Civic Intelligence

Mobile Surgery International Inc.

990 • Fiscal year 2021 • EIN 82-3454780

Jan 01, 2021 to Dec 31, 2021 • Filed on May 15, 2024

Organization ProfileMOBILESURGERY.INTERNATIONAL.COM
3803 Little Cottonwood LnSandy, UT 84092

(866) 764-5320

Siviq Scores

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

Liabilities / Assets

65th percentile

0.10x

Higher debt load relative to assets than 65% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Liabilities / Revenue

55th percentile

0.05x

Higher debt load relative to revenue than 55% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Net Margin

9th percentile

-31%

Higher net margin than 9% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Top Officer Pay

94th percentile

$151,400

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 23.5% of source-year revenue.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Asset Growth

3rd percentile

-36%

Faster asset growth than 3% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Revenue Growth

23rd percentile

-11%

Faster revenue growth than 23% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets65th percentile

Assets

Down

$304,998

Down $170,690 (-36%) from 2020

Net Assets

Down

$274,998

Down $200,690 (-42%) from 2020

Liabilities

Up

$30,000

Up $30,000 from 2020

Revenue And Expenses
Liabilities / Revenue55th percentileNet Margin9th percentile

Revenue

Down

$644,390

Down $77,250 (-11%) from 2020

Expenses

Up

$845,189

Up $208,446 (+33%) from 2020

Net Income

Down

-$200,799

Down $285,696 (-337%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth3rd percentile

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 2024: $302,319Liabilities 2024: $47,000Net Assets 2024: $255,3192024

Highlighted filing

2021

Assets$304,998
Liabilities$30,000
Net Assets$274,998
Open 2021 Filing

Operations Trend

Revenue Growth23rd percentile

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 2024: $351,788Expenses 2024: $350,294Net Income 2024: $1,4942024

Highlighted filing

2021

Revenue$644,390
Expenses$845,189
Net Income-$200,799
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
May 15, 2024
Return Version
2021v4.2
Gross Receipts
$644,390
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$475,688$274,998▼ $200,690
Cash and Non-Interest-Bearing Accounts$177,193$6,503▼ $170,690
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$475,688$304,998▼ $170,690
Liabilities
Unsecured Notes Loans Payable$0$30,000▲ $30,000
Total Liabilities$0$30,000▲ $30,000
Net Assets / Fund Balance
Total Net Assets Fund Balance$475,688$274,998▼ $200,690
Total Liabilities and Net Assets / Fund Balance$475,688$304,998▼ $170,690

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$298,495-$298,495
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Michael NebekerPresidentFT$151,400$151,400

Board Members and Trustees

NameTitle
Alex Campbell MdDirector
Bruce G KreegerDirector
Caroline Restufro MdDirector
Jerry C MoyesDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$644,390
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$644,390
Change in Net Assets
$-200,799
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$693,789
Salaries, Compensation, and Employee Benefits$151,400
Total Fundraising Expense$95,561
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$206,553--$206,553
Current Officers, Directors, Trustees, and Key Employees-$75,700$75,700$151,400
Travel$1,404$9,180$9,181$19,765
All Other Expenses-$1,964$5,000$6,964
Other Expenses$35,637$5,978$5,454$5,454
Information Technology-$3,212-$3,212
Advertising--$226$226
Total Functional Expenses$653,594$96,034$95,561$845,189
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 A, Line 2

“One voting member is not independent”

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
2024-05-15
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
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 IX, Line 11G

“Consulting: program service expenses 206,553. Management and general expenses 0. Fundraising expenses 0. Total expenses 206,553.”

Raw XML Appendix358 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/ExplanationTxt0ONE VOTING MEMBER IS NOT INDEPENDENT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD OF DIRECTORS AND THE MANAGING DIRECTOR REVIEWS THE TAX RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE REVIEWS ARE NOT BY AN INDEPENDEPENT PERSON. THE BOARD OF DIRECTORS FOR MOBILE SURGERY INTERNATIONAL APPROVES THE EXECUTIVE DIRECTOR'S SALARY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3IF 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/ExplanationTxt4CONSULTING: PROGRAM SERVICE EXPENSES 206,553. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 206,553.
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IRS990/TotalAssetsGrp/EOYAmt0304998
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt0644390
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt095561
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt096034
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0653594
IRS990/TotalFunctionalExpensesGrp/TotalAmt0845189
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt030000
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt030000
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0475688
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0274998
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0653594
IRS990/TotalReportableCompFromOrgAmt0151400
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0644390
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0475688
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0304998
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/FundraisingAmt09181
IRS990/TravelGrp/ManagementAndGeneralAmt09180
IRS990/TravelGrp/ProgramServicesAmt01404
IRS990/TravelGrp/TotalAmt019765
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt00
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt030000
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt03803 LITTLE COTTONWOOD LN
IRS990/USAddress/CityNm0SANDY
IRS990/USAddress/StateAbbreviationCd0UT
IRS990/USAddress/ZIPCd084092
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0MOBILESURGERY.INTERNATIONAL.COM
IRS990/WhistleblowerPolicyInd01
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0MICHAEL NEBEKER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum08667645320
ReturnHeader/BusinessOfficerGrp/SignatureDt02024-05-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MOBILE SURGERY INTERNATIONAL
ReturnHeader/Filer/BusinessNameControlTxt0MOBI
ReturnHeader/Filer/EIN0823454780
ReturnHeader/Filer/PhoneNum08667645320
ReturnHeader/Filer/USAddress/AddressLine1Txt03803 LITTLE COTTONWOOD LN
ReturnHeader/Filer/USAddress/CityNm0SANDY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0UT
ReturnHeader/Filer/USAddress/ZIPCd084092
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/PreparationDt02024-05-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MARC A METCALF
ReturnHeader/ReturnTs02024-05-15T13:23:19-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MICHAEL
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0NEBEKER
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

Document Assets

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Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$304,998
Liabilities
$30,000
Net assets
$274,998
Revenue
$644,390
Expenses
$845,189
Net income
-$200,799
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.30$0.05$0.26$0.35$0.35$0.00
2023Detailed filing. Detailed filing data is available for this year.$0.30$0.05$0.25$0.64$0.71$0.07
2022Detailed filing. Detailed filing data is available for this year.$0.34$0.02$0.32$0.88$0.83$0.05
2021Detailed filing. Detailed filing data is available for this year.$0.30$0.03$0.27$0.64$0.85$0.20
2020Detailed filing. Detailed filing data is available for this year.$0.48$0.00$0.48$0.72$0.64$0.08
2019Summary only. Only limited summary data is available for this year.$0.39$0.00$0.39$1.27$0.96$0.31
2018Summary only. Only limited summary data is available for this year.$0.08$0.00$0.08$0.93$0.93$0.00
2017Summary only. Only limited summary data is available for this year.$0.05$0.00$0.11$0.07$0.05