given by management, that the system of internal control provides reasonable assurance that the financial records may be relied on for the preparation of the financial statements. However, any system of internal financial control can provide only reasonable, and not absolute assurance against material misstatement or loss.

The independent auditors are responsible for independently evaluating and reporting on the Trust’s annual financial statements. The annual financial statements have been examined by the Trust’s independent auditors.

The annual financial statements set out on pages 25 to 30, which have been prepared on the going concern basis, were approved by the board of Trustees on 15 May 2018.


CAREL DU TOIT TRUST FUND - TYGERBERG(Registration number 003-401 NPO)Financial Statements for the year ended 31 December 2017

Detailed Statement of Financial Performance2017 2016

Notes R R

RevenueBequests - 67,885 Congress income 421,853 280,080 Donations, fundraising and projects 4,113,852 4,532,399 Funding: Department of Health - 515,377 Funding: Department of Social Development 1,035,300 949,025 Funding: Hear The World Foundation 187,100 - Grant: Children's Hospital Trust - 551,848 Grant: National Lotteries Board - - Hearing aids, batteries and moulds 160,919 173,729 Residence fees 420,750 338,825 School fees 1,154,289 994,865

7,494,063 8,404,032

Other incomeAftercare 96,240 93,191 Congress and workshops 28,501 18,570 Insurance claims 39,962 11,465 Interest received 400,695 338,059 Profit on sale of motor vehicles - 27,117 Provision for bad debts - 9,482 Recoveries 56,446 51,181 Subsidy - Western Cape Education Department 1,345,840 1,191,460 Transport fees 399,441 319,383

2,367,125 2,059,908

Expenses (Refer to page 21) -8,973,197 -8,672,186

Fair value adjustment -64,015 66,499

Profit / (loss) for the year 823,977 1,858,253

19

Carel du Toit Trust Fund -Tygerberg

(Registration number 003-401 NPO)Consolidated Financial Statements for the year ended 31 December 2017


Detailed Statement of Financial Performance (continued)CAREL DU TOIT TRUST FUND - TYGERBERG

(Registration number 003-401 NPO)Financial Statements for the year ended 31 December 2017

Detailed Statement of Financial Performance2017 2016

Notes R R

Operating expensesAdministration fees - 34,936 Advertising - 33 Aftercare - Salaries, groceries and consumables 143,126 126,478 Audiology and speech therapy 8,730 5,570 Auditors' remuneration 9 52,326 33,050 Bad debts/Provision for bad debts 233,629 211,134 Bank charges 50,053 51,978 Catering and accessories 2,564 - Computer expenses 64,001 99,912 Community Outreach Projects - Salaries and consumables 828,360 596,208 Conference fees - 9,100 Congress expenses 595,884 105,180 Consulting and professional fees 52,344 29,182 Contributions to Carel du Toit Trust Fund Satelites 144,000 144,000 Depreciation 415,373 425,607 Drama classes - 645 Educational outings and concerts 54,395 48,829 Electricity and water 126,278 93,781 Fines and penalties 6,007 3,300 Fundraising - Salaries and project costs 259,847 453,053 Groceries and cleaning 67,402 64,343 Hearing aids, cochlea implants and medical expenses 527,385 449,186 Insurance 109,184 114,844 Interest expense 4,954 - Kids Kinetix 20,000 172,175 Marketing expenses 77,568 38,203 Motor vehicle expenses 40,751 198,200 Occupational- and physiotherapy 254,503 20,000 Printing and stationery 137,110 105,845 Protective clothing - 2,051 Provision for bad debts 58,056 Refreshments and gifts 37,679 45,065 Rent of equipment 109,212 97,017 Repairs and maintenance 83,422 87,806 Ringfenced donations expenses - 123,873 Salaries and wages 3,615,815 3,926,037 Security 29,894 24,022 Seminars and membership fees 5,522 7,426 Special donation expenses: Christmas gifts - 1,800 Special donation expenses: Educational books - 36 Special donation expenses: General 16,697 72,491 Special donation expenses:Aftercare renovations - 505,823 Staff training and development 1,060 32,885 Telephone, fax and internet 70,574 12,847 Transport costs 635,531 8,678 Travel expenses 33,963 89,555

8,973,197 8,672,186

20


Carel du Toit Trust Fund -TygerbergCAREL DU TOIT TRUST FUND - TYGERBERG(Registration number 003-401 NPO)Financial Statements for the year ended 31 December 2017

Detailed Statement of Financial Performance 2017 2016

Notes R R

DETAILED STATEMENT OF FINANCIAL PERFORMANCE: CAREL DU TOIT TRUST

RevenueBequests - 67,885 Community Outreach Projects Congress income 421,853 280,080

Donations, fundraising and projects 3,572,958 4,003,751 Funding: Department of Social Development 1,035,300 949,025

5,030,111 5,300,740

Other incomeInsurance claims 39,962 11,465 Interest received 397,356 332,543 Profit on sale of motor vechicles - 27,117 Recoveries 1,591 787

438,909 371,912

Operating expensesAuditor's remuneration 9 43,890 27,050 Bank charges 26,044 27,632 Computer expenses 48,961 81,176 Congress expenses 595,884 105,180 Consulting and professional fees 52,344 29,182 Contributions to Carel du Toit Trust Fund satelites 144,000 144,000 Depreciation 86,716 75,319 Fundraising - Salaries and project costs 178,764 378,393 Groceries and cleaining 3,776 324 Insurance 109,184 114,844 Interest expense 4,844 - Marketing expenses 77,568 172,175 Motor vehicle expenses 3,750 1,150 Printing and stationery 3,766 6,132 Refreshments and gifts 3,948 3,495 Rent of equipment 26,548 19,204 Repairs and maintenance 32,272 1,189 Ringfenced donations expenses - 123,873 Salaries and wages 1,288,973 1,037,806 Security 5,666 3,967 Staff training and development 1,060 1,800 Sundry expense - purchase of bin - 36 Telephone, fax and internet 47,751 46,284 Transport costs 15,606 1,566

2,801,314 2,401,778

Fair value adjustment -64,015 66,499

Profit for the year 2,603,691 3,337,373

This is supplementary statement does not represent consolidated financial figures and is also exclusive of transactions between Carel du Toit Centre - Tygerberg, Carel du Toit Residence - Tygerberg, Carel du Toit CSHP - Tygerberg and Carel du Toit 3E Project - Tygerberg

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Detailed Statement of Financial Performance (continued)CAREL DU TOIT TRUST FUND - TYGERBERG

(Registration number 003-401 NPO)Financial Statements for the year ended 31 December 2017


Notes R R

DETAILED STATEMENT OF FINANCIAL PERFORMANCE: CAREL DU TOIT CENTRE - TYGERBERG

RevenueDonations, fund raising and projects 540,894 528,647 Hearing aids, batteries and moulds 160,919 173,729 School fees 1,154,289 994,865

1,856,102 1,697,241

Other incomeAftercare 96,240 93,191 Congress and workshops 28,501 18,570 Interest received 3,298 5,170 Operating cost recovered 54,753 50,227 Provision for bad debts - 9,482 Subsidy - Western Cape Education Department 1,345,840 1,191,460 Transport fees 399,441 319,383

1,928,073 1,687,482

Operating expensesAdvertising - 33 Aftercare - Salaries, groceries and consumables 143,126 126,478 Audiology and speech therapy 8,730 5,570 Auditor's remuneration 8,436 6,000 Bad debts 233,629 211,134 Bank charges 19,205 19,196 Community Outreach Projects - Salaries and consumables 828,360 596,208 Computer expenses 15,040 18,736 Depreciation 327,359 341,798 Drama classes - 645 Educational outings and concerts 54,395 48,829 Electricity and water 94,708 67,782 Fines 6,007 3,300 Fundraising - Salaries and project costs 81,082 74,661 Groceries and cleaning 54,048 55,432 Hearing aids, cochlea implants and medical expenses 309,513 338,059 Kids Kinetix 20,000 20,000 Motor vehicle expenses 37,001 37,053 Occupational- and physiotherapy 254,503 198,200 Printing and stationery 131,211 94,554 Protective clothing - 2,051 Provision for bad debts 58,056 - Refreshments and gifts 33,732 41,570 Rent of equipment 82,664 77,814 Repairs and maintenance 44,787 78,830 Salaries and wages 1,896,761 1,639,033 Security 24,228 20,055 Seminars and membership fees 5,522 7,426 Special donation expenses: Christmas gifts - 12,847 Special donation expenses: Educational books - 8,678 Special donation expenses: General 16,697 - Special donation expenses:Aftercare renovations - 89,555 Telephone, fax and internet 10,493 7,325 Transport costs 619,925 504,257

5,419,220 4,753,106

(Loss)/profit for the year -1,635,046 -1,368,383

This is supplementary statement does not represent consolidated financial figures and is also exclusive of transactions between Carel du Toit Residence - Tygerberg, Carel du Toit Trust Fund - Tygerberg, Carel du Toit CSHP - Tygerberg and Carel du Toit 3E Project - Tygerberg

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Child Speech & Hearing Project -Tygerberg



Notes R R

DETAILED STATEMENT OF FINANCIAL PERFORMANCE: CHILD SPEECHAND HEARING PROJECT - TYGERBERG

RevenueFunding: Department of Health - 515,377 Grant: Children's Hospital Trust - 551,848

- 1,067,225

Operating expensesAdministration fees - 34,936 Bank charges 1,468 2,294 Conference fees - 9,100 Depreciation - 6,949 Donations: Hearing testing equipment and medical expenses 217,873 111,128 Printing and stationery - 4,784 Salaries and wages 94,515 1,022,786 Telephone, fax and internet 7,200 14,400 Travel expenses 10,087 32,885

331,143 1,239,262

(Loss)/profit for the year -331,143 -172,037

This is supplementary statement does not represent consolidated financial figures and is also exclusive of transactions between Carel du Toit Centre - Tygerberg, Carel du Toit Residence - Tygerberg, Carel du Toit Trust Fund - Tygerberg and Carel du Toit 3E Project - Tygerberg

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Carel du Toit Residences -Tygerberg



Notes R R

DETAILED STATEMENT OF FINANCIAL PERFORMANCE: CAREL DU TOIT RESIDENCES - TYGERBERG

RevenueResidence fees 420,750 338,825

Other IncomeRecoveries 102 168 Interest received 42 346

144 514

Operating expensesBank charges 2,767 3,500 Depreciation 1,297 1,541 Electricity and water 31,569 25,998 Groceries and cleaning 9,578 8,588 Interest expense 109 - Printing and stationery - 375 Repairs and maintenance 6,362 7,787 Salaries and wages 248,104 226,412 Telephone, fax and internet 4,212 4,482

304,000 278,684

Profit / (loss) for the year 116,893 60,655

This is supplementary statement does not represent consolidated financial figures and is also exclusive of transactions between Carel du Toit Centre - Tygerberg, Tygerberg, Carel du Toit Trust Fund - Tygerberg, Carel du Toit CSHP - Tygerberg and Carel du Toit 3E Project - Tygerberg

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Thank you for your support that enables us to teach

hearing impaired children to hear and speak, changing the lives of these children

forever!Visit www.careldutoit.co.za for more information

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@Carel_du_Toit


Contact us :+27 (021) 938 5303

[email protected]

Find out morewww.careldutoit.co.za

/careldutoitcentre

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