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2021-12-31-accounts

TRUSTEES’ ANNUAL REPORT

AND

INDEPENDENTLY EXAMINED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

FOR

THE INTERNATIONAL CONTINENCE SOCIETY

THE INTERNATIONAL CONTINENCE SOCIETY

CONTENTS OF THE TRUSTEES’ ANNUAL REPORT & INDEPENDENTLY EXAMINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

Page
Trustees’ Annual Report 1
Independent Examiner’s Report 19
Statement of Financial Activities 20
Consolidated Statement of Financial Activities 21
Balance Sheet 22
Consolidated Balance Sheet 23
Statement of Cash Flows 24
Consolidated Statement of Cash Flows 24
Notes to the Financial Statements 26

International Continence Society www.ics.org info@ics.org +44(0)117 944 4881

Reference and Administrative Details of the Charity, its Trustees and Advisors

Company Number 3589542
Registered Charity Number 1074929
Registered Office Bath House, 6-8 Bath Street, Bristol, BS1 6HL,
Correspondence Address 19 Portland Square, Bristol, BS2 8SJ
E-mail info@ics.org
Website www.ics.org
Telephone +44 (0) 117 944 4881
General Secretary appointed David Castro Diaz, 3 year term began 05/09/19
General
Secretary-Elect		 John Heesakkers, 1 year term began 20/10/21
appointed
Treasurer appointed John Heesakkers, 3 year term began 05/09/19
Trustees appointed 2021 Frankie Bates, 3 year term began 20/10/2021
Trustees appointed 2020 Marcus Drake (reappointed for a 3 year term), Lori Birder, Manjula Annappa, Enrico
Finazzi Agro (3 year term)
Trustee appointed 2019 Philip Van Kerrebroeck
Trustee terms concluded 2021 Cristina Naranjo-Ortiz
Company Secretary Daniel Snowdon (appointed 14/01/2011)
Independent Examiner M Bracher of Haines Watts, Bath House, 6-8 Bath Street, Bristol BS1 6HL
Solicitors Veale Wasbrough Vizards, Orchard Lane, Bristol BS1 5WS
Bankers NatWest Bank, Filton Bristol Branch, PO Box 182, 4 Church Road, Bristol BS99 5AA
Investment Managers Crystal Wealth Management LLP

Staff

Daniel Snowdon Executive Director
Dominic Turner I.T. Director
Avicia Burchill Projects and Events Manager – part time
Ashley Brookes Senior Analyst Programmer
Roger Blackmore Flash Developer/Graphics Designer
Robert Lewis Video Editor / Post Production Assistant
Jennifer Ellis Projects and Events Coordinator
Tracy Griffin Administrator and Membership Secretary – part time
Beth Clement Administrator (left employment 14 May 2022)
Sarah Ashworth Bookkeeper - self-employed
Sarah Waters Bookkeeper - self-employed

ICS Honorary Members

Peter Caldwell (Deceased) Patrick Bates Pieter Donker (Deceased)
Peter Gammelgaard (Deceased) Eric Glen Axel Ingelman-Sundberg (Deceased)
Guus Kramer David Rowan (Deceased) Paul Abrams
Walter Artibani Jacques Corcos Jo Laycock
Sender Herschorn Karl-Erik Andersson Adrian Wagg

1

Ted Arnold Sherif Mourad Helmut Madersbacher Alan Wein

Linda Cardozo Jerzy Gajewski

What is the International Continence Society and what does it do?

The International Continence Society (ICS) is a membership society for professionals working in the field of incontinence.

The objectives for which the Charity has been established are:

ICS Mission Statement

The International Continence Society is a registered charity with a global health focus which strives to improve the quality of life for people affected by urinary, bowel and pelvic floor disorders by advancing basic and clinical science through education, research, and advocacy.

The trustees have had regard to Charity Commission guidance on public benefit. Considerable public benefit arises from the work of the ICS. With regard to the general public, significant and often harmful misunderstandings and stigma still surround relevant medical conditions. The ICS works to break down this stigma. With regard to healthcare professionals, their knowledge and skills are increased, to the benefit of current and future patients, by the dissemination of knowledge and sharing of best practice at events such as the ICS annual international scientific meeting and the workshops and courses it facilitates (many of which are offered for free). The ICS continues to allow free access to the majority of the ICS website to allow non-ICS members to utilise the vast database of incontinence research now held within it. For those interested in becoming members of the ICS, the membership fee remains affordable and a host of benefits are included. It is in this regard that the ICS Board of Trustees has considered the public benefit. The ICS clearly fits the Charities Act aims of advancement of education and of health or the saving of lives. The ICS has members in over 70 countries and is therefore helping individuals suffering from incontinence related issues on a global level.

Scientific knowledge and expertise on incontinence issues is exchanged between the multi-disciplinary medical professionals through the various forums which the ICS provides, including the Annual Scientific Meeting, news articles and publication of research through journals. Best practices from countries with established continence awareness programmes are shared with others who are trying to set up continence programmes within their country, hospital or clinic. With the dissemination of research on incontinence treatment, the direct beneficiaries are the patients of those individuals who are members of the ICS or those who attend our congresses and courses.

The key objectives for 2021 were to hold a successful annual meeting in Melbourne (later changed to an online meeting due to the pandemic, but still holding a significant Australian presence) to maintain

ICS Trustees Report 2021 2

the ICS membership at 3,000 or more members, to review and implement a revised investment strategy, and to enable more accessible educational content for our global membership. Due to the pandemic a physical meeting was not possible and so a second virtual meeting was organised instead.

Strategic efforts will continue to advance the educational output of the ICS, mainly through the implementation of ICS Live, ICS TV, e-learning and the continued update and production of ICS standardisation reports. The financial planning and controls for the society will continue to be reviewed to ensure strategies are fit for purpose.

History:

With Peter Caldwell as president, Shedden Alexander as vice president and Eric Glen as the organising secretary, the inaugural meeting of the Continent Club was held in Exeter in 1971. Over 60 participants attended the meeting from several countries and it was hailed as a great success, both scientifically and socially.

At the third ICS conference held in Copenhagen in 1973, Tage Hald was elected first Chair of the ICS Standardisation Committee. His committee published the first ICS reports between 1976 and 1981. The Society has gone on to publish many reports and retains the copyright, enabling them to be published in a range of international journals.

In 1998 the ICS was set up as a UK Charity under the guidance of Paul Abrams and now boasts a membership of over 3,000 from 70 different countries covering many disciplines: physicians, surgeons, nurses, physicists, physiotherapists, bio-medical engineers and basic scientists. The founding members agreed that the ICS should meet annually with a different meeting chair and venue each year. This Annual Meeting remains today one of the most valued dates in the urological and gynaecological calendars, attracting in excess of 2,000 delegates from all corners of the globe, before the pandemic took effect.

Structure, Governance and Management

Board of Trustees

The ICS Board of Trustees is required to meet twice a year and is responsible for:

All nominated candidates for Trustee positions will receive documents outlining their duties, responsibilities and any risks pertaining to the role of Trustee. The Nominations Committee will review all candidates for their suitability, prior to their nominations being put to the membership.

ICS Trustees Report 2021 3

Management Structure

The ICS is a Company Limited by Guarantee governed by Articles of Association, together with regularly updated Bylaws. These reflect the current activities of the Charity. In the event of the company being wound up members are required to contribute an amount not exceeding £1.

The directors of the company are also charity trustees for the purposes of charity law. As a UK Registered Charity, the ICS Trustees are ultimately responsible for the Charity and its affairs. However, the ICS has a management structure and Bylaws which ensure that members have sufficient input on all decisions within the ICS. The Board of Trustees reflects the multi-disciplinary aspects of the society.

Under supervision of the Trustees and the General Secretary in particular, day-to-day management of the Charity, its trading subsidiary and office staff, is delegated to the Executive Director and the IT Director. The Executive Director is a full-time employee and reports directly to the Trustees who are ultimately responsible for the management and finances of the ICS, as well as the review and approval of administrative procedures implemented by the Executive Director.

ICS Committees 2021

The following committees focus on the different aspects of the ICS and through the direction of the Board of Trustees undertake projects to assist the Board to achieve its overall strategy and Charitable aims:

A chair for each of the above-mentioned committees is elected by electronic membership ballot, to hold office for three years (with the exception of the Meetings Committee where the General Secretary is always the Chair). Further information about the remit of each committee can be found on the ICS website.

Related Parties

The wholly owned subsidiary Conticom ICS Limited was established to undertake the commercial trading activities of the Charity. Conticom ICS Limited gift aids its profits to the Charity.

Risk Management

The Trustees have implemented a formal risk management process to assess business risks and implement risk management strategies.

The Trustees have identified the types of risks the Charity faces, and have prioritised them in terms of potential impact and likelihood of occurrence, and identified, where possible, means of mitigating the

ICS Trustees Report 2021 4

risks. The adequacy of internal controls is reviewed and costs of implementing new controls compared to benefits obtained and implemented, if agreed. Procedures have been established for immediate reporting of failure to appropriate levels of management and to the Board of Trustees.

The task of monitoring the financial control systems and procedures of the Charity is delegated to the ICS Treasurer (John Heesakkers). In conjunction with the Executive Director and the ICS Accountants (Haines Watts Accountants [Bristol] Limited), the Treasurer reviews and reports to the Trustees on the working of these systems and procedures in relation to the wider issue of managing major risks identified as arising from or in connection with the activities of the Charity.

The Trustees continue to keep under review the adequacy of our systems which are, in our opinion, appropriate for the Charity at present. The reserves policy requires the ICS to retain running costs for two future years plus £100,000 in case of unforeseen liabilities. Please note the further comment on reserves in the financial review section on page 14.

The Trustees continue to judge that an area of risk requiring particular attention is the ICS Annual Meeting, where possible cancellation or postponement due to terrorist attacks or natural disasters is a major concern. This was particularly felt during 2020 due to the COVID-19 pandemic. The Charity has passed on the major risk to our permanent Congress Organiser (Kenes International) who, from 2008, has borne the financial risk of any cancellation or postponement. The Trustees also ensure that adequate levels of insurance are sought for each event. A risk reduction has been realised through the agreement to host every other annual meeting in Europe. This continent offers the best chance of reaching a sustainable surplus level, from which much of the activity and support costs of the ICS are funded.

Although all efforts are made to ensure the administration of the ICS could continue efficiently should certain key members of staff leave or be absent for any length of time, the positions of Executive Director and IT Director are of particular importance.

With regard to the Society’s finances, the bookkeeper and accountants are fully aware of the current status and systems used and could take over from the Executive Director in this regard in an emergency. A selected group of the Trustees and the Executive Director are all signatories to the Society‘s accounts and therefore the accounts can be maintained.

With regard to IT systems, the IT Director has documented all design and maintenance work to ensure that another IT specialist could take over in an emergency. All systems and the ICS website are backed up and stored off site.

Wherever possible, ICS office staff are trained and briefed in all office procedures. All email communications are also filed for historical purposes.

Objectives and Activities

The strategies employed in the year to achieve the objectives of the Charity were:

ICS Trustees Report 2021 5

Executive Summary

The ICS continued to be challenged by the COVID-19 pandemic which first began in February 2020. The implications for the ICS annual meeting and educational courses were again greatly uncertain. The Board acted decisively in March 2021 to change the ICS Annual Meeting to an online event (previously to be held in Melbourne). The Board decided that an early decision was important in order to give the online meeting the very best chance of success and to limit the risk put on the society from attempting to hold a physical meeting in Australia with all of the uncertainty caused by the pandemic. The Board also took consideration that a cancelled meeting would mean all faculty being unable to present their valued content.

The Board’s decision was prudent as at the time of planned live meeting it was not possible to hold a live meeting in Melbourne, so significant losses were avoided. The online meeting was highly successful and brought in 400 more attendees (1,644) than virtual ICS 2020.

ICS continued the educational product for the membership and global community in the form of ‘ICS Live’. This involved ICS faculty presenting online with the opportunity for viewers to interact live with the presenters. A range of content was covered, with any related to COVID being streamed as free for all. All content remains available on the ICS website with more ICS Live events planned for 2022.

The ICS again exceeded 3,000 members, with a total of 3144 members for 2021. This continues to meet a strategic aim to consolidate and sustain a core ICS membership of 3,000 or more.

In financial terms the charity closed the year in with a small deficit position, which is regarded as a success given that no live annual meeting was possible. This speaks to the success of the online meeting and the support of the ICS community and membership. The year-end reserves ensure the ongoing financial health of the charity for the foreseeable future. The Board limit the financial risk of low ICS annual meeting income by ensuring that ICS is in Europe in alternate years. Other income generation projects are under consideration in order to further diversify the income of the Charity.

Achievements and Performance

ICS Annual Scientific Meeting 2021

The ICS Annual Meeting remains the main focus of the ICS and consists of a scientific programme selected from submitted abstracts, along with workshops, courses, committee meetings as well as the ICS Annual General Meeting.

The 51[st] Annual Meeting of the ICS again took place online due to the COVID-19 pandemic. The meeting was attended by 1,640 delegates. This was above expectations and was nearly 400 higher

ICS Trustees Report 2021 6

than for ICS 2020, so is taken as a very strong attendance for a virtual meeting. The diversity of delegates, with over 60 countries represented, proved the international appeal of ICS meetings.

The Scientific Committee continued the strategy of providing programme ‘tracks’ to ensure that delegates would always have some content of interest or relevance at any point in the programme.

Our full thanks go to Helen O’Connell (Meeting Chair), Chris Maher (Co-Meeting Chair), Anna Rosamilia and Vincent Tse (Local Scientific Programme Chairs), Rowan Cockerell (CEO, Continence Foundation of Australia) and the whole ICS 2021 local organising committee for their dedicated efforts and commitment. This was proven with close to 25% of attendees coming from Australia. Evaluation scores were highly positive in all categories. Thanks are also due to the ICS office staff, ICS committees and the ICS meeting organiser, Kenes International.

The wholly owned subsidiary of the Charity, Conticom-ICS Limited, operates the Annual Meeting and the profits are donated to the ICS each year where a surplus has been made.

Awards and Fellowships

The ICS continued to make awards or fellowships available to all ICS members with a view to improving the public benefit in supporting younger or less advantaged persons in their medical/health studies. The ICS offered 3 Urodynamics and 2 Neurourology fellowships, with the funds provided through an educational grant from Pfizer. The reviewers emphasised awarding persons from less developed countries, although worthy candidates from more developed countries were also included.

Educational Courses 2021

In the setting of the pandemic the ICS was able to offer faculty to several educational events around the world using online platforms. The hosts have enjoyed a variety of speakers, some of whom would have not been able to attend their event due to availability and cost. We have also received requests from new hosts which may have been a result of the launch of the new online application and associated marketing.

Educational Courses held in 2021 are outlined below.

Course Location Date Speaker(s)
Masterclass on High-Risk
Neurogenic Bladder by the
Vattikuti Foundation		 Online March Sanjay Sinha, India (Lead) Rizwan
Hamid, Enrico Finazzi-Agro
Iranian Urological Association
(IUA)Congress 2021		 Online May David Castro-Diaz, Salvador Arlandis
PhilipVan Kerrebroeck
III PELVIC FLOOR WEEK Online May Cristiane Carboni
ALAPP Online May Adrian Wagg confirmed – sorting
other speakers Carlos D’Ancona,
Cristiane Carboni and a nurse
PACS 2021 Online May David Castro Diaz, Bruno Deval, Bary
Berghmans
Association Marocaine
d’Urologie		 Online June Didn’t proceed as no French speakers
were located

ICS Trustees Report 2021 7

Course Location Date Speaker(s)
4th FUNCTIONAL UROLOGIC
SURGERY COURSE WITH 3D
PRINTED MODELS AND FRESH-
FROZEN CADAVERS		 Online July David Castro Diaz, Sherif Mourad, Alex
Digesu, Emre Huri
ESSFU_EAU Online July Marcio Averbeck
Tabriz international functional
urology-TIFU2021		 Online August Stefan de Wachter, Sajjad Rahnama’i:,
Chris Gomes,Rizwan Hamid
SIUD Italy Sept David Castro Diaz
2nd Oman Urological Society
Conference		 Oman Sept Dick Janssen, Sheriff Mourad, Bassem
Wadie
PPCS Japan Sept Howard Goldman
Endourocentre Russia October Joanne Robinson & Ervin Kocjanic
Turkish Continence Society, 7th
National Congress of Functional
and Female Urology		 Turkey October Multiple ICS members, Cüneyd
Özkürkçügil, Mesut Gürdal, David
C.Diaz, Tufan Tarcan, Ervin Kocjancic,
Sherif Mourad,
SINUG Spain Nov Paula Igualada-Martinez, Kristene
Whitmore,Elise De,Amelia Stanton
ICS Educational Course during
the 2021 Brazilian Urological
Society		 Brazil December David Castro Diaz, Enrico Finazzi Agró,
Tufan Tarcan
IUGA Singapore Dec Tricia Kuo
SIU joint parallel plenary Dubai Nov Rizwan Hamid, David Castro Diaz,
Sherif Mourad

ICS Trustees Report 2021 8

ICS TV & ICS Live Review

The ICS live events continued during 2021 with the aim to providing one per month as it was felt this was the office capacity and optimal saturation limit of people watching. It was noted that the numbers watching live greatly reduced probably owing to people returning to “normal” work patterns. However, watch-back times on demand continue with a post event marketing campaign. Due to the pandemic no studio recording was undertaken during 2021.

YouTube channel views: 570,500 this year alone! Followers now at 2771.

ALL ICS TV older than 5 years was watched and vetted by the Education/Scientific Committees. Outdated content was removed. This process is to be continued annually.

ICS Membership

The ICS recorded 3,144 members for 2021 which represents the fifth successive year in exceeding 3,000 members.

The Board did not increase the membership fee for 2021. The ICS strives to keep the membership fee as low as possible to keep the ICS accessible. To extend the public benefit of ICS membership the Board introduced free one year membership for early career professionals that had not held ICS membership before. The lower membership fees for nurses, physiotherapists and early career professionals were continued.

There were many other projects undertaken in 2021 and some notable achievements are highlighted.

The full annual reports of each committee are available at ICS Documents. The below are a selection of ICS committee achievements.

Children and Young Adults Committee

The Coloplast Fellowship geared to promote adolescent Urology was awarded to three recipients.

The following projects are in process:

ICS Trustees Report 2021 9

Developing World Committee

The 9th ICS Fistula Course took place in December 2021 in Aswan, Egypt. The ICS Fistula Course is very popular among our membership and the international community interested in fistula and urinary incontinence in developing countries. The course attracts many trainees from different countries to join the 3-day training course which is a real hands-on workshop.

Education Committee

This year workshops were selected for ICS 2021 with the concept of a hybrid meeting in mind. However, the committee delayed advising the workshop chairs of the acceptance of their applications until the Board confirmed that the meeting would be online. The committee then revisited the scores and selected the top scored for the live streamed sessions.

The Early Careers page was developed as a one stop microsite for those in their early career stages to find relevant parts of the ICS website. https://www.ics.org/earlycareers

Sadly, we lost Niko Veit-Rubin during this year. He had served on the Education Committee for 6 years.

Ethics Committee

The white paper, “Ethical Considerations in Caring for Older Adults with Urinary Incontinence” was published and Anne Suskind shared findings from this as part of an ICS 2021 Roundtable.

The Committee also created a workshop for ICS 2021 titled, “Is Telemedicine an Ethical Alternative to In-Person Care?” This was selected as a Live offering during the annual conference and focused on exploring the ethical considerations surrounding the use of telemedicine for incontinence care.

The committee updated their Terms of Reference to include a member to serve as a point of contact to the Education and Scientific Committee.

Neurourology Promotion Committee

The year 2021 continued in the same vein as year 2020 with COVID-19 affecting all aspects of our lives. Unfortunately, no face-to-face meetings were possible but the NUPC continued to organise and participate in web-based teaching and training modules.

There were several collaborative workshops this year:

Also, ‘Recommendations for IC and underdevelopment countries’ has been finalised by Emmanuel and all the lectures for the MOOCS teaching videos have been received, with recordings expected in a few months.

Nursing Committee

The committee transitioned to virtual planning quickly, pre-recording a multidisciplinary workshop on “Telehealth and its Application to Continence Care: Evolving Best Practices” as well as hosting a Nursing Forum for the 2021 online conference.

ICS Trustees Report 2021 10

A database of sites was set up that could host applicants for the Nursing Fellowship. However, this project has been put on hold due to the pandemic. This is also the case for the Nursing Educational Courses, due to take place in China.

Scheduled mailers providing the latest ICS nursing content and news throughout the year were scheduled to increase nursing exposure.

Physiotherapy Committee

The committee are in the process of establishing additional podcasts to complement the series of podcasts which the Institute of physiotherapy created.

Due to continued Covid concerns, the Round Table was moved online. Changing to an online format this year was more difficult compared to the previous year, however the committee secured quality speakers for about 20-to-25-minute lectures followed by about a 10-minute question and answering session. There was also the 20[th] physiotherapy forum celebration.

Recruitment and planning have begun for Physiotherapy Forum in Vienna 2022.

Scientific Committee

The number of abstracts received was down again at 618 (including 39 videos). However, this was more that we may have expected given the uncertainties around the Pandemic and the ongoing restrictions on novel research. We once again deliberately extended the abstract deadline to try and encourage late submissions. Given these restrictions, these numbers are very satisfactory and continues to reflect the high standing with which both clinicians and scientists hold ICS.

Rejection of abstracts was lower than ever and equally spread between breach of anonymity, duplication and incomplete data. This is very encouraging and reflects the hard work in improving the procedure, with increased clear and numerous checkpoints now incorporated into the submission process, along with clear instruction on minimum and maximal length (400 – 1200 words) and two figures.

The standard and uniformity of abstract marking continues to improve, and this was obvious on reviewing scoring from individual scorers where there is now a greater use of the entire score scale and a pleasing trend towards a Gaussian distribution. We continue to use the editorial board of the NUU and are grateful for their assistance. All abstracts were marked as required by a minimum of 3 reviewers one of which was a scientific committee member.

Standardisation Steering Committee

The SSC’s main focus is the creation of scientific content via terminology documents. The committee have completed/ Near completion: Ten (3 Published in 2017; 1 in 2018; 2 in 2019, 3 in 2020 and a further 1 in 2021). The document published in 2021 was, ‘ICS Terminology for Pelvic Floor Muscle Assessment (SSCWG16).

The committee continue working on updates to the ICS Glossary. This is an online collation of 1455 terms/descriptors (as of August 2021) from all ICS documents back to 2000. This works well on mobile handsets. Features include: (i) access to all recent and past references for each term; (ii) instant copying of each reference; (iii) instant download of all reference documents; (iv) instant contribution to more extensive feedback via ICS Terminology Discussion (below); (v) instant short feedback to ICS Office. This provides the ultimate facility for terminology accessibility, exclusive to ICS.

ICS Trustees Report 2021 11

Urodynamics Committee

The project continues with the ongoing production of new modules, 2 of which were published this year. These were:

11: Wen JG, Djurhuus JC, Rosier PFWM, Bauer SB. ICS educational module: Cystometry in children. Neurourol Urodyn. 2018 Nov;37(8):2306-2310.

12: Wen JG, Djurhuus JC, Rosier PFWM, Bauer SB. ICS educational module: Pressure flow study in children. Neurourol Urodyn. 2018 Nov;37(8):2311-2314.

The committee has approved, along with the ED Committee, two applications to organize international ICS-validated Urodynamic Courses: 1-SINUG ICS-recognised Urodynamic Course, 2- ICSRecognised Course: an online Urodynamics course, King Abdulaziz University Hospital, Jeddah, KSA.

The committee are also working on a new project to evaluate UD charts and give feedback to the applications on how to improve their UD practice according to ICS standards as well as continuing with the Urodynamics Book Project.

Information Technology Department – Development Projects

ICS continues to evolve and adapt to the rapid change in technology and business environment in our sector. Innovation and technical skills keep us relevant and brings the “work smarter” ethos to everything we do at ICS.

Covid-19 Global Pandemic

All our innovation in modern online collaborative platforms paid off during the pandemic and allowed ICS to continue to function remotely. After the success of our online meeting in Las Vegas in 2020, and with the pandemic effects on travel and events, we prepared to deliver the ICS 2021 Melbourne meeting online. An early strategic decision to hold this meeting online only cut the amount of reworking the scientific programme. Lessons learnt from 2020 made increasing the resilience of our online platform a top priority for 2021 and was one of the major technical projects delivered.

Major projects completed in 2021:

Remote Working

ICS continued to work remotely due to government pandemic measures. Essential site maintenance tasks were permitted. We continued to develop our cloud based tools for remote working.

ICS 2021 Scientific Committee Meeting

This 2 day highly complex meeting was again conducted online using Zoom and the ICS Website. A large committee was able to collaborate and construct a huge and complex scientific programme together across a broad range of disciplines, selecting the very best science to create an engaging programme for our members and delegates. This was a huge achievement for the committee and the team to accomplish this task in a virtual format.

ICS 2021 Melbourne Online

A huge effort was made to create a range of new features for the ICS website to support live broadcasts and interaction for the online meeting. An enormous amount of content was created ahead of the annual meeting for on-demand playback and live stream were created for live broadcast during the meeting. Lessons were learnt from 2020 and a single stream with breaks between sessions over a much longer day pattern to appeal to our audience over a huge time zone span was created.

ICS Trustees Report 2021 12

ICS 2021 AGM Zoom Webinar

Production of a zoom webinar based AGM, meeting our company and charity legal obligations and holding a vital dialogue with our loyal members during a very trying period.

ICI 7

ICS hosted the 7[th] International Consultation on Incontinence. Due to the pandemic this was also hosted online with all ICS 2021 delegates receiving free registration. ICS built a dedicated website for ICI7 which published their scientific programme of 22 chapters over 4 days of live streams. All the committee presentations were very popular. ICS plan to publish the resulting ICI book in 2022.

Website Hosting Migration to Microsoft Azure

Fundamental change to hosting strategy from a dedicated server located in a datacentre in London by Elite PLC (formerly Tollon Ltd) since 1999 to a virtualized cloud based hosting platform. This required a major migration of the existing ICS website from Microsoft Website to the latest Web Application architecture. This involved migrating hundreds of systems within the legacy website that had incompatible tooling to the latest Wasabi interface.

Website Projects

ICS Podcasts

A new ICS platform for audio podcasts with a series of episodes broadcast throughout the year. Audience can subscribe to premium content in continence research and education with world experts in long format discussions via their favourite podcast platforms: Apple iTunes, Spotify,

ICS Trustees Report 2021 13

Google Play, Amazon

ICS Live Events

To meet the needs of our members the Education Committee worked with the office to create an online format for education to broadcast our education courses online.

Video Projects

Financial Review

Results for the year

The consolidated results of the charity and its trading subsidiary, Conticom, showed net outgoing funds in the year of £20,100 (2020: net outgoing funds of £218,747) with closing consolidated funds of £1,180,535 (2020: £1,200,635).

Consolidated Income

Income in the year was from the Annual Meeting and trading of £309,491 (2020: £228,342), membership fees £237,710 (2020: £220,919), royalty income totalling £56,060 (2020: £7,742), donations of £29,615 (2020: £15,530), Educational activities totalling £1,121 (2020: £2,085) and interest from Investments of £31 (2020: £907)

With this funding the Charity has been able to finance: the staffing and technical costs of hosting the virtual meeting, educational activities, including awards, fellowships, courses and lectures, the running costs of the ICS Office that continues to support the Board, committees, the annual meeting, the membership of 3,144 and subscriptions to the NaU Journal. The majority of award costs were covered by an educational grant received from Pfizer.

The total profit of the trading subsidiary was £14,696 (2020: Loss of £103,707).

Consolidated Expenditure

Expenditure in the year was on Educational Activities £162,200 (2020: £176,749), Annual Meeting expenditure £294,794 (2020: £310,824) and Publication and Membership £202,950 (2020: £230,379).

Annual Meeting

The Annual Meeting is an annual international medical and scientific conference for specialists in the medical and scientific disciplines relevant to the charitable objects of ICS. Organisation of the Annual Meeting is contracted to an organiser (this has been Kenes International since 2008 and will, under their current contract, continue in the role until 10 March 2023), by Conticom-ICS Limited (the whollyowned trading subsidiary of ICS).

The terms of the relevant agreement (on which legal advice was taken) provide for the organiser to accept all financial risks and for a proportion of any net surplus to be passed to ICS via Conticom-ICS Limited.

In order to mitigate risk the Trustees implemented a policy of rotating annual meeting locations. This reduces the risk to the ICS of locations that may be less likely to generate a surplus. The updated four

ICS Trustees Report 2021 14

year rotation policy involves a European meeting every other year (from 2022), with the alternate years in a destination outside of Europe; on the provision that an adequate surplus is forecast. The meeting surplus continues to be the major income of the charity so must be protected. The ICS will continue to reach a range of countries through its educational course programme.

As requested by the membership, the table below shows an overview of the Annual Meeting income, expenditure and surplus.

£ £ £ £ £
2021 2020 2019 2018 2017
Sponsorship &
exhibition		 324,141 312,172 486,948 640,194 801,445
Registrations 183,695 118,088 774,086 601,770 1,031,819
Other income 15,589 673 116,298 80,442 136,830
Total income 523,425 430,933 1,377,332 1,322,406 1,970,094
Total expenditure 391,073 401,367 1,114,308 1,243,573 1,341,113
Surplus/(Deficit) 132,352 29,566 263,024 78,833 628,981
Surplus of which
Conticom received
including Scientific
Services Fee		 298,592 218,009 395,734 190,627 635,335

Investment Performance

The charity’s investment portfolio is diverse and set in accordance with the agreed risk and ethical policy of the Board. The valuation of the portfolio rose by 0.75% in 2021, a profit of £5,816, which has been declared in the accounts as net gains on investments (2020: profit of £7,526).

£31 was received in interest from bank accounts and investments has been declared as income from investments for the year to 31 December 2021 (2020: £907).

Reserves Policy

In order to maintain prudent levels of financial reserves the following conditions should be met:

ICS Trustees Report 2021 15

o These operating costs are to only take into account running costs not guaranteed to be financed by matching income.

The estimated operating costs of ICS and Conticom ICS Limited are £600,455 for 2022 and £604,007 for 2023, giving a total of £1,204,462 for both years. This does not include budgeted expenditure for educational courses, grants, fellowships and awards as these are non-essential expenditure.

This gives a desired level of reserves of £1,304,462 as at 31.12.2021.

As of 31st December 2021, the consolidated balance sheet showed the Charity and its subsidiary had combined carried forward funds of £1,180,535 (2020: £1,200,635); therefore below the level of reserves required by £123,927. The trading subsidiary continued to support the Charity in meeting its objectives.

The trustees acknowledge for 2021 the Charity will be under its reserve policy, although not by such a level that invites serious concern. The Board considered that this was due to exceptional circumstances due to the pandemic. The Board also considered that future running costs did not include near guaranteed income such as membership dues. The Board resolved to review the reserves policy again when ICS was able to return to European annual meeting destinations in person (ICS 2022 in Vienna being the first occasion). In the interim all costs should be restrained. Costs and activities of the ICS will be reviewed steadily in line with ICS strategy and objectives.

Plans for Future Periods

ICS Annual Meeting 2022

Annual Meeting Chair: Helmut Madersbacher

Local Scientific Programme Chairs: Barbara Bodner-Adler, Wilhelm Hubner, Elisabeth Udier

The 52[nd] Annual Meeting of the ICS is scheduled to take place at the Austria Convention Centre in Vienna, Austria. This will be the first in-person ICS annual meeting since ICS 2019 in Gothenburg. ICS 2022 will also offer online attendance to delegates, therefore making ICS 2022 the first truly hybrid ICS meeting.

Future Meetings

ICS 2023: Toronto, Canada. Chair: Magdy Hassouna ICS 2024: Madrid, Spain. Chair: Pedro Hernandez ICS 2026: Maastricht, Netherlands. Chair: Gommert Van Koeveringe ICS 2027: Florence, Italy. Chair: Enrico Finazzi Agro

ICS Strategic Plan

The Board will review and update the ICS strategic plan.

Governance review

The Board will commission an external review of governance within ICS. Priority actions will be addressed in year, with a plan developed to implement the wider recommendations.

ICS Trustees Report 2021 16

ICS Journal

The Board will consider options for improving the contractual deal and member experience for the ICS Journal.

ICS Standards 2021/2022

The successful ICS Standards, a comprehensive e-publication bringing together many of the major initiatives of the ICS, publication will be reviewed and updated for 2022. This will ensure that core ICS publications are collated and easier accessible, therefore disseminating the important information more readily.

ICS COMMITTEES

Standardisation Steering Committee

The Standardisation Steering Committee (SSC) will continue to work on and develop key terminology documents, aiming to publish the following papers in 2022:

The committee are also undertaking a translation project for ICS reports and glossary using a webbased language translator. This will considerably speed up the process of translating ICS reports.

Education Committee

The Education Committee will recruit a new chair in 2022 as the current chair, Elise De, will be stepping down in 2022. Furthermore, next year the committee will work with the office to implement a new deadline for workshop submissions.

Urodynamics Committee

The Urodynamics Committee plan to launch a new tool to measure the technical quality of their Urodynamics traces. Members will be able to upload an anonymised trace via survey monkey. Two members of the ICS Urodynamics committee will review the trace, give comments and score the technical quality.

Information Technology Department – Future Plans (for 2022)

With so much uncertainty resulting from COVID, many plans are duplicated with a virtual and physical options being planned and prepared for. Our annual meeting destination is scheduled to be ICS 2022 Vienna but with international travel banned and lockdowns being in place in both locations there are no guarantees a physical event can go forward. To give us the maximum freedom of decision, we are delaying submission, programme construction and registration until later in 2022 to give the maximum chance that restrictions have lifted. The I.T. team is in a far better position, with a wealth of experience hosting online events and working efficiently in remote teams.

ICS 2022 Online / Hybrid

Planning already for both eventualities – if a physical meeting were to go ahead we would intend to also provide some online access to those delegates unable to attend. If no physical meeting could happen, planning for an online meeting format.

Zettle Alternative Payments System

ICS Trustees Report 2021 17

For alternative card payments we will integrate the Zettle payments platform.

New “Continence” Journal

ICS are launching 2 new open platform journals – “Continence” and “Continence Reports”. We will work with the publisher to promote the new venture and encourage submissions. We will also publish our meeting abstracts in a supplement of our official journal.

Azure Front Door

We will investigate the Azure “Front Door” platform which offers protection against bot and denial of service (DOS) attacks.

Azure Files

We will migrate our network storage currently on a server in Portland Square to a cloud based service.

Approved by the Trustees and signed on their behalf by:

John Heesakkers Treasurer 23[rd] September 2022

ICS Trustees Report 2021 18

INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES OF THE INTERNATIONAL CONTINENCE SOCIETY

I report to the charity trustees on my examination of the accounts of company for the year ended 31 December 2021.

Responsibilities and basis of report

As the charity trustees of the company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 (‘the 2006 Act’).

Having satisfied myself that the accounts of the company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your company’s accounts as carried out under section 145 of the Charities Act 2011 (‘the 2011 Act’). In carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act.

Independent examiner’s statement

Since the charity’s gross income exceeded £250,000 your examiner must be a member of a body listed in section 145 of the Act. I confirm that I am qualified to undertake the examination because I am a member of ICAEW, which is one of the listed bodies.

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

  1. accounting records were not kept in respect of the company as required by section 386 of the 2006 Act; or 2. the accounts do not accord with those records; or

  2. the accounts do not comply with the accounting requirements of section 396 of the 2006 Act other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination; or

  3. the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities

I have no concerns, other than the matter set out below, and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Matter of concern identified

The Trustees’ view on the impact of COVID-19 is disclosed on the Trustees report. However, not all future events or conditions can be predicted. The COVID-19 viral pandemic is one of the most significant economic events for the UK with unprecedented levels of uncertainty of outcomes. It is therefore difficult to evaluate all of the potential implications on the charitable company’s trade, suppliers and wider economy.

Matthew Bracher FCA Institute of Chartered Accountants in England and Wales For and on behalf of Haines Watts Bristol Limited Bath House 6-8 Bath Street Bristol BS1 6HL

23[rd] September 2022

Page | 19

THE INTERNATIONAL CONTINENCE SOCIETY STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME & EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 DECEMBER 2021

Notes
Income from:
Donations and legacies
2
Investments
Charitable activities:
Distribution from trading
subsidiary
3
Subscription and royalties
Educational activities
Other income
4
6
5
Total income
Expenditure on:
Charitable activities:
Educational activities
7
Publication and membership
7
Total expenditure
Net gain/(losses) on investments
14
Net income/(expenditure) and
movement in funds
Reconciliation of funds:
Fund balances brought forward
Fund balances carried forward		 Unrestricted
Restricted
Year
Year
ended
ended
31.12.21
31.12.21
£
£
15,135
14,480
31
-
-
-
293,770
1,121
-
-
-
-		 Total
Year
ended
31.12.21
£
29,615
31
-
293,770
1,121
-		 Unrestricted
Restricted
Total
Year
Year
Year
ended
ended
ended
31.12.20
31.12.20
31.12.20
£
£
£
130
15,400
15,530
891
29,318
-
-
891
29,318
228,661
2,085
8,077
-
-
-
228,661
2,085
8,077
310,057
14,480
145,823
16,377
202,950
-		 324,537
162,200
202,950		 269,162
15,400
284,562
154,399
22,350
176,749
230,379
-
230,379
348,773
16,377		 365,150 384,778
22,350
407,128
5,816
-		 5,816 7,526
-
7,526
(32,900)
(1,897)
1,216,316
11,070		 (34,797)
1,227,386		 (108,090)
(6,950)
(115,040)
1,324,406
18,020
1,342,426
1,183,416
9,173		 1,192,589 1,216,316
11,070
1,227,386

Page | 20

THE INTERNATIONAL CONTINENCE SOCIETY CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING CONSOLIDATED INCOME & EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 DECEMBER 2021

Notes
Income from:
Donations and legacies
Investments
Charitable activities:
Annual meeting and trading
2
3
14
Subscription and royalties
Educational activities
Other income
4
6
5
Total income
Expenditure on:
Charitable activities:
Educational activities
7
Publication and membership
7
Annual meeting
7
Total expenditure
Net gains/(losses) on investments
14
Net income/(expenditure) and
movement in funds
Reconciliation of funds:
Fund balances brought forward
Fund balances carried forward		 Unrestricted
Restricted
Total
Unrestricted
Restricted
Total
Year
Year
Year
Year
Year
Year
ended
ended
ended
ended
ended
ended
31.12.21
31.12.21
31.12.21
31.12.20
31.12.20
31.12.20
£
£
£
£
£
£
15,135
31
309,491
14,480
-
-
29,615
31
309,491
130
907
228,342
15,400
-
-
15,530
907
228,342
293,770
1,121
-
-
-
-
293,770
1,121
-
228,661
2,085
16,154
-
-
-
228,661
2,085
16,154
619,548
14,480
634,028
476,279
15,400
491,679
145,823
16,377
162,200
154,399
22,350
176,749
202,950
-
202,950
230,379
-
230,379
294,794
-
294,794
310,824
-
310,824
643,567
16,377
659,944
695,602
22,350
717,952
5,816
-
5,816
7,526
-
7,526
(18,203)
(1,897)
(20,100)
(211,797)
(6,950)
(218,747)
1,189,565
11,070
1,200,635
1,401,362
18,020
1,419,382
1,171,362
9,173
1,180,535
1,189,565
11,070
1,200,635
619,548
14,480
634,028
476,279
145,823
16,377
162,200
154,399
202,950
-
202,950
230,379
294,794
-
294,794
310,824
643,567
16,377
659,944
695,602
5,816
-
5,816
7,526
(18,203)
(1,897)
(20,100)
(211,797)
1,189,565
11,070
1,200,635
1,401,362
1,171,362
9,173
1,180,535
1,189,565

The statement of financial activities includes all gains and losses recognised in the year.

All income and expenditure derives from continuing activities.

Page | 21

THE INTERNATIONAL CONTINENCE SOCIETY

BALANCE SHEET AS AT 31 DECEMBER 2021

Notes
FIXED ASSETS:
Intangible assets
12
Investments
14
CURRENT ASSETS:
Debtors
15
Cash at bank and in hand
CREDITORS:Amounts falling
due within one year
16
NET CURRENT ASSETS:
TOTAL ASSETS LESS CURRENT
LIABILITIES:
FUNDS:
Unrestricted funds
18
Restricted funds
18		 2021 2021
£
205,337
295,883
501,220
(94,597)

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 December 2020.

The members have not required the company to obtain an audit of its financial statements for the year ended 31 December 2019 in accordance with Section 476 of the Companies Act 2006.

The trustees acknowledge their responsibilities for

These financial statements have been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to charitable small companies.

The financial statements were approved by the Trustees on 23[rd] September 2022 and were signed on their behalf by:

Dr J Heesakkers - TRUSTEE

Company Registration No. 03589542

Page | 22

THE INTERNATIONAL CONTINENCE SOCIETY

CONSOLIDATED BALANCE SHEET AS AT 31 DECEMBER 2021

Notes
FIXED ASSETS:
Intangible assets
12
Tangible assets
13
Investments
14
CURRENT ASSETS:
Debtors
15
Cash at bank and in hand
CREDITORS:Amounts falling
due within one year
16
NET CURRENT ASSETS:
TOTAL ASSETS LESS CURRENT
LIABILITIES:
FUNDS:
Unrestricted funds
19
Restricted funds
19		 2021
£
£
1,554
3,951
784,412
789,917
208,322
313,665
521,987
(131,369)
390,618
1,180,535
1,171,362
9,173
1,180,535		 2020
£
208,322
313,665
521,987
(131,369)		 £
69,340
437,209
506,549
(96,293)		 £
1,709
10,075
778,595
790,379
410,256
1,200,635
1,189,565
11,070
1,200,635

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 December 2021.

The members have not required the company to obtain an audit of its financial statements for the year ended 31 December 2021 in accordance with Section 476 of the Companies Act 2006.

The trustees acknowledge their responsibilities for

These financial statements have been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to charitable small companies.

The financial statements were approved by the Trustees on 23[rd] September 2022 and were signed on their behalf by:

Dr J Heesakkers – TRUSTEE

Company Registration No. 03589542

Page | 23

THE INTERNATIONAL CONTINENCE SOCIETY

STATEMENT OF CASH FLOWS AND CONSOLIDATED STATEMENT OF CASH FLOWS FOR YEAR ENDING 31 DECEMBER 2021

Notes
Cash flows from operating activities:
Net cash provided by (used in) operating activities
1
Cash flows from investing activities:
Interest income
Purchase of property, plant and equipment
Disposal of property, plant and equipment
Purchase of investments
Net cash provided by (used in) investing activities
Change in cash and cash equivalents in the
reporting period
2
Cash and cash equivalents at the beginning of the
reporting period
Cash and cash equivalents at the end of the
reporting period		 Charity
2021
£
Charity
2020
£
Group
2021
£
Group
2020
£
(84,168)
(14,886)
(123,047)
28,207
31
891
31
907
-
-
(528)
(2,800)
-
-
-
-
-
-
-
-
31
891
(497)
(1,893)
(84,137)
(13,995)
(123,544)
26,314
380,020
394,015
437,209
410,895
295,883
380,020
313,665
437,209

NOTES TO CASH FLOWS:

1. RECONCILIATION OF NET MOVEMENT IN FUNDS TO NET CASH FLOW FROM OPERATING ACTIVITIES

Charity Charity Group Group
2021 2020 2021 2020
£ £ £ £
Net movement in funds (34,797) (115,040) (20,100) (218,747)
Add back depreciation/amortisation charge 155 155 6,807 10,423
Deduct interest income shown in investing activities (31) (891) (31) (907)
Deduct/add net (gain)/loss on investments (5,816) (7,526) (5,816) (7,526)
Decrease (increase) in debtors (78,947) 206,403 (138,983) 346,111
Increase (decrease) in creditors 35,268 (97,987) 35,076 (101,147)
––––––– ––––––– –––––– –––––––
Net cash (used)/gained in/from operating activities (84,168) (14,886) (123,047) 28,207

Page | 24

THE INTERNATIONAL CONTINENCE SOCIETY

STATEMENT OF CASH FLOWS AND CONSOLIDATED STATEMENT OF CASH FLOWS FOR YEAR ENDING 31 DECEMBER 2021

NOTES TO CASH FLOWS – continued:

2. ANALYSIS OF CHANGES IN NET FUNDS - CHARITY

At 1.1.21
Cash flow
At
£
£
Net cash
Cash at bank and in hand
380,020
(84,137)
380,020
(84,137)
ANALYSIS OF CHANGES IN NET FUNDS - GROUP
At 1.1.21
Cash flow
At
£
£
Net cash
Cash at bank and in hand
437,209
(123,544)
437,209
(123,544)		 31.12.21
£
295,883
295,883
31.12.21
£
313,665
313,665

Page | 25

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

1. ACCOUNTING POLICIES

Basis of preparing the financial statements

The International Continence Society is a company limited by guarantee, registered in England and Wales. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £1 per member of the charity.

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019, the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102), the Companies Act 2006 and UK Generally Accepted Accounting Practice.

The financial statements are prepared on a going concern basis under the historical cost convention, modified to include certain items at fair value. The financial statements are presented in sterling which is the functional currency of the charity and rounded to the nearest £.

The accounts have been prepared on the assumption that the charity is able to continue as a going concern. However, the COVID-19 pandemic is likely to have a profound impact on the global economy, and may in turn affect the charity. The trustees have considered the impact of this issue on the charitable company’s current and future financial position. The charity holds unrestricted, group general reserves of £1,171,362 and a group cash balance of £313,665. The trustees consider that the charity has sufficient cash reserves to continue as a going concern for a period of at least 12 months from the date on which these financial statements are approved. The trustees consider that there are no material uncertainties about the charity’s ability to continue as a going concern.

The charity constitutes a public benefit entity as defined by FRS 102. The address of the registered office and place of business is given in the charity information on page 1 of these financial statements. The nature of the charity’s operations is a membership society for professionals working in the field of incontinence.

The principal accounting policies adopted by the charity in drawing up its financial statements are as follows:

(a) Income

All incoming resources are including in the Statement of Financial Activities when the charity is legally entitled to the income after any performance conditions have been met, the amount can be measured reliably and it is probable that income will be received. Incoming resources from subscriptions are recognised in the Statement of Financial Activities on a calendar year basis and are deferred where they are received in advance.

For donations to be recognised, the charity will have been notified of the amounts and the settlement date in writing. If there are conditions attached to the donation and this requires a level of performance before entitlement can be obtained, then income is deferred until those conditions are fully met or the fulfilment of those conditions is within the control of the charity and it is probable that they will be fulfilled.

(b) Group Accounts

The results of Conticom-ICS Limited, a wholly owned subsidiary, have been consolidated on a line by line basis in the Statement of Financial Activities, the Balance Sheet and The Statement of Cashflows.

(c) Fund Accounting

General funds are unrestricted funds which are available for use at the discretion of the trustees in furtherance of general objectives of the charity and which have not been designated for other purposes.

Restricted funds are funds donated for use in a particular area or for specific purposes, the use of which is restricted to that area of purpose.

Page | 26

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

1. ACCOUNTING POLICIES - continued

(d) Investment assets

The investment in the subsidiary is stated at cost. Listed investments held for the continuing benefit of the charity and are treated as fixed assets and are valued at fair value at the balance sheet date.

(e) Expenditure

All expenditure included in the Statement of Financial Activities is accounted for on an accruals basis.

Charitable activities include expenditure associated with educational activities, together with publication and membership, and include both the direct costs and support and governance costs relating to these activities.

Support and governance costs are those functions the assist the work of the charity but do not directly undertake charitable activities. These costs have been allocated to expenditure on charitable activities as set out in note 7.

Any irrecoverable VAT is charged to the Statement of Financial Activities or capitalised as part of the asset cost, where appropriate.

(f) Intangible Assets

The domain name is stated at cost less accumulated depreciation. Cost includes costs directly attributable to making the asset capable of operating as intended.

The domain name is being amortised evenly over 20 years.

(g) Tangible Fixed Assets

Tangible fixed assets are stated at cost (or deemed cost) or valuation less accumulated depreciation and accumulated impairment losses. Cost includes costs directly attributable to making the asset capable of operating as intended.

Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life:

Fixtures and fittings -25% on cost Computer equipment -33% on reducing balance

(h) Foreign Currencies

Transactions in foreign currencies are recorded at the rate ruling at the date of transaction. Monetary assets and liabilities are retranslated at the rate of exchange ruling at the balance sheet date. All differences are taken to the Statement of Financial Activities.

(i) Hire purchase and leasing commitments

Rentals paid under operating leases are charged to the Statement of Financial Activities over the period to which they relate.

(j) Pension costs

The charity operates a defined pension contribution scheme. Contributions payable for the year are charged in the Statement of Financial Activities.

Page |27

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

1. ACCOUNTING POLICIES - continued

(l) Financial Instruments

The charity has elected to apply the provisions of Section 11 ‘Basic Financial Instruments’ and Section 12 ‘Other Financial Instruments Issues’ of FRS 102 to all of its financial instruments. Financial instruments are recognised when the charity becomes party to the contractual provisions of the instrument. Financial assets and liabilities are offset, with the net amounts presented in the financial statements, when there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to realise the asset and settle the liability simultaneously

Basic financial assets

Basic financial assets, which include trade and other debtors, amounts due from group undertakings and cash and bank balances, are initially measured at transaction price including transaction costs and are subsequently carried at amortised cost. Financial assets are derecognised only when the contractual rights to the cash flows from the asset expire or are settled, or when the charity transfers the financial asset and substantially all the risks and rewards of ownership to another entity, or if some significant risks and rewards of ownership are retained but control of the asset has transferred to another party that is able to sell the asset in its entirety to an unrelated third party.

Basic financial liabilities

Basic financial liabilities, including trade and other creditors and amounts due to group undertakings are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future payments discounted at a market rate of interest. Debt instruments are subsequently carried at amortised cost, using the effective interest rate method. Financial liabilities are derecognised when, and only when, the charity’s contractual obligations are discharged, cancelled, or they expire.

(m)

Short term liquid investments and cash

Cash at bank is held to meet short-term cash commitments as they fall due rather than for investment purposes and includes all cash equivalents held in the form of short-term highly liquid investments. Cash equivalents are short-term, highly liquid investments that are readily convertible to known amounts of cash and that are subject to an insignificant risk of changes in value.

(n) Government grants

Government grants received and receivable relate to the Job Retention Scheme and Business Support Grants set up by the government in response to the COVID-19 pandemic.

Government grants are recognised in the Statement of Financial Activities over the periods in which the entity recognises the related costs for which the grant is intended to compensate.

Those grants which become receivable as compensation for expenses or losses already incurred or for the purpose of giving immediate financial support to the entity with no future related costs are recognised in income in the period in which it becomes receivable.

Page | 28

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

2. INCOME FROM DONATIONS AND LEGACIES

Other donors
Grants – Pfizer grant
Grants, including EU Tech Project
NCOME FROM INVESTMENTS
Interest receivable		 Charity
2021
2020
£
£
10
130
14,480
15,400
15,125
-
Charity
2021
2020
£
£
31
891
29,615
15,530
31
891		 Group
2021
2020
£
£
10
130
14,480
15,400
15,125
-
Group
2021
2020
£
£
31
907
29,615
15,530
31
907

3. INCOME FROM INVESTMENTS

4. INCOME FROM SUBSCRIPTIONS AND ROYALTIES

Subscription Income:
Deferred balance brought forward
Membership income received during the year
Deferred balance carried forward
Royalty income on subscriptions		 Charity & Group
2021
2020
£
£
8,670
69,627
232,962
159,962
(3,922)
(8,670)
56,0607,742
237,710
220,919
293,770
228,661		 Charity & Group
2021
2020
£
£
8,670
69,627
232,962
159,962
(3,922)
(8,670)
56,0607,742
237,710
220,919
293,770
228,661
7,742
220,919
228,661
5.
OTHER INCOME
Furlough grant		 Charity

2021
2020
£
£
8,077
-
8,077		 Group
2021
2020
£
£
16,154
-
16,154

Page |29

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

6. INCOME FROM EDUCATIONAL ACTIVITES


Other income
7.
ANALYSIS OF CHARITABLE EXPENDITURE
Educational Publication &
Activities Membership
£
£
Journal and other membership costs
-
45,718
Travel and subsistence costs
-
-
Advertising and promotional events
146
-
Publication committee costs
26
-
Education committee costs
9,841
-
Standardisation committee costs
-
-
Awards, grants and fellowships
16,329
-
Educational activity costs
-
-
Printing and postage costs
24
24
Staff costs
96,120
117,494
Finance costs
5,329
5,329
Foreign exchange loss/(gain)
(298)
(298)
Trustees’ board costs
-
-
Support costs (see note 8)
13,563
13,563
Governance costs (see note 8)
21,120
21,120
Charity total
Annual meeting expenses
-
-
Books and merchandising
-
-
Group total
162,200
202,950

162,200
202,950
Annual
meeting
£
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Charity
2021
£
1,121
Total
2021
£
45,718
-
146
26
9,841
-
16,329
-
48
213,614
10,658
(596)
-
27,126
42,240
294,794
-
659,944
1,121
365,150		 Charity
2021
£
1,121
Total
2021
£
45,718
-
146
26
9,841
-
16,329
-
48
213,614
10,658
(596)
-
27,126
42,240
294,794
-
659,944
1,121
365,150		 & Group
2020
£
2,085
Total
2020
£
65,218
-
153
-
6,188
3,887
15,923
6,009
407
215,417
9,068
36
9,552
22,313
52,957
310,824
-
717,952
2,085
407,128


















294,794
-
294,794

Page | 30

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

8. ANALYSIS OF GOVERNANCE AND SUPPORT COSTS

Educational Publication &
Activities Membership
Costs
Costs
£
£
Support costs:
Phone
5,605
5,605
Insurance
484
484
Rent, rates, light and heat
4,709
4,709
Sundry
2,688
2,688
Amortisation
77
77
Governance costs:
Trustees’ board costs
-
-
Indemnity insurance
134
134
Staff costs
12,264 12,264
Independent examiner’s fee (see note 11)
3,300
3,300
Legal and professional
5,422
5,422
13,563
13,563
21,120
21,120		 Charity
Total
2021
£
11,209
968
9,418
5,376
155
-
268
24,528
6,600
10,844
27,126
42,240		 & Group
Total
2020
£
9,076
1,116
10,040
1,926
155
7,456
251
24,722
7,080
13,448
22,313
52,957

Support and governance costs have been allocated evenly between educational activities and publication and membership costs.

9. TRUSTEES REMUNERATION

The trustees neither received nor waived any emoluments during the period (2020: £Nil).

Out of pocket expenses were reimbursed to trustees as follows:

Charity & Group
2021
2020
Number
Number
Travel and meeting expenses
1
9
10.
STAFF COSTS
Charity
2021
2020

£
£
Wages and salaries
193,715
195,715

National insurance contributions
19,571
19,420
Pension contributions
24,856
25,005
Recruitment and training
-
-
238,142
240,140		 Charity & Group
2021
2020
£
£
2,251
9,371
Group
2021
2020
£
£
387,430
391,430
39,142
38,839
49,712
50,010
-
-
476,284
480,279		 Charity & Group
2021
2020
£
£
2,251
9,371
Group
2021
2020
£
£
387,430
391,430
39,142
38,839
49,712
50,010
-
-
476,284
480,279
480,279

One employee earned more than £60,000 during the year.

Page | 31

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

10. STAFF COSTS - continued

The average monthly number of employees during the year were as follows:

Charity Charity Group
2021 2020 2021 2020
Number Number Number Number
Governance 0.3 0.3 0.3 0.3
Educational activities 1.79 1.95 1.95 1.95
Publication and membership 2.09 2.25 2.25 2.25
Meeting co-ordinators004.5444444444hughbnjm4----------------------- 44- 4.18 44.5
4.1 4.5 9
8 8.68

The key management personnel of the group and the

charity comprise the trustees, the administrative director and the I.T. director. The total employee benefits of the key management personnel of the group were £179,536 (2020: £179,972).

11. INDEPENDENT EXAMINER’S REMUNERATION

The independent examiner’s remuneration consists of the following:

For independent examination
For accounting services
For preparation of consolidated accounts
For general advice, meetings & other services		 Charity
2021
2020

£
£
1,680
1,800
3,120
2,880
1,800
1,560
-
840
6,600
7,080		 Group
2021
2020
£
£
1,680
1,800
7,120
6,680
1,800
1,560
-
840
10,600
10,880		 Group
2021
2020
£
£
1,680
1,800
7,120
6,680
1,800
1,560
-
840
10,600
10,880
10,880

Page |32

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

12. CHARITY & CONSOLIDATED INTANGIBLE FIXED ASSETS

CHARITY & CONSOLIDATED INTANGIBLE FIXED ASSETS
COST
At 1 January 2021
At 31 December 2021
AMORTISATION
At 1 January 2021
Charge for year
At 31 December 2021
NET BOOK VALUE
At 31 December 2021
At 31 December 2020
CONSOLIDATED TANGIBLE FIXED ASSETS
Fixtures
and fittings
–––––––––
£
COST:
At 1 January 2021
12,524
Additions
528
––––––
At 31 December 2021
13,052
––––––
DEPRECIATION
At 1 January 2021
11,177
Charge for year
614
––––––
At 31 December 2021
11,791
––––––
NET BOOK VALUE:
At 31 December 2021
1,261
At 31 December 2020
1,347		 Domain
name
£
3,106
1,397
155
1,554

1,709
Computer
equipment
–––––––––
–––
£
59,921
-

––––––
59,921
––––––
51,193
6,038
––––––
57,231
––––––
2,690
8,728
3,106
1,552		 Totals
£
3,106
1,397
155
3,106
**1,552 **
1,554
1,709
Total
––––––
£
72,445
528
––––––
72,973
––––––
62,370
6,652
––––––
69,022
––––––
3,951
10,075

13. CONSOLIDATED TANGIBLE FIXED ASSETS

Page |33

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

14. CHARITY FIXED ASSET INVESTMENTS

CHARITY FIXED ASSET INVESTMENTS
COST OR VALUATION:
At 1 January 2021
Increase in market value of investments
At 31 December 2021
NET BOOK VALUE:
At 31 December 2021
At 31 December 2020
Listed investments
Unlisted investments
Total investments		 2021
£
784,411
1
784,412		 £
778,596
5,816
784,412
784,412
778,596
2020
£
778,595
1
778,596

The charity’s investments at the balance sheet date in the share capital of unlisted companies include the following:

Conticom - ICS Limited

Company number: 03687688
Country of incorporation: England & Wales
Nature of business: Conference facilitator
Class of shares: Ordinary – 100% holding
Aggregate capital and reserves
Profit/(loss) for the year
Results and net assets/(liabilities) of Conticom – ICS Limited
Turnover:
Annual meeting income
Trading income
Cost of sales
Gross profit
Administrative expenses
Operating profit/(loss)
Finance costs and depreciation
Net income/(expenditure)
Retained profit for the year
Retained profit brought forward
Retained profit/(loss)carried forward
Assets
Liabilities		 2021
£
(8,841)
17,909		 2020
£
(26,750)
(103,707)
£
309,491
-
309,491
(2,845)
306,646
(283,946)
22,700
(8,004)
14,696
14,696
(26,750)
(12,054)
165,928
(177,982)

Page | 34

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

15. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Charity Group
2021 2020 2021 2020
£ £ £ £
Trade debtors - 26,683 129,431 63,602
Prepayments and accrued income 64,127 1,839 78,891 5,738
Amounts due from group undertaking 141,210 97,868 - -
Other debtors - - - -
_ _ _ _
205,337 126,390 208,322 69,340

16. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR


Trade creditors
Other creditors
Social security and other taxes
Accruals and deferred income
VAT		 Charity
2021
2020
£
£
45,875
882
-
770
-
-
48,722
57,677
-
-
_
_
94,597
59,329		 Group
2021
2020
£
£
46,685
1,647
2,181
4,409
14,765
16,722
66,742
72,963
996
552
_
_
131,369
96,293

17. FINANCIAL COMMITMENTS

Total financial commitments, guarantees and contingencies for the charity which are not included in the balance sheet amount to £6,575 (2020 - £10,382).

Total financial commitments, guarantees and contingencies undertaken as a group, which are not included in the balance sheet amount to £13,149 (2020 - £20,282).

Page |35

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

18. STATEMENT OF FUNDS

----- Start of picture text -----
||||||||| |---|---|---|---|---|---|---|---| |At 01|Gains|At 31| |January|on|December| |2021|Income Expenditure Investments|2021| |£|£|£|£|£| |Unrestricted funds:| |General fund|1,216,316|310,057|(348,773)|5,816|1,183,416| |-------------- --------------|------------- -------------- --------------| |Total unrestricted funds|1,216,316|310,057|(348,773)|5,816|1,183,416| |-------------- -------------- -------------- -------------- --------------| |Restricted funds:| |Laborie Fellowship fund|8 - -|-|8| |Continence Promotion Committee fund|7,824|-|-|-|7,824| |3|[rd]|World Fistula work|500|-|-|-|500| |Pfizer grant|2,738|14,480|(16,377)|-|841| |-------------- -------------- -------------- -------------- --------------| |Total restricted funds|11,070|14,480|(16,377)|-|9,173| |-------------- -------------- -------------- -------------- --------------| |Total charity funds|1,227,386|324,537|(365,150)|5,816|1,192,589| |-------------- --------------|------------- -------------- --------------| |Subsidiary funds (unrestricted)|(26,751)|309,491|(294,794)|-|(12,054)| |Intercompany adjustment|-|-|-|-|-| |Total consolidated funds|1,200,635|634,028|(659,944)|5,816|1,180,535| |========= ========= ========= ========= =========| |STATEMENT OF FUNDS - comparatives| |At 01|Losses|At 31| |January|on|December| |2020|Income Expenditure Investments|2020| |£|£|£|£|£| |Unrestricted funds:| |General fund|1,324,406|269,162|(384,778)|7,526|1,216,316| |-------------- --------------|------------- -------------- --------------| |Total unrestricted funds|1,324,406|269,162|(384,778)|7,526|1,216,316| |-------------- -------------- -------------- -------------- --------------| |Restricted funds:| |Laborie Fellowship fund|4,546 - (4,538)|-|8| |Continence Promotion Committee fund|7,824|-|-|-|7,824| |3|[rd]|World Fistula work|500|-|-|-|500| |Pfizer grant|5,150|15,400|(17,812)|-|2,738| |-------------- -------------- -------------- -------------- --------------| |Total restricted funds|18,020|15,400|(22,350)|-|11,070| |-------------- -------------- -------------- -------------- --------------| |Total charity funds|1,342,426|284,562|(407,128)|7,526|1,227,386| |-------------- --------------|------------- -------------- --------------| |Subsidiary funds (unrestricted)|76,956|236,435|(340,142)|-|(26,751)| |Intercompany adjustment|-|(29,318)|29,318|-|-| |Total consolidated funds|1,419,382|491,679|(717,952)|-|1,200,635| |========= ========= ========= ========= =========|

----- End of picture text -----

Page |36

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

18. STATEMENT OF FUNDS - continued

General fund (unrestricted)

This fund represents the free funds of the charity, which are not designated for particular purposes.

Laborie Fellowship fund (restricted)

The Laborie Fellowship fund relates to a 3 year fellowship programme for an eligible member. Grants are received each year to support funding of the programme.

Continence Promotion Committee Fund (restricted)

The Continence Promotion Committee fund was established to support the activities of the Continence Promotion Committee.

3[rd] World Fistula work (restricted)

This fund relates to a restricted donation received in November 2012 to fund 3[rd] world Fitsula work.

Pfizer grant (restricted)

This fund relates to a Pfizer grant received each year to fund international scholarships.

Fistula course fund (restricted)

This fund relates to a grant received during the year to support the Fistula repair course held in Sudan.

19. ANALYSIS OF NET FUNDS BETWEEN FUNDS

ANALYSIS OF NET FUNDS BETWEEN FUNDS
Restricted Unrestricted Total
CHARITY Funds
Funds		 Funds
£ £ £
Fund Balances at 31 December 2021
are represented by:
Fixed assets - 785,966 785,966
Current assets 25,550 475,670 501,220
Current liabilities (16,377) (78,220) (94,597)
––––––– –––––––– ––––––––
Total Net Assets 9,173 1,183,416 1,192,589
Restricted Unrestricted Total
GROUP Funds
Funds		 Funds
£ £ £
Fund Balances at 31 December 2021
are represented by:
Fixed assets - 789,917 789,917
Current assets 25,550 496,437 521,987
Current liabilities (16,377) (114,992) (131,369)
––––––– –––––––– ––––––––
Total Net Assets 9,173 1,171,362 1,180,535

Page | 37

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2021

19. ANALYSIS OF NET FUNDS BETWEEN FUNDS – comparatives

Restricted Unrestricted Total
CHARITY Funds
Funds		 Funds
£ £ £
Fund Balances at 31 December 2020
are represented by:
Fixed assets - 780,305 780,305
Current assets 33,420 472,990 506,410
Current liabilities (22,350) (36,979) (59,329)
––––––– –––––––– ––––––––
Total Net Assets 11,070 1,216,316 1,227,386
Restricted Unrestricted Total
GROUP Funds
Funds		 Funds
£ £ £
Fund Balances at 31 December 2020
are represented by:
Fixed assets - 790,379 790,379
Current assets 33,420 473,129 506,549
Current liabilities (22,350) (73,943) (96,293)
_ __ __
Total Net Assets 11,070 1,189,565 1,200,635

20. PENSION COMMITMENTS

During the year, the group paid into a defined contribution pension scheme. The total for the year of £49,712 (2020: £50,011) is included within expenditure in the Statement of Financial Activities.

There were outstanding group contributions of £Nil (2020 - £Nil) as at 31 December 2021.

21. TAXATION

As a registered charity the International Continence Society is exempt from taxation of income and gains falling within Section 505 Taxes Act 1988 or Section 256 Taxation of Chargeable Gains Act 1992 to the extent these are applied to its charitable objects. No tax charge has arisen during the year. No tax charge has arisen in the subsidiary as its profits are donated by way of Gift Aid to the charity.

22. RELATED PARTY TRANSACTIONS

There are no related party transactions that require disclosure (2020 - £Nil) as at 31 December 2021.

Page | 38