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 2019, at 117,299. Wyoming had the lowest, at 2,029. The median was 11,511 and the figure for the United States was 918,433. Source: the U.S. Census Bureau.

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Highest117,299California
Lowest2,029Wyoming
Median11,51151 states
United States918,433History

Map of states, 2019

Alabama: 10,576 countAlaska: 2,722 countArizona: 19,608 countArkansas: 8,280 countCalifornia: 117,299 countColorado: 17,147 countConnecticut: 11,511 countDelaware: 2,765 countDistrict of Columbia: 2,225 countFlorida: 63,566 countGeorgia: 26,307 countHawaii: 3,723 countIdaho: 5,679 countIllinois: 34,763 countIndiana: 17,620 countIowa: 8,764 countKansas: 8,184 countKentucky: 11,817 countLouisiana: 12,651 countMaine: 4,845 countMaryland: 17,187 countMassachusetts: 19,917 countMichigan: 27,339 countMinnesota: 17,801 countMississippi: 6,506 countMissouri: 22,971 countMontana: 3,846 countNebraska: 5,973 countNevada: 7,824 countNew Hampshire: 3,735 countNew Jersey: 28,568 countNew Mexico: 5,155 countNew York: 59,204 countNorth Carolina: 24,791 countNorth Dakota: 2,113 countOhio: 29,903 countOklahoma: 10,931 countOregon: 14,446 countPennsylvania: 38,179 countRhode Island: 3,113 countSouth Carolina: 11,145 countSouth Dakota: 2,482 countTennessee: 16,134 countTexas: 71,795 countUtah: 8,626 countVermont: 2,116 countVirginia: 21,368 countWashington: 21,844 countWest Virginia: 4,852 countWisconsin: 16,488 countWyoming: 2,029 count
  • Under 4,000
  • 4,000 to 7,000
  • 7,000 to 12K
  • 12K to 18K
  • 18K to 27K
  • 27K and over
count, 2019. 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, 2019

California: 117,299 countCalifornia117,299Texas: 71,795 countTexas71,795Florida: 63,566 countFlorida63,566New York: 59,204 countNew York59,204Pennsylvania: 38,179 countPennsylvania38,179Illinois: 34,763 countIllinois34,763Ohio: 29,903 countOhio29,903New Jersey: 28,568 countNew Jersey28,568Michigan: 27,339 countMichigan27,339Georgia: 26,307 countGeorgia26,307North Carolina: 24,791 countNorth Carolina24,791Missouri: 22,971 countMissouri22,971Washington: 21,844 countWashington21,844Virginia: 21,368 countVirginia21,368Massachusetts: 19,917 countMassachusetts19,917Arizona: 19,608 countArizona19,608Minnesota: 17,801 countMinnesota17,801Indiana: 17,620 countIndiana17,620Maryland: 17,187 countMaryland17,187Colorado: 17,147 countColorado17,147Wisconsin: 16,488 countWisconsin16,488Tennessee: 16,134 countTennessee16,134Oregon: 14,446 countOregon14,446Louisiana: 12,651 countLouisiana12,651Kentucky: 11,817 countKentucky11,817Connecticut: 11,511 countConnecticut11,511South Carolina: 11,145 countSouth Carolina11,145Oklahoma: 10,931 countOklahoma10,931Alabama: 10,576 countAlabama10,576Iowa: 8,764 countIowa8,764Utah: 8,626 countUtah8,626Arkansas: 8,280 countArkansas8,280Kansas: 8,184 countKansas8,184Nevada: 7,824 countNevada7,824Mississippi: 6,506 countMississippi6,506Nebraska: 5,973 countNebraska5,973Idaho: 5,679 countIdaho5,679New Mexico: 5,155 countNew Mexico5,155West Virginia: 4,852 countWest Virginia4,852Maine: 4,845 countMaine4,845Montana: 3,846 countMontana3,846New Hampshire: 3,735 countNew Hampshire3,735Hawaii: 3,723 countHawaii3,723Rhode Island: 3,113 countRhode Island3,113Delaware: 2,765 countDelaware2,765Alaska: 2,722 countAlaska2,722South Dakota: 2,482 countSouth Dakota2,482District of Columbia: 2,225 countDistrict of Columbia2,225Vermont: 2,116 countVermont2,116North Dakota: 2,113 countNorth Dakota2,113Wyoming: 2,029 countWyoming2,029California: 117,299 countCalifornia117,299Texas: 71,795 countTexas71,795Florida: 63,566 countFlorida63,566New York: 59,204 countNew York59,204Pennsylvania: 38,179 countPennsylvania38,179Illinois: 34,763 countIllinois34,763Ohio: 29,903 countOhio29,903New Jersey: 28,568 countNew Jersey28,568Michigan: 27,339 countMichigan27,339Georgia: 26,307 countGeorgia26,307North Carolina: 24,791 countNorth Carolina24,791Missouri: 22,971 countMissouri22,971Washington: 21,844 countWashington21,844Virginia: 21,368 countVirginia21,368Massachusetts: 19,917 countMassachusetts19,917Arizona: 19,608 countArizona19,608Minnesota: 17,801 countMinnesota17,801Indiana: 17,620 countIndiana17,620Maryland: 17,187 countMaryland17,187Colorado: 17,147 countColorado17,147Wisconsin: 16,488 countWisconsin16,488Tennessee: 16,134 countTennessee16,134Oregon: 14,446 countOregon14,446Louisiana: 12,651 countLouisiana12,651Kentucky: 11,817 countKentucky11,817Connecticut: 11,511 countConnecticut11,511South Carolina: 11,145 countSouth Carolina11,145Oklahoma: 10,931 countOklahoma10,931Alabama: 10,576 countAlabama10,576Iowa: 8,764 countIowa8,764Utah: 8,626 countUtah8,626Arkansas: 8,280 countArkansas8,280Kansas: 8,184 countKansas8,184Nevada: 7,824 countNevada7,824Mississippi: 6,506 countMississippi6,506Nebraska: 5,973 countNebraska5,973Idaho: 5,679 countIdaho5,679New Mexico: 5,155 countNew Mexico5,155West Virginia: 4,852 countWest Virginia4,852Maine: 4,845 countMaine4,845Montana: 3,846 countMontana3,846New Hampshire: 3,735 countNew Hampshire3,735Hawaii: 3,723 countHawaii3,723Rhode Island: 3,113 countRhode Island3,113Delaware: 2,765 countDelaware2,765Alaska: 2,722 countAlaska2,722South Dakota: 2,482 countSouth Dakota2,482District of Columbia: 2,225 countDistrict of Columbia2,225Vermont: 2,116 countVermont2,116North Dakota: 2,113 countNorth Dakota2,113Wyoming: 2,029 countWyoming2,029
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

RankStates2019
count		Change on 2018
1California117,299+1.8%
2Texas71,795+1.8%
3Florida63,566+1.5%
4New York59,204+0.5%
5Pennsylvania38,179+1.1%
6Illinois34,763+0.8%
7Ohio29,903+0.5%
8New Jersey28,568+1.8%
9Michigan27,339+0.5%
10Georgia26,307+3%
11North Carolina24,791+1.3%
12Missouri22,971-5.5%
13Washington21,844+0.6%
14Virginia21,368+2.2%
15Massachusetts19,917+1.5%
16Arizona19,608+2.5%
17Minnesota17,801+2.6%
18Indiana17,620+2.1%
19Maryland17,187+0.5%
20Colorado17,147+0.3%
21Wisconsin16,488+2.6%
22Tennessee16,134+1.5%
23Oregon14,446+1.4%
24Louisiana12,651-0.1%
25Kentucky11,817+0.5%
26Connecticut11,511+2.8%
27South Carolina11,145+3.4%
28Oklahoma10,931-0%
29Alabama10,576+0.4%
30Iowa8,764+1.8%
31Utah8,626+2.4%
32Arkansas8,280+2.2%
33Kansas8,184+0.7%
34Nevada7,824+1.9%
35Mississippi6,506+0.6%
36Nebraska5,973+1.9%
37Idaho5,679+2.6%
38New Mexico5,155+0.1%
39West Virginia4,852+0.7%
40Maine4,845+0.7%
41Montana3,846+0.9%
42New Hampshire3,735+0.4%
43Hawaii3,723+0.4%
44Rhode Island3,113-0.4%
45Delaware2,765+2.2%
46Alaska2,722+0.5%
47South Dakota2,482+2.1%
48District of Columbia2,225-1.3%
49Vermont2,1160%
50North Dakota2,113+0.3%
51Wyoming2,029-0.2%

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/2019/. 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. (2021). 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, 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/cbp/datasets/2019/

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, 2019. U.S. Census Bureau, 22 Apr. 2021, https://www2.census.gov/programs-surveys/cbp/datasets/2019/. Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2019. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2021. 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, 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/cbp/datasets/2019/. Also distributed by Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2019.

Harvard

U.S. Census Bureau (2021) 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, 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/cbp/datasets/2019/, via Invokely: https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_employer_2019,
  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, 2019}},
  year = {2021},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/cbp/datasets/2019/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2019. 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/2019/. 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, 2019
PY  - 2021
DA  - 2021/04/22
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/cbp/datasets/2019/
L2  - https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2019.
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/2019/. Retrieved 2026-10-12.
ER  -
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Questions

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

California, with 117,299 in 2019, according to the U.S. Census Bureau.

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

Wyoming, with 2,029 in 2019.

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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