Healthcare facilities, delivered nationwide.
Over $50 million in combined healthcare development, clinics and pharmacies built ground-up and retrofit, with a specialty in tribal health.
San Pasqual Modular Clinic & Pharmacy
Client: San Pasqual Band of Mission Indians · Location: Valley Center, California · Size: 6,600 SF
The Tribe needed a modern clinic and pharmacy delivered far faster than traditional construction. Apex led the project from development through implementation, coordinating modular manufacturers, site contractors, healthcare vendors, technology providers, and tribal leadership.
- Development planning & modular procurement coordination
- Site development, utilities & civil coordination
- Construction management & healthcare operational planning
- Technology integration management
Accelerated Delivery
Modular construction significantly reduced overall timeline versus traditional site-built methods.
Reduced Risk
Parallel site work and building fabrication let critical activities run simultaneously, improving schedule certainty.
Future-Ready
Designed for modern care delivery, integrated technology, and future expansion.
Kiowa Nation Clinic & Pharmacy
Client: Kiowa Nation of Oklahoma · Location: Anadarko, Oklahoma · Size: 8,000 SF
The Tribe transformed an aging commercial building into a modern healthcare clinic and retail pharmacy. Apex served as Owner's Representative and Construction Management lead across the full project lifecycle, from programming and budgeting through regulatory coordination and delivery.
- Six exam rooms, full laboratory & digital X-ray suite
- Retail pharmacy with drive-thru and fulfillment
- AHJ, State Fire Marshal & IHS reimbursement coordination
- Value engineering cut pricing from $2.5M+ to a $1.85M final budget
$1.85M
Final construction budget, down from an initial $2.5M+.
~$650K Saved
Through value engineering, scope management & procurement oversight.
8,000 SF
Full-service clinic & retail pharmacy, schedule-aligned delivery.
Tonto-Apache Tribe Clinic & Pharmacy
Client: Tonto-Apache Tribe · Location: Payson, Arizona · Size: 5,300 SF
Apex converted an aging commercial facility into a fully operational clinic and pharmacy as Owner's Representative and Development Lead, overseeing programming, budgeting, design-build, regulatory coordination, and construction management for a centralized healthcare destination.
- Four exam rooms, clinical laboratory & digital X-ray suite
- Integrated retail pharmacy & fulfillment
- ~3,800 SF clinic + ~1,500 SF pharmacy, ADA-compliant throughout
- Layout engineered for patient flow, staff efficiency & future growth
Improved Access
A centralized destination so members get care locally instead of traveling.
Operational Efficiency
Designed to maximize patient flow, staff efficiency & pharmacy operations.
Built to Scale
Supports future technology integration and long-term community growth.
Coyote Valley Band of Pomo Indians
Client: Coyote Valley Band of Pomo Indians · Location: Redwood Valley, California
Originally planned as a cannabis dispensary, the building's purpose changed after the Tribe secured a $3.5 million SAP grant. Apex partnered with Aambe Health to lead planning, budgeting, scheduling, and implementation, repurposing the existing structure into a working pharmacy while expanding the campus with a purpose-built clinic.
- Adaptive reuse of the existing building into a full retail and working pharmacy
- Integrated clinic expansion with a second-floor addition for offices and storage
- Drive-thru pharmacy plus clinical lab and X-ray support spaces
- Construction budget aligned to grant funding, projected at or under budget
$3.5M Grant
SAP grant funding leveraged for a larger healthcare impact than new construction alone.
Adaptive Reuse
Existing structure repurposed into a working pharmacy, preserving the Tribe's prior investment.
On Schedule
Tracking on time and projected at or under the established construction budget.
Soboba Nation Integrated Healthcare Campus
Client: Soboba Band of Luiseño Indians · Location: San Jacinto, California · Project Value: $2.5M
The Tribe transformed a vacant multi-tenant retail center into a comprehensive healthcare destination. Apex partnered with Aambe Health to lead planning, budgeting, and implementation, combining seven vacant retail suites into one integrated campus for primary care, pharmacy, diagnostic imaging, laboratory services, and future rehabilitation.
- Seven vacant retail suites converted into a single medical campus
- Six-exam-room primary care clinic with a digital X-ray suite and full clinical laboratory
- Retail and working pharmacy with secure pharmaceutical systems
- 2,200 SF reserved for a future physical and occupational therapy center
$2.5M Value
Integrated healthcare campus delivered through tenant improvement, not ground-up construction.
7 Suites
Vacant retail units combined into one seamless, multi-department medical destination.
6 Exam Rooms
Primary care with digital X-ray, clinical lab, pharmacy, and reserved PT/OT space.
Tribal Healthcare & Pharmacy Program
Apex has become a trusted development partner for tribal healthcare and pharmacy projects, providing comprehensive planning, design-build consulting, owner's representation, and construction management across multiple tribal nations.
Working alongside tribal leadership, operators, pharmacists, architects, engineers, and contractors, Apex advances infrastructure that improves access to care while supporting sovereignty and economic development.
- Modular construction to speed delivery & lower cost
- Advanced pharmacy automation, strip-packaging & robotics
- EMR implementation & modern workflow design
- Sustainable construction methodologies
7 Contracted
Clinics & pharmacies, 2 ground-up, 5 retrofits.
Multiple Nations
Tribal communities served across the United States.
Clinic + Pharmacy
Specialized design-build & owner's representation expertise.
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