Public and private hospitals and healthcare facilities accounted for $7.3 billion, or 32%, of all institutional construction starts during the seven-year period, and 35% of the projects initiated in the first six months of 2015.

Institutions of higher education initiated $3.5 billion worth of construction projects, or 15%, of the total over the past seven years. In the first half of 2015, higher education accounted for 23% of construction starts by value.

New York City's cultural facilities accounted for 6% of institutional construction starts over the seven-year period, followed by private elementary and secondary schools at 5%. Religious institutions, courts, and libraries each accounted for between 1% and 2% of construction starts by value.

Education and healthcare were responsible for each of the top ten projects by value during the first half of 2015. The Memorial Sloan Kettering Cancer Center, which is the biggest project thus far this year, is ranked as the third most valuable institutional start over the past seven years. It is surpassed only by NewYork-Presbyterian's Koch Ambulatory Care Center and NYU Langone's Kimmel Center, both of which began construction in 2014.

The CUNY Hunter College Science and Health Professions Building claimed the second spot on the 2015 top starts list, followed by a new residential tower and a separate academic building for the CornellNYC Tech campus on Roosevelt Island, which are ranked third and fourth. Public school projects in Queens and Brooklyn took the next four spots on the list.