Winona Health Proposal_PRA_CDS

Winona Health Services LONG-RANGE FACILITY MASTER PLAN

ARCHITECTURAL & PLANNING SERVICES

March 25th, 2025

Mr. Justin Johnson

Director of Facilities

Ms. Rebecca Lamberty

Chief Administrative Officer

Winona Health Services

855 Mankato Avenue

Winona, MN 55987

RE: Proposal for Winona Health Services Long-Range Facilities Master Plan

Project number: 250045-00

Dear Justin and Rebecca,

On behalf of Plunkett Raysich Architects, LLP (PRA) and C.D. Smith Construction, Inc. (CDS), we appreciate the opportunity to submit our proposal for the total facilities assessment, strategic recommendations, and long-range master planning of Winona Health. This is an exciting opportunity to support your mission and vision in delivering exceptional, locally owned, nonprofit healthcare.

A DEDICATED HEALTHCARE TEAM

We are a team of experts with the experience, portfolio, and passion to create the best solution that meets the goals of your facility and the community it serves. Both PRA and CDS have a long history of healthcare design and construction with healthcare as a core competency. Together, we have successfully completed healthcare projects in six states across America. Our proven teams employ an evidence-based design process to define optimal solutions, ensuring the highest return on investment in support of sustainable, rural community healthcare.

THE RIGHT PROCESS

Our client-first approach begins by listening—gaining a deep understanding of Winona Health’s project goals and objectives. We engage key stakeholders, including leadership, user groups, and caregivers, to collaboratively shape a master plan that supports the highest standards of rural healthcare. Through creative solutions and cutting-edge technology, we will help you make informed decisions at every stage of the project.

PROVEN EXPERTISE IN RURAL HEALTHCARE

Rural hospitals and clinics are the heartbeat of community health, and we have dedicated our expertise to supporting facilities like Winona Health throughout our history. We understand the challenges facing rural healthcare providers, from shifting market dynamics to sustainable growth strategies. Our team of planners, designers, engineers, and contractors is committed to helping you navigate these challenges and develop a plan that ensures long-term viability as an independent, community-focused healthcare organization.

LOCAL KNOWLEDGE, MEANINGFUL IMPACT

Our history in Winona extends beyond project experience—we have played a direct role in shaping healthcare in the region. Our long-standing partnerships with local trade partners and community stakeholders reinforce our commitment to investing in the local economy while delivering projects that make a lasting impact.

IN-DEPTH UNDERSTANDING OF YOUR FACILITY

Our team brings a distinct advantage—intimate knowledge of Winona Health’s campus. Our past experience includes:

• Leadership in Prior Initiatives – Members of our team have worked closely with CEO Rachelle Schultz and led past master planning efforts.

• Kevin had the pleasure of being involved with the last large project undertaking in 2004 that Winona Health successfully completed. He served as the Program Manager that oversaw the entire project for Winona Health.

• Engineering Expertise – Our designated project manager has provided MEP engineering services for many of Winona Health’s recent upgrades, giving us a deep understanding of existing systems and future needs.

COMMITTED TO YOUR FUTURE

The project journey—reaching your goals through a thoughtful and seamless process—is our priority. Our extensive experience, combined with our team’s chemistry and deep knowledge of rural healthcare, ensures the best possible outcome for your project. When you choose PRA and CDS, you are selecting a team of dedicated healthcare experts ready to support your long-term vision with strategic, patient-focused solutions.

We look forward to the opportunity to partner with you on this transformational project. Please feel free to reach out with any questions or to discuss next steps.

Sincerely,

Kevin Broich, AIA, NCARB

Partner in Charge, Plunkett Raysich Architects, LLP kbroich@prarch.com l 414.550.1141

Michael Krolczyk

Senior Vice President, Principal-In-Charge, C.D. Smith Construction mkrolczyk@cdsmith.com | 920.948.2353 (mobile)

TABLE OF CONTENTS

7 1. EXECUTIVE SUMMARY

PROJECT EXPERIENCE 57 3. PROJECT APPROACH

4. METHODOLOGY

5. TIMELINE & SCHEDULE

6. PROJECT FEES 79 7. REFERENCES

1

EXECUTIVE SUMMARY

Forest County Potawatomi Clinic

EXECUTIVE SUMMARY

The Plunkett Raysich (PRA), and C.D. Smith (CDS) team, in tandem with its consulting engineers, is a team that prides itself on the focus of imaginative, cutting-edge design and construction of healthcare facilities, both inpatient and outpatient, as well as a vast portfolio of senior living facilities.

Our expertise combines our experience of doing work nationally with the passion for working with rural community-based hospitals, clinics and senior living facilities. PRA, celebrating 90 years of services to healthcare and senior living design, and CDS, celebrating 89 years of healthcare and senior living construction, have devoted their careers and resources to understanding and developing the knowledge and skill to create healthcare and senior living facilities. Our primary objective always is to treat and design for patients and residents with the utmost care, respect and dignity. A close second, is keeping in mind that these facilities also serve the physicians, nurses and staff. We pride ourselves on designing and constructing facilities that make serving patients and residents organic, safe and efficient. This principal in the design process helps with the recruitment and retention of a provider’s employees.

Our team is motivated and eager to be able to help and serve Winona Health with its mission and goals for the assessment of your building and campus assets. Our team would draw up our combined knowledge to help create the best options for your long-range master plan.

We understand the scope of our efforts are to conduct a long-range facilities master plan that will effectively prepare and set the stage for health care service delivery for the next 20 plus years into the future. Involved with this mission is the starting point of understanding the campus and building assets to help logically prepare for immediate and shortrange capital improvements while effectively and innovatively planning for future building improvements, emerging technology, additions and full new building options to advance your health care services and allow for flexibility to adjust for future service needs and goals.

Our team recognizes that the Winona Health campus may need to address the need to relocate, improve or possibly develop new senior housing facilities. C.D. Smith and their wholly owned subsidiary, Summit Smith Development has developed new senior housing facilities across the United States. These facilities have included 55+ housing, assisted living facilities, memory care and skilled nursing. We feel this added service could be helpful as the planning process proceeds forward.

Woven into our planning, design and construction options are the constant focus on sustainability, durability, flexibility, affordability and efficiency. A key component to all these aspects of change and improvement will be to ensure smooth functioning and operations of the services Winona Health has in place without disruption or interruption of facility services, even throughout the length of construction.

Ultimately, we make the pledge to you that our final report will be the guide for Winona Health for budgeting and prioritizing the maintenance, general capital improvements and long-range decision-making into the future.

Aspirus Keweenaw Hospital Houghton Clinic

Wausau Hospital

Aspirus

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, which means that this year we are celebrating our 90th anniversary. 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.

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

Austin, TX

220 Industrial Boulevard Suite 101 Austin, TX 78745 512.851.1900

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

PROJECTS IN

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

WHAT WE DO

HEALTHCARE

PLANNING

Site Planning/New Urbanism Design

Building Programming

Master Planning

Space Planning

Capacity Studies

Feasibility Studies

Facility Maintenance Studies

SENIOR LIVING

CORPORATE & COMMERCIAL

RELIGIOUS

EDUCATION

RESIDENTIAL & FAMILY LIVING

CIVIC

HOSPITALITY & SPORTS

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

C.D. Smith Construction FIRM PROFILE

Who We Are

C.D. Smith Construction is an industry leader in safely providing the highest quality large-scale construction services. Utilizing an integrated project delivery approach and in-house technical expertise, our team serves as a solutions provider throughout all phases of a project from planning through closeout.

Your Construction Professionals

Our talented team of construction experts has the background and perspectives to lead clients, partners and subcontractors through the entire preconstruction and construction process.

• Construction Consulting

• Preconstruction Services

• Construction Management

• Self Performance

• Design-Build Construction

• Virtual Design + Construction

• Sustainable Construction CDSMITH.COM / INFO@CDSMITH.COM

PHONE: 920.924.2900 / FAX: 920.924.2910

Brief History

In the heart of the Great Depression, a dream was born. Charles D. Smith, an experienced estimator and project manager, craved more than just a job.

With unwavering determination, he ventured out on his own in 1936, founding Charles D. Smith and Son, Inc. Joined by his son Donald five years later, the father-son duo built a reputation for exceeding expectations. In 1982, the company was renamed to C.D. Smith Construction, Inc.

Today, four generations strong, C.D. Smith remains a familyowned leader in Midwest construction, staying true to its core principles of quality and customer satisfaction.

Point of Contact

Jasen Anhalt, LEED AP BD+C Vice President

C.D. Smith Construction 920.960.3047

janhalt@cdsmith.com

Specialized Healthcare Team

C.D. Smith has completed billions in healthcare work. In just the last five years, we have completed over 136 healthcare projects. Our dedicated team of experienced healthcare personnel have the background and experience to help you plan, communicate and execute your project safely while exceeding expectations for quality and performance.

Areas of Expertise

• Aerial + 360 Media Capture

• Accurate Estimates + Budgeting

• Building Information Modeling (BIM)

• Complex, Phased Projects

• Constructability Analysis + Reviews

• Feasibility Studies

• Laser Scanning

• Managing Contractor Bidding Process

• MEP Consulting

• Phasing + Scheduling

• Prefabrication

• Quality Control

• Risk Assessment

• Safety + Logistics

• Scheduling Optimization

• Self-Perform Trades

• Sustainability Analysis

• Value Analysis

• Virtual Design + Construction

Healing Spaces, RESPECTFULLY BUILT.

We understand that healing environments are sacred. That’s why we prioritize respect and minimal disruption during construction, allowing your residents to focus on what matters most - their well-being.

Staff Discipline + Size

100+ PROFESSIONAL STAFF

500+ SKILLED TRADESPEOPLE

Office Locations

Home Office

125 Camelot Drive Fond du Lac, WI

Madison 316 W. Washington Avenue Madison, WI

La Crosse

333 Front Street North La Crosse, WI

Milwaukee 8325 W. Tower Ave Milwaukee, WI

OUR HISTORY

RTM Engineering Consultants traces its roots back to 1981 when we were founded as a 3-person firm specializing in mechanical engineering design for clients in the Midwest, establishing a reputation for reliability and a commitment to excellence in engineering design. Driven by this commitment and fueled by a passion for innovation, RTM gradually expanded its scope of operations beyond regional confines and service offerings. Today, we are a nationally recognized, multidisciplinary consulting firm licensed in all 50 states and with office locations coast to coast. Even with our steady growth and current widespread presence, we have remained firmly rooted in our commitment to maintaining strong local connections with clients, a cornerstone of our firm’s values and continued success.

NATIONAL RESOURCES | LOCAL RELATIONSHIPS

1981 YEAR FOUNDED

500+

TEAM MEMBERS

We have built a culture anchored in our core values, serving as a compass guiding our decisions and actions both within our teams and with our clients, with client success at the heart. From the moment we engage with a client, our team strives to understand not only their immediate needs but also their long-term objectives. Through open collaboration, transparent communication, and genuine trust, we establish strong, unified partnerships that transcend the typical client-consultant dynamic.

We recognize that every project is unique, presenting its own set of challenges and opportunities. That’s why we take the time to listen and truly comprehend the intricacies of each client’s goals. Armed with this deep understanding, we leverage our diverse set of talents, expertise, and creativity to craft innovative solutions that not only meet but exceed expectations.

Our commitment to excellence in engineering means we invest in continuous learning and development, staying current on the latest technologies and industry trends to ensure that our solutions are always at the forefront of innovation. But beyond technical prowess, it’s our passion for making a meaningful impact that sets us apart. We don’t just see ourselves as consultants, we see ourselves as partners in our clients’ success stories.

25

OFFICES

OUR VALUES

COLLABORATIVE COMMUNICATORS

OVERALL UNITY

RESPECT & TRUST

EMPOWER

We are sincere, feedback-friendly, and solutions-focused.

Our mindset of ‘we before me’ drives us to grow and succeed together.

We build mutual reliance through transparency, honesty, integrity, and delivering on our commitments.

We encourage personal initiative and accountability to grow results and shape our success from within.

INDUSTRY RECOGNITION

OUR EXPERTISE

RTM’s expertise covers a full range of engineering and design services with a multi-disciplinary team approach across all major market sectors. This means that our clients can come to us for all of their building needs, from system upgrades and tenant improvements to large scale new construction projects.

BUILDING SYSTEMS

Mechanical | Electrical | Plumbing | Fire Protection | Technology | Commissioning

Construction Administration | Architectural Lighting Design | Acoustics | Refrigeration

Arc Flash | TAB | Environmental Design Services

CIVIL ENGINEERING

Land Planning & Site Development | Water & Wastewater | Stormwater Design

Transportation | Surveying & Mapping

STRUCTURAL ENGINEERING

Feasibility Studies | Structural Analysis & Design | Seismic Retrofit & Rehabilitation

Structural Renovations & Upgrades | Structural Assessments | Structural Investigations

Damage Assessments | Contract Plan Review | Peer Review Services

MARKET SECTORS

Schaumburg, IL (HQ)

Albuquerque, NM

Avon, CO

Baltimore, MD

Belleville, IL

Boise, ID Chicago, IL Corona, CA

Dallas, TX

Davenport, IA

Denver, CO

Evansville, IN Fort Collins, CO

Fort Myers, FL Irvine, CA

Lakewood, CO

Milwaukee, WI Orlando, FL

Overland Park, KS Palm Springs, CA San Diego, CA Seattle, WA

Springfield, MO

St. Louis, MO

Firm Profile

West Plains Engineering

Name: West Plains Engineering, Inc.

Year Founded: 1984

Offices:

Casper, WY

Cedar Rapids, IA

215 2nd Avenue SE, Suite 200

P: 319.365.0030

Rapid City, SD

Sioux Falls, SD

Employees: 46

18 Mechanical Engineers

15 Electrical Engineers

7 CAD Technicians

7 Administrative & Management

State Registrations: 22

(See graphic at right. Blue represents those states where we have registered engineers.)

SERVICE OVERVIEW

Mechanical

Heating, Ventilation & Air Conditioning

Design

Building Control Systems

Mechanical Retrofit

Infrastructure Design

Fire Protection

Energy Analysis and Management

Energy Recovery Systems

Plumbing Systems

Special Piping Systems

Fuel Storage Systems

Our Cedar Rapids office opened in 2002 and currently includes both licensed mechanical engineers and electrical engineers, as well as CAD Support.

Electrical

Lighting Systems

Building Power Systems

Emergency Power Systems

Electrical System Design

Information Technologies

Telecommunications/Network

Distributing Systems

Security Systems

Distribution Systems

Traffic Signal Design

Roadway Lighting

Airport Lighting Systems

Utilities

Transmission & Distribution Design

Substation Design

Long Range Planning

System Studies- Arc Flash, Sectionalizing, Fault Current, Load Flow, Power Factor

System Modeling

Since its inception in 1961, GRAEF has grown from a small individual partnership to a prominent, multi-disciplinary international firm. GRAEF has a team of nearly 300 employees spread across ten offices in the Midwest, Florida, and Turks and Caicos.

Over 60+ years, GRAEF’s unwavering dedication to excellence has been fueled by core values such as integrity,quality, and a steadfast commitment to exceptional customer service. These principles form the bedrock of GRAEF’s operations, ensuring that clients receive the highest level of satisfaction and a seamless experience.

GRAEF has remained at the forefront of the industry, consistently adapting to emerging trends and embracing advancements, and is proud to be a reliable partner for clients seeking top-tier design services and unmatched expertise.

AREAS OF PLANNING EXPERTISE

LOCAL PRESENCE | GLOBAL REACH

BUILDING TRUST WITH OUR PARTNERS WHEREVER THEY TAKE US

At GRAEF, the relationships we build with our partners and friends are our most important value. Whether working on a local project or one across the country, we prioritize trust and collaboration from inception to completion. We take pride in our work and are dedicated to fostering strong, enduring partnerships that ensure success and mutual growth.

LICENSED/REGISTERED TO PRACTICE

BETTER TOGETHER PRA & C.D. SMITH

We’ve partnered together on 42 projects in recent years, including 14 healthcare and senior living projects. Our collaborative approach fosters a true partnership, prioritizing patient and resident needs and working together to develop inspiring spaces that reflect Winona Health’s unique mission.

State of WI UW-Madison Microbial Sciences Building - Madison, WI

Veterans Affairs Outpatient Clinic - Billings, MT

Veterans Affairs Outpatient Clinic - Wilmington, NC

Cornell Landing Assisted Living & Memory Care Facility- Portland, OR

Summit Smith Assisted Living Facility - Kennewick, WA

Fieldstone Memory Care of Issaquah - Issaquah, WA

HarborChase of Princeton Memory Care & Assisted Living Facility

HarborChase Of Wilmington - Assisted Living Facility

Milo C. Huempfner Department Of Veterans Affairs Clinic - Green Bay, WI

Monroeville Veterans Affairs Clinic - Monroeville, PA

Trios Medical Group - Medical Office Building - Kennewick, WA

Franklin Public Schools Facilities Master Plan

Germantown School District - Amy Belle Elementary

Germantown School District - Rockfield Elementary

Germantown School District - County Line Elementary

Germantown School District - Germantown High School

Germantown School District - Kennedy Middle School

Germantown School District - MacArthur Elementary

Howards Grove School District - Middle & High School

Howards Grove School District - Northview Elementary BP 2

Howards Grove School District - Northview Elementary BP#1

COLLABORATIVE TEAM APPROACH

Kenosha Harbor District Block - Kenosha, WI

Kiel School District - High School - Kiel, WI

Reedsville School District - Reedsville, WI

Rosendale-Brandon School District - Elementary School

Rosendale-Brandon School District - Facilities Planning

Rosendale-Brandon School District - High School ...AND MANY MORE!

Trios Medical Group - Medical Office Building | Kennewick, WA

HarborChase Of Wilmington - Assisted Living Facility

Monroeville Veterans Affairs Clinic | Monroeville, PA

Veterans Affairs Milo C Huempfner Green Bay Clinic | Green Bay, WI

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.

Your proposed team is fluent in the issues important to caring and innovative healthcare and senior living facilities. They have extensive healthcare experience; including various medical integrated inpatient & outpatient facilities. Their combined experience exceeds 200 years of project excellence, and as a team, we have completed numerous projects in the last five years. Winona Health can have the utmost confidence that these team members will help you with the assessment and long-range master plan and ultimately construct facilities that fulfill and elevate your physicians’ and staff’s abilities to help their patients. KEVIN BROICH AIA, NCARB Partner in Charge

Kevin Broich , AIA, NCARB

Partner, Director of Healthcare Studio

PROJECT ROLE: PARTNER IN CHARGE

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 40 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.

PROJECT EXPERIENCE

Winona Health - Winona, MN

Sarasota Memorial Health Care System - Sarasota, FL

Naples Outpatient Surgical Institute ASC (AHCA) - Naples, FL

EDUCATION

Bachelor of Architecture

Iowa State University

Bachelor of Arts - Architecture

Iowa State University

REGISTRATIONS

Minnesota Architect - 52350

Wisconsin Architect - 6487-5

Also Licensed in: IA, IL, KS, MA, MI, 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)

Premier NeuroSpine Institute ASC (AHCA) - Pinellas Park, FL

Florida Heart Associates Ambulatory Surgery Center (AHCA) - Fort Myers, FL

Florida Heart Associates Cath Lab - Fort Myers, FL

Suncoast Orthopaedic Surgery & Sports Medicine - Venice, FL

Acadia Healthcare Ft. Lauderdale Comprehensive Treatment Center - Tamarac, FL

Tampa Family Behavioral Health Clinic - Tampa, FL

Wasserman Ulitksy Dermatology Clinic - Venice, FL

Alex Colque MD Plastic Surgery Clinic - Brookfield WI

Aspirus Wausau Hospital – Wausau, WI

Aspirus Ironwood Hospital – Ironwood, MI

Aspirus Wausau Third Street Clinic – Wausau, WI

Brookfield Cardio Assoc Clinic and ASC - Brookfield WI

Forest County Potawatomi Clinic – Crandon, WI

Fort Healthcare Masterplan– Fort Atkinson, WI

Fort Healthcare Outpatient Services Master Plan - Fort Atkinson, WI

Olympia Fields, Veterans Affairs Outpatient Clinic – Oconomowoc, WI

Orthopaedics of Wausau and Wausau Surgery Center – Wausau, WI

Sauk Prairie Healthcare – Sauk Prairie, WI

SSM Health – Madison, WI

UnityPoint Health - Meriter Hospital – Madison, WI

Lee Health (Multiple Projects)

Babcock Ranch Clinic Expansion - Punta Gorda, FL

Cape Coral Complex Care Clinic - Cape Coral, FL

Santa Barbara Offices - Cape Coral, FL

Coconut Point Specialty Pharmacy - Estero, FL

Surfside Outpatient Center Expansion - Cape Coral, FL

Bonita Health Center X-Ray Replacement - Estero, FL

Bonita Health Center Urology Renovation - Estero, FL

Bonita Health Center Endocrinology Renovation - Estero, FL

Bonita Health Center Staff Lounge - Estero, FL

Bonita Health Center Allergy Clinic - Estero, FL

HealthPlan Pharmacy Relocation - Cape Coral, FL

GME Program Expansion - Cape Coral, FL

Regional Cancer Center Relocation & Renovation - Fort Myers, FL

Surfside X-Ray Equipment Renovation - Cape Coral, FL

Michael Krolczyk

PROJECT ROLE: PARTNER IN CHARGE

A fourth generation Smith family member, Michael brings over 29 years of construction experience, 27 with C.D. Smith to his role as Senior Vice President. Michael’s large-scale project involvement is instrumental to the success of the company. As Principal-In-Charge, Michael maintains overall accountability for the successful delivery of the project. He supports the project team, ensuring client satisfaction from the preconstruction planning stages through owner occupancy.

Senior Vice President, Principal-In-Charge

EDUCATION

Bachelor of Science

University of Wisconsin-Stevens Point Business Administration

University of Wisconsin-Stevens Point

TRAINING + CERTIFICATIONS

Dale Carnegie Course: Skills for Success

YEARS OF EXPERIENCE

29 years

AFFILIATIONS

Envision Greater Fond du Lac

Board Member

PROJECT EXPERIENCE

Memorial Medical Center - Ludington, MI

Dept. of Vet. Affairs Community Based Outpatient Clinic - Evansville, IN

Dept. of Vet. Affairs Community Based Outpatient Clinic - Peoria, IL

Dept. of Vet. Affairs Community Based Outpatient Clinic - Wilmington, NC

Dept. of Vet. Affairs Medical Center - Green Bay, WI

7Seventy7 - Milwaukee, WI

Mequon Public Market - Mequon, WI

St. Paul’s Fish Company - Mequon, WI

Marriott Miwaukee Downtown - Milwaukee, WI

The Kimpton Journeyman Hotel - Milwaukee, WI

Milwaukee Water Council - Milwaukee, WI

Divine Savior - Portage, WI

Fond du Lac Public Library - Fond du Lac, WI

Fox Valley Savings Bank - Fond du Lac, WI

Global Water Center - Milwaukee, WI

Hill Farms State Office Building - Madison, WI

Riverside Campus - La Crosse, WI

US Customs & Border Patrol - Rangeley, ME

UW-Platteville Bridgeway Commons - Platteville, WI

Larry Schneider

Senior Living Planner, Partner

EDUCATION

Bachelor of Science in Architecture

University of Wisconsin - Milwaukee

YEARS OF EXPERIENCE

1983 career start, with PRA since 1998

AFFILIATIONS

American Institute of Architects (AIA Associate Member)

Leading Age Member Society for the Advancement of Gerontological Environments (SAGE Federation)

Wisconsin Assisted Living Association

PROJECT ROLE: SENIOR LIVING PLANNER

Larry Schneider, a partner in PRA's Senior Living studio, brings over 30 years of experience in planning and design for senior environments. He specializes in helping clients navigate complex planning challenges and is dedicated to evidence-based approaches for creating engaging long-term care environments. Larry's expertise has provided clarity for numerous providers, and he is active in presenting and organizing events for organizations such as Leading Age, Society for the Advancement of Gerentological Environments (SAGE), and Environments for Aging.

PROJECT EXPERIENCE

Bay Village of Sarasota

Beaver Dam Community Hospital - Hillside Hospice

Beloit Health System - NorthPointe Terrace AL & Master Planning

Bethany Home, Inc. - RCAC, CBRF, & SNF

Bethesda Lutheran Communities - Adult Family Homes

Cedar Community - Duplexes, RCAC, CBRF & SNF across 4 campuses

Clearview Home - Christan Science Nursing

Dane County - Badger Prairie Health Care Center

Fond du Lac County - Harbor Haven Health & Rehabilitation

Gables of Germantown - IL & Master Planning

Juneau County - Crestview Skilled Nursing

LindenGrove, Inc. - RCAC, CBRF, & SNF across 4 campuses

Luther Manor - Campus Master Planning

Lutheran Homes of Oconomowoc - RCAC, CBRF, & SNF

LutheranLiving Services - SNF & CBRF across 2 campuses

Main Veterans’ Home - Community Living Center

Manitowoc County Health Care Center

Maplewood of Sauk Prairie - SNF & CBRF

Meriter Health Services Skilled Care Facility

Milwaukee Catholic Home - IL, CBRF & SNF

North Central Health Care - CBRF & SNF

Ozaukee County - Lasata Senior Living Campus

Rainbow Hospice

Reedsburg Area Senior Life Center

Sauk County - Health Care Center

Sheboygan County - Rocky Knoll and Sunny Ridge

SSM Health - St. Mary’s Care Center

St. Camillus - CBRF, IL & Master Planning

St. Croix County - Health Center

St. Monica’s - IL, CBRF & Master Planning

Steeple View Christian Senior Living - IL

Three Pillars Senior Living Communities - SNF, CBRF & Master Planning

Trinity Woods - IL, CBRF, Sisters’ housing and Daycare

Veterans Administration - Tomah VA Medical Center

Clement J. Zablocki VA - Medical Center

William S. Middleton VA Hospital

Village at Harmony Hill - AL and Sisters’ housing

Walworth County - Lakeland Health Care Center

Washburn County - Northern Lights Health Care Center

Washington County - Samaritan Health Center

Winnebago County - Park View Health Center

Lutheran Homes of Ocononomowoc

Jasen Anhalt

Project Executive

EDUCATION

Bachelor of Arts, Communications

University of Wisconsin-Milwaukee

TRAINING + CERTIFICATIONS

AGC Project Management Advancement

AGC Supervisory Training Program

Dale Carnegie: Skills for Success

OSHA 30-Hour Training

YEARS OF EXPERIENCE

33 years

PROJECT ROLE: PROJECT EXECUTIVE

Jasen has over 30 years of construction management experience. As Project Executive, he provides project oversight throughout the preconstruction and construction phases. His responsibilities include ensuring compliance with regulatory requirements, assisting with target costing, monthly executive reporting, monitoring the project schedule and assisting with the procurement and management of subcontractors. Jasen is also responsible for total customer satisfaction.

PROJECT EXPERIENCE

St. Vincent Hospital, Curtain Wall Replacement - Green Bay, WI

St. Joseph’s Hospital, ER Expansion - Chippewa Falls, WI

St. Vincent Hospital, Cath Lab Remodel – Green Bay, WI

Acuity Insurance, North Building Enhancements - Sheboygan, WI

Acuity Insurance, Northwest Interior Build out - Sheboygan, WI

Acuity Insurance, Rec Center & Parking Structure - Sheboygan, WI

Belle Square Mixed-Use Development - La Crosse, WI

C.D. Smith Corporate Office - Fond du Lac, WI

Global Water Center - Milwaukee, WI

Green Bay Packaging, Multiple Projects - Various Locations

Grande Cheese Corporate Office Building & Research Center - Fond du Lac, WI

Fastenal Corporate Office Building - Winona, MN

Marriott Milwaukee Downtown - Milwaukee, WI

Nature’s Way Office Building - Green Bay, WI

Rite-Hite Global Headquarters - Milwaukee, WI

SECURA Insurance Home Office - Neenah, WI

Schneider Grove Innovation Center - Ashwaubenon, WI

Stoughton Trailers Corporate Headquarters - Stoughton, WI

Viterbo University School of Nursing - La Crosse, WI

Winona Exchange Building - Winona, MN

Michael Schaefer ,

AIA, NCARB, CCCA, LEED AP

Senior Project Manager, Senior Associate

EDUCATION

Master of Architecture

University of Wisconsin - Milwaukee

Bachelor of Science - Architectural Studies, University of Wisconsin - Milwaukee

L’ Ecole Speciale d’ Architecture, Paris, France

UWM School of Continuing EducationLean Six Sigma Green Belt

REGISTRATIONS

AIA, NCARB, CCCA, LEED AP

Wisconsin Architect - 6549-5

Also Licensed in: CA, CT, DE, MA, ME, NC, OR, PA, SD

YEARS OF EXPERIENCE

1985 career start, with PRA since 1994

AFFILIATIONS

American Institute of Architects (AIA)

National Council of Architectural Registration Boards (NCARB)

Wisconsin Healthcare Engineering Association (WHEA)

Lean Construction Institute

Milwaukee Community of Practice

P ROJECT ROLE: PROJECT MANAGER

Mike brings over 35 years of experience in all facets of architectural planning, design, and construction, will work throughout the project. With training in the application of Lean planning tools, he will be responsible for analyzing and optimizing performance by identifying design inefficiencies, mapping workflows, and improving return on investment. Mike will oversee internal teams, develop schedules, ensure that everyone has the resources they need for a successful project, and be the point of communication on behalf of the design team.

PROJECT EXPERIENCE

Ascension Wheaton Franciscan Healthcare - Milwaukee, WI

St. Francis Hospital - Multiple projects

Ascension Columbia St. Mary’s Hospital - Milwaukee, WI

Over 50 projects

Ascension Riverwoods-Multiple Projects - Glendale, WI

Aspirus Iron River Clinic - Iron River, WI

Aspirus Riverview Hospital - Wisconsin Rapids, WI

Wound Care Center

Cancer Care Center Addition

Facility Master Planning

Aspirus Wausau Hospital - over 80 projects

Facility Master Planning

Columbia St. Mary’s Ozaukee Campus

Women’s Center Addition

MRI Replacement

3rd Floor South Inpatient Unit Renovation

Inpatient Behavioral Health Renovation

Cornell Landing Assisted Living / Memory Care - Portland, OR

Delta Dental of Wisconsin Corporate Headquarters

Fort HealthCare - Fort Atkinson, WI

Over 150 Projects

Eagle River Memorial Hospital - Eagle River, WI

Harborchase of Wilmington Assisted Living / Memory Care - Wilmington, DE

HRA Evergreen Walk Assisted Living / Memory Care - South Windsor, CT

HRA Princeton Assisted Living / Memory Care - Princeton, NJ

Orthopaedic Associates of Wausau-Wausau Surgery Center

Maine Veterans’ Homes - Augusta, ME

Northwestern Lake Forest Hospital

Grayslake Ambulatory Surgery Center - Grayslake, IL

Orthopaedic Hospital of Wisconsin - Multiple projects - Glendale, WI

Radiant / Skiin Ambulatory Surgery Center - Pewaukee, WI

Rawson Medical Center - Franklin, WI

Sauk Prairie Healthcare

Milo C. Huempfer VA Green Bay Outpatient Clinic

VA Billings MT Outpatient Clinic

VA Monroeville PA Outpatient Clinic

VA Olympia Fields (Oconomowoc, WI) Outpatient Clinic

VA Wilmington, NC Outpatient Clinic

Dan Loest

Healthcare Operations Specialist (HOS)

EDUCATION

Certificate, Business Management

Fox Valley Technical College

SPECIALIZED TRAINING

Certified Healthcare Constructor (CHC)

Healthcare Construction Certification (HCC)

Infection Control Risk Assessment (ICRA)

Certified Healthcare Facility Manager (CHFM)

WELL Building Experience

YEARS OF EXPERIENCE

32 years

AFFILIATIONS

Wisconsin Healthcare Engineers Association (WHEA)

Current State Treasurer, Past President & Member

WHEA Foundation

Current Member, Past Board Secretary

Winnebago Lutheran Academy High School

Current Committee Member

Past Board Member & Chairman

As a Healthcare Operations Specialist with 32 years of experience, including 28 years as an Owner’s Representative, Dan specializes in managing healthcare facility construction projects from planning through completion. He brings a deep understanding of both healthcare operations and the construction process, ensuring projects are delivered on time, within budget, and aligned with the operational needs of healthcare providers. By serving as a liaison between owners, architects, contractors, and stakeholders, he helps design and build facilities that optimize patient care, improve workflow, and meet regulatory standards. Dan is committed to clear communication, strategic planning, and proactive problem-solving throughout every phase of the project.

PROJECT EXPERIENCE PROJECT

St Nicholas Hospital Linear Accel Replace - Sheboygan, WI

Aurora Health Center Sheboygan - Sheboygan, WI

Divine Savior - Misc Projects - Portage, WI

Northeast Wisconsin Retina Associates Sheboygan - Sheboygan, WI

Outpatient Ophthalmology Surgery Center Appleton - Appleton, WI

SSM Beaver Dam - Shell Space Build - Beaver Dam, WISSM Health Cancer Center Pharmacy - Fond du Lac, WI

SSM Health - Mayville Clinic - Mayville, WI

SSM Health Cancer Center Pharmacy - Fond du Lac, WI

SSM Health Christian Homestead Assisted Living - Waupun, WI

SSM Health Dean Medical Group Regional Clinic - Beaver Dam, WI

SSM Health Fond du Lac Express Care - Fond du Lac, WI

SSM Health Ripon Community Hospital - multiple projects - Ripon, WI

SSM Health St. Agnes Hospital - Clinic Lobby Upgrade - Fond du Lac, WI

SSM Health St. Agnes Hospital - ICU Finish Upgrades - Fond du Lac, WI

SSM Health St. Agnes Hospital Medical Imaging Renovation - Fond du Lac, WI

SSM Health St. Agnes Hospital Acute Care Pharmacy - Fond du Lac, WI

SSM Health St. Agnes Hospital Behavioral Health - Fond Du Lac, WI

SSM Health St. Agnes Hospital ED Renovation - Fond du Lac, WI

SSM Health St. Agnes Hospital Surgery EP Cath Lab - Fond du Lac, WI

The Value Dan Loest Brings to a Healthcare Facility Assessment

Dan brings a unique perspective to healthcare facility assessments, having worked both as a Facilities Manager and now as a Construction Manager. His experience on the owner’s side means he understands the daily challenges, long-term concerns, and critical priorities that facility teams face.

How Dan Helps:

• Understanding Facility Pain Points: With firsthand knowledge of what keeps facility managers up at night—like aging mechanical systems, unexpected failures, and long-term planning—Dan helps assess current conditions and prioritize critical needs.

• Bridging the Gap Between Engineers, Architects, and Facility Teams: Dan’s experience allows him to translate technical recommendations into practical solutions that align with real-world facility operations.

• Developing Long-Term Solutions: He considers the life cycle of building systems, helping owners make informed decisions that balance immediate needs with future investments.

• Minimizing Disruptions in Active Healthcare Settings: Dan knows how to plan and phase work in hospitals to keep operations running smoothly while improvements are made.

• Navigating Difficult Conversations: Facility assessments can be overwhelming. Dan serves as a liaison, helping teams understand findings, make informed decisions, and secure funding.

• Ongoing Support Beyond the Assessment: This isn’t just about delivering a report. Dan remains a resource before, during, and after the process, ensuring facility teams have the guidance they need to take action.

Dan has been through this process himself—working with architects and engineers to assess aging facilities, secure funding, and drive long-term improvements. Now, he helps other facility teams navigate that journey with clarity, confidence, and expert support.

Anthony Meyer, AIA

Project Architect

EDUCATION

Master of Architecture

University of Wisconsin - Milwaukee

Bachelor of Science in Architectural Studies

University of Wisconsin - Milwaukee

REGISTRATIONS

AIA Wisconsin Architect 12420-5

YEARS OF EXPERIENCE

2014 career start, with PRA since 2016

PROJECT ROLE: PROJECT ARCHITECT

Anthony is a project architect and works closely with the rest of the team to create plans, renderings, and construction documents for the project. On your project he will ensure the details are correct, continually revise the construction documents, and collaborate with contractors to build the project within the budget and on time.

PROJECT EXPERIENCE

Aspirus Health

Aspirus Wausau Hospital

Aspirus Third Street Clinic

NICU Expansion

Weston Clinic Opthalmology Renovation

Aspirus Houghton Clinic Addition and Renovation

Beloit Health System

NorthPointe Ambulatory Surgery Addition

Fort Healthcare

UW Cancer Center Linear Accelerator Replacement

Fort Memorial Hospital Pharmacy Expansion and Renovation

Johnson Creek Clinic Consolidation

Northwestern Medicine Kishwaukee Health & Fitness Center

Sauk Prairie Healthcare

System-wide Facilities Condition Assessment

Marshfield Medical Center - Beaver Dam

System-wide Facilities Condition Assessment

Veteran’s Affairs (VA)

Monroeville, PA Community-based Outpatient Clinic

Florida Heart Associates

ASC Renovation and Addition

Dr. Alex Colque

Radiant Plastic Surgery and Skiin Anti-Aging Spa

SAAK Health

Brookfield, WI Ambulatory Surgery Center

Naples Outpatient Surgical Institute (NOSI/NCH)

ASC Renovation

UnityPoint Health - Meriter Hospital

3-Tower Ultrasound Renovation

Interfaith Chapel Renovation

3-Tower DMP Renovation

1-Atrium ED Department Major Rooms Renovation

Emergency Department CT Imaging Room Renovation

Outpatient Pharmacy Expansion

Women and Infants Center Expansion

UW Health Union Corners Clinic

Jared Swajanen

Project Manager

EDUCATION

Bachelor of Science,

Construction Management

Northern Michigan University

Associate of Applied Science in Building Technology

TRAINING + CERTIFICATIONS

OSHA 30-Hour Training

Primavera P6 Software Training

YEARS OF EXPERIENCE

7 years

PROJECT ROLE: PROJECT MANAGER

As Project Manager, Jared is responsible for the formulation of project budgets, coordination of field operations, preparation of cost breakdowns for modifications and coordination of scheduling, purchasing and expediting for the overall project. He schedules and controls all operations to ensure uncompromised compliance with project specifications. Jared is also responsible for total customer satisfaction.

PROJECT EXPERIENCE

ViaroCare Pine Street Clinic - La Crosse, WI

Synergy Wellness Center - La Crosse, WI

Belle Square - La Crosse, WI

CenturyLink- Building Renovations - La Crosse, WI

Charmant Hotel - La Crosse, WI

City Brewery - La Crosse, WI

Fastenal Humidification Project - Winona, MN

La Crosse Center Parking Ramp - La Crosse, WI

SECURA Dock Canopy - Neenah, WI

Silo Alley and Tank Pad - La Crosse, WI

The Well Clinic Refresh - La Crosse, WI

UW-La Crosse - La Crosse, WI

Winona Exchange - Winona, MN

Marquette Replacement Hospital - Marquette, MI

Winton Woods City School District - Forest Park, OH

Finneytown City School District - Finneytown, OH

BACKGROUND

Tim possesses great leadership skills and extensive knowledge of the industry. His responsibilities include managing and designing electrical engineering projects for mission critical facilities. He coordinates with clients and other disciplines to establish project requirements; performs discipline-specific design of power distribution, lighting, lighting controls, fire alarm and nurse call systems; and incorporates sustainable or green building design into his projects.

YEARS OF EXPERIENCE

16 years with RTM

30 years total

MARKET EXPERTISE

Healthcare

Education

Commercial CONTACT

timothy.larson@rtmec.com

Tim Larson, PE, LC, LEED AP

Principal / Electrical Engineer

EDUCATION

Milwaukee School of Engineering

Bachelor of Science, Electrical Engineering Technology

REGISTRATIONS

Licensed Professional Engineer in Wisconsin

Lighting Certified, National Council on Qualification for Lighting Professionals

U.S. Green Building Council, LEED Accredited Professional

ORGANIZATIONS

Member, Institute of Electrical & Electronic Engineers

Member, Illuminating Engineering Society of North America

Member, United States Green Building Council

Member, Wisconsin Green Building Association

RELEVANT EXPERIENCE

Sauk Prairie Healthcare MEP Assessment, Sauk City, WI. Provided an MEP assessment for the new Sauk Prairie Healthcare Hospital, the Wellspring Campus, and six (6) remote clinics, totaling over 330,00-squarefeet of existing spaces. Our team conducted a comprehensive evaluation of all MEP equipment, assessing condition, configuration, capacity, and remaining useful life. The insights gathered from this assessment were instrumental in assisting the client with master planning their systems for future growth and ensuring long-term operational efficiency.

Wheaton Franciscan Healthcare, South Market, Master Planning. Project consisted of surveying the existing electrical distribution systems at six Wheaton Franciscan Healthcare facilities, reviewing existing building construction documents, interview of key facility staff, and to evaluate proposed master plan solutions for each facility for validity and implementation.

Wheaton Franciscan Healthcare, North Market, Master Planning Project consisted of surveying the existing electrical distribution systems at four Wheaton Franciscan Healthcare facilities, reviewing existing building construction documents, interview of key facility staff, and to evaluate proposed master plan solutions for each facility for validity and implementation.

Wheaton Franciscan Healthcare, Elmbrook Memorial Hospital, Brookfield, WI. Electrical distribution study. The project consisted of providing an assessment of the electrical distribution system from the utility source to the branch circuit level including; Identifying by department AIA guideline and code compliance or deficiencies as they pertain to electrical requirements and the end users.

Rady Children’s Hospital, Campus Master Plan Phase 1, San Diego, CA. Electrical Engineering services providing a HCAI readiness review.

Advocate Aurora Health, ANCHE MEP Assessment, Milwaukee, WI.

LifePoint Health, Watertown Regional Medical Center, Watertown, WI. Project consisted of surveying the existing electrical distribution system, reviewing existing building construction documents, interview of key facility staff, and to evaluate proposed master plan solutions for validity and implementation.

BACKGROUND

Marty is a seasoned professional with a wealth of experience in mechanical system design and project management. His extensive background includes serving as a skilled project manager who excels in delivering innovative design solutions to clients. Marty is adept at seamlessly leading project teams to successful outcomes.

YEARS OF EXPERIENCE

9 years with RTM

31 years total

MARKET EXPERTISE Healthcare Cultural Commercial Industrial

CONTACT

martin.herrick@rtmec.com

Martin Herrick, P.E., HFDP

Principal / Mechanical

EDUCATION

Milwaukee School of Engineering

Bachelor of Science, Architectural Engineering

REGISTRATIONS

Licensed Professional Engineer in Wisconsin

Healthcare Facility Design Professional (HFDP), American Society of Heating Refrigeration and Air-Conditioning Engineers (ASHRAE)

ORGANIZATIONS

Member, American Society of Heating Refrigeration and Air-Conditioning Engineers (ASHRAE)

Member, American Society for Health Care Engineering of the American Hospital (ASHE)

RELEVANT EXPERIENCE

Sauk Prairie Healthcare MEP Assessment, Sauk City, WI. Provided an MEP assessment for the new Sauk Prairie Healthcare Hospital, the Wellspring Campus, and six (6) remote clinics, totaling over 330,00-squarefeet of existing spaces. Our team conducted a comprehensive evaluation of all MEP equipment, assessing condition, configuration, capacity, and remaining useful life. The insights gathered from this assessment were instrumental in assisting the client with master planning their systems for future growth and ensuring long-term operational efficiency.

Pro Healthcare, Waukesha Memorial Hospital, Integrated Procedure Master Planning, Waukesha, WI.

Aspirus Riverview Hospital Master Facility Plan, Wisconsin Rapids, WI.

Advocate Aurora Health, ANCHE MEP Assessment, Milwaukee, WI.

Children’s Hospital of Wisconsin, Wauwatosa, WI. Master Facility Planning.*

Children’s Hospital of Wisconsin, Wauwatosa, WI. Facility life safety assessment and update.*

Ambulatory Master MEP Specs, Mequon, WI.

Attic Angel MEP System Review, Milwaukee, WI.

15800 Bluemound Mechanical Review, Brookfield, WI.

Milwaukee Yacht Club Energy Assessment, Milwaukee, WI.

Kenosha Transit Evaluation and Assessment, Kenosha, WI. Services included a due diligence and condition evaluation followed by preparation of a report for the existing approximately 132,000-square-foot Kenosha Transit Facility; the approximately 13,000-square-foot McCarthy Transit Center; and the existing Metra Train Station.

Bone and Joint Feasibility Study, Westwood, Wausau, WI.

*Denotes work performed with previous employer

BACKGROUND

Chad joined RTM with a wealth of experience in mechanical and plumbing design for projects ranging from industrial and manufacturing facilities to hospitals and community healthcare clinics.

His knowledge of the design process from the preliminary phases through construction completion, along with his strong attention to detail make him a valuable member of any project team.

YEARS OF EXPERIENCE

5 years with RTM

18 years total

MARKET EXPERTISE

Healthcare Commercial Education Industrial

CONTACT

chad.wetzel@rtmec.com

Chad Wetzel, RD HVAC / Plumbing

EDUCATION

Bachelor of Science, Mechanical Engineering, Marquette University

Associate of Applied Science Degree, Mechanical Engineering Technology, Waukesha County Technical College

REGISTRATIONS

State of Wisconsin, RD

Designer of Engineering Systems, HVAC and Plumbing

ORGANIZATIONS

Member, American Society of Plumbing Engineers

RELEVANT EXPERIENCE

Pro Healthcare, Waukesha Memorial Hospital, Integrated Procedure Master Planning, Waukesha, WI.

Waukesha Memorial Hospital, Medical Gas System Assessment, Waukesha, WI.

Advocate Aurora Health, ANCHE MEP Assessment, Milwaukee, WI.

Attic Angel MEP System Review, Milwaukee, WI.

Caroline Heights MEP Assessment, Milwaukee, WI.

Waukesha School District Assessment, Waukesha, WI.

Kenosha Transit Evaluation and Assessment, Kenosha, WI. Services included a due diligence and condition evaluation followed by preparation of a report for the existing approximately 132,000-square-foot Kenosha Transit Facility; the approximately 13,000-square-foot McCarthy Transit Center; and the existing Metra Train Station.

Ascension Health Care, Third Ward Clinic Renovation, Milwaukee, WI. Renovation of tenant space within a historic building.

Froedtert Healthcare, Blue Mound Hospital, Wauwatosa, WI. Renovations to an existing 51,300-square-foot unoccupied facility into a new rehabilitation hospital.

Pro Healthcare, Waukesha Memorial Hospital, Integrated Procedural Service Renovation, Waukesha, WI. Services for the renovation approximately 100,000-square-feet of existing space and a 12,500-squarefoot addition.

The Hudson, 2222 S. Michigan, Chicago, IL. MEP/FP systems for the remodel of a 115,000-square-foot historic building into a mixed use facility with a variety of spaces including retail, restaurant, shared offices, yoga studio/meditation rooms, lounges, conference space, and three floors encompassing a hotel with associated amenity spaces.

BACKGROUND

Brant is well-versed in designing mechanical systems for both new construction and renovation projects. His unique strength lies in his comprehension of the interplay between operations, maintenance, and mechanical system design. Brant holds the designation of a Qualified Commissioning Process Provider, and he possesses significant experience in LEED commissioning. He adeptly authors comprehensive reports, oversees testing and design review processes, conducts site inspections, and diligently maintains construction issue logs and tracking. He plays a pivotal role in establishing owner’s project requirements, identifying crucial design criteria, documenting issues, and conducting thorough performance testing of building systems upon completion. This rigorous approach ensures the overall quality and success of the building delivery process.

YEARS OF EXPERIENCE

8 years with RTM 22 years total

MARKET EXPERTISE

Brant Holeman, LEED AP O+M QCxP, BECxP

Mechanical Engineer

EDUCATION

University of South Florida

Bachelor of Science, Mechanical Engineering

University of Wisconsin - Madison

Qualified Commissioning Certificate (QCxP), Building Enclosure Commissioning Provider (BECxP)

REGISTRATIONS

U.S. Green Building Council, LEED Accredited Professional

ORGANIZATIONS

Member, American Society of Heating, Refrigerating & Air Conditioning Engineers (ASHRAE) - Wisconsin Chapter, 2004 - Active

RELEVANT EXPERIENCE

Wheaton Franciscan Healthcare, Elmbrook Memorial Hospital, Brookfield, WI. Chilled water study for healthcare campus.

Wheaton Franciscan Healthcare, St. Joseph’s Regional Medical Center, Milwaukee, WI. Compliance renovations.*

James O. Wright Building, Goodwill Industries, Milwaukee, WI. HVAC facility assessment.

Stepan Company, Stepan R&D Lab, Northfield, IL. HVAC assessment and cooling tower upgrades.*

Palatine Public Library Capital Assessment, Palatine, IL. ASHRAE Level 1 Energy Audit for a 2-story, 90,000-square-foot public library with parking structure. The facility included a unitary water-sourced heat pump system with electric boiler and fluid cooler. Audit was completed in 2016.

Weil/Wilo Pump Facility Assessment and Audit, Cedarburg, WI. ASHRAE Level 1 Energy Audit for a 20,000-square-foot manufacturing facility and office spaces. A review was completed to compare a renovation of existing space or replacement with a newly constructed facility. The project goal was to focus on energy incentive review for new equipment and HVAC control upgrades. Audit was completed in 2019.

Crystal Lake Public Library, Crystal Lake, IL. Provided a feasibility study outlining a plan for one-year upgrades to the facility. In addition, provided retro-commissioning of the existing HVAC systems.

Cedar Bay West HVAC Assessment, West Bend, WI.

Quarles & Brady Data Center Assessment, Milwaukee, WI.

CONTACT

brant.holeman@rtmec.com

Fox Valley VW HVAC Assessment, Saint Charles, IL.

Ascension Health Care, Third Ward Clinic Renovation, Milwaukee, WI. MEP commissioning services for the renovation of a 9,140-square-foot clinic within a historic building.

EDUCATION

B.S., Civil Engineering, Gonzaga University, Spokane, WA

REGISTRATION

Professional Engineer – CO, MN, ND, WI

AFFILIATIONS

Twin City Healthcare Engineering Association, THCEA

Minnesota Healthcare Engineering Association, MHCEA

American Society of Civil Engineers – MN Chapter, ASCEMN

Minnesota Structural Engineering Association, MNSEA

American Council of Engineering Companies MN Chapter, ACECMN

Shawna Kratsch-Zepeda PE

STRUCTURAL ENGINEER | PRINCIPAL| MARKET AREA LEADER - MN

Shawna is a Registered Professional Engineer with nearly 30 years of engineering and project management experience. She has designed and managed health care projects ranging from large replacement hospitals and medical facilities, to small renovation projects. Her areas of expertise include structural design with steel, concrete, precast, wood, masonry, and composite systems. Shawna consistently demonstrates creative thinking, a broad design knowledge, and cost-efficient engineering that leads to innovative solutions.

PROJECT EXPERIENCE

City of Litchfield Facility Condition Assessment (48 facilities) – Principal-InCharge: Assisted with facility condition assessments for 48 historic facilities. The scope of the project was to provide pre/post construction surveys of the basements of the historic properties and review and coordinate contractor preferences for temporary shoring locations based on pre-construction walkthrough/assessments for each building.

City of Minneapolis Facility Condition Assessment (26 Facilities)

Principal-In-Charge: Performed a facility condition assessment study for the city of Minneapolis. These facilities primarily consist of police precincts, fire stations, public works support facilities, and a few miscellaneous locations. The scope of the project was to provide a property condition assessment / property condition report of the building facades, exterior windows, doors, and any structural elements that may need immediate repair and provide a written report as to the existing conditions. The Facility Condition Assessment Study will ultimately help to determine planned replacements, major repairs, and rehabilitation of these facilities.

M Health Fairview Southdale Hospital Vertical Expansion

Project Manager/Engineer of Record: 50,000 SF, two-story vertical expansion of an existing concrete framed hospital to accommodate additional patient rooms. Original facility was designed for a one-story expansion, and the existing building required some reinforcement to support the additional floor. GRAEF provided structural engineering as well as fabrication modeling for structural steel during the design phase of the project.

Fairview Health St. John’s Vertical Expansion – Project Manager/Engineer of Record: 21,000 SF, two-story vertical expansion of an existing concrete framed hospital to accommodate additional Cath labs, OR rooms, and Medical Supply. GRAEF is provided structural engineering as well as fabrication modeling for structural steel during the design phase of the project.

M Health Fairview Midway Campus, Saint Paul, MN – Principal-In-Charge: Perform site investigation of existing structure and provide plans for retrofit/ replacement of back of house space to facilitate campus vision.

Scott County / Allina SFRMC – Project Manager/Engineer of Record: 17,000 SF Behavioral Health addition to an existing Transit Station. The scope of work was raise the new second floor to the existing building and add new stair core and new elevator.

Essentia Health St. Mary’s – Lincoln Park, Detroit Lakes: Conducted field investigation near the west side entrance stair and parking garage entrance of a senior living facility due to structural concerns. Analyzed and reinforced the existing precast plank structure above the drive entrance and adjacent sidewalk. Redesigned the structural slab and steps.

EDUCATION

M.S., Structural Engineering, Marquette University, Milwaukee, WI

B.S., Structural Engineering, Marquette University, Milwaukee, WI

REGISTRATION

Professional Engineer – MN

Joe Tschida PE

STRUCTURAL ENGINEER

Joe is a highly qualified structural engineer with over 5 1/2 years of experience working on a wide range of projects, including healthcare facilities, commercial buildings, and existing renovations. He has developed expertise in designing steel, concrete, CMU, and wood structures, as well as in the design of steel connections. His diverse project experience includes both new construction and complex renovation work, where he applies his in-depth knowledge of structural systems to deliver innovative and reliable solutions.

PROJECT EXPERIENCE

City of Litchfield Facility Condition Assessment (48 facilities)

Structural Designer: Assisted with facility condition assessments for 48 historic facilities. The scope of the project was to provide pre/post construction surveys of the basements of the historic properties and review and coordinate contractor preferences for temporary shoring locations based on pre-construction walkthrough/assessments for each building.

City of Minneapolis Facility Condition Assessment (26 Facilities)

Structural Designer: Performed a facility condition assessment study for the city of Minneapolis. These facilities primarily consist of police precincts, fire stations, public works support facilities, and a few miscellaneous locations. The scope of the project was to provide a property condition assessment / property condition report of the building facades, exterior windows, doors, and any structural elements that may need immediate repair and provide a written report as to the existing conditions. The Facility Condition Assessment Study will ultimately help to determine planned replacements, major repairs, and rehabilitation of these facilities.

M Health Fairview Southdale Hospital Vertical Expansion, Edina, MN –Structural Designer and Fabrication Modeler: 50,000 SF, two-story vertical expansion of an existing concrete framed hospital to accommodate additional patient rooms. Original facility was designed for a one-story expansion, and the existing building required some reinforcement to support the additional floor. GRAEF provided structural engineering as well as fabrication modeling for structural steel during the design phase of the project.

M Health Fairview St. John’s Vertical Expansion, Maplewood, MN – Structural Designer: Completed analysis of existing structure and preliminary design of steel structure 21,000 SF, vertical expansion of an existing concrete framed hospital to accommodate additional Cath Labs, Operating Rooms, and Medical Supply.

M Health Fairview Midway Campus, Saint Paul, MN – Structural Designer: Perform site investigation of existing structure and provide plans for retrofit/ replacement of back of house space to facilitate campus vision.

St. Cloud Veteran’s Hospital Renovation, St. Cloud, MN – Structural Engineer: Analysis of existing concrete structure within various areas of each of the 3 buildings and tunnels. As there were little to no existing drawings, it became a complex project to develop existing drawings. Design new precast, concrete and steel structure for the renovation of the buildings, as necessary, to repair deteriorating structure and add architectural features.

St. Cloud Veteran’s Hospital Renovation, St. Cloud, MN – Structural Engineer: Analysis of existing concrete structures in three buildings and tunnels. Due to minimal existing drawings, developing new ones was complex. Designed new precast, concrete, and steel structures to repair deterioration and add architectural features.

Professional Experience

Mike Drahos, P.E. Office Manager & Mechanical Engineer

Mike Drahos is a Professional Mechanical Engineer and Office Manager of the Cedar Rapids office of West Plains Engineering. His responsibilities include office management and supervision of engineers and technicians, as well as all aspects of project mechanical design and preparation of construction documents.

For more than 30 years, Mike has designed HVAC and plumbing systems focused on reducing energy usage, conserving water, and improving indoor air quality – in addition to assuring constructibility, maintainability, and serviceability for building owners, users, and operators.

Experience With Winona Health

Mike has a long history of supporting the Winona Health System on Bid-Spec and Design-Build projects 1999 thru 2010. He is familiar with the organization’s facilities, as well as project design and construction expectations.

WHV Inc. has been a long-standing local Mechanical Contractor for the past Winona Health projects.  Mike has worked in collaboration with WHV on most of these projects. Mike Drahos and WHV are very knowledgeable of the mechanical infrastructure systems at the Winona Health facility.

EDUCATION

Bachelor of Science in Mechanical Engineering

Iowa State University – 1989

REGISTRATIONS

Professional Mechanical Engineer: IA, MN

AFFILIATIONS

American Society of Heating, Refrigerating & Air Conditioning Engineering (ASHRAE)

SELECT PROJECT EXPERIENCE

Albert Lea Medical Center MOB Expansion – Albert Lea, MN*

Mercy Medical Center HVAC Upgrades – Marion, IA

UIHC JCP MRI Area AHU-11 Replacement – Iowa City, IA

UIHC RCP AHU-11 Replacement – Iowa City, IA

UIHC RCP AHU-13 Replacement – Iowa City, IA

UIHC RCP Neurology Clinic Expansion – Iowa City, IA

Virginia Gay Hospital HVAC Assessment & Upgrades – Vinton, IA

Winona Health Building Services Addition – Winona, MN*

Winona Health Nursing Services Addition & Remodel – Winona, MN*

Winona Health Chapel – Winona, MN*

Winona Health Long-Term Care Facility – Winona, MN*

Winona Health Boiler Room Expansion – Winona, MN*

Winona Health Various HVAC Upgrades – Winona, MN*

*Project performed with a previous employer.

SAUK PRAIRIE HEALTHCARE HOSPITAL CLINIC - CONSOLIDATION MASTER PLANNING

PRAIRIE DU SAC, WI

SCOPE: Architectural design, master plan, facility assessment

COMPLETION: Ongoing

OWNER: Sauk Prairie Healthcare - 260 26th St, Prairie du Sac, WI 53578

Sauk Prairie Healthcare hired PRA to do a facility assessment and master planning services for the their 140,000 SF replacement hospital facilities built in 2014 along with reviewing their old 162,819 SF, mostly abandon, hospital facility built in 1956 with additions up to 1998, and four off campus clinic facilities, Lodi Clinic built in 2009 at 11,125 SF, Wisconsin Heights Clinic renovated in 2014 at 2,800 SF, River Valley Clinic built in1996 at 8,000 SF and Plain Clinic built in 1979 at 4,800 SF. All facilities were fully assessed for architectural; structural and MEP conditions and a report was given to apprise each building giving suggestions for capital improvements, both short and long term needs along with master planning options for growth and expansion, remodeling and/or tearing down and rebuilding recommendations. Each assessment and master planning scenario were accompanied by a cost estimate for doing the improvements, remodeling, additions and/or replacement.

ASPIRUS WAUSAU HOSPITAL - MASTER FACILITY PLAN

WAUSAU, WI

SCOPE: Updated Master Plan to improve and expand service delivery and update equipment.

COMPLETION: Ongoing

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

PRA has provided several master facility plans for Aspirus Wausau Hospital in recent years.  The most recent iteration focused on expanding services, improving patient flow, and enhancing staff efficiency in delivering care.  Multiple projects, including a new NICU, pharmacy, cancer care center expansion, intensive care services, and expanded cafeteria have been implemented to respond to Aspirus’ objectives.  PRA continues its 35 year relationship, having completed close to 300 projects, and currently working on various projects across their campuses.

FORT HEALTHCARE CLINIC - CONSOLIDATION MASTER PLANNING

FORT ATKINSON,

WI

SCOPE: Study, architectural design, master plan, site planning

COMPLETION: Ongoing

OWNER: Fort Memorial Hospital - 611 Sherman Avenue East Fort Atkinson, WI 53538

In 2019, longstanding client Fort HealthCare engaged the PRA team to assist in consolidating various services in satellite clinics to underutilized space within the oldest portions of the existing Fort Memorial Hospital. These include internal medicine, pediatrics, ENT / audiology, and behavioral health, along with various non-clinical departments. A new occupancy separation was added to allow these spaces to be designed for less stringent code requirements.

Food services and dining were relocated to be adjacent to ambulatory services entrance to give it greater prominence as a gathering space for patients, their families, staff, and the community at large. This planning work resulted in a multiphase renovation project, with construction scheduled for completion at the end of 2025.

As part of the renovations, the building exterior will be reclad with brick, metal panels, and storefront glazing to replace the deteriorating and under insulated enclosure, providing a well-sealed and energy efficient envelope, and modernizing this portion of the hospital to complement more recent additions.

MARSHFIELD MEDICAL CENTER MAIN HOSPITAL - FACILITY ASSESSMENT

BEAVER DAM, WI

SCOPE: Facility assessment, architectural design, engineering, code review.

COMPLETION: Ongoing

OWNER: Marshfield Medical Center - 202 South University Avenue Beaver Dam, WI 53916

Following the merger of Beaver Dam Community Hospital with the Marshfield Clinic Health System, PRA was engaged to provide a comprehensive facility assessment for fifteen existing buildings. These included the main hospital, attached medical office buildings, day care skilled nursing and memory care buildings, and satellite clinics in surrounding communities that provide a continuum of care.

Existing building information was collected and compiled, and then detailed building surveys were performed to document life safety, accessibility, building envelope, structural, and MEP deficiencies and system replacement needs. We also included space utilization and condition / age of interior finishes. A detailed report was issued for each building, with assessments and a consistent grading system to quickly identify priorities for budgeting future capital improvements.

C.D. SMITH WORKS LOCAL

C.D. Smith has built strong relationships throughout Winona and the surrounding Mississippi River Valley. For nearly two decades, we’ve been a trusted partner in shaping the region, from Winona to La Crosse and beyond. Our success is driven by collaboration, fostering trust through timely communication, transparent processes, and reliable Net 30 payment terms. Thes strong  partnerships ensure seamless project execution and lasting contributions to the communities we serve.

LOCAL SUBCONTRACTORS

Biesanz Stone

WHV Roofing

Kendell Doors & Hardware

Kendell Lumber

Fahrner Asphalt Sealers

Floorcrafters

Interstate Roofing

JBrooke Garage Door

Mathy Construction Co.

Overhead Door Company - Seven Rivers Region

S&S Mechanical

Wisconsin Terrazzo

Coulee Region Mechanical

Creative Laminates, Inc (Midwest Millwork)

Ellefson Excavating Inc

Glass Service Center

Hengel Brothers Mechanical

Kish & Sons Electric, Inc.

La Crosse Glass & Overhead Door Company

Ledegar Roofing

Mid City Steal

POELLINGER Inc.

Stanek Electric Inc.

Steiger Construction Inc.

Strupp Trucking and Excavating (Union)

Ted Mannstedt & Son Inc.

LOCAL PROJECTS

Fastenal Office Building

Winona Exchange

Isle La Plume Wastewater Treatment Plant

Weber Butchery

La Crosse Distillery

City Brewing Company

Riverside Campus

Belle Square Development

Home2 Suites by Hilton

Logistics Health Incorporated

Belle Square Clinic Remodel

UW-La Crosse Student Union

UW-La Crosse Student Center

The Charmant Hotel

Weber Center for the Performing Arts

The Well Clinic Refresh

Pine Street Clinic

Gensler La Crosse

“Working with C.D. Smith has been a great experience. Their team is responsive, easy to work with, and consistently meets payment terms, which makes our partnership smooth and reliable. When challenges arise, they take a collaborative, problemsolving approach, ensuring that projects stay on track. We appreciate their professionalism and look forward to our next opportunity to work together.”

Mark Krause, Vice President Mannstedt Steel La Crosse, WI

“In our experience C.D. Smith has been a very fair General Contractor who is also easy to work with. We would welcome working with them again in the future if the opportunity were to present itself."

William D Strupp, President of Strupp Trucking, Inc./ Strupp Excavating, Inc

“Winona Heating & Ventilating has had the pleasure of working with C.D. Smith on numerous successful projects, and their commitment to excellence continues to impress us. Their team is organized, communicative, and proactive in addressing challenges, making every collaboration seamless and efficient.

From planning to execution, C.D. Smith upholds the highest standards of quality and professionalism. Their coordination, scheduling, and focus on safety have been key to our shared success.

It’s a privilege to work with a general contractor that values teamwork and integrity as much as we do. We highly recommend C.D. Smith and look forward to many more successful projects together.”

B. Thomas Plachecki

President of Winona Heating & Ventilating, Inc. (WHV)

MEP ASSESSMENT EXPERIENCE

Advocate Aurora Medical Center, Kenosha, WI. MEP assessment to assist with Women’s Health master planning.

Aspirus Ontonagon Hospital and Clinic, Ontonagon, WI. Assessment of the existing electrical distribution system to assist in master planning for hospital services on site.

Bay Area Medical Center, Marinette, WI. Hospital mechanical/plumbing assessment.

Bone and Joint Clinic, Wausau, WI. Building assessment for a 12,000-square-foot clinic, evaluating all MEP systems to investigate feasibility of operating a new Ambulatory Surgery Center and clinic within the first floor of the existing building.

Courtyard University Medical Center, Charlottesville, VA. HVAC building assessment to include guestroom bathroom exhaust, corridor make-up air system, kitchen and public spaces.

Cardinal Health, Beltsville, MD, Denver, CO, Little Rock, AR, Columbus, OH, and East Rutherford, NJ. Assessment and report of the existing HVAC equipment/ductwork systems and any humidity issues at five separate locations.

Waukesha Memorial Hospital, Waukesha, WI. Paging system assessment.

Wheaton Franciscan Healthcare, WI. System facility master planning.

Aloft Austin Round Rock, Round Rock, TX. MEP assessment and report.

Beckman Research Institute, Durate, CA. Feasibility study for tissue culture lab.

Berkeley Hotel, Richmond, VA. Assessment and report of the MEP systems for the existing hotel to include building make-up air system and guestroom toilet exhaust system.

Bluemound Office Plaza, Facility Assessment, Brookfield, WI. Building assessment for a 94,000-square-foot office building, evaluating energy efficiency of all MEP systems.

Capital Development Board, Chicago State University, Chicago, IL. Investigate utility tunnel.

City of Chicago School District #299, Chicago, IL. Assessment of multiple schools within the district.

Chicago Public Schools, Chicago, IL. Site assessment and narrative reports for 11 school sites. Reports cover life safety items, code compliance and MEP ADA compliance.

Clovis Community College, Albuquerque, NM. Master planning.

Courtyard by Marriott, Multiple Locations Nationwide Mechanical system assessment and recommendations.

Covenant Mequon Clinic, Mequon, WI. Mechanical facility assessment.

Sixteenth Street Community Centers, Parkway Clinic Location, Milwaukee, WI. ASHRAE Level 3 Energy Audit for a 2-story, 35,000-square-foot community clinic. Renovations were made to shared office spaces, laboratory, and exam rooms. Replacement of existing radiant ceiling panels and VAV boxes with electric reheat, alternate with hot water boiler system. The project goal was to focus on energy incentive review for boilers, chillers, pumps, fans, and HVAC control upgrades.

The University of Chicago, 1155 East 60th Street, Chicago, IL. Planning for infrastructure repairs and upgrades to existing MEP systems; and design services for phased upgrades.

University of Illinois at Chicago, Chicago, IL. Survey of the existing MEP systems at five parking garages on campus.

Sauk Prairie Healthcare MEP Assessment

Sauk City, WI

RTM Engineering Consultants provided an MEP assessment for the new Sauk Prairie Healthcare Hospital, the Wellspring Campus, and six (6) remote clinics, totaling over 330,000-square-feet of existing spaces. Our team conducted a comprehensive evaluation of all MEP equipment, assessing condition, configuration, capacity, and remaining useful life. The insights gathered from this assessment were instrumental in assisting the client with master planning their systems for future growth and ensuring long-term operational efficiency.

ARCHITECT PLUNKETT RAYSICH ARCHITECTS, LLP

Scripps Green Hospital Facilities Condition Assessment

San Diego, CA

This is phase one of a three-phase assessment that is scheduled for this facility. The assessment objective is to determine the big picture of the exiting electrical system conditions and how those relate to current code compliance, capacities, and long-term life span of the equipment. Any deficiency in any of those elements will affect the viability of Scripps Green’s electrical system efficiency and the ability to expand or remodel. This assessment includes both normal power (utility power) and essential emergency power.

The existing normal power is provided by SDG&E. The Normal equipment identified in this assessment includes the primary switchboard and substations. The emergency equipment includes generators, paralleling equipment (emergency dead bus distribution boards), transfer switches, and uninterrupted power supplies (UPS) equipment for backup power and selected associated downstream distribution equipment.

OWNER/CLIENT

SCRIPPS GREEN HOSPITAL

SIZE

ENTIRE HOSPITAL

SERVICES

FIELD WORK/WRITE UP OF EXISTING CONDITIONS

ASSIST FACILITY WITH STRATEGIC PLANNING

Sharp Coronado Hospital - Master Plan/Risk Assessment

Coronado, CA

Electrical Facility Conditions Assessment

• As-built of major system components

• Assessment of equipment condition

• Life cycle analysis

• Distribution and load analysis

• SPC/NPC- 5 analysis of existing construction

• Utility system coordination

The primary focus was to create a road map to upgrade all systems to current code in a logical sequential order in coordination with seismic upgrade.

OWNER/CLIENT

SHARP CORONADO HOSPITAL

ARCHITECTS

CUNNINGHAM GROUP

ARCHITECTURE

CONSTRUCTION COST

$35M

SIZE

75,000 SF

SERVICES UTILITY PLANNING & RELOCATION

INPATIENT BED UNIT GROWTH & LOCATION

FUTURE TRAFFIC ENHANCEMENT

OPERATIONAL IMPROVEMENTS

PHASING

Sharp Memorial Hospital - Master Plan

San Diego, CA

Comprehensive update of the existing master plan included:

• Phased approach

• “Right size” the site to meet future clinical needs

• Address utility system requirements; new central plant, standby emergency system

• Communication infrastructure system

• Identify building and systems for upgrade to SPC/NPC 4 requirements

OWNER/CLIENT

SHARP HEALTHCAREA

CONSTRUCTION COST

$500M

SIZE

1,603,000 SF

SERVICES

SITE UTILITY PLANNING

VERIFICATION OF EXISTING SYSTEMS

SYSTEM CAPACITY

STRATEGIC PLANNING

The University of Chicago

1155 E 60th Street / Chiller Replacement

Chicago, IL

RTM is providing MEP engineering design for infrastructure upgrades at 1155 East 60th Street on The University of Chicago campus. The building was built in 1970 and is currently home to multiple tenants including the Institute for Mathematical and Statistical Innovation, the Mansueto Institute, the Social Science Division of the University, ITS, and NORC.

RTM initially provided a master plan study for infrastructure within the building, followed by design and construction drawings for the addition of a new chiller plant. The design provided for the installation of two additional 220-ton chillers to accompany the existing 220-ton chiller that was installed several years ago. With this additional chilled water capacity, the original chillers serving the basement were able to be decommissioned and removed. The design now allows for a single plant to serve all portions of the building in a central fashion.

In addition to the new chiller design, cooling towers were replaced and extensive piping modifications were made. Integration of the new equipment into existing building automation system controls allowed for single plant operation, greatly improving energy performance of the building.

CLIENT THE UNIVERSITY OF CHICAGO

COMPLETION DATE IN PROGRESS | 2025

CONSTRUCTION COST

$2.5M

SERVICES

MASTER PLAN STUDY MECHANICAL ELECTRICAL PLUMBING

Experience with Healthcare Facilities

Medical facilities present their own unique mechanical and electrical considerations. These buildings are ground zero for providing a healing, peaceful environment for patients. Our team recognizes, for healthcare workers, having a facility that supports their practice is essential. We’re committed to this need and to designing HVAC, medical gas systems, nurse call, surgical suites, lighting and much more that work as hard as they do.

While the type and goal of each healthcare facility might be different, our engineers know the most important consideration is the comfort and confidence of the people inside. We don’t just design systems – we create environments. From hospitals to medical campuses, we carefully consider the unique needs of the space and craft solutions to help heal.

HEALTHCARE CLIENTS

Avera Healthcare

Banner Health Wyoming Medical Center

Campbell County Memorial Hospital

Casper Medical Imaging

Casper Orthopedics

Community Health Center of Central WY

Crook County Health Clinic

Dakota Dunes Surgical Center

Indian Health Services (Various Locations)

McGreevy Clinic

Mercy Medical Clinic

Mobridge Regional Hospital

Monument Health

Mountain View Regional Hospital

Platte County Clinic

Rocky Mountain Oncology

Rushmore OB/GYN

Sanford Health

Sioux Falls Specialty Hospital

Sioux Falls Surgical Center

UnityPoint Health

– St. Luke's Hospital

University of Iowa Hospitals & Clinics

VA Medical Center (Various Locations)

Virginia Gay Hospital

Yellowstone Surgery Center

University of Iowa Hospitals & Clinics

Air Handling Unit Upgrades | Iowa City, IA

Since 2010, West Plains Engineering has designed five separate mechanical upgrades for the University of Iowa Hospitals and Clinics to upgrade building air handling units. These projects also involved changes to the building heating and cooling system piping.

Four of these upgrades took place from 2010-2012, improving the General Hospital AHU's 6, 10, 18, and 45.

In 2015, we completed a major upgrade to the largest critical air handling unit serving the John Colloton Pavilion. The project involved the replacement of an existing air handling unit that serves Central Sterilization, Radiology/Angiography, and general office space. The existing air handler sat in a basement level mechanical equipment room, which was removed only after multiple other pieces of nearby equipment were removed or relocated. The new air handling unit required excavation of nearby space before it could be assembled on-site in a new pit. The new air handling system was designed to minimize downtime during a weekend cross-over from the existing system.

In 2020, we were awarded an Indefinitely Delivery Indefinite Quantity contract to upgrade the air handling units on an as-needs basis for UIHC. We have since completed a $1.1 million replacement of AHU-13 at the Carver Pavilion, a $1.35 million replacement of AHU-11 serving the MRI area, and a 1.4 million replacement of AHU-11 also in Carver Pavilion.

CONSTRUCTION COST

$5,576,000

DATE COMPLETED

2010-Present

CLIENT REFERENCE

Mark Atherton

UIHC

P: (319) 356-1602

E: mark-atherton@uiowa.edu

Virginia Gay Hospital

West Plains Engineering provided engineering services for assessing the existing MEP systems, creating a master plan and designing upgrades for the HVAC systems at the Virginia Gay Hospital. The design included replacing aged equipment that was past its expected useful life and improving indoor air quality. The engineering services included an initial study phase, followed by design and construction administration.

The study phase assessed the existing condition of the hospital and nursing/rehab buildings air handling systems and evaluated their compliance with Facility Guideline Institute for Healthcare Facilities and ASHRAE Standards. It assessed the conditions of the aging air handing equipment and determined the best options for replacement that would minimize disruptions to the facilities operations. It also assessed the feasibility of implementing dilution, filtration, and disinfection to enhance the existing air handling systems for improved infection control. Disinfection (eradication) improvements considered included UV-C emitters and Needlepoint Bi-Polar Ionization. We also assessed the humidification in the facilities.

The designed improvements ultimately included replacing 5 air handling units with6 new, replacing 2 heating hot water boilers, replacing 1steam boiler and providing a new boiler feedwater unit, removing 2 old chillers and installing 1 new chiller, and upgrading existing air handing units to include UV-C lights and Needlepoint Bipolar Ionization. The project also redesigned waiting areas to exhaust air to exteriors instead of recirculating the air, upgraded air distribution in the maintenance area and offices, and upgraded temperature controls.

CONSTRUCTION COST

$1,493,000

DATE COMPLETED 2022

CLIENT REFERENCE

Mike Reifenstahl

Virginia Gay Hospital

P: (319) 472-6290

E: mreifenstahl@vghinc.com

Facility Assessment, Master Plan & Upgrades | Vinton, IA

3

PROJECT APPROACH

Orthopaedic Associates of Wausau & Wausau Surgery Center

The following Project Approach outlines services, meeting objectives and deliverables provided by our team for the project from the project assessment through to the final report for capital improvement needs to the final master plan for the future.

Within our report we will be establishing a high-level space program for the growth of services provided now at Winona Health as well as those services known to be added in the near future along with flexibility to shift as needed to include services and growth discovered in years to come. Master planning options, economic alternatives, project schedules, constructability phasing, limitations to the project and cost estimating are outlined in our project approach. Detailed descriptions and information are further provided in our project approach methodology section.

Beloit Health System NorthPointe Ambulatory Surgery Addition

MASTER PLANNING

EXISTING CONDITIONS REVIEW

• Request and review relevant existing data documents

• Review current healthcare delivery models and identify desired changes

• Analyze existing structural, mechanical, electrical and plumbing systems

• Review current space inventory

• Conduct benchmarking research

MEETINGS

• Study Kick-Off

• Review existing building conditions report

• Meet with facilities staff to gather existing building information

DELIVERABLES

• Existing facilities report

• Facilities maintenance list

• Maintenance profiling and prioritization

SPACE PROGRAMMING

• Develop communication strategy to solicit stakeholder feedback

INITIAL CONCEPT OPTIONS

• Prepare and evaluate master plan options

• Develop short-term facility options

• Develop long-term facility options

• Develop cost model for each option

• Compare advantages and disadvantages

• Puzzle play

MEETINGS

• Present/discuss preliminary options and pricing

• Review findings of Steps 1 and 2; present preliminary options and pro/con community feedback exercise

DELIVERABLES

• Master Plan Options

• Pro/Con Analysis

3

CONCEPT DEVELOPMENT

• Refine and review site concepts for review with client

• Conduct meetings and interviews w/ departmental heads, administration and stakeholders

• Develop space program of existing and future spaces

• Identify deficiencies and opportunities

MEETINGS

• Review findings of Steps 1 and 2 and staff survey results

• Review educational programming and delivery goals

• Meet with stakeholders to document programming and space adjacencies

DELIVERABLES

• Space adequacy analysis

• Building capacity determination

• Staff survey results and report

2

• Develop and review a cost estimate for each option

MEETINGS

• Concept building and site plans

• Review concept development diagrams and pricing

• Review concept diagrams

DELIVERABLES

• Concept diagram building and site plans

• Conceptual cost estimates

• Project timeline

4

MANAGEMENT

PROJECT SCHEDULE

• Develop project schedule for each selected master plan option

• Review and finalize schedule with Leadership Team input

MEETINGS

• Establish a project schedule for each selected option

DELIVERABLES

• Finalized schedule based on input

PROJECT COST ESTIMATE

• Develop project budget cost estimates for each selected option

• Review and finalize budgets

MEETINGS

• Develop project budget cost estimates based on space program and conceptual design

• Obtain input from Leadership team to finalize the costs/ budgets

DELIVERABLES

6

REPORTING

• Develop selection criteria for options evaluation

• Finalize the formal report including the facility study, design options, schedules, and costs/ budget

• Present the final study/report

MEETINGS

• Present and finalize the study

DELIVERABLES

• Final report including facility study, design options, schedules, and costs/estimates

• Obtain input for each project schedule option 7

• Finalized budgets/costs for each selected option

Aspirus Wausau Third Street Clinic

PRE-DESIGN/MASTER PLANNING SERVICES

In this phase, we will use baseline data, to assist in evaluating the building program and renovation needs, the financial requirements and the schedule for your project.

1EXISTING CONDITIONS SURVEY

PROJECT KICK-OFF MEETING

An initial meeting is held to discuss and confirm the Owner’s project goals and objectives and review schedule and budget. We review the current conditions and gather information from the Owner regarding the perceived needs and any previously explored solutions. We review current healthcare delivery models and identify any desired changes to that delivery model. We discuss trends for anticipated changes in service volumes. At this time, we discuss any particular goals, both short- and long-term. Contact information is gathered for all team members and a communication plan is discussed and documented.

OBTAIN EXISTING DATA DOCUMENTS

We review any available data for patient volumes, patient outcomes, satisfaction surveys, FTE information for care providers, patient time analysis, and related data. The information that we will gather from this data will allow us to understand the current healthcare delivery conditions and compare them to national and local benchmark criteria. At this stage, we also engage in Lean planning processes that will be covered in greater detail in the next section.

FACILITIES WALK-THROUGH WITH ENGINEERS

We will visit the facility to assess the current conditions. We research, review, and evaluate the condition and layout of each targeted department using existing building plans and other documents supplied by the Owner. Architectural, structural, mechanical and electrical conditions will be reviewed. Current and anticipated upcoming Life Safety, FGI (Facility Guidelines Institute), ADA (American with Disabilities Act), and other code compliance issues will also be reviewed.

DEPARTMENTAL MEETINGS WITH STAFF

We feel it is very important to understand what the providers and care team think about the space in which they are working and how facilities may be improved for optimal staff efficiency and patient care, both short- and long-term. We

request meetings with key department members, including support departments, to discuss facilities from their user perspective. In addition to the care team and support departments, we also feel that administration, physicians, patients, and families are important to the survey process. We review previous satisfaction survey results and interview these groups when deemed appropriate to determine perceived facilities deficiencies.

FIRST DRAFT OF ARCHITECTURAL/ENGINEER REPORTS

After we’ve conducted the facility walk-through with engineers and assessed the existing conditions, we feel it is important to reveal any major deficiencies that will have a major impact on the direction of how the facility will be utilized for healthcare delivery.

COORDINATE REPORTS AND FORMATS

We want to ensure that the information we gather on the existing space programming and physical condition of each building or department is placed in a format that is clear and concise. We review this information with the Owner’s leadership team for comment and revision.

FINAL EXISTING FACILITIES REPORT

Upon completion of facilities walk-throughs with engineers and departmental meetings with staff and care team, we will finalize the preliminary Facilities Condition Assessment report for the Owner’s review.

OWNER REVIEW AND COMMENT

We request review and comment by the Owner’s leadership team on the Facilities Condition Assessment report, which we will incorporate into the final document.

2SPACE PROGRAMMING

DEVELOP COMMUNICATION STRATEGY

We understand that not everyone impacted by proposed changes will be able to fully participate in our discussions. We work with you to identify key stakeholders to solicit feedback that may best represent the larger group and then

determine a communication strategy that will disseminate information from this Leadership Team to the larger group.

MEETINGS WITH DEPARTMENT HEADS AND KEY STAFF

Once the Leadership Team is identified, we will meet with department heads, administration, and key stakeholders to gather programming criteria. Primary functions are discussed for each space and strategic adjacencies are explored. We explore together the current delivery of care and present options for alternative care delivery models and their impact on the space program.

DEVELOP SPACE PROGRAM

We develop a detailed space program outlining department requirements on a room-by-room basis. Current space deficiencies and the impact of future growth and vision are translated to recommended space requirements. We reference national benchmarks based on the functional requirements of each room.

3INITIAL CONCEPT OPTIONS

DEVELOP OPTIONS

We work jointly with the Owner’s Leadership Team to develop options. Options are developed in a written format outlining the impact of each option, including implications of construction phasing.

DEVELOP PROJECT COST MODEL FOR EACH OPTION

Preliminary budgets are generated for each option.

PRESENTATION OF OPTIONS

Options are presented for review and comment.

SELECT OPTIONS FOR FURTHER DETAIL

One to three options are selected for further study.

4CONCEPT DEVELOPMENT

CONCEPTS DEVELOPED FOR SELECTED OPTIONS

We work with the Leadership Team to develop options to resolve spatial, programmatic, and building infrastructure deficiencies. Options are developed in a graphic format to visually depict facilities/building options.

REVIEW OF CONCEPTS

We format the conceptual building options in a manner that can be shared with the larger group to solicit feedback. Together with the Leadership Team, we review input and make any revisions to the proposed options.

FINALIZE CONCEPT DEVELOPMENT

PRA will refine the selected options based on assessed feedback on options. The costs, timeline, and associated impacts of the selected options are updated.

5

PROJECT SCHEDULE

DEVELOP SCHEDULE FOR EACH SELECTED OPTION

We establish probable project schedules for all phases, based on the work program developed to resolve facility and healthcare delivery challenges.

REVIEW SCHEDULE

PRA reviews proposed schedules with the Leadership Team for input. The plan for uninterrupted services is developed for each phase of construction.

FINALIZE SCHEDULE

We finalize proposed schedules based on input received.

6

PROJECT COST ESTIMATE

DEVELOP PROJECT BUDGET COST ESTIMATE FOR EACH SELECTED OPTION

We prepare probable construction costs based on the space program and conceptual design, including any associated phasing required to achieve the final solution. Facility upgrades necessary for the functional support of the new department or area are included in the overall cost of each option.

*Interactive Puzzle Play with Client

7REPORTING

DEVELOPMENT OF SELECTION CRITERIA

Criteria for the evaluation of options is developed with the Leadership Team. Prior to finalizing all study documents, we will review our intended final format and graphics to ensure needs, expectations and communication goals are met.

FINALIZE STUDY

The final step in our planning process is presentation of a formal report. It includes the facility study, design options, schedules and cost estimates for your use in making critical decisions for the future of your healthcare facilities.

PRESENTATION OF FINAL STUDY

PRA will make a presentation of the Study/Report to appropriate audiences, as determined by your Leadership Team.

Cedar Community Cedar Bay East Unit

LEAN PRACTICES AND DESIGN

Today, forward-thinking providers utilize the Lean Six Sigma methodology to improve service delivery and staffing efficiencies. In a care setting, these process improvements positively affect people where mistakes can result in legal liability, infection, or death, their elimination becomes all the more imperative. As providers focus on performance improvement through elimination of “waste”, a feedback loop can be realized, where increased efficiency leads to further improvements.

Project Manager Michael Schaefer is Lean Six Sigma Green Belt who leads clients through this process. In order to break down a wasteful condition, the problem is DEFINED, current state MEASURED, that data is ANALYZED, an improved state is DESIGNED, and the new process is VERIFIED to confirm the solution met the customer’s goal. The customer defines the goal for improvement, but generally a change of state on the magnitude of 25% or better is considered a success.

In many instances, operational practices evolve organically over time, with no thought given to highest efficiency or optimal staffing requirements. A project program establishes components that are intended to meet current needs, and often times, capacity for growth. However, initial assumptions can be incorrect, or needs are based upon inefficient utilization of existing resources.

These tools can also expose opportunities for more efficient operation without the need for unnecessary program elements. In addition, complicated processes often need to be visualized in order to be understood.

Some types of tools that we commonly utilize during design phases include: run charts, cause / effect (fishbone) diagrams, process flow diagrams, 3D visualization, and spaghetti maps.

These simplify understanding of process improvement targets so that a project meets the end user’s goals. While a full Lean Six Sigma initiative can often entail months of deliberation and data collection, these tools are utilized quickly during the beginning stages of the master planning process to help improve communication and common understanding by all participants, including the design professionals. The use of Lean and Six Sigma tools are only beginning to be implemented in the architectural design process in order to complement our clients’ efforts to improve existing processes and workflows so that more efficient, higher quality, and better user experiences are delivered.

LEAN PRACTICES AND DESIGN

Some examples of these tools are shown below:

CAUSE AND EFFECT DIAGRAM

PROCESS FLOW DIAGRAM

PROCESS FLOW DIAGRAM

Edwards Pediatric Dentistry Facility

5

TIMELINE & SCHEDULE

TIMELINE & SCHEDULE

The following is an example of PRA’s Project Work Plan schedule which is a tool that we use to help manage the project from beginning to end and as shown, breaks the project into set phases with specific agendas and tasks. We follow a suggested set regiment for regular meetings every two weeks with project participants. This tool helps pull everyone into a routine to help reinforce meeting deadlines and give all participants heads up on what will happen next as we work through the project process. This Work Plan is fluid, meaning we can adjust and change the plan as we go along if needed per client requests or if circumstances warrant a change. TIMELINE (WEEKS)

ASSESSMENT

EXISTING CONDITIONS REVIEW

ASSESSMENT

MASTER PLANNING REVIEW OPTIONS

MASTER PLANNING DEVELOPMENT

MANAGEMENT ESTIMATE MANAGEMENT REPORTING

LONG RANGE FACILITY MASTER PLAN

WINONA HEALTH

PRA PROJECT NO.: 250045-00

Master Planning Phase ( approximately 16 weeks): The phase of the architect’s services in which the architect consults with the owner to ascertain project goals and objectives along with the spatial requirements of the project. The Architect develops a preliminary space program and initiates a conceptual design study consisting of drawings and other documents illustrating the size , and relationships of the project components within context of existing facilities. Documents will be used by Construction Manager to develop high level cost estimates. Deliverables: preliminary space programs, conceptual building diagrams , and final report.

Meeting Date

Topic

Meeting (week 0) Assessment

Agenda

• Team introductions and roles, information flow Existing Conditions Review

• Discuss project intent and objectives

• Review preliminary work plan and schedule

• Schedule meeting sequence

• Request building plans, past performance metrics (2-3 years), and other documentatio n

• Distribute user group surveys

• Review existing hospital MEP infrastructure

Meeting (week 2) Assessment

• Inventory hospital departments and infrastructure

• Space Programming

• Define underutilized paces

• Review and chart metrics provided by Hospital

• Define performance benchmarks

• Establish baseline clinical programs, based on annual patient volumes

• Draft MEP assessment

Meeting (week 4)

Master Planning

• Define master planning objectives Review Options

• Review current performance metrics

• Present preliminary space planning programs

• Discussions with department managers

• Review draft MEP assessment, discuss infrastructure needs

• Map existing process flows and identify bottlenecks

Meeting (week 6)

Meeting (week 8)

Meeting (week 10)

Master Planning

• Present 3-5 initial planning options: advantages / Concept Development disadvantages based on strategic criteria

• Discuss relocation and construction phasing

Master Planning

• Review revised planning options: advantages Concept Development disadvantages

Master Planning

• Review revised planning options: advantages / Concept Development disadvantages

• Determine preferred option

Cost Estimating (weeks 12 – 14) Management

• Develop construction cost estimate from preferred Schedule / Cost Estimate option

• Preliminary design and construction schedules for selected option

Meeting (week 16) Management

• Issue final report Reporting

• Board presentation

Aspirus Wausau Third Street Clinic

6 PROJECT FEES

Grove Dental Associates

PROJECT FEES

Our fee proposal for the base services requested including Architectural, Structural, Mechanical, Electrical and Plumbing Engineering to do a building & site assessment, develop a capital improvements short and long term checklist, provide high level programming for improvement of existing services and operations plus develop programming to include new services, and create a 20+ year master plan and associated cost estimates combined into a final report, we propose a Lump Sum Fee of $98,000.

Fee breakdown:

• Architectural – $53,670

• Structural Engineering – $14,850

• MEP Engineering – $22,550

• CM/Contractor – $6,930

Site conditions will be covered under our base services but if required, we have on our team a civil engineer capable of providing extensive analysis of site conditions as an additional service for $8,800.

Also, structural analysis and assessments will be made as part of our base services but if a more in-depth analysis is required for any reason, this service can be provided at an additional amount of $7,500.

Our Reimbursable Expenses not-to-exceed amount for the associated services above $6,000.

Reimbursable expenses include usual and customary expenses such as mileage, printing, delivery, postage, travel, hotel and meals which are not included in the above fee.

HOURLY RATES - PRA

Personnel Classifications and Hourly Rates for additional work. Hourly billing rates as of June 2024 subject to annual review.

Employee Classification

Project Architect

Senior Project Manager

Studio Lead

Partner

Billing Rate per hour

$140

$220

$235

$275

Individual additional projects may also be negotiated as lump-sum or a % basis

HOURLY RATES - C.D. SMITH

Personnel Classifications and Hourly Rates for additional work. Hourly billing rates as of June 2024 subject to annual review.

Employee Classification

Project Manager

Estimator

Hospital Operations Specialist

Project Executive

Billing Rate per hour

$133

$138

$144

$155

Individual additional projects may also be negotiated as lump-sum or a % basis

HOURLY RATES - RTM

Personnel Classifications and Hourly Rates for additional work. Hourly billing rates as of June 2024 subject to annual review.

Employee Classification

BIM Coordinator

Project Manager

Senior Design Engineer

Principal

Billing Rate per hour

$135

$190

$220

$245

Individual additional projects may also be negotiated as lump-sum or a % basis

Beloit Health System NorthPointe Ambulatory Surgery Addition

REFERENCES

KEN CARLSON

Chief Operating Officer

Sauk Prairie Healthcare

608.643.7649

kenneth.carlson@saukprairiehealthcare.org

JAMES PARILEK

Senior Program Manager, System Facilities Management & Sustainability

Aspirus Health

715.847.8156 james.parilek@aspirus.org

JIM NELSON

Chief Financial Officer Fort Healthcare, Inc. 920.568.5000 jim.nelson@forthc.com

STEVE LITTLE

Interim Vice President and CFO McLaren Medical Group

480.395.2740

JENNY BULTMAN

Chief of Staff, Office of the President Medical College of Wisconsin 414.955.8193

DEANN THURMER President

Ripon Medical Center, Waupun Memorial Hospital, and St. Clare Hospital-Baraboo 920.926.5409