EXECUTIVE SUMMARY OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2015 ANNUAL DEVELOPMENT SURVEY. (Reporting Gift Year Data)

Transcription

1 EXECUTIVE SUMMARY OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2015 ANNUAL DEVELOPMENT SURVEY (Reporting Gift Year Data) Prepared with the assistance of GRENZEBACH GLIER AND ASSOCIATES July 2016

2 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 which 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. Staff in AAMC s Office of Communications led the association s efforts to support the fundraising activities at member institutions, including this survey. 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 2015 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: Hollie Sleeseman Institutional Advancement Specialist (202) hsleeseman@aamc.org

3 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 2 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 129 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 129 institutions 53 private and 76 public that are presented in tabular overviews. The 129 participants in the survey represent 79.6% of the total 162 AAMC member medical schools. (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 Schools Teaching Hospitals Joint Programs All Institutions Region Private Public Total Private Public Total Private Public Total Private Public Total North East Mid-West South West Total

4 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 3 Key Highlights and Consultant Observations The following highlights and observations are based on the development activity reported in the 2015 survey data: Among all reporting institutions, average philanthropic support increased in 2015 The mean total private support among all reporting institutions increased by 12.0 percent, from $59.8 million in 2014 to $66.9 million in Specifically, total private support among private institutions increased from a mean of $84.5 million to $91.4 million, while public institutions experienced an increase from $41.4 million to $49.0 million. Of the 119 institutions reporting both 2014 and 2015 total private support data, 72 of these institutions (60.5%) raised more in total private support in 2015 than in Current operations continued to be the largest recipient of private support gifts For all reporting institutions, the mean of current operations gifts increased 19.9 percent from $39.7 million in 2014 to $49.0 million in Unrestricted gifts accounted for 12.9 percent of total support dedicated to current operations in 2015, down from 15.1 percent in 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 2015, 81.4 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 $19.9 million in support from all unaffiliated individuals. Per non-alumni, non-staff donors, these other individuals contributed gifts averaging $3,506, and the median gift was $1,208. Comparatively, the average gift from medical school alumni was $1,709, and the median was $1,055. Among institutional gift sources, the average gift from corporations was $43,690; the average gift from family foundations was $106,574; and the average gift from other private foundations was $124,719.

5 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 4 Scholarship gifts decreased The median of gifts raised for medical student scholarships by medical schools and joint programs in 2015 stood at $1.2 million, which is below the $1.3 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 2015 for private institutions was $2.0 million, while a median of $0.8 million was raised by public institutions. The number of development FTEs at private institutions continued to be larger than those at public institutions For 2015, the average total staff at private institutions was 57.6 FTEs, while at public institutions, the average was Staffing levels reported for both private and public have increased from 2014, when private and public institutions averaged 49.0 and 28.1 FTEs, respectively. Among all institutions, total development program staffing increased from an average of 37.1 FTEs in 2014 to 40.8 in Average fundraising costs increased Total fundraising costs averaged $6.7 million in 2015 among all institutions, marking a 4.9 percent increase from the $6.4 million in total costs reported for 2014 (as reported by the 2015 participating institutions). For private institutions in 2015, the mean cost was $10.1 million; for public institutions, the mean was $4.4 million. Number of $1 million-plus gifts Data for 2015 reflects 1,482 extraordinary gifts noted as new outright cash gifts and new pledge gift commitments of $1.0 million and larger of which 235 were in the $5.0 million-plus category. By comparison, 2014 data reflected 1,346 gifts of $1.0 million and larger, of which 250 were gifts of $5.0 millionplus. Personnel costs increased Personnel costs for all institutions increased from a mean of $3.8 million in 2014 to $4.0 million in 2015 (as reported by the 2015 participating institutions). Cost per Dollar Raised Of the 122 survey respondents that provided adequate information for this analysis, the median cost per dollar raised (CPDR) remained at $0.14 in The median among both public and private institutions was also $0.14.

6 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 5 More than one-half of the institutions were involved in a campaign Fifty-seven percent of the institutions surveyed reported being involved in a campaign in 2015, representing a marginally higher proportion of institutions reporting in the 2014 survey (55%). Joint programs reported a median campaign goal of $676.8 million, medical schools had a median goal of $200.0 million, and teaching hospitals median goal was $300.0 million. The median campaign length for all institutions was eight years, the same as data provided for The philanthropic environment Data in this year s annual development survey contain many indicators that reflect overall philanthropic support received by academic medical institutions and teaching hospitals are steadily growing beyond levels seen pre- Great Recession. More than 10 percent growth in total private support reported in 2015 over 2014, increased staffing levels reported by both private and public institutions, gifts of $1 million and greater increased from 1,346 in 2014 to 1,482 reported in the 2015 data are a few of these strong signs of the continuing upward trend in private giving to AAMC institutions. Increases in funding for development programs, in both staff and operations, suggest deepening confidence of leadership in these investments yielding returns that have growing importance to their academic medical centers and teaching hospitals. The philanthropic case of AAMC members institutions is unique and compelling-- 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. With an inspiring case and a currently steady financial environment, the outlook for continuing growth in philanthropic support in academic medicine and healthcare philanthropy is encouraging.

7 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 6 Data Observations and Summaries This analysis of data received from 129 institutions for 2015 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 xx 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-c), 4 (a-c), and 5 (a-c) 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 M.D. alumni in both medical school and joint program institution-types, which is information first captured in the 2005 survey process. Additionally, Graphs 2b, 3b, and 5b reflect the percentage of total private support by gift designations and donor sources. The median for all institutions in 2015 of $32.4 million represents an increase of 30.3 percent from the 2014 median of $24.8 million. The 2015 mean for total private support for all institutions was $66.9 million, an amount 12.0 percent above the mean of $59.8 million reported in the 2014 survey. The 2015 median for total private support for public institutions, $25.3 million, is 25.4 percent greater than the median of $20.2 million reported in the 2014 survey data. Additionally, the 2015 mean for public institutions, $49.0 million, represented an 18.5 percent increase from the previous year ($41.4 million). Median total private support among private institutions in 2015 was $59.7 million, representing an increase of 72.4 percent from the $34.6 million reported in The 2015 mean among the private institutions of $91.4 million reflected an increase of 8.2 percent from the $84.5 million mean recorded in 2014.

8 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 7 Table 2(a): Total Private Support by Gift Designation Current Operations Endowment Capital Gifts Total Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $37,188,403 $8,142,612 $2,507,590 $59,744,056 Public Median $16,290,755 $4,929,807 $313,339 $25,272,151 All Median $21,638,509 $5,344,761 $860,970 $32,359,406 Private Mean $65,760,170 $15,733,504 $9,891,482 $91,385,156 Public Mean $34,328,868 $9,589,722 $5,087,413 $49,006,004 All Mean $47,616,898 $12,187,094 $7,118,401 $66,922,393 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 2015 mean, current operations gifts accounted for 71.2 percent of total private support; gifts for endowment 18.2 percent; and capital gifts were 10.6 percent of total private support.

9 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 8 Graph 2(b): Total Private Support by Gift Designation (Comparison of Years 2008 through 2015)

10 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 9 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 in 2014 was $4.7 million compared to $4.5 million reported in the 2015 data. Unrestricted gifts accounted for an average of 12.9 percent of all support designated to current operations. Public institutions reported a lower proportion of unrestricted gifts with an average of 11.3 percent compared to private institutions, which average 15.2 percent.

11 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 10 Table 2(c): Unrestricted Gifts to Current Operations Gifts to Current Operations (Unrestricted) Gifts to Current Operations Percentage of Current Operations (Unrestricted) Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $2,412,148 $37,188, % Public Median $253,769 $16,290, % All Median $892,198 $21,638, % Private Mean $7,743,340 $65,760, % Public Mean $2,313,124 $34,328, % All Mean $4,608,825 $47,616, % Individual Gifts On average, individuals not related to the school/institution (designated as the Other Individuals category in the AAMC survey) contributed 81.8 percent of all individual gifts received by all institutions in 2015.

12 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 11 Table 3(a): Total Private Support from Individuals Medical School Alumni Other Institutional Alumni Medical Staff/Faculty Other Individuals All Individuals Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $1,283,184 $121,985 $290,017 $9,955,663 $14,790,171 Public Median $663,994 $169,619 $270,668 $3,497,441 $5,563,206 All Median $817,732 $157,730 $271,077 $5,679,856 $8,014,573 Private Mean $1,914,366 $3,415,105 $1,492,987 $28,435,434 $35,257,892 Public Mean $957,773 $1,262,822 $470,068 $13,629,613 $16,320,277 All Mean $1,362,186 $2,172,730 $902,522 $19,888,985 $24,326,423 Graph 3(b): Total Private Support from Individuals (Comparison of Years 2008 through 2015)

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14 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 13 Table 3(c): 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 Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $1,436 $1,797 $1,109 $1,606 $1,798 Public Median $863 $895 $1,106 $1,032 $1,108 All Median $1,055 $1,023 $1,108 $1,208 $1,403 Private Mean $1,768 $10,922 $2,985 $3,238 $2,908 Public Mean $1,672 $1,580 $14,657 $3,702 $2,439 All Mean $1,709 $5,083 $9,882 $3,506 $2,637 Alumni Giving Based upon the 2015 median, approximately 10.2 percent of all individual gifts were attributed to medical school alumni. The median for the average gift per medical school alumnus donor was $1,055, a 2.6 percent decrease from $1,083 in The 2015 mean gift size of $1,709 was down from the mean of $2,013 reported for The median number of MD alumni donors making unrestricted gifts of $1,000 and larger for all medical schools was 48; the median number of solicitable MD alumni for all medical schools is 5,417, whereas for the median number of solicitable MD alumni for all joint programs was 5,931. The median number of MD alumni donors making gifts of $1,000 and larger was 73 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 349; the median for restricted gifts was 186 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 477 and 432, respectively.

15 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 14 Table 4(a): M.D. Alumni Giving Medical Schools Solicitable MD Alumni MD Alumni Making Unrestricted Gifts $1,000+ MD Alumni Making Unrestricted Gifts for Current Operations/ Endowment MD Alumni Making Restricted Gifts for Current Operations/ Endowment Dollar Amount MD Alumni Unrestricted Gifts for Current Operations/ Endowment Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median 7, $476,711 Public Median 3, $43,920 All Median 5, $157,280 Private Mean 6, $577,187 Public Mean 4, $137,951 All Mean 5, $311,602 Table 4(b): M.D. Alumni Giving Joint Programs Solicitable MD Alumni MD Alumni Making Unrestricted Gifts $1,000+ MD Alumni Making Unrestricted Gifts for Current Operations/ Endowment MD Alumni Making Restricted Gifts for Current Operations/ Endowment Dollar Amount MD Alumni Unrestricted Gifts for Current Operations/ Endowment Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median 5, $389,798 Public Median 6, $117,552 All Median 5, $203,547 Private Mean 6, $893,657 Public Mean 6, $316,585 All Mean 6, $554,203

16 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 15 Table 4(c): M.D. Alumni Giving All Institutions Solicitable MD Alumni MD Alumni Making Unrestricted Gifts $1,000+ MD Alumni Making Unrestricted Gifts for Current Operations/ Endowment MD Alumni Making Restricted Gifts for Current Operations/ Endowment Dollar Amount MD Alumni Unrestricted Gifts for Current Operations/ Endowment Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median 6, $432,641 Public Median 5, $77,307 All Median 5, $190,775 Private Mean 6, $752,079 Public Mean 5, $233,648 All Mean 5, $443,226 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 2015 survey data, the median and mean of support received for all institutions from all foundations (personal/family and other private foundations) was $9.6 million and $24.7 million, respectively. The median gift size per personal/family foundation was $56,734, and the median gift per other private foundation was $78,551. Comparatively, the median gift per corporation was $13,882. In 2015, the median and mean of the average gift among all institutional sources collectively corporations, personal/family foundations, other private foundations, and other institutions were $34,275 and $52,667 per institutional donor, respectively, which is comparable to the 2014 respective median and mean of $28,372 and $45,920. For only 1 member of the 2015 reporting cohort, over 50% of total private support came from Other Institutions.

17 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 16 Table 5(a): Total Private Support from Organizations Corporations Personal/ Family Foundations Private Foundations Other Organizations All Organizations Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $5,530,982 $5,201,947 $9,015,183 $5,309,736 $31,223,741 Public Median $3,209,709 $1,413,226 $3,162,992 $1,968,428 $15,355,222 All Median $4,096,647 $2,351,288 $4,331,116 $2,868,685 $20,093,141 Private Mean $11,121,642 $13,345,172 $18,826,409 $11,717,051 $55,010,275 Public Mean $6,391,342 $6,494,095 $12,802,456 $6,757,024 $32,444,916 All Mean $8,391,143 $9,390,485 $15,349,168 $8,853,946 $41,984,742 Graph 5(b): Total Private Support from Organizations (Comparison of Years 2008 through 2015)

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19 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 18 Table 5(c): Average Gift per Organization Average Corporate Gift Average Personal/Family Foundation Gift Average Private Foundation Gift Average Other Organization Gift Average All Organization Gift Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $14,465 $70,998 $94,582 $35,798 $41,018 Public Median $12,924 $42,860 $70,609 $27,597 $29,414 All Median $13,882 $56,734 $78,551 $28,958 $34,275 Private Mean $79,154 $88,098 $134,659 $60,073 $60,854 Public Mean $16,964 $121,717 $117,340 $39,667 $46,671 All Mean $43,690 $106,574 $124,719 $48,335 $52,667 $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 1,482 gifts of $1 million or larger were reported by 2015 survey respondents, of which 539 were outright cash gifts and 943 were new pledge gift commitments.

20 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 19 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+ Outright Cash Gifts: $1M+ Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Number of Gifts Public Number of Gifts All Number of Gifts 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+ New Pledge Commitments: $1M+ Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Number of Gifts Public Number of Gifts All Number of Gifts

21 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 20 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+ Outright Cash Gifts and New Pledge Commitments: $1M+ Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Number of Gifts Public Number of Gifts All Number of Gifts 1, ,482 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 2015 median gift levels to joint program teaching hospitals were higher among private institutions ($17.9 million) than among public institutions ($3.8 million). When compared to the medians reported in 2014, 2015 gifts were up for private and down for public joint programs. Specifically, a median of $16.6 million was reported for private joint programs in 2014, while the 2013 median was $5.3 million among public joint programs.

22 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 21 Table 7: Average Hospital Gifts within Joint Programs Total Private Support Gifts Received for Teaching Hospitals Within Joint Programs Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $81,631,734 $17,895,645 Public Median $39,844,002 $3,766,655 All Median $44,170,943 $5,470,522 Private Mean $112,817,682 $28,596,877 Public Mean $74,324,328 $13,774,153 All Mean $90,134,098 $19,450,941 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 2015 survey data shows an increase in total professional staff for all institutions with a median of 23.5 FTEs and a mean of 30.3 FTEs, compared to the 2014 median of 18.0 and mean of Professional fundraising staffing levels also increased, with a median of 11.0 FTEs in 2014 and 14.0 in 2015, and a mean of 16.3 in 2014 and 17.8 in The 2015 median for total other professional staff of 7.5 FTEs, an increase from 6.0 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 14.3 and 22.1 FTEs, compared with a median of 36.7 FTEs and a mean of 42.3 FTEs for private institutions.

23 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 22 Table 8: Professional Staff by Function FTEs Total Fundraising Professional Staff Total Other Professional Staff Total Professional Staff Private Reporting Institutions Public Reporting Institutions All Reporting Institutions 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 Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median Public Median All Median Private Mean Public Mean All Mean

24 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 23 Fundraising/Development Costs Personnel and program costs for 2014 and 2015 are represented in Tables 10 and 11 (and are as reported by the 2015 participating institutions). The median of total fundraising costs for all institutions decreased from $4.0 million in 2014 to $3.8 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 2015 median of total fundraising costs increased to $2.6 million, from $2.2 million in The 2014 median of total fundraising costs for the reporting private institutions increased by 10.0 percent from $6.7 million, to $7.3 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 2014 represented 59.0 percent of the mean total fundraising costs; the 2015 proportion was 59.5 percent. Table 10: Fundraising/Development 2014 Costs* Personnel Costs (2014) Program Costs (2014) Other Costs (2014) Total Costs (2014) Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $4,071,651 $1,714,069 $0 $6,672,336 Public Median $1,450,973 $509,205 $0 $2,247,000 All Median $2,476,811 $828,000 $0 $4,036,228 Private Mean $5,425,143 $3,678,913 $573,621 $9,677,677 Public Mean $2,630,486 $1,026,353 $460,418 $4,117,256 All Mean $3,774,755 $2,112,440 $506,769 $6,393,964 *Figures in this table are as reported by the 2015 participating institutions.

25 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 24 Table 11: Fundraising/Development 2015 Costs Personnel Costs (2015) Program Costs (2015) Other Costs (2015) Total Costs (2015) Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $4,938,181 $1,658,223 $0 $7,341,559 Public Median $1,452,216 $573,231 $0 $2,585,964 All Median $2,373,452 $848,160 $0 $3,835,738 Private Mean $5,818,122 $3,675,824 $639,367 $10,133,313 Public Mean $2,742,632 $1,248,027 $371,934 $4,362,593 All Mean $3,992,050 $2,234,319 $480,579 $6,706,948 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) remained at $0.14 in The survey has reported a range of the estimated 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 2015.

26 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 25 Table 12: Cost of Fundraising 2015 Total Costs Total Private Support by Gift Designation Cost per Dollar Raised Cost per Dollar Raised (Excluding $1M+ Outright Cash Gifts) Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $7,341,559 $59,744,056 $0.14 $0.15 Public Median $2,585,964 $25,272,151 $0.14 $0.14 All Median $3,835,738 $32,359,406 $0.14 $0.14 Private Mean $10,133,313 $91,385,156 $0.17 $0.18 Public Mean $4,362,593 $49,006,004 $0.17 $0.20 All Mean $6,706,948 $66,922,393 $0.17 $0.19 By institutional type, costs of fundraising were highest among teaching hospitals in 2015, with a median cost per dollar raised of $0.19. Medical schools, by contrast, registered 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 By, costs of fundraising were still highest among teaching hospitals in 2015, with a median cost per dollar raised of $0.20. Medical schools, by contrast, registered a median CPDR of $0.13.

27 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 26 Table 13a: Cost of Fundraising by Institutional Type 2015 Medical Schools Teaching Hospitals Joint Programs All Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $0.11 $0.18 $0.13 $0.14 Public Median $0.10 $0.19 $0.13 $0.14 All Median $0.10 $0.19 $0.13 $0.14 Private Mean $0.16 $0.23 $0.14 $0.17 Public Mean $0.20 $0.23 $0.13 $0.17 All Mean $0.18 $0.23 $0.14 $0.17 Table 13b: Cost of Fundraising by Institutional Type 2015 ($1M+ Outright Cash Gifts Omitted from Total Private Support) Medical Schools Teaching Hospitals Joint Programs All Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $0.12 $0.23 $0.13 $0.15 Public Median $0.14 $0.20 $0.15 $0.14 All Median $0.13 $0.20 $0.14 $0.14 Private Mean $0.17 $0.26 $0.15 $0.18 Public Mean $0.26 $0.25 $0.14 $0.20 All Mean $0.22 $0.25 $0.15 $0.19

28 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 27 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 2015, the median dollar return was $7.38, with public institutions garnering a higher return than private institutions with medians of $7.41 and $7.13, respectively. Public institutions yielded higher returns than private institutions in 2014 as well when respective medians stood at $7.36 and $5.99. By institutional type, medical schools supported the highest returns with a median of $9.92, followed by joint programs at $7.97 and teaching hospitals at $5.39. Table 14: Dollars Raised per Dollars Budgeted 2015 Medical Schools Teaching Hospitals Joint Programs All Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median $9.50 $5.51 $7.96 $7.13 Public Median $10.34 $5.27 $7.97 $7.41 All Median $9.92 $5.39 $7.97 $7.38 Private Mean $12.64 $5.01 $9.24 $9.46 Public Mean $11.77 $6.20 $11.64 $11.01 All Mean $12.09 $5.55 $10.66 $10.36

29 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 28 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 eight years. The median campaign goal was $200.0 million, an amount slightly higher than the 2014 median of $190.0 million. For all teaching hospitals, the median campaign length was six years, and the median campaign goal was $300.0 million, down significantly from the $1.0 billion reported in For all joint programs, the median campaign length was eight years, and the median campaign goal was $676.8 million, up from the 2014 median of $500.0 million. For all institutions, the median campaign length was eight years, and the median campaign goal was $325.0 million, up from the 2014 median of $315.0 million. Table 15(a): Campaign Length and Goal Medical Schools Campaign Length (Years) Campaign Goal Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median 8 $280,000,000 Public Median 7 $170,000,000 All Median 8 $200,000,000 Private Mean 8 $433,511,299 Public Mean 8 $183,176,601 All Mean 8 $293,323,868

30 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 29 Table 15(b): Campaign Length and Goal Teaching Hospitals Campaign Length (Years) Campaign Goal Private Reporting Institutions 7 7 Public Reporting Institutions 6 6 All Reporting Institutions Private Median 8 $1,000,000,000 Public Median 5 $125,000,000 All Median 6 $300,000,000 Private Mean 8 $1,184,285,714 Public Mean 6 $442,250,000 All Mean 7 $841,807,692 Table 15(c): Campaign Length and Goal Joint Programs Campaign Length (Years) Campaign Goal Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median 8 $1,192,500,000 Public Median 7 $475,000,000 All Median 8 $676,750,000 Private Mean 8 $1,350,416,667 Public Mean 8 $621,926,250 All Mean 8 $934,136,429

31 ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 30 Table 15(d): Campaign Length and Goal All Institutions Campaign Length (Years) Campaign Goal Private Reporting Institutions Public Reporting Institutions All Reporting Institutions Private Median 8 $700,000,000 Public Median 7 $220,611,208 All Median 8 $325,000,000 Private Mean 8 $975,454,143 Public Mean 8 $421,355,345 All Mean 8 $673,218,435

32 APPENDIX A AAMC DEVELOPMENT LEADERSHIP COMMITTEE Margery McKay (Chair) Vice President for Woodruff Health Sciences Center Development Emory University Steven D. Blair Vice President, Development University of South Florida Armando Luis Chardiet Chairman, Philanthropy Institute Cleveland Clinic 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 Diane M. McKeever Senior Vice President, Philanthropy Secretary, The Trustees Rush University Medical Center 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 AAMC STAFF Nicole Buckley Director, Institutional Advancement Hollie Sleeseman Specialist, Institutional Advancement GG+A STAFF G. Robert Alsobrook Senior Executive Vice President and Managing Director Charlotte Davis McGhee Vice President James Anderson Analytics Consultant

33 APPENDIX B LISTING OF 2015 SURVEY PARTICIPANTS Medical Schools Albert Einstein College of Medicine Boston University School of Medicine Case Western Reserve University School of Medicine Columbia University College of Physicians and Surgeons 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 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 Meharry Medical College Morehouse School of Medicine Northeast Ohio Medical University Northwestern University The Feinberg School of Medicine Oakland University William Beaumont School of Medicine Rosalind Franklin University of Medicine and Science Rutgers, Robert Wood Johnson Medical School Southern Illinois University School of Medicine Texas A&M Health Science Center College of Medicine The Brody School of Medicine at East Carolina University The Commonwealth Medical College The Warren Alpert Medical School of Brown University Tufts University School of Medicine University of Arizona College of Medicine-Phoenix University of Central Florida College of Medicine University of Cincinnati College of Medicine University of Colorado School of Medicine University of Hawaii, John A. Burns School of Medicine University of Kansas School of Medicine University of Louisville School of Medicine University of Maryland School of Medicine

34 University of Missouri-Kansas City 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 Medical School at Houston 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 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 Erlanger Health System Greenville Health System Hospital for Special Surgery Houston Methodist Lahey Hospital and Medical Center Maine Medical Center Massachusetts General Hospital Memorial Sloan-Kettering Cancer Center Montefiore Medical Center NewYork-Presbyterian Hospital The University of Texas MD Anderson Cancer Center University of Kansas Hospital

35 Joint Programs Albany Medical College Baylor College of Medicine Dartmouth-Hitchcock Medical Center Drexel University College of Medicine Duke University Health System Emory University School of Medicine George Washington University School of Medicine and Health Sciences Icahn School of Medicine at Mount Sinai Johns Hopkins Medicine Keck School of Medicine of the University of Southern California Lewis Katz School of Medicine at Temple University Mayo Medical School Medical College of Georgia at Georgia Regents University Medical College of Wisconsin Medical University of South Carolina College of Medicine New York University School of Medicine North Shore-Long Island Jewish Health System Ohio State University Health System Oregon Health & Science University School of Medicine Pennsylvania State University College of Medicine Ronald Reagan UCLA Medical Center 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 Stony Brook University School of Medicine University Hospitals and Clinics/ University of Mississippi Medical Center University of Alabama School of Medicine University of Arizona College of Medicine University of Arkansas for Medical Sciences University of California, Davis Health System University of California, Irvine Medical Center University of California, San Diego School of Medicine University of California, San Francisco School of Medicine University of Chicago Medical Center University of Florida College of Medicine University of Iowa Roy J. and Lucille A. Carver College of Medicine University of Kentucky College of Medicine

36 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 Tennessee Health Science Center College of Medicine University of Texas Medical Branch School of Medicine 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 School of Medicine Wake Forest School of Medicine of Wake Forest Baptist Medical Center