2024 state comparison
California had the largest health care and social assistance employer base in 2024. West Virginia recorded the fastest establishment growth from 2019, while California also led in industry jobs. The tables use BLS QCEW private-sector annual data.
1
Employer base
California has the largest health care and social assistance establishment count in the 2024 QCEW file.
2
Growth signal
West Virginia has the fastest establishment growth rate among the 50 states.
3
Jobs base
California has the largest health care and social assistance private-sector job count.
Largest employer bases
States ranked by 2024 health care and social assistance establishments.
| Rank | State | 2024 establishments | Change vs 2019 | 2024 jobs |
|---|---|---|---|---|
| 1 | California | 791,359 | 167,810 (+26.9%) | 2,804,931 |
| 2 | Texas | 101,227 | +15,289 (+17.8%) | 1,671,855 |
| 3 | Florida | 92,214 | +24,486 (+36.2%) | 1,321,104 |
| 4 | Massachusetts | 70,466 | +5,723 (+8.8%) | 648,228 |
| 5 | Missouri | 65,040 | +14,878 (+29.7%) | 442,798 |
| 6 | New York | 60,750 | +3,045 (+5.3%) | 1,818,891 |
| 7 | New Jersey | 57,380 | +20,695 (+56.4%) | 656,246 |
| 8 | Virginia | 52,106 | +5,477 (+11.7%) | 498,470 |
| 9 | Pennsylvania | 51,953 | -1,269 (-2.4%) | 1,114,823 |
| 10 | Wisconsin | 38,478 | +10,875 (+39.4%) | 417,852 |
Fastest establishment growth
States ranked by the percent change in health care and social assistance establishments from 2019 to 2024.
| Rank | State | 2024 establishments | Change vs 2019 | Job change vs 2019 |
|---|---|---|---|---|
| 1 | West Virginia | 10,440 | +5,107 (+95.8%) | +15,008 (+12.6%) |
| 2 | Connecticut | 21,748 | +10,297 (+89.9%) | +20,390 (+7.5%) |
| 3 | Oregon | 23,366 | +9,423 (+67.6%) | +36,524 (+13.8%) |
| 4 | Tennessee | 24,295 | +9,568 (+65.0%) | +44,035 (+11.7%) |
| 5 | South Carolina | 18,184 | +7,142 (+64.7%) | +33,181 (+15.7%) |
| 6 | Alabama | 20,646 | +8,054 (+64.0%) | +12,851 (+5.9%) |
| 7 | Idaho | 11,960 | +4,627 (+63.1%) | +21,200 (+21.7%) |
| 8 | Michigan | 35,341 | +13,316 (+60.5%) | +24,196 (+4.1%) |
| 9 | New Jersey | 57,380 | +20,695 (+56.4%) | +66,744 (+11.3%) |
| 10 | North Carolina | 35,298 | +10,810 (+44.1%) | +61,955 (+12.0%) |
Largest job bases
States ranked by 2024 health care and social assistance private-sector jobs.
| Rank | State | 2024 jobs | Change vs 2019 | 2024 establishments |
|---|---|---|---|---|
| 1 | California | 2,804,931 | 404,568 (+16.9%) | 791,359 |
| 2 | New York | 1,818,891 | +195,966 (+12.1%) | 60,750 |
| 3 | Texas | 1,671,855 | +165,891 (+11.0%) | 101,227 |
| 4 | Florida | 1,321,104 | +163,720 (+14.1%) | 92,214 |
| 5 | Pennsylvania | 1,114,823 | 66,678 (6.4%) | 51,953 |
| 6 | Ohio | 850,252 | +33,008 (+4.0%) | 36,422 |
| 7 | Illinois | 838,041 | +57,092 (+7.3%) | 37,695 |
| 8 | New Jersey | 656,246 | +66,744 (+11.3%) | 57,380 |
| 9 | Massachusetts | 648,228 | +8,843 (+1.4%) | 70,466 |
| 10 | Michigan | 621,590 | +24,196 (+4.1%) | 35,341 |
All states
| Rank | State | 2024 establishments | Change vs 2019 | 2024 jobs | Job change vs 2019 |
|---|---|---|---|---|---|
| 1 | Alabama | 20,646 | +8,054 (+64.0%) | 231,581 | +12,851 (+5.9%) |
| 2 | Alaska | 2,497 | +239 (+10.6%) | 49,726 | +2,091 (+4.4%) |
| 3 | Arizona | 22,724 | +5,545 (+32.3%) | 462,596 | +70,050 (+17.8%) |
| 4 | Arkansas | 12,986 | -1,866 (-12.6%) | 185,032 | +9,541 (+5.4%) |
| 5 | California | 791,359 | 167,810 (+26.9%) | 2,804,931 | 404,568 (+16.9%) |
| 6 | Colorado | 23,680 | +5,173 (+28.0%) | 331,037 | +27,174 (+8.9%) |
| 7 | Connecticut | 21,748 | +10,297 (+89.9%) | 291,475 | +20,390 (+7.5%) |
| 8 | Delaware | 6,010 | +1,038 (+20.9%) | 78,754 | +6,700 (+9.3%) |
| 9 | Florida | 92,214 | +24,486 (+36.2%) | 1,321,104 | +163,720 (+14.1%) |
| 10 | Georgia | 35,943 | +9,343 (+35.1%) | 587,944 | +84,766 (+16.8%) |
| 11 | Hawaii | 6,023 | +1,679 (+38.7%) | 74,940 | +2,028 (+2.8%) |
| 12 | Idaho | 11,960 | +4,627 (+63.1%) | 118,844 | +21,200 (+21.7%) |
| 13 | Illinois | 37,695 | +7,889 (+26.5%) | 838,041 | +57,092 (+7.3%) |
| 14 | Indiana | 17,530 | +3,208 (+22.4%) | 450,914 | +34,272 (+8.2%) |
| 15 | Iowa | 12,818 | +2,080 (+19.4%) | 193,253 | +1,399 (+0.7%) |
| 16 | Kansas | 11,463 | +2,286 (+24.9%) | 196,320 | +13,140 (+7.2%) |
| 17 | Kentucky | 24,349 | +7,110 (+41.2%) | 283,710 | +30,552 (+12.1%) |
| 18 | Louisiana | 17,796 | +3,187 (+21.8%) | 293,819 | +20,821 (+7.6%) |
| 19 | Maine | 5,506 | +716 (+14.9%) | 111,057 | +4,561 (+4.3%) |
| 20 | Maryland | 21,536 | +3,174 (+17.3%) | 401,057 | +19,576 (+5.1%) |
| 21 | Massachusetts | 70,466 | +5,723 (+8.8%) | 648,228 | +8,843 (+1.4%) |
| 22 | Michigan | 35,341 | +13,316 (+60.5%) | 621,590 | +24,196 (+4.1%) |
| 23 | Minnesota | 25,787 | +7,648 (+42.2%) | 510,901 | +32,163 (+6.7%) |
| 24 | Mississippi | 8,278 | +1,434 (+21.0%) | 141,999 | +7,056 (+5.2%) |
| 25 | Missouri | 65,040 | +14,878 (+29.7%) | 442,798 | +25,384 (+6.1%) |
| 26 | Montana | 5,236 | +1,038 (+24.7%) | 74,380 | +4,781 (+6.9%) |
| 27 | Nebraska | 9,316 | -1,619 (-14.8%) | 138,733 | +9,721 (+7.5%) |
| 28 | Nevada | 9,542 | +1,692 (+21.6%) | 153,879 | +23,094 (+17.7%) |
| 29 | New Hampshire | 4,599 | +751 (+19.5%) | 97,772 | +3,679 (+3.9%) |
| 30 | New Jersey | 57,380 | +20,695 (+56.4%) | 656,246 | +66,744 (+11.3%) |
| 31 | New Mexico | 10,662 | +641 (+6.4%) | 126,882 | +6,411 (+5.3%) |
| 32 | New York | 60,750 | +3,045 (+5.3%) | 1,818,891 | +195,966 (+12.1%) |
| 33 | North Carolina | 35,298 | +10,810 (+44.1%) | 579,529 | +61,955 (+12.0%) |
| 34 | North Dakota | 3,293 | +948 (+40.4%) | 64,172 | +1,195 (+1.9%) |
| 35 | Ohio | 36,422 | +4,195 (+13.0%) | 850,252 | +33,008 (+4.0%) |
| 36 | Oklahoma | 13,489 | +1,101 (+8.9%) | 221,633 | +24,734 (+12.6%) |
| 37 | Oregon | 23,366 | +9,423 (+67.6%) | 300,603 | +36,524 (+13.8%) |
| 38 | Pennsylvania | 51,953 | -1,269 (-2.4%) | 1,114,823 | 66,678 (6.4%) |
| 39 | Rhode Island | 5,589 | +1,616 (+40.7%) | 84,475 | +3,019 (+3.7%) |
| 40 | South Carolina | 18,184 | +7,142 (+64.7%) | 244,232 | +33,181 (+15.7%) |
| 41 | South Dakota | 2,929 | +376 (+14.7%) | 70,442 | +5,237 (+8.0%) |
| 42 | Tennessee | 24,295 | +9,568 (+65.0%) | 420,698 | +44,035 (+11.7%) |
| 43 | Texas | 101,227 | +15,289 (+17.8%) | 1,671,855 | +165,891 (+11.0%) |
| 44 | Utah | 13,740 | +2,631 (+23.7%) | 185,503 | +28,224 (+17.9%) |
| 45 | Vermont | 2,222 | +226 (+11.3%) | 51,343 | -868 (-1.7%) |
| 46 | Virginia | 52,106 | +5,477 (+11.7%) | 498,470 | +46,083 (+10.2%) |
| 47 | Washington | 23,809 | -36,694 (-60.6%) | 471,157 | +38,148 (+8.8%) |
| 48 | West Virginia | 10,440 | +5,107 (+95.8%) | 134,192 | +15,008 (+12.6%) |
| 49 | Wisconsin | 38,478 | +10,875 (+39.4%) | 417,852 | +14,758 (+3.7%) |
| 50 | Wyoming | 3,489 | +384 (+12.4%) | 26,272 | +654 (+2.6%) |
Source note
Source: BLS QCEW annual files, private-sector establishments and annual average employment. Changes compare 2024 with 2019. QCEW covers employer establishments and jobs.