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Registered number:
FOR THE YEAR ENDED 31 JANUARY 2026
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OXFORD MEDICAL SIMULATION LIMITED
COMPANY INFORMATION
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OXFORD MEDICAL SIMULATION LIMITED
CONTENTS
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OXFORD MEDICAL SIMULATION LIMITED
GROUP STRATEGIC REPORT
FOR THE YEAR ENDED 31 JANUARY 2026
The Directors present the strategic report for year ended 31 January 2026.
The Directors are pleased with the company’s continued positive momentum over the past financial year, which has seen significant commercial progress and strategic execution in our core markets.
Our presence in both the UK and US has strengthened, with material traction in the US reflected in revenue growth and the signing of key contracts, particularly within the health system sector. Despite persistent global economic pressures and public sector funding constraints, the business has delivered a robust performance and maintained strong demand across our academic and clinical client base. During the year; we have expanded our reach across a broader spectrum of learner groups, now supporting training across all levels of nursing and allied health professions. In parallel, we have accelerated the development of our AI-driven capabilities. These advancements support the Group’s position at the forefront of innovation in immersive simulation. Recent strategic hires across Product, Sales, and the Executive Team are already contributing to the refinement of our product offering, operational scalability, and commercial execution. The Directors are satisfied that the business is well-positioned to build on this foundation and deliver accelerated growth in the coming years.
As the Group is currently scaling it’s financial model towards future profitability, revenue growth is the primary key performance indicator monitored by the Directors, the Directors were pleased with the growth delivered in the year.
2026 2025 Change % Revenue £7,050,965 £5,618,690 25.5%
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OXFORD MEDICAL SIMULATION LIMITED
GROUP STRATEGIC REPORT (CONTINUED)
FOR THE YEAR ENDED 31 JANUARY 2026
The principal risks and uncertainties facing the Group are:
Customer & market risk The medical simulation and healthcare education market in which the Group operates is highly competitive and is evolving and innovating at pace. The Group continues to invest multiple years in advance in product development to meet customer needs and remain a leader in immersive healthcare simulations. Political & Economic risk The Group serves healthcare and academic customers globally, many of whom are reliant on government and public funding. The Group could be exposed to adverse changes in government policy or economic conditions which impact the spending of its customers. The Group continues to invest in offering a competitive product and the Directors regularly review current economic and political conditions. Recruitment & retention of employees Retaining a highly motivated team of great people is critical to the Group’s long-term success. The Group has talent development initiatives to ensure appropriate experience and training is provided, and monitors and mitigates where there may be over reliance on one individual. Cyber & data security Cyber threats present a risk to the Group’s core operations and to the product offering to customers. The Group has implemented cyber security controls and company wide training, and continues to monitor key systems and infrastructure. Financial risk management Currency risk A significant proportion of the Group’s revenue and costs are denominated in USD, whilst this trading offers a level of natural hedging, the Group is exposed to fluctuations in currency rates. The Group therefore performs regular reviews of its foreign currency exposure. Credit risk The Group’s trade debtors result in a level of credit risk. The Group reviews the creditworthiness of customers prior to offering credit terms and senior leadership regularly monitor customer balances. Liquidity risk The Group manages liquidity risk through regular reviews of trading and cashflow forecasts, managing trading performance and implementing suitable funding strategies.
The Group will continue to develop and supply its immersive healthcare simulation product to support healthcare professionals globally. The Directors expect to continue to invest in the Product, Commercial and Executive Teams and deliver accelerated growth.
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OXFORD MEDICAL SIMULATION LIMITED
GROUP STRATEGIC REPORT (CONTINUED)
FOR THE YEAR ENDED 31 JANUARY 2026
At 31 January 2026, the Group had cash reserves of £7,134,692 (2025: £4,382,876) and generated a cash outflow before financing activities in the year of £2,128,869 (2025: £4,624,704). The Group had an overall cash inflow in the year of £2,751,816 (2025: outflow of £4,624,704), following the successful completion of a £5m debt facility, which was fully drawn in December 2025. The facility includes an 18-month capital repayment holiday and the Group continues to monitor its cash flow performance against the associated covenants.
Whilst the Group continues to grow revenues and progress towards profitability, continued investment in product development and operational capability, together with future debt servicing requirements, means that the Group may continue to generate net cash outflows in the near term. The Directors have reviewed the Group’s trading and cash flow forecasts for a period of at least 12 months from the date of approval of the financial statements and consider it appropriate to prepare the financial statements on a going concern basis. In making this assessment, the Directors have considered the Group’s expected revenue growth together with alternative scenarios where growth is delayed. The Directors have also considered the mitigating actions available to the Group in such circumstances, including controlling the cost base as required, as well as the potential funding options available to the Group.
This report was approved by the board on 26 October 2026 and signed on its behalf.
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OXFORD MEDICAL SIMULATION LIMITED
DIRECTORS' REPORT
FOR THE YEAR ENDED 31 JANUARY 2026
The Directors present their report and the financial statements for the year ended 31 January 2026.
The Directors are responsible for preparing the Group Strategic Report, the Directors' Report and the consolidated financial statements in accordance with applicable law and regulations.
In preparing these financial statements, the Directors are required to:
∙select suitable accounting policies for the Group's financial statements and then apply them consistently;
∙make judgements and accounting estimates that are reasonable and prudent;
∙prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Group will continue in business.
The Directors are responsible for keeping adequate accounting records that are sufficient to show and explain the Company's transactions and disclose with reasonable accuracy at any time the financial position of the Company and the Group and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Company and the Group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
The loss for the year, after taxation, amounted to £4,902,574 (2025 - loss £4,828,448).
During the year no dividends were paid (2025: £NIL).
The Directors who served during the year were:
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OXFORD MEDICAL SIMULATION LIMITED
DIRECTORS' REPORT (CONTINUED)
FOR THE YEAR ENDED 31 JANUARY 2026
Under section 487(2) of the Companies Act 2006, Price Bailey LLP will be deemed to have been reappointed as auditors 28 days after these financial statements were sent to members or 28 days after the latest date prescribed for filing the accounts with the registrar, whichever is earlier.
This report was approved by the board on
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OXFORD MEDICAL SIMULATION LIMITED
INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF OXFORD MEDICAL SIMULATION LIMITED
We have audited the financial statements of Oxford Medical Simulation Limited (the 'Parent Company') and its subsidiaries (the 'Group') for the year ended 31 January 2026, which comprise the Consolidated Statement of Comprehensive Income, the Consolidated Analysis of Net Debt, the Consolidated Balance Sheet, the Company Balance Sheet, the Consolidated Statement of Cash Flows, the Consolidated Statement of Changes in Equity, the Company Statement of Changes in Equity and the related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland' (United Kingdom Generally Accepted Accounting Practice).
In auditing the financial statements, we have concluded that the Directors' 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 uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the Group's or the Parent Company'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 Directors with respect to going concern are described in the relevant sections of this report.
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OXFORD MEDICAL SIMULATION LIMITED
INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF OXFORD MEDICAL SIMULATION LIMITED (CONTINUED)
The other information comprises the information included in the Annual Report other than the financial statements and our Auditors' Report thereon. The Directors are responsible for the other information 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 material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
We have nothing to report in this regard.
In our opinion, based on the work undertaken in the course of the audit:
∙the information given in the Group Strategic Report and the Directors' Report for the financial year for which the financial statements are prepared is consistent with the financial statements; and
∙the Group Strategic Report and the Directors' Report have been prepared in accordance with applicable legal requirements.
In the light of the knowledge and understanding of the Group and the Parent Company and its environment obtained in the course of the audit, we have not identified material misstatements in the Group Strategic Report or the Directors' Report.
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OXFORD MEDICAL SIMULATION LIMITED
INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF OXFORD MEDICAL SIMULATION LIMITED (CONTINUED)
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 Auditors' Report that 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. Misstatements 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 Group 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 irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:
We gained an understanding of the legal and regulatory framework applicable to the company, the group and the industry in which it operates and considered the risk of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations. This included those regulations directly related to the financial statements, including financial reporting, tax legislation and distributable profits and industry regulations including GDPR, employment law and health and safety. We communicated the identified laws and regulations with the audit team and remained alert to any indications of non-compliance throughout the audit. We carried out specific procedures to address the risks identified. These included the following: - Agreeing the financial statement disclosures to underlying supporting documentation to assess compliance with provisions of relevant laws and regulations described as having a direct effect on the financial statements; - Enquiries of management including those responsible for key regulations; - Performing analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due to fraud; - Reviewing minutes of board meetings. In addressing the risk of management override of controls, we carried out testing of journal entries and other adjustments for appropriateness, assessing whether the judgements made in making accounting estimates are indicative of a potential bias and evaluating the business rationale of significant transactions outside the normal course of business. Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation 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 also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our Auditors' Report.
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OXFORD MEDICAL SIMULATION LIMITED
INDEPENDENT AUDITORS' REPORT TO THE MEMBERS OF OXFORD MEDICAL SIMULATION LIMITED (CONTINUED)
This report is made solely to the 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 Company's members those matters we are required to state to them in an Auditors' Report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Company and the Company's members, as a body, for our audit work, for this report, or for the opinions we have formed.
for and on behalf of
Chartered Accountants
Statutory Auditors
Tennyson House
Cambridge Business Park
CB4 0WZ
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OXFORD MEDICAL SIMULATION LIMITED
CONSOLIDATED STATEMENT OF COMPREHENSIVE INCOME
FOR THE YEAR ENDED 31 JANUARY 2026
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OXFORD MEDICAL SIMULATION LIMITED
REGISTERED NUMBER: 10587122
CONSOLIDATED BALANCE SHEET
AS AT 31 JANUARY 2026
The financial statements were approved and authorised for issue by the board and were signed on its behalf on 26 October 2026.
The notes on pages 17 to 35 form part of these financial statements.
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OXFORD MEDICAL SIMULATION LIMITED
REGISTERED NUMBER: 10587122
COMPANY BALANCE SHEET
AS AT 31 JANUARY 2026
The financial statements were approved and authorised for issue by the board and were signed on its behalf on
The notes on pages 17 to 35 form part of these financial statements.
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