Healthy Practices: Interior Design Healthcare Giants 1-40
Laura Girmscheid, Wing Leung, and Sheila Kim-Jamet -- Interior Design, 11/1/2008 12:00:00 AM
We're noticing a trend: Of the 40 firms that compose our list of Interior Design Giants that find benefit in the health-care industry, 16 have been designing wellness facilities for 50 years or more. Furthermore, the average number of years all these firms have been honing skills in health-care design is 47. Clearly, expertise in this specialized field pays. (For ideas on how Giants are diversifying their business into a variety of areas, see page 125.) Fees from health-care projects accounted for 46 percent of each health-care Giant's total fees. Health-care design fees rose 20 percent since last year, and fees are expected to rise 6 percent in the coming year. The firms combined to work on a total of more than 105 million square feet of health-care space in the last year. Hospitals are the biggest revenue generator, contributing an average of 64 percent of a firm's total design fee income. Outpatient facilities, at a far distant second, typically contribute 12 percent of a firm's revenue. Understandably, bigger, better, brighter, and newer is the name of the health-care game: The majority (62 percent) of these projects are new construction whereas 38 percent are renovations. In an industry where success can literally be a matter of life or death, new technologies—and the space to accommodate them—are often crucial to currency. In these cases, sustainability needs to be built-in from the ground up.
See the 2007 Healthcare Giants.
See the full Interior Design Giants rankings.
| Rank 2008 | Firm (Location | Website) | Health-Care Design Fees (millions) | Health-Care Work Installed | ||
| Value (millions) | Sq. Ft. (millions) | Rank 2007 | |||
| 01 | HDR (omaha | hdrinc.com) | $50.982 | $4,646.67 | 5.87 | 1 |
| 02 | Perkins + Will (chicago | perkinswill.com) | $32.354 | $961.43 | 7.11 | 2 |
| 03 | Perkins Eastman (new york | perkinseastman.com) | $27.405 | $456.75 | 2.13 | 4 |
| 04 | Anshen + Allen (san francisco | anshen.com) | $25.492 | $614.69 | 1.87 | 3 |
| 05 | Cannon Design (new york | cannondesign.com) | $19.378 | NR | 2.57 | 5 |
| 06 | NBBJ (seattle | nbbj.com) | $17.840 | NR | NR | 6 |
| 07 | PageSoutherlandPage (houston | pspaec.com) | $17.750 | NR | NR | 7 |
| 08 | HKS (dallas | hksinc.com) | $14.580 | $128.50 | 5.80 | 9 |
| 09 | HOK (st. louis | hok.com) | $13.960 | $55.00 | 22.00 | 15 |
| 10 | Shepley Bulfinch Richardson & Abbott (boston | sbra.com) | $13.943 | $13.80 | 3.90 | 8 |
| 11 | Zimmer Gunsul Frasca Architects (portland, or | zgf.com) | $11.368 | $600.00 | 1.75 | 11 |
| 12 | Leo A Daly (omaha | leodaly.com) | $11.000 | $144.32 | 1.50 | 25 |
| 13 | Hammel, Green and Abrahamson (minneapolis | hga.com) | $10.500 | NR | NR | 12 |
| 14 | Karlsberger (columbus, oh | karlsberger.com) | $10.400 | $1,054.00 | 3.45 | 13 |
| 15 | SmithGroup (detroit | smithgroup.com) | $9.541 | NR | 2.66 | 10 |
| 16 | WHR Architects (houston | whrarchitects.com) | $9.323 | $21.35 | 3.32 | 16 |
| 17 | Anderson Mikos Architects (oakbrook terrace, il | andersonmikos.com) | $8.860 | $69.13 | 4.00 | 19 |
| 18 | Granary Associates (philadelphia | granaryassoc.com) | $8.583 | NR | NR | 14 |
| 19 | RTKL (baltimore | rtkl.com) | $8.215 | $75.24 | 1.85 | - |
| 20 | Flad Architects (madison, wi | flad.com) | $8.213 | $436.50 | 2.30 | 20 |
| 21 | Ballinger (philadelphia | ballinger-ae.com) | $8.200 | $54.10 | 0.17 | 26 |
| 22 | TRO Jung/Brannen (boston | trojungbrannen.com) | $8.170 | $585.00 | 2.30 | 21 |
| 23 | Francis Cauffman (philadelphia | franciscauffman.com) | $7.735 | $700.00 | 3.00 | 18 |
| 24 | DesignGroup (columbus, oh | dgcolumbus.com) | $7.580 | $188.17 | 1.46 | - |
| 25 | Tsoi/Kobus & Associates (cambridge, ma | tka-architects.com) | $7.390 | $55.95 | 0.31 | 30 |
| 26 | Array Healthcare Facilities Solutions (king of prussia, pa | arrayhfs.com) | $6.827 | $264.00 | 1.75 | 28 |
| 27 | Loebl Schlossman & Hackl (chicago | lshdesign.com) | $6.631 | $110.52 | 0.42 | 22 |
| 28 | EwingCole (philadelphia | ewingcole.com) | $5.880 | $270.00 | 1.50 | 27 |
| 29 | Lawrence Group (st. louis | thelawrencegroup.com) | $5.434 | $89.66 | 1.40 | 29 |
| 30 | Gresham, Smith and Partners (nashville | gspnet.com) | $5.281 | $100.73 | 4.72 | 17 |
| 31 | Harley Ellis Devereaux (southfield, mi | harleyellisdevereaux.com) | $5.008 | $270.00 | 1.67 | 24 |
| 32 | Ratcliff (emeryville, ca | ratcliffarch.com) | $4.891 | NR | 0.78 | 31 |
| 33 | RMJM Hillier (new york | rmjmhillier.com) | $3.777 | $17.00 | 0.64 | 39 |
| 34 | JRS Architect (mineola, ny | jrsarchitect.com) | $3.524 | $23.00 | 0.16 | 33 |
| 35 | OWP/P (chicago | owpp.com) | $3.056 | NR | 1.66 | 23 |
| 36 | Maregatti Interiors (indianapolis | maregattiinteriors.com) | $2.880 | $110.00 | 6.75 | 32 |
| 37 | VOA Associates (chicago | voa.com) | $2.660 | $127.00 | 1.26 | - |
| 38 | Ronald Schmidt & Associates (englewood, nj | rsaaia.com) | $1.873 | $120.00 | 0.32 | 37 |
| 39 | Gallun Snow Associates (denver | gallunsnow.com) | $1.633 | $250.50 | 1.40 | 40 |
| 40 | Plunkett Raysich Architects (milwaukee | prarch.com) | $1.496 | $57.00 | 1.82 | - |
| Fee Income | % of Fees | |
| Hospital | $274,612,386 | 64% |
| Outpatient facility | $52,231,751 | 12% |
| Medical office | $41,661,039 | 10% |
| Clinic | $19,445,587 | 4% |
| Senior Living facility | $8,422,652 | 2% |
| Rehabilitation facility | $8,479,180 | 2% |
| Mental health facility | $7,913,902 | 2% |
| Assisted Living facility | $3,109,033 | 1% |
| Skilled nursing facility | $5,200,564 | 1% |
| Hospice | $1,808,892 | 0.4% |
| Other | $6,726,816 | 2% |
| TOTAL | $429,611,802 | 100% |
| Agree | Disagree | |
| Operators of today's health-care facilities understand that design is a healing tool. | 100% | - |
| Sustainability is becoming an integral part of designing health-care facilities. | 100% | - |
| More health-care clients are interested in integrating "green" products into their health-care facilities. | 98% | 2% |
| Health-care operators are more willing to invest in design than previously. | 95% | 5% |
| There is now more crossover between hospitality and health care. This represents more opportunity for firms like ours. | 93% | 7% |
| Design Fees | % of Fees | |
| Health care | $429,611,802 | 46% |
| Corporate Office | $195,573,298 | 21% |
| Hospitality | $67,974,262 | 7% |
| Retail | $5,553,607 | 1% |
| Government | $51,774,444 | 5% |
| Education | $84,394,125 | 9% |
| Residential | $13,731,303 | 1% |
| Transportation | $5,307,072 | 1% |
| Cultural | $7,980,434 | 1% |
| Technology | $58,019,850 | 6% |
| Other | $22,289,347 | 2% |
| TOTAL | $942,209,543 | 100% |
| % of Firms | |
| New Construction | 62% |
| Renovation | 38% |
| Domestic projects | 96% |
| Overseas projects | 4% |
| 1. | NBBJ |
| 2. | Perkins + Will |
| 3. | HOK |
| MidWest | 49% |
| West | 49% |
| South | 46% |
| Northeast | 39% |
| Asia | 26% |
| Middle East | 26% |
| Canada | 21% |
| Europe | 8% |
| Mexico | 5% |
| Pacific Rim | 5% |
| Caribbean | 3% |
Photo by Anton Grassl.
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