The principles at By Design have over 20 years of experience providing services to physicians and hospitals in the Medical Industry.

Medical Buildings - Partner in the development of Medical Buildings; approvals, leasing, design and construction.

Site Search – For purchase or rental, we locate and assist in securing Real Estate locations. We canvas the area starting with the Town Hall records.

Negotiate & Secure – By Design will negotiate for the acquisition of a property or negotiate a lease with the favorable terms that anticipate the project at hand. This minimizes legal fees and reduces the timetable to get the project started.

Medical Design – Provide the skills and experience in designing physician suites. We assemble the necessary professionals with medical experience to get the job done.

Approvals – Again, By Design has a track record of obtaining the necessary local and state approvals for several specific projects. We streamline the process.

Financing – By Design has obtained financing for several successful medical related projects. The key is to minimize the initial cash investment.

Renovation & Construction – Extensive experience in construction of Satellite Medical Offices, Group Practices, and Medical Buildings. Also, renovation of existing Medical Suites.

Management – Presently, we manage a dozen Medical Buildings. Medical requires a different quality of management that we have experience in delivering.



State-Of-The-Art Medical Office/Surgical Building

  • Digital Radiography
  • Electronic Records
  • Specialty Suite Accomodated
  • Procedure Rooms

The above amneties can be built into the construction costs of the building. Download this document by clicking here.

Development Plan

  • Establish requirements for building size
  • Determine Location;
    • Perform site search
    • Build new buildings or renovate existing buildings
  • Base Building Specifications;
    • First class state-of-the-art Medical Office Building
    • Brick façade with architectural enhancements
    • Atrium style lobby, granite tile, wood finishes, etc.
    • Elevator access
  • Tenant Fit-Up Assumptions;
    • Build all costs into bricks & mortor
    • Provide adequate allowance for turn-key suite
    • Purchase equipment for electronic records
  • Significant Parking;
    • At a minimum, 5 cars per 1000 square feet in the building
    • Patient parking situated for easy access
  • Time Line (12 to 15 Months);
    • Pre-Lease building to 50% 1 to 3 Months
    • Base Design Period 1 to 2 Months
    • Approval period 2 to 3 Months
    • Construction period 6 to 8 Months
  • Ownership Opportunities;
    • Developed under a Limited Liability Corporation (LLC)
    • Physician’s may invest in Real Estate