Self-employment method
Other ambulatory health care services
57,807 people filed as a nonemployer business under this industry code in 2022 — no payroll, no employees, just them. These are gross receipts reported to the IRS, before any expense is taken out.
Median GROSS RECEIPTS for the year — money in, before rent, materials, fuel, insurance or tax. This is not take-home pay.
Share who grossed under $10,000 for the whole year — before expenses.
The middle half, in gross receipts. A quarter of filers took less than the lower figure.
Source: US Census Bureau, Nonemployer Statistics 2022 · view
How often it does not work out
Of the 57,807 people who filed under this code in 2022, 49.75% grossed under $10,000 for the entire year — before a single expense was deducted.
That is a floor, not an estimate. Census publishes GROSS RECEIPTS, not net income. Everyone inside that share earned less than the figure suggests once rent, materials, mileage, insurance and self-employment tax came out — and filers who grossed well above the threshold may still have netted nothing. The true share of people who earn nothing meaningful from this is higher than the number above, never lower.
Denominator: establishments_total = 57,807 · US Census Bureau, Nonemployer Statistics 2022 · view
Every filer, by what they grossed
The full receipts distribution as Census publishes it. The median above is interpolated inside whichever band contains the 50th percentile, so this table is what that figure is derived from.
| Gross receipts for the year | Filers | Share |
|---|---|---|
| Under $5,000 | 19,753 | 34.2% |
| $5,000 to $9,999 | 9,004 | 15.6% |
| $10,000 to $24,999 | 11,769 | 20.4% |
| $25,000 to $49,999 | 7,495 | 13.0% |
| $50,000 to $99,999 | 5,212 | 9.0% |
| $100,000 to $249,999 | 3,592 | 6.2% |
| $250,000 to $499,999 | 764 | 1.3% |
| $500,000 to $999,999 | 145 | 0.3% |
| $1,000,000 to $2,499,999 | 73 | 0.1% |
Who this suits
Median gross receipts of $10,187 put the typical filer somewhere between a serious side income and a failing attempt at a full-time one, and the receipts figure alone cannot tell you which.
57,807 people filed under this code, almost none of whom appear in any employment statistic. Other ambulatory health care services is part of the economy salary surveys simply do not see.
7.9% cleared $100,000 in receipts. That is a meaningful upper tier and it is worth asking what separates them, because it is rarely effort alone.
Independent health and social care is licensed, insured and reimbursement-driven; it suits people who can run the billing side as seriously as the care side.
There is no training requirement to file under this code — which is precisely why so many people appear in the bottom bands. Entry being free is not the same as the work being viable.
Who should not do this
The top quarter of Other ambulatory health care services earns 9.4x the bottom quarter — under $3,658 against over $34,437, a spread of $30,779. Distributions this stretched are usually two different jobs sharing one label, and any average across them means little.
The bottom quarter of Other ambulatory health care services earns under $3,658 — $46,362 below the $50,020 a typical American job pays. Entering at the bottom and waiting is a live risk here, not a theoretical one, and some people never leave that quarter.
Do not start this without understanding reimbursement timelines. Being owed money by a payer is not the same as being paid.
Of the 57,807 people who filed as Other ambulatory health care services in 2022, 49.8% grossed under $10,000 for the year — 28,758 people who did not clear a part-time wage in revenue, let alone in profit.
Read that as a floor, not an estimate. Census publishes gross receipts, not net income, so everyone inside that share earned less than $10,000 suggests once costs came out — and filers who grossed well above $10,000 may still have netted nothing.
What the spread tells you
A ratio of 9.4x between the quarters is the signature of a winner-take-most distribution. $10,187 is a real number about a real population, but nobody entering Other ambulatory health care services should plan around it.
In cash terms the middle half of Other ambulatory health care services runs $3,658 to $34,437 — $30,779 a year between the 25th and 75th percentiles, against a midpoint of $10,187.
Getting to $34,437, the 75th percentile, is worth $24,250 a year more than the $10,187 midpoint and $30,779 more than the $3,658 a quarter of Other ambulatory health care services settle for.
Per hour at a standard full-time year that is $4.89 at the midpoint for Other ambulatory health care services, $1.75 at the 25th percentile and $16.55 at the 75th, against $24.04 for the typical American job.
Counted straight off the return: 19,753 filers grossed under $5,000, 9,004 took $5,000 to $9,999, 11,769 took $10,000 to $24,999, 4,574 cleared $100,000 and 982 cleared $250,000.
What these figures are, and what they are not
Every figure above is GROSS RECEIPTS, before expenses — money that arrived before rent, materials, fuel, insurance and self-employment tax. The $10,187 midpoint for Other ambulatory health care services is not take-home pay and is not comparable to a $10,187 salary.
With no unpaid-hours or cost data for Other ambulatory health care services, the hourly figure is $10,187 over a 2,080-hour year — a unit conversion, not an adjustment.
How this is calculated · Self-employment failure rates · Look up something else