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2025-12-31-accounts

MEDEVAC FRONTLINE

ANNUAL REPORT & ACCOUNTS

For the year ended 31 December 2025

Message from the Founder & CEO 2
Trustees’ Report 4
For the year ended 31 December 2025 4
Activities and Achievements 4
Governance 6
Trustees 7
Trustee Biographies 7
Financial Review 8
Reference and Administrative Details 9

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Registered charity number: 1205946

Message from the Founder & CEO

Fergus Beeley, Founder & CEO

2025 has been a defining year for Medevac Frontline—one in which our operational capability, international partnerships and organisational maturity have all taken significant steps forward. What began as a small group of highly skilled paramedics determined to fill a critical gap in global emergency care has now become a recognised specialist provider trusted by international agencies and health ministries.

Our year began in Northwest Syria, where we returned in January at the request of the World Health Organisation. Operating under UN security protocols, our team delivered advanced life support and trauma training to paramedics from six ambulance services, preparing them to become instructors themselves. The feedback from WHO was deeply encouraging, and by May we were back again - this time training 42 medics in Idleb and Aleppo and observing the first cohort of Syrian instructors deliver their own courses. Seeing four of our original trainees confidently teach their colleagues was a powerful validation of our training-the-trainer model and the long-term impact it can achieve.

Our register of paramedics has grown to 33, including many from the NHS Hazardous Area Response Team and several Specialist Paramedics in Critical Care. Their expertise—ranging from chemical incidents to collapsed structures, from floods to conflict zones—forms the backbone of our operational strength. We have also expanded our core team with logisticians and other specialists, ensuring that we can deploy rapidly and safely wherever we are needed.

This year we invested heavily in equipment and infrastructure, from ballistic-plate vests and VHF radios to Starlink satellite communications and a full-size training manikin. The introduction of an online inventory system has transformed our logistics, allowing us to reorder medical supplies directly from the field.

On the back of a generous donation, we were able to purchase an ex-NHS Mercedes Benz Sprinter ambulance. This has been taken to Ukraine where it will begin in active service helping to save lives where most needed.

Our partnerships have deepened significantly. The International NGO Safety Organisation has accepted us as partners in both Syria and Ukraine, providing essential security intelligence. Our engagement with the WHO Emergency Medical Team Initiative has intensified, with weekly online sessions guiding us through the verification process as a Specialised Care Team in Medevac—the first of its kind in this new classification.

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Registered charity number: 1205946

We also represented MFL at major international forums, including the Humanitarian Partnerships Networking Week in Geneva and the EMT Euro Region Community of Practice in Frankfurt. Perhaps most importantly, our reputation is now opening doors at the highest levels. In August, WHO introduced us to the Ministry of Health in Damascus, where we discussed future collaboration.

In October, following guidance from the WHO Health Cluster in Kyiv, we met with the Centre for Disaster Medicine, the national coordinators for medevac across Ukraine. These conversations reflect a growing recognition of the unique role Medevac Frontline can play in strengthening prehospital care in crisis-affected regions.

I am extremely grateful for the support of Sir Ranulph Fiennes as our Patron and to our Ambassador, Dominic West, for their unfailing support of our mission.

None of this would be possible without the extraordinary dedication of our paramedics, the guidance of our Trustees, the generosity of our donors, and the trust placed in us by our partners. As we look ahead, our mission remains unchanged: to bring life-saving expertise to those who need it most, and to help build resilient, capable emergency care systems in some of the world’s most vulnerable places.

Our 2026 missions will reflect the evolution of Medevac Frontline into a recognised specialist partner trusted by international agencies and ministries of health. With the support of donors, partners and volunteers, the year ahead promises deeper collaboration, stronger international engagement and life-saving work where it is needed most.

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Registered charity number: 1205946

Trustees’ Report

For the year ended 31 December 2025

Activities and Achievements

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Registered charity number: 1205946

On the two emergency response deployments to NW Syria in 2025 in collaboration with WHO, MFL delivered training in Mass Casualty Management, Advanced Life Support and Trauma to paramedics represented by the following organisations:

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Registered charity number: 1205946

Collectively, these organisations formed a substantial component of the civilian emergency medical and ambulance response structure operating in Northwest Syria during the period in which MFL delivered specialist instructor training under WHO support.

Governance

Medevac Frontline (“MFL”) was constituted as a Charitable Incorporated Organisation on the 28th November 2023 with the registered charity number 1205946. Its constituted purpose is the relief of sickness, suffering and injury caused by any natural or man-made disaster anywhere in the world by the provision of emergency medical aid, and the re-establishment of health and associated services and the rehabilitation & evacuation of such victims where possible; further, the advancement of the education of the public by promoting the study and training of and research into methods of providing emergency medical aid and associated activities to areas affected by such disasters and other humanitarian crises.

MFL is entirely focused on humanitarian assistance and it seeks to offer assistance to all in need regardless of ethnicity, gender, nationality, political affiliation, race, religious belief or sexual orientation.

The charity’s only voting members are its Trustees. The Trustees have no beneficial interest in the charity and give their time voluntarily. They receive no financial benefits from the charity. The Trustees fully understand the role, duties and obligations of Charitable Trustees as set out by the Charity Commission.

Trustees are selected based on their experience and knowledge in steering organisations and how that matches the requirements of Medevac Frontline at its current stage of development and with an eye to its future growth. They are elected by unanimous vote of the existing Trustees with due care given to their suitability, experience, reputation and level of commitment to the charity. At induction they are provided with the MFL Constitution, MFL’s financial information and MFL’s portfolio of policies.

The Trustees meet every two months to discuss the charity’s affairs with the Chief Executive and more frequently as required by operational exigencies. They set the strategic direction in conjunction with the Chief Executive and ensure that risk management and the appropriate use of funds, combined with prudent financial management, are central to decision making.

As regards risk management, team safety is paramount. MFL is partnered with International NGO Safety Organisation in the countries in which it operates, receiving detailed security updates that form part of its risk management processes. This is fed into the wider risk assessment that is made in advance of each deployment, which is designed to improve the

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Registered charity number: 1205946

security of our teams in-country. MFL also works closely with the deploying agency to utilise its on the ground knowledge and experience, for example, in NW Syria, transport and security is provided under the auspices of the United Nations.

Medevac Frontline operates in line with the following policies, available on request: Health & Safety Policy; Fraud, Bribery & Corruption Policy; Child Protection Code of Conduct; Modern Slavery and Human Trafficking Policy.

Trustees

Trustee Biographies

Nick Gilodi-Johnson (Chair)

Nick brings extensive experience operating in complex environments. He co-founded Karibu Homes, one of Kenya’s leading affordable housing developers, and previously held senior roles at European Home Retail plc, UPC NV and News International plc. He holds an MBA from the University of Oxford and an MSc from University College London.

Angela Burns MBE

Angela is currently Director of the Centre for Social Innovation and previously served as a Member of the Senedd from 2007 to 2021, holding senior roles including Shadow Minister for Education and then Shadow Minister for Health & Wellbeing. Prior to 2007 Angela held various roles at the John Lewis Partnership, Asda and Thorn EMI, and later ran her own businesses in software and product development.

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Registered charity number: 1205946

Ambassador Erin McKee

Erin is a global strategist with senior leadership experience across five US presidential administrations. As USAID’s Assistant Administrator for Europe and Eurasia, she managed a $30bn budget and a workforce of 750. She previously served as US Ambassador to Papua New Guinea, Solomon Islands and Vanuatu, and is currently President and CEO of Nova Ukraine.

Dr Christina Dale MBBS FRCEM FFRRHH

Christina is a Consultant in Emergency Medicine at the Royal Free Hospital and Associate Medical Director at the Cromwell Hospital. She has extensive humanitarian experience, including work during the Kosovo War and deployments with UK-Med. She served as President of the Faculty of Conflict & Catastrophe Medicine and was awarded the Fellowship of the Faculty of Remote, Rural & Humanitarian Healthcare in 2025.

Financial Review

Total income for 2025 was £125,034, compared with £46,644 in 2024—a 168% increase in turnover. This is confirmed in the accounts, which show “Total receipts 125,034.”

Restricted income rose sharply due to WHO-supported deployments to Northwest Syria, generating £65,245 in charitable activities income, recorded as “Charitable activities income – 65,245.”

Unrestricted donations increased to £38,415, more than doubling the previous year, shown as “Donations – 38,415.”

Total expenditure was £115,073, reflecting the scale of operational activity. The two Northwest Syria missions accounted for £72,981, listed as “NWS 1 deployment – 41,538” and “NWS 2 deployment – 31,443.”

The charity also invested in essential assets, including an ambulance (£6,000) and computer equipment (£1,519), recorded under “Purchase of ambulance – 6,000” and “Purchase of computer equipment – 1,519.”

The year closed with a net surplus of £9,961, shown as “Net of receipts/(payments) – 9,961.”

Total cash at year end was £15,259, comprising £4,856 unrestricted and £10,403 restricted, recorded as “Cash funds this year end – 4,856 (unrestricted) and 10,403 (restricted).” MFL continues to not have permanent staff or a physical office, meaning expenditure was kept to a

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Registered charity number: 1205946

minimum and easily controlled. Going forward, when the charity starts to have fixed costs, the Trustees’ policy will be to keep a reserve of between 3 to 6 months’ fixed overhead.

Reference and Administrative Details

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Registered charity number: 1205946

Independent Examiner’s Report

I report to the trustees on my examination of the accounts of the above charity for the y ear ended 31st December 2025 which are set out on pages 15 to 16.

Responsibilities and basis of report

As the charity trustees, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (“the Act”).

I report in respect of my examination of the charity's accounts carried out under section 145 of the 2011 Act and in carrying out my examination, I have followed the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.

Independent examiner's statement

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

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in order to enable a proper understanding of the accounts to be reached.

Signed:

Niall Kingsley FCA

Member of the Institute of Chartered Accountants in England & Wales (ICAEW) Duncan & Toplis Limited

3 Princes Court Royal Way Loughborough LE11 5XR Date: 27/05/2026

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MEDEVAC FRONTLINE

RECEIPTS AND PAYMENTS ACCOUNT FOR THE YEAR ENDED 31 DECEMBER 2025

Receipts
Grants
Donation income
Gift Aid
Charitable activities income
Loans received from trustees
Loans received from CEO
Sub total
Asset and investment sales
Sub total
Total receipts
Payments
Partnership development costs
Fundraising development costs
Programme development costs
Kosovo deployment costs
NWS 1 deployment costs
NWS 2 deployment costs
Gaza deployment costs
General overheads and insurance
Purchase of ambulance
Purchase of computer equipment
Repayments of trustee loans
Repayment of CEO loan
Sub total
Asset and investment purchases
Sub total
Total payments
Net of receipts/(payments)
Transfers between funds
Cash funds last year end
**Cash funds this year end **		 Unrestricted
funds
£
-
38,415
249
-
3,225
900
42,789
-
-
42,789
1,096
7,975
-
-
-
-
-
18,724
6,000
1,519
3,225
560
39,098
-
-
39,098
3,691
-
1,165
4,856		 Restricted
funds
£
2,000
-
-
65,245
15,000
-
82,245
-
-
82,245
-
-
2,993
-
41,538
31,443
-
-
-
-
-
-
75,975
-
-
75,975
6,270
-
4,133
10,403		 Endowment
funds
£
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Total funds
£
2,000
38,415
249
65,245
18,225
900
125,034
-
-
125,034
1,096
7,975
2,993
-
41,538
31,443
-
18,724
6,000
1,519
3,225
560
115,073
-
-
115,073
9,961
-
5,298
15,259		 Last year
£
5,000
16,494
2,181
22,969
-
-
46,644
-
-
46,644
1,146
1,437
-
4,173
18,836
-
4,473
15,998
-
-
-
-
46,063
-
-
46,063
581
-
-
581

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MEDEVAC FRONTLINE

STATEMENT OF ASSETS AND LIABILITIES AS AT 31 DECEMBER 2025

Categories
Liabilities
Loan due to Trustee
Accounts payable
Amounts owed to CEO
Details
Details
Assets retained for the charity’s own use
Computer equipment
Ambulance
Details
Investment assets
None
Total cash funds
Details
Other monetary assets
Monies owed
Details
Cash funds
Bank account
Cash		 Unrestricted
funds
£
14,684
575
-
15,259
Unrestricted
funds
£
-
Fund to which
asset belongs
Fund to which
asset belongs
General
General
Fund to which
liability relates
General
General
General		 Restricted funds
£
-
-
-
-
Restricted funds
£
-
Cost (optional)
-
Cost (optional)
1,519
6,000
Amount due
(optional)
15,000
175
340		 Endowment
funds
£
-
-
-
-
Endowment
funds
£
-
Current value
(optional)
-
Current value
(optional)
-
-
When due
(optional)

Signed on behalf of the charity's trustees

SIGN

….........................................................................

Nicholas Gilodi-Johnson ChairSIGN Date: ….....................................

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