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 | ||
| FIRM | 2022 REVENUE | |
| 1 | HDR | $294,320,000 |
| 2 | HKS | $254,000,000 |
| 3 | CannonDesign | $210,000,000 |
| 4 | Stantec | $177,641,699 |
| 5 | SmithGroup | $153,372,173 |
| 6 | Page Southerland Page | $139,417,200 |
| 7 | HOK | $112,616,365 |
| 8 | Perkins&Will | $111,548,705 |
| 9 | NBBJ | $93,000,000 |
| 10 | HGA | $82,490,811 |
| 11 | Gresham Smith | $80,724,950 |
| 12 | ZGF | $76,726,107 |
| 13 | E4H Environments for Health Architecture | $64,548,437 |
| 14 | Ballinger | $64,386,096 |
| 15 | HMC Architects | $54,539,538 |
| 16 | CO Architects | $52,485,458 |
| 17 | Arcadis North America | $45,410,272 |
| 18 | EwingCole | $31,685,079 |
| 19 | Stengel Hill Architecture | $30,936,147 |
| 20 | BSA LifeStructures | $30,124,041 |
| 21 | S/L/A/M Collaborative, The | $29,552,733 |
| 22 | Gensler | $29,418,102 |
| 23 | Shepley Bulfinch | $27,007,718 |
| 24 | Flad Architects | $26,910,000 |
| 25 | LEO A DALY | $26,661,289 |
| 26 | Taylor Design | $26,282,591 |
| 27 | FCArchitects | $25,395,697 |
| 28 | GBBN | $24,790,000 |
| 29 | RBB Architects | $23,890,000 |
| 30 | BWBR | $23,829,164 |
| 31 | NORR | $22,753,547 |
| 32 | NAC Architecture | $19,710,241 |
| 33 | Hoefer Welker | $18,900,000 |
| 34 | HuntonBrady Architects | $18,777,365 |
| 35 | HED | $18,300,000 |
| 36 | Payette | $17,707,420 |
| 37 | HFG Architecture | $15,530,181 |
| 38 | Cuningham | $15,031,696 |
| 39 | Hord Coplan Macht | $14,703,934 |
| 40 | LPA | $14,494,131 |
| 41 | Little Diversified Architectural Consulting | $14,212,600 |
| 42 | Ratcliff Architecture | $14,200,000 |
| 43 | LS3P Associates | $13,914,339 |
| 44 | Guidon | $13,861,556 |
| 45 | Blair + Mui Dowd Architects | $13,773,158 |
| 46 | Champlin Architecture | $13,694,250 |
| 47 | McMillan Pazdan Smith | $13,249,534 |
| 48 | DLR Group | $13,030,000 |
| 49 | Corgan | $12,657,353 |
| 50 | Barge Design Solutions | $12,607,047 |
| 51 | Kirksey Architecture | $12,240,042 |
| 52 | Pulse Design Group | $11,670,000 |
| 53 | DesignGroup | $11,340,000 |
| 54 | Kohn Pedersen Fox | $10,805,957 |
| 55 | Kahler Slater | $10,800,000 |
| 56 | Massa Multimedia Architecture | $10,651,874 |
| 57 | Grace Hebert Curtis Architects | $10,645,247 |
| 58 | CPL Architecture, Engineering, Planning | $10,377,769 |
| 59 | EUA | $9,770,000 |
| 60 | Orcutt | Winslow | $9,478,973 |
| 61 | INVISION Architecture | $9,279,215 |
| 62 | AE Works | $9,150,000 |
| 63 | Goodwyn Mills Cawood | $8,931,328 |
| 64 | Cushing Terrell | $8,889,471 |
| 65 | Mascari Warner Dinh Architects | $8,617,370 |
| 66 | Eckenhoff Saunders Architects | $8,200,000 |
| 67 | RS&H | $8,100,000 |
| 68 | Marmon Mok | $8,056,440 |
| 69 | Anderson Mikos Architects | $7,856,500 |
| 70 | Wold Architects and Engineers | $7,740,000 |
| 71 | Moody Nolan | $7,539,366 |
| 72 | Nelson Worldwide | $7,000,000 |
| 73 | IKM Architecture | $6,850,000 |
| 74 | May Architecture | $6,646,102 |
| 75 | CB Design Group | $6,528,972 |
| 76 | TreanorHL | $6,321,433 |
| 77 | REES | $6,315,000 |
| 78 | RSP Architects | $6,153,000 |
| 79 | Zimmerman Architectural Studios | $5,955,418 |
| 80 | RDG Planning & Design | $5,313,232 |
| 81 | Architecture, Inc. | $5,204,000 |
| 82 | Studio+ | $5,115,783 |
| 83 | Interior Architects | $5,110,000 |
| 84 | GPD Group | $4,808,000 |
| 85 | Cromwell Architects Engineers | $4,723,842 |
| 86 | DGA | $4,648,765 |
| 87 | Hafer | $4,200,749 |
| 88 | PF&A Design | $4,032,789 |
| 89 | Diamond Schmitt Architects | $3,961,465 |
| 90 | Skidmore, Owings & Merrill | $3,782,000 |
| 91 | Onyx Creative | $3,640,000 |
| 92 | Rule Joy Trammell Rubio | $3,454,000 |
| 93 | LaBella Associates | $3,441,000 |
| 94 | Ryan Companies US | $3,330,000 |
| 95 | CSO | $3,262,438 |
| 96 | Parkhill | $3,216,719 |
| 97 | Ware Malcomb | $3,139,968 |
| 98 | H2M Architects + Engineers | $3,100,095 |
| 99 | Urbahn Architects | $3,010,300 |
| 100 | MKM Architecture + Design | $2,976,233 |
| 101 | Jeffrey Berman Architect | $2,975,000 |
| 102 | CESO | $2,913,000 |
| 103 | RATIO Design | $2,882,461 |
| 104 | Design Collaborative | $2,811,600 |
| 105 | Margulies Perruzzi | $2,771,533 |
| 106 | Oculus | $2,708,040 |
| 107 | CosciaMoos Architecture | $2,700,358 |
| 108 | Core States Group | $2,678,026 |
| 109 | MA Design | $2,551,332 |
| 110 | Diekema Hamann Architecture | $2,450,792 |
| 111 | TETER | $2,389,579 |
| 112 | TVS | $2,374,414 |
| 113 | PGAL | $2,290,000 |
| 114 | AHL | $2,107,549 |
| 115 | LHB | $2,013,300 |
| 116 | Legat Architects | $1,831,000 |
| 117 | Creative Design Solutions | $1,805,000 |
| 118 | Kitchell | $1,608,083 |
| 119 | Becker Morgan Group | $1,571,107 |
| 120 | TPG Architecture | $1,506,000 |
| 121 | TowerPinkster | $1,443,915 |
| 122 | WD Partners | $1,390,000 |
| 123 | Tighe & Bond | $1,373,340 |
| 124 | Baskervill | $1,355,835 |
| 125 | SWBR | $1,289,741 |
| 126 | Lantz-Boggio Architects | $1,200,000 |
| 127 | Spiezle Architectural Group | $1,184,000 |
| 128 | AO | $1,080,000 |
| 129 | JRS Architect | $1,075,000 |
| 130 | Dattner Architects | $1,054,920 |
| 131 | Dahlin Architecture | Planning | Interiors | $1,044,000 |
| 132 | LK Architecture | $1,000,000 |
| 133 | BCA Architects & Engineers | $975,000 |
| 134 | Clark & Enersen | $858,270 |
| 135 | Schmidt Associates | $844,500 |
| 136 | Roth Sheppard Architects | $713,873 |
| 137 | Greenberg Farrow | $618,000 |
| 138 | Álvarez-Díaz & Villalón | $600,000 |
| 139 | Larson Design Group | $573,143 |
| 140 | Bailey Edward Design | $557,754 |
| 141 | LRK | $554,000 |
| 142 | G70 | $470,660 |
| 143 | RRMM Architects | $433,870 |
| 144 | Bergmeyer | $429,898 |
| 145 | VLK Architects | $402,400 |
| 146 | Think Architecture | $381,493 |
| 147 | Thriven Design | $357,586 |
| 148 | STR Partners | $310,423 |
| 149 | Randall-Paulson Architects | $309,233 |
| 150 | Method Architecture | $305,702 |
| 151 | Grimm + Parker Architects | $300,987 |
| 152 | //3877 | $295,000 |
| 153 | MSA Design + MSA Sport | $287,000 |
| 154 | Garmann Miller | $254,271 |
| 155 | MBH Architects | $246,000 |
| 156 | Carrier Johnson + Culture | $244,209 |
| 157 | Curtis + Ginsberg Architects | $216,144 |
| 158 | ATA Beilharz Architects | $215,989 |
| 159 | Whitman, Requardt & Associates | $188,671 |
| 160 | Elevatus Architecture | $150,000 |
| 161 | GRW | $142,765 |
| 162 | DAG Architects | $129,151 |
| 163 | Lord Aeck Sargent Planning & Design | $103,798 |
| 164 | Hendy | $89,446 |
| 165 | Elkus Manfredi Architects | $85,834 |
| 166 | SHP | $76,914 |
| 167 | Aria Group Architects | $74,979 |
| 168 | Solomon Cordwell Buenz (SCB) | $72,300 |
| 169 | V Squared Workshop | $67,416 |
| 170 | FSB Architects + Engineers | $66,512 |
| 171 | AE7 | $63,470 |
| 172 | McKinley Architecture and Engineering | $62,804 |
| 173 | NBJ Architecture | $58,702 |
| 174 | BHDP Architecture | $42,548 |
| 175 | GFF | $42,068 |
| 176 | Michael Baker Intl. | $29,086 |
| 177 | Cooper Carry | $28,056 |
| 178 | JCJ Architecture | $10,000 |
| 179 | JLL | $9,297 |
| 180 | KGD Architecture | $3,000 |
| 181 | NSPJ Architects | $2,425 |
| 182 | ThenDesign Architecture | $1,166 |
Source: 2023 Giants 400 Report
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