UTAH SURGICAL INTERVENTIONAL AND MEDICAL SIMULATION CENTER INC

Address
645 E 2800 N
NORTH OGDEN, UT 84414
Contact
Phone: +1 (801) 699-7656
Nonprofit
EIN: 47-5262046
Year formed: 2015

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.
 20162015
Basic features of the organization
Year of formation2015
Subsection code03
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$223,161.00$113,957.00
Sum of reportable (W2/1099) compensation$214,411.00$119,957.00
Number of employees00
Number of people compensated >$100k00
Number of volunteers00
Number of highly compensated contractors00
Personnel
Beck, Charles
TitleSENIOR STRATEGISTSENIOR STRATEGIST
Name of key/compensated personCHARLES BECKCHARLES BECK
Position of compensated person
Current individual trustee or directorTrueTrue
Average hours per week working for org10.0010.00
Reportable compensation from org$25,000.00$20,000.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Belton, Chris
TitleCMOCMO
Name of key/compensated personCHRIS BELTONCHRIS BELTON
Position of compensated person
Current individual trustee or directorTrueTrue
Average hours per week working for org5.005.00
Reportable compensation from org$7,331.00$2,666.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Belton, Garry
TitleCOOCOO
Name of key/compensated personGARRY BELTONGARRY BELTON
Position of compensated person
Current individual trustee or directorTrueTrue
Average hours per week working for org40.0040.00
Reportable compensation from org$65,000.00$35,000.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Henriksen, Jb
TitleCFOCFO
Name of key/compensated personJB HENRIKSENJB HENRIKSEN
Position of compensated person
Current individual trustee or directorTrueTrue
Average hours per week working for org5.005.00
Reportable compensation from org$11,330.00$2,666.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Nuessle, Steve
TitleLAB DIRECTORLAB DIRECTOR
Name of key/compensated personSTEVE NUESSLESTEVE NUESSLE
Position of compensated person
Current individual trustee or directorTrueTrue
Average hours per week working for org5.005.00
Reportable compensation from org$5,500.00$5,500.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Urry, Jim
TitleCIOCIO
Name of key/compensated personJIM URRYJIM URRY
Position of compensated person
Current individual trustee or directorTrueTrue
Average hours per week working for org5.005.00
Reportable compensation from org$5,500.00$8,000.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Wall, Dennis
Title BUSINESS DEVELOPMENT
Name of key/compensated person DENNIS WALL
Position of compensated person
Current individual trustee or director True
Average hours per week working for org 5.00
Reportable compensation from org $3,000.00
Other comp, non-reportable, from org and related orgs $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00
Webster, Rick
TitleDIRECTOR EDUCATIONDIRECTOR EDUCATION
Name of key/compensated personRICK WEBSTERRICK WEBSTER
Position of compensated person
Current individual trustee or directorTrueTrue
Average hours per week working for org5.005.00
Reportable compensation from org$3,000.00$1,000.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
White, Matt
TitleCEOCEO
Name of key/compensated personMATT WHITEMATT WHITE
Position of compensated person
Current individual trustee or directorTrueTrue
Average hours per week working for org40.0040.00
Reportable compensation from org$75,000.00$35,000.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
White, Natalie
TitleEXECUTIVE ASSISTANTEXECUTIVE ASSISTANT
Name of key/compensated personNATALIE WHITENATALIE WHITE
Position of compensated person
Current individual trustee or directorTrueTrue
Average hours per week working for org10.0010.00
Reportable compensation from org$16,750.00$7,125.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Purpose: mission, activities, & accomplishments
Mission or significant activities(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.(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.
Programs, including revenue & expenses
OUR FOCUS IS ON BUILDING OUR INITIAL CORE BUSINESS OR PROGRAM SERVICE LINE OF SURGICAL EDUCATION AND TRAINING. WE ARE IN THE PROCESS OF (1) SECURING A LOCATION AND DEVELOPING ALL CONSTRUCTION PLANS FOR THE FACILITY; (2) ASSEMBLING A TEAM OF PROFESSIONALS, CONTRACTORS AND SUPPORTING ORGANIZATIONS; (3) ESTABLISHING ALL KEY GOVERNING AND OPERATIONAL POLICIES AND PROCEDURES; AND (4) FORMING RELATIONSHIPS WITH OUR PRIMARY CUSTOMERS.
Program expenses$0.00$0.00
Program descriptionOUR FOCUS IS ON BUILDING OUR INITIAL CORE BUSINESS OR PROGRAM SERVICE LINE OF SURGICAL EDUCATION AND TRAINING. WE ARE IN THE PROCESS OF (1) SECURING A LOCATION AND DEVELOPING ALL CONSTRUCTION PLANS FOR THE FACILITY; (2) ASSEMBLING A TEAM OF PROFESSIONALS, CONTRACTORS AND SUPPORTING ORGANIZATIONS; (3) ESTABLISHING ALL KEY GOVERNING AND OPERATIONAL POLICIES AND PROCEDURES; AND (4) FORMING RELATIONSHIPS WITH OUR PRIMARY CUSTOMERS.OUR FOCUS IS ON BUILDING OUR INITIAL CORE BUSINESS OR PROGRAM SERVICE LINE OF SURGICAL EDUCATION AND TRAINING. WE ARE IN THE PROCESS OF (1) SECURING A LOCATION AND DEVELOPING ALL CONSTRUCTION PLANS FOR THE FACILITY; (2) ASSEMBLING A TEAM OF PROFESSIONALS, CONTRACTORS AND SUPPORTING ORGANIZATIONS; (3) ESTABLISHING ALL KEY GOVERNING AND OPERATIONAL POLICIES AND PROCEDURES; AND (4) FORMING RELATIONSHIPS WITH OUR PRIMARY CUSTOMERS.
Financial data
Revenue
Total revenue$150,023.00$350,017.00
Revenue from contributions (total)$150,000.00$350,000.00
Investment income, current yr$23.00$17.00
Total revenue from grants, etc., current yr$150,000.00$350,000.00
Other revenue, current yr$0.00$0.00
Net unrelated business taxable revenue$0.00$0.00
Sources of contributions
Revenue from all other contributions$150,000.00$350,000.00
Other types of revenue
Investment income$23.00$17.00
Expense categories (totals)
Total functional expenses: sum of all$268,223.00$252,150.00
Total functional expenses: program service $0.00$0.00
Total functional expenses: management and general$268,223.00$252,150.00
Total functional expenses: fundraising$0.00$0.00
Fees for services
Fundraising service fees (total)$0.00$0.00
Assets and liabilities
Total assets$21,743.00$141,109.00
Total assets, beginning of year$141,109.00 
Total liabilities$65,000.00$66,166.00
Total liabilities, beginning of year$66,166.00 
Net assets-$43,257.00$74,943.00
Net assets, beginning of year$74,943.00 
Cash: non-interest bearing-$20.00$116,109.00
Cash: non-interest bearing, beginning of year$116,109.00$0.00
Other financial variables
Revenue less expenses-$118,200.00$97,867.00
Advertising (total)$109.00$235.00
Prepaid expenses & deferred charges$21,763.00$25,000.00
Unsecured notes & loans to unrelated parties$65,000.00$66,166.00
Total net assets or fund balances-$43,257.00$74,943.00
Governance and accountability
Number of voting members55
Number of independent voting members11
Accrual accountingTrueTrue
Tax year start date2016-01-012015-06-17
Tax year end date2016-12-012015-12-01
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990
Reason for form submission
First filing True
IRS schema version2016v3.02015v3.0
Filing identifier201703199349317815201713199349317836
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