American Health Care Association National Center for Assisted Living 1201 L Street NW Washington DC 20005 www.ahcancal.org LONG TERM CARE ECONOMIC IMPACT STATISTICS MASSACHUSETTS NURSING FACILITIES, STAFF & PATIENTS In Massachusetts 428 Nursing Facilities 55,181 Employees 43,215 Patients Cared for Every Day 14% of patients rely on Medicare; 63% rely on Medicaid; 23% pay for care with private or other funds. LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts $5.9 billion or 1.6% of state economic activity (direct effect) $9.9 billion or 2.7% of state economic activity (total impact) TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE Economic Activity (in millions) Employment (jobs) Health and Social Services $6,445.2 99,100 Real Estate and Rental 2,716.8 15,100 Finance and Insurance 288.1 4,100 Manufacturing 126.7 100 Scientific/Tech Svcs 69.9 1,300 All Industries and Sectors $ 9,851.2 121,500 “Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities.
Transcript
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
MASSACHUSETTS
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
428 Nursing Facilities
55,181 Employees
43,215 Patients Cared for Every Day
14% of patients rely on Medicare; 63% rely on Medicaid; 23% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$5.9 billion or 1.6% of state economic activity (direct effect)
$9.9 billion or 2.7% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $6,445.2 99,100 Real Estate and Rental 2,716.8 15,100 Finance and Insurance 288.1 4,100 Manufacturing 126.7 100 Scientific/Tech Svcs 69.9 1,300 All Industries and Sectors $ 9,851.2 121,500
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $9.9 billion in revenue…
LTC facilities support $5.1 billion in labor income…
LTC facilities contribute to approximately 121,500 jobs…
LTC facilities’ direct economic impact on Massachusetts represents…
• 1.6% of economic activity
• 1.5% of labor income
• 2.2% of employment
LTC facilities’ total economic impact on Massachusetts supports...
• 2.7% of economic activity
• 2.1% of labor income
• 2.9% of employment
LTC facilities generate $1.8 billion in tax revenue…
• $0.6 billion in state/local taxes
• $1.2 billion in federal taxes
Demographics of Massachusetts
Population (2007) 6.4 million % Population 65+ years (2007) 13.3%% Population 85+ years (2007) 2.1%State economic activity (2007) $361.4 billion
MassachusettsLong Term Care (LTC) facilities* support an estimated
$9.9 billion or 2.7% of the state’s economic activity
Prepared by:*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
State Activity
Output (in billions of dollars) $5.9 $1.2 $2.7 $9.9 2.7%
Labor Income (in billions of dollars) $3.7 $0.4 $1.0 $5.1 2.1%
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors statewide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 99,100 $6,445.2
Real Estate and Rental 15,100 $2,716.8
Finance and Insurance 4,100 $288.1
Manufacturing 100 $126.7
Professional - Scientific and Tech Services 1,300 $69.9
Retail Trade 1,000 $62.3
Wholesale Trade 400 $52.1
Administrative and Waste Services 200 $50.0
Accommodation and Food Services 100 $23.7
All other industries 100 $16.3
Total 121,500 $9,851.2
NAICS: North American Industry Classification System
Massachusetts
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative John W. Olver (D-MA) Massachusetts – Congressional District 1
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
46 Nursing Facilities
5,769 Employees
4,400 Patients Cared for Every Day
12% of patients rely on Medicare; 65% rely on Medicaid; 23% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$611.4 million or 2.7% of state economic activity (direct effect)
$915.1 million or 4.0% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $647.7 10,330 Real Estate and Rental 60.5 170 Retail Trade 29.7 410 Wholesale Trade 20.6 90 Prof – Scientific/Tech Svcs 19.2 130 All Industries and Sectors $915.1 12,380
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $915.1 million in revenue…
LTC facilities support $487.9 million in labor income…
LTC facilities contribute to approximately 12,380 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 1 represents…
• 2.7% of economic activity
• 2.5% of labor income
• 3.3% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 1 supports...
• 4.0% of economic activity
• 3.2% of labor income
• 4.1% of employment
LTC facilities generate $165.0 million in tax revenue…
• $50.5 million in state/local taxes
• $114.5 million in federal taxes
Demographics of Massachusetts - Congressional District 1Population (2007) 638,000% Population 65+ years (2007) 13.7%% Population 85+ years (2007) 2.2%District economic activity (2007) $22.6 billion
Massachusetts - Congressional District 1Long Term Care (LTC) facilities* support an estimated
$915.1 million or 4.0% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $611.4 $98.6 $205.2 $915.1 4.0%
Labor Income (in millions of dollars) $379.5 $36.1 $72.2 $487.9 3.2%
Employment (jobs) 9,940 710 1,730 12,380 4.1%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $50.5 $114.5 $165.0 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 10,330 $647.7
Real Estate and Rental 170 $60.5
Retail Trade 410 $29.7
Wholesale Trade 90 $20.6
Professional - Scientific and Tech Services 130 $19.2
Accommodation and Food Services 300 $18.1
Administrative and Waste Services 250 $17.8
Manufacturing 60 $17.8
Finance and Insurance 90 $16.5
All other industries 570 $67.2
Total 12,380 $915.1
NAICS: North American Industry Classification System
Massachusetts - Congressional District 1
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative Richard E. Neal (D-MA) Massachusetts – Congressional District 2
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
43 Nursing Facilities
5,542 Employees
4,510 Patients Cared for Every Day
14% of patients rely on Medicare; 66% rely on Medicaid; 20% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$590.6 million or 2.6% of state economic activity (direct effect)
$921.1 million or 4.1% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $634.0 9,880 Real Estate and Rental 60.4 160 Finance and Insurance 33.2 150 Retail Trade 27 380 Manufacturing 25 70 All Industries and Sectors $921.1 12,030
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $921.1 million in revenue…
LTC facilities support $482.3 million in labor income…
LTC facilities contribute to approximately 12,030 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 2 represents…
• 2.6% of economic activity
• 2.4% of labor income
• 3.1% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 2 supports...
• 4.1% of economic activity
• 3.2% of labor income
• 4.0% of employment
LTC facilities generate $157.8 million in tax revenue…
• $50.2 million in state/local taxes
• $107.6 million in federal taxes
Demographics of Massachusetts - Congressional District 2Population (2007) 646,000% Population 65+ years (2007) 13.4%% Population 85+ years (2007) 2.1%District economic activity (2007) $22.6 billion
Massachusetts - Congressional District 2Long Term Care (LTC) facilities* support an estimated
$921.1 million or 4.1% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $590.6 $102.7 $227.8 $921.1 4.1%
Labor Income (in millions of dollars) $367.3 $35.4 $79.6 $482.3 3.2%
Employment (jobs) 9,410 730 1,890 12,030 4.0%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $50.2 $107.6 $157.8 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 9,880 $634.0
Real Estate and Rental 160 $60.4
Finance and Insurance 150 $33.2
Retail Trade 380 $27.0
Manufacturing 70 $25.0
Wholesale Trade 90 $18.6
Professional - Scientific and Tech Services 150 $18.5
Accommodation and Food Services 320 $18.3
Administrative and Waste Services 250 $16.0
All other industries 590 $70.1
Total 12,030 $921.1
NAICS: North American Industry Classification System
Massachusetts - Congressional District 2
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative James P. McGovern (D-MA) Massachusetts – Congressional District 3
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
45 Nursing Facilities
6,106 Employees
4,797 Patients Cared for Every Day
11% of patients rely on Medicare; 65% rely on Medicaid; 24% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$666.3 million or 2.0% of state economic activity (direct effect)
$1.1 billion* or 3.2% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $713.8 10,900 Real Estate and Rental 67.2 170 Finance and Insurance 37.1 170 Retail Trade 34.9 480 Manufacturing 32 90 All Industries and Sectors $1,059.3 13,340
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities. *$$1,059.3 million as reported in The Lewin Group Economic Impact LTC.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $1,059.3 million in revenue…
LTC facilities support $555.5 million in labor income…
LTC facilities contribute to approximately 13,340 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 3 represents…
• 2.0% of economic activity
• 1.8% of labor income
• 2.6% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 3 supports...
• 3.2% of economic activity
• 2.4% of labor income
• 3.4% of employment
LTC facilities generate $201.8 million in tax revenue…
• $62.5 million in state/local taxes
• $139.3 million in federal taxes
Demographics of Massachusetts - Congressional District 3Population (2007) 637,000% Population 65+ years (2007) 12.7%% Population 85+ years (2007) 2.0%District economic activity (2007) $33.5 billion
Massachusetts - Congressional District 3Long Term Care (LTC) facilities* support an estimated
$1.1 billion or 3.2% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $666.3 $123.4 $269.6 $1,059.3 3.2%
Labor Income (in millions of dollars) $415.1 $44.5 $95.8 $555.5 2.4%
Employment (jobs) 10,410 800 2,130 13,340 3.4%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $62.5 $139.3 $201.8 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 10,900 $713.8
Real Estate and Rental 170 $67.2
Finance and Insurance 170 $37.1
Retail Trade 480 $34.9
Manufacturing 90 $32.0
Professional - Scientific and Tech Services 180 $26.9
Wholesale Trade 100 $24.3
Accommodation and Food Services 330 $20.4
Administrative and Waste Services 270 $18.4
All other industries 650 $84.3
Total 13,340 $1,059.3
NAICS: North American Industry Classification System
Massachusetts - Congressional District 3
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative Barney Frank (D-MA) Massachusetts – Congressional District 4
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
51 Nursing Facilities
6,397 Employees
5,101 Patients Cared for Every Day
13% of patients rely on Medicare; 70% rely on Medicaid; 17% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$671.7 million or 1.8% of state economic activity (direct effect)
$1.1 billion* or 2.8% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $723.4 10,730 Real Estate and Rental 73.6 170 Finance and Insurance 40.5 140 Retail Trade 32.6 440 Prof – Scientific/Tech Svcs 31.4 190 All Industries and Sectors $1,079.2 13,100
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities. *$$1,079.2 million as reported in The Lewin Group Economic Impact LTC.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $1,079.2 million in revenue…
LTC facilities support $569.8 million in labor income…
LTC facilities contribute to approximately 13,100 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 4 represents…
• 1.8% of economic activity
• 1.6% of labor income
• 2.3% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 4 supports...
• 2.8% of economic activity
• 2.2% of labor income
• 3.0% of employment
LTC facilities generate $191.2 million in tax revenue…
• $59.4 million in state/local taxes
• $131.8 million in federal taxes
Demographics of Massachusetts - Congressional District 4Population (2007) 636,000% Population 65+ years (2007) 13.6%% Population 85+ years (2007) 2.3%District economic activity (2007) $38.2 billion
Massachusetts - Congressional District 4Long Term Care (LTC) facilities* support an estimated
$1.1 billion or 2.8% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $671.7 $124.8 $282.7 $1,079.2 2.8%
Labor Income (in millions of dollars) $419.4 $46.5 $103.8 $569.8 2.2%
Employment (jobs) 10,220 780 2,110 13,100 3.0%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $59.4 $131.8 $191.2 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 10,730 $723.4
Real Estate and Rental 170 $73.6
Finance and Insurance 140 $40.5
Retail Trade 440 $32.6
Professional - Scientific and Tech Services 190 $31.4
Wholesale Trade 110 $24.9
Manufacturing 70 $21.9
Administrative and Waste Services 280 $21.8
Accommodation and Food Services 330 $21.5
All other industries 650 $87.4
Total 13,100 $1,079.2
NAICS: North American Industry Classification System
Massachusetts - Congressional District 4
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative Niki Tsongas (D-MA) Massachusetts – Congressional District 5
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
43 Nursing Facilities
5,497 Employees
4,264 Patients Cared for Every Day
12% of patients rely on Medicare; 65% rely on Medicaid; 23% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$597.0 million or 1.7% of state economic activity (direct effect)
$918.4 million or 2.6% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $635.9 9,780 Real Estate and Rental 62.6 170 Manufacturing 32.1 80 Retail Trade 24 330 Finance and Insurance 23.4 110 All Industries and Sectors $918.4 11,730
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $918.4 million in revenue…
LTC facilities support $484.7 million in labor income…
LTC facilities contribute to approximately 11,730 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 5 represents…
• 1.7% of economic activity
• 1.5% of labor income
• 2.4% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 5 supports...
• 2.6% of economic activity
• 2.0% of labor income
• 3.0% of employment
LTC facilities generate $165.4 million in tax revenue…
• $51.9 million in state/local taxes
• $113.5 million in federal taxes
Demographics of Massachusetts - Congressional District 5Population (2007) 646,000% Population 65+ years (2007) 10.8%% Population 85+ years (2007) 1.6%District economic activity (2007) $35.2 billion
Massachusetts - Congressional District 5Long Term Care (LTC) facilities* support an estimated
$918.4 million or 2.6% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $597.0 $102.1 $219.3 $918.4 2.6%
Labor Income (in millions of dollars) $371.8 $36.9 $76.1 $484.7 2.0%
Employment (jobs) 9,370 670 1,690 11,730 3.0%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $51.9 $113.5 $165.4 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 9,780 $635.9
Real Estate and Rental 170 $62.6
Manufacturing 80 $32.1
Retail Trade 330 $24.0
Finance and Insurance 110 $23.4
Wholesale Trade 90 $22.1
Professional - Scientific and Tech Services 140 $21.1
Accommodation and Food Services 280 $17.2
Administrative and Waste Services 240 $16.3
All other industries 530 $63.7
Total 11,730 $918.4
NAICS: North American Industry Classification System
Massachusetts - Congressional District 5
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative John F. Tierney (D-MA) Massachusetts – Congressional District 6
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
46 Nursing Facilities
5,421 Employees
4,219 Patients Cared for Every Day
17% of patients rely on Medicare; 57% rely on Medicaid; 26% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$624.0 million or 1.7% of state economic activity (direct effect)
$978.3 million or 2.6% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $663.2 10,170 Real Estate and Rental 66.3 170 Manufacturing 35.6 80 Retail Trade 29.5 400 Finance and Insurance 28.6 120 All Industries and Sectors $978.3 12,320
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $978.3 million in revenue…
LTC facilities support $514.1 million in labor income…
LTC facilities contribute to approximately 12,320 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 6 represents…
• 1.7% of economic activity
• 1.5% of labor income
• 2.3% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 6 supports...
• 2.6% of economic activity
• 2.0% of labor income
• 2.9% of employment
LTC facilities generate $174.6 million in tax revenue…
• $53.9 million in state/local taxes
• $120.7 million in federal taxes
Demographics of Massachusetts - Congressional District 6Population (2007) 640,000% Population 65+ years (2007) 14.1%% Population 85+ years (2007) 2.2%District economic activity (2007) $37.7 billion
Massachusetts - Congressional District 6Long Term Care (LTC) facilities* support an estimated
$978.3 million or 2.6% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $624.0 $115.8 $238.5 $978.3 2.6%
Labor Income (in millions of dollars) $388.7 $41.3 $84.2 $514.1 2.0%
Employment (jobs) 9,750 730 1,840 12,320 2.9%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $53.9 $120.7 $174.6 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 10,170 $663.2
Real Estate and Rental 170 $66.3
Manufacturing 80 $35.6
Retail Trade 400 $29.5
Finance and Insurance 120 $28.6
Professional - Scientific and Tech Services 170 $25.8
Wholesale Trade 90 $22.9
Accommodation and Food Services 290 $19.0
Administrative and Waste Services 240 $17.5
All other industries 590 $70.0
Total 12,320 $978.3
NAICS: North American Industry Classification System
Massachusetts - Congressional District 6
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative Edward J. Markey (D-MA) Massachusetts – Congressional District 7
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
39 Nursing Facilities
5,267 Employees
4,078 Patients Cared for Every Day
15% of patients rely on Medicare; 62% rely on Medicaid; 23% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$491.4 million or 1.4% of state economic activity (direct effect)
$771.8 million or 2.2% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $526.3 7,770 Real Estate and Rental 51.8 120 Finance and Insurance 31.1 110 Retail Trade 21.6 290 Prof – Scientific/Tech Svcs 21.2 130 All Industries and Sectors $771.8 9,380
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $771.8 million in revenue…
LTC facilities support $410.2 million in labor income…
LTC facilities contribute to approximately 9,380 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 7 represents…
• 1.4% of economic activity
• 1.3% of labor income
• 2.0% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 7 supports...
• 2.2% of economic activity
• 1.7% of labor income
• 2.5% of employment
LTC facilities generate $134.3 million in tax revenue…
• $41.9 million in state/local taxes
• $92.5 million in federal taxes
Demographics of Massachusetts - Congressional District 7Population (2007) 640,000% Population 65+ years (2007) 15.3%% Population 85+ years (2007) 2.6%District economic activity (2007) $35.5 billion
Massachusetts - Congressional District 7Long Term Care (LTC) facilities* support an estimated
$771.8 million or 2.2% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $491.4 $89.1 $191.3 $771.8 2.2%
Labor Income (in millions of dollars) $307.1 $33.0 $70.1 $410.2 1.7%
Employment (jobs) 7,420 550 1,410 9,380 2.5%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $41.9 $92.5 $134.3 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 7,770 $526.3
Real Estate and Rental 120 $51.8
Finance and Insurance 110 $31.1
Retail Trade 290 $21.6
Professional - Scientific and Tech Services 130 $21.2
Wholesale Trade 80 $18.1
Manufacturing 40 $16.6
Administrative and Waste Services 210 $15.7
Accommodation and Food Services 200 $13.1
All other industries 440 $56.3
Total 9,380 $771.8
NAICS: North American Industry Classification System
Massachusetts - Congressional District 7
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative Michael E. Capuano (D-MA) Massachusetts – Congressional District 8
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
20 Nursing Facilities
2,746 Employees
2,095 Patients Cared for Every Day
14% of patients rely on Medicare; 65% rely on Medicaid; 21% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$385.0 million or 0.6% of state economic activity (direct effect)
$529.1 million or 0.9% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $399.9 5,750 Real Estate and Rental 27.3 70 Finance and Insurance 16.3 60 Prof – Scientific/Tech Svcs 14.8 90 Administrative/Waste Svcs 9.8 120 All Industries and Sectors $529.1 6,570
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $529.1 million in revenue…
LTC facilities support $295.5 million in labor income…
LTC facilities contribute to approximately 6,570 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 8 represents…
• 0.6% of economic activity
• 0.6% of labor income
• 0.9% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 8 supports...
• 0.9% of economic activity
• 0.7% of labor income
• 1.1% of employment
LTC facilities generate $107.7 million in tax revenue…
• $31.1 million in state/local taxes
• $76.6 million in federal taxes
Demographics of Massachusetts - Congressional District 8Population (2007) 673,000% Population 65+ years (2007) 9.3%% Population 85+ years (2007) 1.4%District economic activity (2007) $60.5 billion
Massachusetts - Congressional District 8Long Term Care (LTC) facilities* support an estimated
$529.1 million or 0.9% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $385.0 $67.3 $76.9 $529.1 0.9%
Labor Income (in millions of dollars) $241.3 $25.5 $28.8 $295.5 0.7%
Employment (jobs) 5,600 410 560 6,570 1.1%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $31.1 $76.6 $107.7 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 5,750 $399.9
Real Estate and Rental 70 $27.3
Finance and Insurance 60 $16.3
Professional - Scientific and Tech Services 90 $14.8
Administrative and Waste Services 120 $9.8
Wholesale Trade 40 $8.7
Manufacturing 20 $8.0
Retail Trade 110 $7.9
Accommodation and Food Services 120 $7.8
All other industries 210 $28.5
Total 6,570 $529.1
NAICS: North American Industry Classification System
Massachusetts - Congressional District 8
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative Stephen F. Lynch (D-MA) Massachusetts – Congressional District 9
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
49 Nursing Facilities
6,674 Employees
5,212 Patients Cared for Every Day
16% of patients rely on Medicare; 59% rely on Medicaid; 25% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$717.0 million or 1.3% of state economic activity (direct effect)
$1.1 billion* or 2.0% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $756.8 11,280 Real Estate and Rental 63.4 160 Finance and Insurance 38 140 Prof – Scientific/Tech Svcs 31.2 190 Retail Trade 26.1 340 All Industries and Sectors $1,081.7 13,390
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities. *$$1,081.7 million as reported in The Lewin Group Economic Impact LTC.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $1,081.7 million in revenue…
LTC facilities support $582.3 million in labor income…
LTC facilities contribute to approximately 13,390 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 9 represents…
• 1.3% of economic activity
• 1.2% of labor income
• 2.0% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 9 supports...
• 2.0% of economic activity
• 1.6% of labor income
• 2.4% of employment
LTC facilities generate $202.8 million in tax revenue…
• $61.7 million in state/local taxes
• $141.1 million in federal taxes
Demographics of Massachusetts - Congressional District 9Population (2007) 645,000% Population 65+ years (2007) 13.9%% Population 85+ years (2007) 2.4%District economic activity (2007) $54.9 billion
Massachusetts - Congressional District 9Long Term Care (LTC) facilities* support an estimated
$1.1 billion or 2.0% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $717.0 $139.7 $225.0 $1,081.7 2.0%
Labor Income (in millions of dollars) $447.8 $51.8 $82.7 $582.3 1.6%
Employment (jobs) 10,890 850 1,650 13,390 2.4%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $61.7 $141.1 $202.8 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 11,280 $756.8
Real Estate and Rental 160 $63.4
Finance and Insurance 140 $38.0
Professional - Scientific and Tech Services 190 $31.2
Retail Trade 340 $26.1
Manufacturing 70 $25.5
Wholesale Trade 90 $21.3
Administrative and Waste Services 280 $20.9
Accommodation and Food Services 280 $18.3
All other industries 570 $80.1
Total 13,390 $1,081.7
NAICS: North American Industry Classification System
Massachusetts - Congressional District 9
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
Prepared by:
American Health Care Association National Center for Assisted Living
1201 L Street NW Washington DC 20005 www.ahcancal.org
LONG TERM CARE ECONOMIC IMPACT STATISTICS
Representative William D. Delahunt (D-MA) Massachusetts – Congressional District 10
NURSING FACILITIES, STAFF & PATIENTS In Massachusetts
46 Nursing Facilities
5,764 Employees
4,539 Patients Cared for Every Day
18% of patients rely on Medicare; 58% rely on Medicaid; 24% pay for care with private or other funds.
LONG TERM CARE’S ECONOMIC IMPACT Direct & Indirect Contribution To Massachusetts
$567.6 million or 2.2% of state economic activity (direct effect)
$877.0 million or 3.4% of state economic activity (total impact)
TOP 5 INDUSTRIES/SECTORS SUPPORTED BY LONG TERM CARE
Economic Activity (in millions)
Employment (jobs)
Health and Social Services $601.1 8,940 Real Estate and Rental 60.5 180 Finance and Insurance 33.9 150 Retail Trade 28.5 390 Prof – Scientific/Tech Svcs 22.8 180 All Industries and Sectors $877.0 11,000
“Long Term Care Facilities” include nursing facilities, assisted living and other long term care residential facilities.
Economic Impact of Long Term Care FacilitiesJanuary 2009
LTC facilities support $877.0 million in revenue…
LTC facilities support $463.6 million in labor income…
LTC facilities contribute to approximately 11,000 jobs…
LTC facilities’ direct economic impact on Massachusetts - Congressional District 10 represents…
• 2.2% of economic activity
• 2.2% of labor income
• 2.6% of employment
LTC facilities’ total economic impact on Massachusetts - Congressional District 10 supports...
• 3.4% of economic activity
• 2.9% of labor income
• 3.3% of employment
LTC facilities generate $153.8 million in tax revenue…
• $48.7 million in state/local taxes
• $105.1 million in federal taxes
Demographics of Massachusetts - Congressional District 10Population (2007) 637,000% Population 65+ years (2007) 16.5%% Population 85+ years (2007) 2.5%District economic activity (2007) $25.4 billion
Massachusetts - Congressional District 10Long Term Care (LTC) facilities* support an estimated
$877.0 million or 3.4% of the district’s economic activity
*Long Term Care (LTC) facilities include nursing homes, assisted living, and other residential care facilities. These facilities do not include government-owned or hospital-based facilities.
Prepared by:
Economic Impact of Long Term Care FacilitiesJanuary 2009
Estimated Impact Direct Indirect Induced Total% of Total
District Activity
Output (in millions of dollars) $567.6 $100.6 $208.8 $877.0 3.4%
Labor Income (in millions of dollars) $354.7 $36.2 $72.7 $463.6 2.9%
Employment (jobs) 8,570 710 1,720 11,000 3.3%
Estimated Impact State/Local Federal Total
Tax (in millions of dollars) $48.7 $105.1 $153.8 -
Summary: Economic Impact of LTC Facilities
Economic Impact Definitions
Direct Effect represents the impact (e.g., change in employment or revenues) for the expenditures and/or production values specified as direct final demand changes.
Indirect Effect represents the impact (e.g., change in employment or revenues) caused by the iteration of industries purchasing from industries resulting from direct final demand changes.
Induced Effect represents the impacts on all local industries caused by the expenditures of new household income generated by the direct and indirect effects of direct final demand changes.
Total Impact is the sum of the direct, indirect and induced effects.
Labor Income is the sum of employee compensation and proprietary income.
LTC facilities support other industries and sectors districtwide…
Industry/Sector
Estimated Impact
Employment(jobs)
Economic Activity
(in millions)Health and Social Services 8,940 $601.1
Real Estate and Rental 180 $60.5
Finance and Insurance 150 $33.9
Retail Trade 390 $28.5
Professional - Scientific and Tech Services 180 $22.8
Accommodation and Food Services 300 $18.1
Administrative and Waste Services 220 $17.4
Wholesale Trade 80 $16.2
Utilities 10 $12.6
All other industries 560 $65.7
Total 11,000 $877.0
NAICS: North American Industry Classification System
Massachusetts - Congressional District 10
Note:Numbers may not add due to rounding.
Sources:Economic impact analysis: The Lewin Group analysis using
Impact Analysis for Planning (IMPLAN) software, Minnesota IMPLAN Group, Inc, 2007 data
Population data: U.S. Census Bureau, http://www.census.gov/
![[Add your district’s information here]](https://static.documents.pub/doc/80x56/568162ba550346895dd342ae/add-your-districts-information-here.jpg)
