In today’s healthcare construction environment, rising costs from inflation, labor shortages, tariffs, and evolving technology demands are putting unprecedented pressure on budgets and margins. To meet these challenges head-on, healthcare owners are turning to Target Value Delivery (TVD)—a proactive, collaborative approach that aligns stakeholder decisions with cost constraints from the very beginning.

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According to a study by the American Society of Civil Engineers, projects that utilize independent change order reviews report a reduction in change order costs by up to 15%. As an independent cost estimator, OCMI’s sole objective is to present accurate cost data to the Owner. With no stake in a project’s financial outcome, we remain wholly impartial as we perform change order analysis and estimating, with no hidden fees, expenses, or motives to skew the data we report. Further, our consulting costs are typically offset by the value of the savings we provide through change order management. This approach protects the Owner’s interests while maintaining fairness and transparency between the Owner and General Contractor (GC)/Construction Manager at Risk (CMAR).

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The City of Sacramento’s SAFE Credit Union Convention Center was named American Public Works Association’s (APWA) 2021 Project of the Year. Built out from the old convention center and the first expansion since 1996, the new $254 million center allows the city to maximize the use of the building and put Sacramento back on the map.

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