2022-05-06T12:20:11-05:00 2021-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2021-01-01 581218672 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC NATI 6784178100 12000 FINDLEY ROAD 100 JOHNS CREEK GA 30097 DAWN MORTON-RIASEDDPA-C CEO 6784178100 2022-05-03 1 DAWN MORTON-RIASEDDPA-C XXX-XX-XXXX MARY JO ALEXANDER P00002534 7709558600 2022-05-03 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DAWN MORTON-RIASEDDPA- 12000 FINDLEY ROAD 100 JOHNS CREEK GA 30097 27124701 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. 17 17 97 195 0 0 0 0 19939280 23188477 423547 909649 0 0 20362827 24098126 564467 560864 0 0 9428604 10360551 0 0 0 7675323 8226313 17668394 19147728 2694433 4950398 44840533 51725554 7581934 7165482 37258599 44560072 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 96,274 CANDIDATES. SERVICES INCLUDED FIRST TIME EXAM APPLICANTS, RECERTIFICATION FOR EXISTING APPLICANTS, AND CERTIFICATION OF ADDED QUALIFICATIONS FOR EXISTING CANDIDATES. 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 1 145 0 1 97 1 0 0 0 0 0 0 0 0 X 17 17 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 100 JOHNS CREEK GA 30097 DAWN MORTON-RIAS EDD PA-C PRESIDENT/CEO 40.00 10.00 X 591729 0 37956 E TIM RYAN VP FINANCE & CORPORATE SERVICES 40.00 X 243163 0 42655 JOSHUA GOODMAN SENIOR DIRECTOR PSYCHOMETRICS & EXAM DEVELOPMENT 40.00 X 228365 0 52367 SHEILA MAULDIN VP RESEARCH AND EXAM PROGRAMS 40.00 X 224164 0 45330 ANGELA LANGA VP TECHNOLOGY SERVICES 40.00 X 220417 0 45169 CINDY NALLS VP CERTIFICATION MAINTENANCE 40.00 X 196708 0 53282 NARASIMHARAO SAJJA SENIOR DIRECTOR APPLICATION DEVELOPMENT 40.00 X 159659 0 48619 DONALD STROUD SENIOR DIRECTOR OF EXAM OPERATIONS 40.00 X 158576 0 46093 EDWARD AMBERG CHAIR 1.00 X X 0 0 0 KATHERINE FOOTRACER CHAIR ELECT 1.00 X X 0 0 0 PAT KENNEY-MOORE TREASURER 1.00 X X 0 0 0 BEVERLY BLACK SECRETARY 1.00 1.00 X X 0 0 0 JOHN BRADFORD TRUSTEE 1.00 X 0 0 0 BENJAMIN J SMITH TRUSTEE 1.00 1.00 X 0 0 0 CAREY ROESLER TRUSTEE 1.00 X 0 0 0 FOLASHADE OMOLE TRUSTEE 1.00 X 0 0 0 HOAN GRZYBOWSKI TRUSTEE 1.00 X 0 0 0 JAMES GEHRING TRUSTEE 1.00 X 0 0 0 KENDRA THOMSEN TRUSTEE 1.00 X 0 0 0 LINDA DELANEY TRUSTEE 1.00 X 0 0 0 LINDA LAWRENCE TRUSTEE 1.00 X 0 0 0 PATRICK EDWARD KILLEEN TRUSTEE 1.00 X 0 0 0 PEGGY RILEY ROBINSON TRUSTEE 1.00 X 0 0 0 TEMPLE HOWELL-STAMPLEY TRUSTEE 1.00 X 0 0 0 ZENO W ST CYR II TRUSTEE 1.00 1.00 X 0 0 0 2022781 0 371471 10 0 1 0 NCS PEARSON INC 13036 COLLECTION CENTER DR CHICAGO IL 60693 EXAM DEVELOPER 1761419 SPRINGBIT INC 44 MILTON AVENUE ALPHARETTA GA 30009 IT CONSULTING 1122376 TSO EAST JOHNS CROSSING LP 1170 PEACHTREE ST NE ATLANTA GA 30309 LANDLORD 807202 JPA HEALTH COMMUNICATION 1101 CONNECTICUT AVENUE NW SUITE 6 WASHINGTON DC 20036 PR SERVICES 450645 PILLSBURY WINTHROP SHAW PITTMAN LLP PO BOX 601240 CHARLOTTE NC 28260 LAW SERVICES 374878 6 CERTIFICATE MAINT FEES 541900 14922525 14922525 ENTRY LEVEL APPLICATION 541900 6617750 6617750 SOFTWARE DEVEL PROJECT 541900 651938 651938 PRACTICE EXAM FEES 541900 468350 468350 RECERTIFICATION FEES 541900 322000 322000 205914 205914 23188477 593782 593782 3214450 127992 2896940 129635 317510 -1643 315867 315867 24098126 23188477 0 909649 560864 1184997 6606062 651178 1425550 492764 378725 20150 140578 322036 499274 272651 901189 662531 29157 278826 1598090 78815 EXAM COSTS 2062365 CREDIT CARD PROCESSING 463011 SOFTWARE DEVELOPMENT EX 456173 DUES EXPENSE 34444 28298 19147728 1804965 2590584 7586645 11937466 1096865 465318 612275 680695 21030624 18254422 2795452 2776202 25678251 28791600 5266080 4483689 44840533 51725554 397004 518091 3885778 4048346 3299152 2599045 7581934 7165482 X 37258599 44560072 37258599 44560072 44840533 51725554 4950398 2351075 0 X X 0 1 X 1 0 776764 497252 279512 481565 301181 180384 19772295 17455989 2316306 2776202 ROU ASSET 2057724 ADVANCES TO NCCPA FOUNDATION 1000000 OTHER ASSETS 803969 OTHER RECEIVABLES 579008 A/R FROM RELATED PARTIES 42988 4483689 LEASE LIABILITY 2599045 2599045 X 25852450 2351075 -456173 1894902 23957548 140578 140578 24098126 18550977 0 18550977 140578 456173 596751 19147728 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 -456,173. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS TO EXPENSE, SOFTWARE DEVELOPMENT COSTS 456,173. 1 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 030429253 501(C)(3) 355000 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 FINANCIAL SUPPORT FOR OPERATING EXPENSE 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 472112 0 93617 0 26000 0 34800 0 3156 0 629685 0 0 0 E TIM RYAN VP FINANCE & CORPORATE SERVICES 197805 0 26000 0 19358 0 29128 0 13527 0 285818 0 0 0 JOSHUA GOODMAN SENIOR DIRECTOR PSYCHOMETRICS & EXAM 206865 0 2000 0 19500 0 28060 0 24307 0 280732 0 0 0 SHEILA MAULDIN VP RESEARCH AND EXAM PROGRAMS 174164 0 24000 0 26000 0 26945 0 18385 0 269494 0 0 0 ANGELA LANGA VP TECHNOLOGY SERVICES 196417 0 24000 0 0 0 15848 0 29321 0 265586 0 0 0 CINDY NALLS VP CERTIFICATION MAINTENANCE 158532 0 22000 0 16176 0 24355 0 28927 0 249990 0 0 0 NARASIMHARAO SAJJA SENIOR DIRECTOR APPLICATION DEVELOPM 137409 0 2750 0 19500 0 19822 0 28797 0 208278 0 0 0 DONALD STROUD SENIOR DIRECTOR OF EXAM OPERATIONS 146768 0 2000 0 9808 0 19700 0 26393 0 204669 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED A HEALTH CLUB 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 100 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 100 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 1000000 LOAN GUARANTEE NCCPA HEALTH FOUNDATION L 75030 BOOK VALUE OF INKIND SERVICES NCCPA HEALTH FOUNDATION Q 259800 PERSONNEL RELATED COSTS SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC B 355000 AMOUNT CONTRIBUTED SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC Q 260747 PERSONNEL RELATED COSTS