Jacobs, WSP, IMEG, BR+A, and Affiliated Engineers head BD+C's ranking of the nation's largest healthcare sector engineering and engineering/architecture (EA) firms for 2023, as reported in Building Design+Construction's 2023 Giants 400 Report. Note: This ranking includes revenue related to all healthcare buildings work, including hospitals, medical office buildings, and outpatient facilities.
| Top 90 Healthcare Engineering Firms for 2023 | ||
| FIRM | 2022 REVENUE | |
| 1 | Jacobs | $375,000,000 |
| 2 | WSP | $126,187,325 |
| 3 | IMEG | $99,385,000 |
| 4 | BR+A | $66,500,000 |
| 5 | Affiliated Engineers | $51,330,215 |
| 6 | AECOM | $47,700,000 |
| 7 | Smith Seckman Reid (SSR) | $46,140,074 |
| 8 | Tetra Tech High Performance Buildings Group | $40,421,576 |
| 9 | TLC Engineering Solutions | $38,005,523 |
| 10 | Arup | $37,051,275 |
| 11 | Kimley-Horn | $35,800,000 |
| 12 | Mazzetti | $35,659,683 |
| 13 | Salas O'Brien | $35,576,462 |
| 14 | CMTA | $30,259,259 |
| 15 | Walter P Moore | $28,043,844 |
| 16 | KPFF Consulting Engineers | $26,458,566 |
| 17 | EXP | $25,451,000 |
| 18 | I.C. Thomasson Associates | $24,558,980 |
| 19 | Henderson Building Solutions | $24,113,039 |
| 20 | Specialized Engineering Solutions | $23,400,000 |
| 21 | Jensen Hughes | $21,591,017 |
| 22 | Heapy | $21,474,493 |
| 23 | AKF | $20,087,834 |
| 24 | Dewberry | $16,563,460 |
| 25 | Syska Hennessy Group | $15,979,536 |
| 26 | Langan | $13,500,000 |
| 27 | Thornton Tomasetti | $13,385,041 |
| 28 | P2S | $13,220,322 |
| 29 | Newcomb & Boyd | $13,059,805 |
| 30 | Dunham Associates | $12,300,000 |
| 31 | NV5 Global | $12,238,350 |
| 32 | Shive-Hattery | $10,836,894 |
| 33 | Interface Engineering | $10,523,959 |
| 34 | EAPC Architects Engineers | $10,514,708 |
| 35 | SSOE | $10,123,591 |
| 36 | Burns Engineering | $9,962,304 |
| 37 | RTM Engineering Consultants | $9,643,800 |
| 38 | Wiss, Janney, Elstner Associates | $9,321,000 |
| 39 | Magnusson Klemencic Associates | $8,824,639 |
| 40 | Jaros, Baum & Bolles | $8,293,170 |
| 41 | Burns & McDonnell | $8,207,861 |
| 42 | Henderson Engineers | $7,719,367 |
| 43 | Farnsworth Group | $7,500,773 |
| 44 | Karpinski Engineering | $7,500,000 |
| 45 | DH Engineering | $7,432,319 |
| 46 | Vanderweil Engineers | $7,109,300 |
| 47 | RMF Engineering | $7,000,000 |
| 48 | PCS Structural Solutions | $6,881,871 |
| 49 | Osborn Engineering | $6,800,000 |
| 50 | M/E Engineering | $6,710,000 |
| 51 | Highland Associates | $6,300,000 |
| 52 | Teecom | $6,189,788 |
| 53 | ESD (now Stantec Consulting Services, Inc.) | $5,984,539 |
| 54 | BKF Engineers | $5,913,598 |
| 55 | GRAEF | $5,277,622 |
| 56 | Martin/Martin | $4,401,418 |
| 57 | TW Constructors | $4,086,000 |
| 58 | Olsson | $3,105,783 |
| 59 | Alfa Tech Consulting Engineers | $2,736,000 |
| 60 | Morrison Hershfield | $2,672,070 |
| 61 | H.F. Lenz | $2,571,989 |
| 62 | McKinstry | $2,500,000 |
| 63 | Wallace Design Collective | $2,400,000 |
| 64 | Bridgers & Paxton Consulting Engineers | $2,371,924 |
| 65 | Ramboll | $2,000,000 |
| 66 | CDM Smith | $1,907,709 |
| 67 | ISG | $1,632,695 |
| 68 | PS&S | $1,622,744 |
| 69 | Kohrs Lonnemann Heil Engineers (KLH) | $1,619,879 |
| 70 | ME Engineers | $1,500,000 |
| 71 | PBS Engineers | $1,375,000 |
| 72 | Schaefer | $1,293,682 |
| 73 | Davis, Bowen & Friedel | $1,190,604 |
| 74 | PRIME AE Group | $1,158,902 |
| 75 | JQ Engineering | $958,460 |
| 76 | Halff | $864,000 |
| 77 | Bala Consulting Engineers | $775,000 |
| 78 | KCI Technologies | $771,504 |
| 79 | BG Buildingworks | $650,000 |
| 80 | French & Parrello Associates | $613,952 |
| 81 | SSC Engineering | $530,000 |
| 82 | Stanley Consultants | $496,302 |
| 83 | raSmith | $459,579 |
| 84 | Wick Fisher White | $429,009 |
| 85 | DeSimone Consulting Engineering | $386,269 |
| 86 | Kohler Ronan | $313,269 |
| 87 | Bennett & Pless | $305,338 |
| 88 | EVstudio | $300,000 |
| 89 | DLZ Corporation | $238,129 |
| 90 | ThermalTech Engineering | $180,000 |
| 91 | KCL Engineering | $133,720 |
| 92 | Jordan & Skala Engineers | $57,303 |
| 93 | Primera Engineers | $56,342 |
| 94 | Arora Engineers | $15,852 |
Source: 2023 Giants 400 Report
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