Cold email software for healthtech companies
Acqro gives healthcare technology vendors cold email that researches each prospect's company before writing. Below: verified federal data on the industry across all 50 states, the buyers it sells to, and a playbook for outreach that earns replies.
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How many healthtech companies are in the United States?
The United States had 58,113 establishments in NAICS 541512, computer systems design services, in 2023, employing 766,160 people. The largest markets by establishments were California, Texas and Virginia. Source: U.S. Census Bureau County Business Patterns.
Healthtech companies in the US by the numbers
- US establishments
- 58,113−0.3% vs 2022Census CBP 2023, NAICS 541512
- Paid employees
- 766,160Census CBP 2023
- Average annual pay
- $122,171Census CBP 2023
- Firms under 10 employees
- 84.2%Census CBP 2023
- Largest state
- CaliforniaBy establishments, CBP 2023
Census does not publish a separate category for healthcare technology vendors; figures use NAICS 541512, Computer Systems Design Services, the closest official industry. 84.2% of establishments have fewer than 10 employees, so most firms in the industry run outbound with a founder or a very small sales team. The 8,737 firms with 10 to 249 employees are the ones most likely to be building a repeatable outbound process.
The five largest states hold 44.3% of all establishments. Among states with at least 100 establishments, the fastest growth between 2022 and 2023 was in Wyoming (+22.2%), Arkansas (+17.3%) and Delaware (+11.2%). Growing markets bring new competitors and new buyers at the same time, which rewards outreach that is specific rather than volume-driven.
Healthtech companies by state
All states and DC ranked by number of establishments, with the change since 2022.
| Rank | State | Establishments | Employees | Change vs 2022 |
|---|---|---|---|---|
| 1 | California | 7,616 | 87,673 | −3.0% |
| 2 | Texas | 7,226 | 74,841 | +9.0% |
| 3 | Virginia | 3,968 | 96,003 | −0.1% |
| 4 | Florida | 3,819 | 33,250 | −3.9% |
| 5 | New York | 3,105 | 30,510 | −4.3% |
| 6 | New Jersey | 2,521 | 27,051 | −1.2% |
| 7 | Maryland | 2,327 | 36,048 | −5.9% |
| 8 | Georgia | 2,324 | 39,994 | +2.4% |
| 9 | Illinois | 2,200 | 27,597 | −4.7% |
| 10 | North Carolina | 1,947 | 18,673 | +8.8% |
| 11 | Colorado | 1,661 | 25,134 | −2.4% |
| 12 | Washington | 1,643 | 18,049 | −3.0% |
| 13 | Pennsylvania | 1,548 | 24,552 | −1.1% |
| 14 | Ohio | 1,306 | 14,013 | +2.6% |
| 15 | Michigan | 1,049 | 14,726 | −1.9% |
| 16 | Massachusetts | 1,030 | 20,514 | −1.6% |
| 17 | Arizona | 991 | 10,086 | +1.8% |
| 18 | Minnesota | 915 | 11,013 | −3.4% |
| 19 | Indiana | 734 | 10,234 | −1.3% |
| 20 | Wisconsin | 690 | 8,226 | −4.0% |
| 21 | Missouri | 689 | 23,839 | −3.5% |
| 22 | Tennessee | 645 | 6,692 | +1.4% |
| 23 | Connecticut | 568 | 8,424 | +0.7% |
| 24 | Alabama | 549 | 15,097 | −2.5% |
| 25 | Nevada | 502 | 2,890 | 0.0% |
| 26 | South Carolina | 488 | 7,892 | −1.6% |
| 27 | Utah | 459 | 8,462 | +1.3% |
| 28 | Delaware | 446 | 2,695 | +11.2% |
| 29 | Kentucky | 441 | 7,443 | +5.0% |
| 30 | Kansas | 428 | 4,080 | +2.6% |
| 31 | Oregon | 421 | 2,763 | −4.1% |
| 32 | District of Columbia | 364 | 7,286 | −9.5% |
| 33 | Louisiana | 330 | 4,400 | −5.4% |
| 34 | Oklahoma | 295 | 5,076 | −4.2% |
| 35 | Iowa | 281 | 2,161 | −4.7% |
| 36 | New Hampshire | 258 | 3,897 | +3.2% |
| 37 | Arkansas | 244 | 1,933 | +17.3% |
| 38 | Nebraska | 227 | 2,985 | −4.2% |
| 39 | New Mexico | 208 | 1,964 | −1.4% |
| 40 | Mississippi | 204 | 2,018 | +2.5% |
| 41 | Idaho | 184 | 1,274 | +2.2% |
| 42 | Wyoming | 176 | 657 | +22.2% |
| 43 | Hawaii | 173 | 1,648 | +1.2% |
| 44 | Maine | 160 | 1,177 | −8.6% |
| 45 | Rhode Island | 146 | 4,022 | −9.9% |
| 46 | West Virginia | 128 | 2,155 | +1.6% |
| 47 | Montana | 126 | 1,060 | −3.8% |
| 48 | South Dakota | 106 | 790 | −4.5% |
| 49 | Vermont | 89 | 576 | +3.5% |
| 50 | North Dakota | 80 | 954 | +12.7% |
| 51 | Alaska | 78 | 1,663 | −18.8% |
Who healthtech companies sell to
Common buyer industries for healthcare technology vendors, with US establishment counts and how many have 10 to 249 employees.
| Buyer industry | Establishments | 10–249 employees | Employees |
|---|---|---|---|
| Offices of Physicians | 218,066 | 58,939 | 2,771,935 |
| Offices of Dentists | 135,665 | 36,422 | 1,028,889 |
| General Medical and Surgical Hospitals | 5,777 | 1,597 | 5,815,843 |
| Home Health Care Services | 40,762 | 20,505 | 1,618,759 |
How healthtech companies should run cold email
Healthcare technology vendors sell clinical, administrative and patient-engagement technology to healthcare providers. These are the contacts, triggers and messages that make a first email relevant rather than generic.
Who to email
- Practice administrator or practice manager
- Chief medical or nursing informatics officer
- Director of revenue cycle
- Owner-physician at independent practices
Signals worth researching
- New locations, mergers or affiliation with a health system
- Job posts for billing, scheduling or IT roles
- EHR migrations or technology changes mentioned publicly
- New regulatory or reimbursement requirements affecting the practice type
What to say
- Speak to staff time and patient experience rather than technology
- Reference the operational event you found
- Keep claims precise and avoid anything that sounds like clinical advice
What to avoid
- Including any patient information or protected health data in outreach
- Overstated outcome claims that compliance teams will reject
Cold email for healthtech companies, answered
How many healthtech companies are there in the US?
There were 58,113 establishments in NAICS 541512 (Computer Systems Design Services) in 2023, employing 766,160 people. Source: U.S. Census Bureau, County Business Patterns 2023.
Which states have the most healthtech companies?
By establishments in 2023: California (7,616), Texas (7,226), Virginia (3,968), Florida (3,819) and New York (3,105). Source: U.S. Census Bureau, County Business Patterns 2023.
Can healthtech companies use cold email to reach healthcare providers?
Yes. Business-to-business email to practice staff is permitted under CAN-SPAM in the US when it meets the law's requirements. Keep outreach free of any patient information, target administrative and operational roles, and make claims that a compliance reviewer would accept.
Who buys technology at independent medical practices?
At independent practices the practice administrator or office manager usually evaluates tools, and the owner-physician approves them. At larger groups and hospitals, informatics, revenue cycle and IT leaders are involved, and purchasing takes longer.
Is cold email legal in the United States?
Yes. The federal CAN-SPAM Act permits commercial email to business contacts without prior consent, provided the message identifies the sender accurately, uses a truthful subject line, includes a valid physical postal address and a working opt-out, and honours opt-out requests promptly. CAN-SPAM applies in every state and preempts most state commercial email laws, except provisions aimed at falsity or deception. This is general information, not legal advice.
Explore related pages
Healthtech Companies by state
Other industries
Sources and methodology
Every figure on this page comes from a federal statistical release and is shown with its source and reference year. Figures the agencies withhold or publish with high noise are left out rather than estimated. Page updated September 17, 2026.
- U.S. Census Bureau, County Business Patterns 2023 and 2022: establishments, paid employment for the pay period including March 12, annual payroll, and establishments by employment size. Industries use NAICS 2017 codes.
- Industry definition: NAICS 541512, Computer Systems Design Services, used as the closest official category for healthcare technology vendors.
Built for healthtech companies who sell to a finite list
Acqro researches every account on your list and writes the first email from what it finds.
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