Gloria Drummond Patient Tower 760x320

Boca Raton Regional Hospital broke ground on a seven-story patient building on its main campus.

The Gloria Drummond Patient Tower, named after the late founder of the hospital, will total 437,000 square feet. It will include surgical suites and private patient rooms.

The project was named by Elaine J. Wold and the Bay Branch Foundation after they made a $25 million gift to the hospital’s capital campaign, which aims to raise $250 million.

The patient building is expected to be completed in 2025.

 

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Wherever you are on the Gulf Coast, whether it is Tampa or Fort Myers or Venice, there’s a construction crew at work.

Yes, this is because there are a lot of houses going up and a lot of condos and, even at a time when the world turns to the web for goods, shopping centers.

But that’s not what these particular crews are working on. No, these crews are on the job for health care systems and hospitals. They’re building additions, expansions and new hospitals. They are part of the booming Florida industry that is health care construction.

The word booming may seem like hyperbole, but there’s so much work it’s hard to keep up. In Tampa, just as a brand-new rehabilitation hospital is being finished on Kennedy Boulevard next to the University of Tampa, an announcement comes out that a behavioral hospital for people with mental illness will go up right next to it.

And in Sarasota, residents and reporters opened an email from Sarasota Memorial Health Care System Dec. 14 announcing it had invested $1.2 billion in projects, including a new hospital in Venice and an oncology tower in Sarasota.

So why are we seeing a boom? Why are hospital systems expanding so much?

Well, that answer is actually simple: there are a lot of patients to care for and hospitals and health systems need to be ready any contingency. Oh, and the population boom only adds to the demand for more — from urgent care and ERs to speciality hospitals and behavioral clinics.

Be Nimble

COVID-19, meanwhile, proved preparation and nimbleness have to work together. When the virus first spread, hospitals had to find ways to keep doctors and patients safe while treating the ever-growing lines of sick people. This meant finding space to test and treat patients along with implementing safety protocols.

According to a report from the American Society for Health Care Engineering, “facilities focused on critical issues like upgrading ventilation, creating isolation rooms, expanding emergency departments and building temporary structures to handle patient overflow.”

In January 2021, after the Pfizer and Moderna vaccines were introduced and in short supply, Sarasota Memorial Hospital turned an auditorium, and several corridors, into a makeshift vaccination clinic one weekend. About a week later, it vaccinated hundreds at its Internal Medicine clinic in the Newtown neighborhood.

“We weren’t as prepared for this type of crisis as we thought we were, but if hospitals had not been focused on emergency preparedness as we have for the last decade, we wouldn’t have been prepared at all,” Chad Beebe, deputy executive director of the society, says in the report.

The pandemic, however, slowed down health care construction, at least for a little while.

According to ASHE’s 2021 Hospital Construction Survey, 76% of health system officials responded that they delayed one or more projects, while 29% say the canceled one or more project. On the flip side, 29% say they fast tracked one or more projects.

But more recently, hospital construction, a $3.9 billion industry, has begun to increase in volume again, and there is optimism things are back on track.

Another survey, this one from the Associated General Contractors of America, found 41% of people in the industry believe construction of clinics, screening facilities and medical labs will be higher this year than last. And 38% believe hospital construction will be increase.

And, even though 2021 was a down year, 2% of all construction spending was on the hospital sector.

“Medical centers will continue to build and rebuild,” says says Ken Simonson, chief economist of the contractors association, “but in general I think more care is being delivered through standalone urgent care facilities, outpatient surgical centers, rehab and hospices, as well as through doctors offices. So I think the growth going forward will be on the medical building and special care side, rather than hospitals overall.”

Headwinds Ahead

While things are improving, that doesn’t mean there aren’t headwinds.

Just like everyone else in construction, the health care industry is dealing with supply chain issues, labor shortages and fluctuating prices. While these issues are largely COVID-19 related, they are causing bigger delays on projects than COVID-19 infections.

ShorePoint Venice Hospital has experienced that first hand.

The hospital, previously known as Venice Regional Bayfront Health, is undergoing a major renovation after stepping back from building a completely new hospital building.

The first phase of the project began in the fall, with the implementation of a new electronic medical record system and some infrastructure maintenance. It is now working on the second phase, which includes renovations of first floor corridors, modernization of the elevator systems and relocation of the lab into the main hospital.

The plans were announced in November 2020, and some of the second phase projects will go into early next year.

“COVID has not altered the project,” says Rolando Irizarry, network marketing director for ShorePoint Health Port Charlotte, Punta Gorda and Venice. “However, as with most industries, there have been delays due to supply chain issues.”

Irizarry says the elevator project won’t start until the end of March and not be complete until mid-January “due to materials being difficult to get.” And there have been delays to roofing work because of a long lead time — again because of supply chain issues.

Supply issues are not the only problem. The industry is also facing rising costs.

Speaking on a webinar titled the State of Healthcare Construction Recovery: Five Ways to Manage, Tim Brewster, project executive at Columbia Construction Co. in Boston, says “inflation is not only affecting current contracts, but it’s also affecting future contracts.”

Brewster specializes in health care. He says a health care system can only project so much when budgeting for inflation. He said 10% or 11% inflation, around where it stood last year, isn’t unheard of, especially with the pandemic and global issues. But with how it is now, general contractors, contractors and subcontractors are having — or need to have — difficult conversations with construction managers or clients.

They’re “trying to come to a decent accord on what would be a reasonable expectation of what could have been assumed versus what has been reality and how that’s really affected the bottom line.”

Brewster sees a lot of projects being put on hold because of rising costs. This is because health systems are being hit with supply and price increases not only from construction.

These hospitals, says Brewster, also have to buy equipment like MRI machines and electrophysiology labs during expansion. “There’s a lot of equipment that goes into a lot of these things and those items are also seeing large amounts of inflation.”

Big Growth

Venice is a hotspot in the area for health care construction activity.

In addition to the work at ShorePoint Venice, which is owned by Franklin, Tennessee-based hospital giant Community Health Systems, a publicly traded company that posted $12.36 billion in revenue in 2021, Sarasota Memorial is also active in the south Sarasota County city. It’s new hospital in Venice is a 365,000-square-foot, five-story medical center with 110 private patient suites, a 28-bed emergency care center, eight surgical suites and an inpatient rehabilitation/recovery gym. The campus also includes two-story, 60,000-square-foot medical office building for physician and specialty care practices. The project value was over $400 million.

The Venice hospital “plays a critical role in its long-term strategy of establishing convenient points of care throughout the region,” Sarasota Memorial CEO David Verinder says.

“SMH-Venice has been operating at near 100% capacity from the day it opened, and work has already begun to add a new patient care tower. That will increase the existing 110 patient suites to 178,” Verinder says. “The campus design is flexible and expandable and future plans will allow us to double the surgical and ER capacity and expand to more than 400 private patient suites.”

Sarasota Memorial also recently opened an oncology tower, the “latest addition, and a cornerstone, of our expanding Brian D. Jellison Cancer Institute.”

Verinder says the cancer center, a $193 million project, “is not just one building — it is a comprehensive cancer center that is bringing together the best doctors, the latest research, the most advanced treatments, and state-of-the-art facilities – in our own community.”

 

Source:  Business Observer

 

nicklaus children's hospital

Nicklaus Children’s Hospital in southern Miami-Dade County has proposed a new surgical building.

The nonprofit hospital filed a pre-application with county officials concerning its 23.1-acre campus at 3200 S.W. 60th Court. It wants to build a four-story, 116,169-square-foot surgical building on the south side of the campus, to be built atop the one-story emergency department. It would also relocate the helipad from the rooftop of the emergency room to the roof of the existing 6-story patient bed building.

Chicago-based Perkins & Will designed the project. Miami-based attorney Simon Ferro represents the hospital in the application.

Founded in 1950, Nicklaus Children’s Hospital is the only licensed specialty hospital for children in South Florida.

 

 

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Livewell Senior Living 5850 Margate Boulevard

A Margate assisted living facility traded hands for $16 million.

Property records show an entity led by Yanir Shrmaryou, president of Livewell Senior Living, sold the facility at 5850 Margate Boulevard. The buyer is an entity led by Hector Fernandez who heads Miami-based Reign Senior Residences.

Fernandez financed the purchase with a $12.9 million mortgage from Old Second National Bank, records show.

The 58,409-square-foot, 140-bed facility was built in 1971 on a 3-acre property. The sale price breaks down to $274 per square foot.

The assisted living facility last sold for $7 million in 2014, records show.

Neither Livewell Senior Living nor RSR Senior Residences responded to requests for comment. According to its website, Miami-based Reign Senior Residences also owns and operates the assisted living facility at 9355 Southwest 158th Avenue in Miami.

 

Source:  The Real Deal

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The Fort Myers Neurosurgical Building Partnership has sold a medical office building for $4.4 million, Business Observer reported March 14.

The building’s tenants include Fort Myers-based Spine and Orthopedic Specialists and Southwest Florida Neurosurgical & Rehab Associates.

The building was sold to investment company KNC Capital Partners.

 

Source:  Becker’s ASC

HCA Florida Lake Monroe Hospital 760x320

HCA Florida Lake Monroe Hospital — formerly Central Florida Regional Hospital in Sanford — bought 3.01 acres at 16831 U.S. Highway 441 in Eustis for $3.06 million, according to recently updated Lake County records. The hospital, owned by Nashville, Tennessee-based HCA Healthcare Inc., bought the property from the Vaughn Family Trust in December.

The for-profit company has 11,000 physicians and 77,000 employees in Florida at 49 hospital campuses, 350 physician practices and freestanding emergency rooms and over 50 urgent care centers.

 

Source:  OBJ

Mount Sinai-Irma and Norman Braman Cancer Center 760x320

Mount Sinai Medical Center joined City of Miami Beach Mayor Dan Gelber in his State of The City Address to announce the building of the Irma and Norman Braman Cancer Center on their main campus in Miami Beach.

The new building is expected to be completed in the first quarter of 2025.

The Braman Cancer Center will create the needed access to clinical expertise, robust support services, research, trials, and the newest technologies, all housed in an ultramodern facility, with exceptional views of Biscayne Bay. Individuals will receive the clinical and supportive care in a light-filled, spacious, healing environment, centered on delivering an unparalleled patient experience.

Mount Sinai’s nationally recognized cancer program is further enhanced by its affiliation with Columbia University, allowing for greater access to biomedical research, education, and training. The physicians of the Braman Cancer Center also serve as associate professors at Columbia University, ensuring continued collaboration and expertise in treating cancer. Treatment plans are informed and reviewed by both organizations, ensuring the most sophisticated, evidence-based methods of preventing, diagnosing, and treating cancer.

The medical center also welcomes a new cancer center director, Steven Hochwald, MD, MBA, FACS. A leading pancreatic and gastrointestinal surgical oncologist, and an avid researcher, Dr. Hochwald was recruited from Roswell Park Comprehensive Cancer Center, an NCI-designated institution. Dr. Hochwald’s research focuses on technical advances in minimally invasive upper gastrointestinal surgeries and developing new targets and agents for treatment of pancreatic and gastroesophageal malignancies.

“We are beginning a new phase of a truly patient-centric approach to cancer care,” said Norman Braman. “The investments we are making in expanding the expert medical staff, new technologies, and the building of a modern facility will create an unparalleled experience while expanding resources and access for all.”

The new cancer center will occupy over 200,000 square feet, and it will support the medical center’s expert physicians in delivering leading-edge cancer care to all patients. All treatment and chemotherapy rooms will have stunning views of Biscayne Bay, adding to the long list of features aimed at providing a truly patient-centric approach to cancer care.

The Braman Cancer Center will also offer patients a multitude of support services to engage individuals and promote a holistic approach to their well-being. These services include nutrition classes, physical therapy, massage, meditation classes, a dedicated spa, and more.

The center will continue to offer same- or next-day appointments, and expanded telemedicine appointments for patients seeking care. Furthermore, the new building will greatly increase the capacity for oncology urgent care services, allowing for expeditious assessment and early intervention to avoid unplanned emergency department visits and unnecessary hospitalization for patients who are already immunocompromised.

“With cancer incidences in South Florida expected to rise 12 percent by the end of the decade, the Bramans have made a truly transformational gift to our community that will expand access for all those who seek care,” said Mark H. Hildebrandt, Chairman of the Board of Trustees of Mount Sinai Medical Center. “As pillars in South Florida, the Bramans continue to make an indelible impact through their generous contributions and engagements, and this is no exception. Throughout the years, their collective efforts continue to build a stronger, healthier community for all.”

With a focus on physical and emotional well-being, the Braman Cancer Center will provide an unmatched, personalized patient and caregiver experience. Every patient will have access to extensive support services, complimentary therapies, and the newest in radiation oncology and surgical technology.

 

Source:  South Florida Hospital News

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A church in the Fontainebleau neighborhood of western Miami-Dade County could be demolished to build a medical clinic.

CN 86 Flagler LLC, an affiliate of Miami-based One Health Medical Centers, filed a pre-application with the county for the 0.86-acre site at 8616 W. Flagler St. It acquired the property for $2.3 million in May 2021 from the Expressway Baptist Church. The 8,928-square-foot religious building there, which was constructed in 1971, would be removed.

One Health Medical Centers has proposed a two-story medical office of 21,670 square feet, including patient exam and treatment rooms, as well as imaging, physical therapy and dentistry. There would be 42 parking spaces, including some on the first floor underneath the building.

This would be the seventh location for One Health Medical Center, all of them in Miami-Dade County. It focuses on caring for seniors, which is a big business considering the growth of the elderly population in the county.

 

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An affiliate of SageStone Development Partners acquired a former plant nursery in Plantation and will redevelop it into an assisted living facility.

Plantation 441 Ltd, managed by Kenneth H. Simigran in Fort Lauderdale, sold the 5.8-acre site at 1019 S. State Road 7 for $3.5 million to Palms Plantation Property LLC, an affiliate of Atlanta-based SageStone. Synovus Bank awarded a $21.47 million construction loan to the buyer.

The property last traded for $1.5 million in 2005. It’s located just north of Peters Road.

The push to develop the property has been underway since 2018.

According to its website, SageStone will develop the three-story Palms of Plantation with 84 assisted living units and 27 memory care units, along with a host of amenities.

South Florida has a rapidly growing senior population, so there is strong demand for assisted living facilities.

 

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Everest Rehabilitation Hospital 760x320

A Texas-based physical rehabilitation hospital company has purchased just over 6 acres in Pinellas Park, where it intends to open its fifth facility in Florida.

Everest Rehabilitation Hospital closed on the property on Gateway Centre Boulevard on Feb. 10 in a $1.7 million deal, according to documents filed with the county.

A news release said this would be a $24 million project that includes a 40,000-square-foot facility with 36 beds.

Everest said its facilities include inpatient and outpatient physical therapy gyms, an outdoor mobility court, aqua therapy, a life skills training apartment, dining hall, in-house pharmacy and more.

Traditionally, the hospital serves patients who are recovering from a “stroke, brain injury, neurological conditions, trauma, spinal cord injury, speech impediments, amputation, pulmonary disease, orthopedic injury, Covid-19 and other medically complex conditions.”

The hospital is expected to create more than 100 jobs. There will be an estimated annual payroll of $5.59 million with an estimated annual salary of $54,265.

Everest has locations in Kissimmee, the Lakeland/Winter Haven area, West Palm Beach and Ocoee.

 

Source:  TBBJ