Civic Intelligence

Heart Initiative Inc

EIN 27-1263151 • 501(c)3 • Chapel Hill, NC

Profile

During 2023 the heart initiative continued its scientific mission to improve heart failure therapy globally through two main avenues: 1. Publications and sharing of data from studies completed the heart from studies completed in previous years and share them with the scientific community. Such examples are highlighted in the links below. Among the contributing members of our research organization. Https://pubmed.ncbi.nlm.nih.gov/36356631/

50101 Governors DrChapel Hill, NC 27517-9517

www.worldheartinitiative.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

91st percentile

0.80x

Higher debt load relative to assets than 91% of similar nonprofits.

NTEE G • $1M-$5M nonprofits • Source year 2025

Liabilities / Revenue

99th percentile

37.89x

Higher debt load relative to revenue than 99% of similar nonprofits.

NTEE G • $1M-$5M nonprofits • Source year 2025

Net Margin

1st percentile

-423%

Higher net margin than 1% of similar nonprofits.

NTEE G • $1M-$5M nonprofits • Source year 2025

Top Officer Pay

33rd percentile

$0

Higher top officer pay than 33% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

NTEE G • $1M-$5M nonprofits • Source year 2025

Asset Growth

21st percentile

-7.6%

Faster asset growth than 21% of similar nonprofits.

NTEE G • $1M-$5M nonprofits • Annualized from 2024 to 2025

Revenue Growth

3rd percentile

-75%

Faster revenue growth than 3% of similar nonprofits.

NTEE G • $1M-$5M nonprofits • Annualized from 2024 to 2025

Assets

Down

$1,141,622

Down $808,650 (-41%) from 2023

Liabilities

Down

$840,058

Down $11,255 (-1.3%) from 2023

Net Assets

Down

$301,564

Down $797,395 (-73%) from 2023

Revenue

Down

$90,711

Down $1,057,029 (-92%) from 2023

Expenses

Down

$888,106

Down $1,578,482 (-64%) from 2023

Net Income

Up

-$797,395

Up $521,453 (+40%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0M$2.0M$1.0M$0Assets 2018: $424,860Liabilities 2018: $169,636Net Assets 2018: $255,2242018Assets 2019: $213,675Liabilities 2019: $94,947Net Assets 2019: $118,7282019Assets 2020: $2,492,865Liabilities 2020: $94,946Net Assets 2020: $2,397,9192020Assets 2021: $2,024,422Liabilities 2021: $271,643Net Assets 2021: $1,752,7792021Assets 2022: $2,497,807Liabilities 2022: $80,000Net Assets 2022: $2,417,8072022Assets 2023: $1,950,272Liabilities 2023: $851,313Net Assets 2023: $1,098,9592023Assets 2024: $1,141,622Liabilities 2024: $840,058Net Assets 2024: $301,5642024

Highlighted filing

2024

Assets$1,141,622
Liabilities$840,058
Net Assets$301,564

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$4.0M$2.0M$0-$2.0MRevenue 2018: $1,676,903Expenses 2018: $1,411,384Net Income 2018: $265,5192018Revenue 2019: $1,309,870Expenses 2019: $1,446,366Net Income 2019: -$136,4962019Revenue 2020: $3,696,331Expenses 2020: $1,417,140Net Income 2020: $2,279,1912020Revenue 2021: $674,150Expenses 2021: $1,319,290Net Income 2021: -$645,1402021Revenue 2022: $3,129,053Expenses 2022: $2,464,025Net Income 2022: $665,0282022Revenue 2023: $1,147,740Expenses 2023: $2,466,588Net Income 2023: -$1,318,8482023Revenue 2024: $90,711Expenses 2024: $888,106Net Income 2024: -$797,3952024

Highlighted filing

2024

Revenue$90,711
Expenses$888,106
Net Income-$797,395

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Apr 10, 2025
Return Version
2024v5.1
Gross Receipts
$90,711
Mission and Program Overview

Mission

The organization's mission is to diagnose and to examine other aspects of early diagnosis and treatment of cardiovascular disease, specifically heart failure in third world countries where there is severe lack of proper medical treatment.

Heart initiative, (f/k/a african heart initiative) (the "corporation") is a non-profit organization.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,594,856$648,301▼ $946,555
Prepaid Expenses and Deferred Charges$340,856$340,856→ $0
Rtn Earn Endowment Incm Other Fnds$1,098,959$301,564▼ $797,395
Accounts Receivable-$60,000-
Cash and Non-Interest-Bearing Accounts$13$10▼ $3
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$1,950,272$1,141,622▼ $808,650
Other Assets Total$14,547$92,455▲ $77,908
Liabilities
Accounts Payable and Accrued Expenses$840,456$814,600▼ $25,856
Deferred Revenue$10,857$25,458▲ $14,601
Total Liabilities$851,313$840,058▼ $11,255
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,098,959$301,564▼ $797,395
Total Liabilities and Net Assets / Fund Balance$1,950,272$1,141,622▼ $808,650

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$92,455--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Beth Cotter-davisonDirector
Gad CotterDirector
Robert MolinaDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$60,000
Program Service Revenue
$0
Investment Income
$30,711
Other Revenue
$0
All Other Contributions
$60,000
Change in Net Assets
$-797,395
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$888,106
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$873,813--$873,813
Information Technology$8,021--$8,021
Other Expenses$6,272--$6,272
Total Functional Expenses$888,106$0$0$888,106
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Directors Are Shareholders of Momentum Research IncProfessional FeesNo$351,000
-Directors Are Indirect Shareholders of Momentum Research France SasProfessional FeesNo$276,080
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
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
No
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

Gad cotter and beth cotter-davidson are directors and married to each other.

Form 990, Part VI, Section B, Line 11B

No review was or will be conducted.

Form 990, Part VI, Section C, Line 19

No other documents available to the public.

Filing and Contact Details

Filer

Filer Name
Heart Initiative Inc
EIN
27-1263151
Phone
9192871824
Address
50101 GOVERNORS DR, CHAPEL HILL, NC 27517-9517

Signing Officer

Name
Beth Cotter-davison
Title
Director
Phone
9192871824
Signed
2025-04-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Beth Cotter-davison
Formed
2009
Legal Domicile
Nc
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Cohnreznick Llp
Address
490 SAWGRASS CORPORATE PARKWAY, SUITE 200, SUNRISE, FL 33325-6254
Preparer
Zvi Rafilovich
Phone
9549743544
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:

Created in 2009. Originally, the mission of the corporation was to collaborate with cardiovascular leaders in africa to improve the early diagnosis and treatment of cardiovascular diseases and heart failure in sub-saharan africa, particularly increasing usage of proven therapies for heart failure and improve adherence. Through the course of its work, the corporation's activities and research have evolved. The corporation has partnered with momentum research, inc., lariboisire hospital in paris, and roche diagnostics to examine other aspects of early diagnosis and treatment of cardiovascular disease, specifically heart failure, beyond africa. Mission and accomplishments: during 2024 the heart initiative continued its scientific mission to improve heart failure therapy globally through two main avenues: 1. Publications and sharing of data from studies completed the heart from studies completed in 2022 and previous years and share them with the scientific community. Such examples are highlighted in the links below among the contributing members of our research organization. Https://pubmed.ncbi.nlm.nih.gov/36356631/ 2. Performing studies to promote better heart health globally, the heart initiative has continued to sponsor its largest study to date the strong-hf study which is aimed at better implementing cheap, generic therapies in patients after and admission to a hospital for heart failure. In 2022, the heart initiative secured additional sponsorship from roche diagnostics to enable expanding the study to up to 1,100 patients and continues to recruit patients to the study globally in europe, south america and subsaharan africa. In 2022, the study was completed and analyzed, presented and published. 3. The heart initiative as with its partners at isnerm have initiated a new study to explore the effects of steroids in ahf. The study title is "effect of short-term prednisone therapy on c-reactive protein change in emergency department patients with acute heart failure and elevated inflammatory markers" acute heart failure (ahf) is a common discharge diagnosis in the emergency department (ed), associated with 1-month mortality of 6%, and a 30% risk rate of 1-month rehospitalization. Current guidelines recommend the use of nitrates and low dose diuretic to treat congestion, but to date, no drug has ever shown any improved clinical outcome when given at the acute phase. Several studies suggest that there is a high inflammatory component in ahf, with elevated markers such as il6 and c-reactive protein (crp). As it is the case in other acute respiratory disease, a short course of steroid therapy may limit the inflammatory response and in turn, improve ahf prognosis. The objective of the study is to assess the effect of a 7-day course of steroid introduced in the ed on inflammatory response. The study is a parallel-group, randomized, open-label, controlled trial in 5 eds in france. Patients with ahf and high crp levels will be randomized to 7 days of prednisone therapy or control and followed for 30days. Endpoints include change in crp levels and risk of worsening hf, hf readmission or death to day 30. 4. The heart initiative and its partners in mount sinai hospital in nyc have initiated a study to assess ways to improve adherence in patients with htn and hyperlipidemia. The study entiltled: "cp&r - cardiovascular precision medicine & remote intervention". Control of hypertension and hypercholesterolemia is key to reducing risk of adverse cardiovascular outcomes in patients with cardiovascular morbidity. Non-adherence to medical recommendations is the most important reason for adverse outcomes, as blood pressure remains erratic if medication-taking is also erratic. Non-adherence can be identified by multiple subjective and objective methods, but subjective methods (patients' own reports) are not reliable, and objective methods may be misleading (if they are dependent on factors other than adherence), or cumbersome. For example, electron

Form 990, Part IX, Line 11G

Professional fees: program service expenses 873,813. Management and general expenses 0. Fundraising expenses 0. Total expenses 873,813.

Raw XML Appendix341 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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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt092455
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0OTHER ASSETS
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt092455
IRS990/ScheduleJRequiredInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt0MOMENTUM RESEARCH INC
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt1MOMENTUM RESEARCH FRANCE SAS
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0DIRECTORS ARE SHAREHOLDERS OF MOMENTUM RESEARCH INC
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1DIRECTORS ARE INDIRECT SHAREHOLDERS OF MOMENTUM RESEARCH FRANCE SAS
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd10
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt0351000
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt1276080
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0PROFESSIONAL FEES
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1PROFESSIONAL FEES
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CREATED IN 2009. ORIGINALLY, THE MISSION OF THE CORPORATION WAS TO COLLABORATE WITH CARDIOVASCULAR LEADERS IN AFRICA TO IMPROVE THE EARLY DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR DISEASES AND HEART FAILURE IN SUB-SAHARAN AFRICA, PARTICULARLY INCREASING USAGE OF PROVEN THERAPIES FOR HEART FAILURE AND IMPROVE ADHERENCE. THROUGH THE COURSE OF ITS WORK, THE CORPORATION'S ACTIVITIES AND RESEARCH HAVE EVOLVED. THE CORPORATION HAS PARTNERED WITH MOMENTUM RESEARCH, INC., LARIBOISIRE HOSPITAL IN PARIS, AND ROCHE DIAGNOSTICS TO EXAMINE OTHER ASPECTS OF EARLY DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR DISEASE, SPECIFICALLY HEART FAILURE, BEYOND AFRICA. MISSION AND ACCOMPLISHMENTS: DURING 2024 THE HEART INITIATIVE CONTINUED ITS SCIENTIFIC MISSION TO IMPROVE HEART FAILURE THERAPY GLOBALLY THROUGH TWO MAIN AVENUES: 1. PUBLICATIONS AND SHARING OF DATA FROM STUDIES COMPLETED THE HEART FROM STUDIES COMPLETED IN 2022 AND PREVIOUS YEARS AND SHARE THEM WITH THE SCIENTIFIC COMMUNITY. SUCH EXAMPLES ARE HIGHLIGHTED IN THE LINKS BELOW AMONG THE CONTRIBUTING MEMBERS OF OUR RESEARCH ORGANIZATION. HTTPS://PUBMED.NCBI.NLM.NIH.GOV/36356631/ 2. PERFORMING STUDIES TO PROMOTE BETTER HEART HEALTH GLOBALLY, THE HEART INITIATIVE HAS CONTINUED TO SPONSOR ITS LARGEST STUDY TO DATE THE STRONG-HF STUDY WHICH IS AIMED AT BETTER IMPLEMENTING CHEAP, GENERIC THERAPIES IN PATIENTS AFTER AND ADMISSION TO A HOSPITAL FOR HEART FAILURE. IN 2022, THE HEART INITIATIVE SECURED ADDITIONAL SPONSORSHIP FROM ROCHE DIAGNOSTICS TO ENABLE EXPANDING THE STUDY TO UP TO 1,100 PATIENTS AND CONTINUES TO RECRUIT PATIENTS TO THE STUDY GLOBALLY IN EUROPE, SOUTH AMERICA AND SUBSAHARAN AFRICA. IN 2022, THE STUDY WAS COMPLETED AND ANALYZED, PRESENTED AND PUBLISHED. 3. THE HEART INITIATIVE AS WITH ITS PARTNERS AT ISNERM HAVE INITIATED A NEW STUDY TO EXPLORE THE EFFECTS OF STEROIDS IN AHF. THE STUDY TITLE IS "EFFECT OF SHORT-TERM PREDNISONE THERAPY ON C-REACTIVE PROTEIN CHANGE IN EMERGENCY DEPARTMENT PATIENTS WITH ACUTE HEART FAILURE AND ELEVATED INFLAMMATORY MARKERS" ACUTE HEART FAILURE (AHF) IS A COMMON DISCHARGE DIAGNOSIS IN THE EMERGENCY DEPARTMENT (ED), ASSOCIATED WITH 1-MONTH MORTALITY OF 6%, AND A 30% RISK RATE OF 1-MONTH REHOSPITALIZATION. CURRENT GUIDELINES RECOMMEND THE USE OF NITRATES AND LOW DOSE DIURETIC TO TREAT CONGESTION, BUT TO DATE, NO DRUG HAS EVER SHOWN ANY IMPROVED CLINICAL OUTCOME WHEN GIVEN AT THE ACUTE PHASE. SEVERAL STUDIES SUGGEST THAT THERE IS A HIGH INFLAMMATORY COMPONENT IN AHF, WITH ELEVATED MARKERS SUCH AS IL6 AND C-REACTIVE PROTEIN (CRP). AS IT IS THE CASE IN OTHER ACUTE RESPIRATORY DISEASE, A SHORT COURSE OF STEROID THERAPY MAY LIMIT THE INFLAMMATORY RESPONSE AND IN TURN, IMPROVE AHF PROGNOSIS. THE OBJECTIVE OF THE STUDY IS TO ASSESS THE EFFECT OF A 7-DAY COURSE OF STEROID INTRODUCED IN THE ED ON INFLAMMATORY RESPONSE. THE STUDY IS A PARALLEL-GROUP, RANDOMIZED, OPEN-LABEL, CONTROLLED TRIAL IN 5 EDS IN FRANCE. PATIENTS WITH AHF AND HIGH CRP LEVELS WILL BE RANDOMIZED TO 7 DAYS OF PREDNISONE THERAPY OR CONTROL AND FOLLOWED FOR 30DAYS. ENDPOINTS INCLUDE CHANGE IN CRP LEVELS AND RISK OF WORSENING HF, HF READMISSION OR DEATH TO DAY 30. 4. THE HEART INITIATIVE AND ITS PARTNERS IN MOUNT SINAI HOSPITAL IN NYC HAVE INITIATED A STUDY TO ASSESS WAYS TO IMPROVE ADHERENCE IN PATIENTS WITH HTN AND HYPERLIPIDEMIA. THE STUDY ENTILTLED: "CP&R - CARDIOVASCULAR PRECISION MEDICINE & REMOTE INTERVENTION". CONTROL OF HYPERTENSION AND HYPERCHOLESTEROLEMIA IS KEY TO REDUCING RISK OF ADVERSE CARDIOVASCULAR OUTCOMES IN PATIENTS WITH CARDIOVASCULAR MORBIDITY. NON-ADHERENCE TO MEDICAL RECOMMENDATIONS IS THE MOST IMPORTANT REASON FOR ADVERSE OUTCOMES, AS BLOOD PRESSURE REMAINS ERRATIC IF MEDICATION-TAKING IS ALSO ERRATIC. NON-ADHERENCE CAN BE IDENTIFIED BY MULTIPLE SUBJECTIVE AND OBJECTIVE METHODS, BUT SUBJECTIVE METHODS (PATIENTS' OWN REPORTS) ARE NOT RELIABLE, AND OBJECTIVE METHODS MAY BE MISLEADING (IF THEY ARE DEPENDENT ON FACTORS OTHER THAN ADHERENCE), OR CUMBERSOME. FOR EXAMPLE, ELECTRON
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1GAD COTTER AND BETH COTTER-DAVIDSON ARE DIRECTORS AND MARRIED TO EACH OTHER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NO REVIEW WAS OR WILL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NO OTHER DOCUMENTS AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 873,813. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 873,813.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART IX, LINE 11G
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IRS990/TotalFunctionalExpensesGrp/TotalAmt0888106
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IRS990/USAddress/CityNm0MIAMI
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd033134
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IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0BETH COTTER-DAVISON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum09192871824
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-04-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0HEART INITIATIVE INC
ReturnHeader/Filer/BusinessNameControlTxt0HEAR
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ReturnHeader/Filer/USAddress/AddressLine1Txt050101 GOVERNORS DR
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0COHNREZNICK LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0490 SAWGRASS CORPORATE PARKWAY
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ReturnHeader/PreparerPersonGrp/PreparationDt02025-04-09
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ZVI RAFILOVICH
ReturnHeader/ReturnTs02025-04-14T01:09:08-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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