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 report released Thursday.

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

That year, the Cleveland Clinic accounted for 48,570 direct jobs, including employed doctors and other workers, on-campus hotel and parking jobs and positions in spin-off 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.

The hospital system purchased nearly $1.3 billion in goods and services from Ohio businesses and generating another $189 million in spending by visitors, the report found.

“It’s really important as a tax-exempt organization, a nonprofit provider, that the community and constituents 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 nonprofit health care provider, he said, the organization contributes to the tax base through income taxes, sales taxes from purchased goods and services, and construction.

“Those are all things that I think are very important to government agencies to understand the value of job creation,” Glass said.

The Cleveland Clinic conducts the economic review every three years. From 2010 to 2013, total economic impact increased about 20 percent from $10.5 billion.

Glass acknowledged the growth might slow in the coming years as health care providers increasingly are under pressure to control costs. Many hospitals, including the Clinic, have been reducing employment.

“We’ve had a focus here of care affordability,” he said. “We’re going to have to make sure we’re very careful about better use of our access across health care delivery.”

The report doesn’t include Akron General Health System, which entered a deal last year giving the Cleveland Clinic a minority ownership stake with an option for full ownership starting later this year.

Cheryl Powell can be reached at 330-996-3902 or cpowell@thebeaconjournal.com. Follow Powell on Twitter at twitter.com/CherylPowellABJ.