O’Dwyer’s has chronicled the explosion of extensive special practice areas at the agencies in its rankings. To date, our rankings contain charts of 23 different PR specialties, including healthcare PR. Only O’Dwyer’s does such rankings and requires firms to submit audited income data.
Top PR Firms - See Latest Rankings
Top Public Relations Firms by PR Specialty (Updated for 2026 with '25 net fees)
Adult Beverages/Spirits |
Agriculture |
Auto./Transportation |
Beauty/Fashion |
Crisis Communications |
Education |
Energy |
Entertainment |
Environmental |
Financial |
Food & Bev |
Healthcare |
Home Furnishings |
Industrial |
Non-Profits |
Professional Svcs. |
Public Affairs |
Purpose/CSR |
Real Estate Finance & Dev. |
Restaurants |
Sports |
Technology |
Travel & Economic Dev.
Top Public Relations Firms by Location (Updated for 2026 with '25 net fees)
Atlanta | Chicago | Conn. | Boston | Florida | Hawaii | Los Angeles | Miami | Midwest | New York & New Jersey | Penn. | San Francisco | Southeast | Texas | Wash., DC | West
PR Firm Rankings by Year
2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014
Those researching O'Dwyer's rankings should be aware that PR firms have distinctive financials. At least half of income is used for staff pay. Net fees listed above are for counseling and media contact services, not advertising or production expenses. O'Dwyer's ranking of the top healthcare and medical PR firms has the most number of firms of all the specialty charts. View 2026 Rankings Instructions.