As President of the American Academy of Clinical Neuropsychology (AACN), it is my privilege to share with AACN members and the readership of The Clinical Neuropsychologist the Annual State of the Academy Report. In keeping with the tradition established by prior AACN Presidents, I hope to highlight the Academy's main achievements over the past year, and recognize the many individuals who have dedicated great service on behalf of AACN. In my first attempt, this year's report may also veer a bit from the norm as I dedicate some discussion to major challenges that neuropsychology is likely to encounter in the current climate of healthcare reform, and outline the Academy's strategic response to those issues on behalf of our membership. For openers, I am pleased to announce that the Academy is currently in its strongest position ever, whether that is measured by growth in our membership, success of our annual conference, financial stability, tangible benefits to our membership, and our efforts to enhance the practice of clinical neuropsychologists. Summarized herein are but a few examples demonstrating the Academy's position of strength and reasons for optimism as we look toward the future. © 2011 Psychology Press.