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      <GovernmentGrantsAmt>31820</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>50800</AllOtherContributionsAmt>
      <TotalContributionsAmt>82620</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCES &amp; WORKSHOP</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>495902</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>495902</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>445742</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>445742</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FELLOWSHIP - PHYSIO-CO</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>80000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>80000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATIONS</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>75125</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>75125</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FAEMS</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>4800</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4800</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1101569</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>34256</TotalRevenueColumnAmt>
        <ExclusionAmt>34256</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>203925</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>227599</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-23674</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-23674</TotalRevenueColumnAmt>
        <ExclusionAmt>-23674</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>3889</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>5841</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-1952</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-1952</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>ADVERTISING</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>9105</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>9105</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MAILING LABELS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>600</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>600</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>255</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>255</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>9960</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1202779</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1099872</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>9705</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>10582</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>10000</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>30000</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>457396</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>539</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>6275</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>132000</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>102000</TotalAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4342</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>7159</TotalAmt>
      </InformationTechnologyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>99770</TotalAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>32569</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>2466</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PRINTING AND PUBLICATIO</Desc>
        <TotalAmt>169516</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FELLOWSHIP - PHYSIO-CON</Desc>
        <TotalAmt>80000</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PGC RETURNED FUNDS</Desc>
        <TotalAmt>58579</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK/CREDIT CARD CHARGE</Desc>
        <TotalAmt>22822</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>73170</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1288603</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>167174</BOYAmt>
        <EOYAmt>407768</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>378908</BOYAmt>
        <EOYAmt>279096</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>28113</BOYAmt>
        <EOYAmt>12843</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>13193</BOYAmt>
        <EOYAmt>7351</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3395</BOYAmt>
        <EOYAmt>15790</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>11646</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11646</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1146740</BOYAmt>
        <EOYAmt>1442519</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>863</BOYAmt>
        <EOYAmt>863</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>41360</BOYAmt>
        <EOYAmt>8791</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1779746</BOYAmt>
        <EOYAmt>2175021</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>41839</BOYAmt>
        <EOYAmt>99471</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>179375</BOYAmt>
        <EOYAmt>317457</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>221214</BOYAmt>
        <EOYAmt>416928</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1558532</BOYAmt>
        <EOYAmt>1758093</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1558532</BOYAmt>
        <EOYAmt>1758093</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1779746</BOYAmt>
        <EOYAmt>2175021</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-85824</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>285385</NetUnrlzdGainsLossesInvstAmt>
      <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>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>1</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>445742</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>132000</NonDeductibleLbbyngPltclCYAmt>
      <NonDeductibleLbbyngPltclTotAmt>132000</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>124808</AggregateReportedDuesNtcAmt>
      <CarriedOverAmt>7192</CarriedOverAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>11646</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11646</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>CHARLES SCHWAB BOND AND EQUITY FUNDS AND STOCK EQUITIES</Desc>
        <BookValueAmt>1442519</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>1442519</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1494005</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>285385</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>5841</OtherRevenueAmt>
      <RevenueNotReportedAmt>291226</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1202779</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1202779</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1294444</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>5841</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>5841</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1288603</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1288603</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS NO MATERIAL UNCERTAIN TAX POSITIONS TO BE ACCOUNTED FOR IN THE FINANCIAL STATEMENTS UNDER ASC TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>COGS, NETTED FROM SALES REVENUE 5841.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>COGS 5841.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>AMR EMS FELLOWS RESEARCH GRANTS</GrantTypeTxt>
        <RecipientCnt>2</RecipientCnt>
        <CashGrantAmt>10000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SCOPE OF WORK IS AGREED UPON BETWEEN THE ASSOCIATION AND THE GRANTEE PER A SIGNED RESEARCH AGREEMENT. THE GRANTEE PERFORMS THE AGREED UPON SCOPE OF WORK WITHIN CERTAIN STATED TIME PERIODS AND PROVIDES THE ASSOCIATION WITH THE AGREED UPON DOCUMENTS AND REPORTS THAT DESCRIBE THE SCOPE OF WORK PERFORMED AND THE RELATED RESULTS AND FINDINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>NAEMSP HAS CONTRACTED WITH KELLEN COMPANY TO PERFORM THEIR DAILY OPERATIONS. ALL MAJOR DECISIONS REGARDING THE ORGANIZATION'S MISSION, GOALS AND ACTIVITIES ARE DETERMINED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVED THE FOLLOWING AMENDMENTS TO THE BYLAWS: (1) RESIDENT &amp; STUDENT MEMBERS MAY NOW VOTE. (2) PROFESSIONAL MEMBERS MAY NOW VOTE ON BYLAW CHANGES. (3) ALL PROXY VOTING WAS ELIMINATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NAEMSP HAS APPROXIMATELY 1,600 MEMBERS, OF WHICH THE AMOUNT TYPICALLY VARIES THROUGHOUT THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>NAEMSP SENDS OUT A CALL FOR NOMINATIONS. THE NOMINATION COMMITTEE COMPILES A NOMINATION SLATE FOR MEMBERS TO VOTE ON THROUGH AN ONLINE ELECTRONIC VOTING PROCESS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVED THE FOLLOWING AMENDMENTS TO THE BYLAWS: (1) RESIDENT &amp; STUDENT MEMBERS MAY NOW VOTE. (2) PROFESSIONAL MEMBERS MAY NOW VOTE ON BYLAW CHANGES. (3) ALL PROXY VOTING WAS ELIMINATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT. A DRAFT IS SUBMITTED TO THE MANAGEMENT COMPANY AND BOARD PERSONNEL FOR REVIEW. THEY CONSULT WITH THE EXECUTIVE COMMITTEE AS NEEDED. PRIOR TO SENDING A FINAL VERSION TO THE IRS, A COPY IS POSTED ON THE BOARD SHAREPOINT SITE FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON APPOINTMENT, EACH OFFICER OR DIRECTOR COMPLETES THE CONFLICT OF INTEREST FORM. THE FORMS ARE REVIEWED BY THE NOMINATION COMMITTEE AND KEPT ON FILE AT THE EXECUTIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES ALL OFFICER/DIRECTOR STIPEND COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NAEMSP'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE TREASURER PROVIDES THE FINANCIAL STATEMENTS TO THE MEMBERS ANNUALLY IN THE ASSOCIATION'S ANNUAL REPORT AND AT THE ANNUAL BUSINESS MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNICATION PROJECT 87000. COMMUNICATIONS PROJECT - RHYTHM 15000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMITTEES 16733. DUES AND SPONSORSHIPS 14860. OTHER MEETINGS &amp; TRAVEL 11587. BAD DEBT EXPENSE 10000. HOSTING/LICENSING FEES 6781. PAC ADMIN FEES 5000. GRANT EXPENSES 2877. MISCELLANEOUS 2350. PGC 1962. ONLINE FMOC 1000. AMS FEES 20.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES HAVE BEEN MADE TO THE BOARD'S REVIEW/OVERSIGHT PROCEDURES FOR AUDITED FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT THAT WERE IN PLACE IN THE PREVIOUS YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
