NCH Plans Estero Medical Complex

NCH Plans Estero Medical Complex

doctor shaking hands with patient - n

Medical office – middle-aged male doctor greeting patient, shaking hands.

Liz Freeman

The NCH Healthcare System plans to open a freestanding emergency room and other medical programs in Estero by fall 2018. The proposed location is 3.5 acres on the west side of U.S. 41 across from Coconut Point mall.

The project, NCH Healthcare Estero, will cost $30 million and create 80 jobs, along with elevating competition with the Lee Health system. The project will be two stories and encompass 40,000 square feet.

The two hospital groups have been jostling for market dominance in fast-growing Estero and Bonita Springs for years.

The publicly run Lee Health and its board of directors recently signed off on spending $140 million to build a vast outpatient- based medical campus on a 30 acre site at Coconut Point that will include a freestanding ER. Lee Health’s plans for the outpatient complex is an alternative to an 80-bed hospital that south Lee residents clamored for and that state regulators rejected during a first-round application in 2014. NCH fought the hospital proposal, and Lee Health officials decided to drop it instead of pursuing it in a second go-around.

NCH has submitted its Estero plans, called a development order, to the Village of Estero. The first of two public hearings and consideration before the design review board is scheduled for Wednesday. “In our ongoing effort to bring the highest quality medical services to the residents and visitors of Southwest Florida, NCH is excited to announce plans for NCH Healthcare Estero,” Dr. Allen Weiss, president and chief executive officer of NCH, said in a statement.

The NCH emergency department and outpatient imaging center will be on the first floor, and NCH Physician Group offices, an outpatient surgery and endoscopy center, will be on the second floor. Weiss said the physician offices will be staffed with six primary care and specialty physicians.

The Lee Health project is a 163,000 square-foot complex with an emergency room, imaging, outpatient surgery, diagnostics, a rehabilitation center, pharmacy and other services.

The complex is projected to see 50,000 patient visits the first year, with 10,000 patient visits in the ER alone.
“Lee Health has been working for a long time with the South Lee County community to expand medical services
and keep health care close to home,” Lee Health spokeswoman Mary Briggs said in a statement. “Lee Health is fully committed to a new, comprehensive outpatient medical village, which is scheduled to open in fall 2018.

Briggs said Lee Health-Coconut Point will be a health care destination that offers integrated medical and wellness services with an “unrivaled patient and family- friendly culture and experience that is unmistakable as soon as you enter the facility.”

NCH submitted its development order April 7 to the Village of Estero, said Walter McCarthy, development review manager. The review process can take two to three months. NCH officials are anxious to get started, he said. “They are ready to go,” McCarthy said.

The Estero complex will be similar to what’s offered at NCH Healthcare Northeast at Immokalee Road and Collier Boulevard in North Naples, where there is a freestanding emergency department that NCH opened in 2015.
The practice model used there will be adopted for the Estero program.

“We are excited about building this new facility and are modeling it after NCH Healthcare Northeast, which offers similar services and sees approximately 17,000 patients annually in the free-standing emergency department,” NCH spokeswoman Debbie Curry said.

The outpatient imaging center at the planned Estero complex will provide ultrasound, digital X-ray, MRI and CT services. The outpatient surgery and endoscopy center will have two advanced surgical suites.

Purchase Mortgage Applications Continue to Inch Up

Purchase Mortgage Applications Continue to Inch Up

BY: JANN SWANSON www.mortgagenewsdaily.com Apr 5 2017, 7:45AM

Purchase index vs 30 year fixed - mortgagenewsdaily.com

Purchase index vs 30 year fixed – mortgagenewsdaily.com

The volume of purchase mortgages continued to increase during the week ended March 31, but steadily shrinking refinance numbers once again pulled overall volume down. The Mortgage Bankers Association (MBA) said its Market Composite Index, a measure of loan application activity, declined for the third straight week, decreasing by 1.6 percent from the previous week on a seasonally adjusted basis. On an unadjusted basis the Index fell by 1 percent.

The Refinance Index lost another 4 percent on top of 3 percent losses in each of the previous two weeks. The refinance share of all loan applications decreased to 42.6 percent from 44.0 percent.

The Purchase Index gained 1 percent on both an adjusted and an unadjusted basis compared to the volume during the week ended March 24. The adjusted index has risen in five out of the last six weeks. Purchase volume was up 8 percent compared to the same week in 2016. The average loan size for purchase applications reached a survey high at $318,200.

Adjustable-rate mortgage (ARM) applications had an 8.5 percent share of the total, unchanged from a week earlier. The FHA share of total applications increased to 11.1 percent from 10.8 percent and the VA share ticked up 0.1 percentage point to 11.1 percent. USDA applications held steady at a 1.0 percent share.

Average contract interest rates were mixed during the week, but effective rates were all lower than the week before. The average contract rate for 30-year fixed-rate mortgages (FRM) with conforming loan balances ($424,100 or less) increased to 4.34 percent from 4.33 percent. Points decreased to 0.31 from 0.43.

The jumbo version of the 30-year FRM, loans with balances greater than $424,100, had an average rate of 4.24 percent, down 2 basis points from the previous week. Points dipped to 0.24 from 0.26.

FHA-backed 30-year FRM had an average contract interest rate of 4.15 percent with 0.32 point. A week earlier the rate was 4.24 percent with 0.36 point.

The average contract interest rate for 15-year fixed-rate mortgages was unchanged at 3.57 percent. Points dropped to 0.38 from 0.43.

The average contract interest rate for 5/1 ARMs rose 3 basis points to 3.33 percent. Points were down to 0.13 from 0.28.

MBA’s Weekly Mortgage Applications Survey has been conducted since 1990. It covers over 75 percent of all U.S. retail residential mortgage applications with respondents that include mortgage bankers, commercial banks and thrifts. Base period and value for all indexes is March 16, 1990=100 and interest rate data assumes mortgages with 80 percent loan-to-value ratios and points that include the origination fee.

Mortgage Rates Tuesday, April 4: Lowest Since November

Mortgage Rates Tuesday, April 4: Lowest Since November

nerdwallet mortgage rate index

nerdwallet mortgage rate index

HAL M. BUNDRICK, CFP |nerdwallet.com
April 4, 2017 Mortgage Rates, Mortgages

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Mortgage rates moved lower again today as 30- and 15-year fixed home loans, as well as 5/1 ARMs, all fell, according to a NerdWallet survey of current mortgage rates published by national lenders Tuesday morning.

Without major news or economic reports to account for the move, analysts are attributing the interest rate decline to beginning-of-the-month institutional portfolio rebalancing. Traders buying bonds in large volume drove prices up — which caused yields to fall.

Fixed-rate mortgages are at their lowest point since the week of Nov. 21, 2016, according to the NerdWallet Mortgage Rate Index.

MORTGAGE RATES: TUESDAY, APRIL 4:
(Change from 4/3)
30-year fixed: 4.22% APR (-0.07)
15-year fixed: 3.62% APR (-0.04)
5/1 ARM: 3.81% APR (-0.02)

Container Gardens for Every Style

Container Gardens for Every Style

It’s easy to bring color and life to your home with a container garden. Choose plants for a pop of contrasting color or a soothing blend. Be sure to consider the micro-climate of the location for your container garden. And let the style and color of the container play a part.

From Southern Living | “Brightening up your porch is easy when you turn to a gorgeous container garden. There are hundreds of combinations, in all different color schemes and gardening levels, that give your home major curb-appeal. Check out some of our favorites styles.”