STRATEGY STUDIO / PUBLIC DATA EXPLORER

NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSIST: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSIST (EIN 58-1218672)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-06-10
IRS object ID
201941619349300204
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-06-10T07:31:13-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580692043PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MAULDIN & JENKINS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 GALLERIA PKWY SE STE 1700AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303395946ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581218672EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL COMMISSION ON CERTIFICATION OFBusinessNameLine1Txt
Business Name Line2PHYSICIAN ASSISTANTS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNATIBusinessNameControlTxt
Phone6784178100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112000 FINDLEY ROAD NO 100AddressLine1Txt
CityJOHNS CREEKCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30097ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonD MORTON-RIASEDDPA-CPersonNm
Person TitleCEOPersonTitleTxt
Phone6784178100PhoneNum
Signature2019-05-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY JO ALEXANDERPreparerPersonNm
PTINP00002534PTIN
Phone7709558600PhoneNum
Preparation2019-05-30PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.192.51.169IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-30IPDt
IP Tm16:26:58IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1D80EF4C2A8753E0332C9BC6492B45673CE6356AAtSubmissionCreationDeviceId
At Submission Filing Device Id0BDBBA781AE86295716F43282EC0405F3A6D605EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerD MORTON-RIASEDDPA-CPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line112000 FINDLEY ROAD NO 100AddressLine1Txt
CityJOHNS CREEKCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30097ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,083,532GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.NCCPA.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee98TotalEmployeeCnt
Total Volunteers166TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$18,279,996PYProgramServiceRevenueAmt
CY Program Service Revenue$18,185,000CYProgramServiceRevenueAmt
PY Investment Income$703,117PYInvestmentIncomeAmt
CY Investment Income$912,446CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$18,983,113PYTotalRevenueAmt
CY Total Revenue$19,097,446CYTotalRevenueAmt
PY Grants And Similar Paid$520,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$632,049CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,246,293PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,160,068CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,432,720PYOtherExpensesAmt
CY Other Expenses$9,404,049CYOtherExpensesAmt
PY Total Expenses$17,199,013PYTotalExpensesAmt
CY Total Expenses$18,196,166CYTotalExpensesAmt
PY Revenues Less Expenses$1,784,100PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$901,280CYRevenuesLessExpensesAmt
Total Assets BOY$35,098,722TotalAssetsBOYAmt
Total Assets EOY$42,012,401TotalAssetsEOYAmt
Total Liabilities BOY$7,879,577TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,272,465TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,219,145NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,739,936NetAssetsOrFundBalancesEOYAmt
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTHE 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.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document148IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee98EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1E TIM RYAN VP FINANCE AND HRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6784178100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112000 FINDLEY ROAD STE 100AddressLine1Txt
CityJOHNS CREEKCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30097ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL LOMBARDO
CHAIR1.00Yes (X)Yes (X)$0$0$0
ROBIN HUNTER BUSKEY
CHAIR ELECT1.00Yes (X)Yes (X)$0$0$01.00
KATHERINE G FOOTRACER
TREASURER1.00Yes (X)Yes (X)$0$0$0
KENDRA THOMSEN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MARY WARNER
IMMEDIATE PAST CHAIR1.00Yes (X)Yes (X)$0$0$0
EDWARD A AMBERG
TRUSTEE1.00Yes (X)$0$0$01.00
BEVERLY BLACK
TRUSTEE1.00Yes (X)$0$0$0
JOHN BRADFORD
TRUSTEE1.00Yes (X)$0$0$0
LINDA DELANEY
TRUSTEE1.00Yes (X)$0$0$0
TIMOTHY EVANS
TRUSTEE1.00Yes (X)$0$0$01.00
JAMES GEHRING
TRUSTEE1.00Yes (X)$0$0$0
TEMPLE HOWELL-STAMPLEY
TRUSTEE1.00Yes (X)$0$0$0
JOEL A KASE
TRUSTEE1.00Yes (X)$0$0$0
LINDA LAWRENCE
TRUSTEE1.00Yes (X)$0$0$0
JENNIFER B PARKER
TRUSTEE1.00Yes (X)$0$0$0
PEGGY RILEY ROBINSON
TRUSTEE1.00Yes (X)$0$0$0
ZENO W ST CYR II
TRUSTEE1.00Yes (X)$0$0$0
DAWN MORTON-RIAS EDD PA-C
PRESIDENT/CEO40.00Yes (X)$411,541$0$34,1682.00
SHEILA MAULDIN
VP RESEARCH AND TEST DEVELOP40.00$193,441$0$30,821Yes (X)
E TIM RYAN
VP FINANCE & HR40.00$164,761$0$359Yes (X)
STAN GILBREATH
VP TECHNOLOGY SERVICES40.00$253,983$0$28,961Yes (X)
CINDY NALLS
VP CERTIFICATION MAINTENANCE40.00$122,583$0$22,283Yes (X)
JOSHUA GOODMAN
DIRECTOR PSYCHOMETRICS & RESEARCH40.00$196,882$0$31,541Yes (X)
KATHERINE ADAMSON
DIRECTOR MEDICAL ADVISOR40.00$151,235$0$17,804Yes (X)
NARASIMHARAO SAJJA
DIRECTOR APPLICATION DEVELOPMENT40.00$137,949$0$24,696Yes (X)
RUSS STROUD
DIRECTOR CORPORATE SECURITY & EXAM OPERATIONS40.00$126,342$0$23,001Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,758,717TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$213,634TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NCS PEARSON INC
13036 COLLECTION CENTER DRIVECHICAGOIL60693TESTING CENTER$2,091,027
SPRINGBIT INC
5125 SAVANNAH RUNCUMMINGGA30040IT CONSULTING$668,593
PILLSBURY WINTHROP SHOW PITTMAN LLP
PO BOX 601240CHARLOTTENC29260LEGAL$268,870
352 INC
PO BOX 919439ORLANDOFL32891IT CONSULTING$164,250
GREGDAN PARTNERS LLC
1063 PINELLAS BAYWAY SOUTHTIERRA VERDEFL33715EXTERNAL COMMUNICATIONS$130,166
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CERTIFICATE MAINT FEES541900$9,098,085$9,098,085
ENTRY LEVEL APPLICATION541900$4,797,325$4,797,325
RECERTIFICATION FEES541900$2,945,250$2,945,250
SOFTWARE DEVEL PROJECT541900$586,504$586,504
PRACTICE EXAM FEES541900$429,900$429,900

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$327,936TotalRevenueColumnAmt
Related Or Exempt Func Income$327,936RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$18,185,000TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$553,146TotalRevenueColumnAmt
Exclusion$553,146ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,345,386SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,985,787SecuritiesAmt
Other$299OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$359,599SecuritiesAmt
Other-$299OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$359,300TotalRevenueColumnAmt
Exclusion$359,300ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,097,446TotalRevenueColumnAmt
Related Or Exempt Func Income$18,185,000RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$912,446ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$632,049TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,118,034TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,026,235TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$446,982TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,145,943TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$422,874TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$247,764TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,400TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$113,489TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$380,472TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$897,912TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$315,253TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$560,432TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$662,704TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$238,284TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$832,215TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,458,722TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$67,021TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
EXAM COSTS$2,638,003
CREDIT CARD PROCESSING$477,323
SOFTWARE DEVELOPMENT EX$420,893
MISCELLANEOUS EXP$25,976

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$48,186TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,196,166TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$6,257,032EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,887,337BOYAmt
EOY$4,007,459EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$171,856BOYAmt
EOY$296,482EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$526,347BOYAmt
EOY$566,522EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,176,050LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,238,218LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,063,288BOYAmt
EOY$2,937,832EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$21,106,370BOYAmt
EOY$20,532,451EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,343,524BOYAmt
EOY$7,414,623EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,098,722BOYAmt
EOY$42,012,401EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$557,712BOYAmt
EOY$418,794EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,225,270BOYAmt
EOY$10,309,076EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,096,595BOYAmt
EOY$4,544,595EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,879,577BOYAmt
EOY$15,272,465EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,219,145BOYAmt
EOY$26,739,936EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,219,145BOYAmt
EOY$26,739,936EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,098,722BOYAmt
EOY$42,012,401EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$901,280ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,380,489NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$742,882OtherCostOrOtherBasisAmt
Depreciation$243,256DepreciationAmt
Book Value$499,626BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$474,795OtherCostOrOtherBasisAmt
Depreciation$243,106DepreciationAmt
Book Value$231,689BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,958,373OtherCostOrOtherBasisAmt
Depreciation$13,751,856DepreciationAmt
Book Value$2,206,517BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,937,832TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO NCCPA FOUNDATION$1,600,000
OTHER ASSETS$308,950
A/R FROM RELATED PARTIES$127,942
OTHER RECEIVABLES$1,708,467
ROU ASSET$3,669,264
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,414,623TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE LIABILITYDesc
Amt$4,544,595Amt
FieldValueIRS element (for citing)
Total Liability$4,544,595TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,182,575TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,380,489NetUnrealizedGainsInvstAmt
Other Revenue-$420,893OtherRevenueAmt
Revenue Not Reported-$1,801,382RevenueNotReportedAmt
Revenue Subtotal$18,983,957RevenueSubtotalAmt
Investment Expenses Not Incld$113,489InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$113,489RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$19,097,446TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,661,784TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$17,661,784ExpensesSubtotalAmt
Investment Expenses Not Incld2$113,489InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$420,893OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$534,382ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$18,196,166TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 ITS 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. THE INCOME TAX RETURNS FOR THE PAST THREE YEARS ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES, AND MAY CHANGE UPON EXAMINATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RECLASS TO EXPENSE, SOFTWARE DEVELOPMENT COSTS -420,893.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS TO EXPENSE, SOFTWARE DEVELOPMENT COSTS 420,893.
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 ITS 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. THE INCOME TAX RETURNS FOR THE PAST THREE YEARS ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES,AND MAY CHANGE UPON EXAMINATION.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC
12000 FINDLEY ROAD SUITE 100JOHNS CREEKGA30097030429253501(C)(3)$340,000FINANCIAL SUPPORT FOR OPERATING EXPENSES
NCCPA HEALTH FOUNDATION INC
12000 FINDLEY ROAD SUITE 100JOHNS CREEKGA30097204381466501(C)(3)$262,000FINANCIAL SUPPORT FOR OPERATING EXPENSE
PHYSICIAN ASSISTANT FOUNDATION
2318 MILL ROAD SUITE 1300ALEXANDRIAVA22314541071370501(C)(3)$25,000PA SCHOLARSHIP
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2FormAndLineReferenceDesc
ExplanationNCCPA GIVES ASSISTANCE TO THE PA HISTORY SOCIETY FOR FINANCIAL SUPPORT AND OPERATING EXPENSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAWN MORTON-RIAS EDD PA-C
PRESIDENT/CEO$320,378$0$66,663$0$24,500$0$33,000$0$1,168$0$445,709$0$0$0
SHEILA MAULDIN
VP RESEARCH AND TEST DEVELOP$144,030$0$24,911$0$24,500$0$23,837$0$6,984$0$224,262$0$0$0
E TIM RYAN
VP FINANCE & HR$143,361$0$21,400$0$0$0$0$0$359$0$165,120$0$0$0
STAN GILBREATH
VP TECHNOLOGY SERVICES$219,094$0$10,389$0$24,500$0$28,530$0$431$0$282,944$0$0$0
JOSHUA GOODMAN
DIRECTOR PSYCHOMETRICS & RESEARCH$174,882$0$3,500$0$18,500$0$24,311$0$7,230$0$228,423$0$0$0
KATHERINE ADAMSON
DIRECTOR MEDICAL ADVISOR$125,485$0$1,250$0$24,500$0$17,552$0$252$0$169,039$0$0$0
NARASIMHARAO SAJJA
DIRECTOR APPLICATION DEVELOPMENT$115,949$0$3,500$0$18,500$0$17,212$0$7,484$0$162,645$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION PROVIDED A HEALTH CLUB REIMBURSEMENT OF UP TO $1,000 FOR ALL EMPLOYEES.
SCHEDULE J PART I LINE 3AN 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA 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 12CALL BOARD MEMBERS SIGN AN ANNUAL PARTICAPTION 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 15A COMPENSATION STUDY IS CONDUCTED EVERY 3 - 5 YEARS BY A PROFESSIONAL CONSULTING GROUP. 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 19THE FORM 990 IS PUBLISHED ON GUIDESTAR.COM AND IS AVAILABLE UPON REQUEST FROM NCCPA.
FORM 990 PART XII LINE 2CTHE ORGANIZATION MAINTAINED THE SAME FINANCIAL AUDIT FIRM AS THE PRIOR YEAR. THE PROCESS FOR OVERSIGHT OF FINANCIAL STATEMENTS HAS NOT CHANGED.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NCCPA HEALTH FOUNDATION INC
12000 FINDLEY ROAD SUITE 100JOHNS CREEKGA30097204381466SUPPORTING ORGANIZATIONIL501(C)(3)LINE 12B, IINATIONAL COMMISSION OF CERTIFICATION OF PHYSICIAN ASSISTANTS INCYes (1)
SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC
12000 FINDLEY ROAD SUITE 100JOHNS CREEKGA30097030429253SUPPORTING ORGANIZATIONNC501(C)(3)LINE 12B, IINATIONAL COMMISSION OF CERTIFICATION OF PHYSICIAN ASSISTANTS INCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NCCPA HEALTH FOUNDATION
L$70,778BOOK VALUE OF INKIND SERVICES
NCCPA HEALTH FOUNDATION
Q$262,359PERSONNEL RELATED COSTS
SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC
Q$267,918PERSONNEL RELATED COSTS
SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC
B$340,000AMOUNT CONTRIBUTED
NCCPA HEALTH FOUNDATION
B$262,000AMOUNT CONTRIBUTED
NCCPA HEALTH FOUNDATION
D$1,600,000LOAN GUARANTEES
NCCPA HEALTH FOUNDATION
A$6,048OFFICE SPACE RENT