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Executive Summary

Q1 2012 HWS Labor Market Pulse® Index


LMPI Composite Index (historical)

SELECT MARKET HIGHLIGHTS
April 2012

HWS is pleased to announce the release of Q1 2012 results for the HWS Labor Market Pulse® Index (LMPI). The HWS LMPI is a leading indicator of local health care labor market demand as it is derived from announced expansion and contraction plans, among other data. The Index measures where near-term demand for health care workers is strongest based on a number of tracking variables including temporary health workforce shortages and surpluses, facility and bed closures, announced layoffs and expansions, and local economic trends.


2012 First Quarter LMPI Highlights

• 
The strength in the US health care labor markets as measured by the HWS Labor Market Pulse Index® (LMPI), a leading indicator of near-term demand, slipped slightly during the first quarter of 2012.

• For the first quarter of 2012, the near-term demand for health care workers was strongest in the San Francisco Bay, Riverside and Denver metropolitan areas.

• Of the 30 major markets tracked by the HWS Labor Market Pulse Index® (LMPI), the weakest areas for the quarter included the Miami, Seattle and Boston metropolitan areas.

• The LMPI composite index, a representative basket of the 30 largest markets, posted an 8% decrease in the first quarter of 2012 from the 4th quarter of 2011.

• For the 1st quarter ended 3/31/12, 14 markets of the 30 tracked by the LMPI showed signs of accelerated expansion (vs. 16 in the prior quarter).


2012 Select Market First Quarter Highlights

Atlanta
The near-term demand for health care workers in the Atlanta metro area continued to remain flat during the first quarter of 2012. Of note, McDuffie Regional Medical Center in Thomson announced plans to lay off 21 and Tenet announced that it will consolidate two of its metro Atlanta hospitals, Atlantic Medical Center and South Fulton Medical Center, in a move that will lead to an undisclosed number of possible layoffs.

Baltimore
The near-term demand for health care workers in the Baltimore metropolitan area rebounded during the first quarter of 2012. Of particular note, Johns Hopkins opened its new $1.1 billion patient care expansion this month. The 1.6 million-square-foot project, started in 2006, consists of two 12-story towers spread across five acres, and includes 560 private rooms and new adult and pediatric emergency departments.

Boston
The near-term demand for health care workers in the Boston Metro area weakened further during Q1. Of note, UMass Memorial Health Care announced plans to shed 700-900 jobs through layoffs and sales of divisions, or roughly 6% of its workforce.

Charlotte
The near-term demand for health care workers in the Charlotte area remained strong relative to the rest of the country despite some slippage from the prior quarter. Of note, Carolinas HealthCare System broke ground on a $26.4 million, 40-bed rehabilitation hospital in Concord that is slated to open in mid-2013 and with 90 employees. Carolinas HealthCare System also came closer to finalizing plans for a 66-bed behavioral-health hospital in Huntersville, also slated to open in 2013 with 155 full-time employees.

Chicago
The near-term demand for health care workers in the Chicago metro area improved during the first quarter of 2012. On a positive note, Edward Hospital in Naperville gained regulatory approval to add two floors of patient beds. On a negative note, Northwest Community Healthcare laid off 104 last month after announcing a third straight year of losses.

Cleveland
The near-term demand for health care workers in the Cleveland metro area improved markedly during Q1 behind a big announcement from the Cleveland Clinic that it expected to hire up to 600 nurses during a nursing job fair at the end of the quarter.

Dallas
The near-term demand for health care workers in the Dallas-Fort Worth metro area returned to where it had been for much of the last year after an unusually big jump during Q4. Of note, Christus Health announced plans to consolidate its corporate offices in Irving in a move that will add 650 jobs in North Texas. Also of note, Baylor Medical Center in Southwest Fort Worth will close this spring and be consolidated with Baylor All Saints Medical Center, a 525-bed facility in the Fort Worth hospital district.

Denver
The near-term demand for health care workers in the Denver metro area remained higher than much of the rest of the country during Q1 despite a drop-off from the prior quarter. Of note, the Sisters of Charity of Leavenworth Health System announced plans to relocate 650 jobs to Colorado over the next three to four years. HealthSouth also announced plans to build a 40-room rehabilitation hospital in Littleton, expected to open by the middle of next year.

Detroit
The near-term demand for health care workers in the Detroit metro area held steady during the first quarter. Of note, Henry Ford Health System closed its Warren hospital on March 31 with the intent to convert the facility, with a partner, into a Midwest destination site for advanced inpatient and outpatient rehabilitation services. Also of note, the Detroit Medical Center held its groundbreaking ceremony outside Sinai Grace Hospital, formally beginning work on a planned expansion project for the hospital that is scheduled to be completed in early 2015.

Houston
The near-term demand for health care workers in the Houston metro area improved slightly during the first quarter. Of particular note during the quarter, The Methodist Hospital System, Memorial Hermann Healthcare System and St. Luke’s Episcopal Health System announced plans to fill thousands of jobs in the coming months. Texas Children’s Hospital opened its $575 million Pavilion for Women, and Memorial Hermann expanded its cancer center in the Texas Medical Center.

Kansas City
The near-term demand for health care workers in the Kansas City metro area remained flat during the first quarter of 2012. Of note Saint Luke’s Health System celebrated the opening of its new College of Health Sciences, which is expected to grow from the current 225 students to 500 by 2015.

Las Vegas
The near-term demand for health care workers in the Las Vegas metro area continued to strengthen during the first quarter. Of note, the UC-San Diego Health System announced that it was purchasing the Nevada Cancer Institute, which had recently filed for bankruptcy. UCSD is buying the institute’s name, its 142,000 square-foot flagship building, its medical practice and 24 ongoing clinical trials, and its remaining employees will join the university.

Los Angeles
In a quarter with relatively little news, the near-term demand for health care workers in the Los Angeles metro area remained relatively flat during Q1. Its Q1 LMPI score of 45.8, up 4% from the prior quarter, remained below the national composite of 48.8.

Miami
The near-term demand for health care workers in the Miami metro area continued to weaken during the first quarter of 2012. Of note, Jackson Health System announced more layoffs, including 920 staffers and 195 other vacant positions.

Minneapolis
The near-term demand for health care workers in the Minneapolis-St. Paul metro area remained weaker than much of the rest of the country during the first quarter on relatively little news. Its Q1 LMPI score of 45.8, down 3% from the prior quarter, compared to the national composite of 48.8, down 8% from the prior quarter.

New York City
The near-term demand for health care workers in the New York metro area remained weaker than much of the rest of the country during the first quarter but improved from Q4. Of note, the New York City Health and Hospitals Corporation faces a $700 million deficit in the fiscal year beginning July 1, prompting officials to increase its employee attrition target by 10% and contemplate the possibility of more layoffs. Also of note during the quarter, Peninsula Hospital announced layoffs of 200.

Orlando
The near-term demand for health care workers in the Orlando metro area remained flat during Q1 although stronger than much of the rest of the country. Of note, Heart of Florida Regional Medical Center began a $9.5 million expansion that will upgrade its women’s and children’s services, and Orlando Health announced plans for a $13 million expansion of its neonatal intensive care unit. Also, Nemours Childrens Hospital is expected to hire 596 people plus another 100 in supporting positions by the end of 2013, and MD Anderson anounced plans to add 100 new positions throughout central Florida and open a new clinic in Ocoee.

Philadelphia
The near-term demand for health care workers in the Philadelphia metro area remained flat during Q1. Of note Chester County Hospital laid off 45 in a relatively quiet quarter. On a comparative basis, the Philadelphia health care labor market remained weaker than much of the rest of the country as measured by its Q1 LMPI score of 45.6, down 2% from the prior quarter and below the national composite of 48.8.

Phoenix
The near-term demand for health care workers in the Phoenix metro area fell during Q1 despite some good news. Of particular note, Phoenix Children’s Hospital announced plans to build a $17 million urgent care center in Avondale next year and HealthSouth announced plans to build a 40-bed rehabilitation hospital in Phoenix beginning in the fourth quarter with expected completion by mid 2013.

Pittsburgh
The near-term demand for health care workers in the Pittsburgh metro area remained steady during Q1. Of note during the quarter, West Penn Hospital announced the opening of an 18-bed intensive care unit, the latest development in a full restoration of services. West Penn also reopened its emergency department in February, a week after UPMC Mercy Hospital cut the ribbon on its new emergency room, which underwent $17 million in renovations.

Portland
The near-term demand for health care workers in the Portland area remained sluggish during Q1. Of note, Salem Hospital announced plans to trim $30 million from its budget which will include the elimination of 30 full and part-time positions. Legacy Health is also cutting 365 jobs this year and PeaceHealth also announced layoffs.

Riverside
The near-term demand for health care workers in the Riverside metro area continues to strengthen. Of note during Q1, Arrowhead Regional Medical Center’s Westside Family Health Center moved from its previous location in San Bernardino to become part of the Behavioral Health Department’s facility. San Bernardino County recently opened an expanded health center in Rialto that will provide patients with access to medical and mental health care services. And construction on the new 314-bed Fontana Medical Center, expected to open in early 2013 is nearly complete.

Sacramento
The near-term demand for health care workers in the Sacramento region improved during Q1. Of note, Dignity Health (formerly Catholic Healthcare West) opened the area’s first comprehensive outpatient diagnostic and cancer treatment center that’s not located on a hospital campus. The $20 million, 35,000-square-foot center is the first of what is expected to be at least three regional Dignity imaging and cancer treatment centers to open over the next decade.

San Diego
The near-term demand for health care workers in the San Diego metro area slipped during Q1 after outperforming much of the rest of the country during Q4. Of note, Scripps Mercy Hospital plans to start admitting patients to its new $41.3 million Conrad Prebys Emergency & Trauma Center shortly. The new center is part of a three-phase construction project that will double the size of the existing emergency department. Also of note, UC-San Diego Medical Center has renovated its fifth floor to create a new, 24-bed continuous care trauma unit and the UC-San Diego Health System announced that it was purchasing the Las Vegas-based Nevada Cancer Institute.

San Francisco Bay
The near-term demand for health care workers in the San Francisco metro area continued to strengthen and outperform much of the rest of the country during Q1, with more significant hiring planned at the Kaiser facilities. Of particular note, the Permanente Medical Group, which hired 600 doctors last year, expects to keep up that pace in 2012. Last year, Kaiser Permanente filled roughly 900 to 1,000 RN openings in the Bay Area, plus another 600 jobs for physical and occupational therapists, and licensed staffers in areas like radiology, lab work, imaging and ultrasound. In 2012, Kaiser will also likely fill similar numbers of RN and professional and licensed technician jobs, plus a host of other high-tech jobs.

San Jose
The near-term demand for health care workers in the San Jose metro area improved slightly during Q1 on relatively little news. Of note, Sequoia Hospital announced that it was about halfway done with its new 104-bed inpatient pavilion, set to open in the spring of 2013.

Seattle
The near-term demand for health care workers in the Seattle-Tacoma metro area fell notably during Q1. Of note, Swedish Medical Center announced that 216 had been laid off and that more layoffs may occur.

St. Louis
The near-term demand for health care workers in the St. Louis metro area remained flat during the first quarter of 2012. Oif note, SSM Health Care-St. Louis opened its first urgent care clinic, St. Anthony’s Hospital laid off 85, and Memorial Hospital-East announced plans to build a 94-bed adjunct facility expected to begin construction in early 2013.

Tampa Bay
The Tampa-St. Petersburg health care labor market improved slightly from Q4. Of note during the quarter, St. Anthony’s Hospital opened 64 private patient rooms in its new Franciscan Pavilion and Florida Hospital announced a $14M partnership with USF Health.

Washington D.C.
The near-term demand for health care workers in the Washington D.C. metro area
Slipped slightly during Q1. Of note, HCA Virginia announced that its new $10 million emergency center will open more than two years ahead of the rest of the hospital in Dulles.

   

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