Concordance Blog

Planning a New Build or Renovation? Get Your Equipment Partner in the Room Earlier

Written by Concordance Healthcare Solutions | Sep 30, 2026, 3:00:08 PM

Healthcare construction is having a significant moment. ConstructConnect data reported by HFMA projects hospital and clinic construction starts at $30.7 billion in 2026, up more than 11 percent from last year. Expansions, renovations, new ambulatory centers and replacement facilities are all in motion.

But amid all that activity one pattern plays out with remarkable consistency. Equipment gets planned too late. The space gets designed, contractors get mobilized and then the clinical team changes a specification, or lead times come in longer than expected, or a room dimension does not work for the equipment that was supposed to go in it. That is when projects get expensive and stressful for everyone involved.

None of it has to go that way. Here is what doing it right looks like.

01 The Earlier You Start, the Smoother It Goes

The single most valuable thing you can do for a capital equipment project is involve your equipment partner during the design phase. Decisions that seem purely architectural, like room dimensions, electrical layouts and floor load ratings, are all connected to the equipment that will eventually live in those spaces.

When those decisions get made without equipment context someone has to go back and revise them. Health Facilities Management has documented that specification changes made after design development can cost two to three times what the same change would have cost during programming. With construction costs rising sharply in 2026 according to Building Design and Construction, late-stage changes are even more consequential.

How Concordance Helps

Concordance's Capital Equipment team is built to come in at the planning stage and stay through installation. We work alongside architects, designers, biomedical teams and clinical staff so decisions get made in the right order.

2 Everyone Needs to Be in the Room Together

Capital equipment projects involve a lot of stakeholders who do not always naturally talk to each other. Architects think about space. Biomedical engineers think about maintenance and compliance. Clinical staff think about workflow. Procurement thinks about cost and contracts.

When those conversations happen in silos you get surprises. When they happen together with a coordinating partner in the room you get a project that actually delivers what everyone needed.

How Concordance Helps

Concordance acts as a single point of coordination across all of these groups. One partner, one point of contact and a team that knows how to navigate the complexity of healthcare construction from both the clinical and logistical sides.

03 There Is More to Specify Than Most Plans Account For

Healthcare capital projects span four main equipment areas. Medical diagnostic equipment covers imaging, monitoring and infusion systems. Medical furniture includes exam tables, stretchers and patient recliners. Office and administrative furnishings cover workstations and staff spaces. Lab equipment covers analyzers, centrifuges and processing systems.

Healthcare Design magazine's 2026 survey found that 65 percent of completed healthcare projects this year are renovations, meaning many organizations are managing active patient care and construction simultaneously. Getting a complete equipment picture early makes that transition significantly smoother.

How Concordance Helps

Concordance represents over 500 equipment and furnishing manufacturers across all four categories. The digital catalog at concordancecapitalcatalog.com is a practical planning resource with 193 searchable pages across 21 product categories.

04 Delivery Day Is Not the Finish Line

A lot of project teams focus on getting equipment ordered and assume the rest will sort itself out. But what happens after the product arrives matters just as much as the sourcing decision. Staged delivery, assembly, placement, utility connections, clinical in-servicing and biomedical documentation all have to happen in the right sequence.

If any of those steps are handled poorly it creates problems that are difficult to unwind once patients are in the space.

How Concordance Helps

Concordance's white glove delivery program covers the full process from receipt through installation and in-servicing.

05 Budget Pressure Is Real and There Are Good Options

Fitch Ratings data shows the average age of plant for not-for-profit hospitals reached 12.7 years in 2024, the oldest in over a decade. A lot of equipment is due for replacement and capital budgets are stretched. There are practical ways to do more without compromising on clinical quality.

Flexible financing structures can align equipment costs with how your facility's revenue will actually grow. Certified refurbished equipment from a reputable partner with remaining warranty coverage delivers the same clinical functionality as new at a meaningfully lower cost.

The Takeaway

Equipment planning does not have to be stressful. It just has to start at the right time. The earlier your equipment partner is part of the conversation the fewer surprises come up later and the better the finished space works for the people who use it every day.