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Chapter 6: The Economic Contribution of Hospitals

Chapter 6: The Economic Contribution of Hospitals. Chart 6.1: National Expenditures on Health Services and Supplies as a Percentage of Gross Domestic Product and Breakdown of National Expenditures on Health Services and Supplies 2002. $1.5 Trillion. U.S. GDP 2002. Hospital Care – 33%.

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Chapter 6: The Economic Contribution of Hospitals

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  1. Chapter 6: The Economic Contribution of Hospitals

  2. Chart 6.1:National Expenditures on Health Services and Supplies as a Percentage of Gross Domestic Product and Breakdown of National Expenditures on Health Services and Supplies 2002 $1.5 Trillion U.S. GDP 2002 Hospital Care – 33% Physician Services – 23% HealthServices and Supplies 14.3% Other Sectors 85.7% Nursing Home Care – 7% Prescription Drugs – 11% Other – 26% Source: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Chart 6.2:Number of Full Time and Part Time Hospital Employees 1992 - 2002 Thousands Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1992 – 2002, for community hospitals 59

  3. 4,500 4,000 3,500 3,000 2,500 2,000 1,500 1,000 500 0 Chart 6.3:Impact of Community Hospitals onU.S. Economy (in $ billions),2002 Ripple Effect Total Contribution Direct Effect Source: The Lewin Group, using BEA RIMS-II multipliers applied to 2002 American Hospital Association Annual Survey data Chart 6.4:Hospital Employment vs. Employment in Other Industries (in thousands)2003 In Thousands Grocerystores Offices ofphysicians Buildingequipmentcontractors Full-servicerestaurants Generalmedical &surgicalhospitals Limited-service eatingplaces Employmentservices Departmentstores Source: Department of Labor, Bureau of Labor Statistics, Current Employment Statistics Survey, custom data request 60

  4. Chart 6.5:Average Weekly Earnings, Hospitals(1) vs. All Service-Providing Industries 1990 - 2002 Hospitals All Service-ProvidingIndustries Source: Department of Labor, Bureau of Labor Statistics, Current Employment Statistics Survey (1)Includes physicians employed by hospitals. Chart 6.6:Hospital Employment by Occupation Type 2002 Healthcare Practitioner andTechnical 2,598.9 Office and Administrative Support 783.7 661.1 Healthcare Support 271.2 Other Occupations Building and Grounds Cleaning and Maintenance 199.1 186.8 Management 153.9 Food Preparation and Serving 120.7 Community and Social Services Business and FinancialOperations 85.0 Installation, Maintenance, and Repair 52.6 0 500 1,000 1,500 2,000 2,500 3,000 Number of Employees (in thousands) Source: Department of Labor, Bureau of Labor Statistics, 2002 National Industry-Specific Occupational Employment and Wage Estimates 61

  5. All Industries (Total nonfarm) Hospitals Chart 6.7:Percent Change in Employment, Seasonally-Adjusted: Hospital vs. All Industries 2001 – 2003 Source: Department of Labor, Bureau of Labor Statistics; Recession period defined by National Bureau of Economic Research (1) Recession period defined as March 2001 – November 2001 by National Bureau of Economic Research Chart 6.8:Percent of Total Regional Employment(1) by Hospitals 2002 Source: The Lewin Group analysis of American Hospital Association 2002 Annual Survey data and 2002 total nonfarm employment data from the Bureau of Labor Statistics (1) Does not include farm employment. 62

  6. Chart 6.9:Hospital Ranking Among Employers in Rural Communities 2003 Source: American Hospital Association Survey of Rural Hospitals, October 2003 Chart 6.10:Impact of Community Hospitals on U.S. Jobs (in millions)2002 Source: The Lewin Group, using BEA RIMS-II multipliers applied to 2002 American Hospital Association Annual Survey data 63

  7. Chart 6.11:Percent of Hospital Costs(1) by Type of Expense 4Q03 Other Products(e.g., Food, Medical Instruments) Professional Fees - 5.4% Prescription Drugs Utilities – 1.3% 12.2% Professional LiabilityInsurance – 0.8% 6.2% Telephone – 0.3% Other Services Postage – 0.8% Wages & Benefits 63.3% 18.4% All Other: Labor Intensive – 5.5% All Other: Non-Labor Intensive – 4.2% Source: Centers for Medicare and Medicaid Services, 2003 (1)Does not include capital. 64

  8. Industry Economic Impact Health Services $476.7 Finance, Insurance, and Real Estate 174.2 Business Services 112.6 Wholesale and Retail Trade 95.2 Other Services 88.4 Other Manufacturing 58.5 Chemicals & Allied Products and Petroleum & Coal Products 53.8 Transportation 35.5 Food products 32.3 Communications 26.4 Utilities 22.5 Construction 17.2 Farm Products & Agricultural, Forestry, and Fishing Services 16.6 Printing and Publishing 15.1 Paper and Allied Products 12.0 Mining 8.3 Electronic and Other Electric Equipment 6.9 Industrial Machinery and Equipment 5.4 Lumber & Wood Products and Furniture & Fixtures 5.0 Apparel and Other Textile Products 4.5 Forestry and Fishing Products 0.5 Total $1,267.5 Chart 6.12:Hospital Impact on Sectors of the U.S. Economy (in $ billions) 2002 Source: The Lewin Group analysis of American Hospital Association 2002 Annual Survey data using BEA industry multipliers for the hospital sector. 65

  9. Chart 6.13:Impact of Community Hospitals on U.S. Economy, All States and Total U.S., 2002 Source: The Lewin Group using BEA RIMS-II multipliers for hospital SIC Code 806 applied to American Hospital Association Annual Survey data for 2002. Expenditures are defined as net patient revenues and other operating revenues. Hospital jobs are total part time and full time jobs. Hospital labor income is defined as payroll plus benefits. The percent of total employment supported by direct and indirect hospital employment is based on BLS data. (1) Expenditures are defined as net patient revenue + other operating revenue. 66

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