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Organization Evidence Review

Medical Group Management Association

Medical-practice management membership and data organization

As of July 24, 2026United StatesFiscal year ended June 30, 2025Audited consolidated financial statements and Form 990Primary constituency: Medical-practice administrators, executives, physicians, consultants, corporate members, and other healthcare-management professionals.

Path A · Quick read

One uniform surface for comparison; detailed evidence is below.

Core comparison profile

Three strongest findings

  1. Membership dues were a minority of revenue; information, data, benchmarking, and publications were the largest economic category.
  2. Ultimate payer identity is largely undisclosed because filings identify products rather than buyers.
  3. Current governance includes healthcare supplier representation and a major state-affiliate dispute that matters to member accountability.

Evidence supporting reliance

  • MGMA voluntarily posts multiple years of audited statements and tax returns.
  • Current federal advocacy is specific and substantially aligned with medical-practice priorities.
  • No material adverse legal or regulatory finding was identified, and filed governance disclosures contain several favorable compliance indicators.

Reasons for caution

  • Customer classes behind the dominant data and publication business are not disclosed.
  • Multiple state associations disaffiliated after new affiliation terms, creating a material governance and representation concern.
  • Commercial suppliers hold board roles, and public conflict-management detail is limited.

Material unknowns

  • Who buys the data and benchmarking products that supply the largest revenue category.
  • Who pays royalties and whether revenue is concentrated.
  • The mix of individual, organizational, corporate, and complimentary membership within the dues line.

Report card

The score summarizes assessed evidence; evidence coverage is reported separately.

Transparency
12/15
Funding independence
11/15
Mission alignment
14/20
Governance
10/15
Breadth
NE
Accountability
7/10
Legal / ethical
9/10
Outcomes
3/5

Official accounting revenue mix

Information and publications (47.7%)
$21.53M
Membership dues (23.7%)
$10.71M
Conference and education (17.0%)
$7.68M
Royalties (3.5%)
$1.60M
Investment income (3.3%)
$1.49M
Consulting services (2.6%)
$1.16M
Certification services (1.2%)
$542,814
Other program services (0.9%)
$421,630
Miscellaneous revenue (0.1%)
$46,451
Net rental loss (-0.0%)
$-4,466
Accounting categoryAmountShare
Information and publications$21.53M47.65%
Membership dues$10.71M23.70%
Conference and education$7.68M17.00%
Royalties$1.60M3.54%
Investment income$1.49M3.30%
Consulting services$1.16M2.58%
Certification services$542,8141.20%
Other program services$421,6300.93%
Miscellaneous revenue$46,4510.10%
Net rental loss$-4,466-0.01%
Total$45.18M100.00%
$45.18MLatest reported revenue
$40.23MLatest reported expenses
$60.44MNet assets / reserve context

Payer and funding-source visibility

Minimum classified: 4.5%Not allocated by payer/source: 95.5%

Public records identify products and accounting categories far more often than customer classes. Only a small portion can be tied to a payer class; most buyers of data, benchmarking, publications, education, and membership remain undisclosed.

Identity, alignment, and influence at a glance

Primary constituency: Medical-practice administrators, executives, physicians, consultants, corporate members, and other healthcare-management professionals.

Physician alignment: Role dependent; designed primarily for medical-practice and management leaders, not as a physician-governance body.

Funding model: Membership, education, data, events, and commercial services; physician versus employer payment is unclear.

Primary influence: See the detailed authority and influence analysis.

Executive summary

MGMA is both a professional membership organization and a substantial healthcare data, benchmarking, publication, education, and advocacy business. FY2025 audited revenue was $45.18 million, and the largest economic category was information, data, benchmarking, and publications rather than dues. MGMA provides unusually strong accounting transparency, but the public records identify products more readily than customers; most ultimate payer classes remain unknown. Its practice-side advocacy is concrete and current. The principal cautions are the limited customer-level disclosure, commercial representation in governance, and the recent disaffiliation of multiple state associations. The C grade reflects a useful and influential organization with strong formal reporting but mixed governance and constituency evidence.

One sentence: MGMA is a well-documented, practice-side advocate whose economics are now driven more by data and information products than dues, while the identities of most customers remain unknown.

Path B · Detailed evidence review

Every organization uses the same twelve evidence sections and order.

1Identity, Mission, and ScopeFact pattern

Organization type: Medical-practice management membership and data organization

Primary constituency: Medical-practice administrators, executives, physicians, consultants, corporate members, and other healthcare-management professionals.

Mission: Empower medical practice leaders and their organizations through data, education, advocacy, certification, and professional community.

Scale: A national membership, data, benchmarking, education, and advocacy operation with state and local affiliate relationships.

2Leadership and Decision AuthorityCurrent roles
LeaderCurrent roleAuthority context
Jennifer “Nifty” GosneyBoard chairBoard governance
Jeffrey SmithVice chairBoard governance
Eric CrockettPast chairBoard governance
Akash MadiahActing chief executive officerOperational leadership; current acting role reported by MGMA in June 2026
Rami Rihani, PharmDFinance and Audit Committee chairFinancial oversight
Decision-rights rule: Formal titles do not automatically reveal operational control. The review separates elected governance, board authority, executive execution, member votes, and affiliate authority.
3Financial SupportAccounting view

Period: Fiscal year ended June 30, 2025
Status: Audited consolidated financial statements and Form 990

Accounting categories are presented exactly as reported.

$45.18MLatest reported revenue or operating income
$40.23MLatest reported expenses
$60.44MLatest reported net assets / reserve context
Information and publications (47.7%)
$21.53M
Membership dues (23.7%)
$10.71M
Conference and education (17.0%)
$7.68M
Royalties (3.5%)
$1.60M
Investment income (3.3%)
$1.49M
Consulting services (2.6%)
$1.16M
Certification services (1.2%)
$542,814
Other program services (0.9%)
$421,630
Miscellaneous revenue (0.1%)
$46,451
Net rental loss (-0.0%)
$-4,466
Accounting categoryAmountShare
Information and publications$21.53M47.7%
Membership dues$10.71M23.7%
Conference and education$7.68M17.0%
Royalties$1.60M3.5%
Investment income$1.49M3.3%
Consulting services$1.16M2.6%
Certification services$542,8141.2%
Other program services$421,6300.9%
Miscellaneous revenue$46,4510.1%
Net rental loss$-4,466-0.0%
4Payer Identity and Unknown FundingPayer guardrail
Identified: 4.5%Not allocated: 95.5%

Public records identify products and accounting categories far more often than customer classes. Only a small portion can be tied to a payer class; most buyers of data, benchmarking, publications, education, and membership remain undisclosed.

Guardrail: An accounting category is not the same thing as an ultimate payer. No physician-versus-hospital pie is shown unless mutually exclusive payer classes can be supported.
5Related Organizations and Money FlowsEntity separation
Entity or relationshipRelationship typeWhy it matters
American College of Medical Practice ExecutivesCredentialing componentIntegrated with MGMA operations and financial reporting.
State and local affiliatesAffiliation networkRecent disaffiliations materially affect representation and network structure.

Related entities, foundations, PACs, trusts, networks, and LLCs remain financially and legally separate unless a documented transfer is included in the reviewed organization’s accounts.

6Top InfluencersEvidence classified
InfluencerEvidence classificationEvidence-supported relevance
Board and executive leadershipDirectly documentedGovern strategy and operations.
Data and benchmarking customersStrong inferenceSupply the largest revenue category; customer classes are not public.
Corporate members and partnersDirectly documented relationshipParticipate economically and may hold governance roles.
State affiliatesDirectly documentedHistorically extend reach; recent separation shows contested influence.

Interpretation: A documented relationship may create influence or incentives; it does not by itself establish control, misconduct, or improper capture.

7Mission Versus ConductAlignment test
Mission or public commitmentAlignment assessmentDocumented action or tension
Practice management education and dataAlignedCore products directly support management operations.
Federal advocacyAlignedCurrent positions address payment, prior authorization, telehealth, and workforce.
Member governanceMixedFormal governance exists, but state-affiliate conflict and supplier roles create tension.
Customer transparencyNot demonstratedDominant revenue buyers are not allocated by class.
8Physician and Member RepresentationConstituency test
Physician or member segmentEvidence-supported assessment
Practice administrators and executivesPrimary constituency
PhysiciansIncluded, but not the sole or dominant direct constituency
Independent practicesStrong practical relevance
Hospital-owned groupsStrong practical relevance
Physician segment breadthInsufficient public data for scoring
Membership-count rule: Total membership does not prove equal participation, voting power, financial contribution, or benefit across segments.
9Legal, Regulatory, and Ethical RecordStatus and outcomes

Legal, regulatory, and ethical record

No material final adverse enforcement finding was identified in the reviewed sources. State-affiliate disaffiliation is a governance and contractual dispute, not proof of legal misconduct.

Outcome accountability

MGMA provides extensive education, certification, data, and advocacy outputs, but public evidence does not quantify benefit by physician or practice segment.

10Report Card MethodologyNormalized rubric

Normalized score: 73/100 (C). Raw evaluated points: 66/90. Evidence completeness: 90%.

DimensionScoreGradeInterpretation
Financial Transparency and Source Identification12/15B80% of dimension maximum
Funding Independence and Concentration Risk11/15C73% of dimension maximum
Mission-to-Action Alignment14/20C70% of dimension maximum
Physician or Member Governance and Representation10/15D67% of dimension maximum
Breadth of Support Across Physician SegmentsNENENot evaluated
Leadership, Conflict Management, and Accountability7/10C70% of dimension maximum
Legal, Regulatory, and Ethical Record9/10A90% of dimension maximum
Outcomes and Public Accountability3/5D60% of dimension maximum
Why two percentages? The normalized score summarizes performance on evaluated dimensions. Evidence completeness separately measures how much of the desired evidence was sufficiently current and documented. They are intentionally not the same number.

Read the complete standardized methodology.

11Limitations and Unanswered QuestionsVisible caveats
  • Dominant customer classes are not public.
  • Royalty counterparties are not identified.
  • Member composition by class is incomplete.
  • State-affiliate changes may still be evolving.

Information most likely to change this assessment: current audited financials, mutually exclusive payer-class schedules, top-funder concentration, current bylaws and conflict records, segment-level participation, and independently validated outcomes.

12Verification and Review StatusPublication gate
Verification completed: current leaders and major organizational roles were checked against current official sources; financial totals and percentages were independently recalculated; related entities were kept separate; and allegations were not treated as findings.

Publication status: Public review. A last-link check and final editorial approval are required before each release.

Editorial independence: The reviewed organization did not approve, edit, or veto the findings or score. Factual corrections may be submitted through the published corrections process.

Scope: Verification is limited to publicly accessible records. Private contracts, nonpublic minutes, sealed proceedings, and undisclosed conflicts are outside the available evidence.

Sources, Methods & Verification · 24 references

Source rule: Primary and official records were preferred. Accounting categories were not converted into payer identities. Related entities were kept separate. Allegations were not treated as findings.

Verification: current leaders and major financial arithmetic were checked for this publication batch. Material corrections and future updates follow the published verification process.

S1. mgma.com - MGMA-ACMPE FY25 Tax Return (PDF)Official organization source · Accessed July 24, 2026https://www.mgma.com/getkaiasset/d1f699eb-b67b-4347-aa84-a19562e524a8/MGMA-ACMPE%20FY25%20Tax%20Return.pdf
S2. mgma.com - MGMA-ACMPE FY24 Tax Return (PDF)Official organization source · Accessed July 24, 2026https://www.mgma.com/getkaiasset/1c1b3303-c61d-4ee9-9b0f-bc11e269f0ca/MGMA-ACMPE%20FY24%20Tax%20Return.pdf
S3. mgma.com - MGMA-ACMPE 2025 Financial Statements (PDF)Official organization source · Accessed July 24, 2026https://www.mgma.com/getkaiasset/5f433488-81e7-4b4b-89b1-b747d696c2c2/MGMA-ACMPE%202025%20Financial%20Statements.pdf
S4. mgma.com - MGMA-ACMPE 2024 Financial Statements (PDF)Official organization source · Accessed July 24, 2026https://www.mgma.com/getkaiasset/b3b2ffad-a5de-4304-b092-186a0213ee4e/MGMA-ACMPE%202024%20Financial%20Statements.pdf
S5. mgma.com/overview-missionOfficial organization source · Accessed July 24, 2026https://www.mgma.com/overview-mission
S6. mgma.com - 2025–2026 Board of DirectorsOfficial organization source · Accessed July 24, 2026https://www.mgma.com/content/2025-2026-board-of-directors
S7. mgma.com - 2024–2025 Board of DirectorsOfficial organization source · Accessed July 24, 2026https://www.mgma.com/content/2024-2025-board-of-directors
S8. mgma.com - Financial InformationOfficial organization source · Accessed July 24, 2026https://www.mgma.com/mgma-acmpe-financial-information
S9. mgma.com/corporate-membershipsOfficial organization source · Accessed July 24, 2026https://www.mgma.com/corporate-memberships
S10. mgma.com/pressOfficial organization source · Accessed July 24, 2026https://www.mgma.com/press
S11. mgma.comOfficial organization source · Accessed July 24, 2026https://www.mgma.com/
S12. mgma.com - Local Chapter Affiliation AgreementOfficial organization source · Accessed July 24, 2026https://www.mgma.com/local-chapter-affiliation-agreement
S13. 2026 MGMA Operations Conference - session detailSecondary context or corroboration · Accessed July 24, 2026https://mgmaoperationsconference2026.eventscribe.net/fsPopup.asp?PresentationID=1812775&mode=presInfo
S14. beckershospitalreview.com - 18 states leaving MGMASecondary context or corroboration · Accessed July 24, 2026https://www.beckershospitalreview.com/hospital-transactions-and-valuation/18-states-leaving-mgma/
S15. beckershospitalreview.com - Oregon group disaffiliatesSecondary context or corroboration · Accessed July 24, 2026https://www.beckershospitalreview.com/hospital-management-administration/oregon-group-disaffiliates-from-mgma/
S16. beckersphysicianleadership.com - The MGMA exodusSecondary context or corroboration · Accessed July 24, 2026https://www.beckersphysicianleadership.com/physician-workforce/the-mgma-exodus-what-physicians-need-to-know/
S17. birminghammedicalnews.com - HLAASecondary context or corroboration · Accessed July 24, 2026https://www.birminghammedicalnews.com/article/8933/new-name-for-the-healthcare-leader-association-of-alabama-doesnt-change-its-objectives
S18. ksmcpa.com - Changing landscape of survey dataSecondary context or corroboration · Accessed July 24, 2026https://www.ksmcpa.com/insights/the-changing-landscape-of-healthcare-market-survey-data/
S19. healthcareleadersassociation.orgSecondary context or corroboration · Accessed July 24, 2026https://healthcareleadersassociation.org/
S20. opensecrets.org - MGMA lobbying profilePublic-record research source · Accessed July 24, 2026https://www.opensecrets.org/federal-lobbying/clients/summary?cycle=2025&id=D000053576
S21. tracxn.com - MGMA company profileSecondary context or corroboration · Accessed July 24, 2026https://tracxn.com/d/companies/medicalgroupmanagementassociation/__pjTsCX-EXOunYfHYw2M6Rt-xb3VZrrl6WEg-2ULHRk0
S23. healthcaredive.com - MGMA announces new president and CEOSecondary context or corroboration · Accessed July 24, 2026https://www.healthcaredive.com/news/mgma-announces-new-president-and-ceo/366768/
S24. MGMA Physician Pay and Productivity Report - Acting CEO StatementOfficial organization source · Accessed July 24, 2026https://www.mgma.com/press/physician-pay-and-productivity-are-moving-in-opposite-directions