Giants 400

Top 170 Healthcare Sector Architecture + AE Firms for 2022

Oct. 6, 2022
15 min read

HDR, CannonDesign, HKS, and Stantec top the ranking of the nation's largest healthcare sector architecture and architecture/engineering (AE) firms for 2022, as reported in Building Design+Construction's 2022 Giants 400 Report. Note: This ranking factors all healthcare sector work, including hospitals, outpatient facilities, and medical office buildings. 

Top 170 Healthcare Sector Architecture + AE Firms for 2022 - BD+C Giants 400 Rankings   FIRM 2021 REVENUE 1 HDR $290,070,000 2 CannonDesign $220,000,000 3 HKS $196,000,000 4 Stantec $154,079,760 5 Perkins and Will $148,021,865 6 SmithGroup $109,609,413 7 HOK $95,889,061 8 Perkins Eastman $88,416,074 9 NBBJ $84,000,000 10 HGA $74,759,269 11 EYP $74,293,070 12 Page $68,362,070 13 ZGF Architects $65,240,422 14 E4H Environments for Health Architecture $56,080,764 15 CO Architects $43,868,919 16 HMC Architects $39,485,765 17 CallisonRTKL $39,129,009 18 Leo A Daly $35,791,688 19 SLAM Collaborative, The $30,071,399 20 BSA LifeStructures $27,825,409 21 Gensler $27,239,505 22 Flad Architects $23,904,000 23 Massa Multimedia Architecture $23,517,903 24 EwingCole $23,000,000 25 FCArchitects $21,764,655 26 Taylor Design $20,886,855 27 Stengel Hill Architecture $20,023,406 28 Shepley Bulfinch $19,800,628 29 GBBN $18,762,000 30 Cuningham $18,695,396 31 McMillan Pazdan Smith $17,776,538 32 BWBR $17,407,237 33 HED $17,229,398 34 Guidon $17,032,152 35 Lawrence Group/Integrate Construction Partners $15,823,520 36 Payette $15,316,459 37 Little Diversified Architectural Consulting $14,793,038 38 RBB Architects $14,784,779 39 HFG Architecture $14,200,000 40 LPA $13,301,211 41 Hoefer Welker $13,101,000 42 NORR $12,713,710 43 Hord Coplan Macht $12,061,840 44 Kahler Slater $10,600,000 45 Cushing Terrell $10,316,723 46 Onyx Creative $9,800,000 47 CPL Architecture, Engineering, Planning $9,603,845 48 EUA $9,595,000 49 Anderson Mikos Architects $9,576,550 50 Cromwell Architects Engineers $9,536,903 51 Barge Design Solutions $9,524,732 52 Pulse Design Group $9,112,598 53 Grace Hebert Curtis Architects $9,026,447 54 Marmon Mok Architecture $8,899,185 55 Champlin Architecture $8,897,513 56 RRMM Architects $8,532,496 57 Eckenhoff Saunders Architects $7,800,000 58 DLR Group $7,750,000 59 Goodwyn Mills Cawood $7,720,378 60 Wold Architects and Engineers $7,531,000 61 Kirksey Architecture $7,444,107 62 RSC Architects $7,200,000 63 LS3P Associates $7,065,234 64 TreanorHL $6,843,458 65 CB Design Group $6,712,660 66 Corgan $6,623,576 67 Mascari Warner Dinh Architects $6,400,000 68 RS&H $6,100,000 69 Ware Malcomb $6,044,365 70 REES $6,020,000 71 IKM Architecture $5,847,000 72 Haskell $5,769,372 73 AE Works $5,652,104 74 Blair + Mui Dowd Architects $5,455,874 75 Nelson Worldwide $5,331,650 76 Huitt-Zollars $5,197,576 77 PF&A Design $4,603,768 78 CosciaMoos Architecture $4,470,111 79 Ryan Companies US / Ryan A+E $4,330,240 80 AHL $4,303,550 81 Hafer $3,905,345 82 Interior Architects $3,901,585 83 Architecture Inc. $3,843,000 84 DGA planning | architecture | interiors $3,811,526 85 Moody Nolan $3,807,989 86 CESO $3,700,000 87 Diamond Schmitt Architects $3,675,000 88 RSP Architects $3,592,000 89 CSO Architects $3,353,965 90 LHB $3,343,425 91 GPD Group $3,296,000 92 Margulies Perruzzi $3,282,763 93 H2M architects + engineers $2,890,120 94 RDG Planning & Design $2,878,597 95 MA Design $2,740,196 96 Progressive AE $2,717,319 97 Design Collaborative $2,681,654 98 Orcutt | Winslow $2,663,334 99 Parkhill $2,655,664 100 Skidmore, Owings & Merrill $2,621,000 101 Jeffrey Berman Architect $2,500,000 102 Legat Architects $2,380,000 103 MKM architecture + design $2,370,995 104 TGB Architects $2,292,612 105 Clark & Enersen $2,225,634 106 TETER $2,147,370 107 Clark Nexsen $2,130,000 108 Urbahn Architects $2,008,800 109 LK Architecture $2,000,000 110 PGAL $1,682,000 111 Core States Group $1,620,282 112 TPG Architecture $1,594,000 113 Wendel $1,430,923 114 Colliers Engineering & Design $1,357,361 115 TVS $1,324,771 116 TowerPinkster $1,300,000 117 Studio 3 Design $1,266,019 118 WATG $1,119,026 119 G70 $1,087,592 120 AO $1,050,000 – JRS Architect $1,050,000 122 Dattner Architects $1,024,911 123 Spiezle Architectural Group $1,001,000 124 KMB Architects $1,000,697 125 BCA Architects & Engineers $975,000 126 Baskervill $836,127 127 Ayers Saint Gross $743,118 128 Elkus Manfredi Architects $623,806 129 WD Partners $600,000 130 Method Architecture $589,550 131 Randall-Paulson Architects $581,938 132 Kohn Pederesen Fox Associates $507,823 133 Carrier Johnson + Culture $469,274 134 Zyscovich $410,000 135 Álvarez-Díaz & Villalón Architecture & Interior Design $382,484 136 STR Partners $370,429 137 Think Architecture $364,000 – KCBA Architects $364,000 139 MBH Architects $358,000 140 Bailey Edward Design $350,912 141 Dahlin Group Architecture | Planning $348,747 142 VLK Architects $340,000 143 CBRE $332,560 144 Whitman, Requardt & Associates $330,966 145 Michael Baker International $254,730 146 AE Design Group $187,979 147 AE7 $155,362 148 Kitchen & Associates $149,500 149 Rule Joy Trammell Rubio $142,893 150 KZF Design $126,950 151 GRW $113,395 152 ATA Beilharz Architects $109,500 153 JLL $109,455 154 CTA Architects $104,733 155 LRK $103,000 156 Luminaut $84,921 157 Grimm + Parker Architects $77,239 158 Garmann Miller $75,920 159 Manning $70,074 160 Larson Design Group $68,718 161 GFF $52,952 162 //3877 $48,914 163 V Squared Workshop $41,693 164 KG+D Architects $40,025 165 DLA Architects, Ltd. $37,700 166 FGM Architects $18,016 167 H. Hendy Associates $16,411 168 DLA+ Architecture & Interior Design $10,329 169 KGD Architecture $9,000 170 ThenDesign Architetcure $4,662 171 Cooper Carry $3,903 172 NSPJ Architects $2,432 173 BSB Design $1,500

Source: 2022 Giants 400 Report 

 

2022 GIANTS 400 - AEC DISCIPLINE RANKINGS

A. Top 180 Architecture Firms
B. Top 110 Architecture/Engineering (AE) Firms
C. Top 80 Engineering Firms
D. Top 45 Engineering/Architecture (EA) Firms
E. Top 200 Contractors                
F. Top 90 Construction Management Firms   
             

 

2022 GIANTS 400 - BUILDING SECTOR AND SPECIALTY RANKINGS                 

Note: All categories below except for 08 and 23 include multiple rankings for the sector: Top Architecture+AE Firms; Top Engineering+EA Firms; and Top Contractors+CM Firms.

01. Airport Terminals
• Top 55 Airport Terminal Architecture and AE Firms
• Top 65 Airport Terminal Engineering and EA Firms
• Top 60 Airport Terminal Contractors and CM Firms

02. Convention Centers/Conference Centers
• Top 35 Convention Center Architecture + AE Firms for 2022
• Top 30 Convention Center Engineering + EA Firms for 2022
• Top 25 Convention Center Contractors + CM Firms for 2022

03. Cultural Facilities – All Cultural Facilities Work   
• Top 110 Cultural Facilities Architecture and AE Firms – All Cultural Facilities Work
• Top 55 Cultural Facilities Engineering and EA Firms – All Cultural Facilities Work
• Top 55 Cultural Facilities Contractors and CM Firms – All Cultural Facilities Work 

04. Cultural Facilities – Museums and Galleries
• Top 70 Cultural Facilities Architecture and AE Firms – Museums and Galleries
• Top 40 Cultural Facilities Engineering and EA Firms – Museums and Galleries
• Top 35 Cultural Facilities Contractors and CM Firms – Museums and Galleries

05. Cultural Facilities – Performing Arts and Concert Venues
• Top 55 Cultural Facilities Architecture and AE Firms – Performing Arts and Concert Venues
• Top 40 Cultural Facilities Engineering and EA Firms – Performing Arts and Concert Venues
• Top 30 Cultural Facilities Contractors and CM Firms – Performing Arts and Concert Venues

06. Cultural Facilities – Public Libraries
• Top 50 Cultural Facilities Architecture and AE Firms – Public Libraries
• Top 30 Cultural Facilities Engineering and EA Firms – Public Libraries
• Top 20 Cultural Facilities Contractors and CM Firms – Public Libraries

07. Data Centers        
• Top 30 Data Center Sector Architecture and AE Firms
• Top 60 Data Center Sector Engineering and EA Firms
• Top 50 Data Center Sector Contractors and CM Firms

08. Design-Build Work
• Top 100 Design-Build Construction Firms

09. Government - All Government Buildings Work
• Top 160 Government Sector Architecture + AE Firms - All Government Work
• Top 90 Government Sector Engineering + EA Firms - All Government Work
• Top 90 Government Sector Contractors + CM Firms - All Government Work

10. Government - Federal Civilian Government
• Top 70 Federal Government Architecture + AE Firms 
• Top 65 Federal Government Engineering + EA Firms 
• Top 45 Federal Government Contractors + CM Firms 

11. Government - Local Government Buildings
• Top 130 Local Government Architecture + AE Firms 
• Top 80 Local Government Engineering + EA Firms 
• Top 70 Local Government Contractors + CM Firms 

12. Government - State Government Buildings
• Top 80 State Government Architecture + AE Firms 
• Top 55 State Government Engineering + EA Firms 
• Top 45 State Government Contractors + CM Firms

13. Government - Military
• Top 50 Military Facility Architecture + AE Firms 
• Top 50 Military Facility Engineering + EA Firms 
• Top 35 Military Facility Contractors + CM Firms 

14. Government - Veterans Administration Facilities
• Top 40 Veterans Administration (VA) Facility Architecture + AE Firms 
• Top 25 Veterans Administration (VA) Facility Engineering + EA Firms 
• Top 15 Veterans Administration (VA) Facility Contractors + CM Firms

15. Healthcare – All Healthcare Facilities Work
• Top 170 Healthcare Sector Architecture and AE Firms
• Top 90 Healthcare Sector Engineering and EA Firms
• Top 115 Healthcare Sector Contractors and CM Firms       

16. Healthcare – Hospitals
• Top 130 Hospital Facility Architecture and AE Firms
• Top 80 Hospital Facility Engineering and EA Firms
• Top 90 Hospital Facility Contractors and CM Firms 

17. Healthcare – Medical Office Buildings, Dental Offices
• Top 100 Medical Office Building Architecture and AE Firms
• Top 50 Medical Office Building Engineering and EA Firms
• Top 60 Medical Office Building Contractors and CM Firms

18. Healthcare – Outpatient Facilities 
• Top 100 Outpatient Facility Architecture and AE Firms
• Top 40 Outpatient Facility Engineering and EA Firms
• Top 60 Outpatient Facility Contractors and CM Firms

19. Hospitality – All Hospitality Facilities Work (Hotels, Resorts, Casinos)
• Top 120 Hospitality Facility Sector Architecture and AE Firms
• Top 70 Hospitality Facility Engineering and EA Firms
• Top 90 Hospitality Facility Contractors and CM Firms

20. Hospitality — Hotel, Resorts
• Top 115 Hotel Sector Architecture and AE Firms for 2022
• Top 70 Hotel and Resort Engineering and EA Firms
• Top 80 Hotel and Resort Contractors and CM Firms

21. Hospitality — Casinos
• Top 20 Casino Architecture and AE Firms
• Top 25 Casino Engineering and EA Firms
• Top 25 Casino Contractors and CM Firms

22. Industrial Buildings — Manufacturing Plants, Warehouses
• Top 95 Industrial Facility Architecture and AE Firms
• Top 90 Industrial Facility Engineering and EA Firms
• Top 110 Industrial Facility Contractors and CM Firms
       
23. Integrated Project Delivery (IPD)

• Top 20 Integrated Project Delivery (IPD) Construction Firms for 2022

24. Multifamily — All Multifamily Facilities Work
Top 175 Multifamily Sector Architecture and AE Firms — All Multifamily Facilities Work
Top 75 Multifamily Sector Engineering and EA Firms — All Multifamily Facilities Work
Top 110 Multifamily Sector Contractors and CM Firms — All Multifamily Facilities Work

25. Multifamily — Apartments, Condominiums
Top 155 Multifamily Sector Architecture and AE Firms — Apartments, Condominiums Work
Top 65 Multifamily Sector Engineering and EA Firms — Apartments, Condominiums Work
Top 100 Multifamily Sector Contractors and CM Firms — Apartments, Condominiums Work

26. Multifamily — Senior Living Facilities
Top 80 Multifamily Sector Architecture and AE Firms — Senior Living Facilities
Top 30 Multifamily Sector Engineering and EA Firms — Senior Living Facilities
Top 50 Multifamily Sector Contractors and CM Firms — Senior Living Facilities

27. Multifamily — Student Housing Facilities
Top 70 Multifamily Sector Architecture and AE Firms — Student Housing Facilities
Top 35 Multifamily Sector Engineering and EA Firms — Student Housing Facilities
Top 40 Multifamily Sector Contractors and CM Firms — Student Housing Facilities

28. Office — All Office Building Work                
• Top 200 Office Sector Architecture and AE Firms
• Top 85 Office Sector Engineering and EA Firms
• Top 130 Office Sector Contractors and CM Firms

29. Office — Buildings/Core+Shell 
• Top 150 Office Building Core+Shell Architecture + AE Firms 
• Top 75 Office Building Core+Shell Engineering + EA Firms
• Top 100 Office Building Core+Shell Contractors and CM Firms

30. Office — Workplace/Interior Fitouts 
• Top 165 Workplace/Interior Fitout Architecture and AE Firms
• Top 50 Workplace/Interior Fitout Engineering and EA Firms
• Top 90 Workplace/Interior Fitout Contractors and CM Firms

31. Parking Structures
• Top 50 Parking Structure Architecture and AE Firms 
• Top 40 Parking Structure Engineering and EA Firms
• Top 40 Parking Structure Contractors + CM Firms 

32. Public Safety/Justice Facilities
• Top 80 Justice Facility/Public Safety Sector Architecture and AE Firms
• Top 50 Justice Facility/Public Safety Sector Engineering and EA Firms
• Top 55 Justice Facility/Public Safety Contractors + CM Firms

33. Reconstruction Work
• Top 200 Reconstruction Sector Architecture and AE Firms
• Top 70 Reconstruction Sector Engineering and EA Firms
• Top 140 Reconstruction Sector Contractors + CM Firms

34. Religious Structures/Places of Worship
• Top 80 Religious Facility Architecture and AE Firms
• Top 50 Religious Facility Engineering and EA Firms
• Top 40 Religious Facility Contractors + CM Firms

35. Retail — All Retail Buildings Work               
• Top 130 Retail Sector Architecture and AE Firms — All Retail Buildings Work
• Top 70 Retail Sector Engineering and EA Firms — All Retail Buildings Work
• Top 80 Retail Sector Contractors and CM Firms — All Retail Buildings Work

36. Retail — Entertainment Centers, Cineplexes, Theme Parks
• Top 30 Retail Architecture and AE Firms — Entertainment Centers, Cineplexes, Theme Parks
• Top 30 Retail Engineering and EA Firms — Entertainment Centers, Cineplexes, Theme Parks
• Top 30 Retail Contractors and CM Firms — Entertainment Centers, Cineplexes, Theme Parks

37. Retail — Malls, Big Box Stores, Strip Centers
• Top 90 Retail Architecture and AE Firms - Malls, Big Box Stores, Strip Centers
• Top 50 Retail Engineering and EA Firms — Malls, Big Box Stores, Strip Centers
• Top 60 Retail Contractors and CM Firms — Malls, Big Box Stores, Strip Centers

38. Retail — Restaurants
• Top 95 Retail Architecture and AE Firms — Restaurants
• Top 40 Retail Engineering and EA Firms — Restaurants
• Top 35 Retail Contractors and CM Firms — Restaurants

39. Science & Technology (S+T) Facilities - All S+T Buildings Work
• Top 100 Science + Technology Facility Architecture and AE Firms
• Top 70 Science + Technology Facility Engineering and EA Firms
• Top 70 Science + Technology Facility Contractors and CM Firms
          
40. Science & Technology — Laboratories

• Top 85 Laboratory Facility Architecture and AE Firms
• Top 55 Laboratory Facility Engineering and EA Firms
• Top 45 Laboratory Facility Contractors and CM Firms              

41. Schools — PK-12, Public, Private, Charter, Military
• Top 160 K-12 School Sector Architecture and AE Firms
• Top 70 K-12 School Sector Engineering and EA Firms
• Top 100 K-12 School Sector Contractors and CM Firms

42. Sports Facilities/Stadiums/Recreation Facilities 
• Top 110 Sports Facility Architecture and AE Firms
• Top 75 Sports Facility Engineering and EA Firms
• Top 60 Sports Facility Contractors and CM Firms      

43. Telecommunications Buildings
• Top 7 Telecommunications Facility Sector Architecture and AE Firms
• Top 20 Telecommunications Facility Sector Engineering and EA Firms
• Top 10 Telecommunications Facilities Contractors + CM Firms

44. Transit Facilities — Bus/Rail Terminals and Stations
• Top 40 Transit Facility Architecture and AE Firms
• Top 40 Transit Facility Engineering and EA Firms
• Top 20 Transit Facilities Contractors + CM Firms

45. University / College Facilities 
• Top University Sector Architecture and AE Firms
• Top University Sector Engineering and EA Firms
• Top University Sector Contractors and CM Firms

 

PAST GIANTS 400 REPORTS

2021 Giants 400 Report
2020 Giants 400 Report
2019 Giants 300 Report
2018 Giants 300 Report
2017 Giants 300 Report

 

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