2024-11-15T16:29:23-06:00 2023-12-31 450250958 EIDE BAILLY LLP 5 TRIAD CENTER STE 600 SALT LAKE CITY UT 841801106 990 2023-09-01 844777602 CIVICA SCRIPT LLC CIVI 8014309638 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 EAMON FITZMAURICE CFO 8014309638 2024-11-14 1 0 KYLE FRITCH CPA P01313374 8015322200 2024-11-13 2023 2024-10-15 13:58:12Z X EAMON FITZMAURICE 2912 W EXECUTIVE PKWY STE 325 LEHI UT 84043 1758791 0 X WWW.CIVICASCRIPT.COM X LLC 2020 DE THE COMPANY IS DEDICATED TO LOWERING THE COST OF SELECT OUTPATIENT GENERIC MEDICATIONS IN RESPONSE TO THE IMPACT OF HIGH DRUG COSTS ON THE HEALTH OF AMERICANS AND THE OVERALL AFFORDABILITY OF HEALTH CARE BY DEVELOPING AND MANUFACTURING GENERIC OUTPATIENT MEDICATIONS IN A MANNER THAT PROMOTES THE SOCIAL WELFARE AND HEALTH OF THE COMMUNITY. 11 11 6 11 0 0 0 537207 215024 61681 813912 0 0 1369401 0 0 1429255 2798656 -1984744 24740245 26220947 -1480702 X THE COMPANY IS DEDICATED TO LOWERING THE COST OF SELECT OUTPATIENT GENERIC MEDICATIONS IN RESPONSE TO THE IMPACT OF HIGH DRUG COSTS ON THE HEALTH OF AMERICANS AND THE OVERALL AFFORDABILITY OF HEALTH CARE BY DEVELOPING AND MANUFACTURING GENERIC OUTPATIENT MEDICATIONS IN A MANNER THAT PROMOTES THE SOCIAL WELFARE AND HEALTH OF THE COMMUNITY. 0 0 1852757 598888 THE COMPANY IS DEDICATED TO LOWERING THE COST OF SELECT OUTPATIENT GENERIC MEDICATIONS IN RESPONSE TO THE IMPACT OF HIGH DRUG COSTS ON THE HEALTH OF AMERICANS AND THE OVERALL AFFORDABILITY OF HEALTH CARE BY DEVELOPING AND MANUFACTURING GENERIC OUTPATIENT MEDICATIONS IN A MANNER THAT PROMOTES THE SOCIAL WELFARE AND HEALTH OF THE COMMUNITY. 1852757 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 6 1 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 1 1 1 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 X DAN LILJENQUIST PRESIDENT 1.00 1.00 X X 0 0 0 DARREN GETTINGS BOARD MEMBER 1.00 X 0 0 0 DEBORAH RICE BOARD MEMBER 1.00 X 0 0 0 CARTER DREDGE BOARD MEMBER 1.00 1.00 X 0 0 0 JILL FIRCH BOARD MEMBER 1.00 X 0 0 0 MATT SHAFFER BOARD MEMBER 1.00 X 0 0 0 BRENT EBERLE BOARD MEMBER 1.00 X 0 0 0 SHELLY LYFOD BOARD MEMBER 1.00 1.00 X 0 0 0 JOHN GARDYNIK BOARD MEMBER 1.00 X 0 0 0 SANDRA CLARK BOARD MEMBER 1.00 X 0 0 0 TODD VAN TOL BOARD MEMBER 1.00 X 0 0 0 GINA GUINASSO PRESIDENT 40.00 X 760219 0 15015 EAMON FITZMAURICE CHIEF FINANCIAL OFFICER 1.00 24.00 X 0 548328 0 JENNIFER SPALDING GENDERAL COUNSEL 1.00 20.00 X 0 453571 0 SCOTT GOCHNOUR VP COMMERCIAL OPERATIONS AND PORTFOLIO MANAGEMENT 40.00 X 880394 0 16767 JOHN MBAGWU CHIEF R&D OFFICER 40.00 X 313763 0 22650 GREG FERGUSON VP MARKET ACCOUNT AND DISTRIBUTION 40.00 X 366293 0 13200 MICHAEL FORMICA PRINCIPAL BUSINESS ANALYTICS 40.00 X 162079 0 13200 2482748 1001899 80832 5 0 1 0 0 MEMBERSHIP 900099 537207 537207 537207 215024 215024 1006560 944879 61681 61681 813912 598888 0 215024 551891 441513 110378 606261 485009 121252 166968 133574 33394 16549 13239 3310 27732 22186 5546 16668 13334 3334 21000 16800 4200 269766 215813 53953 540 432 108 5689 4551 1138 8936 7149 1787 185140 185140 22656 1990 20666 RESEARCH & DEVELOPMENT 488763 488763 STATE AND LOCAL TAXES 399592 399592 DUES & SUBSCRIPTIONS 7196 5757 1439 MISC FEES 1658 1326 332 1651 1321 330 2798656 1852757 945899 0 19957614 272640 2500000 1669056 41909 48113 12417 0 35696 0 263330 0 24740245 2071995 0 24148952 0 26220947 X -1480702 0 -1480702 0 24740245 X -1984744 504042 X 0 1 X 1 0 0 1 0 37230 12417 24813 10883 10883 35696 MEMBER LINE OF CREDIT 23818253 OPERATING LEASE LIABILITY 203344 AFFILIATED PARTY PAYABLE 127355 24148952 X PART X, LINE 2: THE COMPANY EVALUATES ITS TAX POSITIONS THAT HAVE BEEN TAKEN OR ARE EXPECTED TO BE TAKEN ON INCOME TAX RETURNS TO DETERMINE IF AN ACCRUAL IS NECESSARY FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2023 AND 2022, THE UNRECOGNIZED TAX BENEFITS ACCRUAL WAS $0. THE COMPANY WILL RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IF INCURRED. X X X X 0 0 0 0 0 0 0 1 0 SCOTT GOCHNOUR VP COMMERCIAL OPERATIONS AND PORTFOL 562052 0 318342 0 0 0 13200 0 3567 0 897161 0 0 0 GINA GUINASSO PRESIDENT 403474 0 356745 0 0 0 13200 0 1815 0 775234 0 0 0 EAMON FITZMAURICE CHIEF FINANCIAL OFFICER 0 466939 0 0 0 81389 0 0 0 0 0 548328 0 0 JENNIFER SPALDING GENDERAL COUNSEL 0 437085 0 0 0 16486 0 0 0 0 0 453571 0 0 GREG FERGUSON VP MARKET ACCOUNT AND DISTRIBUTION 261751 0 104542 0 0 0 13200 0 0 0 379493 0 0 0 JOHN MBAGWU CHIEF R&D OFFICER 210775 0 102988 0 0 0 13200 0 9450 0 336413 0 0 0 MICHAEL FORMICA PRINCIPAL BUSINESS ANALYTICS 150329 0 11750 0 0 0 13200 0 0 0 175279 0 0 0 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. FORM 990, PART VI, SECTION A, LINE 2 DAN LILJENQUIST, CARTER DREDGE, 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 THE ORGANIZATION HAS THREE CLASSES OF MEMBERS AND EACH CLASS HAS DISTINCT RIGHTS AND PRIVILEGES. THE THREE CLASSES ARE CIVICA MEMBER, FOUNDING MEMBERS, AND PARTNERING MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A FOUNDING MEMBERS HAVE THE RIGHT TO NOMINATE EITHER ONE OR FIVE INDIVUDALS TO SERVE ON THE ORGANIZATION'S BOARD OF DIRECTORS BASED ON THE TERMS OF THEIR AGREEMENTS. CIVICA MEMBER HAS THE RIGHT TO NOMINATE ONE INDIVIDUAL TO SERVE ON THE ORGANIZATION'S BOARD OF DIRECTORS. PARTNERING MEMBERS HAVE NO VOTING RIGHTS. FORM 990, PART VI, SECTION A, LINE 7B CIVICA, INC., A MEMBER OF THE ORGANIZATION, HAS THE ABILITY TO DIRECT THE MANAGEMENT OF SCRIPT AND HOLDS VETO POWER. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES 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 CONFLIFT 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 GENREAL CONSEL 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. PART VII COLUMNS D, F & PART IX LINE 5 PLEASE NOTE THAT THE COMPENSATION TOTALS PRESENTED ON PART VII MATCH THOSE REPORTED ON THE 2023 W2 FORMS, WHILE THE COMPENSATION INFORMATION PRESENTED ON PART IX IS LESS DUE TO THE PART-YEAR NATURE OF THIS RETURN, DATED 9/1/23-12/31/23. FORM 990, PART XI, LINE 9: EQUITY UPON CONVERSION FROM A FOR-PROFIT ENTITY TO A NON-PROFIT ENTITY 504,042. CIVICA INC 2912 W EXECUTIVE PARKWAY STE 325 LEHI UT 84043 831246927 ALLEVIATE SUPPLY SHORTAGES DE 501(C)(4) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0