2022 Alaska Healthcare Workforce Analysis

Prepared by

Overview

The Alaska Hospital & Healthcare Association (AHHA) commissioned Rain Coast Data to conduct a healthcare workforce statistical analysis in December 2022. This report includes data and analysis of Alaska healthcare jobs, earnings, wages, growth projections, and workforce demographics. Key study findings are below.

Alaska’s Top Industry: Healthcare has become the most important economic sector in Alaska. In 2021 the sector paid out nearly $3 billion in direct wages, more than any other sector. Healthcare was responsible for 12% of all workforce earnings, outpacing military and natural resource sectors. Alaska had nearly 43,000 annual average healthcare jobs in 2021, representing 11% of Alaska’s entire workforce. When this analysis is expanded to include the multiplier effect, the total impact of Alaska’s healthcare sector was 75,060 jobs across the state’s economy with a total Alaska income impact of $4.4 billion in 2021.

Thousands of New Alaska Healthcare Workers Needed Annually: Workforce growth projections show that the healthcare sector is expected to add 4,500 new jobs over the next 10 years through growth, more jobs than any other sector in the state. Additionally, turnover in key healthcare positions mean that replacement workers are continually needed to support Alaska’s healthcare facilities. Approximately 7,500 new healthcare workers must be hired across Alaska every year to keep up with staffing needs, including more than 1,500 registered nursing recruits annually.

Healthcare Worker Shortage: There are too few Alaska healthcare workers to fill the current demand for services in Alaska, and job vacancies in the industry are increasing. According to the 2022 AHHA Salary and Benefits Report, hospital based registered nurses had a vacancy rate of 24%, and it took an average of 161 days to fill a vacant position. Alaska is competing with the rest of the country for a limited number of healthcare workers. Projections indicate Alaska is expected to have the most significant shortages moving forward of any state. In 2022, Alaska programs graduated just 841 healthcare workers in key positions, including 324 registered nurses, a fraction of what is needed. While travel nurses can be used to meet shortterm staffing needs, this solution comes at a higher cost. In November 2022, travel nurses in Alaska earned 77% more on average than non-traveling RNs.

Higher Wages: Alaska providers have repeatedly adjusted wages up to remain competitive in attracting and retaining workers, resulting in significant overall wage increases. Alaska healthcare wages overall have increased by $646 million, or 28%, from 2016 to 2021. The overall average healthcare wage in Alaska was $68,738 in 2021. Based on an analysis of key healthcare positions nationally, Alaska wages are the highest or second highest for a third of those positions. Cost of living adjustments can reduce the competitiveness of Alaska’s relatively higher wages.

Healthcare Workforce Analysis 2022 Prepared by Rain Coast Data

Alaska Healthcare Jobs, Earnings and Wages

Healthcare is the largest economic sector in the state of Alaska. Alaska’s healthcare workers earned nearly $3 billion in 2021. The healthcare sector pays out more wages than any other industry in Alaska. Healthcare wages comprised 12% of all state wages, including healthcare wages from government facilities, and selfemployed providers. The next two largest industries, military and professional & business services, responsible for 10% and 9% of all statewide workforce earnings, respectively.

Alaska healthcare wages have increased considerably in recent years, growing by $646 million, or 28%, from 2016 to 2021.

Alaska providers have repeatedly adjusted wages up to remain competitive in attracting workers, resulting in significant total wage increases. With the pressures on the US

industry due to the pandemic, the aging of the American population, and a greater portion of the US populace accessing healthcare, more healthcare workers are needed than at any other point in history. However, there are simply not enough entering the workforce. Medical and nursing schools still graduate a similar number of students as they did two decades ago, while baby boomers are leaving the work force. Rapid wage growth will slow only if the overall pool of healthcare workers can be increased on a national basis.

Alaska Healthcare Workforce Analysis 2022 Prepared by Rain Coast Data

In 2021, there were 42,820 annual average (year-round equivalent) healthcare jobs in Alaska, comprising 11% of the total Alaska workforce, second only to the retail/wholesale trade sector. The Alaska healthcare sector experienced significant growth over the past 30 years, and is projected to continue to add more jobs to the Alaska workforce over the next ten years than any other sector. From 2016 to 2021, total healthcare employment increased by 7%, for a gain of 2,785 jobs. In 2020, jobs declined slightly in the wake of the pandemic. Four percent of healthcare jobs are government jobs, including municipal hospital staff and federal workers.

Note that “annualized jobs” are all jobs every month of a calendar year divided by 12, so that a better understanding of the total workforce can be developed and jobs can be compared across industries. The total number of people working in the regional healthcare industry is much larger than the annual average job number. High worker replacement rates, partly due to the use of traveling healthcare workers, means that total workers significantly exceed total jobs.

Healthcare

over

Over time, the key components of the Alaska healthcare sector have not grown evenly. Outpatient healthcare grew the most, with wages up 35% between 2016 and 2021, and outpatient jobs up by 14%. Employment at nursing and residential care facilities had decreased by 10% during this period. Even so, total nursing and residential care wages were up by 10%.

Source: Last year’s edition of this report included State Pioneer Home data for nursing and residential care staff. Due to how that information is compiled, it no longer corresponds with previous years and was excluded from this analysis. Those jobs had been cut significantly in recent years.

Healthcare employment does not have the significant seasonality of much of Alaska’s workforce. In 2021, healthcare workers peaked in July with 43,128 workers, and reached its lowest level in September with 42,232. Average annual employment was 42,820.

Healthcare Workers By Quarter

The Alaska Department of Labor (ADOL) provides quarterly worker counts for the healthcare positions it tracks annually. This is a different count than the annualized job count presented on the previous pages, as it is a count of total workers hired to fill those positions over the year as they come and go. Below is a subset of the positions with higher employment levels. ADOL also tracks total earnings by occupational title. Registered Nurses have the highest number of total workers in Alaska’s healthcare sector, along with the highest level of total wages, $528 million in 2021, which is about 18% of all healthcare wages.

Alaska Healthcare Workers by Count and Total Pay

SOC Occupational Title

119111 Medical and Health Services Managers

1,160 1,191 1,199 1,215 1,538 $117,140,837

211022 Healthcare Social Workers 222 218 208 219 307 $11,883,347 211023 Mental Health and Substance Abuse Social Workers 339 350 345 348 477 $18,711,772 291021 Dentists, General 303 295 308 287 443 $35,845,759 291051 Pharmacists 416 436 451 433 588 $47,148,242 291071 Physician Assistants 556 591 609 613 780 $68,747,589 291122 Occupational Therapists 310 319 339 331 430 $21,013,223 291123 Physical Therapists 694 733 728 701 918 $50,645,573 291127 Speech-Language Pathologists 326 342 335 336 425 $21,382,003 291141 Registered Nurses 6,835 6,936 7,042 7,165 9,132 $527,826,035 291171 Nurse Practitioners 477 463 478 525 669 $50,920,499 291215 Family Medicine Physicians 455 473 496 495 615 $86,301,233 291229 Physicians, All Other 406 366 417 373 550 $92,066,990 291292 Dental Hygienists 558 589 600 592 826 $29,677,142 292011 Medical and Clinical Laboratory Technologists 311 303 311 321 407 $22,597,581 292012 Medical and Clinical Laboratory Technicians 349 348 341 351 490 $17,610,030 292034 Radiologic Technologists and Technicians 390 415 402 409 525 $27,951,758 292042 Emergency Medical Technicians 323 329 351 366 526 $17,470,283 292052 Pharmacy Technicians 492 585 506 522 769 $20,031,909 292053 Psychiatric Technicians 306 301 292 271 389 $11,123,209 292055 Surgical Technologists 245 245 241 254 339 $13,447,628 292061 Licensed Practical and Licensed Vocational Nurses 374 355 349 342 483 $19,973,476 292072 Medical Records Specialists 432 385 372 397 582 $17,896,117 292099 Health Technologists and Technicians, All Other 318 334 357 353 476 $16,955,103 299099 Healthcare Practitioners and Technical Workers, Other 276 272 304 340 539 $15,070,637

311121 Home Health Aides 1,232 1,158 1,132 1,166 1,761 $27,248,315 311122 Personal Care Aides 5,022 5,027 4,883 4,706 6,971 $101,227,177

311131 Nursing Assistants 2,492 2,531 2,504 2,488 3,502 $85,523,554

319011 Massage Therapists 512 521 500 498 723 $15,548,470

319091 Dental Assistants 1,244 1,297 1,300 1,198 1,858 $43,782,948

319092 Medical Assistants 2,123 2,160 2,208 2,338 3,340 $86,927,312

319099 Healthcare Support Workers, All Other 1,513 1,660 1,417 1,459 2,378 $54,707,653

Source: Alaska Department of Labor 2021 Worker Counts by Occupation. See appendix for additional positions.

Healthcare Multipliers Impact

Employment and income levels in the health sector have a significant impact on employment and income throughout other industries in Alaska, as is demonstrated when using the RIMS Type II multipliers. For example, the employment multiplier for the Hospital Sector in Alaska is 1.83. This indicates that for each job created in the Hospital Sector, another 0.83 jobs are created in other businesses and industries in Alaska. The direct impact of the 14,581 Hospital Sector jobs in Alaska results in an additional indirect and induced impact of 12,123 jobs throughout all businesses and industries in the state. Therefore in total Alaska’s Hospital Sector has a total impact on employment of 26,704 jobs in Alaska. Likewise, the total impact of the $1.2 billion payroll to the Hospital Sector employees can be estimated. The income multiplier for the Hospital Sector in Alaska is 1.52. The multiplier indicates that for each dollar’s worth of income generated in the Hospital Sector, another $0.52 is generated in other businesses and industries in Alaska. This means that the estimated total Hospital Sector impact on income throughout the Alaska economy is $1.77 billion.

$4.4

Expanding this analysis, the total impact of the 42,820 employees of Alaska’s healthcare sector was 75,060 total jobs across the state’s economy; and Alaska’s health sector income of $2.9 billion resulted in a total Alaska income impact of $4.4 billion in 2021.

Wages by Position

Another way to understand earnings is through comparative hourly and annual pay. The State of Alaska provides wage data for healthcare positions in Alaska in the Occupational Employment Statistics (OES) reports. Among the healthcare positions listed in the OES report, physicians have the highest average wage, while home health aides are paid the least. Occupational Employment Statistics data measures gross pay, cost-of-living allowances, incentive pay, bonuses, tips, and on-call pay. Private and public employers are represented in the data, although the self-employed workers are excluded. The table below presents a subset of key healthcare positions in Alaska. The overall annual wage for all Alaska healthcare positions was $68,738 in 2021.

Alaska Healthcare Wages, by Selected Position 2021

SOC

11-1011 Chief Executives

$71.35 $148,400 2.99

11-3021 Computer and Information Systems Managers $59.25 $123,230 0.46 11-9111 Medical and Health Services Managers $59.61 $123,990 1.29 21-1022 Healthcare Social Workers $29.00 $60,320 0.67 29-0000 Healthcare Practitioners and Technical Occupations $50.80 $105,660 1.05 29-1021 Dentists, General $80.96 $168,390 1.11 29-1051 Pharmacists $70.15 $145,910 0.73 29-1071 Physician Assistants $70.11 $145,830 1.57 29-1123 Physical Therapists $46.63 $96,980 1.44 29-1141 Registered Nurses $46.74 $97,230 0.95 29-1171 Nurse Practitioners $54.72 $113,820 1.56 29-1215 Family Medicine Physicians $142.85 $297,130 2.82 29-1221 Pediatricians, General $91.23 $189,750 2.37 29-1292 Dental Hygienists $55.53 $115,510 1.17 29-2010 Clinical Laboratory Technologists and Technicians $29.80 $61,980 1.20 29-2034 Radiologic Technologists and Technicians $37.35 $77,690 0.98 29-2042 Emergency Medical Technicians $24.68 $51,330 1.12 29-2043 Paramedics $24.75 $51,480 1.06 29-2052 Pharmacy Technicians $22.19 $46,160 0.71 29-2061 Licensed Practical and Licensed Vocational Nurses $30.60 $63,650 0.35 29-2072 Medical Records Specialists $26.22 $54,540 3.71 29-2099 Health Technologists and Technicians, All Other $26.32 $54,750 1.44 29-9021 Health Information Technologists and Medical Registrars $28.01 $58,260 4.37 31-0000 Healthcare Support Occupations $20.23 $42,080 0.92

31-1120 Home Health and Personal Care Aides $16.78 $34,900 0.91

31-1131 Nursing Assistants $20.71 $43,080 0.64

31-9091 Dental Assistants $24.35 $50,640 1.57 31-9092 Medical Assistants $22.30 $46,390 1.11

31-9099 Healthcare Support Workers, All Other $23.02 $47,880 0.93

Source: Alaska Department of Labor 2020 Occupational Employment Statistics. See appendix for additional positions.

Location Quotient

A location quotient, or economic concentration ratio, is a ratio that compares the concentration of healthcare employment in Alaska to that of the nation as a whole. A location quotient greater than one (the national average) shows that Alaska has a higher number of a particular healthcare position than the nation as a whole, while a location quotient of less than one shows that the position is under-represented in Alaska. According to this analysis, there are more than twice as many family medicine physicians in Alaska as would be expected by national trends, and 1.5 times as many nurse practitioners. Registered nurses have nearly the same prevalence in the Alaska workforce as they do in the US workforce. Licensed practical and vocational nurses have the lowest prevalence in Alaska, compared to national trends, of any healthcare position.

Location Quotient

Health Information Technologists and Medical Registrars Medical Records Specialists

Midwives

Family Medicine Physicians Pediatricians, General Physician Assistants Dental Assistants Nurse Practitioners Physical Therapists

Health Technologists and Technicians, All Other Medical and Health Services Managers Clinical Laboratory Technologists and Technicians Dental Hygienists Emergency Medical Technicians Dentists, General Medical Assistants Paramedics

Healthcare Practitioners and Technical Occupations Radiologic Technologists and Technicians Registered Nurses Healthcare Support Workers, All Other Healthcare Support Occupations Home Health and Personal Care Aides Pharmacists Pharmacy Technicians Healthcare Social Workers Nursing Assistants Computer and Information Systems Managers Licensed Practical and Licensed Vocational Nurses 0% 150% 300% 450% 600% 0.35 0.46 0.64 0.67 0.71 0.73 0.91 0.92 0.93 0.95 0.98 1.05 1.06 1.11 1.11 1.12 1.17 1.20 1.29 1.44 1.44 1.56 1.57 1.57 2.37 2.82 3.71 4.37 5.67

Workforce

More prevalent in Alaska

Loca % on Quo % ent Similar rate to na,onal average.

Less prevalent in Alaska

Alaska Healthcare Growth Projections

Growth Outlook: 10 Years

Occupational estimates and projections for Alaska are developed by the State of Alaska every other year. Projections, which currently cover the 2020-2030 period, are a fantastic tool for understanding long-range trends in occupational employment. Overall, healthcare jobs are expected to grow by 14.3% over the next 10 years, adding more jobs than any other sector in the state. In the next ten years massage therapists are projected to grow the most, by 20.6%, while psychiatric aides are projected to grow the least, but growth is projected among every single healthcare position in Alaska. In terms of jobs counts, home health personal care aides are projected to add 861 new positions, and registered nurses are expected to add 813 jobs. Altogether, approximately 4,500 new healthcare jobs are expected to be added to the Alaska workforce over the next 10 years.

Massage Therapists Physical Therapist Assistants Occupational and Physical Therapist Assistants Respiratory Therapists Opticians, Dispensing Diagnostic Medical Sonographers Nurse Midwives Radiologic Technologists and Technicians Healthcare Social Workers Healthcare Support Workers, All Other Dental Assistants Surgical Technologists Clinical Laboratory Technologists and Technicians Dental Hygienists Family Medicine Physicians Medical Assistants Physical Therapists Nurse Practitioners Recreational Therapists Physician Assistants Dentists, General Chiropractors

Registered Nurses Medical Transcriptionists

Licensed Practical and Licensed Vocational Nurses Healthcare Practitioners & Technical Occupations Medical and Health Services Managers Health Technologists and Technicians Nursing Assistants Home Health and Personal Care Aides Occupational Therapists Therapists, All Other Pharmacists

Speech-Language Pathologists

Emergency Medical Technicians and Paramedics Pharmacy Technicians Psychiatric Technicians Psychiatric Aides

10 year projected growth

0% 5.5% 11% 16.5% 22% 6.8% 11.3% 11.7% 11.7% 11.9% 12.4% 13.4% 13.4% 13.7% 14.0% 14.1% 14.1% 14.1% 14.2% 14.3% 14.3% 14.4% 14.5% 14.5% 14.6% 14.6% 14.6% 14.6% 14.7% 14.9% 14.9% 15.0% 15.0% 15.1% 15.1% 15.1% 15.5% 15.5% 15.5% 15.6% 15.8% 17.1% 20.6%

4,500

Additional healthcare jobs to be added in next 10 years through growth

Annual New Hires By Position

Job counts and workers count are different. To understand total workforce needs, it is important to understand total jobs, total workers in each job per quarter, worker exits, and overall growth, by position. Based on all of these combined measures, approximately 7,500 new healthcare workers must be hired across Alaska every year to keep up with the resulting need for additional workforce. The below table breaks out 6,800 of these needed annual hires. Registered nurses is by far the top category, with more than 1,500 new recruits needed annually. The top three categories — medical assistants, nursing assistants, and support workers — account for 38% of required annual new workers.

New Workers Needed Annually Based on Turnover & Growth

SOC Code Occupational Title

291141 Registered Nurses

6,995 21% 1,463 81 1,544 319092 Medical Assistants 2,207 29% 638 26 664

311131 Nursing Assistants 2,504 25% 623 29 652 319099 Healthcare Support Workers, All Other 1,512 31% 466 18 484 319091 Dental Assistants 1,260 30% 377 18 395 311121 Home Health Aides 1,172 31% 364 17 381 119111 Medical and Health Services Managers 1,191 21% 252 13 265 291292 Dental Hygienists 585 28% 163 10 173 291123 Physical Therapists 714 21% 152 8 160 319011 Massage Therapists 508 26% 134 10 144 291071 Physician Assistants 592 22% 129 6 135 292052 Pharmacy Technicians 526 22% 114 5 119 292042 Emergency Medical Technicians 342 32% 109 4 113 291229 Physicians, All Other 391 27% 104 7 111 291171 Nurse Practitioners 486 21% 103 5 108 291215 Family Medicine Physicians 480 21% 101 6 107 292012 Medical and Clinical Laboratory Technicians 347 28% 97 7 104 292072 Medical Records Specialists 397 23% 90 7 97 292099 Health Technologists and Technicians, All Other 341 27% 90 7 97 299099 Healthcare Practitioners and Technical Workers, All 298 31% 93 3 96 292034 Radiologic Technologists and Technicians 404 21% 85 7 92 291051 Pharmacists 434 20% 87 4 91 292061 Licensed Practical and Licensed Vocational Nurses 355 22% 78 7 85 291021 Dentists, General 298 27% 80 3 83 291122 Occupational Therapists 325 21% 67 2 69 292011 Medical and Clinical Laboratory Technologists 312 21% 65 4 69 291127 Speech-Language Pathologists 335 19% 65 3 68 292053 Psychiatric Technicians 293 22% 65 3 68 319097 Phlebotomists 234 27% 64 2 66 292055 Surgical Technologists 246 23% 58 3 61 211022 Healthcare Social Workers 217 24% 53 3 56 291126 Respiratory Therapists 220 23% 50 3 53

Notes: Worker churn is like turnover, but measured quarterly rather than monthly. It is the annual worker count minus peak quarterly workers divided by total annual workers, using Alaska Department of Labor Occupational Employment Statistics. Worker churn percentages are based on 3-year averages (2019-2021) to minimize any outlier disruptions. 10-year projected growth comes from ADOL Alaska Occupational Forecast 2020 to 2030. To understand annual healthcare worker needs, the ten year forecast estimates are annualized and applied to worker counts (rather than job counts). “Annual new workers needed” is “churn” multiplied by 2021 quarterly worker count added to “10-year projected growth” multiplied by the 2019 average quarterly count, divided by 10. See appendix for additional positions/details.

Alaska Healthcare Workforce Analysis 2022 Prepared By Rain Coast Data

Healthcare Workforce Development Needs

The bubble chart on the following page cross-tabulates new workers needed on an annual basis by count, location quotient, and annual salary data, and charts them into a single picture of the state’s future healthcare workforce needs. It provides a visual blueprint as to where the most resources should be focused when attracting workers to Alaska, or for growing our own workforce.

Annual New Workers Needed: The size of the bubble on the chart on the following page corresponds the total workers that need to be hired annually to keep pace with turnover and job growth. Registered nurses have the highest workforce development need of all healthcare position categories. There are more registered nurses than any other health position category. While the position is growing at the average pace for the state — 14.3% in ten years — combined growth and turnover rates mean that an additional 1,544 registered nurses will be needed annually over the next ten years (including 81 new registered nurse positions created annually). Medical assistants are also in high demand, with 664 new positions in need of filling annually. These positions have lower comparative pay, and the position is more common in Alaska than in the US as a whole.

Worker Churn: Worker churn is similar to turnover, but based on different data points. It is measured by using total workers for a position in a year, subtracting peak quarterly workers for the same same position, and dividing by total workers. Worker churn is the highest for EMTs (32%), home health aides, and healthcare support workers (all 31%). The lowest worker churn is seen among pediatric surgeons (7%) and orthodontists (8%). For the purposes of this analysis, worker churn for 2019, 2020, and 2021 were averaged.

Location Quotient: A location quotient greater than one (the national average) shows that Alaska has a higher number of a particular healthcare position than the nation as a whole, while a location quotient of less than one shows that the position is under-represented in Alaska. By mapping out location quotient along with additional variables, it is easy to see where workforce development is more needed, and where it has already been successful.

See chart on the following page.

Alaska Healthcare Workforce by Geography

Distribution of Healthcare Workers

In terms of healthcare workforce distribution, nearly two-thirds (64%) of all Alaska healthcare jobs are located in the Anchorage area. An additional 11% of jobs are in Fairbanks. The rest of Alaska, including Southeast, is home to 24% of healthcare jobs.

However, there are position-specific differences. Anchorage is home to 73% of physician assistants, 70% of medial assistants, and 68% of registered nurses. Non-metropolitan Alaska has 40% of nurse practitioners, and 39% of EMTs. Fairbanks has 25% of Alaska’s psychiatric technicians.

While vacancies by region are not reported, this data can be helpful in understanding where openings by position are likely to be the most acute.

Physician Assistants

Medical Assistants

Registered Nurses Phlebotomists

Medical Records Specialists

Home Health and Personal Care Aides

Physical Therapists

Licensed Practical and Licensed Vocational Nurses Occupational Therapists

Radiologic Technologists and Technicians Pharmacists

Medical and Health Services Managers

Pharmacy Technicians

Dental Hygienists

Nursing Assistants Dentists, General Clinical Laboratory Technologists and Technicians

Family Medicine Physicians

Dental Assistants

Psychiatric Technicians

Emergency Medical Technicians Nurse Practitioners

Wages by Alaska Region

As a whole in Alaska, healthcare practitioners and those in technical positions earned $50.80 per hour in 2021 in Alaska, or $105,660 annually; while those in healthcare support occupations earned $20.23 per hour and $42,080 annually. Position-specific wages by area can vary widely. Nurse practitioners had the greatest pay disparity, earning 23% less in Fairbanks than Anchorage in 2021, and 19% less in nonmetropolitan Alaska. Medical managers earned more outside of Anchorage. In areas outside of Anchorage and Fairbanks, dentists, physical therapists, and radiologic technologists/technicians earned relatively more.

Average Wage Comparisons by Position

Occupational Title

Medical and Health Services Managers

Alaska Average Anchorage Average Fairbanks Average Remainder Average Hourly Wage Annual Wage Hourly Wage Annual Wage Hourly Wage Annual Wage Hourly Wage Annual Wage

$59.61 $123,990 $57.82 $120,270 $63.57 $132,230 $61.88 $128,700

Healthcare Practitioners and Technical Occupations $50.80 $105,660 $50.80 $105,660 $50.33 $104,690 $51.17 $106,430

Dentists, General $80.96 $168,390 $79.32 $164,980 $72.55 $150,900 $88.66 $184,420 Physician Assistants

$70.11 $145,830 $69.34 $144,230 $71.51 $148,750 $72.66 $151,120

Occupational Therapists $44.92 $93,440 $44.21 $91,950 $44.59 $92,760 $47.22 $98,220

Physical Therapists

Nurse Practitioners

$46.63 $96,980 $45.65 $94,960 $44.91 $93,420 $50.57 $105,190

$54.72 $113,820 $60.87 $126,610 $46.71 $97,150 $49.19 $102,320

Dental Hygienists $55.53 $115,510 $55.90 $116,270 $54.75 $113,880 $55.13 $114,670

Clinical Laboratory Technologists and Technicians

$29.80 $61,980 $30.82 $64,100 $28.41 $59,100 $28.52 $59,320

Radiologic Technologists and Technicians $37.35 $77,690 $36.22 $75,330 $35.76 $74,370 $40.80 $84,860

Pharmacy Technicians

Psychiatric Technicians

$22.19 $46,160 $21.92 $45,590 $22.00 $45,760 $22.79 $47,400

$19.47 $40,490 $19.68 $40,940 $18.53 $38,530 $19.96 $41,510

Licensed Practical and Licensed Vocational Nurses $30.60 $63,650 $30.49 $63,410 $30.99 $64,460 $31.36 $65,230

Medical Records Specialists

$26.22 $54,540 $26.37 $54,850 $24.80 $51,580 $27.03 $56,220

Healthcare Support Occupations $20.23 $42,080 $19.89 $41,360 $20.28 $42,190 $21.09 $43,870

Home Health and Personal Care Aides $16.78 $34,900 $16.58 $34,480 $16.86 $35,080 $17.28 $35,940

Nursing Assistants

$20.71 $43,080 $19.99 $41,580 $21.10 $43,880 $21.84 $45,430

Dental Assistants $24.35 $50,640 $23.52 $48,930 $24.97 $51,940 $25.49 $53,020

Medical Assistants

Phlebotomists

$22.30 $46,390 $21.87 $45,500 $22.62 $47,060 $23.65 $49,190

$20.50 $42,630 $20.40 $42,420 $19.46 $40,480 $21.91 $45,570

Healthcare Support Workers, All Other $23.02 $47,880 $21.59 $44,920 $24.70 $51,380 $23.91 $49,730

Source:

Alaska Healthcare Workforce Analysis 2022 Prepared By Rain Coast Data

BLS May 2021 State Occupational Employment and Wage Estimates.

Wage Rankings Among States

Based on an analysis of 58 healthcare positions, Alaska wages are the highest or second highest in 18 categories. Healthcare positions are generally divided into two overall categories: Healthcare Support Occupations; and Healthcare Practitioners and Technical Occupations. Among these overall categories

Alaska pays the highest wages and 4th highest wages, respectively.

Alaska’s least competitive wages are among nurse midwives and pediatricians, which both rank #32 among all states.

Projected Nurse Shortages

The Bureau of Labor Statistics’ Employment Projections 2020-2030 report that the registered nurse workforce is expected to grow to 3.4 million vacancies in 2030, with194,500 vacancies for registered nurses created each year due to nurse retirements and other separations. A study by the National Center for Health Workforce Analysis projected Alaska would lead the nation in nursing vacancies by 2030 with 23% unfilled positions. Alaska has historically had a hard time attracting and retaining highly skilled, and highly experienced nurses and medical professionals. The pandemic exacerbated this problem. On the other hand, according to Nursing Education “Those looking to provide medical care in the state are almost guaranteed job security, which can be a major draw for those looking to begin a long career.”

Alaska will have largest nurse shortage by 2030

Projected shortage of registered nurses in 2030 Projected shortage of licensed practical nurses in 2030

Vacancies and the Cost of Travelers

Alaska’s medical facilities are understaffed. According to the 2022 Alaska Hospital and Healthcare Association Salary and Benefits Report 2022, average vacancy rates for all key positions range from 21% to 34%. Because registered nurses often represent the highest workforce need, it can be the most useful single position to track. The study showed that in Alaska, hospital registered nurses had an average vacancy rate of 24% in 2022 (the nursing home vacancy rate was even higher) and it took 161 days on average to fill a vacant RN position. Use of traveling healthcare workers is an important tool that the Alaska healthcare industry can use to fill vacant positions.

In a survey of 26 Alaska hospitals, nursing homes and assisted living facilities in 2022 by AHHA, organizations reported using traveling nurses for an average of 2,410 hours per month per institution, for a total of 751,920 hours among the 26 participating facilities in the survey. Traveling nurses in Alaska were utilized 39% more in 2022 than in 2021. While traveling healthcare workers represents additional capacity, they also represent additional costs.

The average weekly pay for travel nurses in Alaska in November 2022 was $3,310, based on an analysis by Vivian Health, an organization that places travel nurses nationally. By comparing this data to the 2021 U.S. Bureau of Labor Statistics weekly pay for RNs in Alaska, travel nurses earned 77% more on average. Across the US, travelers earned 111% more than staff nurses. Compared to all US states, Alaska has the 3rd lowest differential between staff and traveler pay. Travel nurses in South Dakota earned an average of 187% more than what non-traveling RNs in that state earned, the highest gap of any state.

Based on travel use reported in Alaska last year, using traveler cost organizations approximately $25 million more in wages than staff registered nurses would have, had they been available. Travel and staff nurses have costs in addition to wages. In Alaska, travel nurses typically are provided housing, travel, and benefits for the duration of their placement. Travel nurse pay can be dynamic, increasing during higher periods of demand, or in more remote locations, so developing consistent fee comparisons can be challenging. Travelers to Hoonah earned 50% more than the statewide average last summer, for example.

Nationally the use of travel nurses is also increasing, along with costs. According to a Kaufman Hall report, “The Financial Effects of Hospital Workforce Dislocation,” use of contract workers, like travel nurses, has been on the rise nationally, increasing from 1% of the hospital workforce and 2% of hospital labor costs in 2019, to 5% of all workers and 11% of total workforce costs in 2022. The use of contract staff in combination with rising costs, increasing volumes, and revenue pressures have led to steep margin declines for US hospitals as a whole in 2022.

Alaska Healthcare Workforce Analysis 2022 Prepared By Rain Coast Data

Alaska’s Healthcare Workforce Pipeline

Workforce Pipeline

Alaska’s educational institutions offer a range of healthcare trainings to support the growing industry. Interviews with two dozen programs regarding graduates or those who have passed training exams in seven priority occupation positions indicate that Alaska has trained just over 800 healthcare workers in 2022 in these priority areas. By 2023 that number is expected to increase by 159 graduates to 1,000. Despite significant growth, this means that by 2023, Alaska will have the capacity to train just 13% of workers needed to maintain and grow the state’s healthcare workforce. Other health care training numbers outside the seven priority areas are not included in this analysis.

Alaska Trained Healthcare Workers

Priority Occupation Students Trained 2022 2023 Projected

Registered Nurses 324 455

Certified Nursing Assistants 429 429

Radiology Technologist 16 18 Surgical Technologist 8 10

Certified Medical Assistants 40 63 Master’s in Social Work 24 25 Respiratory Therapists 0 0

Total 841 1,000

Nursing Training: Accredited nursing programs in Alaska are provided by five institutions; however, nearly two-thirds of 2022 nursing graduates come from the University of Alaska Anchorage. In 2022, UAA produced 206 of the 324 statewide nursing graduates. The projected number of nursing graduates in 2023 is expected to climb by an additional 131 graduates. This is primarily the result of Nightingale College’s expectation of 100 nursing graduates. Nightingale College is new to Alaska and thus produced no graduates in 2022. Other Alaska institutions with nursing programs include Alaska Pacific University, Charter College, and University of Providence.

Certified Nursing Assistant Training: Alaska is projected to see 429 individuals pass the Certified Nursing Assistant training exam in 2022, with projections holding steady into 2023. Alaska has nearly two dozen CNA training programs throughout the state, from Bethel to Petersburg and in between.

Certified Medical Assistant Training: Alaska is expected to produce 40 Certified Medical Assistants in 2022, and increase that number to 63 next year. These certificate holders will come from the University of Alaska Southeast, Alaska Primary Care Association, and University of Alaska Anchorage. Two institutions with CMA programs, Alaska Career College and UAF Community & Technical College, did not provide data for this report.

Master’s in Social Work: UAA has the state’s only Master’s in Social Work program, producing 24 graduates in 2022 and expecting 25 graduates in 2023. UAA also is the sole provider of other medical programs, such as Surgical Technologists (8 graduates in 2022) and Radiologic Technology (16 graduates in 2022). The latter two programs will produce a similar number of graduates in 2023.

Alaska Healthcare Nonresident Workforce

Nonresident Healthcare Workers

Non-Alaska residents made up 11.2% of the total Alaska healthcare workforce in 2021. While this percentage is lower than the Alaska average of 18.3%, the sheer size of the Alaska healthcare sector means that there are nearly 5,000 nonresident healthcare workers. Healthcare workers who applied for an Alaska Permanent Fund Dividend in 2020 or 2021 are counted as residents for 2020. Statistics show that 23.3% of healthcare nonresidents go on to attain residency.

While use of nonresident healthcare workers can be an important tool to recruit staff and expand capacity, nonresident healthcare workers are more expensive. Nonresident healthcare staff are paid 26% more than resident workers, and if they have been recruited as a traveling worker, housing and travel expenses are often covered by the employer, increasing the costs even more. According to a 2019 survey of Southeast Alaska healthcare institutions, it costs 64% more on average to engage a traveling healthcare worker than it would to hire a permanent employee.

Mat-Su Alaska is the least likely to employ nonresident healthcare staff, while Alaska’s Northern Region has the highest percentage of nonresident staffers. Half of all Alaska healthcare workers are located in Anchorage.

Alaska Healthcare Nonresident Workforce

Nonresident Workers by Industry

The Alaska healthcare sector has one of the lower percentages of nonresidents of any sector of the Alaska economy. Across all of Alaska, 18.3% of all workers were nonresident in 2020. In the Healthcare sector it is 11.2%. However by count, the healthcare sector has the 3rd largest number of nonresident workers, after seafood processing and accommodation & food services.

Utilities

Mgmt of Companies and Enterprises Local Government State Government Finance and Insurance Information Real Estate Wholesale Trade Healthcare Retail Trade

Other Services (except Public Administration) Educational Services Food Services and Drinking Places Construction Admin Support/Waste Mgmt and Remediation Other/Unknown Professional Services Transportation and Warehousing Arts, Entertainment, and Recreation Accommodation

Oil, Gas, Mining Agriculture, Forestry, Fishing, Hunting Seafood Processing 0% 20% 40% 60% 80% 78.1% 38.7% 36.4% 32.5% 22.3% 22.1% 21.3% 20.5% 19.1% 18.3% 17.2% 15.3% 12.8% 12.2% 11.2% 10.9% 10.7% 9.4% 7.5% 7.2% 7.1% 7.0% 4.9%

% nonresident workforce

The healthcare sector has consistently ranked well below the state average of nonresidential workforce participation. Over the last decade the share of nonresidents in healthcare positions ranged from a low of 9.9% in 2009, to a high of 12.1% in 2017, with a decade-long average of 10.8%

Alaska Healthcare Sector

All Alaska jobs

Alaska Healthcare Workforce Analysis 2022

Prepared By Rain Coast Data

Nonresident Workers by Position

Among the top healthcare positions, administrative workers are most likely to be residents, followed by massage therapists and nursing assistants. At the other end of the spectrum, family medicine physicians and nurse practitioners are most likely to be nonresident. Due to the sheer number of registered nurses needed to operate healthcare facilities across Alaska, they are the position with the highest number of nonresidents, at 924 in 2020, even though the nonresident percentage for registered nurses of 16% is well below the Alaska average for all jobs.

Source: Alaska Department of Labor. Nonresidents Working in Alaska 2020. Published in 2022.

Nonresident Conversion

The combined healthcare and social services sector is the most likely to convert nonresidents into permanent residents. In 2020, nearly a quarter (23.3%) of healthcare workers designated as nonresident in 2019 had become eligible to receive a PFD, which is how residency is measured for this analysis. This is more than double the statewide average nonresident-to-resident conversion rate for all sectors. In 2020, just 11.4% of the nonresidents from 2019 had become residents.

In other words, the healthcare sector of Alaska is very good at retaining its nonresident workers.

2018 nonresidents who became residents

Healthcare and Social Assistance

Finance and Insurance Local Government Retail Trade State Government Utilities Information Wholesale Trade Real Estate and Rental and Leasing Construction

Admin Support/Waste Mgmt and Remediation

Professional, Scientific, and Technical Svcs Educational Services

Accommodation and Food Services Arts, Entertainment, and Recreation Transportation and Warehousing Information

Agriculture, Forestry, Fishing, Hunting Mining, Quarrying, Oil/Gas Extraction

2.1% 4.4% 6.8% 7.5% 7.8% 9.8% 10.2% 10.7% 12.2% 12.2% 15.2% 17.3% 18.0% 19.1% 19.5% 20.6% 21.3% 22.4% 23.3%

Manufacturing 0% 7.5% 15% 22.5% 30%

Source: Alaska Department of Labor. Nonresidents Working in Alaska 2019. Published in 2021.

Alaska Healthcare Workforce Demographics

Healthcare Worker Demographics

The Alaska healthcare sector is incredibly female dominant. According to the U.S. Census Bureau, 2021 American Community Survey, more than three-quarters (76%) of all Alaska healthcare workers are women, versus just 24% men. Women are even more prevalent in healthcare support positions, where men comprise just 22% of all jobs. While these differences are dramatic, they are not unique to Alaska, as this closely mirrors national trends. Wages for men are on average 25% higher than women for jobs in Alaska’s “healthcare practitioner and technical” categories, and 34% lower among healthcare support jobs.

Statewide, 63% of all jobs are held by white workers. The Alaska healthcare sector follows this trend overall, with 71% of all workers identifying as “white only.” However, in the practitioner and technical positions, the percentage of white workers increases to 81%, and among support workers, white workers fall to just over half (53%) of all Alaska healthcare staff.

Alaska Healthcare Workers by Gender

Alaska Healthcare Demographics

Healthcare practitioners and technical occupations 29% 71% 81% Healthcare practitioners and technical occupations: Median Wages $93,351 $74,656 NA Healthcare support occupations 14% 86% 53% Healthcare support occupations: Median Wages $35,063 $26,080 NA

National Healthcare Worker Age

While no Alaska-specific breakdowns of healthcare worker by age are readily available, national data is maintained. The overall median age of the US healthcare worker is 43, while the median age of the US worker for all jobs is 42. Outpatient care center workers haver the lowest median age of all healthcare professions, while home healthcare service providers have the highest. Healthcare workers are most likely to be in their mid-20’s to mid-30’s.

US Healthcare Workers by Age 2020 Source: U.S. Bureau of Labor Statistics, Labor Force Statistics from the Current Population Survey 2021

Outpatient care centers - Median Age 41

Other healthcare services - Median Age 41 Hospitals - Median Age 42

Nursing care facilities - Median Age 43

Offices of physicians - Median Age 44

Home healthcare services - Median Age 47

Alaska Healthcare Licensing

Alaska Healthcare Licensing

Alaska Professional License Category 2022 Active Count

Audiologists and Hearing Aid Dealers 124

Chiroprac<c 336

Dental 3,136

Die<<ans 322

Direct Entry Midwives 47

Dispensing Op<cians 162

Medical 5,817

Osteopathic Physician 635

Osteopathic Physician Courtesy License 2

Osteopathic Physician Resident Permit 31

Osteopathic Physician Temporary Permit 32

Physician 4,619

Physician Courtesy License 65

Physician Locum Tenens Permit 6

Physician Resident Permit 149

Physician Temporary License 2

Physician Temporary Permit 244

Podiatrist 30

Podiatrist Temporary License or Permit 2

Nurse Aides 2,561

Cer%fied Nurse Aide 2,557

Cer%fied Nurse Aide Temporary Permit 4

Nursing 23,642

Advanced Prac%ce Registered Nurse 1,958

Advanced Prac%ce Registered Nurse Preceptorship 50

Advanced Prac%ce Registered Nurse Temporary Permit 7

Authorized Advanced Nurse Prac%%oner 2

Prac%cal Nurse 577

Prac%cal Nurse Temporary Permit 22

Registered Nurse 20,560

Registered Nurse Temporary License 1

Registered Nurse Temporary Permit 465 Nursing Home Administrators 55

Optometry 238

Pharmacy 4,306 Drug Room 40

Emergency Permit - Pharmacist 1

Out-Of-State Pharmacy 655

Out-Of-State Wholesale Drug Distributor 788

Outsourcing Facility 35

Pharmacist 1,025

Pharmacist Temporary License 1

Pharmacy 128

Pharmacy Intern 324

Pharmacy Technician 1,088

Remote Pharmacy 1

Third-Party Logis%cs Provider 199

Wholesale Drug Distributor 21

Physical and Occupa<onal Therapy 1,895

Physician Assistants 794

Prescrip<on Drug Monitoring Program 6,773

Speech-Language Pathology 565

Telemedicine Business Registry 1,582 Psychology 335

Total 52,355

Alaska Healthcare Related Active Professional Licenses, 2022

As of November 2022, more than 52,000 healthcare professional licenses were held in the state of Alaska. The most common license is a professional license to provide services for registered nursing, with nearly 24,000 active licenses.

Source: Alaska Division of Corporations, Business and Professional Licensing, Professional Licensing database download November 8, 2022.

Appendix

Alaska Healthcare Wages, Jobs, Location Quotient, 2021

SOC Code Occupation Title

Annual Average Jobs Location Quotient Average Hourly Wage Average Annual Wage

1,180 1.29 $59.61 $123,990 21-1022 Healthcare Social Workers 250 0.67 $29.00 $60,320 29-0000 Healthcare Prac%%oners and Technical Occupa%ons 19,460 1.05 $50.80 $105,660 29-1011 Chiropractors 130 1.73 $40.12 $83,450 29-1021 Den%sts, General 250 1.11 $80.96 $168,390 29-1031 Die%%ans and Nutri%onists 110 0.79 $34.62 $72,010 29-1041 Optometrists 80 0.97 $68.88 $143,260 29-1051 Pharmacists 480 0.73 $70.15 $145,910 29-1071 Physician Assistants 440 1.57 $70.11 $145,830 29-1122 Occupa%onal Therapists 290 1.08 $44.92 $93,440 29-1123 Physical Therapists 680 1.44 $46.63 $96,980 29-1126 Respiratory Therapists 150 0.53 $40.16 $83,530 29-1127 Speech-Language Pathologists 240 0.78 $41.83 $87,000 29-1141 Registered Nurses 6,060 0.95 $46.74 $97,230 29-1161 Nurse Midwives 90 5.67 $46.17 $96,020 29-1171 Nurse Prac%%oners 770 1.56 $54.72 $113,820 29-1214 Emergency Medicine Physicians 170 2.20 $155.35 $323,130 29-1215 Family Medicine Physicians 610 2.82 $142.85 $297,130 29-1221 Pediatricians, General 170 2.37 $91.23 $189,750 29-1223 Psychiatrists 30 0.57 $113.28 $235,630 29-1249 Surgeons, All Other 30 0.48 $161.97 $336,900 29-1292 Dental Hygienists 510 1.17 $55.53 $115,510 29-1299 Healthcare Diagnosing or Trea%ng Prac%%oners, Other 70 1.23 $41.39 $86,080 29-2010 Clinical Laboratory Technologists and Technicians 810 1.20 $29.80 $61,980 29-2031 Cardiovascular Technologists and Technicians 50 0.42 $40.25 $83,720 29-2032 Diagnos%c Medical Sonographers 200 1.21 $43.35 $90,170 29-2034 Radiologic Technologists and Technicians 450 0.98 $37.35 $77,690 29-2035 Magne%c Resonance Imaging Technologists 110 1.34 $50.02 $104,040 29-2042 Emergency Medical Technicians 380 1.12 $24.68 $51,330 29-2043 Paramedics 210 1.06 $24.75 $51,480 29-2051 Diete%c Technicians 50 1.08 $19.09 $39,700 29-2052 Pharmacy Technicians 650 0.71 $22.19 $46,160 29-2053 Psychiatric Technicians 280 1.43 $19.47 $40,490 29-2055 Surgical Technologists 230 0.99 $31.58 $65,690 29-2061 Licensed Prac%cal and Licensed Voca%onal Nurses 480 0.35 $30.60 $63,650 29-2072 Medical Records Specialists 1,410 3.71 $26.22 $54,540 29-2081 Op%cians, Dispensing 40 0.26 $26.87 $55,900 29-2092 Hearing Aid Specialists 60 2.57 $27.59 $57,390 29-2099 Health Technologists and Technicians, All Other 430 1.44 $26.32 $54,750 29-9021 Health Informa%on Technologists and Medical Registrars 350 4.37 $28.01 $58,260 29-9099 Healthcare Prac%%oners and Technical Workers, Other 180 1.93 $29.99 $62,380 31-0000 Healthcare Support Occupa%ons 12,830 0.92 $20.23 $42,080 31-1120 Home Health and Personal Care Aides 6,410 0.91 $16.78 $34,900 31-1131 Nursing Assistants 1,760 0.64 $20.71 $43,080 31-1133 Psychiatric Aides 170 2.11 $21.38 $44,480 31-2021 Physical Therapist Assistants 200 1.00 $28.52 $59,310 31-2022 Physical Therapist Aides 40 0.41 $20.95 $43,580 31-9011 Massage Therapists 370 2.19 $48.11 $100,080 31-9091 Dental Assistants 1,150 1.57 $24.35 $50,640 31-9092 Medical Assistants 1,700 1.11 $22.30 $46,390 31-9093 Medical Equipment Preparers 170 1.36 $24.18 $50,290 31-9094 Medical Transcrip%onists 100 0.86 $21.51 $44,730 31-9095 Pharmacy Aides 30 0.37 $16.44 $34,200 31-9097 Phlebotomists 250 0.90 $20.50 $42,630 31-9099 Healthcare Support Workers, All Other 210 0.93 $23.02 $47,880

11-9111 Medical and Health Services Managers

Source: Alaska Department of Labor 2021 Occupational Employment Statistics.

119111 Medical and Health Services Managers $98,334 21% 1,191 252 13 265 211022 Healthcare Social Workers $54,825 24% 217 53 3 56 291011 Chiropractors $107,274 21% 112 23 1 24 291021 Den%sts, General $120,187 27% 298 80 3 83 291031 Die%%ans and Nutri%onists $50,219 20% 142 28 2 30 291051 Pharmacists $108,637 20% 434 87 4 91 291071 Physician Assistants $116,079 22% 592 129 6 135 291122 Occupa%onal Therapists $64,706 21% 325 67 2 69 291123 Physical Therapists $70,932 21% 714 152 8 160 291126 Respiratory Therapists $75,221 23% 220 50 3 53 291127 Speech-Language Pathologists $63,875 19% 335 65 3 68 291129 Therapists, All Other $51,444 26% 168 44 2 46 291141 Registered Nurses $75,463 21% 6,995 1,463 81 1,544 291151 Nurse Anesthe%sts $159,578 20% 110 22 1 23 291161 Nurse Midwives $94,639 13% 88 12 2 14 291171 Nurse Prac%%oners $104,829 21% 486 103 5 108 291181 Audiologists $76,357 9% 42 4 0 4 291211 Anesthesiologists $403,601 17% 50 9 1 10 291214 Emergency Medicine Physicians $273,051 21% 83 17 0 17 291215 Family Medicine Physicians $179,888 21% 480 101 6 107 291216 General Internal Medicine Physicians $164,941 29% 134 38 1 39 291218 Obstetricians and Gynecologists $239,369 17% 60 10 0 10 291221 Pediatricians, General $192,726 19% 59 11 1 12 291223 Psychiatrists $185,459 17% 75 13 3 16 291229 Physicians, All Other $235,767 27% 391 104 7 111 291249 Surgeons, All Other $474,897 24% 40 10 0 10 291292 Dental Hygienists $50,752 28% 585 163 10 173

292011 Medical and Clinical Laboratory Technologists $72,544 21% 312 65 4 69 292012 Medical and Clinical Laboratory Technicians $50,713 28% 347 97 7 104 292031 Cardiovascular Technologists and Technicians $82,753 23% 82 18 1 19 292032 Diagnos%c Medical Sonographers $75,713 22% 148 33 2 35 292034 Radiologic Technologists and Technicians $69,188 21% 404 85 7 92 292035 Magne%c Resonance Imaging Technologists $74,643 20% 84 17 1 18 292042 Emergency Medical Technicians $51,045 32% 342 109 4 113 292043 Paramedics $80,450 22% 144 31 1 32 292052 Pharmacy Technicians $38,065 22% 526 114 5 119 292053 Psychiatric Technicians $38,028 22% 293 65 3 68 292055 Surgical Technologists $54,610 23% 246 58 3 61 292057 Ophthalmic Medical Technicians $41,474 22% 102 22 1 23 292061 Licensed Prac%cal and Licensed Voca%onal Nurses $56,263 22% 355 78 7 85 292072 Medical Records Specialists $45,135 23% 397 90 7 97 292081 Op%cians, Dispensing $40,589 24% 162 39 2 41 292099 Health Technologists and Technicians, All Other $49,795 27% 341 90 7 97 299021 Health Informa%on Technologists and Medical Registrars $46,735 24% 84 20 1 21 299099 Healthcare Prac%%oners and Technical Workers, All Other $50,573 31% 298 93 3 96 311121 Home Health Aides $23,249 31% 1,172 364 17 381 311122 Personal Care Aides $20,619 29% 4,910 1,423 71 1,493 311131

Alaska Workers by

SOC Occupational Title

and Total

2021

119111 Medical and Health Services Managers 1,160 1,191 1,199 1,215 1,538 $117,140,837

211022 Healthcare Social Workers 222 218 208 219 307 $11,883,347 211023 Mental Health and Substance Abuse Social Workers 339 350 345 348 477 $18,711,772 291011 Chiropractors 100 117 115 114 137 $11,961,006 291021 Den%sts, General 303 295 308 287 443 $35,845,759 291023 Orthodon%sts 9 9 9 11 12 $1,290,558 291029 Den%sts, All Other Specialists 44 48 50 46 71 $5,621,395 291031 Die%%ans and Nutri%onists 140 143 140 145 178 $7,131,164 291041 Optometrists 69 71 65 77 90 $9,526,113 291051 Pharmacists 416 436 451 433 588 $47,148,242 291071 Physician Assistants 556 591 609 613 780 $68,747,589 291081 Podiatrists 12 12 13 13 14 $2,103,309 291122 Occupa%onal Therapists 310 319 339 331 430 $21,013,223 291123 Physical Therapists 694 733 728 701 918 $50,645,573 291124 Radia%on Therapists 29 28 24 30 42 $2,523,518 291126 Respiratory Therapists 212 208 242 219 313 $16,567,342 291127 Speech-Language Pathologists 326 342 335 336 425 $21,382,003 291128 Exercise Physiologists 20 22 20 19 22 $900,634 291129 Therapists, All Other 152 177 171 173 243 $8,655,439 291131 Veterinarians 198 210 218 220 285 $20,217,400 291141 Registered Nurses 6,835 6,936 7,042 7,165 9,132 $527,826,035 291151 Nurse Anesthe%sts 109 104 117 109 146 $17,513,693 291161 Nurse Midwives 98 94 94 67 119 $8,351,880 291171 Nurse Prac%%oners 477 463 478 525 669 $50,920,499 291181 Audiologists 39 43 43 42 49 $3,187,895 291211 Anesthesiologists 48 48 52 52 63 $20,180,069 291212 Cardiologists 19 17 19 17 23 $8,423,199 291213 Dermatologists 7 7 7 11 13 $3,260,050 291214 Emergency Medicine Physicians 71 79 96 85 123 $22,594,980 291215 Family Medicine Physicians 455 473 496 495 615 $86,301,233 291216 General Internal Medicine Physicians 118 123 138 157 212 $22,102,059 291217 Neurologists 9 7 8 12 13 $2,263,311 291218 Obstetricians and Gynecologists 51 55 60 72 84 $14,242,452 291221 Pediatricians, General 51 56 61 68 81 $11,370,849 291222 Physicians, Pathologists 14 15 18 18 19 $4,658,268 291223 Psychiatrists 71 70 78 81 101 $13,909,444 291224 Radiologists 36 37 43 35 52 $12,718,284 291229 Physicians, All Other 406 366 417 373 550 $92,066,990 291249 Surgeons, All Other 38 40 37 43 56 $18,758,442 291291 Acupuncturists 10 9 9 9 12 $617,437 291292 Dental Hygienists 558 589 600 592 826 $29,677,142 291299 Healthcare Diagnosing or Trea%ng Prac%%oners, All Other 73 70 77 76 102 $5,513,874 291299.5 Community Health Aide/Prac%%oners (CHA, CHA/P) 100 106 112 110 134 $6,483,647 292011 Medical and Clinical Laboratory Technologists 311 303 311 321 407 $22,597,581 292012 Medical and Clinical Laboratory Technicians 349 348 341 351 490 $17,610,030 292031 Cardiovascular Technologists and Technicians 75 79 85 89 108 $6,785,744 292032 Diagnos%c Medical Sonographers 135 147 152 158 189 $11,205,571 292033 Nuclear Medicine Technologists 31 30 28 29 33 $2,544,372 292034 Radiologic Technologists and Technicians 390 415 402 409 525 $27,951,758 292035 Magne%c Resonance Imaging Technologists 76 81 99 80 120 $6,269,980 292042 Emergency Medical Technicians 323 329 351 366 526 $17,470,283 292043 Paramedics 124 149 152 152 187 $11,604,944 292052 Pharmacy Technicians 492 585 506 522 769 $20,031,909 292053 Psychiatric Technicians 306 301 292 271 389 $11,123,209 292055 Surgical Technologists 245 245 241 254 339 $13,447,628 292056 Veterinary Technologists and Technicians 262 302 316 298 399 $9,333,536 292057 Ophthalmic Medical Technicians 91 107 107 101 132 $4,209,587 292061 Licensed Prac%cal and Licensed Voca%onal Nurses 374 355 349 342 483 $19,973,476 292072 Medical Records Specialists 432 385 372 397 582 $17,896,117 292081 Op%cians, Dispensing 154 159 162 172 220 $6,565,331 292099 Health Technologists and Technicians, All Other 318 334 357 353 476 $16,955,103 299021 Health Informa%on Technologists and Medical Registrars 79 79 89 87 115 $3,902,395 299091 Athle%c Trainers 44 42 32 31 58 $1,448,862

ABOUT AHHA

For 70 years, the Alaska Hospital & Healthcare Association (AHHA) has served as a non-profit trade association representing Alaska's hospitals, nursing homes, and other healthcare partners across the continuum of care. AHHA members play an invaluable role, both as community providers and essential employers, in cities, towns, and villages across Alaska.

AHHA provides policy and advocacy expertise, leads and hosts opportunities for education and training, and brings together members and stakeholders for collaborative work to share data, resources, and best practices.

Our mission is to advance the shared interests of Alaska healthcare to build an innovative, sustainable system for all Alaskans.

AHHA TEAM CONTACT

Jared C Kosin, JD, MBA

President & CEO

Jeannie Monk, MPH

Senior Vice President

Connie Beemer, MBA, PMP

Vice President, Post-Acute Care & Finance

Elizabeth King, MPH

Senior Director of Behavioral Health and Workforce

Lynn Van Vactor, CPHQ

Director of Quality & Performance Improvement

Jann D. Mylet

Director of Communications

Nikki Holmes, RN, MBA

Director of Healthcare Workforce

Debbie Lowenthal

Programs and Services Manager

Marjie Hamburger

Workforce Initiatives Manager

Sara Bloom

Office Manager

alaskahha.org

Anchorage Office

1049 W. 5th Ave, Suite 200 Anchorage, AK 99501 (907) 646-1444

Juneau Office 426 Main St Juneau, AK 99801 (907) 586-1790