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Council reviews annexation for proposed St. Thomas Ascension hospital campus
Summary
Council members heard a presentation on a 99.29-acre annexation requested for purchase by St. Thomas Ascension Healthcare to build a phased hospital campus with medical offices, retail, restaurants and an EMS station; staff described required roadway, utility and transit extensions and a traffic study.
Clarksville City Council on the planning commission report debated an annexation and accompanying service plan for a proposed St. Thomas Ascension Healthcare campus on 99.29 acres north of Highway 76.
Planning staff said the annexation would clear the way for roughly a quarter‑million square feet of hospital space, an equal amount of medical office, a retail plaza, restaurants and a new EMS station. The plan of service notes the city would need to extend utilities, coordinate roadway improvements on Hornbuckle and Little Hope roads and, once the hospital opens, extend a bus route to the site. Mr. Tindle, the planning staff presenter, said concept plans have been shared with city departments and that the project is expected to be built in multiple phases.
Why it matters: a hospital campus of this size would require significant public infrastructure upgrades, ongoing coordination with county roads where the property abuts unincorporated Little Hope Road, and multi‑year staging for utilities and transit. Staff flagged the traffic study and signal timing as critical near planned entrances and said detention, grading and water‑quality permits will be required during site development.
Council members probed details on road jurisdiction and sequencing. One councilor asked whether Little Hope Road is inside city limits; staff replied it is not and that the developer will coordinate improvements with the county. The mayor and other members were told the plan of service includes a six‑month status update after annexation and periodic reports thereafter to track utility extensions and other commitments.
What comes next: the council is scheduled to consider two resolutions tied to the annexation (one to annex and one to approve the plan of service). Staff said electrical service and other utilities will be extended as the project reaches build phases, and the city will return with updates on the plan of service.
