Options for International Health Annual Report and Accounts 31 December 2024 Company Llmtted by Guafantee Regisiralion Number 9137405 IEn9land and Wales) Charity Registralion Nurnber 1160066 11 •AE¢IlL9ER* OW0412025 COMPANIES HOUSE A14
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Contents Reports Legal and administrative information Trustees. report Independent auditor's report 10 Accounts Statement of financial activities 14 Balance sheet 15 Statement of cashflows 16 Principal accounting policies 17 Notes to the account8 19
Legal and administrative inforniation 31 December 2024 Trustees Jo Elms Richard Burge Claire Morris Sally Hughes Dr Faith Mwangi-Powell (Resigned 22nd April 2024) James Harcourt (Chair from 13 February 2025) Maya Jaffe (Chalr) (Resigned 13 February 2025) Regist•r•d offic• 1 Conway Street Fitzroy Square London W1T6LP Company reglgtratlon number 9137405 (England and Wales> Charlty registration number 1160066 Accountants Sayer Vincent 110 Golden Lane London EC1Y OTG Bankorn Barclays Bank plc Level 28 1 Churchill Place London E14 5HP Options for International Health I
Trustees, report 31 December 2024 The trustees, who are directors for the purposes of company law. present their statutory report together with the financial statements of Options for International Health ("OIH") for the year to 31 December 2024. The accounts have been prepared in accordance with the accounting policies set out on page 17 therein and Comply with the chantable company's memorandum and articles of association, applicable law and the Accounting and Reporting by Charities.. Slatemenl of Recommended Practice applicable to charrties preparing their accounts in accordance with the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102). The report has been prepared in accordance with Part 8 of the Charities Act 2011 and also constitutes a directors, report as required by section 418 of the Companies Act 2006. OIH is a wholly owned subsidiary of MSI Reproductive Choices {Re91slered Company Number 01102208 (England and Wales)). OIH'S operational management is carried out by Opts'ons Consultancy Services Limited (Registered Company Number 2695347 (England and Wales)), which is also a subsidiary of MSI Reproductive Choices. Options Consultancy Services Limited was set up in 1992 to., {1) To carry on the business ol acting as consultants and providing advice and information in relation to family planning, population grovrth, birth control and contraception, good health, both mental and physical, ol parents, young people and children, illness, whether physical or mental or distress caused by unwanted conception, involuntary sterility or difficulties connected wilh the marriage relationship or sexual problems and the advice. facilities and treatment available fof such persons and other health and medical issues. (21 To conduct research into any of the above. (31 To co-operate with and enter into arrangements with any authorities, agencies or bodies, international, national, local or othepAii$e and to obtain from any such authorities, agencies or bodies any rights, privileges and Concessions. (4) To cary bn any other activity and do anything of any nature which may seem to the company capable of being conveniently carried on or done by the company in connection with the above, or may seem to the company calculated directly or indirectly to benefit the company. Some of the programrnes that Options managed address Social issues for which there was interest in support from charitable sources. Thls led to the establishment of OIH as a charity for receiving donations and grants that can be channelled to enable the implementation of these programmes. Optsons for International Health 2
TfUStees' port 31 December 2024 Objectives and Activities The Charity's Objects. as set out in its Articles of Association are.. a) the prevention and relief of sickness and Ihe preservation and promolion of menial and physical health for the public benefit woddwide, with a focus on those who are disadvantaged or in need particularly as a result of ill health or poverty. by such means as the Trustee Directors think fit including but nol exclusively through.. strengthening healthcare services, increasing access and improving the quality of healthcare provision; improving maternal and newborn surlival by research and analysis to enable the promolion of enhaneed accountabillty and services; increasing public awareness, support and attention toward ending the practice known as Female Genitalia Mutilalionlcutting,. b} the advancement of such other Charitable Purposes for the public benefit as are consistent with the Object stated above as the Trustee Directors in their absolute discretion determine. Publlc Benefit The trustees confirm that they have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing the Charity's objectives and aims and in planning future activities. The activities undertaken and planned during the reporting period are considered to directly contribule towards furthering the charity's objects for the public benefit. Actlvlties durlng th• reportlng p•rlod Evldence for Action IE4A) funded by the Bill & Melinda Gat•s Foundatlon {BMGF) E4A formally closed in September 2024, signalling the end of a 12-year investment from DFID (2011-2016> and the BMGF (2015-2024). E4A has inspired a passionate movement bringing together grassroots civil society organisations, health professionals, government and the media to advocate and hold government accountable for high-qualily and equitable reproductive maternal child and adolescent health (RMNCAH> services across SUsaharan Africa. It has achieved this by combining evidence, action, and accountability to identify the reasons why Vrnen, girls and babies are dying, and leaming how to navigate politics to influence decisions on how available resources can be used effectively to save lives. These local coalitions have changed accountability ecosyslems by radically shifting poVr imbalances in favour of more equal participation in decision-making through evidence-based dialogue. Options for International Health 3
Trustees, report 31 December 2024 Funding in 2024 supported an exit initiative and included strengthening project and financial management capabilities of Givil society coalitions, and the formalisation of the 'MamaYe Collective,. which will connect advocates and drive global and regional RMNCAH advocacy. This Collective has been re9lStered as a non-govemment organisation. The project's key achievement and lasting legacy is the building up of a grassroots movement into one that can run independently, continue to leverage financial support, and deliver impact in the long-term TA Connect funded by the Bill & Melinda Gates Foundation and Technical Advice Connect LTDIGTE (TAConn•ct This trwo-year programme in Kano, Nigeria, strengthens primary healthcare systems and scales.. (i) maternal and newborn health {MNH) innovations, and {ii).high impact inlen4entions in reproductive matemal child and adolescent health and nutrition. In partnership with the Center for Integrated Health Programs we are addressing gaps by enhancing the quality and uptake of MNH innovations and RMNCAH+N high-impact interventions, promoling data-driven decision-making, strengthening primary healthcare systems, and fostering gender-responsive approaches to mitigate barriers and inequalities. This program Is designed to provide critical technical assistance to the State Ministry of Health and Slate Primary Health Care Management Board to facilitate sustainable improvements in maternal and newborn health outcomes the state. The Strengthening Health Systems lo Catalyse Greater Access to FPISRH Services in Kenya, funded by The Waterloo Foundation. In 2024 the implementation approach was refined. and scope narrowed to the piloting of a scalable model to increase hospital revenue generation. As part of this shift, implementalion was coneentraled in Nakuru (across five high-volume sub-county hospilals), discontinuing support in Bungoma and Nairobi MOH. This strategic pivot undertaken in collaboration with county govemment, healthcare providers, and partner agencies culminated in a model that leverages Facility Improvement Funds (FIF) to slrengthen Maternal and Perinatal Death Surweillance and Response {MPDSR). The model empowers Health Facility Management Committees to utilise the financial autonomy provided under FIF laws and regulations. The updated approach focused on two key intervention areas.. (i) optimising revenue generation and management; and (ill institutionalising MPDSR to improve quality of care. To ensure the scalability and sustainability of these inteTventions, technical support was extended to the county heallh department to integrate these initiatives into the county's FY2024125 Annual Work Plan and Budget - fostering long-term institutional ownership and secure financial comrnitment. Opts'ons for International Health 4
Trustees, report 31 December 2024 Key lessons from the pilot were disseminated widely across the county, and the county team began rolling out the MPDSR Action Tracker to additional facilities beyond the five pilot hospitals. This effort is expected to standardise MPDSR practices and promote a culture of continuous quality improvement across the county's health system. Although implernented over limited period, early results indicate that the model has yielded positive outcomes across all five hospitals. These initial successes suggest that further support would provide the necessary time to build a robust ease for the model, generate valuable lessons to refine its approach, and secure broader stakeholder buy-in, including from the county government. Thls I-year project will Conclude in March 2025. Foundab'on for a Just Society OIH has been implementing a three-year grant from the Foundation for a Just Society (FJSI), leveraging and supporting the work of TGG-ALM. The support provides lunding to grassroot organisalions in Senegal in support of ending FGM. As at the end of 2024, the grants mechanism has dislributed funds to 24 small, medium, and large grantees, and has provided valuable learning about the how grants can contribute towards a wider social movement. The Chopra Foundation The Chopra Foundation provided funds to support The Girl Generation.. Support to the Afnca-led Movement to End FGMIC {TGG-ALM) programme's leadership tralning. Thi5 included a residential five-day course where FGM suriivor-activists came together to learn about self-care techniques, strengthen their leadership skills, and develop peer-to-peer support nelworks. The Chopra Foundatlon's support also purchased equipment for participants and the production of a short video lo capture participants, experiences of the week. The Chopra Foundation also amplified TGG-ALM'S work via their social media platforms, increasing exposure to millions of followers. The Power of Collective Healing.. Scaling Up Survivors Leadership Initiative through Trainlng of Trainers, funded by The Wallace Foundats'on This project strengthened the global movement to end FGMIC by.. producing a holistic curriculum lo support the delivery of Survivors Leadership Training (SLT), strengthening the leadership and emotional well-being of survivor-activists,. training a multivcounty cohort of 20 Master Trainers, to equip them to cascade the approach to others,. connecting SLT participants and Master Trainers into existing and emerging end FGMIC neOrkS, supported by TGG and our partners., promoting uptake of the approach to a wide range of priority audiences,. and evaluating the project, capturing results and learning. Options for International Health 5
Trustees. report 31 December 2024 Plans for 2025 All ongoing programmes will be delivered as per grants and expectations. Fundraisin9 activities will continue to leverage learning, insight and data from on90ing interventions and programmes that have concluded in 2024, and also lo broaden our scope of delivery in key technical areas and geographies. This data, insight and learning will also be used to further the global leaming agenda Structure, governance and management Constitutlon OIH is a company limited by guarantee incorporated in England and Wales (registered number 9137405) and is governed by its Memorandum and Articles of Association dated 18 July 2014. It 1$ also registered with the Charity Commission, charity registration number 1160066. In the event of the company being wound up the members would each be required, if necessary, to contribute to the assets of the company a sum not exceeding £1. Oryanisation Trustees can be appointed by ordinary resolution of the members. All trustees were recruited through recommendations ol people involved in the work that OIH was set up to address, and their appointment was through approval of the parent entity, MSI Reproductive Choices. Background checks on all trustees were carried out to ensure all met the due diligence requirements and all fulfil annual declarations covering conflicts of interest. The trustees of the charity are given information on the roles and responsibilities of trustees of a UK charity and are regulady updated on Charity Commission best practice. During 2021, this information formed part of a comprehensive Trustee Induction pack that was shared with all trustees Govemanc• and management during 2024 During 2024 OIH implemented six grants from Gates, FJSI. the Waterloo Foundation, TA Connect, Wallace Foundation and the CHOPRA Foundation through the Management and Administralive Services Agefflent with Options Consultancy Services Ltd (Options) who carried out the specific activities as authorised through the Enabling Agreement. These were.. • E4AIMamaYe, funded by the Bill and Melinda Gates Foundation, Expenditure in 2024. £720,167 Options for International Health 6
Trustees, report 31 Oecember 2024 • A grant from the Foundation for a Just Society Intemational LTD, Expenditure in 2024 '. £587,025 • A grant from the Waterloo Foundation, Expenditure in 2024 .' £85,017 • A grant from TA Connecl-expenditure in 2024 .' £178,757 • A grant from the Wallace Foundation- expenditure in 2024 .' £39,568 • A grant from the CHOPRA Foundation - expenditure in 2024 .' £4,121 OIH Trustee meeting was held in April 2024. Trustees were updated on progress of the above grants and were satisfied with their progress. Trustees were also Informed of the plans for continuing fundraising for the programme to support the Africa-led movement to end FGM. Key management personnel The trustees consider that they comprise the key management personnel of the charity along wilh support from key personnel from Options Consultancy Services Limited. The charity had no employees during the accounting period. Trustees, responsibilities statement The trustees (who are directors of Options for International Health for the purposes of company law) are responsible for preparing the trustees, report and financial statements in accordance with applicable law and United Kingdom Accounlin9 Standards (United Kingdom Generally Accepted Accounting Practice). Company law requires the trustees to prepare financial statements lor each financial period which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources, including the income and expenditure, of the charity for that period. In preparing these financial statements, the trustees are required to.. select suitable accounting policies and then apply them consistently. observe the methods and principles in Accounting and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102)., • make judgements and estimates Ihat are reasonable and prudent,. state whether applicable UK accounting standards have been lollowed, subject to any material departures disclosed and explained in the financial siatements., and • prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in operation. Options for International Health 7
Trustees, report 31 December 2024 The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy al any time the financial position of the charity 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 charity and hence for taking reasonable steps for Ihe prevention and deteclion of fraud and other irregularities. Each of the trustees Confirms that.. • so far as the trustee is aware, there is no relevant audit information of which the charity's audilors are unaware,. and • the trustee has taken all the steps they ought to have taken as a twstee in order to make themselves aware of any relevant audit information and to establish that the charity's auditors are aware ofthat information. This confirmation is given and should be interpreted in accordance with the provisions ol 5418 of the Companies Act 2006. Risk management The trustees have reviewed the major risks to which the charity is exposed, in particular Ihose relating to the specific operational areas of the Charity and its flnances. The trustees review the measures in place and establish policies, systems and procedures should they be needed to minimise or manage any potential impact on the charity should those risks materialise. The trustees have identified 2 main afeas where risks may occur.. Programm• delivory OIH is conscious of the need lo ensure that it can meet its deliverable targets in its contracts ¥th third parties. In the event that it does not meet those targets. there is a risk of future funding being withheld or withdrawn. Therefore, in order to mitigate this risk, the charity has entered into an agreement with Options Consultancy Services Limited I'options") whereby Options wll provide the charity with programmatic support thus ensuring donor compliance. The charity has also adopted a Risk Management Policy in order to ensure that any risks facing the charity (programmatic and operational) are ralsed, discussed and managed. Governance and management The trustees are mindful of the risks that the Charity Commission have issued with regard to connections with non-charities. In order to help ensure that OIH comply wrth the above, laws and regulations dealing with the operation of charities the Board consists of trustees with considerable experience and expertise of working in the charitable sector. Each call down that OIH issues to Options through the enabling agernent is subject to detailed budget which ensures that expenditure and activities are within the agreed Options for International Health 8
Trustees, report 31 December 2024 parameters and within the charitable purposes. The OIH board review expenditu reports at the trustee meetings. The funding relationship that exists between OIH and Opiions is fully disclosed to donors to ensure complete transparency. The trustees of OIH are aware of their responsibility when it comes to serious incident reporting through to the Charrty Commission. The reporting is delegated to the Chair of Trustees. Flnanclal report for the perlod Results for the period The charty's total income was £1,615,088 {2023 £1,429,376) during the year, all of which was expended on charitable activities. Ro8erv•8 poIIcy The trustees have continued to review the need for reserves and, due to the Close relationship betren the charity and Options, have agreed there are no liabilities requiring OIH to hold any unrestricted reserves. This is deemed appropriate while OIH'S work continues to be subcontracted to Options. This position is reviewed on an ongoing basis. Flnanclal Posltion The Charty currently holds of £719,023 of current assets with credrtors of f 719,023 due within one year. Therefore, the Charity doesn't hold any net assets. This is in line with previous years. Approved by the trustees and signed on Iheir behalf by.. Trustee Jame5 Harcourt Approved by the trustees on.. 28th March 2025 Options for International Health 9
Independent auditor's report 31 December 2024 Independent auditor's report to the members of Options for International Health Oplnion We have audited the financial statements of Options for Internalional Health (the 'charitable company,) for the year ended 31 December 2024 which comprise the slalement of financial a¢livities, balance sheet. statement of cash flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Iland (United Kingdom Generally Accepted Accounting Practice). In our opinion. the financial statements.. Give a true and fair view of the state of the charitable company's affairs as at 31 December 2024 and of Its incoming resources and application ol resources, including its income and expenditure for the year then ended Have been properly prepared in accordance with United Kingdom Generally Accepted A¢¢ounting Practice Have been prepared in accordance with the requirements of the Companies Act 2006 Basis for opinion We Conducted our audit in accordance with Intemational Standard$ on Auditing (UK) (ISAS IUKI) and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements thal are relevant to our audit of the financial statements in the UK, including the FRC'S Ethical Standard and we have fijlffilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriale to provide a basis for our opinlon. Con¢lu$lon$ relatlng to golng concem In auditing the financial statements, we have concluded that the twstees, use of the going concern basis of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed. we have not identified any material uncertaintles relating to events or conditions that, individually or collectively, may cast significant doubt on Options for Intemational Health'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 concem are described in the relevant sects'ons of this report. Options for Intemational Health 10
Independent audltorfs report 31 December 2024 Other Infomiation The other information comprises the information included in the trustees, annual report, other than the financial statements and our auditor's report thereon. The twstees are responsible for the other infomiation 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 malerial misstatements, we are required lo delermine whether this gives rise to a material misstatement in the financial statements themselves If, based on the work VR have performed, we conclude thal there is a material misstatement ol this other infomiation, we are required to report that fact. We have nothing to report in this regard. Oplnlons on other matters prescrlbed by the Companles Act 2006 In our opinion, based on the work undertaken in the course of the audit: The information given in the twstees, annual report. for the financial year for which the financial statements are prepared is consistenl with the financial statements; and The Irustees, annual report has been prepared in accordance with applicable legal requirements. Matters on which we are required to report by exceptlon In the light of the knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the trustees, annual report. We have nothing to report in respect ofthe following matters in relation to which the Companies Act 2006 requires us lo report to you if, in our opinion.. Adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us- or The financial statements are not in agreement with the accounting records and retums-, or Certain disclosures of trustees, remuneration specified by law are not made., or We have not received all the information and explanations we require for our audit., or The directors were not entitled to prepare the financial statements in accordance with the small Gompanies regime and take advantage of the small companies, exemptions in preparing the trustees, annual report and from the requirement to prepare strategic report. Options for International Health 11
Independent auditorfs report 31 December 2024 Responsibilities of trustoes As explained more fijlly in the statement of trustees, responsibilities set out in the trustees, annual report. the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view. and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, wthether due to fraud or error. In preparing the financial statements, the trustees are responsible for assessing the charitable company's ability to continue as a going concern, disclosing, as applicable, matters relaled to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic altemative but to do so. Auditor's respon8lbllitles lor the audlt of th• financlal statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report Ihat 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. Mis$latements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. 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 irregularilies, including fraud. The extent to which our procedures are capable of detecting irregularities. including fraud are set out below. Capabillty of the audlt In detecting irregularlties In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, our procedures included the following.. We enquired of management, whlch included obtaining and reviewng supporting documentation, conceming the chanty's policies and procedures relating to.. Identifying, evaluating. and complying with laws and regulations and whether they were aware of any instances of non-compliance,. Detecting and responding to the risks of fraud and vthether they have knowledge of any actual, suspected, or alleged fraud", The internal controls established to mitigate risks related to fraud or non-compliance with laws and regulations. We inspected the minutes of meetings of those charged with governance. We obtained an understsnding of the legal and regulatory framework that the charity operates in, focusing on those laws and regulations that had a material effect on the Options for International Health 12
Independont auditorfs report 31 December 2024 financial statements or that had a fundamental effect on the operations of the charrty from our professional and sector experience We communicated applicable laws and regulations throughout the audrt team and remained alert to any indications of non-compliance throughout the audit. We reviewed any reports made lo regulators. We reviewed the financial statement disclosures and tested these to supporting documentation lo assess compliance with applicable laws and regulations. We performed analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due to fraud. In addressing the risk of fraud through management override of controls, we tested the appropriateness of journal entries and other adju5tmen15, assessed whether the judgements made in making accounling estimates are indicalive of a potential bias and tested significant transactsons that are unusual or those outside the normal Course of business. Because of the inherent limitations of an audit, there is a risk that we will not delect a15 irregularities, including those leading to a material misstatement in the financial statement5 or non-compliance with regulation. This risk increases the more that compliance with a law or regulalion is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is a150 greater regarding irregularities occurring due to fraud rather than error, as fraud involves inlenlional concealment, forgery. collusion, omission or misrepresentation. A further description of our responsibilities is available on the Financial Reporting Council's website at.. W.frC.0r .ukJaudilorsres onsibililies. Thi$ description forms part of our auditor's report. Use of our rnport Thi3 report is made solely to the charitable company's members as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable Company's members those matters we are required to state to them in an auditor's report and for no other purpose. To the fullest extent pefmitled by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company's members as a body, for our audrt work, for this report, or for the opinions we have formed. Jonathan Orchard {Senior statutory auditor) 03 April 2025 for and on behalf of Sayer Vincent LLP, Statutory Auditor 110 Golden Lane, LONDON. EC1Y OTG Options for International Health 13
statement of financial activities 31 December 2024 Restrictsd and total funds 2024 2023 Income and expenditure Notes In¢om• from: Donations Total incom• 1,616,088 1,615,088 1,429.376 1,429.376 Expendlturn on: Charitable activities Total expendlture 1 1,616,088 1,615,088 1,429,376 1,429,376 Nel In¢om• and movernent In fund• Fund balan¢•s broughl loard at 1 January 2024 Fund balances earrlèd fon#•rd at 31 D•c•mber 2024 All of the charity'8 activities derived from continuing operatlons during the above financial period. The charity has no recognised gains and105ses other than those shown above. Options for International HeaFth 14
Balance Sheet as at 31 December 2024 2024 2024 2023 2023 Note5 Current assets Prepayments Cash al bank 714,312 4,711 1,161,344 98,103 Crnditorn: amounts falling due thin one year 719,023 1,259,447 Totsl net assets Th• fund• of the ch•rlty Fund$ and reserves unStric1ed funds The financial statements have been prepared in accordance with the special provisions of Part 15 ol the Companies Act 2006 relating to small companies. Approved by the trustees of Options for Intemalional Health, Company Registration Number 9137405 {England and Wales) and signed on their behalf by.. Trustee James Harcourt Approved on.. 13th March 2025 Options for International Health 15
Statement of Cashflows 31 December 2024 Options for Internatlonal Health statement ot Cashflows For the year ended 31 December 2024 2024 2023 Cash Flows frorn Operatin8 Actlvltles: Net Income / loutgoingl resources Change in Creditors Chan8e in Debtors 440.424 447,032 -110.083 203,364 Net Cash from Operatlng Actlvltles -93,392 93,281 Net movement in Cash & Cash Equivalents Cash at the be8lnnln8 of the period Cash at the end of the period -93,392 98,103 4,711 93.281 4.822 98.103 Opts'ons for International Health 16
Principal accounting policies 31 December 2023 The principal accounting policies adopted, judgements and key sources of estimats'on uncertainty in the preparation of the accounts are laid out below. 8asls of preparatlon These accounts have been prepared for the year to 31 December 2024. The accounts have been prepared under the historical cost convention with item$ recognised at Cost or transaction value unless otherlSe stated in the relevant accounting policies below or the notes to these accounts. The accounts have been prepared in accordance with Arxountin9 and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable In the United Kingdom and Republic of Ireland (FRS 102) (Charities SORP FRS 102) issued on 16 July 2014, the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Charities Act 2011. The charity constitutes a public benefit entity as defined by FRS 102. The accounts are presented In sterling and are rounded to the nearest pound Critical ac¢ountlng •8timate8 and ar•a• of Judgement Preparation of the accounts can quIre the trustees to make significant judgements and estimates. There a no items in the accounts where these judgements and estimates were significanl. Assessmont of going Concem The trustees have assessed whether the use of the going concem assumption Is appropriate in prepanng these accounts. The trustees have made this assessment in respect to a period of one year from the date of approval of these accounts. The trustees of the charity have concluded that Ihere are no material uncertainties related to events or conditions that may cast significant doubt on the abilrty of the charity to continue as a going concem. The trustees are of the opinion that the charity will have sufficient resources to meet its liabililies as they fall due. The most significant areas of judgemenl that affect items in the accounts are detailed above. With regard to the next accounting period, the period ending 31 December 2024. the most signfficant area that affects the carrying value of the assets held by the charty are the level of future contract income. Opts'ons for International Health 17
Princlpal ac¢ounting policies 310ecember 2023 Income Income is recognised in the period in which the charity is entidèd to receipt, it ts probable the income will be received, and the amount can be measured with reasonable certainty. Income 1$ deferred only when the charity has to fulfil conditions before becoming entitled to it or where the donor or funder has speclfied that the income is to be expended in a future accounting period. Expenditure and tho baglg of apportioning costs Expenditure is included in the statement of financial activities when incurred and includes attributable VAT which cannot be recovered. Expenditure comprises grants for charitable work that the Charity has subcontracted to Oplions Consultancy Services L TD. Cash at bank and in hand Cash at bank and in hand represents such accounts and instruments that are available on demand or have a maturity of less than three months from the date of acquisition. Credltors and provisions Creditors and provision5 are recognised when there is an obligation al the balance sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably. Creditors and provisions are recognised at the amount the charity anticipates it will pay to settle the debt, They have been discounted to the present value of the future cash payment where such discounting is material. Options for Intemational Health 18
Notes to the financial ststements 31 December 2024 1 Charitable activities 2024 Total fund8 2023 Total funds Grants 1.61S,088 1,616,088 1,429,376 1,429,376 Charitable activities were made through grants to Options Consultancy Services Limited under a Management and Administrative SeNi¢e Agreement. 2 Gov•manc• costs All governance costs and auditor's remuneration were mel by Opiions Consultancy Ser¥i¢es Limlted during the year ended 31 Decembèr 2024. 3 Taxatlon Options for International Health ig a registered charity and therefore is not liable to income tax or corporation tax on income derived from its charitable activities, as it falls within the various exemptions available to registered charities. 4 Creditors: amounts falling due within ono yfrar 2024 Total fund8 2023 Total lunds Creditors Accruals and deferred income 4,711 714,312 719,023 98,103 1,181,344 1,259,447 5 Financial instruments 2024 Totsl funds 2023 Total funds Financial assets Bank and cash balances Financial liabilities measured at undiscounted rate receivable . Creditors 4,711 98,103 4,711 98.103 6 Ultimate controlllng party The company's umimate parent undertaking is MSI Reproductive Choices. It is a company limited by guarantee and is registered in England and Wales. Their registration address is 1 Conway Street. Filzroy Square, London, W1T 6LP. Options for International Health 19
Notes to the financial statements 31 December 2024 7 Relaled party transactions All expenditure incurred by Options for International Health is sub granted to Options Consultancy Services LTD. The prepayment in the balance sheet represents an amount held by Options Consullancy Services LTD which is yet to be spent al the balance sheet date. 8 Key management and trust888' remuneration and expenses As explained in the trustees, report, the trustees consider that they comprise the key management personnel of the charity. The charity had no employees during the period. None of the trustees received any remuneration in respect of their services or reimbursement of expenses during the period (2023 - none). 9 Charlty Informatlon The charity is constituted as a company limited by guarantee. In the event ol the charity being wound up members are required to contribute an amount not exceeding £1. The registered office of the charity is 1 Conway Street, Fitzroy Square, London, W1T 6LP Option5 for International Health 20