[champion6]

I'm surprised nobody on TOTV took the time to cheer for the good medical news in Tuesday's Daily Sun. The article gave details about the Center for Advanced Healthcare at Brownwood.

It will be a 285,000-square-foot, golf cart-accessible medical center – a bedless hospital of sorts that features everything but an intensive care unit and an emergency department. It will be located on 31 acres on SR 44 and due west of Grand Traverse Plaza.

What took me by surprise is the long list of partners in this project - The Villages Health anchoring primary and specialty care services alongside Florida Cancer Specialists, Lake Medical Imaging, LabCorp diagnostics and testing, Lake Centre for Rehab, St. Luke’s Cataract & Laser Institute and Walgreens Pharmacy.

When fully completed, there will also be a 151-room hotel, a Wolfgang Puck-licensed restaurant and a full-service medical spa.

Link to article: Specialty Care Enters New Era in The Villages - The Villages Daily Sun: News

In addition to this, there was the announcement a few weeks ago by Central Florida Health of an expansion plan at Brownwood. The parent of The Villages Regional Hospital and Leesburg Regional Medical Center has under contract 40 acres due south of Brownwood with immediate plans to build a 24/7 emergency department and possibly another golf cart-accessible hospital.

[njbchbum]

Perhaps because it is older news that folks have read and already "expressed their disappointments" that the new hospital with in-patient medical facilities is still just a maybe?

[dbussone]

I would not expect inpatient beds to be in the offing any time soon. They just spent a ton on the north campus with the just completed expansion. What they should have done, IMO, was to build a significant outpatient presence at Brownwood about 4 years ago, with plans to start building beds in the latter half of 2019. They are now carrying a lot of debt and will have to deal with that first.

I find it interesting the Villages Health invited Lab Corps to the party, rather than TVH’s lab services.


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[autumnspring]

Originally Posted by champion6

I'm surprised nobody on TOTV took the time to cheer for the good medical news in Tuesday's Daily Sun. The article gave details about the Center for Advanced Healthcare at Brownwood.

It will be a 285,000-square-foot, golf cart-accessible medical center – a bedless hospital of sorts that features everything but an intensive care unit and an emergency department. It will be located on 31 acres on SR 44 and due west of Grand Traverse Plaza.

What took me by surprise is the long list of partners in this project - The Villages Health anchoring primary and specialty care services alongside Florida Cancer Specialists, Lake Medical Imaging, LabCorp diagnostics and testing, Lake Centre for Rehab, St. Luke’s Cataract & Laser Institute and Walgreens Pharmacy.

When fully completed, there will also be a 151-room hotel, a Wolfgang Puck-licensed restaurant and a full-service medical spa.

Link to article: Specialty Care Enters New Era in The Villages - The Villages Daily Sun: News

In addition to this, there was the announcement a few weeks ago by Central Florida Health of an expansion plan at Brownwood. The parent of The Villages Regional Hospital and Leesburg Regional Medical Center has under contract 40 acres due south of Brownwood with immediate plans to build a 24/7 emergency department and possibly another golf cart-accessible hospital.

As to so many partners. I would guess like some department stores each specialty such as imaging invests in the location-the real estate.

"Bedless Hospital," with intensive care? That does not make sense to me. If, you have a major issue-heart attack for example, they, plan on shuffling you somewhere else??

[JoMar]

They made it clear they wi8ll not have an ER so heart attacks, strokes and other major issues will go someplace else. It will not be a trauma center so major injuries will go someplace else. It will not be 24 x 7. If they are doing surgery or procedures that require an overnight stay or two there will be rooms in the hotel to accommodate.

[YouNeverKnow]

Will you have to be a member of United Health Care to be able to use all these facilities? We were kicked out of the Villages Health System so wondering if these facilities will be available to all of us who have other health insurances.

[Carla B]

Originally Posted by YouNeverKnow

Will you have to be a member of United Health Care to be able to use all these facilities? We were kicked out of the Villages Health System so wondering if these facilities will be available to all of us who have other health insurances.

I have the same question.

[champion6]

Originally Posted by suesiegel

<snip> "Bedless Hospital," with intensive care? That does not make sense to me. If, you have a major issue-heart attack for example, they, plan on shuffling you somewhere else??

You misread the statement - "a bedless hospital of sorts that features everything but an intensive care unit and an emergency department."

[champion6]

Originally Posted by YouNeverKnow

Will you have to be a member of United Health Care to be able to use all these facilities? We were kicked out of the Villages Health System so wondering if these facilities will be available to all of us who have other health insurances.

I believe that ANYONE will be able to use these facilities. Already today, ANYONE can see TV Health specialists. We must have United Healthcare The Villages Advantage Plan to see the TV Health primary care physicians. Frankly, from a Return on Investment strategy, it would be foolish to place such a restriction on a facility which, I believe, will draw patients from a very large surrounding area - patients with every insurance coverage under the sun.

[Dan9871]

Originally Posted by dbussone

They are now carrying a lot of debt and will have to deal with that first.

I thought the major impediment to building a hospital was getting clearance from the state to operate it?

Just a guess with 30,000 more houses being added on the southern end of the Villages in the next decade it seems like a new hospital could easily make money, esp. with the state limiting the construction of other hospital. That money will go to the first hospital group that gets the state to approve the building a new hospital.

As far as debt goes as long as there was a sound, believable business plan why does it matter if CFH add's to its debt to build it or some other hospital group does?

CFH has already said they have on land south of 44 to build a 24/7 free standing ER.

[dbussone]

Originally Posted by Dan9871

I thought the major impediment to building a hospital was getting clearance from the state to operate it?



Just a guess with 30,000 more houses being added on the southern end of the Villages in the next decade it seems like a new hospital could easily make money, esp. with the state limiting the construction of other hospital. That money will go to the first hospital group that gets the state to approve the building a new hospital.



As far as debt goes as long as there was a sound, believable business plan why does it matter if CFH add's to its debt to build it or some other hospital group does?



CFH has already said they have on land south of 44 to build a 24/7 free standing ER.

FL Certificate of Need requirements are not nearly as stringent as they have been in the past. New facilities do need a CoN or a letter of exemption, but the addition of many routine services are no longer regulated.

Hospital financing is a complex issue. NFPs will typically sell bonds while investor owned groups have a little more flexibility in financing a new facility. As far as debt goes, the more debt an organization has the more difficult it becomes to add more debt for new construction. A 2 hospital org will typically have less opportunity to obtain financing than a 20 or 100 hospital org - assuming all have reasonable financial ratios.

Are you sure it’s CFH that has the 40 Acres south of 44? And not Florida Hospital or HCA?


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[bagboy]

Originally Posted by dbussone

FL Certificate of Need requirements are not nearly as stringent as they have been in the past. New facilities do need a CoN or a letter of exemption, but the addition of many routine services are no longer regulated.

Hospital financing is a complex issue. NFPs will typically sell bonds while investor owned groups have a little more flexibility in financing a new facility. As far as debt goes, the more debt an organization has the more difficult it becomes to add more debt for new construction. A 2 hospital org will typically have less opportunity to obtain financing than a 20 or 100 hospital org - assuming all have reasonable financial ratios.

Are you sure it’s CFH that has the 40 Acres south of 44? And not Florida Hospital or HCA?


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The article September 18th in the Daily Sun reported it was Central Florida Health building the new 24/7 ER on the 40 Acres just south of Brownwood.

[Dan9871]

Originally Posted by dbussone

Are you sure it’s CFH that has the 40 Acres south of 44? And not Florida Hospital or HCA?

There was an article (where??? don't remember I'll keep looking for it) that said CFH was looking at land for a third hospital.

In response to an email I sent to Villages Hospital about wait times at the ED Don Henderson (CFH President) replied:

"We have purchased property in Brownwood/Wildwood and we are working on a new ED facility for that community as well."

The article I can't find also mentioned the new ED.

[champion6]

Originally Posted by dbussone

<snip>
Are you sure it’s CFH that has the 40 Acres south of 44? And not Florida Hospital or HCA?

It is definitely CFH. in addition to the Daily Sun article, I was in a meeting where Michael Pittman, TVRH site administrator, stated this.

Originally Posted by bagboy

The article September 18th in the Daily Sun reported it was Central Florida Health building the new 24/7 ER on the 40 Acres just south of Brownwood.

Yes.

Originally Posted by Dan9871

There was an article (where??? don't remember I'll keep looking for it) that said CFH was looking at land for a third hospital.
In response to an email I sent to Villages Hospital about wait times at the ED Don Henderson (CFH President) replied:
"We have purchased property in Brownwood/Wildwood and we are working on a new ED facility for that community as well."
The article I can't find also mentioned the new ED.

The announcement a few weeks ago by Central Florida Health indicated an expansion plan at Brownwood. The article stated that CFH has under contract 40 acres due south of Brownwood with immediate plans to build a 24/7 emergency department and possibly another golf cart-accessible hospital.

So, the 24/7 emergency department will be step #1. Step #2 may follow later, which will be another hospital.

[dbussone]

Originally Posted by champion6

It is definitely CFH. in addition to the Daily Sun article, I was in a meeting where Michael Pittman, TVRH site administrator, stated this.



Yes.



The announcement a few weeks ago by Central Florida Health indicated an expansion plan at Brownwood. The article stated that CFH has under contract 40 acres due south of Brownwood with immediate plans to build a 24/7 emergency department and possibly another golf cart-accessible hospital.



So, the 24/7 emergency department will be step #1. Step #2 may follow later, which will be another hospital.

Thanks


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