A Dose Of Creativity

What's the occasion for this first-ever ranking of Interior Design Giants in the medical field? Recent projects show that this industry is seriously investing in design as a healing tool. And pulses quickened when we reviewed how much of the top 200 Giants' total interior-design fees are attributed to health-care jobs. In the past two years, the contribution has grown from 7.6 to 12 percent, a surge of more than 50 percent. Time for a checkup.

by Kelly Beamon and Wing Leung -- Interior Design, 11/1/2005

Health-Care Giants

2005 Rank	Firm Headquarters, web site	I.D. Health-Care fees (millions)	Work installed
			Value (millions)	Sq. ft. (millions)
01	HDR Omaha hdrinc.com	$27.142	$3,178.000	3.9
02	Cannon Design Boston cannondesign.com	$14.670	NR	NR
03	Perkins Eastman New York perkinseastman.com	$13.503	$192.899	1.2
04	NBBJ Seattle nbbj.com	$13.410	NR	1.8
05	SmithGroup Minneapolis smithgroup.com	$11.688	NR	NR
06	Ellerbe Becket Minneapolis ellerbebecket.com	$10.346	$1,000.000	5.0
07	Zimmer Gunsul Frasca Partnership Portland, Oregon zgf.com	$9.175	$362.000	0.7
08	Hellmuth, Obata + Kassabaum Saint Louis hok.com	$8.100	$39.586	10.2
09	Karlsberger Columbus, Ohio karlsberger.com	$7.474	$262.000	2.4
10	Granary Associates Philadelphia granaryassoc.com	$6.424	NR	1.5
11	TRO/The Ritchie Organization Newton, Massachusetts troarch.com	$6.332	$393.271	2.0
12	Perkins + Will Chicago perkinswill.com	$5.680	NR	3.4
13	Gresham, Smith & Partners Nashville gspnet.com	$5.650	$90.607	3.5
14	Leo A Daly Omaha leoadaly.com	$4.833	$75.300	0.3
15	Tsoi/Kobus & Associates Cambridge, Massachusetts tka-architects.com	$4.725	$59.000	1.4
16	EwingCole Philadelphia ewingcole.com	$4.454	$205.710	1.6
17	Loebl Schlossman & Hackl Chicago lshdesign.com	$4.264	$78.000	0.4
18	Francis Cauffman Foley Hoffmann Architects Philadelphia fcfh-did.com	$3.900	$441.000	2.2
19	Array Healthcare Facilities Solutions King of Prussia, Pennsylvania arrayhfs.com	$3.840	$194.270	1.2
20	Flad & Associates Madison, Wisconsin flad.com	$3.600	$525.180	1.2
21	Hillier Architecture Princeton, New Jersey hillier.com	$3.000	$38.000	0.3
22	Anderson Mikos Architects Oak Brook, Illinois	$2.800	$16.515	2.4
23	JRS Architect Mineola, New York jrsarchitect.com	$2.166	$51.000	0.1
24	Westlake Reed Leskosky Cleveland wrldesign.com	$2.000	$20.000	0.4
25	Lawrence Group Saint Louis thelawrencegroup.com	$1.748	$30.000	4.2
26	Maregatti Interiors Indianapolis maregattiinteriors.com	$1.673	$70.000	0.6
27	Ronald Schmidt & Associates Englewood, New Jersey rsaaia.com	$1.593	$108.000	0.2
28	Anshen + Allen San Francisco anshen.com	$1.483	NR	NR
29	WHR Architects Houston whrarchitects.com	$1.385	$12.681	1.3
30	AHSC Architects Tarrytown, New York ahscarch.com	$1.360	$75.600	0.6
31	Jeffrey Berman Architect New York jbarch.com	$1.270	$20.000	0.1
32	RLF Winter Park, Florida rlfae.com	$1.253	$25.000	0.8
33	TPG Architecture New York tpgarchitecture.com	$1.020	$15.700	0.3
34	Mojo Stumer Associates Greenvale, New York mojostumer.com	$0.862	$8.000	0.1
35	VOA Associates Chicago voa.com	$0.836	$28.000	5.0
36	Guenther 5 Architects New York g5arch.com	$0.831	$54.000	0.2
37	Wilmot/Sanz Gaithersburg, Maryland wilmotsanz.com	$0.771	$214.730	1.0
38	CAMA New Haven camainc.com	$0.750	$464.300	2.0
39	Gray Design Group Saint Louis graydesigngroup.com	$0.632	$56.400	0.3
40	Taylor Newport Beach, California taa1.com	$0.625	NR	2.0

HEALTH-CARE GIANTS AGREEING WITH EACH STATEMENT

	Agree	Somewhat disagree	Strongly disagree
Today's health-care clients understand that design is a healing tool	100%	0%	0%
Health-care clients are more willing to invest in design than before	95%	2.5%	2.5%
*Sustainability is becoming a more important part of designing health-care facilities	84%	13%	0%
More health-care clients are interested in integrating "green" products into their facilities	76%	24%	0%
* 3 percent had no comment

AVERAGE NUMBER OF EMPLOYEES DEVOTED TO HEALTH-CARE DESIGN

Principal/partner	6
Project manager/director	15
Designer	28
CAD operator	6
Other billable	8
Total design staff	63

TOP THREE MOST ADMIRED FIRMS IN HEALTH CARE IN 2005

(POLL OF THE 2005 HEALTH-CARE GIANTS)
1. NBBJ
2. KMD Architects
3. Perkins + Will

STATES AND REGIONS WITH THE GREATEST POTENTIAL FOR HEALTH-CARE PROJECTS IN THE NEXT TWO YEARS

California	26%	West Coast	19%
East Coast	26%	Illinois	16%
New Jersey	26%	International	16%
New York	26%	Maryland	13%
Florida	19%	Texas	13%
Midwest	19%	Other	16%

Methodology

The annual business survey of health-care Interior Design Giants ranks the largest firms by health-care design fees for the 12-month period from July 2004 to June 2005. (In the event of a tie, the firm with the larger dollar value of installed work is listed first.) Health-care design fees include fees attributed to:

1. All health-care interiors work.

2. All aspects of a firm's health-care design practice, from strategic planning/programming to design/project management.

3. Fees paid to a firm for work performed by employees and independent contractors who are "full-time staff" equivalent.

Health-care design fees do not include revenues paid to a firm and remitted to subcontractors that are not considered full-time staff equivalent. For example, certain firms attract work that is subcontracted to a local firm. The originating firm may collect all the fees and retain a management or generation fee, paying the remainder to the performing firm. The amounts paid to the latter are not included in the fees of the collecting firm in determining its ranking. The data was compiled and analyzed by the Interior Design market research staff in New York: Laura Girmscheid, research manager, and Wing Leung, research director.