Project Management
The Missing Piece
Opening a dental, medical, or veterinary practice is one of the largest financial and professional investments a healthcare provider will make. Most doctors recognize that developing a practice involves much more than finding a location and hiring a contractor. They know someone needs to coordinate the process, manage the professionals, produce the budget, monitor the budget, protect their interests, and make sure everything comes together. Yet surprisingly, many doctors don’t realize that a dedicated Start-Up Project Manager exists specifically to handle these responsibilities.
Instead, many turn to practice consultants, equipment dealers, real estate brokers, architects, or contractors, assuming one of these professionals will manage the entire development process. While each plays an important role, their responsibilities are generally limited to their particular area of expertise. A consultant may help with business planning and operations, and provide many referrals for everything, a realtor with finding a location, and a contractor with construction. But who is managing the entire project on behalf of the doctor? Who is coordinating all these professionals, evaluating their recommendations, tracking the overall budget, and making sure every decision supports the practice owner’s best interests?
That is the role of a Start-Up Project Manager and Owner’s Representative. At Arminco, we bring the entire development process together under one coordinated strategy, helping doctors avoid costly mistakes, make informed decisions, and move from the initial vision to opening day with greater confidence.
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01The Challenge
Opening a Practice Means Managing Everyone
Dozens of companies, trades, and professionals — each with their own timelines. Compare doing it alone with having one person handle it for you.
- Clear Communication
- Guidance
- Updates
- Peace of Mind
Project Manager(Your Single Point of Contact)
- Location Search & Realtor
- Financing & Lender
- Insurance (Property, Liability, Etc.)
- Space Study / Survey
- Budgeting
- Design & Architecture
- Construction & Contractors
- Equipment & Vendor Coordination
- IT & Technology
- Cabinetry & Millwork
- Marketing & Branding
- Insurance Credentialing
- Permits & Authorities
- Ongoing Vendors & Support
Real Estate
BrokerLender
Insurance
AgentSpace Study
& SurveyBudgeting
Design
& ArchitectConstruction
ContractorDental/Medical
EquipmentIT &
TechnologyCabinetry
& MillworkMarketing
Insurance
CredentialingPermits &
AuthoritiesOngoing
Vendors
02The Time It Takes
Hundreds of Hours of Coordination
Here’s where the time goes when you manage the start-up process yourself.
- 80hours
Finding a Location
Research, tours, negotiations, lease/purchase, due diligence
- 60hours
Financing
Find and evaluate lenders, prepare information, approvals
- 30hours
Insurance
Evaluate agents, policies, coverage, requirements
- 40hours
Space Study & Feasibility
Surveys, site conditions, analysis, budgeting
- 70hours
Design & Permitting
Architects, engineers, county reviews, permits, revisions
- 80hours
Construction
Contractor selection, meetings, change orders, site visits
- 40hours
Equipment
Vendor selection, layouts, quotes, installation coordination
- 20hours
IT & Technology
Network, phones, software, security, AV
- 20hours
Cabinetry & Millwork
Design, shop drawings, selection, coordination
- 20hours
Marketing & Branding
Branding, signage, website, pre-opening
- 30hours
Credentialing & Licenses
Licenses, registrations, insurance credentialing
03The Real Cost
Time You Could Spend Elsewhere
Every hour spent chasing vendors is an hour taken from something that matters more.
Those 450 hours could be spent on:
Time with Family
Family dinners, kids’ activities, weekend events, vacations.
Personal Time
Exercise, hobbies, travel, relaxation, and the things you enjoy.
Your Patients
More time seeing patients and focusing on your practice and clinical excellence.
Reduced Stress
Less time worrying about contracts, vendors, deadlines, and unexpected problems.
04One Person, Everything Covered
What Your PM Coordinates
Your Start-Up Project Manager handles every part of the process — so you don’t have to.
Location & Realtor
Financing & Lender
Insurance
Space Study & Survey
Budgeting
Design & Architecture
Construction
Equipment
IT & Technology
Cabinetry & Millwork
Marketing
Insurance Credentialing
Permits & Authorities
Ongoing Support
05The Value
More Than a Line Item
The value of 450 hours goes far beyond money.
Time with your family
Moments you can’t get back.
Your personal well-being
Health, exercise, hobbies, and relaxation.
More time for your patients
Focus on what you do best.
Less stress and uncertainty
Avoid costly mistakes and delays.
Faster, smoother opening
Get to seeing patients sooner.
A project manager costs a fraction of what your time is worth.
Hiring a dedicated Start-Up Project Manager isn’t an expense — it’s a smart investment that saves you time, reduces risk, and helps protect one of your most valuable assets: your time.
06Your Next Step
What’s Your Time Worth?
Opening a practice takes about 450 hours of coordination. See what that time is worth to you.
Managing it yourself costs you
$135,000in your time — 450 hours, or 11+ full work weeks.
A Start-Up Project Manager:
Your time is worth the cost.
A dedicated Start-Up Project Manager costs a fraction of that — and gives you the time back.
Talk to Us About Your PracticeEstimate for illustration only, based on your hourly value × coordination hours.
You shouldn’t have to become a Project Manager to become a Practice Owner
Without a dedicated Project Manager, the responsibility of managing every professional, vendor, contract, deadline, budget, and decision falls directly on the practice owner. From identifying and selecting the right professionals to evaluating proposals, coordinating communication, resolving conflicts, and monitoring costs, the doctor becomes responsible for bringing every moving piece together—all while continuing to see patients and manage their existing responsibilities.
Developing a new practice is a full-time responsibility, not a side project. Consider this: a typical 2,500-square-foot start-up practice can require approximately 450 hours of comprehensive project management, even when managed by an experienced professional who understands the process, the industry, and the challenges involved. That’s more than 11 full-time workweeks dedicated solely to managing the project.
Now imagine taking on that responsibility without prior development experience. Those 450 hours don’t account for the additional time a doctor may spend researching unfamiliar processes, identifying qualified vendors, understanding construction requirements, comparing costs, navigating regulations, and learning how the different phases of development fit together. What takes an experienced Project Manager 450 hours could take a practice owner significantly longer—not to mention the potential cost of mistakes made along the way.
And the real challenge isn’t simply managing the project when everything goes according to plan. It’s knowing what to do when things go wrong.
Without a Project Manager, you must understand the development process, know the market, recognize reasonable costs, anticipate potential problems, and determine how to resolve issues when they arise. When a contractor falls behind schedule, a design conflicts with equipment requirements, a vendor misses a deadline, or unexpected costs surface, who determines responsibility? Who evaluates the options? Who protects your interests and keeps the project moving forward?
Without a dedicated Project Manager, that person is you.
At Arminco, we believe your time is better spent focusing on your patients, your practice, and your future. Let experienced professionals manage the complexities of development while you remain informed, involved, and in control of the decisions that matter most.
Investment Breakdown
Feasibility
Location Guidance & Planning
12 hours- Interview, Recommend and Work with a Realtor
- Evaluate Financing Options
- Loan/Mortgage Monthly Estimate
- Two Extensive Demographic Studies
- Lease Negotiation/Purchase Terms Support
Business Plan
10 hours- Executive Summary
- Business Description
- Industry Background
- Competitor and Market Analysis
- Marketing and Financial Plan
Project Budget Planning
14 hours- Inspection Report/Evaluation
- Building Study
- Test-fit Floor Plan
- Project Budgeting Including Construction Budget
Planning & Procurement
Expert Value Engineering
60 hours- Screen Designer/Architect/Engineer
- Screen IT Company and IT Planning
- Bid Management and Price Evaluation
- Contract Review and Negotiation
- Contract Evaluation and Selection
- Risk Assessment and Mitigation
Equipment Guidance
40 hours- Equipment Planning, Shopping, Pricing, and Present Options
- Vendor Selection
- Demo(s) and Selection
Cabinetry Guidance
25 hours- Cabinetry Planning, Drawings, Pricing, and Present Options
- Evaluate Availability
Dental Insurance Credentialing
25 hours- Negotiation and Set-Up
HR Documents
10 hours- Handbook
- Hiring Preparation and Methods
- Light Employment Laws
Marketing Planning
50 hours- Website Development
- Initial Logo Creation
- Marketing Strategy Outline
Implementation
Construction Management
135 hours- Construction Scheduling
- Managing Timeline
- Coordinating with Vendors
- Directing the Contractor
- Coordinate Weekly Progress Calls
- Change Order Management
- Payment Sign-Offs
- Record Keeping
- Quality Control
- Budget Control
- Expense Tracking
- Punch List Management
- Final Walk-Through and Delivery
- Owner Advocacy
*This stage can only be one comprehensive package; line items cannot be broken into separate services.
Additional Services
Final Floor Plan
24 hours- Refined and Detailed Layout Reflecting all Feedback
- Optimized for Workflow, Function, and Efficiency
- Code-Compliant and Accurately Dimensioned
- Professionally Formatted for Presentation and Review
Benefits of Having a Project Manager

Before You Start Your Practice, Talk to Someone Who Knows the Entire Process.
Whether you’re opening your first practice, expanding, relocating, or developing multiple locations, Arminco provides Project Management and Owner’s Representation services for dental, medical, and veterinary practices throughout the United States and Canada.
Schedule a complimentary 45-minute consultation to learn how our team can help you plan smarter, avoid costly mistakes, and simplify the journey from concept to opening day.
When Is the Best Time to Hire a Project Manager?
Your Project Manager Should Be Your First Hire, Not Your Last.
One of the most common mistakes doctors make when opening a new practice is waiting too long to hire a Project Manager. Many begin the process by contacting real estate brokers, lenders, equipment vendors, architects, or contractors, only to realize later that they need someone to coordinate all these professionals and manage the overall development. Unfortunately, by that point, important decisions may have already been made, commitments established, and opportunities to save time and money missed.
The most effective and efficient way to develop a successful practice is to bring your Project Manager on board before anyone else.
A qualified Start-Up Project Manager should be involved from the very beginning, even before you start looking for a location. The process should begin with understanding your vision, professional goals, financial expectations, preferred location, practice size, operational needs, and long-term growth plans. Working closely with you, your Project Manager helps develop a comprehensive business and development plan that establishes the project’s direction, preliminary budget, timeline, priorities, and overall strategy.
Once that foundation is established, your Project Manager begins assembling the right team for your specific project. This includes identifying, interviewing, evaluating, and coordinating real estate brokers, financing partners, insurance professionals, architects, engineers, contractors, equipment suppliers, technology providers, and other specialists as needed. Rather than hiring professionals independently and hoping their work aligns, each team member is selected based on the project’s requirements, budget, timeline, and overall objectives.
Every practice is different, and every project deserves a customized approach. A new dental start-up, a veterinary hospital, a surgery center, and a multi-location expansion all have different requirements. Your Project Manager ensures that the right professionals are brought in at the right time, with clearly defined responsibilities and a coordinated plan.
Remember: The purpose of a Project Manager isn’t simply to manage the work after decisions have been made. It’s to help you make the right decisions from the very beginning.
At Arminco, we believe successful projects start with proper planning, not with signing a lease or hiring a contractor. The earlier we become involved, the greater our opportunity to help you avoid costly mistakes, control expenses, reduce risks, and create a smoother path to opening day.
Don’t hire a Project Manager to fix your problems. Hire one to help prevent them.

