Business Data & Benchmarks · United States
Elderly and Disability Support Services Revenue Benchmark
Nonresidential services that help older adults and people with disabilities live independently, from day programs to in-home support.
Average Elderly and Disability Support Services Revenue per Year 2022 Economic Census
The 2022 Economic Census counts every provider of services for the elderly and persons with disabilities with paid employees and publishes their combined annual receipts. Dividing one by the other gives the average annual revenue per employer establishment below.
≈$1,984,000 /year
Average annual gross revenue per employer establishment
38,947
Employer establishments in the United States, 2022
as published $77.3 billion
Combined annual gross revenue of employer establishments, 2022
How this is calculated: about $77.3 billion in combined annual receipts divided by 38,947 employer establishments works out to an average annual revenue of $1,984,000 per employer establishment. Public programs pay for much of this work, so reimbursement rates shape the figure more than pricing decisions do.
Scope: Services for the Elderly and Persons with Disabilities, NAICS 624120. Classified separately in group 6241: 624110 Child and Youth Services; 624190 Other Individual and Family Services. Nothing outside that code is counted on this page.
Source US Census Bureau, 2022 Economic Census, Summary Statistics (ECNBASIC): ESTAB, RCPTOT and PAYANN by NAICS · Vintage 2022 Economic Census · Calculation BusinessNES · Accessed July 2026
Employer Establishments at Year Five Varies by cohort
Individual and Family Services, NAICS 6241, the 2018 starting count compared with the count of five-year-old establishments in 2023.
47.6%the year-five count as a share of the starting count
Across the 2014 to 2018 cohorts, five-year results ranged from 36.2 to 47.6 percent. This benchmark covers Individual and Family Services, NAICS 6241, as a whole, and this category accounts for 38,947 of the 89,933 employer establishments in it. A count by age is not a survival rate, because the figures compare two headcounts rather than follow one set of businesses.
Payroll as a Share of Revenue Official data
Payroll divided by receipts, both as published for the same year.
| Measure | Value |
|---|---|
| Annual payroll share of receipts, United States | ≈52% |
Payroll share of receipts, Services for the Elderly and Persons with Disabilities, United States, 2022 Economic Census.
Approximately 52.0 percent of every revenue dollar goes to annual payroll, unusually high for a service business. The service is a person's time in someone else's home or at a day program, so there is little else to spend receipts on.
Payroll here excludes benefits, employer taxes, agency staffing and owner compensation, all of which weigh heavily where recruiting and keeping caregivers is the binding constraint.
Business Scale and Ownership Structure Official data
How large the average establishment is, and whether the population is independent operators or multi-site companies.
| Measure | Value |
|---|---|
| Paid employees per employer establishment | 39.7 |
| Employer establishments per firm | 1.27 |
Scale and ownership, Services for the Elderly and Persons with Disabilities, United States, 2022 Economic Census.
The average establishment employed about 39.7 people, and the industry counted 1.3 employer establishments per firm.
These are arithmetic industry averages. They state the size of the average establishment and show that multi-establishment ownership exists. They do not show the distribution of business sizes and they do not measure market concentration.
Questions Worth Asking BusinessNES analysis
Elderly and Disability Support Services: details the totals conceal.
Before you rely on this benchmark
- What are the reimbursement rates? Rate setting depends on the payer, the program, the contract, the service type and the jurisdiction, and rates can lag wage inflation by a budget cycle. The question that matters is when the rate was last revised, and whether travel and documentation time sit inside it.
- Where does recruiting bind? Direct support work competes with retail and hospitality wages, and unfilled shifts translate directly into unserved clients.
- What does travel between clients cost? Support delivered in homes includes travel between clients, which may be unreimbursed or excluded from billable service units, and route density affects it in ways this page does not show.
- How much of the workforce is part time? Shift patterns fit around client needs rather than full-time roles, which shapes both cost and turnover in ways the ratio cannot reveal.
- How is care coordinated with families? Support delivered at home often involves relatives as well as clients, and that coordination time may not be separately reimbursed.
- Who covers a missed shift? Clients often depend on the same worker arriving, so sickness cover is a service obligation as much as an internal staffing problem.
Explore More on BusinessNES
Neighbouring benchmark pages built from the same verified data, plus BusinessNES guides on the same subject.
Data Source Notice
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures above are from the 2022 Economic Census reference year, released by the Census Bureau in 2024 and 2025; markets have moved since.
Sources and Methodology
Revenue, establishment counts, payroll, employment and firm counts on this page come from the 2022 Economic Census, Summary Statistics, published by the US Census Bureau. Averages and shares are BusinessNES calculations from those published totals, and each one names the two figures it divides.
The Census counts employer establishments, meaning each staffed location rather than each organization, and this category mixes nonprofit and for-profit providers without separating them.