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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Outdated design and cramped conditions can send the wrong message to patients.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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Case Study: Enhancing Patient Care Through Thoughtful Construction at Mississippi Valley Surgery Center

Client: Mississippi Valley Surgery Center & Endoscopy Center 

Location: Davenport, Iowa 

Scope: 15,566 SF expansion + 9,482 SF renovation 

Project Type: Healthcare renovation and addition in an active medical environment 

Overview 

When the Mississippi Valley Surgery Center set out to expand and modernize its outpatient facility, Bush Construction was trusted to deliver this complex renovation. With a partnership spanning six years, Bush brought the expertise needed to manage a highly sensitive, occupied-space project. 

The result: A 15,566-square-foot addition and 9,482-square-foot renovation that improved patient care, workflow, and overall comfort. 

Project Highlights 

New Construction Features

  • 10 overnight recovery rooms 
  • 3 state-of-the-art operating rooms (ORs) 
  • 6 PACU (Post-Anesthesia Care Unit) bays 
  • Nurses' stations, offices, and support areas 

Renovated Spaces   

  • 21 expanded pre-op/post-op rooms 
  • A centralized processing department 
  • Updated nurse stations, physician break room, sterile storage, and offices

Built Around Patient Safety 

A key challenge was executing the work in a fully operational surgical facility. Bush Construction prioritized safety and cleanliness, using: 

  • Customized phasing plans to allow construction during ongoing operations 
  • Special working hours and life safety measures to reduce disruption 
  • Negative air pressure systems and temporary walls to protect patients 
  • Daily coordination with medical staff and building owners 

A Trusted Healthcare Partner 

Over the course of six years, Bush Construction partnered with MVSC on numerous interior and exterior improvements, including: 

  • Build-outs for ENT Professional Services, Iowa Women’s Health, and the Plastic Surgery Center 
  • Vascular Suite improvements, including a new sterile storage room and physician break room 
  • Renovations for Orthopedic Specialists in Davenport and Clinton, Iowa 

These phased, occupied-space projects succeeded because of detailed planning, open communication, and strong collaboration with MVSC. 

 

Results: Mississippi Valley Surgery Center’s investment in this expansion reflects its commitment to providing top-tier surgical care. Bush Construction’s work ensured a smooth, safe, and efficient transformation—delivered with the expertise and care healthcare projects demand.

Planning a Healthcare Renovation?

Let's talk about how Bush Construction safely delivers complex projects in active medical environments.
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4 Benefits to Redeveloping a Historic Building

You’ve seen them before – a rundown, old building that may seem like nothing more than a relic of the past. For some, it’s hard to see the potential. But for us at Bush Construction, these structures are our sweet spot. Using our full-service approach to development, design and construction; historic redevelopment properties serve as a symbol of potential and new life.
Each historic renovation is a unique endeavor, with its own set of opportunities and obstacles. While the idea of restoring a historic building may initially seem overwhelming, the benefits far outweigh the challenges.
From unlocking valuable tax incentives to breathing new life into beloved landmarks, today we’ll explore four benefits you may not know about redeveloping historic properties.

1. Historic Tax Credit: Revitalizing Communities, Maximizing Savings

Historic renovation isn’t just about preserving the past; it’s also a strategic investment for the future.

One of the most significant incentives driving our projects is the array of historic tax credits (HTC) available. These credits not only stimulate economic growth but also offer substantial cost savings to developers and property owners.

By leveraging federal and state historic tax credits, our clients can recoup a significant portion of their project costs, making historic renovation an economically viable option. These credits serve as a catalyst for urban revitalization, spurring job creation, attracting businesses, and enhancing property values.

 

At Bush Construction, we guide our clients through the intricacies of the tax credit process, maximizing their benefits while ensuring compliance with historic preservation standards.

2. Preservation of Architectural Heritage: Where Tradition Meets Innovation

Historic redevelopments receiving historic tax credits are subject to strict regulations and requirements to ensure historically significant features are preserved. At the start of a project, our team will work with a historical consultant to identify a building’s “period of significance.” The period of significance is the period during which the building gained architectural, historical, or geographical importance. Features in the building that fall within the period of significance must be left untouched or refurbished to abide by historic tax credit requirements.

At Bush Construction, we take pride in our integrated design-build team whose expertise lies in historical redevelopment (learn more about the benefits of collaborating with a design-build firm here). Our in-house architects have a function-first approach and can design spaces to seamlessly integrate modern functionality while preserving historical significance. Our construction team, and trusted subcontractors, understand the delicate balance and attention to detail required to transform a building while preserving its heritage.

3. Sense of Place and Identity: Community-Centric Revitalization

In the realm of historic renovation, community buy-in is paramount. At Bush Construction, we recognize the profound impact our projects have on the fabric of neighborhoods and cities. We actively engage with local stakeholders – including city leaders, the Chamber of

Commerce, potential investors and others – seeking their input and collaboration throughout the revitalization process.

By fostering a sense of ownership and pride within the community, we ensure that our projects resonate with the collective identity and heritage of the area. Whether through public outreach initiatives, community workshops, or partnerships with local organizations, we strive to create spaces that serve as cultural landmarks and gathering points for generations to come.

4. Environmental Sustainability: Preserving the Planet, One Building at a Time

Sustainable development practices are increasingly important in today’s world. Renovating historic properties aligns with the principles of sustainability by promoting adaptive reuse and minimizing waste. Rather than demolishing existing structures and consuming new resources, renovation projects repurpose materials and infrastructure, reducing the environmental impact of construction. By choosing to renovate historic properties, you embrace a more environmentally conscious approach to development, leaving a lighter footprint on the planet.

If you’re looking for more information on redeveloping a historic building, give us a shout. Our experienced team can walk you through the process one step at a time, ensuring you reap the full benefits of preserving the past to build a better future.

Through our commitment to historic tax credits, architectural heritage, community engagement, and environmental sustainability, we’re shaping a world where history thrives, and heritage endures. Join us on this journey of preservation and progress.

Explore historic redevelopment projects.

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