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Marshall Medical presents $5.4 billion, 10‑year economic impact for El Dorado region
Summary
Marshall Medical told the Board of Supervisors its recent economic impact study estimates more than $5.4 billion in regional output over 10 years from the health system’s operations, capital investments and induced local spending; staff said the hospital supports thousands of jobs and contributes materially to county tax receipts.
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Marshall Medical executives presented the results of a commissioned economic‑impact study to the Board of Supervisors on March 25, saying the independent analysis shows the hospital and its system are major local employers and economic catalysts.
Maya Schneider, Marshall’s executive director of business and strategy, summarized a report using IMPLAN economic multipliers to forecast aggregate direct, indirect and induced impacts from the hospital’s capital investments and operations over a 10‑year window. The study, Schneider said, estimated roughly $5.4 billion in total economic output regionally over 10 years, more than 27,000 jobs supported (direct and indirect), roughly $2.4 billion in labor income, and more than $3.2 billion in value added from those effects.
Schneider said Marshall directly employs about 1,500 people and supports about 150 allied clinicians at multiple locations across El Dorado County and the western slope. The system reported about 63,000 unique patient visits and nearly 190,000 ambulatory clinic visits in fiscal year 2024. Schneider said the hospital is an independent, not‑for‑profit system and that tax‑equivalent effects from employees and supplier activity yield incremental county revenues totaling about $3.5 million annually on average in the study’s calculations.
The presentation noted Marshall purchased one of the former Blue Shield properties near Highway 50 in El Dorado Hills and plans a first‑floor medical specialty clinic to open later this summer; the site is expected to add about 65 employees during initial operations, with more positions possible when additional build‑out occurs. Supervisors asked about recruitment challenges for specialists; Schneider said competition with larger systems, trailing‑spouse employment and the national workforce shortage make recruitment difficult and that Marshall is exploring telehealth and access innovations.
Supervisors and public commenters praised the hospital and its foundation; the board did not take formal action on the presentation.

