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1. |
Dairy Farmers of America |
$23,100,000,000 |
The nation’s largest farmer-owned marketing cooperative, producing milk, cheese, butter, ice cream and other products sold worldwide. |
468 |
Dennis Rodenbaugh |
1998 |
|
2. |
University of Kansas Health System |
$21,461,225,946 |
Public health authority serving entire state of Kansas; its flagship hospital admits more patients than any other in the Kansas City region. |
13,900 |
Bob Page |
1906 |
|
3. |
Associated Wholesale Grocers |
$12,200,000,000 |
The nation’s largest cooperative food wholesaler operates nine centers serving 3,500 grocery locations across more than half the U.S. |
450 |
Dan Funk |
1924 |
|
4. |
Security Benefit |
$11,767,000,000 |
Topeka-based financial-services company specializes in retirement products, including annuities, mutual funds, and more. |
331 |
Doug Wolff |
1892 |
|
5. |
Burns & McDonnell |
$8,600,000,000 |
Employee-owned engineering, design, and construction firm is now the biggest in the region. |
4,100 |
Leslie Duke |
1898 |
|
6. |
JE Dunn Construction Co. |
$8,048,174,329 |
Employee-owned construction company that has 26 offices in 17 states, serving clients across the nation. |
2,500 |
Gordon Lansford |
1924 |
|
7. |
Research Medical Center |
$5,070,408,698 |
One of the region’s largest acute-care hospitals is also home to the Sarah Cannon Cancer Center’s team of oncology specialists. |
1,552 |
Kirk McCarty |
1886 |
|
8. |
Black & Veatch |
$4,900,000,000 |
For more than 100 years, it’s been a leading design firm in Kansas City, now operating globally. |
2,275 |
Mario Azar |
1915 |
|
9. |
Saint Luke’s (BJC Health West Region) |
$4,589,490,435 |
Flagship of a four-hospital system that merged in 2024 with BJC HealthCare of St. Louis, creating one of the state’s largest providers. |
3,308 |
Julie Quirin |
1882 |
|
10. |
AdventHealth |
$4,395,400,419 |
Full-service health system with four hospitals, anchored by AdventHealth Shawnee Mission in Merriam. |
3,250 |
Sam Huenergardt |
1962 |
|
11. |
Children’s Mercy Kansas City |
$4,210,357,607 |
KC’s top pediatric hospital, specializing in the treatment of and research into childhood illnesses/injuries and pharmaceuticals. |
7,443 |
Alejandro Quiroga |
1897 |
|
12. |
Hill’s Pet Nutrition |
$4,100,000,000 |
This private subsidiary of Colgate-Palmolive is a global leader in the pet-food industry, based in Overland Park, with Topeka production site. |
900 |
Yvonne Hsu |
1907 |
|
13. |
Lockton |
$4,080,000,000 |
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 |
|
14. |
Centerpoint Medical Center |
$3,913,609,063 |
HCA Midwest Health Hospital with one of the busiest emergency rooms in the region. |
1,600 |
Patrick Rafferty |
2006 |
|
15. |
Kiewit Power Constructors |
$3,870,870,000 |
Offers engineering and construction services in a variety of markets. In 2025, the Omaha-based parent had revenues of $18.2 billion. |
1,384 |
Dave Flickinger |
1884 |
|
16. |
Cable Dahmer Auto Group |
$3,700,000,000 |
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 |
|
17. |
Overland Park Regional Medical Center |
$3,624,468,589 |
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 |
|
18. |
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 |
|
19. |
North Kansas City Hospital |
$3,292,924,047 |
Municipally owned not-for-profit acute-care hospital serving the Northland region in Kansas City with 431 staffed beds. |
2,884 |
Steve Reintjes |
1958 |
|
20. |
Stormont Vail Health |
$3,291,157,527 |
This health system is Topeka’s biggest medical-care provider, serving much of northeast Kansas. |
5,317 |
Mark Slyter |
1884 |
|
21. |
Performance Contracting Group |
$2,924,000,000 |
Specialty contractor in industrial, commercial, and non-residential markets. |
280 |
Jason Hendricks |
1987 |
|
22. |
Blue Cross and Blue Shield of Kansas City |
$2,735,545,160 |
The largest not-for-profit health insurer in Missouri, and the only not-for-profit commercial health insurer in the Kansas City market. |
954 |
Jenny Housley |
1938 |
|
23. |
Mosaic Life Care |
$2,414,035,320 |
The health-care leader in northwest Missouri, serving a 21-county region, while also serving as an anchor for northeast Kansas. |
3,317 |
Mike Poore |
1984 |
|
24. |
HNTB |
$2,334,080,901 |
Engineering, architectural and planning firm, has been operating in KC for more than a century. |
680 |
Tom O’Grady |
1914 |
|
25. |
Garney |
$2,296,853,671 |
Holding company for firms in water/wastewater supply, treatment and storage, construction, and development. |
135 |
David Burkhart |
1961 |
|
26. |
Saint Luke’s East |
$2,153,982,307 |
This 238-bed acute-care hospital and outpatient campus primarily serves eastern Jackson County. |
1,204 |
Monica Smith |
2006 |
|
27. |
University Health |
$1,950,438,561 |
One of the region’s largest acute-care hospitals, serving Jackson County with two medical centers and 536 total licensed beds. |
5,127 |
Charlie Shields |
1962 |
|
28. |
Menorah Medical Center |
$1,936,060,220 |
A 153-bed HCA Midwest Health hospital providing surgical services and comprehensive care for patients across the region. |
801 |
Sean Kamber |
1931 |
|
29. |
Triumph Foods |
$1,900,000,000 |
One of St. Joseph’s largest employers, distributes pork products worldwide and processes over 5.5 million hogs a year. |
2,990 |
Matt England |
2003 |
|
30. |
LMH Health |
$1,657,879,694 |
The former Lawrence Memorial Hospital has evolved into an integrated health system anchored by acute-care facility with 174 beds. |
1,447 |
Shelly Kortkamp |
1921 |
|
31. |
Olathe Ford Lincoln |
$1,600,000,000 |
Ford-Lincoln dealer sells new and used cars and offers service and collision repair. |
312 |
Marc McEver |
1973 |
|
31. |
KBP Brands |
$1,600,000,000 |
Franchise organizations representing nearly 1,000 KFC, Taco Bell, Arby’s, and Sonic restaurants across the nation. |
900 |
Michael Kulp |
1999 |
|
33. |
Terracon |
$1,516,000,000 |
Employee-owned engineering consulting firm providing geotechnical, environmental, construction materials, and facilities services. |
39 |
Gayle Packer |
1965 |
|
34. |
Kansas Health System-St. Francis Campus |
$1,507,256,795 |
A 378 licensed- bed hospital owned by partnership between The University of Kansas Health System and Ardent Health |
1,393 |
Scott Campbell |
1909 |
|
35. |
Cerris |
$1,500,000,000 |
Employee-owned Strategic Center for three national construction services brands, two of which operate in Kansas City. |
600 |
Jason Evelyn |
1932 |
|
36. |
Turner Construction |
$1,486,070,000 |
Regional division of a New York-based company, the nation’s largest general contractor. |
283 |
Matthew Makes |
1902 |
|
37. |
Lee’s Summit Medical Center |
$1,263,037,365 |
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 |
|
38. |
Saint Luke’s South |
$1,240,492,010 |
The only Saint Luke’s-BJC HealthCare hospital on the Kansas side of the state line is a 171-bed acute-care facility. |
886 |
Monica Smith |
1998 |
|
39. |
Polsinelli, PC |
$1,210,048,058 |
A full-spectrum AmLaw 100 firm with more than 1,000 attorneys in 28 offices nationwide. |
500 |
Chase Simmons |
1972 |
|
40. |
Saint Luke’s North |
$1,173,102,026 |
Northland acute-care hospital with 84 beds is part of the Saint Luke’s system that merged with BJC HealthCare. |
740 |
Darren Bass |
1999 |
|
41. |
Liberty Hospital |
$1,161,489,268 |
Northland regional acute-care hospital, with more than 200 staffed beds, now part of The University of Kansas Health System. |
1,315 |
Raghu Adiga |
1971 |
|
42. |
Herzog Enterprises |
$1,157,000,000 |
Heavy contractor and services provider for passenger rail systems operations, maintenance and construction. |
425 |
Brad Lager |
1969 |
|
43. |
D.H. Pace |
$1,152,218,000 |
Residential garage and commercial doors, dock equipment, and security systems. |
900 |
Rex Newcomer |
1926 |
|
44. |
McCownGordon Construction |
$1,016,335,638 |
Employee-owned company, one of the region’s biggest general contractors, is the region’s newest billion-dollar company. |
342 |
Ramin Cherafat |
1998 |
|
45. |
Midway Truck Center |
$951,522,032 |
Employee-owned Ford, Western Star, Freight-liner dealership providing new and used trucks, parts, service, and collision repair. |
252 |
Trey Meyer |
1961 |
|
46. |
Belton Regional Medical Center |
$902,055,184 |
As a heath-care anchor for Cass County, this acute-care hospital is part of the HCA Midwest Health system. |
305 |
Dan Astleford |
1984 |
|
47. |
Ace Retail Group |
$884,600,000 |
Nation’s largest Ace Hardware dealer, with more than 260 stores in 18 states, selling tools, paint, hardware and more. |
782 |
Robert Masengill President |
1893 |
|
48. |
Wellsky |
$850,000,000 |
Provider of an extensive range of health-care software and services. |
300 |
Bill Miller |
1980 |
|
49. |
St. Joseph Medical Center |
$807,367,327 |
A 310-bed acute care facility with 24-hour Emergency Department, Joint and Spine Institute, surgical and outpatient services. |
723 |
Jodi Fincher |
1997 |
|
50. |
U.S. Engineering Holdings |
$784,675,000 |
A fifth generation of the founding family now leads this mechanical contracting firm founded in 1893. |
500 |
Tyler Nottberg |
2012 |
|
51. |
Husch Blackwell |
$781,597,000 |
Business litigation and business law firm with 1,000 attorneys in more than 20 offices nationwide, with clients in major industries. |
400 |
Michael Hargens |
1916 |
|
52. |
Netsmart |
$712,000,000 |
Provides electronic record-keeping technologies and services for thousands of behavioral-health systems nationwide. |
1,068 |
Mike Valentine |
1968 |
|
53. |
TVH |
$664,000,000 |
Leading provider of replacement parts and accessories for the material handling, construction and industrial equipment industries. |
800 |
Simon Witdouck |
1969 |
|
54. |
WireCo World Group |
$657,400,000 |
Manufacturer of wire and rope for industrial applications, serving clients worldwide. |
DD |
Keith White |
1931 |
|
55. |
Shook, Hardy & Bacon |
$643,395,000 |
Legal defense firm with 18 offices in the U.S., with clients in the health, science and technology sectors a wide range of legal issues. |
525 |
Madeleine McDonough |
1889 |
|
56. |
Heartland, LLC |
$643,000,000 |
Parent of leading commercial landscape firms across the central U.S., with significant growth driven by strategic acquisitions. |
400 |
Eddie Schatz |
2016 |
|
57. |
Bothwell Regional Health Center |
$568,106,178 |
Municipally owned 140-bed hospital providing health care for the Sedalia area and west-central Missouri. |
855 |
Lori Wightman |
1930 |
|
58. |
Providence Medical Center |
$562,334,145 |
This 400-bed acute-care hospital in western Wyandotte County offers a full range of health-care services. |
847 |
Karen Orr |
1920 |
|
59. |
Populous |
$552,400,000 |
Kansas City-based global architecture and design firm with more than 1,300 people across 31 offices. |
332 |
Bruce Miller |
1983 |
|
60. |
United Real Estate Group |
$532,381,142 |
National integrated network of real-estate and auction professionals. |
54 |
Dan Duffy |
1925 |
|
61. |
Wachter, Inc. |
$505,600,000 |
Nationwide leader in electrical construction and technology deployment, serving small businesses and Fortune 500 companies. |
169 |
Brian Sloan |
1930 |
|
62. |
Soave Automotive Group |
$485,174,000 |
Operates Aristocrat Motors, selling Mercedes-Benz, Porsche, Land Rover, Jaguar, Maserati, and Alfa Romeo vehicles. |
301 |
Marion Battaglia |
1990 |
|
63. |
Propio Language Services |
$466,034,026 |
Specialists in corporate, legal and personal translation services for clients worldwide. |
680 |
Marco Assis |
1998 |
|
64. |
P1 Construction |
$450,000,000 |
Provides mechanical, electrical, plumbing, millwright and architectural metal contracting services. |
450 |
Bruce Belcher |
1919 |
|
65. |
St. Mary’s Medical Center |
$429,502,033 |
Acute-care hospital serving Blue Springs and fast-growing areas of eastern Jackson County. |
557 |
Kelly Pearce |
1905 |
|
66. |
Fike Corp. |
$418,632,000 |
Global supplier of industrial safety solutions, with a major focus on systems to suppress fire and explosion risk. |
490 |
Brad Batz |
1945 |
|
67. |
Favorite Healthcare Staffing |
$415,000,000 |
Health-care staffing services specialist serving clients nationwide from 27 regional offices. |
734 |
Amanda Hoffman |
1981 |
|
68. |
Berkel & Co. Contractors |
$414,000,000 |
Heavy contractor specializing in large-project foundations, shoring and construction site-preparation work. |
100 |
Greg Righter |
1886 |
|
69. |
Automatic Systems, Inc. |
$409,052,182 |
Design, build, and install of conveyors, robotics, and automation serving the automotive, aviation and other industries. |
230 |
Michael Hoehn |
1981 |
|
70. |
Spencer Fane |
$404,002,073 |
Full-service business law firm in Kansas City, it now has 33 offices after a recent burst of acquisition activity. |
1,070 |
Pat Whalen |
1879 |
|
71. |
Flint Group |
$403,057,756 |
Private-equity firm that acquires home-services companies specializing in HVAC, electrical and plumbing needs. |
15 |
Trevor Flannigan |
2019 |
|
72. |
Western Missouri Medical Center |
$395,708,379 |
Acute-care hospital with nearly 60 beds, serving the Warrensburg area and discharging about 2,400 patients a year. |
457 |
Darinda Dick |
1966 |
|
73. |
Airshare |
$378,019,690 |
Private aviation company offering whole aircraft management, fractional ownership, jet cards, charter services, and aircraft maintenance. |
169 |
Jon Owen |
2005 |
|
74. |
D&L Transport |
$372,145,372 |
Freight brokerage company in the transportation, trucking, and shipping sector. |
25 |
Brian DeFrain |
2004 |
|
75. |
Safe Haven Security Systems |
$366,267,555 |
The nation’s largest authorized ADT dealer, with more than 100,000 clients in 75 metro areas. |
501 |
Mark Kleeman |
1999 |
|
76. |
Southwind |
$364,505,103 |
Fast-growing home-services company has grown nationally from a humble beginning as a junk-removal service. |
DD |
Josh Herron, CEO Tyler Staszak, President Co-Founders |
2007 |
|
77. |
Durvet |
$364,211,000 |
Specializes in the distribution of animal-health products for livestock and companion pets. |
71 |
Todd Muenstermann |
1970 |
|
78. |
Stinson, LLP |
$352,331,000 |
Full-service law firm specializing in business and financial-services practices. |
285 |
Allison Murdock |
2014 |
|
79. |
CommunityAmerica Credit Union |
$345,568,154 |
Area’s largest credit union merged with Texas-based UNIFY Financial Credit Union last fall, creating a $9 billion asset behemoth. |
696 |
Lisa Ginter |
1948 |
|
80. |
Cass Regional Medical Center |
$338,445,722 |
A 50-bed community hospital serving Cass County and the surrounding region with acute care and emergency medical services. |
450 |
Chris Lang |
1963 |
|
81. |
Acendas Travel |
$329,800,633 |
Specialists in corporate travel management, vacation/leisure travel, and incentive programs. |
26 |
Richard Aquino |
1982 |
|
82. |
Enerfab |
$317,000,000 |
Provides fabrication, construction, and maintenance services within the utility and heavy industrial markets. |
50 |
Daniel Earnest |
1901 |
|
83. |
Electrical Corp. of America |
$313,592,071 |
Employee-owned national electrical contractor specializing in complex industrial, commercial, and utility infrastructure projects. |
160 |
Jason King |
1970 |
|
84. |
Tension Corp. |
$297,800,000 |
Provides envelopes, printed products, packaging and packaging automation for multiple industries worldwide. |
144 |
William Berkley |
1886 |
|
85. |
Henderson Companies |
$293,690,038 |
100% employee-owned parent of Henderson Engineers, a national building systems design firm, and Henderson Building Solutions. |
547 |
Kevin Lewis |
1970 |
|
86. |
Lead Bank |
$291,640,000 |
Commercial bank based in Downtown Kansas City, specializing in business lending, with assets of nearly $1.7 billion. |
180 |
Jackie Reses |
1928 |
|
87. |
Conexon |
$271,310,623 |
Provides broadband design and construction management for electric cooperatives and rural communities deploying fiber Internet. |
833 |
Randy Klindt |
2015 |
|
88. |
Ascentist Hospital |
$250,180,629 |
Multi-specialty health-care system owned and operated by its physicians has seen massive growth through expansions. |
DD |
Douglas Cowan |
2012 |
|
89. |
Master’s Transportation |
$238,868,087 |
Sales, rentals, repairs and service on buses, shuttles and other commercial vehicles. |
250 348 |
John Goodbrake |
1992 |
|
90. |
Dickinson Financial Corp. |
$232,547,000 |
Parent of Academy Bank, operating in four states, and Armed Forces Bank, serving active military and veterans nationwide. |
490 |
Paul Holewinski |
1961 |
|
91. |
IBT Industrial Solutions/Cumulus Companies |
$231,000,000 |
Provides maintenance and repair solutions for manufacturing facilities, industrial & food processing, & warehousing. |
234 |
Jeff Cloud |
1949 |
|
92. |
KMG Hotels |
$230,000,000 |
Hospitality development and management company that owns and operates major hotel franchises, featuring over 1,600 rooms. |
DD |
Jayesh Koshiya |
|
|
93. |
Centric |
$224,287,603 |
Construction firm that became ESOP in 2023; specializes in office, hospitality, residential, retail, industrial, higher-ed and public work. |
161 |
Steve Swanson |
2010 |
|
94. |
Nabholz Construction |
$221,640,000 53.49% |
Full-service general contracting and construction management firm operating on a wide range of construction specialties. |
668 |
Jeff Gattis |
1949 |
|
95. |
Tnemec |
$217,467,600 $202,643,325 7.32% |
Manufacturer of high-performance architectural and industrial coatings for companies worldwide. |
DD |
Chase Bean, |
1921 |
|
96. |
Amberwell Health |
$215,495,096 64.95% |
General acute-care hospital serving Atchison and northeast Kansas, with more than 1,000 annual patient admissions. |
315 |
Jared Abel |
1864 |
|
97. |
Cameron Regional Medical Center |
$207,594,973 |
Serving Clinton, DeKalb counties with 31 adult and pediatric services and five ICU beds. |
342 |
Joseph Abrutz Jr. |
1949 |
|
98. |
Fidelity Security Life Insurance Co. |
$207,386,335 |
Services group policyholders, many of them public school districts, with custom insurance products. |
100 |
Bryce Jones |
1969 |
|
99. |
Brinkmann Constructors |
$206,202,247 |
Employee-owned, national design-build general contractor providing a full range of construction services. |
57 |
Andy McDonnell |
1984 |
|
100. |
Mark One Electric |
$201,324,406 |
Family-owned electrical contractor is the region’s largest certified as women’s business enterprise. |
DD |
Rosana Privitera-Biondo |
1974 |
