Continuing Care & Assisted Living: By the Numbers
29,751 establishments, 1,019,068 employees and $41.5 billion in annual payroll. Most of them run on software that records how the work gets done. Here's the industry, state by state.
Establishments
Continuing Care & Assisted Living worksites in the U.S.
Employees
About 34 per location on average
Average annual pay
$41.5 billion in total payroll
Job growth, 1 year
Year-over-year employment change
Source: U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages (QCEW), 2025 annual averages, private ownership. Establishment counts are worksites, not companies. Pulled November 4, 2026. bls.gov/cew
Most jobs
- California: 112,899 employees
- Florida: 72,283 employees
- Pennsylvania: 67,077 employees
- Texas: 53,644 employees
- Ohio: 39,848 employees
Fastest growing
Most concentrated
- Oregon: 2.32× the national share
- Wisconsin: 1.86× the national share
- Pennsylvania: 1.69× the national share
- Kansas: 1.63× the national share
- Minnesota: 1.60× the national share
All States, Ranked by Employment
| State | Establishments | Employees | Avg. pay | 1-yr jobs | Concentration |
|---|---|---|---|---|---|
| California | 5,173 | 112,899 | $46,374 | +6.8% | 0.95 |
| Florida | 2,004 | 72,283 | $39,355 | +3.7% | 1.11 |
| Pennsylvania | 862 | 67,077 | $41,132 | +0.2% | 1.69 |
| Texas | 1,438 | 53,644 | $38,740 | +2.5% | 0.58 |
| Ohio | 755 | 39,848 | $36,355 | +6.7% | 1.10 |
| Illinois | 556 | 39,304 | $40,190 | +1.7% | 0.99 |
| Wisconsin | 1,303 | 35,844 | $35,361 | +3.4% | 1.86 |
| Washington | 2,744 | 34,934 | $45,615 | +5.3% | 1.48 |
| Michigan | 1,022 | 34,837 | $37,085 | +2.9% | 1.21 |
| Virginia | 567 | 34,416 | $42,817 | +3.3% | 1.27 |
| North Carolina | 801 | 33,986 | $36,846 | +3.3% | 1.05 |
| New York | 646 | 32,384 | $44,635 | -0.9% | 0.51 |
| Minnesota | 934 | 30,866 | $38,822 | +6.6% | 1.60 |
| Oregon | 1,590 | 30,228 | $40,983 | +6.5% | 2.32 |
| Arizona | 890 | 26,861 | $41,704 | +1.3% | 1.27 |
| New Jersey | 345 | 25,384 | $47,347 | +5.1% | 0.91 |
| Massachusetts | 386 | 24,956 | $44,826 | +1.4% | 1.05 |
| Maryland | 588 | 24,679 | $45,821 | +1.2% | 1.37 |
| Georgia | 768 | 22,564 | $36,997 | +8.7% | 0.71 |
| Indiana | 387 | 20,556 | $41,217 | +1.5% | 0.98 |
| Colorado | 459 | 18,499 | $44,167 | +0.6% | 0.98 |
| Tennessee | 434 | 16,508 | $38,448 | +2.6% | 0.77 |
| Iowa | 295 | 15,680 | $38,536 | +2.3% | 1.54 |
| Kansas | 285 | 15,249 | $37,424 | +4.6% | 1.63 |
| Missouri | 470 | 15,078 | $38,842 | +4.6% | 0.79 |
| South Carolina | 377 | 14,422 | $37,137 | -1.2% | 0.95 |
| Connecticut | 198 | 12,071 | $44,037 | +4.7% | 1.09 |
| Nebraska | 216 | 9,574 | $34,324 | +4.0% | 1.43 |
| Utah | 202 | 8,378 | $29,467 | +5.1% | 0.74 |
| Alabama | 252 | 8,168 | $33,700 | +1.0% | 0.59 |
| Kentucky | 228 | 7,334 | $35,570 | +3.0% | 0.56 |
| Idaho | 238 | 7,326 | $37,019 | 0.0% | 1.28 |
| Louisiana | 181 | 6,961 | $34,479 | +1.3% | 0.55 |
| Oklahoma | 166 | 6,956 | $37,713 | +4.2% | 0.63 |
| Maine | 204 | 6,396 | $42,672 | +6.9% | 1.50 |
| New Hampshire | 112 | 5,658 | $45,808 | +2.7% | 1.25 |
| Nevada | 229 | 4,718 | $39,238 | +5.5% | 0.46 |
| Arkansas | 153 | 4,688 | $34,139 | +3.5% | 0.55 |
| Mississippi | 177 | 4,256 | $29,304 | +6.8% | 0.55 |
| Delaware | 51 | 4,004 | $44,915 | +31.6% | 1.27 |
| New Mexico | 152 | 3,936 | $36,461 | +1.2% | 0.69 |
| Montana | 146 | 3,717 | $36,901 | +7.8% | 1.11 |
| South Dakota | 113 | 3,698 | $34,420 | +5.4% | 1.23 |
| Rhode Island | 63 | 3,134 | $39,655 | 0.0% | 0.96 |
| West Virginia | 86 | 2,936 | $39,102 | -2.7% | 0.65 |
| Hawaii | 85 | 2,856 | $49,031 | +2.0% | 0.68 |
| North Dakota | 60 | 2,811 | $38,286 | -1.2% | 1.00 |
| Vermont | 59 | 2,490 | $46,815 | +3.5% | 1.23 |
| Alaska | 225 | 1,646 | $39,380 | +15.4% | 0.76 |
| District of Columbia | 38 | 1,398 | $53,182 | +3.6% | 0.29 |
| Wyoming | 39 | 972 | $33,868 | 0.0% | 0.53 |
Concentration = location quotient (1.00 = the industry's national share of jobs).
Source: U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages (QCEW), 2025 annual averages, private ownership. Establishment counts are worksites, not companies. Pulled November 4, 2026. bls.gov/cew
What This Means for Your Data
Buyers value data that is deep, large and fresh. An industry with 1,019,068 people working in software every day produces exactly that: years of operating history that the public internet doesn't have. Established organizations (roughly 20+ staff, 2+ years, software every day) fit best today.
Data Medical never asks for personal data. See what that data looks like, or text Max for a free appraisal.
Continuing Care & Assisted Living: Data FAQ
How many continuing care & assisted living are there in the U.S.?
About 29,751 private continuing care & assisted living establishments employed 1,019,068 people in 2025 (BLS QCEW annual average).
Which state has the most continuing care & assisted living jobs?
California leads with 112,899 employees across 5,173 establishments (2025, BLS QCEW).
What is the average pay in continuing care & assisted living?
The average annual pay was $40,714 in 2025, according to BLS QCEW.
Is continuing care & assisted living business data valuable to AI companies?
It can be. With about 1,019,068 people logging daily work in software, established continuing care & assisted living create years of operating records. Data Medical helps established organizations find out what their business data could be worth, free, by text with Max. Business data only, never personal data.
What's Your Company's Data Worth?
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