Giants 400

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

Aug. 27, 2021
39 min read

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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