H&H Design-Build

What H&H Design-Build does

H&H Design-Build is a privately held, specialized healthcare design and construction firm headquartered in New Albany, Indiana, founded in 1971 as H&H Electrical Systems Inc. by Bill and Mary Lou Heinz. The company provides single-source design-build services for healthcare facilities across 37 US states, with particular specialization in cancer treatment centers, diagnostic imaging suites, surgical environments, and radiation therapy vaults. Core technical capabilities include radiation shielding coordination (primary, secondary, vault maze, and duct shielding for linear accelerators, proton therapy, and radiosurgery systems), medical equipment vendor coordination across nine major OEMs (Varian, Elekta, Siemens, GE HealthCare, Philips, Canon, Mevion, ViewRay, Carestream), and full project lifecycle services from planning and design through construction management and equipment commissioning. The firm has completed over 1500 healthcare projects and 2000 medical device installations since its founding.

The business operates a project-based professional services revenue model, engaging directly with hospital C-suite, facilities directors, and project managers through consultative, long-cycle enterprise sales. Customer segments include enterprise hospital systems (Norton Healthcare, MedStar Georgetown, M.D. Anderson at Cooper, Baptist Health), freestanding outpatient imaging and cancer treatment facilities, and medical equipment vendors requiring construction coordination. Pricing is project-specific, with no public pricing disclosed, and the design-build delivery method is positioned to secure fixed construction costs earlier than traditional design-bid-build approaches. The company is family-owned (Frank Heinz, son of the founders, serves as President/CEO), bootstrapped with no disclosed institutional investment, and expanded its cancer treatment capabilities through the 2017 acquisition of architection, a design-led design-build firm specializing in cancer projects. H&H maintains a 25+ person team spanning operations, finance, design, and field construction.

Name

H&H Design-Build

Legal name

H&H Design-Build

Website

https://hhdesignbuild.com

Company type

Private

Founded year

1971

Operating status

Operating

Headcount range

11–50 employees

Short description

H&H Design-Build is a privately held healthcare design and construction firm that provides single-source design-build services — including radiation shielding, medical equipment coordination, and full project lifecycle management — for hospitals, freestanding imaging centers, and cancer treatment facilities across 37 US states.

Ownership category

akta.pro rank

Product category

Healthcare Construction Services

NAICS

Plumbing, Heating, and Air-Conditioning Contractors (238220)

akta.pro primary industry

Design-Build / EPC General Contracting (IMAFAAAD)

Keywords

• Healthcare construction services
• Medical facility design
• Radiation shielding coordination
• Cancer treatment facilities
• Diagnostic imaging construction

Headquarters

HQ city

New Albany

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Marketing or Sales, Infrastructure

Revenue model

1. Design-Build Construction Services: Project-based design and construction services for healthcare facilities including new construction, renovations, and additions. Revenue is generated through design fees, construction management fees, and general contracting services for medical facility projects ranging from single-room upgrades to complete freestanding outpatient facilities.
2. Construction Management: Preconstruction services, construction documents, construction administration, and contract administration services provided throughout project lifecycle.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

H&H Design-Build provides specialized healthcare design and construction services for hospitals and healthcare facilities, with particular expertise in medical imaging equipment installation, cancer treatment facility construction, and radiation shielding coordination. The company delivers single-source design-build solutions spanning preconstruction planning, architectural and engineering services, construction management, vendor coordination with major medical equipment manufacturers (Varian, Elekta, Siemens, GE, Philips, Mevion), and full project lifecycle delivery from initial design through equipment installation and turnover.

Product overview

H&H Design-Build offers healthcare design and construction services as a single-source solution for hospitals and healthcare facilities. Their core offering is a unified service that encompasses design, construction, build, turn-key operations, consulting, construction administration, shielding coordination, interior design coordination, major medical equipment removal, and vendor coordination. The company does not operate a software product platform but rather provides integrated professional services spanning the full lifecycle of healthcare facility projects—from initial design through construction management to final equipment installation. Their services include complete design-build construction, freestanding outpatient healthcare facilities, complete architectural/engineering services, and specialized hospital renovations and additions for diagnostic imaging (MR, CT, Cath, Special Procedures), OR departments, ER departments, sterilization process departments, linear accelerators, MRI/Linear Accelerators, proton therapy systems, and radio-surgery systems (Cyberknife, Gamma Knife, and ZAP Surgical Systems).

Differentiator

Problem solved

Functional benefit

Products and services

• Healthcare Design-Build Construction Services Comprehensive single-source design and construction management service for healthcare facilities including comprehensive cancer centers, diagnostic imaging suites, surgical environments, OR departments, ER departments, sterilization process departments, and radiation therapy vaults. Engagements cover new construction, renovations, additions, and turn-key delivery, including shielding coordination and major medical equipment vendor coordination.
• Construction Management and Administration Services Preconstruction services, construction documents, construction administration, and contract administration provided throughout the project lifecycle for medical facility projects.
• Freestanding Outpatient Healthcare Facility Construction Turn-key design-build construction of freestanding imaging centers, outpatient cancer treatment facilities, and medical office building shell space buildouts, from planning through completion.

Quantifiable outcome

• 50+ years in business with 1500+ completed projects
• +2 more outcomes

Named customers7 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

14 partnerships are on record, tiered core, supporting and flagship.

• Varian Medical SystemscoreTechnology or IntegrationVarian is a major radiation oncology equipment provider. H&H Design-Build has completed numerous projects installing Varian linear accelerators, Halcyon systems, TrueBeam accelerators, and Clinac systems across client facilities.
• ElektacoreTechnology or IntegrationElekta provides radiation therapy and oncology solutions. H&H completed one of the first installations of the Elekta Unity MRI/Linear Accelerator System in the United States at M.D. Anderson Cancer Center at Cooper University.
• GE HealthCarecoreTechnology or IntegrationGE Healthcare provides diagnostic imaging equipment. H&H has completed projects installing GE MRI systems, CT systems, and other diagnostic imaging equipment.
• Siemens HealthineerscoreTechnology or IntegrationSiemens Healthineers provides medical imaging equipment. H&H has installed Siemens MRI systems and CT simulators in healthcare facilities.
• Canon Medical SystemssupportingTechnology or IntegrationCanon Medical provides diagnostic imaging solutions. H&H works with Canon as a medical equipment vendor partner on various projects.
• Philips HealthcarecoreTechnology or IntegrationPhilips Healthcare provides medical equipment including hybrid operating room systems. H&H completed Norton Hospital Hybrid OR project with Philips Hybrid OR System integration.
• Mevion Medical SystemscoreTechnology or IntegrationMevion provides compact proton therapy systems. H&H installed the Mevion Compact Proton Therapy system at MedStar Georgetown University Hospital.
• ViewRaysupportingTechnology or IntegrationViewRay provides MRI-guided radiation therapy systems. H&H works with ViewRay as a vendor partner for specialized equipment installation.
• CarestreamsupportingTechnology or IntegrationCarestream provides diagnostic imaging solutions. H&H includes Carestream as a vendor partner on healthcare construction projects.
• Norton HealthcareflagshipStrategic or Co-development PartnerNorton Healthcare is a major repeat client with multiple completed projects including Norton Cancer Institute (18,500 s.f.), Norton Hospital Hybrid OR renovation, Norton Children's Hospital Imaging and ED renovations (39,000 s.f.), and ongoing project work.
• MedStar Georgetown University HospitalflagshipStrategic or Co-development PartnerMedStar Georgetown is a major healthcare system client with significant projects including the four-story Proton Therapy Vault addition and Lombardi Cancer Center renovations, and the Cancer Institute at Southern Maryland.
• Baptist HealthcoreStrategic or Co-development PartnerBaptist Health is a regional healthcare system with completed projects including Hardin Memorial Hospital vault renovation with Varian Halcyon Linear Accelerator.
• architectioncoreStrategic or Co-development Partnerarchitection was acquired by H&H in 2017. Founded by Paul and Beth Torp in the late 90s as a design-led Design-Build firm, architection completed over 200 cancer projects and was a leader in Accuray Cyberknife projects (65 completed). Now fully integrated as H&H Design-Build/Architection.
• U.S. Department of Veterans AffairscoreStrategic or Co-development PartnerVA healthcare system is a client of H&H Design-Build for specialized medical facility construction projects.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Brasfield & Gorrie: Major general contractor with a strong healthcare construction practice, including cancer centers and advanced medical technology installations. Comparable design-build delivery to hospitals and health systems.
• Haskell Company: Large national design-build firm with a dedicated healthcare construction practice serving hospitals and medical facilities. Comparable in offering integrated design and construction for complex medical builds.
• McCarthy Building Companies: National construction firm with a dedicated healthcare division building hospitals, cancer centers, and specialized medical facilities. Offers design-build and construction management services comparable to H&H.
• Robins & Morton: Specialty healthcare construction contractor delivering complex hospital projects, including cancer treatment and diagnostic imaging facilities, with a regional-to-national footprint.
• Boldt Company: Integrated design-build firm with deep healthcare construction expertise, including complex medical facility renovations and new builds. Operates as a specialty builder for healthcare systems.

Emerging players

• MedCraft Healthcare Real Estate: Healthcare-focused real estate development and construction firm delivering outpatient medical buildings, MOBs, and specialty facilities. Comparable in healthcare vertical specialization and turnkey project delivery.
• Tindall Corporation: Manufacturer and builder of precast/prestressed concrete systems with a healthcare modular construction offering. Adjacent in serving healthcare facility needs through prefabricated, factory-built solutions.

Broad incumbents

• DPR Construction: Large national general contractor with a significant healthcare practice delivering complex hospital, research, and life sciences projects. Overlaps with H&H in advanced medical facility construction.
• Walsh Group / Walsh Construction: National general contractor with a significant healthcare construction practice, including hospital and medical office building projects. Competes for healthcare design-build work in similar geographies.
• Skanska USA: Major global construction firm with a substantial healthcare portfolio building hospitals and medical centers in the US. Competes for large healthcare design-build engagements.

Market position

Strengths1 record

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/h&h-design-build
• Facebookfacebook.com/hhdesignbuild

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about H&H Design-Build