The fact that most of the patients' insurance would be medicare, which doesn't pay much these days, perhaps this has put off new hospital plans. Maybe if more younger people keep moving to Middleton and surrounding areas, this would change minds.

Just a guess.

Middleton not part of The Villages
 

Middleton is not technically part of The Villages. The families in Middleton have their own amenities and ID's. Their ID's will not work in The Villages. The Villages ID's will not work in Middleton. (They have a very nice dog park but Villagers cannot use it). That being said, "downtown" Middleton, stores, restaurants, nightly entertainment, is open to anyone. Just as Villages entertainment, etc. is open to all. The story I have consistently heard regarding the hospital being built in Eastport is that Gary Search and Oren Miller were pushing for exorbitant impact fees and the hospital said no. No idea if that will change as they are both now out of the picture. The new proposed hospitals are being built just outside The Villages with the micro hospital going in a 301. However 301 is going to be widened from 44a south to Coleman. Plus wastewater service is not available, although the city plans an extension in the future. City water is available from a line that runs along U.S. 301. Wastewater capacity and development agreements are required. When will that all happen? Who knows. There is a new inpatient rehab facility nearing completion on corner of Warm Springs and Meggison Rd. Should open 2nd or 3rd quarter 2025. For the time being, all the folks in Middleton and new Villages in that area have to go up Marsh Bend to Magnolia Plaza to shop. That parking lot has now become a "troll and wait for a spot or follow someone when they come out of a store". At some point a Publix will go in near Middleton but who knows when? There is a Provisions slated for Middleton. This is a small "mini-mart". Villages Grown vacated Sawgrass Marketplace and a Provisions in now in that spot.

"Perhaps a community such a Middleton would attract medical professionals, techs, staff ect to facilitate a new facility."

Maybe but FL pay for medical professionals is insulting and working for medical facilities currently is bottom of the barrel (Lowest ranking status) as far as getting your kids into the school system. You're better off working for their banks (highest ranking status) or as a realtor (highest ranking status) to get your kids in the schools.

I know a number of medical folks whose kids go to the charter schools.
Where did you get your information (rumor)?
Oh wait, on another thread you state you regret moving to The Villages. Maybe that’s it?

Well, I got my info from my pay check, $10/hr less for me here (and cost of living here is MORE) and $25 less for my friend coming from the NE (not sure on her cost of living comparison). And you cannot dispute a realtor who works for The Villages is Tier 1 as far as getting kids into the school and UF Health or HCA are Tier 4. So............

So, what's the point??

Yes, absolutely would attract young professionals that could benefit TV.

I can see my kids moving there as they appreciate Florida and love this area.

Well. My point is you can’t say The Developer is putting in medical facilities to attract young people to care for villagers when they pay poorly and don’t give perks (as in being Tier 4 status). And then charge a butt load to live in Middleton. Least they could do is give preference to Middleton residents who work for qualified businesses for kids eligibility to get into the school.

If you die before you get there, the rating doesn't matter

As I've explained in other threads, those ratings are deeply flawed by their methodology and limited metrics. In addition, they tend to lag years behind the current situation.