Introducing Interior Design’s 2026 Healthcare Giants

All metrics proved stable for these Healthcare Giants. They reported a slight 2 percent YOY dip in fees last year and predict another for 2026—signs of rightsizing after a post-pandemic boom that still soars 52 percent over 2019 levels. Segment fees and percentages also showed continuity, with hospitals again comprising half of all segment fee income. New-builds declined a hair in favor of renovation (as in other markets), and 92 percent of work was domestic.

*Blank cells indicate no data reported

Interested in learning more about Interior Design’s 2026 Giants of Design? Check out our reports for Top 100 Giants, Rising Giants, Hospitality Giants, Healthcare Giants, and Sustainability Giants.

Project Overview

Editor’s Note: Take a look at recent coverage of our Healthcare Giants most admired firms below. Perkins&Will tops the list, followed by CannonDesign, EwingCole, HDR, and ZGF.

Healthcare Giants Snapshot

• $921.0M in 2025 healthcare design fees (+52% from 2019)
• $26.2B FF&C value (+80% from 2019)
• 6,022 projects (+89% from 2019)

Healthcare Giants Sector Fees

Methodology

The Interior Design Giants of Design annual business survey comprises the largest firms ranked by interior design fees for the 12-month period ending Dec. 31, 2025. The listings are generated from only those surveyed. To be recognized as a top 100, Rising, Healthcare, Hospitality, or Sustainability Giant, firms must meet the following criteria: Have at least one office location in North America and generate at least 25 percent of its interior design fee income in North America. Firms that do not meet the criteria are ranked on our International Giants list. Interior design fees include those attributed to:

1. All aspects of a firm’s interior design practice, from strategic planning and programming to design and project management.

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

Interior design fees do not include revenues paid to a firm and remitted to subcontractors who are not considered full-time staff equivalents. 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 fees of the collecting firm when determining its ranking. Ties are broken by rank from last year. Where applicable, all percentages are based on responding Giants, not their total number.

All research conducted by ThinkLab, the research division of SANDOW Design Group.