Commission split over seeking independent consultant for Williamson Health review; motion to revive similar resolution fails narrowly

Williamson County Board of Commissioners · March 10, 2026

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Summary

Commissioners debated an RFP to retain an independent consulting firm to advise on potential transactions involving Williamson Health. An attempt to remove a previously tabled, similar resolution failed after an appeal to the chair's ruling and a close vote (motion to remove from table failed 11-10).

A contentious debate over whether the county should solicit an independent consultant to review potential transactions involving Williamson Health ended without immediate action after procedural rulings and close votes.

Commissioner Lisa Hayes moved to open a request-for-proposals (RFP) process to identify independent consultants who could advise the commission on strategic options. "We need expertise to advise us," Hayes said, arguing an RFP would only gather information and would not obligate county funds or commit the commission to hire anyone.

The chair ruled the proposed resolution substantially similar to a previously tabled one. Commissioner Richards appealed that ruling; the appeal failed 6-15. A subsequent motion to remove the earlier resolution from the table (which would allow the new RFP language to replace it) failed narrowly, 11-10, leaving the prior resolution tabled and the new RFP effort on hold.

Supporters said an outside consultant would provide a "second opinion" on the largest financial transaction the county may face; opponents said the hospital board and the county's current adviser (Kaufman Hall / Jesse Neil, referenced in the meeting) are already conducting strategic planning and that an additional consultant could duplicate work and increase costs. Several commissioners who sit on the hospital board urged caution about creating perceived mistrust with the hospital's governing board.

No money was appropriated in the resolution under consideration; commissioners noted an RFP would clarify scope and cost before any hiring decision.

What happens next: because procedural efforts to lift the earlier item failed, the commission did not advance an independent consultant RFP at this meeting. Commissioners asked staff and counsel to continue coordinating with hospital board staff and to report back if gaps in expertise remain.