A June 2024 profile from the state's employment department counts 4,031 manufacturing establishments and 175,817 manufacturing jobs in its seven-county Twin Cities area in 2023, and it makes health care and social assistance the area's largest industry at 291,689 jobs. The Census metro used here, Minneapolis-St. Paul-Bloomington, is wider: thirteen Minnesota counties plus two in Wisconsin, counting 99,443 employer establishments in all. Different boundaries and different measures, so the numbers stand side by side rather than added together. The practical reading for an owner: this is a region where a fabricator, a clinic, and an agency can be neighbors, and the paperwork is just as mixed as the economy.