Executive Summary 2014 AAMC Annual Development Survey Prepared with the assistance of Grenzebach Glier and Associates, Inc. July 2015 2015 AAMC. May not be reproduced without permission.
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 Communications staff 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 2014 survey representing the 2013 2014 gift year are presented in this report. Further analysis, access to data, and online reports are available only to the leadership of participating institutions and survey participants. For additional information about the survey or the AAMC s fundraising support efforts, contact: Leigh Weitzmann Institutional Advancement Specialist 202-862-6209 lweitzmann@aamc.org 2015 AAMC. May not be reproduced without permission. 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 139 institutions reporting development program activity for 2013 2014. In cases where an institution did not provide information on a particular data field, the sample size undergoing analysis was reduced accordingly. Data were submitted through an online survey administered by the AAMC from January through March 2015. The executive summary highlights survey data analyzed from these 139 institutions 60 private and 79 public that are presented in tabular overviews. The 139 participants in the survey represent 116 of the total 158 AAMC-member medical schools. (See Appendix B for a list of all institutions included in the analysis.) Survey respondent data 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. 2015 AAMC. May not be reproduced without permission. 3
Table 1: Survey Participants by Institutional Type, Private/Public, and by Geographical Regions Medical School Teaching Hospital Joint Program Total Private Public Total Private Public Total Private Public Total Private Public All Northeast 12 5 17 10 4 14 11 6 17 33 15 48 Midwest 7 12 19 1 2 3 3 5 8 11 19 30 South 4 12 16 2 2 5 11 16 9 25 34 West 2 9 11 3 1 4 2 10 12 7 20 27 Total 25 38 63 14 9 23 21 32 53 60 79 139 Key Highlights and Observations The following highlights and observations are based on the development activity reported in the 2014 survey data: Average philanthropic support increased by nearly 8 percent in 2014 The mean total philanthropic support among all reporting institutions increased by 7.8 percent, from $55.4 million in 2013 to $59.8 million in 2014. Specifically, total support among private institutions increased from a mean of $79.9 million to $84.5 million, while public institutions experienced an increase from $38.5 million to $41.4 million. Of the 129 institutions reporting fundraising data in both the 2013 and 2014 surveys, 69 of these institutions (more than 53 percent) raised more in total private support in 2014 than in 2013. Current operations continued to be the largest recipient of private support gifts For all reporting institutions, the mean of current operations gifts increased 7.8 percent from $36.8 million in 2013 to $39.7 million in 2014. Unrestricted gifts accounted for 15.1 percent of total support dedicated to current operations in 2014, down from 15.8 percent in 2013. 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 2014, 80.9 percent were contributed by other 2015 AAMC. May not be reproduced without permission. 4
individuals; many of these gifts likely are made by former patients and/or family members of former patients. On average, all institutions received $16.1 million in support from all unaffiliated individuals. Per non-alumni, non-staff donors, these other individuals contributed gifts averaging $3,216, and the median gift was $1,434. Comparatively, the average gift from medical school alumni was $2,103, and the median was $1,083. Among institutional gift sources, the average gift from corporations was $21,788; the average gift from family foundations was $56,413; and the average gift from other private foundations was $120,788. Scholarship gifts increased The median of gifts raised for medical student scholarships by medical schools and joint programs in 2014 stood at $1.3 million, which is above the $1.1 million median reported for 2013. 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 2014 for private institutions was $2.3 million, while a median of $0.8 million was raised by public institutions. The number of development full-time equivalencies (FTEs) at private institutions continued to be larger than those at public institutions For 2014, the average total staff at private institutions was 49 FTEs, while at public institutions the average was 28.1. Staffing levels reported for both private and public differ only slightly from 2013, when private and public institutions averaged 49.5 and 26.5 FTEs, respectively. Among all institutions, total development program staffing increased from an average of 35.8 FTEs in 2013 to 37.1 in 2014. Average fundraising costs increased Total fundraising costs averaged $6 million in 2014 among all institutions, marking an 8.5 percent increase from total fundraising costs reported for 2013. For private institutions in 2014, the mean cost was $8.7 million; for public institutions, the mean was $4.1 million. Number of $1 million-plus gifts Data for 2014 reflect approximately 1,346 extraordinary gifts noted as new outright cash gifts and new pledge gift commitments of $1 million and larger of which 250 are in the $5 million-plus category. By 2015 AAMC. May not be reproduced without permission. 5
comparison, 2013 data reflected 1,192 gifts of $1 million and larger, of which 182 were gifts of $5 million-plus. Personnel costs increased Personnel costs for all institutions increased from a mean of $3.3 million in 2013 to $3.7 million in 2014. The cost per dollar Of the 135 survey respondents that provided adequate information for this analysis, the 2014 median cost per dollar raised (CPDR) increased from last year to $0.14 on the dollar. The median among private institutions was higher than among public institutions at $0.17 and $0.14, respectively. One-half of institutions were involved in a campaign Fifty-five percent of the institutions surveyed reported being involved in a campaign in 2014, representing a marginally higher proportion of institutions reporting in the 2013 survey (53 percent). Joint programs reported a median campaign goal of $500 million, medical schools had a median goal of $190 million, and teaching hospitals median goal was $1 billion. The median campaign length for all institutions was eight years, the same as data provided for 2013. The philanthropic environment Increases in philanthropic support of AAMC-member institutions are reflected in the gift-year data reported in 2014. The increase in 2014 giving over 2013 continues a trend of recovery from the low-giving years experienced in 2009 and 2010 as a direct result of the nation s last major economic recession. The 2014 data show continued investment in fundraising staff and programs across nearly all reporting institutions. Seven- and eight-figure gifts increased significantly compared to those reported in 2013, as did giving from broad-base supporters. While much uncertainty remains in knowing how governmental influences will impact near- and longterm funding of academic medical centers and teaching hospitals, AAMC-member institutions leadership demonstrate overall confidence in maintaining a strategic and managed reliance on philanthropic support. It is encouraging to note that early projections for expected private gift support coming from all sources individuals, corporations, and foundations in 2015 and 2016 are strong and positive; this bodes well for those AAMC-member institutions with properly resourced and well-managed development programs. 2015 AAMC. May not be reproduced without permission. 6
Data Observations and Summaries This analysis of data received from 139 institutions for 2014 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 27 tables and graphs for all three institution types: medical schools, teaching hospitals, and joint programs. Respective sample sizes for private, public, and all institutions also are 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 MD alumni gift activity in both medical school and joint program institutiontypes, 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 2014 median of $24.8 million for all institutions represents a decrease of 15.1 percent from the 2013 median of $29.2 million. The 2014 mean for total private support for all institutions was $59.8 million, an amount 7.8 percent above the mean of $55.4 million reported in the 2013 survey. The 2014 median for total private support for public institutions, $20.2 million, is 9.5 percent greater than the median of $18.4 million reported in the 2013 survey data. Additionally, the 2014 mean for public institutions, $41.4 million, represented a 7.3 percent increase from the previous year ($38.5 million). Median total private support among private institutions in 2014 was $34.6 million, representing a decrease of 8.5 percent from the $37.9 million reported in 2013. The 2014 mean among the private institutions of $84.5 million reflected an increase of 5.8 percent from the $79.9 million mean recorded in 2013. 2015 AAMC. May not be reproduced without permission. 7
Table 2(a): Total Private Support by Gift Designations Total Current Operations Total Endowment Total Capital Gifts Total Private: 58 58 58 58 Total Private Support Median $22,732,271 $5,526,483 $1,728,831 $34,645,981 Mean $53,036,204 $20,290,413 $11,161,204 $84,487,821 Total Public: 78 78 78 78 Median $12,917,228 $4,081,170 $491,418 $20,159,288 Mean $29,790,949 $8,281,313 $3,283,145 $41,355,408 : 136 136 136 136 Median $15,686,799 $4,559,015 $986,190 $24,827,294 Mean $39,704,367 $13,402,841 $6,642,906 $59,750,113 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 on the 2014 means, current operations gifts accounted for approximately 66.5 percent of total private support; gifts for endowment were 22.4 percent; and capital needs gifts were 11.1 percent of total private support. 2015 AAMC. May not be reproduced without permission. 8
Millions Association of American Medical Colleges Graph 2(b): Total Private Support by Gift Designations and Comparisons of Years 2008 through 2014 $100 $90 $80 $79.9 $5.7 $84.5 $11.2 $70 $60 $50 $40 $30 $20 $10 $64.1 $6.2 $9.2 $60.9 $55.6 $6.1 $4.4 $8.5 $8.1 $9.3 $8.2 $6.1 $39.4 $37.0 $38.1 $69.9 $8.0 $6.9 $9.1 $45.9 $61.9 $5.6 $7.9 $8.4 $40.0 $10.1 $20.3 $12.3 $51.8 $53.0 $51.4 $4.4 $45.1 $41.0 $39.8 $41.4 $6.5 $41.5 $3.9 $3.2 $37.0 $38.5 $3.3 $2.8 $3.2 $5.2 $2.7 $4.6 $8.9 $5.1 $32.0 $3.1 $4.6 $3.6 $8.3 $30.1 $3.7 $6.6 $2.1 $5.1 $5.9 $1.5 $2.5 $5.9 $5.7 $2.7 $5.4 $4.3 $5.3 $26.1 $26.1 $24.8 $26.5 $29.8 $31.6 $28.5 $29.4 $21.6 $22.1 $54.0 $5.5 $5.7 $7.4 $35.4 $47.8 $4.2 $5.4 $6.7 $31.5 $59.8 $55.3 $6.6 $3.9 $6.2 $13.4 $8.4 $36.8 $39.7 $0 Total Current Operations Total Endowment Total Capital Gifts Total Realized Bequests As of 2014, realized bequests are no longer represented as a gift designation as a result of the change in gift counting in the survey process. Unrestricted gifts accounted for an average of 15.1 percent of all support designated to current operations. Public institutions reported a lower proportion of unrestricted gifts with an average of 11.7 percent compared to private institutions, which average 19.7 percent. 2015 AAMC. May not be reproduced without permission. 9
Table 2(c): Unrestricted Gifts to Current Operations Unrestricted Gifts to Current Operations Total Current Operations Total Private: 58 58 58 Percentage of Current Operations Gifts that Are Unrestricted Median $2,394,884 $22,732,271 14.8% Mean $8,449,727 $53,036,204 19.7% Total Public: 78 78 78 Median $229,584 $12,917,228 3.1% Mean $2,476,154 $29,790,949 11.7% : 136 136 136 Median $752,144 $15,686,799 7.2% Mean $5,023,708 $39,704,367 15.1% Individual Gifts On average, individuals not related to the school/institution (designated as Other Individuals in the AAMC survey) contributed 80.9 percent of all individual gifts received by all institutions in 2014. Table 3(a): Total Private Support from Individuals Medical School Alumni Other Alumni Medical Staff/Faculty Other Individuals Total Private: 58 58 58 58 58 All Individuals Median $1,263,437 $111,260 $228,567 $8,527,494 $10,425,408 Mean $1,583,799 $2,281,539 $1,046,337 $23,404,201 $28,315,876 Total Public: 78 78 78 78 78 Median $386,631 $161,533 $185,383 $3,128,011 $6,333,344 Mean $1,594,417 $992,934 $387,981 $10,698,123 $13,673,455 : 136 136 136 136 136 Median $725,823 $132,182 $188,080 $4,721,180 $7,813,701 Mean $1,589,889 $1,542,486 $668,750 $16,116,892 $19,918,017 2015 AAMC. May not be reproduced without permission. 10
Millions Association of American Medical Colleges Graph 3(b): Total Private Support from Individuals and Comparisons of Years 2008 through 2014 $40 $35 $35.1 $30 $29.5 $28.5 $28.3 $25 $24.0 $24.6 $21.8 $21.7 $20 $30.1 $19.8 $19.7 $19.9 $15 $22.6 $18.4 $8.0 $19.6 $23.4 $13.7 $13.5 $15.3 $16.6 $19.0 $11.8 $11.8 $10.6 $12.1 $14.8 $16.5 $18.3 $16.1 $10 $0.6 $3.2 $6.8 $8.1 $9.7 $7.9 $9.9 $10.7 $11.3 $11.7 $13.0 $5 $0 $3.5 $2.8 $0.5 $1.0 $1.3 $1.2 $1.8 $2.6 $0.8 $0.8 $1.0 $6.9 $4.6 $9.1 $2.7 $2.6 $2.3 $5.9 $45.9 $1.5 $1.6 $1.6 $26.1 $6.0 $5.0 $0.3 $0.3 $0.3 $0.8 $1.0 $1.0 $0.7 $0.8 $0.8 $0.3 $1.0 $0.3 $1.0 $1.4 $0.9 $0.5 $2.5 $0.4 $1.0 $1.6 $2.0 $0.4 $0.8 $1.0 $0.7 $0.6 $1.3 $1.4 $0.5 $0.5 $0.7 $1.7 $1.7 $1.5 $1.6 $1.2 $1.4 $1.2 $1.6 Medical School Alumni Other Alumni Medical Staff/Faculty Other Individuals Table 3(c): Average Gift per Individual Source Average Gift per Medical School Alum Average Gift per Other Alum Average Gift per Staff/Faculty Member Average Gift per Other Individual Total Private: 41 36 51 56 57 Average Gift per Individual Donor Median $1,348 $2,061 $1,342 $1,848 $1,831 Mean $1,989 $6,617 $2,256 $2,851 $2,786 Total Public: 67 63 68 78 78 Median $914 $812 $1,066 $1,206 $1,198 Mean $2,172 $2,593 $5,246 $3,477 $2,564 : 108 99 119 134 135 Median $1,083 $1,012 $1,153 $1,434 $1,490 Mean $2,103 $4,056 $3,965 $3,216 $2,658 2015 AAMC. May not be reproduced without permission. 11
Alumni Giving Based on the 2014 median, approximately 9.3 percent of all individual gifts were attributed to medical school alumni. The median for the average gift per medical school alumnus donor was $1,083, a 6.1 percent increase from 2013. The 2014 mean gift size of $2,013 was also up from the mean of $1,308 reported for 2013. The median number of MD alumni donors making unrestricted gifts of $1,000 and larger for all medical schools was 49; the median number of solicitable MD alumni for all medical schools was 5,723, whereas for the median number of solicitable MD alumni for all joint programs was 6,127. The median number of MD alumni donors making gifts of $1,000 and larger was 67 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 301; the median for restricted gifts was 187 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 561 and 463, respectively. Table 4(a): MD Alumni Giving Information Medical Schools Medical Schools Number of Solicitable Alumni Number of MD Alumni Donors Making Unrestricted Gifts of $1,000 and Larger Number of MD Alumni Donors Making Unrestricted Gifts for Current Ops and/or Endow. Number of MD Alumni Donors Making Restricted Gifts for Current Ops and/or Endow. Total Private: 22 20 21 22 21 Dollar Amount of Unrestricted Gifts for Current Ops and/or Endow. Received from MD Alumni Median 7,110 172 823 254 $500,080 Mean 6,356 176 766 485 $561,811 Total Public: 35 29 30 34 32 Median 3,636 19 133 151 $50,353 Mean 4,631 46 302 494 $297,075 All Med Schools: 57 49 51 56 53 Median 5,723 49 301 187 $124,570 Mean 5,297 99 493 490 $401,971 2015 AAMC. May not be reproduced without permission. 12
Table 4(b): MD Alumni Giving Information Joint Programs Joint Programs Number of Solicitable Alumni Number of MD Alumni Donors Making Unrestricted Gifts of $1,000 and Larger Number of MD Alumni Donors Making Unrestricted Gifts for Current Ops and/or Endow. Number of MD Alumni Donors Making Restricted Gifts for Current Ops and/or Endow. Total Private: 20 19 19 20 19 Dollar Amount of Unrestricted Gifts for Current Ops and/or Endow. Received from MD Alumni Median 5,441 113 688 504 $452,587 Mean 6,192 143 762 485 $662,196 Total Public: 31 27 26 30 29 Median 6,566 23 328 438 $128,185 Mean 6,795 59 472 510 $335,188 All Joint Programs: 51 46 45 50 48 Median 6,127 67 561 463 $266,051 Mean 6,559 93 594 500 $464,629 Table 4(c): MD Alumni Giving Information Number of Solicitable Alumni Number of MD Alumni Donors Making Unrestricted Gifts of $1,000 and Larger Number of MD Alumni Donors Making Unrestricted Gifts for Current Ops and/or Endow. Number of MD Alumni Donors Making Restricted Gifts for Current Ops and/or Endow. Total Private: 42 39 40 42 40 Dollar Amount of Unrestricted Gifts for Current Ops and/or Endow. Received from MD Alumni Median 6,279 152 793 444 $493,974 Mean 6,278 160 764 485 $609,494 Total Public: 66 56 56 64 61 Median 5,249 21 183 315 $82,300 Mean 5,648 52 381 501 $315,194 : 108 95 96 106 101 Median 6,008 57 379 323 $196,765 Mean 5,893 96 540 495 $431,749 2015 AAMC. May not be reproduced without permission. 13
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 2014 survey data, the median and mean of support received for all institutions from all foundations (personal/family and other private foundations) was $6 million and $21.4 million, respectively. The median gift size per personal/family foundation was $40,749, and the median gift per other private foundation was $70,794. Comparatively, the median gift per corporation was $11,999. In 2014, the median and mean of the average gift among all institutional sources collectively corporations, personal/family foundations, other private foundations, and other institutions were $28,372 and $45,920 per institutional donor, respectively, which is comparable to the 2013 respective median and mean of $32,608 and $44,674. For six members of the 2014 reporting cohort, more than 50 percent of total private support came from Other Institutions. Table 5(a): Total Private Support from Institutional Donor Sources Corporations Personal/Family Foundations Other Private Foundations Other Institutions Total Private: 58 58 58 58 58 All Institutional Sources Median $4,234,581 $3,250,613 $5,775,009 $2,497,935 $20,121,680 Mean $9,913,978 $9,931,079 $19,440,378 $15,954,710 $55,240,145 Total Public: 78 78 78 78 78 Median $2,578,081 $379,700 $3,537,590 $1,695,755 $10,238,394 Mean $5,375,782 $4,197,330 $11,266,430 $6,589,278 $27,428,820 : 136 136 136 136 136 Median $3,112,982 $1,174,728 $4,780,753 $2,089,266 $13,885,902 Mean $7,311,189 $6,642,606 $14,752,378 $10,583,359 $39,289,532 2015 AAMC. May not be reproduced without permission. 14
Millions Association of American Medical Colleges Graph 5(b): Total Private Support from Institutional Donor Sources and Comparisons of Years 2008 through 2014 $60 $55.2 $50 $45.3 $16.0 $41.4 $40 $30 $20 $35.5 $6.4 $10.7 $33.7 $6.5 $12.1 $37.1 $8.9 $12.2 $8.0 $6.9 $37.1 $7.9 $13.5 $11.1 $15.3 $19.4 $30.5 $3.2 $4.6 $23.3 $5.2 $24.9 $5.9 $27.8 $6.6 $26.8 $27.5 $27.4 $5.9 $6.7 $6.6 $32.9 $6.1 $12.3 $28.1 $5.8 $10.5 $30.6 $7.3 $11.1 $34.6 $8.0 $12.3 $31.2 $6.8 $12.0 $35.0 $8.6 $12.8 $39.3 $10.6 $14.8 $10 $10.1 $8.3 $7.7 $8.3 $7.4 $7.7 $9.1 $45.9 $11.2 $8.1 $7.6 $7.7 $9.9 $9.9 $10.7 $10.9 $11.0 $11.3 $9.1 $10.1 $5.9 $4.9 $4.3 $5.6 $4.9 $5.0 $4.2 $26.1 $4.1 $4.6 $4.9 $5.1 $4.8 $5.4 $8.1 $7.7 $6.2 $6.2 $6.2 $7.6 $6.4 $5.6 $6.0 $6.6 $6.2 $6.0 $6.6 $7.3 $0 Corporations Personal/Family Foundations Other Private Foundations Other Institutions Table 5(c): Average Gift per Institutional Source Corporations Personal/Family Foundations Other Private Foundations Other Institutions Total Private: 57 54 54 53 57 Average Gift per Institutional Source Median $11,363 $49,204 $85,892 $24,274 $33,203 Mean $30,488 $58,832 $154,418 $89,728 $59,758 Total Public: 77 66 76 70 78 Median $12,225 $35,767 $53,862 $22,856 $26,837 Mean $15,348 $54,434 $96,892 $37,853 $35,808 : 134 120 130 123 135 Median $11,999 $40,749 $70,794 $23,521 $28,372 Mean $21,788 $56,413 $120,788 $60,206 $45,920 2015 AAMC. May not be reproduced without permission. 15
Extraordinary Gifts Tables 6 (a-c) display data for extraordinary gift activity (i.e., cash gifts and new pledge gift commitments of $1 million or larger). A total of 1,346 gifts of $1 million or larger was reported by 2014 survey respondents, of which 517 were outright cash gifts and 829 were new pledge gift commitments. Table 6(a): Total Number of Extraordinary Gifts (Outright New Cash Gifts) $1,000,000- $4,999,999 $5,000,000- $9,999,999 $10,000,000- $24,999,999 $25,000,000- $49,999,999 $50,000,000+ Total Total Private: 38 6 6 4 1 39 Number of Gifts 205 16 12 7 3 243 Total Public: 50 13 11 2 52 Number of Gifts 234 23 14 3 274 : 88 19 17 6 1 91 Number of Gifts 439 39 26 10 3 517 Table 6(b): Total Number of Extraordinary Gifts (New Pledge Gift Commitments) $1,000,000- $4,999,999 $5,000,000- $9,999,999 $10,000,000- $24,999,999 $25,000,000- $49,999,999 $50,000,000+ Total Total Private: 48 21 21 10 6 48 Number of Gifts 400 56 33 11 7 507 Total Public: 51 19 10 5 1 55 Number of Gifts 257 40 17 7 1 322 : 99 40 31 15 7 103 Number of Gifts 657 96 50 18 8 829 2015 AAMC. May not be reproduced without permission. 16
Table 6(c): Total Number of Extraordinary Gifts (Outright New Cash Gifts and New Pledge Gift Commitments) $1,000,000- $4,999,999 $5,000,000- $9,999,999 $10,000,000- $24,999,999 $25,000,000- $49,999,999 $50,000,000+ Total Total Private: 52 23 22 11 9 52 Number of Gifts 605 72 45 18 10 750 Total Public: 62 25 19 6 1 64 Number of Gifts 491 63 31 10 1 596 : 114 48 41 17 10 116 Number of Gifts 1,096 135 76 28 11 1,346 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 2014 median gift levels to joint program teaching hospitals were higher among private institutions ($16.6 million) than among public institutions ($5.3 million). When compared to the medians reported in 2013, 2014 gifts were up for both private and public joint programs. Specifically, a median of $7.2 million was reported for private joint programs in 2013, while the 2013 median was $4.2 million among public joint programs. Table 7: Average Hospital Gifts for Joint Programs Joint Programs Total Private Support Total Private: 21 16 Gifts Received for Teaching Hospital- Joint Programs Median $81,660,490 $16,569,252 Mean $122,172,773 $31,254,420 Total Public: 32 30 Median $38,498,924 $5,349,090 Mean $67,169,031 $11,937,661 : 53 46 Median $50,750,645 $7,277,983 Mean $88,962,966 $18,656,533 2015 AAMC. May not be reproduced without permission. 17
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 2014 survey data show a slight change in total professional staff for all institutions with a median of 18 FTEs and a mean of 27.2 FTEs, compared to the 2013 median of 18 and mean of 26.4. Professional fundraising staffing levels remained virtually unchanged with a median of 12 FTEs in 2013 and 11 in 2014, while the mean increased slightly from 16 to 16.3. The 2014 median for total other professional staff of 6 was the same as 2013. 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 14.5 and 21.2 FTEs, compared with a median of 29.8 FTEs and a mean of 35 FTEs for private institutions. Table 8: Professional Staff by Function FTEs Total Professional Fundraising Staff Total Other Professional Staff Total Private: 58 58 58 Total Professional Staff Median 18.0 10.0 29.8 Mean 20.5 14.5 35.0 Total Public: 77 77 77 Median 9.0 4.0 14.5 Mean 13.2 8.0 21.2 : 135 135 135 Median 11.0 6.0 18.0 Mean 16.3 10.8 27.2 2015 AAMC. May not be reproduced without permission. 18
Table 9: Development Staff by Function FTEs Total Professional Staff Total Support Staff Total Staff Total Private: 58 58 58 Median 29.8 9.3 39.5 Mean 35.0 14.0 49.0 Total Public: 77 77 77 Median 14.5 3.5 18.0 Mean 21.2 6.8 28.1 : 135 135 135 Median 18.0 5.5 25.0 Mean 27.2 9.9 37.1 Fundraising/Development Costs Personnel and program costs for 2013 and 2014 are represented in Tables 10 and 11. The median of total fundraising costs for all institutions increased from $3.1 million in 2013 to $3.4 million in 2014. Private institutions continue to reflect significantly higher total fundraising costs nearly triple the costs reported by public institutions. Among the reporting public institutions, the 2014 median of total fundraising costs increased slightly to $2.1 million. By contrast, the 2013 median of total fundraising costs for the reporting private institutions increased by 9 percent to $6 million in 2014. 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 median of personnel costs in 2013 represented 64.8 percent of the median of total fundraising costs, and the 2014 proportion was 70.7 percent. 2015 AAMC. May not be reproduced without permission. 19
Table 10: Fundraising/Development 2013 Costs* Personnel Costs (2013) Program Costs (2013) Costs Covered by Other Budget Resources (2013) Total Private: 55 57 22 57 Total Fundraising Costs (2013) Median $3,174,000 $1,392,040 $333,875 $5,548,000 Mean $4,648,922 $3,148,656 $1,215,575 $8,103,627 Total Public: 75 76 32 78 Median $1,253,874 $401,647 $565,818 $2,003,785 Mean $2,394,509 $1,022,074 $1,036,225 $3,723,397 : 130 133 54 135 Median $2,008,737 $743,268 $513,048 $3,099,730 Mean $3,348,299 $1,933,466 $1,109,293 $5,572,828 *Figures in this table are as reported by the 2014 participating institutions. Table 11: Fundraising/Development 2014 Costs Personnel Costs (2014) Program Costs (2014) Costs Covered by Other Budget Resources (2014) Total Private: 55 56 21 57 Total Fundraising Costs (2014) Median $3,435,863 $1,517,218 $602,671 $6,048,214 Mean $4,982,499 $3,420,227 $1,464,555 $8,707,470 Total Public: 75 75 33 79 Median $1,450,973 $543,909 $515,084 $2,097,739 Mean $2,724,335 $1,163,949 $1,044,494 $4,127,717 : 130 131 54 136 Median $2,398,568 $828,000 $516,904 $3,392,287 Mean $3,679,712 $2,128,465 $1,207,851 $6,047,172 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 (a-b). Notes: Typically, the cost of fundraising includes costs directly related to fundraising activity. 2015 AAMC. May not be reproduced without permission. 20
The CPDR often is 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 CPDR increased slightly for the first time since 2010 to $0.14. Over the past 13 years, the survey has reported a range of the estimated CPDR, from $0.06 in 1999 (a relatively low figure, primarily as a result of the small pool of survey respondents participating in the inaugural year of the project) to a high of $0.14 seen in 2009, and again in 2014. Table 12: Cost of Fundraising 2014 Total Fundraising Costs (2014) Total Private Support (2014) Cost per Dollar Raised (2014) Total Private: 57 58 56 56 Cost per Dollar Raised ($1M+ Outright Cash Gifts Omitted) (2014) Median $6,048,214 $34,645,981 $0.17 $0.18 Mean $8,707,470 $84,487,821 $0.17 $0.19 Total Public: 79 78 78 78 Median $2,097,739 $20,159,288 $0.14 $0.16 Mean $4,127,717 $41,355,408 $0.20 $0.23 : 136 136 134 134 Median $3,392,287 $24,827,294 $0.14 $0.17 Mean $6,047,172 $59,750,113 $0.19 $0.21 By institutional type, costs of fundraising were highest among teaching hospitals in 2014, with a median CPDR of $0.19. Medical schools, by contrast, registered a median CPDR of $0.12. This variance in cost of fundraising by institutional type is consistent with previous years, likely resulting from teaching hospital development programs absorbing all or nearly all costs needed to support fundraising operations. When $1 million-plus outright cash gifts were omitted from total private support, costs of fundraising were still highest among teaching hospitals in 2014, with a median CPDR of $0.21. Medical schools, by contrast, registered a median CPDR of $0.14. 2015 AAMC. May not be reproduced without permission. 21
Table 13(a): Cost of Fundraising by Institutional Type 2014 Cost per Dollar Raised All Institutions Medical Schools Teaching Hospitals Total Private: 56 21 14 21 Joint Programs Median $0.17 $0.11 $0.20 $0.13 Mean $0.17 $0.17 $0.21 $0.14 Total Public: 78 37 9 32 Median $0.14 $0.12 $0.16 $0.14 Mean $0.20 $0.25 $0.23 $0.13 : 134 58 23 53 Median $0.14 $0.12 $0.19 $0.13 Mean $0.19 $0.22 $0.22 $0.14 Table 13(b): Cost of Fundraising by Institutional Type 2014 ($1M+ Outright Cash Gifts Omitted from Total Private Support) Cost per Dollar Raised All Institutions Medical Schools Teaching Hospitals Total Private: 56 21 14 21 Joint Programs Median $0.18 $0.12 $0.23 $0.14 Mean $0.19 $0.19 $0.23 $0.16 Total Public: 78 37 9 32 Median $0.16 $0.16 $0.19 $0.16 Mean $0.23 $0.28 $0.25 $0.17 : 134 58 23 53 Median $0.17 $0.16 $0.21 $0.16 Mean $0.21 $0.24 $0.24 $0.16 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 2014, the median dollar return by dollar raised was $6.99, with public institutions garnering a higher return than private institutions with medians of 2015 AAMC. May not be reproduced without permission. 22
$7.36 and $5.99, respectively. Public institutions also yielded higher returns than private institutions in 2013, when respective medians stood at $8.29 and $7.29. By institutional type, medical schools supported the highest returns with a median of $8.35, followed by joint programs at $7.44 and teaching hospitals at $5.13. Table 14: Dollars Raised per Dollars Budgeted 2014 Dollars Raised per Dollars Budgeted All Institutions Medical Schools Teaching Hospitals Total Private: 56 21 14 21 Joint Programs Median $5.99 $9.23 $5.02 $7.92 Mean $10.20 $13.57 $5.07 $10.25 Total Public: 78 37 9 32 Median $7.36 $8.22 $6.12 $7.30 Mean $10.32 $9.97 $6.46 $11.81 : 134 58 23 53 Median $6.99 $8.35 $5.13 $7.44 Mean $10.27 $11.27 $5.61 $11.19 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 is eight years. The median campaign goal is $190 million, an amount slightly lower than the 2013 median of $200 million. For all teaching hospitals, the median campaign length is eight years. The median campaign goal is $1 billion, up significantly from the $675 million reported in 2013. For all joint programs, the median campaign length is eight years. The median campaign goal is $500 million, up from the 2013 median of $470 million. For all institutions, the median campaign length is eight years. The median campaign goal is $315 million, down from the 2013 median of $330 million. 2015 AAMC. May not be reproduced without permission. 23
Table 15(a): Campaign Length and Goal Medical Schools Medical Schools Number of Years Total Private: 11 11 Campaign Goal Median 8 $300,000,000 Mean 7 $570,827,273 Total Public: 22 22 Median 8 $129,000,000 Mean 8 $163,804,023 All Medical Schools: 33 33 Median 8 $190,000,000 Mean 8 $318,192,152 Table 15(b): Campaign Length and Goal Teaching Hospitals Teaching Hospitals Number of Years Total Private: 8 8 Campaign Goal Median 8 $1,000,000,000 Mean 9 $1,337,500,000 Total Public: 4 4 Median 6 $200,000,000 Mean 7 $620,000,000 All Teaching Hospitals: 12 12 Median 8 $1,000,000,000 Mean 8 $1,098,333,333 2015 AAMC. May not be reproduced without permission. 24
Table 15(c): Campaign Length and Goal Joint Programs Joint Programs Number of Years Total Private: 12 12 Campaign Goal Median 8 $1,100,000,000 Mean 8 $1,085,252,083 Total Public: 19 19 Median 7 $350,000,000 Mean 8 $499,041,382 All Joint Programs: 31 31 Median 8 $500,000,000 Mean 8 $741,611,328 Table 15(d): Campaign Length and Goal Number of Years Total Private: 31 31 Campaign Goal Median 8 $1,000,000,000 Mean 8 $967,810,484 Total Public: 45 45 Median 8 $241,222,416 Mean 8 $356,722,459 : 76 76 Median 8 $315,000,000 Mean 8 $627,347,156 2015 AAMC. May not be reproduced without permission. 25
Appendix A 2014 AAMC Development Leadership Committee Larry Schafer (Chair) Vice Provost for External Affairs Weill Cornell Medical College Steven D. Blair Vice President, Development University of South Florida Pamela Buell Associate Vice Chancellor for Medical Alumni and Development Washington University in St. Louis Armando Luis Chardiet Chairman Institutional Relations and Development Cleveland Clinic Foundation Kathryn J. Griffo Chief Advancement Officer Perelman School of Medicine at the University of Pennsylvania Margery McKay Vice President for Woodruff Health Sciences Center Development Emory University 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, JD Senior Vice President, Community Relations and Development; Chief Development Officer Cedars-Sinai Medical Center Julia Phalunas Vice President, Health Sciences Development West Virginia University Foundation John J. Zabinski Vice President for Institutional Advancement Drexel University 2015 AAMC. May not be reproduced without permission.
AAMC Communications Staff Nicole Buckley Director, Institutional Advancement Leigh Weitzmann Specialist, Institutional Advancement AAMC Information Technology Staff Nana Khizanishvili Software Quality Analyst Tatyana Naydenko Senior Software Engineer, Information Technology Amy Smith Applications and Database Development Manager GG+A Staff G. Robert Alsobrook Senior Executive Vice President and Managing Director Charlotte Davis McGhee Vice President James Anderson Analytics Consultant Abigail Christensen Analytics Consultant 2015 AAMC. May not be reproduced without permission.
Appendix B Listing of 2014 Survey Participants Medical Schools Albert Einstein College of Medicine of Yeshiva University 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 and 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 International University Herbert Wertheim College of Medicine Florida State University College of Medicine Frank H. Netter MD School of Medicine at Quinnipiac University Georgetown University School of Medicine Harvard Medical School Indiana University School of Medicine Loma Linda University School of Medicine Louisiana State University School of Medicine in Shreveport Loyola University Chicago Stritch School of Medicine Meharry Medical College Michigan State University College of Human Medicine Morehouse School of Medicine New York Medical College 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 Texas A&M Health Science Center College of Medicine The Brody School of Medicine at East Carolina University The Commonwealth Medical College The University of Texas School of Medicine at San Antonio The Warren Alpert Medical School of Brown University Tufts University School of Medicine Tulane University School of Medicine 2014 AAMC. May not be reproduced without permission.
University at Buffalo State University of New York School of Medicine & Biomedical Sciences University of Arizona College 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 Maryland School of Medicine University of Missouri-Kansas City School of Medicine University of Nebraska College of Medicine University of Nevada 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 Tennessee Health Science Center, College of Medicine University of Texas Medical School at Houston University of Vermont College of Medicine University of Wisconsin School of Medicine and Public Health USF Health Morsani College of Medicine Virginia Tech Carilion School of Medicine Washington University in St. Louis School of Medicine Wayne State University School of Medicine Weill Cornell Medical College West Virginia University School of Medicine Yale School of Medicine Teaching Hospitals Barnes-Jewish Hospital Boston Medical Center Brigham and Women's Hospital Cedars-Sinai Medical Center Children's Hospital of Philadelphia Children's National Medical Center Christiana Care Health System City of Hope National Medical Center Cleveland Clinic Health System Erlanger Health System 2015 AAMC. May not be reproduced without permission.
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 Robert Wood Johnson University Hospital The University of Texas MD Anderson Cancer Center University of Kansas Hospital Women and Infants Hospital of Rhode Island Joint Programs Albany Medical College 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 Mayo Medical School Medical College of Georgia at Georgia Regents University 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 2015 AAMC. May not be reproduced without permission.
Temple University School of Medicine 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 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 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 University of Texas Southwestern Medical Center Southwestern Medical School University of Utah School 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 William Beaumont Hospital 2015 AAMC. May not be reproduced without permission.