Bellwether League, Inc. Heads up: Healthcare among dominant industries per states

Short of healthcare representing nearly 20% of the gross domestic product (GDP) of the United States circa 2020, should anyone doubt the influence and power of healthcare as an economic force they need only look to how healthcare enterprises stack up as an employer per state.

Based on the latest data from the U.S. Centers for Medicare & Medicaid Services (CMS), domestic healthcare spending increased 9.7% in 2020 to $4.1 trillion or $12,530 per person. As a share of the GDP, CMS listed health spending at 19.7%. These represent the most recent available data as of December 2021.

Meanwhile, the insightful online business media outlet "24/7 Wall Street" dissected the data even further by tracking industry dominance by state per data available in 2019.

Per "24/7 Wall Street" calculations and reporting, the largest industry in 42% of states is healthcare — that's 21 of 50 states. The site reported its findings by listing "GDP of largest industry ($, billions)," "Largest industry GDP as share of all industries (%)," "Employment in largest industry" and "Average annual compensation in largest industry ($)."

What did "24/7 Wall Street" find?

Ambulatory healthcare services accounted for the largest industry in 12 states: Alabama, Arizona, Arkansas, Colorado, Florida, Maryland, Minnesota, Mississippi, Missouri, New Jersey, Tennessee and Vermont.

Insurance accounted for the largest industry in 7 states: Connecticut, Illinois, Iowa, Nebraska, New Hampshire, Rhode Island and Wisconsin.

Hospitals accounted for the largest industry in 3 states: Maine, Massachusetts and Montana.

After healthcare, monetary authorities (e.g., banking, etc.) accounted for the largest industry in 7 states: Delaware, Georgia, New York, North Carolina, Ohio, South Dakota and Utah.

State GDP of largest Industry ($, billions) Largest industry GDP as share of all industries ($) Employment in largest industry Average annual compensation in largest industry ($)
Ambulatory healthcare services
Alabama 10.4 4.5 100,031 64,553
Arizona 17.0 4.6 172,433 63,809
Arkansas 5.8 4.4 59,796 64,186
Colorado 14.0 3.6 139,996 63,608
Florida 51.4 4.6 521,568 64,552
Maryland 15.8 3.7 150,609 66,638
Minnesota 17.0 4.4 156,050 76,583
Mississippi 5.1 4.4 51,535 59,647
Missouri 12.3 3.7 120,333 N/A
New Jersey 27.2 4.3 244,625 64,942
Tennessee 18.2 4.8 155,995 66,230
Vermont 1.6 4.8 17,271 60,521
Insurance
Connecticut 23.0 8.0 61,923 138,398
Illinois 45.7 5.2 139,611 99,628
Iowa 18.5 9.5 52,046 84,186
Nebraska 11,1 8.6 30,137 72,765
New Hampshire 4.3 4.9 13.599 92,107
Rhode Island 3.2 5.2 10,612 86,263
Wisconsin 18.9 5.4 71,709 78,377
Hospitals
Maine 3.3 4.8 33,559 64,486
Massachusetts 22.1 3.7 198,546 76,723
Montana 2.5 4.7 25,583 65,511