Renovating a Clinic that has to Stay Open
Keeping a clinic open through a renovation usually costs 15 to 30 percent more and takes 30 to 50 percent longer than the same scope in an empty space. Here is what that premium is made of, how to sequence phases around care delivery, and when a short shutdown is the cheaper answer
Cheap Is Expensive. What Quality Actually Costs.
The fee is what you pay. The cost is what you end up paying. Why the cheap team is routinely the expensive option on a clinic build, and how to read a fee proposal by its contents instead of its total.
You Built to the Permit. Change Orders Came Anyway.
Your drawings were reviewed, your contract negotiated, your permit stamped — and change orders come anyway. The three places they start, and what actually manages each one.
GMP, Cost-Plus, or Lump Sum: How to Manage Construction Risk
Lump sum, GMP, or cost-plus is the system that decides who pays when reality diverges from the drawings. How to match the structure to your project