Civic Intelligence

American College of Osteopathic Internists Inc.

EIN 02-0535267 • 501(c)3 • Arlington, VA

Pub. 78 Eligible

View Organization Page

Profile

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.

4250 N Fairfax Drive 600Arlington, VA 22203

www.acoi.org

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.23x

Higher debt load relative to assets than 62% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

68th percentile

0.34x

Higher debt load relative to revenue than 68% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Net Margin

15th percentile

-16%

Higher net margin than 15% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

92nd percentile

$384,234

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 9.9% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Asset Growth

16th percentile

-7.6%

Faster asset growth than 16% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Revenue Growth

29th percentile

-3.4%

Faster revenue growth than 29% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets62nd percentile

Assets

Down

$5,849,452

Down $479,138 (-7.6%) from 2024

Liabilities

Up

$1,340,865

Up $69,182 (+5.4%) from 2024

Net Assets

Down

$4,508,587

Down $548,320 (-11%) from 2024

Operations
Liabilities / Revenue68th percentileNet Margin15th percentile

Revenue

Down

$3,889,519

Down $136,401 (-3.4%) from 2024

Expenses

Up

$4,499,665

Up $222,525 (+5.2%) from 2024

Net Income

Down

-$610,146

Down $358,926 (-143%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth16th percentile

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2011: $2,341,091Liabilities 2011: $531,187Net Assets 2011: $1,809,9042011Assets 2012: $2,704,871Liabilities 2012: $718,527Net Assets 2012: $1,986,3442012Assets 2013: $2,721,160Liabilities 2013: $652,480Net Assets 2013: $2,068,6802013Assets 2014: $3,130,269Liabilities 2014: $872,375Net Assets 2014: $2,257,8942014Assets 2015: $3,724,377Liabilities 2015: $833,155Net Assets 2015: $2,891,2222015Assets 2016: $4,355,832Liabilities 2016: $894,451Net Assets 2016: $3,461,3812016Assets 2017: $4,992,667Liabilities 2017: $1,088,847Net Assets 2017: $3,903,8202017Assets 2018: $5,532,491Liabilities 2018: $1,501,437Net Assets 2018: $4,031,0542018Assets 2019: $5,183,908Liabilities 2019: $1,175,476Net Assets 2019: $4,008,4322019Assets 2020: $4,647,186Liabilities 2020: $930,333Net Assets 2020: $3,716,8532020Assets 2021: $6,707,068Liabilities 2021: $1,214,216Net Assets 2021: $5,492,8522021Assets 2022: $6,444,455Liabilities 2022: $1,016,212Net Assets 2022: $5,428,2432022Assets 2023: $6,359,332Liabilities 2023: $1,255,916Net Assets 2023: $5,103,4162023Assets 2024: $6,328,590Liabilities 2024: $1,271,683Net Assets 2024: $5,056,9072024Assets 2025: $5,849,452Liabilities 2025: $1,340,865Net Assets 2025: $4,508,5872025

Highlighted filing

2025

Assets$5,849,452
Liabilities$1,340,865
Net Assets$4,508,587
Open 2025 Filing

Operations Trend

Revenue Growth29th percentile

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2011: $2,479,6262011Expenses 2012: $2,714,5782012Revenue 2013: $3,140,009Expenses 2013: $3,057,673Net Income 2013: $82,3362013Revenue 2014: $3,510,155Expenses 2014: $3,320,941Net Income 2014: $189,2142014Revenue 2015: $4,166,530Expenses 2015: $3,533,202Net Income 2015: $633,3282015Revenue 2016: $4,509,878Expenses 2016: $3,939,719Net Income 2016: $570,1592016Revenue 2017: $4,610,556Expenses 2017: $4,168,117Net Income 2017: $442,4392017Revenue 2018: $4,503,845Expenses 2018: $4,376,611Net Income 2018: $127,2342018Revenue 2019: $4,098,195Expenses 2019: $4,120,817Net Income 2019: -$22,6222019Revenue 2020: $3,382,615Expenses 2020: $3,894,927Net Income 2020: -$512,3122020Revenue 2021: $4,121,525Expenses 2021: $3,107,857Net Income 2021: $1,013,6682021Revenue 2022: $4,032,744Expenses 2022: $3,498,365Net Income 2022: $534,3792022Revenue 2023: $3,756,405Expenses 2023: $4,241,864Net Income 2023: -$485,4592023Revenue 2024: $4,025,920Expenses 2024: $4,277,140Net Income 2024: -$251,2202024Revenue 2025: $3,889,519Expenses 2025: $4,499,665Net Income 2025: -$610,1462025

Highlighted filing

2025

Revenue$3,889,519
Expenses$4,499,665
Net Income-$610,146
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$5,849,452
Liabilities
$1,340,865
Net assets
$4,508,587
Revenue
$3,889,519
Expenses
$4,499,665
Net income
-$610,146
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$5.85$1.34$4.51$3.89$4.50$0.61
2024Detailed filing. Detailed filing data is available for this year.$6.33$1.27$5.06$4.03$4.28$0.25
2023Detailed filing. Detailed filing data is available for this year.$6.36$1.26$5.10$3.76$4.24$0.49
2022Detailed filing. Detailed filing data is available for this year.$6.44$1.02$5.43$4.03$3.50$0.53
2021Detailed filing. Detailed filing data is available for this year.$6.71$1.21$5.49$4.12$3.11$1.01
2020Detailed filing. Detailed filing data is available for this year.$4.65$0.93$3.72$3.38$3.89$0.51
2019Detailed filing. Detailed filing data is available for this year.$5.18$1.18$4.01$4.10$4.12$0.02
2018Detailed filing. Detailed filing data is available for this year.$5.53$1.50$4.03$4.50$4.38$0.13
2017Detailed filing. Detailed filing data is available for this year.$4.99$1.09$3.90$4.61$4.17$0.44
2016Detailed filing. Detailed filing data is available for this year.$4.36$0.89$3.46$4.51$3.94$0.57
2015Detailed filing. Detailed filing data is available for this year.$3.72$0.83$2.89$4.17$3.53$0.63
2014Detailed filing. Detailed filing data is available for this year.$3.13$0.87$2.26$3.51$3.32$0.19
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.72$0.65$2.07$3.14$3.06$0.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.70$0.72$1.99$2.71
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.34$0.53$1.81$2.48
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Jan 23, 2026
Return Version
2024v5.5
Gross Receipts
$5,422,230
Mission and Program 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.

Membership organization that helps further medical education.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities-$2,830,697-
Investments in Publicly Traded Securities$5,501,935$2,235,984▼ $3,265,951
Savings and Temporary Cash Investments$739,403$581,022▼ $158,381
Prepaid Expenses and Deferred Charges$81,256$169,183▲ $87,927
Accounts Receivable$1,170$10,195▲ $9,025
Land, Buildings, and Equipment, Net$2,594$3,604▲ $1,010
Total Assets$6,328,590$5,849,452▼ $479,138
Other Assets Total$2,232$18,767▲ $16,535
Liabilities
Deferred Revenue$747,125$906,130▲ $159,005
Accounts Payable and Accrued Expenses$524,558$418,200▼ $106,358
Other Liabilities$0$16,535▲ $16,535
Total Liabilities$1,271,683$1,340,865▲ $69,182
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$4,456,809$3,848,071▼ $608,738
Net Assets With Donor Restrictions$600,098$660,516▲ $60,418
Total Net Assets Fund Balance$5,056,907$4,508,587▼ $548,320
Total Liabilities and Net Assets / Fund Balance$6,328,590$5,849,452▼ $479,138

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$0$139,079$139,079
Equipment$3,604$5,983$9,587
Other Securities$319,514--
Compensation and Service Providers
Top Officer Pay92nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Karen C CaruthExecutive DirectorFT$320,482$63,752$384,234
Timothy McnicholDeputy Executive DirectorFT$199,101$39,619$238,720
Kristan J DavisS. Director Education andFT$178,131$28,323$206,454
Susan B StacyFormer Director of FinanceFT$158,534$24,198$182,732
Erin RossDirector of MarketingFT$154,852$14,261$169,113
Charlene a Lepane DoDirectorPT$3,000-$3,000
Robert T Hasty DoImmediate Past PresidentPT$1,000-$1,000

Board Members and Trustees

NameTitle
Damon L Baker DoPresident
C Clark Milton DoPresident Elect
Anya K Cope DoDirector
David L Tolentino DoDirector
Joanne Baker DoDirector
Joanne Kaiser-smith DoDirector
John Arthur DoDirector
Markalain Dery DoDirector
Pamela Goldman DoDirector
Robert L Digiovanni DoDirector
Simona Eng DoDirector
Susan M Enright DoDirector
Watson Ducatel DoDirector
Laura M Rosch DoSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,921,659
Program Service Revenue
$1,657,094
Investment Income
$276,341
Other Revenue
$34,425
All Other Contributions
$156,967
Change in Net Assets
$-610,146

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,860,383
Revenue Not Reported on Financial Statements
$29,136
Revenue Not Reported on Form 990
$69,111
Total Revenue per Audited Statements
$3,929,494
Total Revenue per Form 990
$3,889,519
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,572,617
Salaries, Compensation, and Employee Benefits$1,927,048
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$960,436$295,033-$1,255,469
Travel$586,220$40,357-$626,577
Conferences and Meetings$489,803$71,773-$561,576
Fees for Services Other$197,242$199,954-$397,196
Current Officers, Directors, Trustees, and Key Employees$288,481$88,618-$377,099
Other Employee Benefits$103,789$31,882-$135,671
Fees for Services Accounting-$135,108-$135,108
Payroll Taxes$89,692$27,553-$117,245
Information Technology-$79,995-$79,995
All Other Expenses$27,438$42,891-$70,329
Pension Plan Contributions$31,797$9,767-$41,564
Other Expenses$23,325$7,166-$30,491
Fees for Service Investment Mgmnt Fees-$29,136-$29,136
Advertising$16,593$5,489-$22,082
Occupancy$12,689$3,898-$16,587
Insurance-$11,085-$11,085
Office Expenses$709$8,669-$9,378
Depreciation Depletion-$1,012-$1,012
Fees for Services Legal-$35-$35
Total Functional Expenses$3,084,309$1,415,356$0$4,499,665

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$4,499,665
Total Expenses per Audited Statements$4,477,814
Expenses per Audited Statements$4,470,529
Expenses Not Reported on Financial Statements$29,136
Expenses Not Reported on Form 990$7,285
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
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Obligation$16,535
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

“Review of the annual form 990 is conducted by the finance/audit committee by circulating a draft return for discussion and approval prior to filing.”

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

“Members of the board and key staff sign conflict of interest statements annually. The policies on conflicts of interest and confidentiality are reviewed at each board of directors meeting.”

Form 990, Part VI, Section B, Line 15

“Comparable data is reviewed by the board in determining compensation of the organization's executive director.”

Form 990, Part VI, Section C, Line 19

“Copies provided upon request.”

Filing and Contact Details

Filer

Filer Name
American College of Osteopathic
EIN
02-0535267
Phone
8003275183
Address
4250 N FAIRFAX DRIVE 600, ARLINGTON, VA 22203

Signing Officer

Name
Karen C Caruth
Title
Executive Director
Phone
8003275183
Signed
2026-01-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Karen C Caruth
Formed
2001
Legal Domicile
Md
Voting Board Members
17
Independent Board Members
16
Employees
14
Volunteers
121

Preparer

Firm
Adeptus Advisors LLC
Address
3311 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1411
Preparer
Angie Sha
Phone
3019299700
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C

“This process has not changed from the prior year. The organization has a committee to select the independent accountant and oversee the audit engagement.”

Financial Statement Notes

PART X, LINE 2:

“The college's management evaluates tax positions and recognizes a tax liability if the college has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service. The college's management has analyzed its tax positions, and has concluded that as of june 30, 2025, there are no uncertain tax positions that would require recognition or disclosure.”

Raw XML AppendixShowing 400 of 713 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/Form990PartVIISectionAGrp/PersonNm2KRISTAN J DAVIS
IRS990/Form990PartVIISectionAGrp/PersonNm3SUSAN B STACY
IRS990/Form990PartVIISectionAGrp/PersonNm4ERIN ROSS
IRS990/Form990PartVIISectionAGrp/PersonNm5CHARLENE A LEPANE DO
IRS990/Form990PartVIISectionAGrp/PersonNm6ROBERT T HASTY DO
IRS990/Form990PartVIISectionAGrp/PersonNm7JOHN ARTHUR DO
IRS990/Form990PartVIISectionAGrp/PersonNm8JOANNE BAKER DO
IRS990/Form990PartVIISectionAGrp/PersonNm9ANYA K COPE DO
IRS990/Form990PartVIISectionAGrp/PersonNm10MARKALAIN DERY DO
IRS990/Form990PartVIISectionAGrp/PersonNm11ROBERT L DIGIOVANNI DO
IRS990/Form990PartVIISectionAGrp/PersonNm12WATSON DUCATEL DO
IRS990/Form990PartVIISectionAGrp/PersonNm13SIMONA ENG DO
IRS990/Form990PartVIISectionAGrp/PersonNm14SUSAN M ENRIGHT DO
IRS990/Form990PartVIISectionAGrp/PersonNm15PAMELA GOLDMAN DO
IRS990/Form990PartVIISectionAGrp/PersonNm16JOANNE KAISER-SMITH DO
IRS990/Form990PartVIISectionAGrp/PersonNm17DAVID L TOLENTINO DO
IRS990/Form990PartVIISectionAGrp/PersonNm18C CLARK MILTON DO
IRS990/Form990PartVIISectionAGrp/PersonNm19DAMON L BAKER DO
IRS990/Form990PartVIISectionAGrp/PersonNm20LAURA M ROSCH DO
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IRS990/Form990PartVIISectionAGrp/TitleTxt0EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DEPUTY EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2S. DIRECTOR EDUCATION AND
IRS990/Form990PartVIISectionAGrp/TitleTxt3FORMER DIRECTOR OF FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR OF MARKETING
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6IMMEDIATE PAST PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18PRESIDENT ELECT
IRS990/Form990PartVIISectionAGrp/TitleTxt19PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt20SECRETARY/TREASURER
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IRS990/MissionDesc0AS 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.
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IRS990/PrincipalOfficerNm0KAREN C CARUTH
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IRS990/ProgramServiceRevenueGrp/Desc0ANNUAL CONVENTION
IRS990/ProgramServiceRevenueGrp/Desc1REVIEW COURSE
IRS990/ProgramServiceRevenueGrp/Desc2CONTINUOUS CERTIFICATION
IRS990/ProgramServiceRevenueGrp/Desc3HOSPITAL MEDICINE
IRS990/ProgramServiceRevenueGrp/Desc4OTHER PROGRAM SERV.
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt3112200
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt420486
IRS990/ProgSrvcAccomActy2Grp/Desc0REVIEW COURSE: PROVIDES AN INTENSIVE AND COMPREHENSIVE OVERVIEW OF MOST OF THE MAJOR AREAS OF IMPORTANCE TO PHYSICIANS PREPARING FOR THE AMERICAN OSTEOPATHIC BOARD OF INTERNAL MEDICINE CERTIFYING AND RECERTIFYING EXAMINATIONS. THE 30TH ANNUAL INTERNAL MEDICINE BOARD REVIEW COURSE HAD 194 PARTICIPANTS.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0307244
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0177120
IRS990/ProgSrvcAccomActy3Grp/Desc0CONTINUING EDUCATION: OFFERS CONTINUING EDUCATION THROUGH AN ONLINE PLATFORM (LEARNING MANAGEMENT SYSTEM, LMS) TO PROVIDE LEARNERS ENDURING EDUCATIONAL CONTENT THROUGHOUT THE YEAR.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0105961
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt0152261
IRS990/ProgSrvcAccomActyOtherGrp/Desc0HOSPITAL 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
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IRS990/PYProgramServiceRevenueAmt01806253

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