The Top Women’s Health Architecture Firms of 2026

From January through March 2026, our team contracted an independent research firm (1), which conducted a comprehensive evaluation of 39 women’s health architecture firms across the United States. The team analyzed each firm using a transparent scoring system based on the following weighted criteria:

• Average Client Review Score (30%) – G2, Clutch, and Google ratings
• Project Completion Timeline (25%) – Average speed of project delivery
• Geographic Reach (20%) – National vs. regional presence
• Patient-Centered Design Innovation (20%) – Unique features focused on patient comfort, privacy, and healing
• Specialty Certifications (5%) – LEED, EDAC, WELL Building Standard, or women’s health-specific credentials

Based on this methodology, we rank-ordered the firms and identified the top performers. The table below highlights the leading women’s health architecture firms, followed by detailed reviews of each.

The Top Women’s Health Architecture Firms of 2026

In the table below, we break down the leading women’s health architecture firms by our five evaluation criteria:

1. BSA, for Full-Service Integrated Women’s Health Delivery

BSA is an employee-owned, top-rated women’s health architecture firm, with approximately 240 professionals across eight studios nationwide. The firm delivers fully integrated services — specifically, architecture, engineering, interior design, and planning services — under one roof, eliminating coordination gaps common in multi-vendor projects.

Their women’s health portfolio includes the Riley Hospital for Children Maternity Tower, which centralizes all inpatient childbirth and newborn care with the largest number of NICU beds in Indiana. Other notable projects include Cheyenne Regional Medical Center Mother/Baby Unit, UNC Health Johnston Clayton Expansion, and WakeMed North Tower Expansion. BSA’s evidence-based design approach creates patient-centered environments that balance clinical efficiency with healing atmospheres specifically designed for women and families.

• Location: Indianapolis (HQ), plus Raleigh, Charlotte, Tampa, St. Louis, Denver, Austin, Houston
• Services Offered: Architecture, Engineering (MEP and Commissioning), Planning, Interior Design, specializing in Healthcare, Science, and Higher Education
• Average Review Score: 4.8/5.0

2. Array Architects, for Ambulatory and Maternal-Child Health Facilities

Array Architects is a specialized healthcare design firm with six locations across the Mid-Atlantic, Northeast, Southeast, and Florida. Array focuses specifically on ambulatory care facilities, medical office buildings, adaptive reuse healthcare projects, and maternal-child health centers. This positions them at the forefront of healthcare’s shift toward outpatient services and distributed care models.

Their award-winning Cooper University Health Care Moorestown Ambulatory Care Facility earned three separate design awards, demonstrating expertise in adaptive reuse and vibrant outpatient environments for women’s health services. Array’s team includes dedicated women’s health specialists with 30+ years of experience designing OB/GYN facilities, maternity units, and breast health centers.

• Location: Conshohocken, PA (HQ), plus New York, Washington D.C., Durham NC, Charlotte NC, Charleston SC, Fort Lauderdale FL
• Services Offered: Architecture, Interior Design, Space Programming, Planning, Healthcare Optimization
• Average Project Size: Small to mid-scale ambulatory ($5M–$75M)

3. REES Associates, for Comprehensive Women’s Health Facilities

REES Associates is a regional healthcare architecture firm specializing in patient-driven facility design. The firm is best known for its collaboration with Mercy Health on the Mercy Love Family Women’s Tower in Oklahoma City, which opened in 2023 as the first facility in the state to offer comprehensive women’s services in one place.

REES employs a research-driven design process, partnering with Mercy to assemble focus groups of mothers to understand their labor, delivery, and postpartum experiences. This data directly informed the design of the 175,000-square-foot, four-story Women’s Tower, which includes private rooms with noise buffers, comprehensive services, and patient-centered privacy features.

• Location: Oklahoma City (HQ), plus Dallas TX, Houston TX
• Services Offered: Architecture, Interior Design, Healthcare Planning, Evidence-Based Design Research
• Average Review Score: 3.8/5.0

4. CO Architects, for Western U.S. Specialized Medical Facilities

CO Architects operates from Los Angeles and San Diego, focusing on medical education facilities, research laboratories, and comprehensive cancer centers. The firm specializes in large, complex institutional projects requiring sophisticated integration of research, education, and clinical care, particularly for women’s health services in academic medical settings.

Representative projects include City of Hope Plaza comprehensive cancer center, UCLA Health Santa Monica Medical Center, and Kaiser Permanente Irwindale MOB, which provides specialty medical services including OB/GYN and women’s wellness. Their medical education facility specialization sets them apart in the western U.S. market.

• Location: Los Angeles (HQ), San Diego
• Services Offered: Architecture, Interior Design, Planning, Engineering, Medical Education Design
• Average Review Score: 3.9/5.0

5. NBBJ, for Patient-Centered Healthcare Design

NBBJ is a global architecture firm specializing in healthcare, science and technology, and commercial design. The firm brings eight decades of experience to complex institutional projects with a philosophy they call “Whole Health” — an approach that prioritizes the wellbeing of patients, caregivers, and communities.

NBBJ’s healthcare portfolio emphasizes patient-centered design with projects like UCSF’s Pediatric Stad Center, Loma Linda University Medical Center, and various women’s and children’s hospital projects nationwide. Modern Healthcare named NBBJ “Best in Business” for efficiency in design and construction in 2025.

• Location: Seattle (HQ), plus Boston, Columbus, Charlotte, London, Los Angeles, New York, Portland, San Francisco, Beijing, Shanghai
• Services Offered: Architecture, Interior Design, Medical Planning, Design Research, Evidence-Based Design, Healthcare Strategy
• Average Project Size: Large institutional ($100M–$800M+)

6. MASS Design Group, for Maternal Health Equity and Innovation

MASS Design Group is a nonprofit design studio with offices in the United States and Rwanda, founded in 2008. The firm specializes in healthcare architecture that promotes health equity, with a particular focus on maternal and childbirth care in underserved communities.

Their most notable women’s health project is the Kasungu Maternity Waiting Village in Malawi. MASS worked with doctors, nurses, and expectant mothers to design a prototype “village” that provides high-risk mothers with safe, comfortable accommodations in the final weeks of pregnancy. The firm also conducted research on how the physical environment of birth facilities influences clinical outcomes and C-section rates.

• Location: Boston MA (HQ), plus Kigali, Rwanda
• Services Offered: Architecture, Research, Health Equity Design, Maternal Health Planning, Community Engagement
• Average Review Score: 4.2/5.0

7. ZGF Architects, for Healthcare Equity and Family-Centered Care

ZGF Architects is a national integrated design firm with nine offices across the United States. The firm specializes in healthcare facilities that promote equity, inclusion, and family-centered care.

ZGF’s signature women’s health project is the University Health Women’s & Children’s Hospital in San Antonio, Texas, completed in July 2023. The 12-story LEED Gold certified tower features evidence-based strategies including natural light, expansive views of nature, private patient rooms with space for families, kangaroo rooms for NICU families, large labor and delivery rooms, and separate circulation paths to maintain privacy for mothers experiencing loss or trauma.

• Location: Portland OR (HQ), plus Seattle, Los Angeles, San Francisco, New York, Washington D.C., Vancouver BC, Phoenix, Austin
• Services Offered: Architecture, Interior Design, Medical Planning, Sustainable Design, Healthcare Equity Strategy
• Average Review Score: 3.5/5.0

The Top Women’s Health Architecture Firms in the US by Subcategory

We also broke down the top women’s health architecture firms into three subcategories based on specialty and project type.

1. Top 5 Women’s Health Architecture Firms for Ambulatory & Outpatient Care

2. Top 5 Women’s Health Architecture Firms for Maternal Health & Equity Focus

3. Top 5 Women’s Health Architecture Firms for Large Academic Medical Centers

Frequently Asked Questions

How long does a women’s health architecture project typically take?

Timelines vary significantly based on project size and complexity. Smaller ambulatory women’s health clinics and medical office buildings typically take 12-24 months from planning to completion, while large hospital maternity towers or comprehensive women’s centers can span 24-36 months or longer. Factors like regulatory approvals, phased construction, integrated MEP systems, and coordination between design and engineering teams significantly impact timelines. Firms with integrated delivery models can often reduce project timelines by 15-25% compared to multi-vendor approaches.

Which women’s health architecture firms are best for maternal health facilities?

Firms with extensive experience in maternal-child health, maternity towers, NICU design, and labor and delivery environments tend to perform best on maternal health projects. Look for teams with proven portfolios of maternity facilities, evidence-based design credentials, and patient-centered innovation in birthing environments. BSA’s Riley Hospital Maternity Tower, MASS Design Group’s Maternity Waiting Village research, and ZGF’s University Health Women’s & Children’s Hospital demonstrate different approaches to maternal health excellence.

What patient-centered design features should women’s health facilities include?

Leading women’s health facilities incorporate several evidence-based design features: private patient rooms with space for family members; separate circulation paths to maintain privacy for patients experiencing loss or trauma; natural light and views of nature to reduce stress; noise-buffering systems for patient privacy; flexible labor and delivery rooms; kangaroo rooms and family spaces in NICU environments; breastfeeding support centers; and comprehensive services under one roof.

Conclusion

Selecting the right women’s health architecture firm requires evaluating portfolio depth, patient-centered design innovation, delivery timelines, geographic reach, and specialty expertise. BSA stands out as the top-ranked firm for full-service integrated delivery, offering architecture, engineering, planning, and interior design services under one roof for complex women’s health environments.

Ready to discuss your women’s health architecture project? Schedule a Consultation with BSA to learn how our specialized teams can bring your healing environment vision to life.

(1) First Page Sage conducted research.