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Business phone system for nursing care facilities in Alabama

222 nursing care facilities operated in Alabama in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
222CBP 2023
Employees
21,436mid-March 2023
Per 100k residents
4.3U.S. 5.3
State rank
31st of 51by count

The nursing care facility industry in Alabama

Alabama had 222 nursing care facilities in 2023, according to Census County Business Patterns (NAICS 623110, Nursing Care Facilities (Skilled Nursing Facilities)). They employed 21,436 people in mid-March and reported $864.0 million in annual payroll. That is the 31st highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.21% of the 105,720 business establishments in the state.

Per 100,000 residents (2024 estimate) Alabama has 4.3 nursing care facilities, 19.2% below the national rate of 5.3. The average establishment has 96.6 employees against 78.7 nationally. Payroll per employee is $40,306, 9.4% below the U.S. figure of $44,479.

Nursing care facilities: Alabama compared with the U.S., 2023
MeasureAlabamaUnited States
Establishments22218,126
Mid-March employees21,4361,426,754
Annual payroll$863,996,000$63,460,785,000
Employees per establishment96.678.7
Payroll per employee$40,306$44,479
Establishments per 100,000 residents4.35.3

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.

Nursing care facilities by metro area in Alabama

Census published nursing care facility counts for 21 metro or micropolitan areas that include part of Alabama. The largest is Birmingham, AL, with 48 establishments. Single-state metro and micropolitan areas account for 82% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Nursing care facilities by metro or micropolitan area, Alabama, 2023
AreaEstablishmentsEmployeesPer 100k residents
Birmingham, AL484,4634.0
Mobile, AL211,9635.1
Montgomery, AL151,3363.9
Huntsville, AL141,2642.6
Columbus, GA-AL139434.0
Tuscaloosa, AL111,0283.9
Daphne, AL107373.8
Florence, AL98455.8
Gadsden, AL87187.8
Decatur, AL5—3.1
LaGrange, GA-AL53624.7
Albertville, AL57724.9
Alexander City, AL563312.3
Russellville, AL526615.7
Auburn, AL43201.9
Anniston, AL44673.4
Cullman, AL4—4.3
Talladega, AL4—4.4
Dothan, AL34481.9
Fort Payne, AL34984.1
Selma, AL3—8.4

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

Team sizes at nursing care facilities in Alabama

7.2% of Alabama's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 8.6% 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.

Nursing care facilities in Alabama by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees167.2%12.9%
5–9 employees31.4%4.0%
10–19 employees52.3%5.2%
20–49 employees229.9%14.3%
50 or more employees17679.3%63.5%

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 nursing care facilities in Alabama

Skilled nursing facilities field admission inquiries, family calls and calls from hospitals and physicians, and each needs to reach a different department. Reliable routing keeps admission calls from waiting behind routine questions.

Typical inbound and outbound calls for nursing care facilities in Alabama:

Business texting for nursing care facilities

Facilities text visiting updates and care-conference reminders to families.

Texting from a local number in Alabama requires carrier registration (10DLC), a one-time $49 fee on Callata.

Callata vs. per-seat pricing for nursing care facilities in Alabama

Nursing care facilities in Alabama average 96.6 employees, so the comparison uses a 97-person team. Priced per seat, 97 users would run $2,910.00 a month on RingCentral RingEX Core and $2,420.15 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata comes to $1,939.00 a month for 97 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $11,652 less than RingCentral for a nursing care facility in Alabama of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 97-person nursing care facility
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$1,939.00$23,268.00
Quo (Starter)$19.00 per user$1,843.00$22,116.00
Nextiva (Core)$23.00 per user$2,231.00$26,772.00
Ooma (Office Pro)$24.95 per user$2,420.15$29,041.80
Dialpad (Standard)$27.00 per user$2,619.00$31,428.00
RingCentral (RingEX Core)$30.00 per user$2,910.00$34,920.00

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 Alabama

Alabama has 7 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so a nursing care facility can hold a number in more than one of them.

Area codes in Alabama by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
256786Central1998938
205785Central1947659
334784Central1995483
251528Central2001none
938193Central2010256
659177Central2019205
48311Central2026334

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 nursing care facilities in Alabama

Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.

Porting a number you already use in Alabama 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 nursing care facilities are in Alabama?

222 in 2023, according to Census County Business Patterns. They employed 21,436 people in mid-March.

Which Alabama metro area has the most nursing care facilities?

Birmingham, AL, with 48 establishments in 2023.

What does a phone system cost a 97-person nursing care facility?

$2,910.00 a month on RingCentral RingEX Core or $2,420.15 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,939.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Alabama 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.