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The Real NCCA
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Have you received communication from an organization claiming to be the NCCA?

Please read below to clear up any confusion.


We have had reports of another organization creating propaganda and spreading false and inaccurate information among DCs in regards to the North Carolina Chiropractic Association.We have created this webpage to set the record straight and provide a central location for the facts to be displayed.

FAQ Guide and Categories:

Helpful Videos 

NCCA Lawsuit

HNS Lawsuits

Corrections of Misinformation

Election Questions  





Helpful Videos

• Please click here for a video explaining the lawsuit filed by the NCCA.
• Please click here for Dr. Siragusa's speech delivered originally at the 2015 Fall Convention.
• Please click here to view the webinar FAQ presentation regarding lawsuit, elections, etc. 



NCCA Lawsuit

Q: Who is the NCCA filing a lawsuit against, and why?

A: Legal proceedings have been commenced for serious legal violations by Dr. Nelson.

The reasons for this lawsuit are as follows:

     Dr. Nelson is believed to have misused the intellectual property of the NCCA.

     He is believed to have libeled the NCCA and its leadership.

     He has harmed the NCCA and its leaders by means of inaccurate assertions.


The NCCA prefers to take the high road in resolving disputes, and prior to filing this lawsuit, attempted to resolve these issues by diplomatic means. Over approximately the past 5 years, Dr. Nelson was sent multiple "Cease and Desist" letters, including one as recently as September 2015. These attempts at resolution have been unsuccessful. Dr. Nelson was banned for life from the NCCA in 2013. Unfortunately, his behavior has cost the NCCA tens of thousands of dollars. As a result, the NCCA has filed a lawsuit to stop Dr. Nelson from further damaging the reputations of the staff and volunteers of the NCCA.



HNS Lawsuits

Q: What is the deal with these "class action lawsuits" against HNS I keep hearing about?

A: There are no class action lawsuits. Just because someone repeats it often enough, doesn’t make it true. Unless a judge has certified the lawsuits as a class action since this writing (12/7/2015), they are not class action and they only represent 4 doctors, only one of which is a member of the NCCA. The NCCA board is monitoring that issue and may be compelled to take action at some point, but they will not be bullied into prematurely involving the NCCA in litigation that may or may not be dismissed by a judge. Neither will they place the NCCA in a liability situation without compelling facts and rationale.   



Corrections of Misinformation

Q: Does HNS have influence over the NCCA through financial means?

A: No.The NCCA gets no direct funding from HNS.  They are recognized as a Diamond Convention Sponsor to acknowledge the benefit they provide to so many of our NCCA members.  If a voucher is used to pay for a convention, it is because an NCCA member has made the decision to join HNS and then chooses to cash in one of their vouchers for a convention registration.

Q: But surely the NCCA is now dependent on that money, right? 

A: Clearly the answer is “no”.  First, the NCCA board members have too much integrity to allow money to compromise their mission.  Second, the relative amount of profit from conventions is only a very small percentage of our NCCA budget.

On average, an NCCA convention generates about $80,000 in revenue. Again, on average, expenses amount to about $65,000 per convention (allocating staff time as a line item expense would show even higher expenses). That is less than $15,000 profit from each convention. Since we do two conventions per year, that is less than $30,000 per year profit.  However, our total budget is now $756,000. That is about 4% of our total budget. No outside organization is going to exert undue influence anyway, but certainly not for 4% of our total budget.


Q: Was Dr. Siragusa dismissed from his last position for a recruitment scandal?

A: No. Here is an open letter from his previous institution of employment explaining his upstanding character and ethics. 


Q: I heard the NCCA's membership numbers have dropped since 2010, is this true?

A: If you have heard this, it is because the author of these statements has been using false membership numbers, perhaps to question the strength and health of the NCCA's membership as a whole.  He claims member numbers of 900 when he was in office, however, that number does not represent 900 DC members, that number includes other types of members, including complimentary memberships, student memberships, and CA Memberships. This is no longer the criteria the NCCA uses to define its true membership number, however, for the sake of comparing apples to apples, if that was the criteria, the NCCA would currently have over 1700 members by those same standards. Similarly, our membership as of today is 669 and in 2010 by our current standards the membership number would have been 577. In other words, we have almost 100 more members now than in 2010.  



Election Questions

Q: Why were some candidates "recommended" and others were not?

A: The NCCA bylaws dictate that the nominations committee should recommend a slate of candidates for each office. There is nothing new about this process. Ballots from at least the last three years have all had a similar recommendation. In fact the bylaws have dictated this process for the last 30 years or more. 

Q: Why do the bylaws dictate that there be a recommended candidate?

A: Quite simply, if a member is not engaged in the business of the NCCA, and doesn't know the candidates, they often look for guidance on how to vote.  It would be inappropriate for that doctor to call the NCCA and ask for a recommendation from the staff.  Instead, the Nominations Committee, which is comprised of the past president and the five district presidents, is charged with evaluating the needs of the organization, the strengths of each candidate, and then recommending a slate of officers to continue the work that has been done and for the future of the organization.


Q: Is it common to have a recommended slate?

A: Yes- very common. This is the method boards use to promote the best interests of the organization.


Q: What if I don't want to vote for the recommended candidate?

A: In most races, there is an alternate candidate. Basically, if you like the work and direction of the board, you would typically vote for the recommended candidate.  If you don't like the direction of the board, you would vote for the alternate candidate. The choice is in the hands of the voting member. The important thing is to vote.


Q: Is this fair?  Shouldn't the NCCA be unbiased?

A: It is common misperception that the NCCA should be neutral or unbiased.  In fact, the bylaws require the NCCA board to be "biased" in recommending certain candidates over others. The bylaws (as they have for years) dictate that the NCCA board makes a recommendation to the membership. Again, this is standard practice in other professionally run organizations and it has been done this way by the NCCA for many years.


Q: Were new members turned away who wanted to join and vote?

A: New member applications were accepted right up until the electronic ballot was sent to the membership. At that time, any new applications were accepted but pended until voting ends. They were processed immediately after the election ended. It is a common practice that organizations establish a cut-off date for joining and voting. This is not a denial of their right to vote since they are not yet members.  


Prior to that time, there was an influx of new members who seemed to be joining specifically to be able to vote. They were allowed to join until the ballot was sent to the membership. All but two of those applications were processed and allowed to vote. Two applications were pended until the full board could evaluate the appropriateness of their application.


Q: Were the bylaws changed in 2012 or 2015 to give any one group an advantage in elections?

A: No. The bylaws were changed to allow electronic voting so that every member could vote.  Prior to that, members had to attend a meeting at one of the conventions to vote. This was a hardship on doctors in remote areas as well as doctors who only attended one convention, where voting was not taking place.

Q: Does any group, company, or person have undue influence on the NCCA elections?

A: No. The elections are conducted with the best professionalism of the NCCA staff. The ultimate vote rests in the hands of the members.  Results are certified by three people as described in the bylaws. The NCCA bylaws can be found here.


Q: Wasn't a member of another organization on the Bylaws committee?

A: NCCA members belong to many different organizations. By virtue of their membership status, a member in good standing can serve on a committee. The NCCA does not have any "second class" memberships that prohibit service on a committee. The NCCA does adhere to a fairly rigorous conflict of interest policy.  Any recommendation from any committee then has to be approved by the full board.  In the case of bylaws, the entire membership then gets to vote on the change.  So clearly, there was no undue influence on the bylaws from any one person or group. The bylaws recommendation was approved by the committee, the full board, and the members.


Q: Why are certain people raising questions about the NCCA and the elections process?

A:  We don't know.  


The NCCA board works to build the support and trust of members. The above is intended to answer some of the questions that have been raised. Of course, any remaining questions can be submitted to the NCCA office or to any board member.

Contact Us

NCCA State Office
8412 Falls of Neuse Road,
Suite 106
Raleigh, NC 27615





The North Carolina Chiropractic Association (NCCA), based in Raleigh, NC. is the only professional association in the state of North Carolina representing doctors of chiropractic. NCCA provides a unified voice for all its members and is dedicated to promoting chiropractic through public awareness, quality post-graduate education, legislative efforts and securing equality in the health care arena. These collective efforts assure continued growth of the profession, ultimately improving the overall well-being of North Carolina citizens through chiropractic.

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