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Board reviews August finances and approves multiple contracts, board motions; accounts payable reduced

September 26, 2025 | Hospital Authority Board Meetings, Nashville, Davidson County, Tennessee


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Board reviews August finances and approves multiple contracts, board motions; accounts payable reduced
The Hospital Authority Board heard August financial results and approved several contracts and routine motions during the meeting.

Finance highlights
Finance presenters reported that, for August, the hospital was $871,000 unfavorable to budget. Outpatient revenue exceeded budget by $629,000, while inpatient revenue was $1.5 million below budget. Patient days were lower than budget; emergency‑department admits were down. Expenses were $1.2 million under budget, chiefly because the hospital reversed a $2.4 million prior‑year accrual after discussion with auditors. Accounts payable decreased from $16.5 million in July to $8.6 million in August, a reduction leadership credited to focused vendor‑payable work.

Nut graf: Board members were told the finance team is investigating a few system‑generated calculation variances (noted in the statement of cash flows) with the accounting vendor and will follow up at the next board meeting.

Votes at a glance (motions recorded in meeting)
- Approve minutes (motion moved and seconded; voice vote: “Aye”; motion passed).
- Approve quality report (motion passed by voice vote after presentation).
- Approve medical staff reports and credentials (motion passed by voice vote).
- Contract approvals (voice votes approving each item as listed below):
• Carl Stoss lease agreement (Perioperative Services): term listed 3 years (2023–2026); "dollars 6,638" included in this year's budget (as presented).
• Hologic (women's health equipment/service): cost presented as $3,250; not included in this year's operating budget per presenter.
• Inpatient pharmacy 340B oversight/consultant contract: cost presented as $134,250; included in this year's budget.
• Green Security vendor access renewal: 3‑year term (2025–2028), presented with no cost to the hospital.
• Facilities: Archer facilities HVAC contract (cooling/air systems): recurring annual cost presented as $177,795 (first year reported as $199,746); included in this year's budget.
• Duct cleaning (HVAC): cost presented as $190,500; listed in capital budget (presenter said not included in operating budget).
• Infra (fan coil) service for ~357 fan coils: cost presented as $72,587; not included in this year's operating budget.
• Southwest Communications security/keypad system and key‑inventory project: costs shown in packet (presenter listed figures of ~$102,000 and $125,472 for two related projects); presenter said not included in operating budget.

The board approved each contract by voice vote; presenters noted which items were included in the current budget and which were capital or not included.

Nut graf 2: Contracts spanned perioperative, pharmacy, facilities and security systems; several items were explicitly listed as capital projects or noted as not included in the operating budget.

Ending: Finance and procurement staff will supply more detailed cost breakdowns where requested and will follow up on the accounting system variance ticket at the next board meeting.

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Scribe from Workplace AI
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