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2023-05-31-accounts

PIISHA The Hip Presepiatlon Soclèty ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MAY 2023 PRESENTED BY . Mr Tony Andrade PREPARED BY: The ISHA Hip Preservation Society Board of Trustees CHARITY NUMBER: 1199165

ISHA Tho HSp socl LEGAL AND ADMINISTRATIVE INFORMATION FOR THE YEAR ENDED 31 MAY 2023 Company number CE029311 Country of incorporation United Kingdom Charity number 1199165 Country of registration England & Wales Registered offiee Lee Bolton Monier William8. 1 The Sanctuary, London. SW1 P 3JT, UK Socetariat l AdminiStra￿on office WaTrender House, Haywwd Rgad, Moffal, DG10 9BU, UK Bankers Lloyds Bank plc 25 Gresham Street London EC2V 7HN UK Tide Buslness 4th Floor, The Featherstone Building 66 City Rd London EC1Y2AL UK Vvise Payments Ltd 6th Floor, Tea Building 56 Shoreditch High Street London E16JJ UK Correspondence Address Lee Bolton Monier Williams FAO Susan Newell 1 The Sancluary London SW1P 3JT UK Indoppndent Examlner TC GrDiJP The Courty8rd Shoreham Road Upper B8edin9 Slgyning West Sussex BN44 3TN UK Page 1

ISHA The Hlp Pveswv8iion SoGlety LEGAL AND ADMINISTRATIVE INFORMATION FOR THE YEAR ENDED 31 MAY 2023 CIO Trustees For pÈrlod 1 January 2022- 31 Dg¢emb•r 2022 For perfod 1 January 2023- 30 May 2023 Position Mr Antonio Andrade Mr Antonio Andrade Chair l Officer Professor Richard Field Professor Richard Field Additional Trustee Dr Nicolas Bonin Dr Nicolas Bonin Officer Dr John Christoforetti Dr John Christoforetti Officer Dr Paul Beaulé Officer Dr Rodrigo Mardones Officer Dr Marcèlo Queiroz Officer Ms Olivia Sugdon Additional Trustee Mrs Caroline Mackanzie Executive Director I Addilioinal Trustee Key Personnel- ISHA Executive Board Dr Rodrigo Mardones Dr Paul Beau Dr John Christoloftlti Dr Nicolas Bonin Dr Alston Slubbs Dr Marcelo Queiroz Dr Benjamin Domb ISHA President 2022- 2023 ISHA President 2023 - 2024 ISHA President Elect ISHA Vice President ISHA 1st Past President ISHA Secretary General ISHA Treasurer MTS Carc)line Mackenzie Executive D1￿ctor Page 2

ISHA CONTENTS Page Legal and Administrative Infomalion Welwme lo ISHA Wision and Mission Structure and Governance Chair's Executive Summary 9-10 Trustees, Annual Report Financial PrO￿dureS and Governance Matters 28-29 Statement gf responsibilities of the trustees 30-31 Independent Examine*s Report to the Trustees of ISHA- The Hip Preservation Society 32-33 Statement of Financial Activities 34 B818ncè Sh8el 35 Notes to the AGcgunts 36-38 Page 3

oratri ISIIA Is ISHA Tho Hlp Pro¥9￿On Soely MR TONY ANDRADE Chairman of the Board of Trustees WELCOME TO ISHA ISHA- The Hip Preservation Society is an international organisallon which is focused on hip preservation SLJrgery lo enhan￿ patient care and outcomes, through d8livery of training, education, support of research, sharing of knowledge and best practi￿, fostering global collat)oration and provision of patient and professitsnal information to improve hip care. ISHA is a Charitable Incorporated Organisalion (CIO - ASSOCIATION) registered in Englar￿ and Wales on 01 June 2022. ISNA •IsHA ISH j'p,.I li Page4

ISHA Tl* Hip pie•w¥aiJM Sodety VISION AND MISSION VISION ISHA'S vision Is a wt￿￿ wilh equitable ac¢ess lo quality treatment and the best achievable patient outcomes through improved access to appropriats treatment, eady inlervenlion, prevention and education, with the goal of us living in a wodd where hip joint replacement is only an Occu￿enCe of old 8g8. MISSION To Greate"heallhy hips. by bringing hip praservation, prevention and treatment to all the people ￿gardlesS of age, social status, gendar or economic sltuation. PURPOSE Support improved qualtty of training and 8ducalion to hip preservation professionals Provide greater accéss to leaming and training of healthcare professionals with an interest in hip preservation Promote research Advance hip diseasè awareness Improve patient understanding and impact of Undiagr￿e￿ hip injury and disease Create an understanding and facilitate patient access to early intervention. diagnosis and treatment Page 5

ISHA STRUCTURE AND GOVERNANCE FOR THE YEAR ENDED 31 MAY 2023 The CIO Trustees have implimented the following Stru￿Ure which best enables the various focus areas of the Society's undertakings to be delivered and is structured to support future growth and development. CIO Board of Trustees Executive 8oaid Exfrcullve Ceneral Board Past ￿esidentS Ceuncil Suppqrtlng Fun¢tlonal C¢xwnittees and Project The following workflow outlines the roles. relationships and responsibilities allocated to the senior leadership groups ISHA HIP PRESERVAn¢JN SOGIETY CIO ISHA HIP PRESERVAnON SOCIETY CIO 6OARD OF TRUSTEES EXECUTtVE PQAFID OF D1RECTORS 7 EXECUTNE SOARDMEMBERS 4 ADDMDNAL TRUSIEE MEV4BERSTO DATE MAX 16 MEMBERS 17 MEMBERS) ISHA Th$ Hip fvosarv4llw Society Page 6

ISHA Th•llp PY•s•rw•llon Socty STRUCTURE AND GOVERNANCE FOR THE YEAR ENDED 31 MAY 2023 The CIO Trustees have implimented the following workflows within its governance slructure CIO Operational Flow IGen•r•lMinagtmontCtttl ISHA Toe Hip PiesoryatloTrSoe As part of the risk management strategy, the CIO have created separate limited company entities which a￿ solely owned by the CIO, through which to m8nage and run the annual scientific meeting Structure of Annual Generol Meeting ISHA: Subsidiary Operating Company Owned by the CIO ISHACIO Thisis nowu mulll-ontlly int4rtar¥'. Eu¢hAGM4son indopgndeDt eniityf4)im Q5oLimit•dCompunyinthwUK Pa￿7￿1111Y Separate But Complimentary 1511A.. T• Hip Pr•Jetvoli4n Soci•tyelO "OWN" eoch olthÈ$¢linlit•dcomppni•i ISW4Anrwol Tentlllc Moollny ISHA The￿Ip Presery*iOn SocNty Page 7

ISHA STRUCTURE AND GOVERNANCE FOR THE YEAR ENDED 31 MAY 2023 As the selection prO￿s5 of the destination for hosting the Societls flagship educational event has a significant impact on the impact, strategic management and the f15¢al position of the society, the CIO trustees have developed the following workfiow for decision making. and management of each of these meetings. AIM&t¢Prw￿dtsY￿￿A ASM IsHAS0¢￿1YEA¢¢￿lIV9EDD[d HASeCrgtwlut.LSAAS￿OtY EBondthpAalirAts wtytgrtyunlKASIILlrfted I￿13m b ¥JSMTrea%ur AalLirnMi•dC ¥¢th￿oIlE¥1L￿1￿D ISHA The Ilip Preserv81ion Socieiy Page

ISHA EXECUTIVE SUMMARY Mr Tony Andrade Chair of the Board of Trustees The Twslees of Ihè Charity are the elected Officers and members of thè Board of "ISHA - The Hip PreseTvation Sociev (ISHAI. The Trustees are assisted by inwted advisors. who are neither trustees of the ch8rity nor directors of the ompany. in the main appointed in a volunteer ￿pacitY from Ihp membership to form area focused avi80ry committees. The Charity is suptx)rted by a secretsrial of 4 partlfull-time contractors and freelance consultants. The Association was founded in 2008. became an unincorporated membership society in 2013 8nd became a tharitable incorporated organisation ICIOI in 2022. The work of the Society is carried out by ten standing committees that report to the Executive Board who n￿et 12 limes per year, on 4 occassions meetings are held joirbuy wlh the General Board and Comwnittee leads. The Trustee Board meets 4 times a year, 3 limes virtU811y and once in parson. ISHA is the leading international membarship SOCAety that promotes. educates, supports i￿n0VatiOn and expands hip preservation surgery globally. In pursuance of its charitable objectiv&s, and in order to achieve the overall aims and goa15 of ils mission staloment, the Society's main activity is the dissemination of information as it relates lo hip pr8s&Nation surgery. In 2022123, this has included.. Planning and executing of tho Annual Scientific Meeting in Glasgow, October 2022 Creation of new membership category eligible for professiornals from low and lower middle in¢ome counlries Creation of new research grants Creation of now regional Iravelling grants to fadlitale Increased praGtIGal skills Iralnlng Page 9

ISHA EXECUTIVE SUMMARY CONTINUED Devolopmenl of 8 naw online video partnership to improve a￿esSIbILitY of online educatio Conlifjued development of the virtual education programme L￿31 bursaries to support attendance al the 2023 Annual Meeting Survey of Africa Tegion to better understand the challenges and needs in thè Africa r8gion Development of an Africa Regional F￿M to align with the Annual Scientific Meeting New s￿Iety partnerships and developemenl of educationa5 ￿llabOratIVe activiiy Extension of the Society website to in¢lvde information in support of patl8nt understanding Development of multi-lingual patient literature to better explain hip preservatson conditions The year 2022- 2023, saw the Society Iransiiion lo a CIO. Oue to adminstrative Set up of the CIO such as èstablishing new bank accounts in the CIO'S name. activities of the Society were undert8ken via ISHA Hip Preservation Limited and as ISHA- The Hip Preservation Society ICIOI during thls Teporting period. This executive Summary was approved by the Trustees on Thursday 22 Augusl 2024, and was signed for and on behalf of the board by artln ruste•s drade age

•Re18rring & 1,642. <171214rw ISHA Th•Hlp p￿I￿n 5ocT TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 Th8 Tnjstees present their report and the audited financial slalements for the year ended 31 May 2023. Leg81 and administrative infomalion set out on pages 1 and 2 forms part of this report. The financial statements comply with current statutory requirements, the memor8ndum and articles of association, the requirements of a directors, report as required under company law, and the Slotemenl of Recommended Practice- Accounting and Reporting by Charits8s: SORP applicable to charities preparlng their ac¢ounls in accordance with FRS 102. Objectives and activities Purpose5 and aims The Trustees review the aims, obje¢liv8s and ￿1vIlle5 of the charity each year. This raport looks at what the charity has achieved and the outcomes of ils work in the reporung period. The trustees report the success of each key a¢livity and the benefits tha charity ha5 broughl lo Ihose groups of p￿pIe that wt is sel up lo help. The review also helps thè trustees ensurè the ¢haritls aims, objectives activities remained focused on its ststed purposes. The trustees have refarred to the guidance contained in the Charlty Commission's general guidance on publi benefit when reviewng the charitYs aims and obj8Gtives and in planning its ftjture actsvities. In particular, the tru51ees consider how planned activities will contribute to the alms and objectwes that have baen set. Charitsble Objectives The charitable objectivès for which the Charity is established are as follows.. The advancement of health, by the promotion of the study and pra¢tice of hip surg8ry, treatment of hip disorders and rehabilitation posl-hip injury. including develtspment of new techniques and advancement of The adv8nc@m8nt of the education of professionals de8llng wlth Ihe surgical and non-surgical tfeatmenl of hip injury and disordefs, through the support of training and research and the sharing of the results of suth research prinupally amongst hip, orthopaedic, trauma and sports surgeons and other allied medical professionals. In line wth its charitable objectives. ISHA has developed a congruent mission statgment as staled on pag? 4 of this report. Charllable Activities In line wlh il's charity objecbv&s, to achiève the alms of the mission statèment. the society's key activities are.. To support training and skills development The creation of quality education Enhance the accessibility to content and disseminaliort of information in relation to hip preservation surgery to those who can bentsfil anywhere in the world Supporting further research in hip presetvalion surgery l of these actlvities are undertaken with the ultimat8 goal of improving patient diagnosis, treatsment and outcomes. Page 11

ISHA TRUSTEES ANNUAL REPORT (CONTINUED) FOR THE YEAR ENDED 31 MAY 2023 Membership The mambership of the Soci8ty comprises hip surgeons, trainee hip surgeons. physiotherapists, rehabilitation spècialists, researchers, sports medicin¢e physicians, and those in aiming to develop a career in hip surgery. The phased introduction of a"Friends of ISHA. will enable further enhanoement of membership in underdevelop&d territoriès. The membership 18 enhanced by partnerships with sponsors, medical institutions and related organlzallons. The members ￿ceive access lo ISHA online assèts including the Vumedi video channel, online surgeries, virtual education programmes as well as regular newsletters other irnfomiation covering hip preservation practice. Mèmbers transitioned as members of ISHA Hip Preservation Limtted lo ISHA- The Hip Preservation Socl8ty during the reporting p6ri0d. Partnerships Th8 Society partners wth,. Arthroscopy Assouation of North Am8rican (AANA), American Orthopedic Sociaty for Sports Medicine IAOSSMI, European Society of Sport5 Traumalology. Knee Surgery and Arthroscopy {ESSKAI. South African Society for Hip Arthroscopy (SASHA), 8razilian Hip Society ISBQI. Latin Amedcan Society for Arthroscopy. Joint Reconstruction and Sports Trauma ISLARDI, Turkish Society for Hip Pros8rv8tion Surgery (TSHPS). Publications The Society produces In collaborab'on with OxFord University Prèss IOUPI, the Joumal of Hip PreseNalion Surgery, an open accoss. peerwlevièwed intemational journal focused on the growing area of hip preservation surgery within orthopaedics. The Joumal publishes original articles related to the preservation of the hip joint, induding arthroscopic surgery and hip oslaotomy, as well as orthobiological techniques as applied lo the hip joinl. JHPS publishes a combination ol clinical and laboratory research grouped into quartérly online issues. The Journal will consider any original papers which expand the area of hip preservation surgery. JHPS dgposfts all articles in Surgeons, physicians and resoarchers can find your work through Eu￿, ensuring access by the wdesl possible audlence. JHPS editorial committee comprisès 50 inlemali¢)nally reEognised key opinionlgaders, lead by Editor-ln-chlef Prof. Flch8rd Field. Those involved aeross the globe who are conducting rèsearch related lo Hip Preservation Surgery arè able lo contribute articles and papers for review for ir)clusion in the loumal. ISHA members have the opportunity lo contribute articles and papérs at a reduced publication rate. The artides archive is available online. Through partnership the Society itself surscribes lo The Journal of Arthroscopy and Related Surgery, published by Ihe Arthroscopy Asso(?alion of North American IAANA} in collaboration with Elsèvier Publishing. Through the partnership with American Orthopedic Society for Sports Medicine IAOSSMI, th& Sociely benÈfits from access to this society's open access publication. of these educational resources are made available to the Society membership. Pag9 12

ISHA T￿￿5P Pr¢sgrv•iioD Soc TRUSTEES ANNUAL REPORT (CONTINUED) FOR THE YEAR ENDED 31 MAY 2023 Annual Scigntific Meeting ISHA holds an annual scientific meeting. This is hgld on Ihe basis of an open location pitch available to S￿IetY members and rotations on a Ihree-year cycle to Europe, North America and Yhe Rest of the Worfd". to ensure th8t the meeting is regularty accessible to both membership and the global hip preseNation community. The location is decided upon by the ISHA General Board, 4 years prior to hosting. The selection is based on a review criteria taking into consideratiDn-, accessibilily. suitability of facilities, safely, impact and legacy to further the societies vision and goals, fiscal considerations. The meeting is run to aggregate and present the lalesl in new hip preservation related medical infomialion and ras8arch to ils mambers. The meeting indudes- leoturfys, discussion forums, live surgeries, course accredited programmes and presentation of the latest products related lo hip preservation surgery. The ASM is a uitical aspect in continued educational development and enhancement of the hip preseNalion field. A Host Chair and a Scientific Programme Chair ovgrsee each meeling, supported by a Scientific Programmg Committee, the Education Committee and Executive Board. Proposed papers from members are submitted for consideration in advance based on the programme and themes developed by the Scientific Programme Chair and Scientrfic Programme Committee and approved by the Executive Commttee. Acctspted submissions, the best research papers and invited speakers make up the programme for the ASM. ISHA seeks CPD accreditation for tho Annual Scientific Meeting Programme from differing organisation8 dopfjndanl on where the meeting is being held, but in the main from either the European Union of Medical Specialists, IUEMSI European Accredilalion Council for Continuing Medical Education IEACCME@l. or t*)e American Medical Association {AMAI. This enables attendees who attend lo collect credrts as part of their r8qulr8ments for continued professional developmènt. Virtual Education The Society has a fijll virtual education progr8mme in hip preservation. Each year this comprises webinars and live surgery brOad￿st5 created by ISHA and some activities in partnership with other related societies such as AANA, AOSSM and ISAKOS. This ia designed to support fijrther education to thDse al all levels of hip preservation training, with programmes ¢realed lo address differing identified leaming objectives and areas of surgerical and I￿atMent interests. Grant5 and Bursaries ISHA lo year 31 May 2023 has provlded grants l awards I bursarles of G8P£23,565 via ISHA Hlp PresNatlon Ltd, 8$ well as 30 complimentary places for the Annual Scientific Meeting via ISHA ASM 2023 Ltd. in October has been budgeted. This is design to support the access to training of surgeons 8t dlff8rent stages of tho professional development. Page 13

ISHA TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31MAY 2023 CONTINUED Indicators, Milestones & Benchmarks The Trustees monitor a range of measures by which to try to determine the suttess of the Charity in meeting its objectives. These Tneasures include.. Level of membership as a percentsge of total fftlevant doctors and the trend over lime (increasing or decreasingl Attendanc? at the Annual Scientific Meetings Commercial revenue derived from Annual Scientific Meetings Survey feedback from delegates attending the Scientific Meelings,Ihe uptake on new initiatives to encourage attendance. gnd feedb8ck on individual sessions, papers, and lectures al the Scientific Meetings SuptK)rt and f6odback from commercial partners, through regular contacl boards and Advi50ry Committee Member Surveys Circulation and readership of JHPS Leve15 of submission of papers for the Scientific Meetings and for publication in JHPS Requests for publications including abslracls and papers Uptake in registration and consumption for online virtual educatio Levels of and paltems in viewership for ISHA content on Vumedi channel Requests for further information from online assets Number of vi511s to the Society's website and feedbackfrom vl$6tors Number of physiotherapists allending physiolherapy day al ASM Publi¢ Benefit The Trustees have taken The Charity Commission's general guidance on public benefit (contained within their yuidance publication "Charities and Public Benefit") into consideration in preparfng their statements on publlc benefit contained within this Iwslees. annual report. Benefits & Beneficiaries In aC￿rdanCe with its charitable objectives, the Soaely strives lo improve patient care and lo improve the quality of mediGal and surgical practice5 for the benefit of patients within the specially of hip pre88rvalion Surgery. The Charity's Ultimate beneficiaries are therefore patients. and benefits to patients are provided through continuing disseminalion of information in relation lo the specially by the Society. Trustees, Assessment of Public Benefit The main charitable aims of the SoGiety aro to provide education and research for the ullimale bettemienl of patients. This is achièved by the Society's organisation of annual Scientific Mèetings and also thé provision of virtual gducalional Courses on various subjects related to hip preservation. Charitable funds are used lo support res6arch in the specialty. The Society also offers additional edu¢ationo1 resources to the wider medical sphere through its open source assets including Vumedi. Page 14

ISHA TRUSTEES ANNUAL REPORT (CONTINUED) FOR THE YEAR ENDED 31 MAY 2023 Grant Making Policy The Education and ReSea￿h Committees exists to further the education. training and research agenda of ISHA. In doing so, the committegs revlew applications for the Asso¢iation's range of existing bursarfes, prizes, grants and fellowships, and develops new awards as a need becomes apparent. The range of ISHA bursaries are advtrrtised on the Society's web8lte, on social medla and vla relevant stakeholder groups. Applications Gan be made by completion of an online application. The relévant Committee review applicatitsns against a review matrix at)d based on this makes recomwgndations lo tho Executive Board ofj thf awarding of grants, awards and bursaries. Relationships with Connected Parlies A key component ol ISHA'S purpose is the investment In research In fvrlherance of knowledge and 8ppllcallon In hlp preservation surgery. As such il wo￿8 a range of wmmercial partners in ?reas of mutual interest. This includes the development of sponsored events - both al the ASM and online- that showcase new technologie5 and techniques that drNe improvements in the sector. Discussions are also taking place to plan for further in person practical skills programmes such as collaborative cadaver workshops and svrgical visitation I mission programmes. Our partners contribute bolh financially to the So¢iely, assist in the provision of equipment and facilitate additional nlent in support ol our education prograwnmes. Curreatly, tho Soaety hold Diamond partnerships wilh: Arthrex. Smith + Nephew and Stryker. and also have a platinum partnership with Conmed. Representation on Other Bodies In pursuing its tharitable objectives, Ihe Society has represenlalion on olher extemal organisations and receives updales from them. In pa￿cUlar, ISHA was represented by the following Indivlduals.. American A$soGialion of Orthopaedic Surgeons Art170scopy Association of North America American Orthopaedic So¢iety for Sports Medicine Dr H Ellis Dr I Wong, Director Dr H Ellis, Dr R Westemiann, Dr I Wong. Dr A Ranawal Profv Khanduja, Dr O Marin Pena, Mr A Malviya Eur(>pean Socialy for Sports Traumalology, Knee Surgery and Arthroscopy Prof V Khanduja. Dr O Marin Pena. Dr O Ayeni Dr Daniel Slullitel Dr C Vassalo Prof V Khanduja Mr M Wilson, Mr T Board. MrA Malviya, Mr S Kutty Dr F Randelli, Dr O Marin Pena, Prof V Khanduja Soaété Internationale de Chirurgie Orthopédique et de Traumatologie Latin American SoGiety of Arthroscopy ISLARDI Brazilian Hip Socioly (SBQ) British Orthopaedic Association British Hip Society Euroean Hip Society Intemalional Society of Arthroscopy Knee Surgèry and Orthopaedic Sports Medicine HipSTR (Hip Surgical Treatment Regislryl Non-Arthroplasly Hip Registry INAHRI Danish Hip Arthros¢opy Registry IDHARI Inlernatv)nal Olympic Comrnittee Dr M Safran MrA Andrade Dr B Lund Dr M Philippon Page 15

ISHA TRUSTEES ANNUAL REPORT (CONTINUED) FOR THE YEAR ENDED 31 MAY 2023 A¢hlevements and Performance The charity's main activities and whom it tries lo help are described b61ow. All its charitable activities focvs on raising awareness of the breadth of hip preseNalion surgery and promoting innovation in leaching, learning and research, ultimately V￿th an aim to improving p8tienl outcomes and safety and are undertaken lo further ISHA'S charitable purposes for the public benefit. In our first year as 8 CIO, of the main 8chievèm8nts has been lo clearly define the CIO'S vision, mission and purpose and develop assets to communicate this. The trustees have ￿eated a governance structur& to optimise the delivery of the Clo's identified goals and priorities. The leadership of the CIO has actively sought out and secured the services of a very expèrienced and broad demographi¢ lo fomi the CIO tx)ard of trustees. who bring a broad bre8Qlh of skills and expertise from across the ISHA membership and ouiwlth the organisation to form a robust leadership to lead ISHA into the future. Activities & Events 2022 - 2023, was the first year of ISHA'S stslus as a Charity having transitioned from an unlncorporaled association in Swltzerfand. It has therefore been a year of development and defining of its purF¥)se, vision and mission. It has also seen a continued improvemenl in the range and frequency of evènts post pandemic and the ability of our International membership come togother and to be able to meet again in persori. We ran, as ever, the annual scientific meelino In Glasgow in October 2022. This will be followed later in 2023 by the first meeting in Africa, at Cape Town, South Africa, which will be held in October 2023, and will see a numbèr of intentional impact and legacy ini118tives being launched and defined as part of the planning activity. Sustainability. is a150 a priority for the operational planning of the ISHA 2023 with foGus on wast& reduction and sustsinable procurement. We have taken advantage of our dev81opment of onlino programmes, developed during the pandemic, to offer a full virtual education programme coupled a range of live surgeries and related ev8nts. ISHA ha5 further supported a number of events in collaboration with partner societies including SLARD, SBQ and AOSSM. Our communication with members and the wider international hip preservation communlty has been furthgr extended and developed through the twice yearly publishing of the ISHA newsletter and the post conference ISHA 2022 ASM report publication as a supplement in JHPS. A critical element of thè strategy was to move from the closed access academy to an open source platform. This is in line with trends being experièncèd across industries for building access for both member and targeled memberships around the WDrld. Despite il launching only recently, we are alraady seeing massive incremental growth in video consumption on the ISHA Vumedi Channel with strong non-member consumption of content. We expect this to convert to increments in paid membership volumes. This is also in line with our charity obligations. Page 16

ratton ISHA •7 TRUSTEES ANNUAL REPORT (CONTINUED) FOR THE YEAR ENDED 31 MAY 2023 Membership The MeMbe￿h1p of ISHA Hip PrÉseNaiion Ltd at 31 May 2023, these members will transfer lo ISHA- The Hip Preservation Society in year 2023 - 2024. Member numbers per category are as follows: Membership Catggory as at 31st May 2023 2022 2021 Ordinary Member 565 483 461 Ass¢xiale Member 65 74 65 Affliate Member 66 53 47 Emeritus M&mber Honorary Member Pending Member 14 Friend of ISHA Total 706 624 595 Membership Trends 2021 2022 saw a membership increase of approximately 50k, which is likely reflective of the restri￿¢ve actSvilies and engagement achieved dutlng the pandemic. 2022 - 2023 has seen a membership increase of c)ver 130A in thè membership year and we hope to increase this figure in the m8mb8rship year 2023- 2024 based on the increased activities being undertaken by Ihe Soaety. Scientific Meelings The Annual Scientific Meeting was held In G12sgow. United Kingdom in October 2022. The event was attended by 320 corlsultanl physicians, 64 trainees, 55 physiolh8rapisl and was supported by 83 commercial repreenlatNes. A total of 991 items were prepared linduding invited presentations, free papers. eposlers and rapid fire presentstionsl with the majority pr8s8nted at the meeting. We also conducted 7 Lunchtime Workshops and 2 re-live surgeries in conjunction with our corporato partners. Page 17

"MME ISHA TRUSTEES ANNUAL REPORT (CONTINUED) FOR THE YEAR ENDED 31 MAY 2023 Content Library I ISHA Academy ISHA undertook a comple10 transformation in our content academy publishing at the beginning of 2023. In line with best practice, we severgd OLJr agreements with our proprietsry academy web provider. sin￿ the pandemic, best practice is to move to an open access strategy. We moved all of our existiftg ISHA video conlenl to open source platfomi, Vumedi. This has facilitale¢J a muth stronger ability to discover our content and places us as a leader in hip preservation content on the platform. W8 went'live. with conlenl in Junè 2023. So far. our total views have ex￿eded 8.000 in month one. This by far supersedes consumption on the closgd acc9ss academy platform. We anticipa18 this channel a5 becoming a powerful membership recruitment funnel. The strategy is also in line with our charity guidelines as impart best knO￿edge lo the wdest pertinent audience. We plan lo continue with this slrategy into next year. Communications We continued to deliver high quality news and information through our ISHA member newsletters twice yearly which compris8s of committee update reports, activity reports, and interesting articles relating to hip preservation 5urg6ry. In 2023 we also launched the Newsletters in html Thick magazine" format as well as PDF, lo improve the searchability and reader experience. Marth 2023 saw a relaunch of the Society websfte with thg aim of improving and updating the appearance as well as lo make content easier to navigate and to act as a linkage and access portal "signposting. to the Soclety's other platforms such as Vumedi, Vimeo, Flickr and Social M8dia Channels. One of the major developments within the website was the extension of the Palignt Information area, which provides clearer and more exien5ive educational and info￿atIVe inform*ion 8s$8ls for patients. Communications are supported by branded social media postings using the platforms Twtter, Llnkedln, Facebook and Instagram which continue to see significanly increased engagement. Ociober 2021 Mernber5 1 Followers Oitober 2022 M¢mbers/ Followe Ortober 2023 Membersl Followe tw5tter.com/isHASodety 1252 1380 L496 facebookcomllSHASoclety 432 861 9SI IshaJlp. pres. soclety 167 in www.linkedin.com/groups1121 02193/ 72 218 267 Page 18

ISHA TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 CONTINUED Public Benefit During the year 2L122123 the following activities were undertaken dlrectly for public benefit= Redesign of th8 patient areas of the ISHA website Creation of 13 Patient Information Faclsheets Dèftning of ISHA Mission, Wision and Purpose Beneficiaries of our Services The primary beneficiarles in 2022-2023 have been hip preservation surgeons globally. including trainees and research studenls, as well as thosè interested in a career in hip preservalton surgery and related di5ciplinos. This has been achleved by.. access to JHPS, stepped Society Tnemborship. access to our libraries and live surgery events. During the year 2022-2023 the Trustees gathered the following evidence that demonstrates to their satisfaction that ISHA continues to benefit the public through its activities largeted to achieve its charitable objectives.. S41 members and non-mémbers attending the Annual Saentlfic Meeting The number of attendees al the VirtualEducalional Programme in Hip Preservation Surgery, again as above., Recipients of the Clinical Excellènce and Basic Research Awards, GBP£1.895 awarded Three Travelling Fallowships SuppK)rted11 carried over from 202012021. GBP£28,415 awardod 3 PT Awards, GBP£910 awarded Recipients of the Best Oral Standard, Oral Short, Video, EPosler. and Rapid Fire Awards Looking fotward lo 2023 - 2024, ISHA plans to launch the first ISHA Young Investigator and Basic Research Grants as well as introduce 8 regional travel bursaries. Funding reSea￿h and bursaries is a key priority for ISHA as the Society continues to grow. For New Re8•arch Page b*

ISHA TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 Plan5 for the Future Slrateglc Aims 1. Support for Hip Preserrfation Education.. The Society will conts'nue to create quality education post gradual8 educational Cours68, and the prLyJuclion of krgeted material in spe¢ialisl areas for surgical specialties and patient groups. Other than in person meetings. our aim is to make as much c>f this conlenl open access and utilis8 Al to make content available to be consumed in many languages. 2. Adolescent Screenlng Programme The s￿Iety continues lo engage with members and inst'lulional basad initiatlves to ensure the promsion of a hip preservation WDrklorce of tha highest standard. 11 will work lo support membersin maintaining the highest standard of practice, with guidance for registration and re-validalion when required. The developmenl of its committee-based slruclur8 ￿￿11 assist in this obj6clive, with a consi8lenl channel for expert communications lo membership. partners and olh@r stakeholders. We recognize that this sector is fast growing and that innovation and knowledge evolution is critical to ¢)Ptimal pali8nl outcomes. and developlng naw methods of training and appropriata training media. 3. Developing Market Vlsitation Programrnes It Is recognised that on8 of the main Idenlffied barriers lo the accessibility to hip preservation surgery in certain parts orth8 world is the lack ol surgical skills training in the subspecialty within the orthopeadic profession. Whilst training is part of ISHA'S Strategy, il is racognised that this lakés lime and in the mear)time there are patients who need treatment if longer tèrm more invasive surgery is to me avoided. ISHA plans lo support visitilalion programmes lo areas where there is an identlfied need and their is local appalite and kèeness lo Ilaborate.This will involve 8 3 way partnership between the local orthopaedlc surgical community. industry partner5 and expert volunteers within ISHA who are willing to supwrt programmes within the region to perforwn surgery on patients whilst training lo¢al Surgeons.

ISHA TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 Impact of Activities & Events The Trustees will principally assess the success of the above activities ané events by evaluating the number of delegates attending the meetings and courses, the number of papers submitted. the number of surgeon5 being trained, the number of patients beng treated (where appropriatel, and the feedback from meeting and course SUNeys. As of 30 June 2023 there wer8 706 members of the Association. This represented an incease of 13.18°A. We expect lo achieve annual growth in membership of between 10-150A. With the launch of our developmental market strategies we would 8xp6cl to see continued growth in new market membership8 in addition lo continue to strengthen major markets in North America, Europe and South Americ2. structure, Governance and Management The organisation is a charitable company limited by guaranteo. and registered as 8 charity on 1 June 2022. The So￿ety was established under a memorandum of association that 8Stablished th8 objects and powers of the charitable company and is governed under its articles of association. All trustees give their lime voluntarily and re￿1ve no benefits from the charity. Any expenses reclaimed from the charity are sel out in note 8 to the accoLJnts. status and History ISHA- The Hip Preservatson Soaety is an international organisation which is focused on hip preseNation surgery lo enhan¢& patient carè and oulcom@s, through delivery of training, education, support of research, sharing of knowledge and best Practi￿. fostering global collaboration and provision of patienl and professional infomiation to improve hip care. ISHA- The Hip Preservation Soaety has been the creation of many in(IivitJuals, each united by a common interest in the axpanding arena of hip preservation. At its outset. hip arthroscopy attracted the surgical and scientific innovator, the clinician with an eye for thts unusual idea. Instrumentation was often handmade and company support was lacking. The Society {originally the International SoGiety for Hip Arthros¢opyl was officially formed in Paris (France) Sn May 2008 with a focus on hip arthroscopic surgery, and ils Founding Members represent but a few of the many individuals around the world who are interested in this evolving area of hip Surgery. In 2013, ISHA became an unincorporated Membership Society in Switzerland. al whi¢h time also saw the establishmBnl ol a'Fondation de la sociélé internationale pour I'arthroscopie de18 hanché", a s6parate foundation lo promote education and training in hip arthrosGopy. ISHA is a Charitable Inwrp¢yaled Organisalion (CIO - ASSOCIATIONI regISte￿d in England and Wales on 01 June 2r122.11 Is governed by the rule5 as detailed In its constitution as a CIO, published on 5 August 2021, amended as 8 August 2022. Page21

ISHA Thg Hlp Pr•8•rwaiion S￿10￿ TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 Organisalional Structure The ovemll strategic direction of th8 Charity is detemiined by the Tnjslees, who are assisted and advised by members of the Executive Board of the Society. The Committees of the Society are used lo focus discussion on issues pertaining to their particular roles and titles, and these Committees then report and submit recommBndations lo the Board. The Board of Trust88s comprises the Chair, standing members of the ISHA Executive Board plus external elected advisors. Th6 day-to4ay managemènt of the ASS￿l0110n has been delegated by the Trustees to a team of staff. that are based in the Society's Secretariat offices, and who are led by the Executive Director. The Executive Dire¢lor and team of support staff are contracted personnel rather than employed staff based appointed based on a competitive lender process and subsequenuy contracted through a management s8rviees agreen)ent. Committees The Society operates the followng Commlttees. C4niral Pago 22

ISHA Th• Iwp pr•t•rY4Uon SDC TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 Organisational Structure The foll¢)wing other members have also served on the Commlttees durfng the year under review.. Mèmbershlp Filiep Batsillie- Belgium (Chairl Soshi Uchida- Japan Ivice ChoiT} Olufemi R Ayeni - Canada Alston J Stubbs- USA Andrew B Wolff - USA, Michael Banlfy- USA. Jacek Mazek- Poland. Oliver Marfn-Pena- Spain" Jorg Schroder- Germany. Leandro Calil De Lazari- Br8zS1 Hatevn Said- Egypr Gen Lin Foo- Slngapore. Education Ehud Rath- Israel (Chairl Brian D Giordano- USA {Deputy Chairl" Olufemi R Ayeni- Canada Nicolas Bonin- France lan A'khafaji - USA. Michael Banffy- USA. At)drèw Curfey- USA" LATAM Sub Cornmitt8e Marcelo Queiroz- Brazil Ichairl Carfos Guanche- USA. CadDS Vassalo- Brazil. Christian Foronda- Chile" Juan Gomez-Hoyos- Colombia. Leandro Calil De Lazari- Brail Oliver Marin-Pena- Spain. Ricardo Munafo- Argentina. Victor Ilizalilurri- Mexico. Technology & CommunI￿tIOn MarcelD QueiTtsZ- Brazil (Chairl Derek Ochiai- USA IVi¢e Chairl John Chistoferetti - USA Tony Andrade- UK Thomas Wuerz- USA. Ajay Lall- USA. ASIA Sub Committ•8 Soshi Uchida- Japan {Chairl J8son BrrKkwell- Hong Kong Josip"Chuck' Cakic- South Africa" Marc R Safran- USA. Allston J Stubbs- USA Hal Martin- USA" Joseph McCarthy- USA" Gen Lin FoD- Singapore. Aiay Lall- USAJlndia' Website Task For¢e Members Marcelo Queiroz- Brazil (Chair) Derek Ochiai - USA (Wice Chairl Nicolas Bonin - France Oliver Marin-Pena- Spain" TonyAndr8da- UK Iston Stubbs- USA Thomas WUe￿- USA. Ajay L811- USA. Reglstry Tony Andrade- UK (Chairl Vikas Khanduja- UK Ivice Chairl. Industry Allston Stubbs- USA (Co-chair) Tony Andraée- UK (Co-chair) Page 23

•• ISHA TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 Organisational Structure Committees Continued Research Olufemi R Ayeni- Canada (Chairl ay Malviya- United Kingdom (Vlce Chair, Member Survey Rewew Lead). Richard 'Chad" Malher111- USA {Economi¢ Research Subcommittee Chair). Robroy Martin- USA (Physiotherapy Subcommillee Chairl. Yi-sheng Chan- Taiwan. Joanne Kemp- Australia" Renato Locks- Brazil (Member Survey Revlew Lead)" Naomi Kobayashi- Japan" Benedict Nwachukwu- USA. Nicole Simunovic- Canada. Philip Noble- USA. Ashley Campbell- USA. Nils Becker- Germany. Claudia Calletta- Italy, Physiotherapy Robroy Martin- USA (Co-chair). Ashley Campbell- USA [c￿Chair1. Keelan Ensekn- USA. David Kohlrieser- USA" Amir Takla- Australia (Advlsor)" Mike Voight- USA IAdvisorl' Patient Information Marcelo Queiroz- Brazil Ichairl Parmir￿er J Singh- Australia. Nicolas Bonin- France Olufemi R Ayeni- Canada T Sean Lynch - USA. Mike Voight- USA" Amir Takla- Australia. Sandrine Slavik IPalienl) UK. Ella Moffatt (Patientl - UK. Academy Nicolas Bonin- France (Chairl Olufemi R Ayenl- Canada (Vice Chairl Richard "Chad. Mather111- USA" Derek Ochiai- USA" Ehud Rath- Isra81 Jason Brockwell- Hong Kong Carlomagno Cardenas- Spain. Leandro Ejnisman- Brazil" ' Denotes non-memberoflSHA Board Page 24

ISHA Thè HIP Prow¥•ltrJn ¥oe18ty TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 Appointment and Election la) Every charity trustee musl be a natural pers¢n.The charity trustees must b8 members of the CIO. ex¢ept Ihal an Office Holder who becomes an Emeritus member may finish his or her five-year term of Office as set out in paragraph 12141. Ibl No one may bo appointed as a charity trustee: .rf he or sh8 Is v￿ler the age of 18 years- or 'if he or she would automalicalSy cease lo hold office under the provisions of dause 15111{gl. 1¢? No onè is enliued to act as a charity trustee whether on 8PPOintment or on any ra-appoinlment until he or she has expressly acknowledged, in whatever way the charity trustees decide, his or her aC￿ptance of the office of ch8rity Iruslee. 111 Number of charlty trusteos lalThere musl be a minimum of at least four charity trustees and a maximum of sixteen Iru51ees. If Iho number falls below this minimum, the remaining Iruslee or trustees may act onty to call a meeting of the charity trustees. or appoint a new charity twstee. {blThe first charity trustees are sel out below and shall hold office until the ffirst annual general meeting of the charity. After the first annual general meeting, Ihe charity trustees shall consist of the Office Holders and up to 9 Additional Trustees who are not Office Holder5. The members shall by majority decision fill any vacancy in the number of the Addilionol Trustees, and any vacancies not filled al the annual general meoting may be fillèd as provided in sub.dause121 of this clause., 12} The Office Holdèrs shall bB the: i.Prèsidènt ii.1mmediate Past President 111.2nd Past President iv.Presid@nt-Elect v.vice President vl.Sacretary vii.Treasur8r 13) First charlty trust&&s The first charily trustees of the CIO are= Mr Antonio.J M D. Andrade (Chair} Profossor Richard E. Fiel Dr John Joseph Christoforetti Dr Nicolas Bonin Page 25

ISHA ThoHlp Presorvsiwh 30CWI TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 Appointment of charity trustees Additional Trustees (11 Al evfyry annual general meeting of the rnembers of the CIO. the members shall by malorfty decision fill any vacancy in the number of the 8ddilional trustees, and any vacanrAes not filled al the annual gen8ral meeting may be filled as provided in sub-dause12) of this clause. 121 The members in general meeting or the ¢h8rity trustees at any time may decide to appoint a new Additional Trustee, whether in place of an Additional Trust88 who has retired or been removed In accordan￿ with clause 15 (Retsremenl and removal of charity trusleesl, or who has bewme an Office Holder, or as an additional charity trustee, provided that tha limit specified in clause 1213) on the number of charity trustees would not as a result be exc9ede¢J.' 131 A person so appointed by the members of the CIO as an Additional Trustee shall hold office for a terni of Ihrae years. A person so appoinled by the charity trustees shall retire at the conrlusion of the annu81 general meeting after three years have been served. and shall be eligible for re-appointment by the members if they decide lo appoint him or he for second three year temi. 14) offi￿ Holders i.Bgfc>re every annual general meeting of the members of the CIO, the charity Iruslees shall elect one of the Additional Tnjslees to be Vice .Presidenl, such election to take effect at the beginning of th8 annual general meeting in that year. That person shall serve 5 years as an Office Holder, and shall progress through officas as follows.. ii.Al tha first AGM (the first anniversary) following hislher election, slh8 shall cease to be VIC￿PresIdent and shall become Presider)t Elect., iii.At the second AGM (the seco￿ anniversary) following hislher election. slhe shall cease lo be President Elect and shall become President. N.Al the thinl AGM Ithe thlrd anniversary) following hislherelection, slhe shalleease to bè President and shall become Immediate Past President; v.Al the fourth AGM Ilhe fourth 8nniversaryl following hislher election. slhe shall ceasè to be Immediate Part President and shall become 2nd Past President and shall hold office as 2nd Past President until the fifth AGM followng hislher election. when slhe shall cease to be a charity trustee. 151 When there a Vacar￿Y in the Office of treasurer OT secretary the ch8rily trustees may appoint person to hold office until the next annual gener81 meetiro of rnembers, and the m8mbers shall at the annual general meeting elect a person lo hold that Office for a term of three years, gxpiring at the third Bnnual general meeting after their election. A person WFKJ has senred one three.year term is eligible for reappointment for one fijrther term of thr80 years as set out in dause 16. Page 26

ISHA Ib•TrriP Pr¥er¥ovo• Socfety TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2023 Retirement and Removal of Charity Trustees 111 A ch8rity trusleo ceases to hold office rf he or she.. (al retiras by notifying the CIO in writing Ibul only If enough charity trustees will remain in office when th8 notice of resignation takes effect lo form a quorum for meolings).. {bl is abserbt without the permission of the charity trustees from all their mèetings held wllhln a p8riod of six months and the Irustees resolve that his or her office be vacated., Icl dies.. Idl in the written opinion, given to the company, of a registered medic81 practitioner treatino that person. has becomg physically or mentally incapable of acting as a trustee and may remain so for more than three months,. le) is removed by the unanimous vole of all the other charity Iru8tees- lfj is removed by the members ofthe CIO in accordance with sub-clause12) of this clause-, or {gl is disqualified from acting as a eharily Irusleeby virtue of section 178-180 of the Charities Acl 2011 lor any statutory re-enactment or modificabon of that prowsionl. 121 A charity trustee shall be ramoveé from office If a resoluty'on lo remove that trustee is proposod at g@n8ral meeting of the members called for that purpose and properly convened in accordance with dause 11, and the resolution is passed by a two- thirds majority of votes c2St al the meeting. 131 A resolution of the members or the charity trustees lo remove a charity trustee in accordance with this clause shall not lake effect unless the individual concerned has been given al least 14 clear days, noti in writing that the resolution is to be proposed, specifying the circumstsnces alleged io justify removal from office, and has béen giv8n a reasonable oppgrtunity of making oral andlor written r8presenlations lo those who will be invited to vota on the resolution. Reappolntment of Charity Trustees Any person who retirès as a ¢harily trustee at the end of their 18rm of office as an Office Hold8r or Additional Trustee appointed by the members or by giving notice to the CIO is eligible for reappointmerkl. A charity trustee who has served for two consecutive terms may not be reappointed for a third consecutive tami bul may bg reappointed after an int8Nal of al least Ihree years. Page 27

ISHA FINANCIAL PROCEDURES AND GOVERNANCE MATTERS FOR THE YEAR ENDED 31 MAY 2023 Principal Rlsks and Uncertainties Rlsk and Corporato Governance Matters The Trnstees believe that ISHA does not need lo expose itself to a high level ol risk in order lo achieve its present aims and goals. 11 has implemented a structure within the Society with the aim of mitigating and ring fencing any activtties which may incur more significant finanrAal exposure such as the organis81ion of the Annual Scientific Meetings. Therefore, a policy is followed to ensure that only risks thal are, or can be mitigated to. medium risk level are accepted by tha frustees and the Society. This overall assessment of risk may change at a later date depending upon iniliativtss being Considered at the Ilme. The Tr8asLJrer, Executive Board and Executive Director undertake thg initial annual risk review,and than present the results for scrutiny. Any significant changes in the Society's risk profile will be highlighted lo the mgmbership at the Annual General Meeting. Risks are rewewed annually. The main areas of risk thal h8Vg b8en identified are adverse publicity, loss of commercial partners. fiscal failure of thé Annual Meeting. and loss of key staff. Thè ISHA Executive Board in the first instance havè the responslbility for addressing any advers8 publicity issues and work with the Comms and Reports Committees lo prepare any external communications. A stral8gy has been developed where the senior leadership of the So¢lety regularty engage with our corporate partneTS through regul8r virtual calls, in person meet ups al international events and scheduled meotings during our annual scientific meetings to maintain ¢ontact and open communications. The Annual Scientific Meetings have been structured into 59parate limited companies which are wholly owne by thè charity. This enables the fiscal arrangements for each meeting lo be ring fenced away from the society and also provides a tax efficient mechanism for any profits lo be passed lo th8 charity via corporate Gift donations. The strudure r>f tha Executive Board allows for a 6 year rotation to ensure that the intellectual knL)wledge is maintained within the gDvemance struciure and faalitates Ctsntinuily along wth long tem)s planning. A lor)g tem) rolling contract has been entered into with the Executive Director which requires a 6 month notice period by either party. Professional Indemnity Insurance The Charity has taken out an indemnity insurance policy thal provtde8 professional indemrsity cover for the Trustses of the Charity. The cover provided by the policy is GBP£1 million for any one claim. The cost ol this insurance poliw lo the Charity for the year was GBP£1.034.44. Page 28

ISHA Th• Hlp P¥è&tr¥aUon Sod FINANCIAL PROCEDURES AND GOVERNANCE MATTERS (CONTINUED) FOR THE YEAR ENDED 31 MAY 2023 Reserves Policy and Going Concern Th8 Trustees continue lo delertnine a suitabl8 target for the level of Yree reserves,, and have sel this al two years of operational costs is in the region of some GBP£120,000 per annum for core operational expenditure. This is currently under review and will be UFxdated with next steps in the 2024 annual report. The areas of emphasis will continue lo be education and research including the provision of information tr) thg publi¢. Education continues to be SLJPPOrted nationally and locally, arid the medical sludenl education programmels being enhanced. In the light ol this aim, it is highly likely that a proportion of existing Yree reserves, will be held on a long- term basis lo g8ner81è interest eaming income stream in perpetuity, with the balance of 'free reserves, being spent in a systematic and controlled manner on appropriate projects as proposed by the Committee leads and approved by the Board of Trustees. Investments Policy The Trustees have wide ranging powers to invast the fvnds of the Society as they see fit. As this is the first year of the Charity, the trustees will be reviewing Current surplus funds, budgeting for operational and grant funding budgets for the coming year and look lo any short-t8rm surplus Cash funds are still lo be held in interest- b98ring deposit accounts. Longar term Investment options will be considered in years 2023- 2024 and 2024 - 2025. Fundraising ISHA does not currently undertake any specific fundraising activities and fund5 Ilsem via collection of membership fees. corporate sponsorship support and gift aid donations from any surplus ogeneraled by th8 Annual Sci8nlific Meeting. In year 2024 . 2025, specific fundoising strategies will be developed to support sporyfic strategic initiatives and projects. Financial Roview The Charity's Statement of Flnancial Activities is shown on paye 34. The total income for the year was GBP£502,582 and total expenditure was GBP£23,895 resulting in a net profit of GEP£478.687. Unreslrfctod reserv8s totslled GBP£478.687 al the end ol th& yèar. Thore were no restricted res6Nes, income or 8xpen¢Jilure during the period. Page 29

•ixr. ISHA STATEMENT OF RESPONSIBILITIES OF THE TRUSTEES The trustees (who are also directors of ISHA The Hip Preservation Society IISHA) for the purposes of COTnparny lawl are responsible for preparing the truslees, annual report and the financial statements in accDrd2nce with applicable law and Uniled Kingdom Accounting Standards (United Kingdom generally Accepted Accounting Practic81- FOR THE PERIOD ENOED 31 MAY 2023 Tru$tees' responsibilities in relation to the a￿aUnts The Charlties Act 2011 requires the Iruslees to prepare accounts for e8ch financial year whlch glve a true and fair view of the stale of affairs of the charity and of the incoming resources and application of resource5, including the income and expenditure, of the charity for that year. In prèparing thèse accounts, the trustees are ￿quired to: elect Suitable accounting poliues and then apply them consistently-, observe the methods and principles in the Charities SORP: make judgements and estimates that are reasonable and pru¢ent.' and prepare the accounts on the going COn￿M basis unless it is inappropriate to presume that the charity will continue in opèration. The truslees are responsible for keeping adequalo acwunting records that disclosg with reasonable a￿UraCY al any time the financial position of the charity ond enablè th&m to ensure that the accounts comply wSth the Charities Act 2011. They are also responsiblè for safeguarding the assets of the charity and hen￿ for taking reasonable steps for the prevention and d818Ction of fraud and other irregularities. Page 30

ISHA Th0￿p pr4*•N+￿tsn Soel STATEMENT OF RESPONSIBILITIES OF THE TRUSTEES CONTINUED In so far as the Iruslees org aware.. There is no relevant audit information of which the charitable company's auditor is unaware The Iru5tees have taken all steps that they ought to have taken lo make themselves aware of any relevant audit information and lo es¢ablish that tho auditor is aware of that irtfomiation. Independent Examingr TC Group was appointed as the charitable company's accountant and Indèpendent Examiner during the year and has expressed its willingness lo Continue in that capacity. The Trustees annual report has baen ptspared in accordanc& with the special provlsions applicable to companiès subject lo the small companies, r8gime. Approved by the Board on 18 September 2024. On behaLf of the Board of trustees Antonio Jo$9 Martin Dias Andrade Chair of Trustees Pag6 31

ISHA (Jo INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF ISHA- THE HIP PRESERVATION SOCIETY I report to the charity trustees on my examination of the accounts of the charity for the period ended 31 May 2023. Responsibilities and basis of report As the charity's trustees you are responslblè for the prepara￿On of the accounts in accordance with the requirements ol th8 Charities Act 2011 {'Ihe Act'l- I report in respect of my examination of the ¢harsty's accounts caffied out under section 145 of the Act and in carrying out my examination I have followed 411 Ihe applicable Directions given by the Charity Commisslon under section 14515llbl of the Act. Indepondent ex8minerfs statement Since the charity's gross incom8 exe8eded £250,000 your examiner must be a member of a body listed in section 145 of th8 2011 Act. I confirm that l am qualified to undertake the examinalion because l am a member of the Association of Chartered Certified Accountants, which is onè of the listed bodies. I have completed my examination. I confirm that no material matters have come to my attention In connection with the examination giving me cause to balièv8 that in any material respect: 1.accounting records were not kept in accordance with section 130 of the Act. or 2.the accounts do not accord with those records., or 3.the accounts do not comply with the applicable requirements Con￿mIng the fomi and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounls givo a YTue and fair, view which is not a rnatter considered as part of an independenl examination,. or 4.the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting. Page 32

' r7pI •, V II. ISHA INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF ISHA- THE HIP PRESERVATION SOCIETY CONTINUED I have no concems and have come across no other matters in conneclion with the examination to which attention should be drawn in this report in order to enabl8 a proper understanding of the accounts lo be reached. To qr-A-P Mark Cummins FCCA FCIE On behalf ofTC Group Office.. Steyning, West Sussex Dated.. Page 33

ISHA Thè Hip Pr48grvaiioh So STATEMENT OF FINANCIAL ACTIVITIES FOR THE PERIOD ENDED 31 MAY 2023 Total 2023 Income from: Donations Noto 502.582 Total Income 502,582 Expenditure on: Charitable activities 23,895 Total Expenditur• 23,895 Net income 478,687 Net movement in funds 478.687 Reconciliation ot funds Total funds brought forward Total funds carrlod forward 478.687 All income and expenditure in the year was unrèstricted in nature. Ther& are no r$cognised gains or losses other Ihan those report8d on the Slalement of Financial Activities. Page 34

ISHA Th•HIp Prèwvvthn So BALANCE SHEET AS AT 31 MAY 2023 2023 Curienl assets Intorcompany debtor Noto 478,687 Total Incom• 478.687 Nel current assets 478.687 Not a$$•l$ 478.687 The funds of the charity: Unrestricted funds 478,687 478.687 Thè notes on pages 3e-38 form pari of these accounts. The accounts were approved by the Board on 18 September 2024. tonlo Jo$0 Martin Dlas Andrade Chair of TruSt￿S Page 35

ISHA Tho Hlp Pr••wn￿n So¢1 NOTES TO THE ACCOUNTS FOR THE PERIOD ENDED 31 MAY 2023 1 Legal status of Charitab￿ company ISHA - The Hip Preservation Soclety is a Charitable incorporated organisation reglslered in England and Wales. 2 Atcountlng policigs 2.1 Basis of preparation The accounts have been prepared in accordance with Accounting and Rèporbng by Charities.. Statement of Recommended Practice applicable lo charilitss preparing thair accounts in accordan￿ with the Financial ReportirvJ Stsndard applicable in the UK and Republic of Ireland {FRS 102) (effective 1 January 20151 (Charities SORP IFRS 102)). ISHA - The Hip Preservation Soclgly meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised al historical cost or transaction value unless olhetwlse 51aled in th8 relevant accounting policy note. The financial statements are prepared in slerting, which is the functional currency of the charitable company. Monetary amounts in these financlal statèments are rounded lo the nearest pound. 2.2 Going concern After rnaking apprtspriate enquiries, the trustees have a reasonable expectation that the charity has adequate Tesour¢es lo continue in operational ex4Stonce for the foreseeable future. 2.3 Income All incoming resources 8re included in the Slalpmenl of Financial Activities when the charity is legally enlilled to the income, it is probable the income will b& received and the amount can be quantified with reasonable accuracy. Donations and other forms of voluntary income are recognised as income when recelvable, except insofar as they are incapable of financial measurernenl. 2.4 Expendlture and basis of apportloning costs Expenditure is accounled for on an accmals basis with the irrecoverable element of VAT included with Ihe item to whlch il relates and has bean classified under headings that aggrogate all costs related to Ihe category. Govemance costs (included within sUp￿rt costs) comprises all costs associated with wnslttutional and statutory requirements with which the eharity must comply. 2.5 Fund Accounting Unrestricted general funds these are funds whlch are available for use at the discretion of the trustees in lurtheran¢e of the general objectives of the eharily and which have not been designat8d for other purposes. Page 36

ISHA Th•Mlp Pmserwauon Srdoy NOTES TO THE ACCOUNTS (CONTINUED) FOR THE PERIOD ENDED 31 MAY 2023 2 A¢¢ountlng Pollcies (contlnuod) 2.6 Debtors Trade and other debtors are recognised al the settlement amount due after any discounts offered. 2.7 Judgoments and key sources of estlmation unc8rtainty In the applicakn'on of thè charity's acGounling pc>licies, the trustees are required to make judgements. eslimales antj assumpuons aboul the caTrying amount of assets and li8bililies that are not re&ily apparent from other sources. The estimatès and associated assumptions a￿ based on historical experience and other fa¢lors that are considered lo be relevant. Actual results may differ from these estimates. The eslimales and underfying assumptions are reviewed on an ongoing basis. Revisions to accounting estimalas are recognised in the period in which the estimate is revised. The trustees do not ¢onsider that there are any critical astimales or areos of judgement that need lo be brought lo the attention of the readers of the financial statements. 3 Income from donatlons Total 2023 Donations (see note 7 for detail) 502.582 4 Total expendlture Support Costs Other Costs Total 2023 Actiwties undertaken dliecdy Support costs 22.695 22,695 1,200 1,200 Total charitable actiwlies 1200 22.69S 23.895 Analysis of support costs Uncluding Govemance wsts) Total 2023 Governance costs., Independent exarnifjeffs lees 1.200 Page 37

ISHA Th? Hlp P￿e￿a￿On 80¢ NOTES TO THE ACCOUNTS (CONTINUED) FOR THE PERIOD ENDED 31 MAY 2023 5 Employe85 There were no employees of the charity during the period ended 31 May 2023. 6 Debtors Total 2023 Other Doblor5 478,687 7 Intercompany transactlons During the period thè charity received a GBP£398,201 donation from ISHA Hip Preservation Limitèd and a £104,381 donation from ISHA Annual Scienkn'fic Meeting 2022 Limited. 8 Trustee5 No trustees rèceived any remuneration directly from th8 charity or were reiwnbursed any expensgs during tho period ended 31 May 2023. 9 Taxation As a charity. ISHA - The Hip PreseNalion Swety its exempt from tax on income and gains lo th8 extent that Ihe5e are applied to its ¢haritsble obje¢ts. 10 Ultlmatg controlling party The charity was under the control of the Trustees during the period under review. Pag8 38

ISHA "If it weren't for this initiative by ISHA, many of these patient would not be receiving treatment and they would not be looking forward to an improved quality of life" Theatre Manager, Mater Hospital, Nairobi, Kenya THANK You CONTACT US . +44101203 519 9427 member@ishasoc.org www.ishasoc.net Administrative Office Address: Warrender House, Haywood t2oad Moffat, DGIO 9BU, UK

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