Center for Applied Demography & Survey Research University of Delaware The Economic Impact of the University of Delaware’s College of Health Sciences by Daniel T. Brown March 2013 An Analysis of Delaware’s Economy Economic Analysis Studies The Economic Impact of the University of Delaware’s College of Health Sciences The University of Delaware is committed to assuring equal opportunity to all persons and does not discriminate on the basis of race, color, gender, religion, ancestry, national origin, sexual preference, veteran status, age, or disability in its educational programs, activities, admissions, or employment practices as required by Title IX of the Educational Amendments of 1972, Title VI of the Civil Rights Act of 1964, the Rehabilitation Act of 1973, the Americans with Disabilities Act, other applicable statutes, and University policy. Inquiries concerning these statutes and information regarding campus accessibility and Title VI should be referred to the Affirmative Action Officer, 305 Hullihen Hall, 302/831-2835 (voice), 302/831-4552(TDD). ii The Economic Impact of the University of Delaware’s College of Health Sciences Acknowledgements The author would like to thank the College of Health Sciences for their support and interest in conducting this study. We would particularly like to acknowledge the Associate Dean of Research Daniel C. Flynn for his efforts collecting critical information and reviewing earlier drafts. iii The Economic Impact of the University of Delaware’s College of Health Sciences TABLE OF CONTENTS Page List of Tables ...................................................................................................................................v List of Figures ............................................................................................................................... vii Executive Summary ..................................................................................................................... viii Introduction ......................................................................................................................................1 Understanding Economic Impact Analyses .....................................................................................6 The Economic Footprint and Counterfactual .................................................................................11 Results ............................................................................................................................................35 Conclusion .....................................................................................................................................49 References ......................................................................................................................................51 Appendix ........................................................................................................................................52 iv The Economic Impact of the University of Delaware’s College of Health Sciences LIST OF TABLES Table Page Table 1 CHS Degree Programs .............................................................................................3 Table 2 Most Common Location Decisions of CHS Alumni .............................................12 Table 3 Expected Wage for Persons in the Healthcare and Social Assistance Sector, by Education and Industry .......................................................14 Table 4 CHS Bachelor's Degree and Relevant ACS Degrees.............................................15 Table 5 Top 8 Most Common Occupations among Employed Persons with a Bachelor's Degree in a Related Health Degree ...................................................16 Table 6 Mean Wage of Employed Persons Holding a Relevant Terminal Bachelor’s Degree: by Age ....................................................................................17 Table 7 Mean Wage of Employed Persons Holding a Relevant Bachelor’s Degree and a Graduate Degree: by Age ................................................................18 Table 8 Alumni Residency Assumptions – Probability that Alumni Reside in Local Area Post Graduation...............................................................................20 Table 9 Off-Campus Spending by CHS Students ..............................................................21 Table 10 Off-Campus Spending by CHS Visitors ................................................................22 Table 11 Direct and Indirect Expenses Used by the College of Health Sciences..................................................................................................................23 Table 12 Non-Labor Input Costs for Junior Colleges, Colleges, Universities, and Professional Schools .......................................................................................24 Table 13 State and Local Government Funds Benefitting CHS ...........................................32 Table 14 Summary of CHS Footprint, Counterfactual, and Direct Economic Impact ....................................................................................................................34 Table 15 CHS’s Total Economic Impact in Delaware Due to the Student Population ..............................................................................................................36 Table 16 CHS’s Total Economic Impact in Delaware Due to Increased Human Capital .......................................................................................................38 v The Economic Impact of the University of Delaware’s College of Health Sciences LIST OF TABLES (continued) Table Page Table 17 CHS’s Total Economic Impact in Delaware Due to the OffCampus Spending ..................................................................................................39 Table 18 CHS’s Total Economic Impact in Delaware Due to Labor and Other Material Inputs .............................................................................................40 Table 19 CHS’s Total Economic Impact in Delaware Due to Health Clinics ......................41 Table 20 CHS’s Total Economic Impact in New Castle County Due to Health Clinics.........................................................................................................42 Table 21 CHS’s Total Economic Impact in Kent County Due to Health Clinics ....................................................................................................................42 Table 22 CHS’s Total Economic Impact in Sussex County Due to Health Clinics ....................................................................................................................42 Table 23 CHS’s Total Economic Impact in Delaware Due to Construction of the Health Science Complex ..................................................................................43 Table 24 Assumptions Behind the Business Occupants of the Health Science Complex .................................................................................................................44 Table 25 CHS’s Total Economic Impact in Delaware Due to New Businesses in the Health Science Complex ...........................................................45 Table 26 CHS’s Total Economic Impact in Delaware Due to Net Tax Revenues ................................................................................................................46 Table 27 CHS’s Total Economic Impact in Delaware ..........................................................47 Table 28 CHS’s Total Impact on Employment, by Industry ................................................48 Table 29 Employment, Wages, and Job Projections for Speech Pathologists, by State...................................................................................................................53 Table 30 Estimated Annual Increase in University Expenses due to Program Enrollment..............................................................................................................55 Table 31 Total Economic Impact of Speech Pathology Program and Clinic .......................57 vi The Economic Impact of the University of Delaware’s College of Health Sciences LIST OF FIGURES Figure Page Figure 1 Annual Fall Enrollment for the CHS ......................................................................2 Figure 2 Degrees Granted Between Summer 2011 and Spring 2012.....................................4 Figure 3 Illustration of the REMI PI+ Model.........................................................................8 Figure 4 Illustration of a Policy Forecast in REMI ..............................................................10 Figure 5 Expected Wage for Persons in the Healthcare and Social Assistance Sector, by Education ............................................................................13 Figure 6 Annual Wages by Age and Educational Attainment .............................................19 Figure 7 Expected Number of Patient Visits Accommodated by Nurse Managed Health Clinics .........................................................................................26 Figure 8 Physical Therapy Clinics and NMHC’s Expense Decomposition .........................27 Figure 9 Number of Employees per 1,000 Sq Ft, by Business Type ...................................29 Figure 10 Expected Increase in Delaware Wages Due to the CHS Enabling Additional Education since 1997 ...........................................................................37 Figure 11 Student and Visitor Off Campus Purchases ..........................................................54 Figure 12 Expected Revenue from Speech Pathology Clinic ................................................56 vii The Economic Impact of the University of Delaware’s College of Health Sciences Executive Summary The College of Health Sciences (CHS) at the University of Delaware offers degrees in health care and clinical services. Bachelor’s and graduate programs are available in medical laboratory science, nursing, kinesiology, applied physiology, physical therapy, behavioral health and wellness, and nutrition. Students receive traditional classroom instruction, as well as hands on learning in clinical and laboratory settings. Graduates go on to pursue nursing, medical technician, and academic professions in the health sciences. Research at the CHS covers many areas, from improving the quality of patient care to rehabilitative technologies for spinal cord injuries. The college also boasts one of the best physical therapy programs in the nation. Strategic partnerships exist with local businesses, nonprofits, and hospitals, and the CHS conducts community outreach through its physical therapy clinics and nurse managed health clinics. The Center for Applied Demography & Survey Research at the University of Delaware conducted this report to assess the economic impact that the CHS has in the State of Delaware. The report considers the actual activity of the college and the hypothetical activity that would exist in lieu of the college. Although this work was funded by the CHS, the author is solely responsible for its design and execution. viii The Economic Impact of the University of Delaware’s College of Health Sciences The following points summarize the main results in this report. • The CHS enrolls 2,273 undergraduates and 337 graduate students, approximately 11% of students in the University of Delaware. Enrollment is expected to increase by nearly 67 students each year over the next five years. • Students graduating with a bachelor’s (graduate) degree from the CHS are expected to earn $450,000 ($670,000) more over the course of their working lifetimes than if they received a terminal associate’s (bachelor’s) degree instead. • An estimated $51.3 million in faculty, staff, supplies, support, room and board expenses are spent on CHS students. • CHS students and visitors spend $39.7 million in off-campus purchases each year. • The CHS will move into a $31 million health sciences complex being built on the STAR Campus. Besides enabling the CHS’s expansion, the complex will also offer 200,000 sq. ft. of space for businesses wishing to partner with the college. • The physical therapy clinics and nurse-managed health clinics currently add 15 jobs to Delaware’s economy. Plans to expand service into Kent and Sussex counties will raise that number to 23 jobs by 2017 in Delaware. • The CHS created 538 jobs and $40 million in compensation in Delaware in 2012 as a result of direct, indirect, and induced effects. Building the health sciences complex will create 268 jobs in the construction sector in 2013. By 2017, the CHS will create 770 jobs. • In 2012, the CHS created $68 million in total economic activity and $44 million in gross regional product. In 2017, the CHS is expected to cause $94 million in total economic activity and $61 million in gross regional product. • In 2012, wages and salaries were $34 million higher as a result of the CHS. Federal and state personal tax receipts were $12 million higher, and $17 million of consumption expenditures was caused by the CHS. • A speech pathology program and clinic are being considered to join the CHS in 2017. The program is expected to create 18 jobs in the long run and raise annual compensation by $1.6 million. Approximately $2.3 million in economic output will be generated by the program; $1.5 million of which is gross regional product. ix The Economic Impact of the University of Delaware’s College of Health Sciences Introduction Founded in 1743, the University of Delaware (UD) is the largest postsecondary institution in Delaware and an integral part of the state. The university’s main campus is in Newark, and satellite campuses are located in Wilmington, Dover, Georgetown, and Lewes. In 2012, 16,340 undergraduate and 3,617 graduate students were enrolled at the main campus, and the UD was ranked 75th among all universities by the U.S. News and World Report. The College of Health Sciences (CHS) is one of seven colleges in the UD. Its mission is to provide education, research, and leadership in health related areas while also conducting community outreach. In the fulfillment of this mission, the CHS engages in activities that impact Delaware’s economy. The purpose of this report is to estimate that impact. Although this work was funded by the CHS, the author is solely responsible for its design and execution. The College of Health and Nursing Sciences was originally formed in 1997 as a merger of the College of Nursing and the College of Physical Education, Athletics, and Recreation. The merger also encompassed the Department of Nutrition and Dietetics from the College of Human Resources and became home to the interdisciplinary Biomechanics and Movement Science Program. The name was changed to the College of Health Sciences in 2005, and the Department of Physical Therapy moved to the new college in 2009. 1 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 1 Annual Fall Enrollment for the CHS 3,500 3,000 2,500 2,000 Graduate 1,500 Undergraduate 1,000 500 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 0 (Forecast) • Source: University of Delaware Department for Institutional Research Currently the CHS enrolls 2,273 undergraduate students and 337 graduate students; approximately 11% university enrollment. Figure 1 shows CHS enrollment over the last 16 years. Enrollment hovered around 1,600 between 1996 and 2003, and began increasing in 2004. By 2008, it had approached 2,000 students. Merging with the Department of Physical Therapy in 2009 caused another jump in enrollment. The college plans to expand undergraduate enrollment by 45 each year students and graduate enrollment by 22 students each year over the next five years. CHS also enrolls proportionally more Delaware residents than other colleges in the university. Approximately 44% of CHS undergraduate and 40% of CHS graduate students are residents of Delaware. By contrast, approximately 35% of UD undergraduate students and 24% of UD graduate students outside the CHS are Delaware residents. 2 The Economic Impact of the University of Delaware’s College of Health Sciences Table 1 CHS Degree Programs College of Health Science Degrees Dietetics Dietetics & Nutrition Applied Nutrition Nutritional Science Human Nutrition Health and Physical Education Health Behavior Science Health Coaching Health Promotion Health Studies (Occupational Therapy) Athletic Training Exercise Science Applied Physiology Biomechanics and Movement Science Physical Therapy Medical Laboratory Science Medical Diagnostics Nursing Nursing Science Bachelor x Cert. x x Master Doctorate x x x x x x x x x x x x x x x x x x x x x CHS offers 11 undergraduate majors and 13 graduate degree programs, including 4 graduate certificate programs. The degrees span nursing, physical therapy, athletic training, nutrition, behavioral health, medical technologies, and exercise science. The CHS also runs the Medical Scholars Program in collaboration with Thomas Jefferson University in Philadelphia. Students wishing to become physicians can enter this program to receive a pre-med degree in liberal arts and then pursue an MD at Jefferson Medical College. The Biomechanics and Movement Science is an interdisciplinary graduate program (joint with the Department of Mechanical Engineering) for students interested in motor function, physiology, and biomechanics. The Department of Physical Therapy also operates clinics intended for orthopedic, athletic, pediatric, and geriatric types of rehabilitation. By offering clinical services to the public, CHS students receive hands on learning experiences while the community receives excellent rehab services from experts in the field. 3 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 2 Degrees Granted Between Summer 2011 and Spring 2012 250 200 150 100 Graduate Undergraduate 50 0 Department of Department of Department of Department of Behavioral Kinesiology and Physical Therapy Medical Health and Applied Laboratory Nutrition Physiology Sciences School of Nursing Figure 2 shows the number of CHS degree completions between Summer 2011 and Spring 2012 by department. The School of Nursing is the largest CHS component, handing out 173 bachelor degrees and 32 master degrees in 2012. The Department of Behavioral Health and Nutrition awarded the highest number of graduate degrees in the college, with 41 professional certificates and 7 master degrees. The Department of Physical Therapy awarded 34 doctoral degrees. Besides teaching students important skills for careers in the health sciences, the CHS also conducts important leading-edge research in the health sciences. For example, some research analyzes the effects of poverty on nutrition and behavioral health while other research focuses on using electrical stimuli for spinal cord rehabilitation. 4 The Economic Impact of the University of Delaware’s College of Health Sciences During the next few years, the CHS will be expanding into UD’s STAR campus. The STAR campus is a long term plan to redevelop the old Chrysler manufacturing plant into a campus solely focused on science and technology. The first step in this plan is to construct a health sciences complex that will have state-of-the-art facilities for the CHS. The complex will create new space and equipment for the physical therapy clinics, nurse managed health clinics, and clinical research centers, as well as modern classrooms and offices. Job training programs affiliated with the Delaware Health Alliance will be enhanced, and new resources will be available for biomedical research. The STAR campus also rejuvenates the nearby railroad station to accommodate partnerships forged with out-of-state organizations, like Thomas Jefferson University. Synergetic collaboration with local organizations, like Christiana Care and Nemours is also anticipated at the new complex. Students will find job opportunities while working with local hospitals, hospitals will be able to influence the skills of their future employees, research opportunities will be created for CHS faculty, and high quality clinical care will be made available for the Delaware community. Space on the STAR campus will also be available for additional health sciences related businesses wishing to partner with the college. The CHS is a deeply rooted organization within Delaware. All of the aforementioned activities impact the state’s economy in different ways. For example, employee wages and student spending raise consumption, which in turn induces more income and household spending in the state. The CHS also buys goods and services from Delaware suppliers as inputs. Research grants raise the compensation of professionals, while the rehabilitation clinics, spin-off companies, and CHS business partners are each a source of output and job creation. Given UD’s pivotal role in Delaware, it receives more than $110 million each year from the state’s General Fund, and a portion of that tax revenue helps fund the CHS. This report quantifies the overall impact that the CHS causes in Delaware’s economy. 5 The Economic Impact of the University of Delaware’s College of Health Sciences Understanding Economic Impact Analyses Analyzing how various organizations and policies affect the economy is known as an economic impact analysis (EIA). This section briefly covers important concepts of EIA to ensure proper interpretation of the methods and results that are discussed later in the report. The goal of EIA is to predict how policies will affect the macroeconomy. Legislators, for example, may want to know how much employment might change if public funds were spent on infrastructure as one option, or alternatively, if income taxes were lowered. EIA simulates policies using economic and statistical models in order to answer such questions. Economic models necessarily reduce the complex interactions of labor markets, factor markets, financial markets, consumption patterns, government spending, etc. down to a list of equations and parameters. Although some models may better describe certain economic components by changing that list, ultimately every model is a simplification driven by assumptions. It is therefore imperative that the modeler make appropriate assumptions when simulating policy. Logical rigor and economic theory must be applied to each assumption if the simulation is to accurately describe reality. 6 The Economic Impact of the University of Delaware’s College of Health Sciences The economic impact of an organization refers to the change in macroeconomic variables caused by the organization. Unfortunately, causal interpretation is difficult to discern. One cannot simply measure every economic aspect of an organization, called that organization’s economic footprint, and plug it into an economic model. Instead, it is crucial that the modeler specify what activity would likely exist if the organization were hypothetically removed from the economy. That hypothetical activity, called the counterfactual, is not caused by the organization, since it would have happened anyway. The proper economic impact is therefore the difference between the organization’s economic footprint and its counterfactual. For instance, the CHS’s economic footprint includes all of its students’ off campus spending. However some of that spending would have occurred without the CHS. Since some students would likely attend another Delaware college in the CHS’s absence, the CHS did not cause every dollar of student spending. The amount of spending not caused by CHS is in the counterfactual. Once the economic footprint and counterfactual have been defined, the impact enters into an economic model to simulate how that one impact influences the rest of the economy. The REMI PI+ Model The REMI PI+ software is a dynamic and structural model of Delaware’s economy that is capable of estimating causal relationships. It is a regionalized version of a benchmarked national model. Ten sub-regions are in the model, including each of the three counties in Delaware; Salem County, NJ; Burlington, Camden, and Gloucester counties in New Jersey (combined); Bucks, Montgomery and Philadelphia counties in Pennsylvania (combined); Delaware and Chester counties in Pennsylvania (combined); Cecil County, MD; Harford County, MD; and the combination of 10 counties in Maryland and Virginia that constitute the remainder of the Delmarva peninsula. Each sub-region is treated as an independent, fully functioning economy that interacts with every other sub-region specifically and with the nation in general. 7 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 3 Illustration of the REMI PI+ Model The model is founded on conventional economic assumptions, such as households maximize utility and firms maximize profits. Hundreds of equations have been developed over the last 25 years to describe the economy’s structure mathematically. These equations can be organized into five major components: Output and Demand, Labor and Capital Demand, Population and Labor Force, Wages-Prices-Costs, and Market Shares. Figure 3 illustrates REMI’s main structure and components. 8 The Economic Impact of the University of Delaware’s College of Health Sciences The equations assume that businesses use labor, capital, and fuel as inputs to supply goods and services as output. Households (and some businesses) supply the inputs of production and generate the demand for goods and services. Wages, prices, and profits adjust to form equilibriums in each market, but the equilibrating process might take more than one year to achieve. High market shares can generate cluster effects that influence factor productivity and input prices. REMI PI+ is a general equilibrium model with feedback. This means that the model describes the entire economy as it changes over time. For example, changes in population, demographics, and wages each influence the labor supply at any moment, but are themselves influenced in the future by changes in today’s labor supply. Adjustments happen gradually, so the economy does not statically jump from one equilibrium to another. This is a major advantage of using REMI versus other economic simulation models (RIMS II, IMPLAN). The general equilibrium model can capture the multiplier effect due to the repeated interaction and eventual equilibration in other parts of the economy. In a sense, the multiplier effect is the cumulative impact of any single change to the economy. For example, as final demand generates intermediate demand, one dollar of retail sales will increase sales in construction 0.28¢, sales in fabricated metal product manufacturing 0.30¢, sales in utilities 1.1¢, etc. The total impact from these effects can be quite large. 9 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 4 Illustration of a Policy Forecast in REMI What effect would Policy X have? Change in policy variables associated with Policy X The REMI Model Baseline values for all policy variables Control Forecast Alternative Forecast Compare Forecasts Figure 4 illustrates how REMI estimates the effects of a policy. First, the REMI model is calibrated and a standard future scenario is predicted. This is called the control forecast. Then a policy is proposed that changes the economy. A modeler adapts this change into REMI by selecting input variables and simulating the outcome. This alternative forecast is then compared to the control forecast. Differences between the two forecasts are attributed to the policy. This report employs the REMI PI+ model to understand the economic effect of the CHS. Since there are thousands of variables influenced in the PI+ model, the report cannot detail how the CHS affects each one. Instead, the report will focus on a few key macroeconomic variables, including population, employment, output, gross regional product, consumption, and wages. The upcoming section quantifies the footprint and counterfactual for various CHS components, so that the economic impact can be simulated by the REMI model. 10 The Economic Impact of the University of Delaware’s College of Health Sciences The CHS Footprint and Counterfactual This section derives what modeling assumptions will define the CHS’s economic impact. Many aspects are considered, from increased human capital in the workforce to the construction of the health sciences complex. Each subsection estimates the footprint of CHS components and then calculates the counterfactual components. For the reader interested in skipping these derivations, Table 14 on page 34 summarizes the derivations made in this chapter. Population The CHS impacts Delaware’s population in multiple ways. Most obviously, the 1,480 nonresident students are a direct addition to Delaware’s population. The impact of 1,130 Delaware resident students is less obvious, because many of these students would have likely remained in the state in the CHS’s absence. In 2012, 524 CHS students transferred to the college from another Delaware institution. The counterfactual scenario assumes that all of these students would complete their education in Delaware. Of the remaining 606 resident students, the counterfactual assumes that 35% would have left the state if the CHS did not exist.1 Thus, this report causally ties an increase of 1,692 college students to the CHS. 1 According to Kodrzycki (2001), 35% of college graduates moved between states after high school. 11 The Economic Impact of the University of Delaware’s College of Health Sciences Table 2 Most Common Location Decisions of CHS Alumni State Delaware Pennsylvania New Jersey Maryland New York % of CHS Alumni 33.7 18.4 11.8 9.1 4.0 State Virginia Florida California North Carolina Massachusetts % of CHS Alumni 2.5 2.4 2.1 2.1 1.3 Once CHS graduates receive their terminal degrees, they will enter a national or regional labor market and migrate for economic reasons. Table 2 lists the 10 most common states of residence for CHS alumni. Although the table indicates that nearly a third of CHS alumni reside in Delaware, it is logically challenging to credit the CHS for their alumni’s residency decisions. Other factors, like job opportunities and familial connections are also major influencing factors. Human Capital and Wages The academic programs offered by CHS develop human capital, thereby enabling their students to earn higher wages (see Figure 5). Nationally, persons working in the healthcare industry with a bachelor’s degree have an average wage that is nearly 20% higher than persons with a terminal associate’s degree. Similarly, persons holding a master’s degree earn 22% more than those with just a bachelor’s degree. A person with a doctorate degree earns nearly 50% more than a person with a just master’s degree. 2 2 A widely known critique of such claims is that people with different education levels also have different levels of other wage-related factors, like intelligence, creativity, or determination. How much of the wage differential is explained by education alone is therefore questioned, since more education and higher wages may simply reflect a person’s innate ability. After decades of research, the literature has generally agreed that each year of education increases the annual salary by 10%. Given that associate’s, bachelor’s, and master’s degrees require 2, 4, and 6 years of post-secondary education respectively, the unadjusted return to educational degrees of persons working in the health care industry are actually quite close to what would solely be attributed to education. 12 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 5 Expected Wage for Persons in the Healthcare and Social Assistance Sector, by Education $140,000 $120,000 $100,000 $80,000 $60,000 $40,000 $20,000 $0 • • Expected wages hold constant for age, race, and sex effects. A regression on the wage income of working adults in the healthcare and social assistance sector was performed with a quadratic effect for age and dummy variables for race, sex, and education categories. Source: Authors calculations of the 2009-2011 American Community Survey For a given level of education, wages also vary extensively based on the type of industry in the healthcare and social assistance sector (see Table 3). For example, the average person with a bachelor’s degree working in a hospital earned $58,000, while the average person with a bachelor’s degree working vocational rehabilitation earned $37,000. Similarly, the high wages for persons with professional certification largely comes from persons working in physician offices, hospitals, outpatient care facilities, and other health care service facilities. Professional certification for persons working in vocational rehabilitation and nursing care facilities, on the other hand, earn substantially lower wages. 13 The Economic Impact of the University of Delaware’s College of Health Sciences Table 3 Expected Wage for Persons in the Healthcare and Social Assistance Sector, by Education and Industry Offices of physicians Offices of dentists Offices of chiropractors Offices of optometrists Offices of other health practitioners Outpatient care centers Home health care services Other health care services Hospitals Nursing care facilities Residential care facilities, without nursing Individual and family services Comm. food and housing, and emergency svc Vocational rehabilitation Child day care • • L.T. HS HS/GED Some Coll. Assoc. Bach. Mast. Doct. Prof. Cert. $35,665 $26,294 $23,658 $24,480 $16,281 $23,977 $14,352 $24,444 $23,923 $18,299 $17,316 $14,984 $17,516 $12,251 $7,364 $36,493 $29,870 $23,398 $28,912 $26,540 $27,654 $17,917 $30,076 $28,519 $21,999 $20,267 $19,442 $20,082 $16,314 $11,103 $37,875 $31,226 $23,174 $28,437 $27,351 $31,497 $20,874 $36,190 $35,978 $26,087 $23,291 $24,069 $24,226 $23,700 $12,769 $39,931 $38,611 $23,065 $28,794 $34,015 $38,541 $34,102 $42,678 $47,695 $35,993 $27,944 $26,602 $27,026 $30,431 $15,624 $48,362 $40,056 $26,335 $34,463 $34,589 $43,691 $40,445 $58,387 $57,996 $43,107 $34,756 $35,850 $38,064 $37,044 $20,202 $70,941 $45,984 $28,783 $44,386 $29,788 $51,805 $52,379 $76,531 $72,098 $52,761 $45,210 $41,109 $43,981 $45,745 $28,168 $119,385 $97,354 $50,986 $56,582 $34,209 $76,101 $58,827 $104,785 $99,718 $69,500 $51,536 $48,786 $57,795 $54,362 $38,375 $151,571 $97,772 $44,826 $67,570 $50,391 $124,105 $55,445 $139,307 $132,468 $65,373 $55,282 $48,062 $66,139 $49,286 $23,419 Expected wages hold constant for age, race, and sex effects. A regression on the wage income of working adults in the healthcare and social assistance sector was performed with a quadratic effect for age and dummy variables for race, sex, and education categories. Source: Author’s calculations of the 2009-2011 American Community Survey 14 The Economic Impact of the University of Delaware’s College of Health Sciences Table 4 CHS Bachelor's Degree and Relevant ACS Degrees CHS Bachelor’s Degree Medical Laboratory Science Medical Diagnostics Nursing Health Studies (Occupational Therapy) Athletic Training Exercise Science Health and Physical Education Health Behavior Science Dietetics Applied Nutrition Nutritional Science Human Nutrition ACS Code 6105 6105 6107 6109 6109 6109 6110 6110 6199 6199 6199 6199 Matched ACS Bachelor’s Degree Medical Technologies Medical Technologies Nursing Treatment/Therapy Treatment/Therapy Treatment/Therapy Community and Public Health Community and Public Health Miscellaneous Health/Medical Professions Miscellaneous Health/Medical Professions Miscellaneous Health/Medical Professions Miscellaneous Health/Medical Professions The field of the degree a student obtains is another major factor influencing job market success. Because suitable labor market information on CHS alumni does not exist, national data from the American Community Survey (ACS) was used to evaluate the importance of degree field. Table 4 maps the bachelors degrees offered by CHS to their most similar counterparts in the ACS. As a check that the correspondence between CHS and ACS degree fields are reasonable, Table 5 lists the most common occupations among working adults holding one of the five ACS bachelor degrees. The table indicates that most of the occupations filled by persons with ACS degrees match the expected occupations of CHS graduates. For example, nursing degree graduates were most likely to work as nurses, medical technology degrees graduates most likely worked as technologists and technicians etc. For students earning degrees in nutrition and dietetics, the closest ACS matched degree is miscellaneous medical and health service. 15 The Economic Impact of the University of Delaware’s College of Health Sciences Table 5 Top 8 Most Common Occupations among Employed Persons with a Bachelor's Degree in a Related Health Degree Medical Technologies Degree Clinical Laboratory Technologists & Technicians Diagnostic Related Technologists & Technicians Medical And Health Services Managers Respiratory Therapists Registered Nurses Physical Scientists, All Other Miscellaneous Managers, Inc. Funeral Service Nursing, Psychiatric, And Home Health Aides % of Degree Holders in Occupation 36.3% 11.5% 4.5% 3.0% 2.4% 2.3% 2.0% 1.5% Community and Public Health Degree Registered Nurses Other Healthcare Practitioners And Technical Miscellaneous Managers, Inc. Funeral Service Secretaries And Administrative Assistants Elementary And Middle School Teachers Medical And Health Services Managers Recreation And Fitness Workers Social Workers Nursing Degree Registered Nurses Medical And Health Services Managers Nursing, Psychiatric, And Home Health Aides Social Workers Licensed Practical & Vocational Nurses Postsecondary Teachers Elementary And Middle School Teachers Clinical Laboratory Technologists And Technicians 77.0% 2.9% 2.0% 0.7% 0.7% 0.6% 0.6% 0.6% Miscellaneous Health Medical Degree Dietitians And Nutritionists Social Workers Registered Nurses Counselors Secretaries And Administrative Assistants Elementary And Middle School Teachers Retail Salespersons Food Service Managers Treatment/Therapy Degree Physical Therapists Occupational Therapists Other Therapists, Inc. Exercise Physiologists Registered Nurses Medical And Health Services Managers Other Healthcare Practitioners And Technical Respiratory Therapists Elementary And Middle School Teachers 26.0% 17.6% 2.7% 2.7% 2.3% 2.1% 2.0% 1.7% • % of Degree Holders in Occupation 5.5% 4.7% 4.2% 2.8% 2.6% 2.5% 2.1% 2.1% 15.9% 6.7% 3.7% 3.7% 3.1% 2.3% 1.8% 1.7% Source: 2009-2011 American Community Survey 16 The Economic Impact of the University of Delaware’s College of Health Sciences Table 6 Mean Wage of Employed Persons Holding a Relevant Terminal Bachelor’s Degree: by Age Medical Technologies Nursing Treatment/Therapy Community and Public Health Misc. Health/Medical Professions CHS Weighted Total • 20's $37,954 $42,831 $28,901 $24,836 $29,366 30's $53,011 $55,042 $50,701 $44,177 $40,946 40's $61,735 $60,113 $55,470 $56,383 $40,215 50's $61,804 $63,297 $54,995 $62,694 $43,822 60-64 $56,958 $60,934 $55,493 $50,247 $41,007 65+ $39,656 $42,046 $45,527 $50,266 $29,746 $34,146 $50,305 $55,255 $57,372 $54,831 $41,934 Total $55,493 $56,416 $49,877 $42,442 $38,633 Source: 2009-2011 American Community Survey Table 6 shows the average annual wage of working persons with a terminal bachelor’s degree in one of the five ACS degree fields. Nursing is the most lucrative career choice, garnering an average wage of $56,400 across all age groups. Those classified as receiving a miscellaneous health degree – the category that includes nutrition and dietetics degrees – receive the lowest annual wage on average, earning an average of $38,600 per year over a lifetime. Average salaries tend to peak for persons in their 50’s, ranging between $43,800 and $63,300 for persons with related bachelor’s degrees. The final row in Table 6 weights the average salaries by the number of CHS degrees awarded in 2012. The row represents the expected average salary of the typical CHS graduate at various ages. The average graduating CHS student is expected to earn nearly $34,100 per year during his or her 20’s, but then $50,300 per year during his or her 30’s. 17 The Economic Impact of the University of Delaware’s College of Health Sciences Table 7 Mean Wage of Employed Persons Holding a Relevant Bachelor’s Degree and a Graduate Degree: by Age Gen. Medical and Health Service Medical Technologies Nursing Treatment/Therapy Community and Public Health Misc. Health/Medical Professions CHS Weighted Total • 20's $48,018 $49,494 $57,134 $45,956 $45,041 $37,108 $48,739 30's $70,711 $74,239 $78,280 $68,592 $60,334 $56,386 $69,781 40's $92,922 $105,596 $85,382 $80,179 $87,401 $65,864 $82,037 50's $91,378 $84,832 $84,479 $73,027 $92,548 $63,243 $78,128 60-64 $75,477 $82,017 $75,178 $68,161 $80,206 $59,357 $71,261 65+ $57,067 $70,650 $52,328 $54,946 $47,115 $51,114 $53,648 Total $74,505 $85,770 $79,494 $68,287 $72,527 $58,941 Source: 2009-2011 American Community Survey According to internal sources, 18% of CHS undergraduate students pursue further education after receiving bachelor’s degrees. Assuming these graduates followed national trends, Table 7 reveals the expected average annual wage once they begin working. As expected, the average wage income is significantly higher for graduate degree holders than it is for those receiving a terminal bachelor’s degree. The expected annual income of the typical CHS alumni with a graduate degree ranges between $48,700 and $82,000 over his or her working life. Figure 6 compares the average annual wage of persons holding relevant bachelor’s or graduate degrees to persons with less educational attainment. The trend is clear; working people with these degrees earn substantially more than working persons without four year degrees. More specifically, the typical CHS student with a terminal bachelor’s degree that works from age 22 to 65 can expect to receive $2.18 million in wages over his or her lifetime. Similarly, the typical CHS student with a terminal graduate degree who works from ages 27 to 65 is expected to earn $2.85 million in lifetime wages. By contrast, persons with just high school diplomas who work from age 18 to 65 are expected to receive $1.32 million in wages over their lifetimes. Persons with terminal associate’s degrees who work from age 20 to 65 are expected to receive $1.73 million over their working lives. 18 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 6 Annual Wages by Age and Educational Attainment $100,000 HS or GED $80,000 $60,000 Some College $40,000 Associates $20,000 CHS Bachelors Degree $0 20's 30's 40's 50's 60-64 65+ CHS Graduate Degree Based on this information, the typical CHS graduating senior earns an additional $450,000 more over his or her lifetime compared to someone with a terminal associate’s degree, or $450,000 approximately $10,465 per year � 65−22 � that is worked. Similarly, the typical CHS graduate student is expected to earn $670,000 more in a lifetime compared to persons with terminal bachelor’s degrees, or $17,632 per working year � $670,000 65−27 �. Given that 482 persons received their terminal bachelor’s degrees and 94 received graduate degrees in 2012, CHS are expected to receive $6.7 million in annual wages more than what they would have received had they obtained less education instead. Of course, most of the CHS students would have hypothetically received similar levels of education at another college or university, so almost all of the human capital gains occur in the counterfactual. Students transferring from other in-state programs, (e.g. Delaware Technical Community College), on the other hand, are more likely to have obtained less education if not for the CHS. It is assumed that 75% of the 348 in-state, undergraduate transfer students would have just received a terminal associate’s degree if not for the CHS. Assuming that these students graduate after 3.2 years at UD, 3 then 82 of the bachelor’s degrees awarded in 2012 was education that would not have been obtained otherwise. These degrees represent an increase of $858,000 in annual wages for each year’s graduating class. 3 An average graduation rate was calculated for in-state transfer students and for other undergraduate students based on 2012 enrollment and awarded degrees. In-state transfer students were assumed to spend 2 fewer years at UD compared to non-transfer students. 19 The Economic Impact of the University of Delaware’s College of Health Sciences Table 8 Alumni Residency Assumptions – Probability that Alumni Reside in Local Area Post Graduation In-state students Out-of-state students Total in DE, NJ, PA, and MD Total in Delaware UG students 995 1,278 Kodrzycki 80% 49% 63% 29% Adjusted 86% 63% 73% 34% Of course, not all of these alumni will necessarily live in the state, so only some of the increased earnings will impact Delaware. Kodrzycki (2001) used the 1979 National Longitudinal Survey of Youth to estimate how the choice to migrate out-of-state for college affected the student’s post-college migration decision. 4 She found that college graduates who did not migrate (i.e. resident students) had an 80% chance of remaining in the local area five years after college. Non-resident college students were estimated to have a 49% chance of remaining in the local area of their college after graduation. Table 8 classifies CHS undergraduate students into in-state and out-of-state students. Applying Kodrzycki’s probabilities to CHS students implies that 63% of CHS students will likely remain in the local Delaware region after graduation. Because internal estimates provided by CHS estimates this proportion to be 73% instead of 63%, Kodrzycki’s probabilities are adjusted in equal proportions so that they match the actual residency locations of CHS alumni (see Table 2). The table shows that 86% of in-state students are assumed to find work in the local area, and 47% of those persons find work in Delaware, 40% of these increased wages likely remain in Delaware. Thus, the REMI model assumes that salaries and wages going to Delaware’s households rise by $343,000 for the 2012 graduating class. Previous CHS graduating classes are assumed to have similar per-student gains to compensation. 4 For small states like Delaware, Kodrizycki used an alternative definition of the local area to include the state in questions as well as any other contiguous state (i.e. Maryland, Pennsylvania, and New Jersey). Probabilities reported in Table 8 reflect this alternative definition. 20 The Economic Impact of the University of Delaware’s College of Health Sciences Table 9 Off-Campus Spending by CHS Students Category Housing Utilities Telephone and Cable Food and Beverage Entertainment and Recreation Services Clothing Books and Educational Supplies Other Retail Automobile Medical and Dental Charitable Donations Other Total • % of Total Expenditures 31.9 5.4 4.0 16.8 4.5 2.8 3.5 10.1 3.5 10.7 2.0 0.9 3.9 100 Residents $389 $66 $49 $205 $55 $34 $43 $123 $43 $130 $24 $11 $48 $1,218 Nonresidents $212 $36 $27 $112 $30 $19 $23 $67 $23 $71 $13 $6 $26 $664 Source: Foote (2007) Spending by the Student Population and CHS Visitors Next, the footprint and counterfactual of off campus spending by CHS students and visitors are derived. Table 9 decomposes off-campus student spending using the results of a survey conducted by Foote (2007). The top three categories are housing (31.9%), food and beverage (16.8%), and automotive (10.7%). Foote also found that resident students spent approximately $1,100 per month in 2007, while nonresident students spend $600 per month. Table 9 calculates the expected monthly purchases of both kinds of students. 5 5 A 10.7% inflation factor was added to Foote’s results. 21 The Economic Impact of the University of Delaware’s College of Health Sciences Table 10 Off-Campus Spending by CHS Visitors Number of Visitors† Estimated Stimulus Impact† Number of Enrolled Students Visitors per student Visitor Impact per UD Student Total Number of CHS Students in 2012 Inflation Factor Visitor Impact of the CHS Students 673,984 $115,606,968 21,138 31.9 $5,469 2,610 7.2% $15,302,254 † Source - Latham and Lewis (2010) Assuming that resident students stay in Delaware for 12 months out of the year and nonresident students stay in Delaware for 8 months out of the year, resident CHS students spend $16.5 million per year in Delaware and nonresident students spend approximately $7.9 million. 6 However, since most resident students would have enrolled in a Delaware college in the CHS’s absence, the counterfactual includes their off campus spending. Applying previous assumptions about the student population means that 81% of resident student spending is not causally attributed to the CHS. Removing this from CHS’s footprint yields a direct impact of $11.0 million in off-campus student spending. The CHS also brings expenditures into the area through visitors coming onto the campus. A study by Latham and Lewis (2010) found that approximately 674,000 people who visited UD in 2009 spent a total of $116 million on goods and services. Their results imply that 31.9 persons per enrolled student visit the Newark campus each year, and each UD visitor spent an average of $171 off-campus. After adjusting for inflation, the portion of visitor spending attributed to CHS students was $15.3 million in 2012. 6 Foote also decomposes student expenditure by the choice of living on-campus. She finds that students living offcampus spend $1,080 per month, but on-campus students spend just $380 per month. This difference, she notes, is because “on-campus students have minimal housing and utility expenses”, implying that survey respondents did not consider room and board fees paid to the university as part of their monthly expenses. 22 The Economic Impact of the University of Delaware’s College of Health Sciences Table 11 Direct and Indirect Expenses Used by the College of Health Sciences Salaries & Wages Other Benefits Other Inputs Direct Academic Expenses $11,524,856 $3,808,738 $5,780,062 Academic Support $4,743,519 $2,086,568 $2,498,327 Non Academic Support $2,998,615 $1,246,056 $1,614,050 Utilities and Facilities $2,214,542 $1,250,555 $1,022,560 Auxiliary Services $886,930 $325,710 $9,306,990 Total $22,368,462 $8,717,628 $20,221,988 Total $21,113,656 $9,328,414 $5,858,721 $4,487,657 $10,519,630 $51,308,078 Labor and Other Inputs The CHS stimulates the economy directly by hiring employees and purchasing goods and services from other Delaware businesses. For example, there are currently 159 faculty and staff in the CHS, and they receive $15.3 million in compensation, $11.5 million of which is in the form of salaries and wages. 7 Of course, the CHS relies on the UD’s academic and nonacademic support services, such as transportation, library services, public safety, administration, food services, etc. Table 11 estimates the total direct and indirect costs attributed to the CHS and its students. 8 In total, the CHS is responsible for $51.3 million, or 6.5%, of total university expenses. The CHS is also assumed to be responsible for $20.2 million of non-labor inputs, such as utilities, computers, desks, projectors, medical equipment, maintenance, dorm rooms, etc. Because it is not possible to attribute specific university purchases to CHS and its students, these purchases are estimated using aggregate industry data from the Bureau of Economic Analysis (BEA). 7 Compensation includes salaries and wages, health insurance, retirement contributions, and payroll taxes. According to the UD’s 2012 Consolidated Financial Statements, salaries and wages make up approximately 75.1% of employee compensation. 8 Expenses were estimated using RBB spreadsheets, University of Delaware Financial Statements, and statements of the State of Delaware General, Capital Improvement, and Agency Funds Appropriated, Received, and Expended 23 The Economic Impact of the University of Delaware’s College of Health Sciences Table 12 Non-Labor Input Costs for Junior Colleges, Colleges, Universities, and Professional Schools Percent of Estimated Non-Labor CHS Industry Expenses Expenditures Real estate 24.6% $4,981,149 Electric power generation, transmission, and distribution 7.8% $1,583,911 Natural gas distribution 5.4% $1,091,670 Water, sewage and other systems 5.1% $1,028,814 Scientific research and development services 4.8% $971,921 Animal (except poultry) slaughtering, rendering, and processing 3.0% $611,567 Wholesale trade 2.9% $581,749 Other computer related services, including facilities management 2.7% $536,467 Lessors of nonfinancial intangible assets 2.6% $516,201 Telecommunications 2.4% $480,261 Food services and drinking places 1.6% $323,675 Postal service 1.6% $319,769 Internet publishing and broadcasting 1.5% $312,275 Services to buildings and dwellings 1.4% $284,040 Advertising and related services 1.4% $283,512 Printing 1.4% $281,771 Bread and bakery product manufacturing 1.2% $240,816 Other educational services 0.9% $190,204 Fluid milk and butter manufacturing 0.9% $189,941 Hotels and motels, including casino hotels 0.9% $184,082 Other support services 0.9% $179,702 Other plastics product manufacturing 0.8% $160,861 Architectural, engineering, and related services 0.7% $147,139 Waste management and remediation services 0.7% $146,981 Fruit and vegetable canning, pickling, and drying 0.7% $146,928 • Source: Bureau of Economic Analysis – 2002 Detailed Use Table and author’s calculations Table 12 shows the top 25 types of non-labor expenditures for junior colleges, colleges, universities, and professional schools in the United States. According to the BEA, colleges and universities spend nearly 25% of their non-labor expenses on real estate and 18% on utilities (electricity, gas, and water). Applying the national average of input expenses to CHS non-labor expenditures yields the last column in Table 12. 24 The Economic Impact of the University of Delaware’s College of Health Sciences To calculate the economic impact that CHS labor and inputs has on Delaware, the counterfactual must again be defined. As before, all non-resident students and 19% of the resident students are assumed to receive instruction at a non-Delaware college or university if the CHS did not exist. Assuming a constant expense per student ratio implies that another Delaware institution would have made 35% of CHS expenditures in the counterfactual situation. Thus, total spending credited to the CHS is reduced from $51.3 million (footprint) to $33.3 million (impact). 25 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 7 Expected Number of Patient Visits Accommodated by Nurse Managed Health Clinics 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 2013 2014 2015 2016 2017 2018 2019 Clinics The CHS’s Department of Physical Therapy runs patient clinics where faculty, staff, and students provide health care to the public. The clinics specialize in sports medicine and orthopedics, neurology and gerontology, and pediatrics. Similarly, physicians and faculty members in the School of Nursing participate in Delaware’s only nurse managed health clinic (NMHC). These clinics are more than teaching environments, they are also businesses that create jobs and add to economic activity in the region. In 2012, these clinics made $1.3 million in annual sales. The CHS expects that demographic and legislative changes will create a heavy demand for NMHCs. In preparation for this, the CHS will be expanding its existing clinic as part of the STAR campus overhaul and opening locations in Kent and Sussex counties. The CHS expects that the number of patient-visits accommodated by these clinics will rise from nearly 2,000 per year in 2012 to 12,000 per year in 2019. By that time, the CHS expects that its PT clinics and NMHCs will generate $2.1 million in sales. 26 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 8 Physical Therapy Clinics and NMHC’s Expense Decomposition 3% 3% 1% 1% Personnel 7% Lease Indirect Costs 10% Equipment Supplies 74% Utilities Travel Like any other business, the physical therapy and NMHCs will have to purchase intermediate goods and services from other businesses. The CHS estimated that approximately three quarters of its clinics’ expenses go towards personnel expenses, 10% goes towards building leases, and 7% goes to indirect costs. The remaining costs are distributed among equipment (3%), supplies (3%), utilities (1%), and travel expenses (1%). In absence of the CHS, other institutions would not likely set up similar clinics in Delaware. Thus, the full impact of the CHS clinics will be counted in the economic impact. 27 The Economic Impact of the University of Delaware’s College of Health Sciences STAR Campus The University of Delaware has committed to a long term plan to redevelop the former Chrysler Plant on Delaware Avenue into a modern, environmentally friendly setting. The site, called the STAR Campus, will renovate the 272 acre former manufacturing facility into an academic and business cluster of science and technology. At the time of writing this report, the east coast manufacturing facility of fuel cell producer, Bloom Energy, is slated to occupy 50 acres of the STAR Campus. The Data Centers, a company that provides wholesale data space and IT engineering services, is also scheduled to use an additional 43 acres of the STAR campus. However, the first 15 acres to be developed will see CHS’s new home, a 300,000 square foot health sciences complex. The health science complex will greatly expand classroom, office, and meeting space available to the CHS, as well as provide state-of-the-art medical equipment, laboratories, and patient evaluation facilities. Once built, the CHS expects to increase enrollment and expand the physical therapy clinics and NMHCs. The complex will also enhance the partnership with the Delaware Health Sciences Alliance (Thomas Jefferson University, Christiana Health Care Systems, and Alfred E. DuPont Hospital for Children/Nemours), by enhancing job training and increasing residency opportunities for medical students. Construction costs of the health sciences complex were $350,000 in 2011 and $3 million in 2012. $28 million of construction costs are scheduled for 2013. When it is finished, the new complex will lease 200,000 square feet of space to private businesses interested in partnering with the CHS. Although tenants have not yet signed leases for the complex, UD expects that it will draw physicians, therapists, behavioral health practices, medical imaging and medical testing facilities, a sleep center, an eye care clinic, an orthotic manufacturer, and possibly a retail pharmacy. 28 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 9 Number of Employees per 1,000 Sq Ft, by Business Type Administrative/professional office Medical office (non-diagnostic) Mixed-use office Other office Laboratory Medical office (diagnostic) Clinic/other outpatient health College/university Other classroom education Retail store 0 5 10 15 20 Source: 2003 Commercial Building Energy Consumption Survey microdata – author’s calculations Because the tenant list has not been determined, it is difficult to quantify the economic impact of this new retail space with great precision. A rough estimate, however, can be made by evaluating the ratio of employees per square foot of space in similar businesses. The box plots in Figure 9 show the distribution of ‘main-shift’ employees per 1,000 square feet of floor space for relevant types of businesses. On average, approximately 2.07 employees work during each business’s main shift per 1,000 square feet of floor space, but there is substantial variability in the estimate. Assuming 81% of healthcare related jobs are ‘main shift’ jobs (McMenamin, 2007), the number of total jobs per 1,000 square feet of retail space increases to 2.56. Using these proportions, 200,000 square feet of retail space in the health sciences complex would house 511 employees once the space is fully occupied. Like the physical therapy clinics and NMHCs, the counterfactual assumes that no health science complex would be built and no such businesses would enter the region. 29 The Economic Impact of the University of Delaware’s College of Health Sciences Fiscal Impact As a non-profit, public university, the UD is funded by revenues from tuition, investments, donations, research grants, state funds, and local tax expenditures. The portion of this money coming from state and local government funds was raised through increased taxes, and those taxes have negative consequences in the economy. This section of the report derives the impact that the CHS has on state and local budgets. The State of Delaware’s primary method of funding the university is through appropriations in its annual operating budget. In FY 2012, the Delaware operating budget appropriated $10.1 million to UD for tuition assistance, $14.9 million to pay for specific programs (state lines), and $87.4 million to fund general operations. Although $505,300 was appropriated to the CHS from the state lines, the lion’s share of state appropriations is fungible. This makes it difficult to directly assign specific amounts of state funding to each college. Each year, state appropriations to the UD are audited based on the function with which those dollars are spent (KPMG, 2012). The report finds that approximately $2.7 million of state monies help pay for instruction and research at the CHS, but this number does not include the cost of other university-wide services such as employee benefits, operations and maintenance, academic support, and student services. UD’s revenue based budgeting system was used to allocate the remaining fungible appropriations across all colleges. The process concluded that the CHS indirectly benefited from an additional $7.6 million of state appropriations. Overall, approximately $10.3 million of general appropriations, 9.2% of the total, benefited the CHS. 30 The Economic Impact of the University of Delaware’s College of Health Sciences Government funds are also transferred to the CHS when it sponsors CHS research. In 2012, the CHS disbursed $11 million for sponsored research, 13% of which came from state and local sources. Excluding the $505,300 of state line funding leaves $925,000 in additional state sponsored research. On a similar note, the Brownfields Program in the Department of Natural Resources and Environmental Control has pledged to give the University of Delaware up to $1 million in funding to help remediate the 270 acre Chrysler plant, or $3,704 per acre. Since the CHS will be using 15 of these acres, $56,000 of that grant is apportioned to the CHS. Another component that this report considers is the local property tax which UD is exempt from paying as a non-profit organization. While these exemptions are not direct expenditures from the county and municipal governments, tax rates could be lowered if the tax base were larger. According to the most recent tax parcel records on file, the UD owns properties in New Castle County assessed at $621 million, but is exempt from paying property taxes on all but $8 million of those properties. 9,10 This exemption translates to a $17.4 million reduction in property tax revenues for 2012. Apportioning this tax on the square feet of space CHS currently uses relative to the other six colleges implies that the CHS was exempted from paying $634,000 in property taxes in 2012. 9 This includes the former Chrysler Plant tax parcel owned by UD subsidiary 1743 Holdings. Property tax assessments are denominated in 1983 market prices. 10 31 The Economic Impact of the University of Delaware’s College of Health Sciences Table 13 State and Local Government Funds Benefitting CHS Direct State Funds Indirect State Funds Sponsored Research Brownfield Grant Property Tax Exemption Offsetting Income Taxes Total $2,662,303 $7,606,510 $924,700 $55,556 $633,588 -$1,126,340 $10,756,315 Of course, the CHS also adds state and local revenues through the income tax created by CHS faculty, staff, and employees. Assuming that the $22.4 million in wages (see Table 11) were distributed equally at the average university wage rate and that each employee took the standard deduction ($3,250) in Delaware, then the State of Delaware would receive $1.1 million in personal income taxes from UD employees. The CHS’s footprint on state and local budgets is a net reduction $10.8 million. Of course, in absence of the CHS, Delaware post-secondary educational institutions would still receive revenue from state and local sources. Fixing the amount of net government spending per college student implies that 35% of such spending would still occur in the counterfactual. Subtracting this from the footprint implies that the CHS reduces state and local budgets by $7.0 million. 32 The Economic Impact of the University of Delaware’s College of Health Sciences Summary The CHS impacts the economy in many different ways. In each of the previous subsections, the CHS’s economic footprint was described and calculated along with the counterfactual assumptions. The direct economic impact credited to the CHS is therefore the difference between these two concepts. Table 14 on the following page summarizes these assumptions. The next section models CHS’s direct impact into REMI and calculates the direct, indirect, and induced effect that each of the CHS activities have in the Delaware economy. 33 The Economic Impact of the University of Delaware’s College of Health Sciences Table 14 Summary of CHS Footprint, Counterfactual, and Direct Economic Impact Economic Footprint Population Human Capital & Wages Off Campus Spending • In 2012, the CHS enrolled 2,610 students. • CHS Bachelor's degree holders will likely earn $2.2 million in lifetime wages. CHS graduate degree holders will likely earn $2.9 million in lifetime wages. The 2012 graduating class will likely earn $21.0 million in their first year of work. • • • • Faculty, • Staff and Other Inputs Health Clinics STAR Campus • • • • Fiscal Impact • CHS students make $24.4 million in offcampus student spending. Visitor spending increases $15.3 million A total of $51.3 million is spent on direct and indirect CHS expenses, $22.4 million of which are wages for 274 UD jobs. CHS clinics provide $1.3 million in services at their physical therapy and nurse-managed health clinics. The value is expected to grow to $2.1 million by 2019. $31.5 million will be used to construct a 300,000 sq. ft. health science complex. 200,000 sq. ft. of space to businesses that could employ nearly 500 people. The CHS directly or indirectly benefited from $11.2 million in state funds and $634,000 in property tax exemptions. The 274 employees tied to the CHS paid $1.1 million in state income tax. Counterfactual Assumptions • Another Delaware educational institution would have enrolled 918 of CHS students. • 82 of the Bachelor degrees awarded by the CHS would have received a terminal Associate’s degree instead, earning $1.7 million in lifetime wages. All other CHS degree holders would have received a similar education at other educational institutions and command similar wages. Off-campus student spending would still be $13.4 million. No additional visitor spending is expected. $18 million is spent at an alternative Delaware school, $7.9 million of which are wages associated with 96 university jobs. • • • • Direct Economic Impact • Delaware's population increases by 1,692. • Each of the 82 students receiving additional education earns $450,000 more over a lifetime, or $10,465 per year worked. Annual wages for the 2012 graduating class increases by $858,000, $353,000 of which will remain in Delaware as increased wages. Wages for students who would have had a similar education elsewhere are unaffected. Off-campus student spending increases by $11.0 million. Visitor spending increases $15.3 million. A total of $33.3 million is spent on direct and indirect CHS expenses, $14.5million of which are wages associated with 178 UD jobs. CHS clinics provide $1.3 million in services at their physical therapy and nurse-managed health clinics. The value is expected to grow to $2.1 million by 2019. $31.5 million will be used to construct a 300,000 sq. ft. health science complex. 200,000 sq. ft. of space to businesses that could employ nearly 500 people. • • • • • • • No such services would be provided. • • No such campus would be built. • State and local budgets would decrease by $3.8 million as a result of the state increasing its funding to other in-state institutions. Income tax revenues decrease proportionately as well. • • The net impact of the CHS on state and local budgets is a reduction of $7.0 million. 34 The Economic Impact of the University of Delaware’s College of Health Sciences Results This section models the direct economic impact derived previously into a regional economic model to simulate the ramifications that they make on the broader economy. The modeling decisions of the REMI simulation are first explained, and then the simulation is conducted. The direct, indirect, and induced economic impacts of each component are then discussed. Student Population The CHS is assumed to cause the population of college students in Delaware to increase by 1,692 persons, so the corresponding demographic component of the REMI model was adjusted. This model predicted that increasing the population between 18 and 24 years of age puts negative pressure on wages and increases the competition with the local labor supply. As wages are depressed, some households search for employment opportunities elsewhere and leave the state, causing disposable income and consumption to fall. In addition, because households exiting the state include persons of all ages, the state’s population will gradually become younger. A younger population generally means lower consumption per capita. 35 The Economic Impact of the University of Delaware’s College of Health Sciences Table 15 CHS’s Total Economic Impact in Delaware Due to the Student Population Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 -23 -44 -46 -45 -43 -41 -40 -41 -44 -49 1380 1191 1036 909 805 722 652 596 554 521 -$5.2 -$8.8 -$10.4 -$11.2 -$11.3 -$11.2 -$10.9 -$10.6 -$10.4 -$10.5 -$5.3 -$8.8 -$10.5 -$11.3 -$11.5 -$11.4 -$11.1 -$10.8 -$10.5 -$10.4 $0.3 -$0.3 -$0.7 -$0.9 -$1.1 -$1.1 -$1.2 -$1.2 -$1.3 -$1.3 -$10.2 -$14.6 -$16.5 -$18.6 -$20.5 -$22.4 -$24.4 -$26.3 -$28.4 -$30.7 -$1.4 -$5.4 -$6.4 -$6.8 -$6.8 -$6.8 -$6.9 -$7.2 -$7.7 -$8.7 -$0.3 -$1.7 -$2.0 -$2.1 -$2.0 -$2.0 -$2.0 -$2.0 -$2.1 -$2.4 -$1.1 -$3.7 -$4.4 -$4.7 -$4.7 -$4.8 -$4.9 -$5.1 -$5.5 -$6.2 Prices are in millions of 2012 dollars. Table 15 summarizes the REMI model’s impact of increasing Delaware’s population of college students. Initially, the college population causes a large increase in population. However, as the demographic changes affect the labor force, economic migrants leave the state, and the population boost is lessened over time. Employment, compensation, wages, and personal consumption decline as well. In the long run, the model predicts that the labor force effects will lower area employment by 50 jobs and reduce salaries and wages by $10 million. It is important to point out that the negative effects mentioned above arise from the effect that college students have on the labor force and the state’s demography. This is only part of the college student’s impact in the economy. College students will also raise demand in the local area by spending non-wage sources of income, such as student loans and parental assistance. As college students spend this income, positive effects flow to local businesses that are counter to the effects just described. This spending is considered separately in the report. 36 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 10 Expected Increase in Delaware Wages Due to the CHS Enabling Additional Education since 1997 $9,000,000 $8,000,000 $7,000,000 $6,000,000 $5,000,000 $4,000,000 $3,000,000 $2,000,000 $1,000,000 $0 1995 2000 2005 2010 2015 2020 2025 Human Capital and Wages Recall from the previous chapter that the CHS is assumed to have increased the annual wages of Delaware residents in the 2012 graduating class by $393,000. Assuming a fixed ratio of increased earnings to graduates enables a similar estimate to be derived for every graduating class since 1997. Figure 10 shows the gains in Delaware wages caused by the CHS reached $4.3 million in 2012. As enrollment expands, these wage gains from human capital will continue to compound. By 2021, wages in Delaware are expected to be $7.7 million higher as a result of the CHS encouraging students to pursue bachelor’s degrees instead of finishing their post-secondary education with associate’s degrees. 37 The Economic Impact of the University of Delaware’s College of Health Sciences Table 16 CHS’s Total Economic Impact in Delaware Due to Increased Human Capital Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 18 1 $5.1 $5.0 $0.6 $3.0 $2.1 $0.7 $1.3 2013 20 3 $5.6 $5.5 $0.7 $3.1 $2.3 $0.8 $1.5 2014 21 4 $6.1 $5.9 $0.7 $3.3 $2.5 $0.9 $1.6 2015 22 4 $6.6 $6.4 $0.8 $3.5 $2.5 $0.9 $1.6 2016 22 5 $7.0 $6.8 $0.9 $3.8 $2.6 $0.9 $1.6 2017 22 6 $7.4 $7.2 $1.0 $4.0 $2.6 $1.0 $1.7 2018 23 7 $7.9 $7.7 $1.0 $4.2 $2.7 $1.0 $1.7 2019 23 7 $8.4 $8.1 $1.1 $4.3 $2.7 $1.0 $1.7 2020 23 8 $8.8 $8.6 $1.2 $4.5 $2.8 $1.0 $1.8 2021 23 8 $9.3 $9.1 $1.3 $4.7 $2.8 $1.0 $1.8 Prices are in millions of 2012 dollars. Table 16 shows the total expected impact of increased earnings over the next 10 years. These earnings increase disposable incomes and raise household consumption. The portion of that income which goes to local businesses induces economic activity in the state. Employment is projected to be higher by nearly 20 jobs as a result. Similarly, consumption in the state is higher by $3.0 million in 2012, and it is expected to grow to $4.7 million by 2021. Total output is higher by $2.1 million in 2012, $1.3 million of which is gross regional product (GRP). 38 The Economic Impact of the University of Delaware’s College of Health Sciences Table 17 CHS’s Total Economic Impact in Delaware Due to the Off-Campus Spending Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 156 158 158 157 155 153 151 150 149 148 30 55 77 94 109 122 132 141 147 153 $5.8 $6.5 $6.9 $7.1 $7.1 $7.1 $7.1 $7.1 $7.1 $7.2 $5.0 $5.6 $5.9 $6.0 $6.0 $6.0 $6.0 $5.9 $5.9 $5.9 $0.7 $0.8 $0.9 $0.9 $0.9 $1.0 $1.0 $1.0 $1.1 $1.1 $13.9 $14.4 $14.9 $15.3 $15.7 $16.0 $16.4 $16.7 $17.1 $17.5 $16.6 $17.2 $17.4 $17.4 $17.3 $17.2 $17.1 $17.1 $17.2 $17.4 $5.7 $6.0 $6.1 $6.1 $6.0 $6.0 $5.9 $5.9 $5.9 $5.9 $10.7 $11.0 $11.1 $11.1 $11.1 $11.1 $11.1 $11.1 $11.2 $11.3 Prices are in millions of 2012 dollars. Off Campus Spending CHS students are credited with $11 million in off-campus purchases in Delaware, driven almost exclusively by nonresident students. An additional $15.3 million was spent by CHS visitors. Student spending was simulated in the REMI model by translating the decomposition of purchases in Table 9 to increased commodity demand. Visitor spending was assumed to follow the BEA’s 2007 Tourism and Travel account. As this demand draws on goods and services in the Delaware economy, jobs are created, economic migrants move into the area, and compensation, wages, and consumption rise. Table 17 simulates the total impact that this spending has in Delaware. Approximately 150 more jobs are created, and wages increase by $6 million each year in the future. Consumption, output, and GRP also increase substantially. One can see that the positive gains from off-campus student and visitor spending will largely offset the negative effects that college students are projected to have on the labor force. Of course, the bulk of the money spent by college students is not off-campus spending, but rather the tuition and room and board expenses that pay for CHS faculty and support staff. 39 The Economic Impact of the University of Delaware’s College of Health Sciences Table 18 CHS’s Total Economic Impact in Delaware Due to Labor and Other Material Inputs Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 383 53 $33.2 $27.9 $3.4 $16.9 $50.5 $16.3 $33.0 2013 384 95 $35.2 $29.8 $3.7 $17.3 $50.5 $16.4 $32.9 2014 380 131 $36.4 $30.8 $4.0 $17.7 $49.8 $16.1 $32.5 2015 374 160 $37.3 $31.4 $4.2 $18.0 $48.7 $15.6 $31.8 2016 366 184 $37.9 $31.8 $4.4 $18.2 $47.5 $15.1 $31.1 2017 359 203 $38.4 $32.1 $4.5 $18.4 $46.3 $14.5 $30.4 2018 352 218 $38.7 $32.4 $4.7 $18.5 $45.1 $13.9 $29.7 2019 345 229 $39.1 $32.6 $4.8 $18.6 $44.1 $13.4 $29.1 2020 340 238 $39.5 $32.8 $5.0 $18.8 $43.2 $13.0 $28.7 2021 337 245 $40.3 $33.4 $5.1 $19.1 $42.7 $12.6 $28.4 Prices are in millions of 2012 dollars. Labor and Other Inputs By providing a college education to its students, the CHS is also a source of employment. In addition, other jobs must exist at the UD to support CHS students, faculty, and staff. Finally, inputs purchased by the CHS and the UD also stimulate demand from local businesses. In total, the CHS causes $33.3 million of university related expenditures, which are assumed to follow the spending decomposition in Table 11. Employee productivity, compensation, and total cost of material inputs are adjusted in the REMI model to reflect these assumptions. Like the off campus spending of UD students, the academic component provided by the CHS adds jobs, wages, GRP, and other beneficial changes to the Delaware economy. Because 171 jobs were part of the CHS’s direct academic impact and the REMI model estimates that 383 jobs are created, the CHS’s implicit employment multiplier is 2.2. The model also predicted that the CHS raised $50 million of output and $17 million of consumption in 2012. REMI predicts that personal tax receipts attributed to CHS’s academic components will increase from $3.4 million in 2012 to $5.1 million in 2021, though most of these receipts will likely go to federal sources. 40 The Economic Impact of the University of Delaware’s College of Health Sciences Table 19 CHS’s Total Economic Impact in Delaware Due to Health Clinics Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 15 3 $1.0 $0.9 $0.1 $0.5 $1.9 $0.7 $1.2 2013 16 5 $1.2 $1.0 $0.1 $0.6 $2.0 $0.7 $1.3 2014 18 8 $1.4 $1.1 $0.2 $0.7 $2.3 $0.8 $1.5 2015 20 12 $1.5 $1.3 $0.2 $0.8 $2.5 $0.9 $1.6 2016 22 15 $1.7 $1.4 $0.2 $1.0 $2.7 $1.0 $1.7 2017 23 18 $1.8 $1.5 $0.3 $1.0 $2.8 $1.0 $1.8 2018 23 22 $1.9 $1.5 $0.3 $1.0 $2.8 $1.0 $1.8 2019 23 24 $1.9 $1.5 $0.3 $1.1 $2.8 $1.0 $1.8 2020 22 26 $1.9 $1.5 $0.3 $1.1 $2.7 $0.9 $1.7 2021 22 28 $1.9 $1.5 $0.3 $1.1 $2.7 $0.9 $1.7 Prices are in millions of 2012 dollars. Health Clinics The physical therapy health clinics and nurse managed health programs are expected to generate $1.3 million in sales in 2012 and grow to $2.1 million in sales by 2019. The REMI model simulated these impacts as increased sales in the ‘medical and diagnostic labs and outpatient and other ambulatory care services’ industry. The sales were modeled according to the college’s planned expansion. Table 19 shows the total impact that these health clinics are expected to have in the state. Overall, the clinics will likely create between 20 and 25 jobs each year and will add between $1.0 and $1.5 million wages and salaries. Approximately $1.9 million in total state output is credited to the existing clinics, and that is expected to grow to $2.8 million by the time the NMHCs have fully expanded into Kent and Sussex counties. The tables on the next page decompose the clinics’ impact in each Delaware county. Most of the employment will remain in New Castle County in the near term, but as the clinics expand an additional 6 jobs will be created in Kent County and another 5 jobs will be created in Sussex. 41 The Economic Impact of the University of Delaware’s College of Health Sciences Table 20 CHS’s Total Economic Impact in New Castle County Due to Health Clinics Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product 2012 14 3 $1.0 $0.9 $0.1 $0.5 $1.9 $0.6 $1.2 2013 14 5 $1.1 $0.9 $0.1 $0.5 $1.9 $0.7 $1.2 2014 14 6 $1.1 $0.9 $0.1 $0.6 $1.8 $0.6 $1.2 2015 14 8 $1.2 $1.0 $0.1 $0.6 $1.8 $0.6 $1.1 2016 14 10 $1.2 $1.0 $0.1 $0.6 $1.8 $0.6 $1.1 2017 13 11 $1.2 $1.0 $0.1 $0.6 $1.7 $0.6 $1.1 2018 13 12 $1.2 $1.0 $0.2 $0.6 $1.7 $0.6 $1.1 2019 13 13 $1.2 $1.0 $0.2 $0.6 $1.6 $0.6 $1.0 2020 12 13 $1.2 $0.9 $0.2 $0.6 $1.6 $0.5 $1.0 2021 12 14 $1.2 $1.0 $0.2 $0.6 $1.6 $0.5 $1.0 2017 6 5 $0.4 $0.3 $0.1 $0.3 $0.6 $0.2 $0.4 2018 6 6 $0.4 $0.3 $0.1 $0.3 $0.6 $0.2 $0.4 2019 6 7 $0.4 $0.3 $0.1 $0.3 $0.6 $0.2 $0.4 2020 6 8 $0.4 $0.3 $0.1 $0.3 $0.6 $0.2 $0.4 2021 5 8 $0.4 $0.3 $0.1 $0.3 $0.6 $0.2 $0.4 2018 5 4 $0.3 $0.3 $0.1 $0.2 $0.5 $0.2 $0.3 2019 4 5 $0.3 $0.3 $0.1 $0.2 $0.5 $0.2 $0.3 2020 4 5 $0.3 $0.3 $0.1 $0.2 $0.5 $0.2 $0.3 2021 4 6 $0.3 $0.3 $0.1 $0.2 $0.5 $0.2 $0.3 Table 21 CHS’s Total Economic Impact in Kent County Due to Health Clinics Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product 2012 0 0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 2013 2 1 $0.1 $0.1 $0.0 $0.1 $0.2 $0.1 $0.1 2014 4 2 $0.2 $0.2 $0.0 $0.1 $0.4 $0.1 $0.3 2015 5 3 $0.3 $0.3 $0.1 $0.2 $0.5 $0.2 $0.4 2016 6 4 $0.4 $0.3 $0.1 $0.2 $0.6 $0.2 $0.4 Table 22 CHS’s Total Economic Impact in Sussex County Due to Health Clinics Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 0 0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 2013 0 0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 2014 0 0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 2015 1 1 $0.1 $0.1 $0.0 $0.1 $0.1 $0.1 $0.1 2016 3 2 $0.2 $0.2 $0.0 $0.1 $0.3 $0.1 $0.2 2017 4 3 $0.3 $0.2 $0.1 $0.2 $0.5 $0.2 $0.3 Prices are in millions of 2012 dollars. 42 The Economic Impact of the University of Delaware’s College of Health Sciences Table 23 CHS’s Total Economic Impact in Delaware Due to Construction of the Health Science Complex Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 37 0 $2.1 $1.7 $0.2 $1.2 $4.2 $1.8 $2.4 2013 330 1 $19.7 $16.3 $2.4 $10.5 $38.4 $16.4 $21.8 2014 -4 1 $0.9 $0.8 $0.1 $0.2 -$1.1 -$0.3 -$0.7 2015 -9 0 $0.2 $0.1 $0.0 $0.1 -$2.0 -$0.7 -$1.3 2016 -11 0 -$0.3 -$0.3 $0.0 -$0.1 -$2.4 -$0.9 -$1.5 2017 -11 0 -$0.5 -$0.5 -$0.1 -$0.1 -$2.4 -$0.9 -$1.5 2018 -10 0 -$0.6 -$0.5 -$0.1 -$0.1 -$2.3 -$0.8 -$1.4 2019 -8 0 -$0.6 -$0.5 -$0.1 $0.0 -$2.0 -$0.7 -$1.3 2020 -6 0 -$0.5 -$0.5 -$0.1 $0.0 -$1.7 -$0.6 -$1.1 2021 -5 0 -$0.5 -$0.4 $0.0 $0.1 -$1.4 -$0.5 -$0.9 Prices are in millions of 2012 dollars. STAR Campus The STAR campus will have two main effects on the Delaware economy. The first effect comes from the construction of the health science complex. In 2012, $3 million was spent on the complex, and $28 million will be spent in 2013. The REMI model simulates this spending as sales in the construction of nonresidential commercial and healthcare structures. Table 23 shows changes in the economy due to this construction. Building the health sciences complex will increase employment by 330 jobs in 2013, and raise gross regional product by $22 million. Wages and consumption will also see a one time boost of $16.3 million and $10.5 million respectively. The table also shows that these economic benefits end once the construction is complete. In fact, the REMI model predicts that the withdrawal of business activity will slightly dampen the future as adjustments begin in 2014. 43 The Economic Impact of the University of Delaware’s College of Health Sciences Table 24 Assumptions Behind the Business Occupants of the Health Science Complex Ambulatory health care services Nursing and residential care facilities Professional, scientific, and technical services Retail trade Educational services Percent of Retail Space 50% 20% 15% 10% 5% 100% Employees per 1,000 Sq. Ft. 2.44 2.61 3.07 1.36 2.06 2.44 Employees at Full Occupancy 244 104 92 27 21 488 The STAR Campus’s second effect on the state’s economy will be the possibility of new businesses moving into the 200,000 square feet of retail space. The characteristics of these businesses will largely determine the economic impact. Businesses engaged in ambulatory health services are envisioned to occupy 50% of the retail space, while nursing and residential care facilities are expected to make up 20% of the space. The remaining retail space will be split between professional, scientific, and technical services (15%), retail trade (10%), and educational services (5%). Assuming this composition of business, 488 employees will be employed once the health science complex is completely occupied. The level of business competition must be considered when estimating the economic impact. Companies that sell goods and services to a national customer base are not expected to interfere with the sales of existing Delaware businesses. However, businesses that primarily sell to local customers will reduce sales to the competition. For example, a retail pharmacy would capture customers that would have gone to another store in the area and decrease employment at other businesses to some extent. Similarly, the health sciences complex is assumed to lease space only to new and expanding businesses. If existing Delaware businesses simply relocated staff from one Delaware location to another, then the move will not have a measureable economic impact. Finally, businesses are assumed to gradually fill the 200,000 square feet of retail space between 2014 and 2017. 44 The Economic Impact of the University of Delaware’s College of Health Sciences Table 25 CHS’s Total Economic Impact in Delaware Due to New Businesses in the Health Science Complex Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 0 0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 2013 0 0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 $0.0 2014 2015 2016 2017 2018 2019 2020 81 161 239 315 310 302 294 16 45 84 132 171 204 230 $5.3 $11.0 $16.9 $23.0 $23.6 $23.8 $23.8 $4.5 $9.3 $14.2 $19.3 $19.7 $19.8 $19.7 $0.6 $1.4 $2.1 $3.0 $3.2 $3.3 $3.4 $2.8 $5.7 $8.7 $11.7 $11.9 $12.0 $12.1 $10.1 $20.3 $30.4 $40.2 $39.5 $38.5 $37.4 $3.4 $6.8 $10.1 $13.4 $13.1 $12.7 $12.2 $6.7 $13.3 $20.0 $26.5 $26.1 $25.5 $24.9 2021 287 252 $23.9 $19.8 $3.4 $12.3 $36.5 $11.8 $24.4 Prices are in millions of 2012 dollars. Table 25 shows the impact beginning in 2014 and reaching its maximum in 2017 by assumption. REMI estimates that approximately 300 more jobs will be added to Delaware in the long run. Note that the net number of jobs is less than the 488 jobs assumed to be in the complex, due to the competition with other businesses in the area. Compensation is expected to increase $24 million per year, while consumption rises by $12 million per year in the long run. GRP also increases by nearly $25 million per year, reflecting a portion of the $38 million increase in total output. 45 The Economic Impact of the University of Delaware’s College of Health Sciences Table 26 CHS’s Total Economic Impact in Delaware Due to Net Tax Revenues Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 -47 -43 -$2.1 -$1.7 $6.7 -$7.6 -$5.5 -$1.9 -$3.5 2013 -51 -80 -$2.3 -$1.9 $6.7 -$7.8 -$5.9 -$2.1 -$3.7 2014 -52 -111 -$2.3 -$1.8 $6.7 -$8.0 -$6.0 -$2.2 -$3.8 2015 -52 -138 -$2.3 -$1.8 $6.7 -$8.1 -$6.0 -$2.2 -$3.7 2016 -51 -160 -$2.2 -$1.7 $6.7 -$8.2 -$5.9 -$2.2 -$3.7 2017 -51 -179 -$2.1 -$1.5 $6.7 -$8.4 -$5.8 -$2.1 -$3.6 2018 -50 -195 -$2.0 -$1.4 $6.7 -$8.5 -$5.7 -$2.1 -$3.6 2019 -50 -209 -$1.9 -$1.3 $6.7 -$8.7 -$5.7 -$2.1 -$3.6 2020 -50 -220 -$1.9 -$1.3 $6.7 -$8.8 -$5.7 -$2.1 -$3.6 2021 -51 -229 -$1.9 -$1.3 $6.7 -$8.9 -$5.8 -$2.1 -$3.6 Prices are in millions of 2012 dollars. Fiscal Impact The direct fiscal impact of the CHS reduces the state and local budgets by $7 million per year. For sake of simplicity, REMI assumed that these funds were obtained through increased income taxes, even though UD appropriations almost entirely come from the Delaware’s General Fund. 11 Table 26 reports the economic impact from enacting this tax. The REMI model estimates that collecting $7 million in tax revenues reduces total economic activity by nearly $6 million and gross regional product by $3.5 million. Employment is reduced in the state by nearly 50 jobs each year, and migrants gradually move away in response to the depressed economic environment. Despite the collection of $7 million in revenues, the REMI model estimates that personal taxes increase by $6.7 million, reflecting the slight offset from federal tax obligations. 11 General Fund contains revenues from the income tax, the franchise tax, the corporate profits tax, abandoned properties, the lottery, and other sources. 46 The Economic Impact of the University of Delaware’s College of Health Sciences Table 27 CHS’s Total Economic Impact in Delaware Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Regional Product • 2012 538 1431 $40.1 $33.6 $12.0 $17.7 $68.4 $23.0 $44.1 2013 814 1346 $57.2 $47.5 $14.0 $23.6 $99.2 $36.5 $61.1 2014 556 1223 $44.3 $36.6 $12.5 $15.2 $68.5 $22.7 $44.3 2015 627 1138 $50.2 $41.4 $13.3 $16.8 $76.7 $25.3 $49.8 2016 699 1085 $56.9 $46.9 $14.2 $18.5 $85.3 $28.1 $55.6 2017 770 1058 $64.0 $52.8 $15.2 $20.2 $94.1 $30.8 $61.4 2018 757 1032 $65.6 $54.2 $15.6 $19.1 $92.3 $30.0 $60.3 2019 742 1012 $67.0 $55.3 $15.9 $17.8 $90.2 $29.1 $59.1 2020 726 998 $68.3 $56.3 $16.3 $16.4 $88.0 $28.1 $57.9 2021 712 987 $69.8 $57.6 $16.5 $15.1 $86.1 $27.2 $56.9 Prices are in millions of 2012 dollars. Total Economic Impact This section brings all of the individual CHS impacts together in one simulation and should be viewed as the total impact of the college. In 2012, the CHS faculty, staff, students, and visitors were estimated to create 538 jobs in Delaware and nearly $70 million in economic output. GRP was $44 million larger because of the CHS. Consumption was $18 million higher than what it otherwise would have been, and total compensation was nearly $40 million higher as well. 12 Table 27 also shows the economic impact rises significantly in 2013 and again in 2015, due primarily to the construction of the health science complex and the future business activity of its occupants. Overall, the CHS and the affiliated businesses are expected to cause between 700 and 770 jobs in the state. Increased compensation credited to the CHS is expected to rise from $40 million in 2012 to $70 million in 2021. 12 Because the REMI model relies on a series of non-linear and dynamic formulas, the sum of the economic impact from each individual aspect of the CHS will not necessarily equal the total impact of all aspects. 47 The Economic Impact of the University of Delaware’s College of Health Sciences Table 28 CHS’s Total Impact on Employment, by Industry Educational services Food services & drinking places Prof, scientific, & technical srvcs Retail trade Ambulatory health care srvcs Construction Administrative & support srvcs Nursing & residential care Real estate Amusement, gambling, & recr 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 236 237 243 249 255 261 262 263 264 264 68 70 65 65 65 66 65 63 62 61 10 16 28 47 67 86 85 84 83 82 39 51 39 44 49 54 52 50 48 46 -2 5 18 40 62 82 81 79 78 76 48 268 29 29 30 32 31 29 27 25 19 23 20 23 26 29 28 27 26 25 3 3 11 21 30 39 38 38 37 37 21 19 15 14 13 13 12 10 9 8 10 11 10 10 10 10 10 10 10 10 Table 28 decomposes the total change to employment by industry. As expected, employment in educational services is the biggest industry and is projected to increase moderately over time as enrollment expands. In 2012, employment in restaurants and bars is the second most affected industry (68 employees), followed by construction (48 employees) and retail trade (39 employees). Building the health sciences complex is projected to create 268 jobs in the construction sector in 2013. Nearly 30 additional construction jobs will be needed each year after it is built. Employment in other industries, such as professional and technical services, ambulatory health care services, and nursing and residential care facilities, is projected to increase substantially between 2014 and 2017. 48 The Economic Impact of the University of Delaware’s College of Health Sciences Conclusion The purpose of this report was to estimate the total economic impact that the University of Delaware’s College of Health Sciences (CHS) has in the State of Delaware. There are different ways in which the CHS impacts the economy, from increasing wages for its students to being an employer for CHS faculty and staff. The CHS also runs physical therapy and health care clinics in the community and will soon be expanding its presence in the state. In order to measure the CHS’s impact, the report evaluates what Delaware’s economy would look like in the absence of the CHS. By making such considerations explicit, the economic impact carries a causal interpretation. Because the model used to estimate this impact, the REMI PI+ model, is a dynamic and evolving system, the economic impact evolves over time rather than being a static concept. Unfortunately, some ways in which the CHS impacts the economy could not be quantified. For example, it is difficult to measure the economic impact of the research conducted by CHS faculty and researchers, even though that research improves the quality of health care training. Despite this limitation, the report still calculates the impact of the CHS’s major components. 49 The Economic Impact of the University of Delaware’s College of Health Sciences The REMI simulation predicted that there are 540 more jobs in Delaware today because of the CHS. For each CHS faculty member and staff, there are approximately 0.7 support jobs employed by the University of Delaware and another 1.7 jobs created elsewhere. As the STAR Campus comes to Delaware and the nurse managed health clinics and physical therapy clinics expand, the CHS is expected to create 770 jobs in Delaware by 2017. The CHS causes a net draw of $7 million on state and local government revenues. On its own, this decrease would have reduced economic activity, but in light of all the other benefits that the college makes in the state, economic output and GRP actually increased by $68 million and $44 million in 2012, respectively. Moreover, the CHS’s expansionary plans will raise these two figures nearly 40% within five years. The CHS also significantly raises compensation and wages in the area. In 2012, $34 million of increased wages were caused by the college, which in turn created $18 million of consumption. In short, the intention of this report was to uncover the CHS’s total economic impact in Delaware. The report demonstrates that it is a source of large and meaningful benefits. 50 The Economic Impact of the University of Delaware’s College of Health Sciences References Foote, Lynne. (2007). The Economic Impact of the University of Delaware on Newark and the State of Delaware. University of Delaware, Office of Institutional Research. <www.udel.edu/IR/reports/eci/irs08-03.pdf> Kodrzycki, Yolanda K. (2001) “Migration of Recent College Graduates: Evidence from the National Longitudinal Survey of Youth”. New England Economic Review. 12(1). <www.bos.frb.org/economic/neer/neer2001/neer101b.pdf> KPMG. (2012). University of Delaware: Consolidated Financial Statements. <www.udel.edu/vpfa/pdfs/2012_Financials.pdf > KPMG. (2012). University of Delaware: Statements of State of Delaware General, Capital Improvement, and Agency Funds Appropriated, Received, and Expended, and Supplemental Data. <auditor.delaware.gov/Reports/FY2013/UofD_StateAppropriations_FS%20FY12.pdf> Latham, William, and Lewis, Kenneth. (2010). The Economic Impact of the University of Delaware. University of Delaware, Center for Applied Business and Economic Research. <www.udel.edu/CABER/UD%20Impact%20Study%202010.pdf> McMenamin, Terence. (2007). “A Time to Work: Recent Trends in Shift Work and Flexible Schedules.” Monthly Labor Review, December 2007. <http://www.bls.gov/opub/mlr/2007/12/art1full.pdf> 51 The Economic Impact of the University of Delaware’s College of Health Sciences Appendix A 2008 directive by Governor Minner instructed a task force to recommend ways of increasing the number of speech pathologists in Delaware. The task force concluded that creating a speech pathology program in the CHS was the best way to achieve that goal. The CHS has since planned for the creation of a Master’s degree program in speech pathology. Like the Department of Physical Therapy and the School of Nursing, the program would offer services to the public in a clinic, where students can hone their skills under faculty supervision. Because the program and its clinic are still in the planning stages, its economic impact was not included in the main report. This appendix details the program’s anticipated economic impact. The CHS envisions the speech pathology program to be a two-year Master’s degree program that will initially enroll 15 students in 2017. Enrollment in each subsequent year will increase by 5 until the 30 students are admitted in the program each year. The academic program will require a director, five faculty members, and one staff administrator. The clinic will require a director, supervisor, and administrative assistant. The academic program is expected to occupy 10,000 square feet of space in the health sciences complex, while the clinic will use existing space on the main campus. Next, each component of the speech pathology program’s economic impact is briefly discussed. Assumptions derived in the main report will continue to be used to construct the program’s footprint, counterfactual, and direct economic impact. 52 The Economic Impact of the University of Delaware’s College of Health Sciences Table 29 Employment, Wages, and Job Projections for Speech Pathologists, by State Delaware District of Columbia Maryland Pennsylvania New Jersey New York Virginia National • Employment 350 310 2,590 3,930 4,470 8,870 2,640 117,210 Annual Wage $74,540 $81,520 $83,310 $72,990 $85,350 $78,130 $74,250 $72,000 10 Year Job Openings 149 132 1,099 1,668 1,898 3,765 1,121 49,757 Source: Bureau of Labor Statistics Occupational Employment Survey and Occupational Projections Population Approximately 40% of CHS graduate students are in-state residents. Assuming that every nonresident student and 35% of resident students would have attended a master’s degree program in another state if not for the speech pathology program, then 84% of the program’s students represent an increase to Delaware’s population. In 2017, the program will increase Delaware’s population by 13 students. Once the program is at capacity in 2021, Delaware’s population will be higher by 50 college students. Wages and Human Capital The Bureau of Labor Statistics (BLS) Occupational Employment Survey estimates that the national average wage for the 117,210 speech pathologists in the country is $72,000. The average annual wage for speech pathologists in Delaware is $74,540, which is higher than in Pennsylvania and Virginia, but less than the average annual wage in Maryland, New Jersey, New York, and the District of Colombia (see Table 29). 53 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 11 Student and Visitor Off Campus Purchases $400,000 $300,000 Visitor Spending $200,000 Student Purchases $100,000 $0 2017 2018 2019 2020 2021 2022 The BLS also anticipates that increased demand will create the need for 23.4% more speech pathologists between 2010 and 2020. Factoring in the replacement needs of the existing workforce implies that there will be job openings equal to 42.4% of existing speech pathologists. Table 29 calculates these projections for each state and shows that Delaware will need 149 speech pathologist positions over the next 10 years. The main report assumed that the only students influenced to get more education due to the CHS were those that transfer from an Associate’s degree program. Maintaining this assumption implies that without the speech pathology program, its future students would enter a different master’s program and earn similar wages. Thus, the counterfactual accounts for any increased earnings in Delaware. Off Campus Student and Visitor Spending Assuming that the ratios of real off-campus spending per student is the same in 2017 as it is today, then Figure 11 shows how the program will raise the level of off-campus spending in Delaware. The level of increased off-campus student spending attributed to the program will eventually reach $314,000 once the program is at capacity. Similarly, visitor spending increases by an additional $352,000 per year as a result of increased enrollment. 54 The Economic Impact of the University of Delaware’s College of Health Sciences Table 30 Estimated Annual Increase in University Expenses due to Program Enrollment Salaries & Wages Other Benefits Other Inputs Direct Academic Expenses $729,570 $241,109 $365,901 Academic Support $109,046 $47,967 $57,433 Non Academic Support $68,934 $28,645 $37,105 Utilities and Facilities $50,909 $28,748 $23,507 Auxiliary Services $20,389 $7,488 $213,954 Total $978,848 $353,957 $697,900 Total $1,336,580 $214,446 $134,683 $103,165 $241,831 $2,030,704 Labor and Other Inputs In 2017, the extra faculty and staff wages are expected to cost $862,000. Assuming a 2% rate of inflation and similar ratios of wages to other benefits and inputs, then the program is anticipated to cost nearly $1,337,000 in direct academic expenses. After taking the UD related support costs into consideration, total costs would increase by $2.0 million as documented in Table 30. If we again assume that 65% of resident students would have enrolled in an alternative Master’s degree program in Delaware, then only $1.5 million of labor and other input costs are credited to the speech pathology program. The program will also require an initial set of up-front expenditures: $300,000 for infrastructure, $850,000 for equipment, $25,000 for search expenses, and $300,000 for other non-labor related start-up costs. 55 The Economic Impact of the University of Delaware’s College of Health Sciences Figure 12 Expected Revenue from Speech Pathology Clinic $300,000 $250,000 $200,000 $150,000 $100,000 $50,000 $0 FY17 FY18 FY19 FY20 FY21 Health Clinics The speech pathology clinic will be staffed by a clinical director, a supervisor, and an administrative assistant. Initially, the clinic is expected to offer services to 50 patients per year, but that is expected to increase to 250 patients per year in 2021. The typical patient will likely use the clinic once per month for an hour session and generate $84 in revenue per visit. 13 This implies that the clinic should generate $50,400 of revenues in their first year. By 2021, however, the clinic is expected to generate $252,000 in sales (see Figure 12). Fiscal Impact The fiscal impact from the speech pathology program is expected to be a one-time payment of $2 million. The CHS anticipates that the academic program and clinic will be self-sufficient, and does not predict any further need for state appropriations. No other fiscal information, such as state line appropriations, research grants, and property tax exemptions can be calculated at this time. 13 Persons with private insurance or no insurance are expected to generate $100 in revenue, while persons with Medicare or Medicaid are expected to generate $60 in revenue. A 60/40 patient mix is assumed. 56 The Economic Impact of the University of Delaware’s College of Health Sciences Table 31 Total Economic Impact of Speech Pathology Program and Clinic Total Employment Population Total Compensation Wages and Salaries Personal Taxes Personal Consumption Total Output Intermediate Demand Gross Domestic Product 2016 7 1 $0.5 $0.4 $0.1 $0.3 $1.0 $0.4 $0.6 2017 4 1 $0.9 $0.8 $2.1 -$1.4 $0.6 $0.1 $0.4 2018 16 15 $1.5 $1.2 $0.2 $0.7 $2.1 $0.7 $1.4 2019 17 21 $1.6 $1.3 $0.2 $0.7 $2.2 $0.7 $1.5 2020 18 26 $1.6 $1.3 $0.2 $0.7 $2.3 $0.7 $1.5 2021 18 27 $1.6 $1.3 $0.2 $0.6 $2.3 $0.7 $1.5 2022 17 25 $1.6 $1.3 $0.2 $0.6 $2.2 $0.7 $1.4 2023 16 23 $1.6 $1.3 $0.2 $0.5 $2.0 $0.6 $1.3 2024 16 21 $1.6 $1.3 $0.2 $0.5 $2.0 $0.6 $1.3 The various components of the speech pathology program at the CHS were entered into the REMI model using methods analogous to those in the main report. The results begin in 2016 as the CHS begins to initiate the program. Seven new jobs are added to the economy and total output increases by $1.0 million as construction services, material, and equipment are needed for the program’s launch. In 2017, the initial increase in the student population, the cessation of construction activity, and the economic impact of raising $2 million in personal income taxes create negative economic effects in 2017. However, these effects are offset by the positive effects of off-campus spending and the increased demand for labor and other inputs due to the academic program. The net impact increases GRP by $400,000 in 2017, despite lowering consumption by $1.4 million. The long run effects of the program and clinic will be reached in 2021. By this time, the speech pathology program is anticipated to create 18 jobs in the state and raise compensation by $1.6 million each year. Wages and consumption are greater by $1.3 million and $0.6 million, respectively. Total output will likely be $2.3 million higher, driven by $1.5 million in GRP and $0.7 million in intermediate demand. 57