*Purpose: We examined the educational spending by OPOs in relationship to OPO performance metrics.

*Methods: Data sources: OPO Cost Reports (CMS 216-94 Form), SRTR OPO Specific Reports, and the US Census. 52 OPOs filed cost reports. One OPO was eliminated because of data issues. Aggregating across 5-years (2013 to 2017), we report on a total of 237 OPO-years with complete data. Total educational spending; professional and public, was reported by each OPO each year in Worksheet of A of the OPO Cost Reports. OPOs were split into two groups at the approximate median professional spending amount of $1 million. T-tests were used to compare OPO characteristics between the two groups.

*Results: $530 million was spent on education in the 5 year period, of which $319M was professional educational expense. Table 1 compares professional educational spending between the 2 groups. OPOs spending more than 1M per year were larger with greater numbers of eligible deaths, transplant centers and spent 7 times more on professional education. Despite this much larger rate of spending, there was no difference in the SDR ratios between the groups.

*Conclusions: Educational spending by OPOs over a 5 year period was over half a billion dollars and does not appear to be related to OPO performance, as measured by the SDR. These data suggest that further evaluation is needed to improve the effect of professional educational spending by OPOS.

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