Civic Intelligence

Henry Development Ventures Inc

990 • Fiscal year 2014 • EIN 58-2200734

Jul 01, 2013 to Jun 30, 2014 • Filed on May 13, 2015

1133 Eagles Landing ParkwaySuiteStockbridge, GA 30281

(678) 604-5847

Siviq Scores

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

Liabilities / Assets

95th percentile

1.11x

Higher debt load relative to assets than 95% of similar nonprofits.

2014 filings • 501(c)2 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

Score unavailable

No value available

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

Source year 2014

Net Margin

95th percentile

100%

Higher net margin than 95% of similar nonprofits.

2014 filings • 501(c)2 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

96th percentile

$567,464

Higher top officer pay than 96% of similar nonprofits.

2014 filings • 501(c)2 • $1M-$5M nonprofits • Source year 2014

Asset Growth

8th percentile

-8.2%

Faster asset growth than 8% of similar nonprofits.

2014 filings • 501(c)2 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2013 to 2014

Assets

Down

$2,329,508

Down $206,802 (-8.2%) from 2013

Net Assets

Down

-$255,426

Down $169,605 (-198%) from 2013

Liabilities

Down

$2,584,934

Down $37,197 (-1.4%) from 2013

Revenue

Up

-$169,605

Up $33,626 (+17%) from 2013

Expenses

Flat

$0

Flat from 2013

Net Income

Up

-$169,605

Up $33,626 (+17%) from 2013

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0-$2.0M-$4.0MAssets 2010: $3,014,452Liabilities 2010: $5,108,828Net Assets 2010: -$2,094,3762010Assets 2011: $2,871,712Liabilities 2011: $5,181,158Net Assets 2011: -$2,309,4462011Assets 2012: $2,809,221Liabilities 2012: $2,691,811Net Assets 2012: $117,4102012Assets 2013: $2,536,310Liabilities 2013: $2,622,131Net Assets 2013: -$85,8212013Assets 2014: $2,329,508Liabilities 2014: $2,584,934Net Assets 2014: -$255,4262014Assets 2015: $1Liabilities 2015: $0Net Assets 2015: $02015Assets 2016: $1Liabilities 2016: $0Net Assets 2016: $02016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2014

Assets$2,329,508
Liabilities$2,584,934
Net Assets-$255,426

Operations Trend

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

$0-$100K-$200K-$300KExpenses 2010: $02010Expenses 2011: $02011Expenses 2012: $02012Revenue 2013: -$203,231Expenses 2013: $0Net Income 2013: -$203,2312013Revenue 2014: -$169,605Expenses 2014: $0Net Income 2014: -$169,6052014Revenue 2015: $0Expenses 2015: $0Net Income 2015: $02015Revenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $0Expenses 2017: $0Net Income 2017: $02017Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018

Highlighted filing

2014

Revenue-$169,605
Expenses$0
Net Income-$169,605
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 13, 2015
Return Version
2013v4.0
Gross Receipts
$458,501
Mission and Program Overview

Mission

To support piedmont henry hospital, inc., a 501(c)(3) hospital, by holding title to and renting medical office buildings to physicians.

SEE PART III

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,189,525$2,071,119▼ $118,406
Accounts Receivable$301,663$246,707▼ $54,956
Cash and Non-Interest-Bearing Accounts$45,122$11,682▼ $33,440
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$2,536,310$2,329,508▼ $206,802
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$2,167,416$2,268,480▲ $101,064
Mortgage Notes Payable Secured by Investment Property$449,465$311,204▼ $138,261
Accounts Payable and Accrued Expenses$5,250$5,250→ $0
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,622,131$2,584,934▼ $37,197
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-85,821$-255,426▼ $169,605
Total Net Assets Fund Balance$-85,821$-255,426▼ $169,605
Total Liabilities and Net Assets / Fund Balance$2,536,310$2,329,508▼ $206,802

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,742,119$2,327,892$4,070,011
Land$327,403-$327,403
Equipment$1,597$175,455$177,052
Compensation and Service Providers

Board Members and Trustees

NameTitle
Gerald TaylorChairman
Charles F ScottPresident & CEO
Dr Joseph BlissitBoard Member
Dr Orlando F LopezBoard Member
Dr William R OsborneBoard Member
Emanuel D JonesBoard Member
John DavisBoard Member
Tom WiseBoard Member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$-169,605
Change in Net Assets
$-169,605
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
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
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Piedmont Henry Hospital$2,268,480
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Line 3

Management delegated henry development ventures, inc. ("hdv") contracts with piedmont henry hospital, inc., to provide all management personnel, management systems, and infrastructure. The contract is automatically renewable in one-year periods. In exchange for the management services provided, hdv provides the premises for an urgent care center at cost; provides real estate ownership, development, and management of health care related facilities; assists in providing guarantees, endorsements, and/or agreements in conjunction with long-term financing vehicles in support of the hospital; assists in community education, policy development, public relations, and other efforts to benefit the improvement of the health status of constituents of the hospital; and provides services as contemplated in the governing documents of hdv.

Form 990, Part VI, Section A, Line 6

Organization's sole member piedmont henry hospital, inc., is the sole member of henry development ventures, inc. ("hdv").

Form 990, Part VI, Section A, Line 7A

Election of governing body the board of piedmont henry hospital appoints the members of the board of directors of henry development ventures.

Form 990, Part VI, Section A, Line 7B

Decisions of governing body policies and decisions of the henry development ventures board of directors are subject to the approval of or ratification by the piedmont henry hospital board.

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

990 review process information needed to complete henry development ventures' form 990 is compiled by individuals in piedmont henry hospital's ("phh") finance department. The information is reviewed by phh's controller and vp/cfo. The 990 is then prepared internally by piedmont healthcare, inc.'s (phh's sole member) tax director and submitted to an external tax preparer for review. Copies of form 990 are provided to phh's and hdv's ceo for review prior to filing.

Form 990, Part VI, Section B, Line 12C

Conflict of interest policy compliance with the organization's conflict of interest policy is monitored and enforced by piedmont henry hospital in coordination with piedmont healthcare's chief compliance officer. All senior leaders, board members, physician employees, nurse practitioners/physician assistants and employees and non-employees engaged in research are required to annually disclose all matters which could potentially constitute a conflict of interest. Matters disclosed under the policy must be reviewed in writing by the piedmont healthcare conflict of interest committee in order to determine whether a conflict exists and, if so, whether to eliminate or manage the conflict. All board members and employees of piedmont henry hospital and hdv are provided training on conflict of interest issues, including reporting requirements, at new-employee orientation and at least annually thereafter. Noncompliance with the conflict of interest policy must be reported to piedmont healthcare's senior vice president of compliance for investigation, and remedial steps must be taken as appropriate under the piedmont healthcare disciplinary policies.

Form 990, Part VI, Section C, Line 19

Disclosure of governing, conflict of interest and financial documents governing documents, conflict of interest policy and financial statements are available upon request. These documents should be requested from piedmont healthcare, inc's legal counsel.

Filing and Contact Details

Filer

EIN
58-2200734
In Care Of
% MARIE GAFFNEY
Phone
6786045847

Signing Officer

Name
Charlie Hall
Title
Parent Co. Treasurer
Signed
2015-05-13

Organization Details

Principal Officer
Charles F Scott
Formed
1995
Legal Domicile
Ga
Voting Board Members
8
Independent Board Members
7
Employees
0
Volunteers
7

Preparer

Preparer
Shawn M Hutchinson
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO PIEDMONT HENRY HOSPITAL
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Charles F Scott
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0President & CEO
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CHARLES F. SCOTT PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PART I, LINE 4B
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MANAGEMENT DELEGATED HENRY DEVELOPMENT VENTURES, INC. ("HDV") CONTRACTS WITH PIEDMONT HENRY HOSPITAL, INC., TO PROVIDE ALL MANAGEMENT PERSONNEL, MANAGEMENT SYSTEMS, AND INFRASTRUCTURE. THE CONTRACT IS AUTOMATICALLY RENEWABLE IN ONE-YEAR PERIODS. IN EXCHANGE FOR THE MANAGEMENT SERVICES PROVIDED, HDV PROVIDES THE PREMISES FOR AN URGENT CARE CENTER AT COST; PROVIDES REAL ESTATE OWNERSHIP, DEVELOPMENT, AND MANAGEMENT OF HEALTH CARE RELATED FACILITIES; ASSISTS IN PROVIDING GUARANTEES, ENDORSEMENTS, AND/OR AGREEMENTS IN CONJUNCTION WITH LONG-TERM FINANCING VEHICLES IN SUPPORT OF THE HOSPITAL; ASSISTS IN COMMUNITY EDUCATION, POLICY DEVELOPMENT, PUBLIC RELATIONS, AND OTHER EFFORTS TO BENEFIT THE IMPROVEMENT OF THE HEALTH STATUS OF CONSTITUENTS OF THE HOSPITAL; AND PROVIDES SERVICES AS CONTEMPLATED IN THE GOVERNING DOCUMENTS OF HDV.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ORGANIZATION'S SOLE MEMBER PIEDMONT HENRY HOSPITAL, INC., IS THE SOLE MEMBER OF HENRY DEVELOPMENT VENTURES, INC. ("HDV").
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ELECTION OF GOVERNING BODY THE BOARD OF PIEDMONT HENRY HOSPITAL APPOINTS THE MEMBERS OF THE BOARD OF DIRECTORS OF HENRY DEVELOPMENT VENTURES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DECISIONS OF GOVERNING BODY POLICIES AND DECISIONS OF THE HENRY DEVELOPMENT VENTURES BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF OR RATIFICATION BY THE PIEDMONT HENRY HOSPITAL BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4990 REVIEW PROCESS INFORMATION NEEDED TO COMPLETE HENRY DEVELOPMENT VENTURES' FORM 990 IS COMPILED BY INDIVIDUALS IN PIEDMONT HENRY HOSPITAL'S ("PHH") FINANCE DEPARTMENT. THE INFORMATION IS REVIEWED BY PHH'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE, INC.'S (PHH'S SOLE MEMBER) TAX DIRECTOR AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. COPIES OF FORM 990 ARE PROVIDED TO PHH'S AND HDV'S CEO FOR REVIEW PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CONFLICT OF INTEREST POLICY COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY PIEDMONT HENRY HOSPITAL IN COORDINATION WITH PIEDMONT HEALTHCARE'S CHIEF COMPLIANCE OFFICER. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS AND EMPLOYEES AND NON-EMPLOYEES ENGAGED IN RESEARCH ARE REQUIRED TO ANNUALLY DISCLOSE ALL MATTERS WHICH COULD POTENTIALLY CONSTITUTE A CONFLICT OF INTEREST. MATTERS DISCLOSED UNDER THE POLICY MUST BE REVIEWED IN WRITING BY THE PIEDMONT HEALTHCARE CONFLICT OF INTEREST COMMITTEE IN ORDER TO DETERMINE WHETHER A CONFLICT EXISTS AND, IF SO, WHETHER TO ELIMINATE OR MANAGE THE CONFLICT. ALL BOARD MEMBERS AND EMPLOYEES OF PIEDMONT HENRY HOSPITAL AND HDV ARE PROVIDED TRAINING ON CONFLICT OF INTEREST ISSUES, INCLUDING REPORTING REQUIREMENTS, AT NEW-EMPLOYEE ORIENTATION AND AT LEAST ANNUALLY THEREAFTER. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO PIEDMONT HEALTHCARE'S SENIOR VICE PRESIDENT OF COMPLIANCE FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6DISCLOSURE OF GOVERNING, CONFLICT OF INTEREST AND FINANCIAL DOCUMENTS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC'S LEGAL COUNSEL.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt2HEALTHCARE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt3RELATED INSURANCE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt4HEALTH INSURANCE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine10PIEDMONT MEDICAL CARE CORPORATION
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine11THE PIEDMONT CLINIC INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine12PIEDMONT HEART INSTITUTE PHYSICIANS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine13AMSTER MCRAE INSURANCE COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine14PIEDMONT WELLSTAR HEALTHPLANS INC
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