Those who have read our newsletter in the past know that it is designed to provide "quick hit" guidance and thoughts on a limited topic as a first step in helping our friends, clients and hopefully future clients (collectively "friends") to obtain enough knowledge to consider the issues. In short, these articles are designed to help our friends identify issues so that they can prepare to address them. In this article it is my hope to provide our health care friends with a very basic starting point to understanding the decisions that will need to be made to move a construction project from vision to reality.