Special Called Williamson County Board of Commissioners Meeting - July 6, 2026

The Williamson County Board of Commissioners held a special called meeting on July 6, 2026, primarily to receive a detailed presentation from the Williamson Health Board of Trustees regarding the strategic planning process and the board's unanimous recommendation to sell Williamson Health to Ascension St. Thomas. The presentation covered the extensive evaluation of options to maintain hospital independence, the request for proposal (RFP) process involving multiple potential partners, and the financial and operational terms of the proposed sale. Key procurement-related details included the $700 million purchase price offered by Ascension, additional capital commitments totaling approximately $235 million over 10 years, and protections for employees and clinical services. The board also discussed the implications of recent state legislation affecting the hospital's sale and the disposition of proceeds, with emphasis on transparency and accountability to the county. Commissioners engaged in preliminary questions about the process, timeline, and public access to detailed financial and contractual documents, with plans for further review and future votes on the letter of intent and definitive agreement. No final procurement decisions were made at this meeting, but the groundwork was laid for subsequent contracting and due diligence activities.