MEDICAL MISSION INTERNATIONAL (UK) (A company limited by guarantee and not having a share capital) Financial Statements For the year ended 31 December 2020 Company Number.. 4798450 Chaty Number. 1099015
MEDICAL MISSION INTERNATIONAL IUKI CONTENTS P•9* Trnsta•s' R•port 1toS Independent Audrtors, Rep)rt 6toB $thm•nI of Finantial A&vrt Balance Sho¢1 10 C•6h Flow StateTrt 11 Not•¥ lo ACnIS 12to19
MEDICAL MISSION INTERNATIONAL (UK) COMPANY INFORMATION Dlr•¢tor8 and Trust888 R Kendrick JLam G Poomian J Poorman SKrotary BroaaY Setrelaries Limilgd Company number 4798450 {incorporaled in England & Walesl Charlty number 1099015 Roglsterod offlce Second Floor Office 34 Hight Street Bromley Kent 8R1 1EA Audltor¥ oore Kingston Smith LLP Devonshire House 60 Go$well R08d London EC1M 7AD Prlnclpal Bankers HSBC Bank PLC 184 Hi9h Street Bromley Kent BR1 1HE Sollcltorn BDB Pilmans LLP 50 Broadway London SW1H 08L
MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES, REPORT FOR THE YEAR ENDED 31 DECEMBER 2020 The Trustees present their annual rep)rt along the finanrial slatements f U)e year ended 315t December 2020. The accounts havè btsn prepared in accordance the aco)unbng polioes sel out in note 1 01 the 8tt8thed accounts and cornply with the chanty's mamorandurn and artides of assoo8tyon, applicable laws and the rèquirements of Statemant ol Recommended Practice on "Accounting and Raptsrting by Chare$. issued in January 2015. The informab.on shown on the wevious pa9e fornis a part ol ihis r8POrt. structur•, Cov•rn•nc• •nd Mn•9trm•nt Govwning dument Medical Mission Intemational IUKI was Incorporated on 13th June 23 as a (MpanY Iimrt&d by guarantee Icompany numb8r 47984501 and r$glStered as a Charty on 15lh August 2003 (registration numbor 10990151. 11 is governed by its Momorandurn and Arndes of Association Owanisalionalslructure The Btrateglc dir$¢tion of th• Charity 18 tho r•sponsiblity of the board ol tru¥leg5. The daY-tY runnin9 01 th Charity is carried out by the Chief ExocJJbv•. WI is responble to Ihg board of trusio8s. Trustogs, gppolnrment. Induclw and trammg New trustge5 are appointd by existing tru$tges shwld Ih8y b& deèmed 8ppropriat• And help to fulfill any $hortfall in the skill strl ol Ihe board upon application The rarty shall hol¢J an annual 9eneral meeting goch y•ar in addition to any othor meetings. The trusl•&s k80P thernselves updated throu9h Inforrnation obtsined Irom external consult8nt¥ 8nd the Chsrily Cornmission. and aro r8spon$ible for tha Induction and training of n•w trustees. Further training. onsultalion and inlormation 1$ m¥d? availabl8 to th& trustees on an ongoing basis. The Dir•¢lor$ of th• compony are also the Twstees ol the ehAnty At AGM on8 third of Ihe Trusièe$ are subpu to rètsr¢rnent by rotatson or If their numb•r is not thre8 or a multiplo of three. the nurnbers nearest to on8.third shall rebro from oifice, but shall be &11gible for re-election. Remun8rAh"on Policy The charity doe¥ ernploy on8 Stsff rnember who's pay is detemingd by the Board and 1$ based on th& hourg worked and Ihe pValling market rates the level ol work thal Is being undertaken. Potential futuro Increases In salary are d8cid8d an¢ 9iven to reftg¢t Increases In the $t of living As not•d •lsewhere In th? accounts, t trustees officws of the r8c8iv nts rernunerkn'on or wrnpensatK)n for Iheir and Services to th• ¢haty. If the charity does deade lo cornpen5ale its trusta8s and officers in fviurtr years. then tha rM[DendationS of the NCVO enquiry will be tsken Into account Risk Mongggment The Trustees havo r8vi•wed the rnajor bustness. finanaal and strategie ri$ks to which the charty is exposad and confirm that stepj have been taken to mrtigate thos8 risks A fundamental risk to th8 chanty Is the potents.al for continu¢d inueasés in gxtndrtures on raising funds versus donation incomè received whieh would be the resull of non-effective direct mailing mailshoi suItS. To a¢¢Jress this fundarnental risk tho charity is woiking Wth local rnarkebng agencies to explore p0551tAe diversification of its cufnt revenue 51ream as well as to look to achieve bètter retums on rts m8ilshots The goal Is to drive down the cost ol expenditu on r8i5ing fund5 while looking to boost and maximLze donation revenues of Its rnailshot$ and other p¢ssible VenUe streams which would mitigate Ihis fundamen1 r15k to the charity. Page 1
MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES, REPORTICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2020 obJocve5 and actIvI•S We have referred to the guhlance in Charity Commission's gèneral guidance on Public Benefit wh?n r&vvdwin9 our aims and objectives and In planniry our fulure acbvitses. In Pa11ar, the Tru5teo5 consKJer how planned a¢D"vit$ wll contribute to the aims and obJeth've$ they have set. In light of the Charty Cc#nmIssi's guKJance on publ Banèfit. the prinopal object of the Charrty ntInUeS to be the relièf of poverty and sickness, In partscular by the provision ol amergency medical rel1 and public health seryice3 10 assist disadvantaged and n•8dy farnilies throughout tho workl aff&ctè£l by larnin8, natural disaster or c4vII wnflict. The principal source ol funding for these chantr programme5 15 expeued to remain as Incryne generated from diract mail appeals The results Irom specific appeals havè very encouraging and tt)e Trustee5 wish lo thank all those who have a55i5ted in the fundraising effort. either through the makiro of cash donations or by assisting In tha pro¢urement ol donated 9otrJs. Grantm8king polry The trustees wll eontinue to concentrate on the prowsion of emerg8nw aK1 by makirq grants to support charitablè project5 providing erMr9an¢y relief to assist chikJr¥n in d15a5¢er areas. ApplICatn$ are dealt w¢h w receipt. Guthliros for apicants are availab from the trustees. All appli¢ion8 for grants are vIeWed by the trusiees beftsTe any decr4Jw is mado trusta•s may also rwuiro a visit to the applicant belore ddin9 whether or noi its ffiake a grant. A¢hl•v•m•nts and p•rfonn¥n¢• MMI IUKI raised in trxcess of £3 2m duri th8 ygar ended 31 Dfflbr 2020 12019.. In &xc8$¥ of £3.2rn1. The majority ol Iho8e resourc•s warè obtained as a resull ol our direct m&1 fund raising èfforls and gifts In klnd. During this year ol operation5. genero Unrted Kl'ngdom dorm enabkd MMI IUKI lo trxpend £2.830,104 12019.. £2.745.9981 on our orant¥ prcyramme. The programmès $upported durin9 2020 %re'. Compa¥sionate Franciscan Sisters of the Poor- PhrtiFpirs Doctors for Lile frust. Malaw / Zimbab JP Clawson Me(Ii¢al M15510ns- Zimbab%% Local Initiatives for Education. Sudan Soulh Medical Ch1tungwa Hoskvtal- Zimbabwp 12,938 58.583 8.289 16.254 2.734.040 2830.104 Fundralglng Approach The chantits trustees are lully aware of thèir IndivK1ual re5ponsibilrty and o¢ts)untabilty to ensure that the chanty fundraises legally. elhicalty, respon51bly and &ff8ttJvè The charity 15 a levy paying mèrnber of the FuThJraising Regulator and substhbe to the associated fundraising codes and prartice. In addition the charty is also regi51ered th Ihe Inforrnatson Commissioner's Offi'r Is lully comp118nl ith the rwlY 8nact•d General Data ProtedKJn Regulabon IGOPRI. The tharity suppresses Individual supporter records against the Mailing PrefeTr Sèrvice. TephOne Preferen Service antJ the Fundraising Preference Service which helps to ensure that ttte Charity doesn t approach individuals who have expres51y requested that we don't contact them. During the fiscal year Fundraising Preferen Service $uppre5sion requests tOtad 18. The charity doesn't engage wth any professional fMKJrai8er or o)mrr*rcial partiapator. Page 2
MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES, REPORTICONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2020 Fundralglng Approach leontinuedl The chanty ha$ a published eornplaint procedu. availabk oft its websits and doe5 Tndeed respond to enquiries and nplaints in a b'mely fashion. As a rnember ol the FuThJraisirvJ Regulator we a required lo provide annual figures on the nurnber ol complaints reeeived during the year. Most ol these contscts lend to be requests lo opt-out ol tharty cornmunicabons by exisbng Supporters These t-out requests are administered and handled straKJhi away to reduce any rceptiOn of unreasonabK8 intrusion or undue pr•ssure to supp¢)rt the thanty The charity centinug5 to dwersify its Income generatsng a¢tyvties so as to reduce r81iance on any Sing income stream. The main rgvenue strèam for the charty Is its direct mail fund raising programrne Coup with gifts in kind. R¢9ular giving programmes and legacy Income are other dIveI[vd revenL strearns for the charity. COVID.19 Un¢•rtaIne¥ The impact ol Cov119 has been con$h1èred by the trustee$ of the charity In regard to the charty's future plans and budgeting proc8ss&$ and the èffect of Ihe outbrèak isnt a significant risk Into thé 31 0ecber 2021 year end It Is XF¢c that any potential dease$ In revènues will be short lived and the charibes reserve$ and asset values will •nable the chanty to continu8 nomial operations trrough calèndar 2021 and ar¥ beyond that. It 18 possibkl that in¢om8 could decre sjuriro 2021 but any <lec¥ease in r&v•nue woukl b6 affs¢t by a d6cr•as• in a39oaaiod expendilure¥ As ol Junè 2021 cash r•venue$ for the n¢d 1 JaThJary 2021 Ihrough 30 Jure 2021 arè higher Ihon fof tht J8rne p•riod in 2020. The charities employees cxjntsnve to work nomial hours both post and p COVID-19 outbreak and the charities nei assets arè hi9her In June 2021. compa to June 2020. Virtually all aw¢s of the chanty are hd¢Y In cash and no decreasès In value arè $xpected in re9ard to such. Flnancl¥l r•vl•w During the year Incoming SOurceS amounl•d to £3.228.441 12019. £3.247.9951 and the charity expended a totsl amount of £3.132,13212019. £3.040.0741. Tho final result was • net incre8s• in fun(Js ol £96.30912019". inttea8e of £207,9211. The obJg¢bve¥ that Were sei out in 2019. to te achtved In 2020, wer• parbally m81. The ¢hariiy ¢Ji¢J receive funds In 2020 from legacies in the amount of £63,22812019." £112.1241 . The chanty inrJeaso its affiount expen¢J8d on ¢haritable activitie5 in 2020 erynpared to 2019. The total Amounl expendèd on thantab activit$ in 2020 èxceede £2.gm compared to £2.8m in 2019. The cost ratjo of raising lunds versus donab'on inccw r1Ved Increased slightly In 2020 compared to 2019 and this was the result of Ine8s1j the numbef ol a¢quIbOn mailings sent oul In 2020 rnpared to 2019 Donatson income declinad yèar on year and experKliture5 for raising funds decreased as well As wa5 noted In last years audit the charity continL*d workirrtJ wth a local matheting agency In 2020 an¢J that change did result in decrease in cost of raising funds in 2018 and 2019 wmpared to earlier year5 $t of raising funds We are hopeful that we may continuè reducin9 costs of raising funds In 2021 whiÈ attemptsrg to start I83j donaiion revenue and to possibly explore other avenues of èxpanding our donation revenue stream. Page 3
MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES, REPORTICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2020 Flnaneial Review Icontlnuod} Raservespolicy Th8 Board has examined the requirement for free reserves vthith a those unrestriGted funds not Invested in fixed assets, designated for speofK pUOSeS or othetW5e crynmitted The Trustees review its reserves policy annually and consider that the free reserve5 hekl by the challty shouhy be fKoadly equivalent to at ts%Y) years of thè yearly on going annual expenditures lexdusiv& of GIKI The Trustees dec that MMI'5 I0[-ten targèt level of fw resèrves Should be beN¥een £900.000 and £1.0C.cwXj which would give the charity flèxibility to cover ternpcrary timing differences for donation receipts. adequat8 w)rkin9 cwial wre crnts. and would allow MMI to 5)nd quickly to eMergencS where irnrnediate lf is needed. At 31 Decemb•r 2020. the fr¢tr reserves ol the thanty amwnted to £1.048.512 12019." £952.2031. The Board aCknOwdge lha¢ this la115 nght in line wrth th8 tar98t Iree r•s4ry8 minimum. InsImnIoICY The investment strategy 18 3el by the tnjsteeg. In light Of the Trustees policy on reserves the trustee8 have reviewed their investment policy and seek lo both rnaximige turn, whilst ensunrJ suffvnt liquidity io anatyle the Charity's rund$ to b• •Mpended for ¢haritable purpose a8 soon as possity. Plan• lorluiure perlod• The printspal ¥ource of lunding Is 8XPade( lo remain as volunlary bncom• g•n•rated IrGYn dlroct mail appeals to thts public. Th¥ charity plans to Vlgorously ctsnts.nue lis locu$ on". expanding Il¥ don baso. in order to intreage the total amount ol Charitab programs that ¢an be funded •4¢h year., increasiw the number ol donori wtho givo to the Cha(ity m o lixe<J 8cheduKg, In order to furth•r wduce the costs ol raising ftjnds, and encour8ging donors to CmKler in11ryj th? Charity in their •$tate pkin$. The Charity wlll conlnue its 8tyJ shikynents and finanaal grani programs. Stat•mgnt of Iru•t•e¥' r••pon8SbllllSes The trustee5 (who are also directors ol Medi1 Misgon Inièmalional frjr Ihè purp05e$ of c(mpany lawl are responsib for preparin9 lh• Trust. Report and tl financial staternents in accordance wth applicab law and United Kingdorn Accounting Slandards (United Kingdorn Genefally Accepted Auountsng Practice I Comp#ny law requirns trustees to prepare finanual ststerrents lof ea¢h finanoal year give a truè and fair view ol the stale of the affairs ol the charitable company and ol the inMIng resources a1 application ol osources, including the Income and expendrture. of the chaniabje company lor that riod. In prepanTrJ these fin8nrial $¢atements. th8 trustees ar• rtquired lo. select suitsble accountin9 poliaes and then appty thèrn clSIently." observe the methods and printips in the Chanbe$ SORP, make judgernents and es'mateS that are reasonable and pnAen( State whether applicaty accounting s¢andard5. Induding FRS 102, have been followed. subJect to any rnaterial departUS disclosed and emplasned In the finanoal slatetnents". slatè whether a Sta18ffnI of ReComn(led Practsce ISORPI appJ*s and has been follo. subject to any rnaterial departures which are explained In the finanryal statements.. prepare Ime financial statements on the going concem basis unless rt Is inappropriatè to presume that the charitsb company will ionts.nue in bu51ness. Page 4
MEDICAL MISSION INTERNATIONAL {UK) TRUSTEES, REFORTICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2020 Statwnont ot truste•s' r8spon$lbllltles (conunuedl The trustees are woonsible for keeping grGI)er aCCQUQling recor4s that 115tt05e wth reasonable aVraCY ai any me the finangal oosilion ol Ihe cnariiabk cornpaii ar,d enaDie Inem 4D ensuie that'.he finand31 sraLements ccrnply wiih the Corr,panies Act 20ao They are also respo-5,Dle lor sateguarairo t assets ot Ihe cMantaDle cornpany and hence for taking re350nabla stèps for the prevenrio-. aid dete¢bon ef fradd and olner irr&qularities. In so far as'.ne trustees are aware". thero 1$ no relowoni audit infofmatson of whth the ctyantab COrnDany'$ audrtor IÈ unaw¥ro'. and the LW5Tees have takgn all st•ps that ttr.ey ouGt io ha¥E aken to martè th•fflselv8$ aware ¢1 aty relevant audi¢ information antt to &SbIl that th• auoitU 15 awar• of that Infonnaiboft. Au#lto Moore 9$toN Smiih LLP h•ve Indicated tr.eir willingnes5 to conbnu• In oific8 and •ro d88rn•d 1¢ be r•appointatt •c0ne• wllh 50¢tron 487121 of tN• Companies Att 20C6 Small Company Ex•mption Th¢se financial aiaiemenis have boen prepat•d In accerdance provLion3 of Port 15 ol th• Cornpanies A 2¢ raL4tlr4 its mall mPan9 and ¥ith the Fin8no•i ReForttng 102 leffecriv• 1 January 20151. Approved by I trustees an .... . 8r* on their beh411 by.. R. Ken Tru¥t¢• Page 5
MEDICAL MISSION INTERNATIONAL (UK) INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL {UKI Opinion We have audited the finanual statements of Medical Mission Inlernalional IUKI for the year ended 310ecernber 2020 which comprise the Sia¢ement of Financial Activitses. the Balance Sheet. and the Cash Flow Statement and notes to the financial slalemenls. including a summary of significant aunting polic4es. The financial reporting Iramework that has been applied in their pparation is applicable law and United Kingdom A¢¢ounling Standards, including FRS 102 'The Financial Reportin9 Stsndard Applicable in the UK and Republic ol Ireland, Iunlltrd Kingdom Generally Accepted AccAyJnb"ng Practice). In our opinion the financial stslèm8nts.' give a true and lair view ol the stale ol the charity's affairs as at 31 December 2020, and of ils incoming resources and application ol resources. I the year Ihen ended.. have been properly prepared in accordance Mlh Unrtèd Kingdom Generally Accepted Accounting Practi¢e'. and have been prepared in aordance wth Ihe requirements of the Companies Act 20C6. 88818 for oplnlon We conducted our audll in accordance wth Iniemational Slandafds on Audrting IUKI {ISA$lUKII and applicable law. Our rèsponsibilities under those standards a lurther described in thg Auditor's Responsibilities for the audit of the finandal si¥ternent$ Seclton of our report. We are independent of the chantable company in accordan¢e with the alhi¢¥l requiremenls thai are relevant to our audil ol Ihe ftnancial slalement$ in the UK. induding the FRC'S Ethical Standard, and wtr have luifilled Ouf other ethical responsibilities in accordance with thes8 requirements. We believe that the audit evidenL% we have obtained is SUfflent and appropnale lo provide a basss lor oui opinion. Con¢ly•ion8 r•lan9 to golng concem In auditing the financial stslements. we have concluded Ihal Ihe Iruslees. use of th8 going coneem basis of accounting in the preparation ol Ihe financial slalemenls is appropriate. Base(t on the work we have performed. we have not idenlified any material uncertainties relating to events or conditions (hal. indsvidually or collectively, May casl signifi¢anl doubt on th8 chaiitsble company's ability to nlinue as a going rA)ncem lor a peri¢xl ol at least 1ve months from when th9 financial stalemenls are aulhorised lor issue. Our re$pon$ibilrties and thè re3ponsibilrti6s of the IFu$lees vthh respo¢t to going tnCeM are dascribed in the relevant sections ol this report. Othgr Infonnation The olher information o)mpfises Ihe information induded in the annual report, other than the financial stalements and oijr auditorfs report thereon. The tnJ5tees are Sponble for the other informalion. Our opinign on the fjnancial statements does not cover Ihe other infotrnation and. exc£pt to the extent othemse expliciuy stated in our report, wa do not express any torm ol assuran¢¢ wiclu5ion Ihereon. Page 6
MEDICAL MISSION INTERNATIONAL (UK) INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL {UKI Other inf0miaOn Icontinuedl In connection with our a(Jdit ol the finanaal slaternenls. our responsibility is to read the other information and, in ¢Joing so, consider whether the other information is matenalty inconsislenl with the finanaal slalemenls or our knowledge obtained in the audit or otherwise appear5 to be materially mi551ated. If we identify such malerial inconsistencies or apparent material misslalemenls. we are qUired lo determine whether there is a rnaterial misslalemenl in the financial slalements or a malerial misstalemenl of the other InfornialioA 11, b35ed on the work w$ have performed, we condude that there 15 a material misstalemenl ol ihis other information. we are required to report thai fact. We hav¢ nothing to report in this gard. Opinloni on other matt•rs prescrfb¢d by the Companies Act 2006 In our opinion, based on the work undertaken in ihe course of tho audrt.. the information given in the Truslees. Annual Report is IncnsIS1ent in any material respect with Ihe finanual stalemenls.. or the Iruslees, annual report have been wepared In secordance wlh applicable legal quIrements. M4tters on whl¢h w• ar• r•qulr•d to rnport by •x¢•ption Vve have nothing tg report in rèspo¢t of Ihe following manei¥ where th• Charitles 2011 requires us lo report to you if, In our opinion. the Inlormaiion given in the Trustees. Annual ReF<Nt is inconsislenl in any matèrial rg$pecl wlh thè financial 81alernenls', or the charity has not kept adequate accounting reId3'. the f1nancial Slalemenls are nol in agreement th thfj accounting ¥ecords and returns.. or we have not received all the Information and explanations we requirod for oui audrt. the trustees wère not entitled to prepare the finanual slatemenls in accordance wth th8 small ¢ompanies regime and take advantage ol the small companies exemption in preparing tho Trusteès. Annual Report and frorn preparing a Strategic Report. R••pon$lblllU•• ol trust••¥ AS ¢xpl3ined more fully In Ihe Iruslee$' responsibilitiès siaiement sel out on page 4 and 5, the Iruslees are responsible lor the pieparation ol the financial staiemen15 and for being satisfied Ihat Ihey give a truo and fair view, and foi such iniernai conirol as ine tfU5tees delemiine Is necessary to enable the preparation of financial $talemenl6 that ar¥ free from maten81 misstatemenl. vthether due to fraud or errot. In preparing the financial statements. the Iruslees are responsible for assessing the chaity's ability to conlinutr as a going con¢em. disclosing, as applicable. matter5 related lo going concern and using Ihe going concern basis of accounting unle55 Ihe trustée5 eilher intend io Iiquidale the chanty or lo cease op6rations. or have no realistic allemative but to do so. Auditor's responslbilities for the audit of th• fJnan¢ial statements Our objective5 are lo obtain reasonable assurance aboul whether the finawal stslernents as a whole are Iree fiom material mis51atement, whether d¢Je to fraud or error. and to Issue an auditor's report that indudes our opinion. Reasonable ass¢Jrance 1$ a high level of assurance. but is not a guarantee that an audil conducted in accordance with ISAS IUKI vnll albydys detect a tnaterial misstatement when it exists. Mi55tatements Ixn arise from fraud or error and are considered material if. individually or in aggregate. they could reasonably be expected to influenco the economic derysions of users taken on the basi5 gf these financial statements. Page 7
MEDICAL MISSION INTERNATIONAL (UK) INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL {UKI Auditor's responsibilities for the audil of the financial ststsmènts l¢ontlnuedl Irregularities. Including fraud, are instances of non-compliance with laws and regulations. We design pro¢edures in line wlh our re¥ponsibilrties. oullined above, lo delect malersal misstalemenls in respect ol irregularities, Explanatlon as to what gxt•n¢ the audlt was eonsldered capable of dètèeting 4ryegulariti•$. including frdud The objectives of our audit in raspect of fraLMY. are- to idanlrfy and assess the risks of material misslatement of the finanrial statements due to Iraud," to oblgin sulfiuent appropriate audit evidence regarding the assessed rlsks of material misstalemenl due to fraud. throu9h designin9 and implementin9 appropriate iespon5es lo those assessed ri8ks.' and lo respond appropriately lo instances ol fraud or suspected fraud identified during the audit. Howevèr, the primary rèsponsibility for the pventIOn and dete¢b"on of Iraud rests wlh both managemenl and thosg Charged with governance of the ¢h8ntable company. Our approach was as follows. We obiained an understan(Jing ol the legal and regulatory requiremènts applicable lo the charitable company and considered that Ihe most signrficanl are Ilhe Companies Ad 2006, the Charities A¢t 2011. the Charity SORP, and UK financial reportJn9 standards as issued by the Financial Reporting Council. We obtained an underslanding of how the charrtablg MpanY complies with these requirements by di8CU8slons with management and Ihose charged wilh 9ovemance. We assessed the risk of malwial missla¢emenl of thè financyal sl3lem6nts. induding the risk ol material misslalement ijue to fraud and how it might occur, by holdin9 discussions with management and those charged wilh governance. We inquired ol managemttnl and Ihose charged th governance as to any known inslancgs ol nonv ¢ornpliance or su$pecled non-compliance wrth laws and gUlatiOnS. Based on thi$ understanding, we deSn0 specific apwopriate audit procedufes lo identify instanc9$ of non-compliance with laws and regulations. This included making enquiries of management and those har9ed with gov&rnan¢e and oblainin9 addrtional corroboralive eviden¢0 as wuired. Page 8
MEDICAL MISSION INTERNATIONAL (UK) INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL {UKI Audltor'$ responsibllltiès for th• audit of thg finan¢i¥l ststem•nts l¢ontinuedl As part of an audit in accordanco ¥th ISAS IUKI wè Èxèrri$e professional judgement and matntain professional sceplicism throughout the audrt. We also.. Identify and assess the risks of material rllisslalemenl of the finanoal slalements. whether dLte lo fraud or error. de51gn and perfortn audit procedures iesponsjve io those nsks. and obtain audit evidence that is sufficient and appropriale to provide a basis for our opinion. The risk ol not detecting a material misstatement resulting tsom fraud is hi9h8f than lor one iasulting from error, as fraud may Involve collusion. forgery. inteniional omissions. misrepresentsb"on5. or Ihg ovemde of internal control. Obtain an understanding of Intemal control relevant lo the audtt in order lo design audit procedures that are appropriate in the circumsknces. bul not lof Ihe purp)ses of expfessing an Opin on th? ffe¢tiveness 91 the charity'5 inlernal ntrOl. Evaluate the appropriatenes5 of accounting polici used and lh¢ reasonablenass ol accounting estima¢es and related disdosures made by the truslees Conclude on the appropriatene55 of the Irusiees. use ol the going concom basi5 of acLounts"ng and. bas94 on the audil evidence obtained. whether a material un¢Èrtainly exists ielaled lo &venls or conditions that may cast significant doubl on the charity's ability to continue as a going eoncem. If we conclude that a material uncertainty e$1s, we a18 required to draw attention In our audilor 5 report to the related disclosures In thè financial stsltrmenls or. il $u¢h disdosures are inadequate, to modify our opinion. Our )nclusion$ are bas8d on the audit evKlgn¢e obtain•d up lo the dale of our audiloi's report. Howev&r, futur• events or condiltons may cause th8 chanty to cease to ¢oniinue as a going Concern. Ev8luaie the overall pSentation. slrudure and conlenl of the financAal stslements, induding the disdosure$. and whather the finanaal 5taternenl$ repr&8enl th& underlying transactions and events in a manner that achioves lair PlnIaon. We mMunicate with those charged wth gov•man¢e regarding. amon9 Othef mattgrs, the planned scope and Ilming ol the audit and significant audit findings. induding any significanl defiaencies in inlemal control that wè idgnlify during our audit. U•è ol our rport This report is made solely lo thè ¢haritabl8 company's members, as a body. in a¢cordancè wrth Chapler 3 of Part 16 of the Companies Act 20 Our audit work has begn undertaken $0 that we might $18te lo the company's Members those matters we are required lo slate lo them In an audilorfs report and lor no other purpose. To the lull¢st extent permitted by law. we do not accept or assume responsibility to any party other than Ihe chaiilablE Gompany and charilabie o)mpanYs members as a body. for c¥Jr audit work, for this ieporl, or for the opinions wè have formed. , L<,',?sb S-lh (Lf Date.. ? July.2021 Devonshire House 60 Goswell Road London EC1M 7AD Luke Holt (Senior Slalulory Auditor) for and on bahalf of Moore "ngstOn Smith LLP, Statutory Audrtor Pagè 8
MEDICAL MISSION INTERNATIONAL (UK) STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 DECEMBER 2020 Unf•$tri¢tsd Funds 2020 2019 Note Income Donations Gift aid r&paymèni daims Legacies Gifts in Kind Invoslmènt income.. Bank inter¢$l Total Incom• 377.047 53.337 63.228 2,734.040 789 3.228.441 418,526 59.171 112.124 2,6S6,849 1.325 3,247.995 Expendlture on: Raising funds CharilaNe a1VItIes Totsi Exp•ndltur• 144,904 2,987,228 3.132.132 152,462 2.887,612 3.040.074 N•t mov•m•nt In lund8 207,921 Totsl Fur8 Brought Forward 952.203 744.282 Totsl Fund• C•rrl•d For4¥ard 12 1.048.512 952.203 The 8tatem8nl of fln8ncial activities indude5 811 gains and losses recognised in tha yèaf. All incorning resources and resources expended der¢vg fr( ntinuIng operatsons. All incoming resources and resources expended telate lo unr8stn.clgd lundG. The notes on the accompanying pages form a part of these financial slalemeni5. Page 9
MEDICAL MISSION INTERNATIONAL (UK) BALANCE SHEET AS AT 31 DECEMBER 2020 Notg 2020 2019 Flxod A#$¢ts Tangibl* fixed assats Curr•nt Assets Dèbtors Cash ai bank and In hand 10 6.937 1,057.389 1,C64,X6 15.001 963,475 978.476 Cr•ditors'. Amounts falling duè within ono year 11 15.794 26.273 Not Current A8>•ts 1.048.512 952,203 Total N•t Assets 1.048.512 952.203 Fund$ Unrestri¢t•d lund• 12 1 048.512 952.203 These financial 8totern8nts have been prepared in accordance wilh Ihe provisions •PPlic?bl• 10 ))mpan$ subied to the ¥rnall eomp8nies regime wlhin Pan 15 of the Companies Act 2006. The notés on the aeeompartying pages lom a part ofthese finan¢aal statemertis. Approved by. and authorised for 0SstrTbution. Ihe Board of TnJst8¢s on ........ and sion•d their behalf by cjrick Trusts• Company Rgglstrdtion No. 04798450 Page10
MEDICAL MISSION INTERNATIONAL (UK) CASH FLOW STATEMENT AS AT 31 DECEMBER 2020 2020 2019 Cash flows from operating activities Net Income I (Expendittjre) Adjusbnenls for.. Inter8St received Decreasel lincreasel in debtors (Decreasell incfease in creditors 96.309 207,921 17891 8.064 110.4791 11,3251 4.203 17,5371 Not cash (used Inl I g•n•rnt8d by op•ratlng actlvltbos 93.105 203,262 Cash flows from Inv•stlng activitios Interest received N•t ca•h from Invg$tlng actl¥lt¥ 789 789 1,325 1,325 Change In ca$h •nd cash •qulv•l•nts in thg y•ar C8$h and ca8h equwalents at beginniry of year 93.894 963.475 204,587 758.888 Cash and cah gqulvalonts at end of year 1.057,389 983.475 Analysis of changes In net debt Al 1 January Cashllows 2020 Foreign Exchangè Movements At31 D•comb•r 2020 Cash al bank and hand Overdrafts 963.475 93.894 1,057,369 TOTAL CASH AND CASH EQUIVALENTS 963,475 93.894 1,057.369 Page11
MEDICAL MISSION INTERNATIONAL {UK) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2020 Ac¢ountlng Pollcle¥ A sumrnary of the principal accounting polioes 8dopi¢d. judgements and key 8ources of estsmatlgn uncertainty a set out below. Ba•1# of Pr•p•ratlon of th? Financfjal Statom•nts The financial statgrnents have been prepared in accordan wth the Financial Reporbng Standard applirable in the UK and R8publi¢ of Ireland IFRS 1021 The chantable company is a publ bgnefit entsty for tho purpose5 01 FRS 102 and 8 registered eh£n¢y establish8d as a ts)rnpany limitèd by guarantee and therefore has also pr$pared its financial st81ements In accordarlce th th8 StaMent ol Reeomm8nded Practice appllcable to chantias pr8panng thoir 8ccounts In accordan¢¢ wth the Financial Reportsng Standard applic8ble In the UK and Republic ol IMl•nd IThe FRS 102 Chantse$ SORPI. the Companie$ Ad 2(1)6 and cha$ Act 2011. Th¥ financial $18t6m¥nt¥ a prepar•d in sterting. %thi¢h is Ihe functional of the charty. rounded to the nèargsl pound. Golng eonc•rn The trustees have ass•ss•d whelher the usè of gtyng concem and h8ve consld•r8d possible events or ¢onditions that might cast signific4ni doubl on the aknlity of the Charitablè company ¢0 continuè a¥ 8 Gthng concern. rh• trustees havo rnade this a5$$m8¢ for a p8nod of a¢ lèast one year from the dat8 ol tha approval ol these finanoal st¥¢ernents. In Palar. the trustaè$ have cDn$idorad the charitable cornpany'$ forecasts and projeclions and have taken acccyjnt of pressur&s on donatws and COVIO-19 virus siutalion After making enquiriès, the trustees hAV• nduded that there Is a r•a$onabl? expectation that the charitable cornpany wll have odequate r8sourrA$ to continue in operatsonal existance fgr the for•so&ablè future The charit8ble company thw•lorè continue8 io adop¢ the wng cN¢•m bag19 In prepanng ts hnar1 stat•m¥nts. Don•llon Ineom• Ineom8 Is Inclu¢e¢J on an accruals basig except that ¢Jonation3 under 9ift loge¢her wlth th• #8$18t9¢ Incom• lax re¢ov¢rie$ ar• crgdited a8 incom¢ vth?n Ihe donation¥ are reNed. Lggacy Ineom• Legaciès ar? recogni86d in the gtatemant tsf finanal ath"viknO$ when ihe chanty has enirtjement. there is a more probable than not ¢h8nc8 ol r1p1, and Iheir value can be accurately measured. Glft•-In.Klnd Incoming resourtss In the form of gifts in kind arè Induded in thg StOtem?nt of Financial Activities only when assets donaltrd lo the ¢hanty are distributed Gifts in kind are donations of cornnditIo$ direclly usablo in charitable prograrnmes Such as f<)od. clothing and medical supplies. The chanty has a rnonitoring programme in place lo ensure that comrnodibe$ arg appropriately valued 8t wholesale or less. cull(Jr8lly appropnale for the designated programme, and can be both prgpedy shipped and d151ribuled freè af charge to the Intende(I b8ngf1oar$. Gift Ald Rgpaymènts Income from gift aid rèpaymgnt dairns Is only incIje for daims which have been subrnitted for tsx periods ending on or before the year end and ¥vhgn Ihe rec8lPt of thts inrne is more probable than not Page 12
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2020 Accounts"ng Policies l¢ontinuedl ResourceB EX0 Expenditure, which is charged on an acuuals basis, 18 allocated betrn." expènditure incufred direct in Ihe efforl lo raise voluntary contributions Icost of raising fvndsl.. and expenditure incurred direclty to the luffilmenl of the chantys objectives l¢harTtable expenditure). Charitable adNities comprfses all the ¢xpendilure Incuwred by the charty in meeting rts charstable objectives and 15 further anaWe<l beeen". grant$ payable 41 the lurtherance of ¢harrVs obiectwes costs of 8clivrties in furtheran ol Ihe chartys Ob¢1$ $upport cost$ ol the charity Where item5 01 expendrture involve more than one $1 category thes& costs have been apportioned on a reasonable ba$ a5 determined by th• Iru$lees One PartUl8r area where th& cost is matenal tts the charty is In the prOductn and distribution of Ihg mail shots. One ol the purposes ol the mail shot is lo develop a database of names ol people wlh a parti¢ul¥r inierost in the activities ol Ihfr charity and its charitable obpcis. Furthermo the 6xpendilure has b8¥n allocated on th basis ol whether Ihe educational content ol the indfvidual rnail shot 15 519nifunlty hi9h 8nough $0 as to be material. When this holds Iwe the cost ol the mail shot 1$ alloe8l•d on a pro-rala basi$ comparing Ih? educational content Icosis in furth8r8nce ol the charlws objKtsl to th• fund rai8ing eonlent Icosts of generating lundsl. The edtscalional content 18 determined by th& amount of le on each mail $hot Ihat Is dedaled to malenal of an educalional nature. Fund raising expenditurtr i.e. lext that May Indu o dOnaln from th• 1•typnt, a110¢41ed upon the ba$1$ of the volume of the texi and Space Ihat Is not relaied lo text ol an educational natuw. Support costs mpriSe 811 other rtad 518 lor lh6 running ol the charity a8 an organlsatbn and the ¢osls primarity associated wrth th6 consirtutvjnal and slatLrtory i•quirements. Fund Accountlng UnstrICted funds are donations ond other incoming resources r1ved or generate(1 for expenditure on th¥ general obl11¥eS of the charrty Fornlgn Currwncl Transactions in foreign ¢urrenues ar translated al th gxchange rat? ruling at Ihe dato of the transaction, tha average rale being used a$ an approximation lo this rate. Monetary assets and IK3bilities in loraign currencies are tran$lated al tha rates of exchange ruling at thè batance sheet dale. All exchange differenc¢$ are deatt with through the statement ol finanryal aGtivit*s. Tangible Fixed A$8•ts and Deprtelaiion Depreciatiori is calculated to wrile down the cost less estimated sIdUal value of all tangible fixed as$ei8 held for charity usè by equal annual installments over Iheir expe4ed useful econom lives. The rates gen•ralty applicable are.. Office equipment, fixtuieg and fittings 3 years slrayht line I tangible frxed assets costing MO than £250 ale capilalised at their cost to ihe charrty. Page 13
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2020 ¢tICal ac¢ountlng •$limates and ar¥a8 of Judgemeni In the view of the Iruslees in apping the accounting policies adopted. no judgemenls wère Tequired that have a signfficant effect on the amounts recognised in the financial slalement5 nor do any estimates or assumptions made Garry a sonrfi¢anl risk ol material adjustment in the next finanaal year. Other ftnanclal In$trumerrts Cash and cash equlvalents Castt and cash equivalents indude cash 81 banks and in hand and short lefm deposrt8 Wrth a maturity date of three months or less. 11. Debtors and Cf•dito Debtors and creditors r¢cewabl8 or payable thh} ona ygar of the reporting (lale aré caffled at their at transathbn price. 2 Net mo¥•m•nt In fund8 2020 2019 Movemonl in funds Btated after charying.. Foreign exchang• loss Auditors, rgrnuneration." - Audit servi$ . Aud((8ervlS In re5pe¢t of pri)r year 1.188 1.283 13,002 7,709 12,562 4,953 3 Fund Ral8ln9 and Publleoty 2020 2019 Mailshol$ Olhtsr Alocat8d 8UPPOrt costs IS¢* Nole 51 94,650 47.039 3.215 144.904 99,635 49,804 3,023 152.462 Page 14
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2020 4 Charltsbl¢ AciivlU88 2020 2019 Grants Progrnmme Gifts in kind Grants paid lo Insts'lulh)n$ 2.734.040 2.656.849 89.149 2,830.104 54.584 2,884.688 2.745.998 37.516 2.783.514 Support CLJSts of giants programme actNrty Iseg Note S) Pl•as refer lo Ihe Trust8è5' Report for delaiis ol all grants paid. CMt• of •ctlvltl•• In lurth¢r•n¢¢ of the ¢harlty'• oblecuv 2020 71,416 31.124 102.540 2019 75,809 28,289 104.098 EduCatn and devetopmnl Support costs ol education and developmenl (Seg Not8 51 Totsl Ch•rftaty• actlvltl•• 2,887.6 Pag&15
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2020 Support Costs Grant Progrnmme Education and Development Fundralsing 2020 Salaries Tgmporary staffing Occupancy costs Shipping expenses Travel and similar expenses Los5 on foreign exchange Governance Costs.. 971 8.743 9,714 482 536 46,082 46.082 1,188 1.188 Legal and professional ferf Audit and Accounting,. For ¢urrent year Audit and Accounting.. In respect ol prior year 1.800 8,502 10,302 390 13,002 13.392 7.709 7,709 31 Decemb8r 2020 54 584 88 923 Support Co¥ts Grant Programm• Education and Devolopm•nt FundraS•lng 2019 Salarie¥ Tempc*rary staifing Occupancy costs Shipping expenses Travel and sirnilar gxpeT15es Loss on foreign •xchan9e Governance Costs.. 971 8,743 9,714 481 535 29.104 29.104 267 267 1.283 1,283 Legal 8nd professional fees Audit and A¢counting.' For current year Audit and Accounting. In respect of prior year 1.608 8,412 10,020 390 12,562 12.952 4.953 4.953 31 Decembei 2019 28 289 6882 Pagè 16
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2020 Tru?tees remunèratlon During 2020 and 2019 no Trustee received lund8 as reirnbufsement for travel expenses incurred during attendanc• io moétjngs ol Ihe tnJstte8. No Truste• reeèived remun8r8tw during thè year or payment lor gther 8ervices12019". £Nill. 7 employees Numbor of•mployee¥ Th¢ avtrage numtyer of employe&s dunng the year wa$". 2020 Numb•r 2019 Numb•r Office 8n¢J Managernent Employm•nt ¢o•ts 2020 2019 VV¥ges and salari•8 Social securty ¢o•t¥ 9,714 9,714 9,714 9.714 No employ•• wa¥ paid over £fjO.COJ dunng the year12019" None). The key management personnel are lh8 Tru$tg88 The total remunr8tion paid 10 key rnanagemenl pers(ne1 was £NIl12019. £Nill. 8 Taxatlon The Gompany. being 8 registered chanty, Is for CQrpwn tsx in respea of rts 0rAtionS for the yoar. 9 T•nolbl• flX a•••t¥ (for charity usél Cornputer •qulpmont At 1 January 2020 and at 31 De¢embef 2020 928 D¢proclatlon At 1 J8nuary 2020 Charg$ lor year At 310ecemb&r 2020 926 926 Net Book Valu• At 31 December 2020 Al 31 D8cgmber 2019 Page 17
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2020 10 Debtors 2020 2019 Other debtors Prepayments 6,035 902 6,937 13,438 1,563 15,001 All debtors apart from prepayments are finandal instruments measured al setuemènl value. 11 Creditors . Amounts falllng due withln one year 2020 2019 Trade ¢redltOfS Accruals Tax ar Social Sgcurity 4,463 11,331 14.889 11,384 15,794 All ¢redilors oxcepl aCCfLsals and tax and soclal Security a financlal inslrumgnls measured al settlement value. 8¥lanc• at 31 D•c•mb•r 2020 Balan¢0 at 1 January 2020 Net surplu• for the period 12 Unre•trictod Fund• General r¢8erve 952.203 96.309 1048.512 13 Members. Llabllity The Charity Is a company limil8d by guarantge. In the event ol a wnding up. th• members. liability is Ilmited to £1. 14 Conn•ct•d P•rty TranM¢ttons Two Tru51ees of the Charty (Joseph Lam 8nd Ruth Kendri¢kl assisted in the establishment of other Medical Mission International an(1 Worfd Children's Fund charities throughout the worfd that share similar visions and purposes as Medical Mission lntèmats.onal IUKI arKI ihey arè also on some of Ih05e other charities, boards. However, the Charity does not ¢onsolidato these foreign enlitses in its financial Statements. as they ar& separale legal enlibes no one CA)ntrolling party. Neither were the any financial dealings wth these entities during the yeac, apart from those transacti¢)ns. and year end balances already disdosed below in accotdan(z ¥wth FRS 102. Page 18
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2020 14 Connected Party Tran$a¢tions Icontinu•d) As slated prewously in Note 6 01 the Financial Statements, no Medical Mission International UK Trustee receives any salary or compensatson from the Charity. Joseph Lam and Ruth Kendrick. Trustees ol the Charity. are also Trustees of World Childrgn's Fund UK an¢J rèceive no compensation for those services. Joseph Lam, Trustee and Offieer of the Chartty, is also a Trustee and Officer of MMI-US. None of the other three Trustee'5 of the Chanty Is a Trustee or Officer of MMI-US. but, Rulh Kendrick is an employee of MMI-US. Josek* Lam and Ruth Kendrlck do receive compen$abon for their services from MMI-US. Page 19