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

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