American Urological Association

What it reported doing in 2025

Science & quality: the science and quality (s&q) division provides strategic oversight along with the s&q council as they shape and execute the broad science, quality, and data agenda of the aua. This agenda includes the creation, dissemination and implementation of clinical guidelines and literature updates; maintenance of the aua quality (aqua) registry; development and implementation of physician performance measures; advancement of patient safety initiatives; monitoring of federal, state, and local quality health care programs; and the formation and execution of data projects. For 2025, aua completed four full-length guidelines in addition to two guideline amendments and five update literature reviews. Eleven guideline summaries were featured in the journal of urology. A further six guidelines and six amendments continued production throughout 2025 for future release. In 2025, nearly 4,200 respondents completed the annual census and aua released its 11th annual census report on u.s practicing urologists and a supplementary aua section census report. Additionally, 14 abstracts were presented at aua25 and 8 peer-reviewed articles were published based on census or aqua data. The data research program awarded and completed 6 new research projects in 2025, including 3 based on census data and 3based on aqua registry data. Three additional projects were selected for funding in 2026 out of 40 submitted letters of intent, with all 3 awarded projects based on aqua registry data. In 2025, the aqua registry transitioned to a new data ingestion vendor and achieved an 83% retention rate with over 2,000 participants. The aqua registry was approved by cms as a qualified clinical data registry (qcdr) for the 2025 mips reporting year. Cms approved seven aqua measures for use in mips, a pay-for-performance program for clinicians. Quality-related resources developed throughout the year included a quality improvement (qi) project guide and four accompanying podcast episodes, a meeting summary, toolkit, and podcast derived from the prostate mri image quality qi summit, a webinar that focused on the mips value pathways (mvp) reporting option, as well as the launch of qips insights, a podcast series that highlights aua members' qi projects. Other activities included supporting the development of four auanews articles, updating toolkits explaining cms' traditional mips and mvp reporting pathways, and drafting a quality improvement issue brief (qiib) draft focused on joy in work.

Financial Efficiency

• Mission deployment rate: 60.5%; rating input score 60
• Program expense ratio: 62.7%; rating input score 63
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: 1 of 8 controls in place; rating input score 12
  • Claims monitoring procedures: Pass
  • Requires narrative reports: Limited
  • Conducts field audits: Limited
  • May suspend future funding: Limited
  • Requires financial reports: Limited
  • Conducts site visits: Limited
  • Requires grant agreements: Limited
  • May require repayment: Limited
• Grant itemization coverage: 100%; rating input score 100; 76th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 61.5%; rating input score 62; 9th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 27.3%; rating input score 82; 82nd percentile among comparable filings
• Total-asset coverage ratio: 8.71; rating input score 84; 84th percentile among comparable filings
• Liabilities to assets ratio: 0.05; rating input score 76; 76th percentile among comparable filings
• Officer compensation ratio: 16.8%; rating input score 9; 9th percentile among comparable filings

Growth

• Program expense growth: -2.9% per year; rating input score 0; 6th percentile among comparable filings
• Revenue growth: 2.7% per year; rating input score 100; 21st percentile among comparable filings
• Asset growth: 5.5% per year; rating input score 100; 37th percentile among comparable filings