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.

You Know You Need Help

You Just Didn’t Know a Project Manager Exists

Most doctors know a dental, medical, veterinary, or optometry practice is a complex project with many moving parts. So they hire a “consultant,” thinking they are getting a project manager. In reality, most consultants focus on one piece only — leaving you to manage the rest.

A dedicated Start-Up Project Manager (PM) takes full ownership of your project, coordinates every team member, and keeps your project on time, on budget, and on track — so you can focus on your patients and your future.

You shouldn’t have to become a Project Manager to become a Practice Owner

Project ManagementWithout 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.

What is 450 Hours Worth to You?

It’s more than a project. It’s your time, your family, and your life.

A typical 2,500 sq. ft. start-up practice requires approximately 450 hours of comprehensive project management — even when managed by an experienced professional.

Without a Project Manager, that time comes directly from you.

One Point of Contact. Every Detail Managed.

Imagine developing your new practice without having to personally coordinate a dozen different companies, negotiate every proposal, follow up on every deadline, or resolve every issue that arises.

Your Start-Up Project Manager becomes your central point of contact, your advocate, and the person responsible for coordinating the development process on your behalf.

From evaluating locations and securing financing to overseeing design, construction, equipment, technology, and opening preparations, Arminco helps bring all the moving parts together. Instead of managing each company independently, you work directly with your Project Manager, who coordinates the professionals, monitors progress, identifies potential problems, and brings important decisions to you with the information needed to make them confidently.

You remain in control of your practice and the final decisions. We take on the responsibility of organizing, coordinating, and managing the process.

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
Package Total36

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
Package Total210

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.

Package Total135

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

  • Understand numbers, projections and budget
  • Time savings
  • Reduce Risks & Mistakes
  • Control Costs
  • Better Decisions
  • Stay Focus
  • Less Stress
  • One Point of Contact

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.

Project Management

Thinking about opening a practice follow these steps:

  • Interview Project Managers
  • Hire Project Manager
  • Develop Business Plan with Project Manager
  • Establish Budget & Strategy
  • Assemble the Team
  • Execute Managing the Project

What Our Clients Say

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Tim profile picture
Tim
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Alen and their team are amazing!
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Yared Dejene profile picture
Yared Dejene
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I appreciate the effort getting back to me and looking forward to wowing with you.
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Kevin Bunin profile picture
Kevin Bunin
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We recently completed renovation of our Bunin Dental office in Burke Virginia with Arminco and had an incredible experience. The transition through each phase was seamless and the effort of the team to complete each component quickly and at the highest level was always apparent. From the start, the owner Art was easy to work with and helped explain the process and coordinate the back end of the project. The design team with Giselle and Kevin helped make sure the office flowed smoothly and turned out elegantly. Our construction team headed by Artak ensured each step was finished with precision and attention to detail. Artak was an excellent project manager making sure the architectural design on paper perfectly matched the finished project. The equipment and cabinetry was chosen and installed by Mark and Dara and their team and worked perfectly with the office design and flow. The entire team was always available to answer questions and assist thought the entirety of the project. We are so happy with our amazing new office and thanks to Arminco for doing such a great job.
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Ronan Freyne
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After working in the same space built  20 years ago, we recently completed the build out of our new dental office with Arminco. It started with our design crew, Anna and Gisselle, who were instrumental in executing the design elements we envisioned for our new office. I don't know where to begin with the build out process. Artak, Dara and Jersin were amazing with their communication, availability and detail. What impressed us most, was how consistently involved they were from start to finish. No matter the issue or question, they remained in constant contact, kept us updated, and made sure nothing was left unaddressed. That level of communication made a stressful process feel much more manageable. It was clear they genuinely cared about delivering a finished office we could be proud of.Building a dental office comes with many moving parts, and having a contractor who is reliable, communicative, and committed to follow-through made all the difference. We appreciate the effort the entire team put into bringing our space to life and would gladly recommend them to others looking for a dependable construction partner.
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Angela Austin
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This is our 3rd office that Arminco has built or remodeled. This most recent time, Kevin and Gisselle beautifully designed and Vahagn led the construction team. Wow. Every detail and the calm and ease of this team is remarkable. Our office is stunning! Very grateful. When someone can make a possibly stressful task, and turn it into a calm and exciting project, that's rare and Vahagn made sure of it. Thanks everyone!
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Brent Hockins
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We had a great experience working with the design team from start to finish. From the initial design concepts through coordinating the finish schedule, the process was smooth and well managed. Gisselle and Natalya went above and beyond to assist throughout the project, keeping us informed every step of the way and ensuring deadlines were met. Their communication and attention to detail made a real difference. Highly recommend this team.
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Issa Abou ayyash profile picture
Issa Abou ayyash
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I had a wonderful experience working with Arminco Inc. The team is professional, responsive, and truly cares about their clients. A special thank you to Anna and Gisselle — they were always available, kept me updated throughout the process, and made everything smooth and stress-free. I would definitely hire them again for future projects. Highly recommended!
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Dianne Leduc
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On behalf of Allergy Partners of Northern Virginia I would like to extend our deepest gratitude for the professional beautiful work. Once again Arminco and Vahagn the Project Manager for our new clinic did a beautiful job. We could not be happier. Through many road blocks that came up Vahagn came through. This is the second site that Vahagn has managed for us. Gisselle and Natalya and the rest of the team were also very professional . Allergy Partners of Northern Virginia highly recommends this extremely talented Company. Thanks to all.
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Ncps Manager
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Overall work to make our new spa room in the practice was planned and executed very well. Five stars to Vahagn's management skills and construction knowledge. He was on top of his game - consistently followed up for next steps.
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Satyam Patel profile picture
Satyam Patel
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Five stars for a truly talented design team! We really appreciated the dedication and creativity poured into our project from start to finish. Sara was an absolute rockstar from the very beginning; her guidance was invaluable, and she remained incredibly helpful throughout the entire process. We also loved collaborating with Giselle and Kevin to help bring our dream to reality, their contributions were nothing short of awesome. The team was so easy to work with, making the journey feel seamless and enjoyable. Thank you to Sara, Gisselle, and Kevin for your hard work in getting us to the finish line!