US states by employer establishments: health care and social assistance

California had the highest employer establishments: health care and social assistance of 51 states in 2016, at 110,728. Wyoming had the lowest, at 1,968. The median was 11,114 and the figure for the United States was 890,519. Source: the U.S. Census Bureau.

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Highest110,728California
Lowest1,968Wyoming
Median11,11451 states
United States890,519History

Map of states, 2016

Alabama: 10,639 countAlaska: 2,633 countArizona: 18,078 countArkansas: 7,653 countCalifornia: 110,728 countColorado: 16,228 countConnecticut: 10,993 countDelaware: 2,694 countDistrict of Columbia: 2,094 countFlorida: 60,416 countGeorgia: 24,693 countHawaii: 3,636 countIdaho: 5,177 countIllinois: 34,025 countIndiana: 16,721 countIowa: 8,567 countKansas: 8,315 countKentucky: 12,878 countLouisiana: 12,390 countMaine: 4,787 countMaryland: 16,562 countMassachusetts: 19,054 countMichigan: 26,801 countMinnesota: 16,522 countMississippi: 6,206 countMissouri: 31,013 countMontana: 3,671 countNebraska: 5,679 countNevada: 7,165 countNew Hampshire: 3,705 countNew Jersey: 27,555 countNew Mexico: 5,118 countNew York: 57,619 countNorth Carolina: 23,547 countNorth Dakota: 2,030 countOhio: 29,225 countOklahoma: 11,114 countOregon: 13,608 countPennsylvania: 37,663 countRhode Island: 3,289 countSouth Carolina: 10,344 countSouth Dakota: 2,358 countTennessee: 15,731 countTexas: 68,189 countUtah: 7,883 countVermont: 2,090 countVirginia: 20,114 countWashington: 20,785 countWest Virginia: 4,885 countWisconsin: 15,681 countWyoming: 1,968 count
  • Under 4,000
  • 4,000 to 7,000
  • 7,000 to 11K
  • 11K to 17K
  • 17K to 27K
  • 27K and over
count, 2016. 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, 2016

California: 110,728 countCalifornia110,728Texas: 68,189 countTexas68,189Florida: 60,416 countFlorida60,416New York: 57,619 countNew York57,619Pennsylvania: 37,663 countPennsylvania37,663Illinois: 34,025 countIllinois34,025Missouri: 31,013 countMissouri31,013Ohio: 29,225 countOhio29,225New Jersey: 27,555 countNew Jersey27,555Michigan: 26,801 countMichigan26,801Georgia: 24,693 countGeorgia24,693North Carolina: 23,547 countNorth Carolina23,547Washington: 20,785 countWashington20,785Virginia: 20,114 countVirginia20,114Massachusetts: 19,054 countMassachusetts19,054Arizona: 18,078 countArizona18,078Indiana: 16,721 countIndiana16,721Maryland: 16,562 countMaryland16,562Minnesota: 16,522 countMinnesota16,522Colorado: 16,228 countColorado16,228Tennessee: 15,731 countTennessee15,731Wisconsin: 15,681 countWisconsin15,681Oregon: 13,608 countOregon13,608Kentucky: 12,878 countKentucky12,878Louisiana: 12,390 countLouisiana12,390Oklahoma: 11,114 countOklahoma11,114Connecticut: 10,993 countConnecticut10,993Alabama: 10,639 countAlabama10,639South Carolina: 10,344 countSouth Carolina10,344Iowa: 8,567 countIowa8,567Kansas: 8,315 countKansas8,315Utah: 7,883 countUtah7,883Arkansas: 7,653 countArkansas7,653Nevada: 7,165 countNevada7,165Mississippi: 6,206 countMississippi6,206Nebraska: 5,679 countNebraska5,679Idaho: 5,177 countIdaho5,177New Mexico: 5,118 countNew Mexico5,118West Virginia: 4,885 countWest Virginia4,885Maine: 4,787 countMaine4,787New Hampshire: 3,705 countNew Hampshire3,705Montana: 3,671 countMontana3,671Hawaii: 3,636 countHawaii3,636Rhode Island: 3,289 countRhode Island3,289Delaware: 2,694 countDelaware2,694Alaska: 2,633 countAlaska2,633South Dakota: 2,358 countSouth Dakota2,358District of Columbia: 2,094 countDistrict of Columbia2,094Vermont: 2,090 countVermont2,090North Dakota: 2,030 countNorth Dakota2,030Wyoming: 1,968 countWyoming1,968California: 110,728 countCalifornia110,728Texas: 68,189 countTexas68,189Florida: 60,416 countFlorida60,416New York: 57,619 countNew York57,619Pennsylvania: 37,663 countPennsylvania37,663Illinois: 34,025 countIllinois34,025Missouri: 31,013 countMissouri31,013Ohio: 29,225 countOhio29,225New Jersey: 27,555 countNew Jersey27,555Michigan: 26,801 countMichigan26,801Georgia: 24,693 countGeorgia24,693North Carolina: 23,547 countNorth Carolina23,547Washington: 20,785 countWashington20,785Virginia: 20,114 countVirginia20,114Massachusetts: 19,054 countMassachusetts19,054Arizona: 18,078 countArizona18,078Indiana: 16,721 countIndiana16,721Maryland: 16,562 countMaryland16,562Minnesota: 16,522 countMinnesota16,522Colorado: 16,228 countColorado16,228Tennessee: 15,731 countTennessee15,731Wisconsin: 15,681 countWisconsin15,681Oregon: 13,608 countOregon13,608Kentucky: 12,878 countKentucky12,878Louisiana: 12,390 countLouisiana12,390Oklahoma: 11,114 countOklahoma11,114Connecticut: 10,993 countConnecticut10,993Alabama: 10,639 countAlabama10,639South Carolina: 10,344 countSouth Carolina10,344Iowa: 8,567 countIowa8,567Kansas: 8,315 countKansas8,315Utah: 7,883 countUtah7,883Arkansas: 7,653 countArkansas7,653Nevada: 7,165 countNevada7,165Mississippi: 6,206 countMississippi6,206Nebraska: 5,679 countNebraska5,679Idaho: 5,177 countIdaho5,177New Mexico: 5,118 countNew Mexico5,118West Virginia: 4,885 countWest Virginia4,885Maine: 4,787 countMaine4,787New Hampshire: 3,705 countNew Hampshire3,705Montana: 3,671 countMontana3,671Hawaii: 3,636 countHawaii3,636Rhode Island: 3,289 countRhode Island3,289Delaware: 2,694 countDelaware2,694Alaska: 2,633 countAlaska2,633South Dakota: 2,358 countSouth Dakota2,358District of Columbia: 2,094 countDistrict of Columbia2,094Vermont: 2,090 countVermont2,090North Dakota: 2,030 countNorth Dakota2,030Wyoming: 1,968 countWyoming1,968
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

RankStates2016
count
Change on 2015
1California110,728+1.3%
2Texas68,189+3.1%
3Florida60,416+2.3%
4New York57,619+0.4%
5Pennsylvania37,663+1.1%
6Illinois34,025+0.4%
7Missouri31,013+6.8%
8Ohio29,225+0.9%
9New Jersey27,555+0.4%
10Michigan26,801+0.6%
11Georgia24,693+2%
12North Carolina23,547+1.1%
13Washington20,785+1.2%
14Virginia20,114+2.4%
15Massachusetts19,054+1.2%
16Arizona18,078+2%
17Indiana16,721+2.3%
18Maryland16,562+1.3%
19Minnesota16,522+1.2%
20Colorado16,228+3.2%
21Tennessee15,731+1.2%
22Wisconsin15,681+2.8%
23Oregon13,608+1.8%
24Kentucky12,8780%
25Louisiana12,390+2%
26Oklahoma11,114+1.7%
27Connecticut10,993+2.1%
28Alabama10,639+0.4%
29South Carolina10,344+1.9%
30Iowa8,567+0.9%
31Kansas8,315+2.6%
32Utah7,883+1.4%
33Arkansas7,653+0.5%
34Nevada7,165+3.3%
35Mississippi6,206+0.1%
36Nebraska5,679+2.7%
37Idaho5,177+2%
38New Mexico5,118+0.7%
39West Virginia4,885+0.1%
40Maine4,787-0.6%
41New Hampshire3,705-0.2%
42Montana3,671+2.7%
43Hawaii3,636-0.4%
44Rhode Island3,289+0.9%
45Delaware2,694+1.9%
46Alaska2,633+2.1%
47South Dakota2,358+1.6%
48District of Columbia2,094-0.6%
49Vermont2,090-0.6%
50North Dakota2,030+1.7%
51Wyoming1,968+0.6%

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/2016/. 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. (2018). 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, 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/cbp/datasets/2016/

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, 2016. U.S. Census Bureau, 19 Apr. 2018, https://www2.census.gov/programs-surveys/cbp/datasets/2016/. Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2016. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2018. 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, 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/cbp/datasets/2016/. Also distributed by Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2016.

Harvard

U.S. Census Bureau (2018) 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, 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/cbp/datasets/2016/, via Invokely: https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_employer_2016,
  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, 2016}},
  year = {2018},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/cbp/datasets/2016/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2016. 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/2016/. 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, 2016
PY  - 2018
DA  - 2018/04/19
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/cbp/datasets/2016/
L2  - https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2016.
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/2016/. Retrieved 2026-10-12.
ER  - 
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Questions

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

California, with 110,728 in 2016, according to the U.S. Census Bureau.

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

Wyoming, with 1,968 in 2016.

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.

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