Vanderbilt University Medical Center

Nonprofit profile at a glance

EIN
352528741
IRS 990 coverage
2015–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024, Form 990-N 2014
Location
Nashville, TN, United States
Phone
(615) 322-5000
Rating
84
Verdict
STRONG
Rating confidence
Standard
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$8,674,383,028
Expenses
$8,258,963,378
Assets
$7,794,199,229
Liabilities
$4,834,718,062

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

38 people listed

Executive titles in this filing

  • Jeffrey R Balser MD PHD (President and CEO)
  • C Wright Pinson MD MBA (Deputy CEO & Chief Health System Officer)
  • Travis Capers FACHE (President of Vanderbilt Regional Community Hospitals)
  • Shon Dwyer MBA RN (Former President, Vanderbilt Adult Hospital)

Highest reported compensation

  • Jeffrey R Balser MD PHD (President and CEO): $16,481,139 total reported compensation
  • C Wright Pinson MD MBA (Deputy CEO & Chief Health System Officer): $6,637,915 total reported compensation
  • John F Manning Jr PHD MBA (COO and Corporate Chief of Staff): $5,553,898 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Personalizing the patient experience through Vanderbilt Health’s caring spirit and distinctive capabilities, supported by its academic medical-center model of patient care, research, and education. The Office of News and Communications works closely with news outlets to provide information and expert sources about clinical advances, research and public health. Journalists can reach a media specialist at 615-322-4747 (24/7). Check out and subscribe to our content hubs:. Vanderbilt Health is a growing academic health system anchored by Vanderbilt University Medical Center in Nashville, Tenn. It is one of the largest and prominent academic systems in the Southeast, providing patient care, conducting research and training the next generation of health professionals. Quick Facts.

What it reported doing in 2024

4d. OTHER PROGRAM SERVICES - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766

Operating model

Revenue model
Other-operating. 92% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 97% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 81
  • Transparency & Controls: 85
  • Accountability: 95
  • Sustainability: 50
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 81.3%; rating input score 81
  • Program expense ratio: 85.3%; rating input score 85
  • Fundraising efficiency: $29.73 raised per $1 spent on fundraising; rating input score 65; 65th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: 2 of 8 controls in place; rating input score 25
    • Claims monitoring procedures: Pass
    • Requires narrative reports: Fail
    • Conducts field audits: Fail
    • May suspend future funding: Fail
    • Requires financial reports: Fail
    • Conducts site visits: Fail
    • Requires grant agreements: Pass
    • May require repayment: Fail
  • Grant itemization coverage: 99.9%; rating input score 100; 46th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 90.9%; rating input score 91; 39th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 4.8%; rating input score 56; 56th percentile among comparable filings
  • Total-asset coverage ratio: 0.94; rating input score 37; 37th percentile among comparable filings
  • Liabilities to assets ratio: 0.62; rating input score 27; 27th percentile among comparable filings
  • Officer compensation ratio: 0.8%; rating input score 78; 78th percentile among comparable filings

Growth

  • Program expense growth: 13.9% per year; rating input score 100; 85th percentile among comparable filings
  • Revenue growth: 13.5% per year; rating input score 100; 86th percentile among comparable filings
  • Asset growth: 11.7% per year; rating input score 100; 77th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 81.3% of revenue deployed · 85.3% of spending went to programs
  • Governance: 10 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $7B in reported program spending
  • Leadership: top reported pay $16.5M · 38 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $234.4M reported
  • Consistency: 47 of 47 current checks pass
  • Schedules: 14 filed schedules · includes major donors, foreign activity, grants, executive pay, and related organizations
  • Filing history: 10 filing years from 2015 to 2024
  • Contacts: How to reach this organization
  • Money network: 274 filed money-flow records
  • Related organizations: 280 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Transparency & Controls: Foreign activity oversight: 6 of 8 not reported.
  • Review — Sustainability: Operating margin scored 56/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 37/100.
  • High — Sustainability: Liabilities to assets ratio scored 27/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.