financial report - Finance
Transcription
financial report - Finance
ThethanBrain —is wider the Sky — 2 0 0 6 FINANCIAL REPORT ON THE COVER Buttrick Hall Built in 1928, in the Collegiate Gothic style, Buttrick Hall was one of three similar Vanderbilt classroom buildings for which the John D. Rockefeller–funded General Education Board (GEB) played a major role in funding. The name Buttrick Hall recognizes GEB officer Wallace Buttrick, who had been a strong advocate for Vanderbilt’s academic and medical developments. After a renovation and addition that more than doubled its size in 2005, today’s Buttrick Hall includes classrooms, lecture halls, interdisciplinary program offices, and an atrium for undergraduate and graduate students. The modernized facility is equipped to support academic conferences, public lecture series, and the burgeoning activities of Vanderbilt’s transinstitutional centers. The Vanderbilt University 2006 Financial Report Mission, Goals, and Values V anderbilt University is a center for scholarly research, informed and creative teaching, and service to the community and society at large. Vanderbilt will uphold the highest standards and be a leader in the: ● ● ● quest for new knowledge through scholarship; dissemination of knowledge through teaching and outreach; and creative experimentation of ideas and concepts. In pursuit of these goals, Vanderbilt values most highly: ● ● intellectual freedom that supports open inquiry; and equality, compassion, and excellence in all endeavors. About the University V anderbilt University is a privately endowed, coeducational, not-for-profit, nonsectarian institution located in Nashville, Tennessee. Founded in 1873, the university operated under the auspices of the Methodist Episcopal Church South until 1914. Since that time, it has been governed by an independent, self-perpetuating Board of Trust. The university is named for the shipping and railway magnate Commodore Cornelius Vanderbilt, who gave one million dollars to build and endow a university that would “contribute to strengthening the ties which should exist between all sections of our common country.” Today, Vanderbilt University is internationally recognized as one of the premier research and teaching universities. Vanderbilt’s undergraduate, graduate, and professional programs rank among the finest in the world. The university’s students—approximately 6,400 undergraduates and 5,100 graduate and professional students—and more than 2,600 full-time faculty and 17,500 staff members work together to support multidisciplinary study, academic research, and public service. Vanderbilt University also provides health care services through its hospitals and clinics, which include Vanderbilt University Hospital, The Vanderbilt Clinic, and the Monroe Carell Jr. Children’s Hospital at Vanderbilt. The university maintains state-of-the-art facilities on its 330-acre campus. Vanderbilt’s academic enterprise comprises interdisciplinary programs and centers, as well as 10 schools and colleges—College of Arts and Science, Graduate School, Blair School of Music, Divinity School, School of Engineering, Law School, School of Medicine, School of Nursing, Owen Graduate School of Management, and Peabody College of education and human development. For more information, please visit the Vanderbilt University Web site at www.vanderbilt.edu. A link to Vanderbilt’s Financial Report can be found at www.vanderbilt.edu/divadm/finrprt. Table of Contents Letter from the Chancellor 2 Letter from the Chairman of the Board of Trust 3 The Year at a Glance 4 Vanderbilt University Statistics 14 2006 Financial Report Overview 16 Financial Ratios 34 Endowment Review 36 Consolidated Financial Statements Independent Auditors’ Report 40 Consolidated Statements of Financial Position 41 Consolidated Statements of Activities 42 Consolidated Statements of Cash Flows 43 Notes to the Consolidated Financial Statements 44 Supplemental Information Vanderbilt University Hospitals and Clinics Results of Operations 58 General Officers 59 Board of Trust 60 Letter from the Chancellor E very year, Vanderbilt reviews the use of our resources, in order to see how they have been allocated and distributed, and also to see how they have enabled us to accomplish and act in alignment with our institutional goals. As the fruit of that review, Vanderbilt publishes this Financial Report annually to document the progress in the execution of our strategic plans. By any measure, we have been extraordinarily successful. Financial Reports of the past six years have borne witness to the steady enhancement of the undergraduate experience at Vanderbilt, to the refinement of graduate education here, to the integration of our professional schools with the greater life of the university, to our increasing mindfulness of our covenant with our community, and especially to the reconfiguration of our economic model which has helped enable the realization of our goals. This year continues that auspicious trend. Gordon Gee Chancellor Our applications have grown more than 40 percent in the past six years, and the geographic, demographic, and socioeconomic diversity of our student population has greatly expanded. Work on The Commons, a community for first-year students and the next phase in the evolution of residential life at Vanderbilt, continues apace. Our faculty and administration continue to grow and evolve as we attract world-renowned scholars, scientists, and adminis- 2 trators to join us, which in turn moves Vanderbilt into the front ranks of American universities. We are experiencing enormous success in funding for our research. The continuing and growing support Vanderbilt receives from private sources, and the success of our Shape the Future campaign, have enabled us to meet and exceed our own expectations, particularly in challenging areas such as funding innovative, cutting-edge medical research and providing scholarship support for students who would not otherwise be able to afford a Vanderbilt education. We hope that a perusal of this Financial Report will reveal how seriously Vanderbilt University takes its mission, and how seriously we consider the use of our resources to accomplish the goals we have set for ourselves. Admittedly, financial reports seldom inspire their readers to flights of poetry or imagination! But they are of great interest as manifests on a journey, as keys of how to get to where we want to go—and how we have traveled as far as we have—in a skillful way. May this Financial Report serve as a document of Vanderbilt’s increasing skill and efficiency in activating our resources to facilitate the achievement of our goals. May it be a document of our wise use. And may future Financial Reports also, as Vanderbilt evolves, reflect a greater wisdom and skill of use with every passing year. Letter from the Chairman of the Board of Trust W hen Gordon Gee arrived at Vanderbilt University in 2000, he challenged the university community with five strategic goals to guide the institution during his tenure as Chancellor. Six years later, I can say beyond question that the goals he set for us have been met. I am honored to be the chairman of Vanderbilt’s active and engaged Board of Trust, and to be a participant with all my colleagues in the evolution of this amazing and vibrant university. For us all it is a source of deep pride to observe many of the finest students in the country making Vanderbilt their first choice for undergraduate and graduate studies. Faculty members of extraordinary talent continue to choose our university as the place to practice their important disciplines. Within our gifted faculty, and between faculty and students, there is at Vanderbilt University an unprecedented culture of collaboration and discovery across campus. The quality of undergraduate education at Vanderbilt continues to improve, with initiatives in advanced undergraduate-level research. The eagerly anticipated launch of the university’s College Halls project will transform Vanderbilt into a community where living and learning are inextricable. The new Program to Enhance Graduate Education opens doors to increasing competitiveness in recruitment in Vanderbilt’s graduate programs. Initiatives such as the I invite you to tour Vanderbilt’s achievegroundbreaking new Ph.D. program in ments, not only in these pages but also by Martha R. Ingram economics and law entwine the activities visiting the campus in person. I am conChairman, Board of Trust of our professional schools with one fident you will observe the hard figures another, and with the greater life of the campus. And in a published in this document reflected in real time and space, most positive way Vanderbilt is engaging with the larger in the exciting life of this university. community of Nashville and Middle Tennessee. 3 The Year at a Glance July 2005 August 2005 The Wallace Foundation awards the Vanderbilt Learning Sciences Institute (LSI) a grant to develop a tool to assess the performance of education leaders in the nation’s K–12 public schools. According to Andrew C. Porter, LSI director and Patricia and Rodes Hart Chair of Educational Leadership and Policy, “We will use this grant to develop an assessment system for measuring critical leadership skills of individual principals and groups of educators, especially in urban settings, with the goal of improving student achievement.” ● ● Vanderbilt’s freshman class sets records for ethnic diversity, the highest average SAT scores in the university’s history, and outstanding accomplishments beyond the classroom. The incoming freshman class, composed of 22.8 percent minority students, includes a record-setting 184 National Merit Scholars, with almost 12 percent of the students finishing high school as valedictorians or salutatorians. The new class includes 499 athletic team captains, 48 student body presidents, 95 editors, 130 all-state music participants, 14 composers, and nine songwriters. ▼ Vanderbilt ranks 18th in U.S. News & World Report’s annual listing of top national universities. Vanderbilt’s most notable advance in the annual rankings comes in the listing of best values, which are determined by relating each school’s academic qualities to the net cost of attendance for a student receiving the average level of need-based financial aid. ● Joan E. King, associate professor of nursing and breast cancer survivor, rides cross-country with seventime Tour de France winner Lance Armstrong in the Bristol-Myers Squibb Tour of Hope. The Tour of Hope provides King with an opportunity to increase the public’s awareness and understanding of clinical trials, as well as to demonstrate to her students the importance of supporting cancer research. ▼ The Grand Challenges to Global Health Initiative, launched by the Bill and Melinda Gates Foundation, awards a substantial grant to a Vanderbilt-led research project to combat the spread of malaria by manipulating the mosquito’s sense of smell. Laurence J. Zwiebel, professor of biological sci- ences and the project’s overall director, has led pioneering efforts to identify mosquito odorant receptors, with the goal of developing nontoxic chemical compounds to disrupt the sense of smell that mosquitos use to identify human hosts. Such compounds would greatly reduce the spread of vectorborne diseases such as malaria, long considered to be one of the most life-threatening diseases in the world. ● U.S. News & World Report again names Vanderbilt University Medical Center (VUMC) among the nation’s elite in its annual list of the 50 best hospitals. The rankings are based upon several factors including reputation among board-certified physicians, nursing care, mortality statistics, and medical technology. Vanderbilt ranks among the top 50 in seven specialties: kidney disease; ear, nose, and throat; urology; respiratory disorders; cancer; hormonal disorders; and gynecology. 4 ▼ Vanderbilt faculty members, student leaders, senior administrators, staff, and, for the first time, a Board of Trust member visit the NASA Marshall Space Flight Center as part of the fourth annual Roads Scholars Tour. The Vanderbilt contingent also visit the Birmingham Civil Rights Institute, the Jack Daniels Distillery, and other locations as the tour again reaches beyond Tennessee’s borders to emphasize the university’s desire to create and strengthen partnerships in the entire region. The inaugural class of the Vanderbilt Health Care MBA program begins at the Owen Graduate School of Management. Leveraging a nationally ranked business school, a top academic medical center, and a large and growing concentration of local entrepreneurial health care companies, the students are afforded opportunities to learn in close collaboration with innovative health care professionals representing many perspectives. Students in the program will earn a traditional MBA and will commit to a rigorous curriculum requiring more health care–specific courses than any other program of its kind. U.S. Representative Jim Cooper, considered one of the nation’s foremost leaders on health care governance, will teach a course in health care policy as part of the new program. ● September 2005 ▼ The members of Rascal Flatts, the Country Music Association Vocal Group of the Year, make a special visit to the Monroe Carell Jr. Children’s Hospital at Vanderbilt to read stories to a room filled with young patients and their families. Following their visit, the award-winning group performs a sold-out concert at Nashville’s Gaylord Entertainment Center benefitting the Children’s Hospital. The concert raises $350,000 for the hospital, while the group’s record label, Lyric Street Records, and its parent, the Walt Disney Company, donate an additional $250,000. Governor Phil Bredesen names Vanderbilt alumna and longtime Nashville attorney Cornelia “Connie” Clark to the Tennessee Supreme Court. Bredesen says that Clark, who earned her bachelor’s and law degrees at Vanderbilt, “is knowledgeable of the law, hard working, articulate, and always conducts herself with the highest of moral standards.” Clark fills the Tennessee Supreme Court seat vacated by retiring Chief Justice Frank Drowota, who also earned his law degree at Vanderbilt. ● Vanderbilt joins forces with others to launch the Health Care Solutions Group, a unique blend of health care experts, policy makers, and representatives of various stakeholder groups that will use their collective experiences to design and test improvements to the U.S. health care system. The group will strive to find previously elusive answers to problems such as the quality, safety, and costs of health care. According to Harry R. Jacobson, vice chancellor for health affairs at Vanderbilt, “The goal is to develop real solutions to the problems and to make an impact on the health care system. We want to drive thought and action.” ● The federal Administration on Developmental Disabilities awards the Vanderbilt Kennedy Center for Research on Human Development a grant and designation as a University Center for Excellence on Disabilities Education, Research, and Service. Under the direction of Elisabeth M. Dykens, professor of psychology and the Kennedy Center’s associate director, the grant will be used to improve disability services to poor and underserved populations across Tennessee, with four areas of emphasis: education and early intervention; individual and family-centered support; physical and mental health; and recreation and the arts. ● ▼ VUMC investigators announce the discovery of a new weapon in the battle against HIV/AIDS. The researchers note that frogs, in response to skin injury or alarm, secrete large amounts of an antimicrobial compound that combats pathogens such as bacteria, fungi, and viruses. These findings prompt a commitment from the American Foundation for AIDS Research to fund continuing research and could eventually lead to a topical treatment for preventing HIV infection. 5 The Year at a Glance October 2005 André Lemont Churchwell, assistant clinical professor of medicine, is named the recipient of the Walter R. Murray Jr. Distinguished Alumnus Award presented by the Association of Vanderbilt Black Alumni. The award recognizes lifetime achievements in personal, professional, and community arenas. Churchwell has been recognized as one of the nation’s top cardiologists, has served as president of the Nashville Cardiovascular Society, and has been on the boards for the Association of Black Cardiologists and the Nashville Heart Gala. During the presentation, Myria Carpenter, president of the Association of Vanderbilt Black Alumni, describes him as “a man who has dedicated his life to helping others.” ● A group of more than 100 Vanderbilt students spend fall break assisting Hurricane Katrina survivors in Louisiana and Mississippi. Each participant makes a contribution to reserve a space and to help pay for meals and expenses during the mission. Students, faculty, and staff from Vanderbilt also organize food and blood drives, a car wash, a concert, and cookouts to benefit survivors. ● Forty-nine Vanderbilt physicians are recognized as being in the top 1 percent of their respective fields in America’s Top Doctors 2005, a book by Castle Connolly Medical Ltd. Nominated by their peers, the Vanderbilt physicians constitute nearly two-thirds of all the doctors listed in Tennessee. To identify the best doctors, a physician’s medical education, training, hospital appointments, disciplinary history, and much more are screened by a physician-led research team. ● ▼ Vanderbilt graduate student Michael Bowers makes a surprise discovery that could eventually make light bulbs obsolete. Working in the laboratory of Sandra J. Rosenthal, associate professor of chemistry, Bowers illuminates a very small batch of quantum dots with a laser beam and is surprised to see a white glow cover the table. Going a step further, Bowers mixes the dots with polyurethane and applies it to a blue LED (light-emitting diode) light bulb. To his surprise, it produces a white light similar to a regular light bulb. Bowers’ discovery is momentous, in that LEDs produce twice as much light as a regular 60-watt light bulb, draw much less current, and burn for more than 50,000 hours, which could greatly reduce U.S. energy consumption for lighting. 6 ▼ Team Vanderbilt raises $305,000 in Nashville’s American Heart Association Heart Walk 2005, making the team the third-best fundraising entity in the nation. Fred E. DeWeese, vice president of VUMC facilities planning and development, raises $170,000—an individual record for the event. According to DeWeese, “It takes a team to accomplish these kinds of goals. It wasn’t me at all. It was the willingness of our vendors, construction companies, architects, and all our partners to participate.” The Dan Marino Foundation pledges $1.2 million to establish the Marino Autism Research Institute at the University of Miami and at Vanderbilt Kennedy Center’s Treatment and Research Institute for Autism Spectrum Disorders. The crossuniversity collaborative will leverage the skills of researchers in psychology, neuroscience, medicine, and special education to answer key questions regarding the causes of autism; identify the earliest behavioral and bio-markers of autism; and develop more creative, evidence-based treatments to improve the lives of children with autism. ● ● A team of electrical engineers and neuroscientists at Vanderbilt develops a pilot guidance system that automates the most difficult part of a medical procedure called DBS, or Deep Brain Stimulation. The procedure, already proven highly effective in the treatment of movement disorders in Parkinson’s patients, is improved by the latest development, which identifies the proper location to insert electrodes. Previously, surgeons had to sometimes insert the electrodes multiple times to find the right location, thus affecting both the length of the operations and the risks of brain damage. ▼ After beginning with an exciting 4-0 start, the Vanderbilt Commodores football team caps off its season with a thrilling, come-frombehind victory over the University of Tennessee Volunteers, the first in 23 years. The win highlights a memorable year for Bobby Johnson, fifth-year head coach, and senior quarterback Jay Cutler. Cutler is later voted the Southeastern Conference Offensive Player of the Year and is named to the All-SEC squad, where he is joined by teammates Earl Bennett, Moses Osemwegie, and Dustin Dunning. Vanderbilt University ranks among the top five “Best Places to Work in Academia,” according to a survey of researchers in life sciences. The ranking, reported in The Scientist magazine, is based on the responses to a survey sent to 2,600 subscribers, who rated such factors as relationships with peers, ● sense of accomplishment in their work, and access to research resources. A total of 135 research institutions were evaluated to develop the survey results. December 2005 ▼ Reverend James Lawson, a pivotal figure in the civil rights movement and in Vanderbilt history, is named Vanderbilt’s 2005 Distinguished Alumnus. The award recognizes alumni who have furthered Vanderbilt’s mission globally through outstanding achievement and service. Lawson was controversially expelled by the Vanderbilt Board of Trust in 1960 for his organization of historic sit-ins by black students that eventually ended the racial segregation of lunch counters in downtown Nashville. The 1960 expulsion prompted members of the Vanderbilt faculty to resign in protest and was subsequently rescinded. Chancellor Gordon Gee calls Lawson “a towering figure in the history of both the civil rights movement and Vanderbilt. His words and actions changed history and continue to resonate.” Vanderbilt senior and women’s basketball captain Erica Grimaldi is named one of six national collegiate finalists for the prestigious Coach Wooden Citizen Cup. The award, named after legendary basketball coach John Wooden, recognizes athletes ▼ November 2005 7 The Year at a Glance who serve as a role model—both as a performer and as a person—exhibiting excellence both on and off the field. For Grimaldi, a walk-on player her freshman year, the nomination recognizes the dedication, hard work, and service she has exemplified in her four years at Vanderbilt. ▼ VUMC earns national designation as a primary stroke center—only the second such certification in Tennessee. The designation, awarded by the Joint Commission on Accreditation of Healthcare Organizations, is only awarded to medical centers meeting the stringent national guidelines and providing the key January 2006 ▼ Vanderbilt alumnus Charles Davis is one of only six to receive the NCAA’s 2006 Silver Anniversary Award. The award recognizes former student-athletes who completed successful collegiate careers in various sports and went on to excel in their chosen professions. Davis played basketball at Vanderbilt, achieving First Team All-SEC honors in 1979, and then played eight seasons in the National Basketball Association. In 1982, he created the Charles Davis Foundation, which provides thousands of Nashville’s innercity youth with tutoring, drug prevention programs, sports camps and leagues, job placement assistance, computer training, and scholarships. He also serves as president/CEO of CNT Enterprises, LLC, a real estate development and construction management company. services necessary for improving the outcomes of strokes, which are the leading cause of serious long-term disability and the third leading cause of death in the nation. Howard S. Kirshner, professor of neurology, states that “having this certification is important because the designation recognizes our accomplishment of standardized, excellent stroke care.” ● The Tennessean names Chancellor Gordon Gee and Reverend Becca Stevens as “Tennesseans of the Year.” Gee is chosen largely for his leadership in the campaign to integrate college sports into campus life. The Tennessean notes that in the two years since restructuring the athletic department, Vanderbilt’s athletic recruiting is robust, its teams are competitive, and its athletes are more involved in all aspects of campus life. Stevens, chaplain at Vanderbilt’s St. Augustine Chapel, is chosen for her founding role in Magdalene House, a residential rehabilitation community for women with a criminal history of drug abuse and prostitution. Magdalene women share the common goals of recovering from substance addiction; preparing for legal employment at a living wage; healing physically, spiritually, and emotionally; and reuniting with family. 8 Vanderbilt Chancellor Gordon Gee is invited to a meeting of leaders in Washington, D.C., to discuss issues regarding international relations and U.S. higher education. Hosted by Secretary of State Condoleezza Rice and Secretary of Education Margaret Spellings, the University Presidents Summit on International Education focuses on invigorating the U.S. government and higher education partnership for addressing international higher education issues. ● Travis Stork, a 33-year-old emergency room physician on hiatus from his residency at VUMC, is introduced on the ● ▼ Vanderbilt art students collaborate with nationally renowned guest artists and community artists from Nashville through a new intensive artists-in-residence course. Famed artist Judy Chicago and her photographer husband Donald Woodman lead the multimedia program with Vanderbilt art history professor Vivien Green Fryd. The artists-in-residence course further attracts students to Vanderbilt’s new studio arts major, which is being offered for the first time since the recent completion of the E. Bronson Ingram Studio Arts Center. tions. “This is truly an example of the very best that Vanderbilt has to offer with cutting-edge technology and high-level academic collaboration,” explains James P. Greelish, assistant professor of cardiac surgery. Maya Angelou, one of the world’s most prolific writers, shares her experiences during a lecture at Memorial Gym. Calling Vanderbilt “a rainbow in a cloud,” Angelou tells students that “Vanderbilt offers you a promise of hope.” Also recognized as an actress, historian, and civil rights activist, Angelou is the author of such acclaimed works as I Know Why the Caged Bird Sings, The Heart of a Woman, and All God’s Children Need Traveling Shoes. ▼ popular TV reality show The Bachelor. Stork, who had no intention of auditioning for the show, was spotted in Tennessee by a casting director while out on the town. Twenty-five women vie for Stork’s heart, including an oncologist from Florida and a kindergarten teacher from Nashville. Part of the footage is filmed in the VUMC emergency department during one of Stork’s shifts. ▼ The 2006 Dance Marathon, attended by about 500 dancers, sets a new record by raising more than $112,000 for the Monroe Carell Jr. Children’s Hospital at Vanderbilt. Vanderbilt students Lauren Poeling and Nicole Rossi, co-directors of the event, note that participants are expected to raise at least $200 and stay for the duration of the fun-filled night. Prior to the event, which is held at the Student Recreation Center, student participants conducted tours and interacted with families at the Children’s Hospital. Following her crowning as Miss Tennessee, Tara Burns, a senior voice performance major at Vanderbilt’s Blair School of Music, participates in the Miss America pageant in Las Vegas. Burns, who originally came to Vanderbilt from Birmingham, Alabama, also serves as the state’s spokesperson for the Governor’s Alliance for a Safe and Drug-Free Tennessee. ● February 2006 VUMC is first in the region to use TandemHeart, a fistsized ventricular assist device that does not require surgery. The potentially life-saving treatment option allows Vanderbilt to offer unique care for severe heart failure patients who may be too sick to undergo surgical interven- ● W. Anderson Spickard III, assistant professor of medicine, is chosen by Vanderbilt’s medical students as one of the faculty to receive the CANDLE (Caring, Advocating, Nurturing, Determination, Leadership, and Empathy) award. Recipients are nominated and chosen based upon their positive impact ● 9 The Year at a Glance on the lives of physicians-in-training, and are recognized by students as examples of excellence in medical education. One student describes Dr. Spickard as a teacher who is “knowledgeable, honest, supportive, and encouraging, all in a humble and caring manner.” across the country to win the Cross Examination Debate Association’s 2006 Novice National Debate Tournament at West Virginia University. The title marks Vanderbilt’s first national debate championship in any category since the 1980s. Following an overall 15 percent increase in research awards in the prior year, Vanderbilt reports that eight of its medical center departments rank in the top 10 for funding increases from the National Institutes of Health. Jeffrey R. Balser, James Tayloe Gwathmey Clinician-Scientist Professor and VUMC’s associate vice chancellor for research, notes that in the face of flattening federal research budgets Vanderbilt’s research growth is “a tribute to our highly innovative faculty and the extraordinarily competitive strength of their proposals.” ● March 2006 April 2006 David W. Gregory, associate professor of medicine at Vanderbilt, receives the 2006 American College of Physicians’ (ACP) Oscar E. Edwards Memorial Award for Volunteerism and Community Service at the ACP annual session in Philadelphia. Gregory was nominated for his vision and dedication in establishing the Siloam Clinic, a faithbased, volunteer-driven, health care clinic in Nashville that cares for the uninsured, underinsured, and those who have difficulty accessing health care due to language barriers. ▼ ● A panel of judges selects finalists for the inaugural Vanderbilt Prize in Biomedical Science established to honor women from across the U.S. and Canada who have made significant advances in the biological and biomedical sciences. The new prize offers a cash award to each year’s winner and, beginning in the fall of 2006, will fund a scholarship in that person’s name to be awarded to a promising M.D./Ph.D. candidate at Vanderbilt’s School of Medicine. Perhaps most important, by establishing a mentoring relationship between the student and the prize winner, the prize will engage more women in biomedical careers. ▼ For the seventh consecutive year, Vanderbilt ranks among the top 100 hospitals in the country in a study by Solucient Institute, a leading health care information company. The study scores each hospital in clinical excellence, operating Vanderbilt’s Peabody College of education and human development ranks fifth in the nation for the second consecutive year in the U.S. News & World Report annual ranking of leading graduate and professional schools. Peabody’s special education program ranks first in the nation for the fourth straight year, and overall the school sees seven of its programs rank in the top 10. Meanwhile, Vanderbilt’s Law School and School of Medicine each rank 17th while the School of Engineering and the Owen Graduate School of Management earn national rankings in the top 50 for their respective disciplines. ● efficiency, financial health, and responsiveness to the community. According to Solucient, hospitals on the list “have higher survival rates, keep more patients complication-free, and attract more patients—all while maintaining higher profits.” Vanderbilt juniors Courtney Gould and Russell Ross beat more than 80 debate teams from colleges and universities ● 10 The National Bar Association presents the 2006 Presidential Achievement Award for scholarship and teaching to Vanderbilt ● law professor Robert Belton. A leading scholar and teacher of employment law and civil rights, Belton served in the 1960s as assistant counsel for the NAACP Legal Defense and Educational Fund, Inc., where he led a national litigation project to enforce laws prohibiting discrimination in employment. Belton joined the faculty of Vanderbilt Law School in 1975 and became the school’s first tenured African American professor. He teaches courses on race and the law, the law of work, employment discrimination law, and constitutional torts. Vanderbilt’s College of Arts and Science attracts five prominent literature scholars in a blockbuster recruiting coup that advances the university’s efforts to be a major player in the study of African American literature and to deepen the scholarship of Southern and American literature. Houston Baker, Ifeoma Nwankwo, Charlotte Pierce-Baker, Alice Randall, and Hortense Spillers all agree to begin work at Vanderbilt during the fall 2006 semester. The new hires will be tapped by Vanderbilt to be leaders in continuing efforts to pursue interdisciplinary studies, train minority scholars, and reach out to historically black colleges. ● First Lady Laura Bush addresses Vanderbilt seniors gathered as part of Senior Day, stressing that dedication to serving others is the key to happiness, and recommending that they volunteer on the Gulf Coast or elsewhere in the world before starting their careers. On behalf of disaster relief workers around the world, Mrs. Bush accepts the first NicholsChancellor’s Medal, which was created and endowed by Vanderbilt Law School graduate Ed Nichols and his wife, Janice, in honor of Edward Carmack and Lucile Hamby Nichols to recognize those persons who exemplify the best qualities of the human spirit. The award comes with a cash prize of $100,000, which will be used in its first year to create the Nichols Humanitarian Fund to cover travel and living expenses for Vanderbilt students and faculty who volunteer for disaster relief assignments. ▼ ▼ VUMC LifeFlight becomes the first air ambulance program in Tennessee to receive accreditation from the Commission on Accreditation of Medical Transport Systems. The accreditation focuses on the delivery of high-quality patient care and safety in the transport environment. In VUMC LifeFlight’s 21-year history, the program has maintained an accident-free safety record while transporting more than 25,000 patients to hospitals in Nashville and surrounding areas. Peabody College presents its Distinguished Alumnus Award to Chris Barbic of Houston, Texas, founder and head of YES College Preparatory Schools and the youngest-ever award recipient. The annual award recognizes Vanderbilt alumni for significant career and community achievements, as well as a reputation of excellent character and a respected and ethical work record. In 1998, Barbic sought and was granted one of Texas’ first school charters to establish the YES College Preparatory School. The school has since grown to three campuses in the Houston area enrolling nearly 1,200 students from sixth through 12th grades. ● May 2006 Vanderbilt names Douglas L. Christiansen from Purdue University as the new associate provost for enrollment management and dean of admissions. In this newly established position designed to enhance the coordination of Vanderbilt’s admissions and financial aid efforts, Christiansen will oversee both the offices of undergraduate admissions and financial aid. Nicholas S. Zeppos, provost and vice chancellor for academic affairs, describes Christiansen as “a brilliant, thoughtful, analytical, and creative leader who will help us build on Vanderbilt’s tremendous success in recent years.” ● 11 The Year at a Glance June 2006 Staff of Vanderbilt’s Jean and Alexander Heard Library organize a book drive to benefit the New Orleans Public Library, a casualty of Hurricane Katrina. More than 1,500 books are collected at book drops across the university and then sold at the downtown Nashville Public Library to benefit libraries in New Orleans. ● The Vanderbilt Travel Program offers a unique trip to the Amazon region. Led by Jane Landers, associate professor of history, Vanderbilt alumni and other participants experience the Amazon rainforest via a 19th-century-style expedition ship, while viewing rare wildlife such as monk sakis, squirrel monkeys, and about 100 varieties of birds. ● ▼ About 20 Vanderbilt students travel to Uganda as part of the Kampala Project on Global Citizenship, a partnership of the university’s Office of Active Citizenship and Service, the School of Medicine’s Institute for Global Health, and the university’s Center for Medicine, Health, and Society. The students work a full month with various nongovernmental organizations in Kampala, Uganda, to assist in testing for HIV/AIDS and to help those infected with and orphaned by the disease. California-based painter Albert Contreras, an artist of international renown, bequeaths to Vanderbilt 24 works of art, which the university hangs in a single installation at the School of Engineering’s Featheringill Hall. The art is another step towards the vision to transform Vanderbilt into a place as conducive to artistic pursuits as it currently is to scientific study and research. ● 12 13 Vanderbilt University Statistics 2005/2006 2004/2005 2003/2004 2002/2003 2001/2002 6,402 5,079 __________ 6,272 5,022 __________ 6,283 4,809 __________ 6,319 4,566 __________ 6,235 4,261 __________ Total fall enrollment 11,481 11,294 11,092 10,885 10,496 Undergraduate admissions Applied Accepted Enrolled 11,663 4,115 1,620 11,170 4,279 1,601 10,960 4,405 1,545 9,838 4,550 1,579 9,754 4,528 1,556 35.3% 39.4% 38.3% 37.4% 40.2% 35.1% 46.2% 34.7% 46.4% 34.4% 1,499 1,030 111 455 __________ 1,519 1,011 90 416 __________ 1,514 1,017 107 383 __________ 1,552 893 93 372 __________ 1,393 849 104 380 __________ 3,095 3,036 3,021 2,910 2,726 89.3% 88.0% 86.0% 82.8% 84.1% STUDENTS Undergraduate Graduate and professional Selectivity Yield Degrees conferred Baccalaureate Master's M.D. Other doctoral Total degrees conferred Undergraduate graduation rates Undergraduate tuition rate % increase over prior year HOSPITALS AND CLINICS Licensed beds Surgical operations Hospital discharges Hospital patient days Average daily census Average length of stay (days) Clinic outpatient visits Emergency room visits LifeFlight (helicopter) missions $ 30,920 5.7% $ 29,240 5.5% $ 27,720 5.0% $ 26,400 4.8% $ 25,190 4.6% 832 38,647 46,785 254,396 697 5.4 1,019,715 90,870 2,842 832 35,022 42,599 238,266 653 5.6 940,018 82,051 2,667 800 30,803 39,640 219,518 600 5.5 824,103 76,831 2,384 746 28,896 37,855 208,361 571 5.5 698,960 71,402 1,794 746 27,678 36,391 200,434 549 5.5 688,884 70,098 1,803 Full-time faculty Full-time staff Part-time faculty Part-time staff 2,689 15,613 315 1,954 __________ 2,527 15,066 334 1,776 __________ 2,379 14,052 383 1,653 __________ 2,253 13,365 338 1,679 __________ 2,066 12,496 329 1,744 __________ Total headcount 20,571 19,703 18,467 17,635 16,635 $ 221,995 70,223 95,639 __________ $ 210,533 65,009 89,053 __________ $ 195,582 58,000 84,151 __________ $ 162,930 57,972 73,051 __________ $ 124,384 48,410 58,506 __________ Total research expenditures $ 387,857 $ 364,595 $ 337,733 $ 293,953 $ 231,300 MANAGED ENDOWMENT Market value (in thousands) Endowment per student Total return on endowment $2,915,620 $ 253,952 14.0% $2,598,227 $ 230,054 17.8% $2,264,845 $ 204,187 16.9% $1,987,810 $ 182,619 3.8% $1,989,692 $ 189,567 -5.8% 3.7% 0.5% __________ 3.9% 0.8% __________ 4.5% 0.6% __________ 5.0% 1.1% __________ 4.6% — __________ 4.2% 4.7% 5.1% 6.1% 4.6% FACULTY AND STAFF RESEARCH EXPENDITURES (in thousands) Federal Non-federal Facilities and administrative costs recovery Endowment utilized per payout policy Endowment utilized for strategic initiatives Total endowment utilized 14 Students Faculty and Staff In 2006, Newsweek magazine named Vanderbilt University as one of the nation’s “25 Hot Schools,” praising the university’s cohesive student community. Such recognition manifests itself in applications for undergraduate admissions, which reached an all-time high of 11,663 students in the fall of 2005. The degree of selectivity exercised by Vanderbilt also increased as only 35.3% of freshman applicants were accepted. Recognition as a “hot school” is also reflected in the yield rate, which continued its positive trend as 39.4% of accepted freshman applicants chose to enroll at Vanderbilt. Vanderbilt employed 20,571 regular and temporary faculty and staff in 2006, including those employed in wholly owned affiliated entities. This figure does not take into account approximately 1,300 clinical and adjunct faculty who are affiliated with Vanderbilt but are not paid directly by the university. In fiscal 2006, headcount increases occurred in Vanderbilt’s transinstitutional centers, the university’s research areas, and, particularly, in the medical center to meet increased patient care volumes. Research Expenditures 12,000 10,000 8,000 6,000 4,000 (58.0%) (35.3%) 2,000 (29.8%) 0 Fall 1995 ■ Applied ■ Accepted (Selectivity) (39.4%) Fall 2005 ■ Enrolled (Yield) $450 $400 $350 $300 (in millions) Undergraduate Admissions To illustrate the remarkable trends in Vanderbilt’s selectivity and yield rates, undergraduate admissions data from last year and ten years prior are shown below: Expenditures for externally funded sponsored research and separately budgeted university research increased by 6.4% from the prior year to total $387.9 million in fiscal 2006. Sponsored research and project awards, which include multiple-year grants and contracts, totaled $448.3 million in fiscal 2006 and $443.7 million in fiscal 2005. Included within those awards, in addition to current and future funding for research activities, are external grants and contracts for instruction, public service, and other activities. Research Expenditures Vanderbilt’s student enrollment for the 2005/2006 academic year totaled 11,481 students, about 95% of whom were fulltime students. Positive trends for applications, selectivity, and yield rates, as well as for retention and graduation rates, continued into the fall of the 2006/2007 academic year, for which the university implemented an undergraduate tuition rate of $32,620. $250 $200 $150 $100 $50 $0 2001/2002 ■ Federal 2002/2003 ■ Non-federal 2003/2004 2004/2005 2005/2006 ■ Facilities and administrative costs recovery Hospitals and Clinics Managed Endowment Vanderbilt has established itself as the health care provider of choice in Middle Tennessee. In fiscal 2006, an increase in the utilization of staffed beds and the addition of new operating room suites allowed Vanderbilt to admit and discharge increasing numbers of patients. Increases in surgical operations, emergency room visits, and hospital patient days occurred in both the adult and pediatric areas. Further, Vanderbilt experienced an 8.5% increase in clinic outpatient visits, many of which occurred in Vanderbilt’s expanding network of clinics in Williamson County. Outpatient visits increased in all of the primary care practices, with particularly large increases in the specialty practices of pediatrics, cancer, diabetes, and obstetrics and gynecology. The market value of Vanderbilt’s endowment totaled $2.92 billion as of June 30, 2006. Strategic endowment management resulted in a positive return of 14.0% for fiscal 2006, with particularly strong returns in emerging markets and other industrialized international markets. Endowment utilization per the payout policy is calculated using 4.5% of the previous three years’ average market values. Additional endowment distributions commenced in fiscal 2003 to support transinstitutional initiatives through the Academic Venture Capital Fund. In fiscal 2006, these factors resulted in the combined utilization of 4.2% of the current year’s average market value to fund scholarships, faculty chairs, research, operating activities, and strategic investments in transinstitutional initiatives. 15 2006 Financial Report Overview M omentum. As we reflect on Vanderbilt’s achievements and the financial performance for fiscal 2006, one cannot help but notice the potential for the future. This institution’s leadership has set ambitious goals challenging the university community to strive for excellence in the mission-driven areas of education, research, patient care, and public service. Vanderbilt’s faculty, students, and staff demonstrate the drive and determination necessary to reach these goals and to raise the bar of expectations even higher. A focus on transinstitutional initiatives continues to promote cross-campus collaborations that place Vanderbilt on the cutting-edge of developments in academics and research. The keystone of Vanderbilt is its integrated community, where 16 students have ample opportunity to develop not only as scholars, but also as well-rounded individuals. The value of this is evidenced by our many unique program offerings that enjoy stronger than ever student demand. During the past year, significant progress was made toward the launching of College Halls at Vanderbilt—the transformative residential life program that will provide an even greater living and learning environment for students. Vanderbilt’s goals and aspirations would not be possible without the support of a solid financial foundation. Hence, this Financial Report exemplifies our commitment not only to provide for current operations and activities in support of Vanderbilt’s mission, but also to provide the firm footing needed to foster outstanding achievements for years to come. Vanderbilt’s Financial Position Summary of Changes in Net Assets In fiscal 2006, Vanderbilt’s net assets reached an all-time high—in excess of $4 billion—following another year of strong operating results and a third consecutive year of double-digit returns on endowment assets. Total Net Assets As of June 30, 2006, Vanderbilt’s financial position consisted of total assets of $6,042.6 million and total liabilities of $1,716.9 million—resulting in net assets of $4,325.7 million. Total Net Assets (in millions) $5,000 As summarized in the table below, the university’s net assets increased by $438.3 million in fiscal 2006 and $328.0 million in fiscal 2005. Unrestricted operating results, which are discussed further on the next page, totaled $54.0 million and $31.3 million in fiscal 2006 and 2005, respectively. $4,000 $3,000 $2,000 Other net assets Plant equity Managed endowment $1,000 Summary of Changes in Net Assets (in millions) 2006 54.0 Unrestricted operating results Non-operating endowment and investment activity, net Non-operating gifts and pledges for plant, endowment, and temporarily restricted purposes Other non-operating results, net $ 56.6 40.3 _________ 26.7 (52.0) _________ Total increase in net assets $_________ 438.3 _________ $_________ 328.0 _________ Ending balance of net assets $_________ 4,325.7 _________ $ 3,887.4 _________ _________ 287.4 $ 2005 31.3 $0 2005 2006 322.0 Endowment distributions and investment returns on nonendowed assets were recognized as operating revenue in the unrestricted operating results noted above. In addition to those amounts, non-operating changes in the value of our investments totaled $287.4 million in fiscal 2006, due especially to a 14.0% return on the endowment. Also contributing to the fiscal 2006 increase in net assets were $56.6 million of new gifts and pledges for plant, endowment, and temporarily restricted purposes. In particular, gifts and pledges designated by donors for endowed purposes were substantial in fiscal 2006. Vanderbilt’s managed endowment totaled $2,915.6 million and comprised the largest portion of the university’s net assets as of June 30, 2006. The original corpus amounts of endowed gifts generally are considered permanently restricted net assets, while the cumulative returns on endowed gifts are included in unrestricted net assets. Net assets designated for plant facilities, or plant equity, totaled $764.3 million and comprised the second largest component of Vanderbilt’s net assets. Plant equity is included in unrestricted net assets and primarily consists of the university’s property, plant, and equipment assets, at cost, net of accumulated depreciation and capital-related debt. Other net assets, which totaled $645.8 million as of June 30, 2006, include accumulated working capital, unrealized gains and losses on non-endowed investments and interest rate swap agreements, contributions receivable, undesignated gift assets, and interests in trusts held by others. Other non-operating results shown in the table above consisted largely of mark-to-market adjustments on interest rate swap agreements, which resulted in unrealized gains in fiscal 2006 and unrealized losses in fiscal 2005. 17 Operating Revenues and Expenses Unrestricted Operating Results Vanderbilt’s net operating results totaled $54.0 million in fiscal 2006 and $31.3 million in fiscal 2005. The university’s operating results before interest and depreciation increased to $201.5 million in fiscal 2006, as compared to $163.7 million in the prior year. The increased operating results were primarily the result of improved financial performance in almost all of our operating divisions, particularly in those divisions delivering health care services. Operating Revenues by Source Total operating revenues increased by $252.5 million, or 11.3%, to $2,482.0 million in fiscal 2006. All of the major revenue categories experienced growth contributing to the overall increase in operating revenue. The chart below illustrates the proportional revenues contributing to our overall financial performance. Operating Revenues by Source $2,482.0 million in fiscal 2006 Investment income and other 4.6% Tuition, fees, room, and board (net of student financial aid) accounted for 8.7% of total operating revenues in fiscal 2006. While the university implemented a 5.7% increase in the undergraduate tuition rate to $30,920 for the academic year, student financial aid offsets increased from the prior year, resulting in only a 4.4% increase in net tuition, fees, room, and board revenues. As part of our commitment to providing educational opportunities to a diverse population, we continue to enhance the university’s financial aid offerings. Operating Expenses by Function The Consolidated Statements of Activities present operating expenses by function, or purpose, for which the expenses were incurred. These expenses totaled $2,428.0 million in fiscal 2006 and are depicted by functional classification in the chart below. Operating Expenses by Function $2,428.0 million in fiscal 2006 Institutional support 2.2% Public service and other 3.1% Education, room, and board 20.7% Gifts, private grants and contracts, and endowment distributions 8.2% Net tuition, fees, room, and board 8.7% Research 13.2% Government grants and contracts, including F&A costs recovery 14.9% Health care 63.6% Vanderbilt’s health care services revenue, which constituted 63.6% of total operating revenues, increased by 13.7% in fiscal 2006 due to modest price increases combined with a continuing trend of increased patient care volumes. Among the university’s other operating revenues, government grants and contracts revenue and government-related facilities and administrative (F&A) costs recovery constituted 14.9% of total operating revenues in fiscal 2006. These revenues grew by 7.9%, which exceeded the growth in the federal government’s budget for research appropriations. 18 Health care 60.8% As in prior years, the percentages of operating expenses related to health care services and research, which comprised a combined 74.0% of total operating expenses in fiscal 2006, correlated with the percentages of total operating revenues generated from health care services and government grants and contracts. In contrast, education, room, and board expenses comprised 20.7% of total operating expenses, which is proportionally much more than the net revenues generated from tuition, fees, room, and board charges. Due to this structural variance, we rely upon philanthropy, endowment support, and other alternative sources of revenue to help pay for the coremission cost of educating students—which exceeds the tuition “sticker price.” Operating Expenses by Natural Classification Vanderbilt’s total operating expenses increased by $229.8 million, or 10.5%, in fiscal 2006. While the financial statements present operating expenses by function, the chart below depicts the fiscal 2005 and 2006 operating expenses by natural classification type. The provision for bad debts expense, increased from $95.5 million in fiscal 2005 to $130.9 million in fiscal 2006. This change primarily resulted from significant increases in the numbers of uninsured patients that Vanderbilt treated during the past year, which, as discussed later in this Overview, resulted from the disenrollment of patients from Tennessee’s TennCare (Medicaid) program. Operating Expenses by Natural Classification (in millions) $3,000 $2,500 $2,000 Utilities and other Provision for bad debts $1,500 Interest Depreciation and amortization $1,000 Supplies and materials $500 Services Salaries, wages, and benefits $0 2005 2006 Salaries, wages, and benefits increased 9.2% from the prior year to total $1,397.2 million in fiscal 2006, representing 57.5% of total operating expenses. Increases in salaries and wages, as well as in supplies and materials, were driven by activity and volume increases in the research and patient care areas. Benefit costs, meanwhile, increased at a rate commensurate with the growth in faculty and staff headcount, salaries, and wages. Expenses for supplies and materials increased by 7.4%, which, when compared to the 11.3% increase in total operating revenues, reflects effective purchasing and supply chain management strategies. Depreciation and amortization expenses increased from $105.6 million in fiscal 2005 to $121.0 million in fiscal 2006, consistent with expectations established in our capital plans. Meanwhile, Vanderbilt’s debt service burden remained low in fiscal 2006, as total interest expense decreased slightly to $26.5 million. Interest rate swap agreements and debt structuring strategies enacted within the past few years resulted in a slightly lower net interest rate on the university’s debt portfolio in fiscal 2006, despite the rise in market interest rates during the year. 19 20 Students The first phases of our plans to transform Vanderbilt’s undergraduate, graduate, and professional programs are nearing a successful completion. Our goal of being a fully integrated university that educates the whole student, inside and outside of the classroom, has yielded impressive gains with a record number of the nation’s most talented young people applying to the undergraduate, graduate, and professional programs. The number of undergraduate applications for fall 2006 reached an all-time high in excess of 12,000. Vanderbilt continued to experience impressive gains in the quality of students, as well. With this fall’s entering undergraduate class, Vanderbilt’s average SAT profile score has increased by more than 51 points in just five years. We also are proud of successful efforts to increase the diversity of the student body—the percentage of minority freshmen has risen from 18.2% to 28.6% over the last six years. We realize that recruiting the best students to apply is only the first step. The next step lies in ensuring that the students who are accepted at Vanderbilt decide to attend and decide to stay. Making certain that every Vanderbilt student can find a place at the university is of utmost importance and requires us to continually examine ways in which this community can develop in both breadth and depth. As the result of many initiatives in the past few years, Vanderbilt’s freshman retention rate reached an all-time high of 95.4% last year, and the university’s undergraduate graduation rate also reached a record level at 89.3%. Percentage of Freshmen Remaining at Vanderbilt Through Graduation 100% Also of critical importance to Vanderbilt is ensuring that students who want to attend the university can afford to do so. The university’s “need-blind” admission practices reflect a commitment to enroll the most qualified students regardless of their financial need. Presently, however, loans comprise significant portions of Vanderbilt students’ financial aid packages. For many families, loans are an unacceptable—and often an impossible—prospect. Shape the Future: A Campaign for Vanderbilt is committed to improving the affordability of a Vanderbilt education through scholarships and other academic support. We believe the Vanderbilt student community should consist of exceptional quality reflecting the broadest possible array of experiences and perspectives. Another university priority has been to increase the amount of space in which students can interact with one another and with faculty. Efforts over the last five years have resulted in the opening of the Ben Schulman Center for Jewish Life, renovations to the Bishop Joseph Johnson Black Cultural Center, completion of the new student life center, and the opening of the renovated Buttrick Hall for interdisciplinary scholarship and teaching. Furthermore, The Commons, the first phase of College Halls at Vanderbilt, is nearing completion after years of planning and construction. The Commons will provide an invigorating experience for incoming freshmen beginning in the fall of 2007, with enough space to house the entire freshman class by the fall of 2008. The guiding concept for College Halls at Vanderbilt is to reinvent the classical definition of residential life at a university, creating a place where the boundaries between learning and living converge to maximize the connections among the people, programs, and ideas that highlight the Vanderbilt experience. After The Commons project concludes, we will assess the university’s long-term plans to add college halls for upperclassmen as funding becomes available. 90% 80% 70% 2002 2003 2004 2005 Six–Year Periods Ending 2006 In addition to capital investments, several major appointments have been made to enhance the student experience. Frank Wcislo, professor of history, has been named dean of The Commons, and Mark Bandas, who formerly served as associate vice chancellor for student life, has been appointed dean of students. With these appointments, academic and student affairs will move under the direction of Nicholas Zeppos, provost and vice chancellor for academic affairs, to further integrate academic programs and student life in a uniquely Vanderbilt manner. 21 Research Top research universities like Vanderbilt are generating and disseminating the new knowledge that powers modern society. In contrast to physical resources, which are limited in quantity and consumed by use, knowledge and information are unlimited: the more they are used, the more valuable they become. The development of new interventions, effective drugs, better ways of diagnosing and treating illnesses, and smaller and smarter electromechanical devices are examples of how applied knowledge can improve lives. Discoveries at Vanderbilt translate into real-life solutions. For instance, research findings at the Vanderbilt Kennedy Center for Research on Human Development, a university-wide collaborative of Vanderbilt’s Peabody College, the School of Medicine, and the College of Arts and Science, are helping to prevent developmental problems in children and to enable persons with developmental disabilities to lead fuller lives. Moreover, as the result of visionary collaborations, our researchers are making basic discoveries that promote further 22 improvements in society’s ability to treat a broad range of diseases. The university’s chemists, biochemists, pharmacologists, physicians, biologists, and biomedical engineers are working together to identify and test new substances for drugs that someday could cure a host of diseases. To better diagnose and treat illnesses, transinstitutional initiatives such as the Vanderbilt Institute of Chemical Biology and the Mass Spectrometry Research Center are developing strategies and technologies to allow for earlier disease detection, to help bring new therapeutics to market quickly at lower costs, and to accelerate the translation of scientific breakthroughs into better public health. Anyone who has watched a loved one suffer from cancer, heart disease, diabetes, or other diseases knows what it is like to wish for a therapy that can ease symptoms, or even provide a cure. In recent decades, increased understanding has transformed cancer from a capital “C” to a lower case “c” by dramatically improving the survival rate for many types of cancer. In the last year, Lilianna Solnica-Krezel, professor of biological sciences, collaborated with Raymond Dubois, B. F. Byrd Jr. Professor of Oncology and director of the Vanderbilt-Ingram Cancer Center, to perform a study on the zebrafish, a small freshwater aquarium fish with a transparent embryo. The study revealed that prostaglandin—a fatty molecule commonly linked to pain, inflammation, and cancer—has a surprising role in helping to choreograph cell movements early in the life of an embryo. This finding, combined with evidence from human cancer studies, indicates that prostaglandin may be involved in making tumors malignant and may be an effective target for cancer prevention therapies. In research vital to treating heart disease, Dan Roden, William Stokes Professor of Experimental Therapeutics and assistant vice chancellor for personalized medicine, is studying what causes arrhythmias, or abnormal heart rhythms. Roden and his Vanderbilt colleagues are working to identify markers of sudden death risk from cardiac arrhythmia before an individual is diagnosed with heart disease. He also is exploring why certain patients respond differently to antiarrhythmic drugs. By understanding the fundamental mechanisms causing differing reactions in heart patients, researchers can identify the best choices from current therapies and better direct new therapies. Vanderbilt researchers also are tackling type 1 diabetes—an illness rapidly becoming commonplace in the U.S. population. Pancreatic beta cells are the only cells in the body that secrete insulin, and destruction of these precious cells by a person’s own immune system gives rise to type 1 diabetes. Mark Magnuson, professor of molecular physiology and biophysics, is leading investigators at Vanderbilt and worldwide in beta cell biology and stem cell research—areas that may yield new therapies for type 1 diabetes. Meanwhile, our faculty are at the forefront of one of the hottest frontiers in the physical sciences and engineering: nanoscience and nanotechnology, which explore and exploit the smallest of the small. Research under way at the Vanderbilt Institute of Nanoscale Science and Engineering lies between the familiar world of classical physics and the strange world of the atom—a world that operates in a different and often counterintuitive fashion. Nanoscience research has allowed Vanderbilt faculty to play a pioneering role in developing biological applications for a nano-device called “quantum dots.” David Wright, associate professor of chemistry, and James Crowe, Ingram Professor of Cancer Research and professor of pediatrics, have shown that quantum dots can identify the presence of a common respiratory virus within hours after a patient is infected, compared to the days required for current tests. Quick detection is vital because treatment for respiratory viral attacks is effective only if administered at an early stage of infection. Vanderbilt faculty, who shape the future in classrooms and laboratories, are supported in part by endowed chairs and operating gifts from private donors. Additionally, the costs of particular research initiatives, such as those described above, are largely funded through grants and contracts from government sources, foundations, and corporations. As illustrated in the graph below, in fiscal 2006, the federal government provided 80.1% of the funding for Vanderbilt’s research expenditures, which totaled $387.9 million inclusive of indirect facilities and administrative costs related to research. The Department of Health and Human Services, primarily through the National Institutes of Health (NIH), accounted for about 82% of that federal support. Research Expenditures – Funding by Source $387.9 million in fiscal 2006 (including indirect costs) Federal government 80.1% University funded 10.1% Foundations and associations 4.7% Corporations 3.6% Other 1.5% While the majority of our research is funded externally, in fiscal 2006 Vanderbilt internally supported research expenses totaling $39.2 million, or 10.1% of total research. Internal support for research activities came largely from the university’s Academic Venture Capital Fund to promote strategic academic initiatives. In addition to the research represented above, Vanderbilt faculty also participate in many departmental research efforts that further contribute to their teaching and to the development of new ideas. 23 24 Health Care Vanderbilt’s health care enterprise, which includes the Vanderbilt University Hospitals and Clinics and the Vanderbilt Medical Group physician practice, continued to have a tremendous positive impact on the overall financial health of the university in fiscal 2006. As noted earlier, health care services revenue increased by more than 13.7% from the prior year and comprised 63.6% of the university’s total operating revenues. The increase in health care services revenue is largely attributed to the continued growth in patient care volumes. During fiscal 2006, the numbers of hospital discharges, clinic outpatient visits, emergency room visits, and surgical operations each increased between 8% and 11% from the prior year. Increased hospital admissions led to a continuing upward trend in the percentage occupancy of licensed beds, even as improved patient care practices resulted in a lower average length of stay during fiscal 2006. TennCare regulatory changes in the spring of 2005, causing disenrollment in the program and the transition of more than 170,000 adult TennCare enrollees to an uninsured status. These changes caused a considerable increase in the percentage of uninsured patients in Vanderbilt’s payor mix, which diminished the overall growth in net patient revenue. Changes in the payor mix resulted in more uninsured patients in all specialties, with the most significant increase occurring in trauma care. The table below reflects the shift of patients away from TennCare (Medicaid) coverage in fiscal 2005 to an uninsured status in fiscal 2006. The percentage of TennCare (Medicaid) patients decreased from 23.5% in fiscal 2005 to 18.9% in fiscal 2006. Conversely, the percentage of uninsured (self pay) and other payors increased from 7.8% to 11.8%—the largest percentage in more than a decade. This change resulted in dramatic growth in uncompensated care provided to uninsured patients. Payor Mix Percentage Occupancy (licensed beds) 40% Managed care Medicare TennCare (Medicaid) Commercial indemnity Uninsured (self pay) and other 20% Total 100% 80% 60% 2006 2005 40.1% 38.7% 19.4 20.5 18.9 23.5 9.8 9.5 11.8 7.8 ___________ ___________ 100.0% 100.0% ___________ ___________ ___________ ___________ 0% 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 The growth in health care services in fiscal 2006 resulted from many factors, including new staffed bed capacity in the Vanderbilt University Hospital; the first full year for our renovated and expanded emergency department; the achievement of optimal occupancy levels in the Monroe Carell Jr. Children’s Hospital at Vanderbilt; and full-year occupancy for new clinic space in the Medical Center East-South Tower and the outpatient tower at the Children’s Hospital. Additionally, expansion continued in Williamson County through the opening of new clinics and the acquisition of private practices. Our patient care activity is greatly affected by TennCare, Tennessee’s state-managed health care program designed for Medicaid-eligible residents and those who lack access to health insurance. Tennessee’s state legislature enacted several Although operating revenues were affected by the factors described above, management enacted several initiatives to ensure that net operating margins remained strong. These included effective uses of clinical and business technology, supply chain cost reduction initiatives, labor productivity standards, and best practices for revenue cycle management to ensure timely and complete reimbursements for patient care services rendered. Meanwhile, operating expenses in fiscal 2006 reflected growth in patient care volumes, annual wage increases under the medical center’s pay for performance salary program, the impact of new hospital and clinic space, and the opening of new physician practices in satellite locations. Overall, the growth in patient care volumes contributed to health care services’ increasingly positive impact on Vanderbilt’s consolidated financial results in fiscal 2006. 25 Philanthropy Vanderbilt benefited enormously from increased philanthropic support received during fiscal 2006. Gifts and grants from private sources provided scholarships for talented students, encouraged and funded vital faculty research and teaching, improved campus facilities, and sustained and energized the programs of the university. 26 Vanderbilt received external support in excess of $100 million in fiscal 2006. Unrestricted gifts to support the research and teaching activities of our schools and colleges, as well as new endowed gifts for scholarships and faculty chairs, increased significantly. During the past year, alumni, either directly or through their family foundations or businesses, gave more than $48 million, and non-alumni parents of Vanderbilt students gave nearly $10 million. While these results indicate continuing strength and capacity for attracting gifts and grants, two additional indicators bode well for future giving. Vanderbilt made outstanding progress in securing new pledges, more than doubling the value of those secured in 2005. Most of the new pledges recorded in 2006 will be fulfilled within the next three to five years to strengthen scholarships, faculty support, research, and the university’s breadth of facilities and resources for students and faculty. ly have donated stock valued at more than $400 million to support the mission of Vanderbilt. Proceeds from these stock gifts are being allocated for important uses over several years. Among the many initiatives that these gifts supported in fiscal 2006, Ingram family gift proceeds were directed to support programs, facilities, faculty chairs, scholarships, and other operating activities associated with the College of Arts and Science, Blair School of Music, Owen Graduate School of Management, Vanderbilt-Ingram Cancer Center, the School of Medicine, The Commons, and athletics. The second indicator is the increased amount of newly documented future bequests that Vanderbilt will receive from the estates of alumni and friends. During fiscal 2006, these generous supporters informed Vanderbilt of their intentions to donate more than $26 million through their wills, tripling the amount documented in fiscal 2005. All of this support contributes to the momentum of Vanderbilt’s Shape the Future campaign, which had accrued $1.24 billion of gifts and pledges as of June 30, 2006. Vanderbilt surpassed the campaign goal of $1.25 billion in August 2006, well in advance of the target date of June 2008. We plan to expand the campaign during fiscal 2007. Furthermore, during the campaign the university has counted nearly $74 million toward a secondary goal of $100 million for new planned bequests. The ultimate success of our campaign is measured not in dollars, but more importantly in the lives of students and faculty and in the greater impact of Vanderbilt in the world. The university has attracted increasing levels of gifts and pledges for student scholarships and faculty chairs, which, along with selected capital projects, are the greatest priorities for the remainder of the campaign. Our recent success in raising funds for these purposes is reflected in the $45.9 million of permanently restricted contributions reported in the Consolidated Statements of Activities for fiscal 2006. Working partnerships forged among the university’s development and alumni relations staff, key volunteers, dynamic faculty, and Vanderbilt’s deans, vice chancellors, and chancellor were vital to the positive results for fiscal 2006. Of course, the success of this past year, or any year, would not be possible without the generous donors whose philanthropic support advances Vanderbilt and inspires greater achievement. Of particular note, since 1998, Martha Ingram and the Ingram fami- Benefactions of the Vanderbilt Family Vanderbilt University was founded in 1873 by Commodore Cornelius Vanderbilt and has been generously supported by successive generations of his family. Especially significant were the gifts and bequests of Harold Stirling Vanderbilt and his wife, Gertrude Conaway Vanderbilt. In 1970, the Board of Trust passed a resolution that the extent of this philanthropy should forever be recognized by the university in appropriate communications. The contributions of the Vanderbilt family are summarized below, without adjustments for inflation. All amounts are shown in thousands of dollars. The founding gifts of Commodore Cornelius Vanderbilt Harold Stirling Vanderbilt gifts and bequests Gertrude Conaway Vanderbilt gifts and bequests Gifts and bequests from other members of the family TOTAL $ 1,004 57,279 6,456 8,599 _________ $ 73,338 _________ _________ 27 28 Capital Investments In today’s competitive environment, universities such as Vanderbilt must provide modern facilities to keep pace with the needs and expectations for world-class research, learning, living, and patient care. In order to continue the current momentum toward attracting extraordinary students and faculty, and to remain Middle Tennessee’s patient care provider of choice, we must strategically invest in facilities while ensuring that capital plans and priorities are consistent with the mission and goals of the university. Possibly the most visibly transformative initiative at Vanderbilt today is the construction and development of The Commons, the first phase of College Halls at Vanderbilt, on the Peabody College campus (photo on this page). This endeavor will bring together students, faculty, and campus leaders in a unique and vibrant intellectual community. Construction of The Commons began in 2005 to renovate five existing residence halls into “houses,” to build five new houses and a dean’s residence, and to construct a dining center. Construction of two of the new facilities—Sutherland House and Crawford House—was completed in time to house more than 300 students for the fall 2006 semester. Two more houses and the dining center are expected to be operational by the fall of 2007; and The Commons is scheduled to be fully completed by the fall of 2008, when it will house the entire freshman class. such centers in the nation supported by the NIH. Construction of the second phase, to include seven floors atop Langford Auditorium (photo on facing page), is scheduled to finish in the summer of 2007. When completed, the 387,000-square-foot MRB IV will support Vanderbilt’s growth in research awards, which has outpaced the growth in research space over the past several years. In the fall of 2006, construction neared completion on the Vanderbilt University Institute of Imaging Science (VUIIS), a new four-story facility for advanced imaging studies of human and non-human subjects. The new facility, adjoined to Medical Center North, will house a seven tesla MRI scanner and will support advances in physics, engineering, computing, and other sciences for the development of better imaging techniques to be used in biological and medical research. Vanderbilt’s leadership undertakes capital planning with a university-wide perspective, supported by coordinated fundraising efforts and consolidated debt portfolio management. This integrated approach will allow us to continue proceeding with our long-term capital plans in a nimble, yet well-planned and strategic, manner. Meanwhile, our medical center’s management has begun assessing and planning for the potential construction of a new critical care tower with additional acute care beds to accommodate the forecasted growth in surgical operations and cardiovascular services. In June 2006, the university filed a Certificate of Need with the State of Tennessee, a crucial regulatory requirement before construction can begin. With occupancy at consistently high levels, utilization has recently overtaxed our adult hospital’s existing bed capacity, resulting in emergency room overcrowding and the use of holding areas to provide inpatient care until beds become available. The first phase of Medical Research Building IV (MRB IV), consisting of three floors above Light Hall, was completed in fiscal 2006. It now houses programs such as the John A. Oates Institute for Experimental Therapeutics and the Digestive Disease Research Center, which is one of only 16 29 30 Debt Portfolio Management The university issued $139.3 million of commercial paper (CP) during fiscal 2006 to provide financing for strategic capital projects that continue to change the landscape of the campus. Included within this amount was $39.3 million used during the year to finance portions of The Commons, VUIIS, and emergency generators for Vanderbilt’s medical facilities. The remaining $100.0 million of CP was issued in advance of construction expenditures and will be used to finance construction costs as they occur for The Commons, VUIIS, and other near-term projects. The fiscal 2006 CP issuances, net of principal reductions on long-term debt, resulted in a net increase of $120.7 million in the university’s outstanding debt, which totaled $906.6 million as of June 30, 2006. Effective and responsible debt portfolio management enables Vanderbilt to execute major strategic initiatives while preserving working capital. Our long-term planning process sets forth a capital plan that identifies facility investment priorities. Projects that relate to the university’s core mission and projects generating net additional revenues receive priority for debt financing. Vanderbilt’s formal comprehensive debt policy then guides the use of long-term debt, CP, and derivative transactions in optimizing a debt portfolio that finances those investments. The utilization of CP, which will be refinanced in the future by issuing long-term debt, provides us with greater flexibility regarding the timing and structuring of long-term debt transactions. The debt policy also outlines principles for the use of derivative products to manage risk and the optimization of longterm financing strategies. Vanderbilt entered into two groups of derivatives during fiscal 2006: (1) basis swaps involving taxable and tax-exempt variable interest rates; and (2) shortdated fixed-to-variable interest rate swaps. These swaps were used to limit the debt portfolio’s exposure to near-term interest rate fluctuations and to manage the university’s swapadjusted debt portfolio allocation between fixed and variable rates. As of June 30, 2006, Vanderbilt’s debt portfolio had been managed to a near-term allocation of 56% fixed and 44% variable. Despite an environment of rising interest rates, derivative transactions entered into in the past two years contributed to low costs of capital for Vanderbilt’s debt portfolio as weighted average interest rates totaled only 3.5% in fiscal 2006 and 3.7% in fiscal 2005. In coordination with Vanderbilt’s strategic plans and within the framework of its debt policy, we will continue to monitor and evaluate the university’s optimal asset and debt structure with a focus on financial equilibrium. Vanderbilt’s debt policy describes the following objectives for debt portfolio management: ● ensure that an appropriate mix of funding sources is used; ● limit overall debt to a level that, when combined with the university’s strategic objectives, will help preserve appropriate credit ratings over the long term; ● achieve a low risk-adjusted cost of capital while appropriately balancing that effort with the university’s exposure to market shifts; and ● manage working capital, short-term investments, and debt service requirements in a coordinated manner to optimize overall funding and investment return strategies. 31 Perspectives on Trends The performance trends at Vanderbilt are exceedingly positive, but only because we realize that even a single ounce of complacency can be damaging. Applications for student admissions have reached recordsetting levels, allowing for unprecedented selectivity in the undergraduate, graduate, and professional programs. Why? Because of bold steps taken by the university’s leadership to enhance the opportunities for students to live and learn in this 32 unique academic community. Part of that enhancement is Vanderbilt’s increasing ability to attract and support, through need-based financial aid, outstanding students from traditionally underrepresented populations. As a physical example of Vanderbilt’s bold steps, the soon-to-be-completed residential community on the Peabody campus will transform the living and learning environment for all first-year students. In 2006, Vanderbilt ranked 18th in U.S. News & World Report’s annual listing of national universities and has appropriately been recognized as a “hot school” in publications such as Newsweek. The medical center also continues to achieve national recognition for its patient care and research. In its latest ranking of the “best hospitals,” U.S. News again ranked Vanderbilt among the top 50 hospitals in the country. And Vanderbilt continues to have one of the country’s strongest medical research programs, ranking 15th among medical schools in the latest reports of NIH awards, with particularly great success in molecular physiology and biophysics, biochemistry, pharmacology, and pediatrics. The success of Vanderbilt’s health care enterprise can be attributed to faculty and staff that are dedicated and caring, yet who maintain a tenacious attitude toward meeting financial goals. The medical center’s leadership has established ambitious goals for the clinical enterprise, research, philanthropy, and technology transfer. A program known as “Elevate” has taken hold to further instill a culture committed to effective communication, accountability, and excellence toward a broad set of goals. Most notably, as the preferred provider in Middle Tennessee, Vanderbilt maintains robust patient care volume and satisfaction trends. Meanwhile, operating support generated from endowment distributions and philanthropy has never been stronger. Nonetheless, Vanderbilt plans to create many more endowed faculty chairs and student scholarships through the ongoing Shape the Future campaign. agreements, we believe that Vanderbilt is appropriately hedged to deal with changes in variable interest rates, and we are confident in our ability to manage current and planned debt levels. As a not-for-profit institution, Vanderbilt attempts to optimize expenditures and maximize their impact in support of the university’s mission. To that end, Vanderbilt conducts its activities with net margins that are consistently between only 1% and 3% of operating revenues. Therefore, to ensure positive net results for the long term—and, thus, perpetuate Vanderbilt’s mission—we must maintain the university’s momentum and never become complacent. We are committed to maintaining that momentum while remaining keenly aware of the challenges that we face. And we are excited by the direction in which Vanderbilt is headed. Lauren J. Brisky Vice Chancellor for Administration and Chief Financial Officer The environment in which we operate is ever changing. Intense competition for students and research grants is, as described by Moody’s Investors Service, resulting in institutions “increasing their spending on programs and borrowing heavily to invest in physical facilities.” Private universities and not-for-profit health care institutions, on average, are investing about 1.5 times annual depreciation in physical facilities. The top-tier peers with which Vanderbilt competes generally are spending at an even greater pace. This competition cannot be ignored, yet we believe that Vanderbilt has so many intangible factors in its favor—including campus layout, culture, leadership, values, a spirit of collaboration, and location in Nashville—that we will succeed through the execution of strategies other than simply outspending our peers. Still, strategic capital spending will continue at a strong pace at Vanderbilt, while we monitor our debt capacity and appropriately manage risk. Through the use of interest rate swap 33 Financial Ratios Debt Service Coverage Ratio The debt service coverage ratio measures the ability to cover debt service requirements from continuing operations. The change in unrestricted net assets from operating activities is increased by depreciation and interest expenses to calculate the operating surplus available to make principal and interest payments. The annual debt service is normalized to compensate for certain debt issues with back-end loaded principal payment due dates. 5.0 4.6 4.6 4.5 4.0 4.3 4.1 4.1 3.8 3.6 3.6 3.6 3.0 2.0 1.0 At Vanderbilt: The university continued to demonstrate its ability to cover annual debt service by producing a healthy ratio of over four times the required debt service in fiscal 2006. The debt service coverage ratio increased in fiscal 2006 due to an increase in operating results before interest and depreciation expenses and stable debt service resulting from effective debt portfolio management strategies. Operating Surplus Ratio This ratio measures the margin on each dollar of operating revenue for a university. The operating results before interest and depreciation, or operating surplus, are calculated as a percentage of total operating revenue. 0.0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Operating Results before Interest and Depreciation Normalized Annual Debt Service 12.0% 10.4% 10.0% 9.9% 9.3% 8.5% 8.1% 7.8% 8.1% 7.6% 8.0% 8.1% 7.3% 6.0% At Vanderbilt: The university continues to produce strong operating results while strategically investing in faculty, student financial aid, and facilities. While embarking on a strategic growth strategy, the university has maintained a remarkably steady operating surplus ratio during the past five years. During that period, total operating revenues and operating results before interest and depreciation have each increased at an average annual rate of just less than 12% per year. Debt Service Burden 4.0% 2.0% 0.0% 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Operating Results before Interest and Depreciation Total Operating Revenues 3.0% This measurement is defined by normalized annual debt service as a percentage of a university’s total operating expenses. 2.6% 2.3% 2.3% 2.1% 2.1% 2.0% At Vanderbilt: Vanderbilt has managed its growth in debt through comprehensive strategic capital planning. The university has maintained a low debt service burden, around 2%, during the past several years as annual debt service has grown at a pace relatively consistent with the growth in the university’s total operating base. 2.2% 2.0% 2.1% 1.9% 1.9% 1.0% 0.0% 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Normalized Annual Debt Service Total Operating Expenses 34 Primary Reserve Ratio The primary reserve ratio measures financial strength by indicating how many years a university could operate using its expendable resources without relying on additional net assets generated by operations. “Expendable Net Assets” are all unrestricted and temporarily restricted net assets other than amounts comprising net investment in property, plant, and equipment. At Vanderbilt: The university’s expendable net assets have consistently exceeded a full year’s worth of operating expenses. The primary reserve ratio has remained relatively level the past few years as growth in the endowment has matched growth in the university’s total operating base. Extraordinary endowment returns bolstered this ratio in the late 1990s through 2000; then, subsequent declines in investments coupled with the increased operating size of the university caused declines in the primary reserve ratio from 2000 through 2003. Viability Ratio The viability ratio measures the availability of expendable net assets to cover debt should a university need to settle its obligations immediately. Aggregate capital-related debt includes debt guaranty commitments and any capital project-related commercial paper. At Vanderbilt: This ratio is heavily influenced by new debt issuances, returns on endowment assets, and operating results. Changes in the university’s viability ratio over the past ten years have been consistent with strategic capital plans. Vanderbilt’s ratio of 3.2x as of June 2006 compares favorably to similarly rated private universities having a consolidated school of medicine and hospital. Capital Expenditures to Depreciation This ratio indicates the rate of capitalization occurring at an institution. A ratio above 1.0x indicates that a university is in a growth mode. A ratio below 1.0x indicates that a university may not be investing in its equipment and facilities at a rate fast enough to maintain its plant condition. 2.0 1.9 1.6 1.5 1.6 1.5 1.3 1.3 1.1 1.0 1.2 1.2 0.5 0.0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Expendable Net Assets Total Operating Expenses 7.0 6.0 6.1 5.0 4.9 4.0 4.5 4.1 4.1 3.6 3.0 3.3 3.2 3.2 3.2 2.0 1.0 0.0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Expendable Net Assets Aggregate Capital-Related Debt 3.0 2.5 2.5 2.5 2.2 2.0 2.0 1.8 1.5 At Vanderbilt: Investments in renovations of existing facilities and the construction of new facilities continue to be a priority at Vanderbilt. Capital investment activity peaked in 2002/2003 with the construction of the Biological Sciences Building/Medical Research Building III, the Monroe Carell Jr. Children’s Hospital at Vanderbilt, and the School of Engineering’s renovation and expansion. This ratio is expected to remain well above 1.0 as ongoing construction activity occurs in earnest for the Vanderbilt University Institute of Imaging Science, Medical Research Building IV, and The Commons—the first phase of College Halls at Vanderbilt. 1.2 1.6 1.4 1.4 1.0 1.1 1.2 0.5 0.0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 3-Year Rolling Avg of Annual Capital Expenditures Annual Depreciation Expense 35 Endowment Review Flexibility The best word to describe the management of institutional funds over the past thirty years is structured. As a result of poor performance in the bear market of 1973–1974 and the passage of ERISA, portfolios have been governed by detailed asset allocation guidelines, and most tend to hug target weightings because any form of market timing is held in low regard. Investment managers are chosen to fill highly specific roles (e.g., large cap growth, small cap value, etc.) and they are generally subject to very detailed guidelines and restrictions. And, investing in a new category or strategy requires a detailed research project, a series of committee meetings, and a change in the published Investment Policy. The time required to complete this process frequently eliminates the possibility of tactical shifts or opportunistic investments. While many people draw comfort from such a highly structured approach to investing, we believe it can result in less than optimal results. This is particularly true given the globalization of capital markets, which has blurred the distinction between many asset categories. Over the past few years, we have steadily adjusted our investment process at Vanderbilt and the watchword for the new paradigm is flexibility. First, we have eliminated specific targets for many sub-asset classes and have instead created broad categories with wide ranges of permissible exposure. For example, all of the targets for individual equity categories (domestic, international, growth, value, etc.) have been replaced by a single marketable equity component with a target weighting of 40%. Similarly, individual targets for energy, real estate, and timber have been replaced by a real asset category with a target weighting of 15%. While we intend to maintain significant diversification in each segment of the portfolio, this flexibility will allow the Investment Team to make tactical shifts designed to capture notable misevaluations in the marketplace. For example, we overweighted value stocks in 2000 and emerging market stocks in 2004–2006. Recently, we tilted the U.S. equity component toward high quality, large capitalization issues. Second, we have hired a number of global managers who have been given relatively broad mandates. In other words, they are free to go wherever they see opportunity. We believe they are more likely to add value than managers who are constrained to invest in a narrow and fixed universe of securities. 36 Finally, we have created an opportunistic component of the portfolio with a maximum weighting of 5%. This segment allows our team to take advantage of periodic temporary dislocations in the marketplace that result in significant return potential. For example, during fiscal 2006, we identified an opportunity to take advantage of low volatility in most asset categories and historically narrow credit spreads. Both are an indication of complacency in the marketplace and are typically followed by an upward re-pricing of risk. Endowment Asset Allocation (% of Portfolio) Category Vanderbilt Large University Endowments Actual % Average % U.S. Equities International Equities Hedge Funds Private Equity 21.1 21.6 21.6 12.3 _________ 20.2 21.7 23.7 10.6 _________ 76.6 76.2 5.4 4.9 _________ Total Real Assets 6.4 4.4 _________ 10.8 Treasury Inflation-Protected Securities (TIPS) U.S. Bonds International Bonds High-Yield Bonds Cash 0.0 10.6 0.0 0.0 2.0 _________ 2.1 8.5 0.9 0.4 1.6 _________ 12.6 _________ 100.0 _________ _________ 13.5 _________ 100.0 _________ _________ Total Equities Real Estate Timber & Energy Total Fixed Income Total Endowment 10.3 This flexible approach is not for everyone because it requires careful monitoring of portfolio exposures, the ability to make rapid portfolio shifts, and, most important, a good batting average at recognizing opportunity and effectively implementing these insights in the portfolio. Your Investment Team looks forward to the challenge! Fiscal 2006 in Review This was a fascinating year in which the lowest quality, most speculative securities dramatically outperformed from July through April. Then, for no obvious reason, investors awoke to the fact that there is risk in the world and these securities performed poorly from May through the end of the fiscal year. For example, emerging markets rose 52% from July through April only to fall 10.6% in the last two months of the year. Similarly, small cap U.S. stocks rose 20.6% over the first ten months and then dropped 5%. Endowment Market Value (in millions) $3,000 potential value-added versus market benchmarks. First, one can select managers who outperform the index in their particular category. This year we failed in that regard as Vanderbilt’s managers underperformed by an average of approximately 1.7%. The second source of potential addedvalue is timely decisions to over or under weight various asset categories. This year we added approximately 1.6% in return by shifting the portfolio toward non-U.S. equities, emerging markets, and short duration bonds. The net effect on the entire endowment of these two crosscurrents was value added versus the blended benchmark of approximately -0.1%. This is the first time that we have generated negative value-added in the eight years that we have used this approach to evaluate our performance. As the old saying goes, we are not taking this lying down and you can expect to see some changes in our investment process. $2,000 Unit Distributions by Purpose (as of Spring 2006) $1,000 Scholarships 29% Faculty chairs 21% $0 1991 1996 2001 2006 Against this backdrop, Vanderbilt’s endowment earned a return of 14.0%. While that return is certainly attractive in an absolute sense, it is slightly disappointing in relation to market indices and our peer group. There are two sources of General operations 10% School operations 27% Other restricted 13% Endowment Market Value Per Unit versus Distribution Per Unit $125.00 $5.00 Endowment Market Value Per Unit $100.00 $4.00 $3.00 $75.00 $2.00 $50.00 Distribution Per Unit $25.00 $0.00 1986 1991 1996 2001 $1.00 Distribution Per Unit Despite all of these gyrations, the capital markets provided returns for the fiscal year that were healthy in most cases and spectacular in several categories. Leading the pack were emerging market stocks which earned 35.7%. Stocks in the industrialized markets outside of the U.S. also performed well, yielding a return of 27%. We estimate that private equity returns will be around 22% when fund numbers are reported in October, and real estate continued to enjoy strong returns as measured by the 18.7% return on the NCREIF real estate market index. For a number of years, we have written that U.S. stock returns should fall in the 6–8% range. Last year, we were right on target as the S&P 500 earned 6.3%, and the fiscal 2006 return of 8.6% was in the ballpark. But, the broad stock market earned 9.5% as measured by the Wilshire 5000 Index as a result of strong returns from mid and small capitalization issues. The major laggard for the fiscal year was long-term U.S. Treasuries, which fell 6.3% in the face of generally rising interest rates. Market Value Per Unit 1986 $0.00 2006 With respect to Vanderbilt’s peer group, our return was slightly below the mean of a universe of endowments and foundations with assets in excess of $1 billion. While not dis- 37 astrous, this ranking certainly does not meet our objective of falling in the top quartile. Interestingly, our return did fall near the first quartile of the broad universe of endowments, which once again demonstrates the highly competitive nature of the very large endowment funds in the U.S. The Sixty-Four Million Dollar Question Our longer-term record is much more attractive in that we have outperformed the blended benchmark by an average of 4.8% per annum, and our ten-year return falls in the 24th percentile of the large endowment universe and in the 8th percentile of a broader universe containing some 350 endowments. ● The June 30, 2006, value of the pooled endowment was just over $2.9 billion, or $89.54 per unit. The payout to the operating budget for fiscal 2007 will be $3.564 per unit, which represents a 12.2% increase over the 2006 level. Anyone who invests knows that the capital markets provide a never-ending series of difficult challenges and conundrums. The major issue on our minds today results from the following: There have been massive cash flows into all forms of lesstraditional assets including some marketable categories such as hedge funds and emerging market equities. ● These flows have created a “sellers market” in which investors often face higher management fees and more restrictive lock-up agreements. ● Competition, higher costs, and exit restrictions point to lower net returns and limits on our ability to make changes in the endowment. ● There is some evidence of rising correlation across most investment categories, which brings into question the value of adding asset classes in search of diversification. These lead us to the big question, which is: should we revert to a simpler portfolio that limits Vanderbilt’s exposure to complex investments and relies instead on low-cost, passive vehicles? When combined with the flexible approach to asset allocation described above, could the university achieve strong returns with less complexity and greater transparency and risk control? We look forward to sharing our conclusions with you in future Endowment Reviews. William T. Spitz Vice Chancellor for Investments and Treasurer 38 39 Independent Auditors’ Report Board of Trust, The Vanderbilt University: We have audited the accompanying consolidated statements of financial position of The Vanderbilt University (the University) as of June 30, 2006 and 2005, and the related consolidated statements of activities and cash flows for the years then ended. These financial statements are the responsibility of the University’s management. Our responsibility is to express an opinion on these consolidated financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the University’s internal control over financial reporting. Accordingly, we express no such opinion. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of The Vanderbilt University as of June 30, 2006 and 2005, and the changes in its net assets and its cash flows for the years then ended in conformity with U.S. generally accepted accounting principles. As described in note 16 to the financial statements, on June 30, 2006, the University adopted Financial Accounting Standards Board Interpretation No. 47, Accounting for Conditional Asset Retirement Obligations. September 5, 2006, except as to note 5 which is as of September 25, 2006 40 Consolidated Statements of Financial Position 2006 As of June 30, 2006 and 2005 (in thousands) ASSETS Cash and cash equivalents Collateral under security lending agreements Accounts receivable Prepaid expenses and other assets Contributions receivable Student loans receivable Investments Property, plant, and equipment Interest in trusts held by others Total assets LIABILITIES Accounts payable and accrued liabilities Accrued payroll and withholdings Payable under security lending agreements Deferred revenue Commercial paper Actuarial liability for self-insurance Actuarial liability for annuities payable Government advances for student loans Long-term debt and capital leases Total liabilities NET ASSETS Unrestricted Temporarily restricted Permanently restricted Total net assets Total liabilities and net assets 2005 $ 511,573 271,353 257,567 109,946 80,608 34,461 3,277,053 1,457,159 42,936 ___________ $ 217,697 324,757 230,262 80,118 84,381 35,117 3,188,638 1,365,177 42,782 ___________ $ 6,042,656 $ 5,568,929 $ $ 216,917 136,808 271,353 52,067 144,830 77,396 39,746 16,007 761,787 ___________ 260,093 137,871 324,757 48,091 5,500 70,464 38,542 15,781 780,399 ___________ 1,716,911 1,681,498 3,445,162 155,755 724,828 ___________ 3,044,386 175,043 668,002 ___________ 4,325,745 3,887,431 $ 6,042,656 $ 5,568,929 The accompanying notes are an integral part of the consolidated financial statements. 41 Consolidated Statements of Activities 2006 Operating Years Ended June 30, 2006 and 2005 (in thousands) CHANGES IN UNRESTRICTED NET ASSETS REVENUES Tuition and educational fees, net Government grants and contracts Facilities and administrative costs recovery Private gifts, grants, and contracts Endowment distributions Investment income Health care services Room, board, and other auxiliary services, net Other sources Net assets released from restrictions $ 188,166 277,839 100,081 68,578 109,270 28,256 1,577,841 75,565 38,626 17,841 ___________ 180,136 257,241 92,892 61,919 103,849 28,564 1,387,235 73,248 27,507 16,931 ___________ 2,482,063 ___________ 2,229,522 ___________ 334,308 321,035 1,475,234 100,503 54,128 24,596 23,869 94,372 ___________ 298,823 298,996 1,301,615 97,390 57,403 24,936 28,056 91,030 ___________ Total expenses 2,428,045 ___________ 2,198,249 ___________ Change in unrestricted net assets from operating activity 54,018 ___________ 31,273 ___________ OTHER UNRESTRICTED ACTIVITY Gifts and contributions for plant Net assets released from restrictions for plant Donor designation changes Change in endowment appreciation, net of distributions Cumulative effect of a change in accounting principle Other, including change in fair value of interest rate swap agreements 5,212 29,312 (1,600) 262,583 (17,540) 68,791 ___________ 7,090 39,458 (521) 292,307 — (40,934) ___________ 346,758 ___________ 297,400 ___________ 400,776 328,673 5,441 (5,506) 6,935 2,816 18,179 (47,153) ___________ 3,922 (19,707) 5,864 2,545 16,826 (56,389) ___________ (19,288) (46,939) 45,908 7,106 794 3,018 ___________ 15,725 20,228 252 10,116 ___________ 56,826 46,321 Total revenues EXPENSES Instruction Research Health care services Academic support Institutional support Student services Public service Room, board, and other auxiliary services Change in unrestricted net assets from other unrestricted activity Non-operating Increase in unrestricted net assets CHANGES IN TEMPORARILY RESTRICTED NET ASSETS Contributions and other Donor designation changes Net gain on contributions receivable Endowment distributions Investment gains Net assets released from restrictions Decrease in temporarily restricted net assets CHANGES IN PERMANENTLY RESTRICTED NET ASSETS Contributions and other Donor designation changes Endowment distributions Investment gains Increase in permanently restricted net assets Increase in total net assets Net assets at beginning of year Net assets at end of year 42 2005 $ 438,314 3,887,431 ___________ $ 4,325,745 $ $ 328,055 3,559,376 ___________ $ 3,887,431 The accompanying notes are an integral part of the consolidated financial statements. Consolidated Statements of Cash Flows 2006 Years Ended June 30, 2006 and 2005 (in thousands) CASH FLOWS FROM OPERATING ACTIVITIES Increase in total net assets $ Adjustments to reconcile increase in total net assets to net cash provided by operating activities: Non-operating changes in net assets Gifts for plant and endowment Net realized investment gains Non-cash changes in net assets Net increase in unrealized appreciation Gifts of securities other than for plant and endowment Depreciation and amortization Present value adjustment on annuities payable Present value adjustment on self-insurance Net (increase) decrease in interest in trusts held by others Amortization of bond discounts and premiums Net (increase) decrease in fair value of interest rate swap agreements Cumulative effect of a change in accounting principle Change in operating assets and liabilities Decrease (increase) in: Accounts receivable Prepaid expenses and other assets Contributions receivable Increase (decrease) in: Non-construction accounts payable and accrued liabilities Accrued payroll and withholdings Deferred revenue (108,005) (19,398) 120,980 1,204 6,932 (154) (4,740) (68,875) 17,540 (188,380) (14,367) 105,600 945 11,873 2,729 (890) 39,283 — (27,305) (6,236) 3,773 (1,956) (4,544) 18,784 (15,411) (1,063) 3,976 ___________ 28,511 20,655 11,903 ___________ 35,258 95,899 (1,593,061) 1,879,504 (219,247) 6,285 (5,633) 6,289 ___________ (3,733,318) 3,654,137 (221,880) 1,242 (6,521) 5,826 ___________ 74,137 (300,514) 58,819 (22) 226 140,776 (15,318) ___________ 53,396 4,663 322 482,860 (305,871) ___________ 184,481 235,370 Net cash provided by financing activities Net increase in cash and cash equivalents Cash and cash equivalents at beginning of year Cash and cash equivalents at end of year 328,055 (53,396) (208,906) Net cash provided by (used in) investing activities CASH FLOWS FROM FINANCING ACTIVITIES Gifts for plant and endowment (Decrease) increase in construction-related payables Increase in government advances for student loans Proceeds from the issuance of debt Payments to retire or defease debt $ (58,819) (247,455) Net cash provided by operating activities CASH FLOWS FROM INVESTING ACTIVITIES Purchases of investments Proceeds from the sale of investments Acquisition of property, plant, and equipment Disposal of property, plant, and equipment Student loans disbursed Principal collected on student loans 438,314 2005 $ 293,876 217,697 ___________ $ 511,573 $ 30,755 186,942 ___________ $ 217,697 The accompanying notes are an integral part of the consolidated financial statements. 43 Notes to the Consolidated Financial Statements 1. Organization The Vanderbilt University (the University) is a privately endowed, coeducational, not-for-profit, nonsectarian institution located in Nashville, Tennessee. Founded in 1873, the University owns and operates educational and research facilities as well as a health care system. The University provides educational services to approximately 6,400 undergraduate and 5,100 graduate and professional students enrolled in its ten schools and colleges. The Chancellor and the Board of Trust, the governing board of the University, have oversight responsibility for all of the University’s financial affairs. These consolidated financial statements include the accounts of all entities in which the University has a significant financial interest and over which the University has control, including its hospitals and clinics. All significant intercompany accounts and transactions have been eliminated in consolidation. 2. Summary of Significant Accounting Policies Basis of Presentation The consolidated financial statements of the University have been prepared on the accrual basis in accordance with accounting principles generally accepted in the United States of America. Based on the existence or absence of donor-imposed restrictions, the University classifies resources into three categories: unrestricted, temporarily restricted, and permanently restricted net assets. Unrestricted net assets are free of donor-imposed restrictions. All revenues, gains, and losses that are not temporarily or permanently restricted by donors are included in this classification. All expenditures are reported in the unrestricted class of net assets, since the use of restricted contributions in accordance with donors’ stipulations results in the release of the restriction. Temporarily restricted net assets are limited as to use by donor-imposed stipulations that expire with the passage of time or that can be satisfied by action of the University. These net assets may include unconditional pledges, splitinterest agreements, and interest in trusts held by others. 44 Permanently restricted net assets are amounts required by donors to be held in perpetuity. These net assets may include unconditional pledges, true endowment, split-interest agreements, and interest in trusts held by others. Expirations of temporary restrictions on net assets, i.e., the passage of time and/or fulfilling donor-imposed stipulations, are reported as net assets released from restrictions between the applicable classes of net assets in the Consolidated Statements of Activities. Cash and Cash Equivalents Cash and cash equivalents, maturing in 90 days or less at date of purchase, are reported at fair value. Investments Investments are reported at fair value, based primarily on market quotes, except for certain real estate and mortgages that are stated at cost. Fair values for certain alternative investments (mainly investments in limited partnerships) primarily are based on estimates reported by fund managers where a ready market for the investments does not exist. The estimated values are reviewed and evaluated by the University. The University has significant exposure to a number of risks including interest rate, market, and credit risks for both marketable and non-marketable securities. Due to the level of risk exposure, it is possible that near-term valuation changes for investment securities may occur to an extent that could materially affect the amounts reported in the University’s financial statements. Purchases and sales of securities are recorded on the trade dates, and realized gains and losses are determined on the basis of the average historical cost of the securities sold. Net receivables and payables arising from unsettled trades by investment managers are reported as a component of investments. All true endowment investments and long-term net assets functioning as endowment are managed in a pool, unless special considerations or donor stipulations require that they be held separately. Gains and losses on investments generally are reported as increases or decreases in unrestricted net assets unless explicit donor stipulations or law restrict their use. Endowment Distribution Policy The University employs a total return policy that establishes the amount of endowment income distributed to support current operational needs. This policy is designed to reduce the impact of capital market fluctuations on operational programs and increase the amount of return that is reinvested in the corpus of funds in order to enhance its long-term value. Under this policy, endowment income distributions are based on 4.5% of the previous three years’ average calendar year-end market values. Actual endowment return earned in excess of distributions under this policy is reinvested as part of the University’s managed endowment and is reported as a non-operating item in the Consolidated Statements of Activities. For years where actual endowment return is less than distributions under the policy, the shortfall is covered by realized returns from prior years. Additionally, the Board of Trust has authorized the use of previously reinvested income, realized capital gains, and principal related to unrestricted funds functioning as endowment for special transinstitutional academic development initiatives. Endowment distributions reported in the Consolidated Statements of Activities include both (a) distributions to support current operational needs under the policy as previously described and (b) the aforementioned supplemental endowment distributions for special academic initiatives to the extent operating expenditures have been incurred. The supplemental use of unrestricted funds functioning as endowment to invest in capital needs of special academic initiatives is not reported as endowment distributions in the Consolidated Statements of Activities. Other Financial Instruments Recorded amounts for receivables, prepaid expenses and other assets, and accounts payable and accrued expenses approximate fair value. Using market quotations for similar issues or borrowings, the University evaluates the estimated fair value of its fixed-rate long-term indebtedness relative to carrying value. Principal balances for fixed-rate debt are reported at carrying value, which is substantially equivalent to estimated fair value. The University employs derivatives, primarily interest rate swap agreements, to manage market risk associated with outstanding variable-rate debt. Derivative financial instruments are reported at fair value with any resulting gain or loss recognized as a non-operating item in the Consolidated Statements of Activities. Periodic net cash settlement amounts with counterparties are accounted for as adjustments to interest expense on the related debt. Parties to interest rate swap agreements are subject to market risk for changes in interest rates as well as risk of credit loss in the event of nonperformance by the counterparty. The University deals only with high-quality counterparties that meet rating criteria for financial stability and credit worthiness. Additionally, the University requires the posting of collateral when amounts subject to credit risk under swap arrangements exceed specified levels. University management also approves strategic use of derivatives by external investment managers to manage market risks. The most common strategies engaged by such managers are futures contracts, short sales, and hedges against currency translation risk for investments denominated in other than U.S. dollars. These derivative instruments are recorded at their respective fair values. Through an agreement with its primary investment custodian, the University participates in security lending to brokers. For pledged cash and cash equivalents collateral under the control of the University, a short-term asset and liability are recorded representing the market value of such collateral. Split-Interest Agreements and Interest in Trusts Held by Others The University’s split-interest agreements with donors consist primarily of irrevocable charitable remainder trusts, charitable gift annuities, and life income funds for which the University serves as trustee. Assets held in these trusts are included in investments. Contribution revenue is recognized at the dates the trusts are established, net of the liabilities for the present value of the estimated future payments to be made to the donors and/or other beneficiaries. Annually, the University records the change in value of split interest agreements by marking to market the assets that are associated with each trust and recalculating the liability for the present value of the estimated future payments to be made to the donors and/or other beneficiaries. The University also is the beneficiary of certain trusts held and administered by others. The University’s share of these trust assets is recorded at fair value as interest in trusts held by others with carrying values adjusted annually for changes in fair value. 45 Property, Plant, and Equipment Purchased property, plant, and equipment are recorded at cost, including, where appropriate, capitalized interest. Donated assets are recorded at fair market value at the date of donation. Additions to the library collection are expensed at the time of purchase. Depreciation is calculated by the straight-line method at rates estimated to allocate the cost of various classes of assets over their estimated useful lives. Equipment is removed from the accounting records at the time of disposal. Conditional asset retirement obligations related to legal requirements to perform certain future activities related to the retirement, disposal, or abandonment of assets are accrued utilizing site-specific surveys to estimate the net present value for applicable future costs, e.g., asbestos abatement or removal. The University reviews long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. An impairment charge is recognized when the fair value of the asset or group of assets is less than the carrying value. Revenue Recognition The University’s revenue recognition policies are as follows: Tuition and educational fees, net—Student tuition and educational fees are recorded as revenues during the year the related academic services are rendered. Student tuition and educational fees received in advance of services to be rendered are recorded as deferred revenue. Financial aid provided by the University for tuition and educational fees is reflected as a reduction of tuition and educational fees. Financial aid does not include payments made to students for services rendered to the University. Government grants and contracts—Revenues from government grants and contracts are recognized when allowable expenditures are incurred under such agreements. Facilities and administrative (F&A) costs recovery—F&A costs recovery, historically referred to as indirect cost recovery, is recognized as revenue and represents reimbursement, primarily from the federal government, of F&A costs on research grants. The federal F&A costs recovery rate for on- 46 campus research was 52.0% in fiscal 2006. This rate increases to 53.0% in fiscal 2007 and 53.5% in fiscal 2008. Health care services—Health care services revenue is reported at established rates, net of contractual adjustments and charity services. Third party contractual revenue adjustments under governmental reimbursement programs are accrued on an estimated basis in the period the related services are rendered. The estimated amounts are adjusted to actual during the year that final settlement is determined by the fiscal intermediary for each program. Health care services revenue includes that of Vanderbilt University Hospitals and Clinics, Vanderbilt Medical Group, Vanderbilt Health Services, Inc., and other activities directed toward the purpose of providing health care services to the community. Contributions Unconditional promises to give (pledges) are recognized as contribution revenue when the donor’s commitment is received. Conditional promises (primarily bequest intentions) are not recorded until donor stipulations are substantially met. Unconditional promises to give, with payments due to the University in future periods, are recorded as increases in temporarily restricted or permanently restricted net assets at the estimated present value of future cash flows, net of an allowance for estimated uncollectible promises. Amortization of the discount is recorded as additional contributions in the appropriate net asset class. Allowance is made for uncollectible contributions receivable based upon management’s analysis of past collection experience and other judgmental factors. Contributions with donor-imposed restrictions are recorded as unrestricted revenue if those restrictions are met in the same reporting period. Otherwise, contributions with donor-imposed restrictions are recorded as increases in temporarily restricted or permanently restricted net assets, depending on the nature of the restriction. Contributions recorded as temporarily restricted net assets are released from restrictions and recognized as unrestricted net assets upon receipt of the gift or expiration of the time restriction, and after any donor stipulations are met. Gifts for plant facilities are released from restrictions and recognized as a nonoperating item only after resources are expended for the applicable plant facilities. Contributions receivable of pledged securities are stated at the fair value of the underlying securities. Net changes on shares pledged in prior years due to fair value changes for the underlying securities are reported separately as a non-operating gain or loss on contributions receivable in the Consolidated Statements of Activities. Operating Results Operating results (change in unrestricted net assets from operating activity) in the Consolidated Statements of Activities reflect all transactions that change unrestricted net assets, except gifts for plant facilities, activity associated with endowment investments, changes in the value of interest rate swap agreements, and certain other non-recurring items. In accordance with the University’s endowment distribution policy, as previously described, only the portion of total investment return distributed under this policy to meet operating needs is included in operating revenue. Operating investment income consists of dividends, interest, and gains and losses on unrestricted, non-endowed investments. The University’s primary programs are instruction, research, patient care, and public service. Academic and student support expenses and auxiliary services are considered integral to the delivery of these programs. Fundraising costs are not material to the University’s contributions or total program costs. Approximately 58% of private gifts, grants, and contracts revenue represent transactions where University services are provided to other parties. well as the disclosure of contingent assets and liabilities. Actual results ultimately could differ from management’s estimates. Redesignations When donors amend or clarify intent for applicable gifts and contributions reported in a previous fiscal year, revisions are separately reflected as donor designation changes within the Consolidated Statements of Activities. Reclassifications Certain reclassifications have been made to prior year amounts to conform to the current year presentation. 3. Accounts Receivable Accounts receivable as of June 30 were as follows (in thousands): 2006 $ 313,601 79,136 6,648 __________ 2005 $ 307,109 74,502 6,959 __________ 399,385 388,570 Less: Allowance for bad debts 141,818 __________ 158,308 __________ Accounts receivable, net $ 257,567 __________ __________ $ 230,262 __________ __________ Patient care Students, grants, and other Accrued investment income Accounts receivable Costs related to the operation and maintenance of physical plant, including depreciation of plant assets, are allocated to operating programs and supporting activities based upon facility usage. Interest expense on external debt is allocated to the activities that have benefited most directly from the debt proceeds. Income Taxes The University is a tax-exempt organization as described in Section 501(c)(3) of the Internal Revenue Code (the Code), and is generally exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The University is, however, subject to federal and state income tax on unrelated business income, and provision for such taxes is included in the accompanying financial statements. Use of Estimates The preparation of financial statements requires the use of estimates and assumptions that affect the reported amounts of assets, liabilities, revenue, and expenses during the reporting period as 47 4. Contributions Receivable 5. Investments Contributions receivable as of June 30 were as follows (in thousands): Investments by security type as of June 30 were as follows (in thousands): 2006 Unconditional promises expected to be collected in: Less than one year One year to five years More than five years Contributions receivable Less: Unamortized discount Allowance for uncollectible promises Contributions receivable, net $ 22,275 69,739 4,869 __________ 2005 $ 20,738 74,879 1,848 __________ 96,883 97,465 8,817 6,794 7,458 __________ $ 80,608 __________ __________ 6,290 __________ $ 84,381 __________ __________ 2006 Short-term securities $ 81,358 Bonds 351,083 Stocks 975,572 Partnership investments 1,636,125 Mortgages 6,834 Real estate 190,013 Other 35,351 Net receivables (payables) for unsettled trades by investment managers 717 __________ 2005 $ 277,301 410,680 1,040,966 1,263,995 8,305 156,283 31,281 Total fair value $3,277,053 __________ __________ (173) __________ $3,188,638 __________ __________ Total cost $2,732,570 __________ __________ $2,752,160 __________ __________ The University’s net contributions receivable include amounts due from the Ingram Charitable Fund (ICF) totaling $21.1 million and $38.7 million as of June 30, 2006 and 2005, respectively. The assets of the ICF primarily consist of publicly traded Ingram Micro Inc. common stock and privately held Ingram Industries Inc. common stock. Investments by net asset category as of June 30 were as follows (in thousands): In addition to pledges reported as contributions receivable, the University had received bequest intentions of approximately $167.2 million as of June 30, 2006. These intentions to give are not recognized as assets due to their conditional nature. If these bequests are received, generally they will be restricted for specific purposes stipulated by the donors, primarily endowments for faculty support, scholarships, or general operating support of a particular department or division of the University. Through an agreement with its primary investment custodian, the University participates in lending securities to brokers. Among other provisions that limit the University’s risk, this agreement specifies that the custodian is responsible for managing strict borrower collateral requirements. Collateral, which is pooled by the custodian, generally is limited to cash, government securities, and irrevocable letters of credit. Depending on the type of securities being lent, minimum collateral ranges from 101% to 105% with required daily marking-to-market. Unrestricted Temporarily restricted Permanently restricted 2006 $2,539,668 118,974 618,411 __________ 2005 $2,490,949 125,902 571,787 __________ Total fair value $3,277,053 __________ __________ $3,188,638 __________ __________ Both the investment custodian and security borrowers have the right to terminate a specific loan of securities at any time. Other than for an event of default, the investment custodian is prohibited from re-pledging or otherwise encumbering the pledged collateral. The University receives lending fees and continues to earn interest and dividends on the loaned securities. At June 30, 2006, investment securities with a market value of $304.5 million were loaned to various approved brokers under this program with collateral having a total market value of $310.9 million, including cash and cash equivalents of $271.4 million. The cash and cash equivalents collateral and the obligation to return such collateral are reported as an asset and liability on the Consolidated Statements of Financial Position. 48 6. Investment Return 7. Net Asset Components of Managed Endowment As previously noted, the University employs a total return policy that establishes endowment appreciation distributions. Additionally, the Board of Trust authorized the use of funds functioning as endowment to support operating and capital needs of certain transinstitutional initiatives. Endowment distributions in fiscal 2006 and 2005 were based on 4.5% of the previous three years’ average calendar year-end market values plus the use of $10.5 million and $11.7 million of funds functioning as endowment for operating expenses of transinstitutional initiatives in fiscal 2006 and 2005, respectively. Further, $2.3 million and $6.6 million of unrestricted funds functioning as endowment were utilized for capital needs of transinstitutional initiatives in fiscal 2006 and 2005, respectively. Liquidations for these special capital investments are excluded from the following summary of endowment distributions and other investment income for the fiscal years ended June 30 (in thousands): Operating: Endowment distributions Investment income 2006 2005 $ 109,270 28,256 __________ $ 103,849 28,564 __________ 137,526 132,413 Total operating return Non-operating: Unrestricted: Endowment appreciation utilized (112,324) Investment income 374,907 Temporarily restricted: Endowment distributions 2,816 Investment income 18,179 Permanently restricted: Endowment distributions 794 Investment income 3,018 __________ Total non-operating return Total investment return (106,646) 398,953 2,545 16,826 287,390 __________ 252 10,116 __________ 322,046 __________ $ 424,916 __________ __________ $ 454,459 __________ __________ Vanderbilt’s managed endowment represents only those endowment-related net assets that are under the management control of Vanderbilt University. Gift annuities, interest in trusts held by others, and certain contributions pending transfer are not considered components of the managed endowment. A summary of the University’s managed endowment as of June 30 follows (in thousands): Unrestricted net assets: Funds functioning as endowment, at cost Net unrealized appreciation on investments Exclude net unrealized losses allocable to other investments Funds functioning as endowment Temporarily restricted net assets: Funds functioning as endowment, at cost Permanently restricted net assets: True endowment Exclude portion allocable to contributions receivable and other Managed true endowment Fair value of managed endowment 2006 2005 $1,754,792 $1,637,322 537,895 395,673 643 __________ 4,655 __________ 2,293,330 __________ 2,037,650 __________ 9,433 __________ — __________ 660,164 603,724 (47,307) __________ (43,147) __________ 612,857 __________ 560,577 __________ $2,915,620 __________ __________ $2,598,227 __________ __________ The components of total investment return for the fiscal years ended June 30 were as follows (in thousands): 2006 Net interest, dividend, and partnership income Net realized gains from original cost Net unrealized gains Total investment return 2005 $ 68,051 247,469 109,396 __________ $ 58,293 209,374 186,792 __________ $ 424,916 __________ __________ $ 454,459 __________ __________ 49 8. Property, Plant, and Equipment Property, plant, and equipment as of June 30 were as follows (in thousands): 2006 $ 49,651 1,810,770 585,484 117,178 __________ 2005 $ 48,385 1,692,707 532,423 114,756 __________ Property, plant, and equipment 2,563,083 2,388,271 Less: Accumulated depreciation 1,105,924 __________ 1,023,094 __________ Property, plant, and equipment, net $1,457,159 __________ __________ $1,365,177 __________ __________ Land Buildings and improvements Moveable equipment Construction in progress Purchases for the library collection are not included in the foregoing since they are expensed at the time of purchase. As of June 30, 2006, the estimated replacement cost for library collections, including processing costs to properly identify, catalog, and shelve materials, exceeds $298.1 million. For both fiscal 2006 and 2005, $0.7 million of capitalized interest was added to construction in progress. Internally developed software costs of $3.0 million in 2006 and $2.6 million in 2005 were capitalized. 9. Long-Term Debt, Commercial Paper, and Capital Leases Long-term debt consists of bonds and notes payable with scheduled final maturity dates at least one year after the original issuance date. Outstanding long-term debt, commercial paper, and capital lease obligations as of June 30 were as follows (in thousands): Fiscal 2006 Effective Years to Interest Maturity Rate Fixed-rate long-term debt 1996 Series A 1997 Series A 1998 Series A 1998 Series B 1998 Series C1 2001 Series A 2001 Series B1 2005 Series B1, 2 HUD Note payable Other 3 13 10 23 9 10 17 38 3 3 13 Total fixed-rate long-term debt Total variable-rate long-term debt 2005 5.7% $ 3,265 $ 4,265 5.4% 23,635 24,870 5.6% 19,700 21,145 5.0% 34,280 35,075 5.0% 17,805 19,370 4.9% 13,655 14,700 5.1% 54,015 56,010 3.2% 277,750 277,750 3.0% 385 660 7.3% 8,408 8,802 3.0% _________ 227 _________ 299 3.1% 62,000 63,200 3.1% 62,000 63,200 3.1% 21,370 21,730 3.1% 35,790 38,040 3.0% _________ 113,300 _________ 113,300 294,460 _________ 299,470 _________ Par amount of long-term debt Net unamortized premium 747,585 762,416 12,435 _________ 17,175 _________ Total long-term debt 760,020 3 Total long-term debt and capital leases Tax-exempt commercial paper, series A and B 2006 453,125 _________ 462,946 _________ Variable-rate long-term debt 2000 Series A 25 2000 Series B 25 2002 Series A 27 2003 Series A1 13 2005 Series A 38 Capital leases Outstanding Principal 3.5% _________ 1,767 _________ 808 761,787 <1 Total long-term debt, commercial paper, and capital leases 779,591 780,399 2.8% _________ 144,830 _________ 5,500 $ 906,617 _________ $ 785,899 _________ _________ _________ Issued under Master Trust Indenture structure. The 2005B bonds are fixed only through put dates in fiscal years 2008 through 2010 when re-marketings could result in differing modes. 1 2 50 The preceding table reflects fixed/variable allocations before the effects of interest rate swap arrangements used by the University to manage its debt portfolio. Such agreements are covered in more detail in a successive footnote. Tax-exempt commercial paper, as well as all of the aforementioned bonds (with the exception of the HUD bonds), has been issued by the Health and Educational Facilities Board of The Metropolitan Government of Nashville and Davidson County, Tennessee (HEFB). As a conduit issuer, the HEFB loans the debt proceeds to the University. Pursuant to loan agreements, the University’s debt service requirements under these loan agreements coincide with required debt service of the actual HEFB bonds. Included in the foregoing are hospital and clinic (patient care) bonds, with a principal balance outstanding of $385.4 million as of June 30, 2006, that were issued under a Master Trust Indenture (MTI) structure. The MTI provides the flexibility for multiple parties to participate in debt issuances as part of an obligated group; presently, the University’s hospitals and clinics have no other members participating in its obligated group. Bonds issued under the MTI are payable solely from hospital revenues (as defined in the MTI). All MTI bonds presently outstanding are also supplemented by a University guarantee of debt service. Selected information for long-term debt, commercial paper, and interest rate swap arrangements follows (in thousands): Interest cost paid Interest cost expensed Assets held by trustees for subsequent debt service as of June 30 $ $ 2006 29,886 26,474 $ $ 2005 25,954 26,830 $ 5,352 $ 2,024 Under certain circumstances, variable-rate bond obligations may be converted to a fixed-rate structure. While these bonds are in a variable rate mode, they are subject to optional and mandatory tender. The University has agreements with remarketing agents to re-market any bonds so tendered. Liquidity for the variable debt portfolio (both commercial paper and variable rate demand bonds) is covered primarily by portfolio self-liquidity, supplemented by a bank revolving credit agreement dedicated solely to debt portfolio liquidity. There were no borrowings outstanding on the revolving credit agreement as of June 30, 2006 or 2005. Trust indentures for certain bond issues contain covenants and restrictions involving the issuance of additional debt, maintenance of a specified debt service coverage ratio, and the maintenance of liquidity facilities. As of and for the fiscal year ended June 30, 2006, management believes that the University has complied with applicable covenants. In prior fiscal years, the University defeased certain obligations by irrevocably placing assets with a trustee to pay principal and interest on the obligations as they become due. The outstanding balance of the defeased obligations was $20.3 million as of June 30, 2006. In fiscal 2006, the University issued $139.3 million of commercial paper (CP) under its $600 million tax-exempt CP program to finance the construction, expansion, and renovation of various University facilities and related equipment, most notably The Commons and the Vanderbilt University Institute of Imaging Science. The University’s taxable CP program is authorized for draws up to $75 million. No draws were made under this CP program during the year. Principal payments and scheduled sinking fund requirements on the par amount of long-term debt due in subsequent fiscal years ending June 30 are as follows (in thousands): 2007 2008 2009 2010 2011 Thereafter $ 15,482 16,522 24,481 16,450 17,320 657,330 __________ Total $ 747,585 __________ __________ 51 10. Interest Rate Swap Agreements To manage the fixed/variable mix for its debt portfolio, including hedging exposure to increasing interest expense from variablerate debt, the University utilizes interest rate swap agreements. The fair value of interest rate swap agreements is the estimated amount that the University would pay or receive to terminate these contracts as of the report date. The estimated cumulative gain (loss) for the fair value of these swap agreements was $23.6 million and ($45.3) million as of June 30, 2006 and 2005, respectively, and is included in prepaid expenses in 2006, and accounts payable and accrued liabilities in 2005. Changes in the fair value for these contracts, which for fiscal 2006 and 2005 amounted to an unrealized gain of $68.9 million and an unrealized loss of Origination/ Description $39.3 million, respectively, were recorded as other non-operating items in the Consolidated Statements of Activities. Periodic net cash settlement receipts (payments) for all agreements aggregated $0.5 million and ($8.4) million for fiscal 2006 and 2005, respectively, and were reflected as adjustments to operating expense in the Consolidated Statements of Activities. As of June 30, 2006, the University’s adjusted debt portfolio, after taking into account the aforementioned derivatives, was approximately 56% fixed and 44% variable. Outstanding interest rate swap agreements as of June 30 were as follows (in thousands): Settlement Provisions Maturity January 2002 fixed payer swaps University receives variable payments based on 70% of London Interbank Offered Rate (LIBOR) and pays fixed amounts at a weighted average rate of 3.990% Gradual amortization1, corresponding to principal retirements for the University’s Series 2000A and 2000B bonds, with final expiration in October 2030 January 2005 fixed payer swaps University receives variable payments based on 68% of LIBOR and pays fixed amounts at a weighted average rate of 3.433% Amortization commences in October 2033, corresponding to principal retirements for the University’s Series 2005A bonds, with final expiration in October 2044 Other fiscal 2005 fixed payer swaps University receives variable payments based on 68% of LIBOR and pays fixed amounts at a weighted average rate of 3.460% January 2005 fixed receiver swaps Outstanding Notional Amounts 2006 2005 $124,000 $126,400 $80,000 $80,000 Bullet maturities in October 2039 $315,000 $315,000 University receives fixed payments averaging 2.997% and pays variable amounts based on the Bond Market Association (BMA) municipal swap index Amortization commences in April 2008, corresponding to scheduled re-marketings for the University’s Series 2005B bonds, with final maturity in April 2010 $277,750 $277,750 March 2005 and August 2005 fixed receiver swaps University receives fixed payments averaging 3.428% and pays variable amounts based on the BMA index Bullet maturities2 in April 2008 and September 2009 $200,000 $100,000 Fiscal 2005 and 2006 basis swaps University receives payments averaging 82.2% of LIBOR and pays variable amounts based on the BMA index Bullet maturities in July 2034 and 2035 $500,000 $350,000 1 Commencing in October 2012, the counterparty has an option to cancel 50% of the outstanding notional amount without a termination payment, which would result in a remaining fixed payment commitment of 4.175%. 2 The counterparty has an option exercisable in April 2008 to extend the transaction for two additional years. If exercised, the fixed payment rate will increase to 3.75%. 52 11. Net Assets The University has chosen to provide further classification information about net assets. Unrestricted net assets are internally designated into the following groups: Designated for operations represents the cumulative budgeted operating activity of the University and routine equipment replacement reserves. Designated gifts and grants are composed of departmental gift and grant funds. Designated for student loans represents University funds set aside to serve as revolving loan funds for students. Designated for plant facilities represents the net investment in property, plant, and equipment, as well as funds designated for future acquisitions of plant facilities and retirement of debt. Funds functioning as endowment are amounts set aside by the Board of Trust, intended to generate income in perpetuity to support operating needs. Such amounts include substantially all cumulative realized appreciation on the applicable investments. Net unrealized appreciation on investments represents cumulative unrealized net gains from original cost on marketable investments. Most of the net unrealized appreciation is attributable to funds functioning as endowment. Net fair value of interest rate swap agreements represents the mark-to-market valuation for derivative contracts. Because these agreements are intended to serve as long-term hedges within the debt portfolio, segregation apart from other designations is maintained. Based on the foregoing designations, unrestricted net assets as of June 30 were as follows (in thousands): Designated for operations Designated gifts and grants Designated for student loans Designated for plant facilities Funds functioning as endowment, at cost Net unrealized appreciation on investments Net fair value of interest rate swap agreements Total unrestricted net assets 2006 $ 202,847 131,021 30,735 764,280 2005 $ 178,048 133,434 30,144 715,048 1,754,792 1,637,322 537,895 395,673 23,592 __________ (45,283) __________ $3,445,162 __________ __________ $3,044,386 __________ __________ Temporarily restricted net assets as of June 30 were composed of the following (in thousands): Gifts and pledges Interest in trusts held by others Life income and gift annuities 2006 $ 131,210 7,604 16,941 __________ 2005 $ 152,038 6,824 16,181 __________ Total temporarily restricted net assets $ 155,755 __________ __________ $ 175,043 __________ __________ Such temporarily restricted net assets were available for the following purposes as of June 30 (in thousands): Student scholarships Instruction Capital improvements Subsequent period operations and other Total temporarily restricted net assets $ 2006 1,020 3,401 10,065 $ 2005 762 3,837 11,801 141,269 __________ 158,643 __________ $ 155,755 __________ __________ $ 175,043 __________ __________ Permanently restricted net assets as of June 30 were composed of the following (in thousands): True endowment Interest in trusts held by others Life income and gift annuities 2006 $ 660,164 35,332 29,332 __________ 2005 $ 603,724 35,958 28,320 __________ Total permanently restricted net assets $ 724,828 __________ __________ $ 668,002 __________ __________ 53 12. Natural Classification of Expenses and Allocations Operating expenses incurred in the fiscal years ended June 30, 2006 and 2005, were as follows (in thousands): Salaries, wages, and benefits Services Supplies and materials Depreciation and amortization Interest Provision for bad debts Utilities, operating leases, and other 2006 $1,397,173 117,136 537,928 120,980 26,474 130,927 97,427 __________ 2005 $1,279,366 107,144 500,950 105,600 26,830 95,464 82,895 __________ Total operating expenses $2,428,045 __________ __________ $2,198,249 __________ __________ Based on the functional uses of space on its campus, the University initially allocated depreciation and interest on indebtedness to the various functional expense categories shown below. Subsequent allocations of total institutional and other support costs were made to the University’s primary programs. Initial allocations are shown below (in thousands): 2006 Instruction Research Health care services Academic support Institutional support Student services Public service Room, board, and other auxiliary services Total Interest ____________ Depreciation __________ $ 2,723 $ 15,664 4,652 18,223 13,058 50,973 894 8,132 730 10,894 270 1,583 158 1,156 3,989 __________ $ 26,474 __________ __________ 14,355 __________ 120,980 $ __________ __________ 2005 Instruction Research Health care services Academic support Institutional support Student services Public service Room, board, and other auxiliary services Total 54 Interest ____________ Depreciation __________ $ 2,478 $ 13,342 4,435 16,357 12,656 41,916 1,063 7,058 686 8,374 466 1,689 127 869 4,919 __________ $ 26,830 __________ __________ 15,995 __________ $ 105,600 __________ __________ 13. Retirement Plans The University’s full-time faculty and staff members participate in defined contribution retirement plans administered by thirdparty investment and insurance firms. For eligible employees with one year of continuous service, these plans require employee and matching employer contributions; such contributions immediately fully vest with the employee. The University’s obligations under these plans are fully funded by periodic transfers to the respective retirement plan administrators with the corresponding expenses recognized in the year incurred. Retirement plan contributions for fiscal 2006 and 2005 were $39.4 million and $35.5 million, respectively. 14. Student Financial Aid The University provides financial aid to students based upon need and merit. This financial assistance is funded by institutional resources, gifts, endowment income, and externally sponsored aid. In fiscal 2006 and 2005, financial aid for tuition and educational fees of $128.0 million and $114.2 million was applied to gross tuition and educational fees of $316.2 million and $294.3 million, respectively. In fiscal 2006 and 2005, financial aid for room and board of $15.6 million and $14.5 million was applied to gross room and board of $43.6 million and $41.5 million, respectively. Loans to students from University funds are carried at cost, which, based on secondary market information, approximates the fair value of educational loans with similar interest rates and payment terms. Loans receivable from students under governmental loan programs, also carried at cost, can only be assigned to the United States government or its designees. Loan balances are net of allowances for estimated uncollectible accounts of $3.9 million as of June 30, 2006 and 2005. Loans to qualified students are funded principally with government advances to the University under the Perkins, Nursing, and Health Professions Student Loan Programs. 15. Related Parties 17. Commitments and Contingencies The University contracts with certain related parties for the purchase of goods, performance of construction activities, and provision of other services. Significant purchases of goods and services from related parties typically are subject to competitive pricing analyses. During fiscal 2006 and 2005, the University had related party transactions approximating $29.2 million and $36.6 million, respectively. (A) Construction. At June 30, 2006, approximately $104.8 million was committed for projects under construction and equipment purchases, to be financed primarily from anticipated debt proceeds. 16. Conditional Asset Retirement Obligations In March 2005, the Financial Accounting Standards Board issued Interpretation No. 47 (FIN 47), Accounting for Conditional Asset Retirement Obligations. Under FIN 47, companies must accrue for costs related to legal obligations to perform certain activities in connection with the retirement, disposal, or abandonment of assets. The obligation to perform the asset retirement activity is not conditional, even though the timing or method may be conditional. Vanderbilt implemented FIN 47 with an effective date of June 30, 2006. Using site-specific surveys, the University identified asbestos abatement or removal as conditional asset retirement obligations, resulting in a liability of $17.5 million reported as accounts payable and accrued expenses on the Consolidated Statements of Financial Position as of June 30, 2006. Implementation of this pronouncement resulted in $17.5 million being reflected as the cumulative effect of a change in accounting principle in fiscal 2006. (B) Lease Obligations. The University leases certain equipment and real property. These leases are classified primarily as operating leases and have lease terms ranging up to fifteen years. Total operating lease expense for fiscal 2006 and 2005 was $47.8 million and $44.3 million, respectively. Future minimum rentals on non-cancelable operating leases with initial or remaining lease terms in excess of one year as of June 30, 2006, were as follows (in thousands): 2007 2008 2009 2010 2011 Thereafter $ 27,947 23,105 19,114 10,198 5,959 16,410 __________ Total future minimum rentals $ 102,733 __________ __________ In conjunction with its normal business practices related to the leasing of equipment, in February 2005 and March 2004, the University established financing mechanisms via $16.4 million and $40.0 million, respectively, of tax-exempt bonds issued by the Health and Educational Facilities Board of the Metropolitan Government of Nashville and Davidson County, Tennessee. Payments made by the University under these financing mechanisms are reported as operating lease expense and are included in the future minimum rentals above. (C) Litigation. The University is a defendant in several legal actions. Management believes that the outcome of these actions will not have a significant effect on the University’s financial position. (D) Medical Malpractice Liability Insurance. The University is selfinsured for the first level of medical malpractice claims. The current self-insured limits are $5.5 million per occurrence, not to exceed an annual aggregate of $41.0 million. For this self-insured retention, a trust fund has been established. The funding of the trust is based upon studies performed by an actuarial firm. Excess malpractice and professional liability coverage has been obtained from commercial insurance carriers on a claims-made basis for claims above the retained self-insurance risk levels. 55 E) Employee Health and Workers Compensation Insurance. In addition to the initial tier of self-insured exposure for medical malpractice liability as previously noted, the University also is self-insured for employee health insurance and workers compensation coverage. Actuarial liabilities are recorded based upon studies performed by actuarial firms. (F) Federal and State Contracts and Other Requirements. Expenditures and F&A costs related to federal and state grants and contracts are subject to adjustment based upon review by the granting agencies. The amounts, if any, of expenditures that may be disallowed by the granting agencies cannot be determined at this time, although management expects they will not have a significant effect on the University’s financial position. (G) Health Care Services Revenue. Revenue from health care services includes amounts paid under reimbursement agreements with certain third-party payers and is subject to examination and retroactive adjustments. Any differences between estimated yearend settlements and actual final settlements are reported in the year final settlements are known. Substantially all settlements have been made through the year ended June 30, 2003. In August 1996, Congress approved the Health Insurance Portability and Accountability Act of 1996 (Act). Under the Act, the federal government was given substantial resources and authority for the completion of fraud and abuse investigations, and the Act has established substantial fines and penalties for offenders. Management continues to refine policies, procedures, and organizational structures to enforce and monitor compliance with this Act, as well as other government statutes and regulations. The medical center’s compliance with laws and regulations is subject to future government review and interpretations, as well as regulatory actions unknown or unasserted at this time. Management believes that liability, if any, from such reviews will not have a significant effect on the University’s financial position. (H) Partnership Investment Commitments. There were $763.1 million of commitments to venture capital, real estate, and distressed security investments as of June 30, 2006. These funds may be drawn down over the next several years upon request by the general partners. As of June 30, 2006, $51.2 million of unallocated cash and cash equivalents in the managed endowment are held to meet these obligations. Management expects to 56 finance these commitments with available cash and expected proceeds from the sale of securities. (I) McKendree Village, Inc. Debt Guaranty. In July 1998, Vanderbilt University and McKendree Village, Inc., a not-forprofit retirement community, entered into a joint venture agreement. In September 1998, the University guaranteed payment of $19.8 million of debt issued by McKendree Village. As of June 30, 2006, the balance of the guaranteed debt was $18.1 million. Supplemental Information 57 Vanderbilt University Hospitals and Clinics Results of Operations Years ended June 30, 2006 and 2005 (in thousands) 2006 2005 $1,191,857 $1,047,042 — 12,765 __________ 1,204,622 __________ 1,317 10,306 __________ 1,058,665 __________ 803,880 52,981 153,717 44,406 12,643 102,400 __________ 716,305 44,642 142,203 35,428 10,891 74,353 __________ 1,170,027 __________ 34,595 1,023,822 __________ 34,843 Total other income 759 4,075 __________ 4,834 __________ 716 3,010 __________ 3,726 __________ Excess of revenues over expenses $ 39,429 __________ __________ $ 38,569 __________ __________ Operating revenues: Net patient service revenue Investment income on assets limited as to use under bond indenture agreements Other revenue Total operating revenues Operating expenses: Medical services General services Administrative and fiscal services Depreciation and amortization Interest Provision for bad debts Total operating expenses Income from operations Other income: Unrestricted endowment income and bequests Investment income 58 General Officers Gordon Gee, J.D., Ed.D. Chancellor Lauren J. Brisky, M.B.A. Vice Chancellor for Administration and Chief Financial Officer Harry R. Jacobson, M.D. Vice Chancellor for Health Affairs Michael J. Schoenfeld, M.S. Vice Chancellor for Public Affairs William T. Spitz, M.B.A. Vice Chancellor for Investments and Treasurer David Williams II, M.A., M.B.A., J.D., LL.M. Vice Chancellor for University Affairs, General Counsel, and Secretary of the University Nicholas S. Zeppos, J.D. Provost and Vice Chancellor for Academic Affairs Academic Deans Mark D. Bandas, Ph.D. Associate Provost and Dean of Students Camilla P. Benbow, M.A., M.S., Ed.D. Dean of Peabody College James W. Bradford, J.D. Dean of Owen Graduate School of Management Douglas L. Christiansen, Ph.D. Associate Provost for Enrollment Management and Dean of Admissions Colleen Conway-Welch, M.S.N., Ph.D. Dean of the School of Nursing Steven G. Gabbe, M.D., M.A. Dean of the School of Medicine Kenneth F. Galloway, Ph.D. Dean of the School of Engineering Dennis G. Hall, M.S., Ph.D. Associate Provost for Research and Graduate Education James Hudnut-Beumler, M.Div., M.A., Ph.D. Dean of the Divinity School Richard C. McCarty, M.S., Ph.D. Dean of the College of Arts and Science Edward L. Rubin, J.D. Dean of the Law School Mark Wait, M.M., D.M.A. Dean of Blair School of Music Francis W. Wcislo, M.A., Ph.D. Dean of The Commons 59 Board of Trust 60 as of June 30, 2006 OFFICERS OF THE BOARD MEMBERS Martha R. Ingram Chairman, Nashville, Tennessee Mary Beth Adderley La Jolla, California Ron D. Ford Atlanta, Georgia Dennis C. Bottorff Vice Chairman, Nashville, Tennessee Michael L. Ainslie Palm Beach, Florida John R. Hall Lexington, Kentucky Darryl D. Berger Vice Chairman, New Orleans, Louisiana Camilla D. Bergeron New York, New York L. Hall Hardaway, Jr. Nashville, Tennessee William W. Bain, Jr. Secretary, Boston, Massachusetts Monroe J. Carell, Jr. Nashville, Tennessee H. Rodes Hart Nashville, Tennessee Gordon Gee Chancellor of the University, Nashville, Tennessee Sheryll D. Cashin Washington, D.C. Joanne F. Hayes Nashville, Tennessee A A Carrie A. Colvin Birmingham, Alabama John R. Ingram Nashville, Tennessee Thomas F. Cone Nashville, Tennessee Orrin H. Ingram Nashville, Tennessee Cecil D. Conlee Atlanta, Georgia Alice Ji Terre Haute, Indiana Mark F. Dalton Greenwich, Connecticut J. Hicks Lanier Atlanta, Georgia William W. Featheringill Birmingham, Alabama Rev. Edward A. Malloy, C.S.C. Notre Dame, Indiana A TRUSTEES EMERITI Jackson W. Moore Birmingham, Alabama Richard H. Sinkfield Atlanta, Georgia Nancy P. Mulford Dallas, Texas Heather M. Souder Cambridge, Massachusetts Andrew B. Benedict, Jr. Nashville, Tennessee Cal Turner Nashville, Tennessee Lewis M. Branscomb La Jolla, California Edward G. Nelson Nashville, Tennessee Eugene H. Vaughan Houston, Texas Miriam M. Cowden Nashville, Tennessee Frederick B. Rentschler Scottsdale, Arizona Levi Watkins, Jr., M.D. Baltimore, Maryland Brownlee O. Currey, Jr. Nashville, Tennessee Catherine B. Reynolds McLean, Virginia W. Ridley Wills II Franklin, Tennessee Frank A. Godchaux III Houston, Texas Kenneth L. Roberts Nashville, Tennessee J. Lawrence Wilson Rosemont, Pennsylvania Delbert Mann Los Angeles, California Joe L. Roby New York, New York Rebecca W. Wilson Memphis, Tennessee Alyne Q. Massey Nashville, Tennessee Eugene B. Shanks, Jr. Greenwich, Connecticut William M. Wilson Nashville, Tennessee Judson G. Randolph, M.D. Nashville, Tennessee A Sharon M. Munger Dallas, Texas A A Marissa N. Shrum Chattanooga, Tennessee Nelson C. Andrews Nashville, Tennessee John W. Rich Nashville, Tennessee Thomas B. Walker, Jr. Dallas, Texas James A. Webb, Jr. Nashville, Tennessee Dudley B. White Nashville, Tennessee David K. Wilson Nashville, Tennessee A Nominated by Alumni Association 61 The Brain—is wider than the Sky — For—put them side by side— The one the other will contain With ease—and You—beside— The Brain is deeper than the Sea— For—hold them—Blue to Blue— The one the other will absorb— As Sponges—Buckets—do— The Brain is just the weight of God— For—Heft them—Pound for Pound— And they will differ—if they do— As Syllable from Sound— Emily Dickinson Prepared by Vanderbilt University Division of Administration Photos by Vanderbilt University Division of Public Affairs Published by Vanderbilt University Creative Services Printed by Vanderbilt University Printing Services www.vanderbilt.edu