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2025 Annual Report

ABOUT ACOG The American College of Obstetricians & Gynecologists (ACOG) is the leading professional membership organization for ob-gyns. ACOG champions ob-gyns in providing equitable, evidence-based care for patients today and into the future. The ACOG Foundation complements ACOG’s work and furthers the organization’s shared mission through charitable, educational, and scientific programs that improve the lives of all people seeking ob-gyn care, their families, and communities. ACOG’s purpose-driven members are at the forefront of ob-gyn care. Our more than 60,000 members across 12 Districts maintain the highest professional standards and are united in their delivery of exceptional, respectful, science-backed care for patients. Members include medical students, residents, practicing and retired physicians, and health professionals in related fields. ACOG drives change through specialized programs and initiatives aimed at improving ob-gyn health care and advocates for the critical needs of its members and the profession. ACOG’s website for patients, Every Stage Health (everystagehealth.org), is a trusted source for accessible, reliable ob-gyn health information. Powered by ACOG guidance, Every Stage Health equips patients to take a more active and informed role in their health. Mission Our mission is to support our members and the profession to improve the lives of all people seeking ob-gyn care, their families, and communities. Vision Our vision is an equitable world in which exceptional and respectful ob-gyn care is accessible to all. Core Values • Excellence • Integrity • Accountability • Respect • Equity

TABLE OF CONTENTS College About ACOG .........................................................................................................1 Letter from the ACOG President and Chief Executive Officer............................... 3 Influencing a Fast-Moving Policy and Information Landscape.............................4 Championing Quality and Excellence in Clinical Care and Patient Safety............5 Empowering Patients and the Public in an Evolving Information Environment.... 10 Fighting for Payment Equity ................................................................................14 Championing Ob-Gyns and Advancing the Field through Advocacy....................16 Transforming Education, the Workforce, and Well-Being.....................................20 ACSM....................................................................................................................22 Advancing Health Equity and Justice...................................................................24 Developing Innovative Products and Publications to Advance the Field.............26 Membership ........................................................................................................28 District and Section Achievements.......................................................................30

ACOG Foundation ACOG Foundation Board of Directors...................................................................36 Letter from the ACOG Foundation Chair...............................................................37 Foundation Accomplishments..............................................................................38 2025 Grantee Spotlight........................................................................................39 Looking Forward..................................................................................................40 2025–26 Grantees...............................................................................................41 Our Supporters.....................................................................................................42 Financial Summary...............................................................................................44

LETTER FROM THE ACOG PRESIDENT AND CHIEF EXECUTIVE OFFICER

Dear ACOG members and supporters, 2025 was a year of purposeful momentum for our ACOG community, driven as always by the strength of our members. Every advancement in this annual report reflects our members’ expertise, leadership, and unwavering commitment to the patients and communities we serve. This past year underscored how rapidly health policy, clinical practice, and information continue to evolve. Ob-gyns and health care professionals are navigating shifting regulations, new data, emerging technologies, and unprecedented challenges. Through it all, we remained focused on one purpose: driving progress that meaningfully benefits ob-gyns and their patients while staying grounded in evidence and science. Pursuing our purpose meant sharpening our focus on practice sustainability. We amplified our ability to respond to concerns about payment, developed new codes, met with insurers, and yielded meaningful results. We fought to secure better payment and to defend the sanctity of the patient–physician relationship. Pursuing our purpose meant strengthening how we develop clinical guidance and building a more responsive process that accelerates guidance development and shortens the time it takes for evidence to be widely adopted. It meant investing in future-focused education tools—most notably ResidencyCAS, which replaced a fragmented residency application process with a streamlined, centralized platform. Pursuing our purpose meant raising our collective voice against misinformation and doubling down on reaching patients with clear, accurate ob-gyn health information. It meant choosing to step away from federal funding and reimagine key programs to reaffirm our commitment to patient-centered, high-quality, evidence-based work that improves health outcomes. Staying focused on our purpose and principles isn’t without challenges, but our members have consistently affirmed our commitment to doing what is right. We enter our 75th year with deep gratitude and renewed determination. Thank you for your partnership, trust, and commitment to excellence in ob-gyn care. Together, ACOG’s community is shaping the future of our field by protecting our patients, advancing science, and ensuring that clinicians have the support they need to deliver the highest-quality care.

Want to know more about what ACOG is doing for you? Read on! Steven J. Fleischman, MD, MBA, FACOG 76th ACOG President

Steven J. Fleischman 3

Sandra E. Brooks, MD, MBA, FACOG ACOG CEO

Sandra E. Brooks

Influencing a Fast-Moving Policy and Information Landscape In 2025, ACOG strengthened its position as a trusted, science-driven voice in a rapidly shifting policy and information environment. As federal and state legislative actions threatened patient access, clinical autonomy, and evidence-based care, ACOG provided clear leadership by … • Hosting contraceptive and immunization guidance that was removed from the CDC website • Speaking out when new federal restrictions risked undermining Medicare and Medicaid participation • Responding when state-level directives jeopardized patient rights and the patient–physician relationship • Being at the forefront of efforts to reaffirm the safety and efficacy of maternal immunizations, including by uniting 20 medical organizations in ACOG’s widely cited legal filing in support of COVID-19 vaccination

The response to ACOG’s message demonstrated how deeply the public and the health care community sought a calm, evidencebased, trusted source in a moment of widespread confusion. In just one week, ACOG’s response … y Reached nearly 50 million social media accounts and received more than 368,000 shares y Garnered 64,777 new followers for ACOG’s national social media channels y Was amplified across major media outlets—including The Washington Post, The New York Times, The Wall Street Journal, CNN, and NPR—featuring the voices of our members and leaders

Amid this work, ACOG introduced a visual identity redesign—a brand evolution to reflect the clarity, credibility, and forward-looking leadership that our members and the public rely on.

SPOTLIGHT: ACETAMINOPHEN RESPONSE When the federal government questioned the safety of acetaminophen in pregnancy, ACOG acted swiftly, transforming confusion into clarity. We released a Practice Advisory summarizing the full body of evidence on the subject and offering guidance for patient counseling. We communicated with members and issued a public statement supported by a clear FAQ. We shared easy-to-read informational materials for patients, including an FAQ to help the public understand the facts and wade through misinformation. 4

Championing Quality and Excellence in Clinical Care and Patient Safety Delivering Trusted Clinical Guidance In a year marked by uncertainty and misinformation, ACOG continued its leadership as a trusted, authoritative voice for clinicians and patients. As the nation’s leading source for reliable, timely, and evidence-based clinical guidance in obstetrics and gynecology, ACOG delivered the clarity the field needed—when it was needed most. More than 10 standing committees and expert workgroups evaluated emerging data, prioritized key clinical issues, and developed rigorous recommendations grounded in the best available science. Nearly all ACOG clinical recommendations are published in Obstetrics & Gynecology—the widely respected Green Journal—helping to ensure broad and immediate access across the health care community. About 3.5 million users accessed ACOG’s guidance in 2025, underscoring the essential role our recommendations play in clinical decision making.

IN 2025, ACOG RELEASED 25 NEW OR UPDATED PIECES OF GUIDANCE*: • Clinical Practice Update: “Age to Initiate Routine Breast Cancer Screening” • Committee Statement 15: “Preparing for Disasters: Addressing Critical Obstetric and Gynecologic Needs of Patients” • Committee Statement 14: “Infertility: Disparities and Access to Services” • Committee Statement 16: “Increasing Access to Abortion” • Position Statement: “Abortion Training and Education in a Post-Dobbs Landscape” • Committee Statement 17: “Quality Improvement Strategies for Safe Reduction of Primary Cesarean Birth”

*Guidance listed in order of publication date. 5

• Committee Statement 18: “Access to Obstetric and Gynecologic Care for Patients with Disabilities” • Clinical Consensus 8: “Tailored Prenatal Care Delivery for Pregnant Individuals” • Practice Advisory: “Increased Risk of Maternal Morbidity Associated with Previable and Periviable Preterm Prelabor Rupture of Membranes” • Clinical Consensus 9: “Pain Management for In-Office Uterine Cervical Procedures” • Committee Statement 19: “Professional Responsibilities in Obstetric–Gynecologic Medical Education and Training” • Clinical Practice Guideline 9: “Cervical Ripening in Pregnancy” • Clinical Practice Update: “Coding, Billing, and Clinician Training for Detailed Fetal Anatomy Ultrasound in the First Trimester” • Clinical Practice Update: “Use of Nonsurgical Hemorrhage-Control Devices for Postpartum Hemorrhage Management” • Practice Advisory: “Influenza in Pregnancy: Prevention and Treatment” • Practice Advisory: “Acetaminophen Use in Pregnancy and Neurodevelopmental Outcomes” • Clinical Practice Update: “An Update to Clinical Guidance for Delayed Umbilical Cord Clamping After Birth in Preterm Neonates” • Committee Statement 20: “Ethical Considerations With Telehealth in Obstetrics and Gynecology” • Clinical Consensus 10: “Cannabis Use During Pregnancy and Lactation” • Clinical Practice Guideline 10: “Intrapartum Fetal Heart Rate Monitoring: Interpretation and Management” • Committee Statement 21: “Access to Contraception” • Committee Statement 22: “Anticipatory Counseling Regarding OvarianFactor Fertility Decline” • Clinical Practice Update: “Elimination of the DATA-Waiver Program” • Committee Statement 23: “Effective Patient-Physician Communication” • Clinical Practice Update: “Concurrent Sexual Partner Therapy to Prevent Bacterial Vaginosis Recurrence”

GUIDANCE SPOTLIGHT: TAILORED PRENATAL CARE In April, ACOG released groundbreaking clinical guidance recommending a tailored, patient-centered model of prenatal care—a major shift away from the former one-size-fitsall schedule of 12–14 in-person visits.

What was new? y A fully personalized approach to prenatal care based on medical needs, social determinants of health, structural barriers, and patient preferences y A comprehensive needs assessment before 10 weeks’ gestation to form an individualized prenatal care plan y A clarified emphasis that tailored care does not mean less care, but rather the right care delivered by the right professional through the right modality y Streamlined, evidence-based scheduling for averagerisk patients to reduce burden while preserving meaningful connection y Expanded access through telehealth and flexible visit models, especially for patients in rural communities and maternity care deserts y Integration of screening and intervention for social drivers of health through resource assistance and adjustments in care delivery The new model advances ACOG’s mission to reduce maternal morbidity and mortality by promoting equity, data-driven improvement, and real-world support for clinicians and patients alike.

Guidance Improvements for a New Era ACOG launched an ambitious pilot reshaping how we develop guidance for the ob-gyn field. By introducing a differentiated, flexible methodological framework, we’re matching the right level of rigor to the right type of question—streamlining simpler topics while dedicating deeper evidence evaluation to the areas that need it most.

Guidance output increased by 14% from 2024 to 2025, our highest year-over-year growth yet.

Spotlight: Immunization and Prevention In 2025, ACOG emerged as a national champion for evidencebased maternal immunization, providing clarity and leadership amid an unprecedented wave of public scrutiny and shifting federal recommendations. As convener of the Maternal Immunization Task Force, ACOG hosted its largest-ever Maternal Immunization Summit. The ninth annual meeting brought together 128 attendees from 93 organizations to strengthen national alignment on vaccine policy and reinforce ACOG’s leadership of maternal immunization strategy. ACOG also honored three leaders for their exemplary commitment to immunization advocacy with the 2025 Immunization Champion Awards: Kevin A. Ault, MD, FACOG, FIDSA; Theodore Barret, MD, FACOG; Laurie B. Griffin, MD, PhD, FACOG. In collaboration with advocacy groups and peer medical societies ACOG continued to promote and deliver updated, evidence-based clinical guidance on key maternal vaccines— including influenza, Tdap, COVID-19, and RSV.

Demand for immunization resources soared: From September 2025 through January 1, 2026, ACOG’s respiratory virus vaccine Practice Advisories were downloaded 50,176 times, and corresponding FAQ were accessed 19,605 times.

ACOG also broadened its patient-facing efforts. The “Get Your Recommended Vaccines” video series surpassed 600,000 views, and the “My Vaccine Choice” materials—now available in Spanish—expanded equitable access to evidence-based information across patient communities.

Staying True to Our Mission: Strengthening EvidenceBased Care beyond Federal Funding In 2025, ACOG made a bold decision to withdraw from federal funding to preserve our independence and uphold our commitment to evidence-based care and health equity. This shift enables ACOG to continue advocating for science-backed clinical practice and to respond rapidly and transparently to the needs of our members and the patients they serve. This transition also ushered in the thoughtful winding down and reimagining of two long-standing programs: the Women’s Preventive Services Initiative (WPSI) and the Alliance for Innovation on Maternal Health (AIM).

WPSI Peer-Reviewed Publications • “Patient Navigation Services for Breast and Cervical Cancer Screening and Follow-Up: A Meta-Analysis,” published in JAMA Internal Medicine • “Recommendations From the Womenʼs Preventive Services Initiative on Breast Cancer Screening for Women at Average Risk and Patient Navigation Services for Breast and Cervical Cancer Screening,” published in Obstetrics & Gynecology

Women’s Preventive Services Initiative ACOG’s involvement in WPSI’s programmatic activities programmatic activities will conclude at the end of February 2026, after nearly a decade of advancing high-quality preventive care for women nationwide. Even as program activities wound down, WPSI continued to deliver meaningful, high-impact resources.

From July to December 2025, the Well-Woman Chart—a foundational tool for health care professionals—was viewed 12,134 times on the WPSI website, with an additional 355 hard copies distributed. The team contributed significantly to the evidence base with two peer-reviewed publications and three presentations at regional and national meetings.

Work has been underway on two new CME courses on the updated breast cancer screening recommendations for individuals at average risk and on patient navigation services for breast and cervical cancer screening. Both services are newly eligible for coverage without cost sharing as of January 2026—a significant improvement that ACOG had consistently championed. WPSI’s legacy will endure through the preventive care policies and resources it helped shape and through ACOG’s ongoing commitment to maintaining the Well-Woman Chart and supporting the dissemination and implementation of recommendations.

Alliance for Innovation on Maternal Health At the end of August, ACOG concluded 11 years of leading the federally funded AIM, a national program that changed the landscape of obstetric patient safety in the United States. Patient safety bundles that ACOG developed through AIM remain available in the public domain. The following are highlights of AIM’s growth and accomplishments: • Participation grew from 13 states in 2018 to 49 states and Washington, D.C., by 2023, with thousands of birthing facilities implementing AIM patient safety bundles • Severe Hypertension in Pregnancy became the most widely adopted patient safety bundle by May 2023, with 34 AIMenrolled states and jurisdictions implementing it • Since 2021, AIM weaved respectful, equitable, and supportive care strategies throughout every bundle, setting a national standard for integrating people with lived experience as experts in quality improvement efforts • Participating facilities reported measurable reductions in life-threatening complications such as hemorrhage and hypertension

A New Era of Quality and Safety: Introducing QUALITY IN ACTION Following the end of our involvement with AIM, ACOG dedicated the remainder of 2025 to envisioning the next chapter of ACOG’s leadership in quality improvement and patient safety. As a result, Quality in Action, a new patient safety organization listed with the Agency for Healthcare Research and Quality and housed under the ACOG Foundation, will launch in 2026.

Stepping away from federal funding reaffirms ACOG’s commitment to independent, evidence based guidance, health equity, and trusted ob-gyn leadership. With refined programs and new initiatives like Quality in Action, ACOG is poised to lead with greater clarity and impact.

Empowering Patients and the Public in an Evolving Information Environment Launch of Every Stage Health   ACOG launched Every Stage Health, our reimagined patient-facing website offering a trusted, evidence based home for obgyn information amid a landscape of unreliable online content. Designed for today’s patients, it provides clear, accessible guidance across all life stages and empowers individuals to make informed health decisions. The platform has already made major strides this year: • Received more than 10 million page views • Added more than 70 new or updated content pieces • Introduced health quizzes that have consistently maintained an 80% completion rate • Expanded ACOG Explains videos • Translated more than 30 pages of content and five videos into Spanish • Earned three Digital Health Awards from the Health Information Resource Center:  Gold in the Blog Post category for “Menopause Misinformation Is Everywhere. Here’s How to Detect It”  Bronze in the Video category for “ACOG Explains: Polycystic Ovary Syndrome”  Merit award for the overall website

Top Every Stage Health Pages in 2025

724,600 views

Trying to Get Pregnant? Here’s When to Have Sex.

312,124 views

To Shave or Not to Shave: An Ob-Gyn’s Guide to Pubic Hair Care

239,112 views

Healthy Eating During Pregnancy

177,023 views

Preeclampsia and High Blood Pressure During Pregnancy

172,145 views

Having a Baby After Age 35: How Aging Affects Fertility and Pregnancy

ACOG Explains Videos The ACOG Explains video series continued its evolution into one of our most engaging patient education tools, translating complex clinical topics into concise, approachable content designed for today’s interactive digital environment. In 2025, the ACOG Explains series expanded to address hysterectomy, postpartum recovery, abnormal bleeding in perimenopause, and induction of labor. With grant funding, five existing videos on cervical cancer screening, mental health and pregnancy, postpartum recovery, prenatal genetic testing, and vaccines during pregnancy were translated into Spanish.

New Collections of Patient Resources In response to urgent public questions and widespread misinformation, ACOG released comprehensive patient resource bundles on acetaminophen use in pregnancy and menopause—two topics at the center of national conversation in 2025. These bundles provide patients with clear, evidence-based explanations; practical guidance; and accessible tools for informed decision making. Their rapid uptake reflects the public’s deep need for trustworthy, compassionate information from a credible clinical authority. Together, these resources underscore ACOG’s commitment to delivering timely education that meets patients’ most pressing concerns.

Acetaminophen and Pregnancy: What You Need to Know

Patient Resource Collection: Use of Acetaminophen in Pregnancy • FAQ: Acetaminophen in Pregnancy • Ask ACOG: Is it safe to take acetaminophen during pregnancy? • Infographic: Acetaminophen During Pregnancy

Patient Resource Collection: Menopause • Six FAQ collections on topics ranging from hormone therapy to osteoporosis • Thirty-four Ask ACOG responses from experts on common, patient-focused health questions such as hot flashes, topical estrogen, melatonin, and more • Two videos on managing menopause symptoms and bleeding changes in perimenopause • Nine Expert View articles on topics such as bleeding after menopause and how to detect misinformation about menopause • Two health tools to track menopause symptoms and abnormal bleeding • A new book, Menopause: What Your Ob-Gyn Wants You to Know, slated for January 2026 publication

My menopause symptoms The menopause transition is an important time for your health. Use this checklist to keep track of the things you want to talk about with your obstetrician–gynecologist (ob-gyn). Symptom tracking will make it easier for you and your ob-gyn to talk about your concerns and come up with a management plan together.

Is acetaminophen safe to take during pregnancy? Yes, acetaminophen is safe to take for pain, fever, or headaches when you’re pregnant. Talk with your ob-gyn before taking acetaminophen. Your ob-gyn can explain how much is safe to take for your symptoms.

I’ve heard that acetaminophen might cause problems for a fetus. Is this true? Recent claims about acetaminophen being linked to autism or attention-deficit/ hyperactivity disorder (ADHD) have not been proven by science. The highest-quality studies show there is no evidence that acetaminophen causes autism.

Can I take something else instead? You should not take other over-the-counter medications like ibuprofen or naproxen unless recommended by your ob-gyn. It’s not clear if ibuprofen and naproxen are safe for a fetus during the first trimester. Taking them during the third trimester may lead to birth defects.

Bleeding changes  My periods are shorter or lighter  My periods are longer or heavier  The time between periods is shorter

 Other

 The time between periods is longer

How long ago did this start?

 I’ve missed one or more periods

Is it getting worse over time, or staying the same?

Hot flashes/night sweats  I have hot flashes • I have _____ hot flashes per day • My hot flashes last _____ minutes  I have night sweats • I have _____ night sweats per night

How long ago did this start?

• My night sweats last _____ minutes

Is it getting worse over time, or staying the same?

Mood changes  I’m feeling depressed  I’m more worried or anxious than usual

Do I need to “tough out” pain and fever during pregnancy? No. Untreated health problems, especially fever, can be dangerous for both you and your fetus.  Fever increases the risk of birth defects.  Pain can increase stress hormones and negatively affect your body and your fetus.  Headaches can sometimes be a sign of preeclampsia, a condition that can develop in pregnancy and needs immediate medical attention.

How much research has been done on acetaminophen use in pregnancy? Researchers have studied the use of acetaminophen during pregnancy for more than two decades. Their research shows that acetaminophen continues to be safe for a woman and her fetus when used correctly.

11 This information is designed as an educational aid for the public. It offers current information and opinions related to women’s health. It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. For ACOG’s complete disclaimer, visit https://www.acog.org/womens-health/about-acog/disclaimer. Copyright October 2025 by the American College of Obstetricians & Gynecologists. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, posted on the internet, or transmitted in any form or by any means, electronic, mechanical,

 I’m more irritable than usual

 Other

 My mood seems to go up and down more than usual

How long ago did this start? Is it getting worse over time, or staying the same?

Vaginal changes

 Other

 I’m experiencing vaginal dryness

How long ago did this start?

 My vagina or vulva are itchy or irritated

Is it getting worse over time, or staying the same?

Sleep changes  I’m having trouble getting to sleep

 Other

 I’m waking up more at night

How long ago did this start?

 I still feel tired in the morning

Is it getting worse over time, or staying the same?

Urinary and pelvic floor changes  I have to urinate more often or more urgently  Urine is leaking  Bowels are leaking (either gas or feces)  I have unusual bulges in my vagina or

 Other How long ago did this start?

Maternal Health Awareness Day Maternal Health Awareness Day, January 23, is ACOG’s signature moment each year to elevate the realities of pregnancy and postpartum care. We celebrate progress made, highlight the work that remains, and equip patients with the information they need to advocate for their health.

Maternal Health Awareness Day 2025: “Know What’s At Stake” To deepen public understanding of the maternal health crisis, ACOG hosted a special Maternal Health Awareness Day webinar featuring ACOG Immediate Past President Stella Dantas, MD, FACOG; Angela Hawkins, MD, FACOG; and Austin Dennard, DO. Speakers shared firsthand accounts of how barriers to maternal and reproductive health care affect individuals and families. Recognized scholar Rachel R. Hardeman, PhD, MPH highlighted structural racism as a driver of maternal health and the urgent need for systems-level change.

SPOTLIGHT: COMBATING MISINFORMATION As online health misinformation grows, ACOG strengthened our role as a trusted, science-driven source of truth by launching its Combating Misinformation initiative. This new website hub offers resources to correct myths and connect patients, clinicians, and policy makers with factual, evidence-based information about ob-gyn health care. The initiative tackles misinformation wherever it appears—on social media, in news stories, in legislation, and in clinical interactions— ensuring people receive reliable guidance about their health and their options.

People are seeking trusted messengers: The Combating Misinformation hub garnered more than 70,000 views in 2025.

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We created six Facts Are Important documents to provide clinicians and patients alike with the information they need to refute pervasive misinformation and myths about ob-gyn health care across the following topics: y COVID-19 vaccines y Hormonal birth control y Abortion and perinatal palliative care y Understanding and navigating viability y Medication abortion “reversal” y Common abortion myths and misinformation

Four brief, accessible summaries help advocates communicate ACOG’s evidence-based positions to policy makers on issues such as: y Crisis pregnancy centers y Personhood measures y Comprehensive sexuality education y Restorative reproductive medicine We now can craft misinformation data summaries to highlight research on how false reproductive health content circulates on social media—including analyses of TikTok fertility videos and studies on contraception knowledge. We also include practical resources for clinicians, such as myth-busting guides and evidence-based counseling tools, that help support patient conversations about misinformation during clinical care. Our multilayered approach comprised of myth-busting explainers, issue briefs, data insights, and tools for clinicians ensures ACOG is meeting the moment with clarity and scientific rigor.

Fighting for Payment Equity This year, ACOG drove coverage and payment change on key issues affecting ob-gyns and their patients Our efforts focused on … • Commercial payer coverage of vaccines, pain management for in-office gynecology procedures, and detailed fetal anatomy ultrasound in the first trimester • Commercial payer payment for pelvic examinations, downcoding evaluation and management (E/M) services, and inappropriate retroactive recoupment of payment for obstetric services • Medicare payment for physician, outpatient, and inpatient services • Medicaid payment, including efforts to increase obstetric payment, and eligibility • Marketplace affordability for patients

SPOTLIGHT: ACOG CHALLENGES ALL PAYERS Policy analysis and member input shared through ACOG’s Payment Advocacy & Policy Portal informs the payer outreach and education that make ACOG wins possible. In 2025, ACOG solved more than 18,000 member issues and created a new portal feature that allows members to report payer issues with denials and prior authorizations directly to ACOG staff. Reports made through the portal spurred ACOG to meet with Cigna after Cigna decided to no longer pay for 99459, the pelvic pack, with E/M services per coding instructions. After meeting with ACOG, Cigna reversed its decision, recognizing ACOG’s collaborative discussions on this matter, continued advocacy for ob-gyns, and commitment to ensuring quality care for patients.

Business of Medicine Workgroup The newly developed Business of Medicine Workgroup is identifying members’ needs around business issues and determining the resources ACOG should develop to meet those needs. The workgroup will present a preliminary report featuring recommendations based on group discussions, staff research, and survey responses at the 2026 ACSM. The workgroup was instrumental in starting the process for an upcoming tool that will provide members with custom reports on their reimbursement rates from top regional payers, Medicaid, and Medicare compared with others in their geographic market and peer groups. This member benefit is slated to launch at the 2026 ACSM.

New Obstetric Codes In September, the CPT Editorial Panel approved a new obstetric code set for inclusion in the January 2027 CPT Professional Edition. CMS will finalize national values in November 2026. This win follows years of ACOG advocacy for fair, equitable, sustainable obstetric care reimbursement rates that reflect the current reality of obstetric care in the United States. ACOG staff are collaborating with the ACOG Committee on Health Economics and Coding to develop a comprehensive multimedia educational plan to instruct members, staff, and all payers on the new codes and their use.

Committee on Health Economics and Coding Activities In 2025, the Committee on Health Economics and Coding (CHEC) launched the Payment in Practice podcast, which publishes monthly episodes on topics such as coding, documentation, and advice to guide ob-gyns through the first year of practice. The CHEC also hosted a reenvisioned in-person coding workshop in October, the first since 2020. The updated curriculum featured a pre-workshop networking session, interactive lectures and panels, an E/M code debate, and small-group discussions with expert CHEC members. Prior to the event, ACOG held the first inperson CHEC meeting since 2019, at which they began to identify misvalued services for subspecialty and gynecology code sets.

Compassionate Conversations Eight live Compassionate Conversations webinars took place this year, including a first-of-its-kind in-person session at ACSM 2025 that focused on leading patient-centered discussions on abortion. These webinars center on how to hold respectful discussions on sensitive topics and feature experts and guest speakers with lived experience. The Compassionate Conversations podcast, which further explores webinar topics such as menopause, postpartum depression, and endometrial cancer, published seven episodes to support ob-gyns and learners.

Championing Ob-Gyns and Advancing the Field through Advocacy This year, ACOG continued our staunch defense of ob-gyn health care in all aspects, supporting physicians, patients, and the sustainability of practice. We advocated on behalf of our members and their patients to safeguard and drive progress today and lay the foundations for a future in which ob-gyn care is sustainable, accessible, equitable, and inclusive.

ACOG members on Capitol Hill during the 2025 Congressional Leadership Conference

ACOG Advocacy by the Numbers

300,000 people reached with

753 participants attended the

40,000 emails sent to members

5,700 ACOG members served

56,700 advocacy actions taken

16 amicus briefs submitted

our first-ever paid digital advocacy campaign

of Congress defending Medicaid

on ACOG priorities

Congressional Leadership Conference

as Advocacy All-Stars

1,387 state bills tracked H.R. 1 Response At the introduction of H.R. 1, ACOG identified threats that the bill posed—particularly cuts to Medicaid and the Affordable Care Act (ACA) and restrictions that would decrease access to care. ACOG worked the first half of the year to prevent cuts to Medicaid and the ACA, highlighting the potential for H.R. 1’s proposed policy changes to destabilize patients’ access to care; physicians’ ability to provide comprehensive, patient-centered care; and the sustainability of the profession. Shortly after H.R. 1’s passage, ACOG published an in-depth explainer detailing the policy changes most relevant to our members and what those changes meant for them. ACOG staff, together with state lobbyists and District and Section legislative chairs, continue to focus on the law’s implementation and are seeking opportunities to maximize ob-gyn participation in rural health initiatives.

Defending Medicaid Medicaid is a vital fixture in the ob-gyn care landscape, covering tens of millions of people and nearly half of births in the United States. When the program faced cuts throughout 2025, ACOG … • Sent templates for letters to governors to District and Section leaders in target states • Helped members in target areas contact their elected officials 17

• Helped develop ACOG’s first-ever paid digital campaign, which encouraged viewers to urge their elected officials to defend Medicaid and stop cuts. The campaign reached nearly 300,000 people and led more than 26,000 to email their members of Congress. • Made protecting Medicaid a 2025 Congressional Leadership Conference (CLC) ask • Participated in countless meetings with key congressional offices • Successfully supported policies preventing Medicaid funding restrictions at the American Medical Association House of Delegates

Congressional Leadership Conference In March, 753 ACOG members gathered in Washington, D.C., for the 2025 CLC, organized around the theme Ob-Gyns in Action: Turning Purpose into Policy. After two days of preparation, attendees met with elected officials on the Hill to advocate for three ACOG priorities: the Rural Obstetrics Readiness Act (S 380/ HR 1254), protecting Medicaid, and reversing Medicare payment cuts and providing an inflationary update.

Making Ob-Gyn Voices Heard We partnered with the American Academy of Family Physicians, American Academy of Pediatrics, and the American College of Physicians on a letter urging Congress to investigate the dismissal of all 17 voting members of the Advisory Committee on Immunization Practices; led 17 other health professional organizations in a letter opposing the Born-Alive Abortion Survivors Protection Act; and submitted government funding priorities and appropriation asks for fiscal year 2026 to 90 members of Congress. We shared ACOG’s priorities and established our position as ob-gyn health experts with the administration and engaged on key issues such as infertility; changes to COVID-19 vaccine recommendations; challenges with TRICARE, the uniformed services health care program; and distribution of Medicaresupported graduate medical education slots and workforce shortages.

In the Courts ACOG led the House of Medicine in legal filings and amicus briefs in the United States Supreme Court and in state courts across the country, defending the privacy of medical records, opposing cuts to funding for medical research and challenging changes to vaccine recommendations. In addition ... • ACOG filed a Citizen Petition seeking to remove the mifepristone risk evaluation and mitigation strategy and to avoid any action that would reduce patient access to mifepristone. This petition responded to renewed threats to the availability of mifepristone; it supplemented the record before the FDA to reflect the retraction of the junk science studies that abortion opponents relied on when seeking new restrictions on mifepristone. • In Medina v. Planned Parenthood South Atlantic, ACOG convened a coalition of 10 medical specialty societies in an amicus brief before the U.S. Supreme Court explaining the negative effects of policies that exclude disfavored health care professionals from Medicaid reimbursements, thereby reducing access to essential reproductive health care while increasing risks to patient health • In State of Georgia v. SisterSong Women of Color Reproductive Justice Collective, et al, ACOG filed an amicus brief in the Supreme Court of Georgia explaining that Georgia’s 2019 six-week abortion ban lacked scientific basis and medical justification and could force clinicians to deny patients medically necessary care for fear of criminal prosecution

• ACOG’s amicus brief in Deanda v. Becerra explained the importance of ensuring that minors have access to medical care and emphasized that although parental consent is preferred and appropriate in most cases, medical consensus holds that confidential contraception should be available to adolescents • In Kennedy v. Braidwood Management, ACOG and dozens of medical societies and patient professional organizations filed an amicus brief uplifting the importance of preventive care, which increases access to care, improves treatment outcomes, and saves lives—all while reducing cost burdens for individuals and the health care system

In Partnership Collaboration furthered our efforts to protect and advance ob-gyn health. In 2025, we … • Continued our leadership as a member of the Group of Six, a coalition of America’s frontline physicians comprised of ACOG and the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association, and American Psychiatric Association • Facilitated three reports, published by Senator Jon Ossoff’s office, on the effects of Georgia’s six-week abortion ban • Sponsored Black Maternal Health Week, a maternal health equity event created and led by the Black Mamas Matter Alliance • Cochaired the Coalition to Advance Maternal Therapeutics to further advocacy priorities related to research on pregnant and lactating people • Delivered updates on federal activities at external meetings to allies such as the Society of Academic Specialists in General Obstetrics and Gynecology • Organized a congressional briefing titled “Sustaining Congress’ Commitment to Improving Maternal and Infant Health Outcomes”

Political Affairs

State-Level Advocacy

In pursuit of Ob-GynPAC’s goal of raising $1 million for the 2025– 26 election cycle, we relaunched the ACOG-wide Annual District Meeting (ADM) competition and began an email campaign to highlight the PAC’s support of ACOG’s advocacy activities.

At the state level, ACOG countered legislation that would harm ob-gyns, patients, and the profession while working with lawmakers to expand insurance coverage for menopause treatment, protect physicians in providing abortion care, and support physician-led care.

Ob-GynPAC made contributions to several high-impact, high-profile races: Virginia Governor Abigail Spanberger’s gubernatorial race, Justice Susan Crawford’s election to the Wisconsin Supreme Court, and New Jersey Governor Mikie Sherrill’s gubernatorial race.

In 2025, Ob-Gyn PAC raised $528,889—a 36% increase from 2024 and a return to prepandemic fundraising levels.

Scenes from the 2025 CLC

We provided customized support to District and Section legislative chairs; advised on state legislation; and equipped member leaders with testimonies, budget proposals, talking points, and more in all 50 states and Washington, D.C. We facilitated a report-out of states’ legislative actions on ACOG priorities and delivered updates on trends to legislative leaders at the annual State Legislative Roundtable.

Transforming Education, the Workforce, and Well-Being ACOG continues to reshape medical education by delivering innovative tools and programs that help residents and ob-gyns continually improve their knowledge and skills, build sustainable careers, and meet the evolving demands of care.

SPOTLIGHT: RESIDENCYCAS

Championing the Well-Being of Ob-Gyns

Our new ob-gyn residency application system, ResidencyCAS, replaced a fragmented and burdensome system with a streamlined, centralized platform that provides consistency and transparency in the application process.

ACOG launched a National Well-Being Program that underscores our deepening investment in championing member well-being. The program supports members on their well-being journey, offering access to resources such as peer support and curated programs and tools at the national, CREOG, and District levels.

In its first full cycle, ResidencyCAS achieved 100% program adoption and facilitated a 99.9% match rate. For the 2025–26 cycle … y 100% of ob-gyn residency programs are again using ACOG’s ResidencyCAS platform y Applicant numbers remain stable, demonstrating sustained interest in the ob-gyn specialty y The average number of applications per candidate declined from 76 in 2022–23 to 60, as students are taking a more targeted approach to submitting applications to lower costs y Emergency Medicine has moved to ResidencyCAS y Two ob-gyn fellowships, the Pediatric and Adolescent Gynecology Fellowship and the Complex Benign Gynecology Fellowship (formerly known as MIGS), are using the newly launched Liaison FellowshipCAS

Since its October launch, peer supporters fulfilled 22 requests from eight Districts for support—covering areas from clinical complications to career, family, and litigation. Peer supporters responded to requests within an average of six hours, demonstrating exceptional engagement and commitment.

To support this initiative, a newly formed Well-Being Delegation is identifying and amplifying existing well-being content from ACOG national and Districts and establishing a content-vetting process modeled on ACOG’s Patient Education review work.

ResidencyCAS positions positions ACOG as a leader in modernizing medical education, helping strengthen our collective role in shaping the future ob-gyn workforce, and advancing equity and access in the specialty. 20

Events for Ob-Gyn Educators and Learners CREOG & APGO Annual Meeting Convened undergraduate and graduate ob-gyn educators and learners to share updates, learn about educational trends and programming, and discuss best practices in ob-gyn medical education.

1,237 Attendees CREOG Educational Retreat Provided an opportunity for ob-gyn residency program directors and managers to network, learn, and hear updates from national organizations.

328 Attendees CREOG School for Program Directors and Program Managers Provided residency and fellowship program directors and managers with insights, ideas, and knowledge to serve in their roles.

106 Attendees CREOG Residents as Teachers and Leaders Workshop: In-Person Equipped ob-gyn residents with knowledge and skills to serve as leaders and exemplary teachers for junior residents and medical students.

322 Attendees ACOG Cefalo Leadership Institute Supported rising ob-gyn leaders with training and tools to transform the field and confront challenges head-on. Through a workshop series, this intensive program aimed to cultivate strong leadership skills.

40 Attendees

A workshop at the 2025 CREOG Educational Retreat

Launching the CREOG National Curriculum The CREOG National Residency Curriculum, which aligns with CREOG educational objectives, launched in November 2025 and highlights ACOG’s commitment to equitable access to highquality educational materials for all ob-gyn residency programs. Program directors can use the curriculum as a structured planning tool, and residents can access multimodal learning resources in three domains: medical knowledge, clinical reasoning/simulation, and a question bank. The initial launch included five topics—abnormal uterine bleeding, adnexal masses, endometriosis, labor management, and preventing preterm labor—with additional modules to be launched in 2026. Materials feature ACOG guidance, articles, lectures, videos, PROLOG vignettes, podcasts, and question sets.

More than 2,400 users have engaged with the curriculum since its launch.

Providing Accreditation Services ACOG is accredited—with commendation—by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. In 2025, ACOG accredited 145 activities directly as well as jointly with external partners such as ABOG. Accredited internal activities included ADMs, ACSM, eModules, and more.

Annual Clinical & Scientific Meeting ACOG’s premier educational conference, the Annual Clinical & Scientific Meeting (ACSM), hosted more than 4,000 attendees in Minneapolis, Minnesota, in May 2025. Over three days, participants attended their choice of 92 educational sessions, presented more than 350 abstracts, and enjoyed networking activities such as receptions and the career fair. The meeting theme, Powered by Purpose, reflected the professional calling and community that bring ob-gyns across the world together at this annual educational event—and that inspire them every day to provide quality, compassionate care to patients. In 2025, ACOG launched a campaign to encourage attendance and engagement among new Fellows and first-time ACSM participants. Of the new Fellows, 110 used complimentary registration to attend the meeting.

Clockwise from top left: ACOG CEO Sandra E. Brooks, MD, MBA, FACOG; keynote speaker Sharon Malone, MD, FACOG; and ACOG President Steven J. Fleischman, MD, MBA, FACOG

Scenes from the 2025 ACSM

Advancing Health Equity and Justice ACOG’s work to improve health equity in ob-gyn care continued in 2025 with three new efforts: an organization-wide evaluation plan; the Collective Action Advancing Respect and Equity Delegation, which represents the member-driven arm of our work to integrate, foster, and achieve equity; and in-house health equity and transformation technical assistance available to all ACOG divisions.

SPOTLIGHT: COLLECTIVE ACTION ADVANCING RESPECT AND EQUITY DELEGATION As part of ACOG’s efforts to transform the culture of ob-gyn medicine and address racial disparities in health outcomes, ACOG developed the Collective Action Advancing Respect and Equity (CA 2RE) Delegation. The group will work to fulfill ACOG’s vision of an environment that values diverse voices and perspectives, prioritizes community among members, and empowers trainees and experienced career ob-gyns alike to create and accelerate change in the field.

The delegation is comprised of three volunteer leaders—a Junior Fellow, Early-Career Fellow, and Fellow—from each ACOG District. The delegation will pursue five goals: y Increase access to ob-gyn care in underserved communities y Integrate the CA 2RE framework concepts into leadership capacity and knowledge-building meetings y Increase leadership capacity to identify, endorse, facilitate, and sustain DEI strategies to enrich the ob-gyn workforce y Promote the CA 2RE Delegation’s goals throughout District and Section activities y Foster a culture of equity, community, and belonging to advance member engagement and psychological safety, incorporate multiple viewpoints gleaned from lived experience, promote fairness, and catalyze health equity transformation

Evaluation Plan To embed principles of health equity, respectful care, and transformation into our strategy and programming, ACOG launched an organization-wide evaluation plan in February 2025. The plan aims to leverage ACOG’s clinical, policy, and interpersonal guidance to advocate for increased access to ob-gyn health care services; strengthen leadership capacity within obstetrics and gynecology to identify, support and sustain efforts to increase cultural competency; and continuously assess and evaluate the impact of the health equity and transformation strategy—among other goals.

Health Equity and Transformation Technical Assistance Health equity and transformation technical assistance covers a menu of consultation services that help ACOG’s staff integrate health equity and transformation principles into all aspects of their work. ACOG staff can now receive subjectmatter coaching, input from CA 2RE Delegation members, implementation guidance, recommendations, and assistance in developing tools and templates.

Betsey, Lucy, and Anarcha Days of Recognition The Betsey, Lucy, and Anarcha Days of Recognition featured a new element in 2025: the first-ever in-person lecture in the history of the observance. The 2025 Betsey, Lucy, and Anarcha Memorial Lecture, held at the CREOG & APGO Annual Meeting, was also livestreamed concurrently.

More than 200 people attended in person.

Panelists Rashmi Kudesia, MD, MSc, FACOG; Kelli Krase, MD, FACOG; and Versha Pleasant, MD, MPH, FACOG, joined moderator Rachel Villanueva, MD, FACOG, to discuss the effects of DEI bans in clinical practice and share strategies for upholding cultural competency and health equity principles despite these constraints.

CA 2RE Delegation meeting at the 2025 ACSM

Developing Innovative Products and Publications to Advance the Field In 2025, ACOG released products and publications that advance the field and meet the needs of both health care professionals and patients. Our publications included ... • 2025 ACSM On Demand • What Docs Don’t Get Taught in Medical School: Physician Business Training online course from the Medical Group Management Association and Johns Hopkins University School of Medicine

As public attention to menopause grows, ACOG’s 2026 ACSM will feature expanded programming on the topic, further elevating this resource for clinicians and patients.

• PROLOG: Reproductive Endocrinology and Infertility, Ninth Edition • PROLOG: Urogynecology and Reconstructive Pelvic Surgery, Second Edition • Payment in Practice: 2025 OB/GYN Coding Manual • Payment in Practice: Clinical Coding On Demand online course • Breastfeeding Support Tools for the Obstetric Care Professional online course • Fetal Heart Rate Nomenclature, Interpretation, and Management online course

SPOTLIGHT: ACOG’S NEW PATIENT BOOK ON MENOPAUSE In October, ACOG launched preorders for Menopause: What Your Ob-Gyn Wants You to Know, a comprehensive, sciencebacked resource to help women manage symptoms, understand treatment options, and navigate the menopause transition with confidence. The book garnered strong early praise from media outlets, including Oprah Daily, HealthCentral, Fox San Diego, Good Day Philadelphia, and She’s Got Issues. By year’s end, it surpassed 1,000 preorders.

O&G Open O&G Open is ACOG’s online open access journal featuring peerreviewed articles on obstetrics, gynecology, and associated disciplines.

Now in its second year, the journal has experienced strong growth, with submissions increasing 66% from 2024 to 2025 and published articles rising 47%.

In 2025, the journal transitioned from a quarterly to a bimonthly publication and the Editorial team welcomed Akila Subramaniam, MD, FACOG, as its first associate editor. O&G Open was also indexed in PubMed—an acknowledgment of its strong editorial quality and peer review standards, and a milestone that will boost its visibility and reach. 26

Obstetrics & Gynecology Obstetrics & Gynecology is a top-tier publication with over 46,000 subscribers. In 2025, about two million visitors accessed the Green Journal website. Per year, the journal averages about 1,200 citations. This year, the journal featured groundbreaking research on the RSV vaccine, the lack of a relationship between acetaminophen and autism and ADHD, and interstitial cystitis and mind-body treatments. Committed to mentoring the next generation of editors and leaders, the journal hosted 10 participants for the Betsey, Lucy, and Anarcha Editorial Mentorship Program and three editorial fellows. Alongside the journal, listeners enjoyed The Green Room podcast. The Green Room features brief and insightful conversations between the Editorial team and contributing authors on the latest research and ob-gyn practice updates.

In 2025, the podcast was downloaded 218,362 times.

The Green Journal’s Top Cited Articles in 2025 • “Efficacy, Safety, and Immunogenicity of the MATISSE (Maternal Immunization Study for Safety and Efficacy) Maternal Respiratory Syncytial Virus Prefusion F Protein Vaccine Trial” (Simões et al)

• “Preterm Birth Frequency and Associated Outcomes From the MATISSE (Maternal Immunization Study for Safety and Efficacy) Maternal Trial of the Bivalent Respiratory Syncytial Virus Prefusion F Protein Vaccine” (Madhi et al) • “Acetaminophen in Pregnancy and Attention-Deficit and Hyperactivity Disorder and Autism Spectrum Disorder” (Damkier et al) • “Fezolinetant and Elinzanetant Therapy for Menopausal Women Experiencing Vasomotor Symptoms: A Systematic Review and Meta-analysis” (de Almeida et al) • ACOG Clinical Consensus 9: “Pain Management for In-Office Uterine and Cervical Procedures” • ACOG Clinical Consensus 8: “Tailored Prenatal Care Delivery for Pregnant Individuals” • “Associated Trends in Obesity and Endometrioid Endometrial Cancer in the United States” (Francoeur et al) • “Clinical Validation of a Prenatal Cell-Free DNA Screening Test for Fetal RHD in a Large U.S. Cohort” (Thompson et al) • “Association Between Novel Antiphospholipid Antibodies and Adverse Pregnancy Outcomes” (Moyle et al) • “Biology and Pathophysiology of Placenta Accreta Spectrum Disorder” (Afshar et al)

Membership Life Fellows

3,693

Associates and Educational Affiliates

5,322

60,554

Medical Students*

10,626

Members

Fellows

29,257

Junior Fellows

11,263

Fellows Senior Status

393

*Medical student membership is terminated in August annually.

MEMBERS BY GENDER

Female: 44,005 Male: 17,247 Not specified: 214 Prefer not to answer: 130 Nonbinary: 101 Prefer to self-describe: 14 Queer: 11 Transgender man: 4 Transgender woman: 205

Numbers fluctuates as admits take place monthly.

Members by District

District VI 5,549

District V 6,060

District II 4,475 District I 3,733 District III 4,818

District IX 5,770

District IV 8,822 District VIII 6,547 District VII District XI 5,659 4,426

District XII 3,326

As of December 31, 2025. Numbers fluctuate monthly. District X 1,608 Undistricted 973 Not Specified 162

District and Section Achievements

District I continued to meet the needs of members through opportunities for service, connection, and professional development. • Supporting medical students: District I’s annual virtual Residency Fair featured more than 16 programs and 45 speakers and attracted more than 400 medical students from around the country. • Providing new leadership opportunities: District I added three committees—Residency Program Director, Rural Health and Work Force, and Wellness— bringing new members into the fold of ACOG leadership and providing much-needed insight and service in these critical areas. • Fostering member engagement and development: At the Districts I & XI ADM in New Orleans, Junior Fellow and Early-Career Fellow leadership held an exciting day of learning tailored to the needs of newer members, with panels on finding the right residency and fellowship programs and interactive sessions on how to navigate professional challenges, networking, the job hunt, business administration, and negotiation.

District II halted legislation that interfered in the practice of medicine, equipped members with clinical education and patient safety tools, and offered learning and career development support. Securing abortion legislation wins: District II’s advocacy team and leaders are recognized as New York’s leading policy experts in evidence-based ob-gyn health care policies. This year’s legislative wins include new laws to streamline abortion reporting requirements, codify the Emergency Medical Treatment and Labor Act protections in state law, and clarify hospitals’ duties to provide abortion care in emergency situations. • Advocating for physicians and patients: The team helped secure vetoes against two bills that would have required ob-gyns to distribute information on IUDs and episiotomies, which could have overridden physicians’ ability to provide patient-centered care. They secured a veto for the fourth time against legislation that would have expanded liability exposure and cost. Also, the team made progress on legislation reforming prior authorization in New York. • Supporting education, mentorship, and career connections: District II continued the Safe Motherhood Initiative in 2025, offering ob-gyns and maternal health teams tools to elevate evidence-based care to support New Yorkers through pregnancy, labor, and beyond. District II also offered members opportunities for education, mentorship, and leadership development, resulting in 481 attendees at the 2025 ADM, 70 Junior Fellow and medical student research and quality improvement posters, and 27 Resident Advocacy Program participants.

ACOG District III advanced patientcentered, evidence-based care through advocacy and educational initiatives. • Observing Maternal Health Awareness Day: In recognition of Maternal Health Awareness Day, District III presented an expert-led webinar Stillbirth Assessment and Prevention: We Must Do Better. The webinar educated members on reducing the risks of stillbirth and supporting the mental and emotional health of those affected by stillbirth. • Presenting rounds: District III continued to educate members with its virtual grand rounds lectures series. Six current and former District Advisory Council members presented 10 grand rounds lectures at five different health systems, educating hospital clinicians about topics such as advocacy and breast health and density. • Hosting Junior Fellow Day: District III brought together 303 Junior Fellows and medical students at Junior Fellow Day in October 2025 in Philadelphia, Pennsylvania. A strong educational program featured lectures on sports psychology and wellness, subspecialty roundtables, and hands-on simulations. Ob-GynPAC raised $3,565 at an ePoster reception.

District IV worked to improve the health of ob-gyn patients through advocacy, education, and support of members’ practices. • Increasing social media presence: District IV worked on growing its social media presence to improve communication with members and enhance the member experience, increasing likes, follows, and member engagement on District channels. • Engaging at the ADM: District IV held a well-attended and high-energy District meeting in Greensboro, North Carolina, in September 2025. Junior Fellow and Early-Career Fellow attendance was particularly strong. Participants engaged in sessions on wellness, legislative updates, safety, and menopause, as well as a listening session designed for leaders to hear directly from attendees. • Expanding District committee service: To cultivate a new generation of leaders, District IV opened District committee service opportunities to all District members through a call for applications to all standing committees.

District V identified and address rural health challenges through expansion of clinician-to-clinician support, collection of maternal mortality data, and advocacy for funding to expand equitable access to highquality, risk-appropriate obstetric care. • Guiding ob-gyns on psychiatric consultations: The Kentucky Section launched KY Compass, which offers free, confidential psychiatric consultations for mothers who need mental health support through clinicianto-clinician communication. KY Compass has begun receiving consultations from ob-gyns and hopes to serve as a resource for support with diagnosis, treatment, medication questions, and care planning for pregnant and postpartum patients. • Advocating for maternal care: Through coalition building, the Michigan Section successfully advocated for the state budget to allocate funds to support Maternal Levels of Care (MLC) implementation. An MLC designation classifies hospitals and evaluates the risk level of cases a hospital can safely manage. MLC implementation ensures an appropriate escalation of care to reduce maternal morbidity and mortality. Now, 86% of Michigan hospitals are accredited or working towards accreditation.

ACOG District VI expanded communication with its members by strengthening its educational, social, and legislative impact through several key initiatives. • Expanding advocacy efforts across all Sections: With dedicated lobbyists in each Section, members gained greater access to resources, improved visibility for key bills, and received stronger support from legislators. • Hosting a webinar series for the next generation of ob-gyns: A dedicated webinar series for District members focused on contract negotiations, the business of medicine, and long-term financial stability. Sessions featured insights from experienced Fellows who offered practical guidance to empower Junior Fellows and other members as they navigate the early stages of their career. • Enhancing social media: District VI continues to maintain a strong presence in the community through its social media platforms. The Education Committee developed a series of clinical guidance-based social reels to elevate and amplify ACOG’s educational resources.

• Using a data-driven approach to address maternal mortality: The District V Maternal Perinatal Quality Collaborative (PQC) coordinated with four state PQCs within the District to address maternal mortality. They collated information citing maternity care deserts; elevated the need to address inequitable access to maternal care across each state; and identified the top causes of death in Indiana, Kentucky, and Michigan.

In 2025, District VII held activities and created initiatives to address Sectionspecific challenges that physicians and their patients face. • Sharing strategies to expand and champion contraceptive access: District VII partnered with the Take Control Initiative and the Coalition to Expand Contraceptive Access to hold a Contraceptive Access Summit ahead of the 2025 ADM. Summit participants received credit for Part IV of the ABOG Continuing Certification Program. • Using regional collaboration to address maternal mortality: Various PQCs were invited to participate in the 2026 District VII webinar series to translate maternal mortality review findings into real-world improvement for patients. • Fostering connection and educational opportunities: District VII hosted a successful ADM in partnership with District VI in St. Louis, Missouri, with the theme Gateway to Excellence in Women’s Health. The meeting offered educational sessions, a Maternal Mortality Summit, opportunities for mentorship and networking, and more.

District VIII invested in members’ professional and leadership development and highlighted the importance of rural ob-gyn care and addressing maternal mortality. • Advancing rural health leadership: District VIII was the first ACOG District to establish a dedicated Rural Health Committee. Building on this foundation, the District VIII Junior Fellow Advisory Council established a Rural Health Task Force to spotlight rural rotations, expand educational opportunities, and increase awareness of the unique challenges and realities of rural care delivery. • Strengthening the professional pipeline: District VIII expanded its District VIII Medical Student Advisory Council, which launched in 2024 to provide leadership development, mentorship, networking, funded conference participation, and resources for preparing residency applications for medical students. Engagement increased to 59 applicants from 12 Sections and 17 schools. • Sustaining regional collaboration on maternal mortality: District VIII hosted its third virtual Maternal Mortality Review Committee Summit with about 80 multidisciplinary attendees. For the first time, the summit included representation from every District VIII state, as well as American Samoa.

District IX welcomed members to join leadership, conducted outreach with online events, and listened to our members at in-person Section and District events.

District X advanced military ob-gyn care by strengthening professional development and advocacy, leveraging technology to improve patient safety, and prioritizing clinician well-being.

• Reviewing and advocating for legislation: The Legislative Committee reviewed and established positions on 73 bills proposed by California state legislators that have implications for ob-gyn care and ACOG’s mission. District IX’s advocacy and partnership with state legislators contributed to many successes, including the passage of SB 646, which requires testing of prenatal vitamins for safety.

• Supporting military physicians through coaching: In 2025, the Armed Forces District began working on a grant awarded from ACOG Foundation to address burnout and retention in military physicians by assessing the issue using trusted qualitative and quantitative methods and providing online coaching groups for volunteer members.

• Promoting clear communication: District IX reached 2,203 social media accounts, a 12% increase from 2024, and saw a 45.4% surge in engagement, driven largely by posts focusing on maternal health and legislative updates. • Fostering member engagement and participation: District IX’s seven committees welcomed 25 new volunteer leaders in 2025. These diverse committees hosted online events and in-person meetings connecting hundreds of Fellows across the District, listening to the needs of members on important issues in ob-gyn care.

• Engaging with Junior Fellows: Junior Fellows led engaging initiatives, including an advocacy project disseminating social media posts and resources guiding members on how to effectively advocate for ob-gyn health in the military within the legal parameters outlined for active-duty members. At the ADM, the Junior Fellow Simulation Festival was a highlight of the conference, featuring hands-on scenarios that enhanced clinical skills. • Encouraging innovation in ob-gyn care: In collaboration with educators at the Uniformed Services University, District leaders developed a free, universally accessible checklist app called OB Emergencies. The app offers an evidence-based, user-friendly set of checklists for 29 life-threatening obstetrical diagnoses.

In 2025, District XI focused on advocacy-related outreach and activities that support the ob-gyn profession and improve patient care.

ACOG District XII focused on strengthening advocacy, advancing public health education, and enhancing member engagement.

• Engaging with legislative offices: The Legislative Committee distributed contact cards to all House and Senate offices, making themselves available as subject matter experts to discuss legislation affecting the ob-gyn profession. This outreach helped establish and build relationships with state leaders and their staff.

• Advancing RSV prevention through collaboration: District XII cohosted an RSV prevention webinar and public service announcement with the Florida chapter of the American Academy of Pediatrics. This crossspecialty collaboration reinforced the importance of maternal immunization and infant protection, laying the groundwork for future joint public health initiatives.

• Providing members with advocacy opportunities: District XI convened Fellows, Junior Fellows, and medical students for an advocacy day at the Texas state capitol. Members discussed access to care, physician reimbursement, and ob-gyn workforce issues with legislators and staff members. • Supporting career development: District XI held a joint ADM with District I in October, offering ample educational and hands-on sessions to members. District XI also hosted a Made in Texas webinar for medical student members to connect with current Junior Fellows and learn about their experiences as residents in the state of Texas.

• Empowering future physician advocates: District XII hosted its first annual Junior Fellow Advocacy Day, providing ob-gyns hands-on education in legislative advocacy, health policy, and physician leadership. Participants engaged directly with state legislators and gained practical skills to support health policy efforts. • Launching a new model for District engagement: District XII cohosted its first combined ADM with District V, convening members for shared education, networking, and collaboration. The meeting set a strong foundation for future joint programming and increased regional participation.

2025 District XI ADM

ACOG FOUNDATION 2025–26 ACOG Foundation Board of Directors Chair

Tamika Auguste, MD, FACOG

Secretary

Robert H. Palmer Jr, MD, FACOG

Treasurer

David W. Doty, DO, FACOG

Designated Director

Anne L. Banfield, MD, FACOG

Designated Director Bridget Keller, MD, FACOG

Ex Officio Designated Director Stella M. Dantas, MD, FACOG

Ex Officio Director

Sandra E. Brooks, MD, MBA, FACOG, ACOG CEO

Letter from the ACOG Foundation Chair

Dear Friends of the ACOG Foundation, I am deeply proud of the ACOG Foundation’s work and the impact we continue to make in advancing ob-gyn care for all. At a time of significant change, our mission—and the community that makes it possible—has never been more important. This year, after careful deliberation, ACOG stopped accepting federal funding for its programs and activities, underscoring the critical role the Foundation plays in developing and strengthening programs that advance evidence-based medicine and promote health equity. The Foundation is already rising to meet this moment, including by creating a patient safety organization grounded in ACOG’s clinical rigor and evidence-based guidelines. This initiative and others will advance our mission to improve population health outcomes with a focus on preventable maternal morbidity and mortality, patient safety and quality improvement, and access to preventive services. We are maintaining our focus on supporting the ob-gyns and health care professionals who continue to provide care in a rapidly changing health landscape. Through our educational initiatives, trainings, and partnerships, the Foundation remains steadfast in supporting ob-gyns and advancing work that improves outcomes and strengthens the future of ob-gyn care— both in the United States and around the world. As we look ahead, we are pleased to be celebrating a major milestone—75 years of ACOG’s impact—at our Foundation Gala in May 2026. This moment offers an opportunity not only to reflect on our legacy and the progress we’ve made in the field, but also to recommit ourselves to shaping the future of health together. We are profoundly grateful for your partnership and support, which enables the Foundation to respond and lead at moments when our work is most urgently needed. We truly cannot do this critical work without you. I look forward to another successful and impactful year together. Warm regards, Tamika Auguste, MD, FACOG Chair, ACOG Foundation

Tamika Auguste

Foundation Accomplishments In 2025, the ACOG Foundation … • Provided 18 clinical trainings and 12 operational support trainings to more than 365 health care professionals through the Postpartum Contraception Access Initiative (PCAI), driving effective implementation and sustainable practice change. New this year, we partnered with a hospital network in Michigan to support the simultaneous implementation of services across all six of its rural clinics—a strategy that drove faster improvements in patient outcomes. • • • • • • • • •

In response to PCAI …

96%

of participants were satisfied or highly satisfied with their PCAI training

95%

agreed or strongly agreed that the subject matter covered in their training was comprehensive

89%

of participants in the standard clinical trainings agreed or strongly agreed that they intended to change at least one thing in their practice

Hospitals in diverse states such as Florida, Texas, and Wisconsin have all adopted immediate postpartum long-acting reversible contraception.

• Improved the manual vacuum aspiration skills of 245 health care professionals through 12 clinical trainings and eight operational support trainings to support implementation and practice change through our Optimizing Care for Pregnancy Loss program. By concentrating this training program in states with abortion restrictions, we helped to ensure that trainees gain essential skills in miscarriage management and clinical experience, which they might otherwise lack. This targeted approach helps safeguard patient access to the full range of reproductive health services permitted under the law including in obstetrical emergencies. • Created and implemented a new self-managed abortion training through our Implementing Progress in Abortion Care and Training (IMPACT) program, improving the skills of more than 110 health care professionals on manual vacuum aspiration and medication abortion, as well as providing operational support trainings • Supported 520 clinicians to advocate for institutional change through 17 Effective Conversations workshops, which are often paired with clinical instruction to build the shared understanding needed to expand care over time, particularly in states with abortion restrictions

EFFECTIVE CONVERSATIONS PARTICIPANT TESTIMONIALS

”

“I really enjoyed the part that focused on us as an audience and what we might take back from the experience. This talk is helpful to provide a framework to identify common ground, and this applies whether you’re working with government officials or with patients who find trouble reconciling how their abortion is different.” “This session spoke to my soul. I was feeling deficient as an ob-gyn because I do feel some conflict around abortion. I am so much more comfortable with my discomfort now. Thank you.” • Supported our second cohort of ACOG Foundation Grantees as they advanced a diverse portfolio of projects, including addressing the maternity access crisis and how it affects care in New York; expanding high-quality obstetric fistula care in the Lake Zone region of Tanzania; providing group prenatal care in Miami; tackling adolescent pregnancy in Washington, D.C., schools; reducing maternal mortality in Cameroon; and addressing attrition and burnout amongst ob-gyns in the armed forces

In addition to housing Quality in 38 Action—a patient safety organization

2025 Grantee Spotlight: Fistula Foundation The ACOG Foundation is proud of the success and impact of its 2024–25 grantees. For example, the Fistula Foundation received a $50,000 grant to support fistula care and expand community outreach and education on fistula in Tanzania’s Lake Zone. The team’s reported successes are having a real impact on the health of women in the region: • 120 surgeries were performed, exceeding the promised total of 100 • Four surgeons at Bugando Medical Centre were trained to help increase the number of clinicians who can deliver fistula procedures • 80 community health workers were trained in direct collaboration with the district administration • More than 800,000 individuals were reached through 598 local community awareness and outreach events and 10 radio broadcasts

Esther’s Story For 25 years, Esther Mala Kolongoni, a 64-year-old mother from Mwamabu Village in Tanzania’s Simiyu region, lived with the debilitating effects of obstetric fistula. Earlier this year, while at her local market, she witnessed a fistula awareness event organized by community health workers trained through Fistula Foundation’s grant. Recognizing her symptoms in their message, she connected with a community health worker who referred and escorted her to Bugando Medical Centre for treatment.

Looking Forward In addition to housing Quality in Action—a patient safety organization that will partner directly with hospitals, health systems, and clinical teams to provide hands-on support—we will also expand ACOG’s work on obstetric emergencies, helping to incorporate gynecologic emergencies in nongynecologic settings. We are also pleased to be planning an initiative to address high-priority issues in critical access and rural health through a multidisciplinary advisory group of members. The group’s first convening was held in October 2025. We look forward to sharing more information as we advance our shared commitment to patient-centered, evidence-based ob-gyn care.

2025–26 Grantees The ACOG Foundation is pleased to announce its grantees for the 2025–26 grant award cycle. The ACOG Foundation Board of Directors awarded four new grants totaling $249,994.

Ibis Reproductive Health

Amplify Inc

Greater access to high-quality data on menstruation- and menopause-related needs among transgender, nonbinary, and intersex people in the United States would enable ob-gyns to deliver more effective, evidence-based care. Ibis Reproductive Health will disseminate national survey findings on this population’s menstruation and menopause experiences.

Youth Sexual Health Training Initiative Amplify Inc is developing a robust online learning platform to fill the critical training gap fueling Oklahoma’s youth sexual health crisis. This digital expansion aims to dramatically increase access to expert-led curricula and training resources to equip more adults with the skills and knowledge needed to effectively support adolescent development across diverse communities. The addition of the learning platform in this program is designed to reach thousands of adolescents across the state.

Increasing Data-Driven Understanding of the Menstruation and Menopause Needs of Transgender, Nonbinary, and Intersex Patients

Grant amount: $50,000

Southcentral Foundation

Grant amount: $50,000

Turning the Tide on Postpartum Hemorrhage: A Tribal Health System Postpartum Hemorrhage Awareness and Response Program

Emory University

Alaska Native and American Indian peoples experience disproportionately high postpartum hemorrhage rates. This program uses interactive teaching, community workshops, interprofessional education, and outreach materials to raise awareness and strengthen postpartum hemorrhage response, aiming to reduce maternal morbidity statewide.

AI-Enabled Clinical Training for Equitable Menopause Care This research project is a two-year initiative to design, implement, and evaluate an AI-enabled training platform for clinicians on menopause care. Led by Azra Ismail, PhD, at Emory University, the program will focus on implementation with clinicians and patients at a large urban health system with a safety-net hospital, aiming to enhance clinicians’ capacity to deliver equitable, personalized care for midlife individuals.

Grant amount: $50,000

Grant amount: $99,994

ECO Train the Trainers course at the 2025 ACSM

Our Supporters ACOG and the ACOG Foundation are grateful to the following supporters for their commitment to advancing ob-gyn care for all.

Corporate Supporters ACOG and the ACOG Foundation deeply appreciate the support we received from the following philanthropic supporters in 2025.

Platinum $250,000+

Gold $100,000+

Bronze $20,000+

Individual and Foundation Supporters The ACOG Foundation is grateful to our donors who generously supported us in 2025. Visionary: $19,999+ Anonymous (2) Charles and Lynn Schusterman Family Foundation Coretz Family Foundation George Kaiser Family Foundation via the Tulsa Community Foundation Morningcrest Healthcare Foundation The Kirkpatrick Family Fund Ambassador: $10,000–$19,999 Midge and Jim Breeden, MD, FACOG Frances A. Smith, MD, FACOG Investor: $5,000–$9,999 Jacqueline Schaffer and Bruce Bochner, MD Robert Brooks Ronald T. Burkman, Jr, MD, FACOG Shanna M. Combs, MD, FACOG Sandra D. Dayaratna, MD, FACOG Sara E. Forhan, MD, FACOG Annekathryn Goodman, MD, FACOG Mary Strizzi, DO Jenna Tjossem-Robb, MD, FACOG Joyce Wasserstein, PhD, and Theodore Segal Steward: $2,500–$4,999 Jodi M. Brannen, MD, FACOG Katelyn M. Buhrow, MD, FACOG Eva Chalas, MD, FACOG David Chelmow, MD, FACOG Kimberly M. DeVore, DO, FACOG David Doty, DO, FACOG Joseph T. Edwards, MD, FACOG Lisa M. Foglia, MD, FACOG Melanie and Thomas Gellhaus, MD, FACOG Iffath A. Hoskins, MD, FACOG, and William J. Hoskins, MD Clayton H. McCracken III, MD, FACOG Ross McQuivey, MD Wade A. Neiman, MD, FACOG Lila V. Nevrekar, MD, FACOG Patrick S. Ramsey, MD, MSPH, FACOG Robert H. Palmer Jr, MD, FACOG Sarah W. Prager, MD, FACOG Sarah M. Page-Ramsey, MD, FACOG Robert Wah, MD, FACOG Ally: $1,000–$2,499 Jacques S. Abramowicz, MD, FACOG Marili and Joseph Apuzzio, MD, FACOG Eilean L. Attwood, MD, FACOG Tamika C. Auguste, MD, FACOG Erika H. Banks, MD, FACOG May Blanchard, MD, FACOG, and Thomas Blanchard, MD Constance J. Bohon, MD, FACOG Erin T. Bradley, MD, MPH, FACOG 43

Sandra E. Brooks, MD, MBA, FACOG, and Garth M. Beache, MD Haywood L. Brown, MD, FACOG Catrina C. Bubier, MD, FACOG Aaron B. Caughey, MD, MPH, PhD, FACOG Ying Chan-Mark, MD, FACOG Caroline Cochrane Marguerite P. Cohen, MD, FACOG Kristen Cotter, MD, FACOG Grant R. Cox, MD, FACOG Mark DeFrancesco, MD, FACOG Vivian M. Dickerson, MD, FACOG Sherry A. Dickstein, MD, FACOG Don A. Dyer, MD, FACOG Katherine C. Edwards, MD, FACOG Jonathan S. Elias, MD, FACOG Jane E. Ellis, MD, FACOG Marygrace Elson, MD, MME, FACOG Terry I. Feng, MD, FACOG Rosario A. Carmona-Ghosh MD, FACOG, and Snehanshu Ghosh, MD, FACOG Joseph G. Gianfortoni, MD, FACOG Lisa N. Gittens, MD, FACOG James C. Gray, MD, FACOG Kevin L. Hall, MD, FACOG Carla G. Hawley-Bowland, MD, FACOG Tamara G. Helfer, MD, MBA, FACOG Cassandra E. Henderson, MD, MSc, CDCES, FACOG Christine M. Herde, MD, FACOG Samuel R. Heth, MD Amber L. Jaeger, MD, FACOG Janet Jacobson, MD, FACOG Gerald F. Joseph Jr, MD, FACOG Radhika P. Kakarla, MD, FACOG Emma Kandel-Krieger Vijay C. Katukota, MD Leah Kaufman, MD, FACOG Jimmy P. Khandalavala, MD, FACOG Emily A. Kimble, MD, FACOG Judith Mara Kimelman, MD, FACOG Susan D. Klugman, MD, FACOG Sandra Koch, MD, FACOG Jayne and Jerry Krulewitch Marc A. Landsberg, MD, FACOG Kurt Lauenstein, MD Timothy A. Leach, MD, FACOG Katherine S. Lin, MD, FACOG Renee G. Lockey, MD, FACOG Gloria H. Martin, PhD Rosalie L. McBride MD, FACOG Maryanne McDonnell, MD, FACOG Timothy C. McFarren, MD, FACOG John P. McHugh, MD, FACOG Molly Meegan, JD Laura T. Mercer, MD, MBA, MPH, FACOG Pauline Nedelec Holly L. Olson, MD, FACOG

Michelle Owens, MD, FACOG Lilia M. Pacini, MD, FACOG Todd A. Pankratz, MD, FACOG Maria A. Phillis, MD, JD, FACOG Monique M. Regard, MD, FACOG Mary L. Rosser, MD, PhD, FACOG Heather Z. Sankey, MD, FACOG Isaac Schiff, MD, FACOG Heather A. Smith, MD, FACOG Scott Sullivan, MD, FACOG Karen G. Swenson, MD, FACOG Alison Tracey Wayne C. Trout, MD, FACOG Robin and J. Martin Tucker, MD, FACOG Margaret G. Vanderlee, MD, FACOG Christopher T. Welsch, MD, FACOG Mark B. Woodland, MD, MS, FACOG Mary C. Yankaskas, MD, FACOG Mimi R. Yum, MD, FACOG Fund the Future Society: Bequest Commitments of $5,000+ Matthew T. Allswede, MD, FACOG Lisa Renee Blackwood, MD, FACOG Rachel Kathleen Bowman, MD, FACOG Midge and James T. Breeden, MD, FACOG Sandra A. Carson, MD, FACOG Anna M. D’Amico, MD, FACOG Dorene Elizabeth Dempster, MD, FACOG Leonard S. Fagan, MD, FACOG Karin Anneliese Fox, MD, FACOG Gladys Marie Gibbs, MD, FACOG Herbert Guzman, MD, FACOG W. Benson Harer Jr, MD, FACOG Nan and Scott D. Hayworth, MD, FACOG Sarah Katherine Horvath, MD, MSHP, FACOG Alan T. Kent, MD Ying Chan-Mark, MD, FACOG Gloria H. Martin, PhD G. Sealy Massingill, MD, FACOG Robin D. Matthews, MD, FACOG Megan McReynolds Patricia M. Miller, MD Anson Gregory Nebeker Kathryn M. Purdon and Thomas F. Purdon, MD, FACOG Arianna Schmulbach Susana Schwarz, MD, FACOG Paul A. Smurda, MD, FACOG Doris E. Tirado, MD, FACOG Eugene C. Toy, MD, FACOG Sheila Valentin Mary F. Vanko, MD, FACOG Kristy K. Ward, MD, FACOG Jenny White

2025 FINANCIAL SUMMARY ACOG/ACOG Foundation 2025 financial statements (unaudited) as of April 2026.

ACOG programs continue to provide resources that serve our members and improve ob-gyn care for patients. The 2025 financial statements include the activities of ACOG, the ACOG Foundation, 110 ACOG Districts and Sections, and the ACOG Landholding Corporation. The primary drivers of operating revenues of just over $62.7 million were member dues, Obstetrics & Gynecology, and the 2025 Annual Clinical & Scientific Meeting in Minneapolis, Minnesota. Expenses of $79.8 million reflect our investment in the education and advancement of our members, reliable and relevant scienctific research, medical practice support, and support for current and emerging issues in the field. In 2025, the ACOG portfolio returned significant gains, consistent to years 2024 and 2023. The investment portfolio is continually monitored with a goal of funding ACOG’s long-term needs without subjecting the organization to excessive risk. ACOG’s combined operating and nonoperating activity resulted in a net income of just over $11.4 million for the year. In 2025, ACOG made the strategic decision to discontinue receiving federal funding in support of our members and the ob-gyn profession—a shift that contributed to the reduction in grant revenue, but represents an important step forward for ACOG as we pursue our mission and vision. We have used our investments to continue to strategically fund initatives in support of ACOG’s mission, vision, and values; support the operations of our Districts and Sections; and protect against business disruptions. At year end, ACOG held financial reserves and endowments of $216.0 million.

Statement of Financial Position LIABILITIES

ASSETS

Accounts payable and accrued expenses

$6,030,448

8,031,616

Deferred revenue

20,014,738

Investments

215,969,217

Total liabilities

$26,045,186

Property and equipment, net value

10,978,886

Cash and cash equivalents Accounts receivable, inventory, and prepaid expenses

Total assets

$8,964,322

$243,944,041

NET ASSETS Unrestricted

$198,923,818

Restricted

18,975,037

Total liabilities and net assets

$243,944,041

Statement of Activities 1%

OPERATING REVENUE Dues and fees

$27,966,334

Publication sales and royalties

14,283,560

Meeting registration, exhibits, and tuition

8,968,463

Contributions

6,679,558

Member and practice services

3,968,087

Grants, contracts, and other

872,443

Total operating revenue

6% 11%

14%

$62,738,445

$36,078,425

Meetings and travel

18,045,450

Professional services

11,695,266

Adminstration and other

7,186,856

Honoraria, stipends, and awards

3,670,241

Facilities expenses

1,861,348

Dues and subscriptions

1,333,749

Total expenses

NET INCOME FROM OPERATIONS Investment gain Net income

$79,871,335

$(17,132,890) $28,599,900 $11,467,010

45%

23%

EXPENSES Salaries and benefits

Operating Revenue

2% 2% 5% 9%

15%

Expenses

23%

45%