| Rank | Company | 2012 Healthcare Revenue ($) |
| 1 | Turner Corporation, The | $1,856,850,000 |
| 2 | McCarthy Holdings | $1,750,000,000 |
| 3 | Clark Group | $1,055,387,870 |
| 4 | Skanska USA | $833,093,700 |
| 5 | Brasfield & Gorrie | $780,723,247 |
| 6 | JE Dunn Construction | $759,053,631 |
| 7 | DPR Construction | $749,013,611 |
| 8 | PCL Construction Enterprises | $729,454,514 |
| 9 | Whiting-Turner Contracting Co., The | $551,510,967 |
| 10 | Robins & Morton | $545,100,000 |
| 11 | Tutor Perini Corporation | $511,164,519 |
| 12 | Gilbane | $502,989,000 |
| 13 | Hensel Phelps | $476,730,000 |
| 14 | Balfour Beatty | $470,077,372 |
| 15 | Swinerton Builders | $379,053,249 |
| 16 | Lend Lease | $339,286,000 |
| 17 | Walsh Group, The | $319,508,385 |
| 18 | Pepper Construction Group | $308,909,000 |
| 19 | Flintco | $307,400,000 |
| 20 | Structure Tone | $301,215,000 |
| 21 | Hoar Construction | $287,562,000 |
| 22 | Layton Construction | $273,000,000 |
| 23 | HBE | $265,500,000 |
| 24 | Hunt Construction Group | $254,000,000 |
| 25 | Mortenson Construction | $251,040,000 |
| 26 | Power Construction | $242,000,000 |
| 27 | Kitchell | $234,360,000 |
| 28 | Messer Construction | $213,342,097 |
| 29 | Kraus-Anderson Construction | $195,000,000 |
| 30 | Barton Malow | $191,424,046 |
| 31 | Boldt Company, The | $185,470,000 |
| 32 | Austin Commercial | $184,060,869 |
| 33 | Rodgers Builders | $175,688,000 |
| 34 | Suffolk Construction | $167,363,722 |
| 35 | McGough | $135,000,000 |
| 36 | Manhattan Construction | $110,839,000 |
| 37 | LPCiminelli | $92,601,181 |
| 38 | Consigli Construction | $88,368,542 |
| 39 | Linbeck Group | $88,000,000 |
| 40 | Hoffman Construction | $86,000,000 |
| 41 | Sundt Construction | $84,545,271 |
| 42 | Weitz Co., The | $72,824,069 |
| 43 | HITT Contracting | $71,837,458 |
| 44 | Batson-Cook | $67,674,480 |
| 45 | S. M. Wilson & Co. | $64,546,961 |
| 46 | CORE Construction Group | $63,906,839 |
| 47 | Haskell | $55,968,203 |
| 48 | O'Neil Industries/W.E. O'Neil | $52,989,384 |
| 49 | Alberici Constructors | $52,424,169 |
| 50 | W. M. Jordan Co. | $51,283,468 |
| 51 | Yates Cos., The | $48,900,000 |
| 52 | IMC Construction | $42,142,000 |
| 53 | Doster Construction | $40,588,484 |
| 54 | Ryan Companies US | $35,846,667 |
| 55 | Douglas Company, The | $33,136,506 |
| 56 | Shawmut Design and Construction | $30,100,000 |
| 57 | Hill & Wilkinson General Contractors | $26,112,223 |
| 58 | EMJ | $25,600,000 |
| 59 | C.W. Driver | $23,872,338 |
| 60 | Clancy & Theys Construction | $15,710,000 |
| 61 | KBE Building Corporation | $14,653,860 |
| 62 | Choate Construction | $13,223,567 |
| 63 | Stalco Construction | $12,400,000 |
| 64 | ECC | $11,206,887 |
| 65 | Jones Lang LaSalle | $10,521,500 |
| 66 | Coakley & Williams Construction | $10,325,475 |
| 67 | Paric | $10,000,000 |
| 68 | Bernards | $9,600,000 |
| 69 | Weis Builders | $8,842,000 |
| 70 | Walbridge | $8,800,000 |
| 71 | McShane Cos., The | $8,700,525 |
| 72 | Absher Construction | $8,610,000 |
| 73 | Summit Contracting Group | $6,000,000 |
| 74 | E.W. Howell | $4,067,000 |
| 75 | Bette Companies, The | $4,000,000 |
| 76 | B. L. Harbert International | $3,022,820 |
| 77 | Graycor | $3,021,000 |
| 78 | James G Davis Construction | $3,000,000 |
| 79 | Bomel Construction | $2,700,000 |
| 80 | New South Construction | $1,100,000 |
| 81 | Gray | $336,915 |
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