Top 90 Hospital Facility Engineering Firms for 2026 - Building Design + Construction

Top 90 Hospital Facility Engineering Firms for 2026

Building Design + Construction

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Top Hospital Facility Engineering Firms for 2026

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.

Rank | Company | 2025 Hospital Design Revenue

--- | --- | ---

1 | Jacobs | $199,049,347 2 | WSP | $147,425,022 3 | AECOM | $128,900,000 4 | Bard, Rao + Athanas Consulting Engineers | $109,490,684 5 | Salas O'Brien | $97,447,381 6 | Smith Seckman Reid (SSR) | $91,493,621 7 | IMEG | $80,250,000 8 | Arup US | $76,095,639 9 | Affiliated Engineers, Inc. (AEI) | $59,469,000 10 | CMTA | $41,703,084 ... (and 20 more firms listed)

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