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ISM: Economic Activity in Hospital Subsector Expands in July, PMI at 51%

The expansion follows one month of contraction, which was preceded by 21 months of growth, according to the Institute for Supply Management.

byBrianna Wilson
August 8, 2025
in Data and Economy, EF News
Reading Time: 2 mins read
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Economic activity in the hospital subsector expanded in July after one month of contraction, preceded by 21 consecutive months of growth prior to that, say the nation’s hospital supply executives in the latest Hospital ISM Report On Business.

The report was issued by Nancy LeMaster, chair of the Institute for Supply Management (ISM) hospital business survey committee.

“The Hospital PMI registered 51% in July, a 2-percentage point increase from the June reading of 49%, indicating expansion after one month of contraction. The composite index returned to expansion territory after contracting in June for just the fifth time (with the PMI also registering below 50% in April and May 2020, as well as May and August 2023) in more than seven years of Hospital ISM Report On Business data collection,” LeMaster said. “The Business Activity Index remained in expansion territory for the ninth straight month. The New Orders Index was ‘unchanged’ in July, and the Employment Index moved out of contraction territory to an ‘unchanged’ reading. The Supplier Deliveries Index was ‘unchanged’ for the second straight month in July after two consecutive months of expansion (which indicates slower delivery performance). The Case Mix Index returned to contraction territory in July, registering 46%, a decrease of 4.5 percentage points from the reading of 50.5% reported in June. The Days Payable Outstanding Index remained in expansion in July, registering 54%, up 3 percentage points from the 51% reported in June. The Technology Spend Index reading of 57% is a decrease of 0.5 percentage point compared to the 57.5% recorded in June. The Touchless Orders Index remained in expansion territory in July, registering 52%, down 0.5 percentage point from the reading of 52.5% reported in June.”

“Employment moved out of contraction this month, driven by increased hiring of clinical staff. Several Hospital Business Survey panelists commented that their facilities have put hiring freezes in place and offered early retirement to nonclinical staff to prepare for funding cuts to Medicaid and potentially Medicare,” LeMaster said. “Concerns about government funding cuts and tariffs were top of mind in July. Multiple panelists indicated that prices were increasing due to tariffs; others expected increases to occur in August. Stable supplier deliveries and a reduction in back orders led some organizations to reduce overall inventory levels while continuing to stock up on potentially tariff-impacted products. Among the ways organizations are trying to improve efficiency and reduce costs: increasing automation of the procure-to-pay process, continuing investment in IT infrastructure and making efforts to reduce appointment wait times.”

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