2025-12-22T14:41:14-06:00 2025-04-30 410746749 CLIFTONLARSONALLEN LLP 1145 BROADWAY SUITE 1300 TACOMA WA 98402 990 2024-05-01 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 2025-12-19 1 1 ROSALINDA MARIKAR CPA P01684134 2532721555 2025-12-19 2024 2025-03-06 01:10:19Z DR HUMAYUN J CHAUDHRY 400 FULLER WISER ROAD EULESS TX 76039 77729649 0 X WWW.FSMB.ORG X 1966 NE LEADER IN MEDICAL REGULATION, SERVING AS AN INNOVATIVE CATALYST FOR EFFECTIVE POLICY & STANDARDS. 15 12 191 250 6250 1959 2915033 436862 61287591 62494841 4798283 2285701 1523151 1813701 70524058 67031105 0 500 0 0 19012640 19943529 0 0 0 41126156 45346806 60138796 65290835 10385262 1740270 110759425 115939404 26203574 26380487 84555851 89558917 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 0 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 SERVICES:FSMB 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 97 SPEX EXAMS WERE COMPLETED AND 38,283 EXAMINEES SAT FOR STEP THREE OF USMLE. ALSO, APPROXIMATELY 113,294 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 378,921 DATA AND/OR DISCIPLINARY SEARCHES WERE MADE DURING THE YEAR. 0 1 0 1 0 0 0 0 0 1 0 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 69 0 191 1 1 1 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X TODD PHILLIPS 8178684000 400 FULLER WISER RD EULESS TX 76039 JEFFREY CARTER IMMEDIATE PAST CHAIR 18.00 2.00 X X 83049 0 0 KATIE TEMPLETON CHAIR 18.00 2.00 X X 86385 0 0 ANDREA ANDERSON DIRECTOR 20.00 X 5402 0 0 MAROULLA GLEATON DIRECTOR 20.00 X 6969 0 0 SHERIF ZAAFRAN DIRECTOR 20.00 X 4898 0 0 CHRISTY VALENTINE THEARD DIRECTOR 20.00 X 5360 0 0 SHAWN PARKER DIRECTOR 20.00 X 3277 0 0 GEORGE ABRAHAM CHAIR-ELECT 18.00 2.00 X X 38342 0 0 DENISE PINES DIRECTOR 20.00 X 3218 0 0 JOSEPH WILLETT DIRECTOR 20.00 X 4508 0 0 MARK WOODLAND DIRECTOR 20.00 X 2425 0 0 KENNETH CLEVELAND DIRECTOR 20.00 X 3779 0 0 J MICHAEL WIETING DIRECTOR 20.00 X 3026 0 0 ALEXIOS CARAYANNOPOULOS DIRECTOR 20.00 X 0 0 0 EDWARD COUSINEAU DIRECTOR 20.00 X 0 0 0 SARVAM TERKONDA OUTGOING PAST CHAIR 18.00 2.00 X X 36680 0 0 HUMAYUN CHAUDHRY CEO 37.00 3.00 X 749072 0 129637 MICHAEL DUGAN CIO 40.00 X 397442 0 92420 LISA ROBIN CAO 40.00 X 387349 0 70123 TODD PHILLIPS CFO 40.00 X 370518 0 63412 DAVID JOHNSON CHIEF ASSESSMENT OFFICER 40.00 X 335070 0 58556 ERIC FISH CHIEF LEGAL OFFICER 40.00 X 314819 0 48928 ANDREA CICCONE CHIEF OF STAFF 40.00 X 214609 0 40816 MARK STAZ CHIEF LEARNING OFFICER 40.00 X 264707 0 31601 CYNDI STREUN VP, INFORMATION SVCS 40.00 X 242247 0 43866 AARON YOUNG VP, RESEARCH & DATA SERVICES 40.00 X 222224 0 61493 FRANK MEYERS DEPUTY LEGAL COUNSEL 40.00 X 191048 0 28635 JOSEPH KNICKREHM VP, COMMUNICATIONS 40.00 X 189097 0 39213 CHRISTINE WELLS DIRECTOR, PRODUCT MANAGER TRANSFORMATION & AUTOMAT 40.00 X 183053 0 31049 4348573 0 739749 37 0 1 0 MEKANIC LLC 1240 N PITT STREET 2ND FLOOR ALEXANDRIA VA 22314 BRANDING AND CREATIVE SERVICES 271250 CLIFTONLARSONALLEN LLP PO BOX 679342 DALLAS TX 75267 AUDITING FIRM/CONSULTING 186272 BROWNSTEIN HYATT FARBER SCHRECK LLP PO BOX 172168 DENVER CO 80217 POLICY COUNSEL 180176 ALSTON & BIRD LLP 1201 W PEACHTREE ST ATLANTA GA 30309 POLICY COUNSEL 135000 ANNE K LAWLER 4020 S FEDERAL WAY F102 BOISE ID 83716 CONSULTING SERVICES 134137 7 436862 436862 EXAMINATION REVENUE 541900 36556125 36556125 FCVS REVENUE 541900 14790704 14790704 EXAMINATION HISTORY REPORTS 541900 8599232 8599232 PHYSICIAN DATA CENTER 541900 2241055 2241055 MEMBERSHIP DUES 541900 172800 172800 134925 134925 62494841 3212621 3212621 1466867 1466867 6771624 3000000 6337651 4360893 433973 -1360893 -926920 -926920 SETTLEMENT INCOME 900099 233341 233341 COALITION FOR PHYSICIAN ACCOUNTAB 900099 39000 39000 EXHIBITOR FEES 900099 28000 28000 46493 6250 40243 346834 67031105 62561841 6250 4026152 500 3932890 11919669 1629536 1430175 1031259 529483 56300 468739 179093 1695878 2000 934633 1912834 1183203 1688492 1371010 1646739 279942 USMLE TRANSFER FEES 30044578 BANK & CREDIT CARD CHAR 1649419 TRANSCRIPT & VERIFICATI 1133154 INTERNATIONAL TAX ASSES 237953 333356 65290835 35121439 35819773 3380800 4057769 1737289 1663313 28204717 16807897 12501750 11396820 48794173 56538959 5731160 3150477 3492814 3312293 110759425 115939404 8315593 7310256 12374050 13437535 5513931 5632696 26203574 26380487 X 84555851 89558917 84555851 89558917 110759425 115939404 1740270 3262796 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 1 0 0 1540151 1540151 9551702 5199934 4351768 16994453 11607963 5386490 118411 118411 11396820 DEFERRED COMPENSATION 1950031 LEASE LIABILITIES 3682665 5632696 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 1 1 X X X X 0 1 0 HUMAYUN CHAUDHRY CEO 698460 0 26374 0 24238 0 108956 0 20681 0 878709 0 0 0 MICHAEL DUGAN CIO 362436 0 31750 0 3256 0 62047 0 30373 0 489862 0 0 0 LISA ROBIN CAO 346115 0 35716 0 5518 0 58048 0 12075 0 457472 0 0 0 TODD PHILLIPS CFO 337281 0 31750 0 1487 0 55503 0 7909 0 433930 0 0 0 DAVID JOHNSON CHIEF ASSESSMENT OFFICER 298828 0 31750 0 4492 0 49821 0 8735 0 393626 0 0 0 ERIC FISH CHIEF LEGAL OFFICER 282789 0 31750 0 280 0 41019 0 7909 0 363747 0 0 0 MARK STAZ CHIEF LEARNING OFFICER 206270 0 58250 0 187 0 31601 0 0 0 296308 0 0 0 CYNDI STREUN VP, INFORMATION SVCS 219155 0 21750 0 1342 0 36031 0 7835 0 286113 0 0 0 AARON YOUNG VP, RESEARCH & DATA SERVICES 200010 0 21750 0 464 0 35930 0 25563 0 283717 0 0 0 ANDREA CICCONE CHIEF OF STAFF 197591 0 16750 0 268 0 32386 0 8430 0 255425 0 0 0 JOSEPH KNICKREHM VP, COMMUNICATIONS 172212 0 16750 0 135 0 28763 0 10450 0 228310 0 0 0 FRANK MEYERS DEPUTY LEGAL COUNSEL 171652 0 19250 0 146 0 28635 0 0 0 219683 0 0 0 CHRISTINE WELLS DIRECTOR, PRODUCT MANAGER TRANSFORMA 161711 0 20750 0 592 0 27849 0 3200 0 214102 0 0 0 PART I, LINE 1A FIRST CLASS AIRFARE IS APPROVED FOR BOD MEMBERS FOR FLIGHTS TO BOD MEETINGS AND FSMB ANNUAL MEETING. COMPANION TRAVEL EXPENSES ARE COVERED FOR SELECT MEETINGS, AND THESE EXPENSES ARE REPORTED ON THE 1099 FORM. PART I, LINE 4B NAME: HUMAYUN CHAUDHRY, DESCRIPTION: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, CURRENT YEAR AMOUNT: $57,206. PLAN DESCRIPTION: 457F NAME: MICHAEL DUGAN, DESCRIPTION: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, CURRENT YEAR AMOUNT: $10,297. PLAN DESCRIPTION: 457F NAME: TODD PHILLIPS, DESCRIPTION: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, CURRENT YEAR AMOUNT: $3,753. PLAN DESCRIPTION: 457F NAME: LISA ROBIN, DESCRIPTION: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, CURRENT YEAR AMOUNT: $6,298. PLAN DESCRIPTION: 457F 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 FILE. OFFICER COMPENSATION WAS REVIEWED LAST IN 2025. FORM 990, PART VI, SECTION C, LINE 19 THE FEDERATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. 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 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 NA