Top 100 healthcare engineering firms for 2025

Jacobs, WSP, IMEG, AECOM, Salas O'Brien, BR+A Consulting Engineers, Smith Seckman Reid, Arup US, and Affiliated Engineers Inc. top Building Design+Construction's ranking of the nation's largest healthcare facility engineering and engineering/architecture (EA) firms for 2025, according to BD+C's Giants 400 Report.

By David Barista, Editorial Director

Oct. 27, 2025
ID 54074596 © Christian Delbert | Dreamstime.com
ID 54074596 © Christian Delbert | Dreamstime.com

ID 54074596 © Christian Delbert | Dreamstime.com

Jacobs, WSP, IMEG, AECOM, Salas O'Brien, BR+A Consulting Engineers, Smith Seckman Reid, Arup US, and Affiliated Engineers Inc. top Building Design+Construction's ranking of the nation's largest healthcare facility engineering and engineering/architecture (EA) firms for 2025, according to BD+C's 2025 Giants 400 Report. Note: This ranking factors revenue for all healthcare buildings work, including hospitals, medical office buildings, and outpatient facilities. 

Source: Building Design+Construction's 2025 Giants 400 Report

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