## **MEDIC ASSIST INTERNATIONAL** (A company limited by guarantee and not having a share capital) ## **Accounts – 31st December 2024** ## **INDEX** - 1-5. General Information and Directors’ Report 6. Independent Examiner’s Report 7. Statement of Financial Activities 8. Balance Sheet - 9-13. Notes to the Accounts 1. ## **MEDIC ASSIST INTERNATIONAL** **REPORT OF THE DIRECTORS AND GENERAL INFORMATION for the year ended 31st December 2024** **BOARD OF DIRECTORS** J Corps S Radcliffe S Sanderson G Shrubsole D Storeng R Thomson **COMPANY SECRETARY** S Travis **REGISTERED OFFICE** 6 Grosvenor Road Banbury OX16 5HN **REGISTERED NUMBER** 4833454 Registered in England and Wales **REGISTERED CHARITY NUMBER** 1104760 **BANKERS** National Westminster Bank Plc 11 Market Place Abingdon Oxfordshire OX14 3HH CAF Bank 25 Kings Hill Avenue Kings Hill West Malling ME19 4JQ **INDEPENDENT EXAMINERS** A J Carter & Co Limited Chartered Certified Accountants 22b High Street Witney Oxfordshire OX28 6RB **MEDIC ASSIST INTERNATIONAL** 2. ## **REPORT OF THE DIRECTORS AND GENERAL INFORMATION** **for the year ended 31st December 2024 (** continued) The Directors submit their Report to the eighteenth Annual General Meeting of the Charitable Company together with the Financial Statements for the period ending 31st December 2024. ## **STRUCTURE AND GOVERNANCE** Medic Assist International is incorporated as a Company Limited by Guarantee under the Companies Act 2006 and is governed by its Memorandum and Articles of Association. The Board of Directors has held three meetings during the year. The Finance Group continued to oversee the development and implementation of the approved Budget. The company is a registered charity. ## **PURPOSE** **Medic Assist International exists to improve access to quality healthcare** in resource limited communities, often in locations where there is suffering through persecution and oppression. MAI does not set up its own independent identity in countries outside the UK. Rather, it supports existing Christian primary and secondary healthcare partners, and works with them on the healthcare priorities and sustainable solutions they have identified. MAI aims to save lives and relieve suffering, and improve quality of life through improving the health outcomes of the most marginalised and vulnerable in a community by investing in: - local primary and secondary healthcare staff, facilities and services - community-based healthcare - holistic healthcare, discovering and addressing root causes ## **ACTIVITIES AND PARTNERSHIPS** In 2024, MAI supported its partners to provide health and social care to approximately **11,700** people, and to provide health education and awareness to approximately **29,000** people. ## Strategy: Continue to pursue the charity's purpose by raising funding support Christian health partners in South Asia and Sub Saharan Africa and growing the charity's support base. ## _**Chad:** Guinebor II Hospital_ The partnership with Guinebor II Hospital in Chad started in 2021 developed well through 2024. Chad is one of the poorest countries in the world with over 40% of the population are living in extreme poverty. 1 in 10 children under five will not see their fifth birthday. In 2024, MAI supported two projects at Guinebor II hospital: - i. Affordable Care for Pregnant Mother & Malnourished Children project - ii. The Child Development Centre for the therapeutic treatment for disabled children Through these projects MAI support contributed to the safe delivery for over 2,524 births, antenatal care for 1,540 mothers, saved the lives of over 170 children with acute malnutrition, and treated 122 children with disabilities. The new women’s ward, 50% funded by MAI, received its first women patients in July 2023. By the end of the 2024 the ward had admitted over 2,350 women and paediatric patients, and 2,506 mothers and babies were admitted for their 6 hour post-partum stay. The new ward was also used by other departments when their wards were being refurbished. **MEDIC ASSIST INTERNATIONAL** 3. ## **REPORT OF THE DIRECTORS AND GENERAL INFORMATION** **for the year ended 31st December 2024 (** continued) ## **ACTIVITIES AND PARTNERSHIPS** (continued) _**India:** Chinchpada Christian Hospital (CCH), Nandubar District, Maharashtra State_ CCH is the only secondary care hospital serving a remote rural district with a population of 500,000 people. Over 70% are living in extreme poverty, making it one of the poorest districts in India. Since 2018 MAI has supported CCH’s vital pioneering Enhanced Community Engagement through Palliative Care Programme (ECEPC) to improve the quality of life of people and families living with life limiting illnesses or experience serious prolonged health related suffering through chronic diseases and conditions. In total the programme provided care to 1,599 patients. This includes 298 patients and their families received end of life care from the multidisciplinary palliative care team; chronic disease management for 1,179 patients with TB, Sickle Cell Disease, and/or alcoholism (the main causes of death in the area); and 122 people living with a disability were enrolled into the Community Based Rehabilitation programme. CCH’s vision is to pioneer a replicable model of excellent and context specific palliative care in rural resource-poor contexts and from this be a practical learning centre for other hospitals to send teams to learn the nuances of running an effective and impactful palliative care service, which can be replicated at their respective centres. Six Emmanuel Hospital Association (EHA) hospitals sent teams to CCH for palliative training in 2024 and the programme lead, Dr Ashita Singh, visited and mentored eight palliative care teams in 8 other hospitals. The District Department of Health (DoH) asked CCH to train District Medical Officers in Sickle Cell Disease (SCD) treatment and management and to join the DoH SCD team meetings. The represented a significant opportunity to influence the local public health system, building their capacity in providing basic palliative care and thus improving its reach to a much larger number of people than can be cared for by a single palliative care team. We supported the construction of a new ICU and General Medical Ward, with works starting in 2023 and completed in December 2024. Consultant doctor Dr Jibi John _‘Our new wards, a massive upgrade over the old ones, have been a dream come true. This modern, state of the art ICU reflects God's heart and plan for our patients. We can now treat them with facilities that any urban patient today has access to, at costs they can afford. The sight of our patients, from Lakhan, a father of two being treated for life-threatening tetanus, ...to Vishakha, a little girl with a gastric condition requiring surgery,... fills our hearts with gratitude for those who have so intimately invested and poured out their hearts for those created in God's image…. Thank you for your friendship and support on the journey through your generous giving. As we witness God's wonderful works, our hearts are full.’_ ## _**South Africa** :_ **Embo Primary Health Clinic, KwaZulu-Natal** Embo is an informal settlement stretched over miles of rolling hills on the outskirts of Durban. Rates of poverty and HIV and TB are shockingly high. Unemployment is estimated at 50% and in Kwa-Zulu Province HIV positivity rate stands at 16% within the 15-49 age group. Embo Community Church’s primary healthcare clinic (PHC), built with MAI support in 2014, received over 18,500 patients in 2024, including monthly health check for over 1,200 patients living with HIV. The local Department of Health considers it to be one of the best PHC’s in the area. It is unusual in that it has MAI supporting a dedicated Community Caregiver Team (CCT) doing patient follow-up and patient transport. The combination of clinic, caregiver outreach and patient transport saves many lives. The clinic is now 80% locally sustainable through a contract with the local department of health funding staff costs and medical supplies. In 2024, the clinic referred over 281 vulnerable HIV and chronic disease patients, as well as pregnant mothers and malnourished children to the CCT for follow up and homecare. The caregivers attend the mother and child health clinics and community outreach clinics, where patients are referred to the caregivers for health information and counselling. In 2024, **MEDIC ASSIST INTERNATIONAL** 4. **REPORT OF THE DIRECTORS AND GENERAL INFORMATION for the year ended 31st December 2024 (** continued) ## **ACTIVITIES AND PARTNERSHIPS** (continued) ## _**South Africa** :_ **Embo Primary Health Clinic, KwaZulu-Natal (continued)** the clinic and the CCT team provided health information to over 10,000 people in the community. The Community Caregivers trained 17 Neighbourhood Health Volunteers (NHV). The NHV’s encourage a community spirit of family and neighbours looking out for each other. They can deliver health awareness messages, do patient referral to the clinic and have an important role of following up patient adherence to TB and HIV medication with the aim to reduce default rates. The NHV’s are also promoting Good Nutrition Gardens, with a particular focus on the poorest households with a patient living with a chronic condition. _**South Sudan** : Diocese of Kejo-Keji and Diocese of Yei_ Martha Primary Health Care Centre, Yei: In 2024, MAI continued to contribute to clinic running costs during a time of hyperinflation. Over the year this busy clinic served over 23,759 patients, including 2,549 under-fives, 1,972 antenatal patients and 2,507 attending the eye clinic. Romogi Primary Health Care Clinic (PHCC), Kejo-Keji: There has been no funded activity on this project in 2024. Refugees are still returning to the area. The Diocese has discussed a memorandum of understanding with the Department of Health but has not provided MAI with a new proposal and budget for opening the health centre. However, with South Sudan being perilously close to another civil war it is not considered wise to make a significant investment into refurbishing, equipping and staffing the health centre whilst the area is so unstable and there is the possibility of looting. ## **Partnerships:** We continue to be immensely grateful to our relatively small nucleus of generous personal supporters, many of whom give through standing orders. In addition, several significant grants have been obtained from other Charitable Trusts, most noticeably ECHO, TBF Thompson Trust and the Souter Trust. We had a successful Annual Appeal called Twice Gold, and we are most grateful to the generous benefactors who pledged to match donations from our supporters, and also for the 230 supporters that gave to the charities work in 2024. In the forthcoming year, the Board Is aiming to i) increase our mailing list, ii) increase supporter engagement with the charity, iii) increase the number of regular givers, iv) increase support from Trusts and Foundations. ## **RESERVES POLICIES** The Board of Directors’ policy objective is to maintain a reserve equivalent to three months’ operating costs, in relation to both our projects and MAI management and administration. ## **INVESTMENT POLICY** Aside from retaining a prudent amount of reserves, each year most of the company’s funds are to be spent in the short term so there are no funds currently available for long-term investment. Any funds available in the short term are placed in the deposit accounts as they need to be on instant access. ## **POLICY REGARDING CHILDREN AND VULNERABLE ADULTS** The Board has developed and adopted its Children and Vulnerable Adults Safe-Guarding policy (2019). It is to be reviewed and updated annually. **MEDIC ASSIST INTERNATIONAL** 5. **REPORT OF THE DIRECTORS AND GENERAL INFORMATION for the year ended 31st December 2024 (** continued) ## **MITIGATION OF RISK** During 2024 the Directors undertook a risk review of all MAI's activities and are working to implement the findings. ## **DIRECTORS** The Directors serving through the year are as indicated on page one. The Directors are appointed by the Board and meet regularly throughout the year to review all aspects of the Charitable Company. The composition of the Board is kept under review and additional members are recruited should the need arise. Discussions are underway to add needed skills to the Board in 2025. This report has been prepared in accordance with the special provisions relating to companies subject to the Small Companies Regime within part 15 of the Companies Act 2006. Approved by the Board on 22nd July 2025 and signed on its behalf by: Stephen Sanderson ……………………………………………………… Director and Chair of the Board **MEDIC ASSIST INTERNATIONAL** 6. ## **INDEPENDENT EXAMINER’S REPORT TO THE TRUSTEES** I report to the trustees on my examination of the accounts of Medic Assist International for the year ended 31st December 2024. ## **Responsibilities and Basis of Report** As the charity’s trustees (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 (“the 2006 Act”). Having satisfied myself that the accounts of the charitable company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your charity’s accounts as carried out under section 145 of the Charities Act 2011 (“the 2011 Act”). In carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5) (b) of the 2011 Act. ## **Independent Examiner’s Statement** I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe: 1. accounting records were not kept in respect of the charitable company as required by section 386 of the 2006 Act; or 2. the accounts do not accord with those records; or 3. the accounts do not comply with the accounting requirements of section 396 of the 2006 Act other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination; or 4. the accounts have not been prepared in accordance with methods and principles of the Statement of Recommended Practice for accounting and reporting by charities applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102). I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached. A P Williams BSc FCCA A J Carter & Co Limited Chartered Certified Accountants 22b High Street Witney Oxon OX28 6RB 8th August 2025 7. ## **MEDIC ASSIST INTERNATIONAL** ## **STATEMENT OF FINANCIAL ACTIVITIES** (Incorporating an Income and Expenditure Account) **for the year ended 31st December 2024** |**for the year ended 31st December 2024**
Unrestricted Restricted
Funds
Funds Total
**Notes**
£
£
£
**Income from:**
3
Gifts and donations
49,109
161,840
210,949
Activities for generating funds
1,350
23,746
25,096
Investment income on interest received728
-
728
Total income
51,187
185,586
236,773
**Expenditure on:**
4
Costs of raising funds
10,004
-
10,004
5
Charitable activities
55,479
114,834
170,313
Total expenditure
65,483
114,834
180,317
**Net income for the year and incoming**
**resources before transfers**
(14,296)
70,752
56,456
**Transfers between funds**
21,351 (21,351)
-
**Net movement in funds**
7,055
49,401
56,456
TOTAL FUNDS brought forward
35,047
64,756
99,803
TOTAL FUNDS carried forward
£42,102
£114,157
£156,259||**2023**
Total
£
205,247
3,332
606
209,185
14,665
199,741
214,406
(5,221)
-
(5,221)
105,024
£99,803| |---|---|---| |||
£| The statement of financial activities includes all gains and loses recognised in the year. All income and expenditure derives from continuing activities. The notes on pages 9 to 13 part of these financial statements. ## **Registered in England: 4833454** ## **MEDIC ASSIST INTERNATIONAL** |**BALANCE SHEET 31st December 2024**
**Notes**
£
£
FIXED ASSETS
8
Tangible assets
-
CURRENT ASSETS
Debtors and prepayments
21,466
Bank balances
136,758
Cash in hand
15
158,239
CREDITORS: Amounts falling due in one year
Accruals
1,980
NET CURRENT ASSETS
156,259
9
NET ASSETS
£156,259
Represented by:
11
General Fund
23,330
11
Designated funds
18,772
10
Restricted funds
114,157
£156,259|**2023**
£
-
21,737
80,595
15
102,347
2,544
99,803
£99,803
20,728
14,319
64,756
£99,803| |---|---| For the year ended 31st December 2024 the company was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies. ## **Directors’ responsibilities** The members have not required the company to obtain an audit of its accounts for the year in question in accordance with section 476; and The directors acknowledge their responsibilities for complying with the requirements of the act with respect to the accounting records and the preparation of accounts. These accounts have been prepared in accordance with the special provisions relating to companies subject to the Small Companies Regime with Part 15 of the Companies Act 2006. These accounts were approved by the board of directors and authorised for issue on: 22nd July 2025 and are signed on their behalf by: S. Sanderson ………………………………. Director The notes on pages 9 to 13 form part of these financial statements **MEDIC ASSIST INTERNATIONAL** 9. ## **NOTES TO THE FINANCIAL STATEMENTS for the year ended 31st December 2024** ## 1. **Accounting Policies** The financial statements have been prepared in accordance with applicable accounting standards. ## a) **Accounting Convention** The Financial Statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Companies Act 2006. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy notes. ## b) **Incoming Resources** Items of income are recognised and included in the accounts when all of the following criteria are met: - The charity has entitlement to the funds; - any performance conditions attached to the items of income have been met or are fully within the control of the charity; - there is sufficient certainty that receipt of the income is considered probable; and - the amount can be measured reliably. Income received in advance of a specific performance or provision of other specified service is deferred until the criteria for income recognition are met. c) **Interest Receivable** Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the Charity; this is normally upon notification of the interest paid or payable by the bank. - d) ## **Fund Accounting** Unrestricted funds are available to spend on activities that further any of the purposes of the Charity. Designated funds are unrestricted funds of the Charity which the trustees have decided at their discretion to set aside to use for a specific purpose. Restricted funds are donations which the donor has specified are to be solely used for the particular areas of the Charity’s work or for specific projects being undertaken by the Charity. - e) ## **Expenditure and Irrecoverable VAT** Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred. 10. ## **MEDIC ASSIST INTERNATIONAL** ## **NOTES TO THE FINANCIAL STATEMENTS** ## **for the year ended 31st December 2024** (continued) ## f) **Allocation of Support Costs** Support costs are those functions that assist the work of the Charity but do not directly undertake charitable activities. These costs have been allocated between costs of raising funds and expenditure on charitable activities. ## g) **Tangible Fixed Assets** Individual fixed assets costing £1,000 or more are capitalised at cost and are depreciated over their estimated useful economic lives on the straight line basis as follows: |**Asset**|**Annual**| |---|---| |**Category**|**Rate**| |Office equipment|25%| ## h) **Debtors** Debtors and prepayments are recognised at the settlement amounts due. - i) **Cash at Bank and in Hand** Cash at bank and cash in hand includes cash and short-term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. ## j) **Creditors and Provisions** Creditors and provisions are recognised where the Charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount. - k) **Pensions** The Charity operates a defined contribution scheme, the assets of which are held outside the Charity. The contributions by the Charity in the year are detailed in note 7. ## 2. **Legal Status of the Charity** The charity is a company limited by guarantee and has no share capital. The liability of each member in the event of winding up is limited to £1. ## 3. **Gifts and Donations** |Unrestricted Restricted Total
Funds Funds 2024
Gifts and donations £49,109 £161,840
£210,949
£
4.
**Costs of Generating Funds**
Fundraising costs
£10,004
£-
£10,004
|Total
2023
205,247
£14,665| |---|---| ||
£| 11. ## **MEDIC ASSIST INTERNATIONAL** ## **NOTES TO THE ACCOUNTS** ## **for the year ended 31st December 2024** (continued) ## 5. **Charitable Activities** |Unrestricted Restricted Total
Funds Funds 2024
£
£
£
Project expenditure
-
111,684
111,684
Office costs
3,200
3,150
6,350
Staff costs
49,686
-
49,686
Governance costs (below)
2,593
-
2,593
£55,479
£114,834
£170,313
£
6.
**Governance Costs**
Unrestricted Restricted Total
Funds Funds 2024
£
£
£
Accountancy
1,380
-
1,380
Legal and professional
1,213
-
1,213

£2,593
£-
£2,593
7.
**Staff Costs**
2024
£
Salaries (including employer’s national insurance)
48,303
Pension contributions
1,383
£49,686
Average number of employees|Total
2023
£
123,884
9,161
61,051
5,645
199,741
Total
2023
£
1,344
4,301
£5,645
2023
£
59,393
1,658
£61,051
1|Total
2023
£
123,884
9,161
61,051
5,645
199,741
Total
2023
£
1,344
4,301
£5,645
2023
£
59,393
1,658
£61,051
1| |---|---|---| ||


|


| ||
£|| All staff are employed by the charitable company and no employees were paid more than £60,000 per annum. 12. ## **MEDIC ASSIST INTERNATIONAL** ## **NOTES TO THE ACCOUNTS** ## **for the year ended 31st December 2024** (continued) ## 8. **Tangible Assets** |**Tangible Assets**|| |---|---| ||IT Equipment| |**Cost**|£| |At 1.1.24|2,028| |Additions|-| |At 31.12.24|| |**Depreciation**|| |At 1.1.24|2,028| |Charge for the year|-| |At 31.12.24|| |**Net Book Values**|| |At 31.12.24|£ -| |At 31.12.23|£ -| All the above assets are held to further the main objects of the charity. ## 9. **Analysis of Net Assets by Fund** |||General|Designated|Restricted|Total|Total| |---|---|---|---|---|---|---| |||Funds|Funds|Funds|2024|2023| |||£|£|£|£|£| ||Fixed assets|-|-|-|-|-| ||Current assets|25,310|18,772|114,157|158,239|102,347| ||Current liabilities|(1,980)|-|-|(1,980)|(2,544)| |||£23,330|£18,772|£114,157|£156,259|£99,803| |
10.|**Restricted Funds**|||||| |||Balance||||Balance| |||at 1.1.24|Income|Expenditure|Transfers|at 31.12.24| |||£|£|£|£|£| ||India|19,963|123,997|(65,577)|(12,163)|66,220| ||South Africa|18,906|20,066|(12,630)|(2,880)|23,462| ||South Sudan|11,268|-|(5,750)|-|5,518| ||Chad|14,619|41,523|(30,877)|(6,308)|18,957| |||£64,756|£185,586|£(114,834)|£(21,351)|£114,157| 13. ## **MEDIC ASSIST INTERNATIONAL** ## **NOTES TO THE ACCOUNTS** **for the year ended 31st December 2024** (continued) ## 11. **Unrestricted Funds** |11.
**Unrestricted Funds**||||| |---|---|---|---|---| ||Balance|||Balance| ||at 1.1.24|Income|Expenditure|Transfers at 31.12.24| ||£|£|£|£
£| |General Fund|20,728|45,690|(65,483)|22,395
23,330| |_Designated Funds_||||| |Romogi PHCC, S. Sudan14,319||5,497|-|(1,044)
18,772| ||£35,047|£51,187|£(65,483)|£21,351 £42,102| ## 12. **Transactions with Directors** There were no transactions with directors which require disclosure. ## **MEDIC ASSIST INTERNATIONAL** **Accounts – 31st December 2024**