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Rank |
Company |
2021 Revenues |
Type of Business |
Employees |
|
|
1. |
Dairy Farmers of America |
$19,300,000,000 |
More than 12,500 member dairy farms account for nearly 30 percent of U.S. milk production, including cheese and other derivitive products. |
446 |
Rick Smith |
1998 |
2. |
Associated Wholesale Grocers |
$10,800,000,000 |
The nation’s largest cooperative food wholesaler operates eight divisions serving 3,000 grocery locations across more than half the U.S. |
1,050 |
David Smith |
1924 |
3. |
Saint Luke’s Health System |
$8,925,884,412 |
Faith-based non-profit health system with 16 hospitals and more than 200 primary-care and specialty offices in Missouri and Kansas. |
9,018 |
Melinda Estes |
1882 |
4. |
Security Benefit |
$6,600,000,000 |
Topeka-based financial-services company specializes in retirement products. |
1,200 |
Michael Kiley |
1892 |
5. |
Burns & McDonnell |
$4,840,000,000 |
Employee-owned engineering, design, and construction firm is the biggest in the region, and one of the region’s fastest-hiring companies. |
4,405 |
Ray Kowalik |
1898 |
6. |
GEHA |
$4,797,640,936 |
The nation’s second-largest national health plan covers more than 2 million federal employees, retirees and their families. |
1,263 |
Arthur Nizza |
1937 |
7. |
JE Dunn Construction Co. |
$4,330,000,000 |
Employee-owned construction company has two dozen offices across the nation. |
1,500 |
Gordon Lansford |
1924 |
8. |
Hallmark Cards |
$3,500,000,000 |
The world’s most-recognized name in personal expressions products, it’s also a key cog in Kansas City’s creative class. |
2,670 |
Mike Perry |
1910 |
9. |
Research Medical Center |
$3,480,190,349 |
One of the region’s largest acute-care hospitals, serving the center of Kansas City with 590 licensed beds. |
1,552 |
Ashley McClellan |
1886 |
10. |
Hill’s Pet Nutrition |
$3,311,000,000 |
Private subsidiary of Colgate-Palmolive is a global leader in the pet-food industry. |
900 |
Jesper Nordengaard |
1907 |
11. |
Black & Veatch |
$3,300,000,000 |
For more than 100 years, it’s been a leading design firm in Kansas City, and now operating globally. |
2,592 |
Steve Edwards, CEO Mario Azar, Chairman/CEO-designate |
1915 |
12. |
Children’s Mercy Kansas City |
$3,203,112,191 |
KC’s top pediatric hospital, specializing in treatment and research of childhood illnesses/injuries. |
8,512 |
Paul Kempinski |
1897 |
13. |
Blue Cross and Blue Shield of Kansas City |
$2,970,632,929 |
The largest not-for-profit health insurer in Missouri is also the only not-for-profit commercial health insurer in the Kansas City market. |
1,470 |
Erin Stucky |
1938 |
14. |
AdventHealth Shawnee Mission |
$2,831,716,238 |
Full-service acute-care health system treated more than 18,000 patients in 2020 and served many times that number in outpatients. |
3,250 |
Sam Huenergardt |
1962 |
15. |
Kiewit Corp. |
$2,797,402,267 |
Offers engineering and construction services in a variety of markets. In 2021, the Omaha-based parent had revenues of $12.1 billion. |
1,506 |
Dave Flickinger |
1884 |
16. |
Centerpoint Medical Center |
$2,547,008,567 |
A 285-bed acute-care hospital that is part of the HCA Midwest Health system, primarily serving eastern Jackson County. |
1,600 |
Bret Kolman |
2006 |
17. |
Blue Cross and Blue Shield of Kansas |
$2,351,537,488 |
Provides health insurance for nearly one in three Kansans in 103 of the state’s 105 counties. |
1,612 |
Matt All |
1942 |
18. |
Stormont Vail Health |
$2,302,093,349 |
Health system that is Topeka’s biggest medical-care provider, serving much of northeast Kansas. |
5,317 |
Robert Kenagy |
1884 |
19. |
Overland Park Regional Medical Center |
$2,265,787,268 |
A 353-bed acute care hospital, primarily serving central Johnson County, that is part of the HCA Midwest Health system. |
1,800 |
Matt Sogard |
1978 |
20. |
North Kansas City Hospital |
$2,206,059,471 |
Municipally owned not-for-profit acute-care hospital serving the Northland region in Kansas City with 431 staffed beds. |
2,578 |
Steve Reintjes |
1958 |
21. |
Lockton Companies |
$2,160,000,000 |
The world’s largest privately held independent insurance brokerage has seen revenues grow every year since its founding in 1966. |
1,436 |
Peter Clune |
1966 |
22. |
Performance Contracting Group |
$1,793,000,000 |
Specialty contractor in industrial, commercial, and non-residential markets. |
450 |
Jason Hendricks |
1987 |
23. |
Triumph Foods |
$1,700,000,000 |
One of St. Joseph’s largest employers, it distributes pork products worldwide, processes over 5.5 million hogs a year. |
2,800 |
Matt England |
2003 |
24. |
Mosaic Life Care |
$1,528,108,313 |
The health-care leader in northwest Missouri, serving a 21-county region. |
3,317 |
Mike Poore |
1984 |
25. |
HNTB |
$1,430,219,206 |
Engineering, architectural and planning firm has been operating in KC for more than century. |
574 |
Thomas O’Grady |
1914 |
26. |
Menorah Medical Center |
$1,347,838,622 |
Serving central Johnson County, this 153-bed acute-care hospital is also owned by HCA Midwest Health. |
801 |
Phil Buttell |
1931 |
27. |
KBP Foods |
$1,345,000,000 |
Fast-growing franchise organizations representing nearly 1,000 YUM! Brands and Inspired Brands restaurants in 30 states. |
695 |
Michael Kulp |
1999 |
28. |
Block Real Estate Services |
$1,326,034,752 |
Full-service commercial real-estate firm managing 45 million square feet of commercial property and 10,000 multifamily property units. |
372 |
Ken Block |
2009 |
29. |
University Health |
$1,279,848,394 |
One of the region’s largest acute-care hospitals, serving Jackson County with two medical centers and 536 total licensed beds. |
4,609 |
Charlie Shields |
1962 |
30. |
LMH Health |
$1,235,266,362 |
The former Lawrence Memorial Hospital is a full-service, acute-care facility with 174 beds. |
1,554 |
Russ Johnson |
1921 |
31. |
Olathe Health System |
$1,233,385,844 |
Health system with two hospitals and 34 family/specialty clinics serve 5-county area. |
2,461 |
Stan Holm |
1953 |
32. |
CRB |
$1,100,000,000 |
Nearly 30-year-old engineering company providing design and construction services, primarily in life science and technology sectors. |
184 |
Jeff Biskup |
1984 |
33. |
Kansas Health System-St. Francis Campus |
$1,052,598,867 |
Soon to become part of the University of Kansas Health System. |
1,032 |
Bob Page CEO |
1911 |
34. |
Garney Construction |
$1,051,344,115 |
Holding company for firms in water/wastewater supply, treatment and storage, construction, development. |
134 |
Mike Heitmann |
1961 |
35. |
Terracon |
$908,000,000 |
Employee-owned engineering consulting firm providing geotechnical, environmental, construction materials and facilities services. |
333 |
Gayle Packer |
1965 |
36. |
MMC Corp. |
$887,000,000 |
:Employee-owned Strategic Center for four national construction services brands, two of which, MW Builders and MMC Contractors, operate in Kansas City. |
350 |
Tim Chadwick |
1932 |
37. |
Liberty Hospital |
$873,770,560 |
Northland regional acute-care hospital and health-care provider system. |
1,315 |
David Feess |
1971 |
38. |
D.H. Pace |
$748,000,000 |
Manufactures and distributes commercial and industrial doors. |
800 |
Rex Newcomer |
1973 |
39. |
McCownGordon Construction |
$737,300,151 |
Employee-owned company is one of the region’s biggest general contractors. |
425 |
Ramin Cherafat |
1998 |
40. |
Cable-Dahmer Auto Group |
$736,608,044 |
The Kansas City market’s leading Chevrolet dealership, tracing its roots to 1957, and now with six stores in the metro area. |
558 |
Carlos Ledezma |
1963 |
41. |
Lee’s Summit Medical Center |
$730,485,784 |
Serving eastern Jackson County with 80 licensed beds, it’s an acute-care facility owned by HCA Midwest Health. |
333 |
John McDonald |
1978 |
42. |
MRIGlobal |
$714,000,000 |
Conducts independent research and development for government and private-sector clients. |
333 |
Thomas Sack |
1944 |
43. |
St. Joseph Medical Center |
$706,861,568 |
A 310-bed acute care facility with 24-hour Emergency Department, Joint and Spine Institute, surgical and outpatient services. |
723 |
Mark Benz |
1997 |
44. |
Polsinelli, PC |
$697,318,000 |
An AmLaw 100 firm with more than 950 lawyers in 21 U.S. offices, specializing in business law defense and regulation. |
708 |
Chase Simmons |
1972 |
45. |
Noatum Logistics |
$690,000,000 |
Offers global, transportation and distribution services in North America, Latin America, Europe and Asia. |
41 |
Clint Dvorak North America |
2010 |
46. |
Midway Ford Truck Center |
$677,857,459 |
Employee-owned Ford, Western Star, Freightliner truck dealership selling new and used trucks, vehicle parts, service, repair. |
238 |
Trey Meyer |
1961 |
47. |
Ascend Learning |
$625,000,000 |
Provides technical-enabled services to educational institutions, employers and individuals in health care, fitness and wellness. |
480 |
Mandeep Johar |
2010 |
48. |
Westlake Hardware |
$617,292,235 |
With more than 150 neighborhood hardware stores across the U.S., Westlake is largest Ace Hardware dealer. |
620 |
Joe Jeffries |
1893 |
49. |
Belton Regional Medical Center |
$590,796,230 |
Heath-care anchor for Cass County, this HCA Midwest Health system acute-care hospital operates 71 licensed beds. |
DD |
Todd Krass |
1984 |
50. |
Turner Construction |
$549,000,000 |
Regional division of New York-based company that is the nation’s third-largest general contractor. |
175 |
Karen Hogan |
1902 |
51. |
McCarthy Building Co. |
$545,450,000 |
St. Louis parent company is the largest general contractor in Missouri. |
78 |
Stephen Meuschke |
1864 |
52. |
Olathe Ford Lincoln |
$535,000,000 |
Ford-Lincoln dealer sells new, used cars, offers service and collision repair. |
260 |
Marc McEver |
1973 |
53. |
Providence Medical Center |
$531,002,812 |
This 400-bed acute-care hospital in western Wyandotte County offers a full range of healthcare services. |
847 |
Mark Benz |
1920 |
54. |
Netsmart |
$526,000,000 |
Provides technology and services solutions for behavioral health organizations, plus analytics and telehealth solutions and services. |
10,007 |
Mike Valentine |
1968 |
55. |
Soave Automotive Group |
$509,261,000 |
Operates Aristocrat Motors, selling Mercedes-Benz, Porsche, Land Rover, Jaguar, Maserati and Alfa Romeo vehicles. |
254 |
Marion Battaglia |
1990 |
56. |
Wellsky |
$501,000,000 |
Provider of an extensive range of health-care software and services. |
300 |
Bill Miller |
1980 |
57. |
St. Mary’s Medical Center |
$480,271,850 |
Acute-care hospital serving Blue Springs and fast-growing areas of eastern Jackson County. |
557 |
Mark Benz |
1905 |
58. |
Husch Blackwell |
$476,726,000 |
Industry-focused litigation and business law firm with 25 offices across the United States. |
360 |
Jeff Simon |
1916 |
59. |
United Real Estate Group |
$471,437,991 |
National integrated network of real estate and auction professionals. |
48 |
Dan Duffy |
1925 |
60. |
U.S. Engineering |
$469,366,982 |
A fifth generation of the founding family now leads this mechanical contracting firm founded in 1893. |
454 |
Tyler Nottberg |
1957 |
61. |
TVH |
$419,000,000 |
Leading provider of replacement parts and accessories for the material handling, construction and industrial equipment industries. |
631 |
Simon Witdouck |
1969 |
62. |
Shook, Hardy & Bacon |
$414,900,000 |
Premier legal defense firm, with 18 offices across the U.S. and in London. |
708 |
Madeleine McDonough |
1889 |
63. |
HeartLand Company |
$388,000,000 |
Parent of leading commercial landscape firms across the central U.S., with significant growth driven by strategic acquisitions. |
300 |
Eddie Schatz |
2016 |
64. |
Bothwell Regional Health Center |
$384,793,535 |
A 140-bed hospital providing health care for Sedalia, west-central Missouri. |
855 |
Lori Wightman |
1930 |
65. |
NBKC Bank |
$377,255,000 |
Family owned bank with customers in all 50 states and individual and commercial banking services and mortgage lending. |
315 |
Brian Unruh |
1970 |
66. |
Multivac |
$349,000,000 |
Maker of full line packaging equipment solutions for Food, Medical and CPG sectors. |
230 |
Matt Malott |
1972 |
67. |
Max Motors |
$343,927,218 |
Operates nine vehicle-sales franchises and eight dealerships, plus one collision center across five cities in Missouri and Kansas. |
194 |
Robert Jacaway |
2006 |
68. |
Safe Haven Security Systems |
$332,548,559 |
The nation’s largest authorized ADT dealer, with more than 100,000 clients in 75 metro areas. |
457 |
Mark Kleeman |
1999 |
69. |
Wachter, Inc. |
$305,200,000 |
Nationwide leader in electrical construction and technology deployment serves small business and Fortune 500 companies. |
143 |
Brian Sloan |
1930 |
70. |
Durvet, Inc. |
$298,756,772 |
Specializes in the production and distribution of animal-health products for companion pets and veterinary use. |
59 |
Todd Muenstermann |
1990 |
71. |
P1 Group |
$297,000,000 |
Provides mechanical, electrical and plumbing contracting services. |
616 |
Smitty Belcher |
1919 |
72. |
Dickinson Financial |
$296,603,000 |
Bank holding company for Academy Bank, operating in five states, and Armed Forces Bank, serving active military and veterans nationwide. |
550 |
Paul Holewinski |
1961 |
73. |
D&L Transport |
$287,462,587 |
Freight brokerage company in the transportation, trucking and shipping sector. |
25 |
Brian DeFrain |
2004 |
74. |
Stinson, LLP |
$284,537,395 |
Full-service law firm specializing in business and financial-services practices. |
304 |
Allison Murdock |
2014 |
75. |
CommunityAmerica Credit Union |
$276,713,703 |
Area’s largest credit union was originally founded to serve TWA employees. |
696 |
Lisa Ginter |
1948 |
76. |
Intouch Group |
$273,000,000 |
Pharmaceutical marketing agency became one of the region’s biggest entrepreneurial success stories before selling in 2021. |
593 |
Faruk Capan |
1999 |
77. |
Western Missouri Medical Center |
$266,692,114 |
Acute-care hospital serving Warrensburg area. |
457 |
Darinda Dick |
1966 |
78. |
Wilbert Funeral Services |
$260,000,000 |
Serves the funeral industry with cremation-related products, monuments, lawn crypts, mausoleums, caskets, and other products. |
130 |
Mark Bates |
1880 |
79. |
Peterson Manufacturing |
$245,000,000 |
Encompasses eight companies specializing in vehicle lighting, harnesses and other parts and accessories. |
687 |
Don Armacost Jr. |
1946 |
80. |
Automatic Systems, Inc. |
$242,788,915 |
Designs, builds and installs conveyors, robotics and automation serving automotive, airports, steel, manufacturing, energy and other industries. |
235 |
Michael Hoehn |
1981 |
81. |
Cass Regional Medical Center |
$236,637,824 |
A 50-bed community hospital serving Cass County and surrounding region with acute-care and emergency medical services. |
DD |
Chris Lang |
1963 |
82. |
Roberts Auto Group of Kansas City |
$231,412,271 |
Chevrolet, Buick, and GMC retailers serving nearly 20 Kansas City-area communities. |
172 |
Keith Roberts |
1951 |
83. |
Tension Corp. |
$227,000,000 |
Family-owned maker of specialty mailing envelopes in various applications. |
167 |
William Berkley |
1919 |
84. |
Lathrop GPM |
$199,994,000 |
Full range of legal services from the oldest law firm west of the Mississippi River. |
450 |
Cameron Garrison Managing Partner |
1996 |
85. |
Henderson Companies |
$197,000,000 |
A national building-systems design firm with 215 professional engineers in 12 U.S. offices. |
518 |
Kevin Lewis |
1970 |
86. |
Spencer Fane |
$188,550,000 |
Full-service business law firm with 22 offices spanning states from Nevada and Arizona to its base in Kansas and Missouri. |
663 |
Julia Vander Weele |
1879 |
87. |
Populous |
$186,400,000 |
Design services for sports architecture, conference, and exhibition centers around the world. |
254 |
Bruce Miller |
1966 |
88. |
Fidelity Security Life Insurance Co. |
$182,722,070 |
Service group policy holders, many of them public school districts, with custom insurance products. |
100 |
Richard Jones |
1969 |
89. |
Cumulus Companies |
$179,000,000 |
Products for manufacturers include industrial bearings, power transmission, safety supplies, plus supply-chain management services. |
125 |
Jeff Cloud |
1873 |
90. |
Kellan Restaurant Management |
$176,578,678 |
Owns and operate the 54th Street Grill restaurant group, with 29 restaurants in Missouri, Kansas, Illinois and Texas. |
500 |
Michael Norsworthy |
2005 |
91. |
Berkel & Co. Contractors |
$175,000,000 |
Heavy contractor specializing in large-project foundations, shoring and construction site-preparation work. |
250 |
Greg Righter |
1886 |
92. |
Inland Truck Parts |
$169,500,000 |
Employee-owned specialist in truck parts, remanufacturing, and service. |
90 |
Greg Klein |
1944 |
93. |
ARCO National Construction – KC |
$168,573,402 |
Riverside-based division of full-service design/build general contractor ARCO National, which has operations nationwide. |
43 |
Matt White |
2011 |
94. |
Cameron Regional Medical Center |
$166,344,270 |
Serving Clinton, DeKalb counties with 31 adult-pediatric and 5 ICU beds. |
342 |
Joseph Abrutz Jr. |
1949 |
95. |
Amberwell Health |
$156,586,251 |
General acute-care hospital serving Atchison and northeast Kansas, with 112,000 outpatient visits last year, and nearly 1,000 admissions. |
262 |
Jeff Perry |
1864 |
96. |
Country Club Bank |
$153,569,000 |
With nearly $2.47 billion in assets, this full-service commercial bank is principally owned by Kansas City’s Thompson family. |
422 |
Paul Thompson, CEO |
1953 |
97. |
Dynamic Logistix |
$151, 681,683 |
Provides supply-chain solutions and freight-management services for the transportation sector. |
92 |
Jeff Auslander |
2012 |
98. |
Lead Bank |
$146,278,000 |
Commercial bank headquartered in the Crossroads section of Downtown Kansas City, specializing in business lending. |
91 |
Josh Rowland |
1928 |
99. |
KVC Health Systems |
$144,000,000 |
Offers medical and behavioral health care, social services and educational programs. |
DD |
Jason Hooper |
1970 |
100. |
Pivot International |
$143,340,000 |
Engineering-services and manufacturing firm with offices in Olathe, Taiwan and China. |
145 |
Mark Dohnalek |
1972 |