Healthcare and Social Assistance in North Dakota: 2026 Market Risk Report
Entry risk 26.2 (Low), ranked #3 of 51 states. 3,293 establishments, 64,172 jobs.
Entry Risk Assessment
Lower is better. Relative to national healthcare and social assistance average.
North Dakota presents favorable entry conditions for healthcare and social assistance: low overall risk (26.2), limited market saturation (bottom half), and firm retention in the top 5. The combination is uncommon across the national dataset.
3,293 Establishments in North Dakota
North Dakota vs National Healthcare and Social Assistance Average
How North Dakota's healthcare and social assistance market compares to the national average across all 51 states.
| Metric | ND | National | Difference |
|---|---|---|---|
| Entry Risk Score | 26.2 | 40.5 | -14.3 |
| 5-Year Retention | 100.0% | 51.0% | +49.0 |
| Growth Momentum | 26.6 | 46.8 | -20.2 |
| Market Volatility | 37.2 | 27.8 | +9.4 |
| Establishment Density | 9.4 | 12.9 | -3.5 |
| Wage Pressure | 39.6 | 49.0 | -9.4 |
Green = favorable vs national average. Red = less favorable. Metrics are relative within healthcare and social assistance only.
North Dakota Ranks #3 of 51 for Healthcare and Social Assistance
North Dakota ranks #3 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 You | 26.2 | low |
| #4 | Iowa | 26.7 | low |
| #5 | District of Columbia | 27.9 | low |
Tap a state to view details
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 North Dakota stack up against other states for healthcare and social assistance?
Healthcare and Social Assistance in Neighboring States
How North Dakota's healthcare and social assistance market compares to bordering states.