Special Called Williamson County Board of Commissioners Meeting - September 9, 2026

The Williamson County Board of Commissioners held a special called meeting on September 9, 2026, primarily to discuss the proposed sale of the Williamson County Hospital District assets to Ascension St. Thomas. The meeting featured extensive public commentary expressing both support and concerns regarding the sale, particularly focusing on financial implications, healthcare quality, and recent issues involving Ascension's Medicare compliance. The board considered a resolution authorizing the county mayor to execute a non-binding letter of intent (LOI) with Ascension, which would initiate a due diligence period of 120 days plus possible extensions. Key procurement-related discussions included the $700 million purchase price, an additional $270 million economic commitment for capital improvements and operational support, and oversight provisions to ensure Ascension meets its commitments. A motion to defer the vote on the LOI was defeated, and the board approved moving forward with the LOI by a vote of 19 to 5. Additionally, the board unanimously passed a resolution ensuring that proceeds from the sale exceeding $500 million would be directed to the county taxpayers through their elected representatives, rather than a nonprofit trust. The meeting underscored the importance of thorough due diligence and community involvement in this significant procurement and financial transaction.