HEALTHCARE. January 2017 Healthcare INDUSTRY PROFILE. for Arapahoe & Douglas Counties Colorado WIOA Central Planning Region

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January 2017 Healthcare INDUSTRY PROFILE for Arapahoe & Douglas Counties Colorado WIOA Central Planning Region

Background With 214,430 healthcare and wellness workers at 19,760 companies across the region, the industry is one of the fastest growing clusters in Metro Denver, recording 5.4 percent job growth in 2016, compared to 3.1 percent growth nationally. With a $11.4 billion annual payroll, the healthcare and wellness industry has a compelling economic impact within Metro Denver. The nine-county Metro Denver and Northern Colorado region1 is the healthcare and wellness center of the Rocky Mountain West. The vibrant healthcare and wellness industry has one of the most active and fittest populations in the nation. In fact, the region has one of the lowest rates of adult obesity, a high rate of physical activity, and low rates of diabetes and heart disease. Metro Denver is the third-fittest metropolitan area in the nation and Fort Collins and Boulder are among the nation s top metro areas for residents overall health and well-being. Outdoor recreation is a fundamental component to the region s healthy, active lifestyle. Metro Denver boasts the nation s largest public parks system, 11 world-class ski resorts within 100 miles, and more than 850 miles of paved off-road trails. The healthcare and wellness cluster includes a dynamic and growing group of companies that provide preventive, curative, and rehabilitative services offered by healthcare providers, medical and specialty hospitals, kidney dialysis centers, nutrition and weight loss facilities, fitness centers, medical spas and massage facilities, public health and education, and other healthcare and wellness organizations. Extending beyond healthcare delivery, the cluster represents a continuum of businesses ranging from treating disease to a multidimensional and holistic approach that focuses on complete physical and mental health, social well-being, and disease prevention. The region s healthcare and wellness industry is resilient to economic cycles, with employment increasing every year since 2004. With an employment base of 214,430 workers in 19,760 companies, the healthcare and wellness cluster is the region s largest cluster in terms of employment. Healthcare and wellness companies employed 9.6 percent of the region s total employment base in 2016 and total payroll in the industry exceeded $11.4 billion. Source: Metro Denver Economic Development Corporation http://www.metrodenver.org/industries/healthcare-wellness/ Rankings Business Insider ranked Colorado s economy the third best in the country, based on recent change in housing prices, nonfarm payroll growth, unemployment rate, GDP per capita, average weekly wage, and state government surplus and deficit. Forbes ranked Metro Denver sixth of fastest growing cities in 2015. Factors that earned us this standing included our 4 percent unemployment rate 2.66 percent job growth rate. According to Money magazine, Denver is the best city to live in the West. The ranking called Metro Denver a mecca for millennials and that the city has relatively affordable real estate and great access to recreation. WalletHub ranked three Metro Denver cities among the best in the country for first-time home buyers: Centennial ranked third, Longmont ranked ninth, and Thornton ranked 10th.

Employment Concentrations This map show where the highest concentration of employment are in the healthcare sector, by county, within the Central Planning Region. Top Employment Concentrations by County County 2016 Jobs Business Establishments National Location Quotient Denver County, CO 43,883 1,793 0.76 Arapahoe County, CO 36,459 1,703 0.96 Jefferson County, CO 25,180 1,385 0.89 Adams County, CO 24,968 571 1.06 Boulder County, CO 18,471 1,133 0.86 Larimer County, CO 15,925 802 0.86 Douglas County, CO 10,589 704 0.75 Broomfield County, CO 1,764 143 0.41 Clear Creek County, CO 82 13 0.21 Gilpin County, CO 17 3 0.03 Source: EMSI 2016.4 QCEW Employees, Non-QCEW Employees & Self-Employed Class of Worker 2

Competitive Analysis This table shows employment within the Colorado Central Planning Region in the top 20 occupations in the sector. Regional wage ranges and the median wage are shown, with yellowed cells indicating where wage offers may have to fall to attract and retain qualified candidates based on labor supply (applicants per job opening). SOC Annual Code Description Openings Licensed Practical & 29-2061 Licensed Vocational 2,880 3,694 273 37 Nurses 29-1123 Physical Therapists Total Number Jobs (in industry) 2,971 Total Number Jobs (across industries) 3,234 221 Available Applicants 29-1141 Registered Nurses 28,367 32,924 1,693 329 Health Technologists & 29-2099 2,068 2,293 94 23 Technicians, All Other 29-2034 Radiologic Technologists 2,171 2,282 89 23 29-2021 Dental Hygienists 3,645 3,718 140 37 32 Applicants Per Job Openings Median 10th Percentile 25th Percentile Average 75th Percentile 90th Percentile 0.14 $23.71 $18.81 $20.57 $23.17 $26.52 $29.18 0.15 $36.23 $25.89 $30.28 $35.33 $41.57 $47.24 0.19 $34.43 $24.92 $28.40 $33.90 $39.89 $46.33 0.25 $22.65 $13.55 $15.82 $19.51 $26.09 $35.71 0.26 $30.83 $20.82 $24.74 $30.24 $36.72 $43.41 0.27 $38.78 $30.80 $35.33 $40.33 $44.49 $47.04 21-1014 Mental Health Counselors 2,328 3,562 162 57 0.35 $22.25 $13.19 $15.51 $20.47 $27.34 $35.30 31-1011 Home Heath Aides 6,667 11,010 743 352 0.47 $12.91 $9.19 $10.23 $11.84 $14.55 $17.80 Receptionist & 43-4171 5,981 14,332 720 358 0.50 $15.19 $9.84 $12.01 $14.58 $17.71 $21.67 Information Clerks 43-6013 Medical Secretaries 4,837 5,295 254 132 0.52 $18.03 $12.34 $14.97 $17.50 $21.17 $23.97 31-9092 Medical Assistants 6,070 6,509 398 208 39-9021 Personal Care Aides 4,516 18,868 933 491 Food Servers, 35-3041 2,377 5,225 222 120 Nonrestaurant 43-9061 Office Clerks, General 2,614 31,667 1,351 792 0.52 $16.68 $12.61 $14.20 $16.46 $18.69 $21.89 0.53 $10.37 $8.72 $9.45 $10.28 $11.14 $11.85 0.54 $11.12 $8.63 $9.19 $10.55 $12.38 $14.59 0.59 $18.71 $10.29 $13.30 $17.38 $23.01 $28.91 31-1014 Nursing Assistants 10,884 12,437 678 398 0.59 $14.84 $11.46 $12.69 $14.43 $16.80 $18.49 31-9091 Dental Assistants 3,932 4,162 214 133 43-1011 First-Line Supervisors of Office & Administrative Support Workers 1,877 15,310 578 383 31-9011 Massage Therapists 2,397 5,075 241 162 Medical & Health 11-9111 2,361 2,960 170 157 Services Managers Secretaries & Admin 43-6014 Assistant, Except Legal, 3,105 42,821 1,055 1,071 Medical & Executive 0.62 $19.92 $13.70 $16.02 $18.81 $23.10 $28.88 0.66 $28.78 $16.26 $21.44 $27.38 $34.55 $43.55 0.67 $19.34 $9.66 $11.70 $18.67 $24.98 $30.63 0.89 $55.75 $32.24 $39.74 $51.92 $65.33 $82.03 1.01 $18.22 $11.65 $14.37 $17.78 $22.00 $26.10 Source: EMSI 2016.4 QCEW Employees, Non-QCEW Employees & Self-Employed Class of Worker 4

Industry Growth This table shows projected yearly job growth through 2020. The National Location Quotient shows the relative concentration of employment in this industry in the Colorado Central Planning Region versus the national average. For example, with a Location Quotient of 2.66, you would read, employment is 2.66 times more concentrated in the Colorado Central Planning Region than the national average. 120,000 3.00 100,000 80,000 60,000 109,793 92,359 2.50 2.00 1.50 40,000 20,000 0 41,399 45,932 27,887 32,166 11,371 12,854 4,322 4,592 1.00 0.50 0.00 2016 Jobs 2021 Jobs Ambulatory Health Care Services Hospitals Nursing and Residential Care Facilities Hospitals (State Government) Hospitals (Local Government) National Location Quotient Source: EMSI 2016.3 QCEW Employees, Non-QCEW Employees & Self-Employed Class of Worker

Difficult to Hire This chart shows the relationship between the number of job listings versus the number of hires for each of the top occupations in the sector. If there are more listings than hires, it suggests that there are not enough qualified people to fill all the jobs. If there are more hires than listings, it suggests there may be too many qualified people to fill too few jobs. Difficulty to Hire Very Easy Easy Medium Difficult Very Difficult Occupation (SOC) Avg Monthly Postings Avg Monthly Hires Hires Per Listing Office Clerks, General 260 2,111 8.12 Dental Hygienists 34 211 6.21 Massage Therapists 63 340 5.40 Food Servers, Nonrestaurant 88 427 4.85 Personal Care Aides 299 1,383 4.63 Home Health Aides 188 809 4.30 Receptionists & Information Clerks 293 930 3.17 Dental Assistants 80 234 2.93 Secretaries & Administrative Assistants, Except Legal, Medical & Executive 1,053 2,715 2.58 Mental Health Counselors 78 169 2.17 Nursing Assistants 512 714 1.39 Medical Assistants 424 304 0.72 Licensed Practical & Licensed Vocational Nurses 326 207 0.63 Health Technologists & Technicians, All Other 138 82 0.59 Physical Therapists 320 187 0.58 Medical Secretaries 449 242 0.54 Radiologic Technologists 153 75 0.49 First-Line Supervisors of Office & Administrative Support 1,965 842 0.43 Registered Nurses 4,839 1,260 0.26 Medical & Health Service Managers 902 119 0.13 6

Top Jobs Top Jobs Currently Listed in the Central Planning Region, Last 120 Days Registered Nurses 29114100 3,429 3,422 Nursing Assistants 31101400 629 365 Medical & Healthcare Services Managers 11911100 613 564 Preschool Teachers, Except Special Education 25201100 534 119 Medical Secretaries 43601300 432 348 Medical Assistants 31909200 399 305 Surgical Technologists 29205500 316 235 Licensed Practical & Licensed Vocational Nurses 29206100 287 227 Critical Care Nurses 29114103 284 261 Radiologic Technologist 29203400 227 173 Social & Human Services Assistants 21109300 207 151 Mental Health & Substance Abuse Social Workers 21102300 150 111 Physical Therapists 29112300 147 105 Home Health Aides 31101100 143 123 First-Line Supervisors of Office & Administrative Support Workers 43101100 141 121 Occupational Therapists 29112200 118 76 Source: Wanted Analytics Medical Records & Health Information Technicians 29207100 115 130 Family & General Practitioners 29106200 113 163 Personal Care Aides 39902100 113 118 Physician Assistants 29107100 112 98

Training Pipeline Here are the top 20 jobs in the industry, by number employed and educational attainment level. Less than high school Home Health Aides SOC Code: 21-1014 2016 Jobs: 11,010 Annual Openings: 743 Regional Completions: 20 Completers/Opening: 0.03 Food Servers, Nonrestaurant SOC Code: 35-3041 2016 Jobs: 5,225 Annual Openings: 222 Regional Completions: 0 Completers/Opening: 0.00 Personal Care Aides SOC Code: 39-9021 2016 Jobs: 18,868 Annual Openings: 933 Regional Completions: 38 Completers/Opening: 0.04 High School or equivalent Health Technologists & Technicians, All Other SOC Code: 29-2099 2016 Jobs: 2,293 Annual Openings: 94 Regional Completions: 93 Completers/Opening: 0.99 First-Line Supervisors of Office & Administrative Support Workers SOC Code: 43-1011 2016 Jobs: 15,310 Annual Openings: 578 Regional Completions: 145 Completers/Opening: 0.25 Receptionists & Information Clerks SOC Code: 43-4171 2016 Jobs: 14,332 Annual Openings: 720 Regional Completions: 0 Completers/Opening: 0.00 Medical Secretaries SOC Code: 43-6013 2016 Jobs: 5,295 Annual Openings: 254 Regional Completions: 252 Completers/Opening: 0.99 Secretaries & Administrative Assistants, Except Legal, Medical & Executive SOC Code: 43-6014 2016 Jobs: 42,821 Annual Openings: 1,055 Regional Completions: 45 Completers/Opening: 0.04 Office Clerks, General SOC Code: 43-9061 2016 Jobs: 31,667 Annual Openings: 1,351 Regional Completions: 0 Completers/Opening: 0.00 Postsecondary non-degree Licensed Practical & Vocational Nurses SOC Code: 29-2061 2016 Jobs: 3,694 Annual Openings: 273 Regional Completions: 113 Completers/Opening: 0.41 Nursing Assistants SOC Code: 31-1014 2016 Jobs: 12,437 Annual Openings: 678 Regional Completions: 1,149 Completers/Opening: 1.69 Nursing Assistants SOC Code: 31-1014 2016 Jobs: 12,437 Annual Openings: 678 Regional Completions: 1,149 Completers/Opening: 1.69 Massage Therapists SOC Code: 31-9011 2016 Jobs: 5,075 Annual Openings: 241 Regional Completions: 690 Completers/Opening: 2.86 Dental Assistants SOC Code: 31-9091 2016 Jobs: 4,162 Annual Openings: 214 Regional Completions: 432 Completers/Opening: 2.01 Medical Assistants SOC Code: 31-9092 2016 Jobs: 6,509 Annual Openings: 398 Regional Completions: 1,286 Completers/Opening: 3.23 Associate s Degree Dental Hygienists SOC Code: 29-2021 2016 Jobs: 3,718 Annual Openings: 140 Regional Completions: 98 Completers/Opening: 0.70 Radiologic Technologists SOC Code: 29-2034 2016 Jobs: 2,282 Annual Openings: 89 Regional Completions: 123 Completers/Opening: 1.38 Bachelor s Degree Medical & Health Services Managers SOC Code: 11-9111 2016 Jobs: 2,960 Annual Openings: 177 Regional Completions: 2,050 Completers/Opening: 11.61 Registered Nurses SOC Code: 29-1141 2016 Jobs: 32,924 Annual Openings: 1,693 Regional Completions: 1,968 Completers/Opening: 1.16 Masters Degree Mental Health Counselors SOC Code: 21-1014 2016 Jobs: 3,562 Annual Openings: 162 Regional Completions: 211 Completers/Opening: 1.31 Doctoral or Professional Degree Physical Therapists SOC Code: 29-1123 2016 Jobs: 3,234 Annual Openings: 221 Regional Completions: 157 Completers/Opening: 0.71 Source: IPEDS Data Compiled by EMSI 2016.4 8

Top Ten Below are the top five core skills, workplace skills, certifications and companies in the healthcare industry. Core Skills 1 Oral & Written Communication 2 Integrity 3 Problem Solving 4 Organizational 5 Critical Thinking Workplace Skills 1 Pediatrics 2 Critical Care 3 Geriatrics 4 Quality Assurance (QA) 5 Ambulatory Surgery Certifications 1 Certified Registered Nurse (RN) 2 Basic Life Support (BLS) 3 Advanced Cardiac Life Support (ACLS) 4 Cardiopulmonary Resuscitation (CPR) 5 Pediatric Advanced Life Support (PALS) Companies 1 HCA - The Healthcare Company 2 Centura Health 3 Swedish Medical Center 4 Denver Health 5 The Medical Center of Aurora Source: Wanted Analytics

Age Bands & Age Bands It is helpful to know the age bands in a sector, because if there is a substantial percentage of people above 55 years old, it means there will be opportunity as retirements happen. Based on Age Distribution, Arapahoe/Douglas Works! has developed a way to measure the age gap in an industry by comparing the number of workers over age 45 to the number under age 34. Age gap is shown both as a percentage and a count. 65+ 4.4% 55-64 17.7% 45-54 21.6% 35-44 24.6% 25-34 24.5% 19-24 6.6% 14-18 0.5% Source: EMSI 2016.4 QCEW, Non-QCEW & Self-Employed Listing This graph shows the week over week volume of listings in the central planning region. 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0 Source: Wanted Analytics 10

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