Altarum Institute has a decades-long history of performing economic analyses and health care requirement analyses in support of military medical construction projects. In fact, Altarum led the development of the Procedures Manual for conducting these analyses, based on our seven-step approach. This approach has proven to be very robust and scalable: we have conducted analyses on over 30 facilities, for all three medical departments, in support of a wide range of facilities, including primary care clinics, community hospitals, large medical centers, isolated facilities, and those with complex overlapping catchment areas such as the National Capital Area. We have also adapted them for application to the DOD’s drug testing program, conducting the first Laboratory Economic Requirements Analysis. The studies require expertise in population and health care data, health care policy, and statistical analysis and economic modeling.