American College of Osteopathic Internists Inc

Nonprofit profile at a glance

EIN
020535267
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Arlington, VA, USA
Phone
8003275183
Rating
76
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Support Services

Official website

Reported finances

Revenue
$3,889,519
Expenses
$4,499,665
Assets
$5,849,452
Liabilities
$1,340,865

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

Leadership & pay

21 people listed

Executive titles in this filing

  • KAREN C CARUTH (EXECUTIVE DIRECTOR)
  • TIMOTHY MCNICHOL (DEPUTY EXECUTIVE DIRECTOR)
  • ROBERT T HASTY DO (IMMEDIATE PAST PRESIDENT)
  • C CLARK MILTON DO (PRESIDENT ELECT)
  • DAMON L BAKER DO (PRESIDENT)

Highest reported compensation

  • KAREN C CARUTH (EXECUTIVE DIRECTOR): $384,234 total reported compensation
  • TIMOTHY MCNICHOL (DEPUTY EXECUTIVE DIRECTOR): $238,720 total reported compensation
  • KRISTAN J DAVIS (S. DIRECTOR EDUCATION AND): $206,454 total reported compensation

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

Overview

Mission

As the premier community for osteopathic internists, acoi provides leadership, networking, and education to help our members be successful and stay true to why they pursued medicine.

What it reported doing in 2024

Hospital medicine: provides hospital-based internists and other hospital-based health care professionals updates in medical advances and structural initiatives related to clinical cases in the inpatient setting to advance their knowledge and competence, and assist in the integration of best practice standards. The program had 155 participants for the fiscal year.committees: the members of the committees are appointed by the board of directors to serve the college in a variety of functions in their specific areas, as needed: council on graduate medical educationcontinuing medical education committeeexecutive committeefinance committeehonors and awards committeecommittee on health equity and inclusion in medicinepractice management and professional development committeegovernment affairs committee

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% 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. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 68
  • Transparency & Controls: 79
  • Accountability: 96
  • Sustainability: 23
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 80.7%; rating input score 81
  • Program expense ratio: 68.5%; rating input score 69
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 94.1%; rating input score 94; 24th percentile among comparable filings
  • Governance controls: 8 of 8 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: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -15.7%; rating input score 9; 9th percentile among comparable filings
  • Total-asset coverage ratio: 1.3; rating input score 46; 46th percentile among comparable filings
  • Liabilities to assets ratio: 0.23; rating input score 41; 41st percentile among comparable filings
  • Officer compensation ratio: 26.3%; rating input score 7; 7th percentile among comparable filings

Growth

  • Program expense growth: 0.6% per year; rating input score 100; 16th percentile among comparable filings
  • Revenue growth: 1.6% per year; rating input score 100; 18th percentile among comparable filings
  • Asset growth: 6.6% per year; rating input score 100; 43rd percentile among comparable filings

Details

  • Where the money goes: 80.7% of revenue deployed · 68.5% of spending went to programs
  • Governance: 16 of 17 board members independent · 8 of 8 filing controls reported
  • Programs: 4 filed program accomplishments · $3.1M in reported program spending
  • Leadership: top reported pay $384K · 21 people listed · 3 of 6 pay-setting controls reported
  • Consistency: 35 of 35 current checks pass
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • 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.

Key Signals

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

  • High — Sustainability: Operating margin scored 9/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 46/100.
  • High — Sustainability: Officer compensation ratio scored 7/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 41/100.