Health Care and Social Assistance in South Dakota

Health Care and Social Assistance (NAICS 623) in South Dakota reports 13,185 workers across 371 establishments, with $491.7M of aggregate annual payroll flowing through Census CBP 2023 filings. That represents 0.4% of national employment for this industry — a concentration ratio that tells you whether South Dakota 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 South Dakota is $37,295/yr, versus a national average of $41,647/yr. South Dakota pays below the national average for this industry — common in lower cost-of-living states or where the industry has a smaller, less specialized local workforce.

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 15.7%, 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 South Dakota overview (top employers, payroll dispersion across industries).