Today's Veterinary Business

JUN 2018

Today’s Veterinary Business provides information and resources designed to help veterinarians and office management improve the financial performance of their practices, allowing them to increase the level of patient care and client service.

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29 June/July 2018 • TODAYSVETERINARYBUSINESS.COM Constructive Criticism columnist Paul Gladysz is the principal architect at BDA Architecture. The firm specializes in the planning, design and con- struction of animal care facilities. 3 1 Ease of access. All veterinary practices need a location that clients can enter and exit easily. Corner lots are very visible, but traffic conges- tion can be a problem. In a large urban area, connecting to mass transit is critical. No one wants to haul a cat carrier six blocks from the subway station. With a new practice, look at: Distance from the competi- tion. Start-up practices need to be aware of where the competition is. You want to look for an underserved area in your target demographic. This is where great commercial real estate agents can earn their money: by mapping other practices and identifying the population growth of neighborhoods. A new general practice wants to be the first and only one in a new planned commu- nity. For you, new rooftops means new clients. Visibility. As with any growing business, you need to be found. A location on a busy commuter route is best. An attractive, visible location is a great marketing tool. Ease of access. As with any business site, getting in and out without becoming frustrated is key. General Factors Cost. You have a business plan, right? Knowing your numbers is critical so you don't overspend. Knowing how large a mortgage you can afford is the first step in creating a budget that covers site acquisition, build-out, equipment, soft costs and a contingency fund. Zoning. If you take away noth- ing else from this article, please remember this: Zoning can make or break a location. Zoning refers to a set of laws and ordinances that every town has in place to regu- late land use. The same laws that bar a gas station from a residential street will likewise dictate where an animal services facility can go. This, again, is where good agents can earn their keep. You want to be in a zone where your practice profile is allowed and no special approvals are needed. The last thing you want is to have to file a rezoning appli- cation or request major variances. These can be lengthy and expen- sive ordeals. If a special approval is required, I suggest consulting a local zoning attorney before you commit yourself to the site. Restrictive covenants. Some tenant spaces or buildings have deed restrictions. They might limit use or noise-producing business- es. They might address things such as setbacks and buffer zones. A good agent will research and advise you. Public utilities. Of course, your hospital needs electricity, water and other utility connections. Before you commit yourself, find out about water, sewer and power service sizes. Some older locations might be underserved and require expensive upgrades. Renovation or Tenant Improvement Consider these important points when you look at a strip shopping center or business park: Visibility. Not all locations are equally seen. In general, avoid inside corners of an L- or U-shaped build- ing. These spots have reduced front- age and might have limited parking. Signage. If you are the first tenant in a new development, you likely can get a prime spot on the property's main sign along the road. These signs are visible from greater distances. Shape of the space. Just be- cause your program says you need 5,000 square feet does not mean your hospital will fit it into a long, narrow space or an area that is of irregular or convoluted shape. The ideal space is a square or rectangle with an aspect ratio of 1.5-to-1 (depth to width). Even a ratio of up to 2-to-1 is workable, but anything beyond that will result in an ineffi- cient plan. Open plan or load-bearing obstructions. Your clinic should be free from as many internal ob- structions as possible. One or two column lines are easy to work with, but a space with immovable interior walls will reduce your options. Single floor or multistory. Repeat after me: Multistory is bad. Even in large referral practices, we want to have most, if not all, clinical spaces on the same level. Administrative and support person- nel can work on other floors and not affect health care efficiency, but any multistory plan will dedicate space to stairs or elevators, easily decreas- ing a plan's efficiency by up to 15 percent. And remember that most people would rather walk 75 feet than climb 12 steps. Pet access. Any hospital treating dogs needs a place for them to elim- inate. Often, this feature is difficult to get in a strip center. Negotiations with your landlord should include access to outside space. Try to get it adjacent to the back door and with- in a fenced, secure enclosure. Neighbors. Yep, dogs bark. You know it and your clients know it and no one bats an eye. But the insur- ance agent next door or the cranky guy living in the house behind the strip center will notice. Be prepared to address the issue when negotiat- ing your lease or when Mr. Cranky comes calling. New Construction Many of the points above apply to new builds, too, but other issues come into play when you search for a place to construct a hospital from the ground up. Parcel size. Project program- ming should identify not only your current needs but also a reason- able growth projection. When you build, you likely are locked in to a location for a long period. Your goal should be to accommodate at least five years' growth and as many as 20 years or more. This includes not just adding to the building's footprint but also being able to create more parking as the patient caseload increases. Buildable area. Your program says you need 1 acre of land. Does that mean any 1-acre site will do? Not necessarily. What you need is a buildable acre when you subtract things like large setbacks, utility and access easements, watercourse setbacks, wetlands and the like. The seller should provide you and your designer with a survey identifying all encumbrances to land use. Landscape requirements. The zoning code usually addresses required green space. A land- scaped buffer space is a good thing because it helps maintain the quality of the community. It is an expense, however, so planting and maintenance should be part of the overall budget. Parking. A zoning ordinance likely addresses the number of re- quired parking spaces. A veterinary clinic commonly needs one parking space for every 200 to 400 square feet of building size, but your prac- tice might need more. A designer can assist you with ideal numbers for both initial and future builds. Grading and drainage. Not all sites are created equal, and some can be costly to develop. In general, a flat site raised a few feet above the road elevation will be less expensive than a sloped site or one below street level. Just because your build- ing site is not in a designated flood plain does not mean you won't get water inside the hospital during heavy rain. Localized flooding is just as devastating to a business as a hurricane. A sloped site will require a greater amount of earthmoving, which can ruin a budget. 2 3 1 1 7 1 4 3 2 5 6 5 4 3 4 2 3 2

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