Vanderbilt Wilson County

Vanderbilt University Medical Center acquired a medical center in Lebanon, Tennessee in 2019 and re-branded the facility as Vanderbilt Wilson County Hospital (VWCH) as a reflection of the strategic partnership.  Vanderbilt UMC envisioned an updated campus to provide the community and hospital caregivers with a state-of-the-art facility and expanded key services.

Outpatient Oncology Renovation

The existing facility contained a Cancer Center that was constructed in 1996 but never occupied, and this renovation of the Cancer Center provides a convenient option for patients in this area to receive quality oncology services.

Vanderbilt UMC’s strategic goals guided the design goals for the Cancer Center project: quality patient care and stewardship of resources with a focus on deep investments in technology.  The design team balanced creating an optimal flow to maintain a quality patient environment with utilizing existing infrastructure to manage the budget. In order to provide optimal patient care, Vanderbilt Wilson County chose to purchase a Varian ETHOS Linear Accelerator that provides key analytics to target patient treatments.  The ETHOS system is the third installation of its type in the United States and the tenth installation in the world.  The existing twenty-four-year-old vault was repurposed with minimal work to house the new cutting-edge technology.  The radiation oncology services also include an area for High Dose Radiation treatments.

The design team and Vanderbilt leadership involved caregivers throughout the design process for this project.  Initially, the program exceeded the available square footage of the existing footprint.  The design team collaborated with the caregivers as key contributors in identifying critical components of the program and thinking outside of the box to utilize existing services in the hospital to prioritize patient needs and best practices for care delivery.  Caregivers, facility leadership, designers, builders, and equipment planners stayed in constant communication to execute the vision of the existing space and made old new again. The final product for the Vanderbilt Wilson County Hospital Cancer Center resulted in a compact floor plan providing both radiation oncology and medical oncology services.

The collaboration on this project enabled a vacant space to be repurposed to provide state-of-the-art patient care to the community and give a hospital a new identity.


Vanderbilt UMC


Lebanon, Tennessee

Square Feet

26,750 SF

Design Services


Interior Design

Key Project Staff
Celeste Mize

Interior Designer

Josh Stewart

Healthcare Planning Leader

Lori Smith

Senior Project Architect

Sims Polk

Senior Project Manager