Health Care and Social Assistance ·NAICS 621

2026 data Public-data reference. IRS SOI · Census CBP · 2023 Strong margin

Health Care and Social Assistance — Industry Benchmarks

Profit margins, payroll, employment, and SBA lending for Health Care and Social Assistance (NAICS 621). Cross-checked against IRS SOI 2023 and Census County Business Patterns. Refreshed as new data lands.

Health Care and Social Assistance (NAICS 621) operates at a 12.4% net profit margin, above average for US industries. The industry generates $561.3B in total annual receipts across all business entities filing federal tax returns. Census Bureau data identifies 701,862 business establishments employing 8,697,480 workers nationwide.

The average employee earns $71,409/yr in annual compensation, while the typical business in this industry generates $310.1M in revenue. Businesses average 12.4 employees per establishment. California leads in employment concentration for this industry.

Benchmarking Insights for Health Care and Social Assistance

When you read the 12.4% net profit margin for Health Care and Social Assistance, the number only becomes actionable when paired with scale. This industry sits inside the broader Health Care and Social Assistance sector and reports $561.3B of aggregate annual receipts across 1,809,922 federal tax returns. Owners comparing their own books should read the margin as a midpoint — smaller operators typically run several points below the aggregate because fixed overhead (rent, software, insurance) consumes a larger share of lower revenue bases, while the typical establishment here generates $310.1M per year. Treat the industry figure as a ceiling calibrated by businesses that have already achieved operating leverage.

Labor economics tell the second half of the story. Census CBP shows 701,862 active establishments employing 8,697,480 workers, averaging 12.4 employees per location and paying $71,409/yr per employee annually. California leads the geographic distribution of employment, with Texas and New York rounding out the top three concentrations. Headcount density matters because thin-margin industries only clear the cash-flow bar when establishments reach the staffing level where fixed costs amortize — a useful cross-check against the margin line above.

Capital access is the third lens. SBA 7(a) and 504 approvals for this industry totaled 28,481 loans worth $15.4 billion between FY2020 and FY2025, supporting 339,060 jobs at origination. The average ticket size — $541K — signals the typical capital gap operators bridge when expanding. The Huntington National Bank ranks as the most active SBA lender serving this NAICS code. Use this alongside the IRS and Census figures to decide whether your own plan should target operational efficiency, workforce expansion, or financed growth.

Profit Margin

12.4%

Net income ÷ total receipts (IRS SOI)

Total Receipts

$561.3B

Annual revenue (IRS SOI)

Net Income

$69.8B

Pre-tax net income

Employment

8,697,480

Total employees (Census CBP)

Avg Payroll / Employee

$71,409/yr

Annual compensation

Establishments

701,862

Business locations

Where each dollar of revenue goes

Decomposition of every dollar of Health Care and Social Assistance receipts using IRS SOI 2023 aggregate ratios.

Workforce scale

Establishment-size distribution and per-establishment headcount based on Census Statistics of US Businesses (SUSB) typical strata.

Margin position vs national reference points

Health Care and Social Assistance net margin 41.5%
US median (10%)

Plotted against a 0–30% scale. The US business p25 / median / p75 reference points are 5% / 10% / 18% respectively (IRS SOI aggregate).

Business Structure Breakdown

How businesses in this industry are legally structured (IRS SOI)

C Corporation
370,156 returns 20%

Margin: 6.7% · Receipts: $455.9B

Sole Proprietorship
1,439,766 returns 80%

Margin: 37.2% · Receipts: $105.4B

Financial Detail

Total Tax Returns Filed
1,809,922
Total Deductions
N/A
Avg Receipts per Business
$310.1M
Annual Payroll (Total)
$621.1B
Avg Employees per Establishment
12.4

Sub-Industries

Industry Profit Margin
Health Care and Social Assistance

NAICS 6211

5.6%
Health Care and Social Assistance

NAICS 6212

13.3%
Health Care and Social Assistance

NAICS 6213

7.9%
Health Care and Social Assistance

NAICS 6214

5.7%
Health Care and Social Assistance

NAICS 6215

N/A
Health Care and Social Assistance

NAICS 6216

N/A
Health Care and Social Assistance

NAICS 6219

N/A

Top States by Employment

State Employment
California 1,018,478
Texas 779,487
New York 699,456
Florida 587,301
Pennsylvania 402,469
Ohio 313,686
Illinois 300,155
North Carolina 265,325
New Jersey 259,163
Michigan 258,593

Showing top 10 of 51 states

SBA Lending Activity

FY2020–2025

Small Business Administration 7(a) and 504 loan data for this industry. Source: SBA FOIA dataset.

SBA Loans Approved

28,481

FY2020–2025

Total Loan Volume

$15.4B

7(a) + 504 programs

Avg Loan Size

$541K

Per approved loan

Jobs Supported

339,060

Reported at origination

Program Breakdown

7(a) Loans 24,250 loans (85%)
504 Loans 4,231 loans (15%)

Top SBA Lender

The Huntington National Bank

2,334 loans in this industry

New Business Share

31.9% of borrowers were new/startup businesses

Annual Lending Trend

FY2020
3,303 loans
FY2021
4,738 loans
FY2022
3,936 loans
FY2023
4,034 loans
FY2024
5,363 loans
FY2025
6,261 loans
FY2026
846 loans

SBA fiscal year runs Oct–Sep. FY2025 = partial year through Sep 2025.

Source: SBA 7(a) and 504 FOIA dataset · FY2020–FY2025 · View SBA lending rankings →

Frequently Asked Questions

What is the average revenue for Health Care and Social Assistance?
The Health Care and Social Assistance industry (NAICS 621) reports total annual receipts of $561.3B across all business entities, based on IRS Statistics of Income data. The average revenue per business is $310.1M.
How profitable is Health Care and Social Assistance?
Health Care and Social Assistance has a net profit margin of 12.4%, which is above average for US industries. This is calculated as net income divided by total receipts from IRS SOI business tax statistics.
How many businesses are in Health Care and Social Assistance?
There are 701,862 business establishments in Health Care and Social Assistance (NAICS 621) according to Census Bureau County Business Patterns 2023 data. These establishments collectively employ 8,697,480 workers.
What is the average payroll per employee in Health Care and Social Assistance?
The average annual payroll per employee in Health Care and Social Assistance is $71,409/yr, based on Census Bureau County Business Patterns data. Businesses in this industry average 12.4 employees per establishment. This figure includes wages, salaries, and benefits reported by employers.
Which states have the most Health Care and Social Assistance employment?
California leads in Health Care and Social Assistance employment with 1,018,478 workers. Texas (779,487) and New York (699,456) round out the top three. These figures come from the Census Bureau County Business Patterns 2023 survey.
How much SBA lending does Health Care and Social Assistance receive?
Health Care and Social Assistance businesses received 28,481 SBA loans totaling $15.4 billion between FY2020 and FY2025. The average loan size was $541K. These loans supported 339,060 jobs at origination. Most lending (85%) came through the SBA 7(a) program.
Disclaimer: PlainBizBench provides publicly available IRS and Census data for informational purposes only. This is not financial, tax, or business advice. Consult a qualified accountant or financial advisor for business-specific guidance.

Sources: IRS Statistics of Income (SOI) Business Tax Statistics · Census Bureau County Business Patterns 2023

NAICS 621 · Data year: 2023

Related

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainBizBench Editorial

Source: U.S. Census Bureau — County Business Patterns / SUSB Industry employment scale, payroll, and firm-size benchmarks · 2025