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Nashville General outlines budget shortfall as mayor’s subsidy recommendation trims request
Summary
Nashville General Hospital told the Hospital Authority Board that a mayoral recommendation of $59.55 million — below the hospital’s $63.8 million request — will force difficult trade-offs in 2025, even after one-time state and MCO payments improved 2024 results, the CEO and CFO said.
Joseph Webb, chief executive officer of Nashville General Hospital, and Bruce Naramore, the hospital’s chief financial officer, told the Hospital Authority Board on a budget hearing that the hospital can operate under the mayor’s recommended $59,550,000 support level for 2025 but only with “a good bit of pain.”
“Our initial 2025 budget and support request was … $63,800,000,” Naramore said, while noting the administration’s recommendation of $59.55 million represents roughly a 3% increase over 2024. He said one-time supplemental payments — including about $3.5 million from TennCare managed-care organizations in 2024 — materially improved last year’s results but will not recur.
The hospital presented a projected revenue…
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