2016 Annual Development Survey. Executive Summary

Transcription

1 2016 Annual Development Survey August 2017

2 (Reporting Gift Year Data) Prepared with the assistance of Grenzebach Glier and Associates August 2017 Association of American Medical Colleges Washington, D.C.

3 The Association of American Medical Colleges serves and leads the academic medicine community to improve the health of all Association of American Medical Colleges

4 Overview Each year, the Association of American Medical Colleges (AAMC) undertakes a national benchmarking survey to measure the impact, costs, and staffing of fundraising at its member medical schools and teaching hospitals. This annual Web-based survey, initiated in 1999, supports a national database that serves as a management tool for medical school deans and teaching hospital CEOs to assess the effectiveness of their institutional development programs. Participating institutions have access to the online database and reports. Through the compilation and analysis of annual data, the ongoing survey project provides the opportunity to identify philanthropic trends useful for development planning and management purposes for medical schools and teaching hospitals. AAMC staff oversee the administration of the survey, in support of the fundraising activities at member institutions. The AAMC Development Leadership Committee, comprising chief development/advancement officers from AAMC member institutions (see Appendix A), provides guidance to AAMC staff on the survey and other fundraising support efforts. Also assisting the AAMC is Grenzebach Glier and Associates (GG+A), which has provided ongoing support to and analysis of the Annual Development Survey since its inception. Key findings from the 2016 survey representing the gift year are presented in this report. Further analysis, access to data, and online reports are only available to the leadership of participating institutions and survey participants. For additional information about the survey or the AAMC s fundraising support efforts, contact: Anna Nzongola Executive Assistant, Communications Association of American Medical Colleges (202) anzongola@aamc.org Association of American Medical Colleges

5 Survey Respondent Classifications The survey process requires classification of the participating member institutions according to institution type. The following categories of institution type were established in the design of the first survey instrument in 1999 and remain the method of classifying participants: Medical school development program is separate from the development program(s) of its primary teaching hospital(s). Teaching hospital development program is separate from that of the medical school. Joint program development program is integrated and conducted jointly for the benefit of both the medical school and the medical school s primary teaching hospital. Note: The term all institutions in this report indicates inclusion of data from all three classifications above. We received data from 121 institutions reporting development program activity for In cases where an institution did not provide information on a particular data field, the sample size undergoing analysis was reduced accordingly. Data was submitted through an online survey administered by AAMC from January through March The executive summary highlights survey data analyzed from these 121 institutions 48 private and 73 public that are presented in tabular overviews. Survey participants represent 100 of the AAMC s 147 member medical schools, as well as nearly 70 major teaching hospitals and health systems. (Please see Appendix B for a list of all institutions included in the analysis.) Data of the survey respondents are displayed in Table 1 by institution type, their status as a public or private institution, and the geographical region in which AAMC classifies its members. Table 1: Survey Participants by Institutional Type Private/Public by Geographical Regions Medical School Joint Program Teaching Hospital Total Region Private Public Total Private Public Total Private Public Total Midwest Northeast South West Total Association of American Medical Colleges

6 Key Highlights and Consultant Observations The following highlights and observations are based on the development activity reported in the 2016 survey data: Among all reporting institutions, average philanthropic support increased in 2016 The mean total private support among all reporting institutions increased by 2.5 percent, from $66.9 million in 2015 to $68.6 million in Public institutions experienced an increase from $49.0 million in 2015 to $54.5 million in 2016, while total private support among private institutions decreased from a mean of $91.4 million to a mean of $90.0 million in Of the 116 institutions reporting both 2015 and 2016 total private support data, 70 of these institutions (60.3%) raised more in total private support in 2016 than in Current operations continued to be the largest category of private support gifts For all reporting institutions, the mean of current operations gifts increased 5.1 percent from $47.6 million in 2015 to $50.0 million in Unrestricted gifts accounted for 9.8 percent of total support dedicated to current operations in 2016, down from 12.9 percent in This decrease in unrestricted giving is consistent with what is observed in gifts received in others sectors of philanthropy. Individuals who are not alumni or staff of medical schools or teaching hospitals remained the largest segment of individual donors Of the average total private support gifts by individuals received in 2016, 80.8 percent were contributed by other individuals; many of these gifts are likely made by former patients and/or family members of former patients. On average, all institutions received a mean of $18.2 million in support from all unaffiliated individuals. Per non-alumni, non-staff donors, these other individuals contributed gifts averaging $3,361, and the median gift was $1,707. Comparatively, the average gift from medical school alumni was $1,660, and the median was $1,188. Among institutional gift sources, the average gift from corporations was $32,881; the average gift from family foundations was $88,029; and the average gift from other private foundations was $140, Association of American Medical Colleges

7 Scholarship gifts increased The median of gifts raised for medical student scholarships by medical schools and joint programs in 2016 stood at $1.6 million, which is above the $1.2 million median reported for As in previous years, data reported for gifts for scholarships reflect significant differences in the amounts raised for this purpose by private institutions compared to public institutions. The median in 2016 for private institutions was $2.6 million, while a median of $0.7 million was raised by public institutions. The number of development staff FTEs at private institutions continued to be larger than those at public institutions For 2016, the average total staff at private institutions was 59.5 FTEs, while at public institutions, the average was Staffing levels reported for both private and public have increased from 2015, when private and public institutions averaged 57.6 and 29.1 FTEs, respectively. Among all institutions, total development program staffing increased from an average of 40.8 in 2015 to an average of 43.4 in Average fundraising costs increased Total fundraising costs averaged $7.3 million in 2016 among all institutions, marking a 7.2 percent increase from the $6.9 million in total costs reported for 2015 (as reported by the 2016 participating institutions). For private institutions in 2016, the mean cost was $10.6 million; for public institutions, the mean was $5.2 million. Personnel costs increased Personnel costs for all institutions increased from a mean of $4.1 million in 2015 to a mean of $4.5 million (as reported by the 2016 participating institutions). Number of $1 million+ gifts Data for 2016 reflects 1,486 gifts greater than $1 million noted as new outright cash gifts and new pledge gift commitments of $1.0 million and larger of which 213 were in the $5.0 million+ category. By comparison, 2015 data reflected 1,482 gifts of $1.0 million and larger, of which 235 were gifts of $5.0 million or larger. Cost per dollar raised Of the 121 survey, the median cost per dollar raised (CPDR) decreased from $0.14 to $0.13 in The median among public institutions was $0.13 and private institutions was $ Association of American Medical Colleges

8 More than one-half of the institutions were involved in a campaign Fifty-eight percent of the institutions surveyed reported being involved in a campaign in 2016, representing a marginally higher proportion of institutions reporting the same in the 2015 survey (57%). Joint programs reported a median campaign goal of $610 million, medical schools had a median goal of $240 million, and teaching hospital respondents median goal was $500 million. The median campaign length for all institutions was seven years, a decrease from eight years as reported in The philanthropic environment Data in this year s annual development survey contain many indicators that overall philanthropic support received by academic medical institutions is increasing, but modestly. A few of signs of the continuing upward trend in philanthropic support of AAMC institutions are: a roughly 2.5 percent growth in total private support reported in 2016 over 2015; increased staffing levels reported by both private and public institutions; gifts of $1 million and greater increased from 1,482 in the 2015 to 1,486 in Increases in funding for development programs, in both staff support and operations support, suggest institutional leadership s continuing confidence that these investments yield returns that have great impact on their institutions. The philanthropic case to be made by medical schools and teaching hospitals seeking private gift support is a strong one and continues to stimulate significant philanthropic activity, at all levels. A case that focuses on the education of the brightest minds in medicine and science; cutting-edge research, both basic and clinical; and exceptional patient care that draws upon the excellence of the physicians, researchers, and students continues to inspire major investment of philanthropists. With a thoughtful, inspiring case for support promoted during this current steady financial environment, the outlook for continuing growth in philanthropic support to academic medicine is encouraging Association of American Medical Colleges

9 Data Observations and Summaries This analysis of data received from 121 institutions for 2016 is shown in summary tables that represent: Total private support by gift designation and donor source Development staff size (in terms of full-time equivalency) Personnel and program costs Approximate cost of raising a private gift Aggregated data presented by means and medians are displayed in the next 42 tables and graphs for all three institution types: medical schools, teaching hospitals, and joint programs. Respective sample sizes for private, public, and all institutions have also been provided within each table. Total Private Support Tables 2 (a-c), 3 (a-e), 4 (a-c), and 5 (a-e) display total private support by gift designations and donor sources, as well as the average gift per donor source. Tables 4 (a-c) display data summaries about the gift activity of MD alumni in both medical school and joint program institution types, which is information first captured in the 2005 survey process. Additionally, Graphs 2b, 3b, 3d, 5b and 5d reflect the percentage of total private support by gift designations and donor sources. The median total private support for all institutions in 2016 of $36.5 million represents an increase of 12.8 percent from the 2015 median of $32.4 million. The 2016 mean of $68.6 million for total private support for all institutions was an amount 2.5 percent above the mean of $66.9 million reported in the 2015 survey. The 2016 median total private support for public institutions of $24.3 million is 3.7 percent less than the median of $25.3 million reported in the 2015 survey data. However, the 2016 mean for public institutions of $54.5 million represented an 11.2 percent increase from the previous year ($49.0 million). Median total private support among private institutions in 2016 was $65.4 million, representing an increase of 9.5 percent from the $59.7 million reported in The 2016 mean of $90.0 million among the private institutions was a decrease of 1.5 percent from the $91.4 million mean recorded in Association of American Medical Colleges

10 Table 2(a): Total Private Support by Gift Designation Current Operations Endowment Capital Gifts Total Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $37,792,103 $8,440,104 $1,438,011 $65,426,746 Public Median $16,816,687 $4,553,256 $896,271 $24,325,262 All Median $22,339,780 $6,094,832 $1,019,203 $36,510,727 Private Mean $64,195,071 $16,947,626 $8,881,923 $90,024,620 Public Mean $40,716,534 $10,017,014 $3,751,300 $54,484,848 All Mean $50,030,334 $12,766,348 $5,786,588 $68,583,270 Among all institutions, gifts designated to current operations continue to capture the greatest proportion of total private support, followed by gifts for endowment and capital needs. Based upon the 2016 mean, current operations gifts accounted for 72.9 percent of total private support; gifts for endowment 18.6 percent; and capital gifts 8.4 percent Association of American Medical Colleges

11 Graph 2(b): Total Private Support by Gift Designation (Comparison of Years 2008 through 2016) Association of American Medical Colleges

12 Due to the change in gift counting in the survey process, realized bequests are no longer represented as a gift designation as of The reported average for all institutions for realized bequests was the same for 2015 and 2016 at $4.5 million. Unrestricted gifts accounted for an average of 9.8 percent of all support designated to current operations. Public institutions reported a lower proportion of unrestricted gifts with an average of 7.8 percent compared to private institutions, which averaged 12.8 percent Association of American Medical Colleges

13 Table 2(c): Unrestricted Gifts to Current Operations Gifts to Current Operations (Unrestricted) Gifts to Current Operations Percentage of Current Operations (Unrestricted) Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $2,269,200 $37,792, % Public Median $417,797 $16,816, % All Median $1,248,093 $22,339, % Private Mean $8,559,026 $64,195, % Public Mean $2,571,353 $40,716, % All Mean $4,946,628 $50,030, % Association of American Medical Colleges

14 Individual Gifts Individuals not related to the school/institution (designated as the Other Individuals category in the AAMC survey) contributed a mean of 80.8 percent of all individual gifts received by all institutions in Table 3(a): Total Private Support from Individuals Medical School Alumni Other Institutional Alumni Medical Staff/Faculty Other Individuals All Individuals Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $1,393,008 $72,566 $252,814 $11,222,108 $17,443,527 Public Median $406,073 $186,364 $186,714 $3,790,282 $5,416,844 All Median $655,397 $133,957 $221,978 $5,257,638 $9,262,109 Private Mean $1,910,675 $3,033,320 $1,406,277 $27,775,020 $34,125,293 Public Mean $1,318,289 $1,238,733 $451,359 $11,907,454 $14,915,836 All Mean $1,553,285 $1,950,635 $830,170 $18,202,026 $22,536, Association of American Medical Colleges

15 Graph 3(b): Total Private Support from Individuals (Comparison of Years 2008 through 2016) Association of American Medical Colleges

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17 Individual Gifts Including Personal/Family Foundations The following charts represent data of personal/family foundation giving in the context of individual giving. Several institutions include personal/family foundations in gift counts of individuals, rather than organizations. To see organizational giving without personal/family foundations, please see Chart 5c and Graph 5d. Table 3(c): Total Private Support from Individuals with Personal/Family Foundations Medical School Alumni Other Institutional Alumni Medical Staff/Faculty Other Individuals Personal/ Family Foundations All Individuals Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $1,393,008 $72,566 $252,814 $11,222,108 $6,352,065 $28,556,472 Public Median $406,073 $186,364 $186,714 $3,790,282 $943,321 $7,741,491 All Median $655,397 $133,957 $221,978 $5,257,638 $3,129,183 $13,872,522 Private Mean $1,910,675 $3,033,320 $1,406,277 $27,775,020 $12,109,870 $46,235,163 Public Mean $1,318,289 $1,238,733 $451,359 $11,907,454 $7,720,127 $22,635,963 All Mean $1,553,285 $1,950,635 $830,170 $18,202,026 $9,461,513 $31,997, Association of American Medical Colleges

18 Graph 3(d): Total Private Support from Individuals with Personal/Family Foundations (Comparison of Years 2008 through 2016) Association of American Medical Colleges

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20 Table 3(e): Average Gift per Individual Average Medical School Alumni Gift Average Other Institutional Alumni Gift Average Faculty/Staff Member Gift Average Other Individual Gift Average All Individual Gift Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $1,371 $2,509 $1,157 $1,876 $2,150 Public Median $1,105 $981 $1,181 $1,515 $1,435 All Median $1,188 $1,110 $1,171 $1,707 $1,569 Private Mean $1,784 $6,947 $3,774 $3,251 $2,800 Public Mean $1,586 $2,033 $14,737 $3,434 $2,344 All Mean $1,660 $3,758 $10,331 $3,361 $2,526 Alumni Giving Based upon the 2016 median, approximately 7.1 percent of all individual gifts were attributed to medical school alumni. The median for the average gift per medical school alumnus donor was $1,188, a 12.6 percent increase from $1,055 in The 2016 mean gift size of $1,660 was down from the mean of $1,709 reported for The median number of MD alumni donors making unrestricted gifts of $1,000 and larger for all medical schools was 55; the median number of solicitable MD alumni for all medical schools was 5,246, whereas the median number of solicitable MD alumni for all joint programs was 6,270. The median number of MD alumni donors making gifts of $1,000 and larger was 78 for all joint programs. For all medical schools, the median number of MD alumni making unrestricted gifts of any size for current operations and/or for endowment was 335; the median for restricted gifts was 200 for this category of alumni giving. For all joint programs, the median number of MD alumni making unrestricted and restricted gifts of any size for current operations and/or for endowment was 518 and 419, respectively Association of American Medical Colleges

21 Solicitable MD Alumni Table 4(a): MD Alumni Giving Medical Schools MD Alumni Making Unrestricted Gifts $1,000+ MD Alumni Making Restricted Gifts for Current Operations/ Endowment MD Alumni Making Unrestricted Gifts for Current Operations/ Endowment Dollar Amount MD Alumni Unrestricted Gifts for Current Operations/ Endowment Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median 7, $419,725 Public Median 3, $33,177 All Median 5, $116,883 Private Mean 6, $497,648 Public Mean 4, $125,046 All Mean 5, $272,354 Solicitable MD Alumni Table 4(b): MD Alumni Giving Joint Programs MD Alumni Making Unrestricted Gifts $1,000+ MD Alumni Making Restricted Gifts for Current Operations/ Endowment MD Alumni Making Unrestricted Gifts for Current Operations/ Endowment Dollar Amount MD Alumni Unrestricted Gifts for Current Operations/ Endowment Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median 5, $497,780 Public Median 7, $102,474 All Median 6, $202,284 Private Mean 6, $685,742 Public Mean 6, $268,831 All Mean 6, $443, Association of American Medical Colleges

22 Solicitable MD Alumni Table 4(c): MD Alumni Giving All Institutions MD Alumni Making Unrestricted Gifts $1,000+ MD Alumni Making Restricted Gifts for Current Operations/ Endowment MD Alumni Making Unrestricted Gifts for Current Operations/ Endowment Dollar Amount MD Alumni Unrestricted Gifts for Current Operations/ Endowment Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median 6, $455,233 Public Median 5, $67,262 All Median 5, $168,905 Private Mean 6, $594,382 Public Mean 5, $195,529 All Mean 5, $357,853 Corporation and Foundation Giving Support received from foundations, which includes personal/family and other private foundations, continues to exceed the support received from corporations. In the 2016 survey data, the median and mean of support received for all institutions from all foundations (personal/family and other private foundations) was $9.4 million and $26.4 million, respectively. The median gift size per personal/family foundation was $51,888, and the median gift per other private foundation was $95,729. Comparatively, the median gift per corporation was $11,909. In 2016, the median and mean of the average gift among all institutional sources collectively corporations, personal/family foundations, other private foundations, and other institutions were $37,141 and $56,224 per institutional donor, respectively, which is comparable to the 2015 respective median and mean of $34,275 and $52,667. For only 1 member of the 2016 reporting cohort, over 50% of total private support came from Other Institutions Association of American Medical Colleges

23 Table 5(a): Total Private Support from Organizations Corporations Personal/ Family Foundations Private Foundations Other Organizations All Organizations Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $6,681,807 $6,352,065 $11,208,253 $4,124,665 $35,202,017 Public Median $3,427,019 $943,321 $3,536,315 $2,715,763 $13,134,406 All Median $4,014,242 $3,129,183 $6,333,906 $3,436,418 $24,680,615 Private Mean $12,661,304 $12,109,870 $17,777,959 $12,840,598 $55,389,731 Public Mean $7,365,485 $7,720,127 $16,400,751 $7,683,338 $39,169,701 All Mean $9,466,306 $9,461,513 $16,947,081 $9,729,193 $45,604,093 Graph 5(b): Total Private Support from Organizations (Comparison of Years 2008 through 2016) Association of American Medical Colleges

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25 Organizational Gifts Excluding Personal/Family Foundations The following charts represent data of organizational giving without personal/family foundations. Several institutions include personal/family foundations in gift counts of individuals, rather than organizations. To see individual giving with personal/family foundations, please see Chart 3c and Graph 3d. Table 5(c): Total Private Support from Organizations (Excluding Personal/Family Foundations) Corporations Private Foundations Other Organizations All Organizations Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $6,681,807 $11,208,253 $4,124,665 $26,907,807 Public Median $3,427,019 $3,536,315 $2,715,763 $12,985,922 All Median $4,014,242 $6,333,906 $3,436,418 $17,773,506 Private Mean $12,661,304 $17,777,959 $12,840,598 $43,279,861 Public Mean $7,365,485 $16,400,751 $7,683,338 $31,449,574 All Mean $9,466,306 $16,947,081 $9,729,193 $36,142, Association of American Medical Colleges

26 Graph 5(d): Total Private Support from Organizations (Excluding Personal/Family Foundations) (Comparison of Years 2008 through 2016) Association of American Medical Colleges

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28 Table 5(e): Average Gift per Organization Average Corporate Gift Average Personal/Family Foundation Gift Average Private Foundation Gift Average Other Organization Gift Average All Organization Gift Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $16,792 $53,461 $107,034 $34,659 $44,342 Public Median $10,457 $50,360 $80,166 $31,025 $36,231 All Median $11,909 $51,888 $95,729 $31,963 $37,141 Private Mean $52,460 $79,868 $141,999 $59,663 $63,986 Public Mean $19,829 $93,822 $140,208 $58,635 $51,049 All Mean $32,881 $88,029 $140,943 $59,031 $56,224 $1 Million+ Gifts Tables 6 (a-c) display data for $1 million+ gift activity (i.e., cash gifts and new pledged gift commitments of $1.0 million or larger). A total of 1,486 gifts of $1 million or larger were reported by 2016 survey respondents, of which 565 were outright cash gifts and 921 were new pledge gift commitments Association of American Medical Colleges

29 Table 6a: Total Number of $1 Million+ Gifts (Outright New Cash) Outright Cash Gifts: $1M to $4.9M Outright Cash Gifts: $5M to $9.9M Outright Cash Gifts: $10M to $24.9M Outright Cash Gifts: $25M to $49.9M Outright Cash Gifts: $50M+ Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Number of Gifts Reported by Private Institutions Private Number of Gifts Number of Gifts Reported by Public Institutions Number of Gifts Reported by All Institutions Table 6b: Total Number of $1 Million+ Gifts (New Pledge Commitments) New Pledge Commitments: $1M to $4.9M New Pledge Commitments: $5M to $9.9M New Pledge Commitments: $10M to $24.9M New Pledge Commitments: $25M to $49.9M New Pledge Commitments: $50M+ Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Number of Gifts Reported by Private Institutions Private Number of Gifts Number of Gifts Reported by Public Institutions Number of Gifts Reported by All Institutions Association of American Medical Colleges

30 Table 6c: Total Number of $1 Million+ Gifts (Outright New Cash & New Pledge Commitments) Outright Cash Gifts and New Pledge Commitments: $1M to $4.9M Outright Cash Gifts and New Pledge Commitments: $5M to $9.9M Outright Cash Gifts and New Pledge Commitments: $10M to $24.9M Outright Cash Gifts and New Pledge Commitments: $25M to $49.9M Outright Cash Gifts and New Pledge Commitments: $50M+ Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Number of Gifts Reported by Private Institutions Private Number of Gifts Number of Gifts Reported by Public Institutions Number of Gifts Reported by All Institutions , Joint Program Gift Support Received for Teaching Hospitals Table 7 displays data for gift activity reported by joint programs in support of their teaching hospitals. As was the case in previous years, the 2016 median gift levels to joint program teaching hospitals were higher among private institutions ($13.0 million) than among public institutions ($3.4 million). When compared to the medians reported in 2015, 2016 gifts were down for private joint programs and public joint programs. Specifically, a median of $17.9 million was reported for private joint programs in 2015, while the 2015 median was $3.8 million among public joint programs Association of American Medical Colleges

31 Table 7: Average Hospital Gifts within Joint Programs Total Private Support Gifts Received for Teaching Hospitals Within Joint Programs Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $65,426,746 $13,020,040 Public Median $24,325,262 $3,414,101 All Median $36,510,727 $5,975,556 Private Mean $90,024,620 $17,974,591 Public Mean $54,484,848 $12,101,721 All Mean $68,583,270 $14,157,226 Development Staff FTEs Tables 8 and 9 display data for staff sizes represented in terms of fundraising professionals, other professionals, and support staff. The information was reported and is presented in terms of Full-Time Equivalency (FTE). The 2016 survey data shows an increase in total professional staff for all institutions with a median of 24.0 FTEs and a mean of 32.9 FTEs, compared to the 2015 median of 23.5 FTEs and mean of 30.3 FTEs. Professional fundraising staffing levels increased, with a median of 14.8 FTEs in 2016 and 14.0 in 2015, and a mean of 19.4 in 2016 and 17.8 in The 2016 median for total other professional staff was 8 FTEs, an increase from 7.5 in Consistent with previous years reporting, the size of professional staff reported by private institutions is noticeably larger than that of the public AAMC member institutions. The respective median and mean of total staff for public institutions were 16.3 and 25.5 FTEs, compared with a median of 36.3 FTEs and a mean of 44.0 FTEs for private institutions Association of American Medical Colleges

32 Table 8: Professional Staff by Function FTEs Total Fundraising Professional Staff Total Other Professional Staff Total Professional Staff Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median Public Median All Median Private Mean Public Mean All Mean Table 9: Development Staff by Function FTEs Total Professional Staff Total Support Staff Total Development Staff Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median Public Median All Median Private Mean Public Mean All Mean Association of American Medical Colleges

33 Fundraising/Development Costs Personnel and program costs for 2015 and 2016 are represented in Tables 10 and 11 (and are as reported by the 2016 participating institutions). The median of total fundraising costs for all institutions increased from $4.0 million in 2015 to $4.3 million in Private institutions continue to reflect significantly higher total fundraising costs nearly triple the costs reported by public institutions. Among the reporting public institutions, the 2016 median of total fundraising costs increased slightly to $3.3 million, from $3.2 million in The 2016 median of total fundraising costs for the reporting private institutions decreased slightly by 1 percent from $7.3 million to $7.2 million. As has been the case in previous survey years, the majority of total fundraising costs reported are attributed to personnel costs. For all institutions, the mean personnel costs in 2015 represented 60.0 percent of the mean total fundraising costs; the 2016 proportion was 61.5 percent. Table 10: Fundraising/Development 2015 Costs* Personnel Costs (2015) Program Costs (2015) Other Costs (2015) Total Costs (2015) Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $4,938,181 $1,645,021 $0 $7,270,012 Public Median $1,508,233 $576,014 $0 $3,213,677 All Median $2,621,423 $886,667 $0 $3,962,051 Private Mean $5,719,326 $3,857,462 $604,330 $9,862,449 Public Mean $3,085,002 $1,390,552 $465,950 $4,880,229 All Mean $4,111,942 $2,364,877 $520,844 $6,856,647 *Figures in this table are as reported by the 2016 participating institutions Association of American Medical Colleges

34 Table 11: Fundraising/Development 2016 Costs Personnel Costs (2016) Program Costs (2016) Other Costs (2016) Total Costs (2016) Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $5,295,539 $1,600,758 $0 $7,194,415 Public Median $1,681,760 $705,686 $0 $3,278,082 All Median $2,746,722 $1,009,772 $0 $4,312,000 Private Mean $6,262,840 $3,980,851 $680,954 $10,580,759 Public Mean $3,405,793 $1,465,514 $416,273 $5,220,850 All Mean $4,519,557 $2,458,967 $521,271 $7,347,095 Cost of Fundraising per Total Private Support Fundraising cost the cost per dollar raised (CPDR) as a function of total private support is reflected in Tables 12 and 13. Notes: Typically, the cost of fundraising includes costs directly related to fundraising activity. The cost per dollar raised is often viewed as an indicator of program performance. The financial management objective of development programs should be to maximize the net of funds raised in relation to investment in personnel and operations. For all institutions, the median cost per dollar raised (CPDR) decreased to $0.13 in 2016 from $0.14 in Over the years, this survey has reported a range of median CPDR, from $0.06 in 1999 (a relatively low figure, due primarily to the small pool of survey respondents participating in the inaugural year of the project) to a high of $0.14 seen in 2009, 2014, and again in Association of American Medical Colleges

35 Table 12: Cost of Fundraising 2016 Total Costs Total Private Support by Gift Designation Cost per Dollar Raised Cost per Dollar Raised (Excluding $1M+ Outright Cash Gifts) Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $7,194,415 $65,426,746 $0.12 $0.13 Public Median $3,278,082 $24,325,262 $0.13 $0.14 All Median $4,312,000 $36,510,727 $0.13 $0.14 Private Mean $10,580,759 $90,024,620 $0.16 $0.18 Public Mean $5,220,850 $54,484,848 $0.17 $0.21 All Mean $7,347,095 $68,583,270 $0.17 $0.20 By institutional type, costs of fundraising were highest among teaching hospitals in 2016, with a median cost per dollar raised of $0.19. Medical schools, by contrast, reported a median CPDR of $0.10. This variance in cost of fundraising by institutional type is consistent with previous years, and likely resulting from teaching hospital development programs absorbing all or nearly all costs needed to support fundraising operations. When $1 million+ Outright Cash Gifts were omitted from Total Private Support, costs of fundraising were still highest among teaching hospitals in 2016, with a median cost per dollar raised of $0.23. Medical schools, by contrast, reported a median CPDR of $ Association of American Medical Colleges

36 Table 13a: Cost of Fundraising by Institutional Type 2016 Medical Schools Teaching Hospitals Joint Programs All Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $0.08 $0.21 $0.11 $0.12 Public Median $0.11 $0.18 $0.13 $0.13 All Median $0.10 $0.19 $0.12 $0.13 Private Mean $0.13 $0.25 $0.14 $0.16 Public Mean $0.20 $0.20 $0.13 $0.17 All Mean $0.17 $0.23 $0.13 $0.17 Table 13b: Cost of Fundraising by Institutional Type 2016 ($1M+ Outright Cash Gifts Omitted from Total Private Support) Medical Schools Teaching Hospitals Joint Programs All Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $0.10 $0.23 $0.13 $0.13 Public Median $0.14 $0.21 $0.13 $0.14 All Median $0.12 $0.23 $0.13 $0.14 Private Mean $0.14 $0.29 $0.15 $0.18 Public Mean $0.24 $0.23 $0.17 $0.21 All Mean $0.21 $0.26 $0.16 $ Association of American Medical Colleges

37 Return on Investment Table 14 provides a summary of return on investment the total dollars raised (Total Private Support) in relation to investment in personnel and operations (Total Development/Fundraising Costs). Return on investment is another data point often used for measuring institutional fundraising performance, particularly development program effectiveness. Among all institutions in 2016, the median dollar return was $7.85, with private institutions garnering a higher return than public institutions with medians of $7.95 and $7.85, respectively. Public institutions yielded higher returns than private institutions in 2015 when respective medians stood at $7.41 and $7.13. By institutional type, medical schools reported the highest returns with a median of $9.13, followed by joint programs at $8.35, and teaching hospitals at $5.23. Table 14: Dollars Raised per Dollars Budgeted 2016 Medical Schools Teaching Hospitals Joint Programs All Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median $11.68 $4.88 $9.21 $7.95 Public Median $8.70 $5.69 $7.97 $7.85 All Median $9.13 $5.23 $8.53 $7.85 Private Mean $13.22 $4.38 $8.82 $9.46 Public Mean $11.14 $5.82 $11.68 $10.63 All Mean $11.87 $5.06 $10.61 $ Association of American Medical Colleges

38 Campaign Activity Tables 15(a-d) display summarized data by institution type reflecting the length and dollar goals of campaigns. For all medical schools, the median campaign length was seven years. The median campaign goal was $240.0 million, an amount higher than the 2015 median of $200.0 million. For all teaching hospitals, the median campaign length was seven years, and the median campaign goal was $500 million, up from the $300 million reported in For all joint programs, the median campaign length was seven years, and the median campaign goal was $610.0 million, down from the 2015 median of $676.8 million. For all institutions, the median campaign length was seven years, and the median campaign goal was $350 million, up from the 2015 median of $325 million. Table 15(a): Campaign Length and Goal Medical Schools Campaign Length (Years) Campaign Goal Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median 9 $290,000,000 Public Median 7 $190,000,000 All Median 7 $240,000,000 Private Mean 8 $477,990,000 Public Mean 8 $204,098,161 All Mean 8 $313,654, Association of American Medical Colleges

39 Table 15(b): Campaign Length and Goal Teaching Hospitals Campaign Length (Years) Campaign Goal Number of Private Institutions Reporting Data 8 8 Number of Public Institutions Reporting Data 5 5 Number of All Institutions Reporting Data Private Median 9 $800,000,000 Public Median 5 $150,000,000 All Median 7 $500,000,000 Private Mean 9 $1,188,750,000 Public Mean 6 $526,000,000 All Mean 8 $933,846,154 Table 15(c): Campaign Length and Goal Joint Programs Campaign Length (Years) Campaign Goal Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median 7 $1,225,000,000 Public Median 7 $500,000,000 All Median 7 $610,000,000 Private Mean 7 $1,370,454,545 Public Mean 7 $640,090,000 All Mean 7 $949,090, Association of American Medical Colleges

40 Table 15(d): Campaign Length and Goal All Institutions Campaign Length (Years) Campaign Goal Number of Private Institutions Reporting Data Number of Public Institutions Reporting Data Number of All Institutions Reporting Data Private Median 8 $650,000,000 Public Median 7 $241,222,416 All Median 7 $350,000,000 Private Mean 8 $1,012,582,759 Public Mean 7 $436,937,783 All Mean 7 $697,776, Association of American Medical Colleges

41 APPENDIX A AAMC DEVELOPMENT LEADERSHIP COMMITTEE Diane M. McKeever (Chair) Senior Vice President, Philanthropy Secretary, The Trustees Rush University Medical Center Steven D. Blair Vice President, Development University of South Florida Armando Luis Chardiet President Carolinas HealthCare Foundation Kristi Cooper Vice President for Philanthropy and Alumni Relations Baylor College of Medicine Kathryn J. Griffo Chief Advancement Officer Perelman School of Medicine at the University of Pennsylvania AAMC STAFF Nicole Buckley Senior Director, Member Communications Anna Nzongola Executive Assistant, Communications Patrick B. Mulvey Vice President for Development The University of Texas MD Anderson Cancer Center Arthur J. Ochoa, J.D. Senior Vice President, Community Relations and Development; Chief Development Officer Cedars-Sinai Medical Center Larry Schafer Vice Provost for External Affairs Weill Cornell Medical College John J. Zabinski Senior Vice President, University Advancement Rowan University GG+A STAFF G. Robert Alsobrook Senior Executive Vice President and Managing Director Charlotte Davis McGhee Vice President Elisa Shoenberger Benchmarking Analyst Association of American Medical Colleges

42 APPENDIX B LISTING OF 2016 SURVEY PARTICIPANTS Medical Schools Albert Einstein College of Medicine Baylor College of Medicine Boston University School of Medicine Case Western Reserve University School of Medicine Chicago Medical School at Rosalind Franklin University of Medicine & Science Columbia University College of Physicians and Surgeons Cooper Medical School of Rowan University Creighton University School of Medicine East Tennessee State University James H. Quillen College of Medicine Eastern Virginia Medical School Florida State University College of Medicine Geisinger Commonwealth School of Medicine Georgetown University School of Medicine Harvard Medical School Indiana University School of Medicine Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo Loma Linda University School of Medicine Louisiana State University School of Medicine in Shreveport McGovern Medical School at the University of Texas Health Science Center at Houston Morehouse School of Medicine Northeast Ohio Medical University Northwestern University The Feinberg School of Medicine Oakland University William Beaumont School of Medicine Rutgers, Robert Wood Johnson Medical School Southern Illinois University School of Medicine The Brody School of Medicine at East Carolina University The Warren Alpert Medical School of Brown University Tufts University School of Medicine University of Arizona College of Medicine University of Arizona College of Medicine - Phoenix University of California, San Diego School of Medicine University of Central Florida College of Medicine University of Cincinnati College of Medicine University of Hawaii, John A. Burns School of Medicine University of Kansas School of Medicine University of Maryland School of Medicine Association of American Medical Colleges

43 University of Missouri-Kansas City School of Medicine University of Nevada, Reno School of Medicine University of New Mexico School of Medicine University of North Dakota School of Medicine and Health Sciences University of Oklahoma College of Medicine University of South Carolina School of Medicine University of South Dakota, Sanford School of Medicine University of Texas at Austin Dell Medical School University of Texas School of Medicine at San Antonio University of Wisconsin School of Medicine and Public Health USF Health Morsani College of Medicine Washington University in St. Louis School of Medicine Wayne State University School of Medicine Weill Cornell Medicine West Virginia University School of Medicine Yale School of Medicine Teaching Hospitals Albert Einstein Medical Center (Albert Einstein Healthcare Network) Barnes-Jewish Hospital Beaumont-Royal Oak Boston Medical Center Brigham and Women's Hospital Cedars-Sinai Medical Center Children's Hospital of Philadelphia City of Hope National Medical Center Cleveland Clinic Foundation Greenville Health System Hospital for Special Surgery Houston Methodist Joslin Diabetes Center Lahey Hospital and Medical Center Lehigh Valley Health Network Maine Medical Center Massachusetts General Hospital Memorial Sloan-Kettering Cancer Center Montefiore Medical Center New York-Presbyterian Hospital The University of Texas MD Anderson Cancer Center Association of American Medical Colleges

44 Joint Programs Albany Medical College Dartmouth-Hitchcock Medical Center Duke University Health System Emory University School of Medicine Johns Hopkins Medicine Keck School of Medicine of the University of Southern California Mayo Clinic School of Medicine Medical College of Georgia at Augusta University Medical College of Wisconsin Medical University of South Carolina College of Medicine New York University School of Medicine Ohio State University Health System Oregon Health & Science University School of Medicine Pennsylvania State University College of Medicine Ronald Reagan UCLA Medical Center (UCLA Health) Rush Medical College of Rush University Medical Center Sidney Kimmel Medical College at Thomas Jefferson University Stanford University School of Medicine State University of New York Upstate Medical University University Hospitals and Clinics/ University of Mississippi Medical Center University of Alabama School of Medicine University of Arkansas for Medical Sciences University of California, Davis, Health System University of California, Irvine, Medical Center University of California, San Francisco, School of Medicine University of Chicago Medical Center University of Colorado School of Medicine University of Florida College of Medicine University of Iowa Roy J. and Lucille A. Carver College of Medicine University of Kentucky College of Medicine University of Massachusetts Medical School University of Miami Leonard M. Miller School of Medicine University of Michigan Medical School University of Missouri-Columbia School of Medicine University of North Carolina at Chapel Hill School of Medicine University of Pennsylvania Health System University of Pittsburgh School of Medicine University of Rochester School of Medicine and Dentistry University of South Alabama College of Medicine University of Texas Medical Branch School of Medicine Association of American Medical Colleges

45 University of Texas Southwestern Medical Center Southwestern Medical School University of Utah School of Medicine University of Vermont College of Medicine University of Virginia School of Medicine University of Washington School of Medicine Vanderbilt University School of Medicine Virginia Commonwealth University Medical Center Wake Forest School of Medicine of Wake Forest Baptist Medical Center Association of American Medical Colleges