Revenue and Expenses

The creation of relevant and rigorous Certification and Maintenance of Certification (MOC) programs requires the time and commitment of leaders in internal medicine and its subspecialties, as well as a supporting team of professionals, all of whom are focused on ABIM's mission.

The infographics below detail how ABIM manages the resources that are collected through Certification and MOC fees—ABIM receives no industry funding. Download the pdf.

A financial summary graphic titled “Where Does the Money Go? Revenue & Expenses.” It shows fiscal year 2024 financials for ABIM. Expenses totaled $69.4 million, covering salaries, overhead, and other costs. Revenue totaled $105.8 million, illustrated in a circular chart with three segments: 59% from Maintenance of Certification, 34% from Certification, and 7% from Other Income.
  • 25% of total expenses

    Exam Delivery — includes seat costs for candidates and diplomates. Includes psychometric analysis and exam scoring.

  • 2% of total expenses

    Knowledge and practice assessment product development and approvals.

  • 14% of total expenses

    Finance, human resources, legal and building-related.

  • 7% of total expenses

    Board meeting costs and President's Office.

  • 14% of total expenses

    Call Center, physician communications, Academic Affairs and Web.

  • 15% of total expenses

    Research innovations in assessment and the value of Certification and MOC.

  • 4% of total expenses

    Establishment of the requirements for Certification and MOC. Including working with our subspecialty boards and medical societies.

  • 19% of total expenses

    Question writing for Certification and MOC exams in 20 specialties.

Note: ABIM operates on a July-to-June fiscal year. Our most recent publicly available 990 form (pdf) is for fiscal year 2024 ended 6/30/24 and reflects compensation paid for the preceding calendar year (January 2023 to December 2023) and financial activity for the fiscal year 2024 (July 2023 to June 2024). ABIM utilizes the accrual-based accounting methodology required by generally accepted accounting principles (GAAP) to report its financial activity on our 990 forms.

The readers' guide About ABIM's Form 990 (pdf) provides information about various topics covered in the ABIM's 990.

Our most recent audited financials for ABIM and Affiliated Foundation (pdf) comprise the consolidated statements of financial position, activities and cash flow as of June 30, 2024 and 2023. The readers’ guide About ABIM and ABIM Foundation’s Consolidated Financial Statement (pdf) provides information about the statement.