Ascension Saint Thomas has announced plans to construct a full-service hospital and integrated health campus in Clarksville, Tennessee, marking a significant expansion of its footprint in the region.

The proposed facility will launch with 44 inpatient beds and allow for future expansion up to 132 beds. The development represents a $148.5 million investment and is expected to create approximately 250 healthcare jobs.

Designed to serve Clarksville, Montgomery County and surrounding communities, the campus will include emergency services, inpatient and outpatient surgery, cardiology, oncology, women’s health, orthopaedics, and neonatal intensive care. It will also feature advanced imaging capabilities and ambulatory services aimed at improving care coordination.

Fahad Tahir, president and CEO of Ascension Saint Thomas, said the project reflects the organization’s long-term vision. “We believe in access to high-quality healthcare, and this new health system ensures our neighbors in Clarksville have a future choice of healthcare providers in the community to receive the care they need.”

Currently, many Montgomery County residents travel significant distances for specialty care. The new facility aims to reduce those gaps by offering expanded local services.

Ascension Saint Thomas has operated in Clarksville since 2005 through Saint Thomas Heart, which now includes 14 care locations in the area. The new development builds on that presence and comes as part of a broader effort by the Nashville-based system to strengthen regional access to specialty and hospital services.

A Letter of Intent to apply for a Certificate of Need has been submitted to the Tennessee Health Facilities Commission. A public hearing is scheduled for July 25, during which community feedback will be gathered as part of the state’s review process.

Orthopaedic surgeon Dr. W. Cooper Beazley of Tennessee Orthopaedic Alliance called the move “a good thing for the future of healthcare here in Montgomery County.”