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EXECUTIVE SUMMARY OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2015 ANNUAL DEVELOPMENT SURVEY (Reporting 2014-2015 Gift Year Data) Prepared with the assistance of GRENZEBACH GLIER AND ASSOCIATES July 2016

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Page 1: EXECUTIVE SUMMARY OF THE ASSOCIATION OF AMERICAN … · medical institutions and teaching hospitals are steadily growing beyond levels seen pre-Great Recession. More than 10 percent

EXECUTIVE SUMMARY OF THE

ASSOCIATION OF AMERICAN MEDICAL COLLEGES

2015 ANNUAL DEVELOPMENT SURVEY

(Reporting 2014-2015 Gift Year Data)

Prepared with the assistance of

GRENZEBACH GLIER AND ASSOCIATES

July 2016

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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 2014-2015 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) 862-6209

[email protected]

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 2 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 2014-2015.

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 2016. 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 10 3 13 7 4 11 11 7 18 28 14 42

Mid-West 6 10 16 1 3 4 4 4 8 11 17 28

South 2 15 17 1 3 4 6 14 20 9 32 41

West 1 4 5 2 0 2 2 9 11 5 13 18

Total 19 32 51 11 10 21 23 34 57 53 76 129

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 3 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 2015. 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 2014.

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 2015. Unrestricted gifts accounted for 12.9

percent of total support dedicated to current operations in 2015, down from 15.1 percent

in 2014.

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.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 4 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 2014. 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 29.1. 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 2015.

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 million-

plus.

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 2015. The median among both public and private institutions was also $0.14.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 5 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 2014.

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.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 6 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 2014. 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.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 7 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

Table 2(a): Total Private Support by Gift Designation

Current Operations Endowment Capital Gifts Total

Private Reporting Institutions 52 52 52 52

Public Reporting Institutions 71 71 71 71

All Reporting Institutions 123 123 123 123

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.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 8 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

Graph 2(b): Total Private Support by Gift Designation (Comparison of Years 2008 through 2015)

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 9 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

Due to the change in gift counting in the survey process, realized bequests are no longer

represented as a gift designation as of 2014. 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.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 10 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 52 52 52

Public Reporting Institutions 71 71 71

All Reporting Institutions 123 123 123

Private Median $2,412,148 $37,188,403 9.2%

Public Median $253,769 $16,290,755 3.2%

All Median $892,198 $21,638,509 5.6%

Private Mean $7,743,340 $65,760,170 15.2%

Public Mean $2,313,124 $34,328,868 11.3%

All Mean $4,608,825 $47,616,898 12.9%

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.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 11 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

Table 3(a): Total Private Support from Individuals

Medical School Alumni

Other Institutional Alumni

Medical Staff/Faculty Other Individuals All Individuals

Private Reporting Institutions 52 52 52 52 52

Public Reporting Institutions 71 71 71 71 71

All Reporting Institutions 123 123 123 123 123

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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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 13 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 40 36 45 51 52

Public Reporting Institutions 65 60 65 70 71

All Reporting Institutions 105 96 110 121 123

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 2014. The

2015 mean gift size of $1,709 was down from the mean of $2,013 reported for 2014.

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.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 14 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 18 16 17 18 17

Public Reporting Institutions 31 24 24 30 26

All Reporting Institutions 49 40 41 48 43

Private Median 7,049 173 775 263 $476,711

Public Median 3,612 26 145 153 $43,920

All Median 5,417 48 349 186 $157,280

Private Mean 6,102 199 775 489 $577,187

Public Mean 4,717 55 300 341 $137,951

All Mean 5,226 112 497 396 $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 22 21 21 22 21

Public Reporting Institutions 33 25 29 34 30

All Reporting Institutions 55 46 50 56 51

Private Median 5,701 91 699 477 $389,798

Public Median 6,387 32 197 416 $117,552

All Median 5,931 73 477 432 $203,547

Private Mean 6,429 111 665 506 $893,657

Public Mean 6,361 69 413 539 $316,585

All Mean 6,388 88 519 526 $554,203

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 15 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 40 37 38 40 38

Public Reporting Institutions 64 49 53 64 56

All Reporting Institutions 104 86 91 104 94

Private Median 6,179 131 764 432 $432,641

Public Median 5,261 26 148 313 $77,307

All Median 5,830 62 384 347 $190,775

Private Mean 6,282 149 714 499 $752,079

Public Mean 5,565 62 362 446 $233,648

All Mean 5,840 99 509 466 $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.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 16 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

Table 5(a): Total Private Support from Organizations

Corporations

Personal/ Family Foundations

Private Foundations

Other Organizations All Organizations

Private Reporting Institutions 52 52 52 52 52

Public Reporting Institutions 71 71 71 71 71

All Reporting Institutions 123 123 123 123 123

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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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 52 50 49 48 52

Public Reporting Institutions 69 61 66 65 71

All Reporting Institutions 121 111 115 113 123

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.

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 19 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 36 6 6 1 2 37

Public Reporting Institutions 42 13 3 1 0 42

All Reporting Institutions 78 19 9 2 2 79

Private Number of Gifts 243 9 8 1 2 263

Public Number of Gifts 239 27 9 1 0 276

All Number of Gifts 482 36 17 2 2 539

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 46 28 20 10 4 47

Public Reporting Institutions 46 16 14 4 3 48

All Reporting Institutions 92 44 34 14 7 95

Private Number of Gifts 472 60 37 12 4 585

Public Number of Gifts 293 35 23 4 3 358

All Number of Gifts 765 95 60 16 7 943

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 20 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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 49 29 21 11 6 49

Public Reporting Institutions 55 23 15 4 3 56

All Reporting Institutions 104 52 36 15 9 105

Private Number of Gifts 715 69 45 13 6 848

Public Number of Gifts 532 62 32 5 3 634

All Number of Gifts 1,247 131 77 18 9 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.

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Table 7: Average Hospital Gifts within Joint Programs

Total Private Support Gifts Received for Teaching Hospitals Within Joint Programs

Private Reporting Institutions 23 18

Public Reporting Institutions 33 29

All Reporting Institutions 56 47

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 27.2. 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

2015. The 2015 median for total other professional staff of 7.5 FTEs, an increase from

6.0 in 2014.

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.

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Table 8: Professional Staff by Function – FTEs

Total Fundraising Professional Staff

Total Other Professional Staff Total Professional Staff

Private Reporting Institutions 51 51 51

Public Reporting Institutions 74 74 74

All Reporting Institutions 125 125 125

Private Median 20.8 13.0 36.7

Public Median 9.3 5.0 14.3

All Median 14.0 7.5 23.5

Private Mean 24.3 18.0 42.3

Public Mean 13.3 8.8 22.1

All Mean 17.8 12.6 30.3

Table 9: Development Staff by Function – FTEs

Total Professional Staff Total Support Staff Total Development Staff

Private Reporting Institutions 51 51 51

Public Reporting Institutions 74 74 74

All Reporting Institutions 125 125 125

Private Median 36.7 11.0 51.5

Public Median 14.3 4.5 20.5

All Median 23.5 7.3 30.5

Private Mean 42.3 15.3 57.6

Public Mean 22.1 7.0 29.1

All Mean 30.3 10.4 40.8

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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 2015.

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 2014. 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 52 52 52 52

Public Reporting Institutions 75 75 75 75

All Reporting Institutions 127 127 127 127

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.

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Table 11: Fundraising/Development – 2015 Costs

Personnel Costs (2015)

Program Costs (2015) Other Costs (2015) Total Costs (2015)

Private Reporting Institutions 52 52 52 52

Public Reporting Institutions 76 76 76 76

All Reporting Institutions 128 128 128 128

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

2015.

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.

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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 52 52 51 50

Public Reporting Institutions 76 71 71 65

All Reporting Institutions 128 123 122 115

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.

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Table 13a: Cost of Fundraising by Institutional Type – 2015

Medical Schools

Teaching Hospitals

Joint Programs All

Private Reporting Institutions 17 11 23 51

Public Reporting Institutions 29 9 33 71

All Reporting Institutions 46 20 56 122

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 17 10 23 50

Public Reporting Institutions 27 9 29 65

All Reporting Institutions 44 19 52 115

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

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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 17 11 23 51

Public Reporting Institutions 29 9 33 71

All Reporting Institutions 46 20 56 122

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

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 28 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

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

2014.

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 11 11

Public Reporting Institutions 18 14

All Reporting Institutions 29 25

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

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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 13 13

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 12 12

Public Reporting Institutions 20 16

All Reporting Institutions 32 28

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

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ASSOCIATION OF AMERICAN MEDICAL COLLEGES PAGE 30 2015 ANNUAL DEVELOPMENT SURVEY EXECUTIVE SUMMARY

Table 15(d): Campaign Length and Goal – All Institutions

Campaign Length (Years) Campaign Goal

Private Reporting Institutions 30 30

Public Reporting Institutions 44 36

All Reporting Institutions 74 66

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

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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

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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

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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

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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

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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