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21
es Fiscal Year 2006-07 DEADLINE January 15, 2008 School Name Texas Tech University Health Sciences Center School of Medicine Name of Dean Steven L. Berk, M.D. Dean's Signature Date Principal Business Officer Elmo M. Cavin Principal Business Officer's Signature Date Preparer(s) Christine Blakney, CPA Preparer Email Address [email protected] Preparer Phone Number (806) 743-1888 ext. 233 Association of American Medical Colleges Attention: Jay Youngclaus Division of Medical School Services & Studies 2450 N. Street, NW Washington, DC 20037-1127 Phone (202) 828-0252 Email: [email protected] Fax (202) 828-1125 School Contact Information and Signature Sheet School ID Code - 814 NOTE: After obtaining signatures, please fax or mail this sheet to: LCME Part I -A Annual Financial Questionnaire on Medical School Financing AAMC #2007-040 Signature Page Printed on 2/21/2008

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Page 1: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

es Center School of Medicine

Fiscal Year 2006-07 DEADLINE January 15, 2008

School Name Texas Tech University Health Sciences Center School of Medicine

Name of Dean Steven L. Berk, M.D.

Dean's Signature Date

Principal Business Officer Elmo M. Cavin

Principal Business Officer'sSignature Date

Preparer(s) Christine Blakney, CPA

Preparer Email Address [email protected]

Preparer Phone Number (806) 743-1888 ext. 233

Association of American Medical CollegesAttention: Jay YoungclausDivision of Medical School Services & Studies2450 N. Street, NWWashington, DC 20037-1127

Phone (202) 828-0252Email: [email protected] (202) 828-1125

School Contact Information and Signature SheetSchool ID Code - 814

NOTE: After obtaining signatures, please fax or mail this sheet to:

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

AAMC #2007-040 Signature Page Printed on 2/21/2008

Page 2: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

Schedule AREVENUES AND EXPENDITURES SUMMARYTexas Tech University Health Sciences Center School of Medicine (814)Fiscal Year 2006-07

Recorded in Medical School Accounts

Not Recorded in Medical School

Accounts TotalREVENUES:

M.D. program tuition and fees $4,011,518 $6,682,968 $10,694,486 Other tuition and fees $160,905 $190,676 $351,581

Total Tuition and Fees $4,172,423 $6,873,644 $11,046,067

Federal Appropriations $0 $0 $0Adjusted State and Parent Support $48,479,223 $39,788,296 $88,267,519Local Appropriations $0 $0 $0

Total Government and Parent Support $48,479,223 $39,788,296 $88,267,519Grants and Contracts Direct Costs $39,986,707 $3,016,128 $43,002,835Facilities & Administrative Costs $1,645,256 $209,422 $1,854,678

Total Grants and Contracts $41,631,963 $3,225,550 $44,857,513

Hospital Purchased Services and Support $34,997,607 $0 $34,997,607

Gifts Revenues $5,268,817 $526,195 $5,795,012Endowment Revenues $2,897,484 $4,077,321 $6,974,805Practice Plans/Other Medical Service $179,118,032 $0 $179,118,032

Other Revenues $10,291,271 $10,009,484 $20,300,755

Total Revenues $326,856,820 $64,500,490 $391,357,310

Total Expenditures & Transfers $299,167,073 $51,870,850 $351,037,923

Net Revenues Over Expenditures $27,689,747 $12,629,640 $40,319,387

Tuition and Fees 3%Government & Parent Support 23%Grants & Contracts 11%Practice Plan 46%Hospital Support 9%Other 8%

Total All Fund Sources 100%

Percent of Total Revenues

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

AAMC #2007-040 Printed on 2/21/2008

Page 3: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

Schedule BGrants and Contracts SummaryTexas Tech University Health Sciences Center School of Medicine (814)Fiscal Year 2006-07

Recorded in Medical School

Accounts

Not Recorded in Medical School

Accounts

Total Medical School

& Affiliates

Direct Costs

Federal Grants and ContractsOrganized Research $2,957,103 $392,116 $3,349,219Training/Instruction $824,328 $0 $824,328Other Sponsored Activities $296,591 $1,077,334 $1,373,925

Total Federal Grants and Contracts Direct Costs $4,078,022 $1,469,450 $5,547,472

State and Local Governments $22,346,002 $1,053,162 $23,399,164

Private/Other Grants and Contracts $13,562,683 $493,516 $14,056,199

TOTAL DIRECT GRANTS AND CONTRACTS $39,986,707 $3,016,128 $43,002,835

Facilities & Administrative Costs

Federal Grants and ContractsOrganized Research $982,336 $170,769 $1,153,105Training/Instruction $48,655 $0 $48,655Other Sponsored Activities $17,715 $38,653 $56,368

Total Federal Grants and Contracts F&A Costs $1,048,706 $209,422 $1,258,128

State and Local Governments $102,319 $0 $102,319

Private/Other Grants and Contracts $494,231 $0 $494,231

TOTAL F&A (INDIRECT) COSTS $1,645,256 $209,422 $1,854,678

TOTAL GRANTS AND CONTRACTS $41,631,963 $3,225,550 $44,857,513

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

AAMC #2007-040 Printed on 2/21/2008

Page 4: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

Schedule CPractice Plans and Other Medical ServicesTexas Tech University Health Sciences Center School of Medicine (814)Fiscal Year 2006-07

Patient Care - Gross Charges Adjustments & AllowancesCommercial $0 $0Medicare $0 $0Medicaid $0 $0Self-pay $0 $0Other $0 $0

TOTAL GROSS CHARGES $0 TOTAL NET ADJUSTMENTS $0& ALLOWANCES

Revenues

Patient Care - Net Revenues Non-Patient Care RevenuesCommercial $29,093,402 Contracts (non-hospital) $55,161,798Medicare Patient Services Revenues $0

Medicare Fee-for-Service $16,783,617 Other Non-Patient Care Revenues $22,646,087Medicare Other $135,904 $16,919,521

Medicaid $27,124,538 $77,807,885Self-pay $14,044,721Other $14,127,965 Revenues from Hospitals $0

Total Net Patient Care Revenues $101,310,147

Subtotal Practice Plan Revenues $179,118,032

Less Hospital Revenues Transferred to Practice Plan $0

TOTAL PRACTICE PLAN NET REVENUES * $179,118,032

ExpensesTaxes and Transfers

Medical School Support (Dean's Tax) $0Other Med School Taxes/Support $0Departmental Support $0Taxes/Support (Parent University) $0Taxes/Support (Univ Hosp) $0Taxes/Support (Affiliated Hosp) $0 $0

CompensationPhysician Salary & Benefits $78,213,197Other Compensation $43,176,382 $121,389,579

Other Operating Expenses $40,810,503

Subtotal Practice Plan Expenditures & Transfers $162,200,082

Less Expenditures Supported by Hospital Revenues $0

TOTAL PRACTICE PLAN NET EXPENSES * $162,200,082

NET REVENUE OVER EXPENSES $16,917,950

* Excludes $0 of revenues and associated expenditures from affiliated hospitals

All Other

Charity CareBad DebtMedicareMedicaid

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

AAMC #2007-040 Printed on 2/21/2008

Page 5: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

Schedule DHospital Services and SupportTexas Tech University Health Sciences Center School of Medicine (814)Fiscal Year 2006-07

Recorded Not Recorded TotalUniversity Hospitals

Purchased ServicesPayments to medical school $0 $0Payments to faculty practice plan $0 $0 $0Direct payments by university hospitals $0 $0

Total Purchased Services $0 $0 $0

Housestaff Stipends $0 $0 $0Hospital Investments in the Clinical Enterprise $0 $0 $0Strategic Support for Medical School Programs $0 $0 $0

Total University Hospitals $0 $0 $0

Veterans Admin HospitalsPurchased Services

Payments to medical school $0 $0Payments to faculty practice plan $0 $0 $0Direct payments by VA hospitals $0 $0

Total Purchased Services $0 $0 $0

Resident and Fellow Stipends $0 $0 $0Hospital Investments in the Clinical Enterprise $0 $0 $0Strategic Support for Medical School Programs $0 $0 $0

Total Veterans Admin Hospitals $0 $0 $0

Other Affiliated HospitalsPurchased Services

Payments to medical school $6,467,695 $6,467,695Payments to faculty practice plan $0 $0 $0Direct payments by other affiliated hospitals $0 $0

Total Purchased Services $6,467,695 $0 $6,467,695

Resident and Fellow Stipends $26,779,881 $0 $26,779,881Hospital Investments in the Clinical Enterprise $101,289 $0 $101,289Strategic Support for Medical School Programs $1,648,742 $0 $1,648,742

Total Other Affiliated Hospitals $34,997,607 $0 $34,997,607

TOTAL HOSPITAL PURCHASED $34,997,607 $0 $34,997,607SERVICES AND SUPPORT

Total Strategic Support of Medical School Programs $1,648,742 $0 $1,648,742

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

AAMC #2007-040 Printed on 2/21/2008

Page 6: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

Schedule E

Government and Parent University SupportTexas Tech University Health Sciences Center School of Medicine (814)Fiscal Year 2006-07

Support for General Operations of the Medical School

Federal Support $0State and Parent Support $34,563,224Local Support $0

$34,563,224

Institutional support (medical school's shareof parent university's central support costs) $30,435,503

Total Support for General Operations $64,998,727

Less funds generated by the medical school butretained by the parent and/or state (includes parent assessments) -$6,873,644

Total Adjusted Operating Support $58,125,083

Special Appropriations

Special Federal Appropriations $0Special State Appropriations $30,142,436Special Local Appropriations $0

Total Special Appropriations and Allocations $30,142,436

TOTAL ADJUSTED GOVERNMENT $88,267,519& PARENT UNIVERSITY SUPPORT

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

AAMC #2007-040 Printed on 2/21/2008

Page 7: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

Revenues and Expenditures HistoryTexas Tech University Health Sciences Center School of Medicine (814)Five-Year History

FISCAL YEAR 2003

FISCAL YEAR 2004

FISCAL YEAR 2005

FISCAL YEAR 2006

FISCAL YEAR 2007

This Year vs Last Year

5-Year Annualized Growth Rate

REVENUES:

Tuition and Fees:Medical Students $6,029,270 $6,030,243 $6,545,054 $10,118,693 $10,694,486 $575,793 15.40%Other Students 169,500 178,265 206,052 288,468 351,581 63,113 20.01%

Total Tuition and Fees $6,198,770 $6,208,508 $6,751,106 $10,407,161 $11,046,067 $638,906 15.54%

Government and Parent Support:Federal Appropriations $0 $0 $0 $0 $0 $0Adjusted State and Parent Support 81,369,360 92,875,443 74,497,625 89,515,118 88,267,519 (1,247,599) 2.06%Local Appropriations 0 0 0 0 0 0

Total Government and Parent Support $81,369,360 $92,875,443 $74,497,625 $89,515,118 $88,267,519 -$1,247,599 2.06%

Grants and Contracts:Federal Direct $7,160,791 $6,908,064 $6,370,049 $6,936,447 $5,547,472 -$1,388,975 -6.18%State & Local Direct 20,508,094 12,687,817 12,953,428 14,589,362 23,399,164 $8,809,802 3.35%Private Direct 5,767,893 5,828,386 5,593,707 6,557,166 14,056,199 $7,499,033 24.94%Facilities & Admin (Indirect) 2,261,829 2,254,807 1,964,180 2,008,184 1,854,678 -$153,506 -4.84%

Total Grants and Contracts $35,698,607 $27,679,074 $26,881,364 $30,091,159 $44,857,513 $14,766,354 5.88%

Practice Plans/Other Medical Services $113,659,528 $117,916,898 $131,383,254 $152,521,403 $179,118,032 $26,596,629 12.04%

Hospitals:University Owned $0 $0 $0 $0 $0 $0Veterans Administration 45,769 0 0 0 $0 $0Other Affiliated Hospitals 24,572,466 31,990,820 31,492,553 33,690,917 $34,997,607 $1,306,690 9.24%

Total Hospital Revenues $24,618,235 $31,990,820 $31,492,553 $33,690,917 $34,997,607 $1,306,690 9.19%

Gifts $2,484,175 $3,129,983 $7,876,681 $10,381,242 $5,795,012 -$4,586,230 23.59%Endowment Income $2,631,344 $3,262,891 $3,245,203 $4,437,569 $6,974,805 $2,537,236 27.60%Other Revenues $48,388,648 $68,492,776 $34,367,885 $26,692,201 $20,300,755 ($6,391,446) -19.52%

TOTAL REVENUES $315,048,667 $351,556,393 $316,495,671 $357,736,771 $391,357,310 $33,620,539 5.57%

TOTAL EXPENDITURES & TRANSFERS $300,965,097 $319,970,120 $325,062,817 $327,786,891 $351,037,923 $23,251,032 3.92%

NET REVENUES OVER EXPENDITURES $14,083,570 $31,586,273 ($8,567,146) $29,949,880 $40,319,387 $10,369,507 30.08%

Change $14,083,570 $17,502,703 ($40,153,419) $38,517,026 $10,369,507

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

AAMC #2007-040 Printed on 2/21/2008

Page 8: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

A - Relationship of Medical School to Parent University

1) Which best describes your medical school's financial relationship to your parent university?

Free Standing Institution (no parent university; has own governance and budget and financing)

Financially Autonomous (budget and financing are not subject to parent university authorization)

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

Other 2) Are medical school revenues and expenditures recorded in the parent university's accounting system?

3) Does the medical school use the parent university's payroll system?

Texas Tech University Health Sciences Center School of Medicine

B - Tuition and Fees

4) Are tuition and fees revenues reported on Line 23 of the AFQ (Total Tuition and Fees Revenues) reported net of scholarships and fellowships used to pay tuition and fees?

Texas Tech University Health Sciences Center School of Medicine 4a) If yes, indicate the amount by which tuition and fees revenues are discounted on the AFQ.

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Yes No NA

Yes No NA

Yes No NA

Amount $

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Page 9: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

C - Grants and Contracts

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

Parent University

Medical School

Other 6) What is your most current federal negotiated F&A rate for on-campus organized research?

7) Current rate above is effective through/end date?

8) What is the basis for the negotiated F&A rate?

Modified total direct costs

Total direct costs

Salaries and wages

Other 9) Facilities and Administrative Costs from Sponsored Programs How are the Facilities and Administrative Costs from Sponsored Programs (as reported on line 51 of the AFQ "Total F&A Costs Expenditures") distributed?

Explanation of % retained by other

Federal negotiated F&A 48 %

Effective through/end date / / August 31 2010

% retained by medical school 0 %

% retained by health sciences administration 100 %

% retained by central university administration 0 %

% retained by state 0 %

% retained by other (specify below) 0 %

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Page 11: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

D - Government Appropriations

10) For AFQ Line 71 "State and Parent University Funds Expended for General Operations," are these funds:

Appropriated directly to the medical school by the State legislature

Appropriated 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 Funds. Explanation of Other Funds

Note: Question 11 is optional. If no information is available, skip to Question 12 11) Estimate the % of special state appropriations (line 73 of the AFQ) designated for:

Explanation of special state appropriations for other uses

12) Who determines the allocation of state/parent university funds for general operations to medical school departments? (i.e., state funds for general operations included 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

undergraduate medical education 19 %

graduate medical education 0 %

other educational activities 16 %

research activities 1 %

clinical activities 3 %

equipment 0 %

facilities 61 %

other uses (describe below) 0 %

Total special state appropriations %

Page 12: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

Specify who determines allocation of state funds to medical school departments

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Page 13: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

E - Hospital Affiliations

13) Hospital programmatic/strategic support List the name and type of each hospital that provided programmatic/strategic support to the medical school as reported on L123, L133, L143 on the Part I-A AFQ. Note: This question is optional. If information is unavailable, or not applicable, please skip to Section F

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Hospital Name Hospital Type $ this Report Period

1 (Click here to choose)

2 (Click here to choose)

3 (Click here to choose)

4 (Click here to choose)

5 (Click here to choose)

6 (Click here to choose)

7 (Click here to choose)

8 (Click here to choose)

9 (Click here to choose)

10 (Click here to choose)

11 (Click here to choose)

12 (Click here to choose)

13 (Click here to choose)

14 (Click here to choose)

15 (Click here to choose)

16 (Click here to choose)

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Page 14: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

F - Gifts and Endowments

14) Market value of endowments by type ENTER ONLY THE BREAKDOWNS OR THE TOTAL, BUT NOT BOTH.

15) Contributions to endowment (principal) this report period

16) For the Unrestricted Gift Revenue reported on Line 162 of the AFQ, indicate:

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Market value of quasi-endowments 24263494 $

Market value of term endowments $

Market value of true/pure endowments 203736732 $

Market value of other endowments $

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

New cash contributions to endowment principal 76456027 $

Irrevocable pledges to endowment principal made this report period $

Total new cash contributions to endowment funds $

Amount of irrevocable pledges included on Line 162 621520 $

Amount of non-irrevocable pledges include on Line 162 $

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Page 15: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

G - Faculty Practice Plan

17) Which best describes the structure of your faculty practice plan? If you select "No Practice Plan" then you will skip to "Question 21."

No Practice Plan

Departmental Practice Model

Federated Practice Plan

Multi-specialty Group Practice Model

Other (describe below) Describe other faculty practice plan type

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Page 16: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

G - Faculty Practice Plan

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

Multiple professional corporations

Owned by the university or school of medicine

For-profit corporation

Separate not-for-profit corporation

One professional corporation

Other (describe below)

Not Applicable Describe other legal structure

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

Medical-school based

Hospital-based

Health-system based

Other (describe below)

Not Applicable Describe other organizational location

20) 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

"Front-end" tax based on % of gross collections less admin expense and physician compensation

"Back-end" tax based on % of practice plan residual net income

No assessment

Other (describe below)

Not Applicable Describe other basis for dean's tax

Page 17: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

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Page 18: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

H - Capital Investment

21) Expenditures this report period associated with plant operation and maintenance

22) New funds received this report period for building construction or renovation (report only that portion related to space owned/occupied by the medical school)

Describe other funds received for construction or renovation

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

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Total expenditures for plant operations 44059812 $

Paid directly by the medical school $

New capital funds received this year from government appropriations (federal, state, local) 8076277 $

New capital funds received this year from private donations $

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

$

Other (describe below) $

Total $

Yes No NA

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Page 19: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

I - Debt/Debt Service

24) Debt service (interest and principal) paid from medical school operating funds and included in expenditures reported on the AFQ Enter zero if debt service payments are not included in expenditures reported on the AFQ

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

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Debt service 0 $

Current outstanding debt 0

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Page 20: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

J - Medical School Financial Reporting

26) Indicate the reporting period for revenues and expenditures reported on the AFQ

27) If separate financial statements exist for the medical school, are they:

Audited and prepared in accordance with the Governmental Accounting Standards Board (GASB)

Audited and prepared in accordance with the Financial Accounting Standards Board (FASB)

Not audited, but compliant with Generally Accepted Accounting Principles (GAAP)

No separate, GAAP-compliant financial statements exist for the medical school 28) Does the medical school have its own bond rating separate from the parent university?

29) Most recent bond rating for the medical school (if the medical school has its own bond rating

30) Most recent bond rating for the parent university

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Fiscal Year begin date / / September 1 2006

Fiscal Year end date / / August 31 2007

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

Standard & Poor's

Moody's Investor's Service

Standard & Poor's AAA

Moody's Investor's Service

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Page 21: School Contact Information and Signature Sheet School ID ......Government and Parent University Support Texas Tech University Health Sciences Center School of Medicine (814) Fiscal

LCME Part I-A Overview

Texas Tech University Health Sciences Center School of Medicine

K - General Comments

31) Please describe below any significant organizational changes during the past year that affect your financial report

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

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