Facility Guidelines Institute

Name

Facility Guidelines Institute

Legal name

Facility Guidelines Institute

Website

https://fgiguidelines.org

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

Healthcare Facility Design Standards & Codes

NAICS

Broadcasting and Content Providers (516)

SIC

Miscellaneous Publishing (2741)

akta.pro primary industry

Standards Development & Publishing (SDOs, Technical Standards) (MPAJACAB)

Keywords

• Healthcare facility standards
• Building code publications
• Design guidelines healthcare
• Residential care standards
• Consensus standards development

Headquarters

HQ city

Florence

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Digital Commerce or Content

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Sale of FGI Codes/Guidelines Documents: FGI generates revenue primarily through the sale and licensing of its FGI Codes/Guidelines publications. Revenue comes from paperback book sales, digital subscriptions, and bundle offerings. The organization also derives revenue from education programs offered through FGI University.
2. Digital Licensing: Digital access to FGI Codes/Guidelines is licensed through a platform that offers single- and multiple-user subscriptions, enabling organizations to access the standards digitally.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels8 records

Core offering

FGI develops and publishes consensus-based FGI Codes (and previously FGI Guidelines) that establish minimum standards for the planning, design, and construction of hospitals, outpatient settings, and residential care and support facilities. These copyrighted standards documents are sold directly to customers as paperback books and digital subscriptions through shop.fgiguidelines.org, supported by companion FGI Handbooks, educational programs through FGI University, white papers, formal interpretations, and the Between the Lines with FGI podcast.

Product overview

FGI publishes a comprehensive suite of standards documents for health care facility planning, design, and construction. The core offerings consist of the FGI Codes for Planning and Design (Hospital, Outpatient Settings, and Residential Care and Support Settings), which establish minimum requirements and are supplemented by companion FGI Handbooks providing explanatory guidance, graphics, and best practices. The organization also offers educational resources through FGI University,errata and addenda services, formal interpretations, application guidance documents, and the Between the Lines with FGI podcast. Prior editions (2014, 2018, 2022) remain available in both paperback and digital formats. The portfolio serves architects, engineers, clinicians, facility managers, and regulatory authorities.

Differentiator

Problem solved

Functional benefit

Brands

• FGI Codes for Planning and Design: Enforceable minimum requirements for planning and design of health and residential care facilities, organized for fast answers and everyday use.
• FGI Handbooks for Planning and Design
• FGI University
• Between the Lines with FGI
• Douglas S. Erickson Health Care Research Award

Products and services

• FGI Code for Planning and Design of Hospitals Establishes minimum requirements for the planning, design, and construction of hospitals, including rehabilitation hospitals, critical access hospitals, psychiatric hospitals, children's hospitals, and mobile/transportable medical units. Sold to healthcare facility owners, design professionals, and regulators as paperback books and digital subscriptions via shop.fgiguidelines.org.
• FGI Code for Planning and Design of Outpatient Settings Provides enforceable minimum requirements for outpatient facilities including ambulatory surgery centers, urgent care, imaging facilities, birth centers, renal dialysis centers, behavioral health crisis centers, short-stay centers, and sleep disorder centers. Sold to outpatient facility developers, operators, designers, and regulators.
• FGI Code for Planning and Design of Residential Care and Support Settings Establishes minimum standards for residential behavioral and mental health treatment facilities, nursing homes, hospice, assisted living, independent living, substance abuse treatment facilities, settings for individuals with intellectual/developmental disabilities, and adult day care facilities. Sold to residential care operators, designers, and regulators.
• FGI Handbook for Planning and Design of Hospitals Companion guide to the FGI Hospital Code, including explanatory guidance, graphics, examples, and tools to help design professionals apply minimum requirements across complex hospital projects.
• FGI Handbook for Planning and Design of Outpatient Settings Companion guide including the Outpatient Code plus practical guidance for agile outpatient environments including ambulatory surgery centers, urgent care, imaging, behavioral health crisis centers, short-stay centers, and birth centers.
• FGI Handbook for Planning and Design of Residential Care and Support Settings Companion guide including the Residential Code plus insights for applying planning and design concepts across care delivery models and design guidance for specialized care populations.
• FGI Guidelines for Design and Construction of Hospitals (2022 Edition) Previous edition covering minimum program, space, risk assessment, infection prevention, architectural detail, surface, and built-in furnishing requirements for hospitals. Sold as paperback ($75) and digital subscription.
• FGI Guidelines for Design and Construction of Outpatient Facilities (2022 Edition) Previous edition providing minimum design standards for outpatient facility types including imaging facilities, birth centers, and renal dialysis centers. Sold as paperback ($75) and digital subscription.
• FGI Guidelines for Design and Construction of Residential Health, Care, and Support Facilities (2022 Edition) Previous edition featuring user-friendly restructuring with common elements and facility-specific requirements for nursing homes, hospice, and assisted living facilities. Sold as paperback ($75) and digital subscription.
• FGI University Educational platform offering on-demand webinars, training programs, and certification resources focused on changes across the FGI Codes/Guidelines editions, presented by HGRC members and leaders. Topics include behavioral health environments, patient/staff safety, infection prevention, emergency preparedness, and evolving care models.

Quantifiable outcome

• 42 states have adopted some edition of the FGI Codes/Guidelines for regulatory purposes
• +2 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Eleven partnerships are on record, tiered minor and core.

• Pro Codes Act CoalitionminorGTM or Marketing Partner · 28 May 2026FGI announced its support for the bipartisan Pro Codes Act, which would affirm that standards development organizations retain copyright protection when standards are incorporated into law by reference. FGI is working with other standards development organizations to protect the independent standards development system.
• The Center for Health Design (CHD)coreStrategic or Co-development Partner · 1 January 2024FGI partners with The Center for Health Design to administer the Douglas S. Erickson Health Care Research Award, which cultivates research on spaces in health and residential care built environments. The award aligns with CHD's mission to advance best practices in health care design.
• MADCADcoreChannel Partner/ Reseller/ Distributor · 1 January 2018FGI partnered with MADCAD beginning with the 2018 edition to develop a platform offering single- and multiple-user digital access to the FGI Codes/Guidelines documents.
• ASHRAE (American Society of Heating, Refrigerating and Air-Conditioning Engineers)coreStrategic or Co-development Partner · 1 January 2010FGI incorporated ANSI/ASHRAE/ASHE Standard 170: Ventilation of Health Care Facilities into the FGI Codes/Guidelines beginning with the 2010 edition. The partnership brings ventilation requirements into the Guidelines as minimum requirements. ASHRAE also provides errata sheets for Standard 170 and keeps it under continuous maintenance with periodic addenda.
• AIA Academy of Architecture for Health (AIA/AAH)coreStrategic or Co-development PartnerFGI is one of four organizations in the Pillars of Health Care Architecture alliance. The AIA/AAH, founded in 1946, is the oldest of the allied organizations and focuses on education and networking for health care architecture professionals. FGI provides standards development as its primary function within the alliance.
• American College of Healthcare Architects (ACHA)minorStrategic or Co-development PartnerACHA is part of the Pillars of Health Care Architecture alliance. ACHA was created in 1999 to offer board certification to licensed health care architects. FGI collaborates with ACHA within the alliance framework to advance health care architecture.
• The Center for Health Design (CHD) — AllianceminorStrategic or Co-development PartnerCHD is part of the Pillars of Health Care Architecture alliance, focused on research, education, and community related to the connection between design and health. FGI collaborates with CHD within the alliance framework.
• Foundation for Health Environments Research (FHER)minorStrategic or Co-development PartnerFHER is part of the Pillars of Health Care Architecture alliance. Its goal is to enhance knowledge and effectiveness of those who create health care environments through funding of educational and research activities.
• Nursing Institute for Healthcare Design (NIHD)minorStrategic or Co-development PartnerNIHD is part of the Pillars of Health Care Architecture alliance. NIHD promotes the engagement and integration of clinical expertise into the planning and design of health care environments through education, advocacy, and leadership.
• Fetal Health Foundation (Fetal Therapy Think Tank)minorStrategic or Co-development PartnerThe Fetal Health Foundation's Fetal Therapy Think Tank authored a white paper establishing environmental and spatial guidelines for fetal care centers, published on FGI's resources page in March 2026.
• HHS / Health Care Financing Administration / CMScoreStrategic or Co-development PartnerThe U.S. Department of Health and Human Services, Health Care Financing Administration (now CMS), and the Centers for Medicare & Medicaid Services have historically provided funding for multiple FGI revision cycles (2001, 2006, 2010, 2014) and continue to play a role in the regulatory ecosystem that uses FGI Codes/Guidelines.

Scale indicators5 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• International Code Council (ICC): ICC develops the International Building Code (IBC) and International Fire Code, including healthcare-related provisions, and is widely adopted by state and local jurisdictions across the US. ICC is a direct peer in the model-code development space that overlaps with FGI's hospital and outpatient facility design standards.
• AIA Academy on Architecture for Health (AIA/AAH): AIA/AAH is one of the four Pillars of Health Care Architecture alliance organizations alongside FGI, founded in 1946 to advance healthcare architecture education and practice. It directly serves the same healthcare design and construction audience as FGI Codes/Guidelines.
• UL Standards & Engagement: UL Standards & Engagement is a globally recognized safety standards development organization whose healthcare-relevant standards intersect with FGI's hospital and residential care facility requirements. It uses a similar SDO model with consensus committees and paid standards access.
• ASTM International: ASTM International is a globally recognized consensus standards development organization serving a broad range of industries, including healthcare construction materials and personal protective equipment. It uses the same SDO volunteer committee model as FGI and competes for standards-adjacent policy influence.
• American Society for Health Care Engineering (ASHE): ASHE is a personal membership group of the AHA focused on healthcare facility management, compliance, and engineering, and is referenced in FGI's ventilation partnership and podcast sponsorship work. ASHE overlaps with FGI in serving healthcare facility operations and compliance audiences.
• ASHRAE: ASHRAE develops ANSI/ASHRAE/ASHE Standard 170 (Ventilation of Health Care Facilities), which FGI incorporates by reference. ASHRAE operates a similar consensus-based SDO model with healthcare-relevant technical standards, member committees, and educational offerings.
• National Fire Protection Association (NFPA): NFPA is the leading standards developer for fire, electrical, and life safety, including NFPA 99 (Health Care Facilities Code) which, like FGI Codes, is incorporated into state regulation and adopted by healthcare accreditation bodies. It is the most direct functional peer in healthcare-related consensus standard-setting.

Broad incumbents

• ANSI (American National Standards Institute): ANSI oversees and accredits US standards developers, including healthcare-relevant SDOs. While it does not directly develop healthcare codes, it is the umbrella body whose standards-setting ecosystem FGI operates within, and a relevant broad incumbent in the standards infrastructure space.

Others

• Centers for Medicare & Medicaid Services (CMS): CMS is the federal regulator that historically funded FGI revision cycles (2001-2014) and whose Conditions of Participation shape healthcare facility requirements that interact with FGI Codes. It is an ecosystem participant and reference customer rather than a standards peer.
• The Joint Commission: The Joint Commission is a major customer and endorser of FGI Codes/Guidelines, requiring hospitals to use the current FGI edition in its EC.02.06.05 standard. It functions as an ecosystem partner that defines the regulatory demand for FGI rather than a competing SDO.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xtwitter.com/fgiguidelines
• LinkedInlinkedin.com/company/facility-guidelines-institute-inc

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

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 Facility Guidelines Institute