Civic Intelligence

Foundation for Surgical Innovation

990 • Fiscal year 2014 • EIN 27-1729005

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 03, 2015

4805 NE Glisan St Suite 6n60Portland, OR 97213

(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.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Liabilities / Revenue

55th percentile

0.00x

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

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

92nd percentile

52%

Higher net margin than 92% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

74th percentile

$0

Higher top officer pay than 74% of similar nonprofits.

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

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

78th percentile

32%

Faster asset growth than 78% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

23rd percentile

-20%

Faster revenue growth than 23% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Assets

Up

$489,894

Up $264,367 (+117%) from 2012

Net Assets

Up

$489,894

Up $264,367 (+117%) from 2012

Liabilities

Flat

$0

Flat from 2012

Revenue

$227,643

No earlier filing loaded for comparison.

Expenses

Down

$109,363

Down $108,332 (-50%) from 2012

Net Income

$118,280

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 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

2014

Assets$489,894
Liabilities$0
Net Assets$489,894

Operations Trend

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

$300K$200K$100K$0-$100KExpenses 2012: $217,6952012Revenue 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

2014

Revenue$227,643
Expenses$109,363
Net Income$118,280
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 3, 2015
Return Version
2014v5.0
Gross Receipts
$227,643
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$277,160$410,365▲ $133,205
Savings and Temporary Cash Investments$43,187$43,200▲ $13
Land, Buildings, and Equipment, Net$43,267$36,329▼ $6,938
Accounts Receivable$8,000$0▼ $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$371,614$489,894▲ $118,280
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$371,614$489,894▲ $118,280
Total Net Assets Fund Balance$371,614$489,894▲ $118,280
Total Liabilities and Net Assets / Fund Balance$371,614$489,894▲ $118,280

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$36,329$19,782$56,111
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
$85,678
Program Service Revenue
$141,952
Investment Income
$13
Other Revenue
$0
All Other Contributions
$85,678
Change in Net Assets
$118,280
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$109,363
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
Depreciation Depletion$11,049--$11,049
All Other Expenses$7,868$233-$8,101
Fees for Services Accounting-$8,000-$8,000
Other Expenses$7,071--$7,071
Occupancy-$1,088-$1,088
Travel$941--$941
Total Functional Expenses$100,042$9,321$0$109,363
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

Filer Name
Foundation for Surgical Innovation
EIN
27-1729005
Phone
5032810561
Address
4805 NE GLISAN ST SUITE 6N60, PORTLAND, OR 97213

Signing Officer

Name
Dr Christy Dunst
Title
Executive Director
Signed
2015-11-03
Discuss with paid preparer
Yes

Organization Details

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

Preparer

Firm
Bashar & Johnson PC
Address
4970 SW Griffith Drive Suite 200, Beaverton, OR 97005-2924
Preparer
Brian D Doyle CPA
Phone
5036434000
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0314456
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0135494
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0226904
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0333842
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IRS990ScheduleD/EquipmentGrp/DepreciationAmt019782
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt056111
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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
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IRS990/TravelGrp/TotalAmt0941
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IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0371614
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IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0www.tfsie.org
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DR CHRISTY DUNST
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-11-03
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FOUNDATION FOR SURGICAL INNOVATION
ReturnHeader/Filer/BusinessNameControlTxt0FOUN
ReturnHeader/Filer/EIN0271729005
ReturnHeader/Filer/PhoneNum05032810561
ReturnHeader/Filer/USAddress/AddressLine1Txt04805 NE GLISAN ST SUITE 6N60
ReturnHeader/Filer/USAddress/CityNm0PORTLAND
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OR
ReturnHeader/Filer/USAddress/ZIPCd097213
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Bashar & Johnson PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04970 SW Griffith Drive Suite 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Beaverton
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0970052924
ReturnHeader/PreparerPersonGrp/PhoneNum05036434000
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BRIAN D DOYLE CPA
ReturnHeader/ReturnTs02015-11-03T16:25:47-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-12-31
ReturnHeader/TaxYr02014

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