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← The International Continence Society

2024-12-31-accounts

AND

INDEPENDENTLY EXAMINED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

FOR

THE INTERNATIONAL CONTINENCE SOCIETY

THE INTERNATIONAL CONTINENCE SOCIETY

ANNUAL REPORT & INDEPENDENTLY EXAMINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

Page
1
Report 20
Statement of Financial Activities 21
Consolidated Statement of Financial Activities 22
Balance Sheet 23
Consolidated Balance Sheet 24
Statement of Cash Flows 25
Consolidated Statement of Cash Flows 25
Notes to the Financial Statements 27

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 General Secretary-Elect appt’d Tufan Tarcan, 1 year term began 25/10/24 will become GS thereafter for 3 year term Treasurer appointed Steven Schraffordt Koops, 3 year term began 09/09/22 Trustees appointed 2023 Hidehiro Kakizaki, appointed 20/10/2023 confirmed for 3 year term at 2024 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, reappointed for 3 year term

Company Secretary Dominic Turner (appointed 20/11/2023) Independent Examiner

M Bracher of Gravita Western Ltd (previously Haines Watts Western Ltd), Bath House, 6- 8 Bath Street, Bristol BS1 6HL Veale Wasbrough Vizards, Orchard Lane, Bristol BS1 5WS NatWest Bank, Filton Bristol Branch, PO Box 182, 4 Church Road, Bristol BS99 5AA Crystal Wealth Management LLP

Solicitors Bankers Investment Managers

S Staff taff

Dominic Turner Daniel Snowdon Roger Blackmore Mairead Corbet Danielle Piotrowski Tracy Griffin Sam Giles Charlotte Nash Sarah Waters Sarah Ashworth

Chief Executive Officer (from 5 February 2024, previously IT Director) Executive Director (left employment 2 February 2024) Flash Developer/Graphics Designer Projects and Events Manager (left employment 19 July 2024) Marketing and Events Coordinator (left employment 15 November 2024) Administrator and Membership Secretary (part time - retired 30 April 2024) Membership Coordinator (joined 24 July 2024) Committee and Events Coordinator (joined 10 December 2024) Bookkeeper (self-employed) Bookkeeper (self-employed)

I ICS CS H Honorary onorary M Members embers

Peter Caldwell (Deceased) Peter Gammelgaard (Deceased) Guus Kramer Walter Artibani Sender Herschorn Linda Cardozo (Deceased) Jerzy Gajewski David Castro Diaz Carlos D'Ancona

Patrick Bates (Deceased) Eric Glen David Rowan (Deceased) Jacques Corcos Karl-Erik Andersson Ted Arnold Helmut Madersbacher Katherine Moore

Pieter Donker (Deceased) Axel Ingelman-Sundberg (Deceased) Paul Abrams Jo Laycock (Deceased) Adrian Wagg Sherif Mourad Alan Wein Mandy Fader

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 2024 were to hold a successful annual meeting in Madrid, to maintain the ICS membership at circa 3,000 members, to review and implement a revised investment strategy, and to

ICS Trustees Report 2024 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

B Board oardardrdd o of f Trustees Trusteesrusteesusteessteesteeseesess

B Board oardardrdd o of f Trustees Trusteesrusteesusteessteesteeseesess

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).

M ~~Management~~ anagementnagementagementgementementmententntt S ~~Structure~~ tructureructureucturecturetureureree

M ~~Management~~ anagementnagementagementgementementmententntt S ~~Structure~~ tructureructureucturecturetureureree

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 Chief Executive Officer. The CEO is a full-time employee and reports directly to the Trustees who are ultimately responsible for the management and finances of the ICS.

ICS Trustees Report 2024 3

I ICS CS C Committees ommittees 2 2024 024

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.

Relatedelatedlatedatedtededd Partiesartiesrtiestiesiesess ~~Related Parties~~

Relatedelatedlatedatedtededd Partiesartiesrtiestiesiesess

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.

R ~~Risk~~ iskskk M ~~Management~~ anagementnagementagementgementementmententntt

R ~~Risk~~ iskskk M ~~Management~~ anagementnagementagementgementementmententntt

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 Chief Executive Officer and the ICS Accountants, Gravita Western Ltd (previously Haines Watts Western Ltd), 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 war, terrorist attacks or natural disasters is a major concern. This was particularly felt during 2020 and 2021 due to the COVID-19

ICS Trustees Report 2024 4

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. In 2024 a new PCO was appointed, MCI Netherlands B.V. for 20262028 with the same no loss guarantee.

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:

Executive Summary

The meeting held in Madrid was an outstanding success both scientifically and financially with very strong industry support and a high registration total of 1,953 delegates (2023: 1,434). We would like to thank SINUG our local partner and ICS Affiliate society for hosting ICS in Spain and foregoing the SINUG annual meeting for this year, allowing all Spanish delegates to attend a special SINUG session at ICS 2024 Madrid and encouraging all local sponsors to support the ICS meeting for that year. We would also thank the Local Organising Committee, Scientific and Education Committees for organising such a landmark scientific event.

ICS recorded 2,969 members for 2024 (2023: 2,760). This growth is in line with holding our annual meeting in Europe. Challenges remain post covid for all our medical professionals who face increased financial pressures with increased travel and accommodation costs and restrictions on leave to attend meetings.

ICS Trustees Report 2024 5

In financial terms the charity closed the year with a very positive position, whereby income in the year was in excess of expenditure. This was due to the healthy surplus received from the annual meeting in addition to new revenue streams for projects outside of the annual meeting. The board has continued to develop the two new journals to create new additional streams of revenue outside of the annual meeting.

Achievements and Performance

I ~~ICS~~ CSS A ~~Annual~~ nnualnualualall S ~~Scientific~~ cientificientificentificntifictificificficicc M ~~Meeting~~ eetingetingtingingngg 2 ~~2024~~ 024244

~~ICS~~ CSS A ~~Annual~~ nnualnualualall S ~~Scientific~~ cientificientificentificntifictificificficicc M ~~Meeting~~ eetingetingtingingngg 2 ~~2024~~ 024244

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 54[th] Annual Meeting of the ICS remained an in-person only event. The meeting was attended by 1,953 delegates from over 60 countries which proved the international appeal of ICS meetings. The total numbers were helped by the European location and the incredible support of our Local Organising Committee and SINUG our Spanish affiliate society.

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 Pedro Blasco Hernández (Honorary Meeting Chair) and Carmen González Enguita (Honorary Meeting Co-Chair), Alicia Martín Martínez (Local Scientific Programme Chairs) and the whole ICS 2024 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.

N New eww I ICS CSS Journals Journalsournalsurnalsrnalsnalsalslss

N New eww I ICS CSS Journals Journalsournalsurnalsrnalsnalsalslss

Two new journals Continence and Continence Reports launched in December 2021 continued to grow. The Editors of the journals were respectively, Lori Birder, and Sajjad Rahnama’i. The journals are openaccess format to support the new model of journals, and to support the ICS’s charitable goal to grow and share continence education globally. With DOAJ (June) and Scopus (October) accepted in 2023, Web of Science accepted in June 2024.

A ~~Awards~~ wardsardsrdsdss a ~~and~~ ndd F ~~Fellowships~~ ellowshipsllowshipslowshipsowshipswshipsshipshipsipspss

A ~~Awards~~ wardsardsrdsdss a ~~and~~ ndd F ~~Fellowships~~ ellowshipsllowshipslowshipsowshipswshipsshipshipsipspss

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 11 fellowships covering Urodynamics, Neurourology, Clinical and Research to early career doctors from Argentina, Belgium, Canada, Gambia, Indonesia, Mexico, Pakistan, Russia, Ukraine and the United States.

E Educational ducationalucationalcationalationaltionalionalonalnalall C Courses oursesursesrsessesess 2 2024 024244

E Educational ducationalucationalcationalationaltionalionalonalnalall C Courses oursesursesrsessesess 2 2024 024244

During 2024 ICS was able to offer faculty to 20 educational events around the world:

ICS Trustees Report 2024 6

I ~~ICS~~ CSS M ~~Membership~~ embershipmbershipbershipershiprshipshiphipipp

~~ICS~~ CSS M ~~Membership~~ embershipmbershipbershipershiprshipshiphipipp

The ICS recorded 2,969 members for 2024 (2023: 2,760). 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.

I ICS CSS C Committees ommitteesmmitteesmitteesitteestteesteeseesess

ICS CSS C Committees ommitteesmmitteesmitteesitteestteesteeseesess

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. Application and acceptance of workshop for ICS Madrid – inter disciplinary workshop in conjunction with physiotherapy and psychology

  2. Plan for white paper to follow the workshop - underway

  3. Completed 1 podcase – we have not completed further podcasts

  4. CISC paper completed – awaiting next steps and representation to board

ICS Developing World Committee – Chair: Sherif Mourad

  1. We organized a very successful fistula repair workshop in Lusaka – Zambia on January 3-5, 2024. The event was well attended by around 40 attendees and was highly appreciated by the

ICS Trustees Report 2024 7

locals. We had participants from many countries included Zambia, The Gambia, Saudi Arabia, France, Oman, Iraq, Kenya, United Kingdom, Egypt and Pakistan.

  1. We are currently preparing for the “Fistula Course” January 2025 and to continue of the successful history of this course. The course will take place in Banjul – The Gambia 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 hands on workshop.

  3. We had active participation in the urogynecological workshop during the AAU meeting in Bally – September 2024.

  4. We have a proposal for publication of a handbook/book chapter/article on Managing Urethral Catheters in Low and Middle Income Countries. This proposal was sent to us looking for collaboration from colleagues from Banjul (Gambia), and its main objective is to serve as a guide for health professionals working in developing countries and those from developed countries visiting as part of relief teams, on how to diagnose and solve problems presented by urethral catheters in this type of environments.

ICS Education Committee – Chair: Howard Goldman

1. ICS Podcasts and Early Career Session

The Education Committee led by Shannon Wallace has revamped and reorganized the ICS Podcast Series. ICS now offers bimonthly 20min-1hour long podcasts to ICS listeners on a variety of topics related to urinary and fecal incontinence, pelvic floor dysfunction, bowel dysfunction and complex surgical planning and techniques. In addition, we also offer a podcast series on the upcoming workshops at the annual ICS meeting (hosted by Shannon Wallace). This podcast series aims to advertise and highlight the world-class workshops that are going to be offered and increase the ICS annual meeting registration numbers as well as workshop numbers

We are also responsible for designing and coordinating the Early Career Session at the ICS Annual Meeting. This year we are very excited to offer a valuable session on "From Burnout to Balance: Thriving in Healthcare" and we have coordinated a speaker and some group activities.

2. ICS Education committee website video reviews

have reviewed over 4500 videos in the ICS website and highlighted the videos more than 3 years old as "The video is more than three years old. There may be more recent related video content available here on ICS TV." It was also decided to remove only any dangerous or controversial content.

3. Update on ICS Observerships and Related Activities

Grant Proposals Medtronic (Medtronic International Observerships) Completed (MDT230034142)

Laborie (Laborie International Observerships)

Boston Scientific (Boston Scientific International Observerships) Completed (204761)

Host Centre Application Form

ICS Observerships 2024

ICS Trustees Report 2024 8

ICS Ethics Committee – Chair: Bill Gibson

  1. The committee has and worked under the revised terms of reference which were adopted at the meeting in Toronto.

  2. The committee has prepared and presented a workshop on The Ethical Treatment of Incontinence in Children and Adolescents at this meeting. This will form the basis of a White Paper which the committee has agreed to prepare.

  3. The committee chair had input in to discussions with the Scientific Committee around ethical aspects of some submissions to the annual meeting

ICS Neurourology Promotion Committee – Chair: Sanjay Sinha

  1. Collaborative Programs

  2. a. Annual Congress of the Functional and Female Urology Section of the Urological Society of India, April 19 and 20, 2024 in Hyderabad. Dr Desiree Vrijens was ICS faculty and presented an ICS State of Art Lecture. (In-person Event)

  3. b. Libyan Urology Association Congress, December 9, 2023. Lecture on ‘High risk Neurogenic Lower Urinary Tract Dysfunction’. (Online Event)

  4. c. ICS Neuro-Urology Lecture at the XVIII Paulista Congress in São Paulo, September 3- 7, 2024 by Dr Sanjay Sinha. (In-person Event)

  5. Global Neuro-Urology Initiative GNUI

  6. a. The first GNUI was held in association with Colombian Urologists on November 18, 2023 (Host Lead: Dr Julián Azuero)

  7. Publications

  8. a. The third project from the Unusual Neuro-Urological Conditions series was published in Continence Journal. Lead Author: Dr Ryuji Sakakibara. DOI:10.1016/j.cont.2024.101340

  9. Best Review in Neuro-Urology Award (Annual, Long-term Activity)

  10. a. The award was launched in 2024 and the first award will be handed over this year at the ICS Madrid meeting to Dr Vicktor Bruno Pereira Pinto from Brazil. The manuscript is being submitted to Continence Journal.

  11. b. The next year’s award including the cut-off dates have been announced. Briefly, the submission deadline for ICS 2025 is March 31, 2025. Details can be found at https://www.ics.org/news/1468

  12. Early Career Shadow Committee Project

  13. a. The project has been initiated with 10 proposed names from across the globe including South America (3), North America (1), Europe (3), Asia (2), and Africa (1).

  14. b. We envisage that the NUPC-ECSC will join the NUPC for a part of the committee meeting at ICS Annual Meetings with an expansion of We envisage an expansion of academic and social activities as well as mentorship through this initiative.

ICS Nursing Committee – Chair: Tamara Dickinson

  1. Nursing mailers Angie Rantell & Janie Thompson continued to create nursing focused mailers for mass distribution

  2. Publications completed and in process

  3. Terminology for conservative interventions (as requested by the Standardization & Terminology Committee) – Complete a draft of the manuscript by the close of 2024,

ICS Trustees Report 2024 9

share with workgroup members for their approval as co-authors and then submit to Continence

ICS Physiotherapy Committee – Chair: Paula Igualada-Martinez

  1. ICI Algorithm Masterclass

  2. 23[rd] Physiotherapy Forum – 260 participants – Survey of ICS Pelvic Floor terminology

  3. Developing international standards of pelvic health training – Aim to finish in 2026

  4. a. International Survey: Led by The University of Queensland (Australia) in collaboration with the PT Committee, this survey investigates clinical practice, training methods, and the credentials of pelvic health physiotherapists. The survey has been completed, and data analysis is in progress, with results aim to be presented at the ICS 2025 Meeting.

  5. b. Scoping Review: Led by Brunel University (UK) in collaboration with the PT Committee and the International Organization of Physiotherapists in Pelvic and Women's Health (IOPPWH), this review assesses global training documentation to understand how physiotherapists acquire knowledge in pelvic health. More than 30 universities, pelvic health organisations, and private education providers are participating. Ethical approval is pending, and preliminary findings are expected to be shared at the ICS 2025 Meeting.

ICS Scientific Committee - Chair: Adrian Wagg

State of the Art Lectures

State of the Art Round Tables

ICS Trustees Report 2024 10

ICS Standardisation Steering Committee - Chair: Matthias Oelke

1. Publications:

ICS Urodynamics Committee – Chair: Tufan Tarcan

  1. E-Learning Project combined with ICS UD Committee Teaching Modules

  2. a. Analysis of Voiding: Pressure Flow Analysis

  3. b. Filling Cystometry

  4. c. Uroflowmetry and Measurement of Postvoid Residual Urine

  5. Completed and “ready for submission” ICS teaching modules of the UD Committee in 2024:

  6. a. Tarcan T, Acar O, Agarwal MM, Rubilotta E, De Nunzio C, Rosier P. ICS Educational Module: The Practice of Uroflowmetry in Adults. Continence Vol 9, 2024. 101065

  7. b. Patel M, Bhide A, Digesu GA, Tarcan T. Best practice for Videourodynamics: A teaching module of the International Continence Society Urodynamics Committee. Continence 9 (2024) 101212.

  8. c. Maurizio Serati, Tufan Tarcan, Anna Padoa, Hashim Hashim, Andrea Braga, Karl Dietrich Sievert, Peter F W M Rosier. Objective assessment of lower urinary tract function in female stress urinary incontinence. ICS Educational Module. ContinenceD-24-00092

  9. d. Carlos Arturo Levi D’Ancona, Tufan Tarcan, Stefania Musco, Arthur Degani, Peter F.W.M. Rosier. ICS Teaching Module on the Urodynamics and Accessory Tests in the Assessment of Post-Radical Prostatectomy Urinary Incontinence. To be submitted soon to Continence

ICS Trustees Report 2024 11

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

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

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

Outcome: most objectives met or partially met/in process

KPI Reserve Policy Met:

Reserve Policy Met:y Met:
2024
£ GBP
% of target		 Reserve Policy Met:y Met:
2024
£ GBP
% of target		 Reserve Policy Met:y Met:
2024
£ GBP
% of target
Actual
1,228,877
109.8
Target 1,119,689

Above target. Very successful annual meeting together with new income streams from partnerships with industry outside of the ASM. Also a slight rise in total membership.

Action for 2025: Continue to work on funding streams not dependent on annual meeting

2. CSF Ensure the highest quality scholarly activity

ICS Trustees Report 2024 12

< Ics

Develop further e-learning opportunities for ICS members and meeting delegates

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 indexed by Clarivate which takes some time after the journal is established (expect first impact factor in 2025). KPI target to compare impact factor with previous official society journal’s impact factor.

3. Improve Governance (Board/organisational)

Outcome: All objectives met.

KPI – Board of Trustee Meetings Held BOT % of 2024 Meetings target Actual 4 100.0 ~~==—~~ Target 4

Strengthen the organisation (staff and committees)

Put in place measures and reviews to ensure progress and high standards

Outcome: All objectives met. KPI – Employee Performance Targets Performance % of Staff Targets Met Target 2 10 10 100.0 ~~=e~~ Note: Due to staff changes (other staff left, retired or joined in 2024), only two staff participated in the performance appraisal scheme for 2024

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

ICS Trustees Report 2024 13

KPI – Membership Growth

Year
Membership
Growth %		 Year
Membership
Growth %		 Year
Membership
Growth %
2024
2,969
7.6
2023 2,760

As membership is linked to the annual meeting, the success of the ICS 2024 Madrid meeting was reflected in healthy membership growth in 2024.

Financial Review

Results for the year

The consolidated results of the charity and its trading subsidiary, Conticom, showed net incoming funds in the year of £394,611 (2023: net outgoing funds of £110,462) with closing consolidated funds of £1,228,877 (2023: £834,266).

Consolidated Income

Income in the year was from the Annual Meeting and trading of £641,841 (2023: £220,772), membership fees £250,008 (2023: £215,654), royalty income totalling £3,883 (2023: £1,153), donations and legacies of £54,855 (2023: £93,263), Educational activities totalling £0 (2023: £609) and interest from Investments of £1,544 (2023: £2,352).

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 2969 and support for the ICS journals. The majority of award costs were covered by educational grants received from Pfizer, Laborie and Medtronic.

The total profit of the trading subsidiary was £500 (2023: £70,860).

Consolidated Expenditure

Expenditure in the year was on Educational Activities £150,298 (2023: £258,612), Annual Meeting expenditure £307,910 (2023: £104,721) and Publication and Membership £131,582 (2023: £286,118).

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 a professional conference organiser (PCO) by Conticom-ICS Limited, the wholly-owned trading subsidiary of ICS. Kenes International served as PCO from 2008 until the conclusion of their contract on 25 October 2024. Following this, an invitation to tender process was conducted to appoint the next PCO beginning in 2026. For 2025, MCI Middle East was appointed as PCO for a single year due to the joint meeting in Abu Dhabi.

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

ICS Trustees Report 2024 14

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 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.

2024
2023
2022
2021
2020
~~a a~~		 2024
2023
2022
2021
2020
~~a a~~		 2024
2023
2022
2021
2020
~~a a~~		 2024
2023
2022
2021
2020
~~a a~~		 2024
2023
2022
2021
2020
~~a a~~		 2024
2023
2022
2021
2020
~~a a~~
Sponsorship &
exhibition
415,398
255,478
448,618
324,141
312,172
~~re~~
Registrations
832,881
456,997
464,622
183,695
118,088
~~aa~~
Other income
94,392
122,262
86,521
15,589
673
~~a~~
Total income
1,342,671
834,737
999,761
523,425
430,933
~~a~~
~~a~~
Total
expenditure
1,040,913
905,735
971,650
391,073
401,367
~~ee~~
Surplus/(Deficit)
301,758
(70,998)
28,111
132,352
29,566
Surplus of which
Conticom
received
including
Scientific Services
Fee
~~ttt~~		 431,478
~~ttt~~		 129,600
~~ttt~~		 173,061
~~ttt~~		 298,592
~~ttt~~		 218,009
~~ttt~~

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 4.25% in 2024, a profit of £32,270, which has been declared in the accounts as net gains on investments (2023: £5,186).

£1,544 was received in interest from bank accounts and has been declared as income from investments for the year to 31 December 2024 (2023: £2,352).

ICS Trustees Report 2024 15

Reserves Policy

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

The estimated operating costs of ICS and Conticom ICS Limited are £499,030 for 2025 and £520,659 for 2026, giving a total of £1,019,689 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 £1,119,689 as at 31.12.2024.

As of 31st December 2024, the consolidated balance sheet showed the Charity and its subsidiary had combined carried forward funds of £1,228,877 (2023: £834,266); therefore covering the level of reserves required. It needs to be noted that this calculation does not take into account charitable activities (Educational courses, grants, observerships, awards and ICS journal subscription costs) which have been committed of approximately £55,000 each year. The 2024 surplus above the reserves policy will be utilised during 2025 to cover general ICS charitable and running costs.

Conticom-ICS Limited

The trading subsidiary continued to support the Charity in meeting its objectives.

Plans for Future Periods

I ~~ICS~~ CS A ~~Annual~~ nnual M ~~Meeting~~ eeting 2 ~~2025:~~ 025: I ~~ICS-EUS~~ CS-EUS 2 ~~2025~~ 025 ~~Abu~~ Abu D ~~Dhabi~~ habi

Meeting Chairs: Yaser Saeedi, Sherif Mourad

Local Scientific Programme Chair: Yasser Farahat

The 55[th] Annual Meeting of the ICS will be a joint meeting with the Emirates Urology Society (EUS) and supported by the Pan Arab Continence Society (PACS) and take place at the ADNEC in Abu Dhabi, United Arab Emirates.

F ~~Future~~ uturetureureree M ~~Meetings~~ eetingsetingstingsingsngsgss

F ~~Future~~ uturetureureree M ~~Meetings~~ eetingsetingstingsingsngsgss

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.

ICS Trustees Report 2024 16

Industry Supported Education Projects

To address the variable financial surplus generated by the annual meeting, the Board of Trustees will continue to develop new additional sources of funding from industry supported educational projects in 2025.

ICS Journals

The Board will continue to develop and grow the ICS journals. An application was submitted for PubMed accreditation of the journals. Unfortunately due to the rules being made much stricter, this was rejected on first application. The Editorial Board will execute an action plan to address the comments received in order to prepare for re-application after an embargo period.

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 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. Complete a regular podcast

  2. Delivery white paper for the management of faecal incontinence and pelvic pain

  3. Deliver a urodynamic workshop in conjunction with the urodynamic committee – focus on children and adolescents

  4. Complete the terminology document which has been in progress for the last three years

ICS Developing World Committee – Chair: Sherif Mourad

  1. Holding a workshop during ICS 2024 in Madrid.

  2. Holding the ICS Fistula Course 2025 in Banjul – The Gambia.

  3. Having ICS speakers in the national meeting of developing countries (we participated last year in the 1st Banjul International Surgical Scientific Conference in Gambia, presenting the topic “Minimally Invasive Management of Vesicovaginal Fistulae”)

  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. Continue observerships.

  2. Providing speakers for other society meetings.

  3. Podcasts.

ICS Ethics Committee – Chair: Bill Gibson

elected chair .

ICS Neurourology Promotion Committee – Chair: Sanjay Sinha

  1. Collaborative Projects

  2. a. Global Neuro-Urology Initiative (1): Tentative proposals from Saudi Arabia (Riyad Almousa) and Kenya (Caroline Nthiwa) Marcus Drake, Kadir Onem.

  3. b. In.

ICS Trustees Report 2024 17

  1. Research Projects

  2. a. Unusual Neuro-urological Conditions Series Part 4 (Desiree Vrijens).

  3. b. Evaluation and management of high-risk neurogenic lower urinary tract dysfunction in low-resource settings (Luis Miguel Monteiro).

  4. c. ICS NUPC Guidelines on management of Parkinson’s Disease and Lewy Body Disease (A focussed update of the 2015 document) (Ryuji Sakakibara).

  5. Early Career Shadow Committee Activities

  6. a. Research project (2) (Cristiano Gomes Mendes & Stefan DeWachter; Glenn Werneberg & Cristina-Anastasia Rapidi).

  7. b. Best Review in Neuro-

  8. .

  9. c. Web-based academic activities: Case Discussions in Neuro-Urology (2) (Sanjay Sinha & Stephanie Kotes; Blayne Welk & Charalampos Konstantinidis).

ICS Nursing Committee – Chair: Tamara Dickinson

  1. Collaborative nursing and physiotherapy podcast on the need for contribution of nursing in the growth and development of pelvic floor dysfunction programs. (Gisela Maria Assis to lead)

  2. To increase the profile of continence nursing within the ICS. Increase nurse's knowledge about ICS opportunities.

  3. a. Nursing focused podcasts and other ICS communications.

  4. b. Encourage participation of a nurse participant in all conservative management sessions (all participate).

  5. c. Submission of workshop for 2025 Annual Meeting (Kris Talley to chair).

  6. Evaluate practice and costs of the intermittent catheterisation in developing countries (Julianna Neves de Costa).

ICS Physiotherapy Committee – Chair: Paula Igualada-Martinez

  1. Continue to work on the Educational Project

  2. Start preparing for Abu Dhabi – we already have a few speaker line up and a few ideas, including working with some local physiotherapists.

  3. We may look to update our Website Educational Documents and attempt to put our Key Terminology documents on our Physiotherapy website page.

  4. We would to translate the Pelvic floor muscle examination ICS Terminology paper to other languages:

  5. a. We will explore the languages that are more in need of translation.

  6. b. We are exploring doing a series of videos about pelvic floor muscle assessment in line with the ICS Terminology.

  7. c. Based on the above, we may require funding and a proposal will be prepared and sent to the BOT for consideration.

ICS Scientific Committee - Chair: Adrian Wagg

Create the Scientific Programme for ICS-EUS 2024 Abu Dhabi:

  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. Online meeting with native speakers (French, Italian, Portuguese, Spanish, Turkish), 2 functional urologists/gynecologists each.

  2. Instructions how to perform.

  3. Translation of terminology reports published in Continence (n=5).

ICS Trustees Report 2024 18

  1. Previous reports published in Neurourology & Urodynamics cannot be translated due to copyright issues

  2. Publication of these language-validated reports on the ICS homepage

ICS Urodynamics Committee – Chair: Tufan Tarcan

  1. The E-Learning Project combined with ICS UD Committee Teaching modules: We have incorporated our recently started Urodynamics E-Learning project with the ICS teaching modules where the teaching modules are meant to serve as the source of information for the E-Learning project. The E-Learning part of the project is supported by Laborie strictly without any influence on the content.

  2. The 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.

  3. Multicentre urodynamic data sharing for machine learning analysis: The project proposal is yet under preparation (by Andrew Gammie, Enrico Finazzi Agro and Tufan Tarcan) and will be presented to the UD Committee and Trustees once ready.

Approved by the Trustees and signed on their behalf by:

Steven Schraffordt Koops Treasurer Date

ICS Trustees Report 2024 19

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 2024.

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 Compa

Having satisfied myself that the accounts of the company are not required to be audited under Part 16 of the 2006 followed the Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act.

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 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 Gravita Western Limited Bath House 6-8 Bath Street Bristol BS1 6HL

Date:

Page | 20

THE INTERNATIONAL CONTINENCE SOCIETY STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME & EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 DECEMBER 2024

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 and trading
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
Total
Unrestricted
Restricted
Total
Year
Year
Year
Year
Year
Year
ended
ended
ended
ended
ended
ended
31.12.24
31.12.24
31.12.24
31.12.23
31.12.23
31.12.23
£
£
£
£
£
£
35,371
19,484
54,855
73,742
19,521
93,263
1,493
-
333,482
-
-
-
1,493
-
333,482
2,327
-
45,217
-
-
-
2,327
-
45,217
253,891
-
-
-
253,891
-
216,807
609
-
-
216,807
609
624,237
19,484
643,721
338,702
19,521
358,223
130,914
19,384
150,298
222,369
36,243
258,612
131,582
-
-
131,582
-
286,118
-
-
-
286,118
-
262,496
19,384
281,880
508,487
36,243
544,730
32,270
-
32,270
5,186
-
5,186
394,011
100
394,111
(164,599)
(16,722)
(181,321)
797,425
500
797,925
962,024
17,222
979,246
1,191,436
600
1,192,036
797,425
500
797,925

Page | 21

THE INTERNATIONAL CONTINENCE SOCIETY CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING CONSOLIDATED INCOME & EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 DECEMBER 2024

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 and trading
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
31.12.24
31.12.24
31.12.24
31.12.23
31.12.23
31.12.23
£
£
£
£
£
£
35,371
1,544
641,841
19,484
-
-
54,855
1,544
641,841
73,742
2,352
220,772
19,521
-
-
93,263
2,352
220,772
253,891
-
-
-
253,891
-
216,807
609
-
-
216,807
609
932,647
19,484
952,131
514,282
19,521
533,803
130,914
19,384
150,298
222,369
36,243
258,612
131,582
-
131,582
286,118
-
286,118
307,910
-
307,910
104,721
-
104,721
570,406
19,384
589,790
613,208
36,243
649,451
32,270
-
32,270
5,186
-
5,186
394,511
100
394,611
(93,740)
(16,722)
(110,462)
833,766
500
834,266
927,506
17,222
944,728
1,228,277
600
1,228,877
833,766
500
834,266

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

All income and expenditure derives from continuing activities.

Page | 22

THE INTERNATIONAL CONTINENCE SOCIETY

BALANCE SHEET AS AT 31 DECEMBER 2024

2024 2023
Notes £ £ £ £
FIXED ASSETS:
Intangible assets 12 1,089 1,244
Investments 14 791,470 759,200
792,559 760,444
CURRENT ASSETS:
Debtors 15 330,552 8,630
Cash at bank and in hand 93,359 123,759
423,911 132,389
CREDITORS:Amounts falling
due within one year 16 (24,434) (94,908)
NET CURRENT ASSETS: 399,477 37,481
TOTAL ASSETS LESS CURRENT
LIABILITIES: 1,192,036 797,925
FUNDS:
Unrestricted funds 18 1,191,436 797,425
Restricted funds 18 600 500
1,192,036 797,925

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 December 2024.

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

Ibs - TREASURER

Company Registration No. 03589542

Page | 23

THE INTERNATIONAL CONTINENCE SOCIETY

CONSOLIDATED BALANCE SHEET AS AT 31 DECEMBER 2024

2024 2023
Notes £ £ £ £
FIXED ASSETS:
Intangible assets 12 1,089 1,244
Tangible assets 13 5,019 4,378
Investments 14 791,469 759,199
797,577 764,821
CURRENT ASSETS:
Debtors 15 348,123 22,610
Cash at bank and in hand 159,669 141,193
507,792 163,803
CREDITORS:Amounts falling
due within one year 16 (76,492) (94,358)
NET CURRENT ASSETS: 431,300 69,445
TOTAL ASSETS LESS CURRENT
LIABILITIES: 1,228,877 834,266
FUNDS:
Unrestricted funds 19 1,228,277 833,766
Restricted funds 19 600 500
1,228,877 834,266

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 December 2024.

The members have not required the company to obtain an audit of its financial statements for the year ended 31 December 2024 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

and were signed on their behalf by:

flyers — - TREASURER

Company Registration No. 03589542

Page | 24

THE INTERNATIONAL CONTINENCE SOCIETY

STATEMENT OF CASH FLOWS AND CONSOLIDATED STATEMENT OF CASH FLOWS FOR YEAR ENDING 31 DECEMBER 2024

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
2024
£
Charity
2023
£
Group
2024
£
Group
2023
£
(31,893)
(52,711)
20,433
(81,433)
1,493
2,327
1,544
2,352
-
-
(3,501)
(1,624)
1,493
2,327
(1,957)
728
(30,400)
(50,384)
18,476
(80,705)
123,759
174,143
141,193
221,898
93,359
123,759
159,669
141,193

NOTES TO CASH FLOWS:

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

Net movement in funds
Add back depreciation/amortisation charge
Deduct interest income shown in investing activities
Deduct/add net (gain)/loss on investments
Decrease (increase) in debtors
Increase (decrease) in creditors
Net cash (used)/gained in/from operating activities		 Charity
2024
£
394,111
155
(1,493)
(32,270)
(321,922)
(70,474)
(31,893)		 CharityGroupGroup
20232024
2023
££
£
(181,322)
394,611
(110,463)
155
3,015
2,980
(2,327)
(1,544)
(2,352)
(5,186)
(32,270)
(5,186)
90,705
(325,513)
78,795
45,264
(17,866)
(45,207)
(52,711)
20,433
(81,433)

Page | 25

THE INTERNATIONAL CONTINENCE SOCIETY

STATEMENT OF CASH FLOWS AND CONSOLIDATED STATEMENT OF CASH FLOWS FOR YEAR ENDING 31 DECEMBER 2024

NOTES TO CASH FLOWS continued:

2. ANALYSIS OF CHANGES IN NET FUNDS - CHARITY

At 1.1.24
Cash flow
At
£
£
Net cash
Cash at bank and in hand
123,759
(30,400)
123,759
(30,400)
ANALYSIS OF CHANGES IN NET FUNDS - GROUP
At 1.1.24
Cash flow
At
£
£
Net cash
Cash at bank and in hand
141,193
18,476
141,193
18,476		 31.12.24
£
93,359
93,359
31.12.24
£
159,669
159,669

Page | 26

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

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 £.

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

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 | 27

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

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 |28

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

1. ACCOUNTING POLICIES - continued

(l) 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,

(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 | 29

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

2. INCOME FROM DONATIONS AND LEGACIES

Charity
2024
2023
£
£
Other donors
112
10
Grants
Pfizer grant
19,484
19,521
Grants - other
35,259
14,168
Legacies
-
59,564
3.
INCOME FROM INVESTMENTS
Charity
2024
2023
£
£
Interest receivable
1,493
2,327
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 AND TRADING
Charity

2024
2023
£
£
Annual meeting income
-
-
Industry projects
-
-
Book sales
-
-
54,855
93,263
1,493
2,327
-
-		 Group
2024
2023
£
£
112
10
19,484
19,521
35,259
14,168
-
59,564
Group
2024
2023
£
£
1,544
2,352
Charity & Group
2024
2023
£
£
24,799
7,125
229,851
233,328
(4,642)
(24,799)
3,8831,153
Group
2024
2023
£
£
453,753
182,534
185,811
11,342
2,277
26,896
54,855
93,263
1,544
2,352
250,008
215,654
253,891
216,807
641,841
220,772

Page |30

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

6. INCOME FROM EDUCATIONAL ACTIVITES


Other income
 Charity & Group
2024
2023
£
£
-
609
-
609
  1. ANALYSIS OF CHARITABLE EXPENDITURE
Educational Publication &
Activities Membership
£
£
Annual meeting expenses
-
-
Journal and other membership costs
-
739
Travel and subsistence costs
2,500
2,499
Advertising and promotional events
-
-
Education committee costs
-
-
Standardisation committee costs
1,193
-
Awards, grants and fellowships
40,537
-
Educational activity costs7,900
-
Printing and postage costs
54
54
Staff costs
56,141
86,317
Finance costs
4,806
4,806
1,014
1,014
Support costs (see note 8)
16,538
16,538
Governance costs (see note 8)
19,615
19,615
Charity total
Annual meeting and trading expenses
-
-
Group total
150,298
131,582
150,298
131,582		 Annual
meeting
£
-
-
-
-
-
-
-
-
-
-
-
-
-
-
307,910
307,910
-		 Total
2024
£
-
739
4,999
-
-
1,193
40,537
7,900
108
142,458
9,612
2,028
14,076
39,230
307,910
589,790
281,880		 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
544,730

Page | 31

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

8. ANALYSIS OF GOVERNANCE AND SUPPORT COSTS

Charity & Group

Educational Publication &
Activities Membership
Costs
Costs
£
£
Support costs:
Phone
7,203
7,203
Insurance
1,495
1,495
Rent, rates, light and heat
7,038
7,038
Sundry
725
724
Amortisation
77
78
Governance costs:
1,014
1,014
Indemnity insurance
229
229
Staff costs
10,176 10,175
Independent examiner
3,600
3,600
Legal and professional
4,596
4,597
16,538
16,538
19,615
19,615		 Total
2024
£
14,406
2,990
14,076
1,449
155
2,028
458
20,351
7,200
9,193
33,076
39,230		 Total
2023
£
13,882
1,764
11,935
15,543
154
-
270
68,336
7,560
16,690
43,278
92,856

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 (2023: £Nil).

Out of pocket expenses were reimbursed to trustees as follows:

Charity & Group
2024
2023
Number
Number
Travel and meeting expenses
16
6
10.
STAFF COSTS
Charity
2024
2023

£
£
Wages and salaries
131,880
338,420

National insurance contributions
11,704
33,702
Pension contributions
14,275
39,890
Recruitment and training
4,950
3,900
162,809
415,912		 Charity & Group
2024
2023
£
£
11,733
4,105
Group
2024
2023
£
£
263,760
338,420
23,408
33,702
28,550
39,890
4,950
3,900
320,668
415,912

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

Page | 32

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

10. STAFF COSTS - continued

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

Charity Group
2024 2023 2024
2023
Number Number Number
Number
Governance 2.23 4.15 4.45 4.15
Educational activities 1.43 3.15 2.85 3.15
Publication and membership 0.35 0.7 0.7 0.7
4 8 8
 8

The key management personnel of the group and the charity comprise the trustees and the Chief Executive Officer. The total employee benefits of the key management personnel of the group were £130,921 (2023: £199,658).

11. INDEPENDENT EXAMINER S REMUNERATION

The independent examiner remuneration consists of the following:

For independent examination
For accounting services
For preparation of consolidated accounts
For general advice, meetings & other services		 Charity
2024
2023

£
£
1,860
1,678
3,365
3,152
1,975
1,780
-
950
7,200
7,560		 Group
2024
2023
£
£
1,860
1,678
7,915
7,352
1,975
1,780
-
950
11,750
11,760

Page |33

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

12. CHARITY & CONSOLIDATED INTANGIBLE FIXED ASSETS

COST
At 1 January 2024
At 31 December 2024
AMORTISATION
At 1 January 2024
Charge for year
At 31 December 2024
NET BOOK VALUE
At 31 December 2024
At 31 December 2023
CONSOLIDATED TANGIBLE FIXED ASSETS
COST:
At 1 January 2024
Additions
At 31 December 2024
DEPRECIATION
At 1 January 2024
Charge for year
At 31 December 2024
NET BOOK VALUE:
At 31 December 2024
At 31 December 2023		 Fixtures
and fittings
£
13,448
13,448
12,845
231
13,076
372
603

Domain
name
£
3,106
1,862
155
1,089
3,106
2,017		 Totals
£
3,106
1,862
155
1,089
3,106
2,017
1,244
Computer
equipment
£
62,470
3,501
65,971
58,695
2,629
61,324
4,647
3,775		 1,244
Total
£
75,918
3,501
79,419
71,540
2,860
74,400
5,019
4,378

13. CONSOLIDATED TANGIBLE FIXED ASSETS

Page |34

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

14. CHARITY FIXED ASSET INVESTMENTS

COST OR VALUATION:
At 1 January 2024
Increase in market value of investments
At 31 December 2024
NET BOOK VALUE:
At 31 December 2024
At 31 December 2023
Listed investments
Unlisted investments
Total investments		 2024
£
791,469
1
791,470		 £
759,199
32,270
791,469
791,469
759,199
2023
£
759,199
1
759,200
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 carried forward
Assets
Liabilities		 2024
£
36,842
500		 2023
£
36,342
70,860
£
641,841
(71,145)
570,696
51
(564,629)
6,118
(5,618)
500
500
36,342
36,842
409,105
(372,263)		 2023
£
36,342
70,860

Page | 35

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

15. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Trade debtors
Prepayments and accrued income
Amounts due from group undertaking
VAT		 Charity
2024
2023
£
£
-
30
10,347
8,600
320,205
-
-
-
_
_
330,552
8,630		 Group
2024
2023
£
£
-
9,504
348,032
13,106
-
-
91
-
_
_
348,123
22,610

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
2024
2023
£
£
2,797
1,086
-
-
5,377
13,703
-
12,521
16,260
67,598
-
-
_
_
24,434
94,908		 Group
2024
2023
£
£
8,376
1,635
8,654
2,797
10,754
13,703
-
-
48,708
75,946
-
277
_
_
76,492
94,358

17. FINANCIAL COMMITMENTS

Total financial commitments, guarantees and contingencies for the charity which are not included in the balance sheet amount to £9,000 (2023 - £15,000).

Total financial commitments, guarantees and contingencies undertaken as a group, which are not included in the balance sheet amount to £18,000 (2023 - £30,000).

Page |36

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

18. STATEMENT OF FUNDS

----- Start of picture text -----
||||||||| |---|---|---|---|---|---|---|---| |At 01|Gains|At 31| |January|on|December| |2024|Income Expenditure Investments|2024| |£|£|£|£|£| |Unrestricted funds:| |General fund|797,425|638,313|(276,572)|32,270|1,191,436| |-------------- --------------|------------- -------------- --------------| |Total unrestricted funds|797,425|638,313|(276,572)|32,270|1,191,436| |-------------- -------------- -------------- -------------- --------------| |Restricted funds:| |Laborie Fellowship fund|-|- -|-|-| |Continence Promotion Committee fund|-|-|-|-|-| |3|[rd]|World Fistula work|500|-|-|-|500| |Pfizer grant|-|19,484|(19,384)|-|100| |-------------- -------------- -------------- -------------- --------------| |Total restricted funds|500|19,484|(19,384)|-|600| |-------------- -------------- -------------- -------------- --------------| |Total charity funds|797,925|657,797|(295,956) 32,270 1,192,036| |-------------- --------------|------------- -------------- --------------| |Subsidiary funds (unrestricted)|36,341|294,334|(293,834)|-|36,841| |Total consolidated funds|834,266|952,131|(589,790)|32,270|1,228,877| |========= ========= ========= ========= =========| |STATEMENT OF FUNDS - comparatives| |At 01|Gain|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| |========= ========= ========= ========= =========|

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

Page |37

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

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

Restricted
Unrestricted
CHARITY
Funds
Funds
£
£
Fund Balances at 31 December 2024
are represented by:
Fixed assets
-
792,559
Current assets
19,984
403,927
Current liabilities
(19,384)
(5,050)
Total Net Assets
600
1,191,436
Restricted
Unrestricted
GROUP
Funds
Funds
£
£
Fund Balances at 31 December 2024
are represented by:
Fixed assets
-
797,577
Current assets
19,984
487,808
Current liabilities
(19,384)
(57,108)
Total Net Assets
600
1,228,277		 Total
Funds
£
792,559
423,911
(24,434)
1,192,036
Total
Funds
£
797,577
507,792
(76,492)
1,228,877

Page | 38

THE INTERNATIONAL CONTINENCE SOCIETY

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2024

19. ANALYSIS OF NET FUNDS BETWEEN FUNDS comparatives

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

20. PENSION COMMITMENTS

During the year, the group paid into a defined contribution pension scheme. The total for the year of £28,550 (2023: £39,890) is included within expenditure in the Statement of Financial Activities.

There were outstanding group contributions of £Nil (2023 - £Nil) as at 31 December 2024.

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 (2023 - £Nil) as at 31 December 2024.

Page | 39