Data / Rankings / Employer establishments: health care and social assistance / US states

US states by employer establishments: health care and social assistance, 2023

California had the highest employer establishments: health care and social assistance of 51 states in 2023, at 132,345. Vermont had the lowest, at 2,150. The median was 12,636 and the figure for the United States was 1 million. Source: the U.S. Census Bureau.

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Highest132,345California
Lowest2,150Vermont
Median12,63651 states
United States1,003,398History

Map of states, 2023

Alabama: 11,562 countAlaska: 2,887 countArizona: 22,498 countArkansas: 9,072 countCalifornia: 132,345 countColorado: 19,456 countConnecticut: 11,961 countDelaware: 3,066 countDistrict of Columbia: 2,358 countFlorida: 73,984 countGeorgia: 30,047 countHawaii: 3,763 countIdaho: 6,739 countIllinois: 37,597 countIndiana: 19,159 countIowa: 9,092 countKansas: 9,075 countKentucky: 12,636 countLouisiana: 13,331 countMaine: 5,062 countMaryland: 18,859 countMassachusetts: 21,002 countMichigan: 28,979 countMinnesota: 19,985 countMississippi: 7,038 countMissouri: 20,637 countMontana: 4,488 countNebraska: 6,363 countNevada: 9,441 countNew Hampshire: 3,868 countNew Jersey: 29,996 countNew Mexico: 5,562 countNew York: 61,104 countNorth Carolina: 27,809 countNorth Dakota: 2,429 countOhio: 31,168 countOklahoma: 11,795 countOregon: 15,709 countPennsylvania: 39,602 countRhode Island: 3,163 countSouth Carolina: 12,694 countSouth Dakota: 2,829 countTennessee: 17,524 countTexas: 80,576 countUtah: 10,381 countVermont: 2,150 countVirginia: 23,812 countWashington: 23,923 countWest Virginia: 5,019 countWisconsin: 17,592 countWyoming: 2,211 count
  • Under 4,000
  • 4,000 to 8,000
  • 8,000 to 13K
  • 13K to 20K
  • 20K to 30K
  • 30K and over
count, 2023. Source: U.S. Census Bureau, County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2023

California: 132,345 countCalifornia132,345Texas: 80,576 countTexas80,576Florida: 73,984 countFlorida73,984New York: 61,104 countNew York61,104Pennsylvania: 39,602 countPennsylvania39,602Illinois: 37,597 countIllinois37,597Ohio: 31,168 countOhio31,168Georgia: 30,047 countGeorgia30,047New Jersey: 29,996 countNew Jersey29,996Michigan: 28,979 countMichigan28,979North Carolina: 27,809 countNorth Carolina27,809Washington: 23,923 countWashington23,923Virginia: 23,812 countVirginia23,812Arizona: 22,498 countArizona22,498Massachusetts: 21,002 countMassachusetts21,002Missouri: 20,637 countMissouri20,637Minnesota: 19,985 countMinnesota19,985Colorado: 19,456 countColorado19,456Indiana: 19,159 countIndiana19,159Maryland: 18,859 countMaryland18,859Wisconsin: 17,592 countWisconsin17,592Tennessee: 17,524 countTennessee17,524Oregon: 15,709 countOregon15,709Louisiana: 13,331 countLouisiana13,331South Carolina: 12,694 countSouth Carolina12,694Kentucky: 12,636 countKentucky12,636Connecticut: 11,961 countConnecticut11,961Oklahoma: 11,795 countOklahoma11,795Alabama: 11,562 countAlabama11,562Utah: 10,381 countUtah10,381Nevada: 9,441 countNevada9,441Iowa: 9,092 countIowa9,092Kansas: 9,075 countKansas9,075Arkansas: 9,072 countArkansas9,072Mississippi: 7,038 countMississippi7,038Idaho: 6,739 countIdaho6,739Nebraska: 6,363 countNebraska6,363New Mexico: 5,562 countNew Mexico5,562Maine: 5,062 countMaine5,062West Virginia: 5,019 countWest Virginia5,019Montana: 4,488 countMontana4,488New Hampshire: 3,868 countNew Hampshire3,868Hawaii: 3,763 countHawaii3,763Rhode Island: 3,163 countRhode Island3,163Delaware: 3,066 countDelaware3,066Alaska: 2,887 countAlaska2,887South Dakota: 2,829 countSouth Dakota2,829North Dakota: 2,429 countNorth Dakota2,429District of Columbia: 2,358 countDistrict of Columbia2,358Wyoming: 2,211 countWyoming2,211Vermont: 2,150 countVermont2,150California: 132,345 countCalifornia132,345Texas: 80,576 countTexas80,576Florida: 73,984 countFlorida73,984New York: 61,104 countNew York61,104Pennsylvania: 39,602 countPennsylvania39,602Illinois: 37,597 countIllinois37,597Ohio: 31,168 countOhio31,168Georgia: 30,047 countGeorgia30,047New Jersey: 29,996 countNew Jersey29,996Michigan: 28,979 countMichigan28,979North Carolina: 27,809 countNorth Carolina27,809Washington: 23,923 countWashington23,923Virginia: 23,812 countVirginia23,812Arizona: 22,498 countArizona22,498Massachusetts: 21,002 countMassachusetts21,002Missouri: 20,637 countMissouri20,637Minnesota: 19,985 countMinnesota19,985Colorado: 19,456 countColorado19,456Indiana: 19,159 countIndiana19,159Maryland: 18,859 countMaryland18,859Wisconsin: 17,592 countWisconsin17,592Tennessee: 17,524 countTennessee17,524Oregon: 15,709 countOregon15,709Louisiana: 13,331 countLouisiana13,331South Carolina: 12,694 countSouth Carolina12,694Kentucky: 12,636 countKentucky12,636Connecticut: 11,961 countConnecticut11,961Oklahoma: 11,795 countOklahoma11,795Alabama: 11,562 countAlabama11,562Utah: 10,381 countUtah10,381Nevada: 9,441 countNevada9,441Iowa: 9,092 countIowa9,092Kansas: 9,075 countKansas9,075Arkansas: 9,072 countArkansas9,072Mississippi: 7,038 countMississippi7,038Idaho: 6,739 countIdaho6,739Nebraska: 6,363 countNebraska6,363New Mexico: 5,562 countNew Mexico5,562Maine: 5,062 countMaine5,062West Virginia: 5,019 countWest Virginia5,019Montana: 4,488 countMontana4,488New Hampshire: 3,868 countNew Hampshire3,868Hawaii: 3,763 countHawaii3,763Rhode Island: 3,163 countRhode Island3,163Delaware: 3,066 countDelaware3,066Alaska: 2,887 countAlaska2,887South Dakota: 2,829 countSouth Dakota2,829North Dakota: 2,429 countNorth Dakota2,429District of Columbia: 2,358 countDistrict of Columbia2,358Wyoming: 2,211 countWyoming2,211Vermont: 2,150 countVermont2,150
count. Source: U.S. Census Bureau, County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms. Retrieved 2026-10-12.

Full ranking

RankStates2023
count		Change on 2022
1California132,345+4.2%
2Texas80,576+4.5%
3Florida73,984+3.3%
4New York61,104+2.2%
5Pennsylvania39,602+0.7%
6Illinois37,597+3.4%
7Ohio31,168+1.4%
8Georgia30,047+4.4%
9New Jersey29,996+1.7%
10Michigan28,979+1.6%
11North Carolina27,809+2.6%
12Washington23,923+2.8%
13Virginia23,812+3.6%
14Arizona22,498+4.4%
15Massachusetts21,002+2.9%
16Missouri20,637-9.8%
17Minnesota19,985+3.2%
18Colorado19,456+3.9%
19Indiana19,159+6.3%
20Maryland18,859+3.1%
21Wisconsin17,592+1.7%
22Tennessee17,524+3.3%
23Oregon15,709+3%
24Louisiana13,331+2.2%
25South Carolina12,694+3.8%
26Kentucky12,636+1.5%
27Connecticut11,961+0.8%
28Oklahoma11,795+3.4%
29Alabama11,562+3.1%
30Utah10,381+4.7%
31Nevada9,441+4.9%
32Iowa9,092+1.8%
33Kansas9,075+0.4%
34Arkansas9,072+3.6%
35Mississippi7,038+2.2%
36Idaho6,739+6.1%
37Nebraska6,363+1.8%
38New Mexico5,562+0.9%
39Maine5,062+1.7%
40West Virginia5,019+2.5%
41Montana4,488+4.5%
42New Hampshire3,868+2.2%
43Hawaii3,763-0.2%
44Rhode Island3,163+0.3%
45Delaware3,066-6.1%
46Alaska2,887+1.6%
47South Dakota2,829+2%
48North Dakota2,429+3.6%
49District of Columbia2,358+1.2%
50Wyoming2,211+3.8%
51Vermont2,1500%

Other periods

About this ranking

Number of establishments with paid employees in health care and social assistance (NAICS 62), from the U.S. Census Bureau County Business Patterns.

County Business Patterns: establishments (single physical locations, not firms) with paid employees during the pay period including 12 March. Excludes the self-employed and businesses without employees (nonemployer_establishments_*), government employers, crop and animal production, rail transportation, the Postal Service and private households. Establishment counts are not perturbed; the noise Census adds since 2017 applies to employment and payroll, which are not served here. Published about 18 months after the reference year.

Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms. https://www2.census.gov/programs-surveys/cbp/datasets/2023/. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Census Bureau. (2025). County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms (US states by employer establishments: health care and social assistance, 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/cbp/datasets/2023/

MLA 9

County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms, US states by employer establishments: health care and social assistance, 2023. U.S. Census Bureau, 26 June 2025, https://www2.census.gov/programs-surveys/cbp/datasets/2023/. Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2025. County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms. US states by employer establishments: health care and social assistance, 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/cbp/datasets/2023/. Also distributed by Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states.

Harvard

U.S. Census Bureau (2025) County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms, US states by employer establishments: health care and social assistance, 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/cbp/datasets/2023/, via Invokely: https://invokely.ai/rankings/employer-establishments-health-care/us-states (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_employer_2023,
  author = {{U.S. Census Bureau}},
  title = {{County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms: US states by employer establishments: health care and social assistance, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/cbp/datasets/2023/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states. Publisher attribution: U.S. Census Bureau. County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms. https://www2.census.gov/programs-surveys/cbp/datasets/2023/. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms: US states by employer establishments: health care and social assistance, 2023
PY  - 2025
DA  - 2025/06/26
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/cbp/datasets/2023/
L2  - https://invokely.ai/rankings/employer-establishments-health-care/us-states
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states.
N1  - Publisher attribution: U.S. Census Bureau. County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms. https://www2.census.gov/programs-surveys/cbp/datasets/2023/. Retrieved 2026-10-12.
ER  -
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Questions

Which state has the highest employer establishments: health care and social assistance?

California, with 132,345 in 2023, according to the U.S. Census Bureau.

Which state has the lowest employer establishments: health care and social assistance?

Vermont, with 2,150 in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, County Business Patterns, state and US files: establishments (EST), health care and social assistance (NAICS 62), all legal forms. Retrieved 2026-10-12.

US states: more rankings