Giants 400

Top 130 Hospital Facility Architecture Firms for 2023

Jan. 15, 2024
15 min read

HKS, HDR, Stantec, CannonDesign, and Page Southerland Page top BD+C's ranking of the nation's largest hospital facility architecture and architecture engineering (AE) firms for 2023, as reported in the 2023 Giants 400 Report.

 

Top 130 Hospital Facility Architecture Firms for 2023
 FIRM2022 REVENUE
1HKS$254,000,000
2HDR$250,172,000
3Stantec$135,363,767
4CannonDesign$135,000,000
5Page Southerland Page$121,344,600
6HOK$95,716,304
7NBBJ$93,000,000
8Perkins&Will$73,144,712
9HGA$70,220,279
10SmithGroup$68,841,965
11Gresham Smith$63,260,803
12Ballinger$57,511,672
13CO Architects$46,703,106
14ZGF$45,335,726
15HMC Architects$42,919,979
16Perkins Eastman$39,973,822
17Arcadis North America$35,469,236
18E4H Environments for Health Architecture$32,975,832
19Stengel Hill Architecture$28,459,170
20Shepley Bulfinch$27,007,718
21S/L/A/M Collaborative, The$24,507,589
22Flad Architects$23,142,600
23NORR$22,753,547
24LEO A DALY$22,538,712
25EwingCole$20,685,000
26RBB Architects$20,370,000
27BSA LifeStructures$19,825,282
28Taylor Design$18,716,733
29HED$18,300,000
30Payette$17,707,420
31FCArchitects$17,140,201
32BWBR$16,137,195
33McMillan Pazdan Smith$13,249,534
34Guidon$13,242,223
35HFG Architecture$13,120,105
36DLR Group$13,030,000
37GBBN$12,950,000
38Barge Design Solutions$12,607,047
39Blair + Mui Dowd Architects$11,942,853
40Cuningham$11,584,433
41Champlin Architecture$10,216,404
42Hoefer Welker$9,400,000
43CPL Architecture, Engineering, Planning$8,972,228
44HuntonBrady Architects$8,969,466
45DesignGroup$8,890,000
46AE Works$8,500,000
47Ratcliff Architecture$8,200,000
48LPA$8,133,247
49Marmon Mok$8,056,440
50Pulse Design Group$7,935,600
51Wold Architects and Engineers$7,740,000
52Hord Coplan Macht$7,646,046
53Corgan$7,639,110
54Orcutt | Winslow$7,250,198
55Goodwyn Mills Cawood$7,064,852
56Grace Hebert Curtis Architects$7,061,588
57LS3P Associates$6,971,197
58NAC Architecture$6,839,844
59REES$6,315,000
60Cushing Terrell$5,911,460
61INVISION Architecture$5,798,900
62EUA$5,725,000
63Zimmerman Architectural Studios$5,593,584
64CB Design Group$5,490,779
65TreanorHL$5,392,941
66Kahler Slater$5,300,000
--IKM Architecture$5,300,000
68Little Diversified Architectural Consulting$4,473,600
69Mascari Warner Dinh Architects$4,400,000
70Nelson Worldwide$4,250,000
71RS&H$4,200,000
--Eckenhoff Saunders Architects$4,200,000
73Diamond Schmitt Architects$3,961,465
74Skidmore, Owings & Merrill$3,782,000
75May Architecture$3,771,173
76PF&A Design$3,709,240
77Moody Nolan$3,447,166
78Anderson Mikos Architects$3,444,000
79Gensler$3,410,172
80Cromwell Architects Engineers$3,385,319
81Studio+$3,273,816
82CSO$3,245,570
83Hafer$3,238,951
84Urbahn Architects$3,010,300
85RATIO Design$2,882,461
86DGA$2,789,259
87RSP Architects$2,539,000
88Diekema Hamann Architecture$2,450,792
89TVS$2,374,414
90Kohn Pedersen Fox$2,347,310
91Margulies Perruzzi$2,134,080
92LHB$2,013,300
93AHL$1,938,007
94Jeffrey Berman Architect$1,785,000
95Oculus$1,681,802
96Kitchell$1,608,083
97MA Design$1,593,366
98Becker Morgan Group$1,571,107
99TETER$1,541,081
100MKM Architecture + Design$1,524,480
101TPG Architecture$1,506,000
102Creative Design Solutions$1,405,000
103Tighe & Bond$1,373,340
104Parkhill$1,280,347
105RDG Planning & Design$1,195,863
106GPD Group$1,131,000
107Architecture, Inc.$1,040,800
108Dahlin Architecture | Planning | Interiors$1,004,000
109H2M Architects + Engineers$980,244
110JRS Architect$950,000
111Legat Architects$916,000
112TowerPinkster$906,576
113LaBella Associates$801,000
114Design Collaborative$797,486
115BCA Architects & Engineers$775,000
116Ware Malcomb$766,533
117Ryan Companies US$550,000
118Clark & Enersen$511,961
119G70$470,660
120Bailey Edward Design$447,946
121SWBR$393,321
122Grimm + Parker Architects$300,987
123Carrier Johnson + Culture$244,209
124RRMM Architects$181,620
125Kirksey Architecture$147,696
126GRW$142,765
127Elkus Manfredi Architects$85,834
128Greenberg Farrow$74,000
129AE7$63,470
130V Squared Workshop$58,436
131GFF$42,068
132Lord Aeck Sargent Planning & Design$32,650
133Core States Group$18,044
134JCJ Architecture$10,000
135JLL$9,297
 

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

Sign up for Building Design+Construction Newsletters