CN2007-024 Support.Pdf

Letters of Support For Rehabilitation Hospital of Knox County - West, CN2007-023 & Rehabilitation Hospital of Knox County-Downtown, CN2007-024

Physicians Elected Officials

S. Arthur Moore, MD Lieutenant Governor Medical Director, Comprehensive Stroke Program Randy McNally Fort Sander Regional Medical Center State Senator Sharon Glass, MD Richard Briggs, MD Physiatrist, Patricia Neal Rehabilitation Center State Senator Paul C. Peterson, MD Becky Duncan Massey Co-Director Neuro Intensive Care Unit Fort Sanders Regional Medical Center State Representative Jason Zachary Walt Zibas, MD Stat Care Knox County Mayor Glenn Jacobs Eric Hartman, MD Physical Medicine and Rehabilitation Covenant Medical Group

Mary Dillon, MD Physiatrist Patricia Neal Rehabilitation Center

Other Providers

Leslie Erwin Vice President and Administrator Patricia Neal Rehabilitation Center

Mike Belbeck Executive Vice President Operations Covenant Health

Keith Altshuler President/Chief Administrative Officer Fort Sanders Regional Medical Center

549948 lO.vl Covenant Neurohospitalists

October 7, 2020

Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Applications

Dear Mr. Grant:

I am a Board Certified Neurologist and the Medical Director of the Joint Commission Certified Comprehensive Stroke Program at Fort Sanders Regional Medical Center. I am writing to express my full support for Rehabilitation Hospital of Knox County, LLC’s companion Certificate of Need applications seeking approval to renovate the downtown Patricia Neal Rehabilitation Center and utilize a portion of the beds from Patricia Neal Rehabilitation Center to build a freestanding inpatient rehabilitation hospital in the western area of Knoxville, Tennessee, on the Fort Sanders West medical campus. These companion projects will be jointly owned and operated by Covenant Health and Encompass Health, owners of Rehabilitation Hospital of Knox County, LLC. These projects will better serve and benefit our community by combining resources, knowledge, and expertise of two well-respected healthcare companies to modernize and enhance inpatient rehabilitation services in our area.

Hundreds of stroke patients receive care at the current Patricia Neal Rehabilitation Center each year following an acute care hospital stay, as inpatient rehabilitation is crucial to the ongoing care for so many patients recovering from stroke. Although I can attest that my patients receive excellent care from the physicians, nurses, therapists, and other staff in the existing facility, the renovation of the existing space now housing the Patricia Neal Rehabilitation Center is greatly needed to improve the patient and family experience at the facility. I am also in full support of the new freestanding inpatient rehabilitation hospital in this planning region which will add additional private rooms and expanded areas for therapeutic interventions not only for stroke patients but for all patients who would benefit from inpatient rehabilitation services.

I hope you will support the granting of the Certificates of Need to the Rehabilitation Hospital of Knox County, LLC for the renovation of the Patricia Neal Rehabilitation Center and development of a freestanding inpatient rehabilitation hospital in this planning region. The approval of these projects would expand access and modernize this much-needed service to patients and families in our area.

Sincerely,

S. Arthur Moore, MD Medical Director, Comprehensive Stroke Program

501 20th Street, Suite 503 • Knoxville, TN 37916 (865) 331-1750 Office (865) 331-4320 Fax Restoring Abilities. Rebuilding Lives.

10-07-20

Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

RE: Two Pending CON Applications for Rehabilitation Hospital of Knox County

Dear Mr. Grant:

I am a physiatrist at Patricia Neal Rehabilitation Center. I am writing to express my strong support for Rehabilitation Hospital of Knox County's two CON applications for both Downtown Knoxville and West Knoxville.

As a physiatrist, I provide medical rehabilitation for inpatients of the current Patricia Neal Rehabilitation Center where I first began practicing in 1989. Other than a 2 year period away from this role, I have provided care for patients in Patricia Neal Rehabilitation Center since that time. For a period of that time away, I worked in an Encompass Hospital and was impressed with the level of technology available to enhance patient outcomes and the sharing and implementation of best practices across multiple Encompass Health hospitals to improve processes that enhance quality, service, and utilization of financial resources.

The minimum requirement for an inpatient rehabilitation center is to have knowledgeable and skilled staff, but a first-rate facility requires more. It requires staff who are sincerely caring and supportive of each other as well as the patients and their families. The staff address the fears and aspirations of their patients so that patients not only know they are cared for, they feel It! It is this aspect of Patricia Neal that has helped it be a first-rate facility and to earn top awards for customer satisfaction for multiple years. The staff at Patricia Neal have lived the Covenant Pledge of Patients First, Excellence Always, and First and Best choice even before the pledge was adopted throughout Covenant Health.

These two CON projects will create much-needed facility modernizations to further improve both patient and family experience. I urge the Agency to give favorable consideration to both of these collaborative CON projects as we seek to better care for many patients across East Tennessee.

Respectfully,

Sharon Glass, MD

At Fort Sanders Regional Medical Center* 1901 Clinch Ave. • Knoxville, TN 37916 A Monitor of (865) 331-1446 • www.patneal.org A Fort Sanders i Neurosurgery ) and Spine — Paul C. Peterson, M.D.

October 7,2020

Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Applications

Dear Mr. Grant:

I am a Board Certified Neurosurgeon at Fort Sanders Regional Medical Center, and I am writing to express my support for Rehabilitation Hospital of Knox County, LLC’s companion Certificate of Need applications seeking approval to renovate the downtown Patricia Neal Rehabilitation Center and utilize a portion of the beds from Patricia Neal Rehabilitation Center to build a freestanding inpatient rehabilitation hospital in the western area of Knoxville, Tennessee, on the Fort Sanders West medical campus. These companion projects will be jointly owned and operated by Covenant Health and Encompass Health, owners of Rehabilitation Hospital of Knox County, LLC. These projects will better serve and benefit our community by combining resources, knowledge, and expertise of two well-respected healthcare companies to modernize and enhance inpatient rehabilitation services in our area.

As a neurosurgeon, many of my patients receive care at the current Patricia Neal Rehabilitation Center following an acute care hospital stay. Inpatient rehabilitation is critical to the ongoing care of many of my patients. Although I can attest that my patients receive excellent care from the physicians, nurses, therapists, and other staff in the existing facility, the renovation of the existing space now housing the Patricia Neal Rehabilitation Center is greatly needed to improve the patient and family experience at the facility. I am also supportive of the new freestanding inpatient rehabilitation hospital in this planning region which will add additional private rooms and expanded areas for therapeutic interventions to serve the patients in our area. Patricia Neal Rehabilitation Center has been integral and continuing spectrum of patient care.

I hope you will support the granting of the Certificates of Need to the Rehabilitation Hospital of Knox County, LLC for the renovation of the Patricia Neal Rehabilitation Center and development of a freestanding inpatient rehabilitation hospital in this planning region. The approval of these projects would expand access and modernize a much-needed service to patients like those currently served,

220 Fort Sanders West Blvd, MOB II Suite 100 • Knoxville, TN 37922 phone (865) 331-4321 • lax: (865) 331-4320 StatCare

September 29,2020

micm Logan Grant, Executive Director Jesse Doers, M.D, President and Managing Partner Health Services and Development Agency John Craig Vice President New Business Development Andrew Jackson State Office Building Emily Graham Chief Operations Officer 502 Deaderick Street, 9th Floor

Rottalti EstCS, M.D. Nashville, TN 67243 Chief Informatics Medical Director A Pulmonary/Critical Cure Medical Director

Walter Zibas, M.D, RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Internal Medicine Hospitailst Medical Director Applications Mitivnm Clink tMletl.LHmvn Shannon Byrd, M,D. I1. Lynn NiohoU, M.D. As a member of the largest inpatient hospitalist group in Knoxville, I wish to Porkwat Medical Directors llaspltullst express my support for the applications to build and modernize new inpatient Aaron Riltgm, M.D. MohamadDoleh, M.D. rehabilitation space for the Patricia Neal Rehab facility in Knoxville. One of the Pidmotiary/Crillcaf Care Scott Luchsitiger, MD largest barriers we find in providing post-acute services to our patients is the lack Fw Xntiiqt Hc4lm! L’

Noe turn La Medical Dlrtitoi Patricia Neil, in our opinion, provides superior rehabilitation care for our stroke No! Nuycn, M.D. and functionally debilitated patients and is widely respected throughout our Sleep Center Medical Directors P. Lynn Nichols, M.D medical community. However, many times a Week we find ourselves in a position ALidUss. I.ou Anne Zlbas, M.D. of referring patients to skilled facilities for restorative care when we feel that they Felix Chaltiy, DO could benefit from comprehensive therapy and physiatry services only found in an

XIA TCAHE OPERATIONS inpatient rehab facility like Patricia Neil. Oftentimes, when admitting frail patients 1900 North Winston Road Suite 501 to rehab only facilities, we find that the patient must be readmitted to the hospital Knoxville, TN 37919 Phone (865) 909*0090 owing to the limitations of specialty physician and therapy care in these facilities Fax (865) 909-9883 which is disruptive from a functional standpoint improvement as well as Amy Taylor Executive Administrative Assistant emotionally difficult for the patient and family. Troy Collins In Patient Performance Manager In conclusion, we support the approval of this CON to improve timely access to

PULMONARY CONSULTANTS appropriate inpatient rehabilitation and achieve maximum functional outcomes. Main Clinic 2240 Sutherland Ave, Suite 103 Knoxville, Tennessee 37919

West Clinic 10904 Kingston Pike, Suite 102 Knoxville, TN 37934 Sincerely,

Oak Ridge Clinic 9BB Oak Ridge Turnpike, Suite L20 Onk Ridge, TN 37830

Phone (865) 508-8831 Fax (865) 588-8841

Jay Grose Director of Outpatient Services Walt Zibas, MD

Excellence. Every Patient Every Time. Covenant Medical Group, Inc.

1400 Centerpoint Blvd, Suite 100, Bldg. A, Knoxville, TNI 37932

Monday, September 28, 2020

Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Applications

Dear Mr. Grant:

I am Dr. Eric Hartman. I am a rehabilitation physician working at Patricia Neal Rehabilitation Center. I want to express my support for Rehabilitation Hospital of Knox County, LLC's two companion Certificate of Need applications: 1) seeking approval to renovate the downtown Patricia Neal Rehabilitation Center where I work; and 2) to utilize a portion of the beds from the downtown location to build a freestanding inpatient rehabilitation hospital in the western area of Knoxville, Tennessee, on the Fort Sanders West medical campus. These companion projects will be jointly owned and operated by Covenant Health and Encompass Health. I believe these projects will better serve and benefit our community by combining resources, knowledge, and expertise of two well-respected healthcare companies to modernize and enhance inpatient rehabilitation services in our area.

The intensity of physical, occupational, and speech therapies is unique to acute inpatient rehabilitation and results in shorter lengths of stay while still yielding improved functionality and simultaneously promoting family participation in the process. Together, these projects will allow for a larger number of private rooms for our patients and their families. This allows for the level of privacy which should always exist in any healthcare facility in my opinion.

In my experience, the staff at Covenant have always sought to maintain top quality patient care in spite of the growing industry demands placed upon healthcare providers. This is a reflection of the staff as well as the environment Covenant promotes. I am confident your approval of these projects will expand access to and modernize a much-needed service to patients like those I see in our facility, as well as, to the larger community.

Sincerely, ■gT ——

EricT. Hartman, M.D. Rehabilitation Center Restoring Abilities. Rebuilding Lives.

October 7, 2020

Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderlck Street, 9th Floor Nashville, TN 37243

RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Applications

Dear Mr. Grant:

I am a physlatrlst, a physician specializing in physical medicine and rehabilitation, at Patricia Neal Rehabilitation Center. I have served as the Medical Director there since 2003. In my role as medical director, 1 am responsible for the overall medical and rehabilitation oversight for the patients of Patricia Neal Rehabilitation Center.

When It opened In 1978, Patricia Neal Rehabilitation Center was the first acute inpatient rehabilitation facility in Knoxville. For the past forty-two years, over thirty-five thousand patients and families from Knoxville and many other communities have been admitted to the Patricia Neal Rehabilitation Center, following devastating Injuries and illnesses. They have received intensive and specialized life-changing rehabilitation care. The Patricia Neal Rehabilitation Center Is known for treating the most challenging of rehabilitation patients, helping them restore their abilities and rebuild their lives with compassionate, caring and Individualized rehabilitation programs. Patricia Neal Rehabilitation Center has received numerous regional and national awards for excellence in patient satisfaction and quality outcomes.

While patients continue to receive excellent and Individualized care by the physicians, nurses, therapists, and other rehabilitation staff, the facility Itself is outdated and lacking In many amenities that patients expect, such as private rooms and private bathrooms. The renovation of the existing space now housing the Patricia Neal Rehabilitation Center will greatly Improve the patient and family experience by modernizing the facility, In addition, the new freestanding Inpatient rehabilitation hospital will also have all private rooms and the additional space to provide for advanced state of the art equipment and technologies, Inpatient rehabilitation care is a crucial part of the health care continuum of care, utilizing medical care by physicians as well as Intensive physical, occupational, and speech therapies, rehabilitation nursing, and other rehabilitation services to help patients Improve function and return sooner to their highest level of functional Independence.

For these reasons, I hope you will support the granting of the Certificates of Need to the Rehabilitation Hospital of Knox County, LLC for the renovation of the Patricia Neal Rehabilitation Center and development of a freestanding inpatient rehabilitation hospital in this planning region. Thank you for your consideration,

Sincerely,

Mqryr, Dillon, M.D. Medical Director, Patricia Neal Rehabilitation Center

A Member or At Fort Sanders Regional Medical Center* 1901 Clinch Ave. • Knoxville, TN 37916 Co\«QM (865) 331-1446 • www.patneal.org r Reh9uiii lq uuiI Restoring Abilities. Rebuilding Lives.

October 7, 2020

Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Applications

Dear Mr. Grant:

I am writing to express my support for Rehabilitation Hospital of Knox County, LLC's companion Certificate of Need applications seeking approval to renovate the downtown Patricia Neal Rehabilitation Center and utilize a portion of the beds from Patricia Neal Rehabilitation Center to build a freestanding inpatient rehabilitation hospital in the western area of Knoxville, Tennessee, on the Fort Sanders West medical campus. These companion projects will be jointly owned and operated by Covenant Health and Encompass Health, owners of Rehabilitation Hospital of Knox County, LLC. These projects will better serve and benefit our community by combining resources, knowledge, and expertise of two well- respected healthcare companies to modernize and enhance inpatient rehabilitation services in our area.

I had the unique privilege of being the first physical therapist in the Patricia Neal Rehabilitation Center on its opening day in 1978.1 remember the excitement of the first patients arriving, knowing that I had the opportunity to be a part of something great and having the honor and privilege of helping patients to regain function to return to their highest level of independence.

The excitement I felt in 1978 I still feel today, as I see the staff and physicians at Patricia Neal working together to provide the best care for each patient and to support the patients' families, knowing they are helping these patients and their families overcome tremendous challenges to achieve their highest level of functional independence. The renovation and conversion to private rooms at the current Patricia Neal Rehabilitation Center will enhance the patient and family experience, and the new freestanding inpatient rehabilitation hospital in this planning region will add even more private rooms and the additional space to provide for individualized therapy services.

Sincerely,

Leslie Irwin, PT, FACHE Vice President and Administrator

At Fort Sanders Regional Medical Center • 1901 Clinch Ave. • Knoxville, TN 37916 (865) 331-1446 • www.patneal.org Mike Belbeck, CFA, FACHE EVP of Operations Covenant I-IEALTR

October 9, 2020

Mr. Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

RE: Support for Certificate of Need Applications - Rehabilitation Hospital of Knox County

Dear Mr. Grant:

On behalf of the hospitals of Covenant Health, I am writing to express our full support for the two Certificate of Need (CON) applications filed by Rehabilitation Hospital of Knox County, LLC. The two companion CON applications seek approval to 1) modernize the Patricia Neal Rehabilitation Center (PNRC) on the Fort Sanders Regional Medical Center campus in Downtown Knoxville - and 2) utilize a portion of the existing licensed beds from PNRC to build a new freestanding inpatient rehabilitation hospital in West Knoxville. These two companion projects will be jointly owned and operated by Covenant Health and Encompass Health through the applicant organization. Moreover, these projects seek to better serve and benefit our community by combining significant resources, knowledge, and expertise to better serve out patients.

Covenant Health is a comprehensive, community-owned health system dedicated to improving the health of the people it serves - and is governed by a voluntary board of directors made up of community leaders and medical professionals. Currently, Covenant Health includes nine acute care hospitals in East Tennessee: Methodist Medical Center of Oak Ridae. Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Fort Loudoun Medical Center in Lenoir City, LeContc Medical Center in Sevierville, Morristown-Hamblen Healthcare System in Morristown, Roane Medical Center in Ilarriman, Claiborne Medical Center in Tazewell and Cumberland Medical Center in Crossville. It also includes Peninsula Hospital, a psychiatric hospital in Blount County, and many other healthcare organizations which form a network of providers who work together to address evolving patient needs in East Tennessee.

Historically, patients have received outstanding care at PNRC following an acute care hospital stay, as inpatient rehabilitation services are critical to the care and clinical outcomes for so many patients. PNRC not only provides specialized rehabilitation care to benefit patients, but also supports the many referring hospitals throughout our health system (and the broader region) by helping other facilities optimize clinical outcomes, patient experience, and operating capacity needed to serve growing community needs.

Corporate Office 100 Fort Sanders West Blvd. ♦ Knoxville, TN 37922 (865) 531-5500 Office (865) 531-5272 Fax These two projects are clearly needed. We respectfully request that members of the Health Services and Development Agency approve these projects in Knox County. Together, these two projects will create modern clinical facilities, ensure that our existing rehabilitation and acute care bed capacity becomes more accessible to the community, and support collaborative efforts to better care for our many patients.

Sincerely, N

Mike Belbeck, CFA, FACHE Executive Vice President, Operations

MB/cs

Corporate Office tOO Fort Sanders West Blvd. • Knoxville, TN 37922 (865) 531-5500 Office (865) 531-5272 Fax FORT SANDERS REGIONAL MEDICAL CENTER

September 29, 2020

Logan Grant, Executive Director Health Services and Development Agency Andrew Jackson State Office Building 502 Deaderick Street, 9"1 Floor Nashville, TN 67243

RE: Rehabilitation Hospital of Knox County, LLC - Certificate of Need Applications

The purpose of this letter is to express my support for the Rehabilitation Hospital of Knox County, LLC’s companion Certificate of Need applications by Covenant Health and Encompass Health.

As the administrator of Fort Sanders Regional Medical Center (FSRMC), 1 realize that our Patricia Neal rehab rooms are outdated and do not meet current facility expectations for the needs of our rehabilitation patients and their families. As a comprehensive stroke center, our families serve a very important role in the post-acute recovery of stroke patients and it is important for us to ensure that families have sufficient space to remain comfortable in order to provide the essential support. Unfortunately, we do not have private showers within the room space for patients, or enough leisure space for family members who oftentimes spend the majority of every day with their loved ones.

The reconstruction of the current space to individual private rooms in addition to the building of the new facility will provide not only the much needed updated spaces, but will provide greater access geographically for families who oftentimes travel long distances to provide much needed emotional support to their loved ones.

In closing, the current Patricia Neil Facility was originally built in 1978 and is in dire need of facility upgrades. The new facility will not only provide for modern and comfortable space, but will further improve access for patients and families requiring specialized care in the region.

Sincerely,

Keith N. Altshuler, FACHE President/CAO

1901 Clinch Avenue, Knoxville, TN 37916 • 865-541-1111 AMoinberol www.fs regi anal .coin Covenant I IF.ALTI I State of Tennessee RANDY MCNALLY LIEUTENANT GOVERNOR

426 6TH AVENUE NORTH 94 ROYAL TROON CIRCLE SUITE 700 OAK RIDGE, TN 37830 NASHVILLE, TN 37243 (865) 463-5544 (816) 741-8806 OFFICE OF THE LIEUTENANT GOVERNOR SPEAKER OF THE SENATE September 30, 2020

Mr. Logan Grant, Executive Director Tennessee Health Services and Development Agency Andrew Jackson Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

Dear Mr. Grant:

Please accept this letter in support of the Encompass Health and Covenant Health joint venture to build a new 51-bed, freestanding inpatient rehabilitation hospital on Covenant Health's Fort Sanders West campus in Knoxville, Tennessee and to renovate and convert the existing Patricia Neal Rehabilitation Center, located inside the Fort Sanders Regional Medical Center, also in Knoxville, Tennessee.

Knox County is home to Covenant Health, a community-owned health system and the area's largest employer with an extensive track record of supporting and giving back to the community. Encompass Health is the nation's largest provider of inpatient rehabilitative healthcare with a network of hospitals across the US. Their new joint venture will not only allow for the expansion of inpatient rehabilitation services, but will better serve the county and region with facilities in both downtown and West Knoxville. The investment and development at both of these sites will help stimulate the county's economy and create additional employment opportunities.

Serving the area since 1978, the Patricia Neal Rehabilitation Center is East Tennessee's recognized leader In rehabilitating stroke, spinal cord and brain injury patients and is currently one of the largest inpatient rehabilitation centers within an acute care hospital in the country. But the need to expand and update services, technology, and facilities is critical in meeting the ever increasing healthcare demands of our region. I strongly support the Encompass Health and Covenant Health Joint venture to build and expand inpatient rehabilitation services in Knox County. The construction of these two centers will benefit not only our local residents, but all of East Tennessee for those citizens in need of care.

Thank you for your consideration,

Sincerely,

Randy McNally Lieutenant Governor Speaker of the Senate Richard M. Briggs, MD 7th Senatorial District Senator Knox County

770 Cordell Hull Building First Vice-Chair Nashville. Tennessee 37243 State and Local Government

(615)741-1766 Vice-Chair, Appropriations (615) 253-0199 FAX Senate Chamber Finance, Ways& Means Toll Free: 1-800-449-8366 Ext, 11766 Chairman Ethics sen.richard.briggs@capi lol ,tn ,gov &tat e of fenes&ee Transportation NASHVILLE

September 30,2020

Mr. Logan Grant, Executive Director Tennessee Health Services and Development Agency 502 Deaderick Street, 9th Floor Nashville, TN 37243

Dear Mr. Grant:

Please accept this letter in support of Encompass Health’s and Covenant Health’s joint venture to build a new 51-bed, freestanding inpatient rehabilitation hospital on Covenant Health’s Fort Sanders West campus in Knoxville, Tennessee and to renovate and convert the existing Patricia Neal Rehabilitation Center, located inside the Fort Sanders Regional Medical Center, also in Knoxville, Tennessee.

Serving the area since 1978, the Patricia Neal Rehabilitation Center is East Tennessee’s recognized leader in rehabilitating stroke, spinal cord and brain injury patients and is currently one of the largest inpatient rehabilitation centers within an acute care hospital in the country. Because of the ever-increasing healthcare demands, the need to expand and update services, technology, and faculties is critical for the community, ••

Covenant Health is a community-owned health system and the area's largest employer with an extensive track record of supporting and giving back to the community. Encompass Healthcare is the nation’s largest provider of inpatient rehabilitative healthcare with a network of inpatient rehabilitation hospitals. Their new joint venture will not only allow for the expansion of inpatient rehabilitation services, but will better serve the region with facilities in both East and West Knox County. The investment and development at both of these sites will help stimulate the local economy and create additional employment opportunities.

1 strongly support Encompass Health’s and Covenant Health’s joint venture to build and expand inpatient rehabilitation services in Knoxville. The construction of these two centers will benefit not only Knox County residents, but all of East Tennessee for those citizens in need of care.

Thank you for your consideration.

7th SENATORIAL DISTRICT KNOX COUNTY BECKY DUNCAN MASSEY CHAIRMAN STATE SENATOR TRANSPORTATION and SAFETY 6”' SENATORIAL DISTRICT COMMITTEES HEALTH and WELFARE CORDELL HULL BUILDING, SUITE 776 425 5TH AVENUE NORTH NASHVILLE, TENNESSEE 37243 Senate (Eljamkr (615)741-164$ of

September 30, 2020

Mr. Logan Grant, Executive Director Tennessee Health Services and Development Agency Andrew Jackson Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

Dear Mr. Grant:

Knox County is home to Covenant Health, a community-owned health system and the area’s largest employer with an extensive track record of supporting and giving back to the community. Encompass Health is the nation's largest provider of inpatient rehabilitative healthcare with a network of hospitals across the US, Their new joint venture will not only allow for the expansion of inpatient rehabilitation services, but will better serve the county and region with facilities in both downtown and West Knoxville. The investment and development at both of these sites will help stimulate the county's economy and create additional employment opportunities.

Serving the area since 1978, the Patricia Neal Rehabilitation Center is East Tennessee's recognized leader in rehabilitating stroke, spinal cord and brain Injury patients and is currently one of the largest inpatient rehabilitation centers within an acute care hospital in the country. But the need to expand and update services, technology, and facilities is critical in meeting the ever increasing healthcare demands of our region.

I strongly support the Encompass Health and Covenant Health joint venture to build and expand inpatient rehabilitation services in Knox County. The construction of these two centers will benefit not only our local residents, but all of East Tennessee for those citizens in need of care.

Thank you for your consideration.

Sincerely,

Senator Becky Duncan Massey JASON ZACHARY MEMBER OF COMMITTEES: STATE RURESENTATIVE ^DISTRICT Onmni CALENDAR&RULES

104WARMEA tORIALBULWNG FINANCE NASHVII1ETN37MJ0114 AmiOHUATIU'KSUB [email protected] (615)741-2264 INSURANCE House of Representatives TENNCAREOVERSGHTSUB

RULES State of Tennessee

NASHVILLE

September 30, 2020

Mr. Logan Grant, Executive Director Tennessee Health Services and Development Agency Andrew Jackson Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

Dear Mr. Grant:

Serving the area since 1978, the Patricia Neal Rehabilitation Center is East Tennessee's recognized leader in rehabilitating stroke, spinal cord and brain injury patients and is currently one of the largest inpatient rehabilitation centers within an acute care hospital in the country. But the need to expand and update services, technology, and facilities is critical in meeting the ever increasing healthcare demands of our region.

Covenant Health is a community-owned health system and the area's largest employer with an extensive track record of supporting and giving back to the community. Encompass Health is the nation's largest provider of inpatient rehabilitative healthcare with a network of hospitals across the US. Their new joint venture will not only allow for the expansion of inpatient rehabilitation services, but will better serve the region with facilities in both downtown and West Knoxville. The investment and development at both of these sites will help stimulate the local economy and create additional employment opportunities.

I strongly support the Encompass Health and Covenant Health joint venture to build and expand inpatient rehabilitation services in Knoxville. The construction of these two centers will benefit not only local residents, but all of East Tennessee for those citizens in need of care.

Thank you for your consideration. JASON ZACHARY MEMBER OFCOMMITTEES: SIATE REPRESENTATIVE l4™DBIRICr Onmai CALEMUR&RULES

KMWAR MEMORIALBUILDING FINANCE NAS IVILLLTN37MM)114 APPROPtUAIIONSSUB [email protected] (615)741-2264 mjRANCE House of Representatives UNNCAREOVERSGHTSUB

RULES State of Tennessee

NASHVILLE

Sincerely,

Jason Zachary State Representative, House District 14

JZ/jlb 400 Main Street, Suite 6l 5, Knoxville,TN 37902 September 30, 2020

Mr. Logan Grant, Executive Director Tennessee Health Services and Development Agency Andrew Jackson Building 502 Deaderick Street, 9th Floor Nashville, TN 37243

Dear Mr. Grant:

Thank you for your consideration,

Sincerely,

Glenn Jacobs ' Knox County Mayor

[email protected] • phone 865.215.2005 • fax 865.215.2002