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        <FormAndLineReferenceDesc>Additional Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Schedule I, Part II, Line 1a - GrantsEach school is listed with the approved grant as follows:1. The University of Iowa Carver College of Medicine Proposal #1516-006, Validation of a Case Diagramming Tool to Assess Higher-Order Thinking Skills2. The Board of Regents of the University of Wisconsin System Proposal #1516-048, The Use of Epistemic Network Analysis to Evaluate Non Technical Skills Performance in Trauma Simulation Education3. The University of Illinois at Chicago Proposal #1415-012, Leveraging Assessment for Learning: Optimizing Challenge and Engagement in an Intelligent Formative Assessment System.4. Childrens Hospital Los Angeles/Keck School of Medicine at the University of Southern California Proposal #1415-014, Teaching and Assessing Cost and Time Effective Patient Care using Serious Gaming Strategies. Note that the Toronto University Proposal #1011-017 reimbursement of unused funds of $9,710 is not listed on the schedule in Part II.Note that the University of California-Davis Proposal #1314-020 reimbursement of unused funds of $60 is not listed on the schedule in Part II.Note that the Harvard Medical School Proposal #1314-051 reimbursement of unused funds of $147 is not listed on the schedule in Part II.Contributions:NBME periodically makes contributions to organizations and/or community programs in order to assist in furthering the exempt purpose of those organizations. The total amount of contributions made in 2016 was $130,460.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EDWARD J. STEMMLER, MD MEDICAL EDUCATION RESEARCH FUND OF THE NATIONAL BOARD OF MEDICAL EXAMINERS (NBME)The purpose of the Stemmler Fund is to provide support for research or development of innovative evaluation methodology or techniques, with the potential to advance assessment in medical education or practice at eligible medical schools. Also see description of Stemmler Fund in Schedule D, Part V, Line 4 Intended Uses of Endowment Fund. The eligible applicants for Stemmler Fund grant awards are the medical schools accredited by the LCME or the AOA, and the number of Letters of Intent submitted by any eligible school is not limited. The Stemmler Fund Committee evaluates each application on the extent to which the proposed research is innovative or will advance assessment in medical education or practice, and will address an important problem or issue in medical education or practice. The Committee selects a subset of applications and invites them to submit full proposals. Peer reviewers with expertise in measurement, research design and methodology evaluate invited proposals on the relevance and significance of the proposal to the purpose and goals of the Stemmler Fund, the adequacy of the research design or methodology, and the qualifications of the principal investigator and project staff. The Stemmler Fund Committee reviews all proposals and peer reviews, also considering the budget, timetable, and other key project resources in each proposal, and selects awardees. Grant recipients are required to submit an interim and final report which includes a final project narrative and a final project fiscal report.THE STRATEGIC EDUCATOR ENHANCEMENT FUND OF NBMEIn January 2017, NBME approved the establishment of the Strategic Educator Enhancement Fund for which an initial amount of $20,000,000 was designated within NBMEs investments as a quasi-endowment fund. The earnings from the investments would be used to provide opportunities of value to the community from which NBME obtains volunteers and other stakeholders. The maximum annual authorized disbursement from the quasi-endowment fund for 2017 through 2019 is $600,000. Beginning in 2020, the maximum annual disbursement in any year will be equal to 5% of the average of the trailing three-years ending balance of the investments.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
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        <ExplanationTxt>Part IV Arbitrage line 2c, column A - Rebate computation was performed on 08/04/2016line 2, column B - Arbitrage calculation is due in 2021</ExplanationTxt>
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        <ExplanationTxt>Client Note 1 - 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 - Donald E. Melnick, as President of NBME, is an ex officio member of the NBME Executive Board.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: The Post-Licensure Assessment System (PLAS) is a joint activity of the NBME and the Federation of State Medical Boards (FSMB). PLAS comprises two programs: the Special Purpose Examination (SPEX) Program and the Assessment Center Program (ACP). SPEX is a one-day, multiple-choice examination of current knowledge requisite for the general, undifferentiated practice of medicine and is intended to be used for reasons of endorsement or reciprocity of licensure. The ACP provides comprehensive objective and personalized assessments of physicians for whom there is a question regarding clinical competence. Together, the PLAS programs have assessed thousands of physicians over the past decade for reasons that range from endorsement of licensure to license reactivation after disciplinary action.Research and Development Programs include the Center for Innovation and the Office of Research, which administers the Stemmler Medical Education Research Fund. The Center for Innovation is charged with development of new products and services and exploration of new ventures that facilitate NBME's strategic vision and mission. The Stemmler Medical Education Research Fund assists research in topics relevant to the mission of NBME and has supported 82 grant awards for a total of over $7.5 million since 1995. 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 our clients and developing new testing methods for clients. These research and development activities result in the publication of dozens of research reports in scientific journals and presentations at scientific meetings each year.NBME U is an evidence-based set of 28 online lessons designed to help health professions educators create reliable, high-quality assessments to evaluate student knowledge and skills. The latest version of NBME U, launched in 2016, was enhanced through development of a more robust learning platform, awarding 0.25 AMA PR Category I credits for physician learners, and a certificate of participation for other health professions educators.In aggregate, these programs deliver information vital for planning business strategy related to future assessment; and support conception and market testing of products ideas, and the research to investigate and sustain products. OTHER PROGRAM SERVICES 5: NBME's International Programs unit provides students, graduate physicians, medical schools, and regulatory agencies with valid and reliable information regarding individual knowledge and overall curriculum effectiveness. The International Foundations of Medicine (IFOM) examinations represent a key component of NBME International Programs. The Clinical Science Examination (CSE) covers the core of clinical knowledge in medicine, surgery, pediatrics, obstetrics and gynecology, and psychiatry expected of students in the final year of undergraduate medical education. The Basic Science Examination (BSE) incorporates the common core of knowledge expected of students who have completed the preclinical curriculum and are about to begin study of clinical medicine. In 2016, over 5,000 candidates sat for the IFOM CSE. The NBME International Programs unit also offers a portfolio of consultative, faculty and institutional development, and assessment programs in the international undergraduate medical education, certification and licensure, and graduate medical education environments. Consultative services often include an on-site evaluation of the overall assessment capability for medical schools. The International Programs unit is also involved in various research projects related to the validity and reliability of various assessment tools.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>The members of the NBME are responsible for electing its board of directors, the Executive Board, recommending policy for the organization proposed by the Executive Board, receiving reports on the annual budget, and approving amendments to the by-laws of the organization. The members of the NBME include its Executive Board, up to twenty-two representatives of the test committees, twenty-two representative members nominated by key constituent medical organizations, elected members-at-large, and honorary members. The members of the NBME meet annually. The officers and members of the Executive Board, elected by the NBME membership, meet four or five times a year.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>See Schedule O - Form 990, Part VI, line 6.</ExplanationTxt>
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        <ExplanationTxt>See Schedule O - Form 990, Part VI, line 6.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</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 and reviewed by the NBME Executive Board and Audit Committee members prior to filing the return with the IRS. Any revisions necessary as a result of their review of the Form 990 were made prior to filing with the IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The National Board of Medical Examiners has a written Conflict of Interest Policy for its Members as well as a Fiduciary Duty and Conflict of Interest Statement for its Officers, Key Employees and Executive Board Members. These individuals are required to review and sign the applicable policy annually. Submission of completed statements by Officers, Key Employees, and Executive Board 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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        <ExplanationTxt>Periodically, typically every three years, a Compensation Survey of Peer Organizations is conducted by an outside independent compensation consulting firm. The recommendations resulting from the survey are reviewed by NBME Human Resources and the Compensation Subcommittee of the NBME Executive Board. Officer employees and Key Employee compensation is reviewed and confirmed annually by the Compensation Subcommittee. Payments to non-employee officers are reviewed and approved by the Executive Board with interested officers recused. In setting CEO compensation, the Compensation Subcommittee uses the Compensation Survey of Peer Organizations and the results of the detailed annual CEO Evaluation of performance report from the CEO Evaluation Subcommittee of the Executive Board. The CEO compensation is set and approved by the Compensation Subcommittee of the Executive Board which then reports to the Executive Board that it has reviewed the relevant information and made a decision.</ExplanationTxt>
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        <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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