Construction services for healthcare and commercial space

Lease space finish-out

A finish-out is everything built inside a leased space: walls, plumbing, power, heating and cooling, ceilings, cabinets, and finishes. If you are leasing in a medical office building or a retail center, this is your project.

Renovation and expansion

We renovate and expand existing offices. Where feasible, we phase the work so part of the practice stays open and do utility shutoffs outside clinic hours. Phasing and after-hours work add cost and time. The tradeoff is that you stay open.

New buildings

We take a bare site to a finished building, including the site work, the shell and the interior. We build new practices, medical office buildings, and commercial offices. GI Alliance Waco and Colleyville Vision Associates are two we built from the ground up.

You have an architect and plans

This is called design-bid-build. Your architect completes the plans and specifications. We send them to a closed list of subcontractors we know, and give you a proposal on bid day.

You have an idea, not plans

We call this design-assist. You hire the architect, and we can recommend one and join while the drawings are being made. If you were looking for design-build, this is how we handle it. We often help with choosing a site or lease space. The project starts with a first budget. We tighten it as the design develops, and give you a not-to-exceed price once the construction drawings are complete.

Not sure which fits?

If your plans are done, ask us to bid them. If you are still choosing a space or an architect, bring us in first. Pricing early costs less than redrawing a design that came in over budget. Call 817-329-4241 and we will talk it through.

First call

Call us or send the contact form. Tell us what you are planning, where, and when you hope to open. If you are looking at a space, call before you sign the lease. The building decides what the plumbing, power, and air conditioning will cost. We will walk the space with you before you sign.

First budget

We put a first budget on your idea at no charge, so you know the project is feasible before you commit to it. The first budget is an early range. For a finish-out, your floor plan and equipment list tighten it. For a new building, the site, the building size and the utilities do. A detailed estimate comes later, priced from the drawings.

Design and final price

Your architect draws the project. We price again as the drawings develop, while design choices are still cheap to change. When the drawings are complete, our subcontractors bid them and you get a final price.

Contract and permits

We sign a construction contract based on the price, the schedule, and the drawings. The plans go to the city for a building permit. For a finish-out or renovation, review usually takes a few weeks, sometimes longer. A new building can need months of approvals first, so we schedule them from the start.

Construction

Once the permit, the contract, and your financing are in place, we build. One superintendent runs the site and one project manager runs the job, and we stay in touch with you from the first day on site to the final walk-through. You hear from us whenever something needs your attention or a decision, not just on a set day, by phone, email, Teams, or on site. We work with your equipment supplier so plumbing, power, and wall backing are in the right place before the walls are closed.

Move-in and after

We walk the finished space with you, list anything that needs correcting, and correct it. That list is called a punch list. You receive the closeout documents, including warranties, manuals, and as-built drawings. The city makes its final inspections and issues the certificate of occupancy, the document that lets you open. We stay available after you open.

Who you talk to

Your project manager is your day-to-day contact from the first budget through move-in. The superintendent runs the site and walks the job with you. S&I's owners are a phone call away on every project.

What you hear about

Anything that needs your decision, changes to the schedule, inspection results, and any change in cost before the work is done.

How you hear it

Regular owner, architect, and contractor meetings, progress photos during the job, and access to your project in Procore. Between meetings we call, email, or meet you on site whenever something comes up.

You handle

• The lease or the land. Call us before you sign.
• Your loan. Most lenders ask for the construction budget and the contract. We can refer you to lenders who finance practice construction.
• Your architect, unless you want our help choosing one.
• Choosing and buying your equipment. Commit early. A late equipment change can move walls, plumbing, and power.
• Furniture. We do not provide it.
• Licenses and registrations for the practice itself, such as a surgery center license.
• Decisions on time. Finish selections and approvals have dates on the schedule.

We handle

• Budgets and pricing, from the first number to the final price.
• Bidding the work to subcontractors we know.
• The schedule, including permits and approvals.
• The job site, the subcontractors, and the inspections of the construction.
• Coordination with your equipment supplier.
• The test reports and inspection records your license reviewers ask for.

Settled project by project

• The building permit application. We usually submit for the building permit; on some projects the architect does.
• Phone and data cabling, security and access control, nurse or patient call, sound and music, and signage. Your own vendors usually handle these, but if you'd rather we carry any of them, we will. We sort out who's doing what in the first budget, so nothing falls through the cracks.
• X-ray shielding design. It comes from the equipment maker or a physicist. We build what it specifies.