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2021-12-31-accounts

International Christian Medical and Dental Association (UK) CIO

REPORT AND ACCOUNTS

year ended 31 December 2021

1

International Christian Medical and Dental Association (UK) CIO

FOR THE YEAR ENDED 31 December 2021

CHARITY INFORMATION

Charity Trustees

Charity Trustees Marinus Verweij (Chairman) Deborah Lanz (Secretary) Vijayjumar Aruldas Isaac Lewis Howard Lyons Henry Thiessen Kevin Vaughan Charity Registration Number 1188743 (CIO registered 25 March 2020) Charity Correspondence Address Suite 8, Censeo House 6 St Peters Square St Albans Hertfordshire, AL1 3LF

Independent Examiner

George Arthur Limited Chartered Accountants Suite 6B, Wentworth Lodge Great North Road Welwyn Garden City Hertfordshire, AL8 7SR

Bankers

HSBC Bank plc Kingdom Bank

Investment Advisers

The Ethical Investment Co-operative Ltd 1 Aske Stables, Aske, Richmond, DL10 5HG

CONTENTS

Page
Charity Information 2
Trustees Report 3-7
Independent Examiner's Report 8
Statement of Financial Activities 10
Balance Sheet 11
Notes to the Accounts 12-15

2

International Christian Medical and Dental Association (UK) CIO

REPORT OF THE TRUSTEES

FOR THE FINANCIAL STATEMENTS

for the year ended 31 December 2021

The trustees present their annual report and financial statements of the Charitable Incorporated Organisation (CIO) for the year ended 31 December 2021. The financial statements have been prepared in accordance with the constitution and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019).

Structure, Governance and Management

The full name of the charity is International Christian Medical and Dental Association (UK) CIO known also as ICMDA (UK) CIO and is a registered charity (number 1188743).

The ICMDA (UK) Trust was a registered charity (number 1059750) operating under a trust deed dated 31 October 1996 and this charity transferred all the Trust activities to the new incorporated charity in the previous financial year, ICMDA (UK) CIO, registered with the Charity Commission 25 March 2020, with the intention that the CIO take over the operations of the Trust as an incorporated entity. The Deed of Novation was effective from 3 April 2020, and the cessation of the former Trust was registered with the Charity Commission 15 May 2020.

Trustees

The trustees who have served during the year under review were:

Marinus Verweij (Chairman)

Deborah Lanz (Secretary)

Vijay Aruldas

Isaac Lewis

Howard Lyons

Henry Thiessen

Kevin Vaughan

New trustees are appointed by agreement of existing trustees from persons of suitable background, acquainted with the work of the charity, in support of its objectives and activities. The induction and training of new trustees includes familiarisation with “The Essential Trustee: What you need to know, what you need to do” published by the Charity Commission (CC3 July 2015). No outside or related body is entitled to appoint trustees.

Relationship with the International Christian Medical and Dental Association

The charity acts as trustee for the cash and investments held in the UK for the benefit of the International Christian Medical and Dental Association (ICMDA). The trustees are responsible for the overall management and control of the charity.

In order to promote close working between the ICMDA board and the trustees of the UK CIO, the charity has ensured a significant overlap between the two. ICMDA board members Vijay Aruldas (Treasurer) and Henry Thiessen (Chairman) and Howard Lyons are all trustees of the UK charity. However, there remains an intention that the majority of the UK CIO charity trustees are not ICMDA board members.

3

Statement of the Trustees’ Responsibilities

The charity trustees are responsible for preparing a trustees’ annual report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). The charity trustees are required to prepare financial statements for each year which give a true and fair view of the state of affairs of the charity. In preparing the financial statements, the trustees are required to:

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charity. They are also responsible for safeguarding the assets of the charity and hence taking reasonable steps for the prevention and detection of fraud and other irregularities.

Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Public Benefit

The trustees have given due regard to guidance issued by the Charity Commission, including public benefit guidance. The CIO supports national and regional training courses and events for doctors and dentists all over the world ranging from a two-year international postgraduate diploma in family medicine through residential conferences, to evening or half-day seminars to weekly global webinars on a wide range of topics. Almost all of these events are open to anyone working in the medical and dental professions. We also support the distribution of literature and resources on a wide range of social, ethical and religious issues for the benefit of the wider public, and the medical and dental professions in particular.

Objectives and Activities

The objectives of the charity are to promote and advance the study and general knowledge of medical and dental science, particularly where these concern Christian faith and ethics. The means of achieving these overall objectives include:

4

Achievements and Performance

The charity has continued to support the work of the International Christian Medical and Dental Association (ICMDA). Like 2020, 2021 has been an unusual year due to the impact of the COVID pandemic which led to a fall in donation income, placed severe restrictions on staff and fieldworker travel and led to the postponement of many national and regional conferences and events.

Staff and volunteers reacted to this in 2020 by completely revising our strategy to fit an online environment and this approach continued in 2021. Staff members Peter Saunders (Chief Executive) and Josh Mills (Executive Assistant) worked primarily from home and travel grants to fieldworkers and conference bursaries and grants were substantially reduced.

Achievements in the year included (through grants to ICMDA and partners):

Financial Review

The results of the Charity for the year ended 31 December 2021 are set out in the financial statements. Voluntary income from donations and memberships in the year grew to £264,782 (2020 - £230,528) but COVID restrictions led to the deferral of charitable activity to future years so charitable expenditure in the year reduced to £207,082 (2020 - £245,063). The resulting excess of annual income over expenditure of £124,969 (2020 - £73,533) is carried forward to fund charitable activity in future years and leaves the Charity with total reserves of £391,839 (2020 - £266,870) at the end of the year.

Reserves Policy

The Charity held unrestricted funds of £318,861 at the end of 2021 (2020 - £197,848). The trustees have set the minimum level of unrestricted reserves at £80,000, representing approximately one third of annual staff, office and field costs, to cover running costs in the event of a major variation of circumstances. Reserves are monitored monthly as part of our management reporting and did not fall below this level during the year, the increase in reserves is due to events deferred to future years because of the Covid pandemic.

Of the Charity’s long term unrestricted reserves £80,000 were transferred to an investment portfolio from August 2021 (note 7) these funds are accessible at short notice if required.

No individual reserve fund is in deficit (2020 – none).

5

Going Concern

The trustees have assessed the Charity’s ability to continue as a going concern and considered several factors when forming their conclusions as to whether the use of the going concern basis is appropriate when preparing these financial statements including forecasts, liquidity, cash resources and liabilities.

The Charity’s financial position has been, and will continue to be, impacted by the COVID pandemic which affects the nature and cost of the charitable work undertaken in the year, including the deferral of international conferences and a significant change of focus towards online activity and training.

The trustees have concluded that the charity has a reasonable expectation that there are adequate resources to continue to operate for at least 12 months from the date of signing of the financial statements and therefore continue to prepare the financial statements on a going concern basis

Risks

The trustees review and assess the risks faced by the Charity annually in a trustee meeting, the key strategic risks taken from the Charity’s risk register are considered to be:

Key Strategic Risk Assessment
Size The Charity employs just two staff, both of whom are experienced in
their fields and key to the successful operation of the Charity.
Succession planning, procedural manuals and ongoing appraisal
reviews are key controls for the trustees.
Financial reporting Timely financial reporting is critical to support the trustees in their
decision making through the year, yet the Charity is small and relies on
external support for this work. This remains a key priority for the
trustees in the coming year and a focus for the Treasurer and CEO.
Voluntary income The Charity relies on donations and subscriptions for its income.
Delivery of the Charity’s objectives is essential to maintaining this
income and the charity. Communications with regular supporters are a
priority for the CEO and are regularly reviewed by the trustees.
The use of Appeals income to encourage donations and the successful
establishment of the Family Medicine Diploma reduce reliance on
regular donations and broaden appeal to supporters.
Event management The Charity organises significant events, such as world and regional
congresses. These international events carry a financial risk that is
borne by the Charity and is a key focus of the trustees who review the
funding of each major event prior to it taking place.
External factors The Charity operates globally and takes steps to monitor complaints,
media comments and feedback from staff and field workers. The
communication channels are key to ensuring the Charity CEO and
trustees can take action early to avoid conflict or hostile litigation.
COVID pandemic International conferences were suspended during the year due COVID
restrictions. Risks to staff were minimised by increased home working
and donors were supported through increasing online activity. Online
communications continued to provide the opportunity to enhance the
global reach of the Charity.

6

Declaration

This report was approved by the trustees on 8 June 2022 and signed on their behalf by:

----- Start of picture text -----
(Chairman)
(Secretary/Treasurer)
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7

Independent Examiner's Report to the Trustees of International Christian Medical and Dental Association (UK) CIO

I report to the trustees on my examination of the financial statements of International Christian Medical and Dental Association (UK) CIO ('the charity') for the year ended 31 December 2021 which comprise the Statement of Financial Activities, the Balance Sheet and related notes.

This report is made solely to the charity's trustees, as a body, in accordance with section 145 of the Charities Act 2011. My work has been undertaken so that I might state to the charity's trustees those matters I am required to state to them in this report and for no other purpose. To the fullest extent permitted by law, I do not accept or assume responsibility to anyone other than the charity and the charity's trustees as a body, for my work, for this report, or for the opinions I have formed.

Responsibilities and basis of report

As the trustees of the charity you are responsible for the preparation of the financial statements in accordance with the requirements of the Charities Act 2011 ('the Act').

I report in respect of my examination of the charity's financial statements carried out under section 145 of the Act and in carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.

An independent examination does not involve gathering all the evidence that would be required in an audit and consequently does not cover all the matters that an auditor considers in giving their opinion on the financial statements. The planning and conduct of an audit goes beyond the limited assurance that an independent examination can provide. Consequently, I express no opinion as to whether the financial statements present a 'true and fair' view and my report is limited to those specific matters set out in the independent examiner's statement.

Independent examiner's statement

Since the CIO's gross income exceeded £250,000 your examiner must be a member of a body listed in section 145 of the Act. I confirm that I am qualified to undertake the examination because I am a member of ICAEW, which is one of the listed bodies.

I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:

8

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 financial statements to be reached.

Peter P Rook FCA

George Arthur Limited Chartered Accountants Suite 6b Wentworth Lodge Great North Road Welwyn Garden City Hertfordshire AL8 ?SR

5th July 2022

9

International Christian Medical and Dental Association (UK) CIO

Statement of Financial Activities FOR THE YEAR ENDED 31 DECEMBER 2021

Note
INCOMING RESOURCES
Incoming resources from generated funds
Voluntary income
2
Income from charitable activities
3
Investment income
Total Incoming Resources
RESOURCES EXPENDED
Charitable activities
4
Total Resources Expended
Other recognised gains and losses
Net unrealised gains on investments
Net Movement in Funds in the year
Fund balances at 1 January
Fund transfers in the year
Fund balances at 31 December
11		 Unrestricted Restricted
Total
Total
Funds
Funds
Funds
Funds
2021
2020
£
£
£
£
228,552
36,230
264,782
230,528
66,385
-
66,385
87,855
262
-
262
212
295,199
36,230
331,429
318,595
205,708
1,374
207,082
245,063
205,708
1,374
207,082
245,063
622
-
622
-
90,113
34,856
124,969
73,533
197,848
69,023
266,870
193,337
30,900
30,900
-
-
-
318,861
72,979
391,839
266,870

Movements on reserves and all recognised gains and losses are shown above.

The notes on page 12-15 form part of these accounts.

10

International Christian Medical and Dental Association (UK) CIO

Balance Sheet as at 31 December 2021

Note
FIXED ASSETS
Investments
7
CURRENT ASSETS
Debtors
8
Cash at bank and in hand
9
CURRENT LIABILITIES
Liabilities falling due within one year
10
Net current assets
NET ASSETS
FUND BALANCES
Unrestricted funds
11
Restricted funds
11		 2021
£
80,622
1,803
310,805
312,609
1,392
311,217
391,839
318,861
72,979
391,839		 2020
£
-
1,095
268,741
269,836
2,965
266,870
266,870
197,848
69,023
266,870

Approved by the Trustees and signed on their behalf by:

----- Start of picture text -----
4 July 2022
Trustee Trustee Date
----- End of picture text -----

The notes on pages 12-15 form part of these accounts.

11

International Christian Medical and Dental Association (UK) CIO

Notes to the Accounts FOR THE YEAR ENDED 31 DECEMBER 2021

1 Basis of accounting

These accounts have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant note(s) to these accounts.

The accounts have been prepared in accordance with:

ICMDA (UK) CIO meets the definition of a public benefit entity under FRS 102.

ICMDA (UK) CIO Charity was registered as a CIO on 25 March 2020 - the comparative figures include the trading figures of the old charity made up to 15 May 2020.

The following are the accounting policies which have been applied in dealing with material items:

Donation income and grants recievable are taken into account when received by the charity. Income received in circumstances where a claim for repayment of tax has been or will be made to HMRC is grossed up for the tax recoverable. Any amount of tax reclaimed from HMRC but not yet received is shown within the charity's debtors.

Investment income is taken into account when receivable and expenditure, including irrecoverable VAT, when incurred by the charity, regardless of when payment is made. Grants payable are taken into account at the earlier of when they are paid or become constructive obligations.

d) Charity activities income

Income from participation from participation in the Diploma in Family Medicine, global subscriptions and book sales are taken into account when received by the charity.

e) Currency transactions

Income and expenditure in currency other than sterling is valued in GB£ at the spot exchange rate at the date of the transaction.

f) Funds

Unrestricted funds are donations and other income received or generated for the objects of the charity without specific purpose and are available for purposes as directed by the trustees. Restricted funds are amounts received where the donor has specified the purpose for which it should be used.

Creditors are amounts owed by the charity. They are measured at the amount that the charity expects to have to pay to settle the debt.

Fixed assets acquired are capitalised and depreciated over their estimated useful life unless they cost less than £1,000 when they are written off on purchase.

i) Fixed asset investments

Fixed asset investments are held in quoted shares, traded bonds and similar investments and are valued initially at cost and subsequently at their market value at the year end (their fair value). Investments are valued by our investment broker (The Ethical Investment Co-Operative Ltd) who also recommend the investment portfolio to maximise total returns from ethical and environmentally sustainable holdings.

Monetary assets and liabilities which are in a curreny other than GB£ are presented in the accounts at the currency Bank of England spot rate of exchange at the date of the financial statement. Any resulting currency exchange gain/loss is recogised with a currency revaluation.

12

International Christian Medical and Dental Association (UK) CIO

Notes to the Accounts FOR THE YEAR ENDED 31 DECEMBER 2021

2 Voluntary income
General donations
Gift aid tax reclaimed
Member subscriptions/sponsorship
Other
3 Income from charitable activities
Diploma in Family Medicine
Fellowship Fund
Grant funding
Research funding
4 Charitable activities
a Direct charitable costs
Field contractors
Fellowship Fund
Partner expenses - I-PDGFM
METNA (R&A Fisher Support Fund)
ICMDA bursaries
b Support & administration
Office rent & service charges
Administrative staff & overheads
Equipment & consumables
Licences [IT/software]
Postage & stationery
Trustee meetings
Design & print
Website
Insurance
Currency revaluation
Bank charges
Other operating expenditure
c Governance costs
Accountancy fees
Legal & professional fees
Combined charitable activity cost
Language groups
Regional grants
Development, conferences & events
Diploma in Family Medicine
Global activities CEO/Board
Global activities - training
Development staffing & overheads
Associate Executive Officers		 Unrestricted Restricted
Total
Total
Funds
Funds
2021
2020
£
£
£
£
96,778
6,056
102,834
58,533
8,214
174
8,388
8,124
122,039
-
122,039
130,822
1,521
30,000
31,521
33,049
228,552
36,230
264,782
230,528
Unrestricted Restricted
Total
Total
Funds
Funds
2021
2020
£
£
£
£
66,385
-
66,385
75,421
-
-
-
8,000
-
-
-
1,200
-
-
-
3,234
66,385
-
66,385
87,855
Unrestricted Restricted
Total
Total
Funds
Funds
2021
2020
£
£
£
£
163
-
163
15,064
-
-
-
38,877
210
-
210
3,540
2,253
-
2,253
932
66,068
-
66,068
72,213
10,223
-
10,223
17,992
2,522
-
2,522
-
-
-
-
3,843
21,604
-
21,604
20,988
-
1,374
1,374
3,855
33,635
-
33,635
-
-
-
-
500
-
-
-
542
136,678
1,374
138,052
178,346
8,832
-
8,832
9,866
47,439
-
47,439
32,283
901
-
901
4,603
5,222
-
5,222
4,518
3,288
-
3,288
3,392
-
-
-
-
1,046
-
1,046
3,432
626
-
626
1,097
829
-
829
1,192
1,169
-
-
1,169
-
1,978
299
-
299
192
687
-
687
490
68,000
-
68,000
63,043
1,030
-
1,030
960
-
-
-
2,713
1,030
-
1,030
3,673
205,708
1,374
207,082
245,063

13

International Christian Medical and Dental Association (UK) CIO

Notes to the Accounts FOR THE YEAR ENDED 31 DECEMBER 2021

5 Trustees remuneration

No remuneration was paid to any trustee during the year nor to any person connected to them. No trustee received reimbursement of any expenses incurred by them in their role as trustee of the

6 Staff costs

The charity has 2 full time staff.

No staff received salaries at a rate of more than £60,000 per annum.

Salaries and wages
Employer's NI
Employer's pension contributions		 2021
2020
£
£
92,948
85,185
6,466
5,342
8,890
5,089
108,305
95,616

Pensions

The charity contributes to the defined contribution pension schemes of its staff, these contributions are charged as an expense as they fall due and are allocated against unrestricted funds. The assets of those schemes are held separately from those of the charity.

7 Investments

In August 2021 the trustees invested £80,000 of long term reserves into a portfolio of listed assets managed by The Ethical Investment Co-operative Ltd who advise on the selection of assets and valued the investments at the year end.

Investments listed on a recognised stock exchange
Investment activity in the year:
Opening investments at market value
Additions at cost during the year
Disposals at carrying value
Unrealised investment gains
Closing market value at 31 December
8 Debtors and prepayments
Debtor: HMRC Gift Aid
Prepayments
9 Cash at bank and in hand
HSBC Current Account (GBP)
HSBC Euro Acccount (valued in GBP)
HSBC USD Acccount (valued in GBP)
Kingdom Bank
Petty cash (GBP)
Petty cash Euro (valued in GBP)
Petty cash USD (valued in GBP)		 2021
2020
£
£
80,622
-
80,622
-
2021
2020
£
£
-
-
80,000
-
-
-
622
-
80,622
-
2021
2020
£
£
1,803
1,095
-
-
1,803
1,095
2021
2020
£
£
125,633
142,597
28,248
686
75,114
43,847
80,475
80,212
179
179
861
926
296
293
310,805
268,741

14

International Christian Medical and Dental Association (UK) CIO

Notes to the Accounts FOR THE YEAR ENDED 31 DECEMBER 2021

10 Creditors: liabilities falling due within one year
Creditors: HMRC/Employee pension
Halifax Bank (Charge Card)
Sundry accruals
Accruals: Governance		 2021
2020
£
£
-
612
392
489
-
904
1,000
960
1,392
2,965

11 Funds

The funds and movements in the year are as follows:

Funds
The funds and movements in the year are		 as follows:
Opening Incoming Outgoing Gains / Transfers Closing
balance resources resources (losses) in the year balance
£ £ £ £ £ £
Unrestricted Funds 197,848 295,199 -205,708 622 30,900 318,861
Restricted Funds:
Bursary Fund(Medical Student Training) 33,044 1,351 - - - 34,395
DFM Fund(Scholarships - Course Fees) 30,100 31,798 - - -30,900 30,998
Fellowship Fund(Fieldworker Support) 4,145 102 -1,374 - - 2,873
ICMDA Eurasia(Eurasia Regional Support) 1,734 2,479 - - - 4,213
METNA(R&A Fisher Support - MidEast/NAfrica) - 500 - - - 500
69,023 36,230 -1,374 - -30,900 72,979
Total reserves 266,870 331,429 -207,082 622 - 391,839

Restricted funds are held under the conditions set out by donors or the fund raising campaign

The assets and liabilities represented by the various funds are as follows:

Unrestricted Restricted Total
funds funds
£ £ £
At 31 December 2021
Investments 80,622 - 80,622
Debtors 1,803 - 1,803
Cash at bank and in hand 237,827 72,979 310,805
Liabilities falling due within one year -1,392 - -1,392
318,860 72,979 391,839
At 31 December 2020
Investments - - -
Debtors 1,095 - 1,095
Cash at bank and in hand 199,718 69,023 268,741
Liabilities falling due within one year -2,965 - -2,965
197,848 69,023 266,870

15