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      <Form990PartVIISectionAGrp>
        <PersonNm>Alison Whelan</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Frank J Bilotta</PersonNm>
        <TitleTxt>SVP &amp; CIO</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Elizabeth D Azari</PersonNm>
        <TitleTxt>SVP, Operations</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>268459</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Peter J Katsufrakis</PersonNm>
        <TitleTxt>SVP, Assmt Prgm</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>127077</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ronald J Nungester</PersonNm>
        <TitleTxt>SVP, Prof Svcs</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John J Hinke Jr</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>153739</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Shelley Z Green</PersonNm>
        <TitleTxt>General Counsel</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kenneth E Cotton</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Craig N Mills</PersonNm>
        <TitleTxt>SVP, Prof Svcs</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen G Clyman</PersonNm>
        <TitleTxt>SVP, R&amp;D</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steven A Haist</PersonNm>
        <TitleTxt>VP, Test Dev Svcs</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gerald F Dillon</PersonNm>
        <TitleTxt>VP, USMLE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Margaret B Anderson</PersonNm>
        <TitleTxt>VP, Intl Programs</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Agata P Butler</PersonNm>
        <TitleTxt>VP, Med Ed &amp; Health Prof Svcs</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas A Rebbecchi</PersonNm>
        <TitleTxt>VP, Products &amp; Svcs</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kim E LeBlanc</PersonNm>
        <TitleTxt>Executive Director, CSEC</TitleTxt>
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        <PersonNm>Brian E Clauser</PersonNm>
        <TitleTxt>VP, Meas. Consult</TitleTxt>
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        <PersonNm>Michael G Jodoin</PersonNm>
        <TitleTxt>VP, Scoring Svcs</TitleTxt>
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        <PersonNm>Sumit Nair</PersonNm>
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        <PersonNm>Miguel A Paniagua</PersonNm>
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        <PersonNm>Howard C Wainer</PersonNm>
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        <PersonNm>John T Wosnitzer</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>In 1995, the NBME established the Edward J. Stemmler, MD Medical Education Research Fund. The Fund makes grants to support research in topics relevant to the mission of the NBME. The initial sum of $5,000,000 was invested and professionally managed with the goal of increasing the size of the Fund over time while providing total annual grants up to 5% of the trailing three-year average of the fund balance. As with all NBME invested funds, the Finance Committee monitors performance and recommends to the Executive Board any changes to the principal balance of the Fund.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>NBME qualifies as a tax-exempt organization under existing provisions of the Internal Revenue Code (IRC). Accordingly, there is no provision for income taxes reflected in the accompanying financial statements. NBME has no uncertain tax positions and there are no accruals for interest or penalties in the accompanying financial statements. Management believes that NBME is no longer subject to income tax examinations for years ended on or prior to December 31, 2011.</ExplanationTxt>
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        <ExplanationTxt>Form 990, Schedule I, Part II, Line 1a - GrantsEach school is listed with the approved grant as follows:1. The University of California - Davis School of Medicine Proposal #1314-020, "California Longitudinal Evaluation of Admission Practices (CA-LEAP) Study".2. Harvard Medical School Proposal #1314-051, "Assessing surgical residents' non-technical skills, Validation of the NOTSS taxonomy and implementation of a national curriculum".3. The University of Illinois at Chicago Proposal #1415-012, Leveraging Assessment for Learning: Optimizing Challenge and Engagement in an Intelligent Formative Assessment System.4. Childrens Hospital Los Angeles/Back School of Medicine at the University of Southern California Proposal #1415-014, Teaching and Assessing Cost and Time Effective Patient Care using Serious Gaming Strategies. 5. President and Fellows of Harvard College on behalf of the Harvard Medical School Proposal #1415-027, The Assessment of Resident Decision Making and Patient Safety: A Randomized Trial of Inpatient Medical Supervision of Trainees. Note that the Ohio State University Proposal #1112-064 reimbursement of unused funds of $841.73 is not listed on the schedule in Part II.Contributions:NBME periodically makes contributions to organizations and/or community programs in order to assist in furthering the exempt purpose of those organizations. The total amount of contributions made in 2015 was $207,472.</ExplanationTxt>
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        <ExplanationTxt>THE EDWARD J. STEMMLER, MD MEDICAL EDUCATION RESEARCH FUND OF THE NATIONAL BOARD OF MEDICAL EXAMINERS (NBME)The purpose of the Stemmler Fund is to provide support for research or development of innovative evaluation methodology or techniques, with the potential to advance assessment in medical education or practice at eligible medical schools. Also see description of Stemmler Fund in Schedule D, Part V, Line 4 Intended Uses of Endowment Fund. The eligible applicants for Stemmler Fund grant awards are the medical schools accredited by the LCME or the AOA, and the number of Letters of Intent submitted by any eligible school is not limited. The Stemmler Fund Committee evaluates each application on the extent to which the proposed research is innovative or will advance assessment in medical education or practice, and will address an important problem or issue in medical education or practice. The Committee selects a subset of applications and invites them to submit full proposals. Peer reviewers with expertise in measurement, research design and methodology evaluate invited proposals on the relevance and significance of the proposal to the purpose and goals of the Stemmler Fund, the adequacy of the research design or methodology, and the qualifications of the principal investigator and project staff. The Stemmler Fund Committee reviews all proposals and peer reviews, also considering the budget, timetable, and other key project resources in each proposal, and selects awardees. Grant recipients are required to submit an interim and final report which includes a final project narrative and a final project fiscal report.</ExplanationTxt>
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        <ExplanationTxt>First Class Travel and Travel for CompanionsNBME's Business Travel policy states that the most cost effective options available based on the traveler's requested itinerary should be made. First-class travel and travel for companions are not specifically authorized in the policy. In limited circumstances, certain NBME Officers and Key Employees may be permitted first-class travel if authorized by the President. First-class travel and spousal travel for the President are included in the compensation package. The cost incurred for travel for companions is included in the employee's taxable earnings.Tax Indemnification and Gross-Up PaymentsNBME has a Supplemental Executive Retirement Plan (SERP) and Highly Compensated Employee program (HCE) for which the payments are grossed up for Federal, State, and local income taxes. Therefore, the amount reflected on the employees' W-2 includes taxes remitted by NBME for taxes on the employees' behalf. See Schedule J, Part 1, line 4 for description of the SERP and the HCE.Social Club DuesNBME pays dues for membership to a social club for its President.</ExplanationTxt>
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        <ExplanationTxt>The amounts reflected on Schedule J, Column C Retirement and other deferred compensation represent an estimate of the annual increase in the actuarial value of each employees benefit to be received at retirement under the NBMEs defined benefit and defined contribution plans for each employee. This amount does not represent an actual cash payment to the employee during the year, but an estimate of the accrued benefit during the year to be received at a later date or at the time of retirement. There is no other deferred compensation included in this calculation.</ExplanationTxt>
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        <ExplanationTxt>Client Note 1 - Note 1 - Form 990 Part I, line 6 - VolunteersNBME utilizes an extensive network of volunteers, many of whom are medical school faculty members and practicing physicians, to accomplish its mission. These volunteers contribute the highest levels of expertise in their profession to a range of activities including test development and governance. They receive a small honorarium in recognition of their service.Note 2 - Form 990 Part VI, line 1b - Donald E. Melnick, as President of NBME, is an ex officio member of the NBME Executive Board.Note 3 - Schedule F Part II, lines 1-4 - The total amount of grants outside of U.S. is $151,000 which includes the following: (1) Stemmler Fund research grant awarded to Dalhousie University in the amount of $76,000 Dalhousie University Proposal # 1314-020, Testing an Evidence Based Model for Facilitating Performance Feedback and Improvement in Residency Education: What Works and Why?. (Canada)(2) Three Centennial Awards in the amount of $25,000 eachIn 2013, NBME announced a call for proposals for our Centennial Awards Program for Latin America, the goal of which is to enhance the quality of student evaluation in medical school education in Latin America. NBME sought proposals designed to have a broad, sustainable impact in a region by building local capacity to evaluate key learning outcomes and improve program quality at participating schools. Three Centennial Awards were granted for a two-year grant period in 2014 for a total amount of $150,000, of which $75,000 was paid in 2015. 1. Facultad de Ciencias Biomedicas, Universidad Austral Proposal #101, "Assessment of Aspects Related to Medical Humanism in Three South American Medical Schools". (Argentina)2. Universidad Nacional Autonoma de Mexico Facultad de Medicina Proposal #102, "Assessment of Clinical Competence with the Objective Structured Clinical Examination (OSCE) in Undergraduate Medical Internship". (Mexico)3. Facultad de Medicina, Universidad Catolica del Norte Proposal #104, "Improvement in OSCE Quality in Order to Optimize Clinical Competency Assessment of Medical Students". (Chile)</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: The Post-Licensure Assessment System (PLAS) is a joint activity of the NBME and the Federation of State Medical Boards (FSMB). PLAS comprises two programs: the Special Purpose Examination (SPEX) Program and the Assessment Center Program (ACP). SPEX is a one-day, multiple-choice examination of current knowledge requisite for the general, undifferentiated practice of medicine and is intended to be used for reasons of endorsement or reciprocity of licensure. The ACP provides comprehensive objective and personalized assessments of physicians for whom there is a question regarding clinical competence. Together, the PLAS programs have assessed thousands of physicians over the past decade for reasons that range from endorsement of licensure to license reactivation after disciplinary action.Research and Discovery programs include the Center for Innovation, Product Discovery, and the Office of Research, which administers the Stemmler Medical Education Research Fund. The Center for Innovation is charged with exploration of events and trends that have implications for NBME's future assessments. Product Discovery provides an internal service focused on development of a pipeline of potential products to advance the organizations mission and vision. The Office of Research supports the research enterprise, distributed throughout the organization, in ensuring alignment of research with strategic priorities. The Stemmler Medical Education Research Fund supports innovations in assessment in US and Canadian medical schools and has awarded 80 grants for a total of over $7.1 million since 1995. In aggregate, these programs deliver information vital for planning business strategy related to future assessment; and support conception and market testing of products ideas, and the research to investigate and sustain products. OTHER PROGRAM SERVICES 5: NBME's International Programs unit provides students, graduate physicians, medical schools, and regulatory agencies with valid and reliable information regarding individual knowledge and overall curriculum effectiveness. The International Foundations of Medicine (IFOM) examinations represent a key component of NBME International Programs. The Clinical Science Examination (CSE) covers the core of clinical knowledge in medicine, surgery, pediatrics, obstetrics and gynecology, and psychiatry expected of students in the final year of undergraduate medical education. The Basic Science Examination (BSE) incorporates the common core of knowledge expected of students who have completed the preclinical curriculum and are about to begin study of clinical medicine. In 2015, approximately 4,400 candidates sat for the IFOM CSE. The NBME International Programs unit also offers a portfolio of consultative, faculty and institutional development, and assessment programs in the international undergraduate medical education, certification and licensure, and graduate medical education environments. Consultative services often include an on-site evaluation of the overall assessment capability for medical schools. The International Programs unit is also involved in various research projects related to the validity and reliability of various assessment tools.Note: The expenses reflected above do not include institutional indirect expenses.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>The members of the NBME are responsible for electing its board of directors, the Executive Board, recommending policy for the organization proposed by the Executive Board, receiving reports on the annual budget, and approving amendments to the by-laws of the organization. The members of the NBME include its Executive Board, up to twenty-two representatives of the test committees, twenty-two representative members nominated by key constituent medical organizations, elected members-at-large, and honorary members. The members of the NBME meet annually. The officers and members of the Executive Board, elected by the NBME membership, meet four or five times a year.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>See Schedule O - Form 990, Part VI, line 6.</ExplanationTxt>
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        <ExplanationTxt>See Schedule O - Form 990, Part VI, line 6.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed by the NBME President, Chief Financial Officer, and General Counsel prior to filing the return with the Internal Revenue Service (IRS). The review is completed to ensure appropriate and complete disclosure. A copy of the Form 990 was provided to and reviewed by the NBME Executive Board and Audit Committee members prior to filing the return with the IRS. Any revisions necessary as a result of their review of the Form 990 were made prior to filing with the IRS.</ExplanationTxt>
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        <ExplanationTxt>The National Board of Medical Examiners has a written Conflict of Interest Policy for its Members as well as a Fiduciary Duty and Conflict of Interest Statement for its Officers, Key Employees and Executive Board Members. These individuals are required to review and sign the applicable policy annually. Submission of completed statements by Officers, Key Employees, and Executive Board Members is enforced and annual disclosures of interests that could give rise to conflicts are monitored by the Secretary of the Board. Potential or real conflicts of interest are required to be reported to the Secretary of the Board or its President. If deemed appropriate, the party will be recused from the relevant proceedings.</ExplanationTxt>
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        <ExplanationTxt>Periodically, typically every three years, a Compensation Survey of Peer Organizations is conducted by an outside independent compensation consulting firm. The recommendations resulting from the survey are reviewed by NBME Human Resources and the Compensation Subcommittee of the NBME Executive Board. Officer employees and Key Employee compensation is reviewed and confirmed annually by the Compensation Subcommittee. Payments to non-employee officers are reviewed and approved by the Executive Board with interested officers recused. In setting CEO compensation, the Compensation Subcommittee uses the Compensation Survey of Peer Organizations and the results of the detailed annual CEO Evaluation of performance report from the CEO Evaluation Subcommittee of the Executive Board. The CEO compensation is set and approved by the Compensation Subcommittee of the Executive Board which then reports to the Executive Board that it has reviewed the relevant information and made a decision.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>NBME governing documents, Conflict of Interest Policy, and financial statements are available upon request to the NBME Secretary of the Board.</ExplanationTxt>
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        <ExplanationTxt>Changes other than Net Periodic Pension Cost = -$26753457</ExplanationTxt>
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