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PUBLISHED MAY 2025
Fifteen years into the Ingram’s 100, a few noteworthy metrics jump off the list for 2025’s roster of the largest enterprises in the Kansas City region:
• Almost defying the odds with geographic distribution, the three biggest top lines on this list come out of Wyandotte County—historically, the region’s poorest. Dairy Farmers of America and Associated Wholesale Grocers, two agribusiness/food sector cooperatives, and a public health authority not directly supported by tax dollars, The University of Kansas Health System, combined for $52.61 billion in revenues—more than one-fourth of the Top 100 total.
• Only one other company, Security Benefit Corp. of Topeka, cracked the $10 billion threshold, giving Kansas a clean sweep of the 11-figure companies.
• This year, 44 companies surpassed the $1 billion mark, up slightly from 41 a year ago. What has changed over time is the membership of that club. When the Ingram’s 100 debuted in 2011 (based on 2010 revenues), only 21 companies beat that mark.
• And no, that increase in numbers is not solely a function of inflation. Applying the Consumer Price Index to 2010 baselines, a company would need to top $1.48 billion today to match that Year One performance. This year, 31 companies surpassed that level. So the biggest among them are getting bigger, relative to the rest of the field.
• All told, the Ingram’s 100 posted revenues of $194.84 billion in 2024. That’s up a quite respectable 10.45 percent from the previous year’s $176.41 billion.
• Health care once again dominated the list, with 28 hospitals in the final field. They combined for more than $66 billion in revenues, slightly more than one-third of the entire Top 100 combined.
• One final highlight: once a company attains sufficient scale to crack the Ingram’s 100, large percentage gains—on the order of 100 percent or more—are quite rare. Doubling of a nine-figure base isn’t easy. But one company out there turned in perhaps the most remarkable year-over-year performance in the history of the Ingram’s 100: Cable Dahmer Auto Group. Fueled by massive fleet-vehicle orders, Carlos Ledezma’s team shot up the list more than 30 spots, a staggering 338.14 percent increase.
As always, this list includes organizations that might not traditionally be considered “private” companies. But given the impact of health-care services on the regional economy, it would be journalistic malpractice to compile this list without the large medical centers and hospitals.
Why? Well, they employ more than 62,000 people, and their reach throughout the region encompasses all types of providers of goods and services: electronic-health companies, food service vendors, medical and surgical suppliers, makers of pharmaceutical components, maintenance services—it’s a long list. So be they “public” in organizational structure, whether a small-town municipal hospital or the biggest of them all, they are factored into the Top 100 calculus here.
|
1. |
Dairy Farmers of America |
$23,000,000,000 |
Nation’s largest farmer-owned dairy marketing co-op supports 9,500 family farms and manufactures milk, cheese, butter and more. |
468 |
Dennis Rodenbaugh |
1998 |
|
2. |
The University of Kansas Health System |
$17,508,194,411 |
Public health authority serving entire state of Kansas; its flagship hospital admits more patients than any other in the Kansas City region. |
14,061 |
Bob Page, CEO Tammy Peterman, |
1906 |
|
3. |
Associated Wholesale Grocers |
$12,100,000,000 |
The nation’s largest cooperative food wholesaler operates eight divisions serving 3,100 grocery locations across more than half the U.S. |
450 |
Dan Funk |
1924 |
|
4. |
Security Benefit |
$10,222,000,000 |
Topeka-based financial-services company specializes in retirement products, |
1,200 |
Doug Wolff |
1892 |
|
5. |
JE Dunn Construction Co. |
$7,427,998,897 |
Employee-owned construction company that has two dozen offices across the nation. |
1,500 |
Gordon Lansford |
1924 |
|
6. |
Burns & McDonnell |
$7,200,000,000 |
Employee-owned engineering, design, and construction firm is now the biggest in the region and one of the region’s fastest-hiring companies. |
4,000 |
Leslie Duke |
1898 |
|
7. |
Black & Veatch |
$5,100,000,000 |
For more than 100 years, it’s been a leading design firm in Kansas City, now operating globally. |
2,275 |
Mario Azar |
1915 |
|
8. |
Kiewit Corp. |
$4,690,803,790 |
Offers engineering and construction services in a variety of markets. In 2024, the Omaha-based parent had revenues of $16.8 billion. |
1,835 |
Rick Lanoha, CEO, Dave Flickinger, EVP/President, Kiewit Power |
1884 |
|
9. |
Research Medical Center |
$4,498,260,588 |
One of the region’s largest acute-care hospitals and home to the Sarah Cannon Cancer Center, a new bone-marrow transplant program. |
1,552 |
Kirk McCarty |
1886 |
|
10. |
Hill’s Pet Nutrition |
$4,480,000,000 |
This private subsidiary of Colgate-Palmolive is a global leader in the pet-food industry. |
900 |
John Hazlin |
1907 |
|
11. |
Saint Luke’s Hospital |
$4,227,358,977 |
Flagship of a four-hospital system that merged this year with BJC HealthCare of St. Louis, creating one of the state’s largest providers. |
3,308 |
Jani Johnson |
1882 |
|
12. |
Cable-Dahmer Auto Group |
$4,065,102,887 |
The Kansas City market’s leading Chevrolet dealership, tracing its roots to 1957, now with eight stores in the metro area. |
801 |
Carlos Ledezma |
1963 |
|
13. |
Children’s Mercy Kansas City |
$3,897,168,536 |
KC’s top pediatric hospital, specializing in the treatment of and research into childhood illnesses/injuries and pharmaceuticals. |
7,443 |
Alejandro Quiroga |
1897 |
|
14. |
AdventHealth Shawnee Mission |
$3,835,096,421 |
A 504-bed full-service health system in Merriam, KS with four primary facilities in Johnson County. |
3,250 |
Sam Huenergardt |
1962 |
|
15. |
Centerpoint Medical Center |
$3,672,775,757 |
HCA Midwest Health Hospital with one of the busiest emergency rooms in the region. |
1,600 |
John McDonald |
2006 |
|
16. |
Hallmark Cards |
$3,500,000,000 |
The world’s most recognized name in personal-expression products, it’s also a key cog in Kansas City’s creative class. |
2,670 |
Mike Perry |
1910 |
|
17. |
Lockton |
$3,499,132,000 |
The world’s largest privately held independent insurance brokerage has seen revenues grow every year since its founding in 1966. |
1,600 |
Ron Lockton |
1966 |
|
18. |
Blue Cross and Blue Shield of Kansas City |
$3,288,224,858 |
The largest not-for-profit health insurer in Missouri, is also the only not-for-profit commercial health insurer in the Kansas City market. |
1,531 |
Erin Stucky |
1938 |
|
19. |
Overland Park Regional Medical Center |
$3,283,728,455 |
A 353-bed HCA hospital with one of the most advanced cardiology programs in the region, leading to multiple industry honors for patient outcomes. |
1,800 |
Matt Sogard |
1978 |
|
20. |
Performance Contracting, Inc. |
$3,200,000,000 |
Specialty contractor in industrial, commercial, and non-residential markets. |
280 |
Jason Hendricks |
1987 |
|
21. |
Stormont Vail Health |
$3,094,773,133 |
Health system is Topeka’s biggest medical-care provider, serving much of northeast Kansas. |
5,317 |
Mark Slyter |
1884 |
|
22. |
North Kansas City Hospital |
$2,982,378,294 |
Municipally owned not-for-profit acute-care hospital serving the Northland region in Kansas City with 431 staffed beds. |
2,884 |
Steve Reintjes |
1958 |
|
23. |
HNTB |
$2,230,270,000 |
Engineering, architectural and planning firm, has been operating in KC for more than a century. |
680 |
Tom O’Grady |
1914 |
|
24. |
Mosaic Life Care |
$2,216,798,819 |
The health-care leader in northwest Missouri, serving a 21-county region. |
3,317 |
Mike Poore |
1984 |
|
25. |
Saint Luke’s East |
$2,052,568,139 |
This 238-bed acute-care hospital and outpatient campus primarily serves eastern Jackson County. |
1,204 |
Bobby Olm-Shipman |
2006 |
|
26. |
Garney Construction |
$1,988,199,637 |
Holding company for firms in water/wastewater supply, treatment and storage, construction and development. |
135 |
David Burkhart |
1961 |
|
27. |
Triumph Foods |
$1,800,000,000 |
One of St. Joseph’s largest employers, distributes pork products worldwide and processes over 5.5 million hogs a year. |
2,887 |
Matt England |
2003 |
|
28. |
Menorah Medical Center |
$1,769,389,960 |
A 153-bed HCA hospital featuring a Neuroscience and Orthopedic Center, providing surgical services for patients from a wider regional area. |
801 |
Sean Kamber |
1931 |
|
29. |
KBP Brands |
$1,530,000,000 |
One of the nation’s largest and fastest-growing franchise organizations, representing nearly 1,000 YUM! Brands and Inspired Brands. |
900 |
Michael Kulp |
1999 |
|
30. |
LMH Health |
$1,526,691,526 |
The former Lawrence Memorial Hospital is a full-service, acute-care facility with 174 beds. |
1,447 |
Russ Johnson |
1921 |
|
31. |
Kansas Health System-St. Francis Campus |
$1,526,691,526 |
A 264-bed acute-care hospital owned by a partnership between The University of Kansas Health System and Ardent Health. |
1,032 |
Scott Campbell |
1911 |
|
32. |
Olathe Ford Lincoln |
1,475,000,000 |
Ford-Lincoln dealer sells new and used cars and offers service and collision repair. |
312 |
Marc McEver |
1973 |
|
33. |
GFT (formerly Gannett Fleming TranSystems) |
$1,407,650,000 |
New brand for merged firms offering consulting, engineering, and design services for water, transportation and building infrastructure. |
145 |
Mike Orth |
1966 |
|
34. |
Cerris |
$1,400,000,000 |
Employee-owned Strategic Center for three national construction services brands, including Cerris Builders and Cerris Systems in KC. |
550 |
Jason Evelyn |
1932 |
|
35. |
Terracon |
$1,296,672,982 |
Employee-owned engineering consulting firm providing geotechnical, environmental, construction materials and facilities services. |
39 |
Gayle Packer |
1965 |
|
36. |
University Health |
$1,292,349,555 |
One of the region’s largest acute-care hospitals, serving Jackson County with two medical centers and 536 total licensed beds. |
4,787 |
Charlie Shields |
1962 |
|
37. |
Block Real Estate Services |
$1,234,343,124 |
Full-service commercial real-estate firm managing 45 million square feet of commercial property and 10,000 multifamily property units. |
368 |
Ken Block |
2009 |
|
38. |
Turner Construction |
$1,216,000,000 |
Regional division of the nation’s third-largest general contractor, saw revenues soar as contractor on the $4 billion Panasonic plant in DeSoto. |
283 |
Karen Hogan |
1902 |
|
39. |
Herzog Enterprises |
$1,200,000,000 |
Heavy contractor and services provider for passenger rail systems operations, maintenance and construction. |
430 |
Brad Lager |
1969 |
|
40. |
Lee’s Summit Medical Center |
$1,151,009,643 |
HCA hospital has added ICU beds, a new hybrid operating room, a state-of–the-art surgery center and CareNow urgent care center. |
333 |
Gabe Clements |
1978 |
|
41. |
D.H. Pace |
$1,090,000,000 |
Residential garage and commercial doors, dock equipment and security systems. |
900 |
Rex Newcomer |
1926 |
|
42. |
Saint Luke’s North |
$1,075,579,721 |
Northland acute-care hospital with 84 beds is part of the Saint Luke’s Health System that merged with BJC HealthCare. |
740 |
Darren Bass |
1989 |
|
43. |
Liberty Hospital |
$1,069,093,828 |
Northland regional acute-care hospital, with more than 200 staffed beds, and health-care provider system. |
1,315 |
Raghu Adiga |
1971 |
|
44. |
Saint Luke’s South |
$1,064,582,127 |
The only Saint Luke’s-BJC HealthCare hospital on the Kansas side of the state line is a 171-bed acute-care facility. |
886 |
Bobby Olm-Shipman |
1998 |
|
45. |
Polsinelli, PC |
$964,065,000 |
An Am Law 100 firm with more than 1,000 attorneys in 22 offices nationwide focusing on corporate and transactional law, litigation and more. |
485 |
Chase Simmons |
1972 |
|
46. |
Midway Ford Truck Center |
$939,182,426 |
Employee owned Ford, Western Star, Freightliner Truck Dealership providing new and used trucks, vehicle parts, service and repairs. |
242 |
Trey Meyer |
1961 |
|
47. |
Belton Regional Medical Center |
$849,486,179 |
Heath-care anchor for Cass County, this HCA Midwest Health hospital recently expanded, including a $16 million intensive-care unit. |
305 |
Todd Krass |
1984 |
|
48. |
St. Joseph Medical Center |
$839,609,228 |
A 310-bed acute care facility with 24-hour Emergency Department, Joint and Spine Institute, surgical and outpatient services. |
723 |
Jodi Fincher |
1997 |
|
49. |
Wellsky |
$801,000,000 |
Provider of an extensive range of health-care software and services. |
300 |
Bill Miller |
1980 |
|
50. |
McCownGordon Construction |
$769,189,372 |
Employee-owned company, is one of the region’s biggest general contractors. |
342 |
Ramin Cherafat |
1998 |
|
51. |
Husch Blackwell |
$707,800,000 |
Industry-focused litigation and business law firm with 1,000 attorneys in more than 20 offices across the United States. |
362 |
Jeff Simon |
1916 |
|
52. |
Netsmart |
$682,000,000 |
Provides Software-as-a-Service technology and services solutions, designs, builds, and delivers health informatics solutions and services. |
1,068 |
Mike Valentine |
1968 |
|
53. |
TVH |
$648,768,950 1.69% |
Leading provider of replacement parts and accessories for the material handling, construction and industrial equipment industries. |
1,507 |
Simon Witdouck |
1969 |
|
54. |
Westlake Hardware |
$637,241,767 |
The nation’s largest Ace Hardware dealer operates 175 neighborhood hardware stores in 13 states, selling power tools, paint, hardware and more. |
553 |
Joe Jeffries |
1893 |
|
55. |
Providence Medical Center |
$605,290,386 |
This 400-bed acute-care hospital in western Wyandotte County offers a full range of health-care services. |
847 |
Karen Orr |
1920 |
|
56. |
Heartland, LLC |
$564,177,000 |
Parent of leading commercial landscape firms across the central U.S., with significant growth driven by strategic acquisitions. |
400 |
Eddie Schatz |
2016 |
|
57. |
U.S. Engineering Holdings |
$537,000,000 |
A fifth generation of the founding family now leads this mechanical contracting firm founded in 1893. |
500 |
Tyler Nottberg |
1893 |
|
58. |
United Real Estate Group |
$534,395,538 |
National integrated network of real-estate and auction professionals. |
54 |
Dan Duffy |
1925 |
|
59. |
Soave Automotive Group |
$527,891,000 |
Operates Aristocrat Motors, selling Mercedes-Benz, Porsche, Land Rover, Jaguar, Maserati and Alfa Romeo vehicles. |
285 |
Marion Battaglia |
1990 |
|
60. |
Bothwell Regional Health Center |
$524,630,850 |
A 140-bed hospital providing health care for Sedalia and west-central Missouri. |
855 |
Lori Wightman |
1930 |
|
61. |
Populous |
$503,000,000 |
Kansas City-based global architecture and design firm with more than 1,300 people across 31 offices. |
332 |
Jonathan Mallie |
1983 |
|
62. |
Shook, Hardy & Bacon |
$500,981,000 |
Legal defense firm with 19 offices in the U.S. and London, serving clients in the health, science and technology sectors. |
525 |
Madeleine McDonough |
1889 |
|
63. |
Max Motors |
$443,070,902 |
Operates nine vehicle-sales franchises, 12 dealerships, and two collision centers across six cities in Missouri and Kansas. |
235 |
Robert Jacaway |
2006 |
|
64. |
CommunityAmerica Credit Union |
$440,458,820 |
Area’s largest credit union was originally founded to serve TWA employees. |
696 |
Lisa Ginter |
1948 |
|
65. |
St. Mary’s Medical Center |
$436,174,279 |
Acute-care hospital serving Blue Springs and fast-growing areas of eastern Jackson County. |
557 |
Kelly Pearce |
1905 |
|
66. |
Wachter, Inc. |
$432,513,000 |
Nationwide leader in electrical construction and technology deployment, serving small businesses and Fortune 500 companies. |
167 |
Brian Sloan |
1930 |
|
67. |
P1 Construction |
$418,000,000 |
Provides mechanical, electrical, plumbing, millwright and architectural metal contracting services. |
209 |
Bruce Belcher |
1919 |
|
68. |
Safe Haven Security Systems |
$387,628,631 |
The nation’s largest authorized ADT dealer, with more than 100,000 clients in 75 metro areas. |
484 |
Mark Kleeman |
1999 |
|
69. |
Fike Corp. |
$384,894,377 |
Global supplier of industrial safety solutions. |
490 |
Brad Batz |
1945 |
|
70. |
Western Missouri Medical Center |
$375,096,218 |
Acute-care hospital with nearly 60 beds, serving the Warrensburg area and discharging about 2,400 patients a year. |
457 |
Darinda Dick |
1966 |
|
71. |
Airshare |
$371,818,178 |
Private aviation company offering whole aircraft management, fractional ownership, jet cards, charter services and aircraft maintenance. |
169 |
Jon Owen |
2005 |
|
72. |
Berkel & Co. Contractors |
$371,000,000 |
Heavy contractor specializing in large-project foundations, shoring and construction site-preparation work. |
90 |
Greg Righter |
1886 |
|
73. |
Durvet |
$337,967,000 |
Specializes in the distribution of animal-health products for livestock and companion pets. |
66 |
Todd Muenstermann |
1970 |
|
74. |
Propio Language Services |
$329,965,676 |
Specialists in corporate, legal and personal translation services for clients worldwide. |
786 |
Marco Assis |
1998 |
|
75. |
Spencer Fane |
$321,908,234 |
Founded as a full-service business law firm in KC, it now has 22 offices from Nevada and Arizona to its base in Kansas and Missouri. |
1,070 |
Pat Whalen |
1879 |
|
76. |
Stinson, LLP |
$315,968,000 |
Full-service law firm specializing in business and financial-services practices. |
283 |
Allison Murdock |
2014 |
|
77. |
Cass Regional Medical Center |
$315,874,168 |
A 50-bed community hospital serving Cass County and the surrounding region with acute care and emergency medical services. |
450 |
Chris Lang |
1963 |
|
78. |
ARCO National Construction-KC |
$313,960,000 |
Riverside-based division of full-service design/build general contractor ARCO National, which has operations nationwide. |
40 |
Matt White |
2011 |
|
79. |
D&L Transport |
$311,750,000 $270,659,000 15.18% |
Freight brokerage company in the transportation, trucking and shipping sector. |
26 270 |
Brian DeFrain |
2004 |
|
80. |
Automatic Systems, Inc. |
$310,082,965 |
Designs, builds, and installs conveyors, robotics, and automation serving automotive, airports, steel, manufacturing and energy. |
230 |
Michael Hoehn |
1981 |
|
81. |
Flint Group |
$297,488,877 $117,298,661 65.09% |
Private-equity firm that acquires home-services companies specializing in HVAC, electrical and plumbing needs. |
15 1,127 |
Trevor Flannigan |
2019 |
|
82. |
Tension Corp. |
$289,500,000 |
Provides envelopes, printed products, packaging and automation for multiple industries, including third-party billing, financial, insurance. |
157 |
William Berkley |
1886 |
|
83. |
Acendas Travel |
$287,713,287 |
Specialists in corporate travel management, vacation/leisure travel, and incentive programs. |
26 |
Richard Aquino |
1982 |
|
84. |
Conexon |
$284,619,202 |
Provides broadband design and construction management for electric cooperatives and rural communities deploying fiber Internet. |
213 894 |
Randy Klindt |
2015 |
|
85. |
Henderson Companies |
$263,860,274 |
The 100% employee-owned parent of Henderson Engineers and Henderson Building Solutions. |
547 |
Kevin Lewis |
1970 |
|
86. |
Dynamic Logistix |
$263,281,392 |
Builds tailored transportation solutions for carriers in the trucking sector. |
123 |
Ryan Koenig |
2012 |
|
87. |
Cumulus Companies |
$243,559,159 |
Products for the manufacturing sector include industrial bearings, power transmission, safety supplies and industrial training. |
234 |
Jeff Cloud |
1949 |
|
88. |
Southwind |
$240,000,000 |
Johnson County company offering moving, bulk-item removal and lawn care services. |
1,886 |
Josh Herron |
2007 |
|
89. |
GBA |
$235,878,005 |
Architectural, engineering, construction, and advanced technology services for clients throughout the U.S. |
510 |
Doug Van Meter |
|
|
90. |
Centric |
$233,215,639 |
Construction firm that became ESOP in 2023 specializes in office, hospitality, single-family and multifamily residential, retail, automotive and industrial. |
179 |
Steve Swanson Richard Wetzel |
2010 |
|
91. |
Master’s Transportation |
$232,587,000 |
Sales, rentals, repairs and service on buses, shuttles and other large commercial vehicles. |
122 |
John Goodbrake |
1992 |
|
92. |
Newkirk Novak Construction Partners |
$223,000,000 |
Commercial general contractor also offers construction management, preconstruction and design-build services. |
64 |
Lynn Newkirk |
2017 |
|
93. |
Velociti, LLC |
$213,000,000 $159,000,000 |
Technology and consulting solutions provider divested from long-time affiliate CSTK over the past year. |
247 |
Deryk Powell |
1995 |
|
94. |
Cameron Regional Medical Center |
$208,781,176 |
Serving Clinton, DeKalb counties with 31 |
342 |
Joseph Abrutz Jr. |
1949 |
|
95. |
Tnemec Co. |
$202,643,325 |
Provides specialty coatings in a wide range of industrial and architectural applications. |
265 |
Chase Bean |
1921 |
|
96. |
Summit Homes |
$199,000,000 |
Privately-owned subsidiary of Warren Buffet’s Berkshire-Hathaway empire, it is the region’s largest single-family residential builder. |
55 |
Kyle King |
2002 |
|
97. |
Dickinson Financial Corp. |
$197,830,000 |
Bank holding company for Academy Bank, operating in four states, and Armed Forces Bank, serving active military and veterans. |
496 |
Paul Holewinski |
1961 |
|
98. |
Amberwell Health |
$196,520,122 |
General acute-care hospital serving Atchison and northeast Kansas, it saw more than 112,000 outpatient visits last year. |
315 |
John Jacobson |
1864 |
|
99. |
Inland Truck Parts |
$195,860,000 |
Employee-owned specialist in truck parts, remanufacturing, and service. |
90 |
Greg Klein |
1944 |
|
100. |
Oakes Auto |
$191,208,936 |
High-volume dealership that has continued to expand year-over-year since 2010, growing most recently through acquisitions. |
165 |
Dan Oakes |
2010 |
