Capital is generally available for viable healthcare projects. Clinical staff frequently are not. A facility that can be built and cannot be staffed is a total loss, and it is a more common failure than an inability to raise money.
We recruit against a credible opening date rather than an optimistic one. Hiring to a date that then slips burns the goodwill of exactly the people you need, and they have other options. Retention is treated as an operating metric, not an HR one — turnover is expensive in cash and worse in clinical quality, because experienced teams catch what new ones miss.