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Annual Development Survey

2024 Fundraising Data

Each year, the AAMC conducts a national benchmarking survey to measure the impact, costs, and staffing of fundraising at its member medical schools, academic health systems, and teaching hospitals. These survey data are used by medical school deans, teaching hospital and health system CEOs, chief development officers, and other academic medicine leaders to assess the effectiveness of their institutional development programs. Through the survey’s annual compilation and analysis of data, medical schools, academic health systems, and teaching hospitals can also identify philanthropic trends useful for development planning and management.

Survey Results

Key Results

Highlighted here are key results from the 2024 survey of 130 institutions (reporting 2023-2024 gift year data) as of Aug. 20, 2025.

Total private support

  • $105.1 million: mean total private support per institution in 2023-2024
  • 11.6% increase from $94.1 million per institution in 2022-2023
  • $141.5 million: mean total private support per institution for private institutions in 2023-2024
  • $66.9 million: mean total private support per institution for public institutions in 2023-2024
  • $45.2 million: mean total private support per institution for medical schools in 2023-2024
  • $162.2 million: mean total private support per institution for teaching hospitals in 2023-2024
  • $138.8 million: mean total private support per institution for joint programs in 2023-2024

Fundraising costs and return on investment

  • $11.0 million: mean fundraising cost per institution in 2023-2024
  • 2.3% increase from 2022-2023
  • $0.14: median fundraising cost per dollar raised in 2023-2024
  • $7.23: median return on investment per dollar invested in 2023-2024

Gifts of $1 million+

  • 2,195 total reported gifts and pledges over $1 million in 2023-2024
  • 395 total reported gifts and pledges over $5 million in 2023-2024

Institutional giving

  • $66.1 million: mean total private support from institutions and organizations per institution in 2023-2024
  • 4.1% increase in mean total private support from institutions and organizations per institution from 2022-2023
  • $82.1 million: mean total support from institutions and organizations per institution in 2023-2024 for private institutions
  • $50.0 million: mean total support from institutions and organizations per institution in 2023-2024 for public institutions
  • $101,099: average gift from institutions and organizations per institution in 2023-2024
  • 0.3% decrease in average gift from institutions and organizations per institution from 2022-2023
  • $106,322: mean gift size from institutions and organizations per institution in 2023-2024 for private institutions
  • $95,959: mean gift size from institutions and organizations per institution in 2023-2024 for public institutions

Data Access Requirements

Data Confidentiality Policy: The salary data collected for individual positions at an identified institution are classified by the AAMC as confidential. All other survey data are classified as restricted. All data are securely stored by the AAMC. The restricted data are released with institutional identification to participating institutions but are not made available to the public.