[{"_1":2,"_112":-5,"_113":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,100],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6606051,"mediaKeyId","2979564-e7eec6919148bdec2552800e090014b8","parentId",2979564,"title","Finance team moves financial statements to informational; presents plan to cut $6.2 million in expenses","audioSeconds",1136,"startMs",2971160,"endMs",4107310,"viewUrl","/Search/View?dp=1&key=2979564-e7eec6919148bdec2552800e090014b8&start=2971&end=4107","thumbnailUrl","https://assets.pipeline.soar.com/2979564-e7eec6919148bdec2552800e090014b8/thumbnail_2971160.jpg","articleUrl","/articles/6606051/Tennessee/Finance-team-moves-financial-statements-to-informational-presents-plan-to-cut-62-million-in-expenses","mediaUrl","https://secure.pipeline.soar.com/6606051-e645aa23673074c6cc55e5949ede61aa/orig.mp4?Expires=1770908539&Signature=nMpyiFiLmI~UqpQ1tb2rfHzGl61guoim5GSH32BPCvaetU~W5F1Tg7fc5PJZqdmOY1rLWetzr9xr60DvneUrCixw6n6jbSubud0nlsdHcT~Oq9l-bwEz41Dzepm0si8CYIqDkNP9hgaQoAETjznnaVj5C8x~6h9IQ8e7QAYKcgn7e5IQ23VKsCTbqk4sAC4BPWG-Nt5VmT6fAFfSq7Nnk8UmCM885jzwUmZoA~dBkB5amIZi9pVO7CW2eH9S3y6jpgk4Je9pc5JEUya~cNCbjHf-5PneOUxSi5MVcndvI5Tvz-lroCpndTrhePxVh2KFEF227DRNCv1fCyVfhiIRVA__&Key-Pair-Id=KUT5TJCACFTXG","author","City of Nashville, TN","date","2025-03-28T00:00:00Z","article","Hospital finance staff presented February financial statistics and moved financial statements from approval to informational status while the team completes reconciliations following an electronic health record conversion. The board heard operational metrics, including an average daily census of 46.4 for February compared with a budget of 31, and clinic visit volumes, and discussed variances in net patient revenue and expenses.

Keith Perrin presented high‑level February results and said staff want the statements to be informational rather than formally approved until due diligence is complete. Perrin said February net patient revenue for the month was below budget, year‑to‑date revenue was approximately $45.4 million compared with a budget of about $41 million, and monthly expenses included higher salary and contract labor costs. The board also heard that cash was low post‑conversion but that collections were accelerating: March collections were reported at about $4 million with two days remaining in the period and February cash at about $3.3 million.

Leadership described a multi‑part plan to reduce roughly $6.2 million in expenses through (1) a hiring pause and position‑control governance to evaluate replacements and role necessity; (2) reductions in contract labor (targeting about $5 million in reductions carried into the next fiscal year through vendor terminations and transitions); (3) cuts to certain contract services (about $1.2 million identified); and (4) operational changes to underperforming clinics, including a review of weekend urgent‑care staffing patterns. Executives said some contract and staffing reductions will phase in over several months and that savings would begin to appear in the next fiscal year.

Board members asked for clearer categorization of contract labor versus contract services and for regular visual reporting of expense trends. Leadership said contract‑management forms and position‑control governance will be revised and that specific vendor terminations and timelines will be presented to the board as they are finalized.

The committee agreed to treat the financial statements as informational while the finance team completes reconciliations and returns for future approval.","mediaType","Video","parentTitle","03/27/25 Hospital Authority Board: Finance Committee","oneSentenceSummary","Staff presented February statistics and financial statements as informational while they continue data validation after Cerner conversion, and outlined a pathway to reduce about $6.2 million through hiring pauses, contract‑labor reductions and contract service eliminations.","taxTitle","Hospital Authority Board Meetings, Nashville, Davidson County, Tennessee","taxId",69306,"location","Tennessee","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6606055,"Leadership says operations budget complete, capital budget near complete; subsidy response prepared",50,103390,154290,"/Search/View?dp=1&key=2979564-e7eec6919148bdec2552800e090014b8&start=103&end=154","https://assets.pipeline.soar.com/2979564-e7eec6919148bdec2552800e090014b8/thumbnail_103390.jpg","/articles/6606055/Tennessee/Leadership-says-operations-budget-complete-capital-budget-near-complete-subsidy-response-prepared","https://secure.pipeline.soar.com/6606055-dd8f294c6a3c40a8fdeaacdb52062371/orig.mp4?Expires=1770908539&Signature=gVyx2N71IjNFQdGRmesF9URFmRUtsXXu7kBkCYELq2RjQ-0L5LTTm3wD5dnHqEODq9~~N70c21MeSGJ9mOq7EvTVACSyPIXBWhwt3XmK8XbJaWG99t-fER0s4Ojjs3ocZ1BGgjinOkouxt9pHD~dTIy~HdicR0Gr-kMWfeN96PixFkNWS10LuriJolBp~zEflFrqfyugm-8NbyaCRbP3FC6bsWihTeOxFvTmOtRFJwWVOGJUYX2EUwrFXOxwQ574ivmQuVh~RZclim2LtrR~5~ZDY~50U~OEvJg6wI4cwgJ-hYqoTv6WIVcsBnLyWEcXzM-FRXz1CktcqRIDzOfTrg__&Key-Pair-Id=KUT5TJCACFTXG","Hospital leadership reported that the operations budget has been completed and the capital budget is approximately 90% finished and expected to be submitted before the end of the month. The board heard that both capital and operating budgets would be submitted and that staff are prepared to respond to questions about any subsidy requests from city partners.

Doctor Blackledge said the hospital will aim to complete the capital budget items so they can be submitted, and noted meetings are planned with city partners. Later in the meeting, board members expressed interest in having consistent contract‑request documentation that shows prior costs, expected revenue and an exit strategy to help the committee and the board assess contract priorities against the budget.

No formal vote was recorded on the budget update; it was presented as an informational update to the committee.","The board received an update that the hospital’s operations budget is complete and the capital budget is about 90% complete; staff said both will be submitted to Metro before the end of the month and are prepared to respond to subsidy questions.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6606060,"Board receives Crossland management letter, approves financials and audit report",102,1361,103399,"/Search/View?dp=1&key=2979564-e7eec6919148bdec2552800e090014b8&start=1&end=103","https://assets.pipeline.soar.com/2979564-e7eec6919148bdec2552800e090014b8/thumbnail_1361.jpg","/articles/6606060/Tennessee/Board-receives-Crossland-management-letter-approves-financials-and-audit-report","https://secure.pipeline.soar.com/6606060-5fdd1974b077d399f107b7c26e87afb2/orig.mp4?Expires=1770908539&Signature=d9VXMJ0rKUOHcS2GbMnVwhCXSZLUSBsceiOuqqjhEIhADt84JvhEsFR0QUOoyIxgtQnpqbnRvEFVPgOrxjqEQlvuJargWIhpG~oee6vrbwUQNvblrBEXXmI8Eed2aWllInFYJ8cUry~uBLB2UUqOiivulnlm-U2JPNATOEaLiv32uDfFLEciruSnTD9yck~Eq~cF0jkWwMGOA4gGQ0wC26gBbxIbhPIOcfodC59-3vrgZiKf~8fix6xrCHrVcAlmKSKu-O47ntvOkv6zRtnXM25q7zCE77eZ9XbeQuoWr1z0MozLHJM5p3dWJTxKUztje-8Fukp7utMEZwtugIV2cA__&Key-Pair-Id=KUT5TJCACFTXG","The Hospital Authority Board received a management letter from Crossland during the meeting and approved the financials and audit report. Board members said the audit letter had been signed and returned and that the organization will continue to meet with Crossland to address material weaknesses identified in the audit.

Committee members said the CEO review committee expects the CEO to oversee timely completion of audits across affiliated entities and to cascade relevant findings to Metro partners. Dr. Blackledge and Keith Moran, the controller, were noted as committing to work proactively with the Crossland team to close open audit items in a timely fashion.

After the update, the chair asked for a motion to approve the financials and the Crossland audit report; the committee seconded and recorded the motion as passed with an affirmative vote.","Board members reported receipt of the Crossland audit management letter, discussed addressing material weaknesses and approved the financials and audit report presented to the committee.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6606065,"Hospital Authority Board approves multiple vendor contracts, defers two service agreements",2784,168000,2952000,"/Search/View?dp=1&key=2979564-e7eec6919148bdec2552800e090014b8&start=168&end=2952","https://assets.pipeline.soar.com/2979564-e7eec6919148bdec2552800e090014b8/thumbnail_168000.jpg","/articles/6606065/Tennessee/Hospital-Authority-Board-approves-multiple-vendor-contracts-defers-two-service-agreements","https://secure.pipeline.soar.com/6606065-5187ebdaf03ff2f22b229b4d98fdd7ad/orig.mp4?Expires=1770908539&Signature=jSs4Nf8EvSxGhF1vYKXSXWcG5baP18x7tUr~yg3W0O0SU8hkkmpgQJaggaHvk~Ad43oawkGEsrP5eh-xrpbX-KNyvUVEfy1O3OMlo527dqFWRrRSZ0mJYrh~uHspv31mgNZVanIod-xm-B~0W6EdK3xC-TdzLWIzZwdlbL~JamNjRu5Rj2sNP8hPrPVVImFYlyo1TsDNuHpQk8l~FCNYd32IkBZ90m9X3r5CISGAQGwxqkR2WB-3VeKKvIY70W2sirX4MssINTCYh-7BBItO7CwQquuYf29jFb6c1zLhX8-Qba2~1QB-libL05QVeyJ6FvH~hQ1fqzWV~SZeMiGq9A__&Key-Pair-Id=KUT5TJCACFTXG","The Hospital Authority Board approved a package of vendor contracts and deferred two proposed service agreements during its meeting. Board members signed off on cybersecurity and network-monitoring renewals and approved a $330,000 purchase of refurbished imaging equipment to support an incoming orthopedic surgeon while deferring a new service agreement for recent Fuji imaging equipment and further competitive review of a waste-disposal contract.

Board members said the decisions were intended to balance continuity of clinical and security operations with closer review of longer-term service agreements. “We will look at it maybe 6 months to a year down the road if we decide then at that point we needed one,” Dr. Mark Brown said when the board discussed delaying a service contract for a new Fuji 3-D mammography unit. The board withdrew consideration of that service agreement and agreed to revisit it later rather than approve a five‑year maintenance contract immediately.

The board approved a refurb Radiography and Fluoroscopy (R&F) room and a C‑arm intended to support an incoming orthopedic surgeon. Dr. Brown told the board the total cost is $330,000; financing over five years would produce monthly payments of roughly $5,500 to a little over $6,000. The board noted the system had generated about $250,000 in revenue in a recent year and heard that buying new equipment would be substantially more expensive.

The board approved a separate contract with Practice Resource Network to meet the state’s requirement for outpatient imaging center reporting. Dr. Brown explained that the state offers a short list of approved vendors and that PRN’s fee structure is standard among those vendors.

On information-technology and security, the board approved renewals for several vendors: Sophos (antivirus/endpoint protection), Presidio (network monitoring and managed detection and response), and Cisco (identity services and multifactor authentication). Adam Bertram, the organization’s IT director, described the importance of those services for protecting legacy systems and providing 24/7 monitoring. The board heard that prices were reviewed versus alternatives and that some services were budgeted; members also asked staff to examine whether some contracted functions could be shifted to internal hires over time.

The board also approved an electronic cancer-registry contract that staff said is mandated by the state; legal counsel advised board members not to backdate contracts. The board voted to approve the agreement with an effective date of March 27 and directed the chief compliance officer to prepare an addendum recognizing services performed beginning Feb. 1 so invoices can be processed.

A proposed change of waste-disposal vendor (medical/sharps/controlled-substance waste) was discussed but deferred for further competitive review and clarification of the scope. Board members asked staff to return with additional bids and clearer information on which tasks the hospital would absorb versus which would remain vendor responsibilities.

Madam chair and committee members said they are standardizing the contract‑request process to include prior costs, anticipated revenue, an exit strategy and clear indication whether a contract was included in budget. Legal counsel and compliance officers indicated they would tighten documentation and ensure that contracts presented to the board bear approval‑date signatures going forward.

Votes at a glance: the board recorded “Aye” votes to approve the rad/fluoroscopy purchase, the PRN reporting contract, Sophos, Presidio network monitoring and MDR, and Cisco security; motions to defer the Fuji service agreement and to seek additional bids for waste disposal were also recorded as carried.","The board approved cybersecurity, network monitoring and imaging contracts, approved a refurbished radiography suite purchase financed over five years, deferred a Fuji service agreement and deferred a proposed waste-disposal contract pending further bids and process clarification.","actionData","errors"]

Article not found

Finance team moves financial statements to informational; presents plan to cut $6.2 million in expenses

Leadership says operations budget complete, capital budget near complete; subsidy response prepared

Board receives Crossland management letter, approves financials and audit report

Hospital Authority Board approves multiple vendor contracts, defers two service agreements