Fischer's imagery has been incorporated into over 3,300 hospitals worldwide including all VA Medical Centers, a number of Department of Defense hospitals and clinics, major cancer centers, drug/alcohol rehab units, and geriatric facilities. Working closely with National Health Service (NHS), visual therapy products have also been installed in 75 facilities in the U.K. in recent years. The Institute has been on a U.S. government contract for 25 years and Fischer's imagery can be found throughout the Federal bureaucracy, perhaps where it's needed most. Installations include the White House, FBI, CIA, Treasury, Internal Revenue, and several U.S. embassies and consulates.

Art Research Institute has also formed strategic alliances with most of the major medical equipment manufacturers. Many are providing visual therapy backdrops at little or no cost to purchasers of their equipment. Fischer's images can also be found in several of the manufacturers' showrooms, both in the U.S. and abroad.
Fischer's pioneering work was honored with a Smithsonian Award in 1997, recognizing his ground-breaking efforts in the creation of stress-reducing environments. His imagery was inducted into the permanent archives of the Smithsonian Institution.

Nevertheless, because his work is mostly showcased in radiotherapy units, Fischer said, "I often tell people I hope they never get to see my work."

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