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        <RelatedOrExemptFuncIncomeAmt>839487</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>74480</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>74480</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2414</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>138859</ExclusionAmt>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
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        <UnrelatedBusinessRevenueAmt>96465</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>120859</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>2429375</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>12550</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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      </FeesForSrvcInvstMgmntFeesGrp>
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      <AdvertisingGrp>
        <TotalAmt>1800</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>204622</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>102001</TotalAmt>
      </InformationTechnologyGrp>
      <TravelGrp>
        <TotalAmt>29023</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1016682</TotalAmt>
      </ConferencesMeetingsGrp>
      <InsuranceGrp>
        <TotalAmt>29444</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>HONORARIUM</Desc>
        <TotalAmt>36775</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISC. EXPENSES</Desc>
        <TotalAmt>32193</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EDUCATION EXPENSE</Desc>
        <TotalAmt>4550</TotalAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>1163863</EOYAmt>
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        <EOYAmt>151579</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>147901</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>34125</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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        <EOYAmt>5449648</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
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        <EOYAmt>6912991</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>597878</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1004251</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6875057</BOYAmt>
        <EOYAmt>5908740</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6875057</BOYAmt>
        <EOYAmt>5908740</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>7292568</BOYAmt>
        <EOYAmt>6912991</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-142893</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-815218</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-8206</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>1</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>1</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>34125</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>34125</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3288304</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-815218</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-815218</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4103522</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>43373</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>43373</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4146895</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4246415</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4246415</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>43373</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>43373</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4289788</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NAMSS IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE, THOUGH NAMSS IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE CODE. NO PROVISION FOR INCOME TAXES IS REQUIRED FOR 2022 AND 2021. NAMSS' INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. NAMSS IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. INCOME TAX RETURNS FOR THE YEARS ENDED DECEMBER 31 2021, 2020, AND 2019 REMAIN OPEN TO EXAMINATION BY THE TAXING JURISDICTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>NAMSS HAS AN AGREEMENT WITH SMITHBUCKLIN CORPORATION TO MANAGE ITS OPERATIONS. PER THE AGREEMENT, SMITHBUCKLIN CORPORATION PROVIDES GENERAL MANAGEMENT, FINANCIAL SERVICES, CONVENTION AND OVERHEAD OPERATING SERVICES. FOR THE YEAR ENDED DECEMBER 31, 2022, SMITHBUCKLIN FEES TOTALED $2,485,318, AND CONSISTED OF THE FOLLOWING: EXECUTIVE MANAGEMENT: $336,479 MEMBERSHIP AND OPERATIONS SERVICES: $696,601 CONTENT SERVICES: $72,000 FINANCIAL MANAGEMENT AND ACCOUNTING SERVICES: $71,759 EVENT SERVICES: $103,000 EDUCATION AND LEARNING SERVICES: $409,500 MARKETING AND COMMUNICATIONS SERVICES: $169,930 INFORMATION TECHNOLOGY SERVICES: $112,000 GOVERNMENT RELATIONS SERVICES: $115,000 FULFILLMENT SERVICES: $38,000 CREATIVE AND DESIGN SERVICES: $76,650 SITE SELECTION SERVICES: $2,000 AMS PLATFORM AND SUPPORT: $72,695 SALES SERVICES: $86,404 VALUE ADDED SERVICES: $123,300 SMITHBUCKLIN'S PERFORMANCE IS MONITORED BY THE BOARD OF NAMSS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS WHO INCLUDE MEDICAL STAFF AND CREDENTIALING SERVICES PROFESSIONALS FROM MEDICAL GROUP PRACTICES, HOSPITALS, MANAGED CARE ORGANIZATIONS, CVOS AND ATTORNEYS. ONLY ACTIVE MEMBERS ARE ELIGIBLE VOTING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ACTIVE MEMBERS IN GOOD STANDING ELECT THE MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SMITHBUCKLIN CORPORATION CLIENT MANAGER PERFORMS THE INITIAL REVIEW OF THE FORM 990, THE EXECUTIVE DIRECTOR PERFORMS A FINAL REVIEW, AND THEN THE FORM 990 IS EMAILED TO THE BOARD OF DIRECTORS BEFORE IT IS SIGNED AND SUBMITTED TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS THE CONFLICT OF INTEREST POLICY AT BOARD MEETINGS ON AN ANNUAL BASIS TO ENSURE THAT ALL MEMBERS HAVE FILLED OUT AND SIGNED A COPY, AND THAT THERE ARE NO VIOLATIONS OF THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
