2024-05-15T17:39:21-05:00 2023-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2023-01-01 581218672 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC NATI 6784178100 12000 FINDLEY ROAD 200 JOHNS CREEK GA 30097 DAWN MORTON-RIASEDDPA-C CEO 6784178100 2024-05-09 1 DAWN MORTON-RIASEDDPA-C XXX-XX-XXXX 1 MARY JO ALEXANDER P00002534 7709558600 2024-05-09 3 AAL1 IAL1 2023 2023-04-26 12:10:37Z X DAWN MORTON-RIASEDDPA- 12000 FINDLEY ROAD 200 JOHNS CREEK GA 30097 39014425 0 X WWW.NCCPA.NET X 1976 GA TO PROVIDE CERTIFICATION PROGRAMS THAT REFLECT STANDARDS FOR CLINICAL KNOWLEDGE, CLINICAL REASONING AND OTHER MEDICAL SKILLS AND PROFESSIONAL BEHAVIORS REQUIRED UPON ENTRY INTO PRACTICE AND THROUGHOUT THEIR CAREERS AS PHYSICIAN ASSISTANTS. NCCPA REGARDS THE TITLES "PHYSICIAN ASSISTANT," "PHYSICIAN ASSOCIATE, AND "PA" AS EQUIVALENT AND SYNONYMOUS. 16 16 111 265 0 0 0 0 21958639 28809194 2277448 1418344 0 0 24236087 30227538 612755 665725 0 0 11013952 13035796 0 0 0 10037605 11328257 21664312 25029778 2571775 5197760 65875877 78951914 22684540 28317442 43191337 50634472 TO PROVIDE CERTIFICATION PROGRAMS THAT REFLECT STANDARDS FOR CLINICAL KNOWLEDGE, CLINICAL REASONING AND OTHER MEDICAL SKILLS AND PROFESSIONAL BEHAVIORS REQUIRED UPON ENTRY INTO PRACTICE AND THROUGHOUT THEIR CAREERS AS PHYSICIAN ASSISTANTS. 0 0 THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS, INC. SERVED APPROXIMATELY 178,708 CANDIDATES. SERVICES INCLUDED FIRST TIME EXAM APPLICANTS, RECERTIFICATION FOR EXISTING APPLICANTS, AND CERTIFICATION OF ADDED QUALIFICATIONS FOR EXISTING CANDIDATES.NCCPA DEVELOPED A NEW ALTERNATIVE LONGITUDINAL, TAKE-AT-HOME RECERTIFICATION PROCESS, PANRE-LA, TO COMMENCE ADMINISTRATION BEGINNING IN 2023. THE NEW RECERTIFICATION PROCESS, PANRE-LA, INCORPORATES ELEMENTS OF A LONGITUDINAL ASSESSMENT AND IS DESIGNED TO HELP PAS IDENTIFY AND ADDRESS KNOWLEDGE GAPS IN CORE MEDICAL CONTENT. 0 0 0 0 0 0 0 0 0 1 0 0 1 1 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 1 1 1 0 1 280 0 1 111 1 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X E TIM RYAN VP OF FINANCE & CORPORATE SERVICES 6784178100 12000 FINDLEY ROAD STE 200 JOHNS CREEK GA 30097 KATHERINE FOOTRACER IMMEDIATE PAST-CHAIR 1.00 X X 0 0 0 BEVERLY BLACK CHAIR 1.00 1.00 X X 0 0 0 JOHN BRADFORD CHAIR ELECT 1.00 X X 0 0 0 CAREY ROESLER TREASURER 1.00 X X 0 0 0 LINDA DELANEY SECRETARY 1.00 X X 0 0 0 EDWARD AMBERG TRUSTEE 1.00 X 0 0 0 JAMES GEHRING TRUSTEE 1.00 X 0 0 0 JOAN GRZYBOWSKI TRUSTEE 1.00 X 0 0 0 TEMPLE HOWELL-STAMPLEY TRUSTEE 1.00 X 0 0 0 PATRICK KILLEEN TRUSTEE 1.00 X 0 0 0 LINDA LAWRENCE TRUSTEE 1.00 X 0 0 0 MELISSA MICHAUD TRUSTEE 1.00 X 0 0 0 PAT KENNEY-MOORE TRUSTEE 1.00 X 0 0 0 BENJAMIN J SMITH TRUSTEE 1.00 1.00 X 0 0 0 ZENO W ST CYR II TRUSTEE 1.00 1.00 X 0 0 0 KENDRA THOMSEN TRUSTEE 1.00 X 0 0 0 DAWN MORTON-RIAS EDD PA-C PRESIDENT/CEO 40.00 10.00 X 628061 0 51830 E TIM RYAN VP FINANCE & CORPORATE SER 40.00 X 285373 0 48100 SHEILA MAULDIN SR ADVISOR FOR RESEARCH AND EXAM PROGRAMS 40.00 X 168166 0 47317 JOSHUA GOODMAN VP RESEARCH AND EXAM PROGR 40.00 X 286555 0 70027 CINDY NALLS VP CERTIFICATION MAINTENAN 40.00 X 272017 0 69640 ANGELA LANGA VP TECHNOLOGY SERVICES 40.00 X 277628 0 64343 NARASIMHARAO SAJJA SENIOR DIRECTOR APPLICATIO 40.00 X 190797 0 62065 DONALD STROUD SENIOR DIRECTOR OF EXAM OP 40.00 X 175320 0 57564 2283917 0 470886 44 0 1 0 HUMPHRIES AND COMPANY 4581 SOUTH COBB DRIVE SE STE 200 SMYRNA GA 30080 GENERAL CONTRACTOR 2541106 NCS PEARSON INC 13036 COLLECTION CENTER DR CHICAGO IL 60693 EXAM DEVELOPER 1975496 SPRINGBIT INC 44 MILTON AVENUE ALPHARETTA GA 30009 IT CONSULTING 1472156 TSO EAST JOHNS CROSSING LP 1170 PEACHTREE ST NE ATLANTA GA 30309 LANDLORD 833543 PILLSBURY WINTHROP SHAW PITTMAN LLP PO BOX 601240 CHARLOTTE NC 28260 LAW SERVICES 517716 8 CERTIFICATE MAINT FEES 541900 14218410 14218410 ENTRY LEVEL APPLICATION 541900 7273200 7273200 RECERTIFICATION FEES 541900 5674454 5674454 PRACTICE EXAM FEES 541900 670800 670800 SOFTWARE DEVEL PROJECT 541900 503713 503713 468617 468617 28809194 1715637 1715637 6346929 2142665 6682629 2104258 -335700 38407 -297293 -297293 30227538 28809194 0 1418344 665725 1228848 8628760 760824 1735201 682163 474181 27246 165117 107913 431254 398884 1603527 704397 142633 955499 2192085 114100 EXAM COSTS 3140954 CREDIT CARD PROCESSING 704371 SOFTWARE DEVELOPMENT EX 82013 DUES EXPENSE 37693 46390 25029778 2675083 3164667 28928125 19407816 163300 134787 634591 1040116 29070992 20342522 3508538 8728470 26847666 39564596 3118574 6911462 65875877 78951914 529117 1085407 20312372 21587036 1843051 5644999 22684540 28317442 X 43191337 50634472 43191337 50634472 65875877 78951914 5197760 2245375 0 X X 0 1 X 1 0 61220 40764 20456 29009772 20301758 8708014 8728470 ROU ASSET 4282717 ADVANCES TO NCCPA FOUNDATION 600000 OTHER ASSETS 339907 OTHER RECEIVABLES 1616091 A/R FROM RELATED PARTIES 72747 6911462 LEASE LIABILITY 5644999 5644999 X 32225783 2245375 -82013 2163362 30062421 165117 165117 30227538 24782648 0 24782648 165117 82013 247130 25029778 PART X, LINE 2: THE COMMISSION IS EXEMPT FROM INCOME TAXATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(6), AND THE FOUNDATION AND THE PA HISTORY SOCIETY ARE EXEMPT UNDER SECTION 501(C)(3). MANAGEMENT OF THE ORGANIZATION CONSIDERS THE LIKELIHOOD OF CHANGES BY TAXING AUTHORITIES IN ITS FILED INCOME TAX RETURNS AND RECOGNIZES A LIABILITY FOR OR DISCLOSES POTENTIAL SIGNIFICANT CHANGES THAT MANAGEMENT BELIEVES ARE MORE LIKELY THAN NOT TO OCCUR, INCLUDING CHANGES TO THE ENTITY'S STATUS AS A NOT-FOR-PROFIT ENTITY. MANAGEMENT BELIEVES THE ENTITIES WITHIN THE ORGANIZATION MET THE REQUIREMENTS TO MAINTAIN THEIR TAX-EXEMPT STATUS AND HAVE NO INCOME SUBJECT TO UNRELATED BUSINESS INCOME TAX; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THESE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASS TO EXPENSE, SOFTWARE DEVELOPMENT COSTS -82,013. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS TO EXPENSE, SOFTWARE DEVELOPMENT COSTS 82,013. 1 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 030429253 501(C)(3) 455000 0 FINANCIAL SUPPORT FOR OPERATING EXPENSES NCCPA HEALTH FOUNDATION INC 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 204381466 501(C)(3) 200000 0 FORGIVENESS OF DEBT 2 0 PART I, LINE 2 NCCPA GIVES ASSISTANCE TO NCCPA HEALTH FOUNDATION AND THE SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY FOR FINANCIAL SUPPORT AND OPERATING EXPENSES. X 1 1 X X X X X 0 0 0 DAWN MORTON-RIAS EDD PA-C PRESIDENT/CEO 498826 0 99235 0 30000 0 39600 0 12230 0 679891 0 0 0 JOSHUA GOODMAN VP RESEARCH AND EXAM PROGR 237564 0 26491 0 22500 0 34095 0 35932 0 356582 0 0 0 ANGELA LANGA VP TECHNOLOGY SERVICES 246037 0 26491 0 5100 0 24967 0 39376 0 341971 0 0 0 CINDY NALLS VP CERTIFICATION MAINTENAN 223026 0 26491 0 22500 0 32849 0 36791 0 341657 0 0 0 E TIM RYAN VP FINANCE & CORPORATE SER 228882 0 26491 0 30000 0 33815 0 14285 0 333473 0 0 0 NARASIMHARAO SAJJA SENIOR DIRECTOR APPLICATIO 157547 0 3250 0 30000 0 23635 0 38430 0 252862 0 0 0 DONALD STROUD SENIOR DIRECTOR OF EXAM OP 162367 0 2000 0 10953 0 21969 0 35595 0 232884 0 0 0 SHEILA MAULDIN SR ADVISOR FOR RESEARCH AND EXAM PRO 134166 0 4000 0 30000 0 20608 0 26709 0 215483 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED A HEALTH AND WELLNESS REIMBURSEMENT OF UP TO $1,000 FOR ALL EMPLOYEES. SCHEDULE J PART I LINE 3 AN ALL-STAFF COMPENSATION STUDY IS CONDUCTED EVERY 3-5 YEARS BY A PROFESSIONAL CONSULTING GROUP THROUGH WHICH COMPARATIVE DATA IS GATHERED REGARDING COMPENSATION FOR SIMILAR ROLES WITHIN SIMILAR ORGANIZATIONS (NATIONWIDE) AND WITHIN SIMILARLY-SIZED ORGANIZATIONS IN THIS GEOGRAPHIC AREA. INFORMED BY THAT COMPENSATION STUDY AND THE REVIEW OF SIMILAR ORGANIZATION'S 990S, THE CEO DETERMINES OFFICER'S AND OTHER KEY EMPLOYEE'S SALARIES. SIMILARLY, EXECUTIVE COMPENSATION IS ASSESSED AGAINST NATIONAL, LOCAL, AND INDUSTRY ORGANIZATIONS WITH SIMILAR BUDGETS AND STAFF SIZE. COMPARATIVE ANALYSES ARE EVALUATED BY A COMMITTEE OF THE BOARD. FINAL CEO SALARY IS DETERMINED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PRESENTED TO THE ENTIRE BOARD OF DIRECTORS BY THE THIRD PARTY TAX ACCOUNTANT. THE BOARD VOTES TO APPROVE THE FORM 990 BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS SIGN AN ANNUAL PARTICIPATION AGREEMENT WHICH INCLUDES A CONFLICT OF INTEREST SECTION AS WELL AS THEIR DUTIES OF CONFIDENTIALITY, LOYALTY, ETC. BOARD MEMBERS ARE ASKED TO DISCLOSE ANY CONFLICTS. CONFLICTS THAT DO ARISE ARE RESOLVED BY THE BOARD MEMBER WITH THE CONFLICT RECUSING FROM THE VOTE. OCCASIONALLY, ANOTHER ARRANGEMENT WILL BE DETERMINED BY THE BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 15 CEO'S COMPENSATION STUDY IS CONDUCTED EVERY 2 OR 3 YEARS BY A PROFESSIONAL CONSULTING GROUP WITH FORMAL GOAL SETTING AND EVALUATION PROCESSES CONDUCTED ANNUALLY. THE CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS AND THE CEO DETERMINES OFFICERS AND OTHER KEY EMPLOYEE SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS PUBLISHED ON GUIDESTAR.COM AND IS AVAILABLE UPON REQUEST FROM NCCPA. FORM 990 PART XII LINE 2C THE ORGANIZATION MAINTAINED THE SAME FINANCIAL AUDIT FIRM AS THE PRIOR YEAR. THE PROCESS FOR OVERSIGHT OF FINANCIAL STATEMENTS HAS NOT CHANGED. NCCPA HEALTH FOUNDATION INC 12000 FINDLEY ROAD SUITE 200 JOHNS CREEK GA 30097 204381466 SUPPORTING ORGANIZATION IL 501(C)(3) LINE 12B, II NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC 1 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC 12000 FINDLEY ROAD SUITE 200 JOHNS CREEK GA 30097 030429253 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12B, II NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC 1 0 1 0 1 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 NCCPA HEALTH FOUNDATION B 200000 AMOUNT CONTRIBUTED NCCPA HEALTH FOUNDATION D 600000 LOAN GUARANTEE NCCPA HEALTH FOUNDATION L 71718 BOOK VALUE OF INKIND SERVICES NCCPA HEALTH FOUNDATION Q 327919 PERSONNEL RELATED COSTS SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC B 455000 AMOUNT CONTRIBUTED SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC Q 358495 PERSONNEL RELATED COSTS