Health Care and Social Assistance ·NAICS 621

NAICS 621 · IRS SOI 2023 · Census CBP

Ambulatory Health Care Services - Industry Benchmarks

$71,409/yr average annual pay, with 28,481 SBA loans on record for NAICS 621.

12.4%
Net margin
8.7M
Workers employed
$71,409/yr
Avg payroll / employee
$15.4B
SBA lending, FY20–26

Data updated July 2026

The verdict · NAICS 621

Ambulatory Health Care Services runs a 12.4% pre-tax net margin - above average for US industries - across 702K establishments employing 8.7M workers.

12.4%
Pre-tax net margin (IRS SOI)
8.7M
Workers employed (Census CBP)
$71,409/yr
Avg payroll / employee
$15.4B
SBA lending, FY20–26

Benchmarking Insights for Ambulatory Health Care Services

Ambulatory Health Care Services sits inside Health Care and Social Assistance at a 12.4% net margin (above average for US industries), $561.3B in aggregate receipts across 1,809,922 returns, averaging $310.1M per establishment.

701,862 establishments employ 8,697,480 workers (12.4/location) at $71,409/yr average annual pay. California leads employment, followed by Texas and New York.

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

Release-over-release change

What changed from Census CBP 2022 to 2023

Employment increased by 295,901; establishment count increased by 23,574. This comparison uses two published national Census County Business Patterns releases; suppressed fields are omitted rather than estimated.

Where each dollar of Ambulatory Health Care Services revenue goes

Workforce scale

Ambulatory Health Care Services margin vs national reference points

Ambulatory Health Care Services net margin 41.5%
Cross-industry median (5%)

p25/median/p75 = 3%/5%/8%

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
Avg Receipts per Business
$310.1M
Annual Payroll (Total)
$621.1B
Avg Employees per Establishment
12.4

Sub-Industries

Industry Profit Margin
Home Health Care Services

NAICS 6216

N/A
Medical and Diagnostic Laboratories

NAICS 6215

N/A
Offices of Dentists

NAICS 6212

13.3%
Offices of Other Health Practitioners

NAICS 6213

7.9%
Offices of Physicians

NAICS 6211

5.6%
Other Ambulatory Health Care Services

NAICS 6219

N/A
Outpatient Care Centers

NAICS 6214

5.7%

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

SBA FY2020–2026

SBA Loans Approved

28,481

Total Loan Volume

$15.4B

Avg Loan Size

$541K

Jobs Supported

339,060

Program Breakdown

7(a) 24,250 (85%)
504 4,231 (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 (7 yrs)

2020
3,303
2021
4,738
2022
3,936
2023
4,034
2024
5,363
2025
6,261
2026
846

Frequently Asked Questions

What is the average revenue for Ambulatory Health Care Services?
$561.3B in total annual receipts across all Ambulatory Health Care Services businesses. Average per business: $310.1M.
How profitable is Ambulatory Health Care Services?
12.4% net profit margin, above average for US industries.
How many businesses are in Ambulatory Health Care Services?
701,862 business establishments. Together they employ 8,697,480 workers.
What is the average payroll per employee in Ambulatory Health Care Services?
$71,409/yr average annual pay per employee. Businesses average 12.4 employees per establishment.
Which states have the most Ambulatory Health Care Services employment?
California leads with 1,018,478 workers. Texas (779,487) and New York (699,456) round out the top three.
How much SBA lending does Ambulatory Health Care Services receive?
Ambulatory Health Care Services businesses received 28,481 SBA loans totaling $15.4 billion between FY2020 and FY2026. The average loan size was $541K. These loans supported 339,060 jobs at origination. Most lending (85%) came through the SBA 7(a) program.

Comparable industry benchmarks

These links are calculated from the current national dataset. They are comparison paths, not recommendations or evidence that businesses operate alike.

Closest reported net margins

Same NAICS detail level, ordered by the smallest difference in reported IRS pre-tax margin.

Closest workforce scale

Same NAICS detail level, ordered by the smallest difference in reported Census employment.

Benchmarking Ambulatory Health Care Services

Disclaimer: Public IRS/Census data, not financial or tax advice. See our full disclaimer.

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

NAICS 621 · Data year: 2023

According to the U.S. Census Bureau, which released its 2023 County Business Patterns dataset in June 2025, PlainBizBench benchmarks 2,002 U.S. industries against Internal Revenue Service Statistics of Income data. See our methodology for the full compilation process.

Source: U.S. Census Bureau, County Business Patterns / SUSB Industry employment scale, payroll, and firm-size benchmarks · 2023

Every figure on PlainBizBench is rendered directly from federal source data, no number is typed in by an editor. This page aggregates profit-margin, payroll, entity-type, and SBA-lending benchmarks for this industry, live from the dataset. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.

Disclaimer: Public IRS/Census data, not financial or tax advice. See our full disclaimer.