Healthy Practices: Interior Design 2008 Healthcare Giants 1-40

Healthcare Design Giants 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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