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Top 100 Outpatient Facility Architecture Firms for 2023

Giants 400

Top 100 Outpatient Facility Architecture Firms for 2023

HDR, CannonDesign, Stantec, Perkins&Will, and ZGF top BD+C's ranking of the nation's largest outpatient facility architecture and architecture engineering (AE) firms for 2023, as reported in the 2023 Giants 400 Report.


By BD+C Staff | January 22, 2024
The Joan and Paul Rubschlager Building at Rush University Medical Center, Chicago, Top 100 Outpatient Facility Architecture Firms for 2023
Pictured: The Joan and Paul Rubschlager Building at Rush University Medical Center, Chicago. On an 11-acre site at the nationā€™s largest urban medical district, the new Joan & Paul Rubschlager Building contains almost a half million square feet of diagnostic, treatment, procedure, clinic, lab, pharmacy, and administrative and faculty office space for Rush University Medical Center in Chicago to provide outpatient care for cancer and neurosciences. This new facility, connected by a pedestrian bridge over Ashland Avenue to the existing patient tower, completes the next phase of this fully integrated, self-contained campus. Translational health sciences experts implemented planning strategies to design spaces in which clinical care, research, and education are brought together in a translational care environment to improve collaboration, accelerate discovery, and provide patients access to new treatment options. Team: Rush University Medical Center (owner, client); HDR (architecture, interior design, signage & wayfinding); Power Construction (general contractor); 3HC (programming); DMA (civil engineering); Site Design (landscape and site features); Nia (associate architect); AEI/TMI (MEP). Photo by Dan Schwalm Ā© 2023 HDR

HDR, CannonDesign, Stantec, Perkins&Will, and ZGF top BD+C's ranking of the nation's largest outpatient facility architecture and architecture engineering (AE) firms for 2023, as reported in the 2023 Giants 400 Report. Note: This ranking includes design revenue for work related to outpatient medical buildings, including cancer centers, heart centers, urgent care facilities, and other medical centers.

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Top 100 Outpatient Facility Architecture Firms for 2023
Ā FIRM2022 REVENUE
1HDR$40,616,160
2CannonDesign$40,000,000
3Stantec$39,209,481
4Perkins&Will$36,578,934
5ZGF$25,412,785
6Perkins Eastman$18,875,804
7E4H Environments for Health Architecture$17,540,336
8Gensler$15,209,051
9GBBN$11,840,000
10EwingCole$11,000,079
11SmithGroup$10,815,958
12Kirksey Architecture$10,713,366
13Massa Multimedia Architecture$10,651,874
14Page Southerland Page$10,327,200
15Arcadis North America$9,941,036
16HOK$9,182,785
17Hoefer Welker$8,700,000
18Gresham Smith$8,070,515
19HMC Architects$8,031,555
20Little Diversified Architectural Consulting$7,977,000
21Taylor Design$7,535,083
22BSA LifeStructures$7,398,517
23FCArchitects$7,081,846
24Hord Coplan Macht$6,910,850
25Ballinger$6,697,322
26BWBR$6,215,213
27HGA$6,135,266
28CO Architects$5,782,352
29HuntonBrady Architects$5,563,079
30NAC Architecture$4,557,450
31Mascari Warner Dinh Architects$4,217,370
32LS3P Associates$3,811,437
33EUA$3,780,000
34RS&H$3,500,000
35INVISION Architecture$3,480,315
36Rule Joy Trammell Rubio$3,454,000
37RDG Planning & Design$3,451,750
38LEO A DALY$3,028,246
39Ratcliff Architecture$3,000,000
40CESO$2,913,000
41CosciaMoos Architecture$2,700,358
42Moody Nolan$2,540,350
43Anderson Mikos Architects$2,456,000
44Cushing Terrell$2,291,992
45S/L/A/M Collaborative, The$2,226,690
46Flad Architects$2,152,800
47Stengel Hill Architecture$2,066,813
48Cuningham$2,018,390
49HFG Architecture$2,008,445
50May Architecture$1,979,069
51Champlin Architecture$1,934,316
52PGAL$1,864,000
53Blair + Mui Dowd Architects$1,830,305
54Corgan$1,816,270
55Design Collaborative$1,806,002
56DesignGroup$1,750,000
57Studio+$1,735,924
58Ware Malcomb$1,721,848
59Grace Hebert Curtis Architects$1,701,269
60Pulse Design Group$1,633,800
61Parkhill$1,620,397
62Kahler Slater$1,500,000
63IKM Architecture$1,400,000
64Baskervill$1,355,835
65CPL Architecture, Engineering, Planning$1,311,847
66Cromwell Architects Engineers$1,302,500
67Architecture, Inc.$1,301,200
68Goodwyn Mills Cawood$1,297,884
69H2M Architects + Engineers$1,297,088
70Spiezle Architectural Group$1,184,000
71Nelson Worldwide$1,150,000
72LaBella Associates$1,101,000
73Ryan Companies US$1,100,000
74Dattner Architects$1,054,920
75CB Design Group$1,038,193
76MKM Architecture + Design$1,016,416
77LK Architecture$1,000,000
78DGA$985,538
79MA Design$957,966
80TreanorHL$919,530
81SWBR$864,906
82Eckenhoff Saunders Architects$700,000
83AE Works$650,000
84Guidon$619,333
85Margulies Perruzzi$554,307
86TETER$530,688
87AO$495,000
88Greenberg Farrow$461,000
89Ɓlvarez-DĆ­az & VillalĆ³n$450,000
90Jeffrey Berman Architect$446,250
91Thriven Design$357,586
92PF&A Design$314,232
93Hafer$287,760
94Clark & Enersen$260,801
95Curtis + Ginsberg Architects$216,144
96Method Architecture$202,992
97Legat Architects$200,000
98Whitman, Requardt & Associates$188,671
99TowerPinkster$153,004
100AHL$148,968
101Oculus$99,259
102SHP$76,914
103FSB Architects + Engineers$66,512
104Bailey Edward Design$59,301
105JRS Architect$50,000
106Lord Aeck Sargent Planning & Design$44,306
107BHDP Architecture$42,548
108Michael Baker Intl.$29,086
109NSPJ Architects$2,425
110ThenDesign Architecture$1,166
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Source: 2023 Giants 400 Report

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

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

Ā 

2023 GIANTS 400 REPORT - TOP AEC FIRMS BY BUILDING SECTOR AND SPECIALTY RANKINGS Ā Ā  Ā Ā Ā  Ā Ā Ā  Ā Ā Ā  Ā 

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+CMĀ Firms.

01. Airport TerminalsĀ 
ā€¢Ā Top 65 Airport Terminal Architecture and AE FirmsĀ 
ā€¢Ā Top 65 Airport Terminal Engineering and EA FirmsĀ 
ā€¢Ā Top 60 Airport Terminal Contractors and CM FirmsĀ 

02. Convention Centers/Conference CentersĀ 
ā€¢Ā Top 40 Convention Center Architecture + AE Firms
ā€¢Ā Top 30 Convention Center Engineering + EA FirmsĀ 
ā€¢Ā Top 20 Convention Center Contractors + CM Firms

03. Cultural Facilities ā€“ All Cultural Facilities WorkĀ  Ā Ā 
ā€¢Ā Top 110 Cultural Facilities Architecture and AE Firms ā€“ All Cultural Facilities WorkĀ 
ā€¢Ā Top 60 Cultural Facilities Engineering and EA Firms ā€“ All Cultural Facilities WorkĀ 
ā€¢Ā Top 65 Cultural Facilities Contractors and CM Firms ā€“ All Cultural Facilities WorkĀ 

04. Cultural Facilities ā€“ Museums and GalleriesĀ 
ā€¢Ā Top 70 Cultural Facilities Architecture and AE Firms ā€“ Museums and GalleriesĀ 
ā€¢Ā Top 40 Cultural Facilities Engineering and EA Firms ā€“ Museums and GalleriesĀ 
ā€¢Ā Top 40 Cultural Facilities Contractors and CM Firms ā€“ Museums and Galleries

05. Cultural Facilities ā€“ Performing Arts and Concert VenuesĀ 
ā€¢Ā Top 60 Cultural Facilities Architecture and AE Firms ā€“ Performing Arts and Concert VenuesĀ 
ā€¢Ā Top 40 Cultural Facilities Engineering and EA Firms ā€“ Performing Arts and Concert VenuesĀ 
ā€¢Ā Top 35 Cultural Facilities Contractors and CM Firms ā€“ Performing Arts and Concert Venues

06. Cultural Facilities ā€“ Public LibrariesĀ 
ā€¢Ā Top 50 Cultural Facilities Architecture and AE Firms ā€“ Public LibrariesĀ 
ā€¢Ā Top 30 Cultural Facilities Engineering and EA Firms ā€“ Public LibrariesĀ 
ā€¢Ā Top 20 Cultural Facilities Contractors and CM Firms ā€“ Public Libraries

07. Data CentersĀ Ā  Ā Ā Ā  Ā Ā 
ā€¢Ā Top 30 Data Center Sector Architecture and AE FirmsĀ 
ā€¢Ā Top 60 Data Center Sector Engineering and EA FirmsĀ 
ā€¢Ā Top 50 Data Center Sector Contractors and CM Firms

08. Design-Build WorkĀ 
ā€¢Ā Top 90 Design-Build Construction Firms

09. Government - All Government Buildings WorkĀ 
ā€¢Ā Top 170 Government Sector Architecture + AE Firms - All Government WorkĀ 
ā€¢Ā Top 90 Government Sector Engineering + EA Firms - All Government WorkĀ 
ā€¢Ā Top 100 Government Sector Contractors + CM Firms - All Government Work

10. Government - Federal Civilian GovernmentĀ 
ā€¢Ā Top 70 Federal Government Architecture + AE FirmsĀ Ā 
ā€¢Ā Top 60 Federal Government Engineering + EA FirmsĀ Ā 
ā€¢Ā Top 50 Federal Government Contractors + CM FirmsĀ 

11. Government - Local Government BuildingsĀ 
ā€¢Ā Top 150 Local Government Architecture + AE FirmsĀ Ā 
ā€¢Ā Top 80 Local Government Engineering + EA FirmsĀ Ā 
ā€¢Ā Top 80 Local Government Contractors + CM FirmsĀ 

12. Government - State Government BuildingsĀ 
ā€¢Ā Top 90 State Government Architecture + AE FirmsĀ Ā 
ā€¢Ā Top 50 State Government Engineering + EA FirmsĀ Ā 
ā€¢Ā Top 50 State Government Contractors + CM Firms

13. Government - MilitaryĀ 
ā€¢Ā Top 40 Military Facility Architecture + AE FirmsĀ Ā 
ā€¢Ā Top 50 Military Facility Engineering + EA FirmsĀ Ā 
ā€¢Ā Top 35 Military Facility Contractors + CM FirmsĀ 

14. Government - Veterans Administration FacilitiesĀ 
ā€¢Ā Top 35 Veterans Affairs (VA) Facility Architecture + AE FirmsĀ Ā 
ā€¢Ā Top 20 Veterans Affairs (VA) Facility Engineering + EA FirmsĀ Ā 
ā€¢Ā Top 15 Veterans Affairs (VA) Facility Contractors + CM Firms

15. Healthcare ā€“ All Healthcare Facilities WorkĀ 
ā€¢ Top 175 Healthcare Sector Architecture and AE FirmsĀ 
ā€¢ Top 90 Healthcare Sector Engineering and EA FirmsĀ 
ā€¢ Top 115 Healthcare Sector Contractors and CM FirmsĀ  Ā  Ā  Ā 

16. Healthcare ā€“ HospitalsĀ 
ā€¢ Top 130 Hospital Facility Architecture and AE FirmsĀ 
ā€¢ Top 80 Hospital Facility Engineering and EA FirmsĀ 
ā€¢ Top 90 Hospital Facility Contractors and CM FirmsĀ 

17. Healthcare ā€“ Medical Office Buildings, Dental OfficesĀ 
ā€¢ Top 110 Medical Office Building Architecture and AE FirmsĀ 
ā€¢ Top 50 Medical Office Building Engineering and EA FirmsĀ 
ā€¢ Top 70 Medical Office Building Contractors and CM Firms

18. Healthcare ā€“ Outpatient FacilitiesĀ Ā 
ā€¢ Top 100 Outpatient Facility Architecture and AE FirmsĀ 
ā€¢ Top 40 Outpatient Facility Engineering and EA FirmsĀ 
ā€¢ Top 60 Outpatient Facility Contractors and CM Firms

19. Hospitality ā€“ All Hospitality Facilities Work (Hotels, Resorts, Casinos)Ā 
ā€¢ Top 130 Hospitality Facility Sector Architecture and AE FirmsĀ 
ā€¢ Top 75 Hospitality Facility Engineering and EA FirmsĀ 
ā€¢ Top 80 Hospitality Facility Contractors and CM Firms

20. Hospitality ā€” Hotel, ResortsĀ 
ā€¢ Top 120 Hotel Sector Architecture and AE Firms
ā€¢ Top 70 Hotel and Resort Engineering and EA FirmsĀ 
ā€¢ Top 80 Hotel and Resort Contractors and CM Firms

21. Hospitality ā€” CasinosĀ 
ā€¢ Top 10 Casino Architecture and AE FirmsĀ 
ā€¢ Top 25 Casino Engineering and EA FirmsĀ 
ā€¢ Top 25 Casino Contractors and CM FirmsĀ 

22. Industrial Buildings ā€” Manufacturing Plants, WarehousesĀ 
ā€¢ Top 100 Industrial Facility Architecture and AE FirmsĀ 
ā€¢ Top 90 Industrial Facility Engineering and EA FirmsĀ 
ā€¢ Top 100 Industrial Facility Contractors and CM FirmsĀ 
Ā  Ā  Ā  Ā Ā 
23. Integrated Project Delivery (IPD)Ā 
ā€¢ Top 20 Integrated Project Delivery (IPD) Construction Firms

24. Multifamily ā€” All Multifamily Facilities WorkĀ 
Top 190 Multifamily Sector Architecture and AE Firms ā€” All Multifamily Facilities WorkĀ 
Top 75 Multifamily Sector Engineering and EA Firms ā€” All Multifamily Facilities WorkĀ 
Top 115 Multifamily Sector Contractors and CM Firms ā€” All Multifamily Facilities Work

25. Multifamily ā€” Apartments, CondominiumsĀ 
Top 160 Multifamily Sector Architecture and AE Firms ā€” Apartments, Condominiums WorkĀ 
Top 70 Multifamily Sector Engineering and EA Firms ā€” Apartments, Condominiums WorkĀ 
Top 100 Multifamily Sector Contractors and CM Firms ā€” Apartments, Condominiums Work

26. Multifamily ā€” Senior Living FacilitiesĀ 
Top 80 Multifamily Sector Architecture and AE Firms ā€” Senior Living FacilitiesĀ 
Top 40 Multifamily Sector Engineering and EA Firms ā€” Senior Living FacilitiesĀ 
Top 60 Multifamily Sector Contractors and CM Firms ā€” Senior Living Facilities

27. Multifamily ā€” Student Housing FacilitiesĀ 
Top 90 Multifamily Sector Architecture and AE Firms ā€” Student Housing FacilitiesĀ 
Top 30 Multifamily Sector Engineering and EA Firms ā€” Student Housing FacilitiesĀ 
Top 40 Multifamily Sector Contractors and CM Firms ā€” Student Housing Facilities

28. Office ā€” All Office Building WorkĀ Ā  Ā Ā Ā  Ā Ā Ā  Ā Ā Ā  Ā Ā 
ā€¢ Top 200 Office Sector Architecture and AE FirmsĀ 
ā€¢ Top 90 Office Sector Engineering and EA FirmsĀ 
ā€¢ Top 120 Office Sector Contractors and CM Firms

29. Office ā€” Buildings/Core+ShellĀ Ā 
ā€¢ Top 140 Office Building Core+Shell Architecture + AE FirmsĀ Ā 
ā€¢ Top 80 Office Building Core+Shell Engineering + EA FirmsĀ 
ā€¢ Top 100 Office Building Core+Shell Contractors and CM Firms

30. Office ā€” Workplace/Interior FitoutsĀ Ā 
ā€¢ Top 160 Workplace/Interior Fitout Architecture and AE FirmsĀ 
ā€¢ Top 50 Workplace/Interior Fitout Engineering and EA FirmsĀ 
ā€¢ Top 80 Workplace/Interior Fitout Contractors and CM Firms

31. Parking StructuresĀ 
ā€¢ Top 60 Parking Structure Architecture and AE FirmsĀ Ā 
ā€¢ Top 45 Parking Structure Engineering and EA FirmsĀ 
ā€¢ Top 55 Parking Structure Contractors + CM FirmsĀ 

32. Public Safety/Justice FacilitiesĀ 
ā€¢ Top 90 Justice Facility/Public Safety Sector Architecture and AE FirmsĀ 
ā€¢ Top 60 Justice Facility/Public Safety Sector Engineering and EA FirmsĀ 
ā€¢ Top 50 Justice Facility/Public Safety Contractors + CM Firms

33. Reconstruction WorkĀ 
ā€¢ Top 200 Reconstruction Sector Architecture and AE FirmsĀ 
ā€¢ Top 70 Reconstruction Sector Engineering and EA FirmsĀ 
ā€¢ Top 140 Reconstruction Sector Contractors + CM Firms

34. Religious Structures/Places of WorshipĀ 
ā€¢ Top 80 Religious Facility Architecture and AE FirmsĀ 
ā€¢ Top 50 Religious Facility Engineering and EA FirmsĀ 
ā€¢ Top 40 Religious Facility Contractors + CM FirmsĀ 

35. Retail ā€” All Retail Buildings WorkĀ  Ā  Ā  Ā  Ā  Ā  Ā  Ā Ā 
ā€¢ Top 140 Retail Sector Architecture and AE Firms ā€” All Retail Buildings WorkĀ 
ā€¢ Top 75 Retail Sector Engineering and EA Firms ā€” All Retail Buildings WorkĀ 
ā€¢ Top 80 Retail Sector Contractors and CM Firms ā€” All Retail Buildings Work

36. Retail ā€” Entertainment Centers, Cineplexes, Theme ParksĀ 
ā€¢ Top 30 Retail Architecture and AE Firms ā€” Entertainment Centers, Cineplexes, Theme ParksĀ 
ā€¢ Top 40 Retail Engineering and EA Firms ā€” Entertainment Centers, Cineplexes, Theme ParksĀ 
ā€¢ Top 40 Retail Contractors and CM Firms ā€” Entertainment Centers, Cineplexes, Theme Parks

37. Retail ā€” Malls, Big Box Stores, Strip CentersĀ 
ā€¢ Top 90 Retail Architecture and AE Firms - Malls, Big Box Stores, Strip CentersĀ 
ā€¢ Top 60 Retail Engineering and EA Firms ā€” Malls, Big Box Stores, Strip CentersĀ 
ā€¢ Top 60 Retail Contractors and CM Firms ā€” Malls, Big Box Stores, Strip Centers

38. Retail ā€” RestaurantsĀ 
ā€¢ Top 90 Retail Architecture and AE Firms ā€” RestaurantsĀ 
ā€¢ Top 40 Retail Engineering and EA Firms ā€” RestaurantsĀ 
ā€¢ Top 40 Retail Contractors and CM Firms ā€” Restaurants

39. Science & Technology (S+T) Facilities - All S+T Buildings WorkĀ 
ā€¢ Top 100 Science + Technology Facility Architecture and AE FirmsĀ 
ā€¢ Top 70 Science + Technology Facility Engineering and EA FirmsĀ 
ā€¢ Top of 80 Science + Technology Facility Contractors and CM FirmsĀ 
Ā  Ā  Ā  Ā  Ā Ā Ā 
40. Science & Technology ā€” LaboratoriesĀ 
ā€¢ Top 100 Laboratory Facility Architecture and AE FirmsĀ 
ā€¢ Top 60 Laboratory Facility Engineering and EA FirmsĀ 
ā€¢ Top 55 Laboratory Facility Contractors and CM FirmsĀ Ā Ā  Ā  Ā  Ā  Ā  Ā Ā 

41. Schools ā€” PK-12, Public, Private, Charter, MilitaryĀ 
ā€¢ Top 170 K-12 School Sector Architecture and AE FirmsĀ 
ā€¢ Top 80 K-12 School Sector Engineering and EA FirmsĀ 
ā€¢ Top 100 K-12 School Sector Contractors and CM Firms

42. Sports Facilities/Stadiums/Recreation FacilitiesĀ Ā 
ā€¢ Top 130 Sports Facility Architecture and AE FirmsĀ 
ā€¢ Top 70 Sports Facility Engineering and EA FirmsĀ 
ā€¢ Top 70 Sports Facility Contractors and CM FirmsĀ  Ā  Ā Ā 

43. Telecommunications BuildingsĀ 
ā€¢ Top 10 Telecommunications Facility Sector Architecture and AE FirmsĀ 
ā€¢ Top 25 Telecommunications Facility Sector Engineering and EA FirmsĀ 
ā€¢ Top 10 Telecommunications Facilities Contractors + CM Firms

44. Transit Facilities ā€” Bus/Rail Terminals and StationsĀ 
ā€¢ Top 40 Transit Facility Architecture and AE FirmsĀ 
ā€¢ Top 40 Transit Facility Engineering and EA FirmsĀ 
ā€¢ Top 25 Transit Facilities Contractors + CM Firms

45. University / College FacilitiesĀ Ā 
ā€¢Ā Top 170 University Sector Architecture and AE FirmsĀ 
ā€¢Ā Top 80 University Sector Engineering and EA FirmsĀ 
ā€¢Ā Top 100 University Sector Contractors and CM Firms

Ā 

PAST GIANTS 400 REPORTS

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

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