Civic Intelligence

Forge Health Inc

990EZ • Fiscal year 2015 • EIN 47-2273055

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 10, 2016

923 Peachtree Street NE No 833Atlanta, GA 30309

(954) 448-4438

Siviq Scores

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

Liabilities / Assets

55th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

55th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

91st percentile

46%

Higher net margin than 91% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Assets

$25,561

No earlier filing loaded for comparison.

Net Assets

$25,561

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Revenue

$55,268

No earlier filing loaded for comparison.

Expenses

$29,912

No earlier filing loaded for comparison.

Net Income

$25,356

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$30K$20K$10K$0Assets 2015: $25,561Liabilities 2015: $0Net Assets 2015: $25,5612015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016

Highlighted filing

2015

Assets$25,561
Liabilities$0
Net Assets$25,561

Operations Trend

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

$100K$50K$0-$50KRevenue 2015: $55,268Expenses 2015: $29,912Net Income 2015: $25,3562015Revenue 2016: $17,994Expenses 2016: $43,555Net Income 2016: -$25,5612016

Highlighted filing

2015

Revenue$55,268
Expenses$29,912
Net Income$25,356
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 10, 2016
Return Version
2015v2.1
Gross Receipts
$55,268
Mission and Program Overview

Mission

The corporation's exempt purpose is to provide (a) educational programming for clinicians, scientists, engineers, and designers as healthcare entrepreneurs, (b) coaching, mentorship and strategic guidance to entrepreneurs with early-stage healthcare startups, and (c) seed grants and scholarships to support the early stage development, testing and distribution of healthcare technologies by early-stage healthcare startups.by engaging in these initiatives, the corporation will promote a culture of entrepreneurship in healthcare that has the potential to improve healthcare for patients.

Program Services

DescriptionGrantsExpenses
FORGE'S MISSION IS TO HELP HEALTHCARE ENTREPRENEURS SOLVE THE MOST CHALLENGING PROBLEMS IN HEALTHCARE THROUGH EDUCATIONAL PROGRAMMING AND BY CONNECTING THEM WITH CLINICIANS, INVESTORS AND MENTORS. TO MEET THIS EDUCATIONAL GOAL, FORGE HOSTED BI-MONTHLY EVENTS THROUGHOUT 2015. WE HOSTED 4 'SALONS' WHICH ARE HEALTHCARE INNOVATION EVENTS FEATURING THOUGHT LEADERS AS SPEAKERS AND DISCUSSION LEADERS, AND A 'HEALTH INNOVATION CHALLENGE' -- A 36 HOUR INNOVATION SPRINT THAT BRINGS TOGETHER CLINICIANS, SCIENTISTS, DEVELOPERS AND DESIGNERS TO FORM TEAMS AND PROTOTYPE NEW TECHNOLOGIES TO SOLVE 'PAIN POINTS' IN HEALTHCARE. THE LATTER WAS DONE IN PARTNERSHIP WITH THE VA CENTER FOR INNOVATION FOCUSING ON CREATING A BETTER HEALTHCARE EXPERIENCE FOR VETERANS. OVERALL OUR EVENTS SERVED OVER 750+ PEOPLE THROUGHOUT 2015.$6,500$23,656
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
ARASH HARZANDPresidentPT$0--
ERIK REINERTSENVice President, SecretaryPT$0--
EVAN MCCLURETreasurerPT$0--
Filing and Contact Details

Filer

Filer Name
Forge Health Inc
EIN
47-2273055
Phone
9544484438
Address
923 PEACHTREE STREET NE NO 833, ATLANTA, GA 30309

Signing Officer

Name
Arash Harzand
Title
President
Phone
9544484438
Signed
2016-11-10
Discuss with paid preparer
Yes

Preparer

Firm
Habif Arogeti & Wynne Llp
Address
FIVE CONCOURSE PARKWAY SUITE 1000, ATLANTA, GA 30328
Preparer
Angela T Dotson CPA
Phone
4048929651
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid

Activity classification: . Grantee name: origyn medical c/o r. Dennis steed. Grantee address: 6331 hunting creek rd atlanta, ga 30328. Date of gift: 08/17/15. Amount given: 5,000.

Form 990-ez, Part I, Line 16 - Other Expenses

Description: bank charges. Amount: 8. Description: advertising. Amount: 4,498. Description: office expenses. Amount: 3,065. Description: travel. Amount: 1,319. Description: insurance. Amount: 1,110. Description: dues & subscriptions. Amount: 148. Description: licenses. Amount: 905. Description: meals & entertainment. Amount: 339. Description: online applications. Amount: 499. Description: miscellaneous. Amount: 20. Description: event catering for health innovation challenge. Amount: 9,087. Description: event logistics for health innovation challenge. Amount: 977. Total to form 990-ez, line 16: 21,975.

Raw XML Appendix139 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.

Path#Value
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IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0ATLANTA
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0ARASH HARZAND
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1ERIK REINERTSEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2EVAN MCCLURE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE PRESIDENT, SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2TREASURER
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt021975
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0THE CORPORATION'S EXEMPT PURPOSE IS TO PROVIDE (A) EDUCATIONAL PROGRAMMING FOR CLINICIANS, SCIENTISTS, ENGINEERS, AND DESIGNERS AS HEALTHCARE ENTREPRENEURS, (B) COACHING, MENTORSHIP AND STRATEGIC GUIDANCE TO ENTREPRENEURS WITH EARLY-STAGE HEALTHCARE STARTUPS, AND (C) SEED GRANTS AND SCHOLARSHIPS TO SUPPORT THE EARLY STAGE DEVELOPMENT, TESTING AND DISTRIBUTION OF HEALTHCARE TECHNOLOGIES BY EARLY-STAGE HEALTHCARE STARTUPS.BY ENGAGING IN THESE INITIATIVES, THE CORPORATION WILL PROMOTE A CULTURE OF ENTREPRENEURSHIP IN HEALTHCARE THAT HAS THE POTENTIAL TO IMPROVE HEALTHCARE FOR PATIENTS.
IRS990EZ/ProgramServiceRevenueAmt03012
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0FORGE'S MISSION IS TO HELP HEALTHCARE ENTREPRENEURS SOLVE THE MOST CHALLENGING PROBLEMS IN HEALTHCARE THROUGH EDUCATIONAL PROGRAMMING AND BY CONNECTING THEM WITH CLINICIANS, INVESTORS AND MENTORS. TO MEET THIS EDUCATIONAL GOAL, FORGE HOSTED BI-MONTHLY EVENTS THROUGHOUT 2015. WE HOSTED 4 'SALONS' WHICH ARE HEALTHCARE INNOVATION EVENTS FEATURING THOUGHT LEADERS AS SPEAKERS AND DISCUSSION LEADERS, AND A 'HEALTH INNOVATION CHALLENGE' -- A 36 HOUR INNOVATION SPRINT THAT BRINGS TOGETHER CLINICIANS, SCIENTISTS, DEVELOPERS AND DESIGNERS TO FORM TEAMS AND PROTOTYPE NEW TECHNOLOGIES TO SOLVE 'PAIN POINTS' IN HEALTHCARE. THE LATTER WAS DONE IN PARTNERSHIP WITH THE VA CENTER FOR INNOVATION FOCUSING ON CREATING A BETTER HEALTHCARE EXPERIENCE FOR VETERANS. OVERALL OUR EVENTS SERVED OVER 750+ PEOPLE THROUGHOUT 2015.
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IRS990EZ/ProhibitedTaxShelterTransInd00
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IRS990EZ/SchoolOperatingInd00
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IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
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IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
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IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ACTIVITY CLASSIFICATION: . GRANTEE NAME: ORIGYN MEDICAL C/O R. DENNIS STEED. GRANTEE ADDRESS: 6331 HUNTING CREEK RD ATLANTA, GA 30328. DATE OF GIFT: 08/17/15. AMOUNT GIVEN: 5,000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DESCRIPTION: BANK CHARGES. AMOUNT: 8. DESCRIPTION: ADVERTISING. AMOUNT: 4,498. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 3,065. DESCRIPTION: TRAVEL. AMOUNT: 1,319. DESCRIPTION: INSURANCE. AMOUNT: 1,110. DESCRIPTION: DUES & SUBSCRIPTIONS. AMOUNT: 148. DESCRIPTION: LICENSES. AMOUNT: 905. DESCRIPTION: MEALS & ENTERTAINMENT. AMOUNT: 339. DESCRIPTION: ONLINE APPLICATIONS. AMOUNT: 499. DESCRIPTION: MISCELLANEOUS. AMOUNT: 20. DESCRIPTION: EVENT CATERING FOR HEALTH INNOVATION CHALLENGE. AMOUNT: 9,087. DESCRIPTION: EVENT LOGISTICS FOR HEALTH INNOVATION CHALLENGE. AMOUNT: 977. TOTAL TO FORM 990-EZ, LINE 16: 21,975.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ARASH HARZAND
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum09544484438
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-11-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FORGE HEALTH INC
ReturnHeader/Filer/BusinessNameControlTxt0FORG
ReturnHeader/Filer/EIN0472273055
ReturnHeader/Filer/PhoneNum09544484438
ReturnHeader/Filer/USAddress/AddressLine1Txt0923 PEACHTREE STREET NE NO 833
ReturnHeader/Filer/USAddress/CityNm0ATLANTA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd030309
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0571157523
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HABIF AROGETI & WYNNE LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0FIVE CONCOURSE PARKWAY SUITE 1000
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ATLANTA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0GA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd030328
ReturnHeader/PreparerPersonGrp/PhoneNum04048929651
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ANGELA T DOTSON CPA
ReturnHeader/ReturnTs02016-11-15T14:23:47-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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