A steady hand
on the projects that matter most.

That's a broad question, because the real answer depends heavily on your specific program, facility type, and stage. In general terms: clinical workflow and continuity of care during construction, regulatory review from multiple agencies, realistic costs for MEP and life-safety systems, a contractor's real preconstruction estimate rather than a third-party database number, and stakeholder alignment on the actual problem you're solving before design starts. That last one is the most overlooked, and it's exactly what our free program readiness assessment is built to surface before you're deep into a program.

Government and public health system contracts add layers of compliance, prevailing wage requirements, public bid law, additional reporting and documentation, that a private commercial project doesn't carry. That adds cost and time, and it means the owner's side needs someone who understands those requirements well enough to protect the project rather than just react to them.

Timelines vary by project size, complexity, and delivery method. A smaller build-out or refresh might run a few months, while a major hospital campus project typically runs three to five years from planning through activation, and major programs can run a decade. Healthcare projects run longer than standard commercial work because of regulatory review, permitting, and phasing around occupied space.

We specialize exclusively in healthcare construction: hospitals, medical office buildings, surgery centers, central utility plants, and other facilities where the work happens around active patient care. That focus is deliberate: healthcare construction has regulatory, workflow, and risk demands that general commercial experience doesn't prepare you for.

As early as possible. The decisions that determine a project's outcome get made long before the first wall goes up, and bringing the right people in early is the single highest-leverage thing an owner can do. If you're even a few years out, that's still the right time. Take our free program readiness assessment to see exactly where you stand today and what to focus on next.

Construction costs vary enormously by project type and market, and general guides are often 30 to 70 percent below what real healthcare projects actually cost. Rather than give a misleading number here, see our full breakdown of real project cost data by category on our blog.

We don't operate as a design-build entity ourselves. As Owner's Representative, we help clients evaluate delivery methods, including design-build, CM at Risk, and traditional AIA contract delivery methods, and choose the one that fits their project and risk tolerance.

Design-build is a delivery method where one entity holds both the design and construction contracts, rather than the owner holding separate agreements with an architect and a contractor. It shifts most of the risk from the owner to the design-build team, since that one party is accountable for both the design and the price, and it compresses the schedule as a result. Worth understanding both sides of that trade before you choose it.

The general contractor is responsible for the critical path schedule, with float and every owner line item represented, and for managing progress against that baseline every month as part of the pay application process. My role is to stay in that rhythm alongside them: regular schedule meetings with the GC and superintendent, especially when activities are shifting or falling behind, so problems get caught and corrected before they compound. The goal is always to maintain or beat the baseline schedule.