Special Report

America's 25 Thriving Industries

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5. HMO medical centers
> Employment change 2009-2018: +175.6%
> Employment total: 208,631
> 10-yr. change in avg. annual pay: +48.3%
> Avg. annual pay: $105,381

HMO medical centers, which typically provide outpatient care for those with health insurance, employed about 133,000 more people in 2018 than in 2009, a 175.6% increase. The Affordable Care Act, implemented within the last decade, considerably reduced the number of Americans without health insurance and with it likely increased demand for HMO services.

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4. Services for the elderly and disabled
> Employment change 2009-2018: +190.0%
> Employment total: 1.8 million
> 10-yr. change in avg. annual pay: -0.9%
> Avg. annual pay: $18,742

As the baby boomer generation ages, the demand for services for the elderly and disabled has grown — a trend that will likely continue in the coming years. In addition to in-home elderly care, this industry also includes occupations involved in caretaking as well as job training for those with intellectual and developmental disabilities. Between 2009 and 2019, employment in the industry spiked by 190%.

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3. Mobile food services
> Employment change 2009-2018: +197.9%
> Employment total: 22,370
> 10-yr. change in avg. annual pay: +29.1%
> Avg. annual pay: $18,914

The mobile food services industry is made of businesses that serve food for immediate consumption from trucks, vans, or carts. Food trucks and carts are increasingly popular options and have common sites in certain parts of urban areas — the number of mobile food vending establishments climbed by 231% between 2009 and 2018. Over the same period, the number of Americans working in the industry increased by 198%.

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2. Internet publishing and web search portals
> Employment change 2009-2018: +200.9%
> Employment total: 247,104
> 10-yr. change in avg. annual pay: +113.3%
> Avg. annual pay: $237,120

Internet publishing and web search portals is one of only two industries in the United States to report a tripling in employment between 2009 and 2018. The proliferation of online content, made more accessible than ever through smartphones, has decimated the newspaper industry and industries that support it and allowed the internet publishing industry to flourish.

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1. Breweries
> Employment change 2009-2018: +210.9%
> Employment total: 77,911
> 10-yr. change in avg. annual pay: -38.2%
> Avg. annual pay: $45,007

Overall employment in breweries climbed by 211% in the last decade, more than any other in the United States. The spike is likely largely due to the booming popularity of micro and craft brews. The number of breweries operating in the United States increased by 762% since 2009.