2024-03-08T11:02:49-06:00 2023-04-30 410746749 CLIFTONLARSONALLEN LLP 801 CHERRY STREET SUITE 1400 FORT WORTH TX 76102 990 2022-05-01 751092490 FEDERATION OF STATE MEDICAL BOARDS OF THE UNITED STATES INC FEDE 8178684000 400 FULLER WISER ROAD EULESS TX 76039 DR HUMAYUN J CHAUDHRY DO CEO 8178684000 2024-03-06 1 DR HUMAYUN J CHAUDHRY D 999009999 0 ROSALINDA MARIKAR CPA P01684134 8178775000 2024-03-06 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z DR HUMAYUN J CHAUDHRY 400 FULLER WISER ROAD EULESS TX 76039 74935313 0 X WWW.FSMB.ORG X 1966 NE LEADER IN MEDICAL REGULATION, SERVING AS AN INNOVATIVE CATALYST FOR EFFECTIVE POLICY & STANDARDS. 14 10 198 250 0 0 600220 154184 57479966 58870621 2241825 2559639 971804 1319781 61293815 62904225 0 0 0 0 17246157 17663211 0 0 0 34701714 34531870 51947871 52195081 9345944 10709144 83006184 95672054 20309064 23239041 62697120 72433013 X THE FSMB SERVES AS THE VOICE FOR STATE MEDICAL BOARDS, SUPPORTING THEM THROUGH EDUCATION, ASSESSMENT, RESEARCH AND ADVOCACY WHILE PROVIDING SERVICES AND INITIATIVES THAT PROMOTE PATIENT SAFETY, QUALITY HEALTH CARE AND REGULATORY BEST PRACTICES. 0 1 CREDENTIALS VERIFICATION SERVICE:THE CREDENTIALS VERIFICATION SERVICE ESTABLISHES A PERMANENT, LIFETIME REPOSITORY OF PRIMARY-SOURCE VERIFIED CORE CREDENTIALS FOR PHYSICIANS AND PHYSICIAN ASSISTANTS ELIMINATING THE NEED TO GO THROUGH THE TIME AND EFFORT OF ASSEMBLING AND FORWARDING THIS INFORMATION EVERY TIME THEY NEED TO BE CREDENTIALED OR LICENSED. MEMBER SERVICESFSMB SUPPORTS STATE MEDICAL BOARDS AS THEY PROTECT THE PUBLIC AND PROMOTE QUALITY HEALTH CARE, PARTNERING AND INNOVATING WITH THEM TO SHAPE THE FUTURE OF MEDICAL REGULATION. SPECIAL PURPOSE EXAMINATION (SPEX) AND UNITED STATES MEDICAL LICENSING EXAMINATION (USMLE):THE FEDERATION MAKES AVAILABLE TO MEMBER MEDICAL BOARDS, A UNIFORM, HIGH QUALITY EXAMINATION FOR MEDICAL LICENSURE ALONG WITH ADMINISTERING THE EXAMS. APPROXIMATELY 102 SPEX EXAMS WERE COMPLETED AND 36,639 EXAMINEES SAT FOR STEP THREE OF USMLE. ALSO, APPROXIMATELY 108,123 TRANSCRIPT REQUESTS WERE PROCESSED. PHYSICIAN DATA CENTER: THE FEDERATION MAINTAINS A DATABASE OF PHYSICIANS LICENSED IN THE US AND ITS TERRITORIES. STATE MEDICAL BOARDS PROVIDE DISCIPLINARY UPDATES ON PHYSICIANS LICENSED IN EACH JURISDICTION. OVER 348,855 DATA AND/OR DISCIPLINARY SEARCHES WERE MADE DURING THE YEAR. 0 1 0 1 0 0 0 0 0 1 1 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 1 1 1 0 1 56 0 198 1 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X TODD PHILLIPS CFO 8178684000 400 FULLER WISER RD EULESS TX 76039 SARVAM TERKONDA CHAIR 18.00 2.00 X X 81866 0 0 KENNETH SIMONS IMMEDIATE PAST CHAIR 18.00 2.00 X X 84160 0 0 CHERYL WALKER-MCGILL PAST CHAIR 18.00 2.00 X 32500 0 0 JONE GEIMER-FLANDERS TREASURER 20.00 X X 6973 0 0 JEFFREY CARTER CHAIR-ELECT 18.00 2.00 X X 34366 0 0 SHAWN PARKER DIRECTOR 20.00 X 7741 0 0 KATIE TEMPLETON DIRECTOR 18.00 2.00 X 4003 0 0 ANDREA ANDERSON DIRECTOR 20.00 X 8629 0 0 BARBARA WALKER DIRECTOR 20.00 X 2692 0 0 JOSEPH WILLETT DIRECTOR 20.00 X 5968 0 0 DENISE PINES DIRECTOR 20.00 X 6911 0 0 GEORGE ABRAHAM DIRECTOR 20.00 X 1570 0 0 MAROULLA GLEATON DIRECTOR 20.00 X 3647 0 0 MARK WOODLAND DIRECTOR 20.00 X 1419 0 0 HUMAYUN CHAUDHRY CEO 37.00 3.00 X 698653 0 119264 MICHAEL DUGAN CIO 40.00 X 380768 0 80016 LISA ROBIN CAO 40.00 X 364052 0 66083 TODD PHILLIPS CFO 40.00 0.00 X 361149 0 62199 DAVID JOHNSON CHIEF ASSESSMENT OFFICER 40.00 X 318921 0 57703 ERIC FISH CHIEF LEGAL OFFICER 40.00 X 295369 0 46583 CYNDI STREUN ASSISTANT VP, INFORMATION 40.00 X 219313 0 44900 AARON YOUNG ASSISTANT VP, RESEARCH & D 40.00 X 203253 0 57314 FRANK MEYERS DEPUTY LEGAL COUNSEL 40.00 X 165944 0 5688 RITA HOU MOHSIN DIRECTOR, PROJECT MANAGEMENT 40.00 X 166014 0 52792 JOSEPH KNICKREHM VICE PRESIDENT, COMMUNICATIONS 40.00 X 167610 0 34442 3623491 0 626984 25 0 1 0 JWC GENERAL CONTRACTORS 425 W SOUTHLAKE BOULEVARD SUITE 1 SOUTHLAKE TX 76092 ROOF REPLACEMENT/CONTRACTOR 1084683 DIALEXA LLC 2200 COMMERCE ST DALLAS TX 75201 PDC REWRITE PROJECT 661040 PERKINS COLE LLP PO BOX 24643 SEATTLE WA 98124 LEGAL SERVICES 216426 BROWNSTEIN HYATT FARBER SCHRECK 410 17TH STREET SUITE 2200 DENVER CO 80202 POLICY COUNSEL 120887 4 154184 154184 EXAMINATION REVENUE 541900 34271095 34271095 FCVS REVENUE 541900 14497786 14497786 EXAMINATION HISTORY REPORTS 541900 7904744 7904744 PHYSICIAN DATA CENTER 541900 2088386 2088386 REGISTRATION FEES 541900 103010 103010 5600 5600 58870621 1876136 1876136 1239781 1239781 11547141 1167450 11974932 56156 -427791 1111294 683503 683503 MISCELLANEOUS REVENUE 900099 29019 29019 EXHIBITOR FEES 900099 25500 25500 COALITION FOR PHYSICIAN ACCOUNTAB 900099 25001 25001 480 480 80000 62904225 58921602 0 3828439 3129309 11020256 1381056 1204878 927712 254671 40640 199033 223531 1535913 10102 946812 1499411 1129492 1308157 1018351 112 949788 173469 USMLE TRANSFER FEES 22681266 BANK & CREDIT CARD CHAR 1444298 TRANSCRIPT & VERIFICATI 1019317 PLAS TRANSFER FEES 97400 107 52195081 23492412 30469327 617465 814167 1099429 1282691 31802341 21421739 8407396 10380602 43624213 43648497 5458751 5329492 306518 3747278 83006184 95672054 6043071 5302876 12837739 12583900 1428254 5352265 20309064 23239041 X 62697120 72433013 62697120 72433013 83006184 95672054 10709144 -973251 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 1540151 1540151 10912595 4312543 6600052 19231739 17109196 2122543 117856 117856 10380602 PRIVATE EQUITY 5329492 F 5329492 DEFERRED COMPENSATION 1561001 LEASE LIABILITIES 3791264 5352265 X PART X, LINE 2: FSMB IS ORGANIZED AS A NONPROFIT CORPORATION UNDER SECTION 501 (C)(6) OF THE INTERNAL REVENUE CODE. THIS SECTION EXEMPTS THE FEDERATION FROM TAXES ON INCOME, WITH THE EXCEPTION OF INCOME FROM UNRELATED BUSINESS ACTIVITY. THE FEDERATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAD NO IMPACT ON THE FEDERATION'S CONSOLIDATED FINANCIAL STATEMENTS. FSMB FILES AS A TAX-EXEMPT ORGANIZATION. X X X 1 1 X X X X 1 1 0 HUMAYUN CHAUDHRY CEO 653684 0 30893 0 14076 0 97827 0 21437 0 817917 0 0 0 MICHAEL DUGAN CIO 344518 0 36250 0 0 0 59639 0 20377 0 460784 0 0 0 LISA ROBIN CAO 331346 0 31250 0 1456 0 54389 0 11694 0 430135 0 0 0 TODD PHILLIPS CFO 329443 0 31250 0 456 0 54104 0 8095 0 423348 0 0 0 DAVID JOHNSON CHIEF ASSESSMENT OFFICER 283809 0 34536 0 576 0 47752 0 9951 0 376624 0 0 0 ERIC FISH CHIEF LEGAL OFFICER 259119 0 36250 0 0 0 38488 0 8095 0 341952 0 0 0 CYNDI STREUN ASSISTANT VP, INFORMATION 200264 0 19049 0 0 0 33250 0 11650 0 264213 0 0 0 AARON YOUNG ASSISTANT VP, RESEARCH & D 185003 0 18250 0 0 0 32606 0 24708 0 260567 0 0 0 RITA HOU MOHSIN DIRECTOR, PROJECT MANAGEMENT 151764 0 14250 0 0 0 27168 0 25624 0 218806 0 0 0 JOSEPH KNICKREHM VICE PRESIDENT, COMMUNICATIONS 151360 0 16250 0 0 0 25347 0 9095 0 202052 0 0 0 FRANK MEYERS DEPUTY LEGAL COUNSEL 155086 0 10750 0 108 0 5688 0 0 0 171632 0 0 0 PART I, LINE 1A FIRST CLASS AIRFARE IS APPROVED FOR FLIGHTS LONGER THAN 4 HOURS DURATION. COMPANION TRAVEL EXPENSES ARE COVERED FOR SELECT MEETINGS, AND THESE EXPENSES ARE REPORTED ON THE 1099 FORM. DR. CHAUDHRY RECEIVED A HOUSING ALLOWANCE OF $18,000 IN CY 2022. PART I, LINES 4A-B NAME: JAMA BALL, DESCRIPTION: SEVERANCE PAYMENT, CURRENT YEAR AMOUNT: $38,179. NAME: HUMAYUN CHAUDHRY, DESCRIPTION: 457F CONTRIBUTION, CURRENT YEAR AMOUNT: $52,077. NAME: MICHAEL DUGAN, DESCRIPTION: 457F CONTRIBUTION, CURRENT YEAR AMOUNT: $13,889. NAME: LISA ROBIN, DESCRIPTION: 457F CONTRIBUTION, CURRENT YEAR AMOUNT: $8,639. NAME: TODD PHILLIPS, DESCRIPTION: 457F CONTRIBUTION, CURRENT YEAR AMOUNT: $8,354. NAME: DAVID JOHNSON, DESCRIPTION: 457F CONTRIBUTION, CURRENT YEAR AMOUNT: $2,002. THERE WERE NO DISTRIBUTIONS. FORM 990, PART III, LINE 3 FSMB WAIVED FEES FOR 2023 MEMBERSHIP DUE TO COVID-19. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE OF THE BOARD SHALL CONSIST OF THE CHAIR AS CHAIR, CHAIR-ELECT, TREASURER, IMMEDIATE PAST CHAIR AND TWO DIRECTORS-AT-LARGE. THE DIRECTORS-AT-LARGE SHALL BE ELECTED FOR A ONE-YEAR TERM BY MAJORITY VOTE OF THE DIRECTORS-AT-LARGE AND THE ASSOCIATE MEMBERS OF THE BOARD OF DIRECTORS AT THE FIRST REGULAR MEETING OF THE BOARD FOLLOWING THE ANNUAL MEETING OF THE HOUSE OF DELEGATES. IN THE EVENT OF A VACANCY IN A DIRECTOR-AT-LARGE POSITION, THE DIRECTORS-AT-LARGE AND THE ASSOCIATE MEMBERS OF THE BOARD, BY MAJORITY VOTE, SHALL CHOOSE ANOTHER DIRECTOR-AT-LARGE TO SERVE THE REMAINDER OF THE ONE-YEAR TERM. IN THE EVENT OF VACANCY IN THE POSITION OF IMMEDIATE PAST CHAIR, THIS POSITION SHALL REMAIN VACANT UNTIL THE NEXT ANNUAL MEETING OF THE HOUSE OF DELEGATES. IN INTERVALS BETWEEN BOARD MEETINGS, THE EXECUTIVE COMMITTEE SHALL ACT FOR AND ON BEHALF OF THE BOARD IN ANY MATTERS THAT REQUIRE PROMPT ATTENTION. IT SHALL NOT MODIFY ACTIONS PREVIOUSLY TAKEN BY THE BOARD. MINUTES MUST BE KEPT OF ALL MEETINGS. THE EXECUTIVE COMMITTEE SHALL REPORT IN WRITING ALL FORMAL ACTIONS TAKEN BY IT TO THE BOARD OF DIRECTORS WITHIN FIVE WORKING DAYS OF TAKING THOSE ACTIONS. AT EACH MEETING OF THE BOARD, THE EXECUTIVE COMMITTEE SHALL PRESENT TO THE BOARD A WRITTEN REPORT OF ALL ITS FORMAL ACTIONS SINCE THE PREVIOUS MEETING OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 FSMB OF THE UNITED STATES HAS SEVERAL CLASSES OF MEMBERSHIP WHICH INCLUDE: MEMBER, FELLOW, HONORARY FELLOW, ASSOCIATE MEMBER, COURTESY MEMBER, AND AFFILIATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE RIGHT TO VOTE AT MEETINGS OF THE HOUSE OF DELEGATES IS VESTED IN, AND RESTRICTED TO, MEMBER MEDICAL BOARDS. OFFICERS SHALL BE ELECTED BY A MAJORITY OF THE MEMBERS OF THE HOUSE OF DELEGATES WHO ARE VOTING. FORM 990, PART VI, SECTION A, LINE 7B THE ANNUAL BUDGET, AND SOME OTHER ITEMS, REQUIRE A MAJORITY VOTE OF THE MEMBERS OF THE HOUSE OF DELEGATES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS FIRST REVIEWED IN DETAIL BY THE CEO, CFO, AND THEREAFTER PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE FEDERATION'S CONFLICT OF INTEREST POLICY COVERS DIRECTORS, OFFICERS, COMMITTEE MEMBERS OR ANY MANAGER WITH THE AUTHORITY TO INFLUENCE THE ACTIONS OF FSMB. ANY DIRECTOR, OFFICER, OR FSMB COMMITTEE ("COMMITTEE") MEMBER WHO BELIEVES THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST NOTIFIES THE CHAIR OF THE BOARD OF DIRECTORS OR COMMITTEE OF SUCH POTENTIAL CONFLICT OF INTEREST. ANY MEMBER OF THE EXECUTIVE MANAGEMENT WHO BELIEVES THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST NOTIFIES THE CHIEF EXECUTIVE OFFICER OF SUCH POTENTIAL CONFLICT OF INTEREST. ALL PERSONS TO WHOM A POTENTIAL CONFLICT OF INTEREST IS REPORTED NOTIFIES THE BOARD OF DIRECTORS, WHICH DETERMINES WHETHER SUCH CONFLICT OF INTEREST IN FACT EXISTS. UNTIL THE BOARD OF DIRECTORS HAS MADE A DETERMINATION, ANY DISCLOSED POTENTIAL CONFLICT OF INTEREST IS PRESUMED TO BE AN ACTUAL CONFLICT OF INTEREST FOR THE PURPOSES OF THE FEDERATION'S POLICY. COVERED INDIVIDUALS WHO HAVE A CONFLICT OF INTEREST ARE COUNTED FOR PURPOSES OF A QUORUM, BUT ARE NOT PERMITTED TO PARTICIPATE IN DISCUSSIONS AT MEETINGS OF THE BOARD OF DIRECTORS OR COMMITTEES ABOUT A RELEVANT ISSUE; THEY DO NOT VOTE; AND ARE REQUIRED TO LEAVE THE ROOM BEFORE DECISIONS ARE MADE ON MATTERS RELATING TO THE CONFLICT OF INTEREST. IF IT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES FOR FSMB TO ENTER INTO A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT DOES NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS OR COMMITTEE DETERMINES BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OR MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF FSMB, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT CONFIRMS ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. THE MINUTES OF THE BOARD OF DIRECTORS AND ALL COMMITTEES DOCUMENT ALL PROCEEDINGS RELATED TO CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE REVIEWS AND REVISES THE SALARY OF THE CEO. THE FEDERATION REVIEWS CEO SALARY COMPENSATION OF SIMILAR ORGANIZATIONS ANNUALLY. COMPENSATION COMMITTEE MINUTES ARE MAINTAINED BY THE TREASURER OF THE BOARD OF DIRECTORS. THE CEO REVIEWS AND REVISES THE SALARIES OF OTHER C-LEVEL EMPLOYEES. OTHER C-LEVEL SALARY ADJUSTMENTS MADE BY THE CEO ARE NOTED ON THE STANDARD FORMS WHICH ARE KEPT IN EACH EMPLOYEE'S HUMAN RESOURCES FILE. OFFICER COMPENSATION WAS REVIEWED LAST IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE FEDERATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FEDERATION OF STATE MEDICAL BOARDS RESEARCH AND EDUCATION FDN 400 FULLER WISER ROAD EULESS TX 76039 363071272 INFORM PUBLIC ON HEALTH CARE AND HEALTH CARE REGULATIONS IL 501(C)(3) LINE 12A, I FEDERATION OF STATE MEDICAL BOARDS OF THE UNITED STATES INC 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 NA