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 2020, at 119,630. Wyoming had the lowest, at 2,033. The median was 11,461 and the figure for the United States was 928,174. Source: the U.S. Census Bureau.

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Highest119,630California
Lowest2,033Wyoming
Median11,46151 states
United States928,174History

Map of states, 2020

Alabama: 10,574 countAlaska: 2,748 countArizona: 19,942 countArkansas: 8,335 countCalifornia: 119,630 countColorado: 17,468 countConnecticut: 11,461 countDelaware: 3,276 countDistrict of Columbia: 2,250 countFlorida: 65,544 countGeorgia: 26,876 countHawaii: 3,709 countIdaho: 5,818 countIllinois: 34,817 countIndiana: 17,259 countIowa: 8,762 countKansas: 8,290 countKentucky: 11,812 countLouisiana: 12,762 countMaine: 4,845 countMaryland: 17,448 countMassachusetts: 19,758 countMichigan: 27,426 countMinnesota: 18,040 countMississippi: 6,514 countMissouri: 22,401 countMontana: 4,004 countNebraska: 5,989 countNevada: 8,248 countNew Hampshire: 3,711 countNew Jersey: 28,890 countNew Mexico: 5,189 countNew York: 58,767 countNorth Carolina: 25,190 countNorth Dakota: 2,157 countOhio: 29,859 countOklahoma: 10,985 countOregon: 14,508 countPennsylvania: 38,113 countRhode Island: 3,093 countSouth Carolina: 11,438 countSouth Dakota: 2,587 countTennessee: 16,197 countTexas: 73,036 countUtah: 9,082 countVermont: 2,121 countVirginia: 21,606 countWashington: 22,049 countWest Virginia: 4,880 countWisconsin: 16,677 countWyoming: 2,033 count
  • Under 4,000
  • 4,000 to 8,000
  • 8,000 to 11K
  • 11K to 18K
  • 18K to 27K
  • 27K and over
count, 2020. 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, 2020

California: 119,630 countCalifornia119,630Texas: 73,036 countTexas73,036Florida: 65,544 countFlorida65,544New York: 58,767 countNew York58,767Pennsylvania: 38,113 countPennsylvania38,113Illinois: 34,817 countIllinois34,817Ohio: 29,859 countOhio29,859New Jersey: 28,890 countNew Jersey28,890Michigan: 27,426 countMichigan27,426Georgia: 26,876 countGeorgia26,876North Carolina: 25,190 countNorth Carolina25,190Missouri: 22,401 countMissouri22,401Washington: 22,049 countWashington22,049Virginia: 21,606 countVirginia21,606Arizona: 19,942 countArizona19,942Massachusetts: 19,758 countMassachusetts19,758Minnesota: 18,040 countMinnesota18,040Colorado: 17,468 countColorado17,468Maryland: 17,448 countMaryland17,448Indiana: 17,259 countIndiana17,259Wisconsin: 16,677 countWisconsin16,677Tennessee: 16,197 countTennessee16,197Oregon: 14,508 countOregon14,508Louisiana: 12,762 countLouisiana12,762Kentucky: 11,812 countKentucky11,812Connecticut: 11,461 countConnecticut11,461South Carolina: 11,438 countSouth Carolina11,438Oklahoma: 10,985 countOklahoma10,985Alabama: 10,574 countAlabama10,574Utah: 9,082 countUtah9,082Iowa: 8,762 countIowa8,762Arkansas: 8,335 countArkansas8,335Kansas: 8,290 countKansas8,290Nevada: 8,248 countNevada8,248Mississippi: 6,514 countMississippi6,514Nebraska: 5,989 countNebraska5,989Idaho: 5,818 countIdaho5,818New Mexico: 5,189 countNew Mexico5,189West Virginia: 4,880 countWest Virginia4,880Maine: 4,845 countMaine4,845Montana: 4,004 countMontana4,004New Hampshire: 3,711 countNew Hampshire3,711Hawaii: 3,709 countHawaii3,709Delaware: 3,276 countDelaware3,276Rhode Island: 3,093 countRhode Island3,093Alaska: 2,748 countAlaska2,748South Dakota: 2,587 countSouth Dakota2,587District of Columbia: 2,250 countDistrict of Columbia2,250North Dakota: 2,157 countNorth Dakota2,157Vermont: 2,121 countVermont2,121Wyoming: 2,033 countWyoming2,033California: 119,630 countCalifornia119,630Texas: 73,036 countTexas73,036Florida: 65,544 countFlorida65,544New York: 58,767 countNew York58,767Pennsylvania: 38,113 countPennsylvania38,113Illinois: 34,817 countIllinois34,817Ohio: 29,859 countOhio29,859New Jersey: 28,890 countNew Jersey28,890Michigan: 27,426 countMichigan27,426Georgia: 26,876 countGeorgia26,876North Carolina: 25,190 countNorth Carolina25,190Missouri: 22,401 countMissouri22,401Washington: 22,049 countWashington22,049Virginia: 21,606 countVirginia21,606Arizona: 19,942 countArizona19,942Massachusetts: 19,758 countMassachusetts19,758Minnesota: 18,040 countMinnesota18,040Colorado: 17,468 countColorado17,468Maryland: 17,448 countMaryland17,448Indiana: 17,259 countIndiana17,259Wisconsin: 16,677 countWisconsin16,677Tennessee: 16,197 countTennessee16,197Oregon: 14,508 countOregon14,508Louisiana: 12,762 countLouisiana12,762Kentucky: 11,812 countKentucky11,812Connecticut: 11,461 countConnecticut11,461South Carolina: 11,438 countSouth Carolina11,438Oklahoma: 10,985 countOklahoma10,985Alabama: 10,574 countAlabama10,574Utah: 9,082 countUtah9,082Iowa: 8,762 countIowa8,762Arkansas: 8,335 countArkansas8,335Kansas: 8,290 countKansas8,290Nevada: 8,248 countNevada8,248Mississippi: 6,514 countMississippi6,514Nebraska: 5,989 countNebraska5,989Idaho: 5,818 countIdaho5,818New Mexico: 5,189 countNew Mexico5,189West Virginia: 4,880 countWest Virginia4,880Maine: 4,845 countMaine4,845Montana: 4,004 countMontana4,004New Hampshire: 3,711 countNew Hampshire3,711Hawaii: 3,709 countHawaii3,709Delaware: 3,276 countDelaware3,276Rhode Island: 3,093 countRhode Island3,093Alaska: 2,748 countAlaska2,748South Dakota: 2,587 countSouth Dakota2,587District of Columbia: 2,250 countDistrict of Columbia2,250North Dakota: 2,157 countNorth Dakota2,157Vermont: 2,121 countVermont2,121Wyoming: 2,033 countWyoming2,033
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

RankStates2020
count		Change on 2019
1California119,630+2%
2Texas73,036+1.7%
3Florida65,544+3.1%
4New York58,767-0.7%
5Pennsylvania38,113-0.2%
6Illinois34,817+0.2%
7Ohio29,859-0.1%
8New Jersey28,890+1.1%
9Michigan27,426+0.3%
10Georgia26,876+2.2%
11North Carolina25,190+1.6%
12Missouri22,401-2.5%
13Washington22,049+0.9%
14Virginia21,606+1.1%
15Arizona19,942+1.7%
16Massachusetts19,758-0.8%
17Minnesota18,040+1.3%
18Colorado17,468+1.9%
19Maryland17,448+1.5%
20Indiana17,259-2%
21Wisconsin16,677+1.1%
22Tennessee16,197+0.4%
23Oregon14,508+0.4%
24Louisiana12,762+0.9%
25Kentucky11,812-0%
26Connecticut11,461-0.4%
27South Carolina11,438+2.6%
28Oklahoma10,985+0.5%
29Alabama10,574-0%
30Utah9,082+5.3%
31Iowa8,762-0%
32Arkansas8,335+0.7%
33Kansas8,290+1.3%
34Nevada8,248+5.4%
35Mississippi6,514+0.1%
36Nebraska5,989+0.3%
37Idaho5,818+2.4%
38New Mexico5,189+0.7%
39West Virginia4,880+0.6%
40Maine4,8450%
41Montana4,004+4.1%
42New Hampshire3,711-0.6%
43Hawaii3,709-0.4%
44Delaware3,276+18.5%
45Rhode Island3,093-0.6%
46Alaska2,748+1%
47South Dakota2,587+4.2%
48District of Columbia2,250+1.1%
49North Dakota2,157+2.1%
50Vermont2,121+0.2%
51Wyoming2,033+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/2020/. 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. (2022). 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, 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/cbp/datasets/2020/

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, 2020. U.S. Census Bureau, 28 Apr. 2022, https://www2.census.gov/programs-surveys/cbp/datasets/2020/. Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2020. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2022. 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, 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/cbp/datasets/2020/. Also distributed by Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2020.

Harvard

U.S. Census Bureau (2022) 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, 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/cbp/datasets/2020/, via Invokely: https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_employer_2020,
  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, 2020}},
  year = {2022},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/cbp/datasets/2020/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2020. 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/2020/. 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, 2020
PY  - 2022
DA  - 2022/04/28
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/cbp/datasets/2020/
L2  - https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2020.
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/2020/. Retrieved 2026-10-12.
ER  -
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Questions

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

California, with 119,630 in 2020, according to the U.S. Census Bureau.

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

Wyoming, with 2,033 in 2020.

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