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Fit as a Fiddle



They may not be able to name all 206 bones in the human body, but Interior Design's 40 health-care Giants are experts when it comes to hospitals, outpatient facilities, and medical offices. The results from our second annual ranking show that these firms, including six newcomers, have had their fair share of practice-overall health-care design fees have nearly doubled since last year, from $197,266,769 to $345,201,531. And these designers are helping not only to save lives but also to save the planet: Sustainability has become integral to this category, 95 percent of the firms say. Today's picture of good health appears to be tinted green.

Health-Care Giants
2006 RankFirm Headquarters, Web SiteHealth-Care Fees (millions)Work Installed
Value (millions)Sq. Ft. (millions)
01Perkins + Will Chicago perkinswill.com40.810175.605.65
02HDR Omaha hdrinc.com36.6833607.034.29
03Granary Associates Philadelphia granaryassoc.com28.278NR1.90
04Anshen + Allen Architects San Francisco anshen.com19.318391.301.24
05Perkins Eastman New York perkinseastman.com19.119273.132.90
06Cannon Design Boston cannondesign.com16.493NRNR
07PageSoutherlandPage Houston pspaec.com15.656336.002.84
08NBBJ Seattle nbbj.com15.400NR1.29
09SmithGroup San Francisco smithgroup.com12.625NR8.09
10Shepley Bulfinch Richardson and Abbott Boston sbra.com10.900NR3.00
11Zimmer Gunsul Frasca Partnership Portland, Oregon zgf.com10.200220.000.55
12Ellerbe Becket Minneapolis ellerbebecket.com10.081NR5.75
13HOK Saint Louis hok.com9.91959.3815.30
14Karlsberger Columbus, Ohio karlsberger.com9.155398.151.50
15WHR Architects Houston whrarchitects.com6.48016.502.20
16Array Healthcare Facilities Solutions King of Prussia, Pennsylvania arrayhfs.com6.286335.001.90
17EwingCole Philadelphia ewingcole.com6.050285.002.14
18Ballinger Philadelphia ballinger-ae.com5.850130.001.50
19TRO Jung/Brannen Newton, Massachusetts troarch.com5.769423.001.85
20Gresham, Smith & Partners Nashville gspnet.com5.59495.003.60
21Anderson Mikos Architects Oak Brook, Illinois 5.18519.762.62
22Leo A Daly Omaha leodaly.com4.928103.400.30
23Francis Cauffman Foley Hoffmann Philadelphia fcfh-did.com4.800500.002.50
24Loebl Schlossman & Hackl Chicago lshdesign.com4.64580.000.45
25Harley Ellis Devereaux Southfield, Michigan hedev.com4.568228.001.34
26Flad & Associates Madison, Wisconsin flad.com4.27594.601.76
27Tsoi/Kobus & Associates Cambridge, Massachusetts tka-architects.com3.80019.001.70
28OWP/P Chicago owpp.com2.738NR0.28
29Lawrence Group Saint Louis thelawrencegroup.com2.51050.202.15
30Maregatti Interiors Indianapolis maregattiinteriors.com2.20790.004.42
31JRS Architect Mineola, New York jrsarchitect.com2.05050.000.13
32NTDStichler San Diego ntdstichler.com2.00043.330.21
33Ronald Schmidt & Associates Englewood, New Jersey rsaaia.com1.925115.000.28
34Hillier Architecture Princeton, New Jersey hillier.com1.88044.000.31
35RLF Winter Park, Florida rlfae.com1.604459.931.53
36VOA Associates Chicago voa.com1.50010.004.97
37Plunkett Raysich Architects Milwaukee prarch.com 1.101186.701.11
38Wilmot Sanz Gaithersburg, Maryland wilmotsanz.com0.970268.411.05
39Mojo Stumer Associates Greenvale, New York mojostumer.com0.9508.000.10
40Carson Design Associates Carmel, Indiana carsondesign.com0.90011.020.58
NR=Not Reported

Health-Care Fee Income by Project Type
Health-Care Fee Income% of Fee Income
Hospital$215,405,75562.4%
Outpatient facility $49,018,61714.2%
Medical office$25,544,9137.4%
Clinic$22,438,1006.5%
Senior living$8,630,0382.5%
Skilled nursing facility$7,594,4342.2%
Rehabilitation facility$7,594,4342.2%
Assisted living$3,797,2171.1%
Mental health facility $2,071,2090.6%
Hospice$345,2020.1%
Other$2,761,6120.8%
Total$345,201,531100%

States and Regions with the Greatest Growth Potential for Health-Care Projects in the Next Two Years
California31%Texas21%
New York26%Florida15%
Illinois23%Arizona13%
New Jersey21%China13%

Project Breakdown
New construction57%
Renovation43%
Domestic96%
International4%

Top Three Most Admired Firms in Health Care in 2006
1. Perkins + Will
2. NBBJ
3. HOK

Health-Care Giants Agreeing with Each Statement
AgreeSomewhat DisagreeStrongly Disagree
Today's health-care clients understand that design is a healing tool100%0%0%
Health-care clients are more willing to invest in design than before97%3%0%
Sustainability is becoming a more important part of designing health-care facilities95%5%0%
More clients are interested in integrating "green" products into health-care facilities95%5%0%
There is now more crossover between hospitality and health care87%8%5%

 

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 2005 to June 2006. (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 Candice Lee, research director.


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