Alan Lucchetti, Deseret News
The pharmacy at Intermountain Healthcare's Salt Lake Clinic is pictured on Tuesday, Aug. 22, 2017. Intermountain Healthcare is working to reduce the number of opioid tablets its hospitals and clinics prescribe by 40 percent by the end of 2018.

Utah bucks the trend when it comes to which business is the largest in-state employer.

A new map from 24/7 Wall Street identified Walmart as the country’s largest employer in 22 different states. But in Utah, Intermountain Healthcare led the way. Utah was one of the 14 states where the biggest employer was in the health care industry.

Intermountain is also unusual in that many of the health care networks that employ large populations are a part of university health care systems, according to 24/7 Wall St.

The report excluded state government and military bases. Public universities were treated as separate from state government and considered an independent employer. In most states, employment numbers from colleges and their affiliated medical centers were combined as a single employer.

Utah employment data shows Intermountain Healthcare had the largest annual average employment as of June 2016 with 20,000-plus employees, sitting just ahead of state government (20,000-plus), the University of Utah (20,000-plus) and BYU (15,000 to 19,999). Walmart ranked fourth overall (15,000 to 19,999), followed by Hill Air Force Base (10,000 to 14,999).

Walmart continues to lead the pack nationwide overall, though, a sign that department stores aren’t dead yet.

“In an era where Amazon steals most of the headlines, it’s easy to forget about brick-and-mortar retailers like Walmart. But, even though the market values the Bezos e-commerce juggernaut at about twice the sum of Walmart, the blue big-box store is very formidable in other ways,” Visual Capitalist wrote about the map. “That’s not all, though. As today’s map shows, Walmart is dominant in one other notable way: The company is the biggest private employer in America in a whopping 22 states.”

Visual Capitalist also noted that Amazon didn’t appear anywhere on the map, not even in Washington, where it's headquartered.

Still, Visual Capitalist said the online retail company continues to grow and may soon end up on this list.

“And who knows, with over 238 bids for Amazon’s new HQ2, it’s possible that the company could be adding up to 50,000 new jobs in another state very soon.” according to Visual Capitalist.

The ongoing battle between department stores and e-commerce retailers made headlines Monday thanks to Cyber Monday, the online-only shopping day akin to Black Friday.

Online shopping was expected to jump 17 percent due to the cultural shift away from department stores toward e-commerce retailers, according to Bloomberg.