MEDICAL MISSION INTERNATIONAL (UK) (A company limited by guarantee) Financial Statements For the year ended 31 December 2022 Company Number.. 4798450 Charity Number.. 1099015
MEDICAL MISSION INTERNATIONAL IUKI CONTENTS Pag9 TN8t8ts' Rw ttos IndePt Auditrys. Rert 6109 Slalerneni of Nnaroal Aciiwbes 10 Balan¢¢ Slw•t Cash Fk)w Stalen1 12 Noies kn the A¢c4unl8 131020
MEDICAL MISSION INTERNATIONAL (UK) COMPANY INFORMATION Diroctors and Trusts8$ R Kendrick J Lawn G Poomian J Poorrnan S•cr•tsry BroaaY SetsfIe8 Limited Company number 4798450 lin¢orrK*raled In England & Wales) Charlty nUMr 1099015 R•gl$tor•d office Second Floor Offi 34 Hwh Slreel Bromley Kent BR1 1EA Auditors Moom King$ton Smith LLP 6th Floor 9 Apod Street London EC2A W Prlnclpal Bankors HSBC Bank PLC 164 High Street Bromley Kent BRI 1HE sollcltors 60B Pitmans LLP 50 Broadway London SW1H OBL
MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES, REPORT FOR THE YEAR ENDED 31 DECEMBER 2022 The Trustees wesent their onnu81 rep1 akng wth Ihe finan(xl 5talernents for the year ended 31st December 2022. The accounts have bgen K¥epared in accordance wlh Ihe aTrn9 poliae8 set out in note 1 01 Ihe attached accounts and comF4y with the eharily's memorandum and artic$ of 8SSOCi81ion, applie3e laws and the requirements ol Slalemenl of Recommended Practjce -AccounDno and Reporting by Charities" The Infonnaty'on shown on the prevHJus pa90 forms a part of thi$ repDrt. S¢ruGtur•, Govèrnttnc• and Manag•m•nt GovernirRJ do¢umeRJl Me(lical Mission Intemats'onal IUKI was incowporatsd w 13th Jung 2003 as a CoMnY limltod tyy guarantee (company number.. 47984501 and registered as a Charity on 151h AwJus¢ 2003 liegistration numb•1 lo9)151. It IS 9OV8rn8d by 18 Memofandum and tiCleS of As%Kkikn"on. OrggnisalionDI slruclufe The strategic direction of Ihe Charily is the resp(&bIlIty of the board of truste88. The dadaY runnlng of th• Chority is carried out by the Chief ExEcuts'vo, who is reswnslo to tho board of trvst99$. Trustees. 8ppolnlm•nt. Induction and traintt79 New trustees are 8ppoinlod by èxistiThJ trustees strKJuld they b• Itsr[d apprcpria¢e and hety to fulllll any shortfsll in tho skill Sel ol the board upon application. charity jhall hold an annual ganeral meeting each ygar in additson lo any other meetings. The Irustees koep thgm5efve5 updaled Ihrough infom)aiion obiained from extemal con$ullants and the Charity Commission, and aro responsible for tha Induction #nd trainiThJ ol new Irustoas. Furth¥r trasniry, eonsultation and infomialion is made available to Injstaes M an oThJoin9 basls. The Direc¢ors of tha cefflpany arg also the TrLL8t•s ol the tharty. Al each AGM on8 third of the Truslees ar• subj'èci to retirgmenl by rolatson or if Ihoir numtér is ntst three or a multipl8 of Ihreo. th8 numbers near¢$t to on.Ihird shall reli1¢ fr¢m offi¢, but sh&ll btr •ligible for re-alection. R•muner81ion Policy The charfty does èmF4oy one Staff member wlJ's pay ig determined by th• Board and 18 based on th8 hours wtsrktd and the prevalling mark¢1 r¥t¢5 for the level ol work Ihal 15 beg undertaken. PotentAI fufvre increases in salary are dècid9d and given to ren int¥•a¥es in Ihe co81 ol living. As not¢d elsewhere In lh8 axount5. the irustéès and officers 01 the charlty rec•fv• no rernun¢ratiGffj or c47mpensalion lor their lime and services lo the charity. 11 lh8 charty does docide to compensale Ils trustsès and otficers futu yearn. thon th8 recommendations ol tha NCVO anquiry will be laken Inlo ac¢owii. Risk M8nagwn8nt The Tmstees have vieWed the major business, finanaal and stralegic rfsks to whirtb the charty is OXP058d and confim) U)at stgps have been taken lo mitigate those risks. A lundamenlal n$k ¢0 th• charity is the Wential lor Contin inwses in expenditures on raising funds versus donation incorne rec8ived which would be the result of non4ffects.ve direct mailing mailshot r8sutt$. To address Ihis fundamental risk the charity ts working wilh Iwal rnarkets.ng agencies lo explore possible diversification of its current fèvenue ¥arn as well as to IrKJk lo achieve better retvms on its mailshots. The goal is to dnve dowFI the cost of expondilure on raising funds bthila looking lo tx>)st and maximize (Jonat7 revenue5 of its mailS)t$ and other possible revenue Streams which would rn1.9ate Ihis fundamental risk to Ihe charity. P8g8 1
MEDICAL MISSION INTERNATIONAL {UK) TRVSTEES. REPORTICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2022 QblectSve8 and actlvltlts Wo have referd to the 9uidane• in th• Charity Commtssion's goneral guidarteè oth Public Benefit when reviewing our aims and objeclivos and In planning (yJr futur8 actiwit$. In PartUlar, Ihe Trustees consider how planned activities will contribute to the aims and obJ"¢¢tNes they have set. In light ol Ihe Charily Commisslon's guidance on PuL4Sc Benefil. the prinapal object ol the Charlty wnunues to be the r¢li¢f of povgrty and sickness. in particuLar by WOViSK)n ol em8rg8ncy medical relief arKI publk h8aMh s8rvws lo as¥i¥l Iti50dvantaged arKI neeéy famibes thrtyjghwt Ihe worfd effected by famk)e, natural dlsasler dvll conftlct. Th¢ pnneipal $our¢e of lunding for these charitablè prowdmmes is expectèd to ramain as intsjm? generated from direct m811 app8als. The results from $p8cific appeals hav& boon vory encouragirrfJ and the T518$ wish to thank 811 thos8 who have assisled in th fundrak8ing tfforL Ihrough the making ol cash dLThts'ons or by a&&sting in Iha pro¢ur?ment of donated goods. Grant m8kiThJ wlicy The Irustees will eonlinue to concentrate on the pmwsion ol emergaw aid by makiry 9r•nts 10 3UPWt charilab projecis providing tmlrgency rolief lo assist chihdren In disaster areas. Applicaik)ns are deafi wilh on receipt. Guidelines for apF4icants ar• avaSlabl8 fwm tha trust¢es. All app1kaOn$ for grants are reviewed by Ihg Iruslee5 before any dedsk)n mad•. Th• truslees may also require a vlsll lo th8 ap Jlcant belore d¢ciding eth or not to make a grant. khb•v•m•nt• p•rformanc• MMI IUKI raised in èxcess of £1.5m duriThJ Ihe yow endqd 31 DKgrnber 2022 12021.. In •xcgss 01 £2.4rn1. The majority of those rescJrces wern obiald a5 a ul ol oui direct m81 luThJ raising affo *nd 9ift3 in khd. During this year of op8ratlon$. 9¢ngrous Unbiod KknWom enabled MMI IVKI to axftd £1,232,613 12021.. £1,934.3391 on our grant$ wogramm•. The prtsJr8mmo$ 8UPPOrte¢ rJurirvJ 2022 wér•.. Compassbnate Fran¢is¢gn Slsièrs of the pr- phIne8 Ooclofs for Lil& Trust- Makqwi l Mozamb JP Clawson Medical Mi$si¢)n$- J'rnbabwo Locaj Inili8tlV85 for Educaiion - Sudan Spirilage Help Twsl- Zirnb8bw8 13,128 37,869 8,807 18,063 1.156.746 1,232,613 Fundralilng Approach The ¢harilV5 trustees a fulty aware of their indiwdual accounialxlty to enBur• that th8 charity fundraises18gally, ethicalty. resWn$iY and gffe(aivety. The charity is 8 levy paying membe¥ of the Fundraising RewLator and Subscbe to the asswaled frjndraising codes and practice. In additson the ¢harity is a150 re9lStered with Ihe Inforrnation cornm1er's OfficE and is fully compliant with the wily enacted General Data Protecuon ReW18th IGDPRI. The charty suppresse5 indivhaual suppvter records &Jainst the Mailing Preference Service. Telephone Prefence Service and the Fundraisillg Prefererth SeNce which hetP5 lo ensure that the d)arty doesn't approach individu8L8 who have expressty quested Ihal we don't rontacl them. During the fiscal yoai Fundraising Preference Servlc¥ supwession requests totaled 6. Tho doesn't ¢nga9e Mlh any profMcwl IVtKjra or Lwme¥ud partvpator. Page 2
MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES. REPORTICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2022 Fundralslng Approach leontOnu•dl The charity ha5 a published ¢omtyaini 0¢edur0. availa14e on its websile and ¢S)os indeed respond to anquiriès an¢J coYryL8inis In a fashn. As a mernber of Iha Fundr)ising Reguiotor are required lo prov? annual rigures Ihe number of Cornplain received dunng Ihe year. Kt>si of these )ntscts lend to be requests to opt- Dut ol charity wrnmun1ca.ons by etij sUPPOrters. Thse Opt1 requests aw¢ adrnin45lered and handled slraighl away lo rèduce any percepbon of unr•asonat48 intrusion or undua pressurg to suprx)rt th• charity. The charity conlinues lo diversify tts InCe generabThJ activibes so as to r8dLK• reliance on any Incom $tr•arn. The main r8v¢nue stream for the charity is dire¢l mil rnisr¥J programrne couplad Trmlh gilts in kind. R¢guknr giving programTh8 and ltyacy are other r¢v8nuo SIn3 for Ihe thar4ty. COVIO.19 and ¢t ol Uvln9 Unc•rtalntl•# The impact of COVID.19 an¢J th& onwng Cost of Living Cr¢$i$ has Considered by the tnJslee$ of tho chwty in regard to the charills lulure plarro •nd dgeting processe5 and the effed of tho oulbrfjak i5nl a significant risk Inlo 31 December 2023 year end. 11 1$ expecled that any pontsal decrea$ In lovenu wll be short lived and tho ¢hortlies re50rv88 and as$el valuos w1 8nabl8 Iho Chanty lo conts"nu• normal Operatn¥ through Cg18nd8r 2023 and years bly th8t. It 1$ posgble Ihal incorne ¢ouKI decr•aM duthg 2023 but •ny decrea in r•v•nug b• off8t by a decrnas• In associatèd expendilurm. As of June 2023 Ihe charities em0Ye$S e¢fitinuo lo rk rKJrmal hours p)st ond we COVID-19 outbreak and U)e ¢haiit188 nel a88gt$ aro high•r in June 2023. c(xryfed 10 00mber 2022. Virtually al a$gets ol the ch8rfty or• held in cash aThJ rKs de¢reoses li ¥48 aro •XF4¢t In rogwd to such. Flnan¢l•l r•vltw During the year lo181 incom• arnwnied to £1.578.132 12021.. £2.445,1481 and the charity •xpend8d 8 totsl amJJnl 01 £1,497,22412021.. £2,194,855). Th8 final result WaB a net Snu¢•s• in funds 01 £80.gU12021: in¢r••s• 01 £250.2931. Tho objeGlive5 that Vre Sel oui In 2021. 10 be achievèd In 2022. re parfaly mai. Th• ¢h•rity dld f•ceive funds in 2022 from legaoés in Ihe arnounl £29,78912021.. £64.5811. The ¢05t ratio of r815ing fiJnd$ versus donatic41 irtome rewved increased in 2022 cotnpared to 2021and Ihls wa5 the result ol innaDon c05t treaSo$ ol tho mailing cornnents fXMJfled wilh donors re$aIn9 wth fewer reSrX)ns to the malling$ du*A to the dor5 being fearful of the currenl wallve financlal wsllions they ar8 encountering as a result of drarnatic increases in inflats)n in 2022. tlonation CoMe Oecrea58d year over year ant5 expenditures for raising funds irKreased. As ?$ noted in Last years audit the charity CA)niinued wrfking wth local markèiing agency in 2022 and that change dwj resutt in devea5e in cost ol raising funds in 2018. 2019
nd 2021 cOmpad lo eadier years cost of raising funds. We Wul that rnay continue irend of
reducing costs of raising funds in 2023 rf inflabon and the e¢on¢Nnic dwilum reverses coutse and improves in 2023 whrh would allow for increasgs In donalK)n lo posSiY ewkrf8 Other avenues Of expandin9 Jr don8b.on revenue 51ream. Pagg 3
MEDICAL MISSION INTERNATIONAL (UK)
TRUSTEES. REPORTICONTINUEDI
FOR THE YEAR ENDED 31 DECEMBER 2022
Financial Re8W lcontlnul
Reseivos policy
The Board has exarnined the rgquirem8nl Iree reserves whth are those unrestrided funds not Inv&sted In fixed
a55ets, designated for specific puwjses or othen¥ise committed. The Trustees review its reseNes policy annually and
consider Ihal the free re58rves h by Iho charity should b8 broadty equwaknt lo Iwy) years of thè yearfy on going
annual expendrtures lexdusive of GIKI. The Trustees deuded that MMI'S Iwj-term target level of free reservos should
be b01ween £1.000,QOO and £1.400.000 whi¢h wovld gwe the chanty Ilexibility to ¢over temporary Ilmin9 diff8rences lor
donat0 receipts. adequato working capitsi for CO ¢o¥ts. and would allow MMI 10 resnd quickly to emergencEs
wh8ro immediat• rdief is ne¢dgd.
Al 31 Dgc8rnb8r 2022. Iho fr88 reserves ol tho chanty arnOnted to £1,379.713 12021. £1.298,80SI. Th8 Board
acknowltdgts that Ihis falls rah1 in lin¥ with ts largot fr88 reserve MmUM.
Inveslmentpolicy
The invesimernt Slraie9y Is sel by th• Irusl808. In Ivjhl of t TnJst006 on rn6w•g Iha tnJBlaa8 h4vo r•vl•wed
their investment poli¢y and s08k to bolh rnaximise relwn. wh¢l$t en8urhi9 sulfTrt Iyuidity to •nabkn lh• Chadtys
fijnds lo be eXnded for chanlable purpos• as soon a$ possibl•.
Pl•n# for lutur• p•rfod
The principal 8oure• of fundlry 1$ •/pI•d lo remain VOAt•ry irorne g•narat•¢ frorn dir•ct mail aw)eal8 to thp
public. Th• charty thnS to wgoroustycontinu• ils I..
expandiThJ its donor base, In crfder lo Ina$ the lolal amount ol ch&rilatsK8 pro3rams that eart be funded 8ath
year,
incr8a$ing thè nurnber of donors who 9Ne to tho Chaity ( • fixod s¢h•dubè, 41 ¢rdgr to fvrthef roduce the ¥¢8 01
raising Ivnd$,' 8nd
encouraglng d
MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES. REPORTICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2022 Statsrncnl of tvu¥tses' T•spon¥lblles leorilinu•dl The trusrees a responsole for keeping proper aco)unbng records that disc1 with regionabkn acoJracy at any tina th• finandai pc¢roen of the tharille company and enable them lo en$u(w thai the fin?ncial st&t•ments comply With t C4mpani0s Au 2006 They are al$0 respun51• for safaguording the assets of the charitaty tPatty ènd hen for takln9 reaSonae steps for thè Pr•¥win and d•toctyon of ImLI gnd othor lrwuL9rtt. In 50 lar as th• tru$l••• awar•'. there 1$ no T•Vant audit informaDon ofwhic lh• oMtitl8 eunpany¥ audrtor vd unawarE', In yie tru¥le•s have tsken •ll step$ thai they ought to tsken lo make mI•l¥•I •f•n of any Kryvant Ij[t Inlormaticfi to •¥tablh Ihai the oudttcf Li 8war• of that infcmuikn. Audttor Moore Kingston Smith LLP have Indtlted wllirgnesj to COnb"n in offic• and ire doern•d to b• reapwnled In •ccordan¢e %Yith s•¢In 48712) cl the Comp¥nNi5 Act 20CII. Small Company ExempOn These fin8h¢ial Slalem¢nts h•v• hen pFwr•d In a¢cordanc• wth th• of Pin 15 Of th• 2000 rnLgllng 10 sm1 ¢oftpanios and with th• F91 Reporring 102 Apwov thÈ on . .. ¥w•J on Iheir behiirty. R Ke Tr1 rick Page S
MEDICAL MISSION INTERNATIONAL IUKI INDEPENDENT AUDITORS REPORT TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL FOR THE YEAR ENDED 31 OECEMBER 2022 QplrTlon We have audite¢J the financi statements of Medical Mission IntematKJnal UK I'lho company'l for thg year ended 31 December 2022 whi¢h ¢ompnse the Stst6ment ol Financial Aclivilies. the Summary Incomè and Expenditure A¢¢¢xJnt. the Bala[ Set. thè Cash Flow Statement and notes to the financial 5taternents, includin9 significant acut9 poh"cies. The finanoal reportin9 Iramewo¢l( that has beèn applied In Iheir preparatKTrn is applicab law an¢J United Kin9dom Accounting Standards, including FRS 102'The Financial Reporting Standard Applcable in the UK and Republic of Ireland, Iunited Kingdorn Generawy Accepted A¢untia Practice). In our ¢)pinion the finan¢ial sialemenls.. '9Svt a trut and lair wèw ol thè slate of the charitablè eompanrfs affairs as at 31 December 2022 and of its incoming resources and applicaliw of resources. Irldirj its income and expendilure. for the year then ended. .have b8en properly prepared in accLJrdance wth Uniled lfjngjom GeneraltyAccepted Accounlwig Practice.. an .hBve been prepared in accordance wth the requirements of the Companies Act 2006. B4$1$ lof oplnlon We conducted our audil in accordance wth Inlernats'onal Siandafds on Auditing IUKI IISAS IUKII and appli¢8ble law. Ovr responsibililies under those Standards a further described in tho Auditor's Responsibilities for th• audit ol th¥ financial stottrm¥nts s•¢tion of our rgport. Wè are independent ol the charitable company in accordance Wth the ethical requirements that are relevant to our audit of the financial statements in Ihe UK. including the FRC'S Ethic81 Stsndard, and we have fUlld our oth•r Othieal re$pon$ibilitio$ in accordance ¥th Ihese reqvir8ments. We believ8 Ihat the ¥udit evidence we have obtained is SuffiCnt and appropn8le to pro¥e a basis lor our ownion. Concluslons relatlng to golng concèrn In auditing the financi81 stalemenls. we have conduded Ihal the trustees, use of golng concgm bg$i$ ol accounlln9 In lh• preparatlon ol the finandal stsiemenls Is approprfala. Base¢ on work we have p8rfonrsed. wo have not k10nlifd any material uncertaint$ rekitlng to events or conditions that, individually or coll¢¢tivdy, may ¢a$t $ignifi¢ant doubt on the charitabl• company's ability lo continu• as a gn9 conc8m lor a rIOd of at lèast twèlv• months from whan th• flnanclal slalements are authorised for Issuè. Our r8sponsibililie$ and the rèsponsibitsties ol Ihe Irusteos With respect lo going concern are descrlbod in the relevant sections of thls report. Other Infonn•tlon The other informalKJn comprises the infoffliation inclu(knd in Ihe annual reporl. other than Ihe finandal statements and our auditorfs report thereon. The trustees are responsible for the other infomation contained within the annual rert. Our opinion on the financial staiemen¢s does not cover the other inlom8tK)n and. except to the extent otheTh*ls& exp1ltIY statèd in (1 rèwrt. wo do not 8XIYg$S any form of assurance conclusion ihèroon. Our reswnsibility 1$ lo read the other inlornallon and. In do4ng so, cons4der WthaT Ihe other inlomatbn is matèrially incortsislent wlh the financial statements or our knovAedge obtained in the course of the audit or otherwise appear5 to be rnaterially misstaled. Ir w6 hlentify such material lnconsistences or app?nt material misstatements, we are required to determine whether there is material mi$ststement in the financial slalements thems?es. If, based on the work we have performed, we conclude that a material misstatement of this other informats'on. we are r8quirg(J to report that lact. Page 6
MEDICAL MISSION INTERNATIONAL IVKI INDEPENDENT AUDITORS REPORT ICONTINUEDI TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL FOR THE YEAR ENDED 31 DECEMBER 2022 We have nothin9 to report in this regard. Oplnions on other matters prescribed by the Companie5 Act 2006 In our opinn, based on the work undertaken in Ihe course of the audit.. •the inforrnation gwen in the trustees. annual lor the financial year lor vthich the financial ststements are prepared is consjstènt wth the financial ststements.. and •thg trust888' annual r•port has been proparad in acecrfdanca wth applicabkn199al requirements. Matters on whlch w• ar• r•qulr•d to r•port by •xc•ptlon Iri Ihe Ight of th8 knowledge and undorstan¢Jing of the company and rts enviTonrnent obtained in the course ol the audit, we have nol idents'fied material misstatements in Iho tru$ig9s' annual rewrt. We havg nothing to r&port in respect ol the follo%ng mattws vmere tho Compan1$$ Aci 2Tr)6 requi$ us to rèport lo y¢)u rf, in our Opinn.. •adequa¢e accounting records have not bagn kepl. or relums ¥dequal8 for our audit have not b8on received from branches not visitod by us.. or .the financial statements ara noi in agreement wlh the accounling records and retums., or •certain disclo$urtrs ol trustees, remuneration specifièd by Lqw are not rnada.. or •W8 have noi rèeèivèd all Ihe inforniation and èxplanauons rèquir& for our 8vdit' or .the tnJs(ees We not entitled lo prepare the finala1 statemènts tn accordance with thè small compani8s regime and take advantage of Ihe sm811 compans exemption in prèparing the trusl•es' annual f8pcl and from preparlng a stra18gic report. R••pon•lbllltI•8 01 tru$t•• A$ explained more lully In the trustees. responsibilities siatement s&t out on page 4, Ihe truslees (who are als¢ the directors ol tha charitablo ¢ompany lor the purposes ol company lawl ar¥ r&$pon$ible lor Ihe pr8paralion ol the fin8n¢ial slalements and for being saiisfied that Ihèy give a true and lair vièw, and for such Inlemal ¢onir¢l as the trustees delerminè is no¢8ss8ry lo enable the preparation of rinancial slat8rn9nls thal are free from maigrial misststemenL vthether due to fraud or error. In pparing the financial stat•m&nts, the Irustees are responsible for ass&$$in9 the charitable ¢ompany's ability to continu8 as a going concem. disdong, as applicable. matters related to golng concern and using Ihe going concem basis of 3¢counling unless the trustees •iihèr intènd lo IUMIate th• charilable ¢ompany or to ceas8 operabons. or have no realistic att8mative but to do . Auditor's Re$ponslblliti•s for the Judlt of the flnanclal stat•m•nts Our objectives are lo obtain reasonable assurance about whether the finonryal slalements as a wh¢J• are free from material misstalement. whether due lo fraud error, and lo Sssuè an audilorfs fet)ort that includes our opinion. Reasonable assurance ts a hvJh Ve1 ol assurance, but is not a guarantee that an audit conducted in accordance wth ISAS IUKI V11 ay$ detect a material misstal8ment when l exists. Mlsstatements can anse from fraud or •rror and are considered material rf, indwidually or in aggregate, ihey could ¥sOnablY be expe¢led lo influence the economic decisions of users taken on the bas+s of these finan¢sal statements. As part ol an audit in aceordance with ISAS IUKI we exèrose professional judgement and malntsin professkonal $p11Cl5rn through(t Ihe aud¢. We also- Page 7
MEDICAL MISSION INTERNATIONAL (UK} INDEPENDENT AUDITORS REPORT ICONTINUEDI TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL FOR THE YEAR ENDED 31 DECEMBER2022 .Idenbfy and assess Ihe risks of material misststement ol the financial ststements. whether due lo fraud or error, design and perfomi audit pr(edUreS responsive lo those iisks, and obtain audit evidence that is sufficient and appropriate to Pfowde a basis for our opinion. The risk of not detecting a material misslalement rèsulting from Iraud Is hvJher than lor one resulting from error. as fraud may involve c#)IIu5ion. forgery, intentional ¢)mi$$ion$. mi$ropres¢ntations, or the override ol Inlemal conlrol. .Oblain an understanding of intemal control relevant to the audil in order to desYJn audit procedure$ that are appropriato in the circurnstances. bul not lor Ihe purpose¥ ol expte$$in9 an opinKJn on Ihe erfecliveness of the charitablo companws inlemal conlrd. .evaluale the approprialen855 ol a¢¢ountsng pM)lics used and th8 roasonabss of a¢¢ounknng estimates and related di5ckJsures made by the trusteos. .Oonclude on the appropriateness of the truslee5' use of the 90in9 concern basis of accounting and, based on the audit evenCe obtained, whether a material uncertainty ex15ts related to ev8nts or conditions that moy ¢ast signrficant doubt on the charitsble Company's ability to continu• è$ 8 golng cCOrn. 11 w9 ¢on¢lu(te that a material uncertainty exists. wè are rgquirgd to dr8w attention in our •uditor'5 report to ¢h8 related disclosur•s In tho fin8n¢ial statement5 or. if such disclosures ara inadequate. to modify our opinion. Our conclusions are based on the audit evidence oblain•d up to th dole ol uur auditor's rgpori. However. luture evonts cy condillons may ¢aus¥ the ¢haritable company lo ¢ea5e to continue as a golng concem. •evaluate the overall presenlatson, structurè and eonl•nl of the financial staiements. inchjdlng th8 dlsclosures. and whother the finenci81 slatements repres1 th• Unt1•dn9 tran$adnS •nd gvent8 In 8 manner that achieves lair pr•$ontation. We communicate with those ¢h8rged wth govemance regarding. among othtrr matters, the planned scope and timing ol the audit and swnifi¢ant au¢Jil findngs. including any signifKant deficieno¢s irs nt•rn•l ¢ontrol Ihal we identify during our audit. Explanallon •8 lo what èxtènt th• •udlt was eo+)sld•r•d e•pabl• of d¢tKtlng Irregularitim, In¢lyLllng Iraud Irregularities. Including fraud. are instances ol nortompliance with law5 and regulations. W8 d•sign proeedurè$ In Ilne with our responsibilitie5, oullined above. lo delect material misstatements in re5pgcI of Irregularllies. including fraud. The extent to whlch pro¢edurg8 ore cgpable ol detectitva irregularities. Indudin9 fraud is de¢ailed below. The obiectlV85 tsf our audit in respect ol fraud. are-, to identFfy and assess tha risks of maltrrial misstalemenl ol Ihe financial slalements due to fraud.. lo obtain sufficient appropriate audi18vldèneo regarding the assessed risks of malerial missiatemenl due to fraud, through designing and implementing appropriate raspons&$ lo those assessed risks-, and to respond approprialely to instanc&s of fraud or suspected fraud Sdentifd during Ihe audrt. However, th& pr4mary spOnsIbl1Y for the pr8venli¢)n and deteciion of fraud rests with l*Jth management and tse chold wth govemance ol the Chaiitab Company. Our approach was as folk)ws'. .VVe obtsined an understanding of the legal and r8gulatory requirernents applicable to th6 charitable company and cOnSerd that the most $1gnificant are the Compan$ Act 2006, th8 Chartlies Ad 2011. the Charity SORP. 8nd UK financial r•portsTrJ stsndards as by Financial Reporting Council. .We obtained an understanding of how the charitstsle company complies wth these requirements by discussions wth management and Ihose Charged wilh governance. Page 8
MEDICAL MISSION INTERNATIONAL IUK) INDEPENDENT AUDITORS REPORT ICONTINUEDI TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL FOR THE YEAR ENDED 31 DECEMBER 2022 .VVe assessed the risk of rnalerial rnisstatemenl ol the financial ststemonts, including the risk of material misstatement due to fraud and how il might o¢¢ur. by holding discussions Mth managemenl and those charged with governance. .VVe inquired ol monagement and those charged with govemance 85 lo any kno1 in5tance3 of non- c¢)mplianeè or suspècted non•comph'ance with laws arKI reguL8tions. .Based on this understanding, we d8sign8d spaufic appropriat& audit proceduras to idantify instanc8$ of non4ompliance with laws and reguL8tions. This included making enquiries of management and those charged th governance and obtaining adthi¢onal coffoborative evidence as required. There are inh8rant limitatKsns in th& au¢Jli procodures descnbgd above. We aro less Ilkoty to becom aware ol insta85 of nonwcompliance wth laws and regu(nS that are nol cbsefy related to 8vents and transactions reflected In thè financial st8tèm8nts. Aso, thè risk of rK)t dCting a matèrial misstatèmènl due to fraLJd is higher than the risk of nol detecting one resung from error. as fraud may involve deliberate conc&alm•t)t by, lor oxamplts. ftsrgary or intentthal m15representatitsns. or through Collusion. U99 of our rgport This report is made solely lo th6 cha¥1t#blo ¢ornponYs member8. as a l)ody, In accordance with Chaptèr 3 01 Part 16 of Ihtr CompanK?s Act 20Q6. Our audil work has been undèrtaken so that we rnlght state to Ihg compan$ members Ihose matters are required to state to them In an audltor's roport and for no olhgr purFose. To the ful$1 extent permitted by law, we do not accept or 8$$ume ro$pon8ibilily to any party other than the charitable ¢ompany and ¢hariiabl& companys mèmbèrs a$ a body, for our aurjlt work, lor Ihls réport. or for th• nn8 wo havg forned. LL¢. D•l•'. 29 August 2023 Jonathan Alken$ ¢S lor and on behAlf of nior Staiulory Audilorj oore lang>i¢n Srth LLP. statory Authior Floor 9 Appold str1 London EC2A 2AP Page 9
MEDICAL MISSION INTERNATIONAL (UK) STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 DECEMBER 2022 Unre$trlGtfrd Funds 2022 2021 Nol• InGom• Donalions and leg8cles Donations Gift aid repaent clalms Legacies Gifts in Kind Investmenl income.. Bank Inler&st Total Income 342.887 50,563 29,789 1.152,210 2,703 1.578.132 454,289 68.460 64,581 1.857,717 101 2,445,148 Expondltur• on: Raising funds Charitable actlvlties Total exp•ndlturg 134,698 1,362,526 1,497,224 129.788 2,065.067 2.194,855 Net mov•m•nt In lunds 80.908 250.293 Total Fund$ Brough¢ ForbY¥rd 1.298.805 1,048,512 Total Funds Carrled Fopward 12 1.379,713 1,298.805 Tho statement ol fin8ncial actiwti•s Inc¢jeS gains and hsses recognised in th& y••r. All incom8 8nd èxpenditurfr derive from ntinUIng ¢)P8rations. All income exponditure relate to unrestricted funds. Thè notes on the acCompan.j pag8s form a part of thosè fin¢la1 statements. Page 10
MEDICAL MISSION INTERNATIONAL {UK) BALANCE SHEET AS AT 31 DECEMBER 2022 Not• 2tr22 2021 Flxed A•sets Tangible fixed assets Currnnt A•t D6blors Cash at bank and in hand 10 10.62S 1.3W.205 1.4(.830 13,828 1.309.784 1.323,410 Cre4ltory&'. Amounts falling du• withln on• y?ar 11 21.117 24.605 Not Currnm Ass¢ts 1 379.713 1.298,805 Totsl Net A•s•ts 1,379.713 1.298.805 Funda Unrestricted fvnd• 12 1.379,713 1.298,805 Th8$e financial statements have b•en or$pare# in accord8w Trmth th• Provisr ¥pplicable to ¢x)mpanies subject 10 the small cornpanitrs rege wthin Part 15 01 the Compani1 Act 3x6. The notes on Ihe acc¢rnpanw pages form • Ihese ftnwv81 Statwnen Apwoved by, and 3Ulhfxised for dlstrttrtKJn. tho 8o*d of Tru#tv8 on... . ..... and $igned on their behall by.. R. Kendrick Tru#tee Coffjpany Regi¥tration No. 04798450 Page 11
MEDICAL MISSION INTERNATIONAL (UK) CASH FLOW STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2022 2022 2021 Cash flows frovn operating activitie¥ Net Income Adju5trnents for.. Intoresl rece¢ved Decreasel lincreas81 in d&blors IDgcrea5eV increasè in ¢reditors 0.908 250,293 12.7031 3,001 13.488) 16,6891 8.811 N¢t ¢a•h lultd Inl 19enerat•d by op•ratlng actlvltl•• 77.718 252.314 Cash flows from Inv•¥ling actlvltl•¥ Inier05t received Net ¢ash from Inve¥tln9 actlv5tl•• 2.703 2.703 101 101 Change Sn caih and ¢o$h •qulval•nt$ In the year Cash and cash equivalents at baginnin9 01 year 80.421 1,309.784 252,415 1,057,369 Cash and cash •qulvalont$ •1 •nd of y••r 1,390,205 1,309.784 Analysis of changes In nel debt At 1 January Cashfkn 2022 Foraign Exehango Movernents At31 Dec•mb•r 2022 Cash at bank and in hand 1,309.784 80.421 1.390,205 roTAL CASH AND CASH EQUNALENTS 1.309,784 80,421 1.390,205 Pa 12
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2022 Aecountlno Ptsllcle8 A s¢Jmrnary ol the principal ac¢ountir¥J Oicies &opted, judgements aTrJ key sout(y of ests'mation uncertalnly are sel out beknv. Ba$ls of Preparation of the Financial Statements Th8 financial Slalements have been pr8paretl In ac¢or¢Jance wlh th& FinanrAal Roportlng Standard aPICabl6 in th8 UK and Republic ol Ireland IFRS 1021. The charitable company s$ a public benefrt entity for th8 PLJrrM)sès ol FRS 102 and a TlStere(l charity &StalShe as 8 company limiled by guarantee and theltsre ha5 also prepar¢d its financial slalements In accofdatKè wilh the Stst8nnt ol Recomrnended Pr8clice applieable lo charitie¥ propariry their auount5 In accordan with the Finanaal Rewtiro Standard appllcablg In thg UK and Republl ol Ireland (The FRS 102 Charrties SORPI. the Companies Act 2006 and Chantiès Ad 2011. Th• financial slatemenls ar• pr•par¢d in sterliry. whkh Is th• fvn¢tbno1 currency of tho charity. rout)ded Its the ne8rest pound. Golng ¢on¢•rn The Irusleès have as58S8gd whether tho usa of w'ng concem and have considered po8sible avtsnls or coThlitions thai might cast stonifitanl dwbl the ability ol the charitabl8 ¢ornpany to conUnu8 as o going ¢oncem. Tho trbJst6es have made this assèssment lor a n0d ol ai least one y88r from the datè of the approv81 of these financial stalemènls. In parbc¥Jlor. thè trustees have ctsisi¢Jored the th8rilabl& cornpany'5 lor8ca51s 8nd projections an(J hav• tsken accounl ol pressures on donatn8. Aft*r m8king enquiries. tho trust•es have ¢on¢luded that Ih6r• Is a reasonable expactation that the charitable company will have adequate r•Jourcès to continue in operational •xi5t8nc¢ for Ihe foroseeable Ivtur8. The tharitae mPanY th?rgfore contlnue8 to adopt th• golng coneem basls In pr•pariNJ lig finawal slalem•nts. Donatlon In¢0mg Incom8 Is In¢luded on An accruats tsasls exeept thal donolkns under gift aid togelher th the assoclatgd inm8 lax recoverfe8 8rè cr•Ji18d 8$ Inc4me when th¢ do¢)n# are received. L•g•¢y Ineom• Legacie8 ere recognised in Ihe statement ol finanrial activibos when the charity has enUd6menl, lha 18 8 rnore probaue than not chaJ)ce ol receipt, and their value can be accuralely rneasur8d. Gffts4n.Klnd Income in tho form of girts In kind are InleLl In the Ststement of Financial Ath"vitie¥ only when assais donated to the charity are distribuled. Gifts in kn'nd ar8 donations of commorlities dir8Ctfy usable in tharitable programrves such 85 food. clothing and mediral suppliès. The ¥Ye of gifts In kind recognlse¢J In ineome 8niY the ¢¢rre5ponding amounts recognised as tharilat40 exp8ndilurè 1$ based on VkSale pnces provld6d by B leading supplier ol medicinos. Gift Repaym•nt5 Incorne from gift aid repayment claims is onty indutknj lof elaims %thich hav8 submltted for tax poriods ènding on or bef9 the year ond and when the recwpt of income is tmjre probablg than not. Page 13
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2022 A¢¢ountlng Poli¢i•s l¢ontlnu•dl Expenditur• Expenditure, %%thich is charged on an awuals basis. is allocated befvRen'. exp6ndilure inrAJrred directly in the effort to raise voluntary contributions Ic#)st of raising funds); and expenditurè ineurr¢d directly lo the fuifilmenl ol the thariW8 objectives l¢h8ritable exp8ndilurel. Charitable acbvities compristrs all Ihg expenditur• incurr8t1 by th• d)arity in maoting its charitabla objectives 8nd is further analy3ed between". grants payable in the lurthefance ol the ¢hariV$ ¢)bie¢tives cos15 of activities in fkjrtherance of the charitls objectives support co$ls ol Ihe charily Where items of expenditure invofve more than one cosl category these costs have been apportioned on a rèasonable basis a5 delermined by th8 trustees. One pafticular area the cost is matorial to th8 ch8rity 15 In the prodLbCtion and dislribution of th• mail shots. One of the purposes of the mall shot Is to dèvelop A datsba8• of namès of paopl• with a poiti¢ul8r intero81 In th8 aciivitl¢$ ol thg and It5 charl¢able object5. Furthermore Ihe expendlture has bon 0181$ on Ih• b•$i$ tsl %th¥ther the educaiv)nal content of the individual mail shol is SignifintlY high ènough so as io b• mai•rial. Whèn Ihis holds tru¢ Ihg Cost 91 th¢ rnail shot is albcated on a prcwaia basis comparing thg educaiKJnal ¢oni¢ni l¢o$t$ in lurtheran¢e ol ihe charily's objects) to thè lund raising content Ico8t5 01 generating funds). The educational ntent Is detemiinèd by the amount of text on e8¢h mal shot Ihal 18 dedicated lo material ol an educational nature. Fund raising expendituro 1.0. text that may induce a donation from Ihts recypient, is allocated upon Iha basls ol the volume of Ihe text and 9p8 Ih81 1$ nol reLgl•d to text of an 8ducab.onal n8re. Support costs ¢ompnse all other ovethea¢J costs for Ihe nJnning of thg ¢harrty as an organisalion and the costs primaiily associated with the conslllulnal and staiuiory requlrnmnts. Fund Accountlng Unre51ricled funds are donauons and othgr in¢m re1¥¥d or 9enerated for expenditure on lh• gen8ral obieGts've5 01 the chadty. For91gn Curr•ncl•s Transaciior¥s in foreign oJrren¢ies are translatod at th• •xehange ratg ruling 8t Ihe date of the transacllon. the average rale being usèd as an approximation lo this rate. Monetary assets and liabiliti¢$ in foreign currènci88 are translated at the raies ol ex(ange. ruling al Ihe balanee sheet date. All ox¢han9e differences are dealt wth through th8 Stat8menl of financial activiiies. Tanglble Flx¢d Assets and Depreclatlon Depreciation is calculated lo write down Iho C1 I timated residual value of all tanglble ftxed assets held lor ¢harity use by equal annual installments over their expected useful economic liva$. The rates generally applicable are-. Office equip1nI. fixtur•s and fitbn 3 years straight Ilne All tsngibk fixed assats costing mortr Ihan £250 are Caall$ed at thgSr cost lo the ch8llty. Page 14
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS {CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2022 Crltlcal a¢¢ountlng •stlmato5 and ar•a8 of judgemgnt In the view of the trusiees in applying Ihe accounting policies adopted. Th) judgements were required olher than the 9ift in kind detailed in the Acc(¥Jnling Policies thal have a significant effect on the amounts recognised in the financial statemenis nor do any esDmate5 or a55umplions made carry a significant rfsk ol material adjustrnent in th6 next finanryal year. Other financial instrum•nts Cash and c35h &qulvalgnl$ Cash and cash equivalents include cash at banks In hand and short tèrm depo$its with a rnatUty dat• ol thf89 mnihs crf less. 11. Dèbi¢f5 and cr•di¢ors Debtors and cr8d610f8 receivable or payAbl• v•ithln ono ytr•r of the reporting dale ar• ¢arrJ4tJ •1 their al ironsaction price. 2 N•t mov•m•nt In funds 2022 2021 Movement In lunds stalod aftor charglng: Foreign exchangg10$8 Audil(>rs' rgmun8ralion.' - Audit services - Audit services in respect of prior 1,541 889 13,928 4,018 13,457 5.051 3 FurKI Ral•Sng and Publlclty 2022 2021 MailsN)tg Other located suppJrt costs (Seo Note 51 87,011 44,169 3.518 134,698 75,530 51.063 3.19S 129,788 Page 15
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2022 4 Charltablg Activitles 2022 2021 Grants Proqr•mme Gifts irn kind Grants paid to Insiilulknns 1.152.210 80,403 1.857,717 76.622 1,232.613 34.598 1.934.339 42.285 76.6 Support CO8t8 of grants pro9ramme aclivty Isee Note S) A total ol 7 in51ilutions re¢glve¢J grants from MMI IUKI in 202312022.. 61. Plea$6 rèltsr to the Trustees. Raport for delall$ ol all granis pa. ost8 ol actlvltl•s In lurth•r•ne• of th• eharW• obj11¥•* 2022 66,701 28,614 2021 60,202 28.241 Education and ¢J¢velopmenl Support costs of oducalion and developmanl IS•• Nol• 51 Total Charltabl• actlvltS•8 Page 16
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2022 Support Cost• Grant Programm• Educatlon and O•vèlopmont Fundraising 2022 Salaries Occupancy costs Shipping expgn808 Loss on ltsreign exchange 996 19 8.961 166 9,957 185 23,081 23.081 1.541 Governance Costs.. L8981 and professional fe85 Audit and Acctsunllng 2,113 11.517 13.630 390 17.946 18,336 31 Docembor 2022 Support Co•1* Grnnt Programm• Educatlon and O•velopm•nt Fundralslnq 2021 Salanes Occupancy costs Shipping èxpen$es Loss on lorgign gx¢han9e Go¥•man Cosis.. 971 8,743 301 9,714 335 34,642 34,642 Legal and professional fees Audil and Accountit)g'. For rr¢nl y?ar 1,800 7.643 9,443 18,508 18,898 310ecembèr 2021 Pagè 17
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2022 Trustees remtsn•ration During 2022 and 2021 rK* Trustee received funds as l•mtr$emen1 fortravel eXse5 irKurr8d during attendance to m8etings ol the trusiees. Nts Trustee received refflun8ran during the year or paywit for othw servicès12W21.. £Nill. Employees Number of •mployees The avorago numb8r of ompkJyee6 durir¥J the w¥: 2022 Numbar 2021 Nymb•r Office and Managemènl Employmenl costs 2022 2021 We$ and 6al8ri•# 9.957 9.957 9,714 9.714 No employee was paid ¢vgr £60,C(Q during th• y•ar12071.. None). Th¢ key rnanagemont personnel are ihe Truslgos. The lolal r¥muneraUon paid lo key managomeN pwsth)nèl wa¥ £Nil12021'. £Nill. Taxatlon The company. being a regi8lwed tharty. is rb)t I1•b for ¢¢xporatson tsx In rèwt of ils 0ratn8 lor th• yèar. 9 T•91b flx•d as••tJ Cornput•r •qulpm?nt At 1 January 2022 8nd at 31 Dec•mt¢r 2022 926 D•pr•el8tlon At 1 January 2022 Charge for year At 31 Decernber 2022 926 926 Net Book Value At 31 December 2022 At 31 Decembgr 2021 Page 18
MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2022 10 0•btors 2022 2021 Other debtors Prepaymènts 10,545 80 10.62 13.546 13,626 I debtors apart Irom prgpaym8nts are finanual instrument5 measLtred at sèttl¢m•nl value. 11 Cr•ditor• Amount• falllng du• wlthln on• y•ar 2022 2021 Trade creditor3 Accruals 9,865 11.452 13.228 11,377 l eradittsrs except ae¢rual$ and tax and so(x•l ¥ecurity are flnanclal in$trumonia measured at stswemgnt value. Balanc• at 31 D6G•mb¢r 2022 B¥l•nc• at I January 2022 N•t surplus lor th• p•rf(d 12 Unr•strl¢t•d Fund¥ Ganèral reserve 1.298.805 80.908 1,379.713 13 M•mb•r' Ll•blllty The Charity is 8 company limrted by guarantee. In Ihe event ol 8 winding up. the membgrs, Ilabllity Is Ilmlted to £1. 14 Conn•cted Party Transacllon$ Two TnJsiees of the Charity IJo8eph Lam and Ruth Kendnckl assisted in th9 establishment of other Medlcal Mission IntematK)nal and Workl Chiklr*n's Fund charili&s throughout the world that Share similar vision5 and purposes as Medical Mission IntematKJnal IUKI and thoy are also on some of those other ¢hanlies' boards. HLwiever. thg Charily does rt Consol818 these fcygign enlilies in rts finonci81 slalements, as they are separate 934 ¥nblies vthh no on¢ controlling party. Ntrither were Ihere any fsnancial dèalings wlh thase en1.e$ during the y8ar. apart from those transactions. and ye&r end balances alrèady disckjsed bdow in accotdan¢& FRS 102. Page 19
MEDICAL MISSION INTERNATIONAL {UK) NOTES TO THE FINANCIAL STATEMENTS {CONTINUEDI FOR THE YEAR ENDED 31 DECEMBER 2022 14 Connected Party Tran3actlon3 Icontlnu•il) AG slated prevvJusly in No16 6 of tho Finala1 Statements. no Me<li¢al Mirysion Inlemats'onal UK Trustee rec8Nes any salary or coMFensats. Irom the Chalty. Joseph Lam and Ruth Kendrick. Trustees of the Charity, art Tru¥te83 of World Children's Flmd UK and t01ve no cornn$?bOn for Ihtsse seM¢xs. Jos8ph Lam. Trustee and Offir of the Charity, al$0 a Trustee an¢J oific¢r of MMI-US. None of thg olhei threè Trust88'$ of the Chai¢ty Is a Trustee Of Offter of MMI-US. bul, Ruth Kendnck is an p108 of MMI-US. Joseph Lam and Ruth Kendiick do ieegivg Cn$al)n lor thalr serv0$ from MMI-US. 15 Company Inl¢*rm•tion M•dical Mi55ion Inlernaik)nal IUKI is a privat• ujmpany Imited by gu8ranleo InoyF4xaièd In England Ll Wales. Page 20