2015-02-14T09:52:00-06:00 2014-09-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2013-10-01 363481016 NATIONAL COUNCIL OF STATE BOARDS OF NURSING NATI 3125253600 111 E WACKER DR NO 2900 CHICAGO IL 606014277 SHIRLEY BREKKEN PRESIDENT 3125253600 2015-02-13 1 LU ANN TRAPP P01506476 3122071040 2015-02-13 2013 2016-02-25 16:41:14Z SHIRLEY BREKKEN 111 E WACKER DR NO 2900 CHICAGO IL 606014277 128414839 0 X WWW.NCSBN.ORG X 1978 PA ADVANCE REGULATORY EXCELLENCE FOR PATIENT SAFETY AND PUBLIC PROTECTION. 11 11 112 126 0 0 0 0 67592812 71663295 4474667 5036804 0 0 72067479 76700099 1497822 499254 0 0 11231949 11803050 0 0 0 54370800 53789425 67100571 66091729 4966908 10608370 189980004 208351052 14923298 15719346 175056706 192631706 THROUGH COLLABORATIVE LEADERSHIP, ADVANCE REGULATORY EXCELLENCE FOR PATIENT SAFETY AND PUBLIC PROTECTION, INCLUDING THE DEVELOPMENT OF LICENSING EXAMINATIONS IN NURSING. 0 0 45841489 66765206 NURSE COMPETENCENCSBN BECAME THE FIRST ORGANIZATION TO IMPLEMENT COMPUTERIZED ADAPTIVE TESTING (CAT) NATIONWIDE LICENSURE EXAMINATIONS (NCLEX) IN 1994. SINCE 1994 MORE THAN 4.2 MILLION U.S. CANDIDATES FOR NURSE LICENSURE HAVE TAKEN THE NCLEX EXAM VIA CAT. MORE THAN 103,000 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). 8009575 499254 196062 NURSE REGULATORY OUTCOMEU.S BOARDS OF NURSING REGULATE MORE THAN 4 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 $10 MILLION IN FUNDING FOR SCIENTIFIC RESEARCH PROJECTS THAT ADVANCE THE SCIENCE OF NURSING REGULATION. 8640193 4702027 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, DISCIPLINEAND 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. 62491257 1 0 0 1 0 0 0 0 1 0 1 1 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 1 171 0 1 112 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 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 8/13/14 - 9/30/14 5.00 X X 0 0 0 MYRA BROADWAY PRESIDENT 10/1/13 - 8/13/14 5.00 X X 0 0 0 KATHERINE THOMAS PRESIDENT-ELECT 5.00 X X 0 0 0 JULIA GEORGE TREASURER 5.00 X X 0 0 0 SUSAN ODOM AREA I DIRECTOR 5.00 X 0 0 0 LANETTE ANDERSON AREA II DIRECTOR 5.00 X 0 0 0 JAMES CLEGHORN AREA III DIRECTOR 5.00 X 0 0 0 ANN O'SULLIVAN AREA IV DIRECTOR 5.00 X 0 0 0 BETSY HOUCHEN DIRECTOR 5.00 X 0 0 0 JOE BAKER JR DIRECTOR 5.00 X 0 0 0 GLORIA DAMGAARD DIRECTOR 5.00 X 0 0 0 NATHAN GOLDMAN DIRECTOR 5.00 X 0 0 0 KATHY APPLE SECRETARY & CEO 40.00 X 333933 0 52884 ROB CLAYBORNE CFO 40.00 X 203467 0 37194 PHILIP DICKISON CHIEF OFFICER, EXAMINATIONS 40.00 X 198691 0 33577 NUR RAJWANY CHIEF INFORMATION OFFICER 40.00 X 183924 0 39261 MARYANN ALEXANDER CHIEF OFFICER, NURSING REGUALATION 40.00 X 170173 0 22503 JOSEPH DUDZIK HUMAN RESOURCES DIRECTOR 40.00 X 158287 0 40844 NANCY SPECTOR RGULATORY INNOVATIONS DIRECTOR 40.00 X 148303 0 30532 DAWN KAPPEL MARKETING & COMMUNICATIONS DIRECTOR 40.00 X 138744 0 21000 TAMMY SPANGLER INTERACTIVE SERVICES DIRECTOR 40.00 X 131488 0 19175 ADA WOO EXAMS, DIRECTOR MEASUREMENT AND TESTING 40.00 X 127783 0 28818 1794793 0 325788 22 0 1 0 PEARSON VUE 5601 GREEN VALLEY DR BLOOMINGTON MN 55437 TEST SERVICE 44101396 SUTHERLAND HEALTHCARE SOLUTIONS PO BOX 8500 PHILADELPHIA PA 191788226 IT CONSULTING 763591 INSIGHT PO BOX 731069 DALLAS TX 753731069 IT SUPPORT SERVICES 513090 MEDVANTAGE 147 SILVER TAIL LN NEW HOPE PA 18938 PUBLICATION SERVICES 309186 APPABILITY INC 825 S LEAVITT CHICAGO IL 60612 CONSULTING 306199 36 NURSE COMPETENCE 900099 66995289 66995289 NURSING INFORMATION SERVICES 900099 4447919 4447919 REGULATORY OUTCOME 900099 196062 196062 MEMBERSHIP DUES 900099 24025 24025 71663295 4803010 4803010 51948534 51714740 233794 233794 233794 76700099 71663295 0 5036804 499254 499254 1316126 672721 643405 8145746 7213583 932163 1670022 1359782 310240 671156 637598 33558 334005 334005 64650 64650 97396 97396 5212812 4709980 502832 1014608 926516 88092 1098276 1031066 67210 3919514 3531927 387587 2152193 2139510 12683 120626 120626 APPLICATION AND PROCESS 37857931 37857931 EQUIPMENT AND MAINTENAN 1454351 1430984 23367 LIBRARY AND MEMBERSHIPS 103381 33458 69923 359682 349551 10131 66091729 62491257 3600472 0 12613 24800 31927182 30169922 8567827 8846514 1518394 1453644 27308121 22451808 4984884 4856313 131174396 149541605 10339339 11998528 656250 531250 799119 928476 189980004 208351052 11910577 13092224 1067600 618128 16500 16500 799119 928476 1129502 1064018 14923298 15719346 X 175056706 192631706 175056706 192631706 189980004 208351052 X 10608370 6796731 169899 X 0 1 X 1 0 X 186000 187500 193500 192000 24025 783025 65486061 64238864 64406747 67400812 71639270 333171754 65672061 64426364 64600247 67592812 71663295 333954779 0 0 0 333954779 3249677 3385465 4106088 4223117 4803010 19767357 3249677 3385465 4106088 4223117 4803010 19767357 68921738 67811829 68706335 71815929 76466305 353722136 0.94410 0.94640 0.05590 0.05360 X 156 6589 6745 65994333 66001078 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 91141 94712 92795 6745 285393 250000 250000 250000 250000 1000000 1500000 90847 92518 496 156 184017 0 1 X 1852695 734968 1117727 1991723 1521908 469815 23463703 20194932 3268771 4856313 INTERNATIONAL EQUITY FUND - LLC 4134416 F REAL ESTATE INVESTMENT TRUST 7864112 F 11998528 DEFERRED RENT CREDITS 1064018 1064018 X 83496830 6796731 6796731 76700099 0 76700099 65921830 0 65921830 169899 169899 66091729 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, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. NCSBN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. PART XII, LINE 4B - OTHER ADJUSTMENTS: PRIOR YEAR GRANTS RETURNED 169,899. 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 74000 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS 15000 NORTH AMERICA 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS 23700 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES TRAVEL FOR MEETINGS 8400 0 0 0 0 0 0 121100 0 121100 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 US 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 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 OF 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 UNIVERSITY OF NORTH DAKOTA TWAMLEY HALL ROOM 115 264 CENTENNIA DRIVE STOP 8356 GRAND FORKS ND 58202 456002491 501(C)(3) 30514 RESEARCH TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 3451 WALNUT STREET RM P-221 PHILADELPHIA PA 19104 231352685 501(C)(3) 297900 RESEARCH STORMONT VAIL HEALTHCARE 1500 SW TENTH TOPEKA KS 66604 480543789 501(C)(3) 170840 RESEARCH 3 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 333933 0 0 0 0 0 36809 0 16075 0 386817 0 0 0 ROB CLAYBORNE CFO 203467 0 0 0 0 0 16924 0 20270 0 240661 0 0 0 PHILIP DICKISON CHIEF OFFICER, EXAMINATIONS 198691 0 0 0 0 0 16302 0 17275 0 232268 0 0 0 NUR RAJWANY CHIEF INFORMATION OFFICER 183924 0 0 0 0 0 15199 0 24062 0 223185 0 0 0 MARYANN ALEXANDER CHIEF OFFICER, NURSING REGUALATION 170173 0 0 0 0 0 13844 0 8659 0 192676 0 0 0 JOSEPH DUDZIK HUMAN RESOURCES DIRECTOR 158287 0 0 0 0 0 13417 0 27427 0 199131 0 0 0 NANCY SPECTOR RGULATORY INNOVATIONS DIRECTOR 148303 0 0 0 0 0 12344 0 18188 0 178835 0 0 0 DAWN KAPPEL MARKETING & COMMUNICATIONS DIRECTOR 138744 0 0 0 0 0 11406 0 9594 0 159744 0 0 0 TAMMY SPANGLER INTERACTIVE SERVICES DIRECTOR 131488 0 0 0 0 0 10930 0 8245 0 150663 0 0 0 ADA WOO EXAMS, DIRECTOR MEASUREMENT AND TEST 127783 0 0 0 0 0 10611 0 18207 0 156601 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 4 NCSBN BYLAWS AMENDED TO PROVIDE CLEAR GUIDANCE IN THE EVENT OF SIMULTANEOUS VACANCY IN THE OFFICE OF PRESIDENT AND PRESIDENT-ELECT, AND ENSURE THE OPPORTUNITY FOR MEMBERSHIP TO SELECT ITS LEADERS. 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 169,899.