Business phone system for home health care agencies in Washington
438 home health care agencies operated in Washington in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 438CBP 2023
- Employees
- 29,738mid-March 2023
- Per 100k residents
- 5.5U.S. 12.0
- State rank
- 25th of 51by count
Home health care agencies in Washington by the numbers
County Business Patterns counts 438 establishments in Washington classified as Home Health Care Services (NAICS 621610) for 2023. They employed 29,738 people in mid-March and reported $1.3 billion in annual payroll. That is the 25th highest count among the 51 states and DC with published figures. Home health care agencies make up 0.22% of the 202,177 business establishments in the state.
Per 100,000 residents (2024 estimate) Washington has 5.5 home health care agencies, 54.1% below the national rate of 12.0. The average establishment has 67.9 employees against 39.7 nationally. Payroll per employee is $44,335, 16.4% above the U.S. figure of $38,091.
| Measure | Washington | United States |
|---|---|---|
| Establishments | 438 | 40,762 |
| Mid-March employees | 29,738 (moderate noise) | 1,618,759 |
| Annual payroll | $1,318,443,000 (moderate noise) | $61,660,393,000 |
| Employees per establishment | 67.9 | 39.7 |
| Payroll per employee | $44,335 | $38,091 |
| Establishments per 100,000 residents | 5.5 | 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.
Where home health care agencies in Washington are concentrated
Census published home health agency counts for 14 metro or micropolitan areas that include part of Washington. The largest is Seattle, WA, with 255 establishments. Single-state metro and micropolitan areas account for 88% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Seattle, WA | 255 | 15,523 | 6.2 |
| Portland, OR-WA | 170 | 4,925 | 6.7 |
| Spokane, WA | 36 | — | 6.0 |
| Kennewick, WA | 22 | 637 | 6.9 |
| Olympia, WA | 19 | 400 | 6.3 |
| Yakima, WA | 12 | 596 | 4.6 |
| Bellingham, WA | 10 | 448 | 4.3 |
| Bremerton, WA | 9 | 70 | 3.2 |
| Port Angeles, WA | 7 | 126 | 9.0 |
| Centralia, WA | 6 | 63 | 6.9 |
| Lewiston, ID-WA | 5 | 217 | 7.6 |
| Moses Lake, WA | 4 | — | 3.8 |
| Walla Walla, WA | 4 | 73 | 6.4 |
| Pullman, WA | 3 | — | 6.2 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at home health care agencies in Washington
49.2% of Washington's home health care agencies with employees had fewer than five people in March 2023, compared with 35.7% nationally. 58.4% 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 | 214 | 49.2% | 35.7% |
| 5–9 employees | 40 | 9.2% | 11.8% |
| 10–19 employees | 45 | 10.3% | 14.8% |
| 20–49 employees | 73 | 16.8% | 20.2% |
| 50 or more employees | 63 | 14.5% | 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 Washington
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. That holds for home health care agencies in Washington as much as anywhere.
Typical inbound and outbound calls for home health care agencies in Washington:
- A family member calls to ask what time the nurse will arrive.
- A patient calls to report a missed visit.
- 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 Washington requires carrier registration (10DLC), a one-time $49 fee on Callata.
What a phone system costs a home health agency in Washington
Home health care agencies in Washington average 67.9 employees, so the comparison uses a 68-person team. Priced per seat, 68 users would run $2,040.00 a month on RingCentral RingEX Core and $1,696.60 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata comes to $1,359.00 a month for 68 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $8,172 less than RingCentral for a home health agency in Washington 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 | $1,359.00 | $16,308.00 |
| Quo (Starter) | $19.00 per user | $1,292.00 | $15,504.00 |
| Nextiva (Core) | $23.00 per user | $1,564.00 | $18,768.00 |
| Ooma (Office Pro) | $24.95 per user | $1,696.60 | $20,359.20 |
| Dialpad (Standard) | $27.00 per user | $1,836.00 | $22,032.00 |
| RingCentral (RingEX Core) | $30.00 per user | $2,040.00 | $24,480.00 |
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 Washington
Washington has 6 geographic area codes 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 |
|---|---|---|---|---|
| 360 | 786 | Pacific | 1995 | 564 |
| 509 | 762 | Pacific | 1957 | none |
| 206 | 752 | Pacific | 1947 | 564 |
| 425 | 628 | Pacific | 1997 | none |
| 253 | 508 | Pacific | 1997 | none |
| 564 | 95 | Pacific | 2017 | 206, 360 |
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 Washington
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 Washington 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 Washington?
438 in 2023, according to Census County Business Patterns. They employed 29,738 people in mid-March.
Which Washington metro area has the most home health care agencies?
Seattle, WA, with 255 establishments in 2023.
What does a phone system cost a 68-person home health agency?
$2,040.00 a month on RingCentral RingEX Core or $1,696.60 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,359.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Washington 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.