2011-03-14T13:50:10-05:00 2010-04-30 LARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2009-05-01 751092490 the FEDERATION OF STATE MEDICAL BOARDS of THE UNITED STATES INC FEDE 8178684000 400 FULLER WISER ROAD No 300 EULESS TX 76039 HUMAYUN J CHAUDHRY 8178684000 2011-03-11 1 6123764500 2009 2016-02-24 21:20:13Z X HUMAYUN J CHAUDHRY 400 FULLER WISER ROAD No 300 EULESS TX 76039 48787904 0 X WWW.FSMB.ORG X 1966 NE LEADER IN MEDICAL REGULATION, SERVING AS AN INNOVATIVE CATALYST FOR EFFECTIVE POLICY AND STANDARDS 15 13 195 4 0 0 145175 202367 32738689 37119756 -655638 249311 -104491 221898 32123735 37793332 1500000 1000000 0 0 12294609 12637061 0 0 0 21504660 26570281 35299269 40207342 -3175534 -2414010 26392949 28054874 12130758 13152533 14262191 14902341 FSMB leads by promoting excellence in medical practice, licensure, and regulation as the national resource and voice on behalf of state medical boards in their protection of the public. 0 0 SPECIAL PURPOSE EXAMINATION (SPEX) AND UNITED STATES MEDICAL LICENSING EXAMINATION (USMLE):TO DEVISE, FORMULATE AND MAKE AVAILABLE TO MEMBER MEDICAL BOARDS, A UNIFORM, HIGH QUALITY EXAMINATION FOR MEDICAL LICENSURE ALONG WITH ADMINISTERING THE EXAMS. 292 EXAMINEES SAT FOR THE SPEX AND 29,104 EXAMINEES SAT FOR STEP THREE OF USMLE. APPROXIMATELY 293 EXAM COMPONENTS WERE RESCORED. FEDERAL JOURNAL:EDITING, PRINTING AND DISTRIBUTING QUARTERLY JOURNAL CONTAINING ARTICLES PERTINENT TO THE MEDICAL PROFESSION. APPROXIMATELY 3,200 JOURNALS ARE DISTRIBUTED QUARTERLY TO DOCTORS, NEWS SERVICES AND THE BOARD OF HEALTH. DISCIPLINARY SEARCH:SEARCHING THE DATA BANK FOR DISCIPLINARY ACTIONS TAKEN AGAINST PHYSICIANS. APPROXIMATELY 236,610 ELECTRONIC DOCTOR DATA SEARCHES AND/OR DISCIPLINARY SEARCHES WERE MADE DURING THE YEAR. 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 55 0 1 195 1 0 0 0 0 0 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X MR RANDY MCCULLOGH 8178684000 400 FULLER WISER ROAD No 300 EULESS TX 76039 MARTIN CRANE MD 20.00 X X 54137 0 0 FREDA M BUSH 20.00 X X 23813 0 0 JAMES M ANDRIOLE DO 10.00 X X 0 0 0 REGINA BENJAMIN MD 10.00 X X 32500 0 0 HEDY L CHANG 5.00 X 863 0 0 LESLIE A GALLANT 5.00 X 6927 0 0 CURTIS HARRIS MD JD M 5.00 X 2516 0 0 GALICANO INGUITO MD 5.00 X 1422 0 0 TIMOTHY J KOWALSKI DO 5.00 X 2947 0 0 RAM KRISHNA MD 5.00 X 1613 0 0 KIM EDWARD LEBLANC MD 5.00 X 3164 0 0 BRUCE MCINTYRE 5.00 X 11972 0 0 LARRY MCPHERSON JR ESQ 5.00 X 993 0 0 TULLY C PATROWICZ MD 5.00 X 4762 0 0 JANELLE A PHYNE MD FA 5.00 X 0 0 0 LANCE S TALMAGE MD 5.00 X 3990 0 0 JON THOMAS MD 5.00 X 2592 0 0 CHERYL A VAUGHT JD 5.00 X 0 0 0 BARBARA SCHNEIDMAN 40.00 X 443783 0 35792 HUMAYUN J CHAUDHRY DO 40.00 X 126809 0 4156 TODD PHILLIPS 40.00 X 0 0 0 CAROL A CLOTHIER 40.00 X 200573 0 29207 LISA A ROBIN 40.00 X 186678 0 34247 RITA HOU-MOHSIN 40.00 X 172705 0 32140 DAVID JOHNSON 40.00 X 136025 0 26059 CYNID STREUN 40.00 X 163989 0 30817 TIM MILLER 40.00 X 126263 0 25098 RANDY MCCULLOUGH 40.00 X 157386 0 29591 JAMES THOMPSON 40.00 X 375000 0 0 2243422 0 247107 12 1 1 0 SOGETI USA LLC PO BOX 633470 CINCINNATI OH 45263 SOFTWARE DEVELOPMENT 1601613 PRIME POLICY GROUP PO BOX 933169 ATLANTA GA 31193 LOBBYING 221222 INFORMATICA PO BOX 49085 SAN JOSE CA 95161 CONSULTING/ TRAINING 186560 TXU ELECTRIC PO BOX 605638 DALLAS TX 75265 ELECTRICITY 164518 SANDRA WATERS 1016 COLFAX EVANSTON IL 60201 CONSULTING 163400 7 202367 202367 EXAMINATION REVENUE 541900 24634930 24634930 FCVS REVENUE 541900 6753037 6753037 EXAMINATION HISTORY RE 541900 3754336 3754336 BOARD ACTION REVIEW 541900 1576917 1576917 REGISTRATION FEES 541900 198423 198423 202113 202113 37119756 628045 628045 125108 102455 22653 22653 22653 10513143 240 10892117 -378974 240 -378734 -378734 MISC. revenue 900099 134186 134186 SHIPPING AND HANDLING 900099 65059 65059 199245 37793332 37119756 0 471209 1000000 1179893 8679730 1055117 1039285 683036 272271 37165 221222 1406752 2750559 676898 451087 2444941 932988 USMLE & PLAS TRANSFER F 17376398 40207342 2248548 2199412 762049 795622 681425 499753 27144686 20804775 4802222 6339911 2735934 7296006 7294145 10869395 7868626 54775 26392949 28054874 1518005 4163437 10123480 8487524 489273 501572 12130758 13152533 X 14262191 14902341 14262191 14902341 26392949 28054874 X 0 1 1 X 0 690151 690151 3796719 1316158 2480561 1880331 1530627 349704 20777485 17957990 2819495 6339911 INVESTMENTS IN PARTNERSHIPS 10869395 C 10869395 DEFERRED COMPENSATION 501572 501572 1 FEDERATION OF STATE MEDICAL BOARDS RESEARCH AND EDUCATION FOUNDATION PO BOX 619850 DALLAS TX 75261 363071272 501(C)(3) 1000000 FUNDING FOR EDUCATIONAL AND SCIENTIFIC RESEARCH PORGRAMS IN THE FIELDS OF MEDICINE AND MEDICAL REGULATION. 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: THE TERMS OF THE GRANT BY THE FEDERATION OF STATE MEDICAL BOARDS OF THE UNITED STATES, INC (FSMB) STATE THAT FSMB MAY MONITOR AND CONDUCT REVIEWS OF THE OPERATIONS UNDER THIS GRANT. FSMB'S OVERSIGHT MAY INCLUDE VISITS BY FSMB PERSONNEL WITH THE STAFF OVERSEEING THE PROJECTS FUNDED BY THE GRANT, AND REVIEW OF FINANCIAL AND OTHER RECORDS CONNECTED WITH THE ACTIVITIES SUPPORTED BY THIS GRANT. THE FSMB MAY, AT ITS EXPENSE, CONDUCT AUDITS, INCLUDING ON-SITE AUDITS, AT ANY TIME DURING THE TERM OF THIS GRANT AND WITHIN THREE YEARS AFTER COMPLETION OF THE GRANT. THE FSMB RESEARCH AND EDUCATION IS OPERATED AS A DIVISION OF FSMB AND AS SUCH, SHARES OFFICES, EMPLOYEES, AND LEADERSHIP. X X X 1 1 X X X X 1 0 0 BARBARA SCHNEIDMAN 348718 0 0 0 95065 0 32214 0 3578 0 479575 0 0 0 CAROL A CLOTHIER 131288 0 14095 0 55190 0 25964 0 3243 0 229780 0 0 0 LISA A ROBIN 167075 0 19281 0 322 0 27748 0 6499 0 220925 0 0 0 RITA HOU-MOHSIN 159900 0 11945 0 860 0 25861 0 6279 0 204845 0 0 0 DAVID JOHNSON 126215 0 7715 0 2095 0 19891 0 6168 0 162084 0 0 0 CYNID STREUN 159681 0 4114 0 194 0 24569 0 6248 0 194806 0 0 0 TIM MILLER 122909 0 3223 0 131 0 18920 0 6178 0 151361 0 0 0 RANDY MCCULLOUGH 118708 0 9277 0 29401 0 23525 0 6066 0 186977 0 0 0 JAMES THOMPSON 0 0 0 0 375000 0 0 0 0 0 375000 0 0 0 Part I, Line 1a FIRST CLASS TRAVEL: JAMES ANDRIOLE, $4,192, NON-TAXABLE FREDA BUSH, $5,415, NON-TAXABLE HEDY CHANG, $5,346, NON-TAXABLE MARTIN CRANE, $3,945, NON-TAXABLE LESLIE GALLANT, $9,267, NON-TAXABLE CURTIS HARRIS, $1,044, NON-TAXABLE GALICANO INGUITO $5,011, NON-TAXABLE TIMOTHY J KOWALSKI, $4,192, NON-TAXABLE RAM KRISHNA, $3,308, NON-TAXABLE KIM EDWARD LEBLANC, $5,055, NON-TAXABLE BRUCE MCINTYRE, $1,698, NON-TAXABLE TULLY PATROWICZ, $5,459, NON-TAXABLE JANELLE RHYNE, $1,961, NON-TAXABLE LANCE TALMAGE, $6,102, NON-TAXABLE JON THOMAS, $2,598, NON-TAXABLE TRAVEL FOR COMPANIONS: LEE BUSH, $4,245, TAXABLE Kathleen Crane, $3,945, TAXABLE LEE BUSH, $4,245, TAXABLE Kathleen Harris, $1,044, TAXABLE MIRIAM Harris, $3,228, TAXABLE Taylor Haywood, $3,039, TAXABLE Meera Krishna, $1,613, TAXABLE Leanne LeBlanc, $2,314, TAXABLE Ann McIntyre, $934, TAXABLE Connie Patrowicz, $3,107 TAXABLE Diana Talmage, $3,990, TAXABLE housing allowance: Barbara Schneidman, $23,750, taxable Humayun Chaudhry, $9,000, taxable Part I, Line 4a JAMES THOMPSON - SEVERANCE payment - $375,000 CAROL CLOTHIER - SEVERANCE payment- $41,715 Form 990, Part VI, Section A, line 6 FSMB OF THE UNITED STATES HAS SEVERAL CLASSES OF MEMBERSHIP WHICH INCLUDES: 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 TWO DELEGATES FROM EACH MEMBER ASSOCIATION HAS FINAL APPROVAL AUTHORITY FOR THE ANNUAL BUDGET AND SOME OTHER ITEMS. Form 990, Part VI, Section B, line 11 THE FORM 990 IS REVIEWED BY THE CEO, CFO, AND THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES THE FORM 990. Form 990, Part VI, Section B, line 12c AT THE BEGINNING OF EACH FISCAL YEAR, THE BOARD MEMBERS AND COMMITTEE MEMBERS ARE REQUIRED TO SIGN A FORM THAT STATES THEY DO NOT HAVE A CONFLICT OF INTEREST. Form 990, Part VI, Section B, line 15 COMPENSATION IS DETERMINED BY A COMPENSATION COMMITTEE AND EXECUTIVE SALARY SURVEYS. Form 990, Part VI, Section C, line 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII DESCRIPTION OF HOURS WORKED THE FOLLOWING BOARD MEMBERS/OFFICERS WORKED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS AS FOLLOWS: - HUMAYUN J. CHAUDHRY, DO the FEDERATION OF STATE MEDICAL BOARDS of THE UNITED STATES, INC. - 40 HRS/WK THE FEDERATION OF STATE MEDICAL BOARDS RESEARCH AND EDUCATION FOUNDATION - 5 HRS/WK INTERNATIONAL ASSOCAITION OF MEDICAL REGULATORY AUTHORITIES INC - 2 HRS/WK - MARTIN CRANE, MD the FEDERATION OF STATE MEDICAL BOARDS of THE UNITED STATES, INC. - 20 HRS/WK THE FEDERATION OF STATE MEDICAL BOARDS RESEARCH AND EDUCATION FOUNDATION - 2 HRS/WK - CHERYL A. VAUGHT, JD the FEDERATION OF STATE MEDICAL BOARDS of THE UNITED STATES, INC. - 5 HRS/WK THE FEDERATION OF STATE MEDICAL BOARDS RESEARCH AND EDUCATION FOUNDATION - 5 HRS/WK - Barbara Schneidman the FEDERATION OF STATE MEDICAL BOARDS of THE UNITED STATES, INC. - 40 HRS/WK THE FEDERATION OF STATE MEDICAL BOARDS RESEARCH AND EDUCATION FOUNDATION - 2 HRS/WK INTERNATIONAL ASSOCAITION OF MEDICAL REGULATORY AUTHORITIES INC - 2 HRS/WK - Regina Benjamin the FEDERATION OF STATE MEDICAL BOARDS of THE UNITED STATES, INC. - 10 HRS/WK THE FEDERATION OF STATE MEDICAL BOARDS RESEARCH AND EDUCATION FOUNDATION - 2 HRS/WK the FEDERATION OF STATE MEDICAL BOARDS RESEARCH AND EDUCATION FOUNDATION 400 Fuller Wiser Rd Suite 300 Euless IL 76039 363071272 INFORM PUBLIC ON HEALTH CARE AND HEALTH CARE REGULATIONS IL 501(c)(3) Line 11a, I N/A INTERNATIONAL ASSOCAITION OF MEDICAL REGULATORY AUTHORITIES INC 400 Fuller Wiser Rd Suite 300 Euless TX 76039 202188876 TO SUPPORT MEDICAL REGULATORY AUTHORITIES WORLDWIDE TX 501(c)(3) Line 9 N/A 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 FEDERATION OF STATE MEDICAL BOARDS RESEARCH AND EDUCATION FOUNDATION B 1000000