Vanderbilt (specifically Vanderbilt University Medical Center, or VUMC) is making up to 650 cuts because major federal funding—especially grants for medical research and patient care—has been slashed, leaving a budget hole they need to fill.

“As we near the end of our fiscal year on June 30th, we are feeling the economic impact of actions being taken in Washington, D.C. — both in research and in patient care,” said Vanderbilt University Medical Center CEO Jeff Balser in a video message to staff. “As a result, in a few weeks the Medical Center will conclude the fiscal year with operating results well short of our budget.”

• The Trump administration’s proposed budget would sharply reduce grants from the NIH and federal healthcare programs like Medicaid and HHS, which directly support VUMC’s operations 
• In March, VUMC announced a $250 million budget shortfall and began freezing hires and trimming costs 
• Now, due to further reductions, it's had to cut an additional $300 million, leading to up to 650 job layoffs—less than 2% of its 45,000-strong workforce—mostly affecting non-clinical roles in research, administration, and support.

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