Health Care and Social Assistance ·NAICS 623

NAICS 623 · IRS SOI (C corp) · Census CBP 2023

Nursing and Residential Care Facilities - Industry Benchmarks

$41,647/yr average annual pay, with 3,011 SBA loans on record for NAICS 623.

5.3%
Health Care and Social Assistance sector margin: 3.3M
Workers employed: $41,647/yr
Avg payroll / employee: $3.4B
SBA lending, FY20–26

Data updated August 2026

The verdict · NAICS 623

California leads Nursing and Residential Care Facilities activity nationally. IRS SOI doesn't publish margin data at this NAICS level, but the broader Health Care and Social Assistance sector runs a 5.3% net margin.

5.3%
Health Care and Social Assistance sector margin (IRS SOI): 3.3M
Workers employed (Census CBP): $41,647/yr
Avg payroll / employee: $3.4B
SBA lending, FY20–26

Use Nursing and Residential Care Facilities's NAICS benchmark as a comparison point, not a forecast for one business.

Nursing and Residential Care Facilities is reported here with financial measures from IRS Statistics of Income and workforce measures from Census County Business Patterns. The page keeps those source systems distinct, shows unavailable fields rather than estimating them, and links the underlying industry context so readers can compare the same NAICS activity before interpreting a margin or payroll figure.

Source: IRS SOI (C corporation headline) and Census County Business Patterns 2023

Benchmarking Insights for Nursing and Residential Care Facilities

Nursing and Residential Care Facilities sits inside Health Care and Social Assistance, a sector that runs a 5.3% net margin overall.

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.

Nursing and Residential Care Facilities sits in the 84th percentile for employment among 3-digit NAICS industries with reported data.

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.

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Workforce scale

Establishment size, Nursing and Residential Care Facilities (Census SUSB)

Business Structure Breakdown

Per-entity IRS SOI tables at their own vintages, shares only when every row shares one year (never mix 2013/2017/2022 populations).

Sole Proprietorship SOI 2022

152,485 returns 100%

Margin: 15.7% · Receipts: $10.4B

Financial Detail

Annual Payroll (Total): $136.6B
Avg Employees per Establishment: 34.6

Sub-Industries

Industry	Profit Margin	Employment	Avg Payroll/Emp
Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly NAICS 6233	N/A	963,870	$36,655/yr
Nursing Care Facilities (Skilled Nursing Facilities) NAICS 6231	N/A	1,426,754	$44,479/yr
Other Residential Care Facilities NAICS 6239	N/A	118,478	$43,624/yr
Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities NAICS 6232	N/A	769,808	$42,344/yr

Top States by Employment

State	Employment	Establishments	Annual Payroll	Avg Payroll/Emp
California	319,384	11,007	$14.8B	$46,282/yr
New York	224,886	6,024	$11.2B	$49,887/yr
Pennsylvania	191,371	4,391	$8.1B	$42,391/yr
Texas	188,874	4,710	$7.0B	$37,207/yr
Florida	184,824	4,499	$7.5B	$40,536/yr
Ohio	151,349	3,690	$5.7B	$37,871/yr
Illinois	134,862	3,217	$5.6B	$41,657/yr
Minnesota	105,640	4,937	$4.1B	$38,338/yr
Massachusetts	103,123	3,161	$5.0B	$48,587/yr
New Jersey	101,354	2,406	$4.8B	$47,175/yr

Showing top 10 of 51 states

SBA Lending Activity

SBA FY2020–2026

SBA 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

View SBA lending rankings →

Frequently Asked Questions

How profitable is Nursing and Residential Care Facilities?

IRS SOI doesn't publish margin data at the NAICS 623 level. California leads this industry nationally. The broader Health Care and Social Assistance sector runs a 5.3% net margin (IRS SOI 2013 C corp).

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.

Nationwide industries with similar benchmark drivers

Two IRS/Census peer sets for Nursing and Residential Care Facilities, both at NAICS level 3 and excluding this code so the neighborhoods are not self-links.

According to Census County Business Patterns 2023, Nursing and Residential Care Facilities ranks #12 of 77 U.S. industries at the 3-digit NAICS level by total employment.

Similar workforce scale

Nearest peer industries by ABS(Census employment) (3,278,910 here).

Food and Beverage Stores 3,333,898 Insurance Carriers and Related Activities 2,964,086 Credit Intermediation and Related Activities 2,953,663

Read with this industry: Industry employment trends · Health Care and Social Assistance · 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 · CBP 2023 · IRS SOI

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 Accessed 2026-07-06

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.