Civic Intelligence

Foundation for Surgical Innovation

990 • Fiscal year 2019 • EIN 27-1729005

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 09, 2020

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

27th percentile

0.00x

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

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Liabilities / Revenue

28th percentile

0.00x

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

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Net Margin

46th percentile

2.2%

Higher net margin than 46% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

54th percentile

$12,000

Higher top officer pay than 54% of similar nonprofits.

Top officer pay equals 8.2% of source-year revenue.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Asset Growth

28th percentile

-3.3%

Faster asset growth than 28% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Revenue Growth

86th percentile

50%

Faster revenue growth than 86% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Assets

Down

$528,783

Down $17,887 (-3.3%) from 2018

Net Assets

Up

$528,783

Up $3,160 (+0.6%) from 2018

Liabilities

Down

$0

Down $21,047 (-100%) from 2018

Revenue

Up

$145,992

Up $48,727 (+50%) from 2018

Expenses

Up

$142,832

Up $38,823 (+37%) from 2018

Net Income

Up

$3,160

Up $9,904 (+147%) from 2018

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

2019

Assets$528,783
Liabilities$0
Net Assets$528,783

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

2019

Revenue$145,992
Expenses$142,832
Net Income$3,160
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 9, 2020
Return Version
2019v5.0
Gross Receipts
$145,992
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$493,963$481,345▼ $12,618
Savings and Temporary Cash Investments$43,252$43,265▲ $13
Land, Buildings, and Equipment, Net$9,455$4,173▼ $5,282
Accounts Receivable-$0-
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$546,670$528,783▼ $17,887
Other Assets Total-$0-
Liabilities
Deferred Revenue$21,000--
Accounts Payable and Accrued Expenses$47--
Total Liabilities$21,047$0▼ $21,047
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$525,623$528,783▲ $3,160
Total Net Assets Fund Balance$525,623$528,783▲ $3,160
Total Liabilities and Net Assets / Fund Balance$546,670$528,783▼ $17,887

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$4,173$65,476$69,649
Compensation and Service Providers

Employees

NameTitleBaseTotal
Dr Christy DunstExecutive Director$12,000$12,000

Board Members and Trustees

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

Revenue Composition

Contributions and Grants
$46,274
Program Service Revenue
$99,705
Investment Income
$13
Other Revenue
$0
All Other Contributions
$46,274
Change in Net Assets
$3,160
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$130,832
Salaries, Compensation, and Employee Benefits$12,000
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees-$12,000-$12,000
Fees for Services Accounting-$8,375-$8,375
Other Expenses$8,343--$8,343
Fees for Services Legal-$7,634-$7,634
Depreciation Depletion$5,282--$5,282
All Other Expenses$3,782$142-$3,924
Insurance$3,833--$3,833
Fees for Services Other$171--$171
Total Functional Expenses$114,681$28,151$0$142,832
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
Yes
Business relationship with 35% controlled entity
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
2020-11-09
Discuss with paid preparer
Yes

Organization Details

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

Preparer

Firm
Doyle CPA LLC
Address
14631 SW Millikan Way Ste 1, Beaverton, OR 97003
Preparer
Brian D Doyle CPA
Phone
5036167959
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt091553
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0164931
IRS990ScheduleA/Total509Grp/TotalAmt0611830
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0No review was or will be conducted.
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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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ReturnHeader/BuildTS02021-01-29 14:40:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DR CHRISTY DUNST
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-11-09
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
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ReturnHeader/Filer/USAddress/StateAbbreviationCd0OR
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ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0814175231
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DOYLE CPA LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt014631 SW Millikan Way Ste 1
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Beaverton
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd097003
ReturnHeader/PreparerPersonGrp/PhoneNum05036167959
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BRIAN D DOYLE CPA
ReturnHeader/ReturnTs02020-11-09T09:28:16-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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