NAICS 6221Industry group · 4-digitregional market1 market record

General medical and surgical hospitals

SoftwareHospital Operations & Capacity Software

This industry group comprises establishments, licensed as hospitals, primarily engaged in providing diagnostic and medical treatment to in-patients of any age with any of a wide variety of diseases or medical conditions. These establishments usually provide other services, such as out-patient services, diagnostic X-ray services, clinical laboratory services and pharmacy services. — Statistics Canada, NAICS 2022A

Establishments · CanadaA: 630
Under 10 employeesA: 3%
Establishments · USA: 6,048
Employment · USA: 5,647,644
Payroll · USA: $433.5B

Size and shape

How many businesses there are and how small they are. Fragmentation is the first thing an entrant — or anyone selling software into this industry — needs to know, and it is one of the few things that is actually measured.

Canadian establishments by number of employeesA

1–4152%

5–971%

10–1941%

20–49284%

50–998313%

100–1999315%

200–49914223%

500+25841%

Of 630 Canadian establishments with employees, 3% have fewer than ten — an industry where large establishments carry real weight.

Where they areA

Ontario18830%

Quebec11017%

British Columbia8113%

Manitoba6610%

Largest four provinces by establishment count. Establishments with employees only — sole operators with no payroll are not in this table, so in trades and personal services the true number of businesses is higher.

How many new establishments are still tradingA

Health Care and Social Assistance, US · opened 2020

84%

1 year

65.3%

3 years

52.6%

5 years

36.4%

10 years

opened 2015

Measured, not forecast: the share of US establishments opening in one year that were still active later. It counts good operators and bad ones together, which is exactly why it is the honest answer to “what are the odds”. It is for the whole sector rather than this market, and the ten-year figure comes from an older cohort because no younger one has reached ten years.

How businesses here compete

The structural profile of subsector 622, which every industry beneath it inherits. This is analyst judgment from how the subsector is organised — not research into this industry, and not a measurement.

regional competitionhigh capitalUNVERIFIEDinherited from 622 Hospitals

Publicly funded and governed in Canada. The market is in selling to hospitals, not in being one.

Who sets the price: Government.
The software it runs on: Hospital information systems with decade-long procurement cycles.

Market screens and studies

Market-entry records filed along this branch of the hierarchy. A record at or beneath this code is about this industry; one above it is about something wider that contains it.

No operating-business record sits in this industry — the record filed here is a software market, shown in the next section.

Software serving this industry

The vertical software markets filed along the same branch — who sells to these businesses and who they would have to displace — and then the generic categories every business buys whatever it does.

Vertical softwareScreened

Hospital Operations & Capacity SoftwareOne thing must be true

binding constraint: incumbent vulnerability

Incumbent Epic Systems

The classic adjacency trap: operational point solutions must integrate with the EHR, and the EHR vendor can build the same feature and bundle it. LeanTaaS and Qventus have both built real businesses here, which proves the wedge exists — and both did it before Epic's operational modules matured. Provincial health authority procurement in Canada adds a public-sector cycle on top. Nothing is disclosed here. Every vendor named on this record is private, or sits inside a parent that does not break the line out, so no revenue floor can be built and the market size is genuinely unknown rather than estimated.

NAICS 62214 vendors namedOpen →

And what every business buys · 25 generic categories

Sold to every industry rather than this one, so they are filed against the software industry's own code. The same few vendors recur across most of them.

Companies in this industry · 2

Every company this research names that is filed here or beneath — the operators, and the vendors that sell to them — largest disclosed revenue first. The rank is within the company’s own six-digit industry.

Company	Filed under	Revenue	Rank
LeanTaaSPrivate	General medical and surgical hospitals6221	—	1/2
QventusPrivate	General medical and surgical hospitals6221	—	2/2

Who works here

The occupations employed in Health care and social assistance, most concentrated in it first. The share is measured against the whole sector, not this industry — the published cross-tabulation stops there.

Tagged to this industry

Nursing and allied health professionals Medical technologists and technicians Pharmacists and dietitians Managers in health care

Concentrated in this sectorA

Managers in health care One industry 98.6%

Nursing and allied health professionals One industry 95.1%

Technical occupations in dental health care One industry 89.9%

Therapy and assessment professionals One industry 89.5%

Dentists, optometrists and audiologists One industry 89%

Physicians and veterinarians One industry 88.5%

Assisting occupations in support of health services One industry 85.9%

Practitioners of natural healing One industry 83.4%

Technical occupations in therapy and assessment One industry 77.9%

Home care provider occupations One industry 72.1%

These jobs are mostly done here. An operator in this industry is competing for them against others in the same industry, not against the whole economy.

And the jobs every business has

Office administrative assistants - general, legal and medical Across the economy 22.1%

Administrative, property and payroll officers Across the economy 18.6%

Shoe repairers, shoemakers and upholsterers Across the economy 12.6%

Survey, statistical and data entry occupations Across the economy 9.3%

Administrative and financial supervisors Across the economy 7.1%

Building maintenance installers, servicers and repairers Across the economy 6.7%

Legislative and senior managers Across the economy 5.7%

Financial, insurance and related administrative support workers Across the economy 4.8%

Technical occupations in computer and information systems Across the economy 4.6%

Administrative services managers Across the economy 4.5%

Found across at least fourteen of the twenty sectors. In a small establishment several of these are usually one person, or an outside provider.

All 162 occupations →

Inside this industry

1 row sits directly beneath 6221, and 3 in all once every level is counted. Each has a base report of its own.

Code	Industry	Establishments · CA	What is known
62211	General medical and surgical hospitals	630	screened at 6221

Alongside it, under 622 Hospitals

Code	Industry	Establishments · CA	What is known
6222	Psychiatric and substance use hospitals	74	Private Psychiatric & Addiction Hospital
6223	Specialty hospitals (except psychiatric and substance use)	245	Specialty & Rehabilitation Hospital