THE MINISTRY OF HEALTH OF UKRAINE OBLAST HEALTH SECTOR REFORM PROJECT PREPARATION PROJECT, FINANCIAL STATEMENTS

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THE MINISTRY OF HEALTH OF UKRAINE OBLAST HEALTH SECTOR REFORM PROJECT PREPARATION PROJECT, Public Disclosure Authorized FINANCIAL STATEMENTS For the period from December 10, 2013 to December 09, 2015 Auditor's Report enclosed Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized IBDO

OBLAST HEALTH SECTOR REFORM PROJECT PREPARATION PROJECT Financial Statements For the period from December 10, 2013 to December 09, 2015 CONTENTS: INDEPENDENT AUDITOR'S REPORT 3 SUMMARY OF SOURCES AND USE OF FUNDS 5 SCHEDULE OF WITHDRAWALS FROM THE GRANT ACCOUNT 6 STATEMENT OF WITHDRAWALS THROUGH THE SUMMARY OF STATEMENTS OF EXPENDITURES 7 REPORT OF CASH WITHDRAWAL FROM SPECIAL ACCOUNT 8 SPECIAL ACCOUNT STATEMENT 9 STATEMENT OF FACTUAL EXPENDITURES IN NATIONAL CURRENCY 10 RECONCILIATION BETWEEN RECORDS OF PIU AND THE BANK 11 NOTES TO SPECIAL FINANCIAL STATEMENTS - 12 WORLD BANK AUDIT DOCUMENTATION CHECKLIST 15 2

www.bdo.com.ua BDO LLC - Tel.: +38 044 393 26 87 201-203, Kharkivske Road, 10th floor Fax: +38 044 393 26 91 Kyiv e-mail: bdo@bdo.kiev.ua Ukraine, 02121 Tel.: +38 056 370 30 43 4, Serova Str. Fax: +38 056 370 30 45 Dnipropetrovsk e-mail: office@bdo.com.ua Ukraine, 49000 INDEPENDENT AUDITOR'S REPORT To the Ministry of Health of Ukraine We have audited the accompanying financial statements related of Oblast Health Sector Reform Project Preparation Project (further in the text- Project), being financed with funds of Grant ECAPDEV No. TF 016160. The reports include: * Summary of sources and application of funds as at December 09, 2015; * Summary statements of expenditures for the period from December 10, 2013 to December 09, 2015; * Special Account Statement ; * Description of significant aspects of accounting policies and other explanatory notes. Responsibility of the Management for Financial Statements The management shall bear responsibility for the preparation and fair presentation of the accompanying financial statements in accordance with the World Bank regulations. This responsibility includes design, Implementation and maintenance of internal control relevant to preparation and fair presentation of financial statements that are free from material misstatements, whether due to fraud or error; selection and application of appropriate accounting policies; and making accounting estimates that are reasonable in the circumstances. Auditor's responsibility Our responsibility is to express an opinion on these special financial statements based on our audit. We conducted our audit in accordance with International Standards on Auditing. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the special financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risk of material misstatement of the special financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity's preparation and fair presentation of the financial statements 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 entity's internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by the management, as well as evaluating the overall presentation of the special financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. BDO LLC, a Ukrainian LLC, is a member of BDO International Limited, a UK company timited by guarantee, and forms part of the international BDO network of independent member firms. BDO is the brand name for the BDO network and for each of the BDO Member Firms.

IBDO Opinion regarding Special Financial Statements In our opinion, Special Financial Statements present fairly, in all material aspects, the sources and usage of funds of Grant ECAPDEV No. TF 016160 concerning the Oblast Health Sector Reform Project Preparation Project in accordance with the Bank's regulations. External funds have been used in -compliance with the requirements of the corresponding general conditions, financial agreements, and the Disbursement Letter, paying due attention to efficiency and cost-effectiveness; and have been used only for the corresponding purposes. Conditions of the Grant Agreement ECAPDEV No. TF 016160 do not provide for the use of partners' funds. The services have been purchased in compliance with the corresponding general conditions, financial agreements, and the Disbursement Letter. Accounting and storing of the necessary interim documents, accounting data and accounts regarding all Project transactions, including those concerning the expenditures disclosed in the Statement of actual expenditures, are performed in a due manner. There is a clear interconnection between accounting data and the financial statements provided to the World Bank. The prepared special financial statements comply with the requirements of generally accepted accounting principles and practices, and the instructions from the World Bank; and truly and objectively reflect the financial position of the Project as at December 09, 2015 as well as the resources and expenditures. Opinion regarding Statements of Expenditures In addition, with regard to the expenditures for the period from December 10, 2013 to December 09, 2015 adequate supporting documentation was maintained to confirm applications submitted to the Bank for reimbursement of the expenditures incurred, and that the expenditures stated in the withdrawal applications are to be financed in accordance with the terms and conditions of the Grant ECAPDEV No. TF 016160. Opinion regarding Special Account Statements In our opinion, the special financial statements on the Special account give true and fair view of financial position of the Special Account for the Grant ECAPDEV No. TF 016160, as at December 09, 2015 and for the period from December 10, 2013 till the date fixed in consistence with the World Bank regulations. These accounts were conducted according to the provisions of the corresponding general conditions, financial agreements, and the Disbursement Letter. Explanatory paragraph We draw your attention to Note 1 to the Special Financial Statements indicating that the date of the Grant closure shall be July 24, 2015. 28 December 2015 "BDO" LLC Balchenko S. O. Managing Partner AI

SUMMARY OF SOURCES AND USE OF FUNDS Balance at the year beginning Actual For the period Total Special account Ukreximbank - US dollars Current account State Treasury of Ukraine - hryvnya Fund source: Grant of International Bank for Reconstruction and Development 450,676 450,676 Total financing: 450,676 450,676 Project costs: Category 1: Consultants' Services, Operating Costs 450,676 450,676 Total project costs: 450,676 450,676 Balance at the period end Special account Ukreximbank - US dollars Current account State Treasury of Ukraine - hryvnya 5

SCHEDULE OF WITHDRAWALS FROM THE GkANT ACCOUNT Payment USD Date of Application number Category withdrawal Currency equivalent equivalent 1 DA-A 12.05.2014 USD 80,000 80,000 2 DA-A 16.09.2014 USD 68,882 68,882 3 DA-A 10.10.2014 USD 66,429 66,429 4 DA-A 06.11.2014 USD 40,000 40,000 5 DA-A 20.02.2015 USD 36,063 36,063 6 DA-A 20.04.2015 USD 30,378 30,378 7 DA-A 08.05.2015 USD 36,719 36,719 8 DA-A 12.06.2015 USD 12,749 12,749 10 Category 1 07.07.2015 USD 49,000 49,000 9 DA-A 08.07.2015 USD 24,880 24,880 11 Category 1 28.08.2015 USD 24,895 24,895 - refund 09.12.2015 USD -19,240-19,240 canceled 09.12.2015 USD -79-79 Total: 450,676 Summary schedule by categories: Category 1 total 73,895 DA-A total 396,100 Refund to the Special Account -19,319 Total: 450,676 6

STATEMENT OF WITHDRAWALS THROUGH THE SUMMARY OF STATEMENTS OF EXPENDITURES Application number Category I Total 1. Applications submitted to the World Bank and reimbursed for the period from 10 December 2013 to 09 December 2015 2 68,882 68,882 3 66,429 66,429 5 56,063 56,063 6 45,378 45,378 7 36,719 36,719 8 12,749 12,749 10 49,000 49,000 9 25,402 25,402 11 24,895 24,895 12 54,353 54,353 13 10,806 10,806 Total 450,676 450,676 2. Costs actually incurred for the period from 10 December 2013 to 09 December 2015 From the Grant's account 73,895 73,895 From special account From current account 376,781 376,781 in national currency Total 450,676 450,676 3. Table of differences in Project costs between the World Bank records and PMT for the period from 10 December 2013 to 09 December 2015 Reimbursed according 450,676 450,676 to IBRD' information Amount of costs not provided for reimbursement as at 09 December 2015 According to the data 450,676 450,676 of PMT 7

REPORT OF CASH WITHDRAWAL FROM SPECIAL ACCOUNT Acc. N225301020019240 Ukreximbank" Withdrawals USD Date of Equivalent Category withdrawal Currency amount Equivalent amount Sub_account 15.05.2014 USD 80,000 80,000 Sub_account 18.09.2014 USD 68,882 68,882 Sub_account 22.10.2014 USD 49,000 49,000 Sub_account 19.11.2014 USD 57,429 57,429 Sub_account 26.02.2015 USD 36,063 36,063 Sub_account 23.04.2015 USD 30,378 30,378 Sub_account 13.05.2015 USD 36,719 36,719 Sub_account 13.07.2015 USD 18,310 18,310 Total: 376,781 Summary by categories Category 1 total 376,781 Total: 376,781 8

SPECIAL ACCOUNT STATEMENT Deposit bank Ukreximbank Grant ECAPDEV No. TF 016160 Currency US dollars Acc. Ne 25301020019240 BALANCE AT THE PERIOD BEGINNING Revenues: Funds received 396,100 Interest accrued TOTAL FUNDS RECEIVED 396,100 Maintenance: costs Transfer of funds in national currency 376,781 Direct payments from special account Payment for bank services TOTAL COSTS 376,781 Return to the account of the bank 19,319 Including payment for banking services BALANCE AT THE PERIOD END 9

STATEMENT OF FACTUAL EXPENDITURES IN NATIONAL CURRENCY ----- Payment ----- USD Equivalent Currency Amount amount Category 1: Consultants' Services, Operating Costs UAH 6,260,442 376,781 Total expenditures of the period 6,260,442 376,781 10

RECONCILIATION BETWEEN RECORDS OF PIU AND THE BANK Amount of the Grant 470,000 Subtract: Project costs: Category 1: Consultants' Services, Operating Costs 450,676 Total: (450,676) Special account Ukreximbank - US dollars Current account State Treasury of Ukraine - hryvnya Total funds available Total withdrawal: (450,676) Canceled by the World Bank as of December 09, 2015 (19,324) Balance as at December 09, 2015 11

NOTES TO SPECIAL FINANCIAL STATEMENTS 1. Project description According to the Letter Agreement dated 10 December 2013, International Bank for Reconstruction and Development ("World Bank"), provided to the Government of Ukraine the Grant from the Multi Donor Programmatic Trust Fund for Eurbpe and Central Asia Region Capacity Development (Trust Fund ECAPDEV) ("Grant") in amount of 470 000 USD. The Grant's Administrator is the Ministry of Health of Ukraine ("MHU"). The objective of the Grant is to assist the MHU and selected regions in (a) the preparation of the proposed Oblast Health Sector Reform Project ("Project"); and (b) to strengthen their implementation capacity. The Project consists of the following parts: Part 1: Health Reform Subproject Proposals in Selected Obtasts (a) Provision of technical assistance to the Selected Obtasts to design proposals for Subprojects. (b) Carrying out of consultations with relevant stakeholders in the Selected Oblasts, who may beinvolved or affected byany Subproject implementation. (c) Carrying out of training activities for the Selected Oblast's health departments, aimed at strengthening their project 'management skills, including training in the World Bank's fiduciary requirements and operational practices. Part 2: Building Capacity of the Ministry of Health and Selected Oblasts to Plan, implement and Coordinate Health Reforms (a) Strengthen the capacity of the Ministry of Health to plan and manage the implementation of the Recipient's ehealth strategy. (b) Provision of technical assistance to: (i) develop technical standards to integrate inter-operable information technology solutions for health initiatives; (ii) design and prepare terms of reference to improveselected central ehealth systems of the Recipient; (iii) prepare a pilotof a new payment system for hospitals, based on diagnostic related groups; and (iv) assess the communication needs of the Ministry of Health and the Selected Oblasts to support health system reforms. (c) Provision of technical assistance to enhance the Ministry of Health's current reform coordination mechanisms, including inter alia: (i) the reorganization of the Health Reform Steering Committee and the ehealthworking group; and (ii) the provision of training on relevant aspects of health policy implementation. (d) Preparation of the operational manual for the proposed Oblast Health Systems Reform project, including training activities to present said manual to relevant stakeholders, (including the terms of reference for preparing the respective Subproject's environmental management plans). Part 3: Grant Audit and Coordination (a) Provision of support to the Recipient to carry out of the management and administration of the Project's activitiesto ensure day-to-day Project management, specifically in the areas of procurement and financial management, as to enable proper coordination of the Project activities implementation. (b) Provision of support to the Recipient to carry out of an audit of the activities financed by the Grant. For purposes of the implementation of the Project, the Recipient shall: 12

WORLD BANK AUDIT DOCUMENTATION CHECKLIST Name of Loan/Credit: World Bank UKRAINE Loan/Credit # TF 016160 Audit Report: Year ended December 09, 2015 Check if Included Check if N/A I. Audit report (Opinion): A. Applicable accounting standards noted X B. Applicable auditing standards noted X C. Opinion rendered on all forms of withdrawals: 1. Statement of Expenditures X 2. Special Account X D. All sources of financing for the project are noted X II. Financial Reports: A. Revenue Earning Entity (all of the following are required): 1. Balance sheet X 2. Cash Flow Statement X 3. Income Statement. X B. Non-Revenue Earning Entity (all of the following are required): 1. Balance sheet 2. Summary of Sources and Uses of Funds C. If applicable (refer to Loan Agreement): 1. Statement of Expenditure (SOE) Statement X 2. Special Account Statement X Ill. Notes to the Financial Statements X IV. Reconciliation between World Bank records and project records X V. Management Letter 15