Blue Prints to Punch Lists: Healthcare Edition

Wilson & Co General Contractors
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An exploration of General Contracting for the Health Care Industry. If you're a Healthcare Administrator, a General Contractor (Like Us), a sub-contractor, banker, health care philanthropist, or a partner in a practice - this is your place to grow with great conversation around the nuances of our industry.

  1. May 21

    Building Smarter Outpatient Networks

    Blueprints to Punch List | Building Smarter Outpatient Networks | Episode 37 🏥 When Healthcare Systems Expand: Building Smarter Outpatient Networks How are healthcare systems expanding to meet rising patient demand and improve access to care? In this episode of Blueprints to Punchlist, Dave Grosz and Ken Fulmer discuss how hospital systems are moving beyond the traditional central campus model and investing in outpatient healthcare facilities across their markets. Ken and Dave break down the growth of healthcare expansion projects like ambulatory surgery centers, medical office buildings, clinics, and community-based care locations. The conversation also covers why early planning, strategic site selection, and experienced construction partners are critical for keeping healthcare construction projects on schedule and on budget. Whether you’re involved in healthcare construction, hospital development, facilities planning, or outpatient expansion strategy, this episode offers practical insight into what it takes to deliver successful healthcare projects in a changing market. 🏗️ 👉 If you enjoyed this episode, subscribe @TheRealWilsonAndCompany for more conversations on general contracting 📞 Don't forget to check out our full-length podcasts and reach out to Wilson and Co for any construction project inquiries! Also, visit: https://wilsoncompany.net/podcast https://wilsoncompany.net Find Dave Grosz and Ken Fulmer on LinkedIn: https://www.linkedin.com/in/davegrosz https://www.linkedin.com/in/ken-fulmer-12b118118 0:00 Welcome and Topic Setup 00:44 Healthcare Expansion Shift 02:31 Outpatient Footprint Explained 04:07 Real Estate Competition 04:40 Engage the GC Early 06:10 Choosing the Right Partner 08:27 Budgeting and CapEx Alignment 09:38 Risk and Infrastructure Upgrades 10:50 Speed to Market Playbook 12:16 Program Standardization 14:20 Finding Expansion Partners 15:27 Wrap Up and Contact #blueprintstopunchlist #wilsonandcompany #constructionpodcast #constructioncareers #projectmanagement #healthcarefacilities

    16 min

  2. May 14

    Job Site Safety: Preventing Injuries Before They Happen

    🦺🚧 Safety First in Construction: What You Must Know to Ensure a Secure Job Site In this episode of Blueprints to Punch List, Dave Grosz and Ken Fulmer of Wilson annd Company talk about one of the most important topics on any commercial construction project: job site safety. 👷‍♂️ They dig into what it takes to create a safer work environment, why safety has to stay top of mind on every project, and how weekly safety conversations can help teams identify risks before incidents happen. The conversation also covers the role of superintendents, project managers, and subcontractors in maintaining safe job sites and building a culture of accountability. Dave and Ken also walk through a recent on-site accident during demolition, using it as a real-world example of how quickly things can go sideways when reaction takes over and hazards are not fully anticipated. From there, they discuss the importance of awareness, communication, and making sure everyone leaves the site safely at the end of the day. They also touch on OSHA regulations, liability, and the broader consequences safety incidents can have on people, schedules, and projects. If you work in commercial construction, this episode is a practical reminder that safety is not just a box to check. It is a daily responsibility shared by everyone on site. 🏗️ 📞 Don't forget to check out our full-length podcasts and reach out to Wilson and Co for any construction project inquiries! 👉 For the latest podcast episodes and more, don't forget to subscribe @TheRealWilsonAndCompany Also, visit: https://wilsoncompany.net/podcast https://wilsoncompany.net Find Dave Grosz and Ken Fulmer on LinkedIn: https://www.linkedin.com/in/davegrosz https://www.linkedin.com/in/ken-fulmer-12b118118 00:00 Welcome and Setup 00:23 Why Safety Matters 02:05 Recent Incident Story 04:05 Building a Safety Program 05:26 Weekly Talks and Field Habits 08:00 OSHA Basics and Inspections 09:29 Violations and Real Consequences 11:04 Everyday Hazards on Site 12:53 Wrap Up and Call to Action #blueprintstopunchlist #constructionpodcast #jobsitesafety #wilsonandcompany #osha

    14 min

  3. May 7

    Surety Bonds 101 for Construction

    Blueprints to Punch List | Episode 35 | Surety Bonds 101 for Construction with guest Sarah O'Linn 📊 Surety Bonds 101 for Construction: Performance & Payment Bonds, Underwriting, and Avoiding Claims 🎙️ Welcome to Blueprints to Punch List! Join host Dave Grosz of Wilson and Company, as he sits down with Sarah O'Linn, Vice President of Florida Surety Bonds. Dave invites Sarah to break down what surety bonds are, how performance and payment bonds work, and why bonding capacity matters for contractors pursuing public and federal work. She also shares how her background in systems engineering and U.S. Navy contracting shaped her approach to risk, reputation, and helping construction companies grow strategically. In this episode, listeners will hear: 🔹What surety bonds are and why they matter in construction 🔹The difference between performance bonds, payment bonds, and bid bonds 🔹Why bonding capacity can create more opportunities for contractors 🔹How financial reporting, relationships, and strategy affect bond programs 🔹Common misconceptions owners have about surety and claims 🔹Sarah Olin’s path from engineering and Navy contracting into the family business 🔹A real example of helping grow a contractor’s bonding program from $8 million to $400 million If you work in construction leadership, project management, finance, or business development, this episode offers a grounded look at how bonding supports growth, protects projects, and strengthens long-term success. 🚧 To connect with Sarah: https://floridasuretybonds.com/about-us/meet-our-team/sarah-olinn/ ✅ If you found this episode helpful, subscribe for more insights on healthcare construction, project planning, and practical strategies that keep projects moving @TheRealWilsonAndCompany 📞 Reach out to Wilson and Co for any construction project inquiries! https://wilsoncompany.net Also, visit: https://wilsoncompany.net/podcast Find Dave Grosz on LinkedIn: https://www.linkedin.com/in/davegrosz 00:00 Welcome and Guest Intro 01:06 Big Bonding Win Story 02:52 Sarah’s Path to Surety 08:20 Education and Free Seminars 11:29 Surety Bonds Explained 14:46 Contract Terms and Risk 17:03 Indemnity and Claims Reality 22:26 Underwriting Character and Relationships 28:10 Public Bid Tips and Staying Ready 33:23 Lean Operations Recession Lessons 35:12 Client Diversification Wakeup 36:54 Abundance Mindset in Construction 38:41 Staying Agile With Better Reporting 40:40 Finding Your Niche to Win 44:09 When to Bond Subcontractors 49:06 Bonding Letters and Vetting Subs 51:11 Owner Perspective on Bond Protection 56:48 Early Warning Signs and Calling Surety 58:36 A Surety Success Story 01:03:09 Bond Premiums and Change Orders 01:05:05 How to Reach Sarah 01:06:29 Final Thanks and Wrap Up #blueprintstopunchlist #constructionpodcast #wilsonandcompany #suretybonds

    1h 7m

  4. Apr 30

    What Causes Delays: People Are the Bottleneck

    Blueprints to Punch List | What Causes Delays: People Are the Bottleneck | Episode 34 The Real Cause of Construction Delays: People (4 Bottlenecks & How Great Teams Fix Them) 🏗️ 🚧 Welcome to Blueprints to Punch List! In this episode, Dave Grosz explains that construction projects most often get delayed not by materials, permits, or budgets, but by people. He breaks down four common bottlenecks: slow decision-making (with examples like long-lead door submittals impacting 3–4 month clinic buildout schedules), communication breakdowns between owners, architects, contractors, and vendors that turn small issues into big delays, and the wrong people placed in critical roles—especially subcontractors who can’t handle complex field conditions. He concludes that the right, experienced team removes bottlenecks by making faster decisions, resolving problems quickly, and anticipating issues, helping healthcare companies expand into new markets and reach opening dates sooner. 📅 00:00 People Cause Delays 00:40 Decision Bottlenecks 02:30 Communication Breakdowns 04:01 Wrong People in Roles 06:46 Right Team Removes Blocks 07:59 Recap and Next Steps 🎙️ If you found this episode helpful, subscribe for more insights on healthcare construction, project planning, and practical strategies that keep projects moving @TheRealWilsonAndCompany 📞 Reach out to Wilson and Co for any construction project inquiries! https://wilsoncompany.net Also, visit: https://wilsoncompany.net/podcast Find Dave Grosz on LinkedIn: https://www.linkedin.com/in/davegrosz #blueprintstopunchlist #constructionpodcast #wilsonandcompany

    9 min

  5. Apr 23

    Failure Is Feedback

    Blueprints to Punch List | Failure Is Feedback | Episode 33 🎯 Failure Is Feedback: How Fast-Growing Healthcare Companies Scale Through Construction In this episode of Blueprints to Punch List, Dave Grosz from Wilson & Company explains that the fastest-scaling healthcare companies don’t avoid failure during new market expansion and facility construction—they treat it as feedback. He outlines three ideas: expansions always create friction (delayed permits, missed details, subcontractor issues), failures reveal where systems are weak (communication, planning, coordination across design/construction/owner teams), and top organizations close feedback loops quickly through frequent meetings and clear updates, sometimes daily on active clinic remodels. By learning from issues, adjusting processes, and removing ego through post-project reviews and regular check-ins, teams improve future projects so healthcare organizations can focus on impacting their communities. 🏗️ 👉 If you're involved in healthcare construction, project management, or subcontractor coordination, this episode offers useful takeaways you can apply right away. 00:00 Failure as Feedback 01:21 Friction in Expansion 02:41 Weak Systems Revealed 04:23 Learning Across Teams 05:40 Close the Feedback Loop 07:50 Growth Without Ego 08:32 Wrap Up and Next Steps 🎙️ If you found this episode helpful, subscribe for more insights on healthcare construction, project planning, and practical strategies that keep projects moving @TheRealWilsonAndCompany 📞 Reach out to Wilson and Co for any construction project inquiries! https://wilsoncompany.net Also, visit: https://wilsoncompany.net/podcast Find Dave Grosz on LinkedIn: https://www.linkedin.com/in/davegrosz #blueprintstopunchlist #constructionpodcast #wilsonandcompany

    9 min

  6. Apr 16

    Problems vs. Solutions: Avoid Common Pitfalls

    Blueprints to Punch List | Episode 32 | Problems vs. Solutions: Avoid Common Pitfalls in Healthcare Construction 💡 Bringing Solutions in Contruction Projects, Not Just Problems! In this episode of Blueprints to Punch List, Dave Grosz from Wilson & Company breaks down a simple but powerful idea: the best construction partners do not just bring problems, they bring solutions. 🏗️ Using real-world examples from healthcare construction, Dave explains how proactive subcontractors help teams avoid delays, control costs, and keep facilities operational during active construction. He also shares a practical example of how one smart adjustment helped save a client thousands in labor and materials. 👉 If you're involved in healthcare construction, project management, or subcontractor coordination, this episode offers useful takeaways you can apply right away. 0:00 Intro 0:14 Avoiding delays 0:36 Common causes of delays in construction 1:07 Why great subcontractors bring solutions 1:27 Examples of material substitutions that keep projects moving 2:15 Controlling costs 2:37 Scope creep and missing project scope 3:08 Real example: fiber internet line issue 4:29 $15,000 saved by relocating the fiber box 4:58 Why proactive subcontractors help control costs 6:10 Keeping facilities operational during construction 6:25 Why this is especially challenging in healthcare projects 🎙️ If you found this episode helpful, subscribe for more insights on healthcare construction, project planning, and practical strategies that keep projects moving ⁨@TheRealWilsonAndCompany⁩ 📞 Reach out to Wilson and Co for any construction project inquiries! Also, visit: https://wilsoncompany.net/podcast https://wilsoncompany.net Find Dave Grosz on LinkedIn: https://www.linkedin.com/in/davegrosz #blueprintstopunchlist #constructionpodcast #wilsonandcompany

    8 min

  7. Apr 9

    Low-Bid Myths: Price Does Not Equal Value

    Blueprints to Punch List | Episode 31 | Low-Bid Myths: Why Price Does Not Equal Value 🏗️ Why the Lowest Bid Costs More: Scope Gaps, Change Orders & Hidden Risk in Construction In this episode of Blueprints to Punch List, host Dave Grosz argues that awarding construction projects to the lowest bid often increases risk and leads to costly change orders, challenging the idea that price equals value. He explains that low numbers can hide scope gaps, and when scope isn’t clearly defined, generalized bids can be used to win work and then recoup costs through change orders. Dave goes on to emphasize that combating this through open, upfront conversations about what is and isn’t included, even if it means losing bids, to build long-term client relationships. It also notes that experienced teams and subcontractors may cost more upfront but reduce long-term issues, and recommends transparently discussing tradeoffs and risks with owners. Finally, he defines true project cost as schedule impacts, rework, and the “headache” of poor performance or lack of collaboration. 00:00 Lowest Bid Myth 00:18 Scope Gaps Trap 01:05 Prevent Change Orders 01:53 Experience Pays Off 03:08 Balancing Risk and Budget 03:58 True Cost of Delays 05:37 Final Warning and CTA 📞 Don't forget to check out our full-length podcasts and reach out to Wilson and Co for any construction project inquiries! 👉 For the latest podcast episodes and more, don't forget to subscribe @TheRealWilsonAndCompany Also, visit: https://wilsoncompany.net/podcast https://wilsoncompany.net Find Dave Grosz on LinkedIn: https://www.linkedin.com/in/davegrosz #blueprintstopunchlist #constructionpodcast #wilsonandcompany

    6 min

  8. Apr 2

    Third-Party Inspections: Giving You Control Back

    Blueprints to Punch List Podcast | Third-Party Inspections: Giving You Control Back | Episode 30 🏗️ Cut Plan Review & Inspection Delays: How Third-Party Reviews Speed Up Healthcare Buildouts Welcome to the Blueprints to Punch List Podcast! In this episode, host Dave Grosz of Wilson and Company covers the benefits of third-party inspections, and how they can streamline your workflow and save money on your project. Dave starts the discussion by explaining how third-party plan review and inspections can compress construction timelines, reduce surprises, and restore control—especially for time-sensitive healthcare buildouts. Instead of relying on municipal plan review cycles that can take weeks and generate unpredictable redlines, third-party reviewers can return code-compliance comments in 3–5 business days and provide stamped plans that are then submitted to the building department. Cleaner, pre-reviewed plans typically mean fewer redlines, though fire and life-safety reviews still require independent fire department review. The episode also highlights inspection scheduling flexibility, helping avoid delays on 3–4 month projects by reducing dependence on varying city inspectors. Finally, it addresses cost concerns with an example where using third-party inspections reduced permit fees and resulted in net savings. See the linked podcast episode below for more! 🚧 Ep. 9 with guest Alberto Wilson of Elite Permits: https://youtu.be/MzNzovczZX4 (YouTube link to video podcast) 📞 Don't forget to check out our full-length podcasts and reach out to Wilson and Co for any construction project inquiries! 👉 For the latest podcast episodes and more, don't forget to subscribe @TheRealWilsonAndCompany Also, visit: https://wilsoncompany.net/podcast https://wilsoncompany.net Find Dave Grosz on LinkedIn: https://www.linkedin.com/in/davegrosz 00:00 Why Timelines Slip 00:36 Third Party Review Basics 01:38 Cleaner Plans Fewer Redlines 03:28 Fire Review Exception 04:13 Inspection Scheduling Power 05:42 Costs and Savings Example 06:43 Wrap Up and Podcast Link #blueprintstopunchlist #constructionpodcast #wilsonandcompany #constructioncareers #construction #thirdpartyinspections

    7 min
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An exploration of General Contracting for the Health Care Industry. If you're a Healthcare Administrator, a General Contractor (Like Us), a sub-contractor, banker, health care philanthropist, or a partner in a practice - this is your place to grow with great conversation around the nuances of our industry.

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