Civic Intelligence

Foundation for Surgical Innovation

990 • Fiscal year 2020 • EIN 27-1729005

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 14, 2021

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.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Liabilities / Revenue

27th percentile

0.00x

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

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Net Margin

6th percentile

-71%

Higher net margin than 6% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Top Officer Pay

55th percentile

$12,000

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 36.4% of source-year revenue.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Asset Growth

20th percentile

-4.4%

Faster asset growth than 20% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Revenue Growth

3rd percentile

-77%

Faster revenue growth than 3% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Assets

Down

$505,310

Down $23,473 (-4.4%) from 2019

Net Assets

Down

$505,310

Down $23,473 (-4.4%) from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue

Down

$32,997

Down $112,995 (-77%) from 2019

Expenses

Down

$56,470

Down $86,362 (-60%) from 2019

Net Income

Down

-$23,473

Down $26,633 (-843%) from 2019

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

2020

Assets$505,310
Liabilities$0
Net Assets$505,310

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

2020

Revenue$32,997
Expenses$56,470
Net Income-$23,473
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 14, 2021
Return Version
2020v4.0
Gross Receipts
$32,997
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$481,345$462,035▼ $19,310
Savings and Temporary Cash Investments$43,265$43,275▲ $10
Land, Buildings, and Equipment, Net$4,173$0▼ $4,173
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$528,783$505,310▼ $23,473
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$528,783$505,310▼ $23,473
Total Net Assets Fund Balance$528,783$505,310▼ $23,473
Total Liabilities and Net Assets / Fund Balance$528,783$505,310▼ $23,473

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$69,649$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
$32,637
Program Service Revenue
$350
Investment Income
$10
Other Revenue
$0
All Other Contributions
$32,637
Change in Net Assets
$-23,473
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$44,470
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
Depreciation Depletion$4,173--$4,173
Insurance$3,777--$3,777
Fees for Services Legal-$1,450-$1,450
Fees for Services Other$1,000--$1,000
All Other Expenses$343$252-$595
Other Expenses$504--$504
Office Expenses$385--$385
Total Functional Expenses$34,393$22,077$0$56,470
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
2021-11-14
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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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02022-09-23 18:48:47Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0DR CHRISTY DUNST
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-11-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FOUNDATION FOR SURGICAL INNOVATION
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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/ReturnTs02021-11-14T22:20:55-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0DR CHRISTY
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0DUNST
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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