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KPMG engagement credited with stabilizing Nashville General finances; leaders outline cuts, staffing changes and growth plan

5724245 · August 29, 2025
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Summary

KPMG presented a 90‑day engagement that hospital leaders say improved invoicing, revenue recognition and monthly reconciliations. Hospital executives reported cuts to leadership and management roles and said the organization reversed a deep negative balance, drove down payables and positioned the hospital for an efficient audit.

NASHVILLE — Hospital leaders and KPMG consultants told the Hospital Authority board that a recent 90‑day consulting engagement produced rapid improvements in accounting processes, vendor accruals and financial reporting, and that those changes — together with organizational restructuring — have reduced near‑term risk and improved monthly results.

KPMG partners Hillary Simic and Chris Dixon summarized the firm’s engagement, saying consultants identified roughly 90 process improvements across invoicing, revenue recognition, reconciliations and payroll controls. “Over the course of the last 3 months, Nashville General Hospital embraced process improvements … [and] is well positioned for a timely and efficient audit,” Dixon said.

Hospital leaders credited the KPMG work with measurable…

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