Supreme Group Tops O'Dwyer's PR Agency 2026 Ranking for Growth and Climbs to 4 in Healthcare

O'Dwyer's has released its 2026 PR Firm Rankings, and Supreme Group has posted one of the most significant climbs in the chart's history.

The firm ranked 1 out of 140 firms for growth, with net fees up over 140 percent year-on-year. It also climbed from 9th to 4th on the PR Firms Healthcare Agencies list, and from 16th to 11th on the overall PR Firms Ranking list.

O'Dwyer's is the only PR ranking that requires firms to submit audited income data, which is part of what makes it the most credible measure of agency scale and growth in the industry.

A phenomenal year, by the numbers

Tom Donnelly, CEO of Supreme Group, called 2025 a phenomenal year for the firm, marked by five strategic acquisitions and record-setting organic growth that exceeded its expectations. Supreme Group achieved the largest percentage increase of any firm in O'Dwyer's rankings, with fees jumping 147.3 percent to $115M.

"Our growth came from a combination of strategic acquisitions and strong organic expansion across existing client relationships," said Donnelly. "Retention strengthened and cross-sell accelerated, demonstrating that the Supreme Group integrated model is proving itself."

Built around Supreme Intelligence

At the center of Supreme Group is Supreme Intelligence™ (SI), the company's proprietary end-to-end AI operational system purpose-built for healthcare and life sciences commercialization.

SI spans the full lifecycle, from strategic insight through campaign creation, activation and performance optimization, all in one connected system. It is embedded into every engagement as the infrastructure Supreme Group's team uses to move faster and think sharper.

"Strategy timelines compress from weeks to days, and buried insights surface before the first creative brief is written," said Donnelly. "Execution gets tighter across every touchpoint, and clients experience the result."

Backstopping SI are more than 350 specialists, including 55+ PhDs, spanning strategy, science, creativity and technology.

Donnelly believes Supreme Group's structure is the model for the future of healthcare commercialization. "It's not a traditional service model with AI bolted on, but a company built around an AI operating system from the ground up," he said.