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      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>2699537</Total>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>33440</BOY>
        <EOY>40925</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1315334</BOY>
        <EOY>465402</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>25972</BOY>
        <EOY>34885</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>18709</BOY>
        <EOY>15603</EOY>
      </PrepaidExpensesDeferredCharges>
      <InvestmentsPubTradedSecurities>
        <BOY>1642506</BOY>
        <EOY>2292208</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>41004</BOY>
        <EOY>28345</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>3076965</BOY>
        <EOY>2877368</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>125128</BOY>
        <EOY>40788</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>360921</BOY>
        <EOY>285914</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>486049</BOY>
        <EOY>326702</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2590916</BOY>
        <EOY>2550666</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>2590916</BOY>
        <EOY>2550666</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3076965</BOY>
        <EOY>2877368</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-184989</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>144739</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalOfBookValueLandBuildings>0</TotalOfBookValueLandBuildings>
      <TotalRevenue>2514548</TotalRevenue>
      <TotalExpenses>2699537</TotalExpenses>
      <ExcessOrDeficitForYear>-184989</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>144739</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>144739</TotalAdjustments>
      <ExcessOrDeficitPerFS>-40250</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>2659287</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>144739</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>144739</RevenueNotRptdF990>
      <RevenueSubtotal>2514548</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>2514548</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>2699537</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>2699537</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>2699537</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 3</Identifier>
        <Explanation>THE ORGANIZATION CONTRACTS WITH SMITHBUCKLIN CORP TO PERFORM ALL MANAGEMENT FUNCTIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE NAMSS MEMBERSHIP INCLUDES MEDICAL STAFF AND CREDENTIALING SERVICES PROFESSIONALS FROM MEDICAL GROUP PRACTICES, HOSPITALS, MANAGED CARE ORGANIZATIONS, AND CVOS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>THE BOARD OF DIRECTORS SHALL BE COMPOSED OF MEMBERS AS FOLLOWS:(A)THE FIVE OFFICERS OF NAMSS, INITIALLY ELECTED BY AND FROM THE ACTIVE MEMBERSHIP IN ACCORDANCE WITH NAMSS POLICY ON NOMINATIONS AND ELECTIONS.(B)NINE DIRECTORS AT LARGE, ELECTED BY AND FROM THE ACTIVE MEMBERSHIP IN ACCORDANCE WITH NAMSS POLICY ON NOMINATIONS AND ELECTION.(C)ONE DIRECTOR WHO MAY OR MAY NOT BE A MEMBER OF NAMSS MAY BE APPOINTED BY THE PRESIDENT TO AN ADVISORY POSITION AS A NON-VOTING MEMBER.(D)THE EXECUTIVE DIRECTOR OF NAMSS IS A NON-VOTING MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE SMITHBUCKLIN CLIENT MANAGER PERFORMS THE INITIAL REVIEW AND THE EXECUTIVE DIRECTOR DOES A FINAL REVIEW BEFORE EMAILING A FINAL COPY OF THE 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE BOARD REVIEWS THE CONFLICT OF INTEREST POLICY AT BOARD MEETINGS ON AN ANNUAL BASIS TO ENSURE THAT THERE ARE NO VIOLATIONS OF THE POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 144,739.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>THE ASSOCIATION HAS AN AUDIT COMMITTEE THAT OVERSEES ITS PROCESS FOR SELECTION OF AN INDEPENDENT AUDITOR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>