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Business phone system for nursing care facilities in Michigan

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

Establishments
464CBP 2023
Employees
37,636mid-March 2023
Per 100k residents
4.6U.S. 5.3
State rank
12th of 51by count

Nursing care facilities in Michigan by the numbers

The Census Bureau counted 464 nursing care facilities in Michigan in its 2023 County Business Patterns (NAICS 623110). They employed 37,636 people in mid-March and reported $1.6 billion in annual payroll. That is the 12th highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.20% of the 229,564 business establishments in the state.

Per 100,000 residents (2024 estimate) Michigan has 4.6 nursing care facilities, 14.1% below the national rate of 5.3. The average establishment has 81.1 employees against 78.7 nationally. Payroll per employee is $43,276, 2.7% below the U.S. figure of $44,479.

Nursing care facilities: Michigan compared with the U.S., 2023
MeasureMichiganUnited States
Establishments46418,126
Mid-March employees37,636 (moderate noise)1,426,754
Annual payroll$1,628,746,000 (moderate noise)$63,460,785,000
Employees per establishment81.178.7
Payroll per employee$43,276$44,479
Establishments per 100,000 residents4.65.3

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.

Where nursing care facilities in Michigan are concentrated

Census published nursing care facility counts for 26 metro or micropolitan areas that include part of Michigan. The largest is Detroit, MI, with 209 establishments. Single-state metro and micropolitan areas account for 90% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Nursing care facilities by metro or micropolitan area, Michigan, 2023
AreaEstablishmentsEmployeesPer 100k residents
Detroit, MI20917,7904.7
Grand Rapids, MI403,8263.4
Ann Arbor, MI221,2075.9
Flint, MI181,9334.5
Lansing, MI151,3453.1
Saginaw, MI141,1047.5
South Bend, IN-MI131,2274.0
Kalamazoo, MI127594.5
Muskegon, MI8—4.5
Niles, MI8—5.2
Battle Creek, MI86806.0
Traverse City, MI75204.5
Bay City, MI75736.8
Monroe, MI65133.8
Holland, MI6—4.9
Marinette, WI-MI64909.2
Alma, MI637014.5
Sturgis, MI52008.2
Jackson, MI44302.5
Adrian, MI41784.1
Midland, MI4—4.8
Mount Pleasant, MI43186.1
Marquette, MI33204.4
Cadillac, MI3—6.0
Escanaba, MI3—8.2

Top 25 of 26 areas by establishments. Source: Census CBP 2023.

Team sizes at nursing care facilities in Michigan

11.2% of Michigan's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 18.1% 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.

Nursing care facilities in Michigan by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees5211.2%12.9%
5–9 employees326.9%4.0%
10–19 employees337.1%5.2%
20–49 employees398.4%14.3%
50 or more employees30766.3%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 Michigan

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.

A few of the calls that come in to nursing care facilities in Michigan:

After-hours calls

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.

Phone system pricing for an 81-person nursing care facility

Nursing care facilities in Michigan average 81.1 employees, so the comparison uses an 81-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 81 users on RingCentral RingEX Core cost $2,430.00 a month and 81 on Ooma Office Pro cost $2,020.95. On Callata the same 81 people cost $1,619.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $9,732. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for an 81-person nursing care facility
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$1,619.00$19,428.00
Quo (Starter)$19.00 per user$1,539.00$18,468.00
Nextiva (Core)$23.00 per user$1,863.00$22,356.00
Ooma (Office Pro)$24.95 per user$2,020.95$24,251.40
Dialpad (Standard)$27.00 per user$2,187.00$26,244.00
RingCentral (RingEX Core)$30.00 per user$2,430.00$29,160.00

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 Michigan

Michigan has 13 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 codes in Michigan by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
248784Eastern1997947
313769Eastern1947679
989724Eastern2001none
734701Eastern1997679
517616Eastern1947none
231572Eastern1999none
586546Eastern2001none
269545Eastern2002none
616545Eastern1947none
810509Eastern1993none
906360Eastern and Central1961none
947211Eastern2002248
6790Eastern2025313

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 Michigan

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 Michigan, 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 Michigan?

464 in 2023, according to Census County Business Patterns. They employed 37,636 people in mid-March.

Which Michigan metro area has the most nursing care facilities?

Detroit, MI, with 209 establishments in 2023.

What does a phone system cost an 81-person nursing care facility?

$2,430.00 a month on RingCentral RingEX Core or $2,020.95 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,619.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

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