Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Mary Kay Schneider Executive Vice President and Director, Industry Segmentation PNC Bank Business Banking 1
Economic Outlook Much Brighter Outlook With Vaccines, Big Stimulus Bill Augustine Faucher Chief Economist The PNC Financial Services Group Dental Economic Trends & Perspectives October 28, 2021 2
It’s Official—The U.S. Economy Is In Recovery Length of expansion, months, by starting date of recovery 140 120 100 80 60 120 128 106 92 40 80 73 50 58 20 37 45 39 36 24 18 12 0 3/33 6/38 10/45 10/49 5/54 4/58 2/61 11/70 3/75 7/80 11/82 3/91 11/01 6/09 4/20 Source: NBER 3
Short-Term Rates Still Near Zero; Long-Term Rates Are Up in 2021, But Still Very Low Interest rate, % 3.5 10-year Treasury bond 3.0 2.5 2.0 1.5 1.0 3-month Treasury bill 0.5 0.0 '16 A J O '17 A J O '18 A J O '19 A J O '20 A J O '21 A J Source: Federal Reserve Board 4
Economic Activity Now Above Pre-Pandemic Peak… Real, % change year ago 16 12 Final sales of domestic product 8 Gross domestic income 4 0 -4 -8 Gross domestic product -12 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19 '20 '21 Source: BEA 5
…But Consumer Spending on Services Continues to Lag Real, % change Consumer services Consumer durables 2019Q4 to 2020Q2 Consumer nondurables 2019Q4 to 2021Q2 Business fixed investment Residential investment Government cons./invest. Exports Imports After-tax personal income -30 -20 -10 0 10 20 30 Source: BEA 6
Dental Employment Has Recovered, But Not Spending Index, pre-recession peak=100 110 Employment, dentists’ offices 100 90 80 70 60 50 Real personal consumption 40 expenditures, dental services 30 '19 A J O '20 A J O '21 A J Sources: BEA, BLS 7
Very High Savings Rate and Great Balance Sheets Will Power Consumer Spending This Year and Next 28 19 24 18 Financial obligations ratio, 20 17 % of after-tax income (R) 16 16 Great 12 15 Recession 8 14 4 Personal saving rate, 13 % of after-tax income (L) 0 12 '05 '10 '15 '20 Sources: BEA; Federal Reserve Board 8
Stimulus of About One-Quarter of GDP CARES, Paycheck Protection Program and Health Care Enhancement, Consolidated Appropriations Plan, and American Rescue Plan Acts, spending, $ bil Small business loans/grants Stimulus payments Aid to states Other Unemployment insurance Big business, govt. loans/guarantees Health Business tax cuts 0 200 400 600 800 1,000 1,200 Sources: CBO, Moody’s Analytics, PNC 9
With More Stimulus, Vaccine Rollout, 2021 and 2022 Look a Lot Better… Real GDP, % change year ago 15 12 September 2021 forecast 9 6 3 January 2021 forecast 0 -3 -6 -9 -12 '18 '19 '20 '21F '22F '23F Sources: BEA; PNC 10
…With a Faster Labor Market Recovery Unemployment rate, % 14 12 10 8 January 2021 forecast 6 4 September 2021 forecast 2 '18 '19 '20 '21F '22F '23F Sources: BLS; PNC 11
Open Questions ▪ Pandemic ▪ Biden administration proposals ▪ Longer-run growth ▪ Housing market 12
For more information from PNC Economics visit Pnc.com/economicreports Twitter: @GusFaucherPNC 13
Disclaimer: The material presented is of a general nature and does not constitute the provision of investment or economic advice to any person, or a recommendation to buy or sell any security or adopt any investment strategy. Opinions and forecasts expressed herein are subject to change without notice. Relevant information was obtained from sources deemed reliable. Such information is not guaranteed as to its accuracy. You should seek the advice of an investment professional to tailor a financial plan to your particular needs. ©2021 The PNC Financial Services Group, Inc. All rights reserved. 14
The Impact of COVID-19 on the Dental Care Sector Dr.Dave Preble
Patient Volume Recovery Patient Volume (% of pre-COVID-19 level, on average) * 89% 88% 88% 86% 86% 84% Patient volume reached its 81% 81% 81% 81% 80% 80% 78% 78% 77% 76% 76% 100% 73% 73% 71% 70% highest level during the week 65% 80% of August 16th, at 89% of pre- 53% 89% 79% 79% COVID-19 levels. 38% 60% 72% 71% 70% 69% 68% 66% 64% 62% May 4 19% 18% 57% 57% 40% *Note that HPI changed its response 46% 7% 7% options, allowing dentists to report 20% greater patient volumes compared to 0% pre-pandemic levels. This did not have a big impact on results. Apr 6 Oct 5 Jun 15 Jun 29 Jul 13 Jul 27 Jan 18 Jun 14 Jul 12 May 18 Sep 7 May 17 Oct 19 Apr 20 Apr 12 Nov 2 Dec 14 Nov 16 Nov 30 Aug 10 Aug 24 Sep 21 Feb 15 Aug 16 Jun 1 Mar 15 Private Practice Public Health © 2021 American Dental Association. All Rights Reserved. 16
Staffing Shortages are Major Issue Staffing shortages are the most common limiting factor for practices that want to see more patients, followed by safety protocols and low patient demand. © 2021 American Dental Association. All Rights Reserved. 17
New Report Looking at Practice Impact www.ada.org/hpi © 2021 American Dental Association. All Rights Reserved. 18
Change in Dentist Net Income 2019-20 In 2020 net income declined by 17.9% across all dentists (GPs). For women dentists the decline was much greater, as for older dentists as well. © 2021 American Dental Association. All Rights Reserved. 19
Looking Ahead “Skate to where the puck is going…not where it is.” © 2021 American Dental Association. All Rights Reserved. 20
Looking Ahead – 4 Big Trends 1. Intensified Consumerism 2. Shifting Demographics 3. Enabling Technology 4. Payment Reform © 2021 American Dental Association. All Rights Reserved. 21
Looking Ahead – 4 Big Trends 2. Shifting Demographics © 2021 American Dental Association. All Rights Reserved. 22
Higher Share of Dentists are Female © 2021 American Dental Association. All Rights Reserved. 23
More Non-White Dentists © 2021 American Dental Association. All Rights Reserved. 24
Fewer Dentists are Practice Owners © 2021 American Dental Association. All Rights Reserved. 25
Fewer Dentists in Solo Practice © 2021 American Dental Association. All Rights Reserved. 26
Fewer Dentists in Solo Practice There is lots of variation across states in practice structure. ID, OK, UT, for example, have highest share of dentists in solo practice. © 2021 American Dental Association. All Rights Reserved. 27
Practice Consolidation Accelerates © 2021 American Dental Association. All Rights Reserved. 28
Practice Consolidation Accelerates…Even More © 2021 American Dental Association. All Rights Reserved. 29
Kevin Wills Sr. Vice President, Territory Practice Manager PNC Bank Healthcare Business Banking 30
Questions & Answers 31
Thank you for attending today’s webcast. 32
You can also read