2025-07-30T08:38:46-05:00 2024-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2024-01-01 204381466 NCCPA HEALTH FOUNDATION INC NCCP 6784178100 12000 FINDLEY ROAD 200 JOHNS CREEK GA 30097 D MORTON-RIAS EDD PA-C PRESIDENT/CEO 6784178100 2025-07-25 1 0 ALEISA HOWELL P00936721 7709558600 2025-07-25 2024 2025-03-06 01:10:19Z D MORTON-RIAS EDD PA-C 12000 FINDLEY ROAD 200 JOHNS CREEK GA 30097 435893 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 1 13 0 0 224504 248108 0 0 117369 187211 2479 574 344352 435893 68323 78963 0 0 219948 186104 0 0 0 214512 202816 502783 467883 -158431 -31990 1859433 1553713 639798 439904 1219635 1113809 X TO EQUIP AND EMPOWER BOARD CERTIFIED PHYSICIAN ASSISTANTS (PAS) AND PHYSICIAN ASSISTANT (PA) STUDENTS TO IMPROVE HEALTH FOR ALL. 0 0 87117 69104 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. 60498 2500 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. 12100 7359 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. 82278 OTHER PROGRAM ACTIVITIES. 82278 241993 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 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 2 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 GA IL X E TIM RYAN 6784178100 12000 FINDLEY ROAD SUITE 200 JOHNS CREEK GA 30097 X DAWN MORTON-RIAS EDD PA-C PRESIDENT AND CEO, NCCPA 5.00 40.00 X 0 647340 93946 TIFFANY FLICK FOUNDATION MANAGING DIRECTOR 40.00 X 0 146909 38570 ERIN CROWN CHAIR 1.00 X X 0 0 0 RICK ROHRS CHAIR ELECT 1.00 X X 0 0 0 STEVEN WEST 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 DARIA KARAS DIRECTOR 1.00 X 0 0 0 PAT KENNEY-MOORE DIRECTOR 1.00 1.00 X 0 0 0 JOSHUA MONTGOMERY 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 0 794249 132516 0 0 1 0 0 200000 48108 248108 40645 40645 146566 0 146566 146566 146566 REFUNDS 900099 574 574 574 435893 0 0 187785 78963 78963 185479 102013 83466 625 344 281 1437 1437 4325 4325 6711 6711 9942 9942 25499 25499 1479 140 1339 28962 4223 24739 7245 7245 30736 30736 82775 82775 1735 1735 PROF. DEVELOPMENT 1895 1895 DUES 75 75 467883 241993 225890 0 326590 382717 6761 14811 1520760 1153205 5322 2980 1859433 1553713 7449 5245 632349 434659 639798 439904 X 1152698 1018650 66937 95159 1219635 1113809 1859433 1553713 -31990 -73836 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 (95.3 % IN 2024). 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 2024). 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 PRESENTS ITS STRATEGIC INITIATIVES FOR 2026 TO NCCPA AT THE BOARD MEETING IN NOVEMBER 2025. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 66937 25000 4908 1686 95159 63531 4525 1119 66937 70909 -6378 1000 63531 64387 7522 1000 70909 61007 4380 1000 64387 0.00000 0.78816 0.21184 0 0 0 ADVANCES FROM NCCPA 400000 RELATED PARTY PAYABLE 34659 434659 X 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, NCCPA 0 542895 0 104445 0 0 0 79750 0 14196 0 741286 0 0 TIFFANY FLICK FOUNDATION MANAGING DIRECTOR 0 144909 0 2000 0 0 0 17579 0 20991 0 185479 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 2024 AMOUNTED TO $146,909 IN COMPENSATION AND $38,570 IN BENEFITS. FORM 990, PART VI, SECTION A, LINE 4 THE MAXIMUM NUMBER OF BOARD MEMBERS HAS BEEN INCREASED TO 14 MEMBERS. 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 I LINE 5, PART V LINE 2, AND PART VII: 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 ONE FOUNDATION EMPLOYEE IS REIMBURSED BY THE FOUNDATION TO THE RELATED ENTITY. 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 200 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 200 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 CERTIFICATION OF PHYSICIAN ASSISTANTS INC C 200000 CASH NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC E 400000 LOAN GUARANTEED BY NCCPA NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC M 103769 IN-KIND SERVICES NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS INC P 309284 PERSONNEL AND OTHER COSTS