2016-12-12T13:44:36-06:00 2016-08-31 522041603 SQUIRE LEMKIN COMPANY LLP 111 ROCKVILLE PIKE SUITE 475 ROCKVILLE MD 20850 990 2015-09-01 237407981 COUNCIL FOR THE NATIONAL REGISTER OF HEALTH SERVICE PROVIDERS IN PSYCH INC COUN 2027837663 1200 NEW YORK AVENUE NO 800 WASHINGTON DC 20005 MORGAN T SAMMONS PHD EXECUTIVE OFFICER 2027837663 2016-12-12 1 TRACY M MOREY P01521539 3014246800 2015 2017-02-10 21:41:12Z NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS MORGAN T SAMMONS PHD 1200 NEW YORK AVENUE NO 800 WASHINGTON DC 20005 2087772 0 X WWW.NATIONALREGISTER.ORG X 1974 DC THE NATIONAL REGISTER'S VISION IS TO IMPROVE THE HEALTH OF A DIVERSE AND GLOBAL COMMUNITY. TO ACHIEVE THIS MISSION, THE NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS: CREDENTIALS HEALTH SERVICE PSYCHOLOGISTS; PROMOTES HEALTH SERVICE PSYCHOLOGISTS; PROVIDES DISTINCTION AND VALUE TO HEALTH SERVICE PSYCHOLOGISTS; GUIDES PSYCHOLOGY STUDENTS AND EARLY CAREER PSYCHOLOGISTS (ECPS) TOWARD CREDENTIALING; ENHANCES HEALTH SERVICE PSYCHOLOGISTS' CONTRIBUTIONS TO HEALTHCARE; AND IDENTIFIES QUALIFIED HEALTH SERVICE PSYCHOLOGISTS IN THE GLOBAL COMMUNITY. 10 10 13 0 17180 3113 1031 0 1878279 1857711 75083 62848 2087 1895 1956480 1922454 100000 130392 0 0 853249 865448 0 0 16071 761842 741664 1715091 1737504 241389 184950 2445058 2698350 932267 941625 1512791 1756725 X THE NATIONAL REGISTER'S VISION IS TO IMPROVE THE HEALTH OF A DIVERSE AND GLOBAL COMMUNITY. TO ACHIEVE THIS MISSION, THE NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS: CREDENTIALS HEALTH SERVICE PSYCHOLOGISTS; PROMOTES HEALTH SERVICE PSYCHOLOGISTS; PROVIDES DISTINCTION AND VALUE TO HEALTH SERVICE PSYCHOLOGISTS; GUIDES PSYCHOLOGY STUDENTS AND EARLY CAREER PSYCHOLOGISTS (ECPS) TOWARD CREDENTIALING; ENHANCES HEALTH SERVICE PSYCHOLOGISTS' CONTRIBUTIONS TO HEALTHCARE; AND IDENTIFIES QUALIFIED HEALTH SERVICE PSYCHOLOGISTS IN THE GLOBAL COMMUNITY. 0 0 1480368 130392 1842426 NATIONAL REGISTER IS ORGANIZED TO OPERATE EXCLUSIVELY FOR CHARITABLE EDUCATION AND SCIENTIFIC PURPOSES, INCLUDING BUT NOT LIMITED TO CONTRIBUTING TO: THE IMPROVEMENT OF HEALTH SERVICES TO THE PUBLIC THROUGH DEVELOPING STANDARDS FOR EVALUATION CREDENTIALS OF PSYCHOLOGISTS AND OTHER HEALTH CARE PROVIDERS; REVIEWING SUCH CREDENTIALS; DISSEMINATING INFORMATION ON CREDENTIALS; EVALUATING EDUCATIONAL PROGRAMS; PREPARING PUBLCATIONS; CONDUCTING ETHICS PROGRAMS; AND ENGAGING IN OTHER ACTIVITIES THAT ENHANCE THE EDUCATION, TRAINING, AND DELIVERY OF SERVICES BY PSYCHOLOGISTS AND OTHER HEALTH CARE PROVIDERS. 1480368 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 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 9 0 1 13 1 1 1 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 DC X X MORGAN T SAMMONSPHD 2027837663 1200 NEW YORK AVENUE 800 WASHINGTON DC 20005 RAYMOND A FOLEN PHD CHAIR 1.00 X X 0 0 0 ERICA WISE PHD SECRETARY 1.00 X X 0 0 0 BILL HANCUR PHD DIRECTOR 1.00 X 0 0 0 MOLLY CLARK PHD VICE CHAIR 1.00 X X 0 0 0 DOROTHY HOLMES PHD TREASURER 1.00 X X 0 0 0 JESSE GOLDNER JD DIRECTOR 1.00 X 0 0 0 SARAH SHELTON PHD DIRECTOR 1.00 X 0 0 0 MICHAEL LEBLOND DIRECTOR 1.00 X 0 0 0 PATRICIA LOGAN DIRECTOR 1.00 X 0 0 0 JOSHUA HENRY DIRECTOR 1.00 X 0 0 0 MORGAN T SAMMONS PHD EXECUTIVE OFFICER 40.00 X 241157 0 10336 ANDREW BOUCHER ASSISTANT DIRECTOR 40.00 X 117587 0 16320 358744 0 26656 2 0 1 0 AMERICAN ASSOCIATION FOR THE ADVANCEMENT 1200 NEW YORK AVENUE NW WASHINGTON DC 20005 RENT 229861 1 MEMBERSHIP DUES 900099 1668764 1668764 MEMBER PROFILE PAGES 900099 72224 72224 APPLICATION FEES 900099 58675 58675 OTHER INCOME 900099 27278 27278 ADVERTISING INCOME 541800 17180 17180 13590 13590 1857711 50174 50174 177992 165318 12674 12674 12674 MAILING LIST REVENUE 900099 1895 1895 1895 1922454 1842426 17180 62848 130392 130392 245826 206493 36874 2459 514271 431988 77141 5142 39063 32813 5859 391 15458 12985 2319 154 50830 42697 7625 508 63865 53646 9580 639 51568 43319 7736 513 25680 21571 3852 257 157713 132478 23656 1579 218039 183155 32704 2180 81481 68444 12222 815 117 98 18 1 97658 82033 14648 977 18927 15899 2839 189 TAXES 2484 2087 372 25 RACKSPACE 12215 10261 1832 122 LICENSE AND REGISTRATIO 5300 4452 795 53 EQUIPMENT LEASES 4552 3823 683 46 2065 1734 310 21 1737504 1480368 241065 16071 342845 408677 1500 48 5066 51322 1246866 459271 740854 787595 1317608 1419025 37185 31683 2445058 2698350 90518 117566 586364 576070 255385 247989 932267 941625 X 1472868 1719804 39923 36921 1512791 1756725 2445058 2698350 184950 58984 0 X 1 X 0 1 0 X 1442666 2068492 1942514 1880341 1842426 9176439 1442666 2068492 1942514 1880341 1842426 9176439 0 0 0 9176439 4755 25956 20201 44999 62848 158759 4755 25956 20201 44999 62848 158759 2240 9386 9794 17685 4113 43218 1449661 2103834 1972509 1943025 1909387 9378416 0.97850 0.98530 0.01690 0.01050 X 1143040 459271 683769 103826 103826 787595 DEFERRED RENT 234098 CAPITAL LEASE OBLIGATION 13891 247989 X PART X, LINE 2: THE NATIONAL REGISTER EVALUATES UNCERTAINTY IN INCOME TAX POSITIONS BASED ON A MORE-LIKELY-THAN-NOT RECOGNITION STANDARD. IF THAT THRESHOLD IS MET, THE TAX POSITION IS THEN MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF AUGUST 31, 2016 AND 2015, THERE WERE NO ACCRUALS FOR UNCERTAIN TAX POSITIONS. IF APPLICABLE, THE NATIONAL REGISTER RECORDS INTEREST AND PENALTIES AS A COMPONENT OF INCOME TAX EXPENSE. 1 AMERICAN PSYCHOLOGICAL FOUNDATION INC 750 FIRST STREET NE 9TH FL WASHINGTON DC 20002 526051733 501(C)(3) 120000 TO AWARD FUNDING TO ACCREDITED INTERNSHIP SITES TO INCREASE THE NUMBER OF AVAILABLE PLACEMENTS. ABPP FOUNDATION 1298 NW 4TH STREET BOCA RATON FL 33486 272223816 501(C)(3) 5000 TO SUPPORT THE NLPA/ABPP/NATIONAL REGISTER SCHOLARSHIP IN INTEGRATED BEHAVIORAL HEALTH. 2 0 PART I, LINE 2: THE NATIONAL REGISTER HAS ENTERED INTO AN AGREEMENT WITH THE AMERICAN PSYCHOLOGICAL FOUNDATION TO SETUP AN ENDOWMENT FUND TO AWARD FUNDING TO ACCREDITED INTERNSHIP SITES TO INCREASE THE NUMBER OF AVAILABLE PLACEMENTS. DISTRIBUTIONS FROM THE ENDOWMENT ARE GOVERNED BY THE TERMS OF THE AGREEMENT AND THE PERFORMANCE OF THE ENDOWMENT IS MONITORED ON AN ANNUAL BASIS AT MINIMUM. 1 X X X X X X 0 0 0 0 0 0 0 0 0 MORGAN T SAMMONS PHD EXECUTIVE OFFICER 241157 0 0 0 0 0 0 0 10336 0 251493 0 0 0 PART I, LINE 3 NATIONAL REGISTER USED A CONSULTANT TO DETERMINE THE EXECUTIVE OFFICER'S COMPENSATION PACKAGE, AND THE SEARCH COMMITTEE FOR A NEW EXECUTIVE OFFICER FULFILLED THE ROLE OF THE COMPENSATION COMMITTEE IN HIS HIRING. THE SEARCH COMMITTEE UTILIZED FORM 990 OF OTHER ORGANIZATIONS AND A COMPENSATION STUDY TO ASSIST IN DETERMINING THE EXECUTIVE OFFICER'S COMPENSATION. AT THE TIME OF HIRE, A WRITTEN EMPLOYMENT CONTRACT WAS PROVIDED TO THE EXECUTIVE OFFICER WHICH WAS APPROVED BY THE SEARCH/COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 4 THE BOARD HAS AMENDED THE BYLAWS FOR THE FOLLOWING: (1) TO LIMIT BOARD MEMBERS TO ONE FOUR-YEAR TERM. FOLLOWING A ONE-YEAR LATENCY PERIOD, BOARD MEMBERS WILL BE ELIGIBLE TO SEEK ELECTION TO ANOTHER FOUR-YEAR TERM. THESE AMENDMENTS WILL APPLY TO NEW BOARD MEMBERS ELECTED TO TERMS BEGINNING 1/1/2017, AND WILL NOT IMPACT CURRENT BOARD MEMBERS OR MEMBERS ELECTED TO TERMS BEGINNING ON 1/1/2016. (2) TO REQUIRE THAT THERE BE AT LEAST NINE ACTIVE MEMBERS OF THE BOARD SERVING CONCURRENTLY. (3) TO REMOVE THE REQUIREMENT THAT ONE MEMBER OF THE NOMINATING COMMITTEE BE A NON-BOARD MEMBER. (4) TO CLARIFY TERMINOLOGY PREVIOUSLY USED AS IT RELATES TO THE FINANCIAL INFORMATION BEING REVIEWED OR AUDITED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C HOW CONFLICT OF INTEREST POLICY WAS MONITORED AND ENFORCED AT ITS FALL BOARD OF DIRECTORS MEETING, THE MEMBERS OF THE BOARD AND KEY EMPLOYEES COMPLETE A QUESTIONNAIRE THAT DEALS WITH THE FOLLOWING: 1. INDEPENDENCE; 2. FAMILY AND BUSINESS RELATIONSHIPS; 3. COMPENSATION FROM RELATED ORGANIZATIONS; 4. ISSUANCE OF GRANTS OR OTHER ASSISTANCE; AND 5. RELATED BUSINESS TRANSACTIONS. IN ADDITION, AT THE SPRING MEETING, THESE INDIVIDUALS ALSO SIGN THE ORGANIZATION'S CONFIDENTIALITY AND CONFLICT OF INTEREST AGREEMENT. A COPY OF THESE FORMS ARE MAILED OR FAXED TO ANY ABSENT BOARD MEMBERS, WHO SIGN AND MAIL OR FAX THESE FORMS BACK TO THE ORGANIZATION'S OFFICE, AND ARE RETAINED IN THE CUSTODY OF THE DIRECTOR OF FINANCE AND ADMINISTRATION. FORM 990, PART VI, SECTION B, LINE 15A PROCESS OF DETERMINING CEO COMPENSATION EACH FALL, AS PART OF ITS ANNUAL PERFORMANCE EVALUATION OF THE EXECUTIVE OFFICE (EO), THE BOARD OF DIRECTORS REVIEWS THE TERMS OF THEIR EMPLOYMENT CONTRACT WITH THE EO, TO DETERMINE THE MINIMUM INCREASE TO BE APPLIED. THE BOARD ALSO REVIEWS THE COMPARABLE SALARY INFORMATION OF EXECUTIVE OFFICERS FROM SIMILAR ORGANIZATIONS' FORM 990 RETURNS, SELECTED BY THE BOARD. THE BOARD THEN VOTES, IN EXECUTIVE SESSION, TO SET THE FINAL AMOUNT OF COMPENSATION FOR THE EO FOR THE COMING YEAR. FORM 990, PART VI, SECTION C, LINE 19 CERTAIN DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S BYLAWS AND THE ARTICLES OF INCORPORATION ARE PUBLISHED ON ITS WEBSITE, WWW.NATIONALREGISTER.ORG. ITS FINANCIAL INFORMATION, INCLUDING EACH YEAR'S FORM 990, IS PUBLISHED ON WWW.GUIDESTAR.ORG, AND IS DISTRIBUTED TO MEMBERS OF THE PUBLIC, AT THEIR EXPENSE, UPON REQUEST.