A unique business model initiated by West Bank First Nation, and AD Vitam Health Care Ltd. To develop and operate a four level, 160,000-sq.ft. “five star” medical care facility. Strategic program elements included: Clinical Services; Medical / Surgical Inpatient Units; High Dependency Units; Haemodialysis Area; Diagnostic and Treatment Hub; Clinical Support Services; Diagnostic Imaging; Clinical Laboratory; Diagnostic Cardiology; Physiotherapy / Occupational Therapy Area; Respiratory Therapy; Pharmacy and Non-Clinical Support Services; Biomedical Engineering; IMIT (includes electronic health records); Protective Services (Security); Staff Amenities. As the Construction Project Manager providing pre-construction services, Sanjay worked with the Client and project team to identify and resolve design coordination, constructability and budget issues. Numerous value engineering exercises were undertaken to bring the estimated costs in line with the Client approved budget.