• Review of project objectives
• Options available for achievement of objectives
• Identify various joint venture models: see below
• Identify legal, regulatory, and reimbursement issues
• Inventory potential business partners
• Identify project scope and parameters
• Determine preferred physical location(s)
• Preliminary financial feasibility analysis
• Develop final project concept

Project Development (Phase III)

• Determine best deal structure for securing financing
• Finalize legal structure and ownership
• Coordinate private placement offering if necessary
• Secure financing
• Complete property acquisition
• Initiate site preparation
• Begin construction/renovation
• Hire administrative director
• Order capital equipment
• Establish policies and procedures
• Begin employment of staff
• Prepare for opening/start-up

• Conduct demographic and competitor market analysis
• Formal analysis of third party payers
• Determine design and construction team
• Establish staffing/equipment/space plan
• Secure site location through property option (if freestanding)
• Develop basic architectural schematics
• Formal financial feasibility study
• Finalize business plan
• Regulatory/certificate of need approvals (if necessary)

Project Management (Phase IV)

• Establish annual objectives and operating budgets
• Ongoing financial and operational management
• Monthly reporting/communication
• Service excellence implementation plan