At the macro level, print’s economic footprint is both massive and diverse. Printing Industries of America’s definition of the industry includes printing and related support activates (Economic Censes code 323) plus print-related media (Economic Census code 511). Print-related media includes newspapers, periodicals, books, directories and mailing lists, and greeting cards and includes only activity directly related to print. We estimate that print’s U.S. economic footprint in 2012 totaled over $156 billion in annual shipments. The industry had almost 48,000 establishments employing just fewer than 1 million employees.