The Sandhills Prosperity Zone has undergone a transformation in its economy since the turn of the century—while its population has grown (mainly through natural increase rather than in-migration), the number of jobs has actually fallen by 1.7 percent. At the same time, the industry mix of the region has shifted in ways typical of other rural regions of the state—with a decline in manufacturing and a shift to jobs in health care, retail, and accommodation and food service. While manufacturing is still important to the region, the mix of types of manufacturing is different. While this shift from goods-producing to service-producing has occurred throughout the state, however the Sandhills region has not gained enough jobs to grow their economy to the same extent as the state.