Chief executive updates presented to the Hospital Authority Board covered audits, regulatory inspections, facility repairs and partnerships.

Crossland audit and compensation study
CEO Doctor Elders reported a Crossland audit kickoff occurred August 29; on‑site work has been completed and the audit report is expected by October 31. The planned compensation‑review study scheduled for this meeting was delayed; hospital leadership said the consultant will present at the October board meeting after weekly preparatory meetings.

Regulatory review and facility incidents
Doctor Elders said the Tennessee Department of Health (TDH) conducted surveys beginning August 18 after complaints; leadership reported two condition‑level findings earlier in the process and said a follow up survey conducted on Sept. 23 (reported to the board during the meeting) showed no findings for that inspection.

The hospital experienced three separate floods in September caused by failed valves; the industrial hygiene cleanup was quoted not to exceed $94,000 and physical drywall repairs were estimated at about $18,000. Leadership said they were reviewing property insurance coverage and historical practice (the hospital has historically managed such repairs without property damage coverage) and would follow up on recovery options.

Partnerships and campus matters
Doctor Elders noted renewed partnerships with Metro Public Health and the Metro Office of Family Safety to oversee a nurse practitioner for domestic violence victim services (potential start Jan. 2026), a planned clinical research center collaboration with Meharry Medical College and planning for parking garage safety and graffiti remediation. He also thanked the board for ongoing philanthropic support and referenced recent local awards and community events in which the hospital participated.

Conflict of interest disclosures and personnel
Leadership reported that conflict of interest disclosures were distributed to 125 Nashville General employees with a mandatory completion date of Sept. 29. Elders also thanked the board and staff for progress on engagement and quality work.

Ending: CEO Elders asked for continued board support and said the organization will return with audit and compensation details at the next meeting.