2015-05-12T08:51:25-05:00 2014-12-31 581763439 WINDHAM BRANNON PC 3630 PEACHTREE RD NE SUITE 600 ATLANTA GA 30326 990 2014-01-01 581218672 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC NATI 6784178100 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 SONIA RATLIFF VICE PRESIDENT OF FINANCE 6784178100 2015-05-06 1 CARLYE W DOOLEY P00292964 4048982000 2015-05-05 2014 2016-02-25 16:41:14Z SONIA RATLIFF 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 17825068 0 X WWW.NCCPA.NET X 1976 GA TO ASSURE THAT CERTIFIED PHYSICIAN ASSISTANTS MEET PROFESSIONAL STANDARDS AND COMPETENCIES 21 21 73 93 0 0 0 0 12959095 15771278 680531 529839 0 0 13639626 16301117 223122 200000 0 0 4170664 4827424 0 0 0 7546414 8062649 11940200 13090073 1699426 3211044 18919196 21656010 3952759 3225315 14966437 18430695 TO ASSURE THAT CERTIFIED PHYSICIAN ASSISTANTS MEET PROFESSIONAL STANDARDS AND COMPETENCIES 0 0 7167676 200000 15771278 THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS, INC. SERVED APPROXIMATELY 68,500 CANDIDATES. SERVICES INCLUDED EXAM APPLICATIONS FOR FIRST-TIME CANDIDATES, RECERTIFICATION FOR EXISTING CANDIDATES, AND CERTIFICATION OF ADDED QUALIFICATIONS FOR EXISTING CANDIDATES. 7167676 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 80 0 1 73 1 0 0 0 0 0 0 X 21 21 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X SONIA RATLIFF 6784178100 12000 FINDLEY RD STE 100 JOHNS CREEK GA 30097 CLAUDETTE E DALTON DIRECTOR 1.00 X 0 0 0 CYNTHIA GRIGGS-FLOURNOY TREASURER 1.00 X 0 0 0 DENNI J WOODMANSEE DIRECTOR 1.00 X 0 0 0 FREDERICK C BLUM DIRECTOR 1.00 X 0 0 0 JAMES CANNON CHAIR 1.00 X 0 0 0 JENNIFER R MADONIA SECRETARY 1.00 X 0 0 0 JOEL A KASE DIRECTOR 1.00 X 0 0 0 JOHN DAVIS DIRECTOR 1.00 X 0 0 0 JOHN H STUEMKY DIRECTOR 1.00 X 0 0 0 JOHN T HAYDEN DIRECTOR 1.00 X 0 0 0 KEVIN LOHENRY DIRECTOR 1.00 X 0 0 0 MARK CHRISTIANSEN IMMEDIATE PAST CHAIR 1.00 X 0 0 0 MARY WARNER DIRECTOR 1.00 X 0 0 0 PAUL LOMBARDO DIRECTOR 1.00 X 0 0 0 PEGGY ROBINSON DIRECTOR 1.00 X 0 0 0 ROBIN H BUSKEY DIRECTOR 1.00 X 0 0 0 TIFFANY KINDRATT DIRECTOR 1.00 X 0 0 0 TIMOTHY EVANS DIRECTOR 1.00 X 0 0 0 VARNELL MCDONALD-FLETCHER DIRECTOR 1.00 X 0 0 0 VICTORIA KAPRIELIAN CHAIR ELECT 1.00 X 0 0 0 WANDA C GONSALVES DIRECTOR 1.00 X 0 0 0 DAWN MORTON-RIAS CEO 40.00 X 232659 0 191 PAMELA M DEAN FORMER INTERIM CEO 40.00 X 247772 0 8203 RAGAN COHN VICE PRESIDENT GOVERNANCE 40.00 X 125798 0 23995 SHEILA MAULDIN VICE PRESIDENT RESEARCH & TEST DEVELOPMENT 40.00 X 160763 0 25291 SONIA RATLIFF VICE PRESIDENT FINANCE & HR 40.00 X 165545 0 26861 ANGELA LANGA DIRECTOR OF IT 40.00 X 145140 0 17110 GRADY BARNHILL DIRECTOR OF EXAM DEVELOPMENT 40.00 X 120930 0 13678 XUEDONG WANG SENIOR DBA 40.00 X 102788 0 13552 1301395 0 128881 8 0 1 0 ARBET CONSULTING INC 2083 WELSH VALLEY ROAD PHOENIXVILLE PA 19460 TEST DEV AND ADMIN 401832 SPRINGBIT INC 5125 SAVANNAH RUN CUMMING GA 30040 IT DEVELOPMENT 359159 SIDLEY AUSTIN PO BOX 0642 CHICAGO IL 60690 LEGAL 230073 PILLSBURY WINTHROP SHAW PITTMAN LLP PO BOX 601240 CHARLOTTE NC 28260 LEGAL 203291 ANDREWS CONSULTING SERVICES 4108 DUKE OF GOUCESTER DRIVE CHESAPEAKE VA 23321 IT DEVELOPMENT 130633 5 CERTIFICATE MAINT FEES 541900 5919268 5919268 RECERTIFICATION FEES 541900 5020400 5020400 ENTRY LEVEL APPLICATIO 541900 4072175 4072175 PRACTICE EXAM FEES 541900 428715 428715 PAEA PROJECT 541900 199870 199870 130850 130850 15771278 299548 299548 1753413 829 1516050 7901 237363 -7072 230291 230291 16301117 15771278 0 529839 200000 951879 2741179 869650 264716 389956 28200 66194 447022 225796 58437 217232 564500 631264 1060663 47234 EXAM COSTS 3443119 CREDIT CARD PROCESSING 314810 PAEA EXPENSES 229540 EMPLOYEE DEVELOPMENT 109468 229214 13090073 2797302 4574947 997946 759555 399495 243072 10832599 9311252 1840465 1521347 10871629 12162599 2012359 2394490 18919196 21656010 676244 655885 500000 0 2776515 2569430 3952759 3225315 X 15466437 18430695 -500000 0 14966437 18430695 18919196 21656010 3211044 253214 0 X 0 1 X 1 0 71978 33112 38866 916253 742898 173355 9844368 8535242 1309126 1521347 ADVANCES TO NCCPA FOUNDATION 2000000 OTHER ASSETS 394490 2394490 X 16258597 253214 253214 16005383 66194 229540 295734 16301117 12794339 0 12794339 66194 229540 295734 13090073 PART X, LINE 2: 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 ITS 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. THE INCOME TAX RETURNS FOR THE PAST THREE YEARS ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES, AND MAY CHANGE UPON EXAMINATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: PAEA EXPENSES 229,540. PART XII, LINE 4B - OTHER ADJUSTMENTS: PAEA EXPENSES 229,540. 1 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC 12000 FINDLEY ROAD SUITE 160 JOHNS CREEK GA 30097 030429253 501(C)(3) 200000 FINANCIAL SUPPORT FOR OPERATING EXPENSES 1 0 PART I, LINE 2: NCCPA GIVES ASSISTANCE TO NCCPA HEALTH FOUNDATION AND THE PA HISTORY SOCIETY FOR FINANCIAL SUPPORT AND OPERATING EXPENSES. X 1 1 X X X X X X 1 0 0 DAWN MORTON-RIAS CEO 167259 0 45400 0 20000 0 0 0 191 0 232850 0 0 0 PAMELA M DEAN FORMER INTERIM CEO 244126 0 0 0 3646 0 5729 0 2474 0 255975 0 0 0 SHEILA MAULDIN VICE PRESIDENT RESEARCH & TEST DEVEL 127472 0 16595 0 16696 0 18366 0 6925 0 186054 0 0 0 SONIA RATLIFF VICE PRESIDENT FINANCE & HR 130878 0 17167 0 17500 0 18999 0 7862 0 192406 0 0 0 ANGELA LANGA DIRECTOR OF IT 131360 0 13780 0 0 0 10548 0 6562 0 162250 0 0 0 PART I, LINE 1A ALL EMPLOYEES RECEIVE REIMBURSEMENT UP TO $1,000 PER YEAR FOR HEALTH CLUB MEMBERSHIPS. PART I, LINE 4A SEVERANCE PAYMENTS MADE IN 2014: PAMELA DEAN - $197,923 ANITA GLICKEN - $66,000 FORM 990, PART VI, SECTION A, LINE 4 THE GOVERNING BODY AGREED TO CHANGE THE GOVERNING COMPOSITION OF DIRECTORS TO ENGAGE MORE DIRECTORS AT LARGE AND REDUCE THE ORGANIZATIONAL NOMINATED DIRECTORS. DURING THIS TRANSITION, THE GOVERNING BODY WILL BE REDUCED DOWN TO 17 TOTAL GOVERNING POSITIONS. THERE WAS A NEW GOVERNING POLICY MANUAL THAT WAS DEVELOPED. IN THE NEW POLICY MANUAL IT STATES NCCPA WILL PAY ITS PRESIDENT/CEO FAIR MARKET VALUE FOR HIS/HER SERVICES WITHIN THE CONTEXT OF FISCAL RESPONSIBILITY TO THE ORGANIZATION. COMPARABLE COMPENSATION AND BENEFIT PACKAGES WILL BE RESEARCHED BY THE BOARD OR ITS DESIGNATE AT THE DISCRETION OF THE BOARD. THE BOARD WILL REVIEW BENEFITS AND ADJUSTMENTS TO THE RANGE ANNUALLY. FORM 990, PART VI, SECTION B, LINE 11 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. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE ASKED TO ANNUALLY SIGN A PARTICIPATION AGREEMENT. IT INCLUDES A SECTION OF INTEREST AS WELL AS THEIR DUTIES OF CONFIDENTIALITY, LOYALTY, ETC. BOARD MEMBERS ARE ASKED TO DISCLOSE ANY CONFLICTS. CONFLICTS THAT DO ARISE ARE USUALLY RESOLVED BY ASKING A BOARD MEMBER TO RECUSE FROM VOTING OR SOME OTHER ARRANGEMENT DETERMINED BY THE CHAIR OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION STUDY IS CONDUCTED EVERY 3 -5 YEARS BY A PROFESSIONAL CONSULTING GROUP. THE CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS AND THE CEO DETERMINES OFFICERS AND OTHER KEY EMPLOYEE'S SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS AVAILABLE UPON REQUEST AT NCCPA. PART VI, LINE 13 THE ORGANIZATION'S WHISTLEBLOWER POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK IN ITS OWN DEFINED SECTION. NCCPA HEALTH FOUNDATION 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 204381466 SUPPORTING ORGANIZATION IL 501(C)(3) LINE 11A, I NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSISTANTS INC 1 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC 12000 FINDLEY ROAD SUITE 160 JOHNS CREEK GA 30097 030429253 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 11A, I NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSISTANTS INC 1 0 1 0 1 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 NCCPA HEALTH FOUNDATION D 2000000 AMOUNT LOANED NCCPA HEALTH FOUNDATION O 364637 PERSONNEL RELATED COSTS PA HISTORY SOCIETY O 104198 PERSONNEL RELATED COSTS PA HISTORY SOCIETY B 200000 AMOUNT CONTRIBUTED