nma board of trustees orientation notebook-2014

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Board of Trustees Orientation Notebook Compiled October 2014

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Page 1: NMA Board of Trustees Orientation Notebook-2014

Board of Trustees

Orientation Notebook

Compiled October 2014

Page 2: NMA Board of Trustees Orientation Notebook-2014

TABLE OF CONTENTS

MISSION STATEMENT

STRATEGIC PLAN

BOARD INFORMATION

BOARD OF TRUSTEES & OFFICERS PROCEDURE MANUAL

BOARD ROSTER

BOARD COMMITTEE ASSIGNMENTS

BOARD SURVEYS

BOARD SELF-ASSESSMENT

BOARD AND EXECUTIVE DIRECTOR RESPONSIBILITIES

BOARD MEMBER DOCUMENTS

CONFIDENTIALITY AND NONDISCLOSURE FORM

CONFLICT OF INTEREST POLICY

BOARD MEMBER AGREEMENT FORM

DIRECTORS & OFFICERS INSURANCE POLICY DECLARATION PAGE

CORPORATE AND ORGANIZATIONAL DOCUMENTS

ARTICLES OF INCORPORATION

CONSTITUTION AND BY-LAWS

DOCUMENT RETENTION POLICY

WHISTLEBLOWER POLICY

FINANCIAL INFORMATION

IRS FORM 990 FOR MOST RECENT FISCAL YEAR

CURRENT FINANCIAL STATEMENT

CURRENT BUDGET

REFERENCES

SUMMARY OF PARLIAMENTARY PROCEDURES

ADDITIONAL RESOURCES

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Board of Directors Orientation Notebook

Section 1:

MISSION STATEMENT

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______________________________________________________________________

VISION STATEMENT

The conscience of society for quality and parity healthcare.

MISSION STATEMENT

To advance the art and science of medicine for people of African descent

through education, advocacy, and health policy to promote health and

wellness, eliminate health disparities, and sustain physician viability.

POSITIONAL STATEMENT

This national professional and scientific organization of physicians is

committed to:

1) preventing the diseases, disabilities, and adverse health conditions that

disproportionately or differentially impact persons of African descent and

underserved populations;

2) supporting efforts that improve the quality and availability of health care

to underserved populations; and

3) increasing the representation, preservation and contribution(s) of persons

of African descent in medicine. Towards these ends, the National Medical

Association provides education programs and opportunities for scholarly

exchange, conducts outreach efforts to promote improved public health, and

establishes national health policy agenda in support of physicians of African

descent and their patients.

(The Mission, Vision and Positioning Statements were adopted by the

Board of Trustees on October 16, 1999.)

8403 Colesville Road

Suite 820

Silver Spring, MD 20910

(202) 347-1895; (301) 495-5781 fax

www.NMAnet.org

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Board of Directors Orientation Notebook

Section 2:

STRATEGIC PLAN

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N M A S T R A T E G I C P L A N

"The conscience of equality and parity in health care"

2012 - 2015 STRATEGIC PLAN

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Table of Contents

Introduction ..................................................................................................................................... 2

Association History ................................................................................................................ 2

Strategic Planning Purpose and Process .............................................................................. 3

Vision, Mission and Values ................................................................................................... 3

Guiding Principles ................................................................................................................. 4

NMA Health Initiatives and Services ..................................................................................... 4

Strategic Issues ..................................................................................................................... 6

Strategic Objectives

CME/Education ........................................................................................................... 6

Physician Viability ....................................................................................................... 9

Leading Voice on Health Disparities ........................................................................... 9

Fiscal Accountability and Sustainability .................................................................... 12

Membership Reform .................................................................................................. 13

Convention Planning ................................................................................................. 13

Umbrella Programming ............................................................................................. 14

Partnerships and Collaborations ............................................................................... 14

Administrative Excellence ......................................................................................... 15

Critical Priorities 2012-2013 ................................................................................................ 17

Critical Priorities 2014 ......................................................................................................... 20

Critical Priorities 2015 ......................................................................................................... 20

Review and Evaluation Process .......................................................................................... 21

APPENDIX .......................................................................................................................... 22

SWOT Analysis

Strategic Planning Committee, NMA Senior Staff, Consultants

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Introduction

In   its   quest   to   become   the   “conscience and voice of society for quality and parity in healthcare,”   the  National  Medical   Association   (NMA)   is committed to advancing the art and science of medicine for individuals of African descent by sustaining physician viability, promoting health and wellness, and eliminating health disparities. To accomplish this mission, the Association adopted this Strategic Plan for 2012-2015 This plan outlines the   NMA’s   strategic issues, objectives, goals, actions that will be implemented over this planning period. Specific emphasis is placed on the 2012-2013 timeframe for operationalizing the strategic objectives. The NMA leadership serves as the champion advocating and representing the NMA agenda with substance and professionalism. History

The NMA is the nation's oldest and largest organization representing physicians of African descent and their patients. The NMA is a 501 (c) (3) national professional and scientific organization. The NMA was founded in 1895 during an era in the United States history when the majority of Black Americans were disenfranchised. The segregated policy of "separate but equal" dictated virtually every aspect of society. Under the backdrop of racial exclusivity, membership in America's professional organizations, including the American Medical Association (AMA), was restricted to whites only. The AMA determined medical policy for the country and played an influential role in broadening the expertise of physicians. When a group of Black doctors sought membership into the AMA, they were repeatedly denied admission. Subsequently, the NMA was created for Black doctors and health professionals who found it necessary to establish their own medical societies and hospitals. "Conceived in no spirit of racial exclusiveness, fostering no ethnic antagonisms, but born out of the exigency of the American environment..." the NMA extended equal rights and privileges to all physicians. Although the NMA has led the fight for better medical care and opportunities for all Americans, its primary focus targets health issues related to improving the health status and outcomes of African Americans and the medically underserved.

Strategic Planning Purpose and Process

The Strategic Plan is the guidepost for the NMA and will be used to direct its activities from 2012-2015. Additionally, this plan is intended to serve the following purposes:

� Communicate the Vision, Mission, Strategic Objectives and Goals of the NMA to its various stakeholders (internal and external)

� Set expectations for the overall organization (BOT, HOD, Staff) regarding their individual activities to support the NMA

� Support requests for funding from potential funders The 2006-2011 Strategic Plan was reviewed and updated over the course of several steps with the first being a strategic planning retreat convened in August 2012 by the Chair of the Board of Trustees (BOT). The additional steps in the planning process

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involved further discourse by the Strategic Planning Committee, final review by internal stakeholders then adoption by the House of Delegates. The strategic planning participants included representatives of representatives of the BOT who serve on the Strategic Planning Committee, Strategic Planning Committee, President of the NMA, NMA Senior Staff, House of Delegates, and Consultants.

Vision

The conscience of society for quality and parity in healthcare

Mission

To advance the art and science of medicine for people of African descent through education, advocacy, and health policy to sustain physician viability, promote health and wellness, and eliminate health disparities

Values

x Integrity To be truthful, respectful, honest, ethical, authentic and transparent

x Excellence

To provide the highest quality of service and work product

x Compassion To embrace others with empathy, kindness and concern

x Commitment

To perform the work of the Association with dedication, responsiveness, loyalty and a sense of purpose

x Empowerment

To educate others in ways that supports them in enhancing their practices, health and quality of life

x Accountability

To execute duties in a responsible, timely and effective manner

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Guiding Principles

The NMA guiding principles serve as the foundation for what and how NMA business is conducted as well as the standard for how stakeholders, patients, and supporters will be engaged. Everything the NMA does is guided by the principles that define our character and culture. These enduring qualities are the shared convictions of the NMA.

x Relevant Our integrity and viability rests on our ability to be a viable voice for the African American physician and population

x Fiscally Sound

We spend within our means and obtain sustainable and viable resources to sustain the organization

x Remain Competent and Abreast of Current Issues and Opportunities

Learning and development is a life-long journey – this is a continuum we  strive  to  create  and  maintain  including  staying  aware  of  today’s health topics and providing the highest caliber educational opportunities through CMEs

x Excellent Member Service

Commit to the highest levels of member service as defined by our members

x Accountability We strive to know our charge and fulfill according to expectations and with excellence

x Teamwork and Staff Development

It takes a team skilled, competent and actively engaged to execute the plan. The team includes NMA leadership, staff, consultants, community and other external partners.

x Collaborations/Partnerships

NMA will collaborate with partners with common goals and interest

x Celebrate and Promote Our Success We will reflect, appreciate and broadly communicate our achievements

x Activities Ensure all activities are outcome oriented

NMA Health Initiatives and Services

The  NMA’s  services,  programs,  and initiatives are reflective of the diverse interests of its members, as well as traditional and current health issues important to the African-

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American community. The Association has always advocated on behalf of people of African descent. In this capacity, NMA serves as the conscience of the medical profession. It is active in disseminating messages, as well as developing programs that address these issues.

As the nation's largest and only organization representing physicians of African descent, the NMA is committed to providing professional and public education on health issues significantly influencing the African-American community. Six geographic regions represent the national organization; these regions are further represented by 37 state and 75 local medical societies. Twenty-four scientific specialty sections are represented within the NMA structure with members who are available to provide specialty expertise for scientific review, evaluation, and validation of program proposals and efforts. Within each of the twenty-four sections, there is enormous capability and interest to support and conduct a variety of community disease prevention, education outreach, demonstration, physician education, and research programs.

The NMA in committed to keeping the African-American and broader community informed on the latest treatments, clinical trials, research results, and medications. In support of this commitment, the NMA has established the services, programs, and key health initiatives described in this section. Areas of Health Initiatives There are so many health related issues plaguing America today. With so many, some of which are shown in the list that follows, the NMA intentionally prioritized the following specific areas of interest to focus its attention. Those that are bolded are the highest priority for the NMA at this time:

x Cardiovascular Disease x Cancer x Diabetes x HIV x Obesity x Mental Health x Asthma x Immunizations x Hepatitis C x Clinical Trials x Homicide x Children’s  Health x Environmental Health

The NMA will use an umbrella planning and project implementation approach to ensure as many of these areas of concern are addressed systematically and in a manner that will help to deter the challenges and result in positive impacts for minorities.

Comment [d1]: Staff needs to confirm the number of state and local societies

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NMA Services Primary services provided by the NMA include the following:

x Annual Convention and Scientific Assembly x Continuing Medical Education (CME) Program x National Colloquium on African American Health x The Journal of the National Medical Association (JNMA) x The National Medical Association News x Physician Locator Service x Student Scholarships x Research collaborations with the W. Montague Cobb NMA Health Institute x Walk-A-Mile With a Child x NMA Mentorship Workshop

Strategic Issues

A number of issues challenge the NMA, its members, and minority populations in the U.S. including:

� Remaining Relevant � Fiscal Sustainability � Health Policy Issues such as health disparities and inequality � Maintaining the workforce of physicians of color � Increasing and sustaining association membership � NMA branding and marketing to sustain position as leading voice for its members

and on health care disparities � Affordable Care Act

This plan is written to address these strategic issues. The Strategic Objectives shown below include: 1) Strategic Goal, 2) Operational Goals, and 3) Strategic Actions that drill down to the detail defining the specific tasks to be completed.

Strategic Objective: Continue as a primary source of CME

Strategic Goal – Maintain and develop programs that will keep members and communities abreast of current healthcare diagnoses, treatments and research of disease states Operational Goals

1. Ensure the continuation of the NMA to be the first source for maintaining clinical viability to sustain the Continuing Medical Education (CME) accreditation

2. Mentoring members via webinars concerning setting up practices, contracts, service delivery model, etc.

3. Convert paper journal to electronic Journal of the National Medical Association (JNMA)

4. Mentoring activities for medical students and undergraduate students to pursue a career in medicine

Comment [d2]: Staff needs to confirm if the NMA News, name of the Physician Locator Service and if one exists, name of the Student Scholarships exist and revive it

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Strategic Actions Operational Goal 1 - CME

oAssess and delineate the steps underway, specific requirements, resources and timeline needed to maintain CME accreditation oProviding on-line CME to members and non-members of the NMA

Responsibility: Educational Affairs Committee (Dr. Sadye Curry and Colin Syphax) Timeline: October 2012 Metric/Deliverable: Written assessment and specific CME strategy plan Provide a suggested cost to members and non members who take our on-line CME course Timeline: February 2013 Metric/Deliverable: Offer one -line CME activities to members and nonmember of

the NMA Timeline: July 2013 Metric/Deliverable: Offer a minimum of 4 on-line CME activities Timeline; 2014-2015 Metric/Deliverable: Offer a minimum of 5 on-line CME activities Timeline: 2014-2015 Metric/Deliverable: Offer a minimum of 6 on-line CME activities

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Operational Goal 2 - Mentoring o Conduct an assessment of mentoring needs and develop a plan to address the

results of the assessment Responsibility: Educational Affairs Committee (Dr. Sadye Curry and Colin

Syphax) Timeline: October 2012 Metric/Deliverable: Written assessment and specific mentoring plan Operational Goal 3 - Printed and On-line JNMA

o Update the member database o Create a hybrid printed JNMA with advertisements/sponsorships and on-line JNMA

Responsibility: Publications Committee (Dr. Chile Ahaghotu and Angelique Valladares) Timeline: February 2013 Metric/Deliverable: Contract for services to create the electronic and printed JNMA Timeline: July 2013 Metric/ Deliverable: Online JNMA Timeline: 2013-2014 Metric/Deliverable: Printed JNMA with advertisements/sponsorships Timeline: 2014-2015 Metric/Deliverable: Online JNMA is a revenue generating service Operational Goal 4 - Mentoring Activities for Medical Students and Undergraduates Strategic Actions

o Provide a mentoring activity once a year for either medical students or undergraduates

o Develop a plan to implement a NMA mentorship workshop Responsibility: Convention Committee (Dr. Bailey/Mr. Matthews) Timeline: Oct 2013 (first mentoring activity scheduled) Metric/Deliverable: Plan to implement a NMA mentorship workshop by July

2013 Timeline: 2014-2015 Metric/Deliverable: NMA Mentorship Workshop is a self-sustaining/revenue

generating product/service

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Strategic Objective: Ensure Physician Viability

Strategic Goal - Central to the sustainability and integrity of the NMA's presence is having a robust pool of medical doctors and professionals who are people of color. Develop support network for navigation of recent healthcare law changes to assist individual and group practices maintain viability. Operational Goals

1. Provide Accountable care operational goals 2. Peer review: identify specific physician liability/legal cases, review ability to provide legal

assistance Strategic Actions Operational Goal 1 - Accountable Care

o Develop an Accountable Care Act and Accountable Care Organization webinar and workshop for 2013 conference

o Determine the most appropriate means to communicate this information to NMA members o Develop a pool of experts for consultation o Assess cost/benefit to NMA, members and non-members

Responsibility: Educational Affairs Committee (Dr. Sadye Curry and Colin Syphax) and Health Policy Committee (Dr. LeNoir and B. Sogie Thomas) Timeline: February 2013 Metric/Deliverable: Training webinar and workshop for 2013 conference, communications

protocol, pool of content matter experts available for consultation, benefit cost assessment and fee schedule for webinar

Operational Goal 2 - Peer Review

o Define the process for gathering and assessing cases where NMA members have been impacted

o Ensure there is a committee in place to develop and conduct the peer review process Responsibility: Government and Compliance Committee Health Policy (Dr. J.D. Patterson and Monica Carter) Timeline: February 2013 Metric/Deliverable: Written assessment

Strategic Objective: Ensure that the NMA is the Leading Voice on Health Disparities

Strategic Goal - The NMA becomes recognized as the voice on health disparities and cultural competency

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Operational Goals 1. Content matter expert on diversity, health disparities and cultural competency 2. Become health literacy experts 3. Being present at strategic events and interacting with legislators (nationally and locally) 4. Create CMS advisory committee 5. Evaluate activities and effectiveness of AMA, CMS, CDC, HIH, FDA regarding inclusion

and cultural competency 6. Establish protocol and track who represents the NMA and how to ensure accountability and

messaging uniformity

Operational Goal 1 - Diversity and Cultural Competency Strategic Actions

o Develop Evaluate medical schools as to how they are handling diversity and cultural competency training

o Provide diversity-training program for medical schools, local societies at the NMA convention, via webinars, etc.

o Develop working relationship with Association of American Medical Colleges (AAMC) Responsibility: Educational Affairs Committee (Dr. Sadye Curry and Colin Syphax) Timeline: December 2013 Metric/Deliverable: Assessment and training program Timeline: 2013-2014 Metric/Deliverable: Provide at least one diversity training/cultural competency seminar for medical schools faculty to attend and one webinar Timeline: 2014-2015 Metric/Deliverable: Provide 2 diversity training and webinars that are revenue Generating Timeline: 2013-2015 Metric/Deliverable All consumer material written by the NMA will be in plain language Operational Goal 2 - Health Literacy Experts Strategic Actions

o Develop a patient education portal o Use mass media to communicate health empowerment o Develop health literacy program in plain language o Provide training to ensure staff provide information in plain language

Responsibility: Educational Affairs Committee (Dr. Sadye Curry and Darryl Matthews) Timeline: February 2013 Metric/Deliverable: Staff trained in plain language and plan for creating the patient education portal and materials

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Operational Goal 3 - Advocacy/Lobbying Strategic Actions

o A document on effective lobbying should be prepared and posted on the NMA website

o Identify where NMA needs to be to discuss health policy issues that impact physician viability or health disparities

o Create a template to document these activities monthly via NMA website and social media including highlights and photos

Responsibility: Health Policy Committee (Dr. LeNoir and Byron Sogie-Thomas, NMA President, President Elect, Immediate Past President, Chair of BOT, Speaker of the HOD, Executive Director) Timeline: October 2012 unless otherwise noted Metric/Deliverable: Advocacy Toolkit, and Template to document advocacy activities Operational Goal 4 - CMS Advisory Committee Strategic Actions

o Send a letter requesting a relationship be established with the Center for Medicaid and Medicare Services (CMS) and Food and Drug Administration(FDA)

Responsibility: BOT Chair and Darryl Matthews Timeline: October 2012

Metric/Deliverable: Invitation Letter Operational Goal 5 - Protocol for Representation Strategic Actions

o Develop a scorecard to assess how the American Medical Association, Center for Medicaid and Medicare Services, Center for Disease Control, HIH, FDA are addressing cultural competency and inclusion. Report to the BOT

Responsibility: Health Policy Committee (Dr. LeNoir and Byron Sogie-Thomas) Timeline: December 2013

Metric/Deliverable: Scorecard/Report Strategic Actions

o Develop a grid documenting where the leadership is present, purpose, outcomes, and information/materials used for messaging/branding the NMA

Responsibility: Governance and Compliance (Dr. J.D. Patterson and Monica Carter) Timeline: October 2012

Metric/Deliverable: Report Grid

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Strategic Objective: Ensure Fiscal Accountability and Sustainability

Strategic Goal - NMA will exclusively focus on implementing activities deemed relevant and ensure a sustainable future Operational Goals 1. Raise $800,000 in unrestricted funds by February 2013 2. Raise $2,000,000 to support NMA staffing and programming 3. Complete the 2010-2012 audits by March 2013

Operational Goal 1 - Raise $800,000 Unrestricted Funds Strategic Actions

o Specific plan for raising this amount o Increase the NMA corporate circle o Develop a written plan and host national and regional fundraisers, i.e. policy dinner

around the same time as the annual Congressional Black Caucus meetings Responsibility: Darryl Matthews Timeline: October 2012

Metric/Deliverable: Strategy Plan

Operational Goal 2 - Raise $2,000,000 Strategic Actions 1. Develop and maintain strategic fund development strategies/plan 2. Proactive planning to pursue PCORI and other funding sources 3. Develop and maintain health strategies plan and specify role for health strategist, health

economist and fund development consultants 4. Develop and maintain grant/funding grid report (detailing funding status) and contract

matrix (detailing contracts in hand, value/cost, contract period, contractor, scope of work, etc.)

5. Report Progress Responsibility: Grants and Special Programs (Dr. Barry Harris, Cheryl Dukes, Darryl Matthews) Timeline: Quarterly at BOT, monthly to Committee Chairs, Effective October 2012 Metric/Deliverable: Grant/Funding Grid Reporting Awards and Grants Being Pursued, Fund Development Plan Contract matrix including specific detail, i.e., contracts in hand, value/cost, contract period (start/end), contractor, scope of work TimeLine: Continuing Metric/Deliverable: Secure non-pharmaceutical source of revenue for the Association to enhance fiscal health

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Operational Goal 3 - Complete 2010-2012 Audits Strategic Actions

o Complete the audits for fiscal years 2010-2012 and provide the final CPA statements to the BOT and leadership as requested

Responsibility: Dr. Gail Morgan and Darryl Matthews Timeline: March 2013

Metric/Deliverable: Completed audit reports

Strategic Objective: Undertake Membership Reform

Strategic Goal - The NMA appreciates its membership and will provide the leadership and benefits to ensure a desirable level of active and satisfied members. Operational Goals 1. Increase membership by 3,200 new members to reach the $800,000 financial goal (via

current membership drive offers) for unrestricted funds 2. Communicate NMA member benefits and value proposition 3. Promote allied health membership as dues paid NMA members

Strategic Actions

o Review BrightKey scope of work and hold them accountable to the targets o Review regular update of outcomes defined in the scope of work.

Responsibility: (Dr. Garfield Clunie, Darryl Matthews, C. Thomas) Timeline: October 2012 Metric/Deliverable: Membership Enhancement Plan/Increased Members

Strategic Objective: Ensure Fiscally Prudent Convention Planning

Strategic Goal – NMA conventions and other events shall be profitable beyond the measure of paying for event costs

Operational Goals - Profitable Conventions

Strategic Actions

o Develop and present a strategy plan to ensure all conventions pay for the expenses of the convention and increase the profit margin by a percentage to be determined in the plan

o Actively and immediately begin exploring joint conventions enterprises with National Dental Association

Responsibility: Darryl Matthews and Rutherford Timeline: October 2012 (and every 6 months) Metric/Deliverable: Strategy Plan

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Strategic Objective: Develop and/or Expand Umbrella Programming

Strategic Goal - The NMA will be strategic in pursuing/conducting programs that align with its mission and are appealing to a broad pool of funding opportunities. Operational Goals - Identify and pursue opportunities to maximize clinical research and umbrella programming by the NMA Strategic Actions

o Partner with large grant funders to conduct special projects including clinical research on these areas of interest Cardiovascular, Cancer, Diabetes, HIV, Obesity, Mental Health, Asthma, Immunization, Hepatitis C

o Use the Project Impact model as a means to conduct clinical research o Create partnerships to provide the resources to complete the research

Responsibility: Grants and Special Programs (Dr. Barry Harris, Cheryl Dukes, Darryl Matthews) Timeline: October 2012 and quarterly Metric/Deliverable: Program Plan

Strategic Objective: Continue to Establish and Refine Partnerships and Collaborations

Strategic Goal - Partnerships and collaborations should benefit the NMA and the leadership needs to be clearly aware of who these relationships are with and know the specific benefits the NMA will gain Operational Goals 1. Establish collaborations with Local Societies in national initiatives, pharmaceutical corporations,

other associations (National Podiatry, National Dental Associations) to share expertise, joint conventions, and other avenues of synergy

2. Establish formal relationships via Memorandum of Understanding with Office of Minority Health, CDC, CMS, FDA and other organizations

3. Physician of the Month 4. Promote allied health membership and non-allied members

Strategic Action

o Define the strategic approach (Strategy Plan) for creating and maintaining collaborations and partnerships

o Track status and outcomes (via grid) of these collaborations and partnerships and report to the BOT quarterly (report should at a minimum include the organization name, purpose for the interaction, outcomes, other matters to consider)

Responsibility: Health Policy Committee (Dr. LeNoir and Byron Sogie-Thomas

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Timeline: February 2013 with Quarterly Updates to the Board of Trustees Metric/Deliverable: Strategy Plan, Tracking Grid Report New partners and members

Strategic Objective: Continue to Ensure Administrative Excellence

Strategic Goal - The NMA will continue to be a viable organization with strong leadership, effective and efficient systems in place to ensure implementation of the strategic plan Operational Goals 1. Protect NMA intellectual property 2. Determine capacity of staff to complete strategic plan tasks 3. IT Enhancements 4. Move headquarters by December 2012 5. Effective tools in place to document contract and grant activities

Operational Goal 1 - Staff Capacity Strategic Action

o Vet strategic plan with NMA Staff, assess capacity to fulfill tasks , and present formal written recommendations to the Board of Trustees

Responsibility: Darryl Matthews Timeline: By September 30, 2012

Metric/Deliverable: Detailed assessment and formal written recommendations

Operational Goal 2 - Information Technology Strategic Action

o Develop a strategic IT plan including scope of work, proposed cost, potential options Responsibility: Finance Committee (Dr. Jeffrey Clark, Alex Johnson, Darryl Matthews) Timeline: October 2012

Metric/Deliverable: Written IT Plan

Operational Goal 3 - Intellectual Property Strategic Action

o Conduct assessment to determine what needs to be done to protect NMA intellectual property and present recommendations to Board of Trustees

Responsibility: Darryl Matthews Timeline: February 2013

Metric/Deliverable: Detailed assessment and formal written recommendations

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Operational Goal 4 - NMA Headquarters Strategic Actions

o Develop a proposal detailing options for NMA headquarters Responsibility: Finance Committee (Dr. Jeffrey Clark, Alex Johnson, Darryl Matthews) Timeline: December 2013

Metric/Deliverable: Written Business Plan

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Critical Priorities At a Glance

The following matrixes were created to centralize all of the critical priorities into the planning period 2012-2015. The information is categorized to align with the Strategic Objectives/Goals presented earlier in this plan. A specific timeline is also reflected in what follows as in the earlier sections of this plan.

Critical Priorities for 2012-13

Continue as a Primary Source of CME

Goal 1 – CME Accreditation

x Assessment of status of CME accreditation and CME Strategy Plan (October 2012) x Offer 1 online CME activity to members and non-members in (February 2013) x Offer a minimum of 4 online CME activities in (July 2013)

Goal 2 – Mentoring

x Written assessment and specific plan (October 2012) Goal 3 – Printed and Online JNMA

x Contract for services by (February 2013) x JNMA online (July 2013) x Printed JNMA (2013)

Goal 4 – Mentoring for Medical Students and Undergraduates

x Mentorship Workshop Plan (July 2013) x Mentoring Activity Scheduled (October 2013) x Mentorship Workshop in all 6 Regions by State and Local NMA Societies (2013)

Ensure Physician Viability Goal 1 – Accountable Care

x Plan for ACA/ACO webinar, workshop for 2013 conference, pool of experts for consultation (February 2013)

Goal 2 – Peer Review

x Written assessment/advisement as to when/how to get involved with NMA member cases (February 2013)

Ensure NMA Leading Voice on Health Disparities Goal 1 – Diversity and Cultural Competency

x Develop and conduct at least 1 revenue generating diversity training/cultural competency seminar and webinar for medical schools faculty (2013)

x All consumer material written in plain language (2013) Goal 2 – Health Literacy Experts

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x Staff trained in plain language and plan for creating the patient education portal and materials (February 2013)

Goal 3 – Advocacy/Lobbying

x Advocacy toolkit and template to document advocacy activities (October 2012) Goal 4 – CMS Advisory Committee

x Invitation Letter Submitted (October 2012) Goal 5 – Protocol for Representation

x Report Grid (October 2012) x Scorecard/Report (December 2013)

Ensure Fiscal Accountability and Sustainability Goal 1 – Raise $800,000 Unrestricted Funds (February 2013)

x Strategy plan (October 2012) Goal 2 – Raise $2,000,000 (additional revenue over conference)

x Fund development plan, grant/funding grid report, contract matrix (October 2012) x Report updates to Committee Chairs (Monthly), and Board of Trustees (Quarterly)

Goal 3 – 2010-2012 Financial Audits

x Complete 2010-2012 financial audits (March 2013) Undertake Membership Reform Goal – Membership Enhancement Plan/Increased Members (October 2012 and Continuous)

Ensure Fiscally Prudent Convention Planning

Goal – Profitable Conventions/Events x Strategy plan (October 2012 with 6 months updates to Board of Trustees)

Develop and/or Expand Umbrella Programming Goal – Develop Program Plan (October 2012 and report to Board of Trustees quarterly) Continue to Establish and Refine Partnerships and Collaborations Goal - Strategy plan and tracking/reporting grid (February 2013) Report to Board of Trustees (Quarterly)

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Continue to Ensure Administrative Excellence Goal 1 – Staff Capacity

x Detailed assessment/formal written recommendations to Board of Trustees (September 30, 2012)

Goal 2 – Information Technology

x Written IT Plan (October 2012) Goal 3 – Intellectual Property

x Detailed assessment/formal written recommendations to Board of Trustees (February 2013) Goal 4 – NMA Headquarters

x Written Business Plan (December 2013)

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Critical Priorities for 2014

Continue as a Primary Source of CME Goal 1 – CME Accreditation

x Offer a minimum of 5 online CME activities for members and non-members

Goal 3 – Printed and online JNMA x Printed JNMA 2013-2014 x JNMA is a revenue generating product/service

Goal 4 – Mentoring for Medical Students and Undergraduates

x Mentorship workshop is a revenue generating product/service Ensure NMA Leading Voice on Health Disparities Goal 1 – Diversity and Cultural Competency

x Develop and conduct at least 2 revenue generating diversity training/cultural competency seminar and webinar for medical schools faculty

x All consumer material written in plain language 2013

Critical Priorities for 2015

Continue as a Primary Source of CME

Goal 1 – CME Accreditation x Offer a minimum of 6 online CME activities for members and non-members

Goal 4 – Mentorship Workshop

x Mentorship workshop is a revenue generating product/service

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Strategic Plan Review and Evaluation Process

The annual review and evaluation process is extremely critical in providing NMA leadership with the support, guidance, and encouragement necessary to realize full implementation of the goals that have been set forth in this strategic plan. The Strategic Planning Team will meet quarterly with the Executive Director and representatives of senior management to review and discuss the progress in the implementation of the organization’s   strategic   goals.     In   addition, the Executive Director shall maintain and present the strategic plan dashboard to the full Board of Trustees as requested.

Implementation of strategic actions will be incorporated into the annual operational plan of all management departments, as well as councils, committees, and sections. The operational plans link the day-to-day operations of the Association to the strategic plan.

A   “plan,   do,   check”   attitude   should   be  embraced  with   this   strategic   planning  document,  viewing it as a guide to be periodically revisited and updated versus a rigid roadmap to a fixed and unmovable target for success. The Strategic Planning Committee and NMA leadership believe the goals, and strategic actions put forth in this document are realistic. However, recognizing the dynamic environment that surrounds and influences the organization, a reshaping of some strategic actions to ensure the realities do not adversely influence implementation.

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APPENDIX A - 2012 SWOT ANALYSIS (Strengths, Weaknesses, Opportunities Threats)

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APPENDIX B - Strategic Planning Participants As mentioned earlier in this document, the NMA Strategic Planning Committee, Senior Staff and Consultants participated in a day long retreat to develop this plan. Their participation was a tremendous asset to the process and this finished product. The NMA acknowledges their contributions to complete the plan and the names of the participants are shown below.

Strategic Planning Committee Rahn Bailey, MD President Nashville, TN

Walter Faggett, MD Speaker, House of Delegates Washington, DC

Gregory Antoine, MD Board of Trustees, Region I Boston, MA

C. Freeman, MD Treasurer Nashville, TN

Cedric Bright, MD Immediate Past President Durham, NC

Gloria Frelix, MD Chair, Region III Durham, NC

Oliver Brooks, MD Secretary, House of Delegates Los Angeles, CA

Lonnie Joe, MD Vice Speaker, House of Delegates Detroit, MI

Virginia Caine, MD Chair, Region IV Indianapolis, IN

Michael LeNoir, MD President Elect Oakland, CA

Jeffrey Clark, MD Board of Trustees, Region IV Detroit, MI

Darryl Matthews NMA Executive Director Silver Springs, MD

Garfield Clunie, MD Board of Trustees, Region I New York, NY

Edith Mitchell Board of Trustees, Region II Philadelphia, PA

Elise Cook, MD CAFA Chair Houston, TX

Vivian Pinn, MD President,  Past  President’s  Council Washington, DC

Joia Crear-Perry, MD Chair, Region V New Orleans, LA

George Saunders Secretary, Board of Trustees South Carolina

Sadye Curry, MD Board of Trustees, Region II Washington, DC

Ingrid Taylor Chair, Board of Trustees St Louis, MO

Lisa Green, MD Post Graduate Trustee Baltimore, MD

Rachel Villanueva, MD Chair, Region I New York, NY

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Senior Staff Members

Colin Syphax, CME Byron Sogie-Thomas, Health Policy Patricia Norman, Conferences and Meetings Jackie Freeman, Contracts & Procurements LaSha Battley, Human Resources Administration Monica Carter Monique Lewis Department Representatives Alex Johnson - Finance Yolanda Fleming - Grants Cheryl Dukes - Grants Angelique Valladares - Publications Roslyn Douglas - External Communications Sharon Allison Ottey, MD

Consultants Sharon Ottey, MD NMA Health Strategist Joyce Rayzor NMA Grants Strategist Debra M Simmons Wilson Engaging Solutions, LLC Strategic Planning Consultant

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Board of Directors Orientation Notebook

Section 3:

BOARD INFORMATION

1. Board of Trustees & Officers Procedure Manual 2. Board Roster 3. Board Committee Assignments 4. Ad Hoc Committee Roles 5. Committee List 6. Board Meeting Dates 7. Board Surveys a. Board Self-Assessment b. Board and Executive Director Responsibilities

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Board of Trustees and Officers

Procedure Manual

As adopted by Board of Trustees, April 2003

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BOARD OF TRUSTEES & OFFICERS PROCEDURE MANUAL National Medical Association

This document serves as the official procedure manual of the National Medical Association, Inc. It contains explicit instructions for all established policies regarding performance of duties of the officers and members of the Board of Trustees. The amendment procedure to this manual is as follows.

a) Amendments to this document must be submitted in written form to the National Headquarters to the Office of the Board of Trustees and the Chairperson of the Board at least sixty (60) days prior to the Board meeting in which they are to be discussed.

b) All changes to this document require a majority approval vote by the Trustees.

c) No decision of the Executive Committee or Board of Trustees shall contradict the Procedure Manual except through the formal Amendment process.

Other responsibilities for officers may be obtained by referring to the NMA Constitution and Bylaws, Chapter V & VI.

First Submitted on April 11, 2003 Barry L. Harris II, M.D. Chair, Governance & Compliance Committee Postgraduate Physician Trustee National Medical Association

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BOARD OF TRUSTEES & OFFICERS PROCEDURE MANUAL National Medical Association

I. Chairman of the Board of Trustees A. Board Meetings

1. Shall convene, preside and adjourn all meetings of the Board of Trustees. 2. Shall only vote to break a tie. 3. Shall send written/ email notice of all Board meetings to Board members 30 days in

advance of the BOT meeting. 4. Shall notify BOT members of the deadline for BOT reports, generally two weeks prior

to the BOT meeting. 5. Shall ensure that accurate minutes, containing all decisions and transactions of all

meetings, are maintained. 6. Shall notify BOT members of submission date for reports. This date must be at least

two weeks prior to BOT meeting. Notification is preferred 30 days prior to BOT meeting.

7. Shall present a typed report detailing activities and updates regarding all current issues under his/her domain. This is to be submitted at least fourteen days prior to the BOT meeting electronically to National Office for dissemination.

8. Shall designate an acting Chair whenever he/she has to leave the meeting or will be unable to be reached for extended period of time. (Secretary of BOT)

9. Shall make committee assignments within 30 days of being elected. 10. Shall work with the Executive Director to design the agenda and logistics of the Board

meetings. 11. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest

Statement at the first board meeting once elected in office. B. Executive Committee

1. Shall preside over and participate in all meetings of the Executive Committee (EC). 2. Shall call all meetings and provide notice of meetings at least 72 hours in advance,

except in emergency situations. 3. Shall present a report of activities at each Executive Committee meeting on all areas

that the Chairperson oversees. 4. Shall forward a copy of the report of activities to the National Office within 48 hours

before the Executive Committee meeting. 5. Shall present a type-written report of all Executive Committee decisions at the next

Board meeting and shall present a type-written annual report of the Executive Committee’s activities to the House of Delegates to be included as part of Chairperson's report.

6. Shall be the official liaison between the Executive Committee and the Office of Executive Director, and ensure that the Executive Director is addressing all directives from the Executive Committee.

C. General

1. Shall upon election represent the Board of Trustees at the meeting of the Auxiliary of National Medical Association (ANMA) immediately after the board meeting on the last day of the Convention.

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2. Shall upon election appoint/select/designate the Chair of the Finance Committee. 3. Shall meet with the Immediate-Past Chairperson immediately following the post-

convention Board meeting to discuss upcoming year and any pressing commitments.

4. Shall meet with the President and the Executive Director not later than 3 weeks after the national convention to become familiar with office operations.

5. Shall ensure BOT Committee Chairs and committee assignments are made by the end of the month of August.

6. Shall ensure that the National Office sends all pertinent materials to members of the Board and Executive Committee for their consideration in a timely manner, and to use electronic means as the preferred method.

7. Shall communicate at least weekly with the Executive Director to discuss office management.

8. Shall communicate regularly with the Executive Committee and/or Board Members as events occur.

9. Shall work closely with the Convention Committee throughout the year up through the Annual Convention.

10. Must maintain his/her own working email account, and answering machine/service. 11. Shall prepare a yearend report of the Board's activities for presentation to the House of

Delegates. 12. Shall preside with the President at the opening ceremony at the National Convention. 13. Shall update this document annually with any changes made by the House Delegates or

the Board for presentation at the House of Delegates to be included in his/her report in conjunction with Board of Trustee’s recommendations.

14. Shall supervise the Executive Director who oversees the day-to-day operations of the National Headquarters.

15. Shall, along with the President and Speaker of the HOD, conduct the evaluation of the Executive Director jointly every six months, utilizing the format adopted by the Association in conjunction with the Human Resources Department (Personnel Committee of the BOT).

16. Shall have emergency authority to sign contracts. 17. Shall present all contracts to the board by grid with dates of start and completion, costs

and description. Any newly executed contracts are to be presented to the board at the next board meeting.

18. Shall present a procedure manual to the incoming Board of Trustees. Shall work in conjunction with the Executive Director and other Board Committee Chairs to orient all new board members at the first Board meeting following the convention.

19. Shall present a grid of the previous year's decisions at the first meeting following the convention to be assembled by Board Executive Liaison.

20. Shall give all outgoing officers certificates of appreciation at the end of their term at the annual convention.

21. Shall have no more than two Scroll of Merit awards. The recipients are to be reported to the Board at the April quarterly meeting.

22. Shall have primary responsibility for the implementation of resolutions passed by the House of Delegates that affect the BOT.

23. Shall present to House of Delegates an attendance/participation calendar of the BOT as a part of year-end report.

24. Shall report inactive trustees to Judicial Committee for consideration of replacement.

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25. Shall perform other functions as may be deemed by the Board of Trustees and House of Delegates that may be required to implement the Constitution and its Bylaws and to fulfill directives of the HOD.

26. Shall give all past officers’ certificates of appreciation as they leave office. Customarily to be done in the morning prior to the election of new board officers.

II. Secretary A. Board Meetings

1. Must attend all meetings of the Board of Trustees. 2. Shall provide all members of the BOT a proposed agenda at least two weeks prior to

each meeting. 3. Shall verify that a quorum has been attained at each BOT Meeting. 4. Shall ensure accurate minutes of the BOT meetings are completed and distributed

within 60 days after the adjournment of the BOT Meeting. 5. Shall keep up with motions made during the BOT meeting and be the source of

reiteration of motions that may be unclear. 6. Must ensure a grid of action items passed and unfinished business at BOT meeting is

disseminated by staff within 14 days after BOT meeting. 7. Shall act as Vice-Chairperson of the BOT and Executive Committee, if the

Chairperson of the Board of Trustees has to be away for an extended period of time. 8. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest

Statement at first board meeting once elected in office. B. Executive Committee

1. Shall act as Vice-Chairperson of the Executive Committee, if the Chairperson of the Board of Trustees has to be away for an extended period of time.

2. Shall serve as Secretary of the Executive Committee. As such, shall record and distribute for review and approval all minutes of Executive Committee meetings/conference calls.

3. Shall ensure that accurate minutes of the Executive Committee meeting are provided to the Board of Trustees.

C. General

1. Work in conjunction with chairman to ensure proper referral of action items to be approved by the House of Delegates.

2. Shall ensure that a written report is given to the House of Delegates at each Annual Convention, documenting the actions of the Board with respect to the resolutions and recommendations from the previous year.

III. President

A. House of Delegates Councils 1. Shall appoint all HOD Council Chairpersons and members, and present those

appointments to the HOD at the convention. Any appointments not filled at the convention must be filled and presented at the October Board meeting.

2. Shall replace all non-functioning Council chairs and members and present those appointments to the BOT following replacement.

3. Shall appoint the Chairpersons of all Ad hoc HOD Committees as terms expire or vacancies occur. These must be reported to the BOT in his/her report.

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4. Shall review the responsibilities of each council chairperson before their appointment.

5. Shall communicate with all council chairpersons at least monthly to discuss the progress of that council's tasks.

6. Shall report on councils’ progress at each BOT meeting. Any pressing development should be reported at the Executive Committee meeting following such event.

7. Shall inform all council chairpersons of any pertinent decisions relative to their council made by the HOD, BOT, or EC.

B. Executive Committee

1. Shall participate in all Executive Committee meetings. 2. Shall have a vote on the Executive Committee. 3. Shall report to the Executive Committee on progress of the Councils and all other

areas that the President oversees. 4. Shall submit a report of presidential activities within 48 hours before routinely

scheduled Executive Committee meetings. 5. Shall relay decisions of the Executive Committee regarding a particular council to

that council's chairperson. C. Board of Trustees

1. Is a voting member of the Board of Trustees. 2. Must attend all Board meetings and submit a typewritten report detailing their

activities since the last Board meeting. This is to be submitted electronically at least 14 days prior to the board meeting to National Office for dissemination.

3. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest Statement at first board meeting once elected in office.

D. General

1. Shall give an inaugural address at his/her installation ceremony. 2. Shall preside along with the Chairman of BOT at the formal opening awards ceremony

of the NMA Convention. 3. Shall give a farewell speech at the President’s Installation at the subsequent

Convention. 4. Shall deliver an annual address to the opening session of the House of Delegates. 5. Shall meet with the Special Assistant to the President immediately following

installation at the National Convention. 6. Shall upon election, represent the NMA at the meeting of the ANMA immediately

after the board meeting on the last day of the convention. 7. Shall meet with the Chairperson and the Executive Director not later than 3 weeks

after the national convention to become familiar with office operations. 8. Shall along with the Chairman and Speaker of the HOD conduct the evaluation of the

Executive Director jointly every six months. The format is to be drafted by the Personnel Committee of the BOT.

9. Shall attend meetings where NMA representation is needed. Expenses are covered based upon funds available as specified by Finance Office or at the expense of the President or sponsor if it exceeds the approved budget.

10. Shall have no more than two Scroll of Merit awards. These are to be reported to the Board meeting held in conjunction with the Interim House of Delegates meeting.

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11. Must maintain his/her own working email account, and answering machine/service. 12. Shall inform the President-Elect of his/her responsibilities for the following year. 13. Shall personally or have a designee attend all medical school commencement exercises

to which they are invited.

IV. Immediate Past President A. Board of Trustees Meetings

1. Must attend all meetings of the Board of Trustees. 2. Is a voting member of the Board of Trustees. 3. Shall present a typed report detailing his/her activities and any action items to the

Board of Trustees. This is to be submitted at least two weeks prior to board meeting electronically to National Office for dissemination.

4. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest Statement at first board meeting once elected in office.

B. General

1. Shall serve as a resource for current president. 2. Provide contacts and information that might be beneficial to the President so that

he/she may serve the organization at their maximum potential.

V. President-Elect A. Board of Trustees Meetings

1. Must attend all meetings of the Board of Trustees. 2. Is non-voting member of the Board of Trustees. 3. Shall present a typed written report detailing his/her activities and presenting any

action items to the Board of Trustees. This is to be submitted electronically at least two weeks prior to the board meeting to the National Office for dissemination.

4. Shall use their yearlong term as President-Elect to develop an Executive Strategic Agenda to be implemented during their term as President. This Agenda is to be presented to BOT by the April Meeting.

5. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest Statement at first board meeting once elected in office.

B. Executive Committee

1. Shall serve as a non-voting member of the Executive Committee. 2. Shall attend all meetings of the Executive Committee without voting privileges.

C. General

1. Shall prepare to fill the Presidential appointments, including National Council Chairpersons, at the National Convention upon or before becoming President.

2. Shall learn from the President the roles and responsibilities of the Presidency. 3. Shall coordinate travel and NMA representation at external conferences events with

the National President and Chair of the BOT.

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VI. Treasurer A. Board of Trustees Meetings

1. Is a non-voting member of the Board. 2. Must attend all Board meetings. 3. Shall report to the BOT detailing the present financial condition of the organization,

including: a) year to date income statement detailing all expenditures and received revenues, b) all accounts payable and accounts receivable, c) current bank balance, and d) an account of all national debts.

4. The report is to be submitted electronically at least two weeks prior to the board meeting to the National Office for dissemination.

5. Shall present a proposed budget for the next calendar year, January 1 to December 31 to the BOT at the April meeting for approval.

6. Shall present a final fiscal year report at April Board meeting for the previous year. 7. Shall review bank statements of previous years and report on management of

accounts to the Board. 8. Shall provide a detailed and graphic report outlining the performance of the

investment accounts to the Committee on Administrative and Financial Affairs (CAFA) and to the Finance Committee of the Board of Trustees.

9. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest Statement at first board meeting once elected in office.

B. Executive Committee

1. Shall serve as a non-voting member of the Executive Committee and attend all meetings. C. General

1. Shall be custodian of the accounts of the Association as written in the Constitution and Bylaws Chapter V., Section 4.

2. Shall present a financial report to the House of Delegates listing all financial activity since the start of the new fiscal year and presenting a listing of all accounts receivable and accounts payable.

3. Shall notify Section Chairs immediately, in writing of any section overdrafts. VII. Speaker of the House A. Board Meetings

1. May attend all meetings of the Board of Trustees. 2. May participate ex-officio and with the right to vote, at all sessions of the BOT and EC. 3. Shall present a typed report detailing his/her activities and presenting any action items to

the Board of Trustees. This is to be submitted electronically at least two weeks prior to the Board meeting to National Office for dissemination.

4. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest Statement at first board meeting once elected in office.

B. Executive Committee

1. Shall participate, ex-officio and with the right to vote, on Executive Committee. 2. Shall be the voice of the House of Delegates to the Executive Committee.

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3. Shall make sure that the directives given by the HOD are followed. C. General

1. Shall have primary responsibility for the implementation of programs administered by Councils of the House of Delegates.

2. Shall complete the following so that the House of Delegates may adjourn: a. Verify and announce the elections results

b. Ensure verification and announcement of the itemized tally of constitutional amendments and resolutions; and,

c. Affix his/her signature to the minutes of the HOD. 3. Shall along with the Chairman and President evaluate the Executive Director every six

months. The format is to be drafted by the Personnel Committee of the BOT. VIII. Vice Speaker of the House A. Board Meetings

1. May attend all meetings of the Board of Trustees. 2. May participate, ex-officio and without the right to vote, in the open sessions of the

Board of Trustees and on the Executive Committee. 3. Shall present a typed report detailing his/her activities and presenting any

recommendations for action by the Board of Trustees. This is to be submitted at least two weeks prior to the board meeting electronically to National Office.

B. General 1. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest

Statement at the first board meeting once elected in office.

IX. Secretary of the House A. Board Meetings

1. May attend all meetings of the Board of Trustees. 2. He/She may participate, ex-officio and without the right to vote, in the open sessions of

the Board of Trustees and on the Executive Committee. 3. Shall present a typed report detailing their activities and presenting any

recommendations for action by the Board of Trustees. This is to be submitted at least two weeks prior to board meeting electronically to National Office for dissemination.

B. General

1. Shall chair the Implementation Committee. 2. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest

Statement at first board meeting once elected in office. X. Executive Director A. Board Meetings

1. Shall attend all meetings of the Board of Trustees. 2. May participate, ex-officio and without the right vote, in the open sessions of the BOT. 3. Shall present a typed report detailing their activities and presenting any

recommendations for action by the Board of Trustees. This is to be submitted electronically at least two weeks prior to the BOT meeting for dissemination.

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4. Shall insure that four (4) forms are present on the day of election of BOT officers and distributed to all Board members:

a. Committee assignment request form, b. Board committee descriptions and their responsibilities, c. Confidentiality Agreement Forms, and d. Conflict of Interest Statements. 5. Shall ensure that senior staff is present throughout the Board meetings. 6. Shall ensure that all contracts are presented to the BOT by grid with dates of start and

completion, costs and description. Any newly executed contracts are to be presented to the BOT at the very next meeting.

7. Shall ensure all grants are presented to the BOT via a grid. It should indicate the dates, granting organization, principle investigator, amount of the grant and deliverables.

8. Shall ensure that all development funding is presented to the BOT by grid with at least the following information: donor, revenue solicited, revenue received, date received, purpose of contribution, confirmation documentation of receipt and the total amount of funding. This should be depicted separately for convention funding and other funding.

B. Executive Committee

1. Shall participate, ex-officio and without the right to vote, in the open sessions on the Executive Committee.

2. Shall make sure that the directives given by the House of Delegates are carried out and followed.

C. General

1. Must annually sign confidentiality agreement statement at first board meeting. 2. Shall assign a full time staff person to work with the President throughout their term of

office and will assign a backup staff person to assist the Office of the President when the Special Assistant is away from the office.

3. Shall make the Chair of the Board aware of all contracts prior to execution. 4. Shall work with the Treasurer regarding the checks for signage. Where applicable, after

the Treasurer signs the checks, the Chairperson will sign the checks and send them to the National office.

XII. Regional Chairs A. Board of Trustees Meetings

1. Must attend all meetings of the Board of Trustees. 2. Is non-voting member of the Board of Trustees. 3. Shall present a typed report detailing their activities and presenting any

recommendations for action by the BOT. This is to be submitted electronically at least two weeks prior to board meeting to National Office for dissemination.

4. Shall participate on at least two BOT committees. B. General

1. Shall be a resource to constituents of the region to disseminate information in the interim of the House of Delegates.

2. Must sign Confidentiality and Nondisclosure Agreement and Conflict of Interest Statement at first board meeting once elected in office.

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This version supersedes all versions prior to October 2014  

BOARD OF TRUSTEES

2014-2015 ROSTER [Private Address List – For Internal Use Only]

 OFFICERS

Garfield A. Clunie, M.D. 10 West 135th Street, 17F

3rd Year-1st Term Expires 2015

Chairman/Region I Trustee (212) 241-5681 Office

New York, NY 10037   (212) 348-7438 Office Fax

  (917) 370-7565 Cell Office:

  (917) 370-7565 Home 5 East 98th Street

 

  New York, NY 10037  

Assistant: Tara Jefferson- (212) 241-5681 Email:[email protected] NMA Assistant: Carla Welborn (202) 347-1895 [email protected]  

Preferred Mailing & Use for Overnight Deliveries: Home Practice: Maternal-Fetal Medicine    Lawrence L. Sanders, Jr., M.D. President-Elect 2488 Manor Walk (404) 756-1321 Office Decatur, GA 30030   (404) 378-3780 Home   (404) 202-4178 Cell

Preferred Mailing & Use for Overnight Deliveries: Home Email: [email protected] Practice: Internal Medicine Assistant: Ronna Branch (404) 752-1717 [email protected]  Michael A. LeNoir, M.D.

2014-2015 President 2488 Manor Walk (404) 756-1321 Office Decatur, GA 30030   (404) 378-3480 Home   (404) 202-4178 Cell Office: Email:[email protected] 720 Westview Drive Atlanta, GA 30310 Practice: Internal Medicine Assistant: NMA Assistant: Carla Welborn (202) 347-1895 [email protected]  

Preferred Mailing & Use for Overnight Deliveries: Home  

Michael A. LeNoir, M.D. 2013-2014 Immediate Past President 2940 Summit Street, #1 (510) 834-4897 Office Oakland, CA 94609-3410   (510) 291-2903 Office Fax   (510) 220-1169 Cell     (510) 339-1062 Home     E-Mail: [email protected]

                         Practice: Allergy & Immunology                      

Assistant: Carla Welborn (202) 347-1895

[email protected]   Rahn K. Bailey, M.D.

2014-2015 Immediate Past President Meharry Medical College

(615) 327-6606 Office 2940 Summit Street, #1 (510) 834-4897 Office Oakland, CA 94609-3410   (510) 291-2903 Office Fax   (510) 220-1169 Cell     (510) 339-1062 Home     E-Mail: [email protected]                                                 Practice: Allergy & Immunology  

NMA Assistant: Carla Welborn (202) 347-1895 [email protected]      

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This version supersedes all versions prior to October 2014  

   

 Traci C. Burgess, M.D., MPH 3rd Year - 1st Term Secretary P.O. Box 2049 Expires 2014 (201) 291-6324 Office Teaneck, N.J. 07666-1449   ( 201 291-6170 Office     (201) 291-6318 Office Fax The Center for Maternal Fetal Medicine at the Valley Hospital

  (201) 390-8067 Cell  E-mail: [email protected]   15 Essex Road

     Paramus, NJ 07652   Preferred Mailing: Home Practice: Maternal-Fetal Medicine,

OB/GYN & Use for Overnight Deliveries: Please call first      

 Edith P. Mitchell, M.D. 2nd Year - 1st Term President – Elect 301 Freedom Ct. Expires 2015 (215) 955-4652 Office

Newton Square, PA 19073   (215) 955-1961 Office Phone 2 (215) 503-4103 Fax

Office:

O

  (215) 503-4103 Office Facsimile (215) 460-9454 Cell

  (215) 610-356-3014 Home (215) 610-359-1110

Office: Email: [email protected] Kimmel Cancer Ctr of Thomas Jefferson University 233 South 10th Street, Suite 502 Philadelphia, PA 19107-5541 Preferred Mailing and Use for Overnight Deliveries: Practice: Medical Oncology Either of the above.

Lonnie Joe, Jr., M.D. 2014-2015 Speaker, House of Delegates 31551 West Stonewood Court                                  Expires 2015   (248) 557-5227 Office Farmington Hills, MI 48334   (248) 557-6920 Office 2

 Office: 22255 Greenfield #280 Southfield, Michigan 48075  

  (248) 557-1732 Office Fax (248) 730-2525 Cell

    Assistant: Sebrina West (248) 557-5227 Email: [email protected] NMA HOD Liaison: Jackie Freeman (202) 347-1895 Practice: Internal Medicine Preferred Mailing Address & Use for Overnight Deliveries: Office

 

Oliver T. Brooks, M.D.

Term Expires 2014  

Vice President, House of Delegates

4104 Country Club Drive (Home)   (323) 357-6693 Office Lakewood, CA 90712-3832   (323) 564-1631 Office Fax

(562) 421-1747 Home (562) 421-1747 Home Fax Email: [email protected]

Watts Health Care Corp 10300 Compton Avenue Los Angeles, CA 90712  

Practice: Pediatrics

Preferred Mailing Address & Use for Overnight Deliveries: Home

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This version supersedes all versions prior to October 2014  

Rachel Villanueva, M.D. 151 E. 31st Street, Apt 29-K

Term 2014-2015 Secretary, House of Delegates (212) 725-6060 Office

New York, NY 10016   (212) 725-6065 Office Fax  Office Address: 110 East 40th Street, Suite 801

  (212) 889-7626 Home

New York, N.Y. 10016   (917) 270-8516 Cell     E-Mail: [email protected]

Preferred Mailing & Uses for Overnight Deliveries: Home  

 Assistant: Wilma (212) 252-0111 Practice: OB/GYN

  C. Freeman, M.D., M.B.A 20 Ironsides Street, Unit 1 Marina del Rey, CA 90292-5956 Office: 1414 S.Grand Ave. #410 Los Angeles, CA 90015

3rd Year-1st Term Expires 2015

Treasurer (310) 512-7760 Office (310) 512-7760 Fax (310) 823-7275 Home (310) 383-0990 Cell

Preferred Mailing & Uses for Overnight Deliveries: Home  

 

  E-mail: [email protected]

Practice: Geriatrics/ Psychiatry  

Leon McDougle, M.D., MPH CAFA Chair Associate Professor of Family Medicine (614) 688-649 Office Associate Dean for Diversity and Cultural Affairs (614) 688-6491 Fax Chief Diversity Officer Lead Physician-Research, OSU Family Medicine at CarePoint East OSU Family Medicine at CarePoint East 543 Taylor Avenue 2nd Floor Columbus, Ohio 43203 Email:[email protected]

Practice: Family Medicine

 

Executive Director -Vacant

 

 

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TRUSTEES

Garfield A. Clunie, M.D. 140 West 124th Street, PH-11

2nd Year-1st Term Expires 2015

Region I Trustee and Chairman (212) 241-5681 Office

New York, NY 10027   (212) 348-7438 Office Fax   (917) 370-7565 Cell

  E-Mail : [email protected]    

Practice: Maternal-Fetal Medicine  

Assistant: Tara Jefferson- (212) 241-5681  

P. Grace Harrell, M.D. 1st Year Region I - Trustee 4 Canal Park Term Expires 2015 (617) 596-5685 Office Cambridge, MA 02141     Office: MGH Anesthesia Email: [email protected] Jackson 4 Practice: Anesthesiology

Boston, MA 02114 Preferred Mailing & Uses for Overnight Deliveries: Office

Wesley B. Carter, M.D. 1st Year - 1st Term Region II – Trustee 1407 Wentbridge Rd. Expires 2015 (804) 338-3014 Cell Richmond, VA 23227   Philadelphia, PA 19107-5541  

Email: [email protected]

Preferred Mailing & Use for Overnight Deliveries: Practice: Child-General Psychiatry

Jackson L. Davis III, M.D. 1st Year-1st Term* Region II-Trustee 1213 Jamaica Street, NE (202)388-6000 Office Washington, DC 20011 (202)388-6001 Facsimile Office: (202)529-0034 Home

Assistant: Debbie Tooson-Harris (317) 221-2301 (202)550-7067 Cell 4121 Minnesota Ave. NE Washington, DC 20018 Email: [email protected] Preferred Mailing & Use for Overnight Deliveries: Home Practice: Urology John E. Arradondo, M.D. 1st Year – 1st Term Region III – Trustee 128 Dekewood Dr. 3rd Year - 1st Term Corporate Trustee Expires 2014 (201) 291-6324 Office   ( 201 291-6170 Office     (201) 291-6318 Office Fax   (201) 390-8067 Cell

 E-mail: [email protected]      

  Preferred Mailing: Home

Expires 2016 (615) 594-2586 Office Old Hickory, TN 37138-2163   (615) 847-1154 Office Fax   Email: [email protected] Preferred Mailing & Use for Overnight Deliveries: Office Practice: Anesthesia/ Critical Care

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Albert W. Morris, Jr., M.D. 2nd Year – 2nd Term Region III – Trustee 3236 Winddrift Circle Practice: Maternal-etal Medicine, OB/GYN

& Use for Overnight Deliveries: Please call first      

     128 Dekewood Drive

Expires 2015 (901)550-5834 Cell Email:[email protected] 594-2586 Office

Memphis, TN 38125   2013-14 Chairman 3236 Winddrift Circle Memphis, TN 38125 (901)550-5834 Cell

Email:[email protected]                            Practice: Radiolog  

  Email:[email protected] Preferred Mailing & Use for Overnight Deliveries: Home Practice: Radiology

   

Virginia A. Caine, M.D. 2nd Year-1st Term Expires 2015

Region IV- Trustee 8902 Riverbend Ct. (317) 221-2301 Office Indianapolis, IN 46250   (317) 841-9104 Home

(317) 753-3988 Cell Email:[email protected]

Jeffrey Clark, M.D.  CClCC_________________________________________________________________________________________________________Jeffrey K. Clark, M.D.

2nd Year-1st Term 1835 Lakeview Court Term Expires 2015 Bloomfield Hills, MI 48304  Preferred Mailing & Use for Overnight Deliveries: Home

Assistant: Gilda (313) 745-2332

 

Region IV – Trustee 1835 Lakeview Court Bloomfield Hills, MI 48304

(313) 745-2332 Office Bloomfield Hills, MI 48304   (313) 745-8907 Office Fax

(248)594-1847 Home (248) 594-1849 Home Fax (248) 933-3179 cell

 

Email: [email protected]  

Practice: Anesthesia/ Critical Care Preferred Mailing & Use for Overnight Deliveries: Home    

Henry M. Evans Jr., M.D. 2nd Year 1st Term Region V –Trustee 4301 Elysian Fields Expires 2015 (504) 284-3866 Office New Orleans, LA 70122     Preferred Mailing & Use for Overnight Deliveries: Home

Email: [email protected]   Practice: Family Practice

________________________________________________________________________________________

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Elise D. Cook, M.D. 2nd Year 1st Term Region V – Trustee Associate Professor Term Expires 2016 (713)-563-1474 Office UT M.D. Anderson Cancer Center (713) 404-0639 Pager Department of Clinical Cancer Prevention Unit 1360 (713) 468-6224 Home Houston, TX 77230-1439 (281) 468-6224 Cell P.O. Box 301439 (713) 563-5746 Fax Houston, TX 77230-1439 Home: E-mail: [email protected] 3909 Fernwood Dr. Houston, TX 77021 Practice: Cancer Prevention

Preferred Mailing & Use for Overnight Deliveries: Home

 

Gail N. Morgan, M.D. 5253 South Graham Street Seattle, WA 98118

2nd Year-1st Term Term Expires 2015

Region VI- Trustee (206) 223-6851 ext. 57238 Office (206) 344-7959 Fax (206) 860-1063 Home

Office: Virginia Mason Medical Center 1100 Ninth Ave. Seattle, WA 98118

  (206) 300-0777 Cell (206) 540-5650 Pager Email: [email protected]        

Preferred Mailing & Use for Overnight Deliveries: Home                                           Practice: Diagnostics/Radiology  

Warren James Strudwick Jr., M.D. 2nd Year – 1st Term Region VI – Trustee 5852 McAndrew Dr. Expires 2016 (510) 922-1614 Office Oakland, CA 94611   (510) 290-9995 Cell   (510) 339-0339 Home Office:  

5900 Hollis St. Suite K Email: [email protected] Emeryville, CA 94608 Preferred Mailing & Overnight Deliveries: Office Practice: Orthopedic Surgery, Sports Medicine

Traci C. Burgess, M.D., MPH 1st Year – 2nd Term Corporate Trustee P.O. Box 2049 Expires 2014 (201) 291-6324 Office Teaneck, N.J. 07666-1449   ( 201 291-6170 Office     (201) 291-6318 Office Fax The Center for Maternal Fetal Medicine at the Valley Hospital

  (201) 390-8067 Cell  E-mail: [email protected]   15 Essex Road

     Paramus, NJ 07652   Preferred Mailing: Home Practice: Maternal-Fetal Medicine, OB/GYN & Use for Overnight Deliveries: Please call first      

       

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Michael G. Knight, M.D. 2nd Year 1st Term Postgraduate Trustee 435 E. 70th St., Apt. 33-E Expires 2015 (917) 444-0749 Office New York, NY 10021  

Preferred Mailing/Overnight: Home HH::Deliveries: Office

53

o

  Email: [email protected]

 Topaz Sampson 2nd Year 1st Term Student Trustee 65 Vine St. #2 Expires 2015 (347) 526-4482 Cell Dayton, OH 45409  

Email: [email protected] Practice: MSIII

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REGIONAL CHAIRPERSONS  

Camille A. Clare, M.D., MPH Region I - Chairperson 1376 Midland Ave., # 402 (212) 423-6796 Office Bronxville, NY 10708   (212) 423-8121 Fax   (917) 449-3033 Cell Office:

Metropolitan Hospital 1901 First Ave. Email: [email protected]        New York, NY 10029              Practice: Obstetrics/Gynecology

Preferred Mailing & Use for Overnight Deliveries: Home Assistant:

 Lornel G. Tompkins, M.D. Region II - Chairperson 3200 Waterton Drive (804) 788-0556 Office Midlothian, VA 23113-2148

  (804) 640-9811Home   (804) 320-1457 Fax

(804) 640-9811 Cell Email: [email protected] Office:

                                                                                                     Practice: Pulmonology   Preferred Mailing & Uses for Overnight Deliveries: Home    

Gloria D. Frelix, M.D., M.H.A Region III - Chairperson 301 S. Dogwood Trail (252) 619-6090 Cell Elizabeth City, NC 27909   (252) 331-1044 Home  

 

  E-mail: [email protected] Preferred Mailing & Uses for Overnight Deliveries: Home   Practice: Radiation Oncologist  

Adrienne Ray, M.D. Region IV- Chairperson 6912 South Shore#2 S

(312) 670-2530 Office Chicago, Illinois 60649   (708) 488-0072 Office #2

(773) 363-3668 Home (773) 791-4843 Cell (312) 250-5315 Pager

Assistant: Office:

625  

Email: [email protected]

     625 N. Michigan Ave. Ste: 210 Practice: Obstetrics/Gynecology Chicago, Illinois 60611                             Preferred Mailing & Uses for Overnight Deliveries: Home

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Joia Crear-Perry, M.D. Region V - Chairperson 58 Fontainebleau Drive (504) 361-3003 Office

New Orleans, LA 70125-3445   (504) 813-4450 Cell  

 

  (504) 218-7074 Home Office: (504) 365-1127 Office Fax  

4747 Earhardt Blvd., Suite J E-mails: [email protected] N.O., LA 70125 [email protected] Assistant: Shani Hunter (504) 361-3003  

                                                                                                                                                Practice: Obstetrics/Gynecology Preferred Mailing & Uses for Overnight Deliveries: Home    

Richard Allen Williams, M.D. Region VI- Chairperson 3425 Clairton Place (818) 907-65790 Office Encino, CA 91436   (818) 907-6750 Home     (818) 907- 0510 Home Fax     (310) 991-8027 Cell  

Preferred Mailing & Uses for Overnight Deliveries: Home

  E-mail: [email protected]  

Practice: Cardiology  

Melvin Gravely Parliamentarian Office: (614) 901-3369

Fax: (614) 342-6242 Fax: (614) 342-6242

(504) 813-4450 Cell

3195 Genevieve Drive Columbus, Ohio 43219-3088

Fax: (614) 342-6242 (504) 218-7074 Home

Columbus, Ohio 43219-3088

     

  Emails: [email protected]    /      [email protected]  

 

 

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NATIONAL MEDICAL ASSOCIATION BOARD OF TRUSTEES COMMITTEES

ROLES AND RESPONSIBILITIES (Updated September 2011)

Role of the Committee Member A Board of Trustees (BOT) Committee Member must adequately review and be prepared to discuss specific recommendations brought before the committee inclusive of minutes and/or reports presented at previous meetings. The Committee Member should be able to clearly communicate ideas and work cooperatively with the Committee Chair to complete the steps necessary for the Committee to accomplish its given task. Responsibilities of Committee Members

1. Attend meetings and conference calls on time and work within the defined agenda. 2. Review materials given to committee members relating to agenda items. 3. Be prepared to fully participate in committee deliberations and activities. 4. Maintain a record of and complete assignments, and be prepared to discuss and report on

their status.

Role of Committee Chairs Strong leadership is the cornerstone of success in chairing a committee. The BOT Committee Chair must clearly communicate goals and objectives to committee members and association staff. Committee meetings should adhere to a specific agenda that will guide the committee through all of the steps necessary to accomplish its given task.

Responsibilities of the Committee Chairs

1. Develop the committee’s yearly goals and objectives with committee members at the first meeting. This should be developed with review of the previous year’s minutes, action items and strategic agenda as it pertains to the specific committee. 2. Ensure that all members understand their individual roles and responsibilities, as well as that of the committee. 3. Schedule meetings/conference calls for the upcoming year. This information should be provided to the BOT Liaison. 4. Attend all meetings and conference calls. 5. Develop an agenda for each meeting. 6. Keep a timely meeting in accordance with the agenda. 7. Ensure that adequate minutes are recorded for each meeting/conference call. 8. Ensure committee members receive all pertinent information regarding an issue. 9. Lead pertinent and directed discussion, and include all committee members in deliberations and decisions. 10. Maintain a record of relevant information. Keep track of assignments and their status. 11. Evaluate and communicate committee efforts. The Chair has responsibility for keeping committee members, Association leadership and the membership abreast of the committee activities.

Page 53: NMA Board of Trustees Orientation Notebook-2014

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STANDING COMMITTEES

Role of Standing Committees Standing committees coordinate, and cooperate with each other to fulfill the NMA's mission. There are two (2) standing leadership committees (Executive and NMA/ANMA Liaison) and seven (7) standing committees of the Board of Trustees that conduct the business of the Association in between the meetings of the House of Delegates.

Executive

NMA/ANMA Liaison

Convention

Educational Affairs

Financial Affairs

Grants and Special Projects

Governance and Compliance

Health Policy

Membership

Publications

_________________________________________________________________________________

LEADERSHIP COMMITTEES CHARGES

Executive Committee

The Executive Committee, between Board of Trustees meetings, carries out the policies and the mission as defined by the House of Delegates and effects timely actions for maximal effectiveness and optimum efficiency in the conduct of NMA affairs. The Committee oversees the management of the National Office and has final responsibility for financial integrity and fiscal health of the organization, in accordance with the mandate of the Constitution and By-Laws of the National Medical Association. _________________________________________________________________________________

NMA/ANMA Liaison Committee

The NMA/ANMA Liaison Committee facilitates cooperation between the two organizations, and makes recommendations in the coordination of programs and activities of mutual interest and shared benefit between the NMA and Auxiliary to the National Medical Association (ANMA). _________________________________________________________________________________

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BOT COMMITTEE CHARGES Convention Committee The Convention Committee recommends and assists in the coordination of activities and plenary for the annual NMA Convention. The Committee facilitates meaningful cooperation between the Association and ANMA in activities of mutual interest and shared benefit. The Committee also promotes activities through which medical students may enhance their organizational skills and embrace the goals and objectives for which the Association stands.

Educational Affairs Committee The Educational Affairs Committee monitors, in conjunction with the Director of Continuing Medical Education (CME) and the Chairperson for the Council on Educational Affairs, all the national, regional and local meetings. The Committee develops and maintains guidelines for speakers and participants, and makes recommendations for guidelines of participation by other medical groups in scientific forums in which CME is given by the NMA.

Financial Affairs Committee The Financial Affairs Committee provides policy guidance to the Board on matters related to expenditures of any entity of the Association. Assists the Treasurer to develop and recommend an appropriate budget for the organization. This committee is assigned the responsibility for recommending a resource development plan, which will assure the availability of adequate financial and related resources essential to the conduct of the various programs and functions approved by the House of Delegates (HOD). In considering the financial needs of the organization, the Committee recommends dues and fees to the Board of Trustees for action by the HOD. The Committee is responsible for personnel issues, including but not limited to policy, severance pay, benefits, vacation, and sick leave.

Health Policy Committee The Health Policy Committee identifies, researches, and formulates health policy positions that reflect the perspective of African American and minority physicians who are engaged in the practice of medicine or medical education. Issues to be addressed include: (1) access to medical education and/or medical practice opportunities; (2) financing mechanism for medical services; (3) legislative initiatives to facilitate the delivery of quality medical services to all segments of the national population; (4) professional standards, licensure, recertification, and disciplinary procedures; (5) minority physician development and related health care personnel; (6) medical research significant to America’s seniors; and (7) oversight and assistance in the development of materials for legislative hearings and public information.

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4

The Committee should evaluate resolutions from the HOD that will be used in public statements regarding the NMA’s position in health-related areas and other areas pertinent to the welfare of its membership. The Committee serves as a resource to the Board providing information necessary for resolving issues. The committee should act on pertinent recommendations adopted at the Annual Convention and report to the Board of Trustees. The Committee should work in conjunction with the Council on Medical Legislation (CML) and CME, and to conduct regional meetings with them.

Grants and Special Projects (R& D) Committee The Grants and Special Projects (R&D) Committee develops guidelines for and reviews and monitors all proposals relative to activities that are to be sponsored by the Association or any of its organizational elements, (i.e., Scientific Sections, Regions, Councils, Special Committees and Task Forces) and that seek funding by grant contract or endorsement, regardless of the source.

Governance and Compliance Committee The Governance and Compliance Committee recommends and develops policy that governs the roles, responsibilities and performance of Board of Trustees members and National Officers of the Association. It provides rules for compliance to the standards, policies and principles of the NMA. The committee shall be responsible for new Board member orientation, Board self-evaluation and educational programs for the Trustees. The Committee will also promote membership development for future Board participation. _________________________________________________________________________________________________

Membership Committee

The Membership Committee shall pursue methods toward increasing membership in the NMA. Strategies will be reviewed and implemented in reference to student, fellow, and resident membership, as well as retention and reclamation of old memberships. The Committee will work closely with assigned staff from the National Office in an effort to develop and maintain efficient and effective mechanisms for the membership process. The Committee shall make recommendations on mechanisms whereby the membership will have full access to the benefits offered by our Association (i.e., auto leasing, insurance programs, merchandise discounts, travel discounts, hotel discounts, member loans, equipment leasing). The committee, prior to presentation to the Board of Trustees, shall review recommendations regarding membership in the organization. _________________________________________________________________________________

Publications Committee The Publication Committee shall be directly responsible to the Board of Trustees and is responsible for recommending and working with the Publisher. It shall evaluate the contents and editorial policies of the JNMA regularly and make recommendations to the BOT. It shall determine and approve the amount and content of all advertising appearing in the Journal, shall supervise matters dealing with pagination and finances, and may summon consultants, subject to approval of the Chairman of the Board and when deemed necessary. Any expenses of such meetings should be defrayed from the Journal.

Page 56: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION BOARD OF TRUSTEES AD HOC COMMITTEES

AND TASK FORCES ROLES AND RESPONSIBILITIES

(Updated September 2011)

Audit Committee

In compliance with the Sarbanes-Oxley Act of 2002, the Audit Committee, working as an independent arm of the BOT, provides oversight of the audit. The Committee may establish, prior to the Audit, the anticipated scope of the audit, the general extent of the audit planned, and the major risks to be addressed. After the Audit, the external auditors will meet with the committee to present the audited financial statements, discuss any limitations placed on the scope or nature of the testing performed, outline deficiencies in internal controls, and relay recommendations for addressing outcome. Other tasks should also include:

Ensure that annual staff performance evaluations are completed.

Review yearly the performance of the external auditors and determine, whether the contract with the current firm should be renewed, or if bids should be taken to find a new auditor.

Responsible for understanding and monitoring the internal controls in place within the organization; and work with the Executive Director in reference to other matters. Policies should be reviewed and an understanding of how risks are assessed should be developed.

Report directly to the full Board of Trustees at least once a year. The Board should then review and approve the committee's charter for the coming year

Health Information Technology (HIT) Task Force The Health Information Technology (HIT) Task Force will advise the Board of Trustees on all matters relating to HIT adoption and implementation. It will also help NMA members prepare for HIT adoption pursuant to the HITECH Act. It will also serve to facilitate collaboration between the BOT and the wider NMA membership on all HIT issues. Finally, the Task Force will help to maintain collaborations and alliances between NMA and outside groups, regarding HIT adoption. ____________________________________________________________________________________ Strategic Agenda Planning Task Force The overall charge of the task group is to assist the Chair and Executive Director in reviewing and updating the NMA Strategic Plan 2006-2011 (Five-Year Strategic Plan) and developing the 2012-2017 Strategic Plan. The Committee assists the Chair in reviewing and ensuring that action items presented to the Board of Trustees for consideration address the NMA’s Annual Strategic Plan and operational objectives. The composition of the Strategic Plan Work Group includes the National Leadership, Senior Staff, Chairs of all Standing Committees of the Board of Trustees, Ad Hoc Committees, and Work Groups. Specific Objectives:

1. Complete previous year’s documents before October Board Meeting. 2. Finalize the Strategic Agenda for the upcoming operational year. 3. Monitor the indicators identified on the Strategic Agenda

Page 57: NMA Board of Trustees Orientation Notebook-2014

Revised September 2011

2

4. Prepare a report card and related documents for presentation to the BOT and HOD at the Annual meeting.

Page 58: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION BOARD OF TRUSTEES 2014-2015 Standing and Ad hoc Committees

(with Staff Liaison)

The President, Chair of the Board, and Executive Director are Ex Officio of all committees Updated 9/30/14

Executive Committee (C. Welborn)

NMA/ANMA Liaison Committee (C. Welborn)

Convention (Y. Fleming)

Convention, cont’d (Y. Fleming)

Garfield A. Clunie, M.D. – Chair [email protected] (917) 370-7565 Lawrence Sanders, M.D. [email protected] (404) 202-4178 Michael A. LeNoir, M.D. [email protected] (510) 220-1169 Lonnie Joe, Jr., M.D. [email protected] (248) 730-2525 Traci C. Burgess, M.D., MPH [email protected] (201) 390-8067 C. Freeman, M.D., MBA [email protected] (310) 383_0990 Gail N. Morgan, M.D. [email protected] (206) 300-0777 Jeffery Clark, M.D. [email protected] (248) 933-3179 Edith P. Mitchell, M.D. [email protected] (215) 955-4652 Executive Director –TBD

Garfield A. Clunie, M.D. – Chair [email protected] (917) 370-7565 Lawrence Sanders, M.D. – Chair [email protected] (404) 202-4178 Lonnie Joe, Jr., M.D. [email protected] (248) 730-2525 Michael A. LeNoir, M.D. [email protected] (510) 220-1169 Edith P. Mitchell, M.D. [email protected] (215) 955-4652 ANMA Velva Clark, RN, BS [email protected] Helen Kinard Scott, DPA [email protected] Charlotte Henderson, Ed.D [email protected] Sonya Scott [email protected] Regina Wheat-Gbadouwey [email protected] Mae S. Walton [email protected]

Lawrence Sanders, M.D. – Chair [email protected] (404) 202-4178 Lonnie Joe, Jr., M.D. [email protected] (248) 730-2525 Michael A. LeNoir, M.D. [email protected] (510) 220-1169 C. Freeman, M.D., MBA [email protected] (310) 383_0990 P. Grace Harrell, M.D., MPH [email protected] (617) 596-5685 Jeffery Clark, M.D. [email protected] (248) 933-3179 Oliver T. Brooks, M.D. [email protected] (310) 901-5179 Elise D. Cook, M.D. [email protected] (281) 468-6224 Joia Crear-Perry, M.D. [email protected] (504) 813-4450 Camille A. Clare, M.D., MPH [email protected] (917) 449-3033 Michael G. Knight, M.D. [email protected] (917) 444-0749

ANMA Velva Clark, RN, BS [email protected] Helen Kinard Scott, DPA [email protected] Charlotte Henderson, PhD [email protected] Sarita Cathcart-McLarin [email protected] Sharon Melvin, RN, MPH [email protected] Sabrina Williams [email protected] Judge Morris Overstreet [email protected]

Page 59: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION BOARD OF TRUSTEES 2014-2015 Standing and Ad hoc Committees

(with Staff Liaison)

The President, Chair of the Board, and Executive Director are Ex Officio of all committees Updated 9/30/14

Educational Affairs (C. Syphax/F. Charlouis)

Financial Affairs (A. Johnson)

Governance and Compliance (L. Battley)

Grants and Special Programs (Y. Fleming)

Edith P. Mitchell, M.D. – Chair [email protected] (215) 955-4652 P. Grace Harrell, M.D., MPH [email protected] (617) 596-5685 Jackson L. Davis, III.M.D. [email protected]

(202)-550-7067 Albert W. Morris, Jr. MD [email protected] (901)550-5834 Elise D. Cook, M.D. [email protected] (281) 468-6224 Henry M. Evans, Jr., M.D. [email protected] (504) 284-3866 Gail N. Morgan, M.D. [email protected] (206) 300-0777 John E. Arradondo, M.D., MPH [email protected] (615) 594-2586

Jeffery Clark, M.D. – Chair [email protected] (248) 933-3179 Rachel Villanueva, M.D. [email protected] (917) 270-8516 C. Freeman, M.D., MBA [email protected] (310) 383-0990 Traci C. Burgess, M.D., MPH [email protected] (201) 390-8067 John E. Arradondo, M.D., MPH [email protected] (615) 594-2586 Warren J. Strudwick, Jr., M.D. [email protected] (510) 290-9995 Elise D. Cook, M.D. [email protected] (281) 468-6224 Wesley B. Carter, M.D. [email protected] (804) 338-3015 Leon McDougle [email protected] (614) 596-2305

Gail N. Morgan, M.D. – Chair [email protected] (206) 300-0777 Lonnie Joe, Jr., M.D. [email protected] (248) 730-2525 Wesley B. Carter, M.D. [email protected] (804) 338-3015 Albert W. Morris, Jr. MD [email protected] (901) 550-5834 Richard A. Williams, M.D. [email protected] (310) 991-8027 Warren J. Strudwick, Jr., M.D. [email protected] (510) 290-9995 Adrienne Ray, M.D. [email protected] (773) 791-4843 Lornel, Thompkins, M.D. [email protected] (804) 640-9811 John E. Arradondo, M.D., MPH [email protected] (615) 594-2586

Virginia A. Caine, M.D. – Chair [email protected] (317) 753-3988 Richard A. Williams, M.D. [email protected] (310) 991-8027 Topaz Sampson, B.S. [email protected] [email protected] (347) 526-4482 Gloria D. Frelix, M.D., MHA [email protected] (252) 619-6090 Michael A. LeNoir, M.D. [email protected] (510) 220-1169 Adrienne Ray, M.D. [email protected] (773) 791-4843 Lornel, Thompkins, M.D. [email protected] (804) 640-9811 Michael G. Knight, M.D. [email protected] (917) 444-0749

Page 60: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION BOARD OF TRUSTEES 2014-2015 Standing and Ad hoc Committees

(with Staff Liaison)

The President, Chair of the Board, and Executive Director are Ex Officio of all committees Updated 9/30/14

Health Policy (C. Syphax/F. Charlouis)

Membership (Y. Fleming)

Membership, cont’d (Y. Fleming)

Publications (A. Valladares)

Edith P. Mitchell, M.D. – Chair [email protected] (215) 955-4652 Traci C. Burgess, M.D. , MPH [email protected] (201) 390-8067 Wesley B. Carter, M.D. [email protected] (804) 338-3015 Richard A. Williams, M.D. [email protected] (310) 991-8027 Michael A. LeNoir, M.D. [email protected] (510) 220-1169 Virginia A. Caine, M.D. [email protected] (317) 753-3988 Adrienne Ray, M.D. [email protected] (773) 791-4843 Lornell Thompkins, M.D. [email protected] (804) 640-9811 Henry M. Evans, Jr., M.D. [email protected] (504) 284-3866 ANMA Sharon Melvin, RN, MPH [email protected] Judge Morris Overstreet [email protected]

Joia Crear-Perry, M.D. – Chair [email protected] (504) 813-4450 Oliver T. Brooks, M.D. [email protected] (310) 901-5179 C. Freeman, M.D., MBA [email protected] (310) 383_0990 Jackson L. Davis, III.M.D. [email protected] (202)-550-7067 Jeffery Clark, M.D. [email protected] (248) 933-3179 Michael G. Knight, M.D. [email protected] (917) 444-0749 Topaz Sampson, B.S. [email protected] [email protected] (347) 526-4482 Rachel Villanueva, M.D. [email protected] 917-270-8516 Camille A. Clare, M.D., MPH [email protected] (917) 449-3033 Gloria D. Frelix, M.D., MHA [email protected] (252) 619-6090

ANMA Velva Clark, RN, BS [email protected] Helen Kinard Scott, DPA [email protected] Charlotte Henderson, Ed.D. [email protected] Regina Wheat-Gbadouwey [email protected] Sonya Scott [email protected] Ruth V. Creary, Ph.D. [email protected]

William Lawson, M.D. PhD Chair & Editor-in-Chief of the JNMA [email protected] (202) 865-6615 Michael A. LeNoir, M.D. [email protected] (510) 220-1169 Jackson L. Davis, III.M.D. [email protected] (202)-550-7067

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NATIONAL MEDICAL ASSOCIATION BOARD OF TRUSTEES 2014-2015 Standing and Ad hoc Committees

(with Staff Liaison)

The President, Chair of the Board, and Executive Director are Ex Officio of all committees Updated 9/30/14

Audit (Ad hoc) (A. Johnson)

Gloria D. Frelix, M.D., MHA – Chair [email protected] (252) 619-6090 Virginia A. Caine, M.D. [email protected] (317) 753-3988 Henry M. Evans, Jr., M.D. [email protected] (504) 284-3866 Camille A. Clare, M.D., MPH [email protected] (917) 449-3033

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2014-2015 STANDING COMMITTEE

MONTHLY MEETINGS

Executive Committee- 1st Tuesday

Health Policy Committee- 2nd

Monday

Educational Affairs Committee- 2nd

Tuesday

Membership Committee- 2nd

Wednesday

Publications Committee- 2nd

Thursday

Convention Committee- 3rd

Wednesday

Grants & Special Programs Committee- 3rd

Wednesday

Financial Affairs Committee- 3rd

Monday

Governance and Compliance Committee- 4th

Tuesday

* The Staff Liaison will work with the Committee Chair to prepare and disseminate

the agenda, minutes and related meeting materials, and to disseminate conference call

information.

* All Committee Chairs have the option to change their respective meeting day, as

long as it does not conflict with any other committee. Committee Chairs may also call

meetings as often as deemed necessary.

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Board of Directors Orientation Notebook

Section 4:

BOARD DOCUMENTS

1. Confidentiality and Nondisclosure Form 2. Conflict of Interest Policy 3. Board Members Agreement Form 4. Directors & Officers Insurance Policy Declaration Page

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NATIONAL MEDICAL ASSOCIATION

CONFIDENTIALITY AND NONDISCLOSURE AGREEMENT

This Confidentiality Agreement (“Agreement”) dated this _____ day of

_____________, is entered into by and between the National Medical Association, a New

Jersey not-for-profit association with its principal place of business at 8403 Colesville

Road, Suite 820, Silver Spring, Maryland (Montgomery County). (the “NMA”), and

____________________ (“Trustee”) (hereinafter referred to as the “Parties”).

RECITALS

WHEREAS, Trustee is a newly appointed member of the NMA Board of Trustees

(the “NMA Board”) who owes the NMA the fiduciary duties of care and loyalty; and

WHEREAS, Trustee and the NMA contemplate that in the course of performing

Trustee’s duties as a member of the NMA Board, Trustee will have access to privileged

and confidential information; and

WHEREAS, the Parties desire to set forth their understanding regarding Trustee’s

duty to keep confidential all information relating to the NMA and its business, operations

and personnel.

NOW, THEREFORE, in consideration of the above premises, the Parties agree as

follows:

1. Confidential Information. For purposes of this Agreement, “Confidential

Information” means all proprietary and confidential information of the NMA, whether

printed, written, oral, electronic or on software, disclosed by the NMA or acquired or

learned by Trustee in connection with the performance of Trustee’s duties, including but

not limited to: (i) financial information or other financial data, (ii) fundraising and grant

information, (iii) personnel information, (iv) business procedures, systems, operations,

plans, premises and processes, (v) service information (vi) member information, and (vii)

intellectual property rights.

The term “Confidential Information” shall not include any information which the

Trustee can demonstrate:

(a) is lawfully received free of restriction from another source having the right

to so furnish such information; or

(b) has become generally available to the public without breach of this

Agreement by the Trustee; or

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(c) which prior to the time or disclosure to the Trustee was rightfully in the

possession of the Trustee free of restriction as evidenced by

documentation in the Trustees’ possession.

2. Obligation of Confidentiality. The Parties agree that all Confidential

Information shall be kept confidential by the Trustee and, without the prior

written consent of the NMA, the Trustee shall not (i) distribute or disclose any

of the Confidential Information in any manner, (ii) permit any third party

access to the Confidential Information, or (iii) use the Confidential

Information for any purpose other than as stated herein or agreed in writing by

the NMA.

3. Ownership of Information. Trustee acknowledges and agrees that any

Confidential Information provided to Trustee, in whatever form, is the sole

property of the NMA. As such, nothing contained in this Agreement shall be

construed as granting or conferring upon Trustee any rights by license or

otherwise, express or implied, to any information, property or rights of the

NMA, including but not limited to, the Confidential Information.

4. Disclosures Required by Law or Court Order. In the event that Trustee

receives a request to disclose all or any part of the NMA’s Confidential

Information under the terms of a valid and effective subpoena or order issued

by a court of competent jurisdiction or by a governmental body, Trustee

agrees to immediately notify the NMA of the existence, terms and

circumstances surrounding such a request so that the NMA may seek an

appropriate protective order, or waive compliance by Trustee with the

appropriate provisions of this Agreement. If Trustee is compelled to disclose

any of the NMA’s Confidential Information, Trustee shall disclose only that

portion thereof which Trustee is compelled to disclose and Trustee shall use

his/her best efforts to obtain an order or other reliable assurance that

confidential treatment will be accorded to the Confidential Information so

disclosed.

5. Return of Confidential Information. If Trustees ceases to be a member of the

NMA Board, then all documents, records, materials and similar repositories of

information, including any and all copies thereof containing Confidential

Information relating to the NMA then in the possession of Trustee, prepared

by or obtained from the NMA, shall be promptly surrendered and delivered to

the NMA. Likewise, Trustee shall certify in writing the destruction of all

notes, analyses and other information prepared or extracted by Trustee from

the Confidential Information.

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6. Injunctive Relief. Trustee agrees that any threatened or existing violation of

this Agreement would cause the NMA irreparable harm for which it would not

have adequate remedy at law, and that the NMA shall be entitled to seek

immediate injunctive relief prohibiting such violation in addition to any other

rights or remedies which the NMA may have at law of in equity.

7. No Waiver of Rights. It is understood and agreed that no failure or delay by

the NMA in exercising any right, power or privilege hereunder shall operate

as a waiver thereof, not shall any single or partial exercise thereof preclude

any other or further exercise thereof or the exercise or any right, power or

privilege hereunder.

8. Indemnification Expenses. Trustee agrees to indemnify the NMA for any and

all losses, liabilities, obligations, damages, penalties, judgments, suits, costs,

expenses or disbursements of any kind (including without limitation,

attorneys’ fees and expenses) arising out of, or incurred by the NMA, as the

result of a violation, breach or non-performance by Trustee of any of the terms

of this Agreement.

9. Entire Agreement. This Agreement sets forth the entire agreement and

understanding of the Parties concerning the subject matter hereof, and no

representation, promise, inducement or statement of intention not set forth in

this Agreement has been made by or on behalf of either Party hereto.

10. Severability Survival. If any provision of this Agreement is held to be illegal,

invalid or unenforceable, such provision shall be fully severable and this

Agreement shall be construed as if the illegal, invalid or unenforceable

provision had never been a part of this Agreement and remaining provisions

of this Agreement shall be given full force and effect. The restrictions and

obligations of this Agreement shall survive any expiration, termination or

cancellation of this Agreement and any relationship of the Parties and shall

continue to bind the parties and their successors, heirs and permitted assigns

in perpetuity.

11. Governing Law. This Agreement shall be governed by and construed in

accordance with the laws of the Montgomery County, Maryland, without

giving effect to its principles of conflict of laws. The parties hereto consent to

the jurisdiction of the courts of the Montgomery County, Maryland in all

matters pertaining to this Agreement.

12. Counterparts. This Agreement may be executed in counterparts, each of

which will be considered one and the same Agreement and will become

effective when such counterparts have been signed and delivered by each of

the Parties to the other Party, it being understood that the Parties need not sign

the same counterpart.

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IN WITNESS WHEREOF, the Parties have caused this Agreement to be signed

as of the date first above written.

NATIONAL MEDICAL ASSOCIATION

By: ______________________________

Name:

Title:

__________________________________

TRUSTEE

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National Medical Association Conflict of Interest Statement

for Officers, Trustees, Committee Members, Staff Members, and Consultants

No National Medical Association (hereinafter referred to as the “NMA”) Officer,

Trustee, Committee member or Staff shall derive any personal profit or gain, directly or

indirectly, by reason of his or her participation with the NMA. Each NMA Officer,

Trustee, Committee member, Staff or Consultant shall disclose to the NMA any personal

interest which he or she may have in any matter pending before the NMA, and shall

refrain from participation in any decision on such matter.

Any Officer, Trustee, Committee member, Staff or Consultant, who is also an officer,

trustee, director, committee member, employee or relative of a NMA donor, grantor,

supplier, vendor or other person or entity with which the NMA conducts business, shall

immediately inform the NMA or his or her affiliation with such person or entity. Further,

in connection with any Committee or Board of Trustee action specifically directed to any

such person or entity, he or she shall not participate in the decision affecting such person

or entity and the decision with respect to such person or entity must be made and/or

ratified by the full Board of Trustees.

All Officers, Trustees, Committee members, Staff and Consultants shall refrain from

obtaining any list of NMA members or personal or private solicitation purposes, at any

time during the term of their affiliation with the NMA.

At this time, I am or have served as an Officer, Trustee, Director, Committee member,

employee/or I am a relative of the following NMA donor, grantor, supplier, vendor or

other person or entity with which the NMA has conducted business within the past 5

years.

Now this is to certify that, except as described below:

1) I am not now, nor at any time during the past 5 years have been a participant,

directly or indirectly, in any arrangement, agreement, investment, or other

activity with any donor, grantor, supplier, vendor or other person or entity

doing business with the NMA, which has resulted or could result in personal

benefit to me;

2) I am not now, nor at any time during the past 5 years have been a director or

indirect recipient of any salary payments or loans or gifts of any kind, or any

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National Medical Association

Conflict of Interest Statement

2

free service or discounts or other fees from or on behalf of any person or

entity engaged in any transaction with the NMA; or

3) I have not obtained any list of NMA members for personal or private

solicitation purposes at any time during the term of my affiliation with the

NMA.

Any exceptions to 1, 2 or 3 above are stated below, or attached hereto, with a full

description of the transaction(s) and of the interest, whether direct or indirect, which I

have (or have had during the past 5 years) in the persons or entities having

transactions with the NMA.

Date: ______________ Signature: ________________________________

Printed: ________________________________

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NATIONAL MEDICAL ASSOCIATION

Board Member Agreement Form

Board duties

I will:

Attend Board meetings by phone or in person, as required in our policies and procedures. I will

be responsible for reviewing the NMA Board of Trustees & Officers Procedure Manual.

Review the agenda and supporting materials prior to Board and committee meetings.

Serve on committees and take on special assignments as needed.

Personally contribute to the National Medical Association (NMA)

Remain informed about NMA’s mission, services, and policies and promote the NMA

Provide support and advice to the Executive Director and staff in my role as volunteer, but avoid

interfering in management activities.

Support the organization by representing the organization in the community and with funders.

Support the board’s decisions and align with our leadership in executing board directives

Board member code of conduct I understand that the board has the duty to govern the corporate affairs of the NMA and is the body

legally responsible for the governance of the organization. As a board member, I therefore have the

duties of care, loyalty, and obedience to the organization.

The duty of care is the duty to monitor the organization’s activities, see that its mission is being

accomplished, and guard its financial resources. The duty of care relates to the expectation that

board members act not only in good faith, but with due care, including exercising reasonable

inquiry, acting as an ordinarily prudent person in such a position would.

The duty of loyalty requires that the board member must always act for the benefit of the

organization, and not for their own benefit or interest. It includes the duty to avoid conflicts of

interest, not take personal advantage of corporate opportunities, and to appropriately maintain

the confidentiality of private corporate affairs

The duty of obedience is to comply with the law and in carry out the purposes of the

organization in accordance with its mission as stated in the organizational documents.

As a board member I agree to:

Act with honesty and integrity

Support in a positive manner all actions taken by the board of directors even when I am in a

minority position on such actions. I recognize that decisions of the board can be made only by a

majority vote at a board meeting and I respect the majority decisions of the board, while

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2

retaining the right to seek changes through ethical and constructive channels, and in accordance

with the board’s procedures and policies.

Act as an board member, Officer, and member of a committee of the Board, acting within his/her

realm of designated authority

Participate in (1) the strategic planning, (2) board self-evaluation programs, and (3) board

development workshops, seminars, and other educational events that enhance my skills as a

board member.

Keep confidential information confidential.

Exercise my authority as a board member only when acting in a meeting with the full board or

when appointed by the board.

I will act within my designated authority as a board member, Officer, or committee member of

the Board according to our policies and procedures, and in adherence to the corporate

formalities required of a non-for-profit organization.

Work with and respect the opinions of my peers who serve this board, and leave my personal

prejudices out of all board discussions.

Always act for the good of the organization, represent it in a positive and supportive manner,

and protect the interests of all people served by the organization at all times.

Observe the parliamentary procedures and display courteous conduct in all board and

committee meetings.

Refrain from intruding on administrative issues that are the responsibility of management,

except to monitor the results of the organization.

Accept my responsibility for providing oversight of the financial condition of the organization.

Avoid acting in a way that represents a conflict of interest between my position as a board

member and my personal or professional life, even if those actions appear to provide a benefit

for the organization. This includes using my position for the advantage of my friends and

business associates. If such a conflict does arise, I will declare that conflict before the board and

refrain from voting on matters in which I have conflict.

Abide by this commitment and the board’s operating procedures as well as the organization’s

Constitution and By-Laws and adopted written policies and procedures.

___________________________________________ ___________________________

Signature Date

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Board of Directors Orientation Notebook

Section 5:

CORPORATE AND ORGANIZATIONAL DOCUMENTS

1. Articles of Incorporation 2. Constitution and Bylaws 3. Whistleblower Policy

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NATIONAL MEDICAL ASSOCIATION POLICY AND PROCEDURES

Chapter: Program Development

Key Words: guidelines, policy, procedures, manual

SUBJECT: WHISTLE-BLOWER POLICY NO: NMA- PAGE 1 OF 6 DATE: JULY 22, 2010

REFERENCE: SUPERSEDES:

I. PURPOSE

Purpose of the Whistleblower Policy

The National Medical Association’s (NMA) Board of the Directors hereby adopts the following employee

Whistle-Blower policy for reporting instances of wrongdoing within the organization. Wrongdoing includes,

but is not limited to, illegal or unethical acts and violations of the organization’s Standards of Ethics or other

NMA’s policies or procedures. Such policies and procedures would include accounting, internal accounting

controls, or auditing matters.

II. BACKGROUND

A. OVERVIEW

NMA’s Standard of Ethics requires its directors, officers, and employees to observe high standards of

business and personal ethics in the conduct of their duties and responsibilities. Employees and

representatives of NMA are expected to practice honesty and integrity in fulfilling their responsibilities and

to comply with all applicable laws and regulations. Furthermore, the NMA is committed to fostering and

maintaining an environment where employees can report wrongdoing or suspected wrongdoing without fear

of retaliation.

B. DEFINITIONS

Good Faith. Good faith is evident when a report is made without malice or consideration of personal

benefit and the employee has a reasonable basis to believe the report is true. However, a report does not

have to be proven to be true to be made in good faith. Good faith is lacking when the disclosure is

known to be malicious, false, or frivolous. Disclosures lacking good faith will be treated as serious

disciplinary offenses.

Wrongdoing. Examples of wrongdoing include, but are not limited to: fraud, including financial fraud

and accounting fraud; violations of laws and regulations; violations of NMA policies; unethical behavior

or practices; endangerment to public health or safety; and negligence of duty.

Adverse Employment Action. Examples of adverse employment action include, but are not limited to,

discharge, demotion, suspension, transfer to a lesser position, denial of promotions, denial of benefits,

threats, harassment, or any other manner of discrimination with respect to an employee’s terms or

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NATIONAL MEDICAL ASSOCIATION POLICY AND PROCEDURES

Chapter: Program Development

Key Words: guidelines, policy, procedures, manual

SUBJECT: WHISTLE-BLOWER POLICY NO: NMA- PAGE 2 OF 6 DATE: JULY 22, 2010

conditions of employment. Employees who engage in any such prohibited conduct in violation of this

policy will be subject to discipline, up to and including termination.

Compliance Officer: The Compliance Officer is responsible for investigating and resolving all reported

complaints and allegations concerning violations of this Policy and, at his or her discretion, shall advise

the Executive Director, Chairman Board of Trustees and/or the Governance and Compliance Committee.

The Compliance Officer has direct access to the Audit Committee and is required to report to the Audit

Committee at least annually on compliance activity. NMA’s Compliance Officer will be appointed by

Governance and Compliance Committee.

III. SCOPE

This policy applies to all NMA Directors, Officers, and employees.

IV. POLICY

National Medical Association prides itself on adherence to federal, state, local laws and regulations, and

maintains the highest standard for business ethics. As such, any employee who has a reasonable belief that

the National Medical Association or any of its employees has committed any violation of federal, state, or

local law or regulation, including any financial wrongdoing, is strongly encouraged to immediately report

the violation in writing to the Director of Human Resources or your immediate supervisor. In cases where

the employee has a reasonable belief that a complaint would include any of these individuals, the complaint

may be taken directly to the Executive Director of the National Medical Association. If the Executive

Director is believed to be involved in the matter being reported, such that a report of a matter would be

ineffective, the employee may make a report to the Chairman, NMA Board of Trustees.

In no circumstance shall supervisors perform investigations or take any other follow-up steps on their own.

The investigation will be conducted by the Association. Appropriate remedial and corrective action will be

taken if warranted, which may include referring the matter to the relevant law enforcement entity. Any

good faith report of wrongdoing will be held in confidence to the extent that the needs of the investigation

permit. It is National Medical Association’s policy that there will be no retaliation taken against the

reporting employee. Retaliation for a good faith report is, in itself, a violation of National Medical

Association policy and may result in disciplinary action up to and including termination. However, filing a

clearly frivolous report not made in good faith will not insulate an employee from appropriate personnel

action up to and including termination.

Note that financial wrongdoing may include, but is not limited to:

questionable accounting practices;

fraud or deliberate error in financial statements or recordkeeping;

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NATIONAL MEDICAL ASSOCIATION POLICY AND PROCEDURES

Chapter: Program Development

Key Words: guidelines, policy, procedures, manual

SUBJECT: WHISTLE-BLOWER POLICY NO: NMA- PAGE 3 OF 6 DATE: JULY 22, 2010

failure to adhere to internal accounting controls;

misrepresentations to company officers or the accounting department (including deviation from full

reporting of financial conditions).

Employees are reminded of the importance of keeping financial matters confidential. Employees with

questions concerning the confidentiality or appropriateness of disclosure of particular information should

contact Human Resources.

V. PROCEDURES

A. Staff Roles and Responsibilities

It is the responsibility of employees to comply with the policy and to report violations or suspected

violations in accordance with this Whistleblower Policy

B. Confidentiality and Anonymity

Every effort will be made to protect the complainant’s identity except (1) to the extent necessary to conduct

a complete and fair investigation, or (2) as required by law. A complainant may make an anonymous report.

Employees are encouraged, however, to put their names on reports of wrongdoing because appropriate

follow-up questions and investigation may not be possible unless the source of the information is identified.

Concerns expressed anonymously will be investigated, but consideration will be given to:

The seriousness of the issue raised;

The credibility of the concern; and

The likelihood of confirming the allegation from attributable sources

C. Steps

Report the wrongdoing to management to include: Director of Human Resources, your immediate

supervisor, Executive Director, Chairman, Board of Trustees.

Employee will complete Whistle-Blower Disclosure Statement.

Employee will be contacted by NMA’s Compliance Officer appointed by Governance and

Compliance Committee.

D. Evaluation

The Compliance Officer will notify the reporting employee and acknowledge receipt of the reported

violation or suspected violation to the reporting employee within seven business days. All reports will be

promptly investigated and appropriate corrective action will be taken if warranted by the investigation. The

Compliance Officer will forward all complaints regarding corporate accounting practices, internal controls,

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Chapter: Program Development

Key Words: guidelines, policy, procedures, manual

SUBJECT: WHISTLE-BLOWER POLICY NO: NMA- PAGE 4 OF 6 DATE: JULY 22, 2010

or auditing to the Audit Committee and will work with the Committee until the matter is resolved. During

the investigation process, the identity of the employee disclosing the information will be kept confidential to

the greatest extent possible and will be revealed only on a need-to-know basis or as required by law or court

order.

VI. QUESTIONS / INFORMATION

For further information regarding this policy and procedure please contact the Director Human Resources.

VII. ATTACHMENTS (Appendices referenced in document)

E. Appendix #1: National Medical Association Whistle-Blower Disclosure Statement

VIII. SUNSET DATE

Pursuant to the NMA guidelines, this policy shall be reviewed for continuance by May 01, XXXX.

IX. APPROVED

________________________ ________

Name Date

NMA Executive Director

________________________ ________

Name Date

Chair, NMA Board of Trustees

National Medical Association Whistle-Blower Disclosure Statement

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NATIONAL MEDICAL ASSOCIATION POLICY AND PROCEDURES

Chapter: Program Development

Key Words: guidelines, policy, procedures, manual

SUBJECT: WHISTLE-BLOWER POLICY NO: NMA- PAGE 5 OF 6 DATE: JULY 22, 2010

Personal Information:

Name: ____________________________ Email Address: _______________ Work Extension: _________

Are you requesting confidentiality? ________

Incident Information:

Date(s): __________________

Name of suspected employee(s):

______________________ ______________________ ______________________

______________________ ______________________ ______________________

Witness (es):

______________________ ______________________ ______________________

______________________ ______________________ ______________________

Do you have any evidence supporting the allegation? Yes / No

If yes, please describe:

Please describe any physical evidence left with the Management:

Description of the alleged violation (please be as specific as possible and attach additional sheets as necessary):

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Chapter: Program Development

Key Words: guidelines, policy, procedures, manual

SUBJECT: WHISTLE-BLOWER POLICY NO: NMA- PAGE 6 OF 6 DATE: JULY 22, 2010

Certification:

I have read and understand the National Medical Association’s Whistle-Blower Policy. I represent that the facts outlined

above are true and accurate to the best of my knowledge.

_____________________________ ____________

Signature Date

This disclosure statement has been received by NMA’s Management Staff on the date noted below, and I am in custody of

any evidence noted above.

_____________________________ ____________

NMA Management Staff Date

Page 147: NMA Board of Trustees Orientation Notebook-2014

Board of Directors Orientation Notebook

Section 6:

FINANCIAL INFORMATION 1. IRS Form 990 for Most Recent Fiscal Year 2. 2014 Budget 3. Budget at a Glance

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CORPORATE AND ORGANIZATIONAL DOCUMENTS

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FINANCIAL INFORMATION 1. IRS Form 990 for Most Recent Fiscal Year 2. Current Financial Statement 3. Current Budget

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REFERENCES 1. Summary of Parliamentary Procedures 2. Additional Resources

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DR

AFT

Checkifself-employed

OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

Check ifapplicable:

AddresschangeNamechangeInitialreturn

Termin-atedAmendedreturn Gross receipts $

Applica-tionpending

Are all subordinates included?

332001 10-29-13

| Do not enter Social Security numbers on this form as it may be made public.

Beginning of Current Year

Paid

Preparer

Use Only

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Open to Public Inspection| Information about Form 990 and its instructions is at

A For the 2013 calendar year, or tax year beginning and ending

B C D Employer identification number

E

G

H(a)

H(b)

H(c)

F Yes No

Yes No

I

J

K

Website: |

L M

1

2

3

4

5

6

7

3

4

5

6

7a

7b

a

b

Ac

tivi

tie

s &

Go

vern

an

ce

Prior Year Current Year

8

9

10

11

12

13

14

15

16

17

18

19

Re

ven

ue

a

b

Ex

pe

ns

es

End of Year

20

21

22

Sign

Here

Yes No

For Paperwork Reduction Act Notice, see the separate instructions.

(or P.O. box if mail is not delivered to street address) Room/suite

)501(c)(3) 501(c) ( (insert no.) 4947(a)(1) or 527

|Corporation Trust Association OtherForm of organization: Year of formation: State of legal domicile:

|

|

Net

Ass

ets

orFu

nd B

alan

ces

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is

true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Signature of officer Date

Type or print name and title

Date PTINPrint/Type preparer's name Preparer's signature

Firm's name Firm's EIN

Firm's address

Phone no.

Form

Name of organization

Doing Business As

Number and street Telephone number

City or town, state or province, country, and ZIP or foreign postal code

Is this a group return

for subordinates?Name and address of principal officer: ~~

If "No," attach a list. (see instructions)

Group exemption number |

Tax-exempt status:

Briefly describe the organization's mission or most significant activities:

Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets.

Number of voting members of the governing body (Part VI, line 1a)

Number of independent voting members of the governing body (Part VI, line 1b)

Total number of individuals employed in calendar year 2013 (Part V, line 2a)

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~

Total number of volunteers (estimate if necessary)

Total unrelated business revenue from Part VIII, column (C), line 12

Net unrelated business taxable income from Form 990-T, line 34

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

����������������������

Contributions and grants (Part VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~

Program service revenue (Part VIII, line 2g) ~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~Investment income (Part VIII, column (A), lines 3, 4, and 7d)

Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) ~~~~~~~~

Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) ���

Grants and similar amounts paid (Part IX, column (A), lines 1-3)

Benefits paid to or for members (Part IX, column (A), line 4)

Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)

~~~~~~~~~~~

~~~~~~~~~~~~~

~~~

Professional fundraising fees (Part IX, column (A), line 11e)

Total fundraising expenses (Part IX, column (D), line 25)

~~~~~~~~~~~~~~

Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)

Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)

Revenue less expenses. Subtract line 18 from line 12

~~~~~~~~~~~~~

~~~~~~~

����������������

Total assets (Part X, line 16)

Total liabilities (Part X, line 26)

Net assets or fund balances. Subtract line 21 from line 20

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~

��������������

May the IRS discuss this return with the preparer shown above? (see instructions) ���������������������

LHA Form (2013)

www.irs.gov/form990.

Part I Summary

Signature BlockPart II

990

Return of Organization Exempt From Income Tax990 2013

      

      

    §    

       

 

 

   

==

999

NATIONAL MEDICAL ASSOCIATION53-6010805

8403 COLESVILLE ROAD 920 (202) 347-18954,803,949.

SILVER SPRING, MD 20910GARFIELD A. CLUNIE, MD X

SAME AS C ABOVEX

WWW.NMANET.ORGX 1895 NJ

TO PROMOTE THE SCIENCE OF ARTAND MEDICINE.

23211421

49,014.0.

2,567,331. 2,665,478.2,657,025. 1,967,582.

70,461. 62,521.167,718. 82,720.

5,462,535. 4,778,301.0. 0.0. 0.

1,371,065. 922,811.0. 0.

219,969.5,071,966. 4,687,285.6,443,031. 5,610,096.-980,496. -831,795.

4,981,718. 4,063,534.2,619,768. 1,933,649.2,361,950. 2,129,885.

GARFIELD A. CLUNIE, MD, CHAIRMAN

YONG ZHANG, CPA P01249785MCGLADREY LLP 42-07143251861 INTERNATIONAL DRIVE, SUITE 400MCLEAN, VA 22102 703-336-6400

X

Page 196: NMA Board of Trustees Orientation Notebook-2014

DR

AFT

Code: Expenses $ including grants of $ Revenue $

Code: Expenses $ including grants of $ Revenue $

Code: Expenses $ including grants of $ Revenue $

Expenses $ including grants of $ Revenue $

33200210-29-13

1

2

3

4

Yes No

Yes No

4a

4b

4c

4d

4e

Form 990 (2013) Page

Check if Schedule O contains a response or note to any line in this Part III ����������������������������

Briefly describe the organization's mission:

Did the organization undertake any significant program services during the year which were not listed on

the prior Form 990 or 990-EZ?

If "Yes," describe these new services on Schedule O.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization cease conducting, or make significant changes in how it conducts, any program services?

If "Yes," describe these changes on Schedule O.

~~~~~~

Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses.

Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and

revenue, if any, for each program service reported.

( ) ( ) ( )

( ) ( ) ( )

( ) ( ) ( )

Other program services (Describe in Schedule O.)

( ) ( )

Total program service expenses |

Form (2013)

2Statement of Program Service AccomplishmentsPart III

990

 

   

   

NATIONAL MEDICAL ASSOCIATION 53-6010805

X

TO ADVANCE THE ART AND SCIENCE OF MEDICINE FOR PEOPLE OF AFRICANDESCENT THROUGH EDUCATION, ADVOCACY, AND HEALTH POLICY TO PROMOTEHEALTH AND WELLNESS, ELIMINATE HEALTH DISPARITIES, AND SUSTAINPHYSICIAN VIABILITY.

X

X

1,253,992. 670,017.GRANTS AND SPECIAL PROGRAMS - PROGRAMS DESIGNED TO IMPROVE THE STATUSOF HEALTHCARE FOR UNDERSERVED POPULATIONS.

1,028,680. 1,207,087.ANNUAL SCIENTIFIC ASSEMBLY AND CONTINUING MEDICAL EDUCATION - ANNUALSCIENTIFIC ASSEMBLY OF TWENTY FIVE MEDICAL SPECIALTY SECTIONS PROVIDESAN EDUCATIONAL FORUM FOR MEMBERS AND NON-MEMBERS TO DISCUSS CURRENTMEDICAL SCIENCE AND ISSUES AFFECTING UNDERSERVED POPULATIONS.

69,514. 90,478.PUBLICATIONS - MONTHLY JOURNAL PROVIDES MEMBERS AND SUBSCRIBERS WITHUP-TO-DATE INFORMATION ABOUT MEDICINE AND ISSUES AFFECTING UNDERSERVEDPOPULATIONS.

617,697.2,969,883.

2

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DR

AFT

33200310-29-13

Yes No

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

1

2

3

4

5

6

7

8

9

10

Section 501(c)(3) organizations.

a

b

c

d

e

f

a

b

11a

11b

11c

11d

11e

11f

12a

12b

13

14a

14b

15

16

17

18

19

20a

20b

a

b

a

b

If "Yes," complete Schedule ASchedule B, Schedule of Contributors

If "Yes," complete Schedule C, Part I

If "Yes," complete Schedule C, Part II

If "Yes," complete Schedule C, Part III

If "Yes," complete Schedule D, Part I

If "Yes," complete Schedule D, Part IIIf "Yes," complete

Schedule D, Part III

If "Yes," complete Schedule D, Part IV

If "Yes," complete Schedule D, Part V

If "Yes," complete Schedule D,Part VI

If "Yes," complete Schedule D, Part VII

If "Yes," complete Schedule D, Part VIII

If "Yes," complete Schedule D, Part IXIf "Yes," complete Schedule D, Part X

If "Yes," complete Schedule D, Part XIf "Yes," complete

Schedule D, Parts XI and XII

If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optionalIf "Yes," complete Schedule E

If "Yes," complete Schedule F, Parts I and IV

If "Yes," complete Schedule F, Parts II and IV

If "Yes," complete Schedule F, Parts III and IV

If "Yes," complete Schedule G, Part I

If "Yes," complete Schedule G, Part IIIf "Yes,"

complete Schedule G, Part IIIIf "Yes," complete Schedule H

Form 990 (2013) Page

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Is the organization required to complete ?

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for

public office?

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization engage in lobbying activities, or have a section 501(h) election in effect

during the tax year?

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or

similar amounts as defined in Revenue Procedure 98-19?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to

provide advice on the distribution or investment of amounts in such funds or accounts?

Did the organization receive or hold a conservation easement, including easements to preserve open space,

the environment, historic land areas, or historic structures?

Did the organization maintain collections of works of art, historical treasures, or other similar assets?

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for

amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services?

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent

endowments, or quasi-endowments?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~

If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X

as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its total

assets reported in Part X, line 16?

Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more of its total

assets reported in Part X, line 16?

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in

Part X, line 16?

Did the organization report an amount for other liabilities in Part X, line 25?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~

Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses

the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?

Did the organization obtain separate, independent audited financial statements for the tax year?

~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Was the organization included in consolidated, independent audited financial statements for the tax year?

~~~~~

Is the organization a school described in section 170(b)(1)(A)(ii)?

Did the organization maintain an office, employees, or agents outside of the United States?

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business,

investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000

or more? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any

foreign organization?

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to

or for foreign individuals?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,

column (A), lines 6 and 11e? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines

1c and 8a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?

Did the organization operate one or more hospital facilities?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ����������

Form (2013)

3Part IV Checklist of Required Schedules

990

NATIONAL MEDICAL ASSOCIATION 53-6010805

XX

X

X

X

X

X

X

X

X

X

X

X

XX

X

X

XXX

X

X

X

X

X

XX

3

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33200410-29-13

Yes No

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

21

22

23

24a

24b

24c

24d

25a

25b

26

27

28a

28b

28c

29

30

31

32

33

34

35a

35b

36

37

38

a

b

c

d

a

b

Section 501(c)(3) and 501(c)(4) organizations.

a

b

c

a

b

Section 501(c)(3) organizations.

Note.

(continued)

If "Yes," complete Schedule I, Parts I and II

If "Yes," complete Schedule I, Parts I and III

If "Yes," completeSchedule J

If "Yes," answer lines 24b through 24d and completeSchedule K. If "No", go to line 25a

If "Yes," complete Schedule L, Part I

If "Yes," completeSchedule L, Part I

If "Yes," complete Schedule L, Part III

If "Yes," complete Schedule L, Part IVIf "Yes," complete Schedule L, Part IV

If "Yes," complete Schedule L, Part IVIf "Yes," complete Schedule M

If "Yes," complete Schedule M

If "Yes," complete Schedule N, Part IIf "Yes," complete

Schedule N, Part II

If "Yes," complete Schedule R, Part IIf "Yes," complete Schedule R, Part II, III, or IV, and

Part V, line 1

If "Yes," complete Schedule R, Part V, line 2

If "Yes," complete Schedule R, Part V, line 2

If "Yes," complete Schedule R, Part VI

Form 990 (2013) Page

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or

government on Part IX, column (A), line 1? ~~~~~~~~~~~~~~~~~~

Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX,

column (A), line 2? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current

and former officers, directors, trustees, key employees, and highest compensated employees?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the

last day of the year, that was issued after December 31, 2002?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?

Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease

any tax-exempt bonds?

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?

~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~

Did the organization engage in an excess benefit transaction with a

disqualified person during the year?

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and

that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or

former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so,

complete Schedule L, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial

contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member

of any of these persons? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV

instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? ~~~~~~~~~~~

A family member of a current or former officer, director, trustee, or key employee?

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer,

director, trustee, or direct or indirect owner?

~~

~~~~~~~~~~~~~~~~~~~~~

Did the organization receive more than $25,000 in non-cash contributions?

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation

contributions?

~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization liquidate, terminate, or dissolve and cease operations?

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations

sections 301.7701-2 and 301.7701-3?

Was the organization related to any tax-exempt or taxable entity?

~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity

within the meaning of section 512(b)(13)?

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~

Did the organization make any transfers to an exempt non-charitable related organization?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization conduct more than 5% of its activities through an entity that is not a related organization

and that is treated as a partnership for federal income tax purposes? ~~~~~~~~

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19?

All Form 990 filers are required to complete Schedule O �������������������������������

Form (2013)

4Part IV Checklist of Required Schedules

990

NATIONAL MEDICAL ASSOCIATION 53-6010805

X

X

X

X

X

X

X

X

XX

XX

X

X

X

X

XX

X

X

X

4

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33200510-29-13

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations.

Yes No

1

2

3

4

5

6

7

a

b

c

1a

1b

1c

a

b

2a

Note.

2b

3a

3b

4a

5a

5b

5c

6a

6b

7a

7b

7c

7e

7f

7g

7h

8

9a

9b

a

b

a

b

a

b

c

a

b

Organizations that may receive deductible contributions under section 170(c).

a

b

c

d

e

f

g

h

7d

8

9

10

11

12

13

14

Sponsoring organizations maintaining donor advised funds.

a

b

Section 501(c)(7) organizations.

a

b

10a

10b

Section 501(c)(12) organizations.

a

b

11a

11b

a

b

Section 4947(a)(1) non-exempt charitable trusts. 12a

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Note.

a

b

c

a

b

13a

13b

13c

14a

14b

e-file

If "No," to line 3b, provide an explanation in Schedule O

If "No," provide an explanation in Schedule O

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?

Did the supporting

organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?

Form (2013)

Form 990 (2013) Page

Check if Schedule O contains a response or note to any line in this Part V ���������������������������

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ~~~~~~~~~~~

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable ~~~~~~~~~~

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming

(gambling) winnings to prize winners? �������������������������������������������

Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements,

filed for the calendar year ending with or within the year covered by this return ~~~~~~~~~~

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

If the sum of lines 1a and 2a is greater than 250, you may be required to (see instructions)

~~~~~~~~~~

~~~~~~~~~~~

Did the organization have unrelated business gross income of $1,000 or more during the year?

If "Yes," has it filed a Form 990-T for this year?

~~~~~~~~~~~~~~

~~~~~~~~~~

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a

financial account in a foreign country (such as a bank account, securities account, or other financial account)?~~~~~~~

If "Yes," enter the name of the foreign country:

See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

~~~~~~~~~~~~

~~~~~~~~~

If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit

any contributions that were not tax deductible as charitable contributions?

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts

were not tax deductible?

~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes," did the organization notify the donor of the value of the goods or services provided?

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required

to file Form 8282?

~~~~~~~~~~~~~~~

����������������������������������������������������

If "Yes," indicate the number of Forms 8282 filed during the year

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

~~~~~~~~~~~~~~~~

~~~~~~~

~~~~~~~~~Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?

~

Did the organization make any taxable distributions under section 4966?

Did the organization make a distribution to a donor, donor advisor, or related person?

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~

Enter:

Initiation fees and capital contributions included on Part VIII, line 12

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

~~~~~~~~~~~~~~~

~~~~~~

Enter:

Gross income from members or shareholders

Gross income from other sources (Do not net amounts due or paid to other sources against

amounts due or received from them.)

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Is the organization filing Form 990 in lieu of Form 1041?

If "Yes," enter the amount of tax-exempt interest received or accrued during the year ������

Is the organization licensed to issue qualified health plans in more than one state?

See the instructions for additional information the organization must report on Schedule O.

~~~~~~~~~~~~~~~~~~~~~

Enter the amount of reserves the organization is required to maintain by the states in which the

organization is licensed to issue qualified health plans

Enter the amount of reserves on hand

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization receive any payments for indoor tanning services during the tax year?

If "Yes," has it filed a Form 720 to report these payments?

~~~~~~~~~~~~~~~~

����������

5Part V Statements Regarding Other IRS Filings and Tax Compliance

990

 

J

NATIONAL MEDICAL ASSOCIATION 53-6010805

1340

X

14X

XX

X

XX

X

X

X

XX

X

5

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332006 10-29-13

Yes No

1a

1b

1

2

3

4

5

6

7

8

9

a

b

2

3

4

5

6

7a

7b

8a

8b

9

a

b

a

b

Yes No

10

11

a

b

10a

10b

11a

12a

12b

12c

13

14

15a

15b

16a

16b

a

b

12a

b

c

13

14

15

a

b

16a

b

17

18

19

20

For each "Yes" response to lines 2 through 7b below, and for a "No" responseto line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

If "Yes," provide the names and addresses in Schedule O(This Section B requests information about policies not required by the Internal Revenue Code.)

If "No," go to line 13

If "Yes," describein Schedule O how this was done

(explain in Schedule O)

If there are material differences in voting rights among members of the governing body, or if the governing

body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?

Form (2013)

Form 990 (2013) Page

Check if Schedule O contains a response or note to any line in this Part VI ���������������������������

Enter the number of voting members of the governing body at the end of the tax year

Enter the number of voting members included in line 1a, above, who are independent

~~~~~~

~~~~~~

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other

officer, director, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization delegate control over management duties customarily performed by or under the direct supervision

of officers, directors, or trustees, or key employees to a management company or other person? ~~~~~~~~~~~~~~

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization's assets?

Did the organization have members or stockholders?

~~~~~

~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or

more members of the governing body?

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or

persons other than the governing body?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The governing body?

Each committee with authority to act on behalf of the governing body?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the

organization's mailing address? �����������������

Did the organization have local chapters, branches, or affiliates?

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates,

and branches to ensure their operations are consistent with the organization's exempt purposes?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?

Describe in Schedule O the process, if any, used by the organization to review this Form 990.

Did the organization have a written conflict of interest policy? ~~~~~~~~~~~~~~~~~~~~

~~~~~~

Did the organization regularly and consistently monitor and enforce compliance with the policy?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have a written whistleblower policy?

Did the organization have a written document retention and destruction policy?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

Did the process for determining compensation of the following persons include a review and approval by independent

persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization's CEO, Executive Director, or top management official

Other officers or key employees of the organization

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a

taxable entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation

in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's

exempt status with respect to such arrangements? ������������������������������������

List the states with which a copy of this Form 990 is required to be filed

Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only) available

for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other

Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial

statements available to the public during the tax year.

State the name, physical address, and telephone number of the person who possesses the books and records of the organization: |

6Part VI Governance, Management, and Disclosure

Section A. Governing Body and Management

Section B. Policies

Section C. Disclosure

990

 

J

       

NATIONAL MEDICAL ASSOCIATION 53-6010805

X

23

21

X

XXX

X

X

X

XX

X

X

XX

XX

XXX

XX

X

NJ

X

JUAN G. GONZALEZ, CPA - (202) 347-18958403 COLESVILLE ROAD, NO. 920, SILVER SPRING, MD 20910

6

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Indi

vidu

al tr

uste

e or

dire

ctor

Inst

itutio

nal t

rust

ee

Offi

cer

Key

empl

oyee

Hig

hest

com

pens

ated

empl

oyee

Form

er

(do not check more than onebox, unless person is both anofficer and a director/trustee)

332007 10-29-13

current

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a

current

current

former

former directors or trustees

(A) (B) (C) (D) (E) (F)

Form 990 (2013) Page

Check if Schedule O contains a response or note to any line in this Part VII ���������������������������

Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.

¥ List all of the organization's officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation.Enter -0- in columns (D), (E), and (F) if no compensation was paid.

¥ List all of the organization's key employees, if any. See instructions for definition of "key employee."¥ List the organization's five highest compensated employees (other than an officer, director, trustee, or key employee) who received report-

able compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations.

¥ List all of the organization's officers, key employees, and highest compensated employees who received more than $100,000 ofreportable compensation from the organization and any related organizations.

¥ List all of the organization's that received, in the capacity as a former director or trustee of the organization,more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

PositionName and Title Average hours per

week (list any

hours forrelated

organizationsbelowline)

Reportablecompensation

from the

organization(W-2/1099-MISC)

Reportablecompensationfrom related

organizations(W-2/1099-MISC)

Estimatedamount of

othercompensation

from theorganizationand related

organizations

Form (2013)

7Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated

Employees, and Independent Contractors

990

 

 

NATIONAL MEDICAL ASSOCIATION 53-6010805

(1) ALBERT W. MORRIS, JR., M.D. 15.00CHAIRMAN X X 0. 0. 0.(2) MICHAEL A. LENOIR, M.D. 40.00PRESIDENT X X 25,000. 0. 0.(3) RAHN K. BAILEY, M.D. 40.00IMMEDIATE PAST PRESIDENT X X 62,682. 0. 0.(4) JOHN E. ARRADONDO, M.D., MPH 10.00SECRETARY & REGION III TRUSTEE X X 0. 0. 0.(5) LAWRENCE SANDERS, MD 10.00PRESIDENT-ELECT X X 0. 0. 0.(6) WALTER L. FAGGETT, M.D. 30.00SPEAKER, HOUSE OF DELEGATE X 0. 0. 0.(7) LONNIE JOE, JR. M.D. 10.00VICE SPEAKER, HOUSE OF DEL X 0. 0. 0.(8) OLIVER T. BROOKS, M.D. 10.00SECRETARY, HOUSE OF DELEGATES X 0. 0. 0.(9) C. FREEMAN, M.D., M.B.A 10.00TREASURER X X 0. 0. 0.(10) ERICKA C. GRIFFIN, M.D. 2.00CAFA CHAIR X 0. 0. 0.(11) GARFIELD A. CLUNIE, M.D. 2.00REGION I - TRUSTEE X 0. 0. 0.(12) P. GRACE HARRELL, M.D. 2.00REGION I - TRUSTEE X 0. 0. 0.(13) EDITH P. MITCHELL, M.D. 2.00REGION II - TRUSTEE X 0. 0. 0.(14) JACKSON L. DAVIS III, M.D. 2.00REGION II - TRUSTEE X 0. 0. 0.(15) VIRGINIA A. CAINE, M.D. 2.00REGION IV - TRUSTEE X 0. 0. 0.(16) JEFFREY K. CLARK, M.D. 2.00REGION IV - TRUSTEE X 0. 0. 0.(17) HENRY M. EVANS, JR., M.D. 2.00REGION V - TRUSTEE X 0. 0. 0.

7

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Form

er

Indi

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al tr

uste

e or

dire

ctor

Inst

itutio

nal t

rust

ee

Offi

cer

Hig

hest

com

pens

ated

empl

oyee

Key

empl

oyee

(do not check more than onebox, unless person is both anofficer and a director/trustee)

33200810-29-13

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

(B) (C)(A) (D) (E) (F)

1b

c

d

Sub-total

Total from continuation sheets to Part VII, Section A

Total (add lines 1b and 1c)

2

Yes No

3

4

5

former

3

4

5

Section B. Independent Contractors

1

(A) (B) (C)

2

(continued)

If "Yes," complete Schedule J for such individual

If "Yes," complete Schedule J for such individual

If "Yes," complete Schedule J for such person

Page Form 990 (2013)

PositionAverage hours per

week(list any

hours forrelated

organizationsbelowline)

Name and title Reportablecompensation

from the

organization(W-2/1099-MISC)

Reportablecompensationfrom related

organizations(W-2/1099-MISC)

Estimatedamount of

othercompensation

from theorganizationand related

organizations

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

~~~~~~~~~~ |

������������������������ |

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable

compensation from the organization |

Did the organization list any officer, director, or trustee, key employee, or highest compensated employee on

line 1a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization

and related organizations greater than $150,000? ~~~~~~~~~~~~~

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services

rendered to the organization? ������������������������

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from

the organization. Report compensation for the calendar year ending with or within the organization's tax year.

Name and business address Description of services Compensation

Total number of independent contractors (including but not limited to those listed above) who received more than

$100,000 of compensation from the organization |

Form (2013)

8Part VII

990

NATIONAL MEDICAL ASSOCIATION 53-6010805

(18) ELISE D. COOK, M.D. 2.00REGION V - TRUSTEE X 0. 0. 0.(19) GAIL MORGAN, M.D. 2.00REGION VI - TRUSTEE X 0. 0. 0.(20) WARREN JAMES STRUDWICK JR., M.D 2.00REGION VI - TRUSTEE X 0. 0. 0.(21) TRACI C. BURGESS, M.D., MPH 2.00CORPORATE TRUSTEE X 0. 0. 0.(22) MICHAEL G. KNIGHT, M.D. 2.00POSTGRADUATE TRUSTEE X 0. 0. 0.(23) TOPAZ SAMPSON 2.00STUDENT TRUSTEE X 0. 0. 0.(24) DARRYL R. MATTHEWS SR. 40.00EXECUTIVE DIRECTOR X 199,155. 0. 9,957.

286,837. 0. 9,957.0. 0. 0.

286,837. 0. 9,957.

1

X

X

X

SHARON D. ALLISON OTTEY, M.D.10111 MLK HIGHWAY, STE 117, BOWIE, MD 20720 CONSULTING 217,687.KAMA'AINA KIDS156 CHAMAKUA DRIVE, KAILUA, HI 96734

CHILDREN'S PRORGAM FOR ANNUALCONVENTION 137,628.

2

8

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Noncash contributions included in lines 1a-1f: $

33200910-29-13

Total revenue.

(A) (B) (C) (D)

1 a

b

c

d

e

f

g

h

1

1

1

1

1

1

a

b

c

d

e

f

Co

ntr

ibu

tio

ns

, G

ifts

, G

ran

tsa

nd

Oth

er

Sim

ila

r A

mo

un

ts

Total.

Business Code

a

b

c

d

e

f

g

2

Pro

gra

m S

erv

ice

Re

ven

ue

Total.

3

4

5

6 a

b

c

d

a

b

c

d

7

a

b

c

8

a

b

9 a

b

c

a

b

10 a

b

c

a

b

Business Code

11 a

b

c

d

e Total.

Oth

er

Re

ven

ue

12

Revenue excludedfrom tax under

sections512 - 514

All other contributions, gifts, grants, and

similar amounts not included above

See instructions.

Form (2013)

Page Form 990 (2013)

Check if Schedule O contains a response or note to any line in this Part VIII �������������������������

Total revenue Related orexempt function

revenue

Unrelatedbusinessrevenue

Federated campaigns

Membership dues

~~~~~~

~~~~~~~~

Fundraising events

Related organizations

~~~~~~~~

~~~~~~

Government grants (contributions)

~~

Add lines 1a-1f ����������������� |

All other program service revenue ~~~~~

Add lines 2a-2f ����������������� |

Investment income (including dividends, interest, and

other similar amounts)

Income from investment of tax-exempt bond proceeds

~~~~~~~~~~~~~~~~~ |

|

Royalties ����������������������� |

(i) Real (ii) Personal

Gross rents

Less: rental expenses

Rental income or (loss)

Net rental income or (loss)

~~~~~~~

~~~

~~

�������������� |

Gross amount from sales of

assets other than inventory

(i) Securities (ii) Other

Less: cost or other basis

and sales expenses

Gain or (loss)

~~~

~~~~~~~

Net gain or (loss) ������������������� |

Gross income from fundraising events (not

including $ of

contributions reported on line 1c). See

Part IV, line 18 ~~~~~~~~~~~~~

Less: direct expenses~~~~~~~~~~

Net income or (loss) from fundraising events ����� |

Gross income from gaming activities. See

Part IV, line 19 ~~~~~~~~~~~~~

Less: direct expenses

Net income or (loss) from gaming activities

~~~~~~~~~

������ |

Gross sales of inventory, less returns

and allowances ~~~~~~~~~~~~~

Less: cost of goods sold

Net income or (loss) from sales of inventory

~~~~~~~~

������ |

Miscellaneous Revenue

All other revenue ~~~~~~~~~~~~~

Add lines 11a-11d ~~~~~~~~~~~~~~~ |

|�������������

9Part VIII Statement of Revenue

990

 

NATIONAL MEDICAL ASSOCIATION 53-6010805

160,486.

2,504,992.

2,665,478.

CONVENTION & EXHIBITS 541900 1,207,087. 935,787. 271,300.MEMBERSHIP DUES 900099 670,017. 670,017.PUBLICATIONS 541800 90,478. 49,014. 41,464.

1,967,582.

35,011. 35,011.

7,000.0.

7,000.7,000. 7,000.

53,158.

25,648.27,510.

27,510. 27,510.

OTHER INCOME 900099 75,720. 75,720.

75,720.4,778,301. 1,605,804. 49,014. 458,005.

9

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Check here if following SOP 98-2 (ASC 958-720)

332010 10-29-13

Total functional expenses.

Joint costs.

(A) (B) (C) (D)

1

2

3

4

5

6

7

8

9

10

11

a

b

c

d

e

f

g

12

13

14

15

16

17

18

19

20

21

22

23

24

a

b

c

d

e

25

26

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).

Grants and other assistance to governments and

organizations in the United States. See Part IV, line 21

Compensation not included above, to disqualified

persons (as defined under section 4958(f)(1)) and

persons described in section 4958(c)(3)(B)

Pension plan accruals and contributions (include

section 401(k) and 403(b) employer contributions)

Professional fundraising services. See Part IV, line 17

(If line 11g amount exceeds 10% of line 25,

column (A) amount, list line 11g expenses on Sch O.)

Other expenses. Itemize expenses not covered above. (List miscellaneous expenses in line 24e. If line24e amount exceeds 10% of line 25, column (A)amount, list line 24e expenses on Schedule O.)

Add lines 1 through 24e

Complete this line only if the organization

reported in column (B) joint costs from a combined

educational campaign and fundraising solicitation.

Form 990 (2013) Page

Check if Schedule O contains a response or note to any line in this Part IX ��������������������������

Total expenses Program serviceexpenses

Management andgeneral expenses

Fundraisingexpenses

Grants and other assistance to individuals in

the United States. See Part IV, line 22 ~~~

Grants and other assistance to governments,

organizations, and individuals outside the

United States. See Part IV, lines 15 and 16 ~

Benefits paid to or for members ~~~~~~~

Compensation of current officers, directors,

trustees, and key employees ~~~~~~~~

~~~

Other salaries and wages ~~~~~~~~~~

Other employee benefits ~~~~~~~~~~

Payroll taxes ~~~~~~~~~~~~~~~~

Fees for services (non-employees):

Management

Legal

Accounting

Lobbying

~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

Investment management fees

Other.

~~~~~~~~

Advertising and promotion

Office expenses

Information technology

Royalties

~~~~~~~~~

~~~~~~~~~~~~~~~

~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

Occupancy ~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~Travel

Payments of travel or entertainment expenses

for any federal, state, or local public officials

Conferences, conventions, and meetings ~~

Interest

Payments to affiliates

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~

Depreciation, depletion, and amortization

Insurance

~~

~~~~~~~~~~~~~~~~~

~~

All other expenses

|

Form (2013)

Do not include amounts reported on lines 6b,7b, 8b, 9b, and 10b of Part VIII.

10Part IX Statement of Functional Expenses

990

 

 

NATIONAL MEDICAL ASSOCIATION 53-6010805

X

296,794. 38,480. 255,121. 3,193.

510,174. 67,807. 436,688. 5,679.

55,637. 1,994. 53,643.60,206. 5,689. 53,144. 1,373.

117,568. 40,634. 76,905. 29.38,282. 1,113. 37,169.

239,252. 4,000. 235,252.

11,104. 11,104.

1,360,956. 921,087. 299,412. 140,457.55,345. 38,884. 10,560. 5,901.

141,921. 39,765. 99,042. 3,114.124,986. 38,445. 86,541.

457,020. 49,608. 407,412.587,233. 502,433. 70,038. 14,762.

601,618. 524,247. 53,257. 24,114.30,721. 30,721.

16,234. 16,234.14,894. 14,894.

AUDIO/VISUAL 263,419. 223,567. 29,458. 10,394.CONTRACTUAL/COMMISSIONS 206,811. 204,763. 2,048.PRINTING/MAILING/DUPLIC 170,214. 135,470. 28,590. 6,154.PENALTIES/FINES/LATE FE 48,180. 45,000. 3,180.

201,527. 86,897. 109,831. 4,799.5,610,096. 2,969,883. 2,420,244. 219,969.

10

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33201110-29-13

(A) (B)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

1

2

3

4

5

6

7

8

9

10c

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

a

b

10a

10b

As

se

ts

Total assets.

Lia

bil

itie

s

Total liabilities.

Organizations that follow SFAS 117 (ASC 958), check here and

complete lines 27 through 29, and lines 33 and 34.

27

28

29

Organizations that do not follow SFAS 117 (ASC 958), check here

and complete lines 30 through 34.

30

31

32

33

34

Ne

t A

ss

ets

or

Fu

nd

Ba

lan

ce

s

Form 990 (2013) Page

Check if Schedule O contains a response or note to any line in this Part X �����������������������������

Beginning of year End of year

Cash - non-interest-bearing

Savings and temporary cash investments

Pledges and grants receivable, net

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

Accounts receivable, net ~~~~~~~~~~~~~~~~~~~~~~~~~~

Loans and other receivables from current and former officers, directors,

trustees, key employees, and highest compensated employees. Complete

Part II of Schedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Loans and other receivables from other disqualified persons (as defined under

section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing

employers and sponsoring organizations of section 501(c)(9) voluntary

employees' beneficiary organizations (see instr). Complete Part II of Sch L ~~

Notes and loans receivable, net

Inventories for sale or use

Prepaid expenses and deferred charges

~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

Land, buildings, and equipment: cost or other

basis. Complete Part VI of Schedule D

Less: accumulated depreciation

~~~

~~~~~~

Investments - publicly traded securities

Investments - other securities. See Part IV, line 11

Investments - program-related. See Part IV, line 11

Intangible assets

~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~

Add lines 1 through 15 (must equal line 34) ����������

Accounts payable and accrued expenses

Grants payable

Deferred revenue

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Tax-exempt bond liabilities

Escrow or custodial account liability. Complete Part IV of Schedule D

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~

Loans and other payables to current and former officers, directors, trustees,

key employees, highest compensated employees, and disqualified persons.

Complete Part II of Schedule L ~~~~~~~~~~~~~~~~~~~~~~~

Secured mortgages and notes payable to unrelated third parties ~~~~~~

Unsecured notes and loans payable to unrelated third parties ~~~~~~~~

Other liabilities (including federal income tax, payables to related third

parties, and other liabilities not included on lines 17-24). Complete Part X of

Schedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines 17 through 25 ������������������

|

Unrestricted net assets

Temporarily restricted net assets

Permanently restricted net assets

~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

|

Capital stock or trust principal, or current funds

Paid-in or capital surplus, or land, building, or equipment fund

Retained earnings, endowment, accumulated income, or other funds

~~~~~~~~~~~~~~~

~~~~~~~~

~~~~

Total net assets or fund balances ~~~~~~~~~~~~~~~~~~~~~~

Total liabilities and net assets/fund balances ����������������

Form (2013)

11Balance SheetPart X

990

 

 

 

NATIONAL MEDICAL ASSOCIATION 53-6010805

3,590. 500.2,191,234. 1,074,734.

132,781. 82,042.87,333. 77,103.

109,386. 127,299.

600,214.552,341. 45,059. 47,873.

2,281,787. 2,568,799.

130,548. 85,184.4,981,718. 4,063,534.1,295,488. 768,534.

461,711. 266,640.

500,000. 500,000.

362,569. 398,475.2,619,768. 1,933,649.

X

245,431. 29,331.2,116,519. 2,100,554.

2,361,950. 2,129,885.4,981,718. 4,063,534.

11

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1

2

3

4

5

6

7

8

9

10

1

2

3

4

5

6

7

8

9

10

Yes No

1

2

3

a

b

c

2a

2b

2c

a

b

3a

3b

Form 990 (2013) Page

Check if Schedule O contains a response or note to any line in this Part XI ���������������������������

Total revenue (must equal Part VIII, column (A), line 12)

Total expenses (must equal Part IX, column (A), line 25)

Revenue less expenses. Subtract line 2 from line 1

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~

Net unrealized gains (losses) on investments

Donated services and use of facilities

Investment expenses

Prior period adjustments

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other changes in net assets or fund balances (explain in Schedule O)

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33,

column (B))

~~~~~~~~~~~~~~~~~~~

�����������������������������������������������

Check if Schedule O contains a response or note to any line in this Part XII ���������������������������

Accounting method used to prepare the Form 990: Cash Accrual Other

If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O.

Were the organization's financial statements compiled or reviewed by an independent accountant? ~~~~~~~~~~~~

If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a

separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization's financial statements audited by an independent accountant? ~~~~~~~~~~~~~~~~~~~

If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis,

consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit,

review, or compilation of its financial statements and selection of an independent accountant?~~~~~~~~~~~~~~~

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit

Act and OMB Circular A-133? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit

or audits, explain why in Schedule O and describe any steps taken to undergo such audits ����������������

Form (2013)

12Part XI Reconciliation of Net Assets

Part XII Financial Statements and Reporting

990

 

 

     

     

     

NATIONAL MEDICAL ASSOCIATION 53-6010805

4,778,301.5,610,096.-831,795.2,361,950.249,291.

350,439.0.

2,129,885.

X

X

X

X

12

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DR

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OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

33202109-25-13

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at

(iii)

(see instructions)

(iv)(i)

(v)

(i)

(vi)

(i)

(i) (ii) (vii)

(Form 990 or 990-EZ)Complete if the organization is a section 501(c)(3) organization or a section

4947(a)(1) nonexempt charitable trust.| Attach to Form 990 or Form 990-EZ.

|

Open to PublicInspection

Name of the organization Employer identification number

1

2

3

4

5

6

7

8

9

10

11

section 170(b)(1)(A)(i).

section 170(b)(1)(A)(ii).

section 170(b)(1)(A)(iii).

section 170(b)(1)(A)(iii).

section 170(b)(1)(A)(iv).

section 170(b)(1)(A)(v).

section 170(b)(1)(A)(vi).

section 170(b)(1)(A)(vi).

section 509(a)(2).

section 509(a)(4).

section 509(a)(3).

a b c d

e

f

g

h

(i)

(ii)

(iii)

Yes No

11g(i)

11g(ii)

11g(iii)

Yes No Yes No Yes No

Total

For Paperwork Reduction Act Notice, see the Instructions for

Form 990 or 990-EZ.

Schedule A (Form 990 or 990-EZ) 2013

Type of organization (described on lines 1-9 above or IRC section

)

Is the organizationin col. listed in yourgoverning document?

Did you notify theorganization in col.

of your support?

Is theorganization in col.

organized in theU.S.?

Name of supportedorganization

EIN Amount of monetarysupport

(All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in

A school described in (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in

A medical research organization operated in conjunction with a hospital described in Enter the hospital's name,

city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

(Complete Part II.)

A federal, state, or local government or governmental unit described in

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

(Complete Part II.)

A community trust described in (Complete Part II.)

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from

activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment

income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975.

See (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or

more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See Check the box that

describes the type of supporting organization and complete lines 11e through 11h.

Type I Type II Type III - Functionally integrated Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than

foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III

supporting organization, check this box

Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below,

the governing body of the supported organization?

A family member of a person described in (i) above?

A 35% controlled entity of a person described in (i) or (ii) above?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~

Provide the following information about the supported organization(s).

LHA

www.irs.gov/form990.

SCHEDULE A

Part I Reason for Public Charity Status

Public Charity Status and Public Support 2013

    

 

  

  

  

        

 

NATIONAL MEDICAL ASSOCIATION 53-6010805

X

13

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Subtract line 5 from line 4.

33202209-25-13

Calendar year (or fiscal year beginning in)

Calendar year (or fiscal year beginning in) |

2

(a) (b) (c) (d) (e) (f)

1

2

3

4

5

Total.

6 Public support.

(a) (b) (c) (d) (e) (f)

7

8

9

10

11

12

13

Total support.

12

First five years.

stop here

14

15

14

15

16

17

18

a

b

a

b

33 1/3% support test - 2013.

stop here.

33 1/3% support test - 2012.

stop here.

10% -facts-and-circumstances test - 2013.

stop here.

10% -facts-and-circumstances test - 2012.

stop here.

Private foundation.

Schedule A (Form 990 or 990-EZ) 2013

|

Add lines 7 through 10

Schedule A (Form 990 or 990-EZ) 2013 Page

(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization

fails to qualify under the tests listed below, please complete Part III.)

2009 2010 2011 2012 2013 Total

Gifts, grants, contributions, and

membership fees received. (Do not

include any "unusual grants.") ~~

Tax revenues levied for the organ-

ization's benefit and either paid to

or expended on its behalf ~~~~

The value of services or facilities

furnished by a governmental unit to

the organization without charge ~

Add lines 1 through 3 ~~~

The portion of total contributions

by each person (other than a

governmental unit or publicly

supported organization) included

on line 1 that exceeds 2% of the

amount shown on line 11,

column (f) ~~~~~~~~~~~~

2009 2010 2011 2012 2013 Total

Amounts from line 4 ~~~~~~~

Gross income from interest,

dividends, payments received on

securities loans, rents, royalties

and income from similar sources ~

Net income from unrelated business

activities, whether or not the

business is regularly carried on ~

Other income. Do not include gain

or loss from the sale of capital

assets (Explain in Part IV.) ~~~~

Gross receipts from related activities, etc. (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~

If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

organization, check this box and ��������������������������������������������� |

~~~~~~~~~~~~Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))

Public support percentage from 2012 Schedule A, Part II, line 14

%

%~~~~~~~~~~~~~~~~~~~~~

If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and

The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box

and The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more,

and if the organization meets the "facts-and-circumstances" test, check this box and Explain in Part IV how the organization

meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~ |

If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or

more, and if the organization meets the "facts-and-circumstances" test, check this box and Explain in Part IV how the

organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ~~~~~~~~ |

If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions ��� |

Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)

Section A. Public Support

Section B. Total Support

Section C. Computation of Public Support Percentage 

 

 

 

  

NATIONAL MEDICAL ASSOCIATION 53-6010805

3,738,403. 2,800,835. 2,845,220. 2,567,331. 2,665,478. 14,617,267.

3,738,403. 2,800,835. 2,845,220. 2,567,331. 2,665,478. 14,617,267.

1,790,712.12,826,555.

3,738,403. 2,800,835. 2,845,220. 2,567,331. 2,665,478. 14,617,267.

106,156. 70,470. 70,996. 71,948. 42,011. 361,581.

14,828. 14,621. 56,837. 140,759. 75,720. 302,765.15,281,613.13,285,452.

83.9381.76

X

14

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(Subtract line 7c from line 6.)

Amounts included on lines 2 and 3 received

from other than disqualified persons that

exceed the greater of $5,000 or 1% of the

amount on line 13 for the year

(Add lines 9, 10c, 11, and 12.)

332023 09-25-13

Calendar year (or fiscal year beginning in) |

Calendar year (or fiscal year beginning in) |

Total support.

3

(a) (b) (c) (d) (e) (f)

1

2

3

4

5

6

7

Total.

a

b

c

8 Public support

(a) (b) (c) (d) (e) (f)

9

10a

b

c11

12

13

14 First five years.

stop here

15

16

15

16

17

18

19

20

2013

2012

17

18

a

b

33 1/3% support tests - 2013.

stop here.

33 1/3% support tests - 2012.

stop here.

Private foundation.

Schedule A (Form 990 or 990-EZ) 2013

Unrelated business taxable income

(less section 511 taxes) from businesses

acquired after June 30, 1975

Schedule A (Form 990 or 990-EZ) 2013 Page

(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to

qualify under the tests listed below, please complete Part II.)

2009 2010 2011 2012 2013 Total

Gifts, grants, contributions, and

membership fees received. (Do not

include any "unusual grants.") ~~

Gross receipts from admissions,merchandise sold or services per-formed, or facilities furnished inany activity that is related to theorganization's tax-exempt purpose

Gross receipts from activities that

are not an unrelated trade or bus-

iness under section 513 ~~~~~

Tax revenues levied for the organ-

ization's benefit and either paid to

or expended on its behalf ~~~~

The value of services or facilities

furnished by a governmental unit to

the organization without charge ~

~~~ Add lines 1 through 5

Amounts included on lines 1, 2, and

3 received from disqualified persons

~~~~~~

Add lines 7a and 7b ~~~~~~~

2009 2010 2011 2012 2013 Total

Amounts from line 6 ~~~~~~~Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources ~

~~~~

Add lines 10a and 10b ~~~~~~Net income from unrelated businessactivities not included in line 10b, whether or not the business is regularly carried on ~~~~~~~Other income. Do not include gainor loss from the sale of capitalassets (Explain in Part IV.) ~~~~

If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,

check this box and ���������������������������������������������������� |

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))

Public support percentage from 2012 Schedule A, Part III, line 15

~~~~~~~~~~~~ %

%��������������������

Investment income percentage for (line 10c, column (f) divided by line 13, column (f))

Investment income percentage from Schedule A, Part III, line 17

~~~~~~~~ %

%~~~~~~~~~~~~~~~~~~

If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not

more than 33 1/3%, check this box and The organization qualifies as a publicly supported organization ~~~~~~~~~~ |

If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and

line 18 is not more than 33 1/3%, check this box and The organization qualifies as a publicly supported organization~~~~ |

If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions �������� |

Part III Support Schedule for Organizations Described in Section 509(a)(2)

Section A. Public Support

Section B. Total Support

Section C. Computation of Public Support Percentage

Section D. Computation of Investment Income Percentage

 

 

  

15

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332024 09-25-13

4

Schedule A (Form 990 or 990-EZ) 2013

Schedule A (Form 990 or 990-EZ) 2013 Page

Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12.

Also complete this part for any additional information. (See instructions).

Part IV Supplemental Information.

NATIONAL MEDICAL ASSOCIATION 53-6010805

16

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323171 05-01-13

Contributor's Name TotalContributions

ExcessContributions

Total Excess Contributions to Schedule A, Part II, Line 5 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

** Do Not File ***** Not Open to Public Inspection ***

Identification of Excess ContributionsIncluded on Part II, Line 5Schedule A 2013

NATIONAL MEDICAL ASSOCIATION 53-6010805

BOEHRINGER INGELHEIM PHARMACEUTICALS 527,500. 221,868.

ELI LILLY & COMPANY 647,500. 341,868.

GLAXOSMITHKLINE 350,330. 44,698.

MERCK & CO 932,774. 627,142.

PFIZER PHARMACEUTICALS GROUP 786,400. 480,768.

W.K. KELLOGG FDN 380,000. 74,368.

1,790,712.

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OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

32345110-24-13

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

(Form 990, 990-EZ,or 990-PF)

| Attach to Form 990, Form 990-EZ, or Form 990-PF.| Information about Schedule B (Form 990, 990-EZ, or 990-PF) and

its instructions is at .

Name of the organization Employer identification number

Organization type

Filers of: Section:

not

General Rule Special Rule.

Note.

General Rule

Special Rules

(1) (2)

General Rule

Caution.

must

For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF.

exclusively

exclusively exclusively

nonexclusively

(check one):

Form 990 or 990-EZ 501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust treated as a private foundation

527 political organization

Form 990-PF 501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the or a

Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one

contributor. Complete Parts I and II.

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections

509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of $5,000 or 2%

of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year,

total contributions of more than $1,000 for use for religious, charitable, scientific, literary, or educational purposes, or

the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year,

contributions for use for religious, charitable, etc., purposes, but these contributions did not total to more than $1,000.

If this box is checked, enter here the total contributions that were received during the year for an religious, charitable, etc.,

purpose. Do not complete any of the parts unless the applies to this organization because it received

religious, charitable, etc., contributions of $5,000 or more during the year ~~~~~~~~~~~~~~~~~ | $

An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF),

but it answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to

certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

LHA

www.irs.gov/form990

Schedule B Schedule of Contributors

2013

 

 

 

 

 

 

 

 

 

 

NATIONAL MEDICAL ASSOCIATION 53-6010805

X 3

X

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323452 10-24-13

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

Schedule B (Form 990, 990-EZ, or 990-PF) (2013) Page

(see instructions). Use duplicate copies of Part I if additional space is needed.

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

2

Part I Contributors

   

   

   

   

   

   

NATIONAL MEDICAL ASSOCIATION 53-6010805

1 ABBVIE, INC. X

1 N. WAUKEGAN RD. 255,000.

NORTH CHICAGO, IL 60064

2 AMERICAN UROLOGICAL ASSOCIATION X

1000 CORPORATE BLVD. 60,000.

LINTHICUM, MD 21090

3 ASTRAZENECA X

1800 CONCORD PIKE, PO BOX 15437 125,000.

WILMINGTON, DE 19850

4 ELI LILLY AND COMPANY X

LILLY CORPORATE CENTER (DC 4117) 270,000.

INDIANAPOLIS, IN 46285

5 GLAXOSMITHKLINE X

ONE FRANKLIN PLAZA 100,000.

PHILADELPHIA, PA 19102

6 JANSSEN PHARMACEUTICA, INC. X

1125 TRENTON-HARBOURTON RD. 119,000.

TITUSVILLE, NJ 08560

18

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323452 10-24-13

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

Schedule B (Form 990, 990-EZ, or 990-PF) (2013) Page

(see instructions). Use duplicate copies of Part I if additional space is needed.

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

2

Part I Contributors

   

   

   

   

   

   

NATIONAL MEDICAL ASSOCIATION 53-6010805

7 MERCK & CO., INC. X

SUMNEYTOWN PIKE WP39-139 190,000.

WEST POINT, PA 19486

8 MYLAN INC. X

1500 CORPORATE DRIVE, SUITE 400 100,000.

CANONSBURG, PA 15317

9 NATIONAL DAIRY COUNCIL X

676 N. ST. CLAIR, SUITE 1000 62,500.

CHICAGO, IL 60611

10 OTSUKA AMERICA PHARMACEUTICAL, INC. X

2440 RESEARCH BLVD., SUITE 100 125,000.

ROCKVILLE, MD 20850

11 THE JOHN MERCK FUND X

2 OLIVER ST, 8TH FLOOR 75,000.

BOSTON, MA 02109

12 W.K. KELLOGG FOUNDATION X

ONE MICHIGAN AVE. EAST 80,000.

BATTLE CREEK, MI 49017

19

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323453 10-24-13

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

Schedule B (Form 990, 990-EZ, or 990-PF) (2013) Page

(see instructions). Use duplicate copies of Part II if additional space is needed.

$

$

$

$

$

$

3

Part II Noncash Property

NATIONAL MEDICAL ASSOCIATION 53-6010805

20

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(Enter this information once.)

323454 10-24-13

Name of organization Employer identification number

religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations that total more than $1,000 for theyear. (a) (e) and

$1,000 or less

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

exclusively Complete columns through the following line entry. For organizations completing Part III, enter

the total of religious, charitable, etc., contributions of for the year.

Schedule B (Form 990, 990-EZ, or 990-PF) (2013) Page

| $

Use duplicate copies of Part III if additional space is needed.

Exclusively

4

Part IIINATIONAL MEDICAL ASSOCIATION 53-6010805

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Held at the End of the Tax Year

(Form 990) | Complete if the organization answered "Yes," to Form 990,Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.

| Attach to Form 990.| Information about Schedule D (Form 990) and its instructions is at

Open to PublicInspection

Name of the organization Employer identification number

(a) (b)

1

2

3

4

5

6

Yes No

Yes No

1

2

3

4

5

6

7

8

9

a

b

c

d

2a

2b

2c

2d

Yes No

Yes No

1

2

a

b

(i)

(ii)

a

b

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2013

Complete if the

organization answered "Yes" to Form 990, Part IV, line 6.

Donor advised funds Funds and other accounts

Total number at end of year

Aggregate contributions to (during year)

Aggregate grants from (during year)

Aggregate value at end of year

~~~~~~~~~~~~~~~

~~~~~~~~

~~~~~~~~~~

~~~~~~~~~~~~~

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds

are the organization's property, subject to the organization's exclusive legal control?~~~~~~~~~~~~~~~~~~

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only

for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring

impermissible private benefit? ��������������������������������������������

Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education)

Protection of natural habitat

Preservation of open space

Preservation of an historically important land area

Preservation of a certified historic structure

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last

day of the tax year.

Total number of conservation easements

Total acreage restricted by conservation easements

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Number of conservation easements on a certified historic structure included in (a)

Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure

listed in the National Register

~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax

year |

Number of states where property subject to conservation easement is located |

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of

violations, and enforcement of the conservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year |

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year | $

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)

and section 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and

include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for

conservation easements.

Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art,

historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII,

the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical

treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts

relating to these items:

Revenues included in Form 990, Part VIII, line 1

Assets included in Form 990, Part X

~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | $

$~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide

the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1

Assets included in Form 990, Part X

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | $

$~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

LHA

www.irs.gov/form990.

Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.

Part II Conservation Easements.

Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.

SCHEDULE D Supplemental Financial Statements 2013

   

   

       

   

   

NATIONAL MEDICAL ASSOCIATION 53-6010805

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3

4

5

a

b

c

d

e

Yes No

1

2

a

b

c

d

e

f

a

b

Yes No

1c

1d

1e

1f

Yes No

(a) (b) (c) (d) (e)

1

2

3

4

a

b

c

d

e

f

g

a

b

c

a

b

Yes No

(i)

(ii)

3a(i)

3a(ii)

3b

(a) (b) (c) (d)

1a

b

c

d

e

Total.

Schedule D (Form 990) 2013

(continued)

(Column (d) must equal Form 990, Part X, column (B), line 10(c).)

Two years back Three years back Four years back

Schedule D (Form 990) 2013 Page

Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items

(check all that apply):

Public exhibition

Scholarly research

Preservation for future generations

Loan or exchange programs

Other

Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets

to be sold to raise funds rather than to be maintained as part of the organization's collection? ������������

Complete if the organization answered "Yes" to Form 990, Part IV, line 9, orreported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included

on Form 990, Part X?

If "Yes," explain the arrangement in Part XIII and complete the following table:

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Amount

Beginning balance

Additions during the year

Distributions during the year

Ending balance

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization include an amount on Form 990, Part X, line 21?

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII

~~~~~~~~~~~~~~~~~~~~~~~~~

�������������

Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

Current year Prior year

Beginning of year balance

Contributions

Net investment earnings, gains, and losses

Grants or scholarships

~~~~~~~

~~~~~~~~~~~~~~

~~~~~~~~~

Other expenditures for facilities

and programs

Administrative expenses

End of year balance

~~~~~~~~~~~~~

~~~~~~~~

~~~~~~~~~~

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment

Permanent endowment

Temporarily restricted endowment

The percentages in lines 2a, 2b, and 2c should equal 100%.

| %

| %

| %

Are there endowment funds not in the possession of the organization that are held and administered for the organization

by:

unrelated organizations

related organizations

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R?

Describe in Part XIII the intended uses of the organization's endowment funds.

~~~~~~~~~~~~~~~~~~~~~~

Complete if the organization answered "Yes" to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property Cost or otherbasis (investment)

Cost or otherbasis (other)

Accumulateddepreciation

Book value

Land

Buildings

Leasehold improvements

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~

Equipment

Other

~~~~~~~~~~~~~~~~~

��������������������

Add lines 1a through 1e. |������������

2Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets

Part IV Escrow and Custodial Arrangements.

Part V Endowment Funds.

Part VI Land, Buildings, and Equipment.

       

   

   

    

NATIONAL MEDICAL ASSOCIATION 53-6010805

600,214. 552,341. 47,873.47,873.

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(including name of security)

33205309-25-13

Total.

Total.

(a) (b) (c)

(a) (b) (c)

(a) (b)

Total.

(a) (b) 1.

Total.

2.

Schedule D (Form 990) 2013

(Column (b) must equal Form 990, Part X, col. (B) line 15.)

(Column (b) must equal Form 990, Part X, col. (B) line 25.)

Description of security or category

(Col. (b) must equal Form 990, Part X, col. (B) line 12.) |

(Col. (b) must equal Form 990, Part X, col. (B) line 13.) |

Schedule D (Form 990) 2013 Page

Complete if the organization answered "Yes" to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

Book value Method of valuation: Cost or end-of-year market value

(1)

(2)

(3)

Financial derivatives

Closely-held equity interests

Other

~~~~~~~~~~~~~~~

~~~~~~~~~~~

(A)

(B)

(C)

(D)

(E)

(F)

(G)

(H)

Complete if the organization answered "Yes" to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.Description of investment Book value Method of valuation: Cost or end-of-year market value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Complete if the organization answered "Yes" to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

Description Book value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

���������������������������� |

Complete if the organization answered "Yes" to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

Description of liability Book value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Federal income taxes

����� |

Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the

organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

3Part VII Investments - Other Securities.

Part VIII Investments - Program Related.

Part IX Other Assets.

Part X Other Liabilities.

 

NATIONAL MEDICAL ASSOCIATION 53-6010805

GRANT LIABILITY 173,389.DEFERRED RENT 143,167.PRESENT VALUE OF LEASES - LONG TERM 59,964.OTHER LIABILITIES 21,955.

398,475.

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1

2

3

4

5

1

a

b

c

d

e

2a

2b

2c

2d

2a 2d 2e

32e 1

a

b

c

4a

4b

4a 4b

3 4c.

4c

5

1

2

3

4

5

1

a

b

c

d

e

2a

2b

2c

2d

2a 2d

2e 1

2e

3

a

b

c

4a

4b

4a 4b

3 4c.

4c

5

Schedule D (Form 990) 2013

(This must equal Form 990, Part I, line 12.)

(This must equal Form 990, Part I, line 18.)

Schedule D (Form 990) 2013 Page

Complete if the organization answered "Yes" to Form 990, Part IV, line 12a.

Total revenue, gains, and other support per audited financial statements

Amounts included on line 1 but not on Form 990, Part VIII, line 12:

~~~~~~~~~~~~~~~~~~~

Net unrealized gains on investments

Donated services and use of facilities

Recoveries of prior year grants

Other (Describe in Part XIII.)

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines through ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Amounts included on Form 990, Part VIII, line 12, but not on line 1:

Investment expenses not included on Form 990, Part VIII, line 7b

Other (Describe in Part XIII.)

~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines and

Total revenue. Add lines and

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

�����������������

Complete if the organization answered "Yes" to Form 990, Part IV, line 12a.

Total expenses and losses per audited financial statements

Amounts included on line 1 but not on Form 990, Part IX, line 25:

~~~~~~~~~~~~~~~~~~~~~~~~~~

Donated services and use of facilities

Prior year adjustments

Other losses

Other (Describe in Part XIII.)

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines through

Subtract line from line

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Amounts included on Form 990, Part IX, line 25, but not on line 1:

Investment expenses not included on Form 990, Part VIII, line 7b

Other (Describe in Part XIII.)

~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines and

Total expenses. Add lines and

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

����������������

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI,

lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

4Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.

Part XIII Supplemental Information.

NATIONAL MEDICAL ASSOCIATION 53-6010805

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For certain Officers, Directors, Trustees, Key Employees, and HighestCompensated Employees

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.Open to Public

InspectionAttach to Form 990. See separate instructions.

| Information about Schedule J (Form 990) and its instructions is at Employer identification number

Yes No

1a

b

1b

2

2

3

4

a

b

c

4a

4b

4c

Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9.

5

5a

5b

6a

6b

7

8

9

a

b

6

a

b

7

8

9

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2013

|| |

Name of the organization

Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990,

Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel

Travel for companions

Housing allowance or residence for personal use

Payments for business use of personal residence

Tax indemnification and gross-up payments

Discretionary spending account

Health or social club dues or initiation fees

Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or

reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain~~~~~~~~~~~

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors,

trustees, and officers, including the CEO/Executive Director, regarding the items checked in line 1a? ~~~~~~~~~~~~

Indicate which, if any, of the following the filing organization used to establish the compensation of the organization's

CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to

establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee

Independent compensation consultant

Form 990 of other organizations

Written employment contract

Compensation survey or study

Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a, with respect to the filing

organization or a related organization:

Receive a severance payment or change-of-control payment?

Participate in, or receive payment from, a supplemental nonqualified retirement plan?

Participate in, or receive payment from, an equity-based compensation arrangement?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation

contingent on the revenues of:

The organization?

Any related organization?

If "Yes" to line 5a or 5b, describe in Part III.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation

contingent on the net earnings of:

The organization?

Any related organization?

If "Yes" to line 6a or 6b, describe in Part III.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed payments

not described in lines 5 and 6? If "Yes," describe in Part III

Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the

initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part III

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in

Regulations section 53.4958-6(c)? ���������������������������������������������

LHA

www.irs.gov/form990.

SCHEDULE J(Form 990)

Part I Questions Regarding Compensation

Compensation Information

2013

    

    

   

   

NATIONAL MEDICAL ASSOCIATION 53-6010805

XX XX X

XXX

XX

XX

X

X

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2

Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.

Note.

(B) (C) (D) (E) (F)

(i) (ii) (iii) (A)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

Schedule J (Form 990) 2013

Schedule J (Form 990) 2013 Page

Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii).Do not list any individuals that are not listed on Form 990, Part VII.

The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

Breakdown of W-2 and/or 1099-MISC compensation Retirement andother deferredcompensation

Nontaxablebenefits

Total of columns(B)(i)-(D)

Compensationreported as deferred

in prior Form 990Basecompensation

Bonus &incentive

compensation

Otherreportable

compensation

Name and Title

NATIONAL MEDICAL ASSOCIATION 53-6010805

(1) DARRYL R. MATTHEWS SR. 198,363. 0. 792. 0. 9,957. 209,112. 0.EXECUTIVE DIRECTOR 0. 0. 0. 0. 0. 0. 0.

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3

Part III Supplemental Information

Schedule J (Form 990) 2013

Schedule J (Form 990) 2013 Page

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

NATIONAL MEDICAL ASSOCIATION 53-6010805

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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at

Complete to provide information for responses to specific questions onForm 990 or 990-EZ or to provide any additional information.

| Attach to Form 990 or 990-EZ.|

(Form 990 or 990-EZ)

Open to PublicInspection

Employer identification number

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990 or 990-EZ) (2013)

Name of the organization

LHA

www.irs.gov/form990.

SCHEDULE O Supplemental Information to Form 990 or 990-EZ 2013

NATIONAL MEDICAL ASSOCIATION 53-6010805

FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES:

OTHER PROGRAMS

EXPENSES $ 617,697. INCLUDING GRANTS OF $ 0. REVENUE $ 0.

FORM 990, PART VI, SECTION A, LINE 6:

EXPLANATION: THE ACTIVE MEMBERS HAVE VOTING RIGHTS THROUGH REPRESENTATION

IN THE HOUSE OF DELEGATES.

FORM 990, PART VI, SECTION A, LINE 7A:

EXPLANATION: ACTIVE MEMBERS, THROUGH THEIR STATE DELEGATES, NOMINATE AND

ELECT THE OFFICERS AND BOARD MEMBERS. ACTIVE MEMBERS MAY PRESENT MOTIONS

TO RATIFY OR VETO ANY ACTION OF THE BOARD. THE MOTION IS VOTED ON BY THE

ENTIRE HOUSE OF DELEGATES. A VOTE TO RATIFY OR VETO A BOARD ACTION ME BE

TWO-THIRDS OF THE DELEGATES.

FORM 990, PART VI, SECTION A, LINE 7B:

EXPLANATION: THE ORGANIZATION'S BY-LAWS MAY BE AMENDED ON THE APPROVAL OF

TWO-THIRDS OF THE MEMBERS OF THE HOUSE OF DELEGATES.

FORM 990, PART VI, SECTION B, LINE 11:

EXPLANATION: THE TAX RETURN IS REVIEWED BY THE AUDIT AND FINANCE COMMITTEES

ALONG WITH THE AUDIT REPORT. THESE COMMITTEES REPORT TO THE BOARD ON THEIR

REVIEWS. A COPY OF THE RETURN IS PROVIDED TO EACH BOARD MEMBER.

FORM 990, PART VI, SECTION B, LINE 12C:

EXPLANATION: EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST STATEMENT UPON

29

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Employer identification number

Schedule O (Form 990 or 990-EZ) (2013)

Schedule O (Form 990 or 990-EZ) (2013) Page

Name of the organizationNATIONAL MEDICAL ASSOCIATION 53-6010805

TAKING OFFICE EACH YEAR (INCLUDING CONTINUING MEMBERS). ALL BOARD MEMBERS

PARTICIPATE IN A "BOARD MEMBER ORIENTATION" MEETING IN OCTOBER OF EACH

YEAR. BECAUSE OUR BOARD MEMBERS ARE PROFESSIONALLY ACTIVE, THERE IS A

DISCUSSION OF THE NATURE OF THEIR RELATIONSHIPS WITH THE NMA AND OTHER

ORGANIZATIONS IDENTIFYING COMMON RELATIONSHIPS THAT MIGHT CONFLICTS OF

INTEREST. ALL EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT UPON

EMPLOYMENT. THE NMA'S POLICIES INCLUDE PROCEDURES FOR REPORTING SUSPECTED

CONFLICTS.

FORM 990, PART VI, SECTION B, LINE 15A:

EXPLANATION: THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION

OF THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES THE

COMPENSATION FOR ALL OTHER EMPLOYEES AND CONSULTS WITH THE BOARD ON SENIOR

POSITIONS. THE BOARD AND THE EXECUTIVE DIRECTOR CONSULT WITH COMPENSATION

FIRMS FOR INFORMATION ON SALARY AND BENEFIT LEVELS. DECISIONS ARE

DOCUMENTED IN THE BOARD MINUTES. OTHER TOP MANAGEMENT OFFICIALS AND KEY

EMPLOYEES ARE HIRED DIRECTLY BY THE ORGANIZATION, BUT COMPARABLE DATA IS

OBTAINED FROM OUTSIDE SOURCES, SUCH AS ASAE OR PERSONNEL FIRMS TO DETERMINE

A SALARY OFFER. THE BOARD OF DIRECTORS APPROVES COMPENSATION. THE DATA IS

GATHERED THROUGH EXECUTIVE SEARCH FIRMS, ASAE AND GUIDESTAR. THE DECISIONS

ARE DOCUMENTED IN THE COMMITTEE MINUTES.

FORM 990, PART VI, SECTION C, LINE 19:

EXPLANATION: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF

INTEREST POLICY, FINANCIAL STATEMENTS AND OTHER DOCUMENTS ARE MADE

AVAILABLE AT THE HEADQUARTERS ON REQUEST. FINANCIAL STATEMENTS, CONFLICT OF

INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE

SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).

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Employer identification number

Schedule O (Form 990 or 990-EZ) (2013)

Schedule O (Form 990 or 990-EZ) (2013) Page

Name of the organizationNATIONAL MEDICAL ASSOCIATION 53-6010805

FORM 990, PART IX, LINE 11G, OTHER FEES:

OTHER PROFESSIONAL FEES:

PROGRAM SERVICE EXPENSES 100.

MANAGEMENT AND GENERAL EXPENSES 3,247.

FUNDRAISING EXPENSES 0.

TOTAL EXPENSES 3,347.

CONSULTING FEES:

PROGRAM SERVICE EXPENSES 920,987.

MANAGEMENT AND GENERAL EXPENSES 296,165.

FUNDRAISING EXPENSES 140,457.

TOTAL EXPENSES 1,357,609.

TOTAL OTHER FEES ON FORM 990, PART IX, LINE 11G, COL A 1,360,956.

FORM 990, PART IV, LINE 12

EXPLANATION: AT THE TIME WHEN THE FORM 990 IS PREPARED AND FILED TO THE

IRS, THE ORGANIZATION HAS NOT RECEIVED THE FINALIZED 2013 AUDITED

FINANCIAL STATEMENTS.

31

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DR

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OMB No. 1545-0687Form

For calendar year 2013 or other tax year beginning , and ending .

Department of the TreasuryInternal Revenue Service

Open to Public Inspection for501(c)(3) Organizations Only

Employer identification number(Employees' trust, seeinstructions.)

Unrelated business activity codes(See instructions.)

Book value of all assetsat end of year

32370112-12-13

| Information about Form 990-T and its instructions is available at

| Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3).DA

B Printor

TypeE

C F

G

H

I

J(A) Income (B) Expenses (C) Net

1

2

3

4

5

6

7

8

9

10

11

12

13

a

b

a

b

c

c 1c

2

3

4a

4b

4c

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

14

15

16

17

18

19

20

21

22a 22b

23

24

25

26

27

28

29

30

31

32

33

34

Unrelated business taxable income.

For Paperwork Reduction Act Notice, see instructions.

Total.

Total deductions.

Check box ifaddress changed

Name of organization ( Check box if name changed and see instructions.)

Exempt under section

501( )( ) Number, street, and room or suite no. If a P.O. box, see instructions.

220(e)408(e)

408A 530(a) City or town, state or province, country, and ZIP or foreign postal code

529(a)

|Group exemption number (See instructions.)

|Check organization type 501(c) corporation 501(c) trust 401(a) trust Other trust

Describe the organization's primary unrelated business activity. |

During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group?

If "Yes," enter the name and identifying number of the parent corporation.

~~~~~~ | Yes No|

| |The books are in care of Telephone number

Gross receipts or sales

Less returns and allowances Balance ~~~ |

Cost of goods sold (Schedule A, line 7)

Gross profit. Subtract line 2 from line 1c

Capital gain net income (attach Form 8949 and Schedule D)

~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~

~~~~~~~~

Net gain (loss) (Form 4797, Part II, line 17) (attach Form 4797) ~~~~~~

Capital loss deduction for trusts ~~~~~~~~~~~~~~~~~~~~

Income (loss) from partnerships and S corporations (attach statement)

Rent income (Schedule C)

~~~

~~~~~~~~~~~~~~~~~~~~~~

Unrelated debt-financed income (Schedule E) ~~~~~~~~~~~~~~

Interest, annuities, royalties, and rents from controlled organizations (Sch. F)~

Investment income of a section 501(c)(7), (9), or (17) organization (Schedule G)

Exploited exempt activity income (Schedule I)

Advertising income (Schedule J)

Other income (See instructions; attach schedule.)

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~

Combine lines 3 through 12�������������������

Compensation of officers, directors, and trustees (Schedule K)

Salaries and wages

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Repairs and maintenance

Bad debts

Interest (attach schedule)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Charitable contributions (See instructions for limitation rules.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Depreciation (attach Form 4562)

Less depreciation claimed on Schedule A and elsewhere on return

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~

Depletion

Contributions to deferred compensation plans

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Employee benefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Excess exempt expenses (Schedule I)

Excess readership costs (Schedule J)

Other deductions (attach schedule)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines 14 through 28 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Unrelated business taxable income before net operating loss deduction. Subtract line 29 from line 13 ~~~~~~~~~~~~

Net operating loss deduction (limited to the amount on line 30)

Unrelated business taxable income before specific deduction. Subtract line 31 from line 30

Specific deduction (Generally $1,000, but see instructions for exceptions.)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 33 from line 32. If line 33 is greater than line 32, enter the smaller of zero or

line 32 �����������������������������������������������������

Form (2013)

(See instructions for limitations on deductions.)(Except for contributions, deductions must be directly connected with the unrelated business income.)

LHA

www.irs.gov/form990t.

(and proxy tax under section 6033(e))

Part I Unrelated Trade or Business Income

Part II Deductions Not Taken Elsewhere

990-T

Exempt Organization Business Income Tax Return990-T

2013   

    

  

       

   

SEE STATEMENT 2

NATIONAL MEDICAL ASSOCIATION 53-6010805X c 3

8403 COLESVILLE ROAD, NO. 920

SILVER SPRING, MD 20910 541800

4,063,534. XADVERTISING

X

JUAN G. GONZALEZ, CPA (202) 347-1895

49,014. 25,883. 23,131.

49,014. 25,883. 23,131.

0.

0.23,131.23,131.

0.1,000.

0.

33

Page 228: NMA Board of Trustees Orientation Notebook-2014

DR

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PageForm 990-T (2013)

(attach schedule)

During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust?If YES, see instructions for other forms the organization may have to file.

Additional section 263A costs (att. schedule)

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

May the IRS discuss this return with

the preparer shown below (see

instructions)?

323711 12-12-13

2

35 Organizations Taxable as Corporations.

See instructions

a

b

c

(1) (2) (3)

(1)

(2)

35c

36

37

38

39

36

37

38

39

Trusts Taxable at Trust Rates.

Proxy tax.

Total

40

41

42

43

44

a

b

c

d

e

40a

40b

40c

40d

Total credits. 40e

41

42

43Total tax.

a

b

c

d

e

f

g

44a

44b

44c

44d

44e

44f

44g

45

46

47

48

49

Total payments 45

46

47

48

49

Tax due

Overpayment.

Credited to 2014 estimated tax Refunded

1 Yes No

2

3

1

2

3

4

1

2

3

4a

4b

6

7

8

6

7

Cost of goods sold.

a

b

Yes No

5 Total. 5

Yes No

See instructions for tax computation.

Controlled group members (sections 1561 and 1563) check here | and:

Enter your share of the $50,000, $25,000, and $9,925,000 taxable income brackets (in that order):

$ $ $

Enter organization's share of: Additional 5% tax (not more than $11,750) $

Additional 3% tax (not more than $100,000) ~~~~~~~~~~~~~ $

Income tax on the amount on line 34 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

|

|

See instructions for tax computation. Income tax on the amount on line 34 from:

Tax rate schedule or Schedule D (Form 1041) ~~~~~~~~~~~~~~~~~~~~~~~~~~~

See instructions

Alternative minimum tax

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

. Add lines 37 and 38 to line 35c or 36, whichever applies ���������������������������

Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116)

Other credits (see instructions)

~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~

General business credit. Attach Form 3800 ~~~~~~~~~~~~~~~~~~~~~~

Credit for prior year minimum tax (attach Form 8801 or 8827) ~~~~~~~~~~~~~~

Add lines 40a through 40d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 40e from line 39 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other taxes. Check if from: Form 4255 Form 8611 Form 8697 Form 8866 Other

Add lines 41 and 42 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Payments: A 2012 overpayment credited to 2013 ~~~~~~~~~~~~~~~~~~~

2013 estimated tax payments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Tax deposited with Form 8868 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Foreign organizations: Tax paid or withheld at source (see instructions) ~~~~~~~~~~

Backup withholding (see instructions)

Credit for small employer health insurance premiums (Attach Form 8941)

Other credits and payments:

~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~

Form 2439

OtherForm 4136 Total |

. Add lines 44a through 44g ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Estimated tax penalty (see instructions). Check if Form 2220 is attached | ~~~~~~~~~~~~~~~~~~~

. If line 45 is less than the total of lines 43 and 46, enter amount owed ~~~~~~~~~~~~~~~~~~~ |

|

|

If line 45 is larger than the total of lines 43 and 46, enter amount overpaid ~~~~~~~~~~~~~~

Enter the amount of line 48 you want: |

At any time during the 2013 calendar year, did the organization have an interest in or a signature or other authority over a financial account (bank,

securities, or other) in a foreign country? If YES, the organization may have to file Form TD F 90-22.1, Report of Foreign Bank and Financial

Accounts. If YES, enter the name of the foreign country here |

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter the amount of tax-exempt interest received or accrued during the tax year $|

|

Inventory at beginning of year

Purchases

~~~ Inventory at end of year ~~~~~~~~~~~~

~~~~~~~~~~~ Subtract line 6

Cost of labor~~~~~~~~~~~ from line 5. Enter here and in Part I, line 2 ~~~~

Other costs (attach schedule)

Do the rules of section 263A (with respect to

property produced or acquired for resale) apply to

the organization?

~~~

Add lines 1 through 4b ��� �����������������������

Signature of officer Date Title

Print/Type preparer's name Preparer's signature Date Check

self- employed

if PTIN

Firm's name Firm's EIN

Firm's address Phone no.

(see instructions)

Enter method of inventory valuation

Form (2013)

Tax ComputationPart III

Tax and PaymentsPart IV

Statements Regarding Certain Activities and Other InformationPart V

Schedule A - Cost of Goods Sold.

SignHere

PaidPreparerUse Only

990-T

 

   

         

    

 

    

= =

999

NATIONAL MEDICAL ASSOCIATION 53-6010805

0.

0.

0.

0.

0.0.

XX

N/A

CHAIRMANX

YONG ZHANG, CPA P01249785MCGLADREY LLP 42-0714325

1861 INTERNATIONAL DRIVE, SUITE 400MCLEAN, VA 22102 703-336-6400

34

Page 229: NMA Board of Trustees Orientation Notebook-2014

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Description of property

Rent received or accrued

Deductions directly connected with the income incolumns 2(a) and 2(b) (attach schedule) From personal property (if the percentage of

rent for personal property is more than 10% but not more than 50%)

From real and personal property (if the percentageof rent for personal property exceeds 50% or if

the rent is based on profit or income)

Total Total

Enter here and on page 1,Part I, line 6, column (B)

Deductions directly connected with or allocableto debt-financed property Gross income from

or allocable to debt-financed property

Straight line depreciation(attach schedule)

Other deductions(attach schedule)

Description of debt-financed property

Amount of average acquisition debt on or allocable to debt-financed

property (attach schedule)

Average adjusted basisof or allocable to

debt-financed property(attach schedule)

Column 4 divided by column 5

Gross incomereportable (column

2 x column 6)

Allocable deductions(column 6 x total of columns

3(a) and 3(b))

Enter here and on page 1,

Part I, line 7, column (A).

Enter here and on page 1,

Part I, line 7, column (B).

Name of controlled organization Deductions directlyPart of column 4 that isEmployer identification

numberNet unrelated income

(loss) (see instructions)Total of specifiedpayments made

included in the controllingorganization's gross income

connected with incomein column 5

Taxable Income Net unrelated income (loss) Total of specified payments Part of column 9 that is included Deductions directly connectedin the controlling organization's

gross incomemade(see instructions) with income in column 10

Add columns 5 and 10.

Enter here and on page 1, Part I,

line 8, column (A).

Add columns 6 and 11.

Enter here and on page 1, Part I,

line 8, column (B).

323721 12-12-13

3

1.

2.3(a)

(a) (b)

(b) Total deductions.(c) Total income.

3.2.

(a) (b)1.

4. 7.5. 6. 8.

Totals

Total dividends-received deductions

1. 2. 3. 4. 5. 6.

7. 8. 9. 10. 11.

Totals

990-T

Form 990-T (2013) Page(see instructions)

Add totals of columns 2(a) and 2(b). Enter

here and on page 1, Part I, line 6, column (A) ������� | � |

%

%

%

%

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

included in column 8 ��������������������������������� |

����������������������������������������

Form (2013)

(1)

(2)

(3)

(4)

(1)

(2)

(3)

(4)

(see instructions)

(1)

(2)

(3)

(4)

(1)

(2)

(3)

(4)

(see instructions)

Exempt Controlled Organizations

(1)

(2)

(3)

(4)

Nonexempt Controlled Organizations

(1)

(2)

(3)

(4)

Schedule C - Rent Income (From Real Property and Personal Property Leased With Real Property)

Schedule E - Unrelated Debt-Financed Income

Schedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations

J

NATIONAL MEDICAL ASSOCIATION 53-6010805

0. 0.

0. 0.

0. 0.0.

0. 0.

35

Page 230: NMA Board of Trustees Orientation Notebook-2014

DR

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Deductionsdirectly connected(attach schedule)

Total deductionsand set-asides

(col. 3 plus col. 4)

Set-asides(attach schedule)

Description of income Amount of income

Enter here and on page 1,Part I, line 9, column (A).

Enter here and on page 1,Part I, line 9, column (B).

Description ofexploited activity

Grossunrelated business

income fromtrade or business

Expensesdirectly connected

with productionof unrelated

business income

Net income (loss)from unrelated trade or

business (column 2minus column 3). If again, compute cols. 5

through 7.

Gross incomefrom activity thatis not unrelated

business income

Expensesattributable to

column 5

Excess exemptexpenses (column6 minus column 5,but not more than

column 4).

Enter here and onpage 1, Part I,

line 10, col. (A).

Enter here and onpage 1, Part I,

line 10, col. (B).

Enter here andon page 1,

Part II, line 26.

Grossadvertising

income

Directadvertising costs

Advertising gainor (loss) (col. 2 minus

col. 3). If a gain, computecols. 5 through 7.

Circulationincome

Readershipcosts

Excess readershipcosts (column 6 minuscolumn 5, but not more

than column 4).

Name of periodical

Grossadvertising

income

Directadvertising costs

Advertising gainor (loss) (col. 2 minus

col. 3). If a gain, computecols. 5 through 7.

Circulationincome

Readershipcosts

Excess readershipcosts (column 6 minuscolumn 5, but not more

than column 4).

Name of periodical

Enter here and onpage 1, Part I,

line 11, col. (A).

Enter here and onpage 1, Part I,

line 11, col. (B).

Enter here andon page 1,

Part II, line 27.

Percent oftime devoted to

business

Compensation attributableto unrelated businessTitleName

32373112-12-13

4

3. 5.4.1. 2.

Totals

1. 2. 3. 4.

5. 6. 7.

Totals

2. 3. 4.

5. 6. 7.

1.

Totals

2. 3. 4.

5. 6. 7.

1.

Totals from Part I

Totals,

3. 4.2.1.

Total.

Form 990-T (2013) Page

������������������������������

����������

(carry to Part II, line (5)) ��

Part II (lines 1-5)�����

%

%

%

%

Enter here and on page 1, Part II, line 14 �����������������������������������

(see instructions)

(1)

(2)

(3)

(4)

(see instructions)

(1)

(2)

(3)

(4)

(see instructions)

(1)

(2)

(3)

(4)

(For each periodical listed in Part II, fill incolumns 2 through 7 on a line-by-line basis.)

(1)

(2)

(3)

(4)

(see instructions)

(1)

(2)

(3)

(4)

Form (2013)

Schedule G - Investment Income of a Section 501(c)(7), (9), or (17) Organization

Schedule I - Exploited Exempt Activity Income, Other Than Advertising Income

Schedule J - Advertising IncomeIncome From Periodicals Reported on a Consolidated BasisPart I

Income From Periodicals Reported on a Separate BasisPart II

Schedule K - Compensation of Officers, Directors, and Trustees

990-T

9

9

9

9

9

NATIONAL MEDICAL ASSOCIATION 53-6010805

0. 0.

0. 0. 0.

0. 0. 0.

JOURNAL OF NATIONALMEDICAL ASSOCIATION 6,280. 13,013. -6,733.CAREER CENTER 34,634. 0. 34,634.E-NMA 8,100. 12,870. -4,770.

0. 0. 0.

49,014. 25,883. 0.

0.

36

Page 231: NMA Board of Trustees Orientation Notebook-2014

DR

AFT

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FOOTNOTES STATEMENT 1

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

NOL CARRYOVER

2007 NOL AVAILABLE 45,365.2011 NOL AVAILABLE 128,166.

}}}}}}}}}}}}}

2013 NOL AVAILABLE 173,531.~~~~~~~~~~~~~

NATIONAL MEDICAL ASSOCIATION 53-6010805}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 1 37

Page 232: NMA Board of Trustees Orientation Notebook-2014

DR

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~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FORM 990-T CONTRIBUTIONS SUMMARY}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

QUALIFIED CONTRIBUTIONS SUBJECT TO 100% LIMIT

CARRYOVER OF PRIOR YEARS UNUSED CONTRIBUTIONSFOR TAX YEARFOR TAX YEARFOR TAX YEARFOR TAX YEARFOR TAX YEAR

}}}}}}}}}}}}}}TOTAL CARRYOVERTOTAL CURRENT YEAR 10% CONTRIBUTIONS

}}}}}}}}}}}}}}TOTAL CONTRIBUTIONS AVAILABLETAXABLE INCOME LIMITATION AS ADJUSTED

}}}}}}}}}}}}}}EXCESS 10% CONTRIBUTIONSEXCESS 100% CONTRIBUTIONSTOTAL EXCESS CONTRIBUTIONS

}}}}}}}}}}}}}}ALLOWABLE CONTRIBUTIONS DEDUCTION

}}}}}}}}}}}}}}TOTAL CONTRIBUTION DEDUCTION

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

128,166

128,166

128,166

128,166

0

128,1660

20082009201020112012

0

0

NATIONAL MEDICAL ASSOCIATION 53-6010805}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT 2

STATEMENT(S) 2 38

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2013, ENDINGOR FISCAL YEAR BEGINNING

Name

Number and street

State ZIP codeCity / town

Federal Employer Identification No. (9 digits) Do not write in this space

ME

YEFEIN Applied for date

Date of Organization or Incorporation (MMDDYY) Business Activity Code No. (6 digits)

35630110-11-13 COM/RAD-001 13-05

MARYLANDFORM

1 a

b

c

1a

1b

1c

MARYLAND ADJUSTMENTS TO FEDERAL TAXABLE INCOME (All entries must be positive amounts.)ADDITION ADJUSTMENTS

2 a

b

c

2a

b

2c

SUBTRACTION ADJUSTMENTS

3 a

b

c

d

e

3a

b

c

d

3e

4

5

6

4

5

6

MARYLAND ADDITION MODIFICATIONS (All entries must be positive amounts.)

7 a

b

c

d

e

f

g

7a

b

c

d

e

f

7g

|

|

| |

NAME OR ADDRESS HAS CHANGED INACTIVE CORPORATION FIRST FILING OF THE CORPORATION FINAL RETURN

| THIS TAX YEAR'S BEGINNING AND ENDING DATES ARE DIFFERENT FROM LAST YEAR'S DUE TO AN ACQUISITION OR CONSOLIDATION.

|

|

|

STA

PLE

CH

ECK

HER

E

|

|

|

|

|

|

|

|

|

|

|

$

CHECK HERE IF:

SEE CORPORATION INSTRUCTIONS. ATTACH A COPY OF THE FEDERAL INCOME TAX RETURN THROUGH SCHEDULE M2.

Federal Taxable Income (Enter amount from Federal Form 1120 line 28 or Form 1120-C line 25c.) See Instructions. Check applicable box:

1120 1120-REIT 990T

Other: IF 1120S, FILE ON FORM 510 ~~~~

Special Deductions (Federal Form 1120 line 29b or Form 1120-C line 26b.)

Federal Taxable Income before net operating loss deduction (Subtract line 1b from 1a.)

~

~~~~~~~~

Section 10-306.1 related party transactions

Decoupling Modification Addition adjustment

(Enter code letter(s) from instructions.)

~~~~~~~~~~~~~

~~~~~~ ~

Total Maryland Addition Adjustments to Federal Taxable Income (Add lines 2a and 2b.) ~~~~~~~~~~

Section 10-306.1 related party transactions

Dividends for domestic corporation claiming foreign tax credits

(Federal form 1120/1120C Schedule C line 15)

Dividends from related foreign corporations

(Federal form 1120/1120C Schedule C line 13 and 14)

~~~~~~~~~~~~~

~~~~~~~~~~~~

~~~~~~~~

Decoupling Modification Subtraction adjustment

(Enter code letter(s) from instructions.) ~~~~~~ ~

Total Maryland Subtraction Adjustments to Federal Taxable Income (Add lines 3a through 3d.) ~~~~~~

Maryland Adjusted Federal Taxable Income before NOL deduction is applied

(Add lines 1c and 2c, and subtract line 3e.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter Adjusted Federal NOL Carry-forward available from previous tax years (including FDSC Carry forward)

on a separate company basis (Enter NOL as a positive amount.) ~~~~~~~~~~~~~~~~~~~

Maryland Adjusted Federal Taxable Income (If line 4 is less than or equal to zero, enter amount from line 4.)

(If line 4 is greater than zero, subtract line 5 from line 4 and enter result.

If result is less than zero, enter zero.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

State and local income tax

Dividends and interest from another state, local or federal tax

exempt obligation

Net operating loss modification recapture

(Do not enter NOL carryover. See instructions.)

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~

Domestic Production Activities Deduction

Deduction for Dividends paid by captive REIT

~~~~~~~~~~~~~~

~~~~~~~~~~~~

Other additions (Enter code letter(s) from

instructions and attach schedule.) ~~~~~~~~ ~

Total Addition Modifications (Add lines 7a through 7f.) ~~~~~~~~~~~~~~~~~~~~~~~~~~

CORPORATION INCOMETAX RETURN

2013500

        

      

NATIONAL MEDICAL ASSOCIATION

8403 COLESVILLE ROAD, STE 920

SILVER SPRING MD 20910

536010805

03/13/24 541800

X23131

23131

23131

173531

0

Page 234: NMA Board of Trustees Orientation Notebook-2014

DR

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Name FEIN

COM/RAD-001

35630210-11-13 13-05

MARYLANDFORM

page 2

2013

MARYLAND SUBTRACTION MODIFICATIONS(All entries must be positive amounts.)

8 a

b

c

8a

b

8c

NET MARYLAND MODIFICATIONS

9

10

9

10

APPORTIONMENT OF INCOME

(To be completed by multistate corporations whose apportionment factor is less than 1, otherwise skip to line 13.)

11

12

11

12

13

14

15

13

14

a

b

c

d

e

f

g

15a

b

f

You must file this form electronically to claim business tax credits from Form 500CR.

You must file this form electronically to claim business tax credits from Form 500CR.

15g

16

17

18

19

21

16

17

18

19

20

21

Total

20

DIRECT DEPOSIT OF REFUND

22

a

b

c

INFORMATIONAL PURPOSES ONLY (LINES 23 & 24)

23

24

23

24

|

|

|

|

|

|

Interest and/or penalty from Form 500UP

|

|

or late payment interest |

|

|

|

|

|

|

Income from US Obligations

Other Subtractions (Enter code letter(s)

from instructions and attach schedule.)

Total Subtraction Modifications (Add lines 8a and 8b.)

~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~ ~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total Maryland Modifications (Subtract line 8c from 7g. If less than zero, enter negative amount.)

Maryland Modified Income (Add lines 6 and 9.)

~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Maryland apportionment factor (from page 3 of this form) (If factor is zero, enter .000001.) ~~~~~~~~~

Maryland apportionment income (Multiply line 10 by line 11.) ~~~~~~~~~~~~~~~~~~~~~~~~~

Maryland taxable income (from line 10 or line 12, whichever is applicable.)

Tax (Multiply line 13 by 8.25%.)

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Estimated tax paid with Form 500D, Form MW506NRS and/or

credited from 2012 overpayment ~~~~~~~~~~~~~~~~~~~~

Tax paid with an extension request (Form 500E)

Nonrefundable business income tax credits from Part W.

(See instructions for Form 500CR.)

~~~~~~~~~~~~~

~~~~~~~~

Refundable business income tax credits from Part Z.

(See instructions for Form 500CR.) ~~~~~~~~

The Sustainable Communities Tax Credit is now claimed on line 1 of

Part Z on Form 500CR. Check here if you are a non-profit corporation.

Nonresident tax paid on behalf of the corporation by pass-through entities

(Attach Maryland Schedule K-1.)

Total payments and credits (Add lines 15a through 15f.)

~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~

Balance of tax due (If line 14 exceeds line 15g, enter the difference.)

Overpayment (If line 15g exceeds line 14, enter the difference.)

~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

Total balance due (Add lines 16 and 18, or if line 18 exceeds line 17 enter the difference.)

Amount of overpayment to be applied to estimated tax for 2014

(not to exceed the net of line 17 less line 18)

~~~~~~~~~~~

~~~~~~~~~~~~~~~

Amount of overpayment TO BE REFUNDED

(Add lines 18 and 20, and subtract the total from line 17.)~~~~~~~~~~~~~~~~~~~~~~~~~

(See instructions.) Please be sure the account information is correct.

To comply with banking rules, please check here if this refund will go to an account

outside the United States. If checked, see instructions.

For the direct deposit option, complete the following information clearly and legibly:

Type of account: checking savings

Routing number (9 Digits)

Account number

NOL generated in Current Year - Carryforward 20 Years and back 2 Years

(If line 6 is less than zero, enter on line 23.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

NAM generated in Current Year - Carried Forward/Back with the Loss on Line 23 per Section

10-205(e) (If line 6 is less than zero AND line 9 is greater than zero, enter the amount

from line 9 on line 24.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

CORPORATION INCOMETAX RETURN500

 

 

   

NATIONAL MEDICAL 53-6010805

0

00

0

0

Page 235: NMA Board of Trustees Orientation Notebook-2014

DR

AFT

(Add lines 1A(a) through 1A(g), for Columns 1 and 2.)

(Add lines 2a through 2f, for Columns 1 and 2.)

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements and to the best of my knowledgeand belief it is true, correct and complete. If prepared by a person other than taxpayer, the declaration is based on all information of which the preparer has any knowledge.

(required by law)

(three digits per box)

356303 10-11-13 COM/RAD-001 13-05

Make checks payable and mail to: Comptroller of Maryland, Revenue Administration Division110 Carroll StreetAnnapolis, Maryland 21411-0001(Write Federal Employer Identification Number on checkusing blue or black ink.)

MARYLANDFORM

2013

page 3

SCHEDULE A - COMPUTATION OF APPORTIONMENT FACTOR Column 1TOTALSWITHIN

MARYLAND

Column 2TOTALS

WITHIN ANDWITHOUT

MARYLAND

Column 3

DECIMAL FACTOR

(Column 1 ^ Column 2rounded to six places)

1A. Receipts

1B.

2.

Receipts

Property

3.

4.

5.

Payroll

Total of factors

Maryland apportionment factor

SCHEDULE B - ADDITIONAL INFORMATION REQUIRED (Attach a separate schedule if more space is necessary.)

If a multistate operation, provide the following:

SIGNATURE AND VERIFICATION:

.

.

.

(Add lines 3a and 3b, for Columns 1 and 2.) .

.

��������������� .

Yes No

Did the corporation file employer withholding tax returns/forms with the Maryland Revenue Administration Division for the last calendar year? Yes

Yes

No

No

Is this entity a multistate manufacturer with more than 25 employees? If so, complete and attach Form 500MC to your Form 500

Yes No

Yes No

|

|

CODE NUMBERS

Name FEIN

(Applies only to multistate corporations. See instructions.)

NOTE: Special apportionment formulas are required for rental/leasing,financial institutions, transportation and manufacturing companies.

a.

b.

c.

d.

e.

f.

g.

h.

Gross receipts or sales less returns and allowances | |

Dividends

Interest

Gross rents

Gross royalties

~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

Capital gain net income

Other income (Attach schedule.)

Total receipts

~~~~~~~~~~~~~~~~

~~~~~~~~~~~~

| |

Enter the same factor shown on line 1A, Column 3.

Disregard this line if special apportionment formula used ~

a.

b.

c.

d.

e.

f.

g.

a.

b.

c.

Inventory

Machinery and equipment

Buildings

Land

~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~

Other tangible assets (Attach schedule.)

Rent expense capitalized (multiplied by eight)

Total property

~~~~~~~~

~~~~~~

~ | |

Compensation of officers

Other salaries and wages

Total payroll

~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~

~ | |

(Add entries in Column 3.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Divide line 4 by four for three-factor formula, or by the number of factors used if

special apportionment formula required. (If factor is zero, enter .000001 on line 11 page 2.)

1. Telephone number of corporation tax department:

2.

3.

4.

5.

6.

7.

8.

Address of principal place of business in Maryland (if other than indicated on page 1):

Brief description of operations in Maryland:

Has the Internal Revenue Service made adjustments (for a tax year in which a Maryland return was required)

that were not previously reported to the Maryland Revenue Administration Division? ~~~~~~~~~~~~~~~~~~~~

If "yes", indicate tax year(s) here:

with a copy of the IRS adjustment report(s) under separate cover.

and submit an amended return(s) together

Is this entity part of a federal consolidated filing? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

|

|

Is this entity a multistate corporation that is a member of a unitary group? ~~~~~~~~~~~~~~~~~~~~~~~

~~~

Check here if you authorize your tax preparer to discuss this return with us.

Date Preparer's PTIN Officer's signature Preparer's signature

Officer's Name and Title Preparer's name, address and telephone number

CORPORATION INCOMETAX RETURN

500

§

§

§

   

            

 

NATIONAL MEDI 53-6010805

202-347-1895

NOT FOR PROFIT

X

XXXX

X

P01249785

CHAIRMAN MCGLADREY LLP

1861 INTERNATIONAL DRIVE, SUITE 400MCLEAN, VA 22102

703-336-6400

Page 236: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

ACCT REVENUE - OPERATIONS

4031-37 DUES 175,000 110,000 80,000 40,000 20,000 30,000 60,000 10,000 5,000

5051-66 REGISTRATION & TICKET SALES 0 0 0 0 0 0 0 0 0

5051-66 REGIONAL DUES 0 0 0 0 0 0 0 0 0

4091 INTEREST 0 0 0 0 0 0 0 0 0

4,020 CONTRIBUTIONS 0 0 40,000 50,000 200,000 350,000 70,000 250,000 120,000

4,010 ADVERTISING-PHARMA 0 0 0 0 0 0 0 0 0

401X ADVERTISING-NON PHARMA 0 0 0 0 0 0 0 0 0

4051-52 EXHIBITS 0 0 0 0 0 0 0 0 0

5080-85 SUBSCRIPTIONS & ROYALTIES 7,500 4,400 2,000 500 500 2,500 0 0 0

MISC RENTAL, MAILING LIST, AND OTHER INCOME 1,500 0 0 750 1,200 600 400 0 1,500

XXX SUBLESSOR INCOME 0 0 0 0 0 0 0 0 0

TOTAL BUDGETED REVENUE 184,000 114,400 122,000 91,250 221,700 383,100 130,400 260,000 126,500

ACCT EXPENSES - OPERATIONS

7,060 ACCOUNTING SERVICES 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000

AUDITING 0 0 0 10,000 10,000 10,000 0 0 0

7,070 ADVERTISING 83 83 83 84 84 84 84 83 83

7,078 AUDIO VISUAL 5,833 5,833 5,833 5,833 5,833 5,833 5,833 5,833 5,833

7,080 AUTO/PARKING-GROUND TRANSPORTATION 1,667 1,667 1,667 1,667 1,667 1,667 1,667 1,667 1,667

7,100 BANK CHARGES 1,667 1,667 1,667 1,667 1,667 1,667 1,667 1,667 1,667

7,110 CONSULTANTS 29,167 29,167 29,167 29,167 29,167 29,167 29,167 29,167 29,167

7,120 CONSULTANT TRAVEL 792 792 792 792 792 792 792 792 792

7,130 CONTRACTUAL/COMMISSIONS 8,333 8,333 8,333 8,334 8,334 8,334 8,334 8,333 8,333

7,135 0 0 0 0 0 0 0 0 0

7,150 CREDIT CARD FEES 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167

7,160 DATA PROCESSING/COMPUTER SERVICES 8,000 8,000 8,000 8,000 8,000 8,000 8,000 8,000 8,000

7,170 DECORATIONS 0 0 0 0 0 0 0 0 0

7,180 DEPRECIATION & AMORTIZATION 500 500 500 500 500 500 500 500 500

7,200 EQUIPMENT RENTALS/LEASES 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000

7,210 FACILITY RENTAL 500 500 500 500 500 500 500 500 500

7210A OFFICE RENT 16,054 16,054 16,054 16,054 16,054 16,054 16,054 16,054 16,054

7,211 EQUIPMENT PURCHASE 0 0 0 0 0 0 0 0 0

7,221 FICA 5,500 5,500 5,500 5,500 5,500 5,500 5,500 5,500 5,500

7,222 SUI 3,000 3,000 3,000 3,000 3,000 3,000 3,000 3,000 3,000

7,230 PROMOTIONAL MATERIALS/GIFTS/AWARDS 0 0 0 0 0 0 0 0 0

7,240 INDIRECT COST RECOVERY 0 0 0 0 0 0 0 0 0

7,250 INSURANCE - BUSINESS 1,350 1,350 1,350 1,350 1,350 1,350 1,350 1,350 1,350

7,262 INSURANCE - HEALTH & DENTAL 10,000 10,000 10,000 10,000 10,000 10,000 10,000 10,000 10,000

7,263 INSURANCE - LIFE 600 600 600 600 600 600 600 600 600

7,264 EMPLOYEE TRANSPORTATION SUBSIDY 2,400 2,400 2,400 2,400 2,400 2,400 2,400 2,400 2,400

7,270 INTEREST EXPENSE 2,500 0 0 0 0 0 0 0 0

7,280 INVESTMENT MANAGEMENT FEES 417 417 417 417 417 417 417 417 417

7,290 BUILDING-JANITORIAL SERVICES 0 0 0 0 0 0 0 0 0

7,300 LEGAL FEES 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000

7,320 LICENSES/PERMITS 0 0 0 0 0 0 0 0 0

MAY 2014

BUDGET

JUNE 2014

BUDGET

JAN 2014

BUDGET

FEB 2014

BUDGET

MAR 2014

BUDGET

APR 2014

BUDGET

JULY 2014

BUDGET

AUG 2014

BUDGET

SEPT 2014

BUDGET

Page 1 of 10

Page 237: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

MAY 2014

BUDGET

JUNE 2014

BUDGET

JAN 2014

BUDGET

FEB 2014

BUDGET

MAR 2014

BUDGET

APR 2014

BUDGET

JULY 2014

BUDGET

AUG 2014

BUDGET

SEPT 2014

BUDGET

7,325 MAILING LIST 0 0 0 0 0 0 0 0 0

7,330 CONFERENCES/MEETINGS/MEAL FUNCTIONS 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000

7,335 0 0 0 0 0 0 0 0 0

7,346 0 0 0 0 0 0 0 0 0

7,350 OFFICE SUPPLIES 833 833 833 833 833 833 833 833 833

7,355 0 0 0 0 0 0 0 0 0

7,360 PENALTIES/FINES/LATE FEES 0 0 0 0 0 0 0 0 0

7,370 PENSION PLAN 1,350 1,350 1,350 1,350 1,350 1,350 1,350 1,350 1,350

7,380 PHOTOGRAPHY 0 0 0 0 0 0 0 0 0

7,390 POSTAGE 3,750 3,750 3,750 3,750 3,750 3,750 3,750 3,750 3,750

7,395 PRESS RELEASES 0 0 0 0 0 0 0 0 0

7,400 PRINTING, MAILING, & DUPLICATION 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167

7,410 PROFESSIONAL FEES 0 0 0 0 0 0 0 0 0

7,425 ENTERTAINMENT 0 0 0 0 0 0 0 0 0

7,430 REGISTRATION FEES 0 0 0 0 0 0 0 0 0

7,440 RENT/STORAGE - FACILITY RENTAL 0 0 0 0 0 0 0 0 0

7,450 REPAIRS/MAINTENANCE 600 600 600 600 600 600 600 600 600

7,455 BUILDING-REPAIRS/MAINTENANCE/SUPPLIES 0 0 0 0 0 0 0 0 0

7,460 SALARIES/PAYROLL TAXES 66,667 66,667 66,667 66,667 66,667 66,667 66,667 66,667 66,667

7,463 0 0 0 0 0 0 0 0 0

7,470 DONATIONS/SCHOLARSHIPS 0 0 0 0 0 0 0 0 0

7,480 BUILDING - SECURITY 0 0 0 0 0 0 0 0 0

7,490 SHIPPING/DELIVERY (FEDEX/COURIER) 0 0 0 0 0 0 0 0 0

7,500 SPEAKER FEES/WRITER FEES 0 0 0 0 0 0 0 0 0

7,510 SPEAKER/WRITER TRAVEL 0 0 0 0 0 0 0 0 0

7,520 STAFF DEVELOPMENT/EMPLOYEE MORALE 0 0 0 0 0 0 0 0 0

7,530 SUBSCRIPTIONS/DUES/BOOKS/MEMBERSHIPS 115 115 115 115 115 115 115 115 115

7,542 TAXES-PERSONAL PROPERTY 0 0 0 0 0 0 0 0 0

7,551 TELEPHONE - LOCAL & LONG DISTANCE 3,083 3,083 3,083 3,083 3,083 3,083 3,083 3,083 3,083

7,560 TEMP/AGENCY FEES/PLCMNT ADS 1,633 1,633 1,633 1,633 1,633 1,633 1,633 1,633 1,633

7,580 BUILDING - TRASH REMOVAL 0 0 0 0 0 0 0 0 0

7,591 TRAVEL - AIRFARE 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000

7,592 TRAVEL - LODGING, MEALS & OTHER 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000

7,593 TRAVEL - OTHER 0 0 0 0 0 0 0 0 0

7,600 BUILDING - UTILITIES 0 0 0 0 0 0 0 0 0

7,700 MISCELLANEOUS/OTHER 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000

TOTAL BUDGETED EXPENSES 221,728 219,228 219,228 229,230 229,230 229,230 219,230 219,228 219,228

NET INCOME FROM OPERATIONS (37,728) (104,828) (97,228) (137,980) (7,530) 153,870 (88,830) 40,772 (92,728)

ACCT REVENUE - CONVENTION

4031-37 DUES 0 0 0 0 0 0 0 0 0

5051-66 REGISTRATION & TICKET SALES 0 0 0 50,000 250,000 100,000 200,000 400,000 0

5051-66 REGIONAL DUES 0 0 0 0 0 0 0 0 0

4091 INTEREST 0 0 0 0 0 0 0 0 0

4,020 CONTRIBUTIONS 0 0 0 0 0 0 0 0 0

4,010 ADVERTISING-PHARMA 0 0 0 0 0 0 0 0 0

Page 2 of 10

Page 238: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

MAY 2014

BUDGET

JUNE 2014

BUDGET

JAN 2014

BUDGET

FEB 2014

BUDGET

MAR 2014

BUDGET

APR 2014

BUDGET

JULY 2014

BUDGET

AUG 2014

BUDGET

SEPT 2014

BUDGET

401X ADVERTISING-NON PHARMA 0 0 0 0 0 0 0 0 0

4051-52 EXHIBITS 25,000 12,000 50,000 20,000 25,000 25,000 25,000 25,000 30,000

5080-85 SUBSCRIPTIONS & ROYALTIES 0 0 0 0 0 0 0 0 0

MISC RENTAL, MAILING LIST, AND OTHER INCOME 0 0 0 25,000 25,000 25,000 0 0 0

TOTAL BUDGETED REVENUE 25,000 12,000 50,000 95,000 300,000 150,000 225,000 425,000 30,000

ACCT EXPENSES - CONVENTION

7,060 ACCOUNTING SERVICES 0 0 0 0 0 0 0 0 0

XXXX AUDITING

7,070 ADVERTISING 83 83 83 83 83 83 83 83 83

7,078 AUDIO VISUAL 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167

7,080 AUTO/PARKING-GROUND TRANSPORTATION 0 0 0 0 0 0 0 0 0

7,100 BANK CHARGES 83 83 83 83 83 83 83 83 83

7,110 CONSULTANTS 8,333 8,333 8,333 8,333 8,333 8,333 8,333 8,333 8,333

7,120 CONSULTANT TRAVEL 0 0 0 0 0 0 0 0 0

7,130 CONTRACTUAL/COMMISSIONS 20,833 20,833 20,833 20,833 20,833 20,833 20,833 20,833 20,833

7,135 0 0 0 0 0 0 0 0 0

7,150 CREDIT CARD FEES 1,667 1,667 1,667 1,667 1,667 1,667 1,667 1,667 1,667

7,160 DATA PROCESSING/COMPUTER SERVICES 83 83 83 83 83 83 83 83 83

7,170 DECORATIONS 0 0 0 0 0 0 20,000 0 0

7,180 DEPRECIATION & AMORTIZATION 0 0 0 0 0 0 0 0 0

7,200 EQUIPMENT RENTALS/LEASES 0 0 0 0 0 0 6,000 0 0

7,210 FACILITY RENTAL 0 0 0 0 0 0 85,000 0 0

7210A OFFICE RENT 0 0 0 0 0 0 0 0 0

7,211 EQUIPMENT PURCHASE 0 0 0 0 0 0 0 0 0

7,221 FICA 500 500 500 500 500 500 500 500 500

7,222 SUI 42 42 42 42 42 42 42 42 42

7,230 PROMOTIONAL MATERIALS/GIFTS/AWARDS 0 0 0 0 0 0 20,000 5,000 5,000

7,240 INDIRECT COST RECOVERY 0 0 0 0 0 0 0 0 0

7,250 INSURANCE - BUSINESS 0 0 0 0 0 0 0 0 0

7,262 INSURANCE - HEALTH & DENTAL 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000

7,263 INSURANCE - LIFE 100 100 100 100 100 100 100 100 100

7,264 EMPLOYEE TRANSPORTATION SUBSIDY 0 0 0 0 0 0 0 0 0

7,270 INTEREST EXPENSE 0 0 0 0 0 0 0 0 0

7,280 INVESTMENT MANAGEMENT FEES 0 0 0 0 0 0 0 0 0

7,290 BUILDING-JANITORIAL SERVICES 0 0 0 0 0 0 0 0 0

7,300 LEGAL FEES 0 0 0 0 0 0 0 0 0

7,320 LICENSES/PERMITS 0 0 0 0 0 0 0 0 0

7,325 MAILING LIST 0 0 0 0 0 0 0 0 0

7,330 CONFERENCES/MEETINGS/MEAL FUNCTIONS 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167

7,335 0 0 0 0 0 0 0 0 0

7,346 0 0 0 0 0 0 0 0 0

7,350 OFFICE SUPPLIES 833 833 833 833 833 833 833 833 833

7,355 0 0 0 0 0 0 0 0 0

7,360 PENALTIES/FINES/LATE FEES 0 0 0 0 0 0 0 0 0

7,370 PENSION PLAN 250 250 250 250 250 250 250 250 250

Page 3 of 10

Page 239: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

MAY 2014

BUDGET

JUNE 2014

BUDGET

JAN 2014

BUDGET

FEB 2014

BUDGET

MAR 2014

BUDGET

APR 2014

BUDGET

JULY 2014

BUDGET

AUG 2014

BUDGET

SEPT 2014

BUDGET

7,380 PHOTOGRAPHY 0 0 0 0 0 0 7,000 0 0

7,390 POSTAGE 0 0 0 0 0 0 0 0 0

7,395 PRESS RELEASES 0 0 0 0 0 0 1,300 0 0

7,400 PRINTING, MAILING, & DUPLICATION 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167 4,167

7,410 PROFESSIONAL FEES 0 0 0 0 0 0 0 0 0

7,425 ENTERTAINMENT 0 0 0 0 0 0 0 0 0

7,430 REGISTRATION FEES 83 83 83 83 83 83 83 83 83

7,440 RENT/STORAGE - FACILITY RENTAL 0 0 0 0 0 0 0 0 0

7,450 REPAIRS/MAINTENANCE 250 250 250 250 250 250 250 250 250

7,455 BUILDING-REPAIRS/MAINTENANCE/SUPPLIES 0 0 0 0 0 0 0 0 0

7,460 SALARIES/PAYROLL TAXES 6,667 6,667 6,667 6,667 6,667 6,667 6,667 6,667 6,667

7,463 0 0 0 0 0 0 0 0 0

7,470 DONATIONS/SCHOLARSHIPS 0 0 0 0 0 0 0 0 0

7,480 BUILDING - SECURITY 0 0 0 0 0 0 0 0 0

7,490 SHIPPING/DELIVERY (FEDEX/COURIER) 0 0 0 0 0 1,000 1,000 14,000 1,000

7,500 SPEAKER FEES/WRITER FEES 0 0 0 0 0 0 0 0 0

7,510 SPEAKER/WRITER TRAVEL 0 0 0 0 0 0 0 0 0

7,520 STAFF DEVELOPMENT/EMPLOYEE MORALE 0 0 0 0 0 0 0 0 0

7,530 SUBSCRIPTIONS/DUES/BOOKS/MEMBERSHIPS 0 0 0 0 0 0 0 0 0

7,542 TAXES-PERSONAL PROPERTY 0 0 0 0 0 0 0 0 0

7,551 TELEPHONE - LOCAL & LONG DISTANCE 0 0 0 0 0 0 5,000 0 0

7,560 TEMP/AGENCY FEES/PLCMNT ADS 0 0 0 0 0 0 20,000 0 0

7,580 BUILDING - TRASH REMOVAL 0 0 0 0 0 0 1,000 0 0

7,591 TRAVEL - AIRFARE 0 0 0 0 0 0 10,000 0 0

7,592 TRAVEL - LODGING, MEALS & OTHER 0 0 0 0 0 0 10,000 0 0

7,593 TRAVEL - OTHER 0 0 0 0 0 0 0 0 0

7,600 BUILDING - UTILITIES 0 0 0 0 0 0 5,000 0 0

7,700 MISCELLANEOUS/OTHER 0 0 0 0 0 0 30,000 0 0

TOTAL BUDGETED EXPENSES 53,308 53,308 53,308 53,308 53,308 54,308 274,608 72,308 59,308

NET INCOME FROM CONVENTION (28,308) (41,308) (3,308) 41,692 246,692 95,692 (49,608) 352,692 (29,308)

TOTAL NET INCOME (66,036) (146,136) (100,536) (96,288) 239,162 249,562 (138,438) 393,464 (122,036)

BEG. OPERATING ACCOUNT BALANCE 100,000 447,964 265,827 129,291 108,003 347,164 596,726 458,288 851,751

OTHER CASH ITEMS:

TRANSFER FROM BUILDING FUND 80,000 0 0 0 0 0 0 0 0

TRANSFER FROM INVESTMENT ACCOUNT 370,000 0 0 75,000 0 0 0 0 0

LEASE TERMINATION FEE 0 0 0 0 0 0 0 0 0

VARIOUS PAYABLES 2012 AND PRIOR (36,000) (36,000) (36,000) 0 0 0 0 0 0

TOTAL OTHER CASH ITEMS 414,000 (36,000) (36,000) 75,000 0 0 0 0 0

END OPERATING ACCOUNT BALANCE 447,964 265,827 129,291 108,003 347,164 596,726 458,288 851,751 729,715

BEG. BUILDING FUND BALANCE 80,000 0 0 0 0 0 0 0 0

TRANSFER TO OPERATING ACCOUNT (80,000) 0 0 0 0 0 0 0 0

END. BUILDING FUND BALANCE 0 0 0 0 0 0 0 0 0

Page 4 of 10

Page 240: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

MAY 2014

BUDGET

JUNE 2014

BUDGET

JAN 2014

BUDGET

FEB 2014

BUDGET

MAR 2014

BUDGET

APR 2014

BUDGET

JULY 2014

BUDGET

AUG 2014

BUDGET

SEPT 2014

BUDGET

BEG. INVESTMENT ACCOUNT BALANCE 2,000,000 1,130,000 1,130,000 1,130,000 1,055,000 1,055,000 1,055,000 1,055,000 1,055,000

TRANSFER TO OPERATING ACCOUNT (370,000) 0 0 (75,000) 0 0 0 0 0

LOC REPAYMENT (500,000)

END. INVESTMENT ACCOUNT BALANCE 1,130,000 1,130,000 1,130,000 1,055,000 1,055,000 1,055,000 1,055,000 1,055,000 1,055,000

Page 5 of 10

Page 241: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

ACCT REVENUE - OPERATIONS

4031-37 DUES

5051-66 REGISTRATION & TICKET SALES

5051-66 REGIONAL DUES

4091 INTEREST

4,020 CONTRIBUTIONS

4,010 ADVERTISING-PHARMA

401X ADVERTISING-NON PHARMA

4051-52 EXHIBITS

5080-85 SUBSCRIPTIONS & ROYALTIES

MISC RENTAL, MAILING LIST, AND OTHER INCOME

XXX SUBLESSOR INCOME

TOTAL BUDGETED REVENUE

ACCT EXPENSES - OPERATIONS

7,060 ACCOUNTING SERVICES

AUDITING

7,070 ADVERTISING

7,078 AUDIO VISUAL

7,080 AUTO/PARKING-GROUND TRANSPORTATION

7,100 BANK CHARGES

7,110 CONSULTANTS

7,120 CONSULTANT TRAVEL

7,130 CONTRACTUAL/COMMISSIONS

7,135

7,150 CREDIT CARD FEES

7,160 DATA PROCESSING/COMPUTER SERVICES

7,170 DECORATIONS

7,180 DEPRECIATION & AMORTIZATION

7,200 EQUIPMENT RENTALS/LEASES

7,210 FACILITY RENTAL

7210A OFFICE RENT

7,211 EQUIPMENT PURCHASE

7,221 FICA

7,222 SUI

7,230 PROMOTIONAL MATERIALS/GIFTS/AWARDS

7,240 INDIRECT COST RECOVERY

7,250 INSURANCE - BUSINESS

7,262 INSURANCE - HEALTH & DENTAL

7,263 INSURANCE - LIFE

7,264 EMPLOYEE TRANSPORTATION SUBSIDY

7,270 INTEREST EXPENSE

7,280 INVESTMENT MANAGEMENT FEES

7,290 BUILDING-JANITORIAL SERVICES

7,300 LEGAL FEES

7,320 LICENSES/PERMITS

25,000 40,000 60,000 655,000

0 0 0 0

0 0 0 0

0 0 0 0

40,000 0 5,000 1,125,000

0 0 0 0

0 0 0 0

0 0 0 0

300 12,000 14,000 43,700

0 0 1,000 6,950

0 0 0 0

65,300 52,000 80,000 1,830,650

16,000 16,000 16,000 192,000

0 0 0 30,000

83 83 83 1,000

5,833 5,833 5,833 69,996

1,667 1,667 1,667 20,004

1,667 1,667 1,667 20,004

29,167 29,167 29,167 350,004

792 792 792 9,504

8,333 8,333 8,333 100,000

0 0 0 0

4,167 4,167 4,167 50,004

8,000 8,000 8,000 96,000

0 0 0 0

500 500 500 6,000

4,000 4,000 4,000 48,000

500 500 500 6,000

16,054 16,054 16,054 192,648

0 0 0 0

5,500 5,500 5,500 66,000

3,000 3,000 3,000 36,000

0 0 0 0

0 0 0 0

1,350 1,350 1,350 16,200

10,000 10,000 10,000 120,000

600 600 600 7,200

2,400 2,400 2,400 28,800

0 0 0 2,500

417 417 417 5,004

0 0 0 0

1,000 1,000 1,000 12,000

0 0 0 0

OCT 2014

BUDGET

2014 PROPOSED

BUDGET TOTALS

DEC 2014

BUDGET

NOV 2014

BUDGET

Page 6 of 10

Page 242: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

ACCT REVENUE - OPERATIONS7,325 MAILING LIST

7,330 CONFERENCES/MEETINGS/MEAL FUNCTIONS

7,335

7,346

7,350 OFFICE SUPPLIES

7,355

7,360 PENALTIES/FINES/LATE FEES

7,370 PENSION PLAN

7,380 PHOTOGRAPHY

7,390 POSTAGE

7,395 PRESS RELEASES

7,400 PRINTING, MAILING, & DUPLICATION

7,410 PROFESSIONAL FEES

7,425 ENTERTAINMENT

7,430 REGISTRATION FEES

7,440 RENT/STORAGE - FACILITY RENTAL

7,450 REPAIRS/MAINTENANCE

7,455 BUILDING-REPAIRS/MAINTENANCE/SUPPLIES

7,460 SALARIES/PAYROLL TAXES

7,463

7,470 DONATIONS/SCHOLARSHIPS

7,480 BUILDING - SECURITY

7,490 SHIPPING/DELIVERY (FEDEX/COURIER)

7,500 SPEAKER FEES/WRITER FEES

7,510 SPEAKER/WRITER TRAVEL

7,520 STAFF DEVELOPMENT/EMPLOYEE MORALE

7,530 SUBSCRIPTIONS/DUES/BOOKS/MEMBERSHIPS

7,542 TAXES-PERSONAL PROPERTY

7,551 TELEPHONE - LOCAL & LONG DISTANCE

7,560 TEMP/AGENCY FEES/PLCMNT ADS

7,580 BUILDING - TRASH REMOVAL

7,591 TRAVEL - AIRFARE

7,592 TRAVEL - LODGING, MEALS & OTHER

7,593 TRAVEL - OTHER

7,600 BUILDING - UTILITIES

7,700 MISCELLANEOUS/OTHER

TOTAL BUDGETED EXPENSES

NET INCOME FROM OPERATIONS

ACCT REVENUE - CONVENTION

4031-37 DUES

5051-66 REGISTRATION & TICKET SALES

5051-66 REGIONAL DUES

4091 INTEREST

4,020 CONTRIBUTIONS

4,010 ADVERTISING-PHARMA

OCT 2014

BUDGET

2014 PROPOSED

BUDGET TOTALS

DEC 2014

BUDGET

NOV 2014

BUDGET

0 0 0 0

1,000 1,000 1,000 12,000

0 0 0 0

0 0 0 0

833 833 833 9,996

0 0 0 0

0 0 0 0

1,350 1,350 1,350 16,200

0 0 0 0

3,750 3,750 3,750 45,000

0 0 0 0

4,167 4,167 4,167 50,004

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

600 600 600 7,200

0 0 0 0

66,667 66,667 66,667 800,004

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

115 115 115 1,380

0 0 0 0

3,083 3,083 3,083 36,996

1,633 1,633 1,633 19,596

0 0 0 0

5,000 5,000 5,000 60,000

5,000 5,000 5,000 60,000

0 0 0 0

0 0 0 0

5,000 5,000 5,000 60,000

219,228 219,228 219,228 2,663,244

(153,928) (167,228) (139,228) (832,594)

0 0 0 0

0 0 0 1,000,000

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

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NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

ACCT REVENUE - OPERATIONS401X ADVERTISING-NON PHARMA

4051-52 EXHIBITS

5080-85 SUBSCRIPTIONS & ROYALTIES

MISC RENTAL, MAILING LIST, AND OTHER INCOME

TOTAL BUDGETED REVENUE

ACCT EXPENSES - CONVENTION

7,060 ACCOUNTING SERVICES

XXXX AUDITING

7,070 ADVERTISING

7,078 AUDIO VISUAL

7,080 AUTO/PARKING-GROUND TRANSPORTATION

7,100 BANK CHARGES

7,110 CONSULTANTS

7,120 CONSULTANT TRAVEL

7,130 CONTRACTUAL/COMMISSIONS

7,135

7,150 CREDIT CARD FEES

7,160 DATA PROCESSING/COMPUTER SERVICES

7,170 DECORATIONS

7,180 DEPRECIATION & AMORTIZATION

7,200 EQUIPMENT RENTALS/LEASES

7,210 FACILITY RENTAL

7210A OFFICE RENT

7,211 EQUIPMENT PURCHASE

7,221 FICA

7,222 SUI

7,230 PROMOTIONAL MATERIALS/GIFTS/AWARDS

7,240 INDIRECT COST RECOVERY

7,250 INSURANCE - BUSINESS

7,262 INSURANCE - HEALTH & DENTAL

7,263 INSURANCE - LIFE

7,264 EMPLOYEE TRANSPORTATION SUBSIDY

7,270 INTEREST EXPENSE

7,280 INVESTMENT MANAGEMENT FEES

7,290 BUILDING-JANITORIAL SERVICES

7,300 LEGAL FEES

7,320 LICENSES/PERMITS

7,325 MAILING LIST

7,330 CONFERENCES/MEETINGS/MEAL FUNCTIONS

7,335

7,346

7,350 OFFICE SUPPLIES

7,355

7,360 PENALTIES/FINES/LATE FEES

7,370 PENSION PLAN

OCT 2014

BUDGET

2014 PROPOSED

BUDGET TOTALS

DEC 2014

BUDGET

NOV 2014

BUDGET

0 0 0 0

0 0 0 237,000

0 0 0 0

0 0 0 75,000

0 0 0 1,312,000

0 0 0 0

0

83 83 83 1,000

4,167 4,167 4,167 50,000

0 0 0 0

83 83 83 1,000

8,333 8,333 8,333 100,000

0 0 0 0

20,833 20,833 20,833 250,000

0 0 0 0

1,667 1,667 1,667 20,000

83 83 83 1,000

0 0 0 20,000

0 0 0 0

0 0 0 6,000

0 0 0 85,000

0 0 0 0

0 0 0 0

500 500 500 6,000

42 42 42 500

0 0 0 30,000

0 0 0 0

0 0 0 0

1,000 1,000 1,000 12,000

100 100 100 1,200

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

4,167 4,167 4,167 50,000

0 0 0 0

0 0 0 0

833 833 833 10,000

0 0 0 0

0 0 0 0

250 250 250 3,000

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Page 244: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

ACCT REVENUE - OPERATIONS7,380 PHOTOGRAPHY

7,390 POSTAGE

7,395 PRESS RELEASES

7,400 PRINTING, MAILING, & DUPLICATION

7,410 PROFESSIONAL FEES

7,425 ENTERTAINMENT

7,430 REGISTRATION FEES

7,440 RENT/STORAGE - FACILITY RENTAL

7,450 REPAIRS/MAINTENANCE

7,455 BUILDING-REPAIRS/MAINTENANCE/SUPPLIES

7,460 SALARIES/PAYROLL TAXES

7,463

7,470 DONATIONS/SCHOLARSHIPS

7,480 BUILDING - SECURITY

7,490 SHIPPING/DELIVERY (FEDEX/COURIER)

7,500 SPEAKER FEES/WRITER FEES

7,510 SPEAKER/WRITER TRAVEL

7,520 STAFF DEVELOPMENT/EMPLOYEE MORALE

7,530 SUBSCRIPTIONS/DUES/BOOKS/MEMBERSHIPS

7,542 TAXES-PERSONAL PROPERTY

7,551 TELEPHONE - LOCAL & LONG DISTANCE

7,560 TEMP/AGENCY FEES/PLCMNT ADS

7,580 BUILDING - TRASH REMOVAL

7,591 TRAVEL - AIRFARE

7,592 TRAVEL - LODGING, MEALS & OTHER

7,593 TRAVEL - OTHER

7,600 BUILDING - UTILITIES

7,700 MISCELLANEOUS/OTHER

TOTAL BUDGETED EXPENSES

NET INCOME FROM CONVENTION

TOTAL NET INCOME

BEG. OPERATING ACCOUNT BALANCE

OTHER CASH ITEMS:

TRANSFER FROM BUILDING FUND

TRANSFER FROM INVESTMENT ACCOUNT

LEASE TERMINATION FEE

VARIOUS PAYABLES 2012 AND PRIOR

TOTAL OTHER CASH ITEMS

END OPERATING ACCOUNT BALANCE

BEG. BUILDING FUND BALANCE

TRANSFER TO OPERATING ACCOUNT

END. BUILDING FUND BALANCE

OCT 2014

BUDGET

2014 PROPOSED

BUDGET TOTALS

DEC 2014

BUDGET

NOV 2014

BUDGET

0 0 0 7,000

0 0 0 0

0 0 0 1,300

4,167 4,167 4,167 50,000

0 0 0 0

0 0 0 0

83 83 83 1,000

0 0 0 0

250 250 250 3,000

0 0 0 0

6,667 6,667 6,667 80,000

0 0 0 0

0 0 0 0

0 0 0 0

1,000 1,000 0 19,000

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 5,000

0 0 0 20,000

0 0 0 1,000

0 0 0 10,000

0 0 0 10,000

0 0 0 0

0 0 0 5,000

0 0 0 30,000

54,308 54,308 53,308 889,000

(54,308) (54,308) (53,308) 423,000

(208,236) (221,536) (192,536) (409,594)

729,715 521,479 299,942 100,000

0 0 0 80,000

0 0 0 445,000

0 0 0 0

0 0 0 (108,000)

0 0 0 417,000

521,479 299,942 107,406 107,406

0 0 0 80,000

0 0 0 (80,000)

0 0 0 0

Page 9 of 10

Page 245: NMA Board of Trustees Orientation Notebook-2014

NATIONAL MEDICAL ASSOCIATION

PROPOSED REVISED 2013 TOTAL BUDGET

DISCUSSION VERSION

ACCT REVENUE - OPERATIONS

BEG. INVESTMENT ACCOUNT BALANCE

TRANSFER TO OPERATING ACCOUNT

LOC REPAYMENT

END. INVESTMENT ACCOUNT BALANCE

OCT 2014

BUDGET

2014 PROPOSED

BUDGET TOTALS

DEC 2014

BUDGET

NOV 2014

BUDGET

1,055,000 1,055,000 1,055,000 2,000,000

0 0 0 (445,000)

(500,000)

1,055,000 1,055,000 1,055,000 1,055,000

Page 10 of 10

Page 246: NMA Board of Trustees Orientation Notebook-2014

% of

Revenue Total Revenue

Operations 1,830,650$ 58%

Convention 1,312,000 42%

Total Revenue 3,142,650 100%

Expenses:

Operations 2,663,244$ 85%

Convention 889,000 28%

Total Expenses 3,552,244 113%

Net Surplus (Deficit) (409,594)$ -13%

National Medical Association

FY 2014 Budget

Page 247: NMA Board of Trustees Orientation Notebook-2014

Board of Directors Orientation Notebook

Section 7:

REFERENCES 1. Summary of Parliamentary Procedures 2. Additional Resources

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ADDITIONAL RESOURCES: Blue Avocado/Board Café www.blueavocado.org/category/topic/boardcafe Board Source www.boardsource.org Foundation Center www.foundationcenter.org Free toolkit for boards www.managementhelp.org/boards/boards.htm