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 Soel*y
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 Soc*ty
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
EBondthpA*alirAts
wtytgrtyunlKASIILlrfted
I￿13m b
¥JSMTrea%ur
AalLirnMi•dC
¥¢th￿oI*lE¥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￿*r¥*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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