2024-08-08T15:59:26-05:00 2023-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2023-01-01 204381466 NCCPA HEALTH FOUNDATION INC NCCP 6784178100 12000 FINDLEY ROAD 200 JOHNS CREEK GA 30097 D MORTON-RIAS EDD PA-C PRESIDENT/CEO 6784178100 2024-08-06 1 0 ALEISA HOWELL P00936721 7709558600 2024-08-06 2023 2024-08-08 14:25:15Z X D MORTON-RIAS EDD PA-C 12000 FINDLEY ROAD 200 JOHNS CREEK GA 30097 344352 0 X WWW.NCCPAHEALTHFOUNDATION.NET X 2005 IL TO EQUIP AND EMPOWER BOARD CERTIFIED PAS AND PA STUDENTS TO IMPROVE HEALTH FOR ALL. 12 12 2 13 0 0 223870 224504 0 0 206024 117369 2633 2479 432527 344352 48862 68323 0 0 225435 219948 0 0 0 243795 214512 518092 502783 -85565 -158431 2191354 1859433 838354 639798 1353000 1219635 X TO EQUIP AND EMPOWER BOARD CERTIFIED PAS AND PA STUDENTS TO IMPROVE HEALTH FOR ALL. 0 0 79905 47329 IN THE AREA OF HEALTH EQUITY, THE FOUNDATION CONTINUED ITS SMALL GRANTS PROGRAM TO EQUIP PAS AND PA STUDENTS TO DESIGN AND LEAD GRASSROOTS PROGRAMS TO FOSTER ACCESS AND PROMOTE EQUITABLE CARE. A SECOND GRANT AND RELATED EFFORTS TO SUPPORT DIVERSITY AND INCLUSION EFFORTS WITHIN THE PA PROFESSION SERVED AS A FURTHER STRATEGY FOR ADVANCING EQUITY. A COMPETITIVE HEALTH EQUITY GRANT PROGRAM WAS ALSO SUPPORTED BY AN ENDOWMENT WITH THE FOUNDATION. 73783 10000 IN THE AREA OF MENTAL HEALTH, THE FOUNDATION PARTICIPATED IN ACTIVITIES TO ORGANIZE STAKEHOLDERS ACROSS THE NATIONAL PHYSICIAN ASSISTANT (PA) ORGANIZATIONS AND OTHER PARTNERS TO BUILD THE PA PROFESSION'S CAPACITY TO EMBRACE AND INTEGRATE MENTAL HEALTH AS PART OF OVERALL HEALTH. THIS WORK RESULTED IN THE CONTINUED SUPPORT FOR A STEERING COMMITTEE, THE IDENTIFICATION OF ACTIVITIES TO SUPPORT FOCUS WITHIN THE PA MOVEMENT, THE RELEASE OF A STAKEHOLDER REPORT, THE PRESENTATION OF AN EDUCATIONAL PRESENTATION, THE CONTINUED AVAILABILITY OF A MENTAL HEALTH COMMUNITY OUTREACH GRANT, AND PARTICIPATION IN INTERPROFESSIONAL MEETINGS AND ACTIVITIES TO NETWORK WITH OTHERS AND RAISE THE VISIBILITY OF CERTIFIED PAS AS MENTAL HEALTH CARE PARTNERS. 13953 7500 IN THE AREA OF ORAL HEALTH, THE FOUNDATION PARTICIPATED IN ACTIVITIES TO PROMOTE INNOVATIVE PRACTICE AND EDUCATION CHANGES ACROSS THE NATIONAL PHYSICIAN ASSISTANT (PA) ORGANIZATIONS AND OTHER PARTNERS. THE FOUNDATION SUPPORTED INTEGRATION OF ORAL HEALTH INTO PA CURRICULUM THROUGH SMALL FACULTY AND OUTREACH GRANTS AND SUPPORTED OTHER ACTIVITIES TO PROMOTE THE PA PROFESSION'S EFFORTS TO EMBRACE ORAL HEALTH AS PART OF OVERALL HEALTH. 77862 2493 OTHER PROGRAM ACTIVITIES. 77862 2493 245503 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 X 4 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 GA IL X E TIM RYAN VP OF FINANCE AND CORPORATE SERVICES 6784178100 12000 FINDLEY ROAD SUITE 200 JOHNS CREEK GA 30097 TODD ALLEN IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 ERIN CROWN CHAIR 1.00 X X 0 0 0 RICK ROHRS TREASURER 1.00 X X 0 0 0 BENJAMIN SMITH SECRETARY 1.00 1.00 X X 0 0 0 MICHELLE DIBAISE DIRECTOR 1.00 X 0 0 0 WANDA GONSALVES DIRECTOR 1.00 X 0 0 0 AMNA JADALI DIRECTOR 1.00 X 0 0 0 DARCIE LARIMORE-ARENAS DIRECTOR 1.00 X 0 0 0 ZENO ST CYR II DIRECTOR 1.00 1.00 X 0 0 0 STEVEN WEST DIRECTOR 1.00 X 0 0 0 JOHN BRADFORD DIRECTOR 1.00 1.00 X 0 0 0 DARIA KARAS DIRECTOR 1.00 X 0 0 0 DAWN MORTON-RIAS EDD PA-C PRESIDENT AND CEO 5.00 40.00 X 0 628061 51830 TIFFANY FLICK MANAGING DIRECTOR 40.00 X 0 142932 29119 0 770993 80949 0 0 1 0 0 200000 24504 224504 50228 50228 67141 0 67141 67141 67141 REFUNDS 900099 2479 2479 2479 344352 0 0 119848 65823 65823 2500 2500 170094 90604 79490 164 47 117 49690 27392 22298 8282 8282 4500 4500 8336 8336 21670 21358 312 12083 82 12001 26448 26448 124857 34487 90370 2469 2469 1560 1560 SUBSCRIPTIONS 3723 3135 588 DUES EXPENSE 584 75 509 502783 245503 257280 0 286366 326590 10798 6761 0 1316 1888204 1520760 4670 5322 2191354 1859433 6442 7449 831912 632349 838354 639798 X 1289469 1152698 63531 66937 1353000 1219635 2191354 1859433 -158431 25066 0 X X 0 1 X 1 0 X X X 1 NATL COMM ON CERT OF PHYS ASSISTANT 581218672 10 1 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SECTION A PART IV LINE 2 THE SUPPORTED ORGANIZATION, THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC (NCCPA), RECEIVES THE MAJORITY OF ITS SUPPORT FROM EXEMPT ACTIVITY FUNCTIONS WHICH ARE DERIVED DIRECTLY FROM THE ADMINISTRATION OF EXAMS REQUIRED TO RECEIVE PHYSICIAN ASSISTANT CERTIFICATION. CONSEQUENTLY, NCCPA, A 501(C)(6) ORGANIZATION, WILL CONTINUE TO PASS THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2) INDEFINITELY (97.0% IN FYE 2022). SHOULD THERE EVER BE A SIGNIFICANT CHANGE IN PROGRAM FUNCTIONS, THE FOUNDATION WILL BE NOTIFIED IMMEDIATELY. PART IV, LINE 3B THE SUPPORTED ORGANIZATION, THE NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC (NCCPA), RECEIVES THE MAJORITY OF ITS SUPPORT FROM EXEMPT ACTIVITY FUNCTIONS WHICH ARE DERIVED DIRECTLY FROM THE ADMINISTRATION OF EXAMS REQUIRED TO RECEIVE PHYSICIAN ASSISTANT CERTIFICATION. CONSEQUENTLY, NCCPA, A 501(C)(6) ORGANIZATION, WILL CONTINUE TO PASS THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2) INDEFINITELY (95.3% IN FYE 2023). SHOULD THERE EVER BE A SIGNIFICANT CHANGE IN PROGRAM FUNCTIONS, THE FOUNDATION WILL BE NOTIFIED IMMEDIATELY. THE SUPPORTED AND SUPPORTING ORGANIZATIONS HAVE COMMON MANAGEMENT. PART IV, LINE 3C FOUNDATION EXPENSES SUPPORT PROGRAM INITIATIVES WHICH ARE ORIGINALLY DIRECTED TO THE FOUNDATION BY NCCPA. THE FOUNDATION OPERATES ITS OWN PROGRAMS AND HAS THE CONTROL OVER WHERE THE FUNDS ARE DIRECTED, WHICH ARE FOR CHARITABLE AND EDUCATIONAL PURPOSES UNDER SECTION 170(C)(2)(B). THE FOUNDATION PROVIDES WRITTEN REPORTS ABOUT ITS PROGRAM ACTIVITIES TO NCCPA ON A QUARTERLY BASIS. THE NCCPA BOARD OF DIRECTORS ALSO PROVIDES DIRECTION FOR THE FOUNDATION'S FUTURE PROGRAM ACTIVITIES, AND THE FOUNDATION WILL PRESENT ITS STRATEGIC INITIATIVES FOR 2025 TO NCCPA AT THE BOARD MEETING IN NOVEMBER 2024. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 63531 4525 1119 66937 70909 -6378 1000 63531 64387 7522 1000 70909 61007 4380 1000 64387 52115 9892 1000 61007 0.00000 0.74697 0.25303 0 0 0 ADVANCES FROM NCCPA 600000 RELATED PARTY PAYABLE 32349 632349 X 361082 25066 25066 336016 8336 8336 344352 494447 0 494447 8336 8336 502783 PART V, LINE 4: THE ENDOWMENT ALLOWS FOR SPENDING OF THE ACCUMULATED EARNINGS TO FUND GRANT PROGRAMS FOR CERTIFIED PAS AND PA STUDENTS SEEKING TO PROMOTE SUSTAINABLE STRATEGIES TO ADDRESS PUBLIC HEALTH NEEDS AND GENERATE MORE EQUITABLE HEALTH CARE THROUGH ENGAGEMENT AND OUTREACH. 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 THEIR 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. 0 0 0 0 0 0 0 0 0 DAWN MORTON-RIAS EDD PA-C PRESIDENT AND CEO 0 521926 0 99235 0 6900 0 39600 0 12230 0 679891 0 0 TIFFANY FLICK MANAGING DIRECTOR 0 116432 0 4000 0 22500 0 17111 0 12008 0 172051 0 0 FORM 990 PART VII TIFFANY FLICK, MANAGING DIRECTOR, IS A FULL TIME EMPLOYEE FOR NCCPA HEALTH FOUNDATION. HER PAYROLL IS REPORTED UNDER A RELATED ENTITY, NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS, "NCCPA". THE HEALTH FOUNDATION REIMBURSES NCCPA FOR COMPENSATION AND BENEFITS FOR MS. FLICK WHICH FOR 2023 AMOUNTED TO $142,932 IN COMPENSATION AND $29,119 IN BENEFITS. FORM 990 PART I LINE 5 & PART V LINE 2 ALL PAYROLL PROCESSING AND GOVERNMENTAL REPORTING IS HANDLED BY A COMMON PAYMASTER, RELATED ENTITY NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS, INC., FEIN #58-121867. PAYROLL FOR THE TWO FOUNDATION EMPLOYEES IS REIMBURSED BY THE FOUNDATION TO THE RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 6 NCCPA (THE CORPORATE MEMBER) IS THE SOLE MEMBER OF THE NCCPA HEALTH FOUNDATION. AS THE SOLE MEMBER, THE NCCPA BOARD OF DIRECTORS ELECTS THE MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A NCCPA (THE CORPORATE MEMBER) IS THE SOLE MEMBER OF THE NCCPA HEALTH FOUNDATION. AS THE SOLE MEMBER, THE NCCPA BOARD OF DIRECTORS ELECTS THE MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B NCCPA (THE CORPORATE MEMBER) IS THE SOLE MEMBER OF THE NCCPA HEALTH FOUNDATION. AS THE SOLE MEMBER, THE NCCPA BOARD OF DIRECTORS ELECTS THE MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS. CHANGES TO THE FOUNDATION'S BYLAWS ARE ONLY PERMITTED WITH THE APPROVAL OF THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER OF NCCPA REVIEWED THE FORM 990 PRIOR TO ITS FILING. THE COMPLETE FORM 990 IS SUPPLIED TO THE BOARD OF DIRECTORS VIA EMAIL WITH THE MATERIALS FOR THE BOARD'S AUGUST MEETING TO ENSURE ALL DIRECTORS RECEIVED A COPY. PRIOR TO ITS FILING, THE BOARD TOOK ACTION TO REIVEW AND APPROVE THE RETURN. PART VI, LINE 13 AND LINE 14 THE ORGANIZATION'S WHISTLEBLOWER POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK IN ITS OWN DEFINED SECTION. THE ORGANIZATION'S DOCUMENT DESCTRUCTION POLICY IS CONTAINED IN ITS POLICY MANUAL. THE ORGANIZATION'S SOCIAL MEDIA POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK IN ITS OWN DEFINED SECTION. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS REVIEW AND SIGN A STATEMENT OF FIDUCIARY OBLIGATIONS, INCLUDING CONFLICT OF INTEREST DISCLOSURE ON AN ANNUAL BASIS. BOARD MEMBERS RECUSE THEMSELVES FROM DISCUSSIONS OR VOTES ON ISSUES OF WHICH THEY HAVE A CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST AT THE NCCPA HEALTH FOUNDATION. FORM 990, PART XII, LINE 2C THE PROCESS FOR OVERSIGHT OF FINANCIAL STATEMENTS HAS NOT CHANGED. NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTS INC 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 581218672 CERTIFICATION OF PHYSICIAN ASSISTANTS GA 501(C)(6) N/A 0 SOCIETY FOR THE PRESERVATION OF PHYSICIAN ASSISTANT HISTORY INC 12000 FINDLEY ROAD SUITE 100 JOHNS CREEK GA 30097 030429253 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 1 0 0 0 NATIONAL COMMISSION ON CERIFICATION OF PHYSICIAN ASSISTANTS INC C 200000 CASH CONTRIBUTIONS NATIONAL COMMISSION ON CERIFICATION OF PHYSICIAN ASSISTANTS INC E 600000 LOAN GUARANTEED BY NCCPA NATIONAL COMMISSION ON CERIFICATION OF PHYSICIAN ASSISTANTS INC M 71718 IN KIND SERVICES NATIONAL COMMISSION ON CERIFICATION OF PHYSICIAN ASSISTANTS INC P 327919 PERSONNEL AND OTHER COSTS