2022-02-10T07:14:42-06:00 2021-09-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2020-10-01 363481016 NATIONAL COUNCIL OF STATE BOARDS OF NURSING NATI 3125253600 111 E WACKER DR NO 2900 CHICAGO IL 606014277 JAY P DOUGLAS PRESIDENT 3125253600 2022-02-09 1 JAY DOUGLAS 999009999 LU ANN TRAPP P01506476 3122071040 2022-02-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JAY P DOUGLAS 111 E WACKER DR NO 2900 CHICAGO IL 606014277 153764667 0 X WWW.NCSBN.ORG X 1978 PA ADVANCE REGULATORY EXCELLENCE FOR PATIENT SAFETY AND PUBLIC PROTECTION. 11 11 144 55 0 0 0 0 86905721 89671324 6558194 11099706 0 0 93463915 100771030 1855294 1179036 0 0 19926835 19886874 0 0 0 70194917 74645669 91977046 95711579 1486869 5059451 273213897 316187238 25692094 31260098 247521803 284927140 THROUGH COLLABORATIVE LEADERSHIP, ADVANCE REGULATORY EXCELLENCE FOR PATIENT SAFETY AND PUBLIC PROTECTION, INCLUDING THE DEVELOPMENT OF LICENSING EXAMINATIONS IN NURSING. 0 0 68590418 81926541 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. 9483943 1179036 133811 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. 10886929 7610972 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. 88961290 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 96 0 1 144 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 X 905909 0 80888 PHILIP DICKISON COO 40.00 X 385542 0 46930 ROB CLAYBORNE CFO 40.00 X 280488 0 52919 MARYANN ALEXANDER CHIEF OFFICER, NURSING REGULATION 40.00 X 257171 0 32607 JASON SCHWARTZ OUTREACH MARKETING AND ADVOCACY DIRECTOR 40.00 X 248052 0 40943 NUR RAJWANY CHIEF INFORMATION OFFICER 40.00 X 243911 0 56296 JOESEPH BETTS MEASUREMENT AND TESTING DIRECTOR 40.00 X 220833 0 51232 JOSEPH DUDZIK HUMAN RESOURCES DIRECTOR 40.00 X 197493 0 54681 TAMMY SPANGLER INTERACTIVE SERVICES DIRECTOR 40.00 X 194316 0 28551 DAWN KAPPEL MARKETING & COMMUNICATIONS DIRECTOR 40.00 X 186883 0 26239 JAY P DOUGLAS PRESIDENT 5.00 X X 0 0 0 PHILLIS POLK JOHNSON PRESIDENT-ELECT 5.00 X X 0 0 0 ADRIAN GUERRERO TREASURER 5.00 X X 0 0 0 SUSAN VAN BEUGE AREA I DIRECTOR 5.00 X 0 0 0 CYNTHIA LABONDE AREA I DIRECTOR 5.00 X 0 0 0 LORI SCHEIDT AREA II DIRECTOR 5.00 X 0 0 0 KAREN C LYON AREA III DIRECTOR 5.00 X 0 0 0 KAREN E B EVANS AREA IV DIRECTOR 5.00 X 0 0 0 VALERIE FULLER AREA IV DIRECTOR 5.00 X 0 0 0 MARK MAJEK DIRECTOR 5.00 X 0 0 0 CATHY BORRIS-HALE DIRECTOR 5.00 X 0 0 0 AMY FITZHUGH DIRECTOR 5.00 X 0 0 0 ANNE COGHLAN DIRECTOR 5.00 X 0 0 0 3120598 0 471286 61 0 1 0 NCS PEARSON VUE 5601 GREEN VALLEY DRIVE BLOOMINGTON MN 55437 TESTING SERVICES 48294989 INTERIOR CONSTRUCTION GRP INC 210 S CLARK STREET SUITE 1300 CHICAGO IL 60604 EXPANSION WORK SPACE/CONSTRUCTION 2468654 CBS BROADCASTING INC WBBM-TV 21247 NETWORK PLACE CHICAGO IL 606731212 TV ADS 735250 VEDDER PRICE PC 8677 SOLUTION CENTER CHICAGO IL 606778006 LEGAL SERVICES 586258 SPM MARKETING & COMMUNICATIONS INC COMMUNICATIONS INC 15 W HARRIS - LAGRANGE IL 60525 PROFESSIONAL FEES 491689 44 NURSE COMPETENCE 900099 81929293 81929293 NURSING INFORMATION SERVICES 900099 7610972 7610972 REGULATORY OUTCOME 900099 90534 90534 MEMBERSHIP DUES 900099 40525 40525 89671324 6780319 6780319 57313024 52993637 4319387 4319387 4319387 100771030 89671324 0 11099706 X 1179036 1179036 2357771 1040808 1316963 14100720 11630315 2470405 1099068 851993 247075 1192824 715508 477316 1136491 1064207 72284 631163 631163 86927 86927 965222 965222 707788 707788 12322579 12203260 119319 330707 322124 8583 1323659 1103166 220493 1029323 975693 53630 802215 722194 80021 APPLICATION & PROCESSIN 53230681 53230681 EQUIPMENT & MAINTENANCE 2648450 2634756 13694 LIBRARY & MEMBERSHIPS 160847 121509 39338 406108 200818 205290 95711579 88961290 6750289 0 276952 288285 23678801 13131891 1226893 914124 1963969 2832546 33173603 23438971 4300218 9734632 227774070 274168556 12260130 14205681 1732864 911523 273213897 316187238 20411873 7238869 1009037 720461 41260 20157385 1732864 911523 2497060 2231860 25692094 31260098 X 247521803 284927140 247521803 284927140 273213897 316187238 X 5059451 37329743 -4983857 X X 0 1 X 1 0 X 40525 45025 40525 40525 40525 207125 78823412 78635295 83009414 86865196 89630799 416964116 78863937 78680320 83049939 86905721 89671324 417171241 0 0 0 417171241 5383531 5489367 5165485 5593927 6780319 28412629 5383531 5489367 5165485 5593927 6780319 28412629 84247468 84169687 88215424 92499648 96451643 445583870 0.93620 0.93880 0.06380 0.06120 X 0 965222 965222 94038569 95003791 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 663001 844909 980508 965222 3453640 250000 250000 250000 250000 1000000 1500000 0 1 X 2746604 291672 2454932 7609829 611493 6998336 22817170 22535806 281364 9734632 DEFERRED RENT CREDITS 2231860 2231860 137392985 37329743 37329743 100063242 707788 707788 100771030 94828861 0 94828861 707788 174930 882718 95711579 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) AND FOR THE COLORADO STATE BOARD OF NURSING. FEES COLLECTED FROM STATES THAT PARTICIPATE IN THE COMPACT ARE HELD BY NCSBN FOR THE ICNLCA. 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 XII, LINE 4B - OTHER ADJUSTMENTS: RETURNED GRANTS 174,930. EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 PROGRAM SERVICES REVENUE NCLEX EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES REVENUE NCLEX NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PROGRAM SERVICES REVENUE NCLEX SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, 0 0 PROGRAM SERVICES REVENUE NCLEX 0 0 0 0 0 0 0 0 0 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 GEORGE WASHINGTON UNIVERSITY 2121 I STREET NW SUITE 601 WASHINGTON DC 200520086 530196584 501C3 234437 N/A N/A RESEARCH UNIVERSITY OF ARKANSAS AT LITTLE ROCK 2801 S UNIVERSITY AVE LITTLE ROCK AR 72204 710236904 501C3 48230 N/A N/A RESEARCH UNIVERSITY OF ARIZONA PO BOX 41867 TUCSON AZ 85717 742652689 501C3 207926 N/A N/A RESEARCH UNIVERSITY OF WASHINGTON 4300 ROOSEVELT WAY NE BOX 354965 SEATTLE WA 98105 916001537 501C3 158233 N/A N/A RESEARCH BRANDEIS UNIVERSITY 415 SOUTH STREET WALTHAM MA 024532728 042103552 501C3 105616 N/A N/A RESEARCH JOHN HOPKINS UNIVERSITY 3910 KESWICK ROAD N4327-B BALTIMORE MD 21211 520595110 501C3 157780 N/A N/A RESEARCH UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON 7000 FANNIN STREET HOUSTON TX 77030 741761309 501C3 235975 N/A N/A RESEARCH STATE OF INDIANA INDIANA BOARD OF NURSING 402 W WASHINGTON STREET INDIANAPOLIS IN 46204 356000158 GOVERNMENTAL 30964 N/A N/A TO PROVIDE ASSISTANCE WITH NLC IMPLEMENTATION NCLEX DEVELOPMENT-DATABASE MIGRATION 8 0 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 0 0 0 0 0 0 0 1 0 DAVID BENTON SECRETARY & CEO 755909 0 150000 0 0 0 62200 0 18688 0 986797 0 0 0 PHILIP DICKISON COO 385542 0 0 0 0 0 23200 0 23730 0 432472 0 0 0 ROB CLAYBORNE CFO 280488 0 0 0 0 0 23200 0 29719 0 333407 0 0 0 MARYANN ALEXANDER CHIEF OFFICER, NURSING REGULATION 257171 0 0 0 0 0 20809 0 11798 0 289778 0 0 0 JASON SCHWARTZ OUTREACH MARKETING AND ADVOCACY DIR 248052 0 0 0 0 0 20213 0 20730 0 288995 0 0 0 NUR RAJWANY CHIEF INFORMATION OFFICER 243911 0 0 0 0 0 20315 0 35981 0 300207 0 0 0 JOESEPH BETTS MEASUREMENT AND TESTING DIRECTOR 220833 0 0 0 0 0 18231 0 33001 0 272065 0 0 0 JOSEPH DUDZIK HUMAN RESOURCES DIRECTOR 197493 0 0 0 0 0 16757 0 37924 0 252174 0 0 0 TAMMY SPANGLER INTERACTIVE SERVICES DIRECTOR 194316 0 0 0 0 0 15853 0 12698 0 222867 0 0 0 DAWN KAPPEL MARKETING & COMMUNICATIONS DIRECTOR 186883 0 0 0 0 0 15131 0 11108 0 213122 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 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 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. 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 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 WEBSITE THAT IS OPEN TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 12,203,260. MANAGEMENT AND GENERAL EXPENSES 119,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,322,579. FORM 990, PART XI, LINE 9: PRIOR YEAR GRANTS RETURNED 174,930. PRIOR PERIOD ADJUSTMENT - ADOPTION FASB ASU NO. 2014-19 -5,158,787. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.