Build pathway · Startup control system
Control startup scope, funding and opening readiness.
A startup is a care model, facility plan, site, lease, construction project, equipment handoff, payer process, staffing plan, operating launch, and household commitment. Keep them in one review without collapsing them into a “go” score.
Local startup control file · Model v1.1.0
Protect the care model and the opening reserve in the same record.
The workbench does not approve a site, lease, plan, bid, contract, loan, code interpretation, or opening. It makes the project dependencies, assumptions, limits of the available evidence, and reserve consequences visible.
Results use the entered assumptions. Evidence and safety checks still require review.
Current result: Opening working capital $155,000; after pending changes $155,000; pending funding gap $70,000; household reserve margin $15,000; 20 open controls.
Changing facts, scope, or supporting records reopens affected reviews. Supporting notes are kept; follow-up notes alone do not reopen a review. Saved files preserve their recorded statuses and still need a current review.
No input edits yet. Unchanged example values remain fictional assumptions. No changes since the last download or opening state.
Assumptions, evidence still needed, and local saving
This case stays in this tab only. Reloading, navigating away, or closing the tab can erase it. Download the case file to keep or reopen it. DenQAI does not upload it, autosave it, or store it in your browser. Browser exit warnings are a backup and may not appear on every device.
Planning case — assumptions and evidence require review. Includes fictional example assumptions. Formula v1.1.0.
Blank means unknown. Enter 0 only for a known zero or an item that does not apply and has no cost or use. Example values and modeled estimates are assumptions until supported by your records.
Next dependency to review
Lease and work letter — Landlord work and rent commencement unresolved Owner: Tenant counsel.
Listed in project review order; this does not calculate a construction critical path.
Data boundary
No patient, employee, credential, private quote, or unredacted contract records belong here.
Use coded project labels and short local locators. Nothing is uploaded or saved by DenQAI. Your values remain in this browser tab until you export a file you control.
No common direct-identifier pattern detected. Pattern screening cannot certify confidentiality or de-identification.
01 · Owner mandate
Define what the facility must protect before drawing rooms.
A floorplan is an operating model with walls. Debt service is not a clinical design brief.
02 · Operating program
Translate care into actual opening and stabilized capacity.
Rough in inexpensive future infrastructure only when each deferred room has a written utilization, staffing, cash, and access trigger.
Decision Summary · 03 · Capital and protected reserves
Construction completion is not the capital requirement.
Site and lease, professional services, construction, equipment and opening inventory, and pre-opening operations are separate. Contingency, practice working capital, and household reserve remain visible.
Project uses
Committed sources
Owner reserve contract
Opening working capital = committed sources − five-budget base − the larger of planned contingency or approved change cost. The pending case also reserves draft and pending change exposure. These are user-entered scenarios, not construction estimates or financing commitments.
04 · Comparable bid bridge
The lowest quoted total may contain the largest unanswered scope.
Reconcile each proposal to one issued package. The adjusted total below adds entered allowance exposure and owner-budgeted exclusions; it does not decide bidder quality or contract risk.
Compare inclusion, exclusion, allowance, alternate, owner-supplied, ambiguity, and no-response across demolition, partitions, millwork, dental utilities, electrical, HVAC, low voltage, life safety, permits, testing, training, and closeout.
05 · Site and project safety checks
A favorable capital result cannot resolve missing authority, an unsafe plan, or an unreviewed contract.
“Reviewed with limits” requires a direct project document and a named reviewer. It is not the same as approved, compliant, or guaranteed.
01 · Permitted use and authorityReviewed with limits
02 · Lease and site economicsRequested
03 · Accessibility and local codeRequested
04 · Utilities and building systemsRequested
05 · Clinical flow and infection preventionRequested
06 · Bid scope and construction contractRequested
07 · Financing and reserveReviewed with limits
08 · Opening readinessRequested
06 · Formal change control
Every field change draws from reserve, schedule, or operating intent.
Direct price is not the whole change. Capture downstream work, delay, owner, record, and operating consequence before approval. Editing an approved or rejected change returns that record to pending; an amended approved cost moves into pending exposure until reviewed again.
07 · Opening dependency map
Completed tasks matter only when they unblock safe opening.
Lease, plans, permit, financing, contractor, utilities, equipment, technology, credentialing, staffing, occupancy, and opening are one critical path.
Site control
Lease and work letter
Operating program and plans
Permit and local approvals
Financing and sources
Construction and inspections
Equipment delivery and acceptance
Technology, phones, and security
Payer enrollment and credentialing
Hiring, policies, and training
Occupancy and closeout
Controlled opening
- Lease and site economics: direct record and named reviewer have not reached reviewed-with-limits status.
- Accessibility and local code: direct record and named reviewer have not reached reviewed-with-limits status.
- Utilities and building systems: direct record and named reviewer have not reached reviewed-with-limits status.
- Clinical flow and infection prevention: direct record and named reviewer have not reached reviewed-with-limits status.
- Bid scope and construction contract: direct record and named reviewer have not reached reviewed-with-limits status.
- Opening readiness: direct record and named reviewer have not reached reviewed-with-limits status.
- Lease and work letter: dependency is not complete with an owner and supporting document.
- Operating program and plans: dependency is not complete with an owner and supporting document.
- Permit and local approvals: dependency is not complete with an owner and supporting document.
- Construction and inspections: dependency is not complete with an owner and supporting document.
- Equipment delivery and acceptance: dependency is not complete with an owner and supporting document.
- Technology, phones, and security: dependency is not complete with an owner and supporting document.
- Payer enrollment and credentialing: dependency is not complete with an owner and supporting document.
- Hiring, policies, and training: dependency is not complete with an owner and supporting document.
- Occupancy and closeout: dependency is not complete with an owner and supporting document.
- Controlled opening: dependency is not complete with an owner and supporting document.
- Fictional Bid B: proposal scope has not been reviewed against a common bid package.
- Fictional Bid C: proposal scope has not been reviewed against a common bid package.
- Opening working capital is below the owner mandate after approved project commitments and protected contingency.
- Draft and pending changes would reduce opening working capital below the owner minimum. Resolve their scope or funding before approval.
Supporting records and follow-up
These are the entered evidence notes and responsibilities for this case. Status labels record the current inputs; they do not certify the evidence or professional approval. Unfilled fields remain unresolved.
Bid evidence: Fictional Bid A · BID-A
- Evidence status
- reviewed with limits
- Common-scope record
- Common-scope reconciliation v2 with allowances, exclusions, schedule, insurance, and closeout.
- Reviewer role
- Owner representative and architect
Bid evidence: Fictional Bid B · BID-B
- Evidence status
- requested
- Common-scope record
- Not entered
- Reviewer role
- Owner representative and architect
Bid evidence: Fictional Bid C · BID-C
- Evidence status
- requested
- Common-scope record
- Not entered
- Reviewer role
- Owner representative and architect
Site safety check: Permitted use and authority · use-and-authority
- Evidence status
- reviewed with limits
- Supporting record
- Written local use finding and identified approval path.
- Reviewer role
- Local land-use counsel and design professional
- Next request
- Not entered
- Pause, redesign or reject condition
- Do not sign or spend beyond the contingency if dental use or required authority remains unresolved.
Site safety check: Lease and site economics · lease-and-site
- Evidence status
- requested
- Supporting record
- Not entered
- Reviewer role
- Tenant-side real-estate counsel
- Next request
- Executed work letter, rent commencement, TI reimbursement, defect allocation, signage, parking, assignment, restoration, and delay terms.
- Pause, redesign or reject condition
- Pause if rent can begin before usable occupancy without adequate protection.
Site safety check: Accessibility and local code · accessibility-and-code
- Evidence status
- requested
- Supporting record
- Not entered
- Reviewer role
- Licensed local architect and code reviewer
- Next request
- Document applicable federal, state, and local requirements and the accessible patient route.
- Pause, redesign or reject condition
- Do not value-engineer required access, egress, or life-safety scope.
Site safety check: Utilities and building systems · utilities-and-building-systems
- Evidence status
- requested
- Supporting record
- Not entered
- Reviewer role
- MEP engineer and dental equipment coordinator
- Next request
- Verify electrical service, HVAC, plumbing, vacuum, air, exhaust, roof, structural, shielding, and telecom capacity.
- Pause, redesign or reject condition
- Pause if the site requires unpriced system replacement or an unapproved penetration.
Site safety check: Clinical flow and infection prevention · clinical-flow-and-infection-prevention
- Evidence status
- requested
- Supporting record
- Not entered
- Reviewer role
- Owner dentist and infection-prevention reviewer
- Next request
- Walk patient, staff, instrument, waste, lab, supply, emergency, and service paths before permit.
- Pause, redesign or reject condition
- Reject a plan that saves cost by degrading clean/contaminated separation, privacy, or safe work.
Site safety check: Bid scope and construction contract · bid-scope-and-contract
- Evidence status
- requested
- Supporting record
- Not entered
- Reviewer role
- Construction counsel, architect, and owner representative
- Next request
- Reconcile every bidder to one issued scope, schedule, allowance, exclusion, insurance, closeout, and change process.
- Pause, redesign or reject condition
- Do not choose a low total until omissions and ambiguity have been priced.
Site safety check: Financing and reserve · financing-and-reserve
- Evidence status
- reviewed with limits
- Supporting record
- Sources-and-uses, lender term sheet, owner liquidity plan, and reserve mandate.
- Reviewer role
- Independent dental CPA and lender
- Next request
- Not entered
- Pause, redesign or reject condition
- Pause if a new commitment spends protected opening or household reserve.
Site safety check: Opening readiness · opening-readiness
- Evidence status
- requested
- Supporting record
- Not entered
- Reviewer role
- Owner, practice manager, payer lead, IT/security reviewer, and facility team
- Next request
- Coordinate occupancy, equipment acceptance, software, phones, staffing, training, payer status, supplies, policies, and emergency readiness.
- Pause, redesign or reject condition
- Do not open clinical care on incomplete life-safety, infection-prevention, equipment, identity, or staffing controls.
Change: Fictional hidden-condition correction · CO-001
- Status
- approved
- Owner role
- Architect and owner
- Governing approved document
- Field report, priced proposal, schedule impact, and signed approval.
- Operating effect
- No change to clinical flow; contingency draw documented.
Change: Fictional upgraded finish request · CO-002
- Status
- rejected
- Owner role
- Owner
- Governing approved document
- Value-engineering decision log.
- Operating effect
- No patient-care or workflow benefit sufficient to use reserve.
Change: Fictional electrical service question · CO-003
- Status
- pending
- Owner role
- Engineer and landlord
- Governing approved document
- Not entered
- Operating effect
- Could affect equipment commissioning and opening date.
Change: · CO-004
- Status
- draft
- Owner role
- Not entered
- Governing approved document
- Not entered
- Operating effect
- Not entered
Opening dependency: Site control · site-control
- Status
- complete reviewed
- Owner role
- Owner and counsel
- Target window
- Before design spend
- Supporting record
- Executed contingency or control document
- Current blocker
- Not entered
Opening dependency: Lease and work letter · lease
- Status
- active
- Owner role
- Tenant counsel
- Target window
- Before permit
- Supporting record
- Not entered
- Current blocker
- Landlord work and rent commencement unresolved
Opening dependency: Operating program and plans · program-and-plans
- Status
- active
- Owner role
- Owner and architect
- Target window
- Before permit
- Supporting record
- Not entered
- Current blocker
- Equipment loads and sterilization flow pending
Opening dependency: Permit and local approvals · permit
- Status
- not started
- Owner role
- Architect
- Target window
- Before construction
- Supporting record
- Not entered
- Current blocker
- Issued-for-permit set not complete
Opening dependency: Financing and sources · financing
- Status
- complete reviewed
- Owner role
- Owner, CPA, and lender
- Target window
- Before commitments
- Supporting record
- Executed commitment and sources-and-uses
- Current blocker
- Not entered
Opening dependency: Construction and inspections · construction
- Status
- not started
- Owner role
- Contractor and architect
- Target window
- Before occupancy
- Supporting record
- Not entered
- Current blocker
- Contract not awarded
Opening dependency: Equipment delivery and acceptance · equipment
- Status
- active
- Owner role
- Equipment coordinator
- Target window
- Before training
- Supporting record
- Not entered
- Current blocker
- Final utility matrix pending
Opening dependency: Technology, phones, and security · technology
- Status
- not started
- Owner role
- IT/security lead
- Target window
- Before staff onboarding
- Supporting record
- Not entered
- Current blocker
- Network and identity plan pending
Opening dependency: Payer enrollment and credentialing · credentialing
- Status
- active
- Owner role
- Credentialing owner
- Target window
- Before scheduling affected plans
- Supporting record
- Not entered
- Current blocker
- Carrier effective dates remain unconfirmed
Opening dependency: Hiring, policies, and training · staffing
- Status
- active
- Owner role
- Owner and practice manager
- Target window
- Before opening
- Supporting record
- Not entered
- Current blocker
- Front office and hygiene coverage open
Opening dependency: Occupancy and closeout · occupancy
- Status
- not started
- Owner role
- Architect and contractor
- Target window
- Before equipment use
- Supporting record
- Not entered
- Current blocker
- Depends on construction and inspections
Opening dependency: Controlled opening · opening
- Status
- not started
- Owner role
- Owner and practice manager
- Target window
- After readiness review
- Supporting record
- Not entered
- Current blocker
- Depends on occupancy, staffing, equipment, IT, and payer decisions
Save or share your review
Start with the readable Excel workbook or printable review.
The workbook includes instructions, examples, units, formulas, questions, and a data dictionary. Save the DenQAI project file only if you want to reopen these exact inputs here. Nothing is uploaded.
Advanced data exports
These CSV files are raw row-and-column data for advisers or analysts. They are not the recommended reading format. Change and dependency logs can be downloaded before amounts are known; blank numeric cells mean unknown.
For any reopened project file, confirm the source period, supporting documents, reviewer roles, and model version before relying on the result.
Before you enter numbers
Gather the records for your first result.
You are deciding whether the care model, site, complete budget, cash, and opening plan can survive the next commitment without consuming the reserves needed after opening.
- Patient-care model, planned hours, rooms, team, procedures, and referral assumptions
- Site and lease terms, issued plans, utility and building-system findings
- Comparable contractor bids, equipment and technology quotes, and financing sources
- Approved and pending changes, opening expenses, working capital, and household reserve
- First useful review
- 30–45 minutes for the capital and reserve review
- What you receive
- Complete project cost, remaining contingency, pending exposure, opening working capital, funding gap, and open safety checks
Guided steps, detailed review, outputs, and privacy
Guided review
Start here if you are learning the decision or do not have every record yet.
- Define the care model and the space it actually requires
- Enter the five budget groups, project sources, contingency, and protected reserves
- Read the cash-to-open result before comparing detailed bids or changes
Detailed review
Use this after the first result, or with advisers and stronger records.
- Compare bids on one scope and expose allowances and exclusions
- Track each change and each opening dependency separately
- Clear site, lease, design, team, liability, and readiness checks with the right reviewers
- Read and print the plain-language result on this page.
- Download the Excel decision workbook when one is available.
- Save a DenQAI project file if you want to reopen your inputs.
- Use raw CSV only for advanced data work.
Complete fictional example
A $1,500,000 five-budget base does not answer whether the practice is ready to build or open.
The loaded example preserves $92,000 of construction contingency after approved changes, then separately exposes opening working capital, pending exposure, household reserve, bid-scope documentation, site safety checks, and twelve dependencies.
Entered commitments—not an approval
After protected project uses
Draft plus pending direct and downstream cost
Documentation, bids, dependencies, practice reserve, and household reserve
All figures are fictional and deliberately incomplete. They are not cost-per-square-foot benchmarks, lender terms, market forecasts, construction advice, or a recommended startup budget.