The Cleveland Clinic provides more than 93,500 direct and indirect jobs statewide and contributes $12.6 billion annually to Ohio’s economy, according to a new report released Thursday.

The latest Cleveland Clinic Economic Impact Report examines the health system’s economic contributions to the region and state in 2013 through jobs, construction, spending, visitors and taxes.

That year, the Cleveland Clinic contributed 48,570 “direct” jobs, including employed doctors and other workers, on-campus hotel and parking jobs and positions in spinoff companies.

The Cleveland-based health-care giant also accounted for 44,990 “indirect” jobs, including positions created by other businesses with the support of the hospital’s spending, according to the report.

“It’s really important as a tax-exempt organization, a non-profit provider, that the community and constituates understand the value we provide to the community,” said Steven Glass, the Cleveland Clinic’s chief financial officer and treasurer.

Even though the Cleveland Clinic is tax exempt as a non-profit health-care provider, he said, the organization contributes to the tax base through income taxes, sales tax from goods and services purchased and construction.

“Those are all things that I think are very important to government agencies to understand the value of job creation,” Glass said. “If  you think about any government agency out there, they’re always looking at how do you create jobs in the community.”