Premise Health Leaders Elected as Belmont University Advisory Board Members to Provide Strategic Guidance on Health Initiatives 

Premise Health’s Lara Spalding, associate vice president of product, and Meredith Karney, associate vice president of enterprise growth, were selected as advisory board members to Belmont University’s Gordon E. Inman College of Nursing and the Belmont Collaborative for Health Systems Innovation, respectively.  

As an advisory board member for the Gordon E. Inman College of Nursing, Spalding will provide her expertise and insights to help guide initiatives that advance the mission of the college in fostering nursing innovation, compassionate care, leadership excellence, and impactful community engagement. 

“I’m excited to engage with Nashville’s best and brightest healthcare professionals and future nurses at Belmont University,” said Spalding. “I’m grateful for the opportunity to support the initiatives of the college and inform its continued evolution of nursing education, with insights from my experience both as a provider and clinical leader at Premise.” 

Spalding brings nearly six years of leadership experience in occupational health and clinical operations at Premise, an extensive 20 year career as a provider within organizations such as the U.S. Army, Vanderbilt University Medical Center, and Johns Hopkins Hospital, and currently serves as a trustee for the American Association of Occupational Health Nurses, receiving its 2025 Fellowship Award earlier this year.  

As a member of the advisory board for the Belmont Collaborative for Health Systems Innovation, Karney will help incubate solutions and accelerate pilots that address some of healthcare’s most urgent challenges—advancing new models, technologies, and partnerships that can meaningfully improve care for patients and practitioners alike. 

The Belmont Collaborative, part of the department of health systems science at the Thomas F. Frist, Jr. College of Medicine, is a cross-disciplinary initiative aimed at accelerating healthcare transformation through frontline-led innovation, systems design, and industry collaboration.  

“I’ve spent my career digging into the root causes of what’s broken in healthcare—and working to build smarter, fairer, more human solutions,” said Karney. “The Belmont Collaborative is bringing together people who aren’t afraid to rethink the system, and I’m thrilled to roll up my sleeves and be part of something that pushes the industry forward in bold, necessary ways.” 

Karney brings to the board four years of leadership experience at Premise in strategic growth and enterprise expansion with prior board appointments at 4C Digital Health and Partners in Digital Health. She’s previously served as vice president of health economics and value for the Center of Medical Interoperability, healthcare program manager at Harvard Business School’s Institute for Strategy and Competitiveness, and value-based care project manager for the Medical University of South Carolina.