Registered number.. 07612518
Charty number.. 1143018
LIFEBOX FOUNDATION
(A company limited by guarantee)
TRUSTEES. REPORT AND FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025

LIFEBOX FOUNDATION
IA company limited by guarantee)
CONTENTS
Page
Reference and administrative details of the Charity. its Trustees and advisers
Trustees. report
2-14
Indep•nd•nt aud5tors' r•port on the financlal stat•m•nts
15-18
Statem8nt of financial activities
19
Balan¢• $h••t
20-21
Statem•nt of cash flows
22
Notes to the Ilnanclal statements
23-39

LIFEBOX FOUNDATION
IA company limited by guarantee)
REFERENCE AND ADMINISTRATIVE DETAILS OF THE CHARITY, ITS TRUSTEES AND ADVISERS
FOR THE YEAR ENDED 31 MARCH 2025
Trusteès
Dr Millard Derbew Beyene
Dr Robert John McDougall
Prof Alan Fortjes Mery (resigned 26 September 20241
Pauline Mary Philip I￿$19ned 20 March 20251
Dr Nobhojil Roy
Dr Thomas Geoghegan Weiser lappoinled 1 April 20231
Dr Alexander Hannenberg (appointed 26 September 20241
Ms Margarel Kalhleen Harrington lappoinled 27 February 20251
Ms Ju¢Jy Ngele Knanyola lappoinle(127 February 20251
Company r•glst•r¢d
number
07612518
Charity regSstered
numbor
1143018
R¢glstsr•d offl¢•
21 Portl8n¢J Place
London
W1B 1PY
Company s•cretsry
Kristina Torgeson
Indopendent audltors
8KL Audil LLP
Chartered Accountants
35 Ballards Lane
London
N3 IXW
Banker8
HSBC Bank UK
90 Baker Street
London
W1U6AX
Sollcltors
Kirkland and Ellis 1ntemati￿aI LLP
30 Sl Mary Axe
London
EC3A 8AF
Page 1

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT
FOR THE YEAR ENDED 31 MARCH 2025
The Trustees prv3enl their annual rew)rt together with the audited financial stslements of the Charity for the 1
April 2024 10 31 March 2025. The Annual report serves the purposes of both a Trustees, report and a directors,
report under ￿rnpany law. The Trustees confim Ihal the Annual report and financial slalemenls of the
charitable company comply wth the current statulory requirements. the ￿quIrementS of the charitable
company's governing document and the provisions of the Statement ol Recommended Practice ISORPI
applicable to charities preparing their accounis in accordance with the Financial Reporting Standard applicable
in the UK and Republic of Ireland IFRS102} (effective 1 January 20191.
Since the Charity qualifies as small under secti1￿ 382 of the Companies Act 201￿, the Strategic report required
ol medium and large companies under Ihe Companies Ad 2[￿ Islralegic Report and Directors, Report)
Regulations 2013 has been omitted.
Obl•ctlvo8 and actlvltles
a. Pollclos and obJ•ctlv•s
As slalet1 In the Artides of Association. the objects of Lrfebox are:
To preserve and protect the health of patients worlthde by Providing and assisting in the provision of
equipment and support services in low-resource. lower-middle income and upper-middle income countries, as
assessed by the Wodd Bank and United Nalions, at no or reduced cost,. and
To advance the e<Jucalion in healthca￿ of the general public and especially those in the medical or
similar professions by the provision ol education and training WOrtdw¢Je.
In setting objectives and planning for aclivilies, Ihe Truslees have given due consideralion io general guidance
published by the Charity Commission relating lo public benefit, induding the guidance 'Public benefit.. running a
charity IPB21'.
b. Strategles for achl•vlng obJectlv•s
As sel out in our charitable objectives, Lifebox was estsblished to improve the safety of healthcare around the
worf(J through the provision of essgntial equipment and training, and by implementing proven tools that foster a
ulture of teamwork and safety in healthcare environments.
While we have as our widest poinl a remit to work wilhin any area of healthcare io promote the health and
safely of patients, our focus continues to be on improving the safety of surgery and anaeslhesia. Our efforts lo
dale have been on three core areas. improvirbg anaesthesia safety, slrenglhening surgical teamwork, and
r8ducing surgical infe¢tK)n.
Since its founding in 2011, Lifebox has facilitated Ihe dislribuknon of over 35,000 pulse oximeters across 116
countries, and trained over 14,000 healthcare providers. More ihan 252 million patients have received safer
surgery as a result of our work so far.
Page 2

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Objectives and activities Icontinuedl
¢. A¢tiviti•$ undertaken to a¢hleve obJ•¢tlv*s
Improving Anaesthesia Safety
Activitie5 mainly include distribution of devices Ipulse oyimeter5. C8pnographs and headlighlsl.
This also indudes Iraining on the use of pulse oximelers and capnographs.
R8duclng Surglcal Slt• Inf•ctlon$
Activities mainly include the implemenlation of the Lrfebox Clean Cut programme. The programme is a series of
workshops and trainings designed to reduca surgical site infections.
Promotlng Surglcal Toamwork
Activities mainly indudg providing Iraining lo operating room staff to promole gffgcts've communication in the
operating room.
d. Volunt¢ers
The chanty does not use of volunteers as part of its charitable object.
•. Maln a¢tlvltl•s und•rtak•n to furth•r th• Charws purposes for tho publ1¢ ben¢fit
One third of human disease requires surgery. Each year 313 million surgical procedures are performed
worldwide, yel lor billions ol people in low and Middl￿1￿COMe eounlrie5 ILMICSI, these vital procedures are
often unsafe. In LMIC5. surgic81 patients are twice 8$ likely lo suffer fvom an infection than patients undergoing
surgery in the US. Posloperabve infections result in a doubling or more of the costs of surgical Ca￿ and
incr&as8 burd8ns on patiènts du8 to prolong8d hospitalizations and ongoing disabilitl8S.
A 2015 study in The Lancet estimated that more than 4.2 million deaths occur annually within 30 days of
surgery, half ol them in LMICS. Post-surgical complicabons accounl for 7.7% of all deaths making them the third
greatest conlribulor lo deaths globally. after heart disease and stroke.
As a global nonprofit ts¢kling the crisis of unsafe surgery. through tools. training. and partnerships, Lifebox
makes surgery and anaesthesia salor w0￿d￿de. Lrfet)ox's a¢tivrties ftjrther the publi¢ benefit in several ways
including promoting health, saving lives and contributing to relieving rx)vety.
Page 3

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Achievements and perfomiance
a. Maln achl•vem8nts of th• Charlty
A major mile51one this year wa5 the (Jevel¢)pmenl of our new Strategic Plan 2025-2030. which introduce5 the
Safgr Surgical Systems Slrenglhaning IS41 framework. This strategy sets an ambitious goal.. lo improvg surgical
outcomes for 4 million patients by 2030 through evidence-based safety and quality inteNentions in 200 facilities
across 20 countries. At the core of this plan is the conlinued expansion ol our Clean Cul program, which has
consistendy led to improvements in infection prevention and reductions in surgical site infections. Adaptations of
Clean Cut for maternal and child health have shown success. especially in improving outcomes for women
undergoing caesafean sectbons and their newboms.
Wa have also sustained strong progress In 8nesthesia safety by dislribuling essential monitoring tools-such as
puls8 oximeters and Capnographs-and pfoviding training to anesthesia providers. Through collaborations with
profèssional socielies, we've advocatèd lor capnography to bè recognized as a slandard lor sale an8$thèsia
monitoring in tx)licy frameworks. Meanwhile, our Nursing Leadership lor Surgical Excellence INLSEI program
has strengthened perioperative leadership in Ethiopia, Rwanda. and Malawi, with fellows leading impactful
quality improvement initiatives. AcT05S all programs. our commilment to evidence generation has remained
strong, with rese8rch ¢onlribulions shared through publications. inlèmalion81 presentslions, and a¢tivè
engagement in global surgical and aneslhesia safety platforms.
b. Key p•rlormanc• Indlcators
The key objectives for the period which are used to assess perfomance are the followng..
Oblectlv• 1.. Compliance wth surgi￿1 infection prevenlion and safety processes is improved in partner
facilities, including cleftlpaedialric and malemity facilib'es, resulting in a 30% reduction in surgical site infection
Oble¢tlvo 2.. Patsenl monitoring pradices are improved in operating rooms and recovery are89 in partner
f8cililie5 with 10.000 professionals providing safer patient monitoring with pulse oyimelry andlor capnography
Oblectlve 3,. Perioperatsve teamwork is improved among Surge(￿$. anaesthesia providers. nurses and
obstetricians and gynaemlogists wilh evidence of improved teamwork at partner facilrties
Oblectlve 4.. Peer-lo-peer leaming is facilitaled, and innovation and incubation of new. accessible tools and
approaches is supported lo improve aneslhesia and Surgical safety
Obj¢¢tive S.. Evidence of the need for. and impact of. intgThenlions related to safer 8nesthesia and surggry is
generated, disseminated. and used to infomi adion
c. Review of activities
Oble¢tlv¥ 1.. Compliance ￿th surgi￿1 infection prevention and safety pro¢esses is Improved In partner
facilities, including cleftlpaediatric and matemity facilities, resulting in a 30% reduction in surgical site infection.
We made substantial progress %wth the ongoing implementation of Clean Cut across 11 sites in six countries..
Rwanda, Sierra Leone, Malawi, the Democratic Republic of the Congo IDRCI, India, and Honduras. Over the
past year, we demonstrated eviden¢x of surgical system improvements in 21 facilitses acr¢)s5 seven countries in
Sub-Sah8ran Africa-surpassing our Year 1 target of 18 fa¢ilib"es.
Rwanda: Clean Cut was implemented in four faulities-. University Teaching Hospital of Butare, Kabgayi Level 2
Teaching Hospital, Kibogora Level 2 Teaching Hospital. and kn'rehe District Hospital. These sites recorded
significant improvements in Complian￿ with infection prevention standards and reductions in surgical site
Page 4

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Achievements and perfomiance (continued)
infections.
Additionally, Clean Cut implementation at these facilities focused on improving outcomes lor women undergoing
cesarean sections, with targeled monitoring and quality improvement interventions. Data showed a marked
reduction in prolonged postoperative antibiotic prOph￿aXis-frOM 40.2°A to 13.4°A-With no corresponding
increase in surgical sile infection5. Recent implementation at two malemity hospitals also demonstrated
reductions in both maternal and neonatal mortality. reinforcing the life-saving Impact ol the program in obsletriG
care.
SS8rra L8an8: At ConnaLJght Hospilal. the Clean Cut project advanced with basèlin8 daia collection, results
dissemination, and staff training. We also conducted a WHO Surgical Safety Checklist Strategies workshop for
21 participants at Masanga Hospital. strengthening capacity in safe surgical practices.
Democratlc Ropubllc of the Congo: In Easlem DRC. we ￿Mpleted the Clean Cul project al H6pilal Provincial
Général de Référence (Je Bukavu. Final pos1-in1ervent￿n dats was collected and shared with stakeholders,
marking the successful conclusion of this implementslion cyde.
Malawl.. In Malawi, we extended Clean Cut to orthopaedic procedures through the Clean Cut for Long Bone
Fracture initiative, supported by Johnson & Johnson. Implementation progressed at Mzuzu Central HDSPltal and
Ntcheu Oistrict Hospital. with baseline assessments. data dissemination. and murtiple training sessions
delivered. We trained 48 healthc3re providers from six hospitsls in the WHO Surgical Safely Checklist. 27
partl¢lP8nls in safer surgical instruments handling. anty 34 parti¢ip8nls in IPC refresher courses. This expansion
broadened Clean Cul's reach lo new palienl populations an(J surgical speualtses.
Clean Cut for Caesarean Sectlon {Cl•an4S): We've made significant progress in adapting Clean Cut for
obstetric settings. Over the past year, 6,996 molhers were directly impacted by ihe program, with an additional
17,126 benefiting indirecuy, reaching a total 0124.122 mothers.
A key milestone during this period was the publication of our Clean Cul lor caesa￿an Section ICle8n-CSI trial
resu115 in JAMA Network Open. The article. trtled-A Perioper8live Quality Improvement Program for Caesarean
Delivery in Elhiopia.. A Slepped-wedge Cluster Randomized Clinical Trial,, provides robust, peer-reviewed
evidence of Clean Cut's Qffectivenoss in improving cesarean delivery outcomos.
Oblect5v• 2.. Patsent moniloring praclices are improved in operaiing rooms and recovery areas in partner
facilities with al least 10,oc￿ prolessionals providing saler patient moniloring with pu15e oximelry andlor
capnography
Lifebox made significant strides this year in dislribuling essenlial tools lo improve palignl safety. Since Ihg
launch of the Smile Trai￿LIfeboX Capnograph, in partnership with Smile Train, we have equipped over 400
operating rooms with capnographs across 17 counlries. In total, 275 capnographs were distributed this year to
countries including Nigeria. Malawi, Tanzania, Cambodia, Uganda, Papua New Guinea, Vietnam, Burundi,
Guinea, Liberia, Madagascar, Gabon, Kenya, and Sierra LeOnE￿aCh accompanied by comprehensive
training. A slight distribution shortlall occurred due lo customs delays. Additionally, we have now supplied 837
Lifebox Lights across 28 countries since their launch. and this year markeil the distribution of our 37.OOOlh pulse
oximeler, with 1169 Lifebox Pulse Oximeters delivered this year.
A key advocacy milestone was achieved through the launch of Ihe Capnography Action Letter at the ￿l-Africa
Aneslhesia Congress 2024, which received endorsement from 22 anesthesia societies across the continent. As
a result, the Nigerian so￿ety of Anesthelists has formally adopted capnography into its national standards for
sefe anesthesia. To further drive eViden￿-base£l implemenlatson. Lrfebox is currently con¢Jucting a global
Capnography Gap study lo better understand access di5parib.es and inform future policy and distribution
strategies.
Page 5

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Achievements and perfomiance (continued)
Objg¢tive 3.. Ptrrioperalive teamwork is improved among surgeons, anaeslhesia providers, nurs8s and
obstelricians". and gynaecologisis with evidence of improved teamwork at partner facilities
Our Nursing Leadership for Surgical Excellence INLSEI program continues to drive impact, significantly
exceeding our goals and strengthening perioperative care across multiple countries. Over the year, we
mentored and supported 32 fellow￿IncIudi￿9 23 NLSE perioperative nurse fellows from Ethiopia and Rwanda,
and 9 clinic81 fellows from Elhiopi8. Kenya. Rwand8. Malawi. Hondur85. and India. This diverse group received
intensive mentorship. hands-on Iraining. and professional development opportunibes. They played pivotal roles
in implementing surgical quality improvement (Qll projects and advancin9 research initiatives.
In Ethiopia, we supported N¥0 NLSE cohort5￿MentOri￿g 18 fellows and guiding them through baseline
assessments at three surgical referral hospitals. These fellows completed perioperative nursing care process
mapping. delivered multiple round5 of NLSE training. and launched a total of seven al projects three
Completed and four currently in progress. Fellows used newly developed tools lo collect and analyze iwo months
ol baseline patient outcome (Jats. which they presented lo hospital leadership and stakeholders, 8nsuring data-
driven improvements in care delivery.
In Rwanda, we mentOTed five fellows and mentors. officiany launching the NLSE program in Butaro with a
blended model of virtual and in-person learning. Fellows completed the first round of NLSE training, and one QI
project is currently underway, addressing key thallenges in perioperative care.
Across both countries, our lellows an(J menlors have shown impressive leadership and commitment. Beyond
thg core fellows, we also trained 284 additional perioperalive nurses through NLSE-led quality improvement
initiatlV9S-expanding Ihg program's rgach and embedding quality practices mor8 widely within health systèms.
From process mapping and patient data colledion to frontline Iraining and implementation. the NLSE program is
not only building capacity.
Oble¢tlvo 4.. Peer-to-peer leaming is facilitated. and innovation and incub8tion of new. accessible totsls and
approaches is supported lo improve aneslhesia and surgical safety
This year, Lifebox exceeded its tsrget f(K Safer Surgery and Anesthesia Education. Originally aiming lo train
770 healthcare providers, we successfully reached 2.657 providers across our key focus regions-surpassing
our goal by an impressive 245°￿. 01 (hose trained. 1.646 healthcare providers participated in blended learning
and in-person training interventions. while an additional 1,011 providers engaged in online courses and virtual
inslructor-led training. The in-person and blended leaming sessions were delivered through a range of tailored
workshop formats designed lo meet the needs of healthcare providers in diverse settings. This included..
334 HCPS trained via Capnography workshops
161 HCPS trained vi8 Pulse oximelry workshops
187 HCPS trained via Surgical safety checklist implementation workshops
490 HCPS trained via Teamwork and commur)ication workshops
165 HCPS trained via Inf8ction prevèntion and control IIPCI workshops
The additional healthcare providers were irained acmss various other perioperative safety topics.
An additional 232 perioperabve nurses re￿iVed specialized training as part of the Nursing Leadership for
Surgical Excellence Quality Improvement INLSE all iniliative
Objective 5.- Evidence of the need for, and impact of, intwventions relate(I to safer 8nesthesi8 and surgery is
generated. disseminated, and used to infom action
Lifebox is currently advanang four major research initiatives, each aimed al improving surgical and anesthesia
safely in low-resource settings. One key area of focus is the accuracy and equtty of pulse oximetry, particularly
Page 6

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Achievements and perfomiance (continued)
for peoplg with darker skin tones. This includes the Oxicolor Study, lab testing of Lifebox pulse oximelers, and
new studies examining the characterization of skin tone and the real-wodd impact of pulse oximeter use by
providers across SU￿aharan Africa and India. These studies aim to infomi both clinical practice and regulatory
standards globally.
In parallel. the Nursing Leadership for Surgical Excellence INLSEI Program is using research lo elevate
perioperalive nursing care in Ethiopia and Rwanda. with measurable improvements in patient safely and staff
capacity. Additional research is undemay lo develop and lesl Iow-cost surgical headlights. which have already
shown promising results in improvin9 surgical visibility and perfomance. Finally, Lifebox is piloting a cluster-
based scalè-LJP modèl lor ils Clean Cul program in Elhiopia. assessing the cosl-effecliveness and impact of
scaling surgical safely interventions regionally. Each pfojecl refle¢ls a commitment to evidence-based
innovation and systemic improvement in surgical care.
Adding to the momentum, Lifebox's work on improving cesarean section outcomes through ils Clean Cut
approach has gained inlematsonal visibility. Results from Ihe Clean-cs slu¢Jy. which rigorously evaluated a
perioperative quality improvemenl intervenbon for cesarean deliveries in Ethiopia. were recently published in a
Igading pèèr-reviewed joUrna￿cOntrIbUtI￿3 critical evidence to the global discourse on maternal health and
$urgical safety.
d. Factors r•l•vant to a¢hlevo obltdlv••
To achieve our objectives, Sgvgfal kgy factors played a crilical role in strengthening Lif8box'$ caparyty and
resilience. Over the past year, we made strategic investments to reinfO￿e our systems, enabling the
organizalion lo adapt effectively in a rapidly evolving gh)bal contexl. A major step loward financial sustainability
was the revision of our Reserves Policy. doubling our target from ihree to six rnonlhs, alongside efforts to
diversify our funding base and improve f1nancial planning t￿1$. In ￿sponse lo persislenl global supply chain
disruptions, we established relationships with multsple wnanufactvrers and supplier5, securing allemalive
sources for essential equipment. Internally, we manage(I key staffing Iransilions through limely recruilmenl,
r8distributs.on of r8sponsibilities, and inv8stment in staff developm8nt to ensure continuity and momantum
across teams.
As our programs grew in scale and complexity, we slrengthened operational and digital infrastructure lo meet
evolving demands. We upgraded lo Micr050ft Office 365 and implemented enhanced security protocols to
safeguard sensitive data and support more informed decision-making. Our partner5hip5 were fortified through
clearer agreements and Consistent ¢ommuni¢alion. ensuring alignmenl amid deepening ¢ollat>tsralion. To
maintain high program qualty a¢n)ss diverse settings, we standardized implementstion methlxlologies. trained
trainers, and bolstered oijr monitoring and evaluatson S￿lemS. These efforts were underpinned by quarterly
reviews of our Global Risk Register and iargeied mitigation strategies, helping us navigate risks effeclively while
maintaining a sharp focus on delivering impact.
•. Fundral$lng a¢tlvltl•$ and In¢ome g•n•rallon
Lifebox has a significant track record of raising private funds- notsbly from individuals and family foundations lo
support ils work. New partnerships other NGOS has also been crtb'cal to raising Lifebox's revenue and a
significant in¢￿aSe in Trusts and Foundations revenue supwrted the doubling of revenue. During the 2024-
2025 period Lil8box contsnuèd to inuease its outrèach to Trusts arKI Foundations and Wan 8xploring
institutional donors.
Page 7

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Financial review
a. Galng concem
After making appropriate enquiries and reviewing the current cash reserves and cash forecasts, the Trustees
have a reasonable expectation that the Charity ha5 adequate resources lo continue in operational existence for
the loresee8bl8 future. For this reason. they ￿n￿rtUe lo atlopl the g¢ing coneem basis in preparing the fin8n¢ial
s¢alemenls.
b. Reserves policy
Al the close of the ￿rIOd under review w8 retsined unreslrided general lunds of £361.132. The Iruslees
consider this to be a prudent reseNe at this sts9e of the charitys development. having regard to our Current
plans staffing and othgr commitments for 2025126.
In March 2025, the Trustees approved a policy lo maintain free reserves lo rLJver six months essential
operations.
¢.Prln¢lplo rl$ks and un¢ertalntlo$
Please s88 table on the next page
Page 8

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
5ti*w 2Q25.I)
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wwJ* c•yPkn*
sh￿￿￿>￿ ol funty SDurc•s
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to Oth•r
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d. Flnanclal rlsk managoment obl•ctlves and pollcles
The Trustees arg committgd to a policy of Idents￿.￿j. montioring and managing the risks that might adversely
affect the activities of Lifebox. In this context, risk is defined as the potential to fail lo achieve the charity's
objectives and for loss, financial andlor repuiational. An ongoing process is in place for identityng, evaluating
and managing any significant risks faced by Lifebox and identified by the Trustees or senior management.
Appropriate actions have been put in pla￿ to mrtigate the exposure lo and possible ¢)Jnsequences of these
risks.
Page 9

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
e. Principal funding
Lifebox UK is primarily funded through private individual and foundation gifts, the majority of which are managed
through our sister charity, Lifebox US. Lifebox US reimburses Lifebox UK for activities carried out in delivery of
programs as per a collaborative agreement and grant terms. Major grants indude from ELMA Philanthropy,
CRI Foundation, Johnson & Johnson Charitable Foundation. etc.
f. Rovl•w of thè Y•ar
The total donations we receive¢J during Ihe period amounted to £643.99512024.. 517,6571, of which £315,284
12024.. £289,250) was unrestricted an(1 £328.711 12024.. £228,407) roslricte(l.
Our totsl expenditurè was £635.23012024'. £785,592) comprising £19.96912024.' £4301 on fundraising and
£615,26112024.' £785,162) on chariiable activities. Our surplus of income over expenditure during the period
was thus £8,765 and after other losses left us wrth reserves of £454,98712024.' £513,254). Our principal asset
al the end of the period was a bank balance of £403.41312024.. £406.3841 and device stock worth £18,726
12024.. £66.1231 held with Acare Technology Co. Ltd in T8iwan. We did not own any investments.
Structur81 gov•rnanc• and management
a. Con8tltutlon
Lifebox is a charitable company limited by guarantee and govemed by its Memorandum and Articles of
Association, as amended by special resolutions dated 15 July 2011, 15 May 2012 and 21 November 2015. The
charity wa5 registered with the Charity Commission on 21 July 2011 with charity number 1143018.
The Memorandum and Artycles reslrict Ihe liability of members on winding up lo £5. In the case of winding up
none of the accLJmulaled funds ar8 distributablg lo the membèrs, but will be appli8d for charitabl8 causas as
decided by a majority of the Tru$tee$.
b. Methods of appointment or ele¢tion ol Trustee$
Lifebox Trustees.. Directors are appointed by resolution of ihe members lor a three-year (erm. Directors are
eligible for reappointment at the first Board meeting of the year in which their term expires. None ol the Trustees
has any beneficaal interest in the chanty.
The Trustees, who a￿ also the directors for the purpose of company law, and who servod during the year were..
Pauline Philip. DBE- CHAIR- Left March 2025
Professor Alan Merry Mb, ChB- TREASURER- Keft December 2024
Professor Millard Derbew Beyene, MD
Rob McDougall, MBBS
Professor Nobhojit Roy, MD. MPH
Thomas Weiser. MD. MPH- TREASURER
Alex Hannenberg, MD- INTERIM CHAIR
Kate Harrington - General Council- Appointed 27 February 2025
Judy Khanyola - RN - Appoinled 27 February 2025
Page 10

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Structure, governance and management (continued)
¢. Organisational $tru¢turo and deci$ionamaking poli¢io5
The Board of Trustees is the body responsible for Ihe management of Lifebox. The Board rneets through formal
video conferences al regular intervals throughout the year. Zainab Vally, Head of Finance, is the UK charity's
m051 senior staff member. She reports to Glob81 Chief Financial Officer. Judy Ngugi, who 15 based in Kenya and
employed by Lifebox US.
There is close collaboralion between ihe charity and our sister organisation in the USA. also called Lifebox
Foundation, particularfy in developing Strategies and delivering projects aimed at achieving the common
mission. The CEO of Lilebox USA, Kris Torgeson works closely together with all staff members of Lilebox UK
and the UK Board. All major decisions regarding Lrfebox Foundation are approved by the Board of Trustees.
d. Poll¢l•$ adoptod for th• Indu¢llon and traSnlng of Tru$teo$
New Trustees undergo an orientalitin lo briel them on their legal obligations undar charity and ￿MpanY law, th
conlenl of the Memorandum and Articles of Association, the ¢Jecision-making process within Lilebox, risk
register, annual tsrgets and financial perfomiance. Truslees are also introduced lo the charity's staff and briefed
on their areas ol work. Trustees are encourag9d lo attend appropriate external training events wh8re these wll
facilitate the undgrtaking ol their role.
e. Pay poll¢y for koy manag•m•nt yrsonnal
Lifebox is committed lo providing staff fair cOmpensat￿n for their work. encouraging strong workplace
performance. and ensuring staff maintain a quality standard of living. Our pay 5cal8s presently are informed by
Birches, with annual cost ol living adjuslmenls applied to all staff salaries to account lor inflation and other
increases in c051 of living. Staff 8lso qualify lor an increase if Iheir level or scope of respon5ibilily significantly
increases. A revised job description is developed and an adjustment lo femuneralion andlor title will be
r8comm8nd8d by their line manager in consultation with HR and approvèd by th8 CEO. Salaries for naw
positions are informed by the budgel, looking at comparable positions within the organisation as we aim lor pay
equity, and scanning the markel lor exlernal parity. Part of being a responsible employer also means
remuneration decisions are always made with affordability for sustainability and statutory obligations in mind.
Page 11

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Structure, governance and management (continued)
f. Related party r¢lation$hips
There is close collaboration between the charity and our sister organisation in the USA, also called Lifebox
Foundation, particularfy in developing strategies and delivering projects aimed al achieving the common
mission. The CEO of Lifebox USA. Krislina Torge50n works c105ely together with 811 staff merllbers of Lifebox
UK and the UK Board.
Lifebox worts d0$91y with several other non-govemmentsl organisations indudin9=
Mercy Shlp8
Mercy Ships and Lifebox have established a th)Ilaborat￿n for Educab"¢)n, Training and Advocacy programs
and projects lo make surgical and an8eslhesia care saler in the countries th81 Mercy Ships partners wilh
through reducing surgical site infections. improving anaesthesia safety. and promoting teamwork. Projects
include implèmèntation of the Clean cu￿ Program. donation of lile-saving equipment, and olhgr trainings such
as SAFE Operating Room and NuisiThJ L6adership for Surgical Excellancé.
SmlleTraln
Lifebox and SmileTrain have developed the Smile Train-Lifebox Safe Surgery and Aneslhesia Initiative lo
develop and deliver high-impacl tools and prtyJrams lo improve surgical and anaeslhesia safely and care for
cleft patients in Smilè Train's partner facilili8s", distinguish Smile Train as th8 leadèr in saf8 cl8ft care and raise
the standard ol surgical and anaesthgsia safety in low-rewur¢e settings woddwide., and strengthen Lif¢box'$
capacity lo provide expertise on surgical and anaeslhesia safely in LMICS for the long-lemi.
g. Flnanclal rlsk management
The Trustees are commilted lo a policy of ideniilw'ng. monitoring and managing Ihe risk5 that might adversely
affect the activities ol Lifebox. In thi5 context. risk is defined as the potential lo fail lo achieve the charills
objectives and for loss, fin8nci81 an¢Jlor reput8lion81. An ongoing process Is in place for idenlifw"ng. evaluating
and managing any significant risks faced by Lilebox an(1 idenlified by the Trustees or senior management.
Appropriate actions have been put in place to mitigate the exposure lo and possible consequences ol these
risks.
Page 12

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Plans for future periods
Last financial year (April 2024-Marcth 20251 we developed a new five-year Strategic Plan12025-20301 focused
on surgical systems strengthening. Our new approach will evolve to focus on supporting partner hospitals to
identify, define. and reach their own goals for surgical safety.
Our approaches in the 202&2030 strategic plan indude..
System Assessment and Planning: analysis of perioperative systems in each hospital, system, or region
through process mapping and readiness assessment tLN)Is18s developed as part of Clean Cutl.
Saf8ty and Quallty Int•r¥•ntlons: Integration of evidence-based safety protocds, essential equipment.
and targeted training to address identified gaps.
Sustslnablllty.. Btjilding lasting prc¥Jram viability through local leadership and syslem-adapled approaches.
Scalè and Adaptation.. Expanding impacl by using a dustering and cascading mod61 to scale system-
adapted and embedded approaches.
Thè 202>2030 Strategic Plan will addfyss key issues to the safety of surgical patianls in low-rasource s&tting8'.
Infection prevention.. continue lo adapt the surgical infection reduction program Clean Cul to incorporate
new evidence and infection prevention standards wilh an emphasis on flexibility for partner hospitals.
Matarnal and neonatal outcom8s.' continua thè adaptation ol Ihe LilobDX Clèan Cut program to addrgss
other key risks assoaaled with caesarean Section. including p05tpartum haemorrhage.
Paedialric surgery.. investigate use of the Clean Cul methodology lo reduce key risks of infecllon and
mortality lor paediairic surgery and develop and roll out additional quality improvement components at
hospitals th81 provide paediatric surgery.
Nursing leadership." implgmenl the Lifetrx)x Nursing Leadership for Surgical Excellence program at partner
hospitals to build the leadership skills in perioperalive nurses for safer patient care.
Safer monitoring.. continue lo address the lack of access to capnography in low-resource selling operaUng
rooms with core partner Smile Train to improve anaesthesia safety.
Anlimicrobial resislance.. pilol and scale up an anlibiolic stewardship program to address the overuse of
posloperalive 8nlibioli¢s wlh the aim of il being incorporaled into Ihe Clean Cul program.
Environmental impact.. pilol work (o minimise environmental impacl of surgery by adapting a Green Theatre
Checklist lo reduce the environmental impact of surgery.
Page 13

LIFEBOX FOUNDATION
IA company limited by guarantee)
TRUSTEES. REPORT ICONTINUEDI
FOR THE YEAR ENDED 31 MARCH 2025
Statement of Trustees. responsibilities
The Trustees (who are also the directors ol the Charity for the purposes of company lawl are responsible for
preparing the Trustees. report and the finanaal stalements in accordan￿ with applicable law and United
Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
Comp8ny18w requires the Trustees to p￿pare finan(ial ststements for each financial . Under company law, the
Trustees must not approve the financial statements unless they are satisfied thal Ihey give a true and lair view
of the state of affairs of the Charity and of its incoming resources and application of resources, including its
income and expenditure, for that period. In preparing these financial statements, the Trustees are required to..
select suitable accounting policies and then apply them consislentty..
observe the methods and principles of the Charities SORP IFRS 1021..
make judgments and accounting gslimales that are reasonable and prudent;
state whether applicable UK Accounting Standards IFRS 1021 have b8en followed, subject to any
material departure5 disclosed and explained in the financial stslemenls..
prepare the financial statements on the going concem basis unless it is inappropriate to presume th8t the
Charity will conbnue in business.
The Trustees are responsible for keeping adequate acccMJnling records that are sufficlenl lo show and explaln
the Charills transactions and disclose wth reasonable accuracy al any lime the financial position ol the Charlty
and 8nable Ihgm lo ensurè thal the financial slalements comply with the Companigs A¢1 2006. Thgy arg also
responsible for safeguarding the a$sels of the Charity and hence for taking reasonable steps for the prevgntion
and detection of fraud and oiher irregularitses.
Dlsclosure of Infomiation to auditors
Each of the persons who are Trustees at the time when this TnJslees' re￿1 is approved has confimied Ihal..
so far as that Trustee is aware. there is no relevant audit infonnation ol which the chariws auditors are
unaware, and
that Trustee has taken all the steps that ought to have been taken as a Tnjstee in order to be aware of
any relevant audit informalK)n and lo establish Ihal the charivs auditors are aware of that inlomialion.
Auditors
The auditors. BKL Audit LLP, have indicated their willingness lo continue in office. The designated Trustees will
propose a motion reappointing the auditors al a meeting of the Trustees.
Approved by order of the mernbers of the board of Tnjslees and signed on their behalf by..
6 Weisek
Dr Thomas Geoghegan Weiser
Treasurer
Dale..
Dr RobertJohn McDougall
(Trustee)
0211012025
0311012025
Page 14

LIFEBOX FOUNDATION
IA company limited by guarantee)
INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF LIFEBOX FOUNDATION
Opinion
We have aLJdited the financial statements of Lifebox Fotjndation Ithe'¢haritable Companll lor the year ended
31 March 2025 which comprise the Stalement of financial activilies. the Balan￿ sheet, the Statement of cash
flows and the related notes, including a summary of significant accounting FKJlicies. The financial reporting
framework that has been applied in their preparation is applicable law and United Kingdom Accounting
Standards, including Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK
and Republic ol Ireland, Iunitetl Kingdom Generally Accepletl AcLxxJnting Practic81.
In our opinion the financial statements..
give a true and fair view of the stste of the charitsble c(Mnpanls affairs as at 31 March 2025 and of its
incoming resources and application of resources. induding its inc4)me and expenditure for the year then
ended.,
have been properly prepared in accordancg United Kingdom Generally A¢c8pt8d Accounting
Practice,. and
have been prepared in accordance wlh the requirements of the Charlues Acl 2011.
Ba8Ss for oplnlon
We conducted our au(lil in accordance with Inlemalional Stsn¢Jards on Auditing IUKI IISAS IUKII and applicable
law. Our rgsponsibililies under Ihosg stsndards are further desuibed in the Auditors, responsibilities for the audit
ol the financial siatemenis sedion of our report. We are independent ol the charitable company in accordance
with the ethical requirements that are relevant to our audil of the financial statements in the Uniled Kingdom,
including the Finanaal Reporting Council's Ethical Standard. and we have fulfilled our other ethical
respon5ibililies in accordance with these requirements. We believe that the audrt evidence we have obtained is
sufficient 8nd appropriate lo provide a basis for (Mjr opinion.
Concluslons relatlng to golng conc•rn
In auditing the financial ststements, we have conduded that the Tnjslees, use of the going concern basis of
8¢counting in the preparation of the ffinanoal ststemgnts is appropriato.
Based on the work we have performed, we have not vjenlified any material uncertainties relating lo events or
condilior15 that, individually or collectively. wnay cast significant doubl on the ch8ri18ble companys ability lo
continue as a going concem for a ptrriod of at least twelve months from whtrn the finanaal statements are
authorised for issue.
Our responsibilf(ies and the responsibilities of the Trustees with respect lo going wncem are described in the
relevant sections of this report.
Page 15

LIFEBOX FOUNDATION
IA company limited by guarantee)
INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF UFEBOX FOUNDATION ICONTINUEDI
other infomiation
The other inlormab'on Comprises the infomation in¢luiJed in the Annual ￿port other than the financial
statements and our Auditors. report Ihereon. The Tnjslees are responsible for the other infomiation contained
within the Annual report. Our opinion on the financial statements does not cover the other informalion and,
except to the extent otherwise explicitly staled in our reFM)rt, we do not express any form of assurance
conclusion Ihereon. Our responsibility is to read the other infoffliation and. In doing so. consider whether the
other information is malerially inconsislenl w¢h Ihe financial stalefflenls or our knowledge obtsined in the course
ol the audit, or otherwise appears to be materially misstatèd. 11 we identify such matèrial inconsistències or
apparent material misstatements, we are required to detemine whether this gives rise to a material
misstatement in the financial statements themselves. If, based on the wot* we have performed, we conclud8
that there is a material misstatement of this other inforniation, we are required to report that fact.
We have nolhlng lo report In this regard.
Matter8 on whlch we are requlred to report by exceptlon
We have nothing lo report in resF*cI of Ihe following matters where Ihe Charilies IAccoun¢s and Reports)
Rggulations 2008 require$ us to report lo you rf. in our opini￿.
the information glven in the Tnjstees, report is Inconsislent in any malerial respect wllh the financlal
statements,. or
sufficient acLX•unling records have not bèen kept,. or
Ihg financial statements are nol in ag￿ement with the accounting records and returns, or
we have not received all Ihe information and explanations we require for our audit.
R•8pon8lbllltl•$ of trustè•s
As explained more fully in ihe Tnjslees. responsibilibes siatemenl, the Trustees (who are also the directors of
the charitable company for the purposes ol company lawl are responsible for the preparation of the financial
stslements and for being satisfied that they give a true and fair view, and for such inlemal control as the
Trustees determine is necessary lo enable Ihe preparation of financial stslements that are free from material
misslalemenl. whether due to fraud or error.
In preparing the financial siatemenis, Ihe Truslees are responsible for assessing the charitable companys
ability lo continue as a going COn￿M, disdosing, as applicable. matters related lo going concem and using the
going concem basis of accounting unless the Trustees either intend lo liquidate the ch8ritsble company or lo
ceaso operations, or havg no ¥ealisb"¢ altsmatsvg but lo do so.
Page 16

LIFEBOX FOUNDATION
IA company limited by guarantee)
INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF UFEBOX FOUNDATION ICONTINUEDI
Auditors. responsibilities for the audit of the financial ststernents
We have been appointed as auditor under section 145 of the Charities Act 2011 and report in acwrdance with
the Acl and relevant regulations made or having effecl Ihereunde(.
Our objectives 8re lo obtsin reasonable assurance about whether the financial statemen15 85 8 whole are Ir88
from material misstat6ment, wheU)er due to fraud or error, and lo issue an Auditors, report that in¢ludes OLJr
opinion. Reasonable assurance is a high level of assuran¢e, but is not a guarantee that an audit condu¢ted in
accordance with ISAS IUKI wll always detect a material misstalement when it exists. Misstatements can arise
from fraud or error and are considered material if, individually or in the aggregale, they could reasonably be
expected lo influence the economic decisions of users taken on the basis of these financial statements.
Irregularilies. including fraud. are instances of non-compliance with laws and regulations. We design
procedures in line with our responsibilities, outlined above, to detect material missiatements in respect of
irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities,
including fraud is detailed below..
Enquiring of management around actual and potential litigation and claims;
Reviewing board meeting minutes of meetings of those charged wrth govemance,.
Reviewing financial slalemenl disdosures and testing lo supp)rting docvmentstion to assess compliance
with applicable laws and r9gulalions".
Performing audit work over the risk of management override of controls, induding le51ing of joumal entries
and other adjustments lor appropri8teness, evalualing the business rationale ol slgniflcanl Iransaetlons
outside the nomial course of business and reviewing accounting estimates for bias.
Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including
those leading to a material misstalement in the financial stalements or nonvcompliance wilh regulation. This risk
increases the more that compliance with a law or regulation is removed from the events and transactions
reflected in the financial slalemenls, as we will be less likely lo become aware of instances of non-compliance.
The risk is 81so great8r r￿ardIng irr8gulariti8s occurring du8 to fraud rather than error, 8s fr8LJd involves
intentional concealment, forgery, collusion, omission or misrepresentats'on. As part of an audit in accordance
with ISAS IUKI, we exerase professional judgment and mainlain professM)nal scepliasm throughout the
audit.we also..
Idèntfy and assgss thè risks of matgrial misslatgment of thg financial statements, whgthor dug lo fraud
orerror, design and perform audit procedures responsive lo Ihose risks, and obtain audil evidence ihat
issufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material
misstatement resulting from fraud is higher than for one resultsng from error, as fraud may involve
collusion,forgery. inten￿'Onal omissions, misrepreseniations, or Ihe override of internal control.
Obtain an understsnding of inlemal ¢xJntrol relevant lo the audit in order lo design audit procedures that are
appropriate in the circuMstar￿es. but not for the purpose of expressing an opinion of the effectiveness ofthe
charity's inlemal control.
Evaluate the appropriateness of accAxJnting policies used and th6 r6asonab16ness of accounting
estimatesand related disdosures made by the Trustees.
Conclu(Je on the appropriateness of the Twslee5' Use of the going con￿rn basis of accounting and,
basedon the audit evidence obtained, whether a material uncertainty exists relaled to events or conditions
that may cast signrficant doubt on the chariws abilty to conlinue as a going concern. If we conclude that
amatèrial uncèrtainty èxists. we are requir￿ to dTaw attention in our Auditors, report to thé rélatèd
disdosures in the financial statements or, if such disclosures are inadequale, to modify our opinion. Our
C4)nclusions are based on the audit eviden￿ obtaineil up to the dale of our Auditors, report. However, future
events or condits'ons may cause the charity to cease to continue as a going concem.
Evaluate the overall presentation, struclure and content of the finanaal statements, including the
Page 17

LIFEBOX FOUNDATION
IA company limited by guarantee)
INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF UFEBOX FOUNDATION ICONTINUEDI
dis¢lostJres, and whelh$r Ihtr financial ststements represent the underlying transactions and events in a
manner that achieves lair presentation.
We communicate with those charged govemance regarding, among other maiters, the planned scope and
timing ol the audit and signrficant audit findings. induding any significant deficiencies in intemal control that we
identify during our audrt.
A further description of our responsibilities for ihe audil of the financial siatemenis is located on the Financial
Reporting Council's website at.. www.frc.o
.uklauditorsres
nsibilities. This description forms part of our
Auditors, report.
Us¢ of our r•port
This report is made solely lo the charitable compan￿5 trustees. as 8 body, in accordance with Part 4 of the
Charities (Accounts and Reports) Regulations 2008. Our audil work has b88n undertaken so that we might slate
to the charitable companls trustees those matters we are required lo stale lo them in an Auditors, report and
for no other purpose. To the lullesl exlenl pemilted by law, we do not accepl or assume responsibility to
anyone other than the charitable company and its members, as a body. for our audit wot*, lor this report, or for
the opinions we have formed.
BKL Audit LLP
BKL Audlt LLP
Chartered Account8nts
Slalulory Auditor
35 Ballards Lane
London
N3 1XW
Dale.. 0311012025
BKL Audit LLP are eligible to act as audilors in lerms of seciion 1212 of ihe Companies Act 2006.
Page 18

LIFEBOX FOUNDATION
IA company limited by guarantee)
STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNTI
FOR THE YEAR ENDED 31 MARCH 2025
Total
funds
As Restated
2024
Restricted Unrestricted
funds
funds
202S
2025
Total
funds
202S
Incorne from..
Donations and legacies
Charitable activitlgs
328,711
313,147
2,137
641.B56
2,137
455,999
61,658
Total Income
328,711
315,284
643.995
517.657
Ex￿nditUre on:
Raising funds
Charitable activities
19,969
343,324
19.969
615.261
430
785,162
271.937
Total 8xpgnd5tur8
271,937
363,293
635,230
785,592
N8t movemènt In funds before oth•r
recognlsod galn8llloss•81
$6,774
(48,0091
8.76S
(267,935J
Other r•¢ognl$•d galnslllo8sesI:
Exchangg losses
167,0321
167.0321
Net movement In fund#
56,774
(115,0411
158,2671
(267,935)
R•conclllatlon of funds:
Total funds brought forward
Nel movement in funds
29.573
56.774
483,681
(115.0411
513.254
158.2671
781, 789
(267,935J
Total funds carrled forward
86,347
368,640
454.987
513,254
The Statement of Financial Actiwties indudes all gains and losses recognised in the year.
The notes on page5 23 10 39 form part of these finanual statements.
Page 19

LIFEBOX FOUNDATION
IA company limited by guarantee)
REGISTERED NUMBER: 07612518
BALANCE SHEET
AS AT 31 MARCH 2025
202S
2024
Currant ass8ts
Stocks
Debtors
Cash al bank and in hand
11
12
18,726
120,637
403,413
66, 123
84.590
406,384
542,776
557,097
Creditors- amounts falling due within one
year
Total not assets
13
187,789}
(43,843)
454,987
513,254
Charlty funds
Restricted funds
Unreslricled lunds
14
86,347
29.573
Designated funds
General funds
14
7.508
361,132
7,508
476,173
14
Totsl unrestricted lunds
14
368.640
483,687
Total funds
454,987
513,254
The gnlity was entit19d lo gxgmption from audit undgr sedion 477 of thg Companigs A¢1 2006.
The members have not required the entity io obtain an audit for Ihe year in question in accordance with section
476 of the Companies Act 2006.
However, an audit has been perfomied in accordance wth section 145 of the Charities Act 2011.
The Trustees aCknO￿edge th9ir r8sponsibilib.es for comptying wilh the requirements of the Act with rèspèct to
accounting records and preparation of financial siatemenis.
The financial siatements have been prepared in aL¥))rdan￿ wilh the provisions applicable to entities subject to
the small companie5 regime.
The financial stslements wer& approved an(J authorise(I for issue by the Trustses and signed on their bghalf by.
Page 20

LIFEBOX FOUNDATION
IA company limited by guarantee)
REGISTERED NUMBER: 07612518
BALANCE SHEET ICONTINUEDI
AS AT 31 MARCH 2025
Dr Thomas Geoghegan Welser
Tre85urer
Dale..
Dr RobertJohn McDougall
Trustee
0211012025
0311012025
The nolos on pages 23 to 39 lomi part of these financial statements.
Page 21

LIFEBOX FOUNDATION
IA company limited by guarantee)
STATEMENT OF CASH FLOWS
FOR THE YEAR ENDED 31 MARCH 2025
2025
2024
Cash flows from operating activities
Nel Cash used in operating activities
12,9711
(31,505)
Change In cash and cash equivalents In the year
C88h and cash equivalents at the beginning of the year
12,9711
406,384
131,5051
437.889
Cash and eash 8quSval•nts at th• end of th• year
403,413
406,384
The notes on pages 23 10 39 lorm part of these finanoal stslements
Page 22

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
G8n8ral Infomiatlon
Lifebox Foundation is a charitable cornpany that was incorporated on 21 April 2011 and registered with
the charity commission on the same dale. The Memorandum and Articles were further amended by
sperial resolutions on 15 July 2011. 15 May 2012 and 21 November 201 S.
Accountlng pollcles
2.1 Bas1$ ¢1 prfrparatlon of flnan¢lal stst¢m•nts
The financial statements have been prepared in a￿)rdance wth the Charities SORP IFRS 1021-
Accounting and Reporting by Charities.. Statement of Recomrnended Practice applicable to charities
preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK
and Republic of Ireland IFRS 1021 leffeclive 1 January 20191. the Financial Reporting Standard
applicable in the UK 8nd Republi¢ of Ireland IFRS 10218nd the Companies Act 2006.
Lifebox Foundation meets the definition of a public benefft entity under FRS 102. Assets and
liabilities ar8 initially recognised al hislori¢al ¢o$t or Iransaction value unl8$$ othetwisg Stated in the
relevant accounting policy.
2.2 Income
l income Is recc¥anised once the Charity has entluemenl lo the Income, 11 is probable that the
income will be received and the amount of income receivable can be measured reliably.
Gifts in kind donaled for dislributson are included al valuation and recognised as income when they
are distributed to the projecls. Gifts donated for resale are included as income when they are sold.
2.3 Expenditurt
Expenditure is recognised once there is a legal or constructive obligation lo transfer economic
banefil to a third paty. it is probabl8 that a transfer of economic b6nefits will b& raquired in
settlement and the amount of the obligation can be measured reliably. Expenditure is dassified by
activity. The cosls ol each activity are made up of the toial ol direct cosls and shared costs,
including support costs involved in undertaking each activity. Direct costs attributable to a single
activity are allocated directly lo that activity. Shared costs which contribute lo more than one activity
8nd support costs which are not attn"bulable to 8 single activity are apportioned between those
a¢tiviti8s on a basis ¢onsistènt wth thè use of resources. C8ntral stsff costs are allocatgd on the
basis ol time spenl. and depre¢iatson ¢harg¢s allocatod on the po￿On of the asset's uso.
Expenditure on raising funds indudes all expenditure incurred by the Charity to raise funds lor its
charitable purposes and indudes costs of all fundraising aclivities events and non-charilable trading.
Expen¢Jilure on ch8ritsble actiwties is in¢urred on direcuy undertaking the activities which further the
Charitys objÈctlV8s, as well as any aSS￿l8ted support costs.
l expendilure is inclusive ol irrecoverable VAT.
Page 23

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
Accounting policies {continuedl
2.4 Sto¢k$
Stocks are valued at the lower of cost and net realisable value after making due allowance for
obsolete and slow-moving stocks. Cost includes all direct costs and an appropriate proportion of
rixed and variable overheads.
2.5 D•btors
Trade and other debtors are recognised al the settlemenl amount after any Irade diswunt offered.
Prepayments are valued at the amount prepaid net of any trade discounts due.
2.6 Cash at bank and in hand
Cash al bank and in h8nd includes cash and short-lem) highly Ilquld Snvestmenls wlth 8 short
maturily of three months or less Irom Ihe date of acquisition or opening of the deposit or similar
acwunl.
2.7 Llabllitles and provi8lons
Liabilities are reco9nised when there is an obligation al the Balance sheet d8te as a result of a past
event, il is probable that a transfer of economic benefit wll be requlred In settlemenl, and the
amount of Ihg setuemenl Can be gslimaled ￿lIablY.
Liabilities are recognised at the amounl thal the Charity anticipates it will pay to settle the debt or the
amount it has received as advanced payTnents lor the goods or services it must provide.
Provisions are measured al the best estimate of the amounts required lo settle the obligation. Where
the effect ol the lime value ol money is material, the provision is based on the prtrsenl value of Ihos
amoLJnts, discounted al the P￿-taX discount rate that ￿fleCt$ the risks specific lo the liability. The
unwinding of the discount is recognised in the Statement of finanaal activrties as a finance cost.
2.8 Flnanclal Instruments
The Charity only ha5 financyal a55e15 and financyal liabilities of a kind that qualify as basic financial
inslrumenls. Basic financlal instruments are inilialty recognised al Ir8nsaction value and
subseouently measured at their settlgment value ￿th the exception of bank 108ns which are
subsequenlly measured at amortised cost using the effective interest method.
Page 24

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
Accounting policies {continuedl
2.9 Fund a¢¢ountlng
General funds are unrestricted funds which are available for use at the discretion of the Trustees in
furtherance of the general objectives of the Charity and which have not been designated for other
purposes.
Designatéd funds comprise unrgslricted lunds Ihat have been set aside by tho Trtjstees for
particular purposes. The aim an(1 use of each designated fvnd is set out in the notes to the financial
statements.
Restricted funds are funds which are to be used in accordance with specific reslriclions imposed by
donors or which have been raise(J by the Charity for particular purposes. The costs ol raising and
8dminislering such lunlls are charged against the specific fund. The aim and use of each reslricled
fund is sel out in the notes lo the financial statements.
In¢ome from donatlon$ and 1ggacS•s
Restrlct•d Unrèstrlcted
funds
funds
2025
2025
Total
funds
2025
Donab'ons
328,711
313.147
641,858
Restricted Unrestricted
fund$
furtds
2024
2024
Total
funds
2024
Donations
228,407
227,592
455,999
Income from charitable activities
Unr•$trlet•d
funds
2025
Total
funds
2025
Income from Charitable adivities- Improwng Anaesthesra Safety
2.137
2,137
Page 25

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
Income from charltabl• actlvltles Icontlnuad)
Unrestricted
funds
2024
Total
funds
2024
Income from charitable ath'vitses- Improving Anaesthesia Safety
61,658
61.658
Expendlture on Tal$lng fund$
Costs of ralslng voluntsry In￿me
Unre8tr5cted
funds
2025
Total
funds
2025
Subscriptions & License Fees
CRM & Online Systems Fees
218
19,753
216
19,753
19.969
19,969
Unrestrictsd
fvnds
2024
Tolal
funds
2024
Subscriptions & License Fees
CRM & Online Systems Fees
336
94
336
94
430
430
Page 26

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
Analysls of expenditure on charltable actlvitles
Summary by fund type
R¥$trlet•d Unro$trletèd
fund$
fund$
2025
2025
Total
2025
Improving Anaeslhesra Safety
Reducing Surgical Site Infections
Promoting Surgical Teamwork
33,64S
155,002
83,2
185,529
73.173
84.622
219,174
228,175
167,912
271.937
343.324
61S,261
Reslricled Unrestricted
lunds
funds
2024
2024
Tol&l
2024
Improving Anaeslhesia Salety
Reducing Surgical Sile Infections
Promoting Surgical Toamwork
378,897
161,206
10,849
378,897
267,527
198,738
106,321
187,889
294,270
490,952
T85, 762
Analy$i$ of expenditure by a¢tivitie$
Actlvltl85
undertaken
directly
2025
Support
costs
2025
Total
funds
2025
Improving Anaesthesia Safely
Reducing Surgical Site Infections
Proffloling Surgical Teamwork
142,666
126,164
91,314
76,508
102,011
76.598
219,174
228,175
167,912
360,144
255,117
615,261
Page 27

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
Analysls of expenditur8 by actlvltles 1contlnu￿l
Activities
undertaken
diTrGtIy
2024
Support
costs
2024
Total
funds
2024
Improving Anaesthesia Safety
Reducing Surgic81 Sile Infections
Promoting Surgical Teamwork
240,587
163, 112
120,422
78,316
104,415
78.316
318,897
261,527
798,738
524, 115
261,047
785, 762
Analysls ot dlrect costs
Rodu¢Sng
Surgl¢al Promotlng
Slte
Surgl¢al
Inf*ction$
T•amwork
2025
2025
Improvlng
Anae$the$la
Safety
2025
Total
funds
2025
Stsff costs
Pulse Oximelgrs & Research
Training & Education
Clean Cul Implementation
Headlight
Travel
US Programmes
Communications & Marketing
Inslilulional Conlenl & Desig
Software. Licenses & Wèbsi18
Other Direct Costs
s6,￿3
53,316
975
77.437
41
SS,336
30
3,569
189,676
53,387
5,843
5,423
907
1,816
85.158
4,418
7.294
5,252
970
1.299
5.423
545
25,547
1,325
2,188
1.576
291
726
34.064
1.768
2.918
2,100
388
545
25,547
1,325
2,188
1,576
291
142,666
126.164
91,314
360.144
Page 28

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
Analysls of expenditur8 by actlvltles 1contlnu￿l
Analysis of direct costs Icontinuedl
Improving
Reducing
Anaesthè&ia Surgical Site
Safely
Infections
2024
2024
Promoting
Surgical
Teamwot*
2024
Total
fvnds
2024
Stsff costs
Pulse Oximelers & Research
Training & Educatson
Capnography
Clean Cul Implemenlalion
Headlight
Travel
83,127
122, 719
1,490
4,613
110,835
130
961
83, 127
97
2,019
277,089
122,946
4,470
4,613
12,001
6,547
23,923
70, 710
28,694
6, 777
21,369
2,652
I,oii
392
921
12.001
6,547
7,177
3,213
8.608
2,033
6,411
796
7,177
3,213
8,608
2,033
6.411
T96
9.569
4.284
11.478
2,711
8,547
1.060
1.011
156
369
Consultancy
Emergency Support
Communications & Marketing
Institutional Content & Design
so￿are, Licenses & Website
Fellows
Events
Other Dirod Costs
118
276
118
276
240.587
163. 172
120,422
524, 115
Page 29

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
Analysls of expenditur8 by actlvltles 1contlnu￿l
Analysis of support costs
Rèduclng
Surglcal Promotlng
Site
Surglcal
Infections
Teamwork
2025
2025
Improvlng
Anaesthesla
Safety
2025
Total
funds
2025
Staff costs
Consultancy
Bank Charges
Rent
HR & Payroll
Stsff Training
Subscriptions
Travel
Insurance
Other Support Costs
Foreign exchange
Govemanee costs
42,261
18,047
56.348
24,062
180
42,261
18,047
134
632
627
975
536
140,870
60,156
448
2,107
2,091
3,249
1,786
1,854
1,091
24,496
2,569
14,400
632
627
975
536
837
1,299
714
529
327
7,349
771
4,320
706
437
9,798
1.027
5.760
619
327
7,349
771
4,320
76,508
102,011
76,598
255,117
Page 30

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
Analysls of expenditur8 by actlvltles 1contlnu￿l
Analysis of support costs {continued)
Improving
Reducing
Anaesthè&ia Surgical Site
Safely
Infections
2024
2024
Promoting
Surgical
Teamwot*
2024
Total
fvnds
2024
Stsff costs
Consultancy
Bank Charges
Rent
Meeting Room Hire
HR & Payroll
Staff Training
Subscriptions
Travel
Insurance
Other Supp¢yt Costs
Govemance cosls
57,541
8,585
305
76,721
11,445
407
57,541
8,585
305
3,323
689
191,803
28,615
1,017
11,075
2,296
2,802
84
3,323
689
841
25
4.429
918
1, 120
34
380
425
236
440
7.860
25
285
379
177
285
319
177
331
5,895
950
1,063
590
Y, 102
19,650
331
5,895
78.316
104.415
78.316
261,047
Govemance costs in both 2023 and 2024 relate to fees payable lo the Ch8ritls Auditor.
Audltors, r•mun•ratlon
2025
2024
Fees pay8ble lo the Charitys auditor for the prep8ralion and audti of the
Charitls annual accounts
14,400
14,400
Page 31

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
Staff costs
2025
2024
Wages and salaries
Social security costs
Contribution lo defined contribution pension schemes
288,193
33,557
8,796
410,802
45,905
72,185
330,548
468,892
The 8verage number of persons employed by the Charity during the year w89 as follows:
2025
No.
2024
No.
The numb8r ol 8mployees whose employee benéfits lexduding employer pension costs) exceeded
£60,000 was..
2025
No,
2024
No.
In the band £60,CK11- £70,000
In the band £70,001- £80,000
In the band £80,001- £90.000
Kèy management personnel consists of the Chief Programmes Offic8r and th8 Haad of Financ8. Thè
total employee remuneration and benefits of the key management personnel of the Charity were £91,683
12023.. £86,978).
10. Trustees. remuneration and expenses
During th8 year, no Truste8s rec&iv8d any remunèralion or other b8n8fits (2024- £NIL).
During the year ended 31 March 2025. no Trustee expenses have been incurred (2024 . £NIL).
11. Stocks
2025
2024
Oximelers and Probes
18,726
66. 123
Page 32

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
12. Dèbtors
2025
2024
Du• wlthln one year
Trade debtors
120,637
84,590
120,637
84,590
13. Credltorn: Amounts falllng du• wlthln one year
2025
2024
Trade crediiors
Othgr creditors
A¢¢ruals and deferred inwme
38,339
7,877
41,573
12,876
30,967
87,789
43,843
Page 33

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
14. Statem8nt of funds
Statement of funds- current year
Balance at
31 March
2025
Balancè at 1
Aprll 2024
Galnsl
ILoss•$l
In¢omo Expondlturo
Unrestrlcted funds
Deslgnated fvnds
Improving Anaesthesia Safety
Reducing Surgical Srte
Infection5
Promoting Surglcal Teamwork
78.608
{78.6081
7,508
20.307
45,696
{20,3071
{45,6961
7.508
7,508
144,611
{144,6111
7,508
General fund$
General Funds- all funds
476,173
170.673
{218,6821
167,0321
361,132
Total Unre8trlct8d funds
483,681
315.284
{363,2931
167,0321
368,640
Restrlcted funds
Improving Anaeslhesia Safety
Reducing Surgical Srte
Infections
Promoting Surgical Teamwork
36.964
{33,6451
3.319
29,573
208.457
83,290
(155,0021
{83,2901
83,028
29,573
328.711
{271,9371
86,347
Totsl of funds
513,254
643,995
{635,2301
167,0321
454,987
Page 34

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
14. Statem8nt of funds Icontlnuad)
Designated funds comprise..
Im rovin
Anaeslhesia Safe
Amounts designated mainly for distribution of devices (pulse oximeters. Capnographs and headlights).
This also includes training on ihe use of pulse oximetsrs and capnographs.
Reducin
Sur
ical Sile Infections
Amounts designated for the implementslion of the Lifebox clean cul programme. The programme is a
series ol workshops and trainings designed lo reduce surgical site infections.
motin
Su
l T8amwork
Amounts designated lo provide training to operating room staff to Promote effective communication in
the operatsng room.
Restricted funds compr6se'.
rovin
Ana
sth
sia
af81
Reslricled monies given mainly lor distribution of devices Ipulse oximeters, capnographs and
headlighlsl. This also indudes Iraining on the use ol pulse oximelers and capnographs.
Restrictod monies givon lor tho implementation of the Lrfobox Clean cut programme. Thg programmo1$
a series of workshops and Irainings designed to redLbce surgical site infects'ons.
Prornolin
ical Teamwork
Rtrslri¢ted monies given to provide training lo operating r¢y)m staff lo promote effective communication
in the operating room.
Page 35

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
14. Statem8nt of funds Icontlnu8d)
Statement of funds- prior year
88lance 81
31 March
2024
Balance at
l Apnl 2023
Transfers
in/out
Income Expenditu
Unrestrlcted funds
Deslgnated fvnds
Improving Anaesthesia Safety
Reducing Surgical Srte
Infection5
Promoting Surglcal Teamwork
143, 10T
(150.616)
7,509
19.074
5.468
(11.566)
(6,883)
7,508
7,415
167,649
(169.065)
8,924
7,508
General fund$
General Funds- all funds
685,813
121,601
(322.317)
(8,924)
476, 173
Total Unre8trlct8d funds
685,813
289,250
(491,382)
483,687
Re$tri¢ted lund$
Reducing Surgical Srte
Infections
Prornoling Surgical Teamwork
95.376
40,518
187,889
(106.321)
(187.889)
29,573
95,376
228,407
(294.210)
29,573
Total of funds
781, 189
517,65T
(785.592)
513,254
Page 36

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
15. Summary offunds
Summary of funds- current year
Balance at
31 March
2025
Balancè at 1
Aprll 2024
Galnsl
ILoss•$l
In¢omo Expondlturo
Designated funds
Gentrral funds
Restricted funds
7,508
476,173
29.573
144.611
170,673
328.711
{144,6111
{218,6821
(271,9371
7.508
361,132
86,347
167,0321
513,254
643.995
{635,2301
167,0321
454,987
Summary of funds- prlor yoar
8alance al
31 March
2024
Balance at
l Apnl 2023
Transfers
inloul
Income Expenditur9
Dèsignated funds
General funds
Restrictod funds
167.649
121,601
228,407
(169.065)
(322,317)
(294.210)
8.924
{8,924J
7,508
476, 173
29,573
685,813
95,376
781, 189
517,657
(785.592)
513,254
16. Analy515 of net assets between lunds
Analysls of net assets between fvnds- Current year
Restrlcted Unr8strlct8d
funds
funds
2025
2025
Total
funds
2025
Current assets
Credilors due within one year
86,347
456.429
187,7891
542,776
187,7891
Total
86.347
368.640
454,987
Page 37

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
16. Analysls of nat ass8ts between funds {contlnued)
Analysis of net assets between funds- prior year
Resliicled Unreslricled
fund$
funds
2024
2024
Total
fvnds
2024
Current assets
Creditors due within on6 year
29,573
527,524
(43,843)
557,097
(43,843)
Total
29,573
483,681
513,254
17. Reconclllatlon of n•t movement In funds to not cash Ilow from OPera￿n9 actlvltles
2025
2024
Net incomelexpenditurg f¢y the year las per Statemenl of Finanoal
Acliviliesl
8,765
{267,935J
Adlustmtnts for:
De¢r¢ase in slo¢ks
Decreasellincreasel in deblors
Inereaselldecreasel in creditors
Exchange Igainy Ioss
47,397
{36,0471
49,995
167,0321
101,406
203,942
(68,918)
N•t cash provld•d byllus•d In) op•ratlng actlvltlo$
3,078
(31,505)
18. Analysls of cash and cash equlvalents
2025
2024
Cash in hand
403,413
406,384
Total cash and cash equivalents
403,413
406.384
Page 38

LIFEBOX FOUNDATION
IA company limited by guarantee)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 MARCH 2025
19. Analysls of changes In net debt
At 1 April
2024 Cash flows
At 31 March
2025
Cash at bank and in hand
406,384
12,9711
403,413
406,384
12,9711
403,413
20. R•lat•d party transaetlon$
One trustee of Lifebox Foundation is also a trustee of Lifebox Foundation Inc, a US non profit. The
charrily received income during the year of £439.55612024.. £479.9341 from Lif8box Global and had
outstanding debtors 01 £109.83212024.. £68.S101 al the year ènd. There is an outstanding balance of
£38,33912024'. £Nill due lo Lifebox US al Ihe sear end.
Page 39

Lifebox Foundation
21 Portlond ploce, London. Englond, Wl8 IPY
Dale: .021101202&..........
Your ref.. LIF(K)2
BKL Audit LLP
35 Bollords Lone
London
N3 IXW
Deor Sirs
This represenlolion leller is provided in connection wlh your audil of the financial
stotements ol the Chority lor the year ended 31 Morch 2025 lor the pvrpose ol expressing
on opinion 05 lo whether the finonciol slalemenls give a Irve and lair view ol the results
ond linoncial position ol the Chorily in occordonce with the Componies Act 2006. the
Charities Act 2011 ond United Kingdom Accovnling Slondords Iuniled Kingdom Generally
Accepted Accounting Prachcel.
GENERAL
We hove lullilled os Iruslees our responsibility under the Componies Act 2006 ond the
Charities Act 2011 for preporing linonciol stolemenls in accordance wilh opplicable
low and United Kingdom Accounting Slondard5 (UK Generolly Accepted Accounting
Praclicel which give o true and lair view and lor making accurate represenlalion5 10
you. All the accounting records have been mode ovailable to you for the purpose ol
your oudil ond oll the Ironsoclions underloken by the Chority hove been properly
reflected ond recorded in the occounling records. All olher records ond reloled
inlormolion. including minutes ol oll monogement and tnjslee meetings. hove been
mode avoiloble lo you. We olso ensvred you hod unreslricled occess to persons from
whom you detenmined necessary to obtoin oudit evidence.
We confirm Ihat the linanciol statements are free of moleriol misstatements, including
omissions.
We believe Ihal the effect of uncoffecled misslatemen15 is immaterial both individually
and in total. We further confirm that we have reviewed the attached summary ol
vnodjusled errors ond that Ihese erTors have nol been adjusted because each
individual error is not material and the aggregated effect on the linanciol slalemenls
ol oll unodjusled errors is not moteriol.
We underslond Ihol, under Ihe FRC Elhicol Slondord. the provision of oudil and non-
Registered of1￿e= 21 Portlond Ploce. London. Englond. WIB IPY
Registered in Engbnd & Woles no. 07612518
Regtstered charity no. 1 143018

Lifebox Foundation
21 Portlond ploce, London, Fnglond, WIB IPY
ovdil services by yov to Ou￿elveS gives rise lo o potenliol Ihreol lo independence. We
confirm that you have explained to us the Ihreals and the 50leguaids that you hove
put in ploce to oddress the polentiol sell-review threot. We confirm that we have
di5CUS5ed the draft accounts and final joumals and agree lo inclusion ol the attached
journals in the final accounts.
INTERNAL CONTROL AND FRAUD
We ocknowledge our responsibility lor the design. implementolion ond mainlenonce
ol inlernol control systems lo prevent ond detect froud ond error. We confirm Ihot
following our risk ossessmenl, in our opinion. the finonciol slolemenls ore not moleriolly
misstated as a result ol fraud.
We hove disclosed lo you all instonces ol known orsuspecled Iroud allecling the enlily
involving manogemenl. employees who have a significant role in inlemol control or
other5 Ihal could hove a material effecl on the finonciol 5totement5.
We hove olso disclosed to yov all inlomiation in relolion lo allegolions ol traud or
Suspected Iroud allecting the enlity's finonciol statements commvnicoted by current
or former employees. onalysls. regulolors or others.
ASSETS AND LIABILITIES
We conlim Ihal assets ore included in the financial slatemenls ot no more than their
recoveroble amounts and Ihal liabililies ore included ot Iheir expecled cost lo the
chorily.
We confirm Ihol the fixed 05sels are recorded in the financial slolement5 al no more
than their recoverable amount.
l O. We confirm Ihol the Chorily hos solisfoclory litle lo oll ossels ond there ore no liens or
encumbronces on the Chorily's ossets. except for Ihose Ihol ore disclosed in the notes
to the linonciol slolemenls.
I l. We confirm thot we hove recorded or disclosed, os oppropriote, oll liobilities, both
actual and conlingent, and have disclosed in the notes to the financial statements all
guarantees thot have been given to Ihifd porties.
12. We confirm that we hove r)0 plons or intenlior)5 that moy materially alter the carrying
value or classilicotion ol asset5 and liabililies reflected in the financiol statement5.
ACCOUNTING ESTIMATES
13. Signiliconl ossumplions used by vs in moking occounling estimoles, including those
meosured ot loir volue. ore reosonoble.
Registered of1￿e= 21 Portlond Ploce. London. Englond. WIB IPY
Registered in Engbnd & Woles no. 07612518
Regtslered charity no. 1 143018

Lifebox Foundation
21 Portlond ploce, London. Englond, Wl8 IPY
LEGAL CLAIMS
14. We confirm thal all claims in conneclion wth litigotion that have been. or are
expected to be received have been propedy accrued for in the financial Statements.
LAWS AND REGULATIONS
15. We confirm Ihol we ore not owore ol ony irregvlorilies. including Iroud, involving
monogemenl or employees ol the Chority-. nor ore we owore ol ony breoches or
possible breoches ol slotule. regulotions. controcls. ogreemenls or the Chorify's
Memorandvm ond Articles ol Associolion which might prejudice the Charity's going
concern slolus or Ihol mighl result in Ihe Chorily sullering significonl penollies or other
loss. We further conlirrn Ihal no allegotions ol svch ifTegularilies. including fraud. (y such
breaches have come lo our notice.
LOANS AND ARRANGEMENTS wifH DIRECTORS
16. We confirm that the Chority hos not had nor entered into at any lime dvring the yeor.
ony orrongemenl, Ironsoclion or ogreemenl lo provide credit facilities (including
loons, quosi-loons or credit locililies) for directors nor lo gvoronlee or provide security
lor such matters other than those di￿10$ed in the finonciol stotements.
TRANSACTIONS WITH OTHER RELATED PARIIES
17. We confirm Ihol we have disclosed lo you Ihe identity ol Ihe enlily's related parties and
all reloled porty relationships ond Iran50clions relevonl lo Ihe Chorily that we ore owore
of and thot oll related party Ironsoctions which ore required lo be disclosed in the
linonciol slolemenls. have been di￿lOSed in the financial slalemenls.
SUBSEQUENT EVENTS
18. We confirm thol there hove been no events since the yeor-end dote which necessilote
revision ol the figures included in Ihe linonciol slolements or inclusion ol o note thereto.
Should further malerial events occur. which may necessilate revision ol the figures
included in the linonciol stotements or inclusion of a note thereto, we will odvise you
occordingly.
GOING CONCERN
19. We believe that the Charity'5 financial slatemenls should be prepared on a going
concern basis on the grounds that CUfTenl and lulvre sources ol funding and or support
will be more Ihon odequole lor the Chorily's needs. We hove considered o period ol
twelve months from the dote of opprovol of the linonciol slolemenls.
Registered of1￿e= 21 Portlond Ploce. London. Englond. WIB IPY
Registered in Engbnd & Woles no. 07612518
Regtslered charity no. 1 143018

Lifebox Foundation
21 Portlond ploce, London. Englond, Wl8 IPY
RESTRICTED INCOME AND EXPENDITURE
20. We conlimi Ihol oll gronts. donolions ond other income. Ihe receipt of which is svbjecl
to specific terms or conditions, hove been notified to yov ond propedy recorded in the
linoncial stotemenls os restricted funds. We Ivrther confim Ihol there have been no
breaches ol lerms or conditions in this op ￿lcOtiOn ol income.
21. We confirm that expendilLve from restricted funds during the year is as shown in the
linoncial slalemenls. We lurther confirm Ihal there hove been no breoches ol tems
cy conditions in this application of expenditure.
We confirm lo the best ol our knowledge ond belief Ihol the obove represenlations ore
mode on the bosis ol enquiries ol management and staff with relevant knowledge ond
experience and. where oppropriale. of inspection of supporting documenlation 5vllicient
to sotisty ourselves Ihol we con properfy moke each of the obove represenlolions lo you.
We acknowledge ovr legol responsibilities regording disclosure ol infonnolion to you os
oudilors ond confirm Ihol, so lor os we ore owore. Ihere is no relevonl oudil information
needed by you in connection with oreporing your oudil report ol which you ore unawore.
Each direclor hos taken all the sleps Ihal helshe ought to hove token os o director in order
to moke himselllhersell owore ol ony relevont oudit inlomotion ond lo esloblish Ihot you
ore owore ol Ihal inlormolion.
Yours loilhfully
Trow6L(6 Weiie
Signed on beholf ol the Boord ol Trustees
Lllebox Foundatlon
Registered of1￿e= 21 Portlond Ploce. London. Englond. WIB IPY
Registered in Engbnd & Woles no. 07612518
Regtstered charity no. 1 143018