Article Abstract:
Medical education is not cheap. In the 1989-1990 academic year, the 126 medical schools in the United States tallied up expenditures totalling $18.3 billion. Only 4 percent of the income of medical schools comes from tuition; among public medical schools, only 2.7 percent comes from this source. The largest fraction (30 percent) of medical school income derives from physician practice plans. Although the fraction of income provided by grants and contracts is not as large as it used to be, it is still substantial; 25 percent of medical school income derives from grants and contracts. The recovery of indirect costs (i.e. heating, maintenance, and construction costs) accounts for an additional 7 percent. The majority (52 percent) of the grant money comes from federal research grants. The remainder is divided among teaching grants, service contracts, and research other than federally supported. In addition to federal research grants, 15 percent of the total income of medical schools comes from government appropriations. Most of this income (53.2 percent) is spent on instruction and research. Salaries for house staff account for 4.3 percent, and scholarships a mere 1.1 percent. The operation and maintenance of the school itself requires 3.8 percent of the total budget. One of the trends indicated by these data is that providing services is becoming an increasingly important source of revenues for American medical schools. (Consumer Summary produced by Reliance Medical Information, Inc.)
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Article Abstract:
Medical school revenues increased in 1994-1995, but at a slower rate than previous years. Revenues totaled $29,367 million, an increase of 4.1% adjusted for inflation. This is the second-smallest gain since 1960. Revenue from practice plans totaled $9,776 million and represented 33% of all revenues. Revenues increased in every category except for federal appropriations, which do not keep pace with inflation. Grants and contracts totaled $8,966 million, a 3.7% increase over the previous year.
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Article Abstract:
Revenues received by all 125 accredited medical schools in the US totaled $39,761 million in 1998-1999. This is a 7.4% increase over the previous year. One-fourth of the schools reported revenue increases of 10% or more in grants and contracts, practice plans and hospital support.
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