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2023-12-31-accounts

TRUSTEES’ ANNUAL REPORT

AND

INDEPENDENTLY EXAMINED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

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 2023

Page
Trustees’ Annual Report 1
Independent Examiner’s Report 18
Statement of Financial Activities 19
Consolidated Statement of Financial Activities 20
Balance Sheet 21
Consolidated Balance Sheet 22
Statement of Cash Flows 23
Consolidated Statement of Cash Flows 23
Notes to the Financial Statements 25

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 48 Corn Street, Third Floor, Bristol, BS1 1HQ Correspondence Address 48 Corn Street, Third Floor, Bristol, BS1 1HQ E-mail info@ics.org

Website www.ics.org

Telephone +44 (0) 117 944 4881 General Secretary appointed John Heesakkers, 3 year term began 09/09/22 Treasurer appointed Steven Schraffordt Koops, 3 year term began 09/09/22 Trustees appointed 2023 Hidehiro Kakizaki, appointed 20/10/2023 to be confirmed for 3 year term at 2023 AGM Reappointed for 3 year terms 3 Feb 2023: Marcus Drake, Lori Birder, Enrico Finazzi Agro Trustees appointed 2022 Elisabetta Costantini, 3 year term began 09/09/2022 Philip Van Kerrebroeck, reappointed for 3 year term Trustees appointed 2021 Frankie Bates, 3 year term began 20/10/2021 Trustee term concluded 2023 Manjula Annappa Company Secretary Dominic Turner (appointed 20/11/2023) 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 Daniel Snowdon Executive Director (extended sick leave from Monday 13 November 2023) Dominic Turner Information Technology Director Ashley Brookes Senior Analyst Programmer (left employment 19 May 2023) Roger Blackmore Flash Developer/Graphics Designer Mairead Corbet Projects and Events Manager Jennifer Ellis Projects and Events Manager (left employment 16 January 2023) Danielle Piotrowski Marketing and Events Coordinator (joined 7 February 2023) Tracy Griffin Administrator and Membership Secretary (part time) Sarah Waters Bookkeeper (self-employed) Sarah Ashworth Bookkeeper (self-employed)

Staff

ICS Honorary Members

Peter Caldwell (Deceased) Patrick Bates (Deceased) 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 (Deceased) Sender Herschorn Karl-Erik Andersson Adrian Wagg Linda Cardozo (Deceased) Ted Arnold Sherif Mourad Jerzy Gajewski Helmut Madersbacher Alan Wein David Castro Diaz Katherine Moore

1

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. Established in 1971.

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.

How our activities deliver 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.

Purposes and Aims

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.

Ensuring our work delivers our aims

The key objectives for 2023 were to hold a successful annual meeting in Toronto, to maintain the ICS membership at circa 3,000 members, to review and implement a revised investment strategy, and to

ICS Trustees Report 2023 2

continue to support the establishment of the two new ICS open-access journals, Continence and Continence Reports .

The focus of our work

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

Structure, Governance and Management

Board of Trustees

The ICS Board of Trustees is required to meet four times a year (twice in person and twice virtually) 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 (for first terms of office).

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 Information Technology Director. The Directors are full-time employees and report directly to the Trustees who are ultimately responsible for the management and finances of the ICS.

ICS Trustees Report 2023 3

ICS Committees 2023

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. 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 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 (Steven Schraffordt Koops). 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 7.

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 and 2021 due to the COVID-19 pandemic. The

ICS Trustees Report 2023 4

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.

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 Directors in this regard in an emergency. The General Secretary and the Directors 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:

Achievements and Performance

Executive Summary

The meeting held in Toronto was challenging in the post Covid environment with increased costs of travel putting pressure on European delegates to attend. In addition the Canadian government visa system delays prevented many delegates from attending. The regulatory framework for industry made Toronto less attractive to our sponsors. Overall the meeting made a loss despite being a successful educational event. Our no loss guarantee protected ICS, however the lack of any generated surplus for 2023 was a major concern.

ICS recorded 2,760 members for 2023 (2022: 2,859). This reduction is in line with holding our annual meeting outside of Europe. Post covid all our members face increased financial pressures.

In financial terms the charity closed the year with a deficit position, whereby expenditure in the year was in excess of income. This was largely due to the zero surplus received from the annual meeting.

ICS Trustees Report 2023 5

The board has taken steps including the two new journals to create new streams of revenue in 2024 outside of the annual meeting.

A new office was found for the ICS Office at 48 Corn Street in central Bristol. A huge amount of work was done to move from the remote working environment to hybrid and getting our office setup.

ICS Annual Scientific Meeting 2023

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 53[rd] Annual Meeting of the ICS returned to an in-person only event. The meeting was attended by 1,434 delegates from over 60 countries, proved the international appeal of ICS meetings. The total numbers were impacted by visa delays by the Canadian government and the increase in travel and accommodation costs post-Covid.

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 Magdy Hassouna (Meeting Chair), Jerzy Gajewski and Nucelio Lemos (Local Scientific Programme Chairs) and the whole ICS 2023 local organising committee for their dedicated efforts and commitment. 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.

New ICS journals

Two new journals Continence and Continence Reports continued to grow. The Editors of the journals were respectively, Lori Birder, and Sajjad Rahnama’i. The journals are open-access format to support the new model of journals, and to support the ICS’s charitable goal to grow and share continence education globally.

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 8 fellowships covering Urodynamics, Neurourology, Clinical and Research to early career doctors from Bangladesh, Brazil, Canada, Colombia, Ethiopia, Netherlands, Nigeria, Taiwan and the United States.

Educational Courses 2023

During 2023 ICS was able to offer faculty to 16 educational events around the world:

ICS Trustees Report 2023 6

ICS Membership

The ICS recorded 2,760 members for 2023 (2022: 2,859). The Board increased the membership fee for 2023. The ICS strives to keep the membership fee as low as possible to keep the ICS accessible. The lower membership fees for nurses, physiotherapists and early career professionals were continued at the same rate. To extend the public benefit of ICS membership the Board continued to offer free one year membership for early career professionals that had not held ICS membership before.

ICS Committees

ICS Committees continued to deliver education and research projects in a wide spectrum of areas. We thank the ICS Committee Chairs and Members for their incredible work.

ICS Children and Young Adults Committee – Chair: Ashani Couchman

  1. Completion of two position papers

  2. Position on intermittent catheterisation in adolescents

  3. Conservative management of faecal incontinence

  4. Successful application for a workshop at ICS 2023

  5. Accepted workshop on the holistic management of continence in the adolescence. We had a few challenges with presenters pulling out but we have a complete complement of speakers.

  6. Delivery of local educational meeting

  7. Serbian meeting delivered successfully with plans for another meeting in the future

ICS Developing World Committee – Chair: Sherif Mourad

  1. We organized a very successful fistula repair workshop in Mumbai – India on March 3-5, 2023. The event was heavily attended by around 400 attendees and was highly appreciated by the

ICS Trustees Report 2023 7

locals. We had participants from many countries included India, Bangladesh, Saudi Arabia, Kuwait, United Kingdom, Egypt and Argentina.

  1. We are currently preparing for the “Fistula Course” January 2024 and to continue of the successful history of this course. The course will “hopefully” take place in Lusaka – Zambia as we got a serious invitation to visit this area.

  2. The ICS Fistula Course became very popular among our membership and also among 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 hand on workshop.

ICS Education Committee – Chair: Howard Goldman

  1. Strengthened support for early career professionals. Increased number of observerships with funding. Session on mentorship at annual meeting. Mentoring round robin at annual meeting.

  2. Education area of website reviewed in depth. Older videos, those not current and those with few views (excepting certain areas with limited membership) have been archived. New podcasts added. Plans for capture of new videos from meeting reviewed.

  3. Plans for virtual “State of the Art” live webcasts finalized. Will have one on SUI, one on conservative management of incontinence and one on pelvic pain. Also, having one with Medtronic on SNM.

ICS Ethics Committee – Chair: Anne Suskind

  1. Dr. William Gibson is leading a 90-minute workshop titled “The Ethics of Continence Care in People Living with Dementia” at ICS 2023 in Toronto. This workshop was created and endorsed by the Ethics Committee and includes several Ethics Committee members including Dr. William Gibson, Dr. Anne Suskind (Ethics Committee Chair) and Joan Ostaszkiewicz. This workshop will serve to outline ethical challenges associated with caring for older adults with dementia and urinary incontinence in the context of the caregiver, aged care homes, and medical and surgical management. Dr. Gibson also recorded a podcast with Dr. Shannon Wallace to help advertise this workshop. This activity is aligned with the ICS Ethics Committee priority to bring educational content to the ICS Membership.

  2. Dr. Yahir Santiago-Lastra led the ICS Ethics Committee workshop in Vienna (ICS 2022) on “The Ethics of Sexuality and Pelvic Health”. This workshop got outstanding reviews from participants and Dr. Santiago-Lastra is now leading efforts to turn this workshop into an Ethics Committee sponsored publication. This activity is aligned with the ICS Ethics Committee priority to bring educational content to the ICS Membership.

  3. The Ethics Committee placed a call for the 2023 Ethics Committee Award. Unfortunately, submissions were reviewed and there were no submissions that were deemed to be deserving of the award. The committee will continue to work to publicize this award for ICS 2024. This activity is aligned with the mission to bring awareness to scholarship around ethical practices in the ICS community.

  4. The committee is working to update our mission statement and bylaws to reaffirm our commitment to our overseeing Ethical Standards for the ICS.

ICS Neurourology Promotion Committee – Chair: Rizwan Hamid

  1. Collaborative Lectures

  2. a. Joint workshop at the annual meeting of Urological Society of India, Feb 2023

  3. b. ICS NUPC lecture at the annual meeting of IUGA , Hague, Netherlands, June 2023 c. NUPC workshop at the annual ICS meeting in Sept 2023

  4. d. NUPC workshop at the Japanese Neurourology meeting in Sept 2023 (organised)

  5. Publications

ICS Trustees Report 2023 8

ICS Nursing Committee – Chair: Tamara Dickinson

  1. ICS Bowel diary published, March 2023

  2. Moved exciting nursing workshop content to the nursing forum. Topics are timely and should be of interest to all attendees of the meeting. Forum Keynote: The role of nursing in holistically sustainable continence care (T. Vaittinen). Followed by Bioethics, politics and fecal incontinence (A. Rajala), Updates on the Canadian Continence Nursing Front (F. Bates), Introduction of the ICS Bowel Diary (D. Bliss)

  3. Terminology for conservative interventions paper requested by the Standardisation Committee manuscript is in progress

  4. Podcasts in planning and committee member virtual attendance for committee meeting (only) in Madrid

ICS Physiotherapy Committee – Chair: Paula Igualada-Martinez

  1. For the first time since 2019, the Physiotherapy Committee successfully submitted a Workshop proposal.

  2. We have developed a Masterclass on Conservative Management of UI scheduled for the first quarter of 2024. The finalised content and list of speakers will be evaluated during our committee meeting, after which it will be submitted to both the Education Committee and the BOT.

  3. We have examined the content of an article for the Continence Journal concerning Level 1 Physiotherapeutic assessment of female urinary incontinence, now inclusive of males. This will also undergo a review in Toronto before forwarding it to the BOT.

  4. The Physiotherapy Forum has an incredible line up of international physiotherapists. Notably, attendance numbers have doubled compared to last year, and have seen an uptick since our last in-person conference held in Sweden.

ICS Scientific Committee - Chair: Adrian Wagg

State of the Art Lectures

State of the Art Round Tables

ICS Trustees Report 2023 9

ICS Standardisation Steering Committee - Chair: Matthias Oelke

1. Publications:

2. Translations:

ICS Urodynamics Committee – Chair: Tufan Tarcan

  1. TEACHING MODULES: Many teaching modules were initiated or re-organized last year. A) Best practice for Videourodynamics: A teaching module of the International Continence Society Urodynamics Committee. The module led by Alex Digesu was re-initiated and re-organized in terms of co-authors. The paper was finalized and submitted to the ICS official journal for publication in June 2023 with the Manuscript Number: Continence-D-23-00038.

ICS Trustees Report 2023 10

  1. URODYNAMIC CHARTS REVIEW PROJECT: This project of the Urodynamics Committee was pioneered by Andrew Gammie aiming to increase the quality of UD studies worldwide to the ICS standards.

  2. ASSESSMENT OF SENSATION DURING UDS: The project led by Elise De and the urodynamic committee is finalised. The manuscript is under preparation.

Critical Success Factors (CSF’s) / Key Performance Indicators (KPI’s)

CSFs identified at last strategic review concluded in 2022. New KPI measurements for 2023 report.

1. CSF Establish financial security: protect, diversify and increase income

Outcome: most objectives met or partially met/in process

KPI Reserve Policy Met:

2023 £ GBP % of target
Actual 834,266 76.7
Target 1,087,354

Below target. As detailed above, main cause was the much lower income from our annual meeting post covid. Also a slight drop in membership.

Action for 2024: Control costs, create new funding streams not dependent on annual meeting

2. CSF Ensure the highest quality scholarly activity

Outcome: All objectives met / in progress.

KPI – propose to measure Impact Factor of new ICS Journals – these figures will be published once Journal has been accepted by PubMed (this is expected to take 2 years). KPI target to compare impact factor with previous official society journal’s impact factor.

3. Improve Governance (Board/organisational)

Outcome: All objectives met.

ICS Trustees Report 2023 11

Strengthen the organisation (staff and committees)

Outcome: All objectives met.

KPI – Employee Performance Targets

Performance % of Staff Targets Met Target 5 25 25 100.0 ~~|||~~

Additional new KPI for 2024 – measure Committee achievements vs 2023 targets

Put in place programme to reach out the potential new members outside the US and Europe

Outcome: objectives met, new 5 year membership growth strategy developed.

KPI – Membership Growth

– Membership Growthp Growth
Year
Membership
Growth
%
2023
2,760
-3.5
2022
2,859
~~=~~		 – Membership Growthp Growth
Year
Membership
Growth
%
2023
2,760
-3.5
2022
2,859
~~=~~
Unfortunately membership reduced in 2023. Action – 5 year growth strategy - focus on benefits of Unfortunately membership reduced in 2023. Action – 5 year growth strategy - focus on benefits of
membership, develop new partnerships, identify needs in target regions.

Investments 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 0.69% in 2023, a profit of £5,186, which has been declared in the accounts as net gains on investments (2022: loss of £30,399).

£2,352 was received in interest from bank accounts and has been declared as income from investments for the year to 31 December 2023 (2022: £381).

ICS Trustees Report 2023 12

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 £110,462 (2022: net outgoing funds of £235,807) with closing consolidated funds of £834,266 (2022: £944,728).

Consolidated Income

Income in the year was from the Annual Meeting and trading of £220,772 (2022: £567,119), membership fees £215,654 (2022: £209,327), royalty income totalling £1,153 (2022: £2,562), donations and legacies of £93,263 (2022: £31,565), Educational activities totalling £609 (2022: £4,564) and interest from Investments of £2,352 (2022: £381)

With this funding the Charity has been able to finance: the staffing and technical costs of hosting the annual meeting, educational activities, including awards, observerships, courses and lectures, the running costs of the ICS Office that continues to support the Board, committees, the membership of 2760 and support for the ICS journals. The majority of award costs were covered by an educational grant received from Pfizer.

The total profit of the trading subsidiary was £70,860 (2022: loss of £22,464).

Consolidated Expenditure

Expenditure in the year was on Educational Activities £258,612 (2022: £263,513), Annual Meeting expenditure £104,721 (2022: £447,556) and Publication and Membership £286,118 (2022: £309,857).

The variation in consolidated income and expenditure for 2022 compared to 2023 is due to the requirement for ICS to record a significant proportion of meeting registration income and costs in its accounts in 2022 in order to qualify for the Austrian VAT reduction.

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 25 October 2024), by Conticom-ICS Limited (the wholly-owned 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.

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 year rotation policy involves a European meeting every other year, with the alternate years in a destination outside of Europe; on the provision that an adequate surplus is forecast. The society continues to be reliant on income from the annual meeting, so ensuring a financially successful meeting is important. The ICS will continue to reach a range of countries through its educational course programme.

Industry Supported Projects Outside of the Annual Meeting

As income from the annual meeting has been highly variable and lower since the pandemic, the society has been developing other educational project proposals outside of the annual meeting. The intention

ICS Trustees Report 2023 13

is to develop alternative sources of income outside of the annual meeting directly supported by our industry partners. Multiple project concepts were developed in 2023 and proposed to our industry partners for educational support grants/contracts with a view to delivering them in 2024-2026.

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

£
~~a~~		 £
~~a~~		 £
~~a~~		 £
~~a~~		 £
~~a~~
~~a~~ 2023 2022 2021 2020 2019
Sponsorship &
exhibition
~~pt~~		 255,478
~~pt~~		 448,618
~~pt~~		 324,141
~~pt~~		 312,172
~~pt~~		 486,948
~~pt~~
Registrations
~~a~~		 456,997
~~a~~		 464,622
~~a~~		 183,695
~~a~~		 118,088
~~a~~		 774,086
~~a~~
Other income
~~a~~		 122,262
~~a~~		 86,521
~~a~~		 15,589
~~a~~		 673
~~a~~		 116,298
~~a~~
Total income
~~a~~		 834,737
~~a~~		 999,761
~~a~~		 523,425
~~a~~		 430,933
~~a~~		 1,377,332
~~a~~
Total expenditure
~~a~~		 905,735
~~a~~		 971,650
~~a~~		 391,073
~~a~~		 401,367
~~a~~		 1,114,308
~~a~~
Surplus/(Deficit)
~~pot~~		 (70,998)
~~potty~~		 28,111
~~ty~~		 132,352
~~ty~~		 29,566 263,024
Surplus of which
Conticom received
including Scientific
Services Fee
~~pot~~		 129,600
~~potty~~		 173,061
~~ty~~		 298,592
~~ty~~		 218,009 395,734

Reserves Policy

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

ICS Trustees Report 2023 14

The estimated operating costs of ICS and Conticom ICS Limited are £496,903 for 2024 and £490,451 for 2025, giving a total of £987,354 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 £1,087,354 as at 31.12.2023.

As of 31st December 2023, the consolidated balance sheet showed the Charity and its subsidiary had combined carried forward funds of £834,266 (2022: £944,728); therefore below the level of reserves required by £253,088. The trading subsidiary continued to support the Charity in meeting its objectives.

The trustees acknowledge for 2023 the Charity will be under its reserve policy, which in part is due to the legacy of the COVID years. The Board has brought in measures to increase current income and provide new income. The current reserves policy will be reviewed by the Board and amended if this is the agreement. In the interim all costs will 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 2024

Honorary Meeting Chairs: Pedro Hernandez, Carmen Gonzalez Enguita Local Scientific Programme Chair: Alicia Martín Martínez

The 54[th] Annual Meeting of the ICS will take place at the IFEMA in Madrid, Spain.

Future Meetings

ICS-EUS 2025: Abu Dhabi. Meeting Chairs: AbdulQadir Al-Zarooni, Sherif Mourad ICS 2026: Maastricht, Netherlands. Honorary Meeting Chair: Gommert Van Koeveringe ICS 2027: Florence, Italy. Honorary Meeting Chair: Enrico Finazzi Agro

ICS Strategic Plan

The Board will review and update the ICS strategic goals in order to direct ICS resources to the most important areas of work for the financial sustainability of the charity, and in order to achieve societal goals for the charity’s mission to deliver public benefit.

Industry Supported Education Projects

To address the variable financial surplus generated by the annual meeting, the Board of Trustees plan to develop new additional sources of funding from industry supported educational projects in 2024.

ICS Journals

The Board will expand on actions to establish and grow the ICS journals. An application will be submitted for PubMed accreditation of the journals. An important milestone for the journals.

ICS Committees

ICS Committees continue to develop plans for addressing the needs of our members and the public. A new “top 3” priority system has been introduced to focus activities of each committee. As volunteers we owe a huge debt to all committee members for their outstanding dedication to the field of

ICS Trustees Report 2023 15

continence to further our understanding of the bladder and pelvic floor and highlight and alleviate the suffering of patients worldwide.

ICS Children and Young Adults Committee – Chair: Ashani Couchman

  1. Ongoing podcasts - Two further planned podcasts – once every three months

  2. Deliver 2 workshops

  3. a. International collaboration for delivery of a position statement on bowel care management

  4. b. Deliver a workshop focussed on the paeds and adolescent factors effecting urodynamic practice

  5. Increase visibility of the community

  6. a. Two committee meetings to be organised – just assistance with zoom and two doodle polls for timing

ICS Developing World Committee – Chair: Sherif Mourad

  1. Holding a workshop during ICS 2024 in Madrid.

  2. Holding the ICS Fistula Course 2024 in Lusaka - Zambia.

  3. Having ICS speakers in the national meeting of developing countries.

  4. Collaborate with centers in these countries as online events to try to set up online seminars/webinars. Possible issues to deal with are; Fistula (prevention, diagnosis, surgical management), Native tissue repair of POP, Female urinary incontinence, Male LUTS, Neurogenic Bladder Dysfunction and Conservative Management of Urinary Incontinence.

  5. Publishing new papers about urogynecological disorders in the developing world.

ICS Education Committee – Chair: Howard Goldman

  1. Standing bimonthly interactive webinar for ICS members. Improve “advertising” of all of our great educational videos, etc – greater social media presence

  2. Manage observerships/grants/early career group

  3. Increase colorectal and nursing exposure

ICS Ethics Committee – Chair: Anne Suskind

  1. ICS Ethics Workshop at ICS 2024 Madrid

  2. ICS Ethics Award 2024

  3. ICS Ethics Committee Paper on “The Ethics of Sexuality and Pelvic Health”

ICS Neurourology Promotion Committee – Chair: Rizwan Hamid

  1. Request ICS Board to approve award a certificate and facilitate a 2 week visiting fellowship at the following annual conference with the NU teaching unit for the best presentation in neurourology at the ICS Annual meeting to a young neuro-urologist

  2. Committee members to facilitate holding collaborative workshops with international societies in respective countries

  3. Committee members to deliberate on 2 research questions for publications in the upcoming year

ICS Nursing Committee – Chair: Tamara Dickinson

  1. Submission of high quality nursing workshop and forum for Madrid 2024

  2. Quality publications currently in process

  3. a. Terminology for conservative interventions

  4. b. Food and Fluid Interventions

  5. Nursing focused series of 3 podcasts

ICS Trustees Report 2023 16

ICS Physiotherapy Committee – Chair: Paula Igualada-Martinez

  1. Online Masterclass of Conservative Management of UI: taking the ICI guidelines into clinical practice

  2. Publication of Level 1 Physiotherapeutic assessment of female and male urinary incontinence in the Continence Journal.

  3. There are various proposals on the agenda for discussion at the Physiotherapy meeting in Toronto, following which the Chair will present them at the BOT meeting.

ICS Scientific Committee - Chair: Adrian Wagg

Create the Scientific Programme for ICS 2023 Toronto:

  1. Develop State of the Art programme of lectures & roundtables

  2. Call for research abstract submissions and review abstracts anonymously

  3. Select the best research for presentation in podium sessions and eposters

  4. Publish all accepted abstracts online and publish podium abstracts in Continence

ICS Standardisation Steering Committee - Chair: Matthias Oelke

  1. Finalization of ongoing terminology reports

  2. Identification of terminology reports which are outdated and need to be updated in the near future

  3. Translation of important terminology reports and the entire glossary from English to French, Italian, Portuguese, Spanish and Turkish

ICS Urodynamics Committee – Chair: Tufan Tarcan

  1. ICS Urodynamics E-learning project:

  2. ICS teaching modules

  3. Urodynamic Charts Review Project

Approved by the Trustees and signed on their behalf by:

Steven Schraffordt Koops Treasurer

Date 24/09/2024

ICS Trustees Report 2023 17

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 2023.

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

  3. 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

  4. 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 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.

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

Date: 24/09/2024

Page | 18

THE INTERNATIONAL CONTINENCE SOCIETY STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME & EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 DECEMBER 2023

Notes
Income from:
Donations and legacies
2
Investments
Charitable activities:
Annual meeting
Distribution from trading
subsidiary
3
5
Subscription and royalties
Educational activities
4
6
Total income
Expenditure on:
Charitable activities:
Educational activities
7
Publication and membership
Annual meeting
7
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
31.12.23
31.12.23
£
£
73,742
19,521
2,327
-
45,217
-
-
-
216,807
609
-
-		 Total
Year
ended
31.12.23
£
93,263
2,327
-
45,217
216,807
609		 Unrestricted
Restricted
Total
Year
Year
Year
ended
ended
ended
31.12.22
31.12.22
31.12.22
£
£
£
15,352
16,213
31,565
381
512,128
-
-
-
-
381
512,128
-
211,889
4,564
-
-
211,889
4,564
338,702
19,521
222,369
36,243
286,118
-
-
-		 358,223
258,612
286,118
-		 744,314
16,213
760,527
255,349
8,164
263,513
309,857
370,101
-
-
309,857
370,101
508,487
36,243		 544,730 935,307
8,164
943,471
5,186
-		 5,186 (30,399)
-
(30,399)
(164,599)
(16,722)
962,024
17,222		 (181,321)
979,246		 (221,392)
8,049
(213,343)
1,183,416
9,173
1,192,589
797,425
500		 797,925 962,024
17,222
979,246

Page | 19

THE INTERNATIONAL CONTINENCE SOCIETY CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING CONSOLIDATED INCOME & EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 DECEMBER 2023

Notes
Income from:
Donations and legacies
Investments
Charitable activities:
Annual meeting and trading
2
3
5
Subscription and royalties
Educational activities
4
6
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
31.12.23
31.12.23
31.12.23
31.12.22
31.12.22
31.12.22
£
£
£
£
£
£
73,742
2,352
220,772
19,521
-
-
93,263
2,352
220,772
15,352
381
567,119
16,213
-
-
31,565
381
567,119
216,807
609
-
-
216,807
609
211,889
4,564
-
-
211,889
4,564
514,282
19,521
533,803
799,305
16,213
815,518
222,369
36,243
258,612
255,349
8,164
263,513
286,118
-
286,118
309,857
-
309,857
104,721
-
104,721
447,556
-
447,556
613,208
36,243
649,451
1,012,762
8,164
1,020,926
5,186
-
5,186
(30,399)
-
(30,399)
(93,740)
(16,722)
(110,462)
(243,856)
8,049
(235,807)
927,506
17,222
944,728
1,171,362
9,173
1,180,535
833,766
500
834,266
927,506
17,222
944,728
514,282
19,521
533,803
799,305
222,369
36,243
258,612
255,349
286,118
-
286,118
309,857
104,721
-
104,721
447,556
613,208
36,243
649,451
1,012,762
5,186
-
5,186
(30,399)
(93,740)
(16,722)
(110,462)
(243,856)
927,506
17,222
944,728
1,171,362
833,766
500
834,266
927,506

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

All income and expenditure derives from continuing activities.

Page | 20

THE INTERNATIONAL CONTINENCE SOCIETY

BALANCE SHEET AS AT 31 DECEMBER 2023

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		 2023 2023 £
1,244
759,200
760,444
37,481
797,925
797,425
500
797,925		 2022
£
8,630
123,759
132,389
(94,908)		 £
99,335
174,143
273,478
(49,645)		 £
1,399
754,014
755,413
223,833
979,246
962,024
17,222
979,246

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 December 2023.

The members have not required the company to obtain an audit of its financial statements for the year ended 31 December 2023 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 24/09/2024 and were signed on their behalf by:

Dr S Schraffordt Koops - TREASURER

Company Registration No. 03589542

Page | 21

THE INTERNATIONAL CONTINENCE SOCIETY

CONSOLIDATED BALANCE SHEET AS AT 31 DECEMBER 2023

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		 2023
£
£
1,244
4,378
759,199
764,821
22,610
141,193
163,803
(94,358)
69,445
834,266
833,766
500
834,266		 2022
£
22,610
141,193
163,803
(94,358)		 £
37,885
221,898
259,783
(76,045)		 £
1,399
5,578
754,013
760,990
183,738
944,728
927,506
17,222
944,728

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 December 2023.

The members have not required the company to obtain an audit of its financial statements for the year ended 31 December 2023 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 24/09/2024 and were signed on their behalf by:

Dr S Schraffordt Koops - TREASURER

Company Registration No. 03589542

Page | 22

THE INTERNATIONAL CONTINENCE SOCIETY

STATEMENT OF CASH FLOWS AND CONSOLIDATED STATEMENT OF CASH FLOWS FOR YEAR ENDING 31 DECEMBER 2023

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
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
2023
£
Charity
2022
£
Group
2023
£
Group
2022
£
(52,711)
(122,121)
(81,433)
(86,467)
2,327
381
2,352
381
-
-
(1,624)
(5,681)
2,327
381
728
(5,300)
(50,384)
(121,740)
(80,705)
(91,767)
174,143
295,883
221,898
313,665
123,759
174,143
141,193
221,898

NOTES TO CASH FLOWS:

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

Charity Charity Group Group
2023 2022 2023 2022
£ £ £ £
Net movement in funds (181,322) (213,343) (110,463) (235,807)
Add back depreciation/amortisation charge 155 155 2,980 4,209
Deduct interest income shown in investing activities (2,327) (381) (2,352) (381)
Deduct/add net (gain)/loss on investments (5,186) 30,399 (5,186) 30,399
Decrease (increase) in debtors 90,705 106,001 78,795 170,437
Increase (decrease) in creditors 45,264 (44,952) (45,207) (55,324)
––––––– ––––––– –––––– –––––––
Net cash (used)/gained in/from operating activities (52,711) (122,121) (81,433) (86,467)

Page | 23

THE INTERNATIONAL CONTINENCE SOCIETY

STATEMENT OF CASH FLOWS AND CONSOLIDATED STATEMENT OF CASH FLOWS FOR YEAR ENDING 31 DECEMBER 2023

NOTES TO CASH FLOWS – continued:

2. ANALYSIS OF CHANGES IN NET FUNDS - CHARITY

At 1.1.23
Cash flow
At
£
£
Net cash
Cash at bank and in hand
174,143
(50,384)
174,143
(50,384)
ANALYSIS OF CHANGES IN NET FUNDS - GROUP
At 1.1.23
Cash flow
At
£
£
Net cash
Cash at bank and in hand
221,898
(80,705)
221,898
(80,705)		 31.12.23
£
123,759
123,759
31.12.23
£
141,193
141,193

Page | 24

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31 DECEMBER 2023

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 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 | 25

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

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. The liability and expense is allocated between activities and between restricted and unrestricted funds on a time apportioned basis.

Page |26

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

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.

Page | 27

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

2. INCOME FROM DONATIONS AND LEGACIES

Charity
2023
2022
£
£
Other donors
10
120
Grants – Pfizer grant
19,521
16,213
Grants, including EU Tech Project
14,168
15,232
Legacies
59,564
-
3.
INCOME FROM INVESTMENTS
Charity
2023
2022
£
£
Interest receivable
2,327
381
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
5.
ANNUAL MEETING
Charity

2023
2022
£
£
Annual meeting income
-
512,128
93,263
31,565
2,327
381
-
512,128		 Group
2023
2022
£
£
10
120
19,521
16,213
14,168
15,232
59,564
-
Group
2023
2022
£
£
2,352
381
Charity & Group
2023
2022
£
£
7,125
3,922
233,328
212,530
(24,799)
(7,125)
1,1532,562
Group
2023
2022
£
£
220,772
512,128
93,263
31,565
2,352
381
215,654
209,327
216,807
211,889
220,772
512,128

Page |28

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

6. INCOME FROM EDUCATIONAL ACTIVITES


Other income
7.
ANALYSIS OF CHARITABLE EXPENDITURE
Educational Publication &
Activities Membership
£
£
Annual meeting expenses
-
-
Journal and other membership costs
-
1,367
Travel and subsistence costs
2,385
2,385
Advertising and promotional events
3,240
-
Publication committee costs
-
-
Education committee costs
4,711
-
Awards, grants and fellowships
26,081
-
Educational activity costs8,241
-
Printing and postage costs
22
22
Staff costs
139,582
207,995
Finance costs
6,282
6,282
Trustees’ board costs
-
-
Support costs (see note 8)
21,640
21,639
Governance costs (see note 8)
46,428
46,428
Charity total
Annual meeting expenses
-
-
Group total
258,612
286,118

258,612
286,118
Annual
meeting
£
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Charity
2023
£
609
Total
2023
£
-
1,367
4,770
3,240
-
4,711
26,081
8,241
44
347,577
12,564
-
43,279
92,856
104,721
649,451
609
544,730		 Charity
2023
£
609
Total
2023
£
-
1,367
4,770
3,240
-
4,711
26,081
8,241
44
347,577
12,564
-
43,279
92,856
104,721
649,451
609
544,730		 & Group
2022
£
4,564
Total
2022
£
370,101
1,131
2,888
179
8,500
-
10,664
1,053
606
403,031
7,122
6,690
54,407
77,099
77,455
1,020,926
4,564
943,471
















104,721
-
104,721

Page | 29

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

8. ANALYSIS OF GOVERNANCE AND SUPPORT COSTS

Charity & Group

Educational Publication &
Activities Membership
Costs
Costs
£
£
Support costs:
Phone
6,941
6,941
Insurance
882
882
Rent, rates, light and heat
5,968
5,967
Sundry
7,771
7,772
Amortisation
77
77
Governance costs:
Trustees’ board costs
-
-
Indemnity insurance
135
135
Staff costs
34,168 34,167
Independent examiner’s fee (see note 11)
3,780
3,780
Legal and professional
8,345
8,345
21,639
21,639
46,428
46,427		 Total
2023
£
13,882
1,764
11,935
15,543
154
-
270
68,335
7,560
16,690
43,278
92,855		 Total
2022
£
12,975
1,024
14,085
26,168
155
173
269
51,723
10,800
14,134
54,407
77,099

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 (2022: £Nil).

Out of pocket expenses were reimbursed to trustees as follows:

Charity & Group
2023
2022
Number
Number
Travel and meeting expenses
6
11
10.
STAFF COSTS
Charity
2023
2022

£
£
Wages and salaries
338,420
364,651

National insurance contributions
33,702
38,666
Pension contributions
39,890
46,817
Recruitment and training
3,900
4,620
415,912
454,754		 Charity & Group
2023
2022
£
£
4,105
4,020
Group
2023
2022
£
£
338,420
364,651
33,702
38,666
39,890
46,817
3,900
4,620
415,912
454,754		 Charity & Group
2023
2022
£
£
4,105
4,020
Group
2023
2022
£
£
338,420
364,651
33,702
38,666
39,890
46,817
3,900
4,620
415,912
454,754
454,754

Two employees earned more than £60,000 during the year.

Page | 30

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

10. STAFF COSTS - continued

The average monthly number of employees, and full time equivalents, during the year were as follows:

Charity Group
2023 2022 2023 2022
Number Number Number Number
Governance 4.15 4.7 4.15 4.7
Educational activities 3.15 3.7 3.15 3.7
Publication and membership 0.7 0.6 0.7 0.6
8 9 8 9

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 £199,658 (2022: £190,030).

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
2023
2022

£
£
1,678
2,550
3,152
4,650
1,780
2,750
950
850
7,560
10,800		 Group
2023
2022
£
£
1,678
2,550
7,352
7,450
1,780
2,750
950
850
11,760
13,600		 Group
2023
2022
£
£
1,678
2,550
7,352
7,450
1,780
2,750
950
850
11,760
13,600
13,600

Page |31

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

12. CHARITY & CONSOLIDATED INTANGIBLE FIXED ASSETS

CHARITY & CONSOLIDATED INTANGIBLE FIXED ASSETS
COST
At 1 January 2023
At 31 December 2023
AMORTISATION
At 1 January 2023
Charge for year
At 31 December 2023
NET BOOK VALUE
At 31 December 2023
At 31 December 2022
CONSOLIDATED TANGIBLE FIXED ASSETS
Fixtures
and fittings
–––––––––
£
COST:
At 1 January 2023
13,052
Additions
396
––––––
At 31 December 2023
13,448
––––––
DEPRECIATION
At 1 January 2023
12,306
Charge for year
539
––––––
At 31 December 2023
12,845
––––––
NET BOOK VALUE:
At 31 December 2023
603
At 31 December 2022
746		 Domain
name
£
3,106
1,707
155
1,244

1,399
Computer
equipment
–––––––––
–––
£
61,242
1,228

––––––
62,470
––––––
56,410
2,285
––––––
58,695

––––––
3,775
4,832
3,106
1,862		 Totals
£
3,106
3,106
1,707
155
**1,862 **
1,244
1,399
Total
––––––
£
74,294
1,624
––––––
75,918
––––––
68,716
2,824
––––––
71,540
––––––
4,378
5,578

13. CONSOLIDATED TANGIBLE FIXED ASSETS

Page |32

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

14. CHARITY FIXED ASSET INVESTMENTS

COST OR VALUATION:
At 1 January 2023
Increase in market value of investments
At 31 December 2023
NET BOOK VALUE:
At 31 December 2023
At 31 December 2022
Listed investments
Unlisted investments
Total investments		 2023
£
759,199
1
759,200		 £
754,013
5,186
759,199
759,199
754,013
2022
£
754,013
1
754,014

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
Cost of sales
Gross profit
Other income
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		 2023
£
36,342
70,860		 2022
£
(34,518)
(22,464)
£
220,773
(52,935)
167,838
25
(92,873)
74,990
(4,130)
70,860
70,860
(34,519)
36,341
48,313
(11,971)

Page | 33

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

15. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Trade debtors
Prepayments and accrued income
Amounts due from group undertaking
Other debtors		 Charity
2023
2022
£
£
30
57
8,600
33,543
-
63,521
-
2,214
_
_
8,630
99,335		 Group
2023
2022
£
£
9,504
57
13,106
35,614
-
-
-
2,214
_
_
22,610
37,885

16. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR


Trade creditors
Other creditors
Social security and other taxes
Amounts due to group undertaking
Accruals and deferred income
VAT		 Charity
2023
2022
£
£
1,086
1,388
-
-
13,703
15,633
12,521
-
67,598
32,624
-
-
_
_
94,908
49,645		 Group
2023
2022
£
£
1,635
2,269
2,797
2,404
13,703
15,633
-
-
75,946
55,630
277
109
_
_
94,358
76,045

17. FINANCIAL COMMITMENTS

Total financial commitments, guarantees and contingencies for the charity which are not included in the balance sheet amount to £15,000 (2022 - £Nil).

Total financial commitments, guarantees and contingencies undertaken as a group, which are not included in the balance sheet amount to £30,000 (2022 - £Nil).

Page |34

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

18. STATEMENT OF FUNDS

----- Start of picture text -----
||||||||| |---|---|---|---|---|---|---|---| |At 01|Gains|At 31| |January|on|December| |2023|Income Expenditure Investments|2023| |£|£|£|£|£| |Unrestricted funds:| |General fund|962,024|338,702|(508,487)|5,186|797,425| |-------------- --------------|------------- -------------- --------------| |Total unrestricted funds|962,024|338,702|(508,487)|5,186|797,425| |-------------- -------------- -------------- -------------- --------------| |Restricted funds:| |Laborie Fellowship fund|1,838 - (1,838)|-|-| |Continence Promotion Committee fund|7,824|-|(7,824)|-|-| |3|[rd]|World Fistula work|500|-|-|-|500| |Pfizer grant|7,060|19,521|(26,581)|-|-| |-------------- -------------- -------------- -------------- --------------| |Total restricted funds|17,222|19,521|(36,243)|-|500| |-------------- -------------- -------------- -------------- --------------| |Total charity funds|979,246|358,223|(544,730) 5,186|797,925| |-------------- --------------|------------- -------------- --------------| |Subsidiary funds (unrestricted)|(34,519)|220,798|(149,938)|-|36,341| |Intercompany adjustment|-|(45,217)|45,217|-|-| |Total consolidated funds|944,727|533,804|(649,451)|5,186|834,266| |========= ========= ========= ========= =========| |STATEMENT OF FUNDS - comparatives| |At 01|Losses|At 31| |January|on|December| |2022|Income Expenditure Investments|2022| |£|£|£|£|£| |Unrestricted funds:| |General fund|1,183,416|744,314|(935,307)|(30,399)|962,024| |-------------- --------------|------------- -------------- --------------| |Total unrestricted funds|1,183,416|744,314|(935,307)|(30,399)|962,024| |-------------- -------------- -------------- -------------- --------------| |Restricted funds:| |Laborie Fellowship fund|8 - 1,830|- 1,838| |Continence Promotion Committee fund|7,824|-|-|-|7,824| |3|[rd]|World Fistula work|500|-|-|-|500| |Pfizer grant|841|16,213|(9,994)|-|7,060| |-------------- -------------- -------------- -------------- --------------| |Total restricted funds|9,173|16,213|(8,164)|-|17,222| |-------------- -------------- -------------- -------------- --------------| |Total charity funds|1,192,589|760,527|(943,471)|-|979,246| |-------------- --------------|------------- -------------- --------------| |Subsidiary funds (unrestricted)|(12,054)|54,991|(77,455)|-|(34,518)| |Intercompany adjustment|-|-|-|-|-| |Total consolidated funds|1,180,535|815,518|(1,020,926)|(30,399)|944,728| |========= ========= ========= ========= =========|

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

Page |35

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

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 Mumbai.

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 2023
are represented by:
Fixed assets - 760,444 760,444
Current assets 36,743 95,646 132,389
Current liabilities (36,243) (58,665) (94,908)
––––––– –––––––– ––––––––
Total Net Assets 500 797,425 797,925
Restricted Unrestricted Total
GROUP Funds
Funds		 Funds
£ £ £
Fund Balances at 31 December 2023
are represented by:
Fixed assets - 764,821 764,821
Current assets 36,743 127,060 163,803
Current liabilities (36,243) (58,115) (94,358)
––––––– –––––––– ––––––––
Total Net Assets 500 833,766 834,266

Page | 36

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

19. ANALYSIS OF NET FUNDS BETWEEN FUNDS – comparatives

Restricted Unrestricted Total
CHARITY Funds
Funds		 Funds
£ £ £
Fund Balances at 31 December 2022
are represented by:
Fixed assets - 755,413 755,413
Current assets 25,386 248,092 273,478
Current liabilities (8,164) (41,481) (49,645)
––––––– –––––––– ––––––––
Total Net Assets 17,222 962,024 979,246
Restricted Unrestricted Total
GROUP Funds
Funds		 Funds
£ £ £
Fund Balances at 31 December 2022
are represented by:
Fixed assets - 760,990 760,990
Current assets 25,386 234,397 259,783
Current liabilities (8,164) (67,881) (76,045)
_ __ __
Total Net Assets 17,222 927,506 944,728

20. PENSION COMMITMENTS

During the year, the group paid into a defined contribution pension scheme. The total for the year of £39,890 (2022: £46,816) is included within expenditure in the Statement of Financial Activities.

There were outstanding group contributions of £Nil (2022 - £Nil) as at 31 December 2023.

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 (2022 - £Nil) as at 31 December 2023.

Page | 37