Healthcare and Social Assistance in Missouri: 2026 Market Risk Report
Entry risk 55.6 (High), ranked #51 of 51 states. 65,040 establishments, 442,798 jobs.
Entry Risk Assessment
Lower is better. Relative to national healthcare and social assistance average.
Despite ranking top 5 in growth momentum, Missouri presents structural entry friction. Wage pressure (54.7) and an overall risk score of 55.6 indicate that top-line growth may not translate to favorable unit economics for new establishments.
65,040 Establishments in Missouri
Missouri vs National Healthcare and Social Assistance Average
How Missouri's healthcare and social assistance market compares to the national average across all 51 states.
| Metric | MO | National | Difference |
|---|---|---|---|
| Entry Risk Score | 55.6 | 40.5 | +15.1 |
| 5-Year Retention | 2.0% | 51.0% | -49.0 |
| Growth Momentum | 88.4 | 46.8 | +41.6 |
| Market Volatility | 16.3 | 27.8 | -11.6 |
| Establishment Density | 45.8 | 12.9 | +32.9 |
| Wage Pressure | 54.7 | 49.0 | +5.7 |
Green = favorable vs national average. Red = less favorable. Metrics are relative within healthcare and social assistance only.
Missouri Ranks #51 of 51 for Healthcare and Social Assistance
Missouri ranks #51 out of 51 states for healthcare and social assistance market entry conditions.
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 |
| #51 | Missouri You | 55.6 | high |
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Data Sources
- Business Dynamics Statistics (BDS), U.S. Census Bureau. Firm entries, exits, and survival rates by state and sector.
- Quarterly Census of Employment and Wages (QCEW), Bureau of Labor Statistics. Establishment counts, employment, and wages.
Data period: 2024. Last updated: February 2026. Next refresh expected: Q2 2026 (BLS QCEW update).
Compare to Another State
How does Missouri stack up against other states for healthcare and social assistance?
Healthcare and Social Assistance in Neighboring States
How Missouri's healthcare and social assistance market compares to bordering states.