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LCME IA OVERVIEW OF FIN & ORG. CHARACTERISTICS Texas Tech University Health Sciences Center School of Medicine

Status: SubmittedRequired Fields Completed: 19 of

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Contact Information

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*First Name ChristineChristine*Last Name BlakneyBlakney*Telephone (i.e. xxx-xxx-xxxx) 806806--743743--1888 ext 2331888 ext 233*Email [email protected]@ttuhsc.edu

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A - Relationship of Medical School to Parent University

A1 *Which best describes your medical school's financial relationship to your parent university?

Financially Integrated with University (budget and financing are subject to parent authorization)

Other relationship with parent university - Describe below

A2 *Are medical school revenues and expenditures recorded in the parent university's accounting system?

Yes No NA

A3 *Does the medical school use the parent university's payroll system?

Yes No NA



Page 1 of 1IDS Survey





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B - Tuition and Fees

B1 *Are tuition and fees revenues reported on Line 23 of the AFQ (TOTAL TUITION AND FEE REVENUES) reported net of scholarships and fellowships used to pay tuition and fees?

Yes No NA

If yes, indicate the amount by which tuition and fees revenues are discounted on the AFQ$Note: Please enter a whole value without dollar signs, decimals, or commas.








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C - Grants and Contracts

C1 *Who is responsible for negotiating the Facilities & Administrative (F&A) cost rate that applies to federal grants and contracts associated with the medical school?

Other

C2 What is your most current federal negotiated F&A rate for on-campus

organized research? 4848 %Note: Please enter a whole value without dollar signs, decimals, or commas.

C3 Current rate above is effective through/end date?(mm/dd/yyyy) 08/31/200708/31/2007

C4 *What is the basis for the negotiated F&A rate?

Modified total direct costs

Explanation of "Other" Basis for negotiated F&A Rate

C5 Facilities and Administrative Costs from Sponsored ProgramsNote: Please enter a whole value without dollar signs, decimals, or commas.

How are the Facilities and Administrative Costs from Sponsored Programs (as reported on line 51 of the AFQ "Total F&A Costs Expenditures") distributed?



% retained by medical school %

% retained by health sciences administration 100100 %% retained by central university administration %

% retained by state %% retained by other (specify below) %

Explanation of % retained by other








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D - Government Appropriations

D1 State funds for general operations reported on AFQ Line 71 ("State Funds expended for general operations")

* Are state funds reported above:

Appropriations directly to the medical school by the State legislature Appropriations to the parent university; parent allocated funds to medical school Other (describe below) Not applicable - Medical school receives no state funds for general operations

Explanation of Other State Funds

Note: Question D2 is optional. If no information is available skip to Question D3.

D2 Estimate the % of special state appropriations (line 73 of the AFQ) designated for:Note: Please enter a whole value without dollar signs or commas.

undergraduate medical education 4343 %

graduate medical education %other educational activities 4545 %

research activities 22 %clinical activities 1010 %equipment %

facilities %other uses (describe below) %

Total state appropriations 100100 %



Explanation of special state appropriations for other uses

D3 *Who determines the allocation of state funds for general operations to medical school departments?(i.e., state funds for general operating $ reported on Line 71 of the AFQ)

Dean/Dean's office Parent university administration State Legislature Other (specify below) Not Applicable - Medical School receives no state appropriations

Specify who determines allocation of state funds to medical school departments








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E - Hospital Affiliations

E1 Hospital programmatic/strategic support

List the name and type of each hospital that provided programmatic/strategic support to the medical schoolNote: This question is optional. If information is unavailable or not applicable please skip to Section F.

Hospital Name Hospital Type $ this Report Period1 Select One

2 Select One

3 Select One

4 Select One

5 Select One

List your additional hospital affiliations below

Hospital Name Hospital Type $ this Report Period6 Select One

7 Select One

8 Select One

9 Select One

10 Select One

11 Select One

12 Select One

13 Select One

14 Select One

15 Select One

16 Select One

17 Select One

18 Select One



19 Select One

20 Select One

21 Select One

22 Select One

23 Select One

24 Select One

25 Select One








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F - Gifts and Endowments

F1 Market value of endowments by typeNote: Please enter a whole value without dollar signs, decimals, or commas.ENTER ONLY THE BREAKDOWNS OR THE TOTAL, BUT NOT BOTH.

Market value of quasi-endowments $ 2159308521593085Market value of term endowments $Market value of true/pure endowments $ 129432470129432470Market value of other endowments $

Total Endowment $(Only use if breakdowns are not available.)

F2 Contributions to endowment (principal) this report periodNote: Please enter a whole value without dollar signs, decimals, or commas. New cash contributions to endowment principal $ 1991480619914806Irrevocable pledges to endowment principal made this report period $

Total new cash contributions to endowment funds $ 1991480619914806

F3 For the Unrestricted Gift Revenue Reported on Line 162 of the AFQ, indicate:

Note: Please enter a whole value without dollar signs, decimals, or commas. the amount of irrevocable pledges included on Line 162 $ 234138234138the amount of non-irrevocable pledges include on Line 162 $

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G - Faculty Practice Plan

G1 *Which best describes the structure of your faculty practice plan?Note: If you answer "No Practice Plan" for Question G1, please skip to the next page of the survey.

Multi-speciality Group Practice Model

Describe Other faculty practice plan type

G2 Which best describes the legal structure of your faculty practice plan?

Owned by the university or school of medicine

Describe Other legal structure

G3 Which best describes the primary basis of authority for the faculty practice plan?

Medical-school based

Describe other organizational location



G4 Which best describes the basis for practice plan contributions to the medical school/dean's tax?

"Front-end" tax based on % of gross collections by practice plan

Describe other billing arrangement








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H - Capital Investment

H1 Expenditures this report period associated with plant operation and maintenanceNote: Please enter a whole value without dollar signs, decimals, or commas.

Total expenditures for plant operations $ 5228928452289284Paid directly by the medical school $

H2 New funds received this report period for building construction or renovation(report only that portion related to space owned/occupied by the medical school)Note: Please enter a whole value without dollar signs, decimals, or commas. New capital funds received this year from government appropriations (federal, state, local) $ 86566728656672New capital funds received this year from private donations $

Operating funds transferred to capital accounts (included in total expenditures on the AFQ)$

Other (describe below) $ 1350000013500000

Total$ 2215667222156672

Describe other funds received for construction or renovationInteragency ContractInteragency Contract

H3 Has depreciation been included as an operating expense on the AFQ?

Yes No NA



If yes, indicate the $ amount of depreciation expense reported on the AFQ Note: Please enter a whole value without dollar signs, decimals, or commas. $

If yes, indicate below which lines on the AFQ include depreciation expenses








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Note: Please enter whole values without dollar signs, decimals, or commas for dollar values below.

I - Debt/Debt Service

I1 *Debt service (interest and principal) paid from medical school

operating funds and included in expenditures reported on the AFQ $ 00Enter zero if debt service payments are not included in expenditures reported on the AFQ.

I2 *Current outstanding debt for which the medical school is responsible (Exclude debt for which parent university or state are responsible. Include balanceof loans, mortgages, third-party settlements, mortgages, loans, and notes payable) $ 00Enter zero if your school has no outstanding indebtedness.








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J - Medical School Financial Reporting

J1 *Indicate the reporting period for revenues and expenditures reported on the AFQ Fiscal Year begin date (mm/dd/yyyy) 09/01/200509/01/2005Fiscal Year end date (mm/dd/yyyy) 08/31/200608/31/2006

J2 *Does the medical school prepare audited financial statements?

Yes No

J3 *If your medical school prepares its own audited financial statements, are they prepared inaccordance with the Government Accounting Standard Board (GASB) the Financial Accounting Standards Board (FASB) NA - medical school does not prepare financial statements

J4 *Does the medical school have its own bond rating separate from the parent university?

Yes No NA - medical school does not have a parent university

J5 Most recent bond rating for the medical school (if the medical school has its own bond rating) Standard & Poor's

Moody's Investor's Service

J6 Most recent bond rating for the parent university

Standard & Poor's AAAAAA



Moody's Investor's Service








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K - General Comments

K1 Please describe below any significant organizational changes during the past year that affect your financial repor

K2 Comment on any unusual characteristics of your institution that affect your financial report





Current Funds Revenues, Expenditures and Transfers - Data Entry SheetRecorded Not Recorded Total

DEADLINE JANUARY 17, 2007

LCME Part I-A Annual Financial Questionnaire on Medical School Financing

Tuition Revenues and Expenditures

Revenues from tuition and fees (T&F) assessed to medical students $3,846,462.24 $6,272,230.60 $10,118,693 (U)Revenues from T&F assessed to graduate students

enrolled in medical school programs $10,506.50 $127,370.60 $137,877 (U)

Revenues from continuing medical education programs $145,311.90 $5,279.49 $150,591 (U)

Other tuition and fees revenues $0.00 $0.00 $0 (U)

TOTAL TUITION AND FEES REVENUES $4,002,280.64 $6,404,880.69 $10,407,161 (U)

Expenditures this fiscal year associated $4,002,280.64 $6,404,880.69 $10,407,161 (U)

with tuition & fees recorded in medical school accounts

Grants & Contracts Expenditures

Direct Costs Expenditures:

Federal Grants and Contracts for Organized Research $3,466,412.73 $1,029,714.17 $4,496,127 (U)

Federal Grants and Contracts for Training/Instruction $1,090,151.04 $10,612.12 $1,100,763 (U)

Other federal sponsored programs $818,698.00 $520,859.01 $1,339,557 (U)

Total Direct Costs (Federal Government) $5,375,261.77 $1,561,185.30 $6,936,447 (U)

State and Local Gov't Grants and Contracts $14,509,153.77 $80,208.27 $14,589,362 (U)

Other Grants and Contracts Direct Expenditures $6,487,213.32 $69,952.95 $6,557,166 (U)

Total Grants and Contracts Direct Expenditures $26,371,628.86 $1,711,346.52 $28,082,975 (U)

Facilities & Administrative (Indirect) Costs

F&A costs charged to federal grants & contracts for organized research $1,325,052.95 $174,770.01 $1,499,823 (U)

F&A costs charged to federal training/instruction grants/contracts $44,412.09 $0.00 $44,412 (U)

F&A costs charged to other federal sponsored programs $28,346.86 $0.00 $28,347 (U)

Total Federal F&A Costs Expenditures $1,397,811.90 $174,770.01 $1,572,582 (U)

F&A costs charged to State and Local Gov't Grants and Contracts $61,092.01 $4,859.52 $65,952 (U)

F&A costs charged to Other Grants and Contracts $369,650.42 $0.00 $369,650 (U)

Total F&A Costs Expenditures $1,828,554.33 $179,629.53 $2,008,184 (U)

TOTAL GRANTS/CONTRACTS $28,200,183.19 $1,890,976.05 $30,091,159 (U)

Expenditures of F&A costs allocated $2,008,183.86 $2,008,184 (U)

to the medical school

Estimated # of full-time equivalent (U)

(FTE) faculty actively engaged in sponsored programs activities

Government Appropriations Expenditures

Federal Appropriations (excluding grants & contracts)

Federal Appropriations expended for general operations $0.00 $0.00 $0 (U)

Special Federal Appropriations $0.00 $0.00 $0 (U)

AAMC #06-049 Page - 1 - Printed on 3/28/2007




Total Federal Appropriations $0.00 $0.00 $0 (U)

State Support & Appropriations (excludes grants & contracts):

State Funds expended for general operations $34,179,984.00 $34,179,984 (U)

Institutional support not charged to the Medical School $29,701,243.00 $29,701,243 (U)

Special State Appropriations $13,768,308.00 $18,270,464.00 $32,038,772 (U)

Interstate Compacts $0.00 $0.00 $0 (U)

Subtotal State Funds Expended $47,948,292.00 $47,971,707.00 $95,919,999 (U)

Tuition and Fees Retained by State/Parent $6,404,880.69 $6,404,881 (U)

Facilities & Administrative (Indirect) Costs Retained by State/Parent $0.00 $0 (U)

Other Funds Retained by State/Parent $0.00 $0 (U)

Subtotal Funds Retained by State/Parent University $0.00 $6,404,880.69 $6,404,881 (U)

Total Adjusted State Appropriations $47,948,292.00 $41,566,826.31 $89,515,118 (U)

Local Appropriations (excludes grants and contracts)

Local Appropriations expended for general operations $0.00 $0.00 $0 (U)

Special Local Appropriations $0.00 $0.00 $0 (U)

Total Local Appropriations $0.00 $0.00 $0 (U)

TOTAL EXPENDITURES AND TRANSFERS $47,948,292.00 $41,566,826.31 $89,515,118 (U)FROM GOVERNMENT APPROPRIATIONS

Parent University Support Funds Expenditures

Parent University Appropriation Expended $0 (U)

Institutional (overhead) Support not charged to the medical school $0 (U)

Subtotal Parent Support $0.00 $0.00 $0 (U)

Parent University Assessment $0 (U)

Tuition and Fees Retained by Parent $0 (U)

Facilities and Administrative (F&A/Indirect) Costs Retained by Parent $0 (U)

Other Funds Retained by Parent $0 (U)

Subtotal Funds Retained or Assessed by Parent $0.00 $0.00 $0 (U)

TOTAL ADJUSTED PARENT $0.00 $0.00 $0 (U)UNIVERSITY SUPPORT

Hospital Funds Expended

University Owned HospitalsUniversity hospital funds transferred to the medical

school for purchased services $0.00 $0 (U)

University hospital funds transferred to practice plans in payment for purchased services $0.00 $0.00 $0 (U)





Expenditures on university hospital books for services provided by medical school or practice

plan(s)$0.00 $0 (U)

Housestaff stipends paid from university hospital funds $0.00 $0.00 $0 (U)

Programmatic/Strategic investment from university hospitals $0.00 $0.00 $0 (U)

Other support from university hospitals $0.00 $0.00 $0 (U)

Total Expenditures and transfers from University Hospital funds $0.00 $0.00 $0 (U)

Veterans Affairs (VA) HospitalsVA hospital funds transferred to medical school for

purchased services $0.00 $0 (U)

VA hospital funds transferred to practice plans in payment for purchased services $0.00 $0.00 $0 (U)

Expenditures on VA hospital books for services provided by medical school or practice plan(s) $0.00 $0 (U)

Housestaff stipends paid from VA hospital funds $0.00 $0.00 $0 (U)

Programmatic/Strategic investment funds from VA hospitals $0.00 $0.00 $0 (U)

Other support from VA hospitals $0.00 $0.00 $0 (U)

Total Expenditures and transfers from VA Hospital Funds $0.00 $0.00 $0 (U)

Other Affiliated HospitalsOther affiliated hospital funds transferred to medical

school for purchased services $6,438,071.76 $6,438,072 (U)

Other affiliated hospital funds transferred to practice plans in payment for purchased services $0.00 $0.00 $0 (U)

Expenditures on the books of other affiliated hospitals for services provided by medical school or

practice plan(s)$0.00 $0 (U)

Housestaff stipends paid from other affiliated hospital funds $27,252,845.14 $0.00 $27,252,845 (U)

Programmatic/Strategic investment from other affiliated hospitals $0.00 $0.00 $0 (U)

Other support from other affiliated hospitals $0.00 $0.00 $0 (U)

Total Expenditures/transfers from Other Affiliated Hospitals Funds $33,690,916.90 $0.00 $33,690,917 (U)

TOTAL EXPENDITURES AND TRANSFERS $33,690,916.90 $0.00 $33,690,917 (U)

FROM HOSPITAL FUNDS

Restricted Gifts & Endowment Funds Expenditures

Restricted Gift Funds Expended $6,002,360.00 $4,144,744.00 $10,147,104 (U)

Expenditures from funds generated by restricted endowments $1,103,188.00 $175,924.00 $1,279,112 (U)

TOTAL EXPENDITURES AND TRANSFERS FROM $7,105,548.00 $4,320,668.00 $11,426,216 (U)

RESTRICTED GIFTS & ENDOWMENT FUNDS

Unrestricted Gifts & Endowment Revenues & Expenditures

Revenues from Unrestricted Gifts $233,495.00 $643.00 $234,138 (U)

Payout from Unrestricted Endowment Funds $1,088,747.00 $2,069,710.00 $3,158,457 (U)





Total Revenues from Unrestricted Gifts and Endowments $1,322,242.00 $2,070,353.00 $3,392,595 (U)

Unrestricted Gift Funds Expended $0.00 $0.00 $0 (U)

Unrestricted Endowment Funds Expended $382,341.46 $0.00 $382,341 (U)

TOTAL EXPENDITURES AND TRANSFERS FROM $382,341.46 $0.00 $382,341 (U)UNRESTRICTED GIFTS AND ENDOWMENT FUNDS

Practice Plans (Charges, Revenues and Expenditures)

Gross ChargesCommercial (e.g., Trigon) $0.00 $0 (C)

MEDICARE Fee-for-service $0.00 $0 (C)

MEDICARE Other $0.00 $0 (C)

MEDICAID Pediatrics (Med) $0.00 $0 (C)

MEDICAID ObGyn (Med) $0.00 $0 (C)

MEDICAID Emergency (Med) $0.00 $0 (C)

MEDICAID Other/Unspecified $0.00 $0 (C)

Self Pay $0.00 $0 (C)

Other $0.00 $0 (C)

Total Gross Charges $0.00 $0.00 $0 (C)

Adjustments and AllowancesCharity Care $0.00 $0 (C)

Bad Debt $0.00 $0 (C)

Medicare $0.00 $0 (C)

Medicaid $0.00 $0 (C)

All Other $0.00 $0 (C)

Total Adjustments and Allowances $0.00 $0.00 $0 (C)

Patient Care - Net RevenuesCommercial $27,181,704.00 $0.00 $27,181,704 (C)

MEDICARE Fee-for-service $17,286,082.63 $0.00 $17,286,083 (C)

MEDICARE Other $53,568.00 $0.00 $53,568 (C)

MEDICAID Pediatrics (Med) $0.00 $0 (C)

MEDICAID ObGyn (Med) $0.00 $0 (C)

MEDICAID Emergency (Med) $0.00 $0 (C)

MEDICAID Other/Unspecified $28,329,877.60 $0.00 $28,329,878 (C)

Self-pay $11,128,515.00 $0.00 $11,128,515 (C)

All Other Patient Care Net Revenues $9,874,907.00 $0.00 $9,874,907 (C)

Total Net Patient Care Revenues $93,854,654.23 $0.00 $93,854,654 (C)

Revenues from affiliated hospitals(from hospital transfers reported above) $0.00 $0.00 $0 (U)





Non-Patient Care RevenuesContracts (not related to affiliated hospitals) $51,752,141.00 $0.00 $51,752,141 (C)

Patient Services Revenues $2,454,424.00 $0.00 $2,454,424 (C)

Other non-patient care revenues (describe below) $4,460,184.00 $0.00 $4,460,184 (C)

Total Non-Patient Care Revenues $58,666,749.00 $0.00 $58,666,749 (C)

Subtotal - Practice Plan Total Revenues $152,521,403.23 $0.00 $152,521,403 (C)

Less Hospital Revenues $0.00 $0.00 $0 (C)

TOTAL PRACTICE PLAN NET REVENUES $152,521,403.23 $0.00 $152,521,403 (C)

Explanation for Other Non-Patient Care Revenues:

Practice Plan ExpensesMalpractice Expenses $300,488.00 $0.00 $300,488 (C)

Taxes and Transfers:

Medical School Support (Dean's Tax) $0.00 $0.00 $0 (C)

Other Taxes/Support (Medical School) $0.00 $0.00 $0 (C)

Department Support (Medical school departments) $0.00 $0.00 $0 (C)

Other Taxes/Support (Parent University) $0.00 $0.00 $0 (C)

Other Taxes/Support (University Hospital) $0.00 $0.00 $0 (C)

Other Taxes/Support (Affiliated Hospitals) $0.00 $0.00 $0 (C)

Other Taxes $0.00 $0.00 $0 (C)

Compensation Expenses:

Physician Salaries and Benefits $65,099,930.00 $0.00 $65,099,930 (C)

Compliance $1,732,211.00 $0.00 $1,732,211 (C)

All Other Compensation $38,526,676.00 $0.00 $38,526,676 (C)

Operating Expenses (Non-Staff)

Clinical $4,480,540.00 $0.00 $4,480,540 (C)

Compliance $921,471.00 $0.00 $921,471 (C)

All Other Operating Expenses $41,033,032.00 $0.00 $41,033,032 (C)

Subtotal - Practice Plan Total Expenses $152,094,348.00 $0.00 $152,094,348 (C)

Less Expenditures Supported by Hospital Revenues transferred to Practice Plan(s) $0.00 $0.00 $0 (U)

TOTAL PRACTICE PLAN NET EXPENSES AND TRANSFERS $152,094,348.00 $0.00 $152,094,348 (C)

Practice Plan Funds transferred to the medical school (e.g., dean's tax and dept support) not spent this fiscal year $0.00 $0 (C)

Other Revenues and Expenditures

Investment and Other Miscellaneous income; Interdepartmental funding





Sales and Services Revenues $6,519,649.07 $268,481.52 $6,788,131 (U)

Royalty Income $0.00 $0.00 $0 (U)

Interest Income $3,875,281.67 $6,498,246.02 $10,373,528 (U)

Operating Gains/(Losses) on Investments $4,829,151.48 $4,340,263.67 $9,169,415 (U)

Leases/Rental Income $0.00 $0.00 $0 (U)

Other Revenues (Describe below if amount is material) $240,254.85 $120,872.43 $361,127 (U)

TOTAL OTHER REVENUES $15,464,337.07 $11,227,863.64 $26,692,201 (U)

OTHER EXPENDITURES and TRANSFERS $0 (U)

Explanation of Other Revenues:

Total Revenues Reported Above $290,255,203.03 $67,481,567.69 $357,736,771 (C)

Total Expenditures Reported Above $273,603,539.72 $54,183,351.05 $327,786,891 (C)

Net Revenues over Expenditures Total $16,651,663.31 $13,298,216.64 $29,949,880 (C)


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