Civic Intelligence

International Surgical Mission Support Inc

990 • Fiscal year 2018 • EIN 45-0523129

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 05, 2019

Organization ProfileISMISSION.ORG
225 Wind Mill LaneSouthampton, NY 11968

(631) 287-6202

Siviq Scores

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

Liabilities / Assets

41st percentile

0.01x

Higher debt load relative to assets than 41% of similar nonprofits.

2018 filings • NTEE E • $500k-$1M nonprofits • Source year 2018

Liabilities / Revenue

37th percentile

0.01x

Higher debt load relative to revenue than 37% of similar nonprofits.

2018 filings • NTEE E • $500k-$1M nonprofits • Source year 2018

Net Margin

28th percentile

-7.9%

Higher net margin than 28% of similar nonprofits.

2018 filings • NTEE E • $500k-$1M nonprofits • Source year 2018

Top Officer Pay

56th percentile

$0

Higher top officer pay than 56% of similar nonprofits.

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

2018 filings • NTEE E • $500k-$1M nonprofits • Source year 2018

Asset Growth

22nd percentile

-8.4%

Faster asset growth than 22% of similar nonprofits.

2018 filings • NTEE E • $500k-$1M nonprofits • Annualized from 2017 to 2018

Revenue Growth

78th percentile

26%

Faster revenue growth than 78% of similar nonprofits.

2018 filings • NTEE E • $500k-$1M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets41st percentile

Assets

Down

$539,211

Down $49,514 (-8.4%) from 2017

Net Assets

Down

$534,628

Down $49,899 (-8.5%) from 2017

Liabilities

Up

$4,583

Up $385 (+9.2%) from 2017

Revenue And Expenses
Liabilities / Revenue37th percentileNet Margin28th percentile

Revenue

Up

$634,234

Up $130,857 (+26%) from 2017

Expenses

Up

$684,133

Up $160,320 (+31%) from 2017

Net Income

Down

-$49,899

Down $29,463 (-144%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth22nd percentile

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

$2.0M$1.5M$1.0M$500K$0Assets 2010: $180,544Liabilities 2010: $60Net Assets 2010: $180,4842010Assets 2011: $200,318Liabilities 2011: $60Net Assets 2011: $200,2582011Assets 2012: $287,945Liabilities 2012: $60Net Assets 2012: $287,8852012Assets 2013: $337,324Liabilities 2013: $3,411Net Assets 2013: $333,9132013Assets 2014: $314,906Liabilities 2014: $102Net Assets 2014: $314,8042014Assets 2015: $418,977Liabilities 2015: $0Net Assets 2015: $418,9772015Assets 2016: $604,963Liabilities 2016: $0Net Assets 2016: $604,9632016Assets 2017: $588,725Liabilities 2017: $4,198Net Assets 2017: $584,5272017Assets 2018: $539,211Liabilities 2018: $4,583Net Assets 2018: $534,6282018Assets 2019: $422,234Liabilities 2019: $5,546Net Assets 2019: $416,6882019Assets 2020: $535,432Liabilities 2020: $390Net Assets 2020: $535,0422020Assets 2021: $817,712Liabilities 2021: $6,265Net Assets 2021: $811,4472021Assets 2022: $951,848Liabilities 2022: $4,230Net Assets 2022: $947,6182022Assets 2023: $1,886,605Liabilities 2023: $21,816Net Assets 2023: $1,864,7892023Assets 2024: $1,860,036Liabilities 2024: $1,172Net Assets 2024: $1,858,8642024

Highlighted filing

2018

Assets$539,211
Liabilities$4,583
Net Assets$534,628
Open 2018 Filing

Operations Trend

Revenue Growth78th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $300,3072010Revenue 2011: $214,452Expenses 2011: $194,678Net Income 2011: $19,7742011Revenue 2012: $315,722Expenses 2012: $228,095Net Income 2012: $87,6272012Revenue 2013: $491,423Expenses 2013: $445,395Net Income 2013: $46,0282013Revenue 2014: $374,372Expenses 2014: $393,481Net Income 2014: -$19,1092014Revenue 2015: $598,703Expenses 2015: $494,530Net Income 2015: $104,1732015Revenue 2016: $559,582Expenses 2016: $373,596Net Income 2016: $185,9862016Revenue 2017: $503,377Expenses 2017: $523,813Net Income 2017: -$20,4362017Revenue 2018: $634,234Expenses 2018: $684,133Net Income 2018: -$49,8992018Revenue 2019: $819,637Expenses 2019: $937,577Net Income 2019: -$117,9402019Revenue 2020: $326,655Expenses 2020: $208,301Net Income 2020: $118,3542020Revenue 2021: $642,643Expenses 2021: $366,238Net Income 2021: $276,4052021Revenue 2022: $1,606,983Expenses 2022: $1,470,812Net Income 2022: $136,1712022Revenue 2023: $2,220,401Expenses 2023: $1,303,230Net Income 2023: $917,1712023Revenue 2024: $1,437,724Expenses 2024: $1,446,024Net Income 2024: -$8,3002024

Highlighted filing

2018

Revenue$634,234
Expenses$684,133
Net Income-$49,899
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 5, 2019
Return Version
2018v3.1
Gross Receipts
$634,234
Mission and Program Overview

Mission

Provide medical & surgical expertise to the indigent.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$588,725$539,171▼ $49,554
Total Assets$588,725$539,211▼ $49,514
Other Assets Total-$40-
Liabilities
Other Liabilities$4,198$4,583▲ $385
Total Liabilities$4,198$4,583▲ $385
Net Assets / Fund Balance
Unrestricted Net Assets$584,527$534,628▼ $49,899
Total Net Assets Fund Balance$584,527$534,628▼ $49,899
Total Liabilities and Net Assets / Fund Balance$588,725$539,211▼ $49,514
Compensation and Service Providers
Top Officer Pay56th percentile

Board Members and Trustees

NameTitle
Medhat E AllamChairman
Ravi KothuruPresident
Christopher TorresDirector
Colleen HekemianDirector
James Van De WeteringDirector
Mehul MehtaDirector
Michael Garabedian EsqDirector
Nilesh Patel DdsDirector
Rajesh Patel MdDirector
Sanjay Lalla MdDirector
Shawn CieckoDirector
Vito Alamia MdDirector
Joseph GeoghanSecretary
Grace MccarthyTreasurer
Robert MineoVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$634,234
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$634,234
Change in Net Assets
$-49,899

Audited Revenue Reconciliation

Revenue per Audited Statements
$634,234
Total Revenue per Audited Statements
$634,234
Total Revenue per Form 990
$634,234
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$684,133
Total Fundraising Expense$120,254
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$8,779$15,315-$24,094
Other Expenses$162,548$11,817$120,254$11,817
Fees for Services Accounting-$8,105-$8,105
Total Functional Expenses$527,292$36,587$120,254$684,133

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$684,133
Total Expenses per Audited Statements$684,133
Total Expenses per Form 990$684,133
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Expenses$2,500
Expenses Paid by Others$1,698
Credit Card Payable$385
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
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, Page 6, Part VI, Line 10B

“YES”

Form 990, Page 6, Part VI, Line 11B

“Copies of form 990 available to board members for review at any time.”

Form 990, Page 6, Part VI, Line 19

“Governing documents are made available upon request to the public.”

Filing and Contact Details

Filer

Filer Name
Operation International Ltd
EIN
45-0523129
Phone
6312876202
Address
225 WIND MILL LANE, SOUTHAMPTON, NY 11968

Signing Officer

Name
Medhat E Allam
Title
Chairman
Phone
6312876202
Signed
2019-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Medhat E Allam
Formed
2002
Legal Domicile
Ny
Voting Board Members
13
Independent Board Members
13
Employees
0
Volunteers
78

Preparer

Firm
JOHNSON MOWDY ASSOCIATES CPA'S PC
Address
199 MAIN ROAD PO BOX 1060, AQUEBOGUE, NY 11931
Preparer
James P Mowdy CPA
Phone
6317282500
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Part I, Line 6

“Medical and nursing skills.”

Raw XML Appendix397 raw XML fields

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/PublicSupportCY170Pct00.99990
IRS990ScheduleA/PublicSupportPY170Pct00.99980
IRS990ScheduleA/PublicSupportTotal170Amt02669777
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0634234
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0503080
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0559582
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0598661
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0374220
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt02669777
IRS990ScheduleA/TotalSupportAmt02669971
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/ExpensesSubtotalAmt0684133
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt02500
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt11698
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt2385
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0ACCRUED EXPENSES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1EXPENSES PAID BY OTHERS
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2CREDIT CARD PAYABLE
IRS990ScheduleD/RevenueSubtotalAmt0634234
IRS990ScheduleD/TotalExpensesPerForm990Amt0684133
IRS990ScheduleD/TotalLiabilityAmt04583
IRS990ScheduleD/TotalRevenuePerForm990Amt0634234
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0634234
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0684133
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MEDICAL AND NURSING SKILLS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1YES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2COPIES OF FORM 990 AVAILABLE TO BOARD MEMBERS FOR REVIEW AT ANY TIME.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 1, PART I, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 10B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0NY
IRS990/StatesWhereCopyOfReturnIsFldCd1NJ
IRS990/StatesWhereCopyOfReturnIsFldCd2MI
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0588725
IRS990/TotalAssetsEOYAmt0539211
IRS990/TotalAssetsGrp/BOYAmt0588725
IRS990/TotalAssetsGrp/EOYAmt0539211
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0634234
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt0120254
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt036587
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0527292
IRS990/TotalFunctionalExpensesGrp/TotalAmt0684133
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt04198
IRS990/TotalLiabilitiesEOYAmt04583
IRS990/TotalLiabilitiesGrp/BOYAmt04198
IRS990/TotalLiabilitiesGrp/EOYAmt04583
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0584527
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0534628
IRS990/TotalProgramServiceExpensesAmt0527292
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0634234
IRS990/TotalVolunteersCnt078
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0588725
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0539211
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0584527
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0534628
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0225 WINDMILL LANE
IRS990/USAddress/AddressLine2Txt0SUITE 1
IRS990/USAddress/CityNm0SOUTHAMPTON
IRS990/USAddress/StateAbbreviationCd0NY
IRS990/USAddress/ZIPCd011968
IRS990/VotingMembersGoverningBodyCnt013
IRS990/VotingMembersIndependentCnt013
IRS990/WebsiteAddressTxt0ISMISSION.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02020-03-31 21:24:44Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0MEDHAT E ALLAM
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum06312876202
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-11-05
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0OPERATION INTERNATIONAL LTD
ReturnHeader/Filer/BusinessNameControlTxt0OPER
ReturnHeader/Filer/EIN0450523129
ReturnHeader/Filer/PhoneNum06312876202
ReturnHeader/Filer/USAddress/AddressLine1Txt0225 WIND MILL LANE
ReturnHeader/Filer/USAddress/CityNm0SOUTHAMPTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd011968
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0677AEC32AF5380A8573A151A4F34B65B900674F2
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0677AEC32AF5380A8573A151A4F34B65B900674F2
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt075.99.22.246
ReturnHeader/FilingSecurityInformation/IPDt02019-11-07
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm011:54:07
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0261782800
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0JOHNSON MOWDY ASSOCIATES CPA'S PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0199 MAIN ROAD PO BOX 1060
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0AQUEBOGUE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd011931
ReturnHeader/PreparerPersonGrp/PhoneNum06317282500
ReturnHeader/PreparerPersonGrp/PreparationDt02019-11-07
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JAMES P MOWDY CPA
ReturnHeader/ReturnTs02019-11-07T11:54:07-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02018-01-01
ReturnHeader/TaxPeriodEndDt02018-12-31
ReturnHeader/TaxYr02018

Document Assets

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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$539,211
Liabilities
$4,583
Net assets
$534,628
Revenue
$634,234
Expenses
$684,133
Net income
-$49,899
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.86$0.00$1.86$1.44$1.45$0.01
2023Summary only. Only limited summary data is available for this year.$1.89$0.02$1.86$2.22$1.30$0.92
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.95$0.00$0.95$1.61$1.47$0.14
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.82$0.01$0.81$0.64$0.37$0.28
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.54$0.00$0.54$0.33$0.21$0.12
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.42$0.01$0.42$0.82$0.94$0.12
2018Detailed filing. Detailed filing data is available for this year.$0.54$0.00$0.53$0.63$0.68$0.05
2017Summary only. Only limited summary data is available for this year.$0.59$0.00$0.58$0.50$0.52$0.02
2016Summary only. Only limited summary data is available for this year.$0.60$0.00$0.60$0.56$0.37$0.19
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.42$0.00$0.42$0.60$0.49$0.10
2014Detailed filing. Detailed filing data is available for this year.$0.31$0.00$0.31$0.37$0.39$0.02
2013Summary only. Only limited summary data is available for this year.$0.34$0.00$0.33$0.49$0.45$0.05
2012Summary only. Only limited summary data is available for this year.$0.29$0.00$0.29$0.32$0.23$0.09
2011Summary only. Only limited summary data is available for this year.$0.20$0.00$0.20$0.21$0.19$0.02
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.18$0.00$0.18$0.30
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2018 filings • 501(c)3 • $500k-$1M nonprofits