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2025-12-31-accounts

Christian Medical Fellowship (A Company Limited by Guarantee)

Annual Report and Financial Statements for the year ended 31[st] December 2025

Company Registration Number: 06949436 Charity Registration Number: 1131658

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CHRISTIAN MEDICAL FELLOWSHIP

TRUSTEES REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2025

CONTENTS

Page
Officers and Professional Advisors 2
Report of the Board of Trustees 3
Independent Auditor’s Report to the Board of Trustees 10
Statement of Financial Activities 13
Income and Expenditure Account 14
Balance Sheet 15
Statement of Cash Flows 16
Notes to the Financial Statements 17

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CHRISTIAN MEDICAL FELLOWSHIP

KEY MANAGEMENT PERSONNEL AND PROFESSIONAL ADVISORS

Board of Trustees

Ms Alice Smith – Chair Dr Euan McRorie – Past Chair Dr Nicholas Lipscomb – Interim Treasurer Dr Alana Atkinson Dr Matthew Baines Dr Paula Busuulwa Mr Timothy James Mr Howard Lyons Ms Ellie McBain Ms Stefanie McRoy Prof Robert J Moots Ms Ovril Tomlinson Mr David Evans (Appointed 14 June 2025) Dr Katherine Aiken (Appointed 14 June 2025) Mr Wesley Kai-Xian Mcloughlin (Resigned 14 June 2025) Dr David Khoo (Resigned 14 June 2025) Prof Christopher Summerton (Resigned 5 January 2026)

Senior Management Team

Dr Mark Pickering – Chief Executive Officer Mr Benjamin Daniel – Operations Director Dr Felicia Wong – Deputy Chief Executive Mr Steven Fouch – Head of Communications

Principal Office Address

Johnson House 6 Marshalsea Road London SE1 1HL Tel: 020 7234 9660

www.cmf.org.uk

Bankers

Reliance Bank Faith House 23-24 Lovat Lane London EC3 8EB

CAF Bank Limited Kings Hill West Malling Kent ME19 4TA

Barclays Bank plc 29 Borough High Street London SE1 1LY

United Trust Bank 1 Ropemaker Street London EC2Y 9AW

Flagstone Group LTD 1st Floor, Clareville House 26-27 Oxendon Street London SW1Y 4EL

Auditors

Xeinadin Audit Limited 5 Robin Hood Lane Sutton Surrey SM1 2SW

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CHRISTIAN MEDICAL FELLOWSHIP

TRUSTEES REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2025

The Board of Trustees present their Annual Report and the audited financial statements for the year ended 31 December 2025.

Name and Registered Office of the Charity

The full name of the charity is the Christian Medical Fellowship (‘CMF’), and its registered office and operating address is 6 Marshalsea Road, London, SE1 1HL.

Legal Status

CMF was formed on 1 July 2009 as a company limited by guarantee and registered in England number 06949436. Its registered charity number is 1131658.

The charity is governed by the provisions of its Memorandum and Articles of Association and its Constitution.

Board of Trustees

The members of the Board of Trustees who served in the year are set out on page 2.

The Board of Trustees is appointed annually and elected by the General Committee. The General Committee comprises local and regional volunteers, members of CMF committees, the Officers and elected members of the Board of Trustees, the President, and members of the Council of Reference. All new Trustees receive an induction pack and receive ongoing training on key areas such as safeguarding and financial management. There is also a buddying system in place with existing Trustees supporting new Trustees in their roles.

The following members of staff regularly attend the Board of Trustees meetings:

Objects of the Charity

The objects of CMF, as stated in the Memorandum of Association, are:

The objects to be carried out as an expression of the biblical truths set out in the Doctrinal Statement (clause five of the Memorandum of Association).

The aims of CMF are to:

  1. Unite Christian healthcare professionals and students in Christ, and encourage them to deepen their faith, live like Christ, and serve him obediently, particularly through acting competently and with compassion in their professional practice.

  2. Encourage Christian healthcare professionals and students to be witnesses for Christ among all those they meet.

  3. Mobilise and support all Christian healthcare professionals and students, especially members, in serving Christ throughout the world.

  4. Promote Christian values in society, especially, but not limited to, the areas of bioethics and healthcare.

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CHRISTIAN MEDICAL FELLOWSHIP

Public Benefit

The Trustees have given due regard to guidance issued by the Charity Commission, including public benefit guidance. CMF is a membership organisation for Christian doctors, nurses, midwives, and medical, nursing and midwifery students who are based in the UK and Ireland, but who work anywhere in the world. Membership is restricted to those who assent to the membership basis of CMF, as set out in its constitution and aims.

Most of our members and those who attend our events work within the National Health Service and are committed to the values of a public health service, free at the point of need.

The main CMF website (www.cmf.org.uk) contains a substantial amount of material on a wide range of social, ethical, and religious issues for the benefit of the wider public, and the medical and allied professions in particular.

CMF responds to consultations on medical and ethical issues from various bodies, including the Department of Health and Social Care, the British Medical Association, the General Medical Council and the Royal Colleges.

CMF organises national, regional, and local events, including residential conferences, and evening or half-day seminars on a wide range of topics. Almost all these events are open to non-members working in medical and allied professions.

Activities and Achievements in 2025

2025 was the fifth and final year of the implementation of our five-year strategic plan, known as Wider, Clearer, Closer, which sought to extend our reach and grow our membership, clearly communicate our messages, and improve our local support networks, while equipping our members to live and speak for Christ. We continue to work with our members throughout their careers and to resource the church to engage with healthcare workers and healthcare issues.

We were delighted to pay off the mortgage on our head office in 2025.

This being the final year of the strategic plan, the trustees and Senior Management Team also prepared for a new multi-year strategy as Wider, Clearer, Closer came to an end.

Our focus for our work over the past year has therefore continued to be on the following three areas. Our main activities are described below, and how we developed and implemented our plans. They are undertaken to further our charitable objectives.

1. Going Wider – Extending our Reach

We continued to see an increase of in-person events. We held four major residential conferences in the year. Over 1000 people attended our events throughout the year, from specialised day conferences to overnight residentials.

We welcomed new volunteers to our Nurses & Midwives department, as we sought to increase our reach among this group. A Newly Qualified Retreat Day was held during the year. Furthermore, CMF continued its in-person conference specifically for nurses and midwives, called the Nurses and Midwives Festival (NAMFest), which was held before our National Conference in May. This was a time of refreshment for our members coming under significant pressure at work.

We grew our mentoring network, covering leaders, managers, juniors, students, and speciality areas. We developed our offering to healthcare leaders and managers through our Christians in Healthcare Leadership Network (CHLN).

Our Irish working group continued, and we held an Irish conference, making further excellent connections there.

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CHRISTIAN MEDICAL FELLOWSHIP

2. Growing Clearer – Refining Our Communications

With our 75[th] year now behind us, we continued to refine our new website. We also transferred to a new Customer Relationship Management (CRM), enabling smoother internal & external communications, an easier booking experience for events, and a streamlining of financial processes.

We continued running our National Day of Prayer for the National Health Service and engaged churches in Health & Care Sunday.

Our Public Policy team expanded, continuing to develop CMF’s vital advocacy work, engaging members, stakeholders, and partner organisations.

We engaged our members regarding legacy giving and were grateful to be notified of members’ planned generosity. We saw the launch of our new designated legacy fund.

3. Drawing Closer – Improving our Local Networks

We continued to run conferences and grow local networks. A new Ministries Administrator in place enabled our field team to be more consistent with the services offered to members.

Our Pastoral Partners continued their vital work. Their support and encouragement was gratefully received by members throughout the year.

Additionally, we ran a new Partnerships in Medical Missions Today conference in London, discussing the role of medical mission as we brought together those interested in the topic.

We continued to build collaborative relationships with partner organisations to address the areas in which our members have felt needs, ensuring that work is not duplicated.

We had a fresh cohort of placements for our CMF Scholar programme.

Governance

During 2025, two trustees resigned from the Board and two new trustees were appointed. All new trustees received a copy of the Governance Manual, which explains in detail the responsibilities of the Board. During the year, the Business Advisory Committee, which advises the Board on matters of finance, personnel, IT, and property, has continued its vital role. We have also set up a Digital/IT Strategy subcommittee to help coordinate various projects across different departments.

The Governance, Strategy and Risk Committee comprises the Officers of the Board, the CEO and Operations Director. It has the specific remit of advising the Board on governance matters, the setting and review of strategy, and the management of organisational risk.

Business Review

Our main sources of funding are membership subscriptions, other member donations, and income from trusts. Our total income for 2025 stood at £1,666,322 (2024: £2,324,676).

Our operating expenditure increased by £30,838 to £1,638,295 (2024: £1,607,457).

We responded to the increased need for support by our members through increased administrative support and membership engagement which has seen greater enabling support given to our field team, along with growing & retaining members.

We plan to have a breakeven position in 2026.

The Board and management carried out a review of the Reserves Policy during the year, taking into account the guidelines from the Charity Commission, and in line with best practice, using a risk-based approach for determining the level of free liquidity reserves to be held. This Reserves Policy was approved in May 2025.

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CHRISTIAN MEDICAL FELLOWSHIP

CMF has a formal Reserves Policy, which sets out the basis for maintaining certain required reserves. The required reserves range at the year-end was between £582,650 and £602,650 (2024: £571,863 and £589,863). These are comprised of:

The total reserves of the charity at year-end were £2,998,743 (2024: £2,970,716). Of this total, £145,313 (2024: £132,840) was held as restricted funds and £0 (2024: £26,227) as endowment funds. The general reserves at the end of 2025 were £231,941 (2024: £158,440) of which free reserves amounted to £189,594 (2024: £139,390).

Going Concern

The financial statements for the year ended 31 December 2025 have been prepared on a going concern basis. Trustees have reviewed the circumstances of CMF and consider adequate resources continue to be available to fund the activities for the foreseeable future. The trustees are of the view that CMF is a going concern. The trustees confirm that there are no material uncertainties which will prevent the charity from continuing as a going concern for the foreseeable future.

Remuneration of Key Management Personnel

The key management personnel of CMF are listed on page 2 are in charge of directing, controlling, running, and operating the charity on a day-to-day basis. All trustees give of their time freely and no trustee received remuneration in the year. Details of trustees’ expenses and related party transactions are disclosed in Note 15 to the accounts.

CMF has adopted a hybrid of the 2017 Agenda for Change (AfC) pay scale and applies an annual cost of living increase to these bands, subject to affordability. Senior staff are paid in line with this AfC scale, although without London Weighting. In addition, the key management personnel receive only the first two increments on the applicable AfC scale. This was reviewed at the end of 2025 and replaced with a simpler five-band pay structure. Remuneration of Key Management Personnel is agreed upon by the Board.

Strategic Report

The Charity’s Strategy

CMF continued its usual range of national, regional, and local conferences and events for all categories of the membership, and the ongoing support and education of members and the general public through its publications and website.

The strategy of CMF is to fulfil its aims by building on its activity while remain financially stable. The medium-term focus is on building a stronger CMF and community by:

The three-year strategic plan, ‘Wider, Clearer, Closer’ for 2021-2023 was extended in 2022 to five years in order to build on our current achievements and to steer future plans aimed at:

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CHRISTIAN MEDICAL FELLOWSHIP

Fundraising Activities

In 2025, £852,268 (2024: £1,488,951) was raised through donations, gifts, and legacies to support the work of CMF.

CMF directs its major individual fundraising efforts at its members, who are encouraged to donate. No commercial participators are used. During the year, we were not aware of any complaints about our approach to fundraising. Members can opt out from receiving fundraising material by email and/or post.

There are two written appeals per year and an opportunity to set up regular giving or give one-off donations as part of the annual membership renewal process. Some other appeals for funding are directed at grant-making trusts. This grant was awarded by Medical Missionary News, which supports Christian mission work through healthcare. We do not usually budget for legacies but ask members to consider leaving a gift to CMF in their will.

Safeguarding

We take our duties to safeguard our members, staff, and those who come into contact with our charity seriously. This includes ensuring that we create a safe working environment and promote a healthy organisational culture, underpinned by sound policies, procedures, and practices. We have both a Designated Safeguarding Lead and Assistant Safeguarding Lead, as well as a Trustee Lead to champion safeguarding with the trustees across the charity. The Assistant Safeguarding Lead will support the Designated Safeguarding Lead in safeguarding decision-making and responding to concerns from staff and members. Our safeguarding processes and procedures are reviewed annually.

Future Plans

2026 sees the launch of our new multi-year strategy, with a title of Mobilising the Body and the accompanying vision statement of Healthcare Professionals Reflecting God’s Heart for Humanity.

This strategic plan has five key themes: improving our member journey, engaging churches, supporting international graduates, developing our public policy ministry, and improving our intergenerational connections.

It emerged from our previous strategy that we also need to continue to develop our Irish network & regional identities, integrate Physician Associates and Anaesthesia Associates into CMF, and further our work with specialty networks.

We continue to aim to have Pastoral Catalysts in every Catalyst Team and to build local mentoring networks in all Catalyst Team regions. We plan to continue offering support to build Catalyst Teams in regions with no current team.

We also continue to develop our Christians in Healthcare Leadership Network, to support and encourage Christians (both clinical and non-clinical) who exercise leadership and influence within the healthcare sphere.

The new CRM will continue to be embedded through our work to better reflect CMF’s needs. We will focus more time on our membership and church partnership development needs.

With the new website now here, we will now focus on our branding and undergo a branding refresh.

We will also run a National Day of Prayer for the National Health Service in March, and plan further engagement around Health & Care Sunday in October. Christians and others will be encouraged to pray for the health service in the UK and to encourage each other within it.

CMF will continue to run conferences throughout the year for different demographics, from students to seniors within the health services. We will continue to explore the future of medical mission and local groups of medics across the world, in partnership with ICMDA.

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CHRISTIAN MEDICAL FELLOWSHIP

Our volunteer ministry will expand into larger regions of the country as we continue to equip Christian doctors and nurses to live and speak for Jesus; we seek to strengthen existing regional groups and grow in areas currently without groups.

Additionally, we will run welcome sessions for new members, enabling them to better connect with each other.

The Board and Board Subcommittees will explore ways of engaging and encouraging the various networks too.

Risk

The Board, with advice from the Business Advisory Committee (BAC) and the senior staff, reviews CMF’s work in the light of significant risks – including emerging ones – and ensures that the control procedures in place to mitigate those risks are implemented. Our Risk Register is reviewed at each BAC and Board meeting.

The principal risks currently facing the Fellowship identified during the year are:

  1. Lack of sustainable income to support our charitable objects longer term.

  2. Decline in membership numbers.

  3. Emerging risks from IT related incidents and cybersecurity leading to reputational damage.

Our strategy in attempting to mitigate these risks include regular reminders of the purpose of CMF, promoting cohesiveness among the membership and teaching on the importance of Christian stewardship. We also reduce the risks from cyberattacks through user education, technical enforcements, and high-end antivirus protection.

Board of Trustees Responsibilities

The Board of Trustees (who are also directors for the purposes of company law) are responsible for preparing the report of the Board of Trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standard (United Kingdom Generally Accepted Accounting Policies).

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

The Board of Trustees are responsible for keeping adequate accounting records, which 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 safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Disclosure of Information to Auditors

The Board of Trustees has taken all the steps necessary to ensure that the charity's auditors are aware of all relevant information. To the knowledge and belief of the Board of Trustees, there is no relevant information of which the charity's auditors are not aware.

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CHRISTIAN MEDICAL FELLOWSHIP

The above report has been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies.

Signed on behalf of the Board of Trustees on 10 June 2026.

Ms Alice Smith Chair

______ Dr Nicholas Lipscomb Treasurer

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CHRISTIAN MEDICAL FELLOWSHIP

Opinion

The Fina

Basis for opinion

li CHRISTIAN MEDICAL FELLOWSHIP Independent audltorfs reportto the members of Chrlstian Medical Fellowship Icontlnyedl Qplnlons gn other matters prexrfbed bythe Companles Art 21)06 In our opinion. based on ihe work undertaken in ihe course of our audit.. the information given in the Board of Tru5tees' report. which include5 the directors, report prepared lor the purposes of company law. for the financial year for which thefinancial statements are prepared 15 consistent with the financial 5tatements', and the directors. report included within the Board of Tru5tee5' report ha5 been prepared in accordance with applicable legal requirernenl5. Matters on whlch we aye requlred to report by excep￿0￿ In rhe light of the knowledge and undersiandinR ol the charity and its environment obtained in the course of the audit. we have noi idenrified material misstatements in the directors. rekN)rt inclvded with the 8oard of Trustees. report. We have nothing to report in respert of the following matters in relation to which the Companies Act 2CK)6 requires us to report to you if. in our opinion.. adequate and proper accounting records have not been kept. or returns adequate for our audit have not been received from branche5 not visited by us., or the financial statements art not in a8reemeTht with the actounting records and returns., ar certain dis£losures of Trustees. remunerètion specifie(I by lèw are not made,. or we have not received all ihe informarion and explanations we requi￿ for our audii,. or the Trustees were not entitled to prepare the hnancial statements in accordance with the Small companie5 regime and take advantage ol the small companies exemptions in preparing ihe Board of Trustees, report and from the requirement to prepare a strategic ￿pOrt. Responslblllttes of Trustees As explained rnore fully in the Trustee5' responsibilitie5 Statement. the Trustees Iwho are also the directors 91 the charitable company for the purpose5 of company lawl are responsible for the preparation of the financial staternents and lor beinB satished that they 8ive a true and lair view, and for such internal control as the trustee5 determine 15 necessary to enable the preparation ol financial staternents that are free from material rnisstatement. whether due to fraud or error. In preparing the financial statements, the Trustees are responsible for assessin8 the charity's ability to tontinue as a goin8 concern, disc105ing, as applicable. matters related to goin8 concern and using the goin8 concern ba515 of accountin8 unle55 the Trustee5 either intend to liquidate the cornpany or to cease operations, or have no realistic alternative but to do $0. Audltor's responsibililies forthe audit of the financial statements Our objecDves a￿ to obtain reasonable assurance about whether the financial statements as a whole are f￿e 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 assurnnce, but is not a guarantee that an audit conducted in accordance with ISAS IUKI will always detett a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate. they tould reasonably be expetted to influence rhe economic decisions of usefs taken on the basis of these linancial statements.

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CHRISTIAN MEDICAL FELLOWSHIP

Use of our report

7th July 2026

CHRISTIAN MEDICAL FELLOWSHIP

1

STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 DECEMBER 2025

Income and endowments from
Donations and legacies
Membership subscriptions
Donations, gifts and legacies
Investments
Rental Income
Bank interest receivable
Charitable Activities
Total income and endowments
EXPENDITURE ON
Raising funds
Charitable activities
Total Expenditure
NET INCOME:
Transfers between funds
NET MOVEMENT IN FUNDS
Reconciliation of Funds
Balances brought forward at 1 January
Balances carried forward at 31 December
Income and endowments from
Donations and legacies
Membership subscriptions
Donations, gifts and legacies
Investments
Rental Income
Bank interest receivable
Charitable Activities
Total income and endowments
EXPENDITURE ON
Raising funds
Charitable activities
Total Expenditure
NET INCOME / (EXPENDITURE):
Transfers between funds
NET MOVEMENT IN FUNDS
Reconciliation of Funds
Balances brought forward at 1 January
Balances carried forward at 31 December		 Note
2
3
4
4
12
Note
2
3
4
4
12
2025
Unrestricted
funds
2025
Restricted
funds
2025
Endowment
funds
2025 Total funds
£
£
£
£
557,107
-
-
557,107
711,773
140,495
-
852,268
28,491
-
-
28,491
5,824
-
-
5,824
222,632
-
-
222,632
1,525,827
140,495
-
1,666,322
83,384
2,428
-
85,812
1,400,662
125,594
26,227
1,552,483
1,484,046
128,022
26,227
1,638,295
41,781
12,473
(26,227)
28,027
-
-
-
-
41,781
12,473
(26,227)
28,027
2,811,649
132,840
26,227
2,970,716
2,853,430
145,313
-
2,998,743
2024
Unrestricted
funds
2024
Restricted
funds
2024
Endowment
funds
2024 Total
funds
£
£
£
£
563,023
-
-
563,023
1,367,488
121,463
-
1,488,951
39,058
-
-
39,058
5,836
-
-
5,836
227,808
-
-
227,808
2,203,213
121,463
-
2,324,676
72,968
17,614
-
90,582
1,417,979
96,205
2,691
1,516,875
1,490,947
113,819
2,691
1,607,457
712,266
7,644
(2,691)
717,219
-
-
-
-
712,266
7,644
(2,691)
717,219
2,099,383
125,196
28,918
2,253,497
2,811,649
132,840
26,227
2,970,716

All activities of the charity are classed as continuing.

CHRISTIAN MEDICAL FELLOWSHIP

1

INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 DECEMBER 2025

Note
Gross income
Expenditure
Net income for the year
STATEMENT OF COMPREHENSIVE INCOME
Net income for the year
Endowment fund receipt
Total gains and losses in the year		 2025
2024
£
£
1,666,322
2,324,676
1,638,295
1,607,457
28,027
717,219
28,027
717,219
-
-
28,027
717,219

CHRISTIAN MEDICAL FELLOWSHIP BALANCE SHEET AS AT 31 DECEMBER 2025

1

FIXED ASSETS
Tangible fixed assets
Investment fixed asset
CURRENT ASSETS
Stock
Debtors
Investments
Cash at bank
CREDITORS:Amounts
falling due within one year
Mortgage
Other creditors
NET CURRENT ASSETS
Total assets less current liabilities
CREDITORS:Amounts
falling due after one year
Mortgage
TOTAL ASSETS LESS LIABILITIES
FUNDS
Unrestricted Funds
General Funds
Designated Funds
Restricted Funds
Endowment Funds		 Note
5
6
9
10
11
12
12
12
12		 2025
2024
£
£
£
£
1,340,989
1,335,846
910,000
910,000
2,250,989
2,245,846
29,770
33,302
198,357
887,689
220,000
-
476,346
218,986
924,473
1,139,977
-
(12,885)
(176,719)
(149,578)
(176,719)
(162,463)
747,754
977,514
2,998,743
3,223,360
-
(252,644)
2,998,743
2,970,716
231,941
158,440
2,621,489
2,653,209
2,853,430
2,811,649
145,313
132,840
-
26,227
2,998,743
2,970,716

The financial statements have been prepared in accordance with the special provisions relating to small companies within Part 15 of the Companies Act 2006.

Approved and authorised by the Board of Trustees on

2026 and signed on their behalf by:

Dr Alice Smith Nick Lipscomb Chair Treasurer

Registered company number: 06949436

CHRISTIAN MEDICAL FELLOWSHIP STATEMENT OF CASHFLOWS FOR THE YEAR ENDED 31 DECEMBER 2025

1

Cash flows from investing activities
Interest income
Purchase of tangible fixed assets
Change in investments
Cash flows to / from financing activites
Mortgage repayment
Cash used in financing activities
Analysis of changes in net debt
Cash
Mortgage due within one year
Mortgage due in more than one year
Total
Total cash and cash equivalents at the
end of the year
Cash provided by operating activities
Cash provided by / (used in) investing
activities
(Decrease) / increase in cash and cash
equivalents in the year
Cash and cash equivalents at the
beginning of the year		 Note
16		 2025
2024
£
£
766,850
(10,720)
5,824
5,836
(29,785)
(6,995)
(220,000)
(243,961)
(1,159)
(265,529)
(12,304)
(265,529)
(12,304)
257,360
(24,183)
218,986
243,169
476,346
218,986
1 Jan 2025
Cashflows
Non-cash
changes
31 Dec 2025
£
£
£
£
218,986
257,360
-
476,346
(12,885)
265,529
(252,644)
-
(252,644)
252,644
-
(46,543)
522,889
-
476,346

CHRISTIAN MEDICAL FELLOWSHIP

REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 202

1

1. ACCOUNTING POLICIES

Company information

Christian Medical Fellowship is a company limited by guarantee incorporated in England and Wales with registered office at Johnson House, 6 Marshalsea Road, London SE1 1HL. It is a public benefit entity under FRS102.

Accounting convention

The financial statements have been prepared under the Companies Act 2006 and in accordance with the Charities Statement of Recommended Practice (Charities SORP (FRS 102)), Financial Reporting standard 102 (FRS 102) and the Charities Act 2011. The financial statements are prepared under the historical cost convention as modified by the revaluation of investment properties and on a going concern basis. The financial statements are presented in pounds sterling rounded to the nearest pound. The particular accounting policies adopted are described below. There are no material uncertainties about the charity’s ability to continue in operation.

Undistributed Investment Income

The income arising from the investment of the capital from the Lavinia Croxon Memorial Fund is used by the Board of Trustees to make grants. Any undistributed income from the fund is carried forward as a designated fund.

Fixed Assets

Freehold property owned by the Charity is divided between that occupied for the purposes of the charity and that which is let to tenants. The latter is shown in the accounts at fair value as an investment property. The former is shown at historic cost less depreciation.

Depreciation

Depreciation is calculated at rates and on bases used to write off the cost of fixed assets less their estimated residual value over their expected useful life as follows:

Freehold property (excluding the value of land) 2% per annum straight line
Office furniture and equipment 25% or 10% per annum straight
line
Computer hardware 25% per annum straight line
Computer software 20% per annum straight line

Subscriptions and donations

Membership subscriptions and donations are taken to the Statement of Financial Activities in the period in which they are received, with the exception of income that is specifically stated to be in respect of expenditure to be incurred in a future period, when the income is deferred to that period. A provision for income tax recoverable on gift aid is made in respect of relevant donations received in the year.

Legacies

Legacies are accounted for when the charity is advised by the personal representative of an estate of entitlement to a payment and the amount involved can be quantified with reasonable accuracy.

Rental income

Rental income is recognised in the period it is due to be received.

Expenditure and Grants

Expenditure is included on an accruals basis inclusive of VAT, which is not recoverable. Grants to individuals and institutions are included when the grant is paid.

Allocation of costs

The charity's operating costs include staff costs, mortgage and office costs and other related costs. Such costs are allocated between expenditure in furtherance of the charity’s objects, cost of generating funds and governance.

Staff costs for those working directly and solely in charitable activity are charged direct to charitable activity along with other direct costs. The costs of those staff who work in a support function have been

CHRISTIAN MEDICAL FELLOWSHIP

REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 202

1

allocated across the charitable activities on the basis of the work expended in or for each activity. Other support costs have been allocated across the charitable activities on the following basis:

Stock

Stock is stated at the lower of cost and net realisable value.

Cash at bank and in hand

Cash at bank and in hand includes cash and short term highly liquid investments with a short maturity of four months or less from the date of the opening of the deposit.

Creditors and provisions

Creditors and provisions are recognised where the charity has a present obligation arising 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 recognised at their settlement amount.

Financial instruments

The charity only has financial assets and liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.

Operating lease agreements

Rentals applicable to operating leases where substantially all of the benefits and risks of ownership remain with the lessor are charged to the Statement of Financial Activities on a straight line basis over the period of the lease.

Pension costs

Contributions payable under the defined contribution scheme are charged to the Statement of Financial Activities as they fall due.

Regions

The charity carries out some activities through a national network of regional groups, which use the same name as the charity, raise funds for the charity and their own local activities and receive support from the charity through advice and publicity materials. All regional transactions are accounted for gross in the financial statements of the charity and all assets and liabilities, including cash retained by regions, are included in the charity's Balance Sheet.

Fund accounting

Funds held by the charity are:

CHRISTIAN MEDICAL FELLOWSHIP

REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 202

Going concern

The financial statements for the year ended 31 December 202 have been prepared on a going concern basis. Trustees have reviewed the circumstances of the Fellowship and consider that adequate resources continue to be available to fund the activities for the foreseeable future. The Trustees are of the view that the Fellowship is a going concern.

The Trustees recognise that donations and income from appeals may come under pressure from the current cost of living and inflationary crises. Cash flow has been modelled up to summer 202 and cash holdings remain healthy, allowing obligations to be met as and when due.

A number of key activities are modelled so that income directly correlates with expenditure, and these can be scaled down should the need arise.

Having considered the cash flow, reserves levels, and future financial plans, the Trustees confirm that there are no material uncertainties which will prevent the Charity from continuing as a going concern for the foreseeable future.

CHRISTIAN MEDICAL FELLOWSHIP

NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 DECEMBER 2025

2. DONATIONS, GIFTS AND LEGACIES

General donations
Christmas appeal
Spring appeal
Capital appeal
Gift aid
Saline Solution
Student Ministry income
Graduate Ministry income
International Ministry
Graduate Nurses Ministry
Volunteer ministry
Communications and Publications
Project support fund
Conference room facilities
Legacies		 Unrestricted
funds 2025
Restricted
funds 2025
Total 2025
Unrestricted
funds 2024
Restricted
funds 2024
Total 2024
£
£
£
£
£
£
213,795
-
213,795
228,674
-
228,674
67,868
-
67,868
47,336
-
47,336
48,907
-
48,907
74,024
-
74,024
193
-
193
1,224
-
1,224
146,473
5,443
151,916
198,633
9,882
208,515
-
2,120
2,120
-
-
-
-
27,106
27,106
-
34,129
34,129
-
3,572
3,572
-
5,802
5,802
-
49,969
49,969
-
31,753
31,753
-
8,327
8,327
-
4,685
4,685
-
1,140
1,140
-
1,267
1,267
-
6,761
6,761
-
4,553
4,553
-
36,057
36,057
-
26,392
26,392
-
-
-
-
3,000
3,000
234,537
-
234,537
817,597
-
817,597
711,773
140,495
852,268
1,367,488
121,463
1,488,951

3. INCOME FROM CHARITABLE ACTIVITIES

Conference Income
Regional Conference and Meeting Income
Hire of Premises
Sale of Books and magazines		 Unrestricted
funds
Restricted
funds
Total 2025
Total 2024
£
£
£
£
194,592
-
194,592
195,030
5,055
-
5,055
5,882
20,063
-
20,063
22,193
2,922
-
2,922
4,703
222,632
-
222,632
227,808

CHRISTIAN MEDICAL FELLOWSHIP NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31 DECEMBER 2025

2

4. EXPENDITURE

Raising Funds
Charitable activities - Grants paid
Charitable activities - Costs of activities
Student Ministry
Saline Solution
Graduate Ministry
International Ministry
Graduate Nurses Ministry
Volunteer ministry
Communications and Public Policy
Membership support
Governance costs
Total		 Direct costs
Support
costs
Total 2025
2024
£
£
£
£
17,337
68,475
85,812
90,582
-
5,574
5,574
4,673
151,904
66,097
218,001
223,865
657
-
657
-
239,997
67,332
307,329
270,338
181,666
56,590
238,256
198,851
67,239
33,254
100,493
103,408
45,715
50,293
96,008
87,273
248,167
71,723
319,890
350,908
-
220,738
220,738
236,326
935,345
566,027
1,501,372
1,470,969
-
45,537
45,537
41,233
952,682
685,613
1,638,295
1,607,457

Support costs have been allocated across the Charitable Activities on the basis of their usage of the support cost categories listed below.

Analysis of support costs
2025
£
Salaries
425,905
Finance
49,903
Mortgage interest
13,650
IT
47,022
HR
12,179
Premises and office costs
53,684
Depreciation
24,642
Other support costs
58,628
Total costs of activities
685,613
Analysis of Charitable Activities by fund type
Unrestricted
funds
Restricted
funds
Total 2025
£
£
£
Raising Funds
83,384
2,428
85,812
Charitable activities
1,357,816
149,130
1,506,946
Governance costs
42,846
2,691
45,537
1,484,046
154,249
1,638,295		 2024
£
397,547
38,095
19,841
45,154
18,271
51,710
25,084
64,502
660,204
2024
£
90,582
1,475,642
41,233
1,607,457

CHRISTIAN MEDICAL FELLOWSHIP NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31 DECEMBER 2025

2

5. TANGIBLE FIXED ASSETS

Cost
At 1 January 2025
Additions
Disposals
At 31 December 2025
Depreciation
At 1 January 2025
Charge for the year
Depreciation on disposals
At 31 December 2025
Net book value
At 31 December 2025
At 1 January 2025		 Freehold
property
Other
assets
Total
£
£
£
1,627,691
357,773
1,985,464
-
29,785
29,785
-
(38,738)
(38,738)
1,627,691
348,820
1,976,511
318,953
330,665
649,618
18,154
6,488
24,642
-
(38,738)
(38,738)
337,107
298,415
635,522
1,290,584
50,405
1,340,989
1,308,738
27,108
1,335,846

All tangible fixed assets of the charity are used directly for charitable purposes.

6. FIXED ASSET INVESTMENT

Freehold investment property
Valuation
Revaluation in year
at 31 December		 2025
2024
£
£
910,000
910,000
-
-
910,000
910,000

The freehold property was partly reclassified as an investment property at 31 December 2016, to reflect 20% of the rateable floor area being rented to tenants. This portion of the building has been revalued. The remainder is carried at historic cost. The revaluation was carried out by Jeremy Mussett BSC (Hons) MRICS of Alexander Reece Thomson at 14 December 2016, and was based on Market Value as defined in RICS professional standards 2014. The Trustees have reviewed the valuation and consider that there has been no material change. A full revaluation will take place in the following year.

7 EMPLOYEES

Average number of persons employed during the year
Salaries
Social security costs
Pension costs		 2025
2024
Number
Number
24
26
2025
2024
£
£
831,593
806,210
94,078
73,831
80,608
79,131
1,006,279
959,172

One employee was paid at a rate of £80,000-£90,000, one at £70,000-£80,000 and one at £60,000-70,000 in 2025. (2024: one at £70,000-£80,000 and one at £60,000-70,000). £33,756 (2024: £27,901) was paid in contributions to a defined contribution pension scheme for these employees.

No member of the Board of Trustees received any remuneration during the year. Aggregate employee benefits of the key management personnel listed on page 1 were £3 (2024: £294,278).

2

CHRISTIAN MEDICAL FELLOWSHIP NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31 DECEMBER 2025

8. NET INCOME

This is stated after charging
Audit fee
Auditor's remuneration: management accounts
Depreciation		 2025
2024
£
£
7,560
7,200
5,940
5,040
24,642
25,084

9. DEBTORS

Gift Aid receivable
Prepayments
Other debtors		 2025
2024
£
£
45,075
28,422
53,774
55,962
99,508
803,305
198,357
887,689

10. CREDITORS: Amounts falling due within one year

Mortgage
Other creditors
Accruals
Holiday pay accrual
Deferred income		 2025
2024
£
£
-
12,885
46,712
58,398
23,723
12,114
66,105
54,845
40,179
24,221
176,719
162,463

11. CREDITORS: Amounts falling due after one year

Mortgage 2025
2024
£
£
-
252,644
-
252,644

The mortgage has been paid off in full.

CHRISTIAN MEDICAL FELLOWSHIP

2

NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31 DECEMBER 2025

12 MOVEMENT IN FUNDS

MOVEMENT IN FUNDS
Unrestricted Funds
General Fund
Graduate regional funds
Development Fund
Designated Funds
Property fund
Legacies
Capital fund
Total unrestricted funds
Restricted Funds
Founders' scholarship
Student international scholarships
Student Ministries
Staff support
Project support
Saline Solution
Scottish nurses fund
Medical schools
Graduate Ministries
International Ministries
Graduate Nurses Ministry
Volunteer Ministry Fund
Communications & Public Policy
Conference room facilities
Restricted legacy
Total restricted funds
Endowment Fund
Lavinia Croxon Memorial Fund
Total funds		 Balance at 1
January 2025
Income
Expenditure
Transfers
Balance at 31
December 2025
£
£
£
£
£
128,481
1,510,565
(1,450,495)
10,123
198,674
29,959
5,055
(1,747)
-
33,267
-
9,429
-
(9,429)
-
158,440
1,525,049
(1,452,242)
694
231,941
1,953,209
-
(31,804)
279,179
2,200,584
700,000
-
-
(279,873)
420,127
-
778
-
-
778
2,653,209
778
(31,804)
(694)
2,621,489
2,811,649
1,525,827
(1,484,046)
-
2,853,430
6,711
-
-
-
6,711
5,266
-
-
-
5,266
-
19,276
(19,276)
-
-
23,811
5,155
(2,701)
-
26,265
59,782
36,057
(39,131)
-
56,708
5,354
2,120
(657)
-
6,817
2,346
-
-
-
2,346
13,012
4,970
(840)
-
17,142
-
4,442
(4,442)
-
-
-
51,048
(43,548)
-
7,500
-
8,455
(8,455)
-
-
-
1,191
(1,191)
-
-
-
7,781
(7,781)
-
-
8,058
-
-
-
8,058
8,500
-
-
-
8,500
132,840
140,495
(128,022)
-
145,313
26,227
-
(26,227)
-
-
2,970,716
1,666,322
(1,638,295)
-
2,998,743

2

CHRISTIAN MEDICAL FELLOWSHIP NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31 DECEMBER 2025

12 MOVEMENT IN FUNDS (Continued)

Unrestricted Funds
General Fund
Graduate regional funds
Development Fund
Designated Funds
Property fund
Lavinia Croxon Memorial Fund income
Legacies
Capital fund (unrestricted)
Total unrestricted funds
Restricted Funds
Founders' scholarship
Student international scholarships
Student Ministries
Regional staff workers
Project Support
Saline Solution
Scottish nurses fund
Medical schools
Graduate Ministries
International Ministries
Graduate Nurses Ministry
Volunteer ministry fund
Communications & Public Policy
Conference room facilities
Overseas restricted fund
Total restricted funds
Endowment Fund
Lavinia Croxon Memorial Fund
Total funds		 Balance at 1
January
2024
Income
Expenditure
Transfers
Balance at 31
December
2024
£
£
£
£
£
104,207
1,358,948
(1,441,687)
107,013
128,481
28,806
5,107
(3,954)
-
29,959
-
19,995
-
(19,995)
-
133,013
1,384,050
(1,445,641)
87,018
158,440
1,959,061
-
(37,997)
32,145
1,953,209
7,309
-
(7,309)
-
-
-
817,597
-
(117,597)
700,000
-
1,566
-
(1,566)
-
1,966,370
819,163
(45,306)
(87,018)
2,653,209
2,099,383
2,203,213
(1,490,947)
-
2,811,649
6,711
-
-
-
6,711
5,266
-
-
-
5,266
-
33,027
(33,027)
-
-
23,734
5,672
(5,595)
-
23,811
52,467
26,392
(19,077)
-
59,782
6,495
-
(1,141)
-
5,354
2,746
-
(400)
-
2,346
13,452
1,489
(1,929)
-
13,012
-
6,521
(6,521)
-
-
-
33,430
(33,430)
-
-
-
5,095
(5,095)
-
-
-
1,157
(1,157)
-
-
5,680
(5,680)
-
-
5,825
3,000
(767)
-
8,058
8,500
-
-
-
8,500
125,196
121,463
(113,819)
-
132,840
28,918
-
(2,691)
-
26,227
2,253,497
2,324,676
(1,607,457)
-
2,970,716

Graduate regional Funds cover funds held by local and regional CMF groups.

The Development Fund comprises amounts given in response to a previous appeal for funds to develop the ministry of CMF. At the end of each year the amounts are transferred to the General fund, as the trustees believe there is little information value in continuing to show the Development fund as a designated fund.

During 2014 a Property Fund was established within Designated Funds with the purpose of readily identifying the value of CMF's net interest in Johnson House (6 to 8 Marshalsea Road, London SE1 1HL).The value of the fund is given by the net book value of the freehold property, reduced by the mortgage and other associated funding.

The income arising from the investment of the capital of the Lavinia Croxon fund can be used at the discretion of the Board of Trustees. The balance brought forward has been fully utilised to fund the work of the Global team in 2025.

The Founders’ Scholarship fund is for study and research to further the aims of the charity.

Student International Scholarships support international students and juniors to attend the annual students and juniors conferences in the UK. In addition, this fund includes support for specific international conferences held overseas, and all the finances of the summer teams.

Within the Student International funds are balances which were donated in previous years to support activities which did not require all the funds donated and are not recurring.

The Student Ministries fund covers the general student ministry activity, including the annual national students conference.

CHRISTIAN MEDICAL FELLOWSHIP NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31 DECEMBER 2025

2

12. MOVEMENT in FUNDS (continued)

Staff support fund covers amounts given for the support of specific staff members or roles. Within these funds are balances which were donated in previous years to support CMF staff as regional workers in regional roles where CMF does not currently employ anyone.

Project support covers funds donated towards the costs of the work of some specific activities or members of staff

Saline Solution covers funds donated to support the development of the Saline Solution course, which offers training in how to share Christian faith as a health professional.

The Scottish nurses fund covers a donation from CNMA in Glasgow, given towards developing CMF's work among nurses in Scotland.

Medical schools - These are funds that have been donated to help subsidise the cost to students of participating in CMF activities such as the CMF Students Conferences and travel costs.

The Graduates Ministries fund covers the general graduate ministry activity with qualified doctors.

The International Ministries restricted fund receives all the specific donations for this ministry.

The Graduate Nurses restricted fund receives all the specific donations for this ministry.

The Volunteer ministries fund receives all specific donations for the National Field Director and the regional and office based teams of volunteers.

The Communications & Public Policy fund is to support the publications and public policy activities of the charity. The Publications Committee supervises the publications. The fund includes both restricted and unrestricted resources, but the Board of Trustees prefers to show the whole fund as restricted.

The Conference room facilities fund represents a fund that will be used for the IT server upgrade.

Overseas Restricted Fund covers donations received to support Christian medical students visiting and working at Laigadh Hospital in Nepal (£5,000) and a legacy to be used for overseas nurses taking courses in the UK.

13 ANALYSIS OF NET ASSETS BY FUND

Tangible fixed assets
Net current assets
Long term liabilities
Total
Tangible fixed assets
Net Current assets
Long term liabilities		 General Funds
Designated
Funds
Restricted
Funds
Endowment
Funds
2025
£
£
£
£
£
42,347
2,200,584
8,058
-
2,250,989
189,594
420,905
137,255
-
747,754
-
-
-
-
-
231,941
2,621,489
145,313
-
2,998,743
2024
£
£
£
£
£
19,050
2,218,738
8,058
-
2,245,846
139,390
687,115
124,782
26,227
977,514
-
(252,644)
-
-
(252,644)
158,440
2,653,209
132,840
26,227
2,970,716

14. PENSION COSTS

From October 2015, the charity has operated a money purchase group pension plan which is auto-enrolment compliant. The Charity contributes an amount equal to 10% of gross salary.

Prior to 1 October 2015,the charity operated a money purchase group stakeholder pension plan to provide pension benefits for qualifying employees who elected to join the scheme. Under this scheme the charity contributed an amount equal to 10% of gross salary subject to the employee contributing an amount of at least 5% of gross salary.

Independent professional advice about pension arrangements is provided by Wingate Benefit Solutions.

Tax reliefs are available to the employee for contributions of £3,600 or 100% of their salary, whichever is greater, subject to an annual allowance of £60,000 for the year 2025/6.

The standard individual lump sum allowance was £268,275 in 2025/6. The charity's liability under the plan is limited to the on-going contributions.The total pension contributions for the year amount to £80,765 (2024: £75,700).

CHRISTIAN MEDICAL FELLOWSHIP NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31 DECEMBER 2025

2

15. RELATED PARTIES

During the year a total of £10,035 (2024: £9,540) was donated from members of the Board of Trustees towards the existing activities of the charity.

Travel expenses of £693 were paid to a total of five trustees in 2025 (2024: £1,207 to six trustees).

During the year CMF continued a partnership begun in 2020 with Integritas Healthcare to deliver a specialist training track on Health and Justice. The partnership involves some sharing of resources and information between the two organisations. The CEO of CMF is a director of Integritas Healthcare and the CEO's wife is the Medical Director of Integritas Healthcare. Day to day decision making regarding this relationship is led by the CMF Head of Conferences and Equipping.

CMF is a member of ICMDA (International Christian Medical and Dental Association) and paid a membership subscription of £22,267 in 2025. Howard Lyons is a Trustee of both orgnisations

16. RECONCILIATION OF NET MOVEMENT IN FUNDS TO NET CASH FLOW FROM

OPERATING ACTIVITIES

Net movement in funds
Add back depreciation charge
Deduct interest income
Decrease (increase) in stock
Decrease (increase) in debtors
Increase (decrease) in creditors
Net cash provided by / (used in)
operating activities		 2025
£
28,027
24,642
(5,824)
3,532
689,332
27,141
766,850		 2024
£
717,219
25,084
(5,836)
2,809
(738,519)
(11,477)
(10,720)

17. TAXATION

The charity is registered with the Charity Commission and is exempt from income tax and corporation tax in respect of income and capital gains in accordance with Part 10 of the Income Tax Act 2007 and section 256 of the Taxation of Chargeable Gains Act 1992 to the extent that such income or gains are applied exclusively for charitable purposes.

18. OPERATING LEASES

The total future minimum payments under non-cancellable operating leases are payable:

----- Start of picture text -----
2025 2024
£ £
Within one year 2,833 2,751
After one year but within five years 996 3,707
3,829 6,458
2025 2024
£ £
Lease expense in year 2,823 2,331
----- End of picture text -----