What area of a healthcare organizations budget generally accounts for largest portion of expenditures?

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Projected NHE, 2019-2028:
NHE by Age Group and Gender, Selected Years 2002, 2004, 2006, 2008, 2010, 2012, and 2014:
NHE by State of Residence, 1991-2014:
NHE by State of Provider, 1980-2014:

The Programme budget is a critical tool for Member States to set and approve the priorities of the Organization, define the targets to be delivered, and to monitor their achievement. It sets out the resource levels required to deliver this work, and provides the tool for the Member States to control these, so as to balance the Organization’s work across the different areas for which it is accountable.

The biennial Programme budgets themselves are derived from the General Programme of Work approved by the Member States, which sets out the strategic direction of WHO. At present, WHO is operating within the scope of the 13th General Programme of Work, which started in 2019, and was extended by two years by the World Health Assembly, to cover through to 2025.

WHO’s budget comprises four segments:

Base budget is the largest component and the scope is set by WHO, covering and work done across all three strategic priorities as well as the enabling functions – by country offices, regional office and headquarters.
Special programmes includes work done with additional governance structures, such as the UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR); the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP); and Pandemic Influenza Preparedness Framework.
The Global Polio Eradication Initiative (GPEI) a public–private partnership led by national governments with five partners – the World Health Organization (WHO), Rotary International, the US Centers for Disease Control and Prevention (CDC), the United Nations Children’s Fund (UNICEF), Bill & Melinda Gates Foundation and Gavi, the vaccine alliance. Its goal is to eradicate polio worldwide.
Emergency operations and appeals that responds to acute and protracted emergencies and disasters from any hazard with public health consequences. The amount of US$ 1 billion is an estimate that can be adjusted subject to reassessment based on outbreaks, such as the COVID-19 pandemic.

Programme budget 2022-2023	Allocations US$ million
Universal health coverage	1 930
Health emergencies	1 250
Healthier populations	455
More effective and efficient WHO	1 333
Polio eradication	558
Special programmes	199
Emergency operations and appeals	1 000
Total	6 725

WHO’s Programme Budget Portal provides precise details with quarterly updates of the Organization’s budget, financing and implementation progress along with yearly detailed programmatic reviews.

The Portal provides a breakdown of our work, budget & financing, contributors and more. Navigating through the tabs you can find the below information from 2014 to 2020:

Our Programme of Work: a breakdown of WHO’s results hierarchy with links through to more detailed information on each one;
Budget and financing: an overview of the GPW13 budget; a quarterly breakdown of the budget and financing; more detailed financing by budget segment and result, along with our types of funds;
Regions: breakdown of each WHO region and its related Member States, detailing budget, financing and expenditure by results structure;
Contributors: listing of all contributors, types of funding and amounts, and a dynamic graphic showing financial flow from contributors to regions and programmes

NHE grew 9.7% to $4.1 trillion in 2020, or $12,530 per person, and accounted for 19.7% of Gross Domestic Product (GDP).
Medicare spending grew 3.5% to $829.5 billion in 2020, or 20 percent of total NHE.
Medicaid spending grew 9.2% to $671.2 billion in 2020, or 16 percent of total NHE.
Private health insurance spending declined 1.2% to $1,151.4 billion in 2020, or 28 percent of total NHE.
Out of pocket spending declined 3.7% to $388.6 billion in 2020, or 9 percent of total NHE.
Federal government spending for health care grew 36.0% in 2020, significantly faster than the 5.9% growth in 2019. This faster growth was largely in response to the COVID-19 pandemic.
Hospital expenditures grew 6.4% to $1,270.1 billion in 2020, slightly faster than the 6.3% growth in 2019.
Physician and clinical services expenditures grew 5.4% to $809.5 billion in 2020, faster growth than the 4.2% in 2019.
Prescription drug spending increased 3.0% to $348.4 billion in 2020, slower than the 4.3% growth in 2019.
The largest shares of total health spending were sponsored by the federal government (36.3 percent) and the households (26.1 percent). The private business share of health spending accounted for 16.7 percent of total health care spending, state and local governments accounted for 14.3 percent, and other private revenues accounted for 6.5 percent.

For further detail see NHE Tables in downloads below.

Projected NHE, 2019-2028:

National health spending is projected to grow at an average annual rate of 5.4 percent for 2019-28 and to reach $6.2 trillion by 2028.
Because national health expenditures are projected to grow 1.1 percentage points faster than gross domestic product per year on average over 2019–28, the health share of the economy is projected to rise from 17.7 percent in 2018 to 19.7 percent in 2028.
Price growth for medical goods and services (as measured by the personal health care deflator) is projected to accelerate, averaging 2.4 percent per year for 2019–28, partly reflecting faster expected growth in health sector wages.
Among major payers, Medicare is expected to experience the fastest spending growth (7.6 percent per year over 2019-28), largely as a result of having the highest projected enrollment growth.
The insured share of the population is expected to fall from 90.6 percent in 2018 to 89.4 percent by 2028.

For further detail see NHE projections 2019-2028 in downloads below.

NHE by Age Group and Gender, Selected Years 2002, 2004, 2006, 2008, 2010, 2012, and 2014:

Per person personal health care spending for the 65 and older population was $19,098 in 2014, over 5 times higher than spending per child ($3,749) and almost 3 times the spending per working-age person ($7,153).
In 2014, children accounted for approximately 24 percent of the population and about 11 percent of all PHC spending.
The working-age group comprised the majority of spending and population in 2014, almost 54 percent and over 61 percent respectively.
The elderly were the smallest population group, nearly 15 percent of the population, and accounted for approximately 34 percent of all spending in 2014.
Per person spending for females ($8,811) was 21 percent more than males ($7,272) in 2014.
In 2014, per person spending for male children (0-18) was 9 percent more than females. However, for the working age and elderly groups, per person spending for females was 26 and 7 percent more than for males.

For further detail see health expenditures by age in downloads below.

NHE by State of Residence, 1991-2014:

In 2014, per capita personal health care spending ranged from $5,982 in Utah to $11,064 in Alaska. Per capita spending in Alaska was 38 percent higher than the national average ($8,045) while spending in Utah was about 26 percent lower; they have been the lowest and highest, respectively, since 2012.
Health care spending by region continued to exhibit considerable variation. In 2014, the New England and Mideast regions had the highest levels of total per capita personal health care spending ($10,119 and $9,370, respectively), or 26 and 16 percent higher than the national average. In contrast, the Rocky Mountain and Southwest regions had the lowest levels of total personal health care spending per capita ($6,814 and $6,978, respectively) with average spending roughly 15 percent lower than the national average.
For 2010-14, average growth in per capita personal health care spending was highest in Alaska at 4.8 percent per year and lowest in Arizona at 1.9 percent per year (compared with average growth of 3.1 percent nationally).
The spread between the highest and the lowest per capita personal health spending across the states has remained relatively stable over 2009-14. Accordingly, the highest per capita spending levels were 80 to 90 percent higher per year than the lowest per capita spending levels during the period.
Medicare expenditures per beneficiary were highest in New Jersey ($12,614) and lowest in Montana ($8,238) in 2014.

Medicaid expenditures per enrollee were highest in North Dakota ($12,413) and lowest in Illinois ($4,959) in 2014.

For further detail, see health expenditures by state of residence in downloads below.

NHE by State of Provider, 1980-2014:

Between 2009 and 2014, U.S. personal health care spending grew, on average, 3.9 percent per year, with spending in North Dakota growing the fastest (6.7 percent) and spending in Rhode Island growing the slowest (2.5 percent).
In 2014, California’s personal health care spending was highest in the nation ($295.0 billion), representing 11.5 percent of total U.S. personal health care spending. Comparing historical state rankings through 2014, California consistently had the highest level of total personal health care spending, together with the highest total population in the nation. Other large states, New York, Texas, Florida, and Pennsylvania, also were among the states with the highest total personal health care spending.
Wyoming’s personal health care spending was lowest in the nation (as has been the case historically), representing just 0.2 percent of total U.S. personal health care spending in 2014. Vermont, Alaska, North Dakota, and South Dakota were also among the states with the lowest personal health care spending in both 2014 and historically. All these states have smaller populations.
Gross Domestic Product (GDP) by state measures the value of goods and services produced in each state. Health spending as a share of a state’s GDP shows the importance of the health care sector in a state’s economy. As a share of GDP, Maine ranked the highest (22.3 percent) and Wyoming ranked the lowest (9.3 percent) in 2014.

For further detail, see health expenditures by state of provider in downloads below.