- Today
- Holidays
- Birthdays
- Reminders
- Cities
- Atlanta
- Austin
- Baltimore
- Berwyn
- Beverly Hills
- Birmingham
- Boston
- Brooklyn
- Buffalo
- Charlotte
- Chicago
- Cincinnati
- Cleveland
- Columbus
- Dallas
- Denver
- Detroit
- Fort Worth
- Houston
- Indianapolis
- Knoxville
- Las Vegas
- Los Angeles
- Louisville
- Madison
- Memphis
- Miami
- Milwaukee
- Minneapolis
- Nashville
- New Orleans
- New York
- Omaha
- Orlando
- Philadelphia
- Phoenix
- Pittsburgh
- Portland
- Raleigh
- Richmond
- Rutherford
- Sacramento
- Salt Lake City
- San Antonio
- San Diego
- San Francisco
- San Jose
- Seattle
- Tampa
- Tucson
- Washington
Fairview Today
By the People, for the People
TriStar Announces $21M Plans for Fairview's First Freestanding ER
The new facility would serve western Williamson County and parts of Dickson and Hickman Counties.
Published on Feb. 27, 2026
Got story updates? Submit your updates here. ›
TriStar Horizon Medical Center, part of HCA Healthcare, announced plans to build Fairview's first-ever freestanding emergency department at a cost of $21 million. The proposed facility would feature 11 treatment rooms, including a trauma room, and would be open 24/7 to serve the growing population in western Williamson County and surrounding areas.
Why it matters
The new freestanding ER would improve access to emergency care and reduce travel times for residents in the rapidly growing western Williamson County region, who currently have to make lengthy drives during critical situations.
The details
TriStar said it will apply for a Certificate of Need with the Tennessee Health Facilities Commission to establish the new facility. If approved, it would be the city's first freestanding ER and would include laboratory, imaging services, a nurses station, and other support spaces. This announcement comes as another healthcare organization, Ascension St. Thomas and Dickson Medical Associates, also revealed plans to bring a $20.6 million freestanding ER to Fairview.
- TriStar Horizon Medical Center announced the plans on Thursday, February 27, 2026.
- Ascension St. Thomas and Dickson Medical Associates announced their competing freestanding ER plans two weeks prior.
The players
TriStar Horizon Medical Center
A hospital that is part of the HCA Healthcare system.
Wyatt Chocklett
The CEO of TriStar Horizon Medical Center.
Ascension St. Thomas
A healthcare organization that also announced plans for a freestanding ER in Fairview.
Dickson Medical Associates
A medical group that partnered with Ascension St. Thomas on the competing freestanding ER proposal.
What they’re saying
“This project is about meeting patients where they are. By bringing this proposed emergency department directly into the community, we can improve access, reduce travel time and ensure patients receive high-quality treatment close to home.”
— Wyatt Chocklett, CEO, TriStar Horizon Medical Center (WSMV)
“Our goal is simple and that is to deliver faster care, closer to home, while maintaining the high standards our patients expect from TriStar Horizon.”
— Wyatt Chocklett, CEO, TriStar Horizon Medical Center (WSMV)
What’s next
TriStar Horizon Medical Center said it will apply for a Certificate of Need with the Tennessee Health Facilities Commission to establish the new freestanding emergency department. Ascension St. Thomas and Dickson Medical Associates are also awaiting state approval for their competing proposal.
The takeaway
The plans for Fairview's first freestanding emergency department highlight the growing demand for accessible, high-quality healthcare in the rapidly expanding western Williamson County region. The competition between TriStar and Ascension to bring these facilities to the community signals an effort to meet the needs of local residents and reduce travel times during medical emergencies.
