In this episode, Arminco CEO Artin Safarian and Sara Reichenbach, Senior Consultant, speak with Dr. Madeleine Goodman of Harmony Pediatric Dentistry & Orthodontics in Bethesda. She is an orthodontist, entrepreneur, and the heart and soul behind Tiny Changes, a dental plastics recycling and sustainability initiative.

Dr. Goodman shares not only her passion for creating sustainable change in the dental industry but also her firsthand experience opening her own practice and navigating the challenges that come with practice ownership. Her work through Tiny Changes offers dentists a practical way to reduce the significant amount of single-use plastics generated in daily operations—keeping them out of landfills and moving the profession toward a more responsible future.

This episode is an excellent opportunity for dental professionals to learn how sustainability and practice success can go hand in hand.

To learn more about the process, visit Tiny Changes.
Interested in joining the initiative? Contact sara@armincoinc.com
to receive a discounted recycling box and complimentary advisory services as a thank-you for your participation.

Arminco is the full-suite professional partner behind over 1,000 successful healthcare buildouts nationwide. We integrate strategy, design, and execution into one seamless process, delivering certainty where others deliver complexity. Arminco Inc. is a full-suite professional services partner helping healthcare professionals open and expand with confidence. With 20+ years, we deliver certainty through integrated, custom solutions, not cookie-cutter templates. From concept to care, our hands-on team turns complexity into clarity so you can focus on what matters most: your practice.

At Arminco, we believe great spaces start with great partnerships. For over 20 years, we've helped healthcare professionals across the country bring their vision to life with clarity, confidence, and certainty. As a vertically integrated professional services partner, we connect every phase of your project into one seamless experience. We don't hand off responsibilities. We take ownership from the first idea to your first patient, ensuring a custom, non-cookie-cutter solution built around your goals. With over 1,000 projects delivered nationwide, our proven process transforms complexity into confidence every time.

When contractor bids come back higher than expected, the issue often starts with what’s missing from the landlord’s work letter. In this episode, Art and Hailee break down a real situation where a healthcare tenant discovered major gaps in the landlord’s delivery—including no HVAC, no electrical panel, no drywall, and even no concrete slab.

For dental offices, these items can dramatically inflate construction costs and create unexpected budget stress.

This episode covers:
• Why bidding construction from design-only drawings leads to inaccurate pricing
• How missing core infrastructure can add $100K+ to your dental build-out
• What your landlord’s work letter must include before you sign a lease
• How to negotiate TI money when key elements aren’t delivered
• Why working with an experienced healthcare realtor matters

A must-listen for any dentist preparing to lease a new space and wanting to protect their construction budget.

Renovations can fall apart long before construction begins — and in this case study, a 3,500 sq. ft. dental expansion in Arizona shows exactly how. What looked like a “full” drawing set turned out to be missing critical engineering details, complete specifications, clear phasing, and even basic contract protections. The result? Four wildly different bids, unclear scope, and a project headed toward major cost overruns.
In this episode, Art and Hailee break down how vague drawings, incomplete contracts, and early contractor involvement can derail a renovation before it ever starts — and what every doctor should verify before signing anything.

Topics include:
• Why incomplete drawings lead to inconsistent bids and surprise costs
• How missing MEPs, open specs, and vague details create disputes
• The risk of starting a phased project without a defined shutdown plan
• What every dental contract must include (timelines, penalties, warranties, lien waivers, etc.)
• Why spending more on design and planning can save hundreds of thousands later