A community college that loses a student loses about $5,336, two years of tuition at $2,668 per year per full-time-equivalent student, the finance convention that counts two half-time students as one (State Higher Education Executive Officers Association, fiscal 2025; two-year total computed). A private medical school that loses a first-year student loses about $223,983, three remaining years at the median private tuition and fees of $74,661 (Association of American Medical Colleges, 2025-26; total computed). The retention report gives both events the same name. The cost differs by roughly fortyfold.
Doctoral funded seat, for reference: $405,000 to $440,000 of stipend, tuition waiver and support committed over five years (Council of Graduate Schools, 2008).
The bars mix constructions. The medical bars are gross tuition-and-fee survey medians (AAMC). The independent-college, HBCU and art-and-design bars are net figures after institutional aid (NACUBO survey; IPEDS computations). The public-university bar is total education revenue averaged across all public higher education and includes state appropriations (SHEEO finance data). HBCU stands for historically Black colleges and universities. The doctoral band is a different population and a different quantity: it shows committed support, and the bars show revenue removed.
Source: AAMC, 2025-26; IPEDS, computed; NACUBO, 2025; SHEEO, fiscal 2025; Council of Graduate Schools, 2008. All bar totals computed.
The cost of a departure is the revenue attached to the seat for one year, multiplied by the number of years the seat stays empty. The annual value runs from $2,668 at a community college to $74,661 at a private medical school. The empty years depend on the sector's admission rules. An open-admission seat refills at the next registration period, so the empty time is close to zero. A medical seat stays empty until the class it belonged to graduates, which for a first-year departure means three years.
The seats that cannot refill
An associate dean for student affairs at a private medical school reads a withdrawal email on the Friday before fall break. A first-year student is leaving. The checklist has four items: notify the registrar, close the financial aid file, tell the course directors, and decide what happens to the seat. The fourth item is settled by an accreditation rule. Element 10.7 of the accreditation standards of the Liaison Committee on Medical Education, the body that accredits M.D. programs, requires that a transfer student be comparable to the class they join and allows a final-year transfer only in rare and extraordinary circumstances. In practice many medical schools accept no transfer students at all, so a vacated seat goes unfilled. The seat stays empty for the remaining three years.
Medical school
- Revenue attached to the seat, per year
- $74,661PrivateAAMC median private tuition and fees, 2025-26$43,648Public in-stateAAMC median public in-state tuition and fees, 2025-26
- Years of revenue removed
- 3Accreditation rules make transfer admission rare, and many schools accept none, so a year-one vacancy holds for the remaining three years (LCME Element 10.7).
- The product, computed
- $223,983Private$130,944Public in-state
Within the cohort's four years, the seat effectively never refills.
The per-year figures are gross tuition-and-fee medians across M.D. programs reporting to the Association of American Medical Colleges (AAMC). The Liaison Committee on Medical Education (LCME) is the body that accredits M.D. programs.
Source: AAMC 2025-26 medians; LCME Element 10.7. Products computed.
At the median private school that tuition is $74,661 a year (Association of American Medical Colleges, 2025-26), so the departure costs about $223,983 across the three years the seat cannot be resold (computed). At the median public school, in-state tuition and fees of $43,648 make the same event about $130,944 (computed). Attrition runs near 3% (Association of American Medical Colleges). On a 170-seat entering class at a private school, that is roughly $1.1 million of unrecoverable tuition per cohort (computed). Medical schools processed 45.5 applications for every student who enrolled in 2025 (Association of American Medical Colleges), and no published figure exists for what a medical school spends to enroll one student.
A funded doctoral seat carries $405,000 to $440,000 in committed stipend, tuition waiver, and support over five years (Council of Graduate Schools, 2008). The support is committed when the offer is made. The same body's PhD Completion Project, also published in 2008, found that 57% of doctoral students complete within ten years.
$405,000-$440,000
committed stipend, tuition waiver and support per funded doctoral seat over five years
Council of Graduate Schools, 2008
57%
of doctoral students complete within ten years
Council of Graduate Schools, PhD Completion Project, 2008
The population is doctoral students at the PhD Completion Project's participating institutions. The commitment figure is program-level funding committed to the student, which is a different quantity from institutional revenue. Both figures were published in 2008.
Source: Council of Graduate Schools, PhD Completion Project, 2008.
In 2025, nursing programs turned away 92,672 qualified applications (American Association of Colleges of Nursing). The count is of applications; one candidate can file several. Enrollment in these programs is capped by clinical placement capacity, which is negotiated with hospitals cohort by cohort and term by term, so the entering class is sized to the placements and the sequence runs lock-step from there. A seat vacated in the third semester sits behind the intake point, where none of those turned-away applications can be used to fill it.
Qualified applications turned away, 2025
92,672
The count is of applications, and one candidate can file several.
The count covers applications to baccalaureate and graduate nursing programs nationally.
Source: American Association of Colleges of Nursing, 2025.
The seats that refill
Below the health professions the seat can usually be refilled. What varies is the revenue attached to it while it sits empty, and how long the refill takes.
At private independent colleges, net tuition, the amount actually collected after institutional aid, runs $24,257 per undergraduate (all undergraduates; National Association of College and University Business Officers, 2025). The figure for a first-time student is lower, $21,300 (same survey). A first-year student who leaves and is never replaced costs about $72,771 across the three continuing years they would have stayed (computed). Transfer intake can shorten the empty period, so read the figure as the unrefilled ceiling.
Private independent college
- Revenue attached to the seat, per year
- $24,257NACUBO 2025, net tuition revenue per undergraduate (all undergraduates)
- Years of revenue removed
- 3This is the unrefilled ceiling, and transfer intake can shorten it.
- The product, computed
- $72,771
Refill is possible through transfer admission; the card shows the cost if no one arrives.
The per-year figure is net tuition revenue, the amount actually collected after institutional aid, per undergraduate, counting all undergraduates.
Source: NACUBO Tuition Discounting Study, 2025. Product computed.
At public universities the seat carries state money as well as tuition. The State Higher Education Executive Officers Association puts total education revenue, meaning net tuition and state education appropriations combined, at $19,443 per full-time-equivalent student per year, averaged across all public higher education (fiscal 2025). Three unrefilled years is about $58,329 (computed). How much of the state share follows the student out depends on the funding formula, but $19,443 is what the average public seat carries while it is filled.
Public university
- Revenue attached to the seat, per year
- $19,443SHEEO fiscal 2025, total education revenue per full-time-equivalent student, all public sectors
- Years of revenue removed
- 3This is the unrefilled ceiling, and transfer intake can shorten it.
- The product, computed
- $58,329
Refill is possible through transfer admission, and how much of the state share is recovered depends on the funding formula.
Total education revenue includes state appropriations and is averaged across all public higher education, so this card uses a different construction from the net-tuition cards. The figure is counted per full-time-equivalent student, the finance convention that counts two half-time students as one.
Source: SHEEO State Higher Education Finance, fiscal 2025. Product computed.
Historically Black colleges and universities (HBCUs) run the same arithmetic on a smaller base, and the base is easy to overstate. Student-attached revenue, meaning tuition plus the grant and aid dollars that arrive because the student is enrolled, is $9,539 per student per year at the median institution (computed from the Integrated Postsecondary Education Data System, the federal statistical files every college reports into). The same three-year loss is about $28,617 (computed). Pricing an HBCU departure with the independent-college figure overstates it by roughly two and a half times (computed).
HBCU, median institution
- Revenue attached to the seat, per year
- $9,539computed from IPEDS, student-attached revenue per student
- Years of revenue removed
- 3This is the unrefilled ceiling.
- The product, computed
- $28,617
Refill is possible through transfer admission, as at other four-year institutions; the card shows the cost if no one arrives. Using the independent-college card here overstates the loss by roughly 2.5 times (computed: $72,771 / $28,617 = 2.54).
Student-attached revenue means tuition plus the grant and aid dollars that arrive because the student is enrolled, at the median historically Black college or university (HBCU).
Source: Computed from IPEDS via the Urban Institute Education Data Portal.
The community college changes the event itself. There is no deposit, so there is no moment when an admitted student becomes a committed one, and the loss to watch is a start that never happens: applied, admitted, never registered. The seat refills at the next registration period because admission is open. Tuition is $2,668 per full-time-equivalent student per year (State Higher Education Executive Officers Association, fiscal 2025), and the whole two-year loss is about $5,336 (computed).
Community college
- Revenue attached to the seat, per year
- $2,668SHEEO fiscal 2025, net tuition per full-time-equivalent student, two-year sector
- Years of revenue removed
- 2The two years price a start that never happens: the whole two-year program. A vacated seat itself refills at the next registration period because admission is open, so its empty time is near zero.
- The product, computed
- $5,336
Open admission refills the seat at the next registration period, so the loss event to watch is the student who applied, was admitted, and never registered; no deposit stage exists.
The figures cover the public two-year sector, counted per full-time-equivalent student, the finance convention that counts two half-time students as one.
Source: SHEEO State Higher Education Finance, fiscal 2025. Product computed.
Two sectors where the price arrives on a schedule
Engineering has its own version of the timing problem. At public universities that charge differential tuition, a per-credit premium for engineering instruction, the premium attaches at upper-division standing, in the third year. A student who leaves during the first two years never reaches the terms in which the premium is billed. Introductory calculus sits at the start of that stretch, and in published multi-institution data 34.3% of students finish with a D or F, withdraw, or take an incomplete (Gardner Institute, 2018). ABET, the body that accredits engineering programs, lists 4,863 accredited programs at 950 colleges.
ABET lists 4,863 accredited engineering programs at 950 colleges.
Differential-tuition premium, billed from upper-division standing in years three and four
Standard tuition is billed in all four years
Introductory calculus, in year one, where 34.3% of students finish with a D or F, withdraw, or take an incomplete (Gardner Institute, 2018)
The 34.3% counts students who finish with a D or F, withdraw, or take an incomplete, and a D is a passing grade. It describes students in introductory calculus courses across multiple institutions (Gardner Institute, 2018). The tuition structure describes public universities that charge a differential-tuition premium, a per-credit surcharge for engineering instruction. The two layers describe different populations on one timeline.
Source: John N. Gardner Institute, Digging into the Disciplines, 2018 (introductory calculus rate); ABET Accredited Program Search, current listing.
Across the 42 specialized private nonprofit art and design institutions in the federal data, net tuition is $28,202 per student per year and carries 64% of all revenue (computed from the Integrated Postsecondary Education Data System). A four-year seat is worth $112,808 (computed). Tuition is the main source of revenue at these institutions by a wide margin, and the median entering class is 173 students.
$28,202
net tuition per student per year
$112,808
per seat over four years (computed)
Net tuition, 64% of all revenue
All other revenue, 36%
The figures describe specialized private nonprofit art and design institutions only. They do not describe art programs inside larger universities.
Source: Computed from IPEDS across 42 specialized private nonprofit institutions.
Price the sector before choosing the playbook
Before an institution chooses a retention playbook, it can price its own loss event: the revenue attached to one seat for one year, multiplied by the years the seat would stay empty. At a medical or nursing school the seat cannot be refilled, so the only protection is preventing the departure. At a community college the seat refills on its own, and the number points the work toward students who were admitted and never registered. In between, the same three-year departure is worth $72,771 at an independent college, $58,329 at a public university, and $28,617 at an HBCU, each computed above from its own revenue base. What a class costs to acquire and what a retention point is worth are separate calculations, and both come after this one. The full spread runs from $5,336 to $223,983.
Methodology
Every computed figure and its arithmetic. "Computed" means the product or ratio is ours; the inputs are the published figures cited beside them.
- Private medical first-year departure: $74,661 x 3 = $223,983 (about $224,000). Inputs: AAMC 2025-26 median private tuition and fees. Assumes the departure lands at the end of year one and the seat stays empty for years two through four, per LCME Element 10.7.
- Public medical first-year departure: $43,648 x 3 = $130,944 (about $131,000). Same assumptions, AAMC 2025-26 median public in-state tuition and fees.
- Independent college three-year loss: $24,257 x 3 = $72,771 (about $73,000). Input: NACUBO 2025 net tuition revenue per undergraduate (all undergraduates). Unrefilled ceiling; transfer intake would reduce it.
- Public university three-year loss: $19,443 x 3 = $58,329. Input: SHEEO fiscal 2025 total education revenue per full-time-equivalent student, averaged across all public higher education. Unrefilled ceiling; treats the state share as attached to enrollment.
- HBCU three-year loss: $9,539 x 3 = $28,617 (about $29,000). Input: student-attached revenue per student per year, computed from IPEDS finance data via the Urban Institute Education Data Portal.
- Overstatement ratio: $72,771 / $28,617 = 2.54, rounded in the text to "roughly two and a half times."
- Community college loss (the student who never registers): $2,668 x 2 = $5,336. Input: SHEEO fiscal 2025 net tuition per full-time-equivalent student, two-year sector; assumes a two-year program.
- The fortyfold spread: $223,983 / $5,336 = 42.0.
- Medical cohort loss: 170 seats x 3% attrition = 5.1 departures; 5.1 x $223,983 = about $1.1 million per entering cohort at a private school. Inputs: AAMC attrition rate and AAMC 2025-26 median private tuition and fees.
- Art and design per-seat value: $28,202 x 4 = $112,808 (the four-year seat), and $28,202 x 3 = $84,606 (the three remaining years after a first-year departure, used in Figure 1). Inputs computed from IPEDS across 42 specialized private nonprofit institutions; the 64% revenue share and the median entering class of 173 come from the same computation.
- Not computed, carried as published: 92,672 (AACN 2025); $405,000-$440,000 and 57% (CGS 2008); 45.5 applications per enrolled student and the 3% attrition rate (AAMC 2025); $21,300 net tuition per first-time student (NACUBO 2025); 34.3% (Gardner Institute, 2018); 4,863 programs at 950 colleges (ABET).