Civic Intelligence

Forge Health Inc

990EZ • Fiscal year 2016 • EIN 47-2273055

Jan 01, 2016 to Dec 31, 2016 • Filed on Mar 10, 2017

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

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2016

Liabilities / Revenue

55th percentile

0.00x

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

4th percentile

-142%

Higher net margin than 4% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

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.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

6th percentile

-67%

Faster revenue growth than 6% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Down

$0

Down $25,561 (-100%) from 2015

Net Assets

Down

$0

Down $25,561 (-100%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Down

$17,994

Down $37,274 (-67%) from 2015

Expenses

Up

$43,555

Up $13,643 (+46%) from 2015

Net Income

Down

-$25,561

Down $50,917 (-201%) from 2015

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

2016

Assets$0
Liabilities$0
Net Assets$0

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

2016

Revenue$17,994
Expenses$43,555
Net Income-$25,561
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Mar 10, 2017
Return Version
2016v3.0
Gross Receipts
$17,994
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 2016. WE HOSTED 4 'SALONS' WHICH ARE HEALTHCARE INNOVATION EVENTS FEATURING THOUGHT LEADERS AS SPEAKERS AND DISCUSSION LEADERS AND THE FOUNDERS FORUM, A 10 WEEK ACCELERATOR FOR DIGITAL HEALTH STARTUPS WITH SEED FUNDING, MENTORSHIP, AND CLINICAL ACCESS. OVERALL OUR EVENTS SERVED OVER 750+ PEOPLE THROUGHOUT 2016.$22,001$43,555
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
ARASH HARZANDPresident, TreasurerPT$0--
ERIK REINERTSENVice President, SecretaryPT$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
2017-03-10
Discuss with paid preparer
Yes

Preparer

Firm
Haw Aprio 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: 04/01/16. Amount given: 5,000.

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

Activity classification: . Grantee name: sling health. Grantee address: 20 s sarah street st louis, mo 63108. Date of gift: 12/29/16. Amount given: 2,201.

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

Activity classification: . Grantee name: moving analytics. Grantee address: 1275 mission street san francisco, ca 94103. Amount given: 5,000.

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

Activity classification: . Grantee name: fraudscope . Grantee address: 859 spring st nw atlanta, ga 30308. Amount given: 5,000.

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

Activity classification: . Grantee name: radixhealth. Grantee address: 1718 peachtree street nw atlanta, ga 30309. Amount given: 5,000. Total included on form 990-ez, line 10: 22,201.

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

Description: bank charges. Amount: 123. Description: advertising. Amount: 2,420. Description: office expenses. Amount: 1,594. Description: travel. Amount: 46. Description: insurance. Amount: 1,171. Description: dues & subscriptions. Amount: 15. Description: licenses. Amount: 150. Description: meals & entertainment. Amount: 263. Description: online applications. Amount: 389. Description: miscellaneous. Amount: 67. Description: event catering for health innovation challenge. Amount: 3,361. Description: event logistics for health innovation challenge. Amount: 48. Description: space rental. Amount: 3,400. Description: gifts. Amount: 3,750. Description: communications. Amount: 220. Total to form 990-ez, line 16: 17,017.

Raw XML Appendix172 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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IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt115.00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT, TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE PRESIDENT, SECRETARY
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd01
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt017017
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/ProgramServiceRevenueAmt06694
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 2016. WE HOSTED 4 'SALONS' WHICH ARE HEALTHCARE INNOVATION EVENTS FEATURING THOUGHT LEADERS AS SPEAKERS AND DISCUSSION LEADERS AND THE FOUNDERS FORUM, A 10 WEEK ACCELERATOR FOR DIGITAL HEALTH STARTUPS WITH SEED FUNDING, MENTORSHIP, AND CLINICAL ACCESS. OVERALL OUR EVENTS SERVED OVER 750+ PEOPLE THROUGHOUT 2016.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt022001
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt043555
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/SchoolOperatingInd00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0GA
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
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IRS990EZ/TotalProgramServiceExpensesAmt043555
IRS990EZ/TotalRevenueAmt017994
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.FORGEHEALTH.ORG
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt011300
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt052256
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt063556
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt06695
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt03012
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt09707
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportTotal509Amt073263
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt017995
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt055268
IRS990ScheduleA/Total509Grp/TotalAmt073263
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt017995
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt055268
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt073263
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02016-12-29
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0465658453
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt02201
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0ACTUAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt020 S SARAH STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0ST LOUIS
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IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
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: 04/01/16. AMOUNT GIVEN: 5,000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ACTIVITY CLASSIFICATION: . GRANTEE NAME: SLING HEALTH. GRANTEE ADDRESS: 20 S SARAH STREET ST LOUIS, MO 63108. DATE OF GIFT: 12/29/16. AMOUNT GIVEN: 2,201.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ACTIVITY CLASSIFICATION: . GRANTEE NAME: MOVING ANALYTICS. GRANTEE ADDRESS: 1275 MISSION STREET SAN FRANCISCO, CA 94103. AMOUNT GIVEN: 5,000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ACTIVITY CLASSIFICATION: . GRANTEE NAME: FRAUDSCOPE . GRANTEE ADDRESS: 859 SPRING ST NW ATLANTA, GA 30308. AMOUNT GIVEN: 5,000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ACTIVITY CLASSIFICATION: . GRANTEE NAME: RADIXHEALTH. GRANTEE ADDRESS: 1718 PEACHTREE STREET NW ATLANTA, GA 30309. AMOUNT GIVEN: 5,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 22,201.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DESCRIPTION: BANK CHARGES. AMOUNT: 123. DESCRIPTION: ADVERTISING. AMOUNT: 2,420. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 1,594. DESCRIPTION: TRAVEL. AMOUNT: 46. DESCRIPTION: INSURANCE. AMOUNT: 1,171. DESCRIPTION: DUES & SUBSCRIPTIONS. AMOUNT: 15. DESCRIPTION: LICENSES. AMOUNT: 150. DESCRIPTION: MEALS & ENTERTAINMENT. AMOUNT: 263. DESCRIPTION: ONLINE APPLICATIONS. AMOUNT: 389. DESCRIPTION: MISCELLANEOUS. AMOUNT: 67. DESCRIPTION: EVENT CATERING FOR HEALTH INNOVATION CHALLENGE. AMOUNT: 3,361. DESCRIPTION: EVENT LOGISTICS FOR HEALTH INNOVATION CHALLENGE. AMOUNT: 48. DESCRIPTION: SPACE RENTAL. AMOUNT: 3,400. DESCRIPTION: GIFTS. AMOUNT: 3,750. DESCRIPTION: COMMUNICATIONS. AMOUNT: 220. TOTAL TO FORM 990-EZ, LINE 16: 17,017.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 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/SignatureDt02017-03-10
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
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ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0208.87.239.180
ReturnHeader/FilingSecurityInformation/IPDt02017-03-10
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ES
ReturnHeader/FilingSecurityInformation/IPTm015:29:07
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0582487348
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HAW APRIO 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/ReturnTs02017-03-13T10:06:33-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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Filings

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • <$500k nonprofits