2021 Healthcare Sector Giants: Top architecture, engineering, and construction firms in the U.S. healthcare facilities sector

HDR, AECOM, Turner Construction, and Brasfield & Gorrie head BD+C's rankings of the nation's largest healthcare facilities sector architecture, engineering, and construction firms, as reported in the 2021 Giants 400 Report.

 

• Top 150 Healthcare Sector Architecture and AE Firms
• Top 95 Healthcare Sector Engineering and EA Firms
• Top 100 Healthcare Sector Contractors and CM Firms
• Top 115 Hospital Facility Architecture and AE Firms
• Top 85 Hospital Facility Engineering and EA Firms
• Top 80 Hospital Facility Contractors and CM Firms
• Top 100 Medical Office Building Architecture and AE Firms
• Top 55 Medical Office Building Engineering and EA Firms
• Top 65 Medical Office Building Contractors and CM Firms
• Top 90 Outpatient Facility Architecture and AE Firms
• Top 50 Outpatient Facility Engineering and EA Firms
• Top 50 Outpatient Facility Contractors and CM Firms

Top 150 Healthcare Sector Architecture and AE Firms
  FIRM 2020 REVENUE
1 HDR $309,100,000
2 HKS $205,071,767
3 Perkins and Will $175,307,000
4 CannonDesign $137,000,000
5 Stantec $135,196,878
6 HOK $94,794,000
7 Perkins Eastman $84,969,035
8 NBBJ $83,000,000
9 SmithGroup $79,769,682
10 EYP $74,615,614
11 Gresham Smith $62,625,143
12 HGA $61,452,910
13 ZGF Architects $60,874,677
14 Page $54,069,012
15 CO Architects $44,868,190
16 E4H Environments for Health Architecture $44,650,000
17 HMC Architects $43,380,488
18 CallisonRTKL $42,199,887
19 EwingCole $42,000,000
20 Flad Architects $37,660,000
21 Cuningham $33,626,871
22 Leo A Daly $31,989,469
23 Gensler $26,642,284
24 Shepley Bulfinch $26,129,836
25 Array Architects $24,406,334
26 Hoefer Welker $23,883,000
27 SLAM $23,584,583
28 BSA LifeStructures $23,342,803
29 HuntonBrady Architects $21,036,400
30 Taylor Design $20,208,000
31 HED $18,480,000
32 McMillan Pazdan Smith $17,420,726
33 FCA $17,187,039
34 BWBR $15,260,017
35 RBB Architects $15,002,424
36 GBBN $14,625,000
37 Ennead Architects $13,600,502
38 Hord Coplan Macht $13,052,466
39 Marmon Mok Architecture $12,269,731
40 Payette $12,151,974
41 Massa Multimedia Architecture $11,680,486
42 Kahler Slater $10,600,000
43 NORR $9,772,679
44 Skidmore, Owings & Merrill $9,653,804
45 LPA $9,457,285
46 Goodwyn Mills Cawood $9,290,492
47 Lawrence Group $9,139,489
48 CPL $8,894,179
49 Nelson Worldwide $8,823,997
50 Little Diversified Architectural Consulting $8,723,438
51 Champlin Architecture $8,480,506
52 Ware Malcomb $8,245,761
53 Corgan $8,027,484
54 NAC Architecture $7,846,178
55 Mascari Warner Dinh Architects $7,800,000
56 DLR Group $7,615,000
57 Wold Architects and Engineers $7,270,000
58 Onyx Creative $6,919,910
59 Kirksey Architecture $6,824,295
60 Eppstein Uhen Architects $6,694,000
61 Moody Nolan $6,693,446
62 Eckenhoff Saunders Architects $6,620,000
63 PF&A Design $6,373,157
64 LaBella Associates $6,300,000
65 RS&H $6,100,000
66 AE Works Ltd. $6,085,896
67 Blair + Mui Dowd Architects $6,023,425
68 RSP Architects $5,381,000
69 TreanorHL $5,145,993
70 REES $4,906,935
71 FreemanWhite, a Haskell Company $4,876,859
72 Rule Joy Trammell + Rubio $4,730,833
73 Interior Architects $4,617,997
74 LS3P Associates $4,287,371
75 DGA Planning | Architecture | Interiors $4,234,328
76 Guide Architecture $4,224,300
77 JLG Architects $4,016,686
78 Hafer $3,975,069
79 CB Design Group $3,796,384
80 Cromwell Architects Engineers $3,748,385
81 AHL $2,987,797
82 Becker Morgan Group $2,916,075
83 Orcutt | Winslow $2,674,497
84 TETER $2,610,131
85 MKM Architecture + Design $2,382,125
86 Huitt-Zollars $2,123,726
87 Design Collaborative $2,089,503
88 Architecture, Incorporated $2,047,669
89 Studio+ $2,018,473
90 Bermello Ajamil & Partners $2,005,047
91 Legat Architects $1,958,000
92 Lunz Group, The $1,949,884
93 Ryan Companies US / Ryan A+E $1,924,000
94 PGAL $1,684,000
95 Carrier Johnson + Culture $1,640,870
96 Diamond Schmitt Architects $1,552,646
97 Wendel $1,509,993
98 Plunkett Raysich Architects $1,507,838
99 TPG Architecture $1,498,000
100 LK Architecture $1,400,000
101 Barge Design Solutions $1,300,000
102 Progressive AE $1,107,693
103 Spiezle Architectural Group $1,090,000
104 H2M Architects + Engineers $1,071,870
105 G70 $1,039,875
106 RDG Planning & Design $1,006,157
107 Dattner Architects $932,547
108 BCA Architects & Engineers $925,000
109 JRS Architect $875,000
110 BLDD Architects $796,415
111 Kohn Pedersen Fox $793,000
112 CESO $769,492
113 Clark & Enersen $709,677
114 Jackson | Main Architecture $692,855
115 Clark Nexsen $686,200
116 Urbahn Architects $645,919
117 Baskervill $622,048
118 Ayers Saint Gross $576,140
119 KZF Design $481,248
120 Mithun $468,117
121 Think Architecture $449,250
122 Method Architecture $382,320
123 Álvarez-Díaz & Villalón | Architecture & Interior Design $375,000
124 Zyscovich $359,219
125 Ratio Design $330,292
126 RRMM Architects $312,243
127 Larson Design Group $305,354
128 Randall-Paulson Architects $296,543
129 Kitchen & Associates $294,954
130 STR Partners $292,000
131 Grimm + Parker Architects $265,008
132 Dahlin Group Architecture Planning $240,000
133 ATA Beilharz Architects $222,000
134 SEI Design Group Architects $201,739
135 WD Partners $200,000
136 DLA+ Architecture & Interior Design $186,000
137 Emersion Design $177,125
138 SGA | NarmourWright Design $169,007
139 DLZ Corp. $156,892
140 CBRE $152,915
141 AE Design Group $134,800
142 GreenbergFarrow $122,400
143 GFF $88,894
144 Garmann Miller & Associates $72,500
145 SHP $50,000
146 CTA Architects $44,371
147 BBS Architects $40,390
148 FXCollaborative $37,317
149 Cooper Carry $36,420
150 NSPJ Architects $21,259
151 //3877 $21,000
152 Montroy DeMarco Architecture $20,000
153 RDC-S111 $19,400
154 MBH Architects $18,000
155 AO $4,000

SOURCE: 2021 Giants 400 Report

 

 

Top 95 Healthcare Sector Engineering and EA Firms
  FIRM 2020 REVENUE
1 AECOM $222,000,000
2 Jacobs $214,500,000
3 WSP USA $91,318,647
4 IMEG Corp. $76,164,420
5 Affiliated Engineers Inc. $52,585,513
6 EXP $44,270,730
7 TLC Engineering Solutions $35,000,000
8 Mazzetti $29,932,518
9 Kimley-Horn $28,755,367
10 Smith Seckman Reid $28,704,667
11 Arup $28,492,193
12 Ross & Baruzzini $25,600,000
13 Jensen Hughes $25,462,491
14 KPFF Consulting Engineers $24,915,000
15 Walter P Moore $22,558,138
16 AKF Group $21,180,000
17 I.C. Thomasson Associates $19,365,479
18 CMTA $17,643,198
19 HEAPY $16,679,418
20 Syska Hennessy Group $16,571,292
21 Dewberry $15,560,441
22 Specialized Engineering Solutions $15,378,800
23 P2S $13,016,438
24 Salas O'Brien $12,845,864
25 Shive-Hattery $12,424,670
26 Apogee Consulting Group $12,062,396
27 SSOE Group $10,424,795
28 NV5 Global $10,036,000
29 Langan $10,000,000
30 Cushing Terrell $9,729,115
31 Thornton Tomasetti $9,726,825
32 Haskell $8,667,685
33 Wiss, Janney, Elstner Associates $8,590,000
34 Dunham Associates $8,360,000
35 RMF Engineering $8,000,000
36 Newcomb & Boyd $6,760,824
37 Henderson Engineers $6,269,052
38 M/E Engineering $6,262,300
39 Burns & McDonnell $5,981,952
40 Jaros, Baum & Bolles $5,395,721
41 Highland Associates $5,300,000
42 Vanderweil Engineers $4,939,600
43 Osborn Engineering $4,850,000
44 Magnusson Klemencic Associates $4,759,597
45 DHE Engineering $4,655,446
46 EAPC Architects Engineers $4,594,694
47 Martin/Martin Consulting Engineers $4,459,953
48 Farnsworth Group $4,014,296
49 ESD $3,926,047
50 M.C. Dean $3,724,633
51 Karpinski Engineering $3,400,000
52 GRAEF $3,288,514
53 H.F. Lenz $3,241,421
54 Allen + Shariff $3,153,287
55 Alfa Tech Consulting Engineers $3,000,000
56 Bridgers & Paxton Consulting Engineers $2,957,045
57 Spectrum Engineers $2,920,675
58 DeSimone Consulting Engineers $2,844,161
59 Peter Basso Associates $2,500,000
60 ME Engineers $2,490,000
61 Buro Happold $2,436,000
62 Morrison Hershfield $2,298,878
63 RMH Group, The $2,134,953
64 Kohrs Lonnemann Heil Engineers $1,789,324
65 CDM Smith $1,572,762
66 Wallace Design Collective $1,300,000
67 TEECOM $1,242,257
68 PBS Engineers $1,150,000
69 Schaefer $1,060,552
70 KCI Technologies $1,055,900
71 LBYD $926,883
72 French & Parrello Associates $831,303
73 raSmith $748,401
74 Halff Associates $723,000
75 PS&S $699,930
76 JQ Engineering $634,294
77 MHP Structural Engineers $554,962
78 Primera Engineers $400,291
79 SSC Engineering $395,878
80 Architectural Engineers $358,856
81 Wick Fisher White $356,000
82 Davis, Bowen & Friedel $345,690
83 Bala Consulting Engineers $325,000
84 G2 Consulting Group $325,000
— ThermalTech Engineering $325,000
86 CHA Consulting $300,000
87 Kohler Ronan $263,447
88 Stanley Consultants $209,031
89 Galloway & Company $121,733
90 KCL Engineering $100,676
91 Structured Engineering Solutions $100,000
92 New York Engineers $79,525
93 Olsson $70,142
94 McKinstry $60,000
95 Marque Engineering $21,000
96 Paradigm Structural Engineers $14,075
97 VJS Construction Services $11,000

SOURCE: 2021 Giants 400 Report

 

 

Top 100 Healthcare Sector Contractors and CM Firms
  FIRM 2020 REVENUE
1 Turner Construction $2,269,231,091
2 Brasfield & Gorrie $1,414,923,996
3 STO Building Group $1,327,000,000
4 McCarthy Holdings $1,266,684,095
5 Robins & Morton $1,047,959,137
6 DPR Construction $915,519,000
7 Whiting-Turner Contracting Co., The $846,626,967
8 JE Dunn $833,878,329
9 Gilbane Building Company $814,296,000
10 Skanska USA $798,845,239
11 PCL Construction $702,462,142
12 Swinerton $489,435,107
13 Suffolk Construction $443,756,122
14 Clark Group $431,517,147
15 Hensel Phelps $418,380,186
16 Balfour Beatty US $416,797,198
17 Messer Construction $415,715,355
18 Walsh Group, The $410,563,537
19 Mortenson $406,664,000
20 Boldt Company, The $290,605,000
21 BartonMalow $284,067,491
22 Batson-Cook $250,760,396
23 Rodgers Builders $228,704,460
24 Yates Companies, The $203,145,000
25 Power Construction $193,000,000
26 McCownGordon Construction $180,128,055
27 Austin Industries $172,798,716
28 Lendlease $162,670,078
29 Weitz Company, The $144,999,900
30 Orcutt | Winslow $144,964,094
31 Hoar Construction $133,033,000
32 Andersen Construction $127,000,000
33 AECOM $123,600,000
34 Miron Construction $115,726,679
35 LeChase Construction Services $108,263,477
36 Pepper Construction $107,318,241
37 Doster Construction $103,338,684
38 Adolfson & Peterson Construction $97,057,898
39 W. M. Jordan Company $92,060,957
40 Kraus-Anderson Construction $85,000,000
41 Nabholz $84,676,193
42 Benchmark Construction $84,042,392
43 HITT Contracting $81,901,303
44 Ryan Companies US / Ryan A+E $81,774,857
45 Crossland Construction $79,358,927
46 DeAngelis Diamond $78,932,000
47 Hunter Roberts Construction $76,723,000
48 Saunders Construction $76,539,879
49 Hagerman Group, The $75,000,000
50 Haskell $73,414,879
51 Clune Construction $70,123,662
52 Jacobs $66,255,000
53 Haselden Construction $63,338,260
54 Manhattan Construction Group $59,954,840
55 Skender $57,579,666
56 Joeris General Contractors $51,001,088
57 M.C. Dean $47,142,802
58 Sundt Construction $46,852,708
59 Henderson Engineers $46,742,239
60 Archstone Builders $42,725,158
61 Granger Construction $36,328,018
62 Rogers-O'Brien Construction $36,012,300
63 CBRE $35,332,029
64 JLL $35,189,390
65 Wohlsen Construction Company $34,874,000
66 Lease Crutcher Lewis $33,731,748
67 S. M. Wilson & Co. $32,828,318
68 James G. Davis Construction $30,705,261
69 Level 10 $29,435,055
70 McKinstry $27,000,000
71 Choate Construction $25,454,493
72 Shawmut Design and Construction $25,070,437
73 Fortis Construction $24,594,112
74 ARCO Construction Companies $23,219,933
75 Millie and Severson General Contractors $21,343,579
76 KBE Building Corp. $19,623,328
77 Webcor $17,081,311
78 VJS Construction Services $15,823,000
79 Paric Holdings $12,514,295
80 Hoffman Construction $12,201,480
81 Columbia $12,000,000
82 C.W. Driver Companies $10,597,289
83 New South Construction $9,864,000
84 Hill International $9,355,021
85 Bette Companies, The $8,529,568
86 Wendel $7,863,055
87 Weis Builders $6,354,830
88 W.E. O'Neil Construction $5,012,175
89 KCI Technologies $4,344,500
90 Hill & Wilkinson General Contractors $3,638,291
91 Russell Construction $3,500,000
92 Clancy & Theys Construction $3,429,282
93 McDonough Bolyard Peck $3,127,562
94 Burns & McDonnell $2,812,901
95 Arc Building Partners $2,619,119
96 Walbridge $2,512,263
97 SLAM $1,783,165
98 Executive Construction $1,250,000
99 Sachse Construction $1,000,000
100 JLG Architects $503,460
101 Cotter Consulting $440,957
102 McAlpine Contracting Co. $311,050
103 SSOE Group $140,341
104 Campus Construction Management Group $75,000

SOURCE: 2021 Giants 400 Report

 

 

Top 115 Hospital Facility Architecture and AE Firms
  FIRM 2020 REVENUE
1 HDR $262,735,000
2 HKS $205,071,767
3 Perkins and Will $138,243,000
4 Stantec $110,290,160
5 NBBJ $83,000,000
6 CannonDesign $80,000,000
7 HOK $74,849,000
8 SmithGroup $61,212,492
9 EYP $58,052,325
10 Perkins Eastman $47,797,486
11 Page $44,324,712
12 Gresham Smith $44,225,862
13 HGA $42,203,388
14 CallisonRTKL $36,110,968
15 CO Architects $35,730,069
16 ZGF Architects $35,575,367
17 Flad Architects $32,011,000
18 Cuningham $30,749,239
19 E4H Environments for Health Architecture $30,550,000
20 Leo A Daly $26,862,269
21 HMC Architects $26,028,293
22 Shepley Bulfinch $24,653,016
23 Taylor Design $20,208,000
24 EwingCole $19,000,000
25 HED $18,480,000
26 SLAM $18,414,295
27 Array Architects $18,304,751
28 McMillan Pazdan Smith $17,420,726
29 HuntonBrady Architects $16,993,301
30 BSA LifeStructures $15,096,176
31 RBB Architects $13,975,422
32 Ennead Architects $13,600,502
33 FCA $12,355,826
34 Payette $12,151,974
35 GBBN $12,025,000
36 Marmon Mok Architecture $11,872,232
37 BWBR $10,581,058
38 NORR $9,772,679
39 Skidmore, Owings & Merrill $9,653,804
40 Hoefer Welker $8,287,000
41 CPL $7,902,880
42 DLR Group $7,615,000
43 Wold Architects and Engineers $7,270,000
44 Hord Coplan Macht $6,683,856
45 AE Works Ltd. $6,085,896
46 Mascari Warner Dinh Architects $6,000,000
47 NAC Architecture $5,794,052
48 Goodwyn Mills Cawood $5,742,729
49 Moody Nolan $5,589,446
50 Little Diversified Architectural Consulting $5,370,304
51 Gensler $5,328,457
52 TreanorHL $5,145,993
53 REES $4,906,935
54 LaBella Associates $4,800,000
55 Champlin Architecture $4,556,720
56 Blair + Mui Dowd Architects $4,412,749
57 Nelson Worldwide $4,411,999
58 RS&H $3,800,000
59 CB Design Group $3,796,384
60 Corgan $3,746,641
61 Eckenhoff Saunders Architects $3,300,000
62 Lawrence Group $3,295,376
63 PF&A Design $3,256,812
64 FreemanWhite, a Haskell Company $3,152,710
65 Eppstein Uhen Architects $3,002,000
66 Kahler Slater $3,000,000
67 Guide Architecture $2,908,847
68 Hafer $2,489,083
69 TETER $2,486,097
70 Huitt-Zollars $2,123,726
71 AHL $1,942,680
72 Bermello Ajamil & Partners $1,815,190
73 JLG Architects $1,774,909
74 Becker Morgan Group $1,586,152
75 Cromwell Architects Engineers $1,556,522
76 Diamond Schmitt Architects $1,552,646
77 DGA Planning | Architecture | Interiors $1,545,530
78 TPG Architecture $1,498,000
79 Orcutt | Winslow $1,456,548
80 Wendel $1,450,169
81 MKM Architecture + Design $1,389,025
82 Ware Malcomb $1,378,688
83 Barge Design Solutions $1,300,000
84 Studio+ $1,218,224
85 G70 $1,039,875
86 Design Collaborative $1,035,159
87 Legat Architects $979,000
88 PGAL $895,000
89 Kohn Pedersen Fox $793,000
90 JRS Architect $750,000
91 BCA Architects & Engineers $750,000
92 Progressive AE $738,278
93 Clark & Enersen $668,408
94 Urbahn Architects $645,919
95 LS3P Associates $629,914
96 Jackson | Main Architecture $567,569
97 Ayers Saint Gross $565,925
98 Clark Nexsen $553,800
99 Mithun $468,117
100 H2M Architects + Engineers $428,748
101 Architecture, Incorporated $409,534
102 Ratio Design $330,292
103 Larson Design Group $283,853
104 Kirksey Architecture $283,664
105 Plunkett Raysich Architects $277,818
106 Grimm + Parker Architects $265,008
107 RDG Planning & Design $215,750
108 Dahlin Group Architecture Planning $185,000
109 RSP Architects $180,000
110 Randall-Paulson Architects $129,392
111 DLZ Corp. $49,960
112 CTA Architects $44,371
113 BBS Architects $40,390
114 Cooper Carry $36,420
115 Montroy DeMarco Architecture $20,000
116 Garmann Miller & Associates $3,000

SOURCE: 2021 Giants 400 Report

 

 

Top 85 Hospital Facility Engineering and EA Firms
  FIRM 2020 REVENUE
1 AECOM $222,000,000
2 Jacobs $171,600,000
3 WSP USA $91,318,647
4 Affiliated Engineers Inc. $47,016,819
5 IMEG Corp. $44,937,007
6 EXP $41,121,791
7 Mazzetti $29,932,518
8 Smith Seckman Reid $28,704,667
9 Arup $28,492,193
10 Jensen Hughes $25,462,491
11 Kimley-Horn $23,004,294
12 Walter P Moore $22,558,138
13 TLC Engineering Solutions $20,000,000
14 I.C. Thomasson Associates $18,625,552
15 Ross & Baruzzini $18,500,000
16 CMTA $16,798,386
17 HEAPY $15,691,835
18 P2S $13,016,438
19 Dewberry $12,608,565
20 Shive-Hattery $12,424,670
21 Salas O'Brien $12,351,728
22 Apogee Consulting Group $12,062,396
23 AKF Group $10,150,000
24 Syska Hennessy Group $9,942,775
25 Thornton Tomasetti $9,726,825
26 Haskell $8,667,685
27 KPFF Consulting Engineers $8,305,000
28 NV5 Global $8,206,000
29 Langan $8,000,000
30 Specialized Engineering Solutions $7,688,000
31 Henderson Engineers $6,269,052
32 Burns & McDonnell $5,981,952
33 M/E Engineering $5,693,000
34 SSOE Group $5,245,216
35 Cushing Terrell $5,173,289
36 Wiss, Janney, Elstner Associates $5,150,000
37 Dunham Associates $5,125,000
38 Newcomb & Boyd $5,040,490
39 RMF Engineering $5,000,000
40 Vanderweil Engineers $4,939,600
41 Magnusson Klemencic Associates $4,734,542
42 EAPC Architects Engineers $4,594,694
43 Farnsworth Group $4,014,296
44 M.C. Dean $3,724,633
45 STV $3,431,208
46 Osborn Engineering $3,400,000
47 DHE Engineering $3,398,751
48 Highland Associates $3,300,000
49 H.F. Lenz $3,241,421
50 Allen + Shariff $3,011,963
51 Jaros, Baum & Bolles $2,829,005
52 ESD $2,696,784
53 Buro Happold $2,406,000
54 DeSimone Consulting Engineers $2,299,534
55 Morrison Hershfield $2,298,878
56 Martin/Martin Consulting Engineers $2,044,162
57 Karpinski Engineering $2,010,500
58 GRAEF $1,644,257
59 Bridgers & Paxton Consulting Engineers $1,595,892
60 CDM Smith $1,572,762
61 ME Engineers $1,360,000
62 Alfa Tech Consulting Engineers $1,000,000
63 Spectrum Engineers $925,850
64 Wallace Design Collective $900,000
65 French & Parrello Associates $798,223
66 TEECOM $753,247
67 PBS Engineers $750,000
68 Kohrs Lonnemann Heil Engineers $742,585
69 Halff Associates $723,000
70 LBYD $530,019
71 KCI Technologies $521,400
72 JQ Engineering $471,043
73 MHP Structural Engineers $421,181
74 SSC Engineering $394,378
75 Bala Consulting Engineers $325,000
76 ThermalTech Engineering $325,000
77 Peter Basso Associates $300,000
— CHA Consulting $300,000
79 raSmith $278,436
80 Architectural Engineers $248,905
81 Stanley Consultants $209,031
82 Kohler Ronan $203,447
83 PS&S $175,900
84 Primera Engineers $155,043
85 G2 Consulting Group $100,000
86 New York Engineers $23,600
87 Paradigm Structural Engineers $14,075

SOURCE: 2021 Giants 400 Report  Note: STV was added on 9/2/21.

 

 

Top 80 Hospital Facility Contractors and CM Firms
  FIRM 2020 REVENUE
1 Turner Construction $2,269,231,091
2 Brasfield & Gorrie $1,414,923,996
3 STO Building Group $1,327,000,000
4 McCarthy Holdings $1,181,406,390
5 Robins & Morton $915,735,168
6 DPR Construction $899,927,000
7 JE Dunn $833,878,329
8 Skanska USA $693,967,079
9 Gilbane Building Company $653,194,000
10 Whiting-Turner Contracting Co., The $503,117,228
11 PCL Construction $477,674,257
12 Suffolk Construction $438,200,520
13 Walsh Group, The $410,563,537
14 Clark Group $364,420,021
15 Messer Construction $362,316,583
16 Balfour Beatty US $359,482,984
17 Swinerton $332,815,873
18 Hensel Phelps $298,175,920
19 Mortenson $269,272,000
20 BartonMalow $230,124,198
21 Boldt Company, The $217,528,000
22 Yates Companies, The $203,145,000
23 Batson-Cook $181,361,093
24 Rodgers Builders $180,408,511
25 Austin Industries $172,798,716
26 Lendlease $162,670,078
27 McCownGordon Construction $152,097,009
28 AECOM $123,600,000
29 LeChase Construction Services $108,012,080
30 Andersen Construction $107,000,000
31 Miron Construction $103,889,582
32 W. M. Jordan Company $91,458,991
33 Power Construction $91,000,000
34 Pepper Construction $86,346,641
35 Doster Construction $81,842,508
36 Crossland Construction $79,358,927
37 Hunter Roberts Construction $76,723,000
38 Haskell $73,414,879
39 Jacobs $65,527,000
40 Benchmark Construction $65,056,286
41 Hagerman Group, The $65,000,000
42 Kraus-Anderson Construction $65,000,000
43 Orcutt | Winslow $63,648,644
44 Weitz Company, The $63,474,200
45 Haselden Construction $58,983,794
46 Saunders Construction $56,020,031
47 Hoar Construction $49,427,000
48 HITT Contracting $48,998,005
49 Manhattan Construction Group $47,381,830
50 M.C. Dean $47,142,802
51 Henderson Engineers $46,742,239
52 Skender $46,063,733
53 Sundt Construction $39,141,954
54 Rogers-O'Brien Construction $36,012,300
55 Nabholz $33,894,268
56 S. M. Wilson & Co. $31,928,318
57 Joeris General Contractors $28,094,820
58 DeAngelis Diamond $24,141,000
59 Shawmut Design and Construction $19,559,380
60 James G. Davis Construction $14,764,086
61 Granger Construction $12,220,519
62 Ryan Companies US / Ryan A+E $11,232,491
63 Fortis Construction $10,000,000
64 Columbia $9,700,000
65 Hoffman Construction $9,624,896
66 STV $9,540,146
67 Archstone Builders $8,762,019
68 CBRE $8,604,493
69 Wohlsen Construction Company $7,719,000
70 Bette Companies, The $7,591,750
71 Paric Holdings $7,376,801
72 Clune Construction $7,139,615
73 VJS Construction Services $7,084,000
74 Wendel $6,103,211
75 Hill International $4,277,935
76 McDonough Bolyard Peck $3,127,562
77 Burns & McDonnell $2,812,901
78 Lease Crutcher Lewis $2,641,720
79 Arc Building Partners $2,619,119
80 Choate Construction $2,526,562
81 SLAM $1,767,506
82 Hill & Wilkinson General Contractors $1,496,275
83 Webcor $956,658
84 W.E. O'Neil Construction $452,211
85 Cotter Consulting $440,957
86 JLG Architects $413,257
87 Campus Construction Management Group $75,000

SOURCE: 2021 Giants 400 Report  Note: STV was added on 9/2/21.

 

 

Top 100 Medical Office Building Architecture and AE Firms
  FIRM 2020 REVENUE
1 CannonDesign $30,000,000
2 SmithGroup $18,557,190
3 Perkins Eastman $15,931,693
4 Perkins and Will $15,820,000
5 HGA $13,905,811
6 HOK $10,278,000
7 LPA $9,457,285
8 E4H Environments for Health Architecture $9,400,000
9 Gensler $7,992,685
10 Onyx Creative $6,919,910
11 Gresham Smith $6,719,041
12 Ware Malcomb $5,554,334
13 Page $5,534,000
14 Stantec $5,372,120
15 RSP Architects $5,201,000
16 Interior Architects $4,617,997
17 HMC Architects $4,338,049
18 Kahler Slater $4,300,000
19 HDR $3,709,000
20 SLAM $3,671,727
21 Kirksey Architecture $3,284,834
22 BSA LifeStructures $3,213,180
23 EwingCole $3,000,000
24 Eckenhoff Saunders Architects $2,800,000
25 Corgan $2,659,293
26 EYP $2,587,181
27 HuntonBrady Architects $2,395,101
28 Eppstein Uhen Architects $2,316,000
29 CallisonRTKL $2,250,762
30 BWBR $2,226,385
31 Champlin Architecture $2,114,497
32 Array Architects $2,033,861
33 Flad Architects $1,883,000
34 Mascari Warner Dinh Architects $1,800,000
35 LS3P Associates $1,645,170
36 Cuningham $1,525,588
37 Hafer $1,474,554
38 LK Architecture $1,400,000
39 DGA Planning | Architecture | Interiors $1,354,985
40 ZGF Architects $1,280,450
41 FCA $1,254,104
42 Cromwell Architects Engineers $1,203,186
43 Becker Morgan Group $1,161,705
44 Architecture, Incorporated $1,092,090
45 Hoefer Welker $936,000
46 Guide Architecture $931,293
47 Hord Coplan Macht $900,000
48 LaBella Associates $800,000
49 BLDD Architects $796,415
50 PGAL $789,000
51 Lunz Group, The $779,954
52 CESO $768,623
53 CO Architects $746,263
54 AHL $715,756
55 Design Collaborative $693,364
56 Lawrence Group $638,277
57 Baskervill $622,048
58 FreemanWhite, a Haskell Company $621,692
59 Goodwyn Mills Cawood $516,995
60 KZF Design $481,248
61 RBB Architects $475,855
62 Think Architecture $449,250
63 Orcutt | Winslow $430,326
64 NAC Architecture $428,841
65 Method Architecture $382,320
66 Álvarez-Díaz & Villalón | Architecture & Interior Design $375,000
67 Shepley Bulfinch $342,924
68 H2M Architects + Engineers $321,561
69 STR Partners $292,000
70 JLG Architects $280,814
71 Little Diversified Architectural Consulting $238,599
72 ATA Beilharz Architects $222,000
73 Plunkett Raysich Architects $207,270
74 SEI Design Group Architects $201,739
75 WD Partners $200,000
76 BCA Architects & Engineers $175,000
77 SGA | NarmourWright Design $169,007
78 CBRE $152,915
79 MKM Architecture + Design $146,536
80 JRS Architect $125,000
81 TETER $124,034
82 GreenbergFarrow $120,700
83 Leo A Daly $118,561
84 Studio+ $114,987
85 DLZ Corp. $91,404
86 Clark Nexsen $75,100
87 Garmann Miller & Associates $69,500
88 Massa Multimedia Architecture $56,479
89 Dahlin Group Architecture Planning $55,000
90 SHP $50,000
91 FXCollaborative $37,317
92 PF&A Design $31,801
93 NSPJ Architects $21,259
94 //3877 $21,000
95 RDC-S111 $19,400
96 MBH Architects $18,000
97 Clark & Enersen $17,213
98 CPL $13,429
99 Ayers Saint Gross $10,215
100 Jackson | Main Architecture $8,167
101 Emersion Design $6,250
102 Randall-Paulson Architects $5,946
103 AE Design Group $5,000
104 AO $4,000

SOURCE: 2021 Giants 400 Report

 

 

Top 55 Medical Office Building Engineering and EA Firms
  FIRM 2020 REVENUE
1 Jacobs $10,725,000
2 KPFF Consulting Engineers $8,305,000
3 TLC Engineering Solutions $5,000,000
4 IMEG Corp. $4,569,865
5 Specialized Engineering Solutions $3,075,300
6 Dewberry $2,951,876
7 AKF Group $2,950,000
8 Dunham Associates $2,225,000
9 Wiss, Janney, Elstner Associates $2,150,000
10 RMF Engineering $2,000,000
11 NV5 Global $1,780,000
12 Syska Hennessy Group $1,657,129
13 Affiliated Engineers Inc. $1,594,230
14 Kimley-Horn $1,437,768
15 Highland Associates $1,200,000
16 Schaefer $1,060,552
17 Peter Basso Associates $1,000,000
— Alfa Tech Consulting Engineers $1,000,000
19 Spectrum Engineers $994,850
20 SSOE Group $901,033
21 Martin/Martin Consulting Engineers $836,685
22 GRAEF $822,128
23 Jaros, Baum & Bolles $814,702
24 Newcomb & Boyd $753,611
25 I.C. Thomasson Associates $739,927
26 Osborn Engineering $700,000
27 Bridgers & Paxton Consulting Engineers $580,921
28 ME Engineers $580,000
29 HEAPY $566,485
30 Kohrs Lonnemann Heil Engineers $541,285
31 KCI Technologies $534,500
32 EXP $528,727
33 CMTA $507,757
34 Langan $500,000
35 Salas O'Brien $494,136
36 TEECOM $489,010
37 LBYD $396,864
38 Davis, Bowen & Friedel $344,860
39 PBS Engineers $300,000
40 M/E Engineering $284,650
41 Karpinski Engineering $219,300
42 Primera Engineers $209,590
43 Wallace Design Collective $200,000
44 Wick Fisher White $194,000
45 DHE Engineering $193,965
46 ESD $173,562
47 JQ Engineering $163,251
48 G2 Consulting Group $150,000
49 MHP Structural Engineers $133,782
50 Galloway & Company $121,733
51 Structured Engineering Solutions $100,000
52 McKinstry $60,000
53 New York Engineers $37,425
54 French & Parrello Associates $33,080
55 Magnusson Klemencic Associates $25,055
56 Marque Engineering $21,000
57 Architectural Engineers $2,500
58 SSC Engineering $1,500

SOURCE: 2021 Giants 400 Report

 

 

Top 65 Medical Office Building Contractors and CM Firms
  FIRM 2020 REVENUE
1 Swinerton $156,619,234
2 Adolfson & Peterson Construction $97,057,898
3 PCL Construction $77,270,836
4 Hensel Phelps $71,545,866
5 Clune Construction $62,984,047
6 Mortenson $50,436,000
7 Rodgers Builders $48,295,949
8 Whiting-Turner Contracting Co., The $42,781,455
9 Archstone Builders $33,963,139
10 Nabholz $31,480,702
11 Lease Crutcher Lewis $30,773,770
12 Level 10 $29,435,055
13 Orcutt | Winslow $27,068,798
14 McKinstry $27,000,000
15 Granger Construction $24,107,499
16 ARCO Construction Companies $23,219,933
17 Joeris General Contractors $22,906,268
18 Batson-Cook $22,351,110
19 Hoar Construction $22,088,000
20 Millie and Severson General Contractors $21,343,579
21 CBRE $20,627,081
22 DeAngelis Diamond $20,150,000
23 Andersen Construction $20,000,000
24 KBE Building Corp. $19,623,328
25 Saunders Construction $18,975,093
26 Robins & Morton $18,868,900
27 Skanska USA $15,939,403
28 Boldt Company, The $15,546,000
29 James G. Davis Construction $15,543,446
30 Messer Construction $15,417,168
31 Fortis Construction $14,594,112
32 Ryan Companies US / Ryan A+E $12,384,714
33 Gilbane Building Company $12,263,000
34 Pepper Construction $11,902,228
35 JLL $11,608,323
36 Skender $11,515,933
37 C.W. Driver Companies $10,597,289
38 New South Construction $9,864,000
39 Manhattan Construction Group $9,801,430
40 Miron Construction $8,705,428
41 HITT Contracting $8,393,839
42 McCownGordon Construction $8,290,701
43 Sundt Construction $7,710,754
44 Choate Construction $7,579,685
45 Weis Builders $6,354,830
46 Shawmut Design and Construction $5,511,057
47 W.E. O'Neil Construction $4,538,663
48 Hill International $4,428,559
49 KCI Technologies $4,344,500
50 Clark Group $4,062,967
51 Haselden Construction $4,049,786
52 Wohlsen Construction Company $3,924,000
53 Russell Construction $3,500,000
54 Clancy & Theys Construction $3,429,282
55 Suffolk Construction $2,260,000
56 Hill & Wilkinson General Contractors $2,142,016
57 Weitz Company, The $1,625,600
58 Executive Construction $1,250,000
59 Sachse Construction $1,000,000
60 BartonMalow $984,374
61 Bette Companies, The $937,818
62 S. M. Wilson & Co. $900,000
63 Balfour Beatty US $804,863
64 Webcor $800,792
65 W. M. Jordan Company $601,966
66 Jacobs $456,000
67 McAlpine Contracting Co. $311,050
68 Benchmark Construction $262,738
69 LeChase Construction Services $251,397

SOURCE: 2021 Giants 400 Report

 

 

Top 90 Outpatient Facility Architecture and AE Firms
  FIRM 2020 REVENUE
1 HDR $42,656,000
2 CannonDesign $27,000,000
3 ZGF Architects $24,018,860
4 Perkins and Will $21,244,000
5 Perkins Eastman $21,239,856
6 EwingCole $20,000,000
7 Stantec $19,534,598
8 Hoefer Welker $14,660,000
9 EYP $13,976,108
10 Gensler $13,321,142
11 HMC Architects $13,014,146
12 Gresham Smith $11,680,240
13 Massa Multimedia Architecture $11,624,007
14 HOK $9,667,000
15 CO Architects $8,391,858
16 Hord Coplan Macht $5,468,610
17 HGA $5,343,711
18 Lawrence Group $5,205,836
19 BSA LifeStructures $5,033,447
20 Leo A Daly $5,008,639
21 Rule Joy Trammell + Rubio $4,730,833
22 E4H Environments for Health Architecture $4,700,000
23 Nelson Worldwide $4,411,999
24 Page $4,210,300
25 Array Architects $4,067,722
26 CallisonRTKL $3,838,157
27 Flad Architects $3,766,000
28 FCA $3,577,109
29 Kahler Slater $3,300,000
30 Kirksey Architecture $3,255,798
31 Little Diversified Architectural Consulting $3,114,535
32 PF&A Design $3,084,544
33 Goodwyn Mills Cawood $3,030,768
34 GBBN $2,600,000
35 BWBR $2,452,574
36 RS&H $2,300,000
37 LS3P Associates $2,012,286
38 JLG Architects $1,960,963
39 Ryan Companies US / Ryan A+E $1,924,000
40 Champlin Architecture $1,809,289
41 HuntonBrady Architects $1,647,998
42 Carrier Johnson + Culture $1,640,870
43 NAC Architecture $1,623,285
44 Corgan $1,621,550
45 Blair + Mui Dowd Architects $1,610,676
46 SLAM $1,498,561
47 Eppstein Uhen Architects $1,376,000
48 Cuningham $1,352,045
49 DGA Planning | Architecture | Interiors $1,333,813
50 Ware Malcomb $1,312,739
51 Lunz Group, The $1,169,930
52 Shepley Bulfinch $1,133,896
53 Moody Nolan $1,104,000
54 FreemanWhite, a Haskell Company $1,102,457
55 Spiezle Architectural Group $1,090,000
56 Plunkett Raysich Architects $1,022,750
57 Cromwell Architects Engineers $988,677
58 Legat Architects $979,000
59 CPL $977,870
60 Dattner Architects $932,547
61 MKM Architecture + Design $846,565
62 RDG Planning & Design $790,407
63 Orcutt | Winslow $787,624
64 LaBella Associates $700,000
65 Studio+ $685,262
66 RBB Architects $551,147
67 Architecture, Incorporated $546,045
68 Eckenhoff Saunders Architects $520,000
69 Marmon Mok Architecture $397,499
70 Guide Architecture $384,160
71 Progressive AE $369,415
72 Design Collaborative $360,980
73 Zyscovich $359,219
74 AHL $329,361
75 H2M Architects + Engineers $321,561
76 RRMM Architects $312,243
77 Kitchen & Associates $294,954
78 Bermello Ajamil & Partners $189,857
79 DLA+ Architecture & Interior Design $186,000
80 Emersion Design $170,875
81 Becker Morgan Group $168,218
82 Randall-Paulson Architects $161,205
83 AE Design Group $129,800
84 Jackson | Main Architecture $117,119
85 GFF $88,894
86 Wendel $59,824
87 Clark Nexsen $57,300
88 Clark & Enersen $24,057
89 Larson Design Group $21,501
90 DLZ Corp. $15,528
91 Hafer $11,432

SOURCE: 2021 Giants 400 Report

 

 

Top 50 Outpatient Facility Engineering and EA Firms
  FIRM 2020 REVENUE
1 Jacobs $32,175,000
2 IMEG Corp. $26,657,548
3 TLC Engineering Solutions $10,000,000
4 KPFF Consulting Engineers $8,305,000
5 AKF Group $8,080,000
6 Ross & Baruzzini $7,100,000
7 Syska Hennessy Group $4,971,388
8 Specialized Engineering Solutions $4,615,500
9 Cushing Terrell $4,555,826
10 Kimley-Horn $4,313,305
11 SSOE Group $4,278,546
12 Affiliated Engineers Inc. $3,974,464
13 EXP $2,620,212
14 RMH Group, The $2,134,953
15 Jaros, Baum & Bolles $1,752,014
16 Martin/Martin Consulting Engineers $1,579,106
17 Langan $1,500,000
18 Wiss, Janney, Elstner Associates $1,290,000
19 Peter Basso Associates $1,200,000
20 Karpinski Engineering $1,170,200
21 DHE Engineering $1,062,730
22 ESD $1,055,700
23 Dunham Associates $1,010,000
24 RMF Engineering $1,000,000
— Alfa Tech Consulting Engineers $1,000,000
26 Spectrum Engineers $999,975
27 Newcomb & Boyd $966,723
28 GRAEF $822,129
29 Highland Associates $800,000
30 Bridgers & Paxton Consulting Engineers $780,232
31 Osborn Engineering $750,000
32 ME Engineers $550,000
33 DeSimone Consulting Engineers $544,627
34 PS&S $524,030
35 Kohrs Lonnemann Heil Engineers $505,454
36 raSmith $469,965
37 HEAPY $421,098
38 CMTA $337,055
39 M/E Engineering $284,650
40 Wallace Design Collective $200,000
41 Wick Fisher White $162,000
42 Allen + Shariff $141,324
43 Architectural Engineers $107,451
44 KCL Engineering $100,676
45 PBS Engineers $100,000
46 G2 Consulting Group $75,000
47 Olsson $70,142
48 Kohler Ronan $60,000
49 NV5 Global $50,000
50 Primera Engineers $35,658
51 Buro Happold $30,000
52 New York Engineers $18,500
53 VJS Construction Services $7,000

SOURCE: 2021 Giants 400 Report

 

 

Top 50 Outpatient Facility Contractors and CM Firms
  FIRM 2020 REVENUE
1 Whiting-Turner Contracting Co., The $300,728,284
2 Gilbane Building Company $148,839,000
3 PCL Construction $147,517,050
4 Robins & Morton $113,355,069
5 Power Construction $102,000,000
6 Skanska USA $88,938,757
7 Mortenson $86,956,000
8 McCarthy Holdings $85,277,705
9 Weitz Company, The $79,900,100
10 Clark Group $63,034,159
11 Hoar Construction $61,518,000
12 Ryan Companies US / Ryan A+E $58,157,652
13 Boldt Company, The $57,531,000
14 Balfour Beatty US $56,509,351
15 Orcutt | Winslow $54,246,652
16 BartonMalow $52,958,919
17 Hensel Phelps $48,658,400
18 Batson-Cook $47,048,193
19 Messer Construction $37,981,604
20 DeAngelis Diamond $34,641,000
21 HITT Contracting $24,509,459
22 JLL $23,581,067
23 Wohlsen Construction Company $23,231,000
24 Doster Construction $21,496,176
25 Kraus-Anderson Construction $20,000,000
26 McCownGordon Construction $19,740,345
27 Nabholz $19,301,223
28 Benchmark Construction $18,723,368
29 DPR Construction $15,592,000
30 Choate Construction $15,348,246
31 Webcor $15,323,861
32 Hagerman Group, The $10,000,000
33 Pepper Construction $9,069,373
34 VJS Construction Services $8,739,000
35 CBRE $6,100,455
36 Paric Holdings $5,137,494
37 Suffolk Construction $3,295,601
38 Miron Construction $3,131,669
39 Manhattan Construction Group $2,771,580
40 Hoffman Construction $2,576,584
41 Walbridge $2,512,263
42 Columbia $2,300,000
43 Wendel $1,759,844
44 Saunders Construction $1,544,755
45 Hill International $648,527
46 James G. Davis Construction $397,729
47 Lease Crutcher Lewis $316,258
48 Haselden Construction $304,680
49 Jacobs $272,000
50 SSOE Group $140,173
51 JLG Architects $90,203
52 W.E. O'Neil Construction $21,301
53 SLAM $15,659

SOURCE: 2021 Giants 400 Report

 

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