Constructing or retro-fitting Veterans Affairs (VA) hospitals is a complicated process with many parts and people to organize. The right medical and non-medical equipment, furnishings, along with installers, and knowledgeable personnel must be in place and operate under strict deadlines. Adherence to government as well as local regulations is a must. Knowledge, efficiency and pricing are the primary keys for successful project planning, implementation and on-time completion. Without them, medical facility construction can be a financial disaster.