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Establishment profile

DUKE UNIVERSITY HEALTH SYSTEM

NC, 27706
EIN 562070036

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OSHA inspections
0
Violations
0
Penalties
$0
Context
No OSHA inspections on record. This does not mean the employer is violation-free — OSHA inspects a small fraction of workplaces annually.

Summary

DUKE UNIVERSITY HEALTH SYSTEM has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.

The most recent federal enforcement activity was recorded 0 days ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

DUKE UNIVERSITY HEALTH SYSTEM appears in NLRB labor relations record only. No matching records were found in OSHA workplace safety, WHD wage enforcement, MSHA mine safety, EPA environmental compliance, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CMS nursing home enforcement, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls. Single-agency enforcement records typically indicate either a discrete incident-based inspection or a low-risk operational profile.

OSHA workplace safety

No OSHA inspections, citations, or accidents on file for DUKE UNIVERSITY HEALTH SYSTEM. Verify directly with Occupational Safety and Health Administration

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
10.4
vs industry
TRIR
13.4
vs industry

Reported for 2,350 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for DUKE UNIVERSITY HEALTH SYSTEM. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
0 days ago

Most recent federal enforcement activity recorded 0 days ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for DUKE UNIVERSITY HEALTH SYSTEM. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for DUKE UNIVERSITY HEALTH SYSTEM. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

Company-level in NC — for DUKE UNIVERSITY HEALTH SYSTEM, not this location alone

Total cases
7
Unfair labor practice
7

National Labor Relations Board — unfair labor practice charges and union representation cases. The NLRB records cases at the company/regional level (no worksite address), so these are matched by company name and state and may span other DUKE UNIVERSITY HEALTH SYSTEM locations in the same state.

NLRB cases

National Labor Relations Board cases involving this employer. Includes unfair labor practice (ULP) filings and representation election proceedings. NLRB enforcement is process-driven; no per-case monetary penalty is assessed (remedies are case-by-case backpay orders, posting requirements, election re-runs, etc.). 7 cases · 7 ULP

Case numberTypeFiledClosedStatusRegion
10-CA-379558Unfair labor practiceJan 2026Feb 2026ClosedRegion 10, Atlanta, Georgia
10-CA-379319Unfair labor practiceJan 2026OpenRegion 10, Atlanta, Georgia
10-CA-379313Unfair labor practiceJan 2026May 2026ClosedRegion 10, Atlanta, Georgia
10-CA-379305Unfair labor practiceJan 2026May 2026ClosedRegion 10, Atlanta, Georgia
10-CA-379301Unfair labor practiceJan 2026May 2026ClosedRegion 10, Atlanta, Georgia
10-CA-373756Unfair labor practiceSep 2025OpenRegion 10, Atlanta, Georgia
10-CA-373755Unfair labor practiceSep 2025OpenRegion 10, Atlanta, Georgia

Source: NLRB case files. Rows shown are those the agency has published. Region numbers (1–31) correspond to NLRB's geographic offices.

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for DUKE UNIVERSITY HEALTH SYSTEM. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for DUKE UNIVERSITY HEALTH SYSTEM. Verify directly with Environmental Protection Agency

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for DUKE UNIVERSITY HEALTH SYSTEM. Verify directly with UVA Corporate Prosecution Registry

Federal contracts

This location

Obligated (5-yr)
$0
Obligated (all-time)
$15.9M
Awards
140
Top agency
Department of Justice
$10.9M
Company-wide — DUKE UNIVERSITY (across 11 entities)
Obligated (5-yr)
$345.5M
Obligated (all-time)
$1.2B
Awards (all-time)
1,180

Consolidated across all USAspending recipient entities under this corporate parent — not attributable to this single location.

Top agencies by obligation (this location)
Department of Justice$10.9M
Department of Veterans Affairs$5.0M
Department of Agriculture$9K
Department of Labor$3K
Largest awards (top 50 of 140)
  • Department of Veterans Affairs
    INTERIM RAD ONC PHYSICIAN AND SUPPORT SERVICES
    contract · Last action 2012-08-22
    $1,539,927
  • Department of Veterans Affairs
    IGF::OT::IGF RADIATION ONCOLOGY AT DUKE UNIVERSITY MEDICAL CENTER
    contract · Last action 2013-07-31
    $1,407,401
  • Department of Veterans Affairs
    IGF::OT::IGF - RADIATION ONCOLOGY
    contract · Last action 2014-07-01
    $818,251
  • Department of Veterans Affairs
    TECHNICAL LAB SERVICES
    contract · Last action 2011-07-25
    $629,698
  • Department of Justice
    151060 INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2010-09-22
    $351,517
  • Department of Justice
    151060 - INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2008-08-01
    $325,000
  • Department of Justice
    151060 INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2009-09-22
    $305,071
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATE CLESTER ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES WERE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAER AMOUNT IS ESTIMATED.
    contract · Last action 2010-12-30
    $299,828
  • Department of Justice
    INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2010-01-06
    $292,904
  • Department of Justice
    DUKE MEDICAL CENTER PATIENT CHARGES FOR INMATE LUIS PLANCO FOR THE PERIOD 7/18/10 - 8/13/10.
    contract · Last action 2010-09-14
    $289,486
  • Department of Justice
    151060 - DUKE UNIVERSITY FACITLITY CHARGES INCURRED IN THE MONTH OF NOVEMBER 2009 - ESTIMATED DOLLAR AMOUNT.
    contract · Last action 2010-10-14
    $283,921
  • Department of Justice
    151060 INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2009-09-28
    $266,943
  • Department of Justice
    151060 - DUKE UNIVERSITY FACITLITY CHARGES INCURRED IN THE MONTH OF SEPTEMBER 2010. ESTIMATED DOLLAR AMOUNT.
    contract · Last action 2011-11-15
    $256,817
  • Department of Justice
    151060 INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2010-05-07
    $252,708
  • Department of Justice
    151060 - DUKE UNIVERSITY FACITLITY CHARGES INCURRED IN THE MONTH OF APRIL 2010. ESTIMATED DOLLAR AMOUNT.
    contract · Last action 2010-09-16
    $234,616
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAR AMOUNT IS ESTIMATED. ALEXANDER, JAMES
    contract · Last action 2011-05-11
    $219,505
  • Department of Justice
    151060 - DUKE UNIVERSITY FACITLITY CHARGES INCURRED IN THE MONTH OF MAY 2010. ESTIMATED DOLLAR AMOUNT.
    contract · Last action 2010-09-14
    $215,965
  • Department of Justice
    151060 - DUKE UNIVERSITY FACITLITY CHARGES INCURRED IN THE MONTH OF JANUARY 2010. ESTIMATED DOLLAR AMOUNT.
    contract · Last action 2010-06-24
    $204,259
  • Department of Justice
    IGF::OT::IGF MICHEAL ELROD #23129-076, FOR ACUTE AORTIC REGURGITATION SECONDARY TO INFECTIVE ENDOCADITIS, HYPOTENSION RELATED TO SEVERE SEPSIS, AND NON ST ELEVATION MI. SERVICES ARE NOT OTHERWISE AVAILABLE THROUGH THE COMPREHENSIVE MEDICAL CONTRACT .
    contract · Last action 2012-08-20
    $200,097
  • Department of Justice
    INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2009-09-22
    $192,260
  • Department of Justice
    151060 - INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2008-08-01
    $191,270
  • Department of Justice
    151060 - DUKE UNIVERSITY FACITLITY CHARGES INCURRED IN THE MONTH OF DECEMBER 2009 - ESTIMATED DOLLAR AMOUNT.
    contract · Last action 2010-10-25
    $186,252
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAR AMOUNT IS ESTIMATED. WASHINGTON, NEKIA
    contract · Last action 2011-05-19
    $173,208
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAR AMOUNT IS ESTIMATED.
    contract · Last action 2011-08-29
    $169,652
  • Department of Justice
    151060 INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2009-01-30
    $153,654
  • Department of Justice
    DUMC TO PROVIDE HOSPITAL/FACILITIES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVIES WERE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS.
    contract · Last action 2011-03-23
    $138,978
  • Department of Justice
    151060 - DUMC - FACILITY CHAREGES FOR CARE OF INMATES FOR THE MONTH OF MARCH 2010. ESTIMATED DOLLAR AMOUNT.
    contract · Last action 2011-08-10
    $133,047
  • Department of Justice
    151060 - DUMC - FACILITY CHAREGES FOR CARE OF INMATE TERRY CORBIN FOR THE PERIOD 10/1/2009 - 10/7/2009.
    contract · Last action 2010-04-14
    $132,392
  • Department of Justice
    IGF::OT::IGF MICHEAL ELROD #23129-076, FOR ACUTE AORTIC REGURGITATION SECONDARY TO INFECTIVE ENDOCADITIS, HYPOTENSION RELATED TO SEVERE SEPSIS, AND NON ST ELEVATION MI. SERVICES ARE NOT OTHERWISE AVAILABLE THROUGH THE COMPREHENSIVE MEDICAL CONTRACT .
    contract · Last action 2012-03-01
    $129,229
  • Department of Justice
    151060 - DUKE UNIVERSITY FACITLITY CHARGES FOR CARE OF INMATE PENDERGRASS INCURRED IN THE MONTH OF NOVEMBER 2009.
    contract · Last action 2010-01-29
    $128,989
  • Department of Justice
    DUMC - FACILITY CHAREGES FOR CARE OF INMATES FOR THE MONTH OF JAUGUST 2010. ESTIMATED DOLLAR AMOUNT.INPATIENT CARE.
    contract · Last action 2011-05-04
    $128,116
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAER AMOUNT IS ESTIMATED.
    contract · Last action 2011-06-23
    $118,325
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT & OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAER AMOUNT IS ESTIMATED.
    contract · Last action 2012-03-08
    $113,699
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAER AMOUNT IS ESTIMATED.
    contract · Last action 2011-07-26
    $109,390
  • Department of Justice
    IGF::OT::IGF INPATIENT ADMISSION FOR JOSEPH CHESTER #12289-017 FOR RESPIRATORY DISTRESS, INTUBATED AND SEDATED, HYPOTENSIVE AND TACHYCARDIC CONSISTENT WITH SEPIS. SERVICES ARE NOT OTHERWISE AVAILABLE THROUGH THE COMPREHENSIVE MEDICAL CONTRACT .
    contract · Last action 2012-04-18
    $104,718
  • Department of Justice
    151060 INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2009-03-25
    $101,541
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAER AMOUNT IS ESTIMATED.
    contract · Last action 2011-08-09
    $99,162
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAER AMOUNT IS ESTIMATED.
    contract · Last action 2011-07-14
    $99,113
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAR AMOUNT IS ESTIMATED.
    contract · Last action 2011-10-17
    $98,909
  • Department of Justice
    151060 INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2009-07-07
    $98,008
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT & OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAER AMOUNT IS ESTIMATED.
    contract · Last action 2010-11-03
    $97,806
  • Department of Justice
    IGF::OT::IGF DUKE UNIVERITY MEDICAL CENTER AND ALL DUMC HOSPITALS TO PROVIDE CARE TO INAMTES REFERRED FOR INPATIENT AND OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNERS CONTRACTED PROVIDERS. DOLLAR AMOUNT IS ESTIMATED
    contract · Last action 2012-05-01
    $96,992
  • Department of Justice
    151060 - DUMC - FACILITY CHAREGES FOR CARE OF INMATE ANGEL ALMENDAREZ.
    contract · Last action 2011-05-04
    $96,524
  • Department of Justice
    151060 PATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2009-01-30
    $94,799
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAR AMOUNT IS ESTIMATED. CARR, RANDY
    contract · Last action 2011-05-05
    $94,773
  • Department of Justice
    151060 INPATIENT AND OUTPATIENT CARE OF INMATES
    contract · Last action 2009-01-27
    $94,309
  • Department of Justice
    IGF::OT::IGF TIBEL CLARK #97273-071 FOR HIGH GRADE SMALL BOWEL OBSTRUCTION AND PNEUMONPERITONEUM ON KUB. SERVICES ARE NOT OTHERWISE AVAILABLE THROUGH THE COMPREHENSIVE MEDICAL CONTRACT. THE NATURE OF THIS ACQUISITION IS URGENT AND COMPELLING.
    contract · Last action 2012-05-01
    $93,025
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAR AMOUNT IS ESTIMATED.
    contract · Last action 2011-12-01
    $92,519
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAER AMOUNT IS ESTIMATED.
    contract · Last action 2011-06-30
    $92,440
  • Department of Justice
    DUMC IS TO PROVIDE HOSPITAL/FACILITIES TO PDC PROVIDERS FOR CARE OF BUTNER INMATES ON AN INPATIENT&OUTPATIENT BASIS WHEN SERVICES ARE NOT AVAILABLE FROM FCC BUTNER CONTRACTED PROVIDERS. DOLLAER AMOUNT IS ESTIMATED.
    contract · Last action 2011-06-03
    $91,392

Federal contract dollars to this establishment. Primary NAICS: 622110 - GENERAL MEDICAL AND SURGICAL HOSPITALS. Last action: 2016-01-19. Source: USAspending.gov, net obligations. Recipient address is the SAM registration / HQ address, not necessarily the worksite.

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About this data

This profile aggregates federal enforcement records on DUKE UNIVERSITY HEALTH SYSTEM from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is DUKE UNIVERSITY HEALTH SYSTEM's OSHA violation history?
DUKE UNIVERSITY HEALTH SYSTEM has no OSHA inspections on record.