[{"_1":2,"_124":-5,"_125":-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",[32,76,88,100,112],{"_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",6581249,"mediaKeyId","3289046-2229cefd7fa518164422920ccb302389","parentId",3289046,"title","Votes at a glance: minutes and contract approvals","audioSeconds",387,"startMs",83000,"endMs",470000,"viewUrl","/Search/View?dp=1&key=3289046-2229cefd7fa518164422920ccb302389&start=83&end=470","thumbnailUrl","https://assets.pipeline.soar.com/3289046-2229cefd7fa518164422920ccb302389/thumbnail_83000.jpg","articleUrl","/articles/6581249/Tennessee/Votes-at-a-glance-minutes-and-contract-approvals","mediaUrl","https://secure.pipeline.soar.com/6581249-45fc3da613eabeba98aca3191fba9fe1/orig.mp4?Expires=1771098651&Signature=FnKx4aKKqyx3IsPMUTM-6fq1pfmSKC~tEUghKeaSTkOqNeBHH1XREK2g0xCKL2I9yuYjJy0WyGT5m4cq4yrxFdHEhllAbREQaCJI-0vC06~hKNLpXCTEywLwgWY9kZofYO3Ayh5UQII08NxqPQ7zArsmN-jeIqEIcpbkGQl48vB4j54osJfRtBrDAu3hwpXyU1IOxaXw5PVHkEwJ82RxwGoGiDhe6Ogxny8bM-An16HRH4~SRkoxis6PyERRvHkSJthS7wdFBkNT5yMWZ8zJxxZfaKsItsY-8u3udx8SOA3-8tux0F7PNzPznKB88u101vYuj2D0hPiYnbbChCku0w__&Key-Pair-Id=KUT5TJCACFTXG","author","Metro Nashville Network","date","2025-04-25T09:06:40Z","article","At the meeting the Hospital Authority Board took the following formal actions (motions recorded in the meeting):

- Minutes: Approved minutes as presented. Motion passed (chair called for ayes; motion recorded as passed).

- Contract: EnerSource (Mid South satellite) — approved. The presenter described a software enhancement (chip to enable internet connectivity on in-room TVs) and said the annual cost is $16,000.72 and the contract end date is 2029. The board approved the contract and staff said they will correct the start date in paperwork if approved.

- Contract: HealthCatalyst — approved. Annual cost $77,250 with a 5% escalator; described as a required tool for cancer data collection and CoC accreditation.

- Contract: Registry partners — approved. Registry partner services that gather and report cancer registry data; staff said they will correct contract start dates if approved.

- Contract: KPMG advisory engagement — approved. Negotiated cap $910,000 inclusive of expenses; start May 1, 2025, through mid-August 2025; includes board briefings.

- Insurance renewal (Gallagher broker) — approved. Annual premium $166,196 across directors-and-officers, crime, cyber and excess lines, with board approval to increase cyber limit to $5,000,000 subject to budget confirmation.

- Adjournment: Motion to adjourn approved.

Where the transcript did not record a mover or seconder by name, the motions are recorded here as \"not specified.\" Vote tallies were recorded in the transcript as voice votes (ayes) and the chair announced each motion passed.

Ending: Staff will update contract paperwork where start dates were noted as needing correction and will confirm budget treatment for the insurance premium increase.","mediaType","Video","parentTitle","04/24/25 Hospital Authority Board: Finance Committee","oneSentenceSummary","The board approved minutes, multiple contract renewals, an advisory engagement and the insurance renewal; motions passed as recorded in the meeting.","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},6581254,"Board renews contracts for cancer data tools and registry partners required for CoC accreditation",354,365000,719000,"/Search/View?dp=1&key=3289046-2229cefd7fa518164422920ccb302389&start=365&end=719","https://assets.pipeline.soar.com/3289046-2229cefd7fa518164422920ccb302389/thumbnail_365000.jpg","/articles/6581254/Tennessee/Board-renews-contracts-for-cancer-data-tools-and-registry-partners-required-for-CoC-accreditation","https://secure.pipeline.soar.com/6581254-7d492d60d22cd24456d83c8d229ef25f/orig.mp4?Expires=1771098651&Signature=Iy4kqGbt0hlNGv-V~aWWcrgyOhqdM3AnXChut8fKBexyecJsItfZ--Vei729vXIWX-Xj2YtZzJdBVnYxzXjsXejVIFUSNSF2D1JL7GaaKjZncejJeFZ4EEE5ZsOXn3G-MQNeKvXnuu4tB9P0szztjK8Uj-cKISvSll1m~ueA2AOqdYjt2esSZMsMHDzS5mR0GUAGewbUZ0OzFc1UpLF3hUhQYI-9LN8zC0~CP4Y48mmK~e6IuD~vgvZ8CmdbAvykBNzAZYgo4lbJMw02dX-P98uVPSK-TBInoWmwtePY-WwWSOJezZiGV9zPRkypA2mXJPl0JazgjBFXlp3BBemoZQ__&Key-Pair-Id=KUT5TJCACFTXG","The Hospital Authority Board approved renewals for two contracts used to gather and publish cancer registry data: a HealthCatalyst agreement and a separate registry-partner services agreement.

Mark Brown presented the items and told the board HealthCatalyst is a data tool the hospital uses to gather cancer-related findings and that the contract this year carries a $77,250 cost with a 5% escalator in future periods. Brown said the HealthCatalyst tool gathers data while registry partners help collect, validate and report the data in accordance with Commission on Cancer (CoC) standards. He told the board the registry partner provides monthly and quarterly reports and recommends topic focus based on the data (this year registry partners recommended emphasizing breast-cancer findings).

Staff noted both contracts had start dates earlier in the year; presenters told the board those dates would be corrected in contract paperwork if the board approved the renewals. The presenter said the registry partner will honor the previously listed start date if the board approves the contract.

Outcome: On motions presented at the meeting, the board approved both the HealthCatalyst and registry-partner renewals.

Ending: Staff will correct start dates in the contract documents and continue quarterly reporting to the cancer committee.","The board approved renewals for HealthCatalyst ($77,250) and registry partner services used for cancer data collection and reporting; staff said the tools are required for Commission on Cancer accreditation and that start dates will be corrected if approved.",{"_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},6581259,"Hospital reports March financials: revenue shortfall, operating loss and signs of recovery after Cerner go-live",1013,2123000,3136000,"/Search/View?dp=1&key=3289046-2229cefd7fa518164422920ccb302389&start=2123&end=3136","https://assets.pipeline.soar.com/3289046-2229cefd7fa518164422920ccb302389/thumbnail_2123000.jpg","/articles/6581259/Tennessee/Hospital-reports-March-financials-revenue-shortfall-operating-loss-and-signs-of-recovery-after-Cerner-go-live","https://secure.pipeline.soar.com/6581259-ee237362ca3c183e44c8fecd3d3b1747/orig.mp4?Expires=1771098651&Signature=UtCVTxNQ1K4fl~cgycn7MUA3SMGyYydzSpgOKIHAn8cJqbzUpNflhRhYtSug0tuKJ2crcmbVJAt-KthJra1zLTNr35v-Gqa8r8o2TIKt2By~TLKOR6U~7rxEXyYb0Jkt~zaEdFIi2Q9I-IDhXziZTQj6fhRVYYXnIuvsQA6oCu61PV0XOm0vHDh19IyOCL3KRv-gfhPrIGspsXZEkwgOzuakWTx9ogPUABUI7L~mLG~byGubn0mPjAMv11Hiy2zwoHM04K~bYPi-fTqdbQRp3Xee2O-eHYG9i8MlbLy3ZRTKuo0VZVCAVQl45XV2dViun7FTSosVua9P3CXy9geHMQ__&Key-Pair-Id=KUT5TJCACFTXG","Hospital finance staff presented March financial statements showing a monthly net loss, a year-to-date revenue shortfall and improving cash collections after an electronic health-record (Cerner) go-live earlier in the year.

Finance presenters said total revenue for the month was about $22.5 million and that revenues were roughly $5.7 million below budget year-to-date. The presenters reported a net loss for the month of about $1.4 million and said operating margins remain negative despite early signs of improvement from cost-reduction steps initiated 45 days earlier.

Patient volumes were mixed: inpatient admissions fell from 296 in February to about 232 in March (the presenters noted February has 28 days vs. 31 in March), average length of stay was approximately 4.0 days (budget 3.9), emergency-department volume was 2,252 for the month (below a budgeted 2,335), and outpatient clinic volumes were reported as 4,645 with year-to-date clinic visits 26% above budget.

Staff and contract labor trends were discussed: salary expense for the month was about $5.56 million (roughly $473,000 over budget) while contract labor decreased materially from the prior month, a change partially attributed to accrual reversals.

On cash and liquidity, presenters said overall cash increased by about $3.4 million during the month; the cash position at the end of March was approximately $5.6 million. The increase reflected Metro subsidies/contributed capital plus improved collections.

Revenue-cycle staff reported $4.9 million collected in March and said unbilled accounts were down to about 1.75 days. Presenters attributed earlier denials and collection delays to a temporary removal of the hospital’s “safety net” status in the profile of a payer (Centene/Ambetter); staff said claims will be reprocessed and the issue caused an interim $400,000 increase in denials.

Board members asked for confirmation of submitted capital requests and visibility into how prior capital allocations were spent; staff agreed to provide a historical capital-allocation and spending report at a future meeting.

Ending: Finance staff will return with supporting documentation on capital requests and continued monthly updates on collections and operating results.","Hospital finance staff reported a net operating loss in March, a year-to-date revenue shortfall, but positive cash flow driven by Metro contributions and early recovery in collections after a Cerner electronic health-record go-live.",{"_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},6581263,"Board approves Gallagher insurance renewal and a proposed increase in cyber coverage to $5 million",463,1078000,1541000,"/Search/View?dp=1&key=3289046-2229cefd7fa518164422920ccb302389&start=1078&end=1541","https://assets.pipeline.soar.com/3289046-2229cefd7fa518164422920ccb302389/thumbnail_1078000.jpg","/articles/6581263/Tennessee/Board-approves-Gallagher-insurance-renewal-and-a-proposed-increase-in-cyber-coverage-to-5-million","https://secure.pipeline.soar.com/6581263-fb019195faa6c7ecd77d120610a8bd66/orig.mp4?Expires=1771098651&Signature=oVbVdBEsiMO-0hl6wUJKYdOW5PkFSL83xqOpvKKkv-g7SL-d9yIuxd-jNpc1FKNXVX-yFj9qyPw8xGjb40LkrHszPM916UC5SqI-m9vmbncnyj-iEpUHPQaDELLnbCYI-4YzKMQACeQuCDUiMVDtmuRqCzqbUii3~OwhQ2kkLkowp3rbSliuRAHKA-QmZrZElbX6toeJohwfGjrLD3ZdADCDXEGK3ZnaN9VaekhZESxSoJa2J3e-g2KVwKt5Yt0ipZgLcagV1poqkLDVCWEYo~1TQFheoqzs3ipHUjr1uXZb6MmYvAdoOXz0eGKx~SWaQlChvg1sxQ1o9oTMqgW24w__&Key-Pair-Id=KUT5TJCACFTXG","The Hospital Authority Board approved the hospital’s insurance renewal placed through Arthur J. Gallagher, including directors-and-officers, crime, cyber and excess/umbrella coverage, with a total annual premium of $166,196 and a proposed cyber limit increase to $5 million.

Christy Lewis, the hospital’s chief compliance officer, presented the renewal and said the request reflects industry benchmarking that shows health care faces more cyber incidents than other sectors. Lewis outlined a request to raise cyber coverage from $1,000,000 to $5,000,000 and said the premium difference for that option is approximately $39,383. She told the board she had discussed the change with the interim CFO and that the CFO would review budget availability.

Lewis gave the board a brokerage-fee breakdown included in the packet: a 15% commission for directors-and-officers, 20% for crime, 10% for cyber and 14% for the excess/umbrella line. She said Gallagher conducted a market approach to carriers and recommended remaining with incumbent carriers given a leadership transition during the renewal cycle.

Board members pressed on funding and risk. Melanie Thomas, the hospital’s chief information officer, reminded the board of a cyber incident about three years earlier and said the hospital had absorbed costs at that time. Thomas said health care institutions are frequent targets because of the sensitivity of patient data.

Lewis said some operational savings already taken (telecommunications adjustments) could help cover the increase and that staff would provide documentation of those savings if needed. A board member suggested the matter could be brought to the full board for additional consideration; the motion to approve the renewal with the $5 million cyber option was then made and passed.

Outcome: Motion passed; the renewal will be implemented as presented with the $5 million cyber limit option subject to final budget confirmation.

Ending: Staff will confirm budget treatment for the premium increase and document savings that can offset the additional cyber premium.","The authority approved a $166,196 annual insurance renewal package brokered by Gallagher and discussed a requested increase in cyber coverage from $1 million to $5 million; board members debated budget coverage and recent cyber vulnerabilities.",{"_33":113,"_35":36,"_37":38,"_39":114,"_41":115,"_43":116,"_45":117,"_47":118,"_49":119,"_51":120,"_53":121,"_55":56,"_57":58,"_59":122,"_61":62,"_63":64,"_65":123,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6581268,"Hospital authority approves $910,000 KPMG engagement to review accounting and operations",499,629000,1128000,"/Search/View?dp=1&key=3289046-2229cefd7fa518164422920ccb302389&start=629&end=1128","https://assets.pipeline.soar.com/3289046-2229cefd7fa518164422920ccb302389/thumbnail_629000.jpg","/articles/6581268/Tennessee/Hospital-authority-approves-910000-KPMG-engagement-to-review-accounting-and-operations","https://secure.pipeline.soar.com/6581268-99402854f887c32268b8062b6ec89cd9/orig.mp4?Expires=1771098651&Signature=Nt-2lb7NJtNzPOSayGEkR20inMYBFBzrSks~sJyBoyx21DWnTYGEvsNy7gIWKAz8gwK6tdjSATyImaBw4FyMxteQYEz7PIL18Sh3tgwc3kVI74nL9FsVEMhJ5q5YfIqtC6-ktnrB0-QgNs-~kbABmug8vSSB3K6vp2Ovag49mms8-RJCQyEYXIIrXY8xf8G5-NHP72o0bUuGKZeWKI4fwDBWrnSMY-TCMQ7rxEjcZb770p1-0px1bkMvpGOgh07ai5v5VGTIOCbUHoRGRSFP13zF3dOFRWu5rNRVoTn~ezVMxmfEAayBmGkBsozUZpMclOGM6NSwVqKVGmVfy-0M4g__&Key-Pair-Id=KUT5TJCACFTXG","The Hospital Authority Board approved a contract with KPMG for accounting, financial reporting and operational-efficiency advisory services on a motion that passed during the board meeting.

The engagement was described to the board as a roughly three-month advisory project with a total negotiated cap of $910,000 that includes a weekly consulting cap and a $100,000 flat fee. The presenter said the fee cap is inclusive of expenses and that KPMG will be asked to use local staff where possible. The board was told the engagement is intended to close gaps in month-end and year-end close processes, update accounting policies and standard operating procedures, and support cost-report preparation.

Board members asked about the fee, the timeline and whether funds were available. The presenter said the engagement start date is May 1, 2025, and the planned end date is in mid-August 2025, that Metro Finance had been consulted, and that funds were set aside for the work. The board was also told the engagement includes two opportunities for a KPMG representative to present updates to the board.

The board had previously requested multiple proposals; the presenter said three firms were considered and KPMG was selected. A board member requested more detail about vendor pricing comparisons; the presenter declined to disclose competing vendors’ costs to protect those organizations’ proposals.

Outcome: On a motion and second recorded by the chair, the board voted in favor and the motion passed.

The board framed the engagement as part of a broader push for “economics, accountability and culture” around finance and to accelerate remediation steps before the new fiscal year.

Ending: The board approved the KPMG engagement and asked staff to share periodic updates; KPMG is scheduled to begin work May 1 and to provide at least two in-person briefings to the board during the engagement.","The Hospital Authority Board approved a capped $910,000 engagement with KPMG to review accounting, financial reporting and operational processes, with work scheduled to start May 1 and include two board briefings.","actionData","errors"]

Article not found

Votes at a glance: minutes and contract approvals

Board renews contracts for cancer data tools and registry partners required for CoC accreditation

Hospital reports March financials: revenue shortfall, operating loss and signs of recovery after Cerner go-live

Board approves Gallagher insurance renewal and a proposed increase in cyber coverage to $5 million

Hospital authority approves $910,000 KPMG engagement to review accounting and operations