Health Care and Social Assistance ·NAICS 622

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

Health Care and Social Assistance — Industry Benchmarks

Profit margins, payroll, employment, and SBA lending for Health Care and Social Assistance (NAICS 622). Cross-checked against IRS SOI 2023 and Census County Business Patterns. Refreshed as new data lands.

Health Care and Social Assistance (NAICS 622) operates at a 3.0% net profit margin, significantly below average, typical of high-volume, low-margin sectors. The industry generates $162.7B in total annual receipts across all business entities filing federal tax returns. Census Bureau data identifies 7,523 business establishments employing 6,344,178 workers nationwide.

The average employee earns $80,674/yr in annual compensation, while the typical business in this industry generates $6.9B in revenue. Businesses average 843.3 employees per establishment. California leads in employment concentration for this industry.

Benchmarking Insights for Health Care and Social Assistance

When you read the 3.0% 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 $162.7B of aggregate annual receipts across 23,540 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 $6.9B 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 7,523 active establishments employing 6,344,178 workers, averaging 843.3 employees per location and paying $80,674/yr per employee annually. California leads the geographic distribution of employment, with New York and Texas 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 153 loans worth $96 million between FY2020 and FY2025, supporting 2,115 jobs at origination. The average ticket size — $630K — 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

3.0%

Net income ÷ total receipts (IRS SOI)

Total Receipts

$162.7B

Annual revenue (IRS SOI)

Net Income

$4.9B

Pre-tax net income

Employment

6,344,178

Total employees (Census CBP)

Avg Payroll / Employee

$80,674/yr

Annual compensation

Establishments

7,523

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 9.9%
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
17,356 returns 74%

Margin: 2.9% · Receipts: $161.3B

Sole Proprietorship
6,184 returns 26%

Margin: 18.5% · Receipts: $1.4B

Financial Detail

Total Tax Returns Filed
23,540
Total Deductions
N/A
Avg Receipts per Business
$6.9B
Annual Payroll (Total)
$511.8B
Avg Employees per Establishment
843.3

Sub-Industries

Industry Profit Margin
Health Care and Social Assistance

NAICS 6221

N/A
Health Care and Social Assistance

NAICS 6222

N/A
Health Care and Social Assistance

NAICS 6223

N/A

Top States by Employment

State Employment
California 620,841
New York 480,148
Texas 460,981
Florida 369,683
Pennsylvania 310,311
Ohio 292,786
Illinois 237,688
Georgia 186,416
New Jersey 170,340
Tennessee 144,432

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

153

FY2020–2025

Total Loan Volume

$96M

7(a) + 504 programs

Avg Loan Size

$630K

Per approved loan

Jobs Supported

2,115

Reported at origination

Program Breakdown

7(a) Loans 149 loans (97%)
504 Loans 4 loans (3%)

Top SBA Lender

The Huntington National Bank

18 loans in this industry

New Business Share

52.3% of borrowers were new/startup businesses

Annual Lending Trend

FY2020
14 loans
FY2021
28 loans
FY2022
23 loans
FY2023
18 loans
FY2024
31 loans
FY2025
35 loans
FY2026
4 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 622) reports total annual receipts of $162.7B across all business entities, based on IRS Statistics of Income data. The average revenue per business is $6.9B.
How profitable is Health Care and Social Assistance?
Health Care and Social Assistance has a net profit margin of 3.0%, which is significantly below average, typical of high-volume, low-margin sectors. 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 7,523 business establishments in Health Care and Social Assistance (NAICS 622) according to Census Bureau County Business Patterns 2023 data. These establishments collectively employ 6,344,178 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 $80,674/yr, based on Census Bureau County Business Patterns data. Businesses in this industry average 843.3 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 620,841 workers. New York (480,148) and Texas (460,981) 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 153 SBA loans totaling $96 million between FY2020 and FY2025. The average loan size was $630K. These loans supported 2,115 jobs at origination. Most lending (97%) 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 622 · 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