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How many onsite medical clinic sites are there in the US?
Hello and thank you for asking Wonder! I understand that you are seeking the number of on-site clinics in the US. In short, there are around 7,000. Employers with 10,000-25,000 employees are most likely to have one, with 20% of them having on-site clinics.
NUMBER OF ON-SITE CLINICS
In the US, the use of on-site clinics is gaining traction among employers, so these are being seen more. Mercer did a study and found that, in 2015, 29% of companies that have 5,000 or more employees have on-site clinics. In the US, there are 1,707 businesses with 5,000 to 9,999 employees and 1,811 with 10,000+ employees. With 3,518 businesses total with 5,000+ employees, that means approximately 1,020 have on-site clinics.
The 2014 study from the National Association of Worksite Health Centers provides a more granular breakdown; a more recent version of this study has not been released. The percentage of businesses with on-site or near-site clinics by employee size is:
201-500: 2%
501-1,000: 12%
1,001-3,000: 12%
3,001-5,000: 15%
5,001-10,000: 16%
10,000-25,000: 20%
More than 25,000: 16%
Using business figures, we can determine that there are approximately this many businesses per employee band:
201-500: 90,020
501-1,000: 15,816
1,001-3,000: 7,994
3,001-5,000: 3,344
5,001-10,000: 1,707
10,000-25,000: 905
More than 25,000: 905
Please note, that the source for the breakdown for businesses does not exactly follow the ones given by the study. To get these approximate amounts, I have assumed an equal distribution across the different employee figures, i.e. in the span of 100-249, I have assumed that the number of businesses with 161 employees is equal to the number with 217 employees. This allowed me to get approximate figures, even with different breakdowns. The largest band was 10,000+, so I have divided that evenly between 10,000-25,000 and more than 25,000.
Using the percentages from the study, we can calculate the number of businesses for each set as:
Less than 200: 1,265,806
201-500: 1,800
501-1,000: 1,898
1,001-3,000: 959
3,001-5,000: 502
5,001-10,000: 273
10,000-25,000: 181
More than 25,000: 145
Total: 1,271,564
Please note that this figure assumes a single on-site/near-site clinic per business. Some of the larger ones may have multiple clinics, but there was no information available to make that calculation.
As this number is quite large and seems out of line with other figures, I did additional digging. Most of the businesses in the US are very small businesses and it is usually larger businesses with on-site clinics, so the 7% figure for companies with less than 200 employees likely has a bottom floor, but it was not specified in the study. When taking out this group, we are left with around 5,758 on-site clinics, which is more in line with estimates of reaching 7,000 clinics by 2015. Using the calculated growth rate of 9.93% (covered in detail below), our figure of 5,758 in 2014 would be 6,329 in 2015 and 6,958 in 2016.
GROWTH OF ON-SITE CLINICS
According to the Mercer study, 24% of businesses with 5,000+ employees had on-site clinics in 2013 and 29% did in 2015. Using our earlier calculated figure, we know that there were around 1,020 businesses with on-site clinics in 2015. Taking 24% of the total number of businesses with 5,000+ employees (3,518) gives us 844 businesses with on-site clinics in 2013. This means, from 2013 to 2015, there was growth of 20.9% in the number of businesses with on-site clinics, or approximately 9.93% per year when calculating the CAGR.
There are also other signs that indicate growth in this industry. A 2015 survey by the Society for Human Resource Management (SHRM) shows that 1% of their members were planning on adding on-site clinics over the following 12 months. The Mercer study, which was specific to those with 5,000 or more employees, found that 15% of companies with were planning on adding an on-site clinic over the next 24 months.
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Overall, there are around 7,000 on-site clinics in the US, with signs of growth. Businesses with 10,000 to 25,000 employees are the most likely to have an on-site clinic, with around 1/5 having one at this time.
Thank you for asking Wonder! Please let us know if we can help you with anything else!