Timelines vary by asset class and scope, but every project follows the same five-step process: site and underwriting, capital and structure, design and development, construction, and an operations-ready handoff. Typical construction timelines: 6–12 months for a MOB (acquisition/renovation), 12–18 months for a BHH, 16–20 months for a build-to-suit IRF, 12–18 months for an ASC.