National AI Adoption Leaderboard
AI Adoption Leaderboard — 134,278 US companies ranked
Ranked leaderboard of 134,278 US companies by Meo AI adoption score. Average score 58. Updated 2026-05-14.
134278
Companies Scored
58
Avg Adoption Score
enterprise
Top Stage
Which US companies lead in AI adoption?
- What is the average AI adoption score across the United States?
- Who are the top AI-adopting companies among 134,278 US firms scored?
| # | Company | Stage | Key Opportunity | Industry |
|---|---|---|---|---|
| 1 | equinox | enterprise | AI can drive member retention and lifetime value by creating hyper-personalized fitness, recovery, and class schedules that adapt to biometric data, preferences, and real-time goals. | Premium fitness & wellness clubs |
| 2 | equipment maintenance managers | enterprise | AI-powered predictive maintenance analytics can reduce equipment breakdown claims by forecasting failures before they occur, directly lowering loss ratios and improving underwriting profitability. | Insurance carriers |
| 3 | equipmentshare track | mid-size regional | Deploy predictive maintenance models across the telematics data stream to reduce equipment downtime and optimize fleet utilization for contractors. | Construction equipment rental & telematics |
| 4 | equity trust company | mid-size regional | Deploy an AI-powered document intelligence and compliance engine to automate the extraction, validation, and anomaly detection across thousands of alternative asset transaction documents, drastically reducing processing times and manual errors. | Financial Services |
| 5 | Ercare24 | regional multi-site | Health Wellness And Fitness | |
| 6 | erewhon | national operator | Leverage AI-driven personalization and demand forecasting to optimize inventory for ultra-fresh, high-SKU-count organic products while enhancing the premium in-store experience that defines the brand. | Premium Grocery Retail |
| 7 | eroom technology | mid-size regional | Integrate generative AI to automate contract analysis, redaction, and intelligent metadata tagging within virtual data rooms, drastically reducing due diligence time for M&A and legal transactions. | Enterprise Content Management Software |
| 8 | ert | national operator | Automate cardiac safety analysis and clinical trial data processing with AI to cut trial timelines by 20–30% and reduce manual review costs. | Clinical research & technology |
| 9 | esignal, an interactive data company | national operator | Leverage generative AI to synthesize real-time market data, news, and analyst reports into personalized, plain-English trading insights and alerts for subscribers. | Financial data & analytics |
| 10 | esignly | regional multi-site | AI can automate contract review and clause extraction to accelerate deal cycles and reduce legal review bottlenecks. | Software & SaaS |
| 11 | esi group | national operator | AI can automate physics-based simulations, accelerating virtual prototyping by predicting material behavior and failure modes without running full, computationally expensive simulations. | Engineering & Simulation Software |
| 12 | esolutions, now part of waystar | mid-size regional | Leverage AI to automate insurance eligibility verification and prior authorization, reducing denials and accelerating cash flow for healthcare providers. | Healthcare revenue cycle management |
| 13 | ESP Associates, Inc. | regional multi-site | Civil Engineering | |
| 14 | esperion | mid-size regional | Accelerating drug discovery and clinical trial optimization through AI-driven patient stratification and predictive modeling for cardiovascular therapies. | Pharmaceuticals & Biotech |
| 15 | Espire Dental | regional multi-site | Automated Patient Appointment Scheduling and Reminders | Hospital And Health Care |
| 16 | Essen Health Care | regional multi-site | Automated Prior Authorization Processing | Hospital And Health Care |
| 17 | essent | mid-size regional | Deploy machine learning models trained on proprietary loan-level data to dynamically price mortgage insurance risk and automate underwriting for conventional loans, reducing loss ratios and cycle times. | Mortgage insurance |
| 18 | Essex Lake Group | regional multi-site | Automated Client Onboarding and KYC Verification | Financial Services |
| 19 | Estate Properties | regional multi-site | Real Estate | |
| 20 | estimatorcrossing | mid-size regional | Leverage AI to enhance job matching accuracy and automate candidate screening, reducing time-to-hire for employers and improving job seeker experience. | Human resources & staffing |
| 21 | esync technologies | regional multi-site | Implementing AI-augmented development tools and intelligent code review systems can dramatically accelerate project delivery and improve software quality for clients. | IT & software development services |
| 22 | etap software | mid-size regional | Leverage decades of proprietary power system simulation data to train AI surrogate models that accelerate transient stability analysis and real-time grid optimization for utility and industrial customers. | Enterprise Software |
| 23 | etec | mid-size regional | Deploy AI-driven generative design and real-time process optimization to reduce material waste, lower print failure rates, and accelerate production cycles across dental, medical, and industrial 3D printing workflows. | Industrial Machinery & Additive Manufacturing |
| 24 | e tech crew | mid-size regional | Leveraging AI to automate IT support and enhance custom software development efficiency, reducing time-to-market and operational costs. | IT Services & Consulting |
| 25 | e tech group (formerly banks integration) | mid-size regional | Deploy AI-powered predictive maintenance and real-time process optimization across client manufacturing lines to reduce unplanned downtime by up to 30% and cut maintenance costs. | Industrial Automation & Systems Integration |
| 26 | etg | mid-size regional | Deploy an AI-driven predictive analytics platform to optimize agricultural commodity trading and portfolio company performance by integrating satellite imagery, weather data, and supply chain signals. | Venture Capital & Private Equity |
| 27 | ethereum sinatra | national operator | AI-powered predictive analytics can automate and optimize complex DeFi investment strategies, identifying high-yield opportunities and managing risk in real-time across volatile crypto markets. | Financial services & investment |
| 28 | Ethos | regional multi-site | Automated Claims Triage and Data Extraction | Insurance |
| 29 | etouches | mid-size regional | Embed generative AI across the event lifecycle to automate attendee personalization, RFP response drafting, and post-event analytics, turning etouches into an AI-native platform that reduces planner workload by 40%+. | Event management software |
| 30 | etq | mid-size regional | Embed predictive analytics into ETQ Reliance to automatically flag quality deviations and recommend corrective actions, reducing manual review cycles by 40%. | Enterprise software |
| 31 | e-trust security intelligence | mid-size regional | Deploy AI-driven threat-hunting agents that autonomously correlate telemetry across client environments to surface unknown attacks, reducing analyst triage time by 60% and enabling 24/7 detection at scale. | Cybersecurity services & consulting |
| 32 | etta collective | regional multi-site | AI-powered dynamic pricing and inventory management can optimize revenue per available room (RevPAR) by analyzing competitor rates, local events, and booking patterns in real-time. | Hospitality & Hotels |
| 33 | eucon consulting | mid-size regional | Automating the ingestion, cleaning, and synthesis of multilingual automotive aftermarket data to generate real-time market intelligence dashboards for clients. | Market Research & Consulting |
| 34 | euro cockpit technologies | mid-size regional | Implement AI-based predictive maintenance and real-time flight data analytics to improve aircraft safety, reduce downtime, and offer value-added services to airline operators. | Aerospace & Defense |
| 35 | euronet | enterprise | Implementing AI-powered predictive analytics for ATM cash management and dynamic fee optimization can significantly reduce operational costs and increase transaction revenue. | Financial services & payments processing |
| 36 | eurosia technologies limited | mid-size regional | Deploy AI-assisted code generation and automated testing to accelerate software delivery, reduce costs, and free senior developers for high-value architecture work. | IT Services & Consulting |
| 37 | eva | mid-size regional | Leverage generative AI to automate personalized product recommendations and content creation for influencer campaigns, increasing conversion rates and reducing manual creative overhead. | Internet & e-commerce platforms |
| 38 | eva airways corp. | enterprise | AI-powered dynamic pricing and revenue management can optimize ticket fares in real-time based on demand, competitor pricing, and external factors, maximizing load factors and yield. | Airlines & Aviation |
| 39 | evanta, a gartner company | mid-size regional | Leveraging generative AI to personalize executive learning journeys and automate content curation for peer networking events. | Professional training & coaching |
| 40 | evercore | national operator | AI can transform Evercore's M&A advisory by automating due diligence, modeling complex deal scenarios in real-time, and identifying optimal targets or buyers using predictive analytics on vast financial and market datasets. | Investment banking & advisory |
| 41 | Evergreen Family Medicine Roseburg OR | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 42 | Evergreen Medical Services | mid-size regional | Automated Patient Intake and Registration | Hospital And Health Care |
| 43 | eversana | enterprise | AI can optimize commercial strategy and patient support by predicting provider prescribing behavior, personalizing patient engagement, and automating prior authorization to accelerate revenue and improve outcomes. | Pharmaceutical commercialization & services |
| 44 | eversana engage | mid-size regional | Leverage AI to personalize patient support programs and predict medication adherence, improving outcomes and reducing churn. | Pharmaceutical services |
| 45 | everspring | mid-size regional | Deploy a generative AI instructional design co-pilot to slash course development time by 40% and enable hyper-personalized student support at scale across partner university programs. | Education management & online enablement |
| 46 | eversun software corporation | mid-size regional | Leverage the 'Agents of Value' brand to productize AI-driven autonomous agents for mid-market ERP and CRM workflow automation, moving beyond project-based services to recurring revenue. | IT Services & Custom Software |
| 47 | evervian learning | national operator | Deploying an AI-powered adaptive learning engine to personalize course content, pacing, and assessments in real-time for each learner, dramatically improving engagement and completion rates. | E-learning & educational technology |
| 48 | everyaction is now bonterra | mid-size regional | Embedding generative AI into donor engagement workflows to auto-personalize outreach at scale, boosting fundraising efficiency for the 15,000+ nonprofit clients on the platform. | Nonprofit & political software |
| 49 | evicore by evernorth | enterprise | AI can automate and accelerate prior authorization decisions by analyzing clinical guidelines and patient data, reducing administrative burden and improving patient access to care. | Healthcare utilization management |
| 50 | evoke canale | national operator | AI can automate media monitoring, sentiment analysis, and content generation, freeing senior staff for high-value strategy and client counsel. | Public relations & communications |
| 51 | evolent | national operator | AI can optimize patient risk stratification and care pathway recommendations to dramatically improve outcomes and reduce costs in value-based care contracts. | Health systems & value-based care |
| 52 | evolvent | mid-size regional | Leverage AI-driven predictive analytics on federal health data to automate compliance reporting and identify at-risk patient populations, directly enhancing contract value for agencies like VA and HHS. | IT Services & Consulting |
| 53 | evolve village | mid-size regional | Leverage AI for predictive maintenance and operational optimization of oilfield equipment to reduce downtime and costs. | Oil & Gas Services |
| 54 | evo | regional multi-site | Leverage AI-powered personalization and demand forecasting to unify evo's e-commerce, travel, and brick-and-mortar experiences, boosting customer lifetime value and inventory efficiency. | Sporting goods & outdoor retail |
| 55 | evox | mid-size regional | Deploy AI-driven predictive analytics for campaign performance and customer lifetime value modeling to shift from reactive reporting to proactive strategy, increasing client ROI and retention. | Marketing & Advertising |
| 56 | eweb design agency | enterprise | AI can automate repetitive development tasks like code generation, UI prototyping, and QA testing, dramatically accelerating project delivery and freeing senior developers for complex, high-value client solutions. | Custom software & web development |
| 57 | ewebhealth | regional multi-site | Implementing AI-powered clinical documentation assistants to automate note-taking from clinician-patient interactions, drastically reducing administrative burden and improving data accuracy for billing and care coordination. | Healthcare IT & Software |
| 58 | ewgcs inc | regional multi-site | Integrating AI-powered code generation and automated testing into their development lifecycle can dramatically accelerate product delivery and improve software quality for enterprise clients. | Software development & publishing |
| 59 | exact billing solutions | mid-size regional | Deploy AI-driven autonomous coding and claim scrubbing to reduce denials by 30% and accelerate cash flow for hospital and practice clients. | Healthcare Revenue Cycle Management |
| 60 | exact diagnostics | enterprise | AI can accelerate the development and validation of diagnostic assays by predicting optimal reagent combinations and automating data analysis from complex validation studies. | Biotechnology R&D |
| 61 | exact sciences | enterprise | AI can significantly enhance the accuracy and efficiency of multi-cancer early detection (MCED) tests by analyzing complex genomic and proteomic data to identify subtle, early-stage biomarkers. | Biotechnology & diagnostics |
| 62 | exadel | national operator | Deploying AI-augmented development platforms to automate code generation, testing, and maintenance, dramatically boosting developer productivity and project margins. | Custom software development & IT services |
| 63 | ExamWorks Compliance Solutions | regional multi-site | Automated Medical Record Request and Retrieval | Insurance |
| 64 | excelerarx, llc - a shields health solutions company | national operator | AI-driven predictive analytics for patient adherence and therapy optimization can significantly improve health outcomes while reducing overall healthcare costs. | Pharmacy services & benefits management |
| 65 | Excel for CFOs | regional multi-site | Automated Client Onboarding and KYC Verification | Financial Services |
| 66 | excelitas technologies corp. | enterprise | AI-powered predictive quality control and yield optimization in photonics component manufacturing can drastically reduce waste and accelerate time-to-market for high-precision sensors. | Advanced Photonics & Optoelectronics |
| 67 | excellarate | national operator | Integrating AI-powered code generation and automated testing into their software development lifecycle can dramatically accelerate client project delivery and improve code quality. | IT services & consulting |
| 68 | excellus blue cross blue shield | mid-size regional | Automating claims adjudication and prior authorization using AI to reduce administrative costs and improve provider experience. | Health insurance |
| 69 | excentus | mid-size regional | Deploy AI-driven personalization to optimize fuel reward offers and predict churn, increasing customer lifetime value. | Marketing & Advertising |
| 70 | exelixis | national operator | AI can dramatically accelerate oncology drug discovery by predicting compound efficacy and optimizing clinical trial design, reducing time-to-market and R&D costs. | Biotechnology R&D |
| 71 | exelon | enterprise | AI can optimize grid reliability and integrate renewables by forecasting demand, predicting equipment failures, and dynamically balancing load across its vast transmission and distribution networks. | Electric & gas utilities |
| 72 | exiger | regional multi-site | Exiger can deploy AI to automate the ingestion and analysis of complex global regulatory documents, sanctions lists, and adverse media, dramatically reducing false positives and accelerating due diligence for clients. | Risk & compliance software |
| 73 | exp commercial | enterprise | AI-powered predictive analytics can identify high-potential commercial properties and optimal tenants, dramatically increasing deal flow and portfolio performance. | Commercial real estate brokerage |
| 74 | expedient | mid-size regional | Deploy an AI-powered autonomous operations platform across Expedient's multi-cloud managed environments to predict and auto-remediate incidents, reducing mean time to resolution by 60% and freeing engineers for higher-value advisory work. | Cloud & Managed IT Services |
| 75 | Expediter Services | mid-size regional | Automated Freight Load Matching and Dispatch | Transportation Trucking Railroad |
| 76 | experis | enterprise | AI-powered talent intelligence can automate candidate sourcing, matching, and skills gap analysis to dramatically reduce time-to-fill and improve placement quality for a large-scale IT staffing firm. | Staffing & workforce solutions |
| 77 | expert choice us llc | regional multi-site | Expert Choice can leverage generative AI to automate the structuring of complex decision criteria and generate draft reports from AHP model results, dramatically accelerating client delivery and enabling analysis of larger, more nuanced datasets. | Custom software development & IT services |
| 78 | exporthub.com | mid-size regional | AI-powered buyer-seller matching and automated trade documentation to streamline cross-border transactions and reduce friction. | B2B Trade Platforms |
| 79 | express employment omaha | mid-size regional | Deploy AI-driven candidate matching and automated screening to reduce time-to-fill and improve placement quality. | Staffing & recruiting |
| 80 | expresspoint technology services, inc. | mid-size regional | Implement AI-driven predictive analytics for supply chain optimization to reduce costs and improve delivery reliability. | Logistics & Supply Chain |
| 81 | express services, inc. | mid-size regional | AI-powered candidate matching and automated screening can reduce time-to-fill by 40% while improving placement quality for accounting roles. | Staffing & recruiting |
| 82 | extend | mid-size regional | Deploy AI-driven claims automation and fraud detection to reduce manual review costs by 40%+ while enabling instant claim approvals for low-risk cases. | Enterprise software |
| 83 | extensiv | mid-size regional | Leverage AI to unify fragmented 3PL and brand data into a predictive supply chain control tower, optimizing inventory allocation and automating order routing to reduce costs and improve delivery promises. | Supply Chain & Logistics Software |
| 84 | exterprise | mid-size regional | Deploying an AI-driven client intelligence platform to analyze engagement data and predict churn, enabling proactive service delivery and upselling across its mid-market client base. | IT Services & Consulting |
| 85 | exterro | regional multi-site | AI can automate document review and classification for eDiscovery, drastically reducing the time and cost of legal investigations and compliance audits. | Legal & eDiscovery Software |
| 86 | exterroftk | regional multi-site | Leveraging AI to automate the classification and analysis of vast unstructured data sets in digital investigations, drastically reducing analyst review time and accelerating case resolution. | Software & Technology |
| 87 | extremefxmarkets | regional multi-site | Deploying AI-driven predictive analytics and sentiment analysis on global news and social media to forecast short-term FX market volatility and optimize high-frequency trading strategies. | Investment & asset management |
| 88 | exusia | mid-size regional | Leverage its deep data engineering expertise to productize AI-driven data quality and observability accelerators, creating a recurring revenue stream that differentiates Exusia from traditional systems integrators. | Management consulting |
| 89 | exxat | mid-size regional | Integrating AI-driven predictive analytics into clinical rotation scheduling to optimize student placements, reduce administrative overhead, and improve compliance tracking across healthcare education programs. | Education Technology & Software |
| 90 | eyaggo | regional multi-site | Integrating AI-powered predictive analytics and automation into their core software platform can significantly enhance customer value, drive upsell opportunities, and create new revenue streams. | Software development & publishing |
| 91 | eyecelerator | mid-size regional | Leverage aggregated clinical and operational data from member practices to build AI-driven predictive models for patient outcomes, personalized treatment plans, and optimized practice management. | Health systems & hospitals |
| 92 | eyefinity | mid-size regional | Leverage AI to automate clinical documentation and coding within its EHR platform, reducing optometrist burnout and improving claim accuracy. | Healthcare technology |
| 93 | EyeHealth Northwest | regional multi-site | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 94 | eye level learning | mid-size regional | Deploying AI-powered adaptive learning platforms to personalize student curricula and automate progress tracking, boosting franchisee efficiency and student outcomes. | Tutoring & education services |
| 95 | Eye Specialists of Indiana | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 96 | EYE SPECIALISTS OF MID-FLORIDA P.A | mid-size regional | Automated Patient Intake and Registration | Hospital And Health Care |
| 97 | ezjobs | mid-size regional | Deploy an AI-powered semantic matching engine that analyzes unstructured resume data and job descriptions to improve placement speed and quality, reducing time-to-fill by 40%. | Staffing & recruiting |
| 98 | ezpay america | unlimited payment processing $49 month | mid-size regional | Deploy AI-powered fraud detection and chargeback prevention to reduce revenue leakage and strengthen merchant trust. | Payment processing |
| 99 | f3ea servicing | mid-size regional | Automating document processing and customer service with AI to reduce costs and improve compliance. | Loan servicing & financial operations |
| 100 | fabletics | mid-size regional | Leverage AI-driven personalization across the VIP membership lifecycle to increase retention, average order value, and supply chain efficiency through predictive demand forecasting. | Apparel & fashion |
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