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        <Total>423200</Total>
        <ProgramServices>423200</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ADMINISTRATIVE SERVICES</Description>
        <Total>244445</Total>
        <ProgramServices>244445</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LEADERSHIP COMMITTEES</Description>
        <Total>188307</Total>
        <ProgramServices>188307</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>388833</Total>
        <ProgramServices>388833</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>2931551</Total>
        <ProgramServices>2931551</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>40925</BOY>
        <EOY>86308</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>465402</BOY>
        <EOY>104289</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>34885</BOY>
        <EOY>79929</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>15603</BOY>
        <EOY>47697</EOY>
      </PrepaidExpensesDeferredCharges>
      <InvestmentsPubTradedSecurities>
        <BOY>2292208</BOY>
        <EOY>2330730</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>28345</BOY>
        <EOY>9206</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>2877368</BOY>
        <EOY>2658159</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>40788</BOY>
        <EOY>118152</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>285914</BOY>
        <EOY>190896</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>326702</BOY>
        <EOY>309048</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2550666</BOY>
        <EOY>2349111</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>2550666</BOY>
        <EOY>2349111</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>2877368</BOY>
        <EOY>2658159</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-214516</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>12961</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalOfBookValueLandBuildings>0</TotalOfBookValueLandBuildings>
      <TotalRevenue>2717035</TotalRevenue>
      <TotalExpenses>2931551</TotalExpenses>
      <ExcessOrDeficitForYear>-214516</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>12961</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>12961</TotalAdjustments>
      <ExcessOrDeficitPerFS>-201555</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>2729996</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>12961</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>12961</RevenueNotRptdF990>
      <RevenueSubtotal>2717035</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>2717035</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>2931551</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>2931551</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>2931551</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, THE ASSOCIATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE ASSOCIATION AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR FISCAL YEARS 2011 AND 2010. THE ASSOCIATION'S POLICY WOULD BE TO RECOGNIZE INTEREST AND PENALTIES, IF ANY, ON TAX POSITIONS RELATED TO ITS UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. NO INTEREST AND PENALTIES WERE ASSESSED OR RECORDED DURING FISCAL YEARS 2011 AND 2010.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION CONTRACTS WITH SMITHBUCKLIN CORP TO PERFORM ALL MANAGEMENT FUNCTIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE NAMSS MEMBERSHIP INCLUDES MEDICAL STAFF AND CREDENTIALING SERVICES PROFESSIONALS FROM MEDICAL GROUP PRACTICES, HOSPITALS, MANAGED CARE ORGANIZATIONS, AND CVOS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS SHALL BE COMPOSED OF MEMBERS AS FOLLOWS:(A)THE FIVE OFFICERS OF NAMSS, INITIALLY ELECTED BY AND FROM THE ACTIVE MEMBERSHIP IN ACCORDANCE WITH NAMSS POLICY ON NOMINATIONS AND ELECTIONS.(B)NINE DIRECTORS AT LARGE, ELECTED BY AND FROM THE ACTIVE MEMBERSHIP IN ACCORDANCE WITH NAMSS POLICY ON NOMINATIONS AND ELECTION.(C)ONE DIRECTOR WHO MAY OR MAY NOT BE A MEMBER OF NAMSS MAY BE APPOINTED BY THE PRESIDENT TO AN ADVISORY POSITION AS A NON-VOTING MEMBER.(D)THE EXECUTIVE DIRECTOR OF NAMSS IS A NON-VOTING MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE SMITHBUCKLIN CLIENT MANAGER PERFORMS THE INITIAL REVIEW AND THE EXECUTIVE DIRECTOR DOES A FINAL REVIEW BEFORE EMAILING A FINAL COPY OF THE 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE BOARD REVIEWS THE CONFLICT OF INTEREST POLICY AT BOARD MEETINGS ON AN ANNUAL BASIS TO ENSURE THAT THERE ARE NO VIOLATIONS OF THE POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ALL OTHER FUNCTIONAL EXPENSES</Identifier>
        <ReturnReference>FORM 990, PART X, LINE 24E</ReturnReference>
        <Explanation>PUBLICATIONS: PROGRAM SERVICE EXPENSES 159,042. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,042. GOVERMENT RELATIONS: PROGRAM SERVICE EXPENSES 91,795. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,795. CREDIT CARD &amp; BANK FEES: PROGRAM SERVICE EXPENSES 41,618. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,618. COMMON CREDENTIALING: PROGRAM SERVICE EXPENSES 37,737. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,737. MARKETING &amp; COMMUNICATIONS: PROGRAM SERVICE EXPENSES 31,517. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,517. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 15,577. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,577. CREDENTIALING: PROGRAM SERVICE EXPENSES 5,487. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,487. ROLES RESPONSIBILITY: PROGRAM SERVICE EXPENSES 4,560. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,560. SCHOLARSHIP: PROGRAM SERVICE EXPENSES 1,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,500.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 12,961.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>