Enquirer Consulting Group

Reachable Buyer Map

Prepared for Shashita Inamdar, Headlight · August 2026
Here is the map Vicky promised. Your partners page already invites four kinds of organization to work with you: payers, employers, brokers and provider organizations. The useful thing to say about that list is that it is not one market, it is five lanes that sign in completely different ways and move at completely different speeds. This page covers who sits in each lane, who actually signs, and the honest public counts where they exist. It maps the market around what you deliver, not your operations, and there is nothing to buy at the end of it.
Health systems and hospitals, in the six states you are licensed in
The lane with the hardest public number on this page, and the one where interventional care creates the opening on its own. Transcranial magnetic stimulation and esketamine are treatments a general psychiatry service refers out rather than builds, the second because it has to be given under a restricted federal safety program. The volume sits with the people managing what happens after an emergency visit or an inpatient stay, and it is a finite named list rather than a market you sample.
Who signs: a behavioral health service line director champions it; a VP of ambulatory or network development signs it. The referral itself starts further down, with an emergency department medical director or a discharge planning lead.
1,127
hospitals across Alaska, California, Colorado, Oregon, Texas and Washington on the federal hospital register, counted this week; 698 acute care and 121 psychiatric
Community health centers and primary care groups
The collaborative care lane. Primary care is where most behavioral health need gets named first and where the least capacity exists to treat it, which is why integrated behavioral health keeps turning up in these organizations' own strategic plans. They refer constantly, and the constraint is almost never willingness. It is having somewhere good to send people.
Who signs: a chief medical officer or a director of integrated care; a behavioral health director where the organization is large enough to have one.
Nearly 1,400
organizations in the federal health center program nationally, running more than 16,600 service sites; your six-state share is a subset of that
Employers, direct
The largest number on this page and the longest lead time. Employers buy behavioral health access when they are already unhappy with what their carrier hands them, so the trigger is a renewal date rather than a good approach on a random Tuesday. Worth building toward deliberately, not worth depending on early.
Who signs: a VP of benefits or total rewards; the CHRO at mid-size employers. Very little reaches any of them without their consultant seeing it first, which is why the next lane decides whether this one ever works.
Roughly 85,000
employer group health plans filed on the national benefit plan register; the enumerable form of this lane, banded deliberately and national rather than six-state
Benefits consultants, brokers and employee assistance vendors
The multiplier lane. One consultant relationship can carry you into a dozen employer conversations you would never have opened directly, and the same people are asked for a behavioral health recommendation several times a year. They are gatekeepers by design and they move on reputation and reliability, one named relationship at a time.
Who signs: a practice leader or senior benefits consultant; a vendor management lead at the larger houses.
No reliable public count
no census of this population is published, only curated shortlists; the list here is built by name, not bought
Payers, including Medicaid managed care
The slowest lane, named honestly as such. You already hold commercial network status, so the work here is not access, it is everything that comes after it: being the group a plan actively steers members toward, and the separate contracting motion that Medicaid managed care and Medicare Advantage run. Measured in quarters, sometimes longer. Worth a presence rather than a dependency.
Who signs: a VP of behavioral health sponsors it; provider contracting and network management carry it through.
No current public count
the one public figure we found is a decade old and consolidation has moved well past it, so we would rather show none than show that; a short named list worked as accounts

Where the openings are

1
The two provider lanes are where interventional care sells itself. A referrer does not need persuading that the treatment works. They need to know a group that delivers it and that keeps them informed about their own patient afterward. That is relationship work against a finite list, and the list is the 1,127 above plus the health centers sitting in the same six states.
2
Lane order matters more than lane effort. Provider referral can produce volume in weeks. Consultants take months. Employers move on their renewal cycle. Payer steerage is slowest of all. Worked in that order, the early lanes pay for the patience the later ones require, which is the whole argument for not starting with the biggest number on the page.
3
The gatekeeper lanes are named-account work, not volume work. Consultants, brokers and payer teams are short lists with long memories. They reward a systematic motion: the right names, gathered once, worked on a schedule, with something genuinely useful in every touch. Nobody wins them by broadcast, and a few people lose them that way.
4
Six states is the advantage, not the limit. Most groups at your stage are guessing at a national market. A licensed footprint makes the map finite and the account list buildable in full, which is the difference between a funnel you keep feeding and a list you can actually finish working.
Built from the federal hospital register, counted for your six states on 24 August 2026, the federal health center program's published national totals, and the national employee benefit plan filings. Counts are registry and program anchors rather than market censuses, they are banded deliberately, and lanes with no credible current public number say so rather than showing one.
ENQUIRER CONSULTING GROUP
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