2023-02-10T11:59:37-06:00 2022-09-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2021-10-01 363481016 NATIONAL COUNCIL OF STATE BOARDS OF NURSING NATI 3125253600 111 E WACKER DR 2900 CHICAGO IL 606014277 JAY P DOUGLAS PRESIDENT 3125253600 2023-02-01 1 JAY DOUGLAS 999009999 LU ANN TRAPP P01506476 3122071040 2023-01-30 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z JAY P DOUGLAS 111 E WACKER DR 2900 CHICAGO IL 606014277 186039593 0 X WWW.NCSBN.ORG X 1978 PA ADVANCE REGULATORY EXCELLENCE FOR PATIENT SAFETY AND PUBLIC PROTECTION. 11 11 152 50 0 0 0 0 89671324 103567347 11099706 22660360 0 0 100771030 126227707 1179036 1015459 0 0 19886874 21111601 0 0 0 74645669 90462034 95711579 112589094 5059451 13638613 316187238 278021193 31260098 39210031 284927140 238811162 THROUGH COLLABORATIVE LEADERSHIP, ADVANCE REGULATORY EXCELLENCE FOR PATIENT SAFETY AND PUBLIC PROTECTION, INCLUDING THE DEVELOPMENT OF LICENSING EXAMINATIONS IN NURSING. 0 0 81857224 93415030 NURSE COMPETENCENCSBN BECAME THE FIRST ORGANIZATION TO IMPLEMENT COMPUTERIZED ADAPTIVE TESTING (CAT) NATIONWIDE LICENSURE EXAMINATIONS (NCLEX) IN 1994. SINCE 1994 MORE THAN 6 MILLION CANDIDATES FOR NURSE LICENSURE HAVE TAKEN THE NCLEX EXAM VIA CAT. 12376646 1015459 181044 NURSE REGULATORY OUTCOMEU.S. BOARDS OF NURSING REGULATE MORE THAN 5 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 PROVIDES FUNDING FOR SCIENTIFIC RESEARCH PROJECTS THAT ADVANCE THE SCIENCE OF NURSING REGULATION. 11016560 9971273 INFORMATIONNCSBN PROVIDES TECHNOLOGY AND COMPREHENSIVE DATA MANAGEMENT FOR USE BY ITS MEMBERS. NCSBN MAINTAINS THE NURSYS DATABASE THAT COORDINATES NATIONAL PUBLICLY AVAILABLE NURSE LICENSURE INFORMATION. NURSYS IS THE ONLY NATIONAL DATABASE FOR VERIFICATION OF NURSE LICENSURE, DISCIPLINE AND PRACTICE PRIVILEGES FOR RNS AND LPN/VNS LICENSED IN PARTICIPATING JURISDICTIONS INCLUDING ALL STATES IN THE NURSE LICENSURE COMPACT. IT ALLOWS EMPLOYERS TO RETRIEVE LICENSURE/DISCIPLINE DOCUMENTATION FROM A SINGLE LOCATION. 105250430 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 0 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 76 0 1 152 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X ROBERT CLAYBORNE 3125253600 111 EAST WACKER SUITE 2900 CHICAGO IL 60601 DAVID BENTON SECRETARY & CEO 40.00 0.00 X 941741 0 80122 PHILIP DICKISON COO 40.00 0.00 X 403694 0 41571 ROB CLAYBORNE CFO 40.00 0.00 X 292886 0 47561 NUR RAJWANY CHIEF INFORMATION OFFICER 40.00 0.00 X 257499 0 47703 MARYANN ALEXANDER CHIEF OFFICER, NURSING REGULATION 40.00 0.00 X 270183 0 32206 JOESEPH BETTS MEASUREMENT AND TESTING DIRECTOR 40.00 0.00 X 231635 0 45309 JASON SCHWARTZ OUTREACH MARKETING AND ADVOCACY DIRECTOR 40.00 0.00 X 232735 0 35698 JOSEPH DUDZIK HUMAN RESOURCES DIRECTOR 40.00 0.00 X 205832 0 37945 TAMMY SPANGLER INTERACTIVE SERVICES DIRECTOR 40.00 0.00 X 202940 0 26826 DAWN KAPPEL MARKETING & COMMUNICATIONS DIRECTOR 40.00 0.00 X 195015 0 24572 JAY P DOUGLAS PRESIDENT 5.00 0.00 X X 0 0 0 PHILLIS POLK JOHNSON PRESIDENT-ELECT 5.00 0.00 X X 0 0 0 ADRIAN GUERRERO TREASURER 5.00 0.00 X X 0 0 0 SUSAN VAN BEUGE AREA I DIRECTOR 5.00 0.00 X 0 0 0 LORI SCHEIDT AREA II DIRECTOR 5.00 0.00 X 0 0 0 KAREN C LYON AREA III DIRECTOR 5.00 0.00 X 0 0 0 KAREN E B EVANS AREA IV DIRECTOR 5.00 0.00 X 0 0 0 CATHY BORRIS-HALE DIRECTOR (THRU AUG 2022) 5.00 0.00 X 0 0 0 ANNE COGHLAN DIRECTOR (THRU AUG 2022) 5.00 0.00 X 0 0 0 LORI GLENN DIRECTOR 5.00 0.00 X 0 0 0 AMY FITZHUGH DIRECTOR (THRU AUG 2022) 5.00 0.00 X 0 0 0 TONY GRAHAM DIRECTOR 5.00 0.00 X 0 0 0 MARK MAJEK DIRECTOR (THRU AUG 2022) 5.00 0.00 X 0 0 0 SUE TEDFORD DIRECTOR 5.00 0.00 X 0 0 0 CAROL TIMMINGS DIRECTOR 5.00 0.00 X 0 0 0 3234160 0 419513 70 0 1 0 PEARSON WIRE 5601 GREEN VALLEY DRIVE BLOOMINGTON MN 55437 TESTING SERVICES 59215408 ONE PLUS CORP (EXAMROOM) 1047 GREENWAY ROAD SORRENTO FL 32776 PROCTORING EXAMS 7689687 CBS BROADCASTING INC WBBM-TV 21247 NETWORK PLACE CHICAGO IL 606731212 TV ADS 648750 SPM MARKETING & COMMUNICATIONS INC 15 W HARRIS - LAGRANGE IL 60525 PROFESSIONAL FEES 614143 VEDDER PRICE PC 8677 SOLUTION CENTER CHICAGO IL 606778006 LEGAL SERVICES 606015 37 NURSE COMPETENCE 900099 93425164 93425164 NURSING INFORMATION SERVICES 900099 9969324 9969324 REGULATORY OUTCOME 900099 139834 139834 MEMBERSHIP DUES 900099 33025 33025 103567347 8375969 8375969 73571277 525000 59811886 0 13759391 525000 14284391 14284391 126227707 103567347 0 22660360 X 1015459 1015459 2415165 1052855 1362310 14543706 12256060 2287646 1109826 911946 197880 1906284 1312368 593916 1136620 1062515 74105 624602 624602 95141 95141 828048 828048 779292 779292 14844117 14378884 465233 345867 333064 12803 897335 742001 155334 3390399 3105347 285052 683104 601317 81787 APPLICATION & PROCESSIN 64181225 64181225 0 EQUIPMENT & MAINTENANCE 3338480 3327268 11212 LIBRARY & MEMBERSHIPS 82437 38072 44365 371987 104001 267986 112589094 105250430 7338664 0 288285 28748 13131891 32571970 914124 832216 2832546 1362514 35548613 23809254 9734632 11739359 274168556 212985427 14205681 17471077 911523 1029882 316187238 278021193 7238869 10595285 720461 473918 20157385 25101391 911523 1029882 2231860 2009555 31260098 39210031 X 284927140 238811162 284927140 238811162 316187238 278021193 X 13638613 -59783222 28631 X X 0 1 X 1 0 X 45025 40525 40525 40525 33025 199625 78635295 83009414 86865196 89630799 103534322 441675026 78680320 83049939 86905721 89671324 103567347 441874651 0 0 0 441874651 5489367 5165485 5593927 6780319 8375969 31405067 5489367 5165485 5593927 6780319 8375969 31405067 84169687 88215424 92499648 96451643 111943316 473279718 0.93360 0.93620 0.06640 0.06380 X 0 828048 828048 111732415 112560463 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 844909 980508 965222 828048 3618687 250000 250000 250000 250000 1000000 1500000 0 1 X 2746604 583344 2163260 10255961 780950 9475011 22546048 22444960 101088 11739359 REAL ESTATE INVESTMENT PARTNERSHIP 17471077 F 17471077 DEFERRED RENT CREDITS 2009555 2009555 65140196 -59783219 -59783219 124923415 779292 525000 1304292 126227707 111781172 0 111781172 779292 28631 807923 112589095 PART IV, LINE 2B: THE AMOUNTS REPORTED ON FORM 990 PART X REPRESENT CASH HELD FOR THE INTERSTATE COMMISSION OF NURSE LICENSURE COMPACT ADMINISTRATORS (ICNLCA). FEES COLLECTED FROM STATES THAT PARTICIPATE IN THE COMPACT ARE HELD BY NCSBN FOR THE ICNLCA. PART XI, LINE 4B - OTHER ADJUSTMENTS: NONOPERATING INCOME 525,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: RETURNED GRANTS 28,631. EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, PROGRAM SERVICES REVENUE NCLEX EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM PROGRAM SERVICES REVENUE NCLEX NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES PROGRAM SERVICES REVENUE NCLEX SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, PROGRAM SERVICES REVENUE NCLEX EUROPE (INCLUDING ICELAND & GREENLAND) PROGRAM SERVICE EXPENSES MEETINGS/TRAVEL 16000 0 0 0 0 0 0 16000 0 16000 0 0 0 0 0 0 PART III ACCOUNTING METHOD: SCHEDULE F, PART I, LINE 3 THE NATIONAL COUNCIL OF STATE BOARDS OF NURSING (NCSBN) DEVELOPS EXAMINATIONS (NCLEX) THAT MEASURE THE COMPETENCIES NEEDED TO PERFORM SAFELY AND EFFECTIVELY AS A NEWLY LICENSED ENTRY LEVEL NURSE. NCLEX IS USED BY LICENSING AUTHORITIES WITHIN EACH JURISDICTION TO ASSIST WITH LICENSING DECISIONS. NCSBN OFFERS THE NCLEX ABROAD FOR THE PURPOSE OF DOMESTIC NURSE LICENSURE IN US STATES AND TERRITORIES. NCSBN ALSO OFFERS NCLEX IN CANADA FOR THE PURPOSE OF NURSE LICENSURE IN CANADA. NCSBN CONTRACTS WITH PEARSON VUE TO ADMINISTER THE EXAM IN BOTH THE US AND IN FOREIGN COUNTRIES. PEARSON PROVIDES TEST DEVELOPMENT AND DELIVERS EXAMS THROUGH ITS GLOBAL NETWORK OF TEST CENTERS WORLDWIDE. NCSBN DID NOT MAKE ANY EXPENDITURE IN THE REGIONS OUTSIDE OF THE US WHERE THE NCLEX WAS DELIVERED. NCSBN RECEIVED FEES FROM CANDIDATES FOR PROVIDING THE EXAM AT TEST CENTERS OUTSIDE THE US. NCSBN WORKS BOTH NATIONALLY AND INTERNATIONALLY TO FOSTER COOPERATION AND COLLABORATION AMONG ITS PEER ORGANIZATIONS, OTHER PROFESSIONAL ASSOCIATIONS AND GOVERNMENT ENTITIES TO SHARE INFORMATION AND KNOWLEDGE IN A MULTICULTURAL EXCHANGE OF THOUGHTS AND IDEAS. 1 STATE OF OHIO OHIO TREASURER OF STATE ROBERT SPRAGUE 30 EAST BROAD STREET 9TH FLOOR COLUMBUS OH 43215 311334820 GOVERNMENTAL 307049 0 N/A N/A TO PROVIDE ASSISTANCE WITH NLC IMPLEMENTATION STATE OF MARYLAND UNIVERSITY OF MARYLAND 220 ARCH ST BALTIMORE MD 21201 526002033 GOVERNMENTAL 249099 0 N/A N/A RESEARCH THE TRUSTEES OF PURDUE UNIVERSITY 1281 WIN HENTSCHEL BLVD SUITE 1100 WEST LAFAYETTE IN 479064182 356002041 501C3 234728 0 N/A N/A RESEARCH BRESA TECH LLC 6860 N DALLAS PARKWAY SUITE 200 PLANTO TX 75024 822890097 199764 0 N/A N/A TO PROVIDE ASSISTANCE WITH NLC IMPLEMENTATION ORIGO BRANDING COMPANY INC 34 WEST GAY STREET COLUMBUS OH 43215 200577734 22500 0 N/A N/A TO PROVIDE ASSISTANCE WITH NLC IMPLEMENTATION 3 2 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 X 1 0 0 0 0 0 0 1 0 DAVID BENTON SECRETARY & CEO 754241 0 187500 0 0 0 62200 0 17922 0 1021863 0 0 0 PHILIP DICKISON COO 403694 0 0 0 0 0 23200 0 18371 0 445265 0 0 0 ROB CLAYBORNE CFO 292886 0 0 0 0 0 23200 0 24361 0 340447 0 0 0 NUR RAJWANY CHIEF INFORMATION OFFICER 257499 0 0 0 0 0 21207 0 26496 0 305202 0 0 0 MARYANN ALEXANDER CHIEF OFFICER, NURSING REGULATION 270183 0 0 0 0 0 21854 0 10352 0 302389 0 0 0 JOESEPH BETTS MEASUREMENT AND TESTING DIRECTOR 231635 0 0 0 0 0 19113 0 26196 0 276944 0 0 0 JASON SCHWARTZ OUTREACH MARKETING AND ADVOCACY DIR 232735 0 0 0 0 0 18985 0 16713 0 268433 0 0 0 JOSEPH DUDZIK HUMAN RESOURCES DIRECTOR 85149 0 0 0 120683 0 16657 0 21288 0 243777 0 0 0 TAMMY SPANGLER INTERACTIVE SERVICES DIRECTOR 202940 0 0 0 0 0 16474 0 10352 0 229766 0 0 0 DAWN KAPPEL MARKETING & COMMUNICATIONS DIRECTOR 195015 0 0 0 0 0 15720 0 8852 0 219587 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 $20,000 EXPENSE REIMBURSEMENTS FOR SPOUSAL TRAVEL. ANY REIMBURSEMENTS FOR SPOUSAL TRAVEL ARE INCLUDED ON THEIR FORM W-2 AND REPORTED AS TAXABLE INCOME. PART I, LINE 4A AS REPORTED ON SCHEDULE J, PART II, THE PRIOR HUMAN RESOURCE DIRECTOR RECEIVED TOTAL SEVERANCE PAYMENTS OF $120,683 FOR 20 YEARS OF SERVICE. THIS AMOUNT WAS PAID IN A LUMP SUM DURING CALENDAR YEAR 2021 AND WAS APPROVED BY THE CEO. PART I, LINE 7 AS INDICATED IN SCHEDULE J PART II, THE CEO RECEIVED A BONUS. THE BONUS IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE DELEGATE ASSEMBLY IS THE MEMBERSHIP BODY OF NCSBN. THE DELEGATE ASSEMBLY IS COMPRISED OF TWO (2) DELEGATES FROM EACH MEMBER BOARD AND ONE (1) DELEGATE FROM EACH EXAM USER MEMBER. 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. EACH EXAM USER MEMBER IS ENTITLED TO ONE VOTE. FORM 990, PART VI, SECTION A, LINE 7B THE DELEGATE ASSEMBLY, THE MEMBERSHIP BODY OF THE NCSBN, PROVIDES DIRECTION FOR THE NCSBN THROUGH RESOLUTIONS AND ENACTMENTS, INCLUDING ADOPTION OF THE MISSION AND STRATEGIC INITIATIVES. THE DELEGATE ASSEMBLY APPROVES ALL NEW NCSBN MEMBERSHIPS; APPROVES THE SUBSTANCE OF ALL TERMS AND CONDITIONS OF NCSBN MEMBERSHIP BETWEEN THE NCSBN AND MEMBER BOARDS AND EXAM USER MEMBERS; ADOPTS TEST PLANS TO BE USED FOR THE DEVELOPMENT OF THE NCLEX EXAMINATION; AND ESTABLISHES THE FEE FOR THE NCLEX EXAMINATION. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER IS RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. 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. BOARD MEMBERS WITH A CONFLICT OF INTEREST ARE REQUIRED TO RECUSE FROM ANY DISCUSSIONS OR VOTE ON MATTERS GIVING RISE TO THE CONFLICT OR POTENTIAL CONFLICT. 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. 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 WEBSITE THAT IS OPEN TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 14,378,884. MANAGEMENT AND GENERAL EXPENSES 465,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,844,117. FORM 990, PART XI, LINE 9: PRIOR YEAR RETURNED GRANTS 28,631. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.