NAICS 6231Industry group · 4-digitlocal market1 market record

Nursing care facilities

SoftwareLong-Term Care & Senior Living Software 623

This industry group comprises establishments primarily engaged in providing in-patient nursing and rehabilitative services, and continuous personal care services. Individuals requiring nursing care usually require an extended stay in the care facility. — Statistics Canada, NAICS 2022A

Establishments · CanadaA: 2,423
Under 10 employeesA: 18%
Establishments · USA: 17,977
Employment · USA: 1,384,492
Payroll · USA: $59.1B

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

1–428512%

5–91546%

10–191496%

20–4935014%

50–9955923%

100–19955723%

200–49933714%

500+321%

Of 2,423 Canadian establishments with employees, 18% have fewer than ten — an industry where large establishments carry real weight.

Where they areA

Ontario78732%

Quebec52722%

British Columbia31813%

Saskatchewan1828%

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 623, 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.

local competitionhigh capitalUNVERIFIEDinherited from 623 Nursing and residential care facilities

Real estate, a licence and a labour problem together. Demographics guarantee demand; funding rates and staffing decide whether it is profitable.

Who sets the price: Government per-diem for funded beds; the operator for private-pay retirement living.
The software it runs on: Long-term-care clinical and resident management systems.

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 businessScreenedfiled at 623110

Retirement & Long-Term Care Home AcquisitionStructure decides

binding constraint: capital intensity

This is the rare traditional market where demand is proven by the operators' own numbers — Chartwell ended 2025 at 95.2% occupancy with property revenue up 34.9%, and Extendicare's long-term care segment ran at 98.0% occupancy on $892.1M — and it is still a screen, because the margin is regulated and the entry ticket is a building. Extendicare's LTC adjusted NOI margin was 10.9%: a thin, provincially funded return on an asset requiring tens of millions of capital, ongoing capex and licensed staffing a new entrant cannot recruit at scale.

NAICS 6231103 vendors named11 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.

Sold across the wider branch

Vertical softwareScreenedfiled at 623 Nursing and residential care facilities

Long-Term Care & Senior Living SoftwareOne thing must be true

binding constraint: incumbent vulnerability

Incumbent PointClickCare

Unusually fragmented for healthcare software — the top ten vendors hold roughly a quarter of revenue — which normally reads as opportunity. It is not, for the reason established in the home care study: the leaders reached the buyer first and the buyer's margins are set by Medicaid and provincial funding rather than by willingness to pay. PointClickCare is also the strongest Canadian vertical-SaaS outcome in this research and worth studying as a model rather than a target.

NAICS 6234 vendors named5 sourced figuresOpen →

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 · 5

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
Chartwell Retirement ResidencesTSX:CSH-UN	Nursing care facilities623110	$1.1B	1/5
ExtendicareTSX:EXE	Nursing care facilities623110	—	2/5
AmicaPrivate	Nursing care facilities623110	—	3/5
ReveraPrivate	Nursing care facilities623110	—	4/5
SiennaPrivate	Nursing care facilities623110	—	5/5

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.

Tagged to this industry

Nursing and allied health professionals Managers in health care

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 6231, and 2 in all once every level is counted. Each has a base report of its own.

Code	Industry	Establishments · CA	What is known
62311	Nursing care facilities	2,423	Retirement & Long-Term Care Home Acquisition

Alongside it, under 623 Nursing and residential care facilities

Code	Industry	Establishments · CA	What is known
6232	Residential facilities for persons with an intellectual or developmental disability, a mental health or substance use condition	4,091	Group Home & Supportive Living Operation
6233	Community care facilities for the elderly	3,493	Retirement Residence Operation
6239	Other residential care facilities	2,028	Group Home & Residential Care Operation