Three PAD applications for Shetty hospital site

The site of the proposed Shetty hospital development project in Grand Cayman is now subject to three separate planned area development applications. 

A planned area development, or PAD, application is a submission to the Central Planning Authority for mixed-use development for an area of more than 40 acres. 


Three plans 

On 21 November, Health City Cayman Islands submitted its PAD application to build a 
hospital, hotel and medical and nursing schools on 50 acres of land in the High Rock area of East End, at a cost of $160,000 in planning fees. Two days later, Health City Development Limited submitted another PAD for an adjoining 50 acres for another hotel, commercial and retail areas, apartments and homes, assisted living accommodation and restaurants, which cost $25,000 in planning fees. 

On 29 November, City Services (Cayman) Limited, run by developer Joe Imparato, lodged an application for a 132-acre community surrounding the hospital, which includes hotels, residential areas, commercial buildings, retail outlets, restaurants and civic buildings. The planned area development application carried with it a $66,000 application fee and did not include requests for any fee waivers or government concessions. 

Mr. Imparato said site preparation and road infrastructure work could begin early next year. 

Architect Burns Conolly, who is working with the Health City Cayman Islands on the project, said the three PADs were submitted around the same time so that the Planning Department and Central Planning Authority could consider them together and see how the three sites would impact on one another. 

“It was important to get them all in so [Planning] could see the relationship between them,” said Mr. Conolly, who added that the three companies that submitted the PADs had worked closely together and with the Planning Department. 



PAD application fees cost $500 per acre, meaning Health City Cayman Islands paid $25,000 for the PAD application lodged on 21 November. Mr. Conolly said the company also paid about $55,000 in planning fees for the planning permission application for the first phase of the hospital and $80,000 for half of the building control fees.  

The Central Planning Authority is expected to consider the applications next month. If the authority approves the application, Mr. Conolly said Health City Cayman Islands would need to pay another $80,000 at that stage in building control fees.  

These are the first applications of their kind to be submitted following a change in the Planning Law in 2010, which introduced the concept of planned area development that provide for a mixture of land uses, densities and open space. 



The Health City Cayman Islands plans call for a 150-bed cardiac and orthopaedic hospital to be built from 2012 to 2013; a 360-bed facility for other specialties, as well as medical and nursing schools for 2,000 and 1,000 students, and a 300-room hotel to be built from 2014 to 2016; a transplant facility with 500 beds to be built from 2017 to 2019; and a further expansion of 1,000 beds from 2020 to 2030. 

The Health City Development plans call for 150,000 square feet to be built from 2014 to 2016 (residential, office, retail, restaurant, shopping centre and saltwater air-conditioning plant); 300,000 square feet to be built from 2016 to 2018 (retail, office, assisted living, residential, park); 380,000 square feet to be built from 2018 to 2021 (residential, offices, retail, apartments); and 500,000 square feet to be built from 2021 to 2023 (retail, residential, homes, hotel, condominium).  

The Health City Development group is a joint venture, owned 70 per cent by Ascension Health Alliance of St. Louis, Missouri, and 30 per cent by Dr. Shetty’s interests. Dr. Shetty’s local partners include Gene Thompson and Harry Chandi. 

Mr. Conolly said the PADs were the master plans, but separate planning permission applications would also have to be submitted to the Central Planning Authority for each building and Health City Cayman Islands had submitted an application for the first phase of the hospital project – a 140-bed hospital due to open in early 2014. 

More PADs may be forthcoming as the project continues because the Shetty group has options to purchase more land from Mr. Imparato at the 600-acre site at High Rock. Eventually, the facility would grow to be a $2 billion, 2,000-bed hospital over the next 15 years, the developers have said. 

Although the Cayman Islands government has agreed to give a variety of concessions to the project, these do not include concessions at the construction stage. 


  1. Very exciting times for the island. The global depression is expected to last for many more years and with the investments of Shetty and Dart the island has a bright future with sustainable business models not reliant on the financial sector. My only concern is why does it take so long for anything to happen here?

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