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June 9, 2020 54 mins

During this episode of the Practice Accelerator Podcast, we speak with Mike Mackay, principal and partner in Ripple Projects. Mike Mackay discusses what is involved in building a practice, factors that impact the cost of your construction budget, and the key team members that are needed to build your dental office. 

Episode Highlights: 

  • What is the background of Ripple Projects? 
  • What are his thoughts on dentists going for a free-standing building versus being located in a plaza? 
  • How do you choose a contractor when you are building? 
  • What is the difference between a general contractor versus a project manager?  
  • What is a dentist actually paying for with project managers? 
  • What other team members are needed for construction projects?  
  • What are the factors that impact cost? 
  • Mike Mackay discusses the timing of a project. 
  • You ideally want construction happening during your free-rent period. 
  • Ripple Projects has been able to build out dental practices lately in 8-10 weeks in the construction phase.
  • Have your team in place early on. 
  • Mike talks about what construction contracts typically look like. 
  • Give the bad news first because bad news requires action. Good news does not.  
  • How does a dentist pay for the creation of their practice?  
  • What advice does Mike Mackay have for those building during COVID-19?  
  • Let the professionals do their job.  


3 Key Points:

  1. General contractors may self-perform a lot of their own work with their own class. Project managers mostly coordinate the project and put teams together for the required work. 
  2. You are going to need a mechanical engineer, electrical engineer, and a design done that meets code.  
  3. The drivers that effect consultant cost: architecture fees, engineering fees, builder, project manager, general contractors, square footage, and the existing building condition. 

Tweetable Quotes: 

  • “We are a small boutique firm that specializes in commercial and residential work. Our passion is driven by design and is influenced by a lot of great architecture throughout the world, and a lot of the work we do, whether it is on the commercial side or the residential side is driven by space and use of space.” -Mike Mackay
  • “The name (Ripple) starts with an idea and then ripples out from there, and I think that is like anything. That is how things start and they move, and things are fluid.” -Mike Mackay
  • “A free-standing building may give you more exposure for marketing purposes and it may have more presence to the public. You’re typically going to have more overhead costs involved.” -Mike Mackay
  • “Getting a critical path early on, right from the beginning of your project is key, from zoning, planning, design, and having all the consultants planning timeframes that they have to work to.” -Mike Mackay

Resources Mentioned: 

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