Skip to main content

Establishment profile

VANDERBILT UNIVERSITY MEDICAL CENTER

1211 MEDICAL CENTER DRIVE, NASHVILLE, TN, 37232
622110General Medical and Surgical Hospitals

Download as PDF →

OSHA inspections
8
over 41 years
Violations
29
$11,375 in penalties
Penalties
$11,375
$392 avg
Violations across 3 federal agencies
Enforcement actions from multiple agencies may indicate systemic compliance issues across functions.
Accident investigations on record
1 fatality · 1 National Emphasis Program inspections · 1 OSHA follow-up

Summary

VANDERBILT UNIVERSITY MEDICAL CENTER has accumulated 29 OSHA violations across 8 inspections over 41 years of recorded history, with $11,375 in total assessed penalties.

The establishment sits in the 96th percentile for violations within its industry-state peer group of 246 employers. Inspection frequency runs at the 97th percentile. The most recent enforcement activity was recorded 1 year ago.

Federal records were found in 3 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

VANDERBILT UNIVERSITY MEDICAL CENTER appears in OSHA workplace safety, EPA environmental compliance, NLRB labor relations, and OFLC visa and labor certification (historical) records only. No matching records were found in WHD wage enforcement, MSHA mine safety, FMCSA motor carrier registration, SAM.gov federal debarment, CMS nursing home enforcement, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
8
0.2 / yr · last 41 yrs
Violations
29
0.7 / yr
Penalties
$11,375
$392 avg / violation
90% serious10% other
Inspection trigger · complaint
5 of 8
Inspection trigger · planned
1 of 8

25% of inspections at this establishment produced violations, with 2 inspections producing serious-or-greater violations.

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 20 distinct standards shown · 21 citations in this view · $11,375 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1910.1030 D04 IIIA221Aug 2010Aug 2010
29 CFR 1910.1030 C01 IIB11$5,950Aug 2010Aug 2010
29 CFR 1910.1030 D04 II A11$2,450Jul 2025Jul 2025
29 CFR 1910.1030 C01 IV11$2,450Jul 2025Jul 2025
29 CFR 1910.0151 C11$525Jul 2025Jul 2025
29 CFR 1910.1030 G02 VI11Jul 2025Jul 2025
29 CFR 1910.1030 D04 III B 1IV11Jul 2025Jul 2025
29 CFR 1910.1030 G02 VII N11Jul 2025Jul 2025
29 CFR 1910.1030 H02 I11Jul 2025Jul 2025
29 CFR 1910.1030 G02 IV11Jul 2025Jul 2025
29 CFR 1910.1200 F06 II11Jul 2025Jul 2025
29 CFR 1910.1200 H02 III11Jul 2025Jul 2025
29 CFR 1910.1030 D04 IIA11Aug 2010Aug 2010
29 CFR 1910.1030 D04 IIE11Aug 2010Aug 2010
29 CFR 1910.1030 C02 IB11Aug 2010Aug 2010
29 CFR 1910.1030 D02 I11Aug 2010Aug 2010
29 CFR 1910.1030 G02 VIID11Aug 2010Aug 2010
29 CFR 1910.1030 G02 VIIF11Aug 2010Aug 2010
29 CFR 1910.1030 G02 VIIL11Aug 2010Aug 2010
29 CFR 1910.1030 G02 VIIM11Aug 2010Aug 2010

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

96th

Worse on violations than nearly every other employer in NAICS 6221 within TN. Peer group: 246 employers. This establishment has 29 OSHA violations; peer median is 8.

Fewer violationsMore violations
Penalty percentile
97th
peer median: $3,000
Inspection frequency
97th
peer median: 1

Safety self-report (OSHA 300A)

No self-reported injury rates filed with OSHA's Injury Tracking Application for VANDERBILT UNIVERSITY MEDICAL CENTER. Verify directly with OSHA Injury Tracking Application

Industry benchmark

Industry avg TRIR
5.1
BLS SOII 2024
Industry avg DART
2.1
BLS SOII 2024
Self-reported TRIR
Not in OSHA ITA

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Planned
1
Complaint
5

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

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

OSHA accident events

Accidents, fatalities, and catastrophes documented during OSHA inspections at this employer. Each entry links to the inspection that recorded it.

DateEventInjuriesHospitalizedFatalities
Oct 2, 2021Infectious DiseaseFatality11

Source: OSHA accident investigations. Narratives are recorded by the inspecting officer and may be truncated.

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
1 year ago

Most recent federal enforcement activity recorded 1 year ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for VANDERBILT UNIVERSITY MEDICAL CENTER. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for VANDERBILT UNIVERSITY MEDICAL CENTER. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

Company-level in TN — for VANDERBILT UNIVERSITY MEDICAL CENTER, not this location alone

Total cases
2
Unfair labor practice
2

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 VANDERBILT UNIVERSITY MEDICAL CENTER 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.). 2 cases · 2 ULP

Case numberTypeFiledClosedStatusRegion
10-CA-381172Unfair labor practiceFeb 2026OpenRegion 10, Atlanta, Georgia
10-CA-380959Unfair labor practiceFeb 2026OpenRegion 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

Total applications
9
Certified
2
Avg wage ratio
1.27x
H-1B

Office of Foreign Labor Certification — labor condition applications for H-1B, H-2A, H-2B visa programs. Wage ratio = offered / prevailing wage. Historical data only: DOL ended OFLC Performance Data Disclosure publication in 2026, so the figures above reflect filings through the last ingested cycle and are not being refreshed. Treat as a historical snapshot, not a current signal.

Environmental compliance (EPA)

EPA inspections
2
Quarters non-compliant
4

EPA Enforcement and Compliance History — Clean Air Act, Clean Water Act, RCRA, Safe Drinking Water Act. Status: Violation.

EPA-registered facilities

Every EPA ECHO facility associated with this employer, sorted most-significant first. Each row links to EPA’s Detailed Facility Report for the source-of-truth record. Permits column lists active programs (Air = Clean Air Act, Water = Clean Water Act, RCRA = hazardous waste, TRI = Toxics Release Inventory reporting). 1 facility.

FacilityPermitsStatusInspectionsFormal actionsPenaltiesLast inspectedECHO
VANDERBILT UNIVERSITY MEDICAL CENTER
1211 MEDICAL CENTER DRIVE · NASHVILLE, TN, 37232
RCRAViolation
QNCR 4
20Mar 2026View →

Source: EPA ECHO (Enforcement and Compliance History Online). Compliance status follows EPA’s own labels (“Sig Violation” = significant noncompliance; QNCR = quarters of noncompliance over the recent reporting window). Inactive facilities (struck through) retain historical enforcement records even after operations ceased.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for VANDERBILT UNIVERSITY MEDICAL CENTER. Verify directly with UVA Corporate Prosecution Registry

Federal contracts

This location

Obligated (5-yr)
$201.7M
Obligated (all-time)
$315.8M
Awards
334
Top agency
Department of Health and Human Services
$172.4M
Company-wide — VANDERBELT UNIVERSITY MEDICAL CENTER (across 2 entities)
Obligated (5-yr)
$139.0M
Obligated (all-time)
$225.5M
Awards (all-time)
210

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

Top agencies by obligation (this location)
Department of Health and Human Services$172.4M
Department of Veterans Affairs$140.1M
Department of Defense$1.9M
Department of Justice$1.2M
Department of Homeland Security$76K
Largest awards (top 50 of 334)
  • Department of Health and Human Services
    SURVEILLANCE OF ACUTELY ILL ADULTS WITH RESPIRATORY VIRUSES, INCLUDING SARS-COV-2
    contract · Last action 2023-12-14
    $49,995,944
  • Department of Health and Human Services
    FY21 BROAD AGENCY ANNOUNCEMENT TOPIC 9.1 - VUMC
    contract · Last action 2024-12-11
    $21,680,463
  • Department of Veterans Affairs
    HEART TRANSPLANT SERVICES - OPTION PERIOD 2
    contract · Last action 2025-09-22
    $14,728,752
  • Department of Health and Human Services
    CONTRACT UNDER FY 21 BROUD AGENCY ANNOUNCEMENT TOPIC 9.3 - VANDERBILT
    contract · Last action 2023-02-27
    $14,222,774
  • Department of Health and Human Services
    2021 DOMAIN 1 A008 ADULT INPATIENT & OUTPATIENT VE CASE CONTROL STUDY
    contract · Last action 2024-04-15
    $13,460,836
  • Department of Health and Human Services
    BAA FY23 NETWORK OF HOUSEHOLD TRANSMISSION STUDIES FOR VACCINE EFFECTIVENESS
    contract · Last action 2026-03-31
    $12,797,151
  • Department of Health and Human Services
    SURVEILLANCE OF ACUTELY ILL ADULTS WITH RESPIRATORY VIRUSES, INCLUDING SARS-COV-2
    contract · Last action 2024-02-29
    $11,908,904
  • Department of Health and Human Services
    B-CELL EPITOPE DISCOVERY AND MECHANISMS OF ANTIBODY PROTECTION
    contract · Last action 2024-08-12
    $10,244,250
  • Department of Veterans Affairs
    EXPRESS REPORT: FY23 TOTAL HEART TRANSPLANT EXPENDITURES
    contract · Last action 2022-10-01
    $9,735,328
  • Department of Veterans Affairs
    HEART TRANSPLANT SERVICES - MODIFICATION TO UPDATE INVOICING INSTRUCTIONS.
    contract · Last action 2025-10-01
    $9,150,816
  • Department of Health and Human Services
    IGF::OT::IGF GENETIC & STRUCTURAL BASIS FOR VIRUS NEUTRALIZATION
    contract · Last action 2023-03-06
    $6,533,769
  • Department of Veterans Affairs
    KIDNEY TRANSPLANT SERVICES - OPTION YEAR 2.
    contract · Last action 2026-04-20
    $5,960,587
  • Department of Veterans Affairs
    RATIFICATION OF AN UNAUTHORIZED COMMITMENT
    contract · Last action 2024-12-16
    $5,078,493
  • Department of Health and Human Services
    INNOVATIVE METHODS TO EVALUATE THE ROLE OF INFLUENZA VACCINES IN ATTENUATING SEVERE DISEASE IN ADULTS
    contract · Last action 2023-10-30
    $4,826,942
  • Department of Veterans Affairs
    KIDNEY TRANSPLANT SERVICES - MODIFICATION TO FUND FY26 TO
    contract · Last action 2025-10-01
    $4,723,506
  • Department of Health and Human Services
    2023 CLINICAL IMMUNIZATION SAFETY ASSESSMENT (CISA) BASE IDIQ
    contract · Last action 2025-09-15
    $3,942,112
  • Department of Veterans Affairs
    EXPRESS REPORT: Q1 Q2 Q3 2021 KIDNEY EXPENDITURES
    contract · Last action 2020-10-01
    $3,905,316
  • Department of Health and Human Services
    COVID-19 BAA FOR HOST PATHOGEN DISCOVERY AT AN INSTITUTIONAL SALE TOPIC 6
    contract · Last action 2023-01-20
    $3,749,779
  • Department of Health and Human Services
    IGF::OT::IGF - 1300023I VANDERBILT UNIVERSITY; VTEU; RE-OBLIGATE FY16 FUNDS FOR TASK 14-0015.B1C1D1.0018--23 TASK C OPTION 1; BIOD CAN 8470038; $785,402.77
    contract · Last action 2021-01-31
    $3,506,544
  • Department of Veterans Affairs
    EXPRESS REPORT: FY23 KIDNEY TRANSPLANT EXPENDITURES
    contract · Last action 2023-01-01
    $3,403,025
  • Department of Health and Human Services
    IGF::OT::IGF; 1300023I VANDERBILT UNIVERSITY; VTEU; RE-OBLIGATE FY15 FUNDS FOR TASK 13-0090.B1C1D1.0014 TASK B BASE; BIOD CAN 8470038; $2,052.52
    contract · Last action 2021-12-31
    $3,313,707
  • Department of Health and Human Services
    GENETIC AND STRUCTURAL BASIS FOR VIRUS NEUTRALIZATION
    contract · Last action 2025-09-22
    $3,230,785
  • Department of Veterans Affairs
    LIVER-LIVER/KIDNEY TRANSPLANT SERVICES
    contract · Last action 2026-03-04
    $3,011,851
  • Department of Veterans Affairs
    EXPRESS REPORT: HEART TRANSPLANT SERVICES REPORTING FY 19 USAGE AND EXPENDITURES
    contract · Last action 2019-05-15
    $2,953,613
  • Department of Veterans Affairs
    EXPRESS REPORT: HEART TRANSPLANT EXPENDITURES FOR FIRST TO THIRD QUARTER FY22
    contract · Last action 2021-10-01
    $2,871,792
  • Department of Veterans Affairs
    EXPRESS REPORT: REPORT FY24 EXPENDITURES FOR 1ST AND 2ND QUARTERS.
    contract · Last action 2023-10-01
    $2,858,583
  • Department of Veterans Affairs
    EXPRESS REPORT: HEART TRANSPLANT SERVICES REPORTING FY 18 USAGE AND EXPENDITURES.
    contract · Last action 2018-08-13
    $2,564,721
  • Department of Veterans Affairs
    LIVER/LIVER-KIDNEY TRANSPLANT SERVICES
    contract · Last action 2026-03-10
    $2,517,161
  • Department of Health and Human Services
    IGF::OT::IGF; 1300023I VANDERBILT UNIVERSITY; VTEU; RE-OBLIGATE FUNDS FOR TASK 13-0090.B1C1D1.0014 (PREVIOUSLY HHSN27200007)
    contract · Last action 2020-12-05
    $2,424,322
  • Department of Veterans Affairs
    EXPRESS REPORT: FY 20 EXPENDITURES JANUARY THROUGH JUNE
    contract · Last action 2020-01-01
    $2,366,390
  • Department of Veterans Affairs
    EXPRESS REPORT: Q1, Q2 2021 LIVER TRANSPLANT EXPENDITURES
    contract · Last action 2020-10-01
    $1,996,460
  • Department of Veterans Affairs
    EXPRESS REPORT: EXPENDITURES 5/1/2019 THROUGH 9/30/2019
    contract · Last action 2019-09-30
    $1,932,399
  • Department of Health and Human Services
    IGF::OT::IGF; 1300023I VANDERBILT UNIVERSITY; VTEU; TO FY.2017.B8C12.0080--23 TASK AREA B-C PHASE II VACCINE TRIAL FOR INFLUENZA; H7N9 FLU CAN 8030247; $4,033,051
    contract · Last action 2021-01-01
    $1,930,592
  • Department of Health and Human Services
    INFLUENZA VACCINE EFFECTIVNESS
    contract · Last action 2021-02-23
    $1,898,149
  • Department of Veterans Affairs
    EXPRESS REPORT: LIVER TRANSPLANT REPORTING FY 19 USAGE AND EXPENDITURES
    contract · Last action 2019-05-15
    $1,869,947
  • Department of Veterans Affairs
    EXPRESS REPORT: 2020 EXPENDITURES FROM OCTOBER 1, 2019 THROUGH DECEMBER 31, 2019.
    contract · Last action 2019-10-01
    $1,847,400
  • Department of Veterans Affairs
    EXPRESS REPORT: LIVER TRANSPLANT SERVICES, REPORTING FY QTRS. 1 AND 2 USAGE AND EXPENDITURES.
    contract · Last action 2018-08-13
    $1,798,175
  • Department of Defense
    IGF::OT::IGF "AUTOMATIC SENSING FOR CLINICAL DOCUMENTATION" PROPOSAL LOG NO. DM160268
    contract · Last action 2024-02-05
    $1,718,963
  • Department of Veterans Affairs
    RATIFICATION OF AN UNAUTHORIZED COMMITMENT
    contract · Last action 2024-12-16
    $1,718,641
  • Department of Veterans Affairs
    EXPRESS REPORT: LIVER TRANSPLANT SERVICES, REPORTING FY QTRS. 3 AND 4 USAGE AND EXPENDITURES.
    contract · Last action 2018-09-30
    $1,713,579
  • Department of Veterans Affairs
    EXPRESS REPORT: REPORTING OF EXPENDITURES FOR KIDNEY TRANSPLANTS FOR FY24 1ST & 2ND QUARTERS.
    contract · Last action 2023-10-01
    $1,498,167
  • Department of Veterans Affairs
    EXPRESS REPORT: KIDNEY TRANSPLANTS. REPORT EXPENDITURES FOR FY22 THROUGH THE 3RD QUARTER.
    contract · Last action 2022-04-01
    $1,490,285
  • Department of Veterans Affairs
    STAT REFERENCE TESTING FOR TRANSPLANT PATIENTS UPDATE THE CLINS FOR THE ELECTRONICAL CONTRACT MANAGEMENT SYSTEM
    contract · Last action 2025-10-01
    $1,423,287
  • Department of Health and Human Services
    IGF::OT::IGF; VACCINE TREATMENT AND EVALUATION UNITS
    contract · Last action 2022-01-31
    $1,396,329
  • Department of Veterans Affairs
    STAT REFERENCE TESTING FOR TRANSPLANT PATIENTS UPDATE THE CLINS FOR THE ELECTRONICAL CONTRACT MANAGEMENT SYSTEM
    contract · Last action 2024-10-01
    $1,388,573
  • Department of Health and Human Services
    FY 21 BAA TOPIC 9 - VUMC
    contract · Last action 2024-05-25
    $1,346,112
  • Department of Veterans Affairs
    EXPRESS REPORT: FY 20 EXPENDITURES JULY THROUGH SEPTEMBER 2020
    contract · Last action 2020-07-01
    $1,328,410
  • Department of Veterans Affairs
    EXPRESS REPORT: EXPENDITURES 5/1/2019 THROUGH 9/30/2019
    contract · Last action 2019-09-30
    $1,297,202
  • Department of Veterans Affairs
    STAT REFERENCE TESTING FOR TVHS.
    contract · Last action 2020-09-02
    $1,285,000
  • Department of Health and Human Services
    1300023I VANDERBILT UNIVERSITY; TO 14-0079.C1.0105
    contract · Last action 2020-12-04
    $1,280,895

Federal contract dollars to this establishment. Primary NAICS: 611310 - COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS. Last action: 2026-04-21. Source: USAspending.gov, net obligations. Recipient address is the SAM registration / HQ address, not necessarily the worksite.

Inspection history

DateTriggerViolationsSeriousPenalty
2025-05-13Unprogrammed Related107$5,425
2021-10-04Fatality/Catastrophe0$0
2021-04-09Complaint0$0
2019-10-29Complaint0$0
2016-06-16Complaint0$0
2016-02-18Complaint0$0
2010-06-22Planned1919$5,950
1985-06-07Complaint0$0

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Other employers in this industry and state

Other employers in general medical and surgical hospitals within TN, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on VANDERBILT UNIVERSITY MEDICAL CENTER 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.

Need API access, bulk download, or licensed redistribution? The website is free. Programmatic and licensed access is handled separately.

Contact sales →

Frequently asked

What is VANDERBILT UNIVERSITY MEDICAL CENTER's OSHA violation history?
VANDERBILT UNIVERSITY MEDICAL CENTER has 8 OSHA inspections on record with 29 violations and $11,375 in total penalties.
How does VANDERBILT UNIVERSITY MEDICAL CENTER's safety record compare to its industry?
VANDERBILT UNIVERSITY MEDICAL CENTER operates in the general medical and surgical hospitals industry. The industry average Total Recordable Incident Rate (TRIR) is 5.1.
Has VANDERBILT UNIVERSITY MEDICAL CENTER had any workplace fatalities?
Yes. Federal records show 1 fatality investigation involving VANDERBILT UNIVERSITY MEDICAL CENTER.