Jacobs, WSP, AECOM, Bard, Rao + Athanas Consulting Engineers, Salas O'Brien, Smith Seckman Reid, IMEG, and Arup US top Building Design+Construction's ranking of the nation's largest hospital facility engineering and engineering architecture (EA) firms for 2026, according to BD+C's 2026 Giants 400 Report.

Source: Building Design+Construction's 2026 Giants 400 Report