The Top 20 Hospital and Healthcare Construction Contractors in 2026
Twenty general contractors and construction managers booked a combined $25.8 billion in healthcare facility revenue in 2024, according to the most recent published ranking from Building Design+Construction. The top five alone account for $11.3 billion of that, or about 44 percent.
If you sell into hospital work as a subcontractor, supplier or specialty trade, these are the firms whose bid lists you want to be on. Below is who they are, where they are based, what they are building right now, and what each one says publicly about how it prequalifies trade partners.
How We Ranked Them
Ranking integrity matters on a list like this, so here is exactly what it rests on.
The source is Building Design+Construction's Top 120 Healthcare Facility Construction Firms for 2025, published October 27, 2025, as part of BD+C's 2025 Giants 400 Report. The measure is 2024 healthcare facility revenue. BD+C notes that the figure "factors revenue for all healthcare buildings work, including hospitals, medical office buildings, and outpatient facilities." The numbers are reported by the firms themselves in BD+C's annual survey, not audited by BD+C or by us.
We also pulled each firm's figure from BD+C's companion table, Top 100 Hospital Facility Construction Firms for 2025, which isolates 2024 hospital building revenue. That column is shown for context only. The rank order below follows the healthcare facility table exactly, positions 1 through 20, with no firms added, dropped or reordered.
A few honest caveats:
- This is a 2024 revenue snapshot. We could not find a published 2026 Giants 400 healthcare table when this article was written. When it posts, the order may change.
- Self-reported revenue means firms define their healthcare work slightly differently. Several firms reported the identical number for both healthcare and hospital revenue, which tells you they classify nearly all of their healthcare volume as hospital work.
- Some figures include joint-venture work. A few of the projects below were built by JVs that pair two firms on this list.
- Headquarters, projects and prequalification details come from each company's own website, press releases or trade press, linked inline. Where we could not verify something, we left it out.
The Ranking at a Glance
| Rank | Contractor | HQ | 2024 healthcare facility revenue | 2024 hospital building revenue |
|---|---|---|---|---|
| 1 | Turner Construction | New York, NY | $3.51B | $3.51B |
| 2 | DPR Construction | Santa Clara, CA | $2.01B | $2.00B |
| 3 | McCarthy Holdings | St. Louis, MO | $1.97B | $1.97B |
| 4 | Robins & Morton | Birmingham, AL | $1.95B | $1.58B |
| 5 | STO Building Group | New York, NY | $1.89B | $1.89B |
| 6 | Whiting-Turner | Baltimore, MD | $1.74B | $1.28B |
| 7 | Brasfield & Gorrie | Birmingham, AL | $1.63B | $1.63B |
| 8 | JE Dunn Construction | Kansas City, MO | $1.29B | $1.29B |
| 9 | PCL Construction Enterprises | Denver, CO | $1.25B | $563.1M |
| 10 | Gilbane Building Company | Providence, RI | $1.24B | $1.16B |
| 11 | AECOM | Dallas, TX | $1.19B | $1.19B |
| 12 | Skanska USA | New York, NY | $1.00B | $729.9M |
| 13 | Hensel Phelps | Greeley, CO | $995.7M | $968.6M |
| 14 | The Walsh Group | Chicago, IL | $908.4M | $908.4M |
| 15 | Swinerton | Concord, CA | $635.2M | $269.2M |
| 16 | Mortenson | Minneapolis, MN | $593.0M | $544.6M |
| 17 | Messer Construction | Cincinnati, OH | $526.2M | $486.1M |
| 18 | Rodgers Builders | Charlotte, NC | $509.1M | $475.2M |
| 19 | Batson-Cook Construction | Atlanta, GA | $487.6M | $415.6M |
| 20 | Clark Group | Washington, D.C. area | $477.4M | $250.7M |
Source: BD+C 2025 Giants 400 healthcare facility and hospital facility construction tables (2024 revenue, self-reported). HQ from company websites or public company profiles.
The Top Five: $1.8 Billion and Up
1. Turner Construction (New York, NY)
2024 healthcare facility revenue: $3,508,718,852. Turner is No. 1 by a wide margin, about 1.75 times the No. 2 firm. Turner lists its headquarters at 66 Hudson Boulevard East in New York on its company page.
Recent hospital work: In February 2025, Turner topped out McGivney Tower, completing vertical construction on the $838 million Adams Neurosciences Center at Yale New Haven Health's St. Raphael Campus in New Haven, Connecticut. In July 2025, a Turner/Byrne/Straight Line joint venture reached a structural milestone on the $550 million University Health Palo Alto Hospital in San Antonio, which is scheduled to open in 2027.
For subs: Turner's subcontractor page asks firms to review its prequalification requirements first and runs a prequalification application for U.S. and Canadian companies. The same page describes an accelerated payment program powered by Billd.
2. DPR Construction (Santa Clara, CA)
2024 healthcare facility revenue: $2,008,203,000. DPR moved its headquarters from Redwood City to a new Santa Clara campus next to its prefabrication facility in February 2026 (Construction Dive).
Recent hospital work: Connecticut Children's in Hartford describes its new eight-story hospital complex as a four-year, $320 million build done with DPR. In Colorado, DPR is general contractor on a 186,000-square-foot, seven-story bed tower at AdventHealth Parker, which broke ground in January 2025.
For subs: DPR's prequalification page says a subcontractor only needs to prequalify once a year, regardless of how many DPR offices it wants to bid with.
3. McCarthy Holdings (St. Louis, MO)
2024 healthcare facility revenue: $1,969,366,490. McCarthy's company history notes its 2021 move into a new St. Louis headquarters.
Recent hospital work: McCarthy completed the Barnes-Jewish Hospital Plaza West Tower for BJC HealthCare in St. Louis, an approximately 632,000-square-foot inpatient tower with 280 private beds that reached substantial completion in summer 2025 and opened to patients that fall. In Texas, McCarthy finished the $650 million Houston Methodist Cypress Hospital campus in March 2025, a 570,000-square-foot, seven-story hospital that opened with 100 licensed beds.
For subs: McCarthy's trade partners page links to its prequalification application and its online plan room.
4. Robins & Morton (Birmingham, AL)
2024 healthcare facility revenue: $1,952,910,874 (hospital building revenue: $1,584,905,860). Robins & Morton lists its Birmingham office at 400 Shades Creek Parkway first among its offices, and its about page traces the company to an 800-square-foot service station it built in Birmingham.
Recent hospital work: In July 2026 the firm marked the topping out of the $563 million BayCare Hospital Manatee in Manatee County, Florida, a 450,000-square-foot hospital with 154 private-room beds expected to open in 2028.
For subs: The trade partners and vendor page routes the qualification application through TradeTapp, a BuildingConnected module, and lists what to have ready: the two most recent financial statements, current work in progress, banking limit and a letter of bondability.
5. STO Building Group (New York, NY)
2024 healthcare facility revenue: $1,885,000,000. STO is the parent of a family of builders including Structure Tone, Layton Construction, Pavarini and LF Driscoll. Its locations page lists its New York headquarters at 330 West 34th Street.
Recent hospital work: STO company Layton Construction broke ground in June 2025 on Intermountain Health's St. Vincent Regional Hospital replacement in Billings, Montana, a 14-floor, 737,000-square-foot hospital with 243 beds set to open in 2029. Layton is also building University Health's Retama Community Hospital in San Antonio, a five-story, 147-bed facility due to see its first patients in 2027.
For subs: STO's subcontractor page says all STOBG companies prequalify U.S. subcontractors through COMPASS, a paid subscription service where one form covers multiple GCs.
Ranks 6 to 10: $1.2 Billion to $1.75 Billion
6. Whiting-Turner (Baltimore, MD)
2024 healthcare facility revenue: $1,742,047,860 (hospital: $1,277,875,384). Whiting-Turner's contact page lists its headquarters at 300 East Joppa Road, Baltimore.
Recent hospital work: Whiting-Turner lists the UPMC Kamin Tower in Pittsburgh among its projects in progress: a renovation and expansion with over 1 million square feet of hospital space, including a 23-story patient bed tower with 636 patient rooms.
For subs: The prequalification page invites subcontractors and suppliers to prequalify online, posts a sample questionnaire, and asks firms to check internally before creating a new BuildingConnected account to avoid duplicates.
7. Brasfield & Gorrie (Birmingham, AL)
2024 healthcare facility revenue: $1,628,720,106. The contact page lists headquarters at 3021 7th Ave. S., Birmingham.
Recent hospital work: Brasfield & Gorrie was general contractor on the $230 million Ascension Seton Williamson patient tower in Williamson County, Texas, which opened September 1, 2026 with 96 new inpatient beds.
For subs: Per its trade partners page, suppliers and trade contractors create a BuildingConnected account and submit a qualification form to the company's qualifications inbox. The firm also runs EQUIP, a membership program for subcontractors.
8. JE Dunn Construction (Kansas City, MO)
2024 healthcare facility revenue: $1,293,424,165. JE Dunn's Kansas City page identifies it as headquarters, at 1001 Locust Street.
Recent hospital work: JE Dunn is construction manager on Citizens Memorial Hospital's $100 million expansion and renovation in Bolivar, Missouri, which includes a three-story, 117,000-square-foot addition. The hospital scheduled the new tower's grand opening for February 28, 2026.
For subs: The trade partners page says prequalification is required and runs through TradeTapp inside BuildingConnected.
9. PCL Construction Enterprises (Denver, CO)
2024 healthcare facility revenue: $1,251,292,492 (hospital: $563,081,622). PCL Construction Enterprises is the U.S. arm of the PCL group, headquartered in Denver. Fewer than half of PCL's reported healthcare dollars were hospital work, the lowest share among the top 10.
Recent hospital work: In February 2026, Nordic PCL Construction entered preconstruction on a $203 million expansion at The Queen's Medical Center West Oahu in Hawaii, adding 77,888 square feet of emergency and inpatient space, including two 24-bed patient care units.
For subs: We did not find a published subcontractor prequalification page on PCL's U.S. site, so contact the local district office directly.
10. Gilbane Building Company (Providence, RI)
2024 healthcare facility revenue: $1,241,936,000. Gilbane was founded in Providence in 1870 and is still headquartered there.
Recent hospital work: In July 2026, Gilbane broke ground as construction manager on the $322 million expansion of Cleveland Clinic Avon Hospital and the Richard E. Jacobs Health Center in Avon, Ohio, adding approximately 250,000 square feet of clinical space.
For subs: Gilbane's become-a-subcontractor page uses COMPASS by Bespoke Metrics. Have financial statements, your EMR, OSHA 300/300A forms and bank and bonding references ready.
Ranks 11 to 15: $635 Million to $1.2 Billion
11. AECOM (Dallas, TX)
2024 healthcare facility revenue: $1,188,900,000. AECOM moved its global headquarters from Los Angeles to Dallas in 2021. Its U.S. construction management brands include AECOM Tishman and AECOM Hunt.
Recent hospital work: Much of AECOM's public healthcare press covers design, engineering and program management. We did not find a recent U.S. hospital press release that names AECOM as builder, so we are not listing a project here rather than guessing.
For subs: AECOM's supply chain page links to a supplier portal, its supplier code of conduct and its small business program.
12. Skanska USA (New York, NY)
2024 healthcare facility revenue: $1,003,791,700 (hospital: $729,933,813). Skanska USA lists its office in the Empire State Building, 350 Fifth Avenue, New York.
Recent hospital work: In 2026 Skanska topped out Phase One of Lee Health's Fort Myers campus, a five-story hospital of approximately 400,000 square feet with 18 operating rooms and 168 patient rooms, scheduled to open in 2028.
For subs: Skanska's USA Building partner page lays out three steps: join BuildingConnected and follow Skanska, prequalify with USA Building, then watch for project opportunities.
13. Hensel Phelps (Greeley, CO)
2024 healthcare facility revenue: $995,663,306. The contact page lists corporate headquarters at 420 Sixth Avenue, Greeley.
Recent hospital work: Hensel Phelps leads the design-build team on the Harbor-UCLA Medical Center replacement for Los Angeles County, which includes a 468,000-square-foot acute care inpatient tower with 346 beds. Hensel Phelps also completed a five-story patient tower with 60 beds at UTMB's League City campus in Texas.
For subs: The trade partners page has you pick a region, then fill out that region's online prequalification application.
14. The Walsh Group (Chicago, IL)
2024 healthcare facility revenue: $908,405,791. Walsh lists its corporate headquarters at 929 West Adams, Chicago, on its contact page.
Recent hospital work: The Walsh-Turner Joint Venture built the Ohio State University Wexner Medical Center University Hospital in Columbus, a 26-story, 1.9-million-square-foot tower with 820 beds. Walsh is also part of the joint venture on the Louisville VA Medical Center, a 910,115-square-foot replacement for the Robley Rex VA Medical Center.
For subs: Walsh's bidding opportunities page posts current bids and directs subs to each regional office's estimating department.
15. Swinerton (Concord, CA)
2024 healthcare facility revenue: $635,220,000 (hospital: $269,236,800). Swinerton is employee-owned and based in Concord, California.
Recent hospital work: Swinerton reached the close-in milestone on the new six-story DOCS Surgical Hospital at San Vicente Boulevard and Fairfax Avenue in Los Angeles.
For subs: The subcontractors page links to prequalification, current bids and sample subcontract agreements, with a dedicated prequalification email address.
Ranks 16 to 20: $475 Million to $595 Million
16. Mortenson (Minneapolis, MN)
2024 healthcare facility revenue: $592,955,000. Mortenson marks Minneapolis as its HQ on its own site.
Recent hospital work: In July 2025, King County and UW Medicine named Mortenson and Perkins & Will as the design-build team for the $1.74 billion Harborview Bond Program at Harborview Medical Center in Seattle.
For subs: Mortenson's trade partner prequalification page has an intake form where you can name the office, industry or project you want to work on.
17. Messer Construction (Cincinnati, OH)
2024 healthcare facility revenue: $526,235,683. Messer's main contact address is 643 W. Court Street, Cincinnati.
Recent hospital work: Messer built the Norton Healthcare West Louisville Hospital, a 96,000-square-foot, two-story hospital with 15 emergency department beds and 20 inpatient beds that won an AGC of Kentucky Build Kentucky award.
For subs: Register and prequalify through the Messer Business Portal, and sign up in the plan room to get bid invitations.
18. Rodgers Builders (Charlotte, NC)
2024 healthcare facility revenue: $509,067,488. Rodgers lists its corporate office at 5701 North Sharon Amity Road, Charlotte.
Recent hospital work: DPR Rodgers, the long-running joint venture between Rodgers and DPR, topped out the Atrium Health Carolinas Medical Center Main Bed Tower in December 2024, part of a 1.1-million-square-foot, 12-story expansion with nearly 450 patient rooms.
For subs: The Rodgers site footer links to a trade prequalification form and a plan room, both hosted on BuildingConnected.
19. Batson-Cook Construction (Atlanta, GA)
2024 healthcare facility revenue: $487,571,181. Batson-Cook's locations page lists corporate headquarters at 2859 Paces Ferry Road SE, Atlanta.
Hospital work: Batson-Cook's healthcare portfolio includes the Northside Hospital Gwinnett tower in Lawrenceville, Georgia, a 12-story, 600,000-square-foot tower with 200 patient beds, and the AdventHealth Wesley Chapel vertical expansion in Florida, which raises that hospital's bed count from 169 to 193.
For subs: Per the trade partners page, qualification is an electronic form completed through BuildingConnected, and the firm may ask you to update it more often depending on project requirements.
20. Clark Group (Washington, D.C. area)
2024 healthcare facility revenue: $477,384,768 (hospital: $250,666,038). Clark Construction Group lists offices in both Bethesda, Maryland, and McLean, Virginia, and its site does not label either as headquarters, so we list the D.C. region.
Recent hospital work: In April 2026, Clark topped out the hospital building at the new Inova Alexandria campus in Alexandria, Virginia, the fourth and final building of an 855,000-square-foot medical campus that will include 192 licensed inpatient beds.
For subs: Clark's trade contractors page requires every trade contractor to complete its Subcontractor Qualification Application through TradeTapp before bidding.
What the List Tells Subcontractors
The prequalification pages above point to three patterns.
First, BuildingConnected and its TradeTapp module are close to the default. Robins & Morton, JE Dunn and Clark say outright that prequal runs through TradeTapp. Whiting-Turner, Brasfield & Gorrie, Skanska, Rodgers and Batson-Cook route subs through BuildingConnected in some form. If your BuildingConnected profile is stale, fix that before chasing any of these firms.
Second, COMPASS is the other shared platform. STO Building Group and Gilbane both use it, and one COMPASS form can cover both. It is a paid subscription, so weigh the cost against how many participating GCs work in your market.
Third, the paperwork is consistent across firms. Gilbane and Robins & Morton publish their lists: recent financial statements, work in progress, banking and bonding capacity, EMR, and OSHA 300 logs. Keep one current package and most of these applications become a matter of uploading files.
Hospital work also brings its own hurdles that office or warehouse jobs do not, including infection control risk assessment (ICRA) procedures, work in occupied buildings, and in California, HCAI (formerly OSHPD) plan review and inspection. Our hospital construction cost per bed breakdown covers how those requirements show up in budgets, and the hospital construction cost guide gives per-square-foot ranges you can sanity-check bids against.
Where Healthcare Construction Is Heading
The projects on this list skew toward bed towers and campus replacements: BJC's Plaza West Tower, Atrium's CMC tower, Intermountain's Billings replacement hospital, Lee Health's Fort Myers campus. These are multi-year jobs with long MEP and finish scopes, which is good news for trades that can carry a crew on one site for two or three years.
Spending data points the same way. We track the broader market in healthcare construction spending in 2026, and outpatient work, which counts toward the healthcare totals in this ranking, is covered in our medical office building cost breakdown. For one project in detail, see the Harris Health O'Quinn Hospital build in Houston. Federal hospital work is its own channel, and the VA hospital construction backlog explains why.
If you also work mission-critical jobs, there is real crossover. Several firms here, including Turner, DPR, Mortenson and Clark, also appear in our top 20 data center construction contractors. Commissioning discipline, redundant power and tight MEP coordination carry over between the two markets.
Bottom Line
Healthcare construction is concentrated. Turner alone reported more 2024 healthcare revenue than the bottom six firms on this list combined, and the top five took 44 percent of the top 20's total. But the work is spread across a lot of regional offices, and every one of these firms needs qualified trades to staff long, complex hospital jobs.
Pick the three or four firms that are actually building in your region, get your prequal package current on the platform each one uses, and ask for a smaller first scope. Price it carefully with our bid calculator and markup and margin calculator, because a clean first hospital job is how you get the second one.
FAQ
Q: What source is this hospital contractor ranking based on? A: Building Design+Construction's Top 120 Healthcare Facility Construction Firms for 2025, part of its 2025 Giants 400 Report, published October 27, 2025. Firms are ranked by self-reported 2024 healthcare facility revenue, which includes hospitals, medical office buildings and outpatient facilities.
Q: Who is the largest hospital construction contractor in the U.S.? A: Turner Construction, with $3.51 billion in 2024 healthcare facility revenue on BD+C's list. Turner reported the same figure for hospital building revenue, and DPR Construction was second at $2.01 billion.
Q: Why do some firms show much lower hospital revenue than healthcare revenue? A: BD+C's healthcare table counts all healthcare buildings, including medical office buildings and outpatient facilities, while the hospital table isolates hospital buildings. PCL, Swinerton and Clark reported hospital revenue at roughly 45, 42 and 53 percent of their healthcare totals, which suggests large outpatient and MOB portfolios.
Q: How do subcontractors get prequalified with these hospital contractors? A: Most of the firms here use BuildingConnected, often with its TradeTapp prequalification module. STO Building Group and Gilbane use COMPASS. Expect to submit recent financial statements, work in progress, bonding and banking references, your EMR and OSHA 300 logs.
Q: Will this list change in 2026? A: Probably. It reflects 2024 revenue. BD+C publishes a new Giants 400 every year, and we will update the ranking when the 2026 healthcare table is available.
