STRATEGY STUDIO / PUBLIC DATA EXPLORER

NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSIST: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSIST (EIN 58-1218672)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-16
IRS object ID
201621379349302207
Schema version
2015v2.1
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)
Return2016-05-16T09:26:40-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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)
PersonDAWN MORTON-RIAS EDDPersonNm
Person TitleCEOPersonTitleTxt
Phone6784178100PhoneNum
Signature2016-05-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY JO ALEXANDERPreparerPersonNm
PTINP00002534PTIN
Phone7709558600PhoneNum
Preparation2016-05-06PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAWN MORTON-RIAS EDD PA-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$19,316,338GrossReceiptsAmt
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, CLINCIAL REASONING AND OTHER MEDICAL SKILLS AND PROFESSIONAL BEHAVIORS REQUIRED UPON ENTRY INTO PRACTICE AND THROUGHOUT THEIR CAREERS AS PHYSICIAN ASSISTANTS.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee80TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$15,771,278PYProgramServiceRevenueAmt
CY Program Service Revenue$16,255,432CYProgramServiceRevenueAmt
PY Investment Income$529,839PYInvestmentIncomeAmt
CY Investment Income$439,830CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$16,301,117PYTotalRevenueAmt
CY Total Revenue$16,695,262CYTotalRevenueAmt
PY Grants And Similar Paid$200,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$175,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,827,424PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,379,897CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,062,649PYOtherExpensesAmt
CY Other Expenses$8,029,230CYOtherExpensesAmt
PY Total Expenses$13,090,073PYTotalExpensesAmt
CY Total Expenses$13,584,127CYTotalExpensesAmt
PY Revenues Less Expenses$3,211,044PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,111,135CYRevenuesLessExpensesAmt
Total Assets BOY$21,656,010TotalAssetsBOYAmt
Total Assets EOY$23,699,904TotalAssetsEOYAmt
Total Liabilities BOY$3,225,315TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,115,641TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,430,695NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,584,263NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE CERTIFICATION PROGRAMS THAT REFLECT STANDARDS FOR CLINICAL KNOWLEDGE, CLINCIAL 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 70,175 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 Liabilities0ReportOtherLiabilitiesInd
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 Document138IRPDocumentCnt
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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 FINANCEBusinessNameLine1Txt
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 (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
FREDERICK C BLUM
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES CANNON
IMMEDIATE PAST CHAIR1.00Yes (X)$0$0$01.00Yes (X)
CLAUDETTE E DALTON
BOARD MEMBER1.00Yes (X)$0$0$0
TIMOTHY EVANS
BOARD MEMBER1.00Yes (X)$0$0$0
WANDA C GONSALVES
BOARD MEMBER1.00Yes (X)$0$0$0
ROBIN HUNTER BUSKEY
BOARD MEMBER1.00Yes (X)$0$0$01.00
CYNTHIA GRIGGS-FLOURNOY
BOARD MEMBER1.00Yes (X)$0$0$01.00
VICTORIA KAPRIELIAN
CHAIR1.00Yes (X)$0$0$0Yes (X)
JOEL KASE
BOARD MEMBER1.00Yes (X)$0$0$0
TIFFANY BILLMEIER KINDRATT
BOARD MEMBER1.00Yes (X)$0$0$0
KEVIN LOHENRY
BOARD MEMBER1.00Yes (X)$0$0$0
PAUL LOMBARDO
BOARD MEMBER1.00Yes (X)$0$0$0
JENNIFER R MADONIA
SECRETARY1.00Yes (X)$0$0$0Yes (X)
VARNELL D MCDONALD-FLETCHER
BOARD MEMBER1.00Yes (X)$0$0$0
PEGGY RILEY ROBINSON
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN H STUEMKY
TREASURER1.00Yes (X)$0$0$01.00Yes (X)
MARY WARNER
BOARD MEMBER1.00Yes (X)$0$0$01.00
DENNI J WOODMANSEE
CHAIR ELECT1.00Yes (X)$0$0$01.00Yes (X)
RICK BLUM
BOARD MEMBER1.00Yes (X)$0$0$0
DAWN MORTON-RIAS EDD PA-C
CEO40.00$334,234$0$21,33212.00Yes (X)
RAGAN COHN
VP GOVERNANCE40.00$145,850$0$22,715Yes (X)
SHEILA MAULDIN
VP RESEARCH AND TEST DEVELOP40.00$174,177$0$26,682Yes (X)
SONIA RATLIFF
VP FINANCE & HR40.00$180,081$0$28,159Yes (X)
STAN GILBREATH
VP TECHNOLOGY SERVICES40.00$88,229$0$2,425Yes (X)
LASHARN HUGHES
VP CERTIFICATION MAINTENANCE40.00$11,740$0$29Yes (X)
ANGELA LANGA
DIRECTOR OF IT40.00$149,107$0$18,688Yes (X)
JOSHUA GOODMAN
DIRECTOR PSYCHOMETRICS & RESEARCH40.00$178,124$0$2,575Yes (X)
MATTHEW BURKE
DIRECTOR TEST DEVELOPMENT40.00$139,347$0$320Yes (X)
XUEDONG WANG
SR. DATA ANALYST40.00$104,849$0$22,884Yes (X)
KATHERINE ADAMSON
DIRECTOR MEDICAL ADVISOR40.00$111,810$0$12,575Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,617,548TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$158,384TotalOtherCompensationAmt
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$2,783,490
352 INC
PO BOX 919439ORLANDOFL32891IT$475,000
SPRINGBIT INC
5125 SAVANNAH RUNCUMMINGGA30040IT$425,000
ARBET CONSULTING INC
1074 CLIFFS VISTA PARKWAYSIX MILESC29682PSYCHOMETRIC SERVICES$346,366
PILLSBURY WINTHROP SHAW PITTMAN LLP
PO BOX 601240CHARLOTTENC29260LEGAL$317,343
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CERTIFICATE MAINT FEES541900$6,020,010$6,020,010
RECERTIFICATION FEES541900$5,207,900$5,207,900
ENTRY LEVEL APPLICATION541900$4,122,525$4,122,525
PRACTICE EXAM FEES541900$512,855$512,855
SOFTWARE DEVEL PROJECT541900$240,357$240,357

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$151,785TotalRevenueColumnAmt
Related Or Exempt Func Income$151,785RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$16,255,432TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$372,822TotalRevenueColumnAmt
Exclusion$372,822ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,688,084SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,620,295SecuritiesAmt
Other$781OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$67,789SecuritiesAmt
Other-$781OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,008TotalRevenueColumnAmt
Exclusion$67,008ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,695,262TotalRevenueColumnAmt
Related Or Exempt Func Income$16,255,432RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$439,830ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$175,000TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,203,448TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,027,077TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$215,635TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$646,336TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$287,401TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$313,033TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,390TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$77,945TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$256,937TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$285,833TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$240,796TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$261,969TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$576,252TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$87,055TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$656,584TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,050,541TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$57,139TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
EXAM COSTS$3,441,358
CREDIT CARD PROCESSING$328,585
SOFTWARE DEVELOPMENT EX$305,535
MISCELLANEOUS EXP$19,310

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$40,968TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,584,127TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt
EOY$200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,574,749BOYAmt
EOY$3,967,275EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$62,175BOYAmt
EOY$90,170EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$243,072BOYAmt
EOY$379,020EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,528,331LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,336,118LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,521,347BOYAmt
EOY$2,192,213EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,162,599BOYAmt
EOY$14,294,447EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,091,868BOYAmt
EOY$2,776,579EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,656,010BOYAmt
EOY$23,699,904EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$655,885BOYAmt
EOY$701,391EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,569,430BOYAmt
EOY$2,414,250EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,225,315BOYAmt
EOY$3,115,641EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,430,695BOYAmt
EOY$20,584,263EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,430,695BOYAmt
EOY$20,584,263EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,656,010BOYAmt
EOY$23,699,904EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,111,135ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$957,567NetUnrlzdGainsLossesInvstAmt
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$83,883OtherCostOrOtherBasisAmt
Depreciation$52,152DepreciationAmt
Book Value$31,731BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$298,593OtherCostOrOtherBasisAmt
Depreciation$259,932DepreciationAmt
Book Value$38,661BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,145,855OtherCostOrOtherBasisAmt
Depreciation$10,024,034DepreciationAmt
Book Value$2,121,821BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,192,213TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO NCCPA FOUNDATION$2,000,000
OTHER ASSETS$225,069
A/R FROM RELATED PARTIES$44,329
OTHER RECEIVABLES$507,181
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,776,579TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,659,750TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$957,567NetUnrealizedGainsInvstAmt
Revenue Not Reported-$957,567RevenueNotReportedAmt
Revenue Subtotal$16,617,317RevenueSubtotalAmt
Investment Expenses Not Incld$77,945InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$77,945RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,695,262TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,506,182TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,506,182ExpensesSubtotalAmt
Investment Expenses Not Incld2$77,945InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$77,945ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,584,127TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 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 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 160AddressLine1Txt
CityJOHNS CREEKCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30097ZIPCd
FieldValueIRS element (for citing)
Recipient EIN030429253RecipientEIN
Cash Grant$175,000CashGrantAmt
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 NCCPA HEALTH FOUNDATION AND 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 PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
CEO$256,634$0$47,600$0$30,000$0$20,966$0$366$0$355,566$0$0$0
RAGAN COHN
VP GOVERNANCE$114,057$0$16,607$0$15,186$0$16,705$0$6,010$0$168,565$0$0$0
SHEILA MAULDIN
VP RESEARCH AND TEST DEVELOP$132,487$0$23,690$0$18,000$0$19,892$0$6,790$0$200,859$0$0$0
SONIA RATLIFF
VP FINANCE & HR$137,640$0$24,441$0$18,000$0$20,383$0$7,776$0$208,240$0$0$0
ANGELA LANGA
DIRECTOR OF IT$136,756$0$12,351$0$0$0$10,912$0$7,776$0$167,795$0$0$0
JOSHUA GOODMAN
DIRECTOR PSYCHOMETRICS & RESEARCH$155,124$0$3,000$0$20,000$0$0$0$2,575$0$180,699$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
I, LINE 1A:ALL EMPLOYEES RECEIVE REIMBURSEMENT UP TO $1,000 PER YEAR FOR HEALTH CLUB MEMBERSHIPS
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A 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 ARE ASKED TO ANNUALLY SIGN A PARTICIPATION AGREEMENT. IT INCLUDES A SECTION ON CONFLICT OF INTEREST AS WELL AS THEIR DUTIES OF CONFIDENTIALITY, LOYALTY, ETC. BOARD MEMBERS ARE ASKED TO DISCLOSE ANY CONFLICTS. CONFLICTS THAT DO ARISE ARE USUALLY RESOLVED BY ASKING A BOARD MEMBER TO RECUSE FROM VOTING OR SOME OTHER ARRANGEMENT DETERMINED BY THE CHAIR OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15AN 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 C, LINE 19THE FORM 990 IS AVAILABLE UPON REQUEST AT NCCPA.
FORM 990 PART XII LINE 2CTHE ORGANIZATION ISSUED A REQUEST FOR PROPOSALS FOR A FINANCIAL AUDIT AND SELECTED A FIRM. THE PROCESS FOR OVERSIGHT OF FINANCIAL STATEMENTS HAS NOT CHANGED.
PART VI, LINE 13THE ORGANIZATION'S WHISTLEBLOWER POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK IN ITS OWN DEFINED SECTION.

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
12000 FINDLEY ROAD SUITE 100JOHNS CREEKGA30097204381466SUPPORTING ORGANIZATIONIL501(C)(3)LINE 11A, INATIONAL COMMISSION OF CERTIFICATION OF PHYSICIAN ASSISTANTS INCYes (1)
SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC
12000 FINDLEY ROAD SUITE 160JOHNS CREEKGA30097030429253SUPPORTING ORGANIZATIONNC501(C)(3)LINE 11A, 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 Org0LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NCCPA HEALTH FOUNDATION
L$51,200BOOK VALUE OF INKIND SERVICES
NCCPA HEALTH FOUNDATION
J$13,800BOOK VALUE
NCCPA HEALTH FOUNDATION
P$161,146PERSONNEL RELATED COSTS
PA HISTORY SOCIETY
P$159,409PERSONNEL RELATED COSTS
PA HISTORY SOCIETY
B$175,000AMOUNT CONTRIBUTED
PA HISTORY SOCIETY
L$26,500BOOK VALUE OF IN KIND SERVICES

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationNAME, ADDRESS, AND EIN OF RELATED ORGANIZATION: NCCPA HEALTH FOUNDATION EIN: 20-4381466 12000 FINDLEY ROAD, SUITE 100 JOHNS CREEK, GA 30097 PRIMARY ACTIVITY: SUPPORTING ORGANIZATION DIRECT CONTROLLING ENTITY: NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSISTANTS, INC. NAME, ADDRESS, AND EIN OF RELATED ORGANIZATION: SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC EIN: 03-0429253 12000 FINDLEY ROAD, SUITE 160 JOHNS CREEK, GA 30097 PRIMARY ACTIVITY: SUPPORTING ORGANIZATION DIRECT CONTROLLING ENTITY: NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSISTANTS, INC.ExplanationTxt