Enquirer Consulting Group
Prepared for Amir Khan | PureLogics | October 2026
As of Oct 6, 2026. Counts from published federal statistics on US companies, dated in the notes at the foot
This page maps the US companies that buy custom software in the five industries your own menu names, healthcare, insurance, real estate, retail and education. Healthcare and insurance are each split in two, because a hospital company and an outpatient group buy differently, and so do a carrier and an agency. Each group is sized from a public count of US companies by the number of people they employ, and each lists the roles that usually sign for a software build. It says nothing about which of them PureLogics already works with.
Outpatient care companies, 100 or more staff
9,900
United States, 2022. Medical groups, clinics, labs and home health among them.
Hospital companies, 500 or more staff
1,300
United States, 2022. Public hospitals run by a government are not in this count.
Insurance agencies, brokers and claims firms, 100 or more staff
1,300
United States, 2022. Carriers are counted separately in the table.
Retailers, 100 or more staff
10,000
United States, 2022.
US companies with paid staff in each group, by the number of people the whole company employs, 2022.
| Group | All companies | Under 20 staff | 20 to 99 staff | 100 to 499 staff | 500+ staff |
|---|---|---|---|---|---|
| Outpatient care companies | 500,000 | 460,000 | 39,000 | 7,500 | 2,400 |
| Hospital companies | 3,100 | 360 | 250 | 1,200 | 1,300 |
| Insurance carriers | 6,100 | 4,900 | 470 | 310 | 420 |
| Insurance agencies, brokers and claims firms | 130,000 | 120,000 | 3,400 | 790 | 530 |
| Real estate companies | 340,000 | 330,000 | 8,400 | 2,000 | 830 |
| Retailers | 650,000 | 590,000 | 50,000 | 7,700 | 2,300 |
| Private schools, colleges and training firms | 100,000 | 82,000 | 16,000 | 3,900 | 1,300 |
The roles that usually sign for a custom software build or a modernization. Titles vary by company, and at the smaller companies one person often holds several of them.
| Group | Roles |
|---|---|
| Outpatient care and hospital companies | CIO or VP of IT, CTO, VP of revenue cycle, chief medical information officer, COO; the practice administrator or owner at the smaller groups |
| Insurance carriers, agencies and brokers | CIO or CTO, VP of claims or policy operations, head of digital, COO; the agency principal at the smaller agencies |
| Real estate companies | COO, VP of technology, head of property or asset operations; the owner or managing broker at the smaller firms |
| Retailers | VP of ecommerce or digital, CTO or CIO, director of IT, COO; the owner at the smaller retailers |
| Private schools, colleges and training firms | CIO or director of IT, head of online or digital learning, COO or chief business officer |
Three questions this page cannot answer from a count, said in words rather than shown as numbers.
State and local agencies and public schools. Your site has a page for them, but government bodies are not in a count of companies, so neither is shown here. They are found agency by agency, usually through their own published bids, in the named version.
Edtech software companies. Your education page is written for edtech businesses, and they sit in a software code, not an education one, so they are not in the education row.
Who builds in house and who buys. No public list says which companies keep their own engineering team and which hire out, so the rows above count every company in the group at its size.
Where the counts point.
Denominators, definitions and sources
The named version of this page, the actual companies inside a row, is built one row at a time. If you want to walk through a row together, pick a time at cal.com/ecg. Prepared by Matthew, matthew@enquirerconsulting.com.
Enquirer Consulting Group | enquirerconsulting.com