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Surrounding Counties - Cheatham, Dickson, Montgomery, Rutherford, Sumner, Wilson, Williamson, Maury, etc.


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23 hours ago, LA_TN said:

I'm not sure I fully understand the fight between Vandy and TriStar, but clearly Vandy is wanting to build a feeder network

TriStar is acting as a counterbalance to Vandy for pretty much everything right now, and they will continue to expand into the few areas that only Vandy offers now.  Trauma, stroke, cardiac, pediatrics, certain transplants and cancer care have all been substantially updated in the TriStar system over the last 5-10 years.  Ascension is expanding service lines to a much lesser degree, but they are growing through mergers.

The name of the game in healthcare is expansion and consolidation. Vanderbilt was all alone in the market up until very recently (although they are massive), so they need to create a network that funnels referrals and attracts patients from outside the city.  Vanderbilt just bought UMC in Lebanon from CHS and they’re expanding into Rutherford now, so they are getting on the same train. 
 

Don’t be surprised if we see a few more one-offs fall to one of the big three after coronavirus subsides. Williamson Medical Center, Cookeville Regional, Northcrest in Springfield and Maury Regional would all be targets.  Small facilities are getting hammered by the coronavirus and is putting them in really bad financial positions. Being bought out may be the best plan for them. 

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33 minutes ago, Hey_Hey said:

Don’t be surprised if we see a few more one-offs fall to one of the big three after coronavirus subsides. Williamson Medical Center, Cookeville Regional, Northcrest in Springfield and Maury Regional would all be targets.  Small facilities are getting hammered by the coronavirus and is putting them in really bad financial positions. Being bought out may be the best plan for them. 

Many years ago (25?) Cookeville Regional was up for sale.  It's a city-owned hospital, and the city saw $$ signs and dreamed about all the stuff they could fund with all that potential cash.  The biggest bidder was Ft Sanders out of Knoxville which proposed building a brand new hospital in Cookeville outside of town, kind of like St Thomas did in Murfreesboro.  I was a student at UTK at the time, and the Knoxville press followed it intently as it would've been a big leap for Fort Sanders to expand beyond East Tennessee.  In the end, the city decided to keep the hospital since having a locally owned hospital creates all kinds of ancillary jobs in town with medical suppliers and such.  And they didn't want to see the hospital turn into a glorified ER room while more serious patients are funneled to Nashville or Knoxville.

But that was then, this is now.   Cookeville Regional is already partnered with Vanderbilt, so I suppose that could be a possibility.  Covenant (Fort Sanders) recently bought the hospital in Crossville, so Covenant could be another possible suitor.  I think the best option for Cookeville would be if Ascension St Thomas were to buy it since it already owns the small hospitals in nearby Sparta, Smithville, and McMinnville.  Ascension could then build up CRMC into a true regional hospital, especially if it can also acquire the little hospital in Livingston which is for some reason owned by Gallatin's Sumner Regional.  Right now, the Upper Cumberland region is so fractured between the various hospital chains that all compete against each other that in the end, most major problems have to drive all the way to Nashville.  Tupelo MS and Jackson TN are examples of small towns with massive hospitals that own smaller, feeder hospitals in surrounding towns.  I know many people in Sparta, for example, who get frustrated that their little hospital sends major problems all the way to St Thomas Midtown in Nashville rather than just 10 miles up the road to Cookeville Regional.  Likewise, when Covenant bought Cumberland Medical Center in Crossville, letters to the editor in the Crossville paper were almost unanimously opposed since it meant sending patients all the way into central Knoxville instead of down the interstate to Cookeville.

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7 hours ago, markhollin said:
 
Back in 1993, my long time friend, guitarist Robin Crow, took a portion of his recording contract advance with RCA Records to start building his dream of a full service studio on the outskirts of Franklin, TN. Over these 27 years, thru much blood, sweat, tears, and ingenuity, he has continually evolved that vision into one of the most remarkable creative audio environments in the world. Over 50 gold and platinum albums have been made there. This is a new video showing the campus and featuring some of his own music:
 
 

Is this a bed and breakfast for anyone or is it just for the artists that are recording there?  Pretty impressive.  

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5 hours ago, markhollin said:

Spring Hill Towne Crossing will be a 50 acre development on SE corner of Saturn Parkway and Port Royal Rd. that will feature 50,000 sq. ft. of retail/office space, a 30,500 sq. ft. grocery store, 120 room hotel, 300 multi-family units, and convenience store/gas station.   It is being considered by the Spring Hill Planning Commission.

More at The Nashville Post here:

https://www.nashvillepost.com/business/development/article/21131053/50acre-project-proposed-for-spring-hill

 

Screen Shot 2020-04-30 at 7.32.25 AM.png

This is a super exciting project that my company has been working on in conjunction with Kimley Horn. Kimley Horn made the presentation, but it's annoying that there is no mention of OHM Advisors as we had a fairly large hand in the site planning working with them and our urban plannin/landscape architecture group in our Columbus office.

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Old Hickory Hockey LLC has purchased 54 acres between Hendersonville and Gallatin at $4.92 million for an indoor hockey rink complex. The location is the eastern corner of Shute Lane and Nashville Pike across from Devonshire Trail. There may be as many as 3 sheets of ice. 

https://www.gallatinnews.com/hockey-group-buys-land-considered-for-ice-rink/article_b14d164a-9443-11ea-960f-fb0f58310aab.html?fbclid=IwAR0euf-cWcSIeYkTlxkXEL1PsbpxBFVrQDatfwafVMDvgfI4y4SM6JC_Yvc

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Brentwood Medical Building Four  (5 stories, 1000,000 sq. ft?) update. Topped out and with most windows and cladding in place.

Looking NE from intersection of Old Hickory Blvd. and Health Park Drive:

Brentwood Medical Office Building 4, May 10, 2020, 1.jpg


Looking NW from intersection of Old Hickory Blvd. and Valley View Dr:

Brentwood Medical Office Building 4, May 10, 2020, 2.jpg


Rendering on billboard at site:

Brentwood Medical Office Building 4, May 10, 2020, render.jpg

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