Profit Margin
15.7%
Net income ÷ total receipts (IRS SOI)
Health Care and Social Assistance ·NAICS 623
NAICS 623 · IRS SOI 2023 · Census CBP
Nursing and Residential Care Facilities - Industry Benchmarks
$41,647/yr average annual pay, with 3,011 SBA loans on record for NAICS 623.
- 15.7%
- Net margin
- 3.3M
- Workers employed
- $41,647/yr
- Avg payroll / employee
- $3.4B
- SBA lending, FY20–26
Data updated July 2026
The verdict · NAICS 623
Nursing and Residential Care Facilities runs a 15.7% pre-tax net margin - above average for US industries - across 95K establishments employing 3.3M workers.
- 15.7%
- Pre-tax net margin (IRS SOI)
- 3.3M
- Workers employed (Census CBP)
- $41,647/yr
- Avg payroll / employee
- $3.4B
- SBA lending, FY20–26
Benchmarking Insights for Nursing and Residential Care Facilities
Nursing and Residential Care Facilities sits inside Health Care and Social Assistance at a 15.7% net margin (above average for US industries), $10.4B in aggregate receipts across 152,485 returns, averaging $68.0M per establishment.
94,771 establishments employ 3,278,910 workers (34.6/location) at $41,647/yr average annual pay. California leads employment, followed by New York and Pennsylvania.
Total Receipts
$10.4B
Annual revenue (IRS SOI)
Net Income
$1.6B
Pre-tax net income
Employment
3,278,910
Total employees (Census CBP)
Avg Payroll / Employee
$41,647/yr
Annual compensation
Establishments
94,771
Business locations
Release-over-release change
What changed from Census CBP 2022 to 2023
Employment increased by 83,188; establishment count decreased by 366. This comparison uses two published national Census County Business Patterns releases; suppressed fields are omitted rather than estimated.
Where each dollar of Nursing and Residential Care Facilities revenue goes
Workforce scale
Nursing and Residential Care Facilities margin vs national reference points
Nursing and Residential Care Facilities net margin 52.5%
Cross-industry median (5%)
p25/median/p75 = 3%/5%/8%
Business Structure Breakdown
How businesses in this industry are legally structured (IRS SOI)
Sole Proprietorship
152,485 returns 100%
Margin: 15.7% · Receipts: $10.4B
Financial Detail
- Total Tax Returns Filed
- 152,485
- Avg Receipts per Business
- $68.0M
- Annual Payroll (Total)
- $136.6B
- Avg Employees per Establishment
- 34.6
Sub-Industries
| Industry | Profit Margin |
|---|---|
| Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly NAICS 6233 | N/A |
| Nursing Care Facilities (Skilled Nursing Facilities) NAICS 6231 | N/A |
| Other Residential Care Facilities NAICS 6239 | N/A |
| Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities NAICS 6232 | N/A |
Top States by Employment
| State | Employment |
|---|---|
| California | 319,384 |
| New York | 224,886 |
| Pennsylvania | 191,371 |
| Texas | 188,874 |
| Florida | 184,824 |
| Ohio | 151,349 |
| Illinois | 134,862 |
| Minnesota | 105,640 |
| Massachusetts | 103,123 |
| New Jersey | 101,354 |
Showing top 10 of 51 states
SBA Lending Activity
SBA FY2020–2026SBA Loans Approved
3,011
Total Loan Volume
$3.4B
Avg Loan Size
$1136K
Jobs Supported
52,373
Program Breakdown
7(a) 2,440 (81%)
504 571 (19%)
Top SBA Lender
Live Oak Banking Company
186 loans in this industry
New Business Share
35.0% of borrowers were new/startup businesses
Annual Lending Trend (7 yrs)
2020 377
2021 578
2022 424
2023 461
2024 502
2025 590
2026 79
Frequently Asked Questions
What is the average revenue for Nursing and Residential Care Facilities?
$10.4B in total annual receipts across all Nursing and Residential Care Facilities businesses. Average per business: $68.0M.
How profitable is Nursing and Residential Care Facilities?
15.7% net profit margin, above average for US industries.
How many businesses are in Nursing and Residential Care Facilities?
94,771 business establishments. Together they employ 3,278,910 workers.
What is the average payroll per employee in Nursing and Residential Care Facilities?
$41,647/yr average annual pay per employee. Businesses average 34.6 employees per establishment.
Which states have the most Nursing and Residential Care Facilities employment?
California leads with 319,384 workers. New York (224,886) and Pennsylvania (191,371) round out the top three.
How much SBA lending does Nursing and Residential Care Facilities receive?
Nursing and Residential Care Facilities businesses received 3,011 SBA loans totaling $3.4 billion between FY2020 and FY2026. The average loan size was $1136K. These loans supported 52,373 jobs at origination. Most lending (81%) 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.
- Food and Beverage Stores 3,333,898
- Insurance Carriers and Related Activities 2,964,086
- Credit Intermediation and Related Activities 2,953,663
Benchmarking Nursing and Residential Care Facilities
- Net margin: 15.7% vs sector. Browse Health Care and Social Assistance
- 94,771 establishments, 3,278,910 workers. Payroll benchmarks
- 3,011 SBA loans on record. SBA lending rankings
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 623 · 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.
Read our methodology - how this data is sourced, computed, and verified.
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.