Project Management2026-10-29T20:23:54-04:00

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.

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.

These vendors all manage a piece of the project. So, who manages the entire project?

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


  1. Hire a Project Manager

    Your single point of contact.

    Project manager meeting with two healthcare professionals

    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
  2. Discover & Plan

    Define your vision and build a solid foundation.

    Notebook listing vision, goals, services, space needs, timeline and budget

    Key outcomes

    • Business plan
    • Define services and growth plans
    • Space and operational requirements
    • Budget parameters
    • Target timeline
  3. Find the Location

    Work with a Real Estate Broker to identify the right site.

    Modern commercial building suitable for a medical practice

    Real estate broker

    • Site search and market analysis
    • Tour properties
    • Negotiate lease or purchase
  4. Feasibility Analysis

    Evaluate the opportunity and confirm it makes business sense.

    Financial charts, a location map and a calculator

    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
  5. 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
  6. 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
  7. 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
  8. Open Your Practice

    Ready to see patients.

    Finished practice reception desk and waiting area
    • 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.

Frequently Asked Questions

Why Do So Many Doctors Start Without a Project Manager?2026-10-22T09:47:54-04:00
  • They don’t know that it exists.
  • The industry keeps them away.
  • They think it’s just another person added to the project.
  • They think it costs too much.
Why Should I Hire Arminco Inc as My Project Manager2026-10-22T02:23:06-04:00
  • We understand numbers, projections & budgets
  • We provide you with one point of contact
  • We control all costs, and stay on budget
  • We will reduce your risks and mistakes and prevent costly issues
  • We provide you with knowledge and facts to make better decisions
  • We save you lots of time that you would be spending on the project
  • You get a team of professionals with different background, knowledge and experience in the field
When should I hire a Project Manager?2026-10-20T11:05:57-04:00

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.

I am thinking of starting a Practice, what are the steps I should follow?2026-10-20T11:06:06-04:00

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.

What is the difference between a Project Manager and a Consultant?2026-10-20T11:06:18-04:00

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.

Why do I need a Project Manager?2026-10-20T11:00:30-04:00

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.

How much does it cost to hire a Project Manager?2026-10-23T11:00:35-04:00

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.

Isn’t hiring a Project Manager just another expense?2026-10-20T11:01:07-04:00

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.

Will hiring a Project Manager save me money?2026-10-20T11:01:26-04:00

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.

What exactly does Arminco manage?2026-10-20T11:01:47-04:00

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.

Does Arminco help me with financing and lender selection?2026-10-20T11:02:04-04:00

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.

What happens when something goes wrong during the project?2026-10-20T11:02:26-04:00

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.

Will I still have control over my project when I have a Project Manager?2026-10-20T11:02:42-04:00

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.

What type of healthcare practices does Arminco Inc. work with?2026-10-20T11:03:01-04:00

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.

Where does Arminco Inc. provide Project Management services?2026-10-20T11:03:18-04:00

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.

What if I have already started my project without a Project Manager?2026-10-20T11:03:43-04:00

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.

How do I get started with Arminco?2026-10-20T11:04:00-04:00

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.

Who is accountable for my project if I don’t have a Project Manager?2026-10-20T11:04:16-04:00

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.

What if my project has an issue, can Arminco help to get it resolved?2026-10-20T11:04:36-04:00

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.

Arminco Project Management: Ensuring Successful Practice Build-Outs

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
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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
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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
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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!
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