Business Data & Benchmarks · United States

Developmental Disability Facility Revenue Benchmark

Residential facilities providing care and supervision for people with intellectual and developmental disabilities, from small group homes to larger institutions.

NAICS 623210, 2022 editionUnited States data by defaultSources and dates shown

Average Developmental Disability Facility Revenue per Year 2022 Economic Census

The 2022 Economic Census counts every developmental disability facility with paid employees and publishes their combined annual receipts. Dividing one by the other gives the average annual revenue per employer establishment below.

≈$1,067,000 /year

Average annual gross revenue per employer establishment

35,437

Employer establishments in the United States, 2022

as published $37.8 billion

Combined annual gross revenue of employer establishments, 2022

How this is calculated: about $37.8 billion in combined annual receipts divided by 35,437 employer establishments works out to an average annual revenue of $1,067,000 per employer establishment. Public programs fund much of this care, so reimbursement rates shape the figure more than pricing decisions do.

Scope: Residential Intellectual and Developmental Disability Facilities, NAICS 623210. Classified separately in group 6232: 623220 Residential Mental Health and Substance Abuse Facilities. 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 Industry group

Residential intellectual and developmental disability, mental health, and substance abuse facilities, NAICS 6232, the 2018 starting count compared with the count of five-year-old establishments in 2023.

64.6%the year-five count as a share of the starting count

Five-year establishment continuation benchmarkLine chart of industry continuation: 89.9 percent at 1 year, 82.8 percent at 2 years, 79.0 percent at 3 years, 71.9 percent at 4 years, 64.6 percent at 5 years. 1,989 establishments first reported paid employment in 2018; BusinessNES calculation from Census BDS.100%75%50%25%0%2014-2018 cohort range: 64.6 to 73.7 percentStart: 100 percent, the starting count1 year: 89.9 percent of the starting count2 years: 82.8 percent of the starting count3 years: 79.0 percent of the starting count4 years: 71.9 percent of the starting count5 years: 64.6 percent of the starting count89.982.879.071.964.6Start1 year2 years3 years4 years5 years1,989 establishments first reported paid employment in 2018; BusinessNES calculation from Census BDS.
Five years on, this industry group counted about 65 establishments aged five for every 100 that first reported paid employment in 2018. Census compares counts by age rather than following the same businesses, so read it as a broad continuation indicator for the industry group, not as a tracked survival rate.

Across the 2014 to 2018 cohorts, five-year results ranged from 64.6 to 73.7 percent. This benchmark covers Residential intellectual and developmental disability, mental health, and substance abuse facilities, NAICS 6232, as a whole, and this category accounts for 35,437 of the 43,469 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.

MeasureValue
Annual payroll share of receipts, United States≈51%

Payroll share of receipts, Residential Intellectual and Developmental Disability Facilities, United States, 2022 Economic Census.

Approximately 51.0 percent of every revenue dollar goes to annual payroll, unusually high for a service business. Residents need supervision around the clock, so staffing is set by licensing and occupancy rather than by demand on any given day.

Payroll here excludes benefits, employer taxes, agency staffing and owner compensation, all of which weigh heavily where recruiting and keeping direct support staff 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.

MeasureValue
Paid employees per employer establishment15.1
Employer establishments per firm4.83

Scale and ownership, Residential Intellectual and Developmental Disability Facilities, United States, 2022 Economic Census.

The average establishment employed about 15.1 people, and the industry counted 4.8 employer establishments per firm. That is well above one establishment per firm, which fits a category where one licensed operator runs many small homes.

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

Developmental Disability Facility: what an operator checks next.

Before you rely on this benchmark

  • What are the reimbursement rates per bed? Where public programs set the rate, revenue per bed is largely fixed and the operator competes on cost rather than price, and funding routes differ across the facility types this category spans.
  • What does one operator run? Overheads can spread across several sites, which is consistent with the establishments per firm shown above.
  • What does staff turnover cost? Staff turnover in direct support roles can create recruiting, training and temporary-cover costs.
  • How is behavioral support funded? Residents with higher needs require more staff, and whether the funding follows that need decides whether the placement works financially.
  • What happens when a bed sits empty? Staffing flexibility varies by facility type, resident acuity, licensing rules and program model, so an empty bed can remove revenue while much of the cost stays in place.
  • Who documents behavioral incidents? Incident reporting may create administrative work that is not separately reimbursed.
  • How large are the facilities in this category? The Census category runs from small group homes to intermediate care facilities and institutions. Bed count changes staffing rules, funding route and capital structure, and this average spans all of them.

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 licensed home with paid staff rather than each operator, so a provider running twenty homes contributes twenty establishments.