| A Short Health Care Industry Glossary | i |
| Introduction | 1 |
| How to Use This Book | 3 |
| Chapter 1: Major Trends Affecting the Health Care Industry | 7 |
| 1) Introduction to the Health Care Industry | 7 |
| 2) Continued Rise in Health Care Costs | 10 |
| 3) Employers Push Health Care Costs onto Employees/On-Site Clinics Begin to Appear | 11 |
| 4) Medicare and Medicaid Spending Continue to Surge/Baby Boomers Pass 65 Years of Age Soon | 12 |
| 5) Medicare Changes Include Drug Benefits for Seniors/Medicare Advantage Offers Private Fee for Service Plans | 12 |
| 6) Vast Number of Uninsured and Underinsured Americans | 13 |
| 7) Universal Health Care Attempted on the Local Level | 13 |
| 8) Few New Blockbusters: Major Drug Patents Expire While Generic Sales Growth Continues | 15 |
| 9) Biotech and Orphan Drugs Pick Up the Slack as Blockbuster Mainstream Drugs Age | 16 |
| 10) Quality of Care and Health Care Outcomes Data Become Available Online | 17 |
| 11) Malpractice Suits Are Blamed for Rising Health Care Costs/Tort Reform Is Capping Awards for Damages | 18 |
| 12) Transplants Are Big Business | 19 |
| 13) Hospitals are Reengineering | 19 |
| 14) Obesity Sparks Government Action | 20 |
| 15) Health Care Goes Offshore, Medical Tourism and Clinical Trials Thrive in China, India and Elsewhere | 22 |
| 16) Disease Management Programs Take Root | 23 |
| 17) Clinics Open in Retail Store Settings | 23 |
| The Outlook for Health Care Technology: | 24 |
| 18) Health Care Technology Introduction | 24 |
| 19) Information Technology and Health Care | 25 |
| 20) Stem Cellso - Multiple Sources Stem from New Technologies | 29 |
| 21) U.S. Government Reverses Ban on Funding for New Stem Cell Research | 31 |
| 22) Stem Cellso - Therapeutic Cloning Techniques Advance | 32 |
| 23) Stem Cellso - A New Era of Regenerative Medicine Takes Shape | 33 |
| 24) Gene Therapies and Patientso - Genetic Profiles Promise a Personalized Approach to Medicine | 34 |
| 25) Breakthrough New Drug Delivery Systems Evolve | 36 |
| 26) Advances in Cancer Research and Therapies | 36 |
| 27) Proton Beamso - The Ultimate Radiation Therapy | 38 |
| 28) Better Imaging, including MRI, PET and 320-Slice CT, Creates Advances in Detection | 39 |
| 29) Molecular Imaging will Lead to Early Detection and Early Cure of Cancerous Tumors | 41 |
| 30) Advances in Laboratory Testing | 42 |
| 31) Advances in Surgery | 43 |
| 32) Other Treatment Technologies | 45 |
| 33) Nanotechnology Makes Breakthroughs in Health Care | 48 |
| Chapter 2: Health Care Industry Statistics | 51 |
| I. U.S. Health Care Industry Overview | 52 |
| U.S. Health Care Industry Overview | 53 |
| Top 10 Global Health Insurance Companies by Revenues: 2008 | 54 |
| Employment in the Health Care Industry, U.S.: 2002-2008 | 55 |
| Employment & Earnings in Health Care Practitioner & Technical Occupations, U.S.: May 2008 | 57 |
| Employment & Earnings in Health Care Support Occupations, U.S.: May 2008 | 58 |
| Federal R&D & R&D Plant Funding for National Institutes of Health, U.S.: Fiscal Years 2007-2009 | 59 |
| II. U.S. Health Care Expenditures & Costs | 60 |
| The Nation's Health Dollar, 2009: Where It Came From (Estimated) | 61 |
| The Nation's Health Dollar, 2009: Where It Went (Estimated) | 62 |
| National Health Expenditures & Selected Economic Indicators, Levels & Average Annual Percent Change, U.S. Selected Years, 1990-2018 | 63 |
| National Health Expenditures & Average Annual Percent Change: Selected Calendar Years 1980-2018 | 64 |
| National Health Expenditure Amounts by Type of Expenditure, U.S.: Selected Calendar Years, 1980-2018 | 65 |
| Hospital Care Expenditures & Average Annual Percent Change, U.S.: Selected Calendar Years 1980-2018 | 66 |
| Hospital Care Expenditures, Percent Distribution & Per Capita Amount, U.S.: Selected Calendar Years 1980-2018 | 67 |
| Nursing Home Care Expenditures & Average Annual Percent Change, U.S.: Selected Calendar Years, 1980-2018 | 68 |
| Nursing Home Care Expenditures, Percent Distribution & Per Capita Amount: Selected Calendar Years 1980-2018 | 69 |
| Prescription Drug Expenditures, U.S.: 1965-2018 | 70 |
| U.S. Prescription Drug Expenditures & Average Annual Percent Change: Selected Calendar Years 1990-2018 | 72 |
| U.S. Prescription Drug Expenditures, Percent Distribution & Per Capita Amount: Selected Calendar Years, 1980-2018 | 73 |
| Index Levels of Medical Prices, U.S.: 2003-2008 | 74 |
| III. Medicare & Medicaid | 75 |
| Projected Federal Spending on Medicare & Medicaid: 2005-2014 | 76 |
| U.S. Medicare Enrollment Estimates, Selected Years 2007-2080 | 77 |
| Medicare Aged & Disabled Enrollees: 1980-2008 | 78 |
| Medicare Enrollment by Type of Coverage, 1980-2008 | 79 |
| U.S. Medicare Enrollment Trends, Part A Hospital Insurance (HI): July 1970-2008 | 80 |
| U.S. Medicare Enrollment Trends, Part B Supplemental Medical Insurance (SMI): 1970-2008 | 81 |
| Medicare Beneficiaries with Prescription Drug Coverage, Summary Report: September 2009 | 82 |
| IV. U.S. Health Insurance Coverage & the Uninsured | 83 |
| Percent of Persons of All Ages without Health Insurance Coverage, U.S.: 1997-2008 | 84 |
| Number & Percent of Persons without Health Insurance Coverage, by Age Group, U.S.: 1998-2008 | 85 |
| People without Health Insurance for the Entire Year, U.S.: 2007-2008 | 86 |
| Percent of Persons under Age 65 Years without Health Insurance Coverage, by Age Group & Sex: U.S.: 2008 | 87 |
| Percent of Persons under Age 65 with Public Health Plan Coverage & Private Health Insuranc | e |
| Coverage by Age Group, U.S.: 1997-2008 | 88 |
| Percent of Persons of All Ages without Health Insurance Coverage, by Race/Ethnicity, U.S.: 2008 | 89 |
| Employers' Costs for Health Insurance, Amount & Percent of Total Compensation, U.S.: Selected Years 2004-2008 | 90 |
| V. U.S. Vital Statistics & Population Indicators | 91 |
| Projected U.S. Population Distribution by Age Group: 2000-2050 | 92 |
| Life Expectancy at Age 65, U.S. | 93 |
| Current Cigarette Smoking by Persons 18 Years of Age & Over According to Sex & Race, U.S.: Selected Years, 1965-2007 | 94 |
| Overweight & Obesity Among Persons 20 Years of Age & Over, According to Sex, Race & Hispanic Origin: Selected Years, 1960-2004 | 95 |
| Chapter 3: Important Health Care Industry Contacts | 97 |
| (Addresses, Phone Numbers and Internet Sites) | |
| Chapter 4: THE HEALTH CARE 500: | |
| Who They Are and How They Were Chosen | 137 |
| Industry List, With Codes | 138 |
| Index of Rankings Within Industry Groups | 140 |
| Alphabetical Index | 153 |
| Index of U.S. Headquarters Location by State | 156 |
| Index of Non-U.S. Headquarters Location by Country | 160 |
| Index by Regions of the U.S. Where the Firms Have Locations | 161 |
| Index by Firms with International Operations | 169 |
| Individual Data Profiles on Each of THE HEALTH CARE 500 | 171 |
| Additional Indexes | |
| Index of Hot Spots for Advancement for Women/Minorities | 674 |
| Index by Subsidiaries, Brand Names and Selected Affiliations | 676 |