Health Care Careers

Industry Earnings

Average earnings of nonsupervisory workers in most health care segments are higher than the average for all private industry, with hospital workers earning considerably more than the average and those employed in nursing and residential care facilities and home health care services earning less (table 4). Average earnings often are higher in hospitals because the percentage of jobs requiring higher levels of education and training is greater than in other segments. Those segments of the industry with lower earnings employ large numbers of part-time service workers.

Table 4. Average earnings and hours of nonsupervisory workers in health services by industry segment, 2004
Industry segmentEarningsWeeklyhours
WeeklyHourly

Total, private industry

$528.56$15.6733.7

Health care

572.8317.3233.1

Hospitals

715.1220.3135.2

Medical and diagnostic laboratories

634.7918.1535.0

Offices of physicians

613.8218.4133.4

Outpatient care centers

631.3818.5734.0

Other ambulatory healthcare services

498.6514.3234.8

Offices of dentists

510.8118.9626.9

Offices of other health practitioners

453.9116.0028.4

Home health care services

415.1214.4128.8

Nursing and residential care facilities

393.5812.0532.7

As in most industries, professionals and managers working in health care typically earn more than other workers in the industry. Earnings in individual health care occupations vary as widely as the duties, level of education and training, and amount of responsibility required by the occupation (table 5). Some establishments offer tuition reimbursement, paid training, child day care services, and flexible work hours. Health care establishments that must be staffed around the clock to care for patients and handle emergencies often pay premiums for overtime and weekend work, holidays, late shifts, and time spent on call. Bonuses and profit-sharing payments also may add to earnings.

Earnings vary not only by type of establishment and occupation, but also by size; salaries tend to be higher in larger hospitals and group practices. Geographic location also can affect earnings.

Table 5. Median hourly earnings of the largest occupations in health services, May 2004
OccupationAmbulatory health care servicesHospitalsNursing and residential care facilitiesAll industries

Registered nurses

$23.69$25.66$22.93$25.16

Licensed practical and
licensed vocational nurses

15.5915.7116.9516.33

Dental assistants

13.6014.02-13.62

Medical secretaries

12.8812.6012.0012.76

Medical assistants

11.7712.0310.8511.83

Office clerks, general

11.0711.089.6210.50

Receptionists and
information clerks

10.7611.7910.4010.95

Nursing aides, orderlies,
and attendants

9.8210.439.7810.09

Home health aides

8.589.698.848.81

Personal and home
care aides

7.058.548.858.12

Although some hospitals have unions, the health care industry is not heavily unionized. In 2004, only 11 percent of workers in the industry were members of unions or covered by union contracts, compared with about 14 percent for all industries.

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