Top Healthcare Contractors in 2025

Top Healthcare Contractors of 2025

In 2025, ENR’s healthcare rankings make one thing clear: a small group of contractors now controls the majority of large scale hospital, life sciences, and complex medical work across the U.S.

These firms aren’t just builders. They’re embedded partners in health systems, repeat players with national reach, and specialists in high risk, high value environments where failure isn’t an option.

Here are ENR’s top 25 healthcare contractors for 2025:

1) Turner Construction Co. - 3,508.7B

2) DPR Construction - 2,010.4B

3) Mccarthy Holdings Inc. - 1,980.8B

4) Robins & Morton - 1,969.5B

5) STO Building Group - 1,885.0B

6) The Whiting-Turner Contracting Co. - 1,795.8B

7) Brasfield & Gorrie - 1,628.7B

8) Gilbane Building Co. - 1,298.5B

9) JE Dunn Construction Co. - 1,287.0B

10) PCL Construction Enterprises Inc. - 1,251.3B

11) AECOM - 1,188.9B

12) Skanska USA - 1,054.3B

13) Hensel Phelps - 1,034.0B

14) The Walsh Group - 908.4M

15) Swinerton Inc. - 635.2M

16) Mortenson - 597.1M

17) F.A. Wilhelm Construction Co. Inc. - 584.0M

18) Messer Construction Co. - 538.7M

19) Alberici-Flintco - 496.1M

20) Clark Group - 477.6M

21) Suffolk Construction Co. Inc. - 456.1M

22) Consigli Building Group Inc. - 408.0M

23) Hoar Construction - 380.8M

24) The Boldt Co. - 375.1M

25) Crossland Construction Co. Inc. - 372.0M

TheJobWalk Thoughts:
The biggest change is at the very top: Turner Construction still leads, but 2025 shows a heavier pull toward fewer, more specialized healthcare builders rather than broad based volume. DPR Construction jumps meaningfully in 2025, signaling stronger life sciences and complex hospital wins, while firms like Brasfield & Gorrie and Robins & Morton hold position, proof that regional healthcare depth continues to outperform national sprawl.

The biggest story is who drops out: Barton Malow, Lendlease, Ryan Cos, and Torcon disappear in 2025, replaced by firms with heavier acute care, repeat health system relationships. Net takeaway: healthcare construction is no longer rewarding generalists, it’s doubling down on specialists with proven delivery inside live hospital environments.