COVER LETTER
February 4th, 2026
Scott Marshall, CEO of Community Smiles
Steven Chamberlin, Owner’s Representative smarshall@communitysmiles.org steven@chamberlinllc.com
Scott, Steven, and team,
RE: Architectural & Planning Services for Community Smiles Dental Project number: 260023-01
We are excited to present our proposal to join your design team for the Community Smiles new Milwaukee Clinic at Aurora Health Care’s health and wellness hub, The Beacon. We understand that the project scope includes:
1. A leased space dental clinic finish-out of approximately 6,800 rentable square feet. The design process will require close coordination with Aurora Health Care representatives, Chamberlin, LLC, as well as Community Smiles team members.
2. Architectural, interior design, structural, and MEP design services will be provided throughout all design phases, construction, and certificate of occupancy. Monthly visits to the project site are included in our base services.
3. Architectural, structural and MEP requirements will be coordinated with Owner’s selected dental equipment and your preferred equipment vendor(s).
4. An allowance is provided in our fee proposal for coordination of the Owner’s furniture selections with the team’s selected interior design and finishes concept.
Plunkett Raysich Architects (PRA) has a long history of working with Healthcare and Dental providers, and throughout our 90+ year history we have completed numerous renovation and tenant improvement projects in the Healthcare and Dental sectors. Working with our team has many unique benefits, but below we have focused on enumerating some processes that we deem imperative:
DEDICATED TO YOUR SUCCESS | We are committed to you and your mission through every phase of the project, and well beyond completion. Our role is to provide steady guidance, ensuring design challenges are resolved, operational efficiencies are thoughtfully integrated, bid documents are clear, the construction process runs smoothly, and the finished space meets your functional, cultural, aesthetic, and budget goals. We are inspired by your commitment to advancing health and wellness in the Milwaukee community. Your dedication to improving the quality of life of Milwaukee’s underserved residents deeply resonates with PRA.
WE LISTEN | While we bring extensive knowledge of Dental facility design, we recognize that you, as a client, will know your practice needs best. Through active listening and a collaborative approach, we seek to understand your daily operational challenges in order to design environments that help you achieve the best possible patient outcomes.
EXPERTISE | Planning and design expertise is demonstrated by more than vast awards or honors, it is proven through results. Our team is comprised of experienced professionals who consistently deliver optimal outcomes through a clear, systematic process refined across countless projects. We take pride in helping our clients improve Dental health outcomes and bringing their mission and vision to life.
Equally important is the project journey itself. Reaching your goals through a supportive and well-organized process is central to how we work. We would be honored to share our expertise and collaborative approach to help Community Smiles Dental & Aurora Health Care bring increased Health and Dental care access to our hometown of Milwaukee.
Many Thanks,
Renee L. Moe, AIA, EDAC
Principal, Project Manager, Plunkett Raysich Architects, LLP rmoe@prarch.com l 414.410.2915
1. BASIC INFORMATION
2. EXPERIENCE
3. PROJECT TEAM
4. VALUE OPTIMIZATION
5. DESIGN CONSULTANTS
6. DIFFERENTIATOR
7. FEE INFORMATION
Hilltown Dental
WHO WE ARE
Plunkett Raysich Architects, LLP, (PRA) is a full service architectural and interior design firm employing over 120 professionals. We don’t merely design buildings; we create spaces for people, that inspire people.
OUR PASSION IS GREAT DESIGN
PRA takes pride in helping general dentistry and specialty dental practitioners make the most out of their facilities, especially when it comes to setting up or upgrading practice spaces.
For us, dental facility design is a highly collaborative experience, involving close working relationships with dental practitioners, equipment vendors, builders, and the design team to create spaces that reflect the unique needs of your practice. Our approach fosters input from all parties, ensuring the final design is not only functional but also aligns with your unique vision and the experience you want to offer your patients.
Our approach goes beyond just design—it’s about creating spaces that contribute to the success of your practice.
FIRM HISTORY
Plunkett Raysich Architects, LLP, was established in 1935 by founder Henry Plunkett. Today, PRA is a multi-faceted national firm specializing in creating and re-imagining a variety of community environments.
PRA LEADERSHIP
Partners at PRA include Andrew Bell, Kevin Broich, Michael Brush, Gregg Golden, Jedd Heap, John Holz, Devin Kack, Nicholas Kent, Steven Kieckhafer, Scott Kramer, Clayton Little, Chris Noack, Jason Puestow, Larry Schneider and Michael Sobczak.
AUSTIN, TX
220 Industrial Boulevard Suite 101 Austin, TX 78745
512.851.1900
LICENSED IN
MADISON, WI
2310 Crossroads Drive Suite 2000 Madison, WI 53718
608.240.9900
MILWAUKEE, WI
209 South Water Street Milwaukee, WI 53204
414.359.3060
Arizona, California, Colorado, Connecticut, Delaware, Florida, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oregon, Pennsylvania, South Dakota, Texas, Virginia, West Virginia, and Wisconsin.
We also have 23 NCARB Architects on staff, allowing registration in most states within the United States.
PROJECTS IN
SARASOTA, FL
1970 Main Street Suite 201 Sarasota, FL 34236
941.348.3618
WHAT WE DO
HEALTHCARE & DENTAL
RELIGIOUS
EDUCATION
MULTI-FAMILY
CIVIC
SENIOR LIVING
PLANNING
Initial Project Assessment
Site Consultation/Planning
Space Planning/Test Fits
Adaptive Reuse
Building Programming
Master Planning
Feasibility Studies
LEED®/Sustainable Design and Planning
Visioning and Facility Branding
HOSPITALITY & SPORTS CORPORATE & COMMERCIAL
INTERIOR DESIGN
Material and Color Selections
Furniture Selection and Procurement
Furniture and Finishes Standards
Lighting
Art and Accessory Selection
Exterior and Interior Signage
Window Treatments
ARCHITECTURAL
Concept Development
Preliminary Design
Schematic Design
Construction Drawings and Specifications
Engineering Coordination
Building Information
Modeling / 3D Modeling
Code Compliance Consultancy
CONSTRUCTION
Contractor Selection
Bidding Review
Construction Administration
Product Review
Schedule Tracking
Quality Assurance
Post Occupancy Evaluation
Hilltown Dental
PROJECT EXPERIENCE
Below is a list of related projects completed in the last 10 years.
• Blackhawk Tech Dental Suite Expansion – Janesville, WI
• LECOM School of Dental Renovation – DeFuniak Springs, FL
• Oral Surgery Associates of WI Wauwatosa Office Tenant Improvement – Wauwatosa, WI
• Oral Surgery Associates of WI Oak Creek Office Refurbish – Oak Creek, WI
• Dental Specialty & Implant Expansion – Mason City, IA
• Topsfield Pediatric Dental – Topsfield, MA
AFFORDABLE DENTAL CARE (MERCY DENTAL MISSIONS)
MADISON, WI
CONSTRUCTION COST: $680,000
SCOPE Architectural and interior design services for a second generation tenant build-out for a new 4,100 SF – 8 operatory dental office. MEP/FP design services were provided via design/build contractors.
OWNER Mercy Dental Missions | 2110 Fordem Ave. Madison, WI 53704
The growing need for additional space and treatment rooms prompted Affordable Dental Care—now Mercy Dental Missions—to relocate to a new tenant suite designed to expand its life-changing, nonprofit services and reach more patients. The new space offers several advantages, including convenient parking, north facing operatories filled with natural light, and close proximity to complementary services.
Patients are welcomed into a bright, inviting reception space that immediately sets the tone for their care appointment. Bold colors and a dynamic custom wall mural reflect the practice’s brand and mission, creating a sense of energy and purpose within the waiting area. The team collaborated on the creation of a dedicated children’s zone, designed to contain activity and sound while preserving a calm, comfortable experience in the main waiting space.
The suite’s long, linear layout aligns operatories along the single window wall, maximizing access to natural light within the patient zone of the practice. Offices and support spaces across the patient corridor feature borrowed lites and full- glazed doors, allowing daylight to extend throughout the entire suite. The patient corridor is articulated with wallcovering accents and false wood beams, breaking down its length while introducing warmth, rhythm, and architectural interest.
Each hygiene and treatment room ceiling is layered with perimeter gypsum board soffits and acoustical ceiling tile, striking a balance between visual texture and acoustic comfort. The soffits form an ideal backdrop for colorful, patient-distracting lighting features that encourage relaxation and ease. Coordinating wallcoverings frame patient monitors at the toe wall, introducing an added layer of visual interest to each operatory using budget-conscious means.
Instrument sterilization, imaging, and laboratory functions are centrally located to streamline workflows and reduce footsteps for the care team. A spacious staff lounge connects directly to a multipurpose room, supporting training, collaboration, and team events.
WILLOW CREEK DENTISTRY
ROCHESTER,
NY
CONSTRUCTION COST: $540,000
SCOPE Architectural and interior design services for the remodel and refurbishment of a 4,200 SF – 14 operatory dental practice building. MEP design services provided via design-build contractors.
OWNER Calnon & Koopman | 3220 Chili Ave, Rochester, NY 14624
When the practice welcomed a new Partner, it sparked an opportunity to rethink how the existing space could better support the growing team and patient volume. The transition called for four new operatories—two bright, efficient hygiene bays and two larger, flexible quiet treatment rooms designed for longer, more private procedures. This expansion set the stage for a broader transformation of the patient and care team experience as well.
To make room for a more comfortable waiting area, the team looked to an adjacent former tenant space that had long been used only for storage. By opening it up and weaving it into the existing suite, the waiting room could grow both in size and in function. New amenities—a coffee and beverage bar, a children’s nook, and an internet café—now offer patients and families more choice in how they spend their time before appointments.
Reimagining the arrival experience became just as important. The front door was repositioned to face the street and paired with a welcoming, porch-like entry element that signals a friendly, community-minded practice brand. Inside, the greeting desk and frontof-house operations were expanded to comfortably support the increased operatory throughput and more seamless patient flow.
Behind the scenes, the sterilization area was enlarged to improve access and optimize infection-control workflow via a galley-style layout. The new hygiene operatories take full advantage of the existing vaulted ceiling and skylights, creating an open and airy feel, while the new flexible treatment rooms are tailored for longer procedures and specialty use—ready to adapt as the practice continues to grow.
HILLTOWN DENTAL
CHESTERFIELD, MO
CONSTRUCTION COST: $570,000
SCOPE Architectural interior design and MEP/FP design services for a second generation tenant build-out for a new 2,700 SF –6 operatory dental office.
OWNER Hilltown Dental | 175 Hilltown Village Center, Chesterfield, MO 63017
This newly leased space for a married pair of General Practitioners was designed to replace an outdated office located just 800 feet away within the same retail complex. The goal was to create a modern, streamlined environment that seamlessly integrated advanced dental technology within a highly efficient 2,700-square-foot footprint.
While the suite presented design challenges—including a slightly constrained size, limited natural light at both the front and rear, and low structural beam heights—these limitations became opportunities for creative solutions. A series of layered ceiling planes, accented with faux wood beams and integrated uplighting, enhances the perception of height and openness throughout the space. In both the waiting and clinical areas, soft blue ceiling tones evoke the sky, reinforcing a sense of lightness and the illusion of a larger space.
Personal touches further enrich the patient experience, with curated enlargements of the doctors’ own travel photography displayed along the patient corridor—adding warmth, authenticity, and a sense of connection to the care journey.
Hilltown Dental
PROJECT TEAM 3
PROJECT TEAM
Having the right team on your project is paramount to its success, so we have taken the time and effort to establish a dedicated and trusted team that can guide you through the project process, provide assurance on the journey, and create results that will exceed your expectations.
ROBERTS DMD
ROLE DESCRIPTIONS
Kevin Broich Partner-in-Charge Overall direction and supervision of the project and process.
Renee L. Moe Principal & Dental Planner
Main point of contact with day-to-day management of the project, planning and construction documentation and administration. Renee is committed to the project from start to finish.
Aaron Nelson Project Specialist Responsible for design and construction documentation.
Megan Ziesemer Interior Designer Interior finish concepts and finish selections with architectural planning and documentation.
Ryan Roberts Dental Consultant Brings clinician perspective and professional dental expertise to all phases of the design process.
KEVIN BROICH AIA, NCARB PARTNER, HEALTHCARE & DENTAL
As a Partner in Charge of the Healthcare Studio, Kevin holds the responsibility of leading the team through the various stages of the project process, from initial discovery, to post-occupancy evaluation. Kevin brings a wealth of knowledge to navigate through complex projects. With 39 years of experience, Kevin has worked in nearly every type of inpatient and outpatient department or service within healthcare, as well as all supporting functions of the healthcare environment.
EDUCATION
Bachelor of Architecture
Iowa State University
Bachelor of Science - Architecture
Iowa State University
REGISTRATIONS
Wisconsin Architect - 6487-5
Also Licensed in:
FL, IA, IL, KS, MA, MI, MN, NM, ND, OH, PA, SD, WV
YEARS OF EXPERIENCE
1985 career start, with PRA since 2017
AFFILIATIONS
American Institute of Architects (AIA)
National Council of Architectural Registration Boards (NCARB)
Wisconsin Healthcare Engineers Association (WHEA)
Wisconsin Hospital Association (WHA)
Florida Healthcare Engineering Association (FHEA)
PROJECT EXPERIENCE
Oral Surgery Associates Clinical Suite – Wauwatosa, WI
Oral Surgery Associates Oak Creek Suite – Oak Creek, WI
Aurora Bay Area Medical Center* - Marinette, WI
Appleton Medical Center* - Appleton, WI
Ascension Healthcare Wheaton Franciscan* - Milwaukee, WI
Aspirus Wausau Hospital – Wausau, WI
Aspirus Ironwood Hospital – Ironwood, MI
Aspirus Wausau Third Street Clinic – Wausau, WI
Columbus Community Hospital* - Columbus, WI
Fairview Health Services* - Minneapolis, MN
Fairview Lakes Regional Medical Center* - Wyoming, MN
Forest County Potawatomi Clinic – Crandon, WI
Fort Healthcare – Fort Atkinson, WI
Grant Regional Health Center* - Lancaster, WI
Johnson Memorial Health Services* - Dawson, MN
Marquette General Hospital* - Marquette, MI
Medical College of WI, Eye Institute* - Milwaukee, WI
Olympia Fields, Veterans Affairs Outpatient Clinic – Oconomowoc, WI
Orthopaedics of Wausau and Wausau Surgery Center – Wausau, WI
Sacred Heart/Saint Mary’s Hospital* - Milwaukee, WI
Sauk Prairie Healthcare – Sauk Prairie, WI
SSM Health – Madison, WI
UnityPoint Health - Meriter Hospital – Madison, WI
UW Hospitals and Clinics* - Madison, WI
Sarasota Memorial Health Care System - Sarasota, FL
Naples Outpatient Surgical Institute (AHCA) - Naples, FL
Premier NeuroSpine Institute (AHCA) - Pinellas Park, FL
Florida Heart Associates Ambulatory Surgery Center (AHCA) - Fort Myers, FL
Florida Heart Associates Cath Lab - Fort Myers, FL
Lee Health (Multiple Projects)
*indicates projects completed at another firm
RENEE L. MOE AIA, EDAC
PRINCIPAL
& DENTAL PLANNER
As a Principal & Dental Planner at PRA, Renee interacts daily with clients and healthcare staff and guides the project team through the design and construction document process. Utilizing research for the optimal patient experience in balance with operational efficiency throughout the design process is her passion. Her recent planning pursuits include Oral Surgery Associates Oak Creek Office Refurbish and Calnon & Koopman Dental Office.
EDUCATION
Master of Architecture
University of Wisconsin – Milwaukee
Bachelor of Science in Architecture
University of Wisconsin – Milwaukee
REGISTRATIONS
Wisconsin Architect - 12668-5
YEARS OF EXPERIENCE
1998 career start, with PRA since 1998
AFFILIATIONS
American Institute of Architects (AIA)
Evidence-Based Design Accreditation And Certification (EDAC) Wisconsin Healthcare Engineering Association (WHEA)
PROJECT EXPERIENCE
Oral Surgery Associates Clinical Suite – Wauwatosa, WI
Oral Surgery Associates Oak Creek Suite – Oak Creek, WI
Willow Creek Dentistry – Rochester, NY
Topsfield Pediatric – Topsfield, MA
Blackhawk Technical College Dental Suite – Janesville, WI
Premier NeuroSpine Institute ASC (AHCA) – Pinellas Park, FL
Suncoast Orthopaedic Clinic and Surgery Center
Orthopaedics of Wausau and Wausau Surgery Center – Wausau, WI
Aspirus (50 projects)
Wausau Hospital Master Plan – Wausau, WI
Wausau Hospital Cath Lab – Wausau, WI
Wausau Hospital Phase 2 Entrance Renovation – Wausau, WI
Wausau Hospital NICU – Wausau, WI
Keweenaw Memorial Hospital Master Plan – Keweenaw, MI
Third Street Clinic – Wausau, WI
Weston Clinic – Weston, WI
Houghton Clinic – Houghton, MI
UW Health Union Corners Clinic – Madison, WI
Veterans Affairs Community Based Outpatient Centers
Monroeville, PA
Billings, MT
Green Bay, WI
Wilmington, NC
Veterans Affairs Zablocki Medical Center – Milwaukee, WI
Ascension Healthcare
Columbia St. Mary’s Hospital – Milwaukee, WI
Columbia St. Mary’s Hospital Ozaukee – Mequon, WI
Elmbrook Hospital – Brookfield, WI
AARON NELSON PROJECT SPECIALIST
Aaron is a project specialist and works closely with the design team to create floor plans, elevations, details and renderings for the project. He will ensure documentation is concise and correct and will coordinate with consultants for all disciplines to assemble and complete the construction documents. During construction, he will collaborate with contractors to aid timely and budgetconscious construction completion.
EDUCATION
Master of Architecture
University of Wisconsin - Milwaukee
Bachelor of Science in Architectural Studies
University of Wisconsin - Milwaukee
YEARS OF EXPERIENCE
2025 career start, with PRA since 2025
PROJECT EXPERIENCE
Lee Health
Bridge Plaza Medical Equipment Solutions – Fort Myers, FL
Outpatient Center at the Forum – Fort Myers, FL
HealthPark Commons Outpatient Center – Fort Myers, FL
MEGAN ZIESEMER ASID, NCIDQ INTERIOR DESIGNER
As your project’s dedicated interiors expert, Megan works to bring life to the interior environments through creative use of color, texture, and materials. Megan is a thoughtful designer and collaborator who enjoys finding design solutions that are both aesthetically compelling and will stand the test of time. On your project, she will be responsible for collaborating with Community Smiles Dental’s team to develop the interior concepts for the spaces, coordinate and document the finish selections, and oversee the project from an interior standpoint to its final close out.
EDUCATION
Bachelor of Science - Interior Design
University of Minnesota
REGISTRATIONS
ASID, NCIDQ
YEARS OF EXPERIENCE
2016 career start, with PRA since 2017
AFFILIATIONS
American Society of Interior Designers
PROJECT EXPERIENCE
Oral Surgery Associates Clinical Suite – Wauwatosa, WI
Oral Surgery Associates Oak Creek Suite – Oak Creek, WI
Willow Creek Dentistry – Rochester, NY
Hilltown Dental – Chesterfield, MO
Delta Dental of Wisconsin
Aspirus Ironwood Clinic
Aspirus Third Street Clinic
Aspirus Weston Clinic Expansion
Cedar Communities Village
Orthopaedics of Wausau & Wausau Surgery Center
HarborChase of Evergreen
Lee Health System Surfside Outpatient Center
Northwestern Medicine Kishwaukee Health & Fitness Center
Sauk Prairie Healthcare
Trinity Woods
West Bend Mutual Insurance Medical Clinic Expansion
UnityPoint Health Meriter Hospital
RYAN ROBERTS DMD
DENTIST, DENTAL CONSULTANT
SARASOTA COUNTY, FL
Dr. Ryan Roberts is a Florida-licensed dentist with nearly 20 years of clinical and practice ownership experience. As a former practice owner, he understands firsthand the operational realities of running a dental practice and the lasting impact early design decisions can have on workflow, ergonomics, and overall performance.
He now provides clinical advisory support during dental facility planning and design, bringing real-world professional experience and construction literacy to help ensure that architectural decisions align with workflow efficiency, provider ergonomics, patient experience, and long-term practice goals.
EDUCATION
Doctor of Dental Medicine
University of Florida College of Dentistry
Bachelor of Science in Business Administration
University of Florida
PROFESSIONAL CREDENTIALS & AFFILIATIONS
Fellow – Academy of General Dentistry
Fellow – International Congress of Oral Implantologists
Member – Seattle Study Club
Member – American Dental Association
Member – Florida Dental Association
ADDITIONAL BACKGROUND
Florida Licensed Real Estate Broker Associate
Florida Licensed Building Contractor
PROFESSIONAL EXPERIENCE
Owner | Multi-Specialty Dental Practice | Southwest Florida | 2003–2022
• Practiced comprehensive dentistry within a 6,000+ SF, 14-operatory multi-specialty facility.
• As an owner, actively participated in operational, business, and facility planning decisions.
• Worked alongside associate dentists and in-house specialists.
• Contributed to equipment selection, technology integration, and facility improvements.
• Was actively involved in long-term strategic planning culminating in DSO acquisition and transition.
Dental Design Consultant
• Participates in early planning and schematic design meetings.
• Reviews layouts from a practicing dentist’s perspective.
• Advises on operatory configuration, sterilization design, ergonomics, and efficiency.
• Contributes to equipment planning and future growth considerations .
Skyridge Dental
VALUE OPTIMIZATION
PRA’s project approach is comprehensive and disciplined. Every project undergoes rigorous internal and external peer and quality-control reviews throughout the design and construction phases. Our dental facility design consultant participates in all design meetings, ensuring a high-quality outcome, full regulatory compliance, and long-term functionality.
We also strongly advocate for involving your builder/CM as an integral member of the design team. Partnering with a contractor from the outset provides invaluable insight into cost, lead times, and constructibility—helping to align design intent with real-world execution.
EXISTING CONDITIONS REVIEW
• Request and review relevant existing documents
• Analyze existing structural, mechanical, electrical and plumbing systems
• Field verify existing space
• Evaluation of parking needs/capacity
MEETINGS
• Kick-Off / Visioning
• Confirm / discuss Aurora Health Care’s Master facility plan requirements
DELIVERABLES
• Matterport scan
CONCEPT DEVELOPMENT
• Refine and review floor plan concepts with Client
• Review operational needs with Dental Clinician to optimize initial floor plan for staff, patient and material workflows and right-size clinical and support spaces
• Preliminary review with AHJs (Authorities Having Jurisdiction) to determine code issues needing early resolution
• Review contractor’s cost estimate, address pricing and lead time concerns
DESIGN DEVELOPMENT
• Refine and finalize suite design
• Refine interior finish concept and confirm owner’s understanding/acceptance of spatial configuration and interior finishes using 3D visualization tools
• Partner and coordinate with owner’s equipment vendors for spatial and utility requirements
• Review contractor’s cost estimate, address pricing and constructibility concerns
• Internal peer/dental design team review of documents
MEETINGS
• Floor plan refinement : flows, adjacencies, support needs
• Interior design concept overview
• MEP Basis of Design
• Review contractor’s cost estimate
DELIVERABLES
• Refined Schematic Floor Plan
• MEP Basis of Design narrative
MEETINGS
• Floor plan development
• 3D space modeling
• Interior design refinement
2
• Door hardware & IT Requirements
• MEP systems requirements
• Equipment and cabinetry coordination
• Review contractor’s cost estimate
DELIVERABLES
• Floor plan, equipment plan, floor finish plan and finish schedules, interior elevations, reflected ceiling plan, door schedule
• 3D realistic model walk-through and still-shots of model
• Outline Specifications
• MEPS Plans
3
CONSTRUCTION DOCUMENTATION
• Finalize construction documentation
• Weekly coordination meeting with engineering consultants
• 3D clash detection to eliminate construction clashes between disciplines
• Final coordination with equipment vendors
• Required Quality Assurance Review of 95% document set with checklist sign-off
• External Code Consultant Review
• Coordination with AHJs (Authorities Having Jurisdiction)
CONSTRUCTION PHASE
• Coordinate design or material cost-savings with all design team members (if required)
• Responsively review and address contractor questions and submittals to maintain project momentum, with a target of responding to questions within 24 hours and completing submittal reviews within 3–5 business days
• Participate in Owner/Architect/Contractor Meetings
• Visit the site at regular intervals to confirm progress
• Visit site to confirm typical treatment room utilities and locations mock-up with owner’s equipment vendors and owner
• Coordinate responses to AHJ inspection reports as required
MEETINGS
• Final equipment and cabinetry coordination
• Final 3D space modeling/interior design and materials confirmation
DELIVERABLES
• Plan review submittals and contractor bidding documents
MEETINGS
• OAC Meetings - cadence to be determined
DELIVERABLES
• Site visit reports
• Substantial Completion Certification
Heart of Texas Smiles Skyridge Dental
PROPOSED WORKSHOP PLAN
PRA’s design process is highly collaborative and logically structured, progressing from big-picture concepts to the smallest details. Meetings may be held virtually or in person, depending on the content and team preference. Sessions typically last 60–90 minutes and follow a two-week cadence, with the flexibility to accelerate as needed.
SCHEMATIC DESIGN PHASE
DURATION: FEBRUARY 17 TH – MARCH 31ST, 2026
This describes the phase of the Architect’s services in which the Architect consults with the Owner to define the spatial requirements of the project. This includes the preparation of study drawings, documents, or other media that illustrate the concepts of the design, spatial relationships, scale, and form. The architect also provides preliminary research of code or other jurisdictional restrictions for the project.
Deliverables: floor plans and an MEP systems narrative.
MEETING NUMBER / DATE TOPIC
1) XX/XX/202X Kick off meeting/Visioning
AGENDA
• Introductions / Project Kick-Off
• Present design process overview / schedule
• Review/confirm functional space program/concept plan
• Confirm existing building /site verification
• Visioning session
• Approval to Proceed with Schematic Development Phase
2) XX/XX/202X Schematic Design Process
• Floor Plan refinement
• Interior image surveys
• MEP engineering kick-off
• Review operational / process plan / workflows
3) XX/XX/202X Schematic Design Process
4) XX/XX/202X Finalize Schematic Design
• Finalize floor plan / room prototypes
• Review interior design concepts
• Finalize interior design concepts
• Owner Approval to Proceed with Design Development Phase
DESIGN DEVELOPMENT PHASE
DURATION: MARCH 31ST – MAY 15 TH , 2026
The phase of the Architect’s services in which the Architect prepares the design development documents, from the approved schematic design studies, for submission to the Owner for the Owner’s approval, including drawings and other documents that finalize and describe the size and character of the entire project related to architectural, structural, mechanical and electrical systems, materials and such other elements as may be appropriate.
Deliverables: floor plans, MEP/FPS plans, outline of specifications, material type selections, equipment coordination plans and schedules, elevations with fully developed dimensions.
1) XX/XX/202X Design Development Progress
2) XX/XX/202X Design Development Progress
3) XX/XX/202X Design Development Progress
4) XX/XX/202X Finalize Design Development
• Present interior design development
• Interior elevations / ceiling plans
• Discuss casework, furniture, lighting
• Review light switching, power, data, medical gas
• Discuss MEP systems requirements
• Equipment coordination w/ vendors
• Door hardware/access control/IT requirements
• 3D Visualization of interior finish-out
• Finalize floor plan
• Finalize interior material selections
• Finalize / approve MEP design
• Present Design Development documents
• Owner Approval to Proceed with Construction Documents
CONSTRUCTION DOCUMENT PHASE
DURATION: MAY 15 TH – JUNE 30 TH , 2026
This phase produces a set of documents consisting of drawings and specifications to provide the contractor with sufficient information to price and build the project. Includes Structural, MEP design coordination, and internal quality assurance reviews.
1) XX/XX/202X Commence Construction Documents Phase
2) XX/XX/202X Finalize CD Phase
Duration of Construction: +/- 6-8 months
Owner Occupancy Goal: March 15th, 2027
• Final equipment coordination with vendors
• 3D visualization of interior finishes
• Review Construction Documents package / sign-off
Racine Dental
DESIGN CONSULTANTS
Spire Engineering, Inc.
About the Firm
Founded in 2009, Spire Engineering, Inc. (Spire) is a Milwaukee-based, full-service structural engineering firm providing services to architects, developers, owners, and builders across the country. We believes in providing simple, practical, and buildable engineering solutions to our clients, with an emphasis on economical solutions. Spire engineers are licensed in 33 states.
Core Values
▲ Honesty, integrity, and fairness
▲ Economy and constructability in design
▲ Collaboration, mutual support, and respect among the design team, owners, and contractors
▲ Delivery of high quality drawings on time
▲ Flexibility and adaptability to meet project challenges
▲ Proactive and responsive communication
▲ Creative solutions to complicated problems
Design Services
Spire provides a range of structural design services. We work with clients throughout the design process, sharing technical expertise and construction knowledge. We can assist with:
▲ Structural engineering and design from early schematic through final construction document phases
▲ Construction administration
▲ Collaborative Revit-based BIM Models and 2D CAD
▲ Evaluation of existing structures for repair or renovation
▲ Peer reviews
Project Experience
Our portfolio of successful projects covers a variety of both large- and small-scale commercial, institutional, and residential structures. Project types include: healthcare; museums and libraries; K-12 and higher education; commercial, retail, banks, and offices; light industrial and manufacturing; restaurants; multi-story apartments; senior living facilities; hotels; parking structures; and more. We have experience with new, from-the-groundup buildings as well as alterations/remodels, additions/ expansions, and historic renovations.
Our past projects have involved multiple structural system types and materials, such as wood (light-framed, CLT, glu-lam, heavy timber), precast concrete, steel, cold-formed metal, masonry, conventionally reinforced and post-tensioned concrete, and shallow and deep foundations.
Professional Registrations and Affiliations
Spire staff are licensed and registered in more than 25 states, including Wisconsin, Minnesota, Illinois, Michigan and California. Our engineers are active members and officers of engineering associations and industry organizations:
▲ American Society of Civil Engineers
▲ Structural Engineers Association of Wisconsin
▲ Post-Tensioning Institute
▲ American Institute of Steel Construction
Paul F. Petrides, PE, SE
SENIOR STRUCTURAL PROJECT MANAGER
Mr. Petrides is a Senior Project Manager at Spire Engineering, Inc. and is responsible for project engineering and management for numerous concurrent projects and providing technical expertise from early schematic design through final design and construction administration on K-12, multi-family, healthcare, commercial, industrial, religious, and infrastructure facilities.
Relevant Experience
Aspirus Clinic Addition | Houghton, MI
Project manager for a single-story addition to an existing clinic. The estimated area of the addition is 8,000 SF. The new steel-framed structure wraps around the western portion of the existing structure on the north, south and west sides and is independent of the existing structure. The roof elevation of the new structure is around the existing structure height and supports a new RTU and screening. The project included a driveup pharmacy canopy is cantilevered from the biulding framing and a mobile MRI structure.
New Middle School, Beaver Dam Unified School District | Beaver Dam, WI
Project manager for anew steel-framed, 166,000 SF, two-story building of Type IB construction. The building includes classrooms, a new gymnasium, graphic arts space, performing arts space that includes an auditorium, a two-story Commons area, library, and other support spaces. The building is partially built into a sloped site, requiring retaining walls..
NorthPointe Birth Center | Beloit, IL
Structural engineer for a new single-story wood framed structure with two glulam canopies. One of the glulam canopies is a drive-up canopy. On the rear of the building grade dropped off, so the foundations were designed to accommodate some amount of earth retention. On the lobby side of the building a significant portion of the wall was glazed so a wind girt and support system was designed out of wood to match the material of the rest of the building structure.
Aspirus Iron River Clinic | Iron River, MI
Structural engineer for a new single-story structure with a walk-out basement. Because the building was on a slope, earth retention was required on the high side. The roof structure was designed to support large mechanical units and associated snow drift. The structure was steel framed with a slab-on-deck over steel beam floor and a steel joist and steel beam roof.
Union Grove High School | Union Grove, WI
Project manager for renovations of an existing high school. Project includes construction of a new covered connection between the agri-science building and the main high school building and a secure entrance; renovation of existing tech ed space and addition of a new tech ed space; construction of a new secure entry on the south side of the school; and renovations to the existing interstitial space to support a new science labs addition.
EDUCATION
REGISTRATIONS
AFFILIATIONS
B.S.E., Civil Engineering, The University of Michigan
P.E.: WI, NV, OH
S.E.: IL, UT
Structural Engineers Association of Wisconsin
Robert C. Stone, JR., PE, LEED, AP
Educatio n
B.S. Architectural Engineering
Milwaukee School of Engineering Milwaukee, WI
Registrations
US Green Building Council LEED Accredit ed Professional, 2004
Professional Engineer:
• Wisconsin 1998
• Illinois 1999
• Minnesota 2003
• Kentucky 2005
• Florida 2006
• Ohio 2010
• Michigan 2022
• South Dakota 2022
• North Dakota 2024
Qualified Commissioning Process Provider (QCxP) 2005
Professional Affiliations
American Society of Heating, Refrigeration and AirConditioning Engineers
President 2009 -2010
President Elect 2008-2009
Chapter Treasurer 2007 -2008
Chapter Secretary 2006-2007
Board of Governors 2004-2006
Principal
Responsibilitie s
As a Principal with JDR Engineering, responsibilities include defining client and project requirements to assemble multidiscipline engineering teams that meet project directives. Focused on fostering and sustaining professional, productive business relationships, our Principals set the strategy and provide leadership. JDR Principals are extremely knowledgeable in market trends and strategic, big-picture thinking, yet are passionate about building trust, sharing innovative design practices, and providing the best customer experience possible.
Project Experienc e
Oral Surgery S uite Build -Out | Wauwatosa, WI | 2025
o Robb served as the principal-in-charge and project manager
• 7,500 square feet
• Disciplines Involved: HVAC, electrical, low voltage, plumbing, and fire protection
• The oral surgery suite in Milwaukee, Wisconsin is approximately 7,500 square feet featuring areas the following services; dental implants, bone grafting, wisdom teeth removal, tooth extractions, and oral pathology
Dental Associates, Iron Block | Milwaukee, WI | 2015
o Robb served as the Principal-In-Charge and Project Manager
• 75,000 square feet
• Disciplines involved: HVAC, Electrical, Plumbing, and Energy Modeling
• The multi-story clinic with 29 suites offers complete dental services including general and pediatric dentistry, orthodontics, implant dentistry and oral surgery .
Mork
Dental | Winona, Minnesot a | 2015
o Robb served as the Principal-In-Charge and Project Manager
• 2,900 square feet
• Disciplines involved: HVAC and Plumbing
• JDR Engineering assisted in the renovation of this tenant space to allow for a fully functional dental office.
Educatio n
B.S. Architectural Engineering
Milwaukee School of Engineering (MSOE) –Milwaukee, WI
Registrations
US Green Building Council LEED Accredited Professional, Building Design + Construction 2013
Professional Engineer:
• Wisconsin 2015
Professional Affiliation s
Nick Cleaver, P.E., LEED AP BD+C Partner
Responsibilitie s
As a Partner and Senior-level HVAC engineer with JDR Engineering, Nick’s responsibilities include reviewing HVAC system options with clients and owners and providing system recommendations for specific building types. Additionally, he is responsible for ta king HVAC systems design from conceptual review through design development, contract documents, and final project close -out. As a project manager, Nick’s responsibilities include field investigation, and coordination with clients to provide HVAC design expertise to ensure accurate and timely project deliverables.
Project Experienc e
Oral Surgery S uite Build -Out | Wauwatosa, WI | 2025
o Nick served as an HVAC engineer
• 7,500 square feet
• Disciplines Involved: HVAC, Electrical, Low Voltage, Plumbing, and Fire Protection
• The oral surgery suite in Milwaukee, Wisconsin is approximately 7,500 square feet featuring areas the following services; dental implants, bone grafting, wisdom teeth removal, tooth extractions, and oral pathology .
American Society of Heating Refrigeration, and AirConditioning Engineers
Mechanical Contractors Association of America
Aspirus Third Street Clinic | Wausau, WI | 2019
o Nick served as the lead HVAC engineer
• 36,000 square feet
• $20,000,000 project cost
Aspirus Houghton Clinic | Houghton, MI | 2024
o Nick served as Project Manager and HVAC engineer
• 6,000 square feet
• $5,000,000 project cost
• Disciplines Involved: HVAC, Electrical, Plumbing, Fire Protection, and Construction Administration
• Addition and renovation to the clinic to support new exam rooms, a pharmacy drive though, and support spaces.
• Disciplines involved: HVAC, Electrical, and Plumbing
• The project was centered around energy performance as one of the primary focus points when designing this facility that houses a wide range of health services.
N New Glarus Home | New Glarus, WI | 2017
o Nick served as an HVAC engineer
• 40,000 square foot addition and 30,000 square feet of renovation
• $12,400,000 project cost
• Disciplines involved: HVAC, Electrical, Plumbing, and Fire Protection
• The New Glarus was renovat ed and included an addition to the skilled nursing/ retirement facility.
Educatio n
A.S. Computer Aided Drafting and Design Herzing University – Madison, WI
Registration s
Registered Plumbing Designer:
• Wisconsin 2018
Dental Associates, Iron Block | Milwaukee , WI | 2015
o Carlos served as a plumbing designer
• 75,000 square feet
Carlos Ruef, D.E. Senior Plumbing and Fire Protection Designer
Responsibilitie s
As a plumbing designer with JDR Engineering, Carlos is responsible for the design of plumbing systems, including the generation of plans, details, and specifications. He works closely with project management and the design team to coordinate efforts across all disciplines to meet client and project directives.
Project Experienc e
Oral Surgery S uite Build -Out | Wauwatosa, WI | 2025
o Carlos served as a Plumbing and Fire Protection designer
• 7,500 square feet
• Disciplines Involved: HVAC, Electrical, Low Voltage, Plumbing, and Fire Protection
• The oral surgery suite in Milwaukee, Wisconsin is approximately 7,500 square feet featuring areas for the following services; dental implants, bone grafting, wisdom teeth removal, tooth extractions, and oral pathology.
• Disciplines involved: HVAC, Electrical, Plumbing, and Energy Modeling
• The multi-story clinic with 29 suites offers complete dental services including general and pediatric dentistry, orthodontics, implant dentistry and oral surgery .
M Mork Dental | Winona, Minnesot a | 2015
o Carlos served as a plumbing designer
• 2,900 square feet
• Disciplines involved: HVAC and Plumbing
• JDR Engineering assisted in the renovation of this tenant space to allow for a fully functional dental office.
A Aspirus Third Street Clinic | Wausau, WI | 2019
o Carlos served as a plumbing designer
• 36,000 square feet
• $20,000,000 project cost
• Disciplines involved: HVAC, Electrical, and Plumbing
• The project was centered around energy performance as one of the primary focus points when designing this facility that houses a wide range of health services.
B Bader Prairie Health Care Center | Verona, WI | 2020
o Carlos served as a plumbing designer
• 120,000 square feet
• Disciplines involved: HVAC, Electrical, Plumbing, and Fire Protection
• Operated by the Dane County Department of Human Services , this building provides end -of-life care as a result of Covid-19 The facility was remodeled to include a 6 bed containment unit for pandemic care.
Educatio n
B.S. Electrical Engineering
University of Wisconsin Madison – Madison, WI
Registrations
Registered Engineer:
• Wisconsin
• Texas
• Virginia
• Iowa
Aspirus Houghton Clinic | Houghton, MI | 2024
o Joe served as the electrical engineer
• 6,000 square feet
• $5,000,000 project cost
Joe Mullvain, P.E. Electrical Engineer
Responsibilities
As an electrical project design engineer with JDR Engineering, Joe’s responsibilities include electrical and lighting systems evaluation, design, specification, and coordination. Joe is fully involved from project inception to project closeout, responsible for coordinating with Project Managers and a multidiscipline design team.
Project Experienc e
Oral Surgery S uite Build -Out | Wauwatosa, WI | 2025
o Joe served as the electrical and low voltage engineer
• 7,500 square feet
• Disciplines Involved: HVAC, Electrical, Low Voltage, Plumbing, and Fire Protection
• The oral surgery suite in Milwaukee, Wisconsin is approximately 7,500 square feet featuring areas for the following services; dental implants, bone grafting, wisdom teeth removal, tooth extractions, and oral pathology
• Disciplines Involved: HVAC, Electrical, Plumbing, Fire Protection, and Construction Administration
• Addition and renovation to the clinic to support new exam rooms, a pharmacy drive though, and support spaces.
Me rcy Health East Clinic | Janesville, WI | 2020
o Joe served as the electrical engineer
• 4,800 square feet
• $750,000 project cost
• Disciplines involved: HVAC, Electrical, Plumbing and Fire Protection
• The renovation included 12 exam rooms, 2 procedure rooms, and general support spaces.
U W Health Union Corners Medical Office Building | Madison, WI | 2016
o Joe served as an electrical engineer
• Two stories
• $13,300,000 project cost
• HVAC, Electrical, Plumbing, Fire Protection, Energy Simulation
• LEED Silver certification
• This medical clinic houses OB/GYN, PT, urgent care, laboratory, and clinic services
DIFFERENTIATOR
THE PRA DIFFERENCE
From the perspective of our past work with dental practices, having an experienced clinician like Ryan Roberts, DMD embedded in PRA’s dental facility design process is a clear differentiator—one that strengthens our guidance, brings credibility to decisionmaking, and consistently results in better outcomes for our clients. Dental environments are among the most technically demanding spaces we design. While architectural expertise provides the framework for code compliance, spatial quality, and constructability, Ryan brings a unique lived experience that can help transform a dental space into a truly high-performing practice.
As Architects, we are often asked to interpret how a dental practice should function based on interviews and past projects. When a dentist is part of the team, that interpretation becomes more direct and precise. Clinical workflows, infection control protocols, and space adjacencies and configuration are informed by real-world use, not designer assumptions. This allows us to lead the design process with confidence, knowing that layouts are grounded in operational reality. The result is fewer design revisions, fewer compromises, and a smoother path from concept through construction.
For our clients, this collaboration delivers immediate and lasting value. Ryan understands how subtle design choices affect staff efficiency and culture, as well as patient perception. His collaborative approach will help ensure that operatories are positioned and sized correctly, sterilization flows are logical, and support spaces are sized appropriately and are where they need to be. We know from experience that his advice will reduce the future frustration of having to adapt to or adjust spaces after you have occupied your practice. It will also ensure that your facility supports your mission and vision for patient care from day one.
Creating the optimal patient experience is where our partnership with Ryan excels. He brings a nuanced understanding of patient anxiety, privacy needs, and sensory considerations unique to dental care. From arrival and check-in to routine appointments and treatment planning, his perspective helps us shape an environment that genuinely reflects the compassion and attentiveness you bring to every patient interaction. At PRA, we share that same dedication—we relish the opportunity to translate those intentions into spaces that meaningfully impact patient experience and support those delivering care where its needed most.
From a process standpoint, having Ryan on the design team streamlines communication and accelerates decision-making. Clinical questions can be resolved quickly and decisively, reducing back-and-forth and minimizing design delays. This clarity will allow PRA to maintain momentum and focus on coordinating engineering, technology, and regulatory requirements without losing sight of clinical priorities.
Technology integration further highlights the value of our collaboration. Dental equipment, imaging, and infrastructure demands are evolving rapidly. A dentist’s perspective helps us plan for flexibility and growth, future-proofing your investment and extending the life of the facility.
Finally, partnering with a clinician elevates our role as architects. It positions us not just as designers, but as strategic advisors delivering informed, outcome-driven solutions. This collaboration leads to dental facilities that function better, age more gracefully, and reflect a deeper understanding of how dental care is actually delivered in the real world —making it a meaningful and measurable differentiator in our design approach.
FEE PROPOSAL
Based on the information provided in the Request for Proposal dated January 19, 2026 and our experience with dental facility planning and design, we are proposing the following percentage-based fees to complete the project:
8.5% of the construction cost (based on an assumed construction cost of $2,000,000) + a $3,600 allowance for interior design coordination of furnishings + a not-to-exceed $4,000 for project reimburseables (plan review fees, travel, printing).
For clarity, our fee includes:
• Architectural Design
• Integrated Interior Design
• A Structural Design allowance for confirmation of support for overhead dental equipment, floor penetration coordination for dental chairs, and miscellaneous structural collaboration as required. Major structural rework is not included.
• Mechanical, Electrical, Plumbing, and Fire Protection Design
• Design for low voltage, data, card access, cameras and security will be for rough-in only
• Assistance during Bidding
• Obtainment of State and Local Plan Approvals
• Ten (10) in person/virtual Design Meetings
• Construction Administration Services
• Substantial Completion Review
• Final Completion Inspection
• Eight (8) Architectural Construction Site Visits, Two (2)
PRA HOURLY RATES
Personnel Classifications and Hourly Rates for additional work. Hourly billing rates as of June 2025 subject to annual review.
Individual additional projects may also be negotiated as lump-sum or a % basis
MEP Construction Site Visits
SPIRE HOURLY RATES
JDR HOURLY RATES
