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Many people ask why our services cost what they do, how we operate as a not-for-profit, and how we balance financial sustainability with accessibility. This page explains exactly that.

Why we exist

Gender-affirming healthcare should be free, high quality, and available through the NHS. Unfortunately, it’s not.

With waiting times stretching into years and limited access to youth-appropriate support, too many people are left without timely, safe, and affirming care. Anne was created to help fill that gap. Not to replace the NHS, but to offer a community-focused solution that helps people access essential care without waiting years.

We are a not-for-profit organisation. This means we exist to provide gender affirming care, not to generate profit.

Our legal structure

Anne is registered in the United Kingdom as a private company limited by guarantee without share capital. This is a standard legal structure for not-for-profit organisations. This structure means:

  • We have no shareholders
  • No one can take profit from Anne
  • Any surplus money must be reinvested into our mission

Our work is legally bound by our articles of association, which commit us to operating as a not-for-profit organisation.

Our full company details and governing documents are publicly available on the Companies House website.

How our pricing works

Providing safe, high-quality gender-affirming care requires clinical expertise, strong governance, and specialist support. Your membership fees cover the actual cost of delivering care, including:

  • Clinician time with doctors, nurses, and care coordinators
  • Medical oversight and governance
  • Care planning and coordination with partner providers
  • Operational costs such as technology, safeguarding, administration and compliance

We pay our staff fairly, maintain safe clinical standards, and ensure every service meets the level of care our patients deserve.

How we use surplus

Because we are not for profit, any surplus is used to improve access to care. This includes:

  • Subsidising or fully funding care for people who cannot afford our standard fees
  • Developing new care pathways and services
  • Improving systems to deliver care faster, more safely, and to more people

We pay our staff fairly, maintain safe clinical standards, and ensure every service meets the level of care our patients deserve.

A note on F1NN5TER’s involvement

Internet creator F1NN5TER played a founding role by making an initial personal donation that helped Anne get started. They are not involved in the day-to-day running or management of the organisation, and they do not receive any compensation or financial benefit from Anne.

Any ongoing fundraising efforts or donations from F1NN5TER go directly into our funded care programme.

Our ongoing funded care programme

We run a funded care programme for trans+ people who cannot afford our standard pricing. These places are supported by surplus income, individual donations, and community fundraising efforts.

The next application round opens in January, with full details available on our website and social channels. We aim to make the process as fair, accessible, and transparent as possible.

Our commitment to financial transparency

We believe that trust requires openness.

Our first statutory accounts will be filed by May 2026, as required for our first financial year end in August 2025. We are also exploring ways to share financial information sooner, including how funding is used and how subsidised care is allocated.

This is a reasonable expectation from our community, and something we are committed to doing well.

Our promise

We exist to provide gender affirming care that is accessible, compassionate, and community focused. We do this as a not-for-profit organisation because our mission matters.

Have more questions? Feel free to email us at hello@anne.health and we’ll do our best to answer them.

Frequently Asked Questions

View some of the most asked questions, or search below for a question you might have.

Or you can easily speak to us using one of the options below between 9am – 5pm Monday to Friday, or send us an email and we’ll get back to you as soon as we can.

Your journey, your pace, your care

Take the first step with Anne.

We’re here to guide and support you with inclusive, gender-affirming care built around you.

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