| Rank | Company | 2013 Healthcare Revenue |
| 1 | AECOM Technology Corp. | 180,760,000 |
| 2 | Jacobs | 87,770,000 |
| 3 | URS Corp. | 45,036,525 |
| 4 | Smith Seckman Reid | 40,105,600 |
| 5 | KPFF Consulting Engineers | 38,000,000 |
| 6 | Allen & Shariff | 36,000,000 |
| 7 | BR+A Consulting Engineers | 29,900,000 |
| 8 | Affiliated Engineers | 27,947,000 |
| 9 | CCRD Partners | 23,760,000 |
| 10 | Burns & McDonnell | 19,810,000 |
| 11 | Parsons Brinckerhoff | 17,950,364 |
| 12 | KJWW Engineering Consultants | 17,848,081 |
| 13 | Mazzetti | 16,963,459 |
| 14 | AKF Group | 16,432,000 |
| 15 | STV | 16,419,000 |
| 16 | TTG | 15,224,500 |
| 17 | Dewberry | 15,179,608 |
| 18 | Degenkolb Engineers | 12,635,148 |
| 19 | TLC Engineering for Architecture | 11,667,359 |
| 20 | Zak Companies | 11,620,500 |
| 21 | Syska Hennessy Group | 10,910,770 |
| 22 | Arup | 10,609,311 |
| 23 | Heapy Engineering | 10,211,094 |
| 24 | M-E Engineers | 9,657,000 |
| 25 | I. C. Thomasson Associates | 9,400,000 |
| 26 | Thornton Tomasetti | 7,774,388 |
| 27 | Shive-Hattery | 7,686,286 |
| 28 | RMF Engineering | 7,100,000 |
| 29 | Sparling | 6,566,306 |
| 30 | Wiss, Janney, Elstner Associates | 6,240,000 |
| 31 | RDK Engineers | 5,500,000 |
| 32 | Dunham Associates | 5,500,000 |
| 33 | Karpinski Engineering | 5,307,808 |
| 34 | M/E Engineering | 5,163,876 |
| 35 | SSOE Group | 5,111,297 |
| 36 | Simpson Gumpertz & Heger | 5,110,000 |
| 37 | Highland Associates | 4,900,000 |
| 38 | Vanderweil Engineers | 4,566,200 |
| 39 | KCI Technologies | 4,500,000 |
| 40 | Coffman Engineers | 4,202,872 |
| 41 | Environmental Systems Design | 4,142,911 |
| 42 | H.F. Lenz | 4,050,740 |
| 43 | Ross & Baruzzini | 3,980,169 |
| 44 | Interface Engineering | 3,888,841 |
| 45 | Newcomb & Boyd | 3,651,012 |
| 46 | Glumac | 3,605,075 |
| 47 | WSP Group | 3,490,000 |
| 48 | Bridgers & Paxton Consulting Engineers | 3,326,881 |
| 49 | CJL Engineering | 3,093,720 |
| 50 | Henderson Engineers | 3,042,727 |
| 51 | Aon Fire Protection Engineering Corp. | 3,000,000 |
| 52 | KLH Engineers | 2,168,871 |
| 53 | Graef | 2,092,951 |
| 54 | Apogee Consulting Group | 2,080,275 |
| 55 | Primera Engineers | 2,032,000 |
| 56 | Martin/Martin | 1,693,693 |
| 57 | DeSimone Consulting Engineers | 1,693,478 |
| 58 | Spectrum Engineers | 1,664,669 |
| 59 | Brinjac Engineering | 1,299,629 |
| 60 | Wick Fisher White | 1,027,071 |
| 61 | Wallace Engineering | 853,000 |
| 62 | Magnusson Klemencic Associates | 809,347 |
| 63 | Bala Consulting Engineers | 687,000 |
| 64 | Walter P Moore and Associates | 683,315 |
| 65 | Fishbeck, Thompson, Carr & Huber | 600,000 |
| 66 | Davis, Bowen & Friedel | 590,125 |
| 67 | P2S Engineering | 557,346 |
| 68 | OLA Consulting Engineers | 492,000 |
| 69 | Joseph R. Loring & Associates | 480,000 |
| 70 | CTLGroup | 410,000 |
| 71 | Rist-Frost-Shumway Engineering | 400,000 |
| 72 | French & Parrello Associates | 385,000 |
| 73 | ThermalTech Engineering | 350,000 |
| 74 | G&W Engineering Corp. | 191,800 |
| 75 | Paulus, Sokolowski and Sartor | 180,000 |
| 76 | Leidos | 170,000 |
| 77 | Stanley Consultants | 157,889 |
| 78 | Total Building Commissioning | 135,837 |
| 79 | GHT Limited | 100,000 |
| 80 | H&A Architects & Engineers | 75,000 |
| 81 | GRW | 53,200 |
| 82 | Kamm Consulting | 51,660 |
| 83 | Guernsey | 5,361 |
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