Business phone system for home health care agencies in South Dakota
57 home health care agencies operated in South Dakota in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 57CBP 2023
- Employees
- 2,181mid-March 2023
- Per 100k residents
- 6.2U.S. 12.0
- State rank
- 48th of 51by count
How many home health care agencies operate in South Dakota
South Dakota had 57 home health care agencies in 2023, according to Census County Business Patterns (NAICS 621610, Home Health Care Services). They employed 2,181 people in mid-March and reported $94.4 million in annual payroll. That is the 48th highest count among the 51 states and DC with published figures. Home health care agencies make up 0.20% of the 29,106 business establishments in the state.
Per 100,000 residents (2024 estimate) South Dakota has 6.2 home health care agencies, 48.6% below the national rate of 12.0. The average establishment has 38.3 employees against 39.7 nationally. Payroll per employee is $43,283, 13.6% above the U.S. figure of $38,091.
| Measure | South Dakota | United States |
|---|---|---|
| Establishments | 57 | 40,762 |
| Mid-March employees | 2,181 | 1,618,759 |
| Annual payroll | $94,401,000 | $61,660,393,000 |
| Employees per establishment | 38.3 | 39.7 |
| Payroll per employee | $43,283 | $38,091 |
| Establishments per 100,000 residents | 6.2 | 12.0 |
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.
Home health care agencies by metro area in South Dakota
Census published home health agency counts for 4 metro or micropolitan areas that include part of South Dakota. The largest is Sioux Falls, SD-MN, with 23 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 18% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Sioux Falls, SD-MN | 23 | 1,190 | 7.5 |
| Sioux City, IA-NE-SD | 12 | — | 8.2 |
| Rapid City, SD | 7 | 320 | 4.5 |
| Pierre, SD | 3 | — | 14.6 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at home health care agencies in South Dakota
25.0% of South Dakota's home health care agencies with employees had fewer than five people in March 2023, compared with 35.7% nationally. 37.5% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 14 | 25.0% | 35.7% |
| 5–9 employees | 7 | 12.5% | 11.8% |
| 10–19 employees | 12 | 21.4% | 14.8% |
| 20–49 employees | 14 | 25.0% | 20.2% |
| 50 or more employees | 9 | 16.1% | 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.
What home health care agencies in South Dakota use the phone for
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.
Calls a home health agency in South Dakota might handle in a typical week include:
- The office calls to confirm next week's visit schedule.
- A hospital discharge planner calls with a new referral.
- A clinician in the field calls the office about a schedule change.
Business texting for home health care agencies
Agencies use texting to confirm visit windows with patients and families.
Texting from a local number in South Dakota requires carrier registration (10DLC), a one-time $49 fee on Callata.
Phone system pricing for a 38-person home health agency
Home health care agencies in South Dakota average 38.3 employees, so the comparison uses a 38-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 38 users on RingCentral RingEX Core cost $1,140.00 a month and 38 on Ooma Office Pro cost $948.10. Callata comes to $759.00 a month for 38 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $4,572 less than RingCentral for a home health agency in South Dakota of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $759.00 | $9,108.00 |
| Quo (Starter) | $19.00 per user | $722.00 | $8,664.00 |
| Nextiva (Core) | $23.00 per user | $874.00 | $10,488.00 |
| Ooma (Office Pro) | $24.95 per user | $948.10 | $11,377.20 |
| Dialpad (Standard) | $27.00 per user | $1,026.00 | $12,312.00 |
| RingCentral (RingEX Core) | $30.00 per user | $1,140.00 | $13,680.00 |
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 South Dakota
South Dakota has 1 geographic area code in service according to NANPA. Callata includes up to 3 local numbers, so a home health agency can hold a number in more than one of them.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 605 | 745 | Central and Mountain | 1947 | none |
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 South Dakota
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.
Porting a number you already use in South Dakota is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.
AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–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 South Dakota?
57 in 2023, according to Census County Business Patterns. They employed 2,181 people in mid-March.
Which South Dakota metro area has the most home health care agencies?
Sioux Falls, SD-MN, with 23 establishments in 2023.
What does a phone system cost a 38-person home health agency?
$1,140.00 a month on RingCentral RingEX Core or $948.10 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $759.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a South Dakota 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.