Vanderbilt University: Traditional, with Additional

"We always have an eye on balance," he continues. "We are satisfied with the work we have, but we do have some capacity for growth and to squeeze more efficiency."

For example, Fox would like to level out the operation's peaks and valleys, which so often occur in in-plants that serve academia. "We don't need any more business in August, September and October, but we could use some right now," he says. "Because it's less tied to the academic calendar, Medical Center work has done that to some degree."