NAICS 624120 Quarterly Industry Report
Services for the Elderly and Persons with Disabilities
Comprehensive industry research for valuation professionals, business owners, buyers, and lenders
NAICS Code: 624120Sector: Health Care and Social Assistance (62)Updated: Q1 2026
About This Report
This industry profile for Services for the Elderly and Persons with Disabilities (NAICS 624120) draws on data from the U.S. Census Bureau[6], Administration for Community Living[9], Bureau of Labor Statistics[10], and SBA size standards database[8]. Published by Fair Market Value and updated quarterly, it provides valuation professionals, aging services analysts, and disability service investors with current market data. All quantitative claims are sourced to publicly verifiable databases.
Industry Snapshot
Key metrics for the services for the elderly and persons with disabilities industry.
NAICS Sector
62
Health Care and Social Assistance
Industry Definition & Overview
Services for the Elderly and Persons with Disabilities (NAICS 624120) encompasses establishments primarily engaged in providing nonresidential social assistance services to improve the quality of life for the elderly or persons with intellectual and developmental disabilities per the U.S. Census Bureau[5]. Covered services include adult day care centers providing supervised daytime activities, nonmedical home care delivering household assistance and companionship, senior center programming, and supportive community services for individuals with disabilities. This classification excludes medical home health care services, which fall under NAICS 621610.
Roughly 39,913 locations employ 1,267,368 workers with annual payroll exceeding $31.3 billion per Census Bureau[6] economic survey data, making this the largest employment segment within the social assistance subsector. The industry spans adult day care centers, senior centers, disability support organizations, non-medical personal care agencies, and companion service providers. Medicaid Home and Community-Based Services waivers fund a large share of services, with the aging U.S. population driving sustained demand growth. The 65-and-older population reached 58 million in 2022 per Census Bureau[7] population estimates and is projected to exceed 80 million by 2040.
Per the SBA Table of Size Standards[8], the size standard is $15 million in average annual receipts. State licensing requirements vary widely, with adult day care programs regulated by state health or aging departments. Social model adult day centers focus on structured activities and socialization, while adult day health centers add nursing and therapeutic services with correspondingly higher licensing and staffing requirements. Nonmedical home care agencies face state registration or licensing requirements that vary by jurisdiction, with some states requiring only business registration while others mandate caregiver training, background checks, and supervision protocols. The Older Americans Act administered by the Administration for Community Living[9] funds senior center programming, transportation, and supportive services through Area Agencies on Aging across 622 planning and service areas.
What's Included in This Industry
- Adult day care center operations and supervised activities
- Nonmedical home care and companion services
- Senior center programming and community activities
- Disability support services and community integration
- Transportation services for elderly and disabled individuals
- Meal programs and congregate nutrition services
- Caregiver respite and family support coordination
- Home modification and accessibility assessment services
- Benefits counseling and service navigation assistance
- Personal care assistance with daily living activities
NAICS Classification Hierarchy
| Level | Description | Code |
|---|---|---|
| Sector | Health Care and Social Assistance | 62 |
| Subsector | Social Assistance | 624 |
| Industry Group | Individual and Family Services | 6241 |
| NAICS Industry | Services for the Elderly and Persons with Disabilities | 62412 |
| National Industry | Services for the Elderly and Persons with Disabilities | 624120 |
Related NAICS Codes
| Code | Description | Relationship |
|---|---|---|
| 621610 | Home Health Care Services | Home Health Care Services deliver medical skilled nursing and therapy that complement the nonmedical personal care and companion services in this classification, with many clients receiving both medical home health and nonmedical support services simultaneously from separate provider organizations |
| 623312 | Assisted Living Facilities for the Elderly | Assisted Living Facilities for the Elderly provide residential care that community-based elderly services in this classification seek to delay or prevent through adult day programs, home modification, and nonmedical support enabling seniors to age in place longer |
| 623110 | Nursing Care Facilities (Skilled Nursing Facilities) | Nursing Care Facilities represent the institutional care alternative that community-based disability and elderly services work to prevent, with adult day health programs and personal care assistance reducing the need for skilled nursing facility admission among aging populations |
| 624110 | Child and Youth Services | Child and Youth Services share the nonresidential social assistance model and government contracting infrastructure with elderly and disability services, with both classifications delivering community-based programs funded through federal, state, and local social service agencies |
| 624190 | Other Individual and Family Services | Other Individual and Family Services provide crisis intervention and family support that connects to elderly and disability service referral networks, with case management and counseling services addressing the broader social needs of caregiving families and isolated older adults |
| 624310 | Vocational Rehabilitation Services | Vocational Rehabilitation Services deliver employment support for persons with disabilities that complements the community living support provided in this classification, with vocational and day programming working together to advance independence and community participation goals |
Geographic Concentration
Top states by share of national establishments.
| # | State | % Est. | Total Est. |
|---|---|---|---|
| 1 | Missouri | 14.9% | 6,195 |
| 2 | California | 10.2% | 4,225 |
| 3 | New York | 6.2% | 2,593 |
| 4 | Pennsylvania | 5.9% | 2,462 |
| 5 | Texas | 5.2% | 2,146 |
| 6 | Florida | 4.4% | 1,823 |
| 7 | Ohio | 3.8% | 1,561 |
| 8 | Minnesota | 2.7% | 1,113 |
| 9 | North Carolina | 2.5% | 1,040 |
| 10 | Michigan | 2.4% | 1,008 |
% Of Establishments
0%
15%
Source: County Business Patterns, U.S. Census Bureau[3]
SBA Lending Summary
1,792
Total SBA Loans
$958.1M
Total Loan Volume
$535K
Average Loan Size
12 yrs
Average Loan Term
10.04%
Average Interest Rate
42,496
Jobs Supported
Source: SBA 7(a) Program Data, U.S. Small Business Administration — FY 2025[4]
Key Insight: Per the SBA Table of Size Standards[8], Services for the Elderly and Persons with Disabilities (NAICS 624120) has a size standard of $15 million in average annual receipts for federal contracting purposes. SBA lending programs[11] support facility acquisition, program development, and operational expansion for qualifying elderly and disability service providers. Eligible businesses can access SBA 7(a) loans[12] for working capital, equipment, and acquisition financing, while 504 loans[13] support major fixed-asset purchases including real estate and heavy machinery.
Top SBA Lenders
| # | Lender | Loans | Volume | Avg Loan |
|---|---|---|---|---|
| 1 | Live Oak Banking Company | 304 | $355.7M | $1.2M |
| 2 | Harvest Small Business Finance, LLC | 32 | $65.7M | $2.1M |
| 3 | The Huntington National Bank | 168 | $40.3M | $240K |
| 4 | Newtek Bank, National Association | 96 | $32.1M | $334K |
| 5 | Dogwood State Bank | 16 | $31.8M | $2.0M |
Frequently Asked Questions
Common questions about this industry.
What is the NAICS code for adult day care and senior services?
NAICS 624120 covers services for the elderly and persons with disabilities including adult day care, nonmedical home care, senior centers, and companion services per the U.S. Census Bureau[5].
What is the SBA size standard for elderly and disability services?
The SBA size standard[8] is $15 million in average annual receipts, determining eligibility for federal small business contracting programs and SBA lending products.
How large is the elderly and disability services industry?
Roughly 39,913 locations employ 1,267,368 workers with annual payroll exceeding $31.3 billion per Census Bureau[6] economic survey data, representing the largest employment segment within social assistance services.
What is the difference between medical and nonmedical home care?
Medical home health (NAICS 621610) provides skilled nursing and therapy ordered by physicians, while nonmedical home care in this classification delivers companion services, household assistance, and personal care without clinical medical treatment per Census Bureau[5] classification guidance.
How does the Older Americans Act fund these services?
The Older Americans Act administered by the Administration for Community Living[9] funds senior center programming, congregate meals, transportation, and supportive services through 622 Area Agencies on Aging that coordinate local service delivery across every state and territory.
How fast is the elderly population growing?
The 65-and-older population reached 58 million in 2022 and is projected to exceed 80 million by 2040 per Census Bureau[7] population estimates, driving sustained demand for aging services across all community-based program types.
What licensing applies to adult day care centers?
State health or aging departments regulate adult day care programs with requirements varying by service model, with social model centers focused on activities and socialization facing lower staffing standards than adult day health centers that add nursing and therapeutic services per state licensing frameworks.
How are nonmedical home care agencies regulated?
State requirements vary from simple business registration to mandated caregiver training, background checks, and supervision protocols per state regulatory frameworks, with no uniform federal licensing standard for nonmedical personal care and companion service agencies.
Sources & References
Government datasets and editorial sources used in this report.
- [1]U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages bls.gov
- [2]U.S. Census Bureau, Economic Census census.gov
- [3]U.S. Census Bureau, County Business Patterns census.gov
- [4]U.S. Small Business Administration, SBA 7(a) Loan Program Data data.sba.gov
- [5]U.S. Census Bureau census.gov
- [6]Census Bureau data.census.gov
- [7]Census Bureau census.gov
- [8]SBA Table of Size Standards sba.gov
- [9]Administration for Community Living acl.gov
- [10]Bureau of Labor Statistics bls.gov
- [11]SBA lending programs sba.gov
- [12]SBA 7(a) loans sba.gov
- [13]504 loans sba.gov
Disclaimer
This publication has been prepared by Fair Market Value (“Fair Market Value”) for informational purposes only. It is provided on an “as-is” and “as available” basis. Fair Market Value makes no representations or warranties, express or implied, regarding the merchantability, fitness for a particular purpose, completeness, or accuracy of the data or information contained herein. This publication is not intended to be, and should not be construed as, professional financial, legal, tax, or investment advice. Users should consult with qualified professionals before making any financial or business decisions based on the information presented.
To the extent permitted by law, Fair Market Value disclaims all liability for loss or damage, direct and indirect, suffered or incurred by any person resulting from the use of, or reliance upon, the data in this publication.
Copyright © 2026 Fair Market Value. All rights reserved. All data, information, articles, graphs, and content contained in this publication are copyrighted works and Fair Market Value hereby reserves all rights. No part of this publication may be copied, reproduced, republished, uploaded to a third party, or distributed without the prior written permission of Fair Market Value.