HDR, Jacobs, and Turner top BD+C's rankings of the nation's largest healthcare facilities sector architecture, engineering, and construction firms, as reported in the 2020 Giants 400 Report.
| Top 155 Healthcare Sector Architecture and AE Firms for 2020 | ||
| FIRM | 2019 REVENUE | |
| 1 | HDR | $280,900,000 |
| 2 | HKS | $183,509,067 |
| 3 | Perkins and Will | $178,896,710 |
| 4 | Stantec | $151,691,236 |
| 5 | CannonDesign | $125,000,000 |
| 6 | NBBJ | $97,300,000 |
| 7 | Perkins Eastman | $88,416,074 |
| 8 | SmithGroup | $87,855,196 |
| 9 | HOK | $85,131,000 |
| 10 | EYP Architecture & Engineering | $76,519,469 |
| 11 | HGA | $61,669,916 |
| 12 | ZGF Architects | $51,977,746 |
| 13 | E4H Environments for Health Architecture | $51,900,000 |
| 14 | HMC Architects | $50,332,817 |
| 15 | CallisonRTKL | $49,136,813 |
| 16 | Page | $48,250,000 |
| 17 | RBB Architects | $37,800,000 |
| 18 | Flad Architects | $35,840,000 |
| 19 | Shepley Bulfinch | $34,062,486 |
| 20 | BSA LifeStructures | $32,500,528 |
| 21 | Leo A Daly | $32,065,933 |
| 22 | EwingCole | $31,400,000 |
| 23 | Array Architects | $30,700,000 |
| 24 | CO Architects | $30,228,200 |
| 25 | Ballinger | $26,484,699 |
| 26 | Cuningham Group Architecture | $22,450,646 |
| 27 | HED | $21,000,000 |
| 28 | Payette | $20,303,443 |
| 29 | Hoefer Wysocki | $20,194,000 |
| 30 | EXP | $18,682,033 |
| 31 | HuntonBrady Architects | $18,563,695 |
| 32 | Marmon Mok Architecture | $17,970,000 |
| 33 | Gensler | $17,536,196 |
| 34 | BWBR | $17,194,000 |
| 35 | Taylor Design | $15,947,000 |
| 36 | Hord Coplan Macht | $15,331,981 |
| 37 | S/L/A/M Collaborative, The | $15,005,000 |
| 38 | Ratcliff | $13,536,000 |
| 39 | Ennead Architects | $12,844,926 |
| 40 | Kahler Slater | $11,768,528 |
| 41 | Champlin Architecture | $10,773,286 |
| 42 | CPL | $10,772,190 |
| 43 | GBBN | $10,332,000 |
| 44 | TEG Architects | $10,100,689 |
| 45 | Ayers Saint Gross | $9,915,818 |
| 46 | DLR Group | $9,680,000 |
| 47 | RS&H | $9,000,000 |
| 48 | FreemanWhite, a Haskell Company | $8,936,929 |
| 49 | Eppstein Uhen Architects (EUA) | $8,665,000 |
| 50 | Nelson Worldwide | $8,660,000 |
| 51 | Lawrence Group | $8,424,000 |
| 52 | NAC Architecture | $7,996,304 |
| 53 | Little Diversified Architectural Consulting | $7,706,348 |
| 54 | Corgan | $7,563,421 |
| 55 | LPA | $7,555,633 |
| 56 | Eckenhoff Saunders Architects | $7,530,000 |
| 57 | Mascari Warner Dinh Architects | $7,500,000 |
| 58 | Wold Architects and Engineers | $7,450,000 |
| 59 | Ware Malcomb | $7,440,298 |
| 60 | PF&A Design | $7,199,641 |
| 61 | TreanorHL | $7,000,000 |
| 62 | AE Works Ltd. | $6,677,000 |
| 63 | Goodwyn, Mills and Cawood | $6,657,206 |
| 64 | Bostwick Design Partnership | $6,540,000 |
| 65 | Blair + Mui Dowd Architects | $6,292,869 |
| 66 | Moody Nolan | $6,210,700 |
| 67 | Skidmore, Owings & Merrill | $6,080,057 |
| 68 | M+A Architects | $5,926,600 |
| 69 | LS3P | $5,302,299 |
| 70 | Orcutt | Winslow | $5,100,000 |
| 71 | Harvard Jolly Architecture | $4,751,475 |
| 72 | Rule Joy Trammell + Rubio | $4,680,384 |
| 73 | RSP Architects | $3,822,000 |
| 74 | DGA | $3,673,364 |
| 75 | REES | $3,640,087 |
| 76 | Clark Nexsen | $3,307,000 |
| 77 | G70 | $3,264,000 |
| 78 | JLG Architects | $3,188,579 |
| 79 | Interior Architects | $2,851,471 |
| 80 | Architecture, Incorporated | $2,675,000 |
| 81 | AHL | $2,542,884 |
| 82 | Progressive AE | $2,527,629 |
| 83 | Massa Multimedia Architecture | $2,519,000 |
| 84 | Studio+ | $2,452,703 |
| 85 | Kirksey Architecture | $2,372,122 |
| 86 | Diamond Schmitt Architects | $2,280,270 |
| 87 | Legat Architects | $2,277,000 |
| 88 | TPG Architecture | $2,224,000 |
| 89 | Wendel | $2,191,406 |
| 90 | Huitt-Zollars, Inc. | $2,130,000 |
| 91 | Design Collaborative | $2,005,746 |
| 92 | Stevens & Wilkinson | $1,700,000 |
| 93 | LK Architecture | $1,700,000 |
| 94 | Caldwell Associates Architects | $1,684,823 |
| 95 | Carrier Johnson + Culture | $1,640,870 |
| 96 | Baskervill | $1,578,050 |
| 97 | RDG Planning & Design | $1,561,639 |
| 98 | H2M Architects + Engineers | $1,525,821 |
| 99 | TETER | $1,495,303 |
| 100 | Margulies Perruzzi | $1,427,626 |
| 101 | Dattner Architects | $1,366,981 |
| 102 | Barge Design Solutions | $1,300,000 |
| 103 | BCA Architects & Engineers | $1,250,000 |
| 104 | Huntsman Architectural Group | $1,238,445 |
| 105 | Randall-Paulson Architects | $1,236,946 |
| 106 | VMDO Architects | $1,224,000 |
| 107 | JRS Architect | $1,050,000 |
| 108 | Crawford Architects | $971,200 |
| 109 | Spiezle Group | $953,000 |
| 110 | Hussey Gay Bell | $806,847 |
| 111 | Zyscovich Architects | $726,506.00 |
| 112 | SWBR Architecture, Engineering & Landscape Architecture | $715,782 |
| 113 | Holst Architecture | $715,272 |
| 114 | Mithun | $693,420 |
| 115 | Core States Group | $608,098 |
| 116 | WD Partners | $600,000 |
| 117 | Kitchen & Associates | $520,000 |
| 118 | BLDD Architects | $500,000 |
| 119 | Bergmann | $500,000 |
| 120 | ACAI Associates | $476,321 |
| 121 | AE Design Group | $433,400 |
| 122 | Urbahn Architects | $432,951 |
| 123 | Onyx Creative | $400,000 |
| 124 | Elkus Manfredi Architects | $371,000 |
| 125 | Clark Enersen Partners, The | $360,272 |
| 126 | Method Architecture | $346,792 |
| 127 | PGAL | $320,000 |
| 128 | STR Partners | $297,000 |
| 129 | DLA+ Architecture & Interior Design | $284,557 |
| 130 | Cuhaci & Peterson | $272,326 |
| 131 | FXCollaborative | $269,863 |
| 132 | Larson Design Group | $263,691 |
| 133 | H. Hendy Associates | $232,660 |
| 134 | Garmann/Miller Architects-Engineers | $213,167 |
| 135 | KCBA Architects | $208,258 |
| 136 | SEI Design Group Architects | $175,593 |
| 137 | Vocon | $175,000 |
| 138 | DLZ Corporation | $160,000 |
| 139 | Cooper Carry | $153,377 |
| 140 | MBH Architects | $153,000 |
| 141 | WLC Architects | $147,669 |
| 142 | ATA Beilharz Architects | $120,000 |
| 143 | 3877 Design | $110,156 |
| 144 | Grimm + Parker Architects | $103,232 |
| 145 | Design 3 International (D3i) | $100,000 |
| 146 | SHP | $100,000 |
| 147 | Partners by Design | $100,000 |
| 148 | Wright Heerema Architects | $90,117 |
| 149 | SchenkelShultz Architecture | $62,832 |
| 150 | CTA Architects | $60,143 |
| 151 | Whitman Requardt and Associates | $44,187 |
| 152 | CESO | $31,979 |
| 153 | Architectural Design Consultants | $30,000 |
| 154 | Ratio Architects | $24,600 |
| 155 | Smallwood | $19,977 |
| 156 | AE7 | $15,707 |
| 157 | Montroy DeMarco Architecture | $13,000 |
| 158 | Ayres | $12,000 |
| 159 | GFF | $7,541 |
| 160 | KGD Architecture | $2,111 |
| Top 85 Healthcare Sector Engineering and EA Firms for 2020 | ||
| FIRM | 2019 REVENUE | |
| 1 | Jacobs | $98,760,000 |
| 2 | WSP | $87,303,365 |
| 3 | IMEG Corp. | $68,485,924 |
| 4 | Affiliated Engineers | $47,893,940 |
| 5 | KPFF Consulting Engineers | $34,053,000 |
| 6 | AECOM | $29,600,000 |
| 7 | TLC Engineering Solutions | $28,849,712 |
| 8 | Smith Seckman Reid | $25,919,377 |
| 9 | Mazzetti | $25,868,262 |
| 10 | Kimley-Horn | $24,313,595 |
| 11 | AKF Group | $23,210,000 |
| 12 | Arup | $21,761,450 |
| 13 | Dewberry | $18,389,812 |
| 14 | Apogee Consulting Group | $18,004,000 |
| 15 | Syska Hennessy Group | $16,509,969 |
| 16 | NV5 Global | $16,365,000 |
| 17 | HEAPY | $15,436,372 |
| 18 | Walter P Moore | $15,378,688 |
| 19 | Jensen Hughes | $14,298,925 |
| 20 | Ross & Baruzzini | $12,764,000 |
| 21 | Bernhard | $11,276,000 |
| 22 | Cushing Terrell (formerly CTA Architects Engineers) | $10,958,008 |
| 23 | Burns & McDonnell | $10,950,161 |
| 24 | Thornton Tomasetti | $10,420,179 |
| 25 | Newcomb & Boyd | $9,145,735 |
| 26 | P2S | $9,091,135 |
| 27 | Shive-Hattery | $8,673,419 |
| 28 | Allen & Shariff | $8,599,090 |
| 29 | Dunham Associates | $8,000,000 |
| 30 | Sherlock, Smith & Adams | $7,365,000 |
| 31 | Karpinski Engineering | $7,349,757 |
| 32 | SSOE Group | $7,168,458 |
| 33 | RMF Engineering | $7,045,000 |
| 34 | Henderson Engineers | $6,765,549 |
| 35 | EAPC Architects Engineers | $6,555,468 |
| 36 | M/E Engineering | $6,320,006 |
| 37 | Vanderweil Engineers | $6,180,300 |
| 38 | Wiley|Wilson | $5,057,000 |
| 39 | Jaros, Baum & Bolles | $4,774,340 |
| 40 | Salas O'Brien | $4,531,560 |
| 41 | GRAEF | $4,523,183 |
| 42 | ESD | $4,458,734 |
| 43 | RTM Engineering Consultants | $4,029,111 |
| 44 | LaBella Associates | $3,849,607 |
| 45 | ME Engineers | $3,820,000 |
| 46 | Martin/Martin | $3,491,413 |
| 47 | Highland Associates | $3,450,000 |
| 48 | Osborn Engineering | $3,255,555 |
| 49 | Spectrum Engineers | $2,920,675 |
| 50 | STV | $2,803,911 |
| 51 | RMH Group, The | $2,404,999 |
| 52 | H.F. Lenz | $2,281,000 |
| 53 | Bridgers & Paxton Consulting Engineers | $2,257,107 |
| 54 | KCI Technologies | $2,250,000 |
| 55 | Peter Basso Associates | $2,100,000 |
| 56 | Morrison Hershfield | $2,098,841 |
| 57 | KLH Engineers | $1,952,803 |
| 58 | OLA Consulting Engineers | $1,227,000 |
| 59 | PS&S | $1,179,000 |
| 60 | CDM Smith | $1,142,115 |
| 61 | ThermalTech Engineering | $1,000,000 |
| 62 | Kohler Ronan | $931,949 |
| 63 | Wallace Engineering | $910,000 |
| 64 | KZF Design | $828,172 |
| 65 | Schaefer | $797,025 |
| 66 | Tec Inc. Engineering & Design | $765,723 |
| 67 | DeSimone Consulting Engineers | $719,578 |
| 68 | Halff Associates | $718,000 |
| 69 | PBS Engineers | $650,000 |
| 70 | Stanley Consultants | $580,422 |
| 71 | Primera Engineers | $570,124 |
| 72 | Davis, Bowen & Friedel | $480,836 |
| 73 | JQ Engineering | $479,760 |
| 74 | LBYD Engineers | $477,271 |
| 75 | French & Parrello Associates | $402,920 |
| 76 | Wick Fisher White | $330,000 |
| 77 | Pedco E & A Services | $320,000 |
| 78 | SSC Engineering | $281,900 |
| 79 | KCL Engineering | $243,000 |
| 80 | Architectural Engineers Inc. | $183,321 |
| 81 | FEA Consulting Engineers | $170,000 |
| 82 | Milhouse Engineering and Construction | $163,263 |
| 83 | Epstein | $108,000 |
| 84 | Paradigm Structural Engineers | $35,005 |
| 85 | RWB Consulting Engineers | $10,000 |
| 86 | Woolpert | $5,848 |
| Top 90 Healthcare Sector Contractors and CM Firms for 2020 | ||
| FIRM | 2019 REVENUE | |
| 1 | Turner Construction Company | $2,210,120,130 |
| 2 | McCarthy Holdings | $1,446,837,335 |
| 3 | STO Building Group | $1,439,000,000 |
| 4 | Brasfield & Gorrie | $1,335,295,536 |
| 5 | Robins & Morton | $1,012,675,804 |
| 6 | Skanska USA | $1,010,587,533 |
| 7 | DPR Construction | $877,893,000 |
| 8 | PCL Construction Enterprises | $771,488,378 |
| 9 | JE Dunn Construction | $761,630,020 |
| 10 | Whiting-Turner Contracting Company, The | $657,186,493 |
| 11 | Clark Group | $579,797,872 |
| 12 | Gilbane Building Company | $450,322,000 |
| 13 | Walsh Group, The | $430,652,748 |
| 14 | Hensel Phelps | $424,203,159 |
| 15 | Messer Construction | $415,742,712 |
| 16 | Swinerton | $415,000,000 |
| 17 | Balfour Beatty US | $410,339,876 |
| 18 | Lendlease | $338,595,298 |
| 19 | Mortenson | $322,039,000 |
| 20 | Barton Malow | $318,000,000 |
| 21 | Austin Industries | $307,454,626 |
| 22 | Boldt Company, The | $290,863,000 |
| 23 | Suffolk Construction | $270,818,015 |
| 24 | Jacobs | $189,325,000 |
| 25 | Batson-Cook Construction | $183,943,615 |
| 26 | Hunter Roberts Construction | $175,000,000 |
| 27 | AECOM | $169,100,000 |
| 28 | Yates Companies, The | $162,530,000 |
| 29 | Pepper Construction | $145,277,231 |
| 30 | Kraus-Anderson Construction | $140,000,000 |
| 31 | Power Construction | $139,000,000 |
| 32 | LeChase Construction Services | $134,301,920 |
| 33 | Hoar Construction | $130,988,000 |
| 34 | Andersen Construction | $118,300,000 |
| 35 | VJS Construction Services | $111,756,362 |
| 36 | Elford | $103,000,000 |
| 37 | Adolfson & Peterson Construction | $100,668,399 |
| 38 | CG Schmidt | $98,300,000 |
| 39 | McCownGordon Construction, LLC | $96,717,892 |
| 40 | Hagerman Group, The | $94,000,000 |
| 41 | Crossland Construction | $92,466,586 |
| 42 | Nabholz Corporation | $88,026,600 |
| 43 | Doster Construction | $83,397,826 |
| 44 | Wohlsen Construction | $73,852,000 |
| 45 | Haskell | $70,274,883 |
| 46 | Benchmark Construction | $69,800,092 |
| 47 | Skender | $67,019,827 |
| 48 | Henderson Engineers | $65,058,281 |
| 49 | HITT Contracting | $63,141,208 |
| 50 | Haselden Construction | $57,975,980 |
| 51 | Hathaway Dinwiddie Construction | $57,825,000 |
| 52 | Manhattan Construction Group | $56,875,117 |
| 53 | Fortis Construction | $53,939,729 |
| 54 | Ryan Companies US | $49,895,250 |
| 55 | Paric Holdings | $48,800,000 |
| 56 | Shawmut Design and Construction | $45,545,229 |
| 57 | Millie and Severson General Contractors | $45,459,654 |
| 58 | CORE Construction Group | $44,671,670 |
| 59 | W. M. Jordan Company | $43,148,361 |
| 60 | James G. Davis Construction | $41,611,619 |
| 61 | Sundt Construction | $37,372,829 |
| 62 | DeAngelis Diamond | $31,074,707 |
| 63 | Hill & Wilkinson General Contractors | $29,658,875 |
| 64 | Cumming | $28,088,200 |
| 65 | New South Construction | $24,180,000 |
| 66 | Walbridge | $22,271,433 |
| 67 | JLL | $20,756,486 |
| 68 | Columbia | $20,000,000 |
| 69 | Clune Construction | $19,694,525 |
| 70 | S/L/A/M Collaborative, The | $19,507,600 |
| 71 | Richard Group | $18,498,120 |
| 72 | S. M. Wilson | $18,233,385 |
| 73 | Bette Companies, The | $18,215,795 |
| 74 | Hoffman Construction | $16,905,805 |
| 75 | Joeris General Contractors | $12,566,071 |
| 76 | Rogers-O'Brien Construction | $11,569,789 |
| 77 | Hill International | $11,219,630 |
| 78 | Burns & McDonnell | $10,796,332 |
| 79 | Weis Builders | $10,013,858 |
| 80 | W.E. O'Neil Construction | $9,245,908 |
| 81 | Russell Construction | $8,000,000 |
| 82 | STV | $7,530,988 |
| 83 | Wendel | $7,088,569 |
| 84 | Level 10 Construction | $5,763,284 |
| 85 | Clancy & Theys Construction | $5,426,277 |
| 86 | Lawrence Group | $4,995,500 |
| 87 | Choate Construction | $4,960,033 |
| 88 | JLG Architects | $4,351,096 |
| 89 | KBE Building Corporation | $2,710,885 |
| 90 | Arc Building Partners | $2,461,486 |
| 91 | Sachse Construction | $1,000,000 |
| 92 | KCI Technologies | $750,000 |
| 93 | Cotter Consulting | $270,999 |
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