Healthcare and Social Assistance Industry: 2026 Market Survival & Risk Analysis
Ambulatory health care, hospitals, nursing facilities, social assistance
Healthcare and Social Assistance: 2,024,561 Establishments Nationwide
What Drives Healthcare and Social Assistance Risk
Healthcare demand follows demographics, not economic cycles. An aging population and expanding insurance coverage keep this sector growing even during recessions. Regulation varies sharply by state: licensure requirements, Medicaid expansion, certificate-of-need laws, and reimbursement rates all shape entry conditions. With over 2 million establishments, this is the most fragmented of our tracked sectors.
Healthcare and Social Assistance vs. All-Industry Average
How this sector compares to the average across all ten tracked industries.
State Leaderboards for Healthcare and Social Assistance
Lowest Entry Risk
Best overall market conditions
Highest Entry Risk
Most competitive markets
Best for Firm Retention
Highest 5-year firm survival rates
Highest Growth Momentum
Fastest new firm formation
Entry Risk by State
Geographic distribution of market entry risk for healthcare and social assistance. Click any state for detailed analysis.
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All 51 States Ranked for Healthcare and Social Assistance Entry Risk
Complete ranking of all 51 states by Entry Risk Score for healthcare and social assistance. Lower score indicates better market conditions for new entrants.
Healthcare and Social Assistance Entry Risk by State
| Rank | State | Risk Score | Classification |
|---|---|---|---|
| #1 | Utah | 22.9 | low |
| #2 | Nebraska | 23.7 | low |
| #3 | North Dakota | 26.2 | low |
| #4 | Iowa | 26.7 | low |
| #5 | District of Columbia | 27.9 | low |
| #6 | Pennsylvania | 29.5 | low |
| #7 | Idaho | 29.8 | low |
| #8 | Connecticut | 30.9 | moderate |
| #9 | Minnesota | 31.0 | moderate |
| #10 | Indiana | 31.2 | moderate |
| #11 | South Dakota | 31.4 | moderate |
| #12 | South Carolina | 31.5 | moderate |
| #13 | Montana | 33.0 | moderate |
| #14 | North Carolina | 33.0 | moderate |
| #15 | Kansas | 34.0 | moderate |
| #16 | Louisiana | 34.6 | moderate |
| #17 | Rhode Island | 36.0 | moderate |
| #18 | Wyoming | 36.4 | moderate |
| #19 | New Hampshire | 36.6 | moderate |
| #20 | Vermont | 36.7 | moderate |
| #21 | Maryland | 36.8 | moderate |
| #22 | Nevada | 37.2 | moderate |
| #23 | Mississippi | 38.3 | moderate |
| #24 | Arkansas | 39.5 | moderate |
| #25 | Virginia | 39.9 | moderate |
| #26 | Ohio | 40.2 | moderate |
| #27 | West Virginia | 40.3 | moderate |
| #28 | Georgia | 43.3 | elevated |
| #29 | Wisconsin | 43.4 | elevated |
| #30 | Illinois | 43.6 | elevated |
| #31 | Alabama | 43.6 | elevated |
| #32 | Arizona | 44.1 | elevated |
| #33 | Delaware | 44.8 | elevated |
| #34 | New Jersey | 45.1 | elevated |
| #35 | Colorado | 46.7 | elevated |
| #36 | Texas | 46.8 | elevated |
| #37 | Florida | 47.2 | elevated |
| #38 | Tennessee | 47.4 | elevated |
| #39 | New York | 48.2 | elevated |
| #40 | Massachusetts | 48.4 | elevated |
| #41 | Oklahoma | 49.7 | elevated |
| #42 | Maine | 49.9 | elevated |
| #43 | Hawaii | 50.2 | elevated |
| #44 | Alaska | 50.3 | elevated |
| #45 | Washington | 52.3 | elevated |
| #46 | Michigan | 52.5 | elevated |
| #47 | New Mexico | 53.1 | elevated |
| #48 | Kentucky | 54.4 | elevated |
| #49 | California | 54.6 | elevated |
| #50 | Oregon | 55.6 | high |
| #51 | Missouri | 55.6 | high |
Not in Healthcare and Social Assistance?
Compare entry conditions across other sectors.