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Fairview Today
By the People, for the People
TriStar Plans $21M Freestanding ER in Fairview, Tennessee
HCA Healthcare and Ascension partner to target high-growth markets with new emergency room facilities
Published on Feb. 28, 2026
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HCA Healthcare's TriStar division is planning to build a new $21 million freestanding emergency room in Fairview, Tennessee. This is part of a broader strategy by HCA and Ascension to target high-growth markets across the country with new emergency room facilities to capture patient volumes.
Why it matters
The construction of this new freestanding ER in Fairview highlights HCA Healthcare's continued focus on expanding its footprint and services in growing suburban and exurban markets. By partnering with Ascension, HCA is able to strategically deploy capital to build out emergency care access in areas with rising populations and healthcare needs.
The details
The new $21 million freestanding ER facility planned by TriStar, an HCA Healthcare division, will be located in Fairview, Tennessee. This is part of a broader initiative by HCA and Ascension to open new emergency room locations in high-growth markets across the country. The goal is to increase access to emergency care services for expanding suburban and exurban populations.
- TriStar is planning to break ground on the new $21 million freestanding ER in Fairview later this year.
- The facility is expected to open and begin serving patients in early 2024.
The players
TriStar
A division of HCA Healthcare that operates hospitals and other healthcare facilities across Tennessee and surrounding states.
HCA Healthcare
A for-profit operator of healthcare facilities headquartered in Nashville, Tennessee. HCA owns and operates a network of hospitals and related healthcare facilities across the United States.
Ascension
A non-profit Catholic health system that operates hospitals, clinics, and other healthcare facilities in the United States.
What they’re saying
“We must continue to invest in emergency care access for growing suburban communities like Fairview.”
— Sam Hazen, CEO, HCA Healthcare (Press Release)
“This partnership with HCA allows us to strategically expand emergency services to meet the evolving healthcare needs of the region.”
— Joseph Impicciche, President and CEO, Ascension (Press Release)
What’s next
HCA Healthcare and Ascension plan to continue identifying high-growth markets across the country where they can collaborate to open new freestanding emergency room facilities to serve expanding suburban populations.
The takeaway
HCA Healthcare's investment in a new $21 million freestanding ER in Fairview, Tennessee demonstrates the company's commitment to expanding its emergency care footprint in growing suburban areas. By partnering with Ascension, HCA is able to strategically deploy capital to increase access to critical healthcare services for communities with rising populations and evolving needs.
