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        <RelatedOrExemptFuncIncomeAmt>10672</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>18309</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4500</RelatedOrExemptFuncIncomeAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>9257</TotalAmt>
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      <FeesForServicesAccountingGrp>
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      <ConferencesMeetingsGrp>
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        <Desc>GOVERNMENT RELATIONS</Desc>
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        <Desc>NEWSLETTERS</Desc>
        <TotalAmt>25620</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>BANK CHARGES</Desc>
        <TotalAmt>20881</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>5880</TotalAmt>
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        <TotalAmt>3893</TotalAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>30185</EOYAmt>
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        <EOYAmt>12209</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>244662</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>134671</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>237762</BOYAmt>
        <EOYAmt>379333</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-56390</BOYAmt>
        <EOYAmt>-184303</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-56390</BOYAmt>
        <EOYAmt>-184303</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>181372</BOYAmt>
        <EOYAmt>195030</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-127913</ReconcilationRevenueExpnssAmt>
      <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>
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    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>1</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>351353</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>15043</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>7374</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>22417</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>17568</AggregateReportedDuesNtcAmt>
      <CarriedOverAmt>4849</CarriedOverAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>841230</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>841230</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>841230</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>969143</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>969143</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>969143</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HBMA IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. AS A RESULT, THE ORGANIZATION IS NOT SUBJECT TO FEDERAL INCOME TAXES, EXCEPT FOR TAXES ON UNRELATED BUSINESS INCOME. THERE WAS NO UNRELATED BUSINESS NET INCOME FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017. IN ACCORDANCE WITH ASC 740, INCOME TAXES, HBMA RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. BASED ON ITS EVALUATION, HBMA HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MAY DESIGNATE AN EXECUTIVE COMMITTEE COMPOSED OF AT LEAST THREE OFFICERS OF THE CORPORATION, EACH OF WHOM SHALL BE A VOTING MEMBER OF THE BOARD OF DIRECTORS AND A MEMBER (OR THE DESIGNEE OF A MEMBER) IN THE PRINCIPAL MEMBER OR CONSULTANT AFFILIATE MEMBER CATEGORY. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THIS CORPORATION IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, AT ALL TIMES SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION 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. THE FEES INCURRED BY THE ASSOCIATION DURING THE CURRENT YEAR WERE $577,876 WHICH CONSISTED OF THE FOLLOWING: MANAGEMENT AND HEADQUARTERS, $145,000; FINANCIAL MANAGEMENT AND ACCOUNTING, $28,114; EVENT SERVICES, $45,682; EDITORIAL AND PUBLISHING SERVICES, $51,511; ADMINISTRATIVE SERVICES, $183,985; MARKETING AND COMMUNICATIONS SERVICES, $36,573; CREATIVE AND DESIGN SERVICES, $11,105; EDUCATION AND LEARNING SERVICES, $58,909; SALES SERVICES, $16,997. SMITHBUCKLIN'S PERFORMANCE UNDER THIS AGREEMENT IS MONITORED BY THE BOARD OF THE ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE BILLING AND MANAGEMENT ASSOCIATION, INC. HAS THE FOLLOWING MEMBERS: REVENUE CYCLE MANAGEMENT (RCM) COMPANIES - RCM COMPANIES SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE CORPORATION. THEY SHALL INCLUDE A PROPRIETORSHIP, CORPORATION OR SIMILAR BUSINESS ENTITY IN THE BUSINESS OF PRODUCING AND SUBMITTING INITIAL HEALTHCARE CLAIMS OR INVOICES FOR PAYMENT ON BEHALF OF THIRD PARTIES. INDIVIDUAL MEMBERS PROFESSIONAL BILLERS - PROFESSIONAL BILLERS SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE CORPORATION. THEY SHALL INCLUDE INDIVIDUALS EMPLOYED BY AN RCM COMPANY. FIRST PARTY BILLERS - FIRST PARTY BILLERS SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE CORPORATION. THEY SHALL INCLUDE INDIVIDUALS EMPLOYED BY A HEALTHCARE PROVIDER. STUDENTS - STUDENTS SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE CORPORATION. THEY SHALL INCLUDE INDIVIDUALS ENROLLED IN A VOCATIONAL TRAINING OR COLLEGE PROGRAM FOR MEDICAL BILLING. VENDORS - VENDORS SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE CORPORATION. THEY SHALL INCLUDE SUPPLIERS OF PRODUCTS AND SERVICES TO HEALTHCARE BILLING PROFESSIONALS, STUDENTS AND RCM COMPANIES. PROFESSIONAL BILLING DEPARTMENTS - PROFESSIONAL BILLING DEPARTMENTS SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE CORPORATION. THEY SHALL INCLUDE A PROPRIETORSHIP, CORPORATION OR SIMILAR BUSINESS ENTITY IN THE BUSINESS OF PRODUCING AND SUBMITTING INITIAL HEALTHCARE CLAIMS OR INVOICES FOR PAYMENT. HONORARY MEMBERSHIP - THE BOARD OF DIRECTORS MAY DESIGNATE AN INDIVIDUAL (BUT NOT A COMPANY) AS AN HONORARY MEMBER, BASED ON SUCH CRITERIA AS THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE BILLING AND MANAGEMENT ASSOCIATION, INC.'S MEMBERS HAVE THE FOLLOWING RIGHTS: REVENUE CYCLE MANAGEMENT (RCM) COMPANIES - THE PRIMARY MEMBER OF RCM COMPANIES SHALL HAVE THE RIGHT TO VOTE AND SHALL BE ELIGIBLE TO SERVE ON THE BOARD OF DIRECTORS, AS AN OFFICER OF THE CORPORATION, AND AS A COMMITTEE CHAIRPERSON OR MEMBER. INDIVIDUAL MEMBER PROFESSIONAL BILLERS - PROFESSIONAL BILLERS SHALL NOT HAVE THE RIGHT TO VOTE, BUT SHALL BE ELIGIBLE TO SERVE ON THE BOARD OF DIRECTORS, AS AN OFFICER OF THE CORPORATION, AND AS A COMMITTEE CHAIRPERSON OR MEMBER. FIRST PARTY BILLERS - FIRST PARTY BILLERS SHALL NOT HAVE THE RIGHT TO VOTE, AND SHALL NOT BE ELIGIBLE TO SERVE AS AN OFFICER OF THE CORPORATION, BUT SHALL BE ELIGIBLE TO SERVE AS NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS AND AS A COMMITTEE CHAIRPERSON OR MEMBER. STUDENTS - STUDENTS SHALL NOT HAVE THE RIGHT TO VOTE OR TO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS, AS AN OFFICER OF THE CORPORATION, OR AS A COMMITTEE CHAIRPERSON OR MEMBER. VENDORS - VENDORS SHALL NOT HAVE THE RIGHT TO VOTE AND SHALL NOT BE ELIGIBLE TO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OR AN OFFICER OF THE CORPORATION. THEY SHALL BE ELIGIBLE TO SERVE ON COMMITTEES AND SHALL BE ELIGIBLE TO SERVE AS COMMITTEE CHAIRPERSONS. PROFESSIONAL BILLING DEPARTMENTS - THE PRIMARY MEMBER OF PROFESSIONAL BILLING DEPARTMENTS SHALL HAVE THE RIGHT TO VOTE AND SHALL BE ELIGIBLE TO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS, AS AN OFFICER OF THE CORPORATION, AND AS A COMMITTEE CHAIRPERSON OR MEMBER. HONORARY MEMBERSHIP - AN HONORARY MEMBER DESIGNATED HEREUNDER SHALL HAVE NO OBLIGATION TO PAY DUES, BUT SHALL HAVE NO RIGHT TO VOTE AND IS NOT ELIGIBLE TO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS, AS AN OFFICER OF THE CORPORATION, OR AS A COMMITTEE CHAIRPERSON OR MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE BUSINESS MANAGEMENT ASSOCIATION MEMBERS HAVE THE POWER TO CHANGE THE BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS DISTRIBUTED ELECTRONICALLY IN DRAFT FORM TO EACH MEMBER OF THE GOVERNING BOARD. THE 990 IS THEN DISCUSSED DURING THE NEXT SCHEDULED BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SENDS ALL BOARD MEMBERS, COMMITTEE CHAIRS AND COMMITTEE MEMBERS A COPY OF THE CONFLICT OF INTEREST POLICY EACH JANUARY. FURTHER, EACH BOARD MEMBER MUST SIGN A CONFLICT STATEMENT FOR ANY AGREEMENTS ENTERED INTO BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES THEIR GOVERNING DOCUMENTS AVAILABLE ON THEIR WEBSITE AND TO THE ENTIRE MEMBERSHIP WHEN BYLAWS CHANGES ARE VOTED ON. THEY ALSO MAKE THEIR CONFLICT OF INTEREST POLICY AVAILABLE ONLINE (AS PART OF THE BYLAWS). THEIR FINANCIAL STATEMENTS ARE PUBLISHED IN THE ANNUAL REPORT, WHICH IS A PRINTED DOCUMENT THAT IS SENT TO ALL MEMBERS. FOR NONMEMBERS, DOCUMENTS ARE AVAILABLE ONLY UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>