Civic Intelligence

International Surgical Mission Support Inc

990 • Fiscal year 2023 • EIN 45-0523129

Jan 01, 2023 to Dec 31, 2023 • Filed on Sep 23, 2024

Organization ProfileOPERATIONINTERNATIONAL.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

28th percentile

0.01x

Higher debt load relative to assets than 28% of similar nonprofits.

2023 filings • NTEE E • $1M-$5M nonprofits • Source year 2023

Liabilities / Revenue

23rd percentile

0.01x

Higher debt load relative to revenue than 23% of similar nonprofits.

2023 filings • NTEE E • $1M-$5M nonprofits • Source year 2023

Net Margin

90th percentile

41%

Higher net margin than 90% of similar nonprofits.

2023 filings • NTEE E • $1M-$5M nonprofits • Source year 2023

Top Officer Pay

32nd percentile

$0

Higher top officer pay than 32% of similar nonprofits.

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

2023 filings • NTEE E • $1M-$5M nonprofits • Source year 2023

Asset Growth

95th percentile

98%

Faster asset growth than 95% of similar nonprofits.

2023 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2022 to 2023

Revenue Growth

78th percentile

38%

Faster revenue growth than 78% of similar nonprofits.

2023 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets28th percentile

Assets

Flat

$1,886,605

Flat from 2023

Net Assets

Flat

$1,864,789

Flat from 2023

Liabilities

Flat

$21,816

Flat from 2023

Revenue And Expenses
Liabilities / Revenue23rd percentileNet Margin90th percentile

Revenue

Flat

$2,220,401

Flat from 2023

Expenses

Flat

$1,303,230

Flat from 2023

Net Income

Flat

$917,171

Flat from 2023

Historical Trend

Balance Sheet Trend

Asset Growth95th 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 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

2023

Assets$1,886,605
Liabilities$21,816
Net Assets$1,864,789
Open 2023 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 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

2023

Revenue$2,220,401
Expenses$1,303,230
Net Income$917,171
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Sep 23, 2024
Return Version
2023v5.0
Gross Receipts
$2,220,401
Mission and Program Overview

Mission

Provide medical & surgical expertise to the indigent.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments-$1,027,500-
Cash and Non-Interest-Bearing Accounts$951,848$859,105▼ $92,743
Total Assets$951,848$1,886,605▲ $934,757
Liabilities
Other Liabilities$4,230$21,816▲ $17,586
Total Liabilities$4,230$21,816▲ $17,586
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$943,278$1,864,789▲ $921,511
Net Assets With Donor Restrictions$4,340--
Total Net Assets Fund Balance$947,618$1,864,789▲ $917,171
Total Liabilities and Net Assets / Fund Balance$951,848$1,886,605▲ $934,757
Compensation and Service Providers
Top Officer Pay32nd percentile

Board Members and Trustees

NameTitle
Medhat E Allam MdChairman
Ravi Kothuru MdPresident
James Mowdy CPADirector
James Van De WeteringDirector
Nilesh Patel DdsDirector
Rajesh Patel MdDirector
Sala Abdalla MdDirector
Seth Meskin MdDirector
Shawn CieckoDirector
Vito Alamia MdDirector
Michael Garabedian EsqSecretary
Christopher Torres CrnaTreasurer
Robert Mineo CrnaVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$2,192,901
Program Service Revenue
$0
Investment Income
$27,500
Other Revenue
$0
All Other Contributions
$2,192,901
Change in Net Assets
$917,171

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,220,401
Total Revenue per Audited Statements
$2,220,401
Total Revenue per Form 990
$2,220,401
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,303,230
Total Fundraising Expense$77,270
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Advertising--$77,270$77,270
Other Expenses$47,375$11,453-$11,453
Office Expenses-$8,288-$8,288
All Other Expenses-$6,321-$6,321
Fees for Services Accounting-$6,240-$6,240
Travel$3,383--$3,383
Information Technology$1,871--$1,871
Insurance$1,264--$1,264
Fees for Services Other-$56-$56
Total Functional Expenses$1,193,602$32,358$77,270$1,303,230

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,303,230
Total Expenses per Audited Statements$1,303,230
Total Expenses per Form 990$1,303,230
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
Credit Card Payable$21,816
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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, 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 Md
Title
Chairman
Phone
6312876202
Signed
2024-09-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Medhat E Allam Md
Formed
2002
Legal Domicile
Ny
Voting Board Members
13
Independent Board Members
13
Employees
0
Volunteers
300

Preparer

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

Additional Explanations

Form 990, Page 1, Part I, Line 6

“Medical and nursing skills.”

Raw XML Appendix384 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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IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990ScheduleD/ExpensesSubtotalAmt01303230
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt021816
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0CREDIT CARD PAYABLE
IRS990ScheduleD/RevenueSubtotalAmt02220401
IRS990ScheduleD/TotalExpensesPerForm990Amt01303230
IRS990ScheduleD/TotalLiabilityAmt021816
IRS990ScheduleD/TotalRevenuePerForm990Amt02220401
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02220401
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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/StatesWhereCopyOfReturnIsFldCd1NJ
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
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IRS990/VotingMembersIndependentCnt013
IRS990/WebsiteAddressTxt0OPERATIONINTERNATIONAL.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02024-08-08 14:25:15Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0MEDHAT E ALLAM MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum06312876202
ReturnHeader/BusinessOfficerGrp/SignatureDt02024-09-23
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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/PreparationDt02024-09-23
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ROBERT I NEWMAN CPA
ReturnHeader/ReturnTs02024-09-23T16:05:36-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02023-01-01
ReturnHeader/TaxPeriodEndDt02023-12-31
ReturnHeader/TaxYr02023

Document Assets

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Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,886,605
Liabilities
$21,816
Net assets
$1,864,789
Revenue
$2,220,401
Expenses
$1,303,230
Net income
$917,171
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
2023Detailed filing. Detailed filing data is available for this year.$1.89$0.02$1.86$2.22$1.30$0.92
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
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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