Nationwide Design Build Firm

Commercial Design and build firm Dedicated to Growing Your Practice

Your award-winning, end-to-end partner in building more profitable animal care, medical, and dental clinics

Downers Grove Animal Care Center exterior photo during twilight.

Consistent Growth

Projects Spanning Across 22 States and Counting…

If you don’t see your state on the map, don’t worry! We are continually expanding into new states and have the expertise required to design and build commercial animal health and human healthcare facilities across the entire U.S.

Looking to grow? Let us help!


RWE Design Build U.S. Operations Map.


Guiding Small Or National

Businesses Towards Growth

Our clients range from small business owners to corporate networks. No matter the size of your company or the size of the project, you’ll experience the same level of quality and care from our commercial design and build firm.

Second City Canine Rescue lobby with dog laying on couch.

Animal Care

All clinics, all sizes. We design for efficiency and style, giving you a place that’s uniquely yours.

Dental exam room with large window.

Dental Care

Unique, functional, and beautiful practices designed to meet your specific workflow needs.

Image of a medical clilic waiting area

Medical Clinics

Promote the wellbeing of patients with the function and technology that you and your staff need.
Eversee Eyecare Boutique interior photo.

Just Getting Started?

Get Inspired!

It’s going to be your customized facility. Your vision. The place where you’re going to do the work delivering health and happiness to whomever walks through your door.

Check out some of our favorite projects to get your imagination running. Cool lobbies, stylish interiors, unexpected waiting rooms…if our clients dream it, we’ll build it.

Maybe one of these social-media worthy pics will grab your attention. We can’t wait to see how you’ll make it your own.

Get Inspired!

Case Studies

Helping Practices of all sizes Reach Their Full Potential

See how we’ve guided clinics across the country toward growth.

Veterinary Specialty Center lobby

Veterinary Specialty Center

“Our building was designed and built by experienced professional and by  union subcontractors that were experienced in their respective trades. The combination of all of the above has resulted in a unique veterinary specialty and emergency facility that provides the ability for generational state-of-the-art care, expansion potential and addresses the physical and emotional needs of our clients, patients, and staff.”

Dr. Feinmehl

All Creatures Great And Small Exterior

All Creatures Great and Small

“The entire team was amazing — our space turned out beautifully, on budget, and on time!”

Saylor and Murphy Orthodontics exam and treatment area.

Saylor & Murphy Orthodontics

“Exceptional work, effort and customer service by the following: Jason, Tom, Keith, Vince, Johnson electric, Linden Group. I wish I had as second building to build so I could work with them again.​”

Dr. Adam Saylor

Project Types

Your Construction Needs.

Our Expertise.

Whether you want to improve your existing space or start from scratch, our proven process will have the same end result: a clinic that serves your patients, reflects your style, and helps to grow your business.

You’re ready to grow. We’re ready to help.

Ground Up

From soil to the ceiling and everything in between, we’ll design and build your new clinic or clinics on-time and on-budget.


Your business is growing. You need space to serve more patients. Our team will make the new addition feel just like home.


If what’s inside no longer fits your needs, we’ll reimagine and rebuild in your existing space with minimal disruption.

Our Proven Process

RWE's proven design-build process is a refined, six-step process that our clients are guided through every step of the way. From needs analysis to construction completion, your project will have a dedicated team of experts who know your goals, needs, and project details inside and out.

1. Consultation

Free consultation process where we learn your goals, talk about ideas, and see if we’re the right fit for you.

2. Needs Analysis

A needs analysis is a low-cost way for you to find out the promises, challenges, and costs of your potential project.

3. Design

Here we design a clinic that fits your goals, maximizes your profit, and celebrates your unique ideas. We pay close attention to ensuring maximum safety for your staff, animals, and visitors and keeping you compliant with all relevant requirements.

4. Bidding

We award our subcontractors with your project while you focus on financing with one of our preferred partners.

5. Build

Get building with our trusted network of contractors so you can open your doors on-time and on-budget.

6. Closeout

Warranties are provided, a final quality assurance walk through is completed by our team, your training occurs and the keys are yours.

Let’s Talk About Growing Your Business

First clinic. New expansion. New markets. We scale to the size of your dreams. Let’s work together to provide more care to more people.

Talk To An Expert About Your Business


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Creating A Haven: Designing and Constructing an Animal Shelter

Creating A Haven: Designing and Constructing an Animal Shelter

Key Considerations When Designing and Constructing an Animal Shelter or Humane Society Animal shelters and humane societies play a crucial role in communities by providing a haven for homeless pets, offering them care, love, and a chance for adoption. Designing and...

Things To Consider When Designing Your Veterinary Practice

Things To Consider When Designing Your Veterinary Practice

Considering renovating an existing veterinary practice or starting anew? Check out these things to consider when you are designing your space. Designing a veterinary practice involves more than just creating a functional space. It requires careful consideration of the...

Finding Your Ideal Healthcare Design and Construction Style

Finding Your Ideal Healthcare Design and Construction Style

Choosing to renovate or build your healthcare practice is an exciting decision, and for some, it is a long-term goal that is finally coming to life. It offers many benefits for your business – improve efficiency, expand your space, and most importantly, it allows you...