Civic Intelligence

Mobile Surgery International Inc.

990 • Fiscal year 2023 • EIN 82-3454780

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

3803 Little Cottonwood LnSandy, UT 84092

(866) 764-5320

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$298,825

Flat from 2023

Net Assets

Flat

$253,825

Flat from 2023

Liabilities

Flat

$45,000

Flat from 2023

Revenue And Expenses

Revenue

Flat

$636,980

Flat from 2023

Expenses

Flat

$707,516

Flat from 2023

Net Income

Flat

-$70,536

Flat from 2023

Historical Trend

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2017: $45,376Liabilities 2017: $02017Assets 2018: $81,247Liabilities 2018: $0Net Assets 2018: $81,2472018Assets 2019: $390,791Liabilities 2019: $0Net Assets 2019: $390,7912019Assets 2020: $475,688Liabilities 2020: $0Net Assets 2020: $475,6882020Assets 2021: $304,998Liabilities 2021: $30,000Net Assets 2021: $274,9982021Assets 2022: $339,361Liabilities 2022: $15,000Net Assets 2022: $324,3612022Assets 2023: $298,825Liabilities 2023: $45,000Net Assets 2023: $253,8252023Assets 2023: $298,825Liabilities 2023: $45,000Net Assets 2023: $253,8252023Assets 2024: $302,319Liabilities 2024: $47,000Net Assets 2024: $255,3192024

Highlighted filing

2023

Assets$298,825
Liabilities$45,000
Net Assets$253,825

Operations Trend

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

$1.5M$1.0M$500K$0-$500KRevenue 2017: $114,500Expenses 2017: $69,124Net Income 2017: $45,3762017Revenue 2018: $933,004Expenses 2018: $933,004Net Income 2018: $02018Revenue 2019: $1,272,388Expenses 2019: $962,844Net Income 2019: $309,5442019Revenue 2020: $721,640Expenses 2020: $636,743Net Income 2020: $84,8972020Revenue 2021: $644,390Expenses 2021: $845,189Net Income 2021: -$200,7992021Revenue 2022: $876,258Expenses 2022: $826,874Net Income 2022: $49,3842022Revenue 2023: $636,980Expenses 2023: $707,516Net Income 2023: -$70,5362023Revenue 2023: $636,980Expenses 2023: $707,516Net Income 2023: -$70,5362023Revenue 2024: $351,788Expenses 2024: $350,294Net Income 2024: $1,4942024

Highlighted filing

2023

Revenue$636,980
Expenses$707,516
Net Income-$70,536
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
May 23, 2024
Return Version
2023v5.0
Gross Receipts
$636,980
Mission and Program Overview

Mission

To provide surgical procedures in foreign impoverished areas.

Deliver free surgery and care to all children who suffer needlessly with untreated cleft lip and cleft palate facial deformities throughout mexico

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$298,495$298,495→ $0
Rtn Earn Endowment Incm Other Fnds$324,361$253,825▼ $70,536
Cash and Non-Interest-Bearing Accounts$40,866$330▼ $40,536
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$339,361$298,825▼ $40,536
Liabilities
Unsecured Notes Loans Payable$15,000$45,000▲ $30,000
Total Liabilities$15,000$45,000▲ $30,000
Net Assets / Fund Balance
Total Net Assets Fund Balance$324,361$253,825▼ $70,536
Total Liabilities and Net Assets / Fund Balance$339,361$298,825▼ $40,536

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$298,495-$298,495
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Michael NebekerPresidentFT$79,500$79,500

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$636,971
Program Service Revenue
$0
Investment Income
$9
Other Revenue
$0
All Other Contributions
$636,971
Change in Net Assets
$-70,536
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$628,016
Salaries, Compensation, and Employee Benefits$79,500
Total Fundraising Expense$58,599
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$191,435--$191,435
Current Officers, Directors, Trustees, and Key Employees-$39,750$39,750$79,500
Travel-$11,826$11,827$23,653
Information Technology-$5,495-$5,495
Other Expenses$5,533$4,103$6,325$4,103
All Other Expenses-$2,742$697$3,439
Total Functional Expenses$585,001$63,916$58,599$707,516
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
No
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
Yes
Other officer compensation reviewed
Yes
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 11B

The board of directors and the managing director reviews the tax return.

Form 990, Part VI, Section B, Line 15

The reviews are not by an independepent person. The board of directors for mobile surgery international approves the executive director's salary.

Form 990, Part VI, Section C, Line 19

If it were requested, we would verify with our legal advisor to see which information is public domain so as to not reveal any proprietary information and release the information as advised.

Filing and Contact Details

Filer

Filer Name
Mobile Surgery International
EIN
82-3454780
Phone
8667645320
Address
3803 LITTLE COTTONWOOD LN, SANDY, UT 84092

Signing Officer

Name
Michael Nebeker
Title
President
Phone
8667645320
Signed
2024-05-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Nebeker
Formed
2017
Legal Domicile
Ut
Voting Board Members
5
Independent Board Members
4
Employees
0
Volunteers
10

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 IX, Line 11G

Consulting: program service expenses 191,435. Management and general expenses 0. Fundraising expenses 0. Total expenses 191,435.

Raw XML Appendix336 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS AND THE MANAGING DIRECTOR REVIEWS THE TAX RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE REVIEWS ARE NOT BY AN INDEPENDEPENT PERSON. THE BOARD OF DIRECTORS FOR MOBILE SURGERY INTERNATIONAL APPROVES THE EXECUTIVE DIRECTOR'S SALARY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2IF IT WERE REQUESTED, WE WOULD VERIFY WITH OUR LEGAL ADVISOR TO SEE WHICH INFORMATION IS PUBLIC DOMAIN SO AS TO NOT REVEAL ANY PROPRIETARY INFORMATION AND RELEASE THE INFORMATION AS ADVISED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CONSULTING: PROGRAM SERVICE EXPENSES 191,435. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,435.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
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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/PreparationDt02024-05-23
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MARC A METCALF
ReturnHeader/ReturnTs02024-05-23T16:07:56-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MICHAEL
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0NEBEKER
ReturnHeader/TaxPeriodBeginDt02023-01-01
ReturnHeader/TaxPeriodEndDt02023-12-31
ReturnHeader/TaxYr02023

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