The Community Hospital Replacement Study is a comprehensive national study of 72 community hospital replacement projects completed between 2000 and 2007, which examines market, facility, operational, and financial metrics.

The vision of consolidating acute care services onto a single new campus was strongly validated by a study that found consolidation savings from a single campus would fully fund the debt service expense associated with construction of the new campus. — Herb Paris, Mid Coast Hospital

Plan for your next 2–3 expansions as part of the design process so you can visualize where you will grow your building to meet demand. — Michael Winthrop, Bellevue Hospital

If I were to do another replacement hospital I would use a guaranteed maximum price approach again. This arrangement provides the discipline to do value engineering up front. — Herb Paris, Mid Coast Hospital