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Health Facilities Commission approves two Fairview freestanding emergency departments
Summary
The Tennessee Health Facilities Commission voted 8-0-0 (with three recusals) May 27 to grant Certificates of Need for two freestanding emergency departments in Fairview: St. Thomas West (CN2602-004) and TriStar Horizon (CN2602-005), projects estimated at roughly $20.7 million and $21.0 million respectively.
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The Tennessee Health Facilities Commission on May 27 approved two Certificates of Need to establish freestanding emergency departments (FSEDs) in Fairview, both by 8-0-0 votes after three commissioners recused.
Ms. Kelley moved to approve the St. Thomas West Hospital FSED application (CN2602-004); Mr. Wright seconded. The application describes an 11,250-square-foot facility with 10 exam rooms, including one trauma room, imaging and lab services. The applicant, Saint Thomas Health, listed an estimated project cost of $20,702,000 and a service area defined by ZIP codes 37062 (Fairview), 37025 (Bon Aqua), 38476 (Primm Springs), 37064 and 37069 (Franklin), and 37221 (Bellevue).
Ms. Kelley then moved to approve the TriStar Horizon Medical Center FSED application (CN2602-005); Mr. Wright seconded. That FSED is described as approximately 10,860 square feet with 11 exam rooms, including a trauma room, lab and imaging. The applicant is owned by Central Tennessee Hospital Corporation (ultimately HCA Healthcare, Inc.). The estimated project cost is $21,018,000; the service area includes ZIP codes 37062 and 38476 in Williamson County, 37025 in Hickman County and 37029 in Dickson County.
Commissioners Lai, T. Evans and Ussery recused from both votes; the remaining eight commissioners—Bellamy, Biggs, Brennan, Denney, Kelley, Legate, Sweitzer and Wright—voted to approve each application by roll call [8-0-0]. The minutes record the motions and the unanimous votes among the members present and eligible to vote.
Why it matters: each approved FSED adds local emergency capacity in the Fairview service area and represents multimillion-dollar capital commitments by large hospital systems. The approvals permit the applicants to move to implementation steps required under the Certificate of Need process.
Next steps: the approved applicants will proceed with implementation per the terms of their CON approvals; commissioners who recused are noted in the record. The Commission’s minutes and recording provide the formal vote tallies and recusal documentation.
