Business Data & Benchmarks · United States

Nursing Home Revenue Benchmark

Skilled nursing care facilities providing inpatient nursing and rehabilitative services.

NAICS 623110, 2022 editionUnited States data by defaultSources and dates shown

Average Nursing Home Revenue per Year 2022 Economic Census

Combined receipts of skilled nursing facilities with paid employees, divided by how many such establishments the 2022 Economic Census counted.

≈$7,540,000 /year

Average annual gross revenue per employer establishment

17,951

Employer establishments in the United States, 2022

as published $135.4 billion

Combined annual gross revenue of employer establishments, 2022

How this is calculated: about $135.4 billion in combined annual revenue divided by 17,951 employer establishments works out to $7,540,000. This is an average per establishment, and averages get pulled up by large, busy operations, so a typical business may sit below it.

Scope: Nursing Care Facilities (Skilled Nursing Facilities) (NAICS 623110). Covers skilled nursing care facilities; assisted living without nursing care is a separate Census category. Employer establishments only: owner-operated businesses with no paid employees are not in these figures.

A nursing home is a licensed building operating around the clock, so its cost base runs whether beds are full or not. Occupancy is therefore a central operating measure, and the high revenue per establishment below reflects facility scale rather than pricing power.

Skilled nursing facilities are counted here; assisted living and continuing care communities without nursing care sit in separate Census categories.

Source US Census Bureau, 2022 Economic Census, Summary Statistics (ECNBASIC): ESTAB, RCPTOT and PAYANN by NAICS · Vintage 2022 Economic Census · Calculation BusinessNES · Accessed July 2026

Where these figures come from
Establishment counts and combined receipts are published figures from the official source named in each figure's source line. BusinessNES divides one by the other and rounds to the nearest $10,000; no other adjustment is made. The full chain from published figure to this page is described on the methodology page.

Data Source Notice

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures above are from the 2022 Economic Census reference year, released by the Census Bureau in 2024 and 2025; markets have moved since.

Employer Establishments at Year Five Smaller cohort

Nursing Care Facilities (Skilled Nursing Facilities), NAICS 6231, the 2018 starting count compared with the count of five-year-old establishments in 2023.

64.7%the year-five count as a share of the starting count

Five-year establishment continuation benchmarkLine chart of industry continuation: 90.2 percent at 1 year, 81.1 percent at 2 years, 74.6 percent at 3 years, 69.9 percent at 4 years, 64.7 percent at 5 years. 985 establishments first reported paid employment in 2018; BusinessNES calculation from Census BDS.100%75%50%25%0%2014-2018 cohort range: 61.9 to 69.3 percentStart: 100 percent, the starting count1 year: 90.2 percent of the starting count2 years: 81.1 percent of the starting count3 years: 74.6 percent of the starting count4 years: 69.9 percent of the starting count5 years: 64.7 percent of the starting count90.281.174.669.964.7Start1 year2 years3 years4 years5 years985 establishments first reported paid employment in 2018; BusinessNES calculation from Census BDS.
Five years on, this industry group counted about 65 establishments aged five for every 100 that first reported paid employment in 2018. Census compares counts by age rather than following the same businesses, so read it as a broad continuation indicator for the industry group, not as a tracked survival rate.

Across the 2014 to 2018 cohorts, five-year results ranged from 61.9 to 69.3 percent. The annual curve is consistent, but the age-zero cohort contained only 985 employer establishments, and smaller cohorts produce less stable results. This benchmark covers Nursing Care Facilities (Skilled Nursing Facilities), NAICS 6231, as a whole. This benchmark covers the exact four-digit industry group, but it counts establishments by age rather than tracking the same ones, so it is a continuation indicator and not a survival rate. How this is measured

Payroll as a Share of Revenue Official data

Payroll covers nursing, dietary and housekeeping staff across every shift the license requires.

Cost lineShare of receipts
Annual payroll share of receipts, United States≈43%

Payroll share of receipts, Nursing Care Facilities (Skilled Nursing Facilities), United States, 2022 Economic Census.

Approximately 43.0 percent of every revenue dollar in this category goes to annual payroll. As the census defines it, payroll includes wages, salaries, reported tips, commissions and bonuses; it excludes employer-paid benefits, employer payroll taxes, contractor payments and owner compensation. Treat it as one verified anchor, not a full labor cost breakdown. Payroll covers around-the-clock clinical and support staff and takes a large share of receipts.

This is not total labor cost or profit margin.

How to read this number
Payroll here is the census annual payroll figure, PAYANN: it includes wages, salaries, reported tips, commissions and bonuses paid to employees, and it excludes employer-paid benefits, employer payroll taxes, contractor payments and proprietor compensation. BusinessNES divides it by the same category total receipts, RCPTOT, and rounds to a whole percent.

Explore More on BusinessNES

More BusinessNES guides and rankings, plus neighboring benchmark pages built from the same verified data.

Sources and Methodology

Every figure on this page is bound to a published source, and each figure's own source line names that source precisely: the 2022 Economic Census for counts, receipts and payroll, and the Census Bureau's Business Dynamics Statistics for the industry continuation benchmark. Where a page shows a sector survival curve instead, that series comes from the Bureau of Labor Statistics.

BusinessNES performs the arithmetic on those published figures and nothing else. Receipts are divided by establishments, and payroll by receipts. The age-five establishment count is divided by the age-zero establishment count for the same four-digit industry group, then repeated across five age-zero cohorts to give a reference and a range. This category's share of its industry group comes from the same published tables. Every one of them is recomputed from the sealed source files at each release and blocks publication if it does not match. Results are rounded and marked approximate. The reference year is 2022 for revenue and payroll; treat every figure as a baseline, not today's market.

Category scope matters: these figures cover Nursing Care Facilities (Skilled Nursing Facilities) (NAICS 623110), employer establishments only. The scope note near the top of the page explains what that includes and excludes for this business type. Home health agencies, which deliver care in patients' homes, are counted separately.

Full method, sources and limits
The methodology page describes the full chain for every figure on this site: the published source, the sealed snapshot it was read from, the exact calculation if BusinessNES performed one, and the honest limits of scope and vintage. Read the methodology.

Spotted an error? Corrections are logged and published. Business data and benchmarks by BusinessNES.