West Orange Healthcare District Plans New Nonprofit And Office Building

The West Orange Healthcare District has plans for a new nonprofit and office building as part of its latest initiatives.

The Ocoee-based organization will create the Foundation for a Healthier West Orange, which will oversee Healthy West Orange, a health-related project launched in 2016 by the district, Orlando Health and Sarasota-based Observer Media Group Inc. The new nonprofit, in turn, will launch a new community resource center in 2020 called the Healthy User Bulletin Board (HUBB), which will help area residents find access to local health care and wellness services.

“There are a whole host of organizations delivering health and wellness programs in our community, but not everyone is aware of them, and if they are, they don’t necessarily know how to access them,” West Orange Healthcare District CEO Tracy Swanson said in a prepared statement. “HUBB will bridge the gap between these programs and the people who can benefit from them.”

With the new nonprofit will come a new building to house the Foundation for a Healthier West Orange and West Orange Health Care District in Winter Garden at the corner of Plant Street and Southwest Crown Point Road, a West Orange Healthcare District spokeswoman told Orlando Business Journal. Construction started on the $4.5 million, 25,000-square-foot building in August 2019 and should be completed in spring 2020.

Notably, more than half of the building’s space will be leased to local organizations and businesses, with the earnings from that going to the foundation’s operations. Orlando-based Baker Barrios Architects is the architect for the project, while Orlando-based McCree General Contractors and Architects general contractor.

Initial funding for the new foundation will come through two grants. The first, a $10 million grant, will establish and staff HUBB for its first three years as well as expand Healthy West Orange programs and outreach. The second grant, which totals $40 million, will create an endowed fund whose earnings will fund the organization’s programs from year four onward.

The district, which was founded 70 years ago, will keep its community health care grants program going. The organization has awarded more than $180 million in local grants, including the two grants to the new foundation.

Florida Tech To Build $18 Mllion Health Sciences Research Center

Florida Institute of Technology will break ground in spring 2020 on a 61,000-square-foot Health Sciences Research Center that will help fill the growing demand for jobs in biomedical engineering and science and allow students and faculty to conduct critical research in labs equipped with the latest cutting-edge technologies, from virtual-dissection tables to atomic force microscopes.

The new, $18 million facility will double the size of Florida Tech’s undergraduate biomedical engineering program to 300 full-time, on-campus students, increase the size of the undergraduate premedical program from 150 to 250 students, provide over 20,000 square feet of classroom and training spaces, and allow students access to teaching laboratories that use augmented and virtual reality tools and space for orthopedics, tissue studies and advanced computational simulations.

“The excellence of a Florida Tech education and our unparalleled success in producing highly desirable graduates make this evolution on our campus and in our educational offerings a natural, powerful step forward,” said Florida Tech President Dwayne McCay.

Employment of biomedical engineers is projected to grow 4 percent from 2018 to 2028, according to the federal Bureau of Labor Statistics. The annual median wage for biomedical engineers, who are often employed in universities, industry, hospitals, research facilities, and government agencies, was $88,550 in 2018, the Bureau reported.

“Along with the demand for more sophisticated medical equipment and procedures, an increased concern for cost-effectiveness will boost demand for biomedical engineers, particularly in pharmaceutical manufacturing and related industries,” the Biomedical Engineering Society noted.

The new Health Sciences Research Center will directly support Florida Tech’s mission to provide high-quality education to a culturally diverse student body and to expand knowledge through basic and applied research.

The Center will be built on a vacant parcel of land on the south campus area known as the Olin Quad. It will be south of the Olin Life Sciences Building and adjacent to the quad’s newest buildings, the Harris Center for Assured Information, which opened in 2009.

The Center will be funded by the sale of Educational Facilities Revenue Bonds.


Source: Florida Tech University

Medical Office Building Coming To Beachwalk In St. Johns County

Rendina Healthcare Real Estate and Twin Creeks Development Associates are partnering to develop a 60,000-square-foot medical office in Beachwalk, the 1,200-acre master-planned community in St. Johns County.

The office will provide space for a variety of health care providers to serve nearby residents. The Beachwalk community is expected to have 2,800 single-family units and 348 apartment units. The community centers on the 14-acre Crystal Lagoon, the largest man-made lagoon in the country.

“With this project, residents of Beachwalk and surrounding communities will have convenient access to an important new amenity,” Beachwalk Developer John Kinsey said in a statement. “Beachwalk will also offer many options for dining, entertainment, shopping, recreation and commercial office space – offering more than 2 million square feet of non‐residential space.”


Source: JBJ

Medical Office Buildings Remain in Demand Among Investors

There continues to be very strong investor appetite for medical office buildings (MOBs), according to several industry sources.

Roughly $4.7 billion’s worth of medical office buildings traded in the first half of 2019, according to Mike Hargrave, principal at Revista, a medical research real estate firm. While investment volume in the sector is off its recent highs of 2017 and 2018, that’s been due to fewer portfolios coming on the market recently, says Hargrave. Investment sales volume in the MOB sector reached $6.5 billion in the first half of 2018 and $12.4 billion for the whole year, according to Revista data.

Investment sales activity for the second quarter of 2019 totaled $3.0 billion, Revista reports. A large portion of this total came from Welltower’s $1.25 billion purchase of 55 medical office buildings from CNL Healthcare in June.

“It remains to be seen if 2019 will rival the past two years [in] total transaction volume. If it falls short, it will be due to not as many large portfolio transactions, which could have been impacted by higher interest rates during the earlier part of the year,” says Matt Withey, managing director of acquisitions at Virtus Real Estate Capital, a private equity real estate firm. “But appetite remains very strong, especially for high quality medical office buildings. Investors remain drawn to the durability of the cash flow stream, especially those who think we are in the later stage of the current economic cycle.”

Pricing remains tight for medical office building, with cap rates averaging 6.6 percent in the second quarter of 2019. Earlier in the cycle, cap rates for medical office buildings were much closer to those for suburban office buildings, according to a report from research firm Real Capital Analytics (RCA).

According to Revista, cap rates on MOB properties have averaged at 6.4 percent over the past 12 months. But they can range from the low 4.0 percent to high 7.0 percent, with the “low end representing larger core medical office buildings in well-located markets” and the “higher end representing value-add plays,” says Hargrave. Withey says many medical office buildings trade at cap rates of between 5.5 percent to 7.0 percent.

“There’s still a lot of transaction activity. If there was a huge gap with buyers holding firm and not selling anything and bidders wanting a discount, you would see a sharp drop in deal activity and cap rates flat” says Jim Costello, senior vice president with RCA. “But we’ve got elevated cap rates and single asset sales, so the bedrock of the market is still doing great and growing.”

Medical office building completions in the U.S. average roughly 20 million sq. ft. annually. New construction in the space has gone through ups and downs since 2017, largely due to factors such as HVCRE regulations, high construction costs and labor shortages. For this reason, MOBs are “not facing an oversupply problem like a lot of other sectors.” according to Withey.

“The services delivered within medical office buildings [are] growing faster than the space [they are] delivered in. Additionally, increases in technology [are] allowing more and more procedures that were traditionally delivered within an in-patient setting to be delivered in an outpatient setting,” says Hargrave. “So, demand for new state-of-the-art space is consistently increasing within the medical office building sector.”

Most healthcare REITs, including Welltower, Ventas, HCP, as well as REITs focused specifically on medical office buildings, such as Physicians Realty Trust, Healthcare Trust of America, and HR, continue to have an appetite for buying medical office buildings, says Hargrave. Additionally, several large institutional investors, including Harrison Street Realty Capital, MB Real Estate and LaSalle, have a focus on the sector.

Despite some unpredictability in large portfolio activity in the MOB sector, Withey says “private and institutional investment has been consistent and growing.”


Source: NREI

First Hospital In Doral To Open Its Doors In October Of 2020

In more or less a year from today, the first hospital in Doral will open its doors. Jackson West Medical Center will be opening in October 2020. It will house an adult and pediatric emergency room, a diagnostic and imaging center, an outpatient clinic and at least 100 beds in the hospital.

Jackson West Medical Center is located West of Palmetto on the North side of NW 25th street. It will provide primary and specialized medical service to Doral, Miami Springs, Sweetwater, Westchester, Hialeah, Miami Lakes, West Miami, and Virginia Gardens, and it will be open to the general population.

Eddie Borrego, who will head the management team of the Jackson Medical Center West, informed that this hospital will have one hundred beds and will be named “Jose Milton Memorial Hospital.” This hospital will also include a maternity ward. The Jose Milton Foundation donated $10 million dollars to the Jackson Health Foundation, the fundraising arm of the Jackson Health System. For this reason, it is an important part of the creation of this health and well-being center.

In March 2015 the Miami Dade Board of County Commissioners unanimously supported Jackson Health System’s plan to buy 27 acres in the City of Doral. The plan was also approved by the Public Health Trust Board of Trustees, Jackson’s Governing Body and the Jackson Bond Citizens’ Advisory Committee, which reviews all the projects that are financed by the Jackson Miracle-Building Bond program.

The financial authorities of the Jackson Health System were able to negotiate an amount of $38.5 million dollars below the average appraised value. The Jackson system is also allocating $15 million dollars of that amount for its own operational funds, the rest of the project, including the construction and equipment, is being financed through the Jackson Miracle Building Bond program, and also with the support of institutions such as the Jose Milton Foundation.

The 275,000-square-foot facility will have both primary and specialized care for children and adults, an imaging diagnostic center, an emergency room and an outpatient center for children. The seven story building, six of which will be dedicated to public service, will provide immediate access to medical services to more than 585,000 residents within 5 square miles of this center.

“The concept that we are developing for the Jackson West Medical Center is something not seen before in our community,” explained Borrego. “We are going to be offering, not only medical, clinical and preventative services, but we are also going to be offering personalized attention, boutique style, and last generation, this will make the patient feel comfortable and satisfied.”

The Jackson West Medical Center is the first hospital to be built in ten years. It will have a particular focus on pediatric services, including an emergency room for pediatric attention and in the building next door, it will offer several pediatric specialties.

Borrego stated that, as is customary for Jackson, they will work in connection with the University of Miami and they will be offering all the specialized services that they currently offer, with the exception of Open Heart surgeries which will be transferred to the Headquarters of the Jackson Health System in Downtown Miami.

Jackson West Medical Center will also work with all insurance plans in order to service all the population that requires medical attention, both primary and specialized.

“Our mission is to satisfy the health and prevention needs of our communities,” stated Borrego.

The facility will have community rooms that will be free of charge to hold conferences, forums, and workshops.

The Mayor of Doral, Juan Carlos Bermudez, expressed his satisfaction with the presence of Jackson West Medical Center in our jurisdiction.

“Even when we are fortunate that most of the health centers of Miami Dade have branches in our city, this will be our first hospital, this is not only beneficial for the residents of Doral but also to the residents of the West side of the County.”

“The Jackson Health System is one of the most important health networks in the country, it has a multidisciplinary team that works in connection with the University of Miami to promote the best possible health service,” stated Mayor Bermudez while adding that it is very fortunate that they are soon going to be opened in Doral.

Source:  Doral Family Journal

Spine And Wellness Centers Of America Announces Florida Expansion Into Northern Palm Beach County

Spine and Wellness Centers of America (SWCA) announced expansion into Northern Palm Beach County.

Dr. Jeffrey R. Cara, DO, will serve as director of the firm’s new Palm Beach Gardens-based institute. Dr. Cara returns to the area following comprehensive fellowship training in interventional pain management at Mayo Clinic and residency at Northwestern University and the University of Chicago.

Located in Palm Beach Gardens, SWCA’s new institute will provide sophisticated, cutting-edge options to treat pain and optimize function. Specifically, Dr. Cara and his team will treat a wide variety of acute and chronic conditions through lifestyle and regenerative medicine, injections, physical and occupational therapy, spinal cord stimulation, kyphoplasty, radiofrequency ablation, medication, medical cannabis, and more.

Headquartered in Aventura, SWCA operates nine institutes across South Florida, with offices in Miami, Hollywood, Fort Lauderdale, Tamarac, Boca Raton, Lake Worth, and now, Palm Beach Gardens at 8645 N. Military Trail, Suite 501.

Source: Massachusetts Newswire

Golisano Children’s Hospital Sees Growth At Its Naples Location

Golisano Children’s Hospital of Southwest Florida is expanding services in Naples and has forged a transfer agreement with the NCH Healthcare System.

The agreement is for seriously ill children who are in the care of an NCH hospital yet need more specialized services available at the children’s hospital located in south Fort Myers.

The goal is to make patient transfers run smoother and represents a fresh start between the two hospitals, said Armando Llechu, chief administrative officer of the 128-bed Golisano hospital.

“That was a really good first step to building a relationship,” Llechu said.

NCH historically has had a transfer agreement to send sick children when necessary to Nicklaus Children’s Hospital in Miami, formerly Miami Children’s Hospital.

NCH’s pediatrics services at North Naples hospital, including its pediatrics emergency department, have been expanded and upgraded to keep more children closer to home for care.

Golisano children’s hospital achieved a new milestone in 2017 with the completion of its new seven-story, $200-million hospital adjacent to HealthPark Medical Center to better serve the five-county area of Southwest Florida. Previously, the children’s hospital was inside HealthPark.

Llechu said he and Dr. Emad Salman, regional medical officer at Golisano, met with NCH’s interim CEO Phil Dutcher, and the agreement was signed July 1.

“(We) said this is an opportunity to start a new chapter in the care of children in the region,” Llechu said.

Dutcher served as interim CEO following the resignation in January of Dr. Allen Weiss until the Sept. 3 start of Paul Hiltz as the new president and CEO.

Dutcher said he reached out to many people and organizations, including Golisano, when he was interim CEO.

“I thought (the transfer agreement) was a good first step and the right thing to do,” Dutcher said, who is back as NCH chief operations officer.

Salman said it is not unusual for general acute-care hospitals to have transfer agreements with more than one children’s hospital. That’s because not all provide a complete line up of services. For instance, Golisano does not have the demand yet to add pediatric heart transplant services.

Besides the transfer agreement with NCH, Golisano has been working on projects at its Golisano’s Children’s Health Center in Naples at Pine Ridge and Livingston roads.

Golisano’s contract for Nicklaus Children’s to provide three physicians for the urgent care center at the Naples complex has ended. Four physicians with Golisano are now rotating through the urgent care center that is open from 11 a.m. to 10 p.m.

Llechu, who came to Golisano in 2017 after serving as vice president of clinical operations at Nicklaus Children’s, said there was no controversy with ending the arrangement.

“They realize having a remote location created some logistical challenges as well,” he said.

When respiratory infections are common among children, the urgent care center can see 20 to 30 patients a day, Salman said.

“In summer, it’s 10 to 15 a day,” he said. “Two years ago when we had really bad flu season, we saw 40 to 50 patients a day.”

In terms of how many Collier children who need to be hospitalized through the Naples urgent care center and Golisano physician practice in the same building, it’s about two a month, Salman said.

“We try very hard not to bring them up here unless absolutely necessary,” Llechu said.

The pediatric specialists who see children in the office practice are preparing for expansions, he said.

That includes build out of a 4,000-square-foot cancer center, the addition of two gastroenterologists for rotations, and the hiring of a second autism navigator to keep pace with increased diagnosis of autism, he said.

“We are seeing a lot more autism in the entire region,” Llechu said.

The cancer center program is in design phase now; all together Golisano is investing about $1 million in the Naples complex, he said.


Source: Naples News

HCA Healthcare Acquires 55-Acre Land Parcel In Jacksonville For $16M

HCA Healthcare, the parent company of Memorial Hospital, has acquired a 55-acre land parcel in the Wildlight community of Jacksonville for $15.8 million. The property is located at northeast Interstate 95 and Florida A1A.

“This purchase will allow us to establish a future presence in Nassau County and to align with the planned growth in the region,” said Bradley Talbert, CEO of Memorial Hospital, in a statement.

Nearby the land parcel, Baptist Health acquired 26 acres at Florida A1A and Harper Chapel Road in May, and plans to build a 50,000-square-foot medical office building. Also nearby, UF Health Wildlight, a 23,331-square-foot medical office building, is currently under construction.


Source: Connect Florida

Palm Beach County Medical Office Building Sells For $13M

A medical office building near Lake Worth Beach sold for $12.61 million.

Palm Beach MOB LLC, managed by Steven P. Wathen in Hilliard, Ohio, sold the 31,847-square-foot medical office at 7408 Lake Worth Road to PrimeMed Lake Worth LLC, managed by Christoper Montello, the president of Aventura-based PrimeMed Manager Corp.

TD Bank provided an $8.83 million mortgage to the buyer.

The price equated to $396 per square foot.

The office building was completed on the 1.8-acre site in 2009. This is the first time it has sold.

According to the deed, tenants include CL Brumback Primary Care Clinics, Dr. Jefferey L. Katzell, PSHS Alpha Partners, Sports Care Institute and Imaging Center Management.


Source:  SFBJ

In Need Of An Upgrade, Moffitt Cancer Center Seeks Millions More From State Cigarette Tax



For the past two years, leaders at H. Lee Moffitt Cancer Center & Research Institute have quietly asked state legislators for more money to help expand their hospital and research campus in Tampa.

Their request never gained traction, so this year they plan a more assertive approach.

Moffitt officials said they are working to enlist the help of Tampa Bay area lawmakers to file bills aimed at securing the funding they seek. The legislation, they said, would increase the center’s share of state cigarette tax revenue, generating $11 million a year to finance a new clinical and research hospital in Tampa, and an additional $11 million for a new life sciences research building in Pasco County.

Moffitt’s CEO and president, Dr. Alan List, said the demand to treat more cancer patients has increased significantly in recent years, but the hospital doesn’t have the space to serve them.

“Our needs are more urgent than ever,” he said in an interview with the Tampa Bay Times editorial board. “We are out of space completely on the research side, which means we can’t recruit any more scientists, which drives all of our innovation. On the hospital side, we have the same number of beds we did 12 years ago. We’re nearly always full or near capacity nearly every day.”

Moffitt was established in 1981 by the Florida Legislature and is the only National Cancer Institute-designated “comprehensive cancer center” in Florida. The hospital opened in 1986 on the University of South Florida’s campus. Since then, Florida’s population has nearly doubled, and so has demand for specialty cancer care, List said.

Florida has the second-highest number of cancer cases in the country, behind California, he said. “The volume of growth year over year at our hospital has been tremendous.”

Each year, the hospital sees about 68,000 patients, who come from all over the U.S. and 133 countries. Moffitt is known for its work in immunotherapy, a newer approach that uses the body’s own cells to fight cancer. The hospital is also a draw to biotechnology companies, which have relocated to Tampa from around the world to work in Moffitt’s research laboratories.

Moffitt currently receives 4 percent of the state’s tax on cigarettes. The proposed legislation would increase that to 7 percent in 2020 — then to 10 percent in 2023.

Together, the two increases would generate an additional $22 million a year in revenue that would be used to finance the planned facilities in Tampa and Pasco County.

The first increase would produce $205 million, to be paired with $332 million from Moffitt, to build a new hospital on its campus at 10920 N McKinley Dr., in Tampa. The property currently is home to an outpatient center, and has 22 acres of land to develop.

Moffitt would create a new surgical center on the site, and move all operating room care out of its current hospital on the USF campus. In addition to freeing up more research space, the new tower also would include a center that specializes in clinical care on solid tumors.

The project would increase patient capacity, expand research space, and create funds for sorely needed upgrades, List said. Construction would begin next summer and take about three years to build.

“Our operating rooms are too small and we cannot get the technology we need into the rooms,” List said, reiterating that the hospital’s buildings are 30 years old.

Separately, List hopes to secure $191 million from the second proposed increase in Moffitt’s share of the cigarette tax, which would occur in 2023. That money would be used build a research park in Pasco County, helping to meet the future demand for cancer therapy and create space for biotech company partners, he said. Construction is tentatively set to begin in 2023 on a parcel along the Veteran’s Expressway.

List and other Moffitt officials are meeting with state lawmakers to garner support. Among them are Sen. Wilton Simpson, R-Trilby, and Republican representatives Jamie Grant, of Tampa, and Chris Sprowls, of Harbor.

In past years, Moffitt leaders have attempted to secure funds for their expansion through appropriations at the tail end of the legislative session. But each time they failed to break through with lawmakers.

The hope is that a more open approach will be more effective, List said. “We want to be as transparent as possible and get as much support as we can for this.”


Source: Tampa Bay Times

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