Mayo Clinic vs Vanderbilt University Medical Center
Side-by-side nonprofit efficiency comparison from IRS 990 data
Mayo Clinic and Vanderbilt University Medical Center are meaningfully apart on the NonprofitTruth efficiency rubric — Mayo Clinic grades C while Vanderbilt University Medical Center grades A. The gap usually traces to one of the three factors (financial reserves, revenue-growth consistency, or officer compensation) being substantially different at one organization versus the other.
Vanderbilt University Medical Center comes out ahead on the composite efficiency score. For a donor evaluating which organization to fund, the spread is large enough that the rubric-based recommendation is reasonably reliable — but it's still one input among many, not a complete answer.
Verdict
Vanderbilt University Medical Center earns a higher Efficiency Score of 91/100 (A) compared to Mayo Clinic at 55/100 (C), based on financial reserves, multi-year revenue consistency, and officer-comp ratio drawn from each organization's IRS Form 990. Current-officer compensation: Mayo Clinic at $21,062,793 vs Vanderbilt University Medical Center at $24,639,622.
| Metric | Mayo Clinic | Vanderbilt University Medical Center |
|---|---|---|
| Efficiency Score Composite of financial reserves, multi-year revenue, and officer-comp ratio | 55/100 (C) | 91/100 (A)* |
| Officer Compensation Total compensation for current officers & key employees (Form 990 Part IX, line 5) | $21,062,793* | $24,639,622 |
| Revenue | $7.1B | $6.9B |
| Total Expenses | $5.7B | $6.8B |
| Total Assets | $22.1B | $5.9B |
| Category | Health | Health |
| Location | Rochester, Minnesota | Nashville, Tennessee |
Vanderbilt University Medical Center earns a higher Efficiency Score of 91/100 (A) compared to Mayo Clinic at 55/100 (C), based on financial reserves, multi-year revenue consistency, and officer-comp ratio drawn from each organization's IRS Form 990. Current-officer compensation: Mayo Clinic at $21,062,793 vs Vanderbilt University Medical Center at $24,639,622.