2023-03-10T06:40:51-06:00 2022-04-30 410746749 CLIFTONLARSONALLEN LLP 801 CHERRY STREET SUITE 1400 FORT WORTH TX 76102 990 2021-05-01 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 2023-03-08 1 DR HUMAYUN J CHAUDHRY D 999009999 ROSALINDA MARIKAR CPA P01684134 8178775000 2023-03-08 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z DR HUMAYUN J CHAUDHRY 400 FULLER WISER ROAD EULESS TX 76039 66277924 0 X WWW.FSMB.ORG X 1966 NE LEADER IN MEDICAL REGULATION, SERVING AS AN INNOVATIVE CATALYST FOR EFFECTIVE POLICY & STANDARDS. 15 11 192 250 0 0 2209591 600220 49127569 57479966 2149723 2241825 910139 971804 54397022 61293815 0 0 0 0 16373170 17246157 0 0 0 32250491 34701714 48623661 51947871 5773361 9345944 78140270 83006184 20495387 20309064 57644883 62697120 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 101 SPEX EXAMS WERE COMPLETED AND 35,932 EXAMINEES SAT FOR STEP THREE OF USMLE. ALSO, APPROXIMATELY 105,201 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 312,552 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 48 0 192 1 0 0 0 0 0 0 0 0 X 15 11 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 ROAD EULESS TX 76039 SARVAM TERKONDA CHAIR-ELECT 18.00 2.00 X X 32688 0 0 KENNETH SIMONS CHAIR 18.00 2.00 X X 77500 0 0 CHERYL WALKER-MCGILL IMMEDIATE PAST CHAIR 18.00 2.00 X 77500 0 0 JONE GEIMER-FLANDERS TREASURER 20.00 X X 0 0 0 SCOTT STEINGARD PAST CHAIR 18.00 X 32500 0 0 JEFFREY CARTER DIRECTOR 20.00 2.00 X 0 0 0 JERRY LANDAU DIRECTOR 20.00 X 0 0 0 MELANIE DELEON DIRECTOR 20.00 X 0 0 0 SHAWN PARKER DIRECTOR 20.00 X 0 0 0 KATIE TEMPLETON DIRECTOR 20.00 X 0 0 0 ANDREA ANDERSON DIRECTOR 20.00 X 0 0 0 BARBARA WALKER DIRECTOR 20.00 X 0 0 0 JOSEPH WILLETT DIRECTOR 20.00 X 0 0 0 MOHAMMED ARSIWALA DIRECTOR 20.00 X 0 0 0 DENISE PINES DIRECTOR 20.00 X 0 0 0 HUMAYUN CHAUDHRY CEO 37.00 3.00 X 738310 0 128857 MICHAEL DUGAN CIO 40.00 X 365636 0 75148 LISA ROBIN CAO 40.00 X 351081 0 63804 TODD PHILLIPS CFO 40.00 X 345426 0 59265 DAVID JOHNSON VP, ASSESSMENT SERVICES 40.00 X 302300 0 53266 CYNDI STREUN ASSISTANT VP, INFORMATION 40.00 X 202506 0 46555 ERIC FISH SENIOR VP, LEGAL SERVICES 40.00 X 271896 0 42838 AARON YOUNG ASSISTANT VP, RESEARCH & D 40.00 X 192112 0 52899 JAMA BALL SENIOR DIRECTOR, FCVS 40.00 X 172020 0 35810 3161475 0 558442 25 0 1 0 VICTOR R CONTRERAS 7700 FOREST HILL DR FORT WORTH TX 76140 OFFICE RENOVATIONS 153235 BROWNSTEIN HYATT FARBER SCHRECK PO BOX 172168 DENVER CO 80217 POLICY COUNSEL 120000 2 600220 600220 EXAMINATION REVENUE 541900 33696485 33696485 FCVS REVENUE 541900 13923216 13923216 EXAMINATION HISTORY REPORTS 541900 7698317 7698317 PHYSICIAN DATA CENTER 541900 2026518 2026518 REGISTRATION FEES 541900 128955 128955 6475 6475 57479966 1285868 1285868 932138 932138 5940066 4870093 114016 1069973 -114016 955957 955957 EXHIBITOR FEES 900099 27000 27000 SHIPPING AND HANDLING 900099 8000 8000 MISCELLANEOUS REVENUE 900099 4666 4666 39666 61293815 57514966 0 3178629 2379344 11417537 1493536 1058463 897277 245701 43129 125948 215621 1432445 11920 879008 1319567 840888 687943 706567 876548 150605 USMLE TRANSFER FEES 24704358 BANK & CREDIT CARD CHAR 1320026 TRANSCRIPT & VERIFICATI 1026064 PLAS TRANSFER FEES 115233 143 51947871 22632196 23492412 614091 0 763059 617465 1018287 1099429 29042236 20634840 8788496 8407396 40024753 43624213 4234417 5458751 64971 306518 78140270 83006184 4371971 6043071 14697192 12837739 1426224 1428254 20495387 20309064 X 57644883 62697120 57644883 62697120 78140270 83006184 9345944 -4293707 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 1 0 0 1540151 1540151 9734792 3900180 5834612 17689392 16734660 954732 77901 77901 8407396 PRIVATE EQUITY 5458751 F 5458751 DEFERRED COMPENSATION 1428254 1428254 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 0 1 0 HUMAYUN CHAUDHRY CEO 645132 0 93178 0 0 0 105904 0 22953 0 867167 0 0 0 MICHAEL DUGAN CIO 334386 0 31250 0 0 0 57389 0 17759 0 440784 0 0 0 LISA ROBIN CAO 319831 0 31250 0 0 0 52889 0 10915 0 414885 0 0 0 TODD PHILLIPS CFO 319176 0 26250 0 0 0 51865 0 7400 0 404691 0 0 0 DAVID JOHNSON VP, ASSESSMENT SERVICES 276050 0 26250 0 0 0 45389 0 7877 0 355566 0 0 0 ERIC FISH SENIOR VP, LEGAL SERVICES 245646 0 26250 0 0 0 35438 0 7400 0 314734 0 0 0 CYNDI STREUN ASSISTANT VP, INFORMATION 189256 0 13250 0 0 0 31226 0 15329 0 249061 0 0 0 AARON YOUNG ASSISTANT VP, RESEARCH & D 178862 0 13250 0 0 0 30760 0 22139 0 245011 0 0 0 JAMA BALL SENIOR DIRECTOR, FCVS 162770 0 9250 0 0 0 26204 0 9606 0 207830 0 0 0 PART I, LINE 1A DR. HUMAYUN J. CHAUDHRY, DO - HOUSING ALLOWANCE $18,000 - INCLUDED IN TAXABLE COMPENSATION TRAVEL FOR COMPANIONS - 3 EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS RECEIVED THE BENEFIT - INCLUDED IN TAXABLE COMPENSATION FIRST-CLASS TRAVEL - INCLUDED IN TAXABLE COMPENSATION - TRAVEL FOR THE CEO AND BOARD MEMBERS THAT IS RELATED TO BOARD MEETINGS MAY BE IN FIRST CLASS IF THE FLIGHT IS LONGER THAN FOUR (4) HOURS IN DURATION. INTERNATIONAL OVERSEAS AIR TRAVEL RELATED TO FSMB ACTIVITIES MAY BE BOOKED IN BUSINESS CLASS. PART I, LINE 4B BELOW ARE OFFICERS THAT RECEIVED 457(F) PLAN EMPLOYER CONTRIBUTIONS. THERE WERE NO DISTRIBUTIONS. DR. CHAUDHRY: $62,404 MIKE DUGAN: $13,889 LISA ROBIN: $9,389 TODD PHILLIPS: $8,365 DAVID JOHNSON: $1,889 FORM 990, PART III, LINE 3 FSMB WAIVED FEES FOR 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 2022. 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