Civic Intelligence

CCI Labs

990 • Fiscal year 2019 • EIN 81-3849641

Oct 01, 2018 to Sep 30, 2019 • Filed on Aug 14, 2020

300 East Mcbee Ave No 302Greenville, SC 29650

(864) 797-7611

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$0

Flat from 2019

Net Assets

Flat

$0

Flat from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue And Expenses

Revenue

Flat

$0

Flat from 2019

Expenses

Flat

$0

Flat from 2019

Net Income

Flat

$0

Flat from 2019

Historical Trend

Balance Sheet Trend

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

$150K$100K$50K$0Assets 2017: $142,030Liabilities 2017: $142,030Net Assets 2017: $02017Assets 2018: $137,271Liabilities 2018: $137,271Net Assets 2018: $02018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$1.0M$500K$0Revenue 2017: $959,112Expenses 2017: $704,893Net Income 2017: $254,2192017Revenue 2018: $705,051Expenses 2018: $705,051Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019

Highlighted filing

2019

Revenue$0
Expenses$0
Net Income$0
Jump To
Filing Snapshot
Filing Period
Oct 1, 2018 to Sep 30, 2019
Signed
Aug 14, 2020
Return Version
2018v3.2
Gross Receipts
$0
Mission and Program Overview

Mission

Innovate. Create value. Drive quality.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$136,520$0▼ $136,520
Cash and Non-Interest-Bearing Accounts$751$0▼ $751
Total Assets$137,271$0▼ $137,271
Liabilities
Accounts Payable and Accrued Expenses$137,271$0▼ $137,271
Total Liabilities$137,271$0▼ $137,271
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$137,271$0▼ $137,271
Compensation and Service Providers

Board Members and Trustees

NameTitle
Angelo Sinopoli MdPresident
Malcolm W IsleyBoard Member
William GerardBoard Member
Gregory J RusnakTreasurer
Rob DavisVP CCI Labs
Blix RiceVP Innovation and Transfor
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
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
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The two members of cci labs were prisma health-upstate and prisma health-midlands. On december 31, 2018, prisma health-midlands transferred its 50% of ownership to prisma health-upstate. Cci labs is now owned 100% by prisma health-upstate. As of december 31, 2018 all operations of cci labs were transferred to prisma health-upstate.

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

Prisma health-upstate and prisma health-midlands each elected half of the board of directors.

Form 990, Part VI, Section A, Line 8A

No meetings were held in fy 2019.

Form 990, Part VI, Section A, Line 8B

No meetings were held in fy 2019.

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

The return was prepared by an independent accounting firm with assistance and oversight by management. The return was reviewed by management and in-house legal counsel prior to filing with the irs. In addition, a copy of the return was provided to all current board members and the prisma health board of directors prior to filing.

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

Legal counsel ensures communication to board regarding policy and provides annual education. Policy is included in the bylaws.

Form 990, Part VI, Section C, Line 18

The organization makes its form 990 available to the public upon request.

Form 990, Part VI, Section C, Line 19

The governing documents and financial statements are made available upon request.

Filing and Contact Details

Filer

Filer Name
Cci Labs
EIN
81-3849641
Phone
8647977611
Address
300 EAST MCBEE AVE NO 302, GREENVILLE, SC 29650

Signing Officer

Name
Michael Burke
Title
Evp-chief Financial Officer
Phone
8647977611
Signed
2020-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Angelo Sinopoli
Formed
2016
Legal Domicile
Sc
Voting Board Members
4
Independent Board Members
0
Employees
0
Volunteers
4

Preparer

Firm
Dixon Hughes Goodman Llp
Address
500 RIDGEFIELD COURT, ASHEVILLE, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

No activity occurred for cci labs from october to december 2018. On december 31, 2018, prisma health-midlands transferred its 50% of ownership to prisma health-upstate (a 501(c)(3)tax exempt organization). Cci labs is now owned 100% by prisma health upstate.

FORM 990, PART XII, LINE 2C:

This process has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

Cci labs is included in the consolidated audited financial statements of prisma health and subsidiaries. Prisma health qualifies as an organization exempt from federal and state income taxes on related income under internal revenue code section 501(c)(3). As of september 30, 2019, prisma health has determined that it does not have any material unrecognized tax benefits or obligations.

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt4654
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt54902
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ANGELO SINOPOLI MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1GREGORY J RUSNAK
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2WILLIAM GERARD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3MALCOLM W ISLEY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4BLIX RICE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm5ROB DAVIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2BOARD MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3BOARD MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4VP INNOVATION AND TRANSFOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt5VP CCI LABS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt01493924
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt11280297
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2285646
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt3942392
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt4249427
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt5321744
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE 457(F) PLAN IS PROVIDED TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (WITHIN THE MEANING OF SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF ERISA) OF PRISMA HEALTH AND SUBSIDIARIES WHO CONTRIBUTE SIGNIFICANTLY TO THE FUTURE BUSINESS SUCCESS OF THE COMPANY WITH SUPPLEMENTAL RETIREMENT INCOME THROUGH COMPANY CONTRIBUTIONS. EMPLOYEES ELIGIBLE FOR THE PROGRAM ARE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THOSE ELIGIBLE RECEIVE A 10 OR 15 PERCENT ON AN ANNUAL BASIS BASED ON PRIOR FISCAL YEAR BASE COMPENSATION.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990ScheduleN/DirectorOfSuccessor2Ind00
IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1GRANTS RECEIVABLE
IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt0PRISMA HEALTH-UPSTATE
IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt1PRISMA HEALTH-UPSTATE
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt02018-12-31
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt12018-12-31
IRS990ScheduleN/DispositionOfAssetsDetail/EIN0811723202
IRS990ScheduleN/DispositionOfAssetsDetail/EIN1811723202
IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt055492
IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt180855
IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt1501(C)(3)
IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt0BOOK VALUE
IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt1BOOK VALUE
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt0300 EAST MCBEE AVENUE STE 302
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt1300 EAST MCBEE AVENUE STE 302
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm0GREENVILLE
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm1GREENVILLE
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd0SC
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd1SC
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd029601
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd129601
IRS990ScheduleN/EmployeeOfSuccessor2Ind00
IRS990ScheduleN/OwnerOfSuccessor2Ind00
IRS990ScheduleN/ReceiveCompensation2Ind00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NO ACTIVITY OCCURRED FOR CCI LABS FROM OCTOBER TO DECEMBER 2018. ON DECEMBER 31, 2018, PRISMA HEALTH-MIDLANDS TRANSFERRED ITS 50% OF OWNERSHIP TO PRISMA HEALTH-UPSTATE (A 501(C)(3)TAX EXEMPT ORGANIZATION). CCI LABS IS NOW OWNED 100% BY PRISMA HEALTH UPSTATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE TWO MEMBERS OF CCI LABS WERE PRISMA HEALTH-UPSTATE AND PRISMA HEALTH-MIDLANDS. ON DECEMBER 31, 2018, PRISMA HEALTH-MIDLANDS TRANSFERRED ITS 50% OF OWNERSHIP TO PRISMA HEALTH-UPSTATE. CCI LABS IS NOW OWNED 100% BY PRISMA HEALTH-UPSTATE. AS OF DECEMBER 31, 2018 ALL OPERATIONS OF CCI LABS WERE TRANSFERRED TO PRISMA HEALTH-UPSTATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PRISMA HEALTH-UPSTATE AND PRISMA HEALTH-MIDLANDS EACH ELECTED HALF OF THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NO MEETINGS WERE HELD IN FY 2019.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NO MEETINGS WERE HELD IN FY 2019.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE RETURN WAS REVIEWED BY MANAGEMENT AND IN-HOUSE LEGAL COUNSEL PRIOR TO FILING WITH THE IRS. IN ADDITION, A COPY OF THE RETURN WAS PROVIDED TO ALL CURRENT BOARD MEMBERS AND THE PRISMA HEALTH BOARD OF DIRECTORS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6LEGAL COUNSEL ENSURES COMMUNICATION TO BOARD REGARDING POLICY AND PROVIDES ANNUAL EDUCATION. POLICY IS INCLUDED IN THE BYLAWS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, 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 8A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd01
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd30
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd2N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd3N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0570938686
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN1571013538
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN2570938656
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN3364366595
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt1C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt2C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt3C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0SC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd1SC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd2SC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd3SC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0HEALTHCARE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1INACTIVE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt2INACTIVE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt3HEALTHCARE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0HEALTHSOURCE INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1PHYSICIAN PRACTICE SERVICES INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2HOME CARE RESOURCES INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt3PREMIER PRACTICE MANAGEMENT CAROLINAS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0PO BOX 2266
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt1PO BOX 2266
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt2PO BOX 2266
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt3PO BOX 2266

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