Healthcare giants hero
UC Health Emergency Department in Cincinnati by CannonDesign. Photography by Brad Feinknopf.

A Spotlight on Interior Design’s 2025 Healthcare Giants

Interior Design’s Healthcare Giants surged ahead with steady momentum in 2025, marking a year of impressive growth and reinforcing the sector’s momentum.


2025 Healthcare Giants Rankings

wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at 2025 rank Firm Headquarters Design Fees (millions) FF&C Value of Work Installed (millions) 2024 rank
1 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 1 HKS, Inc. Dallas 113.1 2
2 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 2 Perkins&Will Chicago 112.5 1,880.9 1
3 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 3 HDR Omaha 99.4 1,518.8 3
4 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 4 CannonDesign New York City 95.0 4
5 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 5 SmithGroup Detroit 52.9 5
6 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 6 Stantec Edmonton 50.0 9
7 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 7 Perkins Eastman New York 40.2 924.6 8
8 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 8 E4H Environments for Health Architecture Fort Worth 38.9 7
9 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 9 Gensler San Francisco 37.4 15
10 michelleyee 07/08/2025 04:52 PM michelleyee 07/08/2025 04:52 PM 10 Page Washington 37.3 2,328.0 6

*Blank cells indicate no data reported


Interested in learning more about Interior Design’s 2025 Giants of Design? Check out our report for Top 100 Giants and Rising Giants, Hospitality Giants, Sustainability Giants, and Healthcare Giants.


Project Categories


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


Read More About The Most Admired Firms


Segment Fees and Growth Predictions

wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at Project Types Fees (in millions) % of Overall Sector Fees % of Firms Predicting Growth
1 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Acute-care hospital 498.9 48 55
2 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Outpatient procedure/surgery center 128.3 12 70
3 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Health clinic 98.3 10 55
4 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Mental-health facility 71.1 7 70
5 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Assisted/senior living 39.4 6 57
6 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Rehabilitation facility 49.2 5 30
7 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Health & wellness/fitness center 36.2 4 40
8 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Doctor/dental office 29.2 3 23
9 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Skilled nursing facility/hospice 3.2 0 17
10 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Telehealth 3.1 0
11 michelleyee 07/08/2025 04:54 PM michelleyee 07/08/2025 04:54 PM Other 45.5 4

*Blank cells indicate no data reported


Percentage Of Firms Predicting Regional Growth Over The Next Two Years

wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at Region %
1 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Total US 96
2 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Northeast 53
3 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Midsouth 58
4 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Southeast 69
5 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Mid-Atlantic 44
6 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Midwest 44
7 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Northwest 33
8 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Southwest 58
9 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Total International 33
10 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Canada 18
11 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Mexico 7
12 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Central/South America 7
13 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Caribbean 2
14 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Europe 7
15 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Middle East 16
16 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Africa 0
17 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Total Asia 13
18 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM China 9
19 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM India 4
20 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Asia/Australia/New Zealand 11
21 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM Other 2
22 michelleyee 07/08/2025 05:00 PM michelleyee 07/08/2025 05:00 PM None 4

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, 2024. 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.

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