Health Care and Social Assistance in Iowa

Health Care and Social Assistance (NAICS 621) in Iowa reports 64,808 workers across 5,544 establishments, with $4.6B of aggregate annual payroll flowing through Census CBP 2023 filings. That represents 0.7% of national employment for this industry — a concentration ratio that tells you whether Iowa is a primary labor market for this NAICS code or a smaller satellite. A share above 5% signals a meaningful regional cluster; below 1% usually means the state is not a structural fit for this industry at scale.

Wage benchmarking is where state-level data earns its keep. The average annual compensation for Health Care and Social Assistance employees in Iowa is $71,455/yr, versus a national average of $71,409/yr. Iowa pays above the national average for this industry, which usually reflects higher skill concentration, union density, or regional cost of living.

Profitability data is only available at the national level because the IRS Statistics of Income program does not publish state-level margin breakdowns. The national net profit margin for Health Care and Social Assistance is 12.4%, and while margins do vary by state, the direction of variance usually follows labor cost and establishment size — both shown above. For a complete picture, pair this state-industry view with the Health Care and Social Assistance national page (entity structure, SBA lending, sub-industries) and the Iowa overview (top employers, payroll dispersion across industries).