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CAYMAN ISLANDS (January 22, 2016) - A doctor from Massachusetts is alive today thanks to quick reactions by hotel employees, first responders, and the skilled medical teams and surgeons at Health City Cayman Islands, and he now plans to partner with the facility that saved his life. 
 
 
 
 
 
 
Judy Josephs, whose husband Leon had cardiac arrest while on a treadmill at the gym at The Ritz-Carlton Grand Cayman last month, described the coordination of the hotel staff, many Caymanians and the Health City medical teams as a "Christmas Miracle." 

After vascular surgeon Dr. Leon Josephs collapsed, Caetano Barrato, Lead Loss Prevention Officer at The Ritz-Carlton, and other hotel employees recognized the symptoms of a cardiac event and administered CPR as well as two electric shocks, before the stricken American doctor was taken to the government hospital (Cayman Islands Health Services Authority). 

Once at the hospital, urgent measures were taken and arrangements were made for Dr. Josephs to be sped to Health City Cayman Islands where he arrived unconscious and on a ventilator. "Within 30 minutes he was taken to the cath lab and an emergency angiogram was done that showed one of the arteries was totally occluded and the other two were more than 95 percent blocked," said Dr. Binoy Chattuparambil, Senior Cardiothoracic and Vascular Surgeon at Health City Cayman Islands. 

The blood thinners Dr. Josephs was taking threatened uncontrollable bleeding, so immediate surgery was not wise. Health City doctors decided to delay surgery for 48 hours and used the time to run a battery of tests to ensure the operating team had as much information as possible by the time they started the bypass procedure.  

"The surgery took around five and a half hours and he came out of the operating room in very stable condition. After he came to the ICU (Intensive Care Unit), within two hours he was taken off the breathing machine and his recovery was quite smooth and straightforward," said Dr. Binoy, as he is widely referred to. 

The Massachusetts doctor, Acting CEO and Vascular Surgeon of Reliant Medical Group, was unstinting in his praise for the medical teams at Health City: "I'm amazingly pleased with my care. I'm a vascular surgeon at home so I see plenty of patients after cardiac surgery and my care, my recovery, in my opinion, was as good or better than (anything) I've ever seen." 

He continued: "I saw my nursing care teamed with a doctor much more than I do at home. I found my doctors to be very easy to speak with. My physical therapists (were) very involved in a team with my physicians. So I really felt that there was a team-based care here that was really focused completely on the patient being the center of that. And I really don't think that it has anything to do with the fact that I'm a healthcare executive, or the fact that I'm a physician. I think that's how they treat everybody who comes through the doors of the hospital." 

After four days, Dr. Josephs was discharged from Health City and he retains positive memories of his post-operative care at the Health City campus with grounds carefully landscaped by a world class gardener. "This actually was a beautiful recovery ...the focus on patient satisfaction is visible and palpable. They live it every day and they're really good at it," said Dr. Josephs who disclosed his company will consider sending some of its patients to Health City for their care "because the model here is a model that the United States healthcare system is striving to get to." 

Senior cardiologist Dr. Ravi Kishore explained Health City is known for its care of patients and their loved ones because of its family approach: "I always think I'm part of the family, so I establish vibes very quickly with the patient. If it's only science it is going to be very tough. And only compassion is meaningless. You have to sensibly mix these things." 

Noting the Caribbean's reliance on tourism, Dr. Binoy suggested it was vitally important to ensure that there be more facilities capable of handling such urgent medical needs for locals and for visitors. It is different now for the Cayman Islands "because visitors can enjoy their holidays, knowing if anything happens we have a very well established tertiary care hospital here." 

The Cayman Islands will benefit from several more visits by Dr. Josephs as he will eschew U.S. doctors to undergo his follow-up checks with the Health City specialists: "In fact, we'll make a couple of trips (for) post-op checks that I would typically do at home but I think I'm actually going to just come down here and see Dr. Ravi (and) see Dr. Binoy instead just because I feel good about that. They were excellent." 

Health City Cayman Islands and Dr. Binoy will also benefit from Dr. Josephs' experience. "We're forming a partnership, actually. He's coming up for me to teach him some newer vascular techniques. Hopefully the day will come when I actually come down here and do some of those with him. That's kind of the plan we started to develop," said Dr. Josephs. 



Dr. Leon Josephs and Judy Josephs 

About Health City Cayman Islands 
Health City Cayman Islands, the vision of renowned heart surgeon and humanitarian Dr. Devi Shetty, is supported by two major healthcare organizations, Narayana Health and the U.S.-based Ascension, which is that nation's largest faith-based and nonprofit health system, providing the highest quality care to all with special attention to those living in poverty and struggling. Health City Cayman Islands provides compassionate, high-quality, affordable healthcare services in a world-class, comfortable, patient-centered environment. Offering healthcare to international, regional and local patients, Health City Cayman Islands delivers excellence in adult and pediatric cardiology, cardiac surgery, cardiac electrophysiology, medical oncology, orthopedics, sports medicine, pediatric endocrinology, gastrointestinal and bariatric surgery, neurosurgery, minimally invasive spine surgery, and pulmonology services. 

For further information, visit www.healthcitycaymanislands.com.

 
Owen Roberts International Airport here on Grand Cayman is viewed by many as just a way to get on and off the Island but for those of us living here it's much more complex. A huge part of our economy relies on the functionality of the airport, from businesses importing and exporting goods to the many visitors arriving to enjoy our beautiful islands, it all has a knock-on effect for the people of the Cayman Islands.  

The long awaited plans for the airport have been unveiled and we're excited to see that the new building will have a modern design but also gives a nice cultural nod to our heritage, as the building resembling the profile of our native green sea turtle. Within the contemporary building other little extras will help retain some island charm for example, the iconic A-frames from the existing building and plus another two smaller A-frames will be incorporated within the main terminal to represent our three islands. 

The good news is that public space throughout the new airport will be dramatically increased and we all know how badly this issue needed to be addressed. Especially the departure lounge and check-in areas, which both currently experience overcrowding often especially during holidays and peak travel times. With a square footage of 207,000, the new building will provide triple the current space for public areas plus more space allocated for retail and food vendors. A welcome addition will be an indoor air-conditioned waiting area for arrivals, which will provide shelter from the sun (or rain) whilst alleviating the crowding issues we experience at the current outdoor arrival area. 

The current airport has capacity for one million passengers annually however, once the new building is fully operational this will increase up to 2.7 million annual passengers, providing more than enough scope to meet our growing travel demands for approximately, the next 20 years. The timing of this project is key, we already know airport expansions are commissioned for St Vincent, Turks and Caicos and Antigua therefore it's more important than ever we ensure Cayman remains competitive within the region. 

The design is scheduled to be completed in four phases and begin as early as summer 2015, if all goes to plan the new airport could be ready within the first six months of 2018. The cost is estimated at $55 million and is funded from the $13 passenger tax which the Cayman Islands Airports Authority collects directly from each airline. There's no need to be concerned regarding travel as the existing airport will remain fully operational throughout the entire project. 

A project of this scope will certainly stimulate the local economy and the benefits will be felt across the whole country. It's going to be an exciting period for the Cayman Islands as we witness the development over the coming few years. 

In our opinion, the airport is the first and last impression of the Cayman Islands our visitors and any project to better their experience, can only be a good thing. 

 
BANGALORE, India (January 13, 2016) - One of the world's top cardiac surgeons, Dr. Devi Shetty, is applauding the decision to clear the late Mother Teresa's path to sainthood. 

Mother Teresa, widely admired around the world as a champion of the poor in the slums of India, is expected to be declared a Catholic saint this year now that Pope Francis has approved a miracle attributed to her intercession. 

"I had the privilege of meeting Mother as a doctor, and I ended up becoming her disciple," said Dr. Devi Prasad Shetty, chairman and founder of Narayana Health and Health City Cayman Islands, who served as Mother Teresa's personal physician for the last five years of her life. 

"Although I am a man of science, I recognized easily that this woman of faith was different. She possessed a divine compassion for all those who suffered, and she offered love in a way that surpassed anything I have ever witnessed," he recalled. 

Inspired by Mother Teresa's compassion for the poor, Dr. Shetty, 62, established a highly regarded network of 26 hospitals throughout India and one in the Caribbean. 

The Indian philanthropist and cardiac surgeon has applied economies of scale to provide affordable healthcare in south Asia and the Cayman Islands, bringing to life his vision of ensuring that high-quality healthcare is available to all in need, especially those who may not be able to afford such care. 

By improving efficiencies and employing highly trained doctors working with the latest technology, Dr. Shetty's skilled teams provide advanced technical surgeries at a fraction of the cost incurred in the United States. 

"Being in Mother Teresa's presence always transported me to a world of peace and calm," said Dr. Shetty, who credits the Catholic nun for his passion to make healthcare accessible to all. 

"Today, although I don't feel her physical presence, she always remains in my thoughts and prayers guiding me at every crossroad and keeping me on the right path no matter how trying it may be," said the doctor who has performed more than 15,000 heart operations in his career. 

Mother Teresa died in 1997 at age 87.  

About Health City Cayman Islands 
Health City Cayman Islands, the vision of renowned heart surgeon and humanitarian Dr. Devi Shetty, is supported by two major healthcare organizations, Narayana Health and the U.S.-based Ascension, which is that nation's largest faith-based and nonprofit health system, providing the highest quality care to all with special attention to those living in poverty and struggling. Health City Cayman Islands provides compassionate, high-quality, affordable healthcare services in a world-class, comfortable, patient-centered environment. Offering healthcare to international, regional and local patients, Health City Cayman Islands delivers excellence in adult and pediatric cardiology, cardiac surgery, cardiac electrophysiology, medical oncology, orthopedics, sports medicine, pediatric endocrinology, gastrointestinal and bariatric surgery, neurosurgery, minimally invasive spine surgery and pulmonology services. 

For further information, visit www.healthcitycaymanislands.com.

 
Notes 
2014 was unique for us as we produced our usual Mid-Year Report, but then did a Fall follow-up due to some subsequent data that was not available for our mid year report. That is rare, but when it does happen we restrict the length to 1 page, publish the update locally in the Cayman Compass Journal, and post it on our website to avoid the cost and time lag associated with another printed report. This could happen again in the near future if the market moves as quickly as it might. Therefore it is good to have at least a quarterly look at our website to check for any updates. 

Review 
In our last Mid-Year Report and Fall update, we mentioned the sales momentum which had built-up earlier in 2014 because of an increase in sales activity. We expected this momentum to continue with a further increase in sales activity. However, we cautioned that the prices hadn't really risen much yet and although we expected sales activity to increase, we did not expect to see prices rising much before early 2015. 

General Outlook 
The data bears out our projections for the last half of 2014. The total volume of sales YTD over 2013 is up a whopping 52%! Much of that increase occurred within the last Winter season although November 2014 was also very strong. The number of active listings is down 5% over last year but there are more and more listings coming on lately. Perhaps it is the prospects of higher prices, or maybe those who have been struggling with their payments have finally run up the white flag. Certainly the number of forced sale properties is increasing. It is likely a combination of the two. 

While we think the 'tide is turning' to favour the Seller finally after 7 years of a Buyers Market, this will be the first season where that is the case. So while we do expect to see more properties listed at increasingly higher prices (and that is already happening), we don't expect the buyers to step up and swallow huge increases with all the worldwide financial uncertainty. However, we will no doubt start to see sales at higher levels. 

Condos 
There has been a 24% increase in the # of units sold but in this case we are also seeing a similar increase in the average sales price for condos over last year. Currently condo inventory is down 20% and the average listing price is 4% higher YTD. The drop in inventory is a good sign for potential rising prices. Three times as many multi-family properties were sold this year than last which indicates a considerable demand for income properties. 

The Watercolours is now completed and they have sold 43 of the 57 units. This property achieves a new level of luxury for Cayman both in terms of design as well as amenities. This project can hold its own with any which have been produced anywhere. Call us for full details and unit availability. 

Residential 
The detached homes sector has seen a 41% increase in the number of sales. However, the average price achieved is off by 25%. The largest increase in number of sales is in the larger homes bracket which indicates prices for luxury homes did not rise in 2014. The figures for existing listings show a 5% increase in listing price, and 4% in number of listings. 

Coldwell Banker will be listing an extraordinary recently built beachfront residence on 1.83 acres in Frank Sound. It is called 'Oceanus' and is an 11,000 sq. ft. contemporary structure on 4 levels. The 70+ pilings in the foundation and 12in poured concrete walls allow for a wide open floor plan and 23in ceilings. An amazing array of unique fruit trees and flowering plants make this property a horticultural delight. The land on the inland side of the road provides further development options. Call us for full details. 

Land 
The number of land listings is currently 11% down and the average listing price is down 7%. That may be related to the fact that the land sales are up 14% and the average selling price is up 6% YTD. The Sister Islands land sales data is up 100%, however, the starting point was very low, so it is still relatively slow going there. One of the more interesting land parcels on the market is the waterfront 1.25 acre parcel adjacent to the Grand Old House. There are 5 buildings on the property which generate rental income. However, it's best use would be as a redevelopment parcel using its Beach Resort Zoning which would allow condos, apartments, a small hotel, and even some Commercial applications. The location is excellent, the views are spectacular, the price is negotiable and the owners may be willing to do some owner financing. Call us for full details. 

Commercial 
The Commercial Market for Grand Cayman remained steady for most of 2014. The demand for Office and Retail space increased but was met with excess space held by many tenants at their current location. Many office suites were backfilled by new hires filling spaces that had been vacated during the recession. Improving numbers in cruise and air traffic helped the Retail Sector but not enough yet to lead to additional space demands to justify new construction. For these two reasons, in addition to excessive office relocation costs (improvement costs, moving costs, and extended construction periods) for tenants, Cayman experienced limited movement in the market this past year. Forecasted continued long term growth in Grand Cayman and improved traffic from tourism should help to improve demand in these areas leading more activity for 2015. 

Commercial Lending remains tight for the smaller individual business owners and investors which has kept small business expansion flat throughout the year. 
The Investment Market remains cautious as those affected by FATCA adjust to new transparency laws in Grand Cayman and elsewhere. While many good opportunities remain offering returns of 8% or better with no local taxation on rental income, investor activity was slow with available lending options limiting opportunities to some smaller investors. 2015 should bring continued improving conditions to Grand Cayman which typically follows behind the larger economies of its neighbors. The Hard Rock Caf� is back open on the waterfront under new ownership after a long term lease was negotiated for the Property owner by Tracy and Cody Moore of Coldwell Banker. 
For further information on market vacancy rates, availabilities, and investment opportunities contact Todd Younghans in our office, the only SIOR and CCIM qualified Commercial Specialist in Cayman. 

Sister Islands 
Cayman Brac - Contributed by Irene Scott-Thornton our resident Cayman Brac Agent - Properties available in Cayman Brac remain in good supply. Ocean front lots and homes are at very good value with several prices lowered in the past four months. The closing of The Alexander Hotel resulted in 35 fewer overnight accommodations, with the trickle down effect of visitors choosing rental homes as a viable alternative. A high end beach front condominium development is scheduled to break ground in 2015. Currently, beach front homes are available in the $850K to $985K price range, with one to two bedrooms beach front condominiums priced between US$145K to US$210K. Ocean front properties for single housing range from US$175K to US$325K. With no crime, no crowds, no traffic, and pristine reefs for diving, Cayman Brac remains an island that is secluded and peaceful, with all the benefits of being in the Cayman Islands. 

Little Cayman - Contributed by Wes Dangerfield our resident Little Cayman Agent - Although 2014 was not a record breaking year as far as sales of property goes, there was continued growth in new building. At any given time, new houses were and are under construction, but not so many to change the small island feel that those who live here have come to love. There are properties available for those who want raw land as an investment or to build, houses in different price ranges, and condos (which are becoming more and more difficult to find on the market). 

Development 
The construction of Dart's Kimpton Hotel continues at a rapid pace. The recent acquisition of the Kimpton Chain by the UK based International Hotels Group may lead to more British and European visitors. From 2012 on, Dart has invested more than $62 million of the $240 million Kimpton construction project. Five levels of the hotel structure are complete, taking it to the halfway mark and the condo building is well underway. Preliminary estimates indicate that the Kimpton project will have a total economic impact of more than US$284 million during the construction phase, and once operational will have annual total economic impact of more than US $45 million. Dart has also spent $7 Million over last two years (2012-2014) on the Cayman Islands Yacht Club Renovation. 

There are a number of projects on the books at Planning however, there are not a lot of other large projects which are actually under construction. As we begin to find our way out of this recession which has dogged us for nearly 7 years, has anyone considered what our economy might have been like had Dart not been developing in Cayman? Dart's Investment in Camana Bay through the end of 2010 had a local impact of $826 million. Construction of Camana Bay generated more than 60% of the Islands' construction activity from 2006 - 2008. The economic impact in 2011-2012 was approx. $100 million per year, plus another $30M investment for the most recent commercial building. Surely that was a significant % of our overall GDP. And you will note the Kimpton is being built in accordance with the agreement between Dart and the previous Government, but that agreement still has not been finalized or renegotiated by the current Government. 

Immigration 
Mr. Joseph Hew, Councillor for Tourism and Transport, reported recently that a number of changes to the immigration regulations have been made which are expected to make life easier for visitors, business people and property owners coming to the Cayman Islands. Policy directives that were recently approved by Cabinet will allow business travelers to remain in the country for up to 10 working days without the need to obtain a work permit. It will also allow those who own property in the Cayman Islands and can demonstrate their wealth, to stay for up to six months without having to visit the Immigration Department for visa extensions. This directive was announced in October and was published in the Government's Gazette in December. Both are very welcome and long overdue changes to Immigration Policy and will be implemented shortly. 

Tourism 
You can feel the difference this year. It felt like we have had more tourists on the island and the figures bear that out. Our Air Arrivals have been up this year every single month over last year. We are expecting about a 20% YTD increase once the yearly figures are tallied. And we expect a similar increase (and possibly larger) in the cruise ship YTD arrivals. This is, of course, very good news for our retail businesses and our economy in general. The USA still accounts for 76% of all our Tourism. 

Medical Tourism 
Health City has become more and more active, attracting patients from other jurisdictions (and even locals) for their Cardiac care and Orthopedic departments. And the Perseus PCI Cancer Facility is also finishing up its first year of treatments in Cayman. For those who are not aware of this facility, Perseus is running clinical trials on immunotherapy for solid tumors and is located in the Professional Centre on Smith Road (the Parent Company is Orbis out of Carolina). Perseus takes cells from a patients tumor and develops a serum which is re-injected into the patient and delivered to the T cells which then fight the cancer from within using the body's own immune system. Immunotherapy is recognized as the new direction of cancer treatment because it is less invasive and has virtually no side effects. The unique delivery system developed by Dr. Tom Wagner of the Perseus Group sets itself above the other immunotherapy systems in existence. Their results have been extraordinary in that over time they are experiencing about a 27% success (10 year cure) rate with stage 4 Melanoma cancer patients. Patients come here from all over and their needs are catered to while they are in Cayman. Having a state of the art facility, welcoming friendly staff and a pleasing environment to relax in, make the treatment that much more attractive (see perseuspci.com on the web for further info). 

Infrastructure 
During the aftermath of Hurricane Ivan and during the recession a large number of people left the island. That eventuality added to our economic problems. Subsequently, it was postulated that an influx of about 10,000 people would have a needed positive effect on the Balance Sheet. While we do not doubt that is true, has anyone noticed how bad the traffic has gotten lately? The islands road system as it is, would have grave difficulty being able to handle a large influx of drivers/cars, not to mention exacerbating the unemployment situation. Adding more population will be a good thing, only if our infrastructure can handle it. 

Forecast 
Our Market had an increase in sales activity in early 2014 for the first time in years. That slowed during our summer, which is more in line with historical norms than recessionary times. November and December were good months and prices are rising. We expect our Winter Season to continue the sales momentums demonstrated last Winter. Limited supply in some sectors will likely lead to multiple bidder situations on some properties and prices should continue to rise. But we will see some stalemates in cases which Sellers expectations have out-paced the market. Therefore we expect mostly sunny skies this Winter with occasional clouds. 

We at Coldwell Banker Cayman wish all our readers a Happy and Healthy New Year. 

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