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Signs It’s Time to Expand: When to Upgrade or Relocate Your Private Practice 

Your patient list is growing. Appointments are booking out weeks in advance. Staff are squeezing into shared workspaces. Sound familiar? These are just a few signs that your current facility may be holding your practice back. 

At Bush Construction, we specialize in helping private healthcare providers expand with confidence. Through our integrated development, design, and construction services, we make it easier to grow—strategically, efficiently, and with long-term value in mind. 

Here are five signs it might be time to make your next move—and how we can help guide you through it: 

  1. You’re Out of Room—Literally

Exam rooms are always full. Waiting areas are overflowing. Your current space simply can’t keep up with demand. We can help assess your growth trajectory, identify right-sized solutions, and deliver a facility designed to support your future. 

🔗See how we helped Mississippi Valley Surgery Center  expand their practice to better meet patient demand.  

  1. Your Facility No Longer Reflects Your Brand

Outdated design and cramped conditions can send the wrong message to patients. Our in-house design team collaborates with providers to modernize their environment—creating welcoming, efficient spaces that align with the care they deliver. 

🔗 Explore how Midwest Medical Clinic reimagined their space to reflect their growth and reputation. 

  1. You’re Turning Away Patients or Staff

Limited space can bottleneck operations and stall growth. Bush’s development consulting team steps in early to support everything from site selection and acquisition to incentive sourcing, development modeling, and financing—so your next step is smart, sustainable, and financially sound. 

  1. Technology Has Outgrown Your Space

As care evolves, so should your infrastructure. Whether you’re adding imaging equipment, upgrading exam room layouts, or integrating telehealth, we ensure your space is designed and constructed to support cutting-edge technology. 

🔗 See how we delivered a first-of-it’s-kind tech integration for Cardiovascular Medicine.

  1. Your Lease is Ending—or Changing

A lease renewal can be the ideal time to reassess your space strategy. Should you expand where you are, relocate, or consider owning your own building? We’ll help you evaluate the options, run development models, and coordinate the entire process from approvals through project management. 

 

Why Bush? 

At Bush Construction, we deliver more than buildings—we deliver fully integrated solutions. Our approach brings development, design, and construction under one roof, giving you a single, strategic partner from day one – and leaving time to do what you do best: run your business and take care of your patients.  

Whether you’re ready to relocate, expand, or build—we’re dedicated to being your partner every step of the way.  

 

Let’s talk!

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RENOVATING WITHOUT DISRUPTING: Smart construction strategies to minimize downtime

Running an Occupied Facility During Construction: It’s Possible…with the Right Team 

When it comes to healthcare construction, the stakes are high. You can’t afford to shut down for renovations – patients need care, staff need functional spaces, and operations must continue seamlessly. So how do you upgrade a facility without disrupting critical services?  

Unlike traditional multi-firm projects, Bush Construction integrates development, design and construction under one roof. This means a streamlined approach, smarter planning and fewer disruptions – keeping your practice running and your patients happy.  

Phased Renovations: Keeping Your Practice Running  

Renovating in phases allows your facility to remain open while construction happens in designated areas. 

  • Minimizing Impact: We carefully plan each phase to keep patient care uninterrupted. 
  • Temporary Solutions: Swing spaces and temporary treatment areas keep services operational. 
  • Off-Hours Work: Night and weekend construction limits disruptions during peak hours. 

 

Planning and Communication: Staying One Step Ahead 

Our pre-construction, design and project teams will work closely with your staff to ensure seamless coordination and transparency.  

Preconstruction Planning: We align work with your least busy times to reduce impact. 

Early and Reoccurring Design Walkthroughs: Our designers will walk through phased design plans early and often with your doctors, nurses and office managers integrating workflow needs.  

Supply Chain Management: With a fully integrated team, we can sync up early to pre-order materials, preventing delays and avoiding unexpected costs.  

 

Single-Source Contact: One point of communication eliminates misalignment between teams. 

ICRA-Certified Teams: Clean and Safe Construction 

Healthcare construction requires strict infection control. Our ICRA-certified professionals ensure: 

  • Blocked-Off Work Zones: Minimizing dust, debris, and airborne particles.  
  • Clean Air & Spaces: Proper airflow management to prevent contamination. 
  • Safety First: Strict protocols to protect patients and staff. 

A Smarter Approach to Healthcare Construction 

Renovations don’t have to be a headache. With Bush Construction, you get a single-source partner that keeps your facility running smoothly. We handle everything—so you can focus on what matters most: your patients. 

Start your seamless renovation now!

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Top Questions Clients Ask About Our Full-Service Delivery Model

 

At Bush Construction, we offer a full-service Develop, Design, Build delivery model that brings every aspect of a project—from creative financing expertise to final construction—under one roof. This approach simplifies the process, improves communication, and creates better outcomes for our clients.

Development

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Design

Build

If you’re new to this model, you likely have a few questions. Here are the top questions we hear from clients—and how we answer them: 

  1. What does “Develop, Design, Build” actually mean?

It means we handle it all—from helping you evaluate and secure a site, to designing your space, to building it. Instead of juggling multiple vendors or managing several contracts, you work with one experienced partner who brings it all together. We guide you through the entire journey, providing seamless coordination and expert insight every step of the way. 

  1. How is this different from a traditional construction process?

In a traditional approach, the developer, architect, and contractor are separate entities with separate agendas. That often leads to miscommunication, delays, and finger-pointing. In our model, we’re all one team working toward the same goal—your success. It results in fewer surprises, faster timelines, and tighter cost control.  

  1. Is it more expensive to use a full-service firm?

Not at all—in fact, it’s often more cost-effective. By integrating development, design, and construction, we reduce costly rework and speed up decision-making. You also get more accurate budget projections early on, which helps you make better financial decisions from the start. 

  1. Can I still be involved in the process?

Absolutely. We believe in a collaborative approach, and your input is vital. Our team will guide you through each phase, providing options, recommendations, and clear communication to keep you informed and involved—without overwhelming you with every detail. 

  1. What kinds of projects are best suited for this model?

Just about any project can benefit from a full-service approach—especially those with tight timelines, fixed budgets, or complex site or zoning challenges. We’ve used this model successfully in historic redevelopment, multi-family housing, healthcare, education, commerical and mixed-use developments. 

  1. What if I already have a site or an architect?

No problem. We can plug in wherever you need us. If you already own a site or have an architect in mind, we’re happy to collaborate. Our goal is to complement the team and keep your project moving forward efficiently. 

  1. Why should I choose Bush Construction for my project?

Because we don’t just build buildings—we build confidence. With decades of experience, a proven process, and a team of development, design, and construction experts, we make complex projects simple. And we do it with integrity, transparency, and a focus on relationships that last long after the project is done. 

 

Have a question we didn’t answer?

Let’s talk. We’re always happy to walk through how our approach can work for you. 

Book a Discovery Call



 

Building for Better Care: The Stress-Free Way to Expand Your Practice

An Integrated Approach to Construction for Busy Healthcare Professionals 

For medical professionals, time is everything. Whether you’re running a private practice, managing an outpatient center, or expanding a specialty clinic, your focus is on patient care—not on juggling architects, contractors, and project timelines. That’s why the way you approach your facility’s construction matters just as much as the final result. 

A design-build approach simplifies healthcare facility development by integrating planning, design, and construction under one team. This means fewer headaches, a faster timeline, and a smoother experience from start to finish.

 

Why an Integrated Approach Works

Traditional construction projects involve separate firms for development/planning, design and construction, which can lead to miscommunication, budget overruns, and timeline delays. A fully integrated experience, like the approach offered at Bush Construction, eliminates those headaches by offering:  

Site Selection & Development Guidance – Expert insight into location analysis, zoning, and infrastructure to ensure your facility is built in the right place for success.  

A Single Point of Contact – No need to juggle multiple firms – Communication is streamlined through one trusted partner. 

Faster Project Timelines | Minimal downtime – With development, design and construction teams working in sync, we can easily phase construction, allowing you to keep operating as efficiently as possible.  

Cost Predictability – Early collaboration between architects and builders ensures budgets are set and surprises are avoided. 

A Facility Designed for Your Needs – From patient flow to compliance standards, every aspect is planned with your practice in mind. 

 

Keeping Your Focus Where It Belongs 

Your expertise is in healthcare—not in navigating real estate and construction. With the right development and design-build partner, you get a smarter, more efficient process allowing you the peace of mind knowing your facility is evolving without unnecessary disruptions.  

At Bush Construction, we specialize in helping healthcare professionals find the right site, plan for long-term growth, and build state-of-the-art facilities—all while keeping the process as simple and stress-free as possible. 

 

Planning a new facility or ready to expand? Let’s build something great together.

 

Reach out to Amy Simler 📩 to get the conversation started!



Bush Construction and Urban Improvement Conglomerate (UIC) announce strategic merger 

Bush Construction Announces Acquisition of Urban Improvement Conglomerate (UIC)

Joining forces expands Bush Construction’s expertise in architectural design and real estate development services, entry to the St. Louis market

Bush Construction, a leading construction company in the Quad Cities Area announced today their acquisition of Urban Improvement Conglomerate (UIC), a St. Louis-based architectural and real estate development firm, marking a significant milestone for two companies in the design-build industry.

This acquisition, which expands Bush Construction’s services to the St. Louis market, brings together two industry leaders with a shared vision of delivering exceptional projects that seamlessly integrate innovative design, creative development, and a proven general construction process.

Unifying Strengths 

UIC, founded by Brent Crittenden and Sarah Gibson, has a strong reputation for architectural design and development projects. Their expertise in historic real estate developments and capital structure aligns seamlessly with Bush Construction’s strengths in construction.

“This powerful alliance will enhance our ability to deliver comprehensive, high-quality solutions to our clients, ensuring every project benefits from the best in both design and construction,” said AJ Loss, President and CEO of Bush Construction. “Our clients are the center of everything we do. Being invested in clients’ success means digging deeper into how to provide a vertically integrated model. UIC’s team was an excellent fit to expand our offerings.”

Leadership and Vision 

Under the new structure, Crittenden will serve as Director of Development at Bush Construction, while Gibson will assume the role of Director of Design, St. Louis. Additionally, several other key members of the UIC team will be joining Bush Construction, further strengthening the company’s talent and expertise.

Ryan Welborn, a longtime Bush employee, has been promoted to Vice President of Construction, overseeing all construction operations in both markets. Their combined leadership and vision will be instrumental in steering the merged entity toward new opportunities and market expansion.

“At UIC, we saw the purpose and value of joining forces with Bush Construction. Our team is design-focused with a deep understanding of how an integrated approach solves challenges at every phase for our clients. By integrating our services with that of Bush Construction, we’re deepening the bench of services in the St. Louis and Quad Cities markets,” said Crittenden.

Commitment to What’s Possible 

Bush Construction and UIC share a common commitment to community building and development. This acquisition will enable both companies to continue delivering high-quality projects across the Midwest that positively impact the communities they serve.

“This expansion signifies a commitment to delivering a better construction experience. By uniting our strengths, we are poised to set new standards of excellence and drive innovation in every project we undertake,” said Loss.

To learn more about our expanded team and services click here. 

Bush Construction Named Coolest Place to Work in the Quad Cities

Bush Construction Named Quad Cities Business Journal’s Coolest Place to Work

Bush Construction: ‘It’s really like a family’

Originally posted in the Quad Cities Business Journal. Article written by QCBJ Journalist, Dave Thompson. 

Stephanie Hintermeister loves her job with Bush Construction in Davenport.

As a project coordinator with the company for about four years, a big part of her job is to get all those paperwork chores – like contracts and administrative work – done so construction work can smoothly move forward. “We keep the job moving from behind the scenes,” she said.

But Ms. Hintermeister also loves the working culture created by Bush Construction. She said it’s a great, supportive place to work.

STEPHANIE HINTERMEISTER

“It’s really like a family here. Everyone here cares about each other. … It’s a very supportive place to work,” she added.

That family atmosphere created by Bush Construction is one of the big factors that has earned the company a new honor as the inaugural winner of the Quad Cities Regional Business Journal’s “Coolest Places to Work” competition.

The competition showcases employers in the Quad Cities region that are making their workplaces great. The honor, which was open to any business with at least 15 employees and a physical presence in the greater Quad Cities, was a collaboration between the QCBJ and the independent research firm Workforce Research Group, which conducted the surveys and determined the list of the “Coolest Places.”

Companies self nominated their business to be considered for one of the “Coolest Places” through a nomination process held earlier this year. This year, 10 companies met the criteria – set out by Workforce Research Group, and make up the 2023 list of winners.

“There is such a challenge to hire and retain workers. Being a ‘Coolest Places to Work’ is a great way to have a company stand out in this competitive environment,” John Lohman, CEO and president of the Corridor Media Group, owner of the QCBJ, said previously.

This marks the first “Coolest Places to Work” rankings for the QCBJ, which now is in its second year of publication. It is a sister publication to the North Liberty, Iowa-based Corridor Business Journal (CBJ), founded 20 years ago.

“We have been hosting these awards in the Cedar Rapids/Iowa City Corridor for the past 10 years, and it is interesting to learn about the competitive edge some of these cool companies have with their emphasis on creating a great culture within their companies,” Mr. Lohman added.

A.J. LOSS

For A.J. Loss, who has been the president of Bush Construction since the company was started more than 15 years ago, being named a “Coolest Place” all comes down to the company’s culture. That culture includes inspiring teamwork, building a leadership team, as well as training and encouraging employees to take on new roles within the company.

The company’s five core values are: drive to succeed; commit to grow; inspire teamwork; do the right thing; and be humbly confident. Following those core values will help attract customers and help employees become better people, according to a message by Mr. Loss on the company’s website.

During a recent interview with the QCBJ, he detailed how these four aspects of Bush Construction help make the company a cool place to work:

  • Spending time on leadership team alignment: ‘While this may not be a typical ‘cool place’ identifier, we believe this focus significantly limits the uncool workplace conditions that would cascade to the company if indecision or mixed messages were coming from leadership,” he said.
  • Inspire teamwork: “It’s very cool when you can enjoy the people you work alongside every day,” Mr. Loss said.
  • New training program at Bush: “It goes beyond typical construction and safety training to things like personal finance. We care about our team and show it through the educational opportunities we provide,” he said.
  • Encouraging employees to take new roles at the company: “Helping people grow their careers, through non-traditional avenues, has allowed us to engage with our team in a personalized and impactful way,” he added.

One of the Bush employees to recently take on a new role is Emily Dutkiewicz of Bettendorf.

The former art teacher began working with Bush Construction as an administrative assistant about a year ago. A few weeks ago, she was promoted to assistant designer – a job that has her working on creating various building projects for the company.

Emily Dutkiewicz

“They supported me when I came to them about this. … There is a path for growth here,” she said.

Ms. Dutkiewicz adds that she loves the attitude within the company. That attitude is: “If you give 100%, we’re going to give 100% to you.”

Wayne Gordon, director of preconstruction at Bush, also likes that company attitude. He has been with the construction company for more than 14 years. In fact, he was one of the first hires when the company launched in 2009.

The company was founded with three employees. Bush Construction is part of the McCarthy-Bush Corp. family of companies. The others include: McCarthy Improvement, Clinton Engineering, Linwood Mining, AMSCO Ash Management, Oertel Metal Works, and Blackheart Slag.

Mr. Gordon appreciates the company’s open-door policy to get feedback from employees as well as how it provides a flexible work schedule to help foster a great work-life balance for workers. That’s important for Mr. Gordon because he and his wife have five children – ages 13 down to 4 – and there are always family functions, vacations and trips on the schedule.

Wayne Gordon

As for Bush Construction’s work, the schedule has been busy. Mr. Gordon believes that the schedule of work projects will continue to be busy going into the new year. He sees 2024 as being another great year with many projects to keep workers busy.

“It’s really looking like a good year for us. … There’s a lot of positives to build on next year,” he added.

Mr. Loss agrees that the workload at Bush is not going to slow down in the near future. He added that even though the hike in interest rates “has been a challenge” for the industry, he doesn’t see a decrease through the rest of this year or for much of 2024.

But at Bush Construction, it’s not all about work and projects. The company takes pride in the fact that it is involved in numerous community and volunteer projects.

In fact, the company encourages employees to take on volunteer projects.  The company’s employee engagement specialist helped create a formal volunteer program. The employees  usually volunteer 500 or more hours a year, according to information from Bush Construction.

“Our employees are able to volunteer during work hours with pay. We regularly recognize employees that model our core values,” according to information from the company.

Ms. Hintermeister, for instance, is involved with local Girl Scouts and Junior Achievement volunteer work. In March, during Women in Construction Week, she helps organize the “Build Like a Girl” workshop that has Girl Scouts building bird houses and giving them confidence and experience with a construction project. The workshop is a part of Bush’s efforts to help raise awareness and celebrate the work of women in the construction industry.

“It’s all about letting kids know how cool construction is … and letting them know about the many jobs they can do in this field,” she added.

Such events are also about helping girls get outside of their comfort zones and learn from female role models in the construction field. As one of those role models, Ms. Hintermeister said she is especially happy to show boys and girls that women can also do work in construction.

And, it seems, that work never really stops at Bush Construction. One company project that is nearing completion is the new YWCA of the Quad Cities building in downtown Rock Island. Ms. Hintermeister said that the 48,900-square-foot facility at Fifth Avenue and 17th Street is entering its final stages of construction. She added that the project faced challenges with supply chain issues “but it’s coming together really quickly.”

When that project is done, Ms. Hintermeister won’t have time to sit back and admire their work. There are always other projects in the works at Bush Construction.

“I’m never bored here. There’s always a new challenge,” she said.

At a Glance: Bush Construction

Address: 5401 Victoria Drive, Davenport.

Established: The company was founded in 2009 with three employees Bush Construction is part of the McCarthy-Bush Corp. of companies. The other companies include: McCarthy Improvement, Clinton Engineering, Linwood Mining, AMSCO Ash Management, Oertel Metal Works, and Blackheart Slag.

Leadership: A.J. Loss, president; and Michael Johnson, chief operating officer.

Number of Employees: About 50 during the peak season.

Phone: (563) 344-3791.

Website: bushconstruct.com

Services: The company provides a full-service team combining expert construction, architectural design and real estate development. The Bush Construction team has managed a wide range of commercial, industrial, government, educational, health care, office, multi-family, hospitality and historical restoration projects in the Quad Cities as well as throughout the Midwest and in Georgia.

Projects: Some of the Bush Construction’s more notable projects include:

  • Westerlin Hall at Augustana College: Renovations on the on Rock Island campus residence hall included window replacement, upgrades to the mechanical and electrical systems, plumbing and restroom upgrades, new interior finishes and flooring, installation of an elevator, roof replacement and masonry restoration.
  • Building 250 on the Rock Island Arsenal: This once vacant, deteriorating building  required extensive renovation to make it ready for industrial use. Bush Construction previously was able to work with the Rock Island Arsenal Development Group (RIADG), a group that represents a public/private partnership, whose mission is to provide civilian businesses a cost-effective option while restoring existing, under-utilized government buildings.
  • Hobbs Building: This historic four-story building was built in 1892 in Aurora, Illinois. Bush Construction’s building restoration created 15 apartment units on the second, third and fourth floors with an unfinished “white envelope” on the first floor, which is ready for a future tenant build-out.
  • Genesis Health Birth Center, Davenport: The renovation of Genesis Health System’s East Campus’ entire fifth floor for a new Birth Center included complete flooring replacement, new millwork, paint and wall coverings in the corridors, public areas, and in 31 patient rooms.

Interested in joining our team?

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Registration Full For “Build Like a Girl” Workshop

Bush Construction and the Girl Scouts of Eastern Iowa and Western Illinois announced their “Build Like a Girl” workshop on Saturday, March 5 from 8:00 am to noon at is full. The workshop will offer 16 curious Girl Scouts in 6th – 12th grades the opportunity to build a bird house using blueprints and hand tools like tape measures, saws and hammers at Bush Construction’s warehouse (2902 Indian Road, Davenport).

Participants will earn their Woodworking Badge and a Fun Patch specially designed by Bush.

“I’m thrilled we’re partnering with the Girl Scouts, an organization that continually offers new ways for girls to learn about and explore the world, again to offer this widely popular workshop,” said Stephanie Hintermeister, Project Coordinator at Bush Construction. “Based on feedback from last year’s workshop, we learned it was the first time some participants ever stood at a workbench nonetheless used a hand tool. Because we pair each participant with a member of our construction team, they walk away with an understanding of how to use the tool safely and confidently.”

The workshop is a part of Bush’s efforts to kick off Women in Construction Week (March 6-12), to help raise awareness and celebrate the work of women in the construction industry. Women make up approximately 10% of the workforce, however, the number of women actually working on job sites is much smaller.

“Last year’s program was such a valuable opportunity for Girl Scouts to gain the technical skills of the construction field while discovering new career possibilities. Each girl walked away from the event with newfound confidence and we are grateful to partner with Bush Construction to share that experience with another group of girls,” said Aimee Williams, Girl Experience Leadership Manager for Girls Scouts of Eastern Iowa and Western Illinois.

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