FOUNDATION FOR SURGICAL INNOVATION: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR SURGICAL INNOVATION (EIN 27-1729005)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202333199349204683
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-15T09:27:48-08:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN814175231PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DOYLE CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114631 SW Millikan Way Ste 1AddressLine1Txt
CityBeavertonCityNm
State AbbreviationORStateAbbreviationCd
ZIP97003ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271729005EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR SURGICAL INNOVATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone5032810561PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14805 NE GLISAN ST SUITE 6N60AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97213ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR CHRISTY DUNSTPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDR CHRISTYPersonFirstNm
Person LastDUNSTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN D DOYLE CPAPreparerPersonNm
PTINP00623681PTIN
Phone5036167959PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website Addresswww.tfsie.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$40,566GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$37,057ContributionsGiftsGrantsEtcAmt
Program Service Revenue$3,500ProgramServiceRevenueAmt
Investment Income$9InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$40,566TotalRevenueAmt
Salaries Other Comp Empl Bnft$12,000SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$8,375FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$45,143OtherExpensesTotalAmt
Total Expenses$65,518TotalExpensesAmt
Excess Or Deficit For Year-$24,952ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$475,628NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets-$21,477OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$429,199NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$474,728BOYAmt
EOY$428,224EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$900BOYAmt
EOY$975EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$475,628BOYAmt
EOY$429,199EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$475,628BOYAmt
EOY$429,199EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTo support quality in research and education in the field of Minimally Invasive Surgery.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomSurgical continuing education course benefiting about 50 surgeons, nurses and allied health professionals focusing on minimally invasive surgical therapies for abdominal cancers.DescriptionProgramSrvcAccomTxt
Grants And Allocations$37,057GrantsAndAllocationsAmt
Program Service Expenses$34,279ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$34,279TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
DR LEE SWANSTROM
President0.25$0
DR MICHAEL M AWAD
Secretary0.25$0
DR CHRISTY DUNST
Executive Dir.4.00$0
DR KEVIN REAVIS
LAB DIRECTOR0.25$0
DR MIKE UJIKI
Director0.25$0
DR ROBERT GLASGOW
Director0.25$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDR CHRISTY DUNSTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14805 NE GLISAN ST SUITE 6N60AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97213ZIPCd
FieldValueIRS element (for citing)
Phone5032810561PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,637CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$440CurrentTaxYearMinus1YearAmt
Current Tax Year$37,057CurrentTaxYearAmt
Total$128,608TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$99,705CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$350CurrentTaxYearMinus2YearsAmt
Current Tax Year$3,500CurrentTaxYearAmt
Total$188,607TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$97,252CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$145,979CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,987CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$440CurrentTaxYearMinus1YearAmt
Current Tax Year$40,557CurrentTaxYearAmt
Total$317,215TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$317,215PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,865CurrentTaxYearMinus1YearAmt
Current Tax Year$9CurrentTaxYearAmt
Total$6,910TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,865CurrentTaxYearMinus1YearAmt
Current Tax Year$9CurrentTaxYearAmt
Total$6,910TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$97,265CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$145,992CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,997CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,305CurrentTaxYearMinus1YearAmt
Current Tax Year$40,566CurrentTaxYearAmt
Total$324,125TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97870PublicSupportCY509Pct
Public Support PY5090.94090PublicSupportPY509Pct
Investment Income CY0.02130InvestmentIncomeCYPct
Investment Income PY0.05910InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1012Insurance $2772
Other Expenses.1POEM Course $23779
Other Expenses.2Summer Fundraiser $8331
Other Expenses.3Student Program $5558
Other Expenses.4Meetings $2265
Other Expenses.5Awards and Grants $2050
Other Expenses.6Licenses & Fees $268
Other Expenses.7Dues & Subscriptions $120
Other Assets.1Deposits - Beginning $900 Deposits - Ending $975

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