House of Representatives State of Tennessee

Debra Moody House of Representatives Member of Committee: State Representative State of Tennessee Chairlady Education C.T.I. Committee Legislative Office: Education Sub 650 Cordell Hull Building NASHVILLE Judiciary Nashville, Te nnessee 37243 Agriculture (615) 741-3774 Ethics August 20, 2020

Mr. Logan Grant Executive Director Tennessee Health Services & Development Agency Andrew Jackson Building, 9th Floor 502 Deaderick Street Nashville, Tennessee 37243 Re: St. Jude Children’s Research Hospital, CN2007-021

Dear Mr. Grant:

As State Representative for Tipton County, I am writing to express my support for St. Jude Children’s Research Hospital’s pending application for a certificate of need to provide home health services to its patients in Fayette, Shelby, and Tipton counties.

For nearly 60 years, St. Jude has been committed to providing unparalleled pediatric patient care and treatment to children battling complex, life-threatening diseases. This commitment is what has prompted St. Jude to seek permission to add home health services to its comprehensive continuum of care, diminishing the burden on families and further managing the intense medical needs of a patient population St. Jude and its personnel are uniquely trained to treat. Most other large hospitals can provide home health services, and St. Jude needs this capability too. The proposed project is sure to adhere to the highest quality standards, and it will benefit from St. Jude’s generous financial support.

I hope that the Agency will give St. Jude’s application its favorable consideration. If I can assist in any way, please do not hesitate to contact me.

Respectfully,

Representative Debra Moody

81st District

Tipton County

W. Brantley Phillips, Jr. [email protected] (615) 742-7723

October 7, 2020

VIA EMAIL

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

Re: St. Jude Children’s Research Hospital Home Care – CN2007-021

Dear Mr. Grant:

Enclosed please find fifteen letters of support regarding the above-referenced project. Thank you for your attention in this matter, and please do not hesitate to contact us if you have any questions about the attached.

Regards,

W. Brantley Phillips, Jr.

150 Third Avenue South, Suite 2800 Nashville, TN 37201 bassberry.com

St. Jude Children’s Research Hospital Home Care Support Letters – Certificate of Need Application CN2007-021

Neighboring Healthcare Facilities Baptist Memorial Health Care Corporation – Jason Little, President & CEO Methodist Le Bonheur Healthcare – Michael Ugwueke, DHA, FACHE, President & CEO Regional One Health – Reginald Coopwood, M.D., President & CEO

Community and Political Leaders Akbari, Raumesh – State Senator, District 29 Cooper, Barbara – State Representative, District 86 Gant, Ron M. – State Representative, District 94 Harris, Lee – Mayor, Shelby County Haushalter, Alisa R. – Director, Shelby County Health Department Leatherwood, Tom – State Representative, District 99 Miller, Larry J. – State Representative, District 88 Moody, Debra – State Representative, District 81 Rose, Paul W. – State Senator, District 32 Strickland, Jim – Mayor, City of Memphis Vaughan, Kevin – State Representative, District 95 White, Mark – State Representative, District 83

Senate State of Tennessee

RAUMESH AKBARI State Senator Shelby County – District 29 Tennessee General Assembly August 25, 2020

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

Re: St. Jude Children’s Research Hospital – CN2007-021

Dear Mr. Grant:

As State Senator for Shelby County, I am writing to express my strong support for St. Jude’s pending application for a certificate of need to provide home health services to its patients in Fayette, Shelby, and Tipton counties.

St. Jude is a leading medical research institution for catastrophic pediatric illnesses and has long been dedicated to delivering the highest quality care to its patients and their families. St. Jude has determined that its mission requires the ability to care for its severely ill patient population in their homes or in St. Jude housing facilities, where many patients and their families remain for extended periods of time. With St. Jude’s commitment to excellence, the proposed service is certain to be high quality, and it will benefit from St. Jude’s strong financial support. Further, because the project seeks to serve only existing St. Jude patients, it will contribute to the orderly development of healthcare in southwest Tennessee and beyond.

I urge the Agency to approve St. Jude’s application and allow St. Jude to continue providing the best pediatric patient care.

Respectfully,

Senator Raumesh Akbari District 29, Shelby County Tennessee General Assembly

CAPITOL HILL OFFICE 425 5th Avenue North, Suite 762, Nashville, TN 37243 (615) 741-1767; FAX (615) 253-0357

BARBARA COOPER MEMBERS OF COMMITTEES STATE REPRESENTATIVE CONSUMER & HUMAN RESOURCES HOME: 668 Birthstone Avenue CONSUMER SUBCOMMISTTEE MEMPHIS, TENNESSEE 38109 (901) 315-5287 HEALTH

LEGISLATIVE OFFICE: FACILITIES, LICENSURE, & 425 Fifth Avenue, Suite 410 REGULATIONS SUBCOMMITTEE NASHVILLE, TENNESSEE 37243-0186 (615) 741-4295 DEMOCRATIC CAUCUS FAX (615) 253-0327 TENNESSEE BLACK CAUCUS E-MAIL: FORMER CHAIR [email protected]

August 20, 2020

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

Dear Mr. Grant:

I strongly support the St Jude Children’s Research Hospital, a constituent/an entity within Tennessee Legislative District 86 representing Memphis and part of Shelby County who has applied for the Certificate of Need Application CN 2007-021.

St Jude is known worldwide for its endless amount of “good” done in our state of Tennessee, states in our nation and countries around the world. The hospital meets the criteria and is absolutely, eccentrically qualified to implement the program as designed using creative models that can be applied in other counties around the state subsequently, increasing its international celebrity status, famous notoriety.

St Jude provides world renown care for children with various complex and life-threatening diseases. To meet these challenges and facilitate the best outcomes and results, St Jude needs an opportunity and the ability to offer its specialized care to patients and families in the home setting. St Jude is uniquely positioned and prepared to offer this service which will further the orderly development in home-care services.

Since the unfortunate devastating attack and spread of the deadly Coronavirus Pandemic, St Jude has discovered and demonstrated that homecare service can successfully be administered and provided for many patients remotely relieving their families the burden from campus visits. Due to the lack of quality healthcare in these areas and especially the COVID-19 pandemic are significant reasons why it is urgent that St Jude be approved to serve the counties of Tipton, Fayette and Shelby.

There is no doubt that St Jude will uphold the standards of the project with expert personnel to ensure meritorious service for the designated areas and subsequently, providing models across Tennessee.

As a member of the House Health Standing Committee and the Facilities, Licensure and Regulations Subcommittee, I am humbly asking your consideration and approval for the acceptance of the St. Jude’s Certificate of Need Application.

86th LEGISLATIVE DISTRICT SHELBY COUNTY

I strongly support and urge approval of the St Jude Certificate of Need Application and encourage your contact for further assistance.

Respectfully,

Barbara Cooper State Representative

TOM LEATHERWOOD COMMITTEE STATE REPRESENTATIVE MEMBER HOUSE DISTRICT 99 COMMERCE COMMITTEE rep.tom.leatherwood @capitol.tn.gov BUSINESS SUBCOMMITTEE EALTH OMMITTEE CORDELL HULL, SUITE 514 H C NASHVILLE, TN 37243-0115 House of Representatives MENTAL HEALTH AND SUBSTANCE ABUSE (615) 741-7084 SUBCOMMITTEE State of Tennessee

NASHVILLE

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

Re: St. Jude Children’s Research Hospital – CN2007-021

Dear Mr. Grant:

Throughout my career, I have been privileged to serve the people of Shelby County as former State Senator, former Shelby County Register of Deeds, and currently as State Representative to District 99. I have seen the good St. Jude does for Memphis and patients across the globe, and I write this letter in support of its pending certificate of need application to initiate home health services for its patients in Fayette, Shelby, and Tipton counties.

As a member of the House Health Committee, I am confident that the proposed project satisfies the Agency’s criteria for approving a certificate of need. As one of the world’s leading medical research institutions, patients and families trust St. Jude to handle the most challenging, life- threatening pediatric diseases. St. Jude consistently strives to deliver the best pediatric patient care to patients and their families, and it must be able to offer home-based care to its medically fragile patient population in home and other residential settings. The project will contribute to the orderly development of healthcare in Fayette, Shelby, and Tipton counties by focusing on St. Jude patients with special needs.

I hope you will give St. Jude’s application your favorable consideration. If I can assist in any way, please do not hesitate to contact me.

Sincerely,

Representative Tom Leatherwood District 99

COMMITTEES 425 5TH AVENUE NORTH, SUITE 432 NASHVILLE, TENNESSEE 37243-0188 FINANCE 615.741.4453 ( Office ) FINANCE SUB 615.253.0329 ( Fax ) HEALTH 1.800.449.8366 EXT. 1-4453 INSURANCE e-mail: [email protected] PUBLIC HEALTH SUB TENNCARE SUB

House of Representatives JOINT FISCAL REVIEW

State of Tennessee NBCSL Region IV Chair

NASHVILLE

LARRY J. MILLER

August 19, 2020

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

Re: St. Jude Children’s Research Hospital Certificate of Need Application CN2007-021

Dear Mr. Grant:

As State Representative for Shelby County residents in District 88 for the last 27 years, I write this letter in strong support of St. Jude’s certificate of need application to provide home health services to its patients.

St. Jude leads the world in the treatment of pediatric cancer and other rare, life-threatening pediatric diseases. Unlike other hospitals, St. Jude believes that, even in the midst of catastrophic illnesses, a child should be able to live as normal a childhood as possible. Providing care to patients in the comfort of their own homes undoubtedly furthers this sense of normalcy and allows St. Jude to continue improving patient outcomes and results. Because the project focuses on St. Jude’s established, medically unique patient population, the project readily contributes to the orderly development of healthcare in Fayette, Shelby, and Tipton counties.

As a member of the House Health Committee, I can assure you that this project is deserving of the Agency’s approval and satisfies all requirements for granting a certificate of need. Thank you for your attention in this matter. If I can provide any further assistance, please do not hesitate to contact me.

Sincerely,

Representative Larry J. Miller District 88

REPRESENTING THE 88TH LEGISLATIVE DISTRICT SHELBY COUNTY Debra Moody House of Representatives Member of Committee: State Representative State of Tennessee Chairlady Education C.T.I. Committee Legislative Office: Education Sub 650 Cordell Hull Building NASHVILLE Judiciary Nashville, Te nnessee 37243 Agriculture (615) 741-3774 Ethics August 20, 2020

Dear Mr. Grant:

I hope that the Agency will give St. Jude’s application its favorable consideration. If I can assist in any way, please do not hesitate to contact me.

Respectfully,

Representative Debra Moody

81st District

Tipton County

JIM STRICKLAND MAYOR

September 8, 2020

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

Re: St. Jude Children’s Research Hospital – CN2007-021

Dear Mr. Grant:

As Mayor of the City of Memphis, I am writing to express my strong support for St. Jude’s pending application for a certificate of need to provide home health services to its patients.

Memphis is fortunate to be the home of St. Jude, one of the world’s leading medical research institutions. Given St. Jude’s focus on pediatric cancer care, it needs the ability to provide home-based care to its unique patient population and their families in order to ensure the best outcomes and results. Most other large hospital providers have this capability, and St. Jude needs this capability too. With St. Jude’s commitment to excellence, the proposed service is certain to be high quality, and it will benefit from St. Jude’s strong financial support. The project will contribute to the orderly development of healthcare in the service area.

I hope you will give St. Jude’s application your favorable consideration. Do not hesitate to contact me if I can assist in any way.

Sincerely,

Jim Strickland Mayor

125 North Main Street · Memphis, Tennessee 38103 · 901.636.6000

Kevin Vaughan Chairman: STATE REPRESENTATIVE Facilities, Licensure & Regulations Subcommittee 95TH DISTRICT Committees: ______Education Health 425 5th Avenue North Higher Education Subcommittee Suite 648 NASHVILLE, TN 37243-0195 [email protected] (615) 741-1866 House of Representatives

State of Tennessee

NASHVILLE

August 24, 2020 Mr. Logan Grant Executive Director Tennessee Health Services & Development Agency Andrew Jackson Building, 9th Floor 502 Deaderick Street Nashville, TN 37243

Re: St. Jude Children’s Research Hospital Certificate of Need Application CN2007-021

Dear Mr. Grant:

As a longtime resident of Shelby County and State Representative proudly serving District 95, I am writing to express my strong support for St. Jude’s certificate of need application to initiate home health services for its patients in Fayette, Shelby, and Tipton counties.

As chair of the House Facilities, Licensure, and Regulations Subcommittee and member of the House Health Committee, I am confident the proposed project satisfies the Agency’s requirements for granting a certificate of need. St. Jude strives to provide world-class pediatric patient care to its patients and their families. To do so, it must have the ability to furnish home-based care to its unique patient population in the home setting, including St. Jude housing facilities, where patients and their families often reside for extended periods to allow patients to continue receiving necessary treatment. The home health services are sure to be high quality as St. Jude holds itself to the highest quality standards, and the proposed services will greatly benefit from St. Jude’s financial support. The project furthers the orderly development of healthcare, focusing on patients who are already under St. Jude’s care and are in ongoing need of its specialized treatment capabilities.

I urge the Agency to approve St. Jude’s certificate of need application, permitting St. Jude to continue its mission of treating and defeating childhood cancer and other life-threatening diseases for children in southwest Tennessee and beyond. Do not hesitate to contact me if I can assist in any way.

Sincerely,

Representative Kevin Vaughan District 95