Some states also see better results in their facilities when family members visit.
Amy Gutmann, Penn's president, argues that in the long term the market will reward universities that invest in their facilities.
The CIT/Business Week survey found that 60percentt planned on investing in technology, but only 22percentt in their facilities or property.
In April, Public Citizen sent letters to 2,600 hospitals calling on them to stop allowing formula marketing in their facilities.
More than 500 such codes were adopted by various industries, and companies that voluntarily complied could display a Blue Eagle emblem in their facilities, signifying NRA participation.
"It's a very tough environment and hospitals are fighting to survive by investing in their facilities," said Ms. Ryan of the state hospital association.
Easler watched Vaughn's sessions intently, or as intently as he could from his distant position -- the Mets forbid players to work out with personal coaches in their facilities -- and planned to offer Vaughn his assessment afterward.
More troubling is the notion that hospitals were willing to spend $7.2 billion last year for temporary employees instead of using that money to improve the working conditions for nurses and other health care workers in their facilities.
"The cost structure of producing events in their facilities is such that they have to stay fairly mainstream in their programming and to keep a fairly stiff ticket price," Mr. Southard added.
The tracks are also well run and profitable despite the fact that many of the operators have invested hundreds of millions of dollars in their facilities and are not publicly financed.
Ari Milstein, director of planning at Automotion Parking Systems, said cars in their facilities are parked on pallets that are stacked on top of each other and moved by electric motors.
