A M E R I C A N O S T E O PAT H I C A S S O C I AT I O N F Y13 | AN NUAL REPORT American Osteopathic Association | Annual report FY13 | www.osteopathic.org Message from our President AND Executive Director The American Osteopathic Association’s (AOA) Annual Report for fiscal year 2013 (FY13) tells the story of our accomplishments over the past year. The central characters in our story are each DO, osteopathic medical student, intern, resident, advocate, friend, and supporter. Everything we have done over the last 12 months has been in pursuit of one singular goal: to be the professional home for all osteopathic physicians. The AOA works tirelessly on behalf of all members, led by our Board of Trustees and supported by our more than 160 staff. Throughout the year, the AOA strove to uphold the promise that we would always be here for all of our members, helping to keep them “ahead of the curve.” As this report explains, we have done just that. A.T. Still, MD, DO, the founder of osteopathic medicine, wrote in Philosophy and Mechanical Principles of Osteopathy that “we look at the body in health as meaning perfection and harmony, not in one part, but in the whole.” So, Ray E. Stowers, DO 2012-13 President too, the health of the AOA is at its peak when all of our parts—our Board, members, supporters and staff— are working together in harmony. Each section of this Annual Report FY13 demonstrates the interconnectivity in everything we do on behalf of the profession, echoing the osteopathic principle that the body’s structure and function are interrelated. Infographics illustrate who we are as a profession, how we manage change, and where we are growing. The many achievements we share in this report demonstrate the depth of our commitment to being a DO’s professional home. We respond to ongoing changes in the health care environment; we adapt to our members evolving needs; and we do not shy away from making hard decisions or finding a new way of doing things when the old way no longer works. We are working in harmony at the AOA. I hope you enjoy our story. We have enjoyed writing it with you. We are here for you! John B. Crosby, JD 2012-13 Executive Director American Osteopathic Association | Annual report FY13 | www.osteopathic.org Keeping Members Ahead of the Curve DOs recorded The main characters in our story, osteopathic physicians, Showing their commitment to continuing medical constantly seek to better themselves by learning new education (CME), DOs recorded 16.9 million AOA treatments, conducting research, completing educational courses, and engaging in certification. The AOA, as the CME credits during the 2010-12 cycle—the highest total since the AOA CME program began in 1973. In professional home for all DOs, expands their opportuni- this same time frame, we were there to help hundreds ties to do just that with many programs and initiatives. of DOs with practice management queries, billing and coding, and third-party insurance audits—the three The AOA Clinical Assessment Program (CAP) for the AOA CME credits (2.7 million in Category 1-A) during the 2010-12 cycle most common socioeconomic requests. Physician Quality Reporting System (PQRS) helps physicians measure the quality of care they provide. Expand- When the CME reporting period—the time in which ing into new specialties this year, the CAP for PQRS is DOs can report credits after the cycle ends—short- also tied to Centers for Medicare and Medicaid (CMS) ened in January from 17 months to just five, the Are payment. Participation in CAP earns members a CMS bonus payment of 0.5% for 2013 and 2014 and helps them avoid a penalty of 1.5% in 2015. The number of DOs using CAP for PQRS rose 27% in 2012. We There Yet? campaign kept all AOA members aware of these changes as well as those related to CAP and OCC. Through five legs of this osteopathic family road trip, members watched videos, took quizzes, and received information about these upcoming changes. DOs see MORE patients each week 99/week DOs The single certification/recertification examination model Participants were entered into prize raffles after complet- at given intervals is no longer the competitive stan- ing each of the legs. The campaign resulted in 11,257 dard in the health care industry. Osteopathic Continu- unique visitors to the site and more than 9,000 legs ous Certification (OCC) launched in FY13 to ensure completed. osteopathic board certification. Three of the 18 AOA Also keeping members aware of advancements in research-based and psychometrically sound certifying boards use CAP modules to comply with OCC requirements. Federal and state governments as well 92/week MDs research, The Journal of the American Osteopathic Association (JAOA) introduced a revamped design as health plans are now tying reimbursement to per- and enhanced content reflecting its scholarly intent. The formance measures, and evidence showing improved new JAOA accommodates larger tables and figures, performance through maintained certification is starting uses an online manuscript tracking system, and makes to be collected. CMS approved all osteopathic boards’ it easier for readers to identify interesting content. OCC processes as meeting requirements for the 2013 DOs see more patients, write more prescriptions, and are earlier adopters of new therapies and technologies than their MD counterparts, as indicated by the AOA Practice Characteristics Survey conducted this year. PQRS Maintenance of Certification Incentive program, The AOA helps its members stay ahead of the curve demonstrating the quality of OCC. A new dashboard on through innovative programs and resources. As a result, Osteopathic.org allows certified osteopathic physicians DOs continue to break new ground in research and to track their compliance with OCC requirements. practice. American Osteopathic Association | Annual report FY13 | www.osteopathic.org Changing to Meet Members’ Needs Health care has embraced new technologies and the connections they enable between patients, providers, and payors. Technology also drives changes in the way medicine is practiced, so the AOA strove for similar innovations this year. Giving DOs access to member benefits online enhances the value of AOA membership and reinforces the bonds within our profession. 17% MORE DOs Paying Dues ONLINE We know that our members are accessing AOA information online more than ever. • During FY13, we saw a 17% increase in DOs paying membership dues online. • Osteopathic.org, The DO and the JAOA websites received over 2.2 million visits in FY13, a 48% increase over the previous year, translating to an average of 73,500 more visits per month. • Full-text versions of JAOA articles were accessed 1.2 million times in 2012, compared with nearly 927,000 the previous year. • Page views for The DO, the AOA’s online magazine, Our members are accessing AOA information on our website 48% INCREASE are up 588% from a year ago due in large part to links on Twitter. Through a survey on Osteopathic.org, our members told us what they wanted in an altered online home page. The result was a revamped home page of The third most-attended OMED in AOA history, the 2012 Conference welcomed 4,857 professional attendees, up 16% from average. Osteopathic medical student attendance of 890 represents the largest increase in student participation at OMED in six years. The majority of OMED participants registered online. 2 02 Osteopathic.org, built to improve the site’s appear- ance and functionality with a dynamic design, engaging content, and a focus on user needs. Osteopathic.org, The DO and the JAOA received over 2.2 million visits in FY13 American Osteopathic Association | Annual report FY13 | www.osteopathic.org The AOA launched a free mobile app in 2012, providing on-the-go access to a wealth of AOA resources, including recent news items, JAOA articles, CME reports, AOA contacts, and events. These digital trends held true during OMED 2012, the AOA’s Osteopathic Medical Conference & Exposition, which took place Oct. 7-11 in San Diego. Attendees turned to their phones, tablets and computers to enhance their OMED experience. • The OMED Web page had a 51% increase in traffic over the prior year. • Our OMED app had 2,930 downloads, up 42% from 2011. • Four OMED-related videos on Osteopathic.org garnered a total of 5,326 views—an increase of 88%. • More than 70% of attendees registered online. JAOA articles were accessed 1.2 million times in 2012, compared with nearly 927,000 the previous year. While nothing can replace in-person learning and networking, today’s busy DO needs more online CME opportunities. Last year, approximately 2,000 par- ticipants completed online educational programs, with 80% of them receiving either Category 1-A or 1-B CME credit. A “CME on the Internet” pilot program in FY13 sought to expand online CME even more, awarding $5,000 to seven AOA-accredited CME sponsors who will develop online 1-A CME programs. We are writing a new story online, introducing re- sources to create an osteopathic community enabled by technology. This is all part of our effort to be there for members, regardless of what device they are using. As technology evolves, so will the AOA. 03 American Osteopathic Association | Annual report FY13 | www.osteopathic.org Challenging Authorities, Working for Change Being the professional home for all osteopathic physi- • Confirmed that DOs are fully qualified to administer cians and students means we stand up for our members examinations of prospective military personnel with in local, state and federal governments as well as the the U.S. Department of Defense, when several AOA private sector. Our successful advocacy resulted in board-certified DOs had been wrongly prevented from doing so. many positive changes: • Inserted language into legislation to ensure continued • Suspended all Regence BlueCross and BlueShield recognition of osteopathic training and certification in audits of DOs in four states who had performed Maryland and the COMLEX-USA in Missouri. Osteopathic Manipulative Treatment (OMT) and Evaluation & Management services on the same • Retained the osteopathic seat on the Maryland Board day. Regence repaid many DOs the funds that it of Physicians. • Achieved recognition of AOA-approved graduate medical education (GME) for primary care residency had previously recouped. • Thanks in part to our advocacy, Congress prevented a scheduled 26.5% payment cut for physician ser- program funding in Florida. vices under Medicare, saving the average Medi- • Ensured recognition of AOA board certification in pain-related practices in Alabama and West Virginia. • Added the AOA Healthcare Facilities Accreditation Program (HFAP) to the list of recognized health care facility accreditors in several states. • Prevented inappropriate practice expansions by nonphysician clinicians in several states. • Influenced the federal Sunshine Act to reflect AOA accreditation and certification standards. • Changed CMS’s final Medicaid Primary Care Payments rule to recognize osteopathic subspecialty certification for the increase in primary care payment. CNN and ABC political commentator Donna Brazile discusses advocacy with AOA Trustee Joseph A. Giaimo, DO (left), and Immediate Past President Martin S. Levine, DO, at the 2012 Advocacy for Healthy Partnerships conference, held Nov. 16-18 in Phoenix, Ariz. 04 care participating physician $33,672. 80 7,872 letters to state governments bills tracked $33,672 Average savings per DO From stopping 26.5% Medicare payment cut American Osteopathic Association | Annual report FY13 | www.osteopathic.org 8,853 letters sent to Members of Congress Osteopathic physicians are a vital force in Congress as as increased recognition of osteopathic medicine with well. They proved this during DO Day on Capitol Hill, insurance carriers. But our advocacy story would not held March 14 in Washington, D.C. This year welcomed be complete without acknowledging the thousands of more than 1,000 DOs, osteopathic medical students, AOA members whose dedication and perseverance and supporters from nearly all colleges of osteopathic helped osteopathic medicine achieve a level of promi- medicine (COMs) and 44 states. Those students who nence never seen before. Achieving a better health care could not attend were able to download the “DO Day to delivery system through advocacy ensures that our Go” core program, a package of issue briefs and sample members can focus on their primary goal—running letters that gave them the tools and knowledge to be advocates in their home states. their practices while providing the best care possible to patients. Similarly, the 2012 Advocacy for Healthy Partnership Conference, held Nov.16-18, 2012, in Phoenix, Ariz., ALERT! taught 120 osteopathic state and specialty association leaders how to successfully advocate in their states on President Stowers (right) and AOA Trustee William J. Burke, DO, at the United Nations in Geneva, Switzerland, during the World Health Assembly in May. key health policy issues. Promoting osteopathic distinctiveness through association leadership was the focus of this year’s conference, which featured CNN and ABC political commentator Donna Brazile. 55 e-alerts sent to 20,000 subscribers 66 Now recognize countries U.S.-trained DOs with full physician practice rights Our advocacy does not end when Congress adjourns, nor does it end at the U.S. border. Working with our Osteopathic International Alliance and foreign health officials through the World Health Assembly and the International Association of Medical Regulatory Authorities, we have secured recognition of the U.S. DO degree in Australia and South Africa, bringing the total number of countries in which U.S.-trained DOs have full physician practice rights to 66. The AOA led the charge, resulting in an expanded presence in Washington, D.C., and the state capitols as well 05 American Osteopathic Association | Annual report FY13 | www.osteopathic.org Promoting DOs to the Public and the Media The AOA has a responsibility to tell our story to the public and teach the world about DOs. We take that job seriously. Our story will not be complete until every member of the public knows what a DO is—and how truly revolutionary osteopathic medicine can be. In 2012, AOA media relations activities resulted in 201 MILLION estimated audience from media placements 44% of our MEDIA COVERAGE appeared on TV and radio online and print articles, radio spots, and TV inter- views that together reached an audience of almost 201 million. Since 2006, AOA media relations activities have reached an estimated audience of 1.5 billion, helping to tell our story nationwide. Television and radio accounted for 44% of media For the first time in years, the majority of media coverage did not appear in online media outlets during FY13. The DO magazine also helped spread the news about the osteopathic medical profession. Visits to the online magazine are up 73% compared with the prior year, and page views have increased by 66%. Our social media presence includes Facebook, Twitter, YouTube, LinkedIn and now Pinterest. coverage in 2012, the largest segment. This increase can be partly attributed to television interviews during the AOA’s “Living a Full Life with Fibro” campaign and radio interviews recorded during OMED 2012. Our earned media initiatives on advocacy topics specific to the Washington, D.C., market also grew substantially, with 59 significant media hits and 15 media releases or statements. Coverage appearing on websites, blogs and other online sources was the next highest, accounting for 39% of coverage in 2012. Media outlets that previously were uninformed about DOs now open their doors to us, sharing our story in new venues and with wider audiences. 06 Coverage appearing on websites, blogs and other online sources accounted for 39% of coverage in FY13 American Osteopathic Association | Annual report FY13 | www.osteopathic.org OSTEOPATHIC PHYSICIANS recognized in in-flight training manuals In the aftermath of the Boston Marathon bombings, AOA Immediate Past President Martin S. Levine, DO, who was volunteering in the elite athlete’s tent when the bombs went off, was a first responder in the disaster response. Danielle Deines, DO, had just completed the marathon when she heard the explosions and rushed to help. George Smith, DO, was a first responder after deadly explosions in West, Texas, and Stephanie Barnhart, DO, treated victims in the aftermath of tornadoes in Moore, Okla. Their heroic efforts were profiled in many media outlets, including Fox News, CBS New York, and the Associated Press. Prominent placements in FY13 included interviews on “The Dr. Oz Show” and Fox News as well as stories published in Fox News Magazine, Health.com, TheMotherhood.com, The New York Times, the Washington Post, and Kaiser Health News. After hearing concerns from DOs whose credentials were questioned during in-flight medical emergencies, the AOA contacted most major airlines. Nearly every airline verified that osteopathic physicians were recognized in their in-flight training manuals. Upon receiving our letter, JetBlue, the one exception, revised the language in its manual to ensure osteopathic recognition. The more stories about DOs that appear in the media, the more members of the public know what DO means and become familiar with osteopathic medicine. The AOA is the unified voice of osteopathic medicine. Our message about the osteopathic medical profession reaches more people every year. One day, osteopathic physicians will no longer have to answer the question, “what is a DO?” When that day comes, we’ll know our job is done. In anticipation of National Osteopathic Medicine Week, April 14-20, the AOA launched a public awareness campaign to educate Americans about pain and productivity in the workplace. As part of the campaign, AOA media spokesperson Rob Danoff, DO, conducted a series of satellite interviews that were broadcast nationally on TV and radio, including Fox NewsEdge and ABC News Radio. Dr. Danoff also met with contacts at major consumer media outlets, including Good Housekeeping and Family Circle. 07 American Osteopathic Association | Annual report FY13 | www.osteopathic.org Fostering Success from Day One Our profession is only as strong as our next generation of graduates. To keep the osteopathic medical profes- Total Programs in FY13 Total Positions in FY13 Total Programs Total Positions sion growing, the AOA dedicates significant time and resources to the 20,000 osteopathic medical students matriculating through the COMs as well as those in postdoctoral training. Being there for them means our story will be told for many years to come. President Stowers and AOA Trustees participating in the Adopt A Campus program visited 18 of the 29 COMs during FY13. These visits reinforce students’ connections with their professional family and tell them how the AOA can help them grow professionally. To connect with students who were not on campus during these visits or whose schools we couldn’t get to, President Stowers recorded a personalized video message that was sent to those students. Supporting students and residents also means holding their educational institutions to high standards. A new AOA division has begun its charge of reviewing all TX............23 WV...........22 VA............17 AZ............12 KY............10 OR...........10 NV..............9 WA.............9 CO.............8 NC.............7 Lowest ME.............6 GA..............5 IA...............5 MA.............5 CT..............4 RI...............4 IN...............3 MS.............3 TN..............3 AR..............2 DE..............2 MN.............2 WI..............2 WY.............2 AK..............1 AL..............1 KS..............1 MT..............1 SC..............1 UT..............1 osteopathic training programs, with the expectation to None of these educational advancements gained the eventually perform 160 reviews per year. A “crosswalk” same level of attention as our Oct. 24, 2012, announce- document will be used to evaluate each program’s com- ment on our intent to explore a unified accreditation pliance with basic standards and can be used by each program to estimate their review score ahead of time. 08 Highest MI...........222 PA..........135 OH.........113 FL.............95 NY............95 NJ............79 IL..............45 OK............40 CA............36 MO...........27 system between the AOA, the American Association of Colleges of Osteopathic Medicine (AACOM), and the To promote effective and efficient matches, the AOA Accreditation Council for Graduate Medical Education entered into a data sharing agreement in January. mon Program Requirements that would have limited and the National Resident Matching Program (ACGME). This was in response to proposed Com- This partnership will help us provide better information some DOs’ access to ACGME residency and fellowship regarding the number of trainees who will be meeting programs. A new section on Osteopathic.org communi- the demands of a workforce shortage. cated developments with members of the osteopathic Highest MI........2,362 PA.......1,655 NY.......1,249 FL........1,141 OH......1,090 NJ..........953 IL............482 CA..........472 OK..........410 VA..........256 WV.........234 TX..........204 MO.........203 AZ..........124 CO.........104 OR.........103 NE..........100 KY............95 WA...........79 ME...........75 Lowest NC...........74 IA.............70 CT............53 RI.............52 GA............51 WI............50 DE............39 TN............34 MS...........30 MA...........30 IN.............27 WY...........21 KS............20 AR............15 MN...........14 SC............14 AK..............9 MT..............9 UT..............9 AL..............3 In FY13 1,153 NEW OGME positions created American Osteopathic Association | Annual report FY13 | www.osteopathic.org family. While discussions are ongoing, our main goal remains protecting the distinctiveness of osteopathic training and preserving DOs’ access to all GME programs. To keep osteopathic graduate medical education (OGME) programs growing, we established new databases to help hospitals and affiliates seeking to develop osteopathic postdoctoral training institutions (OPTIs). In FY13, the profession created 1,153 new OGME positions and 75 programs; more than 12,000 OGME positions were available during FY13. The President Stowers visits with osteopathic medical students on the campus of the Philadelphia College of Osteopathic Medicine on May 2. OGME Positions by Specialty Osteopathy Anesthesiology Dermatology Emergency Medicine (EM) Family Medicine (FM) Internal Medicine (IM) Neurology/Psychiatry Obstetrics/Gynecology Ophthalmology/Otolaryngology Orthopedics Pediatrics Occupational/Preventative Medicine Physical Medicine/Rehabilitation Radiology Surgery EM/IM FM/EM FM/Neuromusculoskeletal Sports Medicine Hospice/Palliative Geriatrics Other number of trainees in AOA programs is at an all-time high of 7,498 DOs, an increase of 603 since the previous year. Through our OGME Development Initiative, we have assembled more than 130 hospital experts to assist in the development of new OGME programs. The joint AOA/AACOM Blue Ribbon Commission is seeking to publish its white paper on how to transform osteopathic medical education to meet the needs of health care in the 21st century. This initiative dem- onstrates our commitment to visionary approaches to education. It emphasizes competency-based over timebased education, with pathways directly into the mostneeded primary care fields. Publication of the paper will cement the osteopathic medical profession as a leader in medical education. Supporting students and residents means holding their educational institutions to stronger standards. Through our efforts this past year, the AOA has elevated the quality of osteopathic medical education to a higher plateau. Because of this, the future of osteopathic medicine will be strengthened with every graduating class. 09 American Osteopathic Association | Annual report FY13 | www.osteopathic.org Strengthening the ProfessionAL Family Guiding our work this past year was the AOA Strategic Plan FY 11-13. Strategic plans give structure to the AOA story, uniting the profession around shared goals and keeping our activities in line with them. While much of working together to improve pain management and for the AOA, and DOCARE International grew this year. dardized education module compliant with the Food & Programs unite the AOA and state associations in prevent adverse outcomes. The program is a stan- Our Regional Osteopathic Medical Education (ROME) Drug Administration’s requirements. Sixteen DOs have hosting large CME events. Since ROME’s inception in this work takes place behind the scenes, this dedication to governance ensures a strong foundation for the entire osteopathic medical profession. To further steer the profession, the Strategic Planning Committee led the AOA family in collaboratively developing the next strategic plan, with affiliates reviewing drafts and submitting comments. Organized along our six strategic pathways of governance, research, education, advocacy, teamwork and family, the resulting AOA Strategic Plan FY14-16 defines our top priorities and emphasizes the interconnectivity among them. Concurrently, the Council on Research collaborated with physicians, research directors, and COM deans to develop the 2013-22 Research Strategic Plan 2008, the AOA has partnered with nine affiliates to pro- Members support their professional organizations, giving: $427,113 to the AOF $90,411 to the AAOA $29,473 to DOCARE $13,355 to the SOMA Foundation $6,745 to the Osteopathic Family Relief Fund vide 262 educational presentations and much-needed financial support, awarding 22,483 AOA Category 1-A CME credits to 1,262 osteopathic physicians from 42 states, Canada and Australia. Returning to our responsibility to ensure quality in osteopathic board certification, all osteopathic certifying boards will be transitioning to internal AOA man- agement by the end of 2015. As part of a restructuring plan approved by the AOA Board of Trustees in FY13, the administration of two boards was brought in-house in FY13 (the American Osteopathic Board of Anesthesiology and the American Osteopathic Board of Obstetrics and Gynecology), in addition to six already managed by the AOA. We also launched a pilot program to test elec- for the Osteopathic Medical Profession. It lays out tronic applications for all exams and collaborated with 13 recommendations and six projected outcomes, like the National Board of Osteopathic Medical Examiners to increasing the research culture on COM campuses, pub- host several computerized exams. lishing at least 300 peer-reviewed original manuscripts, and proposing between $3 to $9 million in future funds, taken the CO*RE master faculty training and agreed to These actions are all part of our efforts to strengthen available annually, to support osteopathic research. serve as faculty for affiliate programs, which AOA grants and grow the osteopathic family. In FY13, collabora- will support. The ultimate goal of these programs is to tion between the AOA and 25 participating states in our In addition to the groundbreaking Research Strategic reduce the number of deaths and incidents of abuse Plan, FY13 saw the culmination of the “Extended- related to ER/LA opioids. Membership Recruitment Campaign resulted in release/Long-acting (ER/LA) Opioid Risk Evaluation 10 the recruitment of 159 new members and $59,720 in dues revenue. AOA staff joined the effort, recruiting and Mitigation Strategies (REMS)” program through the We must keep our professional network strong by as- at least 235 new members and helping retain 75% of Collaborative for REMS Education (CO*RE). CO*RE is sisting AOA affiliate organizations. Our collaboration with current new member DOs through a staff membership 10 interdisciplinary organizations, including the AOA, the American Osteopathic Foundation, the Advocates challenge. American Osteopathic Association | Annual report FY13 | www.osteopathic.org Our story continues Change is not always easy to accept nor seamless to implement. Yet, by working in harmony, the AOA will strengthen our professional home—by breaking out of old modalities and adapting to the new. For is this not what Dr. Still did in developing osteopathic medicine so many years ago? By being unafraid to follow what he knew to be true, what he knew to be best for his patients, Dr. Still began the story of osteopathic medicine we are still telling today. The story of the AOA, and that of the osteopathic medical profession it serves, is far from complete. There are many chapters left to be written, many DOs whose stories have not yet sprung forth. As we have been doing throughout our 115-year history, the AOA will be there for the more than 100,000 DOs and osteopathic medical students, representing their interests, advancing their causes, and standing up to any and all threats to their future. A submission from the National Osteopathic Medicine Week student photo contest, which demonstrates the pride we all share in our osteopathic medical profession, exhibited by two familiar letters on the DO pin. 11 American Osteopathic Association | Annual report FY13 | www.osteopathic.org AMERICAN OSTEOPATHIC ASSOCIATION STATEMENT OF FINANCIAL POSITION (Unaudited) Family 7% Teamwork 7% May 31, 2013 CURRENT ASSETS Cash and Equivalents: Operating Certifying Boards Osteopathic Research and Development Fund Dale Dodson Educational Fund Greatness Fund $7,816,831.47 $12,505,829.73 $340,344.34 $415,521.57 $382,113.20 Total Unrestricted Cash and Cash Equivalents $21,460,640.31 Investments Operating Osteopathic Research and Development Fund Dale Dodson Educational Fund $21,470,323.84 $5,115,921.40 $1,695,296.39 Total Investments $28,281,541.63 TOTAL CASH AND INVESTMENTS $49,742,181.94 Accounts Receivable Advertising (Net) Affiliated Organizations 142 East Ontario Education Other Total Accounts Receivable Interest Receivable Operating Osteopathic Research and Development Fund ($228.98) $672,484.70 $4,261.16 $63,925.00 $114,423.20 $854,865.18 Budgetary Allocation Advocacy 17% Research 3% By Strategic Pathway Education 46% Looking at AOA expenditures by strategic pathway, the AOA allocates the majority of its operating budget for educational endeavors. The AOA also believes in the importance of maintaining strong governance, which runs second in AOA budget allocation. Reserve Fund Balance 35,000,000 30,000,000 25,000,000 20,000,000 $48,405.38 $22,188.99 15,000,000 $70,594.37 10,000,000 Current Inventories Property and Equipment (Net) Other Assets $1,059,480.16 $10,532,348.68 $679,919.12 5,000,000 TOTAL ASSETS $62,939,389.45 Total Interest Receivable Governance 23% 0 FY12 FY13 The AOA Reserve Fund balance increased by 4% in FY13 12 American Osteopathic Association | Annual report FY13 | www.osteopathic.org American Osteopathic Association Statement of Activities (Unaudited) Publications Committees Meetings and Administration Human Resources Federal Government Socioeconomics Affairs Membership AOA FY13 Library Expenses Education Education Executive Research Predoctoral Communications Finance Operating expenses for the AOA’s bureaus, councils and committees and the Board of Trustees represented the AOA’s greatest expense this year. May 31, 2013 Operating Revenues Publications OMED 2012 (Net) Central Office Greatness Fund Other 2013 ($1,865,877.13) $1,159,191.98 $27,117,280.73 $1,100.00 $1,534,051.43 Total Operating Revenues $27,945,747.01 Operating expenses Central Office Bureaus, Councils and Committees $23,975,987.72 $5,649,645.68 Total Operating Expenses $29,625,633.40 Excess of Operating Revenues over Expenses ($1,679,886.39) Transfer of Operating Reserve Revenue Excess of Operating Revenues over Expenses after Reserve Transfer OMED 2012 (Net) Contributions Certifying Boards (Net) Miscellaneous Research Predoctoral Education Management Services Certification CME Postdoctoral Education Physician & Research AOA FY13 Revenues Membership Dues $1,882,202.69 $202,316.30 Nonoperating Activities 142 East Ontario Operations Investment Income $284,444.72 $2,989,812.34 Total Nonoperating Revenues $3,274,257.06 Unrestricted Net Assets Unrestricted Net Assets Appropriated for Contingencies Osteopathic Research and Development Fund Dale Dodson Education Fund Greatness Fund $3,476,573.36 $189,295.70 $426,420.42 ($415.00) Total Increase in Unrestricted Net Assets $4,091,874.48 Temporarily Restricted Net Assets Deferred Contributions TOTAL INCREASE IN NET ASSETS ($484,616.24) $3,607,258.24 13 Osteopathic Pledge OF COMMITMENT Preamble: I pledge to: As members of the osteopathic medical profession in an effort to instill —Provide compassionate, quality care to my patients; loyalty and strengthen the profession, we recall the tenets on which this —Partner with them to promote health; profession is founded—the dynamic interaction of mind, body, and spirit; —Display integrity and professionalism throughout my career; the body’s ability to heal itself; the primary role of the musculoskeletal —Advance the philosophy, practice and science of osteopathic medicine; system; and preventive medicine as the key to maintain health. We —Continue lifelong learning; recognize the work our predecessors have accomplished in building the —Support my profession with loyalty in action, word and deed; and profession, and we commit ourselves to continue that work. —Live each day as an example of what an osteopathic physician should be.