HEALTHCARE PRE-CONSTRUCTION
Better projects begin before construction
In healthcare, early decisions shape everything that follows—from cost and schedule to clinical operations, infrastructure, and long-term performance. Michuda helps owners and design teams turn uncertainty into a clear, buildable plan.
Pre-construction is where the project is won.
The greatest opportunities to protect cost, schedule, and operations exist before the documents are complete. Michuda brings construction intelligence into the process early — testing assumptions, identifying risk, and helping the team make informed decisions while there is still time to act on them.
Is the budget aligned with the design?
Continuous estimating and cost reconcilliation reveal where the project stands as decisions are made - not after the design and documents are complete.
How do we build around operations?
Phasing, logistics, enabling, shutdowns, access, infection control, and interim life safety are all evaluated against the healthcare environment.
Is the schedule achievable and realistic?
Design milestone, procurement, trade availability, regulatory requirements, and facility constraints are assembled into one executable plan.
Where is the risk and how do we mitigate it?
Existing conditions, infrastructure, constructibility, equipment, and long-lead decisions are investigated before they become field issues.
From early concept to field-ready plan
01
Understand
Define the clinical objective, operational constraints, existing conditions, stakeholders, budget, and schedule requirements
02
Test
Evaluate design assumptions through estimating, constructibility, logistics, phasing, procurement, and early trade engagement.
03
Align
Create transparency around cost, schedule, and risk so the owner, design team, and construction team move forward together
04
Commit
Transition a validated plan into construction with continuity between the people who developed it and your field teams.
Construction intelligence, applied early.
Each process informs the others. Cost cannot be separated from schedule. Phasing cannot be separated from operations. Equipment cannot be separated from infrastructure. Michuda brings these decisions together in one coordinated pre-construction process.
Conceptual Estimating
Cost Modeling
Continuous Budget Reconcilliation
Constructibility Reviews
Existing Condition Investigations
Phasing and Logistics Planning
Schedule Development and Validation
Enabling
Early Trade Assist
Long Lead Time Planning
Medical Equipment Coordination
Value Analysis
Shutdown and infrastructure planning
Permitting and Zoning Approvals
Risk and Decision Tracking
ICRA / ILSM
REAL VALUE. DELIVERED EARLY.
Early involvement. Measured value.
THE PROJECT
75,000 square foot, three-story, medical office building out of the ground.
THE OPPORTUNITY
During the height of the COVID-19 pandemic our pre-construction team engaged trades early, locked in pricing, and expedited schedules
THE RESULT
Over $500,000 in savings & 12 weeks ahead of schedule - beating a competitor to market and gaining valuable marketshare.
One healthcare specific construction team
Michuda's role is not to override design intent. It is to give owners and architects timely construction information so design decisions can be made with a clear understanding of cost, schedule, logistics, procurement, and operational impact. We are built for health systems and only health systems.
