STRATEGY STUDIO / PUBLIC DATA EXPLORER

NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSIST: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSIST (EIN 58-1218672)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-09
IRS object ID
201721299349300602
Schema version
2016v3.0
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)
Return2017-05-09T06:28:53-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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
Signature2017-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY JO ALEXANDERPreparerPersonNm
PTINP00002534PTIN
Phone7709558600PhoneNum
Preparation2017-05-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.192.51.169IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-08IPDt
IP Tm10:19:38IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id22709AFA47563364B621B0C461921DEB0EE6EC74AtSubmissionCreationDeviceId
At Submission Filing Device Id202DCD59C70D4893CB3D5AB50759741C6D19FF8AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$21,133,841GrossReceiptsAmt
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 Employee80TotalEmployeeCnt
Total Volunteers220TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$16,255,432PYProgramServiceRevenueAmt
CY Program Service Revenue$17,252,789CYProgramServiceRevenueAmt
PY Investment Income$439,830PYInvestmentIncomeAmt
CY Investment Income$529,226CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$16,695,262PYTotalRevenueAmt
CY Total Revenue$17,782,015CYTotalRevenueAmt
PY Grants And Similar Paid$175,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$300,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,379,897PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,256,020CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,029,230PYOtherExpensesAmt
CY Other Expenses$8,884,959CYOtherExpensesAmt
PY Total Expenses$13,584,127PYTotalExpensesAmt
CY Total Expenses$15,440,979CYTotalExpensesAmt
PY Revenues Less Expenses$3,111,135PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,341,036CYRevenuesLessExpensesAmt
Total Assets BOY$23,699,904TotalAssetsBOYAmt
Total Assets EOY$32,664,119TotalAssetsEOYAmt
Total Liabilities BOY$3,115,641TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,322,057TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,584,263NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,342,062NetAssetsOrFundBalancesEOYAmt
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 75,180 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 Document156IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee80EmployeeCnt
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
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 Line1SONIA RATLIFF VP FINANCE AND HR NCCPABusinessNameLine1Txt
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 (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DENNI J WOODMANSEE
CHAIR1.00Yes (X)Yes (X)$0$0$0
MARY WARNER
CHAIR ELECT1.00Yes (X)Yes (X)$0$0$0
JOHN H STUEMKY
TREASURER1.00Yes (X)Yes (X)$0$0$01.00
ROBIN HUNTER BUSKEY
SECRETARY1.00Yes (X)Yes (X)$0$0$01.00
VICTORIA KAPRIELIAN
IMMEDIATE PAST CHAIR1.00Yes (X)Yes (X)$0$0$01.00
CLAUDETTE E DALTON
TRUSTEE1.00Yes (X)$0$0$0
CYNTHIA FLOURNOY
TRUSTEE1.00Yes (X)$0$0$0
JENNIFER R MADONIA
TRUSTEE1.00Yes (X)$0$0$0
JOEL A KASE
TRUSTEE1.00Yes (X)$0$0$0
KATHERINE G FOOTRACER
TRUSTEE1.00Yes (X)$0$0$0
KEVIN LOHENRY
TRUSTEE1.00Yes (X)$0$0$0
PAUL LOMBARDO
TRUSTEE1.00Yes (X)$0$0$0
PEGGY RILEY ROBINSON
TRUSTEE1.00Yes (X)$0$0$0
TIFFANY BILLMEIER KINDRATT
TRUSTEE1.00Yes (X)$0$0$0
TIMOTHY EVANS
TRUSTEE1.00Yes (X)$0$0$0
VARNELL D MCDONALD-FLETCHER
TRUSTEE1.00Yes (X)$0$0$0
WANDA C GONSALVES
TRUSTEE1.00Yes (X)$0$0$0
D MORTON-RIAS EDD PA-C
PRESIDENT/CEO40.00Yes (X)$374,405$0$32,1612.00
SONIA RATLIFF
VP FINANCE & HR40.00Yes (X)$191,448$0$30,877
RAGAN COHN
VP GOVERNANCE40.00$160,401$0$26,293Yes (X)
SHEILA MAULDIN
VP RESEARCH AND TEST DEVELOP40.00$184,802$0$30,146Yes (X)
STAN GILBREATH
VP TECHNOLOGY SERVICES40.00$199,584$0$18,181Yes (X)
JOSHUA GOODMAN
DIRECTOR PSYCHOMETRICS & RESEARCH40.00$174,769$0$21,932Yes (X)
MATTHEW BURKE
DIRECTOR TEST DEVELOPMENT40.00$138,051$0$13,011Yes (X)
RONG LU
MANAGER, INFRASTRUCTURE & CORPORATE SECURITY'40.00$105,621$0$18,943Yes (X)
KATHERINE ADAMSON
DIRECTOR MEDICAL ADVISOR40.00$119,347$0$13,375Yes (X)
ANDREW DALLAS
PSYCHOMETRICIAN40.00$103,512$0$12,726Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,751,940TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$217,645TotalOtherCompensationAmt
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 DRCHICAGOIL60693TESTING CENTER$2,780,174
INNOVATIVE ARCHITECHTS LLC
3122 HILL STREETDULUTHGA30096IT CONSULTING$844,053
PILLSBURY WINTHROP SHAW PITTMAN LLP
PO BOX 601240CHARLOTTENC29260LEGAL$465,438
SPRINGBIT INC
5125 SAVANNAH RUNCUMMINGGA30040IT CONSULTING$405,118
VEREDUS CORPORATION
4300 W CYPRESS STREET SUITE 900TAMPAFL33607IT CONSULTING$210,533
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CERTIFICATE MAINT FEES541900$6,574,995$6,574,995
RECERTIFICATION FEES541900$5,576,900$5,576,900
ENTRY LEVEL APPLICATION541900$4,116,350$4,116,350
PRACTICE EXAM FEES541900$551,040$551,040
SOFTWARE DEVEL PROJECT541900$287,879$287,879

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$145,625TotalRevenueColumnAmt
Related Or Exempt Func Income$145,625RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$17,252,789TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$407,979TotalRevenueColumnAmt
Exclusion$407,979ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,473,073SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,347,795SecuritiesAmt
Other$4,031OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$125,278SecuritiesAmt
Other-$4,031OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,247TotalRevenueColumnAmt
Exclusion$121,247ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,782,015TotalRevenueColumnAmt
Related Or Exempt Func Income$17,252,789RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$529,226ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$300,000TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,988,184TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,919,951TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$224,874TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$800,896TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$322,115TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$351,134TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,200TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$88,121TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$304,863TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$415,234TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$253,937TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$454,613TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$653,452TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$116,809TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$752,058TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,214,147TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$59,866TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
EXAM COSTS$3,298,142
SOFTWARE DEVELOPMENT EX$475,443
CREDIT CARD PROCESSING$346,396
DUES EXPENSE$31,672

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$51,872TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,440,979TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,967,275BOYAmt
EOY$3,962,280EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$90,170BOYAmt
EOY$165,532EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$379,020BOYAmt
EOY$526,734EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,533,334LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,469,852LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,192,213BOYAmt
EOY$3,063,482EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,294,447BOYAmt
EOY$17,537,762EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,776,579BOYAmt
EOY$7,408,329EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,699,904BOYAmt
EOY$32,664,119EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$701,391BOYAmt
EOY$596,207EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,414,250BOYAmt
EOY$2,170,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,555,850EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,115,641BOYAmt
EOY$8,322,057EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,584,263BOYAmt
EOY$24,342,062EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,584,263BOYAmt
EOY$24,342,062EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,699,904BOYAmt
EOY$32,664,119EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,341,036ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,416,763NetUnrlzdGainsLossesInvstAmt
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$744,426OtherCostOrOtherBasisAmt
Depreciation$76,201DepreciationAmt
Book Value$668,225BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$340,506OtherCostOrOtherBasisAmt
Depreciation$222,970DepreciationAmt
Book Value$117,536BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,448,402OtherCostOrOtherBasisAmt
Depreciation$11,170,681DepreciationAmt
Book Value$2,277,721BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,063,482TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO NCCPA FOUNDATION$2,000,000
OTHER ASSETS$405,823
A/R FROM RELATED PARTIES$46,144
OTHER RECEIVABLES$262,074
ROU ASSET$4,694,288
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,408,329TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE LIABILITYDesc
Amt$5,555,850Amt
FieldValueIRS element (for citing)
Total Liability$5,555,850TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$18,635,216TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,416,763NetUnrealizedGainsInvstAmt
Other Revenue-$475,441OtherRevenueAmt
Revenue Not Reported$941,322RevenueNotReportedAmt
Revenue Subtotal$17,693,894RevenueSubtotalAmt
Investment Expenses Not Incld$88,121InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$88,121RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,782,015TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,877,417TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,877,417ExpensesSubtotalAmt
Investment Expenses Not Incld2$88,121InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$475,441OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$563,562ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,440,979TotalExpensesPerForm990Amt

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 -475,441.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS TO EXPENSE, SOFTWARE DEVELOPMENT COSTS 475,441.
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

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112000 FINDLEY ROAD SUITE 100AddressLine1Txt
CityJOHNS CREEKCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30097ZIPCd
FieldValueIRS element (for citing)
Recipient EIN030429253RecipientEIN
Cash Grant$300,000CashGrantAmt
Purpose Of GrantFINANCIAL SUPPORT FOR OPERATING EXPENSESPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
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
D MORTON-RIAS EDD PA-C
PRESIDENT/CEO$288,723$0$55,682$0$30,000$0$31,800$0$361$0$406,566$0$0$0
SONIA RATLIFF
VP FINANCE & HR$145,639$0$27,809$0$18,000$0$22,822$0$8,055$0$222,325$0$0$0
RAGAN COHN
VP GOVERNANCE$120,101$0$23,631$0$16,669$0$20,003$0$6,290$0$186,694$0$0$0
SHEILA MAULDIN
VP RESEARCH AND TEST DEVELOP$139,854$0$26,948$0$18,000$0$22,687$0$7,459$0$214,948$0$0$0
STAN GILBREATH
VP TECHNOLOGY SERVICES$159,464$0$28,456$0$11,664$0$13,997$0$4,184$0$217,765$0$0$0
JOSHUA GOODMAN
DIRECTOR PSYCHOMETRICS & RESEARCH$158,073$0$3,000$0$13,696$0$16,435$0$5,497$0$196,701$0$0$0
MATTHEW BURKE
DIRECTOR TEST DEVELOPMENT$122,406$0$3,000$0$12,645$0$12,645$0$366$0$151,062$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 12A, INATIONAL 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 12A, INATIONAL 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 (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NCCPA HEALTH FOUNDATION
L$50,270BOOK VALUE OF INKIND SERVICES
NCCPA HEALTH FOUNDATION
J$13,800BOOK VALUE
NCCPA HEALTH FOUNDATION
Q$171,382PERSONNEL RELATED COSTS
SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC
Q$211,533PERSONNEL RELATED COSTS
SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC
B$300,000AMOUNT CONTRIBUTED
SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC
L$19,517BOOK VALUE OF IN KIND SERVICES