WTA is among an elite group of architectural firms located throughout the United States that provide architectural and engineering services for the largest renal dialysis provider in the United States. Under this agreement WTA provides a variety of services. The standard facilities, based primarily on the number of patient chairs; range in size from 6,000 square feet to 14,000 square feet. Last year WTA performed the A/E services for nineteen of this client’s projects. As an extension of this clients large base of services; WTA was the one and only firm selected from the elite group to provide A/E services to one of their subsidiaries that develops vascular access surgery centers. WTA was engaged to develop the initial renal access surgery center prototypes and continues to support the subsidiary with high level services that eventually led to a standard A/E service package for designing vascular access surgery centers.