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BTY has four decades of experience providing complete healthcare project delivery solutions, from concept planning to facilities management.

Our project portfolio encompasses super hospitals in urban centres, healthcare facilities in remote regions, integrated healthcare campuses, and specialized facilities for cancer, cardiac, mental health and neuroscience research, and paediatric, palliative, maternity, geriatric, and outpatient care.

Expert support from concept to completion

Our exposure to the needs and strengths of owners, authorities, investors, developers, designers and contractors enables us to provide multi-perspective insights through all stages of the development cycle.

BTY’s professionals also bring knowledge in Building Information Modelling (BIM), 3D Printing, LEAN planning and Smart Technologies to address productivity, environmental and community integration goals of the project.

Business Case

We support clients in developing business plans and project prospectus, including Project Feasibility, Value for Money Analysis, Economic Impact, Pro forma Development, Budget and Schedule Analysis.

Services
Planning

As part of our Project Management practice, BTY’s services include developing Project Governance and Implementation Frameworks, as well as advisory service for Project Start-up, Design and Procurement.

Services
Design

We provide expertise to address productivity, cost, schedule and risk management decision-making. These services include Employer’s Agent Design Management, Project Controls, Regulatory Compliance, Cost  Estimating and Cost Control, Value Engineering and Change Management.

Services
Finance

Our expertise in conducting Construction Financing Reviews is rooted in 40 years of experience on thousands of projects across all market sectors. Our award-winning due diligence reporting is at the core of each of our services in this category, which include Loan Agreement Compliance, Risk Management, Budget and Schedule Review, Replacement Scenario, Payment Mechanisms and Technical Advisory.

Services
Construction

BTY’s expertise in construction implementation, monitoring and risk management encompasses all traditional and alternative procurement and delivery models. Our services include Owner’s Project Management, Employer’s Agent, Budget and Schedule Management, Construction Phase Monitoring, Independent Certification and Payment Certification.

Services
Operations

BTY provides specialist expertise in assessing a building’s current state, establishing capital planning priorities and life-cycle operations and maintenance. Our services include Compliance Inspections, Life-Cycle Cost & Facilities Management Review and Property Condition Assessments.

Services

Overview of all our services

  • Infrastructure Advisory

    BTY’s award-winning Infrastructure and Public-Private Partnerships Advisory Team brings global experience in complex social, civil and energy infrastructure assets.

    Our Lenders’ Technical Advisory (LTA) services start during the bidding stage of Preferred Proponent selection to provide Financial Institutions comprehensive due diligence on the project’s viability. Our clear reporting enables Project Companies to address competitive pricing and provides Financial Institutions thorough review of project risks.

    Through the construction phase, BTY’s LTA teams provide regular monitoring and progress reports detailing adherence to the project budget and schedule, Certification of Payments, Risk Tracking and Mitigation.

    As Independent Certifiers and Independent Engineers, we provide third-party objectivity in Milestone Attestation, Compliance Reporting, Dispute Resolution and facilitate the process for achieving Substantial Completion and Final Completion Certification.

  • Project Monitoring & Lender Services

    BTY’s professional are industry leaders in assessing and advising on the viability and risks of development projects, from the initial budget review to construction phase monitoring services.

    Through budget, schedule and construction reviews, site visits and monthly reports, and cost-to-complete forecasts, we act as the lender’s eyes and ears on the project: monitoring progress, revenues, and approvals to flag concerns early by engaging lenders and developers to implement solutions quickly and seamlessly.

    Our construction and project finance knowledge enables developers to negotiate the funding process with greater ease and present more robust projects.

  • Project Management

    We provide Owner’s Project Management and Owner’s Representative Services with complementing expertise to protect our clients’ interests while overseeing an integrated approach to delivering the project.

    Our services are adaptable to fit the full range of project sizes and procurement methods, including traditional Design-Build, Construction Management and Public-Private Partnerships/AFP.

    BTY’s Project Management practice gives clients access to responsive, locally experienced and a scalable pool of experts, as and when needed. We provide the best value for clients looking to augment their project team without bloating their resourcing. We also specialize in delivering distressed projects.

    Our team includes Project Management Professionals, Construction Managers, Engineers, LEAN Certified experts, Scheduling and Risk Managers.

  • Cost Management & Project Controls

    Our Cost Management services enable more effective Cost Planning, Cost Estimating, Project Controls and Change Management of a construction project over its entire development cycle.

    We provide Cost Estimates at key design stages as well as advise on constructability, escalation, contingency, cash-flow and life-cycle costs to minimize risk and maximize project value.

    Our comprehensive database of materials and labour costs enables our accredited professionals to benchmark and market-test cost information based on geography, asset class, project type, cost premiums, trades availability and market conditions.

    BTY’s cost professionals are accredited members of Royal Institution of Chartered Surveyors, Canadian Institute of Quantity Surveyors, United States Green Building Council and Canada Green Building Council.

  • Schedule Management

    Our in-house Construction Scheduling expertise ensure key milestones are understood and executed while maintaining the critical path. BTY’s experts are proficient in the industry’s leading software and technology solutions.

    We provide the best value for clients looking to augment their project team without bloating their resourcing.

    We develop a comprehensive and detailed sequence of activities, Work Breakdown Structures, regular schedule review and mitigation for delay events.

    Our experience includes developing, managing, and reviewing construction schedules for a wide array of development and infrastructure assets, including residential and mixed-use real estate, airports, hospitals and complex transportation projects.

  • Claims Services & Expert Opinion

    BTY provides Claims Services, Expert Opinion, formal and informal Disputes Resolution, Project Adjudication and Mediation services related to construction projects.

    We offer objective and experienced analysis on projects relating to delay events, payment and claims disputes and default notices. We develop mitigation recommendations to prevent disputes from escalating into costly litigation.

    For lenders and investors whose projects are not meeting the intended terms established at the outset of a loan agreement, we review the letter of engagement, inspect the project with the parties to the agreement and provide a definitive report to substantiate dispute claims.

  • Assigned Certifier & Independent Tester

    BTY provides Independent Tester services across various sectors, and we have streamlined processes required for the role to facilitate project progress through to service availability and closure of snagging.

    As Independent Certifiers and Independent  Engineers, we provide third-party objectivity in Milestone Attestation, Compliance Reporting,  Dispute Resolution, and facilitate the process for achieving Substantial Completion and Final Completion Certification.

    BTY also has the necessary experience, competency, and registered professionals to fulfill the Assigned Certification deliverables under BCAR requirements on complex construction projects. We ensure that all necessary Building Regulations specified at the design stage have been implemented in the final constructed asset, and the facility is delivered in compliance with the governing agreements.

  • Transaction Advisory

    We advise clients on the technical and financial viability of asset investments and transactions, providing construction and operational context for Refinancing and Secondary Market Transactions.

    We advise investors on project costs for new-use conversions, long-term operation and depreciation that may affect investment outcomes.

    We provide developers and authorities with expert valuation considering availability, deficiencies, facilities management and life-cycle costs and revenues, payment deductions and more.

    BTY has provided Refinancing and Transaction Advisory services for hospitals, roads, bridges, power generation and distribution infrastructure, natural gas and nuclear plants, and assets involving distributed service providers.

  • Condition Assessments

    Our Property Condition Assessment (PCA) Service includes documentation preparation and review, condition survey/building review, assessment of operator repair and maintenance compliance, identification of remedial measures and a remedial cost estimate.

    We prepare Reserve Fund Studies (RFS), also known as Depreciation Reports, enabling owners to optimize the service life of their real estate assets. Our experts work with strata representatives and property managers to develop financial plans to decrease or eliminate deferred maintenance.

    In addition to covering all components of a PCA, our studies also provide a financial analysis and a range of funding scenarios. A review of the current Contingency Reserve Fund (CRF) account balance, CRF contributions and operating costs assess whether current funding levels are adequate to meet anticipated expenditures.

  • Social & Labour Advisory

    BTY provides risk and impact assessments and audits on social, and labour related matters associated with major infrastructure and land development projects.

    We design, implement, and monitor plans to mitigate and manage social and labour requirements for both traditional and alternative delivery models across market sectors.

    We develop resettlement action plans, community development plans, and livelihood restoration strategies, as well as conduct labour audits, institutional analysis, assessments of working conditions, and human rights impact assessments to SA8000 standards and in compliance with legislative requirements.

  • Health & Safety Advisory

    We provide a multidisciplinary approach to our health and safety advisory services in compliance with local legislative requirements and international best practices.

    Our professionals are knowledgeable in health and safety management systems development, implementation, and monitoring, including ILO-OSH or OHSAS requirements.

    We review health and safety documentation, training, and monitoring tools, and provide effective solutions to site practices for compliance with management system checks and services. We can provide ad hoc support to achieve compliance with national and international laws.

  • Environmental Impact Assessment

    BTY’s experts bring knowledge in assessing environmental risk, developing environmental impact assessments and action plans associated with major infrastructure and land development projects.

    We design, implement, and monitor plans to mitigate and manage environmental impact requirements for traditional and alternative delivery models in all market sectors.

    Our solutions ensure compliance with various policies of International Financial Institutions (IFI). These can include policies on environmental and social sustainability, Equator Principles, World Bank Safeguard Policies, Requirements of the European Bank for Reconstruction and Development (EBRD) and Asian Development Bank Environmental Policy and legislative obligations.

  • Traffic Studies & Due Diligence

    We provide traffic and revenue forecasting and due diligence services based on technical program, regional demographics, and market data.

    Developers, equity investors and lenders rely upon our analysis and reviews to identify and mitigate commercial risk when preparing a business case and investment outlook.

    Drawing on our expertise in conducting technical due diligence in the transportation sector, we can forecast traffic and revenue for railways, highways, airports, and other logistics related sectors, such as marine ports.

Projects

  • Golden Plough Lodge Long Term Care and Archives

    Cobourg, ON

  • Children’s Hospital of Eastern Ontario – 1Door4Care Project

    Ottawa, ON

  • Corner Brook Long-Term Care

    Corner Brook, NF

  • Royal Columbian Hospital Redevelopment

    New Westminster, BC

  • Casey House Hospital

    Toronto, ON

  • Laval, Laurentides and Lanaudière Senior Homes

    Various Locations, QC

Golden Plough Lodge Long Term Care and Archives

Cobourg, ON

The Golden Plough Lodge is 151 bed Long-Term Care Facility, owned and operated by the upper tier municipality of Northumberland County. Its redevelopment is a new-build next to the existing facility with an expansion of 29 beds and will incorporate the County’s archives and museum storage, and exhibition space into its footprint. The $85 million project is designed to achieve LEED v4 Certification.

Children’s Hospital of Eastern Ontario – 1Door4Care Project

Ottawa, ON

The project will merge seven existing care locations currently spread across the city into a single, state-of-the-art, purpose-built facility on CHEO’s main campus at Smyth Road. It will include multi-use clinic space, a physiotherapy rehab gym, expanded mental health clinics, indoor and outdoor education and therapy space, secure space for children who have been abused, treatment rooms for kids with behavioural issues, advanced technology to enable virtual care, and family support spaces. The building will also include a physical link to the main building on campus.

Corner Brook Long-Term Care

Corner Brook, NF

This project comprises the construction of a new long-term care facility in Corner Brook, Newfoundland. The new facility will include 120 long‐term care beds, as well as 15 palliative care beds and 10 rehabilitative care beds.

Royal Columbian Hospital Redevelopment

New Westminster, BC

The multi-phase project includes construction of a new Acute Care Tower, renovation and expansions required to support increase in capacity to 600 acute care beds.

Casey House Hospital

Toronto, ON

The project involved the renovation of an existing heritage property in Toronto that would incorporate a new 58,000 sf facility with a modern structure embracing the existing building. The plan received a Canadian Architect Magazine’s 2013 Award of Excellence for its high design and respect for client welfare. The project was also awarded The Lieutenant Governor’s Ontario Heritage Award for Excellence in Conservation.

Laval, Laurentides and Lanaudière Senior Homes

Various Locations, QC

The project involves the design, build and financing of nine seniors’ homes and alternative houses, catering to over 500 residents, in Laval, Laurentides and Lanaudière, Quebec. It includes the construction of the homes, reception areas, public spaces, as well as shared support services.

Our Project Experience Spans Across
Industries, Sectors and Continents

Explore Projects

Multidisciplinary expertise to
deliver healthcare facilities

  • Canada
  • US
  • UK & Ireland
  • Turkey, Eastern Europe & Central Asia

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