Connecticut hospitals contributed $21.9 billion to the state and local economies in 2013, according to a report released this week by the Connecticut Hospital Association. Hospitals in the state provide 55,000 jobs, each of which produces another job outside the hospital. In addition to generating $11.5 billion in annual local payroll in 2013, the hospitals generated $8.8 billion in spending for goods and services and $1.6 billion for capital improvements. “Hospitals play a vital role in our economy,” said CHA CEO Jennifer Jackson. “However, as hospitals lead the charge to transform care in our state to be safer, more integrated, and less costly, they face mounting fiscal pressures that threaten their ability to stay strong for the future.”