The City of Boston's principal-employer list is mostly medicine and higher education. Massachusetts General Hospital, Brigham and Women's Hospital, Boston Children's Hospital, Beth Israel Deaconess Medical Center, Boston Medical Center and Dana-Farber Cancer Institute account for six of the ten names. Boston University, Northeastern University and Harvard University Graduate Schools add three more. Fidelity Investments is the one financial firm.
Across the metro, health care and social assistance employs 444,538 people. Professional, scientific and technical services employs 328,542. Construction ranks fourth by locations, with 14,628, and supports 125,263 jobs.
That makes for a particular kind of small company. Many are engineering, IT, consulting, lab support, design or specialized staffing firms that sell to the hospitals, the universities and the companies around them. Others are contractors and building-services firms working on the same campuses. In both, revenue rests on contracts, master service agreements and the people who hold the client relationships. A buyer's first questions are about those people and those agreements.