Accreditation Council for Graduate Medical Education

Nonprofit profile at a glance

EIN
363698130
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Chicago, IL, USA
Phone
312.755.5003
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Graduate, Professional Schools (Separate Entities)

Official website

Reported finances

Revenue
$88,540,135
Expenses
$88,284,548
Assets
$132,376,956
Liabilities
$51,258,334

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

66 people listed

Executive titles in this filing

  • THOMAS NASCA MD (PRESIDENT AND CHIEF EXECUTIVE OFFICE)

Highest reported compensation

  • THOMAS NASCA MD (PRESIDENT AND CHIEF EXECUTIVE OFFICE): $1,136,938 total reported compensation
  • TIMOTHY BRIGHAM PHD (CHIEF OF STAFF AND CHIEF EDUCATION OFFICER): $930,247 total reported compensation
  • JOHN OGUNKEYE MS (CHIEF FINANCIAL AND ADMINISTRATIVE OFFICER): $929,696 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The ACGME's mission is to improve health care by assessing and advancing the quality of resident physicians' education through accreditation.

What it reported doing in 2024

The acgme accredits sponsoring institutions and residency and fellowship programs, confers recognition on additional program formats or components, and dedicates resources to initiatives addressing areas of import in graduate medical education. This function includes setting and monitoring the professional education standards essential for preparing physicians to deliver safe, high-quality care to all americans. Requirements are set, and compliance with those requirements is assessed, by 29 specialty-specific review committees made up of volunteer physician experts in the field, including residents/fellows, as well as public representatives. Accreditation review occurs annually and includes consideration of several critical elements for every institution and program, including annual data updates (maintained through the acgme's accreditation data system) of statistical and narrative information, annual surveys of both residents/fellows and faculty members, and resident/fellow case logs. Periodic local site visits are conducted at different intervals, depending on accreditation status, by acgme field representatives. The applicable acgme review committee reviews all of this and other information, including progress reports if necessary, to determine an institution's or program's compliance with the applicable institutional, common, and/or specialty-specific program requirements to make a determination of accreditation status.

Operating model

Revenue model
Other-operating. 98% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 69
  • Transparency & Controls: 75
  • Accountability: 100
  • Sustainability: 37
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 78%; rating input score 78
  • Program expense ratio: 77.6%; rating input score 78
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 96.5%; rating input score 97; 30th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 0.3%; rating input score 33; 33rd percentile among comparable filings
  • Total-asset coverage ratio: 1.5; rating input score 53; 53rd percentile among comparable filings
  • Liabilities to assets ratio: 0.39; rating input score 46; 46th percentile among comparable filings
  • Officer compensation ratio: 6.9%; rating input score 7; 7th percentile among comparable filings

Growth

  • Program expense growth: 4.1% per year; rating input score 100; 32nd percentile among comparable filings
  • Revenue growth: 5.7% per year; rating input score 100; 50th percentile among comparable filings
  • Asset growth: 8% per year; rating input score 100; 58th percentile among comparable filings

Details

  • What they do: 5 programs and campaigns described on the official site
  • Where the money goes: 78% of revenue deployed · 77.6% of spending went to programs
  • Governance: 40 of 40 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $68.5M in reported program spending
  • Leadership: top reported pay $1.1M · 66 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.8M reported
  • Consistency: 37 of 38 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 15 filed money-flow records
  • Related organizations: 9 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • Moderate — Sustainability: Operating margin scored 33/100.
  • Review — Sustainability: Total-asset coverage ratio scored 53/100.
  • High — Sustainability: Officer compensation ratio scored 7/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 46/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.