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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAYNE KENDALL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK KILLEEN</PersonNm>
        <TitleTxt>PA Director at Large</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA LAWRENCE</PersonNm>
        <TitleTxt>Physician Director at Large</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA MICHAUD</PersonNm>
        <TitleTxt>State Medical Boards Nominee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY K MOSMAN</PersonNm>
        <TitleTxt>PA Director at Large</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FOLASHADE OMOLE</PersonNm>
        <TitleTxt>Physician Director at Large</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAREY ROESLER</PersonNm>
        <TitleTxt>PA Director at Large</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BENJAMIN SMITH</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ZENO W ST CYR II</PersonNm>
        <TitleTxt>Public Director at Large</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENDRA THOMSEN</PersonNm>
        <TitleTxt>PA Director at Large/Secretary</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ILKA V WILSON VALLEE</PersonNm>
        <TitleTxt>Public Director at Large</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAWANDA M CADE</PersonNm>
        <TitleTxt>Secretary (THRU 6/18/25)</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
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      <IndivRcvdGreaterThan100KCnt>60</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Pillsbury Winthrop Shaw Pittman LLP</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 601240</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28260</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TSO EAST JOHNS CROSSING LP</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1170 PEACHTREE STREET NE</AddressLine1Txt>
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            <StateAbbreviationCd>GA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dell Marketing LP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 534118</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30353</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <TotalContributionsAmt>0</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>541900</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>16011120</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>8416922</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8416922</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ENTRY LEVEL APPLICATION</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>8108650</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8108650</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRACTICE EXAMINATION FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>861050</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>861050</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>251650</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>251650</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>33649392</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2058600</TotalRevenueColumnAmt>
        <ExclusionAmt>2058600</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>574216</SecuritiesAmt>
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        <SecuritiesAmt>408371</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>408371</TotalRevenueColumnAmt>
        <ExclusionAmt>408371</ExclusionAmt>
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      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      </NetIncomeOrLossGrp>
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        <ExclusionAmt>161721</ExclusionAmt>
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      <OtherRevenueTotalAmt>161721</OtherRevenueTotalAmt>
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        <ExclusionAmt>2628692</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <CompDisqualPersonsGrp>
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      <OtherEmployeeBenefitsGrp>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      <InformationTechnologyGrp>
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      <OtherExpensesGrp>
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        <EOYAmt>62486005</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>4317985</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>96108288</EOYAmt>
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        <EOYAmt>18739514</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>5076656</EOYAmt>
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        <EOYAmt>24931925</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>4978729</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>3261157</NetUnrlzdGainsLossesInvstAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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      <CYMinus4YrEndwmtFundGrp />
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        <DepreciationAmt>687603</DepreciationAmt>
        <BookValueAmt>3028777</BookValueAmt>
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      <LeaseholdImprovementsGrp />
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        <Desc>LEASE LIABILITY</Desc>
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      <TotalLiabilityAmt>5076656</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>39315258</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>3261157</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>3261157</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>36054101</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>223983</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>36278084</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>31075372</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 their 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. In general, the Organization is no longer subject to tax examinations for the years ending before December 31, 2022.</ExplanationTxt>
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    </IRS990ScheduleD>
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          <BusinessNameLine1Txt>NCCPA HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>12000 Findley Road Suite 200</AddressLine1Txt>
          <CityNm>Johns Creek</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30097</ZIPCd>
        </USAddress>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>Loan Forgiveness</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Society for the Preservation of Physician Assistan</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>12000 Findley Road Suite 200</AddressLine1Txt>
          <CityNm>Johns Creek</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30097</ZIPCd>
        </USAddress>
        <RecipientEIN>030429253</RecipientEIN>
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        <PurposeOfGrantTxt>Financial Support</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SHCEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NCCPA gives assistance to the NCCPA Health Foundation and the Society for the Preservation of Physician Assistant History for financial support and operating expenses.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
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        <PersonNm>DAWN MARIE MORTON-RIAS</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>E TIM RYAN</PersonNm>
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        <PersonNm>JOSHUA GOODMAN</PersonNm>
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        <PersonNm>ANGELA LANGA</PersonNm>
        <TitleTxt>VP of Information Technology</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONG LU</PersonNm>
        <TitleTxt>Sr. Dir. of Infra. &amp; Security</TitleTxt>
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        <BonusFilingOrganizationAmount>4000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1900</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24058</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21981</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>247525</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CINDY NALLS</PersonNm>
        <TitleTxt>VP of Certification Maint.</TitleTxt>
        <BaseCompensationFilingOrgAmt>290909</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>29207</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1900</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>38522</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33847</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>394385</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NARASIMHARAO SAJJA</PersonNm>
        <TitleTxt>Sr. DiR. of Application Devlp.</TitleTxt>
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        <BonusFilingOrganizationAmount>3500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1900</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25676</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>41344</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>281987</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD RUSSELL STROUD</PersonNm>
        <TitleTxt>SR. DIRECTOR OF EXAM OPERATION</TitleTxt>
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        <BonusFilingOrganizationAmount>4000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>900</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23946</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33062</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>256562</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALICIA KATHERINE QUELLA</PersonNm>
        <TitleTxt>DIR. OF COMM. &amp; P.A. RELATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>188166</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1900</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2323</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>41438</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>238827</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ARUNA SHARMA</PersonNm>
        <TitleTxt>SR. DIR. APP. MGMT, QA &amp; DATA</TitleTxt>
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        <BonusFilingOrganizationAmount>3500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1900</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23286</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>40748</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259087</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization provided a health and wellness reimbursement of up to $1,000 for all employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J PART I LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AN 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO 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. NCCPA REGARDS THE TITLES "PHYSICIAN ASSISTANT," "PHYSICIAN ASSOCIATE,"PA" AS EQUIVALENT AND SYNONYMOUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>A 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members sign an annual participation 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO's compensation study is conducted every 2 or 3 years by a professional consulting group with formal goal setting and evaluation processes conducted annually. The CEO's salary is determined by the board of directors and the CEO determines officers and other key employee salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is published on guidestar.com and is available upon request from the NCCPA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization hired a new audit and tax firm in Smith+Howard. The process for oversight of financial statements has not changed.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>NCCPA Health Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>12000 Findley Road Suite 200</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <CityNm>JOHNS CREEK</CityNm>
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        <PrimaryActivitiesTxt>SEE STATEMENT</PrimaryActivitiesTxt>
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      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
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      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
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      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>NCCPA Health Foundation</BusinessNameLine1Txt>
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        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>200000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ANNUAL GRANT</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>NCCPA Health Foundation</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>LOAN GUARANTEE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>NCCPA Health Foundation</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>SEE STATEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>NCCPA Health Foundation</BusinessNameLine1Txt>
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        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>190381</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE STATEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>Name Of Related Organizations: NCCPA Health Foundation, Inc. The Physician Assistant History Society, Inc. Direct Controlling Entity: National Commission on Certification of Physician Assistants, Inc. Name, Address, And EIN Of Related Organization: NCCPA Health Foundation, Inc. EIN: 20-4381466 12000 Findley Road, Suite 200 Johns Creek, GA 30097 The Physician Assistant History Society, Inc. EIN: 03-0429253 12000 Findley Road, Suite 200 Johns Creek, GA 30097 Primary Activity: NCCPA Health Foundation, Inc. - As a supporting organization, it empowers Physicians Assistants to improve health through grant programs. The Physician Assistant History Society, Inc. - As a supporting organization, it preserves the physician assistant profession's history and achievements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 2, COLUMN D:</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 2(3) METHODOLOGY: BOOK VALUE OF INKIND SERVICES LINE 2(4) METHODOLOGY: PERSONNEL RELATED COSTS LINE 2(6) METHODOLOGY: BOOK VALUE OF INKIND SERVICES OVERFLOW LINE 2(1) METHODOLOGY: PERSONNEL RELATED COSTS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>