Top 10 states by healthcare industry size

California leads with 127,019. The 10 US states with the largest healthcare sector by number of establishments, from US Census County Business Patterns 2022.

#	Name	Establishments	Detail
1	California	127,019	2,221,389 employees · $161.0B payroll
2	Texas	77,083	1,638,625 employees · $92.6B payroll
3	Florida	71,591	1,229,243 employees · $75.5B payroll
4	New York	59,805	1,745,218 employees · $105.0B payroll
5	Pennsylvania	39,343	1,105,150 employees · $63.5B payroll
6	Illinois	36,347	838,396 employees · $48.3B payroll
7	Ohio	30,735	858,076 employees · $49.6B payroll
8	New Jersey	29,504	613,972 employees · $37.7B payroll
9	Georgia	28,774	558,301 employees · $33.3B payroll
10	Michigan	28,522	614,095 employees · $35.2B payroll

Methodology

Total healthcare establishments (NAICS 62) per state, US Census County Business Patterns 2022.

As of 2026-05-28. ACS 2023 5-year + CBP 2022.

Related rankings

Top 10 states by construction industry size — #1 California (85,171)
Top 10 states by manufacturing industry size — #1 California (35,936)
Top 10 states by professional services industry size — #1 California (142,540)
Top 10 states by retail industry size — #1 California (107,053)
Top 10 counties with the most construction businesses — #1 Los Angeles County (17,404)
Top 10 counties with the most healthcare establishments — #1 Los Angeles County (37,635)
Top 10 highest-paying construction states — #1 Alaska ($92,599)
Top 10 highest-paying healthcare states — #1 California ($72,470)

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