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
The Schedule Says January 31. That Is Not Your Opening Date.
A construction schedule tracks the GC's scope, with the GC's dates on the bars the GC doesn't control. On a first PACE center, the DHCS readiness sequence, utility energization, and your own load-in decide the go-live. How to read all three timelines, and what to ask on the OAC call.
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.
Building Site 2 While You're Still Growing Site 1
Your second build runs on the same scarce resources as your first live clinic: attention, clinical leadership, and cash. How to structure decision rights, the prototype, and the cash model so the ramp and the build stop competing.
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
The Coordination System: Who You Actually Need to Build Your First Clinic, and When
A first clinic is four phases, each with specialists who add the most value at specific moments. The seams between them are where 25% of timeline and budget disappear. A phase-by-phase map of who you actually need, when.
The First 90 Days: Why Healthcare Handoff Is the Most Fragile Phase
The first 90 days after CO isn't a victory lap — it's a stabilization phase where warranty gaps, workflow friction, and handoff failures get expensive.
Capital Protection vs. Coordination: The Most Expensive "Savings" in Healthcare Real Estate
Managing your own healthcare buildout isn't a cost-saving measure—it's a tax on your focus and capital. Avoid 25-50% project overruns and realize 5-10X ROI with why integrated oversight.
Your A-Team for Healthcare Clinic Development: Who You Need and How to Vet Them
Building a clinic means building a team. Learn what to look for in your brokers, architects, contractors, and project managers to ensure your next healthcare facility launches on time and on budget.