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     FrontPage Edition: Sat 29 Apr 2006

Key Survey Findings on Health Services 2004

Source: www.gov.sg

ECONOMIC SURVEYS SERIES Reference Year 2004
HEALTH SERVICES
In 2004, the health services industry comprised 3,400 establishments and employed a total of 48,800 workers. This represented an average employment size of 14 workers per establishment.
I. ECONOMIC PERFORMANCE
Total operating receipts generated by the health services industry grew by 6.5 per cent to $5,466 million between 2003 and 2004. Correspondingly, on a per establishment basis, operating receipts went up by 4.2 per cent to $1.6 million in 2004.
Total operating expenditure incurred in 2004 was $4,960 million, an increase of 6.5 per cent over the previous year¡¯s total of $4,658 million. On a per establishment basis, operating expenditure rose by 4.2 per cent to $1.5 million in 2004.
Total operating surplus increased from $805 million in 2003 to $870 million in 2004, an increase of 8.2 per cent. Operating an increase of 8.2 per cent. Operating surplus per establishment also increased by 5.8 per cent to $254,600 during the same period.
Total value added generated by the health services industry was $3,234 million in 2004, an increase of 4.8 per cent over 2003. On a per establishment basis, value added rose by 2.5 per cent to $946,200 in 2004.
II. MAIN ACTIVITIES IN HEALTH SERVICES
Western clinics1 formed a significant 60.9 per cent of the total establishments in the health services industry, employing 30.0 per cent of the total workforce in the health industry (Chart 1). Although hospitals accounted for the smallest share in terms of total establishments, they were the largest employer, engaging some 24,200 workers in 2004, or an average employment size of 1,100 workers.

Hospitals were also the largest contributors in terms of operating receipts and value added, accounting for 46.5 per cent and 45.9 per cent of the respective industry totals in 2004 (Chart 2). Western clinics constituted another major group in the health services industry, accounting for 38.1 per cent and 38.0 per cent of total operating receipts and total value added respectively.

Remuneration made up nearly half of the overall health services industry¡¯s total operating expenditure in 2004. Except for non-western clinics, remuneration was the top business cost item among the other health services groups, accounting for 43-51 per cent of the respective group¡¯s total operating expenditure (Table 1).

For nonwestern clinics, purchases of goods & materials was the top business cost item, contributing 38.7 per cent of the group¡¯s total operating expenditure.
III. KEY PERFORMANCE RATIOS
Profitability Ratio of overall health services went up from 15.5 per cent in 2003 to 15.8 per cent in 2004. Within the industry, all health services groups recorded higher profitability ratios except hospitals, which reported lower operating surplus though operating receipts increased. Dental services registered the highest profitability ratio of 27.4 per cent in 2004 (Chart 3).

Cost Effectiveness, as measured by the earnings-expenditure ratio, increased from 17.5 per cent in 2003 to 17.9 per cent in 2004 for overall health services industry. Dental services, which recorded the highest ratio at 36.8 per cent, was the most cost effective, followed by non-western clinics (35.6 per cent) (Chart 4).

Average Annual Remuneration per Employee was $50,100 for employees working in the health services industry in 2004. Employees in western clinics continued to receive the highest average remuneration of $53,600 (Table 2).

Value Added per Worker for overall health services went up from $64,800 in 2003 to $66,200 in 2004. Within the industry, western clinics continued to record the highest average value added of $83,900 in 2004 (Chart 5). On the other hand, nonwestern clinics¡¯ value added per worker was the lowest at $27,300.

IV. PERFORMANCE BY FIRM SIZE
Small firms (i.e. less than 10 workers) formed the majority (90.2 per cent) in the health services industry in 2004 (Table 3). However, large firms (100 workers & above) which constituted only 1.1 per cent, contributed the largest share of 60.2 per cent of the industry¡¯s total operating receipts.

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1 Includes specialised medical services.

Source: www.gov.sg Media Release 28 Apr 2006

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