The document summarizes the accomplishments of the Society for Imaging Informatics in Medicine (SIIM) in 2019 across four areas: education, research, innovation, and engagement. Some key highlights include implementing an online learning platform that awarded over 2,500 continuing education hours, hosting conferences and challenges on machine learning and security that engaged over 1,000 participants, expanding imaging informatics globally through partnerships, and increasing SIIM membership and volunteerism.