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    Healthy Practices: Interior Design 2008 Healthcare Giants 1-40

     

    Healthcare Design GiantsWe'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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