Ascension Saint Thomas and Results Physiotherapy announced they have signed a letter of intent to integrate outpatient rehabilitation operations and clinicians across Middle Tennessee.

When the partnership is finalized, the combined partnership will operate 55 locations offering physical, speech and occupational therapies.

Ascension, based in St. Louis, Mo., is of the largest non-profit and Catholic health systems in the United States. In Tennessee, Ascension Saint Thomas operates nine hospital campuses and a network of affiliated joint ventures, medical practices, clinics and rehabilitation facilities that cover a 68-county area.

Results Physiotherapy, based in Nashville, Tenn., is one of the largest physical therapy companies in the United States, operating a network of over 165 clinics across nine states.

The transaction is tentatively scheduled to close winter 2020.