Civic Intelligence

Texas Medical Association

EIN 74-1078510 • 501(c)6 • Austin, TX

Profile

Tma strives to improve the healthcare of all texans, to federate the profession licensed to practice medicine and surgery within texas, to provide effective representation for its members, to unite with similiar state associations, to promote unity and cooperation for its members and component organizations, to secure enactment of appropriate medical and health care legislation, to extend medical knowledge and advance medical science, and to strive for the prevention and cure of disease and the improvement of public health.

401 West 15th St 100Austin, TX 78701

www.texmed.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

50th percentile

0.32x

Higher debt load relative to assets than 50% of similar nonprofits.

501(c)6 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

76th percentile

0.83x

Higher debt load relative to revenue than 76% of similar nonprofits.

501(c)6 • $50M-$100M nonprofits • Source year 2024

Net Margin

18th percentile

-4.0%

Higher net margin than 18% of similar nonprofits.

501(c)6 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

91st percentile

$722,055

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 3.0% of source-year revenue.

$50M-$100M nonprofits • Source year 2024

Asset Growth

31st percentile

1.3%

Faster asset growth than 31% of similar nonprofits.

501(c)6 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

7th percentile

-16%

Faster revenue growth than 7% of similar nonprofits.

501(c)6 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$62,703,437

Up $783,835 (+1.3%) from 2023

Liabilities

Down

$19,947,529

Down $76,526 (-0.4%) from 2023

Net Assets

Up

$42,755,908

Up $860,361 (+2.1%) from 2023

Revenue

Down

$23,942,120

Down $4,661,962 (-16%) from 2023

Expenses

Down

$24,888,670

Down $885,716 (-3.4%) from 2023

Net Income

Down

-$946,550

Down $3,776,246 (-133%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $39,950,736Liabilities 2010: $14,765,436Net Assets 2010: $25,185,3002010Assets 2011: $40,786,029Liabilities 2011: $15,161,892Net Assets 2011: $25,624,1372011Assets 2012: $43,140,422Liabilities 2012: $15,256,734Net Assets 2012: $27,883,6882012Assets 2013: $46,054,339Liabilities 2013: $15,653,766Net Assets 2013: $30,400,5732013Assets 2014: $47,406,043Liabilities 2014: $16,525,760Net Assets 2014: $30,880,2832014Assets 2015: $46,484,751Liabilities 2015: $16,514,328Net Assets 2015: $29,970,4232015Assets 2016: $48,873,615Liabilities 2016: $17,143,893Net Assets 2016: $31,729,7222016Assets 2017: $51,534,033Liabilities 2017: $17,929,977Net Assets 2017: $33,604,0562017Assets 2018: $50,726,563Liabilities 2018: $18,094,179Net Assets 2018: $32,632,3842018Assets 2019: $56,722,061Liabilities 2019: $18,799,080Net Assets 2019: $37,922,9812019Assets 2020: $61,054,472Liabilities 2020: $21,730,381Net Assets 2020: $39,324,0912020Assets 2021: $65,833,540Liabilities 2021: $20,819,476Net Assets 2021: $45,014,0642021Assets 2022: $58,758,669Liabilities 2022: $19,452,687Net Assets 2022: $39,305,9822022Assets 2023: $61,919,602Liabilities 2023: $20,024,055Net Assets 2023: $41,895,5472023Assets 2024: $62,703,437Liabilities 2024: $19,947,529Net Assets 2024: $42,755,9082024

Highlighted filing

2024

Assets$62,703,437
Liabilities$19,947,529
Net Assets$42,755,908

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $21,398,6242010Expenses 2011: $22,011,2742011Revenue 2012: $23,571,673Expenses 2012: $22,404,591Net Income 2012: $1,167,0822012Revenue 2013: $23,876,036Expenses 2013: $24,164,338Net Income 2013: -$288,3022013Revenue 2014: $24,085,506Expenses 2014: $23,671,758Net Income 2014: $413,7482014Revenue 2015: $25,152,555Expenses 2015: $24,454,098Net Income 2015: $698,4572015Revenue 2016: $25,153,426Expenses 2016: $24,447,862Net Income 2016: $705,5642016Revenue 2017: $27,155,476Expenses 2017: $26,023,501Net Income 2017: $1,131,9752017Revenue 2018: $29,903,957Expenses 2018: $27,644,905Net Income 2018: $2,259,0522018Revenue 2019: $30,982,055Expenses 2019: $28,312,708Net Income 2019: $2,669,3472019Revenue 2020: $25,236,552Expenses 2020: $26,942,461Net Income 2020: -$1,705,9092020Revenue 2021: $26,009,481Expenses 2021: $24,098,671Net Income 2021: $1,910,8102021Revenue 2022: $26,342,060Expenses 2022: $24,989,393Net Income 2022: $1,352,6672022Revenue 2023: $28,604,082Expenses 2023: $25,774,386Net Income 2023: $2,829,6962023Revenue 2024: $23,942,120Expenses 2024: $24,888,670Net Income 2024: -$946,5502024

Highlighted filing

2024

Revenue$23,942,120
Expenses$24,888,670
Net Income-$946,550

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$62.7$19.9$42.8$23.9$24.9$0.95
2023Detailed filing. Detailed filing data is available for this year.$61.9$20.0$41.9$28.6$25.8$2.83
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$58.8$19.5$39.3$26.3$25.0$1.35
2021Detailed filing. Detailed filing data is available for this year.$65.8$20.8$45.0$26.0$24.1$1.91
2020Detailed filing. Detailed filing data is available for this year.$61.1$21.7$39.3$25.2$26.9$1.71
2019Detailed filing. Detailed filing data is available for this year.$56.7$18.8$37.9$31.0$28.3$2.67
2018Summary only. Only limited summary data is available for this year.$50.7$18.1$32.6$29.9$27.6$2.26
2017Summary only. Only limited summary data is available for this year.$51.5$17.9$33.6$27.2$26.0$1.13
2016Detailed filing. Detailed filing data is available for this year.$48.9$17.1$31.7$25.2$24.4$0.71
2015Detailed filing. Detailed filing data is available for this year.$46.5$16.5$30.0$25.2$24.5$0.70
2014Detailed filing. Detailed filing data is available for this year.$47.4$16.5$30.9$24.1$23.7$0.41
2013Detailed filing. Detailed filing data is available for this year.$46.1$15.7$30.4$23.9$24.2$0.29
2012Summary only. Only limited summary data is available for this year.$43.1$15.3$27.9$23.6$22.4$1.17
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$40.8$15.2$25.6$22.0
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$40.0$14.8$25.2$21.4
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 23, 2025
Return Version
2024v5.2
Gross Receipts
$26,094,384
Mission and Program Overview

Mission

Tma strives to improve the healthcare of all texans, to federate the profession licensed to practice medicine and surgery within texas, to provide effective representation for its members, to unite with similiar state associations, to promote unity and cooperation for its members and component organizations, to secure enactment of appropriate medical and health care legislation, to extend medical knowledge and advance medical science, and to strive for the prevention and cure of disease and the improvement of public health.

Empowering texas physicians in the practice of medicine.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$40,618,512$31,046,349▼ $9,572,163
Land, Buildings, and Equipment, Net$9,687,358$21,544,624▲ $11,857,266
Prepaid Expenses and Deferred Charges$5,922,185$6,153,705▲ $231,520
Cash and Non-Interest-Bearing Accounts$4,054,443$2,048,009▼ $2,006,434
Accounts Receivable$1,177,203$1,530,245▲ $353,042
Savings and Temporary Cash Investments$458,535$380,505▼ $78,030
Other Notes and Loans Receivable, Net$1,366$0▼ $1,366
Total Assets$61,919,602$62,703,437▲ $783,835
Liabilities
Deferred Revenue$10,561,641$10,680,402▲ $118,761
Other Liabilities$6,034,229$6,247,684▲ $213,455
Accounts Payable and Accrued Expenses$3,428,185$3,019,443▼ $408,742
Total Liabilities$20,024,055$19,947,529▼ $76,526
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$41,875,823$42,696,555▲ $820,732
Net Assets With Donor Restrictions$19,724$59,353▲ $39,629
Total Net Assets Fund Balance$41,895,547$42,755,908▲ $860,361
Total Liabilities and Net Assets / Fund Balance$61,919,602$62,703,437▲ $783,835

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$21,544,624$14,583,250$36,127,874
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael J DarrouzetCEOFT$601,333$116,972$718,305
John E DormanCOOFT$431,600$120,588$552,188
Kelly WallaVP/general CounselFT$426,400$80,593$506,993
Karen G BatoryVP, Population HealthFT$244,000$99,797$343,797
Gary a AtwoodVP, Tis & Administrative ServicesFT$244,000$87,822$331,822
Clayton StewartVP, Public AffairsFT$283,300$43,654$326,954
Pamela UdallVP, Communications & MarketingFT$244,000$54,328$298,328
G Ray Callas MdPres(24-25)/pres-elect(23-24)PT$134,833-$134,833
Richard W Snyder Ii MdPres(23-24)/immed Past Pres(24-25)PT$66,667-$66,667
Joseph S Valenti MdChair (24-25)/vice Chair (23-24)PT$6,000$14,500$20,500
Keith a Bourgeois MdChair (23-24)PT$6,000-$6,000

Board Members and Trustees

NameTitle
Bradford S Patt MdTrustee
Cynthia a Jumper MdTrustee
John T Carlo MdTrustee
Kimberly E Monday Md MphTrustee
Tony R Aventa MdTrustee
Lisa L Ehrlich MdTrustee (23-24)
Dexter G Turnquest MdTrustee (24-25)
Lee Ann Pearse MdTrustee (24-25)
Rodney B Young MdTrustee (24-25)
Gary W Floyd MdImmed Past Pres(23-24)
Katherine RussellMedical Student Mbr (23-24)
Parminder DeoMedical Student Mbr (24-25)
Jayesh B Shah MdPres-elect(24-25)/secretary(23-24)
Subhan Tabba MdResident/fellow Mbr (23-24)
Pruthali Kulkarni DoResident/fellow Mbr (24-25)
Gregory M Fuller MdSecretary/treasurer
Bradford W Holland MdSpeaker of the House
John G Flores MdVice Speaker of the House
Samuel E Mathis MdYoung Physician Mbr (23-24)
Andrew J Widmer MdYoung Physician Mbr (24-25)

Highest Paid Contractors

ContractorServicesLocationCompensation
Rand Construction CorporationRenovation Construction2815 EXPOSITION BLVD STE 100, Austin, TX 78703$9,653,926
Brycomm LLCAudio Visual Systems Installation1051 NEW TECHNOLOGY BLVD, Hutto, TX 78634$349,369
Inspire Event Technologies LLCAudio Visual Services4039 E 1-10, San Antonio, TX 78219$269,105
Mente Sowell Architects INCArchitecture/construction Administration5901 OLD FREDERICKSBURG RD STE B102, Austin, TX 78749$218,739
Professional Janitorial SvcJanitorial Services2401 E ST ELMO RD, Austin, TX 78744$191,776
Revenue and Support

Revenue Composition

Contributions and Grants
$1,670,568
Program Service Revenue
$17,725,647
Investment Income
$1,121,760
Other Revenue
$3,424,145
All Other Contributions
$509,935
Change in Net Assets
$-946,550
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$16,312,443
Other Expenses$7,894,475
Grants and Similar Amounts Paid$681,752
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages---$9,729,974
Current Officers, Directors, Trustees, and Key Employees---$3,232,886
Conferences and Meetings---$1,752,595
Pension Plan Contributions---$1,345,468
Information Technology---$1,215,663
Office Expenses---$1,196,831
Other Employee Benefits---$1,112,065
Occupancy---$1,039,144
Payroll Taxes---$892,050
Depreciation Depletion---$735,531
Travel---$689,265
Grants to Domestic Orgs---$642,102
Fees for Services Lobbying---$378,000
Fees for Services Other---$274,832
Insurance---$137,163
Fees for Service Investment Mgmnt Fees---$95,979
Advertising---$78,988
Fees for Services Legal---$61,797
Fees for Services Accounting---$44,651
Grants to Domestic Individuals---$39,650
Other Expenses---$21,744
Total Functional Expenses$0$0$0$24,888,670
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Texas Medical Association FoundationAustin, TX501(c)(3)Operating Expense Support$233,072
Texas Medical Association Special Funds FoundationAustin, TX501(c)(3)Public Health Program Support$126,347
Texas Medical Association AllianceAustin, TX501(c)(6)Operating Expense Support$119,779
Texas Medical Association LibraryAustin, TX501(c)(3)Operating Expense Support$67,366
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
No
Subject to proxy tax
Yes

Reported Spending and Taxes

Line ItemAmount
Total Nondeductible Lobbying and Political Cost$1,686,910
Current Year Nondeductible Lobbying and Political Cost$1,406,100
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation$5,024,202
Investments Held for Related Orgs$1,073,045
Other$163,755
Dues Payable$-13,318
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Texas medical association is a professional association representing texas physicians and medical students. At 12/31/24, the association had 59,771 members.

Form 990, Part VI, Section A, Line 7A

The board of trustees shall be composed of nine at-large members and one young physician elected by the house of delegates, one resident member, one student member, and, as ex officio members: the president, president-elect, immediate past president, secretary/treasurer, speaker of the house of delegates, and vice speaker of the house of delegates. The house of delegates, the legislative and policy-making body of the association, shall elect the officers except as otherwise provided in the bylaws.

Form 990, Part VI, Section B, Line 11B

Form 990 is prepared by the vice president of finance. Prior to filing, the return is thoroughly reviewed by the treasurer, executive vice president, chief operating officer, and general counsel. The return is made available to all officers and trustees prior to filing.

Form 990, Part VI, Section B, Line 12C

Disclosure of affiliations questionnaire is submitted by all officers and trustees annually. The conflict of interest policy is reviewed at the beginning of all board meetings.

Form 990, Part VI, Section B, Line 15

Independent compensation consultant develops compensation strategy by evaluating market trends and organizational goals/philosophy while ensuring ongoing competitiveness and compliance. This recommendation is presented to the association's compensation committee for review. Final plan is then submitted to board of trustees for approval.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Texas Medical Association
EIN
74-1078510
Phone
5123701300
Address
401 WEST 15TH ST 100, AUSTIN, TX 78701

Signing Officer

Name
Michael Darrouzet
Title
Evp/CEO
Phone
5123701300
Signed
2025-09-23

Organization Details

Principal Officer
Michael Darrouzet
Formed
1853
Legal Domicile
TX
Voting Board Members
18
Independent Board Members
18
Employees
156
Volunteers
1,300
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

ROUNDING 5.

Form 990 Part XII Line 2C

The board of trustees approves selection of independent auditor. The annual audit report is formally presented to the board by the audit firm partner or manager responsible for the engagement. The board meets with the auditor in executive session to discuss any questions and concerns in absence of association staff.

Financial Statement Notes

PART X, LINE 2:

The organization accounts for uncertain tax positions based on a more-likely-than-not threshold for the recognition and de-recognition of tax positions, which includes the accounting for interest and penalties relating to tax positions. The organization does not currently have any material tax positions management considers uncertain at december 31, 2024.

Raw XML AppendixShowing 400 of 1,136 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0THE DIVISIONS OF PUBLIC AFFAIRS, MEDICAL ECONOMICS, MARKETING AND COMMUNICATIONS, AND THE OFFICE OF THE GENERAL COUNSEL COLLABORATE ON STATE AND NATIONAL ADVOCACY TO ENHANCE PHYSICIAN VIABILITY AND PATIENT ACCESS TO CARE. THEY EDUCATE MEMBERS ON LEGAL, REGULATORY, AND LEGISLATIVE ISSUES SHAPING THE MEDICAL LANDSCAPE AND EMPLOY STRATEGIC ADVOCACY TO REMOVE BARRIERS, ENABLING PHYSICIANS TO FOCUS ON PATIENT CARE. THIS WORK IMPACTS ALL TEXAS PHYSICIANS.
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IRS990/Form990PartVIISectionAGrp/PersonNm6GREGORY M FULLER MD
IRS990/Form990PartVIISectionAGrp/PersonNm7BRADFORD W HOLLAND MD
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IRS990/Form990PartVIISectionAGrp/PersonNm9TONY R AVENTA MD
IRS990/Form990PartVIISectionAGrp/PersonNm10JOHN T CARLO MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRES(24-25)/PRES-ELECT(23-24)
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRES(23-24)/IMMED PAST PRES(24-25)
IRS990/Form990PartVIISectionAGrp/TitleTxt2IMMED PAST PRES(23-24)
IRS990/Form990PartVIISectionAGrp/TitleTxt3PRES-ELECT(24-25)/SECRETARY(23-24)
IRS990/Form990PartVIISectionAGrp/TitleTxt4CHAIR (24-25)/VICE CHAIR (23-24)
IRS990/Form990PartVIISectionAGrp/TitleTxt5CHAIR (23-24)
IRS990/Form990PartVIISectionAGrp/TitleTxt6SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt7SPEAKER OF THE HOUSE
IRS990/Form990PartVIISectionAGrp/TitleTxt8VICE SPEAKER OF THE HOUSE
IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt12TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt13TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt14TRUSTEE (23-24)
IRS990/Form990PartVIISectionAGrp/TitleTxt15TRUSTEE (24-25)
IRS990/Form990PartVIISectionAGrp/TitleTxt16TRUSTEE (24-25)
IRS990/Form990PartVIISectionAGrp/TitleTxt17TRUSTEE (24-25)
IRS990/Form990PartVIISectionAGrp/TitleTxt18YOUNG PHYSICIAN MBR (23-24)
IRS990/Form990PartVIISectionAGrp/TitleTxt19YOUNG PHYSICIAN MBR (24-25)
IRS990/Form990PartVIISectionAGrp/TitleTxt20RESIDENT/FELLOW MBR (23-24)
IRS990/Form990PartVIISectionAGrp/TitleTxt21RESIDENT/FELLOW MBR (24-25)
IRS990/Form990PartVIISectionAGrp/TitleTxt22MEDICAL STUDENT MBR (23-24)
IRS990/Form990PartVIISectionAGrp/TitleTxt23MEDICAL STUDENT MBR (24-25)
IRS990/Form990PartVIISectionAGrp/TitleTxt24CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt25COO
IRS990/Form990PartVIISectionAGrp/TitleTxt26VP/GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP, PUBLIC AFFAIRS
IRS990/Form990PartVIISectionAGrp/TitleTxt28VP, POPULATION HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt29VP, TIS & ADMINISTRATIVE SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt30VP, COMMUNICATIONS & MARKETING
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IRS990/MissionDesc0THE TEXAS MEDICAL ASSOCIATION (TMA), THE NATION'S LARGEST AND ONE OF THE OLDEST STATE MEDICAL SOCIETIES, REPRESENTS OVER 59,000 PHYSICIANS AND MEDICAL STUDENTS DEDICATED TO ENHANCING THE HEALTH OF ALL TEXANS. IN COLLABORATION WITH 110 COUNTY MEDICAL SOCIETIES, TMA PHYSICIANS HAVE UPHELD HIGH PROFESSIONAL AND ETHICAL STANDARDS SINCE 1853. TMA'S VISION IS TO IMPROVE THE HEALTH OF ALL TEXANS, AND ITS MISSION IS TO EMPOWER TEXAS PHYSICIANS IN THE PRACTICE OF MEDICINE.
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IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt0-99294
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0-99294

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