NAICS 6223Industry group · 4-digitregional market1 market record

Specialty hospitals (except psychiatric and substance use)

This industry group comprises establishments, licensed as hospitals, primarily engaged in providing diagnostic and medical treatment to in-patients with a specific type of disease or medical condition, except psychiatric or substance use. Hospitals providing long-term care for the chronically ill and hospitals providing rehabilitation, restorative and adjustive services to physically-challenged or persons with a disability are included in this industry. Specialty hospitals may provide other services, such as out-patient services, diagnostic X-ray services, clinical laboratory services, physical therapy services, educational and vocational services, and psychological and social work services. — Statistics Canada, NAICS 2022A

Establishments · CanadaA: 245
Under 10 employeesA: 22%
Establishments · USA: 861
Employment · USA: 259,842
Payroll · USA: $20.0B

Size and shape

How many businesses there are and how small they are. Fragmentation is the first thing an entrant — or anyone selling software into this industry — needs to know, and it is one of the few things that is actually measured.

Canadian establishments by number of employeesA

1–44619%

5–983%

10–19177%

20–492611%

50–993012%

100–1992811%

200–4995121%

500+3916%

Of 245 Canadian establishments with employees, 22% have fewer than ten — an industry where large establishments carry real weight.

Where they areA

Alberta6326%

Ontario4518%

Quebec3113%

Saskatchewan3113%

Largest four provinces by establishment count. Establishments with employees only — sole operators with no payroll are not in this table, so in trades and personal services the true number of businesses is higher.

How many new establishments are still tradingA

Health Care and Social Assistance, US · opened 2020

84%

1 year

65.3%

3 years

52.6%

5 years

36.4%

10 years

opened 2015

Measured, not forecast: the share of US establishments opening in one year that were still active later. It counts good operators and bad ones together, which is exactly why it is the honest answer to “what are the odds”. It is for the whole sector rather than this market, and the ten-year figure comes from an older cohort because no younger one has reached ten years.

How businesses here compete

The structural profile of subsector 622, which every industry beneath it inherits. This is analyst judgment from how the subsector is organised — not research into this industry, and not a measurement.

regional competitionhigh capitalUNVERIFIEDinherited from 622 Hospitals

Publicly funded and governed in Canada. The market is in selling to hospitals, not in being one.

Who sets the price: Government.
The software it runs on: Hospital information systems with decade-long procurement cycles.

Market screens and studies

Market-entry records filed along this branch of the hierarchy. A record at or beneath this code is about this industry; one above it is about something wider that contains it.

Operating businessScreened

Specialty & Rehabilitation HospitalStructure decides

binding constraint: entry cost + regulatory drag

In the United States this is one of the better businesses in health care. Encompass Health, which owns in-patient rehabilitation hospitals and nothing else, reported 2025 net operating revenue of $5,935.2M, up 10.5%, and adjusted EBITDA of $1,267.9M, up 14.9%, from 173 hospitals, and opened eight more in the year [A]. A focused hospital doing one thing at volume — stroke rehabilitation, hernia repair, orthopaedics — is cheaper and better than a general hospital doing it occasionally, and the US sector's 861 establishments average about 300 staff. The cut is that the Canadian version of this business cannot be started. Ontario's Private Hospitals Act allows a private hospital to operate only under a licence issued before 29 October 1973 or a renewal of one; none has been granted since, and the handful that survive, Shouldice among them, are grandfathered [B]. Elsewhere the rehabilitation, chronic-care and cancer hospitals in this code are arms of provincial health authorities: of 245 establishments, 118 employ 100 or more, and the 63 in Alberta and 31 in Saskatchewan are most plausibly publicly run auxiliary and continuing-care hospitals. Even a grandfathered licence is not a free asset — a change of ownership needs the minister's consent, and volumes and fees are set by the provincial insurer. The reachable adjacent proposition is the non-hospital surgical or diagnostic facility working under public contract, which belongs under ambulatory care (6214), not here. The hospital software sold to this industry is screened separately at 6221.

NAICS 62234 vendors named13 sourced figuresOpen →

Software serving this industry

The vertical software markets filed along the same branch — who sells to these businesses and who they would have to displace — and then the generic categories every business buys whatever it does.

No vertical software market has been recorded along this branch. What the subsector typically runs on: Hospital information systems with decade-long procurement cycles.

And what every business buys · 25 generic categories

Sold to every industry rather than this one, so they are filed against the software industry's own code. The same few vendors recur across most of them.

Companies in this industry · 1

Every company this research names that is filed here or beneath — the operators, and the vendors that sell to them — largest disclosed revenue first. The rank is within the company’s own six-digit industry.

Company	Filed under	Revenue	Rank
Encompass HealthNYSE:EHC	Specialty hospitals (except psychiatric and substance use)6223	$5.9B	1/1

Who works here

The occupations employed in Health care and social assistance, most concentrated in it first. The share is measured against the whole sector, not this industry — the published cross-tabulation stops there.

Concentrated in this sectorA

Managers in health care One industry 98.6%

Nursing and allied health professionals One industry 95.1%

Technical occupations in dental health care One industry 89.9%

Therapy and assessment professionals One industry 89.5%

Dentists, optometrists and audiologists One industry 89%

Physicians and veterinarians One industry 88.5%

Assisting occupations in support of health services One industry 85.9%

Practitioners of natural healing One industry 83.4%

Technical occupations in therapy and assessment One industry 77.9%

Home care provider occupations One industry 72.1%

These jobs are mostly done here. An operator in this industry is competing for them against others in the same industry, not against the whole economy.

And the jobs every business has

Office administrative assistants - general, legal and medical Across the economy 22.1%

Administrative, property and payroll officers Across the economy 18.6%

Shoe repairers, shoemakers and upholsterers Across the economy 12.6%

Survey, statistical and data entry occupations Across the economy 9.3%

Administrative and financial supervisors Across the economy 7.1%

Building maintenance installers, servicers and repairers Across the economy 6.7%

Legislative and senior managers Across the economy 5.7%

Financial, insurance and related administrative support workers Across the economy 4.8%

Technical occupations in computer and information systems Across the economy 4.6%

Administrative services managers Across the economy 4.5%

Found across at least fourteen of the twenty sectors. In a small establishment several of these are usually one person, or an outside provider.

All 162 occupations →

Inside this industry

1 row sits directly beneath 6223, and 2 in all once every level is counted. Each has a base report of its own.

Code	Industry	Establishments · CA	What is known
62231	Specialty hospitals (except psychiatric and substance use)	245	screened at 6223

Alongside it, under 622 Hospitals

Code	Industry	Establishments · CA	What is known
6221	General medical and surgical hospitals	630	Hospital Operations & Capacity Software
6222	Psychiatric and substance use hospitals	74	Private Psychiatric & Addiction Hospital