Executive Summary
The role of SMS in business communication has evolved in recent years. SMS, from humble beginnings, has now become a multi-functional business asset. It is now being used for sending reminders, alerts, marketing campaigns, secure logins, authentication, rich media, and even live voting across dozens of industries.
Organisations across different verticals like healthcare, finance, logistics, nonprofits, unions, education, retail, legal firms, and so many more are leveraging its speed, reliability, and whopping high open rates of 98% to democratize and streamline information sharing, both at the stakeholder level and with clients.
The trajectory of SMS business adoption has been driven by a lot of factors, like advances in automation, low-code integrations, compliance with federal laws, and AI-powered personalization. Key metrics, such as a 300% growth rate since 2013, a 400% increase in healthcare usage alone, and the fact that 60% of businesses now use two or more SMS features, label the growing importance of SMS in the business world.
What remains to be seen is how AI-based innovations like auto-generated SMS content, interactive SMS workflows, RCS, and smart voice-SMS hybrids will shape business communication even further in the United States and the whole world. The 2025 State of Business SMS Adoption report reveals more information.







