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Key Considerations for a Successful Healthcare Development Project

Healthcare development projects are unique in complexity, blending strict regulatory requirements with high-stakes patient care needs. From zoning approvals to financing large-scale construction, every step must be carefully managed to avoid costly delays and ensure operational excellence. By understanding the intricacies and planning ahead, hospitals, clinics, and medical offices can create transformative facilities that address both immediate demands and future growth.

Overcoming the Biggest Healthcare Real Estate Development Challenges

Healthcare organizations often encounter a range of hurdles when embarking on real estate development. Awareness of these challenges—and how to overcome them—will help stakeholders stay on track and within budget.

  • Regulatory and Compliance Hurdles: Healthcare facilities must adhere to strict regulations that cover construction standards, patient privacy, and operational protocols. To overcome these challenges, teams should consult legal and industry experts early, ensuring design and construction plans comply with codes before costly modifications are required.
  • Zoning and Land Use Issues: Securing the right zoning designation can be lengthy and complicated, particularly when expanding or building in areas where traffic or noise concerns may arise. Engaging local authorities and the surrounding community from the outset helps developers address concerns promptly, smoothing the path for approvals.
  • Complex Financing Requirements: Healthcare projects can involve multifaceted financing structures, from traditional loans and bonds to public-private partnerships. A solid financial plan, created in collaboration with trusted advisors, allows teams to identify suitable funding sources and maintain a stable cash flow throughout construction.
  • Design Constraints for Specialized Care: Facilities like outpatient surgery centers or specialized diagnostic units demand unique design features, including specialized ventilation or reinforced floors for heavy imaging equipment. By collaborating with architects experienced in healthcare, organizations can integrate these requirements into a functional design that promotes safety and efficiency.
  • Long-Term Scalability Concerns: Healthcare trends shift quickly, requiring spaces that adapt to telehealth integration, new medical equipment, and evolving patient demographics. Considering potential expansions or service additions during the design phase ensures the facility remains relevant and cost-effective over time.

By proactively planning for these hurdles, healthcare providers can keep their development projects on schedule and within budget, ensuring state-of-the-art facilities that effectively serve patients and professionals.

Essential Healthcare Development Project Factors to Consider

In addition to overcoming challenges, healthcare organizations must evaluate critical factors that directly influence the success of any development project. Whether you’re building a new hospital or renovating an existing clinic, each of these elements helps determine how well your facility meets operational, financial, and patient care goals.

Location and Accessibility

Choosing the right location is crucial in healthcare development. Proximity to major highways, accessible public transportation routes, and ample parking determine whether patients can easily reach your facility. Convenient access for emergency services, suppliers, and staff is essential to ensure smooth operations. Organizations can enhance patient satisfaction and reduce potential disruptions by prioritizing a location that meets these criteria.

Demographic Needs and Market Analysis

A thorough demographic study helps ascertain the types of medical services most needed in a given region. An aging population may require expanded geriatric care, whereas a younger demographic might need more pediatric services. Market analysis also ensures you’re not oversaturating an area already served by similar facilities. Healthcare providers can strengthen patient volumes and optimize resources by selecting services that align with local demand.

Regulatory Framework and Compliance

Staying ahead of regulatory compliance is vital for avoiding costly fines and safeguarding patient welfare. Regulations surrounding infection control, patient privacy, and building codes vary significantly by state or municipality. Engaging a legal or compliance expert from the beginning can help integrate these requirements into facility design, preventing expensive redesigns or potential legal disputes later on.

Funding and Financial Models

A solid financial plan is essential for any healthcare development venture. Depending on the organization’s structure and objectives, traditional bank loans, revenue bonds, or public-private partnerships could be viable avenues for your project. It’s also wise to maintain contingency reserves for unexpected costs like rising material prices or regulatory changes. Evaluating each financing option allows healthcare organizations to create a stable financial framework that supports both immediate construction needs and long-term sustainability.

Design for Operational Efficiency

A well-planned facility layout can significantly boost productivity, reduce errors, and enhance patient experiences. Efficient workflows minimize travel times between critical departments, offer logical patient paths, and ensure staff have the resources they need at strategic locations. Incorporating current technology—like telehealth capabilities or automated check-in kiosks—further streamlines operations. Investing in thoughtful design pays off by improving day-to-day functions, fostering patient trust, and optimizing staff performance.

Future-Proofing and Scalability

As technology and patient expectations evolve, healthcare buildings must be flexible enough to adapt to new services and equipment. Consider features such as modular patient rooms, easily reconfigurable common areas, or dedicated spaces for telemedicine. Forward-thinking strategies like these can help avoid costly retrofits and keep the facility aligned with emerging industry trends. By planning for growth from the outset, organizations maintain a competitive edge in the fast-paced healthcare sector.

Explore the ins and outs of the medical construction and design process to equip yourself with the knowledge for a successful healthcare development project.

Learn More

Strategic Tips for Long-Term Healthcare Development Success

Implementing proven strategies can significantly increase a project’s chances of long-term success. These approaches help healthcare facilities remain compliant, efficient, and financially stable throughout their lifecycle.

  • Conduct Regular Risk Assessments: Identify and address potential issues such as fluctuating construction costs or policy changes early to minimize project disruptions.
  • Engage Local Stakeholders: Collaborate with the community, local officials, and nearby businesses to foster goodwill and streamline permitting processes.
  • Utilize Phased Construction: Break projects into manageable stages to reduce operational impact and maintain continuous patient care services.
  • Adopt Robust Communication Channels: Ensure project managers, architects, clinicians, and executives share frequent updates to stay aligned on goals and timelines.
  • Incorporate Technology Early: Plan for telehealth capabilities, digital record keeping, and modern diagnostics right from the design phase to avoid expensive retrofits.
  • Prioritize Safety and Compliance: Regularly review codes and best practices to uphold patient safety standards and avoid legal complications.

With these measures in place, organizations can significantly reduce project risks, adhere to compliance standards, and adapt to the ever-changing demands of the healthcare sector.

The Role of Expert Guidance in Healthcare Facility Projects

Navigating the complexities of healthcare development is far more manageable with the support of experienced commercial real estate professionals. These experts bring valuable insights into zoning processes, compliance frameworks, and construction best practices tailored specifically to medical environments. By providing cost analyses, market forecasts, and design optimization strategies, they ensure each step of the process is data-driven and aligned with industry standards.

Partnering with a trusted commercial real estate team fosters collaboration among architects, contractors, and healthcare leaders, further streamlining communication and decision-making. Ultimately, working with professionals who understand healthcare’s distinct challenges allows organizations to control costs, mitigate risks, and deliver modern, patient-centric facilities that stand the test of time.

Ensure a Successful Healthcare Development Project With Hokanson Companies’ Expertise

Building or expanding a healthcare facility is a complex endeavor, but partnering with the right team can guide you from concept to completion with confidence and efficiency. Hokanson Companies brings extensive experience in commercial real estate development for healthcare facilities, offering solutions that address zoning, financing, compliance, and long-term viability. Our experts collaborate closely with healthcare leaders to create customized strategies that prioritize patient care and operational excellence.

Don’t let poor planning or overlooked regulations compromise your project—let Hokanson Companies deliver a seamless development process, robust facility design, and a bright future for your healthcare organization.

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Christopher M. Horsley

President and Chief Executive Officer
cmh@hokansoninc.com

“Working hard to make a difference to earn your business.”

Chris Horsley joined Hokanson Companies, Inc. in 1997 while completing his degree in Civil Engineering at Purdue University. Chris began his employment at Hokanson Companies in the construction area and in 2000 added Property Management to his responsibilities. Now as President and Chief Executive Officer, he focuses his efforts on construction, development, and property/facility management. Chris oversees a team of property and construction managers to provide management services to approximately 5M square feet in a 7-state geographical service area. Chris also works closely with multiple financial institutions to meet their bank branch real estate needs which includes a 140-branch system across a 3-state geographical area.

Chris graduated from Purdue University in 1999 with a Bachelor of Science in Civil Engineering. He holds a Professional Indiana State License for an Engineer in Training (EIT) and an Indiana Real Estate Broker and is a Certified Commercial Investment Member (CCIM). Chis is also involved with The Building Owners and Managers Association (BOMA) and is currently serving on the International Executive Committee and is the President for BOMA Indianapolis.

Chris enjoys spending time, working in the business, being outside, riding motorcycles, exercising, playing golf, and being with his family.

Stephen J. Adams

Executive Vice President
sja@hokansoninc.com

Stephen J. Adams joined Hokanson Companies, Inc. in 2000 and now serves as the Executive Vice President for the company.  While leading the leasing and brokerage team over the past 25 + years, Stephen has grown his client list by being accountable, trustworthy and responsive at all times.  He manages his client’s corporate real estate needs from coast to coast through providing site selection, transaction advisory, tenant representation and acquisition/disposition services.

Stephen serves as the outsourced real estate partner to many major corporations and has developed long-term relationships by integrating and learning the business of his clients.  His proactive approach to cost savings has provided an invaluable benefit to his customers.  He continues to have success with both large, multinational companies and regional businesses as he earns his client’s business daily with an eye on strategic planning, both locally and nationally.

As Executive Vice President, he helps manage a team of seasoned professionals who provide expert market research, real estate knowledge, and function as a cohesive team to enhance the decision making of his clients.  Capabilities include strategic planning, market evaluation and transaction management.

Continuing the company’s history as the premier medical real estate provider, Stephen has developed relationships with the major hospital systems in Indiana, such as Indiana University Health, Community Health Network, Ascension St. Vincent, Lutheran Health, Parkview Health, Hancock Regional Health and Johnson Memorial Hospital.  In addition, representation services have been provided to many private physician groups such as OPTUM, Otolaryngology Associates, Dawes Fretzin Dermatology, Indiana Spine Group, Midwest Fertility, Northside Gastroenterology, The Surgery Center of Indianapolis, the Suburban Health Organization and the Indiana Hospital Association.

Stephen also counts several publicly traded REITS and Private Equity groups as clients.  Major investment sales experience includes on-campus MOBs at St. Vincent – Indianapolis, Indiana University – Methodist Downtown, Indiana University Health North and West Campuses, Parkview Health, Lutheran Health and various other campuses.  Also, he has completed several national, single-tenant, industrial sale/leaseback transactions including tenants such as Hershey’s, Firestone and several 3PL providers.

Stephen has devoted his time to various organizations including Noble of Indiana, Penrod Arts Society, Youthlinks Indiana, Hoosier Oncology Group, Allisonville Youth Baseball, St. Pius X School, and Cathedral High School the Governors Awards for Tomorrows Leaders.  He is also a member of the Stanley K. Lacy Executive Leadership Series, Class XXXVII.

Jay B. Gehl

Vice Chairman
jbg@hokansoninc.com

Jay Gehl serves as Vice Chairman of Hokanson Companies, Inc.  With over thirty years of experience, Jay has been directing and managing the company’s expertise in the areas of corporate advisory work, strategic planning, tenant representation, financial analysis of leases, brokerage, and build-to-suit assistance.  He has been instrumental in assisting the efforts of several major corporations establishing or relocating their corporate headquarters and managing vast portfolios of leased and owned properties across the United States.  His attention to detail and his unparalleled customer service have been the foundation of his relationships with the institutional customers served by Hokanson Companies, Inc.

Jay has excelled in investment sales with multiple transactions each year that annually rank him as a top producing broker on a local and national level. In addition, Jay’s efforts have helped corporate clients establish or renew leases in facilities across the United States from Connecticut to California.  He has also served the international needs of his clients in six countries including a facility in Turrialba, Costa Rica with 230,000 square feet and 35 acres.

Jay’s resume includes multiple build-to-suits of logistics and manufacturing facilities.  In addition, investment sales such as the 550,000 square foot U.S. Postal Facility in downtown Indianapolis and a 450,000 square foot medical portfolio make Jay a top producer in the local market while managing a team of highly experienced real estate professionals.  The success of Jay’s business is benchmarked by the multiple transactions and ongoing relationships with customers that have remained satisfied by the level of service and the quality of the transactions resulting from his guidance.

Today Jay continues to excel at providing excellent advice and service to several customers that lead their individual industries in quality, growth, and innovation.

Stephen P. Hokanson

Chairman of the Board and Chief Executive Officer, CRE, CPM, RPA
sph@hokansoninc.com

“We put our clients’ interests first… always.”

Steve Hokanson serves as Chairman of the Board and Chief Executive Officer of Hokanson Companies, Inc. He began with HCI in 1971, and has been its President and CEO since 1983. When Steve joined the organization, Hokanson Companies was primarily focused on property management. Under Steve’s leadership, Hokanson Companies has grown to include four active divisions and five separate disciplines.

HCI currently manages over 6 Million square feet under its property management division, and has over $100 million in project management and development. Its sales and leasing division closes over $100 million in sales and leases annually, while they continue to be very active in construction management for its various clients and out-of-ground buildings.

In addition to his role at HCI, Steve has also fulfilled numerous civic and professional leadership roles locally, statewide, and nationally, including the International President of BOMA International 1991-1993. Steve’s other accomplishments include being selected for the Stanley K. Lacy Executive Leadership Series, the Eagle Scout Silver Beaver Award, the National Distinguished Eagle Scout Award, named in Outstanding Young Men in America, and the Sagamore of the Wabash award, which is the highest award given in the State of Indiana by our Governor.

Steve Hokanson graduated from Indiana University in 1969 with a Bachelor of Science in Management and Administration. Steve is a licensed Real Estate Broker in the State of Indiana, and his designations include Counselor of Real Estate (CRE), Certified Property Manager (CPM), and Real Property Administrator (RPA).

Boyd R. Zoccola

Chief Development Officer
brz@hokansoninc.com

“Your ideas become reality through our combined efforts.”

Boyd R. Zoccola serves as Chief Development Officer of Hokanson Companies Inc. With over 25 years of experience, he focuses his expertise on development of office and medical space, and corporate consulting. Boyd has been actively involved in the development of nearly $600 million worth of real estate, including client partners like IU Health, Springleaf Financial, Vectren Corporation, and Old National Bank.

Boyd’s industry involvement with The Building Owners and Managers Association (BOMA) is extensive beginning in 1994. He served as Chair and Chief Elected Officer of BOMA International, and has also served on the Executive, Finance, Medical, and Healthcare Facilities Committees. He also served and chaired numerous task forces along with being a panelist and/or speaker. Boyd’s BOMA Indianapolis experience includes positions as President, Vice President, Treasurer, Secretary, and multiple committee chairs. In addition, Boyd served as a Board Member of the Real Estate Round Table from 2011-2012.

Boyd graduated from Indiana University with a BA in Biology and is a graduate of the Stanley K. Lacy Leadership Series. Boyd has served the community through his involvement with Horizon House, Girls Inc., and the IYHA. He is a member of Second Presbyterian Church, Sigma Chi Alumni Association, Meridian Hills Country Club, and is an Indiana Real Estate Principal Broker.

Tony R. Townsley

Chief Financial Officer, CPA
trt@hokansoninc.com

“A great company has great people who are passionate about what they do! I am proud to be a part of the Hokanson Team, where we demonstrate that passion every day in helping our customers solve their Real Estate challenges.”

Tony Townsley serves as Chief Financial Officer of Hokanson Companies, Inc. Tony began with HCI in 2001, bringing with him 25 years of accounting and operations management experience including four years with Arthur Anderson. This vast knowledge has contributed to his success overseeing the corporate financial reporting, cash management, budget coordination, and year-end audit and tax responsibilities at Hokanson.

Tony graduated from Indiana University in 1985 with a Bachelor of Science degree in Accounting. He is a Certified Public Accountant, and was appointed by the Governor to serve on the Governor’s Council of Impaired and Dangerous Driving. Tony also served on the Wine and Spirit Wholesalers’ Board of Directors. Currently, he’s involved with the Merciful Help Center, and is an active member of Our Lady of Mt. Carmel Catholic Church.

Tony enjoys spending time outdoors with his family, camping, fishing, biking, and reading. Those same family values led him in publishing a children’s book titled “Three Cups”, which teaches children how to save, spend, and be charitable with their money. There are more than 50,000 copies of the book in distribution.