by Shelby Stevens
As a future dental practice owner,
here is what you need to know, what you should
ask and how to successfully establish your practice.
Starting your own dental practice can be nerve racking – from start-up capital to
staffing the office, from legal licensing to contracting with insurance companies, and
more. The last thing you want to have to worry about is the possibility of hiring a
negligent contractor to keep you from bringing your dental dream to reality. There
are a number of things you need to know and ask to ensure you make the right decisions
in the competitive bidding process for the construction of your new company.
Searching for the Right Contractor
Competitive bidding can be frustrating and is not an easy feat. And as a dentist,
you know the effect stress can have on your jaw and teeth. When starting this
process, do your best to look for qualified dental contractors with plenty of experience
and excellent referrals.
"With the current state of the economy, many contractors will tell you they can
build a dental office only to find themselves in way over their head once they get
into the project," Joey Wenum, vice president of sales and marketing of Blue Frog
Construction says. "Dental construction is among the most complicated types of
construction and is very technical."
Just what makes someone a qualified contractor? It is the contractor who has
completed a minimum of 20 dental offices in his or her career. Don't simply do an
Internet search and call the first few numbers, instead make a call to a local equipment
company. Ask them to recommend a few people. Also, call the bank that will
be helping to finance the deal. You can also ask the opinions of your business
accountant or a financial advisor.
To protect yourself in the contractor search process request important information
from your construction hopefuls. For example, request an AIA 305 form
which will allow for review of potential contractors qualifications and financial stability.
This form will lay out the proposed design and construction plans, saving
time and money, as well as giving a brief preview of what the company is capable
of. You can also request what is called a "bid bond," which will provide a sort of
insurance policy and price guarantee. This can cost up to five percent of the total
project cost, but is worth it for the added protection.
When searching and reviewing qualified contractors, don't reach out for handfuls
of bids from any company you find; look to receive bids from about three companies
who hold the right qualifications and impressive portfolios. You don't want
to overload yourself with too many bids to review and prolong the building process.
"While three bids are more than enough, I believe it is good for the doctor to have
a standard bid form for each approved bidder," Mike Rubio, vice president of operations
of Blue Frog Construction says. "If the bids are broken down by the AIA
construction form, the doctor will definitely be able to compare apples to apples."
Remember just because a contractor offers a very appealing or much lower price
than others, it might not be justified or even remotely close to what it will actually
cost, what it should cost or to what you want in the building. "It's not always the
best deal to get the lowest price," Wenum says. "Nothing is ever as good as it seems."
Wenum strongly suggests asking for the contact information of the last 10 projects
each construction company completed. This is the last 10 in strict chronological
order, not the last 10 referrals they enjoyed working with.
No Question is a Bad Question
After you have decided on the contractor but before you actually start the construction
process, there are some important questions to answer. For example, does
the hired contractor fully understand your vision and expectations? If there is any
doubt, talk more to be sure he or she can mirror your goals in the building and
really give you what you are asking for. Also, did the contractor come out to the site
and do a thorough inspection of the property and/or building he or she will be
working in and with? If not, request he or she visit the site one more time to be sure
there won't surprises halfway through the construction process that could possibly
result in unaccounted expenses.
Make sure the time frame provided by the contractor is realistic. It is an
extremely frustrating dilemma to get to the originally proposed end date only to find out there is still much more to be done. An example of a realistic time frame?
For construction of a space that is approximately 1,500-9,000 square feet, there
should be an allotted 10-14 weeks.
Another question to ask – was there ever a check done on the contractor's lien
history? If not, this needs to be done immediately. If your chosen contractor has
had any liens filed against him or her by subcontractors or material suppliers, you
might not want to do business with that contractor. Liens show an incapability of
the contractor in paying the subcontractors and/or suppliers, leaning toward a
financial instability and possible business failure on the contractor's end.
Last but not least, make sure you've talked through all of your expectations with
the contractor. Mention everything upfront to be sure the bid you are being given
truly reflects what you are asking for. Be sure to have an in-depth discussion with
the contractor to cover anything and everything that will be involved in the construction
process, from room sizes to wall colors and more.
Try having the design drawn by an architect before beginning the bidding
process. This allows you to bid the job more competitively. By having everything
already drawn out – carpet, flooring, laminate, cabinet design and more – you are
able to eliminate a number of change orders. This is when something unexpected
occurs inhibiting the original plans and forcing a change to take place. "It is virtually
impossible to have no change orders during construction, but a thoroughly prepared
set of construction documents coupled with an experienced dental contractor
can keep them to a minimum," Wenum says. Change orders will affect the timeline
of the job, the cost of the project and add unneeded stress to all parties
involved. Ask the questions!
How Contractors Prove Their Worth
Once the contractor is chosen and the plans are put to paper, the contractor
should be given a full set of documents prior to the project start. These should
include architectural plans, specifically drawn up and created by an architect who
specializes in dental construction; MEPS – mechanical, electrical, plumbing and
structural – which are drawings that will come from a licensed engineer; and a finished
plan including things such as flooring colors, counter top materials and more.
"If these documents aren't done on the front end you are allowing the contractor
to make assumptions, and assumptions cost money," Rubio says. Be sure to
know everything possible before the board is nailed.
"Free" Doesn't Always Mean Free
Supervision is a cost most people are unaware of. This is a charge to you, the
client, for someone from the construction company to supervise the construction
process. Another cost that might not be disclosed is the offering of "free" design or
"free" architecture. Be sure these charges aren't hidden somewhere else in the bid.
Contractors might try to skim down the price on their end by switching an
originally chosen quality product for an inferior product or fixture without
informing you. Be hands-on and stern with the products you want, and make sure
they are not switched out without your approval, and without a price change.
Be sure the contractor is bidding per the plans or specs. Make sure they are not
implementing value engineering, direct ways to cut costs on the project, without
disclosing it to you. Value engineering is not a problem if it has been requested by
the client, but some contractors might deem it suitable to cut corners on costs without
informing you. This leaves a bid with the facade of perfection and a wonderful
price, only to find out deep inside that the shiny faucet and plush waiting area you
picked out are not to be found.
For example, let's say the bid documents do not include a design for the HVAC.
The doctor looks at his space and sees that there is already HVAC there, but the
contractor, because of the increased equipment, chooses just to re-duct rather than
add an HVAC to allow proper heating and cooling of the office. "Although this will
lower the price on the front end, it creates a problem for the doctor when there is
extreme temperature outside, resulting in more costs down the road," Rubio says.
"Once you're committed, you're stuck," Wenum stresses. Ask the right questions.
It is better to know than to assume that the contractor is going to create what
you envision.
Finishing Touches
Oftentimes doctors and clients do not account for the time it will take from
the last day of construction to the first day the practice is open and able to run. It
does not happen overnight. It is a good idea to allot no less than two weeks for
transition. This transition period will include tasks and responsibilities such as
ensuring the office equipment is properly installed, all supplies are in order, the
office is fully staffed and that the staff are trained on their duties as well as the
equipment. Lacking in these areas on opening day will take away from all of the
hard work during construction!
Be sure to know what you want, ask the right questions and read between the
lines. You want your new practice to start off with a positive feeling, not frustration
and anger. By following these tips from Blue Frog Construction, you're well on
your way to creating a wonderful new venture.
|