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Executive Summary

Q2 2012 HWS Labor Market Pulse® Index

LMPI Composite Index (historical)

SELECT MARKET HIGHLIGHTS
July 2012

HWS is pleased to announce the release of Q2 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 Second 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, improved notably during the second quarter of 2012.

• For the second quarter of 2012, the near-term demand for health care workers was strongest in the San Jose, Portland and Charlotte metropolitan areas.

• Of the 30 major markets tracked by the HWS Labor Market Pulse Index® (LMPI), the weakest areas for the quarter included the Cleveland, Las Vegas and New York metropolitan areas.

• The LMPI composite index, a representative basket of the 30 largest markets, posted an 9% increase in the second quarter of 2012 from the first quarter of 2012.

• For the 2nd quarter ended 6/30/12, 17 markets of the 30 tracked by the LMPI showed signs of accelerated expansion (vs. 14 in the prior quarter).

2012 Select Market Second Quarter Highlights

Atlanta
The near-term demand for health care workers in the Atlanta metro area improved notably during Q2. Of particular note, a new Cancer Treatment Centers of America facility at Southeastern Regional Medical Center will open later this summer with 100 new hires. Emory also announced plans to invest $46.6 million in a renovation and expansion at its flagship hospital. On a negative note, Tenet Healthcare Corp.’s South Fulton Medical Center in East Point, Ga., announced that it will close its labor and delivery unit and will eliminate 80 positions. Wellstar also announced that it was eliminating 42 jobs from its Cobb Hospital in Austell, Ga.

Baltimore
The near-term demand for health care workers in the Baltimore metro area continued to improve during Q2. Of note, Holy Note Hospital will resume construction at Montgomery College in Germantown, the site of its long-planned, long-stalled 93-bed $202 million hospital.

Boston
The near-term demand for health care workers in the Boston metro area improved slightly during Q2 despite some adverse news. Of note, Beth Israel Deaconess Medical Center announced that it is shuttering one of the floors at its flagship Longwood hospital, less than a month after letting more than 20 workers go. Also, Boston Medical Center plans to eliminate a total of 51 FTE nursing jobs, 8 of which are at the East Newton campus, in conjunction with the closure of 18 beds.

Charlotte
The near-term demand for health care workers in the Charlotte metro area accelerated during Q2. Of note, Mecklenburg County plans to hire 487 employees to staff its public health department when it takes over that operation from Carolinas HealthCare System next year. Also of note, Novant Health announced that it was laying off 289 employees, including 150 cuts in the health system’s Winston-Salem market.

Chicago
The near-term demand for health care workers in the Chicago metro area remained relatively flat during Q2. Of note during the quarter, Vanguard Health Systems of Nashville, announced the elimination of 60 positions at its Chicago-area hospitals, the new Ann & Robert Lurie Childrens Hospital opened, and St. Anthony Hospital signed a lease for 18,000 sf in a strip mall in Chicago’s Little Village neighborhood, a step in the safety-net hospital’s plan to bolster its community clinics.

Cleveland
After a healthy start to the year, the near-term demand for health care workers in the Cleveland metro area collapsed during Q2. Of particular note, the Cleveland Clinic announced that it would close Huron Hospital later this summer. On a positive note, Fairview Hospital continues to get closer to completing its new ED/ICU.

Dallas
The near-term demand for health care workers in the Dallas metro area fell slightly during the second quarter. Of note, Trailblazer Health, a company that provides administrative services to the federal Medicare program announced plans to cut 750 jobs in the area after failing to win a key contract. Also of note, First Choice Emergency Room is launching a more than $100 million growth plan that includes six new facilities across Texas.

Denver
The near-term demand for health care workers in the Denver metro area continued to strengthen during Q2. Of note, Children’s Hospital Colorado opened a 50,000-square-foot outpatient specialty care facility in Colorado Springs and Sky Ridge Medical Center in Lone Tree announced plans to break ground next year on a $107 million expansion that is expected to increase the hospital’s capacity by 90 beds.

Detroit
The near-term demand for health care workers in the Detroit metro area improved notably during Q2. Of note during the quarter, the Detroit Medical Center opened its new Children’s Hospital of Michigan Specialty Center-Detroit, with 235 employees, the first new medical building completed since Vanguard acquired the medical center. Also of note, Great Lakes Caring announced it will add 225 home health jobs in Michigan by the end of the year.

Houston
The near-term demand for health care workers in the Houston metro area accelerated during Q2. Of note, the Moody Foundation of Galveston announced gifts totaling $25.5 million to the University of Texas Medical Branch in Galveston, including $16.5 million to help construct the University’s new Jennie Sealy Hospital. Victory Healthcare also announced plans for a new hospital in west Houston and another in The Woodlands. And University General Health System Inc. is in the midst of a turnaround that will lead to five new hospitals in the Houston market over the next two years. With the planned expansion, the company intends to hire between 250 and 400 employees.

Kansas City
The near-term demand for health care workers in the Kansas City metro area remained flat during Q2. Of note, North Kansas City Hospital opened a new $700,000 acute rehabilitation facility that is now the region’s largest in-hospital unit. Also of note, the University of Kansas Medical Center announced plans to cut almost 80 administrative positions, part of a school-wide push for efficiency.

Las Vegas
After a robust few quarters, the near-term demand for health care workers in the Las Vegas metro area weakened notably during Q2. Of note, Sunrise Hospital and Medical Center announced that will eliminate 144 positions, mostly support staff. On a comparative basis, the strength of the Las Vegas health care labor market dropped significantly in the last few months. Its Q2 LMPI score of 37.5 was down 29% from Q1 and well under the Q2 national composite of 53.1.

Los Angeles
The near-term demand for health care workers in the Los Angeles metro area remained flat during Q2. Of particular note, UCLA Health System opened a new Medical Office Building on its Santa Monica campus. The three-story, 50,000 square-foot facility includes eight operating rooms and a linear accelerator for radiation oncology. Children’s Hospital Los Angeles also opened an outpatient clinic in Valencia.

Miami
Despite some improvement, the Miami health care labor market remained weak during Q2. Of note, the Bayview Center for Mental Health filed notice with the state of Florida warning of 58 layoffs in Pembroke Pines as a result of a lost contract with South Florida Behavioral Health Network, which manages a contract for the Florida Department of Children and Families in Miami-Dade County. On a comparative basis the strength of the Miami health care labor market as measured by its Q2 LMPI score, registered 44.6, up 8% from Q1 but under the national composite of 53.1.

Minneapolis
The near-term demand for health care workers in the Minneapolis metro area remained flat during Q2. Of note, Clinic Sofia, an OB/Gyn clinic based in Edina, is expanding to Maple Grove. Edina will continue to be the home base for the clinic, which is expanding near Maple Grove Hospital to accommodate a growing patient base in the northwest metro. On a comparative basis the strength of the Twin Cities health care labor market remained weaker than much of the rest of the country during Q2. Its Q2 LMPI score of 46.0 remained relatively 8unchanged from Q1 and under the national composite of 53.1, up 9% from the prior quarter.

New York City
The near term demand for health care workers in the New York metropolitan area slipped during the second quarter of 2012. Of note during the quarter, Runnells Specialized Hospital is laying off 150 employees due to budget constraints. St. Elizabeth Ann’s Health & Rehab Center is laying off 55 registered nurses to cut costs as well.

Orlando
The near term demand for health care workers in the Orlando metropolitan area improved notably during the second quarter of 2012. Among the news of the quarter, Florida Hospital Medical Group is adding 300 - 400 docs to its payroll as it intends to grow the hospital’s market share. Florida Hospital is also adding 92-beds to its downtown Orlando campus, opening an emergency department in Winter Garden, and expanding its Kissimmee Hospital. Osceola Regional Medical Center has begun construction on a new patient tower, and Orlando Health is expanding its hospitalist program.

Philadelphia
The near-term demand for health care workers in the Philadelphia metro area strengthened during Q2. Of note during the quarter, Virtua Memorial started construction on its pediatric pavilion, CHOP opened a Specialty Care Center, and Lourdes Health System opened an ambulatory care center, all in southern New Jersey. Also, MossRehab opened a 12-bed satellite inpatient facility in Doylestown Hospital, Paoli Hospital is renovating its maternity department, Chester County Hospital is planning an addition with 72 private rooms, and Christiana Care is making progress on its 10-story patient tower in Wilmington. On a different note, Crozer-Keystone is eliminating positions and laying off employees to reduce its workforce by 325.

Phoenix
The near-term demand for health care workers in the Phoenix metro area improved considerably during the last quarter of 2011. Of note, Banner Estrella Medical Center is breaking ground on an expansion to add 144 beds and 200 new jobs. Dignity Health is also planning to add 200 people to its new West Valley medical campus, including a 23-bed inpatient hospital.

Pittsburgh
The near-term demand for health care workers in the Pittsburgh area remained steady during Q2. Of note this quarter, Magee-Womens Hospital has added two additional floors and 54 beds, with plans to expand the emergency department. Also, UPMC East Hospital staff are helping to redesign the ideal patient room.

Portland
The near-term demand for health care workers in the Portland metropolitan area showed significant improvement during the second quarter of 2012, with the highest LMPI growth from the previous quarter. Of note, Salem Hospital plans to lay off 52 employees because of tighter budget concerns and state cuts. Kaiser Permanente, however, is undertaking one of the largest building projects in the region with an all-new hospital being constructed in Hillsboro. Kaiser Westside Medical Center will have 126 beds, with room to expand to 240 beds in the future.

Riverside
The near-term demand for health care workers in the Riverside metropolitan area dropped by 27% with no notable workforce-related news in the second quarter after a relatively strong first quarter of 2012.

Sacramento
The near-term demand for health care workers in the Sacramento metro area improved slightly during the second quarter. Of particular note during the quarter, Sutter Health opened a new surgery center on its medical campus in Elk Grove. Sutter Health is also expanding in midtown Sacramento with a new 242-bed women’s and children’s center under construction. Dignity Health is relocating jobs from 3 sites throughout California to Rancho Cordoba within the next two years.

San Diego
In a quarter with relatively little news, the near-term demand for health care workers in the San Diego metro area remained relatively flat during Q2. Its Q2 LMPI score of 45.8, down 4% from the prior quarter, remained below the national composite of 53.1.

San Francisco Bay
The near-term demand for health care workers in the San Francisco Bay area remained higher than the national composite during Q2 despite a drop-off from the prior quarter. Of note, Chinese Hospital plan to add 54 beds and a 22-bed skilled nursing unit is under review. John Muir Health is opening an outpatient center at the end of 2013 with 45 physicians, an urgent care center and lab and imaging services. And Queen of the Valley plans to eliminate 55 jobs to address a budget deficit.

San Jose
The near term demand for health care workers in the San Jose area improved more than any other major metro in Q2. Of note, Washington Hospital opened a new Center for Joint Replacement with 30 private rooms and 8 exam rooms. Sutter Health’s Palo Alto Medical Foundation also announced it is beginning construction on a new four-story outpatient center with physicians, an urgent care center and outpatient surgery.

Seattle
The near-term demand for health care workers in the Seattle metro area fell during Q2 despite no notable labor market news. Its Q2 LMPI score of 45.8 was up 8% from the prior quarter but still fell below the national composite of 53.1.

St. Louis
The near-term demand for health care workers in the St. Louis metro area remained relatively flat during Q2. Of note, Kindred Hospital postponed its six-bed high-acuity unit addition, withdrawing its Certificate of Need. Also, Saint Louis University Hospital broke ground on a new bone marrow transplant center in May, and St. Luke’s Neonatal Special Care Nursery expanded with six new private patient rooms.

Tampa Bay
The near-term demand for health care workers in the Tampa Bay metro area fell slightly during Q2. Of note, was H. Lee Moffitt Cancer Center’s plan to build a new outpatient facility at its satellite campus, as well as the Department of Veterans Affairs plans to build a new mental health clinic in Tampa.

Washington D.C.
The near-term demand for health care workers in the Washington, DC metro area weakened slightly in Q2 amidst relatively little notable movements and announcements. Its Q4 LMPI score of 44.4 was down just 3% from Q1 and remained under the national composite of 53.1, which was up 9% from the prior quarter.

   

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