bio-health in ohio: manufacturing output · bio-health in ohio: manufacturing output the variety of...

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Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio 11 industries from three groups produced goods for use by the health care providers. Their combined output added approximately $3 billion in value (about 2.5 per- cent of all manufacturing output from Ohio) according to the latest economic census. Pharmaceuticals and medi- cines (NAICS 3254, blue and green) accounted for about 39 percent of the total; medical, dental and ophthalmic goods (3391, red, gold and white) combined for about 45 percent, while the two electro-medical-therapeutic and irradiation equipment industries (33451, yellow) com- bined for an estimated 16 percent of the cluster’s output. Pharmaceutical preparations (325412) was the single largest industry at about 34 percent, followed by sur- gical and medical instruments, appliances and supplies (339112-3) at about 18 percent each; combined, they account for about 70 percent of the cluster’s output. Values-added by the remaining eight industries were: electro-medical/electro-therapeutic apparatus (334510) $344.2 million; ophthalmic goods (339115) $140.0 mil- lion; biological and diagnostic substances (combined only, 325413-4) $135.5 million; dental lab products (339116) $82.0 million; dental equipment and supplies (339114) $50.9 million; uncompounded medicinal and botanical substances (325411, and usually prepared for pharmaceutical companies) $8.1 million. Irradiation apparatus (334517) value-added is unavailable, but may have ranged from $100-$150 million. Ohio’s Shares of the Cluster’s Output 3.7 percent of U.S. ophthalmic goods (contact lenses, sun-, eye- and reading-glasses, frames, and protective eyewear) came from Ohio in 2012, as judged by value- added, while 3.4 percent of the U.S. gross domestic pro- duct (GDP) originated here, indicating this specific indus- try’s concentration in the state.* The percentages of U.S. value-added by other specific industries in Ohio ranged from 0.1 to 2.3. Group Production Trends in Ohio Production for most of the cluster has fluctuated in re- cent years, with value-added ranging from about $2.50 to $3.50 billion. This reflects variations in pharmaceuti- cal, etc. output (blue, $1.15 to $2.04 billion) more than variations in medical equipment and supplies (red, $1.35 to $1.65 billion). Similarly, pharmaceutical output from Ohio as a percent of the national total ranged from 0.9 to 1.5, while medical equipment and supplies output ranged from 2.1 to 2.6 percent of the corresponding total.^ Notes: * Manufacturing GDP calculations start with value- added data, then subtract the costs of purchased services; ^ more specific industry data are available only from the quinquennial Census of Manufactures. Value-Added in Ohio by Industry (in millions) Source: U.S. Census Bureau, 2015 Ohio’s Shares of U.S. Output, 2012 Industries Percent of U.S. Summary 1.3% 3254: Pharmaceuticals & Medicines 0.9% 325411: Medicinal & Botanical Substances 0.1% 325412: Pharmaceuticals Preparations 1.0% 325413, 4: In-Vitro Diagnostics & Other Biologicals 0.5% 334510: Electro-medical/therapeutic Apparatus 1.8% 334517: Irradiation Apparatus n.a. 3391: Medical Eqpt. & Supplies 2.2% 339112: Surgical & Medical Instruments 2.1% 339113: Surgical Appliances & Supplies 2.1% 339114: Dental Eqpt. & Supplies 1.6% 339115: Ophthalmic Goods 3.7% 339116: Dental Labs 2.3% n.a. not available. Source: U.S. Census Bureau, 2015 Value-Added Trends in Ohio by Group (in millions) Source: U.S. Census Bureau 325412: Pharma'l, $1,023, 34% 32541o: Med'l-Bio'l- Diag'c, $144, 5% 339112,3: Med'l-Surg'l IAS, $1,092, 36% 339114,6: Dent'l Eqpt, Supplies, Labs, $133, 4% 339115: Ophthalmic, $140, 5% Total: ~ $3,000 334510,7:Electro-Med'l-Ther'c- Irrad'n, $444? - $494?, ~ 16% $2,040 $1,167 $1,150 $1,194 $1,663 $1,860 $1,444 $1,365 $1,347 $1,424 $1,651 $1,564 $0 $500 $1,000 $1,500 $2,000 $2,500 $3,000 $3,500 $4,000 2011 2012 2013 2014 2015 2016 3254: Pharmaceuticals, etc. 3391: Medical Eqpt. & Supplies $2,497 $3,314 $2,618 $3,483 $2,531 $3,424

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Page 1: Bio-Health in Ohio: Manufacturing Output · Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio • 11 industries from three groups produced goods for use by

Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio

• 11 industries from three groups produced goods for use by the health care providers. Their combined output added approximately $3 billion in value (about 2.5 per-cent of all manufacturing output from Ohio) according to the latest economic census. Pharmaceuticals and medi-cines (NAICS 3254, blue and green) accounted for about 39 percent of the total; medical, dental and ophthalmic goods (3391, red, gold and white) combined for about 45 percent, while the two electro-medical-therapeutic and irradiation equipment industries (33451, yellow) com-bined for an estimated 16 percent of the cluster’s output.

• Pharmaceutical preparations (325412) was the single largest industry at about 34 percent, followed by sur-gical and medical instruments, appliances and supplies (339112-3) at about 18 percent each; combined, they account for about 70 percent of the cluster’s output.

• Values-added by the remaining eight industries were: electro-medical/electro-therapeutic apparatus (334510) – $344.2 million; ophthalmic goods (339115) – $140.0 mil-lion; biological and diagnostic substances (combined only, 325413-4) – $135.5 million; dental lab products (339116) – $82.0 million; dental equipment and supplies (339114) – $50.9 million; uncompounded medicinal and botanical substances (325411, and usually prepared for pharmaceutical companies) – $8.1 million. Irradiation apparatus (334517) value-added is unavailable, but may have ranged from $100-$150 million.

Ohio’s Shares of the Cluster’s Output

• 3.7 percent of U.S. ophthalmic goods (contact lenses, sun-, eye- and reading-glasses, frames, and protective eyewear) came from Ohio in 2012, as judged by value-added, while 3.4 percent of the U.S. gross domestic pro-duct (GDP) originated here, indicating this specific indus-try’s concentration in the state.*

• The percentages of U.S. value-added by other specific industries in Ohio ranged from 0.1 to 2.3.

Group Production Trends in Ohio

• Production for most of the cluster has fluctuated in re-cent years, with value-added ranging from about $2.50 to $3.50 billion. This reflects variations in pharmaceuti-cal, etc. output (blue, $1.15 to $2.04 billion) more than variations in medical equipment and supplies (red, $1.35 to $1.65 billion).

• Similarly, pharmaceutical output from Ohio as a percent of the national total ranged from 0.9 to 1.5, while medical equipment and supplies output ranged from 2.1 to 2.6 percent of the corresponding total.^

Notes: * – Manufacturing GDP calculations start with value-added data, then subtract the costs of purchased services; ^ – more specific industry data are available only from the quinquennial Census of Manufactures.

Value-Added in Ohio by Industry (in millions)

Source: U.S. Census Bureau, 2015

Ohio’s Shares of U.S. Output, 2012

Industries Percent of U.S.

Summary 1.3%

3254: Pharmaceuticals & Medicines 0.9% 325411: Medicinal & Botanical Substances 0.1% 325412: Pharmaceuticals Preparations 1.0% 325413, 4: In-Vitro Diagnostics & Other Biologicals 0.5%

334510: Electro-medical/therapeutic Apparatus 1.8% 334517: Irradiation Apparatus n.a.

3391: Medical Eqpt. & Supplies 2.2% 339112: Surgical & Medical Instruments 2.1% 339113: Surgical Appliances & Supplies 2.1% 339114: Dental Eqpt. & Supplies 1.6% 339115: Ophthalmic Goods 3.7% 339116: Dental Labs 2.3%

n.a. – not available. Source: U.S. Census Bureau, 2015

Value-Added Trends in Ohio by Group (in millions)

Source: U.S. Census Bureau

325412: Pharma'l,

$1,023, 34%

32541o: Med'l-Bio'l-

Diag'c, $144, 5%

339112,3: Med'l-Surg'l IAS, $1,092,

36%

339114,6: Dent'l Eqpt, Supplies,

Labs, $133, 4%

339115: Ophthalmic,

$140, 5%

Total: ~ $3,000

334510,7:Electro-Med'l-Ther'c-Irrad'n, $444? - $494?, ~ 16%

$2,040

$1,167 $1,150 $1,194

$1,663$1,860

$1,444

$1,365 $1,347$1,424

$1,651$1,564

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

2011 2012 2013 2014 2015 2016

3254: Pharmaceuticals, etc. 3391: Medical Eqpt. & Supplies

$2,497

$3,314

$2,618

$3,483

$2,531

$3,424

Page 2: Bio-Health in Ohio: Manufacturing Output · Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio • 11 industries from three groups produced goods for use by

Bio-Health in Ohio: Manufacturing Employment

The Distribution and Concentration of Industry Jobs in Ohio

• 15,800-plus people worked in 401 bio-health manufac-turing establishments in 2016. 9,700-plus made various medical, dental and ophthalmic goods (NAICS 3391, red, gold and white), followed 3,700-plus making phar-maceuticals, etc. (3254, blue and green), and close to 2,400 producing electro-medical-therapeutic and irradi-ation equipment (33451p, yellow). These were 61.3, 23.6 and 15.1 percent of the industry jobs here.

• The 15,800-plus are 2.6 percent of all such U.S. jobs. By comparison, Ohio had 3.8 percent of all private sector U.S. jobs (excluding rail and farm).

• National employment in three specific industries is con-centrated here: irradiation apparatus (334517) – 6.4 per-cent of the U.S. total; ophthalmic goods (339115) – 5.1 percent; and dental equipment and supplies (339113) – 4.5 percent.

Changing Employment Levels in Ohio

• Cluster employment usually fluctuated around 16,000 during 2011-2016, except for the spike to 19,100 in 2012. The spike was due to the jump in electro-medi-cal-therapeutic employment from estimates of 635 in 2011 to 3,347 in 2012, followed by a partial pull-back to 1,333 in 2013.* No overall trend is apparent. Along this same line, cluster employment as a portion of the corre-sponding national total ranged from 2.6 to 2.8 percent, with 2012 the exception at 3.1 percent.

• Within the cluster, net employment gains in some speci-fic industries were collectively offset by net losses in others, resulting in the aggregated net decline of 400-plus here. Nationally, an overall the gain in the pharma-ceuticals, etc. group more than offset the generally lower employment in the medical-dental-ophthalmic group, with little net change in electro-medical-therapeutic-ir-radiation sub-cluster. In other words, changes in Ohio were not necessarily part of changes across the nation.

A Projection for Ohio Employment

• The Ohio Dept. of Job and Family Services’ Labor Mar-ket Information division (ODJFS-LMI) projects employers in the medical, dental and ophthalmic goods group will add 130 jobs from 2014 to 2024, growing 1.3 percent.^

Notes: * – County Business Patterns data use mid-March employment; by contrast, economic census data, which cov-ered all of 2012, showed an average of 1,200; ^ – ODJFS-LMI group employment figures for 2014 differ from the Cen-sus Bureau’s due to methodological differences between the agencies; also, ODJFS-LMI does not make projections for industry groups with less than 5,000 jobs such as pharma-ceuticals, etc. nor for 6-digit NAICS code industries (electro-medical-therapeutic and irradiation apparatus in this case).

Bio-Health Jobs in Ohio by Industry

Source: U.S. Census Bureau, 2018

Employment Changes in Ohio (in thousands)

Source: U.S. Census Bureau

A Projection for Ohio Employment

Source: ODJFS-LMI, 2014

325412: Pharma'l,

3,223, 20%

32541o: Med'l-Bio'l-Diag'c, 528,

3%

339112,3: Med'l-Surg'l IAS, 6,574,

42%

339114,6: Dent'l Eqpt, Supplies,

Labs, 1,865, 12%

339115: Ophthalmic,

1,282, 8%

334510,7: Electro-Med'l-

Ther'c-Irrad'n, 2,389,

15%

Total: 15,861

4.2 4.3 4.4 4.53.6 3.8

1.9

4.62.6 2.5

2.1 2.4

10.1

10.3

9.6 9.610.2 9.7

0.0

4.0

8.0

12.0

16.0

20.0

2011 2012 2013 2014 2015 2016

3391: Medical, Dental, Ophthalmic 3345P: Electro-Med'l, Ther'c, Irrad'n

3254: Pharmaceuticals, etc.

16.615.9 15.9

16.3

19.1

16.5

9,640 9,770

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

2014 2024

3391: Medical, Dental & Ophthalmic Goods

Page 3: Bio-Health in Ohio: Manufacturing Output · Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio • 11 industries from three groups produced goods for use by

Bio-Health in Ohio: Manufacturing Companies Companies in Ohio

• 401 company establishments manufacture pharmaceuti-cals (NAICS 3254), electro-therapeutic/irradiation appa-ratus (33451p) and medical equipment and supplies (3391) in Ohio. The largest employers are listed in the near-right column, while other Fortune U.S.-1,000 or Global 500 companies are listed in the far-right column.

• Companies producing pharmaceuticals include Pharma-Force, Perkinelmer, Pfizer, Procter & Gamble, Ross Pro-ducts, Teva and West-Ward, while the other companies make the apparatus, equipment and supplies. Cardinal is involved in all aspects of bio-health manufacturing.

Capital Expenditures in Ohio

• Capital expenditures for bio-health manufacturing in Ohio ranged from $110 to $328 million, with an average of 67.5 percent going into the pharmaceuticals and med-icines group (NAICS 3254, light blue).1

• Ohio absorbed 2.4 percent of U.S. capital expenditures in pharmaceuticals, etc. during 2011-2016. This was greater than the percentage of U.S. value-added here, perhaps indicating industrial modernization or some potential for future growth here.

• Ohio’s portion of U.S. capital expenditures in medical equipment and supplies (3391, red) also averaged 2.4 percent. This matched the corresponding portion of value-added here, perhaps indicating the industry’s continuing commitment to manufacturing in Ohio.

Major Projects Announced

• 35 companies announced 41 major projects during the last four years, intending to invest $668 million. 2,690 new jobs were anticipated at the times of the announce-ments.2

• PharmaForce [sic] led all investors with $145 million. Others investing at least $50 million include Roxane and its successor West-Ward, Alkermes, and Xellia.

• Four companies anticipated adding at least 200 jobs: Inogen, Piping Rock Health Products, Steris and Xellia.

• 77.2 percent of the dollars were intended for pharma-ceuticals, etc., which also anticipated 48.4 percent of the new jobs; 22.0 percent of dollars were for medical equip-ment and supplies with an associated 49.3 percent of anticipated new jobs.

Notes: 1 – More industry-specific capital expenditures data for Ohio are available only from the quinquennial economic census; figures for electro-medical/therapeutic and irradiation apparatus (334510 & 334517) combined for less than $26 million in 2012. 2 – A major project involves at least $1 mil-lion, 20 to 50 new jobs, or an addition of 20,000 square feet. Projects may be phased in over several years; they are not comparable with capital expenditures.

Leading and Notable Companies in Ohio

Employment Believed >500 Other Notables________

Abbott Labs*/Ross Products Dentsply Sirona*/ Atricure Ransom & Randolph Cardinal Health*^ Daiichi-Sankyo*/Pharma Hikma/West-Ward Force Invacare General Electric*/ Johnson & Johnson*/ GE Healthcare Ethicon Endo-Surgery Perkinelmer* Health Midmark Sciences Procter & Gamble*^ Pfzier*/Global Supply Smiths Medical Teva Pharmaceuticals* Steris_ Zimmer Biomet*_______

Notes: * - a Fortune U.S.-1,000 or Global-500 company; ^ – includes headquarters employment. Sources: company and other websites, County Business Patterns and Fortune.

Capital Expenditures in Ohio (in millions)

Source: U.S. Census Bureau

Project Announcements

Source: Ohio Development Services Agency

Top Six Announcements in 2017 (dollars or jobs) Millions Jobs Company Intended Anticipated

PharmaForce $145.0 80 West-Ward $78.4 65 Alkermes $66.0 92 Piping Rock $19.0 346 Inogen $0.5 240 Xellia $21.7 100

Source: Ohio Development Services Agency

$259

$197

$72$113

$81$54

$69

$58

$38

$53 $106

$49

$0

$50

$100

$150

$200

$250

$300

$350

2011 2012* 2013 2014 2015 2016

3254: Pharmaceutical, etc. 3391: Medical Eqpt. & Supplies

$103$110

$188

$328

$255

* - Pharmaceutical and Total figures are estimates

$167

$25.6

$196.1

$48.6

$397.3

240

938

393

1,119

0

300

600

900

1,200

$0.0

$100.0

$200.0

$300.0

$400.0

2014 2015 2016 2017

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Page 4: Bio-Health in Ohio: Manufacturing Output · Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio • 11 industries from three groups produced goods for use by

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"

"

"

"

"

!

!

!

!

STERIS

Atricure

Invacare

AbbottLabs

EthiconEndo-Surgery

PhilipsHealthcare

West-Ward

Procter &Gamble

SmithsMedical

Cardinal Health

Ross5

Stark32

Wood35

Darke343

Knox3

Licking104

Wayne152

Clark15

Huron171

Allen23

Butler498

Lorain243

Seneca3

Brown66

Athens5

Union3

Trumbull167

Ashtabula3

Franklin2,714

Preble64

Mercer3

Portage619

Miami7

Erie18

Belmont3

Hancock7

Fairfield148

Putnam143

Lucas423

Richland12

Clinton333

Greene15

Muskingum10

Marion15

Medina278

Warren537

Pickaway143

Geauga61

Summit870

Ashland7

Lake669

Tuscarawas373

Delaware18

Williams161

Cuyahoga3,121

Hamilton1,710

Columbiana3

Sandusky31

Mahoning170

Clermont38

Montgomery1,183

Pike

SciotoAdams Gallia

Perry

Logan

Meigs

Hardin

Henry

Noble

Fulton

Vinton

Highland

Carroll

Shelby

Monroe

Fayette

Holmes

Guernsey

Madison

Morgan

Washington

Coshocton

Jackson

Hocking

Morrow

Harrison

Paulding

Defiance

Lawrence

Van Wert

Auglaize

Wyandot

Jefferson

Crawford

Champaign

Ottawa

Bio-Health ManufacturingIndustryEstimated Employment by CountyStatewide: 15,861

R060518A

Sources: 2016 County Business Patterns, U.S. CensusBureau, Hoover's Online and news reports

Prepared by: Ohio Development Services Agency,Office of Research (June 2018)

Bio-HealthManufacturingEmploymentin County*

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1,000 - 3,121

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! ! !

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50 - 249

! !

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1 - 49

None

! Large Pharmaceutical Manufacturing Site

" Large Medical Equipment Manufacturing Site

*County figures do not sumto the state total becauseall values are estimates.

Page 5: Bio-Health in Ohio: Manufacturing Output · Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio • 11 industries from three groups produced goods for use by

Bio-Health in Ohio: The Service Cluster

The Distribution of Cluster Employment in Ohio

• 547,800-plus people worked in Ohio’s private sector bio-health cluster in 2016. 247,200-plus, or 45.1 percent, worked in the single largest industry – general medical and surgical hospitals (NAICS 6221, blue); nearly 14,900 more, or 2.7 percent, worked in psychiatric, substance abuse and other specialty hospitals (6222-3, light blue).

• 284,200-plus worked in ambulatory health care offices (621). Close to 100,900, or 18.4 percent, worked in physicians’ (MDs’) offices (6211, red), followed by 67,300-plus in the rapidly growing home health care field (6216, yellow). Around 32,000 each worked in the of-fices of dentists, other health practitioners – chiropract-tors, optometrists, mental health providers (excluding MDs), specialty therapists, podiatrists, etc. – and out-patient centers (6212-4, gold and yellow). The remain-ing 19,300 worked in medical and diagnostic labs (6215) and other ambulatory services (6219).1

• 1,442 people, or 0.3 percent, worked in the bio-tech research and development industry (541711, green).

Ohio’s Shares of U.S. Cluster Employment

• 4.2 percent of U.S. bio-health service jobs are located in Ohio. This compares with 3.8 percent of all private sec-tor employment (excluding farms and railroads) and indi-cates the cluster’s overall concentration here.

• The cluster’s concentration in Ohio is due to the rela-tively large numbers of more-specific industry jobs here: home health care and general medical and surgical hospitals – each 4.7 percent of the corresponding U.S. totals, and physicians’ offices – 4.0 percent.

The Contribution of Ambulatory Health to Ohio’s Economy2

• The latest available data show Ohio's ambulatory health care industry (621) provided services valued at $22.5 billion – 3.57 percent of the U.S. total, and ranking the state 7th in the nation. By comparison, 3.39 percent of all U.S. GDP originated in Ohio.

• The $22.5 billion also represents 3.71 percent of Ohio’s Gross Domestic Product (GDP).

• The industry’s inflation-adjusted growth of 16.9 percent from 2010 through 2015, shown at right, exceeded the state’s overall growth of 10.4 percent.

Notes: 1 – The U.S. Bureau of Labor Statistics reported an additional 43,600-plus working in government health care establishments in 2016; 2 - Specific data for hospitals (622) and biotechnology R & D (541711) are unavailable; conse-quently, the service side of the bio-health cluster’s contribu-tion to Ohio’s economy is underestimated.

Ohio Private Sector Employment (in thousands)

Source: U.S. Census Bureau, 2018

Ohio’s Shares of U.S. Employment Percent NAICS Code: Title of U.S.

Service Cluster Summary 4.2% 541711: Biotechnology R & D 1.5% 6211: Physicians’ Offices 4.0% 6212: Dentists’ Offices 3.5% 6213: Other Health Practitioners 3.8% 6214: Outpatient Centers 3.4% 6215: Medical & Diagnostic Labs 2.8% 6216: Home Health Care 4.7% 6219: Other Ambulatory Services 3.9% 6221: General Medical & Surgical Hospitals 4.7% 6222-3: Psychiatric/Substance Abuse/Other Hsptls. 2.8%

Abbreviations: Hsptls – hospitals; R & D – research and development. Source: U.S. Census Bureau, 2018

Ohio’s Ambulatory Health Care GDP (in billions, adjusted for inflation, standardized on 2009)

Note: * - Initial; earlier years may have been revised. Source: U.S. Bureau of Economic Analysis, 2017

541711, 1.4, 0%

6211, 100.9, 18%

6212, 32.3, 6%

6213, 32.6, 6%

6214, 31.8, 6%

6216, 67.3, 12%

6215,9, 19.3, 4%

6221, 247.3, 45%

6222-3, 14.9, 3%

Cluster total: 547.9

$18.2 $18.6 $19.1$19.8 $20.3

$21.3

$0.0

$5.0

$10.0

$15.0

$20.0

$25.0

2010 2011 2012 2013 2014 2015*

Page 6: Bio-Health in Ohio: Manufacturing Output · Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio • 11 industries from three groups produced goods for use by

Bio-Health in Ohio: Employment Trends and Projections in Services Private Sector Employment Trends in Ohio

• Private sector cluster employment in Ohio increased 4.2 percent from 525,700 in 2011 to 547,800-plus in 2016, an addition of 22,100 jobs. The corresponding national total increased 8.6 percent.

• The increase was principally driven by the 15.7 percent growth of three groups: the offices of physicians (NAICS 6211), other health care practitioners (6213) and out-patient clinics (6214), which collectively rose from 142,800 to 165,300 (orange columns).

• Home health care establishments (6216, yellow) grew 9.2 percent, adding 5,700 jobs.

• The tiny biotech research and development (R & D) in-dustry (541711, green) saw a net gain of 357 jobs in Ohio, a 32.9 percent increase.1

• These gains more than offset the nearly unchanged em-ployment levels in other ambulatory groups (6212, 5, 9, gray) and the slight decrease in hospital employment (622, blue).

• Preliminary data from the U.S. Bureau of Labor Statistics (U.S. BLS) show ambulatory employment growing 1.7 percent and hospital employment contracting 0.4 percent in early and mid-2017 from the same period in 2016.

Projections for Private Sector Growth in Ohio

• The Ohio Dept. of Job and Family Services’ Labor Mar-ket Information division (ODJFS-LMI) projects health care services employment (NAICS 621-2) will reach 636,400 jobs in 2024, a 20.9 percent-110,100 job in-crease from the 2014 average. Most of the growth is expected to occur in ambulatory health care (621), which may rise 35.9 percent with 92,500 new jobs.2

• Growth is predicted for all ambulatory groups. Home health care (6216, pale yellow) tops the list at 36,500 jobs, a 58.7 percent increase, followed by physicians’ offices (6211, red) at 17,800 and 20.7 percent. Dentists’ offices (6212, gold) may add 5,300 jobs for a 17.1 per-cent increase. The remaining four ambulatory groups (6213-5, 9, bright yellow) combine for 33,400 new jobs, an average increase of 42.3 percent, with most of this growth expected at outpatient care centers and the other health practitioners’ offices (6214 and 6213).

• Private hospital employment (622, blue) is expected to increase by 17,620, or 6.6 percent, from 2014 to 2024.3

Notes: 1 – This starkly contrasts with the apparent nation-wide net loss of 14,100-plus, a 13.8 percent decline. It ap-pears about 300 establishments from across the U.S. that were classified in 541711 in 2011 were reclassified to an-other industry in 2012; there was no further explanation of the decrease. The national employment decline, perhaps a result of implementing the 2012 NAICS, was most notable

Private Sector Employment Trends in Ohio (in thousands)

Source: U.S. Census Bureau

Ohio Employment Projections for Selected Private Sector Industries (in thousands)

Source: ODJFS-LMI, 2016

in California, Connecticut, Indiana, Massachusetts, New Jersey, New York and Wisconsin. Other states were little-changed or gained jobs. 2 – ODJFS-LMI and the Census Bureau have different data collection methods and occasion-ally classify the same establishments differently. This ac-counts for the different employment figures for 2014. 3 – ODJFS-LMI does not make projections for industries employ-ing less than 5,000 people, which includes specialized hos-pitals (6222-3) and biotech R & D (541711).

268.3 271.1 271.5 270.4 259.0 262.2

142.8 144.4 149.6 152.8 158.5 165.3

61.7 63.1 64.8 65.4 68.2 67.3

51.8 51.1 50.3 50.1 51.7 51.71.1 1.9 1.3 1.4 1.3 1.4

0.0

100.0

200.0

300.0

400.0

500.0

600.0

2011 2012 2013 2014 2015 2016

541711: Biotech R & D 6212,5,9: All Others

6216: Home Health Care 6211,3,4: MD Offices, Others, Outpatient

622: Hospitals

547.9538.8525.7 531.6 537.5 540.2

268.6 286.3

78.8112.2

61.4

97.431.2

36.586.2

104.1

0.0

100.0

200.0

300.0

400.0

500.0

600.0

700.0

2014 2024

622: Hospitals 6213-5, 9: Other Health Care

6216: Home Health Care 6212: Dentists' Offices

6211: Physicians' Offices

526.2

636.4

Page 7: Bio-Health in Ohio: Manufacturing Output · Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio • 11 industries from three groups produced goods for use by

Bio-Health in Ohio: Organizations and Projects The Largest Hospital Systems in Ohio

• Hospitals often have large establishments; 248 private sector hospital establishments employed 262,100-plus people in 2016. Thirty counties had 38 establishments with 500-to-999 employees, 29 (including some of the 30) had 69 establishments with at least 1,000, and four counties had nine establishments with 5,000-plus.1

• Regardless of their size, individual establishments often are divisions within large organizations or maintain affili-ations with others in a network. The chart at right lists the largest such organizations and networks having a connection with bio-health research. Other very large systems in Ohio include Aultman Health, Mercy Health, ValleyCare [sic] Health System (fka Forum Health), and Trinity Health/Mt. Carmel.

• Ohio’s seven medical colleges conduct fundamental and applied research in many (often interdisciplinary) areas; cardiovascular, cancer, genetics, neurology, proteins and their clinical trials are common. Some of the many recently mentioned specific highlights follow: Case West-ern Reserve – AIDS, Alzheimer’s and infectious dis-eases; Northeast Ohio Medical University – mental health, hearing, musculoskeletal biology and neuro-science; Ohio State University – bioinformatics, brain and spinal cord disorders (including ADHD and stroke rehabilitation), pacemakers, fungal infections, tobacco use and pharmacology; Ohio University – osteopathy; University of Cincinnati – anesthesiology, cellular bio-physics and physiology, dermatology and radiology; University of Toledo – biomarkers, diabetes, endocrinol-ogy and hypertension; Wright State University – epi-demiology and addiction, geriatrics and microscopy.2

Private Sector Project Announcements

• 13 companies announced 14 major projects with inten-tions to invest $286.5 million during the 2014-2017 period. 1,000 new jobs were anticipated at announce-ment. 2014 was the peak year for project values – $120.5 million, while 650 new jobs were anticipated at announcement in 2016.3

• Ohio Health’s 2016 $89 million headquarters expansion led all companies, followed by a similar $77 million Mer-cy Health (fka Catholic Health Partners) announcement in 2014. Midmark’s 2017 announcement of $43.0 million for medical equipment was the largest such for research and development (NAICS 54171).

• $60.8 million – with 850 new jobs – was intended for re-search and development; $225.7 million – with 150 new jobs – was intended for ambulatory and hospital admin-istrative services (621-2).

Notes: 1 – Nearly 36,800 more people worked at 28 hospitals owned by federal, state and local government agencies in 2016. 2 – Also see http://www.bioohio.com/directory/ for ad-ditional researchers. 3 – Major projects involve at least $1 million, 20 to 50 new jobs, or an addition of 20,000 square feet. Such projects often are phased-in over several years.

The Largest Employers* in Ohio’s Research Hospital Systems (in thousands)

Note: * - figures have been rounded and may include some overlap due to multiple affiliations of hospitals with medical schools as well as additional employees outside of NAICS hospital code of 622. Sources: university websites and the Ohio Development Services Agency.

Private Sector Project Announcements

Source: Ohio Development Services Agency

4.97

5.85

6.00

8.00

10.00

11.25

12.00

12.00

13.85

14.45

15.40

21.10

22.73

26.00

49.80

0.00 10.00 20.00 30.00 40.00 50.00

Akron Children's Hos.

Christ Hos. Corp.

MetroHealth System

Summa Health System

Nationwide Children's Hos.

UC Health

Kettering Health Network

Trihealth

Premier Health Partners

ProMedica Health Systems

Cincinnati Children's Hos. Med.Ctr.

OhioHealth

OSU Wexner Medical Center

University Hos. Health Systems(CWRU)

Cleveland Clinic Foundation

$120.5

$16.8

$97.0

$52.2

48

170

650

132

0

100

200

300

400

500

600

700

$0.0

$20.0

$40.0

$60.0

$80.0

$100.0

$120.0

$140.0

2014 2015 2016 2017

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Page 8: Bio-Health in Ohio: Manufacturing Output · Bio-Health in Ohio: Manufacturing Output The Variety of Output from Ohio • 11 industries from three groups produced goods for use by

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!

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!!

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!!

!!

#

#

MetroHealthSystem

KetteringHealth

Network

CincinnatiChildren'sHospital

Ohio State UniversityWexner Medical

Center

Nationwide Children'sHospital

ClevelandClinic

Akron Children'sHospital

SummaHealthSystem

University ofCincinnatiMedicalCenter

PremierHealth

University Hospitals(Case Western)

OhioHealth

Trihealth

ChristHospitalHealth

Network

ProMedica

Medpace

CharlesRiverLabs

Ross4,611

Pike671

Wood2,187

Darke1,150

Knox1,582

Scioto5,384

Licking4,128

Stark17,759

Adams462

Gallia1,966

Wayne3,077

Perry217

Huron1,886

Lorain9,637

Clark4,746

Allen8,686

Seneca848

Logan1,288

Brown518

Butler10,818

Athens1,619

Union1,339

Trumbull6,065

Meigs137

Ashtabula2,916

Hardin424

Henry402

Noble187

Preble399

Mercer1,048

Portage2,913

Miami2,477

Fulton1,186

Belmont2,784

Vinton65

Hancock3,361

Fairfield4,888

Putnam243

Highland857

Carroll254

Shelby1,290

Lucas27,613

Monroe130

Richland2,803

Clinton1,069

Greene3,698

Muskingum5,029

Marion2,787

Medina3,833

Warren5,964

Fayette618

Holmes550

Guernsey1,971

Pickaway1,355

Madison660

Morgan140

Washington3,950

Coshocton876

Geauga2,367

Summit31,498

Jackson522

Hocking626

Morrow436

Tuscarawas3,222

Delaware4,260

Williams1,212

Harrison251

Paulding288

Defiance1,032

Lawrence1,550

Erie3,234

Van Wert762

Auglaize1,160

Wyandot371

Hamilton64,022

Columbiana2,867

Crawford1,833

Sandusky1,379

Mahoning13,050

Champaign367

Ottawa666

Franklin79,783

Ashland2,085

Clermont3,293

Cuyahoga98,003

Lake6,570

Jefferson 2,805

Montgomery37,519

Bio-Health ServicesIndustryEstimated Employment by CountyStatewide: 547,857

R060518A

Sources: 2016 County Business Patterns, U.S. CensusBureau, news reports and organization web sites

Prepared by: Ohio Development Services Agency,Office of Research (June 2018)

Bio-HealthServices

Employmentin County*

! ! ! ! ! ! ! !

! ! ! ! ! ! ! !

! ! ! ! ! ! ! !

! ! ! ! ! ! ! !

! ! ! ! ! ! ! !

! ! ! ! ! ! ! !

! ! ! ! ! ! ! !

! ! ! ! ! ! ! !

40,000 - 98,003

! ! ! !

! ! ! !

! ! ! !

! ! ! !

! ! ! ! 7,500 - 39,999

! ! !

! ! !

! ! !

! ! !

2,500 - 7,499

! ! !

! ! !

! !

1,000 - 2,499

65 - 999

*County figures do not sumto the state total becauseall values are estimates.

! Principal Health Service and Research Site

# Large Research and Development Site