2017-02-09T18:22:40-06:00 2016-09-30 381357951 PLANTE & MORAN PLLC 10 S Riverside Plaza 9th Floor Chicago IL 60606 990 2015-10-01 363481016 NATIONAL COUNCIL OF STATE BOARDS OF NURSING NATI 3125253600 111 E WACKER DR No 2900 CHICAGO IL 606014277 Katherine Thomas PRESIDENT 3125253600 2017-02-01 1 Lu Ann Trapp P01506476 3122071040 2017-02-01 2015 2021-01-29 14:40:06Z Katherine Thomas 111 E WACKER DR No 2900 CHICAGO IL 606014277 110262727 0 X WWW.NCSBN.ORG X 1978 PA ADVANCE REGULATORY EXCELLENCE FOR PATIENT SAFETY AND PUBLIC PROTECTION. 11 11 113 112 0 0 0 0 76836923 77688636 4472985 4065874 0 0 81309908 81754510 1775277 1288943 0 0 12396987 12940114 0 0 0 62778114 63484365 76950378 77713422 4359530 4041088 214066269 229156136 19220963 19415255 194845306 209740881 THROUGH COLLABORATIVE LEADERSHIP, ADVANCE REGULATORY EXCELLENCE FOR PATIENT SAFETY AND PUBLIC PROTECTION, INCLUDING THE DEVELOPMENT OF LICENSING EXAMINATIONS IN NURSING. 0 0 54640000 71749537 NURSE COMPETENCENCSBN BECAME THE FIRST ORGANIZATION TO IMPLEMENT COMPUTERIZED ADAPTIVE TESTING (CAT) NATIONWIDE LICENSURE EXAMINATIONS (NCLEX) IN 1994. SINCE 1994 MORE THAN 4.8 MILLION U.S. CANDIDATES FOR NURSE LICENSURE HAVE TAKEN THE NCLEX EXAM VIA CAT. MORE THAN 118,000 NURSE LICENSURE CANDIDATES HAVE TAKEN NCLEX AT INTERNATIONAL TEST CENTERS. NCSBN ALSO DEVELOPS AND ADMINISTERS THE LARGEST COMPETENCY EVALUATION FOR NURSE AIDES/NURSING ASSISTANTS (NAS) KNOWN AS THE NATIONAL NURSE AIDE ASSESSMENT PROGRAM (NNAAP). ADDITIONALLY, NCSBN DEVELOPS THE MEDICATION AIDE CERTIFICATION EXAMINATION (MACE). 9301602 1288943 192781 NURSE REGULATORY OUTCOMEU.S BOARDS OF NURSING REGULATE MORE THAN 4.8 MILLION LICENSED NURSES. NCSBN PROVIDES AN ORGANIZATION THROUGH WHICH BOARDS OF NURSING, ACT AND COUNSEL TOGETHER ON MATTERS OF COMMON INTEREST AND CONCERN AFFECTING THE PUBLIC HEALTH, SAFETY AND WELFARE. NCSBN PROVIDES RESOURCES, COMMUNICATION AND EDUCATION FOR USE BY ITS MEMBERS AND EXTERNAL STAKEHOLDERS. NCSBN EXPANDS AND ENHANCES EVIDENCED BASED REGULATION. THE NCSBN CENTER FOR REGULATORY EXCELLENCE GRANT PROGRAM HAS AWARDED ALMOST $12 MILLION IN FUNDING FOR SCIENTIFIC RESEARCH PROJECTS THAT ADVANCE THE SCIENCE OF NURSING REGULATION. 9859513 5746318 INFORMATIONNCSBN PROVIDES TECHNOLOGY AND COMPREHENSIVE DATA MANAGEMENT FOR USE BY ITS MEMBERS. NCSBN MAINTAINS THE NURSYS DATABASE THAT COORDINATES NATIONAL PUBLICLY AVAILABLE NURSE LICENSURE INFORMATION. NURSYS IS THE ONLY NATIONAL DATABASE FOR VERIFICATION OF NURSE LICENSURE, DISCIPLINE AND PRACTICE PRIVILEGES FOR RNS AND LPN/VNS LICENSED IN PARTICIPATING JURISDICTIONS INCLUDING ALL STATES IN THE NURSE LICENSURE COMPACT. IT ALLOWS EMPLOYERS TO RETRIEVE LICENSURE/DISCIPLINE DOCUMENTATION FROM A SINGLE LOCATION. 73801115 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 145 0 1 113 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X ROBERT CLAYBORNE 3125253600 111 EAST WACKER SUITE 2900 CHICAGO IL 60601 Shirley Brekken President 5.00 X X 0 0 0 Katherine Thomas President/President-Elect 5.00 X X 0 0 0 Julia George President-Elect/Treasurer 5.00 X X 0 0 0 Gloria Damgaard Treasurer/Director 5.00 X X 0 0 0 Suellyn Masek Area I Director 5.00 X 0 0 0 Adrian Guerrero Area II Director 5.00 X 0 0 0 James Cleghorn Area III Director 5.00 X 0 0 0 Ellen Watson Area IV Director 5.00 X 0 0 0 Nathan Goldman Director 5.00 X 0 0 0 Karen-Scipio Skinner Director 5.00 X 0 0 0 Valerie Smith Director 5.00 X 0 0 0 Lori Scheidt Director 5.00 X 0 0 0 Mary Kay Goetter Director 5.00 X 0 0 0 David Benton Secretary & CEO 40.00 X 101135 0 17511 Kathy Apple Secretary & CEO 40.00 X 315098 0 46605 Rob Clayborne CFO 40.00 X 223418 0 37193 Philip Dickison Chief Officer, Examinations 40.00 X 231406 0 36392 Nur Rajwany Chief Information Officer 40.00 X 197602 0 44040 Maryann Alexander Chief Officer, Nursing Regulation 40.00 X 193831 0 18047 Joseph Dudzik Human Resources Director 40.00 X 168807 0 42319 Nancy Spector Rgulatory Innovations Director 40.00 X 158822 0 32842 Dawn Kappel Marketing & Communications Director 40.00 X 150985 0 13864 Tammy Spangler Interactive Services Director 40.00 X 144363 0 15973 Ada Woo Director Measurement and Testing 40.00 X 142514 0 32001 2027981 0 336787 32 0 1 0 NCS PEARSON INC 21866 NETWORK PLACE CHICAGO IL 606731218 Test Service 56237243 SUTHERLAND HEALTHCARE SOLUTIONS LOCKBOX 8226 - PO BOX 8500 PHILADELPHIA PA 191788226 Consulting 812011 TRAVIS INC 920 EAST STATE PKWY SCHAUMBURG IL 60173 AUDIO/VISUAL SERVICES 408363 SILKROAD TECHNOLOGY 202 9618-42 AVE EDMONTON ALBERTA CA T6E 5Y4 Web Support 366944 AKULA INT LLC 10 SCHALKS CROSSING RD PLAINSBORO NJ 08536 CONSULTING 330957 20 NURSE COMPETENCE 900099 71749537 71749537 NURSING INFORMATION SERVICES 900099 5710293 5710293 REGULATORY OUTCOME 900099 192781 192781 MEMBERSHIP DUES 900099 36025 36025 77688636 4767101 4767101 27806990 28508217 -701227 -701227 -701227 81754510 77688636 0 4065874 1288943 1288943 1462278 716516 745762 8950783 8064045 886738 1837392 1559873 277519 689661 655178 34483 354974 354974 63100 63100 207905 207905 6417560 5720364 697196 760094 683631 76463 1115282 1046718 68564 3988060 3548478 439582 1776247 1764065 12182 132327 132327 APPLICATION AND PROCESS 47021195 47021195 EQUIPMENT AND MAINTENAN 1458695 1422638 36057 LIBRARY AND MEMBERSHIPS 116430 34911 81519 72496 66655 5841 77713422 73801115 3912307 0 65915 370451 33077872 34472272 10032272 10020786 1785267 1377824 27284290 24425015 4281139 2859275 154289672 167938239 9053498 9933294 406250 281250 1074384 1902745 214066269 229156136 15763997 15067317 1086450 1222282 0 76274 1074384 1902745 1296132 1146637 19220963 19415255 X 194845306 209740881 194845306 209740881 214066269 229156136 X 4041088 10821623 32864 X 0 1 X 1 0 X 193500 192000 24025 31525 36025 477075 64406747 67400812 71639270 76805398 77652611 357904838 64600247 67592812 71663295 76836923 77688636 358381913 0 0 0 358381913 4106088 4223117 4803010 4920053 4767101 22819369 4106088 4223117 4803010 4920053 4767101 22819369 68706335 71815929 76466305 81756976 82455737 381201282 0.94010 0.94150 0.05990 0.05850 X 0 279403 279403 77434019 77713422 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 92795 6745 95969 279403 474912 250000 250000 250000 250000 1000000 1500000 496 156 1468 2120 0 1 X 1852695 1029754 822941 1982404 1696116 286288 23449191 21699145 1750046 2859275 DEFERRED RENT CREDITS 1146637 1146637 X 92576133 10821623 10821623 81754510 0 81754510 77680558 0 77680558 32864 32864 77713422 Part IV, Line 2b: The amounts reported on Form 990 Part X represent cash that is held for the Nurse Licensure Compact Administrators (NLCA) and for the Colorado state Board of Nursing. Fees collected from States that participate in the Compact are held by NCSBN for the NLCA. In addition NCSBN serves as the administering entity for the Colorado State Board of Nursing's Peer Health Assistance Fund. The fund is used to support the Nursing Board's Impaired Professional Diversion Program. Part X, Line 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by NCSBN and recognize a tax liability if NCSBN has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS or other applicable taxing authorities. Management has analyzed the tax positions taken by NCSBN and has concluded that as of September 30, 2016, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. Part XII, Line 4b - Other Adjustments: PRIOR YEAR GRANTS RETURNED 32,864. East Asia and the Pacific 0 0 Program Service Revenue NCLEX Europe (Including Iceland & Greenland) 0 0 Program Service Revenue NCLEX North America 0 0 Program Service Revenue NCLEX South Asia 0 0 Program Service Revenue NCLEX Europe (Including Iceland & Greenland) 0 0 Program Services travel for meetings 25000 North America 0 0 Program Services travel for meetings 8500 Sub-Saharan Africa 0 0 Program Services travel for meetings 10000 Middle East and North Africa 0 0 Program Services travel for meetings 20000 0 0 0 0 0 0 63500 0 63500 0 0 0 0 0 0 Part I, Line 2: The National Council of State Boards of Nursing (NCSBN) develops examinations (NCLEX) that measure the competencies needed to perform safely and effectively as a newly licensed entry level nurse. NCLEX is used by licensing authorities within each jurisdiction to assist with licensing decisions. NCSBN offers the NCLEX abroad for the purpose of domestic nurse licensure in US states and territories. NCSBN also offers NCLEX in Canada for the purpose of nurse licensure in Canada. NCSBN contracts with Pearson VUE to administer the exam in both the US and in foreign countries. Pearson provides test development and delivers exams through its global network of test centers worldwide. NCSBN did not make any expenditure in the regions outside of the US where the NCLEX was delivered. NCSBN received fees from candidates for providing the exam at test centers outside the US. NCSBN works both nationally and internationally to foster cooperation and collaboration among its peer organizations, other professional associations and government entities to share information and knowledge in a multicultural exchange of thoughts and ideas. NCSBN incurs travel expenses to send staff and Board Members to attend and present at international nursing regulatory meetings 1 George Washington University 2121 I St NW Suite 601 Washington DC 20052 530196584 501(C)(3) 245624 Research Nell Hodgson Woodruff School of Nursing at Emory University 1599 Clifton Road NE 4th Floor Atlanta GA 30322 580566256 501(C)(3) 45841 Research Regents of the University of California San Francisco 1855 Folsom St Box 0812 San Francsico CA 94143 946036493 501(C)(3) 289221 Research University of North Carolina at Chapel Hill POBox 402420 Atlanta GA 30384 566001393 501(C)(3) 298377 Research San Jose State Univeristy Research Foundation 210 N Fourth St 4th Fl San Jose CA 95112 946017638 501(C)(3) 122377 Research State University of IOWA 105 Jessup Hall Iowa City IA 52242 426004813 501(C)(3) 216171 Research 6 Part I, Line 2: The NCSBN Center for Regulatory Excellence grant program provides funding for scientific research projects that advance the science of nursing regulation. All awards are determined by a scientific review panel comprised of PhDs, who are experienced investigators, and have knowledge of nursing regulation. The budgets of all proposals being awarded grants are thoroughly scrutinized prior to approval. An initial installment payment is made after approval. The studies and budgets are closely monitored. Investigators are required to submit a quarterly report on the progress of the study along with a summary of expenditures. Continued installment payments are dependent upon the evaluation of the progress review and expenditure reports. NCSBN may discontinue funding if progress on the project is unsatisfactory. X 1 1 X X X 0 0 0 0 0 0 0 0 0 Kathy Apple Secretary & CEO 315098 0 0 0 0 0 33398 0 13207 0 361703 0 0 0 Rob Clayborne CFO 223418 0 0 0 0 0 18482 0 18711 0 260611 0 0 0 Philip Dickison Chief Officer, Examinations 231406 0 0 0 0 0 18881 0 17511 0 267798 0 0 0 Nur Rajwany Chief Information Officer 197602 0 0 0 0 0 16582 0 27458 0 241642 0 0 0 Maryann Alexander Chief Officer, Nursing Regulation 193831 0 0 0 0 0 15893 0 2154 0 211878 0 0 0 Joseph Dudzik Human Resources Director 168807 0 0 0 0 0 14499 0 27820 0 211126 0 0 0 Nancy Spector Rgulatory Innovations Director 158822 0 0 0 0 0 13331 0 19511 0 191664 0 0 0 Dawn Kappel Marketing & Communications Director 150985 0 0 0 0 0 12410 0 1454 0 164849 0 0 0 Tammy Spangler Interactive Services Director 144363 0 0 0 0 0 11969 0 4004 0 160336 0 0 0 Ada Woo Director Measurement and Testing 142514 0 0 0 0 0 11985 0 20016 0 174515 0 0 0 Part I, Line 1a PER AN AGREEMENT THAT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS THE BOARD PRESIDENT AND THE CEO ARE ENTITLED TO RECEIVE UP TO A MAXIMUM OF $5,000 EXPENSE REIMBURSEMENTS FOR SPOUSAL TRAVEL. ANY REIMBURSEMENTS FOR SPOUSAL TRAVEL ARE INCLUDED ON THEIR FORM W-2 AND REPORTED AS TAXABLE INCOME. Form 990, Part VI, Section A, line 6 THE DELEGATE ASSEMBLY IS THE MEMBERSHIP BODY OF THE NCSBN. A MEMBER BOARD IS A STATE BOARD OF NURSING, WHICH IS APPROVED BY THE DELEGATE ASSEMBLY AS A MEMBER OF NCSBN. A STATE BOARD OF NURSING IS THE GOVERNMENTAL AGENCY EMPOWERED TO LICENSE AND REGULATE NURSING PRACTICE IN ANY STATE, TERRITORY, OR POLITICAL SUBDIVISION OF THE UNITED STATES OF AMERICA. Form 990, Part VI, Section A, line 7a OFFICERS AND DIRECTORS AT-LARGE ARE ELECTED BY MAJORITY VOTE OF THE DELEGATE ASSEMBLY. EACH MEMBER BOARD IS ENTITLED TO TWO VOTES. THE VOTES ARE CAST BY EITHER ONE OR TWO DELEGATES. Form 990, Part VI, Section A, line 7b THE DELEGATE ASSEMBLY PROVIDES DIRECTION FOR THE NCSBN THROUGH RESOLUTIONS AND ENACTMENTS, INCLUDING ADOPTION OF THE MISSION AND STRATEGIC INITIATIVES, AT ANY ANNUAL MEETING OR SPECIAL SESSION. THE DELEGATE ASSEMBLY APPROVES ALL NEW NCSBN MEMBERSHIPS; APPROVES THE SUBSTANCE OF ALL TERMS AND CONDITIONS OF MEMBERSHIP BETWEEN NCSBN AND MEMBER BOARDS; ADOPTS TEST PLANS TO BE USED FOR THE DEVELOPMENT OF THE NCLEX EXAMINATION; AND ESTABLISHES THE FEE FOR THE NCLEX EXAMINATION. EACH MEMBER BOARD IS ENTITLED TO TWO VOTES. THE VOTES ARE CAST BY EITHER ONE OR TWO DELEGATES. Form 990, Part VI, Section B, line 11 THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. The FINANCE COMMITTEE (AUDIT COMMITTEE) AND THE BOARD OF DIRECTORS retain the services of an independent CPA firm to prepare the organization's Form 990. AS PART OF ITS BOARD ACTIVITIES, A FINAL COPY OF THE FORM 990 IS REVIEWED AT A BOARD MEETING HELD BEFORE IT IS FILED WITH THE IRS. Form 990, Part VI, Section B, line 12c NCSBN HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT REQUIRES MEMBERS OF THE BOARD OF DIRECTORS (BOARD), COMMITTEE MEMBERS, AND EMPLOYEES TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS. A QUESTIONNAIRE IS DISTRIBUTED BY THE DIRECTOR OF MEMBER RELATIONS TO BOARD AND COMMITTEE MEMBERS, AND BY THE DIRECTOR OF HUMAN RESOURCES TO EMPLOYEES. THE DIRECTORS OF MEMBER RELATIONS AND HUMAN RESOURCES ENSURE THAT ALL QUESTIONAIRES ARE COMPLETED, AND REVIEWED FOR CONFLICTS. ANY QUESTIONNAIRES THAT DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARE SUBMITTED TO THE CHIEF EXECUTIVE OFFICER (CEO) AND BOARD. Form 990, Part VI, Section B, line 15 NCSBN POLICY REQUIRES BOARD APPROVAL OF CEO COMPENSATION ARRANGEMENTS IN ACCORDANCE WITH CONTRACTUAL PROVISIONS, MARKET CONDITIONS, AND PERFORMANCE ASSESSMENT. THE BOARD CONDUCTS AN ANNUAL WRITTEN PERFORMANCE APPRAISAL OF THE CEO. THE BOARD USES APPROPRIATE COMPARABLE DATA AND DOCUMENTS THE PROCESS. THE CEO IS RESPONSIBLE FOR STAFF COMPENSATION. MARKET REVIEWS OF COMPENSATION AND BENEFITS ARE CONDUCTED ANNUALLY. Form 990, Part VI, Section C, line 19 NCSBN MAKES THE APPLICATION FOR EXEMPTION (FORM 1023) AND FORM 990 AVAILABLE UPON OR IN PERSON REQUEST. FORM 990 IS ALSO AVAILABLE ON THE GUIDE STAR WEB SITE THAT IS OPEN TO THE PUBLIC. Form 990, Part XI, line 9: PRIOR YEAR GRANTS RETURNED 32,864.