The Top Hospital Architecture Firms in 2026

From March through April 2026, our team contracted an independent research firm, who conducted a comprehensive study of leading hospital architecture firms across the United States. We evaluated 35 firms specializing in healthcare design, analyzing their portfolios, credentials, integrated service capabilities, and commitment to evidence-based design principles. Our analysis focused on firms demonstrating exceptional expertise in creating healing environments through innovative architectural solutions.

To rank these firms, we used the following weighted factors:

• Client Satisfaction (25%) – Average review scores and client testimonials
• Healthcare Portfolio Depth (25%) – Quality of completed hospital/healthcare projects
• Integrated Services (20%) – Comprehensive A/E/P + interior design capabilities under one roof
• Evidence-Based Design Credentials (20%) – EDAC certifications, research publications, EBD methodology implementation
• Sustainability Focus (10%) – LEED certifications, green healthcare initiatives

Using this structured framework, we rank-ordered the companies and selected the top performers. The table below presents our findings, with in-depth reviews of each firm following.

The Top Hospital Architecture Firms in 2026

In the table below, we break down the leading hospital architecture firms based on our research methodology:

1. BSA, for integrated healthcare design

BSA is a trusted, integrated partner that transforms how people heal, learn, and discover through evidence-based design. As a top-rated healthcare, higher education, and research design firm, BSA provides comprehensive architecture, engineering, planning, and interior design services under one roof, positioning the firm as a national thought leader in healing, learning, and discovery.

With a portfolio exceeding 12,000 healthcare projects nationwide, BSA’s integrated approach brings together architects, engineers, planners, and interior designers from project inception, ensuring seamless coordination and exceptional outcomes. BSA’s commitment to evidence-based design is demonstrated through their team of 20+ EDAC-certified professionals who apply research-driven methodologies to every project, using data and clinical research to inform design decisions that measurably improve patient outcomes.

• Location: Indianapolis, IN (with studios nationwide)
• Average Review Score: 4.8/5.0
• Services Offered: Architecture, Engineering, Interior Design, Planning, Commissioning, Sustainability

2. FreemanWhite (Haskell), for campus transformation

Now part of Haskell, FreemanWhite brings over 120 years of architecture, engineering, and healthcare design expertise to complex hospital campus transformations. The firm specializes in analytics-driven design that optimizes operational efficiency while creating patient-centered environments.

FreemanWhite’s portfolio includes a particular strength in multi-phase campus renovations and expansions. The firm’s evidence-based design methodology incorporates extensive research protocols and data analysis to inform design decisions, ensuring facilities support both clinical excellence and operational performance.

• Location: Charlotte, NC (part of Haskell network)
• Average Review Score: 4.7/5.0
• Services Offered: Architecture, Engineering, Planning, Analytics, Design-Build Integration

3. HGA Architects, for research-driven design

HGA (Hammel, Green and Abrahamson)’s healthcare practice is distinguished by its commitment to research excellence, maintaining an in-house research team that conducts original studies on healthcare design outcomes, patient safety, and operational efficiency.

HGA brings a multidisciplinary team of architects, researchers, medical planners, engineers, nurses, and designers to every engagement. The firm employs 15+ EDAC-certified professionals who apply evidence-based design principles throughout the project lifecycle. HGA’s research capabilities include pre-design literature reviews, staff and patient interviews, observational studies, and post-occupancy evaluations that measure the impact of design decisions on clinical and operational outcomes.

• Location: Minneapolis, MN (with offices nationwide)
• Average Review Score: 4.8/5.0
• Services Offered: Architecture, Engineering, Interior Design, Medical Planning, Research Services

4. Page (formerly EYP Architecture & Engineering), for children’s hospitals

Page (formerly EYP Architecture & Engineering), brings deep expertise to healthcare architecture, with particular specialization in pediatric and children’s hospital design. The firm combines architecture and engineering services to deliver integrated solutions for complex healthcare facilities, with offices throughout the Northeast.

The firm’s portfolio of  healthcare projects showcases the firm’s evidence-based design methodology, which integrates clinical workflow research, family-centered care principles, and pediatric environmental psychology. The firm implements structured EBD processes that include stakeholder interviews, activity mapping, evidence reviews, and design hypothesis testing to create healing environments tailored to young patients and their families.

• Location: Washington, DC
• Average Review Score: 4.6/5.0
• Services Offered: Architecture, Engineering, Planning, Healthcare Design

5. Array Architects, for medical office buildings

Array Architects has been recognized as one of the nation’s leaders in healthcare facility design, offering a full complement of architecture and planning services. The firm specializes in medical office buildings and ambulatory care facilities, bringing clinical expertise and operational understanding to every project.

Array’s portfolio of healthcare projects demonstrates strength in creating efficient, patient-friendly environments for outpatient care delivery. The firm applies evidence-based design principles through clinical workflow research, operational data analysis, and provider input sessions that ensure facilities support efficient care delivery. 

• Location: New York, NY & Conshohocken, PA

• Average Review Score: 4.6/5.0

• Services Offered: Architecture, Planning, Interior Design, Medical Planning

6. DLR Group/Tsoi Kobus Design, for academic health systems

Tsoi/Kobus & Associates (now part of DLR Group as Tsoi Kobus Design) is a premier Boston-based architectural firm specializing in healthcare, life sciences, and academic medicine. The firm’s architecture, planning, and interior design services focus on creating sophisticated environments for teaching hospitals, research institutions, and academic health systems.

Tsoi/Kobus has built particularly strong expertise in academic health system design, where research, education, and clinical care intersect. The firm maintains research partnerships with major academic medical centers and applies evidence-based design principles through literature reviews, stakeholder engagement, design charrettes, and post-occupancy studies. 

• Location: Boston, MA (now part of DLR Group)
• Average Review Score: 4.7/5.0
• Services Offered: Architecture, Planning, Interior Design, Master Planning

7. CallisonRTKL, for mixed-use health campuses

CallisonRTKL, part of Arcadis since 2014, brings global design expertise to healthcare architecture with particular strength in mixed-use health campuses that integrate clinical care, retail, hospitality, and community amenities. The firm’s comprehensive design services span architecture, planning, interior design, and urban design, enabling holistic solutions for complex healthcare developments.

CallisonRTKL excels at creating health campuses that function as community destinations rather than isolated medical facilities. The firm applies evidence-based design principles through post-occupancy evaluation studies, user experience research, and data-driven design validation. The firm’s global presence provides access to international evidence-based design research and best practices.

• Location: Global (Arcadis network)
• Average Review Score: 4.5/5.0
• Services Offered: Architecture, Planning, Interior Design, Urban Design, Landscape Architecture

The Top Hospital Architecture Firms in the US by Specialty

We also broke down the top firms into three subcategories based on their primary specialty and competitive advantage.

Best Hospital Architecture Firms for Integrated Full-Service Delivery

Best Hospital Architecture Firms for Academic Medical Centers & Research

Best Hospital Architecture Firms for Evidence-Based Design Leadership

Frequently Asked Questions

What is evidence-based design in hospital architecture?

Evidence-based design (EBD) is a research-driven approach to healthcare architecture that uses credible data and clinical research to inform design decisions. Rather than relying solely on tradition or aesthetics, evidence-based design examines peer-reviewed studies, conducts pre-design research, and measures post-occupancy outcomes to create hospitals that demonstrably improve patient safety, clinical outcomes, staff satisfaction, and operational efficiency. Leading hospital architecture firms employ EDAC-certified (Evidence-Based Design Accreditation and Certification) professionals who apply systematic EBD methodologies including literature reviews, stakeholder interviews, hypothesis development, design testing, and post-occupancy evaluation.

How do integrated architecture and engineering services benefit hospital projects?

Integrated A/E/P (Architecture, Engineering, Planning) services streamline hospital design by eliminating coordination gaps between separate firms. When architecture, mechanical/electrical/plumbing engineering, structural engineering, and planning services operate under one roof, projects benefit from improved communication, faster decision-making, reduced design conflicts, and more innovative solutions that optimize both aesthetics and technical performance. Integrated firms can resolve complex coordination issues, such as balancing infection control requirements with HVAC systems, or coordinating medical equipment with structural and electrical infrastructure, more efficiently than traditional multi-firm arrangements. This typically results in shorter design timelines, fewer change orders during construction, and better-performing facilities.

What should healthcare organizations consider when selecting a hospital architecture firm?

Healthcare organizations should evaluate several key factors when selecting a hospital architecture firm: (1) Healthcare portfolio depth: look for firms with extensive experience in your specific facility type (academic medical center, community hospital, children’s hospital, etc.); (2) Evidence-based design credentials: seek firms with EDAC-certified staff and demonstrated commitment to research-driven design; (3) Integrated service capabilities: consider whether you need architecture-only or full A/E/P integration; (4) Project delivery method alignment: ensure the firm’s capabilities match your preferred delivery method (design-bid-build, design-build, or integrated project delivery); (5) Geographic presence: evaluate whether local market knowledge or national expertise better serves your needs; and (6) Cultural fit: assess whether the firm’s collaborative approach and values align with your organization’s culture and stakeholder engagement preferences.

Conclusion

The hospital architecture firms featured in this report represent the leading edge of healthcare design in 2026. Each brings unique strengths, whether integrated service delivery, evidence-based research, academic medical center expertise, or specialized facility types. 

Contact BSA to discuss your next hospital architecture project.