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Top 175 Healthcare Architecture Firms for 2023

Giants 400

Top 175 Healthcare Architecture Firms for 2023

HDR, HKS, CannonDesign, Stantec, and SmithGroup top BD+C's ranking of the nation's largest healthcare sector architecture and architecture/engineering (AE) firms for 2023, as reported in Building Design+Construction's 2023 Giants 400 Report.


By BD+C Staff | October 5, 2023
Top 175 Healthcare Architecture Firms for 2023, Innovation Tower is a 324,900-sf medical office building on AdventHealth's Orlando, Fla., campus.
Innovation Tower is a 324,900-sf medical office building on AdventHealth's Orlando, Fla., campus. The project was designed by HuntonBrady Architects. Photo courtesy HuntonBrady Architects

HDR, HKS, CannonDesign, Stantec, and SmithGroup top BD+C's ranking of the nation's largest healthcare sector architecture and architecture/engineering (AE) firms for 2023, as reported in Building Design+Construction's 2023 Giants 400 Report. Note: This ranking includes revenue related to all healthcare buildings work, including hospitals, medical office buildings, and outpatient facilities.  

 

Top 175 Healthcare Architecture Firms for 2023
 FIRM2022 REVENUE
1HDR$294,320,000
2HKS$254,000,000
3CannonDesign$210,000,000
4Stantec$177,641,699
5SmithGroup$153,372,173
6Page Southerland Page$139,417,200
7HOK$112,616,365
8Perkins&Will$111,548,705
9NBBJ$93,000,000
10HGA$82,490,811
11Gresham Smith$80,724,950
12ZGF$76,726,107
13E4H Environments for Health Architecture$64,548,437
14Ballinger$64,386,096
15HMC Architects$54,539,538
16CO Architects$52,485,458
17Arcadis North America$45,410,272
18EwingCole$31,685,079
19Stengel Hill Architecture$30,936,147
20BSA LifeStructures$30,124,041
21S/L/A/M Collaborative, The$29,552,733
22Gensler$29,418,102
23Shepley Bulfinch$27,007,718
24Flad Architects$26,910,000
25LEO A DALY$26,661,289
26Taylor Design$26,282,591
27FCArchitects$25,395,697
28GBBN$24,790,000
29RBB Architects$23,890,000
30BWBR$23,829,164
31NORR$22,753,547
32NAC Architecture$19,710,241
33Hoefer Welker$18,900,000
34HuntonBrady Architects$18,777,365
35HED$18,300,000
36Payette$17,707,420
37HFG Architecture$15,530,181
38Cuningham$15,031,696
39Hord Coplan Macht$14,703,934
40LPA$14,494,131
41Little Diversified Architectural Consulting$14,212,600
42Ratcliff Architecture$14,200,000
43LS3P Associates$13,914,339
44Guidon$13,861,556
45Blair + Mui Dowd Architects$13,773,158
46Champlin Architecture$13,694,250
47McMillan Pazdan Smith$13,249,534
48DLR Group$13,030,000
49Corgan$12,657,353
50Barge Design Solutions$12,607,047
51Kirksey Architecture$12,240,042
52Pulse Design Group$11,670,000
53DesignGroup$11,340,000
54Kohn Pedersen Fox$10,805,957
55Kahler Slater$10,800,000
56Massa Multimedia Architecture$10,651,874
57Grace Hebert Curtis Architects$10,645,247
58CPL Architecture, Engineering, Planning$10,377,769
59EUA$9,770,000
60Orcutt | Winslow$9,478,973
61INVISION Architecture$9,279,215
62AE Works$9,150,000
63Goodwyn Mills Cawood$8,931,328
64Cushing Terrell$8,889,471
65Mascari Warner Dinh Architects$8,617,370
66Eckenhoff Saunders Architects$8,200,000
67RS&H$8,100,000
68Marmon Mok$8,056,440
69Anderson Mikos Architects$7,856,500
70Wold Architects and Engineers$7,740,000
71Moody Nolan$7,539,366
72Nelson Worldwide$7,000,000
73IKM Architecture$6,850,000
74May Architecture$6,646,102
75CB Design Group$6,528,972
76TreanorHL$6,321,433
77REES$6,315,000
78RSP Architects$6,153,000
79Zimmerman Architectural Studios$5,955,418
80RDG Planning & Design$5,313,232
81Architecture, Inc.$5,204,000
82Studio+$5,115,783
83Interior Architects$5,110,000
84GPD Group$4,808,000
85Cromwell Architects Engineers$4,723,842
86DGA$4,648,765
87Hafer$4,200,749
88PF&A Design$4,032,789
89Diamond Schmitt Architects$3,961,465
90Skidmore, Owings & Merrill$3,782,000
91Onyx Creative$3,640,000
92Rule Joy Trammell Rubio$3,454,000
93LaBella Associates$3,441,000
94Ryan Companies US$3,330,000
95CSO$3,262,438
96Parkhill$3,216,719
97Ware Malcomb$3,139,968
98H2M Architects + Engineers$3,100,095
99Urbahn Architects$3,010,300
100MKM Architecture + Design$2,976,233
101Jeffrey Berman Architect$2,975,000
102CESO$2,913,000
103RATIO Design$2,882,461
104Design Collaborative$2,811,600
105Margulies Perruzzi$2,771,533
106Oculus$2,708,040
107CosciaMoos Architecture$2,700,358
108Core States Group$2,678,026
109MA Design$2,551,332
110Diekema Hamann Architecture$2,450,792
111TETER$2,389,579
112TVS$2,374,414
113PGAL$2,290,000
114AHL$2,107,549
115LHB$2,013,300
116Legat Architects$1,831,000
117Creative Design Solutions$1,805,000
118Kitchell$1,608,083
119Becker Morgan Group$1,571,107
120TPG Architecture$1,506,000
121TowerPinkster$1,443,915
122WD Partners$1,390,000
123Tighe & Bond$1,373,340
124Baskervill$1,355,835
125SWBR$1,289,741
126Lantz-Boggio Architects$1,200,000
127Spiezle Architectural Group$1,184,000
128AO$1,080,000
129JRS Architect$1,075,000
130Dattner Architects$1,054,920
131Dahlin Architecture | Planning | Interiors$1,044,000
132LK Architecture$1,000,000
133BCA Architects & Engineers$975,000
134Clark & Enersen$858,270
135Schmidt Associates$844,500
136Roth Sheppard Architects$713,873
137Greenberg Farrow$618,000
138Álvarez-Díaz & Villalón$600,000
139Larson Design Group$573,143
140Bailey Edward Design$557,754
141LRK$554,000
142G70$470,660
143RRMM Architects$433,870
144Bergmeyer$429,898
145VLK Architects$402,400
146Think Architecture$381,493
147Thriven Design$357,586
148STR Partners$310,423
149Randall-Paulson Architects$309,233
150Method Architecture$305,702
151Grimm + Parker Architects$300,987
152//3877$295,000
153MSA Design + MSA Sport$287,000
154Garmann Miller$254,271
155MBH Architects$246,000
156Carrier Johnson + Culture$244,209
157Curtis + Ginsberg Architects$216,144
158ATA Beilharz Architects$215,989
159Whitman, Requardt & Associates$188,671
160Elevatus Architecture$150,000
161GRW$142,765
162DAG Architects$129,151
163Lord Aeck Sargent Planning & Design$103,798
164Hendy$89,446
165Elkus Manfredi Architects$85,834
166SHP$76,914
167Aria Group Architects$74,979
168Solomon Cordwell Buenz (SCB)$72,300
169V Squared Workshop$67,416
170FSB Architects + Engineers$66,512
171AE7$63,470
172McKinley Architecture and Engineering$62,804
173NBJ Architecture$58,702
174BHDP Architecture$42,548
175GFF$42,068
176Michael Baker Intl.$29,086
177Cooper Carry$28,056
178JCJ Architecture$10,000
179JLL$9,297
180KGD Architecture$3,000
181NSPJ Architects$2,425
182ThenDesign Architecture$1,166
 

Source: 2023 Giants 400 Report

 

2023 GIANTS 400 REPORT - TOP ARCHITECTURE FIRMS, ENGINEERING FIRMS, AND CONSTRUCTION COMPANIES

A. Top 175 Architecture Firms 
B. Top 115 Architecture/Engineering (AE) Firms 
C. Top 75 Engineering Firms 
D. Top 35 Engineering/Architecture (EA) Firms 
E. Top 150 Contractors                 
F. Top 80 Construction Management Firms                

 

2023 GIANTS 400 REPORT - TOP AEC FIRMS BY 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 65 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 40 Convention Center Architecture + AE Firms
• Top 30 Convention Center Engineering + EA Firms 
• Top 20 Convention Center Contractors + CM Firms

03. Cultural Facilities – All Cultural Facilities Work    
• Top 110 Cultural Facilities Architecture and AE Firms – All Cultural Facilities Work 
• Top 60 Cultural Facilities Engineering and EA Firms – All Cultural Facilities Work 
• Top 65 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 40 Cultural Facilities Contractors and CM Firms – Museums and Galleries

05. Cultural Facilities – Performing Arts and Concert Venues 
• Top 60 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 35 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 90 Design-Build Construction Firms

09. Government - All Government Buildings Work 
• Top 170 Government Sector Architecture + AE Firms - All Government Work 
• Top 90 Government Sector Engineering + EA Firms - All Government Work 
• Top 100 Government Sector Contractors + CM Firms - All Government Work

10. Government - Federal Civilian Government 
• Top 70 Federal Government Architecture + AE Firms  
• Top 60 Federal Government Engineering + EA Firms  
• Top 50 Federal Government Contractors + CM Firms 

11. Government - Local Government Buildings 
• Top 150 Local Government Architecture + AE Firms  
• Top 80 Local Government Engineering + EA Firms  
• Top 80 Local Government Contractors + CM Firms 

12. Government - State Government Buildings 
• Top 90 State Government Architecture + AE Firms  
• Top 50 State Government Engineering + EA Firms  
• Top 50 State Government Contractors + CM Firms

13. Government - Military 
• Top 40 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 35 Veterans Affairs (VA) Facility Architecture + AE Firms  
• Top 20 Veterans Affairs (VA) Facility Engineering + EA Firms  
• Top 15 Veterans Affairs (VA) Facility Contractors + CM Firms

15. Healthcare – All Healthcare Facilities Work 
Top 175 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 110 Medical Office Building Architecture and AE Firms 
Top 50 Medical Office Building Engineering and EA Firms 
Top 70 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 130 Hospitality Facility Sector Architecture and AE Firms 
Top 75 Hospitality Facility Engineering and EA Firms 
Top 80 Hospitality Facility Contractors and CM Firms

20. Hospitality — Hotel, Resorts 
Top 120 Hotel Sector Architecture and AE Firms
Top 70 Hotel and Resort Engineering and EA Firms 
Top 80 Hotel and Resort Contractors and CM Firms

21. Hospitality — Casinos 
Top 10 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 100 Industrial Facility Architecture and AE Firms 
Top 90 Industrial Facility Engineering and EA Firms 
Top 100 Industrial Facility Contractors and CM Firms 
        
23. Integrated Project Delivery (IPD) 
Top 20 Integrated Project Delivery (IPD) Construction Firms

24. Multifamily — All Multifamily Facilities Work 
Top 190 Multifamily Sector Architecture and AE Firms — All Multifamily Facilities Work 
Top 75 Multifamily Sector Engineering and EA Firms — All Multifamily Facilities Work 
Top 115 Multifamily Sector Contractors and CM Firms — All Multifamily Facilities Work

25. Multifamily — Apartments, Condominiums 
Top 160 Multifamily Sector Architecture and AE Firms — Apartments, Condominiums Work 
Top 70 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 40 Multifamily Sector Engineering and EA Firms — Senior Living Facilities 
Top 60 Multifamily Sector Contractors and CM Firms — Senior Living Facilities

27. Multifamily — Student Housing Facilities 
Top 90 Multifamily Sector Architecture and AE Firms — Student Housing Facilities 
Top 30 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 90 Office Sector Engineering and EA Firms 
Top 120 Office Sector Contractors and CM Firms

29. Office — Buildings/Core+Shell  
Top 140 Office Building Core+Shell Architecture + AE Firms  
Top 80 Office Building Core+Shell Engineering + EA Firms 
Top 100 Office Building Core+Shell Contractors and CM Firms

30. Office — Workplace/Interior Fitouts  
Top 160 Workplace/Interior Fitout Architecture and AE Firms 
Top 50 Workplace/Interior Fitout Engineering and EA Firms 
Top 80 Workplace/Interior Fitout Contractors and CM Firms

31. Parking Structures 
Top 60 Parking Structure Architecture and AE Firms  
Top 45 Parking Structure Engineering and EA Firms 
Top 55 Parking Structure Contractors + CM Firms 

32. Public Safety/Justice Facilities 
Top 90 Justice Facility/Public Safety Sector Architecture and AE Firms 
Top 60 Justice Facility/Public Safety Sector Engineering and EA Firms 
Top 50 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 140 Retail Sector Architecture and AE Firms — All Retail Buildings Work 
Top 75 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 40 Retail Engineering and EA Firms — Entertainment Centers, Cineplexes, Theme Parks 
Top 40 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 60 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 90 Retail Architecture and AE Firms — Restaurants 
Top 40 Retail Engineering and EA Firms — Restaurants 
Top 40 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 of 80 Science + Technology Facility Contractors and CM Firms 
           
40. Science & Technology — Laboratories 
Top 100 Laboratory Facility Architecture and AE Firms 
Top 60 Laboratory Facility Engineering and EA Firms 
Top 55 Laboratory Facility Contractors and CM Firms              

41. Schools — PK-12, Public, Private, Charter, Military 
Top 170 K-12 School Sector Architecture and AE Firms 
Top 80 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 130 Sports Facility Architecture and AE Firms 
Top 70 Sports Facility Engineering and EA Firms 
Top 70 Sports Facility Contractors and CM Firms      

43. Telecommunications Buildings 
Top 10 Telecommunications Facility Sector Architecture and AE Firms 
Top 25 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 25 Transit Facilities Contractors + CM Firms

45. University / College Facilities  
• Top 170 University Sector Architecture and AE Firms 
• Top 80 University Sector Engineering and EA Firms 
• Top 100 University Sector Contractors and CM Firms

 

PAST GIANTS 400 REPORTS

2022 Giants 400 Report
2021 Giants 400 Report 
2020 Giants 400 Report 
2019 Giants 300 Report 
2018 Giants 300 Report 
2017 Giants 300 Report

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