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ISM: Economic Activity in Hospital Subsector Expands in August, PMI at 51.3%

This expansion, for the second month in a row, follows one month of contraction, preceded by 21 consecutive months of growth, according to the Institute for Supply Management.

byBrianna Wilson
September 9, 2025
in Data and Economy, EF News
Reading Time: 2 mins read
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Economic activity in the hospital subsector expanded in August for the second month in a row after one month of contraction, preceded by 21 consecutive months of growth prior to that, according to the latest ISM Hospital PMI report.

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

“The Hospital PMI registered 51.3% in August, a 0.3-percentage point increase from the July reading of 51%, indicating expansion for the second consecutive month after one month of contraction. The Business Activity Index remained in expansion territory for the 10th straight month. The New Orders Index returned to expansion, and the Employment Index returned to contraction territory after registering an ‘unchanged’ reading in July. The Supplier Deliveries Index contracted (which indicates faster delivery performance) following two straight months of ‘unchanged’ status,” LeMaster said. “This is just the second month since August 2023 that the Supplier Deliveries Index has been in ‘faster’ territory. The Case Mix Index remained in contraction territory in August, registering 49.5%, an increase of 3.5 percentage points from the reading of 46% reported in July. The Days Payable Outstanding Index remained in expansion in August, registering 54.5%, up 0.5 percentage point from the 54% reported in July. The Technology Spend Index reading of 59% is an increase of 2 percentage points compared to the 57% recorded in July. The Touchless Orders Index remained in expansion territory in August, registering 52.5%, up 0.5 percentage point from the reading of 52% reported in July.”

“The top-of-mind issue for Hospital Business Survey panelists continued to be tariffs. Comments were made about the ongoing difficulty of predicting the impact on health-care supply chains and the fact that price increases were seen more frequently. They also noted increased anxiety among manufacturers,” LeMaster said. “Business activity and new order growth was attributed to ongoing demand for elective procedures. Faster supplier delivery performance occurred for the second time in two years. Some panelists observed fewer back orders and product substitutions at their facilities during the month. Comment topics included hiring freezes and layoffs, as hospitals continued to develop strategies to cope with potential Medicaid and Medicare reimbursement cuts.”

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