FY2023 Osteopathic Medical College Revenues and Expenditures

November 24, 2025

By: Aisha Ali

Income/Expense Osteopathic Medical Colleges Research Reports Trends

For fiscal year (FY)2023 (July 1, 2022 – June 30, 2023), 52 private and 13 public colleges of osteopathic medicine (COMs) reported data for AACOM’s 2024-25 Annual Osteopathic Medical School Questionnaire (Annual Survey).  Private COMs reported $350.33M in excess revenues, while public COMs reported $77.19M. Compared to FY2022, private COMs experienced a $106.04M (43.4%) increase, and public COMs an increase of $21.82M (39.4%).  

The gap between private and public COMs increased from $188.92M in FY2022 to $273.14M in FY2023. Among private COMs, 27 reported an increase since FY2022. Out of the 27 private COMs that reported an increase, 21 reported a higher surplus, 3 reported an increase but are still in the negative, and 3 previously in the negative for FY2022 reported a significant surplus for FY2023. Seventeen private COMs reported a decrease since FY2022.  Out of the 17 private COMs that reported a decrease, 10 have maintained a surplus, 4 that reported a surplus for FY2022 are now in the negative, 2 have gone further into the negative since FY2022, and 1 reported a lower surplus but broke even. 

Compared to FY2022, 8 public COMs reported an increase while 3 reported a decrease.  Out of the 8 public COMs that reported an increase, 3 reported a higher surplus, 4 previously in the negative for FY2022 now have a surplus, and 1 reported an increase but is still in the negative.  The 3 COMs that reported a decrease have maintained a surplus for FY2023.

Note: Figures may not sum due to rounding.