MONDAY - APRIL 24, 2023
South Florida Hospital News and Healthcare Report
a Healthcare Media Company Charles Felix
Publisher/ Owner READ THE APRIL 2023 PUBLICATION |
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JUPITER MEDICAL CENTER RECEIVES FINAL APPROVAL FOR NEW 92-BED PATIENT TOWER Target completion date for the $110 million project is May 2025
April 21, 2023– Jupiter Medical Center has received final approval from the Town of Jupiter for a new five-story, 92-bed patient tower. The building is a $110 million project and will add to the hospital’s existing 248-bed capacity. In addition to the tower, the medical center is also approved to build a five-deck garage with 800 parking spaces, a project estimated to cost approximately $25 million. Both projects come amid significant expansions and renovations to the independent, not-for-profit medical center’s main campus at 1210 S. Old Dixie Highway in the heart of Jupiter.
The new patient tower will increase the hospital’s capacity for inpatient care, including oncology, cardiovascular, and orthopedics. The patient tower and the parking garage have a target completion date of May 2025.
“Jupiter Medical Center is currently undergoing the most transformative period in our 44-year history,” said Amit Rastogi, MD, MHCM, President and CEO of Jupiter Medical Center. “We have several expansion projects underway to ensure our community continues to have access to the highest quality health care and best patient experience for generations to come – and right where they need it, close to home.”
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| MEMORIAL HEALTHCARE SYSTEM INVESTS IN ITS COMMUNITY’S FUTURE Land Purchase Paves Way for Significant Possibilities on Iconic Hollywood Corner
April 21, 2023 – Memorial Healthcare System, which has been providing care to Hollywood and South Florida communities for 70 years, has purchased two parcels of land at the corner of Hollywood Boulevard and State Road 7. Previously part of the footprint of the Hollywood Fashion Center, the parcels are approximately eight acres and nearly 360,000 square feet on a high-traffic intersection just east of the Florida Turnpike.
Memorial will convene a work group and consult with internal and external stakeholder audiences to determine the optimal use for the property, but preliminary conversations have focused on a health and wellness hub that would serve the community. “We’re committed to increasing access for a growing population to the high-quality facilities and services residents have come to expect from us,” said K. Scott Wester, president and CEO of Memorial Healthcare System. “While we’ll certainly be creative in our approach to what is ultimately offered, keeping individuals and communities healthy is always our main mission.”
The Memorial property is part of the ongoing revitalization of the 441 corridor and seen as a gateway to Hollywood from the west. There is currently a 155,000 square foot building and an adjacent parking lot on the site.
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MAY 2023 LEGAL WEBINAR REGISTER FOR THE NEXT WEBINAR Presented by: South Florida Hospital News & Healthcare Report
Mirza Healthcare Law Partners, LLC Broward County Medical Association
"How to Approach and Do Business With Large Healthcare Systems" TUESDAY, MAY 16, 2023 6:30PM TO 7:30PM
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UPDATED INFORMATION FROM THE LAST FOUR DAYS IN SOUTH FLORIDA |
VITAS HEALTHCARE INVESTS IN FUTURE NURSES WITH INAUGURAL MIAMI DADE COLLEGE SCHOLARSHIP
April 21, 2023 – The nation’s leading provider of end-of-life care is making access to nursing education more affordable through a scholarship commitment to Miami Dade College Benjamín León School of Nursing. The annual $40,000 grant from VITAS Healthcare provides tuition assistance to four students pursuing a licensed practical nursing (LPN) degree each year.
“VITAS is committed to the future of nursing, and we are honored to provide opportunities to those in the Miami-Dade community who have a passion for hospice care,” said Betty Bel, vice president of operations for VITAS in South Florida and a Miami Dade College alumna. “It is a privilege to support talented, aspiring nurses with tuition assistance for their education and equip them with tools to advance in an industry that ultimately strengthens our entire community.”
The scholarships will be awarded to two recipients each spring and fall semester, totaling four per calendar year. Eligible nursing students who apply for the financial aid will submit a hospice-related short essay and commit to two years of employment with VITAS.
VITAS leaders presented the $40,000 check to the Miami Dade College Foundation, accepted by Foundation CEO Nelson Hincapie and COO Julie Vives, along with Tommie Norris, DNS, RN, dean of nursing; Dr. Bryan Stewart, president of the medical campus; and Kayla Mathis Campbell, chair of the LPN program.
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COMMUNITY SUPPORTERS RAISE $3 MILLION FOR CANCER RESEARCH
Fundraising total is double last year’s amount for Baptist Health Miami Cancer Institute
MIAMI, FL – April 20, 2023 – More than 1,600 participants spent Sunday, March 12, walking and dribbling basketballs while raising money to fund innovative cancer research during the third annual Bounce Back from CancerTM, a partnership between Baptist Health Foundation and the Miami HEAT.
Miami Heat team captain Udonis Haslem led the Miami HEAT’s effort and served as the event’s celebrity ambassador and social media influencer for the second straight year. UD was at the Kaseya Center to celebrate with the dedicated cancer fighters, a quarter of whom walked and dribbled 14 miles from Miami Cancer Institute on Kendall Drive.Bounce Back 2023 Post-Event Image
Bounce Back from Cancer brought together cancer survivors and their supporters, leaders and staff from the Miami HEAT and Miami Cancer Institute, sports fans and community members to help fulfill the Institute’s vision of a world without cancer.
“This year’s Bounce Back from Cancer was an incredible success,” said Richard Berkowitz, JD, CPA, event chair and founding and executive chairman of Berkowitz Pollack Brant Advisors + CPAs. “This groundswell of support for Miami Cancer Institute from survivors, their families and friends allowed us to double the participants and funds raised over last year.
Michael Zinner, MD, CEO and executive medical director of Miami Cancer Institute, added, “The funds raised through this event are furthering our work and enabling us to conduct clinical trials that lead the nation in groundbreaking cancer therapies.”
EVP and chief commercial officer for The HEAT Group, John Vidalin, added, “The entire Miami HEAT organization is once again proud to partner with Baptist Health Foundation for this extraordinary cause. We are excited that more South Florida organizations and participants are inspired to help fund cancer research that is saving lives.
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HCA FLORIDA BRANDON HOSPITAL NOW OFFERING ROBOTIC ASSISTED TECHNOLOGY FOR LUNG CANCER HCA Florida Brandon Hospital now offering robotic assisted technology for lung cancer
April 20, 2023 – HCA Florida Brandon Hospital has performed its first robotic-assisted navigational bronchoscopy for lung biopsy. The new technology improves accuracy and precision of lung cancer biopsy, enabling physicians the ability to diagnose and treat lung cancer earlier than ever.
“According to the American Cancer Society, lung cancer is the second most common cancer in both men and women and is the leading cause of cancer deaths in the United States,” said Tripp Owings, chief executive officer at HCA Florida Brandon Hospital. “We are proud to offer this new robotic technology to our patients in an effort to combat lung cancer and help Floridians live a longer, healthier life.”
The robot features an ultra-thin, easily maneuverable catheter that can move 180 degrees in all directions, allowing doctors to navigate through small and tortuous airways to reach nodules in any airway segment within the lung. The system’s flexible biopsy needle can also pass through very tight bends via the catheter to collect tissue in the peripheral lung, enabling a more precise biopsy and easier surgical experience for patients.
Most lung nodules are small and harmless. But over time, some nodules can grow and even become cancerous. Suspicious nodules larger than eight millimeters may need to be biopsied. Previously, there were several options for testing a lung nodule, including with a needle inserted into the lungs, with a camera placed in the mouth (traditional CT-guided bronchoscopy) or with chest surgery. But nodules at the outer edges of the lungs are hard to reach with these older methods. With robotic bronchoscopy, a highly maneuverable robotic arm is able to get to these distant areas.
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“BROWARD HEALTH GAVE ME HOPE AND A CHANCE AT A NEW LIFE” APRIL 19, 2023 – Hyvelle Ferguson-Davis had a slight headache when she was at work one day in January 2014. As the pain grew stronger, she started having blurred vision, so she decided to head home.
The mother of two did not think much of her headache. “I took an aspirin and laid down for a nap,” Ferguson-Davis said.
Unbeknownst to her, she was having a stroke.
After her nap, her daughter noticed she was slurring her speech and called 911. The paramedics suggested that she should go to the hospital because her blood pressure was high, but the busy mom refused.
“I had a schedule and responsibilities. Back then I used to take care of everyone but myself,” Ferguson-Davis recalled.
Shortly after Ferguson-Davis’ foot went numb and her arm started caving in, her husband rushed her to Broward Health Coral Springs where she learned she was having a stroke.
Our multidisciplinary team successfully treated the slow bleed and sent her to the rehabilitation center at Broward Health North for three weeks.
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AMERICANS ARE THINKING ABOUT END-OF-LIFE CARE BUT FALL SHORT OF MAKING NECESSARY PLANS, ESPECIALLY PEOPLE OF COLOR
Americans Are Thinking About End-of-Life Care But Fall Short of Making Necessary Plans, Especially People of Color
For Black, Hispanic and Asian Americans, uncertainty about where to find information is a factor.
April 12, 2023 – In its annual survey of attitudes about end-of-life care and planning, VITAS® Healthcare found that Americans’ words and actions are not aligned when it comes to advance care planning. Although more than half of Americans say they know the type of medical treatment they want to receive at their end of life, only about one in four (22%) have formally documented their wishes. These discrepancies, which are even more stark for people of color, highlight a gap in American awareness and education on advance care planning.
In its annual Advance Care Planning Report, VITAS Healthcare, the nation’s leading provider of hospice and palliative care, details Americans’ attitudes and opinions on planning for end of life, as well as insights among different generations and racial groups on the topic. The findings come from a nationwide study commissioned by VITAS and issued in conjunction with National Healthcare Decisions Day (April 16).
“Advance care planning is something that can benefit all people. Unfortunately, there is a gap between thinking about end-of-life planning and actually documenting those wishes,” said Dr. Joseph Shega, VITAS executive vice president and chief medical officer. “I can’t stress enough how valuable advance care planning is for all Americans. It allows patients to make their preferences known early and is useful as they become seriously ill and enter advanced disease stages. Knowing a patient’s wishes for end of life ensures care aligns with their goals and values. It also relieves the burden on families to make critical medical decisions on behalf of their loved ones.”
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AWARD-WINNING ORTHOPEDIC SURGEON AVAILABLE TO DISCUSS TIGER WOOD’S ANKLE SURGERY Dr. Ettore Vulcano, Chief, Division of Orthopedic Surgery, the only surgeon in Florida performing this minimally-invasive surgery, available for comment.
April 21, 2023 – Tiger Woods underwent a subtalar fusion procedure to address post-traumatic arthritis from his previous talus fracture. Mount Sinai Medical Center’s award-winning Chief, Orthopedic Surgery available for comment.
Dr. Ettore Vulcano, Chief, Division of Orthopedic Surgery, Director, Foot and Ankle Surgery, Associate Professor at the Columbia University Division of Orthopedic Surgery at Mount Sinai Medical Center, was the first surgeon in the United States, and the only surgeon in Florida, to perform this minimally-invasive surgery.
Dr. Ettore Vulcano is the Chief of the Columbia University Division of Orthopedics at Mount Sinai Medical Center, an Associate Professor of Orthopedics at Columbia University and an Adjunct Full Professor of Orthopedics at Florida International University. He is also Director of Foot & Ankle Surgery, Limb Lengthening and Deformity Correction at Mount Sinai Medical Center.
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HCA HEALTHCARE REPORTS FIRST QUARTER 2023 RESULTS
April 21, 2023 – lNASHVILLE, Tenn.—- HCA Healthcare, Inc. (NYSE:HCA), today announced financial and operating results for the first quarter ended March 31, 2023.
Key first quarter metrics (all percentage changes compare 1Q 2023 to 1Q 2022 unless otherwise noted):
Revenues totaled $15.591 billion
Net income attributable to HCA Healthcare, Inc. totaled $1.363 billion, or $4.85 per diluted share
Adjusted EBITDA totaled $3.172 billion
Cash flows from operating activities totaled $1.803 billion
Same facility admissions increased 4.4 percent and same facility equivalent admissions increased 7.5 percent
“Once again this quarter, our colleagues demonstrated a remarkable ability to adapt and deliver value across all of our stakeholder groups. Their efforts produced solid results that reflected strong demand for our services. Additionally, the investments we continued to make in our colleagues through various programs contributed to further improvements in key metrics. I want to thank them for their dedication, their hard work, and their overall effectiveness in providing high-quality care in the communities we serve,” said Sam Hazen, Chief Executive Officer of HCA Healthcare, Inc.
Revenues in the first quarter of 2023 increased to $15.591 billion, compared to $14.945 billion in the first quarter of 2022. Net income attributable to HCA Healthcare, Inc. totaled $1.363 billion, or $4.85 per diluted share, compared to $1.273 billion, or $4.14 per diluted share, in the first quarter of 2022. Results for the first quarter of 2023 included losses on sales of facilities of $15 million, or $0.08 per diluted share. Results for the first quarter of 2022 included gains on sales of facilities of $10 million, or $0.02 per diluted share. During the first quarter of 2023, we recorded $145 million of revenues, or $0.40 per diluted share, related to resolving certain disputed claims from prior years with a commercial payer.
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CLEVELAND CLINIC-LED STUDY SUGGESTS MORE PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA COULD BE SWITCHED FROM IV TO ORAL ANTIBIOTICS EARLIER Cleveland Clinic-Led Study Suggests More Patients with Community-Acquired Pneumonia Could Be Switched from IV to Oral Antibiotics Earlier
Earlier switching was associated with shorter duration of antibiotics and hospital stay
April 21, 2023 – Findings from a Cleveland Clinic-led study showed for patients with community-acquired pneumonia treated with intravenous (IV) antibiotics, earlier switching to oral antibiotics in clinically stable patients was associated with shorter duration of antibiotics and hospital stay.
The results from this retrospective study, led by Abhishek Deshpande, M.D., Ph.D., a staff physician investigator in the Center for Value-Based Care Research and Michael B. Rothberg, M.D., vice chair of research, Cleveland Clinic Community Care, were recently published in Clinical Infectious Diseases.
Current clinical practice guidelines from the American Thoracic Society/Infectious Diseases Society of America recommend switching from IV to oral antibiotics once patients are clinically stable, which is typically after three days of IV therapy. Early switching in stable patients appears safe but data showed it occurred infrequently in patients with community-acquired pneumonia.
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GUIDEWELL RELEASES 2022 IMPACT REPORT HIGHLIGHTING COMPREHENSIVE APPROACH TO IMPROVING HEALTH OUTCOMES AND INCREASING ACCESS TO CARE The organization’s growing portfolio of health solutions companies works to erode health disparities and advance member and community health April 20, 2023 – GuideWell Mutual Holding Corporation (“GuideWell”), the policyholder-owned, not-for-profit parent to a family of forward-thinking companies focused on advancing health care, today published its 2022 Impact Report.
The report captures GuideWell’s organizational efforts to provide solutions that contribute to improving “whole person health.” It details the company’s integrated approach to ensuring its health plan members and the communities it serves receive proper medical care by tackling issues ranging from physical and mental health to addressing food security and housing affordability. It also describes GuideWell’s inclusive business practices and how its companies are strengthening their talent pipelines and increasing supplier diversity. Finally, the report includes steps GuideWell has taken to adopt sustainable, environmentally conscious practices.
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HEALTH CARE DISTRICT OF PALM BEACH COUNTY’S OUTPATIENT ADDICTION TREATMENT PROGRAM RECEIVES FLORIDA BLUE FOUNDATION SAPPHIRE AWARD
Health Care District of Palm Beach County’s Outpatient Addiction Treatment Program Receives Florida Blue Foundation Sapphire Award
April 20, 2023 – The Health Care District of Palm Beach County was honored to be named the first-place program recipient of the Florida Blue Foundation 2023 Sapphire Award in recognition of the public health system’s innovative outpatient addiction treatment model, which is now being replicated by the state in counties across Florida. The award, along with a $100,000 check, was presented to Belma Andrić, MD, MPH, the Health Care District’s Vice President and Chief Medical Officer at a ceremony in Orlando, Florida on April 12, 2023.
“It’s an honor to accept this prestigious award on behalf of our dedicated team of professionals who brought so much hope to our patients when hope was hard to find,” said Dr. Andrić. “This recognition highlights our five years of data-driven, evidence-based care that treats substance use disorder like any other lifelong, chronic medical condition.” READ MORE |
ENCOMPASS HEALTH ANNOUNCES PLANS TO BUILD A 40-BED INPATIENT REHABILITATION HOSPITAL IN DANBURY, CONNECTICUT
BIRMINGHAM, Ala., April 21, 2023 — Encompass Health Corp. (NYSE: EHC) today announced it plans to build a freestanding, 40-bed inpatient rehabilitation hospital in Danbury, Connecticut. The hospital will be located south of the intersection of Reserve Road and Winding Ridge Way.
The hospital will serve patients recovering from debilitating illnesses and injuries, including strokes and other neurological disorders, brain injuries, spinal cord injuries, amputations and complex orthopedic conditions. In addition to 24–hour nursing care, the hospital will offer physical, occupational and speech therapies to restore functional ability and quality of life. Care will be provided by highly specialized nurses, therapists and physicians.
The hospital will feature all private patient rooms, a spacious therapy gym with advanced rehabilitation technologies and an activities of daily living suite, dining room, pharmacy and therapy courtyard.
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WHO: WILL THE WORLD ERADICATE POLIO IN 2023?
APRIL 21, 2023 – WHO and partners are aiming to interrupt all remaining transmission of poliovirus in 2023. Will the world eradicate this debilitating disease in 2023? How far have we come in our efforts and what will it take to bring the cases down to zero? WHO’s Aidan O’Leary explains.
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AMA STATEMENT ON SECOND COVID-19 BIVALENT VACCINE BOOSTER DOSE FOR CERTAIN POPULATIONS
April 19, 2023 - “Now that a second bivalent booster dose of the Pfizer-BioNTech and Moderna COVID-19 vaccines is available to adults 65 years of age and older as well as people who are immunocompromised and at high-risk of severe outcomes from COVID-19, the AMA encourages everyone who is eligible to get their second booster dose.
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Interview with Shane Strum President/CEO of Broward Health by Charles Felix from South Florida Hospital News and Healthcare Report - February 2023 CLICK HERE NEW Interview with Marisela Marrero, M.D., Senior Vice President of Health Care Equity and Diversity, Equity, and Inclusion (DEI) for Steward Health national health system by Charles Felix Publisher/Owner of South Florida Hospital News & Healthcare Report in February 2023 CLICK HERE
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Upcoming Healthcare
Events are Listed Below |
MARKETING AND PUBLIC RELATIONS CAMPAIGN USING THE RESOURCES OF SFHN&HR
ARTICLES AND ADS FOR THE LAST CALL May 2023 will focus on the following topics:
Annual Salute to Nurses & National Hospital Week- Special Pricing
Nursing Trends & Challenges
Financial Institutions & Healthcare
Updates from Tallahassee
Outsourcing, Billing and Collections for Hospitals and Doctors
Greater Miami Chamber Healthcare Heroes – Special Section Program
This issue also will be distributed to all Attendees at the Healthcare Heroes Event
on May 17, 2023 at Jungle Island
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Call today to find out how to qualify for a FREE Company Bio with any size ad.
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Call me today to discuss editorial and advertising 561-368-6950 |
2023 SFHHA SUMMIT SAVE THE DATE
JUNE 2023 LOOK FOR MORE INFORMATION IN THE NEAR FUTURE |
APRIL 24 Five Year Strategic Planning Committee, Chair, Dana Wallace, M.D.
(Board of Trustees) 6:30 pm via Zoom 27 BCMA Board of Directors, 6:30 pm via Zoom |
. FOR ADDITIONAL INFORMATION ABOUT FUTURE EVENTS
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FICPA HEALTH CARE CONFERENCE
The FICPA’s 2023 Annual Health Care Industry Conference brings together experts in the field providing the latest data, resources, and insights to explore the most pressing issues facing the health care accounting and business community. Our conference this year will be hosted at a new location, the Loews Royal Pacific Resort – Universal Orlando, May 25 – 26, 2023. This is great opportunity to stay and play in Orlando.
Mr. Tommy Inzina, retired CEO of Baycare Health Systems will be our featured opening keynote and share “Lessons Learned Over My 30 Years in Health Care.” We will also have sessions on Health Care Private Equity, Fraud in Health Care, Cybersecurity in Health Care to include Ransomware, and Update from Washington DC, Tax Exempt updates, PIP Update, Accounting and Auditing Update, and more.
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CONSORTIUM TO ADDRESS CULTIVATING THE DIMENSIONS OF POWERFUL PARTNERSHIPS AT ITS NEXT CONFERENCE JUNE 23, 2023
March 23, 2023 – The Consortium’s next educational conference will be held on Friday, the 23rd of June at the Signature Grand in Davie. The theme will be Cultivating the Dimensions of Powerful Partnerships; Advancing Nursing Academia and Practice Leadership. The day will feature presentations in the morning and a series of concurrent breakout sessions in the afternoon. Watch for our call for abstracts and additional details soon. Meanwhile, you can be among the first to register and take advantage of the early-bird savings by clicking here.
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Saturday, May 13, 2023
2 to 6:30 p.m.
5K Start: 5 p.m. Larry and Penny Thompson Memorial Park
12451 S.W. 184th St., Miami, FL 33177
5K Run/One-Mile Walk Join a team Register independently
Start your own team Make your company a sponsor
All funds raised benefit Jackson Behavioral Health Hospital. |
NAMI MIAMI-DADE (NATIONAL ALLIANCE ON MENTAL ILLNESS ) TO HOST THIRD ANNUAL WALK FOR MENTAL HEALTH AWARENESS IN MIAMI ON SATURDAY, MAY 20 AT LOAN DEPOT PARK The walk will increase awareness, present programming about suicide prevention and provide needed funds for NAMI Miami’s free services amidst the continued demand for mental health support in the community.
March 28, 2023 – In honor of Mental Health Awareness month in May, the National Alliance on Mental Illness (NAMI) Miami is hosting A Walk for Mental Health Awareness, on May 20 from 8 am – 11:30 am at Loan Depot Park, Home of the Miami Marlins. The event raises awareness and crucial funding for local mental health services and has sponsorship and walk team opportunities available for those interested in participating.
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SUNBURN CANNABIS OPENS 10TH FLORIDA RETAIL LOCATION IN KEY WEST Launches New Piattella Aged Water Hash and Live Rosin Nectar in Time for 4/20
April 17, 2023- Sunburn Cannabis, a Florida-based and licensed vertically integrated cannabis operator, today announced the opening of its Key West Sunburn Cannabis dispensary, the company’s 10th retail location in the Sunshine State. “As a kid that grew up on Sugar Loaf Key and went to Key West elementary school, opening a Sunburn dispensary on Duval Street in Key West is quite the full circle moment for me”, said Brady Cobb, CEO and Founder of Sunburn Cannabis. “Sunburn is a brand inspired by Florida’s rich cannabis history, and we are proud to pay homage to the legacy left by pioneers like my father, whose journey in cannabis started in Key West, by providing high quality products crafted by Floridians, for Floridians.”
In addition to the new retail location, Sunburn Cannabis is excited to announce the launch of two new products, Piattella Aged Water Hash and Live Rosin Nectar. Piattella Hash is a type of aged hash made using a traditional technique from Spain known as the “Piattella” method, which involves rolling or pressing cannabis resin collected from trichomes into thin sheets or plaques, and then aging it to produce next-level effects and aroma. Sunburn’s Rosin Nectar is an edible cannabis concentrate infused with live rosin, created through a solventless extraction process that separates trichomes using only ice and water. Rosin Nectar is strain-specific, with unique cannabinoid profiles still intact, delivering a more potent and consistent experience, and will be available in Watermelon, Cherry, Blueberry, Peach and Mango flavors.
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Over 810,000 Patients in Florida are using Cannabis as their Medicine FOR LATEST OMMU REPORTS FROM OFFICE OF MEDICAL MARIJUANA USE IN THE STATE OF FLORIDA
CLICK HERE Highlights from APRIL 21, 2023 Report BY THE NUMBERS Qualified Patients: (Active ID Card): Apr 21 2023- 810,685 Apr 14 2023- 807,438 Apr 07 2023- 805,491 Mar 31 2023- 804,066 Mar 24 2023- 802,251
Patients Added Last Week: 3,247
Qualified Ordering Physicians: 2,478
New Doctors added Last Week: -16 Reporting Period: APR 14 - APR 20 2023 Amount of Medical Marijuana Dispensed - (mgs THC) 437,652,677
Amount of Low-THC Cannabis Dispensed - (mgs CBD ) 5,003,207 Amount of Marijuana in a Form for Smoking (oz) 136,330.375 Approved Dispensing Locations: 564 Added Last Week: 4
AYR CANNABIA - ORLANDO FLUENT - PENSACOLA GOLD LEAF - SEBRING SUNBURN - KEY WEST |
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