CallataGuides

Business phone system for home health care agencies in Missouri

1,452 home health care agencies operated in Missouri in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
1,452CBP 2023
Employees
23,861mid-March 2023
Per 100k residents
23.2U.S. 12.0
State rank
9th of 51by count

The home health agency industry in Missouri

Missouri had 1,452 home health care agencies in 2023, according to Census County Business Patterns (NAICS 621610, Home Health Care Services). They employed 23,861 people in mid-March and reported $844.5 million in annual payroll. That is the 9th highest count among the 51 states and DC with published figures. Home health care agencies make up 0.96% of the 151,475 business establishments in the state.

Per 100,000 residents (2024 estimate) Missouri has 23.2 home health care agencies, 94.0% above the national rate of 12.0. The average establishment has 16.4 employees against 39.7 nationally. Payroll per employee is $35,394, 7.1% below the U.S. figure of $38,091.

Home health care agencies: Missouri compared with the U.S., 2023
MeasureMissouriUnited States
Establishments1,45240,762
Mid-March employees23,8611,618,759
Annual payroll$844,526,000$61,660,393,000
Employees per establishment16.439.7
Payroll per employee$35,394$38,091
Establishments per 100,000 residents23.212.0

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Where home health care agencies in Missouri are concentrated

Census published home health agency counts for 19 metro or micropolitan areas that include part of Missouri. The largest is St. Louis, MO-IL, with 806 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 13% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Home health care agencies by metro or micropolitan area, Missouri, 2023
AreaEstablishmentsEmployeesPer 100k residents
St. Louis, MO-IL80612,37728.7
Kansas City, MO-KS4706,94720.9
Springfield, MO401,9868.0
Kirksville, MO27—90.8
Farmington, MO2523537.0
Columbia, MO2268310.0
Joplin, MO-KS163327.7
Jefferson City, MO1651410.6
St. Joseph, MO-KS1244410.1
Cape Girardeau, MO-IL121,09212.1
Sedalia, MO1123025.1
Sikeston, MO1016920.1
Kennett, MO927533.3
Poplar Bluff, MO77516.7
West Plains, MO77617.2
Hannibal, MO74918.0
Rolla, MO4—8.8
Branson, MO3465.3
Lebanon, MO3—8.2

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at home health care agencies in Missouri

68.4% of Missouri's home health care agencies with employees had fewer than five people in March 2023, compared with 35.7% nationally. 74.1% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.

Home health care agencies in Missouri by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees99368.4%35.7%
5–9 employees825.7%11.8%
10–19 employees1198.2%14.8%
20–49 employees15410.6%20.2%
50 or more employees1037.1%17.6%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

Why the phone matters for home health care agencies in Missouri

Home health agencies coordinate clinicians in the field with patients, families, physicians and payers, so the office phone is a dispatch line as much as a reception desk. Clinicians need to make calls from their own cell phones without exposing personal numbers.

A few of the calls that come in to home health care agencies in Missouri:

When nobody can pick up

Agencies typically need an after-hours path to an on-call staff member, with routine messages captured for the morning.

Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.

Callata vs. per-seat pricing for home health care agencies in Missouri

Home health care agencies in Missouri average 16.4 employees, so the comparison uses a 16-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 16 users on RingCentral RingEX Core cost $480.00 a month and 16 on Ooma Office Pro cost $399.20. On Callata the same 16 people cost $319.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $1,932. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 16-person home health agency
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$319.00$3,828.00
Quo (Starter)$19.00 per user$304.00$3,648.00
Nextiva (Core)$23.00 per user$368.00$4,416.00
Ooma (Office Pro)$24.95 per user$399.20$4,790.40
Dialpad (Standard)$27.00 per user$432.00$5,184.00
RingCentral (RingEX Core)$30.00 per user$480.00$5,760.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in Missouri

Missouri has 9 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your patients and families know, subject to carrier inventory, or port your current number for free.

Area codes in Missouri by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
573786Central1996235
816785Central1947975
314783Central1947557
417711Central1950none
660516Central1997none
636435Central1999none
55783Central2022314
23541Central2024573
97528Central2023816

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for home health care agencies in Missouri

Callata is a business phone system priced at $99 a month with 5 users included, then $20 per additional user. Callata Office includes up to 3 local business numbers, unlimited inbound calling, 1,500 pooled outbound US and Canada minutes per user each month, a browser softphone that can also ring your cell, voicemail with transcription, call recording with AI summaries, business-hours routing and E911 on every number.

If you already have a number in Missouri, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.

Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many home health care agencies are in Missouri?

1,452 in 2023, according to Census County Business Patterns. They employed 23,861 people in mid-March.

Which Missouri metro area has the most home health care agencies?

St. Louis, MO-IL, with 806 establishments in 2023.

What does a phone system cost a 16-person home health agency?

$480.00 a month on RingCentral RingEX Core or $399.20 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $319.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Missouri number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.