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

## Financial Statements 

For the year ended 31 December 2024 

Company Number: 4798450 Charity Number: 1099015 



MEDICAL MISSION INTERNATIONAL (UK) 

## CONTENTS 

||Page|
|---|---|
|Trustees' Report|1 to 5|
|Independent Auditors' Report|6 to 9|
|Statement of Financial Activities|10|
|Balance Sheet|11|
|Cash Flow Statement|12|
|Notes to the Accounts|13 to 20|





MEDICAL MISSION INTERNATIONAL (UK) 

## COMPANY INFORMATION 

|Directors and Trustess|R Kendrick|
|---|---|
||J Lam|
||O Kostenko|
||V Yakusheva|
|Secretary|Broadway Secretaries Limited|
|Company number|4798450 (incorporated in England & Wales)|
|Charity number|1099015|
|Registered office|1 Elmfield Park|
||Bromley|
||Kent|
||BR1 1LU|
|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|
||SW1H OBL|





## MEDICAL MISSION INTERNATIONAL (UK) 

## TRUSTEES' REPORT 

## FOR THE YEAR ENDED 31 DECEMBER 2024 

The Trustees present their annual report along with the financial statements for the year ended 31st December 2024. 

The accounts have been prepared in accordance with the accounting policies set out in note 1 of the attached accounts and comply with the BG@PHRW]Q memorandum and articles of association, applicable laws and the requirements of Statement of Recommended Practice on Z/BBMSLRHLF and Reporting by 1G@PHRHDQ[ . 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 UGM]Q 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. 

Page 1 



## MEDICAL MISSION INTERNATIONAL (UK) 

## TRUSTEES' REPORT(CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2024 

## Objectives and activities 

We have referred to the guidance in the Charity 1MKKHQQHML]Q 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 £1.2m during the year ended 31 December 2024 (2023: in excess of £2.0m). 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 £922,742 (2023: £1,711,177) on our grants programme. 

The programmes supported during 2024 were: 

|The programmes supported during 2024 were:||
|---|---|
|International Church of the Foursquare Gospel<br>Doctors for Life Trust - Malawi / Mozambique<br>BESTWA, Inc. - Liberia<br>Partners in Harvest Iris Africa - Malawi<br>Local Initiatives for Education - Sudan<br>Compassionate Franciscan Sisters of the Poor - Philippines|£<br>804,199<br>11,962<br>28,961<br>1,927<br>12,546<br>63,147|
||922,742|



## 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 1MKKHQQHMLDP]Q 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 CMDQL]R approach individuals who have expressly requested that we CML]R contact them. During the fiscal year Fundraising Preference Service suppression requests totaled 10. 

=GD BG@PHRW CMDQL]R DLF@FD UHRG @LW NPMEDQQHML@J ESLCP@HQDP MP BMKKDPBH@J N@PRHBHN@RMP& 

Page 2 



## MEDICAL MISSION INTERNATIONAL (UK) 

TRUSTEES' REPORT(CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2024 

## 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. 

## Financial review 

During the year total income amounted to £1,255,622 (2023: £2,007,546) and the charity expended a total amount of £1,128,504 (2023: £1,951,074). 

The final result was a net increase in funds of £127,118 (2023: increase of £56,472). 

The objectives that were set out in 2023, to be achieved in 2024, were partially met. The charity did receive funds in 2024 from legacies in the amount of £40,793 (2023: £5,843). 

The cost ratio of raising funds versus donation income received increased slightly in 2024 compared to 2023 and this was the result of cost increases due to inflation coupled with decrease in donation income. 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 2024 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 2025 if inflation and the economic downturn reverses course and improves in 2025 which would allow for increases in donation revenue and to possibly explore other avenues of expanding our donation revenue stream. 

Page 3 



## MEDICAL MISSION INTERNATIONAL (UK) 

## TRUSTEES' REPORT(CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2024 

## 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 £1,200,000 and £1,600,000 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 2024, the free reserves of the charity amounted to £1,563,303 (2023: £1,436,185). 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 1G@PHRW]Q 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: 

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

- X 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 

- X 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 PDQNMLQHAJD EMP NPDN@PHLF RGD =PSQRDDQ] ;DNMPR @LC RGD EHL@LBH@J QR@RDKDLRQ HL @BBMPC@LBD UHRG @NNJHB@AJD J@U @LC 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: 

- X select suitable accounting policies and then apply them consistently; 

- X observe the methods and principles in the Charities SORP; 

- X make judgements and estimates that are reasonable and prudent; 

- X state whether applicable accounting standards, including FRS 102, have been followed, subject to any material departures disclosed and explained in the financial statements; 

- X 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: 

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

Page 4 



MEDICAL MISSION INTERNATIONAL (UK)
TRUSTEES, REPORTICONTINUED)
FOR THE YEAR ENDED 31 DECEMBER 2024
Statement of tru5toes' re8pon8lbllltles Icofflinue<ll
The trustees are rtsponsibFe for keeping proper accounting records that disdose wth reasonable a￿UraCY at any
time tre finanaal position of the Charitab￿ wmpany and enabl8 them to en$￿￿ that the finano81 ststements comply
with U)e CompaTriEs Act 2006. They are also ￿sponSible for safeguarding tt)e asset5 of tha Charitab￿ company and
hen￿ fortaking reasonabl8 8taps for the prevernt￿n and detection of fraud and other irregularities.
In so far as the trustees are awar8.'
there is no re￿vant audit infotrn8tion of whid) the eharitable company's auditor is unawdre", and
the trustees have taken all Steps that they ought to have taken trj make themselve5 aware of any relevant audit
information and to eSta￿lsh that the auditor is awdf8 of that infomiation.
Audlto
Moore ￿ngston Smith LLP have indicated thair wllingness to continue in offi￿ and a￿ deeff*d to b8 rgappointsd in
accordance with section 487121 of thg Companies A¢t 2006.
Small Company Exgmptlon
Thes8 fin8naal ststements have been prepared in accordan￿ with the prowsion5 of Part 15 of the Cornpan￿ Act
2006 relating to small companies and with the Finanual Reporting 102.
Approv8d
and syned on Iheir behalf by..
R. Kendrick
Tru5tea
Page 5

MEDICAL MISSION INTERNATIONAL (UK) 

INDEPENDENT AUDITORS REPORT TO THE MEMBERS OF MEDICAL MISSION INTERNATIONAL FOR THE YEAR ENDED 31 DECEMBER 2024 

## Opinion 

?D G@TD @SCHRDC RGD EHL@LBH@J QR@RDKDLRQ ME 9DCHB@J 9HQQHML 7LRDPL@RHML@J >8 "\RGD BMKN@LW]# EMP RGD year ended 31 December 2024 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, HLBJSCHLF 4;< (') \=GD 4HL@LBH@J ;DNMPRHLF <R@LC@PC /NNJHB@AJD HL RGD >8 @LC ;DNSAJHB ME 7PDJ@LC] (United Kingdom Generally Accepted Accounting Practice). 

## In our opinion the financial statements: 

XF!HTD @ RPSD @LC E@HP THDU ME RGD QR@RD ME RGD BG@PHR@AJD BMKN@LW]Q @EE@HPQ @Q @R *( 2DBDKADP )')+ @LC of its incoming resources and application of resources, including its income and expenditure, for the year then ended; 

XG!@TD ADDL NPMNDPJW NPDN@PDC HL @BBMPC@LBD UHRG >LHRDC 8HLFCMK 5DLDP@JJW /BBDNRDC /BBMSLRHLF Practice; and 

XG!@TD ADDL NPDN@PDC HL @BBMPC@LBD UHRG RGD PDOSHPDKDLRQ ME RGD 1MKN@LHDQ /BR )'',& 

## Basis for opinion 

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and @NNJHB@AJD J@U& :SP PDQNMLQHAHJHRHDQ SLCDP RGMQD QR@LC@PCQ @PD ESPRGDP CDQBPHADC HL RGD /SCHRMP]Q 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 RGD EHL@LBH@J QR@RDKDLRQ HL RGD >8$ HLBJSCHLF RGD 4;1]Q 3RGHB@J <R@LC@PC$ @LC UD G@TD ESJEHJJDC MSP 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 

7L @SCHRHLF RGD EHL@LBH@J QR@RDKDLRQ$ UD G@TD BMLBJSCDC RG@R RGD RPSQRDDQ] SQD ME RGD FMHLF BMLBDPL 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 QR@RDKDLRQ @LC MSP @SCHRMP]Q PDNMPR RGDPDML& =GD RPSQRDDQ @PD PDQNMLQHAJD EMP RGD MRGDP HLEMPK@RHML 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 2024 

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: 

XR!GD HLEMPK@RHML FHTDL HL RGD RPSQRDDQ] @LLS@J PDNMPR EMP RGD EHL@LBH@J WD@P EMP UGHBG RGD EHL@LBH@J statements are prepared is consistent with the financial statements; and 

XR!GD RPSQRDDQ] @LLS@J PDNMPR G@Q ADDL NPDN@PDC HL @BBMPC@LBD UHRG @NNJHB@AJD JDF@J PDOSHPDKDLRQ& 

## 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 BMSPQD ME RGD @SCHR$ UD G@TD LMR HCDLRHEHDC K@RDPH@J KHQQR@RDKDLRQ HL RGD RPSQRDDQ] @LLS@J PDNMPR& 

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: 

X@!CDOS@RD @BBMSLRHLF PDBMPCQ G@TD LMR ADDL IDNR$ MP PDRSPLQ @CDOS@RD EMP MSP @SCHR G@TD LMR ADDL received from branches not visited by us; or 

XR!GD EHL@LBH@J QR@RDKDLRQ @PD LMR HL @FPDDKDLR UHRG RGD @BBMSLRHLF PDBMPCQ @LC PDRSPLQ. MP XB!DPR@HL CHQBJMQSPDQ ME RPSQRDDQ] PDKSLDP@RHML QNDBHEHDC AW J@U @PD LMR K@CD. MP XU!D G@TD LMR PDBDHTDC @JJ RGD HLEMPK@RHML @LC DVNJ@L@RHMLQ UD PDOSHPD EMP MSP @SCHR. MP XR!GD RPSQRDDQ UDPD LMR DLRHRJDC RM NPDN@PD RGD EHL@LBH@J QR@RDKDLRQ HL @BBMPC@LBD UHRG RGD QK@JJ BMKN@LHDQ PDFHKD @LC R@ID @CT@LR@FD ME RGD QK@JJ BMKN@LHDQ DVDKNRHML HL NPDN@PHLF RGD RPSQRDDQ] annual report and from preparing a strategic report. 

## Responsibilities of trustees 

/Q DVNJ@HLDC KMPD ESJJW HL RGD RPSQRDDQ] PDQNMLQHAHJHRHDQ QR@RDKDLR QDR MSR ML N@FD +$ RGD RPSQRDDQ "UGM 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 BMKN@LW]Q @AHJHRW RM BMLRHLSD @Q @ FMHLF BMLBDPL$ CHQBJMQHLF$ @Q @NNJHB@AJD$ K@RRDPQ PDJ@RDC RM FMHLF 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 @PD EPDD EPMK K@RDPH@J KHQQR@RDKDLR$ UGDRGDP CSD RM EP@SC MP DPPMP$ @LC RM HQQSD @L @SCHRMP]Q PDNMPR 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 2024 

X7!CDLRHEW @LC @QQDQQ RGD PHQIQ ME K@RDPH@J KHQQR@RDKDLR ME RGD EHL@LBH@J QR@RDKDLRQ$ UGDRGDP CSD RM 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. 

X:!AR@HL @L SLCDPQR@LCHLF ME HLRDPL@J BMLRPMJ PDJDT@LR RM RGD @SCHR HL MPCDP RM CDQHFL @SCHR NPMBDCSPDQ that are appropriate in the circumstances, but not for the purposes of expressing an opinion on the DEEDBRHTDLDQQ ME RGD BG@PHR@AJD BMKN@LW]Q HLRDPL@J BMLRPMJ& 

X3!T@JS@RD RGD @NNPMNPH@RDLDQQ ME @BBMSLRHLF NMJHBHDQ SQDC @LC RGD PD@QML@AJDLDQQ ME @BBMSLRHLF estimates and related disclosures made by the trustees. 

X1!MLBJSCD ML RGD @NNPMNPH@RDLDQQ ME RGD RPSQRDDQ] SQD ME RGD FMHLF BMLBDPL A@QHQ ME @BBMSLRHLF @LC$ based on the audit evidence obtained, whether a material uncertainty exists related to events or BMLCHRHMLQ RG@R K@W B@QR QHFLHEHB@LR CMSAR ML RGD BG@PHR@AJD BMKN@LW]Q @AHJHRW RM BMLRHLSD @Q @ FMHLF concern. If we conclude that a material uncertainty exists, we are required to draw attention in our @SCHRMP]Q PDNMPR RM RGD PDJ@RDC CHQBJMQSPDQ HL RGD EHL@LBH@J QR@RDKDLRQ MP$ HE QSBG CHQBJMQSPDQ @PD inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the C@RD ME MSP @SCHRMP]Q PDNMPR& 6MUDTDP$ ESRSPD DTDLRQ MP BMLCHRHMLQ K@W B@SQD RGD BG@PHR@AJD BMKN@LW RM cease to continue as a going concern. 

X3!T@JS@RD RGD MTDP@JJ NPDQDLR@RHML$ QRPSBRSPD @LC BMLRDLR ME RGD EHL@LBH@J QR@RDKDLRQ$ HLBJSCHLF RGD 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: 

X?! D MAR@HLDC @L SLCDPQR@LCHLF ME RGD JDF@J @LC PDFSJ@RMPW PDOSHPDKDLRQ @NNJHB@AJD RM RGD BG@PHR@AJD 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. 

X?! D MAR@HLDC @L SLCDPQR@LCHLF ME GMU RGD BG@PHR@AJD BMKN@LW BMKNJHDQ UHRG RGDQD PDOSHPDKDLRQ AW 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 2024 

X?! D @QQDQQDC RGD PHQI ME K@RDPH@J KHQQR@RDKDLR ME RGD EHL@LBH@J QR@RDKDLRQ$ HLBJSCHLF RGD PHQI ME material misstatement due to fraud and how it might occur, by holding discussions with management and those charged with governance. 

X?! D HLOSHPDC ME K@L@FDKDLR @LC RGMQD BG@PFDC UHRG FMTDPL@LBD @Q RM @LW ILMUL HLQR@LBDQ ME LML% compliance or suspected non-compliance with laws and regulations. 

X0!@QDC ML RGHQ SLCDPQR@LCHLF$ UD CDQHFLDC QNDBHEHB @NNPMNPH@RD @SCHR NPMBDCSPDQ RM HCDLRHEW HLQR@LBDQ 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 KHFGR QR@RD RM RGD BMKN@LW]Q KDKADPQ RGMQD K@RRDPQ UD @PD PDOSHPDC RM QR@RD RM RGDK HL @L @SCHRMP]Q 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. 

9 September 2025 

Page 9 



## MEDICAL MISSION INTERNATIONAL (UK) 

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 DECEMBER 2024 

## Unrestricted Funds 

|Note<br>Income<br>Donations and legacies<br>Donations<br>Gift aid repayment claims<br>Legacies<br>Gifts in Kind<br>Investment income: Bank interest<br>Total Income<br>Expenditure on:<br>Raising funds<br>3<br>Charitable activities<br>4<br>Total Expenditure<br>Net movement in funds<br>2<br>Total Funds Brought Forward<br>Total Funds Carried Forward<br>12|2024<br>£<br>280,260<br>42,078<br>40,793<br>867,346<br>25,145<br>1,255,622<br>108,897<br>1,019,607<br>1,128,504<br>127,118<br>1,436,185<br>1,563,303|2023<br>£<br>295,776<br>45,110<br>5,843<br>1,642,170<br>18,647|
|---|---|---|
|||2,007,546|
|||111,095<br>1,839,979|
|||1,951,074|
|||56,472<br>1,379,713|
|||1,436,185|



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 



MEDICAL MISSION INTERNATIONAL (UK)
BALANCE SHEET
AS AT 31 DECEMBER 2024
2024
2023
Fixed Assets
Tangible fixed asséts
Current Assets
Debtors
Cash * bank and in hand
10
13,422
1,579,927
1,593,349
11,248
1,450,681
1,461,929
Creditors.. Amounts falling due
within on• yèar
11
30,0461
25,744
Net CurrentAssets
1,563.303
1,436,185
Total Net Assets
1,563,303
1,436.185
Funds
Unrestrieted fvnds
12
1.563,303
1,436,185
These finanrial ststements have been prepared in accordance wth tha provisions appli(3ble to
companies subject tts the Small companies regime wichin Part 15 ofthe Companies Act 2006.
The notes on the accompanwng pages fo¥m a part of these finaneial 8tateme
Approved by, and authorised for distrsbution. the Board of Tru8tees on ........
and signed on their beha￿ by..
ndrick
Truste•
Company R•gistration No. 04798450
Page11

## MEDICAL MISSION INTERNATIONAL (UK) 

## CASH FLOW STATEMENT 

FOR THE YEAR ENDED 31 DECEMBER 2024 

|Cash flows from operating activities<br>Net Income<br>Adjustments for:<br>Interest received<br>Decrease/ (increase) in debtors<br>(Decrease)/ increase in creditors<br>Net cash (used in) / generated by operating activities<br>Cash flows from investing activities<br>Interest received<br>Net cash from investing activities<br>Change in cash and cash equivalents in the year<br>Cash and cash equivalents at beginning of year<br>Cash and cash equivalents at end of year|2024<br>£<br>127,118<br>(25,145)<br>(2,174)<br>4,302<br>104,101<br>25,145<br>25,145<br>129,246<br>1,450,681<br>1,579,927|2023<br>£<br>56,472<br>(18,647)<br>(623)<br>4,627|
|---|---|---|
|||41,829|
|||18,647|
|||18,647|
|||60,476<br>1,390,205|
|||1,450,681|



## Analysis of changes in net debt 

|Cash at bank and in hand|At 1 January<br>2024<br>Cashflows<br>Foreign<br>Exchange<br>Movements<br>At 31<br>December<br>2024<br>£<br>£<br>£<br>£<br>1,450,681<br>129,246<br>-<br>1,579,927<br>1,450,681<br>129,246<br>-<br>1,579,927|
|---|---|



Page 12 



## MEDICAL MISSION INTERNATIONAL (UK) 

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

## 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 BMKN@LW]Q 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. 

Page 13 



NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2024 

## MEDICAL MISSION INTERNATIONAL (UK) 

## 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 

- ^ costs of activities in furtherance of the charity's objectives 

- ^ 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. 

Page 14 



## MEDICAL MISSION INTERNATIONAL (UK) 

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2024 

## 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 

||||
|---|---|---|
|2<br>Net movement in funds<br>Movement in funds stated after charging:<br>Foreign exchange loss<br>Auditors' remuneration:<br>- Audit services<br>- Audit services in respect of prior year<br>- Non audit services<br>3<br>Fund Raising and Publicity<br>Mailshots<br>Other<br>Allocated support costs (See Note 5)|2024<br>£<br>399<br>15,000<br>4,260<br>1,260<br>2024<br>£<br>59,207<br>35,790<br>13,900<br>108,897|2023<br>£<br>733<br>15,000<br>9,394<br>1,200|
|||2023<br>£<br>68,905<br>38,920<br>3,270|
|||111,095|



~~Page 15~~ 



## MEDICAL MISSION INTERNATIONAL (UK) 

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2024 

## 4 Charitable Activities 

|Grants Programme<br>Gifts in kind<br>Grants paid to institutions<br>Support costs of grants programme activity (See Note 5)|2024<br>2023<br>£<br>£<br>867,346<br>1,642,170<br>55,396<br>69,007<br>922,742<br>1,711,177<br>20,922<br>41,507<br>943,664<br>1,752,684|
|---|---|



Costs of activities in furtherance of the charity's objectives 

|Costs of activities in furtherance of the charity's objectives|||
|---|---|---|
|Education and development<br>Support costs of education and development (See Note 5)<br>Total Charitable activities|2024<br>£<br>44,375<br>31,568<br>75,943<br>1,019,607|2023<br>£<br>51,246<br>36,049|
|||87,295|
||||
|||1,839,979|



Page 16 



## MEDICAL MISSION INTERNATIONAL (UK) 

## NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2024 

|5<br>Support Costs<br>Salaries<br>Occupancy costs<br>Shipping expenses<br>Loss on foreign<br>exchange<br>Governance Costs:<br>Legal and<br>professional fees<br>Audit and<br>Accounting<br>31 December 2024<br>Support Costs<br>Salaries<br>Occupancy costs<br>Shipping expenses<br>Loss on foreign<br>exchange<br>Governance Costs:<br>Legal and<br>professional fees<br>Audit and<br>Accounting<br>31 December 2023|£<br>1,163<br>20<br>-<br>12,316<br>401<br>13,900<br>£<br>1,062<br>18<br>-<br>1,800<br>390<br>3,270<br>Fundraising<br>Fundraising|£<br>-<br>-<br>20,922<br>-<br>-<br>-<br>20,922<br>£<br>-<br>-<br>29,799<br>-<br>11,708<br>-<br>41,507<br>Grant<br>Programme<br>Grant<br>Programme|£<br>10,469<br>180<br>-<br>399<br>-<br>20,520<br>31,568<br>£<br>9,555<br>167<br>-<br>733<br>-<br>25,594<br>36,049<br>Education and<br>Development<br>Education and<br>Development|2024<br>£<br>11,632<br>200<br>20,922<br>399<br>12,316<br>20,921|
|---|---|---|---|---|
|||||66,390|
|||||2023<br>£<br>10,617<br>185<br>29,799<br>733<br>13,508<br>25,984|
|||||80,826|



Page 17 



## MEDICAL MISSION INTERNATIONAL (UK) 

## NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2024 

## 6 Trustees remuneration 

During 2024 and 2023 no Trustee received funds as reimbursement for travel or other expenses incurred during attendance to meetings of the trustees. 

No Trustee received remuneration during the year or payment for other services (2023: £Nil). 

## 7 Employees 

## Number of employees 

The average number of employees during the year was: 

|Employees<br>Number of employees<br>The average number of employees during the year was:|||
|---|---|---|
|Office and Management<br>Employment costs<br>Wages and salaries|2024<br>Number<br>1<br>2024<br>£<br>11,632<br>11,632|2023<br>Number<br>1|
|||2023<br>£<br>10,617|
|||10,617|



No employee was paid over £60,000 during the year (2023: None). The key management personnel are the Trustees. 

The total remuneration paid to key management personnel was £Nil (2023: £Nil). 

## 8 Taxation 

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

|Tangible fixed assets<br>Cost<br>At 1 January 2024 and at 31 December 2024<br>Depreciation<br>At 1 January 2024<br>Charge for year<br>At 31 December 2024<br>Net Book Value<br>At 31 December 2024<br>At 31 December 2023|Computer<br>equipment<br>£<br>926|
|---|---|
||926<br>-|
||926|
||-|
||-|



## 9 Tangible fixed assets 

Page 18 



## MEDICAL MISSION INTERNATIONAL (UK) 

## NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2024 

|10<br>Debtors<br>Other debtors<br>Prepayments|2024<br>£<br>13,342<br>80<br>13,422|2023<br>£<br>11,168<br>80|
|---|---|---|
|||11,248|



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

|Creditors : Amounts falling due within one year<br>Trade creditors<br>Accruals|2024<br>£<br>14,722<br>15,324<br>30,046|2023<br>£<br>10,468<br>15,276|
|---|---|---|
|||25,744|



## 11 Creditors : Amounts falling due within one year 

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

|12<br>Unrestricted Funds<br>General reserve|Balance at 1<br>January 2024<br>£<br>1,436,185|Net surplus for<br>the period<br>£<br>127,118|Balance at 31<br>December<br>2024<br>£<br>1,563,303|
|---|---|---|---|



## 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 2024 

## 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. 

Page 20