Multi-state and multi-office medical practice rollouts, run on one operating platform.
For DSOs, multi-site specialty groups, and PE-backed medical rollups expanding across state lines. De novo build-outs and acquired-site reconfigurations delivered with consistent ICRA discipline, consistent brand standards, and a single construction partner from clinic 8 to clinic 80.
Every new state introduces a new contractor, a new process, and a six-month learning curve you've already paid for somewhere else.
Medical practice expansion runs into the same wall over and over: the GC who built your Nashville clinic doesn't operate in Dallas, and the GC who operates in Dallas has never built a clinic for your brand. Every site becomes a one-off, and your VP of operations becomes a full-time contractor manager.
The cost shows up in three places. Provider start dates slip because the suite isn't ready. Patient acquisition spend gets wasted on a clinic that isn't open. Capex variance between sites makes it hard to underwrite the next ten locations because you can't predict what they'll actually cost.
The pattern we built Bentwood to fix: One firm. One process. Consistent capex per square foot. Consistent schedule from LOI to keys. The same ICRA discipline, the same finish standards, the same closeout package, whether the site is clinic 8 or clinic 48.
End-to-end build delivery for practice operators expanding across the Southeast, Midwest, and Texas.
We work with multi-site medical practice operators on de novo build-outs, acquired-site reconfigurations, and existing-clinic renovations. Single relationship across your portfolio. One PM accountable. One reporting cadence your asset management or operations team can rely on.
De Novo Build-Outs
New-site construction from shell to keys. Site selection support, lease-negotiation feedback, MEP coordination with landlord base building, ICRA discipline through inspection, and FF&E sequencing tied to your provider start date and credentialing timeline.
Acquired-Site Reconfiguration
You bought a practice — now it has to fit the brand and the operating model. Demo, reconfigure, finish to your standards, integrate the EHR cabling and practice-management workstations, and reopen on a schedule that protects the existing patient panel.
Existing-Clinic Renovations
Phased renovations in active clinics where the practice keeps seeing patients next door. ICRA Class III/IV containment, after-hours sequencing for sensitive work, and operational coordination with the practice manager — not just the landlord.
Standardized capex, standardized schedule, standardized closeout — across 22 states.
The reason multi-site rollouts blow their pro forma is variance. One clinic finishes at $X per square foot, the next finishes 35% higher, and nobody can tell you why. Schedule slips at site three, the provider hire for site four starts paid leave with no clinic to staff, and the patient acquisition budget for the metro that opens late goes into the wind.
Bentwood runs one operating platform across every state we work in. The same scope-of-work template, the same FF&E spec, the same closeout package. Variance from your standard happens because your standard called for it (state-specific code, site-specific MEP), not because the contractor in that metro just does things differently.
The result is something your CFO and your real-estate team have probably never had: per-clinic capex you can underwrite, schedule curves you can map against your provider hiring plan, and closeout documentation that looks the same in every state so your facilities team isn't reading a different format every month.
What that looks like across your portfolio
- One PM relationship for your entire rollout, not one per metro
- Consistent capex per square foot, with deviations explained against the standard
- Schedule discipline tied to your provider start dates and credentialing windows
- Brand-standard finish package executed identically at every site
- EHR / practice-management cabling sequenced for day-one go-live
- Medical-equipment vendor coordination through commissioning
- Per-state license, permit, and inspection management handled by us
- Sub prequalification (HIPAA-aware, ICRA-trained) handled per-state, transparent to you
- Closeout documentation in a single format your team can audit consistently
- One portal showing every active site's status, capex position, and schedule risk
When your investment thesis depends on opening 30+ clinics in 36 months, the construction partner is either an accelerator or a brake.
PE-backed dental service organizations, ambulatory specialty rollups, and physician-services platforms operate on the same playbook: build a regional thesis, accelerate de novo expansion alongside acquisition, and exit at scale. The whole model breaks if construction can't keep pace.
We've designed Bentwood specifically to be the construction partner that scales with that thesis. One firm covering your entire 22-state footprint instead of 12 regional GCs. Standardized scope, schedule, and capex so your asset-management team can underwrite the next 20 locations off the cost data from the last 10. Live visibility through one portal so your CFO and your VP of operations are looking at the same numbers, in real time, across the portfolio.
If your investment committee wants to know what construction is going to cost across the rollup, the answer should be a per-clinic number with a tight range, not "depends on the contractor we use in that state." That's the conversation Bentwood is built to support.
How this lines up with your platform thesis
- Per-clinic capex prediction within a tight range across geographies
- Schedule discipline tied to your acquisition or de novo cadence
- Same construction partner from clinic 8 through clinic 80, no rebid friction
- Standardized closeout that supports future-state due diligence at exit
- Documented brand-standard execution across every site, every metro
- Direct relationship with the founder, not handoff layers between portfolio company and contractor
- Reporting cadence aligned with your quarterly board package
- Acquisition-site reconfiguration handled in parallel with de novo construction
We built proprietary software that no contractor at our size class has. It's the reason this firm can run multi-state rollouts that other GCs simply can't.
Most contractors you've worked with run on email threads, spreadsheets, and the project manager's good intentions. The handful that have a "portal" use it to upload a PDF of the schedule once a month. None of them have what Bentwood has: a proprietary operating platform, written in-house over years of focused engineering investment, designed specifically for how multi-site operating businesses actually consume construction information.
This software isn't licensed from a vendor. It isn't a Procore configuration. It isn't a SaaS subscription we resell. We built it ourselves, and we keep building it, because access to information is the single biggest competitive advantage in mid-market commercial construction — and almost no one else has invested to make it real for clients.
For a multi-site medical operator, that translates into something tangible: your VP of operations stops being a full-time contractor manager. Your CFO stops chasing per-clinic capex by phone. Your asset-management team has the same numbers Bentwood does, in real time, across every site in every state. The portal is the front door. The proprietary platform behind it is what makes the experience genuinely different from anything else in our segment.
The competitive reality: Per-clinic capex variance, schedule slip, and provider-start-date risk are the three things that wreck a multi-site rollout pro forma. Most GCs surface those problems weeks after they've already happened — because they don't have the tooling to catch them sooner. We surface them while there's still time to mitigate, because our platform was built to make that the default behavior, not an exception.
What your team sees across the rollout
- Per-clinic capex, real time. Cost position by site, with variance flagged against your standard.
- Schedule curves across the portfolio. Mapped against your provider start dates and credentialing windows.
- Long-lead procurement status. Medical equipment, MEP, FF&E — tracked from PO through site arrival.
- Risk flags surfaced early. Permitting, sub compliance, ICRA holds, landlord coordination — before they become schedule problems.
- Decision queue per site. What needs your approval, by when, with the consequence of delay quantified.
- Document trail by clinic. Every RFI, change order, approval, and inspection captured and searchable.
- Closeout package, standardized. Same format at every site, ready for future due diligence at exit.
- One reporting cadence. Aligned with your board package, asset-management review, or investment-committee schedule.
We don't publish screenshots, architecture details, or feature lists. The platform is part of what makes Bentwood hard to compete with at our size class, and we treat it accordingly. What clients experience is the output. That's what we want to be measured on.
Across the outpatient and specialty-practice spectrum.
Bentwood works across the practice types where multi-site expansion is most common. Each has its own operational rhythm, clinical requirements, and inspection profile. We've built the discipline to run them all on the same platform.
Dental & Orthodontics
Multi-op clinics, ortho practices, pediatric dental, oral surgery, and DSO de novos. Plumbing rough-in, equipment coordination, and finish standards executed identically across your geography.
Ophthalmology & Optometry
Exam-lane build-outs, optical retail integration, ASC adjacency for refractive and cataract work. EHR / image-management cabling sequenced for day-one operations.
Dermatology & Med Spa
Clinical-room build-outs, procedure-suite reconfiguration, aesthetics-retail integration. Brand-standard finish discipline across every location.
Orthopedics & Sports Medicine
Exam rooms, imaging adjacency, in-clinic PT, ASC build-outs for procedural work. Coordination with imaging equipment vendors and PT-equipment installers.
GI, ENT, & Specialty Surgery
ASC build-outs, OR construction, sterile-processing flow, recovery bays. Joint Commission and CMS-aware finish and life-safety detailing.
Primary Care & Urgent Care
Multi-location primary-care platforms and urgent-care rollups, including procedure-room and lab integration, point-of-care imaging coordination.
Have a multi-site medical rollout in progress or planning?
We'll review your expansion plan, your current contractor footprint, and the cost data from your most recent builds before discussing next steps.
Contact BentwoodQuestions we hear a lot.
Can you roll out the same clinic design across many states?
Yes. One firm, one process, every state. We standardize the build so each location opens to the same specification, and we run the long-lead procurement centrally.
How do you keep a multi-site medical rollout on schedule?
We track every location on one platform, flag schedule risk early, and keep the procurement and inspections coordinated so the openings hold.
Do we get one point of contact for the whole program?
Yes. One Bentwood relationship covers the portfolio, with live visibility into every location.