2024-11-15T13:17:19-06:00 2023-12-31 450250958 EIDE BAILLY LLP 5 TRIAD CENTER STE 600 SALT LAKE CITY UT 841801106 990 2023-01-01 844514428 CIVICA FOUNDATION CIVI 8883040120 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 EAMON FITZMAURICE CHIEF FINANCIAL OFFICER 8883040120 2024-11-14 1 1 KYLE FRITCH CPA P01313374 8015322200 2024-11-13 2023 2024-10-15 13:58:12Z NED MCCOY 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 17367873 0 X N/A X 2019 DE ENSURE QUALITY GENERIC MEDICATIONS ARE AVAILABLE AND AFFORDABLE TO EVERYONE. 10 9 2 10 0 0 46710000 16407622 0 0 671169 960251 0 0 47381169 17367873 7552514 6182577 0 0 1963781 3218344 0 0 0 8975853 31278358 18492148 40679279 28889021 -23311406 63531224 37978742 6769777 4528701 56761447 33450041 X ENSURE QUALITY GENERIC MEDICATIONS ARE AVAILABLE AND AFFORDABLE TO EVERYONE. THE FOUNDATION SEEKS BOLD PHILANTHROPIC PARTNERS WHO ARE: 1) PASSIONATE ABOUT IMPROVING AND SAVING THE LIVES OF MILLIONS OF PEOPLE ACROSS THE UNITED STATES, 2) COMMITTED TO BUILDING PATHWAYS TO RELIABLE DRUG ACCESS AND AFFORDABILITY AND 3) INSPIRED BY THE OPPORTUNITY TO INNOVATE FOR LIFE. 0 0 40679279 6182577 ENSURE QUALITY GENERIC MEDICATIONS ARE AVAILABLE AND AFFORDABLE TO EVERYONE. THE FOUNDATION SEEKS BOLD PHILANTHROPIC PARTNERS WHO ARE: 1) PASSIONATE ABOUT IMPROVING AND SAVING THE LIVES OF MILLIONS OF PEOPLE ACROSS THE UNITED STATES, 2) COMMITTED TO BUILDING PATHWAYS TO RELIABLE DRUG ACCESS AND AFFORDABILITY AND 3) INSPIRED BY THE OPPORTUNITY TO INNOVATE FOR LIFE. 40679279 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 1 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 0 UT X JENNIFER SPALDING 8883040120 2912 W EXECUTIVE PARKWAY STE 325 LEHI UT 84043 LOUIS FIERENS DIRECTOR AND CHAIR 2.00 0.00 X X 0 0 0 SHELLEY LYFORD DIRECTOR 2.00 1.00 X 0 0 0 DANIEL LILJENQUIST DIRECTOR 2.00 1.00 X 0 0 0 RICHARD FIGEROUA DIRECTOR 1.00 0.00 X 0 0 0 MARK GHALY DIRECTOR 1.00 0.00 X 0 0 0 DAVID FLOOD DIRECTOR 1.00 0.00 X 0 0 0 GLEN TULLMAN DIRECTOR 1.00 0.00 X 0 0 0 AARON KOWALSKI DIRECTOR 1.00 0.00 X 0 0 0 NED MCCOY CHIEF EXECUTIVE OFFICER/PRESIDENT 4.00 36.00 X X 119053 1071478 29444 MARTIN VANTRIESTE DIRECTOR 1.00 1.00 X 0 0 0 EAMON FITZMAURICE CHIEF FINANCIAL OFFICER 4.00 36.00 X 77823 700409 81389 JENNIFER SPALDING GENERAL COUNSEL 8.00 32.00 X 174834 699335 16486 ALLAN COUKELL SVP PUBLIC POLICY/PRESIDENT 10.00 30.00 X 113594 340781 38157 LAURA SILDON EXECUTIVE DIRECTOR 40.00 0.00 X 192479 0 57373 DONNA GULBINSKI CHIEF QUALITY & REGULATORY AFFAIRS OFFICER 4.00 36.00 X 86480 778314 51334 DEBBI FORD CHIEF COMMUNICATIONS 12.00 28.00 X 261362 609845 47768 KRISTOPHER WEIDLING CHIEF HUMAN RESOURCES 2.00 38.00 X 38696 735213 63219 1064321 4935375 385170 5 0 1 0 COMMUNITY COUNSELING SERVICE LLC 527 MADISON AVE 5TH FLOOR NEW YORK NY 10022 PROFESSIONAL SERVICES 219791 WINDSHIRE GROUP LLC 130 TOWER AVE NEEDHAM PA 02494 TECHNICAL CONSULTING 150564 BUCHANAN INGERSOLL & ROONEY PC 501 GRANT STREET SUITE 200 PITTSBURGH PA 152194413 LEGAL SERVICES 144664 3 16407622 16407622 960251 960251 17367873 0 0 960251 6182577 6182577 124229 124229 2973283 2973283 9177 9177 88009 88009 23646 23646 164307 164307 903726 903726 2860 2860 124671 124671 6648 6648 5188 5188 276176 276176 30601 30601 5000 5000 BAD DEBT EXPENSE 14664536 14664536 R&D EXPENSE 8109181 8109181 STARTUP COSTS 4814390 4814390 PRODUCT COSTS 1812793 1812793 358281 358281 40679279 40679279 0 0 45481588 31519326 163713 6049636 4075000 12000000 0 2220703 63531224 37978742 441214 245477 6328563 4283224 6769777 4528701 X 756735 -15738950 56004712 49188991 56761447 33450041 63531224 37978742 -23311406 0 X 0 1 X 1 0 X 28127500 46710000 16407622 91245122 28127500 46710000 16407622 91245122 34997206 56247916 566 671169 960251 1631986 92877108 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 CONSTRUCTION IN PROGRESS 2220703 2220703 X PART X, LINE 2: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 CIVICA INC 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 831246927 501(C)(4) 6182577 0 ALLEVIATE SUPPLY SHORTAGES 0 1 PART I, LINE 2: DOCUMENTATION IS REQUIRED ON A MONTHLY BASIS TO VERIFY THE GRANTS ARE BEING UTILIZED FOR THE INTENDED PURPOSE. 0 1 0 0 0 0 0 1 0 NED MCCOY CHIEF EXECUTIVE OFFICER/PRESIDENT 62660 563941 56393 507537 0 0 1320 11880 2015 18138 122388 1101496 0 0 DEBBI FORD CHIEF COMMUNICATIONS 120507 281184 140855 328661 0 0 3960 9240 11655 27195 276977 646280 0 0 DONNA GULBINSKI CHIEF QUALITY & REGULATORY AFFAIRS O 39528 355750 46952 422564 0 0 1320 11880 4172 37548 91972 827742 0 0 JENNIFER SPALDING GENERAL COUNSEL 80931 323723 93903 375612 0 0 2640 10560 1273 5094 178747 714989 0 0 EAMON FITZMAURICE CHIEF FINANCIAL OFFICER 39884 358957 37939 341452 0 0 4397 39574 4088 36791 86308 776774 0 0 KRISTOPHER WEIDLING CHIEF HUMAN RESOURCES 19726 374792 18970 360421 0 0 660 12540 2674 50806 42030 798559 0 0 ALLAN COUKELL SVP PUBLIC POLICY/PRESIDENT 79579 238737 34015 102044 0 0 2787 8360 7848 23545 124229 372686 0 0 LAURA SILDON EXECUTIVE DIRECTOR 182479 0 10000 0 0 0 7608 0 54376 0 254463 0 0 0 PART I, LINE 3 COMPENSATION IS PAID BY CIVICA, INC., A RELATED ORGANIZATION. CIVICA, INC. USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B DURING 2021, UPON BOARD APPROVAL, THE ORGANIZATION ESTABLISHED A NON-QUALIFIED, DEFERRED COMPENSATION PLAN, A 457(F) PLAN, FOR CERTAIN KEY EMPLOYEES. FUNDS ARE SUBJECT TO RISK OF FORFEITURE BY PLAN PARTICIPANTS AND ARE AVAILABLE TO THE CREDITORS OF THE ORGANIZATION. IN ACCORDANCE WITH THE BOARD OF DIRECTORS' INTENT, THE ORGANIZATION WILL FUND INDIVIDUAL PARTICIPANT ACCOUNTS THROUGH INVESTMENT OPTIONS DIRECTED BY THE PARTICIPANTS. THE DEFERRED COMPENSATION PLAN IS PARTIALLY FUNDED, AND THE ORGANIZATION REPORTS THE DEFERRALS AND RELATED FUNDING IN ACCRUED EXPENSES AND INVESTMENTS, RESPECTIVELY, IN THE BALANCE SHEET. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN IN 2023, FOR WHICH THE EXPENSE WAS INCURRED BY THE SPONSORING ORGANIZATION, BUT THE FUNDS HAVE NOT VESTED OR BEEN PAID OUT TO THESE INDIVIDUALS. THE AMOUNTS LISTED BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C): EAMON FITZMAURICE, CHIEF FINANCIAL OFFICER: $30,771 PART I, LINE 7 THERE ARE DISCRETIONARY BONUSES THAT ARE AWARDED DETERMINED BY THE COMPENSATION COMMITTEE. THE BONUSES ARE BASED UPON OVERALL BUSINESS ACCOMPLISHMENTS COMPARED TO THE GOALS SET BY THE ORGANIZATION. BONUSES ARE PAID THROUGH CIVICA, INC. FORM 990, PART VI, SECTION A, LINE 2 DAN LILJENQUIST AND SHELLY LYFOD HAVE A BUSINESS RELATIONSHIP STEMMING FROM THEIR MEMBERSHIP ON THE BOARD OF CIVICA, INC., A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 CIVICA, INC. SELECTS THE BOARD OF DIRECTORS FOR CIVICA FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A CIVICA, INC IS THE SOLE MEMBER WITH AUTHORITY TO APPOINT THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD MEMBERS AND REVIEWED BY THE BOARD, PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS HAVE BEEN PROVIDED TRAINING ON THE CONFLICT OF INTEREST POLICY AND PROCESS, ARE SURVEYED FOR POSSIBLE CONFLICTS OF INTEREST, AND REQUIRED TO DISCLOSE POTENTIAL CONFLICTS ON AN ANNUAL BASIS. THE ANNUAL CONFLICT OF INTEREST DISCLOSURES ARE COLLECTED AND REVIEWED BY GENERAL COUNSEL AND CHIEF COMPLIANCE OFFICER. IF A CONFLICT IS IDENTIFIED, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST WILL NOT PARTICIPATE IN THE DELIBERATIVE DISCUSSION OR VOTE ON THE TRANSACTION INVOLVED. FORM 990, PART VI, SECTION B, LINE 15 CIVICA, INC., A RELATED TAX-EXEMPT ORGANIZATION, REVIEWS THE COMPENSATION OF EXECUTIVE STAFF AND OTHER STAFF ON AN ANNUAL BASIS. IN DECEMBER OF 2022, CIVICA, INC. CONDUCTED AN INDEPENDENT COMPENSATION BENCHMARKING STUDY TO ASSESS ITS CURRENT COMPENSATION STRUCTURE AND LEVELS AGAINST THE INDUSTRY PEERS. CIVICA, INC.'S COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS USED THIS STUDY AS PART OF THEIR REVIEW PROCESS TO DETERMINE COMPENSATION LEVELS FOR 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST. THE FORM 990 IS AVAILABLE THROUGH THE IRS AND OTHER PUBLIC DISCLOSURE WEBSITES. FORM 990, PART I, LINE 5, PART V, LINE 2A, PART VII AND PART IX: ALL EMPLOYEES LISTED IN PART VII EXCEPT FOR THE EXECUTIVE DIRECTOR, ARE PAID BY A RELATED ORGANIZATION, CIVICA, INC. CIVICA, INC. IS THE EMPLOYEE OF RECORD AND EMPLOYS A PROFESSIONAL EMPLOYER ORGANIZATION TO PROCESS EMPLOYEE WAGES, WITHHOLDINGS, AND PAYROLL TAXES. CIVICA INC 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 831246927 ALLEVIATE SUPPLY SHORTAGES DE 501(C)(4) N/A N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 CIVICA INC B 6182577 CASH PAID