The Omaha metro, which crosses the Missouri River into Council Bluffs and southwest Iowa, counted 25,290 employer establishments in the 2023 County Business Patterns, and 93.7 percent of them have fewer than 50 employees. The Greater Omaha Chamber's employer list shows Mutual of Omaha and First National Bank of Omaha in finance and insurance, and Union Pacific and Werner Enterprises in transportation, with Nebraska Medicine and the University of Nebraska Medical Center in health care. Around those anchors sit thousands of suppliers, clinics, agencies, and service firms doing similar coordination work with much smaller teams.
The University of Nebraska Medical Center shares its main Omaha campus with its primary clinical partner, Nebraska Medicine, an area of about ten square blocks that includes classrooms, labs, and clinical spaces. That mix, corporate back offices beside a major academic medical center, shapes the small-business economy: many smaller firms in the metro sit near those industries, which means their problems are often document flow, scheduling, and status tracking.
The Omaha metro counted 25,290 employer establishments in the 2023 County Business Patterns