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 2022, at 127,019. Wyoming had the lowest, at 2,130. The median was 12,233 and the figure for the United States was 976,418. Source: the U.S. Census Bureau.

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Highest127,019California
Lowest2,130Wyoming
Median12,23351 states
United States976,418History

Map of states, 2022

Alabama: 11,219 countAlaska: 2,841 countArizona: 21,543 countArkansas: 8,755 countCalifornia: 127,019 countColorado: 18,726 countConnecticut: 11,867 countDelaware: 3,266 countDistrict of Columbia: 2,331 countFlorida: 71,591 countGeorgia: 28,774 countHawaii: 3,772 countIdaho: 6,353 countIllinois: 36,347 countIndiana: 18,025 countIowa: 8,929 countKansas: 9,039 countKentucky: 12,446 countLouisiana: 13,046 countMaine: 4,979 countMaryland: 18,295 countMassachusetts: 20,419 countMichigan: 28,522 countMinnesota: 19,370 countMississippi: 6,887 countMissouri: 22,886 countMontana: 4,294 countNebraska: 6,251 countNevada: 9,001 countNew Hampshire: 3,783 countNew Jersey: 29,504 countNew Mexico: 5,511 countNew York: 59,805 countNorth Carolina: 27,098 countNorth Dakota: 2,345 countOhio: 30,735 countOklahoma: 11,402 countOregon: 15,257 countPennsylvania: 39,343 countRhode Island: 3,153 countSouth Carolina: 12,233 countSouth Dakota: 2,773 countTennessee: 16,960 countTexas: 77,083 countUtah: 9,913 countVermont: 2,149 countVirginia: 22,979 countWashington: 23,270 countWest Virginia: 4,896 countWisconsin: 17,303 countWyoming: 2,130 count
  • Under 4,000
  • 4,000 to 8,000
  • 8,000 to 12K
  • 12K to 19K
  • 19K to 29K
  • 29K and over
count, 2022. 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, 2022

California: 127,019 countCalifornia127,019Texas: 77,083 countTexas77,083Florida: 71,591 countFlorida71,591New York: 59,805 countNew York59,805Pennsylvania: 39,343 countPennsylvania39,343Illinois: 36,347 countIllinois36,347Ohio: 30,735 countOhio30,735New Jersey: 29,504 countNew Jersey29,504Georgia: 28,774 countGeorgia28,774Michigan: 28,522 countMichigan28,522North Carolina: 27,098 countNorth Carolina27,098Washington: 23,270 countWashington23,270Virginia: 22,979 countVirginia22,979Missouri: 22,886 countMissouri22,886Arizona: 21,543 countArizona21,543Massachusetts: 20,419 countMassachusetts20,419Minnesota: 19,370 countMinnesota19,370Colorado: 18,726 countColorado18,726Maryland: 18,295 countMaryland18,295Indiana: 18,025 countIndiana18,025Wisconsin: 17,303 countWisconsin17,303Tennessee: 16,960 countTennessee16,960Oregon: 15,257 countOregon15,257Louisiana: 13,046 countLouisiana13,046Kentucky: 12,446 countKentucky12,446South Carolina: 12,233 countSouth Carolina12,233Connecticut: 11,867 countConnecticut11,867Oklahoma: 11,402 countOklahoma11,402Alabama: 11,219 countAlabama11,219Utah: 9,913 countUtah9,913Kansas: 9,039 countKansas9,039Nevada: 9,001 countNevada9,001Iowa: 8,929 countIowa8,929Arkansas: 8,755 countArkansas8,755Mississippi: 6,887 countMississippi6,887Idaho: 6,353 countIdaho6,353Nebraska: 6,251 countNebraska6,251New Mexico: 5,511 countNew Mexico5,511Maine: 4,979 countMaine4,979West Virginia: 4,896 countWest Virginia4,896Montana: 4,294 countMontana4,294New Hampshire: 3,783 countNew Hampshire3,783Hawaii: 3,772 countHawaii3,772Delaware: 3,266 countDelaware3,266Rhode Island: 3,153 countRhode Island3,153Alaska: 2,841 countAlaska2,841South Dakota: 2,773 countSouth Dakota2,773North Dakota: 2,345 countNorth Dakota2,345District of Columbia: 2,331 countDistrict of Columbia2,331Vermont: 2,149 countVermont2,149Wyoming: 2,130 countWyoming2,130California: 127,019 countCalifornia127,019Texas: 77,083 countTexas77,083Florida: 71,591 countFlorida71,591New York: 59,805 countNew York59,805Pennsylvania: 39,343 countPennsylvania39,343Illinois: 36,347 countIllinois36,347Ohio: 30,735 countOhio30,735New Jersey: 29,504 countNew Jersey29,504Georgia: 28,774 countGeorgia28,774Michigan: 28,522 countMichigan28,522North Carolina: 27,098 countNorth Carolina27,098Washington: 23,270 countWashington23,270Virginia: 22,979 countVirginia22,979Missouri: 22,886 countMissouri22,886Arizona: 21,543 countArizona21,543Massachusetts: 20,419 countMassachusetts20,419Minnesota: 19,370 countMinnesota19,370Colorado: 18,726 countColorado18,726Maryland: 18,295 countMaryland18,295Indiana: 18,025 countIndiana18,025Wisconsin: 17,303 countWisconsin17,303Tennessee: 16,960 countTennessee16,960Oregon: 15,257 countOregon15,257Louisiana: 13,046 countLouisiana13,046Kentucky: 12,446 countKentucky12,446South Carolina: 12,233 countSouth Carolina12,233Connecticut: 11,867 countConnecticut11,867Oklahoma: 11,402 countOklahoma11,402Alabama: 11,219 countAlabama11,219Utah: 9,913 countUtah9,913Kansas: 9,039 countKansas9,039Nevada: 9,001 countNevada9,001Iowa: 8,929 countIowa8,929Arkansas: 8,755 countArkansas8,755Mississippi: 6,887 countMississippi6,887Idaho: 6,353 countIdaho6,353Nebraska: 6,251 countNebraska6,251New Mexico: 5,511 countNew Mexico5,511Maine: 4,979 countMaine4,979West Virginia: 4,896 countWest Virginia4,896Montana: 4,294 countMontana4,294New Hampshire: 3,783 countNew Hampshire3,783Hawaii: 3,772 countHawaii3,772Delaware: 3,266 countDelaware3,266Rhode Island: 3,153 countRhode Island3,153Alaska: 2,841 countAlaska2,841South Dakota: 2,773 countSouth Dakota2,773North Dakota: 2,345 countNorth Dakota2,345District of Columbia: 2,331 countDistrict of Columbia2,331Vermont: 2,149 countVermont2,149Wyoming: 2,130 countWyoming2,130
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

RankStates2022
count		Change on 2021
1California127,019+3.9%
2Texas77,083+2.8%
3Florida71,591+4%
4New York59,805+2.2%
5Pennsylvania39,343+1.2%
6Illinois36,347+2.9%
7Ohio30,735+2%
8New Jersey29,504+1.7%
9Georgia28,774+3.3%
10Michigan28,522+3.1%
11North Carolina27,098+4.7%
12Washington23,270+3.1%
13Virginia22,979+4.8%
14Missouri22,886+2.3%
15Arizona21,543+4.6%
16Massachusetts20,419+2.6%
17Minnesota19,370+3.5%
18Colorado18,726+3.8%
19Maryland18,295+2.6%
20Indiana18,025+3.4%
21Wisconsin17,303+1.7%
22Tennessee16,960+2.3%
23Oregon15,257+2.8%
24Louisiana13,046+1.1%
25Kentucky12,446+2.4%
26South Carolina12,233+3.7%
27Connecticut11,867+2.3%
28Oklahoma11,402+1.7%
29Alabama11,219+3.1%
30Utah9,913+6.5%
31Kansas9,039+6.5%
32Nevada9,001+4.5%
33Iowa8,929+0.2%
34Arkansas8,755+4%
35Mississippi6,887+3.8%
36Idaho6,353+4%
37Nebraska6,251+2.3%
38New Mexico5,511+3.5%
39Maine4,979+1.4%
40West Virginia4,896-0.5%
41Montana4,294+3.5%
42New Hampshire3,783+1.9%
43Hawaii3,772+0.7%
44Delaware3,266-0.4%
45Rhode Island3,153+1.4%
46Alaska2,841+1.8%
47South Dakota2,773+4.6%
48North Dakota2,345+5%
49District of Columbia2,331+3.3%
50Vermont2,149+2.3%
51Wyoming2,130+2.8%

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/2022/. 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. (2024). 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, 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/cbp/datasets/2022/

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, 2022. U.S. Census Bureau, 27 June 2024, https://www2.census.gov/programs-surveys/cbp/datasets/2022/. Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2022. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2024. 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, 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/cbp/datasets/2022/. Also distributed by Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2022.

Harvard

U.S. Census Bureau (2024) 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, 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/cbp/datasets/2022/, via Invokely: https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_employer_2022,
  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, 2022}},
  year = {2024},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/cbp/datasets/2022/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2022. 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/2022/. 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, 2022
PY  - 2024
DA  - 2024/06/27
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/cbp/datasets/2022/
L2  - https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/employer-establishments-health-care/us-states?period=2022.
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/2022/. Retrieved 2026-10-12.
ER  -
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Questions

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

California, with 127,019 in 2022, according to the U.S. Census Bureau.

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

Wyoming, with 2,130 in 2022.

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