International Christian Medical and Dental Association (UK) CIO
REPORT AND ACCOUNTS year ended 31 December 2022
Registered Charity Number 1188743
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International Christian Medical and Dental Association (UK) CIO
Trustees Annual Report
for the year ended 31 December 2022
Contents
| Contents | |
|---|---|
| Charity Information | 2 |
| Trustees Report | 3-7 |
| Auditor's Report | 8-11 |
| Statement of Financial Activities | 12 |
| Balance Sheet | 13 |
| Statement of Cash Flows | 14 |
| Notes to the Accounts | 15-20 |
Charity Information
Charity Registration number 1188743 Registered Office Suite 8, Censeo House 6 St Peters Square St Albans Hertfordshire, AL1 3LF Auditor 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
Charity website
https://icmda.net/
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International Christian Medical and Dental Association (UK) CIO
Trustees Annual Report
for the year ended 31 December 2022
The trustees present their annual report and financial statements of the Charitable Incorporated Organisation (CIO) for the year ended 31 December 2022. 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).
ICMDA (UK) CIO registered with the Charity Commission on 25 March 2020 and took over all the activities of the ICMDA (UK) Trust (registered charity 1059750) effective from 3 April 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.
The Trustees delegate the day-to-day management of the charity to the Chief Executive Officer, Peter Saunders, and his team.
Relationship with the International Christian Medical and Dental Association (ICMDA)
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 ICMDA UK CIO, the charity has ensured a significant overlap between the two organisations. ICMDA board members Vijay Aruldas (Treasurer), Henry Thiessen (Chairman) and Howard Lyons are all trustees of both charities. However, there remains an intention that the majority of the UK CIO charity trustees are not ICMDA board members.
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International Christian Medical and Dental Association (UK) CIO
Trustees Annual Report
for the year ended 31 December 2022
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:
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select suitable accounting policies and then apply them consistently;
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observe the methods and principles in the Charities SORP;
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make judgements and estimates that are reasonable and prudent;
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state whether applicable UK accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements;
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prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business.
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:
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support for the organisation of conferences;
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providing a conduit for national Christian Medical and Dental organisations to exchange information and experience in the field of medical science, where these concern Christian faith and belief;
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examining and testing changes in medical thought and action by the principles of the basis of belief;
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promoting discussion of the problems which from time to time arise for Christians studying and practicing medicine and dentistry and
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promoting friendship and co-operation amongst Christians in the medical and dental professions throughout the world.
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International Christian Medical and Dental Association (UK) CIO
Trustees Annual Report
for the year ended 31 December 2022
Achievements and Performance
2022 has been an unusual year due to the continuing impact of the COVID pandemic which led to some restrictions on staff and fieldworker travel and the postponement of some national and regional conferences and events. This impact lessened throughout the year as the pandemic resolved. Staff and volunteers adapted to COVID restrictions by further development of hybrid training programmes, conferences, and events and through mixed home/office working. Grants to fieldworkers and conference bursaries and grants were also reduced.
Two other activities impacting upon income and expenditure were the ICMDA World Congress planned for June 2023 (we ran a bursary fund and accepted early registration fees) and the Ukraine war (we ran an appeal to support the Christian Medical Association of Ukraine (CMAU) and procured and arranged transport for medical supplies).
The charity has continued to support the work of the International Christian Medical and Dental Association (ICMDA).
Achievements in the year included (through grants to ICMDA and partners):
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Weekly global webinars were held focusing on issues at the interface of Christianity and medicine and attracting between 100 and 300 attendees per session from over 50 countries.
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The two-year distance learning international diploma in family medicine (I-PGDFM) which was launched by ICMDA in May 2020 in partnership with CMC Vellore, India and Loma Linda University, California enrolled another 50 students in its third year.
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Online small group training tracks in bioethics, leadership and apologetics started in 2020 were greatly expanded and new tracks added on thought leadership and healthcare mission.
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Work on a new daily devotional – Doctors’ Life Support 5 – continued with plans for publication in nine languages in 2023.
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One global fieldworker summit was held online for ICMDA’s fieldworker team, and an in-person summit was held in UAE.
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The ICMDA website was further expanded and developed.
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A series of grants were made to national associations of doctors and dentists providing humanitarian assistance for the war in Ukraine and about 50 shipments of medical supplies were sent.
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National ICMDA member movements and ICMDA regional teams ran a broad variety of online events and conferences.
Financial Review
The results of ICMDA (UK) CIO for the year ended 31 December 2022 are set out in the financial statements below.
The Charity’s total income for the year increased to £3,465,362 (2021: £331,429) as a result of the Ukraine Appeal which started in February and raised financial donations of £456,657 (2021: £nil) and medical equipment and supplies “in kind” for humanitarian use in Ukraine valued at £2,600,357 (2021: £nil). In advance of the World Congress to be held in June 2023, £61,552 of bursary donations were received in the year (2021: nil). This level of income has taken the charity over the audit threshold this year.
Total expenditure for the year similarly increased to £3,333,191 (2021: £207,082) as a result of including expenditure on aid for Ukraine of £368,093 (2021: £nil), donations “in kind” sent to Ukraine of £2,600,357 (2021 – £nil) and an increase in the charity’s direct charitable costs following the relaxation of Covid restrictions (note 4a).
The excess of annual income over expenditure of £118,721 (2021: £124,969) is carried forward to fund charitable activity in future years.
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International Christian Medical and Dental Association (UK) CIO
Trustees Annual Report for the year ended 31 December 2022
Reserves Policy
The Charity held unrestricted funds at the year-end of £351,021 (2021: £318,861). 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 the level of expenditure planned for 2023 in particular on the World Congress and the ongoing development of our training programmes.
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 (2021 – none).
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. | |
| 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 | COVID restrictions in the prior year caused the suspension of |
| international conferences, increased home working and online | |
| activities. Online communications continue to provide opportunities to | |
| enhance the global reach of the Charity after the pandemic. |
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International Christian Medical and Dental Association (UK) CIO
Trustees Annual Report
for the year ended 31 December 2022
Ukraine Aid Appeal
The response of our supporters to the crisis in Ukraine has been significant allowing the Charity to provide medical equipment, consumables and medicines to the Christian Medical Association of Ukraine (CMAU) which set up and operated a warehouse and distribution network in Lviv in March. This humanitarian aid resourced Christian doctors serving in Ukraine. This is a new area of work and the Trustees kept the risks under regular review.
Declaration
This report was approved by the trustees on 11 October 2023 and signed on their behalf by:
(Chairman) (Trustee)
7
INDEPENDEpif AUDttO*S REpoirr TO THE MEMBERS OF IPtrERNATIONAL CHRisfiAN MEDICAL AND DENfALA5soaATK•N (UK) ao Oplnlon We have audlted the finandal Statements of International Christian Medlcal and Dental Assodatlon (UK) CIO {the 'charW) for the year ended 31° December 2022 which comprise the statement of financial artlvttle5, the balance sheet, the statement of cash flows and notes to the financial staternents, Induding a summary of sl8nlfltant accountln8 policies. The flnancial reportln8 frarnework that ha5 been applied In their preparatFon Is applicable law and Unlted Kln8dom Accountin8 Stsndards, Includin8 Flnanclal Reportlfig Standard 102 The Flnoncial Rewting Stondord oppllcable In the UK and Republk of Ireland Iunlted Kjngdom Generally Accepted Accountln8 Practice). In our oplnlon, the flnanclal ststements: alve a true and fair view of the state of the thar15 affalrs as at 311t December 2022 and of Its Incomln8 resources and appllcatlon of resources for the year then ended; have been properly prepared In accordance wlth Unlted Kln8dom Generally Accepted Attounting Practlce; and have been prepared In accordance wlth the requlrements of the Charltles Art 2011. Basls for oplnlon We conducted our audlt In at¢ordance wlth Intematbnal Standards on Audltln8 (UK} IISAS (UKII and applicable law. Our responsibi1ftSes under those standards are further descrlbed In the Audltorfs rewnslbllltles for the audlt of the financlal statements sectlon of our report. We are Independent of the charity in accordance wlth the eth•cal requirements that are relevant to our audlt of the financlal Statements in the UK, Includlng the FRC5 Ethical Standard, and we have fulfilled our other ethical responslblllt5es In accordance wlth these requirements. We belleve that the audlt evldence we have obtalned Is sufficlent and approprlate to provlde a basls for our oplnlon. ConcIlon$ relatlnB to Eoln8 conc•m In audltln8 the finandal statements, we have conduded that the truste use of the 805ng concern basis of accountln8 In the preparatlon of the flnancial statements Is appropriate. Based on the work we have perfornied. we have not Identlfted any material uncertainties relatlngto events orcondltlon5 thaL Indl¥iduallyor collectively, may cast 51gnfficant doubt on the charitrfs ability to contlnue as a 8oln8 concern for a perlod of at least twefve months frorn when the financial statements are authorlsed for Issue. Our responsibilities and the responsibilltie5 of the trustee5 wlth respect to 80ing concern are described In the relevant sertions of thls report.
Other Infomiatlon The other inft>rmatlon comprfses the Inforrnatlon Included In the annual report other than the financial statements and our auditorfs report thereon. The trustees are responslble forthe otherinfonnation contalned withinthe annual report. Ouroplnion on the finandal statements does not c¢)ver the other information and, except to the extent otherwlse explicitly stated in our report, we do not express any form of assurance concluslon the0n. Our responsibility is to read the other inforrnation and, in doing so, consbderwhether the other information Is materlally inconsistent with the financial 5taternents or our knowled8e obtained In the course of the audit or otherwlse appears to be materfally rnisstated. If we idenlfy such materlal Inconslstencies or apparent materlal mlsstatements, we are required to detemilne whether thls gives rise to a material misstatement In the financlal statements themselves. If, based on the work we have performed, conclude that there 15 a materlal mlsrtatement of thls other information, we are required to report that fart. We have nothlng to report in this regard. Matters on whl¢h we are requlred to report by exteptlon We have nothing to report in respect of the followlng matters In relatlon to whlch the Charltles Act 2011 requires us to report to you If, In our oplnlon: the Infomiatlon glven In the trustee report Is Inconslstent In any materlal respect with the financlal staternents," or sufficient accountin8 records have not been kept. or the financlal statements are not In a8reement with the accountln8 records and returns. or we have not recelved all the Infomlatlon and explanatlons we requlre for our audit. Responslbilftles of trustees As explalned more fully in the trustees. responslbilities staternent Set out on pa8e 4 the trustees are responsible for the preparatlon of the financial Statements and for being satbsfied that they 8ive a true and fair view, and for such Internal control as the trustees determlne Is necessary to enable the preparation of finandal statements that are free from material misstatement. whether due to fraud or error. In preparlng the flnanclal statements, the trustees are re5ponslble for assesslng the char5 ability to continue as a 8oln8 concem. disdosin& as appllcable, matters related to golng concern and using the going concern basls of accounting unless the trustees elther Intend to Ilquldate the charity or to cease operations, or have no reallstlc alternative but to do $0.
Audltorfs responslblllties for the audlt of the finandal statements We have been appointed a5 auditor under section 144 of the Charitles Act 2011 and report in accordance with the kt and relevant regulation5 made or having effect thereunder. Our objectlves are to obtaln reasonable assurance about whether the financial statements as a whole are free from material rni55tatement, whether due to fraud or error, andto issue an audltorfs reportthatincludes ouropinion. Reasonable assurance 15 a hl8h level of assurance, but Is not a guarnntee that an audbt condurted in accordance wlth ISAS (UK) will alwa detect a materlal mlsstatement when It exlsts, Misstatements can arlse frorn fraud or error and are consldered rnaterial If, Individualjy or in the ag8regate, they could reasonably be experted to influence the economlc deasions of users taken on the basls of these financi31 statements. Irre8ularitles, Includln8 fraud. are instances of non-compllance wlth laws and regulations. We design procedures in line with our responsibilities, outllned above, to detect material misstatements In respect of Irre8ularltles, IncludSng fraud. The extent to which our procedures are capable of detectlng Irre8ularitles. Indudin8 fraud 15 detsiled below: Dlscusslons with and enqulrles of management and those char8ed with governance were held wfth a vlew to Identifyin8 those laws and re8ulations that could be expected to have a materlal Impact on the financial statements. No laws and regulatlons were Identlfied as belng of such $18nlficance to the entlty that they ml8ht be consldered as 'showstoppers'. Those laws and re8ulatlons consldered to have a dlrect effect on the finandal statements Include UK finandal reportin8 Standards, Charities Act 2011, Tax and Penslons le8lslation. Those laws and re8ulatlons for which non-compliance may be fundamental to the operating aspects of the buslness and therefore may have a materlal effect on the flnandal statements include. environmental re8ulatlons, health and safety legislation. AudSt procedures undertaken In response to the potential risks relatln8 to irre8ularities (whlch include fraud and non<omplIan wlth laws and re8ulatlons) comprlsed of: Inquiries of managernent and those char8ed with Bovernance as to whether the entity complies with such laws and regulatlons,. enqulrles with the Same concemlng any actual or potentlal Ittigation or tlaims: inspection of relevant le8al rorre5pondence; testing the appropriateness of journal entrles. and the perfomiance of analytical review to identify unexpected movements in account balances whkh may be indicative of fraud . 10
No instances of material non-compliance were identlfied. However, the likelihood of detectlng Irre8ulartties, including fraud, Is Ilmited by the Inherent dtffKuIty in detectlng Irregularities, the effettiveness of the entity's controls, and the nature, tlmln8 and extent of the audit procedures performed. Irregularities that result from fraud rn18ht be inherently more difficult to detect than irrÈgularitie5 that result from error. As explalnÈd above, there Is an unavoldable r15k that materlal m155tatements may not be detected, even though the audit has been planned and performed In accordance wlth ISAS {UK). A further deScriptn of our responslbllltles for the audlt of the financlal statements Is located on the Flnanclal Reporting Council's website at: htt WV4w.frc.or . auditorsr s. Thls descrlption forms part of our auditorfs report. on Other Matter As thls Is the first year in whlch an audlt has been undertaken It should be noted that all cornparatlve figures are unaudited Use of our report Thls report Is made solely to the charltrfs trustees, as a body, In accordance wlth Part 4 of the Charltles (Accounts and Reports) Re8ulations 2tJ)8. Our audit work has been undertaKen so that we mlght state to the chartys trustees those matters we are requlred to state to thern In an auditorfs report and for no other purpose. To the fullest extent permltted by law, we do not accept or assurne respon5iblllty to anyone other than the charlty and the charl5 trustees as a bodyi for our audit work, forthls report, or for the oplnlons we have formed. Peter P Rook FCA Geor8e Arthur Limited Statutory Audltor Suite 68. Wentworth Lod8e. Great North Road, Great North Road Welwyn Garden Clty Herts AL8 7SR Date 19 October 2023
International Christian Medical and Dental Association (UK) CIO
Statement of Financial Activities
for the year ended 31 December 2022
| Note INCOMING RESOURCES Voluntary income 2 Income from charitable activities 3a Donations of medical products 3b Investment income Total income RESOURCES EXPENDED Charitable activities 4 Governance costs 4c Donations of medical products 3b Total expenditure Net (loss) / gain on investments 7 Fund transfers in the year 11 Net movement in funds Fund balances at 1 January 11 Fund balances at 31 December 11 |
Unrestricted Restricted Total Total Funds Funds Funds Funds 2022 2021 £ £ £ £ 286,168 531,429 817,596 264,782 46,877 - 46,877 66,385 - 2,600,357 2,600,357 - 532 - 532 262 |
|---|---|
| 333,577 3,131,786 3,465,362 331,429 337,682 375,767 713,450 205,842 19,384 - 19,384 1,240 - 2,600,357 2,600,357 - |
|
| 357,066 2,976,124 3,333,191 207,082 (13,450) - (13,450) 622 69,100 (69,100) - - |
|
| 32,160 86,561 118,721 124,969 318,861 72,979 391,839 266,870 |
|
| 351,021 159,540 510,561 391,839 |
Movements on reserves and all recognised gains and losses are shown above.
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International Christian Medical and Dental Association (UK) CIO
Balance Sheet
as at 31 December 2022
| Note FIXED ASSETS Investments 7 CURRENT ASSETS Debtors & prepayments 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 |
2022 £ 67,172 86,556 435,794 522,350 78,962 443,389 510,561 351,021 159,540 510,561 |
2021 £ 80,622 1,803 310,805 |
|---|---|---|
| 312,609 1,392 |
||
| 311,217 | ||
| 391,839 | ||
| 318,861 72,979 |
||
| 391,839 |
Approved by the Trustees and signed on their behalf by:
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Trustee Trustee
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11 October 2023
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The notes on page 15-20 form part of these accounts.
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International Christian Medical and Dental Association (UK) CIO
Statement of Cash Flows
for the year ended 31 December 2022
| Note Cash flows from operating activity Net movements in funds Exclude loss / (gain) on investments Operating surplus Adjustments for: Interest received Change in receivables and prepayments 8 Change in payables and accruals 10 Net cash from operating activity Cash flows from investing activity Investment in listed assets 7 Interest received Net cash from investing activity Net increase / (decrease) in cash and equivalents Cash and cash equivalents at beginning of year Cash and cash equivalents at end of year (note 9) |
2022 £ 118,721 13,450 132,172 (532) (84,753) 77,569 124,457 - 532 532 124,989 310,805 435,794 |
2021 £ 124,969 (622) |
|---|---|---|
| 124,347 (262) (709) (1,573) |
||
| 121,803 (80,000) 262 |
||
| (79,738) 42,065 268,741 |
||
| 310,805 |
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International Christian Medical and Dental Association (UK) CIO
Notes to the Accounts FOR THE YEAR ENDED 31 DECEMBER 2022
1 Basis of accounting
The financial statements of the charitable company, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) '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 UK and Republic of Ireland (FRS 102) (effective 1 January 2019)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Charities Act 2011. The financial statements have been prepared under the historical cost convention except for investments which are included at market value.
The following are the accounting policies which have been applied in dealing with material items:
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a) Accounts are prepared on a going concern basis.
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b) Donation and grant income
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.
c) Other income and expenditure
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 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 HMRC exchange rates for the month 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.
g) Debtors and prepayments
Debtors are amounts owed to the charity recognised at their settlement amount, less any provision for non recoverability. Prepayments represents the payment in advance for services .
g) Creditors and provisions
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.
h) Fixed assets and depreciation
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.
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International Christian Medical and Dental Association (UK) CIO
Notes to the Accounts FOR THE YEAR ENDED 31 DECEMBER 2022
j) Foreign currencies
Monetary assets and liabilities which are in a curreny other than GB Pounds are presented in the accounts at the spot mid-rate of exchange at the date of the financial statement. Any resulting currency exchange gain/loss is recogised with a currency revaluation.
| 2 Voluntary income General donations Gift aid tax reclaimed Member subscriptions Other 3a Income from charitable activities Diploma in Family Medicine - registrations World Congress - registrations |
Unrestricted Restricted Total Total Funds Funds 2022 2021 £ £ £ £ 148,142 511,502 659,644 102,834 6,698 19,926 26,624 8,388 129,476 - 129,476 122,039 1,852 - 1,852 31,521 |
|---|---|
| 286,168 531,429 817,596 264,782 |
|
| Unrestricted Restricted Total Total Funds Funds 2022 2021 £ £ £ £ 46,877 - 46,877 66,385 - - - - |
|
| 46,877 - 46,877 66,385 |
This income is derived from the charitable activity undertaken by the charity:
a. the diploma in family medicince course is now in its third year and provided supportive training for 114 doctors from around the world, 22 places were supported by the DFM Bursary fund
b. the World Congress takes place in June 2023 in Tanzania providing a week of fellowship, teaching encouragement and discussions. The Congress theme is "Serving with Love in a Hurting World". The conference is expected to be well attended including attendees supported by funds from the World Congress Bursary Fund.
3b Donations of medical products
The charity used its links in Ukraine to provide essential medical supplies through its affiliated branch in Lviv - the Christian Medical Association of Ukraine. Following an appeal in February 2022 £456,657 was raised for Ukraine and £368,093 (2021 - nil) was spent sending medical supplies to Ukraine, in addition £2,600,357 (2021: £nil) of donated medicines and health supplies in kind were received and distributed. This is recognised both in income and expenditure. The shipments are valued by donors or if no value provided at estimated second hand market values at the time of receipt.
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International Christian Medical and Dental Association (UK) CIO
Notes to the Accounts FOR THE YEAR ENDED 31 DECEMBER 2022
| 4 Charitable activities costs a Direct charitable costs Healthcare support (Ukraine) Communications & IT b Support & administration Administrative staff & contractors Office & equipment Insurance Currency revaluation Bank charges Total costs of charitable activities c Governance costs Audit and examination fees Regional grants Training - Diploma in Family Medicine Conferences & events - World Congress Trustee meetings Training - other Development staff & contractors Field workers & officers Conferences & events - other |
Unrestricted Restricted Total Total Funds Funds 2022 2021 £ £ £ £ - 308,297 308,297 - 30,836 59,761 90,597 22,978 77,350 - 77,350 66,068 - - - - 81,497 - 81,497 - 45,608 - 45,608 33,635 16,272 3,690 19,962 2,416 28,757 - 28,757 12,745 13,175 - 13,175 10,870 |
|---|---|
| 293,494 371,748 665,242 148,712 |
|
| 51,503 - 51,503 47,439 14,104 - 14,104 9,733 832 - 832 829 (25,998) - (25,998) (1,169) 3,747 4,020 7,766 299 |
|
| 44,188 4,020 48,208 57,130 |
|
| 337,682 375,767 713,450 205,842 |
|
| 15,364 - 15,364 210 4,020 - 4,020 1,030 |
|
| 19,384 - 19,384 1,240 |
One trustee meeting was held at next year's World Congress venue in Tanzania.
5 Trustees remuneration
No remuneration was paid to any trustee during the year nor to any person connected to them. Travel expenses were reimbursed to 2 trustees (2021 none) amounting to £2,322 (2021 £nil).
6 Staff costs
The charity has 2 full time staff (2021- 2 full time staff).
The number of higher paid employees in the band £60,000 to £70,000 was 1 (2021 - nil).
| Salaries and wages Employer's NI Employer's pension contributions |
2022 2021 £ £ 96,781 92,948 6,442 6,466 9,690 8,890 |
|---|---|
| 112,913 108,305 |
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.
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International Christian Medical and Dental Association (UK) CIO
Notes to the Accounts FOR THE YEAR ENDED 31 DECEMBER 2022
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 (losses) / gains Closing market value at 31 December 8 Debtors and prepayments HMRC Gift Aid Credit card donations in transit Prepaid World Congress expenses Other debtor 9 Cash at bank and in hand HSBC Current Account HSBC Euro Acccount HSBC USD Acccount Kingdom Bank Petty cash 10 Creditors: liabilities falling due within one year Other creditors Accruals - audit fees Deferred income - World Congress registrations Other accruals |
2022 2021 £ £ 67,172 80,622 |
|---|---|
| 67,172 80,622 |
|
| 2022 2021 £ £ 80,622 - - 80,000 - - (13,450) 622 |
|
| 67,172 80,622 |
|
| 2022 2021 £ £ 3,030 1,803 31,443 - 38,376 - 13,708 - |
|
| 86,556 1,803 |
|
| 2022 2021 £ £ 133,404 125,633 52,650 28,248 166,106 75,114 81,007 80,475 2,628 1,336 |
|
| 435,794 310,805 |
|
| 2022 2021 £ £ 192 392 4,000 1,000 73,669 - 1,100 - |
|
| 78,962 1,392 |
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| 11 a) |
Funds Balance Incoming Outgoing Transfers Gains / Balance 01-Jan-22 resources resources in the year (losses) 31-Dec-22 £ £ £ £ £ £ 2022Fund Movements Unrestricted Funds 318,861 333,577 (357,066) 69,100 (13,450) 351,021 Restricted Funds: (funds held under conditions set by donors or fund raising campaigns) Bursary Fund(Medical Student Training) 34,395 5,898 (1,281) - - 39,012 DFM Fund(Scholarships - Course Fees) 30,998 559 (2,457) (29,100) - - Fellowship Fund(Fieldworker Support) 2,873 441 (2,871) - - 443 ICMDA Eurasia(Eurasia Regional Support) 4,213 5,821 - - - 10,034 METNA(R&A Fisher fund - MidEast/N Africa) 500 500 (1,000) - - - Ukraine Aid Appeal(see note below) - 3,057,014 (2,968,450) (40,000) - 48,564 World Congress Bursaries - 61,552 (65) - - 61,487 72,979 3,131,786 (2,976,124) (69,100) - 159,540 Total reserves 391,839 3,465,362 (3,333,191) - (13,450) 510,561 The funds and movements in the year are as follows: |
Balance Incoming Outgoing Transfers Gains / Balance 01-Jan-22 resources resources in the year (losses) 31-Dec-22 £ £ £ £ £ £ 318,861 333,577 (357,066) 69,100 (13,450) 351,021 re as follows: |
|---|---|---|
| 72,979 3,131,786 (2,976,124) (69,100) - 159,540 |
||
| 391,839 3,465,362 (3,333,191) - (13,450) 510,561 |
The fund transfers shown above comprise reallocations of administrative time and costs to restricted funds.
| Note: Ukraine aid appeal analysis: Financial gifts Donations in kind |
Balance Incoming Outgoing Transfers Gains / Balance 01-Jan-22 resources resources in the year (losses) 31-Dec-22 £ £ £ £ £ £ - 456,657 (368,093) (40,000) - 48,564 - 2,600,357 (2,600,357) - - - |
|---|---|
| - 3,057,014 (2,968,450) (40,000) - 48,564 |
2022 was exceptional due to the Ukraine Aid Appeal, the comparative year's fund movements were:
| 2021Fund Movements Unrestricted Funds Restricted Funds: Bursary Fund(Medical Student Training) DFM Fund(Scholarships - Course Fees) Fellowship Fund(Fieldworker Support) ICMDA Eurasia(Eurasia Regional Support) METNA(R&A Fisher fund - MidEast/N Africa) Total reserves |
Balance Incoming Outgoing Transfers Gains / Balance 01-Jan-21 resources resources in the year (losses) 31-Dec-21 £ £ £ £ £ £ 197,848 295,199 (205,708) 30,900 622 318,861 |
|---|---|
| 33,044 1,351 - - - 34,395 30,100 31,798 - (30,900) - 30,998 4,145 102 (1,374) - - 2,873 1,734 2,479 - - - 4,213 - 500 - - - 500 |
|
| 69,023 36,230 (1,374) (30,900) - 72,979 |
|
| 266,870 331,429 (207,082) - 622 391,839 |
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b) The assets and liabilities represented by the various funds are as follows:
| The assets and liabilities represented by the various funds are as | follows: |
|---|---|
| At 31 December 2022 Investments Debtors Cash at bank and in hand Liabilities falling due within one year At 31 December 2021 Investments Debtors Cash at bank and in hand Liabilities falling due within one year |
Unrestricted Restricted Total funds funds £ £ £ 67,172 - 67,172 86,556 - 86,556 276,254 159,540 435,794 (78,962) - (78,962) |
| 351,021 159,540 510,561 |
|
| 80,622 - 80,622 1,803 - 1,803 237,827 72,979 310,805 (1,392) - (1,392) |
|
| 318,861 72,979 391,839 |
20