62/Health Care and Social Assistance
US businesses, employees and payroll, 2017 to 2023
22.1M
employees, 2023
22.1M
employees, 2023
In 2023, 1.00 million US Health Care and Social Assistance business locations employed 22.1 million people and paid $1.39 trillion in annual payroll, $63,214 per employee on average. Employment was up 4.2% from 2022. California had the most employees. US Health Care and Social Assistance revenue (market size) was $3.33 trillion in 2022, up 31.7% from 2017, from 691,347 firms.
Updated Oct 9, 2026 · data year 2023
Business locations
1,003,398
+2.8% vs 2022
Employees
22,063,238
+4.2% vs 2022
Annual payroll
$1.39T
+9.0% vs 2022
Average pay
$63,214
+4.6% vs 2022
Industry economics
Market size, prices and output of Health Care and Social Assistance, from official US government statistics
Market size, 2022
$3.33T
+31.7% vs 2017 · 691,347 firms
Share of US GDP
7.50%
$2.33T value added, 2025
Quarterly revenue
$1.15T
Q2 2026 · +7.4% vs a year earlier
Quarterly revenue
US dollars per quarter, seasonally adjusted. Latest: Q2 2026.
Share of US GDP
Value added of Health Care and Social Assistance as a percent of US GDP, by year
Over the years
United States, 2017 to 2023
Employees
Paid employees in mid-March
Business locations
Places with paid employees
By state
Employees of Health Care and Social Assistance in each state, 2023
Employees by state
States with the most employees
Employees and the share of all the state's jobs
| State | Business locations | Employees | Average pay | Share of state jobs |
|---|---|---|---|---|
| California | 132,345 | 2,347,305 | $75,446 | 14.31% |
| New York | 61,104 | 1,861,291 | $60,487 | 21.23% |
| Texas | 80,576 | 1,718,907 | $59,121 | 14.31% |
| Florida | 73,984 | 1,286,330 | $64,356 | 12.88% |
| Pennsylvania | 39,602 | 1,142,207 | $59,752 | 19.99% |
| Ohio | 31,168 | 883,961 | $60,691 | 17.40% |
| Illinois | 37,597 | 857,043 | $61,336 | 15.14% |
| Michigan | 28,979 | 645,129 | $58,200 | 15.96% |
| North Carolina | 27,809 | 641,503 | $61,238 | 14.99% |
| New Jersey | 29,996 | 635,422 | $64,039 | 16.11% |
| Massachusetts | 21,002 | 618,482 | $70,184 | 17.74% |
| Georgia | 30,047 | 586,195 | $63,074 | 13.31% |
| Washington | 23,923 | 499,464 | $69,551 | 16.34% |
| Virginia | 23,812 | 488,231 | $64,980 | 13.63% |
| Minnesota | 19,985 | 482,616 | $58,805 | 17.22% |
The 15 states with the most employees. Download the CSV for all 51.
Revenue by state
Revenue (market size) of Health Care and Social Assistance in each state, 2022. States where the number is not published are gray.
Revenue by state
US dollars, in millions
States with the most revenue
Revenue and the share of the US total
| State | Revenue 2022 | Change | Share of US |
|---|---|---|---|
| California | $420.6B | +35.1% vs 2017 | 12.6% |
| Texas | $253.2B | +36.0% vs 2017 | 7.6% |
| New York | $252.4B | +30.4% vs 2017 | 7.6% |
| Florida | $211.7B | +36.4% vs 2017 | 6.4% |
| Pennsylvania | $154.2B | +32.2% vs 2017 | 4.6% |
| Illinois | $125.3B | +28.3% vs 2017 | 3.8% |
| Ohio | $121.1B | +24.7% vs 2017 | 3.6% |
| Massachusetts | $98.3B | +32.8% vs 2017 | 3.0% |
| North Carolina | $96.6B | +32.8% vs 2017 | 2.9% |
| New Jersey | $96.1B | +28.6% vs 2017 | 2.9% |
| Georgia | $95.1B | +38.2% vs 2017 | 2.9% |
| Michigan | $94.6B | +27.5% vs 2017 | 2.8% |
| Virginia | $76.1B | +29.4% vs 2017 | 2.3% |
| Washington | $75.4B | +33.6% vs 2017 | 2.3% |
| Tennessee | $67.6B | +29.7% vs 2017 | 2.0% |
The 15 states with the most revenue. Download the CSV for all 51.
Top metro areas
Metro and micro areas with the most Health Care and Social Assistance employees, 2023
Metro areas with the most employees
| Metro area | Locations | Employees | Average pay |
|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 65,817 | 1,804,859 | $62,243 |
| Los Angeles-Long Beach-Anaheim, CA | 53,869 | 845,665 | $68,996 |
| Chicago-Naperville-Elgin, IL-IN | 29,768 | 642,081 | $62,481 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 19,759 | 589,442 | $61,158 |
| Dallas-Fort Worth-Arlington, TX | 23,741 | 449,862 | $66,000 |
| Boston-Cambridge-Newton, MA-NH | 15,127 | 444,538 | $73,565 |
| Houston-Pasadena-The Woodlands, TX | 20,054 | 401,276 | $64,093 |
| Miami-Fort Lauderdale-West Palm Beach, FL | 26,082 | 380,934 | $66,139 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 19,078 | 365,086 | $66,724 |
| Atlanta-Sandy Springs-Roswell, GA | 18,435 | 335,426 | $65,879 |
| San Francisco-Oakland-Fremont, CA | 16,920 | 319,201 | $91,339 |
| Minneapolis-St. Paul-Bloomington, MN-WI | 13,207 | 312,551 | $60,953 |
| Phoenix-Mesa-Chandler, AZ | 16,243 | 306,069 | $63,783 |
| Detroit-Warren-Dearborn, MI | 13,890 | 293,543 | $56,469 |
| Seattle-Tacoma-Bellevue, WA | 13,557 | 283,099 | $74,173 |
Layoffs
Layoffs in Health Care and Social Assistance from WARN notices, SEC filings and news reports
Layoffs, 12 months
52
Layoff events
Workers, 12 months
7,082
Where the sources state it
Layoffs in all
498
The earliest dated Mar 1989
Layoffs and discharges
199,000
Aug 2026, every employer (JOLTS)
| Date | Company | Place | Workers | Status | Sources |
|---|---|---|---|---|---|
| Oct 7, 2026 | TH Opco LLC | Hialeah, FL | 175 | Confirmed | WARN notice |
| Oct 6, 2026 | Cayuga Home for Children | Fort Lauderdale, FL | 13 | Confirmed | WARN notice |
| Oct 5, 2026 | Cayuga Centers 2 S B 2 | Maryland | 14 | Confirmed | WARN notice |
| Oct 5, 2026 | Cayuga Home for Children | Los Angeles, CA | 12 | Confirmed | WARN notice |
| Oct 5, 2026 | Kaiser Foundation Hospitals and Kaiser Foundation Health Plan, Inc. | California | 6 | Confirmed | WARN notice |
| Sep 30, 2026 | Neogen Care Home Health Agency | Sherman Oaks, CA | 148 | Confirmed | WARN notice |
| Sep 30, 2026 | Monroe Operations, LLC | Ventura County, CA | 40 | Confirmed | WARN notice |
| Sep 25, 2026 | Volante of Arlington Heights | Arlington Heights, IL | 61 | Confirmed | WARN notice |
| Sep 23, 2026 | City of Hope | Irwindale, CA | 73 | Confirmed | WARN notice |
| Sep 22, 2026 | SAC Health | San Bernardino, CA | 51 | Confirmed | WARN notice |
Layoff events per month
Oct 2024 to Oct 2026; the newest month is not complete
Top states, last 12 months
| State | Events | Workers |
|---|---|---|
| California | 22 | 2,134 |
| Florida | 10 | 1,477 |
| Maryland | 9 | 411 |
| Illinois | 8 | 2,830 |
| Indiana | 3 | 230 |
Top companies, last 12 months
| Company | Events | Workers |
|---|---|---|
| Cayuga Home for Children | 2 | 25 |
| Franciscan Health Olympia Fields | 1 | 1,535 |
| 24Hr Homecare, LLC | 1 | 738 |
| Resilience Healthcare | 1 | 589 |
| Specialty Physicians of Illinois, LLC | 1 | 329 |
| Ideal Image | 1 | 255 |
| Health First Inc., and Health First Shared Services, Inc. | 1 | 215 |
| Sanitas Medical Centers | 1 | 211 |
| Southeast Home Care | 1 | 178 |
| TH Opco LLC | 1 | 175 |
Layoffs and discharges per month
United States, Health care and social assistance, every employer, in thousands, seasonally adjusted (JOLTS)
Business size
US Health Care and Social Assistance business locations by number of employees, 2023
Locations by size
| Employees | Locations | Share |
|---|---|---|
| Under 5 | 472,802 | 47.1% |
| 5 to 9 | 202,848 | 20.2% |
| 10 to 19 | 157,484 | 15.7% |
| 20 to 49 | 103,599 | 10.3% |
| 50 to 99 | 35,898 | 3.6% |
| 100 to 249 | 21,296 | 2.1% |
| 250 to 499 | 5,055 | 0.5% |
| 500 to 999 | 2,112 | 0.2% |
| 1,000 or more | 2,304 | 0.2% |
Sub-industries by revenue
The industries directly below Health Care and Social Assistance, ranked by revenue, 2022
Largest by revenue
| Code | Industry | Revenue | Change vs 2017 |
|---|---|---|---|
| 621 | Ambulatory Health Care Services | $1.41T | +36.8% |
| 622 | Hospitals | $1.36T | +26.8% |
| 623 | Nursing and Residential Care Facilities | $283.7B | +20.4% |
| 624 | Social Assistance | $279.3B | +46.4% |
Related industries
Health Care and Social Assistance and the 4 industries directly below it
| Code | Industry | Employees | Average pay |
|---|---|---|---|
| 621 | Ambulatory Health Care Services | 8,697,480 | $71,409 |
| 622 | Hospitals | 6,344,178 | $80,674 |
| 624 | Social Assistance | 3,742,670 | $33,470 |
| 623 | Nursing and Residential Care Facilities | 3,278,910 | $41,647 |
Questions and answers
How big is the US Health Care and Social Assistance market?
$3.33 trillion in revenue in 2022, up 31.7% from $2.53 trillion in 2017, earned by 691,347 firms. California had the most revenue ($420.6 billion), followed by Texas ($253.2 billion).
How many people work in Health Care and Social Assistance in the US?
22.1 million people worked at 1.00 million US Health Care and Social Assistance business locations in 2023, up 4.2% from 2022. That is 15.78% of all US private-sector employees.
What is the average pay in Health Care and Social Assistance?
$63,214 a year per employee in 2023, from $1.39 trillion in annual payroll (up 4.6% from 2022). The average across all US industries was $68,342.
Which state has the most Health Care and Social Assistance jobs?
California had the most, with 2,347,305 employees in 2023, followed by New York (1,861,291) and Texas (1,718,907).
Which metro areas have the most Health Care and Social Assistance jobs?
New York-Newark-Jersey City, NY-NJ (1,804,859), Los Angeles-Long Beach-Anaheim, CA (845,665), Chicago-Naperville-Elgin, IL-IN (642,081) had the most Health Care and Social Assistance employees in 2023.
Are most Health Care and Social Assistance businesses small?
83.0% of the 1,003,398 Health Care and Social Assistance business locations had fewer than 20 employees in 2023, and 4,416 had 500 or more.
How much does Health Care and Social Assistance add to US GDP?
7.50% of US GDP in 2025: $2.33 trillion in value added.
How many layoffs were there in Health Care and Social Assistance in the last 12 months?
52 layoffs were announced in Health Care and Social Assistance in the last 12 months, affecting 7,082 workers where the number was stated, from WARN notices, SEC filings and news reports. The companies with the most layoff events were Cayuga Home for Children (2), Franciscan Health Olympia Fields (1), 24Hr Homecare, LLC (1).
Official US government statistics, published once a year. Business locations are places with paid employees; employees are counted in mid-March; payroll covers the whole year. Covers most private employers, not the self-employed, most government workers or farm workers on farms. Changes from the year before are shown only when both years use the same edition of the industry codes. Market size is counted every five years; producer prices, output and sales are monthly and the newest month is revised later.
