Healthcare · New ConstructionCompleted 2024

Comprehensive Cancer Center & Proton Therapy

The cyclotron's delivery slot was fixed a year out by its manufacturer. Everything else had to bend to that day.

LocationPhoenix, AZ

ClientConfidential

LocationPhoenix, AZ

SectorHealthcare

Value$410M

Size260,000 sq ft

DeliveryCM at Risk

Duration38 months

StatusCompleted 2024

Why it mattered

A late hospital opening is measured in patients, not penalties: a family driving further for care, a surgeon without a room, a community told to wait. Boards need a date they can announce and defend, and we build the schedule that earns it.

The challenge

A health system was bringing proton therapy to its region for the first time. The treatment vault walls are meters thick, and the manufacturer set the cyclotron's delivery slot more than twelve months in advance.

Mass concrete pours, shielding inspections, rigging routes and crane access all had to converge on a single day. Missing it meant rejoining the manufacturer's queue, a delay measured in months and a cost no contingency had been sized for.

Our role

Integrated Master Scheduling (IMS)Critical Path Analysis Commissioning & Startup Scheduling Owner's Representative

Schedule at a glance

The whole program, on one line.

Start to finish, as the schedule tells it. For work still in progress, the bar moves with today's data date.

StartMay 2021

Duration38 months

HandoverJul 2024

Progress—

Assess every scheduleArchitect by roomCommand each periodClose into activation

How we held the date

Our approach, phase by phase.

The same disciplined sequence we bring to every engagement, shaped around what this project needed most.

PHASE 01PHASE 02PHASE 03PHASE 04

PHASE 01Assess every schedule

An independent health check of each schedule in play, then a single integrated critical path linking design, procurement, construction and medical equipment.

PHASE 02Architect by room

Equipment, IT and life-safety systems tied to the readiness of individual rooms and departments, not whole floors.

PHASE 03Command each period

Two-week data dates, earned value and quantified P50/P80 risk, so leadership could act months ahead rather than weeks.

PHASE 04Close into activation

Commissioning, inspections, clinical training and move-in sequenced as one critical chain to the first patient.

What changed

The difference we made

Measured the only way that matters: whether the date and the budget held.

Result 01Ready on delivery day

The vault was poured, inspected and clear for rigging on the morning the cyclotron arrived.

Result 02Vendor plan inside the master

The equipment vendor's installation sequence was built into the master schedule activity by activity, with float to the delivery date reported every week.

Result 03First treatment on plan

Commissioning and clinical validation finished in time for the planned first patient treatment.

Services engaged

What we brought to it

Our work in Healthcare

2.01.03Integrated Master Scheduling (IMS)

Integrated Master Schedules that bind design, procurement, construction and commissioning into one traceable program view, from board summary to field activity.

2.01.07Critical Path Analysis

Rigorous analysis of critical and near-critical paths that shows leadership exactly where attention and money will move the date, and where they will not.

2.01.15Commissioning & Startup Scheduling

System-based commissioning and startup schedules that carry facilities from mechanical completion to reliable operation without the familiar last-mile slip.

2.03.01Owner's Representative

Senior owner's representation that protects budget, schedule and quality from procurement through design, construction and occupancy.

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