Hospitals and hospital-related spending contribute $11.7 billion annually to the region, a new report concludes. And some of those ripple effects travel far — even to the construction industry. Sutter Medical Center’s $750 million expansion in midtown Sacramento is an example of how the city’s vibrant health care industry helps various sectors of the local economy. The 242-bed women’s and children’s center under construction — and visible from the Capital City Freeway — will open in 2013.