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        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>113268</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa M Rawding</PersonNm>
        <TitleTxt>SVP, Growth &amp; Innovation</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Uchenna C Kwentoh</PersonNm>
        <TitleTxt>VP, Marketing &amp; Strategic Comm</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>149700</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24395</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Reena Karani</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>6757</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maya Hammoud</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>6608</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Patricia A King</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David A Milling</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>5015</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Danny M Takanishi Jr</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joshua D Nosanchuk</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marie Foley</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alfred F Tallia</PersonNm>
        <TitleTxt>Past Chair</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jon Thomas</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Suzanne T Anderson</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Zachary E Weismann</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kamili A Wilson</PersonNm>
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          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>Client Accounting PO Box 24643</AddressLine1Txt>
            <CityNm>Seattle</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Beacon Hill Staffing Group LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>44 New England Management Company</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NGI Capital Inc</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7200 80th Street Suite 030</AddressLine1Txt>
            <CityNm>Cottage Grove</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UMT 360 LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10800 NE 8th Street Suite 210</AddressLine1Txt>
            <CityNm>Bellevue</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98004</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>43126536</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <ProgramServicesAmt>5500</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>87800</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>331565</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1542455</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>53008</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1617676</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1408173</ProgramServicesAmt>
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        <ExplanationTxt>In 2021, NBME established a Philanthropy Fund in the amount of $100,000,000. This endowment fund and related philanthropic activities are intended to focus on protecting the health of the public by advancing assessment and medical education research to fortify licensing of health care professionals, driving equity, diversity and inclusion in medical and health professions by supporting learners who face socio-economic and other disadvantages and enabling initiatives that promote equity and inclusion in the profession and supporting the health of local communities. The Philanthropy Fund supports giving in the areas of medical education and research, learner supports, pathway programs and health equity. The Philanthropy Fund is included in NBMEs net assets without donor restrictions and is invested and professionally managed with the goal of providing investment returns over time to support annual grants or expenditures that meet the objectives of the fund. NBME has adopted a formal spending policy for the Philanthropy Fund. For years 2021-2023, disbursements from the fund will not exceed $5,000,000 annually. Beginning in 2024, the maximum funds to be disbursed from the Philanthropy Fund in any year will be equal to up to 5% of the trailing three-year average of the fund balance.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Internal Revenue Service has classified NBME as exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code (IRC).U.S. GAAP requires management to evaluate tax positions taken and recognize a tax liability, if NBME has taken uncertain tax positions that more likely than not would not be sustained upon examination by a government authority. Management has analyzed the tax positions taken by NBME, and has concluded that as of December 31, 2023 and 2022, there were no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the consolidated financial statements. NBME recognizes accrued interest and penalties associated with uncertain tax positions, if any. There were no tax related interest or penalties recorded for either of the years ended December 31, 2023 or 2022.</ExplanationTxt>
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        <PersonNm>Linda M Gadsby</PersonNm>
        <TitleTxt>SVP, Gen Couns</TitleTxt>
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        <PersonNm>Lisa M Rawding</PersonNm>
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        <PersonNm>Michael A Barone</PersonNm>
        <TitleTxt>VP, CBA</TitleTxt>
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        <PersonNm>Michael G Jodoin</PersonNm>
        <TitleTxt>SVP, C&amp;P Mgmt</TitleTxt>
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        <PersonNm>Pamela L Treves</PersonNm>
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        <PersonNm>Peter J Katsufrakis</PersonNm>
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        <PersonNm>Susan A Deitch</PersonNm>
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        <PersonNm>Uchenna C Kwentoh</PersonNm>
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        <PersonNm>Ye Tong</PersonNm>
        <TitleTxt>SVP, Assessment</TitleTxt>
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        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>Travel PolicyNBME's Business Travel policy states that the most cost effective options available based on the traveler's requested itinerary should be made. First-class travel and travel for companions are not specifically authorized in the policy. In limited circumstances, certain NBME Officers and Key Employees may be permitted first-class travel if authorized by the President. First-class travel and companion travel for the President are included in the compensation package. The cost incurred for travel for companions is included in the employee's taxable earnings.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>The amounts reflected on Schedule J, Column C Retirement and other deferred compensation include an estimate of the annual increase in the actuarial present value of each employees benefit to be received at retirement under NBMEs defined benefit plan. In addition, column C includes the amount contributed by NBME to an eligible employee's defined contribution plan, as well as earnings accrued under the Executive Deferred Compensation Plan where applicable. The amount in column C does not represent an actual cash payment to the employee during the year, but an estimate of the accrued benefit during the year to be received at a later date or at the time of retirement.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II, Line 3 - Total Proceeds of IssueThe total proceeds of issue listed in Part II, line 3 does not match the issue price in Part I, column (e) as a result of investment earnings associated with proceeds deposited in a refunding escrow account in conjunction with the advance refunding of the 2008A Series Bonds.Part III, Line 8 - In July 2023, NBME sold a parking garage that was purchased with a portion of the bond issuance. NBME is initiating remedial actions in accordance with IRS regulations. The proceeds from the sale of the bond-financed property are intended to be used for an alternate qualifying purpose, and Form 8038 will be filed to document this action.Part IV, Line 2, Column A - ArbitrageRebate computation was performed on 8/17/2021</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: The Growth and Innovation unit includes the Office of Research which supports NBMEs research enterprise by coordinating NBMEs research efforts across the organization and ensuring that NBMEs research portfolio is consistent with institutional priorities. In addition to these defined programs of research and development, each program area and service unit is charged to carry on a program of research and development relevant to the work of the program or unit, for example, development of new item formats for USMLE, exploring relationships between prior measures and certifying exam performance for those we serve and developing new testing methods for those we serve. These research and development activities result in the publication of dozens of research reports in scientific journals and presentations at scientific meetings each year.The Office of Research is responsible for conducting research related to improving the quality and efficiency of NBME products, services, and procedures. It is also aimed at developing capabilities that allow NBME to expand its range of assessments both geographically and across the health professions. In addition to this work, the Office of Research provides non-routine technical support to other organizational divisions and subunits and conducts research to contribute to the field of measurement.This unit delivers information vital for planning strategy related to innovative assessments to meet stakeholder needs. They support conception and market testing of product ideas and the research to investigate and sustain products and services.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed by the NBME President, Chief Financial Officer, and General Counsel prior to filing the return with the Internal Revenue Service (IRS). The review is completed to ensure appropriate and complete disclosure. A copy of the Form 990 was provided to the NBME Board of Directors and Audit Committee members prior to filing the return with the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>NBME has a written Fiduciary Duty and Conflict of Interest Statement for its Officers, Key Employees and Board of Directors Members. These individuals are required to review and sign the applicable policy annually. Submission of completed statements by Officers, Key Employees, and Board of Directors Members is enforced and annual disclosures of interests that could give rise to conflicts are monitored by the Secretary of the Board. Potential or real conflicts of interest are required to be reported to the Secretary of the Board or its President. If deemed appropriate, the party will be recused from the relevant proceedings.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>To ensure NBME staff has the knowledge and skills necessary for the complex and changing environment of medical professional assessment, NBME uses a compensation evaluation process that is updated annually, reflects sound external practices, and governed by Board of Directors evaluation and approval. A Compensation Survey of Peer Organizations is conducted by an outside independent compensation consulting firm periodically, and recommendations are provided to NBME Human Resources and the Compensation Subcommittee of the NBME Board of Directors. The most recent survey was conducted in 2021. The recommendations, along with the results of a detailed annual CEO Evaluation of Performance report by the CEO Evaluation Subcommittee of the Board of Directors, are used by the Compensation Subcommittee to determine and approve CEO compensation. Compensation of officer employees and key employees is reviewed and approved annually by the Compensation Subcommittee. Compensation of non-employee officers is reviewed and approved annually by the Board of Directors with interested officers recused.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NBME governing documents, Conflict of Interest Policy, and financial statements are available upon request to the NBME Secretary of the Board.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Excise Tax = -$57295</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on Asset Retirement = -$6245</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>NBHWC Equity Pickup = $5222</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Pension-related Changes other than Net Periodic Pension Cost = $7102298</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Post-retirement Plan Health Benefits Payable Adjustment = $26335</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Settlement = -$17159</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Statement Note 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Note 1 - Form 990 Part I, line 6 - VolunteersNBME utilizes an extensive network of volunteers, many of whom are medical school faculty members and practicing physicians, to accomplish its mission. These volunteers contribute the highest levels of expertise in their profession to a range of activities including test development and governance. They receive a small honorarium in recognition of their service.Note 2 - Form 990 Part VI, line 1b - The President of NBME is an ex officio member of the NBME Board of Directors.</ExplanationTxt>
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