Net headcount change across the 89 largest employers that grew. Omega Construction, Inc. grew fastest, up 71.4%.
The job market inWinston-Salem
172,356 people work in the Winston-Salem metro. See where they work, what they do and what they earn.
Novant Health, Inc. and Wake Forest University are the next largest employers in Winston-Salem.
The most in-demand occupation in Winston-Salem. Postings for physician are up 41.0% from a year ago.
The best-paid job function in Winston-Salem. The median across the US is $67,324.
Another 15,112 work in education services and 9,791 in retail and consumer goods.
Up 8.4% from a year earlier.
Registered nurse is the most common job title in Winston-Salem. Rehabilitation therapist is growing fastest, up 9.1% in a year.
That's the job market in Winston-Salem.
Everything behind the story, from the largest employers to what each job pays, is below.
What are the largest companies in Winston-Salem?
The largest employer in the Winston-Salem metro is Advocate Aurora Health, Inc., with about 8,053 people working in the area as of June 2026. About 172,356 people work across the metro. Total headcount in the Winston-Salem metro grew 0.35% over the past year.
Workers in the Winston-Salem metro
172,356
172,356 jobs
12-month headcount change
+0.35%
across the Winston-Salem metro
Average salary
$74,959
across employers, June 2026
How is the job market in Winston-Salem?
Winston-Salem employers had 9,685 active job postings in June 2026, up 8.4% from a year earlier. See job openings and hiring trends.
How many people work in Winston-Salem?
About 172,356 people work in the Winston-Salem metro as of June 2026, according to Revelio Labs workforce data. Total headcount in the Winston-Salem metro grew 0.35% over the past year.
Sourced from Revelio Labs workforce data.
Healthcare and wellness services is the largest industry by headcount, at 32,643 jobs, followed by education services (15,112) and retail and consumer goods (9,791). See top industries.
Advocate Aurora Health, Inc. is the largest employer, with about 8,053 people in the Winston-Salem metro. Omega Construction, Inc. grew fastest among the largest employers, up +71.4%. Employers here had 9,685 active job postings in June 2026. See hiring trends.
- Metro area
- Winston-Salem, NC
- State
- North Carolina
- Workers in the metro
- 172,356
- Largest employer
- Advocate Aurora Health, Inc.
- Largest industry
- Healthcare and Wellness Services
- 12-month change
- +0.35%
- Data as of
- June 2026
Top 15 largest companies in Winston-Salem by employees (2026)
Advocate Aurora Health, Inc. employs the most people in the Winston-Salem metro, followed by Novant Health, Inc. and Wake Forest University.
| Hiring rate Locked: talk to a workforce expert for this metric.Unlock in the full dataset | Attrition rate Locked: talk to a workforce expert for this metric.Unlock in the full dataset | ||||
|---|---|---|---|---|---|
| 1 | Advocate Aurora Health, Inc. | 8,053 | |||
| 2 | Novant Health, Inc. | 5,897 | Healthcare and Wellness | ||
| 3 | Wake Forest University | 5,495 | Education Services | ||
| 4 | University of North Carolina System | 2,472 | Education Services | ||
| 5 | Government of the United States of America | 1,984 | Public Sector Management | ||
| 6 | Gildan Activewear, Inc. | 1,601 | Apparel Retail | ||
| 7 | WSFCS | 1,398 | Engineering and Construction | ||
| 8 | British American Tobacco plc | 1,324 | Food and Beverage | ||
| 9 | RTX Corp. | 1,145 | Aerospace and Defense | ||
| 10 | Walmart, Inc. | 1,088 | Retail and Consumer Goods |
Source: Revelio Labs workforce data, Winston-Salem metro, June 2026. How we count.
This is the top 15. Revelio tracks employers across the Winston-Salem metro, with headcount by job function, hiring rate and attrition for each.
Walk through the full list with an expertTop industries in Winston-Salem in 2026
The largest industries in the Winston-Salem metro by headcount, from Revelio Labs workforce data.
Jobs by industry across the Winston-Salem metro
Healthcare and wellness services, education services and retail and consumer goods each employ more than 9,000 people here.
Loading- Healthcare and wellness services employs 32,643 people across the metro, the most of any industry.
Source: Revelio Labs, Winston-Salem, June 2026.
Fastest growing companies in Winston-Salem (2026)
Omega Construction, Inc. grew fastest, up +71.4%. 89 of the 200 largest employers in Winston-Salem added employees over the past year.
Companies growing fastest in Winston-Salem (June 2025 to June 2026)
Companies shrinking fastest in Winston-Salem (June 2025 to June 2026)
Percent change in local headcount among the largest employers in the Winston-Salem metro, June 2025 to June 2026.
The full top 10 growing and shrinking employers in Winston-Salem, and where people leaving them go next.
See the full list with an expertCompanies hiring the most in Winston-Salem (2026)
| Company | Active postings |
|---|---|
| Advocate Aurora Health, Inc. | 886 |
| Novant Health, Inc. | 269 |
| Advocate Health LLC | 265 |
Active postings as of June 2026.
Most common and in-demand jobs in Winston-Salem (2026)
Share of the Winston-Salem metro workforce by job function, from career profiles.
Workforce by job function
LoadingSource: Revelio Labs career profiles, Winston-Salem metro, June 2026.
Most common job titles
- 1Registered Nurse5,874
- 2Physician4,962
- 3Medical Administrative Assistant4,679
Fastest growing job titles
- 1Rehabilitation Therapist+9.1%
- 2Education Administrator+5.8%
- 3Real Estate Agent+4.7%
In-demand jobs in Winston-Salem
Occupations with the most active job postings in the Winston-Salem metro.
| Occupation | Active postings | 12-month change |
|---|---|---|
| Registered Nurse | 1,683 | -60.8% |
| Physician | 708 | +41.0% |
| Healthcare | 504 | +11.8% |
Source: Revelio Labs job postings data, Winston-Salem metro, June 2026. Change is active postings vs June 2025.
Winston-Salem job market: hiring trends (2026)
Winston-Salem employers had 9,685 active job postings in June 2026, up 8.4% from a year earlier.
9,685
Active job postings
as of June 2026
+8.4%
Change vs last year
active postings vs June 2025
Active job postings by month, Winston-Salem metro, Jun 2024 to Jun 2026
Loading- Winston-Salem employers had 9,685 active postings in Jun 2026, up 8.4% from Jun 2025.
- Active postings bottomed at 8,933 in Jun 2025 and peaked at 12,437 in Sep 2024.
Source: Revelio Labs job postings data, deduplicated across job boards and company career sites.
Hiring and attrition rates for every Winston-Salem employer, broken out by role.
Compare hiring rates with an expertAverage salary in Winston-Salem (2026)
Median salary by job function in Winston-Salem
Information technology pays the most. 4 of 10 functions pay above the US median.
Salaries from job postings and modeled compensation. Figures are annual base pay in USD.
Salary by role, seniority and employer in Winston-Salem, compared with any other metro.
Benchmark your pay with an expertWorkforce experts
Get custom workforce data for Winston-Salem
Site selection, an economic development report, a recruiting plan or an investment memo. A Revelio expert will walk you through the data behind this page for the employers, roles and metros you care about.
Talk to a workforce expertQuestions teams bring us
- Which Winston-Salem employers are hiring data engineers?Postings and hiring rate by role and employer
- Which in-demand occupations in Forsyth pay above $60,000?Occupations by county, with pay
- Where do people leaving Masco Corp. go next?Talent flows by company, role and metro
- What does a senior nurse earn in Winston-Salem vs Greensboro?Salary by role, seniority and location
Winston-Salem companies: frequently asked questions
Advocate Aurora Health, Inc. is the largest employer in the Winston-Salem metro, with about 8,053 people working in the area as of June 2026.
By local headcount, the 10 largest companies in Winston-Salem are Advocate Aurora Health, Inc., Novant Health, Inc., Wake Forest University, University of North Carolina System, Government of the United States of America, Gildan Activewear, Inc., WSFCS, British American Tobacco plc, RTX Corp. and Walmart, Inc., based on Revelio Labs data as of June 2026.
About 172,356 people work in the Winston-Salem metro, based on Revelio Labs data as of June 2026.
By headcount across the metro, the biggest industries are healthcare and wellness services (32,643 jobs), education services (15,112) and retail and consumer goods (9,791).
Among the largest employers in the Winston-Salem metro, Omega Construction, Inc. (+71.4%), Lifestar Emergency Services LLC (+68.6%) and Biomerics LLC (+66.4%) grew fastest from June 2025 to June 2026.
By active job postings, the most in-demand occupations in the Winston-Salem metro are registered nurse, physician and healthcare, as of June 2026.
Winston-Salem employers had 9,685 active job postings in June 2026, up 8.4% from a year earlier.
Monthly. This page reflects data as of June 2026.
Have a question this page doesn't answer? Speak with a workforce expert about Winston-Salem
How we count
Revelio Labs counts the people who work at each employer in a metro area, based on public professional profiles. Each count is the employer's headcount in the metro at the end of the month, and it includes the employer's subsidiaries. We count the whole metro area, not just the city limits. Our counts are statistical estimates, so they can come in below a company's reported headcount, especially where many workers are part-time or seasonal.
Coverage of hourly and frontline jobs
Some workers are more likely to have an online profile than others. White-collar workers show up more than blue-collar workers, and people in big cities show up more than people in smaller ones. To correct for this, Revelio weights its data by occupation, comparing it with official workforce statistics from the Bureau of Labor Statistics. For example, if only a quarter of workers in a role have a profile, each profile we see counts as about four people. Counts for employers with many hourly workers, such as retail, hospitality, and home care, depend most on this adjustment and carry the widest margin.
Cite this page
Revelio Labs. 'Largest Companies in Winston-Salem.' Data as of June 2026. reveliolabs.com/locations/cities/winston-salem-nc-job-market
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