DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
IA company limited by guarantee)
Annual Report and Consolidated Financial Statements
Year ended 31 March 2024
Registered charity number 1172020
Registered company number 10523525

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
CONTENTS
Page
Tmstees. Annual Report (including administrative details)
Independent Auditor's Report
17
Group Statement of Financial Activities
21
Balance Sheets
22
Group Statement of Cashflows
23
Notes forming part of the financial statements
24

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
The Trustees of The European Society of Thoracic Surgeons are pleased lo present their annual report
together with the consolidated financial statements of the charity and ils subsidiary for the year ended 31
March 2024 which are also prepared to meet the requirements for a directors, report and accounts for
Companies Act purposes.
The financial statements comply with the Companies Act, the Charities Act 2011, the Memorandum and
Articles of Association, and Accounting and Reporting by Charities.. Statement of Recommended Practice
applicable lo charities preparing their accounts in accordance with the Financial Reporting Standard
applicable in the UK and Republic of Ireland IFRS1021.
Structurei govemance and management
1. The goveming document (The Conslitulionl was amended in 2016, approved by the Charity
Commission and approved at the General Assembly on the 31 May 2016 . Following
extensive complex discussions the Constitution was amended and presented to the members
for ratification at the General Assembly at the 30th European Conference on General Thoracic
Surgery, The Hague, The Netherlands, June 2022. This was approved
2. Appointed by the Board of Directors
3. Not applicable
4. Training by current Trustees
5. Charity Trustees endorse decisions that are made by the Board of Directors. There are no
unilateral decisions made by Trustees without Board of Directors, approval
6. Not applicable
7. ESTS has links with the following international organisalions in cardiolhoracic surgery-
Society of Thoracic Surgeons ISTS}
American Association for Thoracic Surgery IAATSI
Japanese Association for Chest Surgery IJACSI
Asian Society for Cardiovas¢ular and Thora¢ic Surgery IASCVTSI
Brazilian Society of Thoracic Surgeons ISBCTI
Chinese Association of Thoracic Surgery ICATSI
European Respiratory Society IERSI
European Society for Medical Oncology {ESMOI
European Society for Therapeutic Radiology and Oncology IESTROI
International Thymic Malignancy Interest Group IITMIGI
International Society for Diseases of the Esophagus IISDEI
International Association for the Study of Lung Cancer IIASLCI
8. The major risks which have been identified mainly relate lo a nel loss either al the annual meeting
of the Society or at any of ils educational meetings. The most robust form of defence for this has
been lo seek sponsorship by appropriate industry and this indeed is reflected in the accounts for
the Society. Financial security has been considered such that all cheques need lo be signed by
two signatories. The￿ is a limit of £1500 on the Society credit card for the Secretary General, £1500
for the Treasurer, £5,000 for the Executive Director and only the Executive Director currently holds
a card. Expenditure for Board of Directors meetings and official travel has been capped al É750 for
Europeans and É1500 for the International Board of Directors, there is allowance for a maximum of
2500 for travel over 3500 nautical miles. Our contract with our journal owner is being renegotiated
as the journal costs are significantly lower being an online only journal since December 2020. This
has enabled us to increase our membership, provide a Ihree-lier membership fee stnjcture for lower
income countries and this in turn has strengthened our membership base.

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
Objectives and Activities
The Charity's objects 1.the objects"} are..
The advancement of education by the study and practice of Thoracic Surgery and related medical
subjects.
Note
This involves the organizalion of European Board Exams in Thoracic Surgery, organizing
annual conferences, supporting scientific publications in thoracic surgery and facililaling
exchange of teachers and trainees in thoracic surgery. In so doing the Charity will be able to
provide advice and support for European authorities on matters concerning thoracic surgery,
and coordinate the systematic collection of dats on thoracic surgical activity and outcome.
ultimately the Charity exists for the benefit of patients with thoracic surgical diseases.
Achigvgmgnts and pgrformancg
Within the last year, the Society has successfully=
Organised the 31st European Conference on General Thoracic Surgery, in person 4-6 June 2023
in Milan, Italy. There were 1,197 attendees. Travel from some Asian countries was still not
permitted due to Covid regulations which affected the registration numbers. The comprehensive
program was delivered in person. There were 93 oral abstract presentations, 12 video
presentations and 163 posters. Two attendees were awarded with ESTS prizes.. Brompton 200(
and Young Investigator Award 2000E. The conlenl was made available on demand lo registered
participants three months after the meeting.
The 315l European Conference was the 30th Anniversary of ESTS. The Founding Fathers were
invi(ed lojoin the meeting lo celebrate and were honoured on stage during the Opening Ceremony.
They were congratulated and p￿sented with certificates and medals.
Organised the ESTS School of Thoracic SLJrgery Knowledge Track Course, onsite in Prague,
Czech Republic, 18-22 March 2024. The course was full with 45 participants wrfch participants from
45 countries. There were 9 onsite faculty and 17 virtual lectures. There were live presentations,
live webinars with an international faculty.
Organised the practical course on Video Assisted Thoracic Surgery IVATSI on 25-27 OCto￿r 2023
in Hamburg, Germany. The course was full with 23 participants from 23 countries, There were 7
onsite faculty and 2 virtual. Theoretical lectures and practical sessions. The course was aimed at
Senior Residents or young attendees with minimal VATS lobeclomy experience. Elhicon supported
this course.
The practical Advanced Video-Assisted Thoracic Surgery course was held in Copenhagen,
Denmark on the 27-28 November 2023. The course included theoretical lectures and live surgery
The course was fully booked with 23participanls from 23 countries. The course was aimed al

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
fellows and consultants with VATS lobectomy experience of more than 50 cases seeking to expan
their VATS practice. This course was supported by Medtronic.
Organised monthly educational webinars from October lo May on aspects of thoracic surgery with
online multidisciplinary discussion and debates. Average attendees 400, webinars attended by
participants worldwide. The webinars are offered free of charge. Replays are available to members
only through the ESTS website. This is lo encourage application for membership.
Organised webinars with the Society of Thoracic Surgeons on Robotic Surgery with speakers from
both societies. These webinars were offered free of charge.
Organised webinars with industry partners which has increased the income. These webinars are
offered free of charge but without the opportunity to watch the replay or download.
Organised Course on Scientific Medical Communication on the 1-2 November 2023 in Prague,
Czech Republic. The course had a lolal of 8 registrations and 4 on site faculty The course is
intended lo improve oral and wrillen communication skills in medicine through beller research
methodology, written style and performance on stage.
Or
anised Surve
March 2024 Training in General Thoracic Surgery in Europe. Designed to evaluate the current
training situation and wmparing it lo a previous evaluation performed in 2010. The aim is lo
understand the past and present to pave the way for the future of thoracic surgery. This survey
is currently active.
2024. In collaboration with the Society of Thoracic Surgeons ISTSI there is discussion for a
survey on the increasing role ofAI technology lo compare American and European perspectives
and opinions and how lo address the introduction and regulation of Al lo best safeguard
patients.
Discussions took place with University Hospital of Basel, Switzedand, to collaborate lo organise
the Chest Wall Course in Basel. The organisers in Basel have four years, experience in
organising successful courses making available a variety of surgical products for the
participants. The previous courses in Hamburg had limited surgical produds available for the
course. This would improve the educational conlenl and benefit lo participants. 11 is expected
lo organise the course on a 50150 share profil or loss. Oespile inf(ial contact with University
Hospital of Basel, discussions did not progress.
The Director of Education together with the Board of Directors approached a venue in Leuven,
Belgium lo arrange the chest wall course in October 2022. This was held on the 4-6 October
2022, a course designed for thoracic surgeons willing to expand their theoretical knowledge as
well as their practical skills in the treatment of chest wall disorders. The Course was full with 24
registrations from 12 countries. The course was of interest lo the industry partners who
supported the course. Following the success of the first course, the course was held on 27-29
September 2023 in Leuven, Belgium, There were 23 participants, 8 onsite faculty and 14 virtual
faculty.

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
The ESTS-ERS course on Lung Cancer was cancelled in 2020. Zurich Swillerland was
proposed as a new venue having good facilities al the airport and easy lo reach. The dales
have been agreed for 13-15 February 2023. The ESTS-ERS Course on Thoracic Oncology
was held in collaboration with the European Respiratory Society, the largest scientific and
clinical in respiratory medicine in Europe. The course was aimed at clinicians with a focus on
lung cancer diagnosis and treatment to provide an update of the screening, diagnosis and
treatment of potentially operable lung cancer. The course was extended lo accommodate 100
participants. Hands-on Workshops were included in the program, sponsored by industry. The
feedback from the course was very positive and a profit expected. It is anticipated to repeal this
course in 2024 and the timing is being discLJssed. The next ESTS-ERS course will be led by
the Society ERS and currently in discussions for the liming and planning.
In co-operation with Vienna Medical University the 4th Vienna-ESTS Laryngolracheal Course
was arranged for the 5-7 March 2020 and cancelled due lo the Covid-19 pandemic. The course
will be reorganised at a future date. The Course was rearranged for the 1-2 March 2023 with
maximum attendance. On the final day there was an optional wet lab. The Course attracted
208 participants and an international faculty of 26. This course was arranged on a 50150 share
profitlloss and figures awaited from the organisers in Vienna. The course was very successful
and provided an income to ESTS of approximately É38,000.
A further mulli-society symposium is being arranged with STSIEACTSIESTS in Rio de Janeiro,
Brazil on the 13-14 November 2020. Due lo Covid-19 pandemic will be reorganised at a future
date. No dale has been arranged yet. This has been arranged for the 17-19 May 2023 and the
President Elect gave a presentation. The President was also an invited speaker.
Collaboration with the Brazilian Society of Thoracic Surgery is on-going and at the XXIII
Congress of the Brazilian Society a special session has been organised between societies STS-
ESTS-EACTS-STS.
Discussions are continLJing for future collaboration with a meeting of
LatAM societies planned for late 2023 or early 2024.
Following the discussions, the STSIEACTSIESTSILATAM conference was held in Rio de
Janeiro, Brazil on the 1-2 December 2023. International faculty gave lectures and keynote
presentations, and the program included original scienttfic oral and poster sessions, technical
videos related to procedural expertise, trials and quality outcomes sessions together with
interactive panel discussions. This joint societal conference strengthened collaboration and
promoted the 32nd European Conference on General Thoracic Surgery being held in Barcelona
in May 2024.
The ESTS Robotic Academy of Thoracic Surgery was launched in the Hague 2022 and
applications opened. The Academy is a one-year education program involving practical training,
observerships and six-month fellowships. Eight fellows were selected. The first COLJrse for two
days was held in ORSI, Belgium in January 2023 with learning experien￿ aimed at console
experience, basic and dissection skills, wet lab. The second two-day course was held on the
5-6 April 2023 at the Medical Training Cenlre, Rouen, France and provided information on new
technologies and nolech process for safety and perfomiance. The Fellows have been given

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
access lo the Society of Thoracic Surgeons robotic webinar program. The Fellows and
educational courses are supported by Intuitive.
Four of the 8 fellows have completed their robotic fellowships, three are in progress and one
will start later in the year.
A grant application is being made lo Inluilive, lo be submitted by the 31 March 2024, to support
the organisation and running of a second Robotic Academy starting in 2025.
ESTS is the first Society lo have arranged a curriculum on robotic thoracic surgery and this has
involved intensive work.
A Library of Videos from the ESTS Textbook has been developed bythe Committee for Learning
Affairs and video links uploaded to the website. This is restricted lo members.
Co-operation with other societies for joint scientific sessions continues such as with the Society
of Thoracic SLJrgeons, American Association of Thoracic Surgery, Japanese Association for
Chest SLJrgery, European Respiratory Society, Chinese Association for Thoracic Surgery.
Collaboration with the Brazilian Society of Thoracic Surgery is on-going and at the XXIII
Congress of the Brazilian Society a special session has been organised between swieties STS-
ESTS-EACTS-STS.
Discussions are continLJing for future collaboration with a meeting of
LatAM societies planned for late 2023 or early 2024.
A course on Minimally Invasive Esophageclomy and Anastomosis has been arranged in
Istanbul, Turkey on the 18-19 April 2024. The COLJrse is full with 12 participants. The faculty
will present lectures and offer a wet lab practical session. This course has been supported by
Medtronic.
new course on ECMO (Exlracorporeal membrane oxygenalion} a complicated and
specialised procedure for patients undergoing lung transplantation will be organised in ZLJrich,
Switzerland in December 2024.
To further promote the educational events a social media manager has been appointed and
has created the ESTS web TV channel where webinars can be replayed, interviews from
educational events viewed, announcements of educational events.
Discussions have taken place with the Italian Society of Thoracic Surgeons ISICT} to organise
a joint scientific meeting, the First ESTS-Ilalian Chapter Meeting, as a local event to promote
engagement of national faculty and members lo foster collaboration between the two
organisations. A Memorandum of Understanding has been signed with regards to the financial
aspects with 50150 share profil or loss. The first meeting will be held in Rome, Italy, 27-29 May
2022. Similar discussions are ongoing with the Society of Cardiolhoracic Surgeons in the UK.

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
The first meeting of the ESTS Italian Chapter was held in Rome, ltsly on the 27-29 May 2022
and was very well allended. The meeting was Chaired by the ESTS President and the
President of the ltslian Society together with the ESTS Regent. The topics included aspects of
Surgical Treatment of Lung Cancer and Challenges for Daily Practice promoting excellent
inleraclivily and discussion. The meeting was very successful and achieved the aim lo enhan
collaboration between the two Societies. The meeting was supported by industry. The
rinancial balance of the meeting was neutral.
As the ESTS annual meeting was held in Milan 2023, the second ESTS-Ilalian Chapter Meeting
was planned for 2024. The meeting has been arranged by the Italian Society for May 2024 and
will include invited speakers from ESTS.
Co-operation with the Sttiety of Thoracic SLJrgeons ISTSI has extended with meetings of both
leadership to discLJSS other projects of joint collaboration. In March 2022, STS proposed inviting the
ESTS Director of the Database to join the STS Database Committee with a reciprocal agreement for
STS to be represented on the ESTS Database Committee. This was accepted as an honour. The aim
will be to harmonise the two databases.
A new Working Group was agreed on Fil to Perform and will hold their first meeting in Milan 2023.
A new Working Group for Nurses and Allied Health Professionals was established in June 2023
following the successful Nurses and Allied Health Professionals symposia held at the annual
meetings. In February 2024, the Board of Directors discussed a new membership category for
Nurses and Allied Health Professionals, and this was agreed. Legal advice is being sought lo amend
the Articles and this will be presented al the General Assembly al the 32nd European Conference on
General Thoracic Surgery in Barcelona May 2024.
ESTS Women in General Thoracic Surgery Committee {ESTS-WGTSI was approved by the Board of
Directors in March 2021 and has continued lo expand with members and organisalion of events. This
is a joint effort from female leaders across different countries and cultures lo dedicate, encourage,
enable and inspire women to fulfil their surgical career ambitions. The Committee is led by Cecilia
Pompili, Hull, UK. The Committee has created a logo which has been approved. The ESTS WGTS
has been very active and has obtsined an industry supported grant of 50,000 euros for the ESTS WGTS
Academy. The Academy will support female early-careerthoracic surgeons to gain exposure to women
thoracic surgeon mentors and have access to dedicated educational reSoUr￿S that have been tailored
to the needs expressed in the ESTSIEACTS Gender Bias Survey in terms of leadership, mentorship
and research training. The Academy will focus on early career thoracic surgeons wishing to acqLJire
surgical skills by a mixed schedule of in-person networf(ing, live webinars and observership on
participation in a structured gender-balanced Academy.

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
The Committee for Women in General Thoracic Surgery encourages and inspires women to fulfil their
surgical career ambitions. The Committee organised an Academy course at the Copenhagen Academy
for Medical Education and Simulation on the 1-2 December 2022. A series of webinars was arranged
in 202212023 specifically for the Fellows. The Fellows have been offered complimentary registration lo
the ESTS Milan 2023 annual Conferen￿ to supp)rt their education. The Fellows are supported by a
grant from industry.
The 2024 Women in Thoracic SLJrgery Academy selected 8 international fellows who are currently
rolaling on two-day COLJrses at Bart's Hospital London and Rigshospitalet Copenhagen for clinical
immersion. The final academy course will be held with all 8 fellows in Zurich, Switzerland on the 18-
19 April 2024, Clinical Immersion.. surgery for advanced lung disease wf(h lectures and live surgery.
Together with CTSNel, the Women in General Thoracic Surgery Committee has arranged a series of
three wehinars on topics of Gender Representation of Cardiothoracic Surgery around the World.
Women as Leaders.. how lo gel there and in April 2024 Fighting inequ(ties in cardiothoracic surgery.
These webinars have been made available on CTSnel lo view on demand.
The Women in General Thoracic Surgery are submilling grant applications to industry for further
support.
The Board of Directors has agreed a request from the Women in General Thoracic Surgery Committee
to form a South Asian chapter to increase the representation of colleagues from these countries. The
aim is to engage more surgeons from this area where women representation is rare and surgical needs
are different. Currently South Asian surgeon do not have a dedicated thoracic surgery society and
therefore ESTS would be an important international affiliation.
The Society has continued to work together with the European Soaety for Medical Oncology and the
European Society for Therapeutic Radiology and Oncology lo prepare the European Lung Cancer
Conference IELCCI held in Prague, Czech Republic, 30 March 2 April 2022 Due to the challenging
situation in Prague with ongoing arrival of refugees from Ukraine, il was logistically impossible lo run
the event as the centre was functioning as a refugee-assistsnce ￿ntre and therefore the meeting was
held as a virtual congress only. The ELCC was held in Copenhagen on the 28 March lo 1 April 2023.
Due to contractual clauses, it was only y)ssible for ESTS lo be a partner at the meeting with onsite
visibility and presence. There was no financial agreement for this course bul discLJssions are continuing
to collaborate with future multidisciplinary events. It is planned lo hold a leadership meeting between
ESTS and ESMO dLJring the next ELJropean Lung Cancer Conference being held on the 20-23 March
2024 for future discussions.
ESTS was successful in obtaining grants from Astra Zeneca pharma. The grants will support
educational observershipslfellowships, database projects, webinars, work lo prepare guidelines, clinical
trial platform. Applications for ObservershipslFellowships closed in March and the Board of Directors
are reviewing. Discussions are in progress regarding the grants. The successful candidate for the 12
months Fellowship started at Sl Bartholomew's Hospital in London, UK at the beginning of February.
For the one-year observership it was decided lo offer lo two candidates for six months each and one
Participant started al Sl Bartholomew's Hospital London, UK on the 9 January 2023 and the second will
go lo Zurich University Hospital in October 2023. The candidate who completed the observership
presented a report at the 31 $1 European Conference on General Thoracic Surgery held in Milan June
2023. The Fellow who completed al Sl Bartholomew's Hospital will present a report on his fellowship
al the Biology Club session at the 32nd European conferen￿ on General Thoracic Surgery in Barcelona
in May 2024.
With the financial support of Astra Zeneca, an ESTS Clinical Trial Platform has been established, named
as TEST Platform.. Thoracic European Surgical Trials. Members have been contacted to apply as

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
clinical trial sf(es according lo specific eligibility requirements and there are more than 20 sites. A
project trial manager has been appointed in Zurich, Switzerland to co-ordinate. The TEST platform is a
facilitator lo connect Pls lo the sites and is not a ftjnding platform. It will provide methodological and
educational support lo siles wishing lo participate to selected trials. In addition, it will advise sponsors
on which European sites lo be included in multicenlre trials.
There are discussions with the American Association for Thoracic Surgery to collaborate with their
clinical trial plafform.
The Society continued lo implement and use the second version of its online database, which is
informing risk modelling in lung resection and beginning to provide a standard across Europe for data
collection in thoracic surgery. The database is educating trainees in the importance of risk slraltfication
and audit. A contract with a professional company Dendrite has been signed for support in collecting
data. The Database Committee has produced a "Silver Book" publishing data from all European
Thoracic Surgical Units participating in ESTS database. The Silver book is available online to all ESTS
members through the ESTS website. The Database Report is presented during the Annual Meeting.
The Board of Directors is discussing a call for database companies who have more sophisticated
procedures lo provide analyses.
The Society continued to develop an online Directory, which summarises information on thoracic
surgery across European countries which will facililale the improvement of training of thoracic
surgeons. 11 is planned lo use this resource to advertise training opportunities and training exchanges
between trainees in different countries of Europe.
The Society continued with a three-lier membership fee such that low-income countries surgeons will
have access to low cost, high quality international meetings and will receive the Society's joumal. The
same financial advantages were installed for members from low-middle income countries attending the
annual conference (reduced rates for postgraduate course and annual meelingl. The membership fees
have been reviewed by the Board of Directors and will be presented lo the members at the General
Assembly in Barcelona 2024 with the information that membership fees will increased from January
2025. There has been no increase in membership fees for many years.
ESTS does not give out any grants at the moment. The ESTS Committee for Research and Education
IESTS-CREI was created to start collecting voluntary contributions by the members as of January 2011.
Donations have been received and the application for research and educational grants will open when
sufficient donations have been made.
Social parts of the Societies, activities are paid for as far as possible by individuals themselves. There
is a complimentary Dinner held each year for the Board of Directors and guests lo thank them for the
work they have done through the year.. We do noljudge the social activities 8 material part of charitable
activities.
The Society does not use volunteers to undertake charitable or income generating activities.
Factors which are relevant to the achievement of the Society's objective..
Within ESTS control - wherever possible we have tried to establish and grow links to other
societies. This has mainly been through invitation of officers to our meetings. We have also
managed lo widen our membership lo surgeons in lower income countries in Europe who
previously could not afford to pay membership to any European society. A new membership
management system was introduced in December 2020 streamlining the application process.

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
Wilhoul ESTS control
General close partnership with the European Association for
Cardiolhoracic Surgery IEACTSI has ceased since 2006. Joint activities no longer take place.
We are therefore continuing lo concentrate on providing outstanding education for thoracic
surgery in Europe from our own Society.
Further discussions have continued and EACTS has proposed to prepare a draft Memorandum
of Understanding for review and discussion by the Board of Directors. Discussions have
continued last year with an online discussion the 3 March 2023 with the leadership of both
societies. Several inilialives were discussed with a proposal by EACTS lo join and form a
European School of Robotics. 11 was agreed the two task forces would wort together planning
preparation in 2024 for Board approval with the intention lo launch in 2025.
No formal
agreement or Mou. There have been further discussions in 2024 and these are ongoing.
The contract with Elsevier, the publisher of our official journal ended in 2011. Negotiations with
EACTS as new owner of the lille took pla￿ in the year 2011 to continue with European Journal
for Cardiothoracic Surgery as our official joumal. October 2020 the European Journal of
Cardiolhoracic Surgery became an online version only reducing the cost of thejournal lo ESTS.
EACTS confirmed the cost lo ESTS.
The Trustees discussed the financial distress for members from Ukraine in view of the conflict
there with the pending discussion lo waive outstanding membership fees. 11 was agreed lo
waive membership fees in 2023 and 2024 and the members from Ukraine were informed.
A Strategic Planning Meeting was held in November 2023 with the Trustees and Board of
Directors lo plan for the next several years. Discussions included the call for a new Professional
Conference Organiser for the organisalion of the annual meeting 2025-2027. Applications have
been re￿iVed and will be interviewed in May 2024 in Barcelona. Torres Pardo, organiser of
the educational events had requested a significant increase in administrative fees, discussed
and negotiated a more appropriate increase. The Directors discussed the appointment of a
new Executive Director and the recruitment is ongoing with interviews in April 2024. Tasks will
include overseeing the recruitment, management, and development of staff members lo ensure
that the Society has the resources and expertise required to achieve its objectives.
Financial review
Total income for the year was É2,044,368 , an increase on the prior year of É203,373. Total expenditure
increased from É1,482,330 10 É1,764,590 giving rise to an operating surplus of É279,778.
The charity continued for the 202312024 financial period to obtain income mainly through sponsorship,
donations, the AnnLJal Conferen￿ and membership fees.
On 23 September 2023, Trustee Jaroslaw Kuzdzal resigned and at the Board of Directors meeting on the
24 September 2023, Servel Bolukbas, Treasurer, was appointed as Trustee.
The contract with VECI, PCO, ended in Milan 2023. The Trustees have agreed that VECI will organise the
32nd European Conference on General Thoracic Surgery in Barcelona, Spain, 26-28 May 2024. VECI is
based in Barcelona, will have good knowledge and contacts of benefit to the Society.
The work of the Trustees has remained voluntary, with The Trustees and Board of Directors recognising
the need for a Strategic Planning meeting for review and streamlining of the financial aspects,
10

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
educational courses, organisation of annual meeting with a PCO, day-to-day organisation of the Society
and this was arranged for November 2023 with all Directors.
For the last financial period the main expense was the provision of the 31 st European Conference on
General Thoracic Surgery held in Milan, ltsly.wilh additional expenses incurred from the private Conference
Organisers.
Following a call lo host annual meetings, the applications were reviewed by the Board of Directors and
VECI. Together with VECI, site visits were arranged to prospective future annual meeting venues.
Budapest. Hungary has been confirmed for 2025 and Zurich, Switzerland for 2027. Athens, Greece already
agreed for 2026. Negotiating venues and rates well in advance is of financial benefit.
The work of the Trustees has remained voluntary, with reimbursement only for travel expenses.
The Society's employee base has remained the same during the last year.
Having one employee continues lo be a large financial and administrative risk for the Society, as should
the employee depart for any reason, or in the case of illnesslinjury, the office will remain vacant with no
support. The Trustees and Directors have continued to discuss this each year and during the Strategic
Planning meeting organised in November 2023. The Directors discussed the appointment of a new
Executive Director and the recruilmenl is ongoing with interviews in April 2024. Tasks will include
overseeing the recruilmenl, management, and development of staff members lo ensure that the Society
has the resources and expertise required to achieve its objectives.
The educational adivities have continued lo be organised by Torres Pardo. This will be reviewed after
the appointment of the new Executive Director and staff team with the aim that the educational events
may be organised by ESTS after the contract with Torres Pardo expires.
The trading subsidiary IESTS Trading Company Ltd) has again remained virtually dormant during
2023124. In February 2024, the Board of Directors and Trustees discussed the Trading Company. The
Directors of the Trading Company had requested and Trustees agreed lo close the Trading Company.
The process to transfer the funds to the Charity is in progress and this will then be followed by the
submission of the required documents to companies house.
Rgsgrve¥ Policy
The Charity held reserves of É2,067,911 at the year-end of which É12,165 was restricted.
The trustees have reviewed the charity s need to hold reserves and consider that it is appropriate lo hold
six months charitable expenditure in unrestricted reserves. Based upon the March 2024 financial
statements this equates to É882,237, unrestricted funds are currently al É2,055,746. Reserves are held to
permit ongoing expenses wi(h Fellowship payments for the Astra Zeneca ObservershiplFellowships,
Robotic Fellowships and Biology Club Fellow, forthcoming appointment of a Clinical Trial Co-ordinator and
a Database manager. Reserves are held for payments lo Torres Pardo, for the outstanding balan￿S of
educational events.

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
Principal Risks and Uncertainties
The major risks which have been identified mainly relate lo a net loss either al the annual meeting of the
Society or at any of its educational meetings. The most robust form of defence for this has been lo seek
sponsorship by appropriate industry and this indeed is reflected in the accounts for the Society. Financial
security has been considered such that all cheques need lo be signed by two signatories.
Online
transactions are checked by Trustee Servet Bolukbas. There is a limit of £1500 on the Society credit card
for the Secretary General, £1500 for the TreasLJrer, £5000 for the Executive Director and only the Executive
Director currently holds a card. Expenditure for Board of Directors meetings and official travel has been
capped al É750 for Europeans and É2000 for the International Board of Directors. Our contract with our
journal publisher has been renegotiated lo make our major expense O"ournal printing and dislribulionl
subslanlially less per capita. This has enabled us lo increase our membership, provide a three tier
membership fee structure for lower income countries and this in turn has strengthened our membership
base.
The contract with the official Joumal hasn't been signed yet.
The Society will continue lo provide high quality scientific education, training and credentialing of thoracic
surgeons. The Board of Directors will review the situation periodically to plan any adjustment that may
become necessary and will seek advice accordingly.
Plans for future perlods
Organise the 32nd European Conference on General Thoracic Surgery, Barcelona, Spain, 26 - 28 May
2024.
Committee for ESTS Women in General Thoracic Surgery was created and continues lo be active. Industry
support was obtained to offer opportunity of a fellowship for 35,000 euros. A second round of the Academy
for 8 Fellows will be run over 202412025. A call for applicants will be made in Sept 2024.
Webinars with support of industry to be organised - discussions are wntinuing. Webinars are planned for
202412025 with discLJssions ongoing for a new ESTS industry webinar policy. The regular programme of
ESTS webinars will continue with at least 8 webinars planned from Sept 2024 - Apr 2025.
Discussions with Intuitive have been successful in confirming funding for Round 2 of the Robotic Fellowship
progamme. This will take place during 2025. A call for applications will open in Oct 2024.
The work and projects of the Clinical Trial Plafform will continue to expand with results analysed and shared
accordingly. The CTP Coordinator is in FX)St Jean-marc Hoffman.
12

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
Decision made by Board of Directors for the ESTS 33rd European Conference, 25-27 May 2025 in
Budapest, Hungary. Ferenc Renyi-vamos is LOC Chair.
To support the onboarding and transition of the newly appointed Executive Director {Daniel Snowdon, May
20241 and Permanent Congress Organiser {Kenes Group, July 20241.
8 education courses will be run from Sept 2024 to Apr 2025. A tender for contracts to manage the
educational work in organising these courses will be run with the current contract with Torres Pardo due
to end on 31 Dec 2024.
Future Annual Meelin
32nd European Conference on General Thoracic Surgery, Barcelona, Spain, 26 - 28 May 2024
33rd European Conference on General Thoracic Surgery, Budapest, 25- 27 May 2025
34th European Conference on General Thoracic Surgery, Athens, 2 - 9 June 2026
35th European Conference on General Thoracic Surgery, Zurich, 30 May- 1 June 2027
For 2026, following submission of an application, a sile visit was made lo Athens, Greece in January 2023
with the Director of the Annual Meeting, Executive Director and the PCO. On reviewing the venue contract
and advice from the PCO, the contract is confirmed.
Future ESTS Educational Events..
Chest Wall Course in Collaboration with Chest Wall International Group,Leuven, Belgium, 25-27
September 2024
Ultrasound in Thoracic Surgery IUSITSI Course, Leicesler, England. 7-8 Nov 2024. First time running this
course
Course on Scientific Medical Communication, Prague, Czech Republic, 20-21 November 2024
Isubsequenlly cancelled due lo low regislralionsl
Basic Adult ECMO Course and Simulation for Thoracic Surgeons, Zurich, Switzerfand, 12-13 Dec 2024
VATS Lobectomy Advanced Course, Copenhagen, Denmark, early 2025
VATS Lobectomy Basic-lntemiediale Course, Milan, Italy, 18-20 February 2025
Knowledge Track Course, Prague, Czech Republic, March 2024
Course on Minimally Invasive Esophagectomy, Istanbul, Turkey, 7-8 April 2024
Structure. governance and management
The Charity was incorporated on 13 December 2016 and was approved Charty status by the Charities
Commission on 13 March 2017. The Constitution is under review to amend when a face to face physical
meeting becomes possible due lo the complexity of discussions. During 2021-2022 discussions were
ongoing and for the changes for approval was presented to the members for ratification at the General
Assembly at the 30th European Conference on General Thoracic Surgery, The Hague, The Netherlands,
2022.
The charity is controlled by its Board of Trustees who are named on page 15, and the day to day
management of the organisation is carried out by r(s Executive Director, Mrs Sue Hesford. The charity is
administered and managed in accordance with the constitution by the members of the Executive
Committee. The Trustees endorse decisions which are made by the Council. There are no unilateral
decisions made by the Trustees without Council's approval.
13

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
The charity has a wholly owned, non-charitable subsidiary, ESTS Trading Company Limited. These
accounts present information about the company and about the group.
ESTS has links with the following international organisations in cardiolhoraryc surgery..
Society of Thoracic Surgeons {STSI
American Association for Thoracic Surgery IAATSI
Japanese Association for Chest Surgery IJACSI
Asian Society for Cardiovascular and Thoracic Surgery {ASCVTSI
Brazilian Society of Thoracic Surgeons ISBCTI
Canadian Association of Thoracic Surgeons {CATSI
Chinese Association of Thoracic Surgery ICATSI
European Respiratory Society IERSI
European Society for Medical Oncology IESMO)
European Society for Therapeutic Radiology and Oncology IESTROI
International Thymic Malignancy Interest Group IITMIG
International Society for Diseases of the Esophagus IISDEI
International Association for the Study of Lung Cancer IIASLCI
Co-operation is mainly in terms of reciprocal invitations to each society s meetings but there are no
formal financial or organisational lies.
Recruitment and Appointment of Trustees
There are no changes lo the trustee body. The Charity has appointed as Trustees active members who
can offer guidance and skills al a voluntary level. It is anticipated that one Trustee will resign next year
and will be replaced by one more person.
Inductlon and Tralnlng of Trustees
New Iruslees are familiarised with the workings of the charity and their legal obligations under charity
law. Trustees are encouraged lo attend appropriate external courses and training events where these
facilitate the undertaking of their role.
Setting the pay ofthe key management
The Truslees consider the key management of the charity lo be the trustees and the executive director.
The Trustees are not remunerated and the executive directors pay is determined by a contract with
overtime measured on a monthly basis.
14

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
Reference and administrative details
Charity registration number
Company registration number
1172020
10523525
Trustees
Koslas Papagiannopoulos
Alessandro Brunelli
Prof Jaroslaw Kuzdzal
Iresigned 23 September 20231
Isabelle Schmitt-opitz
Servel Bolukbas lappoinled 24 September 20231
Registered Address
Centenary House
Peninsula Park
Rydon Lane
Exeter
EX2 7XE
Executive director
Mrs S Hesford
Address
PO Box 159
Exeter
EX2 SSH
Bankers
Royal Bank of Scotland {RBSI
Drummond House
1 Redheughs Avenue
Edinburgh
EH12 9JN
Slatulory auditor
PKF Francis Clarf(
Centenary House
Peninsula Park
Rydon Lane
Exeter
EX2 7XE
15

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Trustees, Annual Report (incorporating the Directors, Report for the purposes
of s.415 Companies Act 2006)
Year ended 31 March 2024
Trustees. responsibilities in relation to the financial statements
The charity trustees {who are also directors of European Society of Thoracic Surgeons for the
purposes of company lawl are responsible for preparing a Trustees. Annual Report and financial
statements in accordance with applicable law and United Kingdom Accounting Standards Iuniled
Kingdom Generally Accepted Accounting Practi¢el.
Company law requires the charity trustees lo prepare financial statements for each period which give
a true and fair view ofthe stale of affairs of the charitable company and the group and of the incoming
resour￿$ and application of resources, including the income and expenditure, of the charitable group
for that period. In preparing these financial statements, the Iruslees are required lo..
select suitable accounting policies and then apply them consistently.,
observe the methods and principles in the Charities SORP.,
make judgements and estimates that are reasonable and prudent.,
slate whether applicable UK Accounting Standards have been followed, subject to any
material departures disclosed and explained in the financial slatemenls., and
prepare the financial statements on the 'going concern, basis unless il is inappropriate to
presume that the charitable company will continue in operation
The trustees are responsible for keeping proper accounting records that disclose with reasonable
accuracy al any lime the financial position of the Charity and enable them lo ensure that the financial
statements comply with the Companies Act 2006. The Iruslees are also responsible for safeguarding
the assets of the charity and the group and hen￿ taking reasonable steps for the prevention and
detection of fraud and other irregularities.
The trustees are responsible for the maintenance and integrity of the corporate and financial
information included on the charitable company's website. Legislation in the United Kingdom
governing the preparation and dissemination of financial statements may differ from legislation in
olherjurisdiclions.
Statement as to disclosure to our auditors
In so far as the trustees are aware at the time of approving our Iruslees, annual report..
There is no relevant audit information, of which the charitsble company's auditor is unaware., and
The Iruslees have taken all steps that they ought to have tsken to make them aware of any
relevant audit information and lo estsblish that the auditor is aware of that information.
06. Dezember 2024
This report was approved by the Iruslees on
2024.
Signed on behalf of the trustees
Slgnkrtyon..
DocuS*Md by..
IsotsLILL fy&*
IC8C3A647A
7387514859114F
S Bolukbas
Treasurer
Trustee
16

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Independent Auditor's Report to the Trustees
Year ended 31 March 2024
Oplnlon
We have audited the financial statements of European Sctiety of Thoarcic Surgeons Ilhe °Charily'l for the
year ended 31 March 2024 which comprise Group Statement of Financial Activities, Group and Parent
Company Balance Sheets, Group Statement of Cash flows and notes to the financial statements, including
a summary of significant accounting policies. The financial reporting framework that has been applied in
their preparation is applicsble law and United Kingdom Accounting Standards (United Kingdom Generally
Accepted Accounting Praclicel, including Financial Reporting Standard 102.. The Financial ReFX)rting
Standard applicable in the UK and Republic of Ireland.
In our opinion, the financial stalemenls..
give a true and fair view of the slate of the group s and charity s affairs as at 31 March 2024 and of
its income and expenditure for the period then ended.,
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting
Practice.,
have been prepared in accordan￿ with the requirements of the Companies Act 2006.
Basis for opinion
We conducted our audit in accordance with Intemalional Standards on Auditing IUKI {ISAs IUKI) and
applicable law. Our responsibilities under those standards a￿ further described in the Auditor's
responsibilities for the audit of the financial statements section of our report. We are independent of the
Charity in accordance with the ethical requirements that are relevant lo our audr( of the financial slalemenls
in the UK, including the FRC'S Ethical Standard, and we have fulfilled our other ethical responsibilities in
accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and
appropriate to provide a basis for our opinion.
Conclusions relating to going concern
In auditing the financial slalemenls, we have concluded that the directors, use of the going concem basis
of accounting in the preparation of the financial statements is appropriate.
Based on the work we have performed, we have not identified any material uncertainties relating to events
or conditions that, individually or collectively, may cast significant doubt on the Charity's ability to continue
as a going con￿r￿ for a period of al least twelve months from when the original financial statements were
authorised for issue.
Our responsibilities and the responsibilities of the directors with respect to going con￿rn are described in
the relevant sections of this report.
Other infomiation
The trustees are responsible for the other information. The other information comprises the information
included in the annual report other than the financial statements and our auditor's report thereon. Our
opinion on the financial stslemenls does not Cover the other informats'on and, except lo the extent olhetwise
explicitly staled in our ￿pOrt, we do not express any form of assurance conclusion Ihereon.
In connection with our audit of the financial statements, our responsibilty is to read the other information
and, in doing so, Consider whether the other information is materially inconsistent with the financial
statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we
identify such material inconsistencies or apparent material misstatements, we are required to determine
17

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Independent Auditor's Report to the Trustees
Year ended 31 March 2024
whether there is a material misslalement in the financial statements or a material misstalemenl of the other
information. If, based on the work we have performed, we conclude that there is a material misstatement
of this other information, we are required lo report that fact.
We have nothing to report in this regard.
Opinions on other matters prescribed by the Companies Act 2006
In our opinion, based on the work undertaken in the course of the audit..
the information given in the trLJStees' report, (which includes the directors, report prepared for the
purposes of company law} for the financial period for which the financial statements are prepared
is Consistent with the finanaal statements., and
the directors, report included within the trustees, report have been prepared in accordance with
applicable legal requirements.
Matters on whlch we are requlred to report by exceptlon
In the light of the knowledge and understanding of the Charity and ils environment obtained in the course
of the audit, we have not identified material misstatements in the trustees, report.
We have nothing lo report in respect of the following matters in relation lo which the Companies Act 2006
requires us lo report to you if, in our opinion..
adequate accounting records have not been kept or retums adequate for our audit have not been
received from branches not visited by us., or
the financial statements are not in agreement with the accounting records and returns,. or
certain disclosures of trustees, remuneration specified by law are not made., or
we have not obtained all the information and explanations necessary for the purposes of our audit
18

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Independent Auditor's Report to the Trustees
Year ended 31 March 2024
Responsibilities of the trustees
As explained more fully in the Statement of Trustees, Responsibilities set out on page 16, the Iruslees (who
are also the directors of the charity for the purposes of company law} are responsible for the preparation of
the financial statements and for being satisfied that they give 8 true and fair view, and for such internal
control as they determine is necessary to enable the preparation of financial statements that are free from
material misslalement, whether due lo fraud or error.
In preparing the financial statements, the Iruslees are responsible for assessing the Charity's ability to
continue as a going cOn￿M, disclosing, as applicable, matters related to going concern and using the
going con￿rn basis of accounting unless the trustees ef(her intend to liquidate the Charity or to ￿ase
operations, or have no realistic alternative but lo do so.
Our responslbllltles for the audlt of the flnanclal statements
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are
free from material misstatement, whether due lo fraud or error, and lo issue an aLJditor's report that includes
our opinion. Reasonable assurance is a high level of assurance, bul is not a guarantee that an audit
conducted in accordance with ISAS IUKI will always detect a material misslalement when it exists.
Misslatemenls can arise from fraud or error and are considered material if, indThiidually or in the aggregate,
they could reasonably be expected to influence the economic decisions of users taken on the basis of these
financial stalemenls.
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design
procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of
irregularities, including fraud. The exlenl lo which our procedures are capable of detecting irregularities,
including fraud is detailed below.
As part of our audit planning we obtained an understanding of the legal and regulatory framework that is
applicable to the charity and the sector in which il operates. The key laws and regulations we identrfied
were Charities Act, regulations in relation lo data protection IGDPR}, and health and safely.
We also considered those laws and regulations that have a direct impact on the preparation of the financial
statements, primarily the Companies Act 2006, relevant tax and pensions laws.
We discussed with management how compliance with these laws and regulations is monitored and
discussed policies and procedures in place. We also identified the individuals who have responsibility for
ensuring that the charity complies with laws and regulations and deals with reporting any issues if they
arise.
As part of our planning procedures, we assessed the risk of any non-compliance with laws and regulations
on the charity's ability lo continue operating and the risk of material misstatement to the accounts.
Based on this understanding we designed our audit procedures to idenlrfy non-compliance with such laws
and regulations. Our procedures involved the following..
Enquiries of management and those charged with governance regarding their knowledge of any
non-compliance with laws and regulations that could affect the financial slatemenls;
Reviewing legal and professional costs lo identify any possible non Complian￿ or legal costs in
respect of non compliance.,
Reviewing Trustees meeting minutes.,
Reviewing any health and safety incidents that have been reported under the Reporting of Injuries,
Diseases and Dangerous Occurrences Regulations 20131"RIDDOR"I during the period.

DoGusign Envelope ID". 3BDE7848-858F-414B-B762-4C128988A234
European Society of Thoracic Surgeons
Independent Auditor's Report to the Trustees
Year ended 31 March 2024
Discussions with the GDPR officer to confirm that there were no reportable breaches
As part of our enquiries we discussed with management whether there have been any known instances,
allegations or suspicions of fraud, of which there were none.
We evaluated the risk of fraud through management override including that arising from management
incentives. The key risks we identified were management bias in accounting judgements and estimates.
In resFX)nse lo the identified risk, as part of our audit work we..
Confirmed on a sample basis that expenditure was properly authorised and made in accordan
with the terms of the relevant fund.,
Used data analytics lo test journal entries throughout the year, for appropriateness-
Reviewed estimates and judgements made in the accounts for any indication of bias and
challenged assumptions used by management in making estimates.
Because of the inherent limitations of an audit, there is a risk that we will not delect all irregularities, including
those leading to a material misstatement in the financial statements. This risk increases the further
removed non-compliance with laws and regulations is from the events and transactions reflected in the
financial statements as we are less likely lo become aware of instances of non-compliance. The risk of not
detecting a material misstalemenl due to fraud is higher than the risk of not detecting one resulting from
error, as fraud may involve deliberate concealment, collusion, omission or misrepresenlalion.
A further description of our responsibilities for the audit of the financial statements is located on the Financial
Reporting Council's website al.. www.frc.org.uklauditorsresponsibilities. This description forms part of our
auditor's report.
Use of our Report
This report is made solely lo the Charity's members, as a body, in 8ccordance with Chapter 3 of Part 16 of
the Companies Act 2006. Our audit work has been undertaken so that we might state to the Charity s
members those mallers we are required to state lo them in an auditor's report and for no other purpose. To
the fullest extent pemilled by law, we do not accept or assume responsibility to anyone other than the
Charity's members as a body, for our audit work, for this report, or for the opinions we have formed.
1111212024
NEIL HITCHINGS {Senior Statutory Audilorl
For and on behalf of
PKF Francis Clark
Centenary House
Peninsula Park
Rydon Lane
EXETER
EX2 7XE
2024
20

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Group Statement of Financial Activities (including the Income and expenditure account)
Year ended 31 March 2024
Year
ended 31 Year ended
March
31 March
2024
2023
Unrestricted Restricted
Funds
Funds
Income
Donations and legacies
Donations and sponsorship
Charitable activities
Membership fees
Registration fees
Teaching school fees
ESMO ELCC profil share
MUO Aitway profil share Ivienna - March
2023}
Other trading activities
Website advertising
ESTS textbook
Income from Investments
Interest receivable
Exchange rate gainslllossesl
Note
950,665
950.665
877,393
306,603
553,888
124,265
88,663
306.603
553.888
124.265
88.663
286,925
402,480
245,660
38,038
3,000
3.000
5,500
5,346
11,938
5,346
11.938
1,619
116,620}
Totsl Income
1,093,703
950,665 2,044,368
1,840,995
Expenditure on
Raising Funds
Charitable activities
10
115
813,810
115
950,665 1.764.475
599
1,481.731
Total expenditure
813.925
950.665 1,764,590
1,482,330
Net income and net movement of funds
for the period
279.778
279.778
358,665
Reconclllatlon of funds
Total funds brought forward
1,864,631
12,165 1,876,796
1,518,131
Total funds carried forward
2,144,409
12.165 2,156.574
1,876,796
The statement of financial activities includes all gains and losses recognised in the period. All income and
expenditure derive from continuing activities.
21

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Balance sheet
As at 31 March 2024
31 March 2024
Group
Charlty
31 March 2023
Group
Charlty
Note
Flxed assets
Tangible assets
Investments
15
16
1,318
1.318
100
1,704
1,704
100
1,318
1.418
1,704
1,804
Current assets
Stocks
Debtors
Cash at bank and in hand
696
961,429
3,045,227
696
1,185.874
2,820.808
615
605,140
2,845,239
615
829,585
2,620,770
18
Total Current Assets
4,007,352
4,007.378
3,450,994
3,450,970
Liabilities
Creditors.. amounts falling
due within one year
20
{1.852,0961 11,852,096) (1,575,9021 11,575,902)
Net current assets
2,155,256
2,155.256
1,875,092
1,875,068
Total assets less Current liabilities
2,156,574
2,156.700
1,876,796
1,876,872
Net assets
2,156,574
2,156.700
1,876,796
1,876,872
Funds
Restricted income funds
Unreslricled funds
21
12,165
2.144,409
12.165
2,144.535
12,165
1,864,631
12,165
1,864,707
Total funds
2.156,574
2,156.700
1,876,796
1,876,872
The Iruslees have prepared group accounts in accordance with section 398 of the Companies Act 2006 and
section 138 of the Charilies Act 2011. The net profil of the charity for the period was
The profrt of the Charity for the year ended 31 March 2024 was É191,165
06. Dezember 2024
2024.
These financial statements were approved and signed by the board of trustees on
8*knrtvoTr.'
l Opitz
Trustee
S Bolukbas
Treasurer
DocuShjn￿ ty.
D61771C8C3A647A.
738751Ae59114FA
Registered company number 10523525
22

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Group Statement of Cashflows
Year ended 31 March 2024
Group
2024
Group
2023
Note
25
Cash used in operating activities
182,704
578,807
Ca¥hflow¥ from investing activities
Interest income
Purchase of tangible fixed assets
5,346
1,619
Cash provided by (used in) investing activities
5,346
1,619
Change in cash and Cash equivalents in the year
188,050
580,426
Cash and cash equivalents at the beginning ofyear
2.845,239
2,281,433
Change In cash and cash equlvalents due to
exchange rate movement
11,938
116,6201
Total cash and cash equlvalents at the end of year
3.045,227
2,845,239
23

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
General Information
European Society of Thoracic Surgeons is a company limited by guarantee and therefore has no share
capital. The members of the company are the Iruslees who are also ordinary members. In the event of
the charity being wound up, the liability in respect of the guarantee is limited lo é1 per member of the
charity.
The Charity was incorporated in England and Wales and details of the registered office can be found in
the reference and administration section of the Iruslees, report.
Accounting policies
The principle accounting policies adopted, judgements and key SoUr￿S of estimation uncertainty in the
preparation of the financial statements are as follows..
(al Basis of accounting
The financial statements have been prepared in accordance with Accounting and Reporting by
Charities. Statement of Recommended Practice applicable to charities preparing their accounts in
accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland
IFRS 102}- (Charities SORP IFRS 10211, the Financial Reporting Standard applicable in the UK
and Republic of Ireland IFRS 1021 and the Companies Act 2006.
European Society of Thoracic Surgeons meets the definition of a public benefit entity under FRS
102. Assets and liabilities are initially recognised al historical cost or trans8Ction value unless
otherwise slated in the relevant accounting policy notels).
The financial statements have been prepared on a going concern basis and the Trustees are not
awa￿ of any material uncertainties that would cast doubl on the charity's ability lo continue as a
going concern.
The functional and presentational currency of The European Society of Thoracic Surgeons is
considered lo be Euros as that is the currency of the primary economic environment in which the
charity operates.
24

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
Accounting policies Icontinuedl
(bl Group accounts
These financial slalements consolidate the results of the charity and its wholly owned subsidiary,
ESTS Trading Company Limited, on a line by line basis. A separate Statement of Financial
Activities and Income and Expenditure Account for the charity has not been presented because
the Trust has taken advantage of the exemption afforded by section 408 of the Companies Act
2006.
(cl Funds structure
Reslricled funds account for those situations where a donor requires that a donation musl be spent
on a particular purpose or where funds have been raised for a specrfic purpose.
Unrestri¢ted funds comprise awumulaled surpluses and deficits on general funds which are
available for use at the discretion of the trustees in furtheran￿ of the general objectives of the
charity.
(dl Expenditure
All expenditure is accounted for on an accruals basis and has been classified under headings
which aggregate all costs related to the category. Where costs cannot be directly attributed to
particular headings they have been allocated lo activities on a basis consislenl with the use of
resources.
Charitable expenditure comprises those costs incurred by the charity in the delivery of its activities
and services for ils beneficiaries. It in¢ludes both costs which can be allocated directly lo such
activities and those costs of an indirect nature necessary lo support them.
Governance costs include those incurred in the governance of the charity and ils assets and are
primarily associated with constilulional and statutory requirements.
Support costs are those costs incurred directly in support of expenditure on the objects of the
charity, including project management.
(el Tangible fixed assets and depreciation
Tangible fixed assets are capilalised, and are stated al cost. For assets brought into use al the
balan￿ sheet date, depreciation is calculated to write off cost over their expected useful lives as
follows..
Office Equipment
Computer Equipment
15 /0 reducing balan
25 /0 reducing balan
(l) Invgstmonts
Fixed asset investments are staled at cost less any provision for permanent diminution in value.
25

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
Accounting policies {continuedl
(gl Stocks
Stocks are slated al the lower of cost and net realisable value, after making due allowance for
obsolete and slow-moving items. Cost represents the purchase price. Net realisable value represents
the eslimaled selling price in the ordinary course of business less the estimated costs necessary to
make the sale.
(h) Income
All income is induded in the Statement of Financial Resources ISOFAI when the charity is legally
entitled lo the income and the amount can be quantified with reasonable accuracy. The following
specific policies apply to categories of income..
Donations and legacies are received by way of grants, donations and gifts and are included in
full in the Statement of Financial Aclivilies, when re￿1Vable. Grants where entillemenl is not
conditional on the delivery of specific performance by the charity are recognised when the
charity is entitled lo the grant.
Charitable activities include..
Membership which is recognised on a straight-line basis across the membership period
conferen￿ registration fees are recognised in the period in which the event is held
Teaching school fees are recognised in the period in which the event is held
ESMO ELCC profil share is recognised in the period in which the event is held
Where income is re￿iVed in advance of the income recognf(ion point it is deferred and when it
is received after the event it is awrued as required.
Other trading activities includes website advertising and ESTS textbook income. Website
advertising income is recognised in the period in which the advertising takes place and ESTS
textbook income is recognised when the textbook is despatched.
Income from investments includes bank interest receivable and exchange rate gainslllosses).
Bank interest is included in full in the Statement of Financial Aclivilies, when receivable.
(il Ponsion costs
The charity operates a defined contribution scheme for employees. The assets of the scheme are
held separately from those of the charity. The annual contributions payable are charged to the
Statement of Financial Aelivilies ISOFAI.
til Foreign Currency Transactions and Balances
Transactions in foreBJn currencies are inrfcially recorded at the functional currency rale prevailing al
the date of the transaction. Monetary assets and liabilities denominated in foreign currencies are
retranslated into sterling at the rates prevailing on the reporting period dale. Non-monetary items
carried al fair value that are denominated in foreign currencies are relranslaled at the rates prevailing
on the initial transaction date.
Non-monelary r(ems measured in temis of historical cost in a foreign currency are not retranslated.
26

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
Accounting policies lcontinuedl
(kl Crltlcal accountlng Judgements and key areas of estlmate uncertalnty
In the application of the company's accounting policies, which are described above, the directors are
required to make judgements, estimates and assumptions about the carrying amounts of assets and
liabilities that are not readily apparent from other sources. The estimates and associated assumptions
are based on historical expenditure and other factors. The estimates and associated assumptions are
based on historical experience and other factors that are considered lo be relevant. Actual results
may differ from these estimates.
The eslimales and underlying assumptions are reviewed on an ongoing basis. Revisions to
accounting estimates are recognised in the period in which the estimate is revised if the revision
affects only that period, or in the period of the revision and future periods if the revision affects both
current and future periods.
The trustees do not consider there to be any critical judgements or estimates.
(11 Financial Instruments
Financial assets and liabilities are recognisedllderecognisedl when the charity becomesllceases to
becomel party to the contractual provisions of the instrument. The charity holds the following financial
assets and liabilities..
Short tem) debtors and creditors
Debtors and creditors with no stated interest rale and receivable or payable within one year are
recorded at transaction price. Any losses arising from impairment (doubtful deblsl are recognised in
the Statement of Financial Aclivilies.
(m) Flnanclal Performance of the charlty and transfer of assets
The Charity incorporated on 13 De￿mber 2016 and was approved Charity status by the Charities
Commission on 13 March 2017. Following this approval from the charities commission the assets of the
charity no. 1094888 were transferred lo the new registered Charitsble Company no. 1172020 on 1 April
2017 and are reflected as a donation in the Statement of Financial Activity.
These financial slalements consolidate the results of the charity and its wholly-owned subsidiary ESTS
Trading Company Limited on a line - by- line basis.
27

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
3. Donations and sponsorship
Year ended Year ended
31 March
31 March
2024
2023
Sponsorship
Grillo Prize
Medtronic Sponsorship- Congress 2023, Milan
Medtronic Sponsorship (formerly Covidienl - Congress 2022, The Hague
Medtronic Sponsorship- VATS Advanced, Nov 2023
Medtronic Sponsorship- VATS Lobectomy Advanced, Nov 2022
Medtronic Sponsorship- Esophageal course, Dec 2022
Medtronic Sponsorship- Women in Thoracic Sugery Websinar, Jun 2023
Medtronic Swnsorship- Women in Thoraci¢ Surgery, Dec 2022
Medtronic Sponsorship- Thoracic Oncology, Feb 2023
Medela Sponsorship- Congress 2023, Milan
Medela Sponsorship- Congress 2022, The Hague
Medela Sponsorship- Webinar
Johnson & Johnson - Congress 2023, Milan
Johnson & Johnson- Congress 2022, The Hague
Astrazeneca - Congress 2023, Milan
Astrazeneca- Congress 2022, The Hague
Astrazeneca - webinar program
Astrazeneca - Thoracic Oncology, Feb 2023
Astrazeneca - ESTS Biology Club Fellowship
Astrazeneca - ESTS Training Observership Fellowship
Inluilive Surgical - Congres 2023, Milan
Inluilive Surgical - Congress 2022, The Hague
Inluilive Foundation Robotic Academy Fellowships
Roche - Congess 2023, Milan
Roche- Congress 2022, The Hague
Roche - Thoracic Oncology, Feb 2023
Merck Sharpe & Dohme LLC- Congree 2023, Milan
Merch Sharpe & Dohme LLC- Congress 2022, The Hague
Fengh Medical- Congress 2022, The Hague
Den Haag- Congress 2022, The Hague
Alricure- Congress 2023, Milan
Alricure- Congress 2022, The Hague
AlricLJre- Thoracic Oncology, Feb 2023
DePuy Synlhes- Congress 2023, Milan
DePuy Synlhes- Chest Wall couse, Oct 2022
Siemens Healthineers - Thoracic Oncology, Feb 2023
Merck Sharpe & Dohme LLC-Thoracic Oncology, Feb 2023
Bristol Myers Squibb - Congress 2023, Milan
5.000
500
136.700
71,243
121,000
21.500
18,000
7,520
9.298
50,000
30,000
38,480
53,000
5,300
67.040
72,000
110.140
100,000
30.000
30,000
15,000
15,000
45.000
15.000
62.320
45,900
32,330
123.157
38.000
62,500
20,000
62.600
34,500
19,900
31,500
22.000
20,000
5,000
5.000
5,000
6,000
6,000
36.000
28

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
Bristol Myers Squibb - Thoracic Oncology. Feb 2023
Bluesail Surgical Conress 2023, Mi18n
CMR Surgical - Congress 2023, Milan
Redax SPA- Congress 2023, Mi18n
University of Colorado- Thoracic Infections Database
6,000
22.000
58.350
22.280
15.000
950.665
877,393
The income from donations and sponsorship was £950,665 12023.. É877,3931 of which Énil was unreslricled
12023= E66,2431 and E950,665 was reslricled12023.' f811,1501.
In accordance with FRS 102 and the Charities SORP {FRS 102}, the economic contribution of general
volunteers is not recognised in the financial stalemenls.
4. Mgmborship fggs
The income from membership fees was É306,603 (2023.. É286,9251 of which É306,603 was unrestricted
12023.. É286,9251 and Énil was reslricled12023.. Énill.
29

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
5. Registration fees
Year ended
31 March
2024
Year ended
31 March
2023
Virtual Congress 2022
Virtual Congress 2023
402,480
553,888
553,888
402,480
The income from registration fees was £553,88812023.' £402,480) of which É553,888 was unreslricled
12023.. E402,4801 and Enil was restricted {2023.' Enill.
6. Teaching School Fees
Year gnded
31 March
2024
Ygar gndgd
31 March
2023
Chest Wall Surgery- September 2023- Leuven
Chest Wall Surgery- October 2022 - Leuven
Medical Writing- November 2023- Prague
Medical Writing- November 2022 - Prague
VATS Basic- October 2023- Hamburg
VATS Advanced - November 2023 - Copenhagen
VATS- November 2022- Copenhagen
Esophageal Course- December 2022 - Istanbul
Thoracic Oncology - February 2023 - Zurich
Knowledge Track- March 2024 - Prague
Knowledge Track- March 2023 - Prague
Knowledge Track- March 2022 - Prague
Institutional accreditation
45,232
54,300
4,840
11,250
16,610
18,370
22,500
8,700
123,505
36,153
31,405
{6,0001
3,060
124,265
245,660
The income from teaching school fees was E124,26512023.' e45,6601 of which E124,265 was unrestricted
12023.. É245,6601 and Enil restrided12023.' fnill.
Income from trading activities
The income from trading activities was É3,000 {2023.. É5,500) of which É3,000 was unrestricted12023:
4,5001 and Énil was restri¢ted12023.' Énill.
30

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
Income from Investments
Year ended
31 March
2024
Year ended
31 March
2023
Bank interest receivable
5,346
1,619
The income from investments was é5,34612023'. É1,6191 of which É5,346 was unreslricled12023'. É1,6191
and Enil was reslricled12023'. Enill.
Exchange rate gainllloss)
Year ended
31 March
2024
Year ended
31 March
2023
Losses on foreign currency
111,938)
116,6201
111,938)
116,6201
Al represents unrestricted gains I losses12023'. unreslrictedl.
10. Expenditure on raising funds
Year ended
31 March
2024
Year ended
31 March
2023
Membership ties
ESTS textbook
65
599
65
599
The expenditure on raising funds was É6512023.' É5991 of which É65 was unrestricted12023- É5991 and Énil
was restricted12023'. Énill.
31

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
11. Expenditure on charitable activities
Year ended
31 March
2024
Year ended
31 March
2023
Conference facilities
Membership costs
ERS membership fees
Journal of Cardio Thoracic Surgery
Grillo Prize
Prizes and awards
Astrazeneca Biology Club Fellowship
Astrazeneca Training Observership Fellowship
Membership fees not collected
Conference facilities- Council meetings
Website expenses
Directors travel expenses
Other committee travel expenses
MUO Airways - March 2023 - Vienna- travel costs
ESTSIERS Task Force Meeting Amsterdam
ESTSIEACTS GGO Guidelines Meeting Amsterdam
Teaching school costs- Chest Wall - September 2023- Leuven
Teaching school costs- Chest Wall - October 2022 - Leuven
Teaching school costs- Medical Writing - November 2023- Prague
Teaching school costs - Medical Writing - November 2022- Prague
Teaching school costs- VATS Basic- October 2023 - Hamburg
Teaching school costs- VATS- November 2023- Copenhagen
Teaching school costs- VATS- November 2022- Copenhagen
Teaching school costs - Women in Thoracic Surgery
Teaching school costs - Vvomen in Thoracic Surgery- December 2022
Teaching school costs - Esophageal - December 2022- Istanbul
Teaching school costs - Robotic School - April 2023- Rouen
Teaching school costs - Robotic School - January 2023- Belgium
Teaching school costs- Thoracic Oncology- February 2023 - Zurich
Teaching school costs- Knowledge Track- March 2024 - Prague
Teaching school costs- Knowledge Track- March 2023- Prague
Teaching school costs- Knowledge Track- March 2022 - Prague
ESTS webinar
Inluilive Robotic Fellowship
Statement on Pleural Infection in Adults
ERSIESTS Clinical Practice Guidelines Task For
ERS Guidelines Spontaneous Pneumothorax
Conference organiser costs
Dendrite database
Teaching school costs- other
Salaries
Recruitment costs
637,683
4,297
5,760
21,120
1,000
11,000
45,000
15,000
34,005
504
14,784
19,266
28,485
548,336
3,558
4,770
20,475
1,000
9,000
15,000
15,000
37,110
505
14,281
3,684
19,759
925
2,989
1,641
51,956
44,648
11,179
12,894
25,664
21,925
22,963
12,473
14,131
6,647
16,574
32,451
172,778
170,423
34,191
33,319
40,445
33,016
4,516
6,509
110,119
4,135
8,000
1,950
180,394
39,256
1,188
122,403
32,745
157,152
36,287
16,193
116,224
32

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
Office costs
Bookkeeping costs
Depreciation
Governance costs'._ Audit and accountancy costs
Other
33,229
8,378
386
10,929
1,381
34,882
8,675
504
13,352
3,805
1.764.475
1,481,731
The expenditure from charitable adivities was E1,764,47512023.' E1,481,7791 of which E813,810 was unreslricled
12023= É670,6291 and £950,665 was restricted12023'. £811,150).
12. Ngt incomgl lexpgnditurg) for the poriod
This is slated after charging..
2024
2023
Depreciation
Auditor's remuneration..
Audit of the financial statements
Other services
386
504
9,975
954
9,130
4,222
13. Staff costs and emoluments
Total staff costs were as follows..
Year ended
31 March
2024
Year ended
31 March
2023
Wages and salaries
Social security costs
Pension contributions
107.706
13.166
1.531
101,546
13,146
1,532
122.403
116,224
Pension contributions for the year not yel remilled lo pension providers by the end of the year amounted lo
300 {2023= £428).
33

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
The average number of employees during the period, calculated on the basis of headcount, was as follows..
Year ended
31 March
2024
No.
Year ended
31 March
2023
No.
Adminislralion
One employee re￿iVed emoluments of E90,000- £110,00012023.' One employee re￿iVed emoluments of
90,000- £100.0001.
In 2023, len Iruslees received reimbursed travel expenses for allending meetings amounting to É19,266
12023.. E3,6841.
The trustees and the executive director are considered lo be the key management of the Charity. The trustees
are not remunerated. The executive director received remuneration ofÉ122,40312023.. É116,224} during the
period, these costs include national insurance and pension contributions.
14. Corporation Taxation
The charity is exempt from tax on income and gains falling within section 505 of the Taxes Act 1988 or
section 252 of the Taxation of Chargeable Gains Act 1992 to the extent that these are applied to its charitable
objects.
15. Tangible fixed assets- group and charity
Computer
Equipment
Offlce
Equlpment
Total
Cost
Al 31 March 2023
Additions
24,641
3,361
28,002
At 31 March 2024
24,641
3,361
28,002
Depreciation
Al 31 March 2023
Charge for the year
23,342
325
2,956
61
26,298
386
At March 2024
23,667
3,017
26,684
Net book values
At 31 March 2024
974
1,318
At 31 March 2023
1.299
405
1,704
34

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
16. Investments - Charity
2024
2023
Cost al 31 March 2023 and 31 March 2024
100
100
Net book value at 31 March 2024
100
100
16. Investments- Charlty
The company owns the entire issued share capital of ESTS Trading Limited.
Commercial trading operations and investment in trading subsidiary
The wholly-owned trading subsidiary, ESTS Trading Company Limited, company registered number
6779006, which is incorporated in the United Kingdom, gift aids its taxable profil lo the charity.
The registered office for the subsidiary is.. Centenary House, Peninsula Park, Rydon Lane, Exeter, EX2 7XE.
ESTS Trading Company Limited administers a travel fellowship.
The charity owns the entire issued share capital of 100 ordinary shares of É1
each.
2024
2023
Summary profit and loss account for year ended 31 December
Tumover
Cost of sales and administrative expenses
1800)
18261
Operating loss
1800)
18261
The assets and Ilabllltles of the subsldlary were:
Current assets
Creditors.. amounts falling due within one year
224,419
1240.067)
224,469
1239,3171
Total assets less current liabilities
115.648)
114,8481
Aggregate share capital and reserves
115,648)
114,8481
35

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
17. Stocks
Group
2024
Charlty
2024
Group
2023
Charlty
2023
Goods for resale
696
696
615
615
696
696
615
615
18. Debtors
Group
2024
Charity
2024
Group
2023
Charity
2023
Trade debtors
Amounts due from subsidiary
Prepayments & accrued income
686,931
686,883
224,493
274,498
391,381
391,333
224,493
213,759
274,498
213,759
961,429
1.185,874
605,140
829,585
19. Cash at Bank
Group
2024
Charity
2024
Group
2023
Charity
2023
Euro current account
Euro current account- trading subsidiary
Sterling current account
Bank deposit account
2.293,218
224,419
42,571
485,019
2.293,218
2,116,057
224,469
106,768
397,945
2,116,057
42,571
485,019
106,768
397,945
3.045.227
2,820,808
2,845,239
2,620,770
36

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
20. Creditors- amounts falling due within one year
Group
2024
Charity
2024
Group
2023
Charity
2023
Trade creditors
other creditors
Membership fees in advance
Accruals
other deferred income
27,776
271,947
228,090
30,802
1.293,481
27,776
271,947
228,090
30,802
1.293,481
21,683
97,836
212,302
53,476
1,190,605
21,683
97,836
212,302
53,476
1,190,605
1.852.096
1.852,096
1,575,902
1,575,902
Deferred income comprises sponsorship funds and membership fees that relates lo future periods which has
been received in advance..
Balance as at 1 April 2023
Amount released to income earned from charitable actThiities
Amount deferred in period
1.190,605
11,190,605)
1.293,481
Balance as at 31 March 2024
1.293,481
37

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
21. Restricted funds
Balance at
1 Aprll 2023
Incoming
resources
Outgoing
resources Transfers
Balance at 31
March 2024
Restrlcted funds
ESTS Committee for
research and education
Medtronic Icovidienl
Grillo Prize
Prizes and awards
Medela
Johnson & Johnson
Astrazeneca
Intuitive Surgical
Roche
Merck Sharpe & Dohme LLC
Atricure
DuPuy Synthes
Bristol Myers Squibb
Bluesail Surgical
CMR Surgical
Redax SPA
University of Colorado
12,165
12,165
167,498
500
5,000
43,780
67,040
323,297
62,320
38,000
62,600
22,000
5,000
36,000
22,000
58,350
22,280
15,000
1167,4981
15001
{5,0001
143,7801
167,0401
1323,2971
162,3201
138,0001
162,6001
122,0001
15,0001
136,0001
122,0001
158,3501
122,2801
115,0001
Total
12.165
950,665
1950.665)
12,165
ESTS Committee for research and education
ESTS has requested voluntsry donstions from members for the purpose of supplying grants to promote
research, scientific and educational activities. The application for grants will open when ESTS has sufficient
donations with the aim of supporting scholarships.
Medtronic (Covidien)
This fund represents sponsorship of the annual conference, including sponsorship of the postgraduate
scientific sessions within the conference.
38

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
Grillo Prize
The Grillo prize is given at the annual meeting and is donated by Massachusetts General Hospital,. they donate
500 each year. ESTS contributes £500, giving a total prize of É1,000.
Prlzes and awards
Donations made lo the charity specrfying distribution at the annual conference as prizes and awards.
Medela
Sponsorship for the annual conference.
Johnson & Johnson
Johnson & Johnson provided educational grants lo administer and provide courses for thoracic surgeons on
medical writing.
Astrazeneca
Sponsorship for the annual conferen￿.
Intuitivg Surgical
Sponsorship for the annual conferen￿.
Roche
Sponsorship for the annual conference.
Bristol Myers Squibb
Sponsorship for the annual conferen￿.
39

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
22. Restricted funds - prior year comparative
Balance at
1 Aprll 2022
Incoming
resources
Outgoing
resources Transfers
Balance at 31
March 2023
Restrlcted funds
ESTS Committee for
research and education
Medtronic Icovidienl
Grillo Prize
Prizes and awards
Medela
Johnson & Johnson
Astrazeneca
Intuitive Surgical
Roche
MSD
Fengh Medical
Den Haag
Atricure
DuPuy Synthes
Siemens Healthineers
Merck Sharpe & Dohme LLC
Bristol Myers Squibb
12,165
12,165
226,520
1226,5201
5,000
53,000
72,000
160,000
78,230
82,500
34,500
19,900
31,500
25,000
5,000
6,000
6,000
6,000
{5,000
153,0001
172,0001
1160,0001
178,2301
182,5001
134,5001
119,9001
131,5001
125,0001
15,0001
16,0001
(6,0001
16,0001
Total
12.165
811,150
1811.150)
12,165
ESTS Commlttee for research and education
ESTS has requested voluntsry donations from members for the purpose of supplying grants lo promote
research, scientific and educational activities. The application for grants will open when ESTS has sufficient
donations with the aim of supporting ￿hOLarships.
40

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
Medtronic Icovidienl
This fund represents sponsorship of the annual conference, including sponsorship of the postgraduate
scientific sessions within the conference
Grlllo Prlze
The Grillo prize is given at the annual meeting and is donated by Massachusetts General Hospital; they donate
500 each year. ESTS contributes £500, giving a lolal prize of £1,000.
Prizes and awards
Donations made lo the charity specifying distribution at the annual Conferen￿ as prizes and awards.
Medela
Sponsorship for the annual conferen￿.
Johnson & Johnson
Johnson & Johnson provided educational grants to administer and provide courses for thoracic surgeons on
medical writing.
Astrazeneca
Sponsorship for the annual conferen￿.
Intultlve Surglcal
Sponsorship for the annual conferen￿.
Roche
Sponsorship for the annual conference.
Eziburg Global Trading
Sponsorship for the annual conferen￿.
Bristol Myers Squibb
Sponsorship for the annual conferen￿.
Stryker Pacific
Sponsorship for the annual conferen￿.
Baxter Healthcare
Sponsorship for series of six educational webinars organised by the Committee for Leaming Affairs.
41

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
23. Analysis of group net assets between funds
Unrestricted
Funds
Restricted Total Funds
Funds
Tangible fixed assets
Cash at bank and in hand
Other nel current liabilities
1,318
3,033,062
1889,9711
1,318
3,045,227
1889,971)
12,165
2,144,409
12,165
2,156,574
24. Analysis of group net assets between funds - prior year comparative
Unrestricted
Funds
Restricted Total Funds
Funds
Tangible fixed assets
Cash at bank and in hand
Other nel current liabilities
1,704
2,833,074
1970,1471
1,704
2,845,239
1970,1471
12,165
1,864,631
12,165
1,876,796
42

DoGusign Envelope ID". 3BDE7848-858F414B-B762-4C128988A234
European Society of Thoracic Surgeons
Notes and Accounting Policies
Year ended 31 March 2024
25. Reconciliation of net movement in funds to net cash flow from operating activities
Group 2024
Group 2023
Net incomellexpendilurel for the period
Adjustments:
Depreciation charge
Interest received
Exchange rate Igainslllosses
Decrease I lincreasel in stock
Ilncrease} I decrease in debtors
Increase l {decreasel in creditors
279.778
358,665
386
15.3461
{11,9381
(811
1356,2891
276.194
504
{1,6191
16,620
597
1120,0061
324,046
Net cash provided by operating activities
182.704
578,807
26.
Rglatgd Party Transactions
There were no transactions with related parties in the year that require disclosure.
43