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

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 2018, at 115,242. Wyoming had the lowest, at 2,034. The median was 11,202 and the figure for the United States was 907,426. Source: the U.S. Census Bureau.

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Highest115,242California
Lowest2,034Wyoming
Median11,20251 states
United States907,426History

Map of states, 2018

Alabama: 10,539 countAlaska: 2,709 countArizona: 19,127 countArkansas: 8,099 countCalifornia: 115,242 countColorado: 17,089 countConnecticut: 11,202 countDelaware: 2,706 countDistrict of Columbia: 2,254 countFlorida: 62,628 countGeorgia: 25,530 countHawaii: 3,710 countIdaho: 5,536 countIllinois: 34,475 countIndiana: 17,258 countIowa: 8,608 countKansas: 8,126 countKentucky: 11,756 countLouisiana: 12,660 countMaine: 4,812 countMaryland: 17,101 countMassachusetts: 19,615 countMichigan: 27,210 countMinnesota: 17,347 countMississippi: 6,465 countMissouri: 24,296 countMontana: 3,810 countNebraska: 5,863 countNevada: 7,676 countNew Hampshire: 3,719 countNew Jersey: 28,066 countNew Mexico: 5,149 countNew York: 58,926 countNorth Carolina: 24,469 countNorth Dakota: 2,107 countOhio: 29,748 countOklahoma: 10,933 countOregon: 14,246 countPennsylvania: 37,770 countRhode Island: 3,125 countSouth Carolina: 10,780 countSouth Dakota: 2,432 countTennessee: 15,896 countTexas: 70,523 countUtah: 8,427 countVermont: 2,115 countVirginia: 20,917 countWashington: 21,714 countWest Virginia: 4,817 countWisconsin: 16,064 countWyoming: 2,034 count
  • Under 4,000
  • 4,000 to 7,000
  • 7,000 to 11K
  • 11K to 17K
  • 17K to 27K
  • 27K and over
count, 2018. 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, 2018

California: 115,242 countCalifornia115,242Texas: 70,523 countTexas70,523Florida: 62,628 countFlorida62,628New York: 58,926 countNew York58,926Pennsylvania: 37,770 countPennsylvania37,770Illinois: 34,475 countIllinois34,475Ohio: 29,748 countOhio29,748New Jersey: 28,066 countNew Jersey28,066Michigan: 27,210 countMichigan27,210Georgia: 25,530 countGeorgia25,530North Carolina: 24,469 countNorth Carolina24,469Missouri: 24,296 countMissouri24,296Washington: 21,714 countWashington21,714Virginia: 20,917 countVirginia20,917Massachusetts: 19,615 countMassachusetts19,615Arizona: 19,127 countArizona19,127Minnesota: 17,347 countMinnesota17,347Indiana: 17,258 countIndiana17,258Maryland: 17,101 countMaryland17,101Colorado: 17,089 countColorado17,089Wisconsin: 16,064 countWisconsin16,064Tennessee: 15,896 countTennessee15,896Oregon: 14,246 countOregon14,246Louisiana: 12,660 countLouisiana12,660Kentucky: 11,756 countKentucky11,756Connecticut: 11,202 countConnecticut11,202Oklahoma: 10,933 countOklahoma10,933South Carolina: 10,780 countSouth Carolina10,780Alabama: 10,539 countAlabama10,539Iowa: 8,608 countIowa8,608Utah: 8,427 countUtah8,427Kansas: 8,126 countKansas8,126Arkansas: 8,099 countArkansas8,099Nevada: 7,676 countNevada7,676Mississippi: 6,465 countMississippi6,465Nebraska: 5,863 countNebraska5,863Idaho: 5,536 countIdaho5,536New Mexico: 5,149 countNew Mexico5,149West Virginia: 4,817 countWest Virginia4,817Maine: 4,812 countMaine4,812Montana: 3,810 countMontana3,810New Hampshire: 3,719 countNew Hampshire3,719Hawaii: 3,710 countHawaii3,710Rhode Island: 3,125 countRhode Island3,125Alaska: 2,709 countAlaska2,709Delaware: 2,706 countDelaware2,706South Dakota: 2,432 countSouth Dakota2,432District of Columbia: 2,254 countDistrict of Columbia2,254Vermont: 2,115 countVermont2,115North Dakota: 2,107 countNorth Dakota2,107Wyoming: 2,034 countWyoming2,034California: 115,242 countCalifornia115,242Texas: 70,523 countTexas70,523Florida: 62,628 countFlorida62,628New York: 58,926 countNew York58,926Pennsylvania: 37,770 countPennsylvania37,770Illinois: 34,475 countIllinois34,475Ohio: 29,748 countOhio29,748New Jersey: 28,066 countNew Jersey28,066Michigan: 27,210 countMichigan27,210Georgia: 25,530 countGeorgia25,530North Carolina: 24,469 countNorth Carolina24,469Missouri: 24,296 countMissouri24,296Washington: 21,714 countWashington21,714Virginia: 20,917 countVirginia20,917Massachusetts: 19,615 countMassachusetts19,615Arizona: 19,127 countArizona19,127Minnesota: 17,347 countMinnesota17,347Indiana: 17,258 countIndiana17,258Maryland: 17,101 countMaryland17,101Colorado: 17,089 countColorado17,089Wisconsin: 16,064 countWisconsin16,064Tennessee: 15,896 countTennessee15,896Oregon: 14,246 countOregon14,246Louisiana: 12,660 countLouisiana12,660Kentucky: 11,756 countKentucky11,756Connecticut: 11,202 countConnecticut11,202Oklahoma: 10,933 countOklahoma10,933South Carolina: 10,780 countSouth Carolina10,780Alabama: 10,539 countAlabama10,539Iowa: 8,608 countIowa8,608Utah: 8,427 countUtah8,427Kansas: 8,126 countKansas8,126Arkansas: 8,099 countArkansas8,099Nevada: 7,676 countNevada7,676Mississippi: 6,465 countMississippi6,465Nebraska: 5,863 countNebraska5,863Idaho: 5,536 countIdaho5,536New Mexico: 5,149 countNew Mexico5,149West Virginia: 4,817 countWest Virginia4,817Maine: 4,812 countMaine4,812Montana: 3,810 countMontana3,810New Hampshire: 3,719 countNew Hampshire3,719Hawaii: 3,710 countHawaii3,710Rhode Island: 3,125 countRhode Island3,125Alaska: 2,709 countAlaska2,709Delaware: 2,706 countDelaware2,706South Dakota: 2,432 countSouth Dakota2,432District of Columbia: 2,254 countDistrict of Columbia2,254Vermont: 2,115 countVermont2,115North Dakota: 2,107 countNorth Dakota2,107Wyoming: 2,034 countWyoming2,034
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

RankStates2018
count		Change on 2017
1California115,242+1.3%
2Texas70,523+0.7%
3Florida62,628+1.7%
4New York58,926-0.3%
5Pennsylvania37,770-0.2%
6Illinois34,475+0.3%
7Ohio29,7480%
8New Jersey28,066-0.1%
9Michigan27,210+0.2%
10Georgia25,530+0.8%
11North Carolina24,469+1.5%
12Missouri24,296+15.8%
13Washington21,714+1.6%
14Virginia20,917+1.6%
15Massachusetts19,615+0.6%
16Arizona19,127+1.4%
17Minnesota17,347+1.1%
18Indiana17,258+1.7%
19Maryland17,101+1.4%
20Colorado17,089+2.1%
21Wisconsin16,064-0.1%
22Tennessee15,896-0.4%
23Oregon14,246+1.2%
24Louisiana12,660-0.3%
25Kentucky11,756-0.6%
26Connecticut11,202+1.1%
27Oklahoma10,933-1%
28South Carolina10,780+0.7%
29Alabama10,539-1.3%
30Iowa8,608-1%
31Utah8,427+1.9%
32Kansas8,126-0.1%
33Arkansas8,099+2.7%
34Nevada7,676+3.9%
35Mississippi6,465+1.3%
36Nebraska5,863+0.8%
37Idaho5,536+4%
38New Mexico5,149+0.1%
39West Virginia4,817-1.9%
40Maine4,812+0.5%
41Montana3,810+2.1%
42New Hampshire3,719-0.9%
43Hawaii3,710+0.7%
44Rhode Island3,125-3%
45Alaska2,709+0.3%
46Delaware2,706+0.3%
47South Dakota2,432+0.2%
48District of Columbia2,254+1.9%
49Vermont2,115-0.9%
50North Dakota2,107+1.5%
51Wyoming2,034+1%

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/2018/. 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. (2020). 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, 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/cbp/datasets/2018/

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, 2018. U.S. Census Bureau, 25 June 2020, https://www2.census.gov/programs-surveys/cbp/datasets/2018/. Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2018. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2020. 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, 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/cbp/datasets/2018/. Also distributed by Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2018.

Harvard

U.S. Census Bureau (2020) 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, 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/cbp/datasets/2018/, via Invokely: https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_employer_2018,
  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, 2018}},
  year = {2020},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/cbp/datasets/2018/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2018. 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/2018/. 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, 2018
PY  - 2020
DA  - 2020/06/25
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/cbp/datasets/2018/
L2  - https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2018.
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/2018/. Retrieved 2026-10-12.
ER  -
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Questions

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

California, with 115,242 in 2018, according to the U.S. Census Bureau.

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

Wyoming, with 2,034 in 2018.

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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