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2022-12-31-accounts

Hospit.al •harit￿, Ysbyily har,t*y HJ%pit.al OEJhs3rkc yorg 1069485 i)y 03488381

Noahs chi￿￿￿.5 Mos￿tal Qrily Limited ty Guaoxee Notes to the consolidated financial statements (continued) for the Year ended 31st December 2022 26. Movement in funds - ¢ontinued Jnry tIEyear. gx of the tru5tee5contnbuted incoffte totall1￿ £3,500 (2021 £1.034) Inthp tLYmof dwBtws. tickets to events and the purchase of Chn5t[r￿S C5 In addition É62.772 (2021. Enil) was ra15ed frotn event5 Ik&Bt or9anwJ by a numbproftr trustees. There were ￿ other tr￿$￿t￿￿￿th related requiriro di5ckJ5ureat the Year.￿￿. Translers beh¥een funds During the year transfers of É24.115 %Ere rnade from r￿tr￿tell furnls to general unrestricted fu￿5. This represen15 surplus restr￿ted balartts which have bpen rfreed by the ru￿er to transfer Into urestncted funds. A transfer ot ÉSOO was a150 rnade trorn the general unrestrKted furKJ to restricted funds. 29. Limlted by Guarantee rfn)ber ol the Charrty undèrtakes to contribute such amunt as may be rewired excÈÉdiro £10) to tt Chèrity's assets If it shoukl be nLI uo Whi￿ or She IS a nkynber or w1thiii one year after he or She C&B5e5 to be a member. for of the Charity's debt5 and liabilrties cwtfacted before she￿a￿￿ to be a membpr. and oftbe c05ts. cIN3rges arKJ expenses of ￿r￿ling up. ar￿ lor the adjustmènt of the rights Ofrttrett￿trIbj[or￿ arr￿￿ themsdve 27. Contlngent Assets As at 31 December 2022. the Charity bad be￿ ￿tihe￿ of 3 where the value remain5 ufjcertain and therefore an ￿cr￿1 ha5 Dot been recognised within the financial statements Based on correspm received, two of these le9acies aree5timaied lo ￿4vea vdue of É30.000. The third legacy relaies to Ihe estste ol Clive Thomas. Probate has been granted Sin￿ the yeBI-end wlth an estimètÉd rotal valuet E686.CB7. of which £250.0(X) has been reC￿Ved ￿aren￿ 28. Related party disclosures The tharity was urJer the contrd 0fthet￿5￿ thr¢￿￿ut thecwrent and previou5 year One of the tru5tee5 Of charity Is alsoa directorol Noahs Ark Appwl Limited. ¥vhdly owmed 5ub51dk3ry of the chanty. alow with the Man4iry Director At the y&¥ the sUbs￿￿ry (h¥ed 3.595 (2021 £12.728) ID rnarhagerTk￿t fee5￿￿j £201 (2021. £n4) in Gitt Aid distributlODS to the parent charity

. Noah's Afk Childrèn's Hostytai CThèrity Ctsbwry Limitsd by Notes to the consolidated financial statements (continued) for the Year ended 315t December 2022 26. Movement in funds- continued Name ol R•51ri¢t¢d Funo Putyose Val￿5 waTdfw￿5 K1dwcent￿. Gastroentw(kw Intetya Parent Packs chi￿ Erwtyty P Vital >9fhS ￿ltOr.p￿ Incth￿. Sgecrfic Eouiprrtht PlaySoetha115t ￿q￿prn￿nt ckon ￿rIttt p Thwa SW J Vwlu¥ Hubclub star SpaTk Newatal/Tffty JurvJleRed￿lo￿￿t3￿ PW(Kx)) HereFor T0￿c￿￿￿1￿>t￿0YlrOJ5¢tsto￿wt￿ W¢5W9et trQr9ht￿£1 ofgJpwt*treLwtJt ¥5

h's Ark CTh4il¢ert"S H¢SO1ièl Ch¥Lty cty))O￿Y LirnitedbyGLwamee Notes to the consolidated financial statements (co ntinued) for the Year ended 315t December 2022 26. Movement in lunds- continued Prior year ¢omparative' Restricted funds - group and charity At l Janwry 2022 Inc¢Mne TraThslè At 31 Docember 2022 Tiny Live5 Neon8tal ICU Funds Kidney C8ntTe Parent Packs Pl4y Spe¢ialiSt Eoyipment Prom Ind In¢￿b*0￿ Vital Signs mo￿tDr Tdevi510ns En¢oscc Peter Holmes Fund Su￿TrI In5tiunlents Gastroonterology Sparkle Fu• Juh9ie REdevelogmeDt & p￿Yro Sensory Equipmpnt Èack On Y￿r Feet CPAP MachiDe P￿Y Thera Star Fund Phy51Otherapy &k85 8eads of C¢ura9 Inteorated Tneètres Virtu& Hub Club VR ThÈr?py Sept 21 maili¢VJ yeneTrl .J 11.959 17Q 124 115 24n• ffSI811 121M191 10,619 14.350 (6.5001 J.740 2.725 {207 30 14851 176 1.Y32 7ffi33 14UiS 197 8.ug JOg.Wg 1$7.914 157 {1.2WI 1,131 50.922 {14.4101 1$0.9221 14,9 Js6 1.000 2,391 3.$31 10,375 14M• 9.091 11.1361 (22.7501 12.375 8.933 JB1.U8 JMn4 84 fora Soe¢lf￿ OWWsÈ￿￿th(aukJ be ftsr ac8rtan¢xÈCeofe¢wipTrtht ort01￿5￿￿￿<￿￿0pth￿r wwd.

Nogh'5 Ark ChikJren'5 Ho5￿ra1 Chariiy crynp￿y Lfftt•Y * GLWantee Notes to the consolidated financial statements (continued) for the Year ended 31st December 2022 26. Movement In funds - continued Current year.. Restflcted funds- 9fOUP and charity At l January2022 InciAme At 51 De£ember 2022 T1ny Lives Neon4ts1 Icu ward Furtds Kidney CeDtre PJreThi PJcks Play Soe¢ia115t Eauigrrtent PTOM Ind Incubator 10.619 610 29.912 1*229 21,234 17D 157? {23.Q201 17¢ Peter Hdh)es Fund Surgical In5trumènt5 G4stroenterolo9y Swkl@ Fund Jun9le Redevelown8nt & Pla￿00M Sensory Eouioment Back On Vaur Feet 1,932 663 9.316 367,625 639 TBS 10.617 57.126 CPAP Machine Play ThErapy 19$ b¢èds of Coura9e Integrated The8tre5 Virtual Hub Club VR Thèraw Sept 21 mailing general Garden Fund Child Emer9ency Pack Specific Equipment Paeds Neuiosurgéry Here f¢Y You 672 2.131 103 19.036 109.112 222.27T 131.$0S1 542.OOS

Noahs Ark ChI￿reN'5 HOSOitJl Owity Ctsrpany Limrted tryfxWèlte Notes to the consolidated financial statements (continued) for the Year ended 31st December 2022 26. Movement in funds- continu•d Prior year cornparative5'. Unrestricted funds At l January 2021 Inei)me Expenditure Translers At 31 December 2021 General fund 516.773 270,014 105.214 892.1101 919.S33 19YJA051 35,188 511,68Y 335,C114 23.928 870,631 De5i9nated fun Resilien￿ Fund 40.503 .036 121.7091 1981.5141 1100,0801 At l Jat)uary 2021 Intome Expenditure Transfer5 At 31 December 2021 General fund 510.189 270.014 105214 885,417 873.992 (914,547) 35.188 65,000 111XI,0801 108 504.822 335.014 23,928 863.764 Desionatecl furnd ResiliÈnce Fund 40.503 914.495 121.7091 1936.2561 The general fund5 are freely availab￿ towards costsof rumiffj chBrity. trustees h3ve a reser¥5 poILy 5uchthat at least ES00.000 sh￿Id be in place. des19r￿tea fund is eam)arked for furKling future gant request5 tor tt Noahs Ark ChildMs Hosptsi. fr(A)) Cardift & ValÈ Univetsity Hèalth oard, for the provi5iw of medical equiptrwt tt supwt ofdiiect servKes th oatnrs s￿h￿S the ssay spethalist SÈrviC ￿tline￿ (kn PagÈ 2c>and the commirments as outlined In Note 24. Ouring tl year É613.542 wa5 Spent on grants awarded a5 detaikd in note 9 Fundin9 15 initialty allocated frorn general fu￿15 but where th￿ takes abts%/bth the reserves ryjicy tsf £SOQ.000 a tral￿fer 15 made between de519nated funds aThY general luThJs A transfer of £rMI was m&lèthis from getyal fvtK15 to de5vJnated fwwJ5 (2021" É65.000 transfw general fun(15 to deswJThited hJn(Js).

Noahs Ark CTri￿ren'$ Hostytsi cmrity Comwy Limted by GwratsEÈe Notes to the consolidated financial statements (continued) for the Year ended 31Y December 2022 26. Movement in funds Current year-. Unrestricted funds At l January 2022 Income Expenditure Transfers At 31 Oecember 2022 General fund Desi9nated fund Resilwce FurKI $11.689 335,014 23.928 870.631 1277,075 11.286.818) 23.615 525,561 335.014 2,864 863,439 121.1841 11.308.002) 1277.195 23,615 At l January 2022 Income Exppnditure Transfers At 31 D¢r¢mber 2022 General fund Designated fund Resi11e￿Q FurKJ 504A22 335,014 23.928 863,764 1225.429 11.235,1651 23.615 518,701 335.014 2,864 856,579 120 1225.549 11,2%.3491 23,61S

Noth'5 Ark c￿ldren5 H05PltzJ Cthnty c(KTWy bsf Notes to the consolidated financial statements (co ntinued) for the Year ended 3151 December 2022 25. Afialy$is of net assets between funds- continued Unre5tricte(l Funds Restricted Fund5 Totsl Funds 2022 F1xed assets Investments 26.427 1.175 1.$04.739 1629.0741 14fj.6881 856,579 26.427 1,175 2,138,876 1721,2071 146.6881 1.39B,5B3 CurrÈnt assets 634,138 192,1331 Non-current liabilitie5 542,005 UnrestTlCted Funds Restricted Funds 2021 Total Funds Fixed 8s5ets Inv&stmÈnts 22.093 22.093 1.000 1,925.717 1696,3311 1,252.479 Current Assets Current Liabilities 1.374,794 1527.2561 87Q,631 550.923 1169,0751 381.848 Unrestricted Fund5 Restricted Funds 2021 Total Funds Fixed assets Investments 22.055 22.055 1,W2 1.913,920 1691.3651 1.245,812 Current As5et5 1.362,99T Is22.2￿11 863.764 &50.923 1169,0751 381.848

N(￿h.5 Ark Chill￿￿.5 Charity LirTrteJ Oy Notes to the consolidated financial statements (continued) for the Year ended 31st December 2022 23. Leasing agreements - group Minimum We Dtyments under nOn.(￿K￿LleopWatIry Ipases fal ¢kn as fdkyw5.' 2022 2021 Within one year Between one and five years 14,600 5,924 20,524 14.600 16.936 31,536 24. Commitment5 - charity only Al the year-end. the chwity ￿ a t￿￿ling coMmitm￿l ol ES.OCM)towds f￿￿Ying a st￿￿<￿) Inll¥finwtw t￿1 di5ea5e is not LJe to start until May 23. and È3,968 to4ards funding an exten￿On In a awwded to an ernotwl gJDLWt seryte. As al 31 Decemtser 2021 thethanty W a fundiw comrThtffw)t of E80.587 t(war<ls a Oini¢¥ Psychobglst at Admin a￿Sta￿t to provide psychologica care for farn11￿5 on the Paediatnc Crit￿￿ Care mil. Ths¢cKr#))rtNwt was ¢Jeo•*knity) aoDointment5 tieV￿ tnade lorthese post5 which r¢ok place In 2022 and costs ao refie¢te£l In 2022. 25. Analysis of net assets between funds Unrestricted Funds Restricted Funds Total Funds 2022 Fixed assets 26,427 1.173 1.516.269 1633.7421 146,6881 863,439 26,427 1,173 2.150.407 1725,8751 146,6881 1,405,444 Investments Current assets 634.138 192.1331 Non-current liabilities s42.￿5 79

No•h5 Ark Childrens N0s￿tal thyrity CtsTrparyLimW Notes to the consolidated financial statements (co ntinued) for the Year ended 31st December 2022 20. Debtors". amounts falling due within one year 2022 2021 Group Charity Group Charity Amounts owed by group undertakings Prepayments ènd accruÈd income Accrued interest receivable 13.797 98,914 822 12.728 223.508 223,572 99,768 113.533 223.606 236.270 21. Creditors: amounts falllng due wlthin one year 2022 2021 Group Charity GroLJP Chèrity Trade creditors Social security and other taxes Corporation tax Hospital grant creditors AccrLJals and deferred income 5.163 5,296 83.826 2.197 83.093 2,197 599.716 115.508 725.875 599.716 111,031 721,206 569.7TI 40.449 696.331 589,777 36.298 691.365 22. Credltors: amounts falling due after more than one year 2022 2021 Group Charity Group Charity Hospital grant creditor5 46,688

Noah's ATk CThiklren's HoS￿la1 cnèiity Cthnpany Lif(Mteorry fxwan Notes to the consolidated financial statements (co ntinued) for the Year ended 31$1 December 2022 18. Fixed asset investments - continued L15ted Snvestments Listed investments le￿let0 share5 hdd Viith LWS Bank thai th￿ted10 the(h￿ty. Unllsted Inw#mgnts The company's InvÈStrrnts ar rhe ba1￿ce she• date Intr slwe wxtal Or¢(M)N>￿ ￿Je f4knrvJ 14oah'sArk Apwal Lifflited- £2 Reg15tered office." Upper Ground Flc¥)r. Ath Chikkn'5 H05Ptal HEath P•k. Cardiff. CA4 4XW Nature of business. Tr￿Ing 5ubsKJw Class of sharÈ'. Holding 100 Ordinary 2022 2021 Aggre9ate capital and reserves Profit for the year 6,869 283 194 The above Investments rèpresent the 100% shwe caprtal ol tr tr&liTh3 ￿bs￿5&y. ￿￿h.5 Appeal Limited. Cèrdfjll Blues Llme41- 1,000 shares In Cardiff 8lue5 Limited W￿¢￿ted tothe cl%irity. All investments shown above are Wlat Cost kssany acoJryHJkted Imp3irfw ￿$se* 19. Stocks 2022 2021 Group Charity Grribp Charity Merchandise for sale In shiw and at events 21.120 9.764 16,847 7,202 77

Noah5 Ark Chikjren's ￿￿￿ra1 Chwity Campow LirNted tr4&Jw4niee Notes to the consolidated financial statements (co ntinued) for the Year ended 3151 December 2022 18. Fixed asset inve$tment$ Group Listed inve5trnent5 Group Unliste Iiwe5tment Totals MARKET VALUE At 1st January 2022 Additions 1,OCX) 173 173 173 At 31 December 2022 1.173 ET BOOK VALUE At 315t December 2022 At 31st December 2021 ln 1.173 1.000 Charity Listed investments Charity Unlisted investments Totals MARKET VALUE At 1st January 2022 Adclitions At 31 December 2022 1.002 173 ln 173 1,002 1.175 NET BOOK VALUE At 31st December 2022 At 315t December 2021 173 1.175 1.002 1.002 There ¥yere no iftve5tryEDt a55etsoJtgdethe UK 76

hs Ark Childrens H05pial C￿rity Company Limited by ￿r￿tee Notes to the consolidated financial statements ( continued) for the Year ended 315t December 2022 17. Tangible fixed assets- group - continued DEPRECIATION At 1st January 2022 Char9e for year Elirninated on clisposal At 31st Oecember 2022 35.020 14.997 6261 49,917 11.624 21.158 61,541 NET BOOK VALVE At 315t Oecember 2022 At 31st December 2021 13.167 7.319 8,513 14,774 21,680 22.093 17. Tangible fixed assets - charity Fixtufes & Fittings Shop Fixtuies & Fittings Totals COST At 1st January 2022 Addition5 Disposals At 31st DecÈmbÈr 2022 41079 11,211 29,671 71,750 11.211 5x290 29,671 82,961 DEPRECIATION At 1st January 2022 Charge for yÈar Eliminated on disposal At 31st December 2022 14.897 6.261 49.895 11.586 5.325 40.123 21.158 61,281 NET BOOK VALUE Al 31st Decernber 2022 At 31st December 2021 13,167 7.281 8.513 14,774 21,6BO 22,055 75

Noah's Ark Children"s Hospital Ch¥ity Lmted tyGutr&ttEè Notes to the consolidated financial statements (conti nued) for the Year ended 31# December 2022 16. Staff costs - contlnued Key Management Personnel Key rnanagement personnd Includeell persons that aut￿￿ res￿$￿11￿ lor p￿¥￿1￿￿￿. dirertiN4 •¥J ¢￿trollIng ttractiyits of charity. The total compensation paid to key M￿a9&m@nt pers￿n￿ fty services to I￿rt￿ty wa5 U70.157 (2021." U91B55) 17. Intangible fixed assets - group & Charity Compuier software COST Addition5 5,340 AMORTISATION Charge for year 593 NET BOOK VALUE At 31st December 2022 4.747 At 3)st December 2021 17. Tangibl• fixed assets- glOiIP FI￿￿re$ & Fittings Shop Fixtures & Fittings Totals COST At 1st January 2022 Additions Disposals At 31st Oecember 2022 42.339 11211 29.671 72.010 11,211 29.671 83,221 74

loahs Ark Oildrens Ho5Prtal Charity Cornpwy L Ynrted by ￿r•i1¢e Notes to the consolidated financial statements (co ntinued) for the Year ended 315t December 2022 14. Auditors, remuneration 2022 2021 Fees payable to thÈ charity's auditors and their as%Klates for the audit of the charity's financial statÈmÈnts 13.478 12.240 15. Trustees, remuneration and beneflts There were no T¢ustèes' remuwaiion ¢r ¢rher benehts for ttrye¥wthJ Jst 2022 >wrended 315t De￿rnber 2021. Trustees. expenses There were no Trustee5' exper￿ paid tuthp Jst D￿￿eT2022 rKvfutt￿ swrernled 315t December 2021. 16. Staff costs 2022 2021 Wage5 and salaries Social security costs Other pension costs 436.775 12.334 2.$81 451,69D 401.143 8.881 3.369 413.393 Staff co￿$ incwe all waw wharged by CarrWf& Va￿uH& Socil secwty Costs retyewt ttrw)se of the t￿nty'S own Dayroll scheme only. The average monthly numbwof staff directly emtycyd tythe CharitY￿d retharged by Cardiff & Vale djrw the year was as folk)ws'. 2022 2021 Charity staff Shop staff 12 10 44 12 The nutDber of sraff. Y4reciiyemployed by *%1 by cardrfr¥￿l WeVH& benefits (excludin9 employer oension cost51 exceeded É60.000 was". 2022 2021 É60.001-É70.000 73

IoaThs Atk thI￿ren'5 HOS¢xtal thèrily Cvnowy ￿r￿lted by Notes to the consolidated financial statements (cont, nued) for the Year ended 31st December 2022 11. Net income/{expenditure) Net IncomeJ(expendilure) is stated after charging1(crediting)'. 2022 2021 Depreci8tiorT- owned assets Computer softwèrÈ amortisation other Operating leases 11.624 593 14.600 10.903 14.414 12. Taxatlon Taxation Is only applicable on the resuttsof the tradiTr) Substhry. The tax for the bar s £7 (2021 E82). base(1￿ profits of E201 <2021. £365) as adjusted by disallowed expenditure and capital alb•ja￿e$ tax ra￿￿￿1¢ ts I 13. Charitable Company results The charitable company has lèken advantagp of Secits)408 of Act 2(K￿ not Inckthd its <y¥n IrKoMe￿ expendltv￿ ￿cOunt in these fina￿131 stat￿entS. The results ofthè Noah¥ Ark ChikketTr'5 Ho¥xt¥ c￿rty•t SuffKnan5ed Vnrestricte(l fvn(Is Restricted funds 2022 Total Funds 2021 Total funds Total Incoming ￿sourceS Total out90ing resources Net Incoming / (outgoing) resources Transfers bÈtwÈÈn funds 1.225.548 11.256,3491 130,8011 23.615 1.447.825 11,294.8541 1S2.971 1.183.586 11.128,1651 55.421 138,5051 183.n2 123.6151 1fyJ.157 Net movernent in funds (7.1861 1S2.971 55.421 Fund5'. As at l January 2022 As at 31 December 2022 863.764 8S6,S70 381,848 542.005 1,245.612 1.39B.SB3 1,190.191 1,245.612 72 Theat￿￿ regJts include É201 (2021.. Énil) In aKJ ¢knatK)ns recè¥d ty Noah¥ ArkChihen¥ HogYtalCha￿tY fttyn Noah's Ark Appeal Limoed. itstr￿1￿9 subsidiary.

Noah'5 Ark Chi￿ren'5 Ho$￿tal charity Cofflp￿￿ Lynited by &w¥ee Notes to the consolidated financial statements (continued) for the Year ended 3151 December 2022 9. Grants payable unrestricted fund5 Restricted fvnds 2022 Total funds Supporting the Children's Hospital 575.037 38.505 613,542 Unrestricted funds Restricted funds 2021 Total funds Supporting thÈ ChildTÈn's Hospital 375.726 191.909 567.635 All of the above represent grant5 to Institut￿ namdy Cardtt & Va UThversrty He*h PAlard. who run ihe Ntshs Ark chI￿ren'5 Hospital for Wale5. 10. Support costs Unrestricted funds 2022 Total fvnd5 Unrestricted funds 2021 Total funds Manayement.. Support wages Depreciation of tangible and heritage assets L05s on sale (>f tangible fixed assets Bank charges 92.814 5.918 92.814 5.918 74,398 4,577 74,398 4,577 4.3 2,898 103,068 103,068 81.873 Governance.. Auditors, remuneration 81,873 13,478 13,478 12.240 12,240 1,836 5,415 540 A¢¢ountan¢y fees Legal fees Costs of trustee mÈÈtin9S Consultancy fees Other offi¢e Costs 4.261 4,261 5.415 540 2.696 S,044 28.305 28.305 131.373 26,075 26,075 131.373 107,948 107.948

N￿h5 Ark ChikJren'5 C￿lty Limrte(I I￿￿tee Notes to the consolidated financial statements (co ntinued) for the Year ended 3151 December 2022 7. Charitable a¢tivities costs Direct Costs (note 8) Grant fvndin9 of aetivities (note 9) Support Costs (note 10) 2022 Total$ Supporting the Children'5 H05Pltal 210,414 613.542 1J1.373 955,329 Direct Costs (nore 8} Grant fvndin9 of activitie5 (note 9) Support Cost5 (note 101 2021 Totals SLJPPOrting the Children's Hospital 1&1.1eA) 567.635 107,948 865.743 8. Direct Costs of charitable activities Unrestricted funds 2022 Total funds Unrestricted funds 2021 Total funds staff cosrs Office costs and sundry eouipment Rent 152.360 5.438 1S2,360 145.048 5.601 14S.048 5.601 5.OCN) 1,866 642 27,216 4,787 19),160 Travel. subsistence and catering Training IT c05t5 Sub5criptlQn5 and licences 3.597 3.597 1,3 36,232 642 27,216 4.787 190,160 36.232 210.414 210,414 7Q

Noah'5 Ark Childrens H05Qli¥ Charitycompwy Lffiited by ￿￿tee Notes to the consolidated financial statements (continued) for the Year ended 31st December 2022 6. Ralslng funds Raising donations and legacie5 Unle￿1￿cted funds 2022 Total Unrestricted funds 2021 Total funds Staff costs Fundraising purchases Fundraising ff￿rketIng Third party events costs 176.582 $6,374 $0.071 2.439 176,582 $6,374 $0,071 2.439 166.670 10.370 35.756 1.049 166.670 10.370 35.756 1.049 285.466 213.845 213.845 other iradlng activitSes Unrestricted lund5 2022 Totsi funds Vnre5tricted fund5 2021 Total funds Purchases Staff costs 50.143 29,934 10.( 50.143 29.934 10,IItyJ 45,914 27.277 10,OCM) 45,914 27,277 10,000 Shop rent and service charges Shop rates Events marketing & merchandise Shop utilities, Ins. Iicences & cleanin9 Costs Shop miscellaneous c05t5 Shop depreciation 3.599 4.S62 659 3.558 678 6.326 93.753 307.598 3.558 678 6.32e 93.753 307,598 105.706 391,171 105.706 391.171 Aggregate amount5 As discussed ai)ove. the fKJures include the¢onsdKlated skwJp expwKlrtureof il thvrtthc0rrw￿va[￿I ttEtrading subsdiary, the indi¥vJual results of which can seen ID r￿te 4. 69

Ngahs Ark C￿1¢￿.5 FlO￿ts1 Cornpany Lmiied ty G￿r Notes to the consolidated financial statements (co ntinued) for the Year ended 31sI December 2022 4. Results of the trading subsidiary- continued 2022 2021 aSls and liabilit￿5 ofthe 5ub5KIwy ￿￿￿." Fixed a5set5 38 Current a5set5 Creditors. amount5 falling due within one yeaf Net current assets Net assets 25,328 118,41661 6,862 6.862 24,526 117,6951 8.831 6.869 Capital and reserves Called up share capital Profit an¢Y loss account 6,860 6.862 6.867 6,869 Shareholder5 lunds 5. Investment income Unrestricted fur 2022 Total funds Unrestncted funds 2021 Total funds 8ank Interest receivable 118 118 Thectrnty continu to bevery artwe In rts support to Noth's Arkchikkwb's Hos￿t tor Wale5, sup1￿1￿9 rewe5ts fLW 9gnificant fur)ds for the provisi¢n of medical equipwent and ttr￿ 5UPPOrt of ¢Jirect 5eMce5 tooatwt5 In&It￿n. the charity FYovide5 fund5 for the provi510n ol services and facilities for patient5and thwrfarnilie5 to ensure thwr experwKe sle55anxbDVS¢Jriry ￿ oltw olitfvcult tirDe. The cash balwKes are lo cover any outstsndin9 Ccpmmitmènrs to the hospiial wh￿h are drawn down as wuired Th￿tr￿fee5a￿Y a risk policy of lnvpstl￿ In interest bearing accounts ¥Vith well-esrablisw fir￿nCl¥ Insiitutions wilh o UK or¢￿. ￿11 9ewalty take trt￿[￿of maret and fimed Tale ter deposits ltst generate Interest that will be u5£¥J for further prqerts.

Noèh's Ark Children% wosoitèl Charity Cotrwy ￿￿r￿ree Notes to the consolidated financial statements (continued) for the Year ended 3151 December 2022 4. Results of the trading subsidiary The foyer shop's operatitr)s are thr￿￿ the tradifo SubsLlary. Noah's ArfK Ap￿1 Limited TtK% tCJmpany B a ￿1vate limited cotnpany. registered In England and Wale5. company nurnber 04656756. and ￿￿ISter￿d•￿¢e is ihesaff as that ofttE parent chanty. The company makes payments lo the charity tiy gift ad. ID accordance wth the deed oftowwnt In place btt*en StyYÈ profits were retained In tIE first ￿ 35 workin9 capital lor the shop. The t￿￿tY Ihp entire 5K4re cakmtal ot2 LY(Jinary sharesof H eath. A Sun￿of t￿th1t$ ofttP 5ub5idwy shown b2hw. 2022 2021 Turnover Cost of sales Gross profit 65245 139.1971 26.048 58.188 133,5981 24.590 Administrative expenses. including management char9es payable to Noèh's Ark Children's Hospltal Charity and audit fees Other operaiing income". donètions re¢eive(I Operating profit I￿.047) 200 124.3e31 138 201 365 Tax on profit 1821 Profit for the financial yeèr and total Comprehensi￿ incorne 194 283 Gift aid payment to Noah's Ark Children's Hospital Charity 12011 Retained earnings at the start of the year 6,867 6,584 Retained earnings at the end of the year 6,867 All the activities of the ¢￿panY are frcxm 67

Noah'5 Ark ChiilieTh'5 Hwtal Charity C¢wnpgry Linwtedtyl>JW￿e? Notes to the consolidated financial statements (continued) for the Year ended 3151 December 2022 3. Other trading activities Unrestrtcted hjnds Restflcted funds 2022 Total funds Trading at fundra15ing events Shop income Social lotteries 61 2.172 125,610 7.768 135.550 125.610 7,768 135,489 61 un￿$trICte(l funds Restricted funds 2021 Total funds Trading at fundraising event5 Shop income Social lotteries 2,606 97,867 8,670 97,867 8,670 109,143 109,143 The cDrrent year rèsults abo c¢y)sdidare Ihe fcTrfÉT£Pw rKorrEof £65,346 (2021." É5&177) with IrKLKne ofttrE high street 5hcy £60.264 (2021. E39.747). excluding any InttY¢¢rnp¥iy Iransa¢ticx)s¢f £rMI (2021. £571 The lull results of tradin9 subsKliarye deiaiW intr* fwjte bel

Noah's Ark Children'5 HI￿[￿ra1 0￿rilY cry￿p￿Y LirAteo * GLwantee Notes to the consolidated financial statements (continued) for the Year ended 31st December 2022 2. Donations and legacies- Contlnued Unrestricted funds ftestricted funds 2021 Tota1 funds Legacies Grants Clothes recycling schemes Individuals ind other groups Trusts and foundations Corporate donations Fundraising event5 163.622 10,(K¥) 25,106 291.986 15.544 259,394 85.123 850.775 163,622 145,704 25,106 350,734 55,747 288.698 ,255 1.119.866 135,704 58.748 40.203 29.304 5.132 269.091 Grants received. included in the above. are as follows= Unrestricted fvnds Restricted funds 2021 Total funds The Ashley Family Foundation Jenour Foundation Charitie5 Trust (Yorkshire Buildin9 Society) Dare to Orearn Trust Wales The Na50nic Charitable Foundation 3.534 1.OOD 1,932 75.000 50,000 1,088 3,150 3.534 1,932 75,000 50.0 1.088 3.15D 10.000 145,704 GE Aviation Wales Next PIC Other grants (in¢luding Govèrnment Covid relief) 10.( 10.0 135,704 65

Noah'5 Chiklren's Ho5￿tal Ch¥ity C(YDpary Linmted tyg &wantee Notes to the consolidated financial statements (continued) for the Year ended 315t December 2022 2. Dortations and legacles Urwe5tricrod Re5trict8d lunds 2022 Total fvnds Legacies Grènt5 Clothes recycling schernes Individuals and other groups Trusts and foundations Corporate donations Fundrai5in9 events 483.039 3,637 42.620 257,855 16,092 198,269 137,605 1,139.117 483,039 24.232 42,620 338.734 59,592 266,458 146,658 1,361.333 20.595 80,879 43,500 68,189 9,053 222.216 Grants recelved. tncluded in the above. are as follows= Vnrestricted lund5 Restricied lun(J5 2022 Total lunds Groundwork UK. Te5co Commvnity Grant The Waterloo Foundation Wales Family Enterprise Trust Wallace & Grofflit Children's Charity Crène Charitable Funds 1,110 10,000 5,000 4.485 1,110 10,000 5.000 4,485 3,637 24,232 3,637 3.637 20.595 64

Noah's Ark Chil(tren'5 Hospi181 Charrty Cornowy Lknnpted by Notes to the consolidated financial statements (co ntinued) for the Year ended 31st December 2022 1. Accountlng pollcies- continued Tanglble fixed assets Depreciation is provided at thp ftlowiry anr￿ raths inordÈ to ￿n￿¢r1 each asset over It5 estimated useful life. Office fixtures arhd Iiltlry5- 25% Straight cost Shop fixturp5 afKI fitlings- 20% Straight Iineon c05t Tangible a￿et5 are Initially recorded at cost. and Subse£ttpenitystatsd at cost less any accumulaied depréciation and Impairtnent 105ses. Item5 costing less than £500 are not capitalisÉd bvt wrltten ofl Oirectly to the Income and expendIture￿Co￿t. 5tock5 sro¢ks are vèlved ar the bwer of c05t arKJ npt rea1153Lqe after making due allowance l¢robsdetewK15kMf mowrg itern5 The Charitab￿ comr>aty ¢perats a defined contribution pension scheme. contribut￿ ptyable 10 the ¢trrilable cThnp6ny's peD51On scheme are to the Ststwrnt of FinancBI AciivitRs In the pEnod to which retste Oetstovs and ¢reditOts reeer¥able / pèyèble within one year Debtors ar￿ creditors with no stated Interest rate and reTrivable or ptyaNe wthin art recordpd at t￿n&￿tIDn price. Any losses arwng fvotn ImpaiTtTVli are recogn15ed In e￿F￿)ditUfe. Fixed asset In¥tstment5 are Initsally recorded ai wst. subseoueniiy stated aic05t kn any&cAX))uktÈd IrrwKtnent loss. unlBted invtments In the ￿reTht chariiablÈ CfM))pa)y Intlude Ihe InvestmetTrt in the subsidiary. Noah's Arft App￿ LimitÈd (¢omoany registration Dutnber 04656756) TrM$ Is Ir￿￿e￿ at ¢￿t as rhe mayity of Ihp profits are gift aided to the ctrwity. The reseTves maintsined In ttr￿ subsidiary are lor working Fund accountlng General unre%triCtecS funds ler￿e￿nt those ttKsfreely avaiLiblp tor application towards achieviNJ ￿ contaNè purpwJ5e that fals ￿lI￿n the C￿ntY'S charitable obipctS. The charity a150 maintaills a Cl￿gnated lund ttyards theant￿l￿a OWOing costs ol equipping the h￿pIla1. Re#ri¢ted funds ¢urnpr15e tnonie5 which have wther been raffjed for. ttrif resincred to, soecilic purwses. ¢r subject to dLKvJr imposed restrictions. Tra￿fer5 are made between fu￿5 un¢Jer the insriuttKJnof th• tntst Flnancial A finanrk41 a55et or a hnaDcial I￿￿lity 15 reccgn15ed only when the entity beccy￿a party tothe contractual Wovisiong of the Instrument. Sic fir￿¥￿la1 instrumentsae InIt￿llY rÈC(wisÈd ai amwni re¢¥voYo or includiTrJ any reK3ted transaction costs. unls the arran9errnt ¢<stitutes o financing trat￿￿CbOn. where It Is recognised at the present value ofthè future pty￿￿￿(5¢[x￿ at a rnaTket rateof Intere51 tora 9rThtsr debl instruff￿1 Further explanation of the nature and purrxw of each fvnd Is i￿1￿Yed In the notes to the financial ststements Currwrt a55etSWKI current liabilities are sub5e¢wently measured al the cash or othercon5KJeration expected LO be or received and not Hlre purchase and leaslng eommStments FleDtals paid under operating lease5 are charged to Ihe Sta￿￿￿Of Financwl Acrmties on a 5traKJhf lirtsays or It rrKwJ of thekne. 63

NrJih'5 Ark Childrens Hwpiijl C￿￿tY Corrwy LI￿￿red troQwantee Notes to the consolidated financial statements (co ntinued) for the Year ended 315t December 2022 l. Accounting policies- continued Income All Income 15 rec￿niSed in the Staternentof Fina￿￿?1 Activitie50rKet charity lias entitlement to the funds. It Is probable ihat the irKome be reTrived and the affjount cèn be measured rdiably. The following 5ppcific ptlicies are applied to partKuLv catewies of Ir￿OMe.. - eXp￿d￿￿reen raising fuTht 1rd￿eS the costs olall fLJndraising tmties.thW￿ rK)n<￿1te trading aciiwties. the sale ol (Jwated wrAIs. - eXpe[￿rtUre on ¢Fk)rrtab￿￿tlyIt1e5 Includes all ¢ost5 IncutTe£l by a hanty In undwtaking activitw that further Its chantable 6ims for t bpneht of its bwEficianes. IncluLlin9 th05e5UPPQrt COSts and cost5 rdatty to the gY•man¢eof tk charty appDrtKxEd to charitab ivits -other expeThliture i￿ludeS all expeThliturethat IS neither related to ra￿rg lurés for the chanty nor part otit5 exoenditure on chantable a¢tivities. - i￿o￿e Irom donations or grants is recognised when there of pntillpment to thp gilt. recwpt Is prOtY￿￿eaTX$ its aryKwnt be me8sured relitbly. - le9acy income is iec¢9nised when receipt is kW¢bab￿ tablished. Gvani Pol Grants given we recoynised Int￿ year in vlhich theg are offered and accepted witwt conthti(X15 attached. Grants offered for3 period ot moretlhin orE yearwe reccgnised as crediiof5 11 there a￿ ao conditions to be met to recewe further fu￿1￿. Where a condition IS Induded In the orter before tuture In5talmentsae pa￿ thè futurè instrjment grant Is reCogn￿ed as C¢rnitments - incotne from donated 9oods Is measured at ihe fair value of the grThls uDlesS this 15 irnpractical to measure relkitAy. In which the value is derived frorn the c05t to thedcjrnr or thee5timate¢l resale value. Donated lacilities and servw ere recognised in ttrC￿ntswh received If the value can be relNy measured No 4￿ntsare irtltmyed the coniribthion of general volunteers. - other trading activities ielate tot￿ high siyeei sw. wts Sants¥ Grotto Income. All cost5 are allLKated to expenditure cat￿orIeS reflectln9 the use of the rEsource Dire￿ c05t5 a￿tri￿tab￿ to a SI￿le actiwty are allocated directly totNBt activrty Shared costs a￿ aEoortiwed between the activities t tritxjte toon a rea￿)nable. luStifiab￿ and consistent basi5. - Investment Incornè relates to bank interest Tec¥vab Expendittive Liabilities are recryn15ed a5 expendrtvre as 500n aSthe￿ ￿ a legal or constructive obligation commilting the charily 10 expènditure. ll IS probable that a transfer of ¢tonomiC berÈlits will be wuirffl in settlement and the amount of the obligation cart be measuTed rdK4bly. Expenditure Is accounted for on an accruals ba515 and has been cla59 ndÈr hèzdings that 69gregaleall cost rèloted to kne category. Where costs cannot bè directly attributed to particular Wings have be allocaie¢ w activiti￿ ty) a l)asis cts)sistent wilh use of ￿r¢e5." lntsrKJlb￿ fixed assds ctywstof ¢omputw wftwao and are beiw written dovm tF*r usefvl IifÈ of 3 year

Noah's Ark Cni￿r+￿'s H05tytal Charity C(x11P￿ (knwiiee Notes to the consolidated financial statements for the Year ended 3151 December 2022 l. Accounting policies Geheral informatio The charity 15 a public benefit entity and a ryivatecompany limited guarantee, registefed In England Wales and a registered charity in ErylaDd and Wale5 The addre55 Ot the registered office IS Upper GrouThl Floor. Noahs Ark ChikJren'5 H05Prtal. for Wales Heath Cafdifl. CA4 4XW. In accordarKe wrth the vovisions of 5408 01 the Cornw￿5 Act 2006 atvj p•agraph 92 of FRS 102. the charitable company 15 exernpl frLK Ihe requirement to ore5wI Its Own irKOme￿￿ exp2DLliture account af staterr￿1 of financ￿1 actlvities 5epwate cash now Ststement ha5 been presented for the charity Itself as thethanty ha5 taken thanta9e ol the exemptions In paragraph 1.12 of FR5 102 Critiul Kcoun¢ing judgernents and k•y sources of e#imation uncertainty The prep￿￿10￿ of the financial staletnenrs requ1￿5 management to tDakÈ genEnts. e5tirn3te5 arvj assumptions that affect the atnounis reporteol. These esrimates and iudgemen15 are continually ￿vieWed and are based on exper￿￿ and other factors. includin9 expectstions of future events t￿t are to be reasonabbè ur¥Jer the circum5tance5. Basfjs ol prepailng the financ￿1 siatements The Iinan¢ial Staternpnt5 01 the group hève been wepareLI in accordan with the Chirities SORP (FRS 102)'Accounting arQ Reoortiry by Charit￿5.. Statement of Recotnrnended Practice applicable tocharit￿5 p￿parIng their accounrs In accordan￿ %Vith the Financial Reportirg Standard a[vI￿alle InttrEUK¥wJ RewLOf1re￿ ¢FRSK>2) CeftethIJ￿X)I5Y. Fitsncial ReporliD9 Slafjdard 102'The FinanckBI 1>epo￿ng Stan¢lard applicable In the UK and Republic of IreL￿d. and the Companies Act 2006. a5 well as applicable charity and company The finèncial 5tatement5 have been prepared under the historical cost con%EntiOn. The financial statements are prepared In stertiw. which ￿ thÈ funrtKtsl Curiency of the entity. Monètary aM￿nts In these acuwnts are to the neart E. TaxatN The laxaiion exper￿ reore5ents the a99regate amount of current tax teco9n15ed n ttr rewbry period for the tTading subsidiary. T1(hantab￿ c£YnpaDy doe5 not have any taxable proht5. Cutrent tax ts rethgni5ed on taxabk Irome or exppndilure for the cLYrent WKWJ. CuThent tax is meaFJJred at thp amounts of tax expected to pay or recover usiw ihe tax rate5 and kn that have been eTracted or gJbstant1￿Y enacted at rewriin9 Llaie The charity Is exernpt Irom corwatKAI tsx w rts ctwrab actiwties. Basls of CorwI￿at These consolidated financial siatements 1￿udÈ the fffiar¢ial Slatw)￿t$ of Noah'5 Ark Childrens Hospital Charity (ttrE'parent charitatAecompaThrf) and Noah's Ark Appeal Limited. If5 WI￿lIY owned irwJin9 SubsKJwy (details of which can be fourQ in note 4), made up to 31 C>ecernber 2022. Th￿ financial Statements CCJfr501lda￿ the re5uttsof thethyity rts wholly owned subsidiary on a lintrby-Iir bas& The trading result5 01 the subsidkjry￿e thsck)5ed ￿ note 4 to Ihese financial statement5 61

Noahs chi￿￿￿.5 Hostytal ChaDly ComoanyLthited by Notes to the consolidated statement of cash flows for the Year ended 315t December 2022 l. Reconciliation of net income/(expenditure) to net cash flow from opèrating actlvltlès 2022 2021 Nel income/(expenditure) lor the repwting period (as Fer the Statern￿ of Fwial Aciivities) 152.965 55.704 Adjustmenis f¢)r: Oepreciation charges Interest received 12,218 12,5B91 4,336 10,903 Finance costs 2.898 82 187 1106.4081 1236.8181 11.9801 1275.5501 Taxation Decre3se/(increase) In stocks Decre8sÈ/lincrÈèsÈ) In prep4yments arKI a¢¢rue(l income (De¢rea5el/increase in trade an¢J othef creditors (Oecrease)/increase In accruals Net cash (used in)/provided by operations 14,2731 123,838 5,724 70,5B3 362,809 2. Analysls of changes in net funds At In122 Cash flow At 31112122 Net tash Cash at bank and in hand Total 1,685.264 1.685.264 344,256 344.256 2,029,520 2,029,520 60 The notes forrn part of these financial 5taternent5

Noah's Ark ChI￿ren'5 HO5￿tal Ctsiity C￿a￿￿r￿teoyry &*ant Consolidated statement of cash flows for the Year ended 31st December 2022 2022 2021 Cash flow5 Irom operatin9 activitie5 Cash generated from operations Finance costs paid Taxation paid Notes 362.809 14.3361 1821 1275.5501 12,8981 12771 Net cash prtrvided by/(used in) operatin9 activities 358,3YI 1278,7251 Cash flows Irom investing attivitits Purchase of fixed èssÈts 116.7241 2,589 114.1351 11,7491 Interest received Net cash {u5ed in)/provided by inve5tin9 activities Change in cash and cash equivalents in the reportin9 period Cash and eash equivalents ai the bÈginning of Ihe reporting period Cash and cash equivalents at the Ènd of Ihe reporting period 344,2 1,685.264 2,029.520 1280.3561 1,965,820 1.685,264 The notes form part of these financial 5taternents 59

Noth'5 Ark Childrens WOSPlta chantyComp￿y Lirnited by&wa)teè Statement of financial position for the Year ended 31st December 2022 2022- 2021 Charity Group Charity Note Fixed assets Intangible assets Tangible fixed assets Investrnents 17 17 18 4.747 21.680 1.173 4,747 21,680 1,175 27.602 22.093 22,055 1,(Q2 23,057 Current a$5ets Stocks Debtors Cash at bank and In hand 23,093 19 21.120 99.768 2.029.520 2,150,408 9.784 113.533 2.015,579 1138.876 16,847 223,606 1.685.264 1.925,717 7.202 236.270 1,670,448 1,913.920 Credilors.. atnounts falling due within ore year Net current assets Total assets less current liabilities Creflitors.. amounis falling duÈ after morè tlN8n (fft year 21 1725.875 1.424.533 1.452,133 146.6881 1721.2061 1,417,670 1.445.272 146.6881 696.331 1.229,386 1.252.479 691.365 1.222,555 1.245.612 22 Net fvnd5 1.405.414 1.398.$84 1.252.479 1.245.612 Funds Unrestricted fund5 Parent Charity Subsidiary 25 856.579 856,579 863.784 6,867 87D,631 381,848 1252,479 e63,764 863,439 542.005 1.405,444 856.579 542.005 1.398,584 863.764 381,848 1,245.612 Restricted funds The trustees have prepa￿￿ 9roupaccounts in wth 5ectw 398 ot tt* C¢ynDanies Act 2(N)6 and section 138 of ihe Charities Act 2011. The hnaDcKBI stsrements were aotyovwj by the eoard of Tru5te25 arvj autkK)rwJ issue on 19th September 2023 signed on ils behalf by.. Trustee Trustèe 4 .A. rtHYWP4UI. ... ........................ . Name Company RegiStr6tiOn Number. 03486361 n(W form wrt ol i+we fir4￿1￿1 S￿lernen

N<kih'5 Ark chI￿ren'5 Ho%pral Chariiy crynpa￿ Lirrmred by &J¥ant Consolidated statement of financial activities (including income and expenditure account) for the Year ended 315t December 2022 2022 Total funds 2021 Un￿eStr￿ted funds Restricted fvnds Total funds Note Income ènd endowments Irom Donations and legacie5 Other tradin9 activitie5 Investmerit in¢ome 1.139.117 135.489 2.589 222.216 61 1.361.333 135,550 2.589 1.119.868 109.143 118 Total in¢om¢ 1277.195 222.277 1A99.472 1,229,127 Expenditure on Raising funds.. Charitable actlvities Supporting the Children's Hospital Taxation 1391.1711 1307.5981 1916,8241 138.5051 1955,3291 1865.7431 171 1821 Total expenditure 11,308,Q021 138.5051 11,346,507) 11,173.4231 Net 5ncomÈ / (expenditure) Transfers between fund5 Net movement in fund5 130N71 23.615 (7.1921 183.Tf2 123.6151 160.157 152.965 55,704 26 152.965 55,704 Reconci1Sation of funds Ttstal funds brou9ht forward Total funds carried forward 870.631 381.848 542.005 1.252.479 1,405,444 1,196,775 1.252,479 The statement of financial acrwiries iYKludesall 9airsarid ￿$se$ fec)ise£l in rhewr. All income arwj expe[￿lt￿e ha5 ar15en frorD c￿t¥￿Il¥j aCt1w￿ rvJte5 form of stateiywbts. 57

56

Noahs cni￿￿￿'S H05Dltai Cnèrity Littmted by kn￿ree Continuation of the auditor's report Use of our report This report IS made solely to the tharitab ¢trnpany's [r￿￿r5. a5 a ivty. in actordancè with Chapter 3 of Pèrt 16 of Crynpanie5 Act 2006 tsJr audit work has bèen unde¢taken $0 ttrwt wt mEht 5tste to the charite company's members rho matters we #re wuire(I to State to tIEm In auditors. repcTrrt and for no other purp05e To the fUl￿st extent perrniited by liw, we do not 4c¢èpt or a55UTne responsiblity to anyor othei ihan the choritable comffiny and the charilablecotnpany'5 rnerters as a ￿dy. for our audit work. for this report, or for the opnKJn5 ¥￿ have formed. Clive Edwards (Senior Statutory Au¢Jitor) for and on behalf ol Haine5 Watts Wales LLP. Statutory Audit 7 Nepiune Covrr Vanguard Way Cardi CF24 5PJ Oate.. 5$

Noths Ark Childrns WD5Prta Charitycomrw Lifilitsd by kn￿tee Continuation of the auditor's report Our responsibilities for the audit ot the financlal statements - LXscu5YryWithTrustee5 and MarHwent the legal and regulatory oblvJations of the business ar￿ whether tlw, have any knowledge or SV5wion of rw Coryw1af￿. Our objectives we to obtain reaSOna￿eaSYJrar￿e the hnoncial staternents as a whole are free matenal misstatement. ¥vhpfher due to fraud orerror. and to Issue a Reoort of the lThpernknt Auditors that Includes Ixjr opinion Reasonable a5surarKe 15 a hLqh level ol a55urance. bur Is not a guarantee thai an audir CCKvJucied in accordan￿ with1SAs (UK) will always detect a matenal WHSStstemeni when Il ex15ts Misstatements can arise frorn fraud ￿ error aré are Co￿l4ered material If. lrKJiv￿ua1lY Or In the a99regate. they Could reasonably be expected to ITrNue￿e the ecorKNnK decisK>ns of users taken on the ba515 01 these financial statements Dewte theaudit and COnd￿ted In acctydance wilh ISAS (UK) t￿ fenK4ins an ￿t￿¥(M￿able nsk ttst material tn155tatements in finatKial 5tstetnwt5 tnay not be detected owing to inhprent limitarths of thp audit. and that by thr very nature. any such instanTrs of fraud or IrwularitEs likely Invclve collusion. forgery, Intentional mi5Tepresentation. or t￿￿O¥errIde of Inter[￿4 controls. A Iwther(185cnptun otour responsibilitie5 for thp a￿lt vf the fin8ncial statemenis IS located on Ihe Financial ReprKting CcAJncils website at WWw.frc.or9uk/￿d1￿r$￿QonsIbIIitIeS This description form% parr of (￿r RerKYt of thÈ lTh1ep￿ent A￿lIOrS The extent to which Our procecknres arewable ol detettTrw irrewL¥it& Including fraud IS detailed bebw-. - Di5CU551ng vlith Tru5teesand rnanwwnent wh￿￿ areasof tFEy believe to be more susceptible to fraud. eAKJ whether thty h any knowledge or SUS￿Clon ol fraUd￿￿Trt activitie5'. - Obiaining an Unde￿tand1rv￿ oftl key Cffitrols wt In Le by the group to addre$5 r15k5 Identif￿. a55essing the effeCtI￿rESs of those and di5CU55ing how these are maintairEd arKI tr¥Jnrt(wed Internalty. - Assessin9 the risk of [￿ar￿gett￿￿ override wewatwj te5tiry of journal entries made Into the accounbng sy5tern." - Challenging assun)pri¢ns aryj Judgernents madeby the gr¢>Jp In lation to the sigrtifiwt accounting estirT￿te5W￿pkryed In the preparation of the fir￿nCIal 5tatement&

NOaThS Atk Child￿n,5 H)sp￿al Comoany Lirthted by &J¥aDteÈ Continuation of the auditor's report Matters on which we are required to report by exception Responsibilities of Trustees A5 explained rnore fully In the Statemeni of Trustees. ResooDsibilities. trustee5 Iwho are also the directors of the charitable cotDpany lor the pufry>5es of company law) are responsible for the preparation ot the financial statements and tor being satisfied that they give 3 true arKI tair wew. and for svch Internal contiol as the trustees determine is nÈcÈssary io enable the preparation ol financial statements that are free from material misstatement. whether due io fraud or error. In the 11ght of rhe knowledge and uDder5tanding of the charitab company and Its environment obtained In the Course of the aLKlit. we have not Identilie(J material rnisstatements In the Report ot t Trustees We have nothing to report In respect of the following matters where the Cotnpanies Act 2006 reouires us to report to If. In our opinio ID preparin9 the financial 5tatemeDts. the trustees a￿ responsible for asse551n9 the woup'5 arvj charitable cornpany's ability 10 continue a5 a going concern. Llisc105ing. as applicaNe. mailers related to 90ing concern and u51rvJ the going concern ba5iS of accounting unless the trustees either Intend to liquidate the charitable company or to cease operatH)Ths. or have no realistic alternative but to ¢Jo so. adequate accounting records have not tspen kept or retvrns adeouate for Our audit have rK)t been rectived fr(Nn branches hot visited by us, or thè finantial statements are not in agrÈement wth the act￿￿￿￿ r￿C￿rdS and <eturns'. or certain discb5ures of trustee5' remuneration s￿lfIed bylaw not madè." or - we have not received all Informarion and expl￿tionS we wui for our audit. or the trustees were not entitled to take advantage of rhe small eornpaniès exèmpiion from the reouiremtnt to prepare a sfrate91¢ Rèptsrt Or In preparin9 the Report of thè TruStsÈS. $3

Ntsahs Atk CThIWrèts'S Wtsstytal CtDty C¢Ywy LinlitÉd by &Jar￿tte Continuation of the auditor's report other information Opinions on other matters prescribed by thè Companies Act 2006 Thp tru51ees are responsible for the other IntorrTMtion. The other Information compr15es the InlorryTration Include(J in the Annual Report. other than the financial statements and our Report of the Independent Auditors thereon. In our opinion. based on the work undertaken In the course of the avdit". the inlormation given In Ihe Report of the Trustees for the financial year for which financial statements are prepared Is consistent with the frinancial statements. anLI Our opinion on the finan¢h31 statements d¢es Cover the otlr infolrnation and. except to Ihe extent otherwise explicitly 51aied In CA report, we do noi express any lorm ol assurance conclusiC￿ thereon. - the Report of the Trustees has been Drepare31 requirements. In connection w1th our audii of the financial staiements. responSi￿lity is to read the other Information and. In doin9 50. consider W￿ther the other Information is materially Inconsisteni with Ihe finantial statements or Our knowledge obtained In the a￿lt or Oiher¥vi appears to bè materially misstated If we Identify such mattrial Inconsistènciès or ?pp6rent material missratemenf5. we are required to deiermine whether this gives rise to a mater￿1 misstaternent I the financial state¢nents themsdves. If, based the worl( we have performed. we conclude that there 15 a material misstaternent of th other Information. we are required to report that facf We have nothin9 10 rewrt In this regard

N(>ah'5 Ark Children'5 Hospltal Ch¥iiy corn0￿ LimitèJ by Gu¥)tee Report of the independent auditors to the members of Noah's Ark Children's Hospital Charity Oplnlon 8asls for oplnlon We have audited Ihe financial statementsof Ntsah5 Ark ch1￿jren's Holpitèl Charity (the'pèreni ¢harrtatJe¢otnpany) for the year ended 31 Decèmbèr 2022 which comprisè the co[￿011￿￿1ed Statement of Financial Activities (including Incomè and txperKliture accwnt. t consolidated and parenr Charitab￿ StatetneDt of Financial PosiD(KL thè ¢onstslidared Cash Flow Statement anLI notes to the finar￿￿ statemeni> Includin9 a sutnmary of signihcant accounting Oicies. The financial reporting framework that ha5 been aF¥>lied in iheir preparatlon 15 applicable law and United Kingdom AtCOuntirK4 sr¥KJards Iuniteol KingdorD Generally Accepied Accountifva Pract￿e) In our opinion the I￿nar￿la1 statement - give a t¢uè and fair view ol the state of the 9roup arvj parent charitab company's affairs as at 31 December 2022 and of the grcwp'5 IrKowniry re50vrces and appliCal10n ol resources. Irrwing Its expènditure. for the year then tr￿e￿". WecorKk¢ted In accordance with Interhatityol S￿dards o Auditing (UK) (ISAS (UK)) and appli¢able law Our respon5ibililie5 unclpr trose starthrds are furiher dèstribe¢l In the Avolitors. responsibilities for a￿11 of financ￿￿1 statemethts section of our ￿￿tsrt. We are dependè)t ol charitab company In accordance y4ith the ethical reouiremenis that arè rèlÈvant to our auolt of the linancial sraternent5 UK incI￿1n9 FRC'S Ethical StarQafd. and v4e have fulfilled (XJI Ot￿r ethical responsibilit￿5 In accordance with these requirements. We that the auLlIt eviLlence we have obtained 15 sufficient and aovrok￿te to pro¥iLle a bas15 for our Conclusions relating to going concern In auditin9 the financ￿1 sratements. bye have concluded that thÈ trustees. use of the g￿ng concern basis of acc¢uniing In rhe weparation of the financial statements is appropriate . have been prowly prepared In atcordw ￿th Ufmted Kir￿JM Generally Accepted A¢¢ountifv) Practice, - hawe been prepa￿d In accordance wilh re(wirTVIt5 of the Compani Act 20￿. Based W￿ trWEperfWM￿. ¥Yè haN not any matèrial tant5reliDiu toamts r tCxThJrt￿￿St￿L irKliV￿￿1IY orcdlettwel¥. iyoycast $l9niftyt£￿bl ￿ tl grtyJp'scw ch￿rtab￿Company5 ability toc(ntiThJe a5awryc(YKwn f(Y a penl￿ otar ￿ast twdve moDih5 frLYn Our respon>bilifies ond the responsibilities of the trustees Wlth respect to going cotKern are describecf In the relevant sections of th15 report. 51

oahts Ark Childrens HOSOitèl Chtrity Cnsible for the mèintenance and integrity ol the corporate and financial information Included on the group and parent charitable comwny's website. Report of the trusiees. intCxpDratin9 a stratÈ9ic rewrt, approved by order of the board of trusieÈs. as Ihe company dire¢iors. on 19th September 2023 and Signe¢ ¢n the board's behalf by select suitable accounting policies aTr4 then ap￿Y them consistenriy. observe the tnethoLIs and principles in the Chanty 50RP.' - make iudgements and estimates that are reasonable atwj pvudent". state whether applicable accovntin9 Standards have been fdlowe SubiÈtt to matefial deoarture5 di5c105ed arKJ e¥plaitEd in the financial staiements. E A Hafftrd OBE- Twu5tee prepare the financial statements on the going CO￿er￿ bas15 unless It IS Inèppropri8te to oosurne that the tharitable c(￿panY w￿1 continue In business. The trustees arè responsible for keeping Droppr accounfing records which disclose with retsontble accvracy at any titne the f1Th3nc￿l Posllion of Ihe group and parenr ¢harirable ¢ornoany arKI to ena￿e them to ensure that the financial statetnent5 comply with thp . Companies Act 2006. They are a150 re5pon5ible for 5afeguardiTra Iht assets of the group and parent charirable cornpany ancl hence for takin9 reasonable steps for the preventi￿ arwJ detecti￿ OF fvaud ancl other irregularities. so

Noah's Ark Children'5 Charity Compjny bmrted by(y￿airee Truyees. Amual Reotyt licies are periodic8lly revievled to tèst that they rwnain robust and to Itnprove effectiveness anLI efficiency wherever p05$1ble. Following the rT￿nY changes to vlorking practices dunng the parn*mic. several rJolicies and the staff hand¢)ook have We have long-5tancling and meaningful relatioDshiD5 With marw of ow supporter5 and are grateful to those who 9ive their valued support ID many different ways We respect and protect the privaty of Our supporter5 and rely OD consent and le9ltimate Intere5l In all cur comtnunication. We do not sell or share donor data We can rèpori that thÈ Noah's Ark Chiklrèn's Hospital Charity le￿l¥ed no formal complainis in 2022. We arè committed to achievin9 thè highest standard5 In our fundraising and I￿ signed up to Ihe FurKYr[15ing Regulator and its Code of Fundraisin9 Pr¥¢tice. we arÈ ¢ty)fident that our people are deliverin9 ethical fU[￿raiSing through trainin9 (￿gOIng monitoring. We do not vlork with third party fundraisers but have fundrai&ng contracts in place ¥Vith commercol partlCii>ators and data prC(essois. 49

Noahs Ark Chiklren's Ho5￿tal thiity Ccrfnoany knmited ty CJaWeÈ Tru5tee5' Annual Report (Incorporatiny the Director5. Report) Yew Er&d 31 Oeca))beF 2022 Structure, governance and management The organisatioD ha5 two separaie limited compaThes ￿thin ￿￿&T0￿0. The parent company, Noah'5 Ark Children's Hospital Charity Limited. Is a charitable company limited by guarantee and as Suth 1$ 9overned by a Mernorandum and Articles of Association The company was incorporated on 29 December 1997 uftdei rhe Companies Act 1985 and reg151erecl as a charity on 11 Mèy 1998. The charity's natne was formally changed with the Charity Commission on 22 Au9USt 2012 and Companie5 House on IB March 2013. goveming (kKurnent5. the grevious yeaf5 audited accounts. information ¢n the mat￿rnent structure5 and all relevant health and safety Information. The Trust￿ meet ouartedy to review pro9re55 a9ain5t strategic plans. An Afjm Is Called ￿n￿ally. The Trustees also meet monthly to d15CU5S fuThlraising and general busine55. The Director is respofts1ble for ihe stratÈgi¢ plan and the day-to-dly operaiion of the charily and attends the finance. fundraisin9 and trustee meet1￿5 W￿re a lull brief Is given to Trustees The Noah's Ark Children's ￿OSPItal Charity ha5 a Board of Trustees who are both Trustees and Director5 of the charitable company as required by company law. The Trustee5 are ynremunerated Empenses are reirnbursed where dairfied. The charity'5 wholly owned subsidiary. Noah's Ark Appeal Limited. 15 a limited cornpany. Com￿nY number 046567S6. Incorp¢rated S February 2003, but which was dormant for several years. During 20)8 the activities of thÈ strK)p In the foyer of the howital were translerred Irom Ihe charily Info the trod1r￿ sub51diary and. a5 such. con501idaièd accounts have been oreoare(151nce The registered add￿sS IS the same as thar of oarent chanty. Our people Our statt tearn at the end 012022 numbèred 14 Ei9hr members of the team are employed directly by the charity and the rernaining six are employed by Cardiff and Vale UHB Contracts for the latitr six staff are hdd by Cardiff and Vale UHB wifh o recharge [r￿de to the chanty lor the costs incurrèd solely In relation to the charity's activitie5. Pay scales. pÈrsonal dÈvÈlopment wiew 5y5tern5 and incremental rises are all Set by the NHS at a UK levd. the charity Is guided by these fcy its permanent staN. The Senior management of the subsidory ore Eddie Haywar(108E. who is also a irustee of the charity. an(1 Suzanne Mainwaring. Recruitment and appointment of new Trustees Trustees are apFK>inted. by majority vote. at thè Annual General Meeting. for iheir expertiSÈ. profile arKJ specialisi skÈlls In adding value to our charitable and fundraising artivities. We are indebte¢ to OUT volunteers who donate(l an incredible 4,043 N)urS In 2022 They are an essential part ot our charity and we thank each and every one for the diverse way5 In vlhich they are Involved. 11 is an aim to Cciniiwe to develop ovr honorary atnba55adorial rdes and recruit those who can olay a key role In heloing the charity achieve Its tharitable obJective5. We also seek to 1￿C￿aSe our celebrity and hope to arrrart wpll known people who have a Strong affinity to our cause and who w111 utilise their Influence to culliv3lè nd solicif 5UPPOrt that rnay otherw15e be beyond the reach of the ndroising team. Trustee Induction. Training and Organisational Structu Trustee induction and training is the responsibility of Ihe Chair and the Director. Ne¥v Trustees will be Issued wilh a sei of documents to help thern become rnore familiar with the cha￿ty an¢1 Vihich I￿lude

74A 4Eiid%O

NOaThS Atk chiW￿￿'s Ft05￿tal Comowy LM))Ited by Glby Tr¢ Tru51ees' Ann￿1 Report (Il￿or￿¥&IffV4 Direcior5' Report) Year ErM1ea 31 DetÈmber20 Our future As the time gap broadens between the pandemic at its height and whefe we stand today, ivs clear that we are finally in a position to Start planning ahead with certainty. We can be decisive where we were t0￿ed to be cautionary and strive forward where we were mostly holding fim). As it wogressed, 2022 offered more opportunities than wè had originally hoped for. Though new challenges have appeared on the horizon, we look to the luture with a new sense of optimism. Looking ahead, we plan to: Deliver on the promise5 we made during our Here foryou Ap￿. recruiting two full-time ward counsellors in th2 first prose ènd pilotin9 proiÈct5 in preparatiw fUrt￿￿r expansK)n of th2 emotional supoort swvice. Suwort our diwal colleague5 In kee￿n9 pace with the ever- ing l￿d$ca￿ of medical extr11￿ by funding cutting-edge equ1txT￿nt. Continue to raise funds throJgh the He￿ for y(￿ ApFeal los￿￿e an on90ing funding stream for this Service Do W￿teVer we can to hdp ensure that Wale5' only dedicated PCCU has what ir wls to maintain a gold statidard of care. Continue to Support play specialist service. oneof core funding comtnitments as a charty. Actwdy seek out the vw5 arKI opiruons of our supporter5. ensuring that th•r vow ￿aY a central role in the shaping of charity. Work alongside our hospital cdIe8g￿ to rtrmodd JurvJle ward with the funds so generously donated to the Jungle War(1 Appe& There was Do Choi￿ but to close thÈ ward during COV1￿?9 and Pause planning. Engage arKJ cultivate supwrter& particulady amongst our ￿ wdwce of young families. Grow on the Initial succe55 of wr Nagship family evenL Superhero Dash. Work aloTrJside the children's h)sptsl's ¢Jirectorate a5 ￿ begin work on their own long tÈrm stiètegy Invest In digitèl. IFnproviri9 fundraisn9 and tyonation Op[￿Un￿￿5 on our wÈbsite, reaching out to new and existlng audie￿eS online and providin9 the public with rnore oP￿Units to make Ca5hle55 donations at ￿¢￿t9-￿Ce event& In¥est In data and digital- making the rxoce55 of data capture rrKJre effKient and streamlined Y4hile Improving our ability to use data to create ingght that will amplify our purpose Continfft to seek our best methods to Improve the way stard suop)rters to gain their l(xig-ierm commitrnent. Enhance and grow our Spark￿ activi1￿& StrervJtheniTrJ rdar1￿￿1ps with a broad ran￿ of hospit81 teams in order to reach mtre of the children arKI farnilie5 who need us. Suopm c¥Jrstaff. through an Investment In skills, professv)nal deVelo[￿t arKI wellbeir¥J. 46

Ntsah'5 ATk Children's Hostytal Clwity ComwyLmited Th@ Tru5tee5' Annual ReDort Ilncorporating ihe Thrector5' Report) 51 Decen)er 2022 Ltvl ol resewvt$ The Charity's reserves are detailed in Dotes 25 and 26 of the account Th• tyalan¢ ¢>t genernl r•sev¥•s as at 31st D¢¥mb•v 2022 was £525.$60 (thwity £SI•.?Ol>. Th• r•s•rv0s w•r• l*vknn d¢>wTr as f•ll¢%vs.' 3111212022 3111212021 Net Assets £1.405,444 1£337.8781 1£542.CK)51 £525.$61 £1.252.479 1£358.9421 1£381,8481 £511.689 Less Designated Reserves Le55 Restricted Reserves Unrestricted Free Reservès Des19nared reserves have been set aside to meet cornmitrT7ent5 to the hospital. In 2022 the charity ha5 COnt1nLTred with the designated fun(J for their Re511ience fund which Is used to cover spending on Items to aid patieTrts and farnilies. At the year end this held £2.864. Re51ricted reserves are outlined In rnore detail in note 26 OF the aCc￿Trts. The incfease in the yw 15 predominantly due to the Here for you Appeal outlined on page 27. Investment policy and objectives Golng concern ThÈ Noah's Ark Childilities and ot>ligations as t fall due over th¢ period 0112 months from Ihe dale of approval of the financial statements. Therefore. the Iinanckil statement5 have been prepared on a going concern basi5. 45

Trv5tee5' Annu81 Reporr (Iworptyating the D￿eCI￿r5. Rewrt) V&¥ Erthd 31 Oecember 2022 Financial review Results f¢T the year ended 31st Opceml)er 2022 are Shown in the Consolidate(I Statemenf of Financi31 Activities on page $7. This show5 the financial result5 for rhe Charity and Irs rrading 5vb51diary Noah's Afk Appeal Ltd which donatès its profits 1¢ the Charity. The Trustees are pleased to rpport that. de5Plte the ongoing Impact of the pandetnic and a cost of living cris15. Ihere ha5 been an increase In Income. achieving El.499.472 in 2022 (2021 £1.229.127). Although we continued to See some Impact on doDatiDns In general. retail and event Incorne Improved as result ol lockdown restrictions bèing lifted and legacy Income from Gifts In wills intreased Signifi¢antly In 2022 EX￿￿￿1t￿￿ on Charitable activities Increased from £865.743 in 2021 ro É955,329 In 2022 rpflecting an increase in grant5 awarded during 2022 Although e a150 Saw an increase In expenditure on ra151ng hjnd to E391.171 (£2021 E307.59B). this was primarily due to rhe costs assocoied with the Increase in in-oerson events In 2022. ¢•shfl¢)w Overall in 2022 theTe was a net cash inflow of É344.256 Incre8sing the cash held as at 31sr t)ecember 2022 to É2.029.520. Reserves Polky The Trustees hwe consitlered thai fhe charity should hold 5UNic￿Trt general reserves to cover aPPfOximately Six months operational cosrs and also alk)¥v the trustees to respond to vrgent charitable requirernents which T[￿Y arise. Thi5 poIIcy was reviewed in 2022 and taking Into consideration the Charitie5 Commission guidance. ryqected charitable expenditu￿ over the next 12 months and Current commitments. rhe Trustee's consider Ih6t this policy 15 still aopropnate In the current financial climate and that general free re5er¥E5 should not fall below £S00.000 The reserves polity vlill be rewewe<l a9aif In 2024 44

A6010>ts0

lJ)Eipged a)ii)eJd '8IIyMaiqqix Aoie)npa 99 aiAai I'e ueu! S*iiiv4

N￿h$ Ayk chihy￿￿'s Hostytal Chanly Ccwty Lmited The Tru5tees"AnrrfJal Reotyt (Ir￿￿orating the Director5. Rep￿t) Yew Er￿d 31 DeCern￿r 2022 . Cardiff Half Marathon Santa's Grotto A Marat￿ll of two h3lvesfor20221 This Wic evertt car( W IoiiovM tttèpandemic with two e¥ent5- one In Narchand another ill OttDb8r O¥erl runnersioine¢ Tewn Floah's Ark with thwr rèinbtsw vÈSt5. kindly 5pon50re(J byAdvantage AccovntarLCY ar￿A￿S¢ty and GS verdefvoup. Shining In ying and autumnsur¢hine, they raÉed nearfy £4S,OM for thè chil(tren'5 ho5Pltal Santa ￿vId not have been hèoDier to be back at our yrotto at IKEA Cardiff after year5 of conreciiw with ctrmldren'oirtually(ufing COVID-19. 1.￿ chikfjTW cème to shèrètheir Christrn￿ wishes Wlth Santa and rnore thèn SO ama2in9 volunteer5 madè thè Cttristma5 rnag￿ happen. helping to ra4e just Ovew É20,OCK>t¢Y thethanty Litt￿ patwrs.Thw￿y Likn-mai w¥e t￿￿etsn I￿nch d6y to hdpwelcorne Santa bath to IKE4 aftrlM5kxw Night fromthe North Po￿. L￿1 chows5ang. and even MimiefW￿ tirne to oy(¢ ènd in thE Christma5 fun, aving rEceived they de5ry1be os 'Jrnaliro ca￿. f¢r ther s¢D Ot hasa rère blood disorder whKh affects hK5 irrrfrrtvhe System. Tara Mosdey ar￿ husband arbd t1￿1r lamily doc1(l￿d to tske the ctsllen9e of runnin9 the Cardill Hall Marathon in October 2022 Beivieen this¥vJ takin9 rt In Our SuDerttD Oash as well (thank you to little Lvu for ch¢)OSirg Outfit$4) th&y tè15ed an Incredible E2.920. Joserth Ltst. graduateand ta￿t a911ty Jtamme ￿a￿l at AdmKal. headed￿pa c(woorare vcduntetr teamaf S£nts'5 FElper5 The grotto pr(W￿lesa fantasiic opwtunily j for tsJr<Orporate partnErs to connect with MI￿ a5 greai funl Jo• said: CC A5 w5 •101￿ us to Qive someiino bèck Its è worthy C￿. Olf ithe spent vOlu￿teErIng lor Noah'5 Ark Children's Hospital wès 4 great ¢eatn-bw￿I￿ aftemooD Vnth a festivè twst. The Noah'5 Ark team mède the rxocess SI￿h wlhmÈaTht coukl cancentTate on funarai5ing Gwen. who Is rnum to Mali and Gruff- rèn totèi of KM) miles In aid of Noahs Aik In 20221 Gwen said 'Over the last live years. Noah's A¢k hès SuooortÈ(S OUT fEmily through the hi9hs and I will ftrev¥ be thankful for the amazing staff who w(wk thero.. October's Cardiff Hèlf MèratTh brQJgbt Gwen amthEr 131 miles closer to h challenge rJiget. during wThICh Shè raisEdan amazing £2.956. 991 Th• Hollywood Glamour Ball Held at the HIltDn Hotel Cardif. Our Hdlywcod Bèll was è sg¥klits9 Thght Df EntertaifimenL fun and fUr￿￿51Th9 Pwformances fTom Suzèrnne Packèr, Él WIll￿1[n5 3nd Reuben De Provided the gkmoufous 1gU-è9eaimospherè. and 5uooorter5 01 charity ￿(￿ated ¥enEioUslythru￿h a'golden ticket. raffle ènd SI￿1 ￿110￿ np)ht ra15éd wst oveT £9.0W. rLEAT

Noah'5 Ark Chilorens Ho5Pltal Ctrwity Conwy Lffirt£xl by The TFv5tee5' Anwal ReLKbrt (irforwr4ting the Dbrectors" Report) Y￿F £r￿d 31 Decem￿ 2022 Supporting the h05Pltal after ttr*y took care of baby Rafy, the Thaz fa[r￿Y ra15ed ÉI.0601 The fatt4y said litt￿ Rafy're￿Jved arnaiing care by the boS￿tal %vhKh ultimately saved his lite.. A team of nurses fr¢m tht Children's htyspital's on PCCU $1gned up to become real Ille SupÈrhevoes f¢r their pat￿ntS at the Svoerhero Dashl Vffth live ¢nl¢rt•ifiment from Sophle Evans. Party F122 Characters & Co, inftata1￿e& street food and visits Irom the li￿ and PDlite servke. the first ler in person Noah'$ Av1¢ ChIld￿￿'S H05pitsI Ch¥lty Superhero Dash wa$ an •pK addition to our •v•rf calendar. Thanks to Ilumtteh. Firèrfle and Haines Watts lor sp<¥n50ring the t¥¢￿. Emma Smlth. s•nlor nurse on PCCU. sald: GG WÈ'VÈ signed up as teams to put money back into the pot for a charity that 5UPPOrt5 our work in so many ways. As well as fun(Jiry vital equipment for the unit. they provide parent packs to help families who are admitted with their child in an emergency and do lots of nice things for the children like arrangè birthdays and special visits 99 Brlng on Mxt year! 41

hs CTri￿re￿.$ HO5￿￿1 cN)rity knmTrted Thp TTU5teEs' Rep(xt (ItKorptyating thED1r￿t0r5. Report) Year Erthd 31 Decembei 2022 Superhero Dash The Noah's Ark Childron'$ Hospltal Charity Superhefo Dash went Irom a virtual event to èn In"pet$on. mass wticipation event in 2022. and w45 huge 5UCC¢S$. Ovef SOO Deople took part In the SK fun rury raisiry over £40.OW chilclren's hospital Over an aftern¢X￿ of fun iHughter at the Iw¢)ps Vil￿￿, Supmrters, patient familie5. arnbassador5 and (yJr charity partw to￿t￿¥ to Celebrate the real life 5uperheroe5- L¥g srTr311- %WK> m* hospital of W3le5 $0 special. Nine-year-old Jack has been rece4wrs ireatment at the Noah's Ark Children's Hospital for Over two years after he wa5 diagnosed with Acute Lymphoblastic Leukaemia 31 just seven yeavs old. LittlÈ broihey. Leo. has always been Jack's hero. Thèir mum, Sam. said.. (C The [￿aY specialists helped Leo lo understand how to play with Jack as he often gets tired easily. He has learnt at a y(xJng age to take things at Jack's pace and has tsken it all in his stride. )) SupÈrher¢ Leo went on to take wr SK fun run in his stride. raisin9 an amazin9 £775.

ahs Ark c￿l￿ren'5 ￿l￿tal Ctsnty Li￿￿tea bYE￿￿￿n1ee The Trustee5' An[￿1 Report (Inc(￿￿￿1￿9 Direciofs. Report) Year En￿ 31 Decembei 202 Zipline sA&I 24 thrill seekers took ¢)n the ¥wrld's fastest seated zipline at Zip World. Abèrdare. collectively raisiny 4)ver £6.500 for the thèrity. "'WELeDONE' Els￿ was brought to the f4oah'5 Ark CIMkJren's Hospltd f Wales frorn her home In Dry51wyD. Carmarthen. shortly arter being diagnosed with HodgkiDson's lymplK>ma Within day& she had embarked OTh a tour.rnonth c￿r5e ofchemottrwapy treatrllent. Thankfully. tyy September. Elsie was 9i¥en rhe l-clw and she returned to the childr•)'s hospital to nn9 the end of treatment bell. Bul Ihe last year has been a real Toller¢oo#er ride for the family, who say they are only tw)w cotning to terrn5 ¥Ylth what happened. Mum, Elain•. Sald: CC11 was I￿￿diblY toJgh to see Elsie going through ireatment. but we also realise how lucky we are to be at thi5 Stage now. particularly having seen for LxKlves how much haTder it Can be for Noah's Ark familie& We wanted to do serfett thing tts do. 39

N￿h,5 Ark ChiilYeA'5 Ho$￿tal Charity Cw¥ty LirThied tyGL4¥antee Tt¢ T￿Slee5. Rewrt CIr￿Or￿￿atITh9 tThe Directors, Reoort) Year Ended 31 December 2022 Events 2022 2022 Saw brighter days begin to ￿turn for all of us. and with them came the return of our'in-pevson, event calendar. We have 50 missed seein9 OUT SUPI)Orters and getting to hear their stOTies face-to-face, as well as eatching up with the amazing progress being made by our ambassadors. 2022 has been very special and a great year for event fundraising. The Noah's Ark Step Challenge Noah's Ark Step Challènge THaS back for 2022 with 98 people takin9 UP th¢ virtual challenge. Rai$ing a total ot E4,500 for the ehildren's hospital, our supplvters COM￿0¢ed 421.000 steps each, the equl¥alent dlstaiKe in steps it would take to walk from the t4P to the toe of Wales: Eight-year-old isaac'5 build up to Christrna5 2021 was d15nJpted abruptly in De￿rnber when what started with a pain In his hip ended In an eleven day stty In ￿pital and six days on dialysis. Following successful treatment. Isaac completed S Challenge alon9 Wlth his lamiFy, hdping th raisea fantastic £2.0001 A￿Xis. sof* Jack has been a patient at Ntsah'5 Ark for m05t of hi5 life. She said.. CC The Noah's Ayk Children's Hospital. right hÈrÈ in Cardiff has been an ab501ute lifeline for our family and recently Jack asked if he could help raise money. That's why me an¢Y Jack signe(J vp to this chèllenge to walk froTn the tip to the toe of Wales. 99 Even k)51rvJ his Fitbit d￿l￿'t deter amazing ￿(￿h.5 Ark warrior Jac rKI he completed h15 challe￿e in April. raisin9 a lanta5tic E205.

Noahs Ark Children'5 TruStee5' ReD(vt (I1￿￿[￿?11ng ihe Directors. Report) Erwjed 31 Decernber 2022 Partnerships Wè arè huge￿ yratelul to the dvi¥en and dlicated companies Aworttd thè cl￿ty thrthtyhtArt 2022. It W5 amothÈr diffitult year. malnlng tough many sectors. We are so thankful IOIP#)sÈ ￿￿esUpp[¥t was ongoing and to ttthewPK) chose to support chavlty for the very Ilrst time- whether th￿￿ stsff caw+felated m¥ke¢ingp Fecycliny or pro¥idin9 9ifts in kind. The Big Give Christmas Challeftge The Noah'5 Ark Children's H05Pltal Charity ha5 taken Ti the 819 Give ¢hrbrh•$ ¢halln¥o for the past five years This online Tnalch funding campaign has proved to be a hugely p051tive way to galv¥nise corwraie partW5. major dofjor5. groups and individuals to ¢JoDate and See their Tnoney (loubled at a pivotal In the fundraising calendar. The 2022 campaign took place between the 29 No¥errthr and 6 Decembef and thanks to our pledger. champion funders. Julia and Hans Rausing. and OLJr tantasiic neiwork of supporiers. it wa5 our most successful to date. The Campaign raised £97.B52 In Suppoit of Hele for You Appeal which Will provide emotional Support to families. dvrin9 thè most difficult of times Wonderful Wates Wates Group IS one of Ihe leadin9 pfivately-owned construction. resideniial developrnent. and pioperty services businesses in the UK. Wates R￿dentIal Carditt team voted to Support Noah's Ark and totally Imrnersed Ihemselves In Supporting the charity. Organising bake sales. weight loss tompetitions. tytling challenges. donatin9 gilts for the children and volvnteering their time. Our partnèrship led to a donation of É5.000 from the Wates Famity Enterpvis Trutt. vlhich has gone to the Sparkle FunLI Sophle Paterson. $¢xl•l ￿1￿¢ advl$or at Wate$, said.. We a￿ thrille(I that this money ¢an support the team to offer children. young people and their fatniliÈs special opportunities at times when they need thern the most. We are very proud to have supported the Noah's Ark Children's H05Pltal Charity, we look forward to working together again in the future )) 57

Ntyah's Ark ChilOrw5 Hospital Cwity Comoaw Lirywted t￿&￿antee Th@ Trtsstees. Ann￿al Report (Inctyptyatiry t Oi¢ector5' Reoort) Errfkd 31 December 20 Noah's Ark community in action G4Mpbdl 5edanwnazry &IL636ty Ellth hekltn•r annualchristmas c velEf4n5¢o￿club. raised Co￿9VCymtsèd¢ FI￿. iTra¢lerQwKewth hyfapr The¢hoirra15ed wpr E5( lile ￿ NICU 5PwaS poorly 5hewasknnand ts stillufhlert [￿of (￿S￿lant50t thectrAdren's Hatpv rul off hefarnèzlry￿ aid .106 f¢[ f4tsOh'5 Ar oyrcdica ed vO￿teerS toccdlect t tWrChr45tlTha5 PaDtom1￿. rai￿n9 £1 BQQI fuot 5ww EvaTrsknilyh￿ h￿dS￿Mefant￿1ICsuDwt -t￿tIv￿r￿￿K¥a￿ter￿￿K Tnstan. rec￿￿ed

Noah'5 ATk ChI￿ren'5 Ho5￿tal Charity CoM￿Y Lynitwl Tru5tees' Amual Rerwi Ilnctyptyaiin9 the ￿rectOrS, Report) Eréed 31 Oecerfoer X)22 Our year in numbers 2,249 4.546 4.043 bays of clothin9 vle donated 10 our 51K)P hovrs were donaied by our wonderful volunteers look part In our events and activities ¥yChO C(.. £88.385 The charity cotnpleted its tenth year of fund1ng of the play soecialisi ieam. taking the total wa5 committed to support1ng a gold 5tatKlard of Ca￿ PCCU £3.145 million coDatiOr. 234 713 emergency packs were distributed to parents and patients hour5 were Spent ro¥￿11n9 sparkle re=yL eJ 2YC oor.ated tients SS

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Noah'5 Ark ChildrEnS H05PIt ChantycoFwfjny LYn1t￿l ty &kirwee Tr￿lee5. Anwal ReLKbf¢ (IworwrJring ihe DirKtor$' Reoori) Year EnuÉd 31 Decembèr 2022 Environment and facilities Our envirOnn￿nt Can hwe a prolound effert on our mood and o¥•rdll w011-￿Ing. 15 all tht m¢)re apparent, at tht Noah's Ark Children's Hospital for Wale4 Js Chold￿fi and f)mll$ tthe to deal wilh inteNt S￿$9 and unfamiliar surrounding As a charity, we work with the hospital to help ulmln9 and comfortiny surrtyjndinys for youn9 Patiènts, environments that feel familiar and soothin9 and where Children can still be ¢hildren. A Living Sky Screen for patients receiving blood test Every week, around 500 patienls visit the Noahts Arvs outpatient epartment, Starfish. for bknod tests. Though a Ye9ulari)cCurre￿È eye at the hospital, it can be a dauntin9 experience lor young children, especially when they need to come freq￿nilY for test In 2022, the phlebotomy team approached the charity with H request for a living sty screen to help di5trart dmlthn while undergoing procedure. Staff nurse. Jen. said: CC The s¢rÉen has tye¢ome a real asset tor redirectir& patients and has been woncsertul at distracting autism 5Dectrum disorder patients by fully Immersing them In the envircmment on the screen It ensures a sale and calm blood sample for everyone in￿1ved. 99 The haemophilia unit gets a makeover Thp sky 5creeD pws differeni nature scenes like an aquarium. Iwt. beach and cloud5 and has been proven to Improve wellbeingof patieDt5. families and staff. ght in Ihe trea¢t of adult Outpatienil In a SidÈ room IS the Childrèn's Haemoph1l￿ Centre The team submitted a grant reQU￿t to transform ihe area frern a Jain room into a sensory-se@Kin9 and more child-friendly seiiw for childrÈn to rÈtsNe whai Is often long-awaiied t￿tment Four-year-old Edward came to OUtpat￿ntS lo be tested for coeliac di5pa5e after hi5 1>9 Slster was oliagrw)sed %vith the c¢yKlitw. Mum. Jeni. was neryov5 about bringing Edward a5 her daughter 15 scared of eedle5 and takin9 blood can be quite Iraumaiic for her. Luckily. the new living 5creeft was therp to keep E(Jward entwtairEd Thanks to 5UPPOrters like you the room ha5 now been tran51ormed into an under-tIE-sea t￿me wth sensory-seeking lights. wall murals. and interacti¥e roy5 whKh oim lo distract. calm aDd enieitain chilLlreD duriD9 iheir appointment5. Jenl sald- CC Edward was so busy counting fish arKI looking for sharks on the screen that he didn't even flinch while the nurses were doing their work. It was so much les5 Stressful than the experiences I've had with my daughter whÈre It was difficult to keep her distracted for long enough to keep her calrn Edward v4ent in with a smile came our Wlth one too. The team has re¢eiveQ wDnderfvl reports fvom oarents on htsw the equipnht ha5 hplppd to ralm theif chilLlren 32

Noah's Ch51dren's HOSOital Charity Comtxny LKnited Tr￿ee$. Arwl Regort Iifwgorètiw thÈ DirèCtOrS' Rètyort) Y&¥ 31 December 2022 Staff and professional development The care provided atthe Noah¥Ark Chlldren¥ Hospital larv1a￿S by its d￿liCa￿ clinKal le4n4 so￿$ li¥Ys transfo1￿ The hospitsll clinical teaTll5 work across 26 diflerent spKkilitie5, wo¥Klin9 amund the clock care to childrer+from the fiw# momènts of lire right up to young athjlthood. As part of a broadeiteachiny hwital. the Noaws ArkChildr¢rfs Trlgswtal try W41e$ v a150 where the pdkatric specialists of tomorrow come to learn. Investing Ill the best possibK9 care, both lof now and for the futvre, is something that we a5 a charity are here to help support. Training in essential skills In 2022. you helped fund two essential skills training mannequins that are fundamental in the training. a55e55tnenl and Itriprovemeni of nurse5 and doct￿5 within the hospitdl's oncology and critical care units. Training manneouins are dolls designed to represent a baby or child a5 realistically a5 possible and allow clinicians the oooortunity to wattice aryj perfect procedures. Before now. the units had no opti¢n other than to borrow training manneouins from other departmenis or use tsr older vorsions which We￿ less ailv8nced In their training leatvre5 and their ability to re-create life-like scenarios. In the oncology unit, one of the mannequins is now being used to provide initial and then continued trainin9 and assessment OD clinical ski115 like NG tube In5ertiOn. tracheostomy care. acce551n9 Pofts and adminiSteriThJ subcutaneous Injections. It's also proving Ustful In teaching parenis ho¥v io administer Ca￿ before bÈif¥J discharged home. PCCUJ practice educator, Carris Bude, said: cc trw)nilor 15 great be(av5ettrE trainee get5 IDStant feedback. SO for exatnple. If you're being trait￿ In ch*t cotnpres5ions, you can see how effectively you're doing it fron thè ststs on ihe streen- Iusi as yw woulLI In 6 real-life situation In cntical ore there's ￿ margin for error 50 we neeLI lo make Sure that each rnember of staff Is skilled and kTH>W5 how to react. both individually and as parl ol the wider ieam. A child's condition can change very quickly here and there are often muifiple ihings goiw on ai once. The technolo9y allows us 10 mimic dilfereni $cw￿￿¢S In the Most life-like way owitsle 50 everyone. from a newly qualified nurse to ￿ experIe￿e￿ con5ultanL gets best oprAYtunity to learn. practice arKJ imorove rheiT practice. The mannequin on PCCU comes with It5 own monitor which allows the training clinician to monitor vital si9ns exactly 89 they would In a critical care situ&tion. It als ha5 a control panel that the trainer can use to chari9e the doll's breathing rate and pu15e. )) 31

Noahs Ark th￿rTh5 W￿DIt￿l Ch3nty knmited by Guarantee slee5. AnrJ= nded 51 Oe=È orOtsratin9 thè DitrCtorS' PeDDrl P4inimising trauma during vein access It's important to us as it is for the clinical team that children's experiefitÈ while in hospital tomes with the rn05t rninirnal amount of trauma. It's why we Èquipment thai hÈlps procedures take platÈ in the least invasive and most ellicient way pos5iWe. In 2022. Or Cen In general paedlfjtn￿ submitted a grant reouest lor a device called a cold 119ht transilluminator. The device helps clinicia05 to visualize vein5 tnore easly. enabling easier IV access In smaller children and babe5. Mosi babies seen on Seahorse ward will need a blood test bui their veins are Vèry small and difficult io access Thè Idèntifièd thè piÈte ol wuiptnent as a solutrty) as rhe Illuminator shines a 119ht fvotn underneath the hand. easily Identifyin9 Ihe veins fgr access to cannulas or bl¢¢d rests. Accessing the 51te correctly the first time minimises the trauma caused 10 the small patient and their Family. Four-week-old baby. Rylee. wès One of thp fiTSt babies to benefit from the vein Illuminator and the WTr￿1e process of gaining IV access wa5 smooth for both mum and baby. Haddon 499 50

Noah's Ark childr￿.5 H05Pital Charity C(xnt>any L¥raI￿ by ￿￿>￿tee The Trustees AnrKQI Reoort (Intoroorètiw thÈ DirèttOr' Rètyort) Year Ended 31 DecefflbeT 2022 Improving life-saving airway access on PCCU Intubating a patient (insertin9 a tube into the airway lor veniilation) tan be vital to save a child's lile and happens pretty rnuch every other day on the crilcal care unit. When a child runs into difficulty with their airway. it's vital that things move quickly and that thtsse performin9 the procedures are highly skilled. But the prtstesses involved tafi be trieky, Èspecially, as in a growirig number OF ¢a5es, a patient has a pre-exi51ing issue that makes access more cornplicated. Through our grant pro9ramme, you have made it possible foi the charity to fund two piece5 of equipment recently noted as a reouirement for a high standarn of ￿n￿the11st5 and wediairic trainee doctor5. Prior 10 Ihis. boih tjevices were borrowed from L)ther areas of thè children s trw>rtal. NOW. thanks to you. tt* unit has Its own, ensurin9 that children v4rth a difficult airway receive bp5t Standard.p055ible of critical care. 29

equipment direct pat4ient locussed rt eguipment acces5 to the beball, we provide h3ve Thanks fo pYogramme5 treatmÈnt donate 3nd tundrèise on This yeèr, your doNaiiOnS have funded equipment tiot allov15 clinicians 10 intubate critically ill children with greatey speed and accuracy. You have helped to fvnd 3 dedlcated ECG machiDe OD Pelican ward wbich mean5 thal the cardiac team can now diagnose and treat dy5fhythmia quicker. and a devitr that makes accessing vein5 in small babies easier and far less traumatic for all IDYolved. In 2022, the chaflty a150 committed io the funding oi a central moDitoring System that will allow thanges ITh the clinical conditioth tsf a child beirt9 cared tor in i501aii0o. to bt detrtted promptly so that actitsn can be iaketh to oabilise them. A new ECG machlne for Pelican ward pe&￿an. the 5PEcialisi coTd￿¢ èt Noah's Ayk. prov￿5 Me(1￿41 care te aiaund 175 chil¢fen Wlth heart condit￿n% everyye¥. Many of expprw dysrhythm an abnormal or ITie9ular hèarll)eat ThOV9h not èbOyS.S(MYiÈ dy5Fhylhfflkl damaging It caD cau biwd Dreswre that then ÈMÈrts thè tunction of othÈr èrganslikp the kidney5 Wh￿￿. untreated. tartuiiimaiety io tenal failute. until fEc8ntty. a PelL<aD p3fiÈflt suytermg from (tysrhylhm￿ {j￿i WOU￿ have to W61t for a rnember Ot the ECG department to be Cal￿ In orthr to be assessEd At or duTing the weekends. whete thEre Isno oui-of-ws serv￿. machine rteed io be loaned frcm another area oeW5ltheth￿ result In a failure to aS5S and d￿nOse ty5Ihylhffliè etferti%ty ( ub5erWS&35e& IMnd2r Urgent trpatment TI￿nkS to you. Pelican ward now ha5 115 wery own ECG I¥￿biThe. ¢rwiin9 ilkatthe Clin￿01 teèmtbeo are a￿ to measure and delect charwarrtirrfovmle LWWI irÈatment qui¢ker thane¥ertefNe.

Ntrah's Ark Chiby￿￿'S Hos￿101 Charity Cerfw)y Lmitd fy4 Tr TrusteÈs.kn)￿ Report (IDCOrDOrètiw thè DIr￿torS. Report) Year D￿￿￿er 3022 The Here for You Appeal The Noah'5 Ark child￿.5 Hospital tor Wales is an i￿re￿I￿¢ rAace but there's no denying that. day In and day out. many familiÈ$ 90 through Èxpèriènces that alè hard fo¢ most to imagine. Children ndergo daunting procÈdurèS. ￿rentS live with worry arKI ncertainty. families miss each other desperaièly aft<1 peO￿e can have their whole live5 changed ID an Instant. The children's 1Tr05Pltal has a specia115t child health pshtho109y service that provides Psychological emorional Support lor a number of medical specialities 11 Includès psyrholow role5 fur￿￿ by Noah s Ark supportÈr5 on both the neonatal Daediatric cntical care unit5. Howevef. Wlth hundreds of children and Families being cared for the h05Pltal every day. this valued service can't be there to Support everyone. In Dècember 2022. WÈ embarked on an appeal to expand and improve acce5S to ernotional support services for children and families. The funds raised through the Here lor You Appeal will go on to fund counselling. art anly music therapy. ensuring that people can yet the right level of support at the point èt which they need it. Within weeks, with the help of [T￿tth lunrling ¢ampaisn The 8KJ G￿e Chrisrmas Challen9e. our Incredible supwrrts had Tr1se(I rnort than E113,0001 Poll on a few months and the charity, ID Colla￿ratIon with the paediatTIC Psychol￿Y ieam, is about to launch 115 first ever ward-ba5ed counsellin9 Service for children and tarnilies. 27

Noahs Ark ChI￿ren'5 W{￿L￿tal Charity c(Nrpany ￿t￿lted b4 ￿￿tee Tw5tpe5' Awal Rep(Kt (Incryptygiing the D1￿clOr5. Report) Year ErKkd 31 t>ecembW 2022 Our Sparkle Fund Our sparkle Fund provldes a little swinkling of joy into the lives ot long-term families by making occasions like birthdays special or sirnply by providing little treais and activitiès to lift spirit5. Witnessing first-hand what an irnp¥t thi5 makes. sn 2022. we made the deeision io enhance our sparkle offerrn9 within thè hospital with the introduction ot a coordinator called. Holly. Olivla's fflum Kelly sald: CC Holly and the 5park1e Clivities have hèd such èn amazing effÈct on Olivia's wellbein9 while we've been In h05Plt81 Despite everythirbg she enduies ès an Inpatient. she's a1wèys happy to COMÈ back because she knows She can have her nai15 pairbted. a glitter tèttoo tsr a visit from her favtsurite character or therar)y dLyJ Over the past year, Holly ha5 co-ordinated lot5 Qf special ￿51t5 and Drovided Count￿5$ glitter tatt005. Shp has also exter¥Jed (xjr wonderful therapy do9 team from one to fwr. meanirvJ that v￿'re able to bring this very popular ryoe of 119ht relief lo both families and staff on a more regvlar basis )) The SDarkle FurKJ help5 to rnake sure that children'5 birthdays are Still special. even If they are being spent In h05Pltal. Hdly arranges parties ID the playroom5 or at the bedside cornplete with birthday G3kes. gift5 and even a vislt frorD some of the children's tavourite characters. The fund also ensures that children don't m155 Out on other special occasions. 50 Santa Still rnade a Vislt at Chnstmas time and pancakes were still decorated OD Pancake Day ArKI It Isn't IU5t childien wh benefit. Holly arranges rnuch-neede(l R and R tor parents IOD. %Vith reiki and ma55age sesS￿S and special treats on Mother's Day aThJ Father'5 Day. The Sparkle Fund has bpen rTwJe possib￿ thank5 toa (lopation from the Chloe 8igrnore Trust In 2021, donations fvotn Wate5 Family Enterprise Trust and the Wallace and Gromit Children'5 Charity In 2022 Oncoloyy patient. Olivki. has been in and out ol hospital since thp beginning of 2022 and celebrated her third birthday on Rainbow ward In the Spring.

Noah's Ark Childrens Qanty C(xnpaw Lirnited ty ￿￿￿ltee Th@ Truste￿. Anwjl ReLKbrt <lrtorooraiJn9 the ￿￿Ctors, Peooft) Yew Ended 31 DetÉrnber 2022 She said- CC I felt completely lorn bÈtwÈen wantirvJ La to rneet the sisrer she'd lon9e(I for and worrying that Seeing hÈr on NICU connected to so many wire5 and mrfhines would Scar her for life And what was I goin9 to tell about her sister's prognosis. The ihought of telling her that She might lose her 515ter rnade me feel sick but I didn't want her to lose hooe &￿ther. She was at that age where she was tw old wt to tdl I anythin9 but too young to understand. On the second day in NICU. blcKxS te5t5 came back to reveal that both Annie Jenna ha¢$ e-coli sepsis. Annie was put on 5tron9 aniibiOtIcs biit the e-coli had already started to attack her bowel. By day four Annie had developed necrot15in9 enterocoliris (NEC). On day 51X. wa5 rushe(I to Surgery Whe￿ all her lar9e bowel was removed. Jenna ustut ¥vas mi551n9 hei n)um very much and had starte< lo bec¢mÈ anxious and te6rful Ex¢han9ing P￿tureS of thèir tedElies' day wasn't only a way ol keeping Lacey involved In her 515ter's journey. It wa5 a way for Lacey to stay conrcied to her mum too. l expressed my worries to one of the cortsultants not lo aFter. I was 9ivÈn a sibling pack. In it. there was an a(Ivitr leaflet for parenis and a fun. NICU them￿ ioumal for sibling5 and together thÈy helped explain Èverything I needed to say. Lacey filled in her journal over the weeks we WÈTe in hospital and a5 well as helping her to understand the practicall1￿ It a150 helped her understand some of the emotions she was feeling. Thankfully. Annie'5 condition irnproved quickly after her surgery and she was soon well enough to move to Ihe high dependèncy unit (HDU). The name card that Lacey Iovin9ly drew on ihat fifsi day went With Annie to HOU ar￿ moved %Yith her again to their local hospital when ihey were discharged there for the last two weeks. Jenna Sa￿ It 9ave another touchpoint at each step of Annie's Journey home. Also In the pack were two Iitlle bears. oryè for Lacey to keep an iclentical one for Annie. Wheri Lacey amvea on the ward that firsr rime. the nurses gently lowered the cot so that Lacey ctyjld give Annie'5 her5 In person. I could tell that firsr visit to NICU was pretty overwwmtro for Lècey so the nuTSe 5U99e5tod WÈ 90 into the family r(x)rn so that Lècey could use the little kit in the Si￿1n9 swk to make a coi carcl for Annie. By the tirne she was ready ro go back in. wès just Èxcited aboLJi givin9 her sister ttE card. That onÈ litt￿ thing completely chènged Lacey'5 QUtkK)k and her fearfuln LJ5t lifted. 99 Jenna said It's been an Incre(Iibly diffru1t journey but one that's honÈ5tly made so much better by the sibling pècks. "Right from the stsrt. the pack served a purpose for us all. For rny husband arKI l. In those awful first days. It 4lrnost gave us sorrthing to focu5 on anL It lifted a huge burden from me in worrying what arKI how to explain thirigs to LatÈy For Lacey. it made things fun In a situation that was otherwise not fun at all. YtyJ'd think In the huge scheme of things something that 51mple might not rnake that rnuch diffeTen￿. but it genuinely has to U5 99 A￿Tr￿ 6 rK)w home and doin9 well urKler the lovin9 and attentive of big s&er. Lxey. 25

Noahs Ark ChikJren'5 HospiJl Chwity CcffiparyLwnrted Tr Ttystees" Afir￿1 Rerort (vwwating the Directors. ReDort) Year Ended 31 December 2032 Support for siblings on NICU Chlldren can feel confvsed, frlghtened ard dlstanced by the èxperient¢ of havin9 0 Sibling in hospital. It can also be dlfflcult, wlth so much 9olng on. for parents to find th¢ rlyht word5 and the right time to explain what's golng ￿. Our new NICU $iblin9 pxks art dÈsi9nÈd to SUPPOrt pain¢s and glder brothers and sister$ durfjng thelr new baby's hospltèl loumey. In 2022. thè paeks vRrÈ fflade possible thank5 lo a 9rant from th? Waterloo Foundation. New mum, Jenna, says that the paeks made a hu9 diffewencè to her six-year-old daughter. Lacey when ljaby Amle was admltt•d on to NICU. Jenr￿'S nÈwborn thu9hter, Annie. was rusw tts in a crit ¢t)ndition. When Jtnts Was t￿￿ t￿￿t her tsat)y rnay r¥)t swmve. her thought5 itnrnediately tUTned to Lacey who had been so excited abcyJt havin9 a gster. Jenna expressed hef anxiety to a consultant arQ was offered a 51bling pack. Jenna was Induced ai 36 when her placenta started to fail Baby Annie was bom after 8 long tnd difficult bbwr and atJUSt a fèw hour% okl, Annie tolbosedand tIE cra team were called. She was rushed rts It* neonatol intensive care unit In Cwdiff. where hèr parent5 were told that Annie's charKes of surwval were extremely slitn Jenna's Ihou9hts Immediaidy turned to La￿. .Jllj

NoaThS AIkthldM'sHoS￿t& cmfity CthTrDany Lirnitsd by ￿ntEe The TruSkeES Retsyi Iirttsrr￿atIrW> thpDirectors' ftÈgorl) Martha Said- GG Sometimes It's ji15t rÈally ¢)veTwhelming. There'5 alway5 so much information to take in 50 Llinos and I havtr worked on some 9rouDding Strate9ies to help me cope. She's also suggested some practical things like taking a nurse with me to meetings wilh the doctor5 which has really helped. We're still having a lot of setbacks arKI that can be really hard lo cooe with when you feel like you've made progre$5. One rninute bve're talking about goin9 home and the next Lili will crash and we'll be back up on the critical care unit. I don't really IhiDk about the future now. I'm just waiting lor the next crisis. I'm consiant1y mentally ploase don't lei rne get a call In the m1ddle of the night.'please let tofflorrow be a good day. Living like that takes mas51ve toll on your mÈnral health on top of the lack of sleep, the guill at being separared from my Other daughrer and the knowledge thal Lili'5 condilion v4111 bp with her for IifÈ. Our life has chan9ed completely In a very short spate of time. It's h8rd not ro feel negative but I'm really 9lad that Llinos Is on hand to work with me on all of that. She helps me process It iri a way fhat I don'l think anyone else could and beirig able to speak to her has been like a breath of fresh air in a situation that can often feel suffocating 99 2J

Noah'5 Ark Chil(frens HospiiJI C￿rItY Compwy Lfftted trrfGLwantee Tr Trustees. Annual Reooft Iincorpofating thè Directors. Rewt) YeM E￿j Sl December 2022 Providing an emotional support service for families on the paediatric critical care unit On any given day. PCCU is caring for many of the rrK>5t critical ill children in Wales. Admissions are often sudden and by their very nature, emotional and tlaurnatic for loved one5 at the t)ed5ide. In 2022. we were able to extend a hand of support to PCCU families by providing funding for a psycholoyist. Here's h( the new role is helping parents like Marth& It wa5 at this rrfynt thbt Marthb Llirhx. a psycMogiSt on ihe PCCU )5e roles fL¥MJed try thp Noah'5 ￿ Children's H05Pltal Charity. Martha continued= CC Llin05 was there solely to115terT and support so she oerformed a ditterent tunction 10 everyon& else. 8ut becèuse she was sltuèted in that medical environment. she a150 just got It. During that awful week she would come to the bedside and just let tne talk She'5 there to care so I felt like I could release all those overwhelmin9 feelings WlthoLJt judgment and be reassured thar many other parÈnt5 In my situation felt Èxactly the Same. Just knowing that rnacle rne feel 50 much less alone. Baby Lili was dia9n05ed w1th dilated cardiomyopathy arKJ rnilral valve re9vrgilation at only a lew weeks old. 11 meant fhat her musck walls were stretchÈd and thin and fhat a faulty valve In her heart ¥vas allowiry blLwJd to leak backward During the first lèw m¢rtths of her life. Lili spent time at home. on the Intènsive cart unit at Noahs Ark arhd ￿ PplKan ward. In varying st8tes ol wellnès$ sudéenty her heart fUnct￿n detenorated. Lili's team ctsnto¢ied col￿a9￿e5 in GTeat Otrnon(I Street IOT advi￿ but with concèrns i￿t Lili wa5 lust loo Unv￿11 to cope wilh surgery, mum. Martha, wa$ 9pnlly tDld to pre￿re for the lact that pall￿tI￿ care may be Ihe only ootion. Finaly. the deciSvJn was made to operate on Lili In the hDpe that her val¥ coukl be repaI￿d T￿gh an initial ￿te for Surgety was pencilkd f￿1￿0 weeks. time. the￿ were fears that Lili would not last that IcM)g SO She was taken to 8riStol by the WATCH tèam for Surgèry latèr that V￿e￿ The pr(XedU￿ would take Six Fthrs io perform aré Lili wa$ 9iven a 50/50 chantt of sumving Il Marlha says that she and Hedd walked Bristd In a da2t dunr& rho h¢>urs twt returned to the hospital to be ryeeied ty knli's Surgeon who Confirmed that thp operation had a ￿t¢e$S 14artha says In that ttK>Tnent. they felt such an Incredible sensè of rdief psyc￿09151. Llino5. kept In touch Martha. during r th￿ weeks in Bristd. Calli￿ regvbrly to ched¢ In offer Narth an oprKKtuThty to talk &nce Lili's re￿rTh to Ntrahs ArK thèrt hav? been s(xY m¢rt In the ToJ. Wy(Je to some 15sue5 that Lili h35 Ih dwtion. Martha said: CC That week waiting for GOSH to coffÈ back to us was undoubtedly the worst week of my life. I was sitting in a hospital waitin9 to hear if my daughter would live or die and all I could think about was how only a few month5 earlier I'd just been a normal rnum excited at the prospect of having two dauyhters. I wracked my brain trying to think ht)w all this c(xJld have hèppened. qLJe5t10ning what I'd dore wrong or what I ctyJld have done ro prÈvÈnt It. My guilt then gave way to an9er that I wa5 having to deal with this wait alone while my partner had to work. followed by jealousy of all other parents who were just out there, happily pushing healthy babies In prams. Thpn I'd crash with guilt at thiriking that way. Ir was just this huge washing rnachine of ernotions th8t I didn't know whèt to do ￿th. 99 Thechanty wa5 ab￿ to Commit to the PCCU physiolog1$1 rde thanks to ￿debY SIrnnKx￿s sirnt￿￿ In kte 2021.

Noah$ Ark ChI￿￿n.$ H(￿￿tal ChNity Compwy Lfftite¢l T[￿ree5'Ann￿al Report (Inctyoorètin9 the Direcior5' Report) Year ErKied 3l December 2022 Having been Unab￿ to CW5urne fv)LwJ orally for rnonth5. Eden-oliwe had developed a severe loc0 aversion. Dedicated to break that barrier. Juliet worked tirelessly with her. Initially Introducing dry minimal smelling food such as bread and ￿Tea15. Juliet WOU￿ place food around Eden-olive's favourite toys and allo¥Y her to t￿ICh and expkne. As the weeks went by, Juliet Itveased her tolerance by intr¢NJucir@ food that had a smell to thern. As baLye5 are 50 Ir￿UlSit1¥e a￿j %wll naturally bring their hand5 to t￿1r rnouth5. Eden-olive was 5k>wly corniTrJ to lerrns w1th the new smells texture5 on her Obvn terms Mich*ll• said- GG Juliet always finds us and brings things to (Kcupy Eden-olive A5 she has grown. we've had to adapt how we prepare her for procedures. We used to be èble 10 disrraci her wilh her favourite sOtvJ on the ipad but. not anymore Eden-olive need5 ything io be explained ro her arhd to see everything with her own eyes. Juliet does such a wonderful lob at explaining things anLI Will often role-play to help prepare her. 99 Ml¢helle $ald.. GGJuliet dedicated seven months to teaching my dèughier who. as as a severe Ofal aversion. was èfraid ro have 3nyihing With any kind of texture 00 her hands Juliet encoura9ed her to Èxplore She had so much patience with Eden ano let her know It Was also ok to go at her own pace. Whenever I do messy play with Eden iyjw, I think ot JUl￿t 8nd the love ancl dedication she showe(1 us. She will forever be in our hearts. She rau9ht me how to separare the medical rollercoa5teT I wa5 On with my baby enjoy play time with her. It was a very difficull time being in hospital for è year with Eden-olive but with wonderful play specialists like Juliet It just '99 Eden-olive Is now five and continues to visit rhe children's hospital. sometime5 lor long InpaiiÈnt srays As she often has to endu uncomftsrtable and sometimes even painful orocedures. hosoitèl can be a scary place for Eden-olive. but Juliet has been a constant reassurin9 prest￿e 21

NO6h'sArk Chil(Ir8ns H05Pltal Charity co[￿Y L￿1t￿￿ by fAwantEe The play specia9ist service Play is an essential part of a chiltts life. It's how they learn about the world and process feelings and emotions. This is why. thank5 to you. the charity funcls the invaluable play specialist team. For Ireouent patients like Eden-olive, ￿<￿￿5 forTne(I Wllh the play t*Tn can last for yeèrs. Eden-olive was born With oesophégea1 atre51a, a condition which 1elt untrÈated. Is incompatible wilh life. At only fwo day5 old. Edèn underwent o Iife-5aving fivÈ-hour operati but thots9h It was Successful In repairin9 Ihe problÈm. It wa5 not a CU￿ and her parents were ￿1￿ that the condition may have mtjch longer-ièrm c¢nseouen¢es EdeD 59eDt four-and-a ￿1-mOnthS the Deonatal unit before tnovin9 to 151aDd ward, which 15 where ￿aY When Eden-olive first arrived on Island byard. mur Michèlle. felt unable ro ptsy with her litt￿ 91 Michelle sald.. GG had always been so ill a￿j covered in wire5.' 1 hadn't been able to truly eryoy I was so consumed with fear because wed through so much already The truth is that I was scared. But Jvliet helped me so much. She taught how to play with Eden and See past the tubes and constant alarrns 2Q

Noah's Ark Childrens Hosoit¥ Chatity Tr Tntstees. Rep(Kt IIncar￿ating DI￿t￿[S. Report) Year Ended 31 December 2022 ottoe Joofjrneu J Emergency child and parent packs Noah's Ark gets its first app. U9h ho¥Jitsl admissions are often planned, many are not and, in thDse ir￿lanCeS, families w turn up with only the clothe5 they are wearing. This is whwe our emergency admission packs for ¢hildren and paÈnts come in. Many children 9et Wofried arbd anxious in ihÈ lead-up to o h05Pltal admission, especially when it involves surgery. Unfortunately. anxiety Can lead to less positive experiert¢$. slower recovery, and, in some cases (particularly where a child has to visit hospital on a number of occasions) a pO0￿r sense of wellbeing. Here at Noah's Ark. we're always keen to invest in new ways to rnake the experience easier lor children. It's why, in 2022, WÈ invested in a freè new app for familie5. The packs contain a raTr3e Df essentials to get a parÈnt or child through their first day5 In hospital. ThÈ parènt packs contain è changè of clothes. a snack. toiletries. %>cks and a comb while for childien. Ihey also Incluise additianal comforts like coloufin9 books and a cuddly toy to sleep WlEh in case a favoufite has been left ot home. Co-created by children ihemsdves. Little Jourry Is a sirnple-to-use app that guides and Supptsrts fimiliÈS through the he￿￿th(a￿ Journey a11 fTom thè comfort and safèry of Iheif homes The app features a viitU31 reality tour enabling children to explore the exact rfM)rns they'll be vislting. age-railored animation5 explainin9 whai will happe and why". brearhing and relaxation exercises ar￿ therapevtic arH di51raction garnes Io use durin9 Stressful peri(¥J5 Ward manager. Rhiannydd sald: CC The children's patks are Invaluable io families when they come In to the ward from A an¢ E. especially when It'5 late at night Parent5 alway5 worry that they don't have what they need for their child and the packs provide everything for those first uncertain few days. It's one less thing to worry about frorn a practical perspective for parenrs but the addilion of the cuddly toy ana colourin9 book means that they brighten up a child's day too. The app Is also provin9 hdpful to parents by oroviding key Inforn*tity) like checklist5, fasting guidelines. a soate to r￿tequeStK)nS an(J a dkiry to lulure appointments. 99 ID 2022. OUT chldren's Dacks weTe tnède oossible thanks to a Tesco Cl)rrYn￿lty Grant. 19

Noèh'5 Ark chi￿￿en5 F)stytal Chity Comoany c￿￿1t@• IfU5teÈs' Ret)ort (Incoroorètiw DirÈCtOrS' Reoort) Yew 31 December 2022 Helping patients and their families We provide services to ease stress on familie4 ralslng Spiri￿ supporting chlldren and young i)eople through life-saving treatment and hèlping to provide the best experience possible during their hospitsl stay. Services providing emotional support to families on both the PCCU and NICU help families process some of the most dlfficult •xperi•nees they will ever face. Our emergency admission packs and the food provisions lor parent kitchens offer practical support, while sparkle activities, now enhanced thanks to the appointment of a new c(￿)rdInator. offer much rbeeded light reliel during long hospital day& Supporting children and young people in mental health crisis 'Ba￿ your Feet pack%, contain a cha)ge ol clothes and toilètries together with a few nicè trèats io makè thè recip￿1 feel Importani and Cared lor Adelt ¥id "When Y￿￿4 people are admilttrd to hospital In mental health cnys. they ttft￿ only come In the cloth tlw'fe wearing Having a few homè ¢tyxforts makes all the differen¢e to thosè WI￿ are fèeling low The look on the 18ces of young people whpn you hand them Ihe pack 5ay5 It all They don't expect er ask for anything but to know someonè carès nNike5 Such a dIffww￿e. The Significant rise seen in children admitted in mentsl health crisis during COVID-19 Showed no 51gn ol abatiny at the beginning of 2022. Keen to support the children's hoswtal as it adapted to the additional pre55ure5. the charity Ctrlunded a short term psychology role for both families and frontline ￿alf. We We￿ a150 pleased to support the work of mental health nurse. Adele. through continued lunding of 'back on your feet. packs. Adelè said: CC The number (>f children and y(xJny peop admitted here In mental healih crisis is far higher than I think tnost people would expect The patients range between 11 and 16. though some are younger. and can present With a range of i5sue5 from self-harm to eating d150rdeYs. A number of young people ère adrnitted bÉcèuse they need urgent me(Jical Attention, others because they need c105e monitoring to keep them safè. (Co neof the rTh)st common things thildrèn young pÈoplÈ In crisis say Is that they don't need hdp, or they don't deserve It. When I hÈèr something like thèt. I'll ask them how thèy would feel if 4 child with a broken leg wasn't being helped. I tell Ihem It's the same thing bul it's just a different part of them that hurts and sometirnes what's going on with them can ièke a I￿ttle I0￿er to heal Thal's why It's so Important to dp-5tlgmatise mental health Just because you can't see it like you could SÈÈ a broken leg. it doesn't mean It Isn't there 99 99

GG 9S) mum

Noah5 Ark CThildrèn'5 H05txial Charity c(wnp￿ LITthted try￿antee ThE Annwl RepDrt (Incorpo￿t￿ the DirECtor5' Rèoort) Ye¥ Errfjed 31 Decemb2r 2022 Income 2022 Expenditure 2022 Hospital expenditure in 2022 3.97% 2.84% 0.1 0.00% 1.69% 9.7B% 9.04% 1.62% 40.J8% 7.•5 % YO.95%- 79.46% 51.21% O Donatbn$ (£605,192> 0 Trwt Imdatlons (ES9.$92) ¢ L•gacS0I (£483,039) • Clothln9 R¢rycNng (É42.620) Ev•nts <146.658) Gvanti (E24.232> Invqsbn•nt (É2,5B9) ¢￿TI￿Ne3cl1¥1￿ts <£955.329) ¢ patient athd lamlty Sv¥ie•i (E487,534) ¢* Med5ul e0ulD￿nI Oirtet Palllnt Cale (£88.230) pl0￿￿￿10￿ devdopmeTht (E27.430> O EnviroTrrnent (£10.348> O F￿￿ra￿l￿9 Corts <￿85.￿65) Q Trathty IE105.706) O (£7) Tradlhy (E13S.SSO) Toial Él.499.472 lotal ElJ46.507 T¢btsl £675￿42 71p in every £1 is speTrt on our charitable activitie5 16

Noén's Ark Childfens HOSOItèl LIMI￿•bY The Annual Report (Inc¢woorJtiW the DI￿¢10r$, Reooft) Yw Erthd 31 DecembèT 2022 Our year in fundraising As we entered 2022, we felt much optlmlstk al)oul th• lundraisin9 landscap•. with community and event plans more firmly in place for the year ahead. some ot the changts whKh Twtre implemented duriny the pandemic have remained permanently, like the increased use of digital platf0m￿. Wt vrtrt finally confident that lockdown5 had ceased and restrictions were at their lightest since the beginnirwj of COVIO-19. As t*e pr¢9ressed through tht year. thès• wèrè rèmov￿ complètèly. The appÈtite for virtual events dimirnished. wilh 5UPPOrters wanting to get back to in person events. The year saw two Cardiff Hèlf Marathons. our Inaugural In person &Jperhero Dash, the return of Santa's Grotto at IKEA and our first ball since 2019. which took place at the Hilton. Cardiff Cornmunity fundraising had a strong year as we got back out to local community Èvents and group5 reunited In per50n. following the pandemic Many hospital families went on to become Incredible lundrèisers and chèmpions WÈ did fÈÈl a shift in volunteering, finding It harder to recruit and will focus on tackling this problem in 2023. Companies started Ènga9ing rn0￿ with the charity as hybrid working became the norm insread of remote opÈrations. As team5 Cotne back together again. so did a renewed enthusiasm to give back. Our oartnefship with Tesco went frorn 5trÈngth to strength. with 24 recycling banks In place across soulh and west Wales. We were delighted and ÈxtrertbÈly grateful to receive the bag levy frorn Prirnark On￿ again. We aniicipate that by 2024. the partnership will have raised over £1 million a phenomenal arnount. We continued to monitor expen¢Jiture and kept costs low where possible in 2022 although investfflent in areas such as le9acies. retail. events. and technology will be key to returning to the growth trèjectory we wère on before lockdown Our relationships with the hospital tearns are strong and il Is by working collaboratively that we will forge a bright future and continue our passionate support of the nation's specia115t children's hospital. In the summer we hèd the honour of being nominated as Swansea City Fc's charity of the year. We felt rhe same Sense of gratitude agèirn irn the autumn as OUT celebrity ambass8(Jor. Jèmie Roberts. announced Ntsah'5 Ark as the named charity for his testimonial year. 15

and P'el GG. Narnie mo*ihs month< v3s absolutely to ch3ri..y 10 other ".JUipment mporra-. onc. Outritandi-g p6rtner re WIGknlon I to vo Morgan, Marnie's

No8hs Ark Chi￿ren'5 Ho5￿tal Charity lwrMt￿ ty ￿￿￿¢e Th￿Tr￿Srees.A￿U4 Rep￿ (Incowooraiin9 the Di￿¢1￿5, Report) Ye¥ Errfyed 31 Deceth 2022 Looking ahead With rapid advancements In technulagy and an increa5e(J emphasi5 on p3ri¢rtr-centred care ond wellbeing. the landscape of meLlicine is coDlinually evolvin9 A$ 6 charify. ¥ve will Conlinue to ensure that our nation's children's hospital Is able to keeD up ¥vith the pace of that chén9e. 50 Ihal the young patient5 115 care have the very best opportunity to live full and happy lives. pxcited to anr￿unTr that 2023 %wll See the appointrnent of two ward c(yJnsellor5. These new rnembers of the teafD will provide viial on-thE-5POt support to children and fainilies Struggling with the many th￿￿9e5 they face. In 2023. we will take time to listen to the views and opinions Df the f8milies. SuppNters and stakeholders we represent. ensuring fhat, as a charity, Our visti) aThl 9oals continue to reso￿te. We will work closÈiy wilh Our hospital colleagues as take 510ck and look to the ftjture afier the iumuifuou5 year5 of COVID-19 With the r￿h Information we have 9aihe¥ed. Ihe charity Ill develop a iot)uSi Strategy fot the years ahead- crystal clear both In It5 visiw for children and Ih)w Ir will be achieved. Having raiseol Tnore than £?million to helo build and eouip a nth¥ eoDatal Infen5ive care unil back In 2018. we will turn our attentK>n to the smallest and newest amon95l u5 ￿ain In 2023. 5UP5X>rting the nit as It grows and evolves. The E300.000 we hooe to raise in the second half of the year will fund Incubators, ventiiilor5 Iran5PWXt Incukkiors- otherwise knovln as'intensive care units OD %vheels' We can look forward to a full calendar of 'in-person' event5 with Septembe¢ 2023 seeing the rètum of Our family mass participation event. Ihe SupÈtheTO Dash. we look forward tts SÈèin9 many of those familior faces ain In Deomber al Dur Santas GiL>tlo In IKEA and at thp ReirbdeeT Run. With ongoing 5UPPOft from the people of Wales. we Mll ensure continued Funding lor Our long-tefm priolilies like play scialist team. è service $0 crucial to providing that all-lmwtant child-frieDdly enyirortment at the htsspital. We will work with our hospital c￿leagueS 10 make Jungle ward lit for the future wilh funds so generously donated during Jung Ward Apoeal. In 2023 we wi11 look to build on and intro(luce new partner5hip5. d￿e10?￿n9 tnutually beneficial relationships which will go beyoDd raising rK¥w. maki￿￿ a tangib￿ dirference to both Lhe chariLy and partners alike. Having seen the Impact that our Spark￿ activities have on the ￿lY lives el children and familie5 In ho5￿tal. we were proud to make further Investment In these activities during 2022 %vith the appointment of our firsi ever sparkle co-ordinaior. This is an area ot our work that we predict will only continue 10 grow in the moAths and years ahead. We will coniinue io build on Our d￿JItal activiti￿. making It easier Ic>r people to connect with Our messagè and offer Support In way% that arè bÈst Suited to them. And we will Invesr In our charity tèam, ensurin9 that they have the right support. skills and resources to achieve the things that they 8re so rotntnthtte(l ¢0 delivering for ihÈ thildrsn fatn11￿5 of Noah's Ark Knovling what 3 vital role that Palieni and family ¥44lbeifvJ Dkys In a child'5 recovery. ernotional SUDI)Ort continues to become a Cornerstone of our offering as a charity Thanks to passionate suDDoII for our 2022 Christmas appeal. Here lor You. we are hvgely 13

Noah's ATk Children's HOSOiial CTh6rity C(xDpany Lirrthi trycxhwanta Th￿ Truste￿5. wknnual Rep(￿ (Incortx)ratiry th￿ Oirectors. Report) Erthd 31 Decernbw 2022 Grant making Having re51ricied our grant programrne to application5 of1e55 than 1,000 dunng the oandemic. V￿ were delighted to re-open the scheme In hjl once a9ain In 2022. r 9rant programme makes the charity accessible to all frontline Staff at the children'5 h05Pltal by allowiDg Ihem io apply directly for funding where Ihey have identified a need Within their Own team Dr departrnent By Ihe end of the year. the charity had awarded E613.542 In 9rant5. helpng io Support thè work of a whole array Of dis¢iolines from pbleiKbtomy to oncokgy. The Noah>5 Ark community Long-standiw supporter5. those wlTro have recently joined our cause other5 w￿> ha¥e so kindly rernembered us in thèir Will. share many common values but one ullimaie Wi510n A5 a community. We Will continue to create brighter todays and belter tomorrows for rhe thikjren of Noah's Ark. We run events and Canwaiyns and work with schools. companies, communty ¢ryan15ations, philanthropi5t5. and grant-making trusts to our mi55ion an evolving reolity. Our wonderful fundra15ers. amba%adory and volunteers play a key role In rnaking everythin9 Elyo kwble. We are forever thankful to the families v4ho, havi￿ had persona exoenpnce of the children'5 h05Pltal therTr5elve5. decKJe lo help other5 like them by fun(Jrai51ng on behalf of the charity Nany a150 offer to Share their stories with the airn of ra151ng both awarenèss ènd fund5 This take5 Strength and a ger*rosity of spirit and we would like 10 extVMJ our (Jeepe5t thanks lor this.

oan's Ark Childn9 nsk to a W t￿t will rKt cQfflprc￿n￿ ow irnpact and rernains Wlthin Our values as an organiFAtiOn. Principal risks Capltal •Trd th need èt th• hoJltèl.. The péndemi¢ brouyht s19n1f￿afit chan￿5 to clinical adrnissions and nUf￿ng Ca￿ and b¢th medicine and surgery are now delivered In mor flèxiblè way5. VKtual clThcs a￿￿￿MentS will r@ducethefootfg11 at the h05Pltal wh￿h CCWJkl twptal-tyased shopand vibility to kmilS H5gh levels of economl¢wKertèintythrnat•hth• thirlvs thityto rais• ifflcorn•'. R151ng Interest rntes. Inflètion and falling ho￿¢ pr￿5 ha¥t Ihe ooiential tQ Imoact the nur(thr of Ijonots. the levèl ol gvlty arKS the value ol e5tate5 In legacies In additian. costs are risiro xiossitr board threatenin9 net income Tne ér¢a5 tsf 115k hEre aTe IinancK41 stabthty. damage to ieputbtion the delivery ol core xtiVi1￿ charity seeks to mitigate this risk by a￿lYsIng tThe divwsrty and ￿p(￿l￿t￿tY acr055 Income streatn5 ro create resilien￿ to ¢han9e. to ietain e¥iStDYJ Supporters thrDU9h @xceptional 5teward5hip and service. to wKIy demonsirate the ifflpact OF donatKln5 and to engage r￿￿￿￿￿1¢￿$. In ddition, the c￿rItY shèll In¢reèse visibility awarene55 01 the c￿￿￿11 ole the charity plays at rhe hospital The ¢Tharity mcrtitors t105È1y rt5 desigrbated. comrnitted free reserves to ensur￿ that WhI￿eXIst1rvJ commirments 10 Ihe hospifai will be met, Sufftwt Catsa150 bè generated tg meet ur9ent need gt the hoSPiral COW0-19akn pattem501 PaedK41r￿ activity Th￿ clinical teaffl5 wére rKesented with diffKult ch&llervJes ès the number of childTen admitted ÈmotKJnal dLstre55 and Tnental h&alth crisi5 ￿rease￿. This has helpod to flwnce Qur c¢ynrnrtrneni to makin9 emotic(￿1 Support a cote areé ol th￿1abl+￿tlwty. The ￿￿1￿(ant chaTw to health need and cliThcal delivery affected the tharityts ility to continue wrth tf Capital appeal for the redevélopment of wnglo ward beforethp pWern struck Thi5 Still cèrries a hioh rewtatIc￿ risk with Qtslor5and Stakeholders which the charity must manage. ￿nn￿gh￿S firki1￿ been ro continue after a three year pause and will take twne focote. one risk in this proiKt Is that Capiial costs will have escabted swnifiC&Itty Sirte Ori9inél plan5 were drawn. COVID-l. The paThdemiCCaused seveo di$￿￿tK)n to futKtra151rw Dd Income generation, 9ivin9 r15e to risk acr05S the fdltrwin9 areès-. major capital projects. 9rant makin9. financial Svstairwblily. opJtat delivery of core activitie$ 4t the hQSQitJl The crwTify took tDany mitigatlng mEa5ure5 In 2020- 2022 providing a roadmap ro rer(wer rè-patsdemic levels of Income WThilgt we rnakins pragre55. niany of Covid volunieers have not retuined. and we hèvehad t¢ rebuild this cruci31 re50urEe to ensuiE tulfilment of fu￿1raISI￿ KtNIt> Rètènt￿Th of Our vOlunt*wS èdditKMial re￿￿rtMEnt 15a Investment strategy Th@ charity ha5 continuod to T@tain fvnds in term oleposits Jn¢ Jccessible lund5 Whilst th￿gaInS In bettereconofflic time5 coukl attractive. the charity efeis to beabk to Ir￿￿e￿iatelY access funds without risk to Su)QOit the hosoital. Thp rhature of theor98￿$￿tI￿ 15 that Ihereare noi Si9nificani liquid funds over and xwethe coMmitn￿Thts tosxoieEts wtrmch ¥M)uldalbw surplus cash to be InVeSt￿d In tem) Invtttments This matter 15 undw rewlar revièw.

Noah'5 Ark ChldrEnS H05Dlt31 Charity co[￿Y L￿lted by The TtU5tees' Anwl Retjort Ilncortjoraiing the Director5. Retyott) Yew E￿trY 31 Oetsrnber 2022 Charitable objècts The relief of sickness and promotion of good health In children and young people attending the Noah's Ark Children's Hospital for Wales and It5 Outreach Services. thrO￿ah the provision of excdlent facilities. equipment and other resourtÈs. and the a#vancement or innovative and Dioneeriny treatrnents. We remain tnje to Ihe mission that drive5 iJS- to strive for excellen￿, to Se0J￿ the best t￿trnent ar￿ outcome Possible for young patients. arvj to make tarThlies feel suwrted Ca￿ for through their hospital exper￿nce. Our fuThdraiSifw) 0￿eCtiveS are measured against achiÈving these overarching goals. The activities we undertake to raise funds are planned Wlih the aim of dÈmonstraiiTrJ to our supporters the differwKe their fundra15ifw3 makes. Publlc benefit The Trustee5 confirtn that they have complied with the duty In section 4 ot Ihe charities act 2011 to have due re9ard for the Charity Cotnmissions. guidance on public be￿fit. How we measure success Independence We Measu￿ MKcess by the Impact our Investrnent makes on the care VOVkd to the 73.000 thi￿￿￿ who recaye treatmeni at Ihe hospital e￿h year The phwtal and emotional Ouicomes arè eoually as Important to us. a5 are ihe experiences of parents. Siblings and the WKler family. Independent of the NHS. we ¥vork In close oartner5hip With Cardiff and Vale Universlty Health Board who manage the hosQltal. We Support the whole h05Pltal and all Its patient5 through our fundraising The charity receives no governmenl or NHS fundiThJ. We rely Èntirely on voluntary d￿ationS and glfts In Will5. We a150 tneasure succe55 against Specific appeal and event targets. grovith in new 5UPPOrter5, feedback and engagemeDt In numerous tivitie5. We feel prouLI that the￿ are such tangible outcome5 for the chilclren and familie5 we reP￿sent. We can coDfidently show ¢Jonor5 how their fiJThI5 have been used for the benefit of thousands of children each year Settlng and achlevlng our fundralslng oblectives Our fundraising objective5 have e￿ed quite a bit 5irKe our first vrgent call to build a Specialist children's hospital tor Wale5. We work hand ID hand with the health board. responding to reques15 to Support Innovation and advancements in medical care. We fund capital development proiect5 that Improve tx>th patient eyperieDce and the clinical teèms. ability to deliver modem standards of care We listen 8nd respond to the Voices ol Irontlw siaff and patient familiès and many of oui fuThlraiSirKJ o￿ttl1Ve$ iodèy Ire clearly driven by thÈir nds. io

Noahs ATk ChI￿ren'5 Hostytal Charity Company Dmitd fyAyantee The Tr￿tee5. Annual Rewri (irforrN)ratino ihe t￿￿¢tOrS. Rewt) Ye¥ Er￿e4 31 OÈcember 2022 About u$ Here at the Noah's Ark Children'5 Hospital Charity. chldrerl and farDilies are al the heart of everythin9 we do. We ensure that treattnent and outcomes foT children can continue to Improve by funding ne¥v and Innovative medical eouioment and facilities. We support children and families In the hele and now through C￿1 emotioDal support service and the much-loved pky spÈ¢ialist team and we invest In the future by providing tÈchnology tFt ￿1p5 tram) the bright clinicians of tomorro¥v We also stnve to make the hDSPltal a less frightening ar￿ more lamiliar place for children by creatin9 family-friendly environments and by sprinkliTra a little fun an happiness Inro hospital day5 Staff and professional development: While the charily pivoted to provide COVID-19 related Support to fvontline staff during the pandemic. 2022 saw US re-focus on Invèsiment In learning and skills dèvdopment. Your Suppcxt has funded t￿$ and eouipmeni that Is h￿￿n9 clinKwns to perlert thejr art. continually ITrwrovin9 care as a Helping patients and families: Our wonLlerful pkAy spe¢iali51 team ¢¢nrinues io use play at the bedsiée ènd in the dedicated playrooms tt> relieve anxièty and help chilElren develop. recoveT atKI relax within the hospital environment. we provide practical 5uppor¢ In the form of W9ency admission F>a¢ks and. while certain restrictions have retnained ift place. food for Parènt kitchens Our CQTntnitment to eTnotional support 9fth¥ a9ain in 2022 syith Ihe Introduction of a new ps￿h01¢91St on PCCLJ and launch of a Sibling Support p¢ojéct on NICL). Sparkle and fun: Knowing what a hu9e difference fun and Iou9hter .have on a childs wellbin9, we invested hjrthpr In these è¢tivities in 2022. we apptynied charity's first ever sparkle co-ordinotor who now provKle5 co-¢réinate5 rnorea¢iiyitie5. therapy dog vi5lt5. and festivities like birthdays afKI en¢-of-treatment celebration5- meanin9 that the childTen of Ntsah'5 Ark miss Out on le55. Our mlsslon and goals Our goal Is to support the Noah's Ark Childrw)S Hospltal kn Wa￿5 We want to eDsure that Every family fee15 fully supporied throughr¥Jt their hospital experETKe Our mission is to ensure that the hospital's dedicaied and committed practitioners have ihe equipment and facilities ihey need to seture the best outcome P055ible for their young PaLients By lisièning to the teds of childrèn families. WÈ ¥vill dèliver services tFt wpLvt them both emot￿llY and pract￿allY Whi￿ en￿rITh￿ that. at every The values that gtside us Ex<•ll•nce we strive t¢ support tF work of staN by prov¥JirvJ the best meElical Èouipmeni and facilities. Our key areas of focus In 2022 Equipment- The Noah'5 Ark Chikdren's Hospltal trthses 26 5pe¢iallies. Including the Country's only deditatt<l PCCV anol a carditrlogy department which treats some ol the most COMp￿X heart condiiions in Wales. In 2022, our supporters made It p0￿ble for the charity to provide equipment that is now helping to V&lTe that Children a￿ ￿ceIvIng the care ¢hey reé 4uitke<. more tffectivety. and. ¥vhere p0551ble. less iDva51vdy. Hope We otter hooe to chiklren their families from across Wales. Compassion We place compassion at the heart of everythi￿ we do. Famlly we work tO9erher as an extended family. working in partnership %Yith the howtal. comfflunity. patient5 aTKI their fami11È5.

L>4SOIV 51uai JEd oi ei4ays IJ WOU 99 'sa!i!A!i)e, aA!i) alqo

Noah'5 Ark Childw'5 Wital Charity CoMp4nYLir￿ tyGLW•)tee Oespite its challenges. 2022 finished on a huge high. The evolution of our commitment to ensuring that families have a¢￿$$ to COUn5elling and therapeutic support when they need Ir took a huge leap forward with the launch of tsur fir5t-ever appeal dedicated to emotional support. Launched at the end of November. by Christmas. the He￿ for You Appeal had exceeded its initial target of ÉlQQk. We could now start 2023 safe in the kntswledge that very soon. life the children and families of Noah's Ark would be made better. I hope that, over the following pages. you feel rightly inspired by the impact that the support of people like you. can and have made. Whether you have Llonated. fundraised. or hdped In any way during 2022. on behalf of the Trustee5.1 WC￿ld like to thank you all. Despite the current economic situation, thanks to your ongoing support, we are ready to face the new challenges of 2023. Eddie Hayward 08E, Chairman. Noah's Ark Chlldren's Hospital Charlty

Noahs Ark Child￿￿.5 H05Pltal Ch￿ty Qwwony Lkmited The TtU5tEe5' Anwal RepDrt I1￿9r￿rat1ng thè Directors. ReDorti 31 Oettmber 2022 A message from our Chair Edward Hayward OBE It has always filled me with immense pride to serve as Chair of the Noah's Children's Hospltal Charity, but never more so than in the last three years. Slnce the onset of the pandemi¢, I have heard countless stories of clinical teams going above and beyond to ensure exemplary standards of care, of parents battlin9 through restrictions. putting their children's needs way above their own, and of our donors and fundraisers. continuously find•ng new and creative ways to show they care. As a charlty that relies solely on the support of the public for funding, they have been our eternal flamè. As COVID-19. Its restriction5. and it5 repercussion5 rumbled 500 people raised more than £40k by taking part In our first on Into 2022Kwe embarked on the new year with renewed ever mass participation event. the Superhero Dash.. 4043 hours determination to stand by children and familie5 In whatever of vdunteer time was donated and sup¥x)rters like you raised way needed. Thanks to public donations rnade to the chaiiws E87.852 for our Here for You Appeal through the Big Give COVID-19 re511ience fund in 2020/2021. we continued to provide Christmas Challenge. food e55entials for families caring solo for their children under the one-parent-only policy. We planned virtual visits, from storytellers to singer5. $0 that children didn't miss out on a sprinkling of fun èncl supported the hospitsl ès it tackled the continued rise in children admitted in need of emergency mental health care. What difference does all this support make to the children and tsmilie5 we are all here to help? Well. thank5 to you. in 2022 we provKled funding for the Incredible play specialist service for the tenth year running. Families on the Paediatric critical care unit (PCCU) got the emotional supptsrt mèny 50 desperately r￿ed thar)ks to a new dedicated psychologist. We worked in collaboration with our colleagues on the neonatal Intensive ￿Te unit (NICU) to launch a brand-new project for families. We funded eouipment that quite literally saves the lives of the rfK)St critically unwell children in Wales We provided innovative new training tools to the clini￿1 teams so that t￿ could continue to provide a gold standard of care to thik1r￿. ArKI these a￿ just a few highlights. But in 2022. we were hit with another crisi5. th1S time in relation to the cost of living. As a charity. we were acutely aware yet again ol the IM￿Ct that this new crisis could have on our ability to raise funds. particularly so quickly after the last. Yet again. our 5UPPOrters demonstrated their 5teadtsst commitment, through thick and throu9h thin. In 2022, 1670 people donated or lundraised for the c￿rity f(% Ihe first time..

Noah's Ark Children'5 Hosoital Charity Cotrwny LimLte(J tryfywantee Tr Trusiees. AnTh￿l Regort (Irhc0rwrati￿ tne Di￿tors. Pewrr) Yèar En(Q 31 Oecember 2022 TRUSTEES E A. Hayward OBE (Chair) J.A. Hayward (VI￿ Chair) Dr. R Verrier-Jones MA FRCP HON FRCPCH A. Abhyankar MS. FRCS IGen. Surgery) Mch. FRCS (Paed Surgery) L. H. Dtyyle Cert PFS First SMM Dr. M Alfaharn M& CHB. MRCP. MD. FRCPCH K. Ctslworthy S.0. Gate5 D.c. Jont5 8Ed {re51y￿￿ 5th May 2022) C Williatn5 M Hamer (appointed 18th October 2022) I Goryett (app(xnted 18th October 2022) SENIOR MANAGEMENT S. Mainwarin9 M AUOITORS Hanes watts wales LLP. Statutory Auditors 7 Neptune c￿rt. VarKJuard Way. Cardilf. CF24 5PJ BANKERS HSBC 8ank plc 56 Queen st￿t. Cardiff. CFIO 2PX SOLICITORS Evershe(15 sut1￿￿and I Callaghan Square. Cardiff. CFIO $6T

Noah'5 Ark Childrens Hospiiw CharityC￿￿Y Lynited The Triistee5' An1X￿ RepNt I￿r￿a￿￿9 th8 threctots. Report) Year EThYed 51 t)ecernW 2022 Report of the Trustees for the year ended 31 December 2022 The trustees, who are a150 the director5 Ot the charitable group for the wrp05e5 of the C<ynpanies Act 2006. present their report with the financial statement5 of the charitable group for the year en(Sp(131st De￿rn￿eT 2022 The trv5tees have adopted the PTQVl5ion5 of Accounting and Reporting by Charities.. StaterDent of RecornTnende(J Practice aoplicable to charities preparirvj their accounts in accordance with the Financial Retsorting Standard applicable In the UK anol Republic ol I￿￿n(l (FRS102) (eftective l January 2019) Th15 rell￿ cw501idates the results of Noah's Ark Children'5 Hospital Charity and Its subsidiary. N(￿h.5 Ark Appeal Litnited. collectively referreLI to a5 Noah's Ark. Structure, governance and management Governing document The chorit¥ 15 controlled by It5 governiny document. a deed tsf tW5t. aThJ ctyistitthes a lffi)Iied comp￿. Iimrteil by guaranteè. as rlefined by the C¢mpanies A¢1 2006. Reference and administrative details REG15TEREO COMPANY NAME Noah'5 Ark Chikjren's Hospital Charity REGISTERED CHARITY P4UM8ER 1069485 REGISTERED COMPANY NUM8ER 03486361 (Eng(3r￿ arKI Wa￿s) REGISTERED OFFICE AMO CONTACT DETAILS Upper GrouThl Floor r*￿h.5 Ark Chilolren's ￿lOSPItal for Wale5. Heath Park. Cardiff. CF14 4XW wwwnoahsarkcharityor9 erwuifies@noah5arkcharity.org 029 2184 7310

Noahs Ark ChI￿￿n,5 HO$￿tal Clwiiy Co)io￿Y Lunited by Cx￿te Tr TfuStee5"Arth¥ ftep(￿t (Incarporètiw the DirectOf5' Report) E￿￿ 31 Decembpr 2022 Contents Reference and administTrtive detai 57 Consolidated statement of financial activitie5 A message from ovr Chalr Con5olidaied statemeEIt of linancial wsilio Objectives and actlvities 59 Consolidated statement of cashflows 14 A¢hievernent5 and Derlorrnar*e 60 Notes to the con501idated statement of cash ftows 17 The diffvren¢e madè with support 61 Note5 thp finan¢ial statement 34 Our amJziTrJ SUPP￿terS 43 Finan¢ial revie¥v 46 Our future 48 Structure, governarKe and management 50 TruStèO5' rèSPty)sibillties statemÈfit 51 Indèpèndent auditors report to tho members ol Noah's Ark Children's Hospital Charity

s4fk •hildren's H05Pital charit.y E'lusen Ysbyty Plant Creating tbtrogtht r todays and rro for the children of Wales. Cofflpany Registration N￿rnb￿r 03486361 Charity Re9iStratJon Nufflber 1069485