Business phone system for nursing care facilities in Maryland
337 nursing care facilities operated in Maryland in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 337CBP 2023
- Employees
- 24,627mid-March 2023
- Per 100k residents
- 5.4U.S. 5.3
- State rank
- 19th of 51by count
The nursing care facility industry in Maryland
The Census Bureau counted 337 nursing care facilities in Maryland in its 2023 County Business Patterns (NAICS 623110). They employed 24,627 people in mid-March and reported $1.2 billion in annual payroll. That is the 19th highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.24% of the 142,967 business establishments in the state.
Per 100,000 residents (2024 estimate) Maryland has 5.4 nursing care facilities, in line with the national rate of 5.3. The average establishment has 73.1 employees against 78.7 nationally. Payroll per employee is $48,169, 8.3% above the U.S. figure of $44,479.
| Measure | Maryland | United States |
|---|---|---|
| Establishments | 337 | 18,126 |
| Mid-March employees | 24,627 | 1,426,754 |
| Annual payroll | $1,186,252,000 | $63,460,785,000 |
| Employees per establishment | 73.1 | 78.7 |
| Payroll per employee | $48,169 | $44,479 |
| Establishments per 100,000 residents | 5.4 | 5.3 |
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.
Maryland's largest markets for nursing care facilities
Census published nursing care facility counts for 9 metro or micropolitan areas that include part of Maryland. The largest is Philadelphia, PA-NJ-DE-MD, with 335 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 55% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Philadelphia, PA-NJ-DE-MD | 335 | 31,569 | 5.3 |
| Washington, DC-VA-MD-WV | 207 | 15,421 | 3.2 |
| Baltimore, MD | 165 | 11,485 | 5.8 |
| Cumberland, MD-WV | 11 | 1,047 | 11.7 |
| Hagerstown, MD-WV | 10 | 928 | 3.2 |
| Salisbury, MD | 7 | 806 | 5.3 |
| Lexington Park, MD | 6 | 728 | 2.8 |
| Ocean Pines, MD | 4 | 261 | 7.4 |
| Easton, MD | 3 | 211 | 7.8 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at nursing care facilities in Maryland
22.0% of Maryland's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 27.3% 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.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 74 | 22.0% | 12.9% |
| 5–9 employees | 18 | 5.3% | 4.0% |
| 10–19 employees | 25 | 7.4% | 5.2% |
| 20–49 employees | 39 | 11.6% | 14.3% |
| 50 or more employees | 181 | 53.7% | 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.
Calls a nursing care facility in Maryland has to catch
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.
Calls a nursing care facility in Maryland might handle in a typical week include:
- A hospital discharge planner calls about an admission.
- A pharmacy calls to confirm medication orders.
- A family member calls for an update on a resident.
Calls after closing time
Facilities run around the clock, so after-hours calls need to reach the nursing station or a supervisor rather than a voicemail box.
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 nursing care facilities in Maryland
Nursing care facilities in Maryland average 73.1 employees, so the comparison uses a 73-person team. On a per-user plan that headcount sets the bill: $1,821.35 a month on Ooma Office Pro or $2,190.00 on RingCentral RingEX Core at list price (checked September 28, 2026). On Callata the same 73 people cost $1,459.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $8,772. Some vendors discount annual contracts; the table shows month-to-month prices.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $1,459.00 | $17,508.00 |
| Quo (Starter) | $19.00 per user | $1,387.00 | $16,644.00 |
| Nextiva (Core) | $23.00 per user | $1,679.00 | $20,148.00 |
| Ooma (Office Pro) | $24.95 per user | $1,821.35 | $21,856.20 |
| Dialpad (Standard) | $27.00 per user | $1,971.00 | $23,652.00 |
| RingCentral (RingEX Core) | $30.00 per user | $2,190.00 | $26,280.00 |
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 Maryland
Maryland has 6 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your residents and families know, subject to carrier inventory, or port your current number for free.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 240 | 785 | Eastern | 1997 | 227, 301 |
| 443 | 785 | Eastern | 1997 | 410, 667 |
| 301 | 784 | Eastern | 1947 | 240, 227 |
| 410 | 783 | Eastern | 1991 | 443, 667 |
| 667 | 452 | Eastern | 2012 | 410, 443 |
| 227 | 141 | Eastern | 2023 | 240, 301 |
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 Maryland
For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.
If you already have a number in Maryland, 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 nursing care facilities are in Maryland?
337 in 2023, according to Census County Business Patterns. They employed 24,627 people in mid-March.
Which Maryland metro area has the most nursing care facilities?
Philadelphia, PA-NJ-DE-MD, with 335 establishments in 2023.
What does a phone system cost a 73-person nursing care facility?
$2,190.00 a month on RingCentral RingEX Core or $1,821.35 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,459.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Maryland 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.