Industries › NAICS 621
Ambulatory Health Care Services
NAICS subsector 621. OSHA inspections, injury summaries, Wage and Hour cases and OFLC filings for employers classified in the subsector.
Ambulatory Health Care Services (NAICS 621) accounts for 7,316 OSHA inspections since 2016, 0.9% of all inspections, with $12M in current penalties ($1,632 per inspection; all industries $3,754).
Wage and Hour Division cases concluded in the industry number 15,050, with $274M in back wages agreed to pay. Employers in the industry filed 20,743 labor condition applications and 8,082 PERM applications in the fiscal years covered.
12,551 establishments reported 2025 injury summaries: a total recordable case rate of 2.8 per 100 full-time workers, below the 3.5 across all reporting establishments; the median reporting establishment has a rate of 1.9 (quartiles 0.0–5.7).
OSHA inspections and citations
Citations may be contested; the status shown reflects the record at the data date. Enforcement data through 14 Sep 2026.
| Measure | NAICS 621 | All industries |
|---|---|---|
| Citations per inspection | 1.8 | 1.9 |
| Current penalty per inspection | $1,632 | $3,754 |
| Share of all inspections | 1% | 100% |
Most-cited standards
| Standard | Subject | Citations |
|---|---|---|
| 1910.1030 | Bloodborne pathogens | 4,122 |
| 1910.1200 | Hazard communication | 1,775 |
| 1910.134 | Respiratory protection | 843 |
| OAR | — | 397 |
| 1910.157 | Portable fire extinguishers | 259 |
| 1910.132 | Personal protective equipment, general requirements | 257 |
| 1910.305 | Electrical, wiring methods, components and equipment | 203 |
| 1910.303 | Electrical, general requirements | 199 |
| 1910.37 | Maintenance, safeguards and operational features for exit routes | 192 |
| TDLWD | — | 159 |
Employers with the most inspections
| Employer | City | Inspections |
|---|---|---|
| The Permanente Medical Group, Inc. | Pleasanton | 30 |
| Assmca | Ponce | 21 |
| Swedish Health Services | Renton | 18 |
| Kaiser Foundation Health Plan of Wa | Spokane | 12 |
| Stanislaus County | Modesto | 12 |
| Sutter Roseville Medical Center | Roseville | 12 |
| Doctors Medical Center | Modesto | 11 |
| Advocate Health and Hospitals Corporation | Oak Brook | 10 |
| Ancora Psychiatric Hospital | Hammonton | 10 |
| Independence Healthcare, PC | Soldotna | 9 |
| American National Red Cross | Riverside | 8 |
| Borough of Paramus | Paramus | 8 |
| Laboratory Corporation of America | Seattle | 8 |
| Olympic Ambulance Service, Inc | Fife | 8 |
| Grow Op Farms LLC | Spokane Valley | 7 |
| Kadlec Regional Medical Center | Renton | 7 |
| Mobile Medical Response | Saginaw | 7 |
| Platinum Nine Holdings dba Northwest Ambulance | Everett | 7 |
| Sea Mar Community Health Centers | Seattle | 7 |
| State of Maryland | Hagerstown | 7 |
The list names employers that have a page on this site (organisations above the size floor); the totals above count every record in the files.
Injuries Form 300A summaries
Establishments submit their own Form 300A summaries; OSHA publishes the data as submitted and does not verify it. Rates are per 100 full-time workers.
Injury-rate distribution, 2025
Total recordable case rates across 8,919 establishments with at least 20,000 hours worked; the pooled rate uses all 12,551 reporting establishments' hours and cases.
| Year | Establishments | Employees | Recordable cases | TRC rate | DART rate | Median establishment |
|---|---|---|---|---|---|---|
| 2023 | 13,021 | 1,362,134 | 32,502 | 3.3 | 1.6 | 2.5 |
| 2024 | 12,849 | 1,449,158 | 31,318 | 3.1 | 1.5 | 2.3 |
| 2025 | 12,551 | 1,538,595 | 28,246 | 2.8 | 1.2 | 1.9 |
Labor Wage and Hour Division
Concluded compliance actions since fiscal year 2005; amounts are back wages the employer agreed to pay, as recorded at case conclusion. Data through 15 Jun 2026.
Acts
| Act | Violations | Back wages |
|---|---|---|
| Fair Labor Standards Act | 264,527 | $256M |
| Service Contract Act | 11,976 | $11M |
| H-1B provisions | 832 | $5.0M |
| Family and Medical Leave Act | 101,694 | $881K |
| H-2B provisions | 35 | $23K |
| Employee Polygraph Protection Act | 65 | $7,113 |
| Consumer Credit Protection Act | 12 | $2,444 |
| FLSA subminimum wage, student learners | 3 | $382 |
| FLSA child labor provisions | 222 | $0 |
| FLSA section 14(c) subminimum wage | 643 | $0 |
Employers with the largest back wages
| Employer | City | Back wages |
|---|---|---|
| CarePeople Home Health | Centreville | $3,935,771 |
| Maxim Healthcare Services, Inc | Philadelphia | $1,326,016 |
| reliance medical transport | Virginia Beach | $1,179,555 |
| Metropolitan Center for Mental Health | New York | $1,113,678 |
| Superior Ambulance Services | Elmhurst | $906,680 |
| Sterling Medical | Cincinnati | $889,929 |
| Confident Care Corp | Hackensack | $865,220 |
| Quest Diagnostics Inc. | Cambridge | $736,878 |
| Sterling Medical Associates | Cincinnati | $711,599 |
| Maxim Healthcare Services, Inc | East Houston | $499,983 |
| RHA Health Services | Goldsboro | $413,549 |
| Lifegift Organ Donation Center | Fort Worth | $388,263 |
| St. Joseph's Hospital | Elmira | $366,872 |
| Valor Healthcare, Inc. | Monaca | $359,376 |
| Excelsior Ambulance Service | Ludowici | $352,807 |
The list names employers that have a page on this site (organisations above the size floor); the totals above count every record in the files.
Immigration OFLC labor condition applications and PERM
Employer-specific case information was provided to OFLC by employers who submitted foreign labor certification applications. These are not employer responses to the Bureau of Labor Statistics' survey. Data through 30 Jun 2026.
H-1B applications by fiscal year
PERM applications by fiscal year
Employers with the most H-1B applications
| Employer | City | Applications |
|---|---|---|
| ARUP Laboratories | Salt Lake City | 207 |
| The Stepping Stones Group LLC | Boston | 198 |
| University of Pittsburgh Physicians | Pittsburgh | 197 |
| West Virginia University Medical Corporation | Morgantown | 183 |
| University of Alabama Health Services Foundation, PC | Birmingham | 171 |
| Massachusetts General Physicians Organization | Somerville | 161 |
| Teladoc Health Inc. | New York City | 144 |
| USACS Medical Group Ltd. | Canton | 138 |
| Indiana University Health Care Associates, Inc. | Indianapolis | 135 |
| Pristine Rehab Care, LLC | Diamond Bar | 135 |
| OSF Multi-Specialty Group | Peoria | 133 |
| EdTheory LLC | Pleasanton | 124 |
| SSM Health Care Group | St. Louis | 115 |
| Hartford HealthCare Medical Group, Inc. | Wethersfield | 113 |
| DaVita, Inc. | Brentwood | 106 |
The list names employers that have a page on this site (organisations above the size floor); the totals above count every record in the files.
Questions and answers
Which employers in Ambulatory Health Care Services have the most OSHA inspections?
The Permanente Medical Group, Inc. (30), Assmca (21), Swedish Health Services (18)
What is the injury rate in Ambulatory Health Care Services?
Establishments reporting for 2025 had a pooled total recordable case rate of 2.8 per 100 full-time workers; the median reporting establishment's rate is 1.9 with quartiles 0.0 to 5.7.
How many H-1B applications come from Ambulatory Health Care Services?
20,743 labor condition applications in fiscal years 2025–2026 and 8,082 PERM applications.
How much in back wages did the Wage and Hour Division find due in Ambulatory Health Care Services?
$273,780,021 agreed to pay across 15,050 concluded cases since fiscal year 2005.
Industry is the NAICS code on each record (the most common code where an employer's sources differ), grouped at the three-digit subsector. Sources: DOL enforcement data, OSHA ITA, OFLC disclosure data; see data sources and methodology.