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Size of the US Nursing and Residential Care Facilities industry

NAICS 623, Nursing and Residential Care Facilities. Every figure on this page was published by a federal statistical agency and carries its source and period. Palanor does not estimate: a period the agency didn’t publish shows as missing, and a figure it withheld shows as withheld.

Key figures

Receipts (sales, shipments or revenue)
$284 billion
2022 · Economic Census
All establishments, current dollars
Value added (GDP by industry)
$227 billion
2025 · GDP by Industry
Current dollars
Revenue, not seasonally adjusted
$98.1 billion
2026-Q2 · Quarterly Services Survey
Employer firms, current dollars
Employment
3,466,391
2026-Q1 · Quarterly Census of Employment and Wages
Private-sector jobs in the third month of each quarter
Establishments
93,367
2026-Q1 · Quarterly Census of Employment and Wages
Private ownership
Firms
42,994
2022 · Economic Census

Over time

How it has changed

Revenue, seasonally adjusted · Quarterly Services SurveyLatest $97.9 billion · 2026-Q2
2004-Q4: $37.1 billion2005-Q1: $36.8 billion2005-Q2: $37.4 billion2005-Q3: $37.8 billion2005-Q4: $38.5 billion2006-Q1: $39.1 billion2006-Q2: $39.1 billion2006-Q3: $39.4 billion2006-Q4: $39.7 billion2007-Q1: $41.1 billion2007-Q2: $41.6 billion2007-Q3: $42.7 billion2007-Q4: $43.3 billion2008-Q1: $44.1 billion2008-Q2: $44.3 billion2008-Q3: $44.1 billion2008-Q4: $44.3 billion2009-Q1: $44.6 billion2009-Q2: $45.6 billion2009-Q3: $46.2 billion2009-Q4: $46.5 billion2010-Q1: $46.9 billion2010-Q2: $47.4 billion2010-Q3: $47.5 billion2010-Q4: $48.9 billion2011-Q1: $49.1 billion2011-Q2: $49.7 billion2011-Q3: $50.1 billion2011-Q4: $49.4 billion2012-Q1: $50.6 billion2012-Q2: $50.6 billion2012-Q3: $51.0 billion2012-Q4: $50.8 billion2013-Q1: $51.5 billion2013-Q2: $51.5 billion2013-Q3: $51.7 billion2013-Q4: $52.5 billion2014-Q1: $52.4 billion2014-Q2: $52.8 billion2014-Q3: $53.9 billion2014-Q4: $54.7 billion2015-Q1: $54.9 billion2015-Q2: $55.4 billion2015-Q3: $55.7 billion2015-Q4: $55.9 billion2016-Q1: $56.5 billion2016-Q2: $57.9 billion2016-Q3: $58.0 billion2016-Q4: $58.3 billion2017-Q1: $58.3 billion2017-Q2: $57.9 billion2017-Q3: $59.2 billion2017-Q4: $60.1 billion2018-Q1: $59.4 billion2018-Q2: $60.6 billion2018-Q3: $61.2 billion2018-Q4: $61.0 billion2019-Q1: $62.7 billion2019-Q2: $62.5 billion2019-Q3: $63.3 billion2019-Q4: $63.8 billion2020-Q1: $64.5 billion2020-Q2: $65.3 billion2020-Q3: $64.9 billion2020-Q4: $65.9 billion2021-Q1: $63.7 billion2021-Q2: $66.2 billion2021-Q3: $66.7 billion2021-Q4: $68.0 billion2022-Q1: $68.6 billion2022-Q2: $70.1 billion2022-Q3: $73.4 billion2022-Q4: $73.9 billion2023-Q1: $76.5 billion2023-Q2: $79.1 billion2023-Q3: $80.4 billion2023-Q4: $82.9 billion2024-Q1: $85.2 billion2024-Q2: $86.4 billion2024-Q3: $87.9 billion2024-Q4: $90.0 billion2025-Q1: $92.2 billion2025-Q2: $93.3 billion2025-Q3: $95.4 billion2025-Q4: $94.8 billion2026-Q1: $95.4 billion2026-Q2: $97.9 billion
Show the numbers
PeriodValue
2026-Q2$97.9 billion
2026-Q1$95.4 billion
2025-Q4$94.8 billion
2025-Q3$95.4 billion
2025-Q2$93.3 billion
2025-Q1$92.2 billion
2024-Q4$90.0 billion
2024-Q3$87.9 billion
2024-Q2$86.4 billion
2024-Q1$85.2 billion
2023-Q4$82.9 billion
2023-Q3$80.4 billion
2023-Q2$79.1 billion
2023-Q1$76.5 billion
2022-Q4$73.9 billion
2022-Q3$73.4 billion
2022-Q2$70.1 billion
2022-Q1$68.6 billion
2021-Q4$68.0 billion
2021-Q3$66.7 billion
2021-Q2$66.2 billion
2021-Q1$63.7 billion
2020-Q4$65.9 billion
2020-Q3$64.9 billion
2020-Q2$65.3 billion
2020-Q1$64.5 billion
2019-Q4$63.8 billion
2019-Q3$63.3 billion
2019-Q2$62.5 billion
2019-Q1$62.7 billion
2018-Q4$61.0 billion
2018-Q3$61.2 billion
2018-Q2$60.6 billion
2018-Q1$59.4 billion
2017-Q4$60.1 billion
2017-Q3$59.2 billion
2017-Q2$57.9 billion
2017-Q1$58.3 billion
2016-Q4$58.3 billion
2016-Q3$58.0 billion
2016-Q2$57.9 billion
2016-Q1$56.5 billion
2015-Q4$55.9 billion
2015-Q3$55.7 billion
2015-Q2$55.4 billion
2015-Q1$54.9 billion
2014-Q4$54.7 billion
2014-Q3$53.9 billion
2014-Q2$52.8 billion
2014-Q1$52.4 billion
2013-Q4$52.5 billion
2013-Q3$51.7 billion
2013-Q2$51.5 billion
2013-Q1$51.5 billion
2012-Q4$50.8 billion
2012-Q3$51.0 billion
2012-Q2$50.6 billion
2012-Q1$50.6 billion
2011-Q4$49.4 billion
2011-Q3$50.1 billion
2011-Q2$49.7 billion
2011-Q1$49.1 billion
2010-Q4$48.9 billion
2010-Q3$47.5 billion
2010-Q2$47.4 billion
2010-Q1$46.9 billion
2009-Q4$46.5 billion
2009-Q3$46.2 billion
2009-Q2$45.6 billion
2009-Q1$44.6 billion
2008-Q4$44.3 billion
2008-Q3$44.1 billion
2008-Q2$44.3 billion
2008-Q1$44.1 billion
2007-Q4$43.3 billion
2007-Q3$42.7 billion
2007-Q2$41.6 billion
2007-Q1$41.1 billion
2006-Q4$39.7 billion
2006-Q3$39.4 billion
2006-Q2$39.1 billion
2006-Q1$39.1 billion
2005-Q4$38.5 billion
2005-Q3$37.8 billion
2005-Q2$37.4 billion
2005-Q1$36.8 billion
2004-Q4$37.1 billion

Source: U.S. Census Bureau, Quarterly Services Survey · Employer firms, current dollars · Agency label: Nursing and Residential Care Facilities

Value added, seasonally adjusted annual rate · GDP by IndustryLatest $235 billion · 2026-Q1
2005-Q1: $91.3 billion2005-Q2: $92.3 billion2005-Q3: $93.3 billion2005-Q4: $94.3 billion2006-Q1: $96.4 billion2006-Q2: $97.3 billion2006-Q3: $97.9 billion2006-Q4: $99.1 billion2007-Q1: $101 billion2007-Q2: $102 billion2007-Q3: $103 billion2007-Q4: $105 billion2008-Q1: $108 billion2008-Q2: $110 billion2008-Q3: $111 billion2008-Q4: $113 billion2009-Q1: $114 billion2009-Q2: $116 billion2009-Q3: $117 billion2009-Q4: $118 billion2010-Q1: $119 billion2010-Q2: $120 billion2010-Q3: $122 billion2010-Q4: $122 billion2011-Q1: $122 billion2011-Q2: $123 billion2011-Q3: $124 billion2011-Q4: $124 billion2012-Q1: $125 billion2012-Q2: $125 billion2012-Q3: $126 billion2012-Q4: $127 billion2013-Q1: $128 billion2013-Q2: $129 billion2013-Q3: $130 billion2013-Q4: $131 billion2014-Q1: $131 billion2014-Q2: $132 billion2014-Q3: $134 billion2014-Q4: $134 billion2015-Q1: $136 billion2015-Q2: $137 billion2015-Q3: $139 billion2015-Q4: $140 billion2016-Q1: $142 billion2016-Q2: $143 billion2016-Q3: $145 billion2016-Q4: $145 billion2017-Q1: $146 billion2017-Q2: $147 billion2017-Q3: $147 billion2017-Q4: $149 billion2018-Q1: $152 billion2018-Q2: $153 billion2018-Q3: $155 billion2018-Q4: $155 billion2019-Q1: $155 billion2019-Q2: $156 billion2019-Q3: $159 billion2019-Q4: $164 billion2020-Q1: $170 billion2020-Q2: $164 billion2020-Q3: $161 billion2020-Q4: $163 billion2021-Q1: $161 billion2021-Q2: $161 billion2021-Q3: $164 billion2021-Q4: $167 billion2022-Q1: $173 billion2022-Q2: $178 billion2022-Q3: $183 billion2022-Q4: $187 billion2023-Q1: $191 billion2023-Q2: $194 billion2023-Q3: $199 billion2023-Q4: $203 billion2024-Q1: $207 billion2024-Q2: $210 billion2024-Q3: $214 billion2024-Q4: $218 billion2025-Q1: $222 billion2025-Q2: $226 billion2025-Q3: $229 billion2025-Q4: $233 billion2026-Q1: $235 billion
Show the numbers
PeriodValue
2026-Q1$235 billion
2025-Q4$233 billion
2025-Q3$229 billion
2025-Q2$226 billion
2025-Q1$222 billion
2024-Q4$218 billion
2024-Q3$214 billion
2024-Q2$210 billion
2024-Q1$207 billion
2023-Q4$203 billion
2023-Q3$199 billion
2023-Q2$194 billion
2023-Q1$191 billion
2022-Q4$187 billion
2022-Q3$183 billion
2022-Q2$178 billion
2022-Q1$173 billion
2021-Q4$167 billion
2021-Q3$164 billion
2021-Q2$161 billion
2021-Q1$161 billion
2020-Q4$163 billion
2020-Q3$161 billion
2020-Q2$164 billion
2020-Q1$170 billion
2019-Q4$164 billion
2019-Q3$159 billion
2019-Q2$156 billion
2019-Q1$155 billion
2018-Q4$155 billion
2018-Q3$155 billion
2018-Q2$153 billion
2018-Q1$152 billion
2017-Q4$149 billion
2017-Q3$147 billion
2017-Q2$147 billion
2017-Q1$146 billion
2016-Q4$145 billion
2016-Q3$145 billion
2016-Q2$143 billion
2016-Q1$142 billion
2015-Q4$140 billion
2015-Q3$139 billion
2015-Q2$137 billion
2015-Q1$136 billion
2014-Q4$134 billion
2014-Q3$134 billion
2014-Q2$132 billion
2014-Q1$131 billion
2013-Q4$131 billion
2013-Q3$130 billion
2013-Q2$129 billion
2013-Q1$128 billion
2012-Q4$127 billion
2012-Q3$126 billion
2012-Q2$125 billion
2012-Q1$125 billion
2011-Q4$124 billion
2011-Q3$124 billion
2011-Q2$123 billion
2011-Q1$122 billion
2010-Q4$122 billion
2010-Q3$122 billion
2010-Q2$120 billion
2010-Q1$119 billion
2009-Q4$118 billion
2009-Q3$117 billion
2009-Q2$116 billion
2009-Q1$114 billion
2008-Q4$113 billion
2008-Q3$111 billion
2008-Q2$110 billion
2008-Q1$108 billion
2007-Q4$105 billion
2007-Q3$103 billion
2007-Q2$102 billion
2007-Q1$101 billion
2006-Q4$99.1 billion
2006-Q3$97.9 billion
2006-Q2$97.3 billion
2006-Q1$96.4 billion
2005-Q4$94.3 billion
2005-Q3$93.3 billion
2005-Q2$92.3 billion
2005-Q1$91.3 billion

Source: U.S. Bureau of Economic Analysis, GDP by Industry · Current dollars · Agency label: Nursing and residential care facilities

Employment · Quarterly Census of Employment and WagesLatest 3,466,391 · 2026-Q1
2019-Q1: 3,352,1722019-Q2: 3,368,4452019-Q3: 3,358,8692019-Q4: 3,369,1122020-Q1: 3,349,7352020-Q2: 3,149,4642020-Q3: 3,115,7942020-Q4: 3,117,8732021-Q1: 3,053,5782021-Q2: 3,018,4882021-Q3: 2,958,4762021-Q4: 2,965,7662022-Q1: 2,950,4792022-Q2: 2,982,2062022-Q3: 3,011,5442022-Q4: 3,043,6532023-Q1: 3,088,6812023-Q2: 3,161,6942023-Q3: 3,196,7722023-Q4: 3,241,0052024-Q1: 3,271,6562024-Q2: 3,321,9642024-Q3: 3,340,3432024-Q4: 3,377,7742025-Q1: 3,391,0822025-Q2: 3,424,1662025-Q3: 3,430,2802025-Q4: 3,472,3422026-Q1: 3,466,391NAICS 2022 from 2022-Q1
Show the numbers
PeriodValueNAICS
2026-Q13,466,3912022
2025-Q43,472,3422022
2025-Q33,430,2802022
2025-Q23,424,1662022
2025-Q13,391,0822022
2024-Q43,377,7742022
2024-Q33,340,3432022
2024-Q23,321,9642022
2024-Q13,271,6562022
2023-Q43,241,0052022
2023-Q33,196,7722022
2023-Q23,161,6942022
2023-Q13,088,6812022
2022-Q43,043,6532022
2022-Q33,011,5442022
2022-Q22,982,2062022
2022-Q12,950,4792022
2021-Q42,965,7662017
2021-Q32,958,4762017
2021-Q23,018,4882017
2021-Q13,053,5782017
2020-Q43,117,8732017
2020-Q33,115,7942017
2020-Q23,149,4642017
2020-Q13,349,7352017
2019-Q43,369,1122017
2019-Q33,358,8692017
2019-Q23,368,4452017
2019-Q13,352,1722017

Source: U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages · Private-sector jobs in the third month of each quarter

Employment · County Business PatternsLatest 3,278,910 · 2023
2017: 3,514,4162018: 3,527,4552019: 3,538,4962020: 3,544,5112021: 3,254,7942022: 3,195,7222023: 3,278,910
Show the numbers
PeriodValue
20233,278,910
20223,195,722
20213,254,794
20203,544,511
20193,538,496
20183,527,455
20173,514,416

Source: U.S. Census Bureau, County Business Patterns · Paid employees in the pay period including March 12

Establishments · Quarterly Census of Employment and WagesLatest 93,367 · 2026-Q1
2019-Q1: 81,8052019-Q2: 82,2722019-Q3: 82,5922019-Q4: 82,9842020-Q1: 83,2362020-Q2: 83,4342020-Q3: 83,9982020-Q4: 84,5582021-Q1: 84,6862021-Q2: 85,5952021-Q3: 86,1292021-Q4: 86,3792022-Q1: 86,4382022-Q2: 87,5242022-Q3: 87,8732022-Q4: 88,4222023-Q1: 89,4292023-Q2: 89,6742023-Q3: 90,2732023-Q4: 90,7242024-Q1: 90,5032024-Q2: 91,2182024-Q3: 91,8192024-Q4: 92,1942025-Q1: 92,2092025-Q2: 92,5732025-Q3: 92,9782025-Q4: 93,5062026-Q1: 93,367NAICS 2022 from 2022-Q1
Show the numbers
PeriodValueNAICS
2026-Q193,3672022
2025-Q493,5062022
2025-Q392,9782022
2025-Q292,5732022
2025-Q192,2092022
2024-Q492,1942022
2024-Q391,8192022
2024-Q291,2182022
2024-Q190,5032022
2023-Q490,7242022
2023-Q390,2732022
2023-Q289,6742022
2023-Q189,4292022
2022-Q488,4222022
2022-Q387,8732022
2022-Q287,5242022
2022-Q186,4382022
2021-Q486,3792017
2021-Q386,1292017
2021-Q285,5952017
2021-Q184,6862017
2020-Q484,5582017
2020-Q383,9982017
2020-Q283,4342017
2020-Q183,2362017
2019-Q482,9842017
2019-Q382,5922017
2019-Q282,2722017
2019-Q181,8052017

Source: U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages · Private ownership

Establishments · County Business PatternsLatest 94,771 · 2023
2017: 89,8762018: 90,7322019: 93,0202020: 93,1132021: 95,1752022: 95,1372023: 94,771
Show the numbers
PeriodValue
202394,771
202295,137
202195,175
202093,113
201993,020
201890,732
201789,876

Source: U.S. Census Bureau, County Business Patterns

Total wages in the quarter · Quarterly Census of Employment and WagesLatest $40.6 billion · 2026-Q1
2019-Q1: $27.4 billion2019-Q2: $27.8 billion2019-Q3: $28.4 billion2019-Q4: $29.1 billion2020-Q1: $28.7 billion2020-Q2: $29.4 billion2020-Q3: $29.0 billion2020-Q4: $31.0 billion2021-Q1: $27.5 billion2021-Q2: $28.6 billion2021-Q3: $29.7 billion2021-Q4: $31.8 billion2022-Q1: $29.5 billion2022-Q2: $31.4 billion2022-Q3: $33.6 billion2022-Q4: $33.1 billion2023-Q1: $33.5 billion2023-Q2: $34.1 billion2023-Q3: $35.1 billion2023-Q4: $36.1 billion2024-Q1: $36.5 billion2024-Q2: $36.8 billion2024-Q3: $38.0 billion2024-Q4: $39.0 billion2025-Q1: $38.8 billion2025-Q2: $39.1 billion2025-Q3: $40.1 billion2025-Q4: $41.3 billion2026-Q1: $40.6 billionNAICS 2022 from 2022-Q1
Show the numbers
PeriodValueNAICS
2026-Q1$40.6 billion2022
2025-Q4$41.3 billion2022
2025-Q3$40.1 billion2022
2025-Q2$39.1 billion2022
2025-Q1$38.8 billion2022
2024-Q4$39.0 billion2022
2024-Q3$38.0 billion2022
2024-Q2$36.8 billion2022
2024-Q1$36.5 billion2022
2023-Q4$36.1 billion2022
2023-Q3$35.1 billion2022
2023-Q2$34.1 billion2022
2023-Q1$33.5 billion2022
2022-Q4$33.1 billion2022
2022-Q3$33.6 billion2022
2022-Q2$31.4 billion2022
2022-Q1$29.5 billion2022
2021-Q4$31.8 billion2017
2021-Q3$29.7 billion2017
2021-Q2$28.6 billion2017
2021-Q1$27.5 billion2017
2020-Q4$31.0 billion2017
2020-Q3$29.0 billion2017
2020-Q2$29.4 billion2017
2020-Q1$28.7 billion2017
2019-Q4$29.1 billion2017
2019-Q3$28.4 billion2017
2019-Q2$27.8 billion2017
2019-Q1$27.4 billion2017

Source: U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages · Private ownership

Annual payroll · County Business PatternsLatest $137 billion · 2023
2017: $102 billion2018: $106 billion2019: $111 billion2020: $116 billion2021: $116 billion2022: $126 billion2023: $137 billion
Show the numbers
PeriodValue
2023$137 billion
2022$126 billion
2021$116 billion
2020$116 billion
2019$111 billion
2018$106 billion
2017$102 billion

Source: U.S. Census Bureau, County Business Patterns

The ledger

Every published measure

MeasureSourceLatestPeriodHistory
Value added (GDP by industry)Current dollarsGDP by Industry$227 billion20251997–2025 · 29 published
Value added, seasonally adjusted annual rateCurrent dollarsGDP by Industry$235 billion2026-Q12005-Q1–2026-Q1 · 85 published
EmploymentPrivate-sector jobs in the third month of each quarterQuarterly Census of Employment and Wages3,466,3912026-Q12019-Q1–2026-Q1 · 29 published
EstablishmentsPrivate ownershipQuarterly Census of Employment and Wages93,3672026-Q12019-Q1–2026-Q1 · 29 published
Total wages in the quarterPrivate ownershipQuarterly Census of Employment and Wages$40.6 billion2026-Q12019-Q1–2026-Q1 · 29 published
Annual payrollCounty Business Patterns$137 billion20232017–2023 · 7 published
EmploymentPaid employees in the pay period including March 12County Business Patterns3,278,91020232017–2023 · 7 published
EstablishmentsCounty Business Patterns94,77120232017–2023 · 7 published
Annual payrollEconomic Census$122 billion20222017–2022 · 2 published
EmploymentPaid employees in the pay period including March 12Economic Census3,175,40720222017–2022 · 2 published
EstablishmentsEconomic Census93,57620222017–2022 · 2 published
FirmsEconomic Census42,99420222017–2022 · 2 published
Receipts (sales, shipments or revenue)All establishments, current dollarsEconomic Census$284 billion20222017–2022 · 2 published
Revenue, not seasonally adjustedEmployer firms, current dollarsQuarterly Services Survey$98.1 billion2026-Q22004-Q4–2026-Q2 · 87 published
Revenue, seasonally adjustedEmployer firms, current dollarsQuarterly Services Survey$97.9 billion2026-Q22004-Q4–2026-Q2 · 87 published

Breakdown

Industries within Nursing and Residential Care Facilities

NAICSIndustrySizeEmployment
6231Nursing Care Facilities (Skilled Nursing Facilities)$135 billionReceipts · 2022 · Economic Census1,564,2732026-Q1 · QCEW
6232Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities$59.2 billionReceipts · 2022 · Economic Census700,6652026-Q1 · QCEW
6233Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly$79.9 billionReceipts · 2022 · Economic Census1,035,2302026-Q1 · QCEW
6239Other Residential Care Facilities$9.2 billionReceipts · 2022 · Economic Census166,2232026-Q1 · QCEW

Sources

Where every number comes from

Figures are in current dollars and are the agencies’ own, revised when they revise. Each program defines its universe differently (employer firms, private ownership, all establishments), so figures from different sources are not meant to add up. This page is not endorsed by the Census Bureau, BEA or BLS. The same data is in the Palanor API (/v1/industries) and the MCP (palanor_get_industry). All industries.