## **ANNUAL REPORT AND FINANCIAL STATEMENTS** **FOR THE YEAR ENDED 31 MAY 2025** ## **PRESENTED BY :** Mr Tony Andrade **PREPARED BY :** The ISHA Hip Preservation Society Board of Trustees **CHARITY NUMBER :** 1199165 ## **CONTENTS** **Page** Legal and Administrative Information 2 - 3 Welcome to ISHA 4 Vision and Mission 5 Structure and Governance 6 - 7 Chair’s Executive Summary 8 - 9 Trustees’ Annual Report 10 - 24 Financial Procedures and Governance Matters 25 - 26 Statement of Responsibilities of the Trustees 27 - 28 Independent Examiner’s Report to the Trustees of ISHA - The Hip Preservation Society 29 - 30 Statement of Financial Activities 31 Page 2 Balance Sheet 32 Page 1 Notes to the Accounts 33 - 37 Page 1 ## **LEGAL AND ADMINISTRATIVE INFORMATION** ## **FOR THE YEAR ENDED 31 MAY 2025** Company number CE029311 Country of incorporation United Kingdom Charity number 1199165 Country of registration England & Wales Registered office Lee Bolton Monier Williams, 1 The Sanctuary, London, SW1P 3JT, UK Secretariat / Administration office Warrender House, Haywood Road, Moffat, DG10 9BU, UK ## **Bankers** CAF Bank Ltd 25 Kings Hill Avenue West Malling Kent ME19 4JQ UK Tide Business 4th Floor, The Featherstone Building 66 City Rd London EC1Y 2AL UK ## **Correspondence Address** Lee Bolton Monier Williams FAO Susan Newell 1 The Sanctuary London SW1P 3JT UK ## **Independent Examiner** TC Group The Courtyard Shoreham Road Upper Beeding Steyning West Sussex BN44 3TN UK Page 2 ## **LEGAL AND ADMINISTRATIVE INFORMATION FOR THE YEAR ENDED 31 MAY 2025** ## **CIO Trustees** |**CIO Trustees**|| |---|---| |**For period**
**1 June 2024 - 31 May 2025**|**Position**| |Mr Antonio Andrade|Chair / Officer| |Professor Richard Field|Additional Trustee| |Dr Nicolas Bonin|Officer| |Dr John Christoforetti|Officer| |Dr Paul Beaulé|Officer| |Dr Rodrigo Mardones|Officer| |Dr Marcelo Queiroz|Officer| |Dr Benjamin Domb|Officer| |Mr Parminder Singh|Officer| |Ms Olivia Sugdon|Additional Trustee| |Ms Sara Sanders|Additional Trustee| |Mrs Caroline Mackenzie|Executive Director /
Additional Trustee| ## **Key Personnel - ISHA Executive Board** Dr Paul Beaulé ISHA President to October 2024 ISHA Past President from October 2024 Dr John Christoforetti ISHA President from October 2024 Dr Nicolas Bonin ISHA President Elect Dr Marcelo Queiroz ISHA Vice President Dr Benjamin Domb ISHA Treasurer Mr Parminder Singh ISHA Secretary General Dr Rodrigo Mardones ISHA 2nd Past President Mrs Caroline Mackenzie Executive Director Page 3 ## **MR TONY ANDRADE** Chairman of the Board of Trustees ## **WELCOME TO ISHA** ISHA – The Hip Preservation Society is an international organisation which is focused on hip preservation surgery to enhance patient care and outcomes, through delivery of training, education, support of research, sharing of knowledge and best practice, fostering global collaboration and provision of patient and professional information to improve hip care. ISHA is a Charitable Incorporated Organisation (CIO – ASSOCIATION) registered in England and Wales on 01 June 2022. Page 4 ## **VISION AND MISSION** ## **VISION** ISHA’s vision is a world with equitable access to quality treatment and the best achievable patient outcomes through improved access to appropriate treatment, early intervention, prevention and education, with the goal of us living in a world where hip joint replacement is only an occurrence of old age. ## **MISSION** To create “healthy hips” by bringing hip preservation, prevention and treatment to all the people regardless of age, social status, gender or economic situation. ## **PURPOSE** Support improved quality of training and education to hip preservation professionals Provide greater access to learning and training of healthcare professionals with an interest in hip preservation Promote research Advance hip disease awareness Improve patient understanding and impact of undiagnosed hip injury and disease Create an understanding and facilitate patient access to early intervention, diagnosis and treatment ## **STRUCTURE AND GOVERNANCE FOR THE YEAR ENDED 31 MAY 2025** The CIO Trustees have implimented the following structure which best enables the various focus areas of the Society’s undertakings to be delivered and is structured to support future growth and development. The following workflow outlines the roles, relationships and responsibilities allocated to the senior leadership groups Page 6 ## **STRUCTURE AND GOVERNANCE FOR THE YEAR ENDED 31 MAY 2025** The CIO Trustees have implimented the following workflows within its governance structure As part of the risk management strategy, the CIO have created separate limited company entities which are solely owned by the CIO, through which to manage and run the annual scientific meeting As the selection process of the destination for hosting the Society’s flagship educational event has a significant impact on the impact, strategic management and the fiscal position of the society, the CIO trustees have developed the following workflow for decision making, and management of each of these meetings. Page 7 ## **EXECUTIVE SUMMARY** Mr Tony Andrade ## Chair of the Board of Trustees The Trustees of the Charity are the elected Officers and members of the Board of “ISHA - The Hip Preservation Society” (ISHA). The Trustees are assisted by invited advisors, who are neither trustees of the charity nor directors of the company, in the main appointed in a volunteer capacity from the membership to form area focused advisory committees. The Charity is supported by a secretariat of 4 part/full-time contractors and freelance consultants. ISHA was first founded as an Association in 2008, and then became an unincorporated membership society in 2013. It became a charitable incorporated organization (CIO) in 2022. The work of the Society is carried out by ten standing advisory committees that report to the Executive Board who meet 12 times per year, on 4 occasions meetings are held jointly with the General Board and Committee leads. The Trustee Board meets twice a year, once virtually and once in person. ISHA is the leading international membership society that promotes, educates, supports innovation and expands hip preservation surgery globally. In pursuance of its charitable objectives, and in order to achieve the overall aims and goals of its mission statement, the Society's main activity is the dissemination of information as it relates to hip preservation surgery. In 2024/25, this has included: - Planning and executing of the Annual Scientific Meeting in Washington DC, USA in October 2024 Awarding of first ISHA Research Grants - Awarding of three travelling bursary Grants in the LATAM Region - Further development of multi-language patient information Online webinar education programme - Continued curration of open access educational digital content Page 8 ## **EXECUTIVE SUMMARY** ## **CONTINUED** A doubling of partnerships to facilitate more efficient development of educational collaborative activity Launch of free Trainee Membership catergory, to promote engagement with early career professionals The year saw further membership growth and continued strengthening of the Society’s financial reserves, mainly due to increased membership and gift aid revenues from both the ISHA 2023 and 2024 Annual Scientific Meetings which were realised in this financial year. As the Society continues to grow and mature, a significant focus in the current year has been on governance procedures and policy development, to ensure that that the Society has robust and transparent management. This executive summary was approved by the Trustees on Monday 22 December 2025, and was signed for and on behalf of the board by **Antonio Jose Martin Dias Andrade Chair of Trustees** Page 9 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025** The Trustees present their report and the audited financial statements for the year ended 31 May 2025. Legal and administrative information set out on pages 1 and 2 forms part of this report. The financial statements comply with current statutory requirements, the memorandum and articles of association, the requirements of a directors’ report as required under company law, and the Statement of Recommended Practice - Accounting and Reporting by Charities: SORP applicable to charities preparing their accounts in accordance with FRS 102. ## **Objectives and activities** ## **Purposes and aims** The Trustees review the aims, objectives and activities of the charity each year. This report looks at what the charity has achieved and the outcomes of its work in the reporting period. The trustees report the success of each key activity and the benefits the charity has brought to those groups of people that it is set up to help. The review also helps the trustees ensure the charity's aims, objectives and activities remained focused on its stated purposes. The trustees have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing the charity's aims and objectives and in planning its future activities. In particular, the trustees consider how planned activities will contribute to the aims and objectives that have been set. ## **Charitable Objectives** The charitable objectives for which the Charity is established are as follows: - The advancement of health, by the promotion of the study and practice of hip surgery, treatment of hip disorders and rehabilitation post-hip injury, including development of new techniques and advancement of skills. - The advancement of the education of professionals dealing with the surgical and non-surgical treatment of hip injury and disorders, through the support of training and research and the sharing of the results of such research principally amongst hip, orthopaedic, trauma and sports surgeons and other allied medical professionals. In line with its charitable objectives, ISHA has developed a congruent mission statement as stated on page 4 of this report. ## **Charitable Activities** - In line with it’s charity objectives, to achieve the aims of the mission statement, the society’s key activities are: To support training and skills development - The creation of quality education - Enhance the accessibility to content and dissemination of information in relation to hip preservation surgery to those who can benefit anywhere in the world - Supporting further research in hip preservation surgery All of these activities are undertaken with the ultimate goal of improving patient diagnosis, treatment and outcomes. Page 10 ## **TRUSTEES ANNUAL REPORT (CONTINUED) FOR THE YEAR ENDED 31 MAY 2025** ## **Membership** The membership of the Society comprises hip surgeons, trainee hip surgeons, physiotherapists, rehabilitation specialists, researchers, sports medicine physicians, and those in aiming to develop a career in hip surgery. The phased introduction of a “Friends of ISHA” has further enhancement of membership in underdeveloped territories. The introduction of the free trainee category of membership has resulted in an increase in the demographic of early career professionals now making up approximately 15% of the membership, approximately a doubling of the number from the previous year. The membership is enhanced by partnerships with sponsors, medical institutions and related organizations. The members receive access to ISHA online assets including the Vumedi video channel, online live surgeries, virtual education programmes as well as regular newsletters and other information covering hip preservation practice. Further detailed summary of membership growth can be found in the accompanying Impact Report. ## **Partnerships** Aligned to the UN SDG 17, the Society has actively looked to developing partnerships with other like minded professional medical societies and organizations in related disciplines to enhance ISHA’s global hip preservation outreach, collaborating on specific activities where collective co-operation can add value, be more efficient and achieve improved project outcomes. Further information can be found in the accompanying Impact Report. ## **Publications** The Society is a partner of Oxford University Press (OUP) who publish, the Journal of Hip Preservation Surgery, an open access, peer-reviewed international journal focused on the growing area of hip preservation surgery within orthopaedics. The Journal publishes original articles related to the preservation of the hip joint, including arthroscopic surgery and hip osteotomy, as well as orthobiological techniques as applied to the hip joint. JHPS publishes a combination of clinical and laboratory research grouped into quarterly online issues. The Journal will consider any original papers which expand the area of hip preservation surgery. JHPS deposits all articles in PubMed Central (PMC). Surgeons, physicians and researchers can find your work through PubMed, ensuring access by the widest possible audience. JHPS editorial committee comprises 50 internationally recognized key opinion leaders, many of whom are current and past leadership members of ISHA. The journal Editor-in-Chief Prof. is ISHA past president and trustee is Prof. Richard Field. Those involved are specialists from across the globe who are conducting research related to Hip Preservation Surgery. ISHA members have the opportunity to contribute articles and papers at a reduced publication rate. The articles archive is available online. Through partnership the Society itself subscribes to The Journal of Arthroscopy and Related Surgery, published by the Arthroscopy Association of North American (AANA) in collaboration with Elsevier Publishing. Through the partnership with American Orthopedic Society for Sports Medicine (AOSSM), the Society benefits from access to this society’s open access publication. All of these educational resources are made available to the Society membership. Page 11 ## **TRUSTEES ANNUAL REPORT (CONTINUED) FOR THE YEAR ENDED 31 MAY 2025** ## **Annual Scientific Meeting** ISHA holds an annual scientific meeting. This is held on the basis of an open location pitch available to society members and rotations on a three-year cycle to Europe, North America and “the Rest of the World”, to ensure that the meeting is regularly accessible to both membership and the global hip preservation 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 consideration; accessibility, suitability of facilities, safety, impact and legacy to further the societies vision and goals, fiscal considerations. The meeting is run to aggregate and present the latest in new hip preservation related medical information and research to its members. The meeting includes; lectures, discussion forums, live surgeries, course accredited programmes and presentation of the latest products related to hip preservation surgery. The ASM is a critical aspect in continued educational development and enhancement of the hip preservation field. A Host Chair and a Scientific Programme Chair oversee each meeting, supported by a Scientific Programme 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 Scientific Programme Committee and approved by the Executive Commttee. Accepted submissions, the best research papers and invited speakers make up the programme for the ASM. ISHA seeks CPD accreditation for the Annual Scientific Meeting Programme from differing organisations dependant on where the meeting is being held, but in the main from either the European Union of Medical Specialists’ (UEMS) European Accreditation Council for Continuing Medical Education (EACCME®), or the American Medical Association (AMA). This enables attendees who attend to collect credits as part of their requirements for continued professional development. ## **Virtual Education** The Society has a full virtual education programme in hip preservation. Each year this comprises webinars and live surgery broadcasts created by ISHA and some activities in partnership with other related societies such as AANA, AOSSM and ISAKOS. This is designed to support further education to those at all levels of hip preservation training, with programmes created to address differing identified learning objectives and areas of surgical and treatment interests. ## **Grants and Bursaries** ISHA to year 31 May 2025 has provided grants / awards / bursaries for research, international travelling fellowships, regional travelling fellowships, trainee awards, bursaries for trainees to attend the ISHA 2024 annual meeting. These are designed to support the access to training of surgeons at different stages of the professional development and enhance research in hip preservation surgery, with the ultimately the patient benefiting from these activities. Page 12 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025 CONTINUED** ## **Indicators, Milestones & Benchmarks** The Trustees monitor a range of measures by which to try to determine the success of the Charity in meeting its objectives. These measures include: - Level of membership as a percentage of total relevant doctors and the trend over time (increasing or decreasing) - Attendance at the Annual Scientific Meetings - Commercial revenue derived from Annual Scientific Meetings - Survey feedback from delegates attending the Scientific Meetings,the uptake on new initiatives to encourage attendance, and feedback on individual sessions, papers, and lectures at the Scientific Meetings Support and feedback from commercial partners, through regular contact boards and Advisory Committee Member surveys - Circulation and readership of JHPS - Levels of submission of papers for the Scientific Meetings and for publication in JHPS Requests for publications including abstracts and papers - Uptake in registration and consumption for online virtual education - Levels of and patterns in viewership for ISHA content on Vumedi channel Requests for further information from online assets - Number of visits to the Society's website and feedbackfrom visitors - Number of physiotherapists attending physiotherapy day at ASM ## **Public Benefit** The Trustees have taken The Charity Commission's general guidance on public benefit (contained within their guidance publication "Charities and Public Benefit") into consideration in preparing their statements on public benefit contained within this trustees' annual report. ## **Benefits & Beneficiaries** In accordance with its charitable objectives, the Society strives to improve patient care and to improve the quality of medical and surgical practices for the benefit of patients within the specialty of hip preservation surgery. The Charity's ultimate beneficiaries are therefore patients, and benefits to patients are provided through continuing dissemination of information in relation to the specialty by the Society. ## **Trustees' Assessment of Public Benefit** The main charitable aims of the Society are to provide education and research for the ultimate betterment of patients. This is achieved by the Society's organisation of annual Scientific Meetings and also the provision of virtual educational courses on various subjects related to hip preservation. Charitable funds are used to support research in the specialty. The Society also offers additional educational resources to the wider medical sphere through its open source assets including Vumedi. Page 13 ## **TRUSTEES ANNUAL REPORT (CONTINUED) FOR THE YEAR ENDED 31 MAY 2025** ## **Grant Making Policy** The Education and Research Committees exists to further the education, training and research agenda of ISHA. In doing so, the committees review applications for the Association's range of existing bursaries, prizes, grants and fellowships, and develops new awards as a need becomes apparent. The range of ISHA bursaries are advertised on the Society's website, on social media and via relevant stakeholder groups. Applications can be made by completion of an online application. The relevant Committee review applications against a review matrix and based on this makes recommendations to the Executive Board on the awarding of grants, awards and bursaries. ## **Relationships with Connected Parties** A key component of ISHA’s purpose is the investment in research in furtherance of knowledge and application in hip preservation surgery. As such it works with a range of commercial partners in areas of mutual interest. This includes the development of sponsored events - both at the ASM and online – that showcase new technologies and techniques that drive improvements in the sector. In this reporting period ISHA through collaboration with the East African Association for Hip Arthroscopy its first workshops and surgical visitation / mission programme. Further details of this programme are detailed in the accompanying Impact Report. Our partners contribute both financially to the Society, assist in the provision of equipment and facilitate additional content in support of our education programmes. Currently, the Society hold Diamond partnerships with; Arthrex, Smith + Nephew and Stryker. Grant funding support has also been received from the ISHA Foundation. Page 14 ## **TRUSTEES ANNUAL REPORT** ## **(CONTINUED) FOR THE YEAR ENDED 31 MAY 2025** ## **Representation on Other Bodies** In pursuing its charitable objectives, the Society has representation on other external organisations and receives updates from them. In particular, ISHA was represented by the following individuals: American Association of Orthopaedic Surgeons Dr H Ellis Arthoscopy Association of North America Dr John Christoforetti, Dr Alan Zhang American Orthopaedic Society for Sports Medicine Dr Sanjeev Bhatia, Dr R Westermann, Dr A Spiker, Dr A Ranawat Société Internationale de Chirurgie Orthopédique et de Traumatologie Prof V Khanduja, Dr O Marin Pena, Mr A Malviya, Prof H Said European Society for Sports Traumatology, Knee Surgery and Arthroscopy Prof V Khanduja, Dr O Marin Pena, Dr O Ayeni, Dr T Papavasiliou Latin American Society of Arthroscopy (SLARD) Dr Daniel Slullitel, Dr R Munafo Brazilian Hip Society (SBQ) Dr L Calil de Lazari, Dr M Queiroz British Orthopaedic Association Prof V Khanduja, Mr A Malviya British Hip Society Mr M Wilson, Mr T Board, Mr A Malviya, Mr S Kutty, Mr A Andrade European Hip Society Dr F Randelli, Dr O Marin Pena, Prof M Wettstein International Society of Arthroscopy Knee Surgery Prof V Khanduja, Prof E Rath, and Orthopaedic Sports Medicine Dr M Safran Japanese Society for Hip Arthroscopy (JSHA) Dr N Kobayashi The Turkish Society of Preventive Hip Surgery (THPS) Prof T Beyzadeoğlu, Assoc Prof. Safa Gürsoy, Assoc Prof. Saygın Kamacı Asociacion Espanol Artroscopia (AEA) Dr B Capurro East African Arthroscopy Association (EAAA) Prof l Owinga South African Society for Hip Arthroscopy (SASHA) Dr M de Wilde, Dr JN Cakic HipSTR (Hip Surgical Treatment Registry) Dr M Safran Non-Arthroplasty Hip Registry (NAHR) Mr A Andrade International Olympic Committee Dr M Philippon ## A **chievements and Performance** The charity's main activities and whom it tries to help are described below. All its charitable activities focus on raising awareness of the breadth of hip preservation surgery and promoting innovation in teaching, learning and research, ultimately with an aim to improving patient outcomes and safety and are undertaken to further ISHA’s charitable purposes for the public benefit. In the year 2024 - 2025, the trustees have prioritised the development of policies to provide both guidance and transparency to the members and volunteer leadershipon the activities. These support the delivery of yhe mission and vision of the Society and create a robust framework for the previously developed structure to operate wiithin. The leadership of the CIO has actively sought out and secured the services of a very experienced and broad demographic to form the CIO board of trustees, who bring a broad breadth of skills and expertise from across the ISHA membership and out with the organization to form a robust leadership to lead ISHA into the future. Page 15 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025 CONTINUED** ## **Public Benefit** During the year 2024/25 the following activities were undertaken directly for public benefit: - Commencement of development of Global Clinical Guidelines for the treatment of FAI in collaboration with AAOS - Two Africa Missions to Kenya to both train local surgeons and treat local patients who would otherwise be unable to access treatment. This has been carried out in collaboration with the East African Arthroscopy Society and the Mercy Mater Hospital in Nairobi. - Translation of patient resources into a further 2 languages ## **Beneficiaries of our Services** The primary beneficiaries in 2024-2025 have been hip preservation surgeons globally, including trainees and research students, as well as those interested in a career in hip preservation surgery and related disciplines. This has been achieved by; access to JHPS, stepped Society membership, access to our libraries and live surgery events, new free trainee membership category enabling early career professionals to access the benefits of the Society whilst still in training. Further information of activities and beneficiaries are detailed in the accompanying Impact Report ## **Structure, Governance and Management** The organisation is a charitable company limited by guarantee, and registered as a charity on 1 June 2022. The society was established under a memorandum of association that established the objects and powers of the charitable company and is governed under its articles of association. All trustees give their time voluntarily and receive no benefits from the charity. Any expenses reclaimed from the charity are set out in note 8 to the accounts. Page 16 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025** ## **Status and History** ISHA – The Hip Preservation Society is an international organization which is focused on hip preservation surgery to enhance patient care and outcomes, through delivery of training, education, support of research, sharing of knowledge and best practice, fostering global collaboration and provision of patient and professional information to improve hip care. ISHA – The Hip Preservation Society has been the creation of many individuals, each united by a common interest in the expanding arena of hip preservation. At its outset, hip arthroscopy attracted the surgical and scientific innovator, the clinician with an eye for the unusual idea. Instrumentation was often handmade and company support was lacking. The Society (originally the International Society for Hip Arthroscopy) was officially formed in Paris (France) in May 2008 with a focus on hip arthroscopic surgery, and its 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, at which time also saw the establishment of a “Fondation de la société internationale pour l’arthroscopie de la hanche”, a separate foundation to promote education and training in hip arthroscopy. ISHA is a Charitable Incorporated Organization (CIO – ASSOCIATION) registered in England and Wales on 01 June 2022. It is governed by the rules as detailed in its constitution as a CIO, published on 5 August 2021, amended as 8 August 2022. ## **Organizational Structure** The overall strategic direction of the Charity is determined by the Trustees, who are assisted and advised by members of the Executive Board of the Society. The Committees of the Society are used to focus discussion on issues pertaining to their particular roles and titles, and these Committees then report and submit recommendations to the Board. The Board of Trustees comprises the Chair, standing members of the ISHA Executive Board plus external elected advisors. The day-to-day management of the Association 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 Director and team of support staff are contracted personnel rather than employed staff based appointed based on a competitive tender process and subsequently contracted through a management services agreement. Page 17 **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025** ## **Leadership Board** As at 31 May 2025 the Society was led by the following Operational Leadership Group. ## **Committees** As at 31 May 2025 the Society operates the following Committees. **----- Start of picture text -----**
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Page 18 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025** ## **Organisational Structure** The following other members have also served on the Committees during the year under review **:** ## **Education** ## **Membership** Leandro Calil de Lazari – Brazil (Chair) Michael Wettstein – Switzerland (Vice Chair) Mamhoud Almasri – USA Bruno Capurro – Spain Travis Menge – USA Michael Banffy – USA Sanjeev Bhatia – USA Bryan Graham – USA Tom Pollard – UK Alberto Fioruzzi – Italy Hennie Bosch – South Africa Fernando Comba - Argentina Stefan Fickert - Germany Nenad Medancic - Croatia Christian Carulli - Italy Pil Whan Yoon - South Korea Jay Demiel - USA **Early Career** Drew Rogers - USA Mahad Hassan - USA Thomas Wuerz – USA (Chair) Robbie Westermann – USA (Vice Chair)* ## **Technology & Communication** Vikas Khanduja – UK (Chair) Bruno Capurro – Spain (Vice Chair) Sunil Kumar – UK Safa Gursoy – Turkey Ajay Lall – USA Yoshi Djaja - Indonesia Steven DeFroda - USA Andrea Spiker - USA Jensen Kolaczko - USA Rajpal Nandra - UK ## **Registries** Tony Andrade – UK (Chair) Vikas Khanduja – UK (Vice Chair) Marc Safran - USA Bent Lund - Denmark JN Chuck Cakic - South Africa Ehud Rath – Israel (Chair) Brian D Giordano – USA (Vice Chair) Parth Lodhia - Canada Liran Liftshitz - Israel Oliver Marin Pena – Spain Juan Gomez-Hoyos - Colombia Juriek Pietrzak - South Africa Tahsin Beyzadeoglu - Turkey Ali Bajwa - UK Travis Menge - USA Benjamin Domb - USA Ian Al’Khafaji - Australia Michael Banffy - USA Thanos Papavasileiou - Greece Patrick Carton - Ireland Joshua Everhart - USA James Genuario - USA Joshua Harris - USA David Maldonado - USA Michael Voight - USA Alan Zhang - USA Ben Kuhns - USA Anil Ranawat - USA ## **Early Career** Thomas Wuerz – USA (Chair) Robbie Westermann – USA (Vice Chair) Carlomagno Cardenas - Spain Diana Silas - USA Robert Wetzel - USA Jeroen Verhaegen - Belgium Diren Arsoy - USA Saygin Kamaci - USA Ronak Patel - USA Ben Kuhns - USA Michael Rose - USA Bryan Whitfield - USA Page 19 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025** ## **Organisational Structure Committees Continued** ## **MEAFT Sub Committee** JN Chuck Cakic – South Africa (Chair) Hatem Said - Egypt (Vice Chair) Jurek Pietrzak - South Africa Mannie de Wilde - South Africa Samuel Owinga - Kenya Barry Getz - South Africa Jonathan Conroy - UAE Baris Kocaoglu - Turkey Hennie Bosch - South Africa Marcelo Queiroz - Brazil Femi Ayeni - Canada Tony Andrade - UK Walid Elnahal - Egypt Luke Spencer Gardiner - USA ## **Patient Information** Marcelo Queiroz – Brazil (Chair) Mat Brick – New Zealand (Vice Chair) Daniel Camacho - Chile Roxana Viamount - Brazil Bryan Graham - USA Committees Barry Getz - South Africa Michael Wettstein - Switzerland Jit Balakumar - Australia David Morgenstern - Israel Jacek Mazek - Poland Dominic Carreira - USA ## **Research** Ajay Malviya – United Kingdom (Chair) Richard Mather III - USA (Vice Chair) Philip Noble – USA Ashley Campbell – USA Nils Becker – Germany Christian Gatzka - Germany Klemen Strazar - Slovenia Andrew Jimenez - USA Alexandros Tzaveas - Greece Filippo Randelli - Italy Hajime Utsunomiya - Japan Srino Bharam - USA Patrick Carton - Ireland Jurek Pietrzak - South Africa Andrew Carbonne - USA Carlos Suarez-Ahedo - Mexico Dean Wang - USA Barry Davison - UK ## **Physiotherapy** Robroy Martin – USA (Co-Chair) Ashley Campbell – USA (Co-Chair) Keelan Enseki – USA David Kohlrieser – USA Bryan Graham - USA Barry Getz - South Africa Liran Liftshitz - Israel Barry Davison - UK ## **Virtual Education Taskforce** Brian Giordano - USA (Co-Chair) Benjamin Domb - USA (Co-Chair) Eyal Amar - Israel Lyall Ashberg - USA Michel Rahme - France Tomasz Piontek - Poland Ricardo Munafo - Argentina Ian Al’Khafaji - Australia Jonathan Hutt - UK Robbie Westermann - USA ## **Clinical Practice Guideline Taskforce Group** Henry Ellis - USA (Co-Chair) Jeffrey Nepple - USA (Co-Chair) ## **Annual Reports Taskforce** Thomas Wuerz - USA (Chair) Robert Parisien - USA Patrick Carton - Ireland James Genuario - USA Thanos Papavasileiou - Greece Page 20 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025** ## **Organisational Structure Committees Continued** ## **LATAM Sub Committee** Ricardo Munafo - Argentina (Chair) Bernardo Aguilera – Colombia Fernado Comba - Argentina Vinicius Bueno - Brazil Fernando Lupselo - Brazil Felipe Takatsu - Brazil Dante Parodi – Chile Pedro Dantas - Portugal Pablo Corea - Columbia Carlos Arriaza – Guatamela Carlos Suarez-Ahedo - Mexico Carlomagno Cardenas - Spain ## **Industry** John Christoforetti – USA (Chair) Nicolas Bonin - France (Chair) Marcelo Queiroz - Brazil Benjamin Domb - USA ## **ASIA Sub Committee** Soshi Uchida – Japan (Chair) Jason Brockwell – Hong Kong Dadang Sasetyo - Indonesia Yi-Sheng Chan - Taiwan Chunbao Li - China Ruslan Nazaruddin - Malaysia Yoon Pil Whan - South Korea Kotaro Shibata - Japan Jiwu Chen - China Azmi Abdul Latif - Malaysia Yoshi Djaja - Indonesia Andrew Kean Seng Lim - Singapore Asheesh Gupta - USA Ajay Lall – USA/India ## **Editorial Taskforce** Brian Giordano - USA (Chair) Joshua Hasrris - USA Ben Kuhns - USA Alan Zhang - USA ## Committees Page 21 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025** ## **Appointment and Election** (a) Every charity trustee must be a natural person.The charity trustees must be members of the CIO, except that an Office Holder who becomes an Emeritus member may finish his or her five-year term of Office as set out in paragraph 12 (4). (b) No one may be appointed as a charity trustee: ·if he or she is under the age of 18 years; or ·if he or she would automatically cease to hold office under the provisions of clause 15(1)(g). (c) No one is entitled to act as a charity trustee whether on appointment or on any re-appointment until he or she has expressly acknowledged, in whatever way the charity trustees decide, his or her acceptance of the office of charity trustee. ## (1 **) Number of charity trustees** (a)There must be a minimum of at least four charity trustees and a maximum of sixteen trustees. If the number falls below this minimum, the remaining trustee or trustees may act only to call a meeting of the charity trustees, or appoint a new charity trustee. (b)The first charity trustees are set out below and shall hold office until the first annual general meeting of the charity. After the first annual general meeting, the charity trustees shall consist of the Office Holders and up to 9 Additional Trustees who are not Office Holders. The members shall by majority decision fill any vacancy in the number of the Additional Trustees, and any vacancies not filled at the annual general meeting may be filled as provided in sub-clause (2) of this clause; ## Committees ## **(2) The Office Holders shall be the:** i.President ii.Immediate Past President iii.2nd Past President iv.President-Elect v.Vice President vi.Secretary vii.Treasurer ## **(3) First charity trustees** The first charity trustees of the CIO are: Mr Antonio.J M D. Andrade (Chair) Professor Richard E. Field Dr John Joseph Christoforetti Dr Nicolas Bonin Page 22 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY2025** ## **Appointment of charity trustees** ## **Additional Trustees** (1) At every annual general meeting of the members of the CIO, the members shall by majority decision fill any vacancy in the number of the additional trustees, and any vacancies not filled at the annual general meeting may be filled as provided in sub-clause (2) of this clause; (2) The members in general meeting or the charity trustees at any time may decide to appoint a new Additional Trustee, whether in place of an Additional Trustee who has retired or been removed in accordance with clause 15 (Retirement and removal of charity trustees), or who has become an Office Holder, or as an additional charity trustee, provided that the limit specified in clause 12(3) on the number of charity trustees would not as a result be exceeded; (3) A person so appointed by the members of the CIO as an Additional Trustee shall hold office for a term of three years. A person so appointed by the charity trustees shall retire at the conclusion of the annual general meeting after three years have been served, and shall be eligible for re-appointment by the members if they decide to appoint him or he for second three year term. ## (4) Office Holders i.Before every annual general meeting of the members of the CIO, the charity trustees shall elect one of the Additional Trustees to be Vice -President, such election to take effect at the beginning of the annual general meeting in that year. That person shall serve 5 years as an Office Holder, and shall progress through offices as follows: ii.At the first AGM (the first anniversary) following his/her election, s/he shall cease to be Vice-PresidentCommittees and shall become President Elect; iii.At the second AGM (the second anniversary) following his/her election, s/he shall cease to be President Elect and shall become President; iv.At the third AGM (the third anniversary) following his/herelection, s/he shallcease to be President and shall become Immediate Past President; v.At the fourth AGM (the fourth anniversary) following his/her election, s/he shall cease to be Immediate Part President and shall become 2nd Past President and shall hold office as 2nd Past President until the fifth AGM following his/her election, when s/he shall cease to be a charity trustee. (5) When there is a vacancy in the Office of treasurer or secretary the charity trustees may appoint a person to hold office until the next annual general meeting of members, and the members shall at the annual general meeting elect a person to hold that Office for a term of three years, expiring at the third annual general meeting after their election. A person who has served one three-year term is eligible for reappointment for one further term of three years as set out in clause 16. Page 23 ## **TRUSTEES ANNUAL REPORT FOR THE YEAR ENDED 31 MAY 2025** ## **Retirement and Removal of Charity Trustees** (1) A charity trustee ceases to hold office if he or she: (a) retires by notifying the CIO in writing (but only if enough charity trustees will remain in office when the notice of resignation takes effect to form a quorum for meetings); (b) is absent without the permission of the charity trustees from all their meetings held within a period of six months and the trustees resolve that his or her office be vacated; ## (c) dies; (d) in the written opinion, given to the company, of a registered medical practitioner treating that person, has become physically or mentally incapable of acting as a trustee and may remain so for more than three months; (e) is removed by the unanimous vote of all the other charity trustees; (f) is removed by the members of the CIO in accordance with sub-clause (2) of this clause; or (g) is disqualified from acting as a charity trusteeby virtue of section 178-180 of the Charities Act 2011 (or any statutory re-enactment or modification of that provision). (2) A charity trustee shall be removed from office if a resolution to remove that trustee is proposed at a general meeting of the members called for that purpose and properly convened in accordance with clauseCommittees 11, and the resolution is passed by a two- thirds majority of votes cast at the meeting. (3) A resolution of the members or the charity trustees to remove a charity trustee in accordance with this clause shall not take effect unless the individual concerned has been given at least 14 clear days’ notice in writing that the resolution is to be proposed, specifying the circumstances alleged to justify removal from office, and has been given a reasonable opportunity of making oral and/or written representations to those who will be invited to vote on the resolution. ## **Reappointment of Charity Trustees** Any person who retires as a charity trustee at the end of their term of office as an Office Holder or Additional Trustee appointed by the members or by giving notice to the CIO is eligible for reappointment. A charity trustee who has served for two consecutive terms may not be reappointed for a third consecutive term but may be reappointed after an interval of at least three years. Page 24 ## **FINANCIAL PROCEDURES AND GOVERNANCE MATTERS FOR THE YEAR ENDED 31 MAY 2025** ## **Principal Risks and Uncertainties** ## **Risk and Corporate Governance Matters** The Trustees believe that ISHA does not need to expose itself to a high level of risk in order to achieve its present aims and goals. It has implemented a structure within the Society with the aim of mitigating and ring fencing any activities which may incur more significant financial exposure such as the organization of the Annual Scientific Meetings. Therefore, a policy is followed to ensure that only risks that are, or can be mitigated to, medium risk level are accepted by the Trustees and the Society. This overall assessment of risk may change at a later date depending upon initiatives being considered at the time. The Treasurer, Executive Board and Executive Director undertake the initial annual risk review, and then present the results for scrutiny. Any significant changes in the Society's risk profile will be highlighted to the membership at the Annual General Meeting. Risks are reviewed annually. The main areas of risk that have been identified are adverse publicity, loss of commercial partners, fiscal failure of the Annual Meeting, and loss of key staff. The ISHA Executive Board in the first instance have the responsibility for addressing any adverse publicity issues and work with the Comms and Reports committees to prepare any external communications. A strategy has been developed where the senior leadership of the Society regularly engage with our corporate partners through regular virtual calls, in person meet ups at international events and scheduled meetings during our annual scientific meetings to maintain contact and open communications. The Annual Scientific Meetings have been structured into separate limited companies which are wholly owned by the charity. This enables the fiscal arrangements for each meeting to be ring fenced away from the society and also provides a tax efficient mechanism for any profits to be passed to the charity via corporate Gift Aid donations. The structure of the Executive Board allows for a 6 year rotation to ensure that the intellectual knowledge is maintained within the governance structure and facilitates continuity along wth long terms planning. A long term 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 that provides professional indemnity cover for the Trustees of the Charity. The cover provided by the policy is GBP£1 million for any one claim. Page 25 ## **FINANCIAL PROCEDURES AND GOVERNANCE MATTERS** ## **(CONTINUED) FOR THE YEAR ENDED 31 MAY 2025** ## **Reserves Policy and Going Concern** The Trustees have determined that ISHA should maintain unrestricted reserves equivalent to six months of total annual expenditure, covering both operating and discretionary budgets. This amounts to GBP£198,000 (approx $USD265,000). This aligns with UK Charity Commission guidance and sector best practice. The specific level will be reviewed annually based on risk assessments, income stability, and any forthcoming liabilities. - Reserves are held to provide financial stability and protection in times of income shortfall or unexpected expenditure. - The Trustees will not routinely use reserves for ongoing expenditure but may draw on them for: Bridging temporary cash flow gaps. - One-off urgent expenditure or unforeseen costs. - Strategic initiatives that cannot be funded from other income. - Any planned use of reserves must be approved by the Board of Trustees, along with a clear plan to restore reserves to the agreed minimum level within a reasonable timeframe. The areas of emphasis will continue to be education and research including the provision of information to the public. Education continues to be supported nationally and locally, and the medical student education programme is being enhanced. In the light of this aim, it is highly likely that a proportion of existing 'free reserves' will be held on a long- term basis to generate interest earning 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 invest the funds 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 to any short-term surplus cash funds are still to be held in interestbearing deposit accounts. Longer term Investment options will be considered in years 2026 - 2027 and beyond. ## **Fundraising** ISHA does not currently undertake any specific fundraising activities and funds itself via collection of membership fees, corporate sponsorship support and gift aid donations from any surplus generated by the Annual Scientific Meeting. In year 2024 - 2025, specific fundraising strategies will be developed to support specific strategic initiatives and projects. Page 26 ## **FINANCIAL PROCEDURES AND GOVERNANCE MATTERS** ## **(CONTINUED) FOR THE YEAR ENDED 31 MAY 2025** ## **Financial Review** The Charity’s Statement of Financial Activities is shown from page 31. The total income for the year was GBP£507,085 and total expenditure was GBP£304,754 resulting in a net surplus of GBP£202,331. This was due in the main due to increased funds being received from the ISHA 2024 Annual Scientific Meeting and donation income received from ISHA Hip Arthroscopy Foundation. Unrestricted reserves totalled GBP£621,367 at the end of the year. This compared to GBP£419,036 at the year end 2024, an increase of GBP£202,331. ## **Operating Policies and Practices Introduced During The Current Year** The Trustees have this year prioritised the review and where beneficial the creation of policies and procedures are in place, not only as good practice but to ensure the Society has a solid governance structure to enable the CIO to grow and undertake more activities aligned to the Society’s Vision and Mission. ## Policies and procedures implemented: - 1.Accessibility Policy - 2.Awards Allocation Policy - 3.Business Calendar - 4.Code of Conduct - 5.Communications and Media Policy - 6.Conflicts of Interest Policy - 7.Data Protection and Confidentiality Policy - 8.Data Retention Policy - 9.DEI Policy - 10.Expenses Policy - Trustees - 11.Finance Payment and Budgetary Procedure Policy - 12.General Board Member Policy - 13.Grievance Procedure - 14.Health and Safety Policy - 15.Impact Strategy 16. Investments Policy 18. Privacy Policy 19. Reserves Policy 20. Risk Registry 21. Risk Management Policy 22. Safeguarding Policy 23. Terms of Membership Policy 24. Committee Appointments Procedure 25. Election of Executive Board Officers Procedure 26. Election of Presidential Line Procedure 27. Terms of Use Policy 28. Scientific Meeting Bidding Policy 29. Trading Subsidiary Agreement Policy 30. Trustee Appointment Policy 31. Unauthorised Provider Policy 32. Volunteer Policy 33. Whistle Blowing Policy 17. Nominationg Committee Procedure Page 27 ## **STATEMENT OF RESPONSIBILITIES OF THE TRUSTEES** The trustees (who are also directors of ISHA The Hip Preservation Society (ISHA) for the purposes of company law) are responsible for preparing the trustees’ annual report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom generally Accepted Accounting Practice). ## **FOR THE PERIOD ENDED 31 MAY 2025** ## **Trustees’ responsibilities in relation to the accounts** The Charities Act 2011 requires the trustees to prepare accounts for each financial year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources, including the income and expenditure, of the charity for that year. In preparing these accounts, the trustees are required to: - select suitable accounting policies and then apply them consistently; - observe the methods and principles in the Charities SORP; - make judgements and estimates that are reasonable and prudent; and - prepare the accounts on the going concern basis unless it is inappropriate to presume that the charity will continue in operation. The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charity and enable them to ensure that the accounts comply with the Charities Act 2011. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. Page 28 ## **STATEMENT OF RESPONSIBILITIES OF THE TRUSTEES CONTINUED** In so far as the trustees are aware: There is no relevant audit information of which the charitable company’s auditor is unaware The trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information. ## **Independent Examiner** TC Group was appointed as the charitable company's accountant and Independent Examiner during the year and has expressed its willingness to continue in that capacity. The Trustees annual report has been prepared in accordance with the special provisions applicable to companies subject to the small companies' regime. Approved by the Board on 24 February 2026. On behalf of the Board of trustees **----- Start of picture text -----**
Committees
**----- End of picture text -----**
## **Antonio Jose Martin Dias Andrade Chair of Trustees** Page 29 ## **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 2025. ## **Responsibilities and basis of report** As the charity’s trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (‘the Act’). I report in respect of my examination of the charity’s accounts carried out under section 145 of the Act and in carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act. ## **Independent examiner's statement** Since the company’s gross income exceeded £250,000 your examiner must be a member of a body listed in section 145 of the 2011 Act. I confirm that I am qualified to undertake the examination because I am a member of , which is one 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 believe that in any material respect: - accounting records were not kept in accordance with section 130 of the Act; or - the accounts do not accord with those records; or - the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair’ view which is not a matter considered as part of an independent examination; or - the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting. I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached. Mark Cummins FCCA FCIE On behalf of TC Group Office: Steyning, West Sussex Dated: 5 March 2026 Page 30 ## **STATEMENT OF FINANCIAL ACTIVITIES FOR THE PERIOD ENDED 31 MAY 2025** **----- Start of picture text -----**
Unrestricted Restricted Total 2025 Total 2024
Funds Funds
**----- End of picture text -----**
|**Income from:**
**Note**
Donations and legacies
Charitable activities
3
4
**Total Income**
**Expenditure on:**
Charitable activities
5
**Total Expenditure**
**Net income /**
**(expenditure) and**
**movement in funds**
**Reconciliation of funds**
Total funds brought forward
**Total funds carried**
**forward**||**£**
**193,236**
**244,587**||**£**
**69,262**
-
**69,262**
**69,262**||**£**
**262,498**
**244,587**||**£**
160,661
20,339
181,000
240,651
240,651
(59,651)
478,687
419,036| |---|---|---|---|---|---|---|---|---| |||**437,823**
**235,492**||||**507,085**
**304,754**||| |||||||||| |||**235,492**||**69,262**||**304,754**||| |||||||||| |||**202,331**
**419,036**
**621,367**||-
-
-||**202,331**
**419,036**
**621,367**||| |||||||||| |||||||||| There are no recognised gains or losses other than those reported on the Statement of Financial Activities. Page 31 **BALANCE SHEET AS AT 31 MAY 2025** ||**Note**||**£**||**2025**
**£**|||**£**||**2024**
**£**| |---|---|---|---|---|---|---|---|---|---|---| |**Current assets**
Debtors
Cash at bank and in hand
|**7**||**96,890**
**671,907**
**768,797**|||||38,976
439,081
478,687||| |||||||||||| |**Creditors:**
Amount falling due within
one year|8||**(147,430)**|||||(59,021)||| |**Net current assets**
**Total assets**|||||**621,367**
**621,367**|||||419,036
419,036| |**The funds of the charity:**
Unrestricted funds|||||**621,367**|||||419,036| |**Total Funds**|||||**621,367**|||||419,036| |The notes on pages 33 - 37 for|m part of the|se accounts.||||||||| |The accounts were approved b|y the Board|on**24 Februar**||**y 2026**.||||||| **Antonio Jose Martin Dias Andrade Chair of Trustees Charity Number: 1199165** Page 32 ## **NOTES TO THE ACCOUNTS FOR THE PERIOD ENDED 31 MAY 2025** ## **1 Legal status of charitable company** ISHA - The Hip Preservation Society is a charitable incorporated organisation registered in England and Wales. ## **2 Accounting policies** ## **2.1 Basis of preparation** The accounts have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) – (Charities SORP (FRS 102)). ISHA - The Hip Preservation Society meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy note. The financial statements are prepared in sterling, which is the functional currency of the charitable company. Monetary amounts in these financial statements are rounded to the nearest pound. ## **2.2 Going concern** After making appropriate enquiries, the trustees have a reasonable expectation that the charity has adequate resources to continue in operational existence for the foreseeable future. ## **2.3 Income** All incoming resources are included in the Statement of Financial Activities when the charity is legally entitled to the income, it is probable the income will be received and the amount can be quantified with reasonable accuracy. Donations and other forms of voluntary income are recognised as income when receivable, except insofar as they are incapable of financial measurement. ## **2.4 Expenditure and basis of apportioning costs** Expenditure is accounted for on an accruals basis with the irrecoverable element of VAT included with the item to which it relates and has been classified under headings that aggregate all costs related to the category. Governance costs (included within Support costs) comprises all costs associated with constitutional and statutory requirements with which the charity must comply. ## **2.5 Fund Accounting** Unrestricted general funds – these are funds which are available for use at the discretion of the trustees in furtherance of the general objectives of the charity and which have not been designated for other purposes. Restricted funds – these consist of monies raised for, and their use restricted to, a specific purpose, or donations subject to conditions imposed by the donor or through the terms of appeal. Page 33 ## **NOTES TO THE ACCOUNTS (CONTINUED) FOR THE PERIOD ENDED 31 MAY 2025** ## **2 Accounting Policies (continued)** ## **2.6 Debtors** Trade and other debtors are recognized at the settlement amount due after any discounts offered. ## **2.7 Creditors** Trade and other creditors are recognized at the settlement amount due after any discounts offered. ## **2.8 Judgements and key sources of estimation uncertainty** In the application of the charity’s accounting policies, the trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognized in the period in which the estimate is revised. The trustees do not consider that there are any critical estimates or areas of judgement that need to be brought to the attention of the readers of the financial statements. ## |**Unrestricted**
**2025**
**£**
Donations (see note 9 for detail)
Grant
**193,236**
**-**
**193,236**|**Restricted**
**2025**
**£**
**-**
**69,262**
**69,262**|**Total**
**2025**
**£**
**193,236**
**69,262**
**262,498**|Total
2024
£
73,984
86,677| |---|---|---|---| ||||160,661| Grant received in the year is in relation to sponsorship funding towards ISHA Annual Scientific Meeting 2024 and medical education. Page 34 ## **NOTES TO THE ACCOUNTS (CONTINUED) FOR THE PERIOD ENDED 31 MAY 2025** ## **4 Income from charitable activities** |Membership fees
Investment income
Intercompany income|**Unrestricted**
**2025**
**£**
**103,849**
**10,600**
**130,138**
**244,587**|**Restricted**
**2025**
**£**
**Total**
**2025**
**£**
Total
2024
£
**-**
**-**
**-**
**103,849**
**10,600**
**130,138**
20,339
-
-
-
**244,587**
20,339| |---|---|---| ## **5 Total expenditure** |||**Support Costs**
**£**|**Support Costs**
**£**|**Support Costs**
**£**|**Support Costs**
**£**|**Other Costs**
**£**|**Other Costs**
**£**|||**Total 2025**
**£**|||**Total 2024**
**£**| |---|---|---|---|---|---|---|---|---|---|---|---|---|---| ||Activities undertaken directly
Support costs|||**-**
**2,280**||**302,474**
**-**||||**302,474**
**2,280**|||238,611
2,040| ||Total charitable activities|||**2,280**||**302,474**||||**304,754**|||240,651| ||||||||||||||| ||||||||||||||| ||**Analysis of support costs (including Governance costs)**|||||||||**Total 2025**
**£**|||Total 2024
£| |
I|Governance costs:
ndependent examiner’s fees|||||||||**2,280**|||2,040| ||||||||||||||| ## **NOTES TO THE ACCOUNTS** ## **(CONTINUED) FOR THE PERIOD ENDED 31 MAY 2025** ## **6 Employees** There were no employees of the charity during the year end 31 May 2025 or 31 May 2024. |**7 Debtors**|**7 Debtors**|**7 Debtors**|||**Total 2025**
**£**||Total 2024
£| |---|---|---|---|---|---|---|---| |Other debtors
Prepayments
VAT Receivable
Trade debtors|||||**27,298**
**21,205**
**11,538**
**36,849**||-
21,350
17,626
-| ||||||**96,890**||38,976| ||||||||| ||||||||| ||||||||| |**8 Creditors**|||||**Total 2025**
**£**||Total 2024
£| |Trade Creditors
Accruals
Deferred income
Other Creditors|||||**27,479**
**46,313**
**71,528**
**2,110**||11,676
2,040
-
45,305| ||||||**147,430**||59,021| ## **9 Intercompany transactions** During the year the charity received £95,155 (2024: £nil) donation from ISHA Annual Scientific Meeting 2024 Limited, £34,273 (2024; £nil) from ISHA Hip Arthroscopy Foundation, and £119,672 (2024: £nil) from ISHA Hip Preservation Limited. In 2024, the charity had sent £86,677 to ISHA Annual Scientific Meeting 2023 Ltd and received a £38,354 donation from ISHA Annual Scientific Meeting 2022 Limited. ## **10 Trustees** No trustees received any remuneration directly from the charity or were reimbursed any expenses during the year end 31 May 2025 or 2024. ## **11 Taxation** As a charity, ISHA - The Hip Preservation Society is exempt from tax on income and gains to the extent that these are applied to its charitable objects. Page 36 ## **NOTES TO THE ACCOUNTS (CONTINUED) FOR THE PERIOD ENDED 31 MAY 2025** ## **12 Ultimate controlling party** The charity was under the control of the Trustees during the period under review ## **13 Restricted Funds** |**13 Restricted Funds**|**13 Restricted Funds**|**13 Restricted Funds**||||||||| |---|---|---|---|---|---|---|---|---|---|---| |**2025**
**Restricted funds**||||**Balance at**
**01.06.24**
**£**||**Income**
**£**||**Expenditure**
**£**||**Balance at**
**31.05.25**
**£**| |ISHA 2024 Annual
Meeting||||-||69,262||(69,262)||-| |||||-||69,262||(69,262)||-| ISHA 2024 Annual Meeting – A grant was made to the charity for the purpose of sponsorship funding towards the ISHA 2024 Annual Meeting, specifically for the event and education. This amount has been provided to ISHA 2024 Annual Meeting Ltd as to sufficiently use the fund for it’s intended purpose. ||||**Balance at**
**01.06.23**
**£**|**Income**
**£**|**Expenditure**
**£**||**Balance at**
**31.05.24**
**£**| |---|---|---|---|---|---|---|---| ||||-|86,677|(86,677)||-| ||||-|86,677|(86,677)||-| ISHA 2023 Annual Meeting – A grant was made to the charity for the purpose of sponsorship funding towards the ISHA 2023 Annual Meeting, specifically for the event and education. This amount has been provided to ISHA 2023 Annual Meeting Ltd as to sufficiently use the fund for it’s intended purpose. Page 37 ## **THANK YOU** **CONTACT US :** +44 (0)203 519 9427 member@ishasoc.org www.ishasoc.net Administrative Office Address: Warrender House, Haywood Road Moffat, DG10 9BU, UK