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ARTICLE · 06 NOVEMBER 2026

The Missing Link in Healthcare Capital Projects: An Integrated Owner’s Perspective

Ankura's latest insights explore critical challenges across multiple sectors, from cybersecurity threats targeting Web3 startups through malicious npm packages to the hidden costs eroding retail margins in customer fulfillment networks. The collection examines how organizations can navigate complex capital projects in healthcare, optimize tax strategies through cost segregation, and address the emerging crisis of cost-to-serve metrics that traditional margin analysis overlooks.

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Design and construction decisions cross many operational boundaries. Effective health system owner teams are called to orchestrate those while keeping the project focused on the strategic parameters that led to capital approval. By doing so, this helps identify decisions earlier, evaluate alternatives more completely, coordinate stakeholders more effectively, and maintain control over scope and investment priorities. 

Bring ‘Translators’ Onboard to Bridge the Gaps Between Disciplines 

Healthcare capital projects bring together clinicians, architects, contractors, facilities teams, equipment planners, vendors, and executive leaders, each approaching decisions through the lens of their own responsibilities and expertise. While each participant may be highly capable within their discipline, no single discipline is naturally accountable for seeing how every decision affects the broader enterprise. Owners can address this gap by intentionally incorporating “translators” into the project

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