2020-06-17T12:15:56-05:00 2019-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2019-01-01 581218672 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC NATI 6784178100 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 DAWN MORTON-RIASEDDPA-C CEO 6784178100 2020-06-11 1 MARY JO ALEXANDER P00002534 7709558600 2020-06-11 50.192.51.169 2020-06-11 13:15:55 ED P A1E25CF08592ADA6998A7ADA5508AD4A4216749E F1EE09318E67EC4CD41983B6592E4CDC9DFC43EE 2019 2020-09-23 17:36:50Z D MORTON-RIASEDDPA-C 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 26268136 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 95 178 0 0 0 0 18185000 21251400 912446 1299735 0 0 19097446 22551135 632049 611026 0 0 8160068 8627782 0 0 0 9404049 9225898 18196166 18464706 901280 4086429 42012401 44791396 15272465 10923316 26739936 33868080 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 78,246 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 1 175 0 1 95 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 ROBIN HUNTER BUSKEY CHAIR 1.00 X X 0 0 0 KENDRA THOMSEN CHAIR ELECT 1.00 X X 0 0 0 KATHERINE G FOOTRACER TREASURER 1.00 X X 0 0 0 JENNIFER B PARKER SECRETARY 1.00 1.00 X X 0 0 0 PAUL LOMBARDO IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 EDWARD A AMBERG TRUSTEE 1.00 1.00 X 0 0 0 BEVERLY BLACK TRUSTEE 1.00 X 0 0 0 JOHN BRADFORD TRUSTEE 1.00 X 0 0 0 LINDA DELANEY TRUSTEE 1.00 X 0 0 0 TIMOTHY EVANS TRUSTEE 1.00 1.00 X 0 0 0 JAMES GEHRING TRUSTEE 1.00 X 0 0 0 TEMPLE HOWELL-STAMPLEY TRUSTEE 1.00 X 0 0 0 JOEL A KASE TRUSTEE 1.00 X 0 0 0 PAT KENNEY-MOORE TRUSTEE 1.00 X 0 0 0 LINDA LAWRENCE TRUSTEE 1.00 X 0 0 0 PEGGY RILEY ROBINSON TRUSTEE 1.00 X 0 0 0 ZENO W ST CYR II TRUSTEE 1.00 X 0 0 0 DAWN MORTON-RIAS EDD PA-C PRESIDENT/CEO 40.00 2.00 X 562767 0 37040 E TIM RYAN VP FINANCE & CORPORATE SVCS 40.00 X 227694 0 33292 SHEILA MAULDIN VP RESEARCH AND TEST DEVELOPMENT 40.00 X 221768 0 50387 ANGELA LANGA VP TECHNOLOGY SERVICES 40.00 X 145282 0 41754 CINDY NALLS VP CERTIFICATION MAINTENANCE 40.00 X 153253 0 54926 JOSHUA GOODMAN DIRECTOR PSYCHOMETRICS & EXAM DEVELOPMENT 40.00 X 206451 0 52260 NARASIMHARAO SAJJA DIRECTOR APPLICATION DEVELOPMENT 40.00 X 144227 0 49642 DONALD STROUD DIRECTOR EXAM OPERATIONS 40.00 X 133821 0 47337 1795263 0 366638 23 0 1 0 NCS PEARSON INC 13036 COLLECTION CENTER DRIVE CHICAGO IL 60693 TESTING CENTER 2043706 SPRINGBIT INC 5125 SAVANNAH RUN CUMMING GA 30040 IT CONSULTING 846753 JPA HEALTH COMMUNICATION 1101 CONNECTICUT AVENUE NW SUITE 6 WASHINGTON DC 20036 PR SERVICES 487597 PILLSBURY WINTHROP SHOW PITTMAN LLP PO BOX 601240 CHARLOTTE NC 29260 LEGAL 296886 GREGDAN PARTNERS LLC 1063 PINELLAS BAYWAY SOUTH TIERRA VERDE FL 33715 EXTERNAL COMMUNICATIONS 135000 5 CERTIFICATE MAINT FEES 541900 9089825 9089825 RECERTIFICATION FEES 541900 5448450 5448450 ENTRY LEVEL APPLICATION 541900 5249300 5249300 SOFTWARE DEVEL PROJECT 541900 797753 797753 PRACTICE EXAM FEES 541900 371450 371450 294622 294622 21251400 664252 664252 4346127 6357 3709237 7764 636890 -1407 635483 635483 22551135 21251400 0 1299735 611026 1132948 5396844 480977 1172701 444312 253963 18100 126258 320709 752779 243841 650654 653673 148672 793781 1469357 67334 EXAM COSTS 2649662 SOFTWARE DEVELOPMENT EX 646118 CREDIT CARD PROCESSING 366565 DUES EXPENSE 25078 39354 18464706 6257032 2213431 4007459 7980446 296482 306969 566522 584369 18637313 15701214 2937832 2936099 20532451 24705862 7414623 6064220 42012401 44791396 418794 391807 10309076 6584515 4544595 3946994 15272465 10923316 X 26739936 33868080 26739936 33868080 42012401 44791396 4086429 3041715 0 X X 0 1 X 1 0 773473 326207 447266 500082 287404 212678 17363758 15087603 2276155 2936099 ADVANCES TO NCCPA FOUNDATION 1400000 OTHER ASSETS 102743 A/R FROM RELATED PARTIES 75215 OTHER RECEIVABLES 1322290 ROU ASSET 3163972 6064220 LEASE LIABILITY 3946994 3946994 X 24820474 3041715 -646118 2395597 22424877 126258 126258 22551135 17692330 0 17692330 126258 646118 772376 18464706 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 -646,118. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS TO EXPENSE, SOFTWARE DEVELOPMENT COSTS 646,118. 1 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 030429253 501(C)(3) 340000 FINANCIAL SUPPORT FOR OPERATING EXPENSES NCCPA HEALTH FOUNDATION INC 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 204381466 501(C)(3) 250000 FINANCIAL SUPPORT FOR OPERATING EXPENSE PHYSICIAN ASSISTANT FOUNDATION 2318 MILL ROAD SUITE 1300 ALEXANDRIA VA 22314 541071370 501(C)(3) 15000 PA SCHOLARSHIPS 3 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 445329 0 92438 0 25000 0 33600 0 3440 0 599807 0 0 0 E TIM RYAN VP FINANCE & CORPORATE SVCS 185522 0 27955 0 14217 0 21414 0 11878 0 260986 0 0 0 SHEILA MAULDIN VP RESEARCH AND TEST DEVELOPMENT 170324 0 26444 0 25000 0 26764 0 23623 0 272155 0 0 0 ANGELA LANGA VP TECHNOLOGY SERVICES 119382 0 25900 0 0 0 19083 0 22671 0 187036 0 0 0 CINDY NALLS VP CERTIFICATION MAINTENANCE 120487 0 20066 0 12700 0 19168 0 35758 0 208179 0 0 0 JOSHUA GOODMAN DIRECTOR PSYCHOMETRICS & EXAM DEVELO 185451 0 2000 0 19000 0 25457 0 26803 0 258711 0 0 0 NARASIMHARAO SAJJA DIRECTOR APPLICATION DEVELOPMENT 123227 0 2000 0 19000 0 17957 0 31685 0 193869 0 0 0 DONALD STROUD DIRECTOR EXAM OPERATIONS 123484 0 2000 0 8337 0 16759 0 30578 0 181158 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 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC B 340000 AMOUNT CONTRIBUTED NCCPA HEALTH FOUNDATION B 250000 AMOUNT CONTRIBUTED NCCPA HEALTH FOUNDATION D 1400000 LOAN GUARANTEE NCCPA HEALTH FOUNDATION L 135284 BOOK VALUE OF INKIND SERVICES NCCPA HEALTH FOUNDATION Q 314168 PERSONNEL RELATED COSTS SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC Q 291518 PERSONNEL RELATED COSTS