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 2021, at 122,291. Wyoming had the lowest, at 2,072. The median was 11,796 and the figure for the United States was 947,570. Source: the U.S. Census Bureau.

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Highest122,291California
Lowest2,072Wyoming
Median11,79651 states
United States947,570History

Map of states, 2021

Alabama: 10,885 countAlaska: 2,791 countArizona: 20,587 countArkansas: 8,418 countCalifornia: 122,291 countColorado: 18,038 countConnecticut: 11,600 countDelaware: 3,280 countDistrict of Columbia: 2,257 countFlorida: 68,842 countGeorgia: 27,853 countHawaii: 3,746 countIdaho: 6,108 countIllinois: 35,336 countIndiana: 17,440 countIowa: 8,909 countKansas: 8,486 countKentucky: 12,149 countLouisiana: 12,908 countMaine: 4,912 countMaryland: 17,827 countMassachusetts: 19,898 countMichigan: 27,674 countMinnesota: 18,723 countMississippi: 6,635 countMissouri: 22,363 countMontana: 4,148 countNebraska: 6,113 countNevada: 8,617 countNew Hampshire: 3,713 countNew Jersey: 29,013 countNew Mexico: 5,323 countNew York: 58,497 countNorth Carolina: 25,876 countNorth Dakota: 2,234 countOhio: 30,145 countOklahoma: 11,214 countOregon: 14,846 countPennsylvania: 38,888 countRhode Island: 3,108 countSouth Carolina: 11,796 countSouth Dakota: 2,651 countTennessee: 16,576 countTexas: 74,951 countUtah: 9,306 countVermont: 2,100 countVirginia: 21,929 countWashington: 22,569 countWest Virginia: 4,919 countWisconsin: 17,010 countWyoming: 2,072 count
  • Under 4,000
  • 4,000 to 8,000
  • 8,000 to 12K
  • 12K to 18K
  • 18K to 28K
  • 28K and over
count, 2021. 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, 2021

California: 122,291 countCalifornia122,291Texas: 74,951 countTexas74,951Florida: 68,842 countFlorida68,842New York: 58,497 countNew York58,497Pennsylvania: 38,888 countPennsylvania38,888Illinois: 35,336 countIllinois35,336Ohio: 30,145 countOhio30,145New Jersey: 29,013 countNew Jersey29,013Georgia: 27,853 countGeorgia27,853Michigan: 27,674 countMichigan27,674North Carolina: 25,876 countNorth Carolina25,876Washington: 22,569 countWashington22,569Missouri: 22,363 countMissouri22,363Virginia: 21,929 countVirginia21,929Arizona: 20,587 countArizona20,587Massachusetts: 19,898 countMassachusetts19,898Minnesota: 18,723 countMinnesota18,723Colorado: 18,038 countColorado18,038Maryland: 17,827 countMaryland17,827Indiana: 17,440 countIndiana17,440Wisconsin: 17,010 countWisconsin17,010Tennessee: 16,576 countTennessee16,576Oregon: 14,846 countOregon14,846Louisiana: 12,908 countLouisiana12,908Kentucky: 12,149 countKentucky12,149South Carolina: 11,796 countSouth Carolina11,796Connecticut: 11,600 countConnecticut11,600Oklahoma: 11,214 countOklahoma11,214Alabama: 10,885 countAlabama10,885Utah: 9,306 countUtah9,306Iowa: 8,909 countIowa8,909Nevada: 8,617 countNevada8,617Kansas: 8,486 countKansas8,486Arkansas: 8,418 countArkansas8,418Mississippi: 6,635 countMississippi6,635Nebraska: 6,113 countNebraska6,113Idaho: 6,108 countIdaho6,108New Mexico: 5,323 countNew Mexico5,323West Virginia: 4,919 countWest Virginia4,919Maine: 4,912 countMaine4,912Montana: 4,148 countMontana4,148Hawaii: 3,746 countHawaii3,746New Hampshire: 3,713 countNew Hampshire3,713Delaware: 3,280 countDelaware3,280Rhode Island: 3,108 countRhode Island3,108Alaska: 2,791 countAlaska2,791South Dakota: 2,651 countSouth Dakota2,651District of Columbia: 2,257 countDistrict of Columbia2,257North Dakota: 2,234 countNorth Dakota2,234Vermont: 2,100 countVermont2,100Wyoming: 2,072 countWyoming2,072California: 122,291 countCalifornia122,291Texas: 74,951 countTexas74,951Florida: 68,842 countFlorida68,842New York: 58,497 countNew York58,497Pennsylvania: 38,888 countPennsylvania38,888Illinois: 35,336 countIllinois35,336Ohio: 30,145 countOhio30,145New Jersey: 29,013 countNew Jersey29,013Georgia: 27,853 countGeorgia27,853Michigan: 27,674 countMichigan27,674North Carolina: 25,876 countNorth Carolina25,876Washington: 22,569 countWashington22,569Missouri: 22,363 countMissouri22,363Virginia: 21,929 countVirginia21,929Arizona: 20,587 countArizona20,587Massachusetts: 19,898 countMassachusetts19,898Minnesota: 18,723 countMinnesota18,723Colorado: 18,038 countColorado18,038Maryland: 17,827 countMaryland17,827Indiana: 17,440 countIndiana17,440Wisconsin: 17,010 countWisconsin17,010Tennessee: 16,576 countTennessee16,576Oregon: 14,846 countOregon14,846Louisiana: 12,908 countLouisiana12,908Kentucky: 12,149 countKentucky12,149South Carolina: 11,796 countSouth Carolina11,796Connecticut: 11,600 countConnecticut11,600Oklahoma: 11,214 countOklahoma11,214Alabama: 10,885 countAlabama10,885Utah: 9,306 countUtah9,306Iowa: 8,909 countIowa8,909Nevada: 8,617 countNevada8,617Kansas: 8,486 countKansas8,486Arkansas: 8,418 countArkansas8,418Mississippi: 6,635 countMississippi6,635Nebraska: 6,113 countNebraska6,113Idaho: 6,108 countIdaho6,108New Mexico: 5,323 countNew Mexico5,323West Virginia: 4,919 countWest Virginia4,919Maine: 4,912 countMaine4,912Montana: 4,148 countMontana4,148Hawaii: 3,746 countHawaii3,746New Hampshire: 3,713 countNew Hampshire3,713Delaware: 3,280 countDelaware3,280Rhode Island: 3,108 countRhode Island3,108Alaska: 2,791 countAlaska2,791South Dakota: 2,651 countSouth Dakota2,651District of Columbia: 2,257 countDistrict of Columbia2,257North Dakota: 2,234 countNorth Dakota2,234Vermont: 2,100 countVermont2,100Wyoming: 2,072 countWyoming2,072
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

RankStates2021
count		Change on 2020
1California122,291+2.2%
2Texas74,951+2.6%
3Florida68,842+5%
4New York58,497-0.5%
5Pennsylvania38,888+2%
6Illinois35,336+1.5%
7Ohio30,145+1%
8New Jersey29,013+0.4%
9Georgia27,853+3.6%
10Michigan27,674+0.9%
11North Carolina25,876+2.7%
12Washington22,569+2.4%
13Missouri22,363-0.2%
14Virginia21,929+1.5%
15Arizona20,587+3.2%
16Massachusetts19,898+0.7%
17Minnesota18,723+3.8%
18Colorado18,038+3.3%
19Maryland17,827+2.2%
20Indiana17,440+1%
21Wisconsin17,010+2%
22Tennessee16,576+2.3%
23Oregon14,846+2.3%
24Louisiana12,908+1.1%
25Kentucky12,149+2.9%
26South Carolina11,796+3.1%
27Connecticut11,600+1.2%
28Oklahoma11,214+2.1%
29Alabama10,885+2.9%
30Utah9,306+2.5%
31Iowa8,909+1.7%
32Nevada8,617+4.5%
33Kansas8,486+2.4%
34Arkansas8,418+1%
35Mississippi6,635+1.9%
36Nebraska6,113+2.1%
37Idaho6,108+5%
38New Mexico5,323+2.6%
39West Virginia4,919+0.8%
40Maine4,912+1.4%
41Montana4,148+3.6%
42Hawaii3,746+1%
43New Hampshire3,713+0.1%
44Delaware3,280+0.1%
45Rhode Island3,108+0.5%
46Alaska2,791+1.6%
47South Dakota2,651+2.5%
48District of Columbia2,257+0.3%
49North Dakota2,234+3.6%
50Vermont2,100-1%
51Wyoming2,072+1.9%

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/2021/. 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. (2023). 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, 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/cbp/datasets/2021/

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, 2021. U.S. Census Bureau, 27 Apr. 2023, https://www2.census.gov/programs-surveys/cbp/datasets/2021/. Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2023. 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, 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/cbp/datasets/2021/. Also distributed by Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2021.

Harvard

U.S. Census Bureau (2023) 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, 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/cbp/datasets/2021/, via Invokely: https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_employer_2021,
  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, 2021}},
  year = {2023},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/cbp/datasets/2021/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2021. 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/2021/. 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, 2021
PY  - 2023
DA  - 2023/04/27
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/cbp/datasets/2021/
L2  - https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2021.
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/2021/. Retrieved 2026-10-12.
ER  -
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Questions

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

California, with 122,291 in 2021, according to the U.S. Census Bureau.

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

Wyoming, with 2,072 in 2021.

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