2023-12-31-accounts

MEDICAL MISSION INTERNATIONAL (UK) (A company limited by guarantee)

Financial Statements

For the year ended 31 December 2023

Company Number: 4798450 Charity Number: 1099015

MEDICAL MISSION INTERNATIONAL (UK)

CONTENTS

SSSSS... 8888. gS...gg8 ._.» 9QGKwKerm ——

	Page
Trustees’ Report	1to5
Independent Auditors’ Report	6 to9
Statement of Financial Activities	10
Balance Sheet	11
Cash Flow Statement	12
NotestotheAccounts	13to20

————— SS

sss SS !!__eQ>x\vE_—

MEDICAL MISSION INTERNATIONAL (UK)

COMPANY INFORMATION

pS

Directors and Trustess	R Kendrick
	JLam
	G Poorman (resigned on 5 July 2024)
	J Poorman (resigned on 31 May 2024)
Secretary	Broadway Secretaries Limited
Company number	4798450 (incorporated in England &Wales)
Charity number	1099015
Registered office	Second Floor Office
	34 High Street
	Bromley
	Kent
	BR1 1EA
Auditors	Moore Kingston Smith LLP
	6th Floor
	9 Appold Street
	London
	EC2A 2AP
Principal Bankers	HSBC Bank PLC
	184 High Street
	Bromley
	Kent
	BR1 1HE
Solicitors	BDB Pitmans LLP
	50 Broadway
	London
	SW1HOBL

me

MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES' REPORT FOR THE YEAR ENDED 31 DECEMBER 2023 Le_

The Trustees present their annual report along with the financial statements for the year ended 31st December 2023.

The accounts have been prepared in accordance with the accounting policies set out in note 1 of the attached accounts and comply with the charity’s memorandum and articles of association, applicable laws and the requirements of Statement of Recommended Practice on “Accounting and Reporting by Charities” . The information shown on the previous page forms a part of this report.

Structure, Governance and Management

Governing document

Medical Mission International (UK) was incorporated on 13th June 2003 as a company limited by guarantee (company number: 4798450) and registered as a Charity on 15th August 2003 (registration number 1099015). It is governed by its Memorandum and Articles of Association.

Organisational structure

The strategic direction of the Charity is the responsibility of the board of trustees. The day-to-day running of the Charity is carried out by the Chief Executive, who is responsible to the board of trustees.

Trustees, appointment, induction and training

New trustees are appointed by existing trustees should they be deemed appropriate and help to fulfill any shortfall in the skill set of the board upon application. The charity shall hold an annual general meeting each year in addition to any other meetings. The trustees keep themselves updated through information obtained from external consultants and the Charity Commission, and are responsible for the induction and training of new trustees. Further training, consultation and information is made available to the trustees on an ongoing basis.

The Directors of the company are also the Trustees of the charity.

At each AGM one third of the Trustees are subject to retirement by rotation or if their number is not three or a multiple of three, the numbers nearest to one-third shall retire from office, but shall be eligible for re-election.

Remuneration Policy

The charity does employ one staff member who's pay is determined by the Board and is based on the hours worked and the prevailing market rates for the level of work that is being undertaken. Potential future increases in salary are decided and given to reflect increases in the cost of living.

As noted elsewhere in the accounts, the trustees and officers of the charity receive no remuneration or compensation for their time and services to the charity.

If the charity does decide to compensate its trustees and officers in future years, then the recommendations of the NCVO enquiry will be taken into account.

Risk Management

The Trustees have reviewed the major business, financial and strategic risks to which the charity is exposed and confirm that steps have been taken to mitigate those risks.

A fundamental risk to the charity is the potential for continued increases in expenditures on raising funds versus donation income received which would be the result of non-effective direct mailing mailshot results. To address this fundamental risk the charity is working with local marketing agencies to explore possible diversification of its current revenue stream as well as to look to achieve better returns on its mailshots. The goal is to drive down the cost of expenditure on raising funds while looking to boost and maximize donation revenues of its mailshots and other possible revenue streams which would mitigate this fundamental risk to the charity.

a

Page 1

MEDICAL MISSION INTERNATIONAL (UK)

TRUSTEES' REPORT(CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 ee eeeee—————_————————————————

Objectives and activities

We have referred to the guidance in the Charity Commission's general guidance on Public Benefit when reviewing our aims and objectives and in planning our future activities. In particular, the Trustees consider how planned activities will contribute to the aims and objectives they have set.

In light of the Charity Commission's guidance on Public Benefit, the principal object of the Charity continues to be the relief of poverty and sickness, in particular by the provision of emergency medical relief and public health services to assist disadvantaged and needy families throughout the world affected by famine, natural disaster or civil conflict.

The principal source of funding for these charitable programmes is expected to remain as income generated from direct mail appeals. The results from specific appeals have been very encouraging and the Trustees wish to thank all those who have assisted in the fundraising effort, either through the making of cash donations or by assisting in the procurement of donated goods.

Grant making policy

The trustees will continue to concentrate on the provision of emergency aid by making grants to support charitable projects providing emergency relief to assist children in disaster areas.

Applications are dealt with on receipt. Guidelines for applicants are available from the trustees. All applications for grants are reviewed by the trustees before any decision is made. The trustees may also require a visit to the applicant before deciding whether or not to make a grant.

Achievements and performance

MMI (UK) raised in excess of £2.0m during the year ended 31 December 2023 (2022: in excess of £1.5m). The majority of those resources were obtained as a result of our direct mail fund raising efforts and gifts in kind.

During this year of operations, generous United Kingdom donors enabled MMI (UK) to expend £1,711,177 (2022: £1,232,613) on our grants programme.

The programmes supported during 2023 were:

The programmes supported during 2023 were:
	£
Compassionate Franciscan Sisters ofthe Poor - Philippines	14,058
Doctors for Life Trust - Malawi / Mozambique	1,679,380
JP Clawson Medical Missions - Zimbabwe	2,495
Local Initiatives for Education - Sudan	15,244
	1,711,177

Fundraising Approach

The charity's trustees are fully aware of their individual responsibility and accountability to ensure that the charity fundraises legally, ethically, responsibly and effectively.

The charity is a levy paying member of the Fundraising Regulator and subscribe to the associated fundraising codes and practice. In addition the charity is also registered with the Information Commissioner's Office and is fully compliant with the newly enacted General Data Protection Regulation (GDPR).

The charity suppresses individual supporter records against the Mailing Preference Service, Telephone Preference Service and the Fundraising Preference Service which helps to ensure that the charity doesn't approach individuals who have expressly requested that we don't contact them. During the fiscal year Fundraising Preference Service suppression requests totaled 7.

The charity doesn't engage with any professional fundraiser or commercial participator.

Ss

Page 2

MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES' REPORT(CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023

Fundraising Approach (continued)

The charity has a published complaint procedure, available on its website and does indeed respond to enquiries and complaints in a timely fashion. As a member of the Fundraising Regulator we are required to provide annual figures on the number of complaints received during the year. Most of these contacts tend to be requests to optout of charity communications by existing supporters. These opt-out requests are administered and handled straight away to reduce any perception of unreasonable intrusion or undue pressure to support the charity.

The charity continues to diversify its income generating activities so as to reduce reliance on any single income stream. The main revenue stream for the charity is its direct mail fund raising programme coupled with gifts in kind. Regular giving programmes and legacy income are other diversified revenue streams for the charity.

COVID-19 and Cost of Living Uncertainties

The impact of COVID-19 and the ongoing Cost of Living Crisis has been considered by the trustees of the charity in regard to the charity's future plans and budgeting processes and the effect of the outbreak isnt a significant risk into the 31 December 2024 year end and up to one year on from the date of signing the accounts. It is expected that any potential decreases in revenues will be short lived and the charities reserves and asset values will enable the charity to continue normal operations through calendar 2024 and years beyond that.

It is possible that income could decrease during 2024 but any decrease in revenue would be offset by a decrease in associated expenditures.

As of June 2024 the charities employees continue to work normal hours both post and pre COVID-19 outbreak and the charities net assets are higher in June 2024, compared to December 2023. Virtually all assets of the charity are held in cash and no decreases in value are expected in regard to such.

Financial review

During the year total income amounted to £2,007,546 (2022: £1,578,132) and the charity expended a total amount of £1,951,074 (2022: £1,497,224).

The final result was a net increase in funds of £56,472 (2022: increase of £80,908).

The objectives that were set out in 2022, to be achieved in 2023, were partially met. The charity did receive funds in 2023 from legacies in the amount of £5,843 (2022: £29,769).

The cost ratio of raising funds versus donation income received decreased in 2023 compared to 2022 and this was the result of cost savings on mailing components. Donation income decreased year over year and expenditures for raising funds also decreased year over year. As was noted in last years audit the charity continued working with a local marketing agency in 2023 and that change did result in decrease in cost of raising funds in 2018, 2019, 2021 and 2023 compared to earlier years cost of raising funds. We are hopeful that we may continue the trend of reducing costs of raising funds in 2024 if inflation and the economic downturn reverses course and improves in 2024 which would allow for increases in donation revenue and to possibly explore other avenues of expanding our donation revenue stream.

eeeeee eee

Page 3

MEDICAL MISSION INTERNATIONAL (UK) TRUSTEES' REPORT(CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 eo———

Financial Review (continued)

Reserves policy

The Board has examined the requirement for free reserves which are those unrestricted funds not invested in fixed assets, designated for specific purposes or otherwise committed. The Trustees review its reserves policy annually and consider that the free reserves held by the charity should be broadly equivalent to two years of the yearly on going annual expenditures (exclusive of GIK). The Trustees decided that MMI's long-term target level of free reserves should be between £1,000,000 and £1,500,000 which would give the charity flexibility to cover temporary timing differences for donation receipts, adequate working capital for core costs, and would allow MMI to respond quickly to emergencies where immediate relief is needed.

At 31 December 2023, the free reserves of the charity amounted to £1,436,185 (2022: £1,379,713). The Board acknowledge that this falls right in line with the target free reserve minimum.

Investment policy

The investment strategy is set by the trustees. In light of the Trustees policy on reserves the trustees have reviewed their investment policy and seek to both maximise return, whilst ensuring sufficient liquidity to enable the Charity's funds to be expended for charitable purpose as soon as possible.

Plans for future periods

The principal source of funding is expected to remain as voluntary income generated from direct mail appeals to the public. The charity plans to vigorously continue its focus on:

• expanding its donor base, in order to increase the total amount of charitable programs that can be funded each year;

• • — increasing the number of donors who give to the Charity on a fixed schedule, in order to further reduce the costs of raising funds; and

• encouraging donors to consider including the Charity in their estate plans.

The Charity will continue its emergency aid shipments and financial grant programs.

Statement of trustees’ responsibilities

The trustees (who are also directors of Medical Mission International (UK) for the purposes of company law) are responsible for preparing the Trustees’ Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice.)

Company law requires trustees to prepare financial statements for each financial year which give a true and fair view of the state of the affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing these financial statements, the trustees are required to:

• select suitable accounting policies and then apply them consistently;

• • observe the methods and principles in the Charities SORP; * make judgements and estimates that are reasonable and prudent; * state whether applicable accounting standards, including FRS 102, have been followed, subject to any material departures disclosed and explained in the financial statements;

• state whether a Statement of Recommended Practice (SORP) applies and has been followed, subject to any material departures which are explained in the financial statements:

• • prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in business.

we

Page 4

MEDICAL MISSION INTERNATIONAL (UK)

TRUSTEES' REPORT(CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023

eee

Statement of trustees’ responsibilities (continued)

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safequarding the assets of the charitable company and hence far taking reasonable steps for the prevention and detection of fraud and other irregularities.

In so far as the trustees are aware:

• • there is no relevant audit information of which the charitable company’s auditor is unaware; and + the trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information.

Auditors ; Moore Kingston Smith LLP have indicated their willingness to continue in office and are deemed to be reappointed in accordance with section 487(2) of the Companies Act 2006.

Small Company Exemption These financial statements have been prepared in accordance with the provisions of Part 15 of the Companies Act 2006 relating to small companies and with the Financial Reporting 102.

, it1 Approved by the trustees on ......... [A ug Zy cccvssseseeeee. and signed on their behalf by:

----- Start of picture text -----
PY eee
2 aR a RONSREAESE RNY PEER ERENESRE NORTE
Trustee
----- End of picture text -----

I

Page 5

MEDICAL MISSION INTERNATIONAL (UK)

INDEPENDENT AUDITORS REPORT TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL FOR THE YEAR ENDED 31 DECEMBER 2023

eS-§- —

Opinion

We have audited the financial statements of Medical Mission International UK (‘the company’) for the year ended 31 December 2023 which comprise the Statement of Financial Activities, the Summary Income and Expenditure Account, the Balance Sheet, the Cash Flow Statement and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 ‘The Financial Reporting Standard Applicable in the UK and Republic of Ireland’ (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

*give a true and fair view of the state of the charitable company's affairs as at 31 December 2023 and of its incoming resources and application of resources, including its income and expenditure, for the year then ended;

shave been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and shave been prepared in accordance with the requirements of the Companies Act 2006.

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor's Responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

Page 6

MEDICAL MISSION INTERNATIONAL (UK)

INDEPENDENT AUDITORS REPORT (CONTINUED) TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL FOR THE YEAR ENDED 31 DECEMBER 2023 —————————— ee

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

the information given in the trustees’ annual report for the financial year for which the financial statements are prepared is consistent with the financial statements; and the trustees’ annual report has been prepared in accordance with applicable legal requirements.

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the company and its environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ annual report.

We have nothing to report in respect of the following matters where the Companies Act 2006 requires us to report to you if, in our opinion:

*adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or ethe financial statements are not in agreement with the accounting records and returns; or ecertain disclosures of trustees’ remuneration specified by law are not made; or

*we have not received all the information and explanations we require for our audit; or “the trustees were not entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies exemption in preparing the trustees’ annual report and from preparing a strategic report.

Responsibilities of trustees

As explained more fully in the trustees’ responsibilities statement set out on page 4, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor’s Responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

As part of an audit in accordance with ISAs (UK) we exercise professional judgement and maintain professional scepticism throughout the audit. We also:

Page 7

MEDICAL MISSION INTERNATIONAL (UK)

INDEPENDENT AUDITORS REPORT (CONTINUED) TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL FOR THE YEAR ENDED 31 DECEMBER 2023

*Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.

«Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purposes of expressing an opinion on the effectiveness of the charitable company’s internal control.

*Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the trustees.

*Conclude on the appropriateness of the trustees’ use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the charitable company’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report. However, future events or conditions may cause the charitable company to cease to continue as a going concern.

«Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation.

We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

Explanation as to what extent the audit was considered capable of detecting irregularities, including fraud

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.

The objectives of our audit in respect of fraud, are; to identify and assess the risks of material misstatement of the financial statements due to fraud; to obtain sufficient appropriate audit evidence regarding the assessed risks of material misstatement due to fraud, through designing and implementing appropriate responses to those assessed risks; and to respond appropriately to instances of fraud or suspected fraud identified during the audit. However, the primary responsibility for the prevention and detection of fraud rests with both management and those charged with governance of the charitable company.

Our approach was as follows:

*We obtained an understanding of the legal and regulatory requirements applicable to the charitable company and considered that the most significant are the Companies Act 2006, the Charities Act 2011, the Charity SORP, and UK financial reporting standards as issued by the Financial Reporting Council.

‘We obtained an understanding of how the charitable company complies with these requirements by discussions with management and those charged with governance.

Page 8

MEDICAL MISSION INTERNATIONAL (UK)

INDEPENDENT AUDITORS REPORT (CONTINUED) TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL FOR THE YEAR ENDED 31 DECEMBER 2023 Degg ggg... “We assessed the risk of material misstatement of the financial statements, including the risk of material misstatement due to fraud and how it might occur, by holding discussions with management and those charged with governance.

‘We inquired of management and those charged with governance as to any known instances of noncompliance or suspected non-compliance with laws and regulations.

*Based on this understanding, we designed specific appropriate audit procedures to identify instances of non-compliance with laws and regulations. This included making enquiries of management and those charged with governance and obtaining additional corroborative evidence as required.

There are inherent limitations in the audit procedures described above. We are less likely to become aware of instances of non-compliance with laws and regulations that are not closely related to events and transactions reflected in the financial statements. Also, the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion.

Use of our report

This report is made solely to the charitable company's members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the company’s members those matters we are required to state to them in an auditor's report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to any party other than the charitable company and charitable company's members as a body, for our audit work, for this report, or for the opinions we have formed.

\V Doc? RAa . ANWKAVA. Shs x ee siesaine hs ‘i , a Jonathan Aikens (Senior Statutory Auditor) for and on behalf of Moore Kingston Smith LLP, Statutory Auditor

Date: 7 August 2024

6" Floor 9 Appold Street London EC2A 2AP

Page 9

MEDICAL MISSION INTERNATIONAL (UK)

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 DECEMBER 2023

		Unrestricted	Funds
		2023	2022
	Note	£	£
Income
Donations and legacies
Donations Gift aid repayment claims		295,776 45,110	342,887 50,563
Legacies		5,843	29,769
Gifts in Kind		1,642,170	1,152,210
Investment income: Bank interest		18,647	2,703
Total Income		2,007,546	1,578,132
Expenditure on:
Raising funds	3	111,095	134,698
Charitable activities	4	1,839,979	1,362,526
Total Expenditure		1,951,074	1,497,224
Net movement in funds	2	56,472	80,908
Total Funds Brought Forward		1,379,713	1,298,805
TotalFundsCarriedForward	12	1,436,185	1,379,713

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

All income and expenditure derive from continuing operations.

All income expenditure relate to unrestricted funds.

The notes on the accompanying pages form a part of these financial statements.

Page 10

BALANCE SHEET AS AT 31 DECEMBER 2023

IB00

MEDICAL MISSION INTERNATIONAL (UK)

----- Start of picture text -----
||||||| |---|---|---|---|---|---| |Note|2023|2022| |£|£|£|£| |Fixed|Assets| |Tangible|fixed|assets|9|-|-| |Current Assets| |Debtors|10|11,248|10,625| |Cash|at bank and|in|hand|1,450,681|1,390,205| |1,461,929|1,400,830| |Creditors:|Amounts|falling|due| |within|one year|11|(25,744)|(21,117)| |Net Current Assets|1,436,185|1,379,713| |Total|Net Assets|1,436,185|1,379,713| |Funds| |Unrestricted funds|12|1,436,185|1,379,713|

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

These financial statements have been prepared in accordance with the provisions applicable to companies subject to the small companies regime within Part 15 of the Companies Act 2006.

The notes on the accompanying pages form a part of these financial statements.

Approved by, and authorised for distribution, the Board of Trustees on ........0....0824 oh. Ren and signed on their behalf by:

----- Start of picture text -----
f;//
R. Kendrick\/
Trustee
----- End of picture text -----

Company Registration No. 04798450

I

Page 11

MEDICAL MISSION INTERNATIONAL (UK)

CASH FLOW STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2023

eeeee

----- Start of picture text -----
||||||||||| |---|---|---|---|---|---|---|---|---|---| |2023|2022| |£|£| |Cash|flows|from|operating|activities| |Net|Income|56,472|80,908| |Adjustments|for:| |Interest|received|(18,647)|(2,703)| |Decrease/|(increase)|in|debtors|(623)|3,001| |(Decrease)/|increase|in|creditors|4,627|(3,488)| |Net|cash|(used|in)|/ generated|by operating|activities|41,829|77,718| |Cash|flows|from|investing|activities| |Interest|received|18,647|2,703| |Net|cash|from|investing|activities|18,647|2,703| |Change|in|cash|and|cash|equivalents|in|the year|60,476|80,421| |Cash|and|cash|equivalents|at|beginning|of year|1,390,205|1,309,784| |Cash|and|cash|equivalents|at|end|of year|1,450,681|1,390,205|

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

Analysis of changes in net debt

----- Start of picture text -----
||||||||||| |---|---|---|---|---|---|---|---|---|---| |At1 January|Cashflows|Foreign|At|31| |2023|Exchange|December| |Movements|2023| |£|£|£|£| |Cash|at|bank|and|in|hand|1,390,205|60,476|.|1,450,681| |1,390,205|60,476|-|1,450,681|

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

NEeeeeeeeeeeeeeeeeeeeeEeEeEeEeEeeee

Page 12

MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2023

• 1 Accounting Policies

A summary of the principal accounting policies adopted, judgements and key sources of estimation uncertainty are set out below.

Basis of Preparation of the Financial Statements

The financial statements have been prepared in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102). The charitable company is a public benefit entity for the purposes of FRS 102 and a registered charity established as a company limited by guarantee and therefore has also prepared its financial statements in accordance with the 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 (The FRS 102 Charities SORP), the Companies Act 2006 and Charities Act 2011.

The financial statements are prepared in sterling, which is the functional currency of the charity, rounded to the nearest pound.

Going concern

The trustees have assessed whether the use of going concern and have considered possible events or conditions that might cast significant doubt on the ability of the charitable company to continue as a going concern. The trustees have made this assessment for a period of at least one year from the date of the approval of these financial statements. In particular, the trustees have considered the charitable company’s forecasts and projections and have taken account of pressures on donations. After making enquiries, the trustees have concluded that there is a reasonable expectation that the charitable company will have adequate resources to continue in operational existence for the foreseeable future. The charitable company therefore continues to adopt the going concern basis in preparing its financial statements.

Donation Income

Income is included on an accruals basis except that donations under gift aid together with the associated income tax recoveries are credited as income when the donations are received.

Legacy Income

Legacies are recognised in the statement of financial activities when the charity has entitlement, there is a more probable than not chance of receipt, and their value can be accurately measured.

Gifts-in-Kind

Income in the form of gifts in kind are included in the Statement of Financial Activities only when assets donated to the charity are distributed. Gifts in kind are donations of commodities directly usable in charitable programmes such as food, clothing and medical supplies. The value of gifts in kind recognised in income and the corresponding amounts recognised as charitable expenditure is based on wholesale prices provided by a leading supplier of medicines.

Gift Aid Repayments

Income from gift aid repayment claims is only included for claims which have been submitted for tax periods ending on or before the year end and when the receipt of this income is more probable than not.

e ee

e.nn eee

Page 13

MEDICAL MISSION INTERNATIONAL (UK)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023

a

Accounting Policies (continued)

Expenditure

Expenditure, which is charged on an accruals basis, is allocated between:

• expenditure incurred directly in the effort to raise voluntary contributions (cost of raising funds); and

• © expenditure incurred directly to the fulfilment of the charity's objectives (charitable expenditure).

Charitable activities comprises all the expenditure incurred by the charity in meeting its charitable objectives and is further analysed between:

© grants payable in the furtherance of the charity's objectives o costs of activities in furtherance of the charity's objectives o support costs of the charity Where items of expenditure involve more than one cost category these costs have been apportioned on a reasonable basis as determined by the trustees. One particular area where the cost is material to the charity is in the production and distribution of the mail shots.

One of the purposes of the mail shot is to develop a database of names of people with a particular interest in the activities of the charity and its charitable objects.

Furthermore the expenditure has been allocated on the basis of whether the educational content of the individual mail shot is significantly high enough so as to be material. When this holds true the cost of the mail shot is allocated on a pro-rata basis comparing the educational content (costs in furtherance of the charity's objects) to the fund raising content (costs of generating funds). The educational content is determined by the amount of text on each mail shot that is dedicated to material of an educational nature.

Fund raising expenditure i.e. text that may induce a donation from the recipient, is allocated upon the basis of the volume of the text and space that is not related to text of an educational nature.

Support costs comprise all other overhead costs for the running of the charity as an organisation and the costs primarily associated with the constitutional and statutory requirements.

Fund Accounting

Unrestricted funds are reserves derived from donations and other income received or generated for expenditure on the general objectives of the charity.

Foreign Currencies

Transactions in foreign currencies are translated at the exchange rate ruling at the date of the transaction, the average rate being used as an approximation to this rate. Monetary assets and liabilities in foreign currencies are translated at the rates of exchange ruling at the balance sheet date. All exchange differences are dealt with through the statement of financial activities.

Tangible Fixed Assets and Depreciation

Depreciation is calculated to write down the cost less estimated residual value of all tangible fixed assets held for charity use by equal annual installments over their expected useful economic lives. The rates generally applicable are:

Office equipment, fixtures and fittings

3 years straight line

All tangible fixed assets costing more than £250 are capitalised at their cost to the charity.

Neeeeeee ee ene,

Page 14

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023

MEDICAL MISSION INTERNATIONAL (UK)

a

Critical accounting estimates and areas of judgement

In the view of the trustees in applying the accounting policies adopted, no judgements were required other than the gift in kind detailed in the Accounting Policies that have a significant effect on the amounts recognised in the financial statements nor do any estimates or assumptions made carry a significant risk of material adjustment in the next financial year.

Other financial instruments

i. Cash and cash equivalents

• Cash and cash equivalents include cash at banks and in hand and short term deposits with a maturity date of three months or less.

ii. Debtors and creditors

Debtors and creditors receivable or payable within one year of the reporting date are carried at their at transaction price.

2 Net movement in funds

Net movement in funds	2023	2022
	£	£
Movement in funds stated after charging:
Foreign exchange loss	733	1,541
Auditors’remuneration:
- Audit services	15,000	13,928
- Audit services in respect of prior year	9,394	4,018
- Non audit services	1,200	-
Fund Raising and Publicity	2023	2022
	£	£
Mailshots Other	68,905 38,920	87,011 44,169
Allocated support costs (See Note 5)	3,270	3,518
	111,095	134,698

3 Fund Raising and Publicity

iee Page 15

MEDICAL MISSION INTERNATIONAL (UK)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 SeeS

4 Charitable Activities

----- Start of picture text -----
|||||||||| |---|---|---|---|---|---|---|---|---| |2023|2022| |Grants|Programme|£|£| |Gifts|in|kind|1,642,170|1,152,210| |Grants|paid|to|institutions|69,007|80,403| |1,711,177|1,232,613| |Support|costs|of grants|programme|activity (See|Note|5)|41,507|34,598|

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

Costs of activities in furtherance of the charity's objectives

----- Start of picture text -----
||||||||||| |---|---|---|---|---|---|---|---|---|---| |2023|2022| |£|£| |Education|and|development|51,246|66,701| |Support|costs|of education|and|development|(See|Note|5)|36,049|28,614| |87,295|95,315| |Total|Charitable|activities|1,839,979|1,362,526|

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

—_——

OO —nn—nn———EEaEa=a--====_=————————

Page 16

MEDICAL MISSION INTERNATIONAL (UK)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023 aee

5	Support Costs
			Grant	Education and
		Fundraising	Programme	Development	2023
		£	£	£	£
	Salaries Occupancy costs	1,062 18	- .	9,555 167	10,617 185
	Shipping expenses		29,799	-	29,799
	Loss on foreign	:	-	733	733
	exchange
	Governance Costs:
	Eres ane professional fees	1,800	11,708	:	13,508
	aude Accounting	390	.	25,594	25,984
	31 December2023	3,270	41,507	36,049	80,826
	Support Costs
			Grant	Education and
		Fundraising	Programme	Development	2022
		£	£	£	£
	Salaries Occupancy costs	996 19	- -	8,961 166	9,957 185
	Shipping expenses		23,081	-	23,081
	Loss on foreign exchange		-	1,541	1,541
	Governance Costs:
	egop ete professional fees	2,113	41,517	-	13,630
	Audit and Accounting	390	:	17,946	18,336
	31 December 2022	3,518	34,598	28,614	66,730
SEE eee

Page 17

MEDICAL MISSION INTERNATIONAL (UK) NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023

2_==SeaeSl_———————S——

6 Trustees remuneration

During 2023 and 2022 no Trustee received funds as reimbursement for travel expenses incurred during attendance to meetings of the trustees.

No Trustee received remuneration during the year or payment for other services (2022: ENil).

7 Employees Number of employees

The average number of employees during the year was:

----- Start of picture text -----
2023 2022
Number Number
Office and Management 1 1
Employment costs 2023 2022
£ £
Wages and salaries 10,617 9,957
10,617 9,957
----- End of picture text -----

No employee was paid over £60,000 during the year (2022: None). The key management personnel are the Trustees.

The total remuneration paid to key management personnel was ENil (2022: £Nil).

8 Taxation

The company, being a registered charity, is not liable for corporation tax in respect of its operations for the year.

9 Tangible fixed assets

Computer equipment £

Cost At 1 January 2023 and at 31 December 2023 926 Depreciation At 1 January 2023 926 Charge for year - At 31 December 2023 926 Net Book Value At 31 December 2023 - At 31 December 2022 -

ESeee eee ————————EE

Page 18

MEDICAL MISSION INTERNATIONAL (UK)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023

10	Debtors	2023	2022
		£	£
	Other debtors	11,168	10,545
	Prepayments	80 11,248	80 10,625

All debtors apart from prepayments are financial instruments measured at settlement value.

11	Creditors	: Amounts falling due within one year	2023	2022
			£	£
	Trade creditors		10,468	9,665
	Accruals		15,276 25,744	11,452 21,117

All creditors except accruals and tax and social security are financial instruments measured at settlement value.

				Balance at 31
		Balance at 1	Net surplus for	December
12	Unrestricted Funds	January 2023	the period	2023
		£	£	£
	Generalreserve	1,379,713	56,472	1,436,185

13 Members’ Liability The Charity is a company limited by guarantee. In the event of a winding up, the members’ liability is limited to £1.

14 Connected Party Transactions

Two Trustees of the Charity (Joseph Lam and Ruth Kendrick) assisted in the establishment of other Medical Mission International and World Children's Fund charities throughout the world that share similar visions and purposes as Medical Mission International (UK) and they are also on some of those other charities' boards. However, the Charity does not consolidate these foreign entities in its financial statements, as they are separate legal entities with no one controlling party. Neither were there any financial dealings with these entities during the year, apart from those transactions, and year end balances already disclosed below in accordance with FRS 102.

Page 19

MEDICAL MISSION INTERNATIONAL (UK)

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2023

se ee SSS

14 Connected Party Transactions (continued)

As stated previously in Note 6 of the Financial Statements, no Medical Mission International UK Trustee receives any salary or compensation from the Charity.

Joseph Lam and Ruth Kendrick, Trustees of the Charity, are also Trustees of World Children's Fund UK and receive no compensation for those services.

Joseph Lam, Trustee and Officer of the Charity, is also a Trustee and Officer of MMI-US. None of the other three Trustee's of the Charity is a Trustee or Officer of MMI-US, but, Ruth Kendrick is an employee of MMI-US. Joseph Lam and Ruth Kendrick do receive compensation for their services from MMI-US.

15 Company information

Medical Mission International (UK) is a private company limited by guarantee incorporated in England and Wales.

—————

En

aaE——__D__s———

Page 20