Vanderbilt University: Traditional, with Additional

"They appreciate the value of producing work internally and the quality of the work we produce," he declares proudly. "We are fortunate that happy customers are telling others. Word of mouth is invaluable."

Fox realizes the importance of keeping people talking. "There are 25,000 people working here at Vanderbilt, but as with any large employer there is some turnover, so it's a challenge to keep tabs on who's new and who's gone," he admits.