PRA General Healthcare + Modular Design by Plunkett Raysich Architects, LLP

WHO WE ARE

OUR PROMISE

At Plunkett Raysich Architects, LLP, we don’t merely design buildings; we create spaces for people, that inspire people.

OUR PASSION IS GREAT DESIGN

We take pride in bringing together physical elements with pure imagination to compose a facility brand that opens minds. We create spaces that invite people in and inspire all who occupy them. We believe practical can complement innovative. We know that environments are made for the people who use them, and we believe that our vision is matched only by our client’s aspirations. Great design is our passion – it’s what we bring to our clients every day.

FIRM HISTORY

Plunkett Raysich Architects, LLP, was established in 1935 by founder Henry Plunkett. Through a series of acquisitions we are able to trace our roots back to 1890. Today, PRA is a multi-faceted firm specializing in creating and reimagining 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.

FIRM EXCELLENCE

STAFF EXPERTISE

Plunkett Raysich Architects, LLP, is a full service architectural and interior design firm employing over 100 professionals.

LICENSED IN

Arizona, California, Colorado, Connecticut, Delaware, Florida, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Dakota, Texas, Virginia, West Virginia, and Wisconsin.

We also have 21 NCARB Architects on staff, allowing registration in most states within the United States.

LOCATIONS

Milwaukee, WI

209 South Water Street Milwaukee, WI 53204 414.359.3060

Madison, WI

2310 Crossroads Drive Suite 2000 Madison, WI 53718 608.240.9900

Austin, TX 220 Industrial Boulevard Suite 101 Austin, TX 78745 512.851.1900

WE ARE A NATIONAL FIRM

Sarasota, FL 1970 Main Street Suite 201 Sarasota, FL 34236

941.348.3618

Waterloo, IA

327 East 4th Street Suite 204

Waterloo, IA 50703

319.233.1163

Stateshighlightedingreenidentifywherewehaveprovidedservices:

WHAT WE DO

HEALTHCARE

SENIOR LIVING

CORPORATE & COMMERCIAL

RELIGIOUS

EDUCATION

RESIDENTIAL & FAMILY LIVING

CIVIC

HOSPITALITY & SPORTS

PLANNING

Site Planning/New Urbanism Design

Building Programming

Master Planning

Space Planning

Capacity Studies

Feasibility Studies

Facility Maintenance Studies

Technology Planning

LEED®/Sustainable Design and Planning

Visioning and Facility Branding

Facility Needs Assessment

Rapid Access Prototyping

INTERIOR DESIGN

Material and Color Selections

Furniture Selection and Procurement

Furniture and Finishes Standards

Lighting

Art and Accessory Selection

Exterior and Interior Signage

Graphics

Window Treatments

ARCHITECTURAL

Concept Development

Preliminary Design

Schematic Design

Construction Drawings and Specifications

Cost Control

Energy Conservation Analysis

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

HOW WE’VE HELPED

The majority of our work has been with clients that continued to ask us, year over year, to work together to evolve their delivery of patient services. In numbers, our history includes more than 3,000 projects impacting more than 300 providers.

These past projects range across all areas of Healthcare, from free-standing Clinics to complex New Hospitals and Hospital Renovations, from Finish Upgrades to complex Emergency Department Expansion, from Master Plans to Furniture Replacement.

The adjacent matrix provides a sample of Healthcare projects to illustrate the breadth and depth of our expertise. The full matrix showing our master list of clients and services provided can be viewed by scanning the QR code below. We are continually adding new projects every day as we engage with clients to explore new ideas.

A Ascension

Scan the QR code to view anexpandeddigitalversion oftheadjacentmatrix.

“This week is our Joint Commission Survey with the Life Safety Surveyor arriving this morning. Prior to the building tour, the surveyor reviewed our Life Safety Plans and commented they are a ‘very good’ set of plans. Thanks for the effort to get our LSP’s accurate for most importantly, our use, and secondly setting the stage for a successful survey with the TJC Life Safety Surveyor.”

Re: 2018 Life Safety Updates

Doug Wait, Construction Coordinator Beloit Health System

A Aspirus Health

AFFILIATION

WI St. Mary's Hospital - Ozaukee CampusMequon, WI

Aspirus Hospitals and Clinics Various Locations

Eagle River Hospital Eagle River, WI

Howard Young Medical Center Woodruff, WI

Ironwood Hospital Ironwood, MI

Keweenaw Hospital Laurium, MI

Medford Hospital Medford, WI

Wausau Hospital Wausau, WI

B Beloit Health System Beloit Memorial Hospital Beloit, WI

NorthPointe Health & Wellness Rockton, IL

D Duke LifePoint Marquette Hospital Marquette, MI

F Florida Heart Associates Florida Heart Associates Fort Myers, FL

F Fort Memorial Hospital Fort Memorial Hospital Fort Atkinson, WI

F Froedtert Berlin Memorial Hospital Berlin, WI

Kenosha Medical Center Kenosha, WI

Various Hospital Locations Various Locations

G Gundersen Lutheran Gundersen Lutheran Medical Center La Crosse, WI

I Illinois Valley - OSF St. Elizabeth Medical Center Peru, IL

L Lee Memorial Health System Lee Health Outpatient Centers Various Locations

M Marshfield Medical Centers Beaver Dam Hospital Beaver Dam, WI

M Mayo Clinic Health System Mayo Clinic Eau Claire, WI

M Mile Bluff Medical Mile Bluff Medical Center Mauston, WI

N Neuroscience Group Neuroscience Group Neenah, WI

N Northwestern Medicine Grayslake Outpatient Center Grayslake, IL Kishwaukee Hospital & Wellness CntrDeKalb, IL

Lake Forest Hospital Lake Forest, IL

Northwestern Medicine Various Locations

O Orthopaedic Associates of Wausau OAW/Wausau Surgery Center Wausau, WI

O Orthopaedic Hospital of Wisconsin Orthopaedic Hospital of Wisconsin Glendale, WI

R Rogers Memorial Hospital Rogers Memorial Hospital Oconomowoc, WI

S Sarasota Memorial Hospital Sarasota Memorial Hospital Sarasota, FL

S Sauk Prairie Healthcare Sauk Prairie Hospital Prairie Du Sac, WI

S SSM Health

SSM Health St. Mary's Hospital Madison, WI

T Trios Health Kennewick General Hospital Kennewick, WA

U UnityPoint Health Meriter Hospital Madison, WI

University of WI Hospital & Clinics

V VA Medical Center

Meriter Hospitals and Clinics Various Locations

University of WI Hospital & Clinics Various Locations

Billings Billings, MT

Milo C Huemphner Green Bay, WI

Monroeville Monroeville, PA

Olympia Fields Oconomowoc, WI

VA Medical Center Various Locations

Wilmington Wilmington, NC

Zablocki Milwaukee, WI

Florida Heart Associates ASC FortMyers,FL

ForestCountyPotawatomiClinic Crandon, WI

Florida Heart Associates ASC FortMyers,FL

Florida Heart Associates Catheterization Lab Beloit, WI

AMBULATORY SURGERY CENTER

FLORIDA HEART ASSOCIATES | FORT MYERS, FL

SCOPE Architectural design and construction administration services for a 6,650 sq. ft. ASC

COMPLETION 2022

OWNER Florida Heart Associates, 1550 Barkley Circle Ft. Myers, FL 3390

Florida Heart Associates in Fort Myers, FL completed their mission to complement their existing clinical services by adding a one-story 2,500 SF building expansion to create a new 6,650 SF Ambulatory Surgery Center (ASC).

The program includes a newly renovated Cath Lab, a single OR suite with its own sterile processing area, staff locker/ changing area, clean and soiled holding, and Clinical Manager Office. The new ASC includes a five-bay Pre-Op suite with a nurse station and support space. The Pre-Op Suite was designed to be flexible, serving as extra Post-Op Bays when patient volumes change. Four existing Post-Op rooms were modified to comply with the current AHCA requirements. Two new Post-Op rooms were added within the building expansion for a total of six private recovery rooms to support the OR and Cath Lab. The newly-renovated Control Room supports both the existing Cath Lab and the new Operating Room, increasing physician and staff efficiency.

Patient wayfinding was simplified by creating a separate and distinct ASC entry, reception, and a dedicated waiting area that is accessible from within the existing clinic. A new covered pick-up area allows patients to return home without traveling through the reception area after their procedure.

The previous Cath Lab project included provisions to be AHCA compliant as part of the new ASC. Per Code, services to the new ASC are independent of the business occupancy, requiring multiple modifications to the existing areas to be incorporated into the new ASC. A new one-hour fire separation was created within the existing building to separate the two spaces. The project was carefully planned and phased to allow the existing Cath Lab to remain fully operational during the construction of the new addition and renovations.

PRA is proud that Stage II and Stage III AHCA reviews with the Miami AHCA officials received approval without comments.

CATHETERIZATION LABORATORY

FLORIDA HEART ASSOCIATES | FORT MYERS, FL

SCOPE Architectural design and construction administration services for a 950 sq. ft. cath lab

COMPLETION 2020

OWNER Florida Heart Associates, 1550 Barkley Circle Ft. Myers, FL 3390

PRA was selected by Florida Heart Associates to renovate the existing Cardiac Catheterization Lab and support spaces to improve the suite’s overall efficiency and state-of-the-art performance. Technology was upgraded throughout the lab and neighboring support spaces to meet AHCA requirements for future expansion of the suite. Renovations of the existing Control Room were planned to seamlessly accommodate support of a future Operating Room anticipated in the upcoming Ambulatory Surgery Center addition.

To facilitate best continued operations, a rigorous effort was provided to coordinate the construction sequence to minimize shut down of services. PRA worked closely with the medical equipment vendor as well as the engineering and construction teams to design the requirements of the interstitial spaces to minimize conflicts with existing structure, utilities and new equipment. Equipment and interior finishes were upgraded to new set standards for branding this suite for the ASC building addition.

The facility’s mechanical and electrical systems were retrofitted not only to serve the equipment updates but also to prepare the suite for AHCA requirements for the ASC expansion.

SUNCOAST ORTHOPAEDIC & SPORTS MEDICINE

VENICE, FL

SCOPE Architectural design for design & construction of new 20,000 sq. ft. orthopaedic clinic space

COMPLETION 2023

OWNER Suncoast Orthopaedic Surgery & Sports Medicine, 836 Sunset Lake Blvd, Building A Ste 205, Venice, FL 34292

Suncoast Orthopaedic Surgery and Sports Medicine is a new 20,000 sq ft clinic, built to replace 2 existing leased facilities and to house five providers under one roof.

The clinic is laid out in easily identifiable pod clusters, each with 3 exam rooms arranged around a central staff work station. This collaborative working model allows the care team to easily interact with their patients. Each pod features a centralized digital wall covering showcasing a color theme and local nature images, making wayfinding easier for patients. Accent colors are bright and vibrant, offset by an otherwise neutral palette and abundant natural daylight.

Provider pods are tied together by a centralized X-Ray and MRI suite, located to both minimize footsteps and ease patient wayfinding inside the clinic. Two procedure rooms and a physical therapy tenant provide complementary clinic services.

ORTHOPAEDIC ASSOCIATES OF WAUSAU & WAUSAU SURGERY CENTER WAUSAU, WI

SCOPE Architectural and interior design services for new 50,000 sq. ft. building

COMPLETION 2022

OWNER Ellis Construction Co., 3201 Stanley St., Stevens Point, WI. 54481

Orthopaedic Associates of Wausau and Wausau Surgery Center selected PRA to design their new facility after outgrowing their current spaces. These new buildings were designed to be programmatically independent but are connected to allow patients and staff to flow between as needed. The 37,500 SF orthopaedic clinic is organized around clear circulation spines with five treatment pods. The center area includes x-ray imaging and connection to a mobile MRI unit. Staff offices are strung along the south windows and in the lower level. A double-height central Physical Therapy gym features 18 foot tall windows to provide a dramatic space for follow-up care.

The 24,000 SF surgery component has five 600 SF operating rooms able to accommodate abundant equipment for intensive orthopedic procedures. Nearby here are six private pre-op rooms and five post-op bays, and with four flex rooms with private toilet rooms for overnight recovery. The post-op area can be isolated from the rest of the facility when needed to acoustically separate the area when occupied by children. Each OR has individual doors to ensure the separation of clean and soiled items and great care is taken to insure single directional flow of supplies and instruments from use and disinfection to sterilization and storage.

The building mass communicates the patient area with a raised roof that transitions into a large clerestory window that bathes the space in natural light. The staff lounge and conference rooms are positioned to take advantage of the southern exposure and views of the nearby Granite Peak mountains.

ASPIRUS THIRD STREET CLINIC

WAUSAU, WI

SCOPE Architectural and interior design for design & construction of new 36,000 sq. ft. community clinic

COMPLETION 2021

OWNER Aspirus Health, 333 Pine Ridge Boulevard, Wausau, WI 54401

The Third Street Clinic was designed as a replacement for an existing facility and as a brand flagship for a new model of clinical care for Aspirus. The First Floor services include a Lab, Imaging Suite and Walk-in clinic. Second and Third Floors are dedicated to clinical services and staff amenity spaces.

The Second Floor clinical space contains 2 collaborative hub work areas for 11 providers, with views of all Exam room entry doors. Each Exam room facilitates eye-to-eye interaction between the care team and patient. Procedure Rooms are shared between the 2 pods.

Interior design inspiration came from the surrounding Wausau region, with a focus on locally sourced and natural materials. Rich wood tones are balanced with neutrals and blues, creating a welcoming and inviting atmosphere for patients and staff alike. Interior spaces are generously daylit.

A sustainability focus is woven through the entire design, from the use of long lifespan materials to an innovative geothermal heating and cooling system. The site also graciously accommodates a new bike/pedestrian path, knitting it into downtown Wausau’s urban landscape.

FOREST COUNTY POTAWATOMI CLINIC

CRANDON, WI

SCOPE 9,000 sq. ft. renovation/expansion

COMPLETION 2023

OWNER Greenfire Management Services, LLC, 3215 W. State St., Ste. 300, Milwaukee, WI 53202

The Forest County Potawatomi Community sought 9,000 sq. ft. renovation/expansion of their healthcare clinic to better serve their community, and provide better healthcare services for their tribe members. The project areas include the waiting room, reception, workrooms, office, pharmacy, lab, exam rooms, and more.

PRA helped design and program the space to create a welcoming, warm, and efficient healthcare facility. The entrance is a focal point of the renovation. Using the existing facility, the entrance is a dynamic greeting to visitors as it embodies the culture and values of the tribe. The Potawatomi tribe emphasizes respecting nature and using its form in design, so we also focused on how to integrate sustainable tactics into the space, which include natural lighting and selecting environmentally friendly materials.

LEE HEALTH SURFSIDE OUTPATIENT CENTER

CAPE CORAL, FL

SCOPE Architectural and engineering design services for a two-story, 15,321sq. ft. clinic addition

COMPLETION 2024

OWNER Lee Health, 4211 Metro Parkway, Fort Myers, FL 33907

PRA provided architectural and engineering design services for an estimated $6.2M, 15,321 sq. ft. two-story expansion to the existing Lee Health Outpatient Center. The programmatic elements included the addition of multiple outpatient services to the existing clinic, including a rehab center, orthopedics, neurology and neurosurgery, rheumatology, and endocrinology. Other elements of the program included a central reception and waiting area for each floor, medical offices, staff lounge, public vending and other support spaces. PRA incorporated existing facility standards to create a seamless connection to the new addition.

In addition, recently Lee Health selected PRA for a four-year term agreement to provide all outpatient design services.

THREE OAKS HEALTH

JOHNSON CREEK, WI

SCOPE Master planning, architectural, and construction services for a new 13,635 sq. ft. health clinic

COMPLETION 2024

OWNER Three Oaks Health, 480 Village Walk Ln, Johnson Creek, WI 53038

Three Oaks Health Clinic sits on a site overlooking I-94 at the WI26 offramp in Johnson Creek. The new facility is a work of love for Dr. Jim Milford and his team at Three Oaks Health. This building represents their vision for the expanding practice and their commitment to a patient-centered care model that empowers providers through grassroots leadership. PRA proudly led design efforts for the 13,635 square foot clinic, which includes 15 exam rooms and support spaces on the first floor, along with rentable space on the lower level. Auxiliary spaces include an outdoor deck off the staff recharge room and a daylit staff collaboration space.

The exterior design of the building is simple and modern with a nod to the Prairie Style familiar to Wisconsin. Using stone from a local quarry at key architectural moments, the building is grounded in its context. Champagne metal panels and a black storefront system suggest a commercial use while the earthy lap siding softens the exterior and evokes home. These design features are carried inside with reclaimed wood paneling, selectively exposed steel and wood structural elements in the main entry and staff collaboration area, and a calming neutral color palette. An important marketing piece for the building is the stair tower, visible from the interstate.

MODULAR DESIGN

We believe that off site construction is a developing technique that can address project quality, cost, and construction speed on certain projects. We have explored work with three national modular contractors to evaluate different approaches and building systems, and even co-developed a turnkey approach with Florida developer, MDN Development, LLC, and developed a modular kit-of-parts for ambulatory surgery centers built around modular type II construction and the ability to be deployed to any part of the Country.

More recently, we have been developing projects on behalf of a modular builder in Minnesota, combining type IA and VA construction for ease of scaling their workforce, and a modular approach that minimizes site disruption, makes the most of available labor, and minimizes the time from permit to revenue generation.