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.
- 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
Who Is Your Project Manager?
Every Project needs a Project Manager. If you don’t hire one, then you become the Project Manager. A Project Manager is someone who takes responsibility for overseeing the entire project, from the initial concept to completion. It is the out most important partner you will need for your project, and unfortunately most healthcare professionals fail to hire one.
Real Estate Broker
Real Estate Broker
Property searches, site selection, market comparisons, property tours, lease or purchase negotiations, and coordination of real estate transactions.
Insurance Agent
Insurance Agent
Evaluating insurance needs, obtaining quotes, comparing coverage, arranging policies, and coordinating insurance documentation.
Lender / Financing Partner
Lender / Financing Partner
Financing applications, loan structuring, credit evaluation, underwriting, loan approval, funding requirements, and disbursements.
Equipment Vendor
Equipment Vendor
Equipment selection, specifications, pricing, purchasing, delivery, installation, and equipment-related coordination.
Cabinetry / Millwork Company
Cabinetry / Millwork Company
Cabinet design, material selection, shop drawings, fabrication, delivery, and installation of cabinetry and millwork.
Architect / Designer
Architect / Designer
Programming, space planning, schematic design, interior design, architectural drawings, consultant coordination, construction documents, and design-related permitting support.
General Contractor
General Contractor
Construction activities, subcontractor management, construction scheduling, jobsite safety, material procurement, inspections, and construction quality control.
Marketing Company
Marketing Company
Branding, logo development, website design, digital marketing, advertising, social media, signage coordination, and patient acquisition campaigns.
IT Company
IT Company
Network infrastructure, computers, telecommunications, cybersecurity, software deployment, data systems, and technology installation.
Attorney / Lawyer
Attorney / Lawyer
Business entity formation, lease and purchase agreement review, contract negotiations, legal risk assessment, partnership and ownership agreements, employment contracts, regulatory compliance advice, and legal protection of the practice owner’s interests.
CPA / Accountant
CPA / Accountant
Financial planning, tax strategy, business structure recommendations, financial projections, cash-flow analysis, accounting systems, tax deductions, depreciation strategies, and financial considerations related to start-ups versus acquisitions.
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.
The Proper Steps For Starting A New Practice
-
Hire a Project Manager
Your single point of contact.
Your project manager will:
- Understand your goals and vision
- Build the right team
- Manage the process, budget and timeline
- Coordinate all professionals
- Solve challenges and protect your investment
-
Discover & Plan
Define your vision and build a solid foundation.
Key outcomes
- Business plan
- Define services and growth plans
- Space and operational requirements
- Budget parameters
- Target timeline
-
Find the Location
Work with a Real Estate Broker to identify the right site.
Real estate broker
- Site search and market analysis
- Tour properties
- Negotiate lease or purchase
-
Feasibility Analysis
Evaluate the opportunity and confirm it makes business sense.
Key analysis
- Total project budget
- Location suitability
- Demographics & market demand
- Financial projections
- Return on investment (ROI)
Lender
- Loan options and financing structure
- Pre-approval process
- Funding requirements
-
Design & Plan the Project
Assemble your starting team.
Attorney (Lawyer)
- Entity structure and legal review
- Lease/purchase agreements
- Contract negotiations
- Regulatory compliance
Architect / Designer
- Space planning and design
- Architectural drawings
- Permitting support
- Coordinate building requirements
Insurance Agent
- Builder’s risk and liability
- Business interruption
- General and professional liability
- Workers’ compensation
-
Select & Coordinate Key Vendors
Finalize the major components of your practice.
Equipment Vendor
- Equipment selection
- Specifications and pricing
- Delivery and installation
- Service and support
Cabinetry / Millwork
- Custom cabinetry and millwork
- Design and material selection
- Shop drawings and installation
IT Company
- Network infrastructure
- Computers and hardware
- Software and integrations
- Cybersecurity and support
Marketing Company
- Branding and logo
- Website and digital marketing
- Signage and advertising
- Patient acquisition strategy
-
Implement Building the Practice
Bring the design to life.
General Contractor
- Manage construction
- Coordinate subcontractors
- Maintain schedule and quality
- Oversee inspections and safety
CPA (Accountant)
- Tax strategy and planning
- Financial management systems
- Depreciation and Section 179
- Ongoing accounting support
-
Open Your Practice
Ready to see patients.
- On time.
- On budget.
- Ready for patients.
- Positioned for growth.
What is 450 Hours of Your Time Worth?
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.
Total: 48 hours
- Location Guidance & PlanningInterview, Recommend and Work with a RealtorEvaluate Financing OptionsLoan/Mortgage Monthly EstimateTwo Extensive Demographic StudiesLease Negotiation/Purchase Terms Support20 hrs
- Business PlanExecutive SummaryBusiness DescriptionIndustry BackgroundCompetitor and Market AnalysisMarketing and Financial Plan10 hrs
- Project Budget PlanningInspection Report/EvaluationBuilding StudyTest-fit Floor PlanProject Budgeting Including Construction Budget18 hrs
Total: 222 hours
- Expert Value EngineeringScreen Designer/Architect/EngineerScreen IT Company and IT PlanningBid Management and Price EvaluationContract Review and NegotiationContract Evaluation and SelectionRisk Assessment and Mitigation60 hrs
- Equipment GuidanceEquipment Planning, Shopping, Pricing, and Present OptionsVendor SelectionDemo(s) and Selection40 hrs
- Cabinetry GuidanceCabinetry Planning, Drawings, Pricing, and Present OptionsEvaluate Availability30 hrs
- Dental Insurance CredentialingNegotiation and Set-Up30 hrs
- HR DocumentsHandbookHiring Preparation and MethodsLight Employment Laws12 hrs
- Marketing PlanningWebsite DevelopmentInitial Logo CreationMarketing Strategy Outline50 hrs
Total: 180 hours
- Construction ManagementConstruction SchedulingManaging TimelineCoordinating with VendorsDirecting the ContractorCoordinate Weekly Progress CallsChange Order ManagementPayment Sign-OffsRecord KeepingQuality ControlBudget ControlExpense TrackingPunch List ManagementFinal Walk-Through and DeliveryOwner Advocacy180 hrs
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.
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.
Schedule Your 45-Minute ConsultationThose 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.
Frequently Asked Questions
Ideally, your Project Manager should be the first professional you bring on board, before hiring a real estate broker, selecting a lender, or signing a lease. The process should begin with understanding your vision, developing a preliminary business and development plan, establishing budget parameters, and identifying your operational requirements. Your Project Manager can then help assemble the right team and coordinate the process in the proper sequence.
Step 1: Interview and hire individual/company for project management
Step 2: Develop a business plan with your PM
Step 3: Stablish project budget and strategy
Step 4: Assemble the needed team
Step 5: Execute managing the project
Remember, every project is different in its own way and there is no one cookie-cutter way of doing things. Hiring a proper knowledgeable Project Manager will provide you with the most benefits.
A practice consultant generally focuses on the business and operational aspects of your practice, such as staffing, financial performance, workflow, leadership, and growth strategies. A start-up project consultant will generally provide you with advise and refer you to companies to help you manage the project yourself. A Start-Up Project Manager focuses on the development process itself, including real estate, financing coordination, feasibility, design, construction, equipment, technology, and opening preparations. Both can be valuable, but they serve different purposes. A good PM helps you save time by doing your leg-work and help direct you in making good decisions.
Because opening a healthcare practice is one of the largest investments you will make, and that investment deserves professional proper management. Ask yourself this: why do you need a contractor? Why do you need a lender? Or a lawyer? Or an architect? The answer is because it is the proper way of doing things. Having professionals in what they do helps the project become efficient. Same applies for the Project Management position. Without anyone od these professionals involved, you are the one that ends up doing the work.
Project Management fees depend on the size, complexity, location, and scope of your project. A small dental start-up will have different requirements than a multi-specialty medical practice or surgery center. At Arminco, we evaluate your specific needs and provide a clearly defined scope of services and fee proposal. We encourage you to schedule a consultation to discuss your project. None-the-less, whatever the costs, the Project Management fees comes out of the savings we provide for you. So, this is not an added cost to the project.
A Project Manager is an investment in protecting your much larger investment. The value extends beyond the management fee. Experienced Project Management can help reduce unnecessary costs, identify missing scope, improve coordination, avoid costly changes, and minimize delays. It also allows you to dedicate more of your valuable time to your patients, business, and family. While savings maybe hard to measure, the cost of avoidable mistakes can far exceed the cost of professional oversight.
An experienced Project Manager can identify opportunities to control costs through proper budgeting, competitive proposal evaluations, early coordination, value engineering, and avoiding unnecessary changes or mistakes. The goal is to make informed financial decisions throughout development. Although savings cannot be measured, proactive management can help prevent expensive problems and improve cost predictability.
Arminco provides comprehensive Project Management and Owner’s Representation services, coordinating the professionals and activities involved in developing your practice. Depending on the agreed scope, this may include business and development planning, real estate, feasibility studies, financing coordination, insurance, architecture, engineering, construction, equipment, cabinetry, IT, marketing, permitting, licensing coordination, and opening preparations.
Yes. There are many financing institutions out there, but not all are great fit for every project. We coordinate with financing professionals, help you evaluate lender proposals, organize project budgets and supporting documentation, and track financing-related requirements. Your lender remains responsible for underwriting and lending decisions, while Arminco helps ensure the development process is coordinated with your financing needs.
Unexpected challenges are common in development. They may involve permitting, design conflicts, construction conditions, equipment requirements, delays, or cost increases. Your Project Manager helps investigate the issue, identify responsible parties, evaluate possible solutions, assess financial and scheduling consequences, and coordinate the appropriate next steps. The objective is to address problems quickly and prevent them from affecting other parts of the project.
Absolutely. Your Project Manager works for you and helps protect your interests. In fact, with a Project Manager, you will have better control of your project. You remain the decision-maker on important matters, while having us handles the research, coordination, evaluation, and management necessary to help you make informed decisions with confidence.
Most of our extensive experience is with Dental practices to include specialties, Optometry & Ophthalmology practices, Veterinary Practices, dermatology practices, and all surgery centers. We are certified in Category 1 surgery centers and have a deep understanding of the engineering of their medical gas systems. Furthermore, our projects also include urgent care centers, wellness centers, OBGYN practices and more.
Arminco provides Project Management and Owner’s Representation services to healthcare practices throughout the United States and Canada. We coordinate with local professionals, vendors, consultants, and regulatory authorities as appropriate for each project’s location and requirements.
It’s not too late. Although bringing a Project Manager on board at the beginning is ideal, Arminco can evaluate projects that are already underway. We can review existing contracts, budgets, schedules, design documents, vendor responsibilities, and outstanding issues to determine how we can help. Our goal is to establish better coordination, identify risks, and develop a clear path forward.
The first step is to schedule a 45-minute consultation with our team. We’ll discuss your vision, goals, anticipated practice size, location preferences, timeline, budget expectations, and current progress. We’ll also explain how our Project Management services work and help determine the level of support appropriate for your project. Whether you’re opening your first practice or expanding an existing business, we’re here to help make the process easier.
Unfortunately, without having someone to be accountable, you become that person. In this case, without a Project Manager, you would be accountable for everything that happens on your project.
Yes, Arminco will help identify the issue and best methods to solve the issue. Depending on the issue on hand, to resolve it may be costly.
