Civic Intelligence

Utah Surgical Interventional and Medical Simulation Center Inc

990 • Fiscal year 2015 • EIN 47-5262046

Jun 17, 2015 to Dec 31, 2015 • Filed on Nov 15, 2017

Organization ProfileN/A
645 E 2800 NNorth Ogden, UT 84414

(801) 699-7656

Siviq Scores

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

Liabilities / Assets

88th percentile

0.47x

Higher debt load relative to assets than 88% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

86th percentile

0.19x

Higher debt load relative to revenue than 86% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

83rd percentile

28%

Higher net margin than 83% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

88th percentile

$35,000

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 10.0% of source-year revenue.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Balance Sheet
Liabilities / Assets88th percentile

Assets

$141,109

No earlier filing loaded for comparison.

Net Assets

$74,943

No earlier filing loaded for comparison.

Liabilities

$66,166

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue86th percentileNet Margin83rd percentile

Revenue

$350,017

No earlier filing loaded for comparison.

Expenses

$252,150

No earlier filing loaded for comparison.

Net Income

$97,867

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

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

$150K$100K$50K$0-$50KAssets 2015: $141,109Liabilities 2015: $66,166Net Assets 2015: $74,9432015Assets 2016: $21,743Liabilities 2016: $65,000Net Assets 2016: -$43,2572016

Highlighted filing

2015

Assets$141,109
Liabilities$66,166
Net Assets$74,943
Open 2015 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$400K$200K$0-$200KRevenue 2015: $350,017Expenses 2015: $252,150Net Income 2015: $97,8672015Revenue 2016: $150,023Expenses 2016: $268,223Net Income 2016: -$118,2002016

Highlighted filing

2015

Revenue$350,017
Expenses$252,150
Net Income$97,867
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jun 17, 2015 to Dec 31, 2015
Signed
Nov 15, 2017
Return Version
2015v3.0
Gross Receipts
$350,017
Mission and Program Overview

Mission

(1) providing a high-tech learning and simulation environment designed to facilitate the education of physicians and medical professionals regarding new and innovative surgical techniques, (2) operating an interactive anatomy and medical technology exhibit designed to educate school-aged children in the areas of science, technology, engineering and mathematics within the various medical fields, and (3) providing charitable grants of monetary support to medical schools, foundations and other tax-exempt organizations that will directly improve the human condition through advancements and education in medical fields.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$0$116,109▲ $116,109
Rtn Earn Endowment Incm Other Fnds$0$74,943▲ $74,943
Prepaid Expenses and Deferred Charges$0$25,000▲ $25,000
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$0$141,109▲ $141,109
Liabilities
Unsecured Notes Loans Payable$0$66,166▲ $66,166
Total Liabilities$0$66,166▲ $66,166
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$74,943▲ $74,943
Total Liabilities and Net Assets / Fund Balance$0$141,109▲ $141,109
Compensation and Service Providers
Top Officer Pay88th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Garry BeltonCOOFT$35,000$35,000
Matt WhiteCEOFT$35,000$35,000
Charles BeckSenior StrategistPT$20,000$20,000
Jim UrryCIOPT$8,000$8,000
Natalie WhiteExecutive AssistantPT$7,125$7,125
Steve NuessleLab DirectorPT$5,500$5,500
Dennis WallBusiness DevelopmentPT$3,000$3,000
Chris BeltonCMOPT$2,666$2,666
Jb HenriksenCFOPT$2,666$2,666
Rick WebsterDirector EducationPT$1,000$1,000
Revenue and Support

Revenue Composition

Contributions and Grants
$350,000
Program Service Revenue
$0
Investment Income
$17
Other Revenue
$0
All Other Contributions
$350,000
Change in Net Assets
$97,867
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$138,193
Salaries, Compensation, and Employee Benefits$113,957
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-$113,957-$113,957
Occupancy-$66,522-$66,522
Fees for Services Accounting-$36,719-$36,719
Office Expenses-$4,987-$4,987
All Other Expenses-$3,934-$3,934
Other Expenses-$1,795-$1,795
Travel-$1,274-$1,274
Information Technology-$646-$646
Advertising-$235-$235
Total Functional Expenses$0$252,150$0$252,150
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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, Part VI, Section B, Line 11

“We create and maintain financial reports on a timely basis that accurately portray our financial status and activities and provide them to all of our trustees. Our internal financial statements identify and explain any material variation between actual and budgeted revenues and expenses. These efforts bolster a thorough review of form 990 by each trustee, with a corresponding unanimous vote for adoption, reflected in the minutes of the board of trustees.”

Form 990, Part VI, Section B, Line 12C

“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy.”

Form 990, Part VI, Section C, Line 19

“Available within 30 days, upon written request”

Filing and Contact Details

Filer

Filer Name
Utah Surgical Interventional and
EIN
47-5262046
Phone
8016997656
Address
645 E 2800 N, NORTH OGDEN, UT 84414

Signing Officer

Name
Jb Henriksen
Title
CFO/treasurer
Phone
8016997656
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew White
Formed
2015
Legal Domicile
Ut
Voting Board Members
5
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
Tanner LLC
Address
36 S STATE STREET SUITE 600, SALT LAKE CITY, UT 84111
Preparer
Marc a Metcalf
Phone
8015327444
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Retained earnings -27,924. Opening balance equity 5,000.”

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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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0WE CREATE AND MAINTAIN FINANCIAL REPORTS ON A TIMELY BASIS THAT ACCURATELY PORTRAY OUR FINANCIAL STATUS AND ACTIVITIES AND PROVIDE THEM TO ALL OF OUR TRUSTEES. OUR INTERNAL FINANCIAL STATEMENTS IDENTIFY AND EXPLAIN ANY MATERIAL VARIATION BETWEEN ACTUAL AND BUDGETED REVENUES AND EXPENSES. THESE EFFORTS BOLSTER A THOROUGH REVIEW OF FORM 990 BY EACH TRUSTEE, WITH A CORRESPONDING UNANIMOUS VOTE FOR ADOPTION, REFLECTED IN THE MINUTES OF THE BOARD OF TRUSTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2AVAILABLE WITHIN 30 DAYS, UPON WRITTEN REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3RETAINED EARNINGS -27,924. OPENING BALANCE EQUITY 5,000.
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IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsEOYAmt0141109
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt0141109
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0350000
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0252150
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0252150
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt066166
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt066166
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt074943
IRS990/TotalOtherCompensationAmt00
IRS990/TotalReportableCompFromOrgAmt0119957
IRS990/TotalRevenueGrp/ExclusionAmt017
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0350017
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0141109
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt01274
IRS990/TravelGrp/TotalAmt01274
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt00
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt066166
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0645 E 2800 N
IRS990/USAddress/CityNm0NORTH OGDEN
IRS990/USAddress/StateAbbreviationCd0UT
IRS990/USAddress/ZIPCd084414
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JB HENRIKSEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO/TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum08016997656
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0UTAH SURGICAL INTERVENTIONAL AND
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0MEDICAL SIMULATION CENTER INC
ReturnHeader/Filer/BusinessNameControlTxt0UTAH
ReturnHeader/Filer/EIN0475262046
ReturnHeader/Filer/PhoneNum08016997656
ReturnHeader/Filer/USAddress/AddressLine1Txt0645 E 2800 N
ReturnHeader/Filer/USAddress/CityNm0NORTH OGDEN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0UT
ReturnHeader/Filer/USAddress/ZIPCd084414
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0202253063
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0TANNER LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt036 S STATE STREET SUITE 600
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SALT LAKE CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0UT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd084111
ReturnHeader/PreparerPersonGrp/PhoneNum08015327444
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MARC A METCALF
ReturnHeader/ReturnTs02017-11-15T18:04:56-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-06-17
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$141,109
Liabilities
$66,166
Net assets
$74,943
Revenue
$350,017
Expenses
$252,150
Net income
$97,867
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.22$0.65$0.43$1.50$2.68$1.18
2015Detailed filing. Detailed filing data is available for this year.$1.41$0.66$0.75$3.50$2.52$0.98