Enquirer Consulting Group

Primeau Consulting Group Buyer Map

Kristen Borth | Primeau Consulting Group | November 2026

As of 03 Nov 2026

Primeau Consulting Group helps hospitals, medical centers and clinics with health information management, revenue cycle performance, regulatory compliance and transitional leadership.

This map lays out the kinds of organizations that buy that work, roughly how many there are, and who usually signs off inside each one. It describes the market, not anyone's internals.

Where your buyers sit

Counted at the organization level and banded on purpose. A group with no clean public count says so.

Group	Organizations in the US	Under 20 staff	20 to 99	100 to 499	500 or more
General medical and surgical hospitals	about 2,600	not published	not published	not published	not published
Psychiatric, substance use and other specialty hospitals	about 750	not published	not published	not published	not published
Physician practices and medical groups	about 130,000	about 120,000	about 12,000	about 2,100	about 1,000
Ambulatory surgery and other outpatient care centers	about 17,000	about 12,000	about 2,600	about 1,100	about 950
Multi-hospital health systems and their regional HIM teams	no clean public count

US firm counts by industry code, banded deliberately.

Who signs off, by service line

Your site groups its work into these lines. The budget usually sits one level above the person who feels the problem.

Service line on your site	Usually signs off	Often brings it in
Revenue Cycle Assessment and denials prevention	Chief Financial Officer or VP of Revenue Cycle	Director of Revenue Cycle, Director of Patient Financial Services
Coding and clinical documentation integrity, education programs	VP of Revenue Cycle or Chief Medical Officer	Coding Manager, CDI Manager, Physician Advisor
Transitional and interim HIM leadership	Chief Financial Officer or Chief Operating Officer	HIM Director, Regional HIM Director, Human Resources
HIPAA privacy and security, information governance, interoperability	Chief Compliance Officer	Privacy Officer, Chief Information Security Officer
AI governance consulting and assessment	Chief Compliance Officer or Chief Information Officer	Chief Medical Information Officer, Privacy Officer
HI projects, technology implementation, social determinants of health	Chief Information Officer or Chief Operating Officer	HIM Director, Director of Clinical Informatics, Population Health Director

How the groups differ

Group	Who signs	What tends to move them
General medical and surgical hospitals	CFO for revenue cycle, Chief Compliance Officer for privacy and AI, HIM Director as the daily owner	An HIM leadership gap, a denial trend, a new compliance rule or an audit finding
Psychiatric and specialty hospitals	CEO or CFO, often with one person holding compliance and privacy together	Lean HIM and compliance teams that need expert help without a full hire
Physician practices and medical groups	Practice Administrator, with the managing physician on larger spend	Coding accuracy, denials, provider documentation education, HIPAA risk assessment
Ambulatory surgery and outpatient centers	Administrator or Business Office Director	Prior authorization workflows, coding audits, HIPAA risk assessment
Multi-hospital health systems	System VP of Revenue Cycle, System HIM Director, Chief Compliance Officer	Coverage across several sites, system go-lives, one AI policy across every facility

Reading the roles

In most hospitals the HIM Director owns the daily work your services touch, but the spend is approved by the CFO, the COO or the Chief Compliance Officer. A first conversation with the HIM or revenue cycle lead and a second with the executive above them is the usual path.

In smaller hospitals, specialty hospitals and outpatient centers one person often holds several of these roles at once, so the same leader can feel the problem and approve the fix.

Where to start

Lead with the Revenue Cycle Assessment

Your site already frames the Revenue Cycle Assessment as a defined review of workflows, coding and CDI collaboration, prior authorization, denials and benchmarking. Offered to a CFO or VP of Revenue Cycle as a clear first step after the free consultation, it opens the coding, education and denials work that sits behind it.

Use transitional HIM coverage as the door

Your site's testimonials speak to interim HIM director coverage and candidate sourcing. An HIM vacancy is a moment when a CFO or COO has to act quickly, and an interim lead who performs well is a natural route into project, compliance and revenue cycle work at the same organization.

Offer the AI governance assessment on its own

Your site offers the AI compliance assessment tool with or without consulting. For a Chief Compliance Officer or Privacy Officer, a standalone review across administrative, clinical and financial areas is an easy first purchase, and it sits beside the HIPAA risk assessment and information governance work that can follow.

Built from public federal registries and the company's own website, counts banded deliberately.

If a walk-through is useful, pick a time at cal.com/ecg.

Prepared by Dan Reeves, dan@enquirerconsulting.com.