Top 20 Healthcare Construction Companies in the U.S. (Ranked by Healthcare Revenue)

Healthcare construction is its own discipline. The contractor building a hospital tower is managing infection-control barriers next to occupied patient rooms, medical gas systems, interim life safety measures, and a state health department review process that can stall a project for months if handled badly. A great office or retail GC can still be the wrong choice for licensed clinical space.

This list ranks the 20 largest healthcare construction companies in the country by their healthcare-specific revenue — not total company size. That distinction matters: some of the biggest names in construction do healthcare as a side line, while firms like Robins & Morton put nearly 90% of their business into it. If you’re planning a hospital, medical office building, ambulatory surgery center, or clinic renovation, this is the national field — followed by a short guide on how to choose from it, because the biggest firm on this list is often the wrong one for your project.

The List at a Glance

#	Company	Healthcare Revenue	Founded	Best Fit
1	Turner Construction	~$2.69B	1902	Large, complex hospital campuses
2	Brasfield & Gorrie	~$1.84B	1964	Hospitals, MOBs, outpatient — Southeast strength
3	JE Dunn Construction	~$1.61B	1924	Hospitals, research centers — Midwest strength
4	DPR Construction	~$1.47B	1990	Technically complex, tech-forward facilities
5	McCarthy Holdings	~$1.47B	1864	Children’s hospitals, major medical centers
6	STO Building Group	~$1.44B	1971	Interior fit-outs, occupied-facility renovations
7	Robins & Morton	~$1.41B	1946	Healthcare-first firm (~90% of its business)
8	Skanska USA	~$1.2B	1971	Large-scale, sustainability-driven projects
9	Clark Construction	~$1.1B	1906	Major medical centers, government health
10	PCL Construction	~$900M	1906	Hospitals, medical centers, research labs
11	The Walsh Group	~$800M	1898	Hospitals, research, outpatient clinics
12	Whiting-Turner	~$781M	1909	Hospital expansions, research labs, MOBs
13	Hensel Phelps	~$700M	1937	VA medical centers, federal healthcare
14	Suffolk Construction	~$650M	1982	Hospital systems, campus expansions
15	Kitchell	~$600M	1950	Hospitals, pediatric, Southwest strength
16	Mortenson	~$550M	1954	Medical campuses, research buildings
17	Layton Construction	~$500M	1953	Hospital expansions, senior care
18	Sundt Construction	~$480M	1890	Occupied renovations, outpatient, clinics
19	HITT Contracting	~$450M	1937	High-tech MOBs, surgery centers
20	Barton Malow	~$400M	1924	Hospital construction, campus development

Revenue figures are approximate, healthcare-specific, and based on the most recent industry rankings available.

How We Built This List

We ranked firms by healthcare-specific annual revenue, not overall company revenue, using published industry rankings and each firm’s reported sector work. Ideal Rev runs sales and business development for commercial contractors — including firms that build for healthcare systems — so we watch which GCs actually win this work and how owners choose between them. No firm paid to be on this list.

1. Turner Construction Company

• Revenue per Year: $2.69 billion
• Industries They Serve: Healthcare, Aviation, Commercial, Education, Government, Industrial, Sports
• Years in Business: Since 1902
• Project Sizes: Large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Complex and large-scale healthcare construction

Turner Construction Company, founded in 1902, is a leader in healthcare construction, managing some of the most complex and high-profile projects in the sector. With an extensive portfolio, the company specializes in large-scale hospitals, medical research facilities, and advanced healthcare centers. One of its most notable projects is the Buerger Center for Advanced Pediatric Care at the Children’s Hospital of Philadelphia, a state-of-the-art medical facility. Turner’s expertise in healthcare infrastructure, combined with innovative building technologies, makes it a trusted name for major medical institutions across the country.

2. Brasfield & Gorrie

• Revenue per Year: $1.84 billion
• Industries They Serve: Healthcare, Commercial, Education, Government, Industrial, Water
• Years in Business: Since 1964
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Design-Build, Construction Management
• Specialties: Hospitals, medical office buildings, outpatient facilities

Brasfield & Gorrie is one of the top healthcare-focused general contractors in the U.S., consistently delivering high-quality medical facilities. With decades of experience, the company has built hospitals, outpatient clinics, and medical research centers for some of the largest healthcare providers. Notable projects include the Grandview Medical Center in Birmingham, Alabama, which showcases their expertise in large, complex medical construction. The company is known for its commitment to innovation, safety, and sustainability in healthcare construction, ensuring long-term efficiency and durability for its projects.

3. JE Dunn Construction

• Revenue per Year: $1.61 billion
• Industries They Serve: Healthcare, Commercial, Education, Government, Industrial
• Years in Business: Since 1924
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Healthcare facilities, research centers, hospitals

JE Dunn Construction has been a trusted name in the industry for nearly a century, with a strong focus on healthcare projects. Their extensive portfolio includes hospitals, specialized research centers, and medical office buildings that serve communities across the nation. The company is known for integrating cutting-edge technology into healthcare construction, improving operational efficiency and patient care environments. With notable projects such as the expansion of the Children’s Mercy Research Institute in Kansas City, JE Dunn has solidified its place as a leader in healthcare construction.

4. DPR Construction

• Revenue per Year: $1.47 billion
• Industries They Serve: Healthcare, Advanced Technology, Commercial, Higher Education, Life Sciences
• Years in Business: Since 1990
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Healthcare hospitals, outpatient centers, research facilities

DPR Construction is a national contractor specializing in technically complex healthcare facilities. They have worked on numerous cutting-edge hospitals and outpatient centers, ensuring that facilities are built to accommodate the latest medical technology. One of their most recognized projects is the UCSF Medical Center at Mission Bay, which reflects their expertise in sustainable and patient-centered design. Their focus on innovation and lean construction techniques allows them to deliver high-quality healthcare projects efficiently and cost-effectively.

5. McCarthy Holdings

• Revenue per Year: $1.47 billion
• Industries They Serve: Healthcare, Education, Commercial, Renewable Energy, Science and Technology
• Years in Business: Since 1864
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Children’s hospitals, medical centers, research labs

With over 150 years of experience, McCarthy Holdings has become a dominant force in healthcare construction. The company has built some of the most advanced hospitals in the nation, specializing in complex projects that require precision and innovation. Their portfolio includes the CHOC Children’s Hospital in Orange, California, a premier pediatric medical facility. McCarthy’s ability to manage large-scale projects while focusing on safety, quality, and efficiency makes them a preferred contractor for healthcare providers.

6. STO Building Group

• Revenue per Year: $1.44 billion
• Industries They Serve: Healthcare, Commercial, Education, Life Sciences, Hospitality
• Years in Business: Since 1971
• Project Sizes: Small to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Interior fit-outs, hospital renovations, new construction

STO Building Group is known for its expertise in constructing and renovating high-quality healthcare environments. Their ability to handle complex hospital renovations while maintaining uninterrupted patient care operations has made them a trusted partner in the industry. They have completed numerous high-profile projects, including expansions of major medical institutions across the U.S. Their ability to deliver specialized medical spaces, including surgical suites and high-tech research labs, has cemented their reputation as a leading healthcare contractor.

7. Robins & Morton

• Revenue per Year: $1.41 billion
• Industries They Serve: Healthcare, Commercial, Education, Government
• Years in Business: Since 1946
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Hospitals, outpatient facilities, healthcare renovations

Robins & Morton is one of the few contractors with nearly 90% of its business dedicated to healthcare construction. Their expertise lies in the development of new hospitals, expansions, and renovations, ensuring state-of-the-art facilities for medical professionals and patients. A standout project is the Taneja Center for Surgery at AdventHealth Tampa, which showcases their ability to integrate complex surgical and patient care systems. Their long-standing commitment to healthcare construction has earned them a stellar reputation in the industry.

8. Skanska USA

• Revenue per Year: $1.2 billion
• Industries They Serve: Healthcare, Education, Commercial, Transportation, Industrial
• Years in Business: Since 1971
• Project Sizes: Large-scale projects
• Services They Provide: Construction Management, Design-Build, General Contracting
• Specialties: Sustainable and complex healthcare facilities

Skanska USA is a major player in the healthcare construction industry, with a strong emphasis on sustainability and large-scale medical projects. Their expertise in complex hospital design and construction has allowed them to partner with top medical institutions. A notable project includes the expansion of the New York University Langone Medical Center, one of the most advanced hospital facilities in the country. Skanska’s focus on cutting-edge construction methods, including energy-efficient designs and modular construction, has positioned them as a leader in healthcare infrastructure.

9. Clark Construction Group

• Revenue per Year: $1.1 billion
• Industries They Serve: Healthcare, Education, Government, Commercial, Transportation
• Years in Business: Since 1906
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Design-Build, Construction Management
• Specialties: Healthcare facilities, including hospitals and medical centers

Clark Construction Group has been a trusted name in the industry for over a century, with a strong focus on healthcare construction. Their portfolio includes state-of-the-art hospitals, medical research centers, and outpatient facilities. A standout project is the Walter Reed National Military Medical Center, showcasing their expertise in complex healthcare environments. Clark’s ability to deliver high-quality medical facilities on time and within budget has made them a preferred contractor for healthcare systems nationwide.

10. PCL Construction Enterprises

• Revenue per Year: $900 million
• Industries They Serve: Healthcare, Commercial, Education, Industrial, Civil Infrastructure
• Years in Business: Since 1906
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Hospitals, medical centers, research laboratories

PCL Construction Enterprises has built a strong reputation for delivering innovative and high-quality healthcare facilities across North America. The company has been instrumental in constructing hospitals that integrate advanced medical technology with modern patient care solutions. A key project is the Banner University Medical Center in Phoenix, a major healthcare hub in the region. PCL’s ability to manage complex healthcare projects efficiently has solidified its status as a top contractor in the industry.

11. The Walsh Group

• Revenue per Year: $800 million
• Industries They Serve: Healthcare, Transportation, Water, Industrial, Building
• Years in Business: Since 1898
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Design-Build, Construction Management
• Specialties: Hospitals, medical research facilities, outpatient clinics

The Walsh Group has been constructing major healthcare projects for over a century, delivering high-quality medical centers across the country. Their experience in building hospitals, research facilities, and outpatient clinics has made them a go-to contractor for healthcare institutions. Notable projects include the John H. Stroger Jr. Hospital in Chicago, a premier medical facility serving thousands of patients. Walsh’s commitment to innovation, patient-centered design, and sustainability sets them apart in the healthcare construction sector.

12. Whiting-Turner Contracting Company

• Revenue per Year: $781 million
• Industries They Serve: Healthcare, Education, Retail, Science and Technology, Entertainment
• Years in Business: Since 1909
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Hospitals, research laboratories, medical office buildings

Whiting-Turner has long been known for delivering high-quality healthcare facilities across the United States. The company specializes in hospital expansions, medical research labs, and healthcare-related infrastructure. Their work on the Duke University Medical Center exemplifies their ability to manage complex projects with cutting-edge medical technology. With a reputation for precision and excellence, Whiting-Turner continues to be a preferred healthcare contractor.

13. Hensel Phelps Construction

• Revenue per Year: $700 million
• Industries They Serve: Healthcare, Government, Commercial, Education, Industrial
• Years in Business: Since 1937
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Design-Build, Construction Management
• Specialties: Hospitals, VA medical centers, healthcare renovations

Hensel Phelps is a top-tier contractor specializing in healthcare projects, including hospital expansions and VA medical centers. They have successfully completed numerous projects for the U.S. Department of Veterans Affairs, providing state-of-the-art healthcare facilities for veterans. One of their most significant projects is the Orlando VA Medical Center, a premier healthcare hub for veterans. Their ability to deliver large-scale healthcare projects efficiently has made them a trusted name in medical construction.

14. Suffolk Construction

• Revenue per Year: $650 million
• Industries They Serve: Healthcare, Education, Commercial, Residential, Government
• Years in Business: Since 1982
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Hospitals, medical office buildings, healthcare campus expansions

Suffolk Construction has established itself as a leader in healthcare construction, working with some of the largest hospital systems in the country. Their work includes new hospital construction, major medical renovations, and expansions of healthcare campuses. A key project is the Mount Sinai Medical Center in Miami Beach, demonstrating their ability to integrate modern medical technology into healthcare facilities. Suffolk’s commitment to innovation and sustainability has made them a strong force in the healthcare construction sector.

15. Kitchell

• Revenue per Year: $600 million
• Industries They Serve: Healthcare, Commercial, Education, Industrial, Residential
• Years in Business: Since 1950
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Hospitals, medical research centers, healthcare renovations

Kitchell has been at the forefront of healthcare construction for decades, known for delivering complex medical projects with precision. Their work includes state-of-the-art hospitals, outpatient clinics, and research centers that enhance patient care. One of their most notable projects is the Phoenix Children’s Hospital expansion, a facility that integrates the latest medical advancements. Kitchell’s dedication to quality and efficiency has made them a leader in the healthcare construction industry.

16. Mortenson Construction

• Revenue per Year: $550 million
• Industries They Serve: Healthcare, Education, Commercial, Renewable Energy, Industrial
• Years in Business: Since 1954
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Design-Build, Construction Management
• Specialties: Hospitals, medical research centers, outpatient facilities

Mortenson Construction is a leader in healthcare construction, known for integrating advanced medical technology into hospital designs. They have completed significant healthcare projects such as the Mayo Clinic Expansion in Minnesota, which involved cutting-edge research and patient care facilities. Their expertise extends to large medical campuses, outpatient centers, and specialized medical research buildings. Mortenson’s focus on innovation and sustainable construction practices has made them a trusted partner for major healthcare institutions.

17. Layton Construction

• Revenue per Year: $500 million
• Industries They Serve: Healthcare, Commercial, Education, Hospitality, Industrial
• Years in Business: Since 1953
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Hospitals, medical research labs, senior care facilities

Layton Construction has built a strong reputation in healthcare construction, particularly in hospital expansions and medical research facilities. They have successfully delivered high-quality healthcare projects, including the MountainView Hospital Expansion in Las Vegas, providing state-of-the-art medical services to the community. The company is known for its ability to execute large-scale hospital builds while maintaining strict healthcare regulations and safety protocols. Their commitment to innovation and efficiency makes them a preferred contractor in the healthcare sector.

18. Sundt Construction

• Revenue per Year: $480 million
• Industries They Serve: Healthcare, Education, Government, Industrial, Transportation
• Years in Business: Since 1890
• Project Sizes: Small to large-scale projects
• Services They Provide: General Contracting, Design-Build, Construction Management
• Specialties: Hospital renovations, outpatient medical facilities, specialty clinics

Sundt Construction is a long-standing company with expertise in healthcare renovations and new medical facility builds. They have worked on multiple hospital renovations, ensuring that patient care continues uninterrupted while improving infrastructure. A major project includes Banner Health’s medical campus upgrades, where they modernized patient rooms and operating facilities. Their deep understanding of hospital infrastructure and healthcare regulations makes them an industry leader in medical facility improvements.

19. HITT Contracting

• Revenue per Year: $450 million
• Industries They Serve: Healthcare, Commercial, Government, Education, Hospitality
• Years in Business: Since 1937
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: High-tech medical office buildings, surgery centers, research facilities

HITT Contracting specializes in healthcare construction projects that require cutting-edge medical technology and efficiency. Their portfolio includes major medical office buildings, surgical centers, and specialized research labs. One of their standout projects is the Johns Hopkins Sibley Memorial Hospital expansion, where they incorporated the latest in surgical and patient care advancements. Their expertise in high-tech medical spaces positions them as a key player in modern healthcare construction.

20. Barton Malow

• Revenue per Year: $400 million
• Industries They Serve: Healthcare, Education, Industrial, Sports, Commercial
• Years in Business: Since 1924
• Project Sizes: Medium to large-scale projects
• Services They Provide: General Contracting, Construction Management, Design-Build
• Specialties: Hospital construction, medical campus developments, healthcare renovations

Barton Malow is a respected name in healthcare construction, providing high-quality hospitals and medical campuses for nearly a century. They have delivered projects like the Michigan Medicine Clinical Inpatient Tower, integrating state-of-the-art healthcare facilities into their designs. Their expertise in large-scale healthcare developments allows them to manage hospital expansions and renovations effectively. Barton Malow’s reputation for reliability and innovation makes them a trusted partner for leading medical institutions.

The Biggest Healthcare Builder Isn’t the Right One for Your Project

The instinct is to call the top of this list. For a $500M replacement hospital, that’s right. For most projects, it isn’t — and the reasons are practical, not reputational.

Every contractor has a sweet spot

A firm doing $1B+ in healthcare work staffs, prices, and schedules around major programs. Hand them a $4M clinic renovation and you’re the smallest job in their portfolio — priced with big-project overhead and assigned whoever is available, not their A-team. The reverse is just as costly: a firm that has never phased work inside a functioning hospital will learn infection-control protocols on your building.

Match on project type, not just size

Ground-up hospital, MOB shell, ambulatory surgery center, occupied-floor renovation — these are different skill sets. A GC with a deep ASC résumé may have never coordinated a central utility plant. Ask for their last five projects like yours, not their five most impressive.

For licensed clinical space, healthcare experience is non-negotiable

ICRA infection-control planning, interim life safety measures, medical gas certification, and your state health department’s plan review process are learned the hard way. For a standard MOB shell or admin space, a strong general commercial GC can absolutely compete — and will often be sharper on price.

Ask about current backlog before you fall in love

The best-fit firm on paper is the wrong choice if your project lands while their healthcare team is buried. “Who, specifically, would run this job, and what else are they running?” is the single most revealing question in an interview.

Be suspicious of bids that agree

Two bids 1% apart doesn’t mean the price is right — it can mean both builders read the same gaps in your documents and priced around them the same way. The spread between bids, and what’s excluded from each, tells you more than the totals do.

FAQ: Hiring a Healthcare Construction Company