[Rtrorkt]

have been doing medical architecture for over 40 years. reasonable MoB fee structure is 6% to 8% of hard cost. If there is medical equipment that requires coordination, then there will be additional cost. Most likely the vendor should handle with your architect locating the equipment and making sure utility connections/capacity are there. Biggest fail in medical design is not accommodating the equipment and not adequately calculating heat load from equipment, people, pc's etc. Be sure you list all of the equipment you will have, since everything generates heat and there is nothing worse than a hot medical office. The smaller the project, the higher the percent fee.

If your wives will be involved from an interior design stand point then I triple my fees since my experience tells me lots of meetings and lots of changes.

Question is who are you designing for? You or your patients? Suggest strongly that your architect be able to help with the patient experience since your quality scores will become more important as the quality revolution takes hold