Home Search Form by tlv21093

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									Tulane University School of Medicine                                                          SRF #:        20110616-ORG #-
Faculty Search Request Form                                                                                                 Sequential #




Organization #:                                                      HOME ORG NAME
                                               SECTION NAME OR SPECIALTY AREA FOCUS

Proposed Track and Rank (could change depending upon selected candidate and negotiation)
Track:              Tenure                     Clinical                            Research                                                Special

Rank:                   Professor                         Associate Professor                          Assistant Professor                 Instructor
                        TUMG (Y/N)                                                                                                         Fellow/Trainee

               Strategic Initiative                       Bain Priority                                Strategic Renewal "Ask Position"
                                                          Bain Opportunistic                           Mission Critical Replacement
                                                          Bain Independent                             Other (please describe below)

Purpose/Function:




                        New Position                      Replacement Position
                                                                                                                                 Incumbent


Funding Sources
PROPOSED SCHOOL/RESEARCH SOURCES                                  Description/Account #                        Amount                      Percentage of all Sources
                    Dept. Account #                                                                                                         #DIV/0!

                              Dept. Account #                                                                                               #DIV/0!

                              Dept. Reserve #                                                                                               #DIV/0!

                                                        Proposed TUHC Startup Support (ASA)                                                 #DIV/0!
                                                            (Attach preliminary TUMG Proforma)

                   Possible Research Funding                                                                                $0              #DIV/0!

                                   Endowment                                                                                                #DIV/0!
                                                                   Title

EST CLINICAL EARNINGS SOURCES                      Net Est Cash Collection pre Assessment               Est Cash post Assessment
                                                                        Type I Revenue                  $              -         #DIV/0!

                                                                           Type II Revenue              $               -                   #DIV/0!

                                                                           Type III Revenue             $               -                   #DIV/0!

     Proposed TUHC Medical Direct/Other (PSAs)                             Type III Revenue             $               -                   #DIV/0!



                                                              PROPOSED FUNDING SOURCES $                                -                   #DIV/0!

                                                                 PROPOSED HIGH END SALARY                               -
                                                                      Estimated Fringe Benefits                         -
                                                                                        Moving
                                                                                    Retirement
                                                                      Recruitment Bonus/Other
                                                                                          PCF
                                                                  POSSIBLE EXCESS/(DEFICIT)                             -

Proposed Salary (could change depending upon selected candidate and negotiation)
Base Salary    LOW                                          Supplemental       LOW                                                               -
               HIGH                                                            HIGH                                                              -
                                                                                                                        Range
Routing


Department Chair                                          Date
                                                                                              Dean and SR VP                                           Date
                                                                                              Tulane University School of Medicine
Financial Services                                        Date
Tulane University Health Sciences Center



        6685b27f-159a-40a0-97eb-753713602104.xls                                                                                              Revised SOM Dean's Office July 2008
                                                Parameters


PARAMETERS
                          1          2            3
COP I           39.0%     39.0%
COP II          27.5%                10.0%
COP III          5.5%                             5.5%
DEAN             5.0%      5.0%       5.0%
FRINGE           1.6%      1.6%
DEPT/SECT        0.0%                12.5%
SAVINGS          0.0%
                          45.6%      27.5%        5.5%


 1. Change in Assessments on Type II Income- The current 27.5% assessment on Type II income will be changed effective


         A. Tier 1 - Base
            Category                                                                      Assessments
                                         st
                    Type I Income - 1         $22 Million                FY 2007-08                         FY 200
                         o COP – Business Functions                      44% (All Type I Income)            39% (1
                         o Deans Development Fund                        0%                                 5%
                     Type II Income – COP                                27.5%                              27.5%
                     Type III Income – COP                               5.5%                               5.5%
                     TUMG Faculty Fringe Benefits                        1.6 %                              1.6%


         B. Tier 2 – Reduction & Reallocation
            Category
                    Type I Income > $22 Million                          FY 2007-08                         FY 200
                         o COP – Business Functions                      44%                                10%
                         o Deans Development Fund                        0%                                 5%
                         o Departmental Assessments                      0%                                 10%
                                     Total                               44%                                25%
                     TUMG Faculty Fringe Benefits                        1.6 %                              1.6%


         C. Patient Compensation Fund                                            FY 2007-08

             Malpractice Premiums to LA                                  Paid by Department                 Paid by

                                                                         Deducted from physicians           Deduct
                                                                         excess earnings before             excess
                                                                         bonus pay out                      bonus p




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                                                              Parameters




 II income will be changed effective July 1, 2008 as follows: 10% for COP; 5% for Dean’s Development Fund; and 12.5% for Departmental As



      Assessments
08                       FY 2008-09
Type I Income)           39% (1st $22 Million)
                         5%
                         27.5%
                         5.5%
                         1.6%




08                       FY 2008-09
                         10%
                         5%
                         10%
                         25%
                         1.6%


Y 2007-08                         FY 2008-09

epartment                Paid by Department

 from physicians         Deducted from physicians
 nings before            excess earnings before
  out                    bonus pay out




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                                                           Parameters




und; and 12.5% for Departmental Assessments. The departments may use the funds to cover departmental expenses and/or allocate the fu




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                                                              Parameters




ental expenses and/or allocate the funds to the physicians who earned the Type II income with approval of the Dean.




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               Parameters




of the Dean.




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