2024-03-31-accounts

Reostrar of Companies Tho European Assoclation for CarditrThoraci¢ Surgery Annual Report and Consolldated Financial Statements 31 Marth 2024 07401765 Wa￿} 1740274 1111 'ADFC56RC* 1112024 cr￿PANIEs HOUSE

R¢fèrence and ￿mMIstr￿1148 delals Rewxofthe Secrw2ry Genara Intrcxy Ab(Jl EACTS Impad and A¢h￿e￿$ 2D2¥44 1 Publutyry 2 Annual Kqeeting ￿t￿￿er 21)23 3 EACTS EtJlKati￿ Pro9rJmme 4 Thè Eunwn Bowd of Cardi¢ Thora￿ sUrge￿s IEBCTS) 10 5 Th¢ F￿￿1& Fontan Fund eduralh)nal grnnts pr(JpaTrme 10 6 Quality Im￿vement Prowammè 7 13)vemanee and Management Rthew 12 11 8 Fiiiure Plans 13 Rok Marwent 18 Independent audfjtorfs r•port 24 statement offinartial 'es 28 8dance sheets 29 Consdhjaied slat•ment olcash 30 Pr￿up￿ *(￿Unting pdicies 31 Nl)tss to the ffftanrial statenE The E￿o￿e￿ kn(¥Aati"on forCarOfyThoracic Syrgery

Tru•1￿ J H Ankersm J Bawia F geye￿￿rf{R$I0n•d 6 Oc*ber 2023) V Falk lAFvoi￿ 6 October 20231 N Hu&se V LiJe {AppO￿￿a tr Fthary 20241 Fmeffi R MItL P P81ier R sadaba F S¢honhoff IApwiit8d 6 Odober 20231 M &epe K Tsaga(k8 {Res•3ned 31 Octobèr 20231 PmideDt F {Ap￿A￿ad 6 October 20231 Madeira Walk 8?￿shIr8 SL4 1EU 07401785 Charity r•gistralion nunthr- En9l•nd & Wal85 114￿74 Buzzacott LLP 130 Wrx>J Str•8t Lon¢Jon EC2V 6C

Bankers Royal 8ank d Scotland ee4ton Ctrwdte & Servi¢e Centr¢ Padands, De Hwlond Way. Htrrich 8L6 4SO Ir&¥Jnis Cash 10 De¥(￿shire Squ EC2M 4AE m•w Sara%n & Pawtn8rs LLP 1CQ SL Paufs Churthywd ECAM 88U Solbdtors Pai15 Smmh LLP 1 Lor¥Jon Road S015 2AE Squire PaItC￿ 8w 60 ￿￿OnWIll EC2M sro

Tru8tMs' R•port Yearlo 31 March l)24 Report ofthe seu•1￿7 GvnEThI ItCL￿￿￿j•stO bè my wivleg8 and honcutole￿l EACTSas SauataryG8neral and to present this Annual ReF￿rt arAI for2023 t 202 As you ￿11 In the Ic4kJvJ pages, we have continued to del￿eT on our rnI55k￿ of adv•nan# erbjcation. research th.nica wac"r in our speciaty. fiy the tnefit of our pHti¢nts >xiety. Thrryjg￿y￿lthe year, we ha¥e maintsined and indeed bult u￿n our high stsndard$ in 1 8¢tNities. Ind￿jing thè Amjal M881ing. the hLad8my. th& Joumak, th Dalabases arKI our Guidelnes. We have also laken ￿ brne to refknt and professkin3ty FA8n. pr￿u￿rg our ever fiv• year strategy which has atreaty insrAr&fj FJ nÈw EACTS Ebsrt8. ￿ Èxutirfj. rnodem brand. and signrfcantd•eloKfftènts in ovr M￿nb￿lshI1 offerirvj. We havefosierecs oylthralion aThJ rat￿ wilh othèr wtifv#Kinal ￿tts. fjnd￿try partners and stakeholders. to promole the mle and Val￿ of our 5pècl￿ty Ni thè work of the muhtt1lscj￿1nary heart tearrt We have engaged wrmemlJeF58nd thgwidercryrwnuntythrtwh vious ￿atrOrMs0nd channels. r $peda￿ ar•Y our Pati￿ts. ow t￿n￿l Thmts. staff and ¥duntser5. ￿ ha￿ wke(I Iireless￿ to serve our Assotsatson army its obiecbves. I wYyJk¢ &ke to express my sncere gratityde and app￿i?¢1vn to all of them. and to YO￿ M￿be[S and friends. for ywr irwaluablè suwjrt and As ￿ k￿k ahead to the future. fac nwry opP(￿lUn11ieS #rxl chaleNJes. also a weat respon%bilty'. to conlirw tolead ours￿>￿ty. lo UphohdourvalL￿￿lJr￿lnupl8% ¢ lo improve the outcome5 and quality Of1￿ of ￿r FAlents. l am Confident that. together, we athieve Ihe5e g)ab WKI rnake EACTS an even SI￿g￿r and fflo￿ infiuential A880cialicm. Prof r Palitk Ws SwglJry General & Tnt•• The Eun)rthn As6cria*on ts Carth"trThorauc Su￿ery 4

TruslBe¢ Rewl Yearlo 31 Marth 2024 The Trusi•ès FrfBs8nt their repDrt the fMan¥k￿ stylements of th& EurG)e8n A%50L¥ation fry C•rfiiTrThcfac4c Surpry I"EACTS'I f(x thè yèar ènde(131 March 2024. The rnport has bttn wepared in with Part 8 ofthè Charitiès Ad 2011 and ¢￿StiluteS a dirnctots, r•wt for the L40)mpary le￿￿allon. ThB f¥wnual 5tat8m8nts have wEpat8d In accordarK% ¥Ath the accountirvJ wJicies set ¢Jrt ￿ pag¢$ 32 ts 34 of Ihe attached fina￿￿al ststerrents and comply with the charitable cc4npanYs rrernorandurn aTrJ artth5 of assooatK)n. the Charities Ad 2011 and Acc¥)unting ar￿ RepcdirvJ by Charites: Siaiornont of R￿￿Mended Practice ap￿)CatIe lo charities preparing their xcounts in atcordance wilh Ihe FI￿￿￿al ReFyxling Standard app4icgble in Untted ￿fi9￿7 ané RewE4ic of I￿la￿￿ (FRS 1021. Th8tharitabl• Ot￿Of EACTS argto 8thanL ¥th￿atiOn In the fidd ofc¥rdFac. thoradcatKI In￿￿eThI￿)￿S and tts promote forthe bènefic resèareh into eArrfiOv&w￿Iar arnd I￿r#￿e￿IryS￿￿tsgY. pathek9yandtherdpyaThJ too)rrelate ar￿ disseminate the usefvl ￿ults Itpursues these oiyeLts thTtyJth fwr SU￿sPEC￿lty Dorywns". Acquw#d Cardiac Di5ga80. EACTS akns to xhlm its eharlt•hle objects through it key areas of aeli¥ity: The EACTS An￿al M￿ft9 The lary¥si cardthora¢x rneetin9 in thp ￿ngIng together Ihe cardK•thoracAc CDmmu)yty to aThJ di8cu5s the lst develOpm￿ts across bts four Domains. EACTS EducJlion The education p￿￿7￿e indudng.. Th8 EACTS At¥Jemy. a ¢4￿en$￿e h￿h4)U￿ty Slwclured currtidum for al levels IFOM Ihrow toexperierxed suweors and defN8ring COLY5e5 covertng steryah'$l arw d devdopmwrt arJ Internst ar•J To furth8r support tra.￿85 thrwth tlw car88r develDprW EACTS opgrate5 th8 Frands Fgntan Fund ￿aTrts FwtyrammE frxtrdrtt rAacnents. EACTS PubJishirvJ EACTS pubftshes Feer.re¥ewed for Ihe dbssetNnalion of hmjltrquality research: ThtrEuroFean Joumal Ofc8￿￿ThQvaC￿ IEJCTS), The Multim8dba Manual of IMMCTSI. EACTS #lsts pffjd￿ drnc81 pr8cltt gu*Jelin8S to supptsl best in the fidd. Tho Eumpean AssLxrkn"L￿ ca￿￿TIm)￿"c Surgery 5

TTusts•s' Rop(rt Year to 31 March 2024 The QualSty Improvement Programm• lQUIP> To kn"ltste continuing irnpr0¥8m•nt d diryed outo)rnes in athJlt eaithoth)racic suryery thro￿ ed1jcati¢￿ and ￿searth 4ftilla￿. EACTS opgrat•s iwo intwnationa be￿hMarkl databas8s for adLdt cardiac surgery {tha AdLIt Cardiac Databas&-ACDI and for patients vath mothanuE cIrc￿al0rysupF￿rt syst8ms (EUR0￿cS>. Thn)ugh data cdlection, data shartr9 and rewlarYepcts. ￿ QUIP ali(Mts uniLstrJ asses5 Ihtyrperfomian¢e resularty by rdentityng areas ofexcellerth aThJ areas in W￿d rfimprvrtrrenL t•rnatlonJl Partsrshlps EACTS SUPP￿ad￿￿ofgk>bal he4th mila￿¢s1nthÈffidd tsfcanthotl￿ac swgery HQ •nd Sisldi•ri•5 AI EACTS aclivili85 ¥• Lxy)rdinaknJ thrrmJ9h the AsKciakn's haadI•￿trI$ ? WINI￿rf. The eh81ity euryenly fw 1LVA wi¢d subs¥Jories rngister•J in England and Wales.. E4CTS Tr•JirvJ Cony8ny LWIMW: &4CTS Putlishry Limited.. The Ewopean S(aM>Jl frJr C¥nltsTlmt% sUr￿ry Li￿1￿j I￿1¢h 15 d(mant). The thie• active ccMnpanEs separ#ie risk #nd fina￿la1 Managern￿t of diffwent areas of li￿ty arouThJ Events. E¢Juc4tion and Pubfthn& Any 8ufF4u5es arising in any of th¢s? subgdTraries are distsitrwbj to thè th•ity via Gi(t ￿d. EACTS Publshing LimitJ and the EuwnAcadonYyforThor&ac and Cardiac Surgery LirrMtBd grp bDth in dèfknL Both of th8S• enbbas underlake I￿￿elY thwitstrAe ac"￿& the ioss95 ar￿Ing èTe 5UPPOrted by th Ffj￿nt charity. Furthw delw"Is irf the subs#Sary un(krtaknngs are induded In tN)tè 18. In seYJn9 Ihe oblecuves of EACTS aLvilies. Ihe Truste8s have gl¥en carefijl c￿siderati￿ to the Charity Commisyon guKlarKe on PU￿1¢ benefit. EACTS. primary b8nefici8ri8s. ly4uthr￿ tts frnmbefs. are profess*)nas pradiiyng in th? fidd ofcaTdiothorarA¢

Jrgèry, and pati￿ts that they W0￿￿e surg￿ care to are Ihe Lltimale benèficiaries of th8 Irry0v￿￿ kmb48dge and skJs ￿ from EACTS aiknt Impa¢¢ and A¢h1•￿tme￿ 2023r24 D¥riNJ the last fina￿￿ year. we obsemd a redud￿N M membership numbers from 3,863 to 3.249. This dedine is 8knbuW to 8 tr8n5tm8llve F4wse our memb8Fship StrU￿￿r arvj a thaTrup of our membe￿￿ system. The imF4ementaticn of Str￿er ofryjr acbvfj rremb8r base. Dqspt• the apparent numbers. arè Conf￿8rd thatthè currentfiguf8S r8ft￿ a tnja ￿ 4roag8d menknrBFu"p grDup. The of OLW mem￿rShiP crit•rfa aluns ourcommitsnent to Ma￿1n1r￿j a 5tand of wofeSs￿l affliation arm1 onsur*$that our The European AssLr4ation for Ca￿"¢￿T￿￿￿e Surgery 6

Trwtws. Rrf￿rt Yearto 31 Mwch 2024 lrnpact and khievements ZQ23r14 IrAthuedl The transl0rrna1t￿ of ihe menknhip syslem was a nerkssary step to erthanc the integrity J value ￿￿tership. It involved a tkIrr￿gh artd dean-up ofexistirKJ r&cc¥ds, removal of inac1ive membets. and Ihe introducth)n of mwe sthrNJ￿f contrrjs lor nèw an reftewfvj membets. TP•s prlxess was urthrtaken vthh the LthKJSt cart to ensLYe Ihat our memb￿lP reftwirts rctjust and rep￿S￿￿tiVe of Ttho we actlvely c•ntributing tO8nd bwefil.ng Irom EACTS. ￿(j￿rte$ 8r#1 community. A6 we move fOr￿rd. ￿ antidpatelhthe mertjershlp rwners wll stsbze and grluaNy increase as irrfyeasirg aThJ rwtwships are introduced. Tr str8am5ined pro¢ess and imW￿e0 controls have l•d a slrory foundakn for su6tsiTrat4e gowth )d a rnc¥E engaged mernbEf5hip in the LxJrrirNJ JEa In the ￿ar10 theendofmarth 2024 EACTS•ig¥ed tho frJrN+ing towth it5 koyobjoctives.. Pvbll¢atioft$ On the 3121 ol January 2024, en Editon"al Assslant W8s appc¥nted to prov￿9 prfitorial admnistratfve to the publtskns leam in the day4trday njnning ol Ihe publicabon$ 8n(J supwl In thè hJh quafty ofac£èpted SUbm￿s1On5. Th8 EACTSjoLKnals c¥)ntOnue lo put4sh Ihe late5L T¢￿￿r￿￿tI￿n cardiot￿n￿G suw Ir(#n across the globe. The European Jovmal of Cardlfy7Aoradc Surgery (EJCTSI rnatfttalned a high number of quality SUtm6wns in 2023. 2.OSO new SU￿1￿￿$T￿n$ and a 28% 8crplarrA rale {29% in 2021 and 2022}. The journal crffitwiued to See hwJh us•ae rates with over 1.1 rn￿10n arbde vlthys and ovèr630.OC) PDF dovfflo. Thaiouffd luma￿n￿ times eontinug10 b8 afocus for imFYovemeTrt Wit￿.n Ihe pU￿1c81￿0n devebv￿t Flans. vAth the avernge numbw of days frryn subrni5slon tr) first defi51￿ remalnirg over 40 135 days In 2021}. Revfjewtr lumaround rernavd staLle at8 days on avera9e Immaccgptsnc• oflnvtkfjon w retum of reviewar feedb￿￿ Inl**tsW•y Cartk•Vascikr and Thotr3cK Suryery fIc￿s) receNed 380 new sutmi£si¢ms 193 tTrnsf¢rs from EJCTS in 2023. TIE qualty ol submissions rem•ned hNh wyth a SI￿ a¢￿pIance rale146% in 20221 As i0¢ usage with ov8r 575.000 viv and over 300,1XM) PDF I￿￿￿)a￿s. Tvmwrxnj tirr￿ remalned stat4e wilh the 3veTBge numter ofdays from sutrfnis9cm lofd5tdecBiryh taking 39 days C￿ average138 days In 21Y22) nd no tharg8 in revw IwnawU￿j al 6 days on average ftom a￿PtsnGe of inMialk?n to rgtsjm of revle%wr feedbxk. Followry ￿ rel•Jnch in January 2023. the iwmal has appcrfnted 5everBI nw4 Assocaate and Assi5Wrt Editors lo suprth tho r￿0 interthKapJinarys(yw. The alitori￿ lean oinknues to on initiatN8S topromcth the n scope aTrJ attract inlerthxiplnary SLknNss¥)￿. PmcE5S imwovemènts Trhrythin the v6)rkfi(pw of i)vr s￿￿t￿lShed virtual tsxtlwk. The A4ullh7teOi8 M8n￿l ol CarftrThowic Surgery {AIAICTSJ, ¢￿trnVe￿ to b6 a key Tocus ¢)v the past 12 rrtsits as the pu￿￿?￿On ccthves to see an iwease in submissK)ns. The European AsSoCk￿l￿ for car￿￿TI￿+￿ac SLryery 7

Trust￿. Report Yearto 31 Marth 2024 . act and Achlevem•nts 2023r24 ((xythwJ} ,. . Publie•Utsfts (eothirtd) In 2ff23, MMCTS ￿¥ved 106 nwsUbmlSs￿ and 10 tranrsfrun EJCTS., and publlslwd 47 sur9tcal bJ10r%￿S and 33 e4se r4Kts. In •Jdrfion to Pubmed irtdoxing. MMCTS indexe¢J in Ctwivate'$ BIOSIS Entorfng its Second yaar. A Cul Above (wlinwj ty wb&sh wsodgs acrtxs a v8rfety of 'ts. Top S episodes frryn 2023 indude.. Epis￿ 4. Artska•l Inteligtrtt IAI) in cwODthoracic SLYgery EpisLJe 3- ￿ fIrtU￿ of MV Ih8rapy Epislxle 9. Wherè to train tongenrta carilk7c sury8￿S Eptsode 8. Editors Chott". Vave spknJversuswak replacerrent in rwt aneLrysm¥ Ep50d8 1- Thewarin Ukrainoand the impxts on daykndaYwacticeofcardth￿a¢ The dinitol prncce gwddines ICPGI proJrarM CLYr￿ty ts 14 aC1r￿ projects in variojs slages ttfdevèh)pmnt and fve CPG dr￿uTh￿ts have teen pk4ished in Ihe past 12 months [￿U￿r￿J.. Europ8an gubJelirE5 ft>r the surgica management of pwg ground-gla55 QPaPtI￿ JrKI part-sc4KI nodukns.. Task Forrtofthe Eur(pean AsscK•Bb￿ ofCardl￿Th9laC1c Surgery 2022 Jrynt ESCIEACTS review of 2018 ￿lj￿Ine recornmeTrJatKn$ on Ih re¥asC￿apZation ofleft main corwryawdisease in patients low$ur￿¢ol risk arxl ansTh suilable PCI or GABG intsrvenlKThl fralty asses%nenl in Pati8nts s¢hd4tsJ for cardkqc suryery or transcalheter aNti¢ vthe implantstiM.' a ¢ons4)sus s￿MÈnt ol th& Europe ssodatkjn for CaNl#>Thc￿clC Sur9ery IEACTSI and the European AsS￿lat￿n of Preventfve Cardlc4ryrf {EAPC) of the EurDpean Socty ot ¢ardK4¢gy (ESC) EAC￿Ts GiMddThs fcff thawing treaknng ac￿te and (*r[ffi￿ syndromgs of the 8rAtr Eur¢)poan Assocob¢xt of Card10-T￿￿￿￿ Surgery IEACTS} exp¢rt on pewaiikt myctarth.al lntsrc1th￿ after cardiac suryery In Odober 2023. Mlan apwnted as CPG th"reckff aThJ Marbn as CPG Chair. The Director and Chwr 3r8 SUPPKXted by Iho nvwty apr¥)]nt￿ CPG Committee cortsk8ting crf f rlw

T￿￿19￿. Roport Yearlo 31 2024 pact and Achl•v•ffi•nts 2W23N (continwj) l Annualmwllng O¢tob¢r 2023 In Ociober2023 th? ANwal Meetirg. held in V￿na. Austria, w￿[ from str￿gEh to strangth. Sb"Il dasse¢J as a hybrrfl e￿( the Meeb"r4J is laigely wnised a5 an wweTSCffl confere￿8 vAth a srnall ryline presefi￿. The ext￿ 4 day PYC•Jramme onc agaln induded the huhly 8ttraciNe TeChnr￿1eg￿ pro￿am￿ (C￿%￿9 on InnoVat￿n and technologi￿1 bT￿k￿￿ghS in Ihe r￿d of ￿￿0VaS￿lar and thoracx Surg￿ as wdl as intèNèntional cardKJlrsy. A 5epar8te one day fee was On￿ w'n clwged frx alteTh$an￿ at thfis meèfjng. Al fees were upliftwj by betww 10% & 20% ￿ linE Wtlh aThJ to wmp8ns8te against 11 parallel se5sbn5wgre on offeraM1 part0p￿￿once a3alnknadvants98 (rfan In￿?￿8¢d leveloflnteraclfjvity kn rtrtsskjned meeting Spa￿8ndth￿u9h c¥Alzborative thibes Pro￿ded via thè Annua Meeting App and the L4CTS IV Channel strearning 3 days ol prime saentific Ddegats attend8Thx Wi In8 wth 3)22 th a total of4.956 r￿>S{rants from 103 )untries. The Tethft(￿e day add￿"Ord1Y r8¢0rd•d an attendarrA of 1012 delega1￿., 927 regi8tsriTrJ on the Cwdix slream aTrJ 85 on the Tbt￿ stream. the largest yel SfKe the pa¢vJemlc. Atotal of 198 sdenfftseSs￿ffl$ were helLI 11 cmxrrent sessKJn rooms, 14 yJJr9itsl tr•ning sessiDfLS W2re hekl offering jwitry and senior surgeMs talor•Y expert training wtthin ￿ &4CTS 'leaming lab. selting. A separale programm6 cl robolts wgrtshops tcok on the Wed• wilh the Techn￿ColO98 at1r￿ling alurth8r50 del8gal¢s. 303 original abstracts frrm 48 countn.es were presented shrywcasing vauable new ￿$¢ar¢h and 81 exhitknrs from 19 c4yJnin8s rspr058nte(l in ￿ extensive exhibthon attendees lo keep up to de with ne to maTket iechr4w. stote of ts art products. Inno￿ali￿5 gnd ￿e￿O￿9nts ￿ the CwdK¢IhE>rar￿ matheL 15 industry 5ymposla sessi¢ To ensure Mtefflab￿￿ ¢4)latw￿ low￿$ lalth ￿al$. EACT5 c<)ntThNJed to host ea9ues from other key nternal￿al in the field. Th• EACTS Ac&kny to adw to enswrB we dthr our conllnulng ¢4mnbmsrtt to èducat￿ in £ardh7thcrd￿ sutgery. Atotal of 39 crjJrseswe￿ held thtsjtarin 3drfrele￿teducabtsfid fornyats. We hekl 10 courses in8r50n. 24 wet4n8rs and 4 cw585 W8re h8kl in a hybrid lormal lin Wmd¥or a￿1 awlable online). These cJ)ur5e5 atlracted over 1.600 attendets from mar)y dThYèTÈnt eryjntnes. Many of our vRLYnars have been vwy Frf>puiar and havg recehed excdlent fe&Yback. Cthwuendy. ¥• btlieve Ihat expanding the number of webinals offered is a vaijatde The Ewope•) Asscttal)n CardItrTI￿w1c Surgery g

TNst•M' Rewi Yearto 31 2024 Impoct #nd Ach1￿Ments ￿Z3ft4 {crrtiwAd) EACTS also ¥drninist8ts The Eurcwn Board of CardtsThoracic SurrJMs IEBCTSI whith kyovths examinations to ar¥xryriate 18v ¢f trwobc•I for c4)mpiètMig 1heir traW￿r￿. kn 2023 ts Le¥d 1 (MEBCTSI examinal￿ft wa$ 8drThnistergd using test cgntres a Euffjpe ané the Midthe E8St. Indui&ng LoThS)n. Bert￿. MJnd. IS￿nbUl, Zurith ènd Riyadh. 35 nvw aF¢tha￿r6 for 1he Levd 1 (MEBCTS} ￿re submitted and a totsl of 58 examinees (W￿￿jd1ng rn&Sftsl sat the Ad￿1 Cardiac & CoTrJ8r•tal examipAts"(m and 8 sat thè Thor8ck Sufg8ry 8yamination. 4 cidat85 sat fv examir￿t￿)ft in Lw)th specialties. 2 CBndidaf85 Pa55ed Ihe TIwC￿ e¥wrMnalicffl. aThJ 29 caTrI￿a￿S Pas￿ trwAdultCardiac & Conggnltsl examinabcffi. The Level 2 IFEBcfs) wllnalx>ns tLrk Mi November 2023 In ￿tsOn ot EACTS House ￿ Wind50f. There was 8 ltstsi of 11 n•w aFpltstiMs auoss the $peoa116e& Induding re-sits and after $m pJsWfflenwts rwrt• taking ihe exams were- Adult Cdiac 6. Tfv)racic 4 and cxffj9￿ll￿ 4. Tr reth Twèrè: Adult Cardiac 6 pas5 Th• FrarL¢iS Fonlan FuThJ for Edurathon offers EACTS rnembBf5 an Un￿Med. unique and e¥citi"tYJ tg advare ther educalh)n and beam trom very ￿st (xrdthornc4c ir4 th• VythI In some ofthe most wests91￿$ institutiDn& The Fell are then able to lake their exFeriertt and kr>Aed￿ and impkni&it il difectty in Iheir horne insbluticffts, whwe thgy ran shar• rmv 5k.dls th￿"[ F4ers. Thp broadth of Follwship prDgfarnmes avadai4e losiers ￿￿fe￿Dnal de¥eloprwit IhrtyJgF¥>Jt many areas of earthothora¢¥c wlucabon and Ihe Intematnat ￿ch slreThJthen5 the gknbal ¢xdlothcffacic c¢mmunty thr¢￿gh Incrpased ￿11$ and kr¥)vAedge She￿ and ￿mi￿J. As at 31 Marth 24. Iherè 17 Felknrtiip in total.. Con98nit4 Heart Di50a AE1¥ance(I Postoperati￿ Cartr AMIC Root Val¥e Repair Aln81 Fbrllatb)n TEVAR The TSF I FFF Inknalional Felwshi The TSF I FFF I LACES Internaknal Felknlth Thwac4c 8 MiThm*y Inva&vè Surgery Qual￿ and ou1￿MeS at MSTCVS MICS CABG RvbJti¢ Sryry-carthac

Trust￿. Report Ywtrj 31 March 2024 Impact and Achl•v•m•nts 2023r24 {C(￿￿"n￿jj UCL Mastws.. a)Kal Tri and Statssti(s VATS Ukrninw SLWOrt Three new Fellul￿h1ps We￿ to Ihe Frar￿ts Fontsn Furxj Fellowsts"p Programme this year. namety Rots)bc suff￿ry-T￿¥y¥o¢. Thcr&rand Minwnalty Invaswe Surgery and Aduk Congen>tal Heart Dsee. Tho Fdk)wship scfrn8 has 2018. arwj rgryuilrngnl fry the 202>24 FeHtMhps ￿ort•d ¢)n 1 Juty 2023. which * rtetfftd a totsl of 211 ￿p￿IcatiOns. 16 F•ll0V&sh￿ I¥￿ramma5 ar8 in 202>24 afKI 29 Fdkn¥s Iwve ￿rrIed out their FllMNp by tknber 2024. ming to utsgrate quaity monrtorin9 ar¥J fjnyov￿ Frrto daity praetice to inyov¢ for patwty EACTS ￿tinUeS to de￿1£￿ its databasè regi51rie5. the Adult C¥thac Datab￿ IACDI th8 rtyi%ty lor patiènts with m¢chani¢¥l ryrrulakny The Qvalty Im[Y0v￿1 Pr￿alaMMe.S Ad￿1 Cwdiac Database has made &gnffjcant FXDJress in its r8d8Vgbpwil. After a rwJcwcw6 tender kYrKess, EACTS c#)ntracted an deFethnl sothre Su￿er wilh the rvJhl ￿￿entral5 and capablitw as wdl as ISO rnF4iani t•kn i5 CUFmfy ilh EACTS QUIP Cornmrtlee to re￿j￿￿ an improve(t (ktsbase environment To 5UPlXWtthe managernentofthb¢>xnplex technical wolect. EACTS IPS also C￿tracted a S￿￿￿￿￿ed £¥yButtancy a9ency for one year to ensure the d8tabase 1$ iKJih effio.enuy arn1 vrithin budget. EACTS recnllied an inth)use Data Anatyst lo $wJport Ihe QUIP wohcts arvj manage the data cdle(aion athl rewb"r¥J h05prfa Thè QUIP C¢)nsultant 9Jpp￿Nj Iht Qualrty Impr¢)vprngnt Prr9rammg retired during this PBriod. EACTS kq 8150 T￿njI￿ng a d￿eth)r to lead the strategy and team for this important rK(>Jrdmme. EACTS ai¢ns b) bunth Ihe li¥e reg￿ty tcf t•)sfvL8 in Ocb)ber 2024. Thè EURONiqCS Registy offers Ihe tools to VLredural urxlate5 as ￿11 as s¢￿￿fic￿313for Pa￿ rac￿t¥j circulatory SUpp￿t IMCSI. Klarch 20234Aarch 2024 effc4ts We￿ fDW58ed ￿ the ¢on501idation ofdats Parbcipating eentres through th adualoattcffj of folchup and ￿"r￿Jry the total ofregir8d irnplanl8tiorts frcth 7.650 to 9,506 (424%). tXThNJ the Lau58nne ICHUV) aTrJ H815inki IHUSI initiat￿1 data (x)ntrtJutff)n. An awmenl knllh the wort(knbJ• registry of MCC. 1￿c$. govemed by a cfjmmittee of the ISHLT. ha5 b8en sgned. EACTS has 2 seats in that c4)mmlltee. So far. 42 papers. U￿￿9 EUROMACS dala have been pui4ts1%d. In the last 12 11 8ttMty wilh rno￿ts data havts be8n rp¢dved.. 10 crf ihese a￿ ncw ory)5re sknJs. One study is being rtrdefined by the inrfwior. Sttjdies using data from EVROMACS We￿ LICTS arKE olher pw4e¥4ewed ioumals. The E￿O￿n Assi￿ ftjr Surgery 11

Trust￿, Reprt Yèar to 31 March 2024 Imp•Gt and AGhlevements ￿23124 (C(th￿j) EACTS aspires lo ts higw FOSSI￿e slarMl•d$ in all arwj W. Ind￿JIng its ThL% yoar, the cryiirmj modemis￿l￿ rfthe {a kgy at¢gK pllgr) c¥Jntinuod. In klarth 2024. we Y￿re to publsh wr w5 year¥tr8tegy fwthe Aw¢iati￿. Th1$ brief anLI accessde t1cuJn￿t has inspired by the of the SE¢Qtary Gertrnl artd in eonsuttab"Lfftfyth CcAJncl ar￿#aff membBf& ilou11w￿sskeyob￿Ctw8S tobb pursu Overt￿ next S y&w& TrwaT< To b8 the b8$tat ¢Jo- c(mtinLdng tho rnrxlpmlsali(￿ of EACTS. ddivg1iTrJ a w911 govemed. ftAy and effia￿tAss0￿800n. To inv•st in r8search and ffjnovxtion- estÈtlishing 8 rèwrth supp)rt infrastru¢turn f our ￿￿nbel5 ￿ PUf51ilol a Innoth)n Strategy. To pioneoran inlommtion revclutiL￿- In￿Vati￿a ￿rPUb1tshjry meihc¥Js and deveS)pi bwoke acces5tooursutsiants.al h"Wy ofoudity•th¢(abcY)al conkTrL for￿j1 members. To prepare the next generati￿ of carthK)th0rnC￿ suwns- defining and al3pling our seNceÈ to equip our s[￿￿9 mernbers of the fiJbJre the requisite, minimalty invam, robjlic rwwteLwd¢)gy skVA and ap￿￿￿ni￿eS. bV<¥k in 5UPPLIrt rA these g0 has begurn Lhjring the yeor under rem the A$￿allOn laurKhod a lY8nd (Dr Assodatknn whlth Snduded a refreshed t)ryaniSatI￿al vi￿on. Mi55iw. Valu9¥ afKI id¢ntlty. W¢ 8S¥D publ1str￿￿ Twi EACTS website [cAk￿"n9 many monthsofdwelopmènL ￿ newwte * ￿￿rt0 navigatè and bettèr reffEd5 the Assctiati"on's mcJern ¢)utk)k arnl apprr￿th to wr w(xk We also und8rt(x)k major review ol our '￿￿￿￿" ' pY0posit￿ whth has resulled in som8 m8mb8TrCOSt reduthrms (ts Ajlpd Hèahh Prfesgon arxl members from Lower-MKkJe Ir￿￿8 C￿nIries. tr exBmpkn) •KI fvrther dIr￿ a mom￿r￿mP strategy in th8 year ohead. The EACTS Counra ojnlinues tts inpffjv• the manag8ment al￿ govemance procLsses ofthe Associati￿ and lo ￿￿¢¥{￿ fw)th 6x￿Ing a)d n•¥ cou￿1 merthrs in the fulfiknent rflheir imFytsnt thJti8S. Fr8nc8 Melfi twk offi¢t•s Pres¥Jentfor21r¥&2024. In A hlthrte41 moment fortheorganis8ti¢x¢ as the fwst rman to assume thi5 wjg in thg history ot EACTS. Tho AssociatKJn also wefcomexl Fkjnan Schc¥tholf as Vascular DiBea3e OomaiD Chair and Joseph Bavaria as the new Treasurer fr(¥n 202>2026, after a tIKJrothJh aptAKati(ffi and interyiew with both surgeon and candidate& New Conmnrttees have been estsbl¢shed. Including the PrtrTrainee CtsrThnit￿ for medul Sbjdents, le¢1 by Sam PAJrt￿. ihe Innovalion Committee, led by Prof Frledhdm Bpr5th)rfaTrJ Wice Ch&ir. Prof k4akHazekanp," aThJ the Humanitarian Ctsmmrtte•, chaired by Prof Cath fv4estr8& The EUrcY￿ As3coaknfrA CarrjTrTIKy￿ Sur48ry 12

Tntee5' Report Yearlo 31 March l)24 knpact •nd Achl•v•m•nl• 2023R4 The Vascular Dc¥nain's rthf Chalr has renth¥ed Ihe fwr VaS￿laT lask lo1￿5 and appolnled EACTS hord5 a mbLtsI soW-nrnEnab￿1 tw¢by memb&TS hw¢ wual oppryturrit toapptyforvac8nraes w the highly EACTS committtès. dtsmain5 t8sk forces. Th irnpyoved process provis a Flatfryrn for [￿rS io subThMI their a￿l¢al￿)n, which in tum is ￿ewe￿ rdevant Chwrfsl ofthe lask kn dornain. Secretary General. C8Tefvl derab.on is laken. wewng sknllsand expErienrAq. brelth of geo9raphic rEpresenlation In Europe aThJ globauy. dwer5ity. aThJ enha￿ThJ opFO￿nItses for residents k) COntr￿￿te. This plalleffli has proven successful. a Futw• Pul)Ilutlon& The wblications and CPG team will o)rrtlnue tr> E)n prw8$S improvenwls in ts ye8r 8h&qd lo ewre Ihat aF¥ robusl and effi¢ienL Thi$ w￿1 alow vs Io sUPWt the dehvery of the s￿r fDr Ihe strategL tjevthpmèrtt of Ihe wNtson's P￿d￿) and guidelknès p￿r￿nMe. Wo have an amb"It￿$ CPG pdine. 14 woJe¢ts ujrmty The CPG D￿tr and Gux1elines prc4Jran￿ Mwr 7Arrfk ck6ety Ihe 8ppointeLI CPG Chair aThJ c¢mmtuee members to ddiver the PiC•yamme and ccmbnue to devd¢Jp the pSFdiTre. In addikn to fOC￿￿j engJiH)g the continued success Oli￿ the rdaunch ofth¢ Icvrs mison and the new podcast series. * wll aso explore other naw initBlives such as public8tbJns aTrJ guJeltneHElaled W￿n￿5. The EACTS Annual MEeting. We wll deliver anoth8r world4eadir9 Annual M8etirwJ.' lir￿ing our 1nnDVgti(￿ in prryJamming gxpanding on key successfiA thgm85. Th8 theme of Il 2￿4 meetiryJ is Na￿￿￿.￿￿ HoTiZOn5. We wdl gather logether rnembers 8TrJ industry p8rlner5 in-Fe￿￿ to nawi8te rw htirizon5 in order Ic innovale, i5cu4er and educate. effects.￿Y gJpport our global c4)mmunity. ￿tiMat￿Y imwo¥ing Jiothora¢x suvjery and offering better skn15. better surgery and bettw patient tyJtfft5. Those Unab￿10 attend to healh ctravef ￿trICtionS￿lI be encouraged lo participats by tunry in online via the EACTS TV Channd and by ts￿ng advantsge ol ryjrwdeo dernaThJ lilnry. regi5tr8iKm wll ￿¢¢ 3aTn be offered lo rJJ Ukraini•n based ttmbers tAtho are able to atteThl wvia the EACTS TV Channel. TheEACTS Edu¢a￿oft PN>grAmm& The E4CTS Ac8d8mywiH conbnLe to ￿ere8$e the nu￿￿e¥0fr￿nr￿eIeèrn1ng Oppo￿ni￿es. as reFna4ning aCc￿1b[e to Durg4obal member5 L1 cdWLPS isr•ve. The nthy w•bKw3 il ensure ￿UCatI￿ cyjvèring a wkler l)reèJth of our 5pecaalty ￿ avadAe to al of ow members. Vlith over 46 cOu￿•s, byebin8r5 aNI meetin95 plan￿d tr Ihe wt year. ￿ EACTS Arakmy cDnlinuès rts ccmmhrnenl to ed￿1￿ in Ihe cardKth)racic r#)mmunity. The European BO¥￿ of CardknThoracle Surgery (EBCTSI. ExamN￿tiOnS h84p 8uccessfLdly Moved Ilir questi￿ bwk fttyn R¢Jley Systems to Suryw> The Level l èxarrts b8held fft Seplemtei 2024. ￿1n in test centres aew8 Europe. Th• Eur(p8an ASsKaa1b￿ tr Cardi0•T￿l￿￿ SLllg8ry 13

Tru¥1￿. R•port Yaar to 31 March 2024 The 2 exa￿￿ will be 2024 at EACTS How in Windsor. The inawural Clits￿l Cére for the C8rthJvasuJar Surgeot) Exam Level 1 ar￿ Levd 2 Icok F4a¢e al ￿cTs Fv)5e in March 2024 wrth grEat suceess. There was a totsl of 8 ap￿iCatiOrffj with S canthdai8s sithng iK)Ih L•vel 1 & Levd 2. Al 5 carn1idates athieved & The Francis Fonlan Fund FeHoshlp Piogrnmme. Thè Prtgrnmm• VAII cJJnUnue to offw ￿rIVal￿ OFWtLnili&s for EACTS m8rnbBr5 to advwKe th8ir Surgi￿ edLKal and learn fr￿Tr WLKI￿r￿ll 5urgeows at Ihe most p￿$t1910uS w)stihJti￿s obalEy. In 202412S Ihe Fthw3hip ProgramrTP VOYI tVPJ5 pwti¢)Jlady on ?n5urin9 IhBr• is a¢rths lo training across the breajh of lea¢Jwsth"p, researckn, ard education in al of the As6￿1￿tiOn'S kgy ar￿ of forus. Ngw QPFOrbJn￿.Bs wll ￿ availablè und8r tho Franc4s Fonlan F￿¢j umbrdLg. and kok frJrw8Jd to sh8rlng the8e wtth our ￿MberS The thality Improv•￿ Progrornm& EACTS wll continu• to V•DFk dos•ty with the QUIP Cornmitte¢ and PAutt Database lask flyce to redevelop and publlsh th8 improved EACTS Surgcal Da18t￿se as Eur￿.$ leaditva 'Regsty of rogislrie<. EACTS ￿urth the Registy in Aubjmn of year. lo ensure the conb'nugd partippatitin of h¢J¥Ktal members and suptYb'ThJ them in SLJbmilbng data and aceessiwtg the Ic4Jl fDr benchmarkry pury)oses and ￿OrtS. EACTS kxsforwwdtowe1c￿fiWng new hDspII arKI naixml SLwxties to th8 EACTS Datsbase ￿nMI￿ty. The for Cartho•Thtir￿ Surwy ts a Chants￿8 company limit￿ by guarantee a registered charity govemèd by its ￿m￿an¢JUM and Ar0￿￿ ofAssc¢latiL IdHnty nLmber 1140274: company 074017651. The Coun¢1 a￿ Twust¢es of the ChariLy las Ibsted in the Art￿eS of AssoD"ab"onl for the rposes Charilies AL 2011 and arn co[￿ dirt£s for the purposeg of the Companles Act The buw#s6 of EACTS k£ CA)nductJ by the C￿r￿1 under the leadership of the retary General. In any mattws ec4￿miT￿ irKewetabcffi of Ihe nAes, the decion shal rest with the Trustees. wfil ￿$0 deLbJe any mall￿ concerryng lheAssoda￿0n b¥thich are not c4ver•J byth8 nJ8s. Thelul vjleslDrtheap￿OnIr￿t orTn￿￿e& gnd Iheiro14trJ8lb)ns. wec4nlain thin tho m•ff¥)ran￿ffl & Arbdes ofA$scrtiK￿. Members ow? to bBroTh Tntsiees allw tafKJ rocommgnded by the Nomin¥tion¥ Corrmirtee. As part0fth￿r1WdU¢A￿￿S(￿$. Tntstees spend time with Ihe Se￿tary General 4nd Chief Exéetho atttr)d a meetr.ng at the Office n Windsor lor via video Conferer￿). with the chanee to meet ￿ slaff mmbers. TW are pwded wjth lob d￿ptiO￿ annual r•wts. minules d prevk)us rnee¥ngs wrth awAs8 10 n èffecb'¥e 9ovomai￿. Thè Ewrwn Assc<Iali￿ for Cardio&Thoraoc Surggry 14

Trust￿. Rwt Yearto 31 March 2024 Structur< g¢Yd•rn•n¢• and managwn•r•t (l￿ti￿￿) The Trustees serving during Ihe year Ihwr twition$ Wd al tho financal year gNI were 8$ fdlows.. 07111Y2022 kn￿late Past Presidenl Pr•5id8nt PrE5vaen¢ CEliorJ)23 Prèddent 0711012D22 ior20ZJ Frnnca Mdfi 0711012022 Vdknw Falk rMor2023 F￿d￿l￿ 8oywsthrf 0711ty2tr22 AaVJMas Siepe tW1012tr20 LW1012023 vte PresdeTht iW11Y20TJ Past Pwd E6rtor4rTrs and olhw acth¥￿5 whth may te esta￿Bh?d and ddegated by Cwnal. As at March 2024. EACTS has 4 11 &trve organilats'onal rJ)mmrtl8es. 2 standlng fJ)mmTNees and 17tssk forces lexcludtThJta5k fcces set vp for guldelines. and th￿e$). WKI •Ui¥ities ol 9￿pS bebtr. M￿b￿S and offirA81 thang8$ lo terms of ￿f¢￿TrC (Micbjding task force namès. obiths anLI aclviiiBs) are bieca to app¥cwal by Ih• relo¥￿t Lknon Chair arwj EACTS CwnrAI. The ELwwgan Assc£Bkn for Ca￿l￿ThOra¢￿ Surg8ry 15

Trusl••s' R•port Yeto 31 Marth 2024 A5 at Marth 2024. EACTS has 11 Xtr￿ orywusathonal and 2 8tsnding ts)rnmittees. The PrtrTrniree C￿m.1tee was set up in 3)23 lo el￿)Ure98 and Increase gernent1￿rned￿c strJd￿ts ond wtrtraiftee dodorSht￿ a￿ passiJnat8 about pursuing a career n cWdu￿￿ariC surgery. Chaired by tsjical student Sam Bwton. Ihè Pr•-Train8e Commrfdee aims to offer wfyght Inlo relevant carpers. ryarl medical knovAe(53B and attract lThy￿￿JU￿S to be4Th the next generalion ofrarTlthoraric suryeons. In lir￿151th EACTS. FivtrYearStrat•gy, thè InThMlkJn Ccffi)rrritteevrns ostat4ishodtohamess the power of resewch and irmvatirffi tQ Sg¢Ln botter outC4YnB5 for patients. ChaitEd by Friedhefm Beyersth)rf arvj MaTI( Hazekarnp IO¢puty ¢t¢firk the ¢ommitt¢e'$ wrpose Is to d8veW a¢MJ maintain EACTS. firnl Innovation Strategy. Over￿ the activilies of the InTh)vaticffi Htsb, prov•J8 on [￿a[Ch pr9&￿ pforTrranc•. and gupJ8 l￿As$￿ation thnovakn mattws arKI grant dtsln"LMrtion. The Humanitsrian CclThYk￿ estai41str•d kn 2024. chwr•d by Carfos Mestres. to drive development trwoiJJh educats"￿al ar¥] NJrnantiWi￿ rnissil￿ ￿ developing ￿￿ntries, AJI commrttees are goveme(l ty EACTS play an actr￿ role in hing knc4ation meet ts r￿jectiveS xwgs$ a broad range of arEa& As al IAarth 2024, EACTS has 17 tasKfor￿ tasklc¥cèg. Th?re wete 5LYne name ehange53nd [￿1 Chairsforthe VasrAAar DomanTa5k For￿ whith arg rThoffic4ally cglled.. EndovaseLdar A0￿ Repair. chaired by MaLaei Kalr￿a Hèritabla Thorn￿ Aortk ￿"Sease. by J￿la Lmjmfar CpJebral artd Prcleclion. chalred by Idaxirrfw L￿r The Europ￿ Assouatr￿ for CarfIrtrT￿wc Surgery 16

Tnt¥t•W Report Ywto 31 Mth 2024 Upd•tes 2023- Atsrch 2024 (conkn4 Task F•r¢¢s i￿￿d Cavdix IA} Surgery IA) ethyniial V£art 1¢) Ad￿ Cwabas8 i¢JAPI Thordc4C Al￿￿ Heakh Prolesslords Clinical Prathce &vJellnes Vèscthr (V) AcitV8hKindLwSroAV Rwair IA} EUROMACS FwrKe and OpErabwi$ l$iaTh11TrJl Frantys F￿an Furkl HumarAtorlar4 CorDW (AI Enrky4asolJrA¥ticRBPa¥ (Vl Hoart Fal¥e IA) 12ualty lrnpro¥8rn8nl Progwrne Pr￿TraInI• & Trnw IA) IStsfvYtr91 Now Teclv)dow IA) Worn￿ in card•￿Thor•ry¢ SLMyJry Sdttary F￿h)￿>￿ry (ri TranÈeavtsr T6(￿u￿B (AI SciEhce {Al The alrn gr￿p$ ?Te ts b8ctsJne of ￿ tygani5k￿ 8rwJ ￿•Y an Thrpjrtant rtble In ihc EACTS n4s3ion, leajetshp. acbvtye& EACTS is conbnuously updatrg and mnloring 90vemarte ofth¢ aPThe grc4Eps lo bettef rellèct ￿ tranSpa￿nCY and impartialty wth whith EACTS govern5. OppDrturHbe$ to ion DomairLS. Crynmrtt885 and Task Forces opèn to dl EACTS rrÉrnbership. I•￿￿be[S Ère selected ¥ia a Se14￿￿natiOn Process. based on Ihe wdwant skll sfrL experi8rKe rtor requwements for the $pedfic group's purrose. In Lxses lè.g. knr Commitiee Ghir rcdel. Intèrvi￿ may be hekl by an EACTS Pond. The selected candidatss wll requre 4Jwuv41 th¢ Seuetary G￿eral aThJ proposed at quartth CLwnul meetsr¥J Al the of Marth 2024. EACTS empltsy8d a tola of 21 ernploy•ès Ihe WindBor office. f￿r of ¥hM>m %¥owk p￿ttiMe. Io SUPPL¥t the deli￿ry of the or93Thi￿liC￿,s obpthes. t￿ring the year, fve rth¥ siaff Thmtes We￿ emwetl. The Associalion eons*X•rs ts key manw8ftt to c¢4nprise itsTrusloès.' indyding Execub"¥e Cornmitt89 Cmkets clthe A55walwJnl. the Se¢r¢tsry Gengrd, Ch￿1 EXe￿ti￿. Thg Eurcywi Assoc¥akn for Cafdir>Thorauc Surgory 17

R•port Ye to 31 klarch 2024 Strncthr•. gov•rnanw and mana9effl•rt Truste¢5 do ThJtrece¥e any for lheirs￿ as Trustees. FACTS wews ernpwe PAY annuaty. The on￿lSation ¢￿S￿le13 an io inflatDn (considering national guid8rte for inflat￿￿ av•rdg••amings I￿￿ Foceding yearl. Th• Councl also reviv￿ pay for the Chief Exeth behaf of the T￿te8$. 3nd th8 Chief ExetxrtNe overséès this for staff tean. Durfflg the year. a comwehensive perforTnanr rewew, objeclN8 set￿ry and appraisal WLess w85 inlfLwJur￿I for8ft staff, IndLvJhg ihe Chlèf I support tfre delI￿ry of key slralegc obi&#Nes and ill. over tNne. be exterKled tt> on apptai5al wctess kn key bitst88s and cou￿1 offiws. asses5mentof r￿k. b#s¢d on likdy impad on Iheorganisatk)n's abltyto thriye. and1Skelihc¢J. An occNnp8nyirrfJ mar4g¢ment e4ynmenlary delals the St￿ taken {w to be tskenj to rrli¢yate the risk a resuMwpJ.adJ"us￿d rEk srxjre. is recorded. Current rls of gre8iest wKlude: Annual MB•tlnH: Problem wllh Venue or'act ol God. Imp•Gts fftnL There 1$ IRle the ASs￿￿￿"0n c2n do to amaorala iftwl ofeither ￿ international {e.g. ihe 2020 W cov1￿19 pandernKI. nalKJnal {e.g. Ihe Eyjafialajokull vokano erupb.on that Im￿9￿ E¢Jr¢¥an tr3vdl or evgnt H(Mevèr, venues fc¥ th& Annual PAeeliry are alwayB cha8en ￿ surèty Irac& rnc£d in Msting similw evenis in mind. and comprehensive e¥8nt insurance i% afvways in ￿•t to •ntlv)rydte lh• npaci of 8rry latè stag8. unavcidabl• canc81lal￿n. I Pubfj¢aIlo￿.' op￿ ac¢e8s and thg chaw In lunding around OA on th• management of our loun￿15. For EJCTS we current meet mrAI funrfw mandates arou￿1 OA thrDugh 'R￿d 8nd Publi%h' ogr¢8ments wilh ¢yJr Pullisher, oXf￿d Un￿￿ty Prss. Icvrs ks eonwiant with 81 mandaies Bs 8 luly Publlcatlons: Publlshlng athleal issus findudsng plagiarism. author dissyjt fraUdU￿nt dats etc). Stsii5tiLl w•ws arè for ail otiginal res&aTch by a t6am of statistra re¥￿￿5 on th8 ioumds e(lorW boards. We also ￿9ve an agreem8nt In F4ac with Ihe UCL 10 5UPWt ￿ mel&ans15 Trthere conrxns are raised on speryfic P4JgWs. OLM PutAith8r atso 5x0￿￿o$ ¢1￿￿n9 Softw￿ lor lagggd papgrB. AssGiaDon's s¢Nic¢ IT $L4)POrt pmmdef. ￿lsee$ and regularty lests EACTS IT All apprwiate meagjres are in F4ace u￿rUding mults-fact Thè Eurtyean Asaociakn fcff Cardv>Tly)r8cK Surgwy 18

TN$tus' R•wt Yearto 31 March 2024 Flnanclalposlrfon The statement of finandal aetNllSes pwJ• 28 gjmmarists inc£mè and expenditure for th¢ yw fu Ihe charrty atyj its subgdiaries. The balance she¢L which shovts the kxjsilion of thè ¢hitat48 c4mpany at th• y•ar and th• Trust••s Consider to ￿ 5t1￿, 15 on page 29. The Trusl8es cc•%¥Jei the ￿¥￿1 (rf rjjrrenl reserves of Q2m is sifficEnt to Me￿ fvbJ t>)mmrfments. As at 31 21324 free wr¥es b)tsknJ é8.005.Q9512D23: é19,683,1071: thls the (swJn8kn of 12,627.803 ink• tFAssocaalion's-Inveslment Funrf. Ths free reserv¢ És in lin¢ wrfh our stsled rgsw¥gs prlKy. Thè AsscAng ¢Jn rec(wery stratew tty enhance revenue gtreAms. We reoywrLe the trA￿gEs ahead and a￿ xlNdv to rnib.gaie any impads. Cm th• ¥Ju¢￿￿n front. initiatNèS in the carditrtFbxacic fièld T￿4n IJS5￿ak￿g. w8 818 Fl83￿1 ID reF￿an acbvity levth. Our eommitm•nttoeducaUng studenls obalty conlnu8s urwbated. as * recL¥noe ts wnpyi•rK8 offtssterirmjts next genwali ol prDlessionais in b)is rAitKal area. Our reserves tK4w is to makniain gJffi(aent cash reserves to ctyer lh8 cx)Bts of Ih? As￿lation- iThJuding al educaiwl athty. membership seryKe5, PUtAtsticfis. QUIP and Annual PAeelrwJ &bvitb5 - fLY up io years. AsgJning no income s achieved. Thls IS rJJrMtJy the equi¥rt ol wowrrAt•ly &8,(￿)0.0￿. Th8so fLnds wll bo kepl in short lo diuffl Iwm. aC￿￿lIe inNestmrt and ch depcThts. As 8t 31 Ma￿h 2024 free resetves lotaled É8.Ci)S.09512023: E19.683.1071., this fc4lows th¢ destgnadon of 12.627.803 in the Asscthtson's InveStm￿t FuTrf. This f￿* re5erv¢ is kn Itne The Ewcy8an AssodaknftrCardl￿TlM>raThC Surgery 19

Tru8teu' R•port y￿10 31 March 2024 Finandal v•vlw (Cor"rw￿1 The In¥eslffwnt wats of EACTS arn man￿￿1 in ac4xdarKe wlh the Fb)wers ¢Xrt￿ned Ihe Trus￿ Ad 20CXJ. InvathntaKrK8 8nd c4idNes EACTS c￿nCl has carBfvIty Ivw bestto utlra• ￿rTe￿fr80 r8$ar￿8 in pursuA of c￿r￿arItable obsects. To tr$ Councl has eslatrAi%hNI x design Investmertt8hn$ and (&nIl￿d) Inveslmwji FuThJ' ot woxwnatety £10.O(KI.O￿ tAaced In a (wlih Saraslr LLPI At thè end of eath finanraal yaar. at l•ast 2.5% of the capital value ol thk8 fimd wim be Thé FR￿1$ F¢￿rt felkT•&shlp pmwim. The HL Ires¢arth and inTh)valm g￿15 prograrnmè). Other rekni( clkqiitsble w(J cau$¢s as by CcyJnol. 11 is ojr intenlKJn that the totsl catNtsI value wdl not lal below the starbro value of th• inve8trrwnt81 ￿1mm￿j of that year armj iThYee(I shoukj ￿lI￿nIe to 9ffYW in orderto match In addityon 10 trms inveslmt. other resems ¥AI be rel¥ng1 lo mBet Ihè ASSO￿atiON'S reser￿ pdicy. In¥eslmenl¥vpad Th• Inveslment FuThJ- kwtwm reserNes are not raquired thè runnirg of. or the rB58rv85 of, the Asxrfiabon. Thos• funts wil b2 placed in IOEWJ téTTll. lèss a￿eSt1￿ Irwestment fijnds so as tr) preserve the capW value a￿ad of Inffallon. Th¢ m•d￿term rèser￿. t￿￿e we 1hat my b? requireil by the A￿l0￿￿n In 1& 60 rn￿th> *ill bE Invested in cash de$￿ts thi likety wtth kryer ierms and inbr•st rBlums. Shcrt4erm reser¥gs - thes8 aro fuThJs in 12.18 monlh6, repr95enling Ihe Assoualion's SIK￿￿t¢[rn cash heed& These funds wll be irNeste(l in T￿lty realisab and lovpftsk assets le.g. cash. of d8PWit. IN4u￿llY lunds) indudkng Ihe The Europ8an fry Cardl￿Th(w￿ Surgery 20

Trustees. Report Year to 31 NlaTch 2024 Financial re¥kw (ti)nliK￿l Ri&t kèy risk b) the reserns is nfiaiiDn, arKI Ihe &￿ger4em7 and m8d•JTrte as￿$ KKJfvJ be ￿)ves18d to ftHtWe this risk. gcceplSng that the portklb rw experience The Investrnent obiecive Ihe Innovaoon sh￿￿j be by Inve5Wng In a raroe d divetsified assets, in&TrJing equibBS. ljorth. VryBrty. ￿h, and alternative The short4em re5erYes ￿ hekj to kYo¥ide financial seojrity. and may ￿ rgqured •t ¥hort notico. As gxh. caprtd vrja1l￿Y c4nnot bè tolefated and Kweslm•th of th￿ a￿tY shoukl befo0j￿ on Min1r￿n9 Ihi Additi"¢)naty. EACTS YAI s•8k to ￿lis￿ a rnrwJ8 of 9cod qualty banks ar￿ investm￿¢ instiiuticffis in oryler tO'5wewJ' the Asso(xal)n's assets acro55 a range of hclder5 in order to rninimh￿ ii5k shO￿d any Dr oftNw lnsl1tut￿ face collapse ItNs ￿CludeS utilislng ¢8sh management as InswJrMsl. The investments b r¥wnag¢(l in a re5Font4è marffi8r. ¢n￿rty￿en￿. socaal arKI Inves1￿15 in o)TfPaW4E5 ith a rnwial tothp b8ttyrt shodd b8 a¥￿￿￿J.. Arrnarnents GartJin9 Toba￿). Th¢ Chanty has appolrrted a inyestrnenl man•je￿Ifirn7 to rnanage the assets on a dwetionary bas$. in lirw with ts jnvestm¢nt poli¢y. Thtr Charity h8s ntsmined a list of auth¢ysed swton"es. whth are requirtd to apyove irstrudiDrts to the Investmenl maTW. The fronaggr f￿1￿￿ng intornation on a quartwty basis.. valualion imfestrn&its. transac4x)I fpFxL (￿)ncI￿r￿)n. p￿rf￿rn￿ analysis and ojmfflenlary. The Fiwce & OpwatK#i$ Committee {F&CC} have respw5it4tyforadw$ir¥J Cou￿11180ard ofTrusloosl on Investr￿SI￿tegY and lor rD)nitoring Ihe ￿¥85￿ne￿I asse1& The F&OC wll rnviow IhB w0￿ded by inv*nwt rnan4er ¥t eath quartarly m•81iNJ. The European Assc¢th fw Card1o-ThrnC￿ 21

Tnwto0¥' R•wrt Yearto 31 Mwch 2024 Flnanclal rovlw• {eOntlr￿j Performance of the long tsrm ￿SeNtS be measured a￿"n$t innat￿n and agfeett market indKe& EACTS does not ery>3ge in put41c kndr#tslny ¥•J does Ml use fundra16ers crMnmera81 Fwt"cipator& 11 nevethele55 obyerves relevant kndra￿lng regulations ¢coJes. Ouring the yew Ihere w8S fto nonrrtertt and (>)utses. ￿pPDrIlng the Journal Edrt￿aI pr(¢ess arKI thliverw¥3 IhB IMWI ¢pAlity Annud MeetiThJ prouyamme. ReJat8d party trartsactir£ are dis¢kned urtler 18. St•twn•rf of Trusiees. responsibfrti•s Th8 TrusL88s (who are also t1ireclcrfs ol th& EuroFwn A$s(oati￿ for Cth.Thry¥¢i Surgery fd. In prep￿"rothe#effindnC4￿ statements. the Tnk%teeJ af• r•quYed to: wlable acrawlir￿ 8rWy them Cl￿$1$11ty', obserye tr nthc¥J5aThJ wwKatde5 In A(xwnting ar¥J RepDrflng by CharflfjBS'. Srathmoyrt of RecrwTwrthdwJ Pr8¢tyce to cl￿1￿95 WaparW￿ th*r accounts in acco￿lance wilh Iha Financial Rowbll9 Standard aFrficaWg to thè Unit￿ ￿n￿￿0M and RewbI￿ or Irda[￿ IFRS i￿21. slate ¥pFIKabl¢ UThled lfjryhyn Aro)unling star￿ards been followed. bjed lo any mat￿¥al dsdosed arxl exptainÈd in Ihè fironc1￿ st8t8merrts',

Tru5tB•¢ R•port Year to31 MarGh 2024 weFwe the fina￿￿81 slaternents rm the going ￿rtern bags unless it b knapproprfate io esLrme that th9rity ill cortb.nue in otwath"on. The Twslees are ￿pc￿l81bl￿ proper acCow￿"n9 rncords that disdosè abte at any lime ￿ finartid of Ihe ¢haiity 9r¥J ¢w4ile them to ensur• that the finanu slalwnts c(nWy ￿ thE CDmpaniES Act 2006. They are aL few&bie lor safegvarding the assets ofthe rknty and hence fcw tafr4.ng reasonaile steF6 ftr Ike Pr￿lI0n and dthckn tsffr￿ arvj other ir￿Ula￿￿$s. sofarJ5 the TfU5tee 15 ￿￿e. thwe 15 Th) ￿￿Va￿talKI1[ln1r￿al1r>1 ofthth Ihe charitys au¢fftor is un8w8re'. and th• T￿sItt ha5 laken all ￿ eps that￿5￿ 0￿1 lohave taken as a Tnjsiee In (xd•r to make hinselflherself awart of any reknnt audit irrformalon and to eslablish th8tth8 Trllse£xthrnalKin ￿ gibpn WKI slwkl bo interpr•W in •yA)nlance ryth￿ provi51onsofs418 ofthe Companw 2(¥J6. Th? Truslees are re￿￿ble tr lh8 mwntenanc and iWrity of CO￿￿rate and finarrial infcmatJn induded ￿ the charty'swebsit Legislation inthe United Kingth)m govemiryJ the pwarniic• and disemnatrn of financHI 5tstements rnay drffer frorn I•31￿8th)n in other jUri5dictK>n5. AFfffoved tty the Trustees on." Date: 8 October 2024 Th• EurcpanfvsstsiaiM for CardifyThorxic SLW 23

Inthp•nd#nt aLklIt0￿$ r•pwt 31 Marth 2024 Independ•nt auditorf$ rèport to th• Trustws and mefflbvrn ol Th• Ewan Assocl•lion ft¥r CardknThorxi¢ Swg•ry nkn We have audrted Ihe ffinancial ol ￿ Euwn Assodatk)n for Cardl>Tfvacic Stxgery fthè par•)t thwity.) and its subSid￿￿e$ ItCtyJethef known as Ihe wp.) for the year ended 31 X$24 ¥hwch eomwise Ihe consdDJated statem￿1 of financial activities, ¢hÈ balan¢¢ sheets. the c¥Jnsc4idated of tssh Ihyws and not95 10 tho financ￿1 tnts. Indudina a sJJmmary of siwfficant aCC￿n￿.￿j pdicies. The fiTrancial repo￿Tro frame%%tyk that has teen aprlied in Iheir prepHralk)n is aFfdkable law and Unit8(I W(Jom K£wnDng Standwds, indudirvj Rewitry Standard 102 The Finanual Reportlng Stsndard apF4kat4e in the UK aThJ Republicof IrglaThl' {Uniled Kir¥Jdryn G8noraYy AcceFled A¢counb"rwJ Practir). • gNe a true and fairvbe of ihestste ￿tI group's arNI ofthe pa￿nIC￿8ritY'$ 8ffaws as at 31 Marth 2024 and of the ￿0￿p,5 incom and 9%￿nditsjr￿ for th• year thanèndod: have bewt pmperty prepared tn act￿￿￿￿￿ with unit￿ lfjn￿ Genw4ly Accep unting Prxbeè,. 8nd Basis for oplnlon We cL￿uc1ed our al￿art in xoydance with International Standards on Auditing {UKI IISAS {UK)l and applicat4e law. Our respytsi￿itieS under those standards are fvrth8f described in th&AU￿rt0￿$ reS[￿l&bIth$ forthe avditofthe slalements $8ctkM of our rewt. We are 1ndaw￿8n1 ofthè wup In acciydance with t1 ethi(al rewirements that are rothnl to our 8utJK of the firTrancial slatements in the UK. induthng the FRC 3 Ethral St8nd&rd, end have fiJfilled our other ethic resi)n￿bIlbes in accordartrr wilh Ihe5e rgourynents. We beleve that the 8￿yrt ￿￿16nc8 we ha¥e oblained is suffKieni and appropriate to provide • b4s fry¢JJropinN)n. ConrIu￿0Th9 relatlng to wlng In auditin9 fin8nei& statemerts. we havè c4Th￿￿dad Ihat TrustWS' US8 of th• goitVJ Based on the h8¥e pwlormed. ￿ have nol •Jeniified ￿ mèteri81 vrKetsinties lating to events or condrfw)ns thal indr¥idL¥lly N oYlectNe]y, may cast ￿nif￿ant doubt ¢ the o)mpanYs aboty to o)nb"nue as a g)ing concem for a wiod (4 at leasi twefve mcffjths frDm when the finanoal statamants are aut￿rE&j for Lssue. Our r¢sp)nt4iti•s and re5pThkn￿tio$ olthg Trustees with respaci to wing corum are described in thè thant sèetth5 of Ihis rapNL The Ewopean h3soliat￿ for Carth(Th￿c Surgery 24

Indgpndwrt wdllorf5 rnPOrt 31 M?￿h 2tr24 Oth•r Snfonnation The Trustees are rgsF(ffisltl• Ihe ovw irrfvrrnatiw. olher inf(rnVoft comthes the infc¥m8tiw irnguded In tr Truslees. repDrt othgr than the financagl staterrents and our authrfs report Iheteon. [￿r opiniw ￿ IIE finanu81 statements does not c￿r th¢ ￿er irrfcfmknn aThJ, oXCePt kn the 8Xtenl itherwi5e exFlit¥ty stated in our f8pur( wg do not In ￿bne￿i￿ wryth cwaudit fmrKial staiements. (xjr r•s￿)nsibIrfy 15 to read the dher infc¥Ma￿oft and. in doir4J so. CMs￿r￿hÈthÈrthe olher iTrfmation 15 Materf￿lY Incon￿Stent ¥Jtth sblements or eur knol>Jge obtained in the or DtheNtse appe¥r¥ to bo misslaled. If i￿￿￿fy such meflat inctx)sLstènciti$ OT apparent merial misstatements. we are wrEd to deiemine wheihèi thern is a Matèri￿ misstatement in the fin￿1￿ statements or a w[￿lerIal ThysslatemgTrtdth8 othgf information. If, baswj on th8work wo are requYe(I lo r•￿rt￿atts W? hav• nothi￿ b rep￿rt in thi5 regard. In oLrryMnI￿, based on Ihe th ￿dertaken in the course ol the wdiL. + thè inlorrnation gNen in the Trustses. which i8 also the thr8cbrs' rep)rt for I purFY)sEs of company law. fty IhE year ft whth the fin8rKt stalgments are wepare¢l Is r£nsistntwilh the statements: • the Trnste￿. re&￿ ia afso Ihe d￿￿s. rew)rt forthe purposes of company law. has t￿ prepared in wilh apF4icable legal requirements. Matt•rs on Twhlch requlrnd to wrt by •xc•plfon ITh the light cl ts kTrJvAedge and understandirJ ol grwp and the par•nt charfty and ts enNironment Obtai￿ in c¥x#seofthe we I￿Ve Tr)t l¢j￿tr￿ed materd n￿StateMeNts in the Tntstse5' rewL We have r￿h1ThJ to rewi in respect ol Ihe fdlcAMffj mattÈr3 in to whth Ihe Coryjanias Acl 2C￿ us to repori to you il. in our OFmiOn.' lawate actounth"NJ rÈc¢#ds h8¥È bt•n kw ty Ihè tharilatlÈ parert eompany: or • thè p8rent cA)mpany stalm8nls are not in agrpennl with Ihe ac£wnting reco￿$ *¥J reiums.. • certain ofTntste85" Thwwnerntian spepfiBd by we Th)1 ￿de,. or • we ha¥9 not rBceiYed al the Mknation and exF4analKn5 W8 require fvr Dur audiL' or sffl￿ regirre and take allyants￿ of the ynaR crynpanies, exernplons In epamg the Tnjstets. and frrm the rewirnment to prèpare ¥ sbwic rewt. The EurDpean CarditrThorarAC Surgery 25

hl•pondent audltorfs report 31 Marth 2024 Responsibikttes of Trust••9 As ewwed rrmxe fiAty in IheTrustees' r8spMsbdlbes Stalem￿ ￿ Try￿1e￿ {who¥o also the dire(lor5 of charitable oynpany ts thg pufFoses of(tsnwy lawl •rè fèsptsnSib￿ for Yepara￿on oftre fina￿lat ststsmnts trbeiThJ ￿tI$fi•j Ihalthey give a true an¢J faTr view. and tr swh intemal contrrA os the Trustees dgtennine i& necessary to enable the p￿ParatiOn c4 financ44 tstements that arn fnjm material rni5stalem¥nL wlwther Llu• to fraud ￿ error. In prerArirtg Iht financxal slatemenls. Ihe TNste8s are rosFonslb￿ #&qesslng the group'$ and Ihe pwenl chariils abthty to c•ntinu¢ as a LrfKem. di5dgsing. as appllcat>le. matters Tel8led to goipg o)ncem and usin9 the cimcem ba515 (rf 8cc¥)untiny unless th Trustees either int8nd to liquMJat8 tho wp or the [￿t (arty ￿ to cease ¢)pèrations. or hava no redthc alt8rnati¥e but to do SIX Audit¢)rf• r••poMibilit8 for th• audlt ol th• firwKlal stmert¥ Our('Bdive5 are to oblain rvasonaLd8 aSSurar￿ about￿0th￿t the￿na￿l￿ ststementsas a whde arè fr88 frorn u&erial mlsstat•m8nt. wholher due to frdurj ￿ efror, and to issue an auditorfs r•KJt th8t Ind￿ ourtyrtNc•I. Reas0r￿483ssIrdrtt is a th"gh16vel ofassurance. but is n¢X a guaranteetrwt an auditecmwjucled in ISAS IUKI wll always detect ma￿rIs1 mtsstatem•ni when il fr￿sts. Misstalemenls arise Iforn ftaud or grror and are consider&J meri rf. Inthhjualty or kn the 89Jegak. they c(Jd reasonat4y b8 •xF4¢t8d to infiu•ncè the eco￿rt de&S￿S of users laken on tr bays ofthese fina￿Statemtrnts. d&wJn wccedures in line with rJJ resronsibdthes, cthined above. to dele( matenal misslal¢mwts in re5P8Ctof irregukrities. I￿￿1￿9 fraud. The èxtsrtto whith our pwocedufes we capat4e Df detecin9 irrEgulaTilies. Fndulry fraud is detailed bolow. Our ap￿￿Ch trj lE1en￿"rwj and assessing the of materw rnL￿tatement kn respect of irregulan"ties. tThY(pJiro and nonvCaY77Fdianc• wilh laws and rtyulatsons. wag as foWo¥w. • the e￿agement partrw ertsufJ IM the ergaorymnt fram cdlecb.vety ha¢J the apweFrfi8te competence. capabkns 8fKI sk￿$ ty) ￿d￿tify ¢X recogni5• ncn-compliarce • we ¢btsin¢d 8n ¢lthe legal 8Th1 r•wktory fr•m$￿￿kS that 8￿ applkabl¢ to the clBrrty and d&￿ined th81 thè most sNJnfficant frwnwks which arè d1￿cl1Y rekvant trj specthc aswtions in tha financia statemerts are those that relate to thè FO￿ng frarneth Istatement of R¢com￿n(w Pradic•." Accounting and Repoi by Ch•lts"es pr¢pkngth0wa￿(wn￿ in aC(￿darthW11h the Flnanaal Re￿rtIng Standa applt4tle in the Unrted lQ"ng¢kni and Repu￿￿ of Irdand IFRS 1021 and Ihe Companies Aa 2UKI those thatrel to data (Gowal Data PI￿8Ct￿)n Regulation). We assessed the Sltsceptib￿lty ofU tharity's fvwnoa statel￿rts to matenl mbststemenL indu(lThJ otsalniTrJ an uThJgr¥lwvJiTh3 of fr•KI rnvjhl c•xur. ty. • miThJ ￿qu￿leS of management as to Ilw kThyhle&Je ofa(aual. wJspg¢W aTh1 allèged fraud.. and condwing tho irtsrnal c£nlth in ID mkna810 risk8 of fraud arnl nort.Ctvnpb8nce with law5 aryl ￿p￿alTh5. The Europ￿￿ Associamfor CardirThorac¥c Surqery 26

Ind•pènd•nl audllotrs r•p¢t 31 MarEh 2Q4 lttofs responsibilitlts for the autht oftho finaM¢ial ststemerrts (conlinuedl To address th& r%sk ol frwd thr(Jgh mana9em8nt bkas orvj Ov￿de ofcLmtrDis. ￿.. alw rmdures fo ￿Y unLwal or unw8Ct•d retatiLNtshiF6; • iest8d loum81 errtries to Klenttry transacliorts. In to the nsk of Yr89ularilies and ￿n￿MF414￿ce vrilh laws and regulalions, d#sb3n&J I￿￿Ur•S￿th irKknled. butwgTr lirnited lo". • enwwry of mwwJomwt as Io and W8niial lib9￿ ond da￿. we inhernnl limltabons In LW a￿1￿ pr￿d￿re$ d8scthd above. mcrfe rèmoved that laws and regulakns aTr frryn finwJci transactions. Ihe less bkdy it Is thal w8 WDubJ become awar8 Aud￿n9 stsThJards limit the audit procedures requir•d to idenbfy norKJmrliance TMth and r8gtAation8 to erv4uiry of thg Trustees and other aterlal DwsStalerr￿ts tr￿￿ due to fraud can te hwder to detett th￿ those Ihat 0ri58 grrcf w Ilw Jw delilwale r￿%￿ment or Lxllwon. A further d•sttptKin of￿1 re$r￿￿￿"1￿5 lor Ihe audit of thè financ4al statemtnts is Ic￿ted on the FIn￿￿al Rewtir•J thntil's tbsite atwww.trc.Qrg.ukJaLthrysresw)￿￿7rt￿s. Th15 descripbon f(srm5 Parl of curauditorf5 f8PDrL 115• of our r¢s￿rt Thrs report made scAdy lo the charilable CoMpan￿S m•mbers. as a btrty. in a¢ctrdance ilh Chapter 3 Df Part 16 of the Crynies Ad 2006. Our audit t•mrk been vnd8rt8ken so ihat we mwjht stalo lo the eharrtablg (y)mpan￿$ m•miws Ihose mattars Ihai we are requ1￿￿ to state to them in an audit(¢s fftPDrt JXJ IDr no Other puwe. To th8 ftdlesl extent . permitted by Ivw, we do nrl aixw cr assume re$￿￿&bilrtY to othèr ihan the tharitat4vt ￿rnpany aryj ihe th•ilab]e wmpanvs mernbe¥s a5 a l)Ddy. lor ourauditwoth, for thyo for th• ownpJn5 ￿ ha¥e fcfrned. AJfjs(m Pyle (sen￿ StabJkJry Audfrtr*) Fw aThJ on teldf of BLizzaryA LLP 130 Wood Street Lond EC2V 6 Dale= 23 October 2024 BLozac£41 LLP 15 elwJiAt lo act as￿ a￿aitor kn IErms of 1212 of ts Companks Act

Consolldoted stat8m•nt otf•nan¢lo1 •¢tbwkn Oncludlng kKome and oxpenthre a¢countJ Year to 31 March 2024 T+JlBI fufftdts 2023 147.187 621 .177 6450$ 29.￿) 625.e4)9 8Y.177 a9.￿0 4.44iVYO 1681.251 6S1,qOS rd3.7 9)0.154 151.388 3,681,251 ni79G XID.154 151.988 ¥41,J 175AO 7,IIT,145 541J•2 175.4ZD •7.1n 7201.JZZ &T11. Totsl lfieom 11280 5.723,976 2.SS1119 514,1•5 12W17 2367.935 155¢119 1319. 2,319.966 19& 842.e•>l 122￿ 1814213 297.730 12.X) 0.540.423 1.281 J12 Z,6 135&112 2.871. 297.730 68%60 6,528,143 87.171 07.177 511674 1816.¥71 (816h47) •11.311 9llJ11 Netkn¢1ffl{Éxp￿thU1¥)fvr th•Y••ru￿ net mty4rn•1A In frJr#ls 5 1.4tr.9•5 1.4NgB5 (81&4471 (816,4471 Toialfund rd * i 13 21.•348&1 21.03%MI 21.85132B 21M52J28 166 21.03SMI 21,035.861 AJI of the grc¥Jp and ckiriVs athit* from OpwatiC￿S duriThJ ts above Iwo finanoal p￿ir#￿. An recoantsed gains ry Ioss8S w￿ded Slaten￿t offfinanual e4#Mtles. Th• Eur￿￿ Assockqlkin for Car(b.￿Thor8e￿ Surgery 28

34a￿e sheets 31 ￿￿1 2024 Gwp 2024 Group 23 Chef 2024 InngtAe fixed TaTrJilAe fttÉd assets 51259 t320J76 10.11 11627W3 14.460.771 512,590 1.311AB7 11827A06 1.352.774 14JS22B3 1.352.774 1.348,442 1.348.445 12 1.012M6 779.217 127D.164 8.458.317 7.326.620 .11.7T7.770 .609A20 21.015.310 257,935 415.541 533.099 7.364.091 7.326,620 11.7n.776 8.127.654 19.S57.408 Shryttwm deFOSts Liablie5: ytrdr 1.332.203 ¥.W5.095 19.683.107 4638.949 19.089259 21165,866 21.035,881 21,1191232 20,437,704 15 9.83i063 21,035.881 IA63.429 20.437.704 14 12,627.803 12,627.803 2W.166 21.03$￿81 21,091332 20,437.704 De&pwed funds ry Gerra & TNstee European As5coab"cfi fw car￿￿Th￿￿￿C Swgery. Crynpany Limrfed by Guar8nlÈè Company RegL81rat￿ Nun¥ 07401765 IErrnl and Wales) yo¥ed by the TrLtyt••s cw.. Dg .1 o . zoa The Europa8n CarthtrThrauc Surgery 29

C(•nsolid•ted sl•tement of Gosh flows Yeto 31 Mth 2024 44 2023 Cash l10￿fr￿rn op•rntiTru acllvlllè Nei c4sh used in or8ting 1794.8851 $41,392 113J21.664) 1.$05,17S lj7Jltrll 153.6401 4,451,156 111.TTT.7761 1512.5901 .274J33 151,3e6 Purchaso oll$t¢d ifwgstr PurLase 01t￿LI8 kn ass•ts PAovem•nts cffl Short Term Deprats Purthasts vf b)tsrvJltlè tb¥J assB N•t cash wo¥lded ty (wed Inl kwe5tlry aGtTrwii 11,690.0301 in ¢•8fv c•5h gwknlwrt In th• y••r 17.1•8.1531 {12.474.9151 Cash and ush •quTrA•Thts •11 Ap B 8h58317 20.933.232 ash and caEh equlvalomsat 31 IAvch 1.ZTO.164 8.458.3t7 Not•$ toth• sl•t•m•rt of¢ash ffwsforth? ￿aff ty 31 2024 A R•¢M¢illallon •f rt Move￿ In fvnds lo netcash us•d In 0￿ratIng artlvllkn$ 2024 2023 1816.44n 71+.195 81.170 2S.013 11.J111 1541?94 1151.386 1233.419} 187,028 272.12Z 1120.8831 06.180 (794,8851 In¥&8trwt inrArre Ilnwas¢l 0o¢ro•$9 n d8bby¥ B Ana￿1• of and Gwh equl¥#lrt8 2024 2tQ3 Cash at bank and i# h Tut•l G•sh cash eq￿r￿S 1.27Q.164 8.458.317 1,270.164 8.458.317 C AThalysl$ of chany5 th not dBl*l At31 2023 Cash at bankand in h8Tr1 Totsl ,188.IS31 1.270.164 17,188,153) 1270.164 8.458,317

Principal Accounting Polieies 31 Mar¢h 2024 The priThi￿ acthJ￿n9 prkns adopted, ludgÈmènts and key stsurEts of estimatljn uncertainty In preparntion of the financia 2tements ¢ lavj ovt beluw. Tr3e finanoal ststemèftts have been wtpared for # year to 31 March 2024 and are Tre finary>￿ slaten￿ts havet¢en bY8p¥wJ uthlhe hiryirnl costcoThbtntion iieff re￿gniSed at C05t or tran$8dlon Val￿ unle$5 otherwise slatad in the relevant a¢(￿n￿￿9 pdiaes Of thè notes to Ihese financial slaternentS. The fmn17a) slalemen15ha% been wppared in accordance fmlh ACC￿n￿.￿j and Reporting by Chants"es.. Strdlem8nt ol Recomm•nd8d Prdclicè aFWKaL4• to tharit preparing Ihe financial 4Atsm8rrts in wilh the Reportr¥J Stsndard aOic3tA8 in the United lQngdom and Republtof Ireland Ictsnbes SORP FRS 102), the Fmancigl Reporting Sard apF4Katl8 in ts UK aTrJ Rewt>lr of IrelaThJ IFRS 1021 and th• Comp8Aies Act Th8 dwity constitirtès a bèrfit entity as d8fined by FRS 102. Th• sktementolfinw¢￿ ¥b¥itses th baarw $lwt con501bd8te the assets. lipbilities. incom8 and eXpeThji￿r• of the d)8fity and its whjly owned ￿b$idIal7tS'. LICTS T¥8ding Compary L¥ntted. EACTS Pu￿sh￿l9 Limited ar¥J Europ￿ Academy for Thor8dc and Caftliac &Jrgery Linrted. The rewlts cl th8 subsbjiary LYthrtskn"ng5 are con$cAidzted on No separate 51atemprrt of finanaal athibes hJ5 been wesenled for Ihe charty alone as F•mrtted ty SeE4?n 408 ( Ihe Comparnes Act 20(A. The Charity made a loss ofQ57,783 teftxe inv¢knnl pns12023-É1.222.8381 duriThJ the year. Critical ac¢ounllr¥J •¥tivMt•Tr and al Judg•m•nl P￿parat￿n ol the financial iemerts ￿qUi￿ the and mana9enwftt to mak* The items in the financ44 statttm￿ts ffvthe￿ ihese Nidgtsii>ts ond e5timBte5 have been made TrK4uth: • esbmatin9 the Ltsehjl ble of tsrgtle a)d intangljle fixed assets for th• pur￿￿¥¥ ofdelwminirvj a depreciation amorbsakn ral8: e51imating the alocat￿n ￿$taff and supFwl Costs t> auNlies.'

inclpal AceountknA Polld•s 31 March 2024 Ass•ssmenl of golng con¢Mn The TNstees ha￿ assessed whether the use of ts pr4J aBSUSnpth'M 1$ appropriate in preparr9 Ihe5e 5tments. The Trustees have made Ibis assessnwrt in re¥ect tQ o of onè y•8r from thè dat• of apwova of thes& financsal slal8men13. Tlw Iwg con(￿ded that Ih?rB material uncethnIi￿ rElat8d to events or r4)ndth"ons thal may cast s•Jnthcant doubt on 1he ab of the tharly lo cononue as a gc4rrfJ CLwem. The Truslees are (rf the that the 9r¢yJp and th? thprity wll h8v¢ ent ￿SCUIceS ￿ IT￿t rts fiabTrts5 as Ihey fal The most Svdnifont 8re85 of iudgem8nt that afféd items the financial slatements a￿ detailed abrNe. From March 2024. IhÈ &tNthes ol EACTS have t￿MinUed tygrow. The Th￿rSC￿ educatlon ursgs havo in(¥e in lèrn￿ ol both altèndè• numb8rs and the number of ev8nts. EACTS has kept somg of the (￿lse5 in format to dern￿d. but the mèjority ()[ lhecoU￿es are now, OTKx•Jain. in persthk ThÈ Octobèr2023 Annual MeeUr@ Ls recoverfng after Covid and we sts (Jr atteThJant n￿nber5 recover year ￿ year althoL￿h we we TPJt at pr￿C0￿d levd yèt. Th8 AssociaJC￿'S rosar￿ lovel omlinues to offer rgassur4n¢¢ thai wo continue our bu5ff￿ dwtsthe slcAI econ(fnic unwtaints5. corn• rocognitlon Income i8 recOgn￿ed ￿ the penoa in lh8 Gftrjp and Ihg thanty has èntsder￿nIlO the in(x)me, thè anK)unt of Incune can be measur&J reliabty and rt is wobabie thal the Incom• sub5crlpti￿ is fry in the peiK)d tt is raLwatd8. The IrKy)mB ari&ng f meeb.ngs 1$ rec4ni8ed on a receTrth basi5. is d8fwred only when Ihe tharty ha5 tr• conLltsons befw8 berxjmirg 8ntilèd to li or Trhar Ihg do￿ or tundef has speofied that the incoff 1% to bè ￿￿￿led in a fulurè &countirtg witsj. Inte￿1 ￿ fLuJ5 hekl on deFTht is indL#ll Wh￿ r•tVab￿ ar¥J thp amunt ran be measured reliably ty the group and Ihe ttis is won notification of the intorast paid or payable by the l)8 Ir￿orne in rElatM>n to dth"bJbons r￿e1ved uThJor Gift A¥J we re¢csniwt at ty'mè of thè distribubrm. Expendliurn reeogrwtion Liablliles recognSsed as extwthkne 85 swrh as there ￿ • (x constructJv• oblw8tion v)rnmrttiny the gruup ar¥J Ihe tharty lo make a Kwrn￿t b a Ihird p•ty. it 15 probabk that a transfer orecL￿￿n￿ LnefflswI be requlr&Y In se111￿nI and the arnLMbnt oflhg oitytion ron ￿ m•asur8d r•lAt4y. èxpendkljye is acrA)urtsd &yon an ar￿YasbasrS and 1$ 5tat8d incJ5Nè ol irrecoverable VAT. ExPendA￿re Djmpr￿S direcs •ndsupp)rt C4Xts. All expenses. 4ndudirvJ support ¢£￿ts. are alocated or aP￿tiry￿d to lh8 applicablB exp8ndibJrn h&￿ing8. The

Prln¢lwl Accountlng Policies 31 W24 E¥pqndllw• r•cognltlon lry)ntirnvJl Eynthure on raisirvJ lunds Yhthich irdudes all expenditure aSK￿leted with raising fvrKJ$ tr lh8 gTQUP and those inaured in tradfrng actyvmies that r4Lse funds. Expendlbjre on ttbarttat4• indLths all costs asscdd ¥Nh fvthertng thè Larrt8ble wrpx¢s of Ihe grrjup and ts Charity thrD￿ the PffjknSiOA of ts charftabl• actMbe& 935ts WKawJe and SUPFQrt costs. inc4udiTrJ grNemanc Ltsts. AIWt5on of support and governance costs SupwL costs reP￿sent indirwA charitat4e expen(16bJre. kn order to ¢afry out Ihe prirnary wrF¥)w of gThp ar￿ eharity it is noeessary to Pffj￿dè support in Ihe fom of PBf50nng1 developrMnL finarKA [Movis￿ cl 58WViLYS and 9q￿E￿O￿t $uÈtst4e xxking env(Thie Governan￿ ¢>)sts Ihe costs th$ PL&)1￿ a￿oUn￿bIlIty of the charfty (Ything audrt c4)stsl cc6ts in respect tc its comp1'an￿ wilh regulation and good adicè. Supwt ccrfts arKJ 9)vemwKe r))sts we aPF￿￿ed on a basi5 a)n%sl•nt t6th the use ol reswrces. Central slaff ¢x6ts a￿ alorated on ￿ Ws of lrne spent. arn1 deprÈchgtiOn dwges alk¢ated on the.￿￿￿ffi of the assefs us•. kntsnglble flxed asse¢s Inrangth assets coslirgf1.OCKI or mue are capitaliseo Wh￿ fi&bJre eCCrfK)m￿ b￿rItS are prr>abk and Ihe o)st ofvaluo or asset mdsur•J r8liably. IntaThJible 88sels are irytialy rerAJgnise(l al o)st and are sUbseq[￿ty [Th￿ured at C051 net of amort15alK)Tr and any p￿$S1On of ompal￿￿nL Am￿lS8110n is for * rates rAloJate¢J lo writ• off the cost of assgt. ils resxlual value, useful ble folcriThJ basis.. RkJhts to the Ewopean Joumal Suryery 10% strabjht lino Tang￿1 fixgd assets l assets ti)5ting rtThe ih8n £1.0￿ an(1 ilh an e¥Fcaed"useful Iwe ex￿Edir￿j ong yogr aTr capit￿l$ed. A review inFoirment of 8 asset is ¢amed ¢yJt if events or d)angEs in aryxrn5tarKe5 ￿d￿at8 thailhe carying ofany fixed asset rroy not be r￿)veRble. shortl￿1$ betreen the vdue aNI rEcoveraLle amrwrts are re¢))gnL%&J as mplim￿ts thmugh the slatemenioffinancbal athib¢s. All lang￿e fixed a5SEts are capAali5ed and deweclated at rates calwlat￿l ￿ order tovfflte off the eost less Ydue o¥er ttir estimat8d Lt581ul fves.. L¢vw leasgh(Ad prcgwty F￿re$ and fillings OffKe ewvrAnt Comkuer &wlrxnent 2% Stra￿ht lir* 25% straKJhl li 33% Str￿ht line 33% strahJM Ill EuropeanA$5¢pakn fcff card￿TIK)rac￿ Swg8ry 33

Prfnclpal Accoun￿9 PolieSes 31 2024 knV￿ents in sUbsid￿ry undwtakkngs are ￿￿[KI￿￿ at C05t wilh WNiWDn being mado for pemwnentdirriThJlion in value. [￿ring Ihe fina￿181 ye8r. the ¢aritai4e Ik%te(l irwomgnts u>mprfsod entlrely of iinits in the Sarasin Erthwlr￿ Fund Class A IrK>)ff Fund. managèd by SarAsrn & Partngts Th• invèskn8nts dfftrsiw variou$ asset classes. indLhliTrJ ￿ul￿85. bonds, and rèal estste. to nthgate lid( and roa1￿VIe reVJms. Th8 in¥eBtrnpnt porrfDIiD is managed in accoff1a￿e wrth the wstrFnt pdiLy. aims to a tpalanc8d and SListsinable growth. The total ol the Inveslrrnts at the eThJ of the ￿al￿1 Y￿ £12.627,803. The r￿n￿nc& Of th• inv•strMnt p)rtfdlo Twas In Ilr with the markettrends The inYestsnorÈts are rg9Ldarly reviv•Rd ￿￿)n￿k￿d by thg F￿an￿ & Operati¢M$ Committee and th Tntslees to ernuwe they alvJn with ts thaity'5 financial gcds and nsk appetite. Fund •c¢ounting Resthcted cofflkThe TTWig¥ r¥11￿ for. orthw us8 15 fB5tn"(aed to, a purposo, ¢o)nthbulicTh subiecttodonor vnpc¢ed •d)iwng any chathat4e purFW thotfalL Wilh￿ thills dwilable obJKv¢s. Desyned represent wl¥ch the Tnfft8s set widg for a spe¢lfi¢ DebtOfS Debtorsarn atthelr seittwTRrtarnwnLless anypTo￿5knfDr￿fecOV￿r9biThty. Prepayments a￿ value¢J at ¢he arTK)unt Fwatd. Thoy hav8 been dlsc•urrted to tre Present C•sh at b•nk ¥nd In h¥ Cash at bank and in haTrJ reFYwts accounts aThJ instnJments that are aVala￿e on d8mand or ha¥b a Ma￿rity of less than three ￿rth5 frryn thg d810 of wulsthon. Crethtors and pmvisions Crodilors and proviwn5 ar• rwws•d thwe is an oblgatscffi at Ihg baancè sheet as a resdt ol a past e￿Tr( it Is kxc&atAe that a transfer d ￿[b)MiC bemefft wll Ir8d In setdement, and the amourtofthe setdÈment ran 8stwnaleA relith. CrditOTS and pr0MsfiL￿S are recognLsed ai the affojnttsgroup aThJ thg charfty antl¢lpows tt wil pay tts s8llj8 thè Thèy have teen diieounted tr) th9 pr064lt valuè of thg futur8 cash Pa￿ V•tsr• dtsi>Jmling is mal•ria. Pansion costs The grw and lh8 Ch￿ ￿￿10$ a corthibuts)n schwno on behalf of its emFloY￿S Th4 9s$8ts Pteld Wi separatdy adMIThst¥￿ fvnds. Contribu￿Orts arn charged lo ts slÈtèm•nt oflknanfial ath.¥0￿e8 tn the year In thgy tsll thw. The Eun¥an Ass(Kkn for Cywdio-ThoraL?c SUrg￿Y 34

Prlnclpal Ac¢wntMig Polldes 31 M¥th 2024 FIna￿l01 In5tnMTr•nts The tharity only hclds fnm71 instrumenls as defrnèj In FRS10Z The finawal assets and financd IAb"lrftes oflhe thantyaTrJ thew Th￿U(eMent bags am as frAIo*%.' Fina￿JaI assels- other dBbt(Ys we ba5K fmarthl instrlthents Oné ￿ dgbl instrum¢nts FIn8￿J¥ - atcruafs Dther t￿d11D￿ arE fmawval Irthmen4 and aTe rne8sured at a￿￿lSe￿ cc6L The E¢Yo￿n lor Surgery 35

' Not•5 to the ffnan¢ial slat•m•nts 31 M¥￿th 2024 20Z3 J•2.4n $41,3 151.306 151.3B6 151.386 151.386 541J9Z furd# 14T.18T . Fmr3¥ Fd 47.1n •7.177 12280 12.28 3.081.251 723,796 500.154 5.W.310 3,e81,251 6$1.MS SCQ.154 12.200 5.5n.$90 .177 417.51• 3 Totsl expenditur• Total nds Swjrt 078.081 l(th.1tr 2.184.213 I01•g•J 5¥rn IM119 1.689.585 ¢￿.303 2.310.96B 479J61 ¥141 511105 394.131 1198223) 195.90B i.M.fj5T 171.655 1261312 Y72J•l 10￿ 842.604 297,7 297.no 44¥n4 22s•￿74 4MS,641 3.734 J70 2X6.OQS &54Tr.423

Notes to lh• Ilnandal st8t•meits 31 MÈrth 21 3 Total •XPBndI￿r• Icontnueill Tc4al staff wsis (not¢ n 527,049 76.554 147.853 109,774 81,170 25,013 41.￿0 52.748 211.451 111.787 448.603 146.019 67.094 4fj1,YJD 181M7 100325 70,195 orttsatoii INJts 81 EBTCS UbB18 80.74r 156.7 50.525 339,325 38.612 103,467 Con¥thrty 8ar tharg•s ead (Jetl expense n.318 297,730 1250.874 2,806,045 ffuThJ$ Jnd lQ3,149 36.870 146.019 IOY.149 36.870 146.019 38.612 5 Net ineomtsllexpvndiiur•? 2024 2023 Totoj Staff cr6ts InolÈ 71 1372. 910.336 . ¢Jwed bylhe tharilatle gnjup Inale91 Amrtisakn of iThtswrtle assds Inde 81 n.195 81,170 25.013 30223 17.435 6.647 . Non audtt Thg EUro￿an A89fAithn fr*Cardl￿Thofar￿ S(tw 37

Nol•g to th• Ilnandal st•tsmMts 31 M8ffh 2024 t)uring the year. r•) Twuslees ￿1¥￿1 any rF)mureralion N8ny beneffts in klNY {2023-nonel. L)urin9 the yeaf erKled 31 Marth 2024. EACTS relmbursed tho emthry trLOt of the Se¢yetary GengTal ts hrs lung. amwiting to £46.865 (2023-É ￿￿￿. thjriry the ygar. 12 Tri&s188s T2￿1V￿1 rèimbur59m8wrt oflrav•i expwts88 dE58.35S12023- 43,283 to 14 IrLtst8esl Total Total W4g¢s sth¢s sw.al seojrrty C4xts 1.102.9$5 121.581 48.QT4 1,272,589 789,353 92,034 28,949 910,336 Induded in ww and s4arw is o)sls of £22.279. of wlich £17.025 is n ststutory. Ttstsl stsff costs have been alocatgJ to di￿1 stsff costs aTrJ support Costs based cm an e5tirnate ol tirm eath ar•a. Th•s• ar• all[￿led as folows.. 2tr24 2023 Total Ckred stsff cosls Swwt ccts lTr)te 3) 421.727 950M62 1.271589 383.287 527,049 910,336 The average wrnberd p•[￿ ￿P10Y￿ ty the group durwwJ Ihe yèarwas as fcAIows." A￿T￿LStra￿"0Th slaff 13 19 15 Number of emFloyees {exduding those emFdoyed by exlemal Or9¥iSat￿nSj ¥W￿)se total emcluments f41 ￿thIn thg folrthirwJ M98S tor Ihe yw. Total NIL 80.001 .fTOA#XI 0.001 .WKNYJ f80,001 .￿¢,[￿&1 90.001-É100.CthI IX).001 -É18OD Pen8ion co￿11b￿l￿G ILY empknes É48.07412023'. é10.2681. Th• Euro[￿ Assct*Km fc¢ cardv>7￿rara￿ Surgery J8

Ngt•s ts th• Ilnandal stat•m•nts 31 March 2024 7 Staff costs and rnmunerntlon ofk•y mamgement p￿nn¢1 Icontinuad) The Key management perg)nnei rAthe ctrAnty in chwge ofdLTecl1"ng. and LtntrdliThJ. furfftir@ I cper"ng Ihe charty a d8y tr) tsy basi5 comprise the Trustees, the CEO. the Events reclor, Director. FThnce DirectoraTrJ Publi5hwig DirKlry. The tot8[ employment Costs (ind¥dirtrJ er￿lOYe1¥, national tilswar￿ pensTh contributKJns} of ihe kfry M￿89emeTrt ￿rSOnrd fcf Ihe y88rvasÉ509.20812023: ￿54.6531. 8 Intswjlblè flx¢d assets ijuip Datsbase Totsl Gro￿ And Charfty At I W 21Y23 Ad¢Jbons Al 31 2W24 6T,OCk) .000 512.590 1.179,590 137. 137.IJ8D 375.510 375,510 667.0 At 1 AFrfM xirJ for tha ye 31 2024 667,(>XI 1fj7.000 66T.Ot 667,fM Al 31 Marth 2024 31 March 2Q3 I37.￿) 375.510 512.sgo 9 Tang￿le fjx•d ass•ts Office CtsFTpuler PIIVty fjltyrys 8w1k¥￿nt ]th￿rnent •nd Ch Al 1 Awl 2023 1.811.555 26.529 1.638,¢ 102.5e4 317.BO Ul8&032 10.473 37,802 328,082 2.101834 At 31 2024 102.a64 34.104 Al 1 Aprl 2023 CPor99 forlh? year 31 2Q24 342.244 25.1Tr3 367237 102.564 19,WJ 3.094 247.￿3 42.CfJB 289,811 712,261 70.195 782.486 At 31 Marth W24 At 31 Marth 2023 1270.747 1289.311 11,150 13.454 38.471 f.J20,378 70.006 1,352.n1 The Associabon for CardIfyTl￿c Swgery 39

Not•5 to th• finanE¥al stat•m•nts 31 Ntsrch 2024 9 T¥glbl• fix•d ass•ts lo)nlknuwJl 18thc4d F#lures & Corr￿uler IWLF•rty ftb"rYJs wwknnt •4wpmBnt Ttst•l At 1 Ard 2023 1.611.555 26,529 1.638.084 101.928 27,gt3 256,712 1.998.108 31.393 2m9.$01 At 31 Mart 2024 101.928 27.913 261.576 At 1 April 20rJ Ctsrye ftth8 y8ar Al 31 2024 341244 101.928 14.459 191.03$ fj49.6 39,916 230.951 IOIJZ8 17.397 717.614 Ilot book va At 31 M¥ch 2024 At 31 Marr 2023 12TO.746 1269.311 10.516 13.454 30.625 65.677 1.311.8fj7 1,348,442 10 Flx•d asg•t Irh¥•slffnts 2023 Totsl MtketYalu• A4 the fixed asset Investn￿lS are W vrithints UK. Forfurtherdetsls. F4w¢ see note 17. 11 Ligt•d in¥￿￿1ts 2023 •KI Ch M•rt•t¥alw at 1 Awll 2023 13A21.664 I1￿1￿1681 sposa15 att<#JkYdve Ik¥rxewts f1.f￿.17S: ￿n$8,991> M•kntvaluB 131 Marth 2024 14609.818 1162T.8D3 11,7747B3 At 31 Marth 2024. tl L*lia￿0 ccffipanys Ilstoy Investsnents ￿rn￿se entlrely of unlts in the Saragn Endomnonts Fund cl￿ A In(y)rM Fwrtl. m8n•3ed ty Sarasln & Pthers LLP.

Notes tD th• flnandal stat•m•nts 31 Marth 2024 12 D•lAor¥ Group 2fL4 Grojp chrity 2tr23 2023 10S)70 111204 137.336 179.926 60,495 668.013 n9217 214951 267.935 9B.279 415.541 1.011636 13 CredrtorA: Amounts fallng du•wltri¥b ont y¢ar Group Gmup 2023 Charfty 2024 Charfty 2023 T￿•￿e￿￿OIS 50225B 116.779 4.741 2￿.167 82.784 367.386 111,$02 64.072 ol￿r rJedi1ry5 62J.981 J14,954 1,4BB.705 910YY 882.fJ)8 1.604225 1,332,194 403,194 468.149 Ind￿jed with is defw¢d in(tyi? rp18￿ to rn￿15 sthcrlptions received In 2024 Tctsl DEred irKomg 311 696.jn 728.500 696.371 565.550 696.371 Amounts released n ￿ar Dderred at 31 Kla 728.SQO 14 D•sigwwt•d Funds 8alan¢• 31 March 2•24 1 ApAI 2023 Oe5Wytsd Grwp ¢harlty.' 2DZ4 IrN&sim￿ Fund ToialfuDJt 12.627.803 11627M03 12.627.&)3 1&627￿03 An.lnvestmentf￿￿￿'￿as established i11the￿r. thts wesents mcney Flaced in a long tam rwj s￿5￿.$ LLP. Ewope•n Assoiakn for CttrthrtrT￿raC￿ Surgery 41

15 sta1¢￿ offvndg Galns 21,035,681 7.117.145 B7.ITT T201J2Z I6.6B5.61B 16,S98.471) 911311 Tdtsi fthds 21.IY35.681 911311 RestrFcted fvnd exkwdlbJre refieL15 rnney roL¥fved and spentspacrf￿a1Yforlhe SFonsc¥ship of feltr￿S in Tdati￿ to the Fr8nci% F¢)ntsn Felb•ship Prc•Jramme. 31 PAr•¢h 20.431.704 2.01Q 150 67.17T Z￿r.517 (￿.933) 187.ln CU55.110) Zl.Dg1.ZJZ TLW turvts .437.7¢X 911.311 ,ag1332 31Ma 2023 2tr22 21.852328 &711.696 ffj52a1431 21.1335.881 &T23.976 16.yQ4 2f,03S,881 31 2023 21,4%0.513 564427 n.791.265J nW,701 122 SM707 2Q437,701 T¢t4fi¥$ 21.W).Srf2 16 A￿￿1$ ol n•t a￿•ts botwi fund fvnos 23 IJXJ 1x•Jn 1.352.714 609NI• 21.D13.31*1 1.J52,7P4 21.015.310 (l.eNYZ5I (1.J3Z3U31 22￿1$6 21.PJS.W1 1.JY2.21r3 21.038th1 The Eur￿9￿ As8or•ticn C8rditrThoracK S￿￿￿ry 42

16 Analyslg of n•t a88•ts b•t￿ft l￿d9 leorfinued) rth 24 2Ce3 IJ11J•T 1.348.412 51lS9• 1462Y.•O• &lgTMI 19.SS7AC• 1.341442 19351,4 118M705> 1460.149) 21.091￿ 2ll.437.704 14e4.149) X).437.704 ,416 1?A7m6 Thè grtwp opèr • dèfir4 ¢ontthtitylS p¥6ion schLkne. The assets of lh8 schemo are hekl sep￿atelY Irom thrAe olthe group ￿ an inwndenty admlnistered fuTrJ. The penslon cost cwe r8Pf•s8nts ct4knbut￿s payable by th• group to th• lund and amoLtnlgd to 48.07512023- Q8.949I CcffjtrfLxrt￿s ttrtalliru ￿.516 12W23- Enll were Foyab￿ to the fuwKI at Ihe balanGg dat• and indudwl in ry￿110[5. 48 R•lot•d pty trnnsaetl Amounts I0￿d by) l to the charity Ityylo its ￿b81thary undertakings.. 2024 2023 EACTS TFwJirry Ccfflpany Lxnthd eAC75 Pubb5hiDy Linwtad 1623.9KII 137A36 623.980 137.336 During the finaEKia year. c(#npany en9W in a trartsadion with Re5U5itec. a company vthere the Fwnder ts also a Tnjstee. The tr8nsactw)n Inv0fv￿ a ss invtht£ for booth sales and on8 for canceUatNJ) lo• amwnbNJ to ￿4.512. This ha$ o)nducled at ami's I&￿th and in the ¢)Tdinary gJur5e ol bu5inpss. The teTm5 and conditKirts ol tho transatlith rnmpartbl8 to th058 that would have been applied In an arm's tewh transacifi￿ with an unrdaieo patty. 19 ￿b￿ld1•r1 113987972 EqUtyShWah￿knJ aTrJ mamb8f Ba5i5 cl ¢c￿trol Total a588ts a5 at 31 2024 Totsl as at 31 20241 Tot¥ at 31 M•th 2024 8.126.362 (228.7201 7.897.642 Turrnrk¢ the yeaf wded 31 2024 EKFn0￿￿ fwthe sear 31 Marth 2024 Profft frrlh8 ye8i¥Ayed 31 2024 4.442,243 12.657.034) 1.785.554 The Europw Asso¢th￿ fc¢ c&thctrTh￿aC￿c Swg8ry 43

Not•5 to IhB flnanGial stst•m•nl 31 Marth 21r24 19 $4ts5d+ari•8 lcxjrtn￿d) EACTS Publl•hkry Umbtsd 0&3967 Equty $Thar•hL4th￿ % assets •$ * 31 Mth 3J24 Tota lia￿rts as at 31 2024 Totsl equtyas Èt 31 Marth 2024 285,693 13,454,e281 13.168.935) Tumovw lorlh year eThJed 31 Marc 2024 Exw¢St4wt tor the ye&r erxled 31 Marth 2024 F¥offt trthe year ended 31 2024 651.605 1513.9651 137.640 Um6ted (WJ)47175 Vth fvJMs Bays of wntrrl Tot81 assets 85 at 31 IAath 2024 Totsi thabfftitrs as at 31 Marth 2024 Total twty as al 31 Mth 2024 29.745 {3a83.￿7) {3J54.(21 31 2024 E¥wddure lorts year erknJeLI 31 2024 .793 11,263.4931 167171X) Euro School for CvdltyThor*dc 04795997 Tow 8s%ts 88 at3)JU￿ 2024 Toial equty•s •t30 Jufie 2024 Stabjs At the year gThJ. Ihe tharlty was cgynmittgd b cavi4 expanditsjre tot41inq fnil 12023.. 6.1681.