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Internal and Metro Audits Substantiate Overbilling, Missing Contracts and Falsified Records at Nashville General
Summary
Internal audit by Crossland and an investigation by the Metropolitan Auditor reported material weaknesses in controls, substantiated overbilling by a valet contractor, contracts that did not reach the board, and instances where records provided to media were altered.
Two separate audit reports presented to the Hospital Authority Board on Feb. 27 identified multiple control failures, billing irregularities and problems in contracting and records handling.
Katie Farris, audit director with Crossland PLLC, reported an unmodified opinion on the hospital’s fiscal‑year 2024 financial statements but noted that auditors found four repeat internal‑control deficiencies: two material weaknesses and two significant deficiencies. Farris said the repeat findings point to an ongoing lack of adequate internal control over financial reporting and that those deficiencies had led to significant…
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