Texarkana, TX
A 3-hour-away denture and implant practice with a 6-month vendor delay on stainless steel lab cabinets. Pereff built them in-house in 2 weeks at 1/3 the vendor's cost.
Project at a Glance
The Brief
Dr. McCatty's denture and implant studio in Texarkana — 3 hours from DFW — required disciplined project management throughout construction. The most significant problem: specialty stainless-steel dental cabinets for the lab had a 6-month vendor lead time, a potentially practice-ending schedule failure for a new dental start.
For a new dental start, a 6-month supply delay on a critical item isn't a project problem — it's a financial crisis. Dr. McCatty needed an alternative immediately.
The Approach
In-house fabrication — medical-grade, 2 weeks, 1/3 the cost
When the vendor delay surfaced, Pereff fabricated the stainless-steel dental cabinets in-house — same medical-grade specification — in 2 weeks at 1/3 of the vendor's cost. No other commercial contractor in the market can do this.
In-house fabrication — medical-grade, 2 weeks, 1/3 the cost
When the vendor delay surfaced, Pereff fabricated the stainless-steel dental cabinets in-house — same medical-grade specification — in 2 weeks at 1/3 of the vendor's cost. No other commercial contractor in the market can do this.
Long-distance PM: daily sub and vendor oversight
Pereff maintained daily project management contact with subcontractors and vendors across the 3-hour drive. Stephen walked the site on the schedule consistent with all Pereff projects. No travel distance changes the site-walk standard.
Long-distance PM: daily sub and vendor oversight
Pereff maintained daily project management contact with subcontractors and vendors across the 3-hour drive. Stephen walked the site on the schedule consistent with all Pereff projects. No travel distance changes the site-walk standard.
One Source Solution: broker, design, construction, marketing, bank facilitation
Dr. McCatty's engagement was a complete One Source Solution — healthcare RE broker to find the space, design to build the practice, construction, marketing support, and bank facilitation enabling up to $1.2M in financing. No extra fees, no outside consultant.
One Source Solution: broker, design, construction, marketing, bank facilitation
Dr. McCatty's engagement was a complete One Source Solution — healthcare RE broker to find the space, design to build the practice, construction, marketing support, and bank facilitation enabling up to $1.2M in financing. No extra fees, no outside consultant.
In-house fabrication — medical-grade, 2 weeks, 1/3 the cost
When the vendor delay surfaced, Pereff fabricated the stainless-steel dental cabinets in-house — same medical-grade specification — in 2 weeks at 1/3 of the vendor's cost. No other commercial contractor in the market can do this.
In-house fabrication — medical-grade, 2 weeks, 1/3 the cost
When the vendor delay surfaced, Pereff fabricated the stainless-steel dental cabinets in-house — same medical-grade specification — in 2 weeks at 1/3 of the vendor's cost. No other commercial contractor in the market can do this.
Long-distance PM: daily sub and vendor oversight
Pereff maintained daily project management contact with subcontractors and vendors across the 3-hour drive. Stephen walked the site on the schedule consistent with all Pereff projects. No travel distance changes the site-walk standard.
Long-distance PM: daily sub and vendor oversight
Pereff maintained daily project management contact with subcontractors and vendors across the 3-hour drive. Stephen walked the site on the schedule consistent with all Pereff projects. No travel distance changes the site-walk standard.
One Source Solution: broker, design, construction, marketing, bank facilitation
Dr. McCatty's engagement was a complete One Source Solution — healthcare RE broker to find the space, design to build the practice, construction, marketing support, and bank facilitation enabling up to $1.2M in financing. No extra fees, no outside consultant.
One Source Solution: broker, design, construction, marketing, bank facilitation
Dr. McCatty's engagement was a complete One Source Solution — healthcare RE broker to find the space, design to build the practice, construction, marketing support, and bank facilitation enabling up to $1.2M in financing. No extra fees, no outside consultant.
Key Decisions
Capability differentiator
Most contractors would have waited 6 months or scrambled for an alternative supplier. Pereff built the cabinets. Medical-grade stainless steel, 2 weeks, 1/3 of vendor cost. No other commercial contractor in the market can do this.
Schedule protection
The 6-month vendor delay was identified during construction planning, not after a purchase order was placed and a slot was lost. Early identification left time to fabricate in-house and hold the schedule.
Financing outcome
Through Pereff's healthcare bank relationships, Dr. McCatty received up to $1.2M in financing — significantly beyond what conventional dental start loans typically offer. This requires developer-grade bank relationships a GC-only firm cannot access.
Long-distance logistics
Long-distance projects fail on communication and oversight. Pereff's daily PM contact and regular site visits held the schedule at 4 months. Practice opened on time.
Outcome
Dr. McCatty's denture and implant studio opened in 4 months — 3 hours from DFW, with a stainless-steel lab Pereff built in-house in 2 weeks at 1/3 vendor cost, and up to $1.2M in new-start financing facilitated.
[Testimonial from Dr. McCatty — to be supplied by client]
Photos
[Project photos — to be supplied by client]
[Photo 1 — to be supplied by Pereff]
[Photo 2 — to be supplied by Pereff]
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