2010 Healthcare Giants
| 2010 Healthcare Rank | Firm Headquarters Website |
Healthcare Design Fees | $ Value of Product Installed | Sq. Ft. Installed | 2009 Healthcare Rank |
| 1 | HDR Architecture, Inc. Omaha, NE hdrarchitecture.com |
$48.081 | $6,570.95 | 22.52 | 1 |
| 2 | Perkins+Will Chicago, IL perkinswill.com |
$40.850 | $2,630.36 | 12.44 | 2 |
| 3 | Cannon Design Chicago, IL cannondesign.com |
$31.853 | NR | 3.79 | 3 |
| 4 | NBBJ Seattle, WA nbbj.com |
$22.933 | NR | NR | 7 |
| 5 | Perkins Eastman New York, NY perkinseastman.com |
$20.416 | $408.32 | 2.33 | 4 |
| 6 | PageSoutherlandPage Houston, TX pspaec.com |
$17.640 | NR | NR | 5 |
| 7 | Anshen+Allen San Francisco, CA anshen.com |
$16.386 | $491.27 | 1.12 | 6 |
| 8 | Hammel, Green and Abrahamson, Inc. (HGA) Minneapolis, MN hga.com |
$14.625 | NR | NR | 9 |
| 9 | SmithGroup San Francisco, CA smithgroup.com |
$14.067 | NR | 9.54 | 11 |
| 10 | Shepley Bulfinch Richardson and Abbott Boston, MA shepleybulfinch.com |
$10.148 | $14.52 | 2.02 | 10 |
| 11 | Leo A Daly Omaha, NE leodaly.com |
$9.291 | NR | NR | 12 |
| 12 | RTKL Associates Inc. Baltimore, MD rtkl.com |
$9.054 | NR | NR | 16 |
| 13 | HOK St. Louis, MO hok.com |
$7.968 | $604.00 | 2.90 | 8 |
| 14 | EwingCole Philadelphia, PA ewingcole.com |
$7.821 | $350.00 | 1.69 | 22 |
| 15 | Francis Cauffman Philadelphia, PA franciscauffman.com |
$7.072 | $0.78 | 3.75 | 23 |
| 16 | Anderson Mikos Architects Oakbrook Terrace, IL andersonmikos.com |
$6.875 | $59.60 | 1.27 | 17 |
| 17 | Tsoi/Kobus & Associates Cambridge, MA tka-architects.com |
$6.378 | $73.70 | 0.57 | 13 |
| 18 | Zimmer Gunsul Frasca Architects Portland, OR zgf.com |
$6.000 | $320.00 | 0.90 | 14 |
| 19 | Ratcliff Emeryville, CA ratcliffarch.com |
$6.000 | NR | 0.80 | 31 |
| 20 | Flad Architects Madison, WI flad.com |
$5.794 | $462.50 | 2.50 | 18 |
| 21 | Array Healthcare Facilities Solutions King of Prussia, PA arrayhfs.com |
$4.650 | $210.00 | 1.60 | 28 |
| 22 | Lawrence Group St. Louis, MO thelawrencegroup.com |
$3.796 | $84.00 | 1.13 | 26 |
| 23 | Karlsberger Columbus, OH karlsberger.com |
$3.515 | $630.47 | 1.61 | 24 |
| 24 | Kahler Slater Milwaukee, WI kahlerslater.com |
$3.497 | $3.50 | 0.83 | 43 |
| 25 | TRO Jung/Brannen Boston, MA trojungbrannen.com |
$3.234 | $316.00 | 1.35 | 21 |
| 26 | JRS Architect, P.C. Mineola, NY jrsarchitect.com |
$3.108 | $25.00 | 0.16 | 32 |
| 27 | Loebl Schlossman & Hackl Chicago, IL lshdesign.com |
$2.886 | $30.00 | NR | 29 |
| 28 | Eckenhoff Saunders Architects Chicago, IL esadesign.com |
$2.635 | $85.00 | 0.37 | 36 |
| 29 | Gresham, Smith and Partners Nashville, TN gspnet.com |
$2.603 | $1,168.79 | 5.84 | 30 |
| 30 | RLF Winter Park, FL rlfae.com |
$2.522 | $212.66 | 2.47 | 44 |
| 31 | Baskervill Richmond, VA baskervill.com |
$2.407 | $24.00 | 0.58 | 34 |
| 32 | Maregatti Interiors Indianapolis, IN maregattiinteriors.com |
$2.380 | $130.00 | 6.75 | 39 |
| 33 | Hunton Brady Architects Orlando, FL huntonbrady.com |
$2.278 | $365.00 | 1.08 | — |
| 34 | Ronald Schmidt & Associates Englewood, NJ RSAaia.com |
$2.083 | $135.00 | 0.73 | 40 |
| 35 | WHR Architects, Inc. Houston, TX whrarchitects.com |
$1.785 | $329.09 | 0.87 | 41 |
| 36 | Harley Ellis Devereaux Southfield, MI hedev.com |
$1.462 | $18.30 | 0.63 | 25 |
| 37 | VOA Associates Incorporated Chicago, IL voa.com |
$1.260 | $133.94 | 1.32 | 35 |
| 38 | Plunkett Raysich Architects Milwaukee, WI prarch.com |
$1.170 | $47.00 | 0.58 | 46 |
| 39 | Polytech Associates Inc. San Francisco, CA polytechae.com |
$1.026 | NR | NR | — |
| 40 | RBSD Architects New York, NY rbsd.com |
$0.930 | NR | NR | — |
Fees, $ value & square footage installed are in million
NR – not reported
Healthcare Fee Income by Project Type
| Healthcare Fees | % of Fees | |
| Acute Care Hospital | $207,916,647 | 58% |
| Outpatient facility | $53,413,070 | 15% |
| Medical/Dental office | $30,829,020 | 9% |
| Clinic | $26,168,819 | 7% |
| Rehabilitation facility | $9,320,401 | 3% |
| Mental health facility | $7,886,493 | 2% |
| Senior Living | $7,169,540 | 2% |
| Skilled nursing/Hospice | $5,018,678 | 1% |
| Assisted Living | $2,509,339 | 0.7% |
| Health/Wellness/Fitness | $1,075,431 | 0.3% |
| Other | $7,169,540 | 2.0% |
| Total: | $358,476,977 | 100.0% |
Work by Project Type
| Design Fees | % of Fees | |
| Healthcare | $358,476,977 | 45% |
| Corporate Offices | $159,622,195 | 20% |
| Educational | $86,138,881 | 11% |
| Government | $61,767,264 | 8% |
| Technology | $45,901,376 | 6% |
| Hospitality | $37,115,524 | 5% |
| Other | $15,509,670 | 2% |
| Transportation | $11,110,608 | 1% |
| Cultural | $6,961,442 | 0.9% |
| Residential | $6,307,284 | 0.8% |
| Retail | $3,490,549 | 0.4% |
| Total: | $792,401,770 | 100% |
Types of Healthcare Projects Firms Breakdown
| % of Firms | |
| New Construction | 60% |
| Renovation | 40% |
Domestic vs. International Healthcare Projects
| % of Firms | |
| inside US for US clients | 93% |
| outside US for US clients | 1% |
| inside US for foreign client | 0.1% |
| outside US for foreign clients | 6% |
Locations with the greatest growth potential for healthcare projects in the next 2 years
| US South | 53% |
| US Mid West | 45% |
| US West | 40% |
| US Northeast | 38% |
| Asia/Pacific Rim | 33% |
| Middle East | 28% |
| Canada | 20% |
| S. America/Caribbean | 10% |
| Europe | 3% |
| Mexico | 3% |
The 3 most admired firms involve designing healthcare
| 1. Perkins + Will |
| 2. NBBJ |
| 3. Zimmer Gunsul Frasca Architects |


