Project Overview

A regional healthcare provider engaged Spire Consulting Group to stabilize and complete a multi-phase inpatient hospital expansion after significant project performance issues jeopardized the schedule and overall project success. The project included a new inpatient hospital addition and a 50,000-square-foot renovation of the existing inpatient facility. Following the replacement of the original construction management team, Spire assumed responsibility for leading the project through completion while maintaining uninterrupted hospital operations.  Spire assisted Moore County Hospital in maintaining their Joint Commission Accreditation by bringing the new hospital space on-line as their existing hospital was repurposed to lab, rehab and administrative functions.

Client Challenge

The project experienced significant execution challenges under the original construction management team and general contractor, placing the planned opening date for the new inpatient facility at risk. The owner required an experienced construction management partner capable of restoring project controls, coordinating multiple stakeholders, managing active healthcare operations, and delivering the new facility on schedule. Following completion of the addition, the owner also needed leadership to successfully execute multiple renovation phases while evaluating contractor and owner claims related to the project.

Spire’s Role & Approach

Spire was retained to provide comprehensive construction project management services focused on restoring schedule certainty, improving coordination, and successfully delivering the project.

Key responsibilities included:

  • Assuming day-to-day leadership of the construction project following replacement of the original project team
  • Managing completion of the inpatient hospital addition to achieve the desired opening date
  • Coordinating contractors, design professionals, hospital leadership, Department of Agriculture sponsor, lending agent, and project stakeholders throughout construction.
  • Leading the phased renovation of approximately 50,000 square feet of the existing inpatient facility while minimizing operational disruption.
  • Monitoring project performance, schedule, budget, and risk through project closeout.
  • Evaluating contractor and owner disagreements associated with completed work, including quantifying cost value of deficient work, rework, and completion delays.


Results & Impact

  • Successfully delivered the new inpatient hospital addition in time to meet the owner’s targeted opening date.
  • Managed multiple renovation phases of the occupied hospital through project completion while supporting continued healthcare operations.
  • Restored project oversight and improved coordination following challenges with the original construction team.
  • Provided independent construction contract review with recommendations for Contract Change Order adjustments.
  • Delivered integrated project management expertise that helped the owner successfully complete a complex healthcare capital project.
  • Spire provides comprehensive construction consulting services to healthcare owners, combining project management, project controls, construction advisory, and dispute resolution expertise to help organizations successfully deliver complex capital projects, mitigate risk, and resolve construction challenges from planning through project closeout.