2014-05-07T13:42:29-05:00 2013-12-31 581763439 WINDHAM BRANNON PC 3630 PEACHTREE RD NE SUITE 600 ATLANTA GA 30326 990 2013-01-01 581218672 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC NATI 6784178100 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 PAMELA DEAN VICE PRESIDENT OF FINANCE 6784178100 2014-04-29 1 CARLYE W DOOLEY P00292964 4048982000 2014-04-29 2013 2015-11-30 17:44:51Z SONIA RATLIFF 12000 FINDLEY ROAD NO 100 JOHNS CREEK GA 30097 18721856 0 X WWW.NCCPA.NET X 1976 GA TO ASSURE THAT CERTIFIED PHYSICIAN ASSISTANTS MEET PROFESSIONAL STANDARDS AND COMPETENCIES 21 21 73 90 0 0 0 0 13547706 12959095 666752 680531 0 0 14214458 13639626 312393 223122 0 0 4435666 4170664 0 0 0 7935319 7546414 12683378 11940200 1531080 1699426 16582235 18919196 4026888 3952759 12555347 14966437 TO ASSURE THAT CERTIFIED PHYSICIAN ASSISTANTS MEET PROFESSIONAL STANDARDS AND COMPETENCIES 0 0 6654733 223122 12959095 THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS, INC. SERVED APPROXIMATELY 62,300 CANDIDATES. SERVICES INCLUDED EXAM APPLICATIONS FOR FIRST-TIME CANDIDATES, RECERTIFICATION FOR EXISTING CANDIDATES, AND CERTIFICATION OF ADDED QUALIFICATIONS FOR EXISTING CANDIDATES. 6654733 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 1 104 0 1 73 1 0 0 0 0 0 0 0 0 X 21 21 0 0 0 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 DIRECTOR 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 ELECT 1.00 X 0 0 0 JENNIFER R MADONIA DIRECTOR 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 TREASURER 1.00 X 0 0 0 LINDA F GOLODNER DIRECTOR 1.00 X 0 0 0 MARK CHRISTIANSEN CHAIR 1.00 X 0 0 0 MARY WARNER MEMBER-AT-LARGE 1.00 X 0 0 0 PAUL LOMBARDO DIRECTOR 1.00 X 0 0 0 RICHARD TURNAGE SECRETARY 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 DIRECTOR 1.00 X 0 0 0 WANDA C GONSALVES DIRECTOR 1.00 X 0 0 0 KEVIN LOHENRY DIRECTOR 1.00 X 0 0 0 ROBIN H BUSKEY DIRECTOR 1.00 X 0 0 0 PAMELA M DEAN ACTING CEO 39.00 1.00 X 294118 0 33932 RAGAN COHN VICE PRESIDENT GOVERNANCE & COMMUNICATIONS 40.00 X 136903 0 21614 SHEILA MAULDIN VICE PRESIDENT EXAM DEVELOPMENT & ADMIN 40.00 X 165875 0 25666 SONIA RATLIFF VICE PRESIDENT FINANCE & HR 40.00 X 170989 0 26915 TIM PERRY VICE PRESIDENT TECHNOLOGY 40.00 X 117779 0 2775 ANGELA LANGA DIRECTOR OF DEVELOPMENT SE 40.00 X 147492 0 18372 JANET LATHROP FORMER PRESIDENT 40.00 X 133323 0 0 1166479 0 129274 7 1 1 0 ARBET CONSULTING INC 2083 WELSH VALLEY ROAD PHOENIXVILLE PA 19460 TEST DEV AND ADMIN 635850 SPRINGBIT INC 160 PARKSIDE CLOSE ALPHARETTA GA 30022 IT DEVELOPMENT 412113 SIDLEY AUSTIN PO BOX 0642 CHICAGO IL 60690 LEGAL 283157 KEY-2 CONSULTING 1000 PEACHTREE IND BLVD STE 6-289 SUWANEE GA 30024 IT DEVELOPMENT 164410 ANDREWS CONSULTING SERVICES 4108 DUKE OF GOUCESTER DRIVE CHESAPEAKE VA 23321 IT DEVELOPMENT 135068 5 RECERTIFICATION FEES 541900 4622275 4622275 CERTIFICATE MAINT FEES 541900 4135820 4135820 ENTRY LEVEL APPLICATIO 541900 3584825 3584825 PRACTICE EXAM FEES 541900 351855 351855 PAEA PROJECT 541900 180095 180095 84225 84225 12959095 279930 279930 5482771 60 5077069 5161 405702 -5101 400601 400601 13639626 12959095 0 680531 223122 223122 1166480 385718 780762 2049231 677616 1371615 723443 262966 460477 231510 84152 147358 265685 265685 26800 26800 61455 61455 316979 625 316354 218772 51550 167222 60757 36205 24552 266917 137224 129693 534618 247285 287333 518847 104882 413965 1241728 732949 508779 45728 21151 24577 EXAM COSTS 2993142 2990542 2600 CREDIT CARD PROCESSING 287438 287438 PAEA EXPENSES 280793 280793 CEO RECRUITING EXPENSES 123949 123949 302806 130515 172291 11940200 6654733 5285467 0 2119786 2797302 1245347 997946 199499 399495 10414927 8574462 1989942 1840465 9025130 10871629 2002531 2012359 16582235 18919196 787390 676244 996265 500000 2243233 2776515 4026888 3952759 X 13551613 15466437 -996266 -500000 12555347 14966437 16582235 18919196 1699426 711664 0 X 0 1 X 1 0 53545 22260 31285 471903 376871 95032 9889479 8175331 1714148 1840465 ADVANCES TO NCCPA FOUNDATION 2000000 OTHER ASSETS 12359 2012359 X 14009042 711664 711664 13297378 61455 280793 342248 13639626 11597952 0 11597952 61455 280793 342248 11940200 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 PART XII, LINE 4B - OTHER ADJUSTMENTS: PAEA EXPENSES 1 NCCPA HEALTH FOUNDATION 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 204381466 501(C)(3) 123122 FINANCIAL SUPPORT FOR OPERATING EXPENSES SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC 12000 FINDLEY ROAD SUITE 160 JOHNS CREEK GA 30097 030429253 501(C)(3) 100000 FINANCIAL SUPPORT FOR OPERATING EXPENSES 2 0 PART I, LINE 2: NCCPA GIVES ASSISTANCE TO NCCPA HEALTH FOUNDATION AND THE PA HISTORY SOCIETY FOR FINANCIAL SUPPORT AND OPERATING EXPENSES. X X X X X 1 1 0 PAMELA M DEAN ACTING CEO 226618 0 50000 0 17500 0 28050 0 5882 0 328050 0 0 0 RAGAN COHN VICE PRESIDENT GOVERNANCE & COMMUNIC 101814 0 20808 0 14281 0 15709 0 5905 0 158517 0 0 0 SHEILA MAULDIN VICE PRESIDENT EXAM DEVELOPMENT & AD 123476 0 25143 0 17256 0 18982 0 6684 0 191541 0 0 0 SONIA RATLIFF VICE PRESIDENT FINANCE & HR 127479 0 26010 0 17500 0 19394 0 7521 0 197904 0 0 0 ANGELA LANGA DIRECTOR OF DEVELOPMENT SE 124969 0 22523 0 0 0 10851 0 7521 0 165864 0 0 0 JANET LATHROP FORMER PRESIDENT 133323 0 0 0 0 0 0 0 0 0 133323 0 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS MADE IN 2013: JANET LATHROP - $133,323 TIM PERRY - $93,020 LORI LEAL - $41,550 JUDY DUNWOODIE - $34,996 JANET LATHROP PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE SERP WAS FULLY DISPERSED TO HER AND CLOSED DURING 2013. FORM 990, PART VI, SECTION A, LINE 1 DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SHALL ACT FOR AND ON BEHALF OF THE BOARD OF DIRECTORS, EXCEPT FOR ACTS PROHIBITED BY LAW, BY THE ARTICLES OF INCORPORATION, OR BY THESE BYLAWS. THE EXECUTIVE COMMITTEE SHALL HAVE AUTHORITY TO DELEGATE SUCH DUTIES AND RESPONSIBILTIES AS IT MAY DEEM ADVISABLE AND AS ARE PERMITTED BY LAW TO BE DELEGATED. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 BEFORE IT IS SUBMITTED TO THE IRS. THE BOARD REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. 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 EMPLOYEES 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 B 123122 AMOUNT CONTRIBUTED NCCPA HEALTH FOUNDATION D 2000000 AMOUNT LOANED NCCPA HEALTH FOUNDATION O 332712 SALARIES OF EMPLOYEES PA HISTORY SOCIETY O 66274 SALARIES OF EMPLOYEES PA HISTORY SOCIETY B 100000 AMOUNT CONTRIBUTED