Civic Intelligence

Foundation for Surgical Innovation

990 • Fiscal year 2013 • EIN 27-1729005

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 07, 2014

4805 NE Glisan St Suite 6n6097213

(503) 281-0561

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

55th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

56th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

92nd percentile

52%

Higher net margin than 92% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

73rd percentile

$0

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

88th percentile

65%

Faster asset growth than 88% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$371,614

Up $146,087 (+65%) from 2012

Net Assets

Up

$371,614

Up $146,087 (+65%) from 2012

Liabilities

Flat

$0

Flat from 2012

Revenue

$283,153

No earlier filing loaded for comparison.

Expenses

Down

$137,066

Down $80,629 (-37%) from 2012

Net Income

$146,087

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600K$400K$200K$0Assets 2012: $225,527Liabilities 2012: $0Net Assets 2012: $225,5272012Assets 2013: $371,614Liabilities 2013: $0Net Assets 2013: $371,6142013Assets 2014: $489,894Liabilities 2014: $0Net Assets 2014: $489,8942014Assets 2016: $498,091Net Assets 2016: $498,0912016Assets 2017: $533,032Liabilities 2017: $665Net Assets 2017: $532,3672017Assets 2018: $546,670Liabilities 2018: $21,047Net Assets 2018: $525,6232018Assets 2019: $528,783Liabilities 2019: $0Net Assets 2019: $528,7832019Assets 2020: $505,310Liabilities 2020: $0Net Assets 2020: $505,3102020Assets 2021: $475,628Net Assets 2021: $475,6282021Assets 2022: $429,199Net Assets 2022: $429,1992022Assets 2024: $420,839Net Assets 2024: $420,8392024

Highlighted filing

2013

Assets$371,614
Liabilities$0
Net Assets$371,614

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KExpenses 2012: $217,6952012Revenue 2013: $283,153Expenses 2013: $137,066Net Income 2013: $146,0872013Revenue 2014: $227,643Expenses 2014: $109,363Net Income 2014: $118,2802014Revenue 2016: $91,566Expenses 2016: $89,713Net Income 2016: $1,8532016Revenue 2017: $129,645Expenses 2017: $95,369Net Income 2017: $34,2762017Revenue 2018: $97,265Expenses 2018: $104,009Net Income 2018: -$6,7442018Revenue 2019: $145,992Expenses 2019: $142,832Net Income 2019: $3,1602019Revenue 2020: $32,997Expenses 2020: $56,470Net Income 2020: -$23,4732020Revenue 2021: $7,305Expenses 2021: $36,987Net Income 2021: -$29,6822021Revenue 2022: $40,566Expenses 2022: $65,518Net Income 2022: -$24,9522022Revenue 2024: $40,386Expenses 2024: $53,124Net Income 2024: -$12,7382024

Highlighted filing

2013

Revenue$283,153
Expenses$137,066
Net Income$146,087
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 7, 2014
Return Version
2013v3.1
Gross Receipts
$283,153
Mission and Program Overview

Mission

To support quality in research and education in the field of Minimally Invasive Surgery.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$171,356$277,160▲ $105,804
Land, Buildings, and Equipment, Net$11,000$43,267▲ $32,267
Savings and Temporary Cash Investments$43,171$43,187▲ $16
Accounts Receivable-$8,000-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$225,527$371,614▲ $146,087
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$225,527$371,614▲ $146,087
Total Net Assets Fund Balance$225,527$371,614▲ $146,087
Total Liabilities and Net Assets / Fund Balance$225,527$371,614▲ $146,087

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$43,267$8,733$52,000
Compensation and Service Providers

Board Members and Trustees

NameTitle
Dr Lee SwanstromPresident
Dr Mike UjikiDirector
Dr Robert GlasgowDirector
Dr Christy DunstExecutive Director
Dr Kevin ReavisLab Director
Dr Michael M AwadSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$137,851
Program Service Revenue
$145,286
Investment Income
$16
Other Revenue
$0
All Other Contributions
$137,851
Change in Net Assets
$146,087

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$40,000Market Value
Total Noncash Contributions1$40,000-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$137,066
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$12,895$96-$12,991
Other Expenses$10,993--$10,993
Depreciation Depletion$7,733--$7,733
Fees for Services Accounting-$6,735-$6,735
Travel$4,251--$4,251
Occupancy-$658-$658
Fees for Services Other$173--$173
Total Functional Expenses$129,577$7,489$0$137,066
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

No review was or will be conducted.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

No documents available to the public.

Filing and Contact Details

Filer

EIN
27-1729005
Phone
5032810561

Signing Officer

Name
Dr Christy Dunst
Title
Executive Director
Signed
2014-11-07
Discuss with paid preparer
Yes

Organization Details

Formed
2010
Legal Domicile
Or
Voting Board Members
6
Independent Board Members
3
Employees
0

Preparer

Preparer
Brian D Doyle CPA
Phone
5035551212
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0226420
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0314456
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0135494
IRS990ScheduleA/Total509Grp/TotalAmt0959507
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0283153
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0226904
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0333842
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0140967
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0984866
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt043267
IRS990ScheduleD/EquipmentGrp/DepreciationAmt08733
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt052000
IRS990ScheduleD/TotalBookValueLandBuildingsAmt043267
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt01
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc0HITACHI-ALOKA S
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt0MARKET VALUE
IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt040000
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0No review was or will be conducted.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0225527
IRS990/TotalAssetsEOYAmt0371614
IRS990/TotalAssetsGrp/BOYAmt0225527
IRS990/TotalAssetsGrp/EOYAmt0371614
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0137851
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt07489
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0129577
IRS990/TotalFunctionalExpensesGrp/TotalAmt0137066
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0225527
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0371614
IRS990/TotalProgramServiceExpensesAmt0129577
IRS990/TotalProgramServiceRevenueAmt0145286
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0145302
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0283153
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0225527
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0371614
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/ProgramServicesAmt04251
IRS990/TravelGrp/TotalAmt04251
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0225527
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0371614
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0www.tfsie.org
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DR CHRISTY DUNST
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-11-07
ReturnHeader/Filer/BusinessName/BusinessNameLine10FOUNDATION FOR SURGICAL INNOVATION
ReturnHeader/Filer/BusinessNameControlTxt0FOUN
ReturnHeader/Filer/EIN0271729005
ReturnHeader/Filer/PhoneNum05032810561
ReturnHeader/Filer/USAddress/AddressLine104805 NE GLISAN ST SUITE 6N60
ReturnHeader/Filer/USAddress/City0PORTLAND
ReturnHeader/Filer/USAddress/State0OR
ReturnHeader/Filer/USAddress/ZIPCode097213
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10Bashar & Johnson PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine104970 SW Griffith Drive Suite 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0Beaverton
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0OR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode0970052924
ReturnHeader/PreparerPersonGrp/PhoneNum05035551212
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BRIAN D DOYLE CPA
ReturnHeader/ReturnTs02014-11-07T17:32:11-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

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